0 Appendix A

Early Head Start 5th Grade Follow-Up Study
Child Interview

CD1
ALL
Before we get started, I would like to make sure that I have your name
correct.
What is your first name?
PROBE: How do you spell that?
INTERVIEWER: IF CHILD HAS DIFFICULTY SPELLING NAME YOU CAN HELP
HIM/HER SPELL IT.

FIRST NAME OF CHILD
DK

STRING OF
15
d

REF

r

CD2

CD2
ALL
Do you have a middle name?
PROBE: How do you spell that?
INTERVIEWER: IF NO MIDDLE NAME, ENTER ‘99’.
INTERVIEWER: IF CHILD HAS DIFFICULTY SPELLING NAME YOU CAN HELP
HIM/HER SPELL IT.

MIDDLE NAME OF
CHILD
DK
REF

STRING OF
15
DK
REF

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.1

CD3

CD3
ALL
And, what is your last name?
PROBE: How do you spell that?
INTERVIEWER: IF CHILD HAS DIFFICULTY SPELLING NAME YOU CAN HELP
HIM/HER SPELL IT.

LAST NAME OF
CHILD
DK
REF

STRING OF 15

CD4

d
r

CD4
ALL

And you are called [FIRST NAME OF CHILD] or do you have a nickname
that you want me to call you by?
INTERVIEWER: IF NICKNAME, CHANGE NAME; OTHERWISE CONTINUE.

NICKNAME
DK
REF

STRING OF 15 =
[CHILD]
d
r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.2

CD4.1

CD4.1
ALL
INTERVIEWER: CODE WITHOUT ASKING WHETHER [CHILD] IS MALE OR FEMALE.

MALE
FEMALE

1
2

CD5

CD5
ALL
How old are you?
AGE OF CHILD
DK
REF

FF
d
r

CD6

CD6
ALL
And what is your birth date?
BIRTH DATE OF CHILD
DK
REF

MM/DD/YYYY
d
r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.3

CD7

CD7
ALL
First, I would like to ask you some questions about your parents or the
adults who live with you and take care of you.
Who they are?
Probe: When we talk about adults we mean adults who are responsible
for you and taking care of you?
INTERVIEWER: RESPONSE CAN BE A FIRST NAME OR RELATIONSHIP TO
CHILD SUCH AS “MOM OR DAD.”
INTERVIEWER: IF CHILD PROVIDES TWO NAMES, START WITH THE FIRST
PERSON. YOU WILL ENTER THE SECOND PERSON LATER.

NAME OF FIRST
CARETAKER
DK
REF

STRING OF 15 = [FIRST
CARETAKER]
DK
REF

CD7.1
CD7 NE DK OR REF
INTERVIEWER: CODE WITHOUT ASKING IF KNOWN.

MALE
FEMALE

1
2

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.4

CD7.2
CD7.2

CD7.1
CD15

CD7.2
CD7 NE REF OR DK
Is [NAME OF FIRST CARETAKER] your...
INTERVIEWER: STOP READING CATEGORIES IF CHILD ANSWERS QUESTION.

IF 7.1 = 1
Real or biological father
Stepfather
Adoptive father
Foster father
Father’s girl friend/partner
Grandfather
Someone else you are
related to like an uncle.
(Describe___________)
Some other person
(Describe_______)
DK
REF

IF 7.1 = 2
Real or biological mother
Stepmother
Adoptive mother
Foster mother
Mother’s boy friend/partner
Grandmother
Someone else you are
related to like an aunt.
(Describe_________)
Some other person
(Describe_______)

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.5

1
2
3
4
5
6
7

8
d
r

CD8

CD8
CD7 NE REF OR DK
INTERVIEWER: DO NOT ASK IF ALREADY KNOWN.
ENTER “YES” FOR CD8 AND WRITE NAME IN CD9.

Do you have another parent or someone else who is responsible for you
and taking care of you?
Again, think of a parent or someone else who lives with you all or most
of the time.

YES
NO
DK
REF

1
2
DK
REF

CD9
CD10

CD9
CD8=1
Who is that person?
INTERVIEWER: RESPONSE CAN BE A FIRST NAME OR RELATIONSHIP TO
CHILD SUCH AS “MOM OR DAD”. ENTER NAME WITHOUT ASKING IF KNOWN.
IF CHILD NAME MORE THAN ONE PERSON PROBE: You can only pick one

other parent. Which one do you think takes care of you more often?
NAME OF SECOND
CARETAKER
DK
REF

STRING OF 15 =
[SECOND
CARETAKER]
d
r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.6

CD9.1

??

CD9.1
CD8=1
INTERVIEWER: CODE WITHOUT ASKING IF KNOWN.

MALE
FEMALE

1
2

CD9.2

CD9.2
CD8=1
Is [NAME OF SECOND CARETAKER] your...
INTERVIEWER: STOP READING CATEGORIES WHEN CHILD ANSWERS
QUESTION.

IF 9.1 = 1
Real or biological father

IF 9.1 = 2
Real or biological
mother
Stepfather
Stepmother
Adoptive father
Adoptive mother
Foster father
Foster mother
Father’s girl friend/partner Mother’s boy
friend/partner
Grandfather
Grandmother
Someone else you are
Someone else you are
related to like an uncle.
related to like an aunt.
(Describe____________) (Describe__________)
Some other person
Some other person
(Describe_______)
(Describe_______)
DK
REF

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.7

1
2
3
4
5
6
7

8
DK
REF

CD10

CD10
IF (CD7 NE DK OR REF)

PARENTS = [FIRST CARETAKER] AND [SECOND CARETAKER] IF (CD7 NE
DK OR REF) AND (CD9 NE DK OR REF)
PARENT = [FIRST CARETAKER] IF (CD7 NE DK OR REF) AND (CD8 NE YES)
your IF [PARENTS] IS/ARE NOT REAL NAMES
do IF (CD7 NE DK OR REF) AND (CD9 NE DK OR REF)
does IF (CD7 NE DK OR REF) AND (CD8 NE YES)

Now I have some questions about [your] [PARENT(S)]. There are no right
or wrong answers to these questions. We just like your opinion or what you
think about the question.
I will give you a card that has the answers you can pick from. You can just
point to the answer you want to give instead of saying it out loud if you like
that better.
And again, we will not tell anybody your answers to the questions.

[Do/Does] [your] PARENTS] [QUESTIONS A THROUGH C]. Is that
almost always, some of the time, not very often, or almost never?
Almost
always

a Know what you do
during your free time?
b Know who you have as
friends during your free
time?
c Know what you spend
your money on?

Some of Not very
the time
often

Almost
never

DK

REF CD1

2

4

3

2

1

d

r

4

3

2

1

d

r

4

3

2

1

d

r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.8

CD12
(CD7 NE DK OR REF)

your IF [PARENTS] IS/ARE NOT REAL NAMES
PARENTS = [FIRST CARETAKER] and [SECOND CARETAKER] IF (CD9 NE DK OR
REF)

PARENT = [FIRST CARETAKER] IF (CD7 NE DK OR REF) AND (CD8 NE YES)
For E:
they IF (CD9 NE DK OR REF)
he IF (CD8 NE YES) AND (CD7.1 = 1)
she IF (CD8 NE YES) AND (CD7.1 = 2)

Sometimes children do things that are wrong, disobey their parents or make
their parent upset or angry.

I’m going to read you a list of things [your] [PARENT(S)] might have done
when this happened.
Please think about how often [your] [PARENT(S)] did these things in the past
year.
In the past year, when your parents thought you did you did something wrong,
how often did [your] [PARENT(S)] [STATEMENT A TO F]? Was it every day
or almost every day; a few times a week, a few times a month; about once a
month; less than once a month; or never?
Please look at the card when deciding on your answer.

a Explain why something
was wrong
b Send you to your room,
took away privileges or
grounded you
c Call you dumb or some
other name like that, or
threatened to hit you,
but did not actually do it

Every
A few
day or
times a
almost
week
every day

A few
About
times a once
month a
month

Less
than
once a
month

Never

D
K

REF

5

4

3

2

1

0

d

r

5

4

3

2

1

0

d

r

5

4

3

2

1

0

d

r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.9

d Shout, yell, scream,
5
swear or curse at you
e Say [they/he/she] would 5
send you away or kick
you out of the house
f Spank or hit you
5

4

3

2

1

0

d

r

4

3

2

1

0

d

r

4

3

2

1

0

CD13

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.10

CD13
I(CD7 NE DK OR REF) AND CD8=NO
your IF [FIRST CARETAKER] IS NOT REAL A NAME

Now I will read to you things about [your] [FIRST CARETAKER]. After I
read each one, please tell me whether it is very true, mostly true, a little bit
true, or not at all true. Please look at the card when deciding on your
answer.
[STATEMENT A THROUGH H] Is that very true, mostly true, a little bit true,
or not at all true.

a [FIRST CARETAKER]
understands me
b I like [FIRST CARETAKER]
c [FIRST CARETAKER] likes
me
d If I have children of my own, I
want to bring them up like
[FIRST CARETAKER] raised
me
e [FIRST CARETAKER] and I
spend a lot of time together
f [FIRST CARETAKER] is
easy to talk to
g I get along well with [FIRST
CARETAKER]
h [FIRST CARETAKER] and I
have a lot of fun together

Very
true
4

Mostly
true
3

A little
bit true
2

Not at
all true
1

DK R
EF
d
r

4
4

3
3

2
2

1
1

d
d

r
r

4

3

2

1

d

r

4

3

2

1

d

r

4

3

2

1

d

r

4

3

2

1

d

r

4

3

2

1

d

r

CD13.1 OR CD15

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.11

CD13.1
(CD7 NE DK OR REF) AND CD9 NE DK OR REF)
your IF [SECOND CARETAKER] IS NOT A REAL NAME

Now I will read to you things about [PARENT] and you. After I read each
one, please tell me whether it is very true, mostly true, a little bit true, or not
at all true. Please look at the card when deciding on your answer.
[STATEMENT A THROUGH H] Is that very true, mostly true, a little bit true,
or not at all true.

a [SECOND CARETAKER]
understands me
b I like [SECOND
CARETAKER]
c [SECOND CARETAKER]
likes me
d If I have children of my own, I
want to bring them up like
[SECOND CARETAKER]
raised me
e [SECOND CARETAKER]
and I spend a lot of time
together
f [SECOND CARETAKER] is
easy to talk to
g I get along well with
[SECOND CARETAKER]
h [SECOND CARETAKER]
and I have a lot of fun
together

DK REF

Very
true
4

Mostly
true
3

A little
bit true
2

Not at
all true
1

d

r

4

3

2

1

d

r

4

3

2

1

d

r

4

3

2

1

d

r

4

3

2

1

d

r

4

3

2

1

d

r

4

3

2

1

d

r

4

3

2

1

d

r

CD14.1 OR CD15

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.12

CD14.1
((CD7.2 NE 1 OR 3) AND CD7.1 = 1)) OR ((CD9.2 NE 1 OR 3) AND CD9.1 = 1))

your IF [PARENTS] IS/ARE NOT REAL NAMES
PARENTS = [FIRST CARETAKER] and [SECOND CARETAKER] IF (CD7 NE DK
OR REF) AND (CD9 NE DK OR REF
PARENT= [FIRST CARETAKER] IF (CD7 NE DK OR REF) AND (CD8 NE YES)

I would also like to ask you the same questions I just asked about you and
[your] [PARENT(S)] but now ask these questions about you and your real or
biological father
Do you know your real or biological father?
YES
NO
DK
REF

1
2
DK
REF

CD14.2
CD14.3

CD14.2
CD14.2=YES

Then I will read to you some things about you and your real father and you
tell me whether it is very true, mostly true, a little bit true, or not at all true.
PROBE: Again, look at the card when deciding on your answer.
[STATEMENT A THROUGH H] Is that very true, mostly true, a little bit true,
or not at all true.

a
b
c
d

Very
true
My real father understands 4
me
I like my real father
4
My real father likes me
4
likes me
If I have children of my
4
own, I want to bring them

Mostly
true
3

A little
bit true
2

Not at
all true
1

DK

REF

d

r

3
3

2
2

1
1

d
d

r
r

3

2

1

d

r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.13

up like my real father
raised me
e My real father and I spend
a lot of time together
f My real father is easy to
talk to
g I get along well with my
real father
h My real father and I have a
lot of fun together

4

3

2

1

d

r

4

3

2

1

d

r

4

3

2

1

d

r

4

3

2

1

d

r

CD15

CD14.3
CD14.1=NO,DK,REF

That is ok. Let’s continue with some other questions.
CONTINUE

CD15

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.14

CD15
ALL

Next, I will read you some things about you and how you are doing.
Each time tell me if what I read about you is not at all true, a little bit
true, mostly true, or very true.
PROBE: Please look at the card when deciding on your answer.
[STATEMENT A THROUGH PP] Is that not at all true, a little bit true, mostly
true, or very true?

Not at
all true

a
b
c
d
e
f
g
h
i
j
k
l
m
n
o
p

I often argue with other kids
It’s hard for me to pay attention
I get distracted easily
It’s hard for me to finish my school
work
I get in trouble for talking and
disturbing others
I get in trouble for fighting with other
kids
Work in math is easy for me
I cannot wait to do math each day
I get good grades in math
I am interested in math
I can do very difficult problems in
math
I like math
I enjoy doing work in math
I am good at math
I have lots of friends
I make friends easily

A
little
bit
true

Mostly
true

Very DK
true

REF

4
4
4
4

3
3
3
3

2
2
2
2

1
1
1
1

d
d
d
d

r
r
r
r

4

3

2

1

d

r

4

3

2

1

d

r

4
4
4
4
4

3
3
3
3
3

2
2
2
2
2

1
1
1
1
1

d
d
d
d
d

r
r
r
r
r

4
4
4
4
4

3
3
3
3
3

2
2
2
2
2

1
1
1
1
1

d
d
d
d
d

r
r
r
r
r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.15

q
r
s
t
u
v
w
x
y
z
aa
bb
cc
dd
ee
ff
gg
hh
ii
jj
kk
ll
m
m
nn
oo
pp

I get along with kids easily
I am easy to like
Other kids want me to be their
friend
I have more friends than other kids
I get good grades in reading
I like reading
Work in reading is easy for me
I am interested in reading
I cannot wait to read each day
I am good at reading
I like reading chapter book
I enjoy doing work in reading
I feel angry when I have trouble
learning
I often feel lonely
I feel sad a lot of the time
I worry about taking tests
I worry about doing well in school
I worry about finishing my work
I worry about having someone to
play with at school
I feel ashamed when I make
mistakes in school
I am good at all school subjects
I enjoy doing work in all school
subjects
Work in all school subjects is easy
for me
I like all school subjects
I look forward to all school subjects
I get good grades in all school
subjects
CD16

4
4
4

3
3
3

2
2
2

1
1
1

d
d
d

r
r
r

4
4
4
4
4
4
4
4
4
4

3
3
3
3
3
3
3
3
3
3

2
2
2
2
2
2
2
2
2
2

1
1
1
1
1
1
1
1
1
1

d
d
d
d
d
d
d
d
d
d

r
r
r
r
r
r
r
r
r
r

4
4
4
4
4
4

3
3
3
3
3
3

2
2
2
2
2
2

1
1
1
1
1
1

d
d
d
d
d
d

r
r
r
r
r
r

4

3

2

1

d

r

4
4

3
3

2
2

1
1

d
d

r
r

4

3

2

1

d

r

4
4
4

3
3
3

2
2
2

1
1
1

d
d
d

r
r
r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.16

CD16
ALL

Next, I’m going to ask you some questions about your experiences with kids
at school and in your neighborhood.
In the past month, how often have kids in your school or neighborhood
picked on your or said mean things to you?
PROBE: Please look at the card when deciding on your answer.
Would you say…
Every day or almost
every day

1

About 2 or 3 days
per week

2

About once a week

3
CD17

1 or 2 times last
month

4

Not in the past month

5

DK

d

REF

r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.17

CD17
ALL
In the past month, how often have kids in your school or neighborhood hit
you?
PROBE: Please look at the card when deciding on your answer.
Would you say…
Every day or almost
every day

1

About 2 or 3 days
per week

2

About once a week

3
CD18

1 or 2 times last
month

4

Not in the past month

5

DK

d

REF

r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.18

CD18
ALL
In the past month, how often have kids in your school or neighborhood
taken your things, like your money or lunch, without asking?
PROBE: Please look at the card when deciding on your answer.
Would you say…

Every day or almost
every day

1

About 2 or 3 days
per week

2

About once a week

3
CD19

1 or 2 times last
month

4

Not in the past month

5

DK

d

REF

r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.19

CD19
ALL

In the past month, how often have kids in your school or neighborhood
purposely left you out of your friends’ activities?
Would you say…
Every day

1

Almost every day

2

About 2 or 3 days
per week

3

About once a week

4

1 or 2 times last
month

5

Not in the past month

6

DK

d

REF

r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.20

CD20
OR
CD22

CD20
CD4.1=MALE
I would like to talk next about changes in your body you may have
noticed.
Have you noticed any skin changes, especially pimples?
Please look at the card to choose your answer. This time I will not
read them to you unless you ask me to do so. Just look at the card
and point at the answer that you want to give.
DEVELOPMENT COMPLETED

1

YES, DEFINITELY

2

YES, BARELY

3

NO

4

DK

D

REF

R

CD21

CD21
CD4.1=MALE
Have you noticed a deepening of your voice?
Again, just look at the card and point at your answer.

DEVELOPMENT COMPLETED

1

YES, DEFINITELY

2

YES, BARELY

3

NO

4

DK

D

REF

R

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.21

CD22

CD22
CD4.1=MALE
Have you begun to grow facial hair?
DEVELOPMENT COMPLETED

1

YES, DEFINITELY

2

YES, BARELY

3

NO

4

DK

D

R

R

END

CD23
CD4.1 = FEMALE
I would like to talk next about changes in your body you may have
noticed.

Have your breasts begun to grow?
Please look at the card to choose your answer. This time I will not
read them to you unless you ask me to do so. Just look at the card
and point at the answer that you want to give.

DEVELOPMENT COMPLETED

1

YES, DEFINITELY

2

YES, BARELY

3

NO

4

DKI

D

REF

R

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.22

CD24

CD24
CD4.1 = FEMALE
Have you begun to menstruate or did you start having your period?
DEVELOPMENT COMPLETED

1

YES, DEFINITELY

2

YES, BARELY

3

NO

4

DK

D

REF

R

CD25

END

CD25
CD24 = 1 OR 2 OR 3
How old were you when you started menstruating or had your period for the
first time?
AGE OF CHILD
DK
REF

FF
d
r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.23

CD26
END

CD26
CD25<>DK, REF
Had you just [ANSWER in CD25], were you about [ANSWER in CD25] and a
half, or were you almost [ANSWER in CD25+1] when you started menstruating
or first had your period?
..
END
Just
1
[ANSWER
in CD25]
[ANSWER
2
in CD25]
and a half
Almost
3
[ANSWER
in CD25+1]
DK
d
REF
r

EHS 5th Grade Follow-Up Study, Appendix A, Child Interview, 8/30/2006, p.24