Questionnaire Public Report06/21/2012 09:37:50 AM
Cohort:Child Cohorts
Round:Child Round 24
Instrument :Child_R24-2010_data_release

Starting in 2006, the Mother Supplement, administered from 1986-2004 as a separate child-based instrument, was integrated into the Fertility section of the NLSY79 main Youth questionnaire. Thus, the mother-report assessments are now administered in a “looped” fashion for each age-eligible child during the mother’s own main Youth interview. This document contains ”child-based” versions of the assessment items drawn from the Mother Supplement section of the main Youth instrument. These child-based variables, generally prefixed by “MS” in the Child database, can be found by searching the MOTHER SUPPLEMENT 2010 area of interest in Investigator. Researchers who would like to see the Mother Supplement in the context of the full main NLSY79 instrument can access the Fertility section of the NLSY79 main Youth field questionnaire. Most of the Mother Supplement items in the main Youth questionnaire, except for the child asthma questions, end in “MS” followed by the loop number for each child. Users who wish to construct child-based variables from the Mother Supplement, or any item from the mother’s record, not found in the Child/Young Adult database may access the mothers’ data in the main Youth files.
  • MS-Preliminaries

  • MS-CHILD BACKGROUND

  • MS-HEALTH - HEIGHT & WEIGHT

  • MS-HEALTH

  • The HOME

  • TEMPERAMENT

  • MOTOR AND SOCIAL DEVELOPMENT

  • BEHAVIOR PROBLEMS INDEX

  • MS CASI SECTION

  • MS INTERVIEWER REMARKS



  • MS-CKNAME [C51376.00]Section: MS-Preliminaries

    ISVAREMPTY([Child First Name])

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

    If Answer = 1 Then Go To
    MS-ENTERNAME

    Default Next:MS-CKFULLNAME
    Lead-In:CNORCID_MS [Default]


    MS-ENTERNAME [C51377.00]Section: MS-Preliminaries

    INTERVIEWER: ENTER CHILD'S FIRST NAME:

    Enter: 

    Default Next:MS-CKFULLNAME
    Lead-In:MS-CKNAME [1:1]


    MS-CKFULLNAME [C51378.00]Section: MS-Preliminaries

    ISVAREMPTY([Child Full Name])

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

    If Answer = 1 Then Go To
    MS-ENTERFULLNAME

    Default Next:MS-INT-MODE
    Lead-In:MS-CKNAME [Default], MS-ENTERNAME [Default]


    MS-ENTERFULLNAME []Section: MS-Preliminaries

    INTERVIEWER: ENTER CHILD'S FULL NAME:

    Enter: 

    Default Next:MS-INT-MODE
    Lead-In:MS-CKFULLNAME [1:1]


    MS-INT-MODE []Section: MS-Preliminaries

    INTERVIEWER: SELECT INTERVIEW MODE.

     1   IN PERSON
     2   TELEPHONE

    Default Next:MS-BKGN-STATCHK
    Lead-In:MS-CKFULLNAME [Default], MS-ENTERFULLNAME [Default]


    MS-BKGN-STATCHK [C51406.00]Section: MS-CHILD BACKGROUND

    {^biochild_statcode^}

    COMMENT: Is biological child deleted, deceased or adopted out?

    If Answer = 5 Then Go To
    MS-HLTH-CHK1
    If Answer = 8 Then Go To MS-HLTH-CHK1
    If Answer = 99 Then Go To MS-HLTH-CHK1

    Default Next:MS-BKGN-RESCHK
    Lead-In:MS-INT-MODE [Default]


    MS-BKGN-RESCHK [C51407.00]Section: MS-CHILD BACKGROUND

    {^biochild_hhiflag^}

    COMMENT: Is biological child deleted, deceased or adopted out?

    If Answer = 5 Then Go To
    MS-HLTH-CHK1
    If Answer = 8 Then Go To MS-HLTH-CHK1

    Default Next:MS-BKGN-AGECHK
    Lead-In:MS-BKGN-STATCHK [Default]


    MS-BKGN-AGECHK [C51408.00]Section: MS-CHILD BACKGROUND

    ([CHILD AGE (YEARS)] < 3)

    COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3

    If Answer = 1 Then Go To
    MS-HLTH-CHK1

    Default Next:MS-BKGN-1
    Lead-In:MS-BKGN-RESCHK [Default]


    MS-BKGN-1 [C51412.00]Section: MS-CHILD BACKGROUND

    Please think about the [2009-2010] 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.)

     1   Yes   ...(Go To MS-BKGN-3)
     0   No

    Default Next:MS-BKGN-2
    Lead-In:MS-BKGN-AGECHK [Default]


    MS-BKGN-2 [C51413.00]Section: MS-CHILD BACKGROUND

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

     1   Yes
     0   No   ...(Go To MS-BKGN-AGECK-YA)
     2   IF VOLUNTEERED: Home Schooling   ...(Go To MS-BKGN-4)

    Default Next:MS-BKGN-3
    Lead-In:MS-BKGN-1 [Default]


    MS-BKGN-3 [C51414.00]Section: MS-CHILD BACKGROUND

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


    (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 MS-BKGN-4)

    If Answer = -2 Then Go To
    MS-BKGN-4

    Default Next:MS-BKGN-AGECK-YA
    Lead-In:MS-BKGN-1 [1:1], MS-BKGN-2 [Default]


    MS-BKGN-4 [C51415.00]Section: MS-CHILD BACKGROUND

    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)

    Default Next:MS-BKGN-AGECK-YA
    Lead-In:MS-BKGN-2 [2:2], MS-BKGN-3 [-2:-2], MS-BKGN-3 [95:95]


    MS-BKGN-AGECK-YA [C51416.00]Section: MS-CHILD BACKGROUND

    ([biochild_bdate~Y] <= 1995)

    If Answer = 1 Then Go To
    MS-HLTH-CHK1

    Default Next:MS-BKGN-5-DATECHK
    Lead-In:MS-BKGN-2 [0:0], MS-BKGN-3 [Default], MS-BKGN-4 [Default]


    MS-BKGN-5-DATECHK [C51417.00]Section: MS-CHILD BACKGROUND

    ([SUMMER TERM FLAG])

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

    If Answer = 1 Then Go To
    MS-BKGN-5A

    Default Next:MS-BKGN-5B
    Lead-In:MS-BKGN-AGECK-YA [Default]


    MS-BKGN-5A [C51418.00]Section: MS-CHILD BACKGROUND

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

     1   Yes   ...(Go To MS-BKGN-6-DATECHK)
     0   No

    Default Next:MS-BKGN-5B
    Lead-In:MS-BKGN-5-DATECHK [1:1]


    MS-BKGN-5B [C51419.00]Section: MS-CHILD BACKGROUND

    Has [he/she] ever attended summer school?

     1   Yes
     0   No

    Default Next:MS-BKGN-6-DATECHK
    Lead-In:MS-BKGN-5-DATECHK [Default], MS-BKGN-5A [Default]


    MS-BKGN-6-DATECHK [C51420.00]Section: MS-CHILD BACKGROUND

    ([FALL TERM FLAG])

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

    If Answer = 1 Then Go To
    MS-BKGN-6A

    Default Next:MS-BKGN-AGECK-PRESCHL
    Lead-In:MS-BKGN-5A [1:1], MS-BKGN-5B [Default]


    MS-BKGN-6A [C51421.00]Section: MS-CHILD BACKGROUND

    Now please think about the [2010-2011] regular school year.

    Has [Child First Name] been attending regular school or preschool for at least four weeks (of the [2010-2011] school year)?

     1   Yes   ...(Go To MS-BKGN-6B)
     0   No
     2   IF VOLUNTEERED: Home Schooling   ...(Go To MS-BKGN-6C)

    Default Next:MS-BKGN-AGECK-PRESCHL
    Lead-In:MS-BKGN-6-DATECHK [1:1]


    MS-BKGN-6B [C51422.00]Section: MS-CHILD BACKGROUND

    What grade is [Child First Name] currently attending?


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

     90   Nursery/preschool 0   Kindergarten
     1   1st grade 2   2nd grade
     3   3rd grade 4   4th grade
     5   5th grade 6   6th grade
     7   7th grade 8   8th grade
     9   9th grade 10   10th grade
     11   11th grade 12   12th grade
     13   1st year in college 14   2nd year in college
     15   3rd year in college 16   4th year in college
     17   5th year in college 18   6th year in college
     19   7th year in college 20   8th year in college or more
     95   Ungraded

    Default Next:MS-BKGN-AGECK-PRESCHL
    Lead-In:MS-BKGN-6A [1:1]


    MS-BKGN-6C []Section: MS-CHILD BACKGROUND

    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)

    Default Next:MS-BKGN-AGECK-PRESCHL
    Lead-In:MS-BKGN-6A [2:2]


    MS-BKGN-AGECK-PRESCHL [C51424.00]Section: MS-CHILD BACKGROUND

    ([CHILD AGE (YEARS)] < 8)

    If Answer = 1 Then Go To
    MS-BKGN-GRDCHK-PRESCHL

    Default Next:MS-BKGN-17
    Lead-In:MS-BKGN-6-DATECHK [Default], MS-BKGN-6A [Default], MS-BKGN-6B [Default], MS-BKGN-6C [Default]


    MS-BKGN-GRDCHK-PRESCHL [C51425.00]Section: MS-CHILD BACKGROUND

    ([CHILD GRADE (OR EQUIVALENT)])

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

    If Answer = 90 Then Go To
    MS-BKGN-8

    Default Next:MS-BKGN-7
    Lead-In:MS-BKGN-AGECK-PRESCHL [1:1]


    MS-BKGN-7 [C51426.00]Section: MS-CHILD BACKGROUND

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

     1   Yes
     0   No

    Default Next:MS-BKGN-8
    Lead-In:MS-BKGN-GRDCHK-PRESCHL [Default]


    MS-BKGN-8 [C51427.00]Section: MS-CHILD BACKGROUND

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

     1   Yes
     0   No

    Default Next:MS-BKGN-11
    Lead-In:MS-BKGN-GRDCHK-PRESCHL [90:90], MS-BKGN-7 [Default]


    MS-BKGN-11 [C51429.00]Section: MS-CHILD BACKGROUND

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

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

    If Answer = 1 Then Go To
    MS-BKGN-17

    Default Next:MS-BKGN-12
    Lead-In:MS-BKGN-8 [Default]


    MS-BKGN-12 [C51430.00]Section: MS-CHILD BACKGROUND

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

     1   Yes   ...(Go To MS-BKGN-13)
     0   No

    Default Next:MS-BKGN-17
    Lead-In:MS-BKGN-11 [Default]


    MS-BKGN-13 [C51431.00]Section: MS-CHILD BACKGROUND

    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.)

    Enter Number: 

    Default Next:MS-BKGN-14
    Lead-In:MS-BKGN-12 [1:1]


    MS-BKGN-14 [C51432.00]Section: MS-CHILD BACKGROUND

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

     1   Less than 3 months
     2   3 - 11 months
     3   1 year - 23 months
     4   2 years or more
     5   Still enrolled

    Default Next:MS-BKGN-15
    Lead-In:MS-BKGN-13 [Default]


    MS-BKGN-15 [C51433.00]Section: MS-CHILD BACKGROUND

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

     1   Very satisfied
     2   Somewhat satisfied
     3   Somewhat dissatisfied
     4   Very dissatisfied

    Default Next:MS-BKGN-16
    Lead-In:MS-BKGN-14 [Default]


    MS-BKGN-16 [C51434.00]Section: MS-CHILD BACKGROUND

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

     1   Very satisfied
     2   Somewhat satisfied
     3   Somewhat dissatisfied
     4   Very dissatisfied

    Default Next:MS-BKGN-17
    Lead-In:MS-BKGN-15 [Default]


    MS-BKGN-17 [C51435.00]Section: MS-CHILD BACKGROUND

    ([CHILD AGE (YEARS)] < 5 )

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

    If Answer = 1 Then Go To
    MS-HLTH-CHK1

    Default Next:MS-BKGN-18
    Lead-In:MS-BKGN-11 [1:1], MS-BKGN-AGECK-PRESCHL [Default], MS-BKGN-12 [Default], MS-BKGN-16 [Default]


    MS-BKGN-18 [C51436.00]Section: MS-CHILD BACKGROUND

    ([IN SCHOOL] == 1)

    If Answer = 1 Then Go To
    MS-BKGN-20

    Default Next:MS-BKGN-19
    Lead-In:MS-BKGN-17 [Default]


    MS-BKGN-19 [C51437.00]Section: MS-CHILD BACKGROUND

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

     1   Unable to attend due to physical, emotional, or mental condition
     2   Expelled or suspended
     3   School closed because of strike, physical damage, etc.
     4   Child's father, stepfather, father-figure won't let child attend
     7   Home schooled
     5   Other reasons (SPECIFY)

    Default Next:MS-BKGN-23
    Lead-In:MS-BKGN-18 [Default]


    MS-BKGN-20 [C51438.00]Section: MS-CHILD BACKGROUND

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

     1   Public school   ...(Go To MS-BKGN-23)
     2   Charter school
     3   Catholic school
     4   Other religious or church-sponsored school
     5   Non-religious private school   ...(Go To MS-BKGN-23)
     6   Indian reservation school
     7   Military academy
     8   Home-schooled   ...(Go To MS-BKGN-23)
     9   Other (SPECIFY)

    Default Next:MS-BKGN-21
    Lead-In:MS-BKGN-18 [1:1]


    MS-BKGN-21 [C51439.00]Section: MS-CHILD BACKGROUND

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

     1   Public
     2   Private
     3   Other (SPECIFY)
     4   Does not attend school at all

    Default Next:MS-BKGN-23
    Lead-In:MS-BKGN-20 [Default]


    MS-BKGN-23 [C51440.00]Section: MS-CHILD BACKGROUND

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

    If Answer = 1 Then Go To
    MS-BKGN-32

    Default Next:MS-BKGN-24
    Lead-In:MS-BKGN-20 [1:1], MS-BKGN-20 [5:5], MS-BKGN-20 [8:8], MS-BKGN-19 [Default], MS-BKGN-21 [Default]


    MS-BKGN-24 [C51441.00]Section: MS-CHILD BACKGROUND

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

    Enter Number: 
    If Answer >= -2 AND Answer <= -1 Then Go To
    MS-BKGN-FIRSTLANG

    Default Next:MS-BKGN-25
    Lead-In:MS-BKGN-23 [Default]


    MS-BKGN-25 [C51442.00]Section: MS-CHILD BACKGROUND

    How many of these were elementary schools?

    Enter Number: 

    Default Next:MS-BKGN-FIRSTLANG
    Lead-In:MS-BKGN-24 [Default]


    MS-BKGN-FIRSTLANG [C51443.00]Section: MS-CHILD BACKGROUND

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

     1   ENGLISH (OR MOSTLY ENGLISH)
     2   SPANISH (OR MOSTLY SPANISH)
     3   ENGLISH AND SPANISH EQUALLY
     4   ENGLISH AND ANOTHER LANGUAGE EQUALLY (SPECIFY)
     5   CHILD DOES NOT SPEAK
     6   ANOTHER LANGUAGE (SPECIFY)

    Default Next:MS-BKGN-CURRLANG
    Lead-In:MS-BKGN-24 [-2:-1], MS-BKGN-25 [Default]


    MS-BKGN-CURRLANG [C51444.00]Section: MS-CHILD BACKGROUND

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

     1   ENGLISH (OR MOSTLY ENGLISH)
     2   SPANISH (OR MOSTLY SPANISH)
     3   ENGLISH AND SPANISH EQUALLY
     4   ENGLISH AND ANOTHER LANGUAGE EQUALLY (SPECIFY)
     5   CHILD DOES NOT SPEAK
     6   ANOTHER LANGUAGE (SPECIFY)

    Default Next:MS-BKGN-26
    Lead-In:MS-BKGN-FIRSTLANG [Default]


    MS-BKGN-26 [C51445.00]Section: MS-CHILD BACKGROUND

    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.

    COMMENT: 1 implied decimal

    Enter Number: 

    Default Next:MS-BKGN-27
    Lead-In:MS-BKGN-CURRLANG [Default]


    MS-BKGN-27 [C51446.00]Section: MS-CHILD BACKGROUND

    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.

    COMMENT: 1 implied decimal

    Enter Number: 

    Default Next:MS-BKGN-28
    Lead-In:MS-BKGN-26 [Default]


    MS-BKGN-28 [C51447.00]Section: MS-CHILD BACKGROUND

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

    If Answer = 1 Then Go To
    MS-BKGN-32

    Default Next:MS-BKGN-29A
    Lead-In:MS-BKGN-27 [Default]


    MS-BKGN-29A [C51448.00]Section: MS-CHILD BACKGROUND

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

     1   Yes
     0   No

    Default Next:MS-BKGN-29B
    Lead-In:MS-BKGN-28 [Default]


    MS-BKGN-29B [C51449.00]Section: MS-CHILD BACKGROUND

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

     1   Yes
     0   No

    Default Next:MS-BKGN-29C
    Lead-In:MS-BKGN-29A [Default]


    MS-BKGN-29C [C51450.00]Section: MS-CHILD BACKGROUND

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

     1   Yes
     0   No

    Default Next:MS-BKGN-29D
    Lead-In:MS-BKGN-29B [Default]


    MS-BKGN-29D [C51451.00]Section: MS-CHILD BACKGROUND

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

     1   Yes
     0   No

    Default Next:MS-BKGN-29E
    Lead-In:MS-BKGN-29C [Default]


    MS-BKGN-29E [C51452.00]Section: MS-CHILD BACKGROUND

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

     1   Yes
     0   No

    Default Next:MS-BKGN-30
    Lead-In:MS-BKGN-29D [Default]


    MS-BKGN-30 [C51453.00]Section: MS-CHILD BACKGROUND

    ([IN SCHOOL] == 1)

    If Answer = 1 Then Go To
    MS-BKGN-31A

    Default Next:MS-BKGN-32
    Lead-In:MS-BKGN-29E [Default]


    MS-BKGN-31A [C51454.00]Section: MS-CHILD BACKGROUND

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

     1   Yes
     0   No

    Default Next:MS-BKGN-31B
    Lead-In:MS-BKGN-30 [1:1]


    MS-BKGN-31B [C51455.00]Section: MS-CHILD BACKGROUND

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

     1   Yes
     0   No

    Default Next:MS-BKGN-31C
    Lead-In:MS-BKGN-31A [Default]


    MS-BKGN-31C [C51456.00]Section: MS-CHILD BACKGROUND

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

     1   Yes
     0   No

    Default Next:MS-BKGN-31D
    Lead-In:MS-BKGN-31B [Default]


    MS-BKGN-31D [C51457.00]Section: MS-CHILD BACKGROUND

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

     1   Yes
     0   No

    Default Next:MS-BKGN-32
    Lead-In:MS-BKGN-31C [Default]


    MS-BKGN-32 [C51458.00]Section: MS-CHILD BACKGROUND

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

    Do you know . . .

     1   All of them
     2   Most of them
     3   About half
     4   Only a few
     5   None of them
     6   CHILD HAS NO CLOSE FRIENDS

    Default Next:MS-BKGN-33
    Lead-In:MS-BKGN-23 [1:1], MS-BKGN-28 [1:1], MS-BKGN-30 [Default], MS-BKGN-31D [Default]


    MS-BKGN-33 [C51459.00]Section: MS-CHILD BACKGROUND

    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 . . .

     1   All of the time
     2   Most of the time
     3   Some of the time, or
     4   Rarely?

    Default Next:MS-BKGN-34
    Lead-In:MS-BKGN-32 [Default]


    MS-BKGN-34 [C51460.00]Section: MS-CHILD BACKGROUND

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

     1   About once a week
     2   At least once a month
     3   A few times a year
     4   Never

    Default Next:MS-BKGN-35
    Lead-In:MS-BKGN-33 [Default]


    MS-BKGN-35 [C51461.00]Section: MS-CHILD BACKGROUND

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

     1   Very important
     2   Fairly important
     3   Not at all important

    Default Next:MS-HLTH-CHK1
    Lead-In:MS-BKGN-34 [Default]


    MS-HLTH-CHK1 [C51464.00]Section: MS-HEALTH - HEIGHT & WEIGHT

    {^biochild_statcode^}

    If Answer = 5 Then Go To
    MS-HOME-STATCHK
    If Answer = 8 Then Go To MS-HOME-STATCHK
    If Answer = 99 Then Go To MS-HOME-STATCHK

    Default Next:MS-HLTH-CHK2
    Lead-In:MS-BKGN-STATCHK [5:5], MS-BKGN-STATCHK [8:8], MS-BKGN-STATCHK [99:99], MS-BKGN-RESCHK [5:5], MS-BKGN-RESCHK [8:8], MS-BKGN-AGECHK [1:1], MS-BKGN-AGECK-YA [1:1], MS-BKGN-17 [1:1], MS-BKGN-35 [Default]


    MS-HLTH-CHK2 [C51465.00]Section: MS-HEALTH - HEIGHT & WEIGHT

    {^biochild_hhiflag^}

    COMMENT: Is child in the household at least part time?

    If Answer = 1 Then Go To
    MS-HLTH-AGECHK-YA2
    If Answer = 5 Then Go To MS-HOME-STATCHK
    If Answer = 8 Then Go To MS-HOME-STATCHK
    If Answer = 9 Then Go To MS-HLTH-AGECHK-YA2
    If Answer = 10 Then Go To MS-HLTH-AGECHK-YA2

    Default Next:MS-HOME-STATCHK
    Lead-In:MS-HLTH-CHK1 [Default]


    MS-HLTH-AGECHK-YA2 [C51467.00]Section: MS-HEALTH - HEIGHT & WEIGHT

    {^biochild_bdate~Y^} <= 1995

    COMMENT: Is this child age 15 or older?

    If Answer = 1 Then Go To
    MS-HLTH-8

    Default Next:MS-HLTH-HW-MODECHK
    Lead-In:MS-HLTH-CHK2 [1:1], MS-HLTH-CHK2 [9:9], MS-HLTH-CHK2 [10:10]


    MS-HLTH-HW-MODECHK [C51473.00]Section: MS-HEALTH - HEIGHT & WEIGHT

    [interview mode]([mother supplement-part 1])==1

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

    If Answer = 1 Then Go To
    MS-HLTH-21A

    Default Next:MS-HLTH-HGT-SELECT
    Lead-In:MS-HLTH-AGECHK-YA2 [Default]


    MS-HLTH-21A []Section: MS-HEALTH - HEIGHT & WEIGHT

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

     1   YES   ...(Go To MS-HLTH-21B)
     0   NO

    Default Next:MS-HLTH-HGT-SELECT
    Lead-In:MS-HLTH-HW-MODECHK [1:1]


    MS-HLTH-21B []Section: MS-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.

    Enter: 

    Default Next:MS-HLTH-HGT-SELECT
    Lead-In:MS-HLTH-21A [1:1]


    MS-HLTH-HGT-SELECT [C51474.00]Section: MS-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)

    Default Next:MS-HLTH-HGT-MTHDCK
    Lead-In:MS-HLTH-HW-MODECHK [Default], MS-HLTH-21A [Default], MS-HLTH-21B [Default]


    MS-HLTH-HGT-MTHDCK [C51475.00]Section: MS-HEALTH - HEIGHT & WEIGHT

    {HGTMETHOD}

    COMMENT: Internal Function

    If Answer = 1 Then Go To
    MS-HLTH-HGT-FEET
    If Answer = 2 Then Go To MS-HLTH-HGT-TOTALINCHES

    Default Next:MS-HLTH-HGT-FEET
    Lead-In:MS-HLTH-HGT-SELECT [Default]


    MS-HLTH-HGT-FEET [C51476.00]Section: MS-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.

    FEET 


    MS-HLTH-HGT-INCHES [C51477.00]Section: MS-HEALTH - HEIGHT & WEIGHT

    INCHES 

    Default Next:MS-HLTH-HGTCOMP
    Lead-In:MS-HLTH-HGT-FEET [Default]


    MS-HLTH-HGT-TOTALINCHES [C51478.00]Section: MS-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.

    TOTAL INCHES 

    Default Next:MS-HLTH-HGTCOMP
    Lead-In:MS-HLTH-HGT-MTHDCK [2:2]


    MS-HLTH-HGTCOMP [C51480.00]Section: MS-HEALTH - HEIGHT & WEIGHT

    ([HEIGHT INPUT] < [CALCULATED MIN HEIGHT VALUE]) || ([HEIGHT INPUT] > [CALCULATED MAX HEIGHT VALUE])

    COMMENT: Internal Function

    If Answer = 1 Then Go To
    MS-HLTH-HGT-MTHDCK2

    Default Next:MS-HLTH-HGT-REPT
    Lead-In:MS-HLTH-HGT-INCHES [Default], MS-HLTH-HGT-TOTALINCHES [Default]


    MS-HLTH-HGT-MTHDCK2 [C51481.00]Section: MS-HEALTH - HEIGHT & WEIGHT

    {HGTMETHOD}

    COMMENT: Internal Function

    If Answer = 1 Then Go To
    MS-HLTH-HGTCONF1
    If Answer = 2 Then Go To MS-HLTH-HGTCONF2

    Default Next:MS-HLTH-HGTCONF1
    Lead-In:MS-HLTH-HGTCOMP [1:1]


    MS-HLTH-HGTCONF1 [C51482.00]Section: MS-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
     0   NOT CORRECT

    Default Next:MS-HLTH-HGT-REPT
    Lead-In:MS-HLTH-HGT-MTHDCK2 [1:1], MS-HLTH-HGT-MTHDCK2 [Default]


    MS-HLTH-HGTCONF2 [C51483.00]Section: MS-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.

     1   YES
     0   NO

    Default Next:MS-HLTH-HGT-REPT
    Lead-In:MS-HLTH-HGT-MTHDCK2 [2:2]


    MS-HLTH-HGT-REPT [C51484.00]Section: MS-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

    Default Next:MS-HLTH-WGT-SELECT
    Lead-In:MS-HLTH-HGTCOMP [Default], MS-HLTH-HGTCONF1 [Default], MS-HLTH-HGTCONF2 [Default]


    MS-HLTH-WGT-SELECT [C51485.00]Section: MS-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)

    Default Next:MS-HLTH-WGT-MTHDCK
    Lead-In:MS-HLTH-HGT-REPT [Default]


    MS-HLTH-WGT-MTHDCK [C51486.00]Section: MS-HEALTH - HEIGHT & WEIGHT

    {WGTMETHOD}

    COMMENT: Internal Function

    If Answer = 1 Then Go To
    MS-HLTH-WGT-LBSONLY
    If Answer = 2 Then Go To MS-HLTH-WGT-LBS

    Default Next:MS-HLTH-WGT-LBSONLY
    Lead-In:MS-HLTH-WGT-SELECT [Default]


    MS-HLTH-WGT-LBSONLY [C51487.00]Section: MS-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.

    LBS. 

    Default Next:MS-HLTH-WGTCOMP
    Lead-In:MS-HLTH-WGT-MTHDCK [1:1], MS-HLTH-WGT-MTHDCK [Default]


    MS-HLTH-WGT-LBS [C51488.00]Section: MS-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".

    LBS. 


    MS-HLTH-WGT-OZS [C51489.00]Section: MS-HEALTH - HEIGHT & WEIGHT

    OZ. 

    Default Next:MS-HLTH-WGTCOMP
    Lead-In:MS-HLTH-WGT-LBS [Default]


    MS-HLTH-WGTCOMP [C51491.00]Section: MS-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
    MS-HLTH-WGT-MTHDCK2

    Default Next:MS-HLTH-WGT-REPT
    Lead-In:MS-HLTH-WGT-LBSONLY [Default], MS-HLTH-WGT-OZS [Default]


    MS-HLTH-WGT-MTHDCK2 [C51492.00]Section: MS-HEALTH - HEIGHT & WEIGHT

    {WGTMETHOD}

    COMMENT: Internal Function

    If Answer = 1 Then Go To
    MS-HLTH-WGTCONF1
    If Answer = 2 Then Go To MS-HLTH-WGTCONF2

    Default Next:MS-HLTH-WGTCONF1
    Lead-In:MS-HLTH-WGTCOMP [1:1]


    MS-HLTH-WGTCONF1 [C51493.00]Section: MS-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.

     1   YES
     0   NO

    Default Next:MS-HLTH-WGT-REPT
    Lead-In:MS-HLTH-WGT-MTHDCK2 [1:1], MS-HLTH-WGT-MTHDCK2 [Default]


    MS-HLTH-WGTCONF2 [C51494.00]Section: MS-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.

     1   YES
     0   NO

    Default Next:MS-HLTH-WGT-REPT
    Lead-In:MS-HLTH-WGT-MTHDCK2 [2:2]


    MS-HLTH-WGT-REPT [C51495.00]Section: MS-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

    Default Next:MS-HLTH-AGECHK
    Lead-In:MS-HLTH-WGTCOMP [Default], MS-HLTH-WGTCONF1 [Default], MS-HLTH-WGTCONF2 [Default]


    MS-HLTH-AGECHK [C51496.00]Section: MS-HEALTH

    {^MSAGE^} < 3 || {^biochild_statcode^} == 97

    COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3

    If Answer = 1 Then Go To
    MS-HLTH-AGECHKA

    Default Next:MS-HLTH-1A
    Lead-In:MS-HLTH-WGT-REPT [Default]


    MS-HLTH-1A [C51497.00]Section: MS-HEALTH

    {RESN-NOSCHL} == 1

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

    If Answer = 1 Then Go To
    MS-HLTH-5-LOOP-BEGIN

    Default Next:MS-HLTH-1B
    Lead-In:MS-HLTH-AGECHK [Default]


    MS-HLTH-1B [C51498.00]Section: MS-HEALTH

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

    If Answer = 1 Then Go To
    MS-HLTH-2A

    Default Next:MS-HLTH-2C
    Lead-In:MS-HLTH-1A [Default]


    MS-HLTH-2A [C51499.00]Section: MS-HEALTH

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

    ...attend school regularly?

     1   Yes   ...(Go To MS-HLTH-5-LOOP-BEGIN)
     0   No

    Default Next:MS-HLTH-2B
    Lead-In:MS-HLTH-1B [1:1]


    MS-HLTH-2B [C51500.00]Section: MS-HEALTH

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

    ...do regular school work?

     1   Yes   ...(Go To MS-HLTH-5-LOOP-BEGIN)
     0   No

    Default Next:MS-HLTH-2C
    Lead-In:MS-HLTH-2A [Default]


    MS-HLTH-2C [C51501.00]Section: MS-HEALTH

    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?

     1   Yes   ...(Go To MS-HLTH-5-LOOP-BEGIN)
     0   No

    Default Next:MS-HLTH-3A
    Lead-In:MS-HLTH-1B [Default], MS-HLTH-2B [Default]


    MS-HLTH-3A [C51502.00]Section: MS-HEALTH

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

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

     1   Yes   ...(Go To MS-HLTH-5-LOOP-BEGIN)
     0   No

    Default Next:MS-HLTH-3B
    Lead-In:MS-HLTH-2C [Default]


    MS-HLTH-3B [C51503.00]Section: MS-HEALTH

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

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

     1   Yes   ...(Go To MS-HLTH-5-LOOP-BEGIN)
     0   No

    Default Next:MS-HLTH-3C
    Lead-In:MS-HLTH-3A [Default]


    MS-HLTH-3C [C51504.00]Section: MS-HEALTH

    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?

     1   Yes   ...(Go To MS-HLTH-5-LOOP-BEGIN)
     0   No

    Default Next:MS-HLTH-AGECHKA
    Lead-In:MS-HLTH-3B [Default]


    MS-HLTH-5-LOOP-BEGIN []Section: MS-HEALTH

    REPEAT

    COMMENT: Begin loop about limiting conditions

    Default Next:MS-HLTH-5A_VERBATIM
    Lead-In:MS-HLTH-1A [1:1], MS-HLTH-2A [1:1], MS-HLTH-2B [1:1], MS-HLTH-2C [1:1], MS-HLTH-3A [1:1], MS-HLTH-3B [1:1], MS-HLTH-3C [1:1]


    MS-HLTH-5A_VERBATIM [C51509.00]Section: MS-HEALTH

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

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

    RECORD VERBATIM 


    MS-HLTH-5A [C51512.00]Section: MS-HEALTH

    CODE ONLY ONE

     1   Learning disability
     2   Minimal brain dysfunction, minimal cerebral dysfunction, attention deficit disorder
     3   Hyperkinesis, hyperactivity
     4   Asthma
     5   Respiratory disorder or sinus infection
     6   Speech impairment
     7   Serious hearing difficulty or deafness
     8   Serious difficulty in seeing or blindness
     9   Serious emotional disturbance
     10   Allergic condition(s)
     11   Orthopedic handicap
     12   Mental retardation
     13   Heart trouble
     14   Chronic nervous disorder
     16   Chronic ear problems or infections
     17   Blood disorder or immune deficiency (e.g. sickle cell anemia)
     18   Epilepsy/Seizures
     95   Health condition not listed (SPECIFY)

    Default Next:MS-HLTH-5C-AGECK
    Lead-In:MS-HLTH-5A_VERBATIM [Default]


    MS-HLTH-5C-AGECK [C51515.00]Section: MS-HEALTH

    {msagemo}<=11

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

    If Answer = 1 Then Go To
    MS-HLTH-5-CNT

    Default Next:MS-HLTH-5C
    Lead-In:MS-HLTH-5A [Default]


    MS-HLTH-5C [C51518.00]Section: MS-HEALTH

    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)

    Enter Number: 

    Default Next:MS-HLTH-5-CNT
    Lead-In:MS-HLTH-5C-AGECK [Default]


    MS-HLTH-5-CNT [C51521.00]Section: MS-HEALTH

    {HLTH-LOOP5COUNTER}

    If Answer = 1 Then Go To
    MS-HLTH-5-1STQ2A

    Default Next:MS-HLTH-5-SCHLCK
    Lead-In:MS-HLTH-5C-AGECK [1:1], MS-HLTH-5C [Default]


    MS-HLTH-5-1STQ2A [C51524.00]Section: MS-HEALTH

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

    If Answer = 1 Then Go To
    MS-HLTH-5E

    Default Next:MS-HLTH-5-1STQ2B
    Lead-In:MS-HLTH-5-CNT [1:1]


    MS-HLTH-5-1STQ2B [C51525.00]Section: MS-HEALTH

    {lim-schlwk} == 1

    If Answer = 1 Then Go To
    MS-HLTH-5F

    Default Next:MS-HLTH-5-1STQ2C
    Lead-In:MS-HLTH-5-1STQ2A [Default]


    MS-HLTH-5-1STQ2C [C51526.00]Section: MS-HEALTH

    {lim-play} == 1

    If Answer = 1 Then Go To
    MS-HLTH-5G

    Default Next:MS-HLTH-5-1STQ3A
    Lead-In:MS-HLTH-5-1STQ2B [Default]


    MS-HLTH-5-1STQ3A [C51527.00]Section: MS-HEALTH

    {lim-dr-oftn} ==1

    If Answer = 1 Then Go To
    MS-HLTH-5H

    Default Next:MS-HLTH-5-1STQ3B
    Lead-In:MS-HLTH-5-1STQ2C [Default]


    MS-HLTH-5-1STQ3B [C51528.00]Section: MS-HEALTH

    {lim-meds} == 1

    If Answer = 1 Then Go To
    MS-HLTH-5I

    Default Next:MS-HLTH-5-1STQ3C
    Lead-In:MS-HLTH-5-1STQ3A [Default]


    MS-HLTH-5-1STQ3C [C51529.00]Section: MS-HEALTH

    {lim-eqmt} == 1

    If Answer = 1 Then Go To
    MS-HLTH-5J

    Default Next:MS-HLTH-5-SCHLCK
    Lead-In:MS-HLTH-5-1STQ3B [Default]


    MS-HLTH-5-SCHLCK [C51530.00]Section: MS-HEALTH

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

    If Answer = 1 Then Go To
    MS-HLTH-5D

    Default Next:MS-HLTH-5F
    Lead-In:MS-HLTH-5-CNT [Default], MS-HLTH-5-1STQ3C [Default]


    MS-HLTH-5D [C51532.00]Section: MS-HEALTH

    IN REFERENCE TO VERBATIM: [HEALTH CONDITION]

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

    ...attend school regularly?

     1   Yes
     0   No

    Default Next:MS-HLTH-5E
    Lead-In:MS-HLTH-5-SCHLCK [1:1]


    MS-HLTH-5E [C51534.00]Section: MS-HEALTH

    IN REFERENCE TO VERBATIM: [HEALTH CONDITION]

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

    ...do regular schoolwork?

     1   Yes
     0   No

    Default Next:MS-HLTH-5F
    Lead-In:MS-HLTH-5-1STQ2A [1:1], MS-HLTH-5D [Default]


    MS-HLTH-5F [C51537.00]Section: MS-HEALTH

    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?

     1   Yes
     0   No

    Default Next:MS-HLTH-5G
    Lead-In:MS-HLTH-5-1STQ2B [1:1], MS-HLTH-5-SCHLCK [Default], MS-HLTH-5E [Default]


    MS-HLTH-5G [C51540.00]Section: MS-HEALTH

    IN REFERENCE TO VERBATIM: [HEALTH CONDITION]

    Does this condition require...

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

     1   Yes
     0   No

    Default Next:MS-HLTH-5H
    Lead-In:MS-HLTH-5-1STQ2C [1:1], MS-HLTH-5F [Default]


    MS-HLTH-5H [C51543.00]Section: MS-HEALTH

    IN REFERENCE TO VERBATIM: [HEALTH CONDITION]

    Does this condition require...

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

     1   Yes
     0   No

    Default Next:MS-HLTH-5I
    Lead-In:MS-HLTH-5-1STQ3A [1:1], MS-HLTH-5G [Default]


    MS-HLTH-5I [C51546.00]Section: MS-HEALTH

    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?

     1   Yes
     0   No

    Default Next:MS-HLTH-5J
    Lead-In:MS-HLTH-5-1STQ3B [1:1], MS-HLTH-5H [Default]


    MS-HLTH-5J [C51549.00]Section: MS-HEALTH

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

     1   Yes
     0   No

    Default Next:MS-HLTH-5-LOOP-END
    Lead-In:MS-HLTH-5-1STQ3C [1:1], MS-HLTH-5I [Default]


    MS-HLTH-5-LOOP-END []Section: MS-HEALTH

    UNTIL([ANYMORE CONDITIONS?]==0)

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

    Default Next:MS-HLTH-AGECHKA
    Lead-In:MS-HLTH-5J [Default]


    MS-HLTH-AGECHKA [C51555.00]Section: MS-HEALTH

    {^biochild_bdate~Y^} <= 1995

    COMMENT: Is this child age 15 or older?

    If Answer = 1 Then Go To
    MS-HLTH-AGECHK1

    Default Next:MS-HLTH-ASTHMACHK
    Lead-In:MS-HLTH-AGECHK [1:1], MS-HLTH-3C [Default], MS-HLTH-5-LOOP-END [Default]


    MS-HLTH-ASTHMACHK [C51556.00]Section: MS-HEALTH

    {^biochild_asthma^}

    If Answer = 1 Then Go To
    ASTHMA2010-C2

    Default Next:ASTHMA2010
    Lead-In:MS-HLTH-AGECHKA [Default]


    ASTHMA2010 [C51557.00]Section: MS-HEALTH

    Has a doctor, nurse or other health professional ever told you that [Child name] has asthma?

     1   Yes
     0   No   ...(Go To MS-HLTH-AGECHK1)

    Default Next:ASTHMA2010-C1_A
    Lead-In:MS-HLTH-ASTHMACHK [Default]


    ASTHMA2010-C1_A [C51558.00]Section: MS-HEALTH

    How old was [Child name] when you were first told by (a doctor, nurse, or other health professional) that [he/she] had asthma?

    (INTERVIEWER: PLEASE ENTER YEARS OR MONTHS - NOT BOTH)

    ENTER YEARS: 


    ASTHMA2010-C1_B [C51559.00]Section: MS-HEALTH

    ENTER MONTHS: 

    Default Next:ASTHMA2010-C2
    Lead-In:ASTHMA2010-C1_A [Default]


    ASTHMA2010-C2 [C51560.00]Section: MS-HEALTH

    Does [Child name] still have asthma?

     1   Yes
     0   No

    Default Next:ASTHMA2010-C3
    Lead-In:MS-HLTH-ASTHMACHK [1:1], ASTHMA2010-C1_B [Default]


    ASTHMA2010-C3 [C51561.00]Section: MS-HEALTH

    Has [Child name]'s (biological) father ever been diagnosed with asthma, or told that he has asthma?

     1   Yes
     0   No

    Default Next:ASTHMA2010-C3A
    Lead-In:ASTHMA2010-C2 [Default]


    ASTHMA2010-C3A [C51562.00]Section: MS-HEALTH

    [Q9-59-ASTHMA-C2]==1

    If Answer = 1 Then Go To
    ASTHMA2010-C4

    Default Next:MS-HLTH-AGECHK1
    Lead-In:ASTHMA2010-C3 [Default]


    ASTHMA2010-C4 [C51563.00]Section: MS-HEALTH

    During the past 12 months, has [Child name] had an episode of asthma or an asthma attack?

     1   Yes
     0   No

    Default Next:ASTHMA2010-C5
    Lead-In:ASTHMA2010-C3A [1:1]


    ASTHMA2010-C5 [C51564.00]Section: MS-HEALTH

    During the past 12 months, how many times did [Child name] have an unscheduled visit to an emergency room, doctor's office, or urgent care center because of asthma? (Please do not count any visits for routine medical care.)

    ENTER # OF TIMES: 

    Default Next:ASTHMA2010-C6
    Lead-In:ASTHMA2010-C4 [Default]


    ASTHMA2010-C6 [C51565.00]Section: MS-HEALTH

    During the past 12 months, how many days of school did [Child name] miss due to [his/her] asthma?

    (INTERVIEWER: IF CHILD NOT IN PRESCHOOL OR REGULAR SCHOOL, CODE "995").

    ENTER # OF TIMES: 

    Default Next:ASTHMA2010-C7A
    Lead-In:ASTHMA2010-C5 [Default]


    ASTHMA2010-C7A [C51566.00]Section: MS-HEALTH

    {^biochild_age^} >= 2

    If Answer = 0 Then Go To
    ASTHMA2010-C8

    Default Next:ASTHMA2010-C7B
    Lead-In:ASTHMA2010-C6 [Default]


    ASTHMA2010-C7B [C51567.00]Section: MS-HEALTH

    During the past 12 months, how much did [Child name] limit [his/her] usual activities due to asthma? Would you say...

     1   Not at all
     2   A little
     3   A fair amount
     4   A moderate amount
     5   A lot

    Default Next:ASTHMA2010-C8
    Lead-In:ASTHMA2010-C7A [Default]


    ASTHMA2010-C8 [C51568.00]Section: MS-HEALTH

    In the past 30 days how often did [Child name] have any asthma symptoms either during the day or at night? Would you say...

     0   Not at any time in the past 30 days
     1   Less than once a week   ...(Go To ASTHMA2010-C8A)
     2   Once or twice a week   ...(Go To ASTHMA2010-C8A)
     3   More than 2 times a week, but not every day   ...(Go To ASTHMA2010-C8A)
     4   Every day, once per day   ...(Go To ASTHMA2010-C8A)
     5   Every day, more than once per day   ...(Go To ASTHMA2010-C8A)

    Default Next:ASTHMA2010-C9
    Lead-In:ASTHMA2010-C7A [0:0], ASTHMA2010-C7B [Default]


    ASTHMA2010-C8A [C51569.00]Section: MS-HEALTH

    In the past 30 days, how often did [Child name]'s asthma symptoms make it difficult for [him/her] to stay asleep at night?

    (INTERVIEWER: PLEASE NOTE REFERENCE PERIOD CHANGE.)

     0   Not at any time in the past 30 days
     1   Less than once a week
     2   Once or twice a week
     3   More than 2 times a week, but not every day
     4   Every day, once per day
     5   Every day, more than once per day

    Default Next:ASTHMA2010-C9
    Lead-In:ASTHMA2010-C8 [1:5]


    ASTHMA2010-C9 [C51570.00]Section: MS-HEALTH

    A quick relief medication is used during an asthma attack to stop it. In the past 30 days how often has [Child name] used any quick relief medicines when [he/she] has had an asthma attack? (For example, Airomir, Asmol, Albuterol, Atrovent, Bricanyl, Predmix, Redipred, Respolin, Maxair, Ventolin)

     0   Not at any time in the past 30 days
     1   Less than once a week
     2   Once or twice a week
     3   More than 2 times a week, but not every day
     4   Every day, once per day
     5   Every day, more than once per day

    Default Next:ASTHMA2010-C10
    Lead-In:ASTHMA2010-C8 [Default], ASTHMA2010-C8A [Default]


    ASTHMA2010-C10 [C51571.00]Section: MS-HEALTH

    Asthma controller medications are used daily to prevent asthma attacks. Does [Child name] use a daily asthma controller medication to prevent attacks? (For example Accolate, Advair, Azmacort, Flovent, Fordile, Intal, Oxis, Seretide, Serevent, Singulair, Tilade, Vanceril)

     1   YES
     0   NO
     2   USES SOMETIMES SOMETIMES/OCCASIONALLY/WHEN I REMEMBER

    Default Next:MS-HLTH-AGECHK1
    Lead-In:ASTHMA2010-C9 [Default]


    MS-HLTH-AGECHK1 [C51572.00]Section: MS-HEALTH

    {^MSAGE^} < 3 || {^biochild_statcode^} == 97

    COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3

    If Answer = 1 Then Go To
    MS-HOME-STATCHK

    Default Next:MS-HLTH-AGECHK2
    Lead-In:MS-HLTH-AGECHKA [1:1], ASTHMA2010 [0:0], ASTHMA2010-C3A [Default], ASTHMA2010-C10 [Default]


    MS-HLTH-AGECHK2 [C51573.00]Section: MS-HEALTH

    {^biochild_bdate~Y^} <= 1995

    If Answer = 1 Then Go To
    MS-HLTH-8

    Default Next:MS-HLTH-6
    Lead-In:MS-HLTH-AGECHK1 [Default]


    MS-HLTH-6 [C51574.00]Section: MS-HEALTH

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

     1   Yes   ...(Go To MS-HLTH-6-LOOP-BEGIN)
     0   No

    Default Next:MS-HLTH-7
    Lead-In:MS-HLTH-AGECHK2 [Default]


    MS-HLTH-6-LOOP-BEGIN []Section: MS-HEALTH

    REPEAT

    COMMENT: Begin loop about accidents requiring medical attention

    Default Next:MS-HLTH-6B
    Lead-In:MS-HLTH-6 [1:1]


    MS-HLTH-6B [C51579.00]Section: MS-HEALTH

    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?

    Enter Date:  
    MonthYear 

    Default Next:MS-HLTH-6C_VERBATIM
    Lead-In:MS-HLTH-6-LOOP-BEGIN [Default]


    MS-HLTH-6C_VERBATIM [C51582.00]Section: MS-HEALTH

    What was the cause of that accident or injury?

    RECORD VERBATIM 


    MS-HLTH-6C [C51585.00]Section: MS-HEALTH

    CODE ONLY ONE

     1   Motor vehicle accident as occupant 2   Motor vehicle accident as pedestrian
     3   Cycling 4   Fall/contact unrelated to athletics or sports activity
     5   Fall/contact related to athletics/sports activity 6   Fire or smoke
     7   Hot liquid 8   Toy or item intended for child use
     9   Equipment or device not intended for a child 10   Poisoning
     11   Smashed body part: car/door/window bruise/contusion 12   Adult injured child accidentally (pull/lift injury)
     13   Intentional violent injury 14   "Rough housing", impact injury: wrestling, etc.
     16   Fighting: broke bone/nose, hit in face, shot, stabbed, etc. 17   Struck by object from other person (intent unknown)
     18   Insect sting or bite 19   Stepped on sharp object, i.e. glass/nails/metal
     20   Ran into stationary object (not in home environment) 22   Ran into stationary object (home environment)
     21   Animal bite 23   Cut by sharp object, i.e. knife/glass/tool
     24   Burn, i.e. from heater/cigarette/oven/stove 25   Jump/fall accident, i.e. off furniture/other object
     26   "Temper" injuries, i.e. fell, kicked furniture, etc. 15   Other (SPECIFY)

    Default Next:MS-HLTH-6D
    Lead-In:MS-HLTH-6C_VERBATIM [Default]


    MS-HLTH-6D [C51588.00]Section: MS-HEALTH

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

    (CODE ALL THAT APPLY)

     1   Broken or dislocated bones
     2   Sprain, strain, or pulled muscle
     3   Wound: cuts, scrapes, puncture
     4   Head injury, concussion
     5   Bruise, contusion, or internal bleeding
     6   Burn, scald
     7   Illness or effect from poisons, medicines (drugs), etc
     15   Other (SPECIFY)

    Default Next:MS-HLTH-6E
    Lead-In:MS-HLTH-6C [Default]


    MS-HLTH-6E [C51591.00]Section: MS-HEALTH

    Where did the accident or injury happen?

     1   At home (any, not necessarily the child's)
     2   School (including grounds and athletic areas)
     3   Day care location (preschool/nursery)
     4   Street or highway
     5   Public building or space (other than streets or schools)
     6   Place of recreation and sports, except school
     7   Farm or agricultural area, except farm house
     8   Other (SPECIFY)

    Default Next:MS-HLTH-6G
    Lead-In:MS-HLTH-6D [Default]


    MS-HLTH-6G [C51594.00]Section: MS-HEALTH

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

     1   Yes
     0   No

    Default Next:MS-HLTH-7
    Lead-In:MS-HLTH-6E [Default]


    MS-HLTH-7 [C51600.00]Section: MS-HEALTH

    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 ]?

     1   Yes   ...(Go To MS-HLTH-7-LOOP-BEGIN)
     0   No

    Default Next:MS-HLTH-8
    Lead-In:MS-HLTH-6 [Default], MS-HLTH-6G [Default]


    MS-HLTH-7-LOOP-BEGIN []Section: MS-HEALTH

    REPEAT

    Default Next:MS-HLTH-7B
    Lead-In:MS-HLTH-7 [1:1]


    MS-HLTH-7B [C51605.00]Section: MS-HEALTH

    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?

    Enter Date:  
    MonthYear 

    Default Next:MS-HLTH-7C_VERBATIM
    Lead-In:MS-HLTH-7-LOOP-BEGIN [Default]


    MS-HLTH-7C_VERBATIM [C51608.00]Section: MS-HEALTH

    What was the cause of this accident or injury?

    RECORD VERBATIM 


    MS-HLTH-7C [C51611.00]Section: MS-HEALTH

    CODE ONLY ONE

     1   Motor vehicle accident as occupant 2   Motor vehicle accident as pedestrian
     3   Cycling 4   Fall/contact unrelated to athletics or sports activity
     5   Fall/contact related to athletics/sports activity 6   Fire or smoke
     7   Hot liquid 8   Toy or item intended for child use
     9   Equipment or device not intended for a child 10   Poisoning
     11   Smashed body part: car/door/window bruise/contusion 12   Adult injured child accidentally (pull/lift injury)
     13   Intentional violent injury 14   "Rough housing", impact injury: wrestling, etc.
     16   Fighting: broke bone/nose, hit in face, shot, stabbed, etc. 17   Struck by object from other person (intent unknown)
     18   Insect sting or bite 19   Stepped on sharp object, i.e. glass/nails/metal
     20   Ran into stationary object (not in home environment) 22   Ran into stationary object (home environment)
     21   Animal bite 23   Cut by sharp object, i.e. knife/glass/tool
     24   Burn, i.e. from heater/cigarette/oven/stove 25   Jump/fall accident, i.e. off furniture/other object
     26   "Temper" injuries, i.e. fell, kicked furniture, etc. 15   Other (SPECIFY)

    Default Next:MS-HLTH-7D
    Lead-In:MS-HLTH-7C_VERBATIM [Default]


    MS-HLTH-7D [C51614.00]Section: MS-HEALTH

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


    (CODE ALL THAT APPLY)

     1   Broken or dislocated bones
     2   Sprain, strain, or pulled muscle
     3   Wound: cuts, scrapes, puncture
     4   Head injury, concussion
     5   Bruise, contusion, or internal bleeding
     6   Burn, scald
     7   Illness or effect from poisons, medicines (drugs), etc
     15   Other (SPECIFY)

    Default Next:MS-HLTH-7E
    Lead-In:MS-HLTH-7C [Default]


    MS-HLTH-7E [C51617.00]Section: MS-HEALTH

    Where did the accident or injury happen?

     1   At home (any, not necessarily the child's)
     2   School (including grounds and athletic areas)
     3   Day care location (preschool/nursery)
     4   Street or highway
     5   Public building or space (other than streets or schools)
     6   Place of recreation and sports, except school
     7   Farm or agricultural area, except farm house
     8   Other (SPECIFY)

    Default Next:MS-HLTH-7G
    Lead-In:MS-HLTH-7D [Default]


    MS-HLTH-7G [C51620.00]Section: MS-HEALTH

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

     1   Yes
     0   No

    Default Next:MS-HLTH-8
    Lead-In:MS-HLTH-7E [Default]


    MS-HLTH-8 [C51626.00]Section: MS-HEALTH

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

     1   Yes   ...(Go To MS-HLTH-8A)
     0   No

    Default Next:MS-HLTH-9
    Lead-In:MS-HLTH-AGECHK-YA2 [1:1], MS-HLTH-AGECHK2 [1:1], MS-HLTH-7 [Default], MS-HLTH-7G [Default]


    MS-HLTH-8A [C51627.00]Section: MS-HEALTH

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

    Enter Number: 

    Default Next:MS-HLTH-9
    Lead-In:MS-HLTH-8 [1:1]


    MS-HLTH-9 [C51628.00]Section: MS-HEALTH

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

     1   Less than 1 month ago
     2   1 - 3 months ago
     3   4 - 6 months ago
     4   7 - 11 months ago
     5   1 year - 23 months ago
     6   2 or more years ago
     7   Never

    Default Next:MS-HLTH-9A
    Lead-In:MS-HLTH-8 [Default], MS-HLTH-8A [Default]


    MS-HLTH-9A [C51629.00]Section: MS-HEALTH

    When did [Child First Name] last see a dentist for a routine dental checkup?

     1   Less than 1 month ago
     2   1 - 3 months ago
     3   4 - 6 months ago
     4   7 - 11 months ago
     5   1 year - 23 months ago
     6   2 or more years ago
     7   Never

    Default Next:MS-HLTH-AGECHK3
    Lead-In:MS-HLTH-9 [Default]


    MS-HLTH-AGECHK3 [C51630.00]Section: MS-HEALTH

    {^biochild_bdate~Y^} <= 1995

    COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3

    If Answer = 1 Then Go To
    MS-HLTH-14

    Default Next:MS-HLTH-11-AGECK
    Lead-In:MS-HLTH-9A [Default]


    MS-HLTH-11-AGECK [C51633.00]Section: MS-HEALTH

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

    If Answer = 1 Then Go To
    MS-HLTH-11A

    Default Next:MS-HLTH-12-AGECHK
    Lead-In:MS-HLTH-AGECHK3 [Default]


    MS-HLTH-11A [C51634.00]Section: MS-HEALTH

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

     1   Yes   ...(Go To MS-HLTH-11B)
     0   No

    Default Next:MS-HLTH-12-AGECHK
    Lead-In:MS-HLTH-11-AGECK [1:1]


    MS-HLTH-11B [C51635.00]Section: MS-HEALTH

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


    (INTERVIEWER: ENTER AGE IN YEARS.)

    Enter Number: 

    Default Next:MS-HLTH-11C
    Lead-In:MS-HLTH-11A [1:1]


    MS-HLTH-11C [C51636.00]Section: MS-HEALTH

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

    Enter Date:  
    MonthYear 

    Default Next:MS-HLTH-12-AGECHK
    Lead-In:MS-HLTH-11B [Default]


    MS-HLTH-12-AGECHK [C51637.00]Section: MS-HEALTH

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

    If Answer = 1 Then Go To
    MS-HLTH-12A

    Default Next:MS-HLTH-14
    Lead-In:MS-HLTH-11-AGECK [Default], MS-HLTH-11A [Default], MS-HLTH-11C [Default]


    MS-HLTH-12A [C51638.00]Section: MS-HEALTH

    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.

     1   Left
     2   Right
     3   Either/both

    Default Next:MS-HLTH-12B
    Lead-In:MS-HLTH-12-AGECHK [1:1]


    MS-HLTH-12B [C51639.00]Section: MS-HEALTH

    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]...

     1   right hand nearly all of the time?
     2   right hand more than half of the time?
     3   right and left hands about equally?
     4   left hand more than half of the time?
     5   left hand nearly all of the time?

    Default Next:MS-HLTH-12C
    Lead-In:MS-HLTH-12A [Default]


    MS-HLTH-12C [C51640.00]Section: MS-HEALTH

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

     1   right hand nearly all of the time?
     2   right hand more than half of the time?
     3   right and left hands about equally?
     4   left hand more than half of the time?
     5   left hand nearly all of the time?

    Default Next:MS-HLTH-13
    Lead-In:MS-HLTH-12B [Default]


    MS-HLTH-13 [C51641.00]Section: MS-HEALTH

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

     1   Less than 1 month ago
     2   1 - 3 months ago
     3   4 - 6 months ago
     4   7 - 11 months ago
     5   1 year - 23 months ago
     6   2 or more years ago
     7   Never

    Default Next:MS-HLTH-14
    Lead-In:MS-HLTH-12C [Default]


    MS-HLTH-14 [C51642.00]Section: MS-HEALTH

    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.)

     1   Yes
     0   No

    Default Next:MS-HLTH-15
    Lead-In:MS-HLTH-AGECHK3 [1:1], MS-HLTH-12-AGECHK [Default], MS-HLTH-13 [Default]


    MS-HLTH-15 [C51643.00]Section: MS-HEALTH

    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?


    (PROBE IF NECESSARY:) In [your state], this would include programs such as [child medicaid program].

     1   Yes
     0   No

    Default Next:MS-HOME-STATCHK
    Lead-In:MS-HLTH-14 [Default]


    MS-HOME-STATCHK [C51645.00]Section: The HOME

    {^biochild_statcode^}

    COMMENT: Is biological child deleted, deceased or adopted out?

    If Answer = 5 Then Go To
    MSIR-1
    If Answer = 8 Then Go To MSIR-1
    If Answer = 99 Then Go To MSIR-1

    Default Next:MS-HOME-RESCHK
    Lead-In:MS-HLTH-CHK1 [5:5], MS-HLTH-CHK1 [8:8], MS-HLTH-CHK1 [99:99], MS-HLTH-CHK2 [5:5], MS-HLTH-CHK2 [8:8], MS-HLTH-AGECHK1 [1:1], MS-HLTH-CHK2 [Default], MS-HLTH-15 [Default]


    MS-HOME-RESCHK [C51646.00]Section: The HOME

    {^biochild_hhiflag^}

    COMMENT: Is biological child deleted, deceased or adopted out?

    If Answer = 5 Then Go To
    MSIR-1
    If Answer = 8 Then Go To MSIR-1

    Default Next:MS-HOME-AGECHK-YA3
    Lead-In:MS-HOME-STATCHK [Default]


    MS-HOME-AGECHK-YA3 [C51647.00]Section: The HOME

    {^biochild_bdate~Y^} <= 1995

    COMMENT: Is this child age 15 or older?

    If Answer = 1 Then Go To
    MSIR-1

    Default Next:MS-HOME-AGECK1
    Lead-In:MS-HOME-RESCHK [Default]


    MS-HOME-AGECK1 [C51649.00]Section: The HOME

    ([CHILD AGE IN MONTHS]>=0)

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

    If Answer = 1 Then Go To
    MS-HOME-AGECK2

    Default Next:MS-ACT-AGECK1
    Lead-In:MS-HOME-AGECHK-YA3 [Default]


    MS-HOME-AGECK2 [C51652.00]Section: The HOME

    ([CHILD AGE IN MONTHS])

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

    If Answer >= 0 AND Answer <= 35 Then Go To
    MS-HOME-A01
    If Answer >= 36 AND Answer <= 71 Then Go To MS-HOME-B01
    If Answer >= 72 AND Answer <= 119 Then Go To MS-HOME-C01
    If Answer >= 120 AND Answer <= 179 Then Go To MS-HOME-D01

    Default Next:MS-ACT-AGECK1
    Lead-In:MS-HOME-AGECK1 [1:1]


    MS-HOME-A01 [C51653.00]Section: The HOME

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

     5   Every day
     4   4 or more times a week
     3   A few times a week
     2   About once a week
     1   A few times a month or less

    Default Next:MS-HOME-A02
    Lead-In:MS-HOME-AGECK2 [0:35]


    MS-HOME-A02 [C51654.00]Section: The HOME

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

     4   10 or more books
     3   3 to 9 books
     2   1 or 2 books
     1   None

    Default Next:MS-HOME-A03
    Lead-In:MS-HOME-A01 [Default]


    MS-HOME-A03 [C51655.00]Section: The HOME

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

     1   Never
     2   Several times a year
     3   Several times a month
     4   Once a week
     5   About 3 times a week
     6   Everyday

    Default Next:MS-HOME-A04
    Lead-In:MS-HOME-A02 [Default]


    MS-HOME-A04 [C51656.00]Section: The HOME

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

     1   Twice a week or more
     2   Once a week
     3   Once a month
     4   Hardly ever

    Default Next:MS-HOME-A05
    Lead-In:MS-HOME-A03 [Default]


    MS-HOME-A05 [C51657.00]Section: The HOME

    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.

    Enter Number: 

    Default Next:MS-HOME-A06
    Lead-In:MS-HOME-A04 [Default]


    MS-HOME-A06 [C51658.00]Section: The HOME

    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.

    Enter Number: 

    Default Next:MS-HOME-A07
    Lead-In:MS-HOME-A05 [Default]


    MS-HOME-A07 [C51659.00]Section: The HOME

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

     1   Parents should always spend time teaching their children
     2   Parents should usually spend time teaching their children
     3   Parents should usually allow their children to learn on their own
     4   Parents should always allow their children to learn on their own

    Default Next:MS-HOME-A08
    Lead-In:MS-HOME-A06 [Default]


    MS-HOME-A08 [C51660.00]Section: The HOME

    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?)

    Enter Number: 

    Default Next:MS-HOME-A09
    Lead-In:MS-HOME-A07 [Default]


    MS-HOME-A09 [C51661.00]Section: The HOME

    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?)

    Enter Number: 

    Default Next:MS-HOME-A10A
    Lead-In:MS-HOME-A08 [Default]


    MS-HOME-A10A [C51662.00]Section: The HOME

    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.

    Enter Number: 


    MS-HOME-A10B [C51663.00]Section: The HOME

    MARK AS APPROPRIATE

     1   R HAS A TV
     0   R DOES NOT HAVE A TV

    Default Next:MS-HOME-A-DADCHK1
    Lead-In:MS-HOME-A10A [Default]


    MS-HOME-A-DADCHK1 [C51664.00]Section: The HOME

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

    COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO MS-HOME-A14

    If Answer = 1 Then Go To
    MS-HOME-A14

    Default Next:MS-HOME-A11
    Lead-In:MS-HOME-A10B [Default]


    MS-HOME-A11 [C51665.00]Section: The HOME

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

     1   Yes   ...(Go To MS-HOME-A12)
     0   No

    Default Next:MS-HOME-A16
    Lead-In:MS-HOME-A-DADCHK1 [Default]


    MS-HOME-A12 []Section: The HOME

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

     1   BIOLOGICAL FATHER
     2   STEPFATHER
     3   FATHER-FIGURE

    Default Next:MS-HOME-A13
    Lead-In:MS-HOME-A11 [1:1]


    MS-HOME-A13 []Section: The HOME

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

     1   SPOUSE
     2   EX-SPOUSE
     3   PARTNER
     4   EX-PARTNER
     5   BOYFRIEND
     6   EX-BOYFRIEND
     7   FIANCE
     8   FRIEND
     9   FATHER
     10   GRANDFATHER
     11   BROTHER
     12   UNCLE
     13   SOMEONE ELSE (SPECIFY)

    Default Next:MS-HOME-A14
    Lead-In:MS-HOME-A12 [Default]


    MS-HOME-A14 [C51666.00]Section: The HOME

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

     1   Yes
     0   No

    Default Next:MS-HOME-A15
    Lead-In:MS-HOME-A-DADCHK1 [1:1], MS-HOME-A13 [Default]


    MS-HOME-A15 [C51667.00]Section: The HOME

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

     1   More than once a day
     2   Once a day
     3   Several times a week
     4   About once a week
     5   About once a month
     6   Never

    Default Next:MS-HOME-A16
    Lead-In:MS-HOME-A14 [Default]


    MS-HOME-A16 [C51668.00]Section: The HOME

    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?

     1   Always (talk to your child when working)
     2   Often (talk to your child when working)
     3   Sometimes (talk to your child when working)
     4   Rarely (talk to your child when working)
     5   Never (talk to your child when working)

    Default Next:MS-HOME-A17A
    Lead-In:MS-HOME-A11 [Default], MS-HOME-A15 [Default]


    MS-HOME-A17A [C51669.00]Section: The HOME

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

     1   Extremely close
     2   Quite close
     3   Fairly close
     4   Not at all close

    Default Next:MS-HOME-A-DADCHK2
    Lead-In:MS-HOME-A16 [Default]


    MS-HOME-A-DADCHK2 [C51670.00]Section: The HOME

    ([WHODAD])

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

    If Answer = 0 Then Go To
    MS-HOME-A18
    If Answer >= 1 AND Answer <= 3 Then Go To MS-HOME-A17B

    Default Next:MS-HOME-A17B
    Lead-In:MS-HOME-A17A [Default]


    MS-HOME-A17B [C51671.00]Section: The HOME

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

     1   Extremely close
     2   Quite close
     3   Fairly close
     4   Not at all close
     5   Does not have this parent

    Default Next:MS-HOME-A-DADCHK3
    Lead-In:MS-HOME-A-DADCHK2 [1:3], MS-HOME-A-DADCHK2 [Default]


    MS-HOME-A-DADCHK3 [C51672.00]Section: The HOME

    ([WHODAD])

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

    If Answer = 1 Then Go To
    MS-HOME-A18

    Default Next:MS-HOME-A17D
    Lead-In:MS-HOME-A17B [Default]


    MS-HOME-A17D []Section: The HOME

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

     1   Extremely close
     2   Quite close
     3   Fairly close
     4   Not at all close

    Default Next:MS-HOME-A18
    Lead-In:MS-HOME-A-DADCHK3 [Default]


    MS-HOME-A18 [C51673.00]Section: The HOME

    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?

    Enter Number: 

    Default Next:MS-ACT-AGECK1
    Lead-In:MS-HOME-A-DADCHK2 [0:0], MS-HOME-A-DADCHK3 [1:1], MS-HOME-A17D [Default]


    MS-HOME-B01 [C51674.00]Section: The HOME

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

     1   Never
     2   Several times a year
     3   Several times a month
     4   Once a week
     5   At least 3 times a week
     6   Everyday

    Default Next:MS-HOME-B02
    Lead-In:MS-HOME-AGECK2 [36:71]


    MS-HOME-B02 [C51675.00]Section: The HOME

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

     4   10 or more books
     3   3 to 9 books
     2   1 or 2 books
     1   None

    Default Next:MS-HOME-B03
    Lead-In:MS-HOME-B01 [Default]


    MS-HOME-B03 [C51676.00]Section: The HOME

    About how many magazines does your family get regularly?

     1   None
     2   One
     3   Two
     4   Three
     5   Four or more

    Default Next:MS-HOME-B04
    Lead-In:MS-HOME-B02 [Default]


    MS-HOME-B04 [C51677.00]Section: The HOME

    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.)

     1   Yes
     0   No

    Default Next:MS-HOME-B05A
    Lead-In:MS-HOME-B03 [Default]


    MS-HOME-B05A [C51678.00]Section: The HOME

    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?

     1   Yes
     0   No


    MS-HOME-B05B [C51679.00]Section: The HOME

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

     1   Yes
     0   No

    Default Next:MS-HOME-B05C
    Lead-In:MS-HOME-B05A [Default]


    MS-HOME-B05C [C51680.00]Section: The HOME

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

     1   Yes
     0   No


    MS-HOME-B05D [C51681.00]Section: The HOME

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

     1   Yes
     0   No

    Default Next:MS-HOME-B06
    Lead-In:MS-HOME-B05C [Default]


    MS-HOME-B06 [C51682.00]Section: The HOME

    How much choice is [Child First Name] allowed in deciding what foods [he/she] eats at breakfast and lunch?

     1   A great deal of choice
     2   Some choice
     3   Little choice
     4   No choice

    Default Next:MS-HOME-B07A
    Lead-In:MS-HOME-B05D [Default]


    MS-HOME-B07A [C51683.00]Section: The HOME

    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.

    Enter Number: 


    MS-HOME-B07B [C51684.00]Section: The HOME

     1   R HAS A TV
     0   R DOES NOT HAVE A TV

    Default Next:MS-HOME-B08A
    Lead-In:MS-HOME-B07A [Default]


    MS-HOME-B08A [C51685.00]Section: The HOME

    Most children get angry at their parents from time to time. If [Child First Name] got so angry that [he/she] hit you, what would you do?

    INTERVIEWER: ENTER VERBATIM AND MARK ALL THAT APPLY

    Enter: 


    MS-HOME-B08B [C51686.00]Section: The HOME

     1   Hit him/her back
     2   Send him/her to his/her room
     3   Spank him/her
     4   Talk to him/her
     5   Ignore it
     6   Give him/her household chore
     7   Take away his/her allowance
     8   Hold child's hands until he/she was calm
     10   Put child in a short 'time out'
     9   Other (SPECIFY)

    Default Next:MS-HOME-B09
    Lead-In:MS-HOME-B08A [Default]


    MS-HOME-B09 [C51687.00]Section: The HOME

    How often does a family member get a chance to take [Child First Name] on any kind of outing (like shopping, to the park, a picnic, drive-in, and so on)?

     1   A few times a year or less
     2   About once a month
     3   About two or three times a month
     4   Several times a week
     5   About once a day

    Default Next:MS-HOME-B10
    Lead-In:MS-HOME-B08B [Default]


    MS-HOME-B10 [C51688.00]Section: The HOME

    How often has a family member taken or arranged to take [Child First Name] to any type of museum (children's, scientific, art, historical, etc.) within the past year?

     1   Never
     2   Once or twice
     3   Several times
     4   About once a month
     5   About once a week or more often

    Default Next:MS-HOME-B11
    Lead-In:MS-HOME-B09 [Default]


    MS-HOME-B11 [C51689.00]Section: The HOME

    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?)

    Enter Number: 

    Default Next:MS-HOME-B12
    Lead-In:MS-HOME-B10 [Default]


    MS-HOME-B12 [C51690.00]Section: The HOME

    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?)

    Enter Number: 

    Default Next:MS-HOME-B-DADCHK1
    Lead-In:MS-HOME-B11 [Default]


    MS-HOME-B-DADCHK1 [C51691.00]Section: The HOME

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

    COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO MS-HOME-B16

    If Answer = 1 Then Go To
    MS-HOME-B16

    Default Next:MS-HOME-B13
    Lead-In:MS-HOME-B12 [Default]


    MS-HOME-B13 [C51692.00]Section: The HOME

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

     1   Yes   ...(Go To MS-HOME-B14)
     0   No

    Default Next:MS-HOME-B18A
    Lead-In:MS-HOME-B-DADCHK1 [Default]


    MS-HOME-B14 [C51693.00]Section: The HOME

    Is this man [Child First Name]'s biological father, stepfather, or a father-figure?

     1   BIOLOGICAL FATHER
     2   STEPFATHER
     3   FATHER-FIGURE

    Default Next:MS-HOME-B15
    Lead-In:MS-HOME-B13 [1:1]


    MS-HOME-B15 [C51694.00]Section: The HOME

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

     1   SPOUSE
     2   EX-SPOUSE
     3   PARTNER
     4   EX-PARTNER
     5   BOYFRIEND
     6   EX-BOYFRIEND
     7   FIANCE
     8   FRIEND
     9   FATHER
     10   GRANDFATHER
     11   BROTHER
     12   UNCLE
     13   SOMEONE ELSE (SPECIFY)

    Default Next:MS-HOME-B16
    Lead-In:MS-HOME-B14 [Default]


    MS-HOME-B16 [C51695.00]Section: The HOME

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

     1   Yes
     0   No

    Default Next:MS-HOME-B17
    Lead-In:MS-HOME-B-DADCHK1 [1:1], MS-HOME-B15 [Default]


    MS-HOME-B17 [C51696.00]Section: The HOME

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

     1   More than once a day
     2   Once a day
     3   Several times a week
     4   About once a week
     5   About once a month
     6   Never

    Default Next:MS-HOME-B18A
    Lead-In:MS-HOME-B16 [Default]


    MS-HOME-B18A [C51697.00]Section: The HOME

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

     1   Extremely close
     2   Quite close
     3   Fairly close
     4   Not at all close

    Default Next:MS-HOME-B-DADCHK2
    Lead-In:MS-HOME-B13 [Default], MS-HOME-B17 [Default]


    MS-HOME-B-DADCHK2 [C51698.00]Section: The HOME

    ([WHODAD])

    COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-B19; WHODAD>=1 SKIP TO HOME-B18B.

    If Answer = 0 Then Go To
    MS-HOME-B19
    If Answer >= 1 AND Answer <= 3 Then Go To MS-HOME-B18B

    Default Next:MS-HOME-B18B
    Lead-In:MS-HOME-B18A [Default]


    MS-HOME-B18B [C51699.00]Section: The HOME

    How close does [Child First Name] feel toward [his/her] (biological) father?

     1   Extremely close
     2   Quite close
     3   Fairly close
     4   Not at all close
     5   Does not have this parent

    Default Next:MS-HOME-B-DADCHK3
    Lead-In:MS-HOME-B-DADCHK2 [1:3], MS-HOME-B-DADCHK2 [Default]


    MS-HOME-B-DADCHK3 [C51700.00]Section: The HOME

    ([WHODAD])

    COMMENT: IF father is in HH, don't ask about closeness to stepfather (WHODAD=1 skip to HOME-B19).

    If Answer = 1 Then Go To
    MS-HOME-B19

    Default Next:MS-HOME-B18D
    Lead-In:MS-HOME-B18B [Default]


    MS-HOME-B18D [C51701.00]Section: The HOME

    How close does [Child First Name] feel toward [his/her] [father/stepfather/father-figure]?

     1   Extremely close
     2   Quite close
     3   Fairly close
     4   Not at all close

    Default Next:MS-HOME-B19
    Lead-In:MS-HOME-B-DADCHK3 [Default]


    MS-HOME-B19 [C51702.00]Section: The HOME

    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?

    Enter Number: 

    Default Next:MS-ACT-AGECK1
    Lead-In:MS-HOME-B-DADCHK2 [0:0], MS-HOME-B-DADCHK3 [1:1], MS-HOME-B18D [Default]


    MS-HOME-C01 [C51703.00]Section: The HOME

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

     1   None
     2   1 or 2 books
     3   3 to 9 books
     4   10 or more books

    Default Next:MS-HOME-C02
    Lead-In:MS-HOME-AGECK2 [72:119]


    MS-HOME-C02 [C51704.00]Section: The HOME

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

     1   Never
     2   Several times a year
     3   Several times a month
     4   Once a week
     5   At least 3 times a week
     6   Everyday

    Default Next:MS-HOME-C03A
    Lead-In:MS-HOME-C01 [Default]


    MS-HOME-C03A [C51705.00]Section: The HOME

    How often is [Child First Name] expected to make [his/her] own bed?

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-HOME-C03B [C51706.00]Section: The HOME

    How often is [Child First Name] expected to clean [his/her] own room?

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-HOME-C03C [C51707.00]Section: The HOME

    How often is [Child First Name] expected to clean up after spills?

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-HOME-C03D
    Lead-In:MS-HOME-C03B [Default]


    MS-HOME-C03D [C51708.00]Section: The HOME

    How often is [Child First Name] expected to bathe [him/her]self?

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-HOME-C03E [C51709.00]Section: The HOME

    How often is [Child First Name] expected to pick up after [him/her]self?

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-HOME-C04
    Lead-In:MS-HOME-C03D [Default]


    MS-HOME-C04 [C51710.00]Section: The HOME

    Is there a musical instrument (for example, piano, drum, guitar, etc.) that [Child First Name] can use here at home?

     1   Yes
     0   No

    Default Next:MS-HOME-C05
    Lead-In:MS-HOME-C03E [Default]


    MS-HOME-C05 [C51711.00]Section: The HOME

    Does your family get a daily newspaper?

     1   Yes
     0   No
     2   (IF VOLUNTEERED:) READ NEWSPAPER ONLINE
     3   (IF VOLUNTEERED:) SUNDAY PAPER ONLY

    Default Next:MS-HOME-C06
    Lead-In:MS-HOME-C04 [Default]


    MS-HOME-C06 [C51712.00]Section: The HOME

    About how often does [Child First Name] read for enjoyment?

     1   Every day
     2   Several times a week
     3   Several times a month
     4   Several times a year
     5   Never

    Default Next:MS-HOME-C07
    Lead-In:MS-HOME-C05 [Default]


    MS-HOME-C07 [C51713.00]Section: The HOME

    Does your family encourage [Child First Name] to start and keep doing hobbies?

     1   Yes
     0   No

    Default Next:MS-HOME-C08
    Lead-In:MS-HOME-C06 [Default]


    MS-HOME-C08 [C51714.00]Section: The HOME

    Does [Child First Name] get special lessons or belong to any organization that encourages activities such as sports, music, art, dance, drama, etc.?

     1   Yes
     0   No

    Default Next:MS-HOME-C09
    Lead-In:MS-HOME-C07 [Default]


    MS-HOME-C09 [C51715.00]Section: The HOME

    How often has a family member taken, or arranged to take [Child First Name] to any type of museum (children's, scientific, art, historical, etc.) within the past year?

     1   Never
     2   Once or twice
     3   Several times
     4   About once a month
     5   About once a week or more often

    Default Next:MS-HOME-C10
    Lead-In:MS-HOME-C08 [Default]


    MS-HOME-C10 [C51716.00]Section: The HOME

    How often has a family member taken, or arranged to take [Child First Name] to any type of musical or theatrical performance within the past year?

     1   Never
     2   Once or twice
     3   Several times
     4   About once a month
     5   About once a week or more often

    Default Next:MS-HOME-C11
    Lead-In:MS-HOME-C09 [Default]


    MS-HOME-C11 [C51717.00]Section: The HOME

    About how often does your whole family get together with relatives or friends?

     1   Once a year or less
     2   A few times a year
     3   About once a month
     4   Two or three times a month
     5   About once a week or more

    Default Next:MS-HOME-C12
    Lead-In:MS-HOME-C10 [Default]


    MS-HOME-C12 [C51718.00]Section: The HOME

    Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--would you say your child spends watching television on a typical weekday?

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

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

    Enter Number: 

    Default Next:MS-HOME-C13
    Lead-In:MS-HOME-C11 [Default]


    MS-HOME-C13 [C51719.00]Section: The HOME

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

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

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

    Enter Number: 

    Default Next:MS-HOME-C-DADCHK1
    Lead-In:MS-HOME-C12 [Default]


    MS-HOME-C-DADCHK1 [C51720.00]Section: The HOME

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

    COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO MS-HOME-C17

    If Answer = 1 Then Go To
    MS-HOME-C17

    Default Next:MS-HOME-C14
    Lead-In:MS-HOME-C13 [Default]


    MS-HOME-C14 [C51721.00]Section: The HOME

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

     1   Yes   ...(Go To MS-HOME-C15)
     0   No

    Default Next:MS-HOME-C20
    Lead-In:MS-HOME-C-DADCHK1 [Default]


    MS-HOME-C15 [C51722.00]Section: The HOME

    Is this man [his/her] biological father, step father, or a father-figure?

     1   BIOLOGICAL FATHER
     2   STEPFATHER
     3   FATHER-FIGURE

    Default Next:MS-HOME-C16
    Lead-In:MS-HOME-C14 [1:1]


    MS-HOME-C16 [C51723.00]Section: The HOME

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

     1   SPOUSE
     2   EX-SPOUSE
     3   PARTNER
     4   EX-PARTNER
     5   BOYFRIEND
     6   EX-BOYFRIEND
     7   FIANCE
     8   FRIEND
     9   FATHER
     10   GRANDFATHER
     11   BROTHER
     12   UNCLE
     13   SOMEONE ELSE (SPECIFY)

    Default Next:MS-HOME-C17
    Lead-In:MS-HOME-C15 [Default]


    MS-HOME-C17 [C51724.00]Section: The HOME

    About how often does [Child First Name] spend time with [his/her] [father/stepfather/father-figure]?

     1   Once a day or more often
     2   At least 4 times a week
     3   About once a week
     4   About once a month
     5   A few times a year or less
     6   Never
     7   No father, stepfather, or father-figure

    Default Next:MS-HOME-C18
    Lead-In:MS-HOME-C-DADCHK1 [1:1], MS-HOME-C16 [Default]


    MS-HOME-C18 [C51725.00]Section: The HOME

    About how often does [Child First Name] spend time with [his/her] [father/stepfather/father-figure] in outdoor activities?

     1   Once a day or more often
     2   At least 4 times a week
     3   About once a week
     4   About once a month
     5   A few times a year or less
     6   Never
     7   No father, stepfather, or father-figure

    Default Next:MS-HOME-C19
    Lead-In:MS-HOME-C17 [Default]


    MS-HOME-C19 [C51726.00]Section: The HOME

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

     1   More than once a day
     2   Once a day
     3   Several times a week
     4   About once a week
     5   About once a month
     6   Never
     7   No father, stepfather, father-figure

    Default Next:MS-HOME-C20
    Lead-In:MS-HOME-C18 [Default]


    MS-HOME-C20 [C51727.00]Section: The HOME

    When your family watches TV together, do you [or child's father/stepfather/father-figure] discuss TV programs with [him/her]?

     1   Yes
     0   No
     2   Do not have a TV

    Default Next:MS-HOME-C21A
    Lead-In:MS-HOME-C14 [Default], MS-HOME-C19 [Default]


    MS-HOME-C21A [C51728.00]Section: The HOME

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

     1   Extremely close
     2   Quite close
     3   Fairly close
     4   Not at all close

    Default Next:MS-HOME-C-DADCHK2
    Lead-In:MS-HOME-C20 [Default]


    MS-HOME-C-DADCHK2 [C51729.00]Section: The HOME

    ([WHODAD])

    COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-C22A; WHODAD>=1 SKIP TO HOME-C21B.

    If Answer = 0 Then Go To
    MS-HOME-C22A
    If Answer >= 1 AND Answer <= 3 Then Go To MS-HOME-C21B

    Default Next:MS-HOME-C21B
    Lead-In:MS-HOME-C21A [Default]


    MS-HOME-C21B [C51730.00]Section: The HOME

    How close does [Child First Name] feel toward [his/her] (biological) father?

     1   Extremely close
     2   Quite close
     3   Fairly close
     4   Not at all close
     5   Does not have this parent

    Default Next:MS-HOME-C-DADCHK3
    Lead-In:MS-HOME-C-DADCHK2 [1:3], MS-HOME-C-DADCHK2 [Default]


    MS-HOME-C-DADCHK3 [C51731.00]Section: The HOME

    ([WHODAD])

    COMMENT: IF father is in HH, don't ask about closeness to stepfather/father-figure (WHODAD=1 skip to HOME-C22A).

    If Answer = 1 Then Go To
    MS-HOME-C22A

    Default Next:MS-HOME-C21D
    Lead-In:MS-HOME-C21B [Default]


    MS-HOME-C21D [C51732.00]Section: The HOME

    How close does [Child First Name] feel toward [his/her] [father/stepfather/father-figure]?

     1   Extremely close
     2   Quite close
     3   Fairly close
     4   Not at all close

    Default Next:MS-HOME-C22A
    Lead-In:MS-HOME-C-DADCHK3 [Default]


    MS-HOME-C22A [C51733.00]Section: The HOME

    Sometimes children get so angry at their parents that they say things like "I hate you" or swear in a temper tantrum.

    What action(s) you would take if this happened?

    INTERVIEWER: ENTER VERBATIM AND MARK ALL THAT APPLY.

    Enter: 


    MS-HOME-C22B [C51734.00]Section: The HOME

     1   Grounding
     2   Spanking
     3   Talk with child
     4   Give him/her a household chore
     5   Ignore it
     6   Send to room for more than 1 hour
     7   Take away his/her allowance
     8   Take away TV, phone, or other privileges
     10   Put child in a short "time out"
     9   Other (SPECIFY)

    Default Next:MS-HOME-C23A
    Lead-In:MS-HOME-C22A [Default]


    MS-HOME-C23A [C51735.00]Section: The HOME

    If [Child First Name] brought home a report card with grades lower than expected, how likely would you be to contact [his/her] teacher or principal?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely


    MS-HOME-C23B [C51736.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to lecture [him/her]?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely


    MS-HOME-C23C [C51737.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to keep a closer eye on [his/her] activities?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely

    Default Next:MS-HOME-C23D
    Lead-In:MS-HOME-C23B [Default]


    MS-HOME-C23D [C51738.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to punish [him/her]?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely


    MS-HOME-C23E [C51739.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to talk with [him/her]?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely


    MS-HOME-C23F [C51740.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to wait and see if [he/she] improves on [his/her] own?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely

    Default Next:MS-HOME-C23G
    Lead-In:MS-HOME-C23E [Default]


    MS-HOME-C23G [C51741.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to tell [him/her] to spend more time on schoolwork?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely


    MS-HOME-C23H [C51742.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to spend more time helping [him/her] with schoolwork?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely


    MS-HOME-C23I [C51743.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to limit or reduce [his/her] non-school activities (such as play, sports, clubs, etc.)?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely

    Default Next:MS-HOME-C23J
    Lead-In:MS-HOME-C23H [Default]


    MS-HOME-C23J [C51744.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...would you do anything else?

     1   Yes   ...(Go To MS-HOME-C23JV)
     0   No

    Default Next:MS-HOME-C24A
    Lead-In:MS-HOME-C23I [Default]


    MS-HOME-C23JV [C51745.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected...would you do anything else?)

    What would that be?

    Enter: 

    Default Next:MS-HOME-C24A
    Lead-In:MS-HOME-C23J [1:1]


    MS-HOME-C24A [C51746.00]Section: The HOME

    INTERVIEWER: ENTER NUMBER OF TIMES IN PAST WEEK FOR EACH QUESTION

    Sometimes kids mind pretty well and sometimes they don't. Sometimes they do things that make you feel good.

    How many times in the past week have you...had to spank your child?

    Enter Number: 


    MS-HOME-C24B [C51747.00]Section: The HOME

    How many times in the past week have you...grounded [him/her]?

    Enter Number: 


    MS-HOME-C24C [C51748.00]Section: The HOME

    How many times in the past week have you...taken away TV or other privileges?

    Enter Number: 

    Default Next:MS-HOME-C24D
    Lead-In:MS-HOME-C24B [Default]


    MS-HOME-C24D [C51749.00]Section: The HOME

    How many times (in the past week) have you...praised [Child First Name] for doing something worthwhile?

    Enter Number: 


    MS-HOME-C24E [C51750.00]Section: The HOME

    How many times (in the past week) have you...taken away [his/her] allowance?

    Enter Number: 


    MS-HOME-C24F [C51751.00]Section: The HOME

    How many times (in the past week) have you...shown [him/her] physical affection (kiss, hug, stroke hair, etc.)?

    Enter Number: 

    Default Next:MS-HOME-C24G
    Lead-In:MS-HOME-C24E [Default]


    MS-HOME-C24G [C51752.00]Section: The HOME

    How many times (in the past week) have you...sent [Child First Name] to [his/her] room?

    Enter Number: 


    MS-HOME-C24H [C51753.00]Section: The HOME

    How many times (in the past week) have you...told another adult (spouse, friend, co-worker, visitor, relative) something positive about [Child First Name]?

    Enter Number: 

    Default Next:MS-ACT-AGECK1
    Lead-In:MS-HOME-C24G [Default]


    MS-HOME-D01 [C51754.00]Section: The HOME

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

     1   None
     2   1 to 9
     3   10 to 19
     4   20 or more

    Default Next:MS-HOME-D02A
    Lead-In:MS-HOME-AGECK2 [120:179]


    MS-HOME-D02A [C51755.00]Section: The HOME

    Please tell me how often [Child First Name] is expected to do each of the following:

    How often is [Child First Name] expected to make his/her own bed?

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-HOME-D02B [C51756.00]Section: The HOME

    How often is [Child First Name] expected to clean his/her own room?

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-HOME-D02C [C51757.00]Section: The HOME

    How often is [he/she] expected to pick up after [him/her]self?

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-HOME-D02D
    Lead-In:MS-HOME-D02B [Default]


    MS-HOME-D02D [C51758.00]Section: The HOME

    How often is [he/she] expected to help keep shared living areas clean and straight?

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-HOME-D02E [C51759.00]Section: The HOME

    How often is [he/she] expected to do routine chores such as mow the lawn, help with dinner, wash dishes, etc.?

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-HOME-D02F [C51760.00]Section: The HOME

    How often is [Child First Name] expected to help manage [his/her] own time (get up on time, be ready for school, etc.)?

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-HOME-D03
    Lead-In:MS-HOME-D02E [Default]


    MS-HOME-D03 [C51761.00]Section: The HOME

    Is there a musical instrument (for example, piano, drum, guitar, etc.) that your child can use here at home?

     1   Yes
     0   No

    Default Next:MS-HOME-D04
    Lead-In:MS-HOME-D02F [Default]


    MS-HOME-D04 [C51762.00]Section: The HOME

    Does your family get a daily newspaper?

     1   Yes
     0   No

    Default Next:MS-HOME-D05
    Lead-In:MS-HOME-D03 [Default]


    MS-HOME-D05 [C51763.00]Section: The HOME

    About how often does [Child First Name] read for enjoyment?

     1   Every day
     2   Several times a week
     3   Several times a month
     4   Several times a year
     5   Never

    Default Next:MS-HOME-D06
    Lead-In:MS-HOME-D04 [Default]


    MS-HOME-D06 [C51764.00]Section: The HOME

    Does your family encourage [Child First Name] to start and keep doing hobbies?

     1   Yes
     0   No

    Default Next:MS-HOME-D07
    Lead-In:MS-HOME-D05 [Default]


    MS-HOME-D07 [C51765.00]Section: The HOME

    Does [Child First Name] get special lessons or belong to any organization that encourages activities such as sports, music, art, dance, drama, etc.?

     1   Yes
     0   No

    Default Next:MS-HOME-D08
    Lead-In:MS-HOME-D06 [Default]


    MS-HOME-D08 [C51766.00]Section: The HOME

    How often has any family member taken or arranged to take [Child First Name] to any type of museum (children's, scientific, art, historical, etc.) within the past year?

     1   Never
     2   Once or twice
     3   Several times
     4   About once a month
     5   About once a week or more often

    Default Next:MS-HOME-D09
    Lead-In:MS-HOME-D07 [Default]


    MS-HOME-D09 [C51767.00]Section: The HOME

    How often has a family member taken or arranged to take [him/her] to any type of musical or theatrical performance within the past year?

     1   Never
     2   Once or twice
     3   Several times
     4   About once a month
     5   About once a week or more often

    Default Next:MS-HOME-D10
    Lead-In:MS-HOME-D08 [Default]


    MS-HOME-D10 [C51768.00]Section: The HOME

    About how often does your whole family get together with relatives or friends?

     1   Once a year or less
     2   A few times a year
     3   About once a month
     4   Two or three times a month
     5   About once a week or more

    Default Next:MS-HOME-D11
    Lead-In:MS-HOME-D09 [Default]


    MS-HOME-D11 [C51769.00]Section: The HOME

    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?)

    Enter Number: 

    Default Next:MS-HOME-D12
    Lead-In:MS-HOME-D10 [Default]


    MS-HOME-D12 [C51770.00]Section: The HOME

    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?)

    Enter Number: 

    Default Next:MS-HOME-D-DADCHK1
    Lead-In:MS-HOME-D11 [Default]


    MS-HOME-D-DADCHK1 [C51771.00]Section: The HOME

    {FATHINHH} == 1

    COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO MS-HOME-D16

    If Answer = 1 Then Go To
    MS-HOME-D16

    Default Next:MS-HOME-D13
    Lead-In:MS-HOME-D12 [Default]


    MS-HOME-D13 [C51772.00]Section: The HOME

    Does [Child First Name] ever see [his/her] father, stepfather, or father-figure?

     1   Yes   ...(Go To MS-HOME-D14)
     0   No

    Default Next:MS-HOME-D19
    Lead-In:MS-HOME-D-DADCHK1 [Default]


    MS-HOME-D14 [C51773.00]Section: The HOME

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

     1   BIOLOGICAL FATHER
     2   STEPFATHER
     3   FATHER-FIGURE

    Default Next:MS-HOME-D15
    Lead-In:MS-HOME-D13 [1:1]


    MS-HOME-D15 [C51774.00]Section: The HOME

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

     1   SPOUSE
     2   EX-SPOUSE
     3   PARTNER
     4   EX-PARTNER
     5   BOYFRIEND
     6   EX-BOYFRIEND
     7   FIANCE
     8   FRIEND
     9   FATHER
     10   GRANDFATHER
     11   BROTHER
     12   UNCLE
     13   SOMEONE ELSE (SPECIFY)

    Default Next:MS-HOME-D16
    Lead-In:MS-HOME-D14 [Default]


    MS-HOME-D16 [C51775.00]Section: The HOME

    About how often does [Child First Name] spend time with [his/her] [father/stepfather/father-figure]?

     1   Once a day or more often
     2   At least 4 times a week
     3   About once a week
     4   About once a month
     5   A few times a year or less
     6   Never
     7   No father, stepfather, or father-figure

    Default Next:MS-HOME-D17
    Lead-In:MS-HOME-D-DADCHK1 [1:1], MS-HOME-D15 [Default]


    MS-HOME-D17 [C51776.00]Section: The HOME

    About how often does [he/she] spend time with [his/her] [father/stepfather/father-figure] in outdoor activities?

     1   Once a day or more often
     2   At least 4 times a week
     3   About once a week
     4   About once a month
     5   A few times a year or less
     6   Never
     7   No father, stepfather, or father-figure

    Default Next:MS-HOME-D18
    Lead-In:MS-HOME-D16 [Default]


    MS-HOME-D18 [C51777.00]Section: The HOME

    How often does [Child First Name] eat a meal with both mother and father?

     1   More than once a day
     2   Once a day
     3   Several times a week
     4   About once a week
     5   About once a month
     6   Never
     7   No father, stepfather, father-figure

    Default Next:MS-HOME-D19
    Lead-In:MS-HOME-D17 [Default]


    MS-HOME-D19 [C51778.00]Section: The HOME

    When your family watches TV together, do you [or child's father/stepfather/father-figure] discuss TV programs with [him/her]?

     1   Yes
     0   No
     2   Do not have a TV

    Default Next:MS-HOME-D20A
    Lead-In:MS-HOME-D13 [Default], MS-HOME-D18 [Default]


    MS-HOME-D20A [C51779.00]Section: The HOME

    How close does [Child First Name] feel toward you?

     1   Extremely close
     2   Quite close
     3   Fairly close
     4   Not at all close

    Default Next:MS-HOME-D-DADCHK2
    Lead-In:MS-HOME-D19 [Default]


    MS-HOME-D-DADCHK2 [C51780.00]Section: The HOME

    ([WHODAD])

    COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-D21A; WHODAD>=1 SKIP TO HOME-D20B.

    If Answer = 0 Then Go To
    MS-HOME-D21A
    If Answer >= 1 AND Answer <= 3 Then Go To MS-HOME-D20B

    Default Next:MS-HOME-D20B
    Lead-In:MS-HOME-D20A [Default]


    MS-HOME-D20B [C51781.00]Section: The HOME

    How close does [Child First Name] feel toward [his/her] (biological) father?

     1   Extremely close
     2   Quite close
     3   Fairly close
     4   Not at all close
     5   Does not have this parent

    Default Next:MS-HOME-D-DADCHK3
    Lead-In:MS-HOME-D-DADCHK2 [1:3], MS-HOME-D-DADCHK2 [Default]


    MS-HOME-D-DADCHK3 [C51782.00]Section: The HOME

    ([WHODAD])

    COMMENT: IF father is in HH, don't ask about closeness to stepfather (WHODAD=1 skip to HOME-D21A).

    If Answer = 1 Then Go To
    MS-HOME-D21A

    Default Next:MS-HOME-D20D
    Lead-In:MS-HOME-D20B [Default]


    MS-HOME-D20D [C51783.00]Section: The HOME

    How close does [Child First Name] feel toward [his/her] [father/stepfather/father-figure]?

     1   Extremely close
     2   Quite close
     3   Fairly close
     4   Not at all close
     5   Does not have this parent

    Default Next:MS-HOME-D21A
    Lead-In:MS-HOME-D-DADCHK3 [Default]


    MS-HOME-D21A [C51784.00]Section: The HOME

    Sometimes children get so angry at their parents that they say things like "I hate you" or swear in a temper tantrum.

    What action(s) would you take if this happened?

    INTERVIEWER: ENTER VERBATIM AND MARK ALL THAT APPLY.

    Enter: 


    MS-HOME-D21B [C51785.00]Section: The HOME

     1   Grounding
     2   Spanking
     3   Talk with child
     4   Give him/her a household chore
     5   Ignore it
     6   Send to room for more than 1 hour
     7   Take away his/her allowance
     8   Take away TV, phone, or other privileges
     10   Put child in a short "time out"
     9   Other (SPECIFY)

    Default Next:MS-HOME-D22A
    Lead-In:MS-HOME-D21A [Default]


    MS-HOME-D22A [C51786.00]Section: The HOME

    If [Child First Name] brought home a report card with grades lower than expected, how likely would you be to contact [his/her] teacher or principal?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely


    MS-HOME-D22B [C51787.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to lecture [him/her]?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely


    MS-HOME-D22C [C51788.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to keep a closer eye on [his/her] activities?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely

    Default Next:MS-HOME-D22D
    Lead-In:MS-HOME-D22B [Default]


    MS-HOME-D22D [C51789.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to punish [him/her]?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely


    MS-HOME-D22E [C51790.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to talk with [him/her]?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely


    MS-HOME-D22F [C51791.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to wait and see if [he/she] improves on [his/her] own?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely

    Default Next:MS-HOME-D22G
    Lead-In:MS-HOME-D22E [Default]


    MS-HOME-D22G [C51792.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to tell [him/her] to spend more time on schoolwork?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely


    MS-HOME-D22H [C51793.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to spend more time helping [him/her] with schoolwork?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely


    MS-HOME-D22I [C51794.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...how likely would you be to limit or reduce [his/her] non-school activities (such as play, sports, clubs, etc.)?

     5   Very Likely
     4   Somewhat Likely
     3   Not Sure How Likely
     2   Somewhat Unlikely
     1   Not At All Likely

    Default Next:MS-HOME-D22J
    Lead-In:MS-HOME-D22H [Default]


    MS-HOME-D22J [C51795.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected),

    ...would you do anything else?

     1   Yes   ...(Go To MS-HOME-D22JV)
     0   No

    Default Next:MS-HOME-D23A
    Lead-In:MS-HOME-D22I [Default]


    MS-HOME-D22JV [C51796.00]Section: The HOME

    (If [Child First Name] brought home a report card with grades lower than expected...would you do anything else?)

    What would that be?

    Enter: 

    Default Next:MS-HOME-D23A
    Lead-In:MS-HOME-D22J [1:1]


    MS-HOME-D23A [C51797.00]Section: The HOME

    INTERVIEWER: ENTER NUMBER OF TIMES IN PAST WEEK FOR EACH QUESTION

    Sometimes kids mind pretty well and sometimes they don't. Sometimes they do things that make you feel good.

    How many times in the past week have you...had to spank your child?

    Enter Number: 


    MS-HOME-D23B [C51798.00]Section: The HOME

    How many times in the past week have you...grounded [him/her]?

    Enter Number: 


    MS-HOME-D23C [C51799.00]Section: The HOME

    How many times in the past week have you...taken away TV or other privileges?

    Enter Number: 

    Default Next:MS-HOME-D23D
    Lead-In:MS-HOME-D23B [Default]


    MS-HOME-D23D [C51800.00]Section: The HOME

    How many times (in the past week) have you...praised [Child First Name] for doing something worthwhile?

    Enter Number: 


    MS-HOME-D23E [C51801.00]Section: The HOME

    How many times (in the past week) have you...taken away [his/her] allowance?

    Enter Number: 


    MS-HOME-D23F [C51802.00]Section: The HOME

    How many times (in the past week) have you...shown [him/her] physical affection (kiss, hug, stroke hair, etc.)?

    Enter Number: 

    Default Next:MS-HOME-D23G
    Lead-In:MS-HOME-D23E [Default]


    MS-HOME-D23G [C51803.00]Section: The HOME

    How many times (in the past week) have you...sent [Child First Name] to [his/her] room?

    Enter Number: 


    MS-HOME-D23H [C51804.00]Section: The HOME

    How many times (in the past week) have you...told another adult (spouse, friend, co-worker, visitor, relative) something positive about [Child First Name]?

    Enter Number: 

    Default Next:MS-ACT-AGECK1
    Lead-In:MS-HOME-D23G [Default]


    MS-ACT-AGECK1 [C51807.00]Section: TEMPERAMENT

    {MSAGEMO} < 84

    COMMENT: If child age is 83 months or younger and meets YOB/BORNSR19 constraints, then continue OTHERWISE goto end of section

    If Answer = 1 Then Go To
    MS-ACT-AGECK2

    Default Next:MS-MSD-AGECK1
    Lead-In:MS-HOME-AGECK1 [Default], MS-HOME-AGECK2 [Default], MS-HOME-A18 [Default], MS-HOME-B19 [Default], MS-HOME-C24H [Default], MS-HOME-D23H [Default]


    MS-ACT-AGECK2 [C51808.00]Section: TEMPERAMENT

    ([CHILD AGE IN MONTHS])

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

    If Answer >= 0 AND Answer <= 11 Then Go To
    MS-ACT-A01
    If Answer >= 12 AND Answer <= 23 Then Go To MS-ACT-B01
    If Answer >= 24 AND Answer <= 83 Then Go To MS-ACT-C01

    Default Next:MS-MSD-AGECK1
    Lead-In:MS-ACT-AGECK1 [1:1]


    MS-ACT-A01 [C51809.00]Section: TEMPERAMENT

    (The following questions ask about how often [Child First Name] acted in a certain way.)


    During feeding, how often does [Child First Name] squirm and kick?

    Would that be...

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A02
    Lead-In:MS-ACT-AGECK2 [0:11]


    MS-ACT-A02 [C51810.00]Section: TEMPERAMENT

    During feeding, how often does [Child First Name] wave [his/her] arms?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A03
    Lead-In:MS-ACT-A01 [Default]


    MS-ACT-A03 [C51811.00]Section: TEMPERAMENT

    During sleep, how often does [he/she] usually move around in the crib?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A04
    Lead-In:MS-ACT-A02 [Default]


    MS-ACT-A04 [C51812.00]Section: TEMPERAMENT

    Some children get sleepy about the same time each evening, give or take 15 minutes. How often does [Child First Name] do this?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A05
    Lead-In:MS-ACT-A03 [Default]


    MS-ACT-A05 [C51813.00]Section: TEMPERAMENT

    Some children get hungry at about the same time each day, give or take 15 minutes. How often does [Child First Name] do this?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A06
    Lead-In:MS-ACT-A04 [Default]


    MS-ACT-A06 [C51814.00]Section: TEMPERAMENT

    When [he/she] wakes up in the morning, how often is [he/she] in the same mood?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A07
    Lead-In:MS-ACT-A05 [Default]


    MS-ACT-A07 [C51815.00]Section: TEMPERAMENT

    When [Child First Name] sees a stranger, how often does [he/she] turn away or cry as if afraid?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A08
    Lead-In:MS-ACT-A06 [Default]


    MS-ACT-A08 [C51816.00]Section: TEMPERAMENT

    When [he/she] sees an unfamiliar dog or cat, how often does [he/she] turn away or cry as if afraid?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A09
    Lead-In:MS-ACT-A07 [Default]


    MS-ACT-A09 [C51817.00]Section: TEMPERAMENT

    When you leave the room and leave [him/her] alone, how often does [he/she] become upset?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A10
    Lead-In:MS-ACT-A08 [Default]


    MS-ACT-A10 [C51818.00]Section: TEMPERAMENT

    When you take [Child First Name] to the doctor, dentist or nurse, how often does [he/she] turn away or cry as if afraid?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A11
    Lead-In:MS-ACT-A09 [Default]


    MS-ACT-A11 [C51819.00]Section: TEMPERAMENT

    When you play with [Child First Name], how often does [he/she] smile or laugh?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A12
    Lead-In:MS-ACT-A10 [Default]


    MS-ACT-A12 [C51820.00]Section: TEMPERAMENT

    When [he/she] plays alone, how often does [he/she] smile or laugh?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A13
    Lead-In:MS-ACT-A11 [Default]


    MS-ACT-A13 [C51821.00]Section: TEMPERAMENT

    When [he/she] is in the bath, how often does [he/she] smile or laugh?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A14
    Lead-In:MS-ACT-A12 [Default]


    MS-ACT-A14 [C51822.00]Section: TEMPERAMENT

    When [Child First Name] hears an unexpected loud sound (for example, a car back-firing or a vacuum cleaner), how often does [he/she] cry or become upset?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A15
    Lead-In:MS-ACT-A13 [Default]


    MS-ACT-A15 [C51823.00]Section: TEMPERAMENT

    How often do you have trouble soothing or calming [him/her] when [he/she] is crying or upset?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-A16
    Lead-In:MS-ACT-A14 [Default]


    MS-ACT-A16 [C51824.00]Section: TEMPERAMENT

    The answer choices change a little here....

    During the average day, how often does [Child First Name] get fussy and irritable?

    Would you say...

     1   Almost never
     2   Once or twice a day
     3   A couple of times a.m. & p.m.
     4   Several times a day
     5   Almost every hour

    Default Next:MS-ACT-A17
    Lead-In:MS-ACT-A15 [Default]


    MS-ACT-A17 [C51825.00]Section: TEMPERAMENT

    In general, compared with most babies, how often does [Child First Name] cry and fuss?

    Would that be...

     1   Almost never
     2   Less than average
     3   About average
     4   More than average
     5   Almost always

    Default Next:MS-MSD-AGECK1
    Lead-In:MS-ACT-A16 [Default]


    MS-ACT-B01 []Section: TEMPERAMENT

    (The following questions ask about how often [Child First Name] acted in a certain way.)


    When [Child First Name] sees a stranger, how often does [he/she] turn away or cry as if afraid?

    Would that be...

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-B02
    Lead-In:MS-ACT-AGECK2 [12:23]


    MS-ACT-B02 []Section: TEMPERAMENT

    When [Child First Name] sees an unfamiliar dog or cat, how often does [he/she] turn away or cry as if afraid?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-B03
    Lead-In:MS-ACT-B01 [Default]


    MS-ACT-B03 []Section: TEMPERAMENT

    When you leave the room and leave [him/her] alone, how often does [he/she] become upset?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-B04
    Lead-In:MS-ACT-B02 [Default]


    MS-ACT-B04 []Section: TEMPERAMENT

    When you take [Child First Name] to the doctor, dentist or nurse, how often does [he/she] turn away or cry as if afraid?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-B05
    Lead-In:MS-ACT-B03 [Default]


    MS-ACT-B05 []Section: TEMPERAMENT

    When you play with [Child First Name], how often does [he/she] smile or laugh?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-B06
    Lead-In:MS-ACT-B04 [Default]


    MS-ACT-B06 []Section: TEMPERAMENT

    When [he/she] plays alone, how often does [he/she] smile or laugh?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-B07
    Lead-In:MS-ACT-B05 [Default]


    MS-ACT-B07 []Section: TEMPERAMENT

    When [he/she] is in the bath, how often does [he/she] smile or laugh?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-B08
    Lead-In:MS-ACT-B06 [Default]


    MS-ACT-B08 []Section: TEMPERAMENT

    When [Child First Name] hears an unexpected loud sound (for example, a car back-firing or a vacuum cleaner), how often does [he/she] cry or become upset?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-B09
    Lead-In:MS-ACT-B07 [Default]


    MS-ACT-B09 []Section: TEMPERAMENT

    How often do you have trouble soothing or calming [him/her] when [he/she] is crying or upset?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-B10
    Lead-In:MS-ACT-B08 [Default]


    MS-ACT-B10 []Section: TEMPERAMENT

    The answer choices change a little here....

    During the average day, how often does [Child First Name] get fussy and irritable?

    Would you say...

     1   Almost never
     2   Once or twice a day
     3   A couple of times a.m. & p.m.
     4   Several times a day
     5   Almost every hour

    Default Next:MS-ACT-B11
    Lead-In:MS-ACT-B09 [Default]


    MS-ACT-B11 []Section: TEMPERAMENT

    In general, compared with most toddlers, how often does [Child First Name] cry and fuss?

    Would that be...

     1   Almost never
     2   Less than average
     3   About average
     4   More than average
     5   Almost always

    Default Next:MS-MSD-AGECK1
    Lead-In:MS-ACT-B10 [Default]


    MS-ACT-C01 [C51826.00]Section: TEMPERAMENT

    (The following questions ask about how often [Child First Name] acted in a certain way.)


    When it is mealtime, how often does [Child First Name] eat what you want [him/her] to eat?

    Would that be...

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C02 [C51827.00]Section: TEMPERAMENT

    When [Child First Name] doesn't eat what you want [him/her] to eat and you tell [him/her] to do so, how often does [he/she] obey and eat?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C03 [C51828.00]Section: TEMPERAMENT

    When it is [Child First Name]'s bedtime, how often does [he/she] protest or resist going to bed?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-C04
    Lead-In:MS-ACT-C02 [Default]


    MS-ACT-C04 [C51829.00]Section: TEMPERAMENT

    When [he/she] does protest and you tell [him/her] again to go to bed, how often does [he/she] do so?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C05 [C51830.00]Section: TEMPERAMENT

    When you tell [Child First Name] to turn off the TV, how often does [he/she] do so without protest?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C06 [C51831.00]Section: TEMPERAMENT

    When [he/she] does protest and you tell [him/her] again to turn off the TV, how often does [he/she] do so?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-C07
    Lead-In:MS-ACT-C05 [Default]


    MS-ACT-C07 [C51832.00]Section: TEMPERAMENT

    When [Child First Name] meets a new child about the same age, how often is [he/she] shy at first?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C08 [C51833.00]Section: TEMPERAMENT

    When [he/she] meets an adult [he/she] does not know, how often is [he/she] shy at first?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C09 [C51834.00]Section: TEMPERAMENT

    How often does [Child First Name] cry when [he/she] hurts [him/her]self a little bit?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-C10
    Lead-In:MS-ACT-C08 [Default]


    MS-ACT-C10 [C51835.00]Section: TEMPERAMENT

    How often does [he/she] laugh and smile easily (for example, when no one is touching [him/her])?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C11 [C51836.00]Section: TEMPERAMENT

    When [Child First Name] is with other children [his/her] own age, how often does [he/she] fight, take toys, hit, and so on?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C12 [C51837.00]Section: TEMPERAMENT

    When [he/she] is with other children [his/her] own age, how often does [he/she] willingly share toys?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-C13
    Lead-In:MS-ACT-C11 [Default]


    MS-ACT-C13 [C51838.00]Section: TEMPERAMENT

    How often do you have trouble soothing or calming [Child First Name] when [he/she] is upset?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C14 [C51839.00]Section: TEMPERAMENT

    When [Child First Name] is playing, how often does [he/she] stay close to you and make sure that [he/she] can still see you?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C15 [C51840.00]Section: TEMPERAMENT

    How often does [he/she] try to copy what you do or how you act? (You may not always allow [him/her] to do this.)

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-C16
    Lead-In:MS-ACT-C14 [Default]


    MS-ACT-C16 [C51841.00]Section: TEMPERAMENT

    When you leave the room and leave [Child First Name] alone, how often does [he/she] get upset?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C17 [C51842.00]Section: TEMPERAMENT

    How often is [Child First Name] demanding and impatient even when you are busy?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C18 [C51843.00]Section: TEMPERAMENT

    When you get upset about something, how often does [he/she] get worried, or try to help, or make you feel better?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-ACT-C19
    Lead-In:MS-ACT-C17 [Default]


    MS-ACT-C19 [C51844.00]Section: TEMPERAMENT

    How often does [Child First Name] want you to help with the things [he/she] is doing?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always


    MS-ACT-C20 [C51845.00]Section: TEMPERAMENT

    During the past year, how often has [Child First Name] slept through the night?

    (Would that be...)

     1   Almost never
     2   Less than 1/2 of the time
     3   1/2 of the time
     4   More than 1/2 of the time
     5   Almost always

    Default Next:MS-MSD-AGECK1
    Lead-In:MS-ACT-C19 [Default]


    MS-MSD-AGECK1 [C51848.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    {MSAGEMO}<48

    If Answer = 1 Then Go To
    MS-MSD-AGECK2

    Default Next:MS-BPI-AGECK1
    Lead-In:MS-ACT-AGECK1 [Default], MS-ACT-AGECK2 [Default], MS-ACT-A17 [Default], MS-ACT-B11 [Default], MS-ACT-C20 [Default]


    MS-MSD-AGECK2 [C51849.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    {msagemo}

    COMMENT: AGE SKIP INFO FROM PREVIOUS ROUNDS PRESERVED - NOT ALL BRANCHES APPLY If child age is 0 to 3 mos jump to MSD A If child age is 4 to 6 mos jump to MSD B If child age is 7 to 9 mos jump to MSD C If child age is 10 to 12 mos jump to MSD D If child age is 13 to 15 mos jump to MSD E If child age is 16 to 18 mos jump to MSD F If child age is 19 to 21 mos jump to MSD G If child age is 22 to 47 mos jump to MSD H

    If Answer >= 0 AND Answer <= 3 Then Go To
    MS-MSD-A01
    If Answer >= 4 AND Answer <= 6 Then Go To MS-MSD-B01
    If Answer >= 7 AND Answer <= 9 Then Go To MS-MSD-C01
    If Answer >= 10 AND Answer <= 12 Then Go To MS-MSD-D01
    If Answer >= 13 AND Answer <= 15 Then Go To MS-MSD-E01
    If Answer >= 16 AND Answer <= 18 Then Go To MS-MSD-F01
    If Answer >= 19 AND Answer <= 21 Then Go To MS-MSD-G01
    If Answer >= 22 AND Answer <= 47 Then Go To MS-MSD-H01

    Default Next:MS-BPI-AGECK1
    Lead-In:MS-MSD-AGECK1 [1:1]


    MS-MSD-A01 [C51850.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    When lying on [his/her] stomach, has [Child First Name] ever turned [his/her] head from side to side?

     1   Yes
     0   No

    Default Next:MS-MSD-A02
    Lead-In:MS-MSD-AGECK2 [0:3]


    MS-MSD-A02 [C51851.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Have [Child First Name]'s eyes ever followed a moving object?

     1   Yes
     0   No

    Default Next:MS-MSD-A03
    Lead-In:MS-MSD-A01 [Default]


    MS-MSD-A03 [C51852.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    When lying on [his/her] stomach on a flat surface, has [Child First Name] ever lifted [his/her] head off the surface for a moment?

     1   Yes
     0   No

    Default Next:MS-MSD-A04
    Lead-In:MS-MSD-A02 [Default]


    MS-MSD-A04 [C51853.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Have [Child First Name]'s eyes ever followed a moving object all the way from one side to the other?

     1   Yes
     0   No

    Default Next:MS-MSD-A05
    Lead-In:MS-MSD-A03 [Default]


    MS-MSD-A05 [C51854.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever smiled at someone when that person talked to or smiled at (but did not touch) [him/her]?

     1   Yes
     0   No

    Default Next:MS-MSD-A06
    Lead-In:MS-MSD-A04 [Default]


    MS-MSD-A06 [C51855.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    When lying on [his/her] stomach, has [Child First Name] ever raised [his/her] head AND chest from the surface while resting [his/her] weight on [his/her] lower arms or hands?

     1   Yes
     0   No

    Default Next:MS-MSD-A07
    Lead-In:MS-MSD-A05 [Default]


    MS-MSD-A07 [C51856.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever turned [his/her] head around to look at something?

     1   Yes
     0   No

    Default Next:MS-MSD-A08
    Lead-In:MS-MSD-A06 [Default]


    MS-MSD-A08 [C51857.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    While lying on [his/her] back and being pulled up to a sitting position, did [Child First Name] ever hold [his/her] head stiffly so that it DID NOT hang back as [he/she] was pulled up?

     1   Yes
     0   No

    Default Next:MS-MSD-A09
    Lead-In:MS-MSD-A07 [Default]


    MS-MSD-A09 [C51858.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever laughed out loud without being tickled or touched?

     1   Yes
     0   No

    Default Next:MS-MSD-A10
    Lead-In:MS-MSD-A08 [Default]


    MS-MSD-A10 [C51859.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever held in one hand a moderate size object such as a block or a rattle?

     1   Yes
     0   No

    Default Next:MS-MSD-A11
    Lead-In:MS-MSD-A09 [Default]


    MS-MSD-A11 [C51860.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever rolled over on [his/her] own ON PURPOSE?

     1   Yes
     0   No

    Default Next:MS-MSD-A12
    Lead-In:MS-MSD-A10 [Default]


    MS-MSD-A12 [C51861.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever seemed to enjoy looking in the mirror at [him/her]self?

     1   Yes
     0   No

    Default Next:MS-MSD-A13
    Lead-In:MS-MSD-A11 [Default]


    MS-MSD-A13 [C51862.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever been pulled from a sitting to a standing position and supported [his/her] own weight with legs stretched out?

     1   Yes
     0   No

    Default Next:MS-MSD-A14
    Lead-In:MS-MSD-A12 [Default]


    MS-MSD-A14 [C51863.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever looked around with [his/her] eyes for a toy which was lost or not nearby?

     1   Yes
     0   No

    Default Next:MS-MSD-A15
    Lead-In:MS-MSD-A13 [Default]


    MS-MSD-A15 [C51864.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever sat alone with no help except for leaning forward on [his/her] hands or with just a little help from someone else?

     1   Yes
     0   No

    Default Next:MS-BPI-AGECK1
    Lead-In:MS-MSD-A14 [Default]


    MS-MSD-B01 [C51865.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    While lying on [his/her] back and being pulled up to a sitting position, has [Child First Name] ever held [his/her] head stiffly so that it DID NOT hang back as [he/she] was pulled up?

     1   Yes
     0   No

    Default Next:MS-MSD-B02
    Lead-In:MS-MSD-AGECK2 [4:6]


    MS-MSD-B02 [C51866.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever laughed out loud without being tickled or touched?

     1   Yes
     0   No

    Default Next:MS-MSD-B03
    Lead-In:MS-MSD-B01 [Default]


    MS-MSD-B03 [C51867.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever held in one hand a moderate size object such as a block or a rattle?

     1   Yes
     0   No

    Default Next:MS-MSD-B04
    Lead-In:MS-MSD-B02 [Default]


    MS-MSD-B04 [C51868.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever rolled over on [his/her] own ON PURPOSE?

     1   Yes
     0   No

    Default Next:MS-MSD-B05
    Lead-In:MS-MSD-B03 [Default]


    MS-MSD-B05 [C51869.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever seemed to enjoy looking in the mirror at [him/her]self?

     1   Yes
     0   No

    Default Next:MS-MSD-B06
    Lead-In:MS-MSD-B04 [Default]


    MS-MSD-B06 [C51870.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever been pulled from a sitting to a standing position and supported [his/her] own weight with legs stretched out?

     1   Yes
     0   No

    Default Next:MS-MSD-B07
    Lead-In:MS-MSD-B05 [Default]


    MS-MSD-B07 [C51871.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever looked around with [his/her] eyes for a toy which was lost or not nearby?

     1   Yes
     0   No

    Default Next:MS-MSD-B08
    Lead-In:MS-MSD-B06 [Default]


    MS-MSD-B08 [C51872.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever sat alone with no help except for leaning forward on [his/her] hands or with just a little help from someone else?

     1   Yes
     0   No

    Default Next:MS-MSD-B09
    Lead-In:MS-MSD-B07 [Default]


    MS-MSD-B09 [C51873.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever sat for 10 minutes without any support at all?

     1   Yes
     0   No

    Default Next:MS-MSD-B10
    Lead-In:MS-MSD-B08 [Default]


    MS-MSD-B10 [C51874.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever pulled [him/her]self to a standing position without help from another person?

     1   Yes
     0   No

    Default Next:MS-MSD-B11
    Lead-In:MS-MSD-B09 [Default]


    MS-MSD-B11 [C51875.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever crawled when left lying on [his/her] stomach?

     1   Yes
     0   No

    Default Next:MS-MSD-B12
    Lead-In:MS-MSD-B10 [Default]


    MS-MSD-B12 [C51876.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever said any recognizable words such as "mama" or "dada"?

     1   Yes
     0   No

    Default Next:MS-MSD-B13
    Lead-In:MS-MSD-B11 [Default]


    MS-MSD-B13 [C51877.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever picked up small objects such as raisins or cookie crumbs, using only [his/her] thumb and first finger?

     1   Yes
     0   No

    Default Next:MS-MSD-B14
    Lead-In:MS-MSD-B12 [Default]


    MS-MSD-B14 [C51878.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever walked at least 2 steps with one hand held or holding on to something?

     1   Yes
     0   No

    Default Next:MS-MSD-B15
    Lead-In:MS-MSD-B13 [Default]


    MS-MSD-B15 [C51879.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever waved good-bye without help from another person?

     1   Yes
     0   No

    Default Next:MS-BPI-AGECK1
    Lead-In:MS-MSD-B14 [Default]


    MS-MSD-C01 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever seemed to enjoy looking in the mirror at [him/her]self?

     1   Yes
     0   No

    Default Next:MS-MSD-C02
    Lead-In:MS-MSD-AGECK2 [7:9]


    MS-MSD-C02 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever been pulled from a sitting to a standing position and supported [his/her] own weight with legs stretched out?

     1   Yes
     0   No

    Default Next:MS-MSD-C03
    Lead-In:MS-MSD-C01 [Default]


    MS-MSD-C03 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever looked around with [his/her] eyes for a toy which was lost or not nearby?

     1   Yes
     0   No

    Default Next:MS-MSD-C04
    Lead-In:MS-MSD-C02 [Default]


    MS-MSD-C04 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever sat alone with no help except for leaning forward on [his/her] hands or with just a little help from someone else?

     1   Yes
     0   No

    Default Next:MS-MSD-C05
    Lead-In:MS-MSD-C03 [Default]


    MS-MSD-C05 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever sat for 10 minutes without any support at all?

     1   Yes
     0   No

    Default Next:MS-MSD-C06
    Lead-In:MS-MSD-C04 [Default]


    MS-MSD-C06 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever pulled [him/her]self to a standing position without help from another person?

     1   Yes
     0   No

    Default Next:MS-MSD-C07
    Lead-In:MS-MSD-C05 [Default]


    MS-MSD-C07 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever crawled when left lying on [his/her] stomach?

     1   Yes
     0   No

    Default Next:MS-MSD-C08
    Lead-In:MS-MSD-C06 [Default]


    MS-MSD-C08 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever said any recognizable words such as "mama" or "dada"?

     1   Yes
     0   No

    Default Next:MS-MSD-C09
    Lead-In:MS-MSD-C07 [Default]


    MS-MSD-C09 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever picked up small objects such as raisins or cookie crumbs, using only [his/her] thumb and first finger?

     1   Yes
     0   No

    Default Next:MS-MSD-C10
    Lead-In:MS-MSD-C08 [Default]


    MS-MSD-C10 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever walked at least 2 steps with one hand held or holding on to something?

     1   Yes
     0   No

    Default Next:MS-MSD-C11
    Lead-In:MS-MSD-C09 [Default]


    MS-MSD-C11 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever waved good-bye without help from another person?

     1   Yes
     0   No

    Default Next:MS-MSD-C12
    Lead-In:MS-MSD-C10 [Default]


    MS-MSD-C12 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever shown by [his/her] behavior that [he/she] knows the names of common objects when somebody else names them out loud?

     1   Yes
     0   No

    Default Next:MS-MSD-C13
    Lead-In:MS-MSD-C11 [Default]


    MS-MSD-C13 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever shown that [he/she] wanted something by pointing, pulling, or making pleasant sounds rather than crying or whining?

     1   Yes
     0   No

    Default Next:MS-MSD-C14
    Lead-In:MS-MSD-C12 [Default]


    MS-MSD-C14 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever stood alone on [his/her] feet for 10 seconds or more without holding on to anything or another person?

     1   Yes
     0   No

    Default Next:MS-MSD-C15
    Lead-In:MS-MSD-C13 [Default]


    MS-MSD-C15 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever walked at least 2 steps without holding on to anything or another person?

     1   Yes
     0   No

    Default Next:MS-BPI-AGECK1
    Lead-In:MS-MSD-C14 [Default]


    MS-MSD-D01 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever crawled when left lying on [his/her] stomach?

     1   Yes
     0   No

    Default Next:MS-MSD-D02
    Lead-In:MS-MSD-AGECK2 [10:12]


    MS-MSD-D02 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever said any recognizable words such as "mama" or "dada"?

     1   Yes
     0   No

    Default Next:MS-MSD-D03
    Lead-In:MS-MSD-D01 [Default]


    MS-MSD-D03 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever picked up small objects such as raisins or cookie crumbs, using only [his/her] thumb and first finger?

     1   Yes
     0   No

    Default Next:MS-MSD-D04
    Lead-In:MS-MSD-D02 [Default]


    MS-MSD-D04 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever walked at least 2 steps with one hand held or holding on to something?

     1   Yes
     0   No

    Default Next:MS-MSD-D05
    Lead-In:MS-MSD-D03 [Default]


    MS-MSD-D05 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever waved good-bye without help from another person?

     1   Yes
     0   No

    Default Next:MS-MSD-D06
    Lead-In:MS-MSD-D04 [Default]


    MS-MSD-D06 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever shown by [his/her] behavior that [he/she] knows the names of common objects when somebody else names them out loud?

     1   Yes
     0   No

    Default Next:MS-MSD-D07
    Lead-In:MS-MSD-D05 [Default]


    MS-MSD-D07 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever shown that [he/she] wanted something by pointing, pulling, or making pleasant sounds rather than crying or whining?

     1   Yes
     0   No

    Default Next:MS-MSD-D08
    Lead-In:MS-MSD-D06 [Default]


    MS-MSD-D08 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever stood alone on [his/her] feet for 10 seconds or more without holding on to anything or another person?

     1   Yes
     0   No

    Default Next:MS-MSD-D09
    Lead-In:MS-MSD-D07 [Default]


    MS-MSD-D09 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever walked at least 2 steps without holding on to anything or another person?

     1   Yes
     0   No

    Default Next:MS-MSD-D10
    Lead-In:MS-MSD-D08 [Default]


    MS-MSD-D10 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever crawled up at least 2 stairs or steps?

     1   Yes
     0   No

    Default Next:MS-MSD-D11
    Lead-In:MS-MSD-D09 [Default]


    MS-MSD-D11 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] said 2 recognizable words besides "mama" and "dada"?

     1   Yes
     0   No

    Default Next:MS-MSD-D12
    Lead-In:MS-MSD-D10 [Default]


    MS-MSD-D12 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever run?

     1   Yes
     0   No

    Default Next:MS-MSD-D13
    Lead-In:MS-MSD-D11 [Default]


    MS-MSD-D13 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever said the name of a familiar object, such as a ball?

     1   Yes
     0   No

    Default Next:MS-MSD-D14
    Lead-In:MS-MSD-D12 [Default]


    MS-MSD-D14 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever made a line with a crayon or pencil?

     1   Yes
     0   No

    Default Next:MS-MSD-D15
    Lead-In:MS-MSD-D13 [Default]


    MS-MSD-D15 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Did [he/she] ever walk up at least 2 stairs with one hand held or holding the railing?

     1   Yes
     0   No

    Default Next:MS-BPI-AGECK1
    Lead-In:MS-MSD-D14 [Default]


    MS-MSD-E01 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever waved good-bye without help from another person?

     1   Yes
     0   No

    Default Next:MS-MSD-E02
    Lead-In:MS-MSD-AGECK2 [13:15]


    MS-MSD-E02 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever shown by [his/her] behavior that [he/she] knows the names of common objects when somebody else names them out loud?

     1   Yes
     0   No

    Default Next:MS-MSD-E03
    Lead-In:MS-MSD-E01 [Default]


    MS-MSD-E03 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever shown that [he/she] wanted something by pointing, pulling, or making pleasant sounds rather than crying or whining?

     1   Yes
     0   No

    Default Next:MS-MSD-E04
    Lead-In:MS-MSD-E02 [Default]


    MS-MSD-E04 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever stood alone on [his/her] feet for 10 seconds or more without holding on to anything or another person?

     1   Yes
     0   No

    Default Next:MS-MSD-E05
    Lead-In:MS-MSD-E03 [Default]


    MS-MSD-E05 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever walked at least 2 steps without holding on to anything or another person?

     1   Yes
     0   No

    Default Next:MS-MSD-E06
    Lead-In:MS-MSD-E04 [Default]


    MS-MSD-E06 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever crawled up at least 2 stairs or steps?

     1   Yes
     0   No

    Default Next:MS-MSD-E07
    Lead-In:MS-MSD-E05 [Default]


    MS-MSD-E07 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] said 2 recognizable words besides "mama" and "dada"?

     1   Yes
     0   No

    Default Next:MS-MSD-E08
    Lead-In:MS-MSD-E06 [Default]


    MS-MSD-E08 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever run?

     1   Yes
     0   No

    Default Next:MS-MSD-E09
    Lead-In:MS-MSD-E07 [Default]


    MS-MSD-E09 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever said the name of a familiar object such as a ball?

     1   Yes
     0   No

    Default Next:MS-MSD-E10
    Lead-In:MS-MSD-E08 [Default]


    MS-MSD-E10 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever made a line with a crayon or pencil?

     1   Yes
     0   No

    Default Next:MS-MSD-E11
    Lead-In:MS-MSD-E09 [Default]


    MS-MSD-E11 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Did [Child First Name] ever walk up at least 2 stairs with one hand held or holding the railing?

     1   Yes
     0   No

    Default Next:MS-MSD-E12
    Lead-In:MS-MSD-E10 [Default]


    MS-MSD-E12 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever fed [him/her]self with a spoon or fork without spilling much?

     1   Yes
     0   No

    Default Next:MS-MSD-E13
    Lead-In:MS-MSD-E11 [Default]


    MS-MSD-E13 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever let someone know, without crying, that wearing wet (soiled) pants or diapers bothered [him/her]?

     1   Yes
     0   No

    Default Next:MS-MSD-E14
    Lead-In:MS-MSD-E12 [Default]


    MS-MSD-E14 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever spoken a partial sentence of 3 words or more?

     1   Yes
     0   No

    Default Next:MS-MSD-E15
    Lead-In:MS-MSD-E13 [Default]


    MS-MSD-E15 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever walked up stairs by [him/her]self without holding on to a rail?

     1   Yes
     0   No

    Default Next:MS-BPI-AGECK1
    Lead-In:MS-MSD-E14 [Default]


    MS-MSD-F01 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever walked at least 2 steps without holding on to anything or another person?

     1   Yes
     0   No

    Default Next:MS-MSD-F02
    Lead-In:MS-MSD-AGECK2 [16:18]


    MS-MSD-F02 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever crawled up at least 2 stairs or steps?

     1   Yes
     0   No

    Default Next:MS-MSD-F03
    Lead-In:MS-MSD-F01 [Default]


    MS-MSD-F03 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] said 2 recognizable words besides "mama" and "dada"?

     1   Yes
     0   No

    Default Next:MS-MSD-F04
    Lead-In:MS-MSD-F02 [Default]


    MS-MSD-F04 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever run?

     1   Yes
     0   No

    Default Next:MS-MSD-F05
    Lead-In:MS-MSD-F03 [Default]


    MS-MSD-F05 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever said the name of a familiar object such as a ball?

     1   Yes
     0   No

    Default Next:MS-MSD-F06
    Lead-In:MS-MSD-F04 [Default]


    MS-MSD-F06 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever made a line with a crayon or pencil?

     1   Yes
     0   No

    Default Next:MS-MSD-F07
    Lead-In:MS-MSD-F05 [Default]


    MS-MSD-F07 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Did [Child First Name] ever walk up at least 2 stairs with one hand held or holding the railing?

     1   Yes
     0   No

    Default Next:MS-MSD-F08
    Lead-In:MS-MSD-F06 [Default]


    MS-MSD-F08 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever fed [him/her]self with a spoon or fork without spilling much?

     1   Yes
     0   No

    Default Next:MS-MSD-F09
    Lead-In:MS-MSD-F07 [Default]


    MS-MSD-F09 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever let someone know, without crying, that wearing wet (soiled) pants or diapers bothered [him/her]?

     1   Yes
     0   No

    Default Next:MS-MSD-F10
    Lead-In:MS-MSD-F08 [Default]


    MS-MSD-F10 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever spoken in a partial sentence of 3 words or more?

     1   Yes
     0   No

    Default Next:MS-MSD-F11
    Lead-In:MS-MSD-F09 [Default]


    MS-MSD-F11 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever walked upstairs by [him/her]self without holding on to a rail?

     1   Yes
     0   No

    Default Next:MS-MSD-F12
    Lead-In:MS-MSD-F10 [Default]


    MS-MSD-F12 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever washed and dried [his/her] hands without any help except for turning the water on and off?

     1   Yes
     0   No

    Default Next:MS-MSD-F13
    Lead-In:MS-MSD-F11 [Default]


    MS-MSD-F13 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever counted 3 objects correctly?

     1   Yes
     0   No

    Default Next:MS-MSD-F14
    Lead-In:MS-MSD-F12 [Default]


    MS-MSD-F14 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever gone to the toilet alone?

     1   Yes
     0   No

    Default Next:MS-MSD-F15
    Lead-In:MS-MSD-F13 [Default]


    MS-MSD-F15 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever walked up stairs by [him/her]self with no help, stepping on each step with only one foot?

     1   Yes
     0   No

    Default Next:MS-BPI-AGECK1
    Lead-In:MS-MSD-F14 [Default]


    MS-MSD-G01 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever run?

     1   Yes
     0   No

    Default Next:MS-MSD-G02
    Lead-In:MS-MSD-AGECK2 [19:21]


    MS-MSD-G02 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever said the name of a familiar object such as a ball?

     1   Yes
     0   No

    Default Next:MS-MSD-G03
    Lead-In:MS-MSD-G01 [Default]


    MS-MSD-G03 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever made a line with a crayon or pencil?

     1   Yes
     0   No

    Default Next:MS-MSD-G04
    Lead-In:MS-MSD-G02 [Default]


    MS-MSD-G04 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Did [Child First Name] ever walk up at least 2 stairs with one hand held or holding the railing?

     1   Yes
     0   No

    Default Next:MS-MSD-G05
    Lead-In:MS-MSD-G03 [Default]


    MS-MSD-G05 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever fed [him/her]self with a spoon or fork without spilling much?

     1   Yes
     0   No

    Default Next:MS-MSD-G06
    Lead-In:MS-MSD-G04 [Default]


    MS-MSD-G06 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever let someone know, without crying, that wearing wet (soiled) pants or diapers bothered [him/her]?

     1   Yes
     0   No

    Default Next:MS-MSD-G07
    Lead-In:MS-MSD-G05 [Default]


    MS-MSD-G07 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever spoken in a partial sentence of 3 words or more?

     1   Yes
     0   No

    Default Next:MS-MSD-G08
    Lead-In:MS-MSD-G06 [Default]


    MS-MSD-G08 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever walked up stairs by [him/her]self without holding on to a rail?

     1   Yes
     0   No

    Default Next:MS-MSD-G09
    Lead-In:MS-MSD-G07 [Default]


    MS-MSD-G09 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever washed and dried [his/her] hands without any help except for turning the water on and off?

     1   Yes
     0   No

    Default Next:MS-MSD-G10
    Lead-In:MS-MSD-G08 [Default]


    MS-MSD-G10 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever counted 3 objects correctly?

     1   Yes
     0   No

    Default Next:MS-MSD-G11
    Lead-In:MS-MSD-G09 [Default]


    MS-MSD-G11 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever gone to the toilet alone?

     1   Yes
     0   No

    Default Next:MS-MSD-G12
    Lead-In:MS-MSD-G10 [Default]


    MS-MSD-G12 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever walked up stairs by [him/her]self with no help, stepping on each step with only one foot?

     1   Yes
     0   No

    Default Next:MS-MSD-G13
    Lead-In:MS-MSD-G11 [Default]


    MS-MSD-G13 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Does [Child First Name] know [his/her] own age AND sex?

     1   Yes
     0   No

    Default Next:MS-MSD-G14
    Lead-In:MS-MSD-G12 [Default]


    MS-MSD-G14 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever said the names of at least 4 colors?

     1   Yes
     0   No

    Default Next:MS-MSD-G15
    Lead-In:MS-MSD-G13 [Default]


    MS-MSD-G15 []Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever pedaled a tricycle at least 10 feet?

     1   Yes
     0   No

    Default Next:MS-BPI-AGECK1
    Lead-In:MS-MSD-G14 [Default]


    MS-MSD-H01 [C51880.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever let someone know, without crying, that wearing wet (soiled) pants or diapers bothered [him/her]?

     1   Yes
     0   No

    Default Next:MS-MSD-H02
    Lead-In:MS-MSD-AGECK2 [22:47]


    MS-MSD-H02 [C51881.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever spoken a partial sentence of 3 words or more?

     1   Yes
     0   No

    Default Next:MS-MSD-H03
    Lead-In:MS-MSD-H01 [Default]


    MS-MSD-H03 [C51882.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever walked up stairs by [him/her]self without holding on to a rail?

     1   Yes
     0   No

    Default Next:MS-MSD-H04
    Lead-In:MS-MSD-H02 [Default]


    MS-MSD-H04 [C51883.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever washed and dried [his/her] hands without any help except for turning the water on and off?

     1   Yes
     0   No

    Default Next:MS-MSD-H05
    Lead-In:MS-MSD-H03 [Default]


    MS-MSD-H05 [C51884.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever counted 3 objects correctly?

     1   Yes
     0   No

    Default Next:MS-MSD-H06
    Lead-In:MS-MSD-H04 [Default]


    MS-MSD-H06 [C51885.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever gone to the toilet alone?

     1   Yes
     0   No

    Default Next:MS-MSD-H07
    Lead-In:MS-MSD-H05 [Default]


    MS-MSD-H07 [C51886.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever walked up stairs by [him/her]self with no help, stepping on each step with only one foot?

     1   Yes
     0   No

    Default Next:MS-MSD-H08
    Lead-In:MS-MSD-H06 [Default]


    MS-MSD-H08 [C51887.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Does [Child First Name] know [his/her] own age AND sex?

     1   Yes
     0   No

    Default Next:MS-MSD-H09
    Lead-In:MS-MSD-H07 [Default]


    MS-MSD-H09 [C51888.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever said the names of at least 4 colors?

     1   Yes
     0   No

    Default Next:MS-MSD-H10
    Lead-In:MS-MSD-H08 [Default]


    MS-MSD-H10 [C51889.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever pedaled a tricycle at least 10 feet?

     1   Yes
     0   No

    Default Next:MS-MSD-H11
    Lead-In:MS-MSD-H09 [Default]


    MS-MSD-H11 [C51890.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever done a somersault without help from anybody?

     1   Yes
     0   No

    Default Next:MS-MSD-H12
    Lead-In:MS-MSD-H10 [Default]


    MS-MSD-H12 [C51891.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever dressed [him/her]self without any help except for [tying shoes/tying shoes and buttoning the backs of dresses]?

     1   Yes
     0   No

    Default Next:MS-MSD-H13
    Lead-In:MS-MSD-H11 [Default]


    MS-MSD-H13 [C51892.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever said [his/her] first and last name together without someone's help? (Nickname may be used for first name.)

     1   Yes
     0   No

    Default Next:MS-MSD-H14
    Lead-In:MS-MSD-H12 [Default]


    MS-MSD-H14 [C51893.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [Child First Name] ever counted out loud up to 10?

     1   Yes
     0   No

    Default Next:MS-MSD-H15
    Lead-In:MS-MSD-H13 [Default]


    MS-MSD-H15 [C51894.00]Section: MOTOR AND SOCIAL DEVELOPMENT

    Has [he/she] ever drawn a picture of a man or woman with at least 2 parts of the body besides a head?

     1   Yes
     0   No

    Default Next:MS-BPI-AGECK1
    Lead-In:MS-MSD-H14 [Default]


    MS-BPI-AGECK1 [C51896.00]Section: BEHAVIOR PROBLEMS INDEX

    {msage} >= 4

    COMMENT: If child age is 4 years or OLDER and meets YOB/BORNSR19 constraints, then continue. OTHERWISE skip to BPI-END.

    If Answer = 1 Then Go To
    MS-BPI-01

    Default Next:MS-BKGN-CASI-AGECK1
    Lead-In:MS-MSD-AGECK1 [Default], MS-MSD-AGECK2 [Default], MS-MSD-A15 [Default], MS-MSD-B15 [Default], MS-MSD-C15 [Default], MS-MSD-D15 [Default], MS-MSD-E15 [Default], MS-MSD-F15 [Default], MS-MSD-G15 [Default], MS-MSD-H15 [Default]


    MS-BPI-01 [C51897.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...has sudden changes in mood or feeling.
    Is this statement often true, sometimes true, or not true?

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-02 [C51898.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...feels or complains that no one loves {himher}.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-03 [C51899.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...is rather high strung, tense and nervous.

     1   Often True
     2   Sometimes True
     3   Not True

    Default Next:MS-BPI-04
    Lead-In:MS-BPI-02 [Default]


    MS-BPI-04 [C51900.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...cheats or tells lies.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-05 [C51901.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...is too fearful or anxious.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-06 [C51902.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname} ...argues too much.

     1   Often True
     2   Sometimes True
     3   Not True

    Default Next:MS-BPI-07
    Lead-In:MS-BPI-05 [Default]


    MS-BPI-07 [C51903.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...has difficulty concentrating, cannot pay attention for long.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-08 [C51904.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...is easily confused, seems to be in a fog.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-09 [C51905.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...bullies or is cruel or mean to others.

     1   Often True
     2   Sometimes True
     3   Not True

    Default Next:MS-BPI-10
    Lead-In:MS-BPI-08 [Default]


    MS-BPI-10 [C51906.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...is disobedient at home.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-11 [C51907.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname} ...does not seem to feel sorry after {heshe} misbehaves.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-12 [C51908.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...has trouble getting along with other children.

     1   Often True
     2   Sometimes True
     3   Not True

    Default Next:MS-BPI-13
    Lead-In:MS-BPI-11 [Default]


    MS-BPI-13 [C51909.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...is impulsive, or acts without thinking.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-14 [C51910.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...feels worthless or inferior.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-15 [C51911.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...is not liked by other children.

     1   Often True
     2   Sometimes True
     3   Not True

    Default Next:MS-BPI-16
    Lead-In:MS-BPI-14 [Default]


    MS-BPI-16 [C51912.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...has a lot of difficulty getting {hisher} mind off certain thoughts (has obsessions).

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-17 [C51913.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...is restless or overly active, cannot sit still.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-18 [C51914.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...is stubborn, sullen, or irritable.

     1   Often True
     2   Sometimes True
     3   Not True

    Default Next:MS-BPI-19
    Lead-In:MS-BPI-17 [Default]


    MS-BPI-19 [C51915.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...has a very strong temper and loses it easily.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-20 [C51916.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...is unhappy, sad, or depressed.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-21 [C51917.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...is withdrawn, does not get involved with others.

     1   Often True
     2   Sometimes True
     3   Not True

    Default Next:MS-BPI-22
    Lead-In:MS-BPI-20 [Default]


    MS-BPI-22 [C51918.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...breaks things on purpose or deliberately destroys {hisher} own or another's things.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-23 [C51919.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...clings to adults.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-24 [C51920.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...cries too much.

     1   Often True
     2   Sometimes True
     3   Not True

    Default Next:MS-BPI-25
    Lead-In:MS-BPI-23 [Default]


    MS-BPI-25 [C51921.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...demands a lot of attention.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-26 [C51922.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...is too dependent on others.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-27 [C51923.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...feels others are out to get {himher}.

     1   Often True
     2   Sometimes True
     3   Not True

    Default Next:MS-BPI-28
    Lead-In:MS-BPI-26 [Default]


    MS-BPI-28 [C51924.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...hangs around with kids who get into trouble.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-29 [C51925.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...is secretive, keeps things to {himher}self.

     1   Often True
     2   Sometimes True
     3   Not True


    MS-BPI-30 [C51926.00]Section: BEHAVIOR PROBLEMS INDEX

    {cfname}...worries too much.

     1   Often True
     2   Sometimes True
     3   Not True

    Default Next:MS-BPI-SCHLCK
    Lead-In:MS-BPI-29 [Default]


    MS-BPI-SCHLCK [C51927.00]Section: BEHAVIOR PROBLEMS INDEX

    ([IN SCHOOL] == 1) || ([EVER IN SCHOOL] == 1)

    If Answer = 1 Then Go To
    MS-BPI-31

    Default Next:MS-BKGN-CASI-AGECK1
    Lead-In:MS-BPI-30 [Default]


    MS-BPI-31 [C51928.00]Section: BEHAVIOR PROBLEMS INDEX

    Please answer even if school is not in session:

    [Child First Name]...is disobedient at school.

     1   Often True
     2   Sometimes True
     3   Not True
     4   Never Attended School


    MS-BPI-32 [C51929.00]Section: BEHAVIOR PROBLEMS INDEX

    (Please answer even if school is not in session:)

    [Child First Name]...has trouble getting along with teachers.

     1   Often True
     2   Sometimes True
     3   Not True
     4   Never Attended School


    MS-BPI-END []Section: BEHAVIOR PROBLEMS INDEX

    End of series. Click on the "Submit and Continue" button to proceed....

    COMMENT: ------------END OF BEHAVIOR PROBLEM INDEX ASSESSMENT-------------

    Default Next:MS-BKGN-CASI-AGECK1
    Lead-In:MS-BPI-32 [Default]


    MS-BKGN-CASI-AGECK1 [C51931.00]Section: MS CASI SECTION

    {msage} >= 5

    COMMENT: If child age is 5 years or OLDER then continue; Otherwise, skip to BKGN-CASI-END

    If Answer = 1 Then Go To
    MS-BKGN-37

    Default Next:MS-HLTH-16
    Lead-In:MS-BPI-AGECK1 [Default], MS-BPI-SCHLCK [Default], MS-BPI-END [Default]


    MS-BKGN-37 [C51933.00]Section: MS CASI SECTION

    {BKGN-SUB1} {cfname} repeated a grade for any reason?


    COMMENT: Children 2nd grade or below: child ever repeated a grade Children 3rd grade and higher: any grade repeated since last interview

     1   Yes   ...(Go To MS-BKGN-37-LOOP-BEGIN)
     0   No

    Default Next:MS-BKGN-38
    Lead-In:MS-BKGN-CASI-AGECK1 [1:1]


    MS-BKGN-37-LOOP-BEGIN []Section: MS CASI SECTION

    REPEAT

    Default Next:MS-BKGN-37A
    Lead-In:MS-BKGN-37 [1:1]


    MS-BKGN-37A [C51936.00]Section: MS CASI SECTION

    What was the [most recent/next most recent] grade that [Child First Name] repeated?


     0   PRE-KINDERGARTEN/KINDERGARTEN/PRE-1ST GRADE
     1   1ST GRADE
     2   2ND GRADE
     3   3RD GRADE
     4   4TH GRADE
     5   5TH GRADE
     6   6TH GRADE
     7   7TH GRADE
     8   8TH GRADE
     9   9TH GRADE
     10   10TH GRADE
     11   11TH GRADE
     12   12TH GRADE

    Default Next:MS-BKGN-37B
    Lead-In:MS-BKGN-37-LOOP-BEGIN [Default]


    MS-BKGN-37B [C51937.00]Section: MS CASI SECTION

    What was the main reason [he/she] repeated that grade?


     1   Academic failure or lack of ability
     2   Immature; acts too young
     3   Frequently absent (excused absence)
     4   Truancy (unexcused absence)
     5   Health reasons
     6   Moved into a more difficult school
     7   Other reason (SPECIFY)

    Default Next:MS-BKGN-37C
    Lead-In:MS-BKGN-37A [Default]


    MS-BKGN-37C [C51938.00]Section: MS CASI SECTION

    Has [Child First Name] repeated any other grades?


     1   Yes
     0   No

    Default Next:MS-BKGN-37-LOOP-END
    Lead-In:MS-BKGN-37B [Default]


    MS-BKGN-37-LOOP-END []Section: MS CASI SECTION

    UNTIL([ANY MORE TO REPORT?]==0)

    Default Next:MS-BKGN-38
    Lead-In:MS-BKGN-37C [Default]


    MS-BKGN-38 [C51940.00]Section: MS CASI SECTION

    Has [Child First Name] ever had any behavior problems at school resulting in your receiving a note or being asked to come in and talk to the teacher or principal?

     1   Yes   ...(Go To MS-BKGN-39)
     0   No

    Default Next:MS-BKGN-40
    Lead-In:MS-BKGN-37 [Default], MS-BKGN-37-LOOP-END [Default]


    MS-BKGN-39 [C51941.00]Section: MS CASI SECTION

    What grade was [Child First Name] in the first time you received a note, or were asked to come in and talk to the teacher or principal?


     90   NURSERY/PRESCHOOL
     0   KINDERGARTEN
     1   1ST GRADE
     2   2ND GRADE
     3   3RD GRADE
     4   4TH GRADE
     5   5TH GRADE
     6   6TH GRADE
     7   7TH GRADE
     8   8TH GRADE
     9   9TH GRADE
     10   10TH GRADE
     11   11TH GRADE
     12   12TH GRADE

    Default Next:MS-BKGN-40
    Lead-In:MS-BKGN-38 [1:1]


    MS-BKGN-40 [C51942.00]Section: MS CASI SECTION

    Has [Child First Name] ever been suspended or expelled from school?


     1   Yes   ...(Go To MS-BKGN-40A)
     0   No

    Default Next:MS-BKGN-41
    Lead-In:MS-BKGN-38 [Default], MS-BKGN-39 [Default]


    MS-BKGN-40A [C51943.00]Section: MS CASI SECTION

    (Has your child ever been suspended or expelled from school?)

    In what grade did this first happen?

     90   NURSERY/PRESCHOOL
     0   KINDERGARTEN
     1   1ST GRADE
     2   2ND GRADE
     3   3RD GRADE
     4   4TH GRADE
     5   5TH GRADE
     6   6TH GRADE
     7   7TH GRADE
     8   8TH GRADE
     9   9TH GRADE
     10   10TH GRADE
     11   11TH GRADE
     12   12TH GRADE

    Default Next:MS-BKGN-41
    Lead-In:MS-BKGN-40 [1:1]


    MS-BKGN-41 [C51944.00]Section: MS CASI SECTION

    {MSINSCHL} == 1

    If Answer = 1 Then Go To
    MS-BKGN-42

    Default Next:MS-BKGN-44
    Lead-In:MS-BKGN-40 [Default], MS-BKGN-40A [Default]


    MS-BKGN-42 [C51945.00]Section: MS CASI SECTION

    Is your child one of the best students in class, above the middle, in the middle, below the middle, or near the bottom of the class?


     1   One of the best students in class
     2   Above the middle
     3   In the middle
     4   Below the middle
     5   Near the bottom of the class

    Default Next:MS-BKGN-43A
    Lead-In:MS-BKGN-41 [1:1]


    MS-BKGN-43A [C51946.00]Section: MS CASI SECTION

    Please think about how well [Child First Name]'s school does its job.

    What grade would you give the school for how much the teachers care about the students?


     5   A
     4   B
     3   C
     2   D
     1   FAIL


    MS-BKGN-43B [C51947.00]Section: MS CASI SECTION

    What grade would you give the school for how effective the principal is as the leader of the school?

     5   A
     4   B
     3   C
     2   D
     1   FAIL


    MS-BKGN-43C [C51948.00]Section: MS CASI SECTION

    What grade would you give the school for the skill of the teachers?

     5   A
     4   B
     3   C
     2   D
     1   FAIL

    Default Next:MS-BKGN-43D
    Lead-In:MS-BKGN-43B [Default]


    MS-BKGN-43D [C51949.00]Section: MS CASI SECTION

    What grade would you give the school for how safe the school is for the students to attend?

     5   A
     4   B
     3   C
     2   D
     1   FAIL


    MS-BKGN-43E [C51950.00]Section: MS CASI SECTION

    What grade would you give the school for letting parents know how their children are doing?

     5   A
     4   B
     3   C
     2   D
     1   FAIL


    MS-BKGN-43F [C51951.00]Section: MS CASI SECTION

    What grade would you give the school for letting parents participate in decisions about how the school is run?

     5   A
     4   B
     3   C
     2   D
     1   FAIL

    Default Next:MS-BKGN-43G
    Lead-In:MS-BKGN-43E [Default]


    MS-BKGN-43G [C51952.00]Section: MS CASI SECTION

    What grade would you give the school for helping students learn the difference between right and wrong?

     5   A
     4   B
     3   C
     2   D
     1   FAIL


    MS-BKGN-43H [C51953.00]Section: MS CASI SECTION

    What grade would you give for maintaining order and discipline?

     5   A
     4   B
     3   C
     2   D
     1   FAIL

    Default Next:MS-HLTH-16
    Lead-In:MS-BKGN-43G [Default]


    MS-BKGN-44 [C51954.00]Section: MS CASI SECTION

    Looking ahead, how far do you think [Child First Name] will go in school? Will [he/she]...


     1   leave high school before graduation
     2   graduate from high school
     3   get some college or other training
     4   graduate from college
     5   take further training after college
     6   or something else? (SPECIFY)

    Default Next:MS-BKGN-45
    Lead-In:MS-BKGN-41 [Default]


    MS-BKGN-45 [C51955.00]Section: MS CASI SECTION

    In general, how much trouble has [Child First Name] been to bring up?


     1   None
     2   Just a little
     3   Quite a bit
     4   A lot

    Default Next:MS-BKGN-46A
    Lead-In:MS-BKGN-44 [Default]


    MS-BKGN-46A [C51956.00]Section: MS CASI SECTION

    Think now about how things are going in general in [Child First Name]'s life. Please rate each of the following parts of [his/her] life as either excellent, good, only fair, or poor.

    First, how would you rate [Child First Name]'s health?

     4   EXCELLENT
     3   GOOD
     2   FAIR
     1   POOR


    MS-BKGN-46B [C51957.00]Section: MS CASI SECTION

    How would you rate [his/her] friendships?

     4   EXCELLENT
     3   GOOD
     2   FAIR
     1   POOR


    MS-BKGN-46C [C51958.00]Section: MS CASI SECTION

    (How would you rate...) [his/her] relationship with you?

     4   EXCELLENT
     3   GOOD
     2   FAIR
     1   POOR

    Default Next:MS-BKGN-46D
    Lead-In:MS-BKGN-46B [Default]


    MS-BKGN-46D [C51959.00]Section: MS CASI SECTION

    (How would you rate...) [his/her] feelings about [him/her]self?

     4   EXCELLENT
     3   GOOD
     2   FAIR
     1   POOR


    MS-BKGN-46E [C51960.00]Section: MS CASI SECTION

    (How would you rate...) [his/her] prospects for the future?

     4   EXCELLENT
     3   GOOD
     2   FAIR
     1   POOR


    MS-BKGN-46F [C51961.00]Section: MS CASI SECTION

    (How would you rate...) [his/her] relationships with brothers, sisters, or other children [he/she] lives with?

     4   EXCELLENT
     3   GOOD
     2   FAIR
     1   POOR
     0   NO OTHER CHILDREN IN HOUSEHOLD

    Default Next:MS-HLTH-16
    Lead-In:MS-BKGN-46E [Default]


    MS-HLTH-16 [C51964.00]Section: MS CASI SECTION

    {msage} < 4

    COMMENT: If child's age less than 4 years skip to HLTH-19, OTHERWISE continue

    If Answer = 1 Then Go To
    MS-HLTH-19

    Default Next:MS-HLTH-17
    Lead-In:MS-BKGN-CASI-AGECK1 [Default], MS-BKGN-43H [Default], MS-BKGN-46F [Default]


    MS-HLTH-17 [C51965.00]Section: MS CASI SECTION

    During the past 12 months has [Child First Name] seen a psychiatrist, psychologist, or counselor about any behavioral, emotional, or mental problem?

     1   Yes   ...(Go To MS-HLTH-17A)
     0   No

    Default Next:MS-HLTH-19
    Lead-In:MS-HLTH-16 [Default]


    MS-HLTH-17A [C51966.00]Section: MS CASI SECTION

    What was the problem?

    Enter: 

    Default Next:MS-HLTH-17B
    Lead-In:MS-HLTH-17 [1:1]


    MS-HLTH-17B [C51967.00]Section: MS CASI SECTION

    You said that the problem was "[BEHAVIOR PROBLEM TEXT ENTRY]".

     1   LEARNING PROBLEMS OR DISABILITY, DYSLEXIA, READING OR SPEECH PROBLEMS
     11   ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD, ADD)
     2   BEHAVIOR PROBLEMS IN SCHOOL/PRESCHOOL
     3   FAMILY PROBLEMS: LOSS OF PARENT OR SIB, DIVORCE
     4   UNMANAGEABLE, TEMPER TANTRUMS, DISRUPTIVE, HYPERACTIVE
     5   STRESS, CRIES A LOT
     6   LYING
     7   EMOTIONAL TRAUMA: MOLESTATION, ABUSE
     8   AUTISM
     9   SHYNESS
     10   NIGHTMARES
     15   OTHER (SPECIFY)

    Default Next:MS-HLTH-18
    Lead-In:MS-HLTH-17A [Default]


    MS-HLTH-18 [C51968.00]Section: MS CASI SECTION

    Was the cost of the visit to the psychiatrist, psychologist, or counselor covered, at least in part, by any form of insurance or benefit program?

     1   Yes
     0   No

    Default Next:MS-HLTH-20
    Lead-In:MS-HLTH-17B [Default]


    MS-HLTH-19 [C51969.00]Section: MS CASI SECTION

    {HLTH-SUB2}, have you felt, or has anyone suggested, that {cfname} needed help for any behavioral, emotional, or mental problem?

     1   Yes
     0   No

    Default Next:MS-HLTH-20
    Lead-In:MS-HLTH-16 [1:1], MS-HLTH-17 [Default]


    MS-HLTH-20 [C51970.00]Section: MS CASI SECTION

    Does [Child First Name] regularly take any medicines or prescription drugs to help control [his/her] activity level or behavior?

     1   Yes
     0   No

    Default Next:MS-CASI-OTHERPRES
    Lead-In:MS-HLTH-18 [Default], MS-HLTH-19 [Default]


    MS-CASI-OTHERPRES [C51972.00]Section: MS CASI SECTION

    INTERVIEWER: WAS ANYONE ELSE PRESENT, EXCLUDING THE RESPONDENT AND YOUNG CHILDREN (AGE 3 AND YOUNGER), WHEN YOU ASKED THE QUESTIONS ABOUT [Child First Name]'S HEALTH AND BEHAVIOR?

     1   YES
     0   NO
     2   TELEPHONE INTERVIEW

    Default Next:MSIR-1
    Lead-In:MS-HLTH-20 [Default]


    MSIR-1 []Section: MS INTERVIEWER REMARKS

    INTERVIEWER: LIST QUESTIONS WITH SKIP ERRORS, QUESTIONS THAT WERE CONFUSING TO THE RESPONDENT, OR QUESTIONS THAT OTHERWISE DIDN'T WORK.

     1   SELECT TO ENTER QUESTION   ...(Go To MSIR-1A)
     0   NO QUESTIONS CAUSED PROBLEMS

    Default Next:MSIR-EVAL
    Lead-In:MS-HOME-STATCHK [5:5], MS-HOME-STATCHK [8:8], MS-HOME-STATCHK [99:99], MS-HOME-RESCHK [5:5], MS-HOME-RESCHK [8:8], MS-HOME-AGECHK-YA3 [1:1], MS-CASI-OTHERPRES [Default]


    MSIR-1A []Section: MS INTERVIEWER REMARKS

    INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF FIRST QUESTION THAT CAUSED RESPONDENT PROBLEMS. IF DON'T KNOW SECTION OR QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.

    Enter: 

    Default Next:MSIR-1B
    Lead-In:MSIR-1 [1:1]


    MSIR-1B []Section: MS INTERVIEWER REMARKS

    INTERVIEWER: YOU SAID THE PROBLEM WAS WITH THE ITEM [PROBLEM TEXT ENTRY].
    PLEASE ENTER A DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN MSIR-1A.

    Enter: 

    Default Next:MSIR-1C
    Lead-In:MSIR-1A [Default]


    MSIR-1C []Section: MS INTERVIEWER REMARKS

    INTERVIEWER: WERE THERE ANY OTHER QUESTIONS THAT CAUSED PROBLEMS?

     1   SELECT TO ENTER QUESTION   ...(Go To MSIR-1A2)
     0   NO QUESTIONS CAUSED PROBLEMS

    Default Next:MSIR-EVAL
    Lead-In:MSIR-1B [Default]


    MSIR-1A2 []Section: MS INTERVIEWER REMARKS

    INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT CAUSED RESPONDENT PROBLEMS. IF DON'T KNOW SECTION OR QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.

    Enter: 

    Default Next:MSIR-1B2
    Lead-In:MSIR-1C [1:1]


    MSIR-1B2 []Section: MS INTERVIEWER REMARKS

    INTERVIEWER: YOU SAID THE PROBLEM WAS WITH THE ITEM [PROBLEM2 TEXT ENTRY].
    PLEASE ENTER A DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN MSIR-1A2.

    Enter: 

    Default Next:MSIR-EVAL
    Lead-In:MSIR-1A2 [Default]


    MSIR-EVAL []Section: MS INTERVIEWER REMARKS

    INTERVIEWER: IN GENERAL, WHAT WAS THE MOTHER'S ATTITUDE ABOUT ENTERING HER OWN ANSWERS ON THE COMPUTER? PLEASE DESCRIBE BELOW.

    IF NO REACTION, ENTER "NONE".

    Enter: 

    Default Next:MSIR-IDNUM
    Lead-In:MSIR-1 [Default], MSIR-1C [Default], MSIR-1B2 [Default]


    MSIR-IDNUM []Section: MS INTERVIEWER REMARKS

    INTERVIEWER: PLEASE ENTER YOUR PROJECT ID NUMBER.

    Enter Number: 

    Default Next:MSIR-INTNAME
    Lead-In:MSIR-EVAL [Default]


    MSIR-INTNAME []Section: MS INTERVIEWER REMARKS

    INTERVIEWER: PLEASE ENTER YOUR NAME ON THE LINE PROVIDED.

    THEN CLICK "Submit and Continue " TO END SURVEY.

    Enter: 

    Lead-In:MSIR-IDNUM [Default]