HHS/ACF/OPRE Head Start Classroom-based Approaches and Resources for Emotion and Social skill promotion (CARES) project: Impact and Implementation Studies- Follow-up Parent Survey

HHS/ACF/OPRE Head Start Classroom-based Approaches and Resources for Emotion and Social skill promotion (CARES) project: Impact and Implementation Studies

OMB CARES 2nd Package_Appendix A.5_Follow-up Parent Survey

HHS/ACF/OPRE Head Start Classroom-based Approaches and Resources for Emotion and Social skill promotion (CARES) project: Impact and Implementation Studies- Follow-up Parent Survey

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Appendix A.5: Head Start CARES Follow-up Parent Survey

PowerPlusWaterMarkObject357831064 Updated December 22, 2008




















FOLLOW-UP PARENT SURVEY FOR

HEAD START CARES



TABLE OF CONTENTS


3 Section A – Economic Outcomes (from Foundations of Learning)

  • Includes items on: marital status, schooling, employment information including salary, household income, public support received


7 Section B – Emotion-Related Parenting Styles Self-Test

  • Hakim-Larson, Parker, Lee, Goodwin, & Voelker (2006)

    • Shortened Dismissing/Disapproving and Emotion-Coaching subscales (5 items each) based on a recent factor analysis by Hakim-Larson.


8 Section C – Behavior Problems Index (BPI)

  • Zill & Peterson (1986)


10 Section D – Social Skills Rating System (SSRS): Social Skills Scale – Parent-Preschool items

  • Gresham & Elliot (1990)


11 Section E – School Performance

  • Select Items from New Hope 8-Year Follow-up Study


Section A – Demographic Characteristics


Parent Survey

(to be completed by Parent or Primary Caregiver of child enrolled in Head Start)


I am going to ask you some questions about yourself and your family. Your answers to my questions will be kept private.


1. What is your relationship to [CHILD]?


BIOLOGICAL MOTHER 1

BIOLOGICAL FATHER. 2

ADOPTIVE MOTHER. 3

ADOPTIVE FATHER. 4

STEPMOTHER. 5

STEPFATHER 6

GRANDMOTHER. 7

GRANDFATHER 8

GREAT GRANDMOTHER 9

GREAT GRANDFATHER 10

SISTER/STEPSISTER 11

BROTHER/STEPBROTHER 12

OTHER RELATIVE OR IN-LAW

(FEMALE) 13

OTHER RELATIVE OR IN-LAW

(MALE) 14

FOSTER PARENT (FEMALE) 15

FOSTER PARENT (MALE). 16

OTHER NON-RELATIVE (FEMALE) 17

OTHER NON-RELATIVE (MALE) 18

PARENT’S PARTNER (FEMALE) 19

PARENT’S PARTNER (MALE) 18

DON’T KNOW d

REFUSED r



2. Are you [CHILD]’s legal guardian?


YES 1

NO 0

DON’T KNOW d

REFUSED r





3. What is your marital status? (READ CATEGORIES AND HAVE THEM CHOOSE ONLY ONE)

1 Single

2 Married

3 Remarried

4 Living with partner (not married)

5 Divorced

6 Separated, OR

7 Widowed


4. Are you currently going to school?

1 Yes

0 No


Raising children is a really important job. Some parents work additionally outside the home for pay. The following questions help us to understand your family’s financial situation. All of your answers will be kept private and you should feel free to skip any questions you don’t feel comfortable answering.


5. Are you currently working for pay? By working, we mean a formal job – a job that has a pay stub, self-employment, or a casual pay job – a job that is “under the table” or “off the books.” Please don’t count unpaid experience.

1 Yes

2 Yes, currently on leave

3 No (skip to question # 17)

4 Laid off


6. At the job you work the most hours, what is your occupation? _____________________________


7. What is your hourly wage earned at this job?


$ ____ ____ ____ . ____ ____ PER HOUR


8. Including overtime, how many total hours per week do you usually work at your current job(s)?



_____________ HOURS PER WEEK



9. Do the number of hours you work from week to week change: (READ CATEGORIES)

1 a lot

2 a fair amount

3 a little, OR

4 hardly at all


10. Which of the following best describes your usual weekly work schedule at your job during the last month you worked? Did you work a: (READ CATEGORIES)

1 daytime shift-which is defined as: at least half the hours worked most days last month fell between 8am – 4pm

2 evening shift-which is defined as: at least half the hours worked most days last month fell between 4pm and midnight

3 night shift- which is defined as: at least half the hours worked most days last month fell between midnight and 8am

4 rotating shift- which is defined as: one that changes regularly from days to evenings to nights

5 split shift- which is defined as: one consisting of two distinct periods each day

6 an irregular schedule- which is defined as: one that changes from day to day, OR

7 something else (SPECIFY: ____________________________________________)


13. Does your usual schedule include working on a weekend day—Saturday or Sunday?

1 Yes

0 No



14. How far in advance do you know which hours or shift you will work? Do you know:

(READ CATEGORIES)

1 less than a week before you are scheduled to work

2 at least a week before you are scheduled to work

3 at least two weeks before you are scheduled to work

4 at least a month before you are scheduled to work

5 more than a month before you are scheduled to work, OR

6 something else (SPECIFY: ____________________________________________)


15. What was the total amount you earned from your job(s) last month, before taxes? Please include tips, commissions, and regular overtime pay.


$ ____ ____ ____ , ____ ____ ____ . ____ ____ PER MONTH

AMOUNT


16. To the best of your knowledge, what was the total amount earned by those adults in your household last month, before taxes? Please include tips, commissions, and regular overtime pay.


$ ____ ____ ____ , ____ ____ ____ . ____ ____ PER MONTH

AMOUNT


17. We would like to know about other kinds of income and support you and members of your household are currently receiving. Do you or any other household members currently receive:

Yes

No

  1. Child support or alimony?

1

2

  1. A check or income from TANF (formerly AFDC) for welfare for families with children?

1

2

  1. A check or income from General Assistance or General Relief?

1

2

  1. A check or income from Supplemental Security Income (SSI)?

1

2

  1. A check or income from Social Security Retirement, Disability (SSDI), or Survivor’s Benefits (SSA)?

1

2

  1. Unemployment insurance benefits?

1

2

  1. WIC vouchers?

1

2

  1. Food stamps?

1

2

  1. Medicaid or medical assistance?

1

2

  1. SCHIP (Child Health Plus) or other free health insurance for child

(SPECIFY:______________________________________________________________)

1

2

  1. Free or reduced lunch at school for your children?

1

2

  1. Temporary financial assistance for families who have a child with disabilities/special needs (Respite care/Family support)?

1

2

  1. Other

(SPECIFY:______________________________________________________________)

1

2




18. What was the total income of all members of your household including yourself from all sources in the last month and including Food Stamp benefits, before taxes? (IF RESPONDENT IS HAVING TROUBLE WITH THEIR ANSWER SAY: “YOUR BEST ESTIMATE IS FINE”)



$ ___ ___ ___ ,___ ___ ___

AMOUNT


19. What was the total income of all members of your household including yourself from all sources in the last year and including Food Stamp benefits, before taxes? (IF RESPONDENT IS HAVING TROUBLE WITH THEIR ANSWER SAY: “YOUR BEST ESTIMATE IS FINE”)


$ ___ ___ ___ ,___ ___ ___

AMOUNT


20. If your income were to stop suddenly, for how many weeks would you be able to cover your basic expenses (housing, food, car, etc.) on your current savings?



___________ WEEKS


Section B – Emotion-Related Parenting Styles Self-Test


  1. When my child is acting sad, he turns into a real brat.

  2. Children often act sad to get their way.

  3. I don’t mind dealing with a child’s sadness, so long as it doesn’t last too long.

  4. When my child is sad, I try to help the child explore what is making him sad.

  5. When my child is sad, we sit down to talk over the sadness.

  6. When my child is sad, I try to help him figure out why the feeling is there.

  7. When she gets sad, I warn her about not developing a bad character.

  8. When my child is angry, it’s time to solve a problem.

  9. When my child gets angry, my goal is to get him to stop.

  10. It’s important to help the child find out what caused the child’s anger.


Factor 1: Dismissing/Disapproving: Items 1,2,3,7,9

Factor 2: Emotion Coaching: Items 4,5,6,8,10


The Likert scale ranges from 1 (always false) to 5 (always true).
































Section C – Behavior Problems Index (BPI)









Section D – Social Skills Rating System (SSRS): Social Skills scale – Parent-Preschool items


My child…


  1. Follows instructions

  2. Helps you with household tasks without being asked

  3. Appropriately questions household rules that may be unfair

  4. Attempts household tasks before asking for your help

  5. Gives compliments to friends or other children in the family

  6. Participates in activities

  7. Politely refuses unreasonable requests from others

  8. Introduces herself or himself to new people without being told

  9. Uses free time at home in an acceptable way

  10. Asks permission before using another family member’s property

  11. Responds appropriately when hit or pushed by other children

  12. Volunteers to help family members with tasks

  13. Invites others to your home

  14. Avoids situations that are likely to result in trouble

  15. Starts conversations rather than waiting for others to talk first

  16. Keeps room clean and neat without being reminded

  17. Completes household tasks within a reasonable time

  18. Controls temper in conflict situations with you

  19. Controls temper when arguing with other children

  20. Expresses feelings when wronged

  21. Follows game rules

  22. Attends to instructions

  23. Shows interest in a variety of things

  24. Answers phone appropriately

  25. Makes friends easily

  26. Compromises in conflict situations

  27. Puts away toys or other household property

  28. Waits turn in games

  29. Receives criticism well

  30. Congratulates family members on accomplishments

  31. Follows rules

  32. Is self-confident in social situations such as parties or group outings

  33. Attends to speakers at meetings such as in church or youth groups

  34. Joins group activities without being told to

  35. Ends disagreements with you calmly

  36. Is liked by others

  37. Asks sales clerks for information or assistance

  38. Communicates problems

  39. Speaks in appropriate tone of voice at home


Each question is answered on a three-point scale: 0 – Never, 1 – Sometimes, 2 – Very Often


Section E – School Performance


  1. How well do you think your child is doing in his/her school work this year?


Not well at all


Below Average


Average


Well


Very Well


  1. Reading?


1


2


3


4


5


  1. Writing?


1


2


3


4


5


  1. Mathematics?


1


2


3


4


5


  1. Overall?


1


2


3


4


5


11


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