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
Q9-INTRO [] | Section: Fertility |
Now we'd like to ask you some questions about children.
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
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
Q9-64GB_5 [] | Section: Fertility |
[RESPONDENT GENDER]==2 && [RESPAGEDLI]>52
If Answer = 1 Then Go To Q9-RECCOUNT1
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 |
Q9-RECCOUNT1 [] | Section: Fertility |
RECCOUNT ([biochild roster])
COMMENT: Count of biological children
If Answer = 0 Then Go To Q9-2A
Q9-2A [] | Section: Fertility |
Our records show that you do not have any biological children. Is that correct?
Q9-2A1 [] | Section: Fertility |
[RESPONDENT GENDER]
If Answer = 1 Then Go To Q9-2A3
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
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
Q9-22B [] | Section: Fertility |
Have you had any biological children since [Date of last interview]?
Q9-22BA [] | Section: Fertility |
How many children have you [LINT_EVER]
Q9-23-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Begin Loop for adding new bio children.
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.)
Q9-28A [] | Section: Fertility |
Was the baby a boy or a girl?
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.)
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
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.
Q9-29GD [] | Section: Fertility |
[# bio children since dli] > 2
If Answer = 1 Then Go To Q9-29GE
Q9-29GE [] | Section: Fertility |
[# bio children since dli]== 2
If Answer = 1 Then Go To Q9_29GF
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
Q9-29HB-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Start loop to check for twins/triplets/etc.
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 |
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
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.
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".)
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 |
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
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
Q9-30-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Begin loop to ask about residence/visitation of biological children
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
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
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
Q9-30E [] | Section: Fertility |
When did [name of biochild([Q9-resloop])] die?
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
Q9-44A [] | Section: Fertility |
[age of biochild([Q9-RESLOOP])]>18
If Answer = 1 Then Go To Q9-44AA
Q9-44AA [] | Section: Fertility |
[Usual residence of biological child([Q9-RESLOOP])]==1
If Answer = 1 Then Go To Q9-60-LOOP-END
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
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
Q9-44CA [] | Section: Fertility |
[marital status code]==4
If Answer = 1 Then Go To Q9-45
Q9-45 [] | Section: Fertility |
Does [name of biochild([Q9-resloop])]'s natural [father/mother] live in this household?
Q9-46 [] | Section: Fertility |
Is [name of biochild([Q9-resloop])]'s [father/mother] living?
If Answer >= -2 AND Answer <= -1 Then Go To Q9-46B
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
Q9-46B [] | Section: Fertility |
[age of biochild([Q9-RESLOOP])]>18
If Answer = 1 Then Go To Q9-60-LOOP-END
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
Q9-47A [] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [name of biochild([Q9-resloop])]'S NATURAL [father/mother] LEFT THE HOUSEHOLD.
Q9-48 [] | Section: Fertility |
What month and year did [name of biochild([Q9-resloop])]'s natural [father/mother] die?
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 |
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) |
Q9-52 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)
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 |
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 |
Q9-54A [] | Section: Fertility |
[age of biochild([Q9-RESLOOP])]>18
If Answer = 1 Then Go To Q9-54AB
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 |
Q9-54B [] | Section: Fertility |
[NUMVISITS]==0
If Answer = 1 Then Go To Q9-56
Q9-55 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)
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 |
Q9-57 [] | Section: Fertility |
(When did [name of biochild([Q9-resloop])] last live with you?)
(ENTER DATE)
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 |
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
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
Q9-68C [] | Section: Fertility |
[type of dwelling unit] == 5
If Answer = 0 Then Go To Q9-69B
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
Q9-69F [] | Section: Fertility |
[r previously report being surgically sterilized?] == 1
If Answer = 1 Then Go To Q9-72
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
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]
Q9-70B [] | Section: Fertility |
[pregtext5] many [pregtext2] pregnancies have you had since [fertrefdate~X]?
(INTERVIEWER: IF R IS CURRENTLY PREGNANT, PLEASE COUNT THAT PREGNANCY.)
Q9-70B2 [] | Section: Fertility |
[pregtext6] end in an abortion?
Q9-70B3 [] | Section: Fertility |
[numothpreg]
If Answer >= 0 AND Answer <= 1 Then Go To Q9-72
Q9-70B4 [] | Section: Fertility |
How many of those pregnancies ended in abortion?
Q9-72 [] | Section: Fertility |
[total # bio children reported] > 0
COMMENT: Has R ever had any children?
If Answer = 1 Then Go To Q9-73
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
Q9-73Z-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Copy name of child resulting from first pregnancy since date of 2004 or prior interview.
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].
Q9-74A1 [] | Section: Fertility |
[Q9-loop16 counter] == 1
If Answer = 0 Then Go To Q9-74A2
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
Q9-74A3 [] | Section: Fertility |
[numtwins]==0
If Answer = 1 Then Go To Q9-76E
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.
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
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
Q9-77 [] | Section: Fertility |
When did you become pregnant with [name of child born since dli]? What month and year?
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) |
Q9-79 [] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| 1 Yes ...(Go To Q9-80) |
| 0 No |
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 |
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 |
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 |
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 |
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)
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
Q9-93 [] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
Q9-99B [] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
Q9-94 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the calories in the food you ate?
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?
Q9-95 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
Q9-101B [] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
Q9-96 [] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
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?
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 |
Q9-103B [] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
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 |
Q9-104B [] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
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?
Q9-106A [] | Section: Fertility |
Was the baby born early or late?
Q9-106B [] | Section: Fertility |
How many weeks early was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
Q9-106C [] | Section: Fertility |
How many weeks late was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
Q9-107 [] | Section: Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
Q9-108 [] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| 1 First cesarean |
| 0 Had cesarean(s) before |
Q9-109 [] | Section: Fertility |
What was your weight just before you delivered?
Q9-110 [] | Section: Fertility |
What was your weight just before you became pregnant with [name of child born since dli]?
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
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
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
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.)
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.)
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.)
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 |
Q9-117A [] | Section: Fertility |
How much weight did you (gain/lose)?
(ENTER NUMBER OF POUNDS)
Q9-118A000001 [] | Section: Fertility |
How much did [name of child born since dli] weigh at birth?
(INTERVIEWER: ENTER POUNDS AND OUNCES BELOW.)
Q9-118A000002 [] | Section: Fertility |
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
Q9-118C [] | Section: Fertility |
Did [name of child born since dli] weigh more than 5 1/2 pounds or less?
Q9-119 [] | Section: Fertility |
What was [name of child born since dli]'s length at birth?
(ENTER INCHES)
Q9-119A [] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
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) |
Q9-120A [] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS)
Q9-121 [] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
Q9-122A [] | Section: Fertility |
How many days earlier?
Q9-122B [] | Section: Fertility |
How many days later?
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].
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.)
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 |
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 |
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.)
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]?
If Answer = 1 Then Go To Q9-129
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]?
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) |
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
Q9-131 [] | Section: Fertility |
When [name of child born since dli] was admitted to the hospital, was surgery necessary?
Q9-132 [] | Section: Fertility |
Did you have to take time off from work?
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?
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.)
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 |
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 |
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.)
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]?
If Answer = 1 Then Go To Q9-139
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]?
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) |
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
Q9-141 [] | Section: Fertility |
When [name of child born since dli] was admitted to the hospital, was surgery necessary?
Q9-142 [] | Section: Fertility |
Did you have to take time off from work?
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) |
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 |
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) |
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) |
Q9-145B_B [] | Section: Fertility |
Was [name of child born since dli] admitted to the hospital?
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 |
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)?
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
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
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) |
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) |
Q9-146B_B [] | Section: Fertility |
Was [name of child born since dli] admitted to the hospital?
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 |
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)?
Q9-147A-LOOP-END [] | Section: Fertility |
ENDFOR
COMMENT: Repeat loop for number of choices
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].
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 |
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.)
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.)
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
MS1-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: START loop
0
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
MS-ENTERNAME_MS1 [] | Section: Fertility |
INTERVIEWER: ENTER [msupplement_name([mother supplement loop])]'S FIRST NAME:
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
MS-ENTERFULLNAME_MS1 [] | Section: Fertility |
INTERVIEWER: ENTER [msupplement_name([mother supplement loop])]'S FULL NAME:
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
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
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
BKGN-TITLE_MS1 [] | Section: Fertility |
BEGIN CHILD BACKGROUND SECTION
[msupplement_name([mother supplement loop])]
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.)
BKGN-2_MS1 [] | Section: Fertility |
Has [s/he([mother supplement loop])] ever attended regular school, nursery school, or preschool?
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
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) |
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
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
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
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 |
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
SCHLFIND-9 [] | Section: Fertility |
Is this school in the United States?
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
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) |
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
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
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
SCHLFIND-180_00001 [] | Section: Fertility |
Verification Screen:
SCHLFIND-180_00002 [] | Section: Fertility |
SCHLFIND-180_00003 [] | Section: Fertility |
SCHLFIND-180_00004 [] | Section: Fertility |
SCHLFIND-180_00005 [] | Section: Fertility |
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
BKGN-5A_MS1 [] | Section: Fertility |
Is/Was [Surprise child's name([mother supplement loop])] (currently) attending or enrolled in summer school?
BKGN-5B_MS1 [] | Section: Fertility |
Has [Surprise child's name([mother supplement loop])] ever attended summer school?
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
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)?
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 |
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) |
BKGN-AGECK-PRESCHL_MS1 [] | Section: Fertility |
({^MSAGE([mother supplement loop])^} < 8)
If Answer = 1 Then Go To BKGN-GRDCHK-PRESCHL_MS1
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
BKGN-7_MS1 [] | Section: Fertility |
Has [Surprise child's name([mother supplement loop])] ever been enrolled in a preschool program (not including kindergarten)?
BKGN-8_MS1 [] | Section: Fertility |
Has [Surprise child's name([mother supplement loop])] ever been enrolled in day care?
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
BKGN-12_MS1 [] | Section: Fertility |
Has [Surprise child's name([mother supplement loop])] ever been enrolled in the Head Start Program?
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.)
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 |
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 |
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 |
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
BKGN-18_MS1 [] | Section: Fertility |
({^MSINSCHL([mother supplement loop])^} == 1)
If Answer = 1 Then Go To BKGN-20_MS1
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) |
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) |
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 |
BKGN-23_MS1 [] | Section: Fertility |
({^MSEVERSCHL([mother supplement loop])^} == 0) && ({^MSINSCHL([mother supplement loop])^} == 0)
If Answer = 1 Then Go To BKGN-32_MS1
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.
If Answer >= -2 AND Answer <= -1 Then Go To BKGN-FIRSTLANG_MS1
BKGN-25_MS1 [] | Section: Fertility |
How many of these were elementary schools?
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) |
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) |
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.
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.
BKGN-28_MS1 [] | Section: Fertility |
({^MSEVERSCHL([mother supplement loop])^} == 0) && ({^MSINSCHL([mother supplement loop])^} == 0)
If Answer = 1 Then Go To BKGN-32_MS1
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)? |
BKGN-30_MS1 [] | Section: Fertility |
({^MSINSCHL([mother supplement loop])^} == 1)
If Answer = 1 Then Go To BKGN-31-MATRIX_MS1
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? |
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? |
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 |
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
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
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
HLTH-TITLE_MS1 [] | Section: Fertility |
BEGIN CHILD HEALTH SECTION
[msupplement_name([mother supplement loop])]
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.
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
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
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
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
HLTH-21A [] | Section: Fertility |
INTERVIEWER: DOES CHILD HAVE ANY SERIOUS HEALTH LIMITATIONS THAT WOULD AFFECT MEASUREMENT OR TESTING?
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.
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?
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
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
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.
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.
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) |
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
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.
HLTH-HGT-INCHES [] | Section: Fertility |
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.
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
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
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.
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.
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) |
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
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.
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.
HLTH-WGT-OZS [] | Section: Fertility |
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
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
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.
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.
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
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
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
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?
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?
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?
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?
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)?
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?
HLTH-5-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
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?)
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) |
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
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)
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
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
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
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
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
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
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
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
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?
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?
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?
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?
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)?
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?
HLTH-5J_MS1 [] | Section: Fertility |
Does [Surprise child's name([mother supplement loop])] have any other health conditions (that we haven't talked about)?
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
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
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?
HLTH-6-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
COMMENT: Begin loop about accidents requiring medical attention
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?
HLTH-6C_VERBATIM_MS1 [] | Section: Fertility |
What was the cause of that accident or injury?
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) |
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) |
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) |
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])]?
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
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])]?
HLTH-7-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
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?
HLTH-7C_VERBATIM_MS1 [] | Section: Fertility |
What was the cause of this accident or injury?
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) |
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) |
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) |
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])]?
HLTH-7-LOOP-END_MS1 [] | Section: Fertility |
UNTIL({^anymorehosp([mother supplement loop]:[illnesses/injuries that required hospitalization])^}==0)
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?
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])]?
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 |
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
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 |
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
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
HLTH-11A_MS1 [] | Section: Fertility |
Has [Surprise child's name([mother supplement loop])] ever had a menstrual period?
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.)
HLTH-11C_MS1 [] | Section: Fertility |
In what month and year did she have her first period?
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
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 |
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? |
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? |
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 |
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.)
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].
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
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
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 |
HLTH-MS1-LOOP-END [] | Section: Fertility |
UNTIL ([mother supplement loop]==[MSUPPLEMENT_NUM])
COMMENT: END LOOP FOR CHILD BACKGROUND AND HEALTH
HOME-MS1-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: START loop
0
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
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
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
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
HOME-TITLE_MS1 [] | Section: Fertility |
BEGIN HOME SECTION
[MSUPPLEMENT_name([mother supplement loop])]
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.
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
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 |
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.
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.
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 |
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?)
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?)
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.
HOME-A10B_MS1 [] | Section: Fertility |
MARK AS APPROPRIATE
| 1 R HAS A TV |
| 0 R DOES NOT HAVE A TV |
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
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?
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) |
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?
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 |
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 |
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
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 |
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
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 |
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?
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.)
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?
HOME-B05B-MATRIX_MS1 [] | Section: Fertility |
Do you (or someone else) help with...
| - ...the alphabet? |
| - ...colors? |
| - ...shapes and sizes? |
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 |
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.
HOME-B07B_MS1 [] | Section: Fertility |
| 1 R HAS A TV |
| 0 R DOES NOT HAVE A TV |
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
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) |
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 |
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 |
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?)
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?)
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
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?
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) |
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?
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 |
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 |
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
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 |
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
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 |
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?
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 |
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 |
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?
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 |
HOME-C07_MS1 [] | Section: Fertility |
Does your family encourage [Surprise child's name([mother supplement loop])] to start and keep doing hobbies?
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.?
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 |
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 |
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?)
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?)
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
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?
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) |
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 |
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 |
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 |
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
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 |
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
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 |
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.
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) |
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 |
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 |
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?
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?
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?
HOME-C24B_MS1 [] | Section: Fertility |
How many times in the past week have you...grounded [him/her([mother supplement loop])]?
HOME-C24C_MS1 [] | Section: Fertility |
How many times in the past week have you...taken away TV or other privileges?
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?
HOME-C24E_MS1 [] | Section: Fertility |
How many times (in the past week) have you...taken away [his/her([mother supplement loop])] allowance?
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.)?
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?
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])]?
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 |
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 |
HOME-D03_MS1 [] | Section: Fertility |
Is there a musical instrument (for example, piano, drum, guitar, etc.) that your child can use here at home?
HOME-D04_MS1 [] | Section: Fertility |
Does your family get a daily newspaper?
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 |
HOME-D06_MS1 [] | Section: Fertility |
Does your family encourage [Surprise child's name([mother supplement loop])] to start and keep doing hobbies?
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.?
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 |
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 |
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?)
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?)
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
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?
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) |
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 |
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 |
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 |
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
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 |
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
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 |
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.
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) |
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 |
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 |
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?
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?
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?
HOME-D23B_MS1 [] | Section: Fertility |
How many times in the past week have you...grounded [him/her([mother supplement loop])]?
HOME-D23C_MS1 [] | Section: Fertility |
How many times in the past week have you...taken away TV or other privileges?
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?
HOME-D23E_MS1 [] | Section: Fertility |
How many times (in the past week) have you...taken away [his/her([mother supplement loop])] allowance?
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.)?
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?
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])]?
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
ACT-TITLE_MS1 [] | Section: Fertility |
BEGIN TEMPERAMENT SECTION
[msupplement_name([mother supplement loop])]
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.
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
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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
MSD-TITLE_MS1 [] | Section: Fertility |
BEGIN MOTOR AND SOCIAL DEVELOPMENT SECTION
[msupplement_name([mother supplement loop])]
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.
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
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?
MSD-A02_MS1 [] | Section: Fertility |
Have [Surprise child's name([mother supplement loop])]'s eyes ever followed a moving object?
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?
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?
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])]?
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?
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?
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?
MSD-A09_MS1 [] | Section: Fertility |
Has [s/he([mother supplement loop])] ever laughed out loud without being tickled or touched?
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?
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?
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?
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?
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?
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?
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?
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? |
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? |
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? |
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? |
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? |
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? |
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? |
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? |
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? |
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? |
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? |
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? |
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? |
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? |
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? |
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? |
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? |
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? |
MSD-G13_MS1 [] | Section: Fertility |
Does [Surprise child's name([mother supplement loop])] know [his/her([mother supplement loop])] own age AND sex?
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? |
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? |
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? |
MSD-H08_MS1 [] | Section: Fertility |
Does [Surprise child's name([mother supplement loop])] know [his/her([mother supplement loop])] own age AND sex?
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? |
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])]?
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? |
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
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?
BKGN-37-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
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 |
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) |
BKGN-37C_MS1 [] | Section: Fertility |
Has [Surprise child's name([mother supplement loop])] repeated any other grades?
BKGN-37-LOOP-END_MS1 [] | Section: Fertility |
UNTIL({^ANYMOREREPT([mother supplement loop]:[repeated grades loop])^}==0)
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?
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 |
BKGN-40_MS1 [] | Section: Fertility |
Has [Surprise child's name([mother supplement loop])] ever been suspended or expelled from school?
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 |
BKGN-41_MS1 [] | Section: Fertility |
{^MSINSCHL([mother supplement loop])^} == 1
If Answer = 1 Then Go To BKGN-42_MS1
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 |
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? |
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) |
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 |
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 |
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
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 |
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 |
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 |
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 |
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 |
BPI-SCHLCK_MS1 [] | Section: Fertility |
({^MSINSCHL([mother supplement loop])^} == 1) || ({^MSEVERSCHL([mother supplement loop])^} == 1)
If Answer = 1 Then Go To BPI-31_MS1
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 |
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
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?
HLTH-17A_MS1 [] | Section: Fertility |
What was the problem?
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) |
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?
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?
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?
MS1-LOOP-END_MS1 [] | Section: Fertility |
UNTIL([MSUPPLEMENT_NUM]==[mother supplement loop])