Questionnaire Public Report03/06/2017 10:30:12 AM
Cohort:National Longitudinal Survey of Youth 1979
Round:NLSY79 Round 27
Instrument :R27 Youth Main Field
  1. Fertility



Q9-FILTER []Section: Fertility

([TOTOBIO]==0) && ([RESPONDENT GENDER]==2) && ([RESPAGEDLI]>52 || [r previously report being surgically sterilized?]==1)

COMMENT: Machine Check: Is R a female with no children who was either over age 52 or previously sterilized at the date of last interview?

If Answer = 1 Then Go To
Q10-GENCHECK

Default Next:Q9-INTRO


Q9-INTRO []Section: Fertility

Now we'd like to ask you some questions about children.

Default Next:Q9-64FB
Lead-In:Q9-FILTER [Default]


Q9-64FB []Section: Fertility

[partner in hh?]==1 && [same sex partner]==1

COMMENT: Is a same sex partner reported?

If Answer = 1 Then Go To
Q9-RECCOUNT1

Default Next:Q9-64GB_4
Lead-In:Q9-INTRO [Default]


Q9-64GB_4 []Section: Fertility

[r previously report being surgically sterilized?]

COMMENT: R report being surgically sterilized in prior rounds?

If Answer = 1 Then Go To
Q9-RECCOUNT1

Default Next:Q9-64GB_5
Lead-In:Q9-64FB [Default]


Q9-64GB_5 []Section: Fertility

[RESPONDENT GENDER]==2 && [RESPAGEDLI]>52

If Answer = 1 Then Go To
Q9-RECCOUNT1

Default Next:Q9-64GC
Lead-In:Q9-64GB_4 [Default]


Q9-64GC []Section: Fertility

Have you had any operation to prevent pregnancy? That is have you [had (a vasectomy/your tubes tied or had a tubal ligation)] or has [your wife/husband/spouse/partner] [had (a vasectomy/her tubes tied or had a tubal ligation)]?

 1   Tubes tied only
 2   Vasectomy only
 3   Both tubes tied and vasectomy
 4   (IF VOLUNTEERED:) Hysterectomy only
 5   (IF VOLUNTEERED: Both hysterectomy and vasectomy
 6   No surgical procedure

Default Next:Q9-RECCOUNT1
Lead-In:Q9-64GB_5 [Default]


Q9-RECCOUNT1 []Section: Fertility

RECCOUNT ([biochild roster])

COMMENT: Count of biological children

If Answer = 0 Then Go To
Q9-2A

Default Next:Q9-2A1
Lead-In:Q9-64FB [1:1], Q9-64GB_4 [1:1], Q9-64GB_5 [1:1], Q9-64GC [Default]


Q9-2A []Section: Fertility

Our records show that you do not have any biological children. Is that correct?

 1   Yes   ...(Go To Q10-GENCHECK)
 0   No

Default Next:Q9-22BA
Lead-In:Q9-RECCOUNT1 [0:0]


Q9-2A1 []Section: Fertility

[RESPONDENT GENDER]

If Answer = 1 Then Go To
Q9-2A3

Default Next:Q9-2A2
Lead-In:Q9-RECCOUNT1 [Default]


Q9-2A2 []Section: Fertility

[RESPAGEDLI]>=50

COMMENT: Was female respondent aged 50 or older at the date of her last interview?

If Answer = 1 Then Go To
Q9-29GD

Default Next:Q9-2A3
Lead-In:Q9-2A1 [Default]


Q9-2A3 []Section: Fertility

[r previously report being surgically sterilized?]

COMMENT: Did R report being surgically sterilized in prior rounds?

If Answer = 1 Then Go To
Q9-29GD

Default Next:Q9-22B
Lead-In:Q9-2A1 [1:1], Q9-2A2 [Default]


Q9-22B []Section: Fertility

Have you had any biological children since [Date of last interview]?

 1   Yes   ...(Go To Q9-22BA)
 0   No

Default Next:Q9-29GD
Lead-In:Q9-2A3 [Default]


Q9-22BA []Section: Fertility

How many children have you [LINT_EVER]

Enter Number: 

Default Next:Q9-23-LOOP-BEGIN
Lead-In:Q9-22B [1:1], Q9-2A [Default]


Q9-23-LOOP-BEGIN []Section: Fertility

REPEAT

COMMENT: Begin Loop for adding new bio children.

Default Next:Q9-28
Lead-In:Q9-22BA [Default]


Q9-28 []Section: Fertility

What did you name the [first/ next] baby?


(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME. PLEASE RECORD FULL NAME OR FIRST AND LAST NAME. ENTERING A SINGLE/FIRST NAME ONLY MAY CAUSE DATA PROBLEMS LATER IN THE INTERVIEW.)

Enter: 

Default Next:Q9-28A
Lead-In:Q9-23-LOOP-BEGIN [Default]


Q9-28A []Section: Fertility

Was the baby a boy or a girl?

 1   Boy
 2   Girl

Default Next:Q9-28B
Lead-In:Q9-28 [Default]


Q9-28B []Section: Fertility

When was your child born?

(INTERVIEWER: YOU MUST ENTER A VALID YEAR IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)

Enter Date:  
MonthDayYear 

Default Next:Q9-28T-LOOP-END
Lead-In:Q9-28A [Default]


Q9-28T-LOOP-END []Section: Fertility

UNTIL([Q9-loop11 counter]==[# bio children since dli] || [# bio children since dli]<0)

COMMENT: loop end about new bio children

Default Next:Q9-NEWBIO-VERIFY
Lead-In:Q9-28B [Default]


Q9-NEWBIO-VERIFY []Section: Fertility

INTERVIEWER: BELOW IS A LIST OF THE NEW BIOLOGICAL [CHILDREN] YOU HAVE ADDED.

I'd like just verify this information with you.

[FOREACH]
I have CHILD NAME, a GENDER, born on BIRTHDATE. Is that correct?


INTERVIEWER: IF RESPONDENT SAYS INFORMATION IS CORRECT; HIT SUBMIT AND CONTINUE. OTHERWISE, CORRECT AS NEEDED BY SELECTING THE ROSTER LINE OF ANY CHILD NEEDING CORRECTION.


Default Next:Q9-29GD
Lead-In:Q9-28T-LOOP-END [Default]


Q9-29GD []Section: Fertility

[# bio children since dli] > 2

If Answer = 1 Then Go To
Q9-29GE

Default Next:Q9-BIOROS-COUNT2
Lead-In:Q9-2A2 [1:1], Q9-2A3 [1:1], Q9-22B [Default], Q9-NEWBIO-VERIFY [Default]


Q9-29GE []Section: Fertility

[# bio children since dli]== 2

If Answer = 1 Then Go To
Q9_29GF

Default Next:Q9-29HB-LOOP-BEGIN
Lead-In:Q9-29GD [1:1]


Q9_29GF []Section: Fertility

[Birth date of bio child born since dli(1)]==[Birth date of bio child born since dli(2)]

If Answer = 1 Then Go To
Q9-29HB-LOOP-BEGIN

Default Next:Q9-BIOROS-COUNT2
Lead-In:Q9-29GE [1:1]


Q9-29HB-LOOP-BEGIN []Section: Fertility

REPEAT

COMMENT: Start loop to check for twins/triplets/etc.

Default Next:Q9-29I
Lead-In:Q9_29GF [1:1], Q9-29GE [Default]


Q9-29I []Section: Fertility

(INTERVIEWER: CHECK FOR CHILDREN WITH THE SAME BIRTHDATE WHO DO NOT HAVE A 'YES' IN THE "TWIN" COLUMN. SELECT R'S RESPONSE BELOW.)



Q9-29J []Section: Fertility

(INTERVIEWER: FOR EACH PAIR OR GROUP OF CHILDREN WITH THE SAME BIRTHDATE BUT NOT IDENTIFIED AS TWINS/TRIPLETS/ETC., ASK:)

Is it correct that (READ NAMES OF CHILDREN) are (twins/triplets/etc.)?

(DO NOT RE-REPORT TWINS/TRIPLETS ALREADY IDENTIFIED.)

 0   NO (ADDITIONAL) TWINS/TRIPLETS/ETC. ON CHILD ROSTER
 1   ONE SET OF (ADDITIONAL) TWINS ON CHILD ROSTER
 2   ONE SET OF (ADDITIONAL) TRIPLETS ON CHILD ROSTER
 3   INCORRECT TWINS/TRIPLETS/ETC. IDENTIFIED ON CHILD ROSTER

Default Next:Q9-29J-CHK1
Lead-In:Q9-29I [Default]


Q9-29J-CHK1 []Section: Fertility

[Q9-29J([Q9-TWINLOOP])]

COMMENT: R report set of multiple birth child(ren) not yet marked on roster.

If Answer = 0 Then Go To
Q9-29QAA-LOOP-END
If Answer >= 1 AND Answer <= 2 Then Go To Q9-29L

Default Next:Q9-29K
Lead-In:Q9-29J [Default]


Q9-29K []Section: Fertility

INTERVIEWER: VERIFY THE BIRTHDATE INFORMATION FOR THE CHILDREN INCORRECTLY LISTED AS TWINS/TRIPLETS/ETC. USE BACK/LEFT ARROW AT TOP OF SCREEN AS NECESSARY TO CORRECT CHILD INFORMATION. IF RESPONDENT CONFIRMS BIRTHDATES LISTED, EXPLAIN IN AN INTERVIEWER COMMENT BY SELECTING "COMMENT" BUTTON NEXT TO QNAME.


Default Next:Q9-29QAA-LOOP-END
Lead-In:Q9-29J-CHK1 [Default]


Q9-29L []Section: Fertility

(INTERVIEWER: SELECT (FIRST/NEXT) (ADDITIONAL) SET OF (TWINS/TRIPLETS) ON ROSTER, AND IF SAME SEX, ASK:)

Are (READ NAMES OF SELECTED CHILDREN) identical (twins/triplets) or are they fraternal (twins/triplets)? (IF NOT SAME SEX, SELECT "FRATERNAL" IN BELOW .)



Q9-29M []Section: Fertility

(Are (READ NAMES OF SELECTED CHILDREN) identical (twins/triplets) or are they fraternal (twins/triplets)?)

(INTERVIEWER: IF (TWINS/TRIPLETS) NOT THE SAME SEX, THEY ARE "FRATERNAL".)

 1   IDENTICAL   ...(Go To Q9-29QAA-LOOP-END)
 2   FRATERNAL   ...(Go To Q9-29QAA-LOOP-END)

Default Next:Q9-29N
Lead-In:Q9-29L [Default]


Q9-29N []Section: Fertility

Are they (REPEAT NAMES OF CHILDREN IF NECESSARY) often mistaken for each other, or are they different enough to tell apart?

 1   Often mistaken for one another
 2   Different enough to tell apart

Default Next:Q9-29QAA-LOOP-END
Lead-In:Q9-29M [Default]


Q9-29QAA-LOOP-END []Section: Fertility

UNTIL([Q9-29J([Q9-twinloop])]==0 || [Q9-twinloop]==3)

COMMENT: END LOOP WHEN ALL SETS OF MULTIPLE BIRTHS ACCOUNTED FOR, OR HAVE PASSED THROUGH MAXIMUM OF 3 TIMES

Default Next:Q9-BIOROS-COUNT2
Lead-In:Q9-29J-CHK1 [0:0], Q9-29M [1:2], Q9-29K [Default], Q9-29N [Default]


Q9-BIOROS-COUNT2 []Section: Fertility

[total # bio children reported] > 0

COMMENT: Is there at least one child on BIOCHILD roster?

If Answer = 1 Then Go To
Q9-30-LOOP-BEGIN

Default Next:Q9-67A
Lead-In:Q9-29GD [Default], Q9_29GF [Default], Q9-29QAA-LOOP-END [Default]


Q9-30-LOOP-BEGIN []Section: Fertility

REPEAT

COMMENT: Begin loop to ask about residence/visitation of biological children

Default Next:Q9-30C
Lead-In:Q9-BIOROS-COUNT2 [1:1]


Q9-30C []Section: Fertility

[biological child status code([Q9-resloop])]

COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question

If Answer = 5 Then Go To
Q9-44
If Answer = 8 Then Go To Q9-44
If Answer = 99 Then Go To Q9-60-LOOP-END

Default Next:Q9-30D
Lead-In:Q9-30-LOOP-BEGIN [Default]


Q9-30D []Section: Fertility

Where does [name of biochild([Q9-resloop])] usually live?

If Answer = 8 Then Go To
Q9-30E
If Answer = 99 Then Go To Q9-60-LOOP-END

Default Next:Q9-30DB
Lead-In:Q9-30C [Default]


Q9-30DB []Section: Fertility

[Usual residence of biological child([Q9-resloop])]

COMMENT: Residence status of biological child

If Answer >= 2 AND Answer <= 4 Then Go To
Q9-44
If Answer = 5 Then Go To Q9-44
If Answer >= 6 AND Answer <= 7 Then Go To Q9-44
If Answer = 8 Then Go To Q9-30E
If Answer = 11 Then Go To Q9-44

Default Next:Q9-44
Lead-In:Q9-30D [Default]


Q9-30E []Section: Fertility

When did [name of biochild([Q9-resloop])] die?

Enter Date:  
MonthYear 

Default Next:Q9-44
Lead-In:Q9-30D [8:8], Q9-30DB [8:8]


Q9-44 []Section: Fertility

[Usual residence of biological child([Q9-resloop])]

COMMENT: Does first biological child live in household or with another person part time?

If Answer = 1 Then Go To
Q9-44A
If Answer = 5 Then Go To Q9-60-LOOP-END
If Answer = 8 Then Go To Q9-60-LOOP-END
If Answer = 9 Then Go To Q9-44A
If Answer = 10 Then Go To Q9-44A

Default Next:Q9-53
Lead-In:Q9-30C [5:5], Q9-30C [8:8], Q9-30DB [2:4], Q9-30DB [5:5], Q9-30DB [6:7], Q9-30DB [11:11], Q9-30DB [Default], Q9-30E [Default]


Q9-44A []Section: Fertility

[age of biochild([Q9-RESLOOP])]>18

If Answer = 1 Then Go To
Q9-44AA

Default Next:Q9-44AB
Lead-In:Q9-44 [1:1], Q9-44 [9:9], Q9-44 [10:10]


Q9-44AA []Section: Fertility

[Usual residence of biological child([Q9-RESLOOP])]==1

If Answer = 1 Then Go To
Q9-60-LOOP-END

Default Next:Q9-54AB
Lead-In:Q9-44A [1:1]


Q9-44AB []Section: Fertility

[Usual residence of biological child([Q9-resloop])]==9

COMMENT: Is biochild living part-time with R, part-time with other parent?

If Answer = 1 Then Go To
Q9-46A

Default Next:Q9-44C
Lead-In:Q9-44A [Default]


Q9-44C []Section: Fertility

[biochild_othparstat([Q9-resloop])]

COMMENT: Biological child's other parent in household at previous interview?

If Answer = 1 Then Go To
Q9-60-LOOP-END
If Answer = 2 Then Go To Q9-44CA

Default Next:Q9-45
Lead-In:Q9-44AB [Default]


Q9-44CA []Section: Fertility

[marital status code]==4

If Answer = 1 Then Go To
Q9-45

Default Next:Q9-50
Lead-In:Q9-44C [2:2]


Q9-45 []Section: Fertility

Does [name of biochild([Q9-resloop])]'s natural [father/mother] live in this household?

 1   Yes   ...(Go To Q9-60-LOOP-END)
 0   No

Default Next:Q9-46
Lead-In:Q9-44CA [1:1], Q9-44C [Default]


Q9-46 []Section: Fertility

Is [name of biochild([Q9-resloop])]'s [father/mother] living?

 1   Yes   ...(Go To Q9-46B)
 0   No

If Answer >= -2 AND Answer <= -1 Then Go To
Q9-46B

Default Next:Q9-48
Lead-In:Q9-45 [Default]


Q9-46A []Section: Fertility

[biochild_othparstat([Q9-resloop])] == 2

COMMENT: Biological child's other parent reported out of household at previous interview?

If Answer = 1 Then Go To
Q9-50

Default Next:Q9-46B
Lead-In:Q9-44AB [1:1]


Q9-46B []Section: Fertility

[age of biochild([Q9-RESLOOP])]>18

If Answer = 1 Then Go To
Q9-60-LOOP-END

Default Next:Q9-47
Lead-In:Q9-46 [-2:-1], Q9-46 [1:1], Q9-46A [Default]


Q9-47 []Section: Fertility

When did [name of biochild([Q9-resloop])]'s natural [father/mother] leave the household?

 1   SELECT TO ENTER DATE
 2   NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD   ...(Go To Q9-50)

If Answer >= -2 AND Answer <= -1 Then Go To
Q9-50

Default Next:Q9-47A
Lead-In:Q9-46B [Default]


Q9-47A []Section: Fertility

INTERVIEWER: ENTER MONTH AND YEAR [name of biochild([Q9-resloop])]'S NATURAL [father/mother] LEFT THE HOUSEHOLD.

Enter Date:  
MonthYear 

Default Next:Q9-50
Lead-In:Q9-47 [Default]


Q9-48 []Section: Fertility

What month and year did [name of biochild([Q9-resloop])]'s natural [father/mother] die?

Enter Date:  
MonthYear 

Default Next:Q9-60-LOOP-END
Lead-In:Q9-46 [Default]


Q9-50 []Section: Fertility

About how far from you does [name of biochild([Q9-resloop])]'s [father/mother] live? Is it...

 1   WITHIN 1 MILE
 2   1-10 MILES
 3   11-100 MILES
 4   101-200 MILES
 5   MORE THAN 200 MILES

Default Next:Q9-51
Lead-In:Q9-46A [1:1], Q9-47 [-2:-1], Q9-47 [2:2], Q9-44CA [Default], Q9-47A [Default]


Q9-51 []Section: Fertility

In the past 12 months, about how often has [name of biochild([Q9-resloop])] seen [his/her([Q9-resloop])] [father/mother]?

(IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [name of biochild([Q9-resloop])] has been separated from [his/her([Q9-resloop])] [father/mother], about how often has [name of biochild([Q9-resloop])] seen [his/her([Q9-resloop])] [father/mother]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q9-60-LOOP-END)

Default Next:Q9-52
Lead-In:Q9-50 [Default]


Q9-52 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)

Enter Number: 

Default Next:Q9-60-LOOP-END
Lead-In:Q9-51 [Default]


Q9-53 []Section: Fertility

About how far from you does [name of biochild([Q9-resloop])] live? Is it....

 1   WITHIN 1 MILE
 2   1-10 MILES
 3   11-100 MILES
 4   101-200 MILES
 5   MORE THAN 200 MILES

Default Next:Q9-54
Lead-In:Q9-44 [Default]


Q9-54 []Section: Fertility

In the past 12 months, about how often have you seen [name of biochild([Q9-resloop])]?

(IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [name of biochild([Q9-resloop])] has not been living with you, about how often have you seen [name of biochild([Q9-resloop])]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never

Default Next:Q9-54A
Lead-In:Q9-53 [Default]


Q9-54A []Section: Fertility

[age of biochild([Q9-RESLOOP])]>18

If Answer = 1 Then Go To
Q9-54AB

Default Next:Q9-54B
Lead-In:Q9-54 [Default]


Q9-54AB []Section: Fertility

How often in the past year have you had contact with [name of biochild([Q9-resloop])], by means such as card, letter, e-mail, text or facebook message, skype or phone call?

(INTERVIEWER: READ CATEGORIES ONLY IF NECESSARY)

 1   Not at all
 2   About once a year or less
 3   Several times a year
 4   About once a month
 5   Two or three times a month
 6   Once a week
 7   Several times a week
 8   Every day

Default Next:Q9-60-LOOP-END
Lead-In:Q9-54A [1:1], Q9-44AA [Default]


Q9-54B []Section: Fertility

[NUMVISITS]==0

If Answer = 1 Then Go To
Q9-56

Default Next:Q9-55
Lead-In:Q9-54A [Default]


Q9-55 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)

Enter Number: 

Default Next:Q9-56
Lead-In:Q9-54B [Default]


Q9-56 []Section: Fertility

When did [name of biochild([Q9-resloop])] last live with you?

 1   SELECT TO ENTER DATE   ...(Go To Q9-57)
 0   NEVER LIVED WITH R

Default Next:Q9-60-LOOP-END
Lead-In:Q9-54B [1:1], Q9-55 [Default]


Q9-57 []Section: Fertility

(When did [name of biochild([Q9-resloop])] last live with you?)

(ENTER DATE)

Enter Date:  
MonthYear 

Default Next:Q9-58
Lead-In:Q9-56 [1:1]


Q9-58 []Section: Fertility

(Were/Was) there any period(s) of more than three consecutive months when [name of biochild([Q9-resloop])] did not live with you before that time?

 1   Yes
 0   No
 2   CHILD IS LESS THAN THREE MONTHS OLD

Default Next:Q9-60-LOOP-END
Lead-In:Q9-57 [Default]


Q9-60-LOOP-END []Section: Fertility

UNTIL([Q9-resloop]==[total # bio children reported])

COMMENT: end loop.

Default Next:Q9-67A
Lead-In:Q9-30C [99:99], Q9-30D [99:99], Q9-44 [5:5], Q9-44 [8:8], Q9-44AA [1:1], Q9-44C [1:1], Q9-45 [1:1], Q9-46B [1:1], Q9-51 [0:0], Q9-48 [Default], Q9-52 [Default], Q9-54AB [Default], Q9-56 [Default], Q9-58 [Default]


Q9-67A []Section: Fertility

[RESPONDENT GENDER]==1

COMMENT: Is respondent male?

If Answer = 1 Then Go To
Q10-GENCHECK

Default Next:Q9-FEM52-AGECHK1
Lead-In:Q9-BIOROS-COUNT2 [Default], Q9-60-LOOP-END [Default]


Q9-FEM52-AGECHK1 []Section: Fertility

[ageatdli] > 52

COMMENT: Female R over 52 years old currently or at last interview?

If Answer = 1 Then Go To
Q9-72

Default Next:Q9-68C
Lead-In:Q9-67A [Default]


Q9-68C []Section: Fertility

[type of dwelling unit] == 5

If Answer = 0 Then Go To
Q9-69B

Default Next:Q9-72
Lead-In:Q9-FEM52-AGECHK1 [Default]


Q9-69B []Section: Fertility

[# bio children since dli] > 0

COMMENT: Were any children born since last interview?

If Answer = 0 Then Go To
Q9-69G
If Answer = 1 Then Go To Q9-69G

Default Next:Q9-69F
Lead-In:Q9-68C [0:0]


Q9-69F []Section: Fertility

[r previously report being surgically sterilized?] == 1

If Answer = 1 Then Go To
Q9-72

Default Next:Q9-69G
Lead-In:Q9-69B [Default]


Q9-69G []Section: Fertility

[ageatdli] > 48 || [R's age] > 48

COMMENT: Female R over 48 years old currently or at last interview?

If Answer = 1 Then Go To
Q9-72

Default Next:Q9-70A
Lead-In:Q9-69B [0:0], Q9-69B [1:1], Q9-69F [Default]


Q9-70A []Section: Fertility

[pregtext1] you had any [pregtext2] pregnancies since [fertrefdate~X]?


INTERVIEWER: BY OTHER PREGNANCIES, WE MEAN:

- ANY CURRENT PREGNANCY

- ANY PREGNANCIES WHICH DID NOT END IN A LIVE BIRTH. THESE SHOULD NOT BE PREGNANCIES WHICH RESULTED IN THE BIRTH OF [pregtext3]

 1   Yes   ...(Go To Q9-70B)
 0   No

Default Next:Q9-72
Lead-In:Q9-69G [Default]


Q9-70B []Section: Fertility

[pregtext5] many [pregtext2] pregnancies have you had since [fertrefdate~X]?

(INTERVIEWER: IF R IS CURRENTLY PREGNANT, PLEASE COUNT THAT PREGNANCY.)

Enter Number: 

Default Next:Q9-70B2
Lead-In:Q9-70A [1:1]


Q9-70B2 []Section: Fertility

[pregtext6] end in an abortion?

 1   Yes   ...(Go To Q9-70B3)
 0   No

Default Next:Q9-72
Lead-In:Q9-70B [Default]


Q9-70B3 []Section: Fertility

[numothpreg]

If Answer >= 0 AND Answer <= 1 Then Go To
Q9-72

Default Next:Q9-70B4
Lead-In:Q9-70B2 [1:1]


Q9-70B4 []Section: Fertility

How many of those pregnancies ended in abortion?

Enter Number: 

Default Next:Q9-72
Lead-In:Q9-70B3 [Default]


Q9-72 []Section: Fertility

[total # bio children reported] > 0

COMMENT: Has R ever had any children?

If Answer = 1 Then Go To
Q9-73

Default Next:Q10-GENCHECK
Lead-In:Q9-FEM52-AGECHK1 [1:1], Q9-69F [1:1], Q9-69G [1:1], Q9-70B3 [0:1], Q9-68C [Default], Q9-70A [Default], Q9-70B2 [Default], Q9-70B4 [Default]


Q9-73 []Section: Fertility

[# bio children since dli] >= 1

COMMENT: Has R had any live births since 2004 or prior interview?

If Answer = 1 Then Go To
Q9-73Z-LOOP-BEGIN

Default Next:Q9-SKID-15C
Lead-In:Q9-72 [1:1]


Q9-73Z-LOOP-BEGIN []Section: Fertility

REPEAT

COMMENT: Copy name of child resulting from first pregnancy since date of 2004 or prior interview.

Default Next:Q9-73ZE_2
Lead-In:Q9-73 [1:1]


Q9-73ZE_2 []Section: Fertility

INTERVIEWER: THE FOLLOWING QUESTIONS REFER TO THE PREGNANCY THAT RESULTED IN THE BIRTH OF [name of bio child born since dli([Q9-loop16 counter])], WHO WAS BORN ON [NEWBIO_BDATE([Q9-loop16 counter])~X].

Default Next:Q9-74A1
Lead-In:Q9-73Z-LOOP-BEGIN [Default]


Q9-74A1 []Section: Fertility

[Q9-loop16 counter] == 1

If Answer = 0 Then Go To
Q9-74A2

Default Next:Q9-74A3
Lead-In:Q9-73ZE_2 [Default]


Q9-74A2 []Section: Fertility

[live-birth pregnancy result in multiple births?([loop index])] >= 1

COMMENT: WAS THIS A MULTIPLE BIRTH - REPORTED IN LAST LOOP?

If Answer = 0 Then Go To
Q9-74B

Default Next:Q9-76E
Lead-In:Q9-74A1 [0:0]


Q9-74A3 []Section: Fertility

[numtwins]==0

If Answer = 1 Then Go To
Q9-76E

Default Next:Q9-74B
Lead-In:Q9-74A1 [Default]


Q9-74B []Section: Fertility

INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE BACK/LEFT ARROW AT TOP OF SCREEN IF NECESSARY TO CHECK THE ROSTER.

 1   Yes
 0   No

Default Next:Q9-76E
Lead-In:Q9-74A2 [0:0], Q9-74A3 [Default]


Q9-76E []Section: Fertility

[Q9-loop16 counter] == 1

COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?

If Answer = 0 Then Go To
Q9-76F

Default Next:Q9-77
Lead-In:Q9-74A3 [1:1], Q9-74A2 [Default], Q9-74B [Default]


Q9-76F []Section: Fertility

[live-birth pregnancy result in multiple births?([loop index])] >= 1

COMMENT: WAS THIS REPORTED AS A MULTIPLE BIRTH IN LAST LOOP?

If Answer = 1 Then Go To
Q9-118A000001

Default Next:Q9-77
Lead-In:Q9-76E [0:0]


Q9-77 []Section: Fertility

When did you become pregnant with [name of child born since dli]? What month and year?

Enter Date:  
MonthYear 

Default Next:Q9-78
Lead-In:Q9-76E [Default], Q9-76F [Default]


Q9-78 []Section: Fertility

Just before you became pregnant with [name of child born since dli], did you use any methods such as abstinence, withdrawal, rhythm, natural family planning methods, the pill or any other methods, to keep from getting pregnant?

(INTERVIEWER: PLEASE SEE HELP SCREEN LISTING MANY POSSIBLE BIRTH CONTROL METHODS. READ METHODS TO RESPONDENT ONLY AS NECESSARY.)

 1   Yes
 0   No   ...(Go To Q9-80)

Default Next:Q9-79
Lead-In:Q9-77 [Default]


Q9-79 []Section: Fertility

Had you stopped all methods before you became pregnant?

 1   Yes   ...(Go To Q9-80)
 0   No

Default Next:Q9-81
Lead-In:Q9-78 [Default]


Q9-80 []Section: Fertility

Was the reason you (were not/stopped) using any methods because you yourself wanted to become pregnant?

 1   Yes   ...(Go To Q9-82)
 0   No

Default Next:Q9-81
Lead-In:Q9-78 [0:0], Q9-79 [1:1]


Q9-81 []Section: Fertility

Just before you became pregnant that time, did you want to become pregnant when you did?

(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q9-82
Lead-In:Q9-79 [Default], Q9-80 [Default]


Q9-82 []Section: Fertility

And what about [your wife/husband/spouse/partner] when you became pregnant that time -- did (he/she) want you to have (a/another) baby?

(IF NO, PROBE:) Did (he/she) want you to have (a/another) baby but not at that time, or did (he/she) want you to have (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q9-83
Lead-In:Q9-80 [1:1], Q9-81 [Default]


Q9-83 []Section: Fertility

During your pregnancy with [name of child born since dli], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?

 1   Yes   ...(Go To Q9-84)
 0   No

Default Next:Q9-85
Lead-In:Q9-82 [Default]


Q9-84 []Section: Fertility

When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?

(ENTER MONTH NUMBER)

Enter Number: 

Default Next:Q9-85
Lead-In:Q9-83 [1:1]


Q9-85 []Section: Fertility

Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [name of child born since dli] was born?

 1   Yes   ...(Go To Q9-86)
 0   No

Default Next:Q9-87
Lead-In:Q9-83 [Default], Q9-84 [Default]


Q9-86 []Section: Fertility

How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q9-87
Lead-In:Q9-85 [1:1]


Q9-87 []Section: Fertility

Did you smoke tobacco cigarettes at all during the 12 months before [name of child born since dli] was born?

 1   Yes   ...(Go To Q9-88)
 0   No

Default Next:Q9-89
Lead-In:Q9-85 [Default], Q9-86 [Default]


Q9-88 []Section: Fertility

On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?

 3   2 or more packs a day
 2   1 or more but less than 2
 1   Less than 1 pack a day
 0   (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD

Default Next:Q9-89
Lead-In:Q9-87 [1:1]


Q9-89 []Section: Fertility

Did you use marijuana or hashish at all during the 12 months before [name of child born since dli] was born?

 1   Yes   ...(Go To Q9-90)
 0   No

Default Next:Q9-91
Lead-In:Q9-87 [Default], Q9-88 [Default]


Q9-90 []Section: Fertility

On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ...

(READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q9-91
Lead-In:Q9-89 [1:1]


Q9-91 []Section: Fertility

Did you use any form of cocaine at all during the 12 months before [name of child born since dli] was born?

 1   Yes   ...(Go To Q9-92)
 0   No

Default Next:Q9-93
Lead-In:Q9-89 [Default], Q9-90 [Default]


Q9-92 []Section: Fertility

On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ...

(READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q9-93
Lead-In:Q9-91 [1:1]


Q9-93 []Section: Fertility

During (your/that) pregnancy, did you take a vitamin/mineral supplement?

 1   Yes   ...(Go To Q9-99B)
 0   No

Default Next:Q9-94
Lead-In:Q9-91 [Default], Q9-92 [Default]


Q9-99B []Section: Fertility

Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q9-94
Lead-In:Q9-93 [1:1]


Q9-94 []Section: Fertility

During (your/that) pregnancy, did you cut down on the calories in the food you ate?

 1   Yes   ...(Go To Q9-100B)
 0   No

Default Next:Q9-95
Lead-In:Q9-93 [Default], Q9-99B [Default]


Q9-100B []Section: Fertility

Did you cut down on the calories in the food you ate based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q9-95
Lead-In:Q9-94 [1:1]


Q9-95 []Section: Fertility

During (your/that) pregnancy, did you cut down on the amount of salt you used?

 1   Yes   ...(Go To Q9-101B)
 0   No

Default Next:Q9-96
Lead-In:Q9-94 [Default], Q9-100B [Default]


Q9-101B []Section: Fertility

Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q9-96
Lead-In:Q9-95 [1:1]


Q9-96 []Section: Fertility

During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?

 1   Yes   ...(Go To Q9-102B)
 0   No

Default Next:Q9-97
Lead-In:Q9-95 [Default], Q9-101B [Default]


Q9-102B []Section: Fertility

Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q9-97
Lead-In:Q9-96 [1:1]


Q9-97 []Section: Fertility

During (your/that) pregnancy, did you reduce or stop your smoking?

 1   YES   ...(Go To Q9-103B)
 0   NO
 4   NOT APPLICABLE

Default Next:Q9-98
Lead-In:Q9-96 [Default], Q9-102B [Default]


Q9-103B []Section: Fertility

Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q9-98
Lead-In:Q9-97 [1:1]


Q9-98 []Section: Fertility

During (your/that) pregnancy, did you reduce or stop your alcohol intake?

 1   YES   ...(Go To Q9-104B)
 0   NO
 4   NOT APPLICABLE

Default Next:Q9-105
Lead-In:Q9-97 [Default], Q9-103B [Default]


Q9-104B []Section: Fertility

Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q9-105
Lead-In:Q9-98 [1:1]


Q9-105 []Section: Fertility

Based on either your last menstrual period date or your doctor's or clinic's information, was [name of child born since dli] born within one week of the expected (due) date?

 1   Yes
 0   No   ...(Go To Q9-106A)

Default Next:Q9-107
Lead-In:Q9-98 [Default], Q9-104B [Default]


Q9-106A []Section: Fertility

Was the baby born early or late?

 1   Early   ...(Go To Q9-106B)
 2   Late   ...(Go To Q9-106C)

Default Next:Q9-107
Lead-In:Q9-105 [0:0]


Q9-106B []Section: Fertility

How many weeks early was the baby?

(IF "1 1/2 WEEKS" ROUND UP TO "2".)

Enter Number: 

Default Next:Q9-107
Lead-In:Q9-106A [1:1]


Q9-106C []Section: Fertility

How many weeks late was the baby?

(IF "1 1/2 WEEKS" ROUND UP TO "2".)

Enter Number: 

Default Next:Q9-107
Lead-In:Q9-106A [2:2]


Q9-107 []Section: Fertility

Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?

 1   Yes   ...(Go To Q9-108)
 0   No

Default Next:Q9-109
Lead-In:Q9-105 [Default], Q9-106A [Default], Q9-106B [Default], Q9-106C [Default]


Q9-108 []Section: Fertility

Was this your first cesarean section, or did you have one before?

 1   First cesarean
 0   Had cesarean(s) before

Default Next:Q9-109
Lead-In:Q9-107 [1:1]


Q9-109 []Section: Fertility

What was your weight just before you delivered?

Enter Number: 

Default Next:Q9-110
Lead-In:Q9-107 [Default], Q9-108 [Default]


Q9-110 []Section: Fertility

What was your weight just before you became pregnant with [name of child born since dli]?

Enter Number: 

Default Next:Q9-111
Lead-In:Q9-109 [Default]


Q9-111 []Section: Fertility

[r's weight before delivery] >= 0 && [r's weight before pregnancy] >= 0

COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?

If Answer = 0 Then Go To
Q9-118A000001

Default Next:Q9-112
Lead-In:Q9-110 [Default]


Q9-112 []Section: Fertility

[r's weight before delivery] - [r's weight before pregnancy]

COMMENT: Subtract weight at time of delivery from weight before pregnancy.

If Answer = 0 Then Go To
Q9-116

Default Next:Q9-113
Lead-In:Q9-111 [Default]


Q9-113 []Section: Fertility

[r's weight before delivery] < [r's weight before pregnancy]

COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?

If Answer = 0 Then Go To
Q9-115
If Answer = 1 Then Go To Q9-114B

Default Next:Q9-117
Lead-In:Q9-112 [Default]


Q9-114B []Section: Fertility

Does that mean that you lost [amount respondent gained/loss during pregnancy since dli] pounds during your pregnancy?

(INTERVIEWER: IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight before delivery]) AND Q9-110 ([r's weight before pregnancy]). BACK UP USING BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q9-118A000001
Lead-In:Q9-113 [1:1]


Q9-115 []Section: Fertility

Does that mean that you gained [amount respondent gained/loss during pregnancy since dli] pounds during your pregnancy?

(INTERVIEWER: IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight before delivery]) AND Q9-110 ([r's weight before pregnancy]). BACK UP USING BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q9-118A000001
Lead-In:Q9-113 [0:0]


Q9-116 []Section: Fertility

Does that mean that you did not gain or lose any weight during your pregnancy?

(INTERVIEWER: IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight before delivery]) AND Q9-110 ([r's weight before pregnancy]). BACK UP USING BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q9-118A000001
Lead-In:Q9-112 [0:0]


Q9-117 []Section: Fertility

Did you gain or lose weight during your pregnancy with [name of child born since dli]?

 1   GAINED WEIGHT   ...(Go To Q9-117A)
 2   LOST WEIGHT   ...(Go To Q9-117A)
 3   DID NOT GAIN OR LOSE ANY WEIGHT

Default Next:Q9-118A000001
Lead-In:Q9-113 [Default]


Q9-117A []Section: Fertility

How much weight did you (gain/lose)?

(ENTER NUMBER OF POUNDS)

Enter Number: 

Default Next:Q9-118A000001
Lead-In:Q9-117 [1:2]


Q9-118A000001 []Section: Fertility

How much did [name of child born since dli] weigh at birth?
(INTERVIEWER: ENTER POUNDS AND OUNCES BELOW.)

POUNDS: 


Q9-118A000002 []Section: Fertility

OUNCES: 

Default Next:Q9-118B
Lead-In:Q9-118A000001 [Default]


Q9-118B []Section: Fertility

([weight of baby in pounds([Q9-loop16 counter])] == -1 || [weight of baby in pounds([Q9-loop16 counter])]== -2 || [weight of baby in ounces([Q9-loop16 counter])] == -1 || [weight of baby in ounces([Q9-loop16 counter])]==-2)

COMMENT: If birth weight missing, go to estimate

If Answer = 1 Then Go To
Q9-118C

Default Next:Q9-119
Lead-In:Q9-118A000002 [Default]


Q9-118C []Section: Fertility

Did [name of child born since dli] weigh more than 5 1/2 pounds or less?

 1   More
 2   Less

Default Next:Q9-119
Lead-In:Q9-118B [1:1]


Q9-119 []Section: Fertility

What was [name of child born since dli]'s length at birth?

(ENTER INCHES)

Enter Number: 


Q9-119A []Section: Fertility

INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?

 1   Yes
 0   No

Default Next:Q9-120
Lead-In:Q9-119 [Default]


Q9-120 []Section: Fertility

How long did your baby stay in the hospital?

 1   SELECT TO ENTER NUMBER OF DAYS
 0   BABY/RESPONDENT DID NOT STAY IN HOSPITAL   ...(Go To Q9-123)

Default Next:Q9-120A
Lead-In:Q9-119A [Default]


Q9-120A []Section: Fertility

(How long did your baby stay in the hospital?)

(ENTER NUMBER OF DAYS)

Enter Number: 

Default Next:Q9-121
Lead-In:Q9-120 [Default]


Q9-121 []Section: Fertility

Did you leave the hospital at the same time as your baby or did you leave earlier or later?

 1   Same time
 2   Earlier   ...(Go To Q9-122A)
 3   Later   ...(Go To Q9-122B)
 4   BABY STILL IN HOSPITAL   ...(Go To Q9-158D-LOOP-END)
 5   BABY DIED IN HOSPITAL   ...(Go To Q9-158D-LOOP-END)

Default Next:Q9-123
Lead-In:Q9-120A [Default]


Q9-122A []Section: Fertility

How many days earlier?

Enter Number: 

Default Next:Q9-123
Lead-In:Q9-121 [2:2]


Q9-122B []Section: Fertility

How many days later?

Enter Number: 

Default Next:Q9-123
Lead-In:Q9-121 [3:3]


Q9-123 []Section: Fertility

In [name of child born since dli]'s first year, did you take [him/her] to a clinic, hospital, or doctor because [he/she] was sick or injured?

(IF BABY "ADOPTED OUT"/"DECEASED" AND R IS RELUCTANT, SAY:) We appreciate how difficult this is, but [name of child born since dli]'s experiences are important in helping us understand the health of other children like [him/her].

 1   Yes   ...(Go To Q9-124)
 0   No

Default Next:Q9-143
Lead-In:Q9-120 [0:0], Q9-121 [Default], Q9-122A [Default], Q9-122B [Default]


Q9-124 []Section: Fertility

When you took [name of child born since dli] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?

(INTERVIEWER: RECORD VERBATIM. SELECT <SUBMIT AND CONTINUE> TO PROCEED FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)

Enter: 


Q9-124A []Section: Fertility

(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. SELECT <SUBMIT AND CONTINUE> TO CODE SYMPTOMS MENTIONED FOR THIS ILLNESS OR INJURY.IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE: What was the main illness or injury?)

 1   fever
 2   cold
 3   sore throat
 4   pneumonia
 5   ear infection
 6   vomiting, diarrhea, or dehydration
 7   rash
 15   broken bone
 16   burn
 8   other accident or poisoning
 9   convulsions
 10   jaundice
 11   feeding problems (food allergy, formula tolerance, etc.)
 12   meningitis
 13   asthma or bronchitis
 14   other (SPECIFY)
 0   None

Default Next:Q9-125
Lead-In:Q9-124 [Default]


Q9-125 []Section: Fertility

Please tell me which symptoms or conditions occurred with (the/a) [main illness - child's first visit to clinic].

(INTERVIEWER: SELECT ALL THAT APPLY AND SELECT "COMMENT" BUTTON BESIDE QNAME TO RECORD VERBATIM IN COMMENT. DO NOT RESELECT MAIN ILLNESS OR INJURY RECORDED IN Q9-124. PROBE AND READ CATEGORIES AS NECESSARY.)

 1   fever
 2   cold
 3   sore throat
 4   pneumonia
 5   ear infection
 6   vomiting, diarrhea, or dehydration
 7   rash
 15   broken bone
 16   burn
 8   other accident or poisoning
 9   convulsions
 10   jaundice
 11   feeding problems (food allergy, formula tolerance, etc.)
 12   meningitis
 13   asthma or bronchitis
 14   other (SPECIFY)
 0   None

Default Next:Q9-126
Lead-In:Q9-124A [Default]


Q9-126 []Section: Fertility

How many months old was [name of child born since dli] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [main illness - child's first visit to clinic]?

(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)

Enter Number: 

Default Next:Q9-127
Lead-In:Q9-125 [Default]


Q9-127 []Section: Fertility

In [name of child born since dli]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because [he/she] had (that) [main illness - child's first visit to clinic]?

Enter Number: 
If Answer = 1 Then Go To
Q9-129

Default Next:Q9-128
Lead-In:Q9-126 [Default]


Q9-128 []Section: Fertility

In [name of child born since dli]'s first year, how many months old was [he/she] the last time you took [him/her] to a clinic or doctor for (that) [main illness - child's first visit to clinic]?

Enter Number: 

Default Next:Q9-129
Lead-In:Q9-127 [Default]


Q9-129 []Section: Fertility

In [name of child born since dli]'s first year, when you took [him/her] to a clinic, hospital, or doctor because [he/she] had (that) [main illness - child's first visit to clinic], where did you take [him/her]?

 1   Private doctor's office
 2   Clinic
 4   Health maintenance organization (HMO)
 5   Hospital
 6   Community health center
 8   Other (SPECIFY)
 12   (IF VOLUNTEERED: Military doctor or army hospital or clinic)

Default Next:Q9-130B
Lead-In:Q9-127 [1:1], Q9-128 [Default]


Q9-130B []Section: Fertility

INSELECTION([Q9-129([Q9-loop16 counter])],5)

COMMENT: Was child from first pregnancy admitted to hospital for first illness in first year of life?

If Answer = 1 Then Go To
Q9-131

Default Next:Q9-133
Lead-In:Q9-129 [Default]


Q9-131 []Section: Fertility

When [name of child born since dli] was admitted to the hospital, was surgery necessary?

 1   Yes
 0   No


Q9-132 []Section: Fertility

Did you have to take time off from work?

 1   Yes
 0   No
 2   Not working

Default Next:Q9-133
Lead-In:Q9-131 [Default]


Q9-133 []Section: Fertility

In [name of child born since dli]'s first year, did you take [him/her] to a clinic, hospital, or doctor because [he/she] was sick or injured with a different illness or injury than the one we have just talked about?

 1   Yes   ...(Go To Q9-134)
 0   No

Default Next:Q9-143
Lead-In:Q9-130B [Default], Q9-132 [Default]


Q9-134 []Section: Fertility

What was the nature of this other illness or injury?

(INTERVIEWER: RECORD VERBATIM. SELECT <SUBMIT AND CONTINUE> TO PROCEED FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)

Enter: 

Default Next:Q9-134A
Lead-In:Q9-133 [1:1]


Q9-134A []Section: Fertility

(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. SELECT <SUBMIT AND CONTINUE> TO CODE SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?

 1   fever
 2   cold
 3   sore throat
 4   pneumonia
 5   ear infection
 6   vomiting, diarrhea, or dehydration
 7   rash
 15   broken bone
 16   burn
 8   other accident or poisoning
 9   convulsions
 10   jaundice
 11   feeding problems (food allergy, formula tolerance, etc.)
 12   meningitis
 13   asthma or bronchitis
 14   other (SPECIFY)
 0   None

Default Next:Q9-135
Lead-In:Q9-134 [Default]


Q9-135 []Section: Fertility

Please tell me which symptoms or conditions occurred with (the/a) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other].

(INTERVIEWER: SELECT ALL THAT APPLY AND SELECT "COMMENT" BUTTON BESIDE QNAME TO RECORD VERBATIM IN COMMENT. DO NOT RESELECT MAIN ILLNESS OR INJURY RECORDED IN Q9-134. PROBE AND READ CATEGORIES AS NECESSARY.)

 1   fever
 2   cold
 3   sore throat
 4   pneumonia
 5   ear infection
 6   vomiting, diarrhea, or dehydration
 7   rash
 15   broken bone
 16   burn
 8   other accident or poisoning
 9   convulsions
 10   jaundice
 11   feeding problems (food allergy, formula tolerance, etc.)
 12   meningitis
 13   asthma or bronchitis
 14   other (SPECIFY)
 0   None

Default Next:Q9-136
Lead-In:Q9-134A [Default]


Q9-136 []Section: Fertility

How many months old was [name of child born since dli] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other]?

(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)

Enter Number: 

Default Next:Q9-137
Lead-In:Q9-135 [Default]


Q9-137 []Section: Fertility

In [name of child born since dli]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because [he/she] had (that) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other]?

Enter Number: 
If Answer = 1 Then Go To
Q9-139

Default Next:Q9-138
Lead-In:Q9-136 [Default]


Q9-138 []Section: Fertility

In [name of child born since dli]'s first year, how many months old was [he/she] the last time you took [him/her] to a clinic or doctor for (that) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other]?

Enter Number: 

Default Next:Q9-139
Lead-In:Q9-137 [Default]


Q9-139 []Section: Fertility

In [name of child born since dli]'s first year, when you took [him/her] to a clinic, hospital, or doctor because [he/she] had (that) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other], where did you take [him/her]?

 1   Private doctor's office
 2   Clinic
 4   Health maintenance organization (HMO)
 5   Hospital
 6   Community health center
 8   Other (SPECIFY)
 12   (IF VOLUNTEERED: Military doctor or army hospital or clinic)

Default Next:Q9-140B
Lead-In:Q9-137 [1:1], Q9-138 [Default]


Q9-140B []Section: Fertility

INSELECTION([Q9-139([Q9-loop16 counter])],5)

COMMENT: Was child from first pregnancy admitted to hospital for second illness in first year of life?

If Answer = 1 Then Go To
Q9-141

Default Next:Q9-143
Lead-In:Q9-139 [Default]


Q9-141 []Section: Fertility

When [name of child born since dli] was admitted to the hospital, was surgery necessary?

 1   Yes
 0   No


Q9-142 []Section: Fertility

Did you have to take time off from work?

 1   Yes
 0   No
 2   Not working

Default Next:Q9-143
Lead-In:Q9-141 [Default]


Q9-143 []Section: Fertility

Now please think about well baby care.

In [name of child born since dli]'s first year, did you take [him/her] to a clinic or doctor for well baby care when [he/she] was not sick?

(INTERVIEWER: IF RESPONDENT SAYS "YES", BUT DOES NOT KNOW MONTHS, ENCOURAGE R TO ESTIMATE MONTHS OF AGE IF AT ALL POSSIBLE.

IF RESPONDENT CAN NOT ESTIMATE, CHOOSE "TOOK CHILD FOR WELL BABY CARE, DO NOT KNOW ANY MONTHS" IN LIST BELOW.)

 1   YES   ...(Go To Q9-144A)
 0   NO
 2   DID TAKE CHILD FOR WELL BABY CARE, DO NOT KNOW ANY MONTHS   ...(Go To Q9-145B)

Default Next:Q9-158D-LOOP-END
Lead-In:Q9-123 [Default], Q9-133 [Default], Q9-140B [Default], Q9-142 [Default]


Q9-144A []Section: Fertility

How many months old was [name of child born since dli] when you took [him/her] to a clinic or doctor for well baby care the first time?.....

How old was [he/she] the next time?

(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED.)

(SELECT ALL THAT APPLY)

 1   1 month old
 2   2 months old
 3   3 months old
 4   4 months old
 5   5 months old
 6   6 months old
 7   7 months old
 8   8 months old
 9   9 months old
 10   10 months old
 11   11 months old
 12   12 months old

Default Next:Q9-146A-LOOP-BEGIN
Lead-In:Q9-143 [1:1]


Q9-145B []Section: Fertility

Where did you usually take [name of child born since dli] for well baby care? Was it a .... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office   ...(Go To Q9-145B_D)
 2   Clinic   ...(Go To Q9-145B_A)
 4   Health maintenance organization (HMO)
 5   Hospital   ...(Go To Q9-145B_B)
 6   Community health center
 8   Other (SPECIFY)
 12   (IF VOLUNTEERED: Military doctor or army hospital or clinic)

Default Next:Q9-158D-LOOP-END
Lead-In:Q9-143 [2:2]


Q9-145B_A []Section: Fertility

What type of clinic was that? Was it a private clinic, a public clinic, a hospital or walk-in clinic, or some other type of clinic?

 1   Private clinic
 2   Public Clinic
 3   Hospital clinic, walk-in clinic
 4   Other type of clinic (specify)

Default Next:Q9-158D-LOOP-END
Lead-In:Q9-145B [2:2]


Q9-145B_B []Section: Fertility

Was [name of child born since dli] admitted to the hospital?

 1   Yes
 0   No   ...(Go To Q9-145B_C)

Default Next:Q9-158D-LOOP-END
Lead-In:Q9-145B [5:5]


Q9-145B_C []Section: Fertility

Did you take [name of child born since dli] to a hospital clinic or a hospital emergency room?

 1   Hospital clinic
 2   Emergency room

Default Next:Q9-158D-LOOP-END
Lead-In:Q9-145B_B [0:0]


Q9-145B_D []Section: Fertility

Was the private doctor's office you took [name of child born since dli] to paid for by a Health Maintenance Organization (HMO)?

 1   Yes
 0   No

Default Next:Q9-158D-LOOP-END
Lead-In:Q9-145B [1:1]


Q9-146A-LOOP-BEGIN []Section: Fertility

FOR ([months old]=1;[months old]<=12;[months old]=[months old]+1;[Q9-147A-LOOP-END])

COMMENT: start loop to ask where baby was taken for well care

Default Next:Q9-146AA
Lead-In:Q9-144A [Default]


Q9-146AA []Section: Fertility

INSELECTION([Q9-144A([Q9-loop16 counter])], [months old])

COMMENT: start loop to ask where baby was taken for well care

If Answer = 1 Then Go To
Q9-146B

Default Next:Q9-147A-LOOP-END
Lead-In:Q9-146A-LOOP-BEGIN [Default]


Q9-146B []Section: Fertility

When you took [name of child born since dli] for well baby care when [he/she] was [text equilvalent of number of months r took new baby since dli for well baby care], where did you take [him/her]?

Was it a .... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office   ...(Go To Q9-146B_D)
 2   Public clinic   ...(Go To Q9-146B_A)
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic   ...(Go To Q9-146B_B)
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)

Default Next:Q9-147A-LOOP-END
Lead-In:Q9-146AA [1:1]


Q9-146B_A []Section: Fertility

What type of clinic was that? Was it a private clinic, a public clinic, a hospital or walk-in clinic, or some other type of clinic?

 1   Private clinic
 2   Public Clinic
 3   Hospital clinic, walk-in clinic
 4   Other type of clinic (specify)

Default Next:Q9-147A-LOOP-END
Lead-In:Q9-146B [2:2]


Q9-146B_B []Section: Fertility

Was [name of child born since dli] admitted to the hospital?

 1   YES
 0   NO   ...(Go To Q9-146B_C)

Default Next:Q9-147A-LOOP-END
Lead-In:Q9-146B [5:5]


Q9-146B_C []Section: Fertility

Did you take [name of child born since dli] to a hospital clinic or a hospital emergency room?

 1   Hospital clinic
 2   Emergency room

Default Next:Q9-147A-LOOP-END
Lead-In:Q9-146B_B [0:0]


Q9-146B_D []Section: Fertility

Was the private doctor's office you took [name of child born since dli] to for well baby care when [he/she] was [text equilvalent of number of months r took new baby since dli for well baby care], paid for by a Health Maintenance Organization (HMO)?

 1   Yes
 0   No

Default Next:Q9-147A-LOOP-END
Lead-In:Q9-146B [1:1]


Q9-147A-LOOP-END []Section: Fertility

ENDFOR

COMMENT: Repeat loop for number of choices

Default Next:Q9-164
Lead-In:Q9-146AA [Default], Q9-146B [Default], Q9-146B_A [Default], Q9-146B_B [Default], Q9-146B_C [Default], Q9-146B_D [Default]


Q9-164 []Section: Fertility

When [name of child born since dli] was an infant, did you breast feed [name of child born since dli] at all?

(IF BABY "ADOPTED OUT"/"DECEASED" AND R IS RELUCTANT, SAY:) We appreciate how difficult this is, but [name of child born since dli]'s experiences are important in helping us understand the health of other children like [him/her].

 1   Yes   ...(Go To Q9-165)
 0   No

Default Next:Q9-158D-LOOP-END
Lead-In:Q9-147A-LOOP-END [Default]


Q9-165 []Section: Fertility

How many weeks old was [name of child born since dli] when you quit breast feeding [him/her] altogether?

(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND SELECT THE APPROPRIATE ANSWER BELOW.)

 1   SELECT TO ENTER NUMBER OF WEEKS OLD   ...(Go To Q9-165A)
 2   SELECT TO ENTER NUMBER OF MONTHS OLD   ...(Go To Q9-165B)
 0   STILL BREASTFEEDING

Default Next:Q9-158D-LOOP-END
Lead-In:Q9-164 [1:1]


Q9-165A []Section: Fertility

(How many weeks old was [name of child born since dli] when you quit breast feeding [him/her] altogether?)

(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)

Enter Number: 

Default Next:Q9-158D-LOOP-END
Lead-In:Q9-165 [1:1]


Q9-165B []Section: Fertility

(How many months old was [name of child born since dli] when you quit breast feeding [him/her] altogether?)

(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)

Enter Number: 

Default Next:Q9-158D-LOOP-END
Lead-In:Q9-165 [2:2]


Q9-158D-LOOP-END []Section: Fertility

UNTIL([Q9-loop16 counter]==[# bio children since dli])

COMMENT: End loop collecting information on live-birth pregnancies since dli?

Default Next:Q9-SKID-15C
Lead-In:Q9-121 [4:4], Q9-121 [5:5], Q9-143 [Default], Q9-145B [Default], Q9-145B_A [Default], Q9-145B_B [Default], Q9-145B_C [Default], Q9-145B_D [Default], Q9-164 [Default], Q9-165 [Default], Q9-165A [Default], Q9-165B [Default]


Q9-SKID-15C []Section: Fertility

[MSUPPLEMENT_NUM] > 0

COMMENT: Are there any children on the Mother Supplement Roster?

If Answer = 1 Then Go To
MS1-LOOP-BEGIN

Default Next:Q10-GENCHECK
Lead-In:Q9-73 [Default], Q9-158D-LOOP-END [Default]


MS1-LOOP-BEGIN []Section: Fertility

REPEAT

COMMENT: START loop 0

Default Next:MS-CKNAME_MS1
Lead-In:Q9-SKID-15C [1:1]


MS-CKNAME_MS1 []Section: Fertility

ISVAREMPTY({^CFNAME([mother supplement loop])^})

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

If Answer = 1 Then Go To
MS-ENTERNAME_MS1

Default Next:MS-CKFULLNAME_MS1
Lead-In:MS1-LOOP-BEGIN [Default]


MS-ENTERNAME_MS1 []Section: Fertility

INTERVIEWER: ENTER [msupplement_name([mother supplement loop])]'S FIRST NAME:

Enter: 

Default Next:MS-CKFULLNAME_MS1
Lead-In:MS-CKNAME_MS1 [1:1]


MS-CKFULLNAME_MS1 []Section: Fertility

ISVAREMPTY({^CNAME([mother supplement loop])^})

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

If Answer = 1 Then Go To
MS-ENTERFULLNAME_MS1

Default Next:Q9-194
Lead-In:MS-CKNAME_MS1 [Default], MS-ENTERNAME_MS1 [Default]


MS-ENTERFULLNAME_MS1 []Section: Fertility

INTERVIEWER: ENTER [msupplement_name([mother supplement loop])]'S FULL NAME:

Enter: 

Default Next:Q9-194
Lead-In:MS-CKFULLNAME_MS1 [1:1]


Q9-194 []Section: Fertility

[msupplement_statcode([mother supplement loop])]

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

If Answer = 5 Then Go To
HLTH-CHK1_MS1
If Answer = 8 Then Go To HLTH-CHK1_MS1
If Answer = 99 Then Go To HLTH-CHK1_MS1

Default Next:Q9-194A
Lead-In:MS-CKFULLNAME_MS1 [Default], MS-ENTERFULLNAME_MS1 [Default]


Q9-194A []Section: Fertility

[msupplement_hhiflag([mother supplement loop])]

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

If Answer = 5 Then Go To
HLTH-CHK1_MS1
If Answer = 8 Then Go To HLTH-CHK1_MS1

Default Next:BKGN-AGECHK_MS1
Lead-In:Q9-194 [Default]


BKGN-AGECHK_MS1 []Section: Fertility

({^MSAGE([mother supplement loop])^} < 3) || ([child date of birth([mother supplement loop])~Y]<=2001)

COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3 OR YA CHILDREN

If Answer = 1 Then Go To
HLTH-CHK1_MS1

Default Next:BKGN-TITLE_MS1
Lead-In:Q9-194A [Default]


BKGN-TITLE_MS1 []Section: Fertility

BEGIN CHILD BACKGROUND SECTION

[msupplement_name([mother supplement loop])]

Default Next:BKGN-1_MS1
Lead-In:BKGN-AGECHK_MS1 [Default]


BKGN-1_MS1 []Section: Fertility

Please think about the [2013-2014([mother supplement loop])] regular school year. [is/was([mother supplement loop])] [Surprise child's name([mother supplement loop])] attending or enrolled in
[regular school (or preschool)([mother supplement loop])]?

(If [Surprise child's name([mother supplement loop])] is between the spring and fall school sessions, please tell us about the LAST school year.)

 1   Yes   ...(Go To BKGN-3_MS1)
 0   No

Default Next:BKGN-2_MS1
Lead-In:BKGN-TITLE_MS1 [Default]


BKGN-2_MS1 []Section: Fertility

Has [s/he([mother supplement loop])] ever attended regular school, nursery school, or preschool?

 1   Yes
 0   No   ...(Go To BKGN-8_MS1)
 2   IF VOLUNTEERED: Home Schooling   ...(Go To BKGN-4_MS1)

Default Next:BKGN-3_MS1
Lead-In:BKGN-1_MS1 [Default]


BKGN-3_MS1 []Section: Fertility

What grade [(is/did) child (currently/last) attend(ing)([mother supplement loop])] ?

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

 90   Nursery/preschool 0   Kindergarten
 1   1st grade 2   2nd grade
 3   3rd grade 4   4th grade
 5   5th grade 6   6th grade
 7   7th grade 8   8th grade
 9   9th grade 10   10th grade
 11   11th grade 12   12th grade
 13   1st year in college 14   2nd year in college
 15   3rd year in college 16   4th year in college
 17   5th year in college 18   6th year in college
 19   7th year in college 20   8th year in college or more
 95   Ungraded   ...(Go To BKGN-4_MS1)

If Answer = -2 Then Go To
BKGN-4_MS1

Default Next:BKGN-4A-CHK1_MS1
Lead-In:BKGN-1_MS1 [1:1], BKGN-2_MS1 [Default]


BKGN-4_MS1 []Section: Fertility

If [Surprise child's name([mother supplement loop])] were in a graded class, what grade would [s/he([mother supplement loop])] 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-4A-CHK1_MS1
Lead-In:BKGN-2_MS1 [2:2], BKGN-3_MS1 [-2:-2], BKGN-3_MS1 [95:95]


BKGN-4A-CHK1_MS1 []Section: Fertility

{^msgrade([mother supplement loop])^} == 90 || [grade (or equivalent)([mother supplement loop])] == 95

If Answer = 1 Then Go To
BKGN-5-DATECHK_MS1

Default Next:SCHLFIND-4A
Lead-In:BKGN-3_MS1 [Default], BKGN-4_MS1 [Default]


SCHLFIND-4A []Section: Fertility

[mother supplement loop]==1

COMMENT: Is this the first time through the loop?

If Answer = 1 Then Go To
SCHLFIND-6

Default Next:SCHLFIND-5
Lead-In:BKGN-4A-CHK1_MS1 [Default]


SCHLFIND-5 []Section: Fertility

Is [Surprise child's name([mother supplement loop])]'s school in this list?

(INTERVIEWER: IF THE SCHOOL IS IN THIS LIST, SELECT SCHOOL. IF SCHOOL IS NOT LISTED OR NO SCHOOLS LISTED, SELECT "NEW SCHOOL" AND SELECT <SUBMIT AND CONTINUE> TO PROCEED.)

If Answer = 1 Then Go To
SCHLFIND-6

Default Next:BKGN-5-DATECHK_MS1
Lead-In:SCHLFIND-4A [Default]


SCHLFIND-6 []Section: Fertility

What type of school (does [Surprise child's name([mother supplement loop])] currently attend/did [Surprise child's name([mother supplement loop])] last attend)?

 1   Elementary School
 2   Middle School/Intermediate School/Junior High School
 3   High School
 4   Two Year College, Community College, or Junior College
 5   Four Year College or University

Default Next:SCHLFIND-7
Lead-In:SCHLFIND-4A [1:1], SCHLFIND-5 [1:1]


SCHLFIND-7 []Section: Fertility

([SCHLFIND-6([mother supplement loop])]==1 || [SCHLFIND-6([mother supplement loop])]==2 || [SCHLFIND-6([mother supplement loop])]==3)

COMMENT: Is school elementary, middle or high school?

If Answer = 1 Then Go To
SCHLFIND-9

Default Next:BKGN-5-DATECHK_MS1
Lead-In:SCHLFIND-6 [Default]


SCHLFIND-9 []Section: Fertility

Is this school in the United States?

 1   Yes
 0   No

Default Next:SCHLFIND-9B
Lead-In:SCHLFIND-7 [1:1]


SCHLFIND-9B []Section: Fertility

[SCHLFIND-9([mother supplement loop])]

COMMENT: is the child's school in the u.s.?

If Answer = 1 Then Go To
SCHLFIND-11

Default Next:SCHLFIND-10
Lead-In:SCHLFIND-9 [Default]


SCHLFIND-10 []Section: Fertility

In which country?

 102   AFGHANISTAN 104   ALBANIA 106   ALGERIA
 108   ANTIGUA 110   ARGENTINA 112   ARMENIA
 114   AUSTRALIA 115   AUSTRIA 116   AZERBAIJAN
 130   BAHAMAS 132   BANGLADESH (EAST PAKISTAN) 134   BARBADOS
 136   BELGIUM 137   BYLORUSSIA (BELORUSSE) 140   BENIN
 142   BERMUDA 144   BOLIVIA 146   BOSNIA-HERCEGOVINA
 148   BRAZIL 150   BULGARIA 152   MYAMAR2 (FORMERLY BURMA)
 170   KAMPUCHEA (FORMERLY CAMBODIA) 172   CANADA 174   QUEBEC (CANADA)
 176   CEYLON (SRI LANKA) 178   CHILE 180   CHINA
 182   COLOMBIA 184   COSTA RICA 186   CROATIA
 188   CUBA 190   CURACAO 192   CYPRUS
 194   CZECH REPUBLIC (FORMERLY PART OF CZECHOSLOVAKIA) 210   DENMARK 212   DOMINICAN REPUBLIC
 230   ECUADOR 232   EGYPT 234   EL SALVADOR
 236   ENGLAND 238   ESTONIA 240   ETHIOPIA
 250   FINLAND 252   FRANCE 254   FRENCH GUIANA
 270   GAMBIA 272   GERMANY 274   GEORGIA
 276   GHANA 278   GREECE 280   GUADELOUPE
 282   GUATEMALA 284   GUINEA 286   GUINEA-BISSEAU
 288   GUYANA 300   HAITI 302   HONDURAS
 304   HONG KONG 306   HUNGARY 320   ICELAND
 322   INDIA 324   INDONESIA 326   IRAN
 328   IRAQ 330   IRELAND (EIRE) 332   ISRAEL
 334   ITALY 336   IVORY COAST 350   JAMAICA
 352   JAPAN 354   JORDAN 370   KHAZAKHSTAN
 372   KOREA 374   KURDIZIA 390   LAOS
 392   LATVIA 394   LEBANON 396   LIBERIA
 398   LIBYA 400   LIECHTENSTEIN 402   LITHUANIA
 404   LUXEMBOURG 420   MACEDONIA 422   MALAYSIA
 424   MALTA 426   MARTINIQUE 428   MEXICO
 430   MOLDAVIA 432   MONACO 434   MOROCCO
 436   MYAMAR (FORMERLY BURMA) 450   NETHERLANDS 452   NEW GUINEA (PAPUA)
 454   NEW ZEALAND 456   NICARAGUA 458   NIGERIA
 460   NORTHERN IRELAND (ULSTER) 462   NORWAY 480   PAKISTAN
 482   PANAMA 484   PARAGUAY 486   PHILIPPINES
 488   PERU 490   POLAND 492   PORTUGUAL
 510   RHODESIA 512   ROMANIA 514   RUSSIA
 530   SAUDI ARABIA 532   SCANDINAVIA 534   SCOTLAND
 536   SENEGAL 538   SIERRA LEONE 540   SINGAPORE
 542   SLOVAK REPUBLIC (FORMERLY PART OF CZECHOSLOVAKIA) 544   SLOVINIA 546   SOUTH AFRICA
 548   SPAIN 550   SURINAM 552   SWEDEN
 554   SWITZERLAND 556   SYRIA 570   TAIWAN
 572   TAJIKHISTAN 574   THAILAND 576   TOGO
 578   TRINIDAD AND TOBAGO 580   TUNISIA 582   TURKEY
 584   TURKOMENISTAN 600   UGANDA 602   UKRAINE
 604   UNITED STATES 606   UZBEKHISTAN 620   VENEZUELA
 622   VIETNAM 624   VIRGIN ISLANDS (NOT U.S.) 640   WALES
 650   YUGOSLAVIA 660   OTHER COUNTRY - ASIA 662   OTHER COUNTRY - AFRICA (SUB-SAHARAN)
 664   OTHER COUNTRY - CARIBBEAN 666   OTHER COUNTRY - EUROPE 668   OTHER COUNTRY - MIDDLE EAST
 670   OTHER COUNTRY - PACIFIC ISLANDS 672   OTHER (SPECIFY)

Default Next:SCHLFIND-180_00001
Lead-In:SCHLFIND-9B [Default]


SCHLFIND-11 []Section: Fertility

ENTER THE STATE:

 1   ALABAMA 2   ALASKA 4   ARIZONA
 5   ARKANSAS 6   CALIFORNIA 8   COLORADO
 9   CONNECTICUT 10   DELAWARE 11   DISTRICT OF COLUMBIA
 12   FLORIDA 13   GEORGIA 15   HAWAII
 16   IDAHO 17   ILLINOIS 18   INDIANA
 19   IOWA 20   KANSAS 21   KENTUCKY
 22   LOUISIANA 23   MAINE 24   MARYLAND
 25   MASSACHUSETTS 26   MICHIGAN 27   MINNESOTA
 28   MISSISSIPPI 29   MISSOURI 30   MONTANA
 31   NEBRASKA 32   NEVADA 33   NEW HAMPSHIRE
 34   NEW JERSEY 35   NEW MEXICO 36   NEW YORK
 37   NORTH CAROLINA 38   NORTH DAKOTA 39   OHIO
 40   OKLAHOMA 41   OREGON 42   PENNSYLVANIA
 44   RHODE ISLAND 45   SOUTH CAROLINA 46   SOUTH DAKOTA
 47   TENNESSEE 48   TEXAS 49   UTAH
 50   VERMONT 51   VIRGINIA 53   WASHINGTON
 54   WEST VIRGINIA 55   WISCONSIN 56   WYOMING
 60   AMERICAN SAMOA 61   CANAL ZONE 62   CANTON AND ENDERBURY ISLANDS
 66   GUAM 67   JOHNSTON ATOLL 71   MIDWAY ISLANDS
 72   PUERTO RICO 73   RYUKYU ISLANDS, SOUTHERN 74   SWAN ISLANDS
 75   TRUST TERRITORIES OF PACIFIC 76   U.S. MISCELLANEOUS CARIBBEAN 77   U.S. MISCELLANEOUS PACIFIC ISLANDS
 78   VIRGIN ISLANDS 79   WAKE ISLAND 0   OTHER (SPECIFY)

If Answer >= -2 AND Answer <= -1 Then Go To
SCHLFIND-180_00001

Default Next:SCHLFIND-13
Lead-In:SCHLFIND-9B [1:1]


SCHLFIND-13 []Section: Fertility

PLEASE SELECT THE CITY:

INTERVIEWER: IF CITY IS NOT ON LIST, SELECT "OTHER CITY" FROM THE LIST.

If Answer >= -2 AND Answer <= 0 Then Go To
SCHLFIND-180_00001

Default Next:SCHLFIND-15
Lead-In:SCHLFIND-11 [Default]


SCHLFIND-15 []Section: Fertility

PLEASE SELECT THE SCHOOL:

INTERVIEWER: IF SCHOOL IS NOT ON LIST, SELECT "OTHER SCHOOL" FROM THE LIST. PLEASE BE PATIENT, THIS MAY TAKE A MOMENT TO LOAD.

If Answer >= -2 AND Answer <= 0 Then Go To
SCHLFIND-180_00001

Default Next:SCHLFIND-180_00001
Lead-In:SCHLFIND-13 [Default]


SCHLFIND-180_00001 []Section: Fertility

Verification Screen:

Pin Number: 


SCHLFIND-180_00002 []Section: Fertility

School Name: 


SCHLFIND-180_00003 []Section: Fertility

Address: 


SCHLFIND-180_00004 []Section: Fertility

City: 


SCHLFIND-180_00005 []Section: Fertility

State: 

Default Next:BKGN-5-DATECHK_MS1
Lead-In:SCHLFIND-180_00004 [Default]


BKGN-5-DATECHK_MS1 []Section: Fertility

({^MSSUMMERTERM([mother supplement loop])^})

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

If Answer = 1 Then Go To
BKGN-5A_MS1

Default Next:BKGN-5B_MS1
Lead-In:BKGN-4A-CHK1_MS1 [1:1], SCHLFIND-5 [Default], SCHLFIND-7 [Default], SCHLFIND-180_00005 [Default]


BKGN-5A_MS1 []Section: Fertility

Is/Was [Surprise child's name([mother supplement loop])] (currently) attending or enrolled in summer school?

 1   Yes   ...(Go To BKGN-6-DATECHK_MS1)
 0   No

Default Next:BKGN-5B_MS1
Lead-In:BKGN-5-DATECHK_MS1 [1:1]


BKGN-5B_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever attended summer school?

 1   Yes
 0   No

Default Next:BKGN-6-DATECHK_MS1
Lead-In:BKGN-5-DATECHK_MS1 [Default], BKGN-5A_MS1 [Default]


BKGN-6-DATECHK_MS1 []Section: Fertility

({^MSFALLTERM([mother supplement loop])^})

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

If Answer = 1 Then Go To
BKGN-6A_MS1

Default Next:BKGN-AGECK-PRESCHL_MS1
Lead-In:BKGN-5A_MS1 [1:1], BKGN-5B_MS1 [Default]


BKGN-6A_MS1 []Section: Fertility

Now please think about the [2014-2015([mother supplement loop])] regular school year.

Has [Surprise child's name([mother supplement loop])] been attending regular school or preschool for at least four weeks (of the [2014-2015([mother supplement loop])] school year)?

 1   Yes   ...(Go To BKGN-6B_MS1)
 0   No
 2   IF VOLUNTEERED: Home Schooling   ...(Go To BKGN-6C_MS1)

Default Next:BKGN-AGECK-PRESCHL_MS1
Lead-In:BKGN-6-DATECHK_MS1 [1:1]


BKGN-6B_MS1 []Section: Fertility

What grade is [Surprise child's name([mother supplement loop])] currently attending?


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

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

Default Next:BKGN-AGECK-PRESCHL_MS1
Lead-In:BKGN-6A_MS1 [1:1]


BKGN-6C_MS1 []Section: Fertility

If [Surprise child's name([mother supplement loop])] were in a graded class, what grade would [s/he([mother supplement loop])] 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_MS1
Lead-In:BKGN-6A_MS1 [2:2]


BKGN-AGECK-PRESCHL_MS1 []Section: Fertility

({^MSAGE([mother supplement loop])^} < 8)

If Answer = 1 Then Go To
BKGN-GRDCHK-PRESCHL_MS1

Default Next:BKGN-17_MS1
Lead-In:BKGN-6-DATECHK_MS1 [Default], BKGN-6A_MS1 [Default], BKGN-6B_MS1 [Default], BKGN-6C_MS1 [Default]


BKGN-GRDCHK-PRESCHL_MS1 []Section: Fertility

({^MSGRADE([mother supplement loop])^})

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

If Answer = 90 Then Go To
BKGN-8_MS1

Default Next:BKGN-7_MS1
Lead-In:BKGN-AGECK-PRESCHL_MS1 [1:1]


BKGN-7_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever been enrolled in a preschool program (not including kindergarten)?

 1   Yes
 0   No

Default Next:BKGN-8_MS1
Lead-In:BKGN-GRDCHK-PRESCHL_MS1 [Default]


BKGN-8_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever been enrolled in day care?

 1   Yes
 0   No

Default Next:BKGN-11_MS1
Lead-In:BKGN-2_MS1 [0:0], BKGN-GRDCHK-PRESCHL_MS1 [90:90], BKGN-7_MS1 [Default]


BKGN-11_MS1 []Section: Fertility

({^HEADSTRT([mother supplement loop])^} == 1)

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

If Answer = 1 Then Go To
BKGN-17_MS1

Default Next:BKGN-12_MS1
Lead-In:BKGN-8_MS1 [Default]


BKGN-12_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever been enrolled in the Head Start Program?

 1   Yes   ...(Go To BKGN-13_MS1)
 0   No

Default Next:BKGN-17_MS1
Lead-In:BKGN-11_MS1 [Default]


BKGN-13_MS1 []Section: Fertility

How old was [Surprise child's name([mother supplement loop])] when [s/he([mother supplement loop])] first attended Head Start?

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

Enter Number: 

Default Next:BKGN-14_MS1
Lead-In:BKGN-12_MS1 [1:1]


BKGN-14_MS1 []Section: Fertility

In total, how long (has [Surprise child's name([mother supplement loop])] attended/did [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:BKGN-13_MS1 [Default]


BKGN-15_MS1 []Section: Fertility

How satisfied are you with what Head Start has done for [Surprise child's name([mother supplement loop])]?

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

Default Next:BKGN-16_MS1
Lead-In:BKGN-14_MS1 [Default]


BKGN-16_MS1 []Section: Fertility

How satisfied are you with what [Surprise child's name([mother supplement loop])]'s Head Start program has done for you?

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

Default Next:BKGN-17_MS1
Lead-In:BKGN-15_MS1 [Default]


BKGN-17_MS1 []Section: Fertility

{^MSAGE([mother supplement loop])^} < 5

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

If Answer = 1 Then Go To
HLTH-CHK1_MS1

Default Next:BKGN-18_MS1
Lead-In:BKGN-11_MS1 [1:1], BKGN-AGECK-PRESCHL_MS1 [Default], BKGN-12_MS1 [Default], BKGN-16_MS1 [Default]


BKGN-18_MS1 []Section: Fertility

({^MSINSCHL([mother supplement loop])^} == 1)

If Answer = 1 Then Go To
BKGN-20_MS1

Default Next:BKGN-19_MS1
Lead-In:BKGN-17_MS1 [Default]


BKGN-19_MS1 []Section: Fertility

If [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:BKGN-18_MS1 [Default]


BKGN-20_MS1 []Section: Fertility

Which of the following describes the school [Surprise child's name([mother supplement loop])] attends:

 1   Public school   ...(Go To BKGN-23_MS1)
 2   Charter school
 3   Catholic school
 4   Other religious or church-sponsored school
 5   Non-religious private school   ...(Go To BKGN-23_MS1)
 6   Indian reservation school
 7   Military academy
 8   Home-schooled   ...(Go To BKGN-23_MS1)
 9   Other (SPECIFY)

Default Next:BKGN-21_MS1
Lead-In:BKGN-18_MS1 [1:1]


BKGN-21_MS1 []Section: Fertility

Is the school [s/he([mother supplement loop])] attends public or private?

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

Default Next:BKGN-23_MS1
Lead-In:BKGN-20_MS1 [Default]


BKGN-23_MS1 []Section: Fertility

({^MSEVERSCHL([mother supplement loop])^} == 0) && ({^MSINSCHL([mother supplement loop])^} == 0)

If Answer = 1 Then Go To
BKGN-32_MS1

Default Next:BKGN-24_MS1
Lead-In:BKGN-20_MS1 [1:1], BKGN-20_MS1 [5:5], BKGN-20_MS1 [8:8], BKGN-19_MS1 [Default], BKGN-21_MS1 [Default]


BKGN-24_MS1 []Section: Fertility

How many different schools has your child ever attended? Please include the school [s/he([mother supplement loop])] is currently attending.

Enter Number: 
If Answer >= -2 AND Answer <= -1 Then Go To
BKGN-FIRSTLANG_MS1

Default Next:BKGN-25_MS1
Lead-In:BKGN-23_MS1 [Default]


BKGN-25_MS1 []Section: Fertility

How many of these were elementary schools?

Enter Number: 

Default Next:BKGN-FIRSTLANG_MS1
Lead-In:BKGN-24_MS1 [Default]


BKGN-FIRSTLANG_MS1 []Section: Fertility

What language did [Surprise child's name([mother supplement loop])] speak when [s/he([mother supplement loop])] 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_MS1
Lead-In:BKGN-24_MS1 [-2:-1], BKGN-25_MS1 [Default]


BKGN-CURRLANG_MS1 []Section: Fertility

What language does [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:BKGN-FIRSTLANG_MS1 [Default]


BKGN-26_MS1 []Section: Fertility

In a typical school week, how much time does [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:BKGN-CURRLANG_MS1 [Default]


BKGN-27_MS1 []Section: Fertility

In a typical school week, how much time does [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:BKGN-26_MS1 [Default]


BKGN-28_MS1 []Section: Fertility

({^MSEVERSCHL([mother supplement loop])^} == 0) && ({^MSINSCHL([mother supplement loop])^} == 0)

If Answer = 1 Then Go To
BKGN-32_MS1

Default Next:BKGN-29A-MATRIX_MS1
Lead-In:BKGN-27_MS1 [Default]


BKGN-29A-MATRIX_MS1 []Section: Fertility

[During the [school year referent] school year([mother supplement loop])], did/has [Surprise child's name([mother supplement loop])] participate(d) in....

 - ...a remedial math program?
 - ...a remedial reading, remedial English, or remedial language arts program?
 - ...a gifted and talented program, or a special class for advanced work?
 - ...special education or a program for handicapped children?
 - ...a program that teaches English as a second language (ESL)?
 1   Yes
 0   No

Default Next:BKGN-30_MS1
Lead-In:BKGN-28_MS1 [Default]


BKGN-30_MS1 []Section: Fertility

({^MSINSCHL([mother supplement loop])^} == 1)

If Answer = 1 Then Go To
BKGN-31-MATRIX_MS1

Default Next:BKGN-32_MS1
Lead-In:BKGN-29A-MATRIX_MS1 [Default]


BKGN-31-MATRIX_MS1 []Section: Fertility

Do you or your (spouse/partner) ....

 - ...participate in a parent-teacher organization at child's school?
 - ...volunteer in the classroom at child's school?
 - ...do volunteer work such as supervising lunch, or chaperoning a field trip at child's school?
 - ...attend parent-teacher conferences at child's school?
 1   YES
 0   NO

Default Next:BKGN-32_MS1
Lead-In:BKGN-30_MS1 [1:1]


BKGN-32_MS1 []Section: Fertility

How many of [Surprise child's name([mother supplement loop])]'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


BKGN-33_MS1 []Section: Fertility

About how often do you know who [Surprise child's name([mother supplement loop])] is with when [s/he([mother supplement loop])] is not at home?

Would you say you know who [s/he([mother supplement loop])] is with...

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

Default Next:BKGN-34_MS1
Lead-In:BKGN-32_MS1 [Default]


BKGN-34_MS1 []Section: Fertility

In the past year, how often has [Surprise child's name([mother supplement loop])] 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


BKGN-35_MS1 []Section: Fertility

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

 1   Very important
 2   Fairly important
 3   Not at all important

Default Next:HLTH-CHK1_MS1
Lead-In:BKGN-34_MS1 [Default]


HLTH-CHK1_MS1 []Section: Fertility

[msupplement_statcode([mother supplement loop])]

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

If Answer = 5 Then Go To
HLTH-MS1-LOOP-END
If Answer = 8 Then Go To HLTH-MS1-LOOP-END
If Answer = 99 Then Go To HLTH-MS1-LOOP-END

Default Next:HLTH-CHK1A_MS1
Lead-In:Q9-194 [5:5], Q9-194 [8:8], Q9-194 [99:99], Q9-194A [5:5], Q9-194A [8:8], BKGN-AGECHK_MS1 [1:1], BKGN-17_MS1 [1:1], BKGN-35_MS1 [Default]


HLTH-CHK1A_MS1 []Section: Fertility

([child age (years)([mother supplement loop])] > 20)

COMMENT: Skip YA children over the age of 20 out of health questions

If Answer = 1 Then Go To
HLTH-MS1-LOOP-END

Default Next:HLTH-CHK2_MS1
Lead-In:HLTH-CHK1_MS1 [Default]


HLTH-CHK2_MS1 []Section: Fertility

[msupplement_hhiflag([mother supplement loop])]

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

If Answer = 1 Then Go To
HLTH-TITLE_MS1
If Answer = 5 Then Go To HLTH-MS1-LOOP-END
If Answer = 8 Then Go To HLTH-MS1-LOOP-END
If Answer = 9 Then Go To HLTH-TITLE_MS1
If Answer = 10 Then Go To HLTH-TITLE_MS1

Default Next:Q9-195
Lead-In:HLTH-CHK1A_MS1 [Default]


HLTH-TITLE_MS1 []Section: Fertility

BEGIN CHILD HEALTH SECTION

[msupplement_name([mother supplement loop])]

Default Next:HLTH-INTRO_MS1
Lead-In:HLTH-CHK2_MS1 [1:1], HLTH-CHK2_MS1 [9:9], HLTH-CHK2_MS1 [10:10]


HLTH-INTRO_MS1 []Section: Fertility

Now I'd like to ask you some questions about [Surprise child's name([mother supplement loop])]'s general health.

Default Next:HLTH-YA-AGE-CHECK
Lead-In:HLTH-TITLE_MS1 [Default]


HLTH-YA-AGE-CHECK []Section: Fertility

[child date of birth([mother supplement loop])~Y] <=2001

COMMENT: Skip YA children to questions about illnesses

If Answer = 1 Then Go To
HLTH-8_MS1

Default Next:HLTH-NEW-CHK1_MS1
Lead-In:HLTH-INTRO_MS1 [Default]


HLTH-NEW-CHK1_MS1 []Section: Fertility

[msupplement_statcode([mother supplement loop])]

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

If Answer = 97 Then Go To
HLTH-AGECHK1_MS1

Default Next:HLTH-AGECHK-YA2_MS1
Lead-In:HLTH-YA-AGE-CHECK [Default]


HLTH-AGECHK-YA2_MS1 []Section: Fertility

[child date of birth([mother supplement loop])~Y] <= [1999]

COMMENT: Does child turn 15 years or older during survey year?

If Answer = 1 Then Go To
HLTH-8_MS1

Default Next:HLTH-HW-MODECHK
Lead-In:HLTH-NEW-CHK1_MS1 [Default]


HLTH-HW-MODECHK []Section: Fertility

[interview mode([mother supplement loop])]==1

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

If Answer = 1 Then Go To
HLTH-21A

Default Next:HLTH-HGT-SELECT
Lead-In:HLTH-AGECHK-YA2_MS1 [Default]


HLTH-21A []Section: Fertility

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

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

Default Next:HLTH-HW-INTRO-IP
Lead-In:HLTH-HW-MODECHK [1:1]


HLTH-21B []Section: Fertility

INTERVIEWER: IF CHILD HAS A SERIOUS PHYSICAL OR MENTAL CONDITION THAT MAY INFLUENCE MEASUREMENT, TACTFULLY TELL MOTHER THAT SOME MEASUREMENTS MAY BE INAPPROPRIATE FOR THE CHILD BUT YOU WILL ADMINISTER THE ONES YOU CAN.

RECORD CONDITION BELOW.

Enter: 

Default Next:HLTH-HW-INTRO-IP
Lead-In:HLTH-21A [1:1]


HLTH-HW-INTRO-IP []Section: Fertility

INTERVIEWER: (IF CHILD IS NOT ALREADY PRESENT) READ TO MOTHER:

Could you please bring [Surprise child's name([mother supplement loop])] into the room and help make [him/her([mother supplement loop])] feel comfortable?

Default Next:HLTH-HW-MSBORNB4_R19_CHK1
Lead-In:HLTH-21A [Default], HLTH-21B [Default]


HLTH-HW-MSBORNB4_R19_CHK1 []Section: Fertility

VAREXIST ([MSBORNB4_R19([mother supplement loop])])

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

If Answer = 1 Then Go To
HLTH-HW-INTRO-AGECK

Default Next:HLTH-HW-INTRO-IPA
Lead-In:HLTH-HW-INTRO-IP [Default]


HLTH-HW-INTRO-AGECK []Section: Fertility

[MSBORNB4_R19([mother supplement loop])]==1

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

If Answer = 1 Then Go To
HLTH-HW-INTRO-IPB

Default Next:HLTH-HW-INTRO-IPA
Lead-In:HLTH-HW-MSBORNB4_R19_CHK1 [1:1]


HLTH-HW-INTRO-IPA []Section: Fertility

What did your mother tell you about my visit?

(WAIT FOR CHILD'S RESPONSE, THEN CONTINUE:)

(That's right or I see.) Your mother has been helping us by answering some questions. Now it's your turn. First we'll see how big you are.

Default Next:HLTH-HGT-SELECT
Lead-In:HLTH-HW-MSBORNB4_R19_CHK1 [Default], HLTH-HW-INTRO-AGECK [Default]


HLTH-HW-INTRO-IPB []Section: Fertility

What did your mother tell you about my visit?

(WAIT FOR CHILD'S RESPONSE, THEN CONTINUE:)

(That's right or I see.) Your mother has been helping us by answering questions for many years now. This makes her a very important person to us. Now we're going to take some measurements from you.

Default Next:HLTH-HGT-SELECT
Lead-In:HLTH-HW-INTRO-AGECK [1:1]


HLTH-HGT-SELECT []Section: Fertility

I'd like to find out [Surprise child's name([mother supplement loop])]'s height. How tall is [s/he([mother supplement loop])]?

[Would you prefer to measure yourself or shall I do it?/([mother supplement loop])]

INTERVIEWER: SELECT HOW YOU WISH TO ENTER HEIGHT -

IN FEET AND INCHES - OR - TOTAL INCHES
.

 1   FEET AND INCHES ENTRY
 2   TOTAL INCHES ENTRY (ESP INFANTS)

Default Next:HLTH-HGT-MTHDCK
Lead-In:HLTH-HW-MODECHK [Default], HLTH-HW-INTRO-IPA [Default], HLTH-HW-INTRO-IPB [Default]


HLTH-HGT-MTHDCK []Section: Fertility

[height input method([mother supplement loop])]

COMMENT: Internal Function

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

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


HLTH-HGT-FEET []Section: Fertility

(I'd like to find out how tall [Surprise child's name([mother supplement loop])] is. [Would you prefer to measure yourself or shall I do it?/([mother supplement loop])])

INTERVIEWER: RECORD FEET AND INCHES BELOW.

FEET 


HLTH-HGT-INCHES []Section: Fertility

INCHES 

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


HLTH-HGT-TOTALINCHES []Section: Fertility

(I'd like to find out how tall [Surprise child's name([mother supplement loop])] is. [Would you prefer to measure yourself or shall I do it?/([mother supplement loop])])

INTERVIEWER: RECORD HEIGHT IN TOTAL INCHES.

TOTAL INCHES 

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


HLTH-HGTCOMP []Section: Fertility

([height input([mother supplement loop])] < [calculated min height([mother supplement loop])]) || ([height input([mother supplement loop])] > [calculated max height([mother supplement loop])])

COMMENT: Internal Function - Is total child height in inches outside of calculated min - max range?

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

Default Next:HLTH-WGT-SELECT
Lead-In:HLTH-HGT-INCHES [Default], HLTH-HGT-TOTALINCHES [Default]


HLTH-HGT-MTHDCK2 []Section: Fertility

[height input method([mother supplement loop])]

COMMENT: Internal Function

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

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


HLTH-HGTCONF1 []Section: Fertility

INTERVIEWER:

CAUTION...

THE HEIGHT ENTERED FOR [Surprise child's name([mother supplement loop])] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THESE VALUES CORRECT?


[number of feet([mother supplement loop])] FEET AND [number of inches([mother supplement loop])] INCHES


BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUES AND CONTINUE.

 1   YES
 0   NO

Default Next:HLTH-WGT-SELECT
Lead-In:HLTH-HGT-MTHDCK2 [1:1], HLTH-HGT-MTHDCK2 [Default]


HLTH-HGTCONF2 []Section: Fertility

INTERVIEWER:

CAUTION...

THE HEIGHT ENTERED FOR [Surprise child's name([mother supplement loop])] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THIS VALUE CORRECT?


[total # inches([mother supplement loop])] TOTAL INCHES


BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.

 1   YES
 0   NO

Default Next:HLTH-WGT-SELECT
Lead-In:HLTH-HGT-MTHDCK2 [2:2]


HLTH-WGT-SELECT []Section: Fertility

Now I'd like to find out [Surprise child's name([mother supplement loop])]'s weight. How much does [s/he([mother supplement loop])] weigh?

[Would you prefer to weigh yourself or shall I do it?/([mother supplement loop])]

INTERVIEWER: SELECT HOW YOU WISH TO ENTER WEIGHT

POUNDS - OR - POUNDS AND OUNCES (FOR CHILDREN UNDER 20 LBS.)

 1   ENTER POUNDS ONLY
 2   ENTER POUNDS AND OUNCES (ESP INFANTS)

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


HLTH-WGT-MTHDCK []Section: Fertility

[weight input method([mother supplement loop])]

COMMENT: Internal Function

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

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


HLTH-WGT-LBSONLY []Section: Fertility

(I'd like to find out [Surprise child's name([mother supplement loop])]'s weight. [Would you prefer to weigh yourself or shall I do it?/([mother supplement loop])])

INTERVIEWER: RECORD WEIGHT IN POUNDS.

LBS. 

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


HLTH-WGT-LBS []Section: Fertility

(I'd like to find out [Surprise child's name([mother supplement loop])]'s weight. [Would you prefer to weigh yourself or shall I do it?/([mother supplement loop])])

INTERVIEWER: (FOR CHILDREN UNDER 20 LBS.) RECORD POUNDS AND OUNCES.

LBS. 


HLTH-WGT-OZS []Section: Fertility

OZ. 

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


HLTH-WGTCOMP []Section: Fertility

([weight input([mother supplement loop])] < [calculated minweight([mother supplement loop])]) || ([weight input([mother supplement loop])] > [calculated max weight([mother supplement loop])])

COMMENT: Internal Function - Is total child height in inches outside of calculated min - max range?

If Answer = 1 Then Go To
HLTH-WGT-MTHDCK2

Default Next:HLTH-AGECHK0_MS1
Lead-In:HLTH-WGT-LBSONLY [Default], HLTH-WGT-OZS [Default]


HLTH-WGT-MTHDCK2 []Section: Fertility

[weight input method([mother supplement loop])]

COMMENT: Internal Function

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

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


HLTH-WGTCONF1 []Section: Fertility

INTERVIEWER:

CAUTION...

THE WEIGHT ENTERED FOR [Surprise child's name([mother supplement loop])] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THE VALUE SHOWN CORRECT?


[# of pounds([mother supplement loop])] POUNDS


BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.

 1   YES
 0   NO

Default Next:HLTH-AGECHK0_MS1
Lead-In:HLTH-WGT-MTHDCK2 [1:1], HLTH-WGT-MTHDCK2 [Default]


HLTH-WGTCONF2 []Section: Fertility

INTERVIEWER:

CAUTION...

THE WEIGHT ENTERED FOR [Surprise child's name([mother supplement loop])] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THE VALUES SHOWN CORRECT?


[# of pounds([mother supplement loop])] POUNDS AND [don't know/refused([mother supplement loop])] OUNCES


BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE(S) AND CONTINUE.

 1   YES
 0   NO

Default Next:HLTH-AGECHK0_MS1
Lead-In:HLTH-WGT-MTHDCK2 [2:2]


HLTH-AGECHK0_MS1 []Section: Fertility

{^MSAGE([mother supplement loop])^} < 3 || [msupplement_statcode([mother supplement loop])] == 97

COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3

If Answer = 1 Then Go To
HLTH-AGECHK1_MS1

Default Next:HLTH-1A_MS1
Lead-In:HLTH-WGTCOMP [Default], HLTH-WGTCONF1 [Default], HLTH-WGTCONF2 [Default]


HLTH-1A_MS1 []Section: Fertility

{^RESN-NOSCHL([mother supplement loop])^} == 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_MS1

Default Next:HLTH-1B_MS1
Lead-In:HLTH-AGECHK0_MS1 [Default]


HLTH-1B_MS1 []Section: Fertility

({^msage([mother supplement loop])^} >= 4) || ({^msinschl([mother supplement loop])^} == 1) || ({^mseverschl([mother supplement loop])^} == 1)

If Answer = 1 Then Go To
HLTH-2A_MS1

Default Next:HLTH-2C_MS1
Lead-In:HLTH-1A_MS1 [Default]


HLTH-2A_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] have any physical, emotional, or mental condition that limits or prevents [his/her([mother supplement loop])] ability to...

...attend school regularly?

 1   Yes   ...(Go To HLTH-5-LOOP-BEGIN_MS1)
 0   No

Default Next:HLTH-2B_MS1
Lead-In:HLTH-1B_MS1 [1:1]


HLTH-2B_MS1 []Section: Fertility

Does [s/he([mother supplement loop])] have any physical, emotional or mental condition that limits or prevents [his/her([mother supplement loop])] ability to...

...do regular school work?

 1   Yes   ...(Go To HLTH-5-LOOP-BEGIN_MS1)
 0   No

Default Next:HLTH-2C_MS1
Lead-In:HLTH-2A_MS1 [Default]


HLTH-2C_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] have any physical, emotional, or mental condition that limits or prevents [his/her([mother supplement loop])] ability to...

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

 1   Yes   ...(Go To HLTH-5-LOOP-BEGIN_MS1)
 0   No

Default Next:HLTH-3A_MS1
Lead-In:HLTH-1B_MS1 [Default], HLTH-2B_MS1 [Default]


HLTH-3A_MS1 []Section: Fertility

Does [s/he([mother supplement loop])] 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_MS1)
 0   No

Default Next:HLTH-3B_MS1
Lead-In:HLTH-2C_MS1 [Default]


HLTH-3B_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] 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_MS1)
 0   No

Default Next:HLTH-3C_MS1
Lead-In:HLTH-3A_MS1 [Default]


HLTH-3C_MS1 []Section: Fertility

Does [s/he([mother supplement loop])] 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_MS1)
 0   No

Default Next:HLTH-AGECHK1_MS1
Lead-In:HLTH-3B_MS1 [Default]


HLTH-5-LOOP-BEGIN_MS1 []Section: Fertility

REPEAT

Default Next:HLTH-5A_VERBATIM_MS1
Lead-In:HLTH-1A_MS1 [1:1], HLTH-2A_MS1 [1:1], HLTH-2B_MS1 [1:1], HLTH-2C_MS1 [1:1], HLTH-3A_MS1 [1:1], HLTH-3B_MS1 [1:1], HLTH-3C_MS1 [1:1]


HLTH-5A_VERBATIM_MS1 []Section: Fertility

What is [Surprise child's name([mother supplement loop])]'s (next) health condition or limitation?

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

RECORD VERBATIM 


HLTH-5A_MS1 []Section: Fertility

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_MS1
Lead-In:HLTH-5A_VERBATIM_MS1 [Default]


HLTH-5C-AGECK_MS1 []Section: Fertility

{^msagemo([mother supplement loop])^}<=11

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

If Answer = 1 Then Go To
HLTH-5-CNT_MS1

Default Next:HLTH-5C_MS1
Lead-In:HLTH-5A_MS1 [Default]


HLTH-5C_MS1 []Section: Fertility

IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]

How old was [Surprise child's name([mother supplement loop])] when [s/he([mother supplement loop])] first developed this condition?

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

Enter Number: 

Default Next:HLTH-5-CNT_MS1
Lead-In:HLTH-5C-AGECK_MS1 [Default]


HLTH-5-CNT_MS1 []Section: Fertility

[conditions requiring special equipment loop]

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

If Answer = 1 Then Go To
HLTH-5-1STQ2A_MS1

Default Next:HLTH-5-SCHLCK_MS1
Lead-In:HLTH-5C-AGECK_MS1 [1:1], HLTH-5C_MS1 [Default]


HLTH-5-1STQ2A_MS1 []Section: Fertility

([limits to attending school?([mother supplement loop])] == 1) || ([reason child not attending school([mother supplement loop])] == 1)

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

If Answer = 1 Then Go To
HLTH-5E_MS1

Default Next:HLTH-5-1STQ2B_MS1
Lead-In:HLTH-5-CNT_MS1 [1:1]


HLTH-5-1STQ2B_MS1 []Section: Fertility

{^lim-schlwk([mother supplement loop])^} == 1

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

If Answer = 1 Then Go To
HLTH-5F_MS1

Default Next:HLTH-5-1STQ2C_MS1
Lead-In:HLTH-5-1STQ2A_MS1 [Default]


HLTH-5-1STQ2C_MS1 []Section: Fertility

{^lim-play([mother supplement loop])^} == 1

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

If Answer = 1 Then Go To
HLTH-5G_MS1

Default Next:HLTH-5-1STQ3A_MS1
Lead-In:HLTH-5-1STQ2B_MS1 [Default]


HLTH-5-1STQ3A_MS1 []Section: Fertility

{^lim-dr-oftn([mother supplement loop])^} ==1

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

If Answer = 1 Then Go To
HLTH-5H_MS1

Default Next:HLTH-5-1STQ3B_MS1
Lead-In:HLTH-5-1STQ2C_MS1 [Default]


HLTH-5-1STQ3B_MS1 []Section: Fertility

{^lim-meds([mother supplement loop])^} == 1

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

If Answer = 1 Then Go To
HLTH-5I_MS1

Default Next:HLTH-5-1STQ3C_MS1
Lead-In:HLTH-5-1STQ3A_MS1 [Default]


HLTH-5-1STQ3C_MS1 []Section: Fertility

{^lim-eqmt([mother supplement loop])^} == 1

COMMENT: jump to NEXT effect of limit to ask about

If Answer = 1 Then Go To
HLTH-5J_MS1

Default Next:HLTH-5-SCHLCK_MS1
Lead-In:HLTH-5-1STQ3B_MS1 [Default]


HLTH-5-SCHLCK_MS1 []Section: Fertility

({^msage([mother supplement loop])^} >=4) || ({^msinschl([mother supplement loop])^} == 1) || ({^mseverschl([mother supplement loop])^} == 1)

If Answer = 1 Then Go To
HLTH-5D_MS1

Default Next:HLTH-5F_MS1
Lead-In:HLTH-5-CNT_MS1 [Default], HLTH-5-1STQ3C_MS1 [Default]


HLTH-5D_MS1 []Section: Fertility

IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]

Does this condition limit or prevent [his/her([mother supplement loop])] ability to...

...attend school regularly?

 1   Yes
 0   No

Default Next:HLTH-5E_MS1
Lead-In:HLTH-5-SCHLCK_MS1 [1:1]


HLTH-5E_MS1 []Section: Fertility

IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]

Does this condition limit or prevent [his/her([mother supplement loop])] ability to...

...do regular schoolwork?

 1   Yes
 0   No

Default Next:HLTH-5F_MS1
Lead-In:HLTH-5-1STQ2A_MS1 [1:1], HLTH-5D_MS1 [Default]


HLTH-5F_MS1 []Section: Fertility

IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]

Does this condition limit or prevent [his/her([mother supplement loop])] ability to...

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

 1   Yes
 0   No

Default Next:HLTH-5G_MS1
Lead-In:HLTH-5-1STQ2B_MS1 [1:1], HLTH-5-SCHLCK_MS1 [Default], HLTH-5E_MS1 [Default]


HLTH-5G_MS1 []Section: Fertility

IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]

Does this condition require...

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

 1   Yes
 0   No

Default Next:HLTH-5H_MS1
Lead-In:HLTH-5-1STQ2C_MS1 [1:1], HLTH-5F_MS1 [Default]


HLTH-5H_MS1 []Section: Fertility

IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]

Does this condition require...

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

 1   Yes
 0   No

Default Next:HLTH-5I_MS1
Lead-In:HLTH-5-1STQ3A_MS1 [1:1], HLTH-5G_MS1 [Default]


HLTH-5I_MS1 []Section: Fertility

IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]

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 inhaler, an air filter, or a catheter and so on?

 1   Yes
 0   No

Default Next:HLTH-5J_MS1
Lead-In:HLTH-5-1STQ3B_MS1 [1:1], HLTH-5H_MS1 [Default]


HLTH-5J_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] have any other health conditions (that we haven't talked about)?

 1   Yes
 0   No

Default Next:HLTH-5-LOOP-END_MS1
Lead-In:HLTH-5-1STQ3C_MS1 [1:1], HLTH-5I_MS1 [Default]


HLTH-5-LOOP-END_MS1 []Section: Fertility

UNTIL({^anymoreconds([mother supplement loop]:[conditions requiring special equipment loop])^}==0)

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

Default Next:HLTH-AGECHK1_MS1
Lead-In:HLTH-5J_MS1 [Default]


HLTH-AGECHK1_MS1 []Section: Fertility

{^MSAGE([mother supplement loop])^} < 3 || [msupplement_statcode([mother supplement loop])] == 97

COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3

If Answer = 1 Then Go To
Q9-195

Default Next:HLTH-6_MS1
Lead-In:HLTH-NEW-CHK1_MS1 [97:97], HLTH-AGECHK0_MS1 [1:1], HLTH-3C_MS1 [Default], HLTH-5-LOOP-END_MS1 [Default]


HLTH-6_MS1 []Section: Fertility

[Since was born/During the past 12 months([mother supplement loop])], has [Surprise child's name([mother supplement loop])] had any accidents or injuries that required medical attention?

 1   Yes   ...(Go To HLTH-6-LOOP-BEGIN_MS1)
 0   No

Default Next:HLTH-7_MS1
Lead-In:HLTH-AGECHK1_MS1 [Default]


HLTH-6-LOOP-BEGIN_MS1 []Section: Fertility

REPEAT

COMMENT: Begin loop about accidents requiring medical attention

Default Next:HLTH-6B_MS1
Lead-In:HLTH-6_MS1 [1:1]


HLTH-6B_MS1 []Section: Fertility

Thinking of the [most recent accident or injury/accident or injury that occurred before the one you just described([mother supplement loop]:[illnesses/injuries that required medical attention])], in what month and year did it occur?

Enter Date:  
MonthYear 

Default Next:HLTH-6C_VERBATIM_MS1
Lead-In:HLTH-6-LOOP-BEGIN_MS1 [Default]


HLTH-6C_VERBATIM_MS1 []Section: Fertility

What was the cause of that accident or injury?

RECORD VERBATIM 


HLTH-6C_MS1 []Section: Fertility

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_MS1
Lead-In:HLTH-6C_VERBATIM_MS1 [Default]


HLTH-6D_MS1 []Section: Fertility

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

(SELECT 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_MS1
Lead-In:HLTH-6C_MS1 [Default]


HLTH-6E_MS1 []Section: Fertility

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_MS1
Lead-In:HLTH-6D_MS1 [Default]


HLTH-6G_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] had any other accidents or injuries requiring medical attention [since was born/during the past 12 months([mother supplement loop])]?

 1   Yes
 0   No

Default Next:HLTH-6-LOOP-END_MS1
Lead-In:HLTH-6E_MS1 [Default]


HLTH-6-LOOP-END_MS1 []Section: Fertility

UNTIL({^anymorehurts([mother supplement loop]:[illnesses/injuries that required medical attention])^}==0)

COMMENT: loop until there are no more accidents or injuries

Default Next:HLTH-7_MS1
Lead-In:HLTH-6G_MS1 [Default]


HLTH-7_MS1 []Section: Fertility

Now we're going to talk about any time [Surprise child's name([mother supplement loop])] may have been hospitalized since [ was born/we last interviewed you on mother last int([mother supplement loop])]. (This may include an injury that you have already mentioned here.)


Has [Surprise child's name([mother supplement loop])] had any accidents or injuries that required hospitalization since [ was born/we last interviewed you on mother last int([mother supplement loop])]?

 1   Yes   ...(Go To HLTH-7-LOOP-BEGIN_MS1)
 0   No

Default Next:HLTH-8_MS1
Lead-In:HLTH-6_MS1 [Default], HLTH-6-LOOP-END_MS1 [Default]


HLTH-7-LOOP-BEGIN_MS1 []Section: Fertility

REPEAT

Default Next:HLTH-7B_MS1
Lead-In:HLTH-7_MS1 [1:1]


HLTH-7B_MS1 []Section: Fertility

Thinking of the [most recent accident or injury that/accident or injury that occurred before the one you just described that also([mother supplement loop]:[illnesses/injuries that required hospitalization])] required hospitalization, in what month and year did it occur?

Enter Date:  
MonthYear 

Default Next:HLTH-7C_VERBATIM_MS1
Lead-In:HLTH-7-LOOP-BEGIN_MS1 [Default]


HLTH-7C_VERBATIM_MS1 []Section: Fertility

What was the cause of this accident or injury?

RECORD VERBATIM 


HLTH-7C_MS1 []Section: Fertility

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_MS1
Lead-In:HLTH-7C_VERBATIM_MS1 [Default]


HLTH-7D_MS1 []Section: Fertility

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


(SELECT 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_MS1
Lead-In:HLTH-7C_MS1 [Default]


HLTH-7E_MS1 []Section: Fertility

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_MS1
Lead-In:HLTH-7D_MS1 [Default]


HLTH-7G_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] had any other accidents or injuries requiring hospitalization since [ was born/we last interviewed you on mother last int([mother supplement loop])]?

 1   Yes
 0   No

Default Next:HLTH-7-LOOP-END_MS1
Lead-In:HLTH-7E_MS1 [Default]


HLTH-7-LOOP-END_MS1 []Section: Fertility

UNTIL({^anymorehosp([mother supplement loop]:[illnesses/injuries that required hospitalization])^}==0)

Default Next:HLTH-8_MS1
Lead-In:HLTH-7G_MS1 [Default]


HLTH-8_MS1 []Section: Fertility

[Since child was born has /During the past 12 months has child([mother supplement loop])] had any illnesses that required medical attention or treatment?

 1   Yes   ...(Go To HLTH-8A_MS1)
 0   No

Default Next:HLTH-9_MS1
Lead-In:HLTH-YA-AGE-CHECK [1:1], HLTH-AGECHK-YA2_MS1 [1:1], HLTH-7_MS1 [Default], HLTH-7-LOOP-END_MS1 [Default]


HLTH-8A_MS1 []Section: Fertility

How many such illnesses has [Surprise child's name([mother supplement loop])] had [since was born/during the past 12 months([mother supplement loop])]?

Enter Number: 

Default Next:HLTH-9_MS1
Lead-In:HLTH-8_MS1 [1:1]


HLTH-9_MS1 []Section: Fertility

When did [Surprise child's name([mother supplement loop])] 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-AGECHKDENTAL_MS1
Lead-In:HLTH-8_MS1 [Default], HLTH-8A_MS1 [Default]


HLTH-AGECHKDENTAL_MS1 []Section: Fertility

[child date of birth([mother supplement loop])~Y] <= 2001

COMMENT: Skip YA children to questions about health care coverage

If Answer = 1 Then Go To
HLTH-9A_MS1

Default Next:HLTH-AGECHK3_MS1
Lead-In:HLTH-9_MS1 [Default]


HLTH-9A_MS1 []Section: Fertility

When did [Surprise child's name([mother supplement loop])] last see a dentist for a routine dental checkup?

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

Default Next:HLTH-AGECHK3_MS1
Lead-In:HLTH-AGECHKDENTAL_MS1 [1:1]


HLTH-AGECHK3_MS1 []Section: Fertility

[child date of birth([mother supplement loop])~Y] <= 2001

COMMENT: Skip YA children to questions about health care coverage

If Answer = 1 Then Go To
HLTH-14_MS1

Default Next:HLTH-11-AGECK_MS1
Lead-In:HLTH-AGECHKDENTAL_MS1 [Default], HLTH-9A_MS1 [Default]


HLTH-11-AGECK_MS1 []Section: Fertility

{^CHILDSEX([mother supplement loop])^} == 2 && {^MSAGE([mother supplement loop])^} >= 8 && {^msupplement_childper([mother supplement loop])^}==0

If Answer = 1 Then Go To
HLTH-11A_MS1

Default Next:HLTH-12-AGECHK_MS1
Lead-In:HLTH-AGECHK3_MS1 [Default]


HLTH-11A_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever had a menstrual period?

 1   Yes   ...(Go To HLTH-11B_MS1)
 0   No

Default Next:HLTH-12-AGECHK_MS1
Lead-In:HLTH-11-AGECK_MS1 [1:1]


HLTH-11B_MS1 []Section: Fertility

How old was [Surprise child's name([mother supplement loop])] when she had her first menstrual period?


(INTERVIEWER: ENTER AGE IN YEARS.)

Enter Number: 

Default Next:HLTH-11C_MS1
Lead-In:HLTH-11A_MS1 [1:1]


HLTH-11C_MS1 []Section: Fertility

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

Enter Date:  
MonthYear 

Default Next:HLTH-12-AGECHK_MS1
Lead-In:HLTH-11B_MS1 [Default]


HLTH-12-AGECHK_MS1 []Section: Fertility

({^MSAGE([mother supplement loop])^}>=2)

COMMENT: Is child age 2 yrs or older?

If Answer = 1 Then Go To
HLTH-12A_MS1

Default Next:HLTH-14_MS1
Lead-In:HLTH-11-AGECK_MS1 [Default], HLTH-11A_MS1 [Default], HLTH-11C_MS1 [Default]


HLTH-12A_MS1 []Section: Fertility

Which hand does [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HLTH-12-AGECHK_MS1 [1:1]


HLTH-12B_MS1 []Section: Fertility

Please think about the hand [Surprise child's name([mother supplement loop])] uses for activities such as throwing a ball. When [s/he([mother supplement loop])] throws a ball, does [s/he([mother supplement loop])] use [his/her([mother supplement loop])]...

 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_MS1
Lead-In:HLTH-12A_MS1 [Default]


HLTH-12C_MS1 []Section: Fertility

When [s/he([mother supplement loop])] brushes [his/her([mother supplement loop])] teeth, does [s/he([mother supplement loop])] use [his/her([mother supplement loop])]...

 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_MS1
Lead-In:HLTH-12B_MS1 [Default]


HLTH-13_MS1 []Section: Fertility

When did [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HLTH-12C_MS1 [Default]


HLTH-14_MS1 []Section: Fertility

Is [Surprise child's name([mother supplement loop])]'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_MS1
Lead-In:HLTH-AGECHK3_MS1 [1:1], HLTH-12-AGECHK_MS1 [Default], HLTH-13_MS1 [Default]


HLTH-15_MS1 []Section: Fertility

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

Is [Surprise child's name([mother supplement loop])]'s health care now covered by Medicaid?


(PROBE IF NECESSARY:) In [RESPONDENT STATE], this would include programs such as [Child Health Insurance Program Name].

 1   YES
 0   NO

Default Next:Q9-195
Lead-In:HLTH-14_MS1 [Default]


Q9-195 []Section: Fertility

[child date of birth([mother supplement loop])~Y] <= [1999] && ([msupplement_statcode([mother supplement loop])] != 8 && [msupplement_hhiflag([mother supplement loop])] != 8)

COMMENT: Will child turn at least 15 sometime during 2006 and child is not deceased?

If Answer = 1 Then Go To
Q9-199

Default Next:HLTH-MS1-LOOP-END
Lead-In:HLTH-AGECHK1_MS1 [1:1], HLTH-CHK2_MS1 [Default], HLTH-15_MS1 [Default]


Q9-199 []Section: Fertility

[msupplement_age([mother supplement loop])] < 18

COMMENT: Is this child less than 18 years old?

If Answer = 0 Then Go To
HLTH-MS1-LOOP-END

Default Next:Q9-199A
Lead-In:Q9-195 [1:1]


Q9-199A []Section: Fertility

[MSUPPLEMENT_NAME([mother supplement loop])] IS A YOUNG ADULT. IF UNDER 18 YEARS OLD (SEE BELOW), ASK FOR RESPONDENT'S CONSENT TO HAVE [MSUPPLEMENT_NAME([mother supplement loop])] PARTICIPATE IN YOUNG ADULT SURVEY. RECORD R'S RESPONSE.

([MSUPPLEMENT_NAME([mother supplement loop])] is [MSUPPLEMENT_AGE([mother supplement loop])], born on [MSUPPLEMENT_BDATE([mother supplement loop])~X]).

(PLEASE REMEMBER TO GET [MSUPPLEMENT_NAME([mother supplement loop])]'S ADDRESS IF NOT IN RESPONDENT'S HOUSEHOLD.)

 1   GAVE CONSENT
 2   REFUSED CONSENT
 3   NO CONSENT NECESSARY

Default Next:HLTH-MS1-LOOP-END
Lead-In:Q9-199 [Default]


HLTH-MS1-LOOP-END []Section: Fertility

UNTIL ([mother supplement loop]==[MSUPPLEMENT_NUM])

COMMENT: END LOOP FOR CHILD BACKGROUND AND HEALTH

Default Next:HOME-MS1-LOOP-BEGIN
Lead-In:HLTH-CHK1_MS1 [5:5], HLTH-CHK1_MS1 [8:8], HLTH-CHK1_MS1 [99:99], HLTH-CHK1A_MS1 [1:1], HLTH-CHK2_MS1 [5:5], HLTH-CHK2_MS1 [8:8], Q9-199 [0:0], Q9-195 [Default], Q9-199A [Default]


HOME-MS1-LOOP-BEGIN []Section: Fertility

REPEAT

COMMENT: START loop 0

Default Next:HOME-HHIFLAG-CHK1_MS1
Lead-In:HLTH-MS1-LOOP-END [Default]


HOME-HHIFLAG-CHK1_MS1 []Section: Fertility

[msupplement_statcode([mother supplement loop])]

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

If Answer = 5 Then Go To
MS1-LOOP-END_MS1
If Answer = 8 Then Go To MS1-LOOP-END_MS1
If Answer = 99 Then Go To MS1-LOOP-END_MS1

Default Next:HOME-HHIFLAG-CHK2_MS1
Lead-In:HOME-MS1-LOOP-BEGIN [Default]


HOME-HHIFLAG-CHK2_MS1 []Section: Fertility

[msupplement_hhiflag([mother supplement loop])]

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

If Answer = 5 Then Go To
MS1-LOOP-END_MS1
If Answer = 8 Then Go To MS1-LOOP-END_MS1

Default Next:HOME-AGECHK-YA3_MS1
Lead-In:HOME-HHIFLAG-CHK1_MS1 [Default]


HOME-AGECHK-YA3_MS1 []Section: Fertility

[child date of birth([mother supplement loop])~Y] <= [1999]

COMMENT: Is this child under age 15?

If Answer = 1 Then Go To
MS1-LOOP-END_MS1

Default Next:HOME-AGECK1_MS1
Lead-In:HOME-HHIFLAG-CHK2_MS1 [Default]


HOME-AGECK1_MS1 []Section: Fertility

([child age in months([mother supplement loop])]>=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_MS1

Default Next:ACT-AGECK1_MS1
Lead-In:HOME-AGECHK-YA3_MS1 [Default]


HOME-TITLE_MS1 []Section: Fertility

BEGIN HOME SECTION

[MSUPPLEMENT_name([mother supplement loop])]

Default Next:HOME-INTRO_MS1
Lead-In:HOME-AGECK1_MS1 [1:1]


HOME-INTRO_MS1 []Section: Fertility

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_MS1
Lead-In:HOME-TITLE_MS1 [Default]


HOME-AGECK2_MS1 []Section: Fertility

([child age in months([mother supplement loop])])

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

If Answer >= 0 AND Answer <= 35 Then Go To
HOME-A01_MS1
If Answer >= 36 AND Answer <= 71 Then Go To HOME-B01_MS1
If Answer >= 72 AND Answer <= 119 Then Go To HOME-C01_MS1
If Answer >= 120 AND Answer <= 191 Then Go To HOME-D01_MS1

Default Next:ACT-AGECK1_MS1
Lead-In:HOME-INTRO_MS1 [Default]


HOME-A01_MS1 []Section: Fertility

About how often does [Surprise child's name([mother supplement loop])] 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


HOME-A02_MS1 []Section: Fertility

About how many children's books does [Surprise child's name([mother supplement loop])] have?

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


HOME-A03_MS1 []Section: Fertility

How often do you get a chance to read stories to [Surprise child's name([mother supplement loop])]?

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


HOME-A04_MS1 []Section: Fertility

About how often do you take [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HOME-A03_MS1 [Default]


HOME-A05_MS1 []Section: Fertility

About how many, if any, cuddly, soft or role-playing toys (like a doll) does [Surprise child's name([mother supplement loop])] have? (May be shared with sister or brother.)

ENTER NUMBER OF SOFT TOYS.

Enter Number: 


HOME-A06_MS1 []Section: Fertility

About how many, if any, push or pull toys does [Surprise child's name([mother supplement loop])] have? (May be shared with sister or brother.)


ENTER NUMBER OF PUSH/PULL TOYS.

Enter Number: 


HOME-A07_MS1 []Section: Fertility

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_MS1
Lead-In:HOME-A06_MS1 [Default]


HOME-A08_MS1 []Section: Fertility

Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--does [Surprise child's name([mother supplement loop])] 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 [Surprise child's name([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)

Enter Number: 


HOME-A09_MS1 []Section: Fertility

Now, think about a typical weekend day (Saturday or Sunday) for your family. How much time--either in your home or elsewhere--does [Surprise child's name([mother supplement loop])] 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 [Surprise child's name([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekend day?)

Enter Number: 


HOME-A10A_MS1 []Section: Fertility

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_MS1 []Section: Fertility

MARK AS APPROPRIATE

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

Default Next:HOME-A-DADCHK1_MS1
Lead-In:HOME-A10A_MS1 [Default]


HOME-A-DADCHK1_MS1 []Section: Fertility

([Child's bio father in hh?([mother supplement loop])] == 1)

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

If Answer = 1 Then Go To
HOME-A14_MS1

Default Next:HOME-A11_MS1
Lead-In:HOME-A10B_MS1 [Default]


HOME-A11_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] ever see [his/her([mother supplement loop])] father, or someone [s/he([mother supplement loop])] considers a father-figure?

 1   Yes   ...(Go To HOME-A12_MS1)
 0   No

Default Next:HOME-A16_MS1
Lead-In:HOME-A-DADCHK1_MS1 [Default]


HOME-A12_MS1 []Section: Fertility

Is this person [his/her([mother supplement loop])] biological father, stepfather, or a father-figure?

 1   BIOLOGICAL FATHER
 2   STEPFATHER
 3   FATHER-FIGURE


HOME-A13_MS1 []Section: Fertility

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_MS1
Lead-In:HOME-A12_MS1 [Default]


HOME-A14_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] see [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])] on a daily basis?

 1   Yes
 0   No


HOME-A15_MS1 []Section: Fertility

How often does [Surprise child's name([mother supplement loop])] eat a meal with both you and [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?

 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_MS1
Lead-In:HOME-A14_MS1 [Default]


HOME-A16_MS1 []Section: Fertility

Children seem to demand attention when their parents are busy around the house. How often do you talk to [Surprise child's name([mother supplement loop])] 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)


HOME-A17A_MS1 []Section: Fertility

How close does [Surprise child's name([mother supplement loop])] feel toward you? Does [s/he([mother supplement loop])] feel...

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

Default Next:HOME-A-DADCHK2_MS1
Lead-In:HOME-A16_MS1 [Default]


HOME-A-DADCHK2_MS1 []Section: Fertility

([father/step-father/father-figure([mother supplement loop])])

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

If Answer = 0 Then Go To
HOME-A18_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-A17B_MS1

Default Next:HOME-A17B_MS1
Lead-In:HOME-A17A_MS1 [Default]


HOME-A17B_MS1 []Section: Fertility

How close does [s/he([mother supplement loop])] feel toward [his/her([mother supplement loop])] (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_MS1
Lead-In:HOME-A-DADCHK2_MS1 [1:3], HOME-A-DADCHK2_MS1 [Default]


HOME-A-DADCHK3_MS1 []Section: Fertility

([father/step-father/father-figure([mother supplement loop])])

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_MS1

Default Next:HOME-A17D_MS1
Lead-In:HOME-A17B_MS1 [Default]


HOME-A17D_MS1 []Section: Fertility

How close does [s/he([mother supplement loop])] feel toward [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?

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

Default Next:HOME-A18_MS1
Lead-In:HOME-A-DADCHK3_MS1 [Default]


HOME-A18_MS1 []Section: Fertility

Sometimes kids mind pretty well and sometimes they don't.
About how many times, if any, have you had to spank [Surprise child's name([mother supplement loop])] in the past week?

Enter Number: 

Default Next:ACT-AGECK1_MS1
Lead-In:HOME-A-DADCHK2_MS1 [0:0], HOME-A-DADCHK3_MS1 [1:1], HOME-A17D_MS1 [Default]


HOME-B01_MS1 []Section: Fertility

About how often do you read stories to [Surprise child's name([mother supplement loop])]?

 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


HOME-B02_MS1 []Section: Fertility

About how many children's books does [Surprise child's name([mother supplement loop])] have?

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


HOME-B03_MS1 []Section: Fertility

About how many magazines does your family get regularly?

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


HOME-B04_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HOME-B03_MS1 [Default]


HOME-B05A_MS1 []Section: Fertility

Please tell me which of the following you (or someone else) have helped [Surprise child's name([mother supplement loop])] learn at home.

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

 1   Yes
 0   No

Default Next:HOME-B05B-MATRIX_MS1
Lead-In:HOME-B04_MS1 [Default]


HOME-B05B-MATRIX_MS1 []Section: Fertility

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

 - ...the alphabet?
 - ...colors?
 - ...shapes and sizes?
 1   YES
 0   NO

Default Next:HOME-B06_MS1
Lead-In:HOME-B05A_MS1 [Default]


HOME-B06_MS1 []Section: Fertility

How much choice is [Surprise child's name([mother supplement loop])] allowed in deciding what foods [s/he([mother supplement loop])] eats at breakfast and lunch?

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

Default Next:HOME-B07A_MS1
Lead-In:HOME-B05B-MATRIX_MS1 [Default]


HOME-B07A_MS1 []Section: Fertility

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_MS1 []Section: Fertility

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

Default Next:HOME-B08A_MS1
Lead-In:HOME-B07A_MS1 [Default]


HOME-B08A_MS1 []Section: Fertility

Most children get angry at their parents from time to time. If [Surprise child's name([mother supplement loop])] got so angry that [s/he([mother supplement loop])] hit you, what would you do?

INTERVIEWER: ENTER VERBATIM AND SELECT ALL THAT APPLY

Enter: 


HOME-B08B_MS1 []Section: Fertility

 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_MS1
Lead-In:HOME-B08A_MS1 [Default]


HOME-B09_MS1 []Section: Fertility

How often does a family member get a chance to take [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HOME-B08B_MS1 [Default]


HOME-B10_MS1 []Section: Fertility

How often has a family member taken or arranged to take [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HOME-B09_MS1 [Default]


HOME-B11_MS1 []Section: Fertility

Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--does [Surprise child's name([mother supplement loop])] 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 [Surprise child's name([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)

Enter Number: 


HOME-B12_MS1 []Section: Fertility

Now, think about a typical weekend day (Saturday or Sunday) for your family. How much time--either in your home or elsewhere--does [Surprise child's name([mother supplement loop])] 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 [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HOME-B11_MS1 [Default]


HOME-B-DADCHK1_MS1 []Section: Fertility

([Child's bio father in hh?([mother supplement loop])] == 1)

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

If Answer = 1 Then Go To
HOME-B16_MS1

Default Next:HOME-B13_MS1
Lead-In:HOME-B12_MS1 [Default]


HOME-B13_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] ever see [his/her([mother supplement loop])] father, or someone [s/he([mother supplement loop])] considers a father-figure?

 1   Yes   ...(Go To HOME-B14_MS1)
 0   No

Default Next:HOME-B18A_MS1
Lead-In:HOME-B-DADCHK1_MS1 [Default]


HOME-B14_MS1 []Section: Fertility

Is this man [Surprise child's name([mother supplement loop])]'s biological father, stepfather, or a father-figure?

 1   BIOLOGICAL FATHER
 2   STEPFATHER
 3   FATHER-FIGURE


HOME-B15_MS1 []Section: Fertility

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_MS1
Lead-In:HOME-B14_MS1 [Default]


HOME-B16_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] see [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])] on a daily basis?

 1   Yes
 0   No


HOME-B17_MS1 []Section: Fertility

How often does [Surprise child's name([mother supplement loop])] eat a meal with you and [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?

 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_MS1
Lead-In:HOME-B16_MS1 [Default]


HOME-B18A_MS1 []Section: Fertility

How close does [Surprise child's name([mother supplement loop])] feel toward you? Does [s/he([mother supplement loop])] feel...

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

Default Next:HOME-B-DADCHK2_MS1
Lead-In:HOME-B13_MS1 [Default], HOME-B17_MS1 [Default]


HOME-B-DADCHK2_MS1 []Section: Fertility

([father/step-father/father-figure([mother supplement loop])])

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

If Answer = 0 Then Go To
HOME-B19_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-B18B_MS1

Default Next:HOME-B18B_MS1
Lead-In:HOME-B18A_MS1 [Default]


HOME-B18B_MS1 []Section: Fertility

How close does [Surprise child's name([mother supplement loop])] feel toward [his/her([mother supplement loop])] (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_MS1
Lead-In:HOME-B-DADCHK2_MS1 [1:3], HOME-B-DADCHK2_MS1 [Default]


HOME-B-DADCHK3_MS1 []Section: Fertility

([father/step-father/father-figure([mother supplement loop])])

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_MS1

Default Next:HOME-B18D_MS1
Lead-In:HOME-B18B_MS1 [Default]


HOME-B18D_MS1 []Section: Fertility

How close does [Surprise child's name([mother supplement loop])] feel toward [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?

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

Default Next:HOME-B19_MS1
Lead-In:HOME-B-DADCHK3_MS1 [Default]


HOME-B19_MS1 []Section: Fertility

Sometimes kids mind pretty well and sometimes they don't. About how many times, if any, have you had to spank [Surprise child's name([mother supplement loop])] in the past week?

Enter Number: 

Default Next:ACT-AGECK1_MS1
Lead-In:HOME-B-DADCHK2_MS1 [0:0], HOME-B-DADCHK3_MS1 [1:1], HOME-B18D_MS1 [Default]


HOME-C01_MS1 []Section: Fertility

About how many books does [Surprise child's name([mother supplement loop])] have?

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


HOME-C02_MS1 []Section: Fertility

About how often do you read aloud to [Surprise child's name([mother supplement loop])]?

 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-C03-MATRIX_MS1
Lead-In:HOME-C01_MS1 [Default]


HOME-C03-MATRIX_MS1 []Section: Fertility

How often is [Surprise child's name([mother supplement loop])] expected to ....

 - Make his/her own bed?
 - Clean his/her own room?
 - Clean up after spills?
 - Bathe him/her self?
 - Pick up after himself/herself?
 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_MS1
Lead-In:HOME-C02_MS1 [Default]


HOME-C04_MS1 []Section: Fertility

Is there a musical instrument (for example, piano, drum, guitar, etc.) that [Surprise child's name([mother supplement loop])] can use here at home?

 1   Yes
 0   No


HOME-C05_MS1 []Section: Fertility

Does your family get a daily newspaper?

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


HOME-C06_MS1 []Section: Fertility

About how often does [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HOME-C05_MS1 [Default]


HOME-C07_MS1 []Section: Fertility

Does your family encourage [Surprise child's name([mother supplement loop])] to start and keep doing hobbies?

 1   Yes
 0   No


HOME-C08_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HOME-C07_MS1 [Default]


HOME-C09_MS1 []Section: Fertility

How often has a family member taken, or arranged to take [Surprise child's name([mother supplement loop])] 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


HOME-C10_MS1 []Section: Fertility

How often has a family member taken, or arranged to take [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HOME-C09_MS1 [Default]


HOME-C11_MS1 []Section: Fertility

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_MS1
Lead-In:HOME-C10_MS1 [Default]


HOME-C12_MS1 []Section: Fertility

Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--would you say [Surprise child's name([mother supplement loop])] 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 [Surprise child's name([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)

Enter Number: 


HOME-C13_MS1 []Section: Fertility

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 [Surprise child's name([mother supplement loop])] 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 [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HOME-C12_MS1 [Default]


HOME-C-DADCHK1_MS1 []Section: Fertility

([Child's bio father in hh?([mother supplement loop])] == 1)

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

If Answer = 1 Then Go To
HOME-C17_MS1

Default Next:HOME-C14_MS1
Lead-In:HOME-C13_MS1 [Default]


HOME-C14_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] ever see [his/her([mother supplement loop])] father, or someone [s/he([mother supplement loop])] considers a father-figure?

 1   Yes   ...(Go To HOME-C15_MS1)
 0   No

Default Next:HOME-C20_MS1
Lead-In:HOME-C-DADCHK1_MS1 [Default]


HOME-C15_MS1 []Section: Fertility

Is this man [his/her([mother supplement loop])] biological father, step father, or a father-figure?

 1   BIOLOGICAL FATHER
 2   STEPFATHER
 3   FATHER-FIGURE


HOME-C16_MS1 []Section: Fertility

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_MS1
Lead-In:HOME-C15_MS1 [Default]


HOME-C17_MS1 []Section: Fertility

About how often does [Surprise child's name([mother supplement loop])] spend time with [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?

 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


HOME-C18_MS1 []Section: Fertility

About how often does [Surprise child's name([mother supplement loop])] spend time with [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])] 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


HOME-C19_MS1 []Section: Fertility

How often does [Surprise child's name([mother supplement loop])] eat a meal with both you and [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?

 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_MS1
Lead-In:HOME-C18_MS1 [Default]


HOME-C20_MS1 []Section: Fertility

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

 1   Yes
 0   No
 2   Do not have a TV

Default Next:HOME-C21A_MS1
Lead-In:HOME-C14_MS1 [Default], HOME-C19_MS1 [Default]


HOME-C21A_MS1 []Section: Fertility

How close does [Surprise child's name([mother supplement loop])] feel toward...you? Does [s/he([mother supplement loop])] feel...

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

Default Next:HOME-C-DADCHK2_MS1
Lead-In:HOME-C20_MS1 [Default]


HOME-C-DADCHK2_MS1 []Section: Fertility

([father/step-father/father-figure([mother supplement loop])])

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

If Answer = 0 Then Go To
HOME-C22A_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-C21B_MS1

Default Next:HOME-C21B_MS1
Lead-In:HOME-C21A_MS1 [Default]


HOME-C21B_MS1 []Section: Fertility

How close does [Surprise child's name([mother supplement loop])] feel toward [his/her([mother supplement loop])] (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_MS1
Lead-In:HOME-C-DADCHK2_MS1 [1:3], HOME-C-DADCHK2_MS1 [Default]


HOME-C-DADCHK3_MS1 []Section: Fertility

([father/step-father/father-figure([mother supplement loop])])

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_MS1

Default Next:HOME-C21D_MS1
Lead-In:HOME-C21B_MS1 [Default]


HOME-C21D_MS1 []Section: Fertility

How close does [Surprise child's name([mother supplement loop])] feel toward [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?

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

Default Next:HOME-C22A_MS1
Lead-In:HOME-C-DADCHK3_MS1 [Default]


HOME-C22A_MS1 []Section: Fertility

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 SELECT ALL THAT APPLY.

Enter: 


HOME-C22B_MS1 []Section: Fertility

 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-C23-MATRIX1_MS1
Lead-In:HOME-C22A_MS1 [Default]


HOME-C23-MATRIX1_MS1 []Section: Fertility

If [Surprise child's name([mother supplement loop])] brought home a report card with grades lower than expected, how likely would you be to ....

 - contact his or her teacher or principal?
 - lecture him/her?
 - keep a closer eye on his/her activities?
 - punish him/her?
 - 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-C23-MATRIX2_MS1
Lead-In:HOME-C22B_MS1 [Default]


HOME-C23-MATRIX2_MS1 []Section: Fertility

If [Surprise child's name([mother supplement loop])] 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?
 - tell him/her to spend more time on schoolwork?
 - spend more time helping him/her with schoolwork?
 - 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_MS1
Lead-In:HOME-C23-MATRIX1_MS1 [Default]


HOME-C23J_MS1 []Section: Fertility

(If [Surprise child's name([mother supplement loop])] brought home a report card with grades lower than expected),

...would you do anything else?

 1   Yes   ...(Go To HOME-C23JV_MS1)
 0   No

Default Next:HOME-C24A_MS1
Lead-In:HOME-C23-MATRIX2_MS1 [Default]


HOME-C23JV_MS1 []Section: Fertility

(If [Surprise child's name([mother supplement loop])] brought home a report card with grades lower than expected...would you do anything else?)

What would that be?

Enter: 

Default Next:HOME-C24A_MS1
Lead-In:HOME-C23J_MS1 [1:1]


HOME-C24A_MS1 []Section: Fertility

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_MS1 []Section: Fertility

How many times in the past week have you...grounded [him/her([mother supplement loop])]?

Enter Number: 


HOME-C24C_MS1 []Section: Fertility

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

Enter Number: 

Default Next:HOME-C24D_MS1
Lead-In:HOME-C24B_MS1 [Default]


HOME-C24D_MS1 []Section: Fertility

How many times (in the past week) have you...praised [Surprise child's name([mother supplement loop])] for doing something worthwhile?

Enter Number: 


HOME-C24E_MS1 []Section: Fertility

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

Enter Number: 


HOME-C24F_MS1 []Section: Fertility

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

Enter Number: 

Default Next:HOME-C24G_MS1
Lead-In:HOME-C24E_MS1 [Default]


HOME-C24G_MS1 []Section: Fertility

How many times (in the past week) have you...sent [Surprise child's name([mother supplement loop])] to [his/her([mother supplement loop])] room?

Enter Number: 


HOME-C24H_MS1 []Section: Fertility

How many times (in the past week) have you...told another adult (spouse, friend, co-worker, visitor, relative) something positive about [Surprise child's name([mother supplement loop])]?

Enter Number: 

Default Next:ACT-AGECK1_MS1
Lead-In:HOME-C24G_MS1 [Default]


HOME-D01_MS1 []Section: Fertility

About how many books does [Surprise child's name([mother supplement loop])] have?

 1   None
 2   1 to 9
 3   10 to 19
 4   20 or more

Default Next:HOME-D02-MATRIX_MS1
Lead-In:HOME-AGECK2_MS1 [120:191]


HOME-D02-MATRIX_MS1 []Section: Fertility

How often is [Surprise child's name([mother supplement loop])] expected to ....

 - Make his/her own bed?
 - Clean his/her own room?
 - Pick up after himself/herself?
 - Help keep shared living areas clean and straight?
 - Do routine chores such as mow the lawn, help with dinner, wash dishes, etc.?
 - 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_MS1
Lead-In:HOME-D01_MS1 [Default]


HOME-D03_MS1 []Section: Fertility

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_MS1
Lead-In:HOME-D02-MATRIX_MS1 [Default]


HOME-D04_MS1 []Section: Fertility

Does your family get a daily newspaper?

 1   Yes
 0   No


HOME-D05_MS1 []Section: Fertility

About how often does [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HOME-D04_MS1 [Default]


HOME-D06_MS1 []Section: Fertility

Does your family encourage [Surprise child's name([mother supplement loop])] to start and keep doing hobbies?

 1   Yes
 0   No

Default Next:HOME-D07_MS1
Lead-In:HOME-D05_MS1 [Default]


HOME-D07_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] get special lessons or belong to any organization that encourages activities such as sports, music, art, dance, drama, etc.?

 1   Yes
 0   No


HOME-D08_MS1 []Section: Fertility

How often has any family member taken or arranged to take [Surprise child's name([mother supplement loop])] 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


HOME-D09_MS1 []Section: Fertility

How often has a family member taken or arranged to take [him/her([mother supplement loop])] 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_MS1
Lead-In:HOME-D08_MS1 [Default]


HOME-D10_MS1 []Section: Fertility

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_MS1
Lead-In:HOME-D09_MS1 [Default]


HOME-D11_MS1 []Section: Fertility

Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--does [Surprise child's name([mother supplement loop])] 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 [Surprise child's name([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)

Enter Number: 


HOME-D12_MS1 []Section: Fertility

Now, think about a typical weekend day (Saturday or Sunday) for your family. How much time--either in your home or elsewhere--does [Surprise child's name([mother supplement loop])] 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 [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HOME-D11_MS1 [Default]


HOME-D-DADCHK1_MS1 []Section: Fertility

[Child's bio father in hh?([mother supplement loop])] == 1

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

If Answer = 1 Then Go To
HOME-D16_MS1

Default Next:HOME-D13_MS1
Lead-In:HOME-D12_MS1 [Default]


HOME-D13_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] ever see [his/her([mother supplement loop])] father, stepfather, or father-figure?

 1   Yes   ...(Go To HOME-D14_MS1)
 0   No

Default Next:HOME-D19_MS1
Lead-In:HOME-D-DADCHK1_MS1 [Default]


HOME-D14_MS1 []Section: Fertility

Is this man [his/her([mother supplement loop])] biological father, stepfather, or a father-figure?

 1   BIOLOGICAL FATHER
 2   STEPFATHER
 3   FATHER-FIGURE


HOME-D15_MS1 []Section: Fertility

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_MS1
Lead-In:HOME-D14_MS1 [Default]


HOME-D16_MS1 []Section: Fertility

About how often does [Surprise child's name([mother supplement loop])] spend time with [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?

 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


HOME-D17_MS1 []Section: Fertility

About how often does [s/he([mother supplement loop])] spend time with [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])] 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


HOME-D18_MS1 []Section: Fertility

How often does [Surprise child's name([mother supplement loop])] 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_MS1
Lead-In:HOME-D17_MS1 [Default]


HOME-D19_MS1 []Section: Fertility

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

 1   Yes
 0   No
 2   Do not have a TV

Default Next:HOME-D20A_MS1
Lead-In:HOME-D13_MS1 [Default], HOME-D18_MS1 [Default]


HOME-D20A_MS1 []Section: Fertility

How close does [Surprise child's name([mother supplement loop])] feel toward you?

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

Default Next:HOME-D-DADCHK2_MS1
Lead-In:HOME-D19_MS1 [Default]


HOME-D-DADCHK2_MS1 []Section: Fertility

([father/step-father/father-figure([mother supplement loop])])

COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-D21A; WHODAD>=1 SKIP TO HOME-D20B.

If Answer = 0 Then Go To
HOME-D21A_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-D20B_MS1

Default Next:HOME-D20B_MS1
Lead-In:HOME-D20A_MS1 [Default]


HOME-D20B_MS1 []Section: Fertility

How close does [Surprise child's name([mother supplement loop])] feel toward [his/her([mother supplement loop])] (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_MS1
Lead-In:HOME-D-DADCHK2_MS1 [1:3], HOME-D-DADCHK2_MS1 [Default]


HOME-D-DADCHK3_MS1 []Section: Fertility

([father/step-father/father-figure([mother supplement loop])])

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_MS1

Default Next:HOME-D20D_MS1
Lead-In:HOME-D20B_MS1 [Default]


HOME-D20D_MS1 []Section: Fertility

How close does [Surprise child's name([mother supplement loop])] feel toward [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?

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

Default Next:HOME-D21A_MS1
Lead-In:HOME-D-DADCHK3_MS1 [Default]


HOME-D21A_MS1 []Section: Fertility

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 SELECT ALL THAT APPLY.

Enter: 


HOME-D21B_MS1 []Section: Fertility

 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-D22-MATRIX1_MS1
Lead-In:HOME-D21A_MS1 [Default]


HOME-D22-MATRIX1_MS1 []Section: Fertility

If [Surprise child's name([mother supplement loop])] brought home a report card with grades lower than expected, how likely would you be to...

 - ...contact his/her teacher or principal?
 - ...lecture him/her?
 - ...keep a closer eye on his/her activities?
 - ...punish him/her?
 - ...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-D22-MATRIX2_MS1
Lead-In:HOME-D21B_MS1 [Default]


HOME-D22-MATRIX2_MS1 []Section: Fertility

If [Surprise child's name([mother supplement loop])] 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?
 - ...tell him/her to spend more time on schoolwork?
 - ...spend more time helping him/her with schoolwork?
 - ...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-D22J_MS1
Lead-In:HOME-D22-MATRIX1_MS1 [Default]


HOME-D22J_MS1 []Section: Fertility

(If [Surprise child's name([mother supplement loop])] brought home a report card with grades lower than expected),

...would you do anything else?

 1   Yes   ...(Go To HOME-D22JV_MS1)
 0   No

Default Next:HOME-D23A_MS1
Lead-In:HOME-D22-MATRIX2_MS1 [Default]


HOME-D22JV_MS1 []Section: Fertility

(If [Surprise child's name([mother supplement loop])] brought home a report card with grades lower than expected...would you do anything else?)

What would that be?

Enter: 

Default Next:HOME-D23A_MS1
Lead-In:HOME-D22J_MS1 [1:1]


HOME-D23A_MS1 []Section: Fertility

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_MS1 []Section: Fertility

How many times in the past week have you...grounded [him/her([mother supplement loop])]?

Enter Number: 


HOME-D23C_MS1 []Section: Fertility

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

Enter Number: 

Default Next:HOME-D23D_MS1
Lead-In:HOME-D23B_MS1 [Default]


HOME-D23D_MS1 []Section: Fertility

How many times (in the past week) have you...praised [Surprise child's name([mother supplement loop])] for doing something worthwhile?

Enter Number: 


HOME-D23E_MS1 []Section: Fertility

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

Enter Number: 


HOME-D23F_MS1 []Section: Fertility

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

Enter Number: 

Default Next:HOME-D23G_MS1
Lead-In:HOME-D23E_MS1 [Default]


HOME-D23G_MS1 []Section: Fertility

How many times (in the past week) have you...sent [Surprise child's name([mother supplement loop])] to [his/her([mother supplement loop])] room?

Enter Number: 


HOME-D23H_MS1 []Section: Fertility

How many times (in the past week) have you...told another adult (spouse, friend, co-worker, visitor, relative) something positive about [Surprise child's name([mother supplement loop])]?

Enter Number: 

Default Next:ACT-AGECK1_MS1
Lead-In:HOME-D23G_MS1 [Default]


ACT-AGECK1_MS1 []Section: Fertility

([child age in months([mother supplement loop])] < 84)

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

If Answer = 1 Then Go To
ACT-TITLE_MS1

Default Next:MSD-AGECK1_MS1
Lead-In:HOME-AGECK1_MS1 [Default], HOME-AGECK2_MS1 [Default], HOME-A18_MS1 [Default], HOME-B19_MS1 [Default], HOME-C24H_MS1 [Default], HOME-D23H_MS1 [Default]


ACT-TITLE_MS1 []Section: Fertility

BEGIN TEMPERAMENT SECTION

[msupplement_name([mother supplement loop])]

Default Next:ACT-INTRO_MS1
Lead-In:ACT-AGECK1_MS1 [1:1]


ACT-INTRO_MS1 []Section: Fertility

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
[Surprise child's name([mother supplement loop])] during the last two weeks.

If [s/he([mother supplement loop])] was not feeling well, think back to the last two-week time period when [s/he([mother supplement loop])] was [his/her([mother supplement loop])] normal self.

Default Next:ACT-AGECK2_MS1
Lead-In:ACT-TITLE_MS1 [Default]


ACT-AGECK2_MS1 []Section: Fertility

([child age in months([mother supplement loop])])

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

If Answer >= 0 AND Answer <= 11 Then Go To
ACT-A01-MATRIX_MS1
If Answer >= 12 AND Answer <= 23 Then Go To ACT-B01-MATRIX_MS1
If Answer >= 24 AND Answer <= 83 Then Go To ACT-C01-MATRIX1_MS1

Default Next:MSD-AGECK1_MS1
Lead-In:ACT-INTRO_MS1 [Default]


ACT-A01-MATRIX_MS1 []Section: Fertility

(The following questions ask about how often [Surprise child's name([mother supplement loop])] acted in a certain way.)

READ QUESTION BELOW AND ASK...

Would that be...

 - During feeding, how often does (CHILD) squirm and kick?
 - During feeding, how often does (CHILD) wave his/her arms?
 - During sleep, how often does s/he usually move around in the crib?
 - Some children get sleepy about the same time each evening, give or take 15 minutes. How often does (CHILD) do this?
 - Some children get hungry at about the same time each day, give or take 15 minutes. How often does (CHILD) do this?
 - When s/he wakes up in the morning, how often is s/he in the same mood?
 - When (CHILD) sees a stranger, how often does s/he turn away or cry as if afraid?
 - When s/he sees an unfamiliar dog or cat, how often does s/he turn away or cry as if afraid?
 - When you leave the room and leave him/her alone, how often does s/he become upset?
 - When you take (CHILD) to the doctor, dentist or nurse, how often does s/he turn away or cry as if afraid?
 - When you play with (CHILD), how often does s/he smile or laugh?
 - When s/he plays alone, how often does s/he smile or laugh?
 - When s/he is in the bath, how often does s/he smile or laugh?
 - When (CHILD) hears an unexpected loud sound (for example, a car back-firing or a vacuum cleaner), how often does s/he cry or become upset?
 - How often do you have trouble soothing or calming him/her when s/he is crying or upset?
 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-A16_MS1
Lead-In:ACT-AGECK2_MS1 [0:11]


ACT-A16_MS1 []Section: Fertility

The answer choices change a little here....

During the average day, how often does [Surprise child's name([mother supplement loop])] get fussy and irritable?

Would you say...

 1   Almost never
 2   Once or twice a day
 3   A couple of times a.m. & p.m.
 4   Several times a day
 5   Almost every hour

Default Next:ACT-A17_MS1
Lead-In:ACT-A01-MATRIX_MS1 [Default]


ACT-A17_MS1 []Section: Fertility

In general, compared with most babies, how often does [Surprise child's name([mother supplement loop])] cry and fuss?

Would that be...

 1   Almost never
 2   Less than average
 3   About average
 4   More than average
 5   Almost always

Default Next:MSD-AGECK1_MS1
Lead-In:ACT-A16_MS1 [Default]


ACT-B01-MATRIX_MS1 []Section: Fertility

(The following questions ask about how often [Surprise child's name([mother supplement loop])] acted in a certain way.)

READ QUESTION BELOW AND ASK...

Would that be...

 - When (CHILD) sees a stranger, how often does s/he turn away or cry as if afraid?
 - When s/he sees an unfamiliar dog or cat, how often does s/he turn away or cry as if afraid?
 - When you leave the room and leave him/her alone, how often does s/he become upset?
 - When you take (CHILD) to the doctor, dentist or nurse, how often does s/he turn away or cry as if afraid?
 - When you play with (CHILD), how often does s/he smile or laugh?
 - When s/he plays alone, how often does s/he smile or laugh?
 - When s/he is in the bath, how often does s/he smile or laugh?
 - When (CHILD) hears an unexpected loud sound (for example, a car back-firing or a vacuum cleaner), how often does s/he cry or become upset?
 - How often do you have trouble soothing or calming him/her when s/he is crying or upset?
 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-B10_MS1
Lead-In:ACT-AGECK2_MS1 [12:23]


ACT-B10_MS1 []Section: Fertility

The answer choices change a little here....

During the average day, how often does [Surprise child's name([mother supplement loop])] get fussy and irritable?

Would you say...

 1   Almost never
 2   Once or twice a day
 3   A couple of times a.m. & p.m.
 4   Several times a day
 5   Almost every hour

Default Next:ACT-B11_MS1
Lead-In:ACT-B01-MATRIX_MS1 [Default]


ACT-B11_MS1 []Section: Fertility

In general, compared with most toddlers, how often does [Surprise child's name([mother supplement loop])] cry and fuss?

Would that be...

 1   Almost never
 2   Less than average
 3   About average
 4   More than average
 5   Almost always

Default Next:MSD-AGECK1_MS1
Lead-In:ACT-B10_MS1 [Default]


ACT-C01-MATRIX1_MS1 []Section: Fertility

(The following questions ask about how often [Surprise child's name([mother supplement loop])] acted in a certain way.)

READ QUESTION BELOW AND ASK...

Would that be...

 - When it is mealtime, how often does (CHILD) eat what you want him/her to eat?
 - When (CHILD) doesn't eat what you want him/her to eat and you tell him/her to do so, how often does s/he obey and eat?
 - When it is (CHILD)'s bedtime, how often does s/he protest or resist going to bed?
 - When s/he does protest and you tell him/her again to go to bed, how often does s/he do so?
 - When you tell (CHILD) to turn off the TV, how often does s/he do so without protest?
 - When s/he does protest and you tell him/her again to turn off the TV, how often does s/he do so?
 - When (CHILD) meets a new child about the same age, how often is s/he shy at first?
 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-C01-MATRIX2_MS1
Lead-In:ACT-AGECK2_MS1 [24:83]


ACT-C01-MATRIX2_MS1 []Section: Fertility

(The following questions ask about how often [Surprise child's name([mother supplement loop])] acted in a certain way.)

READ QUESTION BELOW AND ASK...

Would that be...

 - When s/he meets an adult s/he does not know, how often is s/he shy at first?
 - How often does (CHILD) cry when s/he hurts himself/herself a little bit?
 - How often does s/he laugh and smile easily (for example, when no one is touching him/her)?
 - When (CHILD) is with other children his/her own age, how often does s/he fight, take toys, hit, and so on?
 - When s/he is with other children his/her own age, how often does s/he willingly share toys?
 - How often do you have trouble soothing or calming (CHILD) when s/he is upset?
 - When (CHILD) is playing, how often does s/he stay close to you and make sure that s/he can still see you?
 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-C01-MATRIX3_MS1
Lead-In:ACT-C01-MATRIX1_MS1 [Default]


ACT-C01-MATRIX3_MS1 []Section: Fertility

(The following questions ask about how often [Surprise child's name([mother supplement loop])] acted in a certain way.)

READ QUESTION BELOW AND ASK...

Would that be...

 - How often does s/he try to copy what you do or how you act? (You may not always allow him/her to do this.)
 - When you leave the room and leave (CHILD) alone, how often does s/he get upset?
 - How often is (CHILD) demanding and impatient even when you are busy?
 - When you get upset about something, how often does s/he get worried, or try to help, or make you feel better?
 - How often does (CHILD) want you to help with the things s/he is doing?
 - During the past year, how often has (CHILD) slept through the night?
 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:MSD-AGECK1_MS1
Lead-In:ACT-C01-MATRIX2_MS1 [Default]


MSD-AGECK1_MS1 []Section: Fertility

[child age in months([mother supplement loop])] < 48

COMMENT: MSD A1 to H15 Dropped for R21.

If Answer = 1 Then Go To
MSD-TITLE_MS1

Default Next:BKGN-CASI-AGECK1_MS1
Lead-In:ACT-AGECK1_MS1 [Default], ACT-AGECK2_MS1 [Default], ACT-A17_MS1 [Default], ACT-B11_MS1 [Default], ACT-C01-MATRIX3_MS1 [Default]


MSD-TITLE_MS1 []Section: Fertility

BEGIN MOTOR AND SOCIAL DEVELOPMENT SECTION

[msupplement_name([mother supplement loop])]

Default Next:MSD-INTRO_MS1
Lead-In:MSD-AGECK1_MS1 [1:1]


MSD-INTRO_MS1 []Section: Fertility

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


READ TO MOTHER

This section asks you questions about things children do at different ages.

Default Next:MSD-AGECK2_MS1
Lead-In:MSD-TITLE_MS1 [Default]


MSD-AGECK2_MS1 []Section: Fertility

([child age in months([mother supplement loop])])

COMMENT: AGE SKIP INFO FROM PREVIOUS ROUNDS PRESERVED - NOT ALL BRANCHES APPLY If child age is 0 to 3 mos jump to MSD A If child age is 4 to 6 mos jump to MSD B If child age is 7 to 9 mos jump to MSD C If child age is 10 to 12 mos jump to MSD D If child age is 13 to 15 mos jump to MSD E If child age is 16 to 18 mos jump to MSD F If child age is 19 to 21 mos jump to MSD G If child age is 22 to 47 mos jump to MSD H

If Answer >= 0 AND Answer <= 3 Then Go To
MSD-A01_MS1
If Answer >= 4 AND Answer <= 6 Then Go To MSD-B01_MS1
If Answer >= 7 AND Answer <= 9 Then Go To MSD-C-MATRIX1_MS1
If Answer >= 10 AND Answer <= 12 Then Go To MSD-D-MATRIX1_MS1
If Answer >= 13 AND Answer <= 15 Then Go To MSD-E-MATRIX1_MS1
If Answer >= 16 AND Answer <= 18 Then Go To MSD-F-MATRIX1_MS1
If Answer >= 19 AND Answer <= 21 Then Go To MSD-G-MATRIX1_MS1
If Answer >= 22 AND Answer <= 47 Then Go To MSD-H-MATRIX1_MS1

Default Next:BKGN-CASI-AGECK1_MS1
Lead-In:MSD-INTRO_MS1 [Default]


MSD-A01_MS1 []Section: Fertility

When lying on [his/her([mother supplement loop])] stomach, has [Surprise child's name([mother supplement loop])] ever turned [his/her([mother supplement loop])] head from side to side?

 1   Yes
 0   No

Default Next:MSD-A02_MS1
Lead-In:MSD-AGECK2_MS1 [0:3]


MSD-A02_MS1 []Section: Fertility

Have [Surprise child's name([mother supplement loop])]'s eyes ever followed a moving object?

 1   Yes
 0   No

Default Next:MSD-A03_MS1
Lead-In:MSD-A01_MS1 [Default]


MSD-A03_MS1 []Section: Fertility

When lying on [his/her([mother supplement loop])] stomach on a flat surface, has [Surprise child's name([mother supplement loop])] ever lifted [his/her([mother supplement loop])] head off the surface for a moment?

 1   Yes
 0   No

Default Next:MSD-A04_MS1
Lead-In:MSD-A02_MS1 [Default]


MSD-A04_MS1 []Section: Fertility

Have [Surprise child's name([mother supplement loop])]'s eyes ever followed a moving object all the way from one side to the other?

 1   Yes
 0   No

Default Next:MSD-A05_MS1
Lead-In:MSD-A03_MS1 [Default]


MSD-A05_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever smiled at someone when that person talked to or smiled at (but did not touch) [him/her([mother supplement loop])]?

 1   Yes
 0   No

Default Next:MSD-A06_MS1
Lead-In:MSD-A04_MS1 [Default]


MSD-A06_MS1 []Section: Fertility

When lying on [his/her([mother supplement loop])] stomach, has [Surprise child's name([mother supplement loop])] ever raised [his/her([mother supplement loop])] head AND chest from the surface while resting [his/her([mother supplement loop])] weight on [his/her([mother supplement loop])] lower arms or hands?

 1   Yes
 0   No

Default Next:MSD-A07_MS1
Lead-In:MSD-A05_MS1 [Default]


MSD-A07_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever turned [his/her([mother supplement loop])] head around to look at something?

 1   Yes
 0   No

Default Next:MSD-A08_MS1
Lead-In:MSD-A06_MS1 [Default]


MSD-A08_MS1 []Section: Fertility

While lying on [his/her([mother supplement loop])] back and being pulled up to a sitting position, did [Surprise child's name([mother supplement loop])] ever hold [his/her([mother supplement loop])] head stiffly so that it DID NOT hang back as [s/he([mother supplement loop])] was pulled up?

 1   Yes
 0   No

Default Next:MSD-A09_MS1
Lead-In:MSD-A07_MS1 [Default]


MSD-A09_MS1 []Section: Fertility

Has [s/he([mother supplement loop])] ever laughed out loud without being tickled or touched?

 1   Yes
 0   No

Default Next:MSD-A10_MS1
Lead-In:MSD-A08_MS1 [Default]


MSD-A10_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever held in one hand a moderate size object such as a block or a rattle?

 1   Yes
 0   No

Default Next:MSD-A11_MS1
Lead-In:MSD-A09_MS1 [Default]


MSD-A11_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever rolled over on [his/her([mother supplement loop])] own ON PURPOSE?

 1   Yes
 0   No

Default Next:MSD-A12_MS1
Lead-In:MSD-A10_MS1 [Default]


MSD-A12_MS1 []Section: Fertility

Has [s/he([mother supplement loop])] ever seemed to enjoy looking in the mirror at [him/her([mother supplement loop])]self?

 1   Yes
 0   No

Default Next:MSD-A13_MS1
Lead-In:MSD-A11_MS1 [Default]


MSD-A13_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever been pulled from a sitting to a standing position and supported [his/her([mother supplement loop])] own weight with legs stretched out?

 1   Yes
 0   No

Default Next:MSD-A14_MS1
Lead-In:MSD-A12_MS1 [Default]


MSD-A14_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever looked around with [his/her([mother supplement loop])] eyes for a toy which was lost or not nearby?

 1   Yes
 0   No

Default Next:MSD-A15_MS1
Lead-In:MSD-A13_MS1 [Default]


MSD-A15_MS1 []Section: Fertility

Has [s/he([mother supplement loop])] ever sat alone with no help except for leaning forward on [his/her([mother supplement loop])] hands or with just a little help from someone else?

 1   Yes
 0   No

Default Next:BKGN-CASI-AGECK1_MS1
Lead-In:MSD-A14_MS1 [Default]


MSD-B01_MS1 []Section: Fertility

While lying on [his/her([mother supplement loop])] back and being pulled up to a sitting position, has [Surprise child's name([mother supplement loop])] ever held [his/her([mother supplement loop])] head stiffly so that it DID NOT hang back as [s/he([mother supplement loop])] was pulled up?

 1   Yes
 0   No

Default Next:MSD-B-MATRIX1_MS1
Lead-In:MSD-AGECK2_MS1 [4:6]


MSD-B-MATRIX1_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ...

 - ...laughed out loud without being tickled or touched?
 - ... held in one hand a moderate size object such as a block or a rattle?
 - ...rolled over on his/her own ON PURPOSE?
 - ...seemed to enjoy looking in the mirror at him/herself?
 - ...been pulled from a sitting to a standing position and supported his/her own weight with legs stretched out?
 1   Yes
 0   No

Default Next:MSD-B-MATRIX2_MS1
Lead-In:MSD-B01_MS1 [Default]


MSD-B-MATRIX2_MS1 []Section: Fertility

(Has [Surprise child's name([mother supplement loop])] ever ....)

 - ...looked around with his/her eyes for a toy which was lost or not nearby?
 - ...sat alone with no help except for leaning forward on his/her hands or with just a little help from someone else?
 - ...sat for 10 minutes without any support at all?
 - ...pulled hi/herself to a standing position without help from another person?
 - ...crawled when left lying on his/her stomach?
 1   Yes
 0   No

Default Next:MSD-B-MATRIX3_MS1
Lead-In:MSD-B-MATRIX1_MS1 [Default]


MSD-B-MATRIX3_MS1 []Section: Fertility

(Has [Surprise child's name([mother supplement loop])] ever ....)

 - ...said any recognizable words such as "mama" or "dada"?
 - ...picked up small objects such as raisins or cookie crumbs, using only his/her thumb and first finger?
 - ... walked at least 2 steps with one hand held or holding on to something?
 - ...waved good-bye without help from another person?
 1   Yes
 0   No

Default Next:BKGN-CASI-AGECK1_MS1
Lead-In:MSD-B-MATRIX2_MS1 [Default]


MSD-C-MATRIX1_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ...

 - ...seemed to enjoy looking in the mirror at him/herself?
 - ...been pulled from a sitting to a standing position and supported his/her own weight with legs stretched out?
 - ...looked around with his/her eyes for a toy which was lost or not nearby?
 - ...sat alone with no help except for leaning forward on his/her hands or with just a little help from someone else?
 - ...sat for 10 minutes without any support at all?
 1   Yes
 0   No

Default Next:MSD-C-MATRIX2_MS1
Lead-In:MSD-AGECK2_MS1 [7:9]


MSD-C-MATRIX2_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...pulled him/herself to a standing position without help from another person?
 - ...crawled when left lying on his/her stomach?
 - ...said any recognizable words such as "mama" or "dada"?
 - ...picked up small objects such as raisins or cookie crumbs, using only his/her thumb and first finger?
 - ...walked at least 2 steps with one hand held or holding on to something?
 1   Yes
 0   No

Default Next:MSD-C-MATRIX3_MS1
Lead-In:MSD-C-MATRIX1_MS1 [Default]


MSD-C-MATRIX3_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...waved good-bye without help from another person?
 - ...shown by his/her behavior that he/she knows the names of common objects when somebody else names them out loud?
 - ...shown that he/she wanted something by pointing, pulling, or making pleasant sounds rather than crying or whining?
 - ...stood alone on his/her feet for 10 seconds or more without holding on to anything or another person?
 - ...walked at least 2 steps without holding on to anything or another person?
 1   Yes
 0   No

Default Next:BKGN-CASI-AGECK1_MS1
Lead-In:MSD-C-MATRIX2_MS1 [Default]


MSD-D-MATRIX1_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ...

 - ...crawled when left lying on his/her stomach?
 - ...said any recognizable words such as "mama" or "dada"?
 - ...picked up small objects such as raisins or cookie crumbs, using only his/her thumb and first finger?
 - ...walked at least 2 steps with one hand held or holding on to something?
 - ...waved good-bye without help from another person?
 1   Yes
 0   No

Default Next:MSD-D-MATRIX2_MS1
Lead-In:MSD-AGECK2_MS1 [10:12]


MSD-D-MATRIX2_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...shown by his/her behavior that he/she knows the names of common objects when somebody else names them out loud?
 - ...shown that he/she wanted something by pointing, pulling, or making pleasant sounds rather than crying or whining?
 - ...stood alone on his/her feet for 10 seconds or more without holding on to anything or another person?
 - ...walked at least 2 steps without holding on to anything or another person?
 - ...crawled up at least 2 stairs or steps?
 1   Yes
 0   No

Default Next:MSD-D-MATRIX3_MS1
Lead-In:MSD-D-MATRIX1_MS1 [Default]


MSD-D-MATRIX3_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...said 2 recognizable words besides "mama" and "dada"?
 - ...run?
 - ...said the name of a familiar object, such as a ball?
 - ...made a line with a crayon or pencil?
 - ...walked up at least 2 stairs with one hand held or holding the railing?
 1   Yes
 0   No

Default Next:BKGN-CASI-AGECK1_MS1
Lead-In:MSD-D-MATRIX2_MS1 [Default]


MSD-E-MATRIX1_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ...

 - ...waved good-bye without help from another person?
 - ...shown by his/her behavior that he/she knows the names of common objects when somebody else names them out loud?
 - ...shown that he/she wanted something by pointing, pulling, or making pleasant sounds rather than crying or whining?
 - ...stood alone on his/her feet for 10 seconds or more without holding on to anything or another person?
 - ...walked at least 2 steps without holding on to anything or another person?
 1   Yes
 0   No

Default Next:MSD-E-MATRIX2_MS1
Lead-In:MSD-AGECK2_MS1 [13:15]


MSD-E-MATRIX2_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...crawled up at least 2 stairs or steps?
 - ...said 2 recognizable words besides "mama" and "dada"?
 - ...run?
 - ...said the name of a familiar object, such as a ball?
 - ...made a line with a crayon or pencil?
 1   Yes
 0   No

Default Next:MSD-E-MATRIX3_MS1
Lead-In:MSD-E-MATRIX1_MS1 [Default]


MSD-E-MATRIX3_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...walked up at least 2 stairs with one hand held or holding the railing?
 - ...fed him/herself with a spoon or fork without spilling much?
 - ...let someone know, without crying, that wearing wet (soiled) pants or diapers bothered him/her?
 - ...spoken a partial sentence of 3 words or more?
 - ...walked up stairs by him/herself without holding on to a rail?
 1   Yes
 0   No

Default Next:BKGN-CASI-AGECK1_MS1
Lead-In:MSD-E-MATRIX2_MS1 [Default]


MSD-F-MATRIX1_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ...

 - ...walked at least 2 steps without holding on to anything or another person?
 - ...crawled up at least 2 stairs or steps?
 - ...said 2 recognizable words besides "mama" and "dada"?
 - ...run?
 - ...said the name of a familiar object, such as a ball?
 1   Yes
 0   No

Default Next:MSD-F-MATRIX2_MS1
Lead-In:MSD-AGECK2_MS1 [16:18]


MSD-F-MATRIX2_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...made a line with a crayon or pencil?
 - ...walked up at least 2 stairs with one hand held or holding the railing?
 - ...fed him/herself with a spoon or fork without spilling much?
 - ...let someone know, without crying, that wearing wet (soiled) pants or diapers bothered him/her?
 - ...spoken a partial sentence of 3 words or more?
 1   Yes
 0   No

Default Next:MSD-F-MATRIX3_MS1
Lead-In:MSD-F-MATRIX1_MS1 [Default]


MSD-F-MATRIX3_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...walked up stairs by him/herself without holding on to a rail?
 - ...washed and dried his/her hands without any help except for turning the water on and off?
 - ...counted 3 objects correctly?
 - ...gone to the toilet alone?
 - ...walked up stairs by him/herself with no help, stepping on each step with only one foot?
 1   Yes
 0   No

Default Next:BKGN-CASI-AGECK1_MS1
Lead-In:MSD-F-MATRIX2_MS1 [Default]


MSD-G-MATRIX1_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ...

 - ...run?
 - ...said the name of a familiar object, such as a ball?
 - ...made a line with a crayon or pencil?
 - ...walked up at least 2 stairs with one hand held or holding the railing?
 - ...fed him/herself with a spoon or fork without spilling much?
 1   Yes
 0   No

Default Next:MSD-G-MATRIX2_MS1
Lead-In:MSD-AGECK2_MS1 [19:21]


MSD-G-MATRIX2_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...let someone know, without crying, that wearing wet (soiled) pants or diapers bothered him/her?
 - ...spoken a partial sentence of 3 words or more?
 - ...walked up stairs by him/herself without holding on to a rail?
 - ...washed and dried his/her hands without any help except for turning the water on and off?
 - ...counted 3 objects correctly?
 1   Yes
 0   No

Default Next:MSD-G-MATRIX3_MS1
Lead-In:MSD-G-MATRIX1_MS1 [Default]


MSD-G-MATRIX3_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...ever gone to the toilet alone?
 - ...walked up stairs by him/herself with no help, stepping on each step with only one foot?
 1   Yes
 0   No

Default Next:MSD-G13_MS1
Lead-In:MSD-G-MATRIX2_MS1 [Default]


MSD-G13_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] know [his/her([mother supplement loop])] own age AND sex?

 1   Yes
 0   No

Default Next:MSD-G-MATRIX4_MS1
Lead-In:MSD-G-MATRIX3_MS1 [Default]


MSD-G-MATRIX4_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...said the names of at least 4 colors?
 - ...pedaled a tricycle at least 10 feet?
 1   Yes
 0   No

Default Next:BKGN-CASI-AGECK1_MS1
Lead-In:MSD-G13_MS1 [Default]


MSD-H-MATRIX1_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ...

 - ...let someone know, without crying, that wearing wet (soiled) pants or diapers bothered him/her?
 - ...spoken a partial sentence of 3 words or more?
 - ...walked up stairs by him/herself without holding on to a rail?
 - ...washed and dried his/her hands without any help except for turning the water on and off?
 - ...counted 3 objects correctly?
 1   Yes
 0   No

Default Next:MSD-H-MATRIX2_MS1
Lead-In:MSD-AGECK2_MS1 [22:47]


MSD-H-MATRIX2_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...ever gone to the toilet alone?
 - ...walked up stairs by him/herself with no help, stepping on each step with only one foot?
 1   Yes
 0   No

Default Next:MSD-H08_MS1
Lead-In:MSD-H-MATRIX1_MS1 [Default]


MSD-H08_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] know [his/her([mother supplement loop])] own age AND sex?

 1   Yes
 0   No

Default Next:MSD-H-MATRIX3_MS1
Lead-In:MSD-H-MATRIX2_MS1 [Default]


MSD-H-MATRIX3_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever ....

 - ...said the names of at least 4 colors?
 - ...pedaled a tricycle at least 10 feet?
 - ...done a somersault without help from anybody?
 1   Yes
 0   No

Default Next:MSD-H12_MS1
Lead-In:MSD-H08_MS1 [Default]


MSD-H12_MS1 []Section: Fertility

Has [s/he([mother supplement loop])] ever dressed [him/her([mother supplement loop])]self without any help except for [tying shoes/tying shoes and buttoning the backs of dresses([mother supplement loop])]?

 1   Yes
 0   No

Default Next:MSD-H-MATRIX4_MS1
Lead-In:MSD-H-MATRIX3_MS1 [Default]


MSD-H-MATRIX4_MS1 []Section: Fertility

(Has [Surprise child's name([mother supplement loop])] ever ....)

 - ...said his/her first and last name together without someone's help? (Nickname may be used for first name.)
 - ...counted out loud up to 10?
 - ...drawn a picture of a man or woman with at least 2 parts of the body besides a head?
 1   Yes
 0   No

Default Next:BKGN-CASI-AGECK1_MS1
Lead-In:MSD-H12_MS1 [Default]


BKGN-CASI-AGECK1_MS1 []Section: Fertility

[child age (years)([mother supplement loop])] <= 4 || [ever in school([mother supplement loop])]==0

COMMENT: If child age is 5 years or OLDER and has been enrolled in school then continue; Otherwise, skip to BKGN-44_MS1

If Answer = 1 Then Go To
BKGN-44_MS1

Default Next:BKGN-37_MS1
Lead-In:MSD-AGECK1_MS1 [Default], MSD-AGECK2_MS1 [Default], MSD-A15_MS1 [Default], MSD-B-MATRIX3_MS1 [Default], MSD-C-MATRIX3_MS1 [Default], MSD-D-MATRIX3_MS1 [Default], MSD-E-MATRIX3_MS1 [Default], MSD-F-MATRIX3_MS1 [Default], MSD-G-MATRIX4_MS1 [Default], MSD-H-MATRIX4_MS1 [Default]


BKGN-37_MS1 []Section: Fertility

[Has/Since we last interviewed you on (date of mom's last interview) has([mother supplement loop])] [Surprise child's name([mother supplement loop])] repeated a grade for any reason?

 1   Yes   ...(Go To BKGN-37-LOOP-BEGIN_MS1)
 0   No

Default Next:BKGN-38_MS1
Lead-In:BKGN-CASI-AGECK1_MS1 [Default]


BKGN-37-LOOP-BEGIN_MS1 []Section: Fertility

REPEAT

Default Next:BKGN-37A_MS1
Lead-In:BKGN-37_MS1 [1:1]


BKGN-37A_MS1 []Section: Fertility

What was the [most recent/next most recent([mother supplement loop]:[repeated grades loop])] grade that [Surprise child's name([mother supplement loop])] repeated?

 0   PRE-KINDERGARTEN/KINDERGARTEN/PRE-1ST GRADE
 1   1ST GRADE
 2   2ND GRADE
 3   3RD GRADE
 4   4TH GRADE
 5   5TH GRADE
 6   6TH GRADE
 7   7TH GRADE
 8   8TH GRADE
 9   9TH GRADE
 10   10TH GRADE
 11   11TH GRADE
 12   12TH GRADE

Default Next:BKGN-37B_MS1
Lead-In:BKGN-37-LOOP-BEGIN_MS1 [Default]


BKGN-37B_MS1 []Section: Fertility

What was the main reason [s/he([mother supplement loop])] repeated that grade?

 1   Academic failure or lack of ability
 2   Immature; acts too young
 3   Frequently absent (excused absence)
 4   Truancy (unexcused absence)
 5   Health reasons
 6   Moved into a more difficult school
 7   Other reason (SPECIFY)

Default Next:BKGN-37C_MS1
Lead-In:BKGN-37A_MS1 [Default]


BKGN-37C_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] repeated any other grades?

 1   Yes
 0   No

Default Next:BKGN-37-LOOP-END_MS1
Lead-In:BKGN-37B_MS1 [Default]


BKGN-37-LOOP-END_MS1 []Section: Fertility

UNTIL({^ANYMOREREPT([mother supplement loop]:[repeated grades loop])^}==0)

Default Next:BKGN-38_MS1
Lead-In:BKGN-37C_MS1 [Default]


BKGN-38_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever had any behavior problems at school resulting in your receiving a note or being asked to come in and talk to the teacher or principal?

 1   Yes   ...(Go To BKGN-39_MS1)
 0   No

Default Next:BKGN-40_MS1
Lead-In:BKGN-37_MS1 [Default], BKGN-37-LOOP-END_MS1 [Default]


BKGN-39_MS1 []Section: Fertility

What grade was [Surprise child's name([mother supplement loop])] in the first time you received a note, or were asked to come in and talk to the teacher or principal?

 90   NURSERY/PRESCHOOL
 0   KINDERGARTEN
 1   1ST GRADE
 2   2ND GRADE
 3   3RD GRADE
 4   4TH GRADE
 5   5TH GRADE
 6   6TH GRADE
 7   7TH GRADE
 8   8TH GRADE
 9   9TH GRADE
 10   10TH GRADE
 11   11TH GRADE
 12   12TH GRADE

Default Next:BKGN-40_MS1
Lead-In:BKGN-38_MS1 [1:1]


BKGN-40_MS1 []Section: Fertility

Has [Surprise child's name([mother supplement loop])] ever been suspended or expelled from school?

 1   Yes   ...(Go To BKGN-40A_MS1)
 0   No

Default Next:BKGN-41_MS1
Lead-In:BKGN-38_MS1 [Default], BKGN-39_MS1 [Default]


BKGN-40A_MS1 []Section: Fertility

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

In what grade did this first happen?

 90   NURSERY/PRESCHOOL
 0   KINDERGARTEN
 1   1ST GRADE
 2   2ND GRADE
 3   3RD GRADE
 4   4TH GRADE
 5   5TH GRADE
 6   6TH GRADE
 7   7TH GRADE
 8   8TH GRADE
 9   9TH GRADE
 10   10TH GRADE
 11   11TH GRADE
 12   12TH GRADE

Default Next:BKGN-41_MS1
Lead-In:BKGN-40_MS1 [1:1]


BKGN-41_MS1 []Section: Fertility

{^MSINSCHL([mother supplement loop])^} == 1

If Answer = 1 Then Go To
BKGN-42_MS1

Default Next:BKGN-44_MS1
Lead-In:BKGN-40_MS1 [Default], BKGN-40A_MS1 [Default]


BKGN-42_MS1 []Section: Fertility

Is your child one of the best students in class, above the middle, in the middle, below the middle, or near the bottom of the class?

 1   One of the best students in class
 2   Above the middle
 3   In the middle
 4   Below the middle
 5   Near the bottom of the class

Default Next:BKGN-43-M1_MS1
Lead-In:BKGN-41_MS1 [1:1]


BKGN-43-M1_MS1 []Section: Fertility

Please think about how well [Surprise child's name([mother supplement loop])]'s school does its job.

What grade would you give the school for how much the teachers care about the students?

 - ...how the teachers care about the students?
 - ...how effective the principal is as the leader of the school?
 - ...the skill of the teachers?
 - ...how safe the school is for the students to attend?
 - ...letting parents know how their children are doing?
 - ...letting parents participate in decisions about how the school is run?
 - ...helping students learn the difference between right and wrong?
 - ...maintaining order and discipline?
 5   A
 4   B
 3   C
 2   D
 1   FAIL

Default Next:BPI-AGECK1_MS1
Lead-In:BKGN-42_MS1 [Default]


BKGN-44_MS1 []Section: Fertility

Looking ahead, how far do you think [Surprise child's name([mother supplement loop])] will go in school? Will [s/he([mother supplement loop])]...

 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_MS1
Lead-In:BKGN-CASI-AGECK1_MS1 [1:1], BKGN-41_MS1 [Default]


BKGN-45_MS1 []Section: Fertility

In general, how much trouble has [Surprise child's name([mother supplement loop])] been to bring up?

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

Default Next:BKGN-46-M1_MS1
Lead-In:BKGN-44_MS1 [Default]


BKGN-46-M1_MS1 []Section: Fertility

Think now about how things are going in general in [Surprise child's name([mother supplement loop])]'s life. Please rate each of the parts of [his/her([mother supplement loop])] life listed below as either excellent, good, only fair, or poor.


How would you rate...

 - ...his/her health?
 - ...his/her friendships?
 - ...his/her relationship with you?
 - ...his/her feelings about him/herself?
 - ...his/her prospects for the future?
 - ...his/her relationship with brothers, sisters or other children he/she lives with?
 4   EXCELLENT
 3   GOOD
 2   FAIR
 1   POOR

Default Next:BPI-AGECK1_MS1
Lead-In:BKGN-45_MS1 [Default]


BPI-AGECK1_MS1 []Section: Fertility

{^msage([mother supplement loop])^} >= 4

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

If Answer = 1 Then Go To
BPI-M1_MS1

Default Next:HLTH-16_MS1
Lead-In:BKGN-43-M1_MS1 [Default], BKGN-46-M1_MS1 [Default]


BPI-M1_MS1 []Section: Fertility

The following statements are about behavior problems many children have. For each item, think about
[Surprise child's name([mother supplement loop])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.


[Surprise child's name([mother supplement loop])]...

 - ...has sudden changes in mood or feeling.
 - ...feels or complains that no one loves him/her.
 - ...is rather high strung, tense and nervous.
 - ...cheats or tells lies.
 - ...is too fearful or anxious.
 - ...argues too much.
 1   Often True
 2   Sometimes True
 3   Not True

Default Next:BPI-M2_MS1
Lead-In:BPI-AGECK1_MS1 [1:1]


BPI-M2_MS1 []Section: Fertility

(REPEAT IF NECESSARY: The following statements are about behavior problems many children have. For each item, think about [Surprise child's name([mother supplement loop])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.)

[Surprise child's name([mother supplement loop])]...

 - ...has difficulty concentrating, cannot pay attention for long.
 - ...is easily confused, seems to be in a fog.
 - ...bullies or is cruel or mean to others.
 - ...is disobedient at home.
 - ...does not seem to feel sorry after he/she misbehaves.
 - ...has trouble getting along with other children.
 1   Often True
 2   Sometimes True
 3   Not True

Default Next:BPI-M3_MS1
Lead-In:BPI-M1_MS1 [Default]


BPI-M3_MS1 []Section: Fertility

(REPEAT IF NECESSARY: The following statements are about behavior problems many children have. For each item, think about [Surprise child's name([mother supplement loop])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.)

[Surprise child's name([mother supplement loop])]...

 - ...is impulsive, or acts without thinking.
 - ...feels worthless or inferior.
 - ...is not liked by other children.
 - ...has a lot of difficulty getting his/her mind off certain thoughts (has obsessions).
 - ...is restless or overly active, cannot sit still.
 - ...is stubborn, sullen, or irritable.
 1   Often True
 2   Sometimes True
 3   Not True

Default Next:BPI-M4_MS1
Lead-In:BPI-M2_MS1 [Default]


BPI-M4_MS1 []Section: Fertility

(REPEAT IF NECESSARY: The following statements are about behavior problems many children have. For each item, think about [Surprise child's name([mother supplement loop])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.)

[Surprise child's name([mother supplement loop])]...

 - ...has a very strong temper and loses it easily.
 - ...is unhappy, sad, or depressed.
 - ...is withdrawn, does not get involved with others.
 - ...breaks things on purpose or deliberately destroys his/her own or another's things.
 - ...clings to adults.
 - ...cries too much.
 1   Often True
 2   Sometimes True
 3   Not True

Default Next:BPI-M5_MS1
Lead-In:BPI-M3_MS1 [Default]


BPI-M5_MS1 []Section: Fertility

(REPEAT IF NECESSARY: The following statements are about behavior problems many children have. For each item, think about [Surprise child's name([mother supplement loop])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.)

[Surprise child's name([mother supplement loop])]...

 - ...demands a lot of attention.
 - ...is too dependent on others.
 - ...feels others are out to get him/her.
 - ...hangs around with kids who get into trouble.
 - ...is secretive, keeps things to himself/herself.
 - ...worries too much.
 1   Often True
 2   Sometimes True
 3   Not True

Default Next:BPI-SCHLCK_MS1
Lead-In:BPI-M4_MS1 [Default]


BPI-SCHLCK_MS1 []Section: Fertility

({^MSINSCHL([mother supplement loop])^} == 1) || ({^MSEVERSCHL([mother supplement loop])^} == 1)

If Answer = 1 Then Go To
BPI-31_MS1

Default Next:HLTH-16_MS1
Lead-In:BPI-M5_MS1 [Default]


BPI-31_MS1 []Section: Fertility

Please answer even if school is not in session:

[Surprise child's name([mother supplement loop])]...is disobedient at school.

 1   Often True
 2   Sometimes True
 3   Not True
 4   Never Attended School


BPI-32_MS1 []Section: Fertility

(Please answer even if school is not in session:)
[Surprise child's name([mother supplement loop])]...has trouble getting along with teachers.

 1   Often True
 2   Sometimes True
 3   Not True
 4   Never Attended School

Default Next:HLTH-16_MS1
Lead-In:BPI-31_MS1 [Default]


HLTH-16_MS1 []Section: Fertility

{^msage([mother supplement loop])^} < 4

COMMENT: If child's age less than 4 years skip to HLTH-19, OTHERWISE continue

If Answer = 1 Then Go To
HLTH-19_MS1

Default Next:HLTH-17_MS1
Lead-In:BPI-AGECK1_MS1 [Default], BPI-SCHLCK_MS1 [Default], BPI-32_MS1 [Default]


HLTH-17_MS1 []Section: Fertility

During the past 12 months has [Surprise child's name([mother supplement loop])] seen a psychiatrist, psychologist, or counselor about any behavioral, emotional, or mental problem?

 1   Yes   ...(Go To HLTH-17A_MS1)
 0   No

Default Next:HLTH-19_MS1
Lead-In:HLTH-16_MS1 [Default]


HLTH-17A_MS1 []Section: Fertility

What was the problem?

Enter: 

Default Next:HLTH-17B_MS1
Lead-In:HLTH-17_MS1 [1:1]


HLTH-17B_MS1 []Section: Fertility

You said that the problem was "[behavioral problem description([mother supplement loop])]".

 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_MS1
Lead-In:HLTH-17A_MS1 [Default]


HLTH-18_MS1 []Section: Fertility

Was the cost of the visit to the psychiatrist, psychologist, or counselor covered, at least in part, by any form of insurance or benefit program?

 1   Yes
 0   No

Default Next:HLTH-20_MS1
Lead-In:HLTH-17B_MS1 [Default]


HLTH-19_MS1 []Section: Fertility

[Since child was born/During the past 12 months([mother supplement loop])], have you felt, or has anyone suggested, that [Surprise child's name([mother supplement loop])] needed help for any behavioral, emotional, or mental problem?

 1   Yes
 0   No

Default Next:HLTH-20_MS1
Lead-In:HLTH-16_MS1 [1:1], HLTH-17_MS1 [Default]


HLTH-20_MS1 []Section: Fertility

Does [Surprise child's name([mother supplement loop])] regularly take any medicines or prescription drugs to help control [Surprise child's name([mother supplement loop])]'s activity level or behavior?

 1   Yes
 0   No

Default Next:MS1-LOOP-END_MS1
Lead-In:HLTH-18_MS1 [Default], HLTH-19_MS1 [Default]


MS1-LOOP-END_MS1 []Section: Fertility

UNTIL([MSUPPLEMENT_NUM]==[mother supplement loop])

Default Next:Q10-GENCHECK
Lead-In:HOME-HHIFLAG-CHK1_MS1 [5:5], HOME-HHIFLAG-CHK1_MS1 [8:8], HOME-HHIFLAG-CHK1_MS1 [99:99], HOME-HHIFLAG-CHK2_MS1 [5:5], HOME-HHIFLAG-CHK2_MS1 [8:8], HOME-AGECHK-YA3_MS1 [1:1], HLTH-20_MS1 [Default]