RECRUITMENT SCREENER
NHES Field Test
Hello, this is from _____________. We are conducting a brief, but important research study on children’s care and education sponsored by the U.S. Department of Education. This is strictly research. Your participation is voluntary and confidential, and you will receive no sales pitch or follow-up calls based on your participation. I’d like to ask you a few questions.
1. Are there any youth or children age 20 or younger living in this household?
1. Yes (Continue)
2. No (Go to question 8)
1A. Are you a parent or guardian to any of the youth or children living in this household?
Yes (continue)
No – ASK: May I speak to the parent or guardian?
Yes (when parent comes on the line, repeat the intro and start interview with 1A)
No (Go to question 8).
2. What ages are your children? (Mark all categories that apply.)
Under 2
2-6
Ages 7-20
If there are any children birth to age 6, start with question 3.
If all children are 7 or older, go to question 6.
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3. Is any/this child receiving care, regularly scheduled at least once a week, from a relative other than a parent, for example, from grandparents, brothers or sisters, or any other relatives? (RECRUIT AT LEAST 3.)
1. Yes (Continue)
2. No (Continue)
4. Is any/this child receiving care, regularly scheduled at least once a week, in a home from someone who is
not related to the child? (RECRUIT AT LEAST 3.)
1. Yes (Continue)
2. No (Continue)
5. Is any/this child attending a daycare center, preschool, or prekindergarten not in a private home,
regularly at least once a week? (RECRUIT AT LEAST 3.)
1. Yes (Continue)
2. No
If yes to any of the above questions (3-5) go to question 8 and recruit for ECPP.
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6. Is any/this child currently enrolled in a public school? (RECRUIT ABOUT 20).
1. Yes (Continue)
2. No (Continue)
7. Is any/this child currently enrolled in a private school? (RECRUIT ABOUT 10.)
1. Yes (Continue)
2. No (Repeat questions 6 and 7 for all children enrolled in kindergarten through 12th grade. If person
has no additional children, continue to question 8.)
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8. What is YOUR EDUCATION level? (RECRUIT A MIX; AT LEAST 5 W LESS THAN HS)
1. Less than High School (Continue)
2. High School Graduate (Continue)
3. Some College, trade, technical or vocational school (Continue)
4. College degree (Continue)
5. Graduate education (Continue)
9. Are you of either Hispanic or Latino origin? (RECRUIT AT LEAST 5 NON-WHITE)
1. Yes (Continue)
2. No (Continue)
10. What is your race? You may choose one or more…(RECRUIT AT LEAST 5 NON-WHITE)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
11. Are you a parent or guardian to a child with a health condition? (RECRUIT AT LEAST 2.)
(Examples: a specific learning disability, an
orthopedic impairment, a speech or language delay, a serious emotional disturbance, deafness or
another hearing impairment, blindness or another visual impairment not corrected with glasses, mental
retardation, autism, Attention Deficit Disorder, ADD or ADHD, Pervasive Developmental Disorder or PDD,
or another health impairment lasting 6 months or more. )
1. Yes (Continue)
2. No(Continue)
12. Have you participated in a focus group or in-depth interview about education in the past 12 months?
Yes (Thank and terminate)
No (Continue)
Based on your answers, we would like to invite you to participate in an additional interview (to discuss your children’s care and education). You will receive an honorarium of ($40) ($60) for participating in the interview. The interview is (one hour) (1.5 hours) in length and will be conducted at our office located in _______________.
We are conducting interviews on __________ and ___________. Are you available to participate in this research study?
|
CIRCLE |
|
Yes |
1 |
(CONTINUE AND GIVE DIRECTIONS) |
No |
2 |
(THANK AND TERMINATE) |
File Type | application/msword |
File Title | Hello, my name is ____________ and I am calling from the Gallup Organization |
Author | Alison Simon |
Last Modified By | #Administrator |
File Modified | 2010-03-10 |
File Created | 2010-03-10 |