FMLA employee survey2000 v 2011 Question Crosswalk

2000 QUESTION NUMBER, IN ORIGINAL ORDER	Question Text	Response Categories	DISPOSITION	2011 VARIABLE NAME	NOTES
SINTRO_1	RESIDENTIAL Are you a member of this household and at least 18 years old? BUSINESS Is this phone number used for…	Residential YES .............................................. 1 (BUSINESS COL.) NO................................................ 2 (S3A) PROBABLE BUSINESS ............. 3 (BUSINESS COL.) ANSWERING MACHINE ......AM (READMSG) RETRY AUTODIALER ........... RT (AUTODIALER) NONWORKING, DISCONNECTED CHANGED............................NW GO TO RESULT.......................GT Business Home use................................. 4 (S5) Home and business use, or ...... 5 (S5) Business use only?................... 6 (THANK01) GO TO RESULT..................GT	KEPT BUT CHANGED	S1, S3	S3 for cell phones
S3a	May I speak to a household member who is at least 18 years old?	AVAILABLE .................................... 1 (S4) NOT AVAILABLE........................... 2 (RESULTS) THERE ARE NONE ......................... 3 GO TO RESULT............................... GT	KEPT	S2
S3OV	[IF RESPONDENT IS A CHILD, ASK FOR AN OLDER HOUSEHOLD MEMBER]	NO ONE LIVING IN HH IS 18 OR OLDER 1 (P20) THERE ARE HH MEMBERS 18 OR OLDER 2 GO TO RESULT................................................ GT	KEPT	S2
S5	We are conducting this study for the U.S. Department of Labor to find out about people's use of and attitudes about workplace family and medical leave. Study results will be used to assess the impact of family and medical leave policies on employees. Your participation is voluntary and all information you provide will be kept confidential. If we should come to any question that you don't want to answer, just let me know and we'll go on to the next question. I now have a few questions that, altogether, should take between 3 and 5 minutes to answer.		KEPT BUT CHANGED	INTRO1, INTRO2, S4	Text has been split up between INTROs and S4; revised wording
WU1	Does anyone in your household have more than one job?	YES.................................................... 1 NO ..................................................... 2 REFUSED ......................................... -7 DON'T KNOW.................................. -8	DROPPED
WU2	Does anyone in your household ever take public transportation to work?	YES.................................................... 1 NO ..................................................... 2 REFUSED ......................................... -7 DON'T KNOW.................................. -8	DROPPED
S6	We're interested in talking to someone in the household in more depth about workplace family and medical leave. In order to do that, I need to list all the first names of members of your household, their ages, and genders. Let's start with you. May I have your name?	free text	KEPT BUT CHANGED	S4, S6, S7, S8	Questions now in a matrix (name, age, gender). Revised question wording.
S6VERF1.	[VERIFY THE NUMBER OF HOUSEHOLD MEMBERS LISTED ABOVE]	NUMBER OF HH MEMBERS IN MATRIX CORRECT ...... 1 RETURN TO MATRIX ........................................................... 2 [RETURN TO MATRIX] GO TO RESULT......................................................................GT	KEPT	S13	Revised question wording
P30	{Are you/Is this person} 18 years old or older?	YES.................................................... 1 NO ..................................................... 2 REFUSED ......................................... -7 DON'T KNOW.................................. -8	KEPT BUT CHANGED	S7, S14	S7: asks age rather than if 18 years or older
P31	What is {PERSON FROM MATRIX}’s month and year of birth?	MONTH |__|__| [HR: 00-12] YEAR |__|__|__|__| [HR: 1997-2000] REFUSED ......................................... -7 DON’T KNOW ................................. -8	KEPT BUT CHANGED	S7	Ask age rather than month and year of birth
P31b	{Have you/Has this person} been employed at all since January 1, 1999?	YES.................................................... 1 NO ..................................................... 2 REFUSED ......................................... -7 DON'T KNOW.................................. -8	KEPT BUT CHANGED	S9	Revised language and incorporated into matrix of houshold member questions
P32	Since January 1, 1999, {have you/has this person} taken leave from work · to care for a newborn, newly adopted, or new foster child; · for reasons related to your or a family member’s pregnancy; or · for {your/their} own serious health condition or the serious health condition of {your/their} child, spouse, or parent? A serious health condition is one that lasted more than 3 days or required an overnight hospital stay.	YES.................................................... 1 NO ..................................................... 2 REFUSED ......................................... -7 DON'T KNOW.................................. -8	KEPT BUT CHANGED	S11	Reference period changed to the last 18 months; revised question wording.
P33	Since January 1, 1999, {have you/has this person} needed to take leave from work but did not · to care for a newborn, newly adopted, or new foster child; · for reasons related to your or a family member’s pregnancy; or · for {your/their} own serious health condition or the serious health condition of {your/their} child, spouse, or parent? [A serious health condition is one that lasted more than 3 days or required an overnight hospital stay.]	YES.................................................... 1 NO ..................................................... 2 REFUSED ......................................... -7 DON'T KNOW.................................. -8	KEPT BUT CHANGED	S12	Reference period changed to the last 18 months; revised question wording.
S15AD	In addition to {THIS TELEPHONE NUMBER}, are there any other telephone numbers in your household?	YES.................................................... 1 NO ..................................................... 2 (BOX A) NOT MY PHONE NUMBER........... 91	KEPT BUT CHANGED	T1-T6	New telephone usage questions
S16	{Is this/Are these} number(s) for...	Home use, .......................................... 1 Business and home use or.................. 2 Business use only?............................. 3	KEPT BUT CHANGED	T1-T6	New telephone usage questions
READMSG	[PLEASE READ THE FOLLOWING MESSAGE INTO THE ANSWERING MACHINE] This is {INTERVIEWER} calling on behalf of the U.S. Department of Labor. We are conducting a survey to ask you about workplace family and medical leave. Results will be used by the U.S. Department of Labor and others in assessing the impact of family and medical leave policies on employees, so your opinions are important. Your phone number was randomly selected and your answers will be kept confidential. We will call back within the next day or two. Thank you.	n/a	KEPT	READMSG
P20	Thank you very much, we are only interviewing in households with members who are 18 and over.	n/a	KEPT	THANK01
THANK 02	Thank you very much for the information. These are all the questions I have at this time.	n/a	KEPT	THANK02
INTRO2	[Hello] May I speak to {SELECTED RESPONDENT}? [I'm calling on behalf of the U.S. Department of Labor. We're conducting a study about workplace family and medical leave.]	SUBJECT SPEAKING/COMING TO PHONE............................... 1 SUBJECT LIVES HERE - NEEDS APPOINTMENT .................... 2 SUBJECT KNOWN LIVES AT ANOTHER NUMBER ................ 3 NEVER HEARD OF SUBJECT.................................................................... 4 TELEPHONE COMPANY RECORDING...................................... 5 ANSWERING MACHINE............................................................... AM GO TO RESULT CODES................................................................ GT RETRY AUTODIALER .................................................................. RT	KEPT BUT CHANGED	HANDOFF1, HANDOFF2, HANDOFF3	Revised question wording and response categories
NAME1	We are conducting this study for the U.S. Department of Labor to find out about people's use of and attitudes about workplace family and medical leave. Results will be used to study the impact of family and medical leave policies on employees. Your participation is voluntary and all information you provide will be kept confidential. If we should come to any question that you don't want to answer, just let me know and we'll go on to the next question.	n/a	KEPT	INTRO3, INTRO4, INTRO5	Revised wording
A1a	I want to confirm with you that since January 1, 1999, you have taken leave from work: · for the care of a newborn, newly adopted or new foster child; · for reasons related to your or a family member’s pregnancy; or · for yourself, your child, spouse, or parent because of a serious health condition. A serious health condition is one that lasted more than 3 days or required an overnight hospital stay. Is this correct? [Have you taken leave from work for one or more of these reasons?]	YES=1 NO=2	KEPT BUT CHANGED	A1	Changed reference period (last 18 months) and revised language for reasons for leave. Also added care for military member reason.
A1b	Since January 1, 1999, did you need but not take leave from work: • for the care of a new child; • for reasons related to your or a family member’s pregnancy; or • for yourself, your child, spouse, or parent because of a serious health condition? [A serious health condition is one that lasted more than 3 days or required an overnight hospital stay.]	YES 1 [GO TO QB1b] NO 2 [GO TO QC0]	KEPT BUT CHANGED	B1	Moved to section B (Leave Needers). Changed reference period (last 18 months) and revised language for reasons for leave. Also added care for military member reason.
A1d	Are you currently on this type of leave from work?	YES 1 NO 2	KEPT	A3
A2	How many leaves of this type have you taken since January 1, 1999?	|__|__| [SR: 00-08] [HR: 00-20]	KEPT BUT CHANGED	A4	Revised language and reference period (last 18 months)
A2a	How about just since January 1, 2000, through today?	|__|__| [SR: 00-04] [HR: 00-10]	DROPPED
A3	Now I'm going to ask you some questions about the {leave/leaves} you have taken since January 1, 1999. What was the reason for the {leave/longest leave}?	OWN HEALTH CONDITION, EXCEPT MATERNITY-RELATED ILLNESS 1 [WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY, OR OTHER PREGNANCY-RELATED AILMENT PRIOR TO DELIVERY 2 [WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY AND TO CARE FOR A NEWBORN 3 [WOMEN ONLY] MISCARRIAGE 4 TO CARE FOR NEWBORN 5 TO CARE FOR NEWLY ADOPTED CHILD 6 TO CARE FOR NEWLY PLACED FOSTER CHILD 7 CHILD’S HEALTH CONDITION 8 SPOUSE’S HEALTH CONDITION 9 PARENT’S HEALTH CONDITION 10 OTHER RELATIVE’S HEALTH CONDITION 11 OTHER NON-RELATIVE’S HEALTH CONDITION 12	KEPT BUT CHANGED	A5	Revised language and reference period (last 18 months); added new response categories; first loop asks about longest leave and second loop asks about most recent leave
A3a/1	OVERLAY. [SPECIFY R'S HEALTH CONDITION OR ASK] What health condition did you have? [RECORD RESPONSE VERBATIM; 90 CHARACTERS/2 LINES]		DROPPED		Nature of health condition asked in new A10
A3a/8	OVERLAY. [SPECIFY CHILD'S HEALTH CONDITION OR ASK] What health condition did your child have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]		DROPPED		Nature of health condition asked in new A10
A3a/9	OVERLAY. [SPECIFY SPOUSE'S HEALTH CONDITION OR ASK] What health condition did your spouse have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]		DROPPED		Nature of health condition asked in new A10
A3a/10	OVERLAY. [SPECIFY PARENT'S HEALTH CONDITION OR ASK] What health condition did your parent have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]		DROPPED		Nature of health condition asked in new A10
A3a/11	OVERLAY. [SPECIFY RELATION TO R OR ASK] What is that person’s relationship to you?	GRANDCHILD 1 GRANDPARENT 2 SIBLING 3 OTHER (SPECIFY)__(35 CHAR)___ 91	KEPT	A6	Added a response category (Aunt/Uncle)
A3a/12	OVERLAY. [SPECIFY RELATION TO R OR ASK] What is that person’s relationship to you?	DOMESTIC PARTNER 1 OTHER (SPECIFY)__(35 CHAR)__ 91	KEPT	A7	Revised/added response categories
A3b	Did {you/your child/your spouse/your parent} require a doctor's care?		KEPT BUT CHANGED	A11	Revised language
A3c	{Were/Was} {you/your childyour spouse/your parent} in the hospital overnight?	YES 1 NO 2	KEPT BUT CHANGED	A12	Revised language
A3d	Over how long a period of time did this leave last? [IF STILL ON THIS LEAVE, STATE “so far.”]	|__|__|__| DAYS 1 WEEKS 2 MONTHS 3	DROPPED		Incorporated into new A13, A16, and A17
A3e	Were you off work that entire time?	YES 1 [SKIP TO NEXT PROGRAMMING NOTE] NO 2	KEPT BUT CHANGED	A14	Revised language
A3f	How much time were you actually away from work? [ENTRY SHOULD BE LESS THAN {ANSWER FROM QA3d}. IF RESPONSE IS GREATER, PLEASE VERIFY.]	|__|__|__| DAYS 1 WEEKS 2 MONTHS 3	KEPT BUT CHANGED	A19	Revised language; added response category for Hours
A3g	How much time were you away from work after the birth of your child?	|__|__|__| DAYS 1 WEEKS 2 MONTHS 3 REFUSED -7 DON’T KNOW -8	DROPPED
A4	Now I'm going to briefly ask you about your other leave{s}. What was the reason for the second longest leave you have taken since January 1, 1999?	OWN HEALTH CONDITION, EXCEPT MATERNITY-RELATED ILLNESS 1 [WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY, OR OTHER PREGNANCY-RELATED AILMENT PRIOR TO DELIVERY 2 [WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY AND TO CARE FOR A NEWBORN 3 [WOMEN ONLY] MISCARRIAGE 4 TO CARE FOR NEWBORN 5 TO CARE FOR NEWLY ADOPTED CHILD 6 TO CARE FOR NEWLY PLACED FOSTER CHILD 7 CHILD’S HEALTH CONDITION 8 SPOUSE’S HEALTH CONDITION 9 PARENT’S HEALTH CONDITION 10 OTHER RELATIVE’S HEALTH CONDITION 11 OTHER NON-RELATIVE’S HEALTH CONDITION 12	KEPT BUT CHANGED	A20, A5	Revised into A5- loop for most recent leave.
A4a/1	OVERLAY. [SPECIFY R'S HEALTH CONDITION OR ASK] What health condition did you have? [RECORD RESPONSE VERBATIM; 90 CHARACTERS/2 LINES]		DROPPED		Nature of health condition asked in new A10
A4a/8	OVERLAY. [SPECIFY CHILD'S HEALTH CONDITION OR ASK] What health condition did your child have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]		DROPPED		Nature of health condition asked in new A10
A4a/9	OVERLAY. [SPECIFY SPOUSE'S HEALTH CONDITION OR ASK] What health condition did your spouse have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]		DROPPED		Nature of health condition asked in new A10
A4a/10	OVERLAY. [SPECIFY PARENT'S HEALTH CONDITION OR ASK] What health condition did your parent have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]		DROPPED		Nature of health condition asked in new A10
A4a/11	OVERLAY. [SPECIFY RELATION TO R OR ASK] What is that person’s relationship to you?	GRANDCHILD 1 GRANDPARENT 2 SIBLING 3 OTHER (SPECIFY)__(35 CHAR)___ 91	KEPT	A6	Added a response category (Aunt/Uncle)
A4a/12	OVERLAY. [SPECIFY RELATION TO R OR ASK] What is that person’s relationship to you?	DOMESTIC PARTNER 1 OTHER (SPECIFY)__(35 CHAR)__ 91	KEPT	A7	Revised/added response categories
A4b	Did {you/your child/your spouse/your parent} require a doctor's care?	YES 1 NO 2 [SKIP TO QA4d]	KEPT BUT CHANGED	A11	Revised language
A4c	{Were/Was} {you/your child/your spouse/your parent} in the hospital overnight?	YES 1 NO 2	KEPT BUT CHANGED	A12	Revised language
A4d	Over how long a period of time did this leave last? [IF STILL ON THIS LEAVE, STATE “so far.”]	|__|__|__| DAYS 1 WEEKS 2 MONTHS 3	DROPPED		Incorporated into new A13, A16, and A17
A4e	Were you off work that entire time?	YES 1 [SKIP TO NEXT PROGRAMMING NOTE] NO 2	KEPT BUT CHANGED	A14	Revised language
A4f	How much time were you actually away from work? [ANSWER SHOULD BE LESS THAN {ANSWER FROM QA4d}. IF GREATER, PLEASE VERIFY.]	|__|__|__| DAYS 1 WEEKS 2 MONTHS 3	KEPT BUT CHANGED	A19	Revised language; added response category for Hours
A4g	How much time were you away from work after the birth of your child?	|__|__|__| DAYS 1 WEEKS 2 MONTHS 3	DROPPED
A5	You said before that you took {NUMBER FROM QA2} leaves since January 1, 1999. We just asked you about your two longest leaves. What {was/were} the reason{s} for the {other/other {NUMBER FROM QA2 MINUS 2}} leave{s} you took since January 1, 1999? [CODE UP TO 4 RESPONSES.]	OWN HEALTH CONDITION, EXCEPT MATERNITY-RELATED ILLNESS 1 [WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY, OR OTHER PREGNANCY-RELATED AILMENT PRIOR TO DELIVERY 2 [WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY AND TO CARE FOR A NEWBORN 3 [WOMEN ONLY] MISCARRIAGE 4 TO CARE FOR NEWBORN 5 TO CARE FOR NEWLY ADOPTED CHILD 6 TO CARE FOR NEWLY PLACED FOSTER CHILD 7 CHILD’S HEALTH CONDITION 8 SPOUSE’S HEALTH CONDITION 9 PARENT’S HEALTH CONDITION 10 OTHER RELATIVE’S HEALTH CONDITION 11 OTHER NON-RELATIVE’S HEALTH CONDITION 12	DROPPED
A5b	Sometimes people alternate between work and leave. That is, they repeatedly take leave for a few hours or days at a time because of ongoing family or medical reasons. Have you taken this kind of leave since January 1, 1999?	YES 1 NO 2 [GO TO PROGRAMMING NOTE]	KEPT BUT CHANGED	A14	Revised language
A5c	Was this kind of leave less than half, about half, or more than half of all the time you spent on family or medical leave since January 1, 1999?	LESS THAN HALF 1 ABOUT HALF 2 MORE THAN HALF 3	DROPPED
A6	Is your current leave the longest leave you have taken since January 1, 1999?	YES 1 NO 2	KEPT BUT CHANGED	A20	Revised question wording
	Was the leave you just told me about taken under the federal Family and Medical Leave Act?	YES 1 NO 2 [GO TO QC8]	KEPT BUT CHANGED	A21	Revised language so question doesn't specifically mention FMLA; new response categories
	{Please think about the most recent time you needed leave}. At the time you {took/took your longest/needed/most recently needed} leave, {do you think you were/Do you think you are} eligible to take advantage of the federal Family and Medical Leave Act?	YES 1 NO 2 [GO TO QC7]	DROPPED		FMLA leave designation/eligibility determined by responses to S11 and S12
A7	I’m going to read you some reasons why some people might be worried about taking family or medical leave. For each of these, please tell me if you were worried. Were you worried about taking family or medical leave.		KEPT BUT CHANGED	A22	Revised language and added new categories
	a. Because you thought you might lose your job if you took leave? b. Because you thought taking leave might hurt your job advancement? c. Because you would lose your seniority? d. Because you worried about not having enough money to pay bills	YES 1 NO 2
A8	Please think about the leave that lasted the longest when you answer the rest of the questions during this interview. Did you take the leave all at once or did you alternate between work and leave?	ALL AT ONCE 1 [GO TO QA9] ALTERNATED 2 BOTH 3	DROPPED		Covered in A14
A8a	Did you take leave on a regular routine or as needed?	REGULAR ROUTINE 1 AS NEEDED 2	DROPPED
A9	Did you lose any of your benefits during your leave or didn’t you have any?	YES 1 NO 2 DIDN’T HAVE ANY 3 [GO TO QA10]	COMBINED	A44	Combined A9 and A9a. Revised question so it only asks about health insurance. Added new response categories
A9a	What benefits did you lose? [PROBE: Anything else?] [CODE ALL THAT APPLY.]	HEALTH INSURANCE 1 LIFE INSURANCE 2 DISABILITY INSURANCE 3 PENSION CONTRIBUTIONS 4 OTHER (SPECIFY)__(35 CHAR)_____ 91	COMBINED	A44	Combined A9 and A9a. Revised question so it only asks about health insurance. Added new response categories
A10	Did you receive pay for any part of your {longest} leave?	YES 1 NO 2 [GO TO QA11]	KEPT BUT CHANGED	A45	Refers to most recent leave instead of longest
A10a	Was the pay you received part of…		KEPT BUT CHANGED	A46, A48	Added benefit categories; e. temporary disability insurance removed and asked in new A48 with other types of paid leave
	a. Your sick leave? b. Your vacation leave? c. Personal leave? d. Parental leave? e. Temporary disability insurance? f. Some other benefit?	YES 1 NO 2
A10b	OVERLAY What benefit is that? [RECORD BENEFIT VERBATIM; 135 CHARACTERS/3 LINES]		DROPPED
A10c	Did you receive your full pay for the entire time you were on {[your longest]} leave?	YES 1 [GO TO QA12] NO 2	DROPPED
A10d	Did you receive at least some pay for each pay period that you were on {[your longest]} leave?	YES 1 [GO TO QA10f] NO 2	DROPPED
A10e	When you received this pay, was it for your full salary or only for part of your salary?	FULL 1 PART 2	KEPT BUT CHANGED	A49	Revised language
A10f	Over the entire time you were on {[your longest]} leave, about how much of your usual pay did you receive in total? Would you say…	Less than half, 1 About half, or 2 More than half? 3	KEPT BUT CHANGED	A50	Revised language; refers to most recent leave instead of longest; added response categories
A11	In order to cover lost wages or salary during the leave, did you…		KEPT BUT CHANGED	A53	Slightly revised wording in item c
	a. Use savings that you had earmarked for this situation? b. Use savings earmarked for something else? c. Borrow money to cover lost wages? d. Go on public assistance? e. Limit extras? f. Put off paying your bills? g. Cut your leave time short? h. Do anything else? (SPECIFY)____(35 CHAR)____	YES 1 NO 2
A11b	How easy or difficult was it for you to make ends meet during your {[longest]} leave? Would you say…	Very easy, 1 Somewhat easy, 2 Neither easy nor difficult, 3 Somewhat difficult, or 4 Very difficult? 5	KEPT BUT CHANGED	A54	Refers to most recent leave instead of longest
A11c	If you had received {some/additional} pay, would you have taken leave for a longer period of time?	YES 1 NO 2	KEPT	A55
A12	Would you say using family and medical leave had a positive effect or no effect at all on…		KEPT BUT CHANGED	A56	Added language based on new response category. Added response category; revised wording in items c-e
	a. Your ability to care for family members? b. Your ability to select a satisfactory childcare provider? c. Your ability to select a satisfactory caretaker for a sick family member? d. Your or your family member's physical health? e. Your or your family member's emotional well-being?	POSITIVE 1 NO EFFECT 2
A13	Which effects did your family and medical leave have on your or your family member's physical health? Would you say…		KEPT	A57, A58	Revised question wording. Revised wording in all items. Added new item
	a. A quicker recovery time b. It was easier to comply with doctor's instructions c. It delayed or avoided need to enter nursing home or other long-term care facility, or d. Was there another effect (SPECIFY)?__(35 CHAR)	YES 1 NO 2
A14	Now I’m going to ask you some questions about how your work was covered while you were away on your leave. By cover your work, we mean what your employer did while you were away on leave to make sure that the work you usually did was completed. Did your employer:		KEPT BUT CHANGED	A52	Revised language for response categories
	a. Cover your work by assigning it to other employees? b. Hire a permanent employee? c. Hire an outside temporary worker? d. Leave your work for you when you returned?	YES 1 NO 2
A14a	Which method was used most often?	WORK ASSIGNED TO OTHER EMPLOYEES 1 PERMANENT EMPLOYEE HIRED 2 OUTSIDE TEMPORARY WORKER HIRED 3 EMPLOYER LEFT WORK FOR LEAVE WORK FOR YOUR RETURN 4	DROPPED
A15	After your leave ended, did you go back to work for the same employer, a new employer, or did you not return to work at all?	SAME EMPLOYER 1 [GO TO QA16] NEW EMPLOYER 2 [GO TO QA16] NOT RETURN TO WORK 3	KEPT	A59
A15a	Why didn’t you return to work?	OBTAINED OTHER INCOME SOURCE (SELF-EMPLOYED) 1 HEALTH CONDITION CONTINUED (ILLNESS CONTINUES) 2 LAID OFF / FIRED / REPLACED 3 [GO TO QA19] DIDN’T WANT TO RETURN TO WORK 4 COULDN'T FIND CHILD CARE 5 Other (SPECIFY)__(35 CHAR)________ 91	KEPT BUT CHANGED	A61	Added new categories
A16	Was a reason you returned to work because you no longer needed to be on leave	YES 1 NO 2 REFUSED -7 DON’T KNOW -8	COMBINED	A62	Combined with old A17
A17	Was a reason you returned to work because…		KEPT and COMBINED	A62	Combined with old A16. Revised wording in item f; added new items
	a. You could not afford financially to take more time off? b. You just wanted to get back to work? c. You used up all the leave time you were allowed? d. You felt pressured by your boss or co-workers to return? e. You had too much work to do to stay away longer? f. Someone else took over care?	YES 1 NO 2
A18	After your leave, did you return to the same or an equal position, a higher position, or a lower position than you had before the leave?	SAME OR EQUAL POSITION 1 [GO TO QA19] HIGHER POSITION 2 [GO TO QA19] LOWER POSITION 3	KEPT BUT CHANGED	A63	Revised language and response categories
A18a	Did you choose to take a lower position or did your employer ask you to take a lower position?	CHOSE LOWER POSITION 1 EMPLOYER ASKED 2	KEPT BUT CHANGED	A64	Revised language and response categories
A19	Now I’m going to ask you some questions about your feelings regarding your leave. How easy or difficult was it to get your employer to let you take time off? Would you say it was…	Very easy, 1 Somewhat easy, 2 Neither easy nor difficult, 3 Somewhat difficult, or 4 Very difficult? 5	KEPT BUT CHANGED	A24	Revised language
A20	How satisfied were you with the amount of time you took off? Would you say you were…	Very satisfied, 1 Somewhat satisfied, 2 Neither satisfied nor dissatisfied, 3 Somewhat dissatisfied, or 4 Very dissatisfied? 5	DROPPED
A21	Since January 1, 1999, have you ever been denied leave to take care of family or medical problems?	YES 1 NO 2 [GO TO QC1]	KEPT BUT CHANGED, COMBINED	B15d	Incorporated into old B3 loop
A22	Were you denied leave…		KEPT BUT CHANGED	B19	Added new categories; revised wording in item d
	a. Because your employer does not offer family or medical leave? b. Because you hadn’t worked for your employer long enough to be eligible for family or medical leave? c. Because you had worked too few hours in the previous year? d. Because you had no leave left? e. For other reasons? (SPECIFY)____(90 CHAR)_____	YES 1 NO 2
B1	I want to confirm with you that since January 1, 1999 you wanted to take leave from work but did not for an event in your family such as: • the arrival of a newborn, newly adopted or new foster child; • reasons related to your or a family member’s pregnancy; or • the serious health condition of yourself, your child, spouse, or parent. A serious health condition is one that lasted more than 3 days or required an overnight hospital stay. Is that correct? [Have you wanted but not taken leave from work for one or more of these reasons?]	YES 1 [GO TO QB1b] NO 2	KEPT BUT CHANGED	B2	Added new reason for care of military member; reference period changed to last 18 months
B1a	Did you actually take leave since January 1, 1999 for any of the events I just described?	YES 1 [GO TO QA1d] NO 2 [GO TO QC0]	DROPPED
B1b	Was there an event like this since January 1, 2000?	YES 1 NO 2	KEPT BUT CHANGED	B3	Reference period changed to last 12 months
B2	{Thinking of the times you needed leave since January 1, 1999, what/What} were the reasons you needed to take leave from work? [CODE UP TO 4 RESPONSES]	OWN HEALTH CONDITION, EXCEPT MATERNITY-RELATED ILLNESS 1 [WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY, OR OTHER PREGNANCY-RELATED AILMENT PRIOR TO DELIVERY 2 [WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY AND TO CARE FOR A NEWBORN 3 [WOMEN ONLY] MISCARRIAGE 4 TO CARE FOR NEWBORN 5 TO CARE FOR NEWLY ADOPTED CHILD 6 TO CARE FOR NEWLY PLACED FOSTER CHILD 7 CHILD’S HEALTH CONDITION 8 SPOUSE’S HEALTH CONDITION 9 PARENT’S HEALTH CONDITION 10 OTHER RELATIVE’S HEALTH CONDITION 11 OTHER NON-RELATIVE’S HEALTH CONDITION 12	KEPT BUT CHANGED	B6	Added new response options; asked for up to 3 reasons
B2a/1	[SPECIFY R'S HEALTH CONDITION OR ASK] What health condition did you have? [RECORD RESPONSE VERBATIM; 90 CHARACTERS/2 LINES]		DROPPED		Nature of health condition asked in new B11.
B2a/8	OVERLAY. [SPECIFY CHILD'S HEALTH CONDITION OR ASK] What health condition did your child have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]		DROPPED		Nature of health condition asked in new B11.
B2a/9	OVERLAY. [SPECIFY SPOUSE'S HEALTH CONDITION OR ASK] What health condition did your spouse have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]		DROPPED		Nature of health condition asked in new B11.
B2a/810	OVERLAY. [SPECIFY PARENT'S HEALTH CONDITION OR ASK] What health condition did your parent have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]		DROPPED		Nature of health condition asked in new B11.
B2a/11	OVERLAY. [SPECIFY RELATION TO R OR ASK] What is that person’s relationship to you?	GRANDCHILD 1 GRANDPARENT 2 SIBLING 3 OTHER (SPECIFY)__(35 CHAR)___ 91	KEPT BUT CHANGED	B7	Added new response option (Aunt/Uncle)
B2a/12	OVERLAY. [SPECIFY RELATION TO R OR ASK] What is that person’s relationship to you?	DOMESTIC PARTNER 1 OTHER (SPECIFY)__(35 CHAR)__ 91	KEPT BUT CHANGED	B8	Revised/added response options
B2a	How many different times did you need leave but not take it, since January 1, 1999?	|__|__|	KEPT BUT CHANGED	B4	Changed reference period to last 18 months
B2b	What was the most recent reason you needed to take leave from work? [CODE ONLY ONE]	OWN HEALTH CONDITION, EXCEPT MATERNITY-RELATED ILLNESS 1 [WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY, OR OTHER PREGNANCY-RELATED AILMENT PRIOR TO DELIVERY 2 [WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY AND TO CARE FOR A NEWBORN 3 [WOMEN ONLY] MISCARRIAGE 4 TO CARE FOR NEWBORN 5 TO CARE FOR NEWLY ADOPTED CHILD 6 TO CARE FOR NEWLY PLACED FOSTER CHILD 7 CHILD’S HEALTH CONDITION 8 SPOUSE’S HEALTH CONDITION 9 PARENT’S HEALTH CONDITION 10 OTHER RELATIVE’S HEALTH CONDITION 11 OTHER NON-RELATIVE’S HEALTH CONDITION 12	COMBINED	B6	Combined with old B2
B2c	How many different times did you need leave for the {first/second/third/fourth} reason you mentioned? [REASON FROM QB2]	|__|__|	KEPT BUT CHANGED	B14	Revised language
B2d	Did {you/your child/your spouse/your parent} require a doctor's care?	YES 1 NO 2 [GO TO QB2c FOR THE NEXT REASON OR SKIP TO QB3]	KEPT BUT CHANGED	B12	Revised language
B2e	{Were/Was} {you/your child/your spouse/your parent} in the hospital overnight?	YES 1 NO 2	KEPT BUT CHANGED	B13	Revised language
B3	I’m going to read some reasons people don’t take leave from work. Please answer yes or no to all that apply. Was a reason you didn't take {a leave/the leaves you needed} because…		KEPT BUT CHANGED	B15	Added new categories and removed d and e ineligible categories to new separate questions (B16-B17).
	a. You thought you might lose your job? b. You thought you might hurt your job advancement? c. You didn’t want to lose your seniority? d. You weren't eligible because you only worked part-time? e. You hadn’t worked for your employer long enough to be eligible? f. Your employer denied your request? g. You couldn’t afford to? h. You wanted to save your leave time? i. Your work is too important? or j. Was there some other reason you didn’t take leave (SPECIFY/35)	YES 1 NO 2
B3a	If you had received some or additional pay, would you have taken leave?	YES 1 NO 2	DROPPED
B4	Since you did not take leave, what did you do to take care of your situation? [RECORD RESPONSE VERBATIM; 135 CHARACTERS/3 LINES]		KEPT BUT CHANGED	B20	Revised question from free text to ask specific categories
C0a	I want to confirm with you that since January 1, 1999, you have not taken or needed to take a leave from work: • for the care of a newborn, newly adopted or new foster child; • for reasons related to your or a family member’s pregnancy; or • for yourself, your child, spouse, or parent because of a serious health condition. A serious health condition is one that lasted more than 3 days or required an overnight hospital stay. Is this correct? [You have not needed or taken leave from work for any of these reasons?]	YES 1 NO 2 [GO TO QA1a]	KEPT BUT CHANGED	C1	Added new reason for care of military member; reference period changed to last 18 months
C0	Have you been employed at all since January 1, 1999?	YES 1 NO 2	DROPPED	S9, E1	Ask about employment status in S9 and E1
C1	Do you currently take care of a newborn, newly adopted or new foster child, or a relative with a serious health condition on a daily basis?	YES 1 NO 2 [GO TO QC1d]	DROPPED
C1a	Whom do you care for? [CODE UP TO 3 RESPONSES]	NEWBORN 1 NEWLY ADOPTED 2 NEW FOSTER CHILD 3 [GO TO QC1d] CHILD 4 SPOUSE 5 PARENT 6 OTHER RELATIVE 7 OTHER NON-RELATIVE 8	DROPPED
C1a/7	OVERLAY. [SPECIFY RELATION TO R OR ASK] What is that person’s relationship to you?	GRANDCHILD 1 GRANDPARENT 2 SIBLING 3 OTHER (SPECIFY)__(35 CHAR)____ 91	DROPPED
C1a/8	OVERLAY. [SPECIFY RELATION TO R OR ASK] What is that person’s relationship to you?	DOMESTIC PARTNER 1 OTHER (SPECIFY)__(35 CHAR)__ 91	DROPPED
C1d	For the next question, please think about time you took off from work since January 1, 1999, because you were sick. What was the largest number of sick days in a row that you took off from work in this time period?	|__|__|__|	DROPPED
C1e	Earlier we discussed whether you had taken leave from work for a family or medical reason since January 1, 1999. Now think about the period from 1995 through 1998. During that time, did you take leave from work: • for the care of a newborn, newly adopted or new foster child; • for reasons related to your or a family member’s pregnancy; or • for yourself, your child, spouse, or parent because of a serious health condition? A serious health condition is one that lasted more than 3 days or required an overnight hospital stay.	YES 1 NO 2	DROPPED
C2	Over the next 5 years, how likely do you think it is that you will need to take a leave from work for your own serious health condition, the serious health condition of your child, spouse, or parent, or for the arrival of a newborn, newly adopted, or new foster child. Would you say it was…	ery likely, 1 Somewhat likely, 2 Somewhat unlikely, or 3 Very unlikely? 4 [GO TO QC3]	DROPPED
C2a	Who do you think that person or persons will be? [CODE UP TO 4 RESPONSES]	YOURSELF 1 NEWBORN 2 NEWLY ADOPTED 3 NEW FOSTER CHILD 4 [GO TO QC3] CHILD 5 SPOUSE 6 PARENT 7 OTHER RELATIVE 8 OTHER NON-RELATIVE 9	DROPPED
C2a/8	OVERLAY. [SPECIFY RELATION TO R OR ASK] What is that person’s relationship to you?	GRANDCHILD 1 GRANDPARENT 2 SIBLING 3 OTHER (SPECIFY)_____(35 CHAR)_______ 91	DROPPED
C2a/9	OVERLAY. [SPECIFY RELATION TO R OR ASK] What is that person’s relationship to you?	DOMESTIC PARTNER 1 OTHER (SPECIFY)__(35 CHAR)__ 91	DROPPED
C3	Have you ever heard about the federal Family and Medical Leave Act?	YES 1 NO 2 [GO TO QC8]	KEPT	E2	Moved to Employment Section
C4	How did you first learn about the federal Family and Medical Leave Act?	MEDIA (TV, NEWSPAPERS, ETC.) 1 CO-WORKERS 2 EMPLOYER GAVE OUT INFORMATION 3 POSTERS 4 INTERNET 5 FAMILY MEMBER 6 UNION GAVE OUT INFORMATION 7 OTHER (SPECIFY)_____(35 CHAR)______ 91	KEPT BUT CHANGED	E3	Revised question language, dropped internet category, revised item 3 and added an item
C5	{Please think about the most recent time you needed leave}. At the time you {took/took your longest/needed/most recently needed} leave, {do you think you were/Do you think you are} eligible to take advantage of the federal Family and Medical Leave Act?	YES 1 NO 2 [GO TO QC7]	DROPPED
C6	Was the leave you just told me about taken under the federal Family and Medical Leave Act?	YES 1 NO 2 [GO TO QC8]	DROPPED
C7	Prior to January 1, 1999, had you ever taken leave from a job under the federal Family and Medical Leave Act?	YES 1 NO 2	DROPPED
C8	Are you currently employed?	YES 1 NO 2	KEPT	E1
C9	At your place of employment, {is/was} there a notice posted that explains the federal Family and Medical Leave Act?	YES 1 NO 2	KEPT BUT CHANGED	E4	Refers to current place of employment only
C10	You told me earlier that you had been denied leave. Were you denied leave because you reached the FMLA limit of 12 weeks?	YES 1 NO 2	KEPT BUT CHANGED	B19	Question does not specify FMLA limit of 12 weeks. Changed to: Denied because you used up all the leave time you were allowed
C11	Please tell me whether you agree or disagree with the following statements:		DROPPED
	a. Every employee should be able to have up to 12 weeks of unpaid leave in a year from work for family and medical problems b. Having to provide employees with up to 12 weeks of unpaid leave in a year for family and medical problems is an unfair burden to employees’ co-workers	AGREE 1 DISAGREE 2
C11c	Since January 1, 1999, have any co-workers where you work{ed} taken leave for family or medical reasons?	YES 1 NO 2	KEPT BUT CHANGED	E5	Changed reference period to last 18 months
C11d	As a result of these co-workers taking leave, did you…		KEPT BUT CHANGED	E6	Added new item
	a. Work more hours than you usually do? b. Work a shift that you do not normally work? c. Take on additional duties?	YES 1 NO 2
C11e	Would you say that your co-workers taking leave had a positive impact on you, a negative impact on you, or neither?	POSITIVE 1 NEGATIVE 2 NEITHER 3	DROPPED
C12	I’m going to read a list of benefits that some employers offer to their employees. For each, please tell me if it {USE DISPLAY FROM PROGRAMMING NOTE}.		KEPT BUT CHANGED	E7	Revised question language. Dropped D-I and added new items
	a. Flextime b. Flexplace or telecommuting c. Job sharing d. Referral services for child care e. Vouchers for child care f. Onsite child care g. Referral services for elder care h. Adoption assistance i. Employee Assistance Program j. Paid parental leave k. Workplace provision for lactation	YES 1 N0 2 DEPENDS ON CIRCUMSTANCES 3
C12a	Of those offered, which two are the most important to you?	FLEXTIME 1 FLEXPLACE/TELECOMMUTING 2 JOB SHARING 3 REFERRAL SERVICES FOR CHILD CARE 4 VOUCHERS FOR CHILD CARE 5 ONSITE CHILD CARE 6 REFERRAL SERVICES FOR ELDER CARE 7 ADOPTION ASSISTANCE 8 EMPLOYEE ASSISTANCE PROGRAM 9 PAID PARENTAL LEAVE 10 WORKPLACE PROVISION FOR LACTATION 11 REFUSED -7 DON'T KNOW -8	DROPPED
C13	{Does/Did} your employer allow you to take leave for the following reasons?		DROPPED
	a. To take part in children’s school and early childhood educational activities? b. To attend to routine family medical needs? c. To help with elderly relatives’ health care needs?	YES 1 N0 2 DEPENDS 3
C13a	Since January 1, 1999, have you taken this type of leave?	YES 1 NO 2	DROPPED
C13b	Have you needed to take this kind of leave?	YES 1 NO 2	DROPPED
C14	{Were/Are} you salaried on {that/this} job, paid by the hour, or what? [CODE ALL THAT APPLY]	SALARIED 1 HOURLY 2 PIECEWORK/COMMISSION 3 OTHER/COMBINATION 4	KEPT BUT CHANGED	E9	Revised question language; refers to current place of employment only
C14a	{Were/Are} you a contract worker?	YES 1 NO 2	KEPT BUT CHANGED	E10	Read in present tense only
C15	At the place where you work{ed}, (for example the site – store, building) would you say there {were/are} 50 or more employees?	YES 1 [GO TO QC16] NO 2	KEPT BUT CHANGED	E11	Refers to current place of employment only
C15a	Counting all of the sites in your organization, would you say there {were/are} 50 or more employees within 75 miles of where you work{ed}?	YES 1 [GO TO QC16] NO 2	KEPT BUT CHANGED	E12	Old C15a and C15b combined into new question with numeric response ranges
C15b	Counting all of the sites in your organization, would you say there {were/are} 25 or more employees within 75 miles of where you work{ed}?	YES 1 NO 2	KEPT BUT CHANGED	E12	Old C15a and C15b combined into new question with numeric response ranges
C16	{Since/During the time you were employed between} January 1, 1999 and the present, {have/had} you worked continuously for the same employer {except for the leave you just told me about}?	YES 1 NO 2 [GO TO QC19]	KEPT BUT CHANGED	E13	Changed reference period to last 12 months
C17	({Since/During the time you were employed between} January 1, 1999 and the present, {have/had} you always been a full-time employee {except for the leave you just told me about}?	YES 1 [GO TO SECTION D] NO 2	KEPT BUT CHANGED	E14	Changed reference period to last 12 months
C18	{Since/During the time you were employed between} January 1, 1999 and the present, how many hours per week did you work on average?	|__|__|	KEPT BUT CHANGED	E15	Changed reference period to last 12 months
C19	{DISPLAY FILL FROM PROGRAMMING NOTE}, for how many months from January 1, 1999 to the present did you work for that employer?	|__|__|	DROPPED
C19a	On average, how many hours a week did you work for that employer?	|__|__|	DROPPED
D1	Are you currently…	Married; 1 Living with a partner; 2 Separated; 3 Divorced; 4 Widowed; or 5 Never married? 6	KEPT	D10
D2	Are you Spanish, Hispanic or Latino?	YES 1 NO 2	KEPT BUT CHANGED	D5	Revised language
D2b	Please tell me which of the following best describes your race. Would you say…	White, 1 Black or African American, 2 American Indian or Alaska Native, 3 Asian 4 Native Hawaiian or Pacific Islander? 5 SOMETHING ELSE (SPECIFY)__(35 CHAR)___ 91	KEPT BUT CHANGED	D6	Revised language; changed order of response categories
D3	How many of your own children under 18 years old do you have living with you?	|__|__|	KEPT BUT CHANGED	D7	Revised language
D4	What is the highest level of education you have completed?	LESS THAN HIGH SCHOOL 1 SOME HIGH SCHOOL 2 HIGH SCHOOL GRADUATE OR GED 3 SOME COLLEGE 4 COLLEGE GRADUATE 5 GRADUATE SCHOOL 6	KEPT	D1	Split #3 into 2 response categories
D5	{Were/Are} you employed by government, by a private company, a non-profit organization or {were/are} you self-employed?	GOVERNMENT 1 PRIVATE FOR PROFIT 2 NON-PROFIT ORGANIZATION INCLUDING TAX EXEMPT AND CHARITABLE ORGANIZATIONS 3 SELF EMPLOYED 4 [GO TO QD6] WORKING IN FAMILY BUSINESS 5	KEPT BUT CHANGED	S10	Revised language and incorporated into matrix of houshold member questions
D5a	Would that be the federal, state or local government?	FEDERAL 1 STATE 2 LOCAL (COUNTY, CITY, TOWNSHIP) 3 REFUSED -7 DON’T KNOW -8	KEPT	D2	Added transition statement
D6	To get a picture of people’s financial situation we need to know the general range of income of all people we interview. Now, thinking about your total family income before taxes from all sources including your job {and your spouse’s job}, how much did you receive in 1999?	|__|__|__|__|__|__|__| [GO TO END] [HR: 00- 9999999]	KEPT BUT CHANGED	D4	Revised language and reference period
D6a	Was your family income $35,000 or more in 1999?	YES 1 NO 2 [GO TO QD6f]	KEPT	D4a
D6b	Was it $40,000 or above?	YES 1 NO 2	KEPT	D4b
D6c	Was it $50,000 or above?	YES 1 NO 2	KEPT	D4c
D6d	Was it $75,000 or above?	YES 1 NO 2	KEPT	D4d
D6e	Was it $100,000 or above?	YES 1 [GO TO END] NO 2	KEPT	D4e
D6f	Was it $30,000 or above?	YES 1 [GO TO END] NO 2	KEPT	D4f
D6g	Was it $20,000 or above?	YES 1 [GO TO END] NO 2	KEPT	D4g
D6h	Was it $10,000 or above?	YES 1 [GO TO END] NO 2	KEPT	D4h
D6j	Was it $5,000 or above?	YES 1 [GO TO END] NO 2	KEPT	D4j
	How many adults age 18 or over live in your household? Let's start with you.	[RANGE 1-11, 99 DK/REF SOFT REFUSAL]	NEW	S5
	Now thinking about your telephone use, do you have a working cell phone?	YES, HAVE CELL PHONE 1 NO, DO NOT HAVE A CELL PHONE 2 DK/REF 9	NEW	T1
	How many working cell phones do YOU personally have?	RECORD NUMBER (1-6) DK/REF 9	NEW	T2
	Thinking about the other adults in your household, how many working cell phones in total do THEY have?	RECORD NUMBER (1-6) DK/REF 9	NEW	T3
	Is a cell phone your ONLY phone, or do you also have a regular landline telephone at home?	CELL PHONE IS ONLY PHONE 1 HAVE LANDLINE TELEPHONE AT HOME 2 DK/REF 9	NEW	T4
	How many different residential phone NUMBERS do you have coming into your household, not including lines dedicated to a fax machine, modem, or used strictly for business purposes? Do not include cellular phones	RECORD NUMBER (1-6) DK/REF 9	NEW	T5
	Of all the telephone calls that you [or your family] receive, are:	All or almost all calls received on cell phones 1 Some received on cell phones and some on regular phones 2 Very few or none on cell phones? 3 DK/REF 9	NEW	T6
	[FILL QS6 AX] has been selected as the respondent for this survey. May I please speak to [FILL QS6 AX] for the rest of the interview?	YES/PHONE HANDED OFF 1 NOT AVAILABLE 2 ALTERNATE NUMBER PROVIDED 3 DK/REF 9	NEW	HANDOFF1
	Was there an event like this IN THE LAST YEAR [12 MONTHS, INSERT DATE]?	YES 1 NO 2 DK 8 REF 9	NEW	A2
	For how many TOTAL reasons or conditions did you take leave from work IN THE PAST YEAR, that is since [INSERT 12 MONTH PERIOD]?	RANGE: 0-100 DK 888 REF 999	NEW	A4a
	[IF QS8=9 FOR SELECTED RESPONDENT:]	MALE 1 FEMALE 2 DK 9	NEW	GUESSGENDER1
	What type of deployment-related issue did you need to address for this leave?	Events or activities sponsored by the miltiary before deployment 1 Childcare or school activities 2 Financial or legal arrangements 3 Non-medical counseling 4 Short-notice deployment 5 Events or activities sponsored by the military after the military member returned 6 Issues arising from the death of a military member 7 OTHER 8 DK 98 REF 99	NEW	A5a
	What was the age of your care recipient?	0-1 YEARS 1 2-17 YEARS 2 18-40 YEARS 3 41-59 YEARS 4 60-69 YEARS 5 70-79 YEARS 6 80-89 YEARS 7 90 OR OLDER 8 DK (VOL) 98 REF (VOL) 00	NEW	A8
	Was this leave taken in order to care for a member of the military for a service-related health condition or injury?	YES 1 NO 2	NEW	A9
	What is that person's relationship to you?	SPOUSE 1 PARENT 2 SON OR DAUGHTER 3 NEXT OF KIN 4 OTHER 5 DK 8 REF 9	NEW	A9a	military member’s relationship to the respondent
	What was the nature of this health condition? Was it…	A one-time health matter, such as appendicitis or injury; 1 The treatment of an injury or illness that now requires routine scheduled care, such as chemotherapy or physical therapy; or 2 An ongoing health condition that affects one’s ability to work from time to time, such as diabetes, migraines, depression, or Multiple Sclerosis? 3 OTHER (SPECIFY): 4 DK 8 REF 9	NEW	A10
	For this leave, in what month and year did you start taking time off?	ENTER MONTH [RANGE: 1-12] ENTER YEAR [RANGE 2009-2011]	NEW	A13
	How many separate blocks of time did you take off from work during your [longest/most recent] leave?	[RANGE: 1-100]	NEW	A15
	In what month and year did the last block of time for this leave begin?	ENTER MONTH [RANGE: 1-12] ENTER YEAR [RANGE 2009-2011]	NEW	A16
	In what month and year did this leave end?	ENTER MONTH [RANGE: 1-12] ENTER YEAR [RANGE 2009-2011]	NEW	A17
	To review: You've taken leave for [[FILL QA5]; IF QA5=DK/REF DISPLAY "and you are not able to tell us the reason"], [and you began taking leave in QA13 MONTH QA13 YEAR - IF MONTH OR YEAR IS DK/REF LEAVE OUT, IF BOTH ARE MISSING DISPLAY "and you are not able to tell us when it began"], [and you are currently on this leave/and it ended in QA17 MONTH QA17 YEAR - IF MONTH OR YEAR IS DK/REF LEAVE OUT, IF BOTH ARE MISSING DISPLAY "and you are not able to tell us when it ended"]. Is that correct?	YES 1 NO 2 DK 3 REF 9	NEW	A18
	How much time was needed for the care for the military member?	HOURS [RANGE: 1-500] DAYS [RANGE: 1-500] WEEKS [RANGE: 1-100] MONTHS [RANGE: 1-24] DK/REF 9	NEW	A19a
	In the last 18 months, did anyone else in your household take leave for the same reason you mentioned?	YES 1 NO 2 DK 3 REF 9	NEW	A19b
	What is this person's relationship to you?	Spouse 1 Unmarried partner 2 Parent 3 Child 4 Sibling 5 Aunt or Uncle 6 Son- or Daughter-in-law 7 Father- or Mother-in-law 8 Grandchild 9 Grandparent 10	NEW	A19c
	How much time in total did this person take off from work for the same reason you mentioned?	HOURS [RANGE: 1-500] DAYS [RANGE: 1-500] WEEKS [RANGE: 1-100] MONTHS [RANGE: 1-24] DK/REF 9	NEW	A19d
	Regardless of whether or not you were concerned about any of the reasons I just mentioned, as a result of taking leave:		NEW	A23
	a. Did you lose your job? b. Did you lose your seniority or potential for job advancement? c. Were you unable to afford an unpaid leave? d. Did you reveal personal information about yourself, your care recipient, or family relationships? e. Were you treated differently because of the reason you took leave? f. Were you able to maintain or pay for health insurance? g. Did you [FILL SPECIFY FROM QA22g]?	YES 1 NO 2 DOES NOT APPLY 3 DK 8REF 9
	If your leave involved taking time off work multiple times for short periods, how important was this degree of flexibility to you and your family? Would you say….	Very important 1 Important 2 Somewhat important 3 Not important 4 DK (VOL) 8 REF (VOL) 9	NEW	A25
	Did your employer require medical certification for this leave?	YES 1 NO 2 DK 8 REF 9	NEW	A26
	Did you obtain medical certification for this leave?	YES 1 NO 2 DK 8 REF 9	NEW	A27
	Was your medical certification accepted on the first submission for this leave?	YES 1 NO 2 DK 8 REF 9	NEW	A28
	Why wasn’t your medical certification accepted on the first submission? [SELECT ALL THAT APPLY]	1. Insufficient information 2. Physician not accepted 3. Condition not accepted 4. Submission not considered timely 5. OTHER (SPECIFY) 8. DK (VOL) 9. REF (VOL)	NEW	A29
	Did your employer require multiple doctors visits - that is, a second or third opinion - to obtain your INITIAL medical certification?	YES 1 NO 2 DK 8 REF 9	NEW	A30
	How many physicians in TOTAL did you consult?	Range: 2-5	NEW	A31
	Did your insurance cover the cost of your medical certifications?	YES 1 NO 2 DK 8 REF 9	NEW	A32
	Did you pay out of your own pocket for your medical certification (for example, a co-pay or a portion of the cost)?	YES 1 NO 2 DK 8 REF 9	NEW	A33
	How much did you, personally, pay for your medical certification?	RANGE: 0-10,000 DK - 88888 REF = 99999	NEW	A34
	Did your employer require medical RE-CERTIFICATION?	YES 1 NO 2 DK 8 REF 9	NEW	A35
	Did you obtain medical re-certification for this leave?	YES 1 NO 2 DK 8 REF 9	NEW	A35a
	Did your employer require multiple doctor visits - that is, a second or third opinion, to obtain your medical RE-certification?	YES 1 NO 2 DK 8 REF 9	NEW	A36
	How many physicians in TOTAL did you consult?	Range: 2-5	NEW	A37
	Did your insurance cover the cost of your medical RE-certification?	YES 1 NO 2 THERE WAS NO COST 3 DK 8 REF 9	NEW	A38
	Did you pay out of your own pocket for your medical RE-certifications (for example, a co-pay or portion of the cost)?	YES 1 NO 2 DK 8 REF 9	NEW	A39
	How much did you, personally, pay for your medical RE-certification?	RANGE: 0-10,000 DK - 88888 REF = 99999	NEW	A40
	How much time did you need to take off from work in order to obtain medical certification?	HOURS [RANGE: 1-100] DAYS [RANGE: 1-100] WEEKS [RANGE: 1-50] DID NOT TAKE EXTRA TIME OFF 4 DK 8 REF 9	NEW	A41
	How long before you took your [leave/most recent block of time off from work] did you provide notice to your employer?	HOURS [RANGE: 1-100] DAYS [RANGE: 1-100] WEEKS [RANGE: 1-50] MONTHS [RANGE: 1-24] DID NOT PROVIDE NOTICE BEFORE LEAVE 5 DK 8 REF 9	NEW	A42
	Did you satisfy your employer’s standard rules about taking time off?	YES 1 NO 2 DK 8 REF 9	NEW	A43
	Was receiving some of the pay as part of [FILL ITEMS FROM QA46 THAT EQUAL 1] your choice, did your employer require it, or both?		NEW	A47
	a. Paid time off, or PTO b. Your sick days or sick leave c. Your vacation days or vacation leave d. Personal leave e. Maternity leave f. Paternity leave	EMPLOYEE'S CHOICE 1 REQUIRED BY EMPLOYER 2 BOTH 3 DK 8 REF 9
	Was the pay you received part of…		NEW	A48
	a. Temporary disability insurance? b. State-paid family leave? c. State-paid disability leave? d. Some other benefit I haven't already mentioned?	YES 1 NO 2 DK 8 REF 9
	Did your employer require you to take paid leave first, before taking any unpaid leave?	YES 1 NO 2 DK 8 REF 9	NEW	A51
	Did your employer require you to obtain fitness for duty certification before you returned to work?	YES 1 NO 2 DK 8 REF 9	NEW	A60
	[FILL QS6 AX] has been selected as the respondent for this survey. May I please speak to [FILL QS6 AX] for the rest of the interview?	YES/PHONE HANDED OFF 1 NOT AVAILABLE 2 ALTERNATE NUMBER PROVIDED 3 DK/REF 9	NEW	HANDOFF2
	How many different times did you need leave but not take it, IN THE LAST YEAR [12 MONTHS, INSERT DATE]?	RANGE: 1-100 DK (VOL) 888 REF (VOL) 999	NEW	B5
	Were all the times you needed leave but did not take it since [INSERT 18 MONTH PERIOD] for the SAME reason or condition, or were they for DIFFERENT reasons or conditions?	SAME 1 DIFFERENT 2 DK 8 REF 9	NEW	B5a
	For how many TOTAL reasons or conditions did you need leave from work, but not take it, since [INSERT 18 MONTH PERIOD]?	RANGE: 1-100 DK (VOL) 888 REF (VOL) 999	NEW	B5b
	What type of deployment-related issue did you need to address for this leave?	Events or activities sponsored by the miltiary before deployment 1 Childcare or school activities 2 Financial or legal arrangements 3 Non-medical counseling 4 Short-notice deployment 5 Events or activities sponsored by the military after the military member returned 6 Issues arising from the death of hte military member 7 OTHER 8 DK 98 REF 99	NEW	B6a
	[IF QS8=9 FOR SELECTED RESPONDENT:]	MALE 1 FEMALE 2 DK 9	NEW	GUESSGENDER2
	What was the age of your care recipient?	0-1 YEARS 1 2-17 YEARS 2 18-40 YEARS 3 41-59 YEARS 4 60-69 YEARS 5 70-79 YEARS 6 80-89 YEARS 7 90 OR OLDER 8 DK (VOL) 98 REF (VOL) 00	NEW	B9
	Was this leave taken in order to care for a member of the military for a service-related health condition or injury?	YES 1 NO 2	NEW	B10
	What is that person's relationship to you?	SPOUSE 1 PARENT 2 SON OR DAUGHTER 3 NEXT OF KIN 4 OTHER 5 DK 8 REF 9	NEW	B10a	military member’s relationship to the respondent
	How much time was needed to care for the military member?	HOURS [RANGE: 1-500] DAYS [RANGE: 1-500] WEEKS [RANGE: 1-100] MONTHS [RANGE: 1-24] DK/REF 9	NEW	B10b
	What was the nature of this health condition for which you need to take this leave? Was it:	A one-time health matter, such as appendicitis or injury; 1 The treatment of an injury or illness that now requires routine scheduled care, such as chemotherapy or physical therapy; or 2 An ongoing health condition that affects one’s ability to work from time to time, such as diabetes, migraines, depression, or Multiple Sclerosis? 3 OTHER (SPECIFY): 4 DK 8 REF 9	NEW	B11
	And how many different times did you need leave for this reason or condition, IN THE LAST YEAR [12 MONTHS, INSERT DATE]?	[RANGE: 1-100] DK 888 REF 999	NEW	B14a
	Were you ineligible because you only worked part-time?	YES 1 NO 2 DK 8 REF 9	NEW	B16	From original B3
	Were you ineligible because you hadn’t worked long enough for your employer?	YES 1 NO 2 DK 8 REF 9	NEW	B17	From original B3
	When was the last time you were denied leave?	1. In the last month, 2. In the last year, or 3. In the last 18 months 8 DK (VOL) [NOTE: TRAINING NOTE, RECALL] 9 REFUSED (VOL)	NEW	B18
	[FILL QS6 AX] has been selected as the respondent for this survey. May I please speak to [FILL QS6 AX] for the rest of the interview?	YES/PHONE HANDED OFF 1 NOT AVAILABLE 2 ALTERNATE NUMBER PROVIDED 3 DK/REF 9	NEW	HANDOFF3
	[IF QS8=9 FOR SELECTED RESPONDENT:]	MALE 1 FEMALE 2 DK 9	NEW	GUESSGENDER3
	To the best of your knowledge, are employees who are covered by the federal FMLA law entitled to take leave for the following reasons?		NEW	E4a
	a. For the care of a newborn b. For an employee's own serious health condition c. For the care of a child with a serious health condition d. For the care of a spouse with a serious health condition e. For the care of a parent with a serious health condition f. For the care of a grandparent with a serious health condition g. For the care of a grandchild with a serious health condition h. For the care of a sibling with a serious health condition i. For the care of an adopted child with a serious health condition j. For the care of a military service member k. For reasons related to the deployment of a military srevice member	YES 1 NO 2 DK 8 REF 9			rather than asking each respondent all 11 items, 4 items will be subsampled per respondent (one of which will come from the “false” items and one of which will come from the military-related items)
	Does your employer have an attendance policy that includes penalties for absences?	YES 1 NO 2 DK 8 REF 9	NEW	E8
	[Were/Are] you a member of a labor union?	YES 1 NO 2 DK 8 REF 9	NEW	D3
	How many people over the age of 65 are in your care?	ENTER RANGE 0-7; 7=7 OR MORE] DK 8 REF 9	NEW	D8
	Do you consider yourself to be:	1. Heterosexual or straight 2. Gay or lesbian 3. Bisexual 4. SOMETHING ELSE 8. DK 9. REF	NEW	D9
	[Is your/Do you have a] [spouse/partner/spouse or partner] living outside of the household?	YES 1 NO 2 DK 8 REF 9	NEW	D11
	What is the age of your [spouse/partner/spouse or partner]?	ENTER AGE [RANGE 8-100] DK 888 REF 999	NEW	D12
	Those are all the questions we have for you at this time. Can I please have your name and address so I can send you your check?	YES 1 NO 2	NEW	END1
	So that we can group households geographically, may I have your zip code?	RANGE: 00000-99999 DK 999998 REF 999999	NEW	ZIP