NLS Show Card - Respondent

500 103 R15 Showcards - Respondent Side 3_3_11.docx

National Longitudinal Survey of Youth 1997

NLS Show Card - Respondent

OMB: 1220-0157

Document [docx]
Download: docx | pdf

CARD A




Type of Place



Individual(s) or family

Group Living
Other Place
Institution

Not on a farm…

  • House

  • Condo (inc. Townhouse, Co-op)

  • Apartment

  • Flat

  • Mobile home


  • Dormitory

  • Residence hall

  • Fraternity apartment

  • Sorority apartment

  • Fraternity house

  • Sorority house

  • Military barracks

  • Boarding house

  • Rooming house

  • Group home


  • Hotel

  • Motel

  • Shelter


  • Jail

  • Prison

  • Detention center

  • Work release center

  • Hospital

  • Treatment center


On a
farm or ranch…
  • House

  • Apartment

  • Mobile home

  • Townhouse





Homeless


Other Type of Housing









Average Grades in High School





  • Mostly below Ds




  • MostlyDs



  • About half Cs and half Ds



  • MostlyCs



  • About half Bs and half Cs



  • MostlyBs



  • About half As and half Bs



  • Mostly As



  • As to Cs


  • Ungraded


  • Other (please describe)


Individual Math Courses



Geometry & Trigonometry

Algebra

General

Calculus






  • General math

  • Basic math

  • Vocational math

  • Elementary algebra

  • Algebra I

  • Intermediate algebra

  • Algebra II

  • Advanced algebra

  • Geometry

  • Trigonometry


  • Pre-calculus

  • Calculus








Other

  • None



  • Other advanced math

  • Other math










Science Courses




  • Biology



  • Chemistry


  • Physics











  • Other


  • None





















Who Provided You with Financial Assistance





Your Parents




  • Your Grandparents



  • Other Relatives, Friends, or Other Non-Relatives





  • None








  • Your biological parents together














  • Your mother (possibly with your step-father)














  • Your father (possibly with your step-mother)























Amount Still Owed on Loans



(A) $1 - 1,000

(B) 1,001 - 2,500


(C) 2,501 - 5,000


(D) 5,001 - 10,000


(E) 10,001 - 25,000


(F) 25,001 - 50,000


(G) More than $50,000









Types of Financial Assistance



  • Fellowships


  • Scholarships


  • Grants

  • Fee waivers or reductions


  • Tuition waivers or reductions

  • College work-study


  • Employer assistance

  • A government subsidized or private loan


  • Other types of assistance including JTPA, Jobs or other government provided assistance


  • None








Various Courses





Computer Courses


Other Courses

  • None

  • General introductory course in computer literacy


  • Word processing course


  • Computer programming course


  • Other computer courses

  • Shop or industrial arts


  • Home economics




































School-to-Work Programs



Activity


Description



  • Cooperative education

- combining academic and vocational studies with a job in a

related field

  • Internship or apprenticeship

- working for an employer to learn about a particular occupation or industry

  • Job shadowing

- spending time following workers at a work site

  • Mentoring

- being matched with an individual in an occupation

  • School-sponsored enterprise

- the production of goods or services by students for sale to or use by others

  • Tech prep

- a planned program of study with a defined career focus that links secondary and post-secondary education

  • None





Reason for Not Working


  • No clients/customers

  • Didn’t have materials/equipment needed

  • Financial problems

  • Temporary/seasonal job ended for period, but later resumed

  • Unpaid vacation

  • Going to school

  • In the Armed Forces

  • Pregnancy

  • Had health problems

  • Had problems with child care

  • Had other personal or family reason

  • Did not want to work

  • Some other reason





Why You Stopped Working

  • Sold the business

  • Not enough business

  • End of temporary or seasonal business

  • Need new capital equipment

  • Started a different business

  • Stopped for a pregnancy or family reasons

  • Stopped to look for another job

  • Stopped to take another job

  • Stopped to devote more time to school work

  • Stopped to return to school

  • Stopped for other (please describe) reasons

  • Business failed or bankruptcy

  • Closed business down or dissolved partnership




Why You Left This Job


  • Layoff

  • Company, office, workplace, or plant closed

  • End of temporary or seasonal job

  • Discharged or fired

  • Program/project/job ended

  • Quit for pregnancy or family reasons

  • Quit to look for another job

  • Quit to take another job

  • Quit to start a business

  • Quit to devote more time to school work

  • Quit to return to school

  • Quit for other reasons (please describe)

  • Moved away from job

  • No transportation/Transportation problems

  • Incarcerated/Jailed/Legal problems

  • Quit because of respondent’s ill health, disability, or medical problems

  • Quit because didn’t like job/assignment, boss, coworkers, pay, or benefits­

  • Retired

  • Job assigned through a temporary help agency/contract firm became permanent





Type of Schedule

Regular Shift





  • Night shift

  • Day shift

  • Evening shift



  • Rotating Shift

i.e. changes periodically from days to evenings or nights



  • A Mix of Times or Shifts

i.e. consists of two distinct periods each day or split shifts








  • Something else










Benefits Some Employers Make Available



Type of Benefit



Description


  • Medical, Surgical or Hospitalization Insurance


- Insurance that pays some or all of your medical expenses.

  • Life Insurance


- Insurance that pays your survivors in the event of your death.

  • Dental Insurance or Other Dental Coverage


- Insurance that helps pay for the care of your teeth.

  • Paid Parental (Maternity or Paternity) Leave


- Leave during the period before and after the birth or adoption of a child for which you ARE paid.

  • Unpaid Parent (Maternity or Paternity) Leave


- Leave during the period before and after the birth or adoption of a child for which you ARE NOT paid.

  • Retirement Plan or Pension Other than Social Security


- A plan that helps you save for or puts money away for your retirement.

  • Flexible Work Schedule


- Allows for scheduling options on your job.

  • Tuition Reimbursement


- Pays for schooling.

  • Child Care


- Company provided or subsidized.

  • Stock Ownership


- Allows employees to purchase company stock at reduced rates.

  • None












How You Looked for Work


  • Contacted employer directly

  • Contacted employment agency

  • Through friends or relatives

  • Contacted a school placement center

  • Sent out resumes or filled out applications

  • Placed an ad

  • Checked union or professional registers

  • Looked at ads

  • Employer contacted you directly

  • Attended Job Fair

  • Searched on the Internet/On-line

  • Other (please describe)





Main Reason for Not Working



  • On strike

  • On layoff

  • Quit job but returned to same employer

  • Job ended for a period of time but began again

  • Some other reason you went on unpaid vacation/leave


















Reason for Unpaid Vacation/Leave


  • Going to school

  • In the Armed Forces

  • Pregnancy

  • Had health problems

  • Had problems with child care

  • Had other personal or family reason

  • School/Plant/Firm temporarily closed

  • Did not want to work

  • Some other reason








Dollar Ranges


(A) $1 - 1,000


(B) 1,001 - 2,500


(C) 2,501 - 5,000


(D) 5,001 - 10,000


(E) 10,001 - 25,000


(F) 25,001 - 50,000


(G) 50,001 - 100,000


(H) 100,001 – 250,000


(I) More than $250,000











How You Looked for a Job


  • Contacted employer directly or interviewed

  • Contacted public employment agency

  • Contacted private employment agency

  • Contacted friends or relatives

  • Contacted a school or university employment center

  • Sent out resumes or filled out application

  • Checked union or professional registers

  • Placed or answered ads

  • Other active methods (such as bidding on a contract or auditioning for a part in a play)

  • Looked at ads

  • Attended job training programs or courses

  • Nothing

  • Other Passive Methods (such as studying for a real estate license or picking up a job application)






Some Sources of Occupational Training Programs Include


apprenticeship programs

business schools

company or military training

correspondence courses

cosmetology schools

employer training programs

night schools

nursing courses

vocational or technical institutes or schools






































Reason You Enrolled in Training


  • The training was associated with a promotion or job advancement

  • The training was associated with looking for a new job

  • The training was necessary to obtain a license or certificate

  • The training was necessary when job began

  • The training was part of a regular program to maintain and upgrade employee skills

  • The training was associated with the introduction of new methods or processes on the job

  • Other (please specify)












Skills Learned From This Training


  • Upgrade your computer skills

  • Upgrade your reading and/or writing skills

  • Upgrade your mathematics skills

  • Upgrade your skills in working as a team or problem solving

  • About health or safety procedures

  • How to operate or repair equipment

  • How to be a more effective sales person

  • How to be a better supervisor/manager

  • Statistical process control or total quality management

  • Equal opportunity or diversity sensitivity training

  • Other skill

  • No skills learned










Religions



CATHOLIC


PROTESTANT


JEWISH


OTHERS

NONE/NO RELIGION


  • Roman Catholic


  • Baptist

  • Disciples of Christ (or the Christian Church)

  • Episcopal/Anglican

  • Holiness (Nazarene, Wesleyan, Free Methodist)

  • Lutheran

  • Methodist

  • Nondenominational Christian (also includes Bible Church)

  • Pentecostal (Assembly of God, Pentecostal Holiness)

  • Presbyterian

  • Reform (or Reformed Church in America or Christian Reformed Church)

  • United Church of Christ (or Congregationalist or Evangelical Reformed Church)

  • Jehovah’s Witness

  • Seventh Day Adventist

  • Other Protestant


  • Jewish – Conservative

  • Jewish – Orthodox

  • Jewish – Reform

  • Other Jewish



  • Eastern Orthodox

  • Hindu or Buddhist

  • Mormon (all types of Latter Day Saints)

  • Muslim (or Moslem or Islam)

  • Native American Tribal Religion

  • Unitarian

  • Other Organized Religion (please specify)



  • Agnostic (don’t know if there is a God)

  • Atheist (confident there is no God)

  • Personal Philosophy











Amount Received for Unemployment



A B C D E F







$1 $100 $150 $200 $250 $350 or more------------------>




A. $1 - $100

B. $101 - $150

C. $151 - $200

D. $201 - $250

E. $251 - $350

F. More than $350







Amount Received

(A) $1 – 100

(B) 101 – 200

(C) 201 – 300

(D) 301 – 400

(E) 401 – 500

(F) 501 – 600

(G) 601 – 700

(H) 701 – 800

(I) 801 – 900

(J) 901 - 1,000

(K) 1,001 - 1,250

(L) More than $1,250



Cost to Purchase Food Items





(A) $1 – 20



(B) 21-40



(C) 41-60



(D) 61-80



(E) 81-100



(F) More than $100





Income after Expenses


(B) $1 - 5,000


(C) $5,001 - 10,000


(D) $10,001 - 25,000


(E) $25,001 - 50,000


(F) $50,001 - 100,000


(G) $100,001 - 250,000


(H) More than $250,000




  • (A) Lost or Would Lose Money







Dollar Ranges


(A) $1 - 5,000



(B) 5,001 - 10,000



(C) 10,001 - 25,000



(D) 25,001 - 50,000



(E) 50,001 - 100,000



(F) 100,001 - 250,000



(G) More than $250,000






Dollar Ranges


(A) $1 - 1,000


(B) 1,001 - 2,500


(C) 2,501 - 5,000


(D) 5,001 - 10,000


(E) 10,001 - 25,000


(F) 25,001 - 50,000


(G) More than $50,000




Dollar Ranges


(A) $1 – 500



(B) 501 - 1,000



(C) 1,001 - 2,500



(D) 2,501 - 5,000



(E) 5,001 - 7,500



(F) 7,501 - 10,000



(G) More than $10,000



Dollar Ranges


(A) $1 - 1,000



(B) 1,001 - 2,500



(C) 2,501 - 5,000



(D) 5,001 - 10,000



(E) 10,001 - 25,000



(F) 25,001 - 50,000



(G) 50,001 – 100,000



(H) More than 100,000





Dollar Ranges



(A) $1 - 5,000



(B) 5,001 - 10,000



(C) 10,001 - 25,000



(D) 25,001 - 50,000



(E) 50,001 - 100,000



(F) 100,001 - 250,000



(G) 250,001 - 500,000



(H) More than $500,000





Dollar Ranges



(A) $1 - 25,000



(B) 25,001 - 50,000



(C) 50,001 - 100,000



(D) 100,001 - 250,000



(E) 250,001 - 500,000



(F) 500,001 - 1,000,000



(G) More than $1,000,000

Who Loaned You Money?




Your family



  • Mother

  • Father

  • Sisters

  • Brothers




  • Step-mother

  • Step-father

  • Step-sisters

  • Step-brothers


  • Grandparents


  • Other relatives








Your spouse’s or partner’s family



  • Mother

  • Father

  • Sisters

  • Brothers




  • Step-mother

  • Step-father

  • Step-sisters

  • Step-brothers


  • Grandparents


  • Other relatives






  • Friends or other non-relatives






Types of Child Care Arrangements









Informal Care

  • Spousal or Partner Care

- your spouse or partner looks after a child

  • Relative Care

- another relative looks after your child/children

  • Sibling Care

- your child’s older brother or sister looks after a younger child/children

  • Self Care

- your child takes care of himself or herself

  • Non-Relative Care

- a non-relative looks after your child







Formal Care

  • Child Care Center

- your child attends a regular preschool, Headstart, Montessori, day-care center or other program other than elementary school

  • Formal Schooling

- your child attends an elementary school for pre-kindergarten, kindergarten, or another grade

  • After-School Care

- your child attends a formal program for after the school day





Relatives who Provide Child Care





Shape7

































Cause of Death















  • Accident


  • Cancer


  • Old Age


  • Emphysema


  • Heart Attack


  • Stroke


  • Other (specify)


Relatives (including in-laws)




Shape8


Type of Relationship

SPOUSE

Wife

Husband

PARENTS

Mother

Father

Adoptive Mother

Adoptive Father

Step-mother

Step-father

Foster Mother

Foster Father



(GREAT) GRANDPARENTS

Grandmother (Biological or Social)

Grandfather (Biological or Social)

Great-grandmother (Biological or Social)

Great-grandfather (Biological or Social)

Great-great-grandmother

Great-great-grandfather



NON-RELATIVES

Daughter of Lover/Partner

Son of Lover/Partner

Roommate

Lover/Partner

Other Non-relative

Mother’s Boyfriend/Partner

Father’s Girlfriend/Partner

IN-LAWS

Mother-in-law

Father-in-law

Sister-in-law

Brother-in-law

Daughter-in-law

Son-in-law

Grandmother-in-law

Grandfather-in-law

Great-grandmother-in-law

Great-grandfather-in-law

Aunt-in-law

Uncle-in-law

Cousin-in-law



OTHER RELATIVES

Aunt (Biological or Social)

Uncle (Biological or Social)

Great Aunt

Great Uncle

Niece (Biological or Social)

Step-niece (Biological or Social)

Foster-niece (Biological or Social)

Adoptive Niece (Biological or Social)

Nephew (Biological or Social)

Step-nephew (Biological or Social)

Foster Nephew (Biological or Social)

Adoptive Nephew (Biological or Social)

Female Cousin (Biological or Social)

Male Cousin (Biological or Social)

Other Relative

CHILDREN

Daughter (Biological)

Son (Biological)

Step-daughter

Step-son

Adoptive Daughter

Adoptive Son

Foster Daughter

Foster Son


(GREAT) GRANDCHILDREN

Granddaughter (Biological or Social)

Grandson (Biological or Social)

Great-granddaughter

Great-grandson

SIBLINGS

Sister (Full)

Brother (Full)

Sister (Half)

Brother (Half)

Sister (Step)

Brother (Step)

Sister (Adoptive)

Brother (Adoptive)

Sister (Foster)

Brother (Foster)





Current Immigration Status



  • Applicant for naturalization to become U.S. citizen


  • Have a “Green Card”—Lawful permanent resident of the U.S. (LPR)


  • Applicant for Lawful permanent residence (LPR)


  • Refugee/Asylee/Entrant


  • On temporary visa


  • Living outside of the U.S. at this time


  • Other




How Often I Eat Fruit




  • I do not typically eat fruit

  • 1 to 3 times

  • 4 to 6 times

  • 1 time per day

  • 2 times per day

  • 3 times per day

  • 4 or more times per day


How Often I Eat Vegetables




  • I do not typically eat vegetables


  • 1 to 3 times


  • 4 to 6 times


  • 1 time per day


  • 2 times per day


  • 3 times per day


  • 4 or more times per day




Health Conditions



  • Asthma


  • Cardiovascular or heart condition


  • Anemia


  • Diabetes


  • Cancer


  • Epilepsy


  • HIV/AIDS


  • Sexually transmitted disease other than HIV/AIDS


  • Other





Disagreement/Agreement Scale


















1 2 3 4 5 6 7


Disagree Disagree Disagree Neither Agree Agree Agree

Strongly Moderately a little Agree a little Moderately Strongly

nor

Disagree






Activities You Engaged In

















      • Employer-directed travel


      • Employer-directed training


      • Meal break


      • Rest break


      • Personal business


      • Normal work activity


      • Other activity (specify)



Frequencies





      • All of the Time


      • Most of the Time


      • A Good Bit of the Time


      • Some of the Time


      • A Little of the Time


      • None of the Time




Ladder of Life





10 Best Possible Life









































0 Worst Possible Life






Dollar Ranges




  1. $1 – 10


  1. 11 – 25


  1. 26 – 50


  1. 51 – 100


  1. 101 – 150


  1. 151 – 250


  1. More than $250



Dollar Ranges



  1. $0



  1. 1 – 5,000



  1. 5,001 - 10,000



  1. 10,001 - 25,000



  1. 25,001 - 50,000



  1. 50,001 - 100,000



  1. 100,001 - 250,000



  1. More than $250,000



Spouse/Partner’s Working Hours



  • Starting and finishing times are decided by his/her employer and he/she cannot change them on his/her own.



  • Starting and finishing times are decided by his/her employer but with his/her input.




  • He/she can decide the time he/she starts and finishes work, within certain limits.




  • He/she is entirely free to decide when he/she starts and finishes work.




Work Schedule



  • Starting and finishing times are decided by my employer and I cannot change them on my own.



  • Starting and finishing times are decided by my employer but with my input.



  • I can decide the time I start and finish work, within certain limits.



  • I am entirely free to decide when I start and finish work.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleType of Place
AuthorSanchez-Manuel
File Modified0000-00-00
File Created2021-02-01

© 2024 OMB.report | Privacy Policy