Parent Interview
Early Childhood Longitudinal Study Birth Cohort, Kindergarten Year (KI)
Appendix_A_K07_Parent_interview_rev
Parent Interview
OMB: 1850-0805
ECLS-B Kindergarten 2007 National Study:
Parent Interview
August 17, 2007
RTI
International
Research Triangle Park, North Carolina
Table of Contents
Section 2-FS: FAMILY STRUCTURE 16
Section 3-SE: SCHOOL EXPERIENCES 27
Section 4-CD: CHILD DEVELOPMENT, LITERACY, AND SCHOOL READINESS 44
Section 5-HE: HOME ENVIRONMENT 47
Section 6-PA: PARENTING BEHAVIOR AND ATTITUDES 50
Section 7-CC: CHILD CARE ARRANGEMENTS 52
Section 9-FH: FAMILY HEALTH 81
Section 10-MH: MARRIAGES AND PARTNER RELATIONSHIPS 83
Section 11-RI: RESPONDENT INFORMATION 85
Section 12-SI: SPOUSE/PARTNER INFORMATION 91
Section 13-WP: WELFARE AND OTHER PUBLIC ASSISTANCE 96
Section 14-HI: HOUSEHOLD INCOME AND ASSETS 102
Section 15-NQ: NEIGHBORHOOD QUALITY/SAFETY 104
Section 16-HF: HOUSEHOLD FOOD SUFFICIENCY 105
Section 17-AC: ACASI ITEMS 110
Section 1-IN: INTRODUCTION
IN00IP. IS THIS INTERVIEW BEING CONDUCTED IN-PERSON?
YES 1
NO 2
IF NO, DISPLAY ACTIVE SIGNAL MSG:
YOU HAVE INDICATED THAT THIS INTERVIEW IS NOT BEING CONDUCTED IN-PERSON.
IF THE INTERVIEW IS IN-PERSON, PRESS ENTER AND CHANGE YOUR RESPONSE.
IF THIS IS A TELEPHONE INTERVIEW, PRESS 'S' TO CONTINUE.
IN000LN. INDICATE WHETHER YOU ARE USING THE ENGLISH OR SPANISH WORDING IN THE CAPI PROGRAM.
ENGLISH 1
SPANISH 2
IN000IN. IS THE INTERVIEW BEING CONDUCTED USING AN INTERPRETER?
YES 1 (ININCON)
NO 2 (IN000LG)
If YES, display:
ALERT! YOU HAVE INDICATED THAT YOU ARE USING AN INTERPRETER. PLEASE CONFIRM YOUR RESPONSE. ARE YOU USING A PAID INTERPRETER TO CONDUCT THIS INTERVIEW?
IF YOU ARE NOT USING A PAID INTERPRETER, BACK UP AND CHANGE YOUR RESPONSE.
ININCON. YOU MUST OBTAIN INTERPRETER’S SIGNED AND NOTARIZED AFFIDAVIT OF NONDISCLOSURE AND SIGNED CONFIDENTIALITY AGREEMENT BEFORE BEGINNING INTERVIEW.
SUBMIT THESE FORMS WITH THE CASE FOLDER.
DO YOU HAVE THE INTERPRETER'S SIGNED AND NOTARIZED AFFIDAVIT OF NONDISCLOSURE?
YES 1
NO 2
IF NO, DISPLAY ACTIVE SIGNAL MESSSAGE
YOU MUST HAVE SIGNED FORMS FROM THE INTERPRETER TO CONTINUE WITH THE INTERVIEW.
IF YOU DO HAVE SIGNED FORMS, PRESS ENTER AND CHANGE YOUR RESPONSE.
IF YOU DO NOT HAVE SIGNED FORMS, BREAKOFF USING ALT-X."
IN000LG. IS RESPONDENT {CHILD/TWIN}’S LEGAL GUARDIAN?
YES 1
NO 2
IF NO, DISPLAY ACTIVE SIGNAL MSG:
REMINDER: YOU CANNOT CONDUCT THE CHILD ASSESSMENT AND WE CANNOT CONTACT THE WECEP PROVIDERS OR TEACHERS WITHOUT THE PERMISSION OF THE CHILD’S LEGAL GUARDIAN.
PRESS 'S' TO CONTINUE WITH THE PARENT INTERVIEW.
IN000CN. GIVE {PARENT/FOSTER PARENT} {CONSENT FORM FOR CHILD AND PARENT/CONSENT FORM FOR FOSTER PARENT} TO RESPONDENT AND ASK HIM/HER TO READ IT. PARENT DOES NOT NEED TO SIGN AND RETURN FORM.
DISPLAY INSTRUCTIONS: Display “FOSTER PARENT CONSENT FOR FOSTER PARENT PARTICIPATION IN THE ECLS-B KINDERGARTEN 2007 ROUND” if IN000LG = 2. Else display “PARENT CONSENT FOR CHILD AND PARENT'S PARTICIPATION IN THE ECLS-B KINDERGARTEN 2007 ROUND.”
IN000CFa. Have you read, or has someone read to you, the information on the consent form I gave you, had a chance to ask questions, and had your questions answered?
YES
NO
IF NO, DISPLAY ACTIVE SIGNAL MSG:
ASK RESPONDENT TO READ FORM AND ANSWER HIS/HER QUESTIONS.
IN000CFb. Do you voluntarily agree to take part in this study and for your child(ren) to take part?
YES
NO (INTERVIEW WILL TERMINATE)
IN000CR. We are using a new quality control (QC) system. The system runs on the computer and may record what you and I say to each other during parts of the interview. Neither you nor I will know when the computer is recording what we say. The recording will be reviewed by people at RTI to monitor my work. The recordings will only be used for those purposes, and will be kept confidential. The project staff who listen to the recording will know who I am, but will not know who you are. May we use the QC system during the interview?
YES
NO (DO NOT ENABLE CARI)
IN000AVBX
IF IN000LG = 2 (NOT CHILD’S LEGAL GUARDIAN),
GO TO IN000ST. ELSE ASK IN000AVa.
IN000AVa. We would like to keep the audiotape recording{s} of your child{ren} from the ECLS-B study for use by researchers in the future. Your name will not be associated with the recording{s} and the researchers will have to sign confidentiality pledges before they can use your recording{s}.
Do we have your permission to archive the audiotape recording{s} obtained in this round of the ECLS-B survey?
YES
NO
IN000ST HELP AVAILABLE
IN WHAT STATE IS THIS INTERVIEW BEING CONDUCTED?
PRESS ENTER TO ACCEPT STATE {STATE ABBREVIATION} BELOW OR ENTER STATE ABBREVIATION....
USE [F12] TO CHECK STATE CODES, IF YOU ARE UNCERTAIN.
IN001.
CHLDINHH
DISPLAY INSTRUCTIONS: Display Child’s full name from K’06 interview. If child’s middle name is ‘NMN’ then do not display.
CASE: {CASEID OF CASE SELECTED}
CHILD’S NAME: {CHILD’S FULL NAME}
TWIN’S NAME (IF APPLICABLE): {TWIN’S FULL NAME}
Is {CHILD’S FULL NAME} still living in this household?
1 YES (IN008BX)
2 NO
IN005.
Where is {CHILD} now?
LIVING ELSEWHERE 1
DECEASED 2
IN002PRE
DISPLAY INSTRUCTIONS:
Display Child’s full name from K ’06 interview. If Child’s middle name is ‘NMN’ then do not display.
TO CONDUCT THE INTERVIEW, {CHILD’S FULL NAME} MUST BE LIVING IN THIS
HOUSEHOLD.
IN010.
TWININHH
DISPLAY INSTRUCTIONS:
Display Child’s and Twin’s full names from K ‘06 interview. If Child’s/Twin’s middle name is ‘NMN’
then do not display.
K ‘06 INTERVIEW INDICATES {CHILD’S FULL NAME} HAS A TWIN NAMED {TWIN’s
FULL NAME}.
Is {TWIN’S FULL NAME} still living in this household?
YES 1 (IN0007)
NO 2
IN012.
TWINLIVE
DISPLAY INSTRUCTIONS:
Display Child’s and Twin’s full names from K ‘06 interview. If Child’s/Twin’s middle name is ‘NMN’
then do not display.
K ‘06 INTERVIEW INDICATES {CHILD’S FULL NAME} HAS A TWIN NAMED {TWIN’s
FULL NAME}.
Where is {TWIN’S FULL NAME} now?
LIVING ELSEWHERE 1
DECEASED 2
REFUSED RF
DON'T KNOW DK
IN007.
RROSTNUM
DISPLAY INSTRUCTIONS:
Display the household roster from the K ‘06 interview.
Display full names and ages of all household members 15 and older as follows: Number, {Full Name},
APPROX {Age} YEARS, {RelationType} Where number is the person’s position on the display, but not
necessarily on the HH Roster.
VERIFY RESPONDENT’S FULL NAME.
ENTER THE NUMBER NEXT TO THE PERSON ON THE HOUSEHOLD ROSTER WHO IS THE CURRENT ROUND RESPONDENT. AGE INFORMATION MAY NOT BE EXACT, AND SHOULD BE USED AS REFERENCE ONLY TO HELP YOU IDENTIFY THE CORRECT RESPONDENT.
IF NAME NOT LISTED, ENTER 0.
IF RROSTNUM = 0, ASK IN007A. ELSE, ASK IN007B
IN007A
YOU HAVE INDICATED THAT THE RESPONDENT IS NOT ONE OF THE PEOPLE LISTED. PLEASE VERIFY THAT THE RESPONDENT IS NOT AMONG THIS LIST.
IF THE RESPONDENT IS LISTED, BACKUP AND CHANGE YOUR RESPONSE TO THE PREVIOUS QUESTIONS.
DISPLAY SAME LIST AS IN RROSTNUM (IN007)
RESPONDENT IS NOT IN THE LIST …………..…………….….5
IN007B
YOU HAVE INDICATED THAT THE RESPONDENT IS:
NAME: ^IN007RName
AGE: ^IN007RAge
RELATIONSHIP: ^IN007RRelate
PLEASE VERIFY YOUR RESPONSE. IF ^IN007RName IS NOT THE RESPONDENT, PLEASE BACKUP AND CHANGE YOUR RESPONSE. "
RESPONDENT IS ^IN007RnAME, ^IN007RRelate ..…………..7
IN015PRE.
DISPLAY INSTRUCTIONS:
Display Child’s full name from K ‘06 interview for {CHILD’S FULL NAME}, and if IN010 [TWININHH] = 1 display Twin’s full name from K ‘06 interview for {TWIN’S FULL NAME}.
If child’s (or twin’s) middle name is ‘NMN’ then do not display.
If there is a twin in the household (IN010 [TWININHH] =1), display “I will first ask questions about…” and “{and{TWIN}}”.
If K’07 respondent is the same as the K ‘06 respondent (FLAGS.SAMERESP =1), then display
“Some of the questions are the same as…” and “the information about you and about {CHILD}…” and “I
also have a few questions about the other…”.
Else if the K’07 respondent is not the same as the K ‘06 respondent (FLAGS.SAMERESP=2),
then display “some information about {CHILD}…” and “I also have a few questions about you and the
other…”
“During this interview, I will be asking questions about {CHILD’S FULL NAME}’s {and {TWIN’S FULL NAME}’s} more recent experiences and about you and your household. {I will first ask questions about {CHILD} and your family life. Then I will ask questions specifically about {TWIN}. After that, I will ask more questions about you and your household.} {Some of the questions are the same as in the last interview, and there are some new questions, too}. Before we begin, I need to verify {the information about you and about {CHILD}{and {TWIN}}} that we collected during the
last interview/some information about {you and about} {CHILD} {and {TWIN}}. I also have a few questions about {the/you and the} other people living here.”
IF
FLAGS.SAMERESP=1 (YES, SAME RESPONDENT) OR (FLAGS.SAMERESP = NO (NOT
SAME RESPONDENT) AND IN007 [RROSTNUM] ^=0 (NEW RESPONDENT WAS IN THE
HOUSEHOLD AT K ‘06)) AND CURRENT K ‘07 RESPONDENT WAS
GIRLFRIEND OR PARTNER OF CHILD’S PARENT/GUARDIAN (K ‘06
IN035 [RESPRELC] = 5), BOYFRIEND OR PARTNER OF CHILD’S
PARENT/GUARDIAN (K ‘06 IN035 [RESPRELC] = 6), OTHER
NON-RELATIVE (K ‘06 IN035 [RESPRELC] = 13), CHILD’S
STEPMOTHER (K ‘06 IN040 [TYPEMOM] = 3), FOSTER MOTHER OR
FEMALE GUARDIAN (K ‘06 IN040 [TYPEMOM] = 4), STEPFATHER (K ‘06
IN045 [DADTYPE] = 3), OR FOSTER FATHER OR MALE GUARDIAN (K ‘06
IN045 [DADTYPE] = 4) THEN GO TO IN019 [RRELSAME]. ELSE, GO TO
IN022BX.
IN017BX
IN019.
RRELSAME
DISPLAY INSTRUCTIONS:
If at K ‘06 current respondent was GIRLFRIEND OR PARTNER OF CHILD’S
PARENT/GUARDIAN (K ‘06 IN035 [RESPRELC] = 5), or BOYFRIEND OR PARTNER OF CHILD’S
PARENT/GUARDIAN (K ‘06 IN035 [RESPRELC] = 6) display “the {girlfriend/boyfriend} or partner of {CHILD}’s {and {TWIN}}’s parent or guardian”.
Else if at K ‘06 current respondent was CHILD’s OTHER NON-RELATIVE (K ‘06 IN035 [RESPRELC] = 13) then display {K ‘06 IN035 [RESPRELC]}.
Else if K ‘06 respondent was CHILD’s STEPMOTHER (K ‘06 IN040 [TYPEMOM] = 3) or FOSTER MOTHER OR FEMALE GUARDIAN (K ‘06 IN040 [TYPEMOM] = 4) then display {K ‘06 IN040 [TYPEMOM]}.
Else if K ‘06 respondent was CHILD’s STEPFATHER (K ‘06 IN045 [DADTYPE] = 3) or FOSTER FATHER OR MALE GUARDIAN (K ‘06 IN045 [DADTYPE] = 4) then display {K ‘06 IN045 [DADTYPE]}.
Sometimes relationships change. I have recorded that you are {CHILD}’s {and {TWIN}}’s {K ‘06 IN035/IN040/IN045} [RESPRELC/TYPEMOM/DADTYPE]. Is this still correct?
YES 1
NO 2
REFUSED RF
DON'T KNOW DK
IN022BX
IF FLAGS.SAMERESP=1 (SAME RESPONDENT AS AT K ‘06), IN019 [RRELSAME] = NO, GO TO IN035 [RESPRELC]. ELSE IF FLAGS.SAMERESP = 1 (SAME RESPONDENT AS AT K ‘06) AND (IN019 [RRELSAME] = EMPTY (NOT ASKED) OR IN019 [RRELSAME] = YES), GO TO IN062BX. ELSE IF FLAGS.SAMERESP=2 (NEW RESPONDENT) AND IN007 [RROSTNUM] = 0 (RESPONDENT NOT ON LIST), GO TO IN025 [RESPFNAM]. ELSE IF FLAGS.SAMERESP=2 (NEW RESPONDENT) AND IN007 [RROSTNUM] ^= 0 (RESPONDENT ON LIST), GO TO IN031 [RESPDOBM].
IN025. May I have your full name, please?
RESPFNAM
ENTER RESPONDENT’S FIRST NAME.
VERIFY SPELLING.
IN026. [May I have your full name, please?]
RESPMNM
ENTER RESPONDENT’S MIDDLE NAME.
VERIFY SPELLING.
IF NO MIDDLE NAME OR INITIAL, ENTER “NMN”.
IN027. [May I have your full name, please?]
RESPLNAM
ENTER RESPONDENT’S LAST NAME
VERIFY SPELLING.
IN031. What is your birth date?
RESPDOBM
Answer must be in the range from 1 up to 12
|__|__|
ENTER MONTH OF BIRTH.
REFUSED RF
DON'T KNOW DK
IN032.
RESPDOBD
DISPLAY INSTRUCTIONS:
Display number entered at IN031 [RESPDOBM] at top of screen.
[What is your birth date?]
Answer must be in the range from 1 up to 31
|__|__|
ENTER DAY OF BIRTH.
REFUSED RF
DON'T KNOW DK
IN033.
RESPDOBY
DISPLAY INSTRUCTIONS:
Display numbers entered at IN031 [RESPDOBM] and IN032 [RESPDOBD] at top of screen.
DATA CHECK: If the birth year differs with the birth year entered in IN007, please display ‘BIRTH YEAR DOES NOT MATCH WHAT WAS REPORTED IN PRIOR ROUND. PLEASE CONFIRM.’
[What is your birth date?]
Answer must be in the range from 1901 up to 1990
|__|__|__|__|
ENTER FOUR DIGIT YEAR OF BIRTH.
REFUSED RF
DON'T KNOW DK
IN033ABX
IF ANY PART OF THE DATE OF BIRTH IS MISSING, THEN GO TO IN033B [RESPAGE].
ELSE, GO TO IN033BX.
IN033b.
RESPAGE How old are you?
Answer must be in the range from 14 up to 100
|__|__|__|
ENTER AGE
REFUSED RF
DON'T KNOW DK
IN034.
RGENDER
CODE IF OBVIOUS. OTHERWISE, ASK: Are you male or female?
ENTER GENDER OF RESPONDENT.
MALE 1
FEMALE 2
REFUSED RF
DON'T KNOW DK
HELP AVAILABLE
IN035. What is your relationship to {CHILD} {and {TWIN}}?
RESPRELC
MOTHER/FEMALE GUARDIAN (IN040)
FATHER/MALE GUARDIAN………………………………………………(IN045, DADTYPE)
SISTER………………………………………………………………………..(IN050, TYPESIS)
BROTHER………………………….........................................................(IN055, TYPEBRO)
GIRLFRIEND OR PARTNER OF CHILD’S PARENT/GUARDIAN (IN062BX)
BOYFRIEND OR PARTNER OF CHILD’S PARENT/GUARDIAN (IN062BX)
GRANDMOTHER (IN062BX)
GRANDFATHER (IN062BX)
AUNT (IN062BX)
UNCLE (IN062BX)
COUSIN (IN062BX)
OTHER RELATIVE (IN062BX)
OTHER NON-RELATIVE…………………………………………………(IN060, TYPENREL)
REFUSED …..RF
DON'T KNOW ..DK
HELP AVAILABLE
IN040. Are you {CHILD}’s {and {TWIN}}’s...
TYPEMOM
Birth mother, (IN062BX)
Adoptive mother, (IN062BX)
Stepmother, or (IN062BX)
Foster mother or female guardian? (IN062BX)
REFUSED RF
DON'T KNOW DK
HELP AVAILABLE
IN045. Are you {CHILD}’s {and {TWIN}}’s...
DADTYPE
Birth father, (IN062BX)
Adoptive father, (IN062BX)
Stepfather, or (IN062BX)
Foster father or male guardian? (IN062BX)
REFUSED RF
DON'T KNOW DK
HELP AVAILABLE
IN050. Are you {CHILD}’s {and {TWIN}}’s...
TYPESIS
Full sister, (IN062BX)
Half sister, (IN062BX)
Stepsister, (IN062BX)
Adoptive sister, or (IN062BX)
Foster sister? (IN062BX)
REFUSED RF
DON'T KNOW DK
HELP AVAILABLE
IN055. Are you {CHILD}’s {and {TWIN}}’s …
TYPEBRO
Full brother, (IN062BX)
Half brother, (IN062BX)
Stepbrother, (IN062BX)
Adoptive brother, or (IN062BX)
Foster brother? (IN062BX)
REFUSED RF
DON'T KNOW DK
HELP AVAILABLE
IN060. CODE NON-RELATIVE RELATIONSHIP BELOW IF MORE DESCRIPTIVE.
TYPENREL
1 GIRLFRIEND OR PARTNER OF CHILD’S PARENT/GUARDIAN
2 BOYFRIEND OR PARTNER OF CHILD’S PARENT/GUARDIAN
3 FEMALE GUARDIAN
4 MALE GUARDIAN
5 DAUGHTER/SON OF CHILD’S PARENT’S PARTNER
6 OTHER RELATIVE OF CHILD’S PARENT’S PARTNER
91 OTHER NON-RELATIVE
REFUSED RF
DON'T KNOW DK
IN062BX
IF CURRENT RESPONDENT IS NOT THE BIRTH MOTHER AND THE
BIOLOGICAL MOTHER WAS IN THE HOUSEHOLD AT K ‘06, THEN GO TO IN065 [STBIOMOM].
ELSE, GO TO IN115 [CNAMCORR].
IN065
STBIOMOM
DISPLAY INSTRUCTIONS:
If Middle Name is ‘NMN’ then do not display middle name.
{FULL NAME BIRTH MOTHER FROM PRELOAD} HAS NOT BEEN IDENTIFIED AS THE
PARENT RESPONDENT.
Where is {CHILD}{and {TWIN}}’s birth mother living?
LIVING ELSEWHERE (IN115) [CNAMCORR]
DECEASED (IN115) [CNAMCORR]
LIVING IN HOUSEHOLD BUT UNAVAILABLE (IN068PRE)
UNKNOWN (IN115) [CNAMCORR]
ENTER OTHER (SPECIFY) [Where is the birth mother living?]
REFUSED RF
DON'T KNOW DK
IN066. [Where is {CHILD}{and {TWIN}}’s mother living?]
STBIOMOS
SPECIFY OTHER STATUS OF {CHILD}{AND {TWIN}}’S BIRTH MOTHER.
IN068PRE. YOU HAVE RECORDED THAT {CHILD}{AND {TWIN}}’S BIRTH MOTHER IS IN THE HOUSEHOLD, BUT UNAVAILABLE.
PLEASE CONFIRM THAT THE {CHILD}{AND {TWIN}}’S BIRTH MOTHER IS UNAVAILABLE FOR THE
INTERVIEW FOR A NON-TEMPORARY REASON.
IF {CHILD}{AND {TWIN}}’S BIRTH MOTHER IS UNAVAILABLE FOR A TEMPORARY REASON, PLEASE PRESS “ALT-X” TO BREAK OFF NOW AND RESCHEDULE THE INTERVIEW FOR A TIME WHEN SHE IS AVAILABLE.
IN115.
CNAMCORR
DISPLAY INSTRUCTIONS:
Display Child’s/Twin’s full name from K ‘06 interview. If Middle Name is ‘NMN’ then do not display
middle name.
I have recorded {CHILD’S/TWIN’S FULL NAME} as {CHILD/TWIN}’s full name. Is this still
correct?
ALSO VERIFY SPELLING.
NMN MEANS NO MIDDLE NAME.
1 YES (GO TO IN130a)
2 NO
REFUSED (CASE INFORMATION REVIEW SCREEN)
DON’T KNOW (CASE INFORMATION REVIEW SCREEN)
IN120.
CHFNAME
DISPLAY INSTRUCTIONS:
Display Child’s/Twin’s full name from K ‘06 interview. If Middle Name is ‘NMN’ then do not display
middle name.
[I have recorded {CHILD’S/TWIN’S FULL NAME} as {CHILD/TWIN}’s full name. Is this still correct?]
ALSO VERIFY SPELLING.
MAKE CORRECTIONS TO FIRST NAME BELOW OR PRESS ENTER TO ACCEPT FIRST NAME.
IN125.
CHMNAME
DISPLAY INSTRUCTIONS:
Display Child’s/Twin’s full name from K ‘06 interview. If Middle Name is ‘NMN’ then do not display
middle name.
[I have recorded {CHILD’S/TWIN’S FULL NAME} as {CHILD/TWIN}’s full name. Is this still correct?]
ALSO VERIFY SPELLING.
MAKE CORRECTIONS TO MIDDLE NAME BELOW OR PRESS ENTER TO ACCEPT
MIDDLE NAME.
IF NO MIDDLE NAME OR INITIAL, ENTER ‘NMN’.
IN130.
CHLNAME
DISPLAY INSTRUCTIONS:
Display Child’s/Twin’s full name from K ‘06 interview. If Middle Name is ‘NMN’ then do not display
middle name.
[I have recorded {CHILD’S/TWIN’S FULL NAME} as {CHILD/TWIN}’s full name. Is this still correct?]
ALSO VERIFY SPELLING.
MAKE CORRECTIONS TO LAST NAME BELOW OR PRESS ENTER TO ACCEPT LAST NAME.
IN130a. Do you call {CHILD/TWIN} by {his/her} first name, or is there some other name that you use?
HASNICK
USE {FIRST NAME} 1(FINISHIN)
USE SOME OTHER NAME 2
REFUSED RF (FINISHIN)
DON'T KNOW DK (FINISHIN)
IN130b. What is that other name?
NICKNAME
String length equals 30.
CONFIRM SPELLING.
REFUSED RF
DON'T KNOW DK
DISPLAY INSTRUCTIONS: If IN140 (NICKCH) is not empty, use it for fills throughout.
FinishIN
CASE {CASEID} CASE INFORMATION REVIEW SCREEN
ONCE YOU PASS THIS SCREEN, YOU WILL NOT BE ABLE TO RETURN TO SECTION IN.
CHILD: {CHILD’S FULL NAME}
CHILD’S DATE OF BIRTH: {CHILD’S DOB}
STATUS OF CHILD: {CHILD’S STATUS}
RESPONDENT: {RESPONDENT’S FULL NAME}
RESPONDENT RELATION TO CHILD: {RESPONDENT’S RELATION TO CHILD}
{TWIN:} {TWIN’S FULL NAME}
{TWIN’S GENDER:} {TWIN’S SEX}
{STATUS OF TWIN:} {IN010/IN012}
{TWIN’S DATE OF BIRTH} {TWIN’S DOB}
IF THIS INFORMATION IS NOT CORRECT, PLEASE BACK UP AND CORRECT RESPONSES IN SECTION IN.
NOTES: DATE OF BIRTH WAS VERIFIED IN PRIOR INTERVIEWS. IF THE RESPONDENT IS ALREADY IN THE HOUSEHOLD, YOU CANNOT CORRECT THE NAME IN THIS SECTION, BUT YOU CAN LATER IN SECTION LF.
IF THIS INFORMATION IS CORRECT, PLEASE PRESS ‘1’ TO CONTINUE.
Verify
CASE {CASEID} CASE INFORMATION REVIEW SCREEN
YOU HAVE RE-ENTERED CASE {CASEID}
CHILD: {CHILD’S FULL NAME}
CHILD’S GENDER: {CHILD’S SEX}
CHILD’S DATE OF BIRTH: {CHILD’S DOB}
RESPONDENT: {RESPONDENT’S FULL NAME}
RESPONDENT RELATION TO CHILD: {RESPONDENT’S RELATION TO CHILD}
{TWIN:} {TWIN’S FULL NAME}
{TWIN’S GENDER:} {TWIN’S SEX}
{STATUS OF TWIN:} {IN010/IN012} [TWININHH/TWINLIVE]
{TWIN’S DATE OF BIRTH} {TWIN’S DOB}
{DATE OF K ‘06 INTERVIEW:} {K ‘06 DATE}
GO TO SECTION 2-FS.
Section 2-FS: FAMILY STRUCTURE
FS001. CODE IF OBVIOUS. OTHERWISE ASK:
Is {CHILD/TWIN} male or female?
ENTER GENDER OF {CHILD/TWIN}
MALE 1
FEMALE 2
REFUSED RF
DON’T KNOW DK
If new respondent did not appear on previous (9-month or 2-year or preschool or K ‘06) rosters, display "you and".
FS005 Now, I have a few questions about {you and} your household.
I am going to read a list of the people who lived in this household at the time of our last
ECLS-K interview. As I read each person’s name, please tell me if he or she still lives in this household.
STILLHERE
Does {FULL NAME} still live in this household?
NOTE: NAME IS USED FOR COMMUNICATIONS BETWEEN FI AND RESPONDENT. NO NEED TO CORRECT THE ROSTER. AGE IS APPROXIMATE.
DISPLAY INSTRUCTIONS:
Display name, age, gender, and person type of all household members from 9-month/2-year/preschool/K ’06 interview. This information should be protected so that it cannot be changed.
Display, but do not ask FS005 [STILLHERE] for the current respondent (if on the 9-month/2-year/preschool/K ‘06 roster), CHILD, TWIN (if on 9-month/2-year/preschool/K ‘06 roster), child's biological mother (if on 9-month/2-year/preschool/K ‘06 roster).
Display brackets [ ] around the first paragraph when the cursor is in the "STILL IN HH" column for any household member other than the first person to be asked about.
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
FS009BX IF YES,
DK, or RF FOR ALL IN MATRIX, GO TO FS015 [FNAME].
FS010. Why is {FIRST NAME} no longer living in this household?
WHYNOTHH
MARRIAGE OR REMARRIAGE 1
SEPARATION OR DIVORCE 2
ATTENDING COLLEGE OR BOARDING SCHOOL 3
LIVING ELSEWHERE FOR EMPLOYMENT-
RELATED REASONS 4
LIVING ELSEWHERE FOR OTHER REASONS 5
DECEASED 6
IN JAIL OR PRISON 7
ENTER OTHER (SPECIFY) [Why is {FIRST NAME} no longer living in this household?] 91
REFUSED RF
DON’T KNOW DK
FS012. [Why is {FIRST NAME} no longer living in this household?]
WHYNOTOS String length is equal to 40
ENTER OTHER REASON (SPECIFY)
[Why is { FIRST NAME} no longer living in this household?]
FS015. [{We have listed that you and {CHILD}{and {TWIN}}{and {CHILD}’s {and
ECLS-K {TWIN}’s} mother} currently live in this household.}
Please tell me the names and ages of all the people who normally live here.
Please do not include anyone staying here temporarily who usually lives somewhere else.
PROBE: Anyone else (living in this household)? {[People sometimes join households as a result of marriage, or a marriage-like partner or a relative or boarder moving in.]}
FNAME
ENTER FIRST NAME OF HOUSEHOLD MEMBER OR
PRESS ENTER IF {NO ONE NEW} OR HOUSEHOLD ROSTER IS COMPLETE.
BLANK……………………..(WHICHB4BX) [MATRIXCOMPLETE]
REFUSED RF(WHICHB4BX) [MATRIXCOMPLETE]
DON’T KNOW DK(WHICHB4BX) [MATRIXCOMPLETE]
FS017. ENTER MIDDLE NAME OF {NAME}.
ECLS-K
IF NO MIDDLE NAME OR INITIAL, ENTER 'NMN'.
REFUSED RF
DON’T KNOW DK
MNAME
FS020. ENTER LAST NAME OF {NAME}.
REFUSED RF
DON’T KNOW DK
ECLS-K
LNAME
HEREb4BX
IF NUMBER OF PERSONS IN THE ROSTER WHO LEFT THE HOUSEHOLD IN PRIOR ROUNDS IS>0, GO TO HereB4. ELSE, GO TO FS025.
HereB4 Has {FName} lived in {CHILD AND TWIN}’S household before?
YES…………………………………………………………….1 [FS015]
NO………………………………………………………………2
REFUSED RF
DON’T KNOW…………………………………………………DK
FS025. How old {are you/is {NAME}}?
Answer must be in the range from 0 up to 120
DISPLAY INSTRUCTIONS:
Display this question when cursor is positioned in age column of household matrix.
Display "are you" when the cursor is positioned in age column for new respondent’s row and "is {NAME}" (display appropriate first name) when cursor is positioned in age column for someone other than respondent's row.
ECLS-K
ENTER AGE OF {NAME}.
AGE
ENTER ZERO IF PERSON'S AGE IS LESS THAN ONE YEAR.
REFUSED RF
DON’T KNOW DK
FS027. Is {NAME} male or female?
DISPLAY INSTRUCTIONS:
Display this question when cursor is positioned in gender column.
Display first name of person where cursor is position for {NAME}.
ECLS-K
CODE IF OBVIOUS. OTHERWISE, ASK: Is [NAME] male or female?
ENTER GENDER OF {NAME}.
GENDER
MALE 1
FEMALE 2
REFUSED RF
DON’T KNOW DK
FS028. When did {NAME} join the household?
ENTHHM/ENTHHY
Month answer must be in range from 1 to 12.
Year answer must be in range from 2002 to 2005.
Interviewer may override range from 1905 to 2005.
ENTER MONTH: |__|__| ENTER YEAR: |__|__|__|__|
REFUSED RF
DON’T KNOW DK
WhichB4BX
FOR EACH PERSON WITH HereB4=YES (1): IF NUMBER OF PERSONS IN THE ROSTER WHO LEFT THE HOUSEHILD IN PRIOR ROUNDS AND DID NOT RETURN THIS ROUND IS>0, GO TO WhichB4.
ELSE, ASK AGE (FS025), GENDER (FS027), EntHHM/EntHHY (FS028).
WhichB4 Is [FNAME LNAME] the same as any of the people listed?
IF NOT THE SAME, ENTER 0.
[LIST NAME AND AGE OF ALL PERSONS WHO LEFT THE HOUSEHOLD IN PRIOR ROUND AND DID NOT RETURN THIS ROUND.]
IF WHICHB4=0, ASK AGE (FS025), GENDER (FS027), EntHHm/EntHHY (FS028).
ConfirmB4
"YOU HAVE INDICATE THAT THESE ARE THE SAME PEOPLE. PLEASE CONFIRM. IF THESE ARE NOT THE SAME PEOPLE, BACKUP TO THE PREVIOUS QUESTION AND CHANGE YOUR RESPONSE.
[NAME1: DISPLAY THE NAME CHOSEN IN WHICHB4]
[NAME2: DISPLAY THE NAME ASSOCIATED WITH HEREB4 = 1]
99 = "YES, [Fill NAME 1] IS [Fill NAME2]
FS034. IS HOUSEHOLD ROSTER COMPLETE?
MATRIXCOMPLETE
YOU HAVE INDICATED THAT THESE PEOPLE ARE LIVING IN THE HOUSEHOLD.
YES 1
NO 2 (FS015 MATRIX)
FS035. ECLS-K MISSANY
|
Have we missed anyone who usually lives here who is temporarily away from home or living in a dorm at school, or any babies or small children? |
YES 1 (MATRIX FS015)[FNAME]
NO 2
REFUSED RF
DON’T KNOW DK
FS037. Do you have a spouse or partner who lives in this household?
SPOUSE
ECLS-K
NO 2 (FS039BX)
REFUSED RF (FS039BX)
DON’T KNOW DK (FS039BX)
FS038BX If no
adults (age 18 or older) other than respondent in HH, skip to
FS039BX. Else go
to FS038.
FS038. Who in the household is your spouse or partner?
ECLS-K
DISPLAY INSTRUCTIONS:
Display household members 14 years or older who are not the respondent as response category choices. Do not display household members no longer living in the household.
ENTER NUMBER NEXT TO NAME OF PERSON WHO IS {RESPONDENT}'S SPOUSE/PARTNER.
WSSPOUS
IF NAME NOT LISTED, BACK UP AND ADD PERSON (IF PART OF HOUSEHOLD).
SPOUSE/PARTNER IDENTIFIED AT PREVIOUS INTERVIEW IS FLAGGED WITH [S] TO THE LEFT OF THEIR NAME.
FS039BX
If current respondent is the same as K ‘06 respondent, and
PRESCHOOL respondent had a spouse/partner whose relationship was
GIRLFRIEND OR PARTNER OF CHILD'S PARENT/GUARDIAN (K ‘06 FS040
[RELATE] = 5); BOYFRIEND OR PARTNER OF CHILD'S PARENT/GUARDIAN (K
‘06 FS040 [RELATE] = 6); OTHER NON-RELATIVE (K ‘06 FS040
[RELATE] = 13); CHILD'S STEPMOTHER (K ‘06 FS045 [MOMSP] = 3);
FOSTER MOTHER OR FEMALE GUARDIAN (K ‘06 FS045 [MOMSP] = 4);
STEPFATHER (K ‘06 FS050 [DADSP] = 3); OR FOSTER FATHER OR MALE
GUARDIAN (K ‘06 FS050 [DADSP] = 4), ask FS040-FS065 [RELATE,
MOMSP, DADSP, SISSP, BROSP, NRELSP] of the spouse/partner. Also
ask FS040-FS065 [RELATE,
MOMSP, DADSP, SISSP, BROSP, NRELSP] for
each person added to household matrix in this round who is not focal
child, twin, respondent or birth mother.
ELSE go to FS069BX
HELP AVAILABLE
FS040. What is {NAME}’s relationship to {CHILD}{ and {TWIN}}?
ECLS-K
RELATE
-
Mother/female guardian 1
Father/male guardian 2
Sister 3
Brother 4
(FS045) [MOMSP]
(FS050) [DADSP]
(FS055) [SISSP]
(FS060) [BROSP]
Girlfriend or partner of
(CHILD)’s parent/guardian 5Boyfriend or partner of
(CHILD)’S parent/guardian 6Grandmother 7
Grandfather 8
Aunt 9
Uncle 10
Cousin 11
Other relative 12
Other non-relative 13
REFUSED RF
DON’T KNOW DK
(FS068BX)
(FS065) [NRELSP]
(FS068BX)
(FS068BX)
HELP AVAILABLE
FS045. Is {NAME} {CHILD}’s {and {TWIN}}'s…
ECLS-K
MOMSP
Birth mother, 1 (FS068BX)
Adoptive mother, 2 (FS068BX)
Stepmother, or 3 (FS068BX)
Foster mother or female guardian? 4 (FS068BX)
REFUSED RF (FS068BX)
DON’T KNOW DK (FS068BX)
HELP AVAILABLE
FS050. Is {NAME} {CHILD}’s {and {TWIN}}'s…
ECLS-K
DADSP
Birth father, 1 (FS068BX)
Adoptive father, 2 (FS068BX)
Step father, or 3 (FS068BX)
Foster father or male guardian? 4 (FS068BX)
REFUSED RF (FS068BX)
DON’T KNOW DK (FS068BX)
HELP AVAILABLE
FS055. Is {NAME} {CHILD}’s {and {TWIN}}'s}…
ECLS-K
SISSP
Full sister, 1 (FS068BX)
Half sister, 2 (FS068BX)
Step sister, 3 (FS068BX)
Adoptive sister, or 4 (FS068BX)
Foster sister? 5 (FS068BX)
REFUSED RF (FS068BX)
DON’T KNOW DK (FS068BX)
HELP AVAILABLE
FS060. Is {NAME} {CHILD}’s {and {TWIN}}'s…
ECLS-K
BROSP
Full brother, 1 (FS068BX)
Half brother, 2 (FS068BX)
Step brother, 3 (FS068BX)
Adoptive brother, or 4 (FS068BX)
Foster brother? 5 (FS068BX)
REFUSED RF (FS068BX)
DON’T KNOW DK (FS068BX)
HELP AVAILABLE
FS065. CODE NON-RELATIVE RELATIONSHIP BELOW IF MORE DESCRIPTIVE.
ECLS-K
NRELSP
GIRLFRIEND OR PARTNER OF
(CHILD)'S PARENT/GUARDIAN 1
BOYFRIEND OR PARTNER OF
(CHILD)'S PARENT/GUARDIAN 2
FEMALE GUARDIAN 3
MALE GUARDIAN 4
DAUGHTER/SON OF (CHILD)'S
PARENT’S PARTNER 5
OTHER RELATIVE OF (CHILD)'S
PARENT'S PARTNER 6
ENTER OTHER NON-RELATIVE 91
(Specify) [What is the non-relative relationship?]_________________
REFUSED RF
DON’T KNOW DK
FS068BX
DISPLAY FS040 - FS065 [RELATE, MOMSP, DADSP, SISSP, BROSP, NRELSP] FOR NEXT PERSON ON HOUSEHOLD ROSTER WHO IS NOT FOCAL CHILD, TWIN, OR RESPONDENT. IF NO NEXT PERSON, GO TO FS069BX.
FS069BX
IF
NO BIRTH FATHER IN THE HOUSEHOLD (FS050 [DADSP] ^= 1 FOR ANY CURRENT
HOUSEHOLD MEMBERS) AND 9-MONTH DATA DO NOT IDENTIFY BIRTH FATHER AS
DECEASED (BASED ON PRELOADED FLAG), AND BIRTH FATHER WAS NOT FLAGGED
FOR DELETION AT FS005 [STILLHERE], GO TO FS070 [NODADHH]. ELSE, GO TO
FS074BX.
FS070. I have recorded
that {CHILD}{and {TWIN}}'s biological father is not living in
this
household. Is that correct?
NODADHH
YES 1
NO 2 (FS015) [FNAME]
REFUSED RF (FS074BX)
DON’T KNOW DK (FS074BX)
FS074BX
IF FS075 PRELAOD IS MISSING, GO TO FS075 [HISPAN]. REPEAT FS075-FS085 FOR EACH HOUSEHOLD MEMBER WHERE FS075 PRELAOD IS MISSING. ELSE, GO TO SECTION CD.
HELP AVAILABLE
FS075. {Are you/Is {NAME}} of Spanish, Hispanic, or Latino origin?
CENSUS
HISPAN
YES 1
NO 2 (FS085) [PRACE]
REFUSED RF (FS085) [PRACE]
DON’T KNOW DK (FS085) [PRACE]
FS080. Which one or more of these groups {are you/is {NAME}}...
TYPHIS
CODE ALL THAT APPLY
SHOW CARD FS-1
Mexican, Mexican American, Chicano, 1
Puerto Rican, 2
Cuban, or 3
Enter Another Spanish/Hispanic/Latino group 91
(Specify) [Which group do you belong to?]___________________
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
FS085. What is {your/{NAME} 's} race?
CENSUS CODE ALL THAT APPLY
PRACE SHOW CARD FS - 2
WHITE 1 (SECTION 3-SE)
BLACK OR AFRICAN AMERICAN 2 (SECTION 3-SE)
ENTER AMERICAN INDIAN OR ALASKA NATIVE 3 (FS086d)
(Specify) [Are you American Indian or Alaska Native]_______________
ASIAN INDIAN 4 (SECTION 3-SE)
CHINESE 5 (SECTION 3-SE)
FILIPINO 6 (SECTION 3-SE)
JAPANESE 7 (SECTION 3-SE)
KOREAN 8 (SECTION 3-SE)
VIETNAMESE 9 (SECTION 3-SE)
ENTER OTHER ASIAN 10 (SECTION 3-SE)
(Specify) [Which Asian race are you?]____________________________
NATIVE HAWAIIAN 11 (SECTION 3-SE)
GUAMANIAN OR CHAMORRO 12 (SECTION 3-SE)
SAMOAN 13 (SECTION 3-SE)
ENTER OTHER PACIFIC ISLANDER 14 (SECTION 3-SE)
(Specify) [Which Pacific Islander race are you?]____________________
ENTER ANOTHER RACE 91 (SECTION 3-SE)
(Specify) [ENTER OTHER RACE]______________________________
REFUSED RF (SECTION 3-SE)
DON’T KNOW…………………………………………………DK (SECTION 3-SE)
FS086BX
FOR CHILD: IF FS085 IN K06=1 (CHILD WAS AMERICAN INDIAN/ALASKAN NATIVE AT K06) AND K06 FS086A IS RF, DK OR BLANK, GO TO FS086A.
ELSE, GO TO SECTION 3-SE.
FS086a.
DISPLAY INSTRUCTIONS:
Display specific Indian affiliation recorded in 9-month FS086. If no text listed or if reported as “don’t know” or “unknown” or “refused” display “of an unknown American Indian or Alaska native background”.
During our last interview, {CHILD’s} race was reported as American Indian or Alaska Native. We have recorded that {CHILD is} {{9-MONTH FS086 TEXT}/of an unknown American Indian or Alaska native background}. Is this information correct?
AMERIND
YES 1(FS086d, TRIBENROL)
NO 2(FS086b, TYPAMERIND)
REFUSED RF (SECTION 3-SE)
DON’T KNOW DK (SECTION 3-SE)
FS086b.
What is {CHILD’s} race?
TYPAMERIND
ENTER AMERICAN INDIAN OR ALASKA NATIVE (SPECIFY)
[Are you American Indian or Alaska Native?]……………….1(FS086c) [TYPAMINOS]
OTHER RACE 2 (SECTION 3-SE)
REFUSED RF (SECTION 3-SE)
DON’T KNOW DK (SECTION 3-SE)
FS086c. [What is {your/{NAME} ‘s} race?]
TYPAMINOS
SPECIFY AMERICAN INDIAN TRIBE/ALASKA REGIONAL CORPORATION.
FS086d.
DISPLAY INSTRUCTIONS:
Display “Are you” if respondent. Else display “Is {NAME}”.
INTERVIEWER: USE EITHER “TRIBE” OR “ALASKA REGIONAL CORPORATION” IN QUESTION BELOW DEPENDING ON PREVIOUS RESPONSES.
TRIBENROL
{Are you/Is {NAME}} formally enrolled in that (tribe/Alaska Regional Corporation)?
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
FS086e.
DISPLAY INSTRUCTIONS:
Display “Do you” if respondent. Else display “Does {NAME}”.
TRIBELND
{Do you/Does {NAME}} currently live on tribal lands or a reservation?
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
FS089BX
NOTE, AFTER LAST PERSON DISPLAYED HAS BEEN ASKED FS075-FS086 [HISPAN, TYPHIS, PRACE, AMERIND, TYPAMERIND, TYPAMINOS, TRIBENROL, TRIBELND] CHECK TO MAKE SURE NO INFORMATION IS MISSING. IF ANY INFORMATION IS MISSING, DISPLAY ERROR MESSAGE TO GO BACK AND FILL IN MISSING INFORMATION.
IF NO INFORMATION IS MISSING, GO TO FS174BX.
FS174BX
CHECK HOUSEHOLD MATRIX. IF ANOTHER PERSON IN MATRIX REQUIRING THE COLLECTION OF RACE/ETHNICITY INFORMATION, GO TO FS075 [HISPAN] FOR NEXT PERSON.
GO TO SECTION 3-SE.
Section 3-SE: SCHOOL EXPERIENCES
SEIntro
Now I’m going to ask you questions about {CHILD/TWIN}’s school experiences.
ENER ‘1’ TO CONTINUE
IF
ASKING ABOUT CHILD, GO TO SE010BX. IF
ASKING ABOUT TWIN AND CHILD NOWSCHL = 1,
GO TO
SE005.
IF
ASKING ABOUT TWIN AND CHILD NOWSCHL NE 1,
GO TO
SE010BX.
SE005BX
SE005.
TWINSCHL Does {TWIN} attend the same school as {CHILD}?
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
IF
ASKING ABOUT CHILD, GO TO SE010 [NOWSCHL]. IF
ASKING ABOUT TWIN AND SE005 [TWINSCHL] = 1, SKIP TO SE030
[GRADELVL].
ELSE
ASK SE010 [NOWSCHL].
SE010BX
SE010. [ALL RESPONDENTS]
Is {CHILD/TWIN} attending or enrolled in school?
NOWSCHL
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
S
HOMESCHL Some parents decide to educate their children at home rather than send them to school. Is {CHILD/TWIN} being schooled at home?
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
IF
SE015 = 1, GO TO SE020. IF
SE015 NE 1 AND SE010 = 1, GO TO SE030. IF
SE015 NE 1 AND SE010 NE 1, GO TO SE045 [ELIGKIND].
SE020BX
S
HMSCLALL Is {CHILD/TWIN} getting all of {his/her} instruction at home, or is {he/she} getting some at school and some at home?
ALL AT HOME 1 (SE030)
SOME AT SCHOOL AND SOME AT HOME 2
REFUSED RF (SE030)
DON’T KNOW DK (SE030)
S
HRSSCHL How many hours each week does {CHILD/TWIN} usually go to a school for instruction? Please do not include time spent in extracurricular activities.
|__|__|
ENTER NUMBER OF HOURS
Answer must be in range from 1 up to 30.
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
SE030. [ALL RESPONDENTS ENROLLED IN SCHOOL OR HOME SCHOOLED]
What grade is {he/she} in?
GRADELVL
PRESCHOOL 1 (SE033BX)
KINDERGARTEN 2 (SE033BX)
FIRST GRADE 3 (SE033BX)
SECOND GRADE 4 (SE033BX)
UNGRADED 5 (SE033BX)
OTHER, SPECIFY 6
REFUSED RF (SE033BX)
DON’T KNOW DK (SE033BX)
SE030OS. [What grade is {he/she} in?]
GRADELVLOS
OTHER GRADE LEVEL CHILD IS IN
_____________________________
REFUSED RF
DON’T KNOW DK
SE032. [FOLLOW-UP TO OTHER SPECIFY FOR SE030]
Would you say that program is most similar to a preschool/prekindergarten type of program or to a kindergarten program? Please keep in mind that most kindergarten programs for this school year require children to be age 5 by September 1st, 2006.
GRADE2
PRESCHOOL/PREKINDERGARTEN 1
KINDERGARTEN 2
NEITHER 3
REFUSED RF
DON’T KNOW DK
SE033BX
IF (CHILD’S GRADE AT K06 AND CHILD’S GRADE AT K07) = 2 (CHILD IN KINDERGARTEN BOTH ROUNDS), SET REPEATER = 1 (CHILD IS A KINDERGARTEN REPEATER). ELSE REPEATER = 0 (CHILD IS NOT A KINDERGARTEN REPEATER).
IF REPEATER = 1, GO TO SE033. ELSE, GO TO SE035BX.
SE033. [REPEATERS]
I wanted to confirm information I have recorded. I have that {CHILD/TWIN} was in kindergarten last year, and you are indicating that {CHILD/TWIN} is in kindergarten this year as well. Is that correct?
CONREPEAT
YES, CHILD IN KINDERGARTEN LAST YEAR AND
THIS YEAR………………………..................................... 1 GO TO SE034a
NO, {CHILD/TWIN} NOT IN KINDERGARTEN
LAST YEAR 2
NO, {CHILD/TWIN} NOT IN KINDERGARTEN
THIS YEAR 3
REFUSED RF GO TO SE035BX
DON’T KNOW DK GO TO SE035BX
IF CONREPEAT = 2, DISPLAY:
YOU HAVE ENTERED THAT {CHILD/TWIN} WAS NOT IN KINDERGARTEN LAST YEAR.
IF THIS IS CORRECT, PRESS ‘S’ TO CONTINUE.
IF THIS IS INCORRECT, PRESS ENTER TO RETURN TO THE PREVIOUS QUESTION.
IF SE033 [CONREPEAT] = 2, RESET REPEATER TO 0.
IF CONREPEAT = 3, DISPLAY:
“YOU HAVE ENTERED THAT {CHILD/TWIN} IS IN KINDERGARTEN IN QUESTION GRADELVL (SE030) AND THAT {CHILD/TWIN} IS NOT IN KINDERGARTEN IN QUESTION CONREPEAT (SE033). THIS IS INCONSISTENT.
IF {CHILD/TWIN} IS NOT IN KINDERGARTEN NOW, SELECT (SE030) GRADELVL AND CORRECT.
IF {CHILD/TWIN} IS IN KINDERGARTEN NOW, SELECT (SE033) CONREPEAT BELOW AND CORRECT.
IF CHILD NOT A REPEATER, GO TO SE035BX.
SE034a. [REPEATERS]
SUGREPEAT
Who first suggested that {CHILD/TWIN} repeat kindergarten?
{CHILD/TWIN}'S PARENTS/GUARDIANS 1 (GO TO SE034C)
{CHILD/TWIN}’S TEACHER 2 (GO TO SE034B)
{HIS/HER} SCHOOL PRINCIPAL 3 (GO TO SE034B)
{HIS/HER} GUIDANCE COUNSELOR……………4 (GO TO SE034B)
{HIS/HER} SCHOOL PSYCHOLOGIST 5 (GO TO SE034B)
ANOTHER SCHOOL STAFF MEMBER 6 (GO TO SE034B)
SOMEONE ELSE 7 (GO TO SE034B)
(Specify____________________)
PARENT INDICATES CHILD NOT
REPEATING……………………………..95 (GO TO SE035BX)
REFUSED RF (GO TO SE034B)
DON’T KNOW DK (GO TO SE034B)
SE034b. What was his or her reason for suggesting that {CHILD/TWIN} repeat kindergarten?
REAREPEAT
HEALTH ISSUES 1
SOCIAL DEVELOPMENT
(E.G. DOES NOT FOLLOW DIRECTIONS, DOES NOT SIT STILL,
DOES NOT PAY ATTENTION, ETC.) 2
NOT READY ACADEMICALLY/
ACADEMIC DIFFICULTY 3
PHYSICAL DEVELOPMENT
(COORDINATION, MOTOR SKILLS) 4
SOMETHING ELSE 5
(Specify: _____________________)
REFUSED RF
DON’T KNOW DK
SE034c. [REPEATERS]
Who ultimately decided that [CHILD/TWIN] would repeat kindergarten?
{CHILD/TWIN}'S PARENTS/GUARDIANS 1 (GO TO SE034f)
{CHILD/TWIN}’S TEACHER 2
{HIS/HER} SCHOOL PRINCIPAL 3
{HIS/HER} GUIDANCE COUNSELOR…………………………………4
{HIS/HER} SCHOOL PSYCHOLOGIST 5
ANOTHER SCHOOL STAFF MEMBER 6
SOMEONE ELSE 7
(Specify_________________)
REFUSED RF
DON’T KNOW………………………………………………… DK
SE034d. [REPEATERS]
DECREPEAT
Do you feel you had a say in the decision for {CHILD/TWIN} to repeat kindergarten?
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
SE034e. [REPEATERS]
DECIAGREE
Did you agree that {CHILD/TWIN} should repeat kindergarten?
YES 1
NO 2 (GO TO SE035BX)
REFUSED RF
DON’T KNOW DK
SE034f. [REPEATERS]
IMPTREPEAT
What was your reason for repeating {CHILD/TWIN} in kindergarten?
CODE ALL THAT APPLY.
HEALTH ISSUES 1
SOCIAL DEVELOPMENT
(E.G. DOES S NOT FOLLOW DIRECTIONS, DOES NOT SIT STILL,
DOES NOT PAY ATTENTION, ETC.) 2
NOT READY ACADEMICALLY/
ACADEMIC DIFFICULTY 3
PHYSICAL DEVELOPMENT
(COORDINATION, MOTOR SKILLS) 4
RECOMMENDED BY SCHOOL 5
SOMETHING ELSE 6
(Specify: _____________________)
REFUSED RF
DON’T KNOW DK
IF
ASKING ABOUT CHILD AND SE015 [HOMESCHL] = 1 OR SE030 [GRADELVL] = 1
OR SE032 [GRADE2] = 1, GO TO SE045 [ELIGKIND]. ELSE IF
ASKING ABOUT CHILD, GO TO SE035 [PUBPRIV]. IF
ASKING ABOUT TWIN AND SE005 [TWINSCHL] = 1,
SKIP TO
SE040BX. IF
ASKING ABOUT TWIN AND SE030 [GRADELVL] = 1 OR SE032 [GRADE2] = 1 AND
CHILD SE030 NE 1 AND SE032 NE 1, GO TO SE045 [ELIGKIND]. ELSE IF
BOTH CHILD AND TWIN SE030 = 1 OR SE032 [GRADE2] = 1, GO TO SE050BX. ELSE IF
TWIN SE030 NE 1 AND SE032 = 3, ASK SE035 [PUBPRIV].
SE035BX
SE035. [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN]
Now I have a few questions about {CHILD/TWIN}’s school.
Is {CHILD/TWIN}’S school public or private?
PUBPRIV
PUBLIC 1
PRIVATE 2
REFUSED RF
DON’T KNOW DK
SE040BX IF ASKING ABOUT CHILD
AND SE030 [GRADELVL] = 2, ASK SE040b-c [KDAY]. ELSE GO TO SE055
[STARTSCL]. IF ASKING ABOUT
TWIN AND SE030 [GRADELVL] = 2 FOR BOTH CHILD AND TWIN AND
SE005 [TWINSCHL] = 1,
GO TO SE085aBX [ACADPREP]. ELSE IF TWIN
SE030 [GRADELVL] = 2, ASK SE040b-c [KDAY]. IF TWIN SE030 = 1, GO TO
SE045 [ELIGKIND]. ELSE GO TO SE055 [STARTSCL].
SE040b. [CHILDREN ENROLLED IN KINDERGARTEN]
KHRS
How many hours each day does {he/she} spend in kindergarten?
NUMBER OF HOURS PER DAY: ________
Answer must be in range from 1 up to 7.
Interviewer is allowed to override this range up to 10.
REFUSED RF
DON’T KNOW DK
SE040c. [CHILDREN ENROLLED IN KINDERGARTEN]
KWEEK
How many days each week does {he/she} spend in kindergarten?
NUMBER OF DAYS PER WEEK: ________
Answer must be in range from 1 up to 5.
REFUSED RF
DON’T KNOW DK
SKIP TO
SE055 [STARTSCL].
SE045BX
SE045. [ONLY ASKED OF CHILDREN NOT YET ENROLLED IN KINDERGARTEN OR BEING HOME SCHOOLED]
ELIGKIND Is {CHILD/TWIN} eligible, based on {his/her} age, to attend kindergarten in your district?
YES 1
NO 2 (SECTION CD)
REFUSED RF (SECTION CD)
DON’T KNOW DK (SECTION CD)
IF
SE015 [HOMESCH] =1, GO
TO SECTION CD.
SE050BX
SE050. [ONLY ASKED OF CHILDREN NOT YET ENROLLED IN KINDERGARTEN AND NOT HOMESCHOOLED]
RSNOSEND Why did you decide not to send {CHILD/TWIN} to kindergarten this year?
New CODE ALL THAT APPLY
CHILD NOT READY SOCIALLY (E.G., DOES NOT FOLLOW DIRECTIONS, CANNOT SIT STILL, CANNOT PAY ATTENTION, ETC.) 1
CHILD NOT READY ACADEMICALLY (E.G., DOES NOT KNOW LETTERS/NUMBERS)
2
CHILD NOT READY, NO REASON GIVEN 3
CHILD WOULD BE YOUNGEST IN CLASS 4
PRESCHOOL PROGRAM BETTER 5
OTHER 6
REFUSED RF
DON’T KNOW DK
SE055BX IF
HOMESCHOOLED, IN PRESCHOOL OR NOT ENROLLED[SE015 [HOMESCHL] = 1 OR
SE030 [GRADELVL] = 1 OR SE010 [NOWSCHL] NE 1 OR SE032 [GRADE2] = 1],
GO TO SECTION CD. ELSE GO
TO SE055 [STARTSCL]. IF
ASKING ABOUT TWIN AND SE005=1 AND SE030 [GRADELVL] = 1, SKIP SE055 -
SE080.
SE055. [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN]
STARTSCL About how many weeks has it been since {CHILD/TWIN} started school?
ENTER NUMBER OF WEEKS _______.
Answer must be in range from 0 up to 52.
REFUSED RF
DON’T KNOW DK
SE060BX If
SE005=1 [Twin attends the same school as child], GO TO SE075.
F SE035 [PUBPRIV] = 1, ASK SE060 – SE070 [PUBCHOIC]. IF
SE035 [PUBPRIV] = 2, SKIP TO SE070a [PRIVOCHR]. ELSE,
GO TO SE075 [SCLPRFMC].
SE060. [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN WHO ARE IN PUBLIC SCHOOL]
PUBCHOIC Is the school {CHILD/TWIN} attends a regularly assigned school or a school that you chose?
NHES PFI 2003
mod for K, Arcia
ASSIGNED 1 (SE070 [PUBLIVE])
CHOSEN 2
ASSIGNED SCHOOL IS SCHOOL OF CHOICE
3 (SE070 [PUBLIVE])
REFUSED RF
DON’T KNOW DK
SE060a. [ALL RESPONDENTS WHO ARE IN PUBLIC SCHOOL AND ATTEND A CHOSEN SCHOOL (SE060=2)]
PUBTYPE Is {CHILD/TWIN}’s chosen school…
NHES PFI 2003
mod for K, Arcia
PROBE: Magnet schools and charter schools are schools of choice that are not geographically assigned, that could have a specialized curriculum such as a focus on languages or science, and that are publicly funded. While magnet schools are run by a local school district, charter schools are not, and they do not have to follow all of the same rules and regulations as other public schools.
A public magnet school with a specialized curriculum 1
A public magnet school without a specialized curriculum 2
A charter school 3
A regular public school? 4
OTHER 5
REFUSED RF
DON’T KNOW DK
SE065. [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN WHO ARE IN PUBLIC SCHOOL]
PUBDSTCT Is {his/her} school in your assigned school district?
NHES 2003
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
SE070BX If
SE005=1 [Twin attends the same school as child], skip to SE070a.
SE070. [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN WHO ARE IN PUBLIC SCHOOL]
P
ECLS-K
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
SE070aBX GO TO
SE075.
SE070a. [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN WHO ARE IN PRIVATE SCHOOL]
PRIVOCHR Did you use a voucher provided by the government to attend this school?
NCES-new
YES 1
NO 2 (SE075 [SCLPRFMC])
REFUSED RF (SE075 [SCLPRFMC])
DON’T KNOW DK (SE075 [SCLPRFMC])
SE070b. [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN WHO ARE IN PRIVATE SCHOOL AND SE070a=1.]
VOCHRAMT Did the voucher pay the full amount of tuition, or only part?
FULL AMOUNT 1
PART 2
REFUSED RF
DON’T KNOW DK
SE075. [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN]
SCLPRFMC In deciding between schools, did you seek information on the performance of the schools you were considering, like test scores, dropout rates, and so on?
NHES 2003
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
SE080BX
IF ASKING FOR TWIN AND SE005 = 1 (SAME SCHOOL), GO TO SE085a.
IF ASKING FOR TWIN AND SE005 = 1 (SAME SCHOOL) AND SE030 OR SE032 NE 1, GO TO SE098BX.
ELSE ASK SE080.
SE080. [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN]
SCHLDIST About how far would you say it is from your home to the school {CHILD/TWIN} attends?
ECLS-K
LESS THAN 1/8TH MILE (LESS THAN 3 BLOCKS) 1
1/8TH MILE TO ¼ MILES (3-5 BLOCKS) 2
MORE THAN ¼ MILE, BUT LESS THAN ½ MILE (6-9 BLOCKS) 3
½ MILE TO LESS THAN 1 MILE (10-19 BLOCKS) 4
ONE MILE TO 2.5 MILES (LESS THAN 5 MINUTE DRIVE) 5
2.6 MILES TO 5 MILES (BETWEEN 5-10 MINUTE DRIVE) 6
5.1 MILES TO 7.5 MILES (BETWEEN 11 AND 15 MINUTE
DRIVE) 7
7.6 MILES TO 10 MILES (BETWEEN 16 AND 20 MINUTE DRIVE),
OR 8
11 MILES OR MORE (MORE THAN A 20 MINUTE DRIVE)? 9
REFUSED RF
DON’T KNOW DK
SE085Abx
IF GRDLVL NE 2 (CHILD IS IN A GRADE OTHER THAN KINDERGARTEN), GO TO SE098BX.
IF REPEATER FLAG = 1 (CHILD IS KINDERGARTEN REPEATER), GO TO SE098BX. ELSE ASK SE085a.
SE085a. [ONLY ASK OF FIRST-TIME, ON-TIME AND DELAYED ENTRY KINDERGARTNERS]
Starting school can be a big change for children. These next few items are about how well that transition to school went for {CHILD/TWIN}, and how ready you thought {he/she/they} {was/were} for school.
ACADPREP How academically prepared do you think {CHILD/TWIN} was for kindergarten? By academically prepared, we mean knowing things like letters and numbers, and being ready to learn. Would you say…
Very prepared 1
Somewhat prepared, or 2
Not at all prepared? 3
DON’T KNOW RF
REFUSED DK
SE085b. [ONLY ASK OF FIRST-TIME, ON-TIME AND DELAYED ENTRY KINDERGARTNERS]
SOCLPREP How socially prepared do you think {CHILD/TWIN} was for kindergarten? By socially prepared, we mean being ready for the classroom environment, including being able to listen to and follow instructions, express {his/her} needs verbally, and play well with other children. Would you say…
Very prepared 1
Somewhat prepared, or 2
Not at all prepared? 3
DON’T KNOW RF
REFUSED DK
SE090BX IF
CC015 [CURRHEAD] OR CC410 [CCCNOW] FROM K ‘06 ROUND = 1, GO TO
SE090 [PKPREPRD]. ELSE,
SKIP TO SE095 [ACTVPREP].
SE090. [ONLY ASK OF FIRST-TIME, ON-TIME AND DELAYED ENTRY KINDERGARTNERS]
PKPREPRD Do you believe preschool helped to prepare {CHILD/TWIN} for kindergarten? Would you say…
A lot 1
Somewhat, or 2
Not at all? 3 (SE092b)
REFUSED RF
DON’T KNOW DK
SE092a. What was the most important way in which preschool helped prepare {CHILD/TWIN} for kindergarten?
HELPPREP CODE ALL THAT APPLY.
HELPED CHILD LEARN SOCIAL SKILLS (E.G., CHILD LEARNED TO FOLLOW
DIRECTIONS, PAY ATTENTION, PLAY WELL WITH OTHER CHILDREN, ETC.) 1
HELPED CHILD LEARN ACADEMIC SKILLS (E.G., CHILD LEARNED
LETTERS/NUMBERS) 2
HELPED CHILD DEVELOP PHYSICALLY (E.G., INCREASED COORDINATION,
MOTOR SKILLS) 3
ALLOWED CHILD TO CATCH UP IN AGE (I.E., CHILD WILL NOT BE YOUNGEST
IN CLASS WHEN HE/SHE ENTERS KINDERGARTEN) 4
OTHER 5
(Specify: __________________)
DON’T KNOW DK
REFUSED RF
SE092b. What could {CHILD/TWIN}’s preschool have done better to help prepare {CHILD/TWIN} for kindergarten?
NTHEPPRP CODE ALL THAT APPLY.
HELP CHILD LEARN SOCIAL SKILLS (E.G., CHILD LEARNED TO FOLLOW
DIRECTIONS, PAY ATTENTION, PLAY WELL WITH OTHER CHILDREN, ETC.)……………….1
HELP CHILD LEARN ACADEMIC SKILLS (E.G., CHILD LEARNED
LETTERS/NUMBERS)…………………………………………………………………………………….2
HELP CHILD DEVELOP PHYSICALLY (E.G., INCREASED COORDINATION,
MOTOR SKILLS)…………………………………………………………………………………………..3
OTHER………………………………………………………………………………………………………4
(Specify: ___________________)
NOTHING (I.E., PRESCHOOL PREPARED CHILD WELL FOR KINDERGARTEN)………………5
DON’T KNOW DK
REFUSED RF
SE095. [ONLY ASK OF FIRST-TIME, ON-TIME AND DELAYED ENTRY]
A
PEELS
YES 1
NO 2 (SE096a)
DON’T KNOW DK (SE096a)
REFUSED RF (SE096a)
SE095a What did you or another family member do on your own about {CHILD/TWIN}’s move to kindergarten? Did you…
a. Have {CHILD/TWIN} meet {HIS/HER} new teacher?
b. Talk to teachers yourself at the school?
c. Talk to the school administrator?
d. Take {CHILD/TWIN} to visit the school grounds?
e. Talk to {CHILD/TWIN} about what kindergarten will be like?
f. Talk to or meet with other kindergarten parents?
g. Volunteer at the school?
h. Read books to {CHILD/TWIN} that talked about starting kindergarten?
i. Read the school’s newsletters or other parent resource materials?
j. Obtain information or advice from community services or family support centers?
k. Use the internet to gather information?
l. Anything else?
Other/specify: ___________________________________
YES 1
NO 2
DON’T KNOW DK
REFUSED RF
HELP AVAILABLE
SE096a. Before {CHILD/TWIN} started kindergarten, did you or another family member do any enrichment activities to get ready for school? By enrichment activities, we mean things that focus on reading, doing math, writing, learning music, and other kinds of things children often do in a kindergarten classroom. Please do not include programs or activities organized by the school.
YES 1
NO 2 (SE098BX)
DON’T KNOW DK (SE098BX)
REFUSED RF (SE098BX)
SE096b. Did these activities include learning…
Reading, writing, or spelling?
Math concepts, like counting, measurement, or money?
Social studies concepts, like different cultural backgrounds?
Science concepts, like the weather, or how things work?
Music (not including dance)?
Arts and crafts?
Dance/creative movement?
Theater or drama?
A foreign language (not including English)?
The English language?
Anything else? (specify) ________________________________
YES 1
NO 2
DON’T KNOW DK
REFUSED RF
SE098BX IF
ASKING ABOUT CHILD, GO TO SE100 [METTCHR]. IF
ASKING ABOUT TWIN AND SE005 = 1 (CHILD AND TWIN IN SAME SCHOOL) AND
SE030 [GRADELVL] ARE EQUAL FOR CHILD AND TWIN, GO TO SE098
[SAMETCHR].
ELSE GO
TO SE100 [METTCHR].
SE098. [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN]
Do {CHILD} and {TWIN} have the same teacher?
SAMETCHR
YES 1
NO 2
DON’T KNOW DK
REFUSED RF
SE100BX
IF ASKING FOR TWIN AND SE098 = 1, THEN GO TO SE105BX, ELSE ASK SE100.
SE100.
METTCHR [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN]
Have you met {CHILD/TWIN}’s teacher yet?
DISPLAY INSTRUCTIONS:
Display CHILD’S name or TWIN’S name.
ECLS-K
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
SE105BX
IF REPEATER FLAG = 1 (CHILD IS KINDERGARTEN REPEATER), GO TO SE110BX. ELSE ASK SE105.
SE105. [ONLY ASK OF FIRST-TIME, ON-TIME AND DELAYED ENTRY]
T
ECLS-K mod
(PROBE: Would you say more than once a week, once a week or less, or not at all?)
DISPLAY INSTRUCTIONS: Display “since this school year began” if child was in school for 8 weeks or less (SE055 [STARTSCL] <=8). Else, display “during the first two months of this school year.”
How often did {CHILD/TWIN} complain about school? Would you say more than once a week, once a week or less, or not at all?
How often was {CHILD/TWIN} reluctant to go to school?
How often did {he/she} pretend to be sick to stay home from school?
How often did {he/she} say good things about school?
How often did {CHILD/TWIN} say {he/she} liked {his/her} teacher?
How often did {he/she} look forward to going to school?
MORE THAN ONCE A WEEK 1
ONCE A WEEK OR LESS 2
NOT AT ALL 3
REFUSED RF
DON’T KNOW DK
SE110BX IF HH
ROSTER INCLUDES OTHER CHILDREN OLDER THAN {CHILD/TWIN}, BUT AGED 18
YEARS OR YOUNGER AND THOSE CHILDREN ARE CHILD’S
SIBLINGS (FS040 [RELATE] = 3 OR 4),
ASK
SE110 [SIBSMSCL]. IF HH
ROSTER INCLUDES ONLY SIBLINGS OLDER THAN 18 YEARS OF AGE, SKIP TO
SE115. IF NO
SIBLINGS IN HH, GO TO SECTION CD. IF
ASKING FOR TWIN AND SE005 = 1 (SAME SCHOOL), GO TO SECTION CD. ELSE
CONTINUE.
SE110. [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN]
SIBSMSCL {Does/do} {NAME OF OLDER SIBLINGS} attend the same school as {CHILD/TWIN}?
DISPLAY INSTRUCTIONS:
Display “Does” if only 1 sibling in HH.
Display “Do” if 2 or more siblings in HH.
Display siblings in HH who are 18 years of age or younger.
ECLS-K mod
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
SE115BX
IF NO SIBLINGS OVER 18 YEARS OF AGE IN HH, GO TO SECTION CD. ELSE ASK SE115.
SE115. [ALL RESPONDENTS EXCEPT HOMESCHOOLERS AND CHILDREN NOT YET ENROLLED IN KINDERGARTEN]
SMSCLPST Did {NAME OF OLDER SIBLINGS} attend the same school in the past?
DISPLAY INSTRUCTIONS: Display first names of any HH members older than child who are siblings (FS040 [RELATE] = 3 or 4) (even if older than 18 years). (ie please display all siblings in HH, regardless of their age)
YES 1
N
ECLS-K mod
REFUSED RF
DON’T KNOW DK
GO TO SECTION 4 - CD
Section 4-CD: CHILD DEVELOPMENT, LITERACY, AND SCHOOL READINESS
CD001PRE PRECDEV |
Now I'm going to ask you a few questions about {CHILD/TWIN}. These next questions are about things that children can do at different ages. These things may or may not be true for {CHILD/TWIN}. |
HELP AVAILABLE
CD020. READALON |
Is {CHILD/TWIN} able to read story books on {his/her} own now? |
YES… …………………………1
NO 2 (CD023)
REFUSED RF (CD023)
DON’T KNOW DK
CD021. READPRTN |
Does {CHILD/TWIN} actually read the words written in the book, or does {he/she} look at the book and pretend to read? |
READS THE WRITTEN WORDS 1 (CD022)
PRETENDS TO READ 2 (CD024)
DOES BOTH 3 (CD022)
REFUSED RF (CD080)
DON’T KNOW DK (CD080)
CD022. AGEREAD |
How old was {CHILD/TWIN} in years and months when he/she began reading simple, whole sentences? |
Answers must be in range 1-7 yrs, 0-11mths
YEARS _____________ MONTHS___________ (CD080)
CD023. PIXPRTND |
Although {CHILD/TWIN} doesn’t yet read storybooks on {his/her} own, does {he/she} ever look at a book with pictures and pretend to read? |
YES… …………………………1
NO 2 (CD080)
REFUSED RF (CD080)
DON’T KNOW DK
CD024. STORY |
When {he/she} pretends to read a book, does it sound like a connected story, or does {he/she} tell what’s in each picture without much connection between them? |
SOUNDS LIKE A CONNECTED STORY……… 1
TELLS WHAT IS IN EACH PICTURE……… ……2
DOES BOTH…………………………… ……3
REFUSED RF
DON’T KNOW DK
SHOW CARD CD-1
Some- Very Don’t
Never Rarely times Often Often Refused Know
a. Is invited by other children to play
b. Shows eagerness to learn new
things
c. Volunteers to help other
children complete
tasks
d. Is accepted and liked by other
children
Accepts friends’ ideas in sharing
and playing
f. Is physically aggressive, for example
hits, kicks, or
pushes
g. Seems unhappy
Comforts other children who are
upset
i. Appropriately uses a variety of
words to describe feelings,
such as,
excited, mad, frustrated, or tired
j. Gets angry easily
k. Pays attention well
l. Works or plays independently or
without the need for adult
direction
m. Acts impulsively without thinking, for
example runs across
the street
without looking
Worries about things
o. Is overly active—unable to sit still
p. Invites other children to play
q. Keeps on working until finished with
whatever {he/she} is
asked to do
r. Stands up for other children’s rights
for example by
saying, “That’s his!”
or “It’s her turn!”
s. Has temper outbursts or tantrums
t. Easily adjusts to a new situation… …
u. Bothers and annoys other children
v. Destroys things that belong to
others
w. Tries to understand another child’s
behavior, for
example by asking “Why are
you crying?”
x. Likes to try new things
y. Shows imagination in work and
play
GO TO SECTION 5-HE
Section 5-HE: HOME ENVIRONMENT
(04/06/06 – Draft 2: HE_PA)
HE020bx
if asking about twin, skip to pa097BX
HE020. |
The next questions are about reading you do at home. About how many children’s books {does {CHILD}/do {CHILD} and {TWIN}} have in your home now, including library books? Please only include books that are for children.
|
Answer must be in the range from 0 up to 200.
Interviewer may override range up to 900.
|__|__|__|
ENTER NUMBER OF BOOKS
REFUSED RF
DON’T KNOW DK
HE070BX
Ask HE070 only for cases sampled as american indian (Same as specs for HE102BX)
HE070. At home, how often do you talk to each other in your tribal language? Would you say….
NIES-mod
OFTSPKTL
Never 1
Once in awhile 2
About half the time, or 3
More often? 4
REFUSED RF
DON’T KNOW DK
HE095BX
IF ASKING ABOUT TWIN, GO TO SECTION PA..
OTHERWISE, CONTINUE WITH HE100.
HE100. READSTOR TELLSTOR SINGSONG TALKBOOK |
READ FIRST TIME AND AS NECESSARY: In a typical week, how often do you or any other family member do the following things with {CHILD} {and {TWIN}}? Would you say not at all, once or twice, 3 to 6 times, or every day?
d. Talk to your {child/children} about books you read to {him/her/them}?
SHOW CARD HE-1
|
NOT AT ALL 1
ONCE OR TWICE 2
3 TO 6 TIMES 3
EVERY DAY 4
REFUSED RF
DON’T KNOW DK
HE101BX
IF HE100a =1, GO TO HE102BX.
ELSE GO TO HE101. |
HE101. |
On the days someone reads to {CHILD} {and {TWIN}}, about how many minutes per day {is/are} {she/he/they} read to? |
Answer must be in range from 0 up to 500.
|__|__|__|
ENTER NUMBER OF MINUTES
REFUSED RF
DON’T KNOW DK
HE102BX IF FS086a [AMERIND]=1 AND HE100a NE 1, ASK HE102 AND HE103. OTHERWISE SKIP TO SECTION PA. |
HE102. |
When you read to {CHILD} {and {TWIN}}, do you read books about Native culture and history? |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
HE103. |
Do you read books to {him/her/them} written by American Indian or Alaska Native authors? |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
GO TO SECTION 6-PA.
Section 6-PA: PARENTING BEHAVIOR AND ATTITUDES
pa090bx
if asking about twin, skip to pa097BX
PA095. |
Now I’m going to ask you how important you think it is for any child to know or do certain things to be ready for kindergarten. Would you say essential, very important, somewhat important, not very important, or not at all important? |
How important do you think it is that a child…
SHOW CARD PA-1
a. Finishes tasks
b. Can count to 20 or more
c. Takes turns and shares
d. Has good problem-solving skills
e. Is able to use pencils and paint brushes
f. Is not disruptive of the class
g. Knows the English language
h. Is sensitive to other children’s feelings
i. Sits still and pays attention
j. Knows most of the letters of the alphabet
k. Can follow directions
l. Identifies primary colors and shapes
m. Communicates needs, wants, and thoughts verbally in {his/her} primary language
n. Writes {his/her} own name
o. Reads or pretends to read storybooks
ESSENTIAL……………………………1
VERY IMPORTANT…………………..2
SOMEWHAT IMPORTANT…………..3
NOT VERY IMPORTANT…………….4
NOT AT ALL IMPORTANT…………..5
REFUSED…………………………….RF
DON’T KNOW………………………...DK
PA097BX
ASK PA097 IF SE030=2 OR SE032=2 (CHILD/TWIN IS IN KINDERGARTEN).
PA097. What do you think is the most important thing you have done to prepare {CHILD/TWIN} for kindergarten?
PREPFORK
SHARED TEACHING/LEARNING ACTIVITIES 1
NURTURING HOME ENVIRONMENT 2
READING TO CHILD BY PARENTS 3
EDUCATIONAL PRESCHOOL 4
HEAD START 5
DAY CARE 6
COMPUTER 7
TEACHING SELF HELP SKILLS 8
OLDER SIBLINGS 9
STAY AT HOME MOM 10
SHARING RELIGIOUS BELIEFS/TRADITIONS 11
MONITORING TELEVISION 12
OTHER, SPECIFY (__________________) 13
REFUSED RF
DON’T KNOW DK
GO TO SECTION 7-CC.
Section 7-CC: CHILD CARE ARRANGEMENTS
CC001Pre. I'd like to talk to you about all child care {CHILD/TWIN} now receives {before or after school} on a regular basis from someone other than {you/{his/her} parents or guardians}. This includes regular care and early childhood programs, whether or not there is a charge or fee, but not occasional baby-sitting or backup care providers.
CC001BX
IF ASKING ABOUT TWIN, GO TO CC005. ELSE, GO TO CC115.
HELP AVAILABLE
CC005.
CURRCHCA Next, I'd like to talk to you about all child care arrangements you have for {TWIN} on a regular basis. Does {TWIN} currently have the same child care arrangements as {CHILD}?
YES 1 (SECTION 8-CH)
NO 2
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CC115. |
Is {CHILD/TWIN} now receiving care from a relative other than a parent on a regular basis {before or after school}, for example from grandparents, brothers or sisters, or any other relatives? |
DISPLAY: Display “before or after school” if (SE010 = 1 OR SE015 = 1) AND (SE030 NE 1 AND SE032 NE 1).
YES 1 (CC135)
NO 2 (CC220)
REFUSED RF (CC220)
DON’T KNOW DK (CC220)
CC135. |
How many different regular care arrangements do you currently have with relatives for {CHILD/TWIN}?
|
ONE 1
TWO 2
THREE 3
FOUR OR MORE 4
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CC140. |
{Let's talk about the relative who provides the most care for {CHILD/TWIN} now.} Is that relative {CHILD/TWIN}’s… |
DISPLAY INSTRUCTIONS: If multiple arrangements (CC135=2, 3, or 4) display the sentence “Let’s talk about…{CHILD/TWIN} now.” Else, use a null display.
Grandparent, 1
Aunt, 2
Uncle, 3
Brother, 4
Sister, or 5
Another relative? 91
(Specify) [Who is the relative that takes care of the {CHILD/TWIN}?]________________
REFUSED RF
DON’T KNOW DK
CC141BX IF (SE010=1 OR SE015=1) AND SE030 NE 1 AND SE032 NE 1, ASK CC141. ELSE, ASK CC145. (CC141 is asked for children in school only) |
CC141. Mod RELTCARE |
Does {CHILD/TWIN} receive care from {{his/her} {RELATIVE}/that relative} before school, after school, or on weekends?
CODE ALL THAT APPLY. |
DISPLAY INSTRUCTIONS: If relative named above in CC140, display “{RELATIVE}”: “aunt”, “uncle”, “brother”, “sister”, “grandparent” as appropriate. Otherwise, display "that relative".
BEFORE SCHOOL 1
AFTER SCHOOL 2
ON WEEKENDS 3
REFUSED RF
DON’T KNOW ……………………………………………….DK
HELP AVAILABLE
CC145. |
Is the care provided by {{CHILD/TWIN}'s {RELATIVE}/that relative} in your home or another home?
|
OWN HOME 1
OTHER HOME 2
BOTH/VARIES 3
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CC165. |
How many hours each week does {CHILD/TWIN} receive care from {{his/her} {RELATIVE}/that relative}? |
IF LESS THAN 1 HOUR, ENTER 0.
Answer must be in range from 0 up to 80.
Interviewer may override range up to 120.
|___|___|
ENTER NUMBER OF HOURS
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CC170. |
How many days each week does {CHILD/TWIN} receive care from {{his/her} {RELATIVE}/that relative}? |
Answer must be in range from 1 up to 7.
Check response against HrsWeek (CC165). HrsWeek divided by DaysWeek cannot be greater than 24 (child cannot be in relative care more than 24 hours per day).
|___|
ENTER NUMBER OF DAYS
REFUSED RF
DON’T KNOW DK
If
CC141=3 and (CC141~=1 and CC141~=2) and (CC170=0 or CC170>2),
then display check message:
IN QUESTION CC141, YOU
ENTERED THAT THE {CHILD/TWIN} RECEIVES CARE
FROM THAT PERSON
ONLY ON WEEKENDS. IN CC170, YOU ENTERED THAT THE
CHILD IS IN
CARE FOR A TOTAL OF {CF170} DAYS A WEEK. PLEASE VERIFY
YOUR
RESPONSE AND PRESS ‘S’ IF THIS IS CORRECT. ENTER THE
CORRECT
RESPONSE IN CC141 IF IT IS INCORRECT.
CC218BX
IF CC135 = 1, RF, OR DK, GO TO CC220. ELSE GO TO CC218.
HELP AVAILABLE
CC218. |
You said that {CHILD/TWIN} was cared for by {NUMBER} other {relative/relatives} on a regular basis. How many total hours each week does {CHILD/TWIN} receive care from {this/these} other {relative/relatives}? |
Answer must be in range from 0 to 80.
|___|___|
ENTER NUMBER OF HOURS
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CC220. PRIVHOME |
Now I'd like to ask you about any care {CHILD/TWIN} receives from someone not related to {him/her} in your home or someone else's home on a regular basis, {before or after school}. This includes home child care providers, regular sitters, or neighbors, but does not include day care centers or preschools. Is {CHILD/TWIN} now receiving care in a private home on a regular basis from someone who is not related to {him/her}?
|
DISPLAY INSTRUCTION: DISPLAY ‘BEFORE OR AFTER SCHOOL’ IF SE010=1 AND SE015 NE 1 AND SE030 NE 1 AND SE032 NE 1.
YES 1
NO 2 (CC410BX)
REFUSED RF (CC410BX)
DON’T KNOW DK (CC410BX)
HELP AVAILABLE
CC240. |
How many different regular care arrangements do you currently have with non-relatives for {CHILD/TWIN}?
|
ONE 1
TWO 2
THREE 3
FOUR OR MORE 4
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CC245. |
{Let's talk about the non-relative who provides the most care for {CHILD/TWIN}.} Is that care provided in your home or another home?
|
DISPLAY INSRUCTIONS: If CC240 >1, display the sentence “Let’s talk about…{CHILD/TWIN}.” Otherwise, use a null display.
OWN HOME 1
OTHER HOME 2
BOTH/VARIES 3
REFUSED RF
DON’T KNOW DK
CC246BX IF SE010=1 AND SE015 NE 1 AND SE030 NE 1 AND SE032 NE 1, ASK CC246. ELSE IF SE015=1 OR (SE030=1 OR SE032=1), ASK CC248. (CC246 is asked for children in school only.) |
CC246. WHENCARE |
Does {CHILD/TWIN} receive care from that person before school, after school, or on weekends? |
CODE ALL THAT APPLY.
BEFORE SCHOOL 1
AFTER SCHOOL 2
ON WEEKENDS 3
REFUSED RF
DON’T KNOW ……………………………………………….DK
CC248. |
Does this person who cares for {CHILD/TWIN} live in your household?
|
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CC265. ECLS-K |
How many days each week does {CHILD/TWIN} receive care from that person? |
Answer must be in range from 1 up to 7.
|___|
ENTER NUMBER OF DAYS
REFUSED RF
DON’T KNOW DK
If CC246=3 and (CC246~=1 and CC246~=2) and (CC265=0 or CC265>2), then display check message:
IN QUESTION CC246, YOU ENTERED THAT THE {CHILD/TWIN} RECEIVES CARE FROM THAT PERSON ONLY ON WEEKENDS. IN CC265, YOU ENTERED THAT THE CHILD IS IN CARE FOR A TOTAL OF {CF265} DAYS A WEEK. PLEASE VERIFY YOUR RESPONSE AND PRESS ‘S’ IF THIS IS CORRECT. ENTER THE CORRECT RESPONSE IN CC246 IF IT IS INCORRECT.
HELP AVAILABLE
CC270. |
How many hours each week does {CHILD/TWIN} receive care from that person?
|
IF LESS THAN 1 HOUR, ENTER 0.
Answer must be in range from 0 up to 80.
Interviewer may override range up to 120.
Answer cannot be more than 24 times response to WeekDays (child cannot be in nonrelative care more than 24 hours per day).
|___|___|
ENTER NUMBER OF HOURS
REFUSED RF
DON’T KNOW DK
CC318BX
IF CC240 > 1 (CHILD IS CURRENTLY RECEIVING CARE FROM MORE THAN ONE NON-RELATIVE), GO TO CC318.
ELSE, GO TO CC410BX.
HELP AVAILABLE
CC318. |
You said that {CHILD/TWIN} was cared for by {NUMBER} other non-{relative/relatives} on a regular basis. How many total hours each week does {CHILD/TWIN} receive care from {this/these} non-{relative/relatives}? |
Answer must be in range from 0 up to 80.
|___|___|
ENTER NUMBER OF HOURS
REFUSED RF
DON’T KNOW DK
CC410BX
IF (SE010=1 AND SE030 NE 1 AND SE032 NE 1) OR SE015 = 1, GO TO CC410b.
ELSE, GO TO CC410a.
HELP AVAILABLE
CC410a. CCCNOW ECLS-K mod for K round ECLS-K |
.Is {CHILD/TWIN} now attending a center-based care program on a regular basis? |
YES............................................................................... 1.. (CC430)
NO................................................................................. 2.. (CC520)
REFUSED.................................................................... RF (CC520)
DON’T KNOW............................................................... DK (CC520)
CC410b. BACNOW ECLS-K mod for K roundECLS-K |
Now I want to ask you about before- and after-school care programs that take place in child care centers or at the school that {CHILD/TWIN} may attend. Is {CHILD/TWIN} now attending a before and after care program on a regular basis?
|
YES............................................................................... 1.. (CC430)
NO................................................................................. 2.. (CC520)
REFUSED.................................................................... RF (CC520)
DON’T KNOW............................................................... DK (CC520)
HELP AVAILABLE
CC430. |
How many different day care centers, nursery schools, preschools, pre-kindergartens or before- or after-school programs does {CHILD/TWIN} currently go to?
|
DISPLAY INSTRUCTIONS:
ONE 1
TWO 2
THREE 3
FOUR OR MORE 4
REFUSED RF
DON’T KNOW DK
CC432. |
{Let’s talk about the program where {CHILD/TWIN} spends the most time.} Would you call {it/the program}…
|
DISPLAY INSTRUCTIONS:
If CC430 =2, 3, or 4, display the sentence “Let’s talk about…{CHILD/TWIN} spends the most time.” and “the program”. Else, blank and “it”.
A day care center 1
A nursery school 2
A preschool 3
A pre-kindergarten 4
A before- or after-school program, or 5
Something else? 6
SPECIFY_________________________________
REFUSED RF
DON’T KNOW DK
CC432aBX IF (SE010=1 OR SE015=1) AND SE030 NE 1 AND SE032 NE 1 (CHILD IS IN SCHOOL), ASK CC432a. ELSE, ASK CC433. (CC432a is asked for children in school only.) |
CC432a. MOSTWHEN |
Does {CHILD/TWIN} receive care at that center before school, after school, or on weekends?
CODE ALL THAT APPLY. |
BEFORE SCHOOL 1
AFTER SCHOOL 2
ON WEEKENDS 3
REFUSED RF
DON’T KNOW………………………………………………….DK
CC433. |
Where is the program located? For example, is it in a church or synagogue, a school, a community center, its own building, or some other building?
|
YOUR HOME 1
ANOTHER HOME 2
A CHURCH, SYNAGOGUE, OR OTHER PLACE OF WORSHIP 3
A PUBLIC SCHOOL 4
A PRIVATE SCHOOL 5
A COLLEGE OR UNIVERSITY 6
A COMMUNITY CENTER 7
A PUBLIC LIBRARY 8
ITS OWN BUILDING 9
MORE THAN ONE PLACE 10
ENTER SOME OTHER PLACE 11
[Where is the program located?]
______________________________
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CC436. |
How many days each week does {CHILD/TWIN} go to that program? |
Answer must be in range from 1 up to 7.
|___|
ENTER NUMBER OF DAYS
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CC440. |
How many hours each week does {CHILD/TWIN} go to that program? |
Answer must be in range from 0 up to 70.
Answer cannot be more than 12 times response to CC436 (child cannot be in center-based care more than 12 hours per day).
|___|___|
ENTER NUMBER OF HOURS
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CC520.
CHILDHOME Sometimes children spend time caring for themselves, either at home or somewhere else, without an adult or older child responsible for them. Does {CHILD/TWIN} spend time caring for {himself/herself} on a regular basis before or after school?
Y
ECLS-K
NO 2 (CC600BX)
REFUSED RF (CC600BX)
DON'T KNOW DK(CC600BX)
CC521. |
About how often does this happen? |
ALMOST EVERY DAY 1
A FEW TIMES A WEEK 2
ONCE A WEEK 3
A FEW TIMES A MONTH 4
ONCE A MONTH 5
LESS OFTEN 6
IT’S ONLY HAPPENED ONCE OR TWICE 7
REFUSED RF
DON’T KNOW DK
CC600BX
if (CC410a = yes or CC410b = yes) and (se010=1 OR SE015=1) AND SE030 NE 1 AND SE032 NE 1 (NOT IN PRESCHOOL). then go to CC600.
else go to Section 8-ch.
(Source for all: NHES 2001)
CC600.
AFSCACT
Now I’d like to ask about {CHILD/TWIN}’s activities during the time {he/she} spends at the after-school program. During those after-school hours, what does {CHILD/TWIN} spend most of {his/her} time doing? You may name up to three things.
HOMEWORK/SCHOOL-RELATED/EDUCATIONAL………………...1
COMPUTERS……………………………………………………………..2
READING/WRITING (NON-SCHOOL-RELATED)…………………….3
ARTS (PERFORM OR STUDY MUSIC, CRAFTS, DRAMA, ETC.)…4
CHORES/WORK…………………………………………………………..5
OUTDOOR PLAY/ACTIVITIES/SPORTS…………………………….…6
INDOOR PLAY………………………………………………………….….7
EATING/SNACKS……………………………………………………….…9
TELEVISION/VIDEOS/VIDEO GAMES/LISTENING TO MUSIC…...10
TALKING TO CARE PROVIDER……………………………11
TALKING WITH FRIENDS/SOCIALIZING……………………………..12
OTHER……………………………………………………………………..13
SPECIFY_________________________________
CC605.
PHYSACTV Does the program set aside time for physical activities like sports or games?
YES………………….1
NO……………………2
CC610.
HOMEWORK Does the program set aside time for {CHILD/TWIN} to do homework?
YES………………….1
NO……………………2
CC615.
USECMPTR Does {CHILD/TWIN} have the opportunity to use a computer at the program?
YES………………….1
NO……………………2
GO TO SECTION 8-CH
Section 8-CH: CHILD HEALTH
CH021
Now I'd like to ask you about {CHILD/TWIN}'s eating habits and health.
The next questions ask about food {CHILD/TWIN} ate or drank during the past 7 days. Think about all the meals and snacks {CHILD/TWIN} had from the time {he/she} got up until {he/she} went to bed. Be sure to include food {CHILD/TWIN} ate at home, school, restaurants, play dates, anywhere else, and over the weekend.
Let’s start with the kinds of milk {CHILD/TWIN} drinks. Include all types of milk, including cow’s milk, soy milk or any other kind of milk; include the milk {he/she} drank in a glass or cup, from a carton, or with cereal. Count the half pint of milk served at school as equal to one glass. During the past 7 days, how many times did {CHILD/TWIN} drink milk? Would you say…
SHOW CARD CH-1
Once a day, 1
Twice a day, 2
Three times a day, 3
Four or more times a day, 4
One to three times during the past 7 days, 5
Four to six times during the past 7 days, or 6
Your child did not drink
milk during the past 7 days ………7(CH041)
REFUSED RF
DON'T KNOW DK
CH037
What kind of milk did your child usually (most often) drink during the past 7 days?
SHOW CARD CH-2
WHOLE MILK 1
2% MILK 2
SKIM MILK 3
LOW FAT OR 1% MILK 4
SOY MILK 5
BOTH REGULAR COW’S MILK AND SOY MILK 6
SOME OTHER 7
SPECIFY OTHER KIND OF MILK: ______________
REFUSED RF
DON'T KNOW DK
CH041
During the past 7 days, how many times did your child drink 100% fruit juices such as orange juice, apple juice, or grape juice? Do not count punch, Sunny Delight, Kool-Aid, sports drinks, or other fruit-flavored drinks.
SHOW CARD CH-3
1 TIME PER DAY 1
2 TIMES PER DAY 2
3 TIMES PER DAY 3
4 OR MORE TIMES PER DAY 4
1 TO 3 TIMES DURING THE PAST 7 DAYS 5
4 TO 6 TIMES DURING THE PAST 7 DAYS 6
CHILD DID NOT DRINK 100% FRUIT JUICE
DURING THE PAST 7 DAYS 7
REFUSED RF
DON'T KNOW DK
CH043
During the past 7 days, how many times did your child drink soda pop (for example, Coke, Pepsi, or Mountain Dew), sports drinks (for example, Gatorade), or fruit drinks that are not 100% fruit juice (for example, Kool-Aid, Sunny Delight, Hi-C, Fruitopia, or Fruitworks)?
SHOW CARD CH-4
1 TIME PER DAY 1
2 TIMES PER DAY 2
3 TIMES PER DAY 3
4 OR MORE TIMES PER DAY 4
1 TO 3 TIMES DURING THE PAST 7 DAYS 5
4 TO 6 TIMES DURING THE PAST 7 DAYS 6
CHILD DID NOT DRINK ANY DURING THE
PAST 7 DAYS 7
REFUSED RF
DON'T KNOW DK
CH044
During the past 7 days, how many times did your child eat fresh fruit, such as apples, bananas, oranges, berries or other fruit such as applesauce, canned peaches, canned fruit cocktail, frozen berries, or dried fruit? Do not count fruit juice.
SHOW CARD CH-5
1 TIME PER DAY 1
2 TIMES PER DAY 2
3 TIMES PER DAY 3
4 OR MORE TIMES PER DAY 4
1 TO 3 TIMES DURING THE PAST 7 DAYS 5
4 TO 6 TIMES DURING THE PAST 7 DAYS 6
CHILD DID NOT EAT FRUIT DURING THE
PAST 7 DAYS 7
REFUSED RF
DON'T KNOW DK
CH045
During the past 7 days, how many times did your child eat vegetables other than French fries and other fried potatoes? Include vegetables like those served as a stir fry, soup, or stew, in your response.
SHOW CARD CH-6
1 TIME PER DAY 1
2 TIMES PER DAY 2
3 TIMES PER DAY 3
4 OR MORE TIMES PER DAY 4
1 TO 3 TIMES DURING THE PAST 7 DAYS 5
4 TO 6 TIMES DURING THE PAST 7 DAYS 6
CHILD DID NOT EAT VEGETABLES
DURING THE PAST 7 DAYS 7
REFUSED RF
DON’T KNOW DK
CH046
During the past 7 days, how many times did your child eat a meal or snack from a fast food restaurant with no wait service such as McDonald’s, Pizza Hut, Burger King, Kentucky Fried Chicken, Taco Bell, Wendy’s and so on? Consider both eating out, carry out, and delivery of meals in your response.
SHOW CARD CH-7
1 TIME PER DAY 1
2 TIMES PER DAY 2
3 TIMES PER DAY 3
4 OR MORE TIMES PER DAY 4
1 TO 3 TIMES DURING THE PAST 7 DAYS 5
4 TO 6 TIMES DURING THE PAST 7 DAYS 6
CHILD DID NOT EAT FOOD FROM A FAST FOOD
RESTAURANT DURING THE PAST 7 DAYS 7
REFUSED RF
DON'T KNOW DK
CH047
During the past 7 days, how many times did your child eat candy (including Fruit Roll-Ups and similar items), ice cream, cookies, cakes, brownies, or other sweets?
SHOW CARD CH-8
1 TIME PER DAY 1
2 TIMES PER DAY 2
3 TIMES PER DAY 3
4 OR MORE TIMES PER DAY 4
1 TO 3 TIMES DURING THE PAST 7 DAYS 5
4 TO 6 TIMES DURING THE PAST 7 DAYS 6
CHILD DID NOT EAT ANY SWEETS
DURING THE PAST 7 DAYS 7
REFUSED RF
DON'T KNOW DK
CH048
During the past 7 days, how many times did your child eat potato chips, corn chips such as Fritos or Doritos, Cheetos, pretzels, popcorn, crackers or other salty snack foods?
SHOW CARD CH-9
1 TIME PER DAY 1
2 TIMES PER DAY 2
3 TIMES PER DAY 3
4 OR MORE TIMES PER DAY 4
1 TO 3 TIMES DURING THE PAST 7 DAYS 5
4 TO 6 TIMES DURING THE PAST 7 DAYS 6
CHILD DID NOT EAT ANY SALTY SNACKS
DURING THE PAST 7 DAYS 7
REFUSED RF
DON'T KNOW DK
CH050a.
SPECDIET
Do you have your child on any special diet?
YES ……………………………………1
NO 2 (CH051)
REFUSED RF(CH051)
DON’T KNOW DK(CH051)
CH050b. What type of diet?
DIETTYPE
CODE ALL THAT APPLY.
LOW SATURATED FAT AND CHOLESTEROL 1
MILK PROTEIN FREE 2
LACTOSE FREE 3
GLUTEN RESTRICTED 4
PEANUT FREE 5
SHELLFISH FREE 6
EGG FREE 7
VEGETARIAN 8
REFUSED RF
DON’T KNOW DK
CH051. CH049 PreK VITAMINS |
During the past 12 months, did {CHILD/TWIN} take any vitamin or mineral supplements of any kind? |
YES ……………………………………1
NO 2
REFUSED RF
DON’T KNOW DK
CH055. |
Would you say {CHILD/TWIN}’s health is… |
Excellent, ……………………………………1
Very good, 2
Good, ……………………………………3
Fair, or 4
Poor? ……………………………………5
REFUSED RF
DON’T KNOW DK
CH057. |
Has {CHILD/TWIN} ever been to a dentist or dental hygienist for dental care? |
YES ……………………………………1
NO 2
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CH060. CHECKUPS |
Since {CHILD/TWIN} turned 5 years old, how many times has {CHILD/TWIN} gone for well-child checkups?
PROBE: These are visits to the doctor when {he/she} isn’t sick, but to get {him/her} checked over or to get vaccinations. |
Answer must be in range from 0 up to 2.
Interviewer may override range up to 4.
IF ‘0’ GO TO CH080.
|___|___|
NUMBER OF TMES
REFUSED RF
DON’T KNOW DK
CH065. PLACCARE |
What kind of place do you usually take {CHILD/TWIN} for checkups? |
CLINIC OR HEALTH CENTER 1
DOCTOR’S OFFICE OR HMO 2
HOSPITAL EMERGENCY ROOM 3
HOSPITAL OUTPATIENT DEPARTMENT 4
SOME OTHER PLACE 5
DOESN’T GO TO ONE PLACE MOST OFTEN 6
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CH080. ASTHMA RESPILL EARINFEC |
Since {CHILD/TWIN} turned 5 years old, has a doctor, nurse, or other medical professional told you that {CHILD/TWIN} has... |
Don’t
Yes No Refused Know
c. An ear infection?
CH125BX
IF CH080c = 1 (EAR INFECTION), GO TO CH125. ELSE, GO TO CH140.
CH125. TIMESEAR |
Since {CHILD/TWIN} turned 5 years old, how many times has a doctor, nurse, or other medical professional told you that {CHILD/TWIN} had an ear infection? |
Answer must be in range from 1 up to 4.
Interviewer may override range up to 24.
|___|___|
NUMBER OF TMES
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CH130. EARTRE |
How was {CHILD/TWIN}'s {most recent/first/second/third} ear infection {since {he/she} turned 5 years old} treated by your doctor, nurse, or other medical professional?
CODE ALL THAT APPLY. |
Ask for each of up to three ear infections—display “first” first time through, “second” second time through, “third” third time through, and “most recent” if CH125 response is “don’t know” or “refused.” If child only had one ear infection, use null display. Display “since {he/she} turned 5 years old” at all times except when displaying “most recent.”
NO TREATMENT/WATCH AND WAIT 1
DECONGESTANTS/ANTIHISTAMINES 2
ANTIBIOTICS 3
WITH EAR TUBES 4
ANALGESICS (E.G., FEVER REDUCER OR PAIN RELIEVER) 5
EAR DROPS 6
ENTER OTHER (Specify) [How was the ear infection treated?]_____________________) 91
REFUSED RF
DON’T KNOW DK
CH135. EARNOTRE |
Since {CHILD/TWIN} turned 5 years old, how many other times do you think {CHILD/TWIN} has had an ear infection or earache for which you did not seek medical treatment? |
NEVER 1
ONCE 2
TWICE 3
3-5 TIMES 4
6 OR MORE TIMES 5
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CH140. HADEARTUBES |
Since {CHILD/TWIN} turned 5 years old, has {CHILD/TWIN} had ear tubes inserted? |
YES, IN ONE EAR 1
YES, IN BOTH EARS 2
NO 3
REFUSED RF
DON’T KNOW DK
CH145BX
IF CH140 = 1 OR 2 (EAR TUBES), GO TO CH145. ELSE, GO TO CH173BX.
HELP AVAILABLE
CH145. |
Were ear tubes inserted because of… |
Fluid in the ears, 1
Ear infections, 2
Both, or 3
For another problem? 4
ENTER (Specify) [Why were ear tubes inserted?] ___________________________________
REFUSED RF
DON’T KNOW DK
CH173BX
ASK CH173 ONLY IF SE010 = 1 AND SE015 NE 1 AND SE030 NE 1 AND SE032 NE 1 (CHILD IS IN SCHOOL). ELSE GO TO CH175.
|
CH173.
MISSSCHL
Has {CHILD/TWIN} missed two or more weeks of school this year because of a health problem?
Y
ECLS-K teacher mod
NO 2
REFUSED RF
DON’T KNOW DK
CH175.
LIMITACT
Are {CHILD/TWIN}’s activities limited in any way because of a health problem?
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
CH177. RXDAILY |
Has {CHILD/TWIN} taken a prescription medicine every day for at least three months?
|
PROBE: For example, this might be due to continuous prescriptions for antibiotics for ear infections.
YES 1 (CH178)
NO 2 (CH181)
REFUSED RF (CH181)
DON’T KNOW DK (CH181)
CH178. |
Why does {CHILD/TWIN} have to take this medicine? Is it for…
|
ADHD (or attention deficit hyperactivity disorder), 1
Another behavioral problem (not ADHD), 2
Asthma, 3
Allergies, 4
Seizures, 5
To get more fluoride, or 6
For some other reason? 91
ENTER OTHER (Specify) [What is that other reason your child takes this medicine?]
___________________________________
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CH181. ECLS-KCH181 Pre-K attneval |
Now I have some questions about different disabilities your child might have. Since {CHILD/TWIN} turned 5 years old, has {CHILD/TWIN} been evaluated by a professional in response to {his/her} ability to pay attention or learn?
|
YES… …………………………1
NO 2 (CH183)
REFUSED RF (CH183)
DON’T KNOW DK (CH183)
CH182. CH182 Pre-K ECLS-K |
Did you obtain a diagnosis of a problem from a professional? |
YES… …………………………1
NO 2
REFUSED RF
DON’T KNOW DK
CH183. CH183 Pre-K ACTVEVAL |
Since {CHILD/TWIN} turned 5 years old, has {CHILD/TWIN} been evaluated by a professional in response to {his/her} overall activity level? |
YES… …………………………1
NO 2 (CH185)
REFUSED RF (CH185)
DON’T KNOW DK (CH185)
CH184. CH184 Pre-K ACTVDIAG |
Did you obtain a diagnosis of a problem from a professional? |
YES… …………………………1
NO 2
REFUSED RF
DON’T KNOW DK
CH185. CH185 Pre-K LIMBEVAL |
Since {CHILD/TWIN} turned 5 years old, has {CHILD/TWIN} been evaluated by a professional in response to the use of {his/her} limbs? |
YES… …………………………1
NO 2 (CH187)
REFUSED RF (CH187)
DON’T KNOW DK (CH187)
CH186. CH186 Pre-K ECLS-K |
Did you obtain a diagnosis of a problem from a professional? |
YES… …………………………1
NO 2
REFUSED RF
DON’T KNOW DK
CH187. CH187 pre-K COMMEVAL |
Since {CHILD/TWIN} turned 5 years old, has {CHILD/TWIN} been evaluated by a professional in response to {his/her} ability to communicate? |
YES… …………………………1
NO 2 (CH189)
REFUSED RF (CH189)
DON’T KNOW DK (CH189)
CH188. CH188 Pre-K ECLS-K |
Did you obtain a diagnosis of a problem from a professional? |
YES… ……………………………..1
NO 2
REFUSED RF
DON’T KNOW DK
CH189. CH189 Pre-K ECLS-K |
Does {CHILD/TWIN} have difficulty hearing and understanding speech in a normal conversation? |
YES… …………………………1
NO 2
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CH190. CH190 Pre-K HEAREVAL |
Since {CHILD/TWIN} turned 5 years old, have you had {CHILD/TWIN}’s hearing evaluated by a professional? |
YES… ……………………………..1
NO 2 (CH192)
REFUSED RF (CH192)
DON’T KNOW DK (CH192)
CH191. CH191 Pre-K ECLS-K |
Did you obtain a diagnosis of a problem from a professional? |
YES… ……………………………..1
NO 2
REFUSED RF
DON’T KNOW DK
CH192. CH192 Pre-K ECLS-K |
Now I want to ask you about {CHILD/TWIN}’s vision. Does {CHILD/TWIN} have difficulty seeing objects in the distance or letters on paper? |
YES… ……………………………..1
NO 2
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CH193. CH193 Pre-K VISNEVAL |
Since {CHILD/TWIN} turned 5 years old, has {CHILD/TWIN}’s vision been evaluated by a professional? |
YES… ……………………………..1
NO 2 (CH196BX)
REFUSED RF (CH196BX)
DON’T KNOW DK (CH196BX)
CH194. CH194 Pre-K ECLS-K |
Did you obtain a diagnosis of a problem from a professional? |
YES… ……………………………..1
NO 2
REFUSED RF
DON’T KNOW DK
PRG: CH195 MOVED TO CH242.
CH196BX IF ANY DISABILITY DIAGNOSED IN CH182, CH184, CH186, CH188, CH191, OR CH194, THEN ASK CH196. OTHERWISE, SKIP TO CH200. |
HELP AVAILABLE
CH196. CH195 Pre-K SPEDSVCS |
When a child with a disability or developmental delay receives special education and/or related services sponsored through your local education agency – that is, the school system – these services are initiated after a diagnosis of condition, or professional evaluation of the child, and development of an IEP, or an IFSP, which is discussed with and signed by the parent. Is {CHILD/TWIN} receiving special education services related to either an IEP, or an IFSP? |
YES… ……………………………..1
NO 2(CH200)
REFUSED RF(CH200)
DON’T KNOW DK(CH200)
CH197.
S
OSEP |
Where does {CHILD}/{TWIN} currently receive {his/her} special education services from?
CODE ALL THAT APPLY IN SCHOOL…………………………..1 CHILD CARE CENTER……………..2 AT HOME…………………………….3 IN A CLINICIAN’S OFFICE…………4 SOMEWHERE ELSE………………...5 Specify______________________91 REFUSED……………………………RF DON’T KNOW……………………….DK |
NEW-Zuckerman
CH198.
SPLEDHRS On average, how many hours per week does {CHILD/TWIN} now receive special education services?
|__|__|
ENTER NUMBER OF HOURS PER WEEK.
DON’T KNOW…………………………………….DK
REFUSED…………………………………………RF
HELP AVAILABLE
CH200. CH200 Pre-K Mod for K- Zuckerman, Arcia MOBILITY, DEVDLAY, EPILEPSY, HEARTDEF, MENTAL, AUTISM, OPPDEF, ADHD, DIABETES ANEMIA, BLOODDIS, URINTRCT, ALLERGY, LACTOSE, OTHALRGY, FOODALG, SKINCOND, OTHRMED |
READ FIRST TIME AND AS NECESSARY: Since {CHILD/TWIN} turned 5 years old, has a doctor ever told you that {CHILD/TWIN} has the following conditions? Does {he/she} have… |
Don't
Yes No Refused Know
a. A problem with mobility such as cerebral palsy?
b. Another developmental delay?
c. Epilepsy or seizures?
d. A heart defect?
e. Mental retardation?
f. Autism or PDD?
g. Oppositional Defiant disorder?
h. ADHD?
i. Diabetes?
j. Anemia?……………………………………………
k. A blood disease?
l. A urinary tract infection?
m. Allergies?
n. A lactose intolerance?
o. Other food allergy or sensitivity such as to peanuts?
p. Problem with non-food allergies, such as to dust, animals, or medicine?
q. A skin condition?
r. Another chronic medical problem?
Specify___________________________________
New ordering for question - Old lettering updated above: Reference to old lettering a, b, c, d, e, h, i, j, l, m, n, o, p, f, g, k, q, r.
CH205BX
IF CH191=1 (HEARING PROBLEM), ASK CH205.
ELSE, GO TO CH210.
CH205. CH205 Pre-K |
Is {CHILD/TWIN}’s hearing loss in the right ear, the left ear, or both?
|
RIGHT EAR 1
LEFT EAR 2
BOTH 3
HEARING LOSS HAS BEEN CORRECTED 4
REFUSED RF
DON’T KNOW DK
CH210. CH210 Pre-K |
Does {CHILD/TWIN} have any impairment or health problem that requires {him/her} to use special equipment, such as a brace, a wheelchair, or corrective shoes? Do not include ordinary eyeglasses.
|
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
C
OSEP |
Does {CHILD/TWIN} use a hearing aid?
|
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
CH211PREBX IF CH194=1 (SIGHT
PROBLEM), ASK CH211. ELSE GO TO CH213.
C
ECLS-K
EYESGHT
Is {CHILD/TWIN}’s eyesight….
Correctable with glasses, ……………………….1
Improvable with glasses, or……………………..2
Not correctable with glasses?…………………..3
REFUSED……………………………………… RF
DON’T KNOW……………………………………DK
CH212. CH215 Pre-K |
Does {CHILD/TWIN} wear glasses? |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
CH213. Has {CHILD/TWIN} ever had a problem with stuttering?
S
NIH/NIDCD
YES 1
NO 2 (CH220BX)
REFUSED RF (CH220BX)
DON’T KNOW DK (CH220BX)
CH214a. In years and months, at what age did the stuttering begin?
STUTTBEG
ENTER YEARS (range 0-7) AND MONTHS (range 0-11)
NIH/NIDCD
REFUSED RF
DON’T KNOW DK
CH214b. In years and months, when did the stuttering stop?
STUTTEND
NIH/NIDCD
ENTER YEARS (range 0-7) AND MONTHS (range 0-11).
HAS NOT STOPPED 95
REFUSED RF
DON’T KNOW DK
CH220BX
IF (THE FOLLOWING VARIABLES IN CH200) MOBILITY, DEVDLAY, EPILEPSY, HEARTDEF, MENTAL, AUTISM, OPPDEF, ADHD, DIABETES, BLOODDIS, OTHRMED= 1 OR CH210=1, ASK CH220.
ELSE, GO TO CH242BX.
Ask only if any disability has been diagnosed.
HELP AVAILABLE
CH220. CH220 Pre-K SPEECHTH OCCUPTH PHYSTH VISNSRV HEARSRV SOCWKSRV PSYCHSRV HOMEVIS PRNTSUP SPECCLAS TUTOR BRAILLE SIGNLANG |
I’m going to read a list of services. For each service, please tell me if {CHILD/TWIN} or your family has received this service to help with {CHILD/TWIN}’s special needs. Since {CHILD/TWIN} turned 5 years old, has anyone in your household ever received…
|
Don't
Yes No Refused Know
a. Speech or language therapy?
b. Occupational therapy
c. Physical therapy?
d. Vision services?
e. Hearing/audiological services?
PROBE: This does not include a temporary loss of hearing due to a cold or congestion.
f. Social work services?
g. Psychological services?
h. Home visits?
i. Parent support or training?
j. Special classes with other children, some or all or whom also had special needs?
k. Private tutoring or schooling for learning problems?
l. {Ask only if CH194 = 1 (SIGHT PROBLEM)} Instruction in braille?
m. {Ask only if CH191 = 1 (HEARING PROBLEM)}
Instruction
in sign language, cued speech, ASL,
or TOCO?
CH225BX IF ANY OF CH220a-m = 1 (CHILD/TWIN RECEIVES SERVICES), GO TO CH235. ELSE, GO TO CH242BX. |
HELP AVAILABLE
CH235. |
About how many {total} hours of service{s} per month are now received {for all services}?
|
Answer must be in range from 1 up to 80.
|___|___|
NUMBER OF HOURS
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
CH236. LCSCHSRV HLTHAGCY HLTHPROV SRVOTH |
Is {CHILD/TWIN} currently participating in an early intervention program or regularly receiving any services for {his/her} condition{s} from…
Don’t a. Your local school district? b. A state or local health or social service agency? c. A doctor, clinic, or other health care provider? d. Some other source? ENTER OTHER (Specify) [What is that other source of early intervention services for your child?] _____________________________) |
CH242BX IF
ANY OF CH220a-m [SPEECHTH, OCCUPTH, PHYSTH, VISNSRV, HEARSRV,
SOCWKSRV, PSYCHSRV, HOMEVIS, PRNTSUP, SPECCLAS, TUTOR, BRAILLE,
SIGNLANG] = 1 (CHILD RECEIVES SERVICES), GO TO CH342BX. ELSE, GO TO
CH242 [EVALSPND].
CH242. CH300 Pre-K EVALSPND |
Since {CHILD/TWIN} turned 5 years old, has anyone suggested that you get {CHILD/TWIN} evaluated for a possible special condition or need?
HELP SCREEN TEXT: This includes special conditions related to learning, paying attention, speaking, and understanding. |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
CH342BX
IF TWIN IN HOUSEHOLD AND NOT YET ASKED ABOUT, RETURN TO SECTION SE.
Go to Section 9- FH
Section 9-FH: FAMILY HEALTH
FH010. |
Now I have some questions about your health. In general, would you say that your health is…
|
Excellent, 1
Very good, 2
Good, 3
Fair, or 4
Poor? 5
REFUSED RF
DON’T KNOW DK
FH080. DISCPROB |
In the past 12 months, have you talked with a psychiatrist, psychologist, doctor, or counselor for any emotional or psychological problem?
|
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
FH090. FH281 Pre-K MDAYSEXER |
In a typical week, on how many days do you get exercise that causes rapid breathing and a fast heartbeat for 30 continuous minutes or more?
|
Answer must be in range from 0 up to 7.
|__|__|
ENTER NUMBER OF DAYS PER WEEK.
REFUSED RF
DON’T KNOW DK
FH100. MOMSBW |
Now I have some questions about when you were born. When you were born, did you weigh more than 5 ½ pounds?
|
YES 1 Go To FH110
NO 2
REFUSED RF Go to FH110
DON’T KNOW DK Go to FH110
FH105. |
Did you weigh more than 3 pounds? |
MOM3LBS
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
FH110. |
Were you born more than 3 weeks before you were due? (Probe if necessary: Were you born at less than 37 weeks gestation?
|
MOMPRIMI
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
FH115 . |
Are you a twin, triplet, or child born as part of a multiple birth? |
MOMTWIN
NO 1
YES, A TWIN 2
YES, A TRIPLET…………………………………………….….3
YES, HIGHER ORDER MULTIPLE BIRTH (4 OR MORE)…4
REFUSED RF
DON’T KNOW DK
GO TO SECTION 10-MH.
Section 10-MH: MARRIAGES AND PARTNER RELATIONSHIPS
MH002PRE Next are a few questions about your marital history.
PRESS “1” AND THEN ENTER TO CONTINUE.
MH003BX
IF SAME RESPONDENT AS K ’06 AND IF K ‘06 MH005=1 (MARRIED), 2 (SEPARATED), 3 (DIVORCED), OR 5 (NEVER MARRIED), GO TO MH004.
ELSE GO TO MH005.
MH004. MSSAME |
During our last interview about a year ago, you said that you {were married/were separated/were divorced/ had never been married}. Is this information still correct? |
YES 1 (MH017BX)
NO 2
REFUSED RF (MH017BX)
DON’T KNOW DK
MH005. |
Are you now… |
Married, 1
Separated, 2
Divorced, 3
Widowed, or 4
Have you never been married? 5
REFUSED RF
DON’T KNOW DK
MH017BX
IF RESPONDENT IS THE CHILD'S BIOLOGICAL MOTHER (AS FLAGGED IN SECTION IN) AND THE BIOLOGICAL FATHER IS NOT CURRENTLY LIVING IN HOUSEHOLD (AND HE WAS NOT DEAD AT THE TIME OF THE K ‘06 interview):
IF FS010 = 3, 4, or 5 (DAD IS NOT IN HH BECAUSE OF SCHOOL OR WORK), AUTOCODE MH018 = 1, AND GO TO MH022.
IF FS010 = 1, 2, 7, or 91 (DAD IS NOT IN HH BECAUSE OF DIVORCE, JAIL, OR OTHER), GO TO MH018.
IF FS010 = 6 (DAD DECEASED), AUTOCODE MH018 = 2, AND GO TO SECTION ri.
ELSE IF RESPONDENT IS BIOLOGICAL MOTHER AND BIOLOGICAL FATHER LIVES IN HH, AUTOCODE MH018=1 AND GO TO MH020bx.
ELSE, GO TO SECTION RI.
MH018. |
Is {CHILD}’s {and {TWIN}’s} biological father still living? |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
MH020BX
If MH018 =1 AND (MARRIED AT k ‘06 OR MH005 =1), GO TO MH022.
ELSE IF MH018= 2 AND ((MARRIED AT k ‘06 OR MH005 =1), AUTOCODE MH022 =2 AND GO TO SECTION RI.
ELSE GO TO SECTION RI.
MH022. Are you now married to {CHILD’s {and TWIN’S}} biological father?
MARDAD
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
GO TO SECTION 11-RI.
Section 11-RI: RESPONDENT INFORMATION
RI001PRE. The next questions are about you and your background.
RI010BX
IF RI010 (RESPBORN) AT K ‘06 ^= 1, 2, OR 3 OR IF K’06 RESPONDENT IS NOT THE SAME AS k’07 RESPONDENT, GO TO RI010.
ELSE GO TO RI015BX.
RI010. |
In what country were you born? |
UNITED STATES (50 STATES OR DC) 1 (RI025BX)
U.S. TERRITORIES: PUERTO RICO, GUAM, AMERICAN SAMOA, U.S. VIRGIN ISLANDS, MARIANA ISLANDS, OR SOLOMON ISLANDS 2 (RI015)
ENTER OTHER (SPECIFY) [Where were you born?] _____________
SOME OTHER COUNTRY 3 (RI015)
ENTER OTHER (SPECIFY) [What country were you born in?]
REFUSED RF (RI015)
DON'T KNOW DK (RI015)
RI015BX
IF RESPONDENT SAME AS K’06 RESPONDENT AND RI015 (RAGETOUS) AT K ’06 ne 1 OR MISSING, GO TO RI015
ELSE GO TO RI017BX.
RI015. |
How old were you when you first moved to the {United States/50 states or the District of Columbia}?
DISPLAY “United States” IF RI010 = 3, RF, or DK. DISPLAY “50 states or the District of Columbia” IF RI=2.
ENTER '0' IF LESS THAN 1 YEAR OLD.
Answer must be in range from 0 up to 100. |
|___|___|
AGE
REFUSED RF
DON’T KNOW DK
RI017BX
IF RESPONDENT IS THE SAME AS THE K’06 RESPONDENT AND RI020 (RESPCITZ) AT K ‘06 = 1 OR 2, GO TO RI025BX.
ELSE IF (RESPONDENT IS THE SAME AS THE PK RESPONDENT AND RESPBORN RI010 (RESPBORN) AT K’06 = 3) OR RI010=3, DK, OR RF, GO TO RI020.
ELSE, GO TO RI025BX.
Ask RI020 only if respondent was non-citizen at K‘06:
RI020. |
Are you a citizen of the United States? |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
RI025bx
ask ri025 if respondent IS DIFFERENT FROM K ‘06 RESPONDENT, or if ri025 is missing at 24-MONTH, PK, AND K ‘06.
ELSE, GO TO ri045.
RI025. |
What is your primary language? |
[PROBE: What language do you speak the most?]
ENGLISH 1
SPANISH 2
ENGLISH AND SPANISH EQUALLY 3
OTHER 4
ENTER OTHER (SPECIFY) [What is your primary language?]_______________
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
RI045. |
{Now I have a few questions about your current education, employment, and job training.}
What is the highest grade or year of school that you have completed?
Display Instructions: Display fill only when RI010 or RI015 or RI020 is asked. |
NO FORMAL SCHOOLING 0 (RI070)
1ST GRADE 1
2ND GRADE 2
3RD GRADE 3
4TH GRADE 4
5TH GRADE 5
6TH GRADE 6
7TH GRADE 7
8TH GRADE 8
9TH GRADE 9
10TH GRADE 10
11TH GRADE 11
12TH GRADE BUT NO DIPLOMA 12
HIGH SCHOOL DIPLOMA/EQIVALENT 13 (RI047)
VOC/TECH PROGRAM AFTER HIGH SCHOOL BUT NO VOC/TECH DIPLOMA 14
VOC/TECH DIPLOMA AFTER HIGH SCHOOL 15
SOME COLLEGE BUT NO DEGREE 16
ASSOCIATE'S DEGREE 17 (RI070)
BACHELOR'S DEGREE 18 (RI070)
GRADUATE OR PROFESSIONAL SCHOOL BUT NO DEGREE 19 (RI070)
MASTER'S DEGREE (MA, MS) 20 (RI070)
DOCTORATE DEGREE (PHD, EDD) 21 (RI070)
PROFESSIONAL DEGREE AFTER BACHELOR'S DEGREE (MD, DDS, JD, LLB, ETC.) 22 (RI070)
REFUSED RF (RI070)
DON’T KNOW DK (RI070)
HELP AVAILABLE
RI046. |
Do you have a high school diploma or its equivalent, such as a GED? |
YES 1
NO 2 (RI070)
REFUSED RF (RI070)
DON’T KNOW DK (RI070)
RI047. |
Which do you have, a high school diploma or a GED? |
HIGH SCHOOL DIPLOMA 1
GED 2
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
RI070. |
During the past week, did you work at a job or business for pay?
IF respondent is self-employed, code as yes (1). IF RESPONDENT IS RETIRED OR UNABLE TO WORK, CODE AS NO (2). |
YES 1 (RI105)
NO 2
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
RI075. |
Were you on leave or vacation from a job or business? |
YES 1
NO 2 (RI160)
REFUSED RF (RI160)
DON’T KNOW DK (RI160)
RI105. |
How many jobs do you have now? |
Answer must be in range from 1 up to 9.
Interviewer may override range UP TO 20.
|___|
NUMBER OF JOBS
REFUSED RF
DON’T KNOW DK
RI110. |
About how many total hours per week do you usually work for pay (counting all jobs)?
Display “counting all jobs” only if RI105 does not equal 1. IF HOURS VARY, PROBE FOR AVERAGE HOURS PER WEEK. |
Answer must be in range from 0 up to 60.
Interviewer may override range up to 99.
|___|___|
NUMBER OF WEEKLY HOURS
REFUSED RF
DON’T KNOW DK
RI115. |
{Counting all jobs about/About} how much do you earn before taxes and other deductions? |
Display “counting all jobs” only if RI105 does not equal 1. Else display “About”.
Answer must be in range from .01 up to 999999.99.
$|__|__|__| , |__|__|__| . |__|__|
AMOUNT
REFUSED RF
DON’T KNOW DK
|__|__|
UNITS
PER HOUR 1
PER DAY 2
PER WEEK 3
PER BI-WEEKLY (EVERY 2 WEEKS) 4
PER MONTH 5
PER YEAR 6
OTHER 91
ENTER OTHER (SPECIFY) [What is the unit for
earnings?]_______________
RI125. |
Which of the following best describes the hours you usually work {at your main job}? |
DISPLAY “at your main job” only if RI105 does not equal 1.
SHOW CARD RI-1
A regular daytime shift - any time between 6 A.M. and 6 P.M., 1
A regular evening shift - any time between 2 P.M. and Midnight 2
A regular night shift - any time between 9 P.M. and 8 A.M., 3
A rotating shift – one that changes periodically from days to
evenings or nights, 4
A split shift – one consisting of two distinct periods each day, or 5
Some other schedule? 91
(SPECIFY)
REFUSED RF
DON’T KNOW DK
RI135. |
For whom do you work? |
PROBE FOR: name of the company, business, organization, or other employer. If more than one current job, ask about the one at which the PERSON spends the most time.
NAME OF COMPANY ______________________________________________
REFUSED RF
DON’T KNOW DK
RI140. |
What kind of business or industry is this? |
PROBE: What do they make or do? For example, TV and radio manufacturing, retail shoe store, state labor department, farming.
TYPE OF INDUSTRY _________________________________________________
REFUSED RF
DON’T KNOW DK
RI150. |
What kind of work are you now doing? |
PROBE: What is your job called? For example, electrical engineer, stock clerk, typist, farmer.
JOB TITLE ____________________________________________________
REFUSED RF
DON’T KNOW DK
RI155. |
What are your most important activities or duties at this job? What do you actually do at this job?
|
PROBE: For example, typing, keeping account books, filing, selling cars, operating a printing press, finishing concrete.
IMPORTANT DUTIES __________________________________________________
REFUSED RF
DON’T KNOW DK
GO TO SECTION SI.
RI160. |
Have you been actively looking for work in the past 4 weeks? |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
RI170. |
What were you doing most of last week? Would you say… |
Keeping house or caring for children, 1
Going to school, 2
Retired, 3
Unable to work, or 4
Something else? 91
(SPECIFY)
REFUSED RF
DON’T KNOW DK
RI175. |
Could you have taken a job last week if one had been offered? |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
GO TO SECTION 12-SI
Section 12-SI: SPOUSE/PARTNER INFORMATION
SI005PREBX
IF FS037 = 1 (SPOUSE OR PARTNER IN HH), GO TO SI005PRE.
OTHERWISE GO TO SECTION WP.
SI005PRE Now I have a few questions about {NAME}’s current education, employment, and job training.
{NAME} = spouse or partner’s name from section FS. If unknown, use “your spouse or partner.”
HELP AVAILABLE
SI015. |
What is the highest grade or year of school that {NAME} has completed? |
NO FORMAL SCHOOLING 0 (SI040)
1ST GRADE 1
2ND GRADE 2
3RD GRADE 3
4TH GRADE 4
5TH GRADE 5
6TH GRADE 6
7TH GRADE 7
8TH GRADE 8
9TH GRADE 9
10TH GRADE 10
11TH GRADE 11
12TH GRADE BUT NO DIPLOMA 12
HIGH SCHOOL DIPLOMA/EQUIVALENT 13 (SI017)
VOC/TECH PROGRAM AFTER HIGH SCHOOL
BUT NO VOC/TECH DIPLOMA 14
VOC/TECH DIPLOMA AFTER HIGH SCHOOL 15
SOME COLLEGE BUT NO DEGREE 16
ASSOCIATE'S DEGREE 17 (SI040)
BACHELOR'S DEGREE 18 (SI040)
GRADUATE OR PROFESSIONAL SCHOOL BUT NO DEGREE
19 (SI040)
MASTER'S DEGREE (MA, MS) 20 (SI040)
DOCTORATE DEGREE (PHD, EDD) 21 (SI040)
PROFESSIONAL DEGREE AFTER BACHELOR'S DEGREE
(MD, DDS, JD,
LLB, ETC.) 22 (SI040)
REFUSED RF (SI040)
DON’T KNOW DK (SI040)
If above information is the same as in the K ‘06 interview, skip to SI020.
HELP AVAILABLE
SI016. |
Does {he/she} have a high school diploma or its equivalent, such as a GED? |
YES 1
NO 2 (SI040)
REFUSED RF (SI040)
DON’T KNOW DK (SI040)
SI017. |
Which does {he/she} have, a high school diploma or a GED? |
HIGH SCHOOL DIPLOMA 1
GED 2
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
SI040. |
During the past week, did {NAME} work at a job or business for pay?
[IF SPOUSE/PARtNER is self-employed, code as yes (1). if spouse/partner is retired or unable to work, code as no (2).] |
YES 1 (SI050)
NO 2
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
SI045. |
Was {he/she} on leave or vacation from a job or business? |
YES 1
NO 2 (SI110)
REFUSED RF (SI110)
DON’T KNOW DK (SI110)
SI050. |
How many jobs does {NAME} have now? |
Answer must be in range from 0 up to 9.
Interviewer may override range up to 20.
|___|
NUMBER OF JOBS
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
SI055. |
About how many total hours per week does {he/she} usually work for pay {counting all jobs}?
[IF HOURS VARY, PROBE FOR AVERAGE HOURS PER WEEK.] |
Answer must be in range from 0 up to 60.
Interviewer may override range up to 99.
|___|___|
ENTER WEEKLY HOURS
REFUSED RF
DON’T KNOW DK
SI056. |
{Counting all jobs about/About} how much does {NAME} earn before taxes and other deductions? |
Answer must be in range from .01 up to 999999.99.
$|__|__|__| , |__|__|__| . |__|__|
ENTER DOLLAR AMOUNT
REFUSED (SI060)
DON’T KNOW (SI060)
SI057. |
|__|__|
ENTER UNIT
PER HOUR 1
PER DAY 2
PER WEEK 3
PER BI-WEEKLY (EVERY 2 WEEKS) 4
PER MONTH 5
PER YEAR 6
OTHER 91
ENTER OTHER (SPECIFY) [What is the unit of pay?]
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
SI060. |
Which of the following best describes the hours {NAME} usually works {at {his/her} main job}?
SHOW CARD SI-1
|
A regular daytime shift—any time between 6 A.M. and 6 P.M., 1
A regular evening shift—any time between 2 P.M. and Midnight 2
A regular night shift—any time around 9 P.M. and 8 A.M., 3
A rotating shift—one that changes periodically from days to evenings or nights, 4
A split shift—one consisting of two distinct periods each day, or 5
Some other schedule 91
ENTER OTHER (SPECIFY) [What are the hours {he/she} usually works?]
REFUSED RF
DON’T KNOW DK
SI075. |
For whom does {NAME} work? |
PROBE FOR: name of the company, business, organization, or other employer. If more than one current job, ask about the one at which the SPOUSE/PARTNER spends the most time.
NAME OF COMPANY ______________________________________________
REFUSED RF
DON’T KNOW DK
SI080. |
What kind of business or industry is this?
|
PROBE: What do they make or do? For example, TV and radio manufacturing, retail shoe store, state labor department, farming.
TYPE OF INDUSTRY ______________________________________________
REFUSED RF
DON’T KNOW DK
SI090. |
What kind of work is {he/she} now doing?
|
PROBE: For example, electrical engineer, stock clerk, typist, farmer.
JOB TITLE _____________________________________________________
REFUSED RF
DON’T KNOW DK
SI095. |
What are {his/her} most important activities or duties at this job? What does {he/she} actually do at this job? |
PROBE: For example, typing, keeping account books, filing, selling cars, operating a printing press, finishing concrete.
IMPORTANT DUTIES ______________________________________________
REFUSED RF
DON’T KNOW DK
-
SI90BX
GO TO SECTION WP.
HELP AVAILABLE
SI110. |
Has {NAME} been actively looking for work in the past 4 weeks? |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
SI121. |
What was {he/she} doing most of last week? Would you say… |
Keeping house or caring for children, 1
Going to school, 2
Retired, 3
Unable to work, or 4
Something else? 91
ENTER OTHER (SPECIFY) [What was {he/she}
doing most of last week?] __________________________
REFUSED RF
DON’T KNOW DK
SI126. |
Could {he/she} have taken a job last week if one had been offered?
|
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
DELETE SI150 RFSAQ & SI151 ENGORSPAN
GO TO SECTION WP.
Section 13-WP: WELFARE AND OTHER PUBLIC ASSISTANCE
HELP AVAILABLE
WP010. |
Now, I have a few questions about government benefits you may receive. At any time since {CHILD} {and {TWIN}} turned 5 years old, have you {or anyone else in your household} received... a. Food Stamps? b. TANF {or {STATE NAME FOR TANF} or welfare? c. Medicaid benefits? DISPLAY INSTRUCTIONS: Display state name for TANF, if available.
|
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
WP012BX IF WP010a = 1 (RECEIVED FOOD STAMPS), GO TO WP015. ELSE, GO TO WP017BX. |
WP015. |
For how many months since {CHILD} {and {TWIN}} turned 5 years old, did you {or any member of your household} receive Food Stamps?
|
Answer must be in range from 0 up to 36.
|___|___|
NUMBER OF MONTHS
REFUSED RF
DON’T KNOW DK
WP017BX IF WP010b = 1 (RECEIVED TANF), GO TO WP019. ELSE, GO TO WP021BX. |
WP019. |
For how many months since {CHILD} {and {TWIN}} turned 5 years old, did you {or any member of your household} receive TANF {or {STATE NAME FOR TANF}} or welfare?
|
Answer must be in range from 0 up to 36.
|___|___|
NUMBER OF MONTHS
IF LESS THAN 1, ENTER ‘0’.
REFUSED RF
DON’T KNOW DK
WP021BX IF WP010c = 1 (RECEIVED MEDICAID), GO TO WP023. ELSE, GO TO WP047BX. |
WP023. |
For how many months since {CHILD} {and {TWIN}} turned 5 years old, did you {or any member of your household} receive Medicaid benefits?
|
Answer must be in range from 0 up to 36.
|___|___|
NUMBER OF MONTHS
IF LESS THAN 1, ENTER ‘0’.
REFUSED RF
DON’T KNOW DK
WP047BX IF WP047 AT K’06 = 3 (DK) OR 4 (RF) OR MISSING, GO TO WP047. ELSE, GO TO WP059BX. |
WP047. Children cannot participate in WIC once they reach their 5th birthday. Did {CHILD}{or {TWIN}} participate in WIC up to {his/her/their} 5th birthday?
YES ……………1
NO ……………..2
REFUSED …….RF
DON’T KNOW . DK
WP059BX
IF NO TWIN IN HOUSEHOLD AND THE NUMBER OF CHILDREN AGE 5 OR YOUNGER IN HOUSEHOLD IS >= 2, GO TO WP060.
ELSE IF TWIN IN HOUSEHOLD AND THE NUMBER OF CHILDREN AGE 5 OR YOUNGER IN HOUSEHOLD IS >= 3, GO TO WP060.
ELSE IF CHILD AGE IS GREATER THAN 5 AND THE NUMBER OF CHILDREN AGE 5 OR YOUNGER IN HOUSEHOLD IS >= 1, GO TO WP060.
ELSE, GO TO WP060BX.
|
WP060. |
In the last 30 days, did you use WIC vouchers to buy food for any other child in your household? |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
WP060BX
If CHILD is IN KINDERGARTEN (SE030 = 2 OR SE032 = 2) and not homeschooled (SE015 ne 1), go to wp065.
ELSE, GO to wp075.
WP065. Does {CHILD/TWIN}’s school offer lunch for {CHILD}’s kindergarten class?
USDA
YES……………………………..1
NO………………………………2 (WP070BX)
DON’T KNOW………………….DK (WP070BX)
REFUSED ……………………..REF (WP070BX)
WP066. Does {CHILD/TWIN} usually receive a complete lunch offered at school?
P
ECLS-K
YES 1
NO 2 (WP070BX)
REFUSED RF (WP070BX)
DON’T KNOW………………………………………DK (WP070BX)
W
ECLS-K
YES 1
NO 2 (WP069)
REFUSED RF (WP069)
DON’T KNOW………………………………....….............…DK (WP069)
W
ECLS-K
FREE……………………………………………….1
REDUCED PRICE………................................2
REFUSED RF
DON’T KNOW……………………………………DK
W
ECLS-K
LNCHRCVD During the last five days {CHILD/TWIN} was in school, how many complete school lunches did {he/she} receive?
Answer must be in range of 0 to 5.
|__| ENTER NUMBER OF LUNCHES
REFUSED RF
DON’T KNOW……………………………………DK
W
USDA
YES……………………………..1
NO………………………………2 (WP072BX)
DON’T KNOW…………………DK (WP072BX)
REFUSED ……………………..RF (WP072BX)
WP071. Does {CHILD/TWIN} usually receive a breakfast provided by the school?
ECLS-K
YES 1
NO 2 (WP072BX)
REFUSED RF (WP072BX)
DON’T KNOW……………………………………………......DK (WP072BX)
WP072.
BFSTRCVD During the last five days {CHILD/TWIN} was in school, how many school breakfasts did {he/she} receive?
Answer must be in range of 0 to 5.
ECLS-K
|__| ENTER NUMBER OF BREAKFASTS
DON’T KNOW…………………DK
REFUSED ……………………..RF
WP072BX
IF CHILD AND TWIN, RETURN TO WP065 ONCE FOR TWIN WAVE 2 QUESTIONS,
ELSE GO TO WP075.
WP075. WP070 Pre-K |
READ FIRST TIME AND AS NECESSARY: Since {CHILD} {and {TWIN}} turned 5 years old, have you (or any member of your household) received any of the following other sources of household income or support?
|
Don't
Yes No Refused Know
a. Unemployment Insurance
b. Child support
c. SSI or SSDI
d. Social Security Retirement or Survivor’s benefits
e. Loan repayments – for example, from friends, relatives, and so forth
f. Payments for providing foster care
g. Money given to the family
h. Another source of income not from a job?
Specify__________________
GO TO SECTION HI.
Section 14-HI: HOUSEHOLD INCOME AND ASSETS
HI005. |
Now I have a few questions about your household.
Including yourself, how many adults contribute to your household income? |
Answer must be in range from 1 up to 50.
|___|___|
NUMBER OF ADULTS
REFUSED RF
DON’T KNOW DK
HELP AVAILABLE
HI010. |
In studies like this, households are sometimes grouped according to income. What was the total income of all persons in your household over the past year, including salaries or other earnings, interest, retirement, and so on for all household members?
Was it... |
$25,000 or less, or 1
More than $25,000? 2
REFUSED RF (SECTION NQ)
DON’T KNOW DK (SECTION NQ)
DISPLAY INSTRUCTIONS:
If HI010=1 ($25,000 or less), display response codes 1-5 ($5,000 or less - $20,001 to 25,000);
Else if HI010=2 (More than $25,000), display response codes 6-13 ($25,001 to $30,000 to $200,001 or more).
HI015. |
Was it . . . |
$5,000 or less, 1
$5,001 to $10,000, 2
$10,001 to $15,000, 3
$15,001 to $20,000, or 4
$20,001 to $25,000? 5
$25,001 to $30,000, 6
$30,001 to $35,000, 7
$35,001 to $40,000, 8
$40,001 to $50,000, 9
$50,001 to $75,000, 10
$75,001 to $100,000, 11
$100,001 to $200,000, or 12
$200,001 or more? 13
REFUSED RF (SECTION NQ)
DON’T KNOW DK (SECTION NQ)
PROBE: Total income means gross income - that is, income before taxes are taken out.
Hi017BX IF FAMILY INCOME (HI015) IS BELOW 200% OF THE POVERTY THRESHOLD (PER CENSUS), BASED ON INCOME AND FAMILY SIZE, GO TO HI020. (NOTE: ECLS AND CENSUS INCOME CATEGORIES DO NOT MATCH UP PERFECTLY). IF (# OF HOUSEHOLD MEMBERS = 2 AND HI015 < = 6) OR (# OF HOUSEHOLD MEMBERS = 3 AND HI015 < = 7) OR (# OF HOUSEHOLD MEMBERS = 4 AND HI015 < = 8) OR (# OF HOUSEHOLD MEMBERS = 5 AND HI015 < = 9) OR (# OF HOUSEHOLD MEMBERS = 6 AND HI015 < = 10) OR (# OF HOUSEHOLD MEMBERS = 7 AND HI015 < = 10) OR (# OF HOUSEHOLD MEMBERS = 8 AND HI015 < = 10) OR (# OF HOUSEHOLD MEMBERS > = 9 AND HI015 < = 11) or hi015=dk or rf, go to hI020. ELSE, GO TO SECTION NQ.
|
HI020. |
What was your total household income last year, to the nearest thousand? |
ENTER TOTAL INCOME.
Probe: Total income means gross income - that is, income before taxes are taken out."
Answer must be in range from 1 up to 80000.
$|__|__|,|__|__|__|
TOTAL INCOME
REFUSED RF
DON’T KNOW DK
GO TO SECTION NQ.
Section 15-NQ: NEIGHBORHOOD QUALITY/SAFETY
NQ005. |
These next questions are about your home and neighborhood. Have you moved since {CHILD}{and {TWIN}} {was/were} about five years old?
|
YES 1
NO 2 (Section HF)
REFUSED RF (Section HF)
DON’T KNOW DK (Section HF)
NQ018. |
Do you consider your neighborhood very safe from crime, fairly safe, fairly unsafe, or very unsafe?
|
SHOW CARD NQ-1
VERY SAFE 1
FAIRLY SAFE 2
FAIRLY UNSAFE 3
VERY UNSAFE 4
REFUSED RF
DON’T KNOW DK
GO TO SECTION HF
Section 16-HF: HOUSEHOLD FOOD SUFFICIENCY
HF020 BX
IF
(# OF HOUSEHOLD MEMBERS = 2 AND HI015 <= 6) OR
(# OF
HOUSEHOLD MEMBERS = 3 AND HI015 <= 7) OR
(# OF HOUSEHOLD
MEMBERS = 4 AND HI015 <= 8) OR
(# OF HOUSEHOLD MEMBERS = 5
AND HI015 <= 9) OR
(# OF HOUSEHOLD MEMBERS = 6 AND HI015 <=
10) OR
(# OF HOUSEHOLD MEMBERS = 7 AND HI015 <= 10) OR
(#
OF HOUSEHOLD MEMBERS = 8 AND HI015 <= 10) OR
(# OF HOUSEHOLD
MEMBERS >= 9 AND HI015 <= 11)
OR HI015 = DK OR RF, GO TO HF020.
ELSE, GO TO PARENT ACASI INTERVIEW
HF020. FOODRUN FOODLAST AFFORDBA LOWCOST BAAFFORD |
These next questions are about the food eaten in your household and whether you were able to afford the food you need.
I am going to read you several statements that people have made about their food situation. For these statements, please tell me whether the statement was often true, sometimes true, or never true for {you/your household} since {CHILD}{and {TWIN}} turned 5 years old.
[Was that often true, sometimes true, or never true for your household since {CHILD}{and {TWIN}} turned 5 years old?] |
DISPLAY INSTRUCTIONS:
Display “we”, “our”, and “your household” if there is a household member, besides the respondent, who is 18 years of age or older. Else display “I”, “my”, and “you”.
SHOW CARD HF-1
Some-
Often times Never Don't
True True True Refused Know
a. {I/we} worried whether {my/our} food would run out before {I/we} got money to buy more.
b. The food that {I/we} bought just didn't last, and {I/we} didn't have money to get more.
c. {I/We} couldn't afford to eat balanced meals.
d. {I/We} relied on only a few kinds of low-cost food to feed {{CHILD}/the children} because {I was/we were} running out of money to buy food
e. {I/We} couldn't feed {{CHILD}/the children} a balanced meal because {I/we} couldn't afford that
HF021BX
IF ANY HF020 a-e = 1 (OFTEN TRUE) OR 2 (SOMETIMES TRUE) GO TO HF022.
ELSE, GO TO SECTION 17-AC.
HF022. |
Please tell me whether the following statement was often true, sometimes true, or never true for {you/your household} in the last 12 months.
{{CHILD} was/The children were} not eating enough because {I/we} just couldn't afford enough food.
[Was that often true, sometimes true, or never true for your household in the last 12 months?] |
DISPLAY INSTRUCTIONS:
Display “we” and “your household” if there is a household member, besides the respondent, who is 18 years of age or older. Else display “I” and “you”.
If there are other children younger than 18 in household besides {CHILD} (including TWIN), display “The children were”; Else, display “{CHILD} was”.
OFTEN TRUE 1
SOMETIMES TRUE 2
NEVER TRUE 3
REFUSED RF
DON’T KNOW DK
HF025. |
In the last 12 months, did {you/you or other adults in your household} ever cut the size of your meals or skip meals because there wasn't enough money for food? |
YES 1
NO 2 (HF035)
REFUSED RF (HF035)
DON’T KNOW DK (HF035)
HF030. |
How often did this happen? Would you say… |
Almost every month, 1
Some months, but not every month, or 2
In only 1 or 2 months? 3
REFUSED RF
DON’T KNOW DK
HF035. |
In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money to buy food? |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
HF040. |
In the last 12 months, were you ever hungry but didn't eat because you couldn't afford enough food? |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
HF045. |
In the last 12 months, did you lose weight because you didn't have enough money for food? |
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
HFO46BX
HF022 = 1 or 2 or if HF025 = 1, or any of HF035-HF045 = 1 (ATE LESS/WENT HUNGRY/LOST WEIGHT), THEN ASK HF050.
OTHERWISE, GO TO SECTION 17-AC.
HF050. |
In the last 12 months, did {you/you or other adults in your household} ever not eat for a whole day because there wasn't enough money for food? |
DISPLAY INSTRUCTIONS:
Display “you or other adults in your household” if there is a household member, besides the respondent, who is 18 years of age or older. Else display “you”.
YES 1
NO 2 (HF060)
REFUSED RF (HF060)
DON’T KNOW DK (HF060)
HF055. |
How often did this happen? Would you say…
|
Almost every month, 1
Some months, but not every month, or 2
In only 1 or 2 months? 3
REFUSED RF
DON’T KNOW DK
HF060. |
The next questions are about children living in the household who are under 18 years of age.
In the last 12 months, did you ever cut the size of {{CHILD}'s/any of the children's} meals because there wasn't enough money for food? |
DISPLAY INSTRUCTIONS:
If there are other children younger than 18 in household besides {CHILD} (including TWIN), display “any of the children’s”. Else, display “{CHILD}’s”.
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
HF065. |
In the last 12 months, did {{CHILD}/any of the children} ever skip a meal because there wasn't enough money for food? |
DISPLAY INSTRUCTIONS:
If there are other children younger than 18 in household besides {CHILD} (including TWIN), display “any of the children’s”. Else, display “{CHILD}’s”.
YES 1
NO 2 (HF075)
REFUSED RF (HF075)
DON’T KNOW DK (HF075)
HF070. |
How often did this happen? Would you say… |
Almost every month, 1
Some months, but not every month, or 2
In only 1 or 2 months? 3
REFUSED RF
DON’T KNOW DK
HF075. |
In the last 12 months, {was {CHILD}/were the children} ever hungry but you just couldn't afford more food? |
DISPLAY INSTRUCTIONS:
If there are other children younger than 18 in household besides {CHILD} (including TWIN), display “were the children”. Else, display “was {CHILD}”.
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
HF080. |
In the last 12 months, did {{CHILD}/any of the children} ever not eat for a whole day because there wasn't enough money for food? |
DISPLAY INSTRUCTIONS:
If there are other children younger than 18 in household besides {CHILD} (including TWIN), display “any of the children”. Else, display “{CHILD}”.
YES 1
NO 2
REFUSED RF
DON’T KNOW DK
IF INTERVIEW IS CONDUCTED OVER THE PHONE, SKIP TO SECTION CM.
ELSE, GO TO ACASI ITEMS.
Section 17-AC: ACASI ITEMS
(04/14/06 – Draft 2)
AC001. THE ACASI SECTION CAN BE ADMINISTERED IN ENGLISH OR SPANISH. IT CANNOT BE ADMINISTERED IF AN INTERPRETER IS BEING USED TO CONDUCT THE INTERVIEW IN A LANGUAGE OTHER THAN SPANISH.
IN WHAT LANGUAGE IS THE INTERVIEW BEING CONDUCTED?
INTRPRTR
ENGLISH………1
SPANISH………2
SOME OTHER LANGUAGE USING AN INTERPRETER. ACASI WILL BE SKIPPED….….3
INTRO. I’d like you to use the headphones to listen to some questions and enter your answers into the computer yourself. This will allow you to answer the questions in complete privacy. I will not be able to hear the questions or see the answers you type into the computer. Let’s review how to use the computer.
MOVE COMPUTER SO RESPONDENT CAN SEE THE KEYBOARD AND POINT OUT THE FOLLOWING:
NUMBER KEYS
ENTER KEY (TO ACCEPT AND STORE THE RESPONSES)
THE “UP ARROW KEY” TO RETURN TO A PREVIOUS SCREEN AND CHANGE AN ANSWER
ADJUST HEADPHONES FOR RESPONDENT AND DEMONSTRATE VOLUME CONTROL.
Here is a show card that tells you how to use certain keys on the computer.
GIVE SHOW CARD AC-1 TO THE RESPONDENT.
IVIIIA1. Before we begin the interview, would you like to complete a set of practice questions?
AUDIO ONLY: For yes, press 1. For no, press 2
1 = YES (IVIIIA2)
2 = NO (AC149a)
ASSIST THE RESPONDENT WITH THE HEADPHONE AND TURN THE LAPTOP SCREEN TO FACE THE RESPONDENT.
IVIIIA2. The next questions are for practice. The interviewer is going to help you do this. Press the large {Enter} key on the right side of the keyboard to see the first question.
The {Enter} key is the one with the bent arrow symbol on it.
IVIIIA3. In what month were you born?
1 = January
2 = February
3 = March
4 = April
5 = May
6 = June
7 = July
8 = August
9 = September
10 = October
11 = November
12 = December
IVIIIA5. The next set of practice questions will show you some of the different types of response choices that you will see as you answer questions on your own. It is important that you pay close attention to the response choices given for each question in choosing and entering your response.
Press the {Enter} key to continue
IVIIIA6. In the past 12 months, how often did you eat out at a restaurant?
AUDIO ONLY: For once or twice, press 1. For between 3 and 5 times, press 2. For between 6 and 10 times, press 3. For between 11 and 20 times, press 4. For more than 20 times, press 5. For never, press 6.
1 = Once or twice
2 = Between 3 and 5 times
3 = Between 6 and 10 times
4 = Between 11 and 20 times
5 = More than 20 times
6 = Never
IVIIIA7. In the past 12 months, how many times have you attended a concert?
AUDIO ONLY: For 1 time, press 1. For 2 times, press 2. For 3 to 5 times, press 3. For 6 to 10 times, press 4. For more 11 to 20 times, press 5. For more than 20 times, press 6. For not in the past 12 months, but it happened before, press 7. For this has never happened, press 8.
1 = 1 time
2 = 2 times
3 = 3 to 5 times
4 = 6 to 10 times
5 = 11 to 20 times
6 = More than 20 times
7 = Not in the past 12 months, but it happened before
8 = This has never happened
IVIIIA8. Thank you. If you have any questions about how to use the computer, please ask your interviewer now. Otherwise, press the {Enter} key to continue.
AC149a-l
BOTHERED, POORAPP, NOSHKBLU, MINDONTSK,
DEPRESSED, ALLEFFORT, FEARFUL, RESTLESS,
TLKLESS, LONELY, SAD, GETGOING
Here is a list of ways you may have felt or behaved recently. How often during the past week have you felt these ways? Would you say rarely or never (less than one day), some or a little of the time (1 to 2 days), occasionally or a moderate amount of the time (3 to 4 days), or most or all of the time (5 to 7 days)? How often during the past week have you felt…
a. You were bothered by things that usually don’t bother you? |
b. You did not feel like eating; your appetite was poor? |
c. You could not shake off the blues, even with help from your family and friends? |
d. You had trouble keeping your mind on what you were doing? |
e. You were depressed? |
f. Everything you did was an effort? |
g. You were fearful? |
h. Your sleep was restless? |
i. You talked less than usual? |
j. You were lonely? |
k. You were sad? |
l. You could not get “going”? |
AUDIO ONLY: For rarely or never (less than one day), press 1. For some or a little (1-2 days), press 2. For occasionally or moderate (3-4 days), press 3. For most or all days (5-7 days), press 4.
RARELY OR NEVER (LESS THAN ONE DAY) 1
SOME OR A LITTLE (1-2 DAYS) 2
OCCASIONALLY OR MODERATE (3-4 DAYS) 3
MOST OR ALL DAYS (5-7 DAYS) 4
ACDone. Thank you, you have now completed this section of the interview. Please let your interviewer know you are finished.
GO TO SECTION 18-CM
Section 18-CM: CLOSING MATERIAL
CMINTRO
Thank you for taking the time to participate in the parent interview portion of this important study. As I promised you earlier, this interview is completely confidential and we won’t share any information with anyone else.
ENTER “1” TO BEGIN CLOSING MATERIALS SECTION.
CM160aBX
IF RESPONDENT IS NOT CHILD’S LEGAL GUARDIAN AND CHILD IS ENROLLED (SE010 = 1 AND SE015 NE 1 AND SE030 NE 1 AND SE032 NE 1), GO TO CM160a.
ELSE, GO TO CM160BX.
CM160a
THE NEXT FEW QUESTIONS ARE ABOUT {CHILD’S} TEACHER CONTACT INFORMATION.
YOU MUST HAVE THE LEGAL GUARDIAN'S SIGNATURE ON THE LEGAL GUARDIAN PERMISSION TO CONTACT CHILD’S TEACHER IN THE ECLS-B KINDERGARTEN 2007 ROUND FORM BEFORE WE CAN CONTACT THE TEACHER.
DO YOU HAVE A SIGNED TEACHER LEGAL GUARDIAN PERMISSION FORM AND LETTER?
1 YES (GO TO CM160BX)
2 NO
CM160B
WILL YOU BE OBTAINING THE LEGAL GUARDIAN'S SIGNATURE ON THE LEGAL GUARDIAN PERMISSION TO CONTACT CHILD’S TEACHER IN THE ECLS-B KINDERGARTEN 2007 ROUND FORM?
1 YES
2 NO
If CM160b=2, display:
“WITHOUT SIGNED CONSENT, THE INTERVIEW WILL NOT COLLECT THE CONTACT INFORMATION FOR THE TEACHER.
PLEASE VERIFY YOUR RESPONSE. PRESS ‘S’ IF YOUR RESPONSE IS CORRECT.”
IF
CHILD IS ENROLLED (SE010 = 1 AND SE015 NE 1 AND SE030 NE 1 AND SE032
NE 1), GO TO CM160PRE. IF
CHILD IS NOT ENROLLED IN SCHOOL (SE010 NE 1)
OR
CHILD IS HOMESCHOOLED (SE015 = 1) OR CHILD IS IN PRESCHOOL (SE030 =
1 OR SE032 = 1), GO TO CM051BX.
ELSE IF TWIN IS ENROLLED (SE010=1 AND SE015 NE 1 AND SE030 NE 1) AND
CM160PRE WAS NOT ASKED (EMPTY) FOR CHILD, GO TO CM160PRE FOR TWIN.
ELSE GO
TO CM051BX.
CM160BX
CM160PRE (CM160T)
{FOR CHILD: As/FOR TWIN: As I said before, As} part of this study, we will be interviewing the teachers of children in the study.
{If IN000LG=2 (NOT LEGAL GUARDIAN) AND CM160a=1 (FI HAS SIGNED TEACHER LEGAL GUARDIAN PERMISSION FORM), DISPLAY: We have permission from the legal guardian to contact {CHILD/TWIN}'s teacher
{If IN000LG=2 (NOT LEGAL GUARDIAN) AND CM160a=2 (FI DOES NOT HAVE SIGNED TEACHER LEGAL GUARDIAN PERMISSION FORM), DISPLAY: Before we contact {CHILD/TWIN}’s teacher, we will obtain permission from {CHILD/TWIN’S} legal guardian.
TAKE OUT THE {PERMISSION FORM} AND NOTIFICATION LETTER.
DISPLAY INSTRUCTIONS: Display “LEGAL GUARDIAN PERMISSION TO CONTACT CHILD’S TEACHER” if IN000LG = 2. Else display “PERMISSION TO CONTACT CHILD’S TEACHER IN THE ECLS-B KINDERGARTEN 2007 ROUND.”
We would like your permission to contact {CHILD/TWIN}’s teacher. We have a permission form and a letter that we would like you to sign.
|
PRESS “1” AND THEN ENTER TO CONTINUE.
CM165BX
IF IN000LG = 2, GO TO CM177BX.
ELSE GO TO CM165.
IF TWCCARE NE YES,
CM165 |
REVPERM
DISPLAY INSTRUCTIONS:
USE THIS FORM: PERMISSION TO CONTACT CHILD’S TEACHER IN THE ECLS-B KINDERGARTEN 2007 ROUND.
1. REVIEW PERMISSION FORM WITH RESPONDENT.
2. FILL OUT THE PERMISSION FORM (THE COPY YOU JUST REVIEWED WITH RESPONDENT).
3. HAND RESPONDENT PERMISSION FORM TO READ AND SIGN.
4. AFTER FORM IS SIGNED, HAND PINK COPY TO RESPONDENT.
PLACE REMAINING COPIES IN CASE FOLDER.
6. ASK RESPONDENT TO SIGN NOTIFICATION LETTER.
7. PLACE SIGNED NOTIFICATION LETTER IN CASE FOLDER.
Will you give your written permission for RTI to contact {CHILD/TWIN}’s teacher?
IF NECESSARY TO ANSWER PARENT QUESTIONS, REFER TO TEACHER FAQ LOCATED IN THE BACK OF THE FI MANUAL.
DID THE RESPONDENT SIGN THE PERMISSION FORM?
YES:[SET TPermt to YES] 1
NO 2 (CM220BX)
REVp_FUBX
IF CM165 [REVPERM]=1 AND INOOIP [INPERSON]=2, GO TO REVP_FU
REVp_FU
In a few days, RTI will mail you a few forms that I will need you to sign. Your signature on these forms will be the written permission that RTI will need to contact {CHILD/TWIN}’s teacher. Once signed, we will ask that you mail the forms back to us in a postage paid envelope.
IF
ASKING ABOUT CHILD, GO TO SC035 IF
ASKING ABOUT TWIN AND SE005 NE 1, GO TO SC035]. IF
ASKING ABOUT TWIN AND SE005 = 1 (SAME SCHOOL AS CHILD) AND SE098
[SAMETCHR] = 1 (SAME TEACHER AS CHILD), GO TO CM051BX. IF
ASKING ABOUT TWIN AND SE005 = 1 (SAME SCHOOL AS CHILD) AND SE098 NE
1 (NOT SAME TEACHER AS CHILD), GO TO CM195 [TCHFNAM].
CM177BX
SC035.
Now I’d like to find out the name and address of {CHILD/TWIN}’s school. In what state is the school located?
ENTER STATE ABBREVIATION.
IF YOU ARE UNCERTAIN OF THE STATE ABBREVIATION, PRESS THE F1 KEY TO SEE A LIST OF ABBREVIATIONS.
SC040.
L_SCHOOLID
What is the name of the school?
TO LOOKUP THE SCHOOL ID, ENTER AT LEAST FIRST THREE LETTERS OF SCHOOL NAME. USUALLY, THE MORE LETTERS YOU ENTER THE MORE LIKELY YOU WILL FIND THE RIGHT SCHOOL. BUT THIS IS NOT ALWAYS THE CASE.
ONCE YOU HAVE FOUND THE CORRECT SCHOOL
HIGHLIGHT THE SCHOOL DESIRED BY USING THE UP AND DOWN ARROWS
PRESS [ENTER] TO SELECT THE SCHOOL
PRESS [ENTER] AGAIN TO SELECT THE ID
IF YOU CANNOT FIND THE SCHOOL, TRY ENTERING DIFFERENT LETTERS IN THE SCHOOL NAME.
IF YOU STILL CANNOT FIND THE SCHOOL, TYPE ‘NOTFOUND’ AND PRESS [ENTER] TO SELECT. IF THE SCHOOL NAME CONTAINS A NUMBER, LIKE PUBLIC SCHOOL 14, TRY SEARCHING FOR THE NUMBER 14.
SC044BX
IF ‘NOTFOUND’ ENTERED FOR SC040 CONTINUE,
ELSE GO TO SC049.
SC044. What is the name of the school where {CHILD/TWIN} attends school?
ENTER NAME OF SCHOOL
VERIFY SPELLING
SC045a. What is the address of {SCHOOL NAME}?
ENTER MAILING ADDRESS – LINE 1
VERIFY SPELLING
DON’T KNOW………………………………………………DK
REFUSED…………………………………………………..RF
SC045b. [What is the address of the school?]
ENTER MAILING ADDRESS – LINE 2
VERIFY SPELLING
DON’T KNOW………………………………………………DK
REFUSED…………………………………………………..RF
SC046. [What is the address of the school?]
ENTER CITY
VERIFY SPELLING
DON’T KNOW………………………………………………DK
REFUSED…………………………………………………..RF
SC047. [What is the address of the school?]
ENTER ZIP
VERIFY SPELLING
DON’T KNOW………………………………………………DK
REFUSED…………………………………………………..RF
SC048. What is the phone number of the school?
ENTER PHONE NUMBER
DON’T KNOW………………………………………………DK
REFUSED…………………………………………………..RF
SKIP TO SC050a
SC049.
Let me confirm the school information I have. Is this information correct?
[INSERT SCHOOL NAME, ADDRESS, AND PHONE NUMBER]
CONFIRM SCHOOL NAME AND MAILING ADDRESS INFORMATION.
YES, SCHOOL NAME, ADDRESS AND
PHONE NUMBER ARE CORRECT……………………………1 (CM195)
NO, WRONG SCHOOL -- RESELECT…………………………2 (Back to L_SCHOOLID)
NO, SCHOOL NAME IS CORRECT,
BUT ADDRESS IS INCORRECT………………………………3 (CONTINUE TO SC050b)
NO, SCHOOL NAME AND ADDRESS ARE
CORRECT, BUT PHONE NUMBER IS INCORRECT…………………………………………………..4 (SC050F)
DON’T KNOW………………………………………………………….DK
REFUSED………………………………………………………………RF
SC050b.
What is the mailing address for {SCHOOL NAME}?
DATABASE HAS: [INSERT ADDRESS]
MAKE CORRECTIONS TO THE MAILING ADDRESS – LINE 1 BELOW OR PRESS ENTER TO ACCEPT [INSERT ADDRESS]
VERIFY SPELLING
SC050c.
[What is the mailing address for the school?]
MAKE CORRECTIONS TO THE MAILING ADDRESS – LINE 2 BELOW OR PRESS ENTER TO ACCEPT
VERIFY SPELLING
PRESS ENTER IF INFORMATION IS CORRECT
SC050d.
[In what city is the school?]
DATABASE HAS: [INSERT CITY]
MAKE CORRECTIONS TO THE CITY BELOW OR PRESS ENTER TO ACCEPT [INSERT CITY]
SC050e.
[What is the zip code for the school?]
DATABASE HAS: [INSERT ZIP CODE]
MAKE CORRECTIONS TO THE ZIP CODE BELOW OR PRESS ENTER TO ACCEPT [INSERT ZIP CODE]
SC050f.
What is the phone number for the school?
DATABASE HAS: [INSERT PHONE NUMBER]
MAKE CORRECTIONS TO THE PHONE NUMBER BELOW OR PRESS ENTER TO ACCEPT [INSERT PHONE NUMBER]
ALL SKIP TO SC051
SC050a.
Let me confirm the school information I have. Is this information correct?
INSERT SCHOOL NAME AND ADDRESS INFORMATION
YES………………………………………………………….1 (CM195)
NO……………………………………………………………2 (PLEASE PRESS ENTER TO
GO BACK TO SCHOOL ADDRESS SCREEN SC044)
SC051.
Let me confirm address and phone number for {SCHOOL NAME}. Is this information correct?
YES………………………………………………………….1 (CM195)
NO……………………………………………………………2 (PLEASE PRESS ENTER TO
GO BACK TO SCHOOL ADDRESS SCREEN SC050b)
CM195. What is the name of {CHILD/TWIN}’s teacher?
TCHFNAM
Display:
INTERVIEWER: EMPHASIZE THE IMPORTANCE OF OBTAINING THE CORRECT SPELLING OF THE TEACHER’S NAME SO A QUESTIONNAIRE CAN BE MAILED TO HIM/HER. IF THE PARENT IS UNSURE OF THE SPELLING, ENCOURAGE HIM/HER TO REFER TO A LETTER FROM THE SCHOOL WHERE THE TEACHER’S NAME IS LISTED.
ENTER FIRST NAME
VERIFY SPELLING
DON’T KNOW………………………………………………………….DK
REFUSED…………………………………………………..RF
CM196. [What is the name of {CHILD/TWIN}’s teacher?]
TCHLNAM
ENTER LAST NAME
VERIFY SPELLING
DON’T KNOW………………………………………………………….DK
REFUSED…………………………………………………..RF
CM200. What is the teacher’s gender?
TCHGEN
MALE…………………………………………………………1
FEMALE……………………………………………………..2
DON’T KNOW……………………………………………..DK
REFUSED…………………………………………………..RF
CM205. What is {CHILD/TWIN}’s classroom number?
CLASNUM
ENTER CLASSROOM NUMBER
VERIFY NUMBER
DON’T KNOW…………………………………………………………..DK
REFUSED……………………………………………………………….RF
IF
ASKING ABOUT TWIN AND SE005 = 1 (SAME SCHOOL AS CHILD), GO TO
CM051BX. ELSE IF
TWIN SE005 NE 1, GO TO CM210 [ADFNAM].
CM210BX
CM210. What is the name of the school’s administrator?
ADFNAM
ENTER FIRST NAME
VERIFY SPELLING
DON’T KNOW………………………………………………………….DK
REFUSED…………………………………………………..RF
CM215. [What is the name of the school’s administrator?]
ADLNAM
ENTER LAST NAME
VERIFY SPELLING
DON’T KNOW………………………………………………………….DK
REFUSED…………………………………………………..RF
CM220. What is the administrator’s gender?
ADGEN
MALE…………………………………………………………1
FEMALE……………………………………………………..2
DON’T KNOW……………………………………………..DK
REFUSED…………………………………………………..RF
IF
ASKING ABOUT TWIN, THEN GO BACK TO CM160PRE. ELSE,
GO TO CM051BX.
CM220BX
CM060Abx
IF RESPONDENT IS NOT CHILD’S LEGAL GUARDIAN AND [SE010=1 (CHILD IN SCHOOL) OR SE015=1 (CHILD IS HOMESCHOOLED)] AND [SE030=2 OR SE032=2 (CHILD IN KINDERGARTEN)] AND CHILD IS FLAGGED AS HAVING A CHILD CARE PROVIDER (CHCCARE=1) AND [CARE PROVIDED IS >= 5 HOURS PER WEEK], GO TO CM060a.
ELSE IF RESPONDENT IS NOT CHILD’S LEGAL GUARDIAN AND ASKING ABOUT TWIN AND [SE010=1 (TWIN IN SCHOOL) OR SE015=1 (TWIN IS HOMESCHOOLED)] AND [SE030=2 OR SE032=2 (TWIN IN KINDERGARTEN)] AND TWIN IS FLAGGED AS HAVING A CHILD care provider (CHCCARE=1) AND [CARE PROVIDED IS >= 5 HOURS PER WEEK], GO TO CM060a.
ELSE, GO TO CM051BX.
CM060a
THE NEXT FEW QUESTIONS ARE ABOUT {CHILD’S} CAREGIVER CONTACT INFORMATION.
YOU MUST HAVE THE LEGAL GUARDIAN'S SIGNATURE ON THE LEGAL GUARDIAN PERMISSION TO CONTACT THE WRAP-AROUND EARLY CARE AND EDUCATION PROVIDER (WECEP) TO PARTICIPATE IN THE ECLS-B KINDERGARTEN 2007 ROUND AND THE LEGAL GUARDIAN WECEP NOTIFICATION LETTER BEFORE WORKING THE WECEP INTERVIEW.
DO YOU HAVE A SIGNED WECEP LEGAL GUARDIAN PERMISSION FORM AND LETTER?
1…………………….YES (GO TO CM051BX)
2……………………..NO
CM060b
WITHOUT SIGNED CONSENT, THE INTERVIEW WILL NOT COLLECT THE CONTACT INFORMATION FOR THE WECEP AND WILL NOT SPAWN THE CASE.
WILL YOU BE OBTAINING THE LEGAL GUARDIAN'S SIGNATURE ON THE LEGAL GUARDIAN PERMISSION TO CONTACT THE WRAP-AROUND EARLY CARE AND EDUCATION PROVIDER (WECEP) IN THE ECLS-B KINDERGARTEN ROUND AND THE LEGAL GUARDIAN WECEP NOTIFICATION LETTER?
1…………………………YES
2…………………………NO
CM051BX
IF ASKING ABOUT CHILD AND [se010=1 (child in school) or se015=1 (child is homeschooled)] and [se030=2 or se032=2 (child in kindergarten)] and CHILD IS FLAGGED AS HAVING A CHILD care provider (CHCCARE=1) AND [CARE PROVIDED IS >= 5 HOURS], go to CM060PRE.
ELSE IF ASKING ABOUT TWIN [se010=1 (TWIN in school) or se015=1 (TWIN is homeschooled)] and [se030=2 or se032=2 (TWIN in kindergarten)] and TWIN IS FLAGGED AS HAVING A CHILD care provider (CHCCARE=1) AND [CARE PROVIDED IS >= 5 HOURS], go to CM060PRE.
IF RESPONDENT IS NOT CHILD’S LEGAL GUARDIAN, SKIP TO CM060PREc.
else, go to SECTION LF.
CM060PRE
DISPLAY INSTRUCTIONS:
If child care provider where most hours of care is home care and relative care hours is greater than or equal non-relative care hours, then display “relative caregiver”.
If child care provider where most hours of care is home care and relative care hours is less than non-relative care, then display “non-relative caregiver”.
If child care provider where most hours of care are center-based care, then display “before- and after-school center director and teacher”.
If child care provider where most hours of care is public school care then display “before- and after-school director and teacher”.
If respondent is child’s legal guardian:
{FOR CHILD: As/FOR TWIN: As I said before, As} part of this study, we will be interviewing the early care and education provider of children in the study. We would like to talk to {CHILD/TWIN}’s {see display note}.
TAKE OUT THE PARENTAL PERMISSION TO CONTACT THE WRAP-AROUND EARLY CARE AND EDUCATION PROVIDER (WECEP) TO PARTICIPATE IN THE ECLS-B KINDERGARETN 2007 ROUND FORM, NOTIFICATION LETTER AND FACT SHEET.
We would like your permission to contact {CHILD/TWIN}’s { see display note} We have a permission form and a letter that we would like you to sign, and we also have a fact sheet that tells you a little more about the child care part of the study.
HAND RESPONDENT A COPY OF THE FACT SHEET.
PRESS “1” AND THEN ENTER TO CONTINUE.
If respondent in not child’s legal guardian:
CM060PREc
As part of this study, we will be interviewing
the early care and education provider of children in the study. We
would like to talk to {CHILD/TWIN}’S before- and after-school
school director and
teacher. (We have permission from the legal
guardian to contact {CHILD/TWIN}'s {see display note}. Before we
contact {CHILD/TWIN}'s {see display note}, we will obtain permission
from {CHILD/TWIN}’s legal guardian.)
We have a fact
sheet that tells you a little more about the child care part of the
study.
HAND RESPONDENT A COPY OF THE FACT SHEET.
CM065.
USE THIS FORM: PARENTAL PERMISSION TO CONTACT THE WRAP-AROUND EARLY CARE AND EDUCATION PROVIDER (WECEP) TO PARTICIPATE IN THE ECLS-B KINDERGARTEN 2007 ROUND.
1. REVIEW PERMISSION FORM WITH RESPONDENT.
2. FILL OUT THE PERMISSION FORM (THE COPY YOU JUST REVIEWED WITH RESPONDENT).
3. HAND RESPONDENT PERMISSION FORM TO READ AND SIGN.
4. AFTER FORM IS SIGNED, HAND PINK COPY TO RESPONDENT.
5. PLACE REMAINING COPIES IN CASE FOLDER.
6. ASK RESPONDENT TO SIGN NOTIFICATION LETTER.
7. PLACE SIGNED NOTIFICATION LETTER IN CASE FOLDER.
Will you give your written permission for me to contact {CHILD/TWIN}'s caregiver?
YES 1
NO 2 (SECTION LF)?
IF NECESSARY TO ANSWER PARENT QUESTIONS, REFER TO CHILD CARE FAQ LOCATED IN THE BACK OF THE FI MANUAL
IF CM065 [CPPERMT]=1 AND INOOIP [INPERSON]=2, GO TO CPP_FU
CPP_FU
In a few days, RTI will mail you a few forms that I will need you to sign. Your signature on these forms will be the written permission that RTI will need to contact {CHILD/TWIN}’s provider. Once signed, we will ask that you mail the forms back to us in a postage paid envelope.
CM075BX
IF ASKING ABOUT CHILD, GO TO CM079.
ELSE IF ASKING ABOUT TWIN AND CC005 =YES AND PROVIDER WHERE MOST HOURS OF CARE PROVIDED IS CENTER-BASED, THEN GO TO CM095.
ELSE IF ASKING ABOUT TWIN AND CC005 =YES AND PROVIDER WHERE MOST HOURS OF CARE PROVIDED IS HOME-BASED, THEN GO TO SECTION LF.
CM079
DISPLAY INSTRUCTIONS:
If child care provider where most hours of care is home care and relative care hours is greater than or equal non-relative care hours, then display “relative caregiver”.
If child care provider where most hours of care is home care and relative care hours is less than non-relative care, then display “non-relative caregiver”.
If child care provider where most hours of care are center-based care, then display “center director and teacher”.
If child care provider where most hours of care is public school care then display “school director and teacher”.
Please feel free to mention to {CHILD/TWIN}’s {see display note} that I will be contacting them soon.
DISPLAY INSTRUCTIONS:
If child care provider where most hours of care is home care and relative care hours is greater than or equal non-relative care hours, then display “relative caregiver”.
If child care provider where most hours of care is home care and relative care hours is less than non-relative care, then display “non-relative caregiver”.
If child care provider where most hours of care are center-based care, then display “center director and teacher”.
If child care provider where most hours of care is public school care then display “school director and teacher”.
Please tell me anything special that I should know about contacting your {see display note}.
PROBE: For example, the best time to call your child care provider about the interview.
CM080
DISPLAY INSTRUCTIONS:
If child care provider where most hours of care is home care and relative care hours is greater than or equal non-relative care hours, then display “relative caregiver”.
If child care provider where most hours of care is home care and relative care hours is less than non-relative care, then display “non-relative caregiver”.
If child care provider where most hours of care are center-based care, then display “center director”.
If child care provider where most hours of care is public school care then display “school director”.
What is the name of {CHILD/TWIN}’s {see display note}?
VERIFY SPELLING
ENTER FIRST NAME.
REFUSED RF
DON’T KNOW DK
CM085
DISPLAY INSTRUCTIONS:
Use the instruction from CM080.
[What is the name of {CHILD/TWIN}’s {see display note}?]
VERIFY SPELLING.
ENTER LAST NAME.
REFUSED RF
DON’T KNOW DK
IF TMOSTCARE=HOMECARE, GO TO CM108BX.
CM086
What is {PROVNAME}’s primary language?
DISPLAY INSTRUCTIONS:
Display name entered at CM080/CM085 for {PROVNAME}.
ENGLISH ……………………….1
ARABIC 2
CHINESE 3
FILIPINO LANGUAGE – (E.G., TAGALOG, ILOCANO, ETC.) .4
FRENCH 5
GERMAN 6
GREEK 7
ITALIAN ……8
JAPANESE 9
KOREAN 10
POLISH 11
PORTUGUESE 12
SPANISH 13
VIETNAMESE 14
AFRICAN 15
EAST EUROPEAN…… ……..16
NATIVE AMERICAN 17
SIGN LANGUAGE 18
MIDDLE EASTERN 19
WEST EUROPEAN 20
INDIAN SUBCONTINENT 21
SOUTHEAST ASIAN 22
PACIFIC ISLAND 23
CANNOT CHOOSE 24
ENTER SOME OTHER LANGUAGE 91
(Specify) [What primary language
does the provider speak?]___________________
REFUSED RF
DON’T KNOW DK
CM087
ASK IF NECESSARY. Is {PROVNAME} male or female?
DISPLAY INSTRUCTIONS:
Display name entered at CM080/CM085 for {PROVNAME}.
MALE 1
FEMALE 2
REFUSED 3
DON’T KNOW 4
IF
SC040 IS MISSING, SKIP CM090A.
CM090aBX
CM090a
Is this before- and after-school care provided at [FILL WITH SCHOOL NAME FROM CM180/SCHOOL LOOK-UP]?
YES 1 (CM093)
NO 2
REFUSED RF
DON’T KNOW DK
CM090
What is the name of {CHILD/TWIN}’s child care center?
REFUSED RF
DON’T KNOW DK
CM093
DISPLAY INSTRUCTIONS:
Use the instruction from CM080 where it says {display note}. If child care provider where most hours of care are home care or center-based care, then display “caregiver”.
If child care provider where most hours of care is public school care then display “teacher”.
Is {CHILD/TWIN}’s {see display note} the same person as {his/her} primary {caregiver/teacher}?
YES 1 (CM115BX)
NO 2
REFUSED RF
DON’T KNOW DK
IF SE005=1, ASK CM095. ELSE, GO TO CM100.
CM095
DISPLAY INSTRUCTIONS:
Display name entered for CHILD at CM100/CM105 for {PROVNAME}. SHOULD THIS BE CM80/MC85?
Does {TWIN} also have {PROVNAME} as {his/her} primary {caregiver/teacher} at {CENTER NAME}?
YES (SECTION LF)
NO 2
REFUSED3 (SECTION LF)
DON’T KNOW 4 (SECTION LF)
CM100
DISPLAY INSTRUCTIONS:
If asking about CHILD, or if asking about TWIN and CC005 ^= YES, display response to CM090 for “{CENTER NAME}”.
Else if asking about TWIN and CC005 =YES, then display CHILD’s response for CM090 for “{CENTER NAME}”.
What is the name of {CHILD/TWIN}’s primary {caregiver/teacher} at {CENTER NAME}?
VERIFY SPELLING.
ENTER FIRST NAME.
REFUSED RF
DON’T KNOW DK
CM105
DISPLAY INSTRUCTIONS:
Display response to CM090 for “{CENTER NAME}”.
[What is the name of {CHILD/TWIN}’s primary {caregiver/teacher} at {CENTER NAME}?]
VERIFY SPELLING.
ENTER LAST NAME.
REFUSED RF
DON’T KNOW DK
CM108BX
IF (ASKING ABOUT CHILD, OR (ASKING ABOUT TWIN AND CC005 ^= YES)) and cm093 NE yes, THEN GO TO CM108.
ELSE, GO TO CM115BX.
CM108
What is {PROVNAME}’s primary language?
DISPLAY INSTRUCTIONS:
If TMOSTCARE=CENTERBASED, display name entered at CM100/CM105 for {PROVNAME}.
If TMOSTCARE=HOMECARE, display name entered at CM080/CM085 for {PROVNAME}.
ENGLISH ……………………….1
ARABIC 2
CHINESE 3
FILIPINO LANGUAGE (E.G. TAGALOG, ILOCANO, ETC) .4
FRENCH 5
GERMAN 6
GREEK 7
ITALIAN ……8
JAPANESE 9
KOREAN 10
POLISH 11
PORTUGUESE 12
SPANISH 13
VIETNAMESE 14
AFRICAN 15
EAST EUROPEAN…… ……..16
NATIVE AMERICAN 17
SIGN LANGUAGE 18
MIDDLE EASTERN 19
WEST EUROPEAN 20
INDIAN SUBCONTINENT 21
SOUTHEAST ASIAN 22
PACIFIC ISLAND 23
CANNOT CHOOSE 24
ENTER SOME OTHER LANGUAGE 91
(Specify) [What primary language
does the provider speak?]___________________
REFUSED RF
DON’T KNOW DK
CM110
ASK IF NECESSARY. Is {PROVNAME} male or female?
DISPLAY INSTRUCTIONS:
If TMOSTCARE=CENTERBASED, display name entered at CM100/CM105 for {PROVNAME}.
If TMOSTCARE=HOMECARE, display name entered at CM080/CM085 for {PROVNAME}.
MALE 1
FEMALE 2
REFUSED RF
DON’T KNOW DK
CM113
Is {PROVNAME} 18 years of age or older?
DISPLAY INSTRUCTIONS:
If TMOSTCARE=CENTERBASED, display name entered at CM100/CM105 for {PROVNAME}.
If TMOSTCARE=HOMECARE, display name entered at CM080/CM085 for {PROVNAME}.
YES 1
NO 2
REFUSED 3
DON’T KNOW 4
CM114BX
IF cm113 NE 1 (CAREGIVER IS A MINOR) AND INTERVIEW IS BEING CONDUCTED IN WASHINGTON STATE,
DO NOT CONDUCT wECEP INTERVIEW.
IF
(ASKING ABOUT CHILD, OR (ASKING ABOUT TWIN AND CC005 ^= YES) AND
CM090a^=YES, THEN GO TO CM115. ELSE,
GO TO SECTION LF.
CM115BX
CM115. DISPLAY INSTRUCTIONS:
If, based on TMOSTCARE, child care provider
where most hours of care is relative or non-relative caregiver, display name entered at CM080/CM085 for “{RELATIVE/{CAREGIVER/TEACHER}’S NAME}”.
If child care provider where most hours of care is center-based care, display name entered at CM090 for “{CENTER NAME}”.
What is the mailing address of {{RELATIVE/CAREGIVER’S NAME)/(CENTER NAME}}?
ENTER FIRST LINE OF MAILING ADDRESS.
VERIFY SPELLING.
CM120. DISPLAY INSTRUCTIONS:
If, based on TMOSTCARE, child care provider where most hours of care is relative or non-relative caregiver, display name entered at CM080/CM085 for “{RELATIVE/CAREGIVER’S NAME}”.
If child care provider where most hours of care is center-based care, display name entered at CM090 for “{CENTER NAME}”.
[What is the mailing address of {{RELATIVE/CAREGIVER’S NAME}/{CENTER NAME}}?]
ENTER SECOND LINE OF THE MAILING ADDRESS. IF THERE IS NO SECOND LINE, PRESS ENTER. DO NOT ENTER INFORMATION SUCH AS ‘NONE’ OR ‘NA.’
VERIFY SPELLING.
{STREET ADDRESS1}
CM125. DISPLAY INSTRUCTIONS:
If, based on TMOSTCARE, child care provider where most hours of care is relative or non-relative caregiver, display name entered at CM080/CM085 for “{RELATIVE/CAREGIVER’S NAME}”.
If child care provider where most hours of care is center-based care, display name entered at CM090 for “{CENTER NAME}”.
[What is the mailing address of {{RELATIVE/CAREGIVER’S NAME}/{CENTER NAME}}?]
ENTER CITY.
VERIFY SPELLING.
{STREET ADDRESS1}
{STREET ADDRESS2}
CM130. HELP AVAILABLE
DISPLAY INSTRUCTIONS:
If, based on TMOSTCARE, child care provider where most hours of care is relative or non-relative caregiver, display name entered at CM080/CM085 for “{RELATIVE/CAREGIVER’S NAME}”.
If child care provider where most hours of care is center-based care, display name entered at CM090 for “{CENTER NAME}”.
DATA CHECK: If state entered does not match state entered in (IN000ST) please display ‘The state entered differs from the state in which the interview is being conducted, please modify the provider state if necessary and press enter to continue.’
[What is the mailing address of {{RELATIVE/CAREGIVER’S NAME}/{CENTER NAME}}?]
ENTER STATE.
USE [F1] TO CHECK STATE CODES, IF YOU ARE UNCERTAIN.
{STREET ADDRESS1}
{STREET ADDRESS2}
{CITY}
CM135. DISPLAY INSTRUCTIONS:
If, based on TMOSTCARE, child care provider where most hours of care is relative or non-relative caregiver, display name entered at CM080/CM085 for “{RELATIVE/CAREGIVER’S NAME}”.
If child care provider where most hours of care is center-based care, display name entered at CM090 for “{CENTER NAME}”.
[What is the mailing address of {{RELATIVE/CAREGIVER’S NAME}/{CENTER NAME}}?]
ENTER ZIP CODE.
VERIFY ZIP CODE.
{STREET ADDRESS1}
{STREET ADDRESS2}
{CITY} {STATE}
CM140. DISPLAY INSTRUCTIONS:
If, based on TMOSTCARE, child care provider where most hours of care is relative or non-relative caregiver, display name entered at CM080/CM085 for “{RELATIVE/CAREGIVER’S NAME}”.
If child care provider where most hours of care is center-based care, display name entered at CM090 for “{CENTER NAME}”.
What is {{RELATIVE/CAREGIVER’S NAME}/{CENTER NAME}}’s telephone number?
IF NO TELEPHONE, ENTER 000.
GO TO SECTION LF
Section 19-LF: LOCATOR ITEMS
LF100PRE Now I'd like to confirm your full name and contact information.
Please remember that everything you tell me is voluntary, and will be kept confidential in the ways that were explained to you at the beginning of the interview.”
{SKIP TO LF110 [LFMAIDNM] IF NAME WAS COLLECTED IN IN007 [RROSTNUM] OR IN025 [RESPFNAM]}
LF105 [FNAME] I’d like to verify your full legal name. Is your full legal name...
{bold}READ DISPLAYED NAME. CORRECT AS NEEDED.{normal}”
{DISPLAY DATA FROM PREVIOUS INTERVIEW FOR VERIFICATION}
(“FIRST NAME: {fill FIRST NAME from K’06 IN025 [RESPFNAM]}STRING [20]”
“MIDDLE NAME: {fill MIDDLE NAME from K’06 IN026 [RESPMNM]; if no middle name or initial, fill with “NMN”} STRING [20]”
“LAST NAME: {fill LAST NAME from K’06 IN027 [RESPLNAM]}STRING [30]”)
“IF RESPONDENT DOES NOT HAVE A MIDDLE NAME OR INITIAL, Then “NMN” SHOULD BE IN THE BLANK FOR MIDDLE NAME.”
IF RESPONDENT NOT THE SAME AS RESPONDENT IN K’06 AND RESPONDENT IS FEMALE, ASK LF110.
ELSE, GO TO LF115.
LF110 [LFMAIDNM] What is your maiden name?
(“MAIDEN NAME: STRING [30]”)
PRESS ENTER IF RESPONDENT DOESN'T HAVE A MAIDEN NAME.
LF115 [LFHAVNM] Do you go by any other names or nicknames?
YES 1
NO 2 (LF125
REFUSED RF (LF125)
LF120 [ALIAS1] What are they?
(“ALIAS #1:” STRING [40]
“ALIAS #2:” STRING [40] )
“PRESS 1 TO CONTINUE.”
LF125 [LFCFADDR] Let me confirm your address.
VERIFY INFORMATION DISPLAYED ON SCREEN. CORRECT AS NEEDED.
(“STREET ADDRESS:” STRING [50]
“CITY”: STRING [50]
“STATE:” STRING [2]
“ZIP:” STRING [9])
LF126 [LFATYP] Is this your mailing address?
YES 1
NO 2
REFUSE RF (LF150a)
DON’T KNOW DK (LF150A)
LF126a [LFSTREET] Is this your street address?
YES 1
NO 2
REFUSED ………………………………….………………….RF (LF150a)
DON’T KNOW……………………………….………………..DK (LF150a)
{IF LF126 [LFATYP] = 1 AND LF126a [LFSTREET]=1 (MAILING ADDRESS IS STREET ADDRESS), GO TO LF150a [STRADDR];
IF LF126 [LFATYP] = 1 AND lf126A [LFSTREET]=2 (MAILING ADDRESS IS NOT STREET ADDRESS), ASK LF127 .}
IF LF126 [LFATYP] = 2 AND LF126a [LFSTREET = 1 (NOT MAILING ADDRESS BUT STREET ADDRESS), ASK LF128 [LFMAIL]
IF LF126 [LFATYP] = 2 AND LF126a [LFSTREET] = 2 (NOT MAILING ADDRESS AND NOT STREET ADDRESS), ASK LF127 [LFSTREET] AND LF128 [LFMAIL].
LF127 [LFSTRADDR] Let me get your street address.
VERIFY SPELLING FOR EACH ITEM.
(“STREET ADDRESS:” STRING [50]
“CITY”: STRING [50]
“STATE:” STRING [2]
“ZIP:” STRING [9])
LF128 [LFMAIL] Let me get your mailing address.
VERIFY SPELLING FOR EACH ITEM.
(“STREET ADDRESS/PO BOX:” STRING [50]
“CITY”: STRING [50]
“STATE:” STRING [2]
“ZIP:” STRING [9])
LF150a [LFBSTPHN] What is the best phone number to use to reach you now? In a few weeks, someone may be contacting you to verify the quality of my work.
(“PHONE:” STRING [12])
“NOTE: ENTER RESPONDENT’S CURRENT HOME PHONE NUMBER OR THE NUMBER WHERE HE/SHE CAN BE REACHED MOST OFTEN.”
{allow 12, including pre-filled hyphens (xxx-xxx-xxxx)}
IF LF150A NE DK OR RF, ASK LF150B AND LF105C. THEN GO TO LF 155.
LF150b. [LFDAYPHN] Is this your day or evening phone number?
(“DAY”,
“EVENING”,
“BOTH” )
LF150c. [LFWHTPHN] Is this your home phone number, a work number, or some other number?
(“HOME NUMBER”,
“WORK NUMBER”,
“FRIEND/RELATIVE’S NUMBER”,
“BEEPER/PAGER/CELL PHONE NUMBER”,
“OTHER (SPECIFY):” STRING [30]
{IF LF150a [LFBSTPHN] = RF or DK, skip to note before LF215 [LFGVENAM].}
LF155. [LFHAVOTH] Is there another phone number, beeper, or pager number to use to reach you?
YESNO
{IF LF155 [LFHAVOTH] = 2 (NO) GO TO INSTRUCTIONS BEFORE LF215 [LFGVENAM]; ELSE CONTINUE}
LF160a. [LFOTHPHN] What is that number?
(“PHONE:” STRING [12])
REFUSED………………………………….…RF (LF215BX)
DON’T KNOW………………………………..DK (LF215BX)
“NOTE: IF RESPONDENT HAS MORE THAN 1 ALTERNATIVE NUMBER, ENTER THE ONE SHE CAN BE REACHED AT MOST OFTEN.”
{allow 12, including pre-filled hyphens (xxx-xxx-xxxx)}
LF160b. [LFOTHDAY] And is that your day or evening number?
(“DAY”,
“EVENING”,
“BOTH”)
LF160c. [LFWHTPH2] Is this your home phone number, a work number, or some other number?
(“HOME NUMBER”,
“WORK NUMBER”,
“FRIEND/RELATIVE’S NUMBER”,
“BEEPER/PAGER/CELL PHONE NUMBER”,
“OTHER (SPECIFY):” STRING [30])
LF250. “Thank you very much for this information and for your participation in this interview.
PRESS ENTER TO CONTINUE.”
LF260PRE.
DISPLAY INSTRUCTIONS:
If twin in household, display “$60” and “BOOKS.”
Else display “$30” and “BOOK”.
AT THE END OF THE HOME VISIT, REMEMBER TO:
1. PAY PARENT {$30/$60}
2. GIVE {CHILD/CHILDREN} {BOOK/BOOKS}.
3. OBTAIN A SIGNED INCENTIVE RECEIPT FORM.
LF270. [LFLANG]
IN WHAT LANGUAGE WAS THIS INTERVIEW CONDUCTED?
ENGLISH ……………………….1
ARABIC 2
CHINESE 3
FILIPINO LANGUAGE (E.G. TAGALOG, ILOCANO, ETC.) .4
FRENCH 5
GERMAN 6
GREEK 7
ITALIAN ……8
JAPANESE 9
KOREAN 10
POLISH 11
PORTUGUESE 12
SPANISH 13
VIETNAMESE 14
AFRICAN 15
EAST EUROPEAN…… ……..16
NATIVE AMERICAN 17
SIGN LANGUAGE 18
MIDDLE EASTERN 19
WEST EUROPEAN 20
INDIAN SUBCONTINENT 21
SOUTHEAST ASIAN 22
PACIFIC ISLAND 23
COMBINATION ENGLISH AND SPANISH 24
OTHER 91
If child in HH and CM160B = yes then ask TEAConsent
If child in HH and CM060B = yes then ask CCPConsent
TEAConsent
YOU SAID EARLIER THAT YOU WOULD BE OBTAINING TEACHER CONSENT FOR {CHILDNAME} FROM THE LEGAL GUARDIAN.
HAVE YOU OBTAINED THE LEGAL GUARDIAN'S SIGNATURE ON THE LEGAL GUARDIAN PERMISSION TO CONTACT CHILD’S TEACHER IN THE ECLS-B KINDERGARTEN 2007 ROUND FORM AND LETTER?
IF YOU HAVE NOT EXHAUSTED ALL ATTEMPTS TO OBTAIN LEGAL GUARDIAN CONSENT, USE ALT-X TO BREAKOFF.
YES………………………………1
NO………………………………..2
REFUSED………………………RF
DON’T KNOW………………….DK
Display if TEAConsent=2:
WITHOUT SIGNED CONSENT, WE WILL NOT BE ABLE TO CONTACT THE TEACHER.
PLEASE VERIFY YOUR RESPONSE. PRESS 'S' IF YOU WERE NOT ABLE TO OBTAIN THE LEGAL GUARDIAN'S CONSENT FOR THE TEACHER INTERVIEW.
CCPConsent
YOU SAID EARLIER THAT YOU WOULD BE OBTAINING WECEP CONSENT FOR {CHILD} FROM THE LEGAL GUARDIAN. HAVE YOU OBTAINED THE LEGAL GUARDIAN'S SIGNATURE ON THE LEGAL GUARDIAN PERMISSION TO CONTACT THE WRAP-AROUND EARLY CARE AND EDUCATION PROVIDER (WECEP) IN THE ECLS-B KINDERGARTEN 2007 ROUND AND THE LEGAL GUARDIAN WECEP NOTIFICATION LETTER?
IF YOU HAVE NOT EXHAUSTED ALL ATTEMPTS TO OBTAIN LEGAL GUARDIAN CONSENT, USE ALT-X TO BREAKOFF.
YES………………………………1
NO………………………………..2
REFUSED………………………RF
DON’T KNOW………………….DK
If twin in HH and CM160B = yes then go back and ask TEAConsent
If twin in HH and CM060B = yes then go back and ask CCPConsent
If child or twin in HH and either of child or twin CM065 = yes or CM060a = yes or CCPConsent = yes then ask Have_WECEP
HAVE_WECEP
ALERT: UPON
EXITING THE PARENT INTERVIEW, {e_w_fill} WILL BE SPAWNED FOR THIS
CASE!
VERIFY THAT YOU HAVE {FormFill} FOR {CHILD {AND TWIN}.
- CONFIRM THAT THE CORRECT VERSION OF THE FORM WAS USED (TOP COPY IS WHITE, IDENTIFIER AT BOTTOM SAYS C4)
- AFFIX BAR CODE LABEL TO FORM(S).
- SHIP WHITE AND YELLOW COPIES TO RTI ALONG WITH HOME VISIT MATERIALS.
VERIFY
THAT YOU HAVE {LetterFill} FOR {CHILD {AND TWIN}.
-
CONFIRM THAT THE CORRECT VERSION OF THE LETTER WAS USED (LETTER IS
WHITE, IDENTIFIER AT BOTTOM SAYS L2)
- COMPLETE PROJECT PROVIDED
ENVELOPE FOR MAILING NOTIFICATION LETTER TO PROVIDER (2 IF TWINS)
-
MAIL LETTER TO PROVIDER
IF YOU HAVE ANY QUESTIONS ABOUT WHICH FORMS TO USE OR THINK THAT THE COMPUTER HAS MADE AN ERROR IN SPAWNING, PLEASE CONTACT YOUR FS BEFORE LEAVING THE HOME.
I HAVE READ THIS
SCREEN AND UNDERSTAND THESE INSTRUCTIONS……………..3
Display {e_w_fill} = '
A WECEP '
Display {FormFill} = 'A
SIGNED PARENT PERMISSION TO CONTACT WECEP
FORM{S} {FOR BOTH CHILD AND TWIN}
Display {ELetterFill} = 'A
COMPLETED WECEP NOTIFICATION LETTER {FOR BOTH
CHILD AND TWIN}
or
Display {e_w_fill} =
' A WECEP '
Display {FormFill} = ' A SIGNED LEGAL
GUARDIAN PERMISSION TO CONTACT THE WRAP-AROUND EARLY CARE AND
EDUCATION PROVIDER (WECEP) IN THE ECLS-B KINDERGARTEN 2007 ROUND
FORM{S} {FOR BOTH CHILD AND TWIN}
Display {ELetterFill} = 'A
COMPLETED LEGAL GUARDIAN WECEP NOTIFICATION LETTER FOR {BOTH
CHILD AND TWIN}
If child or twin in HH and either of child or twin CM165 = yes or CM160a = yes or TeaConsent = yes then ask HaveTeach
HAVETEACH
ALERT:
{Tea_1_2Fill} WILL BE CREATED FOR THIS CASE!
VERIIFY THAT YOU
HAVE {TEACHfill} FOR {CHILD AND {TWIN}}
-CONFIRM
THAT THE CORRECT VERSION OF THE FORM WAS USED (TOP COPY IS
GOLD)
-AFFIX BAR CODE LABEL TO FORM(S).
-SHIP GOLD AND
YELLOW COPIES TO RTI ALONG WITH HOME VISIT MATERIALS.
VERIFY THAT YOU HAVE {TLetterFill} FOR {CHILD AND {TWIN}}
-CONFIRM
THAT THE CORRECT VERSION OF THE LETTER WAS USED (TOP COPY IS
GOLD)
-AFFIX BARCODE LABEL TO LETTER(S).
-SHIP GOLD AND
YELLOW COPIES TO RTI ALONG WITH HOME VISIT MATERIALS - DO NOT MAIL
TO TEACHER.
IF YOU HAVE ANY
QUESTIONS ABOUT WHICH FORMS TO USE OR THINK THAT THE COMPUTER HAS
MADE AN ERROR IN SPAWNING, PLEASE CONTACT YOUR FS BEFORE LEAVING THE
HOME.
I HAVE READ THIS SCREEN AND UNDERSTAND THESE INSTRUCTIONS……………5
DISPLAY {tea_1_2Fill} =
'A TEACHER INTERVIEW'
DISPLAY {TeachFill} = 'A
COMPLETED PARENT PERMISSION TO CONTACT TEACHER
FORM{S} FOR {BOTH CHILD AND TWIN}
DISPLAY {TLetterFill} = 'A
COMPLETED TEACHER NOTIFICATION LETTER FOR {BOTH
CHILD ANDTWIN}
IF { teacher for child,
but not for twin }
DISPLAY {Tea_1_2Fill} = ' A TEACHER
INTERVIEW '
DISPLAY {TeachFill} = 'A COMPLETED PARENT PERMISSION
TO CONTACT TEACHER FORM FOR {CHILD}
DISPLAY {TLetterFill} = 'A
COMPLETED TEACHER NOTIFICATION LETTER FOR {CHILD}
IF { no TEACHER for child, but one for twin }
DISPLAY {Tea_1_2Fill} =
' A TEACHER INTERVIEW '
DISPLAY {TeachFill} = 'A
COMPLETED PARENT PERMISSION TO CONTACT TEACHER FORM FOR
{TWIN}
DISPLAY {TLetterFill} = 'A COMPLETED TEACHER
NOTIFICATION LETTER FOR {TWIN}
IF RESPONDENT IS NOT LEGAL GURADIAN:
DISPLAY {tea_1_2Fill} =
'TEACHER INTERVIEW '
DISPLAY {TeachFill} = 'A
SIGNED LEGAL GUARDIAN PERMISSION TO CONTACT
CHILD’S TEACHER IN THE ECLS-B KINDERGARTEN 2007 ROUND FORM FOR
{BOTH CHILD AND TWIN}
DISPLAY {TLetterFill} = 'A
SIGNED LEGAL GUARDIAN WECEP NOTIFICATION LETTER FOR {BOTH CHILD
ANDTWIN}
IF { teacher for child,
but not for twin }
DISPLAY {Tea_1_2Fill} = ' A TEACHER
INTERVIEW '
DISPLAY {TeachFill} = ''A
SIGNED LEGAL GUARDIAN PERMISSION TO CONTACT
CHILD’S TEACHER IN THE ECLS-B KINDERGARTEN 2007 ROUND FORM FOR
{CHILD}
DISPLAY {TLetterFill} = ' A SIGNED LEGAL
GUARDIAN WECEP NOTIFICATION LETTER FOR {CHILD}
IF { no TEACHER for child, but one for twin }
DISPLAY {Tea_1_2Fill} =
' A TEACHER INTERVIEW '
DISPLAY {TeachFill} = ''A
SIGNED LEGAL GUARDIAN PERMISSION TO CONTACT
CHILD’S TEACHER IN THE ECLS-B KINDERGARTEN 2007 ROUND FORM FOR
{TWIN}
DISPLAY {TLetterFill} = ' A SIGNED
LEGAL GUARDIAN WECEP NOTIFICATION LETTER FOR {TWIN}
LF280. [COMMENTS] IF THERE WERE ANY UNUSUAL CIRCUMSTANCES WHILE CONDUCTING THE INTERVIEW WHICH MIGHT AFFECT THE DATA COLLECTED, PLEASE DESCRIBE THEM HERE.
[String length: 250.]
PRESS THE [INSERT] KEY TO OPEN THE COMMENT BOX.
AFTER YOU’VE ENTERED YOUR COMMENT, PRESS ALT-S TO CLOSE COMMENT BOX.
Review
END OF INTERVIEW.
IF THE INTERVIEW IS FINISHED, ENTER ‘1’ TO SAVE THE INTERVIEW AS FINAL.
IF THE INTERVIEW IS NOT FINISHED, ENTER ‘2’ TO SAVE THE INTERVIEW AS A BREAK-OFF.
INTERVIEW FINISHED……………………………..1
BREAK-OFF………………………………………….2
| File Type | application/msword |
| File Title | Section 1-IN: INTRODUCTION |
| Author | lmadrigal |
| Last Modified By | derecho |
| File Modified | 2007-10-26 |
| File Created | 2007-06-08 |
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