NHES Topical Interview ECPP

National Household Education Surveys Program (NHES: 2011/2012) Field Test

NHES 2011 mainline ECPP

NHES Topical Interview ECPP

OMB: 1850-0768

Document [docx]
Download: docx | pdf







2009 National Household Education Surveys Program




Early Childhood Program Participation Survey




















Revised: August 27, 2010


National Household Education Survey

Our Children’s Future: A Survey of Young Children’s Care and Education


Shape1 Shape2




Thank you for helping us with this survey. Based on the information we received from your household in your last survey, we’re asking you to complete this final step.





Sponsored by


U.S. Department of Education

National Center for Education Statistics

Shape3









Instructions

  • In response to the survey you answered earlier, we recorded that the child/youth listed below has not yet started kindergarten. If this child is attending public or private school or is homeschooled for kindergarten through 12th grade or equivalent, please call us at the toll-free number below so we can be sure you received the correct survey.


  • These questions should be filled in by a parent or guardian who knows about:


{SAMPLED CHILD}


Please answer all the survey questions thinking about this child or youth.


  • To answer a question, simply mark the box that best represents your answer.


  • Please use a black or blue pen, if available, to complete this survey.


  • If this questionnaire has been sent to the wrong household or the child/youth listed above does not live here, please call to let us know.


  • Our toll-free number is 1-888-880-3033.








We are authorized to collect this information by Section 9543, 20 US Code. You do not have to provide the information requested. However, the information you provide will help the Department of Education’s ongoing efforts to learn more about the educational experiences of children and families. There are no penalties should you choose not to participate in this study. Your answers may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law (Section 9573, 20 US Code). Your responses will be combined with those from other participants to produce summary statistics and reports.


This survey is estimated to take an average of 20 minutes, including time for reviewing instructions and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: Andrew Zukerberg, National Center for Education Statistics, U.S. Department of Education, 1990 K Street NW, Room 9036, Washington, DC 20006-5650. Do not return the completed form to this address.



1. Childhood Care and Programs

Thank you for your help with the previous survey your household completed.

Answer all the survey questions thinking about the child listed below:

{SAMPLED CHILD}

Care Your Child Receives from Relatives

These questions ask about different types of child care this child may now receive on a regular basis from someone other than his/her parents or guardians.

1. Is this child now receiving care from a relative other than a parent on a regular basis, for example, from grandparents, brothers or sisters, or any other relatives?

      • NShape4 o GO TO question 17.

      • YShape5 es

2. Are any of these care arrangements regularly scheduled at least once a week?

      • NShape6 o GO TO question 17.

      • YShape7 es

3. These next questions are about the care that this child receives from the relative who provides the most care. How is that relative related to this child?

Mark [X] ONE only.

      • Grandmother/Grandfather

      • Aunt /Uncle

      • Brother /Sister

      • Another relative


4. How old is the relative who provides the most care to this child?

|__|__|

age

5. Is this care provided in your home or another home?

      • Own home

      • Other home

      • Both

6. How many days each week does this child receive care from this relative?

|__| days each week

7. How many hours each week does this child receive care from this relative?

|__|__| hours each week

8. How old was this child in years and months when this particular regular care arrangement with this relative began?

|___| years |___|___| months

9. What language does this relative speak most when caring for this child?

      • English

      • Spanish

      • A language other than English or Spanish

      • English and Spanish equally

      • English and another language equally



10. Will this relative care for this child when the child is…



Yes

No

a.

Sick but does not have a fever?

b.

Sick and has a fever?

11. Is there any charge or fee for the care this child receives from this relative, paid either by you or some other person or agency?

  • YShape9 Shape8 es

  • NShape10 o GO TO question 15.

12. Do any of the following people, programs, or organizations help pay for this relative to care for this child?

Mark [X] ONE box for each item below.



Yes

No

a.

A relative of this child outside your household who provides money specifically for that care, not including general child support

b.

Temporary Assistance for Needy Families, or TANF

c.

Another social service, welfare, or child care agency

d.

An employer, not including a tax-free spending account for child care

e.

Someone else

13. How much does your household pay for this relative to care for this child, not counting any money that may be received from others to help pay for care?

Write ‘0’ if your household does not pay this relative for care.

$Shape11 |__|__|__|__|__|.00

Is that amount per…

      • Hour

      • Day

      • Week

      • Month

      • Year

      • Every 2 weeks

      • OShape12 ther Specify:

14. How many children from your household is this amount for, including this child?

      • This child only

      • 2 children

      • 3 children

      • 4 children

      • 5 or more children

15. Does this child have any other care arrangements with a relative on a regular basis?

  • YShape14 Shape13 es

  • NShape15 o GO TO question 17.

16. How many total hours each week does this child spend in those other care arrangements with relatives?

|__|__| hours each week



Care Your Child Receives from Non-relatives

The next questions ask about any care this child receives from someone not related to him/her, either in your home or someone else’s home. This includes home child care providers or neighbors, but not day care centers or preschools.

17. Is this child now receiving care in your home or another home on a regular basis from someone who is not related to him/her?

      • NShape16 o GO TO question 34.

      • YShape17 es

18. Are any of these care arrangements regularly scheduled at least once a week?

      • NShape18 o GO TO question 34.

      • YShape19 es

19. These next questions are about the care that this child receives from someone who is not related to him/her who provides the most care.

Is this care provided in your own home or in another home?

      • Own home

      • OShape20 ther home GO TO

      • Both question 21.

20. Does this person who cares for this child live in your household?

      • Yes

      • No

21. How many days each week does this child receive care from this person?

|__| days each week


22. How many hours each week does this child receive care from this person?

|__|__| hours each week

23. How old was this child in years and months when this particular regular care arrangement with this person began?

|___| years |___|___| months

24. Was this care provider someone you already knew?

      • Yes

      • No

25. Is this child’s care provider age 18 or older?

      • Yes

      • No

26. What language does this care provider speak most when caring for this child?

      • English

      • Spanish

      • A language other than English or Spanish

      • English and Spanish equally

      • English and another language equally

27. Will this care provider care for this child when this child is…



Yes

No

a.

Sick but does not have a fever?

b.

Sick and has a fever?


28. Is there any charge or fee for the care this child receives from this care provider, paid either by you or some other person or agency?

  • YShape22 Shape21 es

  • NShape23 o GO TO question 32.

29. Do any of the following people, programs, or organizations help pay for this person to care for this child?

Mark [X] ONE box for each item below.



Yes

No

a.

A relative of this child outside your household who provides money specifically for that care, not including general child support

b.

Temporary Assistance for Needy Families, or TANF

c.

Another social service, welfare, or child care agency

d.

An employer, not including a tax-free spending account for child care

e.

Someone else

30. How much does your household pay for this person to care for this child, not counting any money that may be received from others to help pay for care?

Write ‘0’ if your household does not pay this non-relative for care.

$Shape24 |__|__|__|__|__|.00

Is that amount per…

      • Hour

      • Day

      • Week

      • Month

      • Year

      • Every 2 weeks

      • OShape25 ther Specify:

31. How many children from your household is this amount for, including this child?

      • This child only

      • 2 children

      • 3 children

      • 4 children

      • 5 or more children

32. Does this child have any other care arrangements with someone who is not a relative on a regular basis? Do not include arrangements at day care centers or preschools.

      • YShape27 Shape26 es

      • NShape28 o GO TO question 34.

33. How many total hours each week does this child spend in those other care arrangements with non-relatives?

|__|__| hours each week


Day Care Centers and Preschool Programs Your Child Attends

The next questions ask about any day care centers and early childhood programs that this child attends. This does not include care provided in a private home.

34. Is this child now attending a day care center, preschool, or prekindergarten not in a private home?

      • NShape29 o GO TO question 51.

      • YShape30 es

35. Does this child go to a day care center, preschool, or prekindergarten, at least once each week?

      • NShape31 o GO TO question 51.

      • YShape32 es

36. The next questions ask about the program where this child spends the most time. Where is this program located?

Mark [X] ONE only.

      • Church, synagogue, or other place of worship

      • Public preschool or school (K-12)

      • Private preschool or school (K-12)

      • College or university

      • Community center

      • Public library

      • Its own building, or storefront

      • Some other place

SShape33 pecify:

37. Is this program a Head Start or Early Head Start program?

Head Start and Early Head Start are federally sponsored preschool programs primarily for children from low-income families.

      • Yes

      • No



38. Is this program run by a church, synagogue, or other religious group?

      • Yes

      • No


39. Is this program located at your workplace or this child’s other parent’s workplace?

      • Yes

      • No

40. How many days each week does this child go to this program?

|__| days each week

41. How many hours each week does this child go to this program?

|__|__| hours each week

42. How old was this child in years and months when he/she started going to this particular program?

|___| years |___|___| months

43. What language does this child’s main care provider or teacher at this program speak most when caring for this child?

      • English

      • Spanish

      • A language other than English or Spanish

      • English and Spanish equally

      • English and another language equally



Continue with question 44 on the next page.

44. Does this program provide any of the following services to this child or your family?

Mark [X] ONE box for each item below.



Yes

No

a.

Hearing, speech, or vision testing

b.

Physical examinations

c.

Dental examinations

d.

Formal testing for developmental or learning problems

e.

Sick child care when this child is sick but does not have a fever

f.

Sick child care when this child is sick and has a fever


45. Is there any charge or fee for this program, paid either by you or some other person or agency?

  • YShape35 Shape34 es

  • NShape36 o GO TO question 49.

46. Do any of the following people, programs, or organizations help pay for this child to go to this program?

Mark [X] ONE box for each item below.



Yes

No

a.

A relative of this child outside your household who provides money specifically for that care, not including general child support

b.

Temporary Assistance for Needy Families, or TANF

c.

Another social service, welfare, or child care agency

d.

An employer, not including a tax-free spending account for child care

e.

Someone else

47. How much does your household pay for this child to go to this program, not counting any money that you may receive from others to help pay for care?

Write ‘0’ if your household does not pay for this program.

$Shape37 |__|__|__|__|__|.00

Is that amount per…

      • Hour

      • Day

      • Week

      • Month

      • Year

      • Every 2 weeks

      • OShape38 ther Specify:

48. How many children from your household is this amount for, including this child?

      • This child only

      • 2 children

      • 3 children

      • 4 children

      • 5 or more children


49. Does this child have any other care arrangements at a day care center or preschool on a regular basis?

  • YShape40 Shape39 es

  • NShape41 o GO TO question 51.

50. How many total hours each week does this child spend at those day care centers or preschools?

|__|__| hours each week



2. Finding and Choosing Care for Your Child

51. Has this child ever attended a Head Start or Early Head Start program?

Head Start and Early Head Start are federally sponsored preschool programs primarily for children from low-income families.

      • Yes

      • No

52. How much difficulty did you have finding the type of child care or early childhood program you wanted for this child?

      • A lot of difficulty

      • Some difficulty

      • A little difficulty

      • No difficulty

      • Did not find the child care program you wanted

The next question asks about how you decided on the child care arrangements and early childhood programs you now have for this child.

53. How important was each of these reasons when you chose the child care arrangement or program where this child spends the most time?

a. The location of the arrangement?

  • Not at all important

  • A little important

  • Somewhat important

  • Very important

b. The cost of the arrangement?

  • Not at all important

  • A little important

  • Somewhat important

  • Very important


c. The reliability of the arrangement?

  • Not at all important

  • A little important

  • Somewhat important

  • Very important

d. The learning activities at the arrangement?

  • Not at all important

  • A little important

  • Somewhat important

  • Very important

e. The child spending time with other kids his/her age?

  • Not at all important

  • A little important

  • Somewhat important

  • Very important

f. The times during the day that this caregiver is able to provide care?

  • Not at all important

  • A little important

  • Somewhat important

  • Very important

g. The number of other children in the child’s care group?

  • Not at all important

  • A little important

  • Somewhat important

  • Very important

54. Do you feel there are good choices for child care or early childhood programs where you live?

      • Yes

      • No

      • Don’t know / Have not tried to find care


3. Family Activities

The next questions ask about this child’s activities with family members in the past week or month.


55. About how many books does this child have of his/her own, including those shared with brothers or sisters?

|__|__|__| number of books

56. How many times have you or someone in your family read to this child in the past week?

      • NShape42 ot at all GO TO question 58.

      • 1 or 2 times

      • 3 or more times

      • Every day

57. About how many minutes on each of those days did you or someone in your family read to this child?

|__|__| minutes

58. In the past week, how many times has anyone in your family done the following things with this child?

a. Told this child a story?

  • Not at all

  • 1 or 2 times

  • 3 or more times

b. Taught this child letters, words, or numbers?

  • Not at all

  • 1 or 2 times

  • 3 or more times


c. Taught this child songs or music?

  • Not at all

  • 1 or 2 times

  • 3 or more times

d. Worked on arts and crafts with this child?

  • Not at all

  • 1 or 2 times

  • 3 or more times

59. In the past month, have you or someone in your family visited a library with this child?

      • Yes

      • No


Continue with section 4 on the next page.




4. Things Your Child May be Learning

These next questions ask about things that different children do at different ages. These things may or may not be true for this child.

60. Is this child under 2 years old or is he/she 2 years old or older?

      • UShape43 nder 2 years GO TO question 68.

      • 2Shape44 years or older

61. Can this child identify the colors red, yellow, blue, and green by name?

      • Yes, all of them

      • Yes, some of them

      • No

62. Can this child recognize the letters of the alphabet?

      • Yes, all of them

      • Yes, most of them

      • Yes, some of them

      • No

63. How high can this child count?

      • This child cannot count

      • Up to 5

      • Up to 10

      • Up to 20

      • Up to 50

      • Up to 100 or more

64. Can this child write his/her first name, even if some of the letters are backwards?

      • Yes

      • No



65. Does this child ever look at a book and pretend to read?

  • YShape46 Shape45 es

  • NShape47 o GO TO question 67.

66. When this child 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 connected story

      • Tells what’s in each picture

      • Does both

67. Is this child able to read story books on his/her own now?

      • Yes

      • No


Continue with section 5, question 68 on the next page.



5. This Child’s Health

68. In general, how would you describe this child’s health?

  • Excellent

  • Very good

  • Good

  • Fair

  • Poor

69. Has a health professional told you that this child has any of the following conditions?

Mark [X] ONE box for each item below.



Yes

No

a.

A specific learning disability

b.

Mental retardation

c.

A speech or language delay

d.

A serious emotional disturbance

e.

Deafness or another hearing impairment

f.

Blindness or another visual impairment not corrected with glasses

g.

An orthopedic impairment

h.

Autism

i.

Attention deficit disorder, ADD or ADHD

j.

Pervasive Developmental Disorder or PDD

k.

Another health impairment lasting 6 months or more



!

If you marked yes for any condition in question 69, continue with question 70. If you marked no for all conditions, then GO TO question 77, the next section.

70. Is this child receiving services for his/her condition?

  • YShape49 Shape48 es

  • NShape50 o GO TO question 75.

71. Are these services provided by any of the following sources?

Mark [X] ONE box for each item below.



Yes

No

a.

Your local school district

b.

A state or local health or social service agency

c.

A doctor, clinic, or other health care provider

72. Are any of these services provided through an Individualized Family Service Plan (IFSP), or an Individualized Educational Program or Plan (IEP)?

  • YShape52 Shape51 es

  • NShape53 o GO TO question 75.

73. Did any adult in your household work with the service provider or school to develop or change this child’s IFSP or IEP?

  • Yes

  • No




74. During this school year, to what extent have you been satisfied or dissatisfied with the following aspects of this child’s IFSP or IEP?

a. The service provider’s or school’s communication with your family?

  • Very satisfied

  • Somewhat satisfied

  • Somewhat dissatisfied

  • Very dissatisfied

  • Does not apply

b. The child’s special needs teacher or therapist?

  • Very satisfied

  • Somewhat satisfied

  • Somewhat dissatisfied

  • Very dissatisfied

  • Does not apply

c. The service provider’s or school’s ability to accommodate the child’s special needs?

  • Very satisfied

  • Somewhat satisfied

  • Somewhat dissatisfied

  • Very dissatisfied

  • Does not apply

d. The service provider’s or school’s commitment to help your child learn?

  • Very satisfied

  • Somewhat satisfied

  • Somewhat dissatisfied

  • Very dissatisfied

  • Does not apply

75. Is this child currently enrolled in any special education classes or services?

  • Yes

  • No

76. Does this child’s condition affect his/her ability to learn?

  • Yes

  • No


Continue with section 6, question 77 on the next page.


6. Child’s Background

77. In what month and year was this child born?

|___|___| / |___|___|___|___|

month year

78. Where was this child born?

  • OShape54 ne of the 50 United States or the District of Columbia

GShape55 O TO question 80.

  • One of the U.S. territories

(Puerto Rico, Guam, American Samoa, U.S. Virgin Islands, or Mariana Islands)

  • Another country

79. How old was this child when he/she first moved to the 50 United States or the District of Columbia?

|___|___|

age

80. Is this child of Spanish, Hispanic, or Latino origin?

  • Yes

  • No

81. What is this child’s race? You may mark one or more races.

  • American Indian or Alaska Native

  • Asian

  • Black or African American

  • Native Hawaiian or other Pacific Islander

  • White



82. For the current school year, does this child usually live at another address, for example, because of a joint custody arrangement?

Do not include vacation properties.

  • Yes

  • No

83. What language does this child speak most at home?

Mark [X] ONE only.

  • English

  • Spanish

  • A language other than English or Spanish

  • English and Spanish equally

  • English and another language equally

  • Child has not started to speak


!

If you marked ‘English’ or ‘Child has not started to speak’ in question 83, GO TO question 85 Otherwise, continue with question 84.

84. Is this child currently enrolled in English as a second language, bilingual education, or an English immersion program?

  • Yes

  • No

Continue with section 7, question 85 on the next page.




7. Child’s Mother or Female Guardian

85. Does this child have a mother, stepmother or female guardian living in the same household?

      • NShape56 o GO TO question 101.

      • YShape57 es

86. Is this person the child’s…

      • Birth mother,

      • Adoptive mother,

      • Stepmother,

      • Foster mother,

      • Grandmother, or

      • Other female guardian?

87. How old was this woman when she first became a mother or guardian to any child?

|___|___|

age

88. What is the current marital status of this child’s mother or female guardian?

Mark [X] ONE only.

  • Married

  • Living with a partner

  • Separated

  • Divorced

  • Widowed

  • Never married


8Shape58 9. What was the first language this child’s mother or female guardian learned to speak?

Mark [X] ONE only.

  • EShape59 nglish GO TO question 91.

  • Spanish

  • A language other than English or Spanish

  • English and Spanish equally

  • English and another language equally

90. What language does she speak most at home now?

Mark [X] ONE only.

  • English

  • Spanish

  • A language other than English or Spanish

  • English and Spanish equally

  • English and another language equally

91. Where was this child’s mother or female guardian born?

  • OShape60 ne of the 50 United States or the District of Columbia

GShape61 O TO question 93.

  • One of the U.S. territories

(Puerto Rico, Guam, American Samoa, U.S. Virgin Islands, or Mariana Islands)

  • Another country

92. How old was she when she first moved to the 50 United States or the District of Columbia?

|___|___|

age


93. Is she of Spanish, Hispanic, or Latino origin?

  • Yes

  • No

94. What is her race? You may mark one or more races.

  • American Indian or Alaska Native

  • Asian

  • Black or African American

  • Native Hawaiian or other Pacific Islander

  • White

95. What is the highest grade or level of school that she completed?

Mark [X] ONE only.

  • 8th grade or less

  • High school, but no diploma

  • High school diploma or equivalent (GED)

  • Vocational diploma after high school

  • Some college, but no degree

  • Associate’s degree (AA, AS)

  • Bachelor’s degree (BA, BS)

  • Some graduate or professional education, but no degree

  • Master’s degree (MA, MS)

  • Doctorate degree (PhD, EdD)

  • Professional degree beyond bachelor’s degree (MD, DDS, JD, LLB)

96. Is she currently attending or enrolled in a school, college, university, or adult learning center, or receiving vocational education or job training?

  • Yes

  • No

97. Which of the following best describes her employment status?

Mark [X] ONE only.

  • Employed for pay or income

  • Self-employed

  • Unemployed or

oShape62 ut of work GO TO question 99.

  • SShape63 tay at home

mother GO TO question 100.

  • RShape64 etired GO TO question 100.

  • DShape65 isabled or GO TO question 100.

unable to work

98. (If employed or self-employed) About how many hours per week does she usually work for pay or income, counting all jobs?

|Shape66 ___|___| GO TO question 100.

hours

99. (If unemployed or out of work) Has she been actively looking for work in the past 4 weeks?

  • Yes

  • No

100. In the past 12 months, how many months (if any) has she worked for pay or income?

|___|___|

months

Continue with section 8, question 101 on the next page.



8. Child’s Father or Male Guardian

101. Does this child have a father, stepfather or male guardian living in the same household?

      • NShape67 o GO TO question 116.

      • YShape68 es

102. Is this person the child’s…

      • Birth father,

      • Adoptive father,

      • Stepfather,

      • Foster father,

      • Grandfather, or

      • Other male guardian?

103. What is the current marital status of this child’s father or male guardian?

Mark [X] ONE only.

  • Married

  • Living with a partner

  • Separated

  • Divorced

  • Widowed

  • Never married

1Shape69 04. What was the first language this child’s father or male guardian learned to speak?

Mark [X] ONE only.

  • EShape70 nglish GO TO question 106.

  • Spanish

  • A language other than English or Spanish

  • English and Spanish equally

  • English and another language equally



105. What language does he speak most at home now?

Mark [X] ONE only.

  • English

  • Spanish

  • A language other than English or Spanish

  • English and Spanish equally

  • English and another language equally

106. Where was this child’s father or male guardian born?

  • OShape71 ne of the 50 United States or the District of Columbia

GShape72 O TO question 108.

  • One of the U.S. territories

(Puerto Rico, Guam, American Samoa, U.S. Virgin Islands, or Mariana Islands)

  • Another country

107. How old was he when he first moved to the 50 United States or the District of Columbia?

|___|___|

age

108. Is he of Spanish, Hispanic, or Latino origin?

  • Yes

  • No

109. What is his race? You may mark one or more races.

  • American Indian or Alaska Native

  • Asian

  • Black or African American

  • Native Hawaiian or other Pacific Islander

  • White



110. What is the highest grade or level of school that he completed?

Mark [X] ONE only.

  • 8th grade or less

  • High school, but no diploma

  • High school diploma or equivalent (GED)

  • Vocational diploma after high school

  • Some college, but no degree

  • Associate’s degree (AA, AS)

  • Bachelor’s degree (BA, BS)

  • Some graduate or professional education, but no degree

  • Master’s degree (MA, MS)

  • Doctorate degree (PhD, EdD)

  • Professional degree beyond bachelor’s degree (MD, DDS, JD, LLB)

111. Is he currently attending or enrolled in a school, college, university, or adult learning center, or receiving vocational education or job training?

  • Yes

  • No

112. Which of the following best describes his employment status?

Mark [X] ONE only.

  • Employed for pay or income

  • Self-employed

  • UShape73 nemployed or

out of work GO TO question 114.

  • SShape74 tay at home

father GO TO question 115.

  • RShape75 etired GO TO question 115.

  • DShape76 isabled or GO TO question 115.

unable to work

113. (If employed or self-employed) About how many hours per week does he usually work for pay or income, counting all jobs?

|Shape77 ___|___| GO TO question 115.

hours

114. (If unemployed or out of work) Has he been actively looking for work in the past 4 weeks?

  • Yes

  • No

115. In the past 12 months, how many months (if any) has he worked for pay or income?

|___|___|

months


Continue with section 9, question 116 on the next page.


9. Your Household

116. Please mark all of the people who live in the household with this child, including yourself and those you have already been asked about.


Mark [X] all that apply.

      • Mother – birth, adoptive, step, or foster

      • Father – birth, adoptive, step, or foster

      • Brother – full, half, adoptive, step, or foster

      • Sister – full, half, adoptive, step, or foster

      • Aunt

      • Uncle

      • Grandmother

      • Grandfather

      • Cousin

      • Other relative

      • Same sex parent

      • Girlfriend or partner of this child’s parent or guardian

      • Boyfriend or partner of this child’s parent or guardian

      • Other nonrelatives

117. How many females live in this household?

|__|__| number of females

118. How many males live in this household?

|__|__| number of males

119. Of everyone in this household, how many are age 20 or younger?

Include the child selected for this survey.

Do not include those living in college housing.

|__|__| number age 20 or younger

120. Which language(s) are spoken at home by the adults in this household?


Mark [X] all that apply.

  • English

  • Spanish or Spanish Creole

  • French (including Patois, Creole, Cajun)

  • Chinese

  • Other languages

121. Is this house…

Mark [X] ONE only.

  • Owned or being bought by someone in this household,

  • Rented by someone in this household, or

  • Occupied by some other arrangement?

122. Other than this address, does anyone in this household currently receive mail at another address including P.O. Boxes?

  • Yes

  • No



123. In the past 12 months, did your family ever receive benefits from any of the following programs?

Mark [X] ONE box for each item below.



Yes

No

a.

Temporary Assistance for Needy Families, or TANF

b.

Your state welfare or family assistance program

c.

Women, Infants, and Children, or WIC

d.

Food Stamps

e.

Medicaid

f.

Child Health Insurance Program (CHIP)

g.

Section 8 Housing assistance

124. Which category best fits the total income of all persons in your household over the past 12 months?

Include your own income.

Include money from jobs or other earnings, pensions, interest, rent, Social Security payments, and so on.

  • $0 to $10,000

  • $10,001 to $20,000

  • $20,001 to $30,000

  • $30,001 to $40,000

  • $40,001 to $50,000

  • $50,001 to $60,000

  • $60,001 to $75,000

  • $75,001 to $100,000

  • $100,001 to $150,000

  • $150,001 or more



10. Questions about You

These questions are about the adult that filled in this survey. Your responses to these questions will help describe the homes children live in.

125. How are you related to this child?

Mark [X] ONE only.

      • Mother/Father

(birth, adoptive, step, or foster)

      • Aunt/Uncle

      • Grandparent

      • Girlfriend/Boyfriend of this child’s parent or guardian

      • OShape78 ther relationship – specify:







126. Are you male or female?

  • Male

  • Female

127. How many years have you lived at this address?

Write ‘0’ if less than 1 year.

|__|__| years at this address

128. Do you have access to the internet at this address?

  • Yes

  • No

129. Is there at least one telephone inside this home that is currently working and not a cell phone?

  • Yes

  • No

130. Do you have a working cell phone?

  • Yes

  • No

131. Of all the telephone calls that you receive are…

  • all or almost all calls received on cell phones,

  • some received on cell phones and some on regular phones, or

  • all or almost all calls received on regular phones?


Thank you.

Please return this questionnaire in the postage-paid envelope provided. If you have lost the envelope, mail the completed questionnaire to:


National Household Education Survey

Westat

1600 Research Blvd. Room RC B16

Rockville, MD 20850-9973






















THIS PAGE INTENTIONALLY LEFT BLANK





















THIS PAGE INTENTIONALLY LEFT BLANK

Commonly Asked Questions



Q: How did you get my address?

A: Your address was randomly selected from among all of the home addresses in the nation. It was selected using scientific sampling methods to represent other households in the U.S.

Q: Why should I take part in this study? Do I have to do this?

A: You represent thousands of other households like yours, and you cannot be replaced. Your answers and opinions are very important to the success of this study. You may choose not to answer any or all questions in this survey. In order for the survey to be representative it is important that you complete and return this questionnaire.

Q: I have more than one child in my household. Will I receive additional surveys for the other children in my household?

A: No, each household will receive a survey for only one child, even if there are multiple children living in the household. In households with multiple children, one child was randomly selected to be included in the study.

Q: How will my response help the Department of Education?

A: The Department of Education wants to understand the care and early education of children. This survey is the only way that the Department of Education can learn about the types of care and early learning activities children receive. Your responses will be combined with those from other households to inform educators, policy makers, schools and universities about changes in the condition of education in the United States.  Reports from past surveys can be found at www.nces.ed.gov/nhes.

Q: How will the information I provide be used?

A: Your responses will be combined with those of others to produce statistical summaries and reports. Your individual data will not be reported. Your answers may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law (Section 9573, 20 US Code).

Q: Who is sponsoring the study? Is this study conducted by the Federal Government?

A: The National Center for Education Statistics, within the Department of Education, is authorized to conduct this study (Section 9543, 20 US Code). Westat has been contracted to conduct this study. This study has been approved by the Office of Management and Budget, the office that reviews all federally sponsored surveys. The approval number assigned to this study is XXXX-XXXX. You may send any comments about this survey, including its length, to the Federal Government. Write to: Andrew Zukerberg, National Center for Education Statistics, U.S. Department of Education, 1990 K Street NW, Room 9036, Washington, DC 20006-5650. You may send e-mail to [email protected].

Q: Who is Westat?

A: Westat is a research company located in Rockville, Maryland. Westat is conducting this survey under contract to the U.S. Department of Education. If you have any questions about the study contact Westat toll-free at 1-888-880-3033.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title2010 National Household Education Surveys Program
AuthorTimothy Smith
File Modified0000-00-00
File Created2021-02-02

© 2024 OMB.report | Privacy Policy