Form A.1.1.a2 Survey

Appendix A A.1.1.a–7

Version 1/20/08 Visit Type: Enumeration

Target: Adult Household Member

Enumeration Visit: Section EN

EN001. First, I’d like to make sure I am at the correct address. Just to confirm, what is your address?

INTERVIEWER INSTRUCTION:

CONFIRM ADDRESS IF R PREVIOUSLY STATED IT IN INTERVIEW.

IF REFUSED, ATTEMPT TO CONVERT. IF FAIL, SELECT REFUSED.

IF DON’T KNOW, ASK TO SPEAK WITH ANOTHER ADULT HH MEMBER WHO KNOWS. IF CANNOT FIND ANOTHER ADULT WHO KNOWS, SELECT DON’T KNOW.

STREETNO: {StreetNo} PREDIR: {PreDir} STREET: {Street} STYPEID: {StTypeID} POSTDIR: {PostDir}

UNITYPEID: {UnitTypeID} UNITNO: {UnitNo}

CITY: {City}

STATE: {State}

ZIP CODE: {Zip} ZIPPLUS4: {ZipPlus4}

YES, CORRECT ADDRESS 1 (EN004)

YES (BUT WITH MINOR CORRECTIONS) 2 (EN003)

NO (WRONG ADDRESS) 3 (EN002)

REFUSED 9--97 (ENCLOSE6)

DON’T KNOW 9--98 (ENCLOSE6)

EN002. INTERVIEWER INSTRUCTION:

EXIT THE ENUMERATION AND SELECT THE CORRECT ADDRESS FROM YOUR ASSIGNMENT LIST. OR, IF ADDRESS IS NOT ON LIST, EXPLAIN TO R THAT YOU HAVE WRONG ADDRESS AND THANK R FOR HIS/HER TIME.

BOX EN00

• GO TO EN_END.

EN003. INTERVIEWER INSTRUCTION:

CONFIRM CORRECTIONS WITH RESPONDENT. ACCEPT CORRECT FIELDS AND EDIT INCORRECT FIELDS AS NECESSARY.

STREETNO: {StreetNo} PREDIR: {PreDir} STREET: {Street} STYPEID: {StTypeID} POSTDIR: {PostDir}

UNITYPEID: {UnitTypeID} UNITNO: {UnitNo}

CITY: {City}

STATE: {State}

ZIP CODE: {Zip} ZIPPLUS4: {ZipPlus4}

REFUSED 9--97

DON’T KNOW 9--98

EN004. Is this a private residence?

INTERVIEWER INSTRUCTION:

SELECT IF KNOWN.

IF REFUSED, ATTEMPT TO CONVERT. IF FAIL, SELECT REFUSED.

IF DON’T KNOW, ASK TO SPEAK WITH ANOTHER ADULT HH MEMBER WHO KNOWS. IF CANNOT FIND ANOTHER ADULT WHO KNOWS, SELECT DON’T KNOW.

YES 1 (EN012)

NO 2

REFUSED 9--97 (ENCLOSE6)

DON’T KNOW 9--98 (ENCLOSE6)

EN005. What type of place is this?

INTERVIEWER INSTRUCTION:

SELECT IF KNOWN.

IF REFUSED, ATTEMPT TO CONVERT. IF FAIL, SELECT REFUSED.

IF DON’T KNOW, ASK TO SPEAK WITH ANOTHER ADULT HH MEMBER WHO KNOWS. IF CANNOT FIND ANOTHER ADULT WHO KNOWS, SELECT DON’T KNOW.

SENIOR LIVING 1

MILITARY BARRACKS 2

RELIGIOUS QUARTERS 3

ON-CAMPUS STUDENT HOUSING 4

CORRECTIONAL FACILITY 5

HOMELESS SHELTER 6

GROUP HOME FOR MENTALLY ILL 7

JOB CORPS 8

DOMESTIC VIOLENCE SHELTER 9

HALFWAY HOUSE 10

OTHER 11

REFUSED 9--97

DON’T KNOW 9--98

EN006. What is the name of this place?

INTERVIEWER INSTRUCTION:

CONFIRM SPELLING.

___________________________________

NAME OF GROUP LIVING QUARTERS

REFUSED 9--97

DON’T KNOW 9--98

EN007. Since this building has group living quarters, I will need to talk to a manager or administrator. Is a manager or administrator available to speak with me now?

INTERVIEWER INSTRUCTION:

WAIT TO SPEAK WITH MANAGER OR ADMINISTRATOR BEFORE CONTINUING WITH NEXT QUESTION.

YES 1

NO 2 (ENCLOSE7)

REFUSED 9--97 (ENCLOSE7)

DON’T KNOW 9--98 (ENCLOSE7)

EN008. I have a few questions to see if anyone here may be eligible for the study. Can women between the ages of 18 and 49 live here?

YES 1

NO 2 (EN010)

REFUSED 9--97 (EN010)

DON’T KNOW 9--98 (EN010)

EN009. Can a pregnant woman living here have a baby and continue to live here?

YES 1

NO 2

REFUSED 9--97

DON’T KNOW 9--98

EN010. Are there any rooms at this address set aside for staff that would be considered their permanent residence?

YES 1

NO 2 (BOX EN01)

REFUSED 9--97 (BOX EN01)

DON’T KNOW 9--98 (BOX EN01)

EN010m. Can female staff between the ages of 18 and 49 live here?

YES 1

NO 2 (BOX EN01)

REFUSED 9--97 (BOX EN01)

DON’T KNOW 9--98 (BOX EN01)

EN010t. Can pregnant staff living here have a baby and continue to live here?

YES 1

NO 2

REFUSED 9--97

DON’T KNOW 9--98

BOX EN01

CHECK ITEM:

• IF STAFF ARE NOT PERMANENT RESIDENTS AND NO WOMEN 18 –49 LIVING IN GROUP QUARTERS, GO TO ENCLOSE8.

• IF STAFF ARE NOT PERMANENT RESIDENTS AND WOMEN WHO HAVE A BABY CANNOT CONTINUE TO LIVE IN QUARTERS, GO TO ENCLOSE8.

• IF STAFF ARE PERMANENT RESIDENTS AND STAFF CAN BE WOMEN 18–49 AND HAVE A BABY AND CONTINUE TO LIVE THERE AND NO WOMEN 18–49 LIVING IN GROUP QUARTERS, GO TO EN011.

• IF STAFF ARE PERMANENT RESIDENTS AND STAFF CAN BE WOMEN 18–49 AND HAVE A BABY AND CONTINUE TO LIVE THERE AND WOMEN WHO HAVE A BABY CANNOT CONTINUE TO LIVE IN QUARTERS, GO TO EN011.

• OTHERWISE, GO TO EN012.

EN011. The residents living here are not eligible to take part in the Study, but the staff members who live here permanently may be. I need to ask some additional questions. When answering the following questions think only about the staff who live here and considers this their permanent residence.

EN012. IS RESPONDENT MALE OR FEMALE?

INTERVIEWER INSTRUCTION:

SELECT BY OBSERVATION.

MALE 1

FEMALE 2

EN013. To determine whether anyone in this household is eligible for this important study, I’d like to get some information about the people who live here. First, how many adults 18 or older live in this household, including any persons who usually stay here but are temporarily away on business, vacation, in the hospital, on full-time active military duty or students living temporarily away from home. Do not include anyone who is in a nursing home or other institution. (Including yourself, what/What) is the total number of adults age 18 or older who live here?

INTERVIEWER INSTRUCTION:

IF REFUSED, ATTEMPT TO CONVERT. IF FAIL, SELECT REFUSED.

IF DON’T KNOW, ASK TO SPEAK WITH ANOTHER ADULT HH MEMBER WHO KNOWS. IF CANNOT FIND ANOTHER ADULT WHO KNOWS, SELECT DON’T KNOW.

|___|___|

NUMBER OF ADULTS IN HOUSEHOLD

REFUSED 9--97 (ENCLOSE6)

DON’T KNOW 9--98 (ENCLOSE6)

EN014. (Including yourself, how/How) many men 18 years or older live here?

INTERVIEWER INSTRUCTION:

IF REFUSED, ATTEMPT TO CONVERT. IF FAIL, SELECT REFUSED.

IF DON’T KNOW, ASK TO SPEAK WITH ANOTHER ADULT HH MEMBER WHO KNOWS. IF CANNOT FIND ANOTHER ADULT WHO KNOWS, SELECT DON’T KNOW.

|___|___|

NUMBER OF ADULT MALES

REFUSED 9--97 (ENCLOSE6)

DON’T KNOW 9--98 (ENCLOSE6)

EN015. (Including yourself, how/How) many women 18 years or older live here.

INTERVIEWER INSTRUCTION:

IF REFUSED, ATTEMPT TO CONVERT. IF FAIL, SELECT REFUSED.

IF DON’T KNOW, ASK TO SPEAK WITH ANOTHER ADULT HH MEMBER WHO KNOWS. IF CANNOT FIND ANOTHER ADULT WHO KNOWS, SELECT DON’T KNOW.

|___|___|

NUMBER OF ADULT FEMALES

REFUSED 9--97 (ENCLOSE6)

DON’T KNOW 9--98 (ENCLOSE6)

BOX EN02

CHECK ITEM:

• IF ONE OR MORE WOMEN 18 OR OLDER LIVING IN HOUSEHOLD (EN015 >= “1”) CONTINUE WITH EN016.

• IF NO WOMEN 18 AND OLDER IN HOUSEHOLD (EN015 = “0”), GO TO EN027.

EN016. This study is looking at children’s health, including development before birth. We are interested in women between 18 and 49. You just told me about the women 18 and older in this household, now think of only the women 18 to 49. (Including yourself, how/How) many women 18 to 49 live here?

INTERVIEWER INSTRUCTION:

IF REFUSED, ATTEMPT TO CONVERT. IF FAIL, SELECT REFUSED.

IF DON’T KNOW, ASK TO SPEAK WITH ANOTHER ADULT HH MEMBER WHO KNOWS. IF CANNOT FIND ANOTHER ADULT WHO KNOWS, SELECT DON’T KNOW.

|___|___|

NUMBER OF WOMEN 18 TO 49

REFUSED 9--97 (ENCLOSE6)

DON’T KNOW 9--98 (ENCLOSE6)

BOX EN03

CHECK ITEM:

• IF ONE OR MORE WOMEN 18–49 LIVING IN HOUSEHOLD (EN016 >= “1”), CONTINUE WITH EN017.

• IF NO WOMEN 18–49 LIVING IN HOUSEHOLD (EN016 = “0”), GO TO EN027.

EN017. Now, I have a few questions about the {woman who is/women who are} 18 to 49. This information will help us to determine whether {she/they} may be eligible to take part in the National Children’s Study. {Let’s start with the oldest woman first.}

HH WOMEN ENUMERATION GRID—QUESTIONS EN018–EN021

EN018. NAME: What is (her/your/the next woman’s) first name? EN019. AGE: How old (is she/are you)? EN020. RELATIONSHIP: How is she related to you? EN021. PREGNANT: Since this is a study of children’s health, it is important to identify pregnant women. (Is she/Are you) pregnant? INTERVIEWER INSTRUCTION: NAME: COLLECT UNIQUE NAME. RELATIONSHIP: IF R IS BEING ENUMERATED, SELECT “SELF” WITHOUT ASKING. PREGNANT: COLLECT PREGNANCY STATUS. CONFIRM IF PREVIOUSLY REPORTED.
EN018. NAME __________________ UNIQUE FIRST NAME REFUSED 9--97 DON’T KNOW 9--98	EN019. AGE |__|__| AGE REFUSED 9--97 DON’T KNOW 9--98	EN020. RELATIONSHIP SELF 1 WIFE 2 DAUGHTER 3 GRANDDAUGHTER 4 MOTHER 5 GRANDMOTHER 6 SISTER 7 PARTNER 8 ROOMMATE 9 OTHER RELATIVE 10 OTHER NON-RELATIVE 11 REFUSED 9--97 DON’T KNOW 9--98	EN021. PREGNANT YES 1 NO 2 REFUSED 9--97 DON’T KNOW 9--98

BOX EN04

PROGRAMMER INSTRUCTION:

IF ANY WOMEN <18 OR >49 YEARS LIVING IN HOUSEHOLD (EN019 < 18 OR > 49) AND NOT PREGNANT (EN021 NE “1” FOR THE SAME WOMAN), DISPLAY THE FOLLOWING ERROR MESSAGE: “Women who are <18 or >49 years old should not be entered on the grid unless they are pregnant. Please back up and confirm age and pregnancy status. Delete name for any non-eligible women.”

EN022. I have recorded that there {is one woman living here who is between 18 and 49 /are {NUMBER} women living here who are between 18 and 49: (READ NAME(S) BELOW) {and yourself}}. This number should include all women 18 to 49 who usually live here, even those who may be temporarily away, such as away on business, on vacation, on active military duty, in a hospital, or in school. Is this correct?

YES, ALL WOMEN INCLUDED 1

NO, THE NUMBER OF WOMEN IS INCORRECT 2

REFUSED 9--97

DON’T KNOW 9--98

BOX EN05

PROGRAMMER INSTRUCTION:

• IF INCORRECT NUMBER (EN022 = “2”), DISPLAY THE FOLLOWING MESSAGE: “The R has indicated that the enumeration grid is not correct. The computer will return to the grid to allow you to change the names, ages, relationships and pregnancy status.”

BOX EN06

CHECK ITEM:

• IF INCORRECT NUMBER (EN022 = “2”), AFTER INTERVIEWER CLEARS THE MESSAGE, GO TO EN023. ALLOW INTERVIEWER TO EDIT AND/OR ADD RECORDS TO HH WOMEN ENUMERATION GRID (EN023–EN026).

HH WOMENENUMERATION GRID—QUESTIONS EN023–EN026

EN023. NAME: What is (her/your/the next woman’s) first name? EN024. AGE: How old (is she/are you)? EN025. RELATIONSHIP: How is she related to you? EN026. PREGNANT: Since this is a study of children’s health, it is important to identify pregnant women. (Is she/Are you) pregnant? INTERVIEWER INSTRUCTION: NAME: COLLECT UNIQUE NAME. RELATIONSHIP: IF R IS BEING ENUMERATED, SELECT “SELF” WITHOUT ASKING. PREGNANT: COLLECT PREGNANCY STATUS. CONFIRM IF PREVIOUSLY REPORTED.
EN023. NAME __________________ UNIQUE FIRST NAME REFUSED 9--97 DON’T KNOW 9--98	EN024. AGE |__|__| AGE REFUSED 9--97 DON’T KNOW 9--98	EN025. RELATIONSHIP SELF 1 WIFE 2 DAUGHTER 3 GRANDDAUGHTER 4 MOTHER 5 GRANDMOTHER 6 SISTER 7 PARTNER 8 ROOMMATE 9 OTHER RELATIVE 10 OTHER NON-RELATIVE 11 REFUSED 9--97 DON’T KNOW 9--98	EN026. PREGNANT YES 1 NO 2 REFUSED 9--97 DON’T KNOW 9--98

BOX EN07

PROGRAMMER INSTRUCTION:

IF ANY WOMEN <18 OR >49 YEARS LIVING IN HOUSEHOLD (EN024 < 18 OR > 49) AND NOT PREGNANT (EN026 NE “1”) FOR THE SAME WOMAN), DISPLAY THE FOLLOWING ERROR MESSAGE: “Women who are <18 or >49 years old should not be entered on the grid unless they are pregnant. Please back up and confirm age and pregnancy status. Delete name for any non-eligible women.”

EN027. We’ve just been talking about the women in your household who are 18 {to 49/or older}. Now I want you to think about all of the females living in this household. {You’ve already told me {READ NAMES BELOW} {is/are} pregnant/ you are pregnant}. Are there any females in this household who are pregnant {that we have not already talked about}?

ADDITIONAL PREGNANT FEMALES IN HOUSEHOLD 1

NO ADDITIONAL PREGNANT FEMALES IN HOUSEHOLD 2

NO FEMALES OF ANY AGE IN HOUSEHOLD 3

RECORD OF PREGNANT FEMALE(S) IN GRID IS INACCURATE 4

REFUSED 9--97

DON’T KNOW 9--98

BOX EN08

PROGRAMMER INSTRUCTION:

• IF YES, THERE ARE ADDITIONAL PREGNANT FEMALES (EN027 = “1”), DISPLAY THE FOLLOWING MESSAGE: “The R has indicated that there is at least one additional eligible woman living in the household. The computer will return to the enumeration grid to allow you to add the additional pregnant female(s).”

• IF RECORD OF PREGNANT FEMALES IN GRID INACCURATE (EN027 = “4”), DISPLAY THE FOLLOWING MESSAGE: “The R has indicated that the pregnancy status is not accurate for at least one of the females in the grid. The computer will return to the enumeration grid to allow you to correct this.”

BOX EN09

CHECK ITEM:

• IF THERE WERE ADDITIONAL WOMEN (EN027 = “1”) OR RECORD OF PREGNANT FEMALES IS INACCURATE FOR AT LEAST ONE RECORD (EN027 = “4”), AFTER INTERVIEWER CLEARS THE MESSAGE, GO TO EN028. ALLOW INTERVIEWER TO ADD OR CHANGE RECORDS IN HH WOMEN ENUMERATION GRID (EN028–EN031).

• OTHERWISE, GO TO EN032.

HH WOMEN ENUMERATION GRID—QUESTIONS EN028–EN031

EN028. NAME: What is (her/your/the next woman’s) first name? EN029. AGE: How old (is she/are you)? EN030. RELATIONSHIP: How is she related to you? EN031. PREGNANT: Since this is a study of children’s health, it is important to identify pregnant women. (Is she/Are you) pregnant? INTERVIEWER INSTRUCTION: NAME: COLLECT UNIQUE NAME. RELATIONSHIP: IF R IS BEING ENUMERATED, SELECT “SELF” WITHOUT ASKING. PREGNANT: COLLECT PREGNANCY STATUS. CONFIRM IF PREVIOUSLY REPORTED.
EN028. NAME __________________ UNIQUE FIRST NAME REFUSED 9—97 DON’T KNOW 9--98	EN029. AGE |__|__| AGE REFUSED 9--97 DON’T KNOW 9--98	EN030. RELATIONSHIP SELF 1 WIFE 2 DAUGHTER 3 GRANDDAUGHTER 4 MOTHER 5 GRANDMOTHER 6 SISTER 7 PARTNER 8 ROOMMATE 9 OTHER RELATIVE 10 OTHER NON-RELATIVE 11 REFUSED 9--97 DON’T KNOW 9--98	EN031. PREGNANT YES 1 NO 2 REFUSED 9--97 DON’T KNOW 9--98

BOX EN10

PROGRAMMER INSTRUCTION:

IF ANY WOMEN <18 OR >49 YEARS LIVING IN HOUSEHOLD (EN029 < 18 OR > 49) AND NOT PREGNANT (EN031 NE “1” FOR THE SAME WOMAN), DISPLAY THE FOLLOWING ERROR MESSAGE: “Women who are <18 or >49 years old should not be entered on the grid unless they are pregnant. Please back up and confirm age and pregnancy status. Delete name for any non-eligible women.”

EN032. INTERVIEWER INSTRUCTION:

SELECT BELOW BY OBSERVATION. IF UNSURE SELECT SINGLE-FAMILY HOME.

SINGLE-FAMILY HOME 1

GROUP QUARTERS 2

MULTI UNIT 3 (EN035)

REFUSED 9--97 (EN036)

DON’T KNOW 9--98 (EN036)

EN033. I want to be sure that every household in this area has been given a chance to participate in this important study. Are there any other living quarters here such as a basement apartment?

YES 1

NO 2 (EN036)

REFUSED 9--97 (EN036)

DON’T KNOW 9--98 (EN036)

EN034. Where is this unit located?

INTERVIEWER INSTRUCTION:

CONFIRM IF KNOWN. RECORD UNIT ADDRESS OR LOCATION/DESCRIPTION ON LISTING NOTES FORM. CONFIRM UNIT IS NOT ALREADY LISTED AFTER COMPLETING THE ENUMERATION.

LOCATION ENTERED ON LISTING NOTES FORM 1 (EN036)

REFUSED 9--97 (EN036)

DON’T KNOW 9--98 (EN036)

EN035. INTERVIEWER INSTRUCTION:

IS THIS THE FIRST UNIT IN BUILDING?

YES (COME BACK TO HIDDEN DU PROCEDURE) 1

NO (HIDDEN DU PROCEDURE NOT REQUIRED) 2

EN036. I have a few more questions for you so that my supervisor can check my work. What is your first and last name?

INTERVIEWER INSTRUCTION:

CONFIRM FIRST NAME IF KNOWN.

_________________________

FIRST NAME

_________________________

LAST NAME

REFUSED 9--97

DON’T KNOW 9--98

EN037. And what’s the best phone number to reach you?

|__|__|__| |__|__|__| -- |__|__|__|__|

PHONE NUMBER

REFUSED 9--97 (BOX EN11)

DON’T KNOW 9--98 (BOX EN11)

EN038. Is this your home, work, cell, or another phone number?

INTERVIEWER INSTRUCTION:

CONFIRM IF KNOWN.

HOME 1

WORK 2

CELL 3

FRIEND/RELATIVE (SPECIFY): 4

OTHER (SPECIFY): 5

REFUSED 9--97

DON’T KNOW 9--98

BOX EN11

CHECK ITEM:

• IF GROUP LIVING QUARTERS (EN004 = “2”), GO TO BOX EN12.

• IF PRIVATE RESIDENCE (EN004 = ”1”) AND R PROVIDED HOME PHONE NUMBER (EN038 = “1”), GO TO EN040.

• OTHERWISE, GO TO EN039.

EN039. What is your home telephone number?

|__|__|__| |__|__|__| -- |__|__|__|__|

PHONE NUMBER

NONE/NO LAND LINE 9--90

REFUSED 9--97

DON’T KNOW 9--98

EN040. For my records, I just have a few more questions. Are you Hispanic or (Latino/Latina)?

YES 1

NO 2

REFUSED 9--97

DON’T KNOW 9--98

EN041. And, please tell me which of the following categories describes your race. You may select more than one.

INTERVIEWER INSTRUCTION:

SELECT ALL THAT APPLY.

White 1

Black or African American 2

Asian 3

Native Hawaiian or Other Pacific Islander 4

American Indian or Alaska Native 5

Some other race (SPECIFY): 6

REFUSED 9--97

DON’T KNOW 9--98

BOX EN12

CHECK ITEM:

• IF R IS ELIGIBLE WOMAN AND THERE ARE NO PREGNANT WOMEN UNDER 18 IN HOUSEHOLD, GO TO ENCLOSE2.

• IF R IS NOT ELIGIBLE WOMAN AND THERE ARE NO PREGNANT WOMEN UNDER 18 IN HOUSEHOLD, GO TO ENCLOSE3.

• IF R IS AN ELIGIBLE WOMAN AND THERE IS AT LEAST 1 PREGNANT WOMAN UNDER 18 IN HOUSEHOLD, GO TO ENCLOSE4.

• IF R IS NOT AN ELIGIBLE WOMAN AND THERE IS AT LEAST 1 PREGNANT WOMAN UNDER 18 IN HOUSEHOLD, GO TO ENCLOSE5.

• OTHERWISE, IF NO ELIGIBLE WOMEN IN HOUSEHOLD, GO TO ENCLOSE1.

ENCLOSE1. Thank you for your time. At this point, it looks like no one in this household is eligible for this study. We will check back with you again in a few years to see if this has changed.

BOX EN13

GO TO EN_END.

ENCLOSE2. Thank you for your time. Based on our conversation I need to ask {(READ NAMES BELOW) and} you} a few more questions. This should only take about 5 minutes.

The National Children’s Study is asking women questions to get information about pregnancy and to find out who is eligible to be in the Study. Answering the questions does not mean that you agree to be in the Study. Only a small number of women who answer these questions will be eligible to be in the Study. If you are in one of the groups needed for the Study, we will give you more information so you can decide if you want to be in the Study. If you are not in one of the groups needed for the Study at this time, we may use the answers you give us, and we may call you back at a later date to see if anything has changed.

{Some people may consider questions about pregnancy to be personal, so we will give you choices on how you would like to listen to the questions. You can listen to the questions privately using headphones, or you can listen without headphones, or I can read the questions to you. You will enter your answers directly into the computer without telling me your answers. The computer will determine if you are eligible for the Study.

It would be best if you could sit down in a chair or at a table while answering these questions. Please let me know where a comfortable spot would be to get you set up.}

INTERVIEWER INSTRUCTION:

• LAUNCH AND BEGIN PREGNANCY SCREENER WITH R.

• IF R IS NOT AVAILABLE OR PREGNANCY SCREENER IS FINISHED, DETERMINE IF ANY ADDITIONAL ELIGIBLE WOMEN ARE ABLE TO COMPLETE PREGNANCY SCREENER.

• IF UNCOMPLETED PREGNANCY SCREENERS, DETERMINE TIME TO RETURN WHEN ELIGIBLE WOMEN AVAILABLE, LAST NAME(S) AND BEST TELEPHONE NUMBER(S) AND ENTER INTO PREGNANCY SCREENER EROC.

• THANK R, GIVE COPY OF STUDY BROCHURE, AND LEAVE HOUSEHOLD.

BOX EN14

• GO TO EN_END

ENCLOSE3. Thank you for your time. Based on our conversation I need to ask {READ NAMES BELOW} a few questions. This will take about 5 minutes. {Is she/Are either of them/Are any of them} available?

INTERVIEWER INSTRUCTION:

• IF ELIGIBLE WOMAN AVAILABLE AGE 18 OR OLDER, LAUNCH AND BEGIN PREGNANCY SCREENER.

• IF ELIGIBLE WOMAN IS NOT AVAILABLE, DETERMINE IF ADDITIONAL ELIGIBLE WOMEN ARE ABLE TO COMPLETE PREGNANCY SCREENER.

• IF INCOMPLETE PREGNANCY SCREENERS, DETERMINE TIME TO RETURN WHEN ELIGIBLE WOMEN AVAILABLE, LAST NAME(S) AND BEST TELEPHONE NUMBER(S) AND ENTER INTO PREGNANCY SCREENER EROC.

• THANK R, GIVE COPY OF STUDY BROCHURE, AND LEAVE HOUSEHOLD.

BOX EN15

• GO TO EN_END

ENCLOSE4. Thank you for your time. Based on our conversation, here’s what I need to do next. First, I need to ask you a few more questions. Then, since (READ NAMES OF UNDER 18 ELIGIBLE FEMALE(S) BELOW) {is/are} under 18, I will also need to speak with {her/their} parent or legal guardian. {After that, I will need to speak with (READ NAMES OF ELIGIBLE WOMEN 18 AND OLDER BELOW).}

Let’s start with you. This should take about 5 minutes. The National Children’s Study is asking women questions to get information about pregnancy and to find out who is eligible to be in the Study. Answering the questions does not mean that you agree to be in the Study. Only a small number of women who answer these questions will be eligible to be in the Study. If you are in one of the groups needed for the Study, we will give you more information so you can decide if you want to be in the Study. If you are not in one of the groups needed for the Study at this time, we may use the answers you give us, and we may call you back at a later date to see if anything has changed.

{Some people may consider questions about pregnancy to be personal, so we will give you choices on how you would like to listen to the questions. You can listen to the questions privately using headphones, or you can listen without headphones, or I can read the questions to you. You will enter your answers directly into the computer without telling me your answers. The computer will determine if you are eligible for the Study.

It would be best if you could sit down in a chair or at a table for this. Please let me know where a comfortable spot would be to get you set up.}

INTERVIEWER INSTRUCTION:

• LAUNCH AND BEGIN PREGNANCY SCREENER WITH R.

• WHEN COMPLETE OR IF R NOT AVAILABLE, ASK TO SPEAK WITH PARENT OR LEGAL GUARDIAN OF ELIGIBLE FEMALE UNDER 18 AND LAUNCH PREGNANCY SCREENER WITH PARENT AS PROXY.

• IF PARENT OR LEGAL GUARDIAN OF ELIGIBLE FEMALE UNDER 18 IS NOT AVAILABLE OR IF PREGNANCY SCREENER COMPLETE, DETERMINE IF ANY ADDITIONAL ELIGIBLE WOMEN ARE ABLE TO COMPLETE PREGNANCY SCREENER.

• IF INCOMPLETE PREGNANCY SCREENERS, DETERMINE TIME TO RETURN WHEN ELIGIBLE WOMEN AVAILABLE, LAST NAME(S) AND BEST TELEPHONE NUMBER(S) AND ENTER INTO PREGNANCY SCREENER EROC.

• THANK R, GIVE COPY OF STUDY BROCHURE, AND LEAVE HOUSEHOLD.

BOX EN16

• GO TO EN_END

ENCLOSE5. Thank you for your time. Based on our conversation, I will first need to speak with the parent or guardian of {READ NAMES OF UNDER 18 ELIGIBLE FEMALE(S) BELOW}. {I then need to ask {READ NAMES OF ELIGIBLE WOMEN 18 AND OLDER BELOW } a few questions.} {Is her parent or legal guardian available/Is one of their parents or a legal guardian available/Is the parent or guardian of {READ NAMES OF UNDER 18 ELIGIBLE FEMALE(S) BELOW} available}? This will take about 5 minutes.

INTERVIEWER INSTRUCTION:

• LAUNCH AND BEGIN PREGNANCY SCREENER WITH PARENT OR LEGAL GUARDIAN OF ELIGIBLE FEMALE UNDER 18.

• IF PARENT OR LEGAL GUARDIAN OF ELIGIBLE FEMALE UNDER 18 IS NOT AVAILABLE OR PREGNANCY SCREENER COMPLETE, DETERMINE IF ADDITIONAL ELIGIBLE WOMEN ARE ABLE TO COMPLETE PREGNANCY SCREENER.

• IF INCOMPLETE PREGNANCY SCREENERS, DETERMINE TIME TO RETURN WHEN ELIGIBLE WOMEN AVAILABLE, LAST NAME(S) AND BEST TELEPHONE NUMBER(S) AND ENTER INTO PREGNANCY SCREENER EROC.

• THANK R, GIVE COPY OF STUDY BROCHURE, AND LEAVE HOUSEHOLD.

BOX EN17

• GO TO EN_END

ENCLOSE6. Thank you for your time.

INTERVIEWER INSTRUCTION:

• ENTER IN EROC AND NIRF.

BOX EN18

• GO TO EN_END

ENCLOSE7. Thank you for your time. When would be a good time to come back to speak with the (manager or administrator)?

INTERVIEWER INSTRUCTION:

• RECORD TIME AND DAYS MANAGER OR ADMINISTRATOR AVAILABLE

• ENTER IN EROC

BOX EN19

• GO TO EN_END

ENCLOSE8. Thank you for your time. At this point, it looks like no one in this household is eligible for this study.

EN_END

• SET ENUMERATION COMPONENT STATUS.

• END ENUMERATION.