CS-STARTSCREEN [] | Section: CS-Preliminaries |
NATIONAL LONGITUDINAL SURVEY OF YOUTH
CHILD SUPPLEMENT
ENGLISH
VERSION: [CSVERSION]
CS-CONFIRM-CASE [] | Section: CS-Preliminaries |
INTERVIEWER: THIS INSTRUMENT IS DATE SENSITIVE -- PLEASE DO NOT PROCEED BEYOND THIS POINT UNLESS YOU ARE READY TO CONDUCT THE INTERVIEW.
YOU HAVE OPENED THE CASE SHOWN BELOW. IF THIS IS THE DESIRED CASE, AND YOU ARE READY TO COMPLETE THE INSTRUMENT, CLICK ON THE APPROPRIATE BUTTON TO PROCEED.
CASE ID: [CSCASEIDTXT]
NAME: [Child Full Name]
DATE OF BIRTH: [CHILDBDAY~X]
UPDATES TO DATE OF BIRTH MAY BE MADE LATER IN THE INSTRUMENT IF NECESSARY.
CS-CONF-SYSDATE [K00007.00] | Section: CS-Preliminaries |
INTERVIEWER: THE COMPUTER SYSTEM DATE IS SET TO:
DATE: [CSDATENOW~X]
TIME: [SYSTEM TIME STAMP]
ARE THE DATE AND TIME SHOWN CORRECT?
CS-SYSDATE-RESET [] | Section: CS-Preliminaries |
INTERVIEWER: YOU INDICATED THE COMPUTER DATE INFORMATION IS INCORRECT.
PLEASE EXIT THE INSTRUMENT, RESET THE SYSTEM DATE AND TIME, AND RESTART THE CASE. ON RESTART, BE SURE TO BACKUP TO THE BEGINNING SCREEN.
CS-PRELIM-TITLE [] | Section: CS-Preliminaries |
**** PRELIMINARIES ****
CS-CKNAME [K00008.00] | Section: CS-Preliminaries |
ISVAREMPTY([Child First Name])
If Answer = 1 Then Go To CS-ENTERNAME
CS-ENTERNAME [] | Section: CS-Preliminaries |
INTERVIEWER: ENTER CHILD'S FIRST NAME:
CS-CKFULLNAME [K00009.00] | Section: CS-Preliminaries |
ISVAREMPTY([Child Full Name])
If Answer = 1 Then Go To CS-ENTERFULLNAME
CS-ENTERFULLNAME [] | Section: CS-Preliminaries |
INTERVIEWER: ENTER CHILD'S FULL NAME:
CS-INT-MODE [K00012.00] | Section: CS-Preliminaries |
INTERVIEWER: SELECT INTERVIEW MODE.
CS-FULLDOBCK1 [K00014.00] | Section: CS-Preliminaries |
ISCOMPLETE ([CS_CHILDDOB])
COMMENT: check birthdate to see if it has don't know or refusal
If Answer = 1 Then Go To CS-INTRO-AGE4CK
CS-INTRO-AGE4CK [K00020.00] | Section: CS-Preliminaries |
([CHILD AGE (YEARS)]>=4) || (([CHILD AGE (YEARS)] == 3) && ([MONTHS REMAINDER OF AGE] == 11) && ([DAYS REMAINDER OF AGE] > 15))
COMMENT: Check if child is assessment age PPVT 4 or not. If so, goto intro 1. Else goto intro 2.
If Answer = 1 Then Go To CS-PHONECHK
CS-PHONECHK [K00021.00] | Section: CS-Preliminaries |
{CSINTMODE}==2
If Answer = 1 Then Go To CS-TEL-INTNOTE-1
CS-TEL-INTNOTE-1 [K00022.00] | Section: CS-Preliminaries |
INTERVIEWER: [Child First Name] MAY BE ELIGIBLE FOR ASSESSMENT, BUT THIS CASE HAS BEEN CODED AS A TELEPHONE INTERVIEW. DO YOU PLAN TO ADMINISTER ANY ASSESSMENTS TO [Child Full Name] AT ALL?
CS-TEL-INTNOTE-2 [] | Section: CS-Preliminaries |
RESTART NOTE FOR TELEPHONE INTERVIEWS!
INTERVIEWER: IF YOU PLAN TO ASSESS THE CHILD, EXIT THE INTERVIEW AT THE NEXT SCREEN AND RESTART THE INTERVIEW IN PERSON.
CLICK ON Submit and Continue TO PROCEED, OR CLICK ON HELP IF NEEDED.
CS-RESTART-A [] | Section: CS-Preliminaries |
EXIT POINT
INTERVIEWER: IF YOU PLAN TO ASSESS THE CHILD, EXIT THE INTERVIEW FROM THIS SCREEN NOW.
RESTART THE INTERVIEW IN PERSON FROM THE BEGINNING OF THE SURVEY (CS-STARTSCREEN).
IF YOU HAVE RESTARTED THE INTERVIEW: CLICK ON THE DROP DOWN MENU "Go To Question" AND SELECT CS-STARTSCREEN TO RETURN TO THE BEGINNING OF THE INSTRUMENT. YOU MAY THEN PROCEED WITH THE CASE.
OTHERWISE, CLICK ON HELP, OR THE DISKETTE ICON TO SAVE AND EXIT THE CASE NOW.
CS-RESTART-B [] | Section: CS-Preliminaries |
INTERVIEWER:
- IF YOU HAVE JUST REOPENED THIS CASE:
RESTART THE INTERVIEW IN PERSON FROM THE BEGINNING OF THE SURVEY (CS-STARTSCREEN).
CLICK ON THE DROP DOWN MENU "Go To Question " AND SELECT CS-STARTSCREEN TO RETURN TO THE BEGINNING OF THE INSTRUMENT.
- IF YOU HAVE NOT YET RESTARTED THE INTERVIEW:
YOU HAVE INDICATED THAT THIS IS A TELEPHONE INTERVIEW, BUT YOU PLAN TO ADMINISTER IN-PERSON THE CHILD ASSESSMENTS. IF THIS IS NOT A TELEPHONE INTERVIEW, OR YOU DO NOT PLAN TO ADMINISTER THE CHILD ASSESSMENTS IN PERSON PLEASE BACK UP AND CORRECT.
CLICK ON HELP, OR THE DISKETTE ICON TO SAVE AND EXIT THE CASE NOW.
NO ACCESSIBLE SCREENS FOLLOW.
CS-INTRO-CHK [K00023.00] | Section: CS-Preliminaries |
{CSINTMODE}
If Answer = 1 Then Go To CS-INTRO-A
If Answer = 2 Then Go To CS-INTRO-B
CS-INTRO-A [] | Section: CS-Preliminaries |
In the past years, NLS has gathered information about the work, education, and family life of your generation. Since you have children of your own, and because they are your children, they are important people to us. The purpose of this study is to better understand how children learn and develop.
The U.S. Department of Labor and the National Institute of Child Health and Human Development sponsor this study of the children of the NLS respondents. For each child who participates, you will receive [RESPONDENT FEE] in appreciation for the time spent answering the questionnaire. [csintsub1]
CS-INTRO-B [] | Section: CS-Preliminaries |
{csintsub2}
{csintsub3}
CS-CKFULLDOB1 [K00024.00] | Section: CS-Preliminaries |
{CSDOBCOMPLETE}==1
If Answer = 1 Then Go To CS-AGE-VRFY1
CS-AGE-VRFY1 [K00025.00] | Section: CS-Preliminaries |
(VERIFY CHILD'S AGE WITH MOTHER:) [Child First Name] is [CHILD AGE (YEARS)] years and [MONTHS REMAINDER OF AGE] months old. Is that correct?
CS-ENTR-DOB [K00026.00] | Section: CS-Preliminaries |
INTERVIEWER: ENTER CORRECT BIRTH DATE FOR [Child First Name].
CS-FULLDOBCK2A [K00027.00] | Section: CS-Preliminaries |
ISCOMPLETE ([CS_CHILDDOB])
COMMENT: check birthdate to see if it has don't know or refusal
If Answer = 1 Then Go To CS-DOB-VRFY2A
CS-DOB-VRFY2A [] | Section: CS-Preliminaries |
INTERVIEWER: VERIFY CHILD'S D.O.B. ENTRY -
YOU ENTERED [cs_childdob~x].
IF CHILD'S DATE OF BIRTH IS INCORRECT, PRESS THE BACK/LEFT ARROW ICON TO RETURN TO THE PREVIOUS QUESTION AND ENTER THE CORRECT BIRTH DATE. OTHERWISE, CLICK " Submit and Continue" TO PROCEED....
CS-DOB-VRFY2B [] | Section: CS-Preliminaries |
INTERVIEWER:
THE DATE YOU ENTERED IS AN [cs_childdob~x].
CONFIRM: REFUSAL AND DON'T KNOW ENTRIES WILL SHOW IN THE DATE FIELDS BELOW....
IF THIS IS THE TRUE RESPONSE, THEN CLICK "Submit and Continue" TO PROCEED.
OTHERWISE, ENTER THE CORRECT BIRTH DATE THEN CLICK "Submit and Continue" TO PROCEED.
CS-FULLDOBCK2B [] | Section: CS-Preliminaries |
ISCOMPLETE ([CS_CHILDDOB])
COMMENT: Check birthdate to see if it has don't know or refusal one last time. If so, get age numerically.
If Answer = 1 Then Go To CS-AGE-VRFY2
CS-AGE-VRFY2 [] | Section: CS-Preliminaries |
(VERIFY CHILD'S AGE WITH MOTHER:)
[Child First Name] is [CHILD AGE (YEARS)] year(s) and [MONTHS REMAINDER OF AGE] month(s) old. Is that correct?
INTERVIEWER: IF CHILD'S AGE IS INCORRECT, PRESS THE BACK/LEFT ARROW ICON TO BACK UP AND ENTER THE CORRECT BIRTH DATE.
OTHERWISE, CLICK "Submit and Continue" TO PROCEED....
CS-FILLYRS [] | Section: CS-Preliminaries |
How old was [Child First Name] on [his/her] last birthday?
INTERVIEWER: ENTER AGE IN YEARS. CODE 00 IF LESS THAN 1 YEAR OLD.
MONTHS APPEAR ON NEXT SCREEN....
If Answer >= -2 AND Answer <= -1 Then Go To CS-FILLEXIT
CS-FILLMOS [] | Section: CS-Preliminaries |
(How many months has it been since [Child First Name] was born/since [Child First Name]'s birthday?)
INTERVIEWER: ENTER MONTHS PORTION OF AGE (IN YEARS AND MONTHS)
If Answer = -2 Then Go To CS-QUEX-AGECAT
If Answer = -1 Then Go To CS-FILLEXIT
CS-FILLEXIT [] | Section: CS-Preliminaries |
INTERVIEWER: NO ACCURATE AGE OR BIRTH DATE COULD BE DETERMINED FOR [Child First Name] . THE CASE WILL BE TERMINATED AS A REFUSAL.
USE THE SURVEY SCREEN BACK ARROW ICON TO RETURN TO EITHER THE BIRTH DATE OR AGE ENTRY QUESTIONS IF A BIRTH DATE OR AGE HAS BEEN INCORRECTLY ENTERED.
CS-OVERAGE-CK [K00032.00] | Section: CS-Preliminaries |
([CHILD AGE IN MONTHS] >= 180) || ([CSDOBCOMPLETE]==1 && ([CS_CHILDDOB~Y] < [CSDOBFLOOR~Y]))
COMMENT: additional age check
If Answer = 1 Then Go To CS-OVERAGE-NOTE
CS-OVERAGE-NOTE [] | Section: CS-Preliminaries |
STOP!
INTERVIEWER: THIS CHILD, [Child First Name], IS 15 YEARS OR OLDER AS OF 12/31/2004 AND SHOULD BE INTERVIEWED AS A YOUNG ADULT.
PLEASE VERIFY DOB AND AGE OF THIS CHILD WITH MOTHER. IF CHILD IS STILL FOUND TO BE 15 OR OLDER BY 12/31/2004, CLOSE THE CASE.
YOU MUST NOTIFY YOUR FM FOR REASSIGNMENT OF THIS CASE.
CLICK "Submit and Continue" TO CONTINUE CLOSING THE CASE.
CS-OVERAGE-EXIT [] | Section: CS-Preliminaries |
INTERVIEWER: PLEASE RECORD ANY ADDITIONAL COMMENTS REGARDING THIS CASE.
RECORD INTERVIEWER ID IN NEXT SCREEN AND CLOSE THE CASE.
CS-QUEX-AGECAT [K00036.00] | Section: CS-Preliminaries |
(100*[INTERVIEW MODE])+(10*[CSGEPPVT4])+(1*[CSGE8])
COMMENT: Combine interview mode and age information into single conditional test.
If Answer = 100 Then Go To CS-QUEXSTAT-3
If Answer = 110 Then Go To CS-QUEXSTAT-1
If Answer = 111 Then Go To CS-QUEXSTAT-1
If Answer = 200 Then Go To CS-QUEXSTAT-3
If Answer = 210 Then Go To CS-QUEXSTAT-3
If Answer = 211 Then Go To CS-QUEXSTAT-2
CS-QUEXSTAT-1 [K00037.00] | Section: CS-Preliminaries |
INTERVIEWER:
WILL MOTHER ALLOW ALL OR PART OF THE CHILD SUPPLEMENT TO BE COMPLETED?
.
CS-QUEXSTAT-2 [K00038.00] | Section: CS-Preliminaries |
INTERVIEWER:
WILL MOTHER ALLOW ALL OR PART OF THE CHILD SUPPLEMENT TO BE COMPLETED?
NO ASSESSMENTS WILL BE ADMINISTERED.
.
CS-QUEXSTAT-3 [K00039.00] | Section: CS-Preliminaries |
INTERVIEWER:
ONLY HEIGHT AND WEIGHT QUESTIONS WILL BE ASKED.
NO DIRECT INTERACTION WITH CHILD IS NEEDED.
IF IN-PERSON INTERVIEW, MEASUREMENT IS STILL ENCOURAGED IF ACCEPTABLE TO MOTHER.
VERIFY - WILL MOTHER PROVIDE HEIGHT AND WEIGHT INFORMATION FOR [Child First Name] ?
.
CS-QUEXSTAT-4 [K00040.00] | Section: CS-Preliminaries |
INTERVIEWER:
SO FAR, MOTHER HAS REFUSED THE CHILD SUPPLEMENT INTERVIEW. ATTEMPT TO OBTAIN AT LEAST HEIGHT AND WEIGHT INFORMATION FOR [Child First Name].
INDICATE MOTHER WILLINGNESS TO PROVIDE HEIGHT AND WEIGHT INFORMATION.
.
| 3 MOTHER WILL PROVIDE HEIGHT AND WEIGHT ...(Go To CS-ENROLL-AGECK) |
| 4 HEIGHT AND WEIGHT INFORMATION REFUSED |
CS-PERMISSION-A [K00041.00] | Section: CS-Preliminaries |
INTERVIEWER: (IF YOU HAVE NOT ALREADY DONE SO) PLEASE ASK MOTHER TO SIGN THE PARENTAL PERMISSION FORM TO ALLOW [Child Full Name] TO PARTICIPATE IN THE CHILD SURVEY.
RECORD MOTHER'S RESPONSE BELOW.
| 1 MOTHER SIGNED PERMISSION FORM ...(Go To CS-ENROLL-AGECK) |
| 2 MOTHER REFUSED PERMISSION |
CS-PERMISSION-A-TEL [K00042.00] | Section: CS-Preliminaries |
INTERVIEWER: (IF YOU HAVE NOT ALREADY DONE SO) PLEASE RECORD MOTHER'S PERMISSION FOR [Child Full Name] TO PARTICIPATE IN THE CHILD SURVEY ON PARENTAL PERMISSION FORM.
INDICATE MOTHER'S RESPONSE BELOW.
| 1 MOTHER SIGNED PERMISSION FORM OR PROVIDED VERBAL PERMISSION OVER TELEPHONE ...(Go To CS-ENROLL-AGECK) |
| 2 MOTHER REFUSED PERMISSION |
CS-PERMISSION-B [K00043.00] | Section: CS-Preliminaries |
INTERVIEWER: PLEASE EXPLAIN TO MOTHER THAT WITHOUT PARENTAL PERMISSION THIS CHILD CANNOT PARTICIPATE IN THE CHILD SURVEY. RECORD HER RESPONSE BELOW.
NOTE: IF MOTHER STILL REFUSES PERMISSION, YOU MAY CONTINUE WITH QUESTIONS TO MOTHER, BUT YOU MAY NOT INTERVIEW OR ASSESS THE CHILD.
| 1 MOTHER SIGNED PERMISSION FORM OR PROVIDED VERBAL PERMISSION OVER TELEPHONE ...(Go To CS-ENROLL-AGECK) |
| 2 MOTHER REFUSED PERMISSION |
CS-ENROLL-AGECK [K00058.00] | Section: CS-Preliminaries |
{ppvtagemo} >= 48 && {CSPERMSTAT}==1 && ({CSUPSQXCONSNT} ==1|| {CSUPSQXCONSNT} ==2)
If Answer = 1 Then Go To CS-ENROLL
CS-ENROLL [K00059.00] | Section: CS-Preliminaries |
Is [Child First Name] currently attending or enrolled in regular school or preschool?
(If [Child First Name] is between the spring and fall school sessions, please tell us about the LAST school year.)
CS-ATTEND [K00060.00] | Section: CS-Preliminaries |
Has [he/she] ever attended regular school, nursery school, or preschool?
CS-GRADE [K00061.00] | Section: CS-Preliminaries |
What grade [currlast]?
(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 |
| 95 Ungraded ...(Go To CS-GRADE-EQ) |
If Answer = -2 Then Go To CS-GRADE-EQ
CS-GRADE-EQ [K00062.00] | Section: CS-Preliminaries |
If [Child First Name] were in a graded class, what grade would [he/she] be enrolled in?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
| 90 Nursery/preschool |
| 0 Kindergarten |
| 1 1st grade |
| 2 2nd grade |
| 3 3rd grade |
| 4 4th grade |
| 5 5th grade |
| 6 6th grade |
| 7 7th grade |
| 8 8th grade |
| 9 9th grade |
| 10 10th grade |
| 11 11th grade |
| 12 12th grade |
| 95 Other (SPECIFY) |
HLTH-HW-TITLE [] | Section: HEALTH - HEIGHT & WEIGHT |
**** BEGIN SECTION: CHILD HEALTH - HEIGHT & WEIGHT ****
HLTH-HW-MODECHK [K00066.00] | Section: HEALTH - HEIGHT & WEIGHT |
{CSINTMODE}==1 && {CSPERMSTAT}==1 && ({CSUPSQXCONSNT} == 1 || {CSUPSQXCONSNT} == 2)
COMMENT: If telephone interview or mother permission refusal, go directly to height & weight questions. Otherwise continue.
If Answer = 1 Then Go To HLTH-21A
HLTH-21A [K00067.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER: DOES CHILD HAVE ANY SERIOUS HEALTH LIMITATIONS THAT WOULD AFFECT
MEASUREMENT OR TESTING?
HLTH-21B [K00068.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER: IF CHILD HAS A SERIOUS PHYSICAL OR MENTAL CONDITION THAT MAY INFLUENCE MEASUREMENT, TACTFULLY TELL MOTHER THAT SOME MEASUREMENTS MAY BE INAPPROPRIATE FOR THE CHILD BUT YOU WILL ADMINISTER THE ONES YOU CAN.
RECORD CONDITION BELOW.
HLTH-HW-INTRO-IP [] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER: (IF CHILD IS NOT ALREADY PRESENT) READ TO MOTHER:
Could you please bring [Child First Name] into the room and help make [him/her] feel comfortable?
HLTH-HW-INTRO-AGECK [K00069.00] | Section: HEALTH - HEIGHT & WEIGHT |
{csage} >= 5
COMMENT: IF CHILD IS BETWEEN 3 YRS, 11 MONTHS, 16 DAYS AND FOUR YRS READ A. IF CHILD IS 5 YRS OR OLDER READ B.
If Answer = 1 Then Go To HLTH-HW-INTRO-IPB
HLTH-HW-INTRO-IPA [] | Section: HEALTH - HEIGHT & WEIGHT |
What did your mother tell you about my visit?
(WAIT FOR CHILD'S RESPONSE, THEN CONTINUE:)
(That's right or I see.) Your mother has been helping us by answering some questions. Now it's your turn. First we'll see how big you are and then I'll ask you some questions. I want you to give me the best answers you can.
HLTH-HW-INTRO-IPB [] | Section: HEALTH - HEIGHT & WEIGHT |
What did your mother tell you about my visit?
(WAIT FOR CHILD'S RESPONSE, THEN CONTINUE:)
(That's right or I see.) Your mother has been helping us by answering questions for many years now. This makes her a very important person to us. Now we have some questions for you. Some are about language, some are about arithmetic/math, and some are about how you feel. Some questions have right or wrong answers, others don't. I want you to concentrate on the questions and give me your best answer for each one.
HLTH-HGT-SELECT [K00070.00] | Section: HEALTH - HEIGHT & WEIGHT |
(TO MOTHER:) I'd like to find out how tall [Child First Name] is. [Would you prefer to measure yourself or shall I do it?/]
INTERVIEWER: SELECT HOW YOU WISH TO ENTER HEIGHT -
IN FEET AND INCHES - OR - TOTAL INCHES
.
| 1 FEET AND INCHES ENTRY |
| 2 TOTAL INCHES ENTRY (ESP INFANTS) |
HLTH-HGT-MTHDCK [K00071.00] | Section: HEALTH - HEIGHT & WEIGHT |
{HGTMETHOD}
If Answer = 1 Then Go To HLTH-HGT-FEET
If Answer = 2 Then Go To HLTH-HGT-TOTALINCHES
HLTH-HGT-FEET [K00072.00] | Section: HEALTH - HEIGHT & WEIGHT |
(TO MOTHER: I'd like to find out how tall [Child First Name] is. [Would you prefer to measure yourself or shall I do it?/])
INTERVIEWER: RECORD FEET AND INCHES BELOW.
.
HLTH-HGT-INCHES [K00073.00] | Section: HEALTH - HEIGHT & WEIGHT |
HLTH-HGT-TOTALINCHES [K00074.00] | Section: HEALTH - HEIGHT & WEIGHT |
(TO MOTHER: I'd like to find out how tall [Child First Name] is. [Would you prefer to measure yourself or shall I do it?/])
INTERVIEWER: RECORD HEIGHT IN TOTAL INCHES.
.
HLTH-HGTCOMP [K00076.00] | Section: HEALTH - HEIGHT & WEIGHT |
([HEIGHT INPUT] < [CALCULATED MIN HEIGHT VALUE]) || ([HEIGHT INPUT] > [CALCULATED MAX HEIGHT VALUE])
COMMENT: Is total child height in inches outside of calculated min - max range?
If Answer = 1 Then Go To HLTH-HGT-MTHDCK2
HLTH-HGT-MTHDCK2 [K00077.00] | Section: HEALTH - HEIGHT & WEIGHT |
{HGTMETHOD}
If Answer = 1 Then Go To HLTH-HGTCONF1
If Answer = 2 Then Go To HLTH-HGTCONF2
HLTH-HGTCONF1 [K00078.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [Child First Name] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THESE VALUES CORRECT?
[FEET_TXT] FEET AND [INCH_TXT] INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUES AND CONTINUE.
HLTH-HGTCONF2 [K00079.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [Child First Name] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THIS VALUE CORRECT?
[TOTINCH_TXT] TOTAL INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.
HLTH-HGT-REPT [K00080.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER: HOW WAS HEIGHT REPORTED?
| 1 TAPE MEASUREMENT |
| 2 MOTHER RECALL |
| 3 CHILD RECALL |
HLTH-WGT-SELECT [K00081.00] | Section: HEALTH - HEIGHT & WEIGHT |
(TO MOTHER:) I'd like to find out [Child First Name]'s weight. [Would you prefer to weigh yourself or shall I do it?/]
INTERVIEWER: SELECT HOW YOU WISH TO ENTER WEIGHT
POUNDS - OR - POUNDS AND OUNCES (FOR CHILDREN UNDER 20 LBS.)
| 1 ENTER POUNDS ONLY |
| 2 ENTER POUNDS AND OUNCES (ESP INFANTS) |
HLTH-WGT-MTHDCK [K00082.00] | Section: HEALTH - HEIGHT & WEIGHT |
{WGTMETHOD}
If Answer = 1 Then Go To HLTH-WGT-LBSONLY
If Answer = 2 Then Go To HLTH-WGT-LBS
HLTH-WGT-LBSONLY [K00083.00] | Section: HEALTH - HEIGHT & WEIGHT |
(TO MOTHER: I'd like to find out [Child First Name]'s weight. [Would you prefer to weigh yourself or shall I do it?/])
INTERVIEWER: RECORD WEIGHT IN POUNDS. BE SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER GARMENTS.
.
HLTH-WGT-LBS [K00084.00] | Section: HEALTH - HEIGHT & WEIGHT |
(TO MOTHER: I'd like to find out [Child First Name]'s weight. [Would you prefer to weigh yourself or shall I do it?/])
INTERVIEWER: (FOR CHILDREN UNDER 20 LBS.) RECORD POUNDS AND OUNCES. BE SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER GARMENTS.
.
HLTH-WGT-OZS [K00085.00] | Section: HEALTH - HEIGHT & WEIGHT |
HLTH-WGTCOMP [K00087.00] | Section: HEALTH - HEIGHT & WEIGHT |
([WEIGHT INPUT VALUE] < [CALCULATED MIN WEIGHT VALUE]) || ([WEIGHT INPUT VALUE] > [CALCULATED MAX WEIGHT VALUE])
COMMENT: Is total child height in inches outside of calculated min - max range?
If Answer = 1 Then Go To HLTH-WGT-MTHDCK2
HLTH-WGT-MTHDCK2 [K00088.00] | Section: HEALTH - HEIGHT & WEIGHT |
{WGTMETHOD}
If Answer = 1 Then Go To HLTH-WGTCONF1
If Answer = 2 Then Go To HLTH-WGTCONF2
HLTH-WGTCONF1 [K00089.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [Child First Name] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THE VALUE SHOWN CORRECT?
[POUNDS_TXT] POUNDS
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.
HLTH-WGTCONF2 [K00090.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [Child First Name] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THE VALUES SHOWN CORRECT?
[POUNDS_TXT] POUNDS AND [OZ_TXT] OUNCES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE(S) AND CONTINUE.
HLTH-WGT-REPT [K00091.00] | Section: HEALTH - HEIGHT & WEIGHT |
INTERVIEWER: HOW WAS WEIGHT REPORTED?
| 1 SCALE MEASUREMENT |
| 2 MOTHER RECALL |
| 3 CHILD RECALL |
CST-AGECHK1 [K00096.00] | Section: CS ASSESSMENTS |
{ppvtagemo} < 48
COMMENT: If child age is less than 3 yrs, 11 months, 16 days skip over CS-Assessments
If Answer = 1 Then Go To CST-NOTE-UNDERAGE
CST-NOTE-UNDERAGE [] | Section: CS ASSESSMENTS |
INTERVIEWER: [Child First Name] WILL NOT BE ASSESSED BECAUSE [UHESHE] IS LESS THAN 3 YEARS, 11 MONTHS, AND 16 DAYS OLD.
CLICK Submit and Continue TO PROCEED.
CST-TELCHK [K00097.00] | Section: CS ASSESSMENTS |
{CSINTMODE}==2
COMMENT: IF TELEPHONE INTERVIEW, SKIP OVER ASSESSMENTS
If Answer = 1 Then Go To CST-NOTE-PHONEINT
CST-NOTE-PHONEINT [] | Section: CS ASSESSMENTS |
INTERVIEWER: [Child First Name] WILL NOT BE ASSESSED BECAUSE THIS IS A TELEPHONE INTERVIEW.
CLICK Submit and Continue TO PROCEED.
CST-PERMCHK [K00098.00] | Section: CS ASSESSMENTS |
{CSPERMSTAT}==2
COMMENT: CHECK WHETHER MOTHER ALLOWED QX ADMINISTRATION AND SIGNED PERMISSION FORM (UNCONSTRAINED). IF SO PROCEED, OTHERWISE, SKIP OVER ASSESSMENTS
If Answer = 1 Then Go To CST-NOTE-NOPERM
CST-NOTE-NOPERM [] | Section: CS ASSESSMENTS |
INTERVIEWER: MOTHER HAS REFUSED PERMISSION FOR CHILD TO PARTICIPATE IN THE SURVEY. [Child First Name] WILL NOT BE ASSESSED.
IF THIS IS NOT CORRECT, PLEASE BACKUP AND CORRECT THE ANSWER TO ITEM CS-PERMISSION-A ABOUT THE STATUS OF THE PARENTAL PERMISSION FORM.
CLICK Submit and Continue TO PROCEED.
CST-QUEXCHK [K00099.00] | Section: CS ASSESSMENTS |
{CSUPSQXCONSNT}==2
COMMENT: CHECK WHETHER MOTHER ALLOWED QX ADMINISTRATION AND SIGNED PERMISSION FORM (UNCONSTRAINED). IF SO PROCEED, OTHERWISE, SKIP OVER ASSESSMENTS
If Answer = 1 Then Go To CST-NOTE-LIMQUEX
CST-NOTE-LIMQUEX [] | Section: CS ASSESSMENTS |
INTERVIEWER: MOTHER DOES NOT WANT [Child First Name] TO BE ASSESSED. THE ASSESSMENTS WILL BE SKIPPED.
IF THIS IS NOT CORRECT, PLEASE BACKUP AND CORRECT THE ANSWER TO ITEM CS-QUEXSTAT-1 REGARDING QUESTIONNAIRE COMPLETION.
CLICK Submit and Continue TO PROCEED.
CST-NOASSESS-EVAL [K00101.00] | Section: CS ASSESSMENTS |
{DONTASSESS}==1
If Answer = 1 Then Go To CST-NOTE-FLAGCASE
CST-NOTE-FLAGCASE [] | Section: CS ASSESSMENTS |
INTERVIEWER: [Child First Name] WILL NOT BE ASSESSED BECAUSE OF PREVIOUSLY EXISTING CONDITIONS. IF THIS IS OBVIOUSLY WRONG, PLEASE CONTACT YOUR SUPERVISOR.
CLICK Submit and Continue TO PROCEED.
CST-1 [K00102.00] | Section: CS ASSESSMENTS |
INTERVIEWER (ON A SCALE FROM 1 TO 5): HOW SHY OR ANXIOUS WAS CHILD WHEN YOU FIRST MET [uhimher]?
| 1 (1) NOT AT ALL SHY OR ANXIOUS/SOCIABLE & FRIENDLY |
| 2 (2) * |
| 3 (3) (MIDPOINT) |
| 4 (4) * |
| 5 (5) EXTREMELY SHY/QUIET/WITHDRAWN |
| 6 (6) UNABLE TO ASSESS CHILD (SPECIFY) |
| 7 (7) CHILD NOT PRESENT - TOO YOUNG TO ASSESS |
CST-TITLE [] | Section: CS ASSESSMENTS |
********* PREPARE FOR ASSESSMENTS *********
SPPC-AGECHK [K00113.00] | Section: CS ASSESSMENTS |
{csagemo}
COMMENT: Check age eligibility for this assessment
If Answer >= 144 AND Answer <= 179 Then Go To SPPC-PREPARE
SPPC-PREPARE [] | Section: CS ASSESSMENTS |
******* PREPARE FOR ASSESSMENT: WHAT I AM LIKE *******
DEBUG-SKIP-SPPC [K00115.00] | Section: CS ASSESSMENTS |
{DEBUGSKIPSPPC}
If Answer = 1 Then Go To DIGIT-AGECHK
If Answer = 2 Then Go To DEBUG-SKIPNOTE-SPPC
SPPC-EXIST [K00116.00] | Section: CS ASSESSMENTS |
FILE([ANSWER FILE POINTER - SPPC])
COMMENT: Iff answer file exists skip the assessment call, otherwise proceed.
If Answer = 1 Then Go To SPPC-EXISTNOTE
SPPC-EXISTNOTE [] | Section: CS ASSESSMENTS |
INTERVIEWER: THIS ASSESSMENT HAS BEEN COMPLETED (OR TERMINATED). YOU MAY NOT RESTART WHAT I AM LIKE.
DEBUG-SKIPNOTE-SPPC [] | Section: CS ASSESSMENTS |
.SPPC/WHAT I AM LIKE
**********************************************************************************
DEBUG - REMOTE TESTING SPLASH
**********************************************************************************
**********************************************************************************
CALL TO ASSESSMENT EXECUTABLE WOULD BE HERE
**********************************************************************************
CLICK SUBMIT AND CONTINUE
SPPC-ANYPRESENT [K00119.00] | Section: CS ASSESSMENTS |
INTERVIEWER: WAS ANYONE BESIDE YOURSELF AND THE CHILD PRESENT IN THE ROOM DURING THE ADMINISTRATION OF WHAT I AM LIKE?
SPPC-MOMPRESENT [K00120.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF WHAT I AM LIKE...
...WAS MOTHER PRESENT?
SPPC-MOMEFFECT [K00121.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF MOTHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
SPPC-DADPRESENT [K00122.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF WHAT I AM LIKE...
...WAS FATHER PRESENT?
SPPC-DADEFFECT [K00123.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF FATHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
SPPC-ADULTPRES [K00124.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF WHAT I AM LIKE...
...WERE ANY OTHER ADULTS PRESENT?
SPPC-NUMADULTS [K00125.00] | Section: CS ASSESSMENTS |
HOW MANY OTHER ADULTS WERE PRESENT?
SPPC-ADULTEFF [K00126.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF THE OTHER ADULT(S) ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
SPPC-KIDSPRESENT [K00127.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF WHAT I AM LIKE...
...WERE ANY OTHER CHILDREN PRESENT?
SPPC-NUMKIDS [K00128.00] | Section: CS ASSESSMENTS |
HOW MANY OTHER CHILDREN WERE PRESENT?
SPPC-KIDSEFF [K00129.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF THE OTHER CHILD(REN) ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
SPPC-ENERGYLEV [K00130.00] | Section: CS ASSESSMENTS |
CODE CHILD'S ENERGY LEVEL DURING THIS SECTION.
| 1 LOW (TIRED) |
| 2 MEDIUM |
| 3 HIGH |
SPPC-TERMCHK [K00131.00] | Section: CS ASSESSMENTS |
{SPPCTERM}==1
COMMENT: Check if assessment was terminated prematurely
If Answer = 1 Then Go To SPPC-RESNTERM
SPPC-RESNTERM [K00132.00] | Section: CS ASSESSMENTS |
INTERVIEWER: WHAT WERE THE REASONS FOR PREMATURE TERMINATION OF THIS ASSESSMENT?
(MARK ALL THAT APPLY)
| 1 PARENT/GUARDIAN TERMINATED OR REFUSED |
| 2 CHILD WOULD NOT RESPOND |
| 3 MAJOR INTERRUPTION CAUSED TERMINATION |
| 4 CHILD COULD NOT UNDERSTAND TASK |
| 5 CHILD HAD LANGUAGE PROBLEM |
| 6 CHILD EMOTIONAL CONDITION |
| 7 CHILD PHYSICAL CONDITION |
| 8 CHILD TOO TIRED |
| 9 OTHER (SPECIFY) |
SPPC-ANYPROBLEMS [K00133.00] | Section: CS ASSESSMENTS |
INTERVIEWER: YOU HAVE COMPLETED WHAT I AM LIKE. WERE THERE ANY PROBLEMS NOT ALREADY NOTED THAT OCCURRED DURING THIS ASSESSMENT?
SPPC-PROBLEM [K00134.00] | Section: CS ASSESSMENTS |
RECORD PROBLEMS ENCOUNTERED:
DIGIT-AGECHK [K00137.00] | Section: CS ASSESSMENTS |
{csagemo}
COMMENT: Check age eligibility for this assessment
If Answer >= 84 AND Answer <= 143 Then Go To DIGIT-PREPARE
DIGIT-PREPARE [] | Section: CS ASSESSMENTS |
******* PREPARE FOR ASSESSMENT: DIGIT SPAN *******
DEBUG-SKIP-DIGIT [K00139.00] | Section: CS ASSESSMENTS |
{DEBUGSKIPDIGIT}
If Answer = 1 Then Go To MATH-AGECHK
If Answer = 2 Then Go To DEBUG-SKIPNOTE-DIGIT
DIGIT-EXIST [K00140.00] | Section: CS ASSESSMENTS |
FILE([ANSWER FILE POINTER - DIGIT SPAN])
COMMENT: Iff answer file exists skip the assessment call, otherwise proceed.
If Answer = 1 Then Go To DIGIT-EXISTNOTE
DIGIT-EXISTNOTE [] | Section: CS ASSESSMENTS |
INTERVIEWER: THIS ASSESSMENT HAS BEEN COMPLETED (OR TERMINATED). YOU MAY NOT RESTART DIGIT SPAN.
DEBUG-SKIPNOTE-DIGIT [] | Section: CS ASSESSMENTS |
.DIGIT SPAN
**********************************************************************************
DEBUG - REMOTE TESTING SPLASH
**********************************************************************************
**********************************************************************************
CALL TO ASSESSMENT EXECUTABLE WOULD BE HERE
**********************************************************************************
CLICK SUBMIT AND CONTINUE
DIGIT-ANYPRESENT [K00143.00] | Section: CS ASSESSMENTS |
INTERVIEWER: WAS ANYONE BESIDE YOURSELF AND THE CHILD PRESENT IN THE ROOM DURING THE ADMINISTRATION OF DIGIT SPAN?
DIGIT-MOMPRESENT [K00144.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF DIGIT SPAN...
...WAS MOTHER PRESENT?
DIGIT-MOMEFFECT [K00145.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF MOTHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
DIGIT-DADPRESENT [K00146.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF DIGIT SPAN...
...WAS FATHER PRESENT?
DIGIT-DADEFFECT [K00147.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF FATHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
DIGIT-ADULTPRES [K00148.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF DIGIT SPAN...
...WERE ANY OTHER ADULTS PRESENT?
DIGIT-NUMADULTS [K00149.00] | Section: CS ASSESSMENTS |
HOW MANY OTHER ADULTS WERE PRESENT?
DIGIT-ADULTEFF [K00150.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF THE OTHER ADULT(S) ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
DIGIT-KIDSPRESENT [K00151.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF DIGIT SPAN...
...WERE ANY OTHER CHILDREN PRESENT?
DIGIT-NUMKIDS [K00152.00] | Section: CS ASSESSMENTS |
HOW MANY OTHER CHILDREN WERE PRESENT?
DIGIT-KIDSEFF [K00153.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF THE OTHER CHILD(REN) ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
DIGIT-ENERGYLEV [K00154.00] | Section: CS ASSESSMENTS |
CODE CHILD'S ENERGY LEVEL DURING THIS SECTION.
| 1 LOW (TIRED) |
| 2 MEDIUM |
| 3 HIGH |
DIGIT-TERMCHK [K00155.00] | Section: CS ASSESSMENTS |
{DIGITTERM}==1
COMMENT: Check if assessment was terminated prematurely
If Answer = 1 Then Go To DIGIT-RESNTERM
DIGIT-RESNTERM [] | Section: CS ASSESSMENTS |
INTERVIEWER: WHAT WERE THE REASONS FOR PREMATURE TERMINATION OF THIS ASSESSMENT?
(MARK ALL THAT APPLY)
| 1 PARENT/GUARDIAN TERMINATED OR REFUSED |
| 2 CHILD WOULD NOT RESPOND |
| 3 MAJOR INTERRUPTION CAUSED TERMINATION |
| 4 CHILD COULD NOT UNDERSTAND TASK |
| 5 CHILD HAD LANGUAGE PROBLEM |
| 6 CHILD EMOTIONAL CONDITION |
| 7 CHILD PHYSICAL CONDITION |
| 8 CHILD TOO TIRED |
| 9 OTHER (SPECIFY) |
DIGIT-ANYPROBLEMS [K00156.00] | Section: CS ASSESSMENTS |
INTERVIEWER: YOU HAVE COMPLETED DIGIT SPAN. WERE THERE ANY PROBLEMS NOT ALREADY NOTED THAT OCCURRED DURING THIS ASSESSMENT?
DIGIT-PROBLEM [K00157.00] | Section: CS ASSESSMENTS |
RECORD PROBLEMS ENCOUNTERED:
MATH-AGECHK [K00160.00] | Section: CS ASSESSMENTS |
{ppvtagemo}
COMMENT: Check PPVT age eligibility for this assessment
If Answer >= 60 AND Answer <= 179 Then Go To MATH-PREPARE
MATH-PREPARE [] | Section: CS ASSESSMENTS |
******* PREPARE FOR ASSESSMENT: PIAT MATH *******
DEBUG-SKIP-MATH [K00162.00] | Section: CS ASSESSMENTS |
{DEBUGSKIPMATH}
If Answer = 1 Then Go To PRR-AGECHK
If Answer = 2 Then Go To DEBUG-SKIPNOTE-MATH
MATH-EXIST [K00163.00] | Section: CS ASSESSMENTS |
FILE([ANSWER FILE POINTER - MATH])
COMMENT: Iff answer file exists skip the assessment call, otherwise proceed.
If Answer = 1 Then Go To MATH-EXISTNOTE
MATH-EXISTNOTE [] | Section: CS ASSESSMENTS |
INTERVIEWER: THIS ASSESSMENT HAS BEEN COMPLETED (OR TERMINATED). YOU MAY NOT RESTART PIAT MATH.
DEBUG-SKIPNOTE-MATH [] | Section: CS ASSESSMENTS |
.PIAT MATH
**********************************************************************************
DEBUG - REMOTE TESTING SPLASH
**********************************************************************************
**********************************************************************************
CALL TO ASSESSMENT EXECUTABLE WOULD BE HERE
**********************************************************************************
CLICK SUBMIT AND CONTINUE
MATH-ANYPRESENT [K00166.00] | Section: CS ASSESSMENTS |
INTERVIEWER: WAS ANYONE BESIDE YOURSELF AND THE CHILD PRESENT IN THE ROOM DURING THE ADMINISTRATION OF PIAT MATH?
MATH-MOMPRESENT [K00167.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF PIAT MATH...
...WAS MOTHER PRESENT?
MATH-MOMEFFECT [K00168.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF MOTHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
MATH-DADPRESENT [K00169.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF PIAT MATH...
...WAS FATHER PRESENT?
MATH-DADEFFECT [K00170.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF FATHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
MATH-ADULTPRES [K00171.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF PIAT MATH...
...WERE ANY OTHER ADULTS PRESENT?
MATH-NUMADULTS [K00172.00] | Section: CS ASSESSMENTS |
HOW MANY OTHER ADULTS WERE PRESENT?
MATH-ADULTEFF [K00173.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF THE OTHER ADULT(S) ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
MATH-KIDSPRESENT [K00174.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF PIAT MATH...
...WERE ANY OTHER CHILDREN PRESENT?
MATH-NUMKIDS [K00175.00] | Section: CS ASSESSMENTS |
HOW MANY OTHER CHILDREN WERE PRESENT?
MATH-KIDSEFF [K00176.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF THE OTHER CHILD(REN) ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
MATH-ENERGYLEV [K00177.00] | Section: CS ASSESSMENTS |
CODE CHILD'S ENERGY LEVEL DURING THIS SECTION.
| 1 LOW (TIRED) |
| 2 MEDIUM |
| 3 HIGH |
MATH-TERMCHK [K00178.00] | Section: CS ASSESSMENTS |
{MATHTERM}==1
COMMENT: Check if assessment was terminated prematurely
If Answer = 1 Then Go To MATH-RESNTERM
MATH-RESNTERM [K00179.00] | Section: CS ASSESSMENTS |
INTERVIEWER: WHAT WERE THE REASONS FOR PREMATURE TERMINATION OF THIS ASSESSMENT?
(MARK ALL THAT APPLY)
| 1 PARENT/GUARDIAN TERMINATED OR REFUSED |
| 2 CHILD WOULD NOT RESPOND |
| 3 MAJOR INTERRUPTION CAUSED TERMINATION |
| 4 CHILD COULD NOT UNDERSTAND TASK |
| 5 CHILD HAD LANGUAGE PROBLEM |
| 6 CHILD EMOTIONAL CONDITION |
| 7 CHILD PHYSICAL CONDITION |
| 8 CHILD TOO TIRED |
| 9 OTHER (SPECIFY) |
MATH-ANYPROBLEMS [K00180.00] | Section: CS ASSESSMENTS |
INTERVIEWER: YOU HAVE COMPLETED PIAT MATH. WERE THERE ANY PROBLEMS NOT ALREADY NOTED THAT OCCURRED DURING THIS ASSESSMENT?
MATH-PROBLEM [K00181.00] | Section: CS ASSESSMENTS |
RECORD PROBLEMS ENCOUNTERED:
PRR-AGECHK [K00184.00] | Section: CS ASSESSMENTS |
{ppvtagemo}
COMMENT: Check PPVT age eligibility for this assessment
If Answer >= 60 AND Answer <= 179 Then Go To PRR-PREPARE
PRR-PREPARE [] | Section: CS ASSESSMENTS |
******* PREPARE FOR ASSESSMENT: PIAT READING RECOGNITION *******
DEBUG-SKIP-PRR [K00186.00] | Section: CS ASSESSMENTS |
{DEBUGSKIPPRR}
If Answer = 1 Then Go To PRC-AGECHK
If Answer = 2 Then Go To DEBUG-SKIPNOTE-PRR
PRR-EXIST [K00187.00] | Section: CS ASSESSMENTS |
FILE([ANSWER FILE POINTER - READING RECOGNITION])
COMMENT: Iff answer file exists skip the assessment call, otherwise proceed.
If Answer = 1 Then Go To PRR-EXISTNOTE
PRR-EXISTNOTE [] | Section: CS ASSESSMENTS |
INTERVIEWER: THIS ASSESSMENT HAS BEEN COMPLETED (OR TERMINATED). YOU MAY NOT RESTART PIAT READING RECOGNITION.
DEBUG-SKIPNOTE-PRR [] | Section: CS ASSESSMENTS |
.PIAT READING RECOGNITION
**********************************************************************************
DEBUG - REMOTE TESTING SPLASH
**********************************************************************************
**********************************************************************************
CALL TO ASSESSMENT EXECUTABLE WOULD BE HERE
**********************************************************************************
CLICK SUBMIT AND CONTINUE
PRR-ANYPRESENT [K00190.00] | Section: CS ASSESSMENTS |
INTERVIEWER: WAS ANYONE BESIDE YOURSELF AND THE CHILD PRESENT IN THE ROOM DURING THE ADMINISTRATION OF PIAT READING RECOGNITION?
PRR-MOMPRESENT [K00191.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF PIAT_READING RECOGNITION...
...WAS MOTHER PRESENT?
PRR-MOMEFFECT [K00192.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF MOTHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
PRR-DADPRESENT [K00193.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF PIAT_READING RECOGNITION...
...WAS FATHER PRESENT?
PRR-DADEFFECT [K00194.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF FATHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
PRR-ADULTPRES [K00195.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF PIAT_READING RECOGNITION...
...WERE ANY OTHER ADULTS PRESENT?
PRR-NUMADULTS [K00196.00] | Section: CS ASSESSMENTS |
HOW MANY OTHER ADULTS WERE PRESENT?
PRR-ADULTEFF [K00197.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF THE OTHER ADULT(S) ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
PRR-KIDSPRESENT [K00198.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF PIAT_READING RECOGNITION...
...WERE ANY OTHER CHILDREN PRESENT?
PRR-NUMKIDS [K00199.00] | Section: CS ASSESSMENTS |
HOW MANY OTHER CHILDREN WERE PRESENT?
PRR-KIDSEFF [K00200.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF THE OTHER CHILD(REN) ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
PRR-ENERGYLEV [K00201.00] | Section: CS ASSESSMENTS |
CODE CHILD'S ENERGY LEVEL DURING THIS SECTION.
| 1 LOW (TIRED) |
| 2 MEDIUM |
| 3 HIGH |
PRR-TERMCHK [K00202.00] | Section: CS ASSESSMENTS |
{PRRTERM}==1
COMMENT: Check if assessment was terminated prematurely
If Answer = 1 Then Go To PRR-RESNTERM
PRR-RESNTERM [K00203.00] | Section: CS ASSESSMENTS |
INTERVIEWER: WHAT WERE THE REASONS FOR PREMATURE TERMINATION OF THIS ASSESSMENT?
(MARK ALL THAT APPLY)
| 1 PARENT/GUARDIAN TERMINATED OR REFUSED |
| 2 CHILD WOULD NOT RESPOND |
| 3 MAJOR INTERRUPTION CAUSED TERMINATION |
| 4 CHILD COULD NOT UNDERSTAND TASK |
| 5 CHILD HAD LANGUAGE PROBLEM |
| 6 CHILD EMOTIONAL CONDITION |
| 7 CHILD PHYSICAL CONDITION |
| 8 CHILD TOO TIRED |
| 9 OTHER (SPECIFY) |
PRR-ANYPROBLEMS [K00204.00] | Section: CS ASSESSMENTS |
INTERVIEWER: YOU HAVE COMPLETED PIAT READING RECOGNITION. WERE THERE ANY PROBLEMS NOT ALREADY NOTED THAT OCCURRED DURING THIS ASSESSMENT?
PRR-PROBLEM [K00205.00] | Section: CS ASSESSMENTS |
RECORD PROBLEMS ENCOUNTERED:
PRC-AGECHK [K00208.00] | Section: CS ASSESSMENTS |
{ppvtagemo}
COMMENT: Check PPVT age eligibility for this assessment
If Answer >= 60 AND Answer <= 179 Then Go To PRC-PREPARE
PRC-PREPARE [] | Section: CS ASSESSMENTS |
******* PREPARE FOR ASSESSMENT: PIAT READING COMPREHENSION *******
DEBUG-SKIP-PRC [K00210.00] | Section: CS ASSESSMENTS |
{DEBUGSKIPPRC}
If Answer = 1 Then Go To PPVT-EXTRA-EXISTCK
If Answer = 2 Then Go To DEBUG-SKIPNOTE-PRC
PRC-EXIST [K00211.00] | Section: CS ASSESSMENTS |
FILE([ANSWER FILE POINTER - READING COMPREHENSION])
COMMENT: Iff answer file exists skip the assessment call, otherwise proceed.
If Answer = 1 Then Go To PRC-EXISTNOTE
PRC-EXISTNOTE [] | Section: CS ASSESSMENTS |
INTERVIEWER: THIS ASSESSMENT HAS BEEN COMPLETED (OR TERMINATED). YOU MAY NOT RESTART PIAT READING COMPREHENSION.
DEBUG-SKIPNOTE-PRC [] | Section: CS ASSESSMENTS |
.PIAT READING COMPREHENSION
**********************************************************************************
DEBUG - REMOTE TESTING SPLASH
**********************************************************************************
**********************************************************************************
CALL TO ASSESSMENT EXECUTABLE WOULD BE HERE
**********************************************************************************
CLICK SUBMIT AND CONTINUE
PRC-ANYPRESENT [K00214.00] | Section: CS ASSESSMENTS |
INTERVIEWER: WAS ANYONE BESIDE YOURSELF AND THE CHILD PRESENT IN THE ROOM DURING THE ADMINISTRATION OF PIAT READING COMPREHENSION?
| 1 YES ...(Go To PRC-MOMPRESENT) |
| 0 NO |
| 2 READING COMPREHENSION NOT ADMINISTERED |
PRC-MOMPRESENT [K00215.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF PIAT READING COMPREHENSION...
...WAS MOTHER PRESENT?
PRC-MOMEFFECT [K00216.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF MOTHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
PRC-DADPRESENT [K00217.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF PIAT READING COMPREHENSION...
...WAS FATHER PRESENT?
PRC-DADEFFECT [K00218.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF FATHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
PRC-ADULTPRES [K00219.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF PIAT READING COMPREHENSION...
...WERE ANY OTHER ADULTS PRESENT?
PRC-NUMADULTS [K00220.00] | Section: CS ASSESSMENTS |
HOW MANY OTHER ADULTS WERE PRESENT?
PRC-ADULTEFF [K00221.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF THE OTHER ADULT(S) ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
PRC-KIDSPRESENT [K00222.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF PIAT READING COMPREHENSION...
...WERE ANY OTHER CHILDREN PRESENT?
PRC-NUMKIDS [K00223.00] | Section: CS ASSESSMENTS |
HOW MANY OTHER CHILDREN WERE PRESENT?
PRC-KIDSEFF [K00224.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF THE OTHER CHILD(REN) ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
PRC-ENERGYLEV [K00225.00] | Section: CS ASSESSMENTS |
CODE CHILD'S ENERGY LEVEL DURING THIS SECTION.
| 1 LOW (TIRED) |
| 2 MEDIUM |
| 3 HIGH |
| 4 READING COMPREHENSION NOT ADMINISTERED |
PRC-TERMCHK [K00226.00] | Section: CS ASSESSMENTS |
{PRCTERM}==1
COMMENT: Check if assessment was terminated prematurely
If Answer = 1 Then Go To PRC-RESNTERM
PRC-RESNTERM [K00227.00] | Section: CS ASSESSMENTS |
INTERVIEWER: WHAT WERE THE REASONS FOR PREMATURE TERMINATION OF THIS ASSESSMENT?
(MARK ALL THAT APPLY)
| 1 PARENT/GUARDIAN TERMINATED OR REFUSED |
| 2 CHILD WOULD NOT RESPOND |
| 3 MAJOR INTERRUPTION CAUSED TERMINATION |
| 4 CHILD COULD NOT UNDERSTAND TASK |
| 5 CHILD HAD LANGUAGE PROBLEM |
| 6 CHILD EMOTIONAL CONDITION |
| 7 CHILD PHYSICAL CONDITION |
| 8 CHILD TOO TIRED |
| 9 OTHER (SPECIFY) |
PRC-ANYPROBLEMS [K00228.00] | Section: CS ASSESSMENTS |
INTERVIEWER: YOU HAVE COMPLETED PIAT READING COMPREHENSION. WERE THERE ANY PROBLEMS NOT ALREADY NOTED THAT OCCURRED DURING THIS ASSESSMENT?
| 1 YES ...(Go To PRC-PROBLEM) |
| 0 NO |
| 2 READING COMPREHENSION NOT ADMINISTERED |
PRC-PROBLEM [K00229.00] | Section: CS ASSESSMENTS |
RECORD PROBLEMS ENCOUNTERED:
PPVT-EXTRA-EXISTCK [K00232.00] | Section: CS ASSESSMENTS |
VAREXIST([PPVTSIXTO9])
If Answer = 1 Then Go To PPVT-EXTRA-CK
PPVT-EXTRA-CK [K00233.00] | Section: CS ASSESSMENTS |
ISVAREMPTY([PPVTSIXTO9])
If Answer = 1 Then Go To PPVT-AGECHK
PPVT-EXTRA [K00234.00] | Section: CS ASSESSMENTS |
{PPVTSIXTO9}==1 && ({PPVTAGEMO}>=72 && {PPVTAGEMO}<=119)
If Answer = 1 Then Go To PPVT-PREPARE
PPVT-AGECHK [K00235.00] | Section: CS ASSESSMENTS |
{ppvtagemo}
COMMENT: Check PPVT age eligibility for this assessment
If Answer >= 48 AND Answer <= 71 Then Go To PPVT-PREPARE
If Answer >= 120 AND Answer <= 143 Then Go To PPVT-PREPARE
PPVT-PREPARE [] | Section: CS ASSESSMENTS |
******* PREPARE FOR ASSESSMENT: PPVT *******
DEBUG-SKIP-PPVT [K00237.00] | Section: CS ASSESSMENTS |
{DEBUGSKIPPPVT}
If Answer = 1 Then Go To CST-CONTINUE
If Answer = 2 Then Go To DEBUG-SKIPNOTE-PPVT
PPVT-EXIST [K00238.00] | Section: CS ASSESSMENTS |
FILE([ANSWER FILE POINTER - PPVT])
COMMENT: Iff answer file exists skip the assessment call, otherwise proceed.
If Answer = 1 Then Go To PPVT-EXISTNOTE
PPVT-EXISTNOTE [] | Section: CS ASSESSMENTS |
INTERVIEWER: THIS ASSESSMENT HAS BEEN COMPLETED (OR TERMINATED). YOU MAY NOT RESTART PPVT.
DEBUG-SKIPNOTE-PPVT [] | Section: CS ASSESSMENTS |
.PPVT
**********************************************************************************
DEBUG - REMOTE TESTING SPLASH
**********************************************************************************
**********************************************************************************
CALL TO ASSESSMENT EXECUTABLE WOULD BE HERE
**********************************************************************************
CLICK SUBMIT AND CONTINUE
PPVT-ANYPRESENT [K00241.00] | Section: CS ASSESSMENTS |
INTERVIEWER: WAS ANYONE BESIDE YOURSELF AND THE CHILD PRESENT IN THE ROOM DURING THE ADMINISTRATION OF THE PPVT?
PPVT-MOMPRESENT [K00242.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF THE PPVT...
...WAS MOTHER PRESENT?
PPVT-MOMEFFECT [K00243.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF MOTHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
PPVT-DADPRESENT [K00244.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF THE PPVT...
...WAS FATHER PRESENT?
PPVT-DADEFFECT [K00245.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF FATHER'S PRESENCE ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
PPVT-ADULTPRES [K00246.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF THE PPVT...
...WERE ANY OTHER ADULTS PRESENT?
PPVT-NUMADULTS [K00247.00] | Section: CS ASSESSMENTS |
HOW MANY OTHER ADULTS WERE PRESENT?
PPVT-ADULTEFF [K00248.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF THE OTHER ADULT(S) ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
PPVT-KIDSPRESENT [K00249.00] | Section: CS ASSESSMENTS |
INTERVIEWER: DURING ADMINISTRATION OF THE PPVT...
...WERE ANY OTHER CHILDREN PRESENT?
PPVT-NUMKIDS [K00250.00] | Section: CS ASSESSMENTS |
HOW MANY OTHER CHILDREN WERE PRESENT?
PPVT-KIDSEFF [K00251.00] | Section: CS ASSESSMENTS |
WHAT WAS THE EFFECT OF THE OTHER CHILD(REN) ON [Child First Name]'s PERFORMANCE?
| 1 SEEMED TO BE HARMFUL |
| 2 NONE OBSERVABLE |
| 3 SEEMED TO IMPROVE |
PPVT-ENERGYLEV [K00252.00] | Section: CS ASSESSMENTS |
CODE CHILD'S ENERGY LEVEL DURING THIS SECTION.
| 1 LOW (TIRED) |
| 2 MEDIUM |
| 3 HIGH |
PPVT-TERMCHK [K00253.00] | Section: CS ASSESSMENTS |
{PPVTTERM}==1
COMMENT: Check if assessment was terminated prematurely
If Answer = 1 Then Go To PPVT-RESNTERM
PPVT-RESNTERM [K00254.00] | Section: CS ASSESSMENTS |
INTERVIEWER: WHAT WERE THE REASONS FOR PREMATURE TERMINATION OF THIS ASSESSMENT?
(MARK ALL THAT APPLY)
| 1 PARENT/GUARDIAN TERMINATED OR REFUSED |
| 2 CHILD WOULD NOT RESPOND |
| 3 MAJOR INTERRUPTION CAUSED TERMINATION |
| 4 CHILD COULD NOT UNDERSTAND TASK |
| 5 CHILD HAD LANGUAGE PROBLEM |
| 6 CHILD EMOTIONAL CONDITION |
| 7 CHILD PHYSICAL CONDITION |
| 8 CHILD TOO TIRED |
| 9 OTHER (SPECIFY) |
PPVT-ANYPROBLEMS [K00255.00] | Section: CS ASSESSMENTS |
INTERVIEWER: YOU HAVE COMPLETED THE PPVT. WERE THERE ANY PROBLEMS NOT ALREADY NOTED THAT OCCURRED DURING THIS ASSESSMENT?
PPVT-PROBLEM [K00256.00] | Section: CS ASSESSMENTS |
RECORD PROBLEMS ENCOUNTERED:
CST-CONTINUE [] | Section: CS ASSESSMENTS |
CLICK Submit and Continue TO PROCEED WITH THE CHILD CAPI SUPPLEMENT.
SCHL-AGECK1 [K00261.00] | Section: SCHOOLING - CHILD REPORT |
{CSAGE} >= 8 && {CSPERMSTAT}==1 && ({CSUPSQXCONSNT}==1 || {CSUPSQXCONSNT}==2)
COMMENT: IF CHILD LT 8, OR CONSENT NOT GIVEN, SKIP SCHOOL Q's AND START EVAL. OF TESTING CONDITIONS
If Answer = 1 Then Go To DEBUG-SKIP-SCHOOL
DEBUG-SKIP-SCHOOL [K00262.00] | Section: SCHOOLING - CHILD REPORT |
{DEBUGSKIPSCHL}
If Answer = 1 Then Go To CS-END-OF-R-ITEMS
If Answer = 2 Then Go To DEBUG-SKIPNOTE-SCHL
DEBUG-SKIPNOTE-SCHL [] | Section: SCHOOLING - CHILD REPORT |
.SCHOOLING
**********************************************************************************
*******************DEBUG - REMOTE TESTING SPLASH********************
**********************************************************************************
**********************************************************************************
******************SCHOOLING SECTION WOULD BE HERE******************
**********************************************************************************
CLICK SUBMIT AND CONTINUE
SCHL-TITLE [] | Section: SCHOOLING - CHILD REPORT |
**** BEGIN SECTION: SCHOOLING ****
PREPARE TO CONTINUE INTERVIEW WITH CHILD
SCHL-DATECHK [K00264.00] | Section: SCHOOLING - CHILD REPORT |
{CSINTDATE}>{CSAUTMDATE}
If Answer = 1 Then Go To SCHL-TERMCHK
SCHL-TERMCHK [K00265.00] | Section: SCHOOLING - CHILD REPORT |
Now I would like to ask you a few questions about school.
Have you started the [2004-2005] school year?
SCHL-INTRO [] | Section: SCHOOLING - CHILD REPORT |
For the next questions about school, please think about the [2003-2004/2004-2005] regular school year.
SCHL-1 [K00266.00] | Section: SCHOOLING - CHILD REPORT |
About how much time do you spend on homework each week in school?
(INTERVIEWER: RECORD # OF HOURS.)
If Answer = -2 Then Go To SCHL-1A
SCHL-1A [K00267.00] | Section: SCHOOLING - CHILD REPORT |
Which of these is closer to the amount of time you usually spend on homework during school each week?
| 1 1-4 hours |
| 2 5-9 hours |
| 3 10-14 hours |
| 4 15-19 hours |
| 5 20 or more hours |
SCHL-2 [K00268.00] | Section: SCHOOLING - CHILD REPORT |
And about how much time do you spend on homework each week outside of school?
(INTERVIEWER: RECORD # OF HOURS.)
If Answer = -2 Then Go To SCHL-2A
SCHL-2A [K00269.00] | Section: SCHOOLING - CHILD REPORT |
Which of these is closer to the amount of time you usually spend on homework outside of school each week?
| 1 1-4 hours |
| 2 5-9 hours |
| 3 10-14 hours |
| 4 15-19 hours |
| 5 20 or more hours |
SCHL-3 [K00270.00] | Section: SCHOOLING - CHILD REPORT |
How many hours each week do you read for fun? (Do not count any school-assigned reading.)
(INTERVIEWER: RECORD # OF HOURS.)
If Answer = -2 Then Go To SCHL-3A
SCHL-3A [K00271.00] | Section: SCHOOLING - CHILD REPORT |
Which of these is closest to the amount of time you usually spend on reading for fun each week?
| 1 1-4 hours |
| 2 5-9 hours |
| 3 10-14 hours |
| 4 15-19 hours |
| 5 20 or more hours |
SCHL-BEDTIME-A [K00272.00] | Section: SCHOOLING - CHILD REPORT |
About what time do you normally go to bed during the school week?
INTERVIEWER: ENTER APPROXIMATE TIME. BE SURE TO MARK AM/PM CORRECTLY.
.
SCHL-BEDTIME-B [K00273.00] | Section: SCHOOLING - CHILD REPORT |
INTERVIEWER: CODE THE ENTRY FOR BEDTIME BELOW, OR IF RESPONSE WAS "DON'T KNOW" OR "REFUSED" THEN PROMPT:
Which of these is closest to the time you usually go to bed during the school week?
.
| 1 Before 6 pm |
| 2 Between 6 and 7 pm |
| 3 Between 7 and 8 pm |
| 4 Between 8 and 9 pm |
| 5 Between 9 and 10 pm |
| 6 Between 10 and 11 pm |
| 7 Between 11 pm and midnight |
| 8 After midnight |
SCHL-4 [K00275.00] | Section: SCHOOLING - CHILD REPORT |
(HAND CHILD SCHOOLING SHOWCARD, AND REFER TO ANSWER LIST #1.)
[When you have language arts or English class how often does your teacher.../How often does your teacher...]
...review work from the previous day?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
SCHL-5 [K00276.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...lecture or teach to the whole class at the same time?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
SCHL-6 [K00277.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...have you use a textbook or workbook?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
SCHL-7 [K00278.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...have you explain your work or give a report in front of the class (or give a report out loud)?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
SCHL-8 [K00279.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...have you work in small groups with other students?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
SCHL-9 [K00280.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...read to you in class?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
SCHL-10 [K00281.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...have you read books in class?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
SCHL-11 [K00282.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...have you work on a writing assignment (paper, story, report, poem, etc.)?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
SCHL-12 [K00283.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...assign you work sheets or workbook pages in class?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
SCHL-13 [K00284.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...have you use a computer?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
SCHL-14 [K00285.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...give you a quiz or test?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
SCHL-15 [K00286.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...give you homework?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
| 6 Teacher/school does not give homework (too young) |
SCHL-16 [K00287.00] | Section: SCHOOLING - CHILD REPORT |
([When you have language arts or English class how often does your teacher.../How often does your teacher...])
...grade your homework and pass it back?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
| 6 Teacher/school does not give homework (too young) |
SCHL-17 [K00288.00] | Section: SCHOOLING - CHILD REPORT |
How often do(es) your parent(s)...check on whether you have done your homework?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
| 6 Teacher/school does not give homework (too young) |
SCHL-18 [K00289.00] | Section: SCHOOLING - CHILD REPORT |
(How often do(es) your parent(s)...)
...help you with your homework?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
| 6 Teacher/school does not give homework (too young) |
SCHL-19 [K00290.00] | Section: SCHOOLING - CHILD REPORT |
(How often do(es) your parent(s)...)
...require you to do work or chores around the home?
| 0 Never |
| 1 Less than once a month |
| 2 1-2 times a month |
| 3 1-2 times a week |
| 4 Almost every day |
| 5 Every day |
SCHL-20 [K00291.00] | Section: SCHOOLING - CHILD REPORT |
Do(es) your parent(s)...give you special privileges because of good grades or progress reports?
SCHL-21 [K00292.00] | Section: SCHOOLING - CHILD REPORT |
(Do(es) your parent(s) ... )
...limit privileges because of poor grades or progress report?
SCHL-22 [K00293.00] | Section: SCHOOLING - CHILD REPORT |
(REFER TO SCHOOLING SHOWCARD ANSWER LIST #2.)
How often do your parent(s)...limit the amount of time you can spend watching TV or playing video games?
| 0 Never |
| 1 Rarely |
| 2 Sometimes |
| 3 Often |
SCHL-AGECK3 [K00294.00] | Section: SCHOOLING - CHILD REPORT |
{CSAGE}<10
COMMENT: IF CHILD LT 10 YEARS, GO TO SCHL-24
If Answer = 1 Then Go To SCHL-24
SCHL-23 [K00295.00] | Section: SCHOOLING - CHILD REPORT |
(How often do your parent(s) ... )
...limit the amount of time you go out with friends on school nights?
| 0 Never |
| 1 Rarely |
| 2 Sometimes |
| 3 Often |
SCHL-24 [K00296.00] | Section: SCHOOLING - CHILD REPORT |
In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...
...school activities or events of particular interest to you?
| 0 Never |
| 1 Rarely |
| 2 Sometimes |
| 3 Often |
SCHL-25 [K00297.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...things you've studied in class?
| 0 Never |
| 1 Rarely |
| 2 Sometimes |
| 3 Often |
SCHL-26 [K00298.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...your grades or report card?
| 0 Never |
| 1 Rarely |
| 2 Sometimes |
| 3 Often |
SCHL-27 [K00299.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...community, national, or world events?
| 0 Never |
| 1 Rarely |
| 2 Sometimes |
| 3 Often |
SCHL-28 [K00300.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...plans and preparation for district, state, or national tests (such as the ACT, SAT, or state proficiency exams)?
| 0 Never |
| 1 Rarely |
| 2 Sometimes |
| 3 Often |
SCHL-AGECK4 [K00301.00] | Section: SCHOOLING - CHILD REPORT |
{CSAGE}<10
If Answer = 1 Then Go To SCHL-31
SCHL-29 [K00302.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...selecting courses or programs at school?
| 0 Never |
| 1 Rarely |
| 2 Sometimes |
| 3 Often |
SCHL-30 [K00303.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...going to college?
| 0 Never |
| 1 Rarely |
| 2 Sometimes |
| 3 Often |
SCHL-31 [K00304.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how often have you discussed the following with either or both of your parents (or guardians)...)
...things that are troubling you?
| 0 Never |
| 1 Rarely |
| 2 Sometimes |
| 3 Often |
SCHL-32 [K00305.00] | Section: SCHOOLING - CHILD REPORT |
(REFER TO SCHOOLING SHOWCARD ANSWER LIST #3.)
In the first half of the school year, how many times did either of your parents (or guardians)...
...attend a school meeting?
| 0 Never/almost never |
| 1 1-2 times a term |
| 2 Once a month |
| 3 1-2 times a month |
| 4 Once a week or more |
SCHL-33 [K00306.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how many times did either of your parents (or guardians)...)
...phone or speak to your teacher or counselor?
| 0 Never/almost never |
| 1 1-2 times a term |
| 2 Once a month |
| 3 1-2 times a month |
| 4 Once a week or more |
SCHL-34 [K00307.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how many times did either of your parents (or guardians)...)
...attend a school event in which you participated?
| 0 Never/almost never |
| 1 1-2 times a term |
| 2 Once a month |
| 3 1-2 times a month |
| 4 Once a week or more |
SCHL-35 [K00308.00] | Section: SCHOOLING - CHILD REPORT |
(In the first half of the school year, how many times did either of your parents (or guardians)...)
...act as a volunteer at your school?
| 0 Never/almost never |
| 1 1-2 times a term |
| 2 Once a month |
| 3 1-2 times a month |
| 4 Once a week or more |
CS-WORK-AGECK [K00311.00] | Section: ASTHMA, WORK, AND RELIGION |
{CSAGE} >= 10 && {CSPERMSTAT}==1 && ({CSUPSQXCONSNT}==1 || {CSUPSQXCONSNT}==2)
If Answer = 1 Then Go To CS-ASTHMA-1A
CS-ASTHMA-1A [K00312.00] | Section: ASTHMA, WORK, AND RELIGION |
Now please think about your health during the last month. Asthma (is something that) can make you cough or wheeze even if you don't have a cold or the flu. You can have shortness of breath, a tight feeling in your chest or a lot of extra phlegm.
In the past month how often did you feel any of these things without a cold or flu?
.
| 0 Not at all (in the past month) |
| 1 Less than once a week |
| 2 Once or twice a week |
| 3 More than 2 times a week |
| 4 Every day, once per day |
| 5 Every day, more than once per day |
CS-ASTHMA-1B [K00313.00] | Section: ASTHMA, WORK, AND RELIGION |
Wheezing
| 0 Not at all (in the past month) |
| 1 Less than once a week |
| 2 Once or twice a week |
| 3 More than 2 times a week |
| 4 Every day, once per day |
| 5 Every day, more than once per day |
CS-ASTHMA-1C [K00314.00] | Section: ASTHMA, WORK, AND RELIGION |
Shortness of breath
| 0 Not at all (in the past month) |
| 1 Less than once a week |
| 2 Once or twice a week |
| 3 More than 2 times a week |
| 4 Every day, once per day |
| 5 Every day, more than once per day |
CS-ASTHMA-1D [K00315.00] | Section: ASTHMA, WORK, AND RELIGION |
Tightness in your chest
| 0 Not at all (in the past month) |
| 1 Less than once a week |
| 2 Once or twice a week |
| 3 More than 2 times a week |
| 4 Every day, once per day |
| 5 Every day, more than once per day |
CS-ASTHMA-1E [K00316.00] | Section: ASTHMA, WORK, AND RELIGION |
Extra phlegm
| 0 Not at all (in the past month) |
| 1 Less than once a week |
| 2 Once or twice a week |
| 3 More than 2 times a week |
| 4 Every day, once per day |
| 5 Every day, more than once per day |
CS-ASTHMA-RESPCHK [K00317.00] | Section: ASTHMA, WORK, AND RELIGION |
[CS-ASTHMA-1A]>0 || [CS-ASTHMA-1B]>0 || [CS-ASTHMA-1C]>0 || [CS-ASTHMA-1D]>0 || [CS-ASTHMA-1E]>0
If Answer = 1 Then Go To CS-ASTHMA-2A
CS-ASTHMA-2A [K00318.00] | Section: ASTHMA, WORK, AND RELIGION |
In the past month (30 days) how much did asthma (or any of the symptoms I asked about) limit you from...
.
| 0 Not at all |
| 1 A little |
| 2 Somewhat |
| 3 A lot |
CS-ASTHMA-2B [K00319.00] | Section: ASTHMA, WORK, AND RELIGION |
Participating in gym or phys ed classes?
| 0 Not at all |
| 1 A little |
| 2 Somewhat |
| 3 A lot |
CS-ASTHMA-2C [K00320.00] | Section: ASTHMA, WORK, AND RELIGION |
Doing sports or bike riding or running?
| 0 Not at all |
| 1 A little |
| 2 Somewhat |
| 3 A lot |
CS-WORKFORPAY [K00321.00] | Section: ASTHMA, WORK, AND RELIGION |
Now I'm going to ask you some questions about work.
Not counting jobs around the house, do you ever do any work for pay (including babysitting, paper route, or yard work for neighbors)?
CS-TYPEOFWORK [K00322.00] | Section: ASTHMA, WORK, AND RELIGION |
If you do any work for pay outside your own home, what do you do? (What are your duties)?
(MARK ALL THAT APPLY)
| 1 Babysitting |
| 2 Cleaning house; housework |
| 3 Yard work; mow lawns |
| 4 Fast food worker |
| 5 Waiting tables |
| 6 Clerk, bag person, cashier, sales person |
| 7 Newspaper carrier or paper delivery |
| 8 Plant care, pet care, or house care for neighbors who are away |
| 9 Farm work, field work, agricultural |
| 10 Construction, painting, carpentry, wiring |
| 11 Office work, typing, filing, answer phones |
| 12 Other (SPECIFY) |
CS-WORKFREQ [K00323.00] | Section: ASTHMA, WORK, AND RELIGION |
When you do these kinds of jobs, how often do you usually work?
| 1 About once a month |
| 2 A few times a month |
| 3 About once a week |
| 4 A few times a week |
| 5 4 or more times a week |
| 6 Every day |
CS-HRSPERWK [K00324.00] | Section: ASTHMA, WORK, AND RELIGION |
Please think about the last three months. How many hours have you worked in a usual week?
(Enter Hours Per Week)
CS-EARNPERWK [K00325.00] | Section: ASTHMA, WORK, AND RELIGION |
On the average, how much money do you USUALLY MAKE in a week?
(ENTER AMOUNT PER WEEK, WITH DECIMAL POINT - e.g., 999.99)
CS-WORK35-AGECK [K00326.00] | Section: ASTHMA, WORK, AND RELIGION |
{CSAGE}>=13
If Answer = 1 Then Go To CS-WORK35
CS-WORK35 [K00327.00] | Section: ASTHMA, WORK, AND RELIGION |
If, by some chance, you were to get enough money by age 35 to live comfortably without working, do you think you would work anyway?
CS-RELIGION [K00328.00] | Section: ASTHMA, WORK, AND RELIGION |
What is your present religion, if any?
INTERVIEWER: MULTIPLE SELECTIONS ARE ALLOWED.
| 1 BAPTIST |
| 2 EPISCOPALIAN |
| 3 LUTHERAN |
| 4 METHODIST |
| 5 PRESBYTERIAN |
| 6 ROMAN CATHOLIC |
| 7 JEWISH |
| 8 MUSLIM, MOSLEM; ISLAM |
| 9 MORMON |
| 10 OTHER CHRISTIAN |
| 11 OTHER PROTESTANT |
| 12 OTHER (SPECIFY) |
| 13 NONE |
CS-END-OF-R-ITEMS [] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: YOU HAVE REACHED THE END OF THE RESPONDENT ITEMS FOR THIS INSTRUMENT.
CLICK Submit and Continue TO PROCEED TO INTERVIEWER-ONLY ITEMS.
CS-SAS-AGECK [K00329.00] | Section: EVALUATION OF TEST CONDITIONS |
{CSAGE} >=10 && {CSPERMSTAT}==1 && ({CSUPSQXCONSNT}==1 || {CSUPSQXCONSNT}==2)
If Answer = 1 Then Go To CS-SAS-REMIND
CS-SAS-REMIND [] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER:
REMINDER: [SASTXTSUB]
CSEV-TITLE [] | Section: EVALUATION OF TEST CONDITIONS |
**** BEGIN SECTION: EVALUATION OF TESTING CONDITIONS *****
CSEV-ASSESS-CK [K00331.00] | Section: EVALUATION OF TEST CONDITIONS |
{CSASSESSFLAG}==1
COMMENT: If any assessment was started, get evaluation of testing conditions. Otherwise, skip.
If Answer = 1 Then Go To CSEV-1A
CSEV-1A [K00332.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: DURING THE INTERVIEW, HOW WAS [Child First Name]'s...ATTITUDE TOWARD BEING TESTED?
| 1 POOR |
| 2 BELOW AVERAGE |
| 3 AVERAGE |
| 4 ABOVE AVERAGE |
| 5 EXCELLENT |
| 6 UNABLE TO ASSESS CHILD AT ALL |
CSEV-1B [K00333.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: HOW WAS [Child First Name]'s...RAPPORT WITH INTERVIEWER?
| 1 POOR |
| 2 BELOW AVERAGE |
| 3 AVERAGE |
| 4 ABOVE AVERAGE |
| 5 EXCELLENT |
| 6 UNABLE TO ASSESS CHILD AT ALL |
CSEV-1C [K00334.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: HOW WAS [Child First Name]'s... PERSEVERANCE/PERSISTENCE?
| 1 POOR |
| 2 BELOW AVERAGE |
| 3 AVERAGE |
| 4 ABOVE AVERAGE |
| 5 EXCELLENT |
| 6 UNABLE TO ASSESS CHILD AT ALL |
CSEV-1D [K00335.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: HOW WAS [Child First Name]'s...COOPERATION?
| 1 POOR |
| 2 BELOW AVERAGE |
| 3 AVERAGE |
| 4 ABOVE AVERAGE |
| 5 EXCELLENT |
| 6 UNABLE TO ASSESS CHILD AT ALL |
CSEV-1E [K00336.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: HOW WAS [Child First Name]'s...MOTIVATION/INTEREST?
| 1 POOR |
| 2 BELOW AVERAGE |
| 3 AVERAGE |
| 4 ABOVE AVERAGE |
| 5 EXCELLENT |
| 6 UNABLE TO ASSESS CHILD AT ALL ...(Go To CSEV-3) |
CSEV-2A [K00337.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: DURING THE INTERVIEW WERE THERE ANY PROBLEMS WITH [Child First Name]'s... VISUAL SHARPNESS?
CSEV-2B [K00338.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: DURING THE INTERVIEW WERE THERE ANY PROBLEMS WITH [Child First Name]'s... HEARING?
CSEV-2C [K00339.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: DURING THE INTERVIEW WERE THERE ANY PROBLEMS WITH [Child First Name]'s... STATE OF HEALTH?
CSEV-2D [K00340.00] | Section: EVALUATION OF TEST CONDITIONS |
[CSEV-2A]==1 || [CSEV-2B]==1 || [CSEV-2C]==1
COMMENT: Were any of the last three items about state of child health marked yes?
If Answer = 1 Then Go To CSEV-2E
CSEV-2E [K00341.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: WHAT WAS THE NATURE OF THE PROBLEM WITH [Child First Name]'s VISION, HEARING, OR HEALTH?
CSEV-3 [K00342.00] | Section: EVALUATION OF TEST CONDITIONS |
{ppvtagemo} < 48
COMMENT: If child age is less than 3 yrs, 11 months, 16 days (PPVT age 4) skip to CSEV-4
If Answer = 1 Then Go To CSEV-4
CSEV-3B [K00343.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: HOW SHY AND ANXIOUS WAS [Child First Name] AT THE END OF THE INTERVIEW?
| 1 (1) NOT AT ALL SHY OR ANXIOUS/SOCIABLE & FRIENDLY |
| 2 (2) * |
| 3 (3) (MIDPOINT) |
| 4 (4) * |
| 5 (5) EXTREMELY SHY/QUIET/WITHDRAWN |
| 6 (6) UNABLE TO ASSESS CHILD (SPECIFY) |
CSEV-4 [K00344.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: DID ANY INTERFERENCES OCCUR DURING THE INTERVIEW?
CSEV-4A [K00345.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER (ON A SCALE FROM 1 TO 5): CODE EACH CATEGORY BY AMOUNT OF INTERFERENCE:
NOISE LEVEL.
| 1 (1) INTERFERING |
| 2 (2) * |
| 3 (3) (MIDPOINT) |
| 4 (4) * |
| 5 (5) NOT INTERFERING |
| 6 (6) NOT APPLICABLE |
CSEV-4B [K00346.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER (ON A SCALE FROM 1 TO 5): CODE EACH CATEGORY BY AMOUNT OF INTERFERENCE:
INTERRUPTIONS.
| 1 (1) INTERFERING |
| 2 (2) * |
| 3 (3) (MIDPOINT) |
| 4 (4) * |
| 5 (5) NOT INTERFERING |
| 6 (6) NOT APPLICABLE |
CSEV-4C [K00347.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER (ON A SCALE FROM 1 TO 5): CODE EACH CATEGORY BY AMOUNT OF INTERFERENCE:
DISTRACTIONS.
| 1 (1) INTERFERING |
| 2 (2) * |
| 3 (3) (MIDPOINT) |
| 4 (4) * |
| 5 (5) NOT INTERFERING |
| 6 (6) NOT APPLICABLE |
CSEV-4D [K00348.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER (ON A SCALE FROM 1 TO 5): CODE EACH CATEGORY BY AMOUNT OF INTERFERENCE:
LIGHT.
| 1 (1) INTERFERING |
| 2 (2) * |
| 3 (3) (MIDPOINT) |
| 4 (4) * |
| 5 (5) NOT INTERFERING |
| 6 (6) NOT APPLICABLE |
CSEV-4E [K00349.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER (ON A SCALE FROM 1 TO 5): CODE EACH CATEGORY BY AMOUNT OF INTERFERENCE:
TEMPERATURE.
| 1 (1) INTERFERING |
| 2 (2) * |
| 3 (3) (MIDPOINT) |
| 4 (4) * |
| 5 (5) NOT INTERFERING |
| 6 (6) NOT APPLICABLE |
CSEV-4F [K00350.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER (ON A SCALE FROM 1 TO 5): CODE EACH CATEGORY BY AMOUNT OF INTERFERENCE:
PRESENCE OF OTHERS.
| 1 (1) INTERFERING |
| 2 (2) * |
| 3 (3) (MIDPOINT) |
| 4 (4) * |
| 5 (5) NOT INTERFERING |
| 6 (6) NOT APPLICABLE |
CSEV-4G [K00351.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: WERE THERE ANY OTHER SOURCES OF INTERFERENCE?
CSEV-4H1 [K00352.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: WHAT WAS THE SOURCE OF THE INTERFERENCE?
(IF NO OTHER SOURCES OF INTERFERENCE, BACK UP AND CORRECT CSEV-4G.)
CSEV-4H2 [K00353.00] | Section: EVALUATION OF TEST CONDITIONS |
(INTERVIEWER: YOU SAID THE CAUSE OF INTERFERENCE WAS: [EVALUATION TEXT ENTRY].
CODE SOURCE FOR AMOUNT OF INTERFERENCE CAUSED (ON A SCALE FROM 1 TO 5).
| 1 (1) INTERFERING |
| 2 (2) * |
| 3 (3) (MIDPOINT) |
| 4 (4) * |
| 5 (5) NOT INTERFERING |
| 6 (6) NOT APPLICABLE |
CSEV-5 [K00354.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: WHERE WAS THIS CHILD INTERVIEW ADMINISTERED?
| 1 CHILD'S RESIDENCE |
| 2 OTHER PRIVATE RESIDENCE |
| 3 TELEPHONE INTERVIEW |
| 4 OTHER SITE (SPECIFY) |
CSEV-6 [K00355.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: IS THE MOTHER SUPPLEMENT COMPLETED?
CSEV-6A [] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: IF YOU HAVE NOT YET ADMINISTERED THE MOTHER SUPPLEMENT INSTRUMENT, BE SURE TO SCHEDULE A TIME TO COMPLETE IT.
CSEV-6B [K00356.00] | Section: EVALUATION OF TEST CONDITIONS |
{ppvtagemo} >= 48 && {CSPERMSTAT}==1 && {CSUPSQXCONSNT}==1
COMMENT: do jumps depending on child age
If Answer = 1 Then Go To CSEV-7
CSEV-7 [K00357.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: HAVE ALL APPROPRIATE ASSESSMENTS IN THIS CHILD SUPPLEMENT BEEN COMPLETED?
CSEV-8 [K00358.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: WHY WAS CHILD SUPPLEMENT TERMINATED PREMATURELY OR ANY SECTIONS LEFT INCOMPLETE?
(ENTER REASON AND CODE BELOW.)
CSEV-9 [K00359.00] | Section: EVALUATION OF TEST CONDITIONS |
| 1 PARENT/GUARDIAN TERMINATED |
| 2 CHILD TIRED OR SICK |
| 3 CHILD COULDN'T UNDERSTAND |
| 4 INTERRUPTION |
| 5 CHILD NOT PRESENT |
| 6 OTHER (SPECIFY) |
CSEV-10 [K00360.00] | Section: EVALUATION OF TEST CONDITIONS |
INTERVIEWER: CHOOSE "ENGLISH" IF THIS CHILD SUPPLEMENT WAS ADMINISTERED ONLY IN ENGLISH...
IF YOU HELPED THE RESPONDENT IN SPANISH (OR OTHER LANGUAGE), CHOOSE SPANISH (OR OTHER LANGUAGE) AND EXPLAIN IN COMMENT.
| 1 ENGLISH |
| 2 SPANISH |
| 3 OTHER (SPECIFY) |
CSOB-TITLE [] | Section: OBSERVATIONS OF THE HOME |
**** BEGIN SECTION: OBSERVATIONS OF THE HOME*****
CSOB-AGECK1 [K00363.00] | Section: OBSERVATIONS OF THE HOME |
{csagemo}
COMMENT: Do jumps depending on child age.
If Answer >= 0 AND Answer <= 35 Then Go To CSOB-1A
If Answer >= 36 AND Answer <= 71 Then Go To CSOB-1B
If Answer >= 72 AND Answer <= 179 Then Go To CSOB-1C
CSOB-1A [K00364.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: DID YOU OBSERVE [Child Full Name] AND [UHISHER] MOTHER TOGETHER AT ANY TIME?
CSOB-2A [K00365.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) SPONTANEOUSLY SPOKE TO [Child First Name] TWICE OR MORE (EXCLUDING SCOLDING).
CSOB-3A [K00366.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) RESPONDED VERBALLY TO [Child First Name]'s SPEECH.
CSOB-4A [K00367.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) CARESSED, KISSED, OR HUGGED [Child First Name] AT LEAST ONCE.
CSOB-5A [K00368.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) SLAPPED OR SPANKED [Child First Name] AT LEAST ONCE.
CSOB-6A [K00369.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) INTERFERED WITH [Child First Name]'s ACTIONS OR RESTRICTED [Child First Name] FROM EXPLORING MORE THAN 3 TIMES.
CSOB-7A [K00370.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) PROVIDED TOYS OR INTERESTING ACTIVITIES FOR [Child First Name].
CSOB-8A [K00371.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) KEPT [Child First Name] IN VIEW / COULD SEE [Child First Name] / LOOKED AT [UHIMHER] OFTEN.
CSOB-9A [K00372.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: [Child First Name]'s PLAY ENVIRONMENT IS SAFE.
(NO POTENTIALLY DANGEROUS HEALTH OR STRUCTURAL HAZARDS WITHIN A TODDLER'S OR INFANT'S RANGE.)
| 1 YES |
| 0 NO |
| 2 CHILD'S HOME NOT OBSERVED |
CSOB-1B [K00373.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: DID YOU OBSERVE [Child Full Name] AND [UHISHER] MOTHER TOGETHER AT ANY TIME?
CSOB-2B [K00374.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) CONVERSED WITH [Child First Name] AT LEAST TWICE (EXCLUDING SCOLDING OR SUSPICIOUS COMMENTS).
CSOB-3B [K00375.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) ANSWERED [Child First Name]'s QUESTIONS OR REQUESTS VERBALLY.
CSOB-4B [K00376.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) CARESSED, KISSED, OR HUGGED [Child First Name] AT LEAST ONCE.
CSOB-5B [K00377.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) INTRODUCED INTERVIEWER TO [Child First Name] BY NAME.
CSOB-6B [K00378.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) PHYSICALLY RESTRICTED OR (SHOOK/GRABBED) [Child First Name].
CSOB-7B [K00379.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) SLAPPED OR SPANKED [Child First Name] AT LEAST ONCE.
CSOB-8B [K00380.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN)'S VOICE CONVEYED POSITIVE FEELING ABOUT [Child First Name].
CSOB-9B [K00381.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: [Child First Name]'s PLAY ENVIRONMENT IS SAFE.
(NO POTENTIALLY DANGEROUS STRUCTURAL OR HEALTH HAZARDS WITHIN A PRESCHOOLER'S RANGE).
| 1 YES |
| 0 NO |
| 2 CHILD'S HOME NOT OBSERVED |
CSOB-10B [K00382.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: INTERIOR OF THE HOME IS DARK OR PERCEPTUALLY MONOTONOUS.
| 1 YES |
| 0 NO |
| 2 CHILD'S HOME NOT OBSERVED |
CSOB-11B [K00383.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: ALL VISIBLE ROOMS OF HOUSE/APARTMENT ARE REASONABLY CLEAN.
| 1 YES |
| 0 NO |
| 2 CHILD'S HOME NOT OBSERVED |
CSOB-12B [K00384.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: ALL VISIBLE ROOMS OF HOUSE/APARTMENT ARE MINIMALLY CLUTTERED.
| 1 YES |
| 0 NO |
| 2 CHILD'S HOME NOT OBSERVED |
CSOB-1C [K00385.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: DID YOU OBSERVE [Child Full Name] AND [UHISHER] MOTHER TOGETHER AT ANY TIME?
CSOB-2C [K00386.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) ENCOURAGED [Child First Name] TO CONTRIBUTE TO THE CONVERSATION.
CSOB-3C [K00387.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) ANSWERED [Child First Name]'s QUESTIONS OR REQUESTS VERBALLY.
CSOB-4C [K00388.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) CONVERSED WITH [Child First Name] EXCLUDING SCOLDING OR SUSPICIOUS COMMENTS.
CSOB-5C [K00389.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN) INTRODUCED INTERVIEWER TO [Child First Name] BY NAME.
CSOB-6C [K00390.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: (MOTHER/GUARDIAN)'S VOICE CONVEYED POSITIVE FEELING ABOUT [Child First Name].
CSOB-7C [K00391.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: INTERIOR OF THE HOME IS DARK OR PERCEPTUALLY MONOTONOUS.
| 1 YES |
| 0 NO |
| 2 CHILD'S HOME NOT OBSERVED |
CSOB-8C [K00392.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: ALL VISIBLE ROOMS OF THE HOUSE/APARTMENT ARE REASONABLY CLEAN.
| 1 YES |
| 0 NO |
| 2 CHILD'S HOME NOT OBSERVED |
CSOB-9C [K00393.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: ALL VISIBLE ROOMS OF THE HOUSE/APARTMENT ARE MINIMALLY CLUTTERED.
| 1 YES |
| 0 NO |
| 2 CHILD'S HOME NOT OBSERVED |
CSOB-10C [K00394.00] | Section: OBSERVATIONS OF THE HOME |
INTERVIEWER: BUILDING HAS NO POTENTIALLY DANGEROUS STRUCTURAL OR HEALTH HAZARDS WITHIN A SCHOOL-AGED CHILD'S RANGE.
| 1 YES |
| 0 NO |
| 2 CHILD'S HOME NOT OBSERVED |
CSIR-TITLE [] | Section: INTERVIEWER REMARKS |
**** BEGIN SECTION: INTERVIEWER REMARKS*****
CSIR-CHKQXSTAT [K00396.00] | Section: INTERVIEWER REMARKS |
{CSUPSQXCONSNT}==4 || {CS_DOB_REFUSED}==1
If Answer = 1 Then Go To CSIR-REFCONFIRM
CSIR-REFCONFIRM [K00397.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: PLEASE CONFIRM THAT THIS INSTRUMENT IS BEING REFUSED.
IS THIS CHILD SUPPLEMENT INSTRUMENT BEING REFUSED?
CSIR-NOT-REFUSAL [] | Section: INTERVIEWER REMARKS |
INTERVIEWER:
REFUSAL OF THE INSTRUMENT HAS NOT BEEN CONFIRMED.
PLEASE VERIFY:
-IF THE RESPONDENT IS NOW WILLING TO COMPLETE THE INSTRUMENT, PLEASE BACK UP TO THE BEGINNING OF THE INSTRUMENT AND RESUME FROM QUESTION ITEM: CS-STARTSCREEN .
ELSE
-IF THIS INSTRUMENT IS BEING REFUSED, BACK UP TO THE PREVIOUS CHECK ITEM AND CORRECT.
NOTE: NO ACCESSIBLE SCREENS FOLLOW.
CSIR-REF-REASON [K00398.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: BE SURE TO ACCURATELY ENTER COMMENTS BOTH HERE AND IN CM-FIELD AS TO THE NATURE OF THE REFUSAL, THEN CONTACT YOUR FM AND BRIEF HIM OR HER ON THE STATUS OF THE INSTRUMENT.
REASON FOR REFUSAL
CSIR-REF-FMID [K00399.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER - STOP HERE.
EXIT THE CASE AND ASK YOUR FM TO REVIEW THE REFUSAL STATUS OF THIS INSTRUMENT.
DO NOT PROCEED UNTIL THE FM HAS PROVIDED FURTHER INSTRUCTION.
IF FM APPROVES THE REFUSAL:
ENTER THE FM APPROVAL CODE BELOW. THIS CHILD SUPPLEMENT WILL BE CODED AS A REFUSAL
IF THIS IS A CONVERSION:
IF THE RESPONDENT IS NOW WILLING TO COMPLETE THE INSTRUMENT, PLEASE BACK UP TO THE BEGINNING OF THE INSTRUMENT AND RESUME FROM QUESTION ITEM: CS-STARTSCREEN .
.
FM APPROVAL CODE
CSIR-1 [K00401.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: LIST QUESTIONS WITH SKIP ERRORS, QUESTIONS THAT WERE CONFUSING TO YOU, OR QUESTIONS THAT OTHERWISE DIDN'T WORK.
| 1 SELECT TO ENTER QUESTION ...(Go To CSIR-1A) |
| 0 NO QUESTIONS CAUSED PROBLEMS |
CSIR-1A [K00402.00] | Section: 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
CSIR-1B [K00403.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: YOU SAID THE PROBLEM WAS WITH THE ITEM [CSIRPROBLEM1].
PLEASE ENTER A DESCRIPTION OF THE PROBLEM.
CSIR-1C [K00404.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: WERE THERE ANY OTHER QUESTIONS THAT CAUSED PROBLEMS?
| 1 SELECT TO ENTER QUESTION ...(Go To CSIR-1A2) |
| 0 NO QUESTIONS CAUSED PROBLEMS |
CSIR-1A2 [K00405.00] | Section: 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
CSIR-1B2 [K00406.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: YOU SAID THE PROBLEM WAS WITH THE ITEM [CSIRPROBLEM2].
PLEASE ENTER A DESCRIPTION OF THE PROBLEM.
CSIR-REMINDER [] | Section: INTERVIEWER REMARKS |
INTERVIEWER: REMINDER - MAKE SURE THAT MOTHER IS PAID. IF IN-PERSON INTERVIEW, BE SURE THAT SHE SIGNS THE RECEIPT . IF YOU HAVE NOT ALREADY THANKED MOTHER (AND CHILD) FOR THEIR PARTICIPATION, PLEASE DO SO NOW.
CSIR-IDNUM [K00407.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: PLEASE ENTER YOUR PROJECT ID NUMBER.
CSIR-INTNAME [K00408.00] | Section: INTERVIEWER REMARKS |
INTERVIEWER: PLEASE ENTER YOUR NAME ON THE LINE PROVIDED.
THEN CLICK Submit and Continue TO END SURVEY.