Survey

Appendix A

Survey Instrument – Computer Assisted

Telephone Interviewing Version

O MB No.: xxxx-xxxx

Expiration Date: xx/xx/20xx

YouthBuild
Follow Up Survey

November, 2013

Persons are not required to respond to this collection of information unless this survey displays a currently valid OMB control number (OMB xxxx-xxxx, expires xx/xx/xxxx). Responding to this questionnaire, which seeks to help the U.S. Department of Labor understand how YouthBuild programs are serving disadvantaged youth, is voluntary. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate to Eileen Pederson, U.S. Department of Labor, Employment and Training Administration, Office of Policy Development and Evaluation, Room N-5641, 200 Constitution Avenue, NW, Washington, DC 20210.

CONTENTS

Section Page

IN. INTRODUCTION/IDENTITY VERIFICATION 1

A. Household information 15

b. EDUCATIONAL ATTAINMENT 20

C. Service receipt 24

D. YouthBuild Program Experiences 33

E. EMPLOYMENT and earnings 42

F. Criminal Justice Involvement and Delinquency 57

G. Social and emotional development 64

H. Identity development 66

I. Health and well-being 70

J. Address and Contact Information Update 75

IN. INTRODUCTION/IDENTITY VERIFICATION

PROGRAMMER BOX IN0.

IF DIAL OUT, GO TO IN1;

IF FIELD CALL IN, GO TO IN2;

IF RESPONDENT CALL IN, GO TO IN3.

CALL OUT

IN1. Hello, my name is [INTERVIEWER] and I’m calling from Mathematica Policy Research on behalf of the US Department of Labor. May I please speak with [NAME]?

SPEAKING TO [NAME] 1 GO TO IN15

[NAME] COMES TO PHONE 2 GO TO IN15

PERSON ASKS WHAT CALL IS ABOUT 3 GO TO IN4

[NAME] IS NOT AVAILABLE 4 GO TO IN6

[NAME] IS INCARCERATED 5 GO TO IN8

[NAME] HAS MOVED/HAS A DIFFERENT NUMBER 6 GO TO IN9

NEVER HEARD OF [NAME] / WRONG NUMBER 7 THANKS; STATUS 530

[NAME] IS DECEASED 8 GO TO IN12

[NAME] DOES NOT SPEAK ENGLISH 9 GO TO IN13

HUNG UP 10 STATUS 240

REFUSED r STATUS 220

FIELD CALL IN

IN2. May I have your first name?

(STRING 20)

FIRST NAME

IN2 = ANSWERED (FIELD CALL IN)

IN2a. And your last name?

(STRING 30)

LAST NAME

IN2a = ANSWERED (FIELD CALL IN)

IN2b. May I have your field interviewer ID number?

| | | | | |

(0000 - 99999)

IN2b = ANSWERED (FIELD CALL IN)

IN2c. CODE PURPOSE OF FIELD CALL IN

CALLED TO COMPLETE INTERVIEW 1 GO TO IN15

CALLED TO SAY [NAME] IS DECEASED 2 GO TO IN12

CALLED TO SAY [NAME] IS INCARCERATED 3 GO TO IN8

RESPONDENT CALL IN

IN3. Thank you for calling. My name is _______________ from Mathematica Policy Research. May I have your name?

SPEAKING TO RESPONDENT ([NAME]) 1 GO TO IN15

SOMEONE ELSE CALLED TO COMPLETE INTERVIEW 2 GO TO IN5

CALLED TO ASK WHY WE CALLED 3 GO TO IN4

CALLED TO SET APPOINTMENT 4 GO TO IN6

CALLED TO REFUSE 5 STATUS 240

CALLED TO SAY [NAME] MOVED/HAS A DIFFERENT NUMBER 6 GO TO IN9

CALLED TO SAY [NAME] IS DECEASED 7 GO TO IN12

CALLED TO SAY [NAME] IS INCARCERATED 8 GO TO IN8

CALLED TO SAY NEVER HEARD OF [NAME] / WRONG NUMBER 9 THANKS; STATUS 530

HUNG UP 10 STATUS 240

IN1 = 3 OR IN3 = 3 (WHAT IS CALL ABOUT)

IN4. I would like to speak with [NAME] about a research study on behalf of the US Department of Labor. I want to ask [NAME] some questions about how [he / she] is doing since [he / she] consented to join the study about a year ago. [NAME] will be paid $25 for [his / her] time.

May I please speak with [NAME]?

SPEAKING TO [NAME] 1 GO TO IN15

[NAME] COMES TO PHONE 2 GO TO IN15

[NAME] IS NOT AVAILABLE 3 GO TO IN6

[NAME] IS INCARCERATED 4 GO TO IN8

[NAME] HAS MOVED/HAS A DIFFERENT NUMBER 5 GO TO IN9

NEVER HEARD OF [NAME] / WRONG NUMBER 6 THANKS; STATUS 530

[NAME] IS DECEASED 7 GO TO IN12

[NAME] DOES NOT SPEAK ENGLISH 8 GO TO IN13

HUNG UP 9 STATUS 240

REFUSED r STATUS 220

IN3 = 2 (SOMEONE ELSE CALLED IN TO COMPLETE INTERVIEW)

IN5. I’m sorry, but I need to speak to [NAME]. May I please speak with [NAME]?

[NAME] COMES TO PHONE 1 GO TO IN15

[NAME] IS NOT AVAILABLE 2 GO TO IN6

[NAME] IS INCARCERATED 3 GO TO IN8

[NAME] HAS MOVED/HAS A DIFFERENT NUMBER 4 GO TO IN9

NEVER HEARD OF [NAME] / WRONG NUMBER 5 THANKS; STATUS 530

[NAME] IS DECEASED 6 GO TO IN12

[NAME] DOES NOT SPEAK ENGLISH 7 GO TO IN13

HUNG UP 8 STATUS 240

REFUSED r STATUS 220

IN1 = 4 OR IN3 = 4 OR IN4 = 3 OR IN5 = 2 (NOT AVAILABLE; SET APPOINTMENT)

IN6. When would be a good time to call back?

[NAME] COMES TO PHONE 1 GO TO IN15

SET APPOINTMENT 2 GO TO IN7

IN6 = 2 (SET APPOINTMENT)

IN7. When would be a good time to call back?

INTERVIEWER: SET AN APPOINTMENT USING THE APPOINTMENT TAB ABOVE

IN1 = 5 OR IN2c = 3 OR IN3 = 8 OR IN4 = 4 OR IN5 = 3 (INCARCERATED)

IN8. What is the name of the place where [NAME] is at?

(STRING 200)

NAME OF PRISON

DON’T KNOW d

REFUSED r GO TO BOX IN8d.1

IN8 = ANSWERED, d

IN8a. In what city or town is that located?

(STRING 50)

NAME OF CITY/TOWN

DON’T KNOW d

REFUSED r

IN8 = ANSWERED, d

IN8b. In what state is that located?

(STRING 50)

NAME OF STATE

DON’T KNOW d

REFUSED r

IN8 = ANSWERED, d

IN8c. When is [NAME] expected to be released?

PROBE: I just need a month and year. Your best estimate is fine.

INTERVIEWER: ENTER MONTH OR NEXT SCREEN OR CODE DON’T KNOW

programmer:

ENTER DATE ON NEXT SCREEN 1

SERVING A LIFE SENTENCE 2 GO TO IN8d

IN8c_month & IN8c_year

When is [NAME] expected to be released?

PROBE: I just need a month and year. Your best estimate is fine.

| | | / | | | | |

(1-12) (2012- 2099)

DON’T KNOW d

REFUSED r

IN8 = ANSWERED, d

IN8d. And do you know [NAME]’s inmate number?

INTERVIEWER: ENTER NUMBER OR CODE DON’T KNOW

(STRING 20)

INMATE NUMBER

DON’T KNOW d

REFUSED r

PROGRAMMER SKIP BOX IN8d.1

GO TO THANKS AND END INTERVIEW.

STATUS CASE 541 (PRISON).

IN1 = 6 OR IN3 = 6 OR IN4 = 5 OR IN5 = 4 (MOVED; HAS DIFFERENT PHONE)

IN9. Do you or does anyone there know how we can reach [NAME]?

YES 1 GO TO IN10

NO 0 THANKS; STATUS 530

IN9 = 1

IN10. May I please have [his/her] telephone number?

INTERVIEWER: ENTER NUMBER ON NEXT SCREEN OR CODE DON’T KNOW

ENTER NUMBER 1

DON’T KNOW d GO TO IN11

REFUSED r GO TO IN11

IN10 = 1

IN10_phone.

Please give me the phone number, area code first.

| | | | - | | | | - | | | | |

SOFT CHECK: IF IN10_phone IS NOT 10 NUM DIGITS; THE PHONE NUMBER SHOULD BE 10 NUMERIC DIGITS, NO SPACES, DASHES, PARENTHESES OR OTHER PUNCTUATION. THE FIELD SHOULD ALSO NOT BE EMPTY.

SOFT CHECK: USE STANDARD PHONE NUMBER CHECKS.

IN9 = 1

IN11. May I have [his/her] address?

INTERVIEWER: ENTER ADDRESS ON NEXT SCREEN OR CODE DON’T KNOW

ENTER ADDRESS 1

DON’T KNOW d BOX IN11.1

REFUSED r BOX IN11.1

IN11 = 1

IN11_address.

What is [NAME]’s address?

STREET 1

STREET 2

STREET 3

CITY

STATE

ZIP

PROGRAMMER SKIP BOX IN11.1

GO TO THANKS AND END.

IF IN10 = 1 (NEW NUMBER), STATUS CASE 899;

IF IN10 = D, R, STATUS CASE 530.

IN1 = 8 OR IN2c = 2 OR IN3 = 7 OR IN4 = 7 OR IN5 = 6 (RESPONDENT IS DECEASED)

I was calling about… IF IN1 = 8 (CALL OUT)

IN12. I am very sorry to hear that. [I was calling about a research study on behalf of the U.S. Department of Labor.] When did [NAME] pass away?

Thank you. Please accept my condolences. Goodbye.

programmer:

ENTER DATE ON NEXT SCREEN 1

DON’T KNOW d STATUS 440 & END

REFUSED r STATUS 440 & END

IN12_month & IN12_day & IN12_year

Thank you. Please accept my condolences. Goodbye.

| | | / | | | / | | | | |

(1-12) (1 - 31) (2012- 2099)

PROGRAMMER BOX IN12.1

STATUS CASE 440 (DECEASED) AND END.

IN1 = 9 OR IN4 = 8 OR IN5 = 7 (DOES NOT SPEAK ENGLISH)

IN13. CODE LANGUAGE NEEDED TO COMPLETE INTERVIEW.

SPANISH 1 GO TO IN14

FRENCH 2 GO TO BOX IN14.1

ARABIC 3 GO TO BOX IN14.1

SOMALI 4 GO TO BOX IN14.1

CHINESE (MANDARIN, CANTONESE, WU, YUE, MIN) 5 GO TO BOX IN14.1

AMERICAN INDIAN (NAVAJO, LAKOTA, YUPIK) 6 GO TO BOX IN14.1

RESPONDENT IS DEAF 7 GO TO BOX IN14.1

OTHER LANGUAGE (SPECIFY) 8 GO TO BOX IN14.1

DON’T KNOW d GO TO BOX IN14.1

SPECIFY TEXT: Please specify the language needed:

IN13 = 1

IN14. SEEK SUPERVISOR TO FIND A BILINGUAL (SPANISH) INTERVIEWER.

IF NO ONE IS AVAILABLE, TRY TO SET AN APPOINTMENT.

ENTER 1 TO EXIT CASE 1

PROGRAMMER BOX IN14.1

STATUS CASE 401 IF IN13 = 1 (SPANISH) AND END.;

STATUS CASE 400 (OTHER LANGUAGE BARRIER) AND END IF IN13 = 2 – 8, d

IN1 = 1 OR IN1 = 2 OR IN2c = 1 OR IN3 = 1 OR IN4 = 1 OR IN4 = 2 OR IN5 = 1 OR IN6 = 1 (SPEAKING TO RESPONDENT)

Hello, my name… IF IN1 = 2 OR IN4 = 2 OR IN5 = 1 OR IN6 = 1 (COMES TO PHONE)

I am calling IF IN1 = 1 OR IN1 = 2

I would like to speak with IF IN2c = 1 OR IN3 = 1 OR IN4 = 1 OR IN4 = 2 OR IN5 = 1 OR IN6 = 1

IN15. [Hello, my name is [INTERVIEWER] and I’m calling from Mathematica Policy Research.]

[I’m calling / I would like to speak with] you about the YouthBuild Evaluation. You may have received a letter recently to let you know that someone from Mathematica would be calling to see how you are doing since you joined the study a year ago.

The YouthBuild Evaluation is a study paid for by the U.S. Department of Labor and the Corporation for National and Community Service. The goal of the study is to learn how YouthBuild helps youth and young adults get a GED certificate or high school diploma, gain employment skills and find work or prepare for post-secondary training or education. This study will provide us with important information that will help create better programs for young people.

The U.S. Department of Labor has funded three organizations, MDRC, Mathematica Policy Research, and Social Policy Research Associates, to work with YouthBuild programs to run the study. As part of the study, we are asking you to complete this short interview. The interview covers several topics, including education, planning for the future, employment, earnings, involvement with the criminal justice system, and social and emotional development.

Individual responses will not be matched with specific individuals. Responses to this data collection will be used only for the purposes of the study. The reports prepared from this survey will summarize findings across all study participants and individual forms will not be available to anyone outside the study team, except as required by law.

The interview should take around 40 minutes to complete. To thank you, we will send you a card worth $25. The card can be used anywhere that a credit or debit card can be used. Now let’s get started.

START INTERVIEW 1 GO TO IN18

NOT A GOOD TIME 2 GO TO IN16

HUNG UP 3 STATUS 640

IN15 = 2

IN16. When would be a good time to call back?

DECIDES TO DO INTERVIEW NOW 1 GO TO IN18

SET APPOINTMENT 2 GO TO IN17

IN16 = 2

IN17. When would be a good time to call back?

INTERVIEWER: SET AN APPOINTMENT USING THE APPOINTMENT TAB ABOVE

IN15 = 1 OR IN16 = 1

IN18. First, I just need to confirm that I am speaking to the right person.

NAME: [FILL FIRST, MIDDLE & LAST NAME FROM PRELOAD]

How do you spell your first name?

How do you spell your middle name?

And your last name?

NAME AND SPELLING ARE CORRECT ON THE SCREEN 1 GO TO IN19

FIX SPELLING OF NAME 2 UPDATE NAME

AND GO TO IN19

NOT RESPONDENT’S NAME 3 GO TO IN18a

NAME CHANGED 4 GO TO IN18a

DON’T KNOW d GO TO BOX IN20.2

REFUSED r GO TO BOX IN20.2

PROGRAMMER VERIFICATION BOX IN18.1

SET NAME_VERIFY:

IF IN18 = 1 – 2, SET NAME_VERIFY = 1 AND CONTINUE TO I18a;

IF I18 = 3 – 4, SET NAME_VERIFY = 0 AND SKIP TO I18b;

IF I18 = D, R, SET NAME_VERIFY = 0 AND SKIP TO BOX I20.2.

IN18 = 1 – 2

IN18a. Are you usually called [FIRST NAME] or do you go by another name?

RESPONDENT IS CALLED [NAME] 1 GO TO IN19

RESPONDENT GOES BY ANOTHER NAME 2 ALIAS & THEN IN19

DON’T KNOW d GO TO IN19

REFUSED r GO TO IN19

Alias. What other name do you go by?

(STRING 20)

FIRST NAME

(STRING 20)

MIDDLE INITIAL/NAME

(STRING 30)

LAST NAME

IN18 = 3 – 4

new IF IN18 = 3

IN18b. For the record, what is your [new] name?

ENTER 1 TO TYPE NAME ON NEXT SCREEN 1

DON’T KNOW d

REFUSED r

PROGRAMMER: STORE AS CHANGED NAME

(STRING 20)

FIRST NAME

(STRING 20)

MIDDLE INITIAL/NAME

(STRING 30)

LAST NAME

IN18 = 1 – 4

IN19. What is your date of birth?

programmer:

| | | / | | | / | | | | |

(1-12) (1 - 31) (1980- 2000)

DON’T KNOW d

REFUSED r

PROGRAMMER VERIFICATION BOX IN19.1

SET DOB_VERIFY:

IF IN19 DOB MATCHES PRELOADED DOB, SET DOB_VERIFY = 1 AND SKIP TO BOX I20.2;

IF IN19 = D, R OR IN19 DOB DOES NOT MATCH PRELOADED DOB, SET DOB_VERIFY = 0 AND CONTINUE TO IN20.

DOB_VERIFY = 0 (DOB DOES NOT MATCH)

IN20. And what are the last 4-digits of your Social Security Number?

| | | | |

(0000- 9999)

DON’T KNOW d

REFUSED r

PROGRAMMER VERIFICATION BOX IN20.1

SET SSN_VERIFY:

IF IN20 SSN MATCHES PRELOADED SSN, SET SSN_VERIFY = 1 AND

CONTINUE TO BOX IN20.2;

IF IN20 = D, R OR IN20 SSN DOES NOT MATCH PRELOADED SSN,

SET SSN_VERIFY = 0 AND CONTINUE TO BOX IN20.2.

PROGRAMMER VERIFICATION BOX IN20.2

IF NAME_VERIFY = 1 AND (DOB_VERIFY = 1 OR SSN_VERIFY = 1), SKIP TO SECTION A;

IF NAME_VERIFY = 1 AND DOB_VERIFY = 0 AND SSN_VERIFY = 0, CONTINUE TO IN21;

IF NAME_VERIFY = 0, CONTINUE TO IN21.

(NAME_VERIFY = 1 AND (DOB_VERIFY = 0 AND SSN_VERIFY = 0)) OR NAME_VERIFY = 0

IN21. I’m sorry. There seems to be a problem with my information. I need to check with my supervisor about what to do next.

Is this the best number to reach you at? RECORD ON CONTACT SHEET

Is this best time to reach you? RECORD BEST TIME CONTACT SHEET

Thanks. We will get back to you as soon as possible. Good-bye.

ENTER 1 TO CONTINUE 1 SUP REVIEW

A. Household Information

All

A0. The first questions are about your housing situation.

ENTER 1 TO CONTINUE 1

ALL

A1. Where do you live now? If you stay in more than one place, where do you stay most often?

Your parent’s home, 1

Another person’s home, 2

Your own place whether you rent or own, 3

A group home or halfway house, 4

A long-term homeless shelter, 5

An emergency housing shelter including a domestic violence shelter, 6

An incarceration facility, 7

Homeless and living on the street, or 8 GO TO A3

Some other arrangement? 9

(STRING (NUM))

DON’T KNOW d

REFUSED r

IF A1 NE 8 (not currently homeless)

A2. Have you been homeless and living on the street or in a shelter at any time since [RA DATE]?

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

A3. What is your marital status? Are you…

Married, 1

Divorced, 2

Separated, 3

Widowed, 4

Or never married? 5

DON’T KNOW d

REFUSED r

PROGRAMMER SKIP BOX A3.1

IF A1 = 1 – 6, 9, D, R (LIVING IN HOUSE, OTHER, DK, REF) CONTINUE;

ELSE, SKIP TO A6.

A1 = 1 – 6, 9, D, R

Does your spouse currently live IF A3 = 1;

ELSE Do you have a partner who currently lives

A4. [Does your spouse currently live / Do you have a partner who currently lives] with you?

YES 1

NO 0

DON’T KNOW d

REFUSED r

A1 = 1 – 6, 9, D, R

A5. Including yourself, how many people currently live with you? Include everyone who usually lives there, even if they are away from home right now.

| | | PEOPLE

(RANGE 0-99)

DON’T KNOW d

REFUSED r

SOFT CHECK: IF A5 = 0; INTERVIEWER: THIS QUESTION SHOULD NOT BE LESS THAN ONE (1). PLEASE RE-READ QUESTION IF NECESSARY AND EMPHASIZE “INCLUDING YOURSELF.”

all

A6. Do you have any children under 18 years of age? Please include your own or adopted children, foster, or stepchildren and any other children you are responsible for.

YES 1

NO 0 GO TO B1

DON’T KNOW d GO TO B1

REFUSED r GO TO B1

A6 = 1

A7. How many children do you have?

| | | CHILDREN

(RANGE 00-99)

DON’T KNOW d

REFUSED r

SOFT CHECK: IF A7 = 0, 15 – 99; I just want to be sure I recorded your answer correctly. You have [FILL A7] children, is that correct?

PROGRAMMER SKIP BOX A7.1

iF A7 = 0, D, R (NO CHILDREN OR MISSING), SKIP TO B1;

IF A7 = 1 (ONE CHILD), CONTINUE TO A8a;

IF A7 GT 1 (MULTIPLE CHILDREN), SKIP TO A8b.

A7 = 1

A8a. Does this child live with you?

YES 1 GO TO A9

NO 0 GO TO A9

DON’T KNOW d GO TO A9

REFUSED r GO TO A9

A7 GT 1

A8b. How many of your children live with you?

| | | CHILDREN

(RANGE 0-99)

DON’T KNOW d

REFUSED r

SOFT CHECK: IF A8b GT A7; You mentioned in a previous question that you have [FILL A7] children. The number of children living with you have should not be greater than the number of children you have. Would you like to change your answer about the number of children you have or the number of children living with you?

A7 GT 0 (has CHILDREN)

A9. IF A7 = 1: Was this child born after [RA DATE]?

IF A7 GT 1: Of these children, were any born after [RA DATE]?

YES 1

NO 0

DON’T KNOW d

REFUSED r

PROGRAMMER SKIP BOX A9.1

IF A7 = 1 AND A8a = 0 (ONLY IS CHILD NOT LIVING IN HOME), CONTINUE TO A10;

IF A7 = 1 AND A8a = 1 (ONLY CHILD IS LIVING AT HOME), GO TO A11;

IF A7 = 1 AND A8a = D, R, GO TO A11;

iF A7 Gt 1 AND (A7 – A8b GT 0) (NOT ALL CHILDREN living IN home), cONTINUE to a10;

if A7 Gt1 AND (A7 – A8b LE 0) (ALL children living in home), go to a11;

IF A7 GT 1 AND A11b = D, R, GO TO A11.

if (a7 = 1 AND A7a = 0) OR (A7 Gt 1 AND (A7 – A8b GT 0))

child, does IF A7 = 1 AND A8a = 0;

children, do if a7 GT 1 AND (A7 – A8b Gt 1);

child, does IF A7 GT1 AND (A7 – A8b = 1)

A10. Thinking just about the [child / children] who [does / do] not live with you, please tell me which of the following activities you have done in the past week.

In the past week have you…

Read with your [child/children] 1

Played with your [child/children], not including sports 2

Done arts and crafts with your [child/children] 3

Played sports with your [child/children] 4

Talked with or listened to your [child/children] 5

Attended your [child/children]’s events 6

Helped your [child/children] with homework 7

Picked up or dropped your [child/children] off 8

DON’T KNOW d

REFUSED r

if a7 GT 0

A11. Do you have any legal agreements or child support orders that require you to provide financial support for a child?

YES 1

NO 0 GO TO B1

DON’T KNOW d GO TO B1

REFUSED r GO TO B1

a11 = 1

A12. Did you make this payment last month?

YES 1

NO 0

DON’T KNOW d

REFUSED r

B. Educational Attainment

ALL

B0. The next questions ask about your experiences in school and your future education plans.

ENTER 1 TO CONTINUE 1

ALL

B1. Did you drop out of high school before graduating?

YES 1 GO TO B2

NO 0 GO TO B3

DON’T KNOW d GO TO B3

REFUSED r GO TO B3

B1 = 1

B2. What was the highest grade that you finished in high school before you dropped out? Was it…

8th grade or less, 1

9th grade or freshman in high school, 2

10th grade or sophomore in high school, or 3

11th grade or junior in high school? 4

DON’T KNOW d

REFUSED r

ALL

B3. Do you have a high school diploma, a GED, a Certificate of Completion, or do you have none of these?

HIGH SCHOOL DIPLOMA 1 GO TO B4

GED 2 GO TO B4

CERTIFICATE OF COMPLETION 3 GO TO B4

NONE OF THESE 4 GO TO B5a

DON’T KNOW d GO TO B5a

REFUSED r GO TO B5a

IF B3 = 1 – 3

high school diploma If b3 = 1; GED If B3 = 2; Certificate of Completion IF B3 = 3

B4. In what month and year did you obtain your [GED/high school diploma/Certificate of Completion]?

PROBE: Your best estimate is fine.

programmer:

| | | / | | | | |

(1-12) (2011 - 2015)

DON’T KNOW d

REFUSED r

HARD CHECK: IF B4_Month = 0 OR GT 12

SOFT CHECK: IF B4 IS AFTER TODAY; INTERVIEWER: THIS DATE IS IN THE FUTURE. PLEASE CORRECT.

ALL

Since leaving high school, when if b1 = 1;

When if b1 = 0, D, R

B5a. [Since leaving high school, when/When] was the last time you attended or enrolled in classes? Please include GED preparation classes, Certificate of Completion programs, and college courses.

Are you currently enrolled or was it less than a year ago, 1 to 2 years ago, 3 to 4 years ago, or you haven’t taken courses since leaving high school?

CURRENTLY ENROLLED 1

LESS THAN A YEAR AGO 2

1-2 YEARS AGO 3

3-4 YEARS AGO 4

I HAVEN’T TAKEN COURSES SINCE LEAVING HIGH SCHOOL 5 GO TO BOX B6.1

DON’T KNOW d GO TO B5c

REFUSED r GO TO B5c

B5a = 1 – 4

are If B5a = 1; were IF B5a = 2 – 4

B5b. Where [are /were] you currently enrolled in or attending those classes?

	YES	NO	DK	REF
1. Regular high school?	1	0	d	r
2. A charter school?	1	0	d	r
3. A special high school for persons with disabilities?	1	0	d	r
4. GED preparation class or a Certificate of Completion program?	1	0	d	r
5. Vocational, technical, business or trade school?	1	0	d	r
6. A 2-year college or community college?	1	0	d	r
7. A 4-year college or university?	1	0	d	r

B5a NE 5

B5c. Have you completed any degrees?

YES 1

NO 0 GO TO BOX B6.1

DON’T KNOW d GO TO BOX B6.1

REFUSED r GO TO BOX B6.1

b5c = 1

DISPLAY RESPONSE OPTION 4 (Graduate school) FOR 48 MONTH FOLLOW-UP ONLY

B6. Which degrees have you completed?

	YES	NO	DK	REF
1. Vocational, technical, business or trade school?	1	0	d	r
2. 2-year college or community college?	1	0	d	r
3. 4-year college or university?	1	0	d	r
4. Graduate school?	1	0	d	r
5. Another degree?	1	0	d	r

(STRING 200)

PROGRAMMER SKIP BOX B6.1

IF B6 = 2, 3, 4 (COMPLETED COLLEGE), SKIP TO C1;

IF (B5b = 5, 6, 7) (TAKEN COLLEGE CLASSES) SKIP TO C1;

IF B5a = 5 or ((b5b_5 NE 1 AND B5b_6 NE1 AND B5b_7 NE 1) AND (B6_2 NE 1 ANd B6_3 NE 1 ANd B6_4 NE 1)) CONTINUE TO B7.

B5a = 5 or ((b5b_5 NE 1 AND B5b_6 NE1 AND B5b_7 NE 1) AND (B6_2 NE 1 ANd B6_3 NE 1 ANd B6_4 NE 1))

B7. How likely is it that you will attend college?

Very likely, 1

Somewhat likely, 2

Somewhat unlikely, or 3

Very unlikely? 4

DON’T KNOW d

REFUSED r

C. Service Receipt

ALL

C0. In earlier questions, we asked you about your experiences in school and your future education plans. The next questions are about different kinds of services you may have received.

ALL

C1. Since [RA DATE], have you participated in any of the following education related services?

	YES	NO	DK	REF
a. GED preparation?	1	0	d	r
b. Academic tutoring not including GED preparation?	1	0	d	r
c. Courses to prepare for a high school diploma?	1	0	d	r
d. Standardized achievement test preparation for state or local test?	1	0	d	r
e. College preparation activities such as college awareness or college guidance activities, college preparation or transition programs, or preparing for college entrance examinations or college applications?	1	0	d	r
f. Help finding financial aid?	1	0	d	r
g. Another education related service? (SPECIFY)	1	0	d	r
(STRING 255)

SPECIFY TEXT: Please tell me the other education related service you participated in:

PROGRAMMER BOX C1.1.

IF NO ITEMS ARE SELECTED AT C1, SKIP TO C4;

IF AT LEAST ONE ITEM IS SELECTED At C1, CONTINUE TO C2.

at least one at C1

FILL response options (a-F) from C1

FILL RESPONSE G FROM C1g_specify;

IF C1g_specify IS D OR R, FILL In the other education related service you mentioned

C2. Since [RA DATE], about how long you have spent participating in the following education related services? You can answer in days, weeks, or months.

About long have you spent… [INSERT ITEM]

PROBE: Your best estimate is fine. You can tell me in days, weeks, or months.

PROGRAMMER: NUMBER RANGE IS 01 – 99

PROGRAMMER: DO NOT ALLOW DK OR REFUSED BUTTONS ON UNIT SCREENS

(FOR AMOUNT SCREEN ONLY)

INTERVIEWER: CODE AMOUNT HERE AND UNIT ON THE NEXT SCREEN

(FOR UNIT SCREEN ONLY)

INTERVIEWER: SELECT A UNIT

	NUMBER	DAYS, WEEKS OR MONTHS
a. In GED preparation?	| | |	DAYS 1 WEEKS 2 MONTHS 3
b. In academic tutoring not including GED preparation?	| | |	DAYS 1 WEEKS 2 MONTHS 3
c. In courses to prepare for a high school diploma?	| | |	DAYS 1 WEEKS 2 MONTHS 3
d. In preparation for standardized achievement tests, such as state or local tests?	| | |	DAYS 1 WEEKS 2 MONTHS 3
e. In college preparation activities such as college awareness or college guidance activities, college preparation or transition programs, or preparing for college entrance examinations or college applications?	| | |	DAYS 1 WEEKS 2 MONTHS 3
f. Getting help finding financial aid?	| | |	DAYS 1 WEEKS 2 MONTHS 3
g. [Fill from C1g_specify / In the other education related service you mentioned?]	| | |	DAYS 1 WEEKS 2 MONTHS 3

SOFT CHECK: IF C2a-g = 0; INTERVIEWER: PLEASE PROVIDE A NUMBER BETWEEN 1 AND 99.

at least one at C1

C1a = 1, FILL: GED preparation; C1b = 1, FILL: Academic tutoring; C1c = 1, FILL: High school courses; C1d = 1, FILL: Standardized achievement test preparation; C1e = 1, FILL: College preparation activities; C1f = 1, FILL: Help finding financial aid

C1g = 1, FILL: FROM C1g_specify; IF C1g_specify IS D, R, FILL: In another education related service?

service IF THE NUMBER OF ITEMS SELECTED AT C1= 1;

services IF THE NUMBER OF ITEMS SELECTED AT C1 GT 1

this service most often IF THE NUMBER OF ITEMS SELECTED AT C1 = 1;

most of these services IF THE NUMBER OF ITEMS SELECTED AT C1 GT 1

[YB PROGRAm] or another IF RAOutcome = 1 (TREATMENT);

A IF RAOutcome = 2 (CONTROL)

C3. You said you participated in the following education related [service / services]:

INTERVIEWER: READ ITEMS:

[FILL FIRST SELECTED ITEM]

[FILL SECOND SELECTED ITEM]

[CONTINUE FILLING]

Where did you receive [this service most often/most of these services]?

A community based organization, 1

School, 2

A former or current employer, 3

[[YB Program] or another/A] youthBuild program, or 4

Somewhere else? 5

DON’T KNOW d

REFUSED r

ALL

C4. Have you received any help enrolling or participating in any of the following education related services?

	YES	NO	DK	REF
a. A high school diploma program?	1	0	d	r
b. English as a Second Language or ESL training?	1	0	d	r
c. Courses for college credit?	1	0	d	r
d. Another type of education activity or academic service? (SPECIFY)	1	0	d	r
(STRING 255)

SPECIFY TEXT: Please tell me the other education activity or service you participated in:

ALL

C5. Since [RA DATE], have you participated in any of the following training or job related services?

	YES	NO	DK	REF
a. Construction or other job-specific training?	1	0	d	r
b. On-the-job training?	1	0	d	r
c. Career counseling?	1	0	d	r
d. A job certification program?	1	0	d	r
e. Job search assistance? Please include help filling out an application, writing a resume, or going for an interview.	1	0	d	r
f. Help applying to a vocational training program, including help with an application or interview?	1	0	d	r
g. Another training or job related service? (SPECIFY)	1	0	d	r
(STRING 255)

SPECIFY TEXT: Please tell me the other training or job related service you participated in:

PROGRAMMER BOX C5.1.

IF NO ITEMS ARE SELECTED AT C5, SKIP TO BOX C8;

IF AT LEAST ONE ITEM IS SELECTED At C5, CONTINUE TO C6.

at least 1 at C5

FILL response options (a-F) from C5

FILL RESPONSE G FROM C5g_specify;

IF C5g_specify IS EMPTY, FILL In the other training or job related service you mentioned?

C6. Since [RA DATE], about how long you have spent participating in the following training or job related services? You can answer in days, weeks, or months.

About long have you spent… [INSERT ITEM]

PROBE: Your best estimate is fine. You can tell me in days, weeks, or months.

PROGRAMMER: NUMBER RANGE IS 01 – 99

PROGRAMMER: DO NOT ALLOW DK OR REFUSED BUTTONS ON UNIT SCREENS

(FOR AMOUNT SCREEN ONLY)

INTERVIEWER: CODE AMOUNT HERE AND UNIT ON THE NEXT SCREEN

(FOR UNIT SCREEN ONLY)

INTERVIEWER: SELECT A UNIT

	NUMBER	DAYS, WEEKS OR MONTHS
a. In a job skills training program?	| | |	DAYS 1 WEEKS 2 MONTHS 3
b. In on-the-job training?	| | |	DAYS 1 WEEKS 2 MONTHS 3
c. In career counseling?	| | |	DAYS 1 WEEKS 2 MONTHS 3
d. In a job certification program?	| | |	DAYS 1 WEEKS 2 MONTHS 3
e. Receiving job search assistance? Please include help filling out an application, writing a resume, or going for an interview.	| | |	DAYS 1 WEEKS 2 MONTHS 3
f. Receiving help applying to a vocational training program, including help with an application or interview?	| | |	DAYS 1 WEEKS 2 MONTHS 3
g. [FILL D5g_specify / In the other training or job related service you mentioned?]	| | |	DAYS 1 WEEKS 2 MONTHS 3

SOFT CHECK: IF C6a-g = 0; INTERVIEWER: PLEASE PROVIDE A NUMBER BETWEEN 1 AND 99.

at least 1 at C5

C5a = 1, FILL: A job skills training program; C5b = 1, FILL: On-the-job training

C5c = 1, FILL: Career counseling; C5d = 1, FILL: A job certification program; C5e = 1, FILL: Job search assistance; C5f = 1, FILL: Help applying to a vocational training program

C5g = 1, FILL: FROM C5g_specify; IF C5g_specify IS D, R, FILL: The other training or job related service

service IF THE NUMBER OF ITEMS SELECTED AT C5= 1;

services IF THE NUMBER OF ITEMS SELECTED AT C5 GT 1

this service most often IF THE NUMBER OF ITEMS SELECTED AT C5 = 1;

most of these services IF THE NUMBER OF ITEMS SELECTED AT C5 GT 1

[YB PROGRAm] or another IF RAOutcome = 1 (TREATMENT);

A IF RAOutcome = 2 (CONTROL)

C7. You said you participated in the following training or job related [service / services]:

INTERVIEWER: READ ITEMS:

[FILL FIRST SELECTED ITEM]

[FILL SECOND SELECTED ITEM]

[CONTINUE FILLING]

Where did you receive [this service most often/most of these services]?

A community based organization, 1

School, 2

A former or current employer, 3

[[YB Program] or another/A] youthBuild program, or 4

Somewhere else? 5

DON’T KNOW d

REFUSED r

ALL

C8. Since [RA DATE], have you participated in any of the following personal development services?

	YES	NO	DK	REF
a. Getting help or advice from a mentor?	1	0	d	r
b. Life skills training such as parenting skills classes, learning how to balance a checkbook, etc.?	1	0	d	r
c. Communication or public-speaking training?	1	0	d	r
d. Leadership development training?	1	0	d	r
e. Health services?	1	0	d	r
f. Mental health services?	1	0	d	r
g. Working with a case manager?	1	0	d	r

PROGRAMMER BOX C8.1.

IF NO ITEMS ARE SELECTED AT C8, SKIP TO section d;

IF AT LEAST ONE ITEM IS SELECTED At C8, CONTINUE TO C9.

at least one at C8

FILL response options (a-g) from C8

C9. Since [RA DATE], about how long you have spent participating in the following personal development services? You can answer in days, weeks, or months.

About long have you spent… [INSERT ITEM]

PROBE: Your best estimate is fine. You can tell me in days, weeks, or months.

PROGRAMMER: NUMBER RANGE IS 01 – 99

PROGRAMMER: DO NOT ALLOW DK OR REFUSED BUTTONS ON UNIT SCREENS

(FOR AMOUNT SCREEN ONLY)

INTERVIEWER: CODE AMOUNT HERE AND UNIT ON THE NEXT SCREEN

(FOR UNIT SCREEN ONLY)

INTERVIEWER: SELECT A UNIT

	NUMBER	DAYS, WEEKS OR MONTHS
a. Getting help or advice from a mentor?	| | |	DAYS 1 WEEKS 2 MONTHS 3
b. In life skills training such as parenting skills classes, learning how to balance a checkbook, etc.?	| | |	DAYS 1 WEEKS 2 MONTHS 3
c. In communication or public-speaking training?	| | |	DAYS 1 WEEKS 2 MONTHS 3
d. In leadership development training?	| | |	DAYS 1 WEEKS 2 MONTHS 3
e. Using health services?	| | |	DAYS 1 WEEKS 2 MONTHS 3
f. Using mental health services?	| | |	DAYS 1 WEEKS 2 MONTHS 3
g. Working with a case manager?	| | |	DAYS 1 WEEKS 2 MONTHS 3

SOFT CHECK: IF C9a-g = 0; INTERVIEWER: PLEASE PROVIDE A NUMBER BETWEEN 1 AND 99.

at least one at C8

C8a = 1, FILL: Mentoring; C8b = 1, FILL: Life skills training; C8c = 1, FILL: Communication or public-speaking training; C8d = 1, FILL: Leadership development training; C8e = 1, FILL: Health services; C8f = 1, FILL: Mental health services; C8g = 1, FILL: Working with a case manager

service IF THE NUMBER OF ITEMS SELECTED AT C8= 1;

services IF THE NUMBER OF ITEMS SELECTED AT C8 GT 1

this service most often IF THE NUMBER OF ITEMS SELECTED AT C8= 1;

most of these services IF THE NUMBER OF ITEMS SELECTED AT C8 GT 1

[YB PROGRAm] or another IF RAOutcome = 1 (TREATMENT);

A IF RAOutcome = 2 (CONTROL)

C10. You said you participated in the following personal development [service / services]:

• [FILL FIRST SELECTED ITEM]

• [FILL SECOND SELECTED ITEM]

• [CONTINUE FILLING]

Where did you receive [this service most often/most of these services]? From…

A community based organization, 1

School, 2

A former or current employer, 3

[[YB Program] or another/A] youthBuild program, or 4

Somewhere else? 5

DON’T KNOW d

REFUSED r

D. YouthBuild (YB) Program Experiences

all

YB PROGRAm FROM GranteeName IF RAOutcome = 1 (TREATMENT);

YouthBuild IF RAOutcome = 2 (CONTROL)

D0. The next questions are about your experiences with [YB PROGRAM/YouthBuild].

all

YB PROGRAm FROM GranteeName IF RAOutcome = 1 (TREATMENT);

YouthBuild IF RAOutcome = 2 (CONTROL)

D1. Since [RA DATE], did you receive any services from or participate in any [YB PROGRAM / YouthBuild] activities?

YES 1

NO 0

DON’T KNOW d

REFUSED r

SOFT CHECK: IF D1 = 0 AND (C3 = 4 OR C7 = 4 OR C10 = 4 (GOT SERVICES FROM YB)); I just want to make sure I recorded you answer correctly. You said you have not received any YouthBuild services or participated in any YouthBuild activities. In a previous question, you mentioned that you had received services from YouthBuild. Is

Just to confirm, since [RA DATE], did you receive any services from or participate in any [YB PROGRAM / YouthBuild] activities?

PROGRAMMER SKIP BOX D1.1

IF TREATMENT AND D1 = 1, SKIP TO D3;

IF TREATMENT AND D1 = D, R, SKIP TO SECTION E;

IF TREATMENT AND D1 = 0, SKIP TO D2.

IF CONTROL AND D1 = 1, CONTINUE TO D1a;

IF CONTROL AND D1 = 0, D, R, SKIP TO SECTION E.

CONTROL AND D1 = 1

YB PROGRAm FROM GranteeName

D1a. Did you receive these services at [YB PROGRAM]?

YES 1 GO TO D3

NO 0

DON’T KNOW d

REFUSED r

D1a = 0, D, R

D1b. What is the name, city and state of the YouthBuild program you attended?

(STRING 80)

PROGRAM NAME

CITY

STATE

DON’T KNOW d

REFUSED r

PROGRAMMER SKIP BOX D1b.1

ALL RESPONSES TO D1b, SKIP TO D3.

TREATMENT AND D1 = 0

D2. Why did you not participate in [YB PROGRAM / YouthBuild]? Did you not participate because…

[INSERT ITEM]

	YES	NO	DK	REF
1. You had no transportation?	1	0	d	r
2. You were incarcerated?	1	0	d	r
3. It was at a bad time of the day?	1	0	d	r
4. You got a job?	1	0	d	r
5. You moved?	1	0	d	r
6. You were pregnant or had child care problems?	1	0	d	r
7. You had health problems or an injury?	1	0	d	r
8. A family member became ill?	1	0	d	r
9. You had pressure for your family?	1	0	d	r
10. You did not like the program?	1	0	d	r
11. You did not like or get along with the program staff?	1	0	d	r
12. You did not like or get along with other participants?	1	0	d	r
13. You were kicked out or asked to leave?	1	0	d	r
14. The program closed?	1	0	d	r
15. Some other reason (SPECIFY)? (STRING 255)	1	0	d	r

SPECIFY TEXT: Please tell me the reason why you did not participate:

PROGRAMMER SKIP BOX D2.1

ALL RESPONSES TO D2 GO TO SECTION E.

PROGRAMMER FILL BOX.

FOR THE REST OF SECTION D, PLEASE USE THE FOLLOWING FILL LOGIC FOR THE PROGRAM NAME [YB PROGRAM / YouthBuild]:

IF TREATMENT, FILL YB PROGRAM FROM GranteeName;

IF CONTROL AND D1a = 1, FILL YB PROGRAM FROM GranteeName;

IF CONTROL AND D1a = 0, D, R, FILL YouthBuild

D1 = 1 (rECEIVED YB SERVICES)

D3. Which of the following best describes your current status at [YB PROGRAM] / YouthBuild]?

Currently enrolled in [YB PROGRAM / YouthBuild] and have not yet graduated or completed the program, 1

Graduated from or completed the [YB PROGRAM / YouthBuild] program, or 2

No longer enrolled in [YB PROGRAM / YouthBuild] and did not graduate or complete the program? 3

DON’T KNOW d

REFUSED r

PROGRAMMER SKIP BOX D3.1

IF D3 = 1, D, R, SKIP TO D6;

IF D3 = 2 – 3, CONTINUE TO D4.

IF D3 = 2 – 3

graduate or complete IF D3 = 2 (GRADUATED);

stop going to IF D3 = 3

D4. In what month and year did you [graduate or complete / stop going to] [YB PROGRAM / YouthBuild]?

PROBE: Your best estimate is fine

programmer:

| | | / | | | | |

(1-12) (2011 - 2015)

DON’T KNOW d

REFUSED r

HARD CHECK: IF D4_Month = 0 OR GT 12

HARD CHECK: IF D4 YEAR GT CURRENT YEAR; INTERVIEWER: THE YEAR YOU PROVIDED IS IN THE FUTURE. PLEASE CORRECT THE DATE.

SOFT CHECK: IF D4 YEAR IS BEFORE RA_YEAR; I just want to make sure I recorded you answer correctly. You said you [graduated or completed / stopped going to] the program in [FILL D4 YEAR]. Is that correct?

PROGRAMMER SKIP BOX D4.1

IF D3 = 2, SKIP TO D6;

IF D3 = 3, CONTINUE TO D5.

IF D3 = 3

D5. Why did you stop going to [YB PROGRAM /YouthBuild]? Did you stop going because…

[INSERT ITEM]

	YES	NO	DK	REF
1. You had no transportation?	1	0	d	r
2. You were incarcerated?	1	0	d	r
3. It was at a bad time of the day?	1	0	d	r
4. You got a job?	1	0	d	r
5. You moved?	1	0	d	r
6. You were pregnant or had child care problems?	1	0	d	r
7. You had health problems or an injury?	1	0	d	r
8. A family member became ill?	1	0	d	r
9. You had pressure for your family?	1	0	d	r
10. You did not like the program?	1	0	d	r
11. You did not like or get along with the program staff?	1	0	d	r
12. You did not like or get along with other participants?	1	0	d	r
13. You were kicked out or asked to leave?	1	0	d	r
14. The program closed?	1	0	d	r
15. Some other reason (SPECIFY)? (STRING 255)	1	0	d	r

SPECIFY TEXT: Please tell me the reason why you stopped going:

PROGRAMMER SKIP BOX D5.1

ALL RESPONSES TO D5 CONTINUE TO D6.

D1 = 1 (rECEIVED YB SERVICES)

have you gone to IF D3 = 1, D, R

did it take you to graduate or complete IF D3 = 2;

did you go to IF D3 = 3.

D6. How many months [have you gone to / did it take you to graduate or complete / did you go to] [YB PROGRAM / YouthBuild]? Please do not include any time spent in Mental Toughness Orientation or MTO or in any orientation activities prior to starting your YouthBuild program.

INTERVIEWER: IF R INSISTS ON ANSWERING IN YEARS, CONVERT TO MONTHS: 1 YEAR IS 12 MONTHS; 1.5 YEARS IS 18 MONTHS; 2 YEARS IS 24 MONTHS

PROBE: Your best estimate is fine.

| | | MONTHS

(00-99)

DON’T KNOW d

REFUSED r

D1 = 1 (rECEIVED YB SERVICES)

Do IF D3 = 1, D, R;

Did IF D3 = 2 – 3

D7. [Do/Did] you receive a stipend or any money from [YB PROGRAM / YouthBuild] for working in a construction site, attending classes, or other program activities?

YES 1

NO 0

DON’T KNOW d

REFUSED r

PROGRAMMER BOX D7.1.

D8 WILL BE ASKED IN LATER SURVEYS.

NOT IN THIS VERSION

D8. How much contact have you had with staff from [YB PROGRAM / YouthBuild] since graduation? Is it…

A lot, 1

Some, 2

A little, or 3

None? 4

DON’T KNOW d

REFUSED r

D1 = 1 (rECEIVED YB SERVICES)

D9. Now I’m going read you a list of items about [YB PROGRAM / YouthBuild]. For each, please tell me if you would rate the quality very good, good, okay, or poor. If the item does not apply to you, just let me know.

How would you rate the quality of [YB PROGRAM / YouthBuild] with regards to…

[INSERT ITEM]

Would you say very good, good, okay, or poor?

	VERY GOOD	GOOD	OKAY	POOR	DOES NOT APPLY	DK	REF
a. Construction or other job training	1	2	3	4	98	d	r
b. Counseling	1	2	3	4	98	d	r
c. Leadership training	1	2	3	4	98	d	r
d. Classroom instruction	1	2	3	4	98	d	r
e. Helping you find a job	1	2	3	4	98	d	r
f. Helping you get into college	1	2	3	4	98	d	r
g. Your overall YouthBuild experience	1	2	3	4	98	d	r

D1 = 1 (rECEIVED YB SERVICES)

ASK C and D only asked if D3 = 2, 3, 4 (GRADUATED OR NO LONGER IN YB)

D10. How would you rate the quality of [YB PROGRAM / YouthBuild] staff with regards to…

[INSERT ITEM]

Would you say very good, good, okay, or poor?

	VERY GOOD	GOOD	OKAY	POOR	DK	REF
a. Helping you solve problems	1	2	3	4	d	r
b. Understanding your needs	1	2	3	4	d	r
(IF D3 = 2, 3, 4) c. Their attempts to keep in contact with you after completing [YB PROGRAM]	1	2	3	4	d	r
(IF D3 = 2, 3, 4) d. Help after leaving [YB PROGRAM / YouthBuild]	1	2	3	4	d	r
e. Helping you learn, either academically, vocationally or personally	1	2	3	4	d	r

D1 = 1 (rECEIVED YB SERVICES)

D11. Do you have at least one person on [YB PROGRAM / YouthBuild] staff who really cares about you and to whom you can go to talk about personal things?

YES 1

NO 0

DON’T KNOW d

REFUSED r

E. Employment and Earnings

ALL

E0. The next questions are about your paid work experience since [RA DATE]. Please include any part-time or full-time jobs as well as self-employment or your own business. Please don’t include any unpaid jobs.

ENTER 1 TO CONTINUE 1

all

E1. Are you currently working at a job for pay?

YES 1

NO 0 GO TO E2

DON’T KNOW d GO TO E2

REFUSED r GO TO E2

E1 = 1

E1a. How many paid jobs do you currently have?

| | | NUM OF PAID JOBS

(RANGE 0-99)

DON’T KNOW d

REFUSED r

SOFT CHECK: IF E1a = 10 – 99; I just want to be sure I recorded your answer correctly. You said that you have been [FILL E1a] paid jobs. Is this correct?

SOFT CHECK: IF E1a = 0; You mentioned in the previous question that you are currently working and then just mentioned that you have 0 jobs. Would you like to go back and change your answer about currently working or change the number of jobs you currently have?

PROGRAMMER BOX E1a.1

IF E1 = 1 AND (E1a GT 0 OR E1a = D, R), SKIP TO E5;

IF E1 = 1 AND E1a = 0 (AFTER SOFT CHECK), CONTINUE TO E2.

IF E1 = 0, D, R, CONTINUE TO E2.

IF (E1 = 0, D, R) Or (E1 = 1 AND E1a = 0)

E2. Have you been looking for work during the past four weeks?

YES 1

NO 0 GO TO E4

DON’T KNOW d GO TO E4

REFUSED r GO TO E4

E2 = 1 (LOOKING FOR WORK)

IF C1 = 1, FILL Response option a (Contact YouthBuild staff)

E3. I’m going to read you a list of things that some people do to look for work. Please tell me whether or not you did any of these things during the last four weeks.

	YES	NO	DK	REF
(IF C1 = 1) a. Contact YouthBuild staff?	1	0	d	r
b. Contact your state’s One Stop office, workforce development office, or unemployment office?	1	0	d	r
c. Ask friends or relatives?	1	0	d	r
d. Look through job advertisements in a newspaper or on the internet?	1	0	d	r
e. Send out resumes?
f. Fill out applications?
g. Contact any employers in person, by mail, or by phone?	1	0	d	r
h. Did you do something else? (SPECIFY)	1	0	d	r

(STRING 200)

SPECIFY TEXT: Please tell me what else you did to look for work…

PROGRAMMER BOX E3.1.

AFTER E3, GO TO E4.

IF (E1 = 0, D, R) Or (E1 = 1 AND E1a = 0)

E4. Have you worked at any jobs for pay that have lasted two weeks or longer since [RA DATE]?

YES 1

NO 0 GO TO E20

DON’T KNOW d GO TO E20

REFUSED r GO TO E20

IF (E1 = 1 AND (E1a GT 0 OR E1a = D, R)) OR E4 = 1

Where are you currently working? IF (E1 = 1 AND E1a = D, R) OR (E1 = 1 AND E1a = 1) (CURRENTLY WORKS);

At which of your jobs do you work the most hours? IF E1a GT 1 (CURRENTLY WORKING AT MORE THAN ONE JOB);

Where have you worked most recently since [RA Date]? IF E4 = 1 (NOT CURRENTLY WORKING, BUT HAD JOB)

E5. [Where are you currently working? / At which of your jobs do you work the most hours? / Where have you worked most recently since [RA DATE]?] Please tell me the name of the company or employer.

PROBE: We ask this because we have a few questions to ask about your current job, such as the date you started and how many hours you usually work a week, and it helps to have the name of your employers to refer to.

(STRING 255) (JOB #1)

JOB #1

DON’T KNOW d

REFUSED r

PROGRAMMER SKIP BOX E5a.1

IF E5 = (D, R), CONTINUE TO E5b;

ELSE (TEXT ENTERED AT E5), RECORD TEXT AS JOB #1 AND SKIP TO BOX E5b.2

E5 = D, R

your current job IF (E1 = 1 AND E1a = D, R) OR (E1 = 1 AND E1a = 1) (CURRENTLY WORKS);

your job where you work the most hours IF E1a GT 1 (CURRENTLY WORKING AT MORE THAN ONE JOB);

your most recent job since [RA DATE] IF E4 = 1 (NOT CURRENTLY WORKING, BUT HAD JOB)

E5b. We will ask you a few questions about [your current job / your job where you work the most hours / your most recent job since [RA DATE]]. Can you give me a word or name that I can use to help refer to this job in the upcoming questions?

(STRING 255) (JOB #1)

JOB #1

DON’T KNOW d

REFUSED r

PROGRAMMER SKIP BOX E5b.1

IF E5b = D, R (NO NAME GIVEN), SKIP TO E20;

ELSE (TEXT ENTERED), RECORD AS JOB #1 AND CONTINUE.

PROGRAMMER LOOP BOX E5b.2

BEGIN LOOP TO COLLECT JOBS #2 – #5.

ASK E6 – E8; LOOP ENDS IF E6 = 0, M OR AFTER JOB #5.

E5 OR E5b HAS A RECORDED JOB (TEXT ENTERED)

E6. Have you worked at another job for pay since [RA DATE]? This includes any self-employment, current jobs and jobs you no longer work at.

YES 1

NO 0 END LOOP; GO TO BOX E8.2

DON’T KNOW d END LOOP; GO TO BOX E8.2

REFUSED r END LOOP; GO TO BOX E8.2

E6 = 1

E7. What is the name of the company or employer?

(STRING 255) (JOBS #2 - #5)

JOBS #2 - #5

DON’T KNOW d

REFUSED r

PROGRAMMER SKIP BOX E7.1

IF E7 = D, R (NO NAME GIVEN), CONTINUE;

ELSE (TEXT ENTERED AT E7), RECORD TEXT AS JOB AND SKIP TO BOX E8.1

E7 = D, R

E8. We will ask you a few questions about this job. Can you give me a word or name that I can use to help refer to this job in the upcoming questions?

(STRING 255) (JOBS #2 - #5)

JOBS #2 - #5

DON’T KNOW d

REFUSED r

PROGRAMMER BOX E8.1

IF E8 = D, R (NO NAME GIVEN), END LOOP AND GO TO BOX E8.2;

ELSE, RETURN TO E6 TO ASK ABOUT ANOTHER JOB.

END LOOP AT AFTER JOB #5.

PROGRAMMER BOX E8.2

BEGIN JOB LOOP

ASK E9 to E29 FOR JOB #1;

THEN RETURN HERE AND REPEAT FOR JOBS #2 - # 5.

ALL JOBS

JOB NAME FOR JOB #1 FROM E5 OR E5b; JOBS #2 TO #5 FROM E7 OR E8

E9. When did you start working at [JOB NAME]?

PROBE: I just need a month and year. Your best estimate is fine.

programmer:

| | | / | | | | |

(1-12) (2009 - 2015)

DON’T KNOW d

REFUSED r

HARD CHECK: IF E9_Month = 0 OR GT 12

SOFT CHECK: IF E9 IS AFTER TODAY; INTERVIEWER: THIS DATE IS IN THE FUTURE. PLEASE CORRECT.

SOFT CHECK: IF E9 IS BEFORE 2009; I just want to be sure I recorded your answer correctly. You said you started working at this job in [FILL JOB YEAR]. Is that correct?

PROGRAMMER BOX E9.1

IF JOB #1 AND E1 = 1 AND (E1a GT 0 OR E1a = D, R) (CURRENTLY EMPLOYED), SKIP TO E11;

IF JOB #1 AND (E1 = 1 ANd E1a = 0), CONTINUE TO E10;

If JOB #1 AND (E1 = 0, D, R), CONTINUE TO E10.

ASK E10 FOR JOBS #2 To #5.

JOB #1 IF (E1 = 1 AND E1a = 0) OR (E1 = 0, D, R) (NOT CURRENTLY WORKING));

ALL OF JOBS #2 - #5 GET THIS QUESTION

E10. When did you stop working at [JOB NAME]?

ENTER DATE ON NEXT SCREEN 1

STILL WORKING AT THIS JOB 2

DON’T KNOW d GO TO E11

REFUSED r GO TO E11

E10_month & E10_year

When did you stop working at [JOB NAME]?

PROBE: I just need a month and year. Your best estimate is fine.

programmer:

| | | / | | | | |

(1-12) (2011- 2015)

DON’T KNOW d

REFUSED r

HARD CHECK: IF E10_Month = 0 OR GT 12

HARD CHECK: IF E10 YEAR GT CURRENT YEAR; INTERVIEWER: THIS DATE IS IN THE FUTURE. PLEASE CORRECT.

SOFT CHECK: IF E10 DATE IS BEFORE RA_YEAR; INTERVIEWER: THIS DATE IS BEFORE RANDOM ASSIGNMENT. I just want to be sure I recorded your answer correctly. You said you stopped working at this job in [FILL JOB YEAR]. Is that correct?

PROGRAMMER SKIP BOX E10.1

IF JOB #1, CONTINUE TO E11;

IF JOBS #2 TO #5, SKIP TO E13.

JOB #1 ONLY

E11. Are you self-employed there?

YES 1

NO 0

DON’T KNOW d

REFUSED r

PROGRAMMER SKIP BOX E11.1

IF JOB #1 AND E11 = 0 , D, R (NOT SELF-EMPLOYED, D, R), CONTINUE TO E12;

else SKIP TO E13a.

JOB #1 ONLY AND E11 = 0, D, R (NOT SELF-EMPLOYED OR D, R)

Is this IF (E1 = 1 AND (E1a GT 0 OR E1a = D, R)) OR (E4 = 1 AND E10 = 2); ELSE Was that

E12. [Is this / Was that] job through a temporary employment agency?

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL JOBS

JOB #1 ONLY: do / this IF (E1 = 1 AND (E1a GT 0 OR E1a = D, R)) OR (E4 = 1 AND E10 = 2);

ELSE, did / that

E13a. How many hours per week, including regular overtime hours [do / did] you usually work on [this/that] job?

ENTER NUMBER ON NEXT SCREEN 1

THE NUMBER VARIES 2 GO TO E13b

DON’T KNOW d GO TO E13b

REFUSED r GO TO E13b

E13. How many hours per week, including regular overtime hours [do / did] you usually work on [this/that] job?

| | | HOURS PER WEEK

(RANGE 0-999)

DON’T KNOW d GO TO E13b

REFUSED r GO TO E13b

SOFT CHECK: IF E13 = 0 OR E13 GT 80; I just want to be sure I recorded your answer correctly. You said you worked [FILL E13] hours per week, is that correct?

PROGRAMMER SKIP BOX E13a.1

IF ((E13a = 2, D, R) OR (E13 = D, R), CONTINUE TO E13b;

IF E13a = 1 AND E13 GE 0, SKIP TO E14.

(E13a = 2, D, R) OR (E13 = D, R)

E13b. Which best describes how many hours per week you [work / worked] on this job? Is it…

PROBE: Your best estimate is fine.

Less than 10 hours per week, 1

Between 10 and 14 hours per week, 2

Between 15 and 19 hours per week, 3

Between 20 and 24 hours per week, 4

Between 25 and 29 hours per week, 5

Between 30 and 34 hours per week, 6

Between 35 and 39 hours per week, or 7

40 or more hours per week? 8

DON’T KNOW d

REFUSED r

PROGRAMMER SKIP BOX E13.1

IF JOB #1, CONTINUE TO E14;

IF JOBS #2 TO #5, SKIP TO E18.

JOB #1 ONLY

JOB #1 ONLY: do / this IF (E1 = 1 AND (E1a GT 0 OR E1a = D, R)) OR (E4 = 1 AND E10 = 2);

ELSE, did / that

E14. How many days per week [do / did] you work on [this / that] job?

INTERVIEWER: IF LESS THAN ONE DAY PER WEEK, CODE ONE (1).

| | DAYS PER WEEK

(RANGE 1-7)

DON’T KNOW d

REFUSED r

HARD CHECK: IF E14 = 0 OR E14 GT 7; INTERVIEWER: THE RESPONSE SHOULD BE BETWEEN 1 AND 7. IF LESS THAN ONE DAY, CODE ONE (1).

JOB #1 ONLY

you IF E11 = 1 (SELF-EMPLOYED); ELSE they

E15. What kind of company is [JOB NAME]? What do [they / you] make, do, or sell?

(STRING 255)

DON’T KNOW d

REFUSED r

jOb #1 ONLY

JOB #1 ONLY: do / are IF (E1 = 1 AND (E1a GT 0 OR E1a = D, R)) OR (E4 = 1 AND E10 = 2);

ELSE, did / were

E16. Please briefly describe what you [do / did] at [JOB NAME]? What [are / were] your most important duties?

(STRING 255)

DON’T KNOW d

REFUSED r

PROGRAMMER SKIP BOX E16.1

IF JOB #1 AND E11 = 0, D, R (SELF-EMPLOYED), CONTINUE TO E17;

ELSE SKIP TO E18.

jOB #1 AND E11 = 0, D, R (NOT SELF-EMPLOYED)

DISPLAY option 1 only if treatment group

E17. How did you find this job?

(ITEMS 1 – 5) Were you referred or helped by…

(ITEMS 6 – 7) Did you search for a job by looking at…

(ITEMS 8 – 10) Did you hear about it from…

	YES	NO	DK	REF
1. YouthBuild?	1	0	d	r
2. A state employment agency or state job service?	1	0	d	r
3. A private employment agency ?	1	0	d	r
4. Friends, relatives, or colleagues?	1	0	d	r
5. A union?	1	0	d	r
6. Want ads, newspaper ads, or the local paper?	1	0	d	r
7. The internet?	1	0	d	r
8. A former employer?	1	0	d	r
9. School?	1	0	d	r
10. A job fair?	1	0	d	r
11. Did you find this job some other way? (STRING 255)	1	0	d	r

SPECIFY TEXT: Please tell me what else you did to find this job…

ALL JOBS

JOB #1 ONLY: are / at / make IF (E1 = 1 AND (E1a GT 0 OR E1a = D, R)) OR (E4 = 1 AND E10 = 2);

ELSE, were / when you left /made

JOBS #2 - #5: are / at / make IF E10 = 2; ELSE were / when you left / made

E18_amt.

How much [are / were] you making [at / when you left] [JOB NAME]? Please include tips, commissions, bonuses, and regular overtime.

INTERVIEWER: IF R HAS NOT BEEN PAID YET, LEAVE THIS FIELD BLANK AND CODE 10 ON THE NEXT SCREEN.

| | | | | | |.| | | AMOUNT

(RANGE 01-99)

DON’T KNOW d

REFUSED r

E18_unit.

INTERVIEWER: SELECT A UNIT.

PROGRAMMER: DO NOT ALLOW DK OR REFUSED BUTTON HERE.

PER HOUR 1

PER WEEK 2

ONCE EVERY TWO WEEKS 3

TWICE A MONTH 4

PER MONTH OR MONTHLY 5

PER YEAR 6

PER DAY 7

PER JOB 8

SOME OTHER PAY PERIOD 9

HAS NOT YET BEEN PAID 10

HARD CHECK: IF E18_amt = EMPTY AND E18_unit 1 - 8; INTERVIEWER: E18_unit CAN ONLY BE 9 OR 10 SINCE YOU DID NOT ENTER AN AMOUNT. PLEASE CORRECT.

HARD CHECK: IF E18_amt = 1 – 999,999 AND E18_unit = 10; INTERVIEWER: E18_amt IS NOT BLANK; YOU CANNOT CODE 10 HERE. PLEASE CORRECT.

SOFT CHECK: IF E18_amt GT 50,000 (REGARDLESS OF UNIT); I just want to be sure I recorded your answer correctly. Is it correct that you [make / made] [FILL AMT] [FILL UNIT]?

PROGRAMMER SKIP BOX E18.1.

IF (E18_amt = D, R) OR (E18_UNIT = 8 – 10), CONTINUE TO E18b;

ELSE SKIP TO E18c.

(E18_amt = D, R) OR (E18_UNIT = 8 – 10)

E18b. Which of the following ranges best describes your annual pay at [JOB NAME]?

Less than $5,000, 1

$5,000 or more, but less than $10,000, 2

$10,000 or more, but less than $20,000, 3

$20,000 or more, but less than $30,000, 4

$30,000 or more, but less than $40,000, 5

$40,000 or more, but less than $50,000, or 6

$50,000 or more? 7

DON’T KNOW d

REFUSED r

IF (E18_AMT GT 0 AND E18_UNIT = 1 – 7) OR E18b = 1 – 7

E18c. Is that amount before or after taxes?

BEFORE TAXES 1

AFTER TAXES 0

DON’T KNOW d

REFUSED r

PROGRAMMER SKIP BOX E18c.1.

IF JOB #1 AND E11 = 1 (SELF-EMPLOYED), SKIP TO BOX E19.1;

IF JOB #1 and E11 = 0, D, R (NOT SELF-EMPLOYED), CONTINUE TO E19;

IF JOB #2 to JOB #5 SKIP TO box E19.1.

JOB #1 ONLY AND E11 = 0, D, R

Are IF (E1 = 1 AND (E1a GT 0 OR E1a = D, R)) OR (E4 = 1 AND E10 = 2)

ELSE, Were

E19. [Are / Were] any of the following benefits available to you at [JOB NAME]?

	YES	NO	DK	REF
a. Health insurance?	1	0	d	r
b. Paid vacation?	1	0	d	r
c. Paid holiday?	1	0	d	r
d. Paid sick leave?	1	0	d	r
e. Retirement or pension benefits?	1	0	d	r
f. Dental benefits, including any offered at a cost to you?	1	0	d	r

PROGRAMMER LOOP BOX E19.1

RETURN TO E9 FOR NEXT JOB.

IF NO OTHER JOB OR END OF LOOP, CONTINUE TO E20.

all

FILL state welfare name

E20. The next questions are about income support you or someone in your household may have received. If you aren’t sure about a particular item, just let me know. In the past 12 months, did you or anyone in your household receive…

[DISPLAY ITEM]

		YES	NO	DK	REF
a. [FILL STATE WELFARE NAME], TANF or welfare?		1	0	d	r
b. Unemployment insurance?		1	0	d	r
c. SNAP or Food Stamps?		1	0	d	r
d. WIC or the Special Supplemental Food Program for Women, Infants, and Children?		1	0	d	r
e. SSI or Social Security Retirement, Disability, or Survivor’s benefits?		1	0	d	r
f. Payments for providing foster care?		1	0	d	r
g. Assistance with utilities such as gas, electricity, or water?		1	0	d	r
h. Child support?		1	0	d	r
i. Money from family or friends?		1	0	d	r
j. Any other type of income support		1	0	d	r
(STRING 200)
	SPECIFY TEXT: Please tell me the other type of income support…

PROGRAMMER BOX E20.1.

IF ANY E20a-i = 1, CONTINUE TO E21;

IF E20j = 1 AND E20j_specify HAS A RESPONSE, CONTINUE TO E21;

IF NO ITEMS = 1, SKIP TO SECTION D;

IF ONLY E20j = 1 AND E20j_specify = D OR R, SKIP TO SECTION D.

at least one AT E20a-i = 1 OR (E20j = 1 and E20j_specify HAS A RESPONSE)

FILL response options (a-I) from E20

FILL RESPONSE J FROM E20j_specify;

IF E20j_specify IS EMPTY, DO NOT INCLUDE RESPONSE OPTION FROM E20J.

E21. For each type of income support you mentioned, please tell me who in your household received the income support.

Did you, someone else, or both you and someone else receive….

[DISPLAY ITEM]

	YOU		SOMEONE ELSE	BOTH	DK	REF
a. TANF or welfare?		1	2	3	d	r
b. Unemployment insurance?		1	2	3	d	r
c. SNAP or Food Stamps?		1	2	3	d	r
d. WIC or the Special Supplemental Food Program for Women, Infants, and Children?		1	2	3	d	r
e. SSI or Social Security Retirement, Disability, or Survivor’s benefits?		1	2	3	d	r
f. Payments for providing foster care?		1	2	3	d	r
g. Assistance with utilities such as gas, electricity, or water?		1	2	3	d	r
h. Child support?		1	2	3	d	r
i. Money from family or friends?		1	2	3	d	r
j. [FILL FROM E20j]		1	2	3	d	r

F. Criminal Justice Involvement and Delinquency

ALL

F0. These next questions are about experiences you may have had with the police or courts. All of your answers will be kept private to the fullest extent of the law.

ENTER 1 TO CONTINUE 1

ALL

F1. Since [RA DATE], have you been arrested or taken into custody for a crime or illegal offense? Please include probation or parole violations, but do not include minor motor vehicle violations.

YES 1

NO 0 GO TO F4

DON’T KNOW d GO TO F4

REFUSED r GO TO F4

F1 = 1 (ARRESTED)

F2. Since [RA DATE], how many times have you been arrested or taken into custody for a crime or illegal offense?

| | | ARRESTS

(RANGE 0-99)

DON’T KNOW d

REFUSED r

SOFT CHECK: IF F2 = 15-99; I just want to be sure I recorded your answer correctly. You said that you have been arrested or taken into custody for a crime or illegal offense [FILL F2] times. Is this correct?

SOFT CHECK: IF F1 = 1 AND F2 = 0; You mentioned in the previous question that you had been arrested. You just answered you were arrested 0 times. Would you like to back and change your answer about being arrested or change the number of times you have been arrested?

PROGRAMMER BOX F2.1

IF F1 = 1 AND F2 GT 0, CONTINUE TO F3;

IF F1 = 1 ANd F2 = D, R, CONTINUE TO F3;

IF F1 = 1 AND F2 = 0 (AFTER SOFT check), SKIP TO F4.

F1 = 1 (ARRESTED) aND (F2 GT 0 OR F2 = D, R)

F3. Since [RA DATE], have you been charged with any of the following offenses?

PROBE: All of your answers will be kept private to the fullest extent of the law.

	YES	NO	DK	REF
a. A drug offense, such as possessing, selling, or manufacturing drugs?	1	0	d	r
b. Driving under the influence or driving while intoxicated?	1	0	d	r
c. Failure to pay child support?	1	0	d	r
d. A property offense, such as shoplifting, burglary, larceny, theft, auto theft, bad checks, fraud, forgery, arson, vandalism, or possession of stolen goods?	1	0	d	r
e. A violent offense, such as physical or sexual assault, rape, robbery, manslaughter, attempted murder, or murder?	1	0	d	r
f. Some other offense not listed?	1	0	d	r

(STRING 200)

SPECIFY TEXT: Please tell me the other offense you were charged with…

ALL

F4. Since [RA DATE] have you been convicted or found delinquent of or pled guilty to a crime or illegal offense? Please do not include minor motor vehicle violations.

YES 1

NO 0 GO TO G1

DON’T KNOW d GO TO G1

REFUSED r GO TO G1

f4 = 1 (convicted)

F5. Since [RA DATE] how many times have you been convicted or found delinquent of or pled guilty to a crime or illegal offense?

| | | CONVICTIONS

(RANGE 0-99)

DON’T KNOW d

REFUSED r

SOFT CHECK: IF F5 = 15 - 99; I just want to be sure I recorded your answer correctly. You said that you have been convicted or found delinquent of or pled guilty to a crime or illegal offense [FILL F5] times. Is this correct?

SOFT CHECK: IF F4 = 1 AND F5 = 0; You mentioned in the previous question that you had been convicted or plead guilty. You just answered you were convicted or found delinquent or plead guilty 0 times. . Would you like to back and change your answer about being arrested or change the number of times you have been convicted, found delinquent or pled guilty?

PROGRAMMER BOX F5.1

IF F4 = 1 AND F5 GT 0, CONTINUE TO F6;

IF F4 = 1 ANd F5 = D, R, CONTINUE TO F6;

IF F4 = 1 AND F5 = 0 (AFTER SOFT check), SKIP TO G1.

f4 = 1 AND (F5 Gt 0 OR F5 = D, R)

F6. Since [RA DATE], have you been convicted or found delinquent of or pled guilty to any of the offenses listed below?

PROBE: All of your answers will be kept private to the fullest extent of the law.

	YES	NO	DK	REF
a. A drug offense, such as possessing, selling, or manufacturing drugs?	1	0	d	r
b. Driving under the influence or driving while intoxicated?	1	0	d	r
c. Failure to pay child support?	1	0	d	r
d. A property offense, such as shoplifting, burglary, larceny, theft, auto theft, bad checks, fraud, forgery, arson, vandalism, or possession of stolen goods?	1	0	d	r
e. A violent offense, such as physical or sexual assault, rape, robbery, manslaughter, attempted murder, or murder?	1	0	d	r
f. Some other offense not listed? (SPECIFY)	1	0	d	r

(STRING 200)

SPECIFY TEXT: Please tell me the other offense where you were convicted or found delinquent or plead guilty…

f4 = 1 AND (F5 Gt 0 OR F5 = D, R)

The next questions are about any sentences you may have received since [RA DATE].

F7. Since [RA DATE], have you been sentenced to spend time in a group home, reform school, juvenile or adult prison, jail, or other correctional facility? Please include instances when you did not actually serve the time.

YES 1

NO 0 GO TO F10

DON’T KNOW d GO TO F10

REFUSED r GO TO F10

F7 = 1 (SENTENCED TO TIME)

F8. Since [RA DATE], how many separate times were you sentenced to spend time in a group home, reform school, juvenile or adult prison, jail, or other correctional facility?

| | | NUMBER OF TIMES SENTENCED

(RANGE 0-99)

DON’T KNOW d

REFUSED r

SOFT CHECK: IF F8 = 0, 15 - 99; I just want to be sure I recorded your answer correctly. You said that you have been sentenced [FILL F8] times. Is this correct?

F7 = 1 (SENTENCED TO TIME)

F9_amt. Since [RA DATE], how much time in total have you spent in a group home, reform school, juvenile or adult prison, jail, or other correctional facility? You may answer in days, weeks, months or years.

INTERVIEWER: IF NO TIME SPENT, LEAVE THIS FIELD BLANK AND CODE 5 ON THE NEXT SCREEN.

| | | TIME SPENT

(RANGE 01-99)

DON’T KNOW d

REFUSED r

F9_unit.

INTERVIEWER: SELECT A UNIT.

PROGRAMMER: DO NOT ALLOW DK OR REFUSED BUTTON.

DAYS 1

WEEKS 2

MONTHS 3

YEARS 4

NO TIME SPENT 5

HARD CHECK: IF F9_amt = EMPTY AND F9_unit 1 - 4; INTERVIEWER: F9_unit CAN ONLY BE 5 SINCE YOU DID NOT ENTER AN AMOUNT. PLEASE CORRECT.

HARD CHECK: IF F9_amt = 1 – 99 = EMPTY AND F9_unit = 5; INTERVIEWER: F9_amt IS NOT BLANK; YOU CANNOT CODE 5 HERE. PLEASE CORRECT.

f4 = 1 (CONVICTED) AND (F5 Gt 0 OR F5 = M)

F10. The next set of questions is about other sentences you may have received. Since [RA DATE], have you been sentenced to any of the following?

	YES	NO	DK	REF
a. Fines?	1	0	d	r
b. Loss of driver’s license?	1	0	d	r
c. Mandated community service?	1	0	d	r
d. Probation?	1	0	d	r
e. Parole?	1	0	d	r
f. Some other sentence	1	0	d	r

(STRING 200)

SPECIFY TEXT: Please tell me the other sentence you received…

PROGRAMMER SKIP BOX F10.1

IF F10d or F10e = 1 (PROBATION OR PAROLE), CONTINUE.

ELSE SKIP TO SECTION G.

F10d or F10e = 1 (ON PROBATION OR PAROLE)

F11_amt. How long were you put on probation or parole? You may answer in days, weeks, months or years.

| | | TIME SPENT

(RANGE 01-99)

DON’T KNOW d

REFUSED r

F11_unit.

INTERVIEWER: SELECT A UNIT.

PROGRAMMER: DO NOT ALLOW DK OR REFUSED BUTTON.

DAYS 1

WEEKS 2

MONTHS 3

YEARS 4

NO TIME SPENT 5

F10d or F10e = 1 (ON PROBATION OR PAROLE)

F12. Are you still on probation or parole?

YES 1

NO 0

DON’T KNOW d

REFUSED r

G. Social and Emotional Development

ALL

G0. Now I’m going to read you some statements dealing with your general feelings about yourself.

ALL

G1. Please let me know if you strongly agree, agree, disagree, or strongly disagree.

[DISPLAY ITEM]

Do you strongly agree, agree, disagree or strongly disagree?

	STRONGLY AGREE	AGREE	DISAGREE	STRONGLY DISAGREE	DK	REF
a. I feel that I’m a person of worth, at least on an equal plane with others	1	2	3	4	d	r
b. I feel that I have a number of good qualities	1	2	3	4	d	r
c. All in all, I am inclined to feel that I am a failure	1	2	3	4	d	r
d. I am able to do things as well as most other people	1	2	3	4	d	r
e. I feel I do not have much to be proud of	1	2	3	4	d	r
f. I take a positive attitude towards myself	1	2	3	4	d	r
g. On the whole, I am satisfied with myself	1	2	3	4	d	r
h. I wish I could have more respect for myself	1	2	3	4	d	r
i. I certainly feel useless at times	1	2	3	4	d	r
j. At times I think I am no good at all	1	2	3	4	d	r

ALL

G2. Generally speaking, would you say most people can be trusted or that you can’t be too careful in life?

MOST PEOPLE CAN BE TRUSTED 1

CAN’T BE TOO CAREFUL 2

OTHER, DEPENDS 3

DON’T KNOW d

REFUSED r

ALL

G3. Now I’m going to read you some statements about your current relationships with family and friends. Please let me know if you strongly agree, agree, disagree, or strongly disagree.

[DISPLAY ITEM]

Do you strongly agree, agree, disagree or strongly disagree?

	STRONGLY AGREE	AGREE	DISAGREE	STRONGLY DISAGREE	DK	REF
a. There are people I know who will help me if I really need it	1	2	3	4	d	r
b. There is no one I feel comfortable talking about problems with	1	2	3	4	d	r
c. I am with a group of people who think the same way I do about things	1	2	3	4	d	r
d. If something went wrong, no one would help me	1	2	3	4	d	r
e. I have a trustworthy person to turn to if I have problems	1	2	3	4	d	r
f. There is no one who likes to do the things I do	1	2	3	4	d	r

H. Identity Development

ALL

H0. The next questions are about how you make decisions and solve problems.

ALL

H1. Please tell me how strongly you agree or disagree with each of the following statements.

[DISPLAY ITEM]

Do you strongly agree, agree, disagree or strongly disagree?

	STRONGLY AGREE	AGREE	DISAGREE	STRONGLY DISAGREE	DK	REF
a. Difficult problems make you very upset	1	2	3	4	d	r
b. When making decisions, you usually go with your “gut feeling” without thinking too much about the consequences of each alternative	1	2	3	4	d	r
c. When you have a problem to solve, one of the first things you do is get as many facts about the problem as possible	1	2	3	4	d	r
d. When you are attempting to find a solution to a problem, you usually try to think of as many different ways to approach the problem as possible	1	2	3	4	d	r
e. When making decisions, you generally use a systematic method for judging and comparing alternatives	1	2	3	4	d	r
f. After carrying out a solution to a problem, you usually try to analyze what went right and what went wrong	1	2	3	4	d	r

ALL

H2. This next question is about what you do when you need to make a decision or solve a problem.

Would you rather get $80 tomorrow, or get $100 three months from now?

$80 TOMORROW 1

$100 THREE MONTHS FROM NOW 2

DON’T KNOW d

REFUSED r

ALL

H3. Next, I am going to ask you some questions about volunteer or community service work.

Since [RA DATE], have you ever performed volunteer or community service work, not including court ordered service?

YES 1

NO 0

DON’T KNOW d

REFUSED r

If h3=1

H3a. Since [RA DATE], about often have you volunteered? You can answer with the numbers of times per week, month or year

PROBE: Your best estimate is fine. You can tell me number of times per week, month or year.

PROGRAMMER: NUMBER RANGE IS 01 – 99

PROGRAMMER: DO NOT ALLOW DK OR REFUSED BUTTONS ON UNIT SCREENS

(FOR AMOUNT SCREEN ONLY)

INTERVIEWER: CODE AMOUNT HERE AND UNIT ON THE NEXT SCREEN

(FOR UNIT SCREEN ONLY)

INTERVIEWER: SELECT A UNIT

NUMBER OF TIMES
| | |	A WEEK 1 A MONTH 2 A YEAR 3

ALL

H4. Are you registered to vote in the U.S.?

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

DISPLAY OPTION a only if h4 ne 0

H5. Since [RA DATE] have you…

	YES	NO	DK	REF
a. Voted in one or more elections?	1	0	d	r
b. Taken on a leadership role by serving on a community council or board?	1	0	d	r
c. Gotten involved in a political effort or electoral campaign?	1	0	d	r

ALL

H6. The next questions are about things you do in a typical day. First, how many hours do you usually sleep?

LESS THAN THREE HOURS 1

3 TO 5 HOURS 2

6 TO 8 HOURS 3

9 TO 11 HOURS 4

MORE THAN 11 HOURS 5

DON’T KNOW d

REFUSED r

ALL

H7. Thinking about a typical day, how many hours do you usually spend…

[DISPLAY ITEM]

Would you say none or almost none, one, two or three, four or five, or six or more?

	NONE OR ALMOST NONE	ONE	TWO OR THREE	FOUR OR FIVE	SIX OR MORE	DK	REF
a. Watching TV or listening to music	1	2	3	4	5	d	r
b. Hanging out	1	2	3	4	5	d	r
c. Playing video or computer games or using the internet	1	2	3	4	5	d	r
d. Reading or studying	1	2	3	4	5	d	r
e. In school or training	1	2	3	4	5	d	r
f. Taking care of a child	1	2	3	4	5	d	r
g. Taking care of a family member, not including a child	1	2	3	4	5	d	r

ALL

H8. Taking everything all together, how would you say things are these days? Would you say that you are very happy, pretty happy or not too happy?

VERY HAPPY 1

PRETTY HAPPY 2

NOT TOO HAPPY 3

DON’T KNOW d

REFUSED r

I. Health and Well-Being

ALL

I0. Now, I would like to ask you some questions about your general health.

ENTER 1 TO CONTINUE 1

ALL

I1. In general, would you say your health is…

Excellent, 1

Very good, 2

Good, 3

Fair, or 4

Poor? 5

DON’T KNOW d

REFUSED r

ALL

I2. Since [RA DATE], have you had…

	YES	NO	DK	REF
a. An annual checkup (general health or women’s health)?	1	0	d	r
b. A dental exam?	1	0	d	r
c. A flu shot?	1	0	d	r

ALL

I3. What age do you think you will live to?

| | | | AGE

(RANGE 000-999)

DON’T KNOW d

REFUSED r

ALL

I4. Over the last 2 weeks, how often have you been bothered by any of the following problems? For each, please tell me if it was not at all, several days, more than half the days, or nearly every day.

Over the last 2 weeks, how often have you been bothered by…

[DISPLAY ITEM]

Would you say not at all, several days, more than half the days, or nearly every day?

	NOT AT ALL	SEVERAL DAYS	MORE THAN HALF THE DAYS	NEARLY EVERY DAY	DK	REF
a. Little interest or pleasure in doing things?	1	2	3	4	d	r
b. Feeling down, depressed, or hopeless?	1	2	3	4	d	r
c. Trouble falling or staying asleep, or sleeping too much?	1	2	3	4	d	r
d. Feeling tired or having little energy?	1	2	3	4	d	r
e. Poor appetite or overeating?	1	2	3	4	d	r
f. Feeling bad about yourself – or that you are a failure and have let yourself or your family down?	1	2	3	4	d	r
g. Trouble concentrating on things, such as reading the newspaper or watching television?	1	2	3	4	d	r
h. Moving or speaking so slowly that other people could have noticed. Or the opposite – being so fidgety or restless that you have been moving around a lot more than usual?	1	2	3	4	d	r
i. Thoughts that you would be better off dead, or of hurting yourself in some way?	1	2	3	4	d	r

(i4a – i) = 2-4 (Anything checked at I4)

I5. How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? Would you say…

Not difficult at all, 1

Somewhat difficult, 2

Very difficult, or 3

Extremely difficult? 4

DON’T KNOW d

REFUSED r

ALL

I6. The next few questions are about gang activity in your neighborhood. Remember, all of your responses will be kept private to the fullest extent of the law.

Have you ever belonged to a gang?

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

even if you aren’t in a gang if i6 = 0, D, R

I7. In the past 12 months, have you been involved in gang fights [even if you aren’t in a gang]?

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

I8. The next few questions are about drug and alcohol use. Remember, all of your responses will be kept private to the fullest extent of the law.

In a typical week, how many times do you have five or more drinks in a row? A “drink” is a glass of wine, a bottle of beer, a shot glass of liquor, or a mixed drink. Would you say…

Never, 1

Less than once, 2

Once, 3

Twice, 4

Three to five times, or 5

Every day or almost every day, 6

DON’T KNOW d

REFUSED r

ALL

I9. Since [RA DATE], have you used or tried any of the following drugs?

	YES	NO	DK	REF
a. Marijuana?	1	0	d	r
b. Any kind of cocaine, including powder, freebase, or crack cocaine?	1	0	d	r
c. Inhalants, such as glue or solvents?	1	0	d	r
d. Pills without a doctor’s prescription?	1	0	d	r
e. Any other type of illegal drug, such as LSD, PCP, ecstasy, mushrooms, speed, ice, or heroin?	1	0	d	r

PROGRAMMER SKIP BOX I9.1

IF I8 = 2 – 5 OR ANY I9a-e = 1, CONTINUE.

ELSE SKIP TO SECTION J.

if i8 = 2 – 5 OR ANY i9a – e = 1

drinking IF I8 = 2 – 5 AND ALL I9a-e = 0, d, r;

drug use IF I8 = 1, d, r AND ANY I9a-e = 1;

drinking or drug use IF I8 = 2 – 5 AND ANY I9a-e = 1

I10. Since [RA DATE], how often has your drinking or drug use interfered with your responsibilities either at work or school, or something else? Would you say…

Never 1

1 time, or 2

More than 1 time? 3

DON’T KNOW d

REFUSED r

if i8 = 2 – 5 OR ANY i9a – e = 1

drinking alcohol IF I8 = 2 – 5 AND ALL I9a-e = 0, d, r;

doing drugs IF I8 = 1, d, r AND ANY I9a-e = 1;

drinking alcohol or doing drugs IF I8 = 2 – 5 AND ANY I9a-e = 1

I11. During the past 30 days, how many times did you drive a car or other vehicle when you had been drinking alcohol or doing drugs? Was it…

0 times, 1

1 time, 2

2 to 3 times, 3

4 to 5 times, or 4

6 or more times? 5

DON’T KNOW d

REFUSED r

J. Address and Contact Information Update

ALL

J0. The next questions will be about how to contact you. We will be sending your payment in the next week two weeks and need to make sure we have your correct address.

ENTER 1 TO CONTINUE 1

ALL

J1. What is your street address?

INTERVIEWER: IF RESPONDENT GIVES PO BOX, LET HIM/HER KNOW WE WILL COLLECT A MAILING ADDRESS LATER. TRY TO COLLECT A PHYSICAL ADDRESS HERE.

STREET 1

STREET 2

STREET 3

CITY

STATE

ZIP

DON’T KNOW d

REFUSED r

ALL

J1a. Is your mailing address the same as your street address?

YES 1 GO TO J2

NO 0

DON’T KNOW d GO TO J2

REFUSED r GO TO J2

J1a = 0

J1b. What is your mailing address?

STREET 1

STREET 2

STREET 3

CITY

STATE

ZIP

DON’T KNOW d

REFUSED r

ALL

J2. What is your cell phone number?

ENTER NUMBER 1

DOESN’T HAVE/OFFER CELL PHONE 2 GO TO J4

DON’T KNOW d GO TO J4

REFUSED r GO TO J4

J2 = 1

J2_phone.

PHONE NUMBER:

| | | | - | | | | - | | | | |

DON’T KNOW d GO TO J4

REFUSED r GO TO J4

SOFT CHECK: IF J2_phone IS NOT 10 NUM DIGITS; THE PHONE NUMBER SHOULD BE 10 NUMERIC DIGITS, NO SPACES, DASHES, PARENTHESES OR OTHER PUNCTUATION. THE FIELD SHOULD ALSO NOT BE EMPTY.

SOFT CHECK: USE STANDARD PHONE NUMBER CHECKS.

PROGRAMMER BOX J2.1

IF COMPLETE CELL PHONE ENTERED, CONTINUE TO J3a;

IF INCOMPLETE, d or r, SKIP TO J4.

J2_phone HAS COMPLETE PHONE NUMBER ENTERED

J3a. Does your cell phone plan have unlimited minutes?

YES 1

NO 0

DON’T KNOW d

REFUSED r

J2_phone HAS COMPLETE PHONE NUMBER ENTERED

J3b. Does your cell phone plan have unlimited texting?

YES 1

NO 0

DON’T KNOW d

REFUSED r

J2_phone HAS COMPLETE PHONE NUMBER ENTERED

J3c. May we send you text messages?

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

J4. What is your home phone number?

ENTER NUMBER 1

DOESN’T HAVE/OFFER HOME PHONE 2 GO TO J6

DON’T KNOW d GO TO J6

REFUSED r GO TO J6

J4 = 1

J4_phone.

PHONE NUMBER:

| | | | - | | | | - | | | | |

DON’T KNOW d GO TO J6

REFUSED r GO TO J6

SOFT CHECK: IF J4_phone IS NOT 10 NUM DIGITS; THE PHONE NUMBER SHOULD BE 10 NUMERIC DIGITS, NO SPACES, DASHES, PARENTHESES OR OTHER PUNCTUATION. THE FIELD SHOULD ALSO NOT BE EMPTY.

SOFT CHECK: USE STANDARD PHONE NUMBER CHECKS.

PROGRAMMER BOX J4.1

IF COMPLETE PHONE ENTERED, CONTINUE TO J5;

IF INCOMPLETE, d or r, SKIP TO J6.

J4_phone HAS COMPLETE PHONE NUMBER ENTERED

J5. Whose name is that number listed under?

NAME

DON’T KNOW d

REFUSED r

ALL

J6. Is there another phone number where you can be reached?

YES 1

NO 0 GO TO J8a

DON’T KNOW d GO TO J8a

REFUSED r GO TO J8a

J6 = 1

J6_phone.

PHONE NUMBER:

| | | | - | | | | - | | | | |

DON’T KNOW d GO TO J8a

REFUSED r GO TO J8a

SOFT CHECK: IF J6_phone IS NOT 10 NUM DIGITS; THE PHONE NUMBER SHOULD BE 10 NUMERIC DIGITS, NO SPACES, DASHES, PARENTHESES OR OTHER PUNCTUATION. THE FIELD SHOULD ALSO NOT BE EMPTY.

SOFT CHECK: USE STANDARD PHONE NUMBER CHECKS.

PROGRAMMER BOX J6.1

IF COMPLETE PHONE ENTERED, CONTINUE TO J7;

IF INCOMPLETE, d or r, SKIP TO J8a.

J6_phone HAS COMPLETE PHONE NUMBER ENTERED

J7. Whose name is that number listed under?

NAME

DON’T KNOW d

REFUSED r

ALL

J8a. Are you planning on moving in the next 12 months?

YES 1

NO 0 GO TO J9

DON’T KNOW d GO TO J9

REFUSED r GO TO J9

J8a = 1

J8b. Where will you be moving to?

INTERVIEWER: PROBE TO COLLECT CITY AND STATE IF RESPONDENT DOES NOT KNOW EXACT ADDRESS.

STREET 1

STREET 2

STREET 3

CITY

STATE

ZIP

DON’T KNOW d

REFUSED r

PROGRAMMER: THIS DOES NOT HAVE TO BE A COMPLETE ADDRESS

all

J9. What is the best E-mail address to reach you at?

ENTER E-MAIL ADDRESS 1

DOESN’T HAVE/OFFER E-MAIL ADDRESS 2 GO TO BOX J10.1

DON’T KNOW d GO TO BOX J10.1

REFUSED r GO TO BOX J10.1

J9 = 1

J9_email.

E-MAIL ADDRESS:

(STRING 50)

DON’T KNOW d GO TO BOX J10.1

REFUSED r GO TO BOX J10.1

SOFT CHECK: IF E-MAIL DOES NOT HAVE A “@” OR “.”; PLEASE ENTER A VALID E-MAIL ADDRESS. THE E-MAIL SHOULD INCLUDE AN “@” SIGN AND A PERIOD.

PROGRAMMER BOX J9.1

IF A VALID E-MAIL IS ENTERED, CONTINUE TO J10;

ELSE, SKIP TO BOX J10.1.

J9 IS HAS VALID E-MAIL ENTERED

J10. What is another e-mail address you have?

ENTER E-MAIL ADDRESS 1

DOESN’T HAVE/OFFER E-MAIL ADDRESS 2 GO TO BOX J10.1

DON’T KNOW d GO TO BOX J10.1

REFUSED r GO TO BOX J10.1

J10 = 1

J10_email.

E-MAIL ADDRESS:

(STRING 50)

DON’T KNOW d

REFUSED r

SOFT CHECK: IF E-MAIL DOES NOT HAVE A “@” OR “.”; PLEASE ENTER A VALID E-MAIL ADDRESS. THE E-MAIL SHOULD INCLUDE AN “@” SIGN AND A PERIOD.

PROGRAMMER BOX J10.1

IF FACEBOOK = 1, CONTINUE TO J11;

IF FACEBOOK = 0, SKIP TO BOX J11a.1.

FACEBOOK = 1

J11. Do you have a Facebook account?

YES 1

NO 0 GO TO BOX J11a.1

DON’T KNOW d GO TO BOX J11a.1

REFUSED r GO TO BOX J11a.1

J11 = 1

J11a. What name do you use on Facebook?

(STRING 50)

DON’T KNOW d

REFUSED r

PROGRAMMER BOX J11a.1

IF MYSPACE = 1, CONTINUE TO J12;

IF MYSPACe = 0, SKIP TO BOX J12a.1.

MYSPACE = 1

J12. Do you have a MySpace account?

YES 1

NO 0 GO TO BOX J12a.1

DON’T KNOW d GO TO BOX J12a.1

REFUSED r GO TO BOX J12a.1

J12 = 1

J12a. What name do you use on MySpace?

(STRING 50)

DON’T KNOW d

REFUSED r

PROGRAMMER BOX J12a.1

IF TWITTER = 1, CONTINUE TO J13;

IF TWITTER = 0, SKIP TO J14.

TWITTER = 1

J13. Do you have a Twitter account?

YES 1

NO 0 GO TO J14

DON’T KNOW d GO TO J14

REFUSED r GO TO J14

J13 = 1

J13a. What user name or handle do you use on Twitter?

(STRING 50)

DON’T KNOW d

REFUSED r

ALL

J14. Do you have a social networking account other than Facebook, MySpace or Twitter?

YES 1

NO 0 GO TO J15

DON’T KNOW d GO TO J15

REFUSED r GO TO J15

J14 = 1

J14a. What other social networking provider do you use?

(STRING 100)

DON’T KNOW d

REFUSED r

J14 = 1

J14b. What name do you use on this social networking account?

(STRING 100)

DON’T KNOW d

REFUSED r

PROGRAMMER LOOP BOX J15.

BEGIN LOOP

ASK J15 to J18 THREE TIMES.

LOOP ENDS EARLY WHEN J15 = M OR J15a = 1.

ALL

J15. FIRST PERSON:

As part of the study, we will contact you again in a year and half. In case you move, we would like the name, address, telephone number and e-mail of up to three relatives or close friends who would know where you are. We will only contact them if we have trouble getting in touch with you directly.

What is the name of the first person who will know where you are?

SECOND AND THIRD PERSON:

What is the name of another relative or close friend who will know how to contact you a year and a half from now?

(STRING 20)

FIRST NAME

(STRING 20)

MIDDLE INITIAL/NAME

(STRING 30)

LAST NAME

DON’T KNOW d GO TO J19

REFUSED r GO TO J19

J15 = ANSWERED

J16. What is this person’s relationship to you [(FILL NAME)]?

MOTHER 1

FATHER 2

SISTER OR BROTHER 3

FRIEND 4

GRANDPARENT 5

AUNT OR UNCLE 6

OTHER 7

DON’T KNOW d

REFUSED r

J15 = ANSWERED

J17. What is this person’s telephone number [(FILL NAME)]?

ENTER NUMBER 1

DOESN’T HAVE/OFFER HOME PHONE 2 GO TO J18

DON’T KNOW d GO TO J18

REFUSED r GO TO J18

J17 = 1

J17_phone.

PHONE NUMBER:

| | | | - | | | | - | | | | |

DON’T KNOW d

REFUSED r

SOFT CHECK: IF J17_phone IS NOT 10 NUM DIGITS; THE PHONE NUMBER SHOULD BE 10 NUMERIC DIGITS, NO SPACES, DASHES, PARENTHESES OR OTHER PUNCTUATION. THE FIELD SHOULD ALSO NOT BE EMPTY.

SOFT CHECK: USE STANDARD PHONE NUMBER CHECKS.

J15 = ANSWERED

J18. What is this person’s address [(FILL NAME)]?

INTERVIEWER: PROBE TO COLLECT CITY AND STATE IF RESPONDENT DOES NOT KNOW EXACT ADDRESS.

STREET 1

STREET 2

STREET 3

CITY

STATE

ZIP

DON’T KNOW d

REFUSED r

PROGRAMMER: THIS DOES NOT HAVE TO BE A COMPLETE ADDRESS

PROGRAMMER LOOP BOX J18.1.

RETURN TO J15 AND ASK FOR ANOTHER CONTACT.

END LOOP IF THIS IS THE THIRD LOOP.

ALL

J19. The last questions are about the best ways to reach you for future surveys. Did you receive any of the following announcements or notifications about this survey?

	YES	NO	DK	REF
a. A letter in the mail?	1	0	d	r
b. An e-mail?	1	0	d	r
c. A text message?	1	0	d	r
d. A Facebook message?	1	0	d	r
e. A Facebook announcement?	1	0	d	r
f. NOT IN THIS VERSION	1	0	d	r
g. Some other notification? (SPECIFY) (STRING 200)	1	0	d	r

SPECIFY TEXT: How else were you notified about this survey?

ALL

J20. How would you like to be contacted in the future about upcoming surveys?

	YES	NO	DK	REF
a. A letter in the mail?	1	0	d	r
b. An e-mail?	1	0	d	r
c. A text message?	1	0	d	r
d. Your cell phone?	1	0	d	r
e. Your home phone?	1	0	d	r
f. A Facebook message?	1	0	d	r
g. Some other way? (SPECIFY) (STRING 200)	1	0	d	r

SPECIFY TEXT: Please tell me how you would like to be contacted…

ALL

J21. Have you ever visited the YouthBuild Research Project Facebook page? The page is www.facebook.com/YouthBuildResearchProject.

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

END. You will be receiving a gift card within the next few weeks to thank you for completing the survey!

To stay informed about the study and upcoming surveys, please like us on Facebook by visiting our page:

www.facebook.com/youthbuildresearchproject

Thank you for your participation in the YouthBuild Research Project!

Persons are not required to respond to this collection of information unless this survey displays a currently valid OMB control number (OMB xxxx-xxxx, expires xx/xx/xxxx). Responding to this questionnaire, which seeks to help the U.S. Department of Labor understand how YouthBuild programs are serving disadvantaged youth, is voluntary. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate to Eileen Pederson, U.S. Department of Labor, Employment and Training Administration, Office of Policy Development and Evaluation, Room N-5641, 200 Constitution Avenue, NW, Washington, DC 20210.