Questionnaire Public Report12/10/2012 04:21:20 PM
Cohort:Child Cohorts
Round:Child Round 21
Instrument :Mother Supplement CAPI_Doc
  1. MS-Preliminaries

  2. CHILD BACKGROUND

  3. HEALTH

  4. The HOME

  5. TEMPERAMENT

  6. MS CASI SECTION

  7. MS INTERVIEWER REMARKS



MS-STARTSCREEN []Section: MS-Preliminaries

NATIONAL LONGITUDINAL SURVEY OF YOUTH

MOTHER SUPPLEMENT
ENGLISH


VERSION: [MS VERSION STAMP]

Default Next:MS-CONFIRM-CASE


MS-CONFIRM-CASE []Section: MS-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: [MSCASEIDTXT]

NAME: [Child Full Name]

DATE OF BIRTH: [CHILDBDAY~X]

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

Default Next:MS-CONF-SYSDATE
Lead-In:MS-STARTSCREEN [Default]


MS-CONF-SYSDATE [M00007.00]Section: MS-Preliminaries

INTERVIEWER: THE COMPUTER SYSTEM DATE IS SET TO:

DATE: [MSDATENOW~X]

TIME: [SYSTEM TIME STAMP]


ARE THE DATE AND TIME SHOWN CORRECT?

 1   YES   ...(Go To MS-PRELIM-TITLE)
 0   NO

Default Next:MS-SYSDATE-RESET
Lead-In:MS-CONFIRM-CASE [Default]


MS-SYSDATE-RESET []Section: MS-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.

Default Next:MS-PRELIM-TITLE
Lead-In:MS-CONF-SYSDATE [Default]


MS-PRELIM-TITLE []Section: MS-Preliminaries

**** PRELIMINARIES ****

Default Next:MS-CKNAME
Lead-In:MS-CONF-SYSDATE [1:1], MS-SYSDATE-RESET [Default]


MS-CKNAME [M00008.00]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:MS-PRELIM-TITLE [Default]


MS-ENTERNAME []Section: MS-Preliminaries

INTERVIEWER: ENTER CHILD'S FIRST NAME:

Enter: 

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


MS-CKFULLNAME [M00009.00]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 [M00012.00]Section: MS-Preliminaries

INTERVIEWER: SELECT INTERVIEW MODE.

 1   IN PERSON
 2   TELEPHONE

Default Next:MS-INTRO-1A
Lead-In:MS-CKFULLNAME [Default], MS-ENTERFULLNAME [Default]


MS-INTRO-1A []Section: MS-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 [MSRESPFEE] in appreciation for the time spent answering the questionnaire.

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


MS-INTRO-1B []Section: MS-Preliminaries

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

Default Next:MS-QUEXSTAT
Lead-In:MS-INTRO-1A [Default]


MS-QUEXSTAT [M00019.00]Section: MS-Preliminaries

INTERVIEWER: VERIFY - WILL THE MOTHER SUPPLEMENT BE COMPLETED?

 1   MOTHER WILL COMPLETE MOTHER SUPPLEMENT INTERVIEW
 2   MOTHER REFUSES THE MOTHER SUPPLEMENT QUESTIONNAIRE   ...(Go To MSIR-TITLE)

Default Next:MS-CKFULLDOB1
Lead-In:MS-INTRO-1B [Default]


MS-CKFULLDOB1 [M00020.00]Section: MS-Preliminaries

{MSDOBCOMPLETE}==1

If Answer = 1 Then Go To
MS-AGE-VRFY1

Default Next:MS-ENTR-DOB
Lead-In:MS-QUEXSTAT [Default]


MS-AGE-VRFY1 [M00021.00]Section: MS-Preliminaries

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

 1   Yes   ...(Go To MS-OVERAGE-CK)
 0   No

Default Next:MS-ENTR-DOB
Lead-In:MS-CKFULLDOB1 [1:1]


MS-ENTR-DOB [M00022.00]Section: MS-Preliminaries

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

Enter Date:  
MonthDayYear 

Default Next:MS-FULLDOBCK2A
Lead-In:MS-CKFULLDOB1 [Default], MS-AGE-VRFY1 [Default]


MS-FULLDOBCK2A [M00023.00]Section: MS-Preliminaries

ISCOMPLETE ([MS_CHILDDOB])

COMMENT: check birthdate to see if it has don't know or refusal

If Answer = 1 Then Go To
MS-DOB-VRFY2A

Default Next:MS-DOB-VRFY2B
Lead-In:MS-ENTR-DOB [Default]


MS-DOB-VRFY2A []Section: MS-Preliminaries

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

YOU ENTERED [ms_childdob~x].

IF CHILD'S DATE OF BIRTH IS INCORRECT, PRESS THE BACK/LEFT ARROW ICON TO RETURN TO THE PREVIOUS QUESTION AND ENTER THE CORRECT BIRTH DATE. OTHERWISE, CLICK " Submit and Continue" TO PROCEED....

Default Next:MS-AGE-VRFY2
Lead-In:MS-FULLDOBCK2A [1:1]


MS-DOB-VRFY2B []Section: MS-Preliminaries

INTERVIEWER:

THE DATE YOU ENTERED IS AN [ms_childdob~x].

CONFIRM: REFUSAL AND DON'T KNOW ENTRIES WILL SHOW IN THE DATE FIELDS BELOW....


IF THIS IS THE TRUE RESPONSE, THEN CLICK "Submit and Continue" TO PROCEED.

OTHERWISE, ENTER THE CORRECT BIRTH DATE THEN CLICK "Submit and Continue" TO PROCEED.

Enter Date:  
MonthDayYear 

Default Next:MS-FULLDOBCK2B
Lead-In:MS-FULLDOBCK2A [Default]


MS-FULLDOBCK2B []Section: MS-Preliminaries

ISCOMPLETE ([MS_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
MS-AGE-VRFY2

Default Next:MS-FILLYRS
Lead-In:MS-DOB-VRFY2B [Default]


MS-AGE-VRFY2 []Section: MS-Preliminaries

(VERIFY CHILD'S AGE WITH MOTHER:)

[Child First Name] is [CHILD AGE (YEARS)] year(s) and [MONTHS] month(s) old. Is that correct?


INTERVIEWER: IF CHILD'S AGE IS INCORRECT, PRESS THE BACK/LEFT ARROW ICON TO BACK UP AND ENTER THE CORRECT BIRTH DATE.

OTHERWISE, CLICK "Submit and Continue" TO PROCEED....

Default Next:MS-OVERAGE-CK
Lead-In:MS-FULLDOBCK2B [1:1], MS-DOB-VRFY2A [Default]


MS-FILLYRS []Section: MS-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....

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

Default Next:MS-FILLMOS
Lead-In:MS-FULLDOBCK2B [Default]


MS-FILLMOS []Section: MS-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)

Enter Number: 
If Answer = -2 Then Go To
MS-OVERAGE-CK
If Answer = -1 Then Go To MS-FILLEXIT

Default Next:MS-OVERAGE-CK
Lead-In:MS-FILLYRS [Default]


MS-FILLEXIT []Section: MS-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.

Default Next:MSIR-TITLE
Lead-In:MS-FILLYRS [-2:-1], MS-FILLMOS [-1:-1]


MS-OVERAGE-CK [M00029.00]Section: MS-Preliminaries

([CHILD AGE IN MONTHS] >= 180) || ([MSDOBCOMPLETE]==1 && ([MS_CHILDDOB~Y] < [MSDOBFLOOR~Y]))

COMMENT: additional age check

If Answer = 1 Then Go To
MS-OVERAGE-NOTE

Default Next:BKGN-AGECHK
Lead-In:MS-AGE-VRFY1 [1:1], MS-FILLMOS [-2:-2], MS-AGE-VRFY2 [Default], MS-FILLMOS [Default]


MS-OVERAGE-NOTE []Section: MS-Preliminaries

STOP!

INTERVIEWER: THIS CHILD, [Child First Name], IS 15 YEARS OR OLDER AS OF 12/31/2004 AND THE MOTHER SUPPLEMENT SHOULD NOT BE ADMINISTERED.

PLEASE VERIFY DOB AND AGE OF THIS CHILD WITH MOTHER. IF CHILD IS STILL FOUND TO BE 15 OR OLDER BY 12/31/2004, PREPARE TO TERMINATE CASE. NOTIFY YOUR FM FOR REASSIGNMENT OF THIS CASE.

Default Next:MS-OVERAGE-EXIT
Lead-In:MS-OVERAGE-CK [1:1]


MS-OVERAGE-EXIT []Section: MS-Preliminaries

INTERVIEWER: PLEASE RECORD ANY ADDITIONAL COMMENTS REGARDING THIS CASE.

RECORD PROJECT ID ON NEXT SCREEN AND TERMINATE CASE.

Enter: 

Default Next:MSIR-IDNUM
Lead-In:MS-OVERAGE-NOTE [Default]


BKGN-AGECHK [M00047.00]Section: CHILD BACKGROUND

([CHILD AGE (YEARS)] < 3)

COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3

If Answer = 1 Then Go To
HLTH-TITLE

Default Next:BKGN-TITLE
Lead-In:MS-OVERAGE-CK [Default]


BKGN-TITLE []Section: CHILD BACKGROUND

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

Default Next:BKGN-1
Lead-In:BKGN-AGECHK [Default]


BKGN-1 [M00051.00]Section: CHILD BACKGROUND

Please think about the [2003-2004] 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 BKGN-3)
 0   No

Default Next:BKGN-2
Lead-In:BKGN-TITLE [Default]


BKGN-2 [M00052.00]Section: CHILD BACKGROUND

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

 1   Yes
 0   No   ...(Go To BKGN-5-DATECHK)
 2   IF VOLUNTEERED: Home Schooling   ...(Go To BKGN-4)

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


BKGN-3 [M00053.00]Section: 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
 95   Ungraded   ...(Go To BKGN-4)

If Answer = -2 Then Go To
BKGN-4

Default Next:BKGN-5-DATECHK
Lead-In:BKGN-1 [1:1], BKGN-2 [Default]


BKGN-4 [M00054.00]Section: 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:BKGN-5-DATECHK
Lead-In:BKGN-2 [2:2], BKGN-3 [-2:-2], BKGN-3 [95:95]


BKGN-5-DATECHK [M00055.00]Section: CHILD BACKGROUND

([SUMMER TERM FLAG])

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

If Answer = 1 Then Go To
BKGN-5A

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


BKGN-5A [M00056.00]Section: CHILD BACKGROUND

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

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

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


BKGN-5B [M00057.00]Section: CHILD BACKGROUND

Has [he/she] ever attended summer school?

 1   Yes
 0   No

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


BKGN-6-DATECHK [M00058.00]Section: 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
BKGN-6A

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


BKGN-6A [M00059.00]Section: CHILD BACKGROUND

Now please think about the [2004-2005] regular school year.

Has [Child First Name] been attending regular school or preschool for at least four weeks (of the [2004-2005] school year)?

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

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


BKGN-6B [M00060.00]Section: 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
 95   Ungraded

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


BKGN-6C [M00061.00]Section: 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:BKGN-AGECK-PRESCHL
Lead-In:BKGN-6A [2:2]


BKGN-AGECK-PRESCHL [M00063.00]Section: CHILD BACKGROUND

([CHILD AGE (YEARS)] < 8)

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

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


BKGN-GRDCHK-PRESCHL [M00064.00]Section: 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
BKGN-8

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


BKGN-7 [M00065.00]Section: CHILD BACKGROUND

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

 1   Yes
 0   No

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


BKGN-8 [M00066.00]Section: CHILD BACKGROUND

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

 1   Yes
 0   No

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


BKGN-11 [M00068.00]Section: 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
BKGN-17

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


BKGN-12 [M00069.00]Section: CHILD BACKGROUND

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

 1   Yes   ...(Go To BKGN-13)
 0   No

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


BKGN-13 [M00070.00]Section: 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:BKGN-14
Lead-In:BKGN-12 [1:1]


BKGN-14 [M00071.00]Section: 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:BKGN-15
Lead-In:BKGN-13 [Default]


BKGN-15 [M00072.00]Section: 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:BKGN-16
Lead-In:BKGN-14 [Default]


BKGN-16 [M00073.00]Section: 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:BKGN-17
Lead-In:BKGN-15 [Default]


BKGN-17 [M00074.00]Section: 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
HLTH-TITLE

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


BKGN-18 [M00075.00]Section: CHILD BACKGROUND

([IN SCHOOL] == 1)

If Answer = 1 Then Go To
BKGN-20

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


BKGN-19 [M00076.00]Section: 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:BKGN-23
Lead-In:BKGN-18 [Default]


BKGN-20 [M00077.00]Section: CHILD BACKGROUND

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

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

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


BKGN-21 [M00078.00]Section: 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:BKGN-23
Lead-In:BKGN-20 [Default]


BKGN-23 [M00079.00]Section: CHILD BACKGROUND

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

If Answer = 1 Then Go To
BKGN-32

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


BKGN-24 [M00080.00]Section: 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
BKGN-FIRSTLANG

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


BKGN-25 [M00081.00]Section: CHILD BACKGROUND

How many of these were elementary schools?

Enter Number: 

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


BKGN-FIRSTLANG [M00082.00]Section: 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:BKGN-CURRLANG
Lead-In:BKGN-24 [-2:-1], BKGN-25 [Default]


BKGN-CURRLANG [M00083.00]Section: CHILD BACKGROUND

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

COMMENT:

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

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


BKGN-26 [M00084.00]Section: 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.

Enter Number: 

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


BKGN-27 [M00085.00]Section: 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.

Enter Number: 

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


BKGN-28 [M00086.00]Section: CHILD BACKGROUND

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

If Answer = 1 Then Go To
BKGN-32

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


BKGN-29A [M00087.00]Section: CHILD BACKGROUND

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

 1   Yes
 0   No


BKGN-29B [M00088.00]Section: CHILD BACKGROUND

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

 1   Yes
 0   No


BKGN-29C [M00089.00]Section: 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


BKGN-29D [M00090.00]Section: CHILD BACKGROUND

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

 1   Yes
 0   No


BKGN-29E [M00091.00]Section: 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:BKGN-30
Lead-In:BKGN-29D [Default]


BKGN-30 [M00092.00]Section: CHILD BACKGROUND

([IN SCHOOL] == 1)

If Answer = 1 Then Go To
BKGN-31A

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


BKGN-31A [M00093.00]Section: CHILD BACKGROUND

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

 1   Yes
 0   No


BKGN-31B [M00094.00]Section: CHILD BACKGROUND

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

 1   Yes
 0   No


BKGN-31C [M00095.00]Section: 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


BKGN-31D [M00096.00]Section: CHILD BACKGROUND

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

 1   Yes
 0   No

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


BKGN-32 [M00097.00]Section: 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:BKGN-33
Lead-In:BKGN-23 [1:1], BKGN-28 [1:1], BKGN-30 [Default], BKGN-31D [Default]


BKGN-33 [M00098.00]Section: 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:BKGN-34
Lead-In:BKGN-32 [Default]


BKGN-34 [M00099.00]Section: 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:BKGN-35
Lead-In:BKGN-33 [Default]


BKGN-35 [M00100.00]Section: 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:HLTH-TITLE
Lead-In:BKGN-34 [Default]


HLTH-TITLE []Section: HEALTH

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

Default Next:HLTH-INTRO
Lead-In:BKGN-AGECHK [1:1], BKGN-17 [1:1], BKGN-35 [Default]


HLTH-INTRO []Section: HEALTH

(READ TO MOTHER/GUARDIAN)

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

Default Next:HLTH-1A
Lead-In:HLTH-TITLE [Default]


HLTH-1A [M00104.00]Section: HEALTH

{RESN-NOSCHL} == 1

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

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

Default Next:HLTH-1B
Lead-In:HLTH-INTRO [Default]


HLTH-1B [M00105.00]Section: HEALTH

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

If Answer = 1 Then Go To
HLTH-2A

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


HLTH-2A [M00106.00]Section: 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 HLTH-5-LOOP-BEGIN)
 0   No

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


HLTH-2B [M00107.00]Section: 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 HLTH-5-LOOP-BEGIN)
 0   No

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


HLTH-2C [M00108.00]Section: 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 HLTH-5-LOOP-BEGIN)
 0   No

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


HLTH-3A [M00109.00]Section: 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 HLTH-5-LOOP-BEGIN)
 0   No

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


HLTH-3B [M00110.00]Section: 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 HLTH-5-LOOP-BEGIN)
 0   No

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


HLTH-3C [M00111.00]Section: 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 HLTH-5-LOOP-BEGIN)
 0   No

Default Next:HLTH-6
Lead-In:HLTH-3B [Default]


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

REPEAT

COMMENT: Begin loop about limiting conditions

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


HLTH-5A_VERBATIM [M00116.00]Section: HEALTH

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

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

RECORD VERBATIM 


HLTH-5A [M00119.00]Section: 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:HLTH-5C-AGECK
Lead-In:HLTH-5A_VERBATIM [Default]


HLTH-5C-AGECK [M00122.00]Section: HEALTH

{msagemo}<=11

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

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

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


HLTH-5C [M00125.00]Section: 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:HLTH-5-CNT
Lead-In:HLTH-5C-AGECK [Default]


HLTH-5-CNT [M00128.00]Section: HEALTH

{HLTH-LOOP5COUNTER}

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

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

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


HLTH-5-1STQ2A [M00131.00]Section: HEALTH

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

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

If Answer = 1 Then Go To
HLTH-5E

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


HLTH-5-1STQ2B [M00132.00]Section: HEALTH

{lim-schlwk} == 1

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

If Answer = 1 Then Go To
HLTH-5F

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


HLTH-5-1STQ2C [M00133.00]Section: HEALTH

{lim-play} == 1

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

If Answer = 1 Then Go To
HLTH-5G

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


HLTH-5-1STQ3A [M00134.00]Section: HEALTH

{lim-dr-oftn} ==1

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

If Answer = 1 Then Go To
HLTH-5H

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


HLTH-5-1STQ3B [M00135.00]Section: HEALTH

{lim-meds} == 1

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

If Answer = 1 Then Go To
HLTH-5I

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


HLTH-5-1STQ3C [M00136.00]Section: HEALTH

{lim-eqmt} == 1

COMMENT: jump to NEXT effect of limit to ask about

If Answer = 1 Then Go To
HLTH-5J

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


HLTH-5-SCHLCK [M00137.00]Section: HEALTH

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

If Answer = 1 Then Go To
HLTH-5D

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


HLTH-5D [M00139.00]Section: 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:HLTH-5E
Lead-In:HLTH-5-SCHLCK [1:1]


HLTH-5E [M00141.00]Section: 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:HLTH-5F
Lead-In:HLTH-5-1STQ2A [1:1], HLTH-5D [Default]


HLTH-5F [M00144.00]Section: 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:HLTH-5G
Lead-In:HLTH-5-1STQ2B [1:1], HLTH-5-SCHLCK [Default], HLTH-5E [Default]


HLTH-5G [M00147.00]Section: 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:HLTH-5H
Lead-In:HLTH-5-1STQ2C [1:1], HLTH-5F [Default]


HLTH-5H [M00150.00]Section: 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:HLTH-5I
Lead-In:HLTH-5-1STQ3A [1:1], HLTH-5G [Default]


HLTH-5I [M00153.00]Section: 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:HLTH-5J
Lead-In:HLTH-5-1STQ3B [1:1], HLTH-5H [Default]


HLTH-5J [M00156.00]Section: HEALTH

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

 1   Yes
 0   No

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


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

UNTIL([ANYMORECONDITIONS]==0)

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

Default Next:HLTH-6
Lead-In:HLTH-5J [Default]


HLTH-6 [M00162.00]Section: HEALTH

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

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

Default Next:HLTH-7
Lead-In:HLTH-3C [Default], HLTH-5-LOOP-END [Default]


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

REPEAT

COMMENT: Begin loop about accidents requiring medical attention

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


HLTH-6B [M00167.00]Section: 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:HLTH-6C_VERBATIM
Lead-In:HLTH-6-LOOP-BEGIN [Default]


HLTH-6C_VERBATIM [M00170.00]Section: HEALTH

What was the cause of that accident or injury?

RECORD VERBATIM 


HLTH-6C [M00173.00]Section: HEALTH

CODE ONLY ONE

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

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


HLTH-6D [M00176.00]Section: 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:HLTH-6E
Lead-In:HLTH-6C [Default]


HLTH-6E [M00179.00]Section: 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:HLTH-6G
Lead-In:HLTH-6D [Default]


HLTH-6G [M00182.00]Section: HEALTH

Has [Child First Name] had any other accidents or injuries requiring medical attention [HLTH-SUB3B]?

 1   Yes
 0   No

Default Next:HLTH-6-LOOP-END
Lead-In:HLTH-6E [Default]


HLTH-6-LOOP-END []Section: HEALTH

UNTIL([ANY MORE HURTS?]==0)

COMMENT: loop until there are no more accidents or injuries

Default Next:HLTH-7
Lead-In:HLTH-6G [Default]


HLTH-7 [M00188.00]Section: 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 HLTH-7-LOOP-BEGIN)
 0   No

Default Next:HLTH-8
Lead-In:HLTH-6 [Default], HLTH-6-LOOP-END [Default]


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

REPEAT

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


HLTH-7B [M00192.00]Section: 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:HLTH-7C_VERBATIM
Lead-In:HLTH-7-LOOP-BEGIN [Default]


HLTH-7C_VERBATIM [M00194.00]Section: HEALTH

What was the cause of this accident or injury?

RECORD VERBATIM 


HLTH-7C [M00196.00]Section: HEALTH

CODE ONLY ONE

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

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


HLTH-7D [M00198.00]Section: 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:HLTH-7E
Lead-In:HLTH-7C [Default]


HLTH-7E [M00200.00]Section: 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:HLTH-7G
Lead-In:HLTH-7D [Default]


HLTH-7G [M00202.00]Section: 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:HLTH-7-LOOP-END
Lead-In:HLTH-7E [Default]


HLTH-7-LOOP-END []Section: HEALTH

UNTIL([ANYMORE HOSPITALIZATIONS?]==0)

Default Next:HLTH-8
Lead-In:HLTH-7G [Default]


HLTH-8 [M00206.00]Section: HEALTH

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

 1   Yes   ...(Go To HLTH-8A)
 0   No

Default Next:HLTH-9
Lead-In:HLTH-7 [Default], HLTH-7-LOOP-END [Default]


HLTH-8A [M00207.00]Section: HEALTH

How many such illnesses has [Child First Name] had [HLTH-SUB3B]?

Enter Number: 

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


HLTH-9 [M00208.00]Section: 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:HLTH-11-AGECK
Lead-In:HLTH-8 [Default], HLTH-8A [Default]


HLTH-11-AGECK [M00211.00]Section: HEALTH

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

If Answer = 1 Then Go To
HLTH-11A

Default Next:HLTH-12-AGECHK
Lead-In:HLTH-9 [Default]


HLTH-11A [M00212.00]Section: HEALTH

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

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

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


HLTH-11B [M00213.00]Section: HEALTH

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


(INTERVIEWER: ENTER AGE IN YEARS.)

Enter Number: 

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


HLTH-11C [M00214.00]Section: HEALTH

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

Enter Date:  
MonthYear 

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


HLTH-12-AGECHK [M00215.00]Section: HEALTH

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

COMMENT: Is child age 2 yrs or older?

If Answer = 1 Then Go To
HLTH-12A

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


HLTH-12A [M00216.00]Section: 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:HLTH-12B
Lead-In:HLTH-12-AGECHK [1:1]


HLTH-12B [M00217.00]Section: 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:HLTH-12C
Lead-In:HLTH-12A [Default]


HLTH-12C [M00218.00]Section: 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:HLTH-13
Lead-In:HLTH-12B [Default]


HLTH-13 [M00219.00]Section: 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:HLTH-14
Lead-In:HLTH-12C [Default]


HLTH-14 [M00220.00]Section: 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:HLTH-15
Lead-In:HLTH-12-AGECHK [Default], HLTH-13 [Default]


HLTH-15 [M00221.00]Section: 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?


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

 1   Yes
 0   No

Default Next:HOME-AGECK1
Lead-In:HLTH-14 [Default]


HOME-AGECK1 [M00224.00]Section: The HOME

([CHILD AGE IN MONTHS]>=0)

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

If Answer = 1 Then Go To
HOME-TITLE

Default Next:ACT-AGECK1
Lead-In:HLTH-15 [Default]


HOME-TITLE []Section: The HOME

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

Default Next:HOME-INTRO
Lead-In:HOME-AGECK1 [1:1]


HOME-INTRO []Section: The HOME

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

READ TO MOTHER

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

Default Next:HOME-AGECK2
Lead-In:HOME-TITLE [Default]


HOME-AGECK2 [M00227.00]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
HOME-A01
If Answer >= 36 AND Answer <= 71 Then Go To HOME-B01
If Answer >= 72 AND Answer <= 119 Then Go To HOME-C01
If Answer >= 120 AND Answer <= 179 Then Go To HOME-D01

Default Next:ACT-AGECK1
Lead-In:HOME-INTRO [Default]


HOME-A01 [M00228.00]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:HOME-A02
Lead-In:HOME-AGECK2 [0:35]


HOME-A02 [M00229.00]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:HOME-A03
Lead-In:HOME-A01 [Default]


HOME-A03 [M00230.00]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:HOME-A04
Lead-In:HOME-A02 [Default]


HOME-A04 [M00231.00]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:HOME-A05
Lead-In:HOME-A03 [Default]


HOME-A05 [M00232.00]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:HOME-A06
Lead-In:HOME-A04 [Default]


HOME-A06 [M00233.00]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:HOME-A07
Lead-In:HOME-A05 [Default]


HOME-A07 [M00234.00]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:HOME-A08
Lead-In:HOME-A06 [Default]


HOME-A08 [M00235.00]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:HOME-A09
Lead-In:HOME-A07 [Default]


HOME-A09 [M00236.00]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:HOME-A10A
Lead-In:HOME-A08 [Default]


HOME-A10A [M00237.00]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: 


HOME-A10B [M00238.00]Section: The HOME

MARK AS APPROPRIATE

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

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


HOME-A-DADCHK1 [M00239.00]Section: The HOME

([FATHER IN HOUSEHOLD] == 1)

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

If Answer = 1 Then Go To
HOME-A14

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


HOME-A11 [M00240.00]Section: The HOME

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

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

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


HOME-A12 [M00241.00]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:HOME-A13
Lead-In:HOME-A11 [1:1]


HOME-A13 [M00242.00]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:HOME-A14
Lead-In:HOME-A12 [Default]


HOME-A14 [M00243.00]Section: The HOME

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

 1   Yes
 0   No

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


HOME-A15 [M00244.00]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:HOME-A16
Lead-In:HOME-A14 [Default]


HOME-A16 [M00245.00]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:HOME-A17A
Lead-In:HOME-A11 [Default], HOME-A15 [Default]


HOME-A17A [M00246.00]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:HOME-A-DADCHK2
Lead-In:HOME-A16 [Default]


HOME-A-DADCHK2 [M00247.00]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
HOME-A18
If Answer >= 1 AND Answer <= 3 Then Go To HOME-A17B

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


HOME-A17B [M00248.00]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:HOME-A-DADCHK3
Lead-In:HOME-A-DADCHK2 [1:3], HOME-A-DADCHK2 [Default]


HOME-A-DADCHK3 [M00249.00]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
HOME-A18

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


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


HOME-A18 [M00250.00]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:ACT-AGECK1
Lead-In:HOME-A-DADCHK2 [0:0], HOME-A-DADCHK3 [1:1], HOME-A17D [Default]


HOME-B01 [M00251.00]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:HOME-B02
Lead-In:HOME-AGECK2 [36:71]


HOME-B02 [M00252.00]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:HOME-B03
Lead-In:HOME-B01 [Default]


HOME-B03 [M00253.00]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:HOME-B04
Lead-In:HOME-B02 [Default]


HOME-B04 [M00254.00]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:HOME-B05A
Lead-In:HOME-B03 [Default]


HOME-B05A [M00255.00]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


HOME-B05B [M00256.00]Section: The HOME

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

 1   Yes
 0   No


HOME-B05C [M00257.00]Section: The HOME

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

 1   Yes
 0   No


HOME-B05D [M00258.00]Section: The HOME

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

 1   Yes
 0   No

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


HOME-B06 [M00259.00]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:HOME-B07A
Lead-In:HOME-B05D [Default]


HOME-B07A [M00260.00]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: 


HOME-B07B [M00261.00]Section: The HOME

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

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


HOME-B08A [M00262.00]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: 


HOME-B08B [M00263.00]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:HOME-B09
Lead-In:HOME-B08A [Default]


HOME-B09 [M00264.00]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:HOME-B10
Lead-In:HOME-B08B [Default]


HOME-B10 [M00265.00]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:HOME-B11
Lead-In:HOME-B09 [Default]


HOME-B11 [M00266.00]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:HOME-B12
Lead-In:HOME-B10 [Default]


HOME-B12 [M00267.00]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:HOME-B-DADCHK1
Lead-In:HOME-B11 [Default]


HOME-B-DADCHK1 [M00268.00]Section: The HOME

([FATHER IN HOUSEHOLD] == 1)

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

If Answer = 1 Then Go To
HOME-B16

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


HOME-B13 [M00269.00]Section: The HOME

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

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

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


HOME-B14 [M00270.00]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:HOME-B15
Lead-In:HOME-B13 [1:1]


HOME-B15 [M00271.00]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:HOME-B16
Lead-In:HOME-B14 [Default]


HOME-B16 [M00272.00]Section: The HOME

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

 1   Yes
 0   No

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


HOME-B17 [M00273.00]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:HOME-B18A
Lead-In:HOME-B16 [Default]


HOME-B18A [M00274.00]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:HOME-B-DADCHK2
Lead-In:HOME-B13 [Default], HOME-B17 [Default]


HOME-B-DADCHK2 [M00275.00]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
HOME-B19
If Answer >= 1 AND Answer <= 3 Then Go To HOME-B18B

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


HOME-B18B [M00276.00]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:HOME-B-DADCHK3
Lead-In:HOME-B-DADCHK2 [1:3], HOME-B-DADCHK2 [Default]


HOME-B-DADCHK3 [M00277.00]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
HOME-B19

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


HOME-B18D [M00278.00]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:HOME-B19
Lead-In:HOME-B-DADCHK3 [Default]


HOME-B19 [M00279.00]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:ACT-AGECK1
Lead-In:HOME-B-DADCHK2 [0:0], HOME-B-DADCHK3 [1:1], HOME-B18D [Default]


HOME-C01 [M00280.00]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:HOME-C02
Lead-In:HOME-AGECK2 [72:119]


HOME-C02 [M00281.00]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:HOME-C03A
Lead-In:HOME-C01 [Default]


HOME-C03A [M00282.00]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


HOME-C03B [M00283.00]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


HOME-C03C [M00284.00]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


HOME-C03D [M00285.00]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


HOME-C03E [M00286.00]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:HOME-C04
Lead-In:HOME-C03D [Default]


HOME-C04 [M00287.00]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:HOME-C05
Lead-In:HOME-C03E [Default]


HOME-C05 [M00288.00]Section: The HOME

Does your family get a daily newspaper?

 1   Yes
 0   No

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


HOME-C06 [M00289.00]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:HOME-C07
Lead-In:HOME-C05 [Default]


HOME-C07 [M00290.00]Section: The HOME

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

 1   Yes
 0   No

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


HOME-C08 [M00291.00]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:HOME-C09
Lead-In:HOME-C07 [Default]


HOME-C09 [M00292.00]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:HOME-C10
Lead-In:HOME-C08 [Default]


HOME-C10 [M00293.00]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:HOME-C11
Lead-In:HOME-C09 [Default]


HOME-C11 [M00294.00]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:HOME-C12
Lead-In:HOME-C10 [Default]


HOME-C12 [M00295.00]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:HOME-C13
Lead-In:HOME-C11 [Default]


HOME-C13 [M00296.00]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:HOME-C-DADCHK1
Lead-In:HOME-C12 [Default]


HOME-C-DADCHK1 [M00297.00]Section: The HOME

([FATHER IN HOUSEHOLD] == 1)

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

If Answer = 1 Then Go To
HOME-C17

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


HOME-C14 [M00298.00]Section: The HOME

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

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

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


HOME-C15 [M00299.00]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:HOME-C16
Lead-In:HOME-C14 [1:1]


HOME-C16 [M00300.00]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:HOME-C17
Lead-In:HOME-C15 [Default]


HOME-C17 [M00301.00]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:HOME-C18
Lead-In:HOME-C-DADCHK1 [1:1], HOME-C16 [Default]


HOME-C18 [M00302.00]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:HOME-C19
Lead-In:HOME-C17 [Default]


HOME-C19 [M00303.00]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:HOME-C20
Lead-In:HOME-C18 [Default]


HOME-C20 [M00304.00]Section: The HOME

When your family watches TV together, do you [FATHER-FIGURE PRINT TEXT] discuss TV programs with [him/her]?

 1   Yes
 0   No
 2   Do not have a TV

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


HOME-C21A [M00305.00]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:HOME-C-DADCHK2
Lead-In:HOME-C20 [Default]


HOME-C-DADCHK2 [M00306.00]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
HOME-C22A
If Answer >= 1 AND Answer <= 3 Then Go To HOME-C21B

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


HOME-C21B [M00307.00]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:HOME-C-DADCHK3
Lead-In:HOME-C-DADCHK2 [1:3], HOME-C-DADCHK2 [Default]


HOME-C-DADCHK3 [M00308.00]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
HOME-C22A

Default Next:HOME-C21D
Lead-In:HOME-C21B [Default]


HOME-C21D [M00309.00]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:HOME-C22A
Lead-In:HOME-C-DADCHK3 [Default]


HOME-C22A [M00310.00]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: 


HOME-C22B [M00311.00]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:HOME-C23A
Lead-In:HOME-C22A [Default]


HOME-C23A [M00312.00]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


HOME-C23B [M00313.00]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


HOME-C23C [M00314.00]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


HOME-C23D [M00315.00]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


HOME-C23E [M00316.00]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

Default Next:HOME-C23F
Lead-In:HOME-C23D [Default]


HOME-C23F [M00317.00]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


HOME-C23G [M00318.00]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


HOME-C23H [M00319.00]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


HOME-C23I [M00320.00]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:HOME-C23J
Lead-In:HOME-C23H [Default]


HOME-C23J [M00321.00]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 HOME-C23JV)
 0   No

Default Next:HOME-C24A
Lead-In:HOME-C23I [Default]


HOME-C23JV [M00322.00]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:HOME-C24A
Lead-In:HOME-C23J [1:1]


HOME-C24A [M00323.00]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: 


HOME-C24B [M00324.00]Section: The HOME

How many times in the past week have you...grounded [him/her]?

Enter Number: 


HOME-C24C [M00325.00]Section: The HOME

How many times in the past week have you...taken away TV or other privileges?

Enter Number: 


HOME-C24D [M00326.00]Section: The HOME

How many times (in the past week) have you...praised [Child First Name] for doing something worthwhile?

Enter Number: 

Default Next:HOME-C24E
Lead-In:HOME-C24C [Default]


HOME-C24E [M00327.00]Section: The HOME

How many times (in the past week) have you...taken away [his/her] allowance?

Enter Number: 


HOME-C24F [M00328.00]Section: The HOME

How many times (in the past week) have you...shown [him/her] physical affection (kiss, hug, stroke hair, etc.)?

Enter Number: 


HOME-C24G [M00329.00]Section: The HOME

How many times (in the past week) have you...sent [Child First Name] to [his/her] room?

Enter Number: 


HOME-C24H [M00330.00]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:ACT-AGECK1
Lead-In:HOME-C24G [Default]


HOME-D01 [M00331.00]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:HOME-D02A
Lead-In:HOME-AGECK2 [120:179]


HOME-D02A [M00332.00]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


HOME-D02B [M00333.00]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


HOME-D02C [M00334.00]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


HOME-D02D [M00335.00]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


HOME-D02E [M00336.00]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


HOME-D02F [M00337.00]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:HOME-D03
Lead-In:HOME-D02E [Default]


HOME-D03 [M00338.00]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:HOME-D04
Lead-In:HOME-D02F [Default]


HOME-D04 [M00339.00]Section: The HOME

Does your family get a daily newspaper?

 1   Yes
 0   No

Default Next:HOME-D05
Lead-In:HOME-D03 [Default]


HOME-D05 [M00340.00]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:HOME-D06
Lead-In:HOME-D04 [Default]


HOME-D06 [M00341.00]Section: The HOME

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

 1   Yes
 0   No

Default Next:HOME-D07
Lead-In:HOME-D05 [Default]


HOME-D07 [M00342.00]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:HOME-D08
Lead-In:HOME-D06 [Default]


HOME-D08 [M00343.00]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:HOME-D09
Lead-In:HOME-D07 [Default]


HOME-D09 [M00344.00]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:HOME-D10
Lead-In:HOME-D08 [Default]


HOME-D10 [M00345.00]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:HOME-D11
Lead-In:HOME-D09 [Default]


HOME-D11 [M00346.00]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:HOME-D12
Lead-In:HOME-D10 [Default]


HOME-D12 [M00347.00]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:HOME-D-DADCHK1
Lead-In:HOME-D11 [Default]


HOME-D-DADCHK1 [M00348.00]Section: The HOME

{FATHINHH} == 1

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

If Answer = 1 Then Go To
HOME-D15

Default Next:HOME-D13
Lead-In:HOME-D12 [Default]


HOME-D13 [M00349.00]Section: The HOME

Does [Child First Name] ever see [his/her] father, stepfather, or father-figure?

 1   Yes   ...(Go To HOME-D14)
 0   No

Default Next:HOME-D19
Lead-In:HOME-D-DADCHK1 [Default]


HOME-D14 [M00350.00]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:HOME-D15
Lead-In:HOME-D13 [1:1]


HOME-D15 [M00351.00]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:HOME-D16
Lead-In:HOME-D-DADCHK1 [1:1], HOME-D14 [Default]


HOME-D16 [M00352.00]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:HOME-D17
Lead-In:HOME-D15 [Default]


HOME-D17 [M00353.00]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:HOME-D18
Lead-In:HOME-D16 [Default]


HOME-D18 [M00354.00]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:HOME-D19
Lead-In:HOME-D17 [Default]


HOME-D19 [M00355.00]Section: The HOME

When your family watches TV together, do you [FATHER-FIGURE PRINT TEXT] discuss TV programs with [him/her]?

 1   Yes
 0   No
 2   Do not have a TV

Default Next:HOME-D20A
Lead-In:HOME-D13 [Default], HOME-D18 [Default]


HOME-D20A [M00356.00]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:HOME-D-DADCHK2
Lead-In:HOME-D19 [Default]


HOME-D-DADCHK2 [M00357.00]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
HOME-D21A
If Answer >= 1 AND Answer <= 3 Then Go To HOME-D20B

Default Next:HOME-D20B
Lead-In:HOME-D20A [Default]


HOME-D20B [M00358.00]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:HOME-D-DADCHK3
Lead-In:HOME-D-DADCHK2 [1:3], HOME-D-DADCHK2 [Default]


HOME-D-DADCHK3 [M00359.00]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
HOME-D21A

Default Next:HOME-D20D
Lead-In:HOME-D20B [Default]


HOME-D20D [M00360.00]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:HOME-D21A
Lead-In:HOME-D-DADCHK3 [Default]


HOME-D21A [M00361.00]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: 


HOME-D21B [M00362.00]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:HOME-D22A
Lead-In:HOME-D21A [Default]


HOME-D22A [M00363.00]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


HOME-D22B [M00364.00]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


HOME-D22C [M00365.00]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


HOME-D22D [M00366.00]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


HOME-D22E [M00367.00]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

Default Next:HOME-D22F
Lead-In:HOME-D22D [Default]


HOME-D22F [M00368.00]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


HOME-D22G [M00369.00]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


HOME-D22H [M00370.00]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


HOME-D22I [M00371.00]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


HOME-D22J [M00372.00]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 HOME-D22JV)
 0   No

Default Next:HOME-D23A
Lead-In:HOME-D22I [Default]


HOME-D22JV [M00373.00]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:HOME-D23A
Lead-In:HOME-D22J [1:1]


HOME-D23A [M00374.00]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: 


HOME-D23B [M00375.00]Section: The HOME

How many times in the past week have you...grounded [him/her]?

Enter Number: 


HOME-D23C [M00376.00]Section: The HOME

How many times in the past week have you...taken away TV or other privileges?

Enter Number: 


HOME-D23D [M00377.00]Section: The HOME

How many times (in the past week) have you...praised [Child First Name] for doing something worthwhile?

Enter Number: 

Default Next:HOME-D23E
Lead-In:HOME-D23C [Default]


HOME-D23E [M00378.00]Section: The HOME

How many times (in the past week) have you...taken away [his/her] allowance?

Enter Number: 


HOME-D23F [M00379.00]Section: The HOME

How many times (in the past week) have you...shown [him/her] physical affection (kiss, hug, stroke hair, etc.)?

Enter Number: 


HOME-D23G [M00380.00]Section: The HOME

How many times (in the past week) have you...sent [Child First Name] to [his/her] room?

Enter Number: 


HOME-D23H [M00381.00]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:ACT-AGECK1
Lead-In:HOME-D23G [Default]


ACT-AGECK1 [M00384.00]Section: TEMPERAMENT

([CHILD AGE IN MONTHS] < 84) && ([MSBORNB4_R19]==1)

COMMENT: If child age is 83 months or younger and meets YOB/BORNSR19 constraints, then continue OTHERWISE goto end of section

If Answer = 1 Then Go To
ACT-TITLE

Default Next:CASI-AGECHK1
Lead-In:HOME-AGECK1 [Default], HOME-AGECK2 [Default], HOME-A18 [Default], HOME-B19 [Default], HOME-C24H [Default], HOME-D23H [Default]


ACT-TITLE []Section: TEMPERAMENT

**** BEGIN SECTION: TEMPERAMENT *****

Default Next:ACT-INTRO
Lead-In:ACT-AGECK1 [1:1]


ACT-INTRO []Section: TEMPERAMENT

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

READ TO MOTHER:

We are interested in how your child normally acts during an average day. Please think about [Child First Name] during the last two weeks.

If [he/she] was not feeling well, think back to the last two-week time period when [he/she] was [his/her] normal self.

Default Next:ACT-AGECK2
Lead-In:ACT-TITLE [Default]


ACT-AGECK2 [M00385.00]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
CASI-AGECHK1
If Answer >= 12 AND Answer <= 23 Then Go To CASI-AGECHK1
If Answer >= 24 AND Answer <= 83 Then Go To ACT-C01

Default Next:CASI-AGECHK1
Lead-In:ACT-INTRO [Default]


ACT-C01 [M00386.00]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


ACT-C02 [M00387.00]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


ACT-C03 [M00388.00]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


ACT-C04 [M00389.00]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


ACT-C05 [M00390.00]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

Default Next:ACT-C06
Lead-In:ACT-C04 [Default]


ACT-C06 [M00391.00]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


ACT-C07 [M00392.00]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


ACT-C08 [M00393.00]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


ACT-C09 [M00394.00]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


ACT-C10 [M00395.00]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

Default Next:ACT-C11
Lead-In:ACT-C09 [Default]


ACT-C11 [M00396.00]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


ACT-C12 [M00397.00]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


ACT-C13 [M00398.00]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


ACT-C14 [M00399.00]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


ACT-C15 [M00400.00]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:ACT-C16
Lead-In:ACT-C14 [Default]


ACT-C16 [M00401.00]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


ACT-C17 [M00402.00]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


ACT-C18 [M00403.00]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


ACT-C19 [M00404.00]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


ACT-C20 [M00405.00]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:CASI-AGECHK1
Lead-In:ACT-C19 [Default]


CASI-AGECHK1 [M00411.00]Section: MS CASI SECTION

{msage} < 4

COMMENT: If child is less than 4 years old, skip CASI instructions all together

If Answer = 1 Then Go To
BKGN-CASI-AGECK1

Default Next:CASI-TITLE
Lead-In:ACT-AGECK2 [0:11], ACT-AGECK2 [12:23], ACT-AGECK1 [Default], ACT-AGECK2 [Default], ACT-C20 [Default]


CASI-TITLE []Section: MS CASI SECTION

**** BEGIN MOTHER SUPPLEMENT CASI SECTION *****

(TO BE SELF-ADMINISTERED)

Default Next:CASI-INTRO-A
Lead-In:CASI-AGECHK1 [Default]


CASI-INTRO-A []Section: MS CASI SECTION

INTERVIEWER: MOTHER WILL ENTER RESPONSES FOR THE FOLLOWING SECTION DIRECTLY.

(IF MOTHER REALLY PREFERS, OR HAS DIFFICULTY READING, YOU MAY ADMINISTER THIS SECTION. REMEMBER, HOWEVER, THAT ITEMS IN THIS SECTION ARE MORE SENSITIVE THAN OTHERS.)

Default Next:CASI-INTRO-B
Lead-In:CASI-TITLE [Default]


CASI-INTRO-B []Section: MS CASI SECTION

INTERVIEWER: IF THIS IS A TELEPHONE INTERVIEW, YOU MAY PROCEED WITH THE INTERVIEW AS USUAL.

Default Next:CASI-MODE
Lead-In:CASI-INTRO-A [Default]


CASI-MODE [M00412.00]Section: MS CASI SECTION

INTERVIEWER: IS MOTHER COMPLETING THE FOLLOWING SECTION?

 1   YES
 0   NO
 2   NO - TELEPHONE INTEVIEW

Default Next:CASI-MODECHK
Lead-In:CASI-INTRO-B [Default]


CASI-MODECHK [M00413.00]Section: MS CASI SECTION

{MOMCASI} ==1

If Answer = 1 Then Go To
CASI-INTRO-C

Default Next:BKGN-CASI-AGECK1
Lead-In:CASI-MODE [Default]


CASI-INTRO-C []Section: MS CASI SECTION

INTERVIEWER: TURN THE COMPUTER AROUND AND INSTRUCT R HOW TO PROCEED BY FOLLOWING THE INSTRUCTIONS ON EACH SCREEN. R HAS FINISHED THIS SHORT CONFIDENTIAL SECTION WHEN SHE IS ON THE SCREEN THANKING HER FOR FILLING OUT THE SECTION.

PLEASE ASSIST R IF ASKED TO DO SO. YOU MAY TURN THE COMPUTER AROUND NOW.

Default Next:CASI-INSTRUCT1
Lead-In:CASI-MODECHK [1:1]


CASI-INSTRUCT1 []Section: MS CASI SECTION

Please read the instructions in the following screens before you begin to answer the questions. Once you have entered your answer, the survey will automatically go to the next question.

Click "Submit and Continue" button to proceed.

Default Next:CASI-INSTRUCT2
Lead-In:CASI-INTRO-C [Default]


CASI-INSTRUCT2 []Section: MS CASI SECTION

To answer a question, simply click on the circle or "radio button" next to your desired answer. When you are satisfied with your answer, click on the "Submit and Continue" button to proceed.

Default Next:CASI-INSTRUCT3
Lead-In:CASI-INSTRUCT1 [Default]


CASI-INSTRUCT3 []Section: MS CASI SECTION

If you do not know an answer or do not wish to answer a question, you can choose Don't Know, or Refuse. These are generally displayed below any other answer choices.

Click on the "Submit and Continue" button to proceed....

Default Next:CASI-INSTRUCT4
Lead-In:CASI-INSTRUCT2 [Default]


CASI-INSTRUCT4 [M00414.00]Section: MS CASI SECTION

Most questions in this section are answered in the same way...

EXAMPLE: What did you do most often for entertainment last year?

If the answer is "WENT TO A PLAY" you would simply click on the circle or "radio button" next to "WENT TO A PLAY". Then click on the "Submit and Continue" button to proceed....

.

 6   Went to a movie
 5   Played cards
 4   Went to a play
 3   Read books
 2   Went skiing
 1   Went golfing

Default Next:CASI-INSTRUCT5
Lead-In:CASI-INSTRUCT3 [Default]


CASI-INSTRUCT5 []Section: MS CASI SECTION

Please complete the following section of the questionnaire now on your own. You are free to ask questions at any time.

Default Next:BKGN-CASI-AGECK1
Lead-In:CASI-INSTRUCT4 [Default]


BKGN-CASI-AGECK1 [M00416.00]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
BKGN-37

Default Next:BPI-AGECK1
Lead-In:CASI-AGECHK1 [1:1], CASI-MODECHK [Default], CASI-INSTRUCT5 [Default]


BKGN-37 [M00418.00]Section: MS CASI SECTION

{BKGN-SUB1} {cfname} repeated a grade for any reason?


{keyinstruct1} {keyinstruct2} {keyinstruct3}

 1   Yes   ...(Go To BKGN-37-LOOP-BEGIN)
 0   No

Default Next:BKGN-38
Lead-In:BKGN-CASI-AGECK1 [1:1]


BKGN-37-LOOP-BEGIN []Section: MS CASI SECTION

REPEAT

Default Next:BKGN-37A
Lead-In:BKGN-37 [1:1]


BKGN-37A [M00425.00]Section: MS CASI SECTION

What was the [most recent/next most recent] grade that [Child First Name] repeated?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 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:BKGN-37B
Lead-In:BKGN-37-LOOP-BEGIN [Default]


BKGN-37B [M00430.00]Section: MS CASI SECTION

What was the main reason [he/she] repeated that grade?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 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:BKGN-37C
Lead-In:BKGN-37A [Default]


BKGN-37C [M00435.00]Section: MS CASI SECTION

Has [Child First Name] repeated any other grades?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 1   Yes
 0   No

Default Next:BKGN-37-LOOP-END
Lead-In:BKGN-37B [Default]


BKGN-37-LOOP-END []Section: MS CASI SECTION

UNTIL([ANY MORE TO REPORT?]==0)

Default Next:BKGN-38
Lead-In:BKGN-37C [Default]


BKGN-38 [M00445.00]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?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 1   Yes   ...(Go To BKGN-39)
 0   No

Default Next:BKGN-40
Lead-In:BKGN-37 [Default], BKGN-37-LOOP-END [Default]


BKGN-39 [M00446.00]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?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 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:BKGN-40
Lead-In:BKGN-38 [1:1]


BKGN-40 [M00447.00]Section: MS CASI SECTION

Has [Child First Name] ever been suspended or expelled from school?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 1   Yes   ...(Go To BKGN-40A)
 0   No

Default Next:BKGN-41
Lead-In:BKGN-38 [Default], BKGN-39 [Default]


BKGN-40A [M00448.00]Section: MS CASI SECTION

(Has your child ever been suspended or expelled from school?)

In what grade did this first happen?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 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:BKGN-41
Lead-In:BKGN-40 [1:1]


BKGN-41 [M00449.00]Section: MS CASI SECTION

{MSINSCHL} == 1

If Answer = 1 Then Go To
BKGN-42

Default Next:BKGN-44
Lead-In:BKGN-40 [Default], BKGN-40A [Default]


BKGN-42 [M00450.00]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?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 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:BKGN-43A
Lead-In:BKGN-41 [1:1]


BKGN-43A [M00451.00]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?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 5   A
 4   B
 3   C
 2   D
 1   FAIL


BKGN-43B [M00452.00]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


BKGN-43C [M00453.00]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


BKGN-43D [M00454.00]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


BKGN-43E [M00455.00]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


BKGN-43F [M00456.00]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


BKGN-43G [M00457.00]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


BKGN-43H [M00458.00]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:BKGN-44
Lead-In:BKGN-43G [Default]


BKGN-44 [M00459.00]Section: MS CASI SECTION

Looking ahead, how far do you think [Child First Name] will go in school? Will [he/she]...


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 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:BKGN-45
Lead-In:BKGN-41 [Default], BKGN-43H [Default]


BKGN-45 [M00460.00]Section: MS CASI SECTION

In general, how much trouble has [Child First Name] been to bring up?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 1   None
 2   Just a little
 3   Quite a bit
 4   A lot

Default Next:BKGN-46A
Lead-In:BKGN-44 [Default]


BKGN-46A [M00461.00]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?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 4   EXCELLENT
 3   GOOD
 2   FAIR
 1   POOR


BKGN-46B [M00462.00]Section: MS CASI SECTION

How would you rate [his/her] friendships?

 4   EXCELLENT
 3   GOOD
 2   FAIR
 1   POOR


BKGN-46C [M00463.00]Section: MS CASI SECTION

(How would you rate...) [his/her] relationship with you?

 4   EXCELLENT
 3   GOOD
 2   FAIR
 1   POOR


BKGN-46D [M00464.00]Section: MS CASI SECTION

(How would you rate...) [his/her] feelings about [him/her]self?

 4   EXCELLENT
 3   GOOD
 2   FAIR
 1   POOR


BKGN-46E [M00465.00]Section: MS CASI SECTION

(How would you rate...) [his/her] prospects for the future?

 4   EXCELLENT
 3   GOOD
 2   FAIR
 1   POOR


BKGN-46F [M00466.00]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:BPI-AGECK1
Lead-In:BKGN-46E [Default]


BPI-AGECK1 [M00469.00]Section: MS CASI SECTION

([CHILD AGE (YEARS)] >= 4) && ([MSBORNB4_R19] == 1)

COMMENT: If child age is 4 years or OLDER and meets YOB/BORNSR19 constraints, then continue OTHERWISE skip to BPI-END.

If Answer = 1 Then Go To
BPI-INTRO

Default Next:HLTH-16
Lead-In:BKGN-CASI-AGECK1 [Default], BKGN-46F [Default]


BPI-INTRO []Section: MS CASI SECTION

The following statements are about behavior problems many children have. For each item, think about [Child First Name]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.

Default Next:BPI-01
Lead-In:BPI-AGECK1 [1:1]


BPI-01 [M00470.00]Section: MS CASI SECTION

{cfname}...has sudden changes in mood or feeling.
Is this statement often true, sometimes true, or not true?


{keyinstruct1} {keyinstruct2} {keyinstruct3}

 1   Often True
 2   Sometimes True
 3   Not True


BPI-02 [M00471.00]Section: MS CASI SECTION

{cfname}...feels or complains that no one loves {himher}.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-03 [M00472.00]Section: MS CASI SECTION

{cfname}...is rather high strung, tense and nervous.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-04 [M00473.00]Section: MS CASI SECTION

{cfname}...cheats or tells lies.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-05 [M00474.00]Section: MS CASI SECTION

{cfname}...is too fearful or anxious.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-06 [M00475.00]Section: MS CASI SECTION

{cfname} ...argues too much.

 1   Often True
 2   Sometimes True
 3   Not True

Default Next:BPI-07
Lead-In:BPI-05 [Default]


BPI-07 [M00476.00]Section: MS CASI SECTION

{cfname}...has difficulty concentrating, cannot pay attention for long.


{keyinstruct1} {keyinstruct2} {keyinstruct3}

 1   Often True
 2   Sometimes True
 3   Not True


BPI-08 [M00477.00]Section: MS CASI SECTION

{cfname}...is easily confused, seems to be in a fog.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-09 [M00478.00]Section: MS CASI SECTION

{cfname}...bullies or is cruel or mean to others.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-10 [M00479.00]Section: MS CASI SECTION

{cfname}...is disobedient at home.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-11 [M00480.00]Section: MS CASI SECTION

{cfname} ...does not seem to feel sorry after {heshe} misbehaves.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-12 [M00481.00]Section: MS CASI SECTION

{cfname}...has trouble getting along with other children.

 1   Often True
 2   Sometimes True
 3   Not True

Default Next:BPI-13
Lead-In:BPI-11 [Default]


BPI-13 [M00482.00]Section: MS CASI SECTION

{cfname}...is impulsive, or acts without thinking.


{keyinstruct1} {keyinstruct2} {keyinstruct3}

 1   Often True
 2   Sometimes True
 3   Not True


BPI-14 [M00483.00]Section: MS CASI SECTION

{cfname}...feels worthless or inferior.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-15 [M00484.00]Section: MS CASI SECTION

{cfname}...is not liked by other children.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-16 [M00485.00]Section: MS CASI SECTION

{cfname}...has a lot of difficulty getting {hisher} mind off certain thoughts (has obsessions).

 1   Often True
 2   Sometimes True
 3   Not True


BPI-17 [M00486.00]Section: MS CASI SECTION

{cfname}...is restless or overly active, cannot sit still.

 1   Often True
 2   Sometimes True
 3   Not True

Default Next:BPI-18
Lead-In:BPI-16 [Default]


BPI-18 [M00487.00]Section: MS CASI SECTION

{cfname}...is stubborn, sullen, or irritable.


{keyinstruct1} {keyinstruct2} {keyinstruct3}

 1   Often True
 2   Sometimes True
 3   Not True


BPI-19 [M00488.00]Section: MS CASI SECTION

{cfname}...has a very strong temper and loses it easily.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-20 [M00489.00]Section: MS CASI SECTION

{cfname}...is unhappy, sad, or depressed.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-21 [M00490.00]Section: MS CASI SECTION

{cfname}...is withdrawn, does not get involved with others.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-22 [M00491.00]Section: MS CASI SECTION

{cfname}...breaks things on purpose or deliberately destroys {hisher} own or another's things.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-23 [M00492.00]Section: MS CASI SECTION

{cfname}...clings to adults.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-24 [M00493.00]Section: MS CASI SECTION

{cfname}...cries too much.

 1   Often True
 2   Sometimes True
 3   Not True

Default Next:BPI-25
Lead-In:BPI-23 [Default]


BPI-25 [M00494.00]Section: MS CASI SECTION

{cfname}...demands a lot of attention.


{keyinstruct1} {keyinstruct2} {keyinstruct3}

 1   Often True
 2   Sometimes True
 3   Not True


BPI-26 [M00495.00]Section: MS CASI SECTION

{cfname}...is too dependent on others.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-27 [M00496.00]Section: MS CASI SECTION

{cfname}...feels others are out to get {himher}.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-28 [M00497.00]Section: MS CASI SECTION

{cfname}...hangs around with kids who get into trouble.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-29 [M00498.00]Section: MS CASI SECTION

{cfname}...is secretive, keeps things to {himher}self.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-30 [M00499.00]Section: MS CASI SECTION

{cfname}...worries too much.

 1   Often True
 2   Sometimes True
 3   Not True


BPI-SCHLCK [M00500.00]Section: MS CASI SECTION

([IN SCHOOL] == 1) || ([EVER IN SCHOOL] == 1)

If Answer = 1 Then Go To
BPI-31

Default Next:BPI-END
Lead-In:BPI-30 [Default]


BPI-31 [M00501.00]Section: MS CASI SECTION

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


BPI-32 [M00502.00]Section: MS CASI SECTION

(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


BPI-END []Section: MS CASI SECTION

End of series. Click on the "Submit and Continue" button to proceed....

COMMENT: ------------END OF BEHAVIOR PROBLEM INDEX ASSESSMENT-------------

Default Next:HLTH-16
Lead-In:BPI-SCHLCK [Default], BPI-32 [Default]


HLTH-16 [M00504.00]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
HLTH-19

Default Next:HLTH-17
Lead-In:BPI-AGECK1 [Default], BPI-END [Default]


HLTH-17 [M00505.00]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?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 1   Yes   ...(Go To HLTH-17A)
 0   No

Default Next:HLTH-19
Lead-In:HLTH-16 [Default]


HLTH-17A [M00506.00]Section: MS CASI SECTION

What was the problem?


[Using the down arrow and space bar to select your answers, please mark all of the items in the list below that describe the problem(s) / CODE ALL THAT APPLY]

Enter: 

Default Next:HLTH-17B
Lead-In:HLTH-17 [1:1]


HLTH-17B [M00507.00]Section: MS CASI SECTION

You said that the problem was "[BEHAVIOR PROBLEM TEXT ENTRY]".


[keyinstruct5]

 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:HLTH-18
Lead-In:HLTH-17A [Default]


HLTH-18 [M00508.00]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?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 1   Yes
 0   No

Default Next:HLTH-20
Lead-In:HLTH-17B [Default]


HLTH-19 [M00509.00]Section: MS CASI SECTION

{HLTH-SUB2}, have you felt, or has anyone suggested, that {cfname} needed help for any behavioral, emotional, or mental problem?


{keyinstruct1} {keyinstruct2} {keyinstruct3}

 1   Yes
 0   No

Default Next:HLTH-20
Lead-In:HLTH-16 [1:1], HLTH-17 [Default]


HLTH-20 [M00510.00]Section: MS CASI SECTION

Does [Child First Name] regularly take any medicines or prescription drugs to help control [his/her] activity level or behavior?


[ / (PRESS 'DOWN ARROW' TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS TWICE TO CONTINUE.)] [ / (PRESS FOR DON'T KNOW AND FOR DO NOT WISH TO ANSWER.)] [(Type in your response here) / ENTER VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN]

 1   Yes
 0   No

Default Next:CASI-RESP-CHK
Lead-In:HLTH-18 [Default], HLTH-19 [Default]


CASI-RESP-CHK [M00512.00]Section: MS CASI SECTION

{MOMCASI} == 1

COMMENT: SKIP STOP SCREEN IF MOTHER IS NOT COMPLETING CONFIDENTIAL - CASI ITEMS HERSELF

If Answer = 1 Then Go To
CASI-THANKYOU

Default Next:CASI-OTHERPRES
Lead-In:HLTH-20 [Default]


CASI-OTHERPRES [M00513.00]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-TITLE
Lead-In:CASI-RESP-CHK [Default]


CASI-THANKYOU []Section: MS CASI SECTION

Please stop here.

You are now finished with this section of the interview. Thank you!

Please turn the screen back toward the interviewer.

Default Next:MSIR-TITLE
Lead-In:CASI-RESP-CHK [1:1]


MSIR-TITLE []Section: MS INTERVIEWER REMARKS

**** BEGIN SECTION: REMARKS*****

Default Next:MSIR-CHKQXSTAT
Lead-In:MS-QUEXSTAT [2:2], MS-FILLEXIT [Default], CASI-OTHERPRES [Default], CASI-THANKYOU [Default]


MSIR-CHKQXSTAT [M00515.00]Section: MS INTERVIEWER REMARKS

{MSUPSQXCONSNT}==2 || {MS_DOB_REFUSED}==1

If Answer = 1 Then Go To
MSIR-REFCONFIRM

Default Next:MSIR-1
Lead-In:MSIR-TITLE [Default]


MSIR-REFCONFIRM []Section: MS INTERVIEWER REMARKS

INTERVIEWER: PLEASE CONFIRM -

IS THIS MOTHER SUPPLEMENT INSTRUMENT BEING REFUSED?

 1   YES   ...(Go To MSIR-REF-REASON)
 0   NO

Default Next:MSIR-NOT-REFUSAL
Lead-In:MSIR-CHKQXSTAT [1:1]


MSIR-NOT-REFUSAL []Section: MS 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: MS-STARTSCREEN .

ELSE

-IF THIS INSTRUMENT IS BEING REFUSED, BACK UP TO THE PREVIOUS CHECK ITEM AND CORRECT.



NOTE: NO ACCESSIBLE SCREENS FOLLOW.

Enter Number: 

Default Next:MSIR-REF-REASON
Lead-In:MSIR-REFCONFIRM [Default]


MSIR-REF-REASON []Section: MS INTERVIEWER REMARKS

INTERVIEWER: BE SURE TO ENTER COMMENTS HERE AND IN CM-FIELD AS TO THE NATURE OF THE REFUSAL. THEN CONTACT YOUR FM ABOUT THE STATUS OF THIS INSTRUMENT.


REASON FOR REFUSAL

Enter: 

Default Next:MSIR-REF-FMID
Lead-In:MSIR-REFCONFIRM [1:1], MSIR-NOT-REFUSAL [Default]


MSIR-REF-FMID []Section: MS 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 MOTHER 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: MS-STARTSCREEN .
.

FM APPROVAL CODE

Enter Number: 

Default Next:MSIR-IDNUM
Lead-In:MSIR-REF-REASON [Default]


MSIR-1 [M00516.00]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-EVALCHK
Lead-In:MSIR-CHKQXSTAT [Default]


MSIR-1A [M00517.00]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 [M00518.00]Section: MS INTERVIEWER REMARKS

INTERVIEWER: YOU SAID THE PROBLEM WAS WITH THE ITEM [MSIRPROBLEM1].
PLEASE ENTER A DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN MSIR-1A.

Enter: 

Default Next:MSIR-1C
Lead-In:MSIR-1A [Default]


MSIR-1C [M00519.00]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-EVALCHK
Lead-In:MSIR-1B [Default]


MSIR-1A2 [M00520.00]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 [M00521.00]Section: MS INTERVIEWER REMARKS

INTERVIEWER: YOU SAID THE PROBLEM WAS WITH THE ITEM [MSIRPROBLEM2].
PLEASE ENTER A DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN MSIR-1A2.

Enter: 

Default Next:MSIR-EVALCHK
Lead-In:MSIR-1A2 [Default]


MSIR-EVALCHK [M00522.00]Section: MS INTERVIEWER REMARKS

{MSINTMODE}==1

If Answer = 1 Then Go To
MSIR-EVAL

Default Next:MSIR-REMINDER
Lead-In:MSIR-1 [Default], MSIR-1C [Default], MSIR-1B2 [Default]


MSIR-EVAL [M00523.00]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-REMINDER
Lead-In:MSIR-EVALCHK [1:1]


MSIR-REMINDER []Section: MS 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 FOR HER PARTICIPATION, PLEASE DO SO NOW.

Default Next:MSIR-IDNUM
Lead-In:MSIR-EVALCHK [Default], MSIR-EVAL [Default]


MSIR-IDNUM [M00524.00]Section: MS INTERVIEWER REMARKS

INTERVIEWER: PLEASE ENTER YOUR PROJECT ID NUMBER.

Enter Number: 

Default Next:MSIR-INTNAME
Lead-In:MS-OVERAGE-EXIT [Default], MSIR-REF-FMID [Default], MSIR-REMINDER [Default]


MSIR-INTNAME [M00525.00]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]