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pdfForm Approved
OMB No. 0990-0331
Exp. Date xx-xx-xxxx
Evaluation of the Administration for Children and
Families Responsible Fatherhood, Marriage and
Family Strengthening Grants for Incarcerated and
Reentering Fathers and Their Partners
Data Collection Instrument
9 month female follow-up survey
18 month female follow-up survey
34 month female follow-up survey
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a
collection of information unless it displays a valid OMB control number. The valid OMB
control number for this information collection is 0990-0331. The time required to complete
this information collection is estimated to average 1 hour, 30 minutes per response,
including the time to review instructions, search existing data resources, gather the data
needed, and complete and review the information collection. If you have comments
concerning the accuracy of the time estimate(s) or suggestions for improving this form,
please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200
Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports
Clearance Officer
Female 9, 18, and 34M Follow-up
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Introduction and Consent
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Logic before:
Fill baseline interviewer name below.
ONE" instead of an interviewer name.
FNCONFI
If baseline nstrument was a final noninterview, fill "NO
NO LABEL
THE INTERVIEWER LISTED BELOW IS NOT ALLOWED TO INTERVIEW THIS RESPONDENT BECAUSE THEY HAVE
PREVIOUSLY INTERVIEWED THIS RESPONDENT'S PARTNER.
^prld.MBBLFI INTERVIEWED THIS RESPONDENT'S PARTNER AT BASELINE
ALSO, MAKE SURE THAT YOU DID NOT INTERVIEW THIS RESPONDENT'S PARTNER FOR THE 9MFU.
Question Type:
TFI
MUSTSTOP
GOODTOGO
1 I HAVE INTERVIEWED THIS RESPONDENT'S PARTNER
2 I HAVE NEVER INTERVIEWED THIS RESPONDENT'S PARTNER
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Logic before:
Create new variable called FEMBASE. If female did not participate in the baseline interview, then
FEMBASE = 2. If female participated in the baseline interview, then FEMBASE = 1.
FNCON1
9MFU Private Setting
[INTERVIEWER: LOOK AROUND YOU IN ALL DIRECTIONS. MAKE SURE THAT YOU ARE OUT OF EARSHOT OF OTHER
PEOPLE, INCLUDING PEOPLE WHO MAY BE IN AN ADJACENT ROOM OR OUTSIDE.
FOR AN INTERVIEW SETTING TO BE CONSIDERED PRIVATE, YOU MUST BE CERTAIN THAT THE QUESTIONS YOU READ
AND THE RESPONDENT'S ANSWERS CANNOT BE (1) OVERHEARD OR (2) ASCERTAINED BY SOMEONE LOOKING THROUGH
A WINDOW. ARE YOU CONFIDENT THE INTERVIEW SETTING IS PRIVATE?]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FNCON1 = yes, go to FNCON3. If FNCON1= no, go to FNCON2.
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FNCON2
9MFU Inappropriate Interview Room
INTERVIEWER: BECAUSE YOU HAVE INDICATED THAT THE INTERVIEW SETTING IS NOT PRIVATE, YOU CANNOT
PROCEED WITH THE INTERVIEW. YOU WILL NEED TO BREAK OFF THE INTERVIEW AND RESCHEDULE FOR A TIME WHEN
YOU CAN CONDUCT THE INTERVIEW IN PRIVATE.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
If breakoff at this screen, do not update the event code.
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Tuesday, August 03, 2010
Page 1 of 209
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FNCON3
9MFU Consent Form
[HAND R INTERVIEW CONSENT FORM. FOR INCARCERATED RESPONDENTS, USE THE FACILITY CONSENT FORM THAT
MATCHES THE INCENTIVE PROTOCOL FOR THE FACILITY YOU ARE IN. FOR ALL OTHER RESPONDENTS, USE THE
COMMUNITY CONSENT FORM.]
This document is called a consent form, and I'm going to read it out loud to you. It will explain
the study and what we are asking you to do. After I'm done reading it, I will answer any questions
you may have.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
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FNCON4
9MFU Consent
[GIVE R AN @BUNSIGNED@B COPY OF THE INTERVIEW CONSENT FORM. IF R AGREES TO PARTICIPATE IN THE
INTERVIEW, HAND R PEN AND INSTRUCT R TO SIGN THE INTERVIEW CONSENT FORM. THEN YOU SHOULD SIGN THE
CONSENT FORM.]
[DID R CONSENT TO THE INTERVIEW OR DID R REFUSE THE INTERVIEW?]
Question Type:
TConsent, nodk, norf
Consent
Refused
1 R CONSENTED TO THE INTERVIEW
2 R REFUSED THE INTERVIEW
Logic after:
If FNCON4 = 2 (refused), go to end. Assign event code 360.
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Logic before:
If FNCON4 EQ yes, go to FNCON4a.
FNCON4a
Don't allow DK/RF to FNCON4a.
9MFU Consent to CARI
We are using a special quality control system on this project. The system runs on the computer and
will record what you and I say to each other during several different parts of the interview.
Neither you nor I will know when the computer is recording what we say. The recording will be
reviewed by people at RTI to monitor my work, and will be kept confidential. You may participate in
the interview even if you do not consent to the recordings.
By signing below, you are allowing us to use this quality control system. May we use this quality
control system during your interview?
[DID R CONSENT TO CARI?]
Question Type:
TYesNoCaps, nodk, norf
Yes
No
1 YES
2 NO
Logic after:
If FNCON4a EQ no, TURN OFF CARI and go to FNCON4b.
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FNCON4aa
To turn CARI on and off
This exiwsts to turn CARI on or off.
Question Type:
Bconsent
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Tuesday, August 03, 2010
Page 2 of 209
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Logic before:
Eveyone should get this item.
FNCON4b
9MFU CARI Consent
GIVE R AN @BUNSIGNED@B COPY OF THE INTERVIEW CONSENT FORM.
[RETURN YOUR COPY OF THE CONSENT FORM TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO YOUR FS.]
Question Type:
TContinue
Continue
1 Continue
---------------------------------------------------------------------------------
Logic before:
Don't allow DK/RF.
FNCON5
9MFU R Incarcerated
IS R CURRENTLY INCARCERATED?
Question Type:
TYesNoCaps, nodk, norf
Yes
No
1 YES
2 NO
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FNCON6
9MFU Gender
WHAT IS R'S GENDER?
Question Type:
TGender2
Male
Female
Trans
1 MALE
2 FEMALE
3 TRANSGENDER
Logic after:
FNCON6: add a consistency check if answer is male, DK, or RF in female follow-up survey. Text
should say, "YOU ARE USING A CASEID THAT CAN ONLY BE USED FOR A FOLLOW-UP INTERVIEW WITH A FEMALE
OR TRANSGENDER RESPONDENT. EITHER YOU HAVE RECORDED THE WRONG GENDER, OR YOU ARE USING THE WRONG
CASEID. PLEASE BACK UP AND CORRECT THE GENDER, OR BREAK OFF THE INTERVIEW AND RESUME WITH THE
CORRECT CASE ID."
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Tuesday, August 03, 2010
Page 3 of 209
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Logic before:
If FEMBASE = 2, ask FNCON7. Else go to FN1A000a. Calculate nine months prior to current interview
date and use to fill ^NINEMO. Preload the variable ^Namefill (male respondent’s first name) from
male baseline. Allow only one option to be selected.
FNCON7
9MFU Relationship to Male R
As you may know, you were referred to us for this study by ^prld.Namefill about 9 months ago. How
would you define your relationship to him nine months ago, on ^NINEMO?
[REFER R TO ^NINEMO ON REFERENCE CALENDAR]
[PROBES IF NEEDED: At that time, did you consider yourself to be romantically involved with him?
Were you married to him? Did you have children under 18 together? Did you share any parenting
responsibilities with him for a child under 18?]
PRESS 1 IF R WAS @BMARRIED@B TO ^NAMEFILLCAPS @BWITH OR WITHOUT CHILDREN@B
PRESS 2 IF R WAS @BROMANTICALLY INVOLVED@B WITH (@UBUT NOT MARRIED TO@U) ^NAMEFILLCAPS @BWITH OR
WITHOUT CHILDREN@B
PRESS 3 IF R WAS @BNOT MARRIED/ROMANTICALLY INVOLVED@B WITH ^NAMEFILLCAPS @UBUT@U CO-PARENTED A
CHILD OR CHILDREN WITH ^NAMEFILLCAPS
PRESS 4 IF R WAS NEITHER MARRIED, ROMANTICALLY INVOLVED, NOR CO-PARENTING WITH ^NAMEFILLCAPS
Question Type:
TRelationshipFU
Married
Romantic
Coparents
1 MARRIED
2 DATING, OR OTHERWISE ROMANTICALLLY INVOLVED
3 CO-PARENTING TO A BIOLOGICAL OR NON-BIOLOGICAL CHILD AND NOT
ROMANTICALLY INVOLVED
4 NEITHER MARRIED, ROMANTICALLY INVOLVED, NOR CO-PARENTS
NoRomNoCoPar
Logic after:
IF FNCON7 = 1, 2, or 3 skip to FN1A000a. Else, go to FNCON7a.
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FNCON7a
9MFU Non-Romantic and Non-Parent
I'm sorry. To be eligible for this study, you and ^prld.Namefill must have been in a romantic or
coparenting relationship on ^NINEMO.
Question Type:
Tnext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
Terminate interview and assign event code (349).
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Tuesday, August 03, 2010
Page 4 of 209
Demographics
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Logic before:
Any break-off that occurs at any point in the instrument after this section has begun should be
coded as 393. The entire instrument must be completed for code 491 or 492 to be assigned. Fill
^INTDATE with date R was interviewed at female baseline. If FEMBASE = 2 (female did not participate
in baseline), ^lcfill should say "The past 9 months is the time period since ^NINEMO.
[USE YOUR YELLOW HIGHLIGHTER TO MARK ^NINEMO ON THE REFERENCE CALENDAR]".
If FEMBASE = 1, ^lcfill should say "The past 9 months is the time period since your last
interview. Our records show that you were interviewed on ^INTDATE.
[USE YOUR YELLOW HIGHLIGHTER TO MARK ^INTDATE ON REFERENCE CALENDAR]".
FN1A000a
9MFU Interview Date
During the interview, there are several places where I will ask you about things that have happened
over the past 9 months. Let's take a few minutes to think about the memorable things that
happened in your life over the past 9 months.
^lcfill
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
create new variable called ^REFDATE. If FEMBASE=2, ^REFDATE is equal to ^NINEMO.
^REFDATE is equal to ^INTDATE.
---------------------------------------------------------------------------------
For FEMBASE=1,
Logic before:
Disable DK/RF. If FNCON5 = yes (female currently incarcerated), ask FN1B009. Else go to FN1W134.
FN1B009
9MFU Incarceration Date
Take a look at this calendar and please tell me the date you were incarcerated for this term of
incarceration. I'm asking for the date you entered incarceration this time, not the date of your
sentencing.
[REFER RESPONDENT TO REFERENCE CALENDAR]
[IF THE R CANNOT REMEMBER THE EXACT DAY, THEN RECORD THE DAY AS THE 15TH OF THE MONTH AND YEAR SHE
REPORTS BEING INCARCERATED.]
@BIF R CANNOT RECALL EXACT DAY, SAY THIS TEXT TO THE R: Okay, because you cannot remember the day
you were incarcerated we will record the day as the 15th of (SAY MONTH and YEAR). There are
questions we will ask you later in the interview that will refer to this as the date of your
incarceration.@B
[USE YOUR GREEN HIGHLIGHTER TO MARK ANY INCARCERATION DAYS THAT HAPPENED DURING THE TIME PERIOD
FROM ^REFDATE TO TODAY'S DATE.]
Question Type:
TabTDate
Month
Date
Year
1 MONTH 1...12
2 DATE 1..31
3 YEAR 1947...2012
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Tuesday, August 03, 2010
Page 5 of 209
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FN1W134
9MFU Any Incarceration
FI NOTE: IF R IS CURRENTLY INCARCERATED, DO NOT READ THE QUESTION. ANSWER "YES" INSTEAD.
Since ^REFDATE, have you been incarcerated in a jail or prison for more than 24 hours at one time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
IF FNCON5=YES and FN1W134=NO create at Consistency check that says: " You previously answered that
you are currently incarcerated but have indicated that you have not been incarcerated for 24 or
more hours since ^REFDATE. Which is correct?" PROBE TO MAKE RESPONSES AT FNCON5 and FN1W134
CONSISTENT.
CREATE NEW OUTPUT VARIABLE CALLED FEMINCARSTATE. If FNCON5=yes and the incarceration date provided
in FN1B009 happened on or before ^REFDATE, then FEMINCARSTATE = 1 (incarcerated the entire
reference period). If (FNCON5=yes AND the incarceration date provided in FN1B009 was later than
^REFDATE) OR (FNCON5 = no and FN1W134 =yes), then FEMINCARSTATE = 2 (incarcerated for part of the
reference period). If FN1W134=no, then FEMINCARSTATE = 3 (not incarcerated for any of the reference
period).
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Logic before:
If FEMINCARSTATE = 2, ask FN1H001. Else go to FN1F000.
FN1H001
9MFU Days Incarcerated
Since ^REFDATE, how many days have you been incarcerated in a prison or jail?
PROBE: "Your best estimate is fine."
[REFER TO REFERENCE CALENDAR. IF POSSIBLE, USE YOUR GREEN HIGHLIGHTER TO MARK ANY INCARCERATION
DAYS THAT HAPPENED DURING THE TIME PERIOD FROM ^REFDATE TO TODAY'S DATE]
Question Type:
0..300
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Logic before:
If FEMINCARSTATE = 2, ask FN1A00f. Else go to FN1F00i.
FN1A00f
9MFU Definition of Street Time
Some of the questions in this interview will ask you to think about the time you were on the
outside. In other words, the time since ^REFDATE that you were not incarcerated.
[REFER TO REFERENCE CALENDAR, NOTING THAT @B HER TIME ON THE OUTSIDE MEANS THE DATES THAT ARE NOT
HIGHLIGHTED IN GREEN@B]
Later in the interview, we will refer to this as @Byour time on the outside@B.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
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Tuesday, August 03, 2010
Page 6 of 209
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Logic before:
Preload ^Namefill (male’s name) from male baseline.
FN1F00i
9MFU Male Incarceration Date Intro
During the interview, I will also ask you some questions about ^prld.Namefill, so I'd like to
record important dates about his incarceration on this calendar.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
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FN1F001
9MFU Namefill Deceased
I realize this may be difficult for you, but if ^prld.Namefill is no longer living, please let me
know.
Question Type:
Tdeceased
Alive
Dead
1 ^NAMEFILLcaps IS ALIVE
2 ^NAMEFILLcaps IS DECEASED
Logic after:
If FN1F001 = Dead, skip to FN1A00e. If FN1F001 = DK or RF, treat as if FN1F001 = Alive.
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Logic before:
Preload date male was interviewed at baseline.
FN3Q000x
This variable will be called ^MBINTDATE.
9MFU Namefill Released
We interviewed ^prld.NAMEFILL on ^MBINTDATEstr. Was he released from that incarceration?
words, has he spent any time on the outside since ^MBINTDATEstr?
In other
[IF YES, RECORD ^NAMEFILLcaps 's RELEASE DATE ON REFERENCE CALENDAR.]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Ask FN3Q000 if FN3Q00X NE No.
FN3Q000
Else go to FN1A00e.
9MFU Namefill Incarcerated
Is ^prld.Namefill currently incarcerated? By incarcerated we mean in prison or jail.
[IF YES, RECORD ^NAMEFILLcaps's REINCARCERATION DATE ON REFERENCE CALENDAR.
USE YOUR @BPINK HIGHLIGHTER TO HIGHLIGHT THE TIME PERIOD THAT ^NAMEFILLcaps WAS @UREINCARCERATED@U
SINCE HIS RELEASE FROM HIS PRIOR INCARCERATION.@B]
Question Type:
Tyesnocaps
Yes
No
1 YES
2 NO
Logic after:
If FN3Q000 = no, go to FN1A000e.
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Tuesday, August 03, 2010
Page 7 of 209
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Logic before:
If FN3Q000x = Yes and FN3Q000 = Yes, ask FN1A000c. Else go to FN1A000e.
FN1A000c
9MFU Definition of Ref Period Until Male’s Incarce
Some of the questions in this interview will ask you to think about the time from ^REFDATE until
^prld.NAMEFILL was reincarcerated.
[REFER TO REFERENCE CALENDAR, NOTING THIS TIME PERIOD.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FN3Q000x = Yes and FN3Q000 = Yes, ask FN1A000d. Else go to FN1A000e.
FN1A000d
9MFU Definition of Ref Period Time on the Outside
Some of the questions in the interview will ask you to think about the time from ^REFDATE that
^prld.NAMEFILL was on the outside. In other words, the time since ^REFDATE that he was not
incarcerated. Later in the interview, we will refer to this as his time on the outside.
[REFER TO REFERENCE CALENDAR, NOTING THAT @B^NAMEFILLcaps'S TIME ON THE OUTSIDE MEANS THE DATES
THAT ARE NOT HIGHLIGHTED IN PINK@B]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN1A000e
9MFU Memorable Events
What else do you remember about the past 9 months, that is, the time since ^REFDATE?
[PROBE FOR BIRTHDAYS, HOLIDAYS, AND OTHER MEMORABLE EVENTS AND RECORD ON CALENDAR.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
Create output variable called MALEINCAR. If (FN3Q000x = Yes and FN3Q000 = No) OR (FN3Q000x = Yes
and FN3Q000 = DK/REF) OR (FN3Q000x=DK/REF AND FN3Q000=No), then MALEINCAR = 1 (male is released).If
FN3Q000x = No OR (FN3Q000x=DK/REF AND FN3Q000=Yes) OR (FN3Q000x=DK/REF AND FN3Q000=DK/REF) OR
FN1F001 = Dead, then MALEINCAR = 2 (male still incarcerated). If FN3Q000x = Yes and FN3Q000 = Yes,
then MALEINCAR = 3 (male reincarcerated).
---------------------------------------------------------------------------------
FN1A000
9MFU Demographics Intro
The next set of questions asks for some basic information about you.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
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Tuesday, August 03, 2010
Page 8 of 209
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Logic before:
If FEMBASE = 2 (female did not participate in baseline), ask FN1A001. Else go to FN1A003.
FN1A001
9MFU Date of Birth
In what month, day, and year were you born?
Question Type:
TabDate4
Month
Day
Year
1 Month 1…12
2 Day 1…31
3 Year 1934…1995
Logic after:
Calculate age based on current date, using the "year" field if "month" and/or "day" is
DK/RF/blank.. If DK/RF/blank for the year field in FN1A001, go to FN1A002B.
---------------------------------------------------------------------------------
FN1A002A
9MFU Age
So that makes you ^calcage
Question Type:
years old. Is this correct?
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If calculated age LT 18 then go to FN1A002B, else go to FN1A003. If FN1A002A = no, add consistency
check that says "PLEASE CORRECT THE DATE OF BIRTH BY GOING BACK TO FN1A001."
---------------------------------------------------------------------------------
FN1A002B
9MFU END
I'm sorry. You must be at least 18 years of age to participate in this study.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
After this screen TERMINATE interview and code as 348.
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Tuesday, August 03, 2010
Page 9 of 209
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Logic before:
If FEMBASE = 1, ^lcfill should say "I know you were asked this during your last interview, but just
in case there have been any updates, can you tell me what is the highest grade or level of school
you have ever completed?". If FEMBASE = 2, ^lcfill should say "What is the highest grade or level
of school you have ever completed?".
FN1A003
9MFU Level of Education
^lcfill
Question Type:
TEducation
NoEd
Less8th
SomeHS
Ged
HSDip
VocTechDip
SoColl
Assoc
Bach
GradProf
1
2
3
4
5
6
7
8
9
10
NONE
8TH GRADE OR LESS
SOME HIGH SCHOOL
GED
HIGH SCHOOL DIPLOMA
VOCATIONAL/TECH/BUSINESS CERTIFICATE OR DIPLOMA
SOME COLLEGE
ASSOCIATE'S DEGREE (AA, AS)
BACHELOR'S DEGREE (BA, BS)
GRADUATE/PROFESSIONAL DEGREE (MA, MS, PHD, EDD,
MEDICINE/MD, DENTISTRY/DDS, LAW/JJ/LLB, ETC.)
Logic after:
If FN1A003 = High School Diploma, ask FN1A003B. Else go to FN1A004.
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FN1A003B
9MFU HS Diploma
Do you have a high school diploma or GED?
Question Type:
THSG
HSDiploma
GED
1 HIGH SCHOOL DIPLOMA
2 GED
---------------------------------------------------------------------------------
Logic before:
If FEMBASE = 2 (female did not participate in baseline interview), ask FN1A004. Else skip to
FN1A008.
FN1A004
9MFU Hispanic Origin
These next questions are about your background.
Do you consider yourself Hispanic, Latina, or Spanish?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
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Tuesday, August 03, 2010
Page 10 of 209
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Logic before:
Allow the respondent to "select all that apply".
FN1A005
9MFU Race
[USE SHOWCARD 1]
Do you consider yourself to be...
Select all that apply.
[IF R SAYS NATIVE AMERICAN, VERIFY BY ASKING: I am recording this as American Indian. Is that
right?]
REQUIRED PROBE: Any others?
Question Type:
Trace
White
BlacAfr
AmerIn
Asian
Native
Other
1
2
3
4
5
6
White or Caucasian
Black or African American
American Indian or Alaskan Native
Asian
Native Hawaiian or Other Pacific Islander
Some other race
---------------------------------------------------------------------------------
FN1A006
9MFU Country of Origin
In what country were you born?
What area of the world are you from? For example, Mexico, Central America, South America, Middle
East, Asia, Africa, Europe, Caribbean, or Canada.
Question Type:
TCountry
US
PuertoR
OtherUS
Can
Chi
Cub
DomRep
ElSal
Germ
Ind
Jam
Kor
Mex
Phil
Rus
Viet
Other
1 UNITED STATES
2 PUERTO RICO
3 OTHER U.S. TERRITORY (AMERICAN SAMOA, GUAM, MARSHALL ISLANDS,
NORTHERN MARIANAS ISLANDS, OR U.S. VIRGIN ISLANDS)
4 CANADA
5 CHINA
6 CUBA
7 DOMINICAN REPUBLIC
8 EL SALVADOR
9 GERMANY
10 INDIA
11 JAMAICA
12 KOREA (SOUTH)
13 MEXICO
14 THE PHILIPPINES
15 RUSSIA
16 VIETNAM
17 OTHER COUNTRY (SPECIFY)
Logic after:
IF FN1A006 = other, go to FN1A006s; else go to FN1A007.
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Tuesday, August 03, 2010
Page 11 of 209
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FN1A006s
9MFU Other Country
SPECIFY OTHER COUNTRY
Question Type:
STRING[25]
---------------------------------------------------------------------------------
FN1A007
9MFU Language
What language do you speak most often?
Question Type:
TLang
Eng
Span
Other
1 ENGLISH
2 SPANISH
3 OTHER (SPECIFY)
Logic after:
If FN1A007 = other, go to FN1A007s. Else go to FN1A008.
---------------------------------------------------------------------------------
FN1A007s
9MFU Other Specify
SPECIFY OTHER LANGUAGE
Question Type:
STRING[25]
---------------------------------------------------------------------------------
Logic before:
Preload FB1A008 from female baseline. If FB1A008 = yes, skip to next domain. If FB1A008 = no or
FEMBASE = 2, ask FN1A008.
FN1A008
9MFU US Citizen
Are you a U.S. citizen?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
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Tuesday, August 03, 2010
Page 12 of 209
Relationship Status
---------------------------------------------------------------------------------
Logic before:
If FN1F001=Dead, skip to FN1F069.
FN1F000
9MFU Relationship Status Intro
Now I would like to ask you a few more questions about your relationship with ^prld.Namefill.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 2 or 3, ask FN3Q000a.
FN3Q000a
9MFU Namefill Release
Does ^prld.Namefill expect to be released from this incarceration?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FEMBASE = 1, "Spouse/Partner/Co-Parent" will be identified by the variable ^companion preloaded
from the female baseline, as follows: If respondent answered FB1F049b, ^prld.companion = spouse. If
respondent answered FB1F056b, ^prld.companion = partner. If respondent answered FB1F056d,
^prld.companion = parenting partner. If FEMBASE=2, "Spouse/Partner/Co-Parent" will be identified by
FNCON7, as follows: If FNCON7=1, then ^prld.companion = spouse. If FNCON7=2, then ^prld.companion
= partner. If FNCON7=3, then ^prld.companion = parenting partner. If ^prld.companion = spouse, then
^lcfill should say "married to" If ^prld.companion = partner, then ^lcfill should say
"romantically involved with" If ^prld.companion = parenting partner, then ^lcfill should say "not
romantically involved with"
FN1F045
9MFU Relationship
We would like to know if there have been any changes in your relationship with ^prld.Namefill over
the past 9 months, that is, since ^REFDATE. You reported that nine months ago you were ^lcfill
^prld.Namefill.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If ^prld.companion = spouse, ask FN1F062.
FN1F062
9MFU Spouse Status Change
Have there been any changes in your relationship with ^prld.Namefill since ^REFDATE? By changes we
mean separation, divorce, or no longer being in a romantic relationship with him.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
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Tuesday, August 03, 2010
Page 13 of 209
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Logic before:
If FN1F062 = YES, ask FN1F062a. Allow only one response to be selected.
FN1F062a
9MFU Changes in Marriage Status
In which of the following ways is your relationship with ^prld.Namefill different?
Question Type:
TMarrDiff
Sep
Divorce
NoRom
1 You and ^prld.Namefill are now legally separated
2 You and ^prld.Namefill are now divorced
3 You and ^prld.Namefill are still married but are now no longer
romantically involved
---------------------------------------------------------------------------------
Logic before:
If ^prld.companion = partner, ask FN1F063.
FN1F063
9MFU Romantic Partner Status Change
Have there been any changes in your relationship with ^prld.Namefill since ^REFDATE? By changes we
mean you got married or are no longer in a romantic relationship with him.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN1F063 = YES, ask FN1F063a. Allow only one response to be selected.
FN1F063a
9MFU Partner Change Type
In which of the following ways is your relationship with ^prld.Namefill different since ^REFDATE?
Question Type:
TParDiff
NoRom
Marr
1 You are no longer in a romantic relationship with ^prld.Namefill
2 You are now married to ^prld.Namefill
---------------------------------------------------------------------------------
Logic before:
If ^prld.companion = parenting partner, ask FN1F064.
FN1F064
9MFU Co-Parent Status Change
You reported that nine months ago you and ^prld.Namefill shared parenting responsibilities for a
child or children. Have there been any changes in your relationship with ^prld.Namefill since
^REFDATE? By changes we mean that you have become romantically involved with him, gotten married to
him, or you are no longer co-parenting a child with him.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 14 of 209
---------------------------------------------------------------------------------
Logic before:
If FN1F064 = YES, ask FN1F064a.
FN1F064a
Allow only one response option to be selected.
9MFU Co-Parent Change Type
In which of the following ways is your relationship with ^prld.Namefill different since ^REFDATE?
Question Type:
TCoParDiff
Rom
Marr
NoCnt
1 You are now in a romantic relationship with ^prld.Namefill
2 You are now married to ^prld.Namefill
3 You are now no longer co-parenting a child with ^prld.Namefill
---------------------------------------------------------------------------------
Logic before:
If FN1F062a = 1 or 2 OR FN1F063a = 1 OR FN1F064a = 1 OR FN1F064a=3, ask FN1F064c.
FN1F064c
9MFU R Married to Anyone
Are you currently married?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN1F064b
9MFU R Married to Namefill
IS R MARRIED TO ^NAMEFILLcaps?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN1F062 NE YES or FN1F063a = 2 or FN1F064a = 2 or 3 or FN1F062a=Sep or Divorce or NoRom, ask
FN1F065.
FN1F065
9MFU Confirm Romantic Involvement
Are you currently romantically involved with ^prld.Namefill? That is, do you consider yourselves to
be a couple?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 15 of 209
---------------------------------------------------------------------------------
Logic before:
If FN1F064a = 3 OR FN1F064 = 2, skip to FN1F067. If FNCON5 = yes and FN3Q000 = yes, ^lcfill should
say "Even though you and ^prld.Namefill are both currently incarcerated, do you share parenting
responsibilities for a child or children together?" and ^lcfill2 should say "By sharing parenting
responsibilities we mean that you and ^prld.Namefill are both involved in parenting a particular
child or children in some way.". Else, ^lcfill should say "Do you share parenting responsibilities
for a child or children with ^prld.Namefill?", and ^lcfill2 should not fill.
FN1F066
9MFU Co-Parents
^lcfill
^lcfill2
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If FN1F062a= 1, 2, or 3 OR FN1F063a = 1, ask FN1F067. Bold and allow response options 1-15 if
MALEINCAR=1 (released) or 3 (reincarcerated). Bold and allow response options 1-3 and 5-15 if
MALEINCAR = 2 (still incarcerated). Do not allow option 4 to be selected if MALEINCAR = 2. If
MALEINCAR = 2, and option 4 is selected, trigger a consistency check that says "YOU HAVE SELECTED A
REASON FOR SPLITTING UP THAT IS INCONSISTENT WITH ^prld.NAMEFILL HAVING BEEN IN PRISON/JAIL DURING
THE ENTIRE REFERENCE PERIOD. PLEASE WORK WITH THE R TO RESOLVE THE INCONSISTENCY." Allow R to
select all that apply. If the "none" option is selected with any other option or options trigger a
hard consistency check that says: " IF "NONE" IS SELECTED, NO OTHER CATEGORY SHOULD BE SELECTED."
FN1F067
9MFU Relationship Split
[USE SHOWCARD 2]
I'm going to read a list of reasons that couples split up. Which of these issues were reasons for
you and ^prld.Namefill splitting up? Please select all that apply.
Question Type:
Tsplit1F
Argue
PhysFight
NoCloseInc
1 ^F1 You argued too much ^F1
2 ^F2 Your fights got too physical, like pushing or hitting ^F2
3 ^F3 You did not feel close to one another during his incarceration ^F3
NoCloseRel
Diff
Trust
MaInvd
FeInvd
HeDrugs
SheDrgs
Money
4
5
6
7
8
9
10
11
HeCrim
ChildConf
Other
None
12
13
14
15
^F4 You did not feel close to one another after he was released ^F4
^F5 You were just too different from one another ^F5
^F6 You and he had too many jealousy or trust issues ^F6
^F7 He got involved with someone else ^F7
^F8 You got involved with someone else ^F8
^F9 He had problems with drug or alcohol use ^F9
^F10 You had problems with drug or alcohol use ^F10
^F11 You had conflicts over not having enough money to support the
family ^F11
^F12 You had conflicts about being involved in illegal activity ^F12
^F13 You had conflicts about how to raise children ^F13
^F14 Some other reason (SPECIFY) ^F14
^F15 (None of the above) ^F15
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 16 of 209
---------------------------------------------------------------------------------
Logic before:
If FN1F067 = 14 (other), ask FN1F067s.
FN1F067s
9MFU Other Specify
SPECIFY REASON WHY R AND ^prld.Namefill SPLIT UP.
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Logic before:
If FN1F067 included more than two responses, ask FN1F068. Else, skip to FN1F069. Do not allow
option 4 to be selected if MALEINCAR = 2. In FN1F068, use special font for the response options
selected in FN1F067 and only allow those to be selected by creating a consistency check. "YOU HAVE
SELECTED AS THE TWO MOST IMPORTANT REASONS A REASON(S) THAT WAS NOT REPORTED IN THE PREVIOUS
QUESTION, FN1F067. PLEASE PROBE, AS NEEDED, TO OBTAIN CONSISTENT RESPONSES." Set ^lcfill to fill
from FN1F067s for response option 14. Require 2 options to be selected. If only 1 option selected
trigger hard check that says: "YOU MUST SELECT THE @B2@B MOST IMPORTANT REASONS." if more than two
options selected create a hard consistency check that says: "YOU MUST SELECT THE @B2@B MOST
IMPORTANT REASONS."
FN1F068
9MFU
Most Important Reasons for Breakup
What would you say are the two most important reasons that you and ^prld.Namefill split up?
Question Type:
Tsplit2
Argue
PhysFight
NoCloseInc
1 ^F1 You argued too much ^F1
2 ^F2 Your fights got too physical, like pushing or hitting ^F2
3 ^F3 You did not feel close to one another during his incarceration ^F3
NoCloseRel
Diff
Trust
MaInvd
FeInvd
HeDrugs
SheDrgs
Money
4
5
6
7
8
9
10
11
HeCrim
^F4 You did not feel close to one another after he was released ^F4
^F5 You were just too different from one another ^F5
^F6 You and he had too many jealousy or trust issues ^F6
^F7 He got involved with someone else ^F7
^F8 You got involved with someone else ^F8
^F9 He had problems with drug or alcohol use ^F9
^F10 You had problems with drug or alcohol use ^F10
^F11 You had conflicts over not having enough money to support the
family ^F11
12 ^F12 You had conflicts about being involved in illegal activity ^F12
ChildConf
Other
13 ^F13 You had conflicts about how to raise children ^F13
14 ^F14 ^lcfill ^F14
---------------------------------------------------------------------------------
Logic before:
If FN1F068 was asked, ask FN1F068a.Fill ^lcfill1 with the first response option chosen by R in
FN1F068; fill ^lcfill2 with the second response option chosen by R in FN1F068.
FN1F068a
9MFU Confirm Most Important Reasons for Breakup
So just to confirm, the two most important reasons that you and ^prld.Namefill split up were
@B^lcfill1@B and @B^lcfill2@B?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If FN1F068a = No, create a consistency check. Consistency check text should say "GO BACK TO FN1F068
AND CORRECT THE RESPONSE OPTIONS UNTIL THE R AGREES ON THE TWO MOST IMPORTANT REASONS THAT SHE AND
^PRLD.NAMEFILL SPLIT UP." Do not allow this check to be suppressed.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 17 of 209
---------------------------------------------------------------------------------
Logic before:
Everyone is asked this item. If FN1F001 = ALIVE, ^lcfill should say "anyone else?". If FN1F001 =
DEAD, ^lcfill should say "anyone?"
FN1F069
9MFU Romantic Other
Are you currently romantically involved in any way with ^lcfill
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
Preload MB1F053, MB1F056, and MB1F060 from male baseline. Preload FB1F049a, FB1F053, and FB1F056
from female baseline. Create new variable named RELATIONSHIP STATUS. If (FB1F049a and FB1F053 =
yes) OR FB1F056 = yes OR MB1F056 = yes OR MB1F053 = yes, then create new variable named
RELATIONSHIP STATUS = 1 (One or both parties considers their relationship to be romantic). If
(FB1F049a, FB1F056, MB1F056 and MB1F053 NE yes) and MB1F060 = yes, then RELATIONSHIP STATUS = 2
(Co-Parent only). Create variable called RELSTATUSFU. If FN1F062 = 2 (still married to namefill at
follow-up) OR FN1F063 = 2 (still romantic with namefill at follow-up) OR FN1F063a = 2 (married to
namefill at follow-up) OR FN1F064a = 1 (romantic with namefill at follow-up) or FN1F064a = 2
(married to namefill at follow-up) OR FN1F065 = 1 (romantically involved with namefill at followup), then RELSTATUSFU = 1 (romantically involved with spouse or romantically involved with nonspousal partner at follow-up). Else RELSTATUS = 2 (co-parnets only or not romantically involved at
follow up).
---------------------------------------------------------------------------------
Logic before:
If FN1F069 = Yes and FN1F001 = Alive, ask FN1F070.
FN1F070
9MFU Namefill Clarification
OK, for the purpose of this interview we will be asking you questions about ^prld.Namefill and not
your other partner(s).
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 18 of 209
GENOGRAM & Family Structure
---------------------------------------------------------------------------------
Logic before:
If FEMBASE = 2, ask FN1D000.
FN1D000
9MFU Geno Intro Non-BL
Now I'd like to make a chart of everyone in your immediate family.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FEMBASE = 1, ask FN1D026.
FN1D026
9MFU Genogram Intro
Now I'd like to make a chart of everyone in your immediate family. We made a chart like this the
last time you were interviewed, and now we would like to know if there have been any changes in
these relationships since your last interview.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN1D027e
9MFU Confirm BL Primary Partner
Let's start with ^prld.Namefill. I am going to put him on the chart and then we'll add any living
children you parent in some way.
[ADD ^NAMEFILLcaps TO THE GENOGRAM IN THE SURVEY PARTNER BOX].
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
Preload PARTNERFOCAL from male baseline. Preload FB1D027b from the female baseline. If PARTNERFOCAL
= 1 (male reports that female partners focal child in the male baseline interview) or FB1D027b in
female baseline= yes (female reported parenting any children under 18), ask FN1D028. Else go to
FN1D033.
---------------------------------------------------------------------------------
FN1D028
9MFU Deceased Child Intro
I realize this may be difficult for you, but if a child is no longer living please let me know.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 19 of 209
---------------------------------------------------------------------------------
Logic before:
Preload ^FOCCHILD from male baseline.
to FN1D029.
FN1D028a
If FEMBASE = 2 and PARTNERFOCAL = 1, ask FN1D028a. Else go
9MFU Focal Intro for Non-BL Female
When we interviewed ^prld.Namefill nine months ago, he told us that you parented ^prld.FOCCHILD in
some way. Because ^prld.FOCCHILD is an important person in ^prld.Namefill's life, we will be asking
you some questions about ^prld.FOCCHILD.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
Preload ^FOCCHILD from male baseline. If PARTNERFOCAL = 1, ask FN1D029. Else, skip to FN1D031.
FN1D029
9MFU Confirm Focal Child
Let's add ^prld.FOCCHILD to the chart, along with the child's father.
[RECORD ^FOCCHILDCAPS AND HIS/HER FATHER IF DIFFERENT FROM ^NAMEFILLCAPS ON GENOGRAM.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If PARTNERFOCAL = 1, ask FN1D030.
FN1D030
9MFU Confirm Focal Child Living/Deceased
IS ^FOCCHILDCAPS LIVING OR DECEASED?
[IF ^FOCCHILDCAPS IS DECEASED, MARK A "D" NEXT TO HIS/HER NAME ON GENOGRAM]
Question Type:
TFocal
Live
Dead
1 ^prld.FOCCHILD IS LIVING
2 ^prld.FOCCHILD IS DECEASED
---------------------------------------------------------------------------------
Logic before:
If FN1D030 = Dead, go to FN1D031. Else ask FN1G062a.
FN1G062a
9MFU Age of Focal Child
What is ^prld.FOCCHILD's age? (PROBE IF NEEDED: Your best estimate is fine.)
[IF CHILD IS YOUNGER THAN 1 YEAR, RECORD AGE AS 0.]
Question Type:
0..18
---------------------------------------------------------------------------------
Logic before:
If FEMBASE = 2, ask FN1D027l. Else, go to FN6N098a.
FN1D027l
9MFU Non-BL Respondent Parents Focal Child
Nine months ago, that is, on ^REFDATE, did you consider yourself to be a parent to ^prld.FOCCHILD?
Did you parent the child in any way?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 20 of 209
---------------------------------------------------------------------------------
Logic before:
If FN1D030= Live, ask FN6N098a.
FN6N098a
9MFU Namefill Coparent
Are you currently involved in raising ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN1Dchild
Question Type:
BL child loop
array[1..15] of BFN1Dsub
---------------------------------------------------------------------------------
FN1Dnewchild
Question Type:
new child loop
array[1..15] of BFN1Dsub2
---------------------------------------------------------------------------------
Logic before:
Ask if TOTALCHILD GE 1. If FNCON5 = yes , ^lcfill should say "[IF R SAYS ZERO, ASK HER TO INCLUDE
THE PERSON(S) THE CHILD IS LIVING WITH WHILE THE R IS INCARCERATED.]"
FN1D027d
9MFU Number of Coparents
Altogether, with how many adults do you share parenting responsibilities for any of your children?
This might include a current spouse or partner or ex-spouses or ex-partners who are fathers of
your children. This could also include another adult, such as a grandparent, with whom you are
raising one of your children.
^lcfill
Question Type:
0..25
---------------------------------------------------------------------------------
savecount
Question Type:
saved work variable
integer
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 21 of 209
BL Child Loop
---------------------------------------------------------------------------------
deceasedflag
Question Type:
Flag if child is dead
Tyesno
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If FEMBASE = 2, skip to FN1D033. Preload FB1G061 (name of child; ^CHILD) for all non-focal children
recorded at baseline. If number of non-focal children recorded at baseline GE 1, then ask FN1D031.
Else go to FN1D033. Loop FN1D031 - FN1G065a for each of the respondent’s non-focal children (up to
15) as specified in FB1G061.
FN1D031
9MFU Confirm Other Children
OK. Now I am going to record ^CHILD on the chart we have in front of us. Can you remind me who
^CHILD's father is?
[RECORD ^CHILD AND ^CHILD'S FATHER IF NOT ^PRLD.NAMEFILL ON GENOGRAM.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN1D032
9MFU Confirm Other Children Living/Deceased
IS ^CHILD LIVING OR DECEASED?
[IF ^CHILD IS DECEASED, MARK A "D" NEXT TO HIS/HER NAME ON GENOGRAM]
Question Type:
TBLChild
Live
Dead
1 ^CHILD IS LIVING
2 ^CHILD IS DECEASED
Logic after:
If FN1D032 = Dead for ANY child, remove that child from the child loop.
---------------------------------------------------------------------------------
FN1G062b
9MFU Age of Other Child
What is ^CHILD's age? (PROBE IF NEEDED: Your best estimate is fine.)
[IF CHILD IS YOUNGER THAN 1 YEAR, RECORD AGE AS 0.]
Question Type:
0..18
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 22 of 209
---------------------------------------------------------------------------------
Logic before:
If FN1D032 = Live and FN1F001 = Alive, ask FN1G065a. Else go to FN1D033.
FN1G065a
Spouse/Partner Coparent
During the past nine months, that is, since ^REFDATE, has ^prld.Namefill been involved in raising
^CHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 23 of 209
New Child Loop
---------------------------------------------------------------------------------
Logic before:
Start of new children loop. Loop FN1D033-FN1G064 until FN1D033 = NO (no new children remain). If
FEMBASE = 2 or (if FEMBASE=1 and (PARTNERFOCAL=0 AND FB1D027B=NO)), ^lcfill should say "Do you
parent any children @Bunder age 18@B?". Else, ^lcfill should say "Do you parent any other children
@Bunder age 18@B that I haven’t already mentioned?".
FN1D033
9MFU Add New Children
^lcfill
[FI NOTE: DO NOT INCLUDE CHILDREN WHO ARE DECEASED OR NOT YET BORN]
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If FN1D033 = yes, ask FN1G061n. Else go to FN1D027d.
FN1G061n
9MFU Name of New Child(ren)
What is the child's name?
[ENTER THE CHILD'S FIRST NAME HERE.]
Question Type:
Logic after:
STRING[25]
Based on this question, add all new children to the child loop. Fill variable is called, ^CHILD
(child’s first name). Do not overwrite this variable at each loop. Later we will need all of the
children's names, both new and preloaded (excluding all deceased children). All living non-focal
children, new and preloaded, should be on one ^CHILD loop. Create new output variable called
NUMBCHILD (number of new children) based on how many times the FN1D033-FN1G064 loop was gone
through with FN1D033 = YES. Create another new output variable called TOTALCHILD (total number of
children) based on NUMBCHILD (number of new children) plus FN1D030 = Live (focal child is living)
plus the number of times FN1D032 = Live (non-focal child from BL is living). TOTALCHILD should
equal a number and will be used to gate subsequent items in the interview. Create a variable to be
used in subsequent fills called ^children. If TOTALCHILD = 1 ^children = child. If TOTALCHILD GT
1, ^children = children.
---------------------------------------------------------------------------------
FN1G065
Rs Relationship to Childs Father
Is ^Child's father...
Question Type:
TChildMother
SpousePartner
Married
Other
Never
1
2
3
4
^prld.Namefill
A former spouse of yours (someone you were married to)
A former partner or current partner other than ^prld.Namefill
Someone that you have never been romantically involved with such as a
family member
---------------------------------------------------------------------------------
FN1D034
9MFU Add New Child to Genogram
[ADD THIS CHILD AND HIS OR HER FATHER TO THE GENOGRAM]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 24 of 209
---------------------------------------------------------------------------------
Logic before:
If FN1F001 = Alive, ask FN1G034a.
FN1G034a
Else, skip to FN1G062.
Spouse/Partner Coparent
During the past nine months, that is, since ^REFDATE, has ^prld.Namefill been involved in raising
^CHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN1G062
9MFU Age of New Child
What is ^CHILD's age? (PROBE IF NEEDED: Your best estimate is fine.)
[IF CHILD IS YOUNGER THAN 1 YEAR, RECORD AGE AS 0.]
Question Type:
Logic after:
0..18
[IF NEW CHILD IS 18 OR OLDER, DO NOT INCLUDE IN LOOP.]
---------------------------------------------------------------------------------
FN1G063
Gender of New Child
And is ^CHILD male or female?
Question Type:
TGender
Male
Female
1 MALE
2 FEMALE
---------------------------------------------------------------------------------
FN1G064
Relationship to Child
Is ^Child...
Question Type:
TChildRelate
Biological
NonBiological
1 Your biological or legally adopted child
2 A non-biological/non-adoptive child that you have been a parent to in
some way
Logic after:
Repeat FN1D033-FN1G064 loop until no new children remain.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 25 of 209
Impact of Incarceration on Relationship with Partner
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR=1 (released), go to Part 4.
FN3Q002a
If FN1F001=Dead, go to FN3R022.
Else go to FN3Q002a.
9MFU Intro screen for Part 3
The next set of questions is about your experiences since ^prld.Namefill was incarcerated. We are
talking about his @Bcurrent@B incarceration.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR=2 (still incarcerated) AND (RELATIONSHIP STATUS = 1 or RELSTATUSFU = 1) , ask FN3Q002.
Else go to FN3Q019a.
FN3Q002
9MFU Contact with Partner Important
[USE SHOWCARD 3]
First, I'd like to know how much you agree or disagree with each of the following statements about
keeping in touch with ^prld.Namefill.
Keeping in touch with ^prld.Namefill during his incarceration is very important to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3Q003
9MFU Assistance with Contact with Partner
You are satisfied with the amount of help you've received with staying in touch with ^prld.Namefill
during his incarceration. This could be help from outside programs or agencies, program staff at
the correctional facility, clergy, correctional officers, or other staff.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 26 of 209
---------------------------------------------------------------------------------
FN3Q004
9MFU Talk to Partner
[USE SHOWCARD 4]
[REFER RESPONDENT TO REFERENCE CALENDAR]
Now, I'd like to ask about specific contact you currently have with ^prld.Namefill.
About how often do you currently talk on the phone with ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
Logic after:
If FN3Q004 = "Never", go to FN3Q006. Else go to FN3Q005.
---------------------------------------------------------------------------------
FN3Q005
9MFU Length of Time on Phone
About how long is your average phone call with ^prld.Namefill?
[IN MINUTES]
Question Type:
1..120
---------------------------------------------------------------------------------
FN3Q006
9MFU Send Mail
[USE SHOWCARD 4]
How often do you currently send mail to ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
FN3Q007
9MFU Receive Mail
How often do you usually @Breceive@B mail from ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 27 of 209
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = yes, skip to FN3Q016. Else ask FN3Q008.
FN3Q008
9MFU Receive Personal Visits
How often do you currently visit ^prld.Namefill in person?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
Logic after:
If FN3Q008 = "Never", go to FN3Q010. Else go to FN3Q009.
---------------------------------------------------------------------------------
FN3Q009
9MFU Length of Time Spent Together
About how much time do you spend visiting with ^prld.Namefill on an average visit? [IN MINUTES]
Question Type:
0..540
---------------------------------------------------------------------------------
FN3Q010
9MFU Location of Facility
[USE SHOWCARD 5]
Thinking about ^prld.Namefill's time in prison, please tell me how much you agree or disagree with
each of the following statements.
The prison is located too far away for you to make regular visits or is too hard to get to because
of transportation issues.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3Q011
9MFU Facility Policies
Visitor admission rules such as background checks, dress codes, searches, and metal detectors are
hard for you to deal with.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 28 of 209
---------------------------------------------------------------------------------
FN3Q012
9MFU Cost of Visiting
The cost of visiting makes it hard for you to visit as often as you would like to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3Q013
9MFU Schedule Issues
Schedule issues, like limited visiting hours and your work schedule, make it hard for you to find
time for visits.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3Q014
9MFU Cost of Receiving Calls
The cost of receiving ^prld.Namefill's calls is too high for you, or you do not have access to a
phone.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3Q015
9MFU Facility is Unpleasant
The prison is not a pleasant place to visit, or not a place you want to see ^prld.Namefill.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 29 of 209
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = yes, ^lcfill should say “Thinking about ^prld.Namefill’s time in prison, please tell me
how much you agree or disagree with each of the following statements.”. If FNCON5 = no, do not
fill ^lcfill.
FN3Q016
9MFU Partner Does Not Want Contact
^lcfill
^prld.Namefill does not want to maintain close contact with you while he is incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3Q017
9MFU R Does Not Want Contact with Partner
You do not want to maintain close contact with ^prld.Namefill while he is incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
IF FN3Q010-FN3Q017 includes 2 or fewer strongly agree or agree responses, go to FN3Q019a. If
FN3Q010-FN3Q017 includes 3 or more strongly agree or agree responses, ask FN3Q018. USE SPECIAL FONT
FOR ITEMS FOR WHICH R ANSWERED "STRONGLY AGREE" OR "AGREE" in FN3Q010-FN3Q017. Allow only 2
response options to be selected.
FN3Q018
9MFU Two Biggest Difficulties
What would you say are the two biggest difficulties in staying in touch with ^prld.Namefill during
this incarceration?
Question Type:
TContactFB1
Location
Policies
Cost
Issues
Calls
Unpleasant
NoContact
RNoContact
1 ^F1 The prison is located too far away for you to make regular visits or
is too hard to get to because of transportation issues ^F1
2 ^F2 Visitor admission rules such as background checks, dress codes,
searches, and metal detectors are hard for you to deal with ^F2
3 ^F3 The cost of visiting makes it hard for you to visit as often as you
would like ^F3
4 ^F4 Schedule issues, like limited visiting hours and your work schedule,
make it hard for you to find time for visits ^F4
5 ^F5 The cost of receiving ^prld.Namefill's calls is too high for you, or
you do not have access to a phone ^F5
6 ^F6 The prison is not a pleasant place to visit, or not a place you want
to see ^prld.Namefill ^F6
7 ^F7 ^prld.Namefill does not want to maintain close contact with you
while he is incarcerated ^F7
8 ^F8 You do not want to maintain close contact with ^prld.Namefill while
he is incarcerated ^F8
Logic after:
Consistency check if the R picks an item that that they did not strongly agree or agree to in
FN3Q010-FN3Q017. Text should say, "YOU HAVE SELECTED AS THE BIGGEST DIFFICULTY, SOMETHING THAT THE
R DID NOT REPORT AS BEING A DIFFICULTY WHEN THEY WERE FIRST ASKED ABOUT IT IN QUESTIONS FN3Q010FN3Q017. GO BACK AND PROBE AS NEEDED."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 30 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR=2 or 3 ask FN3Q019a.
FN3Q019a
9MFU Incarceration Changed Relationship
How has ^prld.Namefill's time in prison changed your relationship with him, if at all? Has it made
you closer, has it made you drift apart, or has there been no change?
Question Type:
TChange3
Closer
APART
NOC
1 MADE YOU CLOSER
2 MADE YOU DRIFT APART
3 NO CHANGE
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 2, ask FN3Q020a. Else, skip to FN3R022. Allow the respondent to "select all that
apply".
FN3Q020a
9MFU Relationship Concerns During Incarceration
[USE SHOWCARD 6]
What concerns or worries do you have about your relationship with ^prld.Namefill during this
incarceration?
Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TConcernsFB3
Apart
Insecurity
1 His time in prison will make you drift apart
2 It is hard for you to know what his place in your life is when he is in
prison
3 Sometimes you can't accept collect charges for his calls or be at home
when he calls
4 You are concerned about his lifestyle in prison
5 You may not be able to forgive him for problems or conflicts you've had
Accept
Lifestyle
Forgive
Close
6 Being in prison makes it hard for him to open up to you or let himself
get close to you
7 You don't know whether he will get involved with someone else during
this incarceration
8 You have become or might become involved with someone else during this
incarceration
9 Or some other concern that I haven't mentioned
InvolvedHim
InvolvedYou
Other
Logic after:
If FN3Q020a = other, go to FN3Q020as. Else go to FN3Q021a.
---------------------------------------------------------------------------------
FN3Q020as
9MFU Other Specify
SPECIFY OTHER CONCERN
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 31 of 209
---------------------------------------------------------------------------------
Logic before:
IF FN3Q020a includes more than one response, ask FN3Q021a. For response option 8, fill this with
information captured in FN3Q020 as SHOW RESPONSE OPTIONS THAT WERE SELECTED IN FN3Q020a WITH
SPECIAL FONT, AND DO NOT ALLOW A RESPONSE TO BE SELECTED UNLESS IT IS ALSO SELECTED IN FN3Q020a BY
CREATING A CONSISTENCY CHECK. CONSISTENCY CHECK TEXT, "YOU HAVE SELECTED AS THE BIGGEST CONCERN
SOMETHING THAT THE R DID NOT REPORT IN FN3Q020a. PROBE, AS NEEDED TO RESOLVE THE INCONSISTENCY."
FN3Q021a
9MFU Biggest Concern
Of the concerns you mentioned, which one is your @Bbiggest@B concern?
Question Type:
TConcernsFB3a
Apart
Insecurity
Accept
Lifestyle
Forgive
Close
InvolvedHim
InvolvedYou
Other
1 ^F1 His time in prison will make you drift apart ^F1
2 ^F2 It is hard for you to know what his place in your life is when he is
in prison ^F2
3 ^F3 Sometimes you can't accept collect charges for his calls or be at
home when he calls ^F3
4 ^F4 You are concerned about his lifestyle in prison ^F4
5 ^F5 You may not be able to forgive him for problems or conflicts you've
had ^F5
6 ^F6 Being in prison makes it hard for him to open up to you or let
himself get close to you ^F6
7 ^F7 You don’t know whether he will get involved with someone else during
this incarceration^F7
8 ^F8 You have become or might become involved with someone else during
this incarceration ^F8
9 ^F9^lcfill^F9
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 32 of 209
Impact of Incarceration on Relationship with Children
---------------------------------------------------------------------------------
Logic before:
If PARTNERFOCAL=0 OR if FN1D030=Dead, go to Part 4, domain S (FN4S000). If FNCON5 = yes, go to
FN3R022. Else, skip to FN3R022p.
FN3R022
9MFU Contact with Children
[USE SHOWCARD 7]
The next set of questions is about keeping in touch with ^prld.FOCCHILD during your incarceration.
For these questions, please only include children who are under the age of 18. First, I'd like to
know how much you agree or disagree with each of the following statements.
Keeping in touch with ^prld.FOCCHILD during your incarceration is very important to you. Do you...
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R023
9MFU Services Received to Stay in Contact with Chi
You are satisfied with the amount of help you've received with staying in touch with ^prld.FOCCHILD
during your incarceration. This could be help from outside programs or agencies, program staff at
your facility, clergy, correctional officers, or other staff. Do you...
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R024
9MFU Talk on Phone with Focal Child
Do you talk on the phone to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 33 of 209
---------------------------------------------------------------------------------
Logic before:
If FN3R024 = yes, ask FN3R026. Else go to FN3R028.
FN3R026
9MFU Frequency Talk on Phone with Focal Child
[USE SHOWCARD 8]
How often do you talk on the phone with ^prld.FOCCHILD?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
FN3R027
9MFU Length of Call with Any Children
About how long is your average phone call with ^prld.FOCCHILD?
[IN MINUTES]
Question Type:
0..120
---------------------------------------------------------------------------------
FN3R028
9MFU Send Mail to Focal Child
Do you currently send mail to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN3R028 = yes, ask FN3R030. Else go to FN3R031.
FN3R030
9MFU Frequency Send Mail to Focal Child
[USE SHOWCARD 8]
How often do you currently send mail to ^prld.FOCCHILD?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 34 of 209
---------------------------------------------------------------------------------
FN3R031
9MFU Send Audiotapes
Have you been able to send any audiotapes to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN3R032
9MFU Receive Mail from Focal Child
Do you currently @Breceive@B mail from ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN3R032 = yes, ask FN3R034. Else go to FN3R035.
FN3R034
9MFU Frequency Receive Mail from Focal Child
[USE SHOWCARD 8]
How often do you currently receive mail from ^prld.FOCCHILD?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
FN3R035
9MFU Received Photos or Audiotapes from Focal Chil
Have you received any photographs or audiotapes of ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN3R036
9MFU Personal Visits from Focal Child
Do you currently receive personal visits from ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 35 of 209
---------------------------------------------------------------------------------
Logic before:
If FN3R036 = yes, ask FN3R038. Else go to FN3R043.
FN3R038
9MFU Frequency Personal Visits from Focal Child
[USE SHOWCARD 8]
How often do you currently receive personal visits from ^prld.FOCCHILD?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
Logic before:
Preload ^FOCSEX1, ^FOCSEX2, and ^FOCSEX3 from male baseline.
FN3R043
9MFU Distance of Facility
[USE SHOWCARD 9]
Thinking more about @Byour@B time in prison, please tell me how much you agree or disagree with
each of the following statements.
The prison is located too far away for ^prld.FOCCHILD to have regular visits, or is too hard for
^FOCSEX3 caretaker to get to because of transportation issues.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R044
9MFU Admission Rules
Visitor admission rules, such as background checks, dress codes, searches, and metal detectors, are
hard for ^prld.FOCCHILD to deal with.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R045
9MFU Cost of Visiting
The cost of visiting is too high for ^prld.FOCCHILD's caretaker to bring ^FOCSEX2 as often as he or
she would like to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 36 of 209
---------------------------------------------------------------------------------
FN3R046
9MFU Schedule Issues
Schedule issues, like limited visiting hours and ^prld.FOCCHILD's caretaker's work schedules, make
it hard to find time for visits.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R047
9MFU Cost of Calls
The cost of calling or receiving calls is too high, or you do not have access to a phone.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R048
9MFU Facility Pleasant Place
The prison is not a pleasant place to visit, or not a place you want ^prld.FOCCHILD to see you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R049
9MFU Caretaker Does Not Want Contact
^prld.FOCCHILD's caretaker does not want ^FOCSEX2 to maintain close contact with you while you are
incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 37 of 209
---------------------------------------------------------------------------------
FN3R050
9MFU R Wants No Contact
You do not want to maintain close contact with ^prld.FOCCHILD while you are incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R051
9MFU Focal Child Does Not Want Contact
^prld.FOCCHILD does not want to maintain close contact with you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R052
9MFU No Close Contact with Focal Child
You were not in close contact with ^prld.FOCCHILD before your incarceration.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 38 of 209
---------------------------------------------------------------------------------
Logic before:
If answered 1 or 2 (strongly agree or agree), to more than 2 questions between FN3R043 to
FN3R052,then ask FN3R053. Else, skip to FN3R022p. For FN3R053 put response options that the R
already answered 1 or 2 (strongly agree or agree) to in FN3R043 to FN3R052 in special font and only
allow those to be selected, by creating a consistency check. "YOU HAVE SELECTED AS THE BIGGEST
CHALLENGE SOMETHING THAT WAS NOT REPORTED IN THE PREVIOUS QUESTIONS, FN3R043 to FN3R052. PLEASE
PROBE, AS NEEDED TO OBTAIN CONSISTENT RESPONSES." Also, allow only a total of 2 response options to
be selected. Preload ^FOCSEX1, ^FOCSEX2, and ^FOCSEX3 from male baseline.
FN3R053
9MFU Two Biggest Issues for Child Contact
What are the two biggest challenges in staying in touch with ^prld.FOCCHILD while you are
incarcerated?
Question Type:
TChallenge2FB
Location
1 ^F1 The prison is located too far away for ^prld.FOCCHILD to have
regular visits, or is too hard for ^FOCSEX3 caretaker to get to because
of transportation issues. ^F1
2 ^F2 Visitor admission rules, such as background checks, dress codes,
searches, and metal detectors, are hard for ^prld.FOCCHILD to deal with.
^F2
3 ^F3 The cost of visiting is too high for ^prld.FOCCHILD's caretaker to
bring ^FOCSEX2 as often as he or she would like to. ^F3
4 ^F4 Schedule issues, like limited visiting hours and ^prld.FOCCHILD's
caretaker's work schedules, make it hard to find time for visits. ^F4
Ruls
VisitCost
Schedule
CallCost
5 ^F5 The cost of calling or receiving calls is too high, or you do not
have access to a phone. ^F5
6 ^F6 The prison is not a pleasant place to visit, or not a place you want
^prld.FOCCHILD to see you. ^F6
7 ^F7 ^prld.FOCCHILD's caretaker does not want ^FOCSEX2 to maintain close
contact with you while you are incarcerated. ^F7
8 ^F8 You do not want to maintain close contact with ^prld.FOCCHILD while
you are incarcerated. ^F8
9 ^F9 ^prld.FOCCHILD does not want to maintain close contact with you. ^F9
Pleasant
MotherNo
RNoContact
ChildNoContact
NotClose
10 ^F10 You were not in close contact with ^prld.FOCCHILD before this
incarceration. ^F10
---------------------------------------------------------------------------------
Logic before:
If FN1F001 = Dead, skip to Section 4 S (FN4S000).
go to FN3R054p.
FN3R022p
If MALEINCAR = 2, ask FN3R022p. If MALEINCAR=3,
9MFU Contact with Focal Child
The next set of questions is about ^prld.Namefill keeping in touch with ^prld.FOCCHILD during his
incarceration. First, I'd like to know how much you agree or disagree with the following statement.
It's very important to you that ^prld.Namefill keep in touch with ^prld.FOCCHILD during his
incarceration. Do you . . .
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 39 of 209
---------------------------------------------------------------------------------
FN3R024p
9MFU Talk on Phone with Focal Child
Now, I'd like to ask about specific contact ^prld.Namefill may have had with ^prld.FOCCHILD during
this incarceration.
Does ^prld.Namefill talk on the phone to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN3R024p = yes, ask FN3R026p. Else go to FN3R028p.
FN3R026p
9MFU Occurrence of Phone Conversation
[USE SHOWCARD 10]
How often does ^prld.Namefill talk on the phone with ^prld.FOCCHILD?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
FN3R027p
9MFU Length of Call with Any Children
About how long is his average phone call with ^prld.FOCCHILD?
[IN MINUTES]
Question Type:
1..120
---------------------------------------------------------------------------------
FN3R028p
9MFU Send Mail to Focal Child
Does ^prld.Namefill currently send mail to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 40 of 209
---------------------------------------------------------------------------------
Logic before:
FN3R028p = yes, ask FN3R030p. Else go to FN3R031p.
FN3R030p
9MFU Frequency Send Mail to Focal Child
How often does ^prld.Namefill currently send mail to ^prld.FOCCHILD?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
FN3R031p
9MFU Send Audiotapes
Has ^prld.Namefill been able to send any audiotapes to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN3R032p
9MFU Focal Child Send Mail
Does ^prld.FOCCHILD @Bsend@B mail to ^prld.Namefill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN3R032p = yes, ask FN3R034p. Else go to FN3R035p.
FN3R034p
9MFU Frequency Focal Child Send Mail
How often does ^prld.FOCCHILD send mail to ^prld.Namefill?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 41 of 209
---------------------------------------------------------------------------------
FN3R035p
9MFU Received Photos or Audiotapes
As far as you know, has ^prld.Namefill received any photographs or audiotapes of ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN3R036p
9MFU Personal Visits from Focal Child
Does ^prld.FOCCHILD visit ^prld.Namefill in person?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN3R036p = yes, ask FN3R038p.
FN3R038p
9MFU Frequency Personal Visits from Focal Child
How often does ^prld.FOCCHILD visit ^prld.Namefill in person?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
Logic before:
If FNCON5 =yes, skip to FN3R054p.
FN3R043p
9MFU Distance of Facility
[USE SHOWCARD 11]
Thinking about ^prld.Namefill's time in prison, please tell me how much you agree or disagree with
each of the following statements.
The prison is located too far away for ^prld.FOCCHILD to have regular visits with ^prld.Namefill,
or is too hard for you to bring ^prld.FOCCHILD to because of transportation issues.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 42 of 209
---------------------------------------------------------------------------------
FN3R044p
9MFU Admission Rules
Visitor admission rules, such as background checks, dress codes, searches, and metal detectors, are
hard for ^prld.FOCCHILD to deal with.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R045p
9MFU Cost of Visiting
The cost of visiting is too high for you to bring ^FOCSEX2 as often as you would like to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R046p
9MFU Schedule Issues
Schedule issues, like limited visiting hours and your work schedule, make it hard to find time to
bring ^prld.FOCCHILD for visits.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R047p
9MFU Cost of Calls
The cost of ^prld.Namefill's calls with ^prld.FOCCHILD is too high, or you do not have access to a
phone.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 43 of 209
---------------------------------------------------------------------------------
FN3R048p
9MFU Facility Pleasant Place
The prison is not a pleasant place to visit, or not a place you want ^prld.FOCCHILD to see
^prld.Namefill.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R049p
9MFU Caretaker Does Not Want Contact
You do not want ^prld.FOCCHILD to maintain close contact with ^prld.Namefill while he is
incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R050p
9MFU Father Wants No Contact
^prld.Namefill does not want to maintain close contact with ^prld.FOCCHILD while he is incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R051p
9MFU Focal Child Does Not Want Contact
^prld.FOCCHILD does not want to maintain close contact with ^prld.Namefill.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 44 of 209
---------------------------------------------------------------------------------
FN3R052p
9MFU No Close Contact with Focal Child
^prld.Namefill was not in close contact with ^prld.FOCCHILD before his incarceration.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN3R054p
9MFU Relationship with Child Since Incarceration
How has ^prld.Namefill's time in prison changed his relationship with ^prld.FOCCHILD, if at all?
Has it made them closer, has it made them drift apart, or has there been no change?
Question Type:
TChangeFU
closer
drift
NoChnge
1 MADE THEM CLOSER
2 MADE THEM DRIFT APART
3 NO CHANGE
---------------------------------------------------------------------------------
FN3R055p
9MFU Concerns/Worries About Focal Child
[USE SHOWCARD 12]
What concerns or worries do you have about ^prld.FOCCHILD during ^prld.Namefill's incarceration?
Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TWorry
Money
School
Happy
Peers
Emotional
1
2
3
4
5
Concerns about there being enough money to support ^focsex2
Concerns about how ^focsex1 is doing in school
Concerns about ^focsex3 happiness
Concerns about ^focsex2 getting teased or threatened by peers
Concerns that ^prld.Namefill and ^prld.FOCCHILD will not be as close
emotionally as they were before he was incarcerated
6 Concerns that ^focsex1 won't have a male role model
7 Concerns that ^focsex1 will get in trouble
8 Other concerns
RoleModel
Trouble
Other
Logic after:
If FN3R055p = other, go to FN3R055s. Else go to FN3R056p.
---------------------------------------------------------------------------------
FN3R055s
9MFU Specify Other
SPECIFY OTHER
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 45 of 209
---------------------------------------------------------------------------------
Logic before:
If FN3R055p includes more than one response, then ask FN3R056p. Else, skip to end of domain. For
response option 8, fill this with information captured in FN3R055s In FN3R056p, use special font
for the response options that the R chose in FN3R055p, and only allow those to be chosen by adding
a consistency check, "YOU HAVE JUST SELECTED AS THE RESPONDENT'S BIGGEST CONCERN, A CONCERN THAT
THEY DID NOT AGREE TO HAVING IN FN3R055p. PLEASE PROBE TO OBTAIN CONSISTENT RESPONSES." Allow only
one option to be selected.
FN3R056p
9MFU Biggest Concern/Worry for Focal Child
What is your @Bbiggest@B concern or worry about ^prld.FOCCHILD during ^prld.Namefill's
incarceration?
Question Type:
TWorryFB
Money
School
Happy
Peers
1
2
3
4
Emotional
5 ^F5 Concerns that ^prld.Namefill and ^prld.FOCCHILD will not be as close
emotionally as they were before his incarceration ^F5
6 ^F6 Concerns that ^FOCSEX1 won’t have a male role model ^F6
7 ^F7 Concerns that ^FOCSEX1 will get in trouble ^F7
8 ^F8 ^lcfill ^F8
RoleModel
Trouble
Other
^F1
^F2
^F3
^F4
Concerns
Concerns
Concerns
Concerns
about
about
about
about
there being enough money to support ^FOCSEX2 ^F1
how ^FOCSEX1 is doing in school ^F2
^FOCSEX2 happiness ^F3
^FOCSEX2 getting teased or threatened by peers ^F4
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 46 of 209
Service Need & Receipt
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR=3 (reincarcerated) AND FN1F001 = Alive, ^lcfill should say "Please only count services
received since ^REFDATE but before ^prld.Namefill’s reincarceration. [REFER TO REINCARCERATION
DATE ON REFERENCE CALENDAR]."
If MALEINCAR=1(released) or MALEINCAR=2 (still incarcerated) or FN1F001= Dead (male deceased and
therefore MALEINCAR not calculated), ^lcfill should say "That is, since ^REFDATE [REFER TO
REFERENCE CALENDAR.]."
FN4S057a
9MFU Introduction to Service Need and Receipt
Now, I'm going to ask you about services you might have received and programs you might have
participated in over the past nine months. ^lcfill
I will also ask you which services you might have wanted or needed. We are asking these questions
for research purposes only; your answers will not affect the services you receive.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR=3 (reincarcerated) AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking
about services received between ^REFDATE and ^prld.Namefill’s reincarceration." Else do not fill.
FN4S057
9MFU Attended Class or Workshop
Since ^REFDATE, have you attended any group classes or workshops on healthy marriage or romantic
relationships? You would have done these sessions in a group.
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S058
9MFU Felt Services Were Needed
Have you wanted or felt that you needed to attend any group classes or workshops on healthy
marriage or romantic relationships?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4S057 = yes, ask FN4S059. Else skip to FN4S064.
FN4S059
9MFU Number of Times Attended Class
How many times have you attended any group classes or workshops on healthy marriage or romantic
relationships since ^REFDATE?
NUMBER OF TIMES
Question Type:
1..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 47 of 209
---------------------------------------------------------------------------------
FN4S061
9MFU Length of Class
About how long did each class, workshop, or group session usually last?
In other words, for how many hours did you meet each time?
NUMBER OF HOURS [ROUND TO THE NEAREST HOUR]
Question Type:
1..20
---------------------------------------------------------------------------------
Logic before:
If FN43S059 GE 1 AND FN4S061 GE 1, ask FN4S061a.
FN4S061a
9MFU Confirmation on Number of Hours
So, you had about ^FN4S059 session(s) each lasting about ^FN4S061 hour(s)?
IF R ANSWERS NO, GO BACK TO PREVIOUS TWO QUESTIONS AND CORRECT THE ANSWERS.
Question Type:
PROBE, AS NEEDED.
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FN4S061a = no, consistency check text should say "YOU HAVE SELECTED AN ANSWER THAT IS
INCONSISTENT WITH THE NUMBER OF SESSIONS RECORDED IN FN4S059 AND HOURS RECORDED IN FN4S061. PLEASE
GO BACK TO FN4S059 AND FN4S061 AND CORRECT TO SECURE A CONSISTENT RESPONSE".
---------------------------------------------------------------------------------
Logic before:
If FN4S057 = yes and ((MALEINCAR=1 or 3)
FN4S061c
AND FN1F001 = Alive), ask FN4S061c. Check all that apply.
9MFU When Classes Received
Did you attend these classes or workshops....
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Logic before:
If FN4S057 = no or FN1F001 = Dead, skip to FN4S061b.
FN4S060
9MFU Attend Class with Partner
How many of these sessions did you attend @Btogether with@B ^prld.Namefill?
NUMBER OF TIMES
Question Type:
0..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 48 of 209
---------------------------------------------------------------------------------
FN4S061b
9MFU Class Interesting
How interesting did you find the group-classes or workshops?
Question Type:
TInteresting
VeryInt
SomeInt
NotInt
1 Very interesting
2 Somewhat interesting
3 Not interesting
---------------------------------------------------------------------------------
FN4S062
9MFU How Often Class Attended
Did you attend all, most, or some of the classes or workshops that were offered?
Question Type:
TAttend3
All
Most
Few
1 ATTENDED ALL
2 ATTENDED MOST
3 ATTENDED A FEW
---------------------------------------------------------------------------------
Logic before:
If FN4S062 = 1, skip to FN4S064. Else, ask FN4S063. Allow the respondent to "select all that
apply". If FN1F001 = Alive, bold and allow all response options. If FN1F001 = DEAD, only bold and
allow options 1, 2, 5, 6, 8, 10, 12, 13 and 14.
FN4S063
9MFU Reason for Not Attending Class
[USE SHOWCARD 13]
Why did you stop attending the classes or workshops?
Choose all that apply.
REQUIRED PROBE: Any other reasons?
Question Type:
TClassFU
NoInterest
NoHelp
PartnerObject
NoTransport
1
2
3
4
NoConvenient
RConflictIns
NmConIns
RConPartic
NmConPartic
RNoAgree
NmNoAgree
Moved
KickOut
Other
5
6
7
8
9
10
11
12
13
14
^F1 You were not interested in the classes/workshops ^F1
^F2 The classes/workshops were not helpful ^F2
^F3 ^prld.Namefill objected ^F3
^F4 ^prld.namefill couldn't attend with you because of schedule
conflicts, rule violations, or issues with the prison ^F4
^F5 The location of the classes was not convenient ^F5
^F6 You had a conflict with the instructor ^F6
^F7 ^prld.namefill had a conflict with the instructor ^F7
^F8 You had a conflict with participants ^F8
^F9 ^prld.namefill had a conflict with participants ^F9
^F10 You did not agree with discussions/message ^F10
^F11 ^prld.namefill did not agree with discussions/message ^F11
^F12 You got released or transferred to another institution ^F12
^F13 You got kicked out ^F13
^F14 Some other reason (SPECIFY) ^F14
Logic after:
If FN4S063 = 14, go to FN4S063s. Else go to FN4S064.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 49 of 209
---------------------------------------------------------------------------------
FN4S063s
9MFU Specify Other
SPECIFY OTHER REASON
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Logic before:
If FN1F001= Dead, skip to FN4S069. If MALEINCAR=3, ^lcfill should say "Remember, we are asking
about services received between ^REFDATE and ^prld.Namefill’s reincarceration.". Else do not fill.
FN4S064
9MFU Counseling
Since ^REFDATE, have you met with a counselor, therapist, or social worker to work on your
relationship with ^prld.Namefill in sessions that were not part of a workshop, class, or group? In
other words, individual or couple's counseling sessions that did not include other people besides
you or ^prld.Namefill. ^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S065
9MFU Need Couples Counseling
Have you wanted or felt that you needed to participate in individual or couple's counseling
sessions to work on your relationship with ^prld.Namefill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
IF FN4S064 = yes, ask FN4S066; else, skip to FN4S069.
FN4S066
9MFU Attended Marriage Counseling
Since ^REFDATE, about how many times have you had these counseling sessions to work on your
(marriage/relationship)?
NUMBER OF TIMES
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If FN4S064 = yes and ((MALEINCAR=1 or 3)
FN4S064a
AND FN1F001 = Alive), ask FN4S064a.
9MFU When Counseling Received
Did you receive this counseling....
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 50 of 209
---------------------------------------------------------------------------------
FN4S068
9MFU Length of Sessions
About how long did each session usually last?
NUMBER OF HOURS [ROUND TO THE NEAREST HOUR]
Question Type:
1..24
---------------------------------------------------------------------------------
Logic before:
If FN4S066 GE 1 AND FN4S068 GE 1, ask FN4S068a.
FN4S068a
9MFU Confirmation on Number of Hours
So, you had about ^FN4S066 sessions each lasting ^FN4S068 hours?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If R answers no to FN4S068a, add consistency check, "GO BACK TO PREVIOUS TWO QUESTIONS AND CORRECT
THE ANSWERS. PROBE, AS NEEDED."
---------------------------------------------------------------------------------
FN4S067
9MFU Number of Times Attended Counseling Classes
How many of these sessions did you attend @Btogether with@B ^prld.Namefill?
NUMBER OF TIMES
Question Type:
0..100
---------------------------------------------------------------------------------
Logic before:
If yes to FN4S057 or FN4S064, ask FN4S069. Else go to FN4S073. Allow the respondent to "select all
that apply".
FN4S069
9MFU Person Who Informed You
[SELECT ALL THAT APPLY]
How did you hear about the relationship strengthening activities in which you participated? Who
told you about the classes?
REQUIRED PROBE: Anyone else?
Question Type:
TInform
InfoSession
Friend
Partner
Ad
CaseMngr
Service
Other
1
2
3
4
5
6
7
HEARD ABOUT IT AT AN ORIENTATION OR INFORMATION SESSION
HEARD ABOUT IT FROM A FRIEND OR FELLOW INMATE
HEARD ABOUT IT FROM ^prld.namefill
SAW POSTER, BROCHURE, OR OTHER AD
REFERRED BY CASE MANAGER OR OTHER STAFF MEMBER
REFERRED BY OTHER SERVICE AGENCY
OTHER (SPECIFY)
Logic after:
If FN4S069 = other, go to FN4S069s. Else go to FN4S070.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 51 of 209
---------------------------------------------------------------------------------
FN4S069s
9MFU Other Specify
SPECIFY OTHER SOURCE
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Logic before:
If FN1F001= Dead, skip to FN4S073. Allow the respondent to "select all that apply", but do not
allow option 9 (NONE) to be selected along with options 1-8.
FN4S070
9MFU Skills Learned from Classes
[USE SHOWCARD 14]
What knowledge or skills did you learn in relationship classes or relationship counseling that
helped you improve your relationship with ^prld.Namefill?
Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TClassesFB
Talk
Work
Calm
Care
Trust
Feel
1
2
3
4
5
6
How to talk with ^prld.Namefill about things that matter
How to work through problems calmly and fairly
How to calm down when things get heated
How to work together on caring for the child(ren)
How to build and keep each other's trust
How to work with each other's feelings about other family members, expartners, and friends
7 How to deal with stress and life changes together
8 Some other skill (SPECIFY)
9 NONE
Stress
Other
None
Logic after:
If FN4S070 = other, go to FN4S070s. Else go to FN4S071.
---------------------------------------------------------------------------------
FN4S070s
9MFU Specify Other
SPECIFY OTHER KNOWLEDGE OR SKILL
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 52 of 209
---------------------------------------------------------------------------------
Logic before:
IF FN4S070 included more than one response, ask FN4S071. Else, skip to FN4S072. Fill response
option 8 with information captured in FN4S070s In FN4S071,use special font for the response option
selected in FN4S070 and only allow those to be selected, by creating a consistency check. "YOU HAVE
SELECTED AS THE MOST IMPORTANT SKILL A SKILL THAT WAS NOT REPORTED IN THE PREVIOUS QUESTION,
FN4S070. PLEASE PROBE, AS NEEDED, TO OBTAIN CONSISTENT RESPONSES." Allow R to select only one
response.
FN4S071
9MFU Most Important Skill Learned
What would you say is the most important skill you learned in your relationship classes or
relationship counseling?
Question Type:
TClassesFB2
Talk
Work
Calm
Care
Trust
Feel
1
2
3
4
5
6
^F1 How to talk with ^prld.Namefill about things that matter ^F1
^F2 How to work through problems calmly and fairly ^F2
^F3 How to calm down when things get heated ^F3
^F4 How to work together on caring for the child(ren) ^F4
^F5 How to build and keep each other's trust ^F5
^F6 How to work with each other's feelings about other family members,
ex-partners, and friends ^F6
7 ^F7 How to deal with stress and life changes together ^F7
8 ^F8^lcfill^F8
Stress
Other
---------------------------------------------------------------------------------
FN4S072
9MFU Classes Improved Relationship
How much has your relationship with ^prld.Namefill improved as a result of the relationship classes
or counseling?
Would you say. . .
Question Type:
TSome
Lot
Little
Notatall
1 A lot
2 A little
3 Not at all
---------------------------------------------------------------------------------
Logic before:
Ask if TOTALCHILD GE 1. Else skip to FN4S077. If MALEINCAR=3 AND FN1F001 = Alive, ^lcfill should
say "Remember, we are asking about services received between ^REFDATE and ^prld.Namefill’s
reincarceration." Else do not fill.
FN4S073
9MFU Parenting Classes
Since ^REFDATE, have you attended any classes, groups, or workshops to help you improve your
parenting skills or learn to be a better parent?
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 53 of 209
---------------------------------------------------------------------------------
FN4S074
9MFU Service Needed
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4S073 = yes, ask FN4S075; else, skip to FN4S077.
FN4S075
9MFU Attended Classes to Improve Parenting Skills
Since ^REFDATE, how many times have you attended any parenting classes, groups, or workshops?
NUMBER OF TIMES
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If FN4S073 = yes and ((MALEINCAR=1 or 3)
FN4S073a
AND FN1F001 = Alive), ask FN4S073a. Else go to FN4S076.
9MFU When Workshops Received
Did you attend these classes/groups/workshops...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FN4S076
9MFU Length of Classes
About how long did each class, workshop, or group session usually last? In other words, for how
many hours did you meet each time?
NUMBER OF HOURS
Question Type:
1..24
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 54 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR=3 AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking about services
received between ^REFDATE and ^prld.Namefill’s reincarceration". Else do not fill.
FN4S077
9MFU Consultation with Any Staff
Since ^REFDATE, have you met with a staff member who talks with you about issues or needs you have,
tries to get you into services or programs, helps you get benefits or assistance, and/or monitors
your progress?
These services are called case management and the person might be called a case manager, case
worker, social worker, transition coordinator, or systems navigator.
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S078
9MFU Services Needed
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4S077 = yes, ask FN4S079. Else go to FN4S082.
FN4S079
9MFU Sessions of Case Management
How many sessions of case management have you received since your last interview?
NUMBER OF SESSIONS
Question Type:
1..100
---------------------------------------------------------------------------------
FN4S079a
9MFU Case Manager Helpful
How helpful did you find your case manager?
Question Type:
THelpful
VeryHelp
SomeHelp
NotHelp
1 Very helpful
2 Somewhat helpful
3 Not helpful
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 55 of 209
---------------------------------------------------------------------------------
Logic before:
If FN4S077 = yes and ((MALEINCAR=1 or 3) AND FN1F001 = Alive),
FN4S077a
ask FN4S077a. Else go to FN4S080.
9MFU When Case Management Received
Did you receive this case management....
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply", but do not allow R to select "None" (option 1)
along with options 2-15.
FN4S080
9MFU Case Manager Referred Services
[USE SHOWCARD 15]
Has a case manager referred you to any of the following kinds of services or benefits? Select all
that apply.
REQUIRED PROBE: Any others?
Question Type:
TServices
None
Education
Parent
Job
Money
Life
Support
Counsel
Mental
SubAbuse
Other
Housing
Health
Public
Legal
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
None
Marriage or relationship education
Parenting education
Job training or employment readiness
Money management training
Other life skills training
Support groups
Marriage or relationship counseling
Mental health treatment
Substance abuse treatment
Other counseling
Housing program
Health benefits program
Public assistance, such as TANF or food stamps
Legal services
Logic after:
IF FN4S080 = none, go to FN4S082. Else go to FN4S081.
---------------------------------------------------------------------------------
FN4S081
9MFU Case Manager Follow-Up on Services
Has a case manager followed up to make sure you received those services?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 56 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR=3 AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking about services
received between ^REFDATE and ^prld.Namefill’s reincarceration". Else do not fill.
FN4S082
9MFU Received Treatment for Emotional/Mental Probl
Since ^REFDATE, have you received counseling, therapy, or other treatment to help you deal with an
emotional or mental health problem?
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S083
9MFU Needed Treatment
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4S082 = yes and ((MALEINCAR=1 or 3) AND FN1F001 = Alive), ask FN4S082a.
FN4S082a
9MFU When Counseling Received
Did you receive this counseling/therapy/treatment....
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FN4S084
9MFU Received Group Therapy/Treatment
Since ^REFDATE, have you received counseling, self-help groups, group sessions, or other treatment
to help you deal with alcohol or substance abuse?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S085
9MFU Needed Group Therapy/Treatment
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 57 of 209
---------------------------------------------------------------------------------
Logic before:
If FN4S084 = yes and ((MALEINCAR=1or 3) AND FN1F001 = Alive),
FN4S084a
ask FN4S084a.
9MFU When Alc/Substance Abuse Treatment Received
Did you receive this alcohol or substance abuse treatment....
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR=3 AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking about services
received between ^REFDATE and ^prld.Namefill’s reincarceration." Else do not fill.
FN4S086
9MFU Received Anger Management Services
Since ^REFDATE, have you received services or taken a course to help you manage anger?
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S087
9MFU Needed Anger Management Services
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4S086 = yes and ((MALEINCAR=1or 3 ) AND FN1F001 = Alive),
FN4S086a
ask FN4S086a.
9MFU When Anger Mngmt Received
Did you participate in anger management services....
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 58 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR=3 AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking about services
received between ^REFDATE and ^prld.Namefill’s reincarceration." Else do not fill.
FN4S090
9MFU Received Educational Classes
Since ^REFDATE, have you participated in any GED, adult basic education, or college courses?
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S091
9MFU Needed Educational Classes
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4S090 = yes and ((MALEINCAR=1or 3 ) AND FN1F001 = Alive),
FN4S090a
ask FN4S090a.
9MFU When Education Courses Received
Did you participate in these courses...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FN4S092
9MFU Received Job Training
Since ^REFDATE, have you participated in any employment readiness, vocational or job training
programs?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S093
9MFU Needed Job Training
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 59 of 209
---------------------------------------------------------------------------------
Logic before:
If FN4S092 = yes and ((MALEINCAR=1 or 3) AND FN1F001 = Alive), ask FN4S092a.
FN4S092a
9MFU When Job Training Received
Did you participate in this training...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking about services
received between ^REFDATE and ^prld.Namefill’s reincarceration." Else do not fill.
FN4S094
MFU Received Financial Planning Courses
Since ^REFDATE, have you participated in any money management or financial planning programs?
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S095
9MFU Needed Financial Planning Courses
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4S094 = yes and ((MALEINCAR=1or 3) AND FN1F001 = Alive),
FN4S094a
ask FN4S094a.
9MFU When Money/Financial Planning Received
Did you participate in money management or financial planning classes...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FN4S096
9MFU Received Life Skills Education
Since ^REFDATE have you participated in any other life skills education?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 60 of 209
---------------------------------------------------------------------------------
FN4S097
9MFU Needed Life Skills Education
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4S096 = yes and ((MALEINCAR=1 or 3)
FN4S096a
AND FN1F001 = Alive),
ask FN4S096a.
9MFU When Life Skills Received
Did you participate in other life skills training...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FN4S098
9MFU Received Assistance for Housing Needs Post-Re
Since ^REFDATE have you received any help finding housing or paying for housing?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S099
9MFU Needed Assistance for Housing Needs Post-Rele
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4S098 = yes and ((MALEINCAR=1 or 3)
FN4S098a
AND FN1F001 = Alive),
ask FN4S098a.
9MFU When Housing Help Received
Did you receive this housing-related help ...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 61 of 209
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, ask FN4S100. Else go to FN4S102.
FN4S100
9MFU Received Assistance with Child Custody Issues
Since ^REFDATE have you received any assistance with retaining your parental rights or changing
child custody arrangements?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S101
9MFU Needed Assistance with Child Custody Issues
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4S100 = yes and ((MALEINCAR=1 or 3) AND FN1F001 = Alive),
FN4S100a
ask FN4S100a.
9MFU When Child Custody Assistance Received
Did you receive assistance...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR=3 AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking about services
received between ^REFDATE and ^prld.Namefill’s reincarceration." Else do not fill.
FN4S102
9MFU Received Family Mediation
Since ^REFDATE, have you participated in any family group conferencing or family mediation? We mean
meetings with any family members to discuss issues and set goals for the future.
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S103
9MFU Needed Family Mediation
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 62 of 209
---------------------------------------------------------------------------------
Logic before:
If FN4S102 = yes and ((MALEINCAR=1 or 3)
FN4S102a
AND FN1F001 = Alive),
ask FN4S102a.
9MFU When Family Conferencing Received
Did you participate in family group conferencing/mediation...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FN4S104
9MFU Received Group Support
Since ^REFDATE have you participated in any support groups? We mean a group of individuals who meet
regularly to discuss personal or interpersonal issues.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4S105
9MFU Needed Group Support
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4S104 = yes and ((MALEINCAR=1 or 3)
FN4S104a
AND FN1F001 = Alive),
ask FN4S104a.
9MFU When Group Support Received
Did you participate in support groups...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FN4S106
9MFU Received Spiritual/Religious Help
Since ^REFDATE have you received spiritual or religious assistance from any faith-based
organizations or people? For example, this would include meeting with a chaplain, minister, or
other clergy member.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 63 of 209
---------------------------------------------------------------------------------
FN4S107
9MFU Needed Spiritual/Religious Help
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4S106 = yes and ((MALEINCAR=1 or 3)
FN4S106a
AND FN1F001 = Alive),
ask FN4S106a.
9MFU When Religious Assistance Received
Did you receive this spiritual or religious assistance...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 64 of 209
Housing
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR=1 or 3, skip to FN4I034 (employment). If FEMINCARSTATE = 1, skip to FN4L134a. Else go
to FN4J040. Allow the respondent to "select all that apply".
FN4J040
9MFU Ever Live
[USE SHOWCARD 16]
Now, I have some questions about your living situation over the past nine months.
[REFER TO REFERENCE CALENDAR]
Since ^REFDATE, have you lived in any of these places? Select all that apply.
REQUIRED PROBE: Any other places?
Question Type:
Tresidence
Own
1 In your own house or apartment, meaning your name was on the title,
mortgage, or lease
2 In someone else's house or apartment
3 In a transitional housing building or halfway house
4 In a motel/hotel or rooming house
5 In a residential treatment facility
6 In a shelter
7 On the street
8 In an outdoor location where you camped out
9 In an abandoned building or vacant unit
10 In some other place
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
---------------------------------------------------------------------------------
Logic before:
If R lives in more than one place (from FN4J040), go to FN4J041. Else go to FN4J042. Use special
font for response options that were selected in FN4J040.
FN4J041
9MFU Primarily Reside
During the past nine months, where did you mostly live?
SELECT ONE.
Question Type:
TResidenceFB
Own
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
1 ^F1 In your own house or apartment, meaning your name is on the title,
mortgage, or lease ^F1
2 ^F2 In someone else's house or apartment ^F2
3 ^F3 In a transitional housing building or halfway house ^F3
4 ^F4 In a motel/hotel or rooming house ^F4
5 ^F5 In a residential treatment facility ^F5
6 ^F6 In a shelter ^F6
7 ^F7 On the street ^F7
8 ^F8 In an outdoor location where you camp out ^F8
9 ^F9 In an abandoned building or vacant unit ^F9
10 ^F10 In some other place ^F10
Logic after:
Add a consistency check after FN4J041 if R chooses a response that was not also selected in
FN4J040. Text should say, "RESPONSE IS INCONSISTENT WITH RESPONSE TO PREVIOUS QUESTION. PROBE, AS
NEEDED, SO BOTH ITEMS ARE CONSISTENT."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 65 of 209
---------------------------------------------------------------------------------
Logic before:
If FN4J040 includes Own or Elses, ask FN4J042. Else go to FN4J043a.
FN4J042
9MFU Public Housing
Was/is the (house/apartment) public housing? Public housing is defined as a unit in a building
owned by a public housing authority.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FN4J042 = no, go to FN4J043. Else go to FN4J043a.
---------------------------------------------------------------------------------
FN4J043
9MFU Section 8
Was/is the (house/apartment) Section 8? Section 8 housing is where a Section 8 voucher is being
used to pay for part or all of your rent for a privately owned unit.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4J043a
9MFU Number of Places
During the past nine months, in how many places have you lived?
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If (PARTNERFOCAL = 1 and FN1D030= Live) ask FN4J043b. If (PARTNERFOCAL = 0 or FN1D030 = Dead), skip
to FN4J044b.
FN4J043b
9MFU Live with Focal Child
During the past nine months, have you lived with ^prld.FOCCHILD at least part of the time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4J043b = yes and FNCON5=no, ask FN4J044a.
FN4J044a
9MFU Living with Focal Child
Is ^prld.FOCCHILD currently living with you, at least part of the time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 66 of 209
---------------------------------------------------------------------------------
Logic before:
Ask FN4J044b for each of R’s remaining living non-focal children (include non-focal children from
baseline as well as all new children). Else skip to FN4J045.
FN4J044b
9MFU Live with Other Chidlren
During the past nine months, have you lived with ^CHILD at least part of the time?
Question Type:
array[1..30] of TYesNoCaps
---------------------------------------------------------------------------------
Logic before:
If FN4J044b = yes and FNCON5=no, ask FN4J044c. Loop FN4J044b-FN4J044c for each of R’s remaining
living children.
FN4J044c
9MFU Living with Other Children
Are you currently living with ^CHILD?
Question Type:
array[1..30] of TYesNoCaps
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
FN4J045
9MFU Living with Others
Who else have you lived with during the past nine months?
Please list everyone who has lived with you at some point during the past nine months.
[SELECT ALL THAT APPLY]
REQUIRED PROBE: Anyone else?
Question Type:
TLivingFUInc
NoOne
Spouse
Ex
Mother
Father
Sister
Brother
AuntUnc
Cousin
Grandparent
Child
Friend
PartFriend
Other
1
2
3
4
5
6
7
8
9
10
11
12
13
14
NO ONE ELSE
A CURRENT ROMANTIC PARTNER OTHER THAN ^Namefillcaps
AN EX-SPOUSE OR ROMANTIC PARTNER OTHER THAN ^Namefillcaps
MOTHER/STEPMOTHER
FATHER/STEPFATHER
SISTER/STEPSISTER
BROTHER/STEPBROTHER
AUNT/UNCLE, GREAT AUNT/UNCLE
COUSIN
GRANDPARENT
CHILD/STEPCHILD
FRIEND OF R
FRIEND OF ^Namefillcaps
SOME OTHER PERSON, NOT A FRIEND OR FAMILY MEMBER (SPECIFY)
Logic after:
If FN4J045 = 14, go to FN4J045s. Else go to FN4J045a.
---------------------------------------------------------------------------------
FN4J045s
9MFU Specify Other
SPECIFY ANY OTHER PERSON THE RESPONDENT LIVED WITH
Question Type:
STRING[25]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 67 of 209
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE = 2, ^lcfill1 should say "have lived during your time on the outside.
REFERENCE CALENDAR]." If FEMINCARSTATE = 3, ^lcfill1 should say "currently live."
FN4J045a
[REFER TO
9MFU Neighborhood 1
[USE SHOWCARD 17]
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about the neighborhood where you ^lcfill1
It is hard to stay out of trouble in your neighborhood or community.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN4J045b
9MFU Neighborhood 2
Drug selling is a major problem in your neighborhood or community.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN4J045c
9MFU Neighborhood 3
Your neighborhood or community is a good place to live.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN4J045d
9MFU Neighborhood 4
Your neighborhood or community is a good place to find a job.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 68 of 209
Income
---------------------------------------------------------------------------------
FN4K017
9MFU Welfare
Next I'm going to read a list of income sources. For each, tell me if you have received income from
this source during the past nine months, that is, since ^REFDATE.
[REFER RESPONDENT TO REFERENCE CALENDAR.]
Cash welfare, also known as TANF? You may have received this benefit as an electronic transfer, a
check, or on a bank or debit card. TANF is Temporary Assistance for Needy Families.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4K019
9MFU Public Assistance
Other public assistance, such as food stamp benefits, support from the Indian Health Service,
disability insurance such as Supplemental Security Income (SSI), Social Security Disability
Insurance (SSDI), or unemployment insurance benefits (UI)? You may have received these benefits as
coupons, electronic transfer, or as an EBT or debit card.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4K021
9MFU Child Support Received
Child support payments?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4K023
9MFU Money from Others
Money from friends or relatives who did not live with you at that time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 69 of 209
---------------------------------------------------------------------------------
FN4K025
9MFU Formal Payment
Formal employment? By "formal", we mean a job that you received a pay stub for, and for which taxes
were taken out of your pay.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4K027
9MFU Casual Work
"Under the table" or casual work? By "under the table", we mean work that you did not receive a
pay stub for, for which taxes were not taken out of your pay. This could include things you were
paid in cash for, like babysitting or mowing lawns.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4K029
9MFU Illegal Activities
Illegal activities, such as selling drugs, breaking and entering, etc.?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4K031
9MFU Budget
[USE SHOWCARD 18]
During the past nine months, how often have you relied on a planned budget to guide your monthly
spending?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 70 of 209
---------------------------------------------------------------------------------
FN4K032
9MFU Meeting Bills
During the past nine months, how often have you had difficulty meeting monthly payments on bills?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
FN4K033
9MFU Money at End of Month
During the past nine months, how often have you had money at the end of the month after the bills
were paid?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 71 of 209
Employment
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE = 2, ^lcfill1 should say "since ^REFDATE, that is, during your time on the
outside.", IF FEMINCARSTATE=3, ^lcfill1 should say "since ^REFDATE."
FN4I034
9MFU Any Job
This next set of questions deals with any employment you have had ^lcfill1
At any point since ^REFDATE have you worked at a job?
[REFER TO REFERENCE CALENDAR]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
FN4I034 = Yes and FNCON5=no, ask FN4I034a. If FN4I034=yes and FNCON5=yes, skip to FN4I036.
FN4I034=no, go to FN4L134a.
---------------------------------------------------------------------------------
FN4I034a
If
9MFU Currently Employed
Are you @Bcurrently@B working at a job?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4I034a = yes, ^lcfill1 should say "Is" and ^lcfill2 should say "current". If FN4I034a NE yes,
^lcfill1 should say "Was" and ^lcfill2 should say "most recent".
FN4I036
9MFU Job Status
^lcfill1 your ^lcfill2 job...
Question Type:
TJStatus
PT
FT
NoJob
1 Part time
2 Full time
3 You have never had a job
---------------------------------------------------------------------------------
FN4I035a
9MFU Employment Duration
How many months have you worked since ^REFDATE?
Question Type:
0..11
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 72 of 209
---------------------------------------------------------------------------------
Logic before:
If FN4I034a = yes, ^lcfill1 should say "Is" and ^lcfill2 should say "current". If FN4I034a NE yes,
^lcfill1 should say "Was" and ^lcfill2 should say "most recent".
FN4I037
9MFU Job Type
^lcfill1 your ^lcfill2 job...
Question Type:
TJType
Formal
Self
Casual
1 Formal pay (a job that has a pay stub)
2 Self-employment
3 Casual pay (a job that is "under the table" or "off the books")
---------------------------------------------------------------------------------
Logic before:
If FN4I034a = yes, ^lcfill should say "do". If FN4I034a NE yes, ^lcfill should say "did".
FN4I037a
9MFU Earnings
How much ^lcfill you earn per month from your job before taxes, including any tips, bonuses, and
commissions?
[ENTER THE DOLLAR AMOUNT ON THIS SCREEN. ROUND UP TO THE NEAREST WHOLE DOLLAR.]
Question Type:
1..999999
---------------------------------------------------------------------------------
Logic before:
If FN4I034a = yes, ^lcfill should say "Does your current". If FN4I034a NE yes, ^lcfill should say
"Did your most recent".
FN4I038
9MFU Health Insurance
^lcfill job provide health insurance coverage?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN4I034a = yes, ^lcfill should say "Are". If FN4I034a NE yes, ^lcfill should say "Were".
FN4I039
9MFU Entitled to Leave
^lcfill you entitled to any fully paid leave, such as sick leave, paid holidays, or vacation leave
from your employer?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 73 of 209
Social Support
---------------------------------------------------------------------------------
FN4L134a
9MFU Number of Friends
Next, you will be asked about the kinds of support you have received from your friends and family
since ^REFDATE.
First, I will ask about your friends. Please do not count ^prld.Namefill or any family members as
you answer this question.
How many close friends do you have? These are people you feel at ease with, can talk to about
private matters, or can call on for help. Would you say you have no close friends, 1-2, 3-5, 6-10,
or more than that?
Question Type:
TQuantity
None
Oneto2
Threeto5
Sixto10
TenMore
1
2
3
4
5
NO CLOSE FRIENDS
ONE OR TWO
THREE TO FIVE
SIX TO TEN
MORE THAN TEN
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, include "or your ^children." fill with the question text.
FN4L128a
9MFU Close Family Members
Next, I'd like to know about support you have received from family members other than
^prld.Namefill ^lcfill.
How many close family members do you currently have? These are people you feel at ease with, can
talk to about private matters, or can call on for help. Would you say you have no close family
members, 1-2, 3-5, 6-10, or more than that?
Question Type:
TQuantity2
None
Oneto2
Threeto5
Sixto10
TenMore
1
2
3
4
5
NO CLOSE FAMILY MEMBERS
ONE TO TWO
THREE TO FIVE
SIX TO TEN
MORE THAN TEN
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 74 of 209
Parenting
---------------------------------------------------------------------------------
Logic before:
If FEMALEINCARSTATE=2 OR 3 and (PARTNERFOCAL=1 and FN1D030= Live), ask FN4N062 Else skip to FN4P069.
FN4N062
9MFU Frequency of Activities with Focal Child
In a typical week since ^REFDATE, how many days have you participated in an activity with
^prld.FOCCHILD, such as eating meals, going shopping, helping with homework, or doing something fun
with him or her?
[REFER RESPONDENT TO REFERENCE CALENDAR.]
Question Type:
TDays
None
One
Two
Three
Four
Five
Six
Seven
0
1
2
3
4
5
6
7
NONE
ONE DAY
TWO DAYS
THREE DAYS
FOUR DAYS
FIVE DAYS
SIX DAYS
SEVEN DAYS
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 75 of 209
Physical & Mental Health
---------------------------------------------------------------------------------
FN4P069
9MFU Medical Coverage
The next questions are about health care and health insurance.
Are you covered by Medicaid, Medi-Cal, Medicare, Champus, Indian Health Services, or any other
government program that pays for medical care?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN4P070
9MFU Medical Coverage by Someone Else
Are you covered by health insurance through your or someone else's employer, or insurance you
purchase directly from a private insurance company?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE=1, skip to part 5. If FEMINCARSTATE=2, ^lcfill1 should say “during your time on
the outside,”. Else do not fill. If TOTALCHILD "GE" 1, include "or your ^children" as ^lcfill2.
FN4P071
9MFU Need Medical Assistance
Since ^REFDATE, ^lcfill1 have you ^lcfill2 ever needed to see a doctor or go to the hospital, or
take prescription medication, but couldn't because of the cost?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 76 of 209
Housing
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 2 or FN1F001=Dead, skip to Part Six, domain Z (FN6Z000). If MALEINCAR=1 OR 3 AND
FEMINCARSTATE=1, skip to FN5N095. ELSE GO TO FN5J040. Allow the respondent to "select all that
apply".
FN5J040
9MFU Ever Live
[USE SHOWCARD 19]
Now, I have some questions about your living situation since ^prld.Namefill's release.
[REFER TO REFERENCE CALENDAR]
Have you lived in any of these places? Select all that apply.
REQUIRED PROBE: Any other places?
Question Type:
Tresidence
Own
1 In your own house or apartment, meaning your name was on the title,
mortgage, or lease
2 In someone else's house or apartment
3 In a transitional housing building or halfway house
4 In a motel/hotel or rooming house
5 In a residential treatment facility
6 In a shelter
7 On the street
8 In an outdoor location where you camped out
9 In an abandoned building or vacant unit
10 In some other place
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
---------------------------------------------------------------------------------
Logic before:
If R lives in more than one place (from FN5J040), go to FN5J041. Else go to FN5J042. Use special
font for response options that were selected in FN5J040.
FN5J041
9MFU Primarily Reside
Since ^prld.Namefill was released, where have you mostly lived?
SELECT ONE.
Question Type:
TResidenceFB
Own
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
1 ^F1 In your own house or apartment, meaning your name is on the title,
mortgage, or lease ^F1
2 ^F2 In someone else's house or apartment ^F2
3 ^F3 In a transitional housing building or halfway house ^F3
4 ^F4 In a motel/hotel or rooming house ^F4
5 ^F5 In a residential treatment facility ^F5
6 ^F6 In a shelter ^F6
7 ^F7 On the street ^F7
8 ^F8 In an outdoor location where you camp out ^F8
9 ^F9 In an abandoned building or vacant unit ^F9
10 ^F10 In some other place ^F10
Logic after:
Add a consistency check after FN5J041 if R chooses a response that was not also selected in
FN5J040. Text should say, "RESPONSE IS INCONSISTENT WITH RESPONSE TO PREVIOUS QUESTION. PROBE, AS
NEEDED, SO BOTH ITEMS ARE CONSISTENT."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 77 of 209
---------------------------------------------------------------------------------
Logic before:
If FN5J040 includes Own or Elses, ask FN5J042. Else go to FN5J043a.
FN5J042
9MFU Public Housing
Was the (house/apartment) public housing? Public housing is defined as a unit in a building owned
by a public housing authority.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FN5J042 = no, go to FN5J043. Else go to FN5J043a.
---------------------------------------------------------------------------------
FN5J043
9MFU Section 8
Was the (house/apartment) Section 8? Section 8 housing is where a Section 8 voucher is being used
to pay for part or all of your rent for a privately owned unit.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5J043a
9MFU Number of Places
Since ^prld.Namefill was released, in how many places have you lived?
Question Type:
1..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 78 of 209
---------------------------------------------------------------------------------
Logic before:
If PARTNERFOCAL = 1 and FN1D030= Live, ask FN5N095. Else, go to FN5J044b. Use special font for all
response options; use special font for following options based on responses to previous questions:
If FNCON5 = no, bold option 1 If MALEINCAR=1, bold option 3.
Always bold response options 2, and
4-12. Allow the respondent to "select all that apply".
FN5N095
9MFU Focal Child Residence
[USE SHOWCARD 20]
The next items ask about ^prld.FOCCHILD.
With whom does ^prld.FOCCHILD currently live? Select all that apply.
REQUIRED PROBE:
Anyone else?
Question Type:
TFocalResideFU
Respondent
Mother
Nmfill
Father
GrandparentM
GrandparentP
StepGrand
RelativesB
Stepparent
NonBlood
SocialS
Other
1
2
3
4
5
6
7
8
9
10
11
12
^F1 YOU ^F1
^F2 THE CHILD'S BIOLOGICAL MOTHER ^F2
^F3 ^NAMEFILLcaps ^F3
^F4 THE CHILD'S BIOLOGICAL FATHER ^F4
^F5 THE CHILD'S MATERNAL GRANDPARENT(S) ^F5
^F6 THE CHILD'S PATERNAL GRANDPARENT(S) ^F6
^F7 THE CHILD'S STEP-GRANDPARENT(S) ^F7
^F8 OTHER BLOOD RELATIVES OF THE CHILD ^F8
^F9 THE CHILD'S STEPPARENT ^F9
^F10 OTHER NON-BLOOD RELATIVES ^F10
^F11 THE CHILD IS IN CUSTODY OF SOCIAL SERVICES ^F11
^F12 OTHER (SPECIFY) ^F12
Logic after:
If FN5N095 = 12 (other), go to FN5N095s. If FEMINCARSTATE=1, go to FNJ045b. Else go to FN5J043b.
FN5N095: Add a consistency check after FN5N095 if R chooses option 1 and FNCON5 NE no; text should
say "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT WITH FEMALE CURRENTLY BEING INCARCERATED
(FNCON5). PLEASE PROBE AS NEEDED TO SECURE CONSISTENT RESPONSE.
---------------------------------------------------------------------------------
FN5N095s
9MFU Other Specify
SPECIFY OTHER
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE=1, skip to FN5J045b.
FN5N095. Else go to FN5J044a.
FN5J043b
Ask FN5J043b if response option 1 was not selected in
9MFU Live with Focal Child
Since ^prld.Namefill's release, have you lived with ^prld.FOCCHILD at least part of the time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 79 of 209
---------------------------------------------------------------------------------
Logic before:
If FN5J043b=yes and FNCON5=no, ask FN5J044a. Else go to FN5J045b.
FN5J044a
9MFU Living with Focal Child
Are you currently living with ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Ask FN5J045b if response option 3 was not selected in FN5N095. Else go to FN5J046a.
FN5J045b
9MFU Live with Focal Child
Since ^prld.NAMEFILL's release, has he lived with ^prld.FOCCHILD at least part of the time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Ask FN5J046a if FN5J045b=yes and MALEINCAR =1. Else go to FN5J044b.
FN5J046a
9MFU Living with Focal Child
Is ^prld.NAMEFILL currently living with ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE=1, skip to FN5N000. If any non-focal living children remain (that is, children
from either from baseline or NUMBCHILD), ask FN5J044b.
FN5J044b
9MFU Live with Other Chidlren
Since ^prld.NAMEFILL was released, have you lived with ^CHILD at least part of the time?
Question Type:
array[1..30] of TYesNoCaps
---------------------------------------------------------------------------------
Logic before:
If FN5J044b = yes and FNCON5=no, ask FN5J044c. Loop FN5J044b-FN5J044c for each of R’s remaining
living children.
FN5J044c
9MFU Living with Other Children
Are you currently living with ^CHILD?
Question Type:
array[1..30] of TYesNoCaps
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 80 of 209
---------------------------------------------------------------------------------
FN5J001
9MFU Live with Namefill
Since ^prld.NAMEFILL was released, have you lived with him at any point?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN5J001 = yes and FNCON5 = no and MALEINCAR=1, ask FN5J002. Else go to FN5J045.
FN5J002
9MFU Currently Live with Namefill
Are you currently living with ^prld.Namefill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
FN5J045
9MFU Living with Others
Who else have you lived with since ^prld.Namefill was released?
Please list everyone who has lived with you at some point since ^prld.Namefill was released.
[SELECT ALL THAT APPLY]
REQUIRED PROBE: Anyone else?
Question Type:
TLivingFBx
NoOne
Spouse
Ex
Mother
Father
Sister
Brother
AuntUnc
Cousin
Grandparent
Child
Friend
PartFriend
Other
Nmfill
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
NO ONE ELSE
A CURRENT ROMANTIC PARTNER OTHER THAN ^Namefillcaps
AN EX-SPOUSE OR ROMANTIC PARTNER OTHER THAN ^Namefillcaps
MOTHER/STEPMOTHER
FATHER/STEPFATHER
SISTER/STEPSISTER
BROTHER/STEPBROTHER
AUNT/UNCLE, GREAT AUNT/UNCLE
COUSIN
GRANDPARENT
CHILD/STEPCHILD
FRIEND OF R
FRIEND OF ^Namefillcaps
SOME OTHER PERSON, NOT A FRIEND OR FAMILY MEMBER (SPECIFY)
^Namefillcaps
Logic after:
If FN5J045 = 14, go to FN5J045s. Else go to FN5J003.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 81 of 209
---------------------------------------------------------------------------------
FN5J045s
9MFU Specify Other
SPECIFY ANY OTHER PERSON THE RESPONDENT LIVED WITH
Question Type:
STRING[25]
---------------------------------------------------------------------------------
FN5J003
9MFU Live with Namefill Better
Since ^prld.Namefill was released, is your housing situation better, worse or about the same as it
was before he was released?
Question Type:
TBetWrseSme
Better
Worse
Same
1 BETTER
2 WORSE
3 ABOUT THE SAME
---------------------------------------------------------------------------------
FN5J055a
9MFU Neighborhood 1
[USE SHOWCARD 21]
[REFER RESPONDENT TO REFERENCE CALENDAR]
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about the neighborhood where you have mainly lived since ^prld.Namefill was released.
It is hard to stay out of trouble in your neighborhood or community.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN5J055b
9MFU Neighborhood 2
Drug selling is a major problem in your neighborhood or community.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 82 of 209
---------------------------------------------------------------------------------
FN5J055c
9MFU Neighborhood 3
Your neighborhood or community is a good place to live.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN5J055d
9MFU Neighborhood 4
Your neighborhood or community is a good place to find a job.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 83 of 209
Income
---------------------------------------------------------------------------------
FN5K000
9MFU Income intro
Now I'm going to ask you some questions about your life since ^prld.Namefill was released.
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN5K016
9MFU Share Income with Partner
First, I'd like to know about your finances.
Since he was released, have you and ^prld.Namefill had any shared expenses, such as rent, mortgage,
food, car expenses, utility bills, or credit card bills?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5K016a
9MFU Both Contribute to Income
Have you and ^prld.Namefill both contributed to the assets you share? That is, have both you and
^prld.Namefill had money coming in that you have used for your shared expenses?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5K017
9MFU Welfare
Next I'm going to read a list of income sources. For each, tell me if you have received income from
this source since ^prld.Namefill was released.
[REFER RESPONDENT TO REFERENCE CALENDAR.]
Cash welfare, also known as TANF? You may have received this benefit as an electronic transfer, a
check, or on a bank or debit card. TANF is Temporary Assistance for Needy Families.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 84 of 209
---------------------------------------------------------------------------------
Logic before:
If FN5K016 = yes, ask FN5K018. Else go to FN5K019.
FN5K018
9MFU Partner Received Welfare
Has ^prld.Namefill received income from this source since he was released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5K019
9MFU Public Assistance
Other public assistance, such as food stamp benefits, support from the Indian Health Service,
disability insurance such as Supplemental Security Income (SSI), Social Security Disability
Insurance (SSDI), or unemployment insurance benefits (UI)? You may have received these benefits as
coupons, electronic transfer, or as an EBT or debit card.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN5K016 = yes, ask FN5K020. Else go to FN5K021.
FN5K020
9MFU Partner Received Public Assistance
Has ^prld.Namefill received income from this source since he was released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5K021
9MFU Child Support Received
Child support payments?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN5K016 = yes, ask FN5K022. Else go to FN5K023.
FN5K022
9MFU Partner Received Child Support
Has ^prld.Namefill received income from this source since he was released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 85 of 209
---------------------------------------------------------------------------------
FN5K023
9MFU Money from Others
Money from friends or relatives who did not live with you at that time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN5K016 = yes, ask FN5K024. Else go to FN5K025.
FN5K024
9MFU Partner Received Money from Others
Has ^prld.Namefill received income from this source since he was released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5K025
9MFU Formal Payment
Formal employment? By "formal", we mean a job that you received a pay stub for, and for which taxes
were taken out of your pay.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN5K016 = yes, ask FN5K026. Else go to FN5K027.
FN5K026
9MFU Partner Received Formal Paycheck
Has ^prld.Namefill received income from this source since he was released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5K027
9MFU Casual Work
"Under the table" or casual work? By "under the table", we mean work that you did not receive a
pay stub for, for which taxes were not taken out of your pay. This could include things you were
paid in cash for, like babysitting or mowing lawns.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 86 of 209
---------------------------------------------------------------------------------
Logic before:
If FN5K016 = yes, ask FN5K028. Else go to FN5K029.
FN5K028
9MFU Partner Received Money Under the Table
Has ^prld.Namefill received income from this source since he was released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5K029
9MFU Illegal Activities
Illegal activities, such as selling drugs, breaking and entering, etc.?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN5K016 = yes, ask FN5K030. Else go to FN5K031.
FN5K030
9MFU Partner Received Funds from Illegal Activitie
Has ^prld.Namefill received income from this source since he was released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5K031
9MFU Budget
[USE SHOWCARD 22]
Since ^prld.Namefill was released, how often have you relied on a planned budget to guide your
monthly spending?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 87 of 209
---------------------------------------------------------------------------------
FN5K032
9MFU Meeting Bills
Since ^prld.Namefill was released, how often have you had difficulty meeting monthly payments on
bills?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
FN5K033
9MFU Money at End of Month
Since ^prld.Namefill was released, how often have you had money at the end of the month after the
bills were paid?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
FN5K034
9MFU Money Better, Worse, Same
Since ^prld.Namefill was released, is your money situation better, worse or about the same as it
was before he was released?
Question Type:
TBetWrseSme
Better
Worse
Same
1 BETTER
2 WORSE
3 ABOUT THE SAME
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 88 of 209
Social Support
---------------------------------------------------------------------------------
FN5L009
9MFU Friend Support Expectations 1
This next set of questions asks about the kinds of support you have received from your friends and
family since ^prld.NAMEFILL was released.
Do you have a friend who will loan you money if you need it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5L010
9MFU Friend Support Expectations 2
Do you have a friend who will provide you with a place to live if you need it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5L011
9MFU Friend Support Expectations 3
Do you have a friend who will help you with transportation to work or other appointments if you
need it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, ^childfill should fill "or your ^children". Else do not fill.
FN5L006
9MFU Other Family Support Expectations 1
This next set of questions asks about the kinds of support you have received from your family
members, other than ^prld.Namefill ^childfill since ^prld.NAMEFILL was released.
Do you have a family member who will loan you money if you need it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 89 of 209
---------------------------------------------------------------------------------
FN5L007
9MFU Other Family Support Expectations 2
Do you have a family member who will provide you with a place to live if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5L008
9MFU Other Family Support Expectations 3
Do you have a family member who will help you with transportation to work or other appointments if
you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN5L036p
9MFU Other Family Support Expectations 4
Now let’s think about the support ^prld.Namefill received.
Since ^prld.NAMEFILL was released, how often have the people he spends time with convinced him to
do things he knows he shouldn't be doing?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 90 of 209
Parenting
---------------------------------------------------------------------------------
Logic before:
If (PARTNERFOCAL = 1 and FN1D030 = Live) or (TOTALCHILD GE 1 AND FN1D030 <> empty), ask FN5N000.
Else go to Domain T, item FN5T134.
FN5N000
9MFU Parenting Intro
This next set of questions is about your and ^prld.Namefill's experiences with parenting since
^prld.Namefill was released.
[REFER TO REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
(If PARTNERFOCAL=0 OR FN1D030=Dead) AND (total # of non-focal children GE1), GO TO FN5N001.
PARTNERFOCAL = 1 AND FN1D030=Live AND FN5J045b =no ask FN5N030. Else go to FN5N031p.
FN5N030
9MFU See Focal Child
[USE SHOWCARD 23]
Since his release, how often does ^prld.NAMEFILL see ^prld.FOCCHILD in person?
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
FN5N031p
9MFU Financially Support Focal Child
Has ^prld.Namefill financially supported ^prld.FOCCHILD in any way since he was released from
incarceration?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FN5N031p = no, don’t know or refused, go to FN5N059.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 91 of 209
If
---------------------------------------------------------------------------------
Logic before:
Allow R to select all that apply.
FN5N032p
9MFU Financial Support for Focal Child
[USE SHOWCARD 24]
In what way or ways did ^prld.Namefill provide financial support for ^prld.FOCCHILD since his
release. Please include support provided to the child directly as well as support provided to you
or another caretaker of the child.
[ALLOW R TO SELECT ALL THAT APPLY]
Question Type:
TMonetary3
Gift
Shopping
1 Buying ^prld.FOCCHILD birthday or holiday gifts
2 Taking ^prld.FOCCHILD shopping for clothes, school supplies, or other
things ^FOCSEX1 needs
3 Helping out occasionally with bills, rent or other expenses in the
child's household
4 Providing steady, regular financial support of over $300 per month
5 Providing steady, regular financial support of $200-$300 per month
6 Providing steady, regular financial of $100-$200 per month
7 Providing steady, regular financial support up to $100 per month
Expense
More300
Two300
One200
Upto100
---------------------------------------------------------------------------------
FN5N059
9MFU Discipline Decisions About Focal Child
Since ^prld.Namefill was released, have you and ^prld.Namefill stood by a discipline or parenting
decision, even if one of you did not like the decision?
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TOSRN2
Often
Sometimes
Rarely
Never
NotAp
1
2
3
4
5
Often
Sometimes
Rarely
Never
Not applicable
---------------------------------------------------------------------------------
FN5N060
9MFU Arguments About Focal Child
Since ^prld.Namefill was released, have you often, sometimes, rarely, or never had arguments about
^prld.FOCCHILD?
Question Type:
TOSRNcaps
Often
Some
Rare
Never
1
2
3
4
OFTEN
SOMETIMES
RARELY
NEVER
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 92 of 209
---------------------------------------------------------------------------------
FN5N061
9MFU Decisions Regarding Health of Focal Child
[USE SHOWCARD 25]
Since ^prld.Namefill was released, who has made major decisions about things such as child care and
health care for ^prld.FOCCHILD?
Would you say . . .
Question Type:
TDecisionsFU2
Both
Father
Respondent
Someone
1
2
3
4
^prld.Namefill and you have made most of the decisions together
^prld.Namefill has made most decisions without you
You have made most decisions without ^prld.Namefill
Someone else involved in raising the child has made most decisions
without you or ^prld.Namefill
5 You and someone else involved in raising the child have made most of the
decisions
RandOther
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE=1, skip to FN5N036p. If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill should say
"since he was released and during the time that you were both on the outside". Else, ^lcfill should
say "since he was released?"
FN5N063
9MFU Frequency Family Activities
How often have you, ^prld.Namefill, and ^prld.FOCCHILD all done family-oriented activities
together, such as recreational activities, eating meals, or going to church ^lcfill
Question Type:
TOSRNcaps
Often
Some
Rare
Never
1
2
3
4
OFTEN
SOMETIMES
RARELY
NEVER
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill should say "since ^prld.Namefill was released and
during the time that you were both on the outside?". Else ^lcfill should say "since ^prld.Namefill
was released?"
FN5N064
9MFU Enjoy Being Together
How often have you, ^prld.Namefill and ^prld.FOCCHILD enjoyed being together as a family ^lcfill
Question Type:
TOSRNcaps
Often
Some
Rare
Never
1
2
3
4
OFTEN
SOMETIMES
RARELY
NEVER
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 93 of 209
---------------------------------------------------------------------------------
FN5N036p
9MFU Relationship with Focal
How easy or hard has it been for ^prld.Namefill to have a good relationship with ^prld.FOCCHILD
since he was released?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
FN5N037p
9MFU Biggest Challenges with Focal Child
[USE SHOWCARD 26]
Thinking about the time since ^prld.Namefill was released, what have been the biggest challenges in
his relationship with ^prld.FOCCHILD? Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TExpectFB
Find
Missed
1 Him not knowing how to get in contact with ^prld.FOCCHILD
2 Having missed out on so much that happened with ^prld.FOCCHILD while he
was incarcerated
3 Getting ^prld.FOCCHILD to trust him or open up to him after the time
apart
4 Finding transportation for visits or activities
5 Dealing with people who don’t want him to see ^prld.FOCCHILD
6 Him not being in a stable enough housing and financial situation to be
able to spend time with ^prld.FOCCHILD
7 His lifestyle not being a healthy one for kids
8 ^prld.FOCCHILD being angry at him or not wanting to see him
9 Having money to financially support or buy things for ^prld.FOCCHILD
10 Some other challenge (SPECIFY)
Trust
Transport
Kids
Instability
Lifestyle
Angry
Money
Other
Logic after:
If FN5N037p includes 10 (other), go to FN5N037s. Else go to FN5N001.
---------------------------------------------------------------------------------
FN5N037s
9MFU Other Specify
SPECIFY OTHER CHALLENGE
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 94 of 209
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE=1, skip to FN5Y000.
FN5N001
If TOTALCHILD GE 1, Ask FN5N001.
Else go to FN5T134.
9MFU Fatherhood Intro
Thinking about the time since ^prld.Namefill was released, please tell me how much you agree or
disagree with each of the following statements about your ^children.
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN5N002
9MFU Male Role Model
It is good for the child(ren) to have a male role model.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN5N003
9MFU Namefill Discipline
[USE SHOWCARD 27]
^prld.Namefill disciplines the child(ren) too harshly sometimes.
Question Type:
TAgreeNALower
StroAgree
Agree
Disagree
StroDisagree
NA
1
2
3
4
5
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
---------------------------------------------------------------------------------
FN5N004
9MFU Namefill Alone w Child(ren)
You have felt comfortable leaving ^prld.Namefill alone with the child(ren).
Question Type:
TAgreeNALower
StroAgree
Agree
Disagree
StroDisagree
NA
1
2
3
4
5
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 95 of 209
---------------------------------------------------------------------------------
FN5N005
9MFU Namefill Bad Influence
You have been concerned about ^prld.Namefill being a bad influence on the child(ren).
Question Type:
TAgreeNALower
StroAgree
Agree
Disagree
StroDisagree
NA
1
2
3
4
5
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
---------------------------------------------------------------------------------
FN5N006
9MFU Ease of Raising Child(ren)
Since ^prld.Namefill was released, it has gotten easier to manage the work of raising (a)
child(ren).
Question Type:
TAgreeNALower
StroAgree
Agree
Disagree
StroDisagree
NA
1
2
3
4
5
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 96 of 209
Community Involvement
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE = 1, skip to FN5Y000. Allow R to select all that apply. Do not allow option 5 to
be selected along with options 1, 2, 3, and/or 4, CC text sould read: "OPTION 5, NONE, CAN NOT BE
SELECTED IN CONJUNCTION WITH RESPONSE OPTIONS 1-4. GO BACK AND EDIT RESPONSES."
FN5T134
9MFU Community Involvement
[USE SHOWCARD 28]
Since ^prld.Namefill was released, have you done any of the following?
[CHECK ALL THAT APPLY.)
Question Type:
TCommInvle
AttRel
1 Attended a church, mosque, synagogue or any other type of religious
service?
2 Participated in any community volunteer work?
3 Voted in any political election, such as a general election, primary
election or special referendum?
4 Taken part in any local organizations like clubs, sports teams, ethnic
or racial pride groups, political organizations, or other community
groups?
5 NONE OF THE ABOVE
CommVol
Vote
LocOrg
None
---------------------------------------------------------------------------------
FN5T155
9MFU Belong to Religious Org
Do you belong to a church, synagogue, mosque, or other religious organization?
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
FN5T001
9MFU Degree of Community Involvement
Since ^prld.Namefill was released, have you participated in community activities more, less or
about the same as when he was incarcerated? By community activities, I mean attending religious
services, doing volunteer work, voting, and/or participating in community groups or organizations.
Question Type:
TMreLssSme
More
Less
Same
1 MORE
2 LESS
3 ABOUT THE SAME
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 97 of 209
Overall Quality of Life
---------------------------------------------------------------------------------
FN5Y000
9MFU QOL Intro
Please tell me how much you agree or disagree with each of the following statements.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN5Y001
9MFU QOL 1
Overall, your life is harder since ^prld.Namefill was released.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN5Y002
9MFU QOL 2
Overall, your life is better since ^prld.Namefill was released
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 98 of 209
Personal Traits
---------------------------------------------------------------------------------
FN6Z000
9MFU Personal Traits Intro
These next questions deal with your feelings, attitudes, and how things are going for you
currently.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN6Z001
9MFU Control Important Things in Life
[USE SHOWCARD 29]
How often do you feel that you are not able to control the important things in your life?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FN6Z002
9MFU Anger Management 1
How often do you feel angry or mad?
Would you say....
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FN6Z003
9MFU Anger Management 2
In general, how much of the time does your anger cause problems in your relationships?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 99 of 209
---------------------------------------------------------------------------------
FN6Z004
9MFU Anger Management 3
How much of the time does your anger cause problems in your job or work life?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FN6Z004a
9MFU Reactive Intro
For each of the following items, please tell me how much you agree or disagree. There are no
correct or incorrect answers.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN6Z005
9MFU Reactive Responding 1
[USE SHOWCARD 30]
You often respond quickly and emotionally when something happens.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z006
9MFU Reactive Responding 2
You let your emotions cool before you act.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z006a
9MFU Spritual Intro
These next questions are about the role that religion or spirituality plays in your life. Please
tell me how much you agree or disagree with each of these statements.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 100 of 209
---------------------------------------------------------------------------------
FN6Z007
9MFU Spirituality 1
You find strength in your religion or spirituality.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z008
9MFU Spirituality 2
You pray or meditate regularly.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z009
9MFU Spirituality 3
You read the Bible, Koran, or other religious books regularly.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z010
9MFU Spirituality 4
The religious services or groups you participate in matter a great deal to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z010a
9MFU Self Efficacy Intro
The next questions are about how you currently feel about your life.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 101 of 209
---------------------------------------------------------------------------------
FN6Z011
9MFU Self Efficacy 1
You can do just about anything you really set your mind to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z012
9MFU Self Efficacy 2
Sometimes you feel like you're being pushed around in your life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z013
9MFU Self Efficacy 3
You often feel helpless dealing with the problems of life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z014
9MFU Goal Orientation 1
It's important for you to take time to plan out where you're going in life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 102 of 209
---------------------------------------------------------------------------------
FN6Z015
9MFU Goal Orientation 2
You have many goals that you will work to achieve.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z015a
Attachment Intro
For each of the following statements, please tell me how much you agree or disagree when it comes
to close relationships.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN6Z016
9MFU Attachment 1
[USE SHOWCARD 31]
It is easy for me to become emotionally close to others. I am comfortable depending on them and
having them depend on me. I don't worry about being alone or having others not accept me.
Question Type:
TAgreeAtt
StroAgree
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
agree
disagree
disagree
---------------------------------------------------------------------------------
FN6Z017
9MFU Attachment 2
I am uncomfortable getting close to others. I want emotionally close relationships, but I find it
difficult to trust others completely, or to depend on them. I worry that I will be hurt if I allow
myself to become too close to others.
Question Type:
TAgreeAtt
StroAgree
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
agree
disagree
disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 103 of 209
---------------------------------------------------------------------------------
FN6Z018
9MFU Attachment 3
I want to be completely emotionally intimate with others, but I often find that others are
reluctant to get as close as I would like. I am uncomfortable being without close relationships,
but I sometimes worry that others don't value me as much as I value them.
Question Type:
TAgreeAtt
StroAgree
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
agree
disagree
disagree
---------------------------------------------------------------------------------
FN6Z018a
9MFU Attachment 4
I am comfortable without close emotional relationships. It is very important to me to feel
independent and self-sufficient, and I prefer not to depend on others or have others depend on me.
Question Type:
TAgreeAtt
StroAgree
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
agree
disagree
disagree
---------------------------------------------------------------------------------
FN6Z019
9MFU Cooperation 1
[USE SHOWCARD 32]
You often consider another person's feelings as much as your own.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z020
9MFU Cooperation 2
People involved with you have to learn how to do things your way.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 104 of 209
---------------------------------------------------------------------------------
FN6Z021i
9MFU Relationship Skills Intro
These next questions are about your opinions about romantic relationships. Please tell me how much
you agree or disagree.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN6Z021
9MFU Relationship Skills 1
Once a couple starts to have problems, it usually is not possible to fix them.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z022
9MFU Relationship Skills 2
Couples should not have to work on their relationships in order to have a happy relationship.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z023
9MFU Relationship Skills 3
Most people can learn to communicate better with their spouse.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z024
9MFU Relationship Skills 4
When one spouse says something mean or hurtful, it is OK for the other spouse to say something mean
or hurtful back.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 105 of 209
---------------------------------------------------------------------------------
FN6Z025
9MFU Relationship Skills 5
When wives and husbands have very different views about important things in the family, it is best
to not talk about those things.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z026
9MFU Relationship Skills 6
People can learn to avoid situations where they might be tempted to cheat on their spouse or
partner.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6Z027
9MFU Relationship Skills 7
It is sometimes OK for couples to get a little rough physically, like pushing or hitting.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 106 of 209
Mental & Physical Health
---------------------------------------------------------------------------------
FN6P000
9MFU Physical Health Intro
Now I'd like to ask you some questions about your health and how you have been feeling over the
last 1 month.
[POINT TO 1 MONTH AGO ON REFERENCE CALENDAR.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN6P037
9MFU Physical Health 1
In general, how is your health? Would you say it is . . .
Question Type:
TCondition
Excel
Vgood
Good
Fair
Poor
1
2
3
4
5
Excellent
Very good
Good
Fair
Poor
---------------------------------------------------------------------------------
FN6P038
9MFU Physical Health 2
Do you have a serious health problem that limits the amount or kind of work you can do?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN6P039
9MFU Emotional Psychological Health
In general, would you say your current emotional or psychological health is excellent, very good,
good, fair, or poor?
Question Type:
TCondition
Excel
Vgood
Good
Fair
Poor
1
2
3
4
5
Excellent
Very good
Good
Fair
Poor
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 107 of 209
---------------------------------------------------------------------------------
FN6P039a
9MFU ADHD Intro
Thinking about the past 1 month, please tell me how much you agree or disagree with each of the
following statements.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN6P040
9MFU ADHD 1
[USE SHOWCARD 33]
You are easily distracted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6P041
9MFU ADHD 2
You get frustrated easily.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6P042
9MFU ADHD 3
You do not think before acting.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6P043
9MFU PTSD 1
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you have had nightmares about it or thought about it when you did not
want to?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 108 of 209
---------------------------------------------------------------------------------
FN6P044
9MFU PTSD 2
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you tried hard not to think about it or went out of your way to avoid
situations that reminded you of it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN6P045
9MFU PTSD 3
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you were constantly on guard, watchful, or easily startled?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN6P046
9MFU PTSD 4
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you felt numb or detached from others, activities, or your surroundings?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN6P046a
9MFU CES-D Intro
Below is a list of ways you might have felt or behaved recently. Please tell me how often you have
felt this way during the @Bpast week@B.
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 109 of 209
---------------------------------------------------------------------------------
FN6P047
9MFU CES-D 1
[USE SHOWCARD 34]
During the past week. . .
You were bothered by things that don't usually bother you.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
FN6P048
9MFU CES-D 2
You had trouble keeping your mind on what you were doing.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
FN6P049
9MFU CES-D 3
You felt depressed.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
FN6P050
9MFU CES-D 4
You felt that everything you did was an effort.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 110 of 209
---------------------------------------------------------------------------------
FN6P051
9MFU CES-D 5
You felt hopeful about the future.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
FN6P052
9MFU CES-D 6
You felt fearful.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
FN6P053
9MFU CES-D 7
Your sleep was restless.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
FN6P054
9MFU CES-D 8
You were happy.
Question Type:
Tfrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 111 of 209
---------------------------------------------------------------------------------
FN6P055
9MFU CES-D 9
You felt lonely.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 112 of 209
Parenting & Child Well-being
---------------------------------------------------------------------------------
Logic before:
If (PARTNERFOCAL = 1 and FN1D030= Live) and FN5N095=empty ask FN6N095. Else, go to FN6N096.
Response option 1 shoud only be available if FNCON5=NO. Use special font as follows: If FNCON5=
NO bold option 1. If FN1F001=Alive and MALEINCAR=1 bold option 3. Always bold options 2 and 4-12.
Allow respondent to select all that apply.
FN6N095
9MFU Focal Child Residence 2
[USE SHOWCARD 35]
The next items ask about ^prld.FOCCHILD.
With whom does ^prld.FOCCHILD currently live? Select all that apply.
REQUIRED PROBE:
Anyone else?
Question Type:
TFocalResideFU
Respondent
Mother
Nmfill
Father
GrandparentM
GrandparentP
StepGrand
RelativesB
Stepparent
NonBlood
SocialS
Other
1
2
3
4
5
6
7
8
9
10
11
12
^F1 YOU ^F1
^F2 THE CHILD'S BIOLOGICAL MOTHER ^F2
^F3 ^NAMEFILLcaps ^F3
^F4 THE CHILD'S BIOLOGICAL FATHER ^F4
^F5 THE CHILD'S MATERNAL GRANDPARENT(S) ^F5
^F6 THE CHILD'S PATERNAL GRANDPARENT(S) ^F6
^F7 THE CHILD'S STEP-GRANDPARENT(S) ^F7
^F8 OTHER BLOOD RELATIVES OF THE CHILD ^F8
^F9 THE CHILD'S STEPPARENT ^F9
^F10 OTHER NON-BLOOD RELATIVES ^F10
^F11 THE CHILD IS IN CUSTODY OF SOCIAL SERVICES ^F11
^F12 OTHER (SPECIFY) ^F12
Logic after:
If FN6N095 = 12 (other), go to FN6N095s
FN6N095: Add a consistency check after FN6N095 if R chooses option 1 and FNCON5 NE no . CC text
should say "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT WITH FEMALE
CURRENTLY BEING INCARCERATED (FNCON5). PLEASE PROBE AS NEEDED TO SECURE
CONSISTENT RESPONSE."
Add a consistency check after FN6N095 if R chooses option 3 and (MALEINCAR=2 or 3) or
FN1F001=Dead. CC text should say: "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT WITH
^prld.NAMEFILL BEING INCARCERATED OR DEAD. PLEASE PROBE AS NEEDED TO SECURE A CONSISTENT RESPONSE."
---------------------------------------------------------------------------------
FN6N095s
9MFU Other Specify Focal Child Residence
SPECIFY OTHER
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 113 of 209
---------------------------------------------------------------------------------
Logic before:
If PARTNERFOCAL = 1 and FN1D030= Live, ask FN6N096.
FN6N096
Else, go to FN6N121.
9MFU Feelings as a Parent
Please think about how you feel about yourself as a parent to ^prld.FOCCHILD.
Would you say you are . . .
Question Type:
TType
Excel
Vgood
Good
Nogood
1
2
3
4
An excellent parent
A very good parent
A good parent
Not a very good parent
---------------------------------------------------------------------------------
FN6N097
9MFU Relationship with Focal Child
Would you say your current relationship with ^prld.FOCCHILD is..
Question Type:
TEGFP
Excel
Good
Fair
Poor
1
2
3
4
Excellent
Good
Fair
Poor
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = yes, ^lcfill should say "^prld.FOCCHILD during this incarceration.". If FNCON5 = no,
^lcfill should say "^prld.FOCCHILD.".
FN6R039
9MFU Parental Warmth Intro
For the next set of questions, I'd like you to think about what things are like when you see or
communicate with ^lcfill
On average, how often do you do each of the following with ^prld.FOCCHILD when you communicate with
^FOCSEX2?
Question Type:
Tnext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FNCON5=no then the first 4 response options should be bolded on only those four should be
eligible for selection. If FNCON5=yes, then all response options should be bolded and eligible for
selection. CC text reads: NO CONTACT IS NOT LOGICALLY CONSISTENT WITH YOUR OTHER RESPONSES.
FN6R039a
9MFU Parental Warmth 1
Hug or show physical affection to ^prld.FOCCHILD?
Question Type:
Tphysical
Always
Usually
Sometimes
Never
NoContact
1
2
3
4
5
^F1
^F2
^F3
^F4
^F5
Always ^F1
Usually ^F2
Sometimes ^F3
Never ^F4
Physical contact is not permitted during visits at your facility ^F5
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 114 of 209
---------------------------------------------------------------------------------
FN6R040
9MFU Parental Warmth 2
[USE SHOWCARD 36]
Tell ^prld.FOCCHILD that you love ^FOCSEX2?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
FN6R041
9MFU Parental Warmth 3
Communicate with ^prld.FOCCHILD about things ^FOCSEX1 is interested in?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
FN6R042
9MFU Parental Warmth 4
Praise ^prld.FOCCHILD? By praise, we mean tell the child that ^FOCSEX1 is good in some way or that
^FOCSEX1 has done something well.
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Logic before:
If FN1F001= Dead, skip to FN6N103. If MALEINCAR = 2, ask FN6N099. Else go to FN6N099a.
FN6N099
9MFU Arguments over Focal Child
Parenting with another person can be challenging.
Do you and ^prld.Namefill have arguments about ^prld.FOCCHILD?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 115 of 209
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, ask FN6N099a.
FN6N099a
9MFU Count on One Another
How often can you and ^prld.Namefill count on one another to follow through on your parenting
responsibilities?
Question Type:
TOSRN2
Often
Sometimes
Rarely
Never
NotAp
1
2
3
4
5
Often
Sometimes
Rarely
Never
Not applicable
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 2, ask FN6N100. Else go to FN6N101p.
FN6N100
9MFU Decisions about Child/Health Care
[USE SHOWCARD 37]
Who makes major decisions about things such as child care and health care for ^prld.FOCCHILD?
Question Type:
TDecisionsP
Both
Mother
Respondent
Someelse
1
2
3
4
^prld.Namefill and you make most of the decisions together
^prld.Namefill makes most decisions without you
You make most decisions without ^prld.namefill
Someone else involved in raising the child makes most decisions without
you or ^prld.namefill
5 You and someone else involved in raising the child make most of the
decisions
RandOther
---------------------------------------------------------------------------------
FN6N101p
9MFU Focal Child s Relationship with Father
Please rate ^prld.FOCCHILD's relationship with ^prld.NAMEFILL.
Would you say it is . . .
Question Type:
TEGFP
Excel
Good
Fair
Poor
1
2
3
4
Excellent
Good
Fair
Poor
---------------------------------------------------------------------------------
Logic before:
If FN1G062a (for focal child) "GE" 4, go to FN6N103.
FN6N103
9MFU Focal Child Attend School
Does ^prld.FOCCHILD attend school?
Question Type:
By school I mean kindergarten through college.
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FN6N103 = yes, go to FN6N104. Else go to FN6N107.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 116 of 209
---------------------------------------------------------------------------------
FN6N104
9MFU Grade Level
What grade is ^prld.FOCCHILD in?
Question Type:
TGrade
Kinger
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Nineth
Tenth
Eleventh
Twelveth
College
Other
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
KINDERGARTEN
1st GRADE
2nd GRADE
3rd GRADE
4th GRADE
5th GRADE
6th GRADE
7th GRADE
8th GRADE
9th GRADE
10th GRADE
11th GRADE
12th GRADE
COLLEGE
OTHER, SPECIFY
Logic after:
If FN6N104 = other, go to FN6N104s. Else go to FN6N105.
---------------------------------------------------------------------------------
FN6N104s
9MFU Other Specify
SPECIFY OTHER
Question Type:
STRING[25]
---------------------------------------------------------------------------------
FN6N105
9MFU School Assessment Overall
[USE SHOWCARD 38]
Based on your knowledge of ^prld.FOCCHILD's school work, including ^FOCSEX3 most recent report
cards, how is ^FOCSEX1 doing in school overall?
Would you say . . .
Question Type:
TAverage
Well
Below
Average
Above
WellA
1
2
3
4
5
Well below average
Below average
Average
Above average
Well above average
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 117 of 209
---------------------------------------------------------------------------------
FN6N106
9MFU Extracurricular Activities
Based on your knowledge, does ^FOCSEX1 participate in any sports, clubs, organizations, or programs
after school or on weekends?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN1G062a for ^FOCCHILD GE 4, ask FN6N107.
FN6N107
If FN1G062a for ^FOCCHILD LT 4, skip to FN6N115i.
9MFU NSCH Behavior 1
[USE SHOWCARD 39]
[POINT TO ONE MONTH AGO ON REFERENCE CALENDAR]
I'm going to read a list of behaviors that sometimes describe children. For each item, please tell
me how often this has been true for ^prld.FOCCHILD during the past 1 month.
^prld.FOCCHILD bullies, or is cruel or mean to others.
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Would you say. . .
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
FN6N108
9MFU NSCH Behavior 2
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
^prld.FOCCHILD shows respect for teachers and neighbors.
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 118 of 209
---------------------------------------------------------------------------------
FN6N109
9MFU NSCH Behavior 3
. . .gets along well with other children
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
FN6N110
9MFU NSCH Behavior 4
. . .is disobedient
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
FN6N111
9MFU NSCH Behavior 5
. . .is stubborn, sullen, or irritable
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
FN6N112
9MFU NSCH Behavior 6
. . .feels worthless or inferior
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 119 of 209
---------------------------------------------------------------------------------
FN6N113
9MFU NSCH Behavior 7
. . .is unhappy, sad, or depressed
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
FN6N114
9MFU NSCH Behavior 8
. . .is withdrawn, and does not get involved with others
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
FN6N115i
9MFU Raising a child can be difficult
Raising children can be difficult these days. Has ^prld.FOCCHILD ever had any of the following
problems?
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FN1G062a GE 4, ask FN6N115. Else, go to FN6N117.
FN6N115
9MFU New Hope 1
Being suspended or expelled from school?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN6N116
9MFU New Hope 2
Needing to repeat a grade in school?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 120 of 209
---------------------------------------------------------------------------------
FN6N117
9MFU New Hope 3
Being placed in foster care, or being sent to live with a friend or relative?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN1G062a for focal child is "GE" 10, go to FN6N118. Else go to FN6N121.
FN6N118
9MFU New Hope 4
Running away?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN6N119
9MFU New Hope 5
Getting into trouble for using alcohol or drugs?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN6N120
9MFU New Hope 6
Getting into trouble with the police?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 121 of 209
---------------------------------------------------------------------------------
FN6N121
9MFU Fatherhood Attitude 1
[FI NOTE: THIS SERIES APPLIES TO ALL RESPONDENTS.]
[USE SHOWCARD 40]
Here are some statements that men have made about their role as fathers. For each of the following
statements, please indicate how strongly you agree or disagree.
It's hard for men to act loving toward children.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6N122
9MFU Fatherhood Attitude 2
Fathers should spend as much time taking care of their children as mothers.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6N123
9MFU Fatherhood Attitude 3
The way a father treats his child will affect the child later in life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6N124
9MFU Fatherhood Attitude 4
The activities a father does with his children don't matter. What matters more is whether he
supports them financially.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 122 of 209
---------------------------------------------------------------------------------
FN6N125
9MFU Fatherhood Attitude 5
It is sometimes OK for fathers to physically discipline their children, such as hitting or spanking
them.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6N126
9MFU Fatherhood Attitude 6
Incarcerated fathers can still be good role models for their children.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6N127
9MFU Fatherhood Attitude 7
Incarcerated fathers can still be involved in making decisions about their children's lives.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 123 of 209
Social Support
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, ^lcfill should say "or your ^children". Else do not fill.
FN6L128
Extended Family Support 1
[USE SHOWCARD 40]
Now I'd like to ask about how you currently feel about your relationships with your family members
other than ^prld.Namefill ^childfill. This would mean your parents, siblings, cousins, or other
family members. Please tell me whether you strongly agree, agree, disagree, or strongly disagree
with the following statements.
You feel close to your family.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6L129
Extended Family Support 2
You have family members who will stand by you no matter what.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6L130
Extended Family Support 3
You want your family to be involved in your life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6L131
Extended Family Support 4
You are criticized a lot or put down by your family.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 124 of 209
---------------------------------------------------------------------------------
FN6L132
Extended Family Support 5
You have someone in your family to talk to about yourself or your problems.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN6L133
Extended Family Support 6
You have someone in your family to love you and make you feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 125 of 209
ACASI Intro
---------------------------------------------------------------------------------
FNACASI1
9MFU ACASI 1
This study promises to keep the information you provide entirely confidential. However, there are
some questions people might prefer to answer privately. For that reason, some sections of this
interview are designed for you to enter answers into the laptop yourself. When you enter answers
into the laptop, I will not know your answers. Please be as honest as you can while completing
these sections. I'll help you begin with some practice questions that will show you how the laptop
works.
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FN1F001 = Alive ask FNACASI1a. If FN1F001 = Dead, skip to FNACASI2.
FNACASI1a
9MFU ACASI 1a
As you know, you were referred to us for this study by ^prld.Namefill.
will refer to ^prld.Namefill as your, "Survey Partner".
In this next section, we
[POINT TO SURVEY PARTNER ON GENOGRAM. BE SURE THAT THE RESPONDENT CAN SEE THE GENOGRAM WHILE
COMPLETING THE ACASI PORTION OF THE INTERVIEW.]
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FNACASI2
9MFU ACASI 2
[INTERVIEWER: MAKE SURE THE RESPONDENT CAN SEE THE COMPUTER SCREEN]
[POINT TO ON/OFF BUTTON]
First, this button up here turns the machine on and off.
Please do not press it!
Question Type:
It will turn the machine off, and we'll lose the interview.
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FNACASI2a
9MFU ACASI 2a
[POINT TO THE ROW OF NUMBER KEYS]
These are the number keys. You'll use these keys to answer most questions.
[POINT TO THE ENTER KEY]
After typing your answer, you'll need to press the Enter key to go to the next question.
Question Type:
TContinue
Continue
1 Continue
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 126 of 209
---------------------------------------------------------------------------------
FNACASI3
9MFU ACASI 3
If you want to go back and change a previous answer, you can press the up-arrow to return to an
earlier question.
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FNACASI4
9MFU ACASI 4
Here is a question asking if I rent my home. I can press 1 for Yes or 2 for No.
press 1 to answer Yes.
I am going to
[POINT TO BOTTOM OF THE SCREEN]
The number 1 appears at the bottom of the screen. Next I'll press the Enter key to go to the next
screen.
Do you rent your home?
Question Type:
TYESNOCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FNACASI5
9MFU ACASI 5
Here is a new screen.
I want to go back and change my answer about renting my home.
[POINT TO THE UP ARROW KEY]
Here is the up arrow. By pressing this, you can return to a previous question. I will press it
once to backup one question. Watch as I change the answer to 2 and then hit enter to move forward
again.
[PRESS UP ARROW, PRESS 2, PRESS ENTER TWICE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 127 of 209
---------------------------------------------------------------------------------
FNACASI6
9MFU ACASI 6
Let me show you some other features on this laptop.
[POINT TO THE ROW OF FUNCTION KEYS] Above the number keys are the function keys.
[POINT TO F3]
If you don't know the answer to a question, you can press F3.
[PRESS F3] When you press F3, you will see a question mark like this appear.
[POINT TO F4] If you don't want to answer a question, you can press F4.
[PRESS F4] When you press F4, you will see an exclamation point like this appear.
Do you have any questions before I give you the laptop?
[TURN THE LAPTOP OVER TO THE RESPONDENT NOW]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FNACASI7
9MFU ACASI 7
These next few questions are for practice. Your interviewer is available to help if you have
questions. Press 1 and then the ENTER key on the right side of the keyboard to continue.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FNACASI8
9MFU ACASI 8
Some questions ask for a yes or no answer, like this one.
Press 1 for Yes or 2 for No, then press the ENTER key to continue.
Practice this now.
Do you have a dog?
Question Type:
TYESNOCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FNACASI9
9MFU ACASI 9
Some questions ask you to pick an answer from a list, like this one.
Type the number that best fits you and press ENTER. Practice this now.
What is your eye color?
Question Type:
TEyeColor
Brown
Blue
Green
Gray
Black
Other
1
2
3
4
5
6
Brown
Blue
Green
Grey
Black
Other
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 128 of 209
---------------------------------------------------------------------------------
FNACASI10
9MFU ACASI 10
Some questions ask you to enter a number. For these questions, you will press the number you wish
to select. When you have finished pressing the number, press ENTER. Practice this now.
How many cups of coffee do you drink each day?
each day during a typical day.
Question Type:
Please enter the number of cups of coffee you drink
0..100
---------------------------------------------------------------------------------
FNACASI11
9MFU ACASI 11
Some questions ask how much you agree or disagree with a statement. For these questions, you will
press the number you wish to select. When you have finished pressing the number, press ENTER.
Practice this now.
I like it when it rains.
Would you say....
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FNACASI12
9MFU ACASI 12
Some questions will ask you how often you do something. For these questions, you will press the
number you wish to select. When you have finished pressing the number, press ENTER. Practice this
now.
How often do you read the newspaper?
Would you say....
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 129 of 209
---------------------------------------------------------------------------------
Logic before:
Allow R to select all that apply.
FNACASI13
9MFU ACASI 13
Some questions let you select more than one answer. For these questions, you will press the space
bar between the numbers you select.
To select more than one kind of music from the list, press the space bar between each number that
you type. When you have finished, press ENTER to pick all the types of music you have selected.
Practice this now.
What kinds of music do you listen to?
Question Type:
Tmusic
Classical
Country
HipHop
Jazz
Latin
Folk
Pop
Soul
Techno
1
2
3
4
5
6
7
8
9
Classical
Country
Hip Hop
Jazz
Latin American/Spanish
Other Folk/Ethnic
Pop/Rock
Soul/R&B
Techno
---------------------------------------------------------------------------------
Logic before:
Bold the response options selected in FNACASI13 and only allow one response to be selected.
FNACASI14
9MFU ACASI 14
Some questions will ask you to choose the answer that best fits based on answers to a previous
question.
For these questions, you will see that your answers from the previous question are darker than the
other possible answers. You will only be allowed to select among those answers which are darker.
When you have finished, press ENTER. Practice this now.
Which of the following types of music do you listen to most?
Question Type:
Tmusic2
Classical
Country
HipHop
Jazz
Latin
Folk
Pop
Soul
Techno
1
2
3
4
5
6
7
8
9
^F1
^F2
^F3
^F4
^F5
^F6
^F7
^F8
^F9
Classical ^F1
Country ^F2
Hip Hop ^F3
Jazz ^F4
Latin American/Spanish ^F5
Other Folk/Ethnic ^F6
Pop/Rock ^F7
Soul/R&B ^F8
Techno ^F9
---------------------------------------------------------------------------------
FNACASI15
9MFU ACASI 15
Next are more interview questions that you will answer on your own. If you have any questions about
how to use the computer, you can ask your interviewer. Please tell the interviewer if you would
like help reading the screens.
Press 1 and then the Enter key to begin.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 130 of 209
Criminal History
---------------------------------------------------------------------------------
Logic before:
If FEMBASE = 2 (female did not participate in baseline interview), ask FNACASI1C001a. If FEMBASE =
1, go to FNACASIJ006.
FNACASI1C001a
9MFU Criminal Intro
The next set of questions are about events and experiences in the past.
First, I'm going to ask you some questions about your involvement with the criminal justice system.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = no, ask FNCASAI1C001.
FNACASI1C001
If FNCON5 = yes, skip to FNACASI1C002
9MFU Ever Arrested
Have you ever been arrested?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FNACASI1C001 = yes, ask FNACASI1C002.
FNACASI1C002
Else, go to FNACASIJ006.
9MFU Number of Arrest
How many times in your life have you been arrested? Please count all arrests, not just those that
led to a conviction.
Your best estimate is fine.
Question Type:
0..100
---------------------------------------------------------------------------------
FNACASI1C003
9MFU Number of Convictions
How many times in your life have you been convicted of a crime?
Question Type:
0..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 131 of 209
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = yes, ask FNACASI1C003a. Else, skip to FNACASI1C004
FNACASI1C003a
9MFU Number of Adult Incar if Currently Incar
Not counting your current term of incarceration, have you ever served time in a jail or prison for
more than 24 hours at one time? Do not include any time you may have spent in a juvenile facility
in your answer.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes to FNACASI1C003a, go to FNACASI1C003b. Else, go to FNACASIJ006.
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = yes, ask FNACASI1C003b. Else, skip to FNACASI1C004.
FNACASI1C003b
9MFU Number of Incarcerations in Life if Currently
Not counting your current term of incarceration, how many times in your life have you been sent to
prison or jail for more than 24 hours? Do not include any time you may have spent in a juvenile
facility in your answer.
Please enter the number of separate times you were booked into prison/jail.
Question Type:
0..100
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = no, ask FNACASI1C004.
FNACASI1C004
9MFU Number of Adult Incarceration
Have you ever been in a jail or prison for more than 24 hours at one time? Do not include any time
you may have spent in a juvenile facility in your answer.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FNACASI1C004=yes, go to FNACASI1C005. Else, go to FNACASIJ006.
---------------------------------------------------------------------------------
FNACASI1C005
9MFU Number of Incarcerations in Life
How many times in your life have you been sent to prison or jail for more than 24 hours? Do not
include any time you may have spent in a juvenile facility in your answer.
Please enter the number of separate times you were booked into prison/jail.
Question Type:
1..999
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 132 of 209
Housing
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = yes, skip to FNACASI6O012. If FN5J002 = yes, ^lcfill should say "other than your Survey
Partner"
FNACASIJ006
9MFU Current Housepartner Correctional Facility
Has anyone you are currently living with ^lcfill ever been to jail, prison or some other
correctional institution?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FNACASIJ007
9MFU Current Housepartner Drug Use
Do any of the people you are currently living with use illegal drugs?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 133 of 209
Substance Use
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE = 1, skip to FNACASI6O012p. If FEMINCARSTATE = 2, ^lcfill1 should say "over the
past nine months, during your time on the outside.", and ^lcfill2 should say "over the past nine
months, during your time on the outside,". If FEMINCARSTATE = 3, ^lcfill1 should say "during the
past nine months.", and ^lcfill2 should say "during the past nine months,".
FNACASI6O012
9MFU Substances Used
For these next questions, it may be helpful to look at the reference calendar and think about your
life ^lcfill1
Please tell me which of the following substances you have used ^lcfill2 even just once.
that apply.
Select all
To select more than one substance from the list, press the space bar between each number that you
type. When you have finished, press ENTER to pick all the types of substances you have selected.
Question Type:
TSubstance
Alcohol
Marijuana
Pcoke
Ccoke
Heroin
Meth
Other
Hallucin
Prescription
Methadone
NoUse
1
2
3
4
5
Alcohol
Marijuana or hashish
Powder cocaine
Crack cocaine
Heroin (this includes smoking, sniffing, snorting, and injecting heroin)
6 Methamphetamine
7 Other amphetamines, such as monster, crank, or ice
8 Hallucinogens or designer drugs, such as ecstasy, LSD, acid, mushrooms,
mescaline, peyote, green, PCP, or angel dust
9 Prescription medications without a prescription or for other reasons
than were prescribed, or in larger amounts, or more often than your
doctor ordered. This includes sedatives, tranquilizers, stimulants, pain
relievers, opiates, or anabolic steroids
10 Methadone without a prescription or for other reasons than were
prescribed, or in larger amounts, or more often than your doctor ordered
11 DID NOT USE ANY ALCOHOL OR DRUGS
Logic after:
If FNACASI6O012 includes more than one response, go to FNACASI6O013.
FNACASIO012 = "DID NOT USE", go to FNACASI6O012p.
Else, go to FNACASI6O008a. If
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 134 of 209
---------------------------------------------------------------------------------
Logic before:
Use special font for the response options that were selected in the previous question. If
FEMINCARSTATE = 2, ^lcfill should say "over the past nine months, during your time on the outside?"
If FEMINCARSTATE = 3, ^lcfill should say "during the past nine months?"
FNACASI6O013
9MFU Substances Since Last Int
Which of the following have you used the most ^lcfill
Question Type:
TDrugs2
Alcohol
Marijuana
Powder
Crack
Heroin
1
2
3
4
5
Meth
Other
Hallucinogens
6
7
8
Prescriptions
9
Methadone
10
^F1 Alcohol ^F1
^F2 Marijuana or hashish ^F2
^F3 Powder cocaine ^F3
^F4 Crack cocaine ^F4
^F5 Heroin (this includes smoking, sniffing, snorting, and injecting
heroin) ^F5
^F6 Methamphetamine ^F6
^F7 Other amphetamines, such as monster, crank, or ice ^F7
^F8 Hallucinogens or designer drugs, such as ecstasy, LSD or acid,
mushrooms, mescaline, peyote, green, PCP, or angel dust ^F8
^F9 Prescription medication without a prescription or for other reasons
than were prescribed, or in larger amounts, or more often than your
doctor ordered. Include sedatives, tranquilizers, stimulants, pain
relievers, opiates, or anabolic steroids ^F9
^F10 Methadone without a prescription or for other reasons than were
prescribed, or in larger amounts, or more often than your doctor ordered
^F10
---------------------------------------------------------------------------------
Logic before:
If FNACASI6O012 includes 1 (alcohol), ask FNACASI6O008a. Else go to FNACASI6O008e.If FEMINCARSTATE
= 2, ^lcfill1 should say "over the past nine months, during your time on the outside." If
FEMINCARSTATE = 3, ^lcfill1 should say "during the past nine months."
FNACASI6O008a
9MFU CAGE 1
Now, I'd like you to think about your drug and alcohol use ^lcfill1
Have you felt you should cut down on your drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FNACASI6O008b
9MFU CAGE 2
Have people ever annoyed you by complaining about your drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 135 of 209
---------------------------------------------------------------------------------
FNACASI6O008c
9MFU CAGE 3
Have you felt bad or guilty about your drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FNACASI6O008d
9MFU CAGE 4
Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover
(otherwise known as an "eye-opener")?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FNACASI6O012 includes any responses 2-10 (drugs other than alcohol) ask FNACASI6O008e. Else go
to FNACASI6O009. If FEMINCARSTATE = 2, ^lcfill1 should say "Over the past nine months, during your
time on the outside..." If FEMINCARSTATE = 3, ^lcfill1 should say "During the past nine months..."
FNACASI6O008e
9MFU CAGE 5
^lcfill1
Have you ever felt you should cut down on your drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FNACASI6O008f
9MFU CAGE 6
Have people ever annoyed you by complaining about your drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FNACASI6O008g
9MFU CAGE 7
Have you felt bad or guilty about your drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 136 of 209
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE = 2, ^lcfill should say "Over the past nine months, during your time on the
outside," If FEMINCARSTATE = 3, ^lcfill should say "During the past nine months,"
FNACASI6O009
9MFU Experience Problems with Anger
^lcfill how often have you experienced problems with anger when you have been drinking or using
drugs?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE = 2, ^lcfill should say "Over the past nine months, during your time on the
outside," If FEMINCARSTATE = 3, ^lcfill should say "During the past nine months,"
FNACASI6O010
9MFU Physically Hurt or Get Rough with Partner
^lcfill how often have you physically hurt or gotten rough with a spouse or partner or other family
members when you have been drinking or using drugs?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If FNACASI6O012 includes 1 (alcohol), ask FNACASI6O011. Else go to FNACASI6O012p. If FEMINCARSTATE
= 2, ^lcfill should say "Over the past nine months, during your time on the outside," If
FEMINCARSTATE = 3, ^lcfill should say "During the past nine months,"
FNACASI6O011
9MFU Five or More Drinks
^lcfill how often have you had 5 or more drinks of beer, wine, or liquor on the same occasion? By
'drink', we mean a bottle or can of beer, a wine cooler or a glass of wine, a shot of liquor, or a
mixed drink or cocktail. By 'occasion', we mean at the same time or within a couple of hours of
each other.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 137 of 209
---------------------------------------------------------------------------------
Logic before:
If (RELATIONSHIP STATUS = 1 or RELSTATUSFU = 1) and (MALEINCAR = 1 or 3) and FN1F001 = Alive, ask
FNACASI6O012p. Else, skip to FNACASI7O024p. If MALEINCAR = 1 (released), ^lcfill1 should say
"during the past nine months.", and ^lcfill2 should say "during the past nine months,". If
MALEINACR = 3 (reincarcerated), ^lcfill1 should say "over the past nine months, during his time on
the outside.", and ^lcfill2 should say "over the past nine months, during his time on the outside,".
FNACASI6O012p
9MFU Substances Partner Used
These next questions ask about @Byour Survey Partner's@B substance use ^lcfill1
For these questions, it may be helpful to look at the reference calendar.
Please tell me which of the following substances @Byour Survey Partner@B used ^lcfill2 even just
once. Select all that apply.
To select more than one substance from the list, press the space bar between each number that you
type. When you have finished, press ENTER to pick all the types of substances you have selected.
Question Type:
TSubstance
Alcohol
Marijuana
Pcoke
Ccoke
Heroin
Meth
Other
Hallucin
Prescription
Methadone
NoUse
1
2
3
4
5
Alcohol
Marijuana or hashish
Powder cocaine
Crack cocaine
Heroin (this includes smoking, sniffing, snorting, and injecting heroin)
6 Methamphetamine
7 Other amphetamines, such as monster, crank, or ice
8 Hallucinogens or designer drugs, such as ecstasy, LSD, acid, mushrooms,
mescaline, peyote, green, PCP, or angel dust
9 Prescription medications without a prescription or for other reasons
than were prescribed, or in larger amounts, or more often than your
doctor ordered. This includes sedatives, tranquilizers, stimulants, pain
relievers, opiates, or anabolic steroids
10 Methadone without a prescription or for other reasons than were
prescribed, or in larger amounts, or more often than your doctor ordered
11 DID NOT USE ANY ALCOHOL OR DRUGS
Logic after:
If FNACASI6O012p = "DID NOT USE", go to FNACASI7O024p. If FNACASI6O012p includes more than one
response, go to FNACASI6O013p. Else, go to FNACASI6O014p.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 138 of 209
---------------------------------------------------------------------------------
Logic before:
Use special font for the response options that were selected in the previous question. If MALEINCAR
= 1 (released), ^lcfill should say "during the past nine months?" If MALEINACR = 3
(reincarcerated), ^lcfill should say "over the past nine months, during his time on the outside?"
FNACASI6O013p
9MFU Substances Partner Used Most
Which of the following did @Byour Survey Partner@B use the most ^lcfill
Question Type:
TDrugs2
Alcohol
Marijuana
Powder
Crack
Heroin
1
2
3
4
5
Meth
Other
Hallucinogens
6
7
8
Prescriptions
9
Methadone
10
^F1 Alcohol ^F1
^F2 Marijuana or hashish ^F2
^F3 Powder cocaine ^F3
^F4 Crack cocaine ^F4
^F5 Heroin (this includes smoking, sniffing, snorting, and injecting
heroin) ^F5
^F6 Methamphetamine ^F6
^F7 Other amphetamines, such as monster, crank, or ice ^F7
^F8 Hallucinogens or designer drugs, such as ecstasy, LSD or acid,
mushrooms, mescaline, peyote, green, PCP, or angel dust ^F8
^F9 Prescription medication without a prescription or for other reasons
than were prescribed, or in larger amounts, or more often than your
doctor ordered. Include sedatives, tranquilizers, stimulants, pain
relievers, opiates, or anabolic steroids ^F9
^F10 Methadone without a prescription or for other reasons than were
prescribed, or in larger amounts, or more often than your doctor ordered
^F10
---------------------------------------------------------------------------------
Logic before:
If FNACASI6O012p includes 1 (alcohol), ask FNACASI6O014p. Else, go to FNACASI6O018p. If MALEINCAR
= 1 (released), ^lcfill1 should say "during the past nine months.", and ^lcfill2 should say "Has
@Bhe@B felt". If MALEINACR = 3 (reincarcerated), ^lcfill1 should say "over the past nine months,
during his time on the outside.", and ^lcfill2 should say "Did @Bhe@B feel".
FNACASI6O014p
9MFU CAGE 1
Now I'd like you to think back to @Byour Survey Partner's@B alcohol use ^lcfill1
^lcfill2 @Bhe@B should cut down on @Bhis@B drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "Have people ever annoyed". If MALEINACR = 3
(reincarcerated), ^lcfill should say "Did people ever annoy".
FNACASI6O015p
9MFU CAGE 2
^lcfill @Bhim@B by complaining about @Bhis@B drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 139 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "Has @BheB@ ever felt". If MALEINACR = 3
(reincarcerated), ^lcfill should say "Did @Bhe@B ever feel".
FNACASI6O016p
9MFU CAGE 3
^lcfill bad or guilty about @Bhis@B drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "Has @BheB@ ever had". If MALEINACR = 3
(reincarcerated), ^lcfill should say "Did @Bhe@B ever have".
FNACASI6O017p
9MFU CAGE 4
^lcfill a drink first thing in the morning to steady @Bhis@B nerves or get rid of a hangover
(otherwise known as an "eye-opener")?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FNACASI6O012p includes any responses 2-10 (drugs other than alcohol), ask FNACASI6O018p. Else,
go to FNACASI6O021p. If MALEINCAR = 1 (released), ^lcfill1 should say "during the past nine
months.", and ^lcfill2 should say "Has @Bhe@B ever felt". If MALEINACR = 3 (reincarcerated),
^lcfill1 should say "over the past nine months, during his time on the outside.", and ^lcfill2
should say "Did @Bhe@B ever feel".
FNACASI6O018p
9MFU CAGE 5
Now I'd like you to think back to @Byour Survey Partner's@B drug use ^lcfill1
^lcfill2 @Bhe@B should cut down on @Bhis@B drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "Have people ever annoyed". If MALEINACR = 3
(reincarcerated), ^lcfill should say "Did people ever annoy".
FNACASI6O019p
9MFU CAGE 6
^lcfill @Bhim@B by complaining about @Bhis@B drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 140 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "Has @BheB@ ever felt". If MALEINACR = 3
(reincarcerated), ^lcfill should say "Did @Bhe@B ever feel".
FNACASI6O020p
9MFU CAGE 7
^lcfill bad or guilty about @Bhis@B drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "During the past nine months, how often has @Byour
Survey Partner@B experienced problems with anger when @Bhe@B has been drinking or using drugs?" If
MALEINACR = 3 (reincarcerated), ^lcfill should say "Over the past nine months, during his time on
the outside, how often did @Byour Survey Partner@B experience problems with anger when @Bhe@B had
been drinkning or using drugs?"
FNACASI6O021p
9MFU Experience Problems with Anger
^lcfill
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "During the past nine months, how often has @Byour
Survey Partner@B physically hurt or gotten rough with you or other family members while @Bhe@B has
been drinking or using drugs?" If MALEINACR = 3 (reincarcerated), ^lcfill should say "Over the
past nine months, during his time on the outside, how often did @Byour Surevy Partner@B physically
hurt or get rough with you or other family members when @Bhe@B had been drinking or using drugs?"
FNACASI6O022p
9MFU Physically Hurt or Get Rough with Partner
^lcfill
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 141 of 209
---------------------------------------------------------------------------------
Logic before:
If FNACASI6O012p includes 1 (alcohol), ask FNACASI6O023p. Else, go to FNACASI7O024p. If MALEINCAR
= 1 (released), ^lcfill should say "During the past nine months, how often has @byour Survey
Partner@B had" If MALEINACR = 3 (reincarcerated), ^lcfill should say "Over the past nine months,
during his time on the outside, how often did @Byour Survey Partner@B have".
FNACASI6O023p
9MFU Five or More Drinks
^lcfill 5 or more drinks of beer, wine, or liquor on the same occasion? By 'drink', we mean a
bottle or can of beer, a wine cooler or a glass of wine, a shot of liquor, or a mixed drink or
cocktail. By 'occasion', we mean at the same time or within a couple of hours of each other.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If (RELATIONSHIP STATUS = 1 or RELSTATUSFU = 1) and (MALEINCAR = 2 or 3) AND FN3Q000a = yes AND
FN1F001 = Alive, ask FNACASI7O024p. Else go to FNACASI7O025.
FNACASI7O024p
9MFU Use of Illegal Drugs Post-Release
For the next question, please think about when @Byour Survey Partner@B is released from
incarceration.
How likely is it that he will use any illegal drugs after release?
Please answer based on your realistic expectations.
Question Type:
TLikely
Very
Likely
Unlikely
VeryUn
1
2
3
4
Very likely
Likely
Unlikely
Very unlikely
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 1 AND FNACASI6O012 NE NoUse AND FN1F001 = Alive, ask FNACASI7O025. Else go to
FNACASIV056.
FNACASI7O025
9MFU Female Substance Use Change Since Male Releas
Since your Survey Partner was released, are @Byou@B drinking alcohol or using drugs more, less or
about the same as when he was incarcerated?
Question Type:
TMrLssSme
More
Less
Same
1 MORE
2 LESS
3 ABOUT THE SAME
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 142 of 209
Partner Relationship Quality
---------------------------------------------------------------------------------
Logic before:
If FN1F001 = dead, skip to ACASIEND1. If RELSTATUSFU = 1 (romantically involved with spouse or
romantically involved with non-spousal partner at follow-up) OR RELATIONSHP STATUS = 1 (one or both
parties considered their relationship to be romantic at baseline), ask FNACASIV056. Else, skip to
FNACASIV062.
FNACASIV056
9MFU DAS 1
Now, I'm going to ask you some questions about your romantic relationship with your Survey Partner.
Please remember that all information you provide will be kept strictly confidential.
On a scale from 1 to 10 where 1 means not at all happy and 10 means perfectly happy, which number
best describes your happiness with your relationship now?
Question Type:
1..10
---------------------------------------------------------------------------------
FNACASIV057
9MFU DAS 2
How often do you and your Survey Partner agree on displays of affection? By displays of affection,
I mean holding hands, hugging, kissing, or other kinds of physical affection.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FNACASIV058
9MFU DAS 3
How often have you discussed or considered divorce, separation, or ending your current relationship?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FNACASIV059
9MFU DAS 4
In general, how often do you think that things between you and your Survey Partner are going well?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 143 of 209
---------------------------------------------------------------------------------
FNACASIV060
9MFU DAS 5
Do you confide in your Survey Partner? By confide, I mean share secrets or personal, sensitive
information.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FNACASIV061
9MFU DAS 6
Do you ever regret getting into your current relationship?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If RELSTATUSFU = 2 AND RELATIONSHIP STATUS = 2, ^lcfill should say "Now, I'm going to ask you some
questions about your relationship with your Survey Partner. You may find it helpful to look at the
chart in front of you that shows who your Survey Partner is." Else do not fill.
FNACASIV062
9MFU DAS 7
^lcfill How often do you and your Survey Partner calmly discuss something?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FNACASIV063
9MFU DAS 8
How often do you and your Survey Partner work together on something?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 144 of 209
---------------------------------------------------------------------------------
FNACASIV064
9MFU Communication 1
Even when arguing, you and your Survey Partner can keep a sense of humor.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FNACASIV065
9MFU Communication 2
Your arguments get very heated.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FNACASIV066
9MFU Communication 3
Small issues suddenly become big arguments.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FNACASIV067
9MFU Communication 4
You are good at working out your differences with each other.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 145 of 209
---------------------------------------------------------------------------------
FNACASIV068
9MFU Communication Skills 1
When discussing issues, you repeat back what your Survey Partner says to make sure you understand
him.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FNACASIV069
9MFU Communication Skills 2
When your talks begin to get out of hand, you agree to stop them and talk later.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FNACASIV070
9MFU Communication Skills 3
When discussing issues you allow your Survey Partner to finish talking before you respond.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FNACASIV071
9MFU Communication Skills 4
Your Survey Partner interrupts you when you are talking.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 146 of 209
---------------------------------------------------------------------------------
Logic before:
If RELATIONSHIP STATUS = 1 (one or both parties considered their relationship to be romantic at
baseline) or RELSTATUSFU = 1 (romantically involved with spouse or romantically involved with nonspousal partner at follow-up), ask FNACASIV072. Else, go to FNACASIV085.
FNACASIV072
9MFU Forgive Partner
You are usually able to forgive your Survey Partner.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FNACASIV073
9MFU Fidelity 1
How often are you tempted to have sexual or romantic contact with someone other than your Survey
Partner?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FNACASIV074
9MFU Fidelity 2
During your relationship with your Survey Partner, was there ever a time when you had sexual or
romantic contact with someone else?
Would you say . . .
Question Type:
TYesNoMaybe
Yes
No
Maybe
1 Yes
2 No
3 Maybe
---------------------------------------------------------------------------------
FNACASIV075
9MFU Fidelity 3
How much do you agree or disagree with the following statements?
You know you can count on your Survey Partner to remain faithful to you. By faithful, we mean never
having sexual contact with anyone except you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 147 of 209
---------------------------------------------------------------------------------
FNACASIV076
9MFU Fidelity 4
You know how to avoid situations where you might be tempted to cheat on your Survey Partner.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FNACASIV077
9MFU Fidelity 5
Here are some statements about your relationship with your Survey Partner. For each one, please
tell me if you strongly agree, agree, disagree, or strongly disagree.
It is very important to you to be completely faithful to your Survey Partner. By faithful, we mean
never having sexual contact with anyone except your Survey Partner.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FNACASIV078
9MFU Fidelity 6
It is very important to you that your Survey Partner be completely faithful to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FNACASIV079
9MFU Feelings about Future of Relationship
You may not want to be with your Survey Partner a few years from now.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 148 of 209
---------------------------------------------------------------------------------
FNACASIV080
9MFU Bonding 1
You and your Survey Partner have fun together.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FNACASIV081
9MFU Bonding 2
You believe you and your Survey Partner can handle whatever conflicts will arise in the future.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FNACASIV082
9MFU Bonding 3
You feel good about your chances to make this relationship work for a lifetime.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FNACASIV083
9MFU Support 1
Your Survey Partner encourages or helps you to do things that are important to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 149 of 209
---------------------------------------------------------------------------------
FNACASIV084
9MFU Support 2
For this next question, I'd like you to tell me how often the following is true for you.
When you have problems, your Survey Partner really understands what you're going through.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If (RELATIONSHIP STATUS = 1 OR RELSTATUSFU = 1) AND (MALEINCAR = 1 or 3), ask FNACASI7V022. Else go
to FNACASIV085.
FNACASI7V022
9MFU Relationship with Partner
How easy or hard has it been to have a good relationship with your Survey Partner since he was
released?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
FNACASI7V023
9MFU Biggest Challenges Post-Release
Since he was released, what were the biggest challenges in your relationship with your Survey
Partner? Select all that apply.
Question Type:
TBChallengesFU
Find
Close
Trust
Problems
Missed
Except
Angry
PartAngry
Hedecide
NoInvolve
Other
1
2
3
4
Not knowing how to get in contact with him
Being able to feel close to him again after his time in prison
Being able to trust him after the time in prison
Problems or new situations that have come up since he was incarcerated
5 His having missed out on so much that happened in your life while he was
incarcerated
6 His trying to meet your expectations related to finding a job, staying
clean, helping you financially
7 Being angry at him or not wanting to see him
8 Him being angry at you or not wanting to see you
9 Him trying to make all of the decisions for you and your child(ren)
10 Him not getting involved enough in running the household
11 Some other challenge
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 150 of 209
---------------------------------------------------------------------------------
FNACASI7V025
9MFU Partner Support Expectations 2
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about how you and your Survey Partner have treated one another since his release.
You have loved your Survey Partner and made him feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FNACASI7V026
9MFU Partner Support Expectations 3
You have helped your Survey Partner with whatever problems he has faced.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FNACASI7V028
9MFU Partner Support Expectations 5
Your Survey Partner has loved you and made you feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FNACASI7V029
9MFU Partner Support Expectations 6
Your Survey Partner has helped you with whatever problems you have faced.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 151 of 209
---------------------------------------------------------------------------------
Logic before:
If FN1F062a = Sep or Divorce OR FN1F063a = NoRom OR FN1F064a = Rom OR FN1F065 = No OR FN1F063 = No
OR FN1F064 = No or FN1F064c = No, ask FNACASIV085. Else go to FNACASIV086.
FNACASIV085
9MFU Marriage Attitude 1
Getting and staying married is an important goal for you.
Would you say..
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If FN1F062 = No OR FN1F062a=NoRom OR FN1F063a = Marr OR FN1F064a = Marr, OR FN1F064c = yes, ask
FNACASIV086. Else go to FNACASIV087i.
FNACASIV086
9MFU Marriage Attitude 2
Staying married to your spouse for the rest of your life is an important goal for you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FNACASIV087i
9MFU Future Relationship Expectations
The next questions are about your thoughts on what could happen in your relationship with your
Survey Partner in the future. No one knows what the future holds, but we would like your best guess
about what you expect.
Please answer based on your realistic expectations, rather than what you wish for or hope will
happen.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If RELSTATUSFU NE 1, ask FNACASIV087a.
FNACASIV087a
Else go to FNACASIV087.
9MFU Become Involved with Coparent
What do you think are the chances that you and your Survey Partner will ever get into a committed
romantic relationship with each other?
Would you say. . .
Question Type:
TChance
NoC
Little
Fifty50
Good
Certain
1
2
3
4
5
No chance
A little chance
A 50-50 chance
A pretty good chance
An almost certain chance
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 152 of 209
---------------------------------------------------------------------------------
Logic before:
If FN1F063 = No (still romantically involved with non-spousal namefill at followup) OR FN1F064a =
Rom (now romantically involved with non-spousal namefill at followup), ask FNACASIV087. Else go to
FNACASIV088.
FNACASIV087
9MFU Chances of Marriage
What do you think the chances are that you will marry your Survey Partner in the future?
Would you say. . .
Question Type:
TChance
NoC
Little
Fifty50
Good
Certain
1
2
3
4
5
No chance
A little chance
A 50-50 chance
A pretty good chance
An almost certain chance
---------------------------------------------------------------------------------
Logic before:
If RELSTATUSFU = 1 (romantically involved with spouse or romantically involved with non-spousal
partner at follow-up), ask FNACASIV088. Else, skip to FNACASI2M023.
FNACASIV088
9MFU Perceived Life Changes 1
Even though it may be very unlikely, think for a moment about how various areas of your life might
be different if you and your Survey Partner split up. Then, I'll ask you how you think things might
be different for your Survey Partner. For each of the following areas, please tell me whether you
would you expect it to get better, worse, or stay the same if you split up.
Let's start with you.
How would @Byour@B financial situation change if you split up?
Would it get. . .
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
FNACASIV089
9MFU Perceived Life Changes 2
How would @Byour@B overall happiness change if you split up?
Would it get...
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 153 of 209
---------------------------------------------------------------------------------
FNACASIV090p
9MFU Perceived Life Changes 3
Now, let's think about your Survey Partner.
How would @Bhis@B financial situation change if you split up?
Would it get . . .
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
FNACASIV091p
9MFU Perceived Life Changes 4
How would @Bhis@B overall happiness change if you split up?
Would it get...
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1 ask FNACASIV092.
FNACASIV092
Else, skip to FNACASIV093.
9MFU Perceived Life Changes 5
Next, let's talk about your ^children.
How would @Byour ^children's@B overall happiness change if you and your Survey Partner split up?
Would it get..
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 154 of 209
---------------------------------------------------------------------------------
FNACASIV093
9MFU Parents Support Relationship 1
Please tell me how much you agree or disagree with the following statements about your parents'
feelings about your relationship with your Survey Partner.
Your parents want you and your Survey Partner to stay together as a couple.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FNACASIV094
9MFU Parents Support Relationship 2
Your Survey Partner's parents want you and your Survey Partner to stay together as a couple.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 155 of 209
Intimate Partner Violence
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 2 (still incarcerated), skip to FNACASIEND1.
If (RELATIONSHIP STATUS = 1 (one or both parties considered their relationship to be romantic at
baseline) or RELSTATUSFU = 1 (romantically involved with spouse or romantically involved with nonspousal partner at follow-up)) AND FEMINCARSTATE = 2 or 3, ask FNACASI2M023. Else go to
FNACASIEND1. If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "since your Survey Partner
was released and during the time that you were both on the outside.", and ^lcfill2 should say
"since your Survey Partner was released and during the time that you were both on the outside,",
and ^lcfill3 should say "did you feel". Else, ^lcfill1 should say "since your Survey Partner was
released.", and ^lcfill2 should say "since your Survey Partner was released,", and ^lcfill3 should
say "have you felt".
FNACASI2M023
9MFU Safe in Relationship
Now, I'm going to ask you some questions about your relationship ^lcfill1
It may be helpful to look at the reference calendar and think about what was happening in your life
at this time.
Please remember that we cannot share your answers with your family, friends, or acquaintances under
any circumstances.
Thinking about the time ^lcfill2 please tell me how much of the time each of these statements was
true.
How often ^lcfill3 safe in your relationship with your Survey Partner? Would you say . . .
Question Type:
TAOSRNlower
Always
Often
Some
Rarely
Never
1
2
3
4
5
Always
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill should say "did". Else, ^lcfill should say "has".
FNACASI2M024
9MFU Jealousy
How often ^lcfill your Survey Partner become jealous or possessive?
Would you say. . .
Question Type:
TAOSRNlower
Always
Often
Some
Rarely
Never
1
2
3
4
5
Always
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 156 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "did" and ^lcfrill2 should say "make".
Else, ^lcfill1 should say "has" and ^lcfill2 should say "made".
FNACASI2M025
9MFU Inadequate
How often ^lcfill1 your Survey Partner ^lcfill2 you feel like you were not good enough?
Would you say . . .
Question Type:
TAOSRNlower
Always
Often
Some
Rarely
Never
1
2
3
4
5
Always
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "was released from incarceration and
during the time that you were both on the outside @Byou@B did", and ^lcfill2 should say "did", and
^lcfill3 should say "Since he was released and during the time that you were both on the outside,",
and ^lcfill4 should say " did @Byou@B throw". Else, ^lcfill1 should say "was released from
incarceration @Byou@B have done", and ^lcfill2 should say "has done", and ^lcfill3 should say
"Since he was released from incarceration,", and ^lcfill4 should say "have you thrown".
FNACASI2M026
9MFU CTS 1
No matter how well a couple gets along, there are times when they disagree or have fights. I am
going to read a list of things that might happen when you have differences.
First, tell me how many times since your Survey Partner ^lcfill1 the following. Then I'll ask you
how many times your Survey Partner ^lcfill2 the following.
^lcfill3 how many times ^lcfill4 something at your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "throw".
Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "has" and ^lcfill3
should say "thrown".
FNACASI2M027
9MFU CTS 2
^lcfill1 how many times ^lcfill2 your Survey Partner ^lcfill3 something at you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 157 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did you push, shove, hit, slap, or
grab". Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "have you pushed,
shoved, hit, slapped, or grabbed".
FNACASI2M028
9MFU CTS 3
^lcfill1 how many times ^lcfill2 your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "push,
shove, hit, slap, or grab you?". Else, ^lcfill1 should say "Since he was released," and ^lcfill2
should say "has" and ^lcfill3 should say "pushed, shoved, hit, slapped, or grabbed you?".
FNACASI2M029
9MFU CTS 4
^lcfill1 how many times ^lcfill2 your Survey Partner ^lcfill3
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "use".
Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "have" and ^lcfill3
should say "used".
FNACASI2M030
9MFU CTS 5
^lcfill1 how many times ^lcfill2 you ^lcfill3 a knife or gun on your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 158 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "use".
Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "has" and ^lcfill3
should say "used".
FNACASI2M031
9MFU CTS 6
^lcfill1 how many times ^lcfill2 your Survey Partner ^lcfill3 a knife or gun on you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "choke,
slam, kick, burn, or beat". Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should
say "have" and ^lcfill3 should say "choked, slammed, kicked, burned, or beaten".
FNACASI2M032
9MFU CTS 7
^lcfill1 how many times ^lcfill2 you ^lcfill3 your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "choke,
slam, kick, burn, or beat". Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should
say "has" and ^lcfill3 should say "choked, slammed, kicked, burned, or beaten".
FNACASI2M033
9MFU CTS 8
^lcfill1 how many times ^lcfill2 your Survey Partner ^lcfill3 you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 159 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did you use". Else, ^lcfill1 should
say "Since he was released," and ^lcfill2 should say "have you used".
FNACASI2M034
9MFU CTS 9
^lcfill1 how many times ^lcfill2 force to make your Survey Partner have sex? Force means things
like hitting, holding down, or using a weapon.
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did", and ^lcfill3 should say "use".
Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "has", and ^lcfill3
should say "used".
FNACASI2M035
9MFU CTS 10
^lcfill1 how many times ^lcfill2 your Survey Partner ^lcfill3 force to make you have sex? Force
means things like hitting, holding down, or using a weapon.
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did you threaten". Else, ^lcfill1
should say "Since he was released," and ^lcfill2 should say "have you threatened".
FNACASI2M036
9MFU CTS 11
^lcfill1 how many times ^lcfill2 to hurt your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 160 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say
"threaten". Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "has" and
^lcfill3 should say "threatened".
FNACASI2M037
9MFU CTS 12
^lcfill1 how many times ^lcfill2 your Survey Partner ^lcfill3 to hurt you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did you threaten". Else, ^lcfill1
should say "Since he was released," and ^lcfill2 should say "have you threatened".
FNACASI2M038
9MFU CTS 13
^lcfill1 how many times ^lcfill2 to hurt your Survey Partner's child or children, family members,
or other loved ones?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, ^lcfill4 should say "^children,". Else do not fill ^lcfill4. If MALEINCAR = 3
or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time that you were
both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "threaten". Else,
^lcfill1 should say "Since he was released," and ^lcfill2 should say "has" and ^lcfill3 should say
"threatened".
FNACASI2M039
9MFU CTS 14
^lcfill1 how many times ^lcfill2 your Survey Partner ^lcfill3 to hurt your ^lcfill4 family members,
or other loved ones?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 161 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did you try". Else, ^lcfill1 should
say "Since he was released," and ^lcfill2 should say "have you tried".
FNACASI2M040
9MFU CTS 15
^lcfill1 how many times ^lcfill2 to keep your Survey Partner from seeing or talking with his
friends or family?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "try".
Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "has" and ^lcfill3
should say "tried".
FNACASI2M041
9MFU CTS 16
^lcfill1 how many times ^lcfill2 your Survey Partner ^lcfill3 to keep you from seeing or talking
with your friends or family?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did you keep money from your Survey
Partner, make him ask for money, or take money from him?". Else, ^lcfill1 should say "Since he was
released," and ^lcfill2 should say "have you kept money from your Survey Partner, made him ask for
money, or taken money from him?".
FNACASI2M042
9MFU CTS 17
^lcfill1 how many times ^lcfill2
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 162 of 209
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did your Survey Partner try to keep
money from you, make you ask for money, or take money from you?". Else, ^lcfill1 should say "Since
he was released," and ^lcfill2 should say "has your Survey Partner tried to keep money from you,
made you ask for money, or taken money from you?".
FNACASI2M043
9MFU CTS 18
^lcfill1 how many times ^lcfill2
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 163 of 209
ACASI End
---------------------------------------------------------------------------------
FNACASIEND1
9MFU End ACASI Segment
That was the last question where you are asked to answer the questions yourself. The remainder of
the questions will be asked by your interviewer.
Please press 1 and then press the Enter key before you turn the laptop back to the Interviewer.
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FNACASIEND2
9MFU Password Screen
[INTERVIEWER: PLEASE ENTER THE PASSWORD TO CONTINUE WITH THE REMAINDER OF THE INTERVIEW QUESTIONS]
Question Type:
Logic after:
string[4]
If password NE CAPI, create a consistency check such that the FI cannot continue with the remainder
of the interview questions without entering the correct password. Text should say "THIS QUESTION
REQUIRES YOU TO ENTER A PASSWORD IN ORDER TO CONTINUE WITH THE REMAINDER OF THE INTERVIEW
QUESTIONS. YOU HAVE ENTERED AN INCORRECT PASSWORD. PLEASE ENTER THE CORRECT PASSWORD TO CONTINUE.".
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 164 of 209
Criminal Behavior
---------------------------------------------------------------------------------
Logic before:
IF (MALEINCAR=2 OR MALEINCAR=3) AND FN3Q000a=yes AND FN1F001=ALIVE, ASK FN7W000.
DOMAIN ZZ.
FN7W000
ELSE SKIP TO
9MFU Release Date Intro
The next set of questions deals with ^prld.Namefill's release from prison and transition back into
the community. No one knows what the future holds, but we would like your best guess about what you
expect. Please answer based on your realistic expectations, rather than what you wish for or hope
will happen.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN7W001p
9MFU Release Date
When do you expect that ^prld.Namefill will be released from this incarceration?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TabTDate3
Month
Date
Year
1 MONTH 1...12
2 DATE 1...31
3 2008...2100
---------------------------------------------------------------------------------
FN7W002
9MFU Return to Jail/Prison
Do you think ^prld.Namefill will ever be sent back to jail or prison again, after he is released
from this incarceration?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 165 of 209
Social Support
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD "GE" 1, include "or your ^children" fill with the question text.
FN7L006
9MFU Other Family Support Expectations 1
The next set of questions are about your expectations for your relationships with family members
other than ^prld.Namefill ^childfill after ^prld.Namefill's release from prison.
Do you have a family member who will loan you money if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN7L007
9MFU Other Family Support Expectations 2
Do you have a family member who will provide you with a place to live if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN7L008
9MFU Other Family Support Expectations 3
Do you have a family member who will help you with transportation to work or other appointments if
you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN7L009
9MFU Friend Support Expectations 1
Next, I'd like to know about your expectations for your relationships with friends after
^prld.Namefill's release from prison.
Do you have a friend who will loan you money if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 166 of 209
---------------------------------------------------------------------------------
FN7L010
9MFU Friend Support Expectations 2
Do you have a friend who will provide you with a place to live if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN7L011
9MFU Friend Support Expectations 3
Do you have a friend who will help you with transportation to work or other appointments if you
need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 167 of 209
Income
---------------------------------------------------------------------------------
FN7K000
9MFU Income Intro
Next, I'd like to know more about your expectations for your financial situation after
^prld.Namefill is released.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN7K012a
9MFU Expect Partner Financial Support
When ^prld.Namefill is released from prison, do you expect that he will provide any financial
support to you?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply". Do not allow option 1 (None) to be selected with
options 2-8.
FN7K012
9MFU Financial Support
[USE SHOWCARD 41]
What sources of financial support do you expect to have in the first 1 month following
^prld.Namefill's release?
Select all that apply.
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
REQUIRED PROBE: Any other source?
Question Type:
TMoney
None
Job
Savings
PartnerSav
Family
Friends
PA
Illegal
Other
1
2
3
4
5
6
7
8
9
None
Pay from a job
Your own savings
Money from your spouse/partner's job or savings
Money from other family members
Money from your friends
Public assistance
Money from illegal sources
Some other source (SPECIFY)
Logic after:
If FN7K012 includes 9 (other), go to FN7K012s. Else, go to FN7K013p.
---------------------------------------------------------------------------------
FN7K012s
9MFU Specify Other
OTHER SPECIFY
Question Type:
STRING[50]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 168 of 209
---------------------------------------------------------------------------------
FN7K013p
9MFU Determination to Support Self
[USE SHOWCARD 42]
How easy or hard do you think it will be for ^prld.Namefill to make enough money to support
himself?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 169 of 209
Employment
---------------------------------------------------------------------------------
FN7I014p
9MFU Expected Employment Difficulty 1
Based on past experience, how easy or hard do you think it will be for ^prld.Namefill to find a
decent job?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
FN7I015p
9MFU Expected Employment Difficulty 2
Based on past experience, how easy or hard do you think it will be for ^prld.Namefill to @Bkeep@B a
job?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 170 of 209
Housing
---------------------------------------------------------------------------------
FN7J016
9MFU Reside with Partner Post-Release
Do you expect to live with ^prld.Namefill after his release?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If (PARTNERFOCAL = 0 or FN1D030 = dead), skip to FN7J019. Else ask FN7J017p.
FN7J017p
9MFU Reside with Focal Child Post-Release
Do you expect ^prld.Namefill to live with ^prld.FOCCHILD after his release?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN7J016 = yes, go to FN7J019. Else ask FN7V020.
FN7J019
9MFU Reside with Anyone Post-Release
Do you expect that you and ^prld.Namefill will live with anyone else after he is released?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 171 of 209
Partner Relationship Quality
---------------------------------------------------------------------------------
Logic before:
If RELSTATUSFU = 1, ask FN7V020. Else, go to FN7N030p.
FN7V020
9MFU Want to Continue Relationship 1
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Do you want to remain in a committed romantic relationship with ^prld.Namefill after he is
released?
Would you say . . .
Question Type:
TYND
Yes
No
Dknow
1 Yes
2 No
3 Don't know
---------------------------------------------------------------------------------
FN7V021
9MFU Want to Continue Relationship 2
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Do you think ^prld.Namefill wants to remain in a committed romantic relationship with you after he
is released?
Would you say..
Question Type:
TYND
Yes
No
Dknow
1 Yes
2 No
3 Don't know
Logic after:
If FN7V020 = No, skip to FN7N030p. Else go to FN7V022.
---------------------------------------------------------------------------------
FN7V022
9MFU Relationship with Partner
How easy or hard do you think it will be to have a good relationship with ^prld.Namefill after he
gets out?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 172 of 209
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
FN7V023
9MFU Biggest Challenges Post-Release
[USE SHOWCARD 43]
Thinking about when he is released, what do you expect will be the biggest challenges in your
relationship with ^prld.Namefill? Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TBChallengesFB
Find
Close
Trust
Problems
1
2
3
4
Missed
5 His having missed out on so much that happened in your life while he was
incarcerated
6 His trying to meet your expectations related to finding a job, staying
clean, helping you financially
7 Being angry at him or not wanting to see him
8 Him being angry at you or not wanting to see you
9 Some other challenge (SPECIFY)
Except
Angry
PartAngry
Other
Not knowing how to get in contact with him
Being able to feel close to him again after his time in prison
Being able to trust him after the time in prison
Problems or new situations that have come up since he was incarcerated
---------------------------------------------------------------------------------
Logic before:
If FN7V023 includes 9 (other), ask FN7V023s. Else, go to FN7V024.
FN7V023s
9MFU Other Specify
OTHER SPECIFY
Question Type:
STRING[150]
---------------------------------------------------------------------------------
FN7V024
9MFU Partner Support Expectations Intro
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about your expectations about how you and ^prld.Namefill will treat one another after
he is released.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FN7V025
9MFU Partner Support Expectations 2
[USE SHOWCARD 44]
You will love ^prld.Namefill and make him feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 173 of 209
---------------------------------------------------------------------------------
FN7V026
9MFU Partner Support Expectations 3
You will help ^prld.Namefill with whatever problems he faces.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN7V028
9MFU Partner Support Expectations 5
You think ^prld.Namefill will love you and make you feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FN7V029
9MFU Partner Support Expectations 6
You think ^prld.Namefill will help you with whatever problems you face.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 174 of 209
Parenting
---------------------------------------------------------------------------------
Logic before:
If (PARTNERFOCAL = 0 or FN1D030 = dead), go to Domian ZZ: FSP Minnesota. If FN7J017p = yes, go to
FN7N031p. If FN7J017p = no/dk/rf go to FN7N030p.
FN7N030p
9MFU See Focal Child
[USE SHOWCARD 45]
How often do you think ^prld.Namefill will see ^prld.FOCCHILD in person after he is released?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
FN7N031p
9MFU Financially Support Focal Child
Do you expect that ^prld.Namefill will financially support ^prld.FOCCHILD in any way after he is
released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FN7N031p = no, don’t know or refused, go to FN7N035.
---------------------------------------------------------------------------------
Logic before:
Allow R to select all that apply.
FN7N032p
9MFU Financial Support for Focal Child
[USE SHOWCARD 46]
In what ways do you expect ^prld.Namefill will provide financial support for ^prld.FOCCHILD after
he is released? Please include support provided to the child directly as well as support provided
to you or another caretaker of the child.
[ALLOW R TO SELECT ALL THAT APPLY]
Question Type:
TMonetary3
Gift
Shopping
Expense
More300
Two300
One200
Upto100
1 Buying ^prld.FOCCHILD birthday or holiday gifts
2 Taking ^prld.FOCCHILD shopping for clothes, school supplies, or other
things ^FOCSEX1 needs
3 Helping out occasionally with bills, rent or other expenses in the
child's household
4 Providing steady, regular financial support of over $300 per month
5 Providing steady, regular financial support of $200-$300 per month
6 Providing steady, regular financial of $100-$200 per month
7 Providing steady, regular financial support up to $100 per month
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 175 of 209
---------------------------------------------------------------------------------
FN7N035
9MFU Decision Making for Focal Child Post-Release
[USE SHOWCARD 47]
After ^prld.Namefill is released, who will make major decisions about things such as child care and
health care for ^prld.FOCCHILD?
Would you say . . .
Question Type:
TDecisionsFU3
Both
Father
Respondent
Someone
1
2
3
4
^prld.Namefill and you will make most of the decisions together
^prld.Namefill will make most decisions without you
You will make most decisions without ^prld.Namefill
Someone else involved in raising the child will make most decisions
without you or ^prld.Namefill
5 You and someone else involved in raising the child will make most of the
decisions
RandOther
---------------------------------------------------------------------------------
FN7N036p
9MFU Relationship with Children
How easy or hard do you think it will be for ^prld.Namefill to have good relationships with his
child(ren) after he gets out?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
FN7N037p
9MFU Biggest Challenges with Focal Child
[USE SHOWCARD 48]
Thinking about when ^prld.Namefill is released, what do you expect will be the biggest challenges
in his relationship with ^prld.FOCCHILD? Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TExpectFB
Find
Missed
Trust
Transport
Kids
Instability
Lifestyle
Angry
Money
Other
1 Him not knowing how to get in contact with ^prld.FOCCHILD
2 Having missed out on so much that happened with ^prld.FOCCHILD while he
was incarcerated
3 Getting ^prld.FOCCHILD to trust him or open up to him after the time
apart
4 Finding transportation for visits or activities
5 Dealing with people who don’t want him to see ^prld.FOCCHILD
6 Him not being in a stable enough housing and financial situation to be
able to spend time with ^prld.FOCCHILD
7 His lifestyle not being a healthy one for kids
8 ^prld.FOCCHILD being angry at him or not wanting to see him
9 Having money to financially support or buy things for ^prld.FOCCHILD
10 Some other challenge (SPECIFY)
Logic after:
If FN7N037p includes 10 (other), go to FN7N037s. Else go to FN7ZZ000.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 176 of 209
---------------------------------------------------------------------------------
FN7N037s
Other Specify
SPECIFY OTHER CHALLENGE
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 177 of 209
FSP Minnesota
---------------------------------------------------------------------------------
Logic before:
Preload Sgroup from male baseline. If Sgroup = treatment AND the respondent is in Minnesota, ask
FN7ZZ000. Else skip to the next domain (Locator section).
FN7ZZ000
9MFU Minnesota Intro
This final set of questions is only for men/partners who have enrolled in the Family Strengthening
Program, known as FSP. FSP staff would like to know what types of assistance you have gotten and
how helpful their program has been. If you agree to answer these questions, RTI will send the
answers you give to research staff at the Council on Crime and Justice (CCJ). We will not send
your name or any identifying information about you. We will only send your answers to these
questions about FSP. None of the answers you provided to the other questions in this interview
will be shared with CCJ. RTI will send the information to CCJ in a secure manner, to prevent
anyone else from seeing it..
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
Do not allow DK or RF.
FN7ZZ000a
9MFU Minnesota Consent
Just like with the rest of the interview, you can choose to skip a question if you don't want to
answer it. Even if you agree to answer these questions about FSP, you can choose to skip a
question if you want. Do you agree to answer the questions about FSP and allow RTI to send your
answers to CCJ?
Question Type:
TYesNoCaps, nodk, norf
Yes
No
1 YES
2 NO
Logic after:
If FN7ZZ000a = NO, skip to next domain (Locator).
---------------------------------------------------------------------------------
FN7ZZ001
9MFU Minnesota 1
How did you hear about the Family Strengthening Program (FSP)?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ002
9MFU Minnesota 2
When did you begin participating in the program?
Question Type:
TabTDateMN
---------------------------------------------------------------------------------
FN7ZZ003
9MFU Minnesota 3
Why did you become involved in FSP?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 178 of 209
---------------------------------------------------------------------------------
FN7ZZ004
9MFU Minnesota 4
Did you face any challenges in starting your participation in FSP?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ004 = yes, ask FN7ZZ004a.
FN7ZZ004a
9MFU Minnesota 4a
Have these challenges caused you to stop participating in FSP?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ004a = yes, ask FN7ZZ004b. Else go to FN7ZZ004d.
FN7ZZ004b
9MFU Minnesota 4b
When did you stop participating?
Question Type:
TabTDateFSP2
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ004a = yes, ask FN7ZZ004c.
FN7ZZ004c
9MFU Minnesota 4c
What was the main reason to stop participating?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ004d
9MFU Minnesota 4d
What has FSP done to reconnect you with your family?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ004a = yes, ask FN7ZZ004e. Else go to FN7ZZ005a.
FN7ZZ004e
9MFU Minnesota 4e
What could FSP have done differently to help you stay in the program?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 179 of 209
---------------------------------------------------------------------------------
FN7ZZ005a
9MFU Minnesota 5a
Have you had a case advocate?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ005a = yes, ask FN7ZZ005b. Else go to FN7ZZ010a.
FN7ZZ005b
9MFU Minnesota 5b
What is your case advocate's name?
Question Type:
STRING[50]
---------------------------------------------------------------------------------
FN7ZZ005
9MFU Minnesota 5
How helpful has your case advocate been?
Question Type:
THelpMn
Vhelp
Shelp
UnHelp
NoHelp
1
2
3
4
Very helpful
Somewhat helpful
Somewhat unhelpful
Very unhelpful
---------------------------------------------------------------------------------
FN7ZZ006
9MFU Minnesota 6
Have you requested any specific assistance from your case advocate?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ006 = yes, ask FN7ZZ006a.
FN7ZZ006a
9MFU Minnesota 6a
What specific assistance have you requested from your case advocate?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 180 of 209
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ006 = yes, ask FN7ZZ007.
FN7ZZ007
9MFU Minnesota 7
Was your case advocate able to provide that assistance?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN7ZZ008
9MFU Minnesota 8
What other ways has your case advocate helped your family (children and incarcerated partner)?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ009
9MFU Minnesota 9
What are ways your case advocate could be more helpful?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ010a
9MFU Minnesota 10a
Have you had a family counselor?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ010a = yes, ask FN7ZZ010b. Else go to FN7ZZ010c.
FN7ZZ010b
9MFU Minnesota 10b
What is your family counselor's name?
Question Type:
STRING[50]
---------------------------------------------------------------------------------
FN7ZZ010c
9MFU Minnesota 10c
Have you participated in family counseling?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 181 of 209
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ010a = No, skip to FN7ZZ014.
FN7ZZ010
9MFU Minnesota 10
How helpful has your family counselor been?
Question Type:
THelpMn
Vhelp
Shelp
UnHelp
NoHelp
1
2
3
4
Very helpful
Somewhat helpful
Somewhat unhelpful
Very unhelpful
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ010 = 1, 2, or 3 ask FN7ZZ011.
FN7ZZ011
9MFU Minnesota 11
In what specific ways has your counselor helped you?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ012
9MFU Minnesota 12
In what specific ways has your counselor helped your family as a whole?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ013
9MFU Minnesota 13
What are ways your counselor could have been more helpful?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ010c = no, ask FN7ZZ014.
FN7ZZ014
9MFU Minnesota 14
Why did you choose not to participate in family counseling?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 182 of 209
---------------------------------------------------------------------------------
FN7ZZ015
9MFU Minnesota 15
Which of the following classes are you taking or have you taken?
Question Type:
TClassMn
Parent
Relation
Both
None
1
2
3
4
Parenting classes
Relationship classes
Both parenting and relationship classes
Neither parenting nor relationship classes
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ015 = 1 or 3 ask FN7ZZ015a.
FN7ZZ015a
9MFU Minnesota 15a
Where did you take the parenting classes?
Question Type:
STRING[150]
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ015 = 1 or 3, ask FN7ZZ015b.
FN7ZZ015b
9MFU Minnesota 15b
When did you take the parenting classes?
[RECORD THE MONTH R TOOK THE PARENTING CLASSES. IF SHE CANNOT RECALL THE DAY AND YEAR, PRESS F3 FOR
DAY AND F3 FOR YEAR].
Question Type:
TabTDateMN
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ015 = 1 or 3, ask FN7ZZ018.
FN7ZZ018
9MFU Minnesota 18
In your opinion, how helpful was/are the parenting class?
Question Type:
THelpMn
Vhelp
Shelp
UnHelp
NoHelp
1
2
3
4
Very helpful
Somewhat helpful
Somewhat unhelpful
Very unhelpful
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ015 = 2 or 3, ask FN7ZZ015c.
FN7ZZ015c
9MFU Minnesota 15c
Where did you take the relationship classes?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 183 of 209
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ015 = 2 or 3, ask FN7ZZ015d.
FN7ZZ015d
9MFU Minnesota 15d
When did you take the relationship classes?
[RECORD THE MONTH R TOOK THE RELATIONSHIP CLASSES. IF SHE CANNOT RECALL THE DAY AND YEAR, PRESS F3
FOR DAY AND F3 FOR YEAR].
Question Type:
TabTDateMN
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ015 = 2 or 3, ask FN7ZZ019.
FN7ZZ019
9MFU Minnesota 19
In your opinion, how helpful was/are the relationship classes?
Question Type:
THelpMn
Vhelp
Shelp
UnHelp
NoHelp
1
2
3
4
Very helpful
Somewhat helpful
Somewhat unhelpful
Very unhelpful
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ015 = 4, ask FN7ZZ016.
FN7ZZ016
9MFU Minnesota 16
Why did you decide to not take part in parenting or relationship classes?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ017
9MFU Minnesota 17
Have you faced any difficulties in taking the classes (e.g., scheduling, transportation, child
care, etc.)?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ017 = yes, ask FN7ZZ017a.
FN7ZZ017a
9MFU Minnesota 17a
What difficulties have you faced in taking the classes?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 184 of 209
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ015=
1 or 3, ask FN7ZZ020a
FN7ZZ020a
9MFU Minnesota 20a
What would you change about the parenting classes to make them better?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ015 = 2 or 3, ask FN7ZZ020b.
FN7ZZ020b
9MFU Minnesota 20b
What would you change about the relationship classes to make them better?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ021
9MFU Minnesota 21
Have you received a referral from FSP for financial counseling?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ021 = yes, ask FN7ZZ021a.
FN7ZZ021a
9MFU Minnesota 21a
Did you receive financial counseling?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ021a = yes, ask FN7ZZ022.
FN7ZZ022
9MFU Minnesota 22
How helpful has financial counseling been?
Question Type:
THelpMn
Vhelp
Shelp
UnHelp
NoHelp
1
2
3
4
Very helpful
Somewhat helpful
Somewhat unhelpful
Very unhelpful
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 185 of 209
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ021a = yes, ask FN7ZZ023.
FN7ZZ023
9MFU Minnesota 23
What types of financial services did you receive?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Logic before:
If FN3Q000a = yes, ask FN7ZZ024. Else go to FN7ZZ027.
FN7ZZ024
9MFU Minnesota 24
Has FSP begun to discuss your partner's return home from prison?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Allow R to select all that apply.
FN7ZZ025
9MFU Minnesota 25
[USE SHOWCARD 49]
Which of the following specific concerns do you have about your partner's release from prison?
Please select all that apply.
Question Type:
TConcernsMn
House
Emp
Health
ParRel
Finance
Other
1
2
3
4
5
6
Housing
Employment
Healthcare
Parenting or Relationship
Money
Some other concern
---------------------------------------------------------------------------------
Logic before:
If FN7ZZ025 = 6 (other), ask FN7ZZ025s
FN7ZZ025s
9MFU Minnesota 25s
SPECIFY OTHER CONCERN
Question Type:
STRING[50]
---------------------------------------------------------------------------------
FN7ZZ026
9MFU Minnesota 26
What can a program like FSP do to help you with these concerns?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 186 of 209
---------------------------------------------------------------------------------
FN7ZZ027
9MFU Minnesota 27
In what specific ways has FSP helped you and your children stay connected to your partner?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ028
9MFU Minnesota 28
What can FSP do to improve how connected you and your children are with your partner?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ029
9MFU Minnesota 29
What can be done to improve FSP?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ030
9MFU Minnesota 30
In what areas of your life has FSP helped with the most?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ031
9MFU Minnesota 31
What are examples in your life where FSP has been most useful?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ031a
9MFU Minnesota 31a
In what area of your partner and children's lives has FSP helped with the most?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FN7ZZ032
9MFU Minnesota 32
Are there needs or issues you have that are currently not being addressed by FSP?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 187 of 209
---------------------------------------------------------------------------------
FN7ZZ033
9MFU Minnesota 33
Overall, how helpful is FSP?
Question Type:
THelpMn
Vhelp
Shelp
UnHelp
NoHelp
1
2
3
4
Very helpful
Somewhat helpful
Somewhat unhelpful
Very unhelpful
---------------------------------------------------------------------------------
FN7ZZ034
9MFU Minnesota 34
Is there anything I didn't ask that I should have?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FN7ZZ034a
9MFU Minnesota 34a
Do you have any additional thoughts about the FSP program?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 188 of 209
Locator Information
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = Yes, ask FNHOU00. If FNCON5=NO go to FNHOU6a.
FNHOU00
Expected Release
Do you expect to be released from this incarceration within the next @Btwo years@B?
REQUIRED PROBE FOR YES RESPONSE: "And your release date is @Bwithin the next two years@B?"
Question Type:
TRelease
RelN2
MoreT2
NoRel
1 RELEASE EXPECTED WITHIN NEXT TWO YEARS
2 RELEASE EXPECTED IN MORE THAN TWO YEARS
3 DOES NOT EXPECT TO BE RELEASED
Logic after:
If FNHOU00=NoRel go to FNHOU11; Else ask FNHOU00a
---------------------------------------------------------------------------------
FNHOU00a
Release Date
What date do you expect to be released from this incarceration?
Question Type:
TabTDate3
Month
Date
Year
1 MONTH 1...12
2 DATE 1...31
3 2008...2100
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = Yes, ask FNHOU1. Else, go to FNHOU6a.
FNHOU1
Contact Post Release
Finally, so that we can contact you once you are released, please tell me where you are going to
stay immediately after release. Where is the very first place you will go as you are getting back
on your feet?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FNHOU2
Specific Address
DOES THE R HAVE A SPECIFIC ADDRESS?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes, go to FNHOU2a. If no, go to FNHOU3.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 189 of 209
---------------------------------------------------------------------------------
FNHOU2a
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FNHOU2b
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
FNHOU2c
State
State
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTstate
---------------------------------------------------------------------------------
FNHOU2d
Phone Number
Phone
Question Type:
TabTnumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
FNHOU3
Length of Stay Post Release
Do you think you will stay there indefinitely, or will that be a temporary situation?
Question Type:
TLength
Stay
Temp
1 STAY
2 ONLY TEMPORARY
Logic after:
If FNHOU3 =1, go to FNHOU11. Else, go to FNHOU4.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 190 of 209
---------------------------------------------------------------------------------
FNHOU4
2nd Residence Post Release
Where do you think you will live next?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FNHOU5
2nd Address Available
DOES THE R HAVE A SPECIFIC ADDRESS?
@B[FI NOTE: IF THIS IS THE SAME ADDRESS REPORTED PREVIOUSLY, ENTER NO].@B
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes, go to FNHOU5a. If no, go to FNHOU11.
---------------------------------------------------------------------------------
FNHOU5a
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FNHOU5b
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
FNHOU5c
State
State
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 191 of 209
---------------------------------------------------------------------------------
FNHOU5d
Phone Number
Phone
Question Type:
TabTnumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = No, ask FNHOU6a.
FNHOU6a
Else go to FNHOU11.
Current Address
This next set of questions ask for your current contact information.
Please tell me your current address.
[ENTER CURRENT ADDRESS]
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FNHOU6b
Current City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
FNHOU6c
Current State
State
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE
Question Type:
TabTState
---------------------------------------------------------------------------------
FNHOU6d
Current Zip Code
Zip Code
Question Type:
STRING[5]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 192 of 209
---------------------------------------------------------------------------------
FNHOU6e
Current Phone Number
What is your current phone number?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
FNHOU6f
Second Current Phone Number
Is there another phone number where we are able to reach you?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FNHOU6f = yes, go to FNHOU6g. Else go to FNHOU6.
---------------------------------------------------------------------------------
FNHOU6g
2nd Current Phone Number
Phone number
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = No, ask FNHOU6. Else, go to FNHOU11.
FNHOU6
Contact in 9 Months
Finally, so that we can contact you for follow-up interviews, please tell me where you expect to be
living 9 months from now.
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 193 of 209
---------------------------------------------------------------------------------
FNHOU7
Specific Address
DOES THE R HAVE A SPECIFIC ADDRESS?
@B[FI NOTE: IF THIS IS THE SAME ADDRESS REPORTED PREVIOUSLY, ENTER NO].@B
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes, go to FNHOU7a. If no, go to FNHOU8. .
---------------------------------------------------------------------------------
FNHOU7a
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FNHOU7b
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
FNHOU7c
State
State
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
FNHOU7d
Phone Number
At what phone number will we be able to reach you?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 194 of 209
---------------------------------------------------------------------------------
FNHOU8
Other Contact in 9 Months
Where else might you be living 9 months from now?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FNHOU9
Specific Address
DOES THE R HAVE A SPECIFIC ADDRESS?
@B[FI NOTE: IF THIS IS THE SAME ADDRESS REPORTED PREVIOUSLY, ENTER NO].@B
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes, go to FNHOU9a. If no, go to FNHOU10.
---------------------------------------------------------------------------------
FNHOU9a
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FNHOU9b
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
FNHOU9c
State
State
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 195 of 209
---------------------------------------------------------------------------------
FNHOU9d
R Phone
Phone
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If (FNCON5 = no and FN4I034a = yes), ask FNHOU10. Else, including empty, skip to FNHOU11.
FNHOU10
Employer
Where do you work? In other words, what is the name of the company or organization you work for? We
will not contact you at work unless we cannot get in touch with you at your home.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
FNHOU10a
Employer City
What city is this in?
Question Type:
STRING[15]
---------------------------------------------------------------------------------
FNHOU10b
Employer State
What state is this in?
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
FNHOU10c
Employer Phone Number
What is the phone number there?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
FNHOUcontact
Question Type:
contact loop
array[1..3] of BFNHousub
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 196 of 209
---------------------------------------------------------------------------------
Logic before:
If FNCON5=NO or FNHOU00=1 or 2 ask FNHOU25.
FNHOU25
Else go to FNHOU26.
Description of Places
If I'm really having difficulty finding where you live, can you tell me where you spend your time
when you are not at home and not at work? What local places do you like to spend time at?
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 2; field3, allow 3
FNHOU26
R Social Security Number
What is your social security number?
Question Type:
TabTSSN1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
FNHOU27
R Name Confirmation
And just to confirm, do you still go by ^prld.fname ^prld.lname?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FNHOU27 = no, go to FNHOU27a. Else go to FNHOU28.
---------------------------------------------------------------------------------
FNHOU27a
Additional Names for R
What name or names do you go by?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
FNHOU28
Other Information Shared by R
Finally, is there anything else you think we should know about how ^prld.Namefill's incarceration
has affected you or your family?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 197 of 209
---------------------------------------------------------------------------------
Logic before:
If FEMBASE = 2 (female did not take part at baseline), ask FNHOUarr1.
Preload FBHOUarr1 from female baseline. If FBHOUarr1 = assent, skip to
declines, ask FNHOUarr1.
FNhouarr1
FNHOU28a. If FBHOUarr1 =
Records Release
[HAND R ADMINISTRATIVE RECORDS RELEASE FORM.]
Before we go, I've got one more form I'd like to show you. This document is called an
administrative records release form, and I'm going to read it out loud to you. It will explain what
we are asking you to do. After I'm done reading it, I will answer any questions you may have.
[READ THE FORM TO THE RESPONDENT.]
[OPTION PROBE: By matching your information with administrative records from these agencies, we’ll
be able to get a bigger picture of how families with an incarcerated father are doing and what kind
of programs really help them. This type of information is not publicly available, so we can only
get it with your consent. These agencies will not be permitted to use your personal information for
any purposes other than to fulfill our research request, and we’ll be combining your data with
data from all of the other study participants rather than looking at your personal information
individually. If you choose to give permission for this data matching, it will help us to ensure
the usefulness of this study to other families in your situation.]
[IF R AGREES, HAND R PEN AND INSTRUCT R TO SIGN THE FORM. THEN YOU SHOULD SIGN THE FORM.]
DID R CONSENT OR REFUSE?]
Question Type:
Tadmin
assent
declines
1 YES: R CONSENTS
2 NO: R DECLINES
Logic after:
If FNHOU26 = RF/DK and FNHOUARR1 = yes, add a consistency check. "Thank you. We'll need your social
security number to access these records." [FI GO BACK TO FNHOU26 AND ASK FOR THIS INFORMATION
AGAIN. IF R REFUSES OR DOES NOT KNOW, THEN ENTER 2 AT FNHOUARR1.]
---------------------------------------------------------------------------------
Logic before:
If FNhourarr1 = 1, then ask FNhouarr2.
FNhouarr2
Records Release 2
[GIVE R AN @BUNSIGNED@B COPY OF THE RECORDS RELEASE FORM.
RETURN YOUR SIGNED COPY OF THE CONSENT FORM TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO
YOUR FS/RTI.]
Question Type:
Tcontinue
Continue
1 Continue
---------------------------------------------------------------------------------
Logic before:
If FNhouarr1 = 2, then ask FNhouarr3.
FNhouarr3
Records Release 3
[WRITE 'REFUSED' ON THE FORM AND RETURN TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO YOUR
FS/RTI.]
Question Type:
Tcontinue
Continue
1 Continue
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 198 of 209
---------------------------------------------------------------------------------
FNHOU28a
Thank You for Participation
That was our last question. Thank you for your participation in this study!
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FNHOU28b
Future Contact
We will contact you again in 9 months to invite you to participate in a follow-up interview. You
can decide at that time whether or not you wish to participate.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = No, ask FNHOU28d. Else go to FNHOU30.
FNHOU28d
Incentive Receipt
I also need to give you your incentive payment, and I need to ask you to initial a receipt.
[FI: FEMALE IS ELIGIBLE FOR $40 INCENTIVE PAYMENT]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = no, ask FNHOU28e. Else skip to FNHOU30.
FNHOU28e
Eligibility for Bonus
WAS R ELIGIBLE FOR THE $5 CALL-IN BONUS?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FNHOU30
Method Incentive is Paid
HOW WAS THE INCENTIVE PAID?
Question Type:
TIncentiveFU
Inmate
Designee
NotAllow
Cash
Other
1
2
3
4
5
INMATE ACCOUNT
DESIGNEE
INCENTIVE NOT PERMITTED BY FACILITY
CASH
OTHER (SPECIFY)
Logic after:
If FNHOU30="other", go to FNHOU30s. Else go to FNFI001.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 199 of 209
---------------------------------------------------------------------------------
FNHOU30s
Specify Other
SPECIFY OTHER
Question Type:
STRING[20]
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = Yes, ask FNHOU31. Else, skip to next domain.
FNHOU31
State Interview Conducted
IN WHICH STATE WAS THIS INTERVIEW CONDUCTED?
Question Type:
Tstate
mnst
indy
ohi
newy
newj
thsp
1
2
3
4
5
6
MINNESOTA
INDIANA
OHIO
NEW YORK
NEW JERSEY
OTHER STATE (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If FNHOU31 = 6, ask FNHOU31s.
FNHOU31s
Specify State and Facility
SPECIFY STATE AND FACILITY NAME.
Question Type:
TabTfacstate
staten
facname
1 STATE
2 FACILITY NAME
---------------------------------------------------------------------------------
Logic before:
If FNHOU31=1, ask FNHOU32a.
FNHOU32a
Minnesota
IN WHICH MINNESOTA FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tmnfemalefac
mcf
othsp
1 MCF (IN SHAKOPEE)
2 OTHER FACILITY (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If FNHOU32a = 2, ask FNHOU32as.
FNHOU32as
Other Minnesota
SPECIFY OTHER MINNESOTA FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 200 of 209
---------------------------------------------------------------------------------
Logic before:
If FNHOU31 = 2, ask FNHOU32b.
FNHOU32b
Indiana
IN WHICH INDIANA FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tinfemalefac
wmpr
rcvl
indywm
atbry
othsp
1
2
3
4
5
WOMAN'S PRISON
ROCKVILLE CORRECTIONAL FACILITY
INDIANAPOLIS WOMAN'S COMMUNITY RE-ENTRY
ATTERBURY CORRECTIONAL FACILITY
OTHER FACILITY (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If FNHOU32b = 5, ask FNHOU32bs.
FNHOU32bs
Other Indiana
SPECIFY OTHER INDIANA FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Logic before:
If FNHOU31 = 3, ask FNHOU32c.
FNHOU32c
Ohio
IN WHICH OHIO FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tfemaleohfac
ohrf
frkl
noea
trmbl
oakw
othsp
1
2
3
4
5
6
OHIO REFORMATORY FOR WOMAN
FRANKLIN PRE-RELEASE CENTER
NORTHEAST PRE-RELEASE CENTER
TRUMBALL CORRECTIONAL CAMP
OAKWOOD CORRECTIONAL FACILITY
OTHER OHIO FACILITY (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If FNHOU32c = 6, ask FNHOU32cs.
FNHOU32cs
Other Ohio
SPECIFY OTHER OHIO FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 201 of 209
---------------------------------------------------------------------------------
Logic before:
IF FNHOU31 = 4, as FNHOU32d.
FNHOU32d
New York
IN WHICH NEW YORK FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tfemalenyfac
alb
byvw
bcn
bdfrd
lvws
tcnc
wlrd
otsp
1
2
3
4
5
6
7
8
ALBION CORRECTIONAL FACILITY
BAYVIEW CORRECTIONAL FACILITY
BEACON CORRECTIONAL FACILITY
BEDFORD HILLS CORRECTIONAL FACILITY
LAKEVIEW SHOCK INCARCERATION C.F.
TACONIC CORRECTIONAL FACILITY
WILLARD DRUG TREATMENT CENTER
OTHER NEW YORK FACILITY (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If FNHOU32d = 8, then ask FNHOU32ds.
FNHOU32ds
Other New York
SPECIFY OTHER NEW YORK FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Logic before:
If FNHOU31 = 5, ask FNHOU32e.
FNHOU32e
New Jersey
IN WHICH NEW JERSEY FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tfemalenjfac
edna
njsp
otsp
1 EDNA MAHAN CORRECTIONAL FACILITY FOR WOMAN
2 NEW JERSEY STATE PRISON
3 OTHER NEW JERSEY FACILITY (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If FNHOU32e = 3, ask FNHOU32es.
FNHOU32es
Other New Jersey
SPECIFY OTHER NEW JERSEY FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 202 of 209
Contact Loop
---------------------------------------------------------------------------------
Logic before:
If FNCON5 = NO or (FNCON5 = Yes and FNHOU00 = 1 or 2) ^lcfill should say "In the event that you are
not living where you expect to live, I need to collect contact information on three people who
would know your whereabouts and who could help us contact you to be interviewed, if necessary."
IF FNCON5=YES and FNHOU00= NoRel ^lcfill should say "In case you are transferred and we are unable
to locate you, I need to collect contact information on three people who would know your
whereabouts and who could help us contact you to be interviewed, if necessary."
FNHOU11
Preface Locator Section
^lcfill
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
^lcfill should say "first"for the first time the contact loop is gone through; the second time the
loop is gone through, ^lcfill should say "second" and the third time the loop is gone through it
should say "third".
FNHOU11a
First Name
What is the name of the ^lcfill5 person who would know how to reach you?
ENTER FIRST NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
FNHOU11b
Middle Name
ENTER MIDDLE NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
FNHOU11c
Last Name
ENTER LAST NAME
Question Type:
Logic after:
STRING[30]
If (FNHOU11a and FNHOU11b and FNHOU11c) = RF/DK for first contact person, skip to FNHOU25. Else
continue through loop.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 203 of 209
---------------------------------------------------------------------------------
FNHOU11d
Address of Contact
What is this person's address? If you don't know the exact address, please tell me a street name or
a neighborhood.
INTERVIEWER: BE SURE TO PROBE FOR A BLDG AND/OR APT NUMBER.
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FNHOU11e
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
FNHOU11f
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
FNHOU11g
Phone Number Available
Does this person have a phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FNHOU11g = yes, go to FNHOU11h. Else go to FNHOU11k.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
FNHOU11h
Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 204 of 209
---------------------------------------------------------------------------------
Logic before:
If FNHOU11g = yes, go to FNHOU11i.
FNHOU11i
Second Phone Number Available
Does this person have a second phone number, such as a cell phone?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FNHOU11i = yes, go to FNHOU11j. Else go to FNHOU11k.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
FNHOU11j
Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
FNHOU11k
Work Outside of Home
Does this person work outside of the home?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FNHOU11k = yes, go to FNHOU11l. Else go to FNHOU11q.
---------------------------------------------------------------------------------
FNHOU11l
Where Does Contact Person Work
Where does this person work? In other words, what is the name of the company or organization this
person works for? We will not contact them at work unless we've tried all other possible means of
locating you.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
FNHOU11m
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 205 of 209
---------------------------------------------------------------------------------
FNHOU11n
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
FNHOU11o
Work Phone Available
Does this person have a work phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FNHOU11o = yes, go to FNHOU11p. Else go to FNHOU11q.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
FNHOU11p
Work Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
FNHOU11q
R Relationship to Contact Person
What is this person's relationship to you?
Question Type:
TContactRelate
spouse
mother
father
brother
auntuncle
cousin
grandparent
child
friend
neighbor
coworker
someone
1
2
3
4
5
6
7
8
9
10
11
12
Your spouse or partner
Your mother/stepmother
Your father/stepfather
Your brother, stepbrother, sister, or stepsister
Your aunt or uncle
Your cousin
Your grandmother or grandfather
Your child or stepchild
Your friend
Your neighbor or former neighbor
Your co-worker or former co-worker
Someone else (specify)
Logic after:
If FNHOU11q = Someone Else, go to FNHOU11r. Else, go to FNHOU11s.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 206 of 209
---------------------------------------------------------------------------------
FNHOU11r
Description of Relationship
DESCRIBE THE RELATIONSHIP OF THE PERSON TO R, RECORDING THE R'S ANSWER VERBATIM.
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FNHOU11s
Thank You for Contact Information
Thank you. Please let this person know that you would like them to tell me where I can find you
when it is time for your next interview.
Question Type:
tcontinue
Continue
1 Continue
Logic after:
Repeat 11a-t two more times to elicit information on a total of three contact persons.
---------------------------------------------------------------------------------
FNHou11t
Will R provide additional contact
Is there another person who would always know how to reach you?
Question Type:
TYesNoCap
Yes
No
1 YES
2 NO
Logic after:
If this is the third time this item has been asked, do not ask it again.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 207 of 209
Interviewer Observations
---------------------------------------------------------------------------------
FNFIO001
R Cooperated
HOW COOPERATIVE WAS THE RESPONDENT?
Question Type:
TCoop
Vcoop
Fair
NotCoop
Hostile
1
2
3
4
VERY COOPERATIVE
FAIRLY COOPERATIVE
NOT VERY COOPERATIVE
OPENLY HOSTILE
---------------------------------------------------------------------------------
FNFIO002
R Level of Understanding
ESTIMATE THE RESPONDENT'S LEVEL OF UNDERSTANDING OF THE INTERVIEW QUESTIONS.
Question Type:
TComp
NoDif
Little
Fair
Alot
1
2
3
4
NO DIFFICULTY UNDERSTANDING QUESTIONS
JUST A LITTLE DIFFICULTY UNDERSTANDING QUESTIONS
A FAIR AMOUNT OF DIFFICULTY UNDERSTANDING QUESTIONS
A LOT OF DIFFICULTY UNDERSTANDING QUESTIONS
---------------------------------------------------------------------------------
FNFIO003
R Remember Past Events
HOW MUCH TROUBLE DID THE RESPONDENT HAVE REMEMBERING PAST EVENTS?
Question Type:
TTrouble
NoTroub
Little
Fair
Alot
1
2
3
4
NO TROUBLE
JUST A LITTLE TROUBLE
A FAIR AMOUNT OF TROUBLE
A LOT OF TROUBLE
---------------------------------------------------------------------------------
FNFIO004
R Level of Truthfulness
ESTIMATE THE RESPONDENT'S LEVEL OF TRUTHFULNESS/MISPRESENTATION.
Question Type:
TTruth
Very
Fair
NoTruth
Lying
1
2
3
4
VERY TRUTHFUL
FAIRLY TRUTHFUL
NOT VERY TRUTHFUL
OPENLY LYING
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 208 of 209
---------------------------------------------------------------------------------
FNFIO005
R Level of Engagement
IN GENERAL, HOW ENGAGED/INTERESTED WAS THE RESPONDENT DURING THE INTERVIEW?
Question Type:
TEngage
Very
Fair
NotVery
Unengaged
1
2
3
4
VERY ENGAGED AND INTERESTED
FAIRLY ENGAGED AND INTERESTED
NOT VERY ENGAGED AND INTERESTED
TOTALLY UNENGAGED AND DISINTERESTED
---------------------------------------------------------------------------------
FNFIO006
R Mood Level
IN GENERAL, HOW IRRITABLE OR MOODY WAS THE RESPONDENT DURING THE INTERVIEW?
Question Type:
TMood
Very
Fairly
NotVery
NotAtAll
1
2
3
4
VERY IRRITABLE/MOODY
FAIRLY IRRITABLE/MOODY
NOT VERY IRRITABLE/MOODY
NOT AT ALL IRRITABLE/MOODY
---------------------------------------------------------------------------------
FNFIO007
Number of Distractions
INDICATE THE DEGREE OF DISTRACTIONS OR INTERRUPTIONS DURING THE INTERVIEW.
Question Type:
TInterrupt
None
Few
Fair
Alot
1
2
3
4
NO DISTRACTIONS OR INTERRUPTIONS
JUST A FEW DISTRACTIONS OR INTERRUPTIONS
A FAIR NUMBER OF DISTRACTIONS OR INTERRUPTIONS
A LOT OF DISTRACTIONS OR INTERRUPTIONS
---------------------------------------------------------------------------------
FNFIO008
R Level of Eye Contact
HOW MUCH EYE CONTACT DID THE RESPONDENT USE DURING YOUR INTERACTION?
Question Type:
TEyeCon
Avoid
Occasion
Mostly
1 R MOSTLY AVOIDED EYE CONTACT
2 R OCCASIONALLY MADE EYE CONTACT
3 R MOSTLY MADE EYE CONTACT
Logic after:
Code completed interview that took place in a jail or prison setting (FNCON5 EQ YES) as 492. If
FNCON5 EQ NO, code completed interview as 491.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 209 of 209
Female 18M Follow-up
---------------------------------------------------------------------------------
Introduction and Consent
---------------------------------------------------------------------------------
FECONFI
NO LABEL
THE INTERVIEWERS LISTED BELOW ARE NOT ALLOWED TO INTERVIEW THIS RESPONDENT BECAUSE THEY HAVE
PREVIOUSLY INTERVIEWED THIS RESPONDENT'S PARTNER.
^prld.MBBLFI INTERVIEWED THIS RESPONDENT'S PARTNER AT BASELINE
^prld.MB9MFI INTERVIEWED THIS RESPONDENT'S PARTNER AT 9MFU
ALSO, MAKE SURE THAT YOU DID NOT INTERVIEW THIS RESPONDENT'S PARTNER FOR THE 18MFU.
Question Type:
TFI
MUSTSTOP
GOODTOGO
1 I HAVE INTERVIEWED THIS RESPONDENT'S PARTNER
2 I HAVE NEVER INTERVIEWED THIS RESPONDENT'S PARTNER
Logic after:
Create a hard consistency check if FECONFI=1, "BECAUSE YOU HAVE INDICATED THAT YOU HAVE PREVIOUSLY
INTERVIEWED THIS RESPONDENT'S PARTNER, YOU ARE NOT AUTHORIZED TO CONDUCT THIS INTERVIEW. PLEASE
BREAK OFF AND INFORM YOUR FS THAT ANOTHER INTERVIEWER MUST BE ASSIGNED."
---------------------------------------------------------------------------------
Logic before:
Create new variable called FEMBASE. If female did not participate in the baseline interview, then
FEMBASE = 2. If female participated in the baseline interview, then FEMBASE = 1.
Create new variable called FEM9MO. If female did not participate in the 9 month interview, then
FEM9MO = 2. If female participated in the 9 month interview, then FEM9MO = 1.
FECON1
18MFU Private Setting
[INTERVIEWER: LOOK AROUND YOU IN ALL DIRECTIONS. MAKE SURE THAT YOU ARE OUT OF EARSHOT OF OTHER
PEOPLE, INCLUDING PEOPLE WHO MAY BE IN AN ADJACENT ROOM OR OUTSIDE.
FOR AN INTERVIEW SETTING TO BE CONSIDERED PRIVATE, YOU MUST BE CERTAIN THAT THE QUESTIONS YOU READ
AND THE RESPONDENT'S ANSWERS CANNOT BE (1) OVERHEARD OR (2) ASCERTAINED BY SOMEONE LOOKING THROUGH
A WINDOW. ARE YOU CONFIDENT THE INTERVIEW SETTING IS PRIVATE?]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FECON1 = yes, go to FECON3. If FECON1= no, go to FECON2.
---------------------------------------------------------------------------------
FECON2
18MFU Inappropriate Interview Room
INTERVIEWER: BECAUSE YOU HAVE INDICATED THAT THE INTERVIEW SETTING IS NOT PRIVATE, YOU CANNOT
PROCEED WITH THE INTERVIEW. YOU WILL NEED TO BREAK OFF THE INTERVIEW AND RESCHEDULE FOR A TIME WHEN
YOU CAN CONDUCT THE INTERVIEW IN PRIVATE.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
If breakoff at this screen, do not update the event code.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 1 of 207
---------------------------------------------------------------------------------
Logic before:
As this question only if the unique portion of the caseid ends in an even number
FECON3a
NO LABEL
Next I'm going to tell you more about the study and answer any additional questions you may have.
While I'm doing that, we'll be recorded so my supervisors can give me feedback on my work. This
recording will be kept confidential.
Question Type:
Trecord
CONTINUE
OBJECTION
1 CONTINUE
2 R REFUSES TO CONTINUE UNLESS RECORDING IS TURNED OFF
---------------------------------------------------------------------------------
FECON3
18MFU Consent Form
[HAND R INTERVIEW CONSENT FORM. FOR INCARCERATED RESPONDENTS, USE THE FACILITY CONSENT FORM THAT
MATCHES THE INCENTIVE PROTOCOL FOR THE FACILITY YOU ARE IN. FOR ALL OTHER RESPONDENTS, USE THE
COMMUNITY CONSENT FORM.]
This document is called a consent form, and I'm going to read it out loud to you. It will explain
the study and what we are asking you to do. After I'm done reading it, I will answer any questions
you may have.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FECON4
18MFU Consent
[GIVE R AN @BUNSIGNED@B COPY OF THE INTERVIEW CONSENT FORM. IF R AGREES TO PARTICIPATE IN THE
INTERVIEW, HAND R PEN AND INSTRUCT R TO SIGN THE INTERVIEW CONSENT FORM. THEN YOU SHOULD SIGN THE
CONSENT FORM.]
[DID R CONSENT TO THE INTERVIEW OR DID R REFUSE THE INTERVIEW?]
Question Type:
TConsent, nodk, norf
Consent
Refused
1 R CONSENTED TO THE INTERVIEW
2 R REFUSED THE INTERVIEW
Logic after:
If FECON4 = 2 (refused), go to end. Assign event code 360.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 2 of 207
---------------------------------------------------------------------------------
Logic before:
If FECON4 EQ yes, go to FECON4a.
FECON4a
Don't allow DK/RF to FECON4a.
18MFU Consent to CARI
We are using a special quality control system on this project. The system runs on the computer and
will record what you and I say to each other during several different parts of the interview.
Neither you nor I will know when the computer is recording what we say. The recording will be
reviewed by people at RTI to monitor my work, and will be kept confidential. You may participate in
the interview even if you do not consent to the recordings.
By signing below, you are allowing us to use this quality control system. May we use this quality
control system during your interview?
[DID R CONSENT TO CARI?]
Question Type:
TYesNoCaps, nodk, norf
Yes
No
1 YES
2 NO
Logic after:
If FECON4a EQ no, TURN OFF CARI and go to FECON4b.
---------------------------------------------------------------------------------
Logic before:
Eveyone should get this item.
FECON4b
18MFU CARI Consent
GIVE R AN @BUNSIGNED@B COPY OF THE INTERVIEW CONSENT FORM.
[RETURN YOUR COPY OF THE CONSENT FORM TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO YOUR FS.]
Question Type:
TContinue
Continue
1 Continue
---------------------------------------------------------------------------------
Logic before:
Don't allow DK/RF.
FECON5
18MFU R Incarcerated
IS R CURRENTLY INCARCERATED?
Question Type:
TYesNoCaps, nodk, norf
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FECON6
18MFU Gender
WHAT IS R'S GENDER?
Question Type:
TGender2
Male
Female
Trans
1 MALE
2 FEMALE
3 TRANSGENDER
Logic after:
FECON6: add a consistency check if answer is male, DK, or RF in female follow-up survey. Text
should say, "YOU ARE USING A CASEID THAT CAN ONLY BE USED FOR A FOLLOW-UP INTERVIEW WITH A FEMALE
OR TRANSGENDER RESPONDENT. EITHER YOU HAVE RECORDED THE WRONG GENDER, OR YOU ARE USING THE WRONG
CASEID. PLEASE BACK UP AND CORRECT THE GENDER, OR BREAK OFF THE INTERVIEW AND RESUME WITH THE
CORRECT CASE ID."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 3 of 207
---------------------------------------------------------------------------------
Logic before:
If (FEMBASE = 2) AND (FEM9MO=2), ask FECON7. Else go to FE1A000a. Calculate eighteen months prior
to current interview date and use to fill ^EighteenMO. Preload the variable ^Namefill (male
respondent’s first name) from male baseline. Allow only one option to be selected.
FECON7
18MFU Relationship to Male R
As you may know, you were referred to us for this study by ^prld.Namefill about 18 months ago. How
would you define your relationship to him eighteen months ago, on ^EighteenMO?
[REFER R TO ^EighteenMO ON REFERENCE CALENDAR]
[PROBES IF NEEDED: At that time, did you consider yourself to be romantically involved with him?
Were you married to him? Did you have children under 18 together? Did you share any parenting
responsibilities with him for a child under 18?]
PRESS 1 IF R WAS @BMARRIED@B TO ^NAMEFILLCAPS @BWITH OR WITHOUT CHILDREN@B.
MARRIED, BUT SEPERATED HERE.
INCLUDE THOSE WHO WERE
PRESS 2 IF R WAS @BROMANTICALLY INVOLVED@B WITH (@UBUT NOT MARRIED TO@U) ^NAMEFILLCAPS @BWITH OR
WITHOUT CHILDREN@B
PRESS 3 IF R WAS @BNOT MARRIED/ROMANTICALLY INVOLVED@B WITH ^NAMEFILLCAPS @UBUT@U CO-PARENTED A
CHILD OR CHILDREN WITH ^NAMEFILLCAPS
PRESS 4 IF R WAS NEITHER MARRIED, ROMANTICALLY INVOLVED, NOR CO-PARENTING WITH ^NAMEFILLCAPS
Question Type:
TRelationshipFU
Married
Romantic
Coparents
1 MARRIED
2 DATING, OR OTHERWISE ROMANTICALLY INVOLVED
3 CO-PARENTING TO A BIOLOGICAL OR NON-BIOLOGICAL CHILD AND NOT
ROMANTICALLY INVOLVED
4 NEITHER MARRIED, ROMANTICALLY INVOLVED, NOR CO-PARENTS
NoRomNoCoPar
Logic after:
IF FECON7 = 1, 2, or 3 skip to FE1A000a. Else, go to FECON7a.
---------------------------------------------------------------------------------
FECON7a
18MFU Non-Romantic and Non-Parent
I'm sorry. To be eligible for this study, you and ^prld.Namefill must have been in a romantic or
coparenting relationship on ^EighteenMO.
Question Type:
Tnext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
Terminate interview and assign event code (349).
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 4 of 207
Demographics
---------------------------------------------------------------------------------
Logic before:
Any break-off that occurs at any point in the instrument after this section has begun should be
coded as 393. The entire instrument must be completed for code 491 or 492 to be assigned. If
FEM9MO=1, preload date of female 9 month interview and create output variable called ^FNINTDATE
(date of female 9mfu). Calculate nine months prior to current interview date and use to fill
^NINEMO.
Throughout the remainder of the interview, ^REFDATE will be filled as follows. If FEM9MO=1 (female
completed 9M intv), ^REFDATE=^FNINTDATE (date of female 9mfu). If FEM9MO=2 (female did not
complete 9M intv), ^REFDATE=^NINEMO (date 9 months ago).
If FEM9MO = 2 (female did not complete 9M intv), ^lcfill should say "This was the date 9 months
ago, when we tried to locate you for a 9 month interview.".
If FEM9MO = 1, ^lcfill should say "This was the date you were last interviewed for this study,
around 9 months ago."
FE1A000a
18MFU Interview Date
During the interview, there are several places where I will ask you about things that have happened
since ^REFDATE, so I'm going to mark that date on the calendar. Let's take a few minutes to think
about the memorable things that happened in your life since ^REFDATE.
^lcfill
[USE YOUR YELLOW HIGHLIGHTER TO MARK ^REFDATE ON REFERENCE CALENDAR]
[PROBE FOR BIRTHDAYS, HOLIDAYS, AND OTHER MEMORABLE EVENTS AND RECORD ON CALENDAR.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
Disable DK/RF. If FECON5 = yes (female currently incarcerated), ask FE1B009. Else go to FE1W134.
FE1B009
18MFU Incarceration Date
Take a look at this calendar and please tell me the date you were incarcerated for this term of
incarceration. I'm asking for the date you entered incarceration this time, not the date of your
sentencing.
@BIF R CANNOT RECALL EXACT DAY, SAY THIS TEXT TO THE R: Okay, because you cannot remember the day
you were incarcerated we will record the day as the 15th of (SAY MONTH and YEAR).@B
[USE YOUR PINK HIGHLIGHTER TO MARK ANY INCARCERATION DAYS THAT HAPPENED DURING THE TIME PERIOD FROM
^REFDATE TO TODAY'S DATE.]
Question Type:
TabTDate
Month
Date
Year
1 MONTH 1...12
2 DATE 1..31
3 YEAR 1947...2013
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 5 of 207
---------------------------------------------------------------------------------
Logic before:
Logic before:
If FECON5=yes, ^lcfill should say “[FI NOTE: BECAUSE R IS CURRENTLY INCARCERATED, DO NOT READ THE
QUESTION. ANSWER "YES" INSTEAD.] Else, ^lcfill should not fill.
FE1W134
18MFU Any Incarceration
^lcfill
(Since ^REFDATE, have you been incarcerated in a jail or prison for more than 24 hours at one time?)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
IF FECON5=YES and FE1W134=NO create at Consistency check that says: "YOU PREVIOUSLY ANSWERED THAT
R IS CURRENTLY INCARCERATED BUT HAVE INDICATED THAT R HAS NOT BEEN INCARCERATED FOR 24 OR MORE
HOURS SINCE ^REFDATE. WHICH IS CORRECT?" PROBE TO MAKE RESPONSES AT FECON5 and FE1W134 CONSISTENT.
CREATE NEW OUTPUT VARIABLE CALLED FEMINCARSTATE18. If FECON5=yes and the incarceration date
provided in FE1B009 happened before ^REFDATE, then FEMINCARSTATE18 = 1 (incarcerated the entire
reference period). If (FECON5=yes AND the incarceration date provided in FE1B009 was on or after
^REFDATE) OR (FECON5 = no and FE1W134 =yes), then FEMINCARSTATE18 = 2 (incarcerated for part of the
reference period). If FE1W134=no, then FEMINCARSTATE18 = 3 (not incarcerated for any of the
reference period).
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18 = 2, ask FE1H001. Else go to FE1F00i.
FE1H001
18MFU Days Incarcerated
Now let's mark the days on this calendar that you were in prison or jail since ^REFDATE. Since
^REFDATE, how many days have you been incarcerated in a prison or jail?
PROBE: "Your best estimate is fine."
[REFER TO REFERENCE CALENDAR. USE YOUR PINK HIGHLIGHTER TO MARK ANY (ADDITIONAL) INCARCERATION DAYS
THAT HAPPENED DURING THE TIME PERIOD FROM ^REFDATE TO TODAY'S DATE]
Question Type:
0..300
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18 = 2, ask FE1A00f. Else go to FE1F00i.
FE1A00f
18MFU Definition of Street Time
Some of the questions in this interview will ask you to think about the time since ^REFDATE that
you were on the outside. In other words, the time since ^REFDATE that you were not incarcerated.
[REFER TO REFERENCE CALENDAR, NOTING THAT @B HER TIME ON THE OUTSIDE MEANS THE DATES THAT ARE NOT
HIGHLIGHTED IN PINK@B]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 6 of 207
---------------------------------------------------------------------------------
Logic before:
Preload ^Namefill (male’s name) from male baseline. If FEM9MO=1, preload FN1F001 from female 9MFU.
Create new output variable called NAMFEILL ALIVE.FE. If FN1F001=2 (Dead), code NAMEFILL ALIVE.FE
as 2 (Dead) and skip to FE1A000. Else ask FE1F00i.
FE1F00i
18MFU Male Incarceration Date Intro
During the interview, I will also ask you some questions about ^prld.Namefill, so I'd like to
record important dates about his incarceration on this calendar.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE1F001
18MFU Namefill Deceased
I realize this may be difficult for you, but if ^prld.Namefill is no longer living, please let me
know.
Question Type:
Tdeceased
Alive
Dead
1 ^NAMEFILLcaps IS ALIVE
2 ^NAMEFILLcaps IS DECEASED
Logic after:
If FE1F001 = Dead, code NAMEFILL ALIVE.FE as 2 (Dead) and skip to FE1A000. If FE1F001 = Alive, DK
or RF, code NAMEFILL ALIVE.FE as 1 (alive).
---------------------------------------------------------------------------------
Logic before:
Preload date male was interviewed at baseline.
an indicator of whether or not the male did a 9
MALE9MO=yes, preload date male was interviewed
9 month interview. If MALE9MO=2 and FEM9MO=1,
If MALE9MO=2 and FEM9MO=2, ask FE3Q000t.
FE3Q000t
This variable will be called ^MBINTDATE. Preload
month interview (MALE9MO=1 if yes and 2 if no). If
at 9 month (^MNINTDATE) and INCARSTATEm9m from male
preload MALEINCAR from female 9 month instrument.
Else go to FE3Q000x.
18MFU Namefill Released from BL
We first interviewed ^prld.NAMEFILL around 18 months ago, on ^prld.MBINTDATE. At that point, he
was incarcerated. Was he released from that incarceration? In other words, has he spent any time
on the outside since ^prld.MBINTDATE?
Question Type:
TYesNoCAPS
Yes
No
1 YES
2 NO
Logic after:
Create new variable called NEWMALEINCAR, to be calculated in FE3Q000t and FE3Q000u. Create new
variable called MALEINCAR18, to be calculated throughout the rest of this section. If FE3Q000t =
No, code NEWMALEINCAR as 2 and MALEINCAR18 as 2 (still incarcerated from 9 month incarceration) and
go to FE3Q000. If FE3Q000t = yes, DK, or REF, go to FE3Q000u.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 7 of 207
---------------------------------------------------------------------------------
Logic before:
Calculate new variable, ^MBPLUS9, which is is the date 9 months after ^MBINTDATE.
If MALE9MO=2 and FEM9MO=2, ask FE3Q000u.
FE3Q000u
Else go to FE3Q000x.
18MFU Namefill Incarcerated at 9M
Next, we need to know whether ^prld.Namefill was incarcerated 9 months later, that is, on ^MBPLUS9.
On ^MBPLUS9 was he incarcerated in a jail or prison?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If (FE3Q000t=yes) AND (FE3Q000u = No, DK, or REF), code NEWMALEINCAR as 1 and go to FE3Q000z. If
(FE3Q000t=yes) AND (FE3Q000u = yes), code NEWMALEINCAR as 3 and go to FE3Q000x. If (FE3Q000t=DK or
REF) AND (FE3Q000u=DK or REF), code NEWMALEINCAR as 2 and MALEINCAR18 as 2 and go to FE3Q000. If
(FE3Q000t=DK or REF) AND (FE3Q000u=yes), code NEWMALEINCAR as 2 and go to FE3Q000x.
FE3Q000t=DK/REF and ME3Q000u=no code NEWMALEINCAR=1 and go to FE3Q000x.
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATEm9m=2 or 3) OR [(MALE9MO=2) and (MALEINCAR=2 or 3)] OR [(MALE9MO=2 and FEM9MO=2) AND
(NEWMALEINCAR = 2 or 3)], ask FE3Q000x. Else, go to FE3Q000z.
If (INCARSTATEm9m=2 or 3), ^lcfill should read "When we last interviewed ^Namefill on ^MNINTDATE,
he" and ^lcfill2 should read "^MNINTDATE"
If [(MALE9MO=2) and (MALEINCAR=2 or 3)], ^lcfill should read "When we last interviewed you, on
^FNINTDATE, you indicated that ^Namefill" and ^lcfill2 should read "^FNINTDATE"
If [(MALE9MO=2 and FEM9MO=2) AND (NEWMALEINCAR = 2 or 3)], ^lcfill should read "You indicated that
on ^MBPLUS9, ^Namefill" and ^lcfill2 should read "^MBPLUS9"
FE3Q000x
18MFU Namefill Released
^lcfill was incarcerated. At any point since then, was he released from prison or jail?
words, since ^lcfill2, has ^prld.Namefill spent any time out in the community?
Question Type:
In other
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If [(INCARSTATEm9m = 2) OR (MALE9MO=2 AND MALEINCAR=2) OR (MALE9MO=2 AND FEM9MO=2 AND NEWMALEINCAR
=2)] AND (FE3Q000x = No, DK, or REF), code MALEINCAR18 as 2 (still incarcerated from baseline
incarceration) and go to FE3Q000. If [(INCARSTATEm9m = 3) OR (MALE9MO=2 AND MALEINCAR=3) OR
(MALE9MO=2 AND FEM9MO=2 AND NEWMALEINCAR=3)] AND (FE3Q000x = No, DK, or REF), code MALEINCAR18 as 4
(still incarcerated from 9 month incarceration) and go to FE3Q000. If [(INCARSTATEm9m = 3) OR
(MALE9MO=2 AND MALEINCAR=3) OR (MALE9MO=2 AND FEM9MO=2 and NEWMALEINCAR =3)] AND (FE3Q000x = yes),
code MALEINCAR18 as 5 (all others) and go to FE3Q000. Else, go to FE1F000y.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 8 of 207
---------------------------------------------------------------------------------
Logic before:
If [(INCARSTATEm9m = 2) OR (MALE9MO=2 AND MALEINCAR=2) OR (MALE9MO=2 AND FEM9MO=2 AND NEWMALEINCAR
=2)] AND (FE3Q000x=yes), ask FE1F000y.
FE1F000y
18MFU Release Date Reference
When was ^prld.Namefill released?
[RECORD ^NAMEFILLcaps 's RELEASE DATE AND HIGHLIGHT IN GREEN ON REFERENCE CALENDAR]
Some of the questions in this interview will ask you to think about the time since ^prld.Namefill's
release.
[REFER TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALENDAR].
[PROBE FOR MEMORABLE EVENTS THAT HAVE HAPPENED SINCE ^prld.NAMEFILL'S RELEASE AND RECORD THEM ON
REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATEm9m=1) OR (MALE9MO=2 and MALEINCAR=1) OR (MALE9MO=2 AND FEM9MO=2 AND NEWMALEINCAR =
1), ask FE3Q000z. If [(INCARSTATEm9m=2 and FE3Q000x = yes)] OR [(MALE9MO=2 and MALEINCAR=2) AND
(FE3Q000x=yes)] OR [(MALE9MO=2 AND FEM9MO=2 and NEWMALEINCAR=2) AND (FE3Q000x=yes)], ask FE3Q000z.
Else, go to FE3Q000.
If (INCARSTATEm9m=1) OR (MALE9MO=2 and MALEINCAR=1) OR (MALE9MO=2 AND FEM9MO=2 AND NEWMALEINCAR =
1), ^lcfill should read "^REFDATE [REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]".
If (INCARSTATEm9m=2 and FE3Q000x = yes) OR [(MALE9MO=2 and MALEINCAR=2) AND (FE3Q000x=yes)] OR
[(MALE9MO=2 AND FEM9MO=2 and NEWMALEINCAR=2) AND (FE3Q000x=yes)], ^lcfill should read "^Namefill's
release [REFER TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALENDAR]"
FE3Q000z
18MFU Namefill Incarceration Since 9M
Since ^lcfill, has ^prld.Namefill been incarcerated in a jail or prison for more than 24 hours at
one time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If [(INCARSTATEm9m = 1) OR (MALE9MO=2 AND MALEINCAR=1) OR (MALE9MO=2 AND FEM9MO=2 AND NEWMALEINCAR
=1)] AND (FE3Q000z = Yes), code MALEINCAR18 as 5 (all others). If [(INCARSTATE = 1) OR (MALE9MO=2
AND MALEINCAR=1) OR (MALE9MO=2 AND FEM9MO=2 and NEWMALEINCAR =1)] AND (FE3Q000z = No,DK, or REF),
code MALEINCAR18 as 6 (released from baseline before 9 month reference period and was not
reincarcerated). If [(INCARSTATEm9m = 2) OR (MALE9MO=2 AND MALEINCAR=2) OR (MALE9MO=2 AND FEM9MO=2
AND NEWMALEINCAR =2)] AND (FE3Q000z = Yes), code MALEINCAR18 as 3 (released from BL incarceration,
reincarcerated). If [(INCARSTATEm9m = 2) OR (MALE9MO=2 AND MALEINCAR=2) OR (MALE9MO=2 AND FEM9MO=2
and NEWMALEINCAR =2)] AND (FE3Q000z = No, DK, or REF), code MALEINCAR18 as 1 (released from
baseline after the 9 month reference period and was not reincarcerated).
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 9 of 207
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=3, ask FE1A000e.
FE1A000e
Else, go to FE3Q000.
18MFU Definition of Ref Period Time 'til reincarc
Some of the questions in the interview will ask you to think about the time since ^REFDATE but not
counting the time that ^prld.Namefill was reincarcerated for a new incarceration after his release.
[ENTER ^prld.NAMEFILL'S REINCARCERATION DATE(S) ON REFERENCE CALENDAR AND CIRCLE THE DATE.
HIGHLIGHT ANY DAYS THAT HE WAS REINCARCERATED IN BLUE. TELL RESPONDENT THAT THE TIME PERIOD SINCE
^REFDATE IS THE TIME SINCE YELLOW AND THAT IF THE QUESTION ASKS HER TO NOT COUNT THE TIME THAT
^prld.NAMEFILL WAS INCARCERATED, IT MEANS EXCLUDING THE DATES THAT ARE HIGHLIGHTED IN BLUE.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
Ask FE3Q000 if MALEINCAR18=2,3,4,OR 5.
Else go to FE1A000.
If (MALEINCAR18=2 or 4), ^lcfill should say [DO NOT READ THE QUESTION. ANSWER "YES" INSTEAD.
FE3Q000
18MFU Namefill Incarcerated
^lcfill
Is ^prld.Namefill currently incarcerated? By incarcerated we mean in prison, jail, or work release.
(Home detention does not count as incarceration.)
Question Type:
Tyesnocaps
Yes
No
1 YES
2 NO
Logic after:
If (MALEINCAR18=2 OR 4) AND (FE3Q000=2), create a consistency check that says "R PREVIOUSLY
ANSWERED THAT ^NAMFEILL HAD NOT BEEN RELEASED FROM JAIL/PRISON (FE3Q000x) BUT YOU HAVE INDICATED
THAT HE IS NOT CURRENTLY INCARCERATED (FE3Q000). PROBE TO MAKE RESPONSES CONSISTENT." Note that a
DK or RF to FE3q000 should not trigger the consistency check.
---------------------------------------------------------------------------------
Logic before:
If FE3Q000=yes, ask FE3Q000a.
FE3Q000a
Else go to FE1A000d.
18MFU Namefill Release
Does ^prld.Namefill expect to be released from this incarceration?
Question Type:
TYesNoCAPS
Yes
No
1 YES
2 NO
Logic after:
If (MALEINCAR18=2 OR 4), go to FE1A000.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 10 of 207
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=3 or 5, ask FE1A000d.
Else, go to FE1A000.
If MALEINCAR18=3, ^lcfill should read
"[LOOK AT THE CALENDAR WHERE ^PRLD.NAMEFILL’S RELEASE DATE IS HIGHLIGHTED IN GREEN. NOW USE YOUR
BLUE HIGHLIGHTER TO HIGHLIGHT DATES SINCE ^PRLD.NAMEFILL’S RELEASE THAT HE WAS REINCARCERATED, IF
THOSE DATES ARE NOT ALREADY HIGHLIGHTED.]
^lcfill2 should read "Some of the questions in the interview will ask you to think about the time
since ^prld.Namefill’s release while ^prld.NAMEFILL was on the outside. In other words, the time
since ^prld.Namefill’s release that he was not incarcerated. On the calendar that is any date
after this green mark that is not blue."
If MALEINCAR18=5, ^lcfill should read
"[REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR. USE YOUR BLUE HIGHLIGHTER TO
HIGHLIGHT DATES SINCE ^REFDATE THAT ^PRLD.NAMEFILL WAS INCARCERATED, IF THEY ARE NOT ALREADY
HIGHLIGHTED]
^lcfill2 should read, "Some of the questions in the interview will ask you to think about the time
since ^refdate while ^prld.NAMEFILL was on the outside. In other words, the time since ^refdate
that he was not incarcerated. On the calendar that is any date after this yellow mark that is not
blue."
FE1A000d
18MFU Definition of Ref Period Time on the Outside
^lcfill
^lcfill2 ^lcfill3
On the calendar that is any date after this ^lcfill4 mark that is not blue.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If (MALEINCAR18=3 or 5) AND (FEMINCARSTATE18=2), ask FE1A000c.
Else, go to FE1A000.
If MALEINCAR18=3, ^lcfill should read "^prld.Namefill'sRelease"
If MALEINCAR18=5, ^lcfill should read "refdate" and ^lcfill2 = yellow
FE1A000c
18MFU Definition of Ref Period Until Male’s Incarc
Some of the questions in this interview will ask you to think about the time since ^lcfill that you
were both on the outside. In other words, the time since ^lcfill that neither one of you was
incarcerated. On the calendar that is any date after this ^lcfill2 mark that is not blue or pink.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE1A000
18MFU Demographics Intro
The next set of questions asks for some basic information about you.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 11 of 207
---------------------------------------------------------------------------------
Logic before:
If FEMBASE = 2 (female did not participate in baseline) AND FEM9MO =2 (female did not complete
9MFU), ask FE1A001. Else go to FE1A003.
FE1A001
18MFU Date of Birth
In what month, day, and year were you born?
Question Type:
TabDate4
Month
Day
Year
1 Month 1…12
2 Day 1…31
3 Year 1934…1995
Logic after:
Calculate age based on current date, using the "year" field if "month" and/or "day" is
DK/RF/blank.. If DK/RF/blank for the year field in FE1A001, go to FE1A002B.
---------------------------------------------------------------------------------
FE1A002A
18MFU Age
So that makes you ^calcage
Question Type:
years old. Is this correct?
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If calculated age LT 18 then go to FE1A002B, else go to FE1A003. If FE1A002A = no, add consistency
check that says "PLEASE CORRECT THE DATE OF BIRTH BY GOING BACK TO FE1A001."
---------------------------------------------------------------------------------
FE1A002B
18MFU END
I'm sorry. You must be at least 18 years of age to participate in this study.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
After this screen TERMINATE interview and code as 348.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 12 of 207
---------------------------------------------------------------------------------
Logic before:
If (FEMBASE = 1) OR (FEM9MO=1), ^lcfill should say "I know you were asked this during your last
interview, but just in case there have been any updates, can you tell me what is the highest grade
or level of school you have ever completed?". Else, ^lcfill should say "What is the highest grade
or level of school you have ever completed?".
FE1A003
18MFU Level of Education
^lcfill
Question Type:
TEducation
NoEd
Less8th
SomeHS
Ged
HSDip
VocTechDip
SoColl
Assoc
Bach
GradProf
1
2
3
4
5
6
7
8
9
10
NONE
8TH GRADE OR LESS
SOME HIGH SCHOOL
GED
HIGH SCHOOL DIPLOMA
VOCATIONAL/TECH/BUSINESS CERTIFICATE OR DIPLOMA
SOME COLLEGE
ASSOCIATE'S DEGREE (AA, AS)
BACHELOR'S DEGREE (BA, BS)
GRADUATE/PROFESSIONAL DEGREE (MA, MS, PHD, EDD,
MEDICINE/MD, DENTISTRY/DDS, LAW/JJ/LLB, ETC.)
Logic after:
If FE1A003 = High School Diploma, ask FE1A003B. Else go to FE1A004.
---------------------------------------------------------------------------------
FE1A003B
18MFU HS Diploma
Do you have a high school diploma or GED?
Question Type:
THSG
HSDiploma
GED
1 HIGH SCHOOL DIPLOMA
2 GED
---------------------------------------------------------------------------------
Logic before:
If (FEMBASE = 2) AND (FEM9MO=2), ask FE1A004. Else skip to FE1A008.
FE1A004
18MFU Hispanic Origin
These next questions are about your background.
Do you consider yourself Hispanic, Latina, or Spanish?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 13 of 207
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
FE1A005
18MFU Race
[USE SHOWCARD 1]
Do you consider yourself to be...
Select all that apply.
[IF R SAYS NATIVE AMERICAN, VERIFY BY ASKING: I am recording this as American Indian. Is that
right?]
REQUIRED PROBE: Any others?
Question Type:
Trace
White
BlacAfr
AmerIn
Asian
Native
Other
1
2
3
4
5
6
White or Caucasian
Black or African American
American Indian or Alaskan Native
Asian
Native Hawaiian or Other Pacific Islander
Some other race
---------------------------------------------------------------------------------
FE1A006
18MFU Country of Origin
In what country were you born?
What area of the world are you from? For example, Mexico, Central America, South America, Middle
East, Asia, Africa, Europe, Caribbean, or Canada.
Question Type:
TCountry
US
PuertoR
OtherUS
Can
Chi
Cub
DomRep
ElSal
Germ
Ind
Jam
Kor
Mex
Phil
Rus
Viet
Other
1 UNITED STATES
2 PUERTO RICO
3 OTHER U.S. TERRITORY (AMERICAN SAMOA, GUAM, MARSHALL ISLANDS,
NORTHERN MARIANAS ISLANDS, OR U.S. VIRGIN ISLANDS)
4 CANADA
5 CHINA
6 CUBA
7 DOMINICAN REPUBLIC
8 EL SALVADOR
9 GERMANY
10 INDIA
11 JAMAICA
12 KOREA (SOUTH)
13 MEXICO
14 THE PHILIPPINES
15 RUSSIA
16 VIETNAM
17 OTHER COUNTRY (SPECIFY)
Logic after:
IF FE1A006 = other, go to FE1A006s; else go to FE1A007.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 14 of 207
---------------------------------------------------------------------------------
FE1A006s
18MFU Other Country
SPECIFY OTHER COUNTRY
Question Type:
STRING[25]
---------------------------------------------------------------------------------
FE1A007
18MFU Language
What language do you speak most often?
Question Type:
TLang
Eng
Span
Other
1 ENGLISH
2 SPANISH
3 OTHER (SPECIFY)
Logic after:
If FE1A007 = other, go to FE1A007s. Else go to FE1A008.
---------------------------------------------------------------------------------
FE1A007s
18MFU Other Specify
SPECIFY OTHER LANGUAGE
Question Type:
STRING[25]
---------------------------------------------------------------------------------
Logic before:
Preload FB1A008 from female baseline and FN1A008 from female 9 month. If (FB1A008 = yes) OR
(FN1A008=yes), skip to next domain. Else, ask FE1A008.
FE1A008
18MFU US Citizen
Are you a U.S. citizen?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 15 of 207
Relationship Status
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE.FE=Dead, skip to FE1F069.
Preload FB1F049a, FB1F053, and FB1F056 from female baseline. Preload MB1F056, MB1F053 and MB1F060
from male baseline. Create new variable named RELSTATUSBL.FE. If (FB1F049a and FB1F053 = yes) OR
FB1F056 = yes OR MB1F056 = yes OR MB1F053 = yes, then code RELSTATUSBL.FE as 1 (One or both
parties considers their relationship to be romantic at baseline). If (FB1F049a, FB1F056, MB1F056
and MB1F053 NE yes) and MB1F060 = yes, then code RELSTATUSBL.FE as 2 (Co-Parent only at baseline).
FE1F000
18MFU Relationship Status Intro
Now I would like to ask you a few more questions about your relationship with ^prld.Namefill.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FEM9MO=2 (female did not complete 9M intv), ask FE1F044. Else go to FE1F045.
If FEMBASE = 1 (female completed BL intv), "Spouse/Partner/Co-Parent" will be identified by the
variable ^companion preloaded from the female baseline, as follows: If respondent answered
FB1F049b, ^companion = 1 (spouse). If respondent answered FB1F056b, ^companion = 2 (partner). If
respondent answered FB1F056d, ^companion = 3 (parenting partner).
If FEMBASE=2 (female did not complete BL intv), "Spouse/Partner/Co-Parent" will be identified by
FECON7, as follows: If FECON7=1, then ^companion = 1 (spouse). If FECON7=2, then ^companion = 2
(partner). If FECON7=3, then ^companion = 3 (parenting partner).
If ^companion = 1 (spouse), then ^lcfill should say "married to" If ^companion = 2 (partner), then
^lcfill should say "romantically involved with" If ^companion = 3 (parenting partner), then
^lcfill should say "not romantically involved with".
Allow only one option to be selected.
FE1F044
18MFU Relationship to Male R at 9M
You reported that 18 months ago, you were ^lcfill ^prld.Namefill. Some relationships change over
time. We would like to know how you would describe your relationship with ^prld.Namefill at the
time that we tried to locate you for your 9 month interview, which was ^REFDATE.
[REFER TO DATE HIGHLIGHTED IN YELLOW ON REFERENCE CALENDAR]
How would you describe your relationship on ^REFDATE?
At that time, were you...
[ALLOW ONLY ONE RESPONSE TO BE SELECTED]
Question Type:
TRelationship9M
Married
Romantic
Coparents
1 Married to ^prld.Namefill
2 Not married, but dating or romantically involved with ^prld.Namefill
3 Neither married nor romantically involved with ^prld.Namefill
Logic after:
If FE1F044=1 or 2, code NEWRELSTATUSFU.FE as 1 (romantically involved with spouse or romantically
involved with non-spousal partner at follow-up). If FE1F044=3, DK, or REF, code NEWRELSTATUSFU.FE
as 2 (co-parents or not romantically involved at follow-up).
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 16 of 207
---------------------------------------------------------------------------------
Logic before:
If FEM9MO=1 (female completed 9M intv), "Spouse/Partner/Co-Parent" will be identified by the
variable ^companion9M, as follows:
If FN1F062=2 OR FN1F062a=3 or FN1F063a=2 or FN1F064a=2 or
FN1F064b=1, ^companion9M = 1 (spouse). If FN1F063=2 or FN1F064a=1 or FN1F065=yes, ^companion9M = 2
(partner). Else, ^companion9M = 3 (no romantic involvement).
If FEM9MO=2 (female did not complete 9M intv),”Spouse/Partner/Co-Parent" will be identified by
FE1F044, as follows: If FE1F044=1, then ^companion9M = 1 (spouse). If FE1F044=2, then ^companion9M
= 2 (partner). If FE1F044=3,DK, or REF, then ^companion9M = 3 (parenting partner).
If ^companion9M = 1 (spouse), then ^lcfill should say "married to"
If ^companion9M = 2 (partner), then ^lcfill should say "romantically involved with"
If ^companion9M = 3 (no romantic involvement), then ^lcfill should say "not romantically involved
with"
Preload relstatusMFU from male 9MFU (relstatusMFU = 1 if romantically involved with spouse or
romantically involved with non-spousal partner at follow-up and relstatusMFU = 2 if co-parents or
not romantically involved at follow-up). Preload relstatusFFU from female 9MFU (relstatusFFU = 1
if romantically involved with spouse or romantically involved with non-spousal partner at follow-up
and relstatusFFU = 2 if co-parents or not romantically involved at follow-up).
Create new variable called RELSTATUS9MO.FE. Set RELSTATUS9MO.FE as 2 (not romantically involved at
9 month follow-up). If NEWRELSTATUSFU.FE=1 OR relstatusMFU (from male 9MFU)=1 OR relstatusFFU
(from female 9MFU)=1, then RELSTATUS9MO.FE=1 (one ore more parties considered them to be
romantically involved at the 9 month interview).
FE1F045
18MFU Relationship
We would like to know if there have been any changes in your relationship with ^prld.Namefill since
^REFDATE. You reported that on ^REFDATE, you were ^lcfill ^prld.Namefill.
[REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If ^companion9M = 1 (spouse), ask FE1F062.
FE1F062
18MFU Spouse Status Change
Have there been any changes in your relationship with ^prld.Namefill since ^REFDATE? By changes we
mean separation, divorce, or no longer being in a romantic relationship with him.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE1F062 = YES, ask FE1F062a. Allow only one response to be selected.
FE1F062a
18MFU Changes in Marriage Status
In which of the following ways is your relationship with ^prld.Namefill different?
Question Type:
TMarrDiff
Sep
Divorce
NoRom
1 You and ^prld.Namefill are now legally separated
2 You and ^prld.Namefill are now divorced
3 You and ^prld.Namefill are still married but are now no longer
romantically involved
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 17 of 207
---------------------------------------------------------------------------------
Logic before:
If ^companion9M = 2 (partner), ask FE1F063.
FE1F063
18MFU Romantic Partner Status Change
Have there been any changes in your relationship with ^prld.Namefill since ^REFDATE? By changes we
mean you got married or are no longer in a romantic relationship with him.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE1F063 = YES, ask FE1F063a. Allow only one response to be selected.
FE1F063a
18MFU Partner Change Type
In which of the following ways is your relationship with ^prld.Namefill different since ^REFDATE?
Question Type:
TParDiff
NoRom
Marr
1 You are no longer in a romantic relationship with ^prld.Namefill
2 You are now married to ^prld.Namefill
---------------------------------------------------------------------------------
Logic before:
If ^companion9M = 3 (no romantic relationship), ask FE1F064.
FE1F064
18MFU Co-Parent Status Change
Have there been any changes in your relationship with ^prld.Namefill since ^REFDATE? By changes we
mean that you have become romantically involved with him or gotten married to him.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE1F064 = YES, ask FE1F064a.
FE1F064a
Allow only one response option to be selected.
18MFU Co-Parent Change Type
In which of the following ways is your relationship with ^prld.Namefill different since ^REFDATE?
Question Type:
TCoParDiff
Rom
Marr
1 You are now in a romantic relationship with ^prld.Namefill
2 You are now married to ^prld.Namefill
---------------------------------------------------------------------------------
FE1F064b
18MFU R Married to Namefill
IS R MARRIED TO ^NAMEFILLcaps?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 18 of 207
---------------------------------------------------------------------------------
Logic before:
If FE1F064b NE yes, ask FE1F064c.
FE1F064c
Else, go to FE1F065.
18MFU R Married to Anyone
Are you currently married to anyone?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Everyone (except NAMEFILL ALIVE.FE=2) is asked this item.
FE1F065
18MFU Confirm Romantic Involvement
Are you currently romantically involved with ^prld.Namefill? That is, do you consider yourselves to
be a couple?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
Create variable called RELSTATUS18MO.FE. Set RELSTATUS18MO.FE as 2 (not romantically involved at 18
month). Then, if FE1F062=2 (still married to namefill at 18 mo) OR FE1F063=2 (still romantic with
namefill at 18 mo) OR FE1F063a=2 (married to namefill at 18 mo) OR FE1F064a=1 (romantic with
namefill at 18 mo) or FE1F064a=2 (married to namefill at 18 mo) or FE1F065=1 (romantically involved
with namefill at 18 mo), then RELSTATUS18MO.FE=1 (romantically involved at 18 month).
---------------------------------------------------------------------------------
Logic before:
If FE1F065=2, ask FE1F065a.
FE1F065a
Else go to FE1F069.
18MFU Explanation of Focus on Namefill
OK. Even though you and ^prld.Namefill are not romantically involved with each other and may not
even be in contact right now, this interview will still ask you many questions about him. You were
an important person in his life during the incarceration where we first interviewed him, and this
study is longitudinal, which means that it captures the same types of information at several points
in time. We want to understand how relationships change over time. So please try to answer the
questions the best you can, even if it they may be difficult to answer.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
Everyone is asked this item. If NAMEFILL ALIVE.FE = 2, ^lcfill should say "Now I would like to ask
you about your romantic relationships. Are you currently romantically involved in any way with
anyone?". Else, ^lcfill should say "Are you currently romantically involved in any way with anyone
else?"
FE1F069
18MFU Romantic Other
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If NAMEFILL ALIVE.FE = 2 (Dead), go to FE1D000.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 19 of 207
---------------------------------------------------------------------------------
Logic before:
If FE1F069 = Yes and NAMEFILL ALIVE.FE = 1, ask FE1F070.
FE1F070
18MFU Namefill Clarification
OK, for the purpose of this interview we will be asking you questions about ^prld.Namefill and not
your other partner(s).
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
Everyone (except NAMEFILL ALIVE.FE=2) is asked this item. If (FECON5=yes) and (FE3Q000=yes),
^lcfill should say "Even though you and ^prld.Namefill are both currently incarcerated, do you
share parenting responsibilities for a child or children together?" and ^lcfill2 should say "By
sharing parenting responsibilities we mean that you and ^prld.Namefill are both involved in
parenting a particular child or children in some way.". Else, ^lcfill should say "Do you share
parenting responsibilities for a child or children with ^prld.Namefill?", and ^lcfill2 should not
fill.
---------------------------------------------------------------------------------
Logic before:
Everyone (except NAMEFILL ALIVE.FE=2) is asked this item. If (FECON5=yes) and (FE3Q000=yes),
^lcfill should say "Even though you and ^prld.Namefill are both currently incarcerated, do you
share parenting responsibilities for a child or children together?" and ^lcfill2 should say "By
sharing parenting responsibilities we mean that you and ^prld.Namefill are both involved in
parenting a particular child or children in some way.". Else, ^lcfill should say "Do you share
parenting responsibilities for a child or children with ^prld.Namefill?", and ^lcfill2 should not
fill.
FE1F066
18MFU Co-Parents
^lcfill
^lcfill2
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 20 of 207
---------------------------------------------------------------------------------
Logic before:
If FE1F062a= 1, 2, or 3 OR FE1F063a = 1, ask FE1F067. Bold and allow response options 1-15 if
MALEINCAR18=1, 3, 5, OR 6. Bold and allow response options 1-3 and 5-15 if
MALEINCAR18 = 2 OR 4. Do not allow option 4 to be selected if MALEINCAR18 = 2 OR 4. If
MALEINCAR = 2 OR 4, and option 4 is selected, trigger a consistency check that says "YOU HAVE
SELECTED A REASON FOR SPLITTING UP THAT IS INCONSISTENT WITH ^prld.NAMEFILL HAVING BEEN IN
PRISON/JAIL DURING THE ENTIRE REFERENCE PERIOD. PLEASE WORK WITH THE R TO RESOLVE THE
INCONSISTENCY." Allow R to select all that apply. If the "none" option is selected with any other
option or options trigger a hard consistency check that says: " IF "NONE" IS SELECTED, NO OTHER
CATEGORY SHOULD BE SELECTED."
FE1F067
18MFU Relationship Split
[USE SHOWCARD 2]
I'm going to read a list of reasons that couples split up. Which of these issues were reasons for
you and ^prld.Namefill splitting up? Please select all that apply.
Question Type:
Tsplit1F
Argue
PhysFight
NoCloseInc
1 ^F1 You argued too much ^F1
2 ^F2 Your fights got too physical, like pushing or hitting ^F2
3 ^F3 You did not feel close to one another during his incarceration ^F3
NoCloseRel
Diff
Trust
MaInvd
FeInvd
HeDrugs
SheDrgs
Money
4
5
6
7
8
9
10
11
HeCrim
ChildConf
Other
None
12
13
14
15
^F4 You did not feel close to one another after he was released ^F4
^F5 You were just too different from one another ^F5
^F6 You and he had too many jealousy or trust issues ^F6
^F7 He got involved with someone else ^F7
^F8 You got involved with someone else ^F8
^F9 He had problems with drug or alcohol use ^F9
^F10 You had problems with drug or alcohol use ^F10
^F11 You had conflicts over not having enough money to support the
family ^F11
^F12 You had conflicts about being involved in illegal activity ^F12
^F13 You had conflicts about how to raise children ^F13
^F14 Some other reason (SPECIFY) ^F14
^F15 (None of the above) ^F15
---------------------------------------------------------------------------------
Logic before:
If FE1F067 includes 14 (other), ask FE1F067s.
FE1F067s
18MFU Other Specify
SPECIFY REASON WHY R AND ^prld.Namefill SPLIT UP.
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 21 of 207
---------------------------------------------------------------------------------
Logic before:
If FE1F067 included more than two responses, ask FE1F068. Else, skip to FE1F069. Do not allow
option 4 to be selected if MALEINCAR18 = 2 OR 4. In FE1F068, use special font for the response
options selected in FE1F067 and only allow those to be selected by creating a consistency check.
"YOU HAVE SELECTED AS THE TWO MOST IMPORTANT REASONS A REASON(S) THAT WAS NOT REPORTED IN THE
PREVIOUS QUESTION, FE1F067. PLEASE PROBE, AS NEEDED, TO OBTAIN CONSISTENT RESPONSES." Set ^lcfill
to fill from FE1F067s for response option 14. Require 2 options to be selected. If only 1 option
selected trigger hard check that says: "YOU MUST SELECT THE @B2@B MOST IMPORTANT REASONS." if more
than two options selected create a hard consistency check that says: "YOU MUST SELECT THE @B2@B
MOST IMPORTANT REASONS."
FE1F068
18MFU
Most Important Reasons for Breakup
What would you say are the two most important reasons that you and ^prld.Namefill split up?
Question Type:
Tsplit2set
Argue
PhysFight
NoCloseInc
1 ^F[1]You argued too much^F[1]
2 ^F[2]Your fights got too physical, like pushing or hitting^F[2]
3 ^F[3]You did not feel close to one another during your incarceration^F[3]
NoCloseRel
4 ^F[4]You did not feel close to one another after you were released^F[4]
Diff
Trust
FeInvd
MaInvd
HeDrugs
SheDrgs
Money
5
6
7
8
9
10
11
HeCrim
^F[5]You were just too different from one another^F[5]
^F[6]You and he had too many jealousy or trust issues^F[6]
^F[7]He got involved with someone else^F[7]
^F[8]You got involved with someone else^F[8]
^F[9]You had problems with drug or alcohol use^F[9]
^F[10]He had problems with drug or alcohol use^F[10]
^F[11]You had conflicts over not having enough money to support the
family^F[11]
12 ^F[12]You had conflicts about being involved in illegal activity^F[12]
ChildConf
Other
13 ^F[13]You had conflicts about how to raise children^F[13]
14 ^F[14]^lcfill^F[14]
---------------------------------------------------------------------------------
Logic before:
If FE1F068 was asked, ask FE1F068a.Fill ^lcfill1 with the first response option chosen by R in
FE1F068; fill ^lcfill2 with the second response option chosen by R in FE1F068.
FE1F068a
18MFU Confirm Most Important Reasons for Breakup
So just to confirm, the two most important reasons that you and ^prld.Namefill split up were
@B^FE1F_STRINGFILL[1]^FE1F_FILL[1]@B and
@B^FE1F_STRINGFILL[2]^FE1F_FILL[2]@B?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If FE1F068a = No, create a consistency check. Consistency check text should say "GO BACK TO FE1F068
AND CORRECT THE RESPONSE OPTIONS UNTIL THE R AGREES ON THE TWO MOST IMPORTANT REASONS THAT SHE AND
^PRLD.NAMEFILL SPLIT UP." Do not allow this check to be suppressed.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 22 of 207
GENOGRAM & Family Structure
---------------------------------------------------------------------------------
Logic before:
If FEMBASE = 2 AND FEM9MO = 2, ask FE1D000.
FE1D000
18MFU Geno Intro Non-BL
Now I'd like to make a chart of everyone in your immediate family.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FEMBASE = 1 OR FEM9MO = 1, ask FE1D026.
FE1D026
18MFU Genogram Intro
Now I'd like to make a chart of everyone in your immediate family. We made a chart like this the
last time you were interviewed, and now we would like to know if there have been any changes in
these relationships since your last interview.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE.FE=1 (Alive), fill ^lcfill with "Let’s start with ^prld.Namefill. I am going to
put him on the chart and then". If NAMEFILL ALIVE.FE=2 (Dead), do not fill ^lcfill.
If NAMEFILL ALIVE.FE=1(Alive), fill ^lcfill2 with "[ADD ^NAMEFILLcaps TO THE GENOGRAM IN THE SURVEY
PARTNER BOX]". If NAMEFILL ALIVE.FE=2 (Dead), do not fill ^lcfill2.
FE1D027e
18MFU Confirm BL Primary Partner
^lcfill I’ll add any living children you parent in some way.
^lcfill2
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
Preload PARTNERFOCAL from male baseline. Preload FB1D027b from the female baseline. Preload FN1D030
and TOTALCHILD from female 9 month.
Create output variable called FOCLIVE.FE.
(Dead).
If FEM9MO = 1 and FN1D030= Dead, then FOCLIVE.FE= 2
If FEM9MO=2 and [PARTNERFOCAL = 1 (male reports that female partners focal child in the male
baseline interview) OR FB1D027b in female baseline= yes (female reported parenting any children
under 18)], ask FE1D028. If FEM9MO=1 and [(PARTNERFOCAL=1 AND FN1D030=Live) OR (TOTALCHILD GE 1),
ask FE1D028. Else go to FE1D033.
---------------------------------------------------------------------------------
FE1D028
18MFU Deceased Child Intro
I realize this may be difficult for you, but if a child is no longer living please let me know.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 23 of 207
---------------------------------------------------------------------------------
Logic before:
Preload ^FOCCHILD from male baseline.
FE1D028a. Else go to FE1D029.
FE1D028a
If (FEMBASE = 2 AND FEM9MO = 2) AND (PARTNERFOCAL = 1), ask
18MFU Focal Intro for Non-BL Female
When we interviewed ^prld.Namefill eighteen months ago, he told us that you parented ^prld.FOCCHILD
in some way. Because ^prld.FOCCHILD is an important person in ^prld.Namefill's life, we will be
asking you some questions about ^prld.FOCCHILD.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If (PARTNERFOCAL = 1 and FOCLIVE = LIVE), ask FE1D029. Else, skip to FE1D031.
FE1D029
18MFU Confirm Focal Child
Let's add ^prld.FOCCHILD to the chart, along with the child's father.
[RECORD ^FOCCHILDCAPS AND HIS/HER FATHER IF DIFFERENT FROM ^NAMEFILLCAPS ON GENOGRAM.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If PARTNERFOCAL = 1, ask FE1D030.
FE1D030
18MFU Confirm Focal Child Living/Deceased
IS ^FOCCHILDCAPS LIVING OR DECEASED?
[IF ^FOCCHILDCAPS IS DECEASED, MARK A "D" NEXT TO HIS/HER NAME ON GENOGRAM]
Question Type:
TFocal
Live
Dead
1 ^prld.FOCCHILD IS LIVING
2 ^prld.FOCCHILD IS DECEASED
Logic after:
If FE1D030=Live, then FOCLIVE.FE=1 (LIVE). IF FE1D030=DEAD, then FOCLIVE.FE=2 (Dead).
FOCLIVE.FE=2 (Dead), go to FE1D031.
---------------------------------------------------------------------------------
Logic before:
If FOCLIVE.FE=LIVE, ask FE1G062a.
FE1G062a
Else, go to FE1D031.
18MFU Age of Focal Child
What is ^prld.FOCCHILD's age? (PROBE IF NEEDED: Your best estimate is fine.)
[IF CHILD IS YOUNGER THAN 1 YEAR, RECORD AGE AS 0.]
Question Type:
0..20
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 24 of 207
If
---------------------------------------------------------------------------------
Logic before:
If (FEMBASE = 2 AND FEM9MO = 2), ask FE1D027l. Else, go to FE1D027m.
FE1D027l
18MFU Non-BL Respondent Parents Focal Child
Eighteen months ago, that is, on ^Eighteenmo, did you consider yourself to be a parent to
^prld.FOCCHILD?
Did you parent the child in any way?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If (FEM9MO = 2), ask FE1D027m. Else, go to FE6N098a.
FE1D027m
18MFU Non-9m Respondent Parents Focal Child
Nine months ago, that is, on ^REFDATE, did you consider yourself to be a parent to ^prld.FOCCHILD?
Did you parent the child in any way?
[REFER RESPONDENT TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE6N098a
18MFU Namefill Coparent
Are you currently involved in raising ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE1Dchild
Question Type:
Existing Child Loop
array[1..15] of BFE1Dsub
---------------------------------------------------------------------------------
FE1Dnewchild
Question Type:
Children New Since Last Interview
array[1..15] of BFE1Dsub2
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 25 of 207
---------------------------------------------------------------------------------
Logic before:
Ask if TOTALCHILD18.FE GE 1. If FECON5 = yes, ^lcfill should say "[IF R SAYS ZERO, ASK HER TO
INCLUDE THE PERSON(S) THE CHILD IS LIVING WITH WHILE THE R IS INCARCERATED.]"
FE1D027d
18MFU Number of Coparents
Altogether, with how many adults do you share parenting responsibilities for any of your children?
This might include a current spouse or partner or ex-spouses or ex-partners who are fathers of
your children. This could also include another adult, such as a grandparent, with whom you are
raising one of your children.
^lcfill
foclive = ^foclive
totalchild18 = ^totalchild18
Question Type:
0..25
---------------------------------------------------------------------------------
savecount
Question Type:
saved work variable
integer
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 26 of 207
BL Child Loop
---------------------------------------------------------------------------------
deceasedflag
Question Type:
Flag if child is dead
Tyesno
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If FEMBASE = 2 AND FEM9MO = 2, skip to FE1D033.
Preload FB1G061 (name of child; ^CHILD) for all non-focal children recorded at baseline and preload
FE1G061n (name; ^CHILD) for all new children recorded in female 9MFU. Preload FN1D032 (non-focal
BL child live/dead) and NUMCHILD from female 9MFU.
If FEM9MO=1 and number of non-focal children GE 1 (use FN1D032 = Live AND NUMCHILD for count), ask
FE1D031.
IF (FEM9MO=2 AND FEMBASE=1) and number of non-focal children GE 1 (use FB1G061 for count), ask
FE1D031.
Else, go to FE1D033.
FE1D031
18MFU Confirm Other Children
OK. Now I am going to record ^CHILD on the chart we have in front of us. Can you remind me who
^CHILD's father is?
[RECORD ^CHILD AND ^CHILD'S FATHER IF NOT ^PRLD.NAMEFILL ON GENOGRAM.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE1D032
18MFU Confirm Other Children Living/Deceased
IS ^CHILD LIVING OR DECEASED?
[IF ^CHILD IS DECEASED, MARK A "D" NEXT TO HIS/HER NAME ON GENOGRAM]
Question Type:
TBLChild
Live
Dead
1 ^CHILD IS LIVING
2 ^CHILD IS DECEASED
Logic after:
If FE1D032 = Dead for ANY child, remove that child from the child loop.
---------------------------------------------------------------------------------
FE1G062b
18MFU Age of Other Child
What is ^CHILD's age? (PROBE IF NEEDED: Your best estimate is fine.)
[IF CHILD IS YOUNGER THAN 1 YEAR, RECORD AGE AS 0.]
Question Type:
0..20
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 27 of 207
---------------------------------------------------------------------------------
Logic before:
If FE1D032 = Live and NAMEFILL ALIVE.FE = Alive, ask FE1G065a. Else go to FE1D033.
FE1G065a
Spouse/Partner Coparent
During the past nine months, that is, since ^REFDATE, has ^prld.Namefill been involved in raising
^CHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 28 of 207
New Child Loop
---------------------------------------------------------------------------------
Logic before:
Start of new children loop. Loop FE1D033-FE1G064 until FE1D033 = NO (no new children remain). If
(FEMBASE = 2 AND FEM9MO = 2) OR [PARTNERFOCAL=0 AND there are no non-focal children), ^lcfill
should say "Do you parent any children @Bunder age 18@B?" when child counter equals 0 and ^lcfill
should say, ""Do you parent any other children @Bunder age 18@B?" when child counter ge 1.
Else, ^lcfill should say "Do you parent any other children @Bunder age 18@B that I haven’t already
mentioned?".
FE1D033
18MFU Add New Children
^lcfill
[FI NOTE: DO NOT INCLUDE CHILDREN WHO ARE DECEASED OR NOT YET BORN]
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If FE1D033 = yes, ask FE1G061n. Else go to FE1D027d.
FE1G061n
18MFU Name of New Child(ren)
What is the child's name?
[ENTER THE CHILD'S FIRST NAME HERE.]
Question Type:
Logic after:
STRING[25]
Based on this question, add all new children to the child loop. Fill variable is called, ^CHILD
(child’s first name). Do not overwrite this variable at each loop. Later we will need all of the
children's names, both new and preloaded (excluding all deceased children). All living non-focal
children, new and preloaded, should be on one ^CHILD loop. Create new output variable called
NUMBCHILD18.FE (number of new children) based on how many times the FE1D033-FE1G064 loop was gone
through with FE1D033 = YES. Create another new output variable called TOTALCHILD18.FE (total number
of children) based on NUMBCHILD18.FE (number of new children) plus FOCLIVE.FE = Live plus the
number of times FE1D032 = Live (non-focal child from BL or 9M is living). TOTALCHILD18.FE should
equal a number and will be used to gate subsequent items in the interview. Create a variable to be
used in subsequent fills called ^children. If TOTALCHILD18.FE = 1 ^children = child. If
TOTALCHILD18.FE GT 1, ^children = children.
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE.FE=Dead, do not display response option 1 and do not fill ^lcfill. If NAMEFILL
ALIVE.FE= Live, display all response options and fill ^lcfill with “other than “prld.Namefill”.
FE1G065
Rs Relationship to Childs Father
Is ^Child's father...
Question Type:
TChildMother
SpousePartner
Married
Other
Never
1
2
3
4
^lcfill8
A former spouse of yours (someone you were married to)
A former partner or current partner ^lcfill
Someone that you have never been romantically involved with such as a
family member
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 29 of 207
---------------------------------------------------------------------------------
FE1D034
18MFU Add New Child to Genogram
[ADD THIS CHILD AND HIS OR HER FATHER TO THE GENOGRAM]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE.FE = Alive, ask FE1G034a.
FE1G034a
Else, skip to FE1G062.
Spouse/Partner Coparent
Since ^REFDATE, has ^prld.Namefill been involved in raising ^CHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE1G062
18MFU Age of New Child
What is ^CHILD's age? (PROBE IF NEEDED: Your best estimate is fine.)
[IF CHILD IS YOUNGER THAN 1 YEAR, RECORD AGE AS 0.]
Question Type:
0..17
---------------------------------------------------------------------------------
FE1G063
Gender of New Child
And is ^CHILD male or female?
Question Type:
TGender
Male
Female
1 MALE
2 FEMALE
---------------------------------------------------------------------------------
FE1G064
Relationship to Child
Is ^Child...
Question Type:
TChildRelate
Biological
NonBiological
1 Your biological or legally adopted child
2 A non-biological/non-adoptive child that you have been a parent to in
some way
Logic after:
Repeat FE1D033-FE1G064 loop until no new children remain.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 30 of 207
Impact of Incarceration on Relationship with Partner
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE.FE=DEAD go to FE3R022.
to FE3R022. Else go to FE3Q002a.
FE3Q002a
If FE3Q000 (Namefill currently incarcerated) NE Yes, go
18MFU Intro screen for Part 3
The next set of questions is about your experiences since ^prld.Namefill was incarcerated. We are
talking about his @Bcurrent@B incarceration.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=2 AND (RELSTATUSBL.FE=1 OR RELSTATUS9MO.FE=1 OR RELSTATUS18MO.FE=1), ask FE3Q002.
Else go to FE3Q019a.
FE3Q002
18MFU Contact with Partner Important
[USE SHOWCARD 3]
First, I'd like to know how much you agree or disagree with each of the following statements about
keeping in touch with ^prld.Namefill.
Keeping in touch with ^prld.Namefill during his incarceration is very important to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3Q003
18MFU Assistance with Contact with Partner
[USE SHOWCARD 3]
You are satisfied with the amount of help you've received with staying in touch with ^prld.Namefill
during his incarceration. This could be help from outside programs or agencies, program staff at
the correctional facility, clergy, correctional officers, or other staff.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 31 of 207
---------------------------------------------------------------------------------
FE3Q004
18MFU Talk to Partner
[USE SHOWCARD 4]
Now, I'd like to ask about specific contact you currently have with ^prld.Namefill.
About how often do you currently talk on the phone with ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
Logic after:
If FE3Q004 = "Never", go to FE3Q006. Else go to FE3Q005.
---------------------------------------------------------------------------------
FE3Q005
18MFU Length of Time on Phone
About how long is your average phone call with ^prld.Namefill?
[IN MINUTES]
Question Type:
1..120
---------------------------------------------------------------------------------
FE3Q006
18MFU Send Mail
[USE SHOWCARD 4]
How often do you currently send mail to ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
FE3Q007
18MFU Receive Mail
How often do you usually @Breceive@B mail from ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 32 of 207
---------------------------------------------------------------------------------
Logic before:
If FECON5 = yes, skip to FE3Q016. Else ask FE3Q008.
FE3Q008
18MFU Receive Personal Visits
How often do you currently visit ^prld.Namefill in person?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
Logic after:
If FE3Q008 = "Never", go to FE3Q010. Else go to FE3Q009.
---------------------------------------------------------------------------------
FE3Q009
18MFU Length of Time Spent Together
About how much time do you spend visiting with ^prld.Namefill on an average visit? [IN MINUTES]
Question Type:
0..540
---------------------------------------------------------------------------------
FE3Q010
18MFU Location of Facility
[USE SHOWCARD 5]
Thinking about ^prld.Namefill's time in prison, please tell me how much you agree or disagree with
each of the following statements.
The prison is located too far away for you to make regular visits or is too hard to get to because
of transportation issues.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3Q011
18MFU Facility Policies
Visitor admission rules such as background checks, dress codes, searches, and metal detectors are
hard for you to deal with.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 33 of 207
---------------------------------------------------------------------------------
FE3Q012
18MFU Cost of Visiting
The cost of visiting makes it hard for you to visit as often as you would like to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3Q013
18MFU Schedule Issues
Schedule issues, like limited visiting hours and your work schedule, make it hard for you to find
time for visits.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3Q014
18MFU Cost of Receiving Calls
The cost of receiving ^prld.Namefill's calls is too high for you, or you do not have access to a
phone.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3Q015
18MFU Facility is Unpleasant
The prison is not a pleasant place to visit, or not a place you want to see ^prld.Namefill.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 34 of 207
---------------------------------------------------------------------------------
Logic before:
If FECON5 = yes, ^lcfill should say "Thinking about ^prld.Namefill’s time in prison, please tell me
how much you agree or disagree with each of the following statements." If FECON5 = no, do not fill
^lcfill.
FE3Q016
18MFU Partner Does Not Want Contact
^lcfill
^prld.Namefill does not want to maintain close contact with you while he is incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3Q017
18MFU R Does Not Want Contact with Partner
You do not want to maintain close contact with ^prld.Namefill while he is incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
IF FE3Q010-FE3Q017 includes 2 or fewer strongly agree or agree responses, go to FE3Q019a. If
FE3Q010-FE3Q017 includes 3 or more strongly agree or agree responses, ask FE3Q018. USE SPECIAL FONT
FOR ITEMS FOR WHICH R ANSWERED "STRONGLY AGREE" OR "AGREE" in FE3Q010-FE3Q017. Allow only 2
response options to be selected.
FE3Q018
18MFU Two Biggest Difficulties
What would you say are the two biggest difficulties in staying in touch with ^prld.Namefill during
this incarceration?
Question Type:
TContactFB1
Location
Policies
Cost
Issues
Calls
Unpleasant
NoContact
RNoContact
1 ^F1 The prison is located too far away for you to make regular visits or
is too hard to get to because of transportation issues ^F1
2 ^F2 Visitor admission rules such as background checks, dress codes,
searches, and metal detectors are hard for you to deal with ^F2
3 ^F3 The cost of visiting makes it hard for you to visit as often as you
would like ^F3
4 ^F4 Schedule issues, like limited visiting hours and your work schedule,
make it hard for you to find time for visits ^F4
5 ^F5 The cost of receiving ^prld.Namefill's calls is too high for you, or
you do not have access to a phone ^F5
6 ^F6 The prison is not a pleasant place to visit, or not a place you want
to see ^prld.Namefill ^F6
7 ^F7 ^prld.Namefill does not want to maintain close contact with you
while he is incarcerated ^F7
8 ^F8 You do not want to maintain close contact with ^prld.Namefill while
he is incarcerated ^F8
Logic after:
Consistency check if the R picks an item that that they did not strongly agree or agree to in
FE3Q010-FE3Q017. Text should say, "YOU HAVE SELECTED AS THE BIGGEST DIFFICULTY, SOMETHING THAT THE
R DID NOT REPORT AS BEING A DIFFICULTY WHEN THEY WERE FIRST ASKED ABOUT IT IN QUESTIONS FE3Q010FE3Q017. GO BACK AND PROBE AS NEEDED."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 35 of 207
---------------------------------------------------------------------------------
Logic before:
If FE3Q000=YES ask FE3Q019a.
FE3Q019a
18MFU Incarceration Changed Relationship
How has ^prld.Namefill's time in prison changed your relationship with him, if at all? Has it made
you closer, has it made you drift apart, or has there been no change?
Question Type:
TChange3
Closer
APART
NOC
1 MADE YOU CLOSER
2 MADE YOU DRIFT APART
3 NO CHANGE
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18 = 2, ask FE3Q020a. Else, skip to FE3R022. Allow the respondent to "select all that
apply".
FE3Q020a
18MFU Relationship Concerns During Incarceration
[USE SHOWCARD 6]
What concerns or worries do you have about your relationship with ^prld.Namefill during this
incarceration?
Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TConcernsFB3
Apart
Insecurity
1 His time in prison will make you drift apart
2 It is hard for you to know what his place in your life is when he is in
prison
3 Sometimes you can't accept collect charges for his calls or be at home
when he calls
4 You are concerned about his lifestyle in prison
5 You may not be able to forgive him for problems or conflicts you've had
Accept
Lifestyle
Forgive
Close
6 Being in prison makes it hard for him to open up to you or let himself
get close to you
7 You don't know whether he will get involved with someone else during
this incarceration
8 You have become or might become involved with someone else during this
incarceration
9 Or some other concern that I haven't mentioned
InvolvedHim
InvolvedYou
Other
Logic after:
If FE3Q020a includes other (9), go to FE3Q020as. Else go to FE3Q021a.
---------------------------------------------------------------------------------
FE3Q020as
18MFU Other Specify
SPECIFY OTHER CONCERN
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 36 of 207
---------------------------------------------------------------------------------
Logic before:
IF FE3Q020a includes more than one response, ask FE3Q021a. For response option 8, fill this with
information captured in FE3Q020 as SHOW RESPONSE OPTIONS THAT WERE SELECTED IN FE3Q020a WITH
SPECIAL FONT, AND DO NOT ALLOW A RESPONSE TO BE SELECTED UNLESS IT IS ALSO SELECTED IN FE3Q020a BY
CREATING A CONSISTENCY CHECK. CONSISTENCY CHECK TEXT, "YOU HAVE SELECTED AS THE BIGGEST CONCERN
SOMETHING THAT THE R DID NOT REPORT IN FE3Q020a. PROBE, AS NEEDED TO RESOLVE THE INCONSISTENCY."
FE3Q021a
18MFU Biggest Concern
Of the concerns you mentioned, which one is your @Bbiggest@B concern?
Question Type:
TConcernsFB3a
Apart
Insecurity
Accept
Lifestyle
Forgive
Close
InvolvedHim
InvolvedYou
Other
1 ^F1 His time in prison will make you drift apart ^F1
2 ^F2 It is hard for you to know what his place in your life is when he is
in prison ^F2
3 ^F3 Sometimes you can't accept collect charges for his calls or be at
home when he calls ^F3
4 ^F4 You are concerned about his lifestyle in prison ^F4
5 ^F5 You may not be able to forgive him for problems or conflicts you've
had ^F5
6 ^F6 Being in prison makes it hard for him to open up to you or let
himself get close to you ^F6
7 ^F7 You don’t know whether he will get involved with someone else during
this incarceration^F7
8 ^F8 You have become or might become involved with someone else during
this incarceration ^F8
9 ^F9^lcfill^F9
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 37 of 207
Impact of Incarceration on Relationship with Children
---------------------------------------------------------------------------------
Logic before:
If PARTNERFOCAL=0 OR if FOCLIVE.FE=Dead, go to Part 4, domain S (FE4S057a). If FECON5 = yes, go to
FE3R022. Else, skip to FE3R022p.
FE3R022
18MFU Contact with Children
[USE SHOWCARD 7]
The next set of questions is about keeping in touch with ^prld.FOCCHILD during your incarceration.
For these questions, please only include children who are under the age of 18. First, I'd like to
know how much you agree or disagree with each of the following statements.
Keeping in touch with ^prld.FOCCHILD during your incarceration is very important to you. Do you...
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R023
18MFU Services Received to Stay in Contact with Ch
You are satisfied with the amount of help you've received with staying in touch with ^prld.FOCCHILD
during your incarceration. This could be help from outside programs or agencies, program staff at
your facility, clergy, correctional officers, or other staff. Do you...
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R024
18MFU Talk on Phone with Focal Child
Do you talk on the phone to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 38 of 207
---------------------------------------------------------------------------------
Logic before:
If FE3R024 = yes, ask FE3R026. Else go to FE3R028.
FE3R026
18MFU Frequency Talk on Phone with Focal Child
[USE SHOWCARD 10]
How often do you talk on the phone with ^prld.FOCCHILD?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
FE3R027
18MFU Length of Call with Any Children
About how long is your average phone call with ^prld.FOCCHILD?
[IN MINUTES]
Question Type:
0..120
---------------------------------------------------------------------------------
FE3R028
18MFU Send Mail to Focal Child
Do you currently send mail to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE3R028 = yes, ask FE3R030. Else go to FE3R031.
FE3R030
18MFU Frequency Send Mail to Focal Child
[USE SHOWCARD 10]
How often do you currently send mail to ^prld.FOCCHILD?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 39 of 207
---------------------------------------------------------------------------------
FE3R031
18MFU Send Audiotapes
Have you been able to send any audiotapes to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE3R032
18MFU Receive Mail from Focal Child
Do you currently @Breceive@B mail from ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE3R032 = yes, ask FE3R034. Else go to FE3R035.
FE3R034
18MFU Frequency Receive Mail from Focal Child
[USE SHOWCARD 10]
How often do you currently receive mail from ^prld.FOCCHILD?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
FE3R035
18MFU Received Photos or Audiotapes from Focal Chi
Have you received any photographs or audiotapes of ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE3R036
18MFU Personal Visits from Focal Child
Do you currently receive personal visits from ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 40 of 207
---------------------------------------------------------------------------------
Logic before:
If FE3R036 = yes, ask FE3R038. Else go to FE3R043.
FE3R038
18MFU Frequency Personal Visits from Focal Child
[USE SHOWCARD 10]
How often do you currently receive personal visits from ^prld.FOCCHILD?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
Logic before:
Preload ^FOCSEX1, ^FOCSEX2, and ^FOCSEX3 from male baseline.
FE3R043
18MFU Distance of Facility
[USE SHOWCARD 9]
Thinking more about @Byour@B time in prison, please tell me how much you agree or disagree with
each of the following statements.
The prison is located too far away for ^prld.FOCCHILD to have regular visits, or is too hard for
^FOCSEX3 caretaker to get to because of transportation issues.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R044
18MFU Admission Rules
Visitor admission rules, such as background checks, dress codes, searches, and metal detectors, are
hard for ^prld.FOCCHILD to deal with.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R045
18MFU Cost of Visiting
The cost of visiting is too high for ^prld.FOCCHILD's caretaker to bring ^FOCSEX2 as often as he or
she would like to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 41 of 207
---------------------------------------------------------------------------------
FE3R046
18MFU Schedule Issues
Schedule issues, like limited visiting hours and ^prld.FOCCHILD's caretaker's work schedules, make
it hard to find time for visits.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R047
18MFU Cost of Calls
The cost of calling or receiving calls is too high, or you do not have access to a phone.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R048
18MFU Facility Pleasant Place
The prison is not a pleasant place to visit, or not a place you want ^prld.FOCCHILD to see you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R049
18MFU Caretaker Does Not Want Contact
^prld.FOCCHILD's caretaker does not want ^FOCSEX2 to maintain close contact with you while you are
incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 42 of 207
---------------------------------------------------------------------------------
FE3R050
18MFU R Wants No Contact
You do not want to maintain close contact with ^prld.FOCCHILD while you are incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R051
18MFU Focal Child Does Not Want Contact
^prld.FOCCHILD does not want to maintain close contact with you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R052
18MFU No Close Contact with Focal Child
You were not in close contact with ^prld.FOCCHILD before your incarceration.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 43 of 207
---------------------------------------------------------------------------------
Logic before:
If answered 1 or 2 (strongly agree or agree), to more than 2 questions between FE3R043 to
FE3R052,then ask FE3R053. Else, skip to FE3R022p. For FE3R053 put response options that the R
already answered 1 or 2 (strongly agree or agree) to in FE3R043 to FE3R052 in special font and only
allow those to be selected, by creating a consistency check. "YOU HAVE SELECTED AS THE BIGGEST
CHALLENGE SOMETHING THAT WAS NOT REPORTED IN THE PREVIOUS QUESTIONS, FE3R043 to FE3R052. PLEASE
PROBE, AS NEEDED TO OBTAIN CONSISTENT RESPONSES." Also, allow only a total of 2 response options to
be selected. Preload ^FOCSEX1, ^FOCSEX2, and ^FOCSEX3 from male baseline.
FE3R053
18MFU Two Biggest Issues for Child Contact
What are the two biggest challenges in staying in touch with ^prld.FOCCHILD while you are
incarcerated?
Question Type:
TChallenge2FB
Location
1 ^F1 The prison is located too far away for ^prld.FOCCHILD to have
regular visits, or is too hard for ^FOCSEX3 caretaker to get to because
of transportation issues. ^F1
2 ^F2 Visitor admission rules, such as background checks, dress codes,
searches, and metal detectors, are hard for ^prld.FOCCHILD to deal with.
^F2
3 ^F3 The cost of visiting is too high for ^prld.FOCCHILD's caretaker to
bring ^FOCSEX2 as often as he or she would like to. ^F3
4 ^F4 Schedule issues, like limited visiting hours and ^prld.FOCCHILD's
caretaker's work schedules, make it hard to find time for visits. ^F4
Ruls
VisitCost
Schedule
CallCost
5 ^F5 The cost of calling or receiving calls is too high, or you do not
have access to a phone. ^F5
6 ^F6 The prison is not a pleasant place to visit, or not a place you want
^prld.FOCCHILD to see you. ^F6
7 ^F7 ^prld.FOCCHILD's caretaker does not want ^FOCSEX2 to maintain close
contact with you while you are incarcerated. ^F7
8 ^F8 You do not want to maintain close contact with ^prld.FOCCHILD while
you are incarcerated. ^F8
9 ^F9 ^prld.FOCCHILD does not want to maintain close contact with you. ^F9
Pleasant
MotherNo
RNoContact
ChildNoContact
NotClose
10 ^F10 You were not in close contact with ^prld.FOCCHILD before this
incarceration. ^F10
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE.FE = Dead, skip to Section 4 S (FE4S057a).
Else, go to FE3R054p.
FE3R022p
If MALEINCAR18 = 2, ask FE3R022p.
18MFU Contact with Focal Child
The next set of questions is about ^prld.Namefill keeping in touch with ^prld.FOCCHILD during his
incarceration. First, I'd like to know how much you agree or disagree with the following statement.
It's very important to you that ^prld.Namefill keep in touch with ^prld.FOCCHILD during his
incarceration. Do you . . .
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 44 of 207
---------------------------------------------------------------------------------
FE3R024p
18MFU Talk on Phone with Focal Child
Now, I'd like to ask about specific contact ^prld.Namefill may have had with ^prld.FOCCHILD during
this incarceration.
Does ^prld.Namefill talk on the phone to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE3R024p = yes, ask FE3R026p. Else go to FE3R028p.
FE3R026p
18MFU Occurrence of Phone Conversation
[USE SHOWCARD 10]
How often does ^prld.Namefill talk on the phone with ^prld.FOCCHILD?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
FE3R027p
18MFU Length of Call with Any Children
About how long is his average phone call with ^prld.FOCCHILD?
[IN MINUTES]
Question Type:
1..120
---------------------------------------------------------------------------------
FE3R028p
18MFU Send Mail to Focal Child
Does ^prld.Namefill currently send mail to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 45 of 207
---------------------------------------------------------------------------------
Logic before:
FE3R028p = yes, ask FE3R030p. Else go to FE3R031p.
FE3R030p
18MFU Frequency Send Mail to Focal Child
How often does ^prld.Namefill currently send mail to ^prld.FOCCHILD?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
FE3R031p
18MFU Send Audiotapes
Has ^prld.Namefill been able to send any audiotapes to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE3R032p
18MFU Focal Child Send Mail
Does ^prld.FOCCHILD @Bsend@B mail to ^prld.Namefill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE3R032p = yes, ask FE3R034p. Else go to FE3R035p.
FE3R034p
18MFU Frequency Focal Child Send Mail
How often does ^prld.FOCCHILD send mail to ^prld.Namefill?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 46 of 207
---------------------------------------------------------------------------------
FE3R035p
18MFU Received Photos or Audiotapes
As far as you know, has ^prld.Namefill received any photographs or audiotapes of ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE3R036p
18MFU Personal Visits from Focal Child
Does ^prld.FOCCHILD visit ^prld.Namefill in person?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE3R036p = yes, ask FE3R038p.
FE3R038p
18MFU Frequency Personal Visits from Focal Child
How often does ^prld.FOCCHILD visit ^prld.Namefill in person?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
Logic before:
If FECON5 =yes, skip to FE3R054p.
FE3R043p
18MFU Distance of Facility
[USE SHOWCARD 11]
Thinking about ^prld.Namefill's time in prison, please tell me how much you agree or disagree with
each of the following statements.
The prison is located too far away for ^prld.FOCCHILD to have regular visits with ^prld.Namefill,
or is too hard for you to bring ^prld.FOCCHILD to because of transportation issues.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 47 of 207
---------------------------------------------------------------------------------
FE3R044p
18MFU Admission Rules
Visitor admission rules, such as background checks, dress codes, searches, and metal detectors, are
hard for ^prld.FOCCHILD to deal with.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R045p
18MFU Cost of Visiting
The cost of visiting is too high for you to bring ^FOCSEX2 as often as you would like to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R046p
18MFU Schedule Issues
Schedule issues, like limited visiting hours and your work schedule, make it hard to find time to
bring ^prld.FOCCHILD for visits.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R047p
18MFU Cost of Calls
The cost of ^prld.Namefill's calls with ^prld.FOCCHILD is too high, or you do not have access to a
phone.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 48 of 207
---------------------------------------------------------------------------------
FE3R048p
18MFU Facility Pleasant Place
The prison is not a pleasant place to visit, or not a place you want ^prld.FOCCHILD to see
^prld.Namefill.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R049p
18MFU Caretaker Does Not Want Contact
You do not want ^prld.FOCCHILD to maintain close contact with ^prld.Namefill while he is
incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R050p
18MFU Father Wants No Contact
^prld.Namefill does not want to maintain close contact with ^prld.FOCCHILD while he is incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE3R051p
18MFU Focal Child Does Not Want Contact
^prld.FOCCHILD does not want to maintain close contact with ^prld.Namefill.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 49 of 207
---------------------------------------------------------------------------------
FE3R052p
18MFU No Close Contact with Focal Child
^prld.Namefill was not in close contact with ^prld.FOCCHILD before his incarceration.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If FE3Q000 NE Yes, go to Section 4.
FE3R054p
If FE3Q000 eq yes ask FE3R054p.
18MFU Relationship with Child Since Incarceration
How has ^prld.Namefill's time in prison changed his relationship with ^prld.FOCCHILD, if at all?
Has it made them closer, has it made them drift apart, or has there been no change?
Question Type:
TChangeFU
closer
drift
NoChnge
1 MADE THEM CLOSER
2 MADE THEM DRIFT APART
3 NO CHANGE
---------------------------------------------------------------------------------
Logic before:
If FE3Q000 eq yes ask FE3R055p.
FE3R055p
18MFU Concerns/Worries About Focal Child
[USE SHOWCARD 12]
What concerns or worries do you have about ^prld.FOCCHILD during ^prld.Namefill's incarceration?
Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TWorry
Money
School
Happy
Peers
Emotional
1
2
3
4
5
Concerns about there being enough money to support ^focsex2
Concerns about how ^focsex1 is doing in school
Concerns about ^focsex3 happiness
Concerns about ^focsex2 getting teased or threatened by peers
Concerns that ^prld.Namefill and ^prld.FOCCHILD will not be as close
emotionally as they were before he was incarcerated
6 Concerns that ^focsex1 won't have a male role model
7 Concerns that ^focsex1 will get in trouble
8 Other concerns
RoleModel
Trouble
Other
Logic after:
If FE3R055p includes 8 (other), go to FE3R055s. Else go to FE3R056p.
---------------------------------------------------------------------------------
FE3R055s
18MFU Specify Other
SPECIFY OTHER
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 50 of 207
---------------------------------------------------------------------------------
Logic before:
If FE3R055p includes more than one response, then ask FE3R056p. Else, skip to end of domain. For
response option 8, fill this with information captured in FE3R055s In FE3R056p, use special font
for the response options that the R chose in FE3R055p, and only allow those to be chosen by adding
a consistency check, "YOU HAVE JUST SELECTED AS THE RESPONDENT'S BIGGEST CONCERN, A CONCERN THAT
THEY DID NOT AGREE TO HAVING IN FE3R055p. PLEASE PROBE TO OBTAIN CONSISTENT RESPONSES." Allow only
one option to be selected.
FE3R056p
18MFU Biggest Concern/Worry for Focal Child
What is your @Bbiggest@B concern or worry about ^prld.FOCCHILD during ^prld.Namefill's
incarceration?
Question Type:
TWorryFB
Money
School
Happy
Peers
1
2
3
4
Emotional
5 ^F5 Concerns that ^prld.Namefill and ^prld.FOCCHILD will not be as close
emotionally as they were before his incarceration ^F5
6 ^F6 Concerns that ^FOCSEX1 won’t have a male role model ^F6
7 ^F7 Concerns that ^FOCSEX1 will get in trouble ^F7
8 ^F8 ^lcfill ^F8
RoleModel
Trouble
Other
^F1
^F2
^F3
^F4
Concerns
Concerns
Concerns
Concerns
about
about
about
about
there being enough money to support ^FOCSEX2 ^F1
how ^FOCSEX1 is doing in school ^F2
^FOCSEX2 happiness ^F3
^FOCSEX2 getting teased or threatened by peers ^F4
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 51 of 207
Service Need & Receipt
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=4, skip to FE4J040.
If (MALEINCAR18=1, 2, or 6) OR NAMEFILLALIVE.FE=DEAD, ^lcfill should read "[REFER R TO DATE
HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]."
If MALEINCAR18=3 and NAMEFILLALIVE.FE=Alive, ^lcfill should read ", but not counting any services
you received while ^prld.Namefill was reincarcerated. [REFER R TO DATE HIGHLIGHTED IN YELLOW IN
REFERENCE CALENDAR, AND REMIND HER NOT TO COUNT SERVICES RECEIVED WHILE ^PRLD.NAMEFILL WAS
REINCARCERATED, WHICH ARE DATES HIGHLIGHTED IN BLUE]."
If MALEINCAR18=5 and NAMEFILLALIVE.FE=Alive, ^lcfill should read ", but not counting any services
you received while ^prld.Namefill was incarcerated [REFER R TO DATE HIGHLIGHTED IN YELLOW IN
REFERENCE CALENDAR, AND REMIND HER NOT TO COUNT DATES HIGHLIGHTED IN BLUE]."
FE4S057a
18MFU Introduction to Service Need and Receipt
Now, I'm going to ask you about services you might have received and programs you might have
participated in since ^REFDATE ^lcfill
I will also ask you which services you might have wanted or needed. We are asking these questions
for research purposes only; your answers will not affect the services you receive.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=3 and NAMEFILLALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated." If MALEINCAR18=5 and NAMEFILLALIVE.FE=Alive, ^lcfill should read "Remember,
we are asking about services received since ^REFDATE but not counting any services you received
while ^prld.Namefill was incarcerated." Else do not fill.
FE4S057
18MFU Attended Class or Workshop
Since ^REFDATE, have you attended any group classes or workshops on healthy marriage or romantic
relationships? You would have done these sessions in a group.
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4S058
18MFU Felt Services Were Needed
Have you wanted or felt that you needed to attend any group classes or workshops on healthy
marriage or romantic relationships?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 52 of 207
---------------------------------------------------------------------------------
Logic before:
If FE4S057 = yes, ask FE4S059. Else skip to FE4S064.
FE4S059
18MFU Number of Times Attended Class
How many times have you attended any group classes or workshops on healthy marriage or romantic
relationships since ^REFDATE?
NUMBER OF TIMES
Question Type:
1..100
---------------------------------------------------------------------------------
FE4S061
18MFU Length of Class
About how long did each class, workshop, or group session usually last?
In other words, for how many hours did you meet each time?
NUMBER OF HOURS [ROUND TO THE NEAREST HOUR]
Question Type:
1..20
---------------------------------------------------------------------------------
Logic before:
If FE4S059 GE 1 AND FE4S061 GE 1, ask FE4S061a.
FE4S061a
18MFU Confirmation on Number of Hours
So, you had about ^FE4S059 session(s) each lasting about ^FE4S061 hour(s)?
IF R ANSWERS NO, GO BACK TO PREVIOUS TWO QUESTIONS AND CORRECT THE ANSWERS.
Question Type:
PROBE, AS NEEDED.
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FE4S061a = no, consistency check text should say "YOU HAVE SELECTED AN ANSWER THAT IS
INCONSISTENT WITH THE NUMBER OF SESSIONS RECORDED IN FE4S059 AND HOURS RECORDED IN FE4S061. PLEASE
GO BACK TO FE4S059 AND FE4S061 AND CORRECT TO SECURE A CONSISTENT RESPONSE".
---------------------------------------------------------------------------------
Logic before:
If FE4S057 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILLALIVE.FE = Alive)], ask FE4S061c. Check all
that apply.
FE4S061c
18MFU When Classes Received
Did you attend these classes or workshops....
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 53 of 207
---------------------------------------------------------------------------------
Logic before:
If NAMEFILLALIVE.FE = Dead, skip to FE4S061b.
FE4S060
18MFU Attend Class with Partner
How many of these sessions did you attend @Btogether with@B ^prld.Namefill?
NUMBER OF TIMES
Question Type:
0..100
---------------------------------------------------------------------------------
FE4S061b
18MFU Class Interesting
How interesting did you find the group-classes or workshops?
Question Type:
TInteresting
VeryInt
SomeInt
NotInt
1 Very interesting
2 Somewhat interesting
3 Not interesting
---------------------------------------------------------------------------------
FE4S062
18MFU How Often Class Attended
Did you attend all, most, or some of the classes or workshops that were offered?
Question Type:
TAttend3
All
Most
Few
1 ATTENDED ALL
2 ATTENDED MOST
3 ATTENDED A FEW
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 54 of 207
---------------------------------------------------------------------------------
Logic before:
If FE4S062 = 1, skip to FE4S064. Else, ask FE4S063. Allow the respondent to "select all that
apply". If NAMEFILLALIVE.FE = Alive, bold and allow all response options. If NAMEFILLALIVE.FE =
DEAD, only bold and allow options 1, 2, 5, 6, 8, 10, 12, 13 and 14.
FE4S063
18MFU Reason for Not Attending Class
[USE SHOWCARD 13]
Why did you stop attending the classes or workshops?
Choose all that apply.
REQUIRED PROBE: Any other reasons?
Question Type:
TClassFU
NoInterest
NoHelp
PartnerObject
NoTransport
1
2
3
4
NoConvenient
RConflictIns
NmConIns
RConPartic
NmConPartic
RNoAgree
NmNoAgree
Moved
KickOut
Other
5
6
7
8
9
10
11
12
13
14
^F1 You were not interested in the classes/workshops ^F1
^F2 The classes/workshops were not helpful ^F2
^F3 ^prld.Namefill objected ^F3
^F4 ^prld.namefill couldn't attend with you because of schedule
conflicts, rule violations, or issues with the prison ^F4
^F5 The location of the classes was not convenient ^F5
^F6 You had a conflict with the instructor ^F6
^F7 ^prld.namefill had a conflict with the instructor ^F7
^F8 You had a conflict with participants ^F8
^F9 ^prld.namefill had a conflict with participants ^F9
^F10 You did not agree with discussions/message ^F10
^F11 ^prld.namefill did not agree with discussions/message ^F11
^F12 You got released or transferred to another institution ^F12
^F13 You got kicked out ^F13
^F14 Some other reason (SPECIFY) ^F14
Logic after:
If FE4S063 includes 14 (other), go to FE4S063s. Else go to FE4S064.
---------------------------------------------------------------------------------
FE4S063s
18MFU Specify Other
SPECIFY OTHER REASON
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Logic before:
If NAMEFILLALIVE.FE= Dead, skip to FE4S069. If MALEINCAR18=3 and NAMEFILLALIVE.FE=Alive, ^lcfill
should read "Remember, we are asking about services received since ^REFDATE but not counting any
services you received while ^prld.Namefill was reincarcerated." If MALEINCAR18=5 and
NAMEFILLALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about services received since
^REFDATE but not counting any services you received while ^prld.Namefill was incarcerated." Else do
not fill.
FE4S064
18MFU Counseling
Since ^REFDATE, have you met with a counselor, therapist, or social worker to work on your
relationship with ^prld.Namefill in sessions that were not part of a workshop, class, or group? In
other words, individual or couple's counseling sessions that did not include other people besides
you or ^prld.Namefill. ^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 55 of 207
---------------------------------------------------------------------------------
FE4S065
18MFU Need Couples Counseling
Have you wanted or felt that you needed to participate in individual or couple's counseling
sessions to work on your relationship with ^prld.Namefill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
IF FE4S064 = yes, ask FE4S066; else, skip to FE4S069.
FE4S066
18MFU Attended Marriage Counseling
Since ^REFDATE, about how many times have you had these counseling sessions to work on your
(marriage/relationship)?
NUMBER OF TIMES
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If FE4S064 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S064a.
FE4S064a
18MFU When Counseling Received
Did you receive this counseling....
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FE4S068
18MFU Length of Sessions
About how long did each session usually last?
NUMBER OF HOURS [ROUND TO THE NEAREST HOUR]
Question Type:
1..24
---------------------------------------------------------------------------------
Logic before:
If FE4S066 GE 1 AND FE4S068 GE 1, ask FE4S068a.
FE4S068a
18MFU Confirmation on Number of Hours
So, you had about ^FE4S066 sessions each lasting ^FE4S068 hours?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If R answers no to FE4S068a, add consistency check, "GO BACK TO PREVIOUS TWO QUESTIONS AND CORRECT
THE ANSWERS. PROBE, AS NEEDED."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 56 of 207
---------------------------------------------------------------------------------
FE4S067
18MFU Number of Times Attended Counseling Classes
How many of these sessions did you attend @Btogether with@B ^prld.Namefill?
NUMBER OF TIMES
Question Type:
0..100
---------------------------------------------------------------------------------
Logic before:
If yes to FE4S057 or FE4S064, ask FE4S069. Else go to FE4S073. If NAMEFILLALIVE.FE=1, BOLD AND
DISPLAY ALL RESPONSE OPTIONS. IF NAMEFILLALIVE.FE=2, only bold and allow options 1, 2, 4, 5, 6, 7.
Allow the respondent to "select all that apply".
FE4S069
18MFU Person Who Informed You
[SELECT ALL THAT APPLY]
How did you hear about the relationship strengthening activities in which you participated? Who
told you about the classes?
REQUIRED PROBE: Anyone else?
Question Type:
TInform
InfoSession
Friend
Partner
Ad
CaseMngr
Service
Other
1
2
3
4
5
6
7
^F1
^F2
^F3
^F4
^F5
^F6
^F7
HEARD ABOUT IT AT AN ORIENTATION OR INFORMATION SESSION ^F1
HEARD ABOUT IT FROM A FRIEND OR FELLOW INMATE ^F2
HEARD ABOUT IT FROM ^prld.namefill ^F3
SAW POSTER, BROCHURE, OR OTHER AD ^F4
REFERRED BY CASE MANAGER OR OTHER STAFF MEMBER ^F5
REFERRED BY OTHER SERVICE AGENCY ^F6
OTHER (SPECIFY) ^F7
Logic after:
If FE4S069 includes 7 (other), go to FE4S069s. Else go to FE4S070.
---------------------------------------------------------------------------------
FE4S069s
18MFU Other Specify
SPECIFY OTHER SOURCE
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 57 of 207
---------------------------------------------------------------------------------
Logic before:
If NAMEFILLALIVE.FE = Dead, skip to FE4S073. Allow the respondent to "select all that apply", but
do not allow option 9 (NONE) to be selected along with options 1-8.
FE4S070
18MFU Skills Learned from Classes
[USE SHOWCARD 14]
What knowledge or skills did you learn in relationship classes or relationship counseling that
helped you improve your relationship with ^prld.Namefill?
Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TClassesFB
Talk
Work
Calm
Care
Trust
Feel
1
2
3
4
5
6
How to talk with ^prld.Namefill about things that matter
How to work through problems calmly and fairly
How to calm down when things get heated
How to work together on caring for the child(ren)
How to build and keep each other's trust
How to work with each other's feelings about other family members, expartners, and friends
7 How to deal with stress and life changes together
8 Some other skill (SPECIFY)
9 NONE
Stress
Other
None
Logic after:
If FE4S070 includes 8 (other), go to FE4S070s. Else go to FE4S071.
---------------------------------------------------------------------------------
FE4S070s
18MFU Specify Other
SPECIFY OTHER KNOWLEDGE OR SKILL
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Logic before:
IF FE4S070 included more than one response, ask FE4S071. Else, skip to FE4S072. Fill response
option 8 with information captured in FE4S070s In FE4S071,use special font for the response option
selected in FE4S070 and only allow those to be selected, by creating a consistency check. "YOU HAVE
SELECTED AS THE MOST IMPORTANT SKILL A SKILL THAT WAS NOT REPORTED IN THE PREVIOUS QUESTION,
FE4S070. PLEASE PROBE, AS NEEDED, TO OBTAIN CONSISTENT RESPONSES." Allow R to select only one
response.
FE4S071
18MFU Most Important Skill Learned
What would you say is the most important skill you learned in your relationship classes or
relationship counseling?
Question Type:
TClassesFB2
Talk
Work
Calm
Care
Trust
Feel
Stress
Other
1
2
3
4
5
6
^F1 How to talk with ^prld.Namefill about things that matter ^F1
^F2 How to work through problems calmly and fairly ^F2
^F3 How to calm down when things get heated ^F3
^F4 How to work together on caring for the child(ren) ^F4
^F5 How to build and keep each other's trust ^F5
^F6 How to work with each other's feelings about other family members,
ex-partners, and friends ^F6
7 ^F7 How to deal with stress and life changes together ^F7
8 ^F8^lcfill^F8
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 58 of 207
---------------------------------------------------------------------------------
FE4S072
18MFU Classes Improved Relationship
How much has your relationship with ^prld.Namefill improved as a result of the relationship classes
or counseling?
Would you say. . .
Question Type:
TSome
Lot
Little
Notatall
1 A lot
2 A little
3 Not at all
---------------------------------------------------------------------------------
Logic before:
Ask if TOTALCHILD18.FE GE 1. Else skip to FE4S077. If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive,
^lcfill should read "Remember, we are asking about services received since ^REFDATE but not
counting any services you received while ^prld.Namefill was reincarcerated." If MALEINCAR18=5 and
NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about services received since
^REFDATE but not counting any services you received while ^prld.Namefill was incarcerated." Else
do not fill.
FE4S073
18MFU Parenting Classes
Since ^REFDATE, have you attended any classes, groups, or workshops to help you improve your
parenting skills or learn to be a better parent?
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4S074
18MFU Service Needed
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4S073 = yes, ask FE4S075; else, skip to FE4S077.
FE4S075
18MFU Attended Classes to Improve Parenting Skills
Since ^REFDATE, how many times have you attended any parenting classes, groups, or workshops?
NUMBER OF TIMES
Question Type:
1..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 59 of 207
---------------------------------------------------------------------------------
Logic before:
If FE4S073 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S073a. Else go
to FE4S076.
FE4S073a
18MFU When Workshops Received
Did you attend these classes/groups/workshops...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FE4S076
18MFU Length of Classes
About how long did each class, workshop, or group session usually last? In other words, for how
many hours did you meet each time?
NUMBER OF HOURS
Question Type:
1..24
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read “Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated.” If MALEINCAR18=5 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read “Remember,
we are asking about services received since ^REFDATE but not counting any services you received
while ^prld.Namefill was incarcerated.” Else do not fill.
FE4S077
18MFU Consultation with Any Staff
Since ^REFDATE, have you met with a staff member who talks with you about issues or needs you have,
tries to get you into services or programs, helps you get benefits or assistance, and/or monitors
your progress?
These services are called case management and the person might be called a case manager, case
worker, social worker, transition coordinator, or systems navigator.
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4S078
18MFU Services Needed
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 60 of 207
---------------------------------------------------------------------------------
Logic before:
If FE4S077 = yes, ask FE4S079. Else go to FE4S082.
FE4S079
18MFU Sessions of Case Management
How many sessions of case management have you received since your last interview?
NUMBER OF SESSIONS
Question Type:
1..100
---------------------------------------------------------------------------------
FE4S079a
18MFU Case Manager Helpful
How helpful did you find your case manager?
Question Type:
THelpful
VeryHelp
SomeHelp
NotHelp
1 Very helpful
2 Somewhat helpful
3 Not helpful
---------------------------------------------------------------------------------
Logic before:
If FE4S077 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S077a. Else go
to FE4S080
FE4S077a
18MFU When Case Management Received
Did you receive this case management....
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 61 of 207
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply", but do not allow R to select "None" (option 1)
along with options 2-15.
FE4S080
18MFU Case Manager Referred Services
[USE SHOWCARD 15]
Has a case manager referred you to any of the following kinds of services or benefits? Select all
that apply.
REQUIRED PROBE: Any others?
Question Type:
TServices
None
Education
Parent
Job
Money
Life
Support
Counsel
Mental
SubAbuse
Other
Housing
Health
Public
Legal
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
None
Marriage or relationship education
Parenting education
Job training or employment readiness
Money management training
Other life skills training
Support groups
Marriage or relationship counseling
Mental health treatment
Substance abuse treatment
Other counseling
Housing program
Health benefits program
Public assistance, such as TANF or food stamps
Legal services
Logic after:
IF FE4S080 = none, go to FE4S082. Else go to FE4S081.
If the "none" option is selected with any other option or options trigger a hard consistency check
that says: " IF "NONE" IS SELECTED, NO OTHER CATEGORY SHOULD BE SELECTED."
---------------------------------------------------------------------------------
FE4S081
18MFU Case Manager Follow-Up on Services
Has a case manager followed up to make sure you received those services?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 62 of 207
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated." If MALEINCAR18=5 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember,
we are asking about services received since ^REFDATE but not counting any services you received
while ^prld.Namefill was incarcerated." Else do not fill.
FE4S082
18MFU Received Treatment for Emotional/Mental Prob
Since ^REFDATE, have you received counseling, therapy, or other treatment to help you deal with an
emotional or mental health problem?
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4S083
18MFU Needed Treatment
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4S082 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S082a.
FE4S082a
18MFU When Counseling Received
Did you receive this counseling/therapy/treatment....
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FE4S084
18MFU Received Group Therapy/Treatment
Since ^REFDATE, have you received counseling, self-help groups, group sessions, or other treatment
to help you deal with alcohol or substance abuse?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 63 of 207
---------------------------------------------------------------------------------
FE4S085
18MFU Needed Group Therapy/Treatment
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4S084 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S084a.
FE4S084a
18MFU When Alc/Substance Abuse Treatment Received
Did you receive this alcohol or substance abuse treatment....
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated." If MALEINCAR18=5 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember,
we are asking about services received since ^REFDATE but not counting any services you received
while ^prld.Namefill was incarcerated." Else do not fill.
FE4S086
18MFU Received Anger Management Services
Since ^REFDATE, have you received services or taken a course to help you manage anger?
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4S087
18MFU Needed Anger Management Services
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 64 of 207
---------------------------------------------------------------------------------
Logic before:
If FE4S086 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S086a.
FE4S086a
18MFU When Anger Mngmt Received
Did you participate in anger management services....
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated." If MALEINCAR18=5 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember,
we are asking about services received since ^REFDATE but not counting any services you received
while ^prld.Namefill was incarcerated." Else do not fill.
FE4S090
18MFU Received Educational Classes
Since ^REFDATE, have you participated in any GED, adult basic education, or college courses?
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4S091
18MFU Needed Educational Classes
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4S090 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S090a.
FE4S090a
18MFU When Education Courses Received
Did you participate in these courses...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 65 of 207
---------------------------------------------------------------------------------
FE4S092
18MFU Received Job Training
Since ^REFDATE, have you participated in any employment readiness, vocational or job training
programs?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4S093
18MFU Needed Job Training
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4S092 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S092a.
FE4S092a
18MFU When Job Training Received
Did you participate in this training...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated." If MALEINCAR18=5 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember,
we are asking about services received since ^REFDATE but not counting any services you received
while ^prld.Namefill was incarcerated." Else do not fill.
FE4S094
MFU Received Financial Planning Courses
Since ^REFDATE, have you participated in any money management or financial planning programs?
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4S095
18MFU Needed Financial Planning Courses
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 66 of 207
---------------------------------------------------------------------------------
Logic before:
If FE4S094 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S094a.
FE4S094a
18MFU When Money/Financial Planning Received
Did you participate in money management or financial planning classes...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FE4S096
18MFU Received Life Skills Education
Since ^REFDATE have you participated in any other life skills education?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4S097
18MFU Needed Life Skills Education
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4S096 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S096a.
FE4S096a
18MFU When Life Skills Received
Did you participate in other life skills training...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FE4S098
18MFU Received Assistance for Housing Needs Post-R
Since ^REFDATE have you received any help finding housing or paying for housing?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 67 of 207
---------------------------------------------------------------------------------
FE4S099
18MFU Needed Assistance for Housing Needs Post-Rel
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4S098 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S098a.
FE4S098a
18MFU When Housing Help Received
Did you receive this housing-related help ...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18.FE GE 1, ask FE4S100. Else go to FE4S102.
FE4S100
18MFU Received Assistance with Child Custody Issue
Since ^REFDATE have you received any assistance with retaining your parental rights or changing
child custody arrangements?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4S101
18MFU Needed Assistance with Child Custody Issues
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4S100 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S100a.
FE4S100a
18MFU When Child Custody Assistance Received
Did you receive assistance...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 68 of 207
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated. If MALEINCAR18=5 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read Remember, we
are asking about services received since ^REFDATE but not counting any services you received while
^prld.Namefill was incarcerated.." Else do not fill.
FE4S102
18MFU Received Family Mediation
Since ^REFDATE, have you participated in any family group conferencing or family mediation? We mean
meetings with any family members to discuss issues and set goals for the future.
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4S103
18MFU Needed Family Mediation
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4S102 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S102a.
FE4S102a
18MFU When Family Conferencing Received
Did you participate in family group conferencing/mediation...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FE4S104
18MFU Received Group Support
Since ^REFDATE have you participated in any support groups? We mean a group of individuals who meet
regularly to discuss personal or interpersonal issues.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 69 of 207
---------------------------------------------------------------------------------
FE4S105
18MFU Needed Group Support
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4S104 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S104a.
FE4S104a
18MFU When Group Support Received
Did you participate in support groups...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
FE4S106
18MFU Received Spiritual/Religious Help
Since ^REFDATE have you received spiritual or religious assistance from any faith-based
organizations or people? For example, this would include meeting with a chaplain, minister, or
other clergy member.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4S107
18MFU Needed Spiritual/Religious Help
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4S106 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S106a.
FE4S106a
18MFU When Religious Assistance Received
Did you receive this spiritual or religious assistance...
Question Type:
TWhnClassFem
Incar
Relse
Both
1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 70 of 207
Housing
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18 = 1, skip to FE4L134a. If (FEMINCARSTATE18=2 OR 3) AND [(NAMEFILL
ALIVE.FE=ALIVE) AND (MALEINCAR18=1, 3, 5, OR 6)] skip to FE4I034 (employment). IF
(FEMINCARSTATE18=2 OR 3) AND [(NAMEFILL ALIVE.FE=DEAD) OR (MALEINCAR18=2 OR 4)], ask FE4J040.
Allow the respondent to "select all that apply".
FE4J040
18MFU Ever Live
[USE SHOWCARD 16]
Now, I have some questions about your living situation over the time since ^REFDATE.
[REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]
Since ^REFDATE, have you lived in any of these places? Select all that apply.
REQUIRED PROBE: Any other places?
Question Type:
Tresidence
Own
1 In your own house or apartment, meaning your name was on the title,
mortgage, or lease
2 In someone else's house or apartment
3 In a transitional housing building or halfway house
4 In a motel/hotel or rooming house
5 In a residential treatment facility
6 In a shelter
7 On the street
8 In an outdoor location where you camped out
9 In an abandoned building or vacant unit
10 In some other place
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
---------------------------------------------------------------------------------
Logic before:
If R lives in more than one place (from FE4J040), go to FE4J041. Else go to FE4J042. Use special
font for response options that were selected in FE4J040.
FE4J041
18MFU Primarily Reside
During the time since ^REFDATE, where did you mostly live?
SELECT ONE.
Question Type:
TResidenceFB
Own
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
1 ^F1 In your own house or apartment, meaning your name is on the title,
mortgage, or lease ^F1
2 ^F2 In someone else's house or apartment ^F2
3 ^F3 In a transitional housing building or halfway house ^F3
4 ^F4 In a motel/hotel or rooming house ^F4
5 ^F5 In a residential treatment facility ^F5
6 ^F6 In a shelter ^F6
7 ^F7 On the street ^F7
8 ^F8 In an outdoor location where you camp out ^F8
9 ^F9 In an abandoned building or vacant unit ^F9
10 ^F10 In some other place ^F10
Logic after:
Add a consistency check after FE4J041 if R chooses a response that was not also selected in
FE4J040. Text should say, "RESPONSE IS INCONSISTENT WITH RESPONSE TO PREVIOUS QUESTION. PROBE, AS
NEEDED, SO BOTH ITEMS ARE CONSISTENT."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 71 of 207
---------------------------------------------------------------------------------
Logic before:
If FE4J040 includes Own or Elses, ask FE4J042. Else go to FE4J043a.
FE4J042
18MFU Public Housing
Was/is the (house/apartment) public housing? Public housing is defined as a unit in a building
owned by a public housing authority.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FE4J042 = no, go to FE4J043. Else go to FE4J043a.
---------------------------------------------------------------------------------
FE4J043
18MFU Section 8
Was/is the (house/apartment) Section 8? Section 8 housing is where a Section 8 voucher is being
used to pay for part or all of your rent for a privately owned unit.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4J043a
18MFU Number of Places
Since ^REFDATE, in how many places have you lived?
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If (PARTNERFOCAL = 1 and FOCLIVE.FE= Live) ask FE4J043b. If (PARTNERFOCAL = 0 or FOCLIVE.FE =
Dead), skip to FE4J044b.
FE4J043b
18MFU Live with Focal Child
Since ^REFDATE, have you lived with ^prld.FOCCHILD at least part of the time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4J043b = yes and FECON5=no, ask FE4J044a.
FE4J044a
18MFU Living with Focal Child
Is ^prld.FOCCHILD currently living with you, at least part of the time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 72 of 207
---------------------------------------------------------------------------------
Logic before:
Ask FE4J044b for each of R’s remaining living non-focal children (include non-focal children from
baseline as well as all new children). Else skip to FE4J045.
FE4J044b
18MFU Live with Other Chidlren
Since ^REFDATE, have you lived with ^CHILD at least part of the time?
Question Type:
array[1..30] of TYesNoCaps
---------------------------------------------------------------------------------
Logic before:
If FE4J044b = yes and FECON5=no, ask FE4J044c. Loop FE4J044b-FE4J044c for each of R’s remaining
living children.
FE4J044c
18MFU Living with Other Children
Are you currently living with ^CHILD?
Question Type:
array[1..30] of TYesNoCaps
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE.FE=Alive, fill ^lcfill with "OTHER THAN ^Namefillcaps", and fill lcfill2 with
"^OF Namefillcaps". If NAMEFILL ALIVE.FE=Dead, do not fill ^lcfill or ^lcfill2. Allow the
respondent to "select all that apply".
FE4J045
18MFU Living with Others
Who else have you lived with since ^REFDATE?
Please list everyone who has lived with you at some point since ^REFDATE.
[SELECT ALL THAT APPLY]
REQUIRED PROBE: Anyone else?
Question Type:
TLivingFUInc
NoOne
Spouse
Ex
Mother
Father
Sister
Brother
AuntUnc
Cousin
Grandparent
Child
Friend
PartFriend
Other
1
2
3
4
5
6
7
8
9
10
11
12
13
14
NO ONE ELSE
A CURRENT ROMANTIC PARTNER ^lcfill
AN EX-SPOUSE OR ROMANTIC PARTNER ^lcfill
MOTHER/STEPMOTHER
FATHER/STEPFATHER
SISTER/STEPSISTER
BROTHER/STEPBROTHER
AUNT/UNCLE, GREAT AUNT/UNCLE
COUSIN
GRANDPARENT
CHILD/STEPCHILD
FRIEND OF R
FRIEND OF ROMANTIC PARTNER ^lcfill2
SOME OTHER PERSON, NOT A FRIEND OR FAMILY MEMBER (SPECIFY)
Logic after:
If FE4J045 includes 14 (other), go to FE4J045s. Else go to FE4J045a.
If the "no one else" option is selected with any other option or options trigger a hard consistency
check that says: " IF "NO ONE ELSE" IS SELECTED, NO OTHER CATEGORY SHOULD BE SELECTED."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 73 of 207
---------------------------------------------------------------------------------
FE4J045s
18MFU Specify Other
SPECIFY ANY OTHER PERSON THE RESPONDENT LIVED WITH
Question Type:
STRING[25]
---------------------------------------------------------------------------------
Logic before:
If FECON5=yes, ^lcfill should say "lived during your time on the outside.”
should say "currently live."
FE4J045a
If FECON5=No, ^lcfill
18MFU Neighborhood 1
[USE SHOWCARD 17]
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about the neighborhood where you ^lcfill
It is hard to stay out of trouble in your neighborhood or community.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE4J045b
18MFU Neighborhood 2
Drug selling is a major problem in your neighborhood or community.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE4J045c
18MFU Neighborhood 3
Your neighborhood or community is a good place to live.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 74 of 207
---------------------------------------------------------------------------------
FE4J045d
18MFU Neighborhood 4
Your neighborhood or community is a good place to find a job.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 75 of 207
Income
---------------------------------------------------------------------------------
FE4K017
18MFU Welfare
Next I'm going to read a list of income sources. For each, tell me if you have received income from
this source during the time since ^REFDATE.
[REFER RESPONDENT TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR.]
Cash welfare, also known as TANF? You may have received this benefit as an electronic transfer, a
check, or on a bank or debit card. TANF is Temporary Assistance for Needy Families.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4K019
18MFU Public Assistance
Other public assistance, such as food stamp benefits, support from the Indian Health Service,
disability insurance such as Supplemental Security Income (SSI), Social Security Disability
Insurance (SSDI), or unemployment insurance benefits (UI)? You may have received these benefits as
coupons, electronic transfer, or as an EBT or debit card.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4K021
18MFU Child Support Received
Child support payments?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4K023
18MFU Money from Others
Money from friends or relatives who did not live with you at that time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 76 of 207
---------------------------------------------------------------------------------
FE4K025
18MFU Formal Payment
Formal employment? By "formal", we mean a job that you received a pay stub for, and for which taxes
were taken out of your pay.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4K027
18MFU Casual Work
"Under the table" or casual work? By "under the table", we mean work that you did not receive a
pay stub for, for which taxes were not taken out of your pay. This could include things you were
paid in cash for, like babysitting or mowing lawns.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4K029
18MFU Illegal Activities
Illegal activities, such as selling drugs, breaking and entering, etc.?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4K031
18MFU Budget
[USE SHOWCARD 18]
During the time since ^REFDATE, how often have you relied on a planned budget to guide your monthly
spending?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
FE4K032
18MFU Meeting Bills
During the time since ^REFDATE, how often have you had difficulty meeting monthly payments on bills?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 77 of 207
---------------------------------------------------------------------------------
FE4K033
18MFU Money at End of Month
During the time since ^REFDATE, how often have you had money at the end of the month after the
bills were paid?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 78 of 207
Employment
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18 = 2, ^lcfill should say ",that is, during your time on the outside", Else,
^lcfill should not fill.
FE4I034
18MFU Any Job
This next set of questions deals with any employment you have had since ^REFDATE ^lcfill.
At any point since ^REFDATE have you worked at a job?
[REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
FE4I034 = Yes and FECON5=no, ask FE4I034a. If FE4I034=yes and FECON5=yes, skip to FE4I036.
FE4I034=no, go to FE4L134a.
---------------------------------------------------------------------------------
FE4I034a
If
18MFU Currently Employed
Are you @Bcurrently@B working at a job?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4I034a = yes, ^lcfill1 should say "Is" and ^lcfill2 should say "current". If FE4I034a NE yes,
^lcfill1 should say "Was" and ^lcfill2 should say "most recent".
FE4I036
18MFU Job Status
^lcfill1 your ^lcfill2 job...
Question Type:
TJStatus
PT
FT
NoJob
1 Part time
2 Full time
3 You have never had a job
---------------------------------------------------------------------------------
FE4I035a
18MFU Employment Duration
How many months have you worked since ^REFDATE?
Question Type:
0..11
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 79 of 207
---------------------------------------------------------------------------------
Logic before:
If FE4I034a = yes, ^lcfill1 should say "Is" and ^lcfill2 should say "current". If FE4I034a NE yes,
^lcfill1 should say "Was" and ^lcfill2 should say "most recent".
FE4I037
18MFU Job Type
^lcfill1 your ^lcfill2 job...
Question Type:
TJType
Formal
Self
Casual
1 Formal pay (a job that has a pay stub)
2 Self-employment
3 Casual pay (a job that is "under the table" or "off the books")
---------------------------------------------------------------------------------
Logic before:
If FE4I034a = yes, ^lcfill should say "do". If FE4I034a NE yes, ^lcfill should say "did".
FE4I037a
18MFU Earnings
How much ^lcfill you earn per month from your job before taxes, including any tips, bonuses, and
commissions?
[ENTER THE DOLLAR AMOUNT ON THIS SCREEN. ROUND UP TO THE NEAREST WHOLE DOLLAR.]
Question Type:
1..999999
---------------------------------------------------------------------------------
Logic before:
If FE4I034a = yes, ^lcfill should say "Does your current". If FE4I034a NE yes, ^lcfill should say
"Did your most recent".
FE4I038
18MFU Health Insurance
^lcfill job provide health insurance coverage?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE4I034a = yes, ^lcfill should say "Are". If FE4I034a NE yes, ^lcfill should say "Were".
FE4I039
18MFU Entitled to Leave
^lcfill you entitled to any fully paid leave, such as sick leave, paid holidays, or vacation leave
from your employer?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 80 of 207
Social Support
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE.FE=Alive, fill ^lcfill with "^prld.Namefill or".
not fill.
FE4L134a
If NAMEFILL ALIVE.FE=Dead, do
18MFU Number of Friends
Next, you will be asked about the kinds of support you have received from your friends and family
since ^REFDATE.
[REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]
First, I will ask about your friends. Please do not count ^lcfill any family members as you answer
this question.
How many close friends do you have? These are people you feel at ease with, can talk to about
private matters, or can call on for help. Would you say you have no close friends, 1-2, 3-5, 6-10,
or more than that?
Question Type:
TQuantity
None
Oneto2
Threeto5
Sixto10
TenMore
1
2
3
4
5
NO CLOSE FRIENDS
ONE OR TWO
THREE TO FIVE
SIX TO TEN
MORE THAN TEN
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE.FE=Alive and TOTALCHILD18.FE GE 1, fill ^lcfill with "other than ^prld.Namefill
or your ^children". If NAMEFILL ALIVE.FE=Alive and TOTALCHILD18.FE=0, fill ^lcfill with "other
than prld.Namefill". If NAMEFILL ALIVE.FE=Dead and TOTALCHILD18.FE GE 1, fill ^lcfill with "other
than your ^children". Else, do not fill ^lcfill.
FE4L128a
18MFU Close Family Members
Next, I'd like to know about support you have received from family members ^lcfill.
How many close family members do you currently have? These are people you feel at ease with, can
talk to about private matters, or can call on for help. Would you say you have no close family
members, 1-2, 3-5, 6-10, or more than that?
Question Type:
TQuantity2
None
Oneto2
Threeto5
Sixto10
TenMore
1
2
3
4
5
NO CLOSE FAMILY MEMBERS
ONE TO TWO
THREE TO FIVE
SIX TO TEN
MORE THAN TEN
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 81 of 207
Parenting
---------------------------------------------------------------------------------
Logic before:
If (FEMALEINCARSTATE18=2 OR 3) AND (PARTNERFOCAL=1 and FOCLIVE.FE= Live), ask FE4N062 Else skip to
FE4P069.
FE4N062
18MFU Frequency of Activities with Focal Child
In a typical week since ^REFDATE, how many days have you participated in an activity with
^prld.FOCCHILD, such as eating meals, going shopping, helping with homework, or doing something fun
with him or her?
[REFER RESPONDENT TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR.]
Question Type:
TDays
None
One
Two
Three
Four
Five
Six
Seven
0
1
2
3
4
5
6
7
NONE
ONE DAY
TWO DAYS
THREE DAYS
FOUR DAYS
FIVE DAYS
SIX DAYS
SEVEN DAYS
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 82 of 207
Physical & Mental Health
---------------------------------------------------------------------------------
FE4P069
18MFU Medical Coverage
The next questions are about health care and health insurance.
Are you covered by Medicaid, Medi-Cal, Medicare, Champus, Indian Health Services, or any other
government program that pays for medical care?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE4P070
18MFU Medical Coverage by Someone Else
Are you covered by health insurance through your or someone else's employer, or insurance you
purchase directly from a private insurance company?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18=1, skip to FE5J040. If FEMINCARSTATE18=2, ^lcfill1 should say "during your time
on the outside,". Else do not fill. If TOTALCHILD18.FE "GE" 1, include "or your ^children" as
^lcfill2.
FE4P071
18MFU Need Medical Assistance
Since ^REFDATE, ^lcfill1 have you ^lcfill2 ever needed to see a doctor or go to the hospital, or
take prescription medication, but couldn't because of the cost?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 83 of 207
Housing
---------------------------------------------------------------------------------
Logic before:
If (NAMEFILL ALIVE.FE= Dead) OR (MALEINCAR18 = 2 or 4), skip to Part Six, domain Z (FE6Z000). If
(MALEINCAR18=1, 3, 5, OR 6) AND (FEMINCARSTATE18=1), skip to FE5N095. ELSE GO TO FE5J040. Allow
the respondent to "select all that apply".
If MALEINCAR18=1 OR 3, ^lcfill1 should say "^prld.Namefill was released" and ^lcfill2 should say
"[REFER TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALENDAR]." If MALEINCAR18=5 or 6, ^lcfill1
should say "^REFDATE" and ^lcfill2 should say "[REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE
CALENDAR]."
FE5J040
18MFU Ever Live
[USE SHOWCARD 19]
Now, I have some questions about your living situation since ^lcfill1 ^lcfill2..
Since ^lcfill1, have you lived in any of these places? Select all that apply.
REQUIRED PROBE: Any other places?
Question Type:
Tresidence
Own
1 In your own house or apartment, meaning your name was on the title,
mortgage, or lease
2 In someone else's house or apartment
3 In a transitional housing building or halfway house
4 In a motel/hotel or rooming house
5 In a residential treatment facility
6 In a shelter
7 On the street
8 In an outdoor location where you camped out
9 In an abandoned building or vacant unit
10 In some other place
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
---------------------------------------------------------------------------------
Logic before:
If R lives in more than one place (from FE5J040), go to FE5J041. Else go to FE5J042. Use special
font for response options that were selected in FE5J040. If MALEINCAR18=1 OR 3, ^lcfill should say
"^prld.Namefill was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".
FE5J041
18MFU Primarily Reside
Since ^lcfill, where have you mostly lived?
SELECT ONE.
Question Type:
TResidenceFB
Own
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
1 ^F1 In your own house or apartment, meaning your name is on the title,
mortgage, or lease ^F1
2 ^F2 In someone else's house or apartment ^F2
3 ^F3 In a transitional housing building or halfway house ^F3
4 ^F4 In a motel/hotel or rooming house ^F4
5 ^F5 In a residential treatment facility ^F5
6 ^F6 In a shelter ^F6
7 ^F7 On the street ^F7
8 ^F8 In an outdoor location where you camp out ^F8
9 ^F9 In an abandoned building or vacant unit ^F9
10 ^F10 In some other place ^F10
Logic after:
Add a consistency check after FE5J041 if R chooses a response that was not also selected in
FE5J040. Text should say, "RESPONSE IS INCONSISTENT WITH RESPONSE TO PREVIOUS QUESTION. PROBE, AS
NEEDED, SO BOTH ITEMS ARE CONSISTENT."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 84 of 207
---------------------------------------------------------------------------------
Logic before:
If FE5J040 includes Own or Elses, ask FE5J042. Else go to FE5J043a.
FE5J042
18MFU Public Housing
Was the (house/apartment) public housing? Public housing is defined as a unit in a building owned
by a public housing authority.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FE5J042 = no, go to FE5J043. Else go to FE5J043a.
---------------------------------------------------------------------------------
FE5J043
18MFU Section 8
Was the (house/apartment) Section 8? Section 8 housing is where a Section 8 voucher is being used
to pay for part or all of your rent for a privately owned unit.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".
FE5J043a
If MALEINCAR18=5 or 6,
18MFU Number of Places
Since ^lcfill, in how many places have you lived?
Question Type:
1..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 85 of 207
---------------------------------------------------------------------------------
Logic before:
If PARTNERFOCAL = 1 and FOCLIVE.FE= Live, ask FE5N095. Else, go to FE5J044b. Use special font for
all response options; use special font for following options based on responses to previous
questions: If FECON5 = no, bold option 1. If (FE3Q000 ne 1, bold option 3. Always bold response
options 2, and 4-12. Allow the respondent to select all that apply.
FE5N095
18MFU Focal Child Residence
[USE SHOWCARD 20]
The next items ask about ^prld.FOCCHILD.
With whom does ^prld.FOCCHILD currently live? Select all that apply.
REQUIRED PROBE:
Anyone else?
Question Type:
TFocalResideFU
Respondent
Mother
Nmfill
Father
GrandparentM
GrandparentP
StepGrand
RelativesB
Stepparent
NonBlood
SocialS
Other
1
2
3
4
5
6
7
8
9
10
11
12
^F1 YOU ^F1
^F2 THE CHILD'S BIOLOGICAL MOTHER ^F2
^F3 ^NAMEFILLcaps ^F3
^F4 THE CHILD'S BIOLOGICAL FATHER ^F4
^F5 THE CHILD'S MATERNAL GRANDPARENT(S) ^F5
^F6 THE CHILD'S PATERNAL GRANDPARENT(S) ^F6
^F7 THE CHILD'S STEP-GRANDPARENT(S) ^F7
^F8 OTHER BLOOD RELATIVES OF THE CHILD ^F8
^F9 THE CHILD'S STEPPARENT ^F9
^F10 OTHER NON-BLOOD RELATIVES ^F10
^F11 THE CHILD IS IN CUSTODY OF SOCIAL SERVICES ^F11
^F12 OTHER (SPECIFY) ^F12
Logic after:
If FE5N095 includes 12 (other), go to FE5N095s. If FEMINCARSTATE18=1, go to FEJ045b. Else go to
FE5J043b. FE5N095: Add a consistency check after FE5N095 if R chooses option 1 and FECON5 NE no;
text should say "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT WITH FEMALE CURRENTLY BEING
INCARCERATED (FECON5). PLEASE PROBE AS NEEDED TO SECURE CONSISTENT RESPONSE.
---------------------------------------------------------------------------------
FE5N095s
18MFU Other Specify
SPECIFY OTHER
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18=1, skip to FE5J045b. Ask FE5J043b if response option 1 was not selected in
FE5N095. Else go to FE5J044a. If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was
released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".
FE5J043b
18MFU Live with Focal Child
Since ^lcfill, have you lived with ^prld.FOCCHILD at least part of the time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 86 of 207
---------------------------------------------------------------------------------
Logic before:
If FE5J043b=yes and FECON5=no, ask FE5J044a. Else go to FE5J045b.
FE5J044a
18MFU Living with Focal Child
Are you currently living with ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Ask FE5J045b if FE5N095 does not include 3 and is not blank. Else go to FE5J046a. If MALEINCAR18=1
OR 3, ^lcfill should say "^he was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".
FE5J045b
18MFU Live with Focal Child
Since ^lcfill, has ^prld.Namefill lived with ^prld.FOCCHILD at least part of the time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Ask FE5J046a if FE5J045b=yes and (FE3Q000=no or MALEINCARSTATE18=1 or MALEINCARSTATE18=6).
FE5J046a
18MFU Living with Focal Child
Is ^prld.Namefill currently living with ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18=1, skip to FE5N000. If any non-focal living children remain, ask FE5J044b. If
MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released". If MALEINCAR18=5 or 6,
^lcfill should say "^REFDATE".
FE5J044b
18MFU Live with Other Chidlren
Since ^lcfill, have you lived with ^CHILD at least part of the time?
Question Type:
array[1..30] of TYesNoCaps
---------------------------------------------------------------------------------
Logic before:
If FE5J044b = yes and FECON5=no, ask FE5J044c. Loop FE5J044b-FE5J044c for each of R’s remaining
living children.
FE5J044c
18MFU Living with Other Children
Are you currently living with ^CHILD?
Question Type:
array[1..30] of TYesNoCaps
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 87 of 207
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".
FE5J001
If MALEINCAR18=5 or 6,
18MFU Live with Namefill
Since ^lcfill, have you lived with ^prld.Namefill at any point?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If (FE5J001 = yes) and (FECON5 = no) and (FE3Q000=no or MALEINCARSTATE18=1 or MALEINCARSTATE18=6),
ask FE5J002. Else go to FE5J045.
FE5J002
18MFU Currently Live with Namefill
Are you currently living with ^prld.Namefill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released". If MALEINCAR18=5 or 6,
^lcfill should say "^REFDATE". Allow the respondent to "select all that apply".
FE5J045
18MFU Living with Others
Who else have you lived with since ^lcfill?
Please list everyone who has lived with you at some point since ^lcfill.
[SELECT ALL THAT APPLY]
REQUIRED PROBE: Anyone else?
Question Type:
TLivingFBx
NoOne
Spouse
Ex
Mother
Father
Sister
Brother
AuntUnc
Cousin
Grandparent
Child
Friend
PartFriend
Other
Nmfill
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
NO ONE ELSE
A CURRENT ROMANTIC PARTNER OTHER THAN ^Namefillcaps
AN EX-SPOUSE OR ROMANTIC PARTNER OTHER THAN ^Namefillcaps
MOTHER/STEPMOTHER
FATHER/STEPFATHER
SISTER/STEPSISTER
BROTHER/STEPBROTHER
AUNT/UNCLE, GREAT AUNT/UNCLE
COUSIN
GRANDPARENT
CHILD/STEPCHILD
FRIEND OF R
FRIEND OF ^Namefillcaps
SOME OTHER PERSON, NOT A FRIEND OR FAMILY MEMBER (SPECIFY)
^Namefillcaps
Logic after:
If FE5J045 includes 14 (other), go to FE5J045s. Else go to FE5J003.
If the "no one else" option is selected with any other option or options trigger a hard
consistency check that says: " IF "NO ONE ELSE" IS SELECTED, NO OTHER CATEGORY SHOULD BE
SELECTED."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 88 of 207
---------------------------------------------------------------------------------
FE5J045s
18MFU Specify Other
SPECIFY ANY OTHER PERSON THE RESPONDENT LIVED WITH
Question Type:
STRING[25]
---------------------------------------------------------------------------------
Logic before:
Ask FE5J003 if MALEINCAR18=1 OR 3.
FE5J003
Else, skip to FE5J055a.
18MFU Live with Namefill Better
Since ^prld.Namefill was released, is your housing situation better, worse or about the same as it
was before he was released?
Question Type:
TBetWrseSme
Better
Worse
Same
1 BETTER
2 WORSE
3 ABOUT THE SAME
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".
FE5J055a
If MALEINCAR18=5 or 6,
18MFU Neighborhood 1
[USE SHOWCARD 21]
[REFER RESPONDENT TO REFERENCE CALENDAR]
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about the neighborhood where you have mainly lived since ^lcfill.
It is hard to stay out of trouble in your neighborhood or community.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE5J055b
18MFU Neighborhood 2
Drug selling is a major problem in your neighborhood or community.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 89 of 207
---------------------------------------------------------------------------------
FE5J055c
18MFU Neighborhood 3
Your neighborhood or community is a good place to live.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE5J055d
18MFU Neighborhood 4
Your neighborhood or community is a good place to find a job.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 90 of 207
Income
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".
FE5K000
If MALEINCAR18=5 or 6,
18MFU Income intro
Now I'm going to ask you some more questions about your life since ^lcfill.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "he was released".
say "^REFDATE".
FE5K016
If MALEINCAR18=5 or 6, ^lcfill should
18MFU Share Income with Partner
Since ^lcfill, have you and ^prld.Namefill had any shared expenses, such as rent, mortgage, food,
car expenses, utility bills, or credit card bills?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE5K016a
18MFU Both Contribute to Income
Have you and ^prld.Namefill both contributed to the assets you share? That is, have both you and
^prld.Namefill had money coming in that you have used for your shared expenses?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released”.
^lcfill should say "^REFDATE".
FE5K017
If MALEINCAR18=5 or 6,
18MFU Welfare
Next I'm going to read a list of income sources. For each, tell me if you have received income from
this source since ^lcfill.
Cash welfare, also known as TANF? You may have received this benefit as an electronic transfer, a
check, or on a bank or debit card. TANF is Temporary Assistance for Needy Families.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 91 of 207
---------------------------------------------------------------------------------
Logic before:
If FE5K016 = yes, ask FE5K018. Else go to FE5K019. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".
FE5K018
18MFU Partner Received Welfare
Has ^prld.Namefill received income from this source since ^lcfill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE5K019
18MFU Public Assistance
Other public assistance, such as food stamp benefits, support from the Indian Health Service,
disability insurance such as Supplemental Security Income (SSI), Social Security Disability
Insurance (SSDI), or unemployment insurance benefits (UI)? You may have received these benefits as
coupons, electronic transfer, or as an EBT or debit card.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE5K016 = yes, ask FE5K020. Else go to FE5K021. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".
FE5K020
18MFU Partner Received Public Assistance
Has ^prld.Namefill received income from this source since ^lcfill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE5K021
18MFU Child Support Received
Child support payments?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE5K016 = yes, ask FE5K022. Else go to FE5K023. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".
FE5K022
18MFU Partner Received Child Support
Has ^prld.Namefill received income from this source since ^lcfill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 92 of 207
---------------------------------------------------------------------------------
FE5K023
18MFU Money from Others
Money from friends or relatives who did not live with you at that time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE5K016 = yes, ask FE5K024. Else go to FE5K025. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".
FE5K024
18MFU Partner Received Money from Others
Has ^prld.Namefill received income from this source since ^lcfill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE5K025
18MFU Formal Payment
Formal employment? By "formal", we mean a job that you received a pay stub for, and for which taxes
were taken out of your pay.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE5K016 = yes, ask FE5K026. Else go to FE5K027. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".
FE5K026
18MFU Partner Received Formal Paycheck
Has ^prld.Namefill received income from this source since ^lcfill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE5K027
18MFU Casual Work
"Under the table" or casual work? By "under the table", we mean work that you did not receive a
pay stub for, for which taxes were not taken out of your pay. This could include things you were
paid in cash for, like babysitting or mowing lawns.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 93 of 207
---------------------------------------------------------------------------------
Logic before:
If FE5K016 = yes, ask FE5K028. Else go to FE5K029. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".
FE5K028
18MFU Partner Received Money Under the Table
Has ^prld.Namefill received income from this source since ^lcfill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE5K029
18MFU Illegal Activities
Illegal activities, such as selling drugs, breaking and entering, etc.?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE5K016 = yes, ask FE5K030. Else go to FE5K031. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".
FE5K030
18MFU Partner Received Funds from Illegal Activiti
Has ^prld.Namefill received income from this source since ^lcfill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".
FE5K031
If MALEINCAR18=5 or 6,
18MFU Budget
[USE SHOWCARD 22]
Since ^lcfill, how often have you relied on a planned budget to guide your monthly spending?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 94 of 207
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".
FE5K032
If MALEINCAR18=5 or 6,
18MFU Meeting Bills
Since ^lcfill, how often have you had difficulty meeting monthly payments on bills?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".
FE5K033
If MALEINCAR18=5 or 6,
18MFU Money at End of Month
Since ^lcfill, how often have you had money at the end of the month after the bills were paid?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ask FE5K034.
FE5K034
Else, skip to FE5L009.
18MFU Money Better, Worse, Same
Since ^prld.Namefill was released, is your money situation better, worse or about the same as it
was before he was released?
Question Type:
TBetWrseSme
Better
Worse
Same
1 BETTER
2 WORSE
3 ABOUT THE SAME
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 95 of 207
Social Support
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".
FE5L009
If MALEINCAR18=5 or 6,
18MFU Friend Support Expectations 1
This next set of questions asks about the kinds of support you have received from your friends and
family since ^lcfill.
Do you have a friend who will loan you money if you need it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE5L010
18MFU Friend Support Expectations 2
Do you have a friend who will provide you with a place to live if you need it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE5L011
18MFU Friend Support Expectations 3
Do you have a friend who will help you with transportation to work or other appointments if you
need it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released". If MALEINCAR18=5 or 6,
^lcfill should say "^REFDATE. If TOTALCHILD18.FE GE 1, ^childfill should fill "or your ^children".
Else do not fill.
FE5L006
18MFU Other Family Support Expectations 1
This next set of questions asks about the kinds of support you have received from your family
members, other than ^prld.Namefill ^childfill since ^lcfill.
Do you have a family member who will loan you money if you need it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 96 of 207
---------------------------------------------------------------------------------
FE5L007
18MFU Other Family Support Expectations 2
Do you have a family member who will provide you with a place to live if you need it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE5L008
18MFU Other Family Support Expectations 3
Do you have a family member who will help you with transportation to work or other appointments if
you need it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^he was released".
should say "^REFDATE".
FE5L036p
If MALEINCAR18=5 or 6, ^lcfill
18MFU Other Family Support Expectations 4
Now let’s think about ^prld.Namefill.
Since ^lcfill, how often have the people ^prld.Namefill spends time with convinced him to do things
he knows he shouldn't be doing?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 97 of 207
Parenting
---------------------------------------------------------------------------------
Logic before:
If (PARTNERFOCAL = 1 and FOCLIVE.FE = Live) or (TOTALCHILD18.FE GE 1 AND FE1D030 <> empty), ask
FE5N000. Else go to Domain T, item FE5T134.
If MALEINCAR18=1 OR 3, ^lcfill should say "he was released [REFER R TO DATE HIGHLIGHTED IN GREEN IN
REFERENCE CALENDAR]". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE [REFER R TO DATE
HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]."
FE5N000
18MFU Parenting Intro
This next set of questions is about your and ^prld.Namefill's experiences with parenting since
^lcfill.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
(If PARTNERFOCAL=0 OR FOCLIVE.FE=Dead) AND (total # of non-focal children GE1), go to FE5N001.
PARTNERFOCAL = 1 AND FOCLIVE.FE=Live AND FE5J045b =no ask FE5N030. Else go to FE5N031p.
If MALEINCAR18=1 OR 3, ^lcfill should say "he was released".
say "^REFDATE"
FE5N030
If
If MALEINCAR18=5 or 6, ^lcfill should
18MFU See Focal Child
[USE SHOWCARD 23]
Since ^lcfill, how often does ^prld.NAMEFILL see ^prld.FOCCHILD in person?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "he was released".
say "^REFDATE"
FE5N031p
If MALEINCAR18=5 or 6, ^lcfill should
18MFU Financially Support Focal Child
Has ^prld.Namefill financially supported ^prld.FOCCHILD in any way since ^lcfill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FE5N031p = no, don’t know or refused, go to FE5N059.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 98 of 207
---------------------------------------------------------------------------------
Logic before:
Allow R to select all that apply.
If MALEINCAR18=1 OR 3, ^lcfill should say "^he was released".
should say "^REFDATE"
FE5N032p
If MALEINCAR18=5 or 6, ^lcfill
18MFU Financial Support for Focal Child
[USE SHOWCARD 24]
In what way or ways has ^prld.Namefill provided financial support for ^prld.FOCCHILD since ^lcfill.
Please include support provided to the child directly as well as support provided to you or
another caretaker of the child.
[ALLOW R TO SELECT ALL THAT APPLY]
Question Type:
TMonetary3
Gift
Shopping
1 Buying ^prld.FOCCHILD birthday or holiday gifts
2 Taking ^prld.FOCCHILD shopping for clothes, school supplies, or other
things ^FOCSEX1 needs
3 Helping out occasionally with bills, rent or other expenses in the
child's household
4 Providing steady, regular financial support of over $300 per month
5 Providing steady, regular financial support of $200-$300 per month
6 Providing steady, regular financial of $100-$200 per month
7 Providing steady, regular financial support up to $100 per month
Expense
More300
Two300
One200
Upto100
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^he was released".
should say "^REFDATE"
FE5N059
If MALEINCAR18=5 or 6, ^lcfill
18MFU Discipline Decisions About Focal Child
Since ^lcfill, have you and ^prld.Namefill stood by a discipline or parenting decision, even if one
of you did not like the decision?
Question Type:
TOSRN2
Often
Sometimes
Rarely
Never
NotAp
1
2
3
4
5
Often
Sometimes
Rarely
Never
Not applicable
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE"
FE5N060
If MALEINCAR18=5 or 6,
18MFU Arguments About Focal Child
Since ^lcfill, have you often, sometimes, rarely, or never had arguments about ^prld.FOCCHILD?
Question Type:
TOSRNcaps
Often
Some
Rare
Never
1
2
3
4
OFTEN
SOMETIMES
RARELY
NEVER
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 99 of 207
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE"
FE5N061
If MALEINCAR18=5 or 6,
18MFU Decisions Regarding Health of Focal Child
[USE SHOWCARD 25]
Since ^lcfill, who has made major decisions about things such as child care and health care for
^prld.FOCCHILD?
Question Type:
TDecisionsFU2
Both
Father
Respondent
Someone
1
2
3
4
^prld.Namefill and you have made most of the decisions together
^prld.Namefill has made most decisions without you
You have made most decisions without ^prld.Namefill
Someone else involved in raising the child has made most decisions
without you or ^prld.Namefill
5 You and someone else involved in raising the child have made most of the
decisions
RandOther
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18=1, skip to FE5N036p.
If MALEINCAR18=1 OR 3, ^lcfill1 should say "^prld.Namefill was released". If MALEINCAR18=5 or 6,
^lcfill1 should say "^REFDATE". If (MALEINCAR18 = 3 or 5) AND (FEMINCARSTATE18=2), ^lcfill2 should
say ",during the time that you were both on the outside". Else, ^lcfill2 should not fill.
FE5N063
18MFU Frequency Family Activities
How often have you, ^prld.Namefill, and ^prld.FOCCHILD all done family-oriented activities
together, such as recreational activities, eating meals, or going to church since ^lcfill1
^lcfill2? Would you say often, sometimes, rarely or never?
Question Type:
TOSRNcaps
Often
Some
Rare
Never
1
2
3
4
OFTEN
SOMETIMES
RARELY
NEVER
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill1 should say "^prld.Namefill was released". If MALEINCAR18=5 or 6,
^lcfill1 should say "^REFDATE". If (MALEINCAR18 = 3 or 5) AND (FEMINCARSTATE18=2), ^lcfill2 should
say ", during the time that you were both on the outside". Else, ^lcfill2 should not fill.
FE5N064
18MFU Enjoy Being Together
How often have you, ^prld.Namefill and ^prld.FOCCHILD enjoyed being together as a family since
^lcfill1 ^lcfill2?
Question Type:
TOSRNcaps
Often
Some
Rare
Never
1
2
3
4
OFTEN
SOMETIMES
RARELY
NEVER
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 100 of 207
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^he was released".
should say "^REFDATE".
FE5N036p
If MALEINCAR18=5 or 6, ^lcfill
18MFU Relationship with Focal
How easy or hard has it been for ^prld.Namefill to have a good relationship with ^prld.FOCCHILD
since ^lcfill?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released". If MALEINCAR18=5 or 6,
^lcfill should say "^REFDATE". Allow the respondent to "select all that apply".
FE5N037p
18MFU Biggest Challenges with Focal Child
[USE SHOWCARD 26]
Thinking about the time since ^lcfill, what have been the biggest challenges in his relationship
with ^prld.FOCCHILD? Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TExpectFB
Find
Missed
1 Him not knowing how to get in contact with ^prld.FOCCHILD
2 Having missed out on so much that happened with ^prld.FOCCHILD while he
was incarcerated
3 Getting ^prld.FOCCHILD to trust him or open up to him after the time
apart
4 Finding transportation for visits or activities
5 Dealing with people who don’t want him to see ^prld.FOCCHILD
6 Him not being in a stable enough housing and financial situation to be
able to spend time with ^prld.FOCCHILD
7 His lifestyle not being a healthy one for kids
8 ^prld.FOCCHILD being angry at him or not wanting to see him
9 Having money to financially support or buy things for ^prld.FOCCHILD
10 Some other challenge (SPECIFY)
Trust
Transport
Kids
Instability
Lifestyle
Angry
Money
Other
Logic after:
If FE5N037p includes 10 (other), go to FE5N037s. Else go to FE5N001.
---------------------------------------------------------------------------------
FE5N037s
18MFU Other Specify
SPECIFY OTHER CHALLENGE
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 101 of 207
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18=1, skip to FE5Y000.
FE5N001. Else go to FE5T134.
FE5N001
If (TOTALCHILD18.FE GE 1) AND (MALEINCAR18=1 OR 3), Ask
18MFU Fatherhood Intro
Thinking about the time since ^prld.Namefill was released, please tell me how much you agree or
disagree with each of the following statements about your ^children.
[REFER RESPONDENT TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE5N002
18MFU Male Role Model
It is good for the child(ren) to have a male role model.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE5N003
18MFU Namefill Discipline
[USE SHOWCARD 27]
^prld.Namefill disciplines the child(ren) too harshly sometimes.
Question Type:
TAgreeNALower
StroAgree
Agree
Disagree
StroDisagree
NA
1
2
3
4
5
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
---------------------------------------------------------------------------------
FE5N004
18MFU Namefill Alone w Child(ren)
You have felt comfortable leaving ^prld.Namefill alone with the child(ren).
Question Type:
TAgreeNALower
StroAgree
Agree
Disagree
StroDisagree
NA
1
2
3
4
5
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 102 of 207
---------------------------------------------------------------------------------
FE5N005
18MFU Namefill Bad Influence
You have been concerned about ^prld.Namefill being a bad influence on the child(ren).
Question Type:
TAgreeNALower
StroAgree
Agree
Disagree
StroDisagree
NA
1
2
3
4
5
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
---------------------------------------------------------------------------------
FE5N006
18MFU Ease of Raising Child(ren)
Since ^prld.Namefill was released, it has gotten easier to manage the work of raising (a)
child(ren).
Question Type:
TAgreeNALower
StroAgree
Agree
Disagree
StroDisagree
NA
1
2
3
4
5
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 103 of 207
Community Involvement
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18 = 1, skip to FE5Y000. If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE". Allow R to select all that
apply. Do not allow option 5 to be selected along with options 1, 2, 3, and/or 4, CC text should
read: "OPTION 5, NONE, CAN NOT BE SELECTED IN CONJUNCTION WITH RESPONSE OPTIONS 1-4. GO BACK AND
EDIT RESPONSES."
FE5T134
18MFU Community Involvement
[USE SHOWCARD 28]
Since ^lcfill, have you done any of the following?
[CHECK ALL THAT APPLY.)
Question Type:
TCommInvle
AttRel
1 Attended a church, mosque, synagogue or any other type of religious
service?
2 Participated in any community volunteer work?
3 Voted in any political election, such as a general election, primary
election or special referendum?
4 Taken part in any local organizations like clubs, sports teams, ethnic
or racial pride groups, political organizations, or other community
groups?
5 NONE OF THE ABOVE
CommVol
Vote
LocOrg
None
---------------------------------------------------------------------------------
FE5T155
18MFU Belong to Religious Org
Do you belong to a church, synagogue, mosque, or other religious organization?
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ask FE5T0001.
FE5T001
Else, skip to section 6.
18MFU Degree of Community Involvement
Since ^prld.Namefill was released, have you participated in community activities more, less or
about the same as when he was incarcerated? By community activities, I mean attending religious
services, doing volunteer work, voting, and/or participating in community groups or organizations.
Question Type:
TMreLssSme
More
Less
Same
1 MORE
2 LESS
3 ABOUT THE SAME
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 104 of 207
Overall Quality of Life
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18=1 OR 3, ask FE5Y000.
FE5Y000
Else, skip to section 6.
18MFU QOL Intro
Please tell me how much you agree or disagree with each of the following statements.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE5Y001
18MFU QOL 1
Overall, your life is harder since ^prld.Namefill was released.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE5Y002
18MFU QOL 2
Overall, your life is better since ^prld.Namefill was released
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 105 of 207
Personal Traits
---------------------------------------------------------------------------------
FE6Z000
18MFU Personal Traits Intro
These next questions deal with your feelings, attitudes, and how things are going for you
currently.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE6Z001
18MFU Control Important Things in Life
[USE SHOWCARD 29]
How often do you feel that you are not able to control the important things in your life?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FE6Z002
18MFU Anger Management 1
How often do you feel angry or mad?
Would you say....
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FE6Z003
18MFU Anger Management 2
In general, how much of the time does your anger cause problems in your relationships?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 106 of 207
---------------------------------------------------------------------------------
FE6Z004
18MFU Anger Management 3
How much of the time does your anger cause problems in your job or work life?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FE6Z004a
18MFU Reactive Intro
For each of the following items, please tell me how much you agree or disagree. There are no
correct or incorrect answers.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE6Z005
18MFU Reactive Responding 1
[USE SHOWCARD 30]
You often respond quickly and emotionally when something happens.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z006
18MFU Reactive Responding 2
You let your emotions cool before you act.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z006a
18MFU Spritual Intro
These next questions are about the role that religion or spirituality plays in your life. Please
tell me how much you agree or disagree with each of these statements.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 107 of 207
---------------------------------------------------------------------------------
FE6Z007
18MFU Spirituality 1
You find strength in your religion or spirituality.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z008
18MFU Spirituality 2
You pray or meditate regularly.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z009
18MFU Spirituality 3
You read the Bible, Koran, or other religious books regularly.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z010
18MFU Spirituality 4
The religious services or groups you participate in matter a great deal to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z010a
18MFU Self Efficacy Intro
The next questions are about how you currently feel about your life.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 108 of 207
---------------------------------------------------------------------------------
FE6Z011
18MFU Self Efficacy 1
You can do just about anything you really set your mind to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z012
18MFU Self Efficacy 2
Sometimes you feel like you're being pushed around in your life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z013
18MFU Self Efficacy 3
You often feel helpless dealing with the problems of life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z014
18MFU Goal Orientation 1
It's important for you to take time to plan out where you're going in life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 109 of 207
---------------------------------------------------------------------------------
FE6Z015
18MFU Goal Orientation 2
You have many goals that you will work to achieve.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z015a
Attachment Intro
For each of the following statements, please tell me how much you agree or disagree when it comes
to close relationships.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE6Z016
18MFU Attachment 1
[USE SHOWCARD 31]
It is easy for me to become emotionally close to others. I am comfortable depending on them and
having them depend on me. I don't worry about being alone or having others not accept me.
Question Type:
TAgreeAtt
StroAgree
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
agree
disagree
disagree
---------------------------------------------------------------------------------
FE6Z017
18MFU Attachment 2
I am uncomfortable getting close to others. I want emotionally close relationships, but I find it
difficult to trust others completely, or to depend on them. I worry that I will be hurt if I allow
myself to become too close to others.
Question Type:
TAgreeAtt
StroAgree
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
agree
disagree
disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 110 of 207
---------------------------------------------------------------------------------
FE6Z018
18MFU Attachment 3
I want to be completely emotionally intimate with others, but I often find that others are
reluctant to get as close as I would like. I am uncomfortable being without close relationships,
but I sometimes worry that others don't value me as much as I value them.
Question Type:
TAgreeAtt
StroAgree
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
agree
disagree
disagree
---------------------------------------------------------------------------------
FE6Z018a
18MFU Attachment 4
I am comfortable without close emotional relationships. It is very important to me to feel
independent and self-sufficient, and I prefer not to depend on others or have others depend on me.
Question Type:
TAgreeAtt
StroAgree
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
agree
disagree
disagree
---------------------------------------------------------------------------------
FE6Z019
18MFU Cooperation 1
[USE SHOWCARD 32]
You often consider another person's feelings as much as your own.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z020
18MFU Cooperation 2
People involved with you have to learn how to do things your way.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 111 of 207
---------------------------------------------------------------------------------
FE6Z021i
18MFU Relationship Skills Intro
These next questions are about your opinions about romantic relationships. Please tell me how much
you agree or disagree.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE6Z021
18MFU Relationship Skills 1
Once a couple starts to have problems, it usually is not possible to fix them.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z022
18MFU Relationship Skills 2
Couples should not have to work on their relationships in order to have a happy relationship.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z023
18MFU Relationship Skills 3
Most people can learn to communicate better with their spouse.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z024
18MFU Relationship Skills 4
When one spouse says something mean or hurtful, it is OK for the other spouse to say something mean
or hurtful back.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 112 of 207
---------------------------------------------------------------------------------
FE6Z025
18MFU Relationship Skills 5
When wives and husbands have very different views about important things in the family, it is best
to not talk about those things.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z026
18MFU Relationship Skills 6
People can learn to avoid situations where they might be tempted to cheat on their spouse or
partner.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6Z027
18MFU Relationship Skills 7
It is sometimes OK for couples to get a little rough physically, like pushing or hitting.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 113 of 207
Mental & Physical Health
---------------------------------------------------------------------------------
FE6P000
18MFU Physical Health Intro
Now I'd like to ask you some questions about your health and how you have been feeling over the
last 1 month.
[POINT TO 1 MONTH AGO ON REFERENCE CALENDAR.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE6P037
18MFU Physical Health 1
In general, how is your health? Would you say it is . . .
Question Type:
TCondition
Excel
Vgood
Good
Fair
Poor
1
2
3
4
5
Excellent
Very good
Good
Fair
Poor
---------------------------------------------------------------------------------
FE6P038
18MFU Physical Health 2
Do you have a serious health problem that limits the amount or kind of work you can do?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE6P039
18MFU Emotional Psychological Health
In general, would you say your current emotional or psychological health is excellent, very good,
good, fair, or poor?
Question Type:
TCondition
Excel
Vgood
Good
Fair
Poor
1
2
3
4
5
Excellent
Very good
Good
Fair
Poor
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 114 of 207
---------------------------------------------------------------------------------
FE6P039a
18MFU ADHD Intro
Thinking about the past 1 month, please tell me how much you agree or disagree with each of the
following statements.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE6P040
18MFU ADHD 1
[USE SHOWCARD 33]
You are easily distracted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6P041
18MFU ADHD 2
You get frustrated easily.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6P042
18MFU ADHD 3
You do not think before acting.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6P043
18MFU PTSD 1
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you have had nightmares about it or thought about it when you did not
want to?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 115 of 207
---------------------------------------------------------------------------------
FE6P044
18MFU PTSD 2
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you tried hard not to think about it or went out of your way to avoid
situations that reminded you of it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE6P045
18MFU PTSD 3
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you were constantly on guard, watchful, or easily startled?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE6P046
18MFU PTSD 4
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you felt numb or detached from others, activities, or your surroundings?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE6P046a
18MFU CES-D Intro
Below is a list of ways you might have felt or behaved recently. Please tell me how often you have
felt this way during the @Bpast week@B.
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 116 of 207
---------------------------------------------------------------------------------
FE6P047
18MFU CES-D 1
[USE SHOWCARD 34]
During the past week. . .
You were bothered by things that don't usually bother you.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
FE6P048
18MFU CES-D 2
You had trouble keeping your mind on what you were doing.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
FE6P049
18MFU CES-D 3
You felt depressed.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
FE6P050
18MFU CES-D 4
You felt that everything you did was an effort.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 117 of 207
---------------------------------------------------------------------------------
FE6P051
18MFU CES-D 5
You felt hopeful about the future.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
FE6P052
18MFU CES-D 6
You felt fearful.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
FE6P053
18MFU CES-D 7
Your sleep was restless.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
FE6P054
18MFU CES-D 8
You were happy.
Question Type:
Tfrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 118 of 207
---------------------------------------------------------------------------------
FE6P055
18MFU CES-D 9
You felt lonely.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 119 of 207
Parenting & Child Well-being
---------------------------------------------------------------------------------
Logic before:
If (PARTNERFOCAL = 1 and FOCLIVE.FE= Live) and FE5N095=empty ask FE6N095. Else, go to FE6N096.
Response option 1 should only be available if FECON5=NO. Use special font as follows: If FECON5=
NO bold option 1. If NAMEFILL ALIVE.FE=Alive and FE3Q000= no bold option 3. Always bold options 2
and 4-12.
Allow respondent to select all that apply.
FE6N095
18MFU Focal Child Residence 2
[USE SHOWCARD 35]
The next items ask about ^prld.FOCCHILD.
With whom does ^prld.FOCCHILD currently live? Select all that apply.
REQUIRED PROBE:
Anyone else?
Question Type:
TFocalResideFU
Respondent
Mother
Nmfill
Father
GrandparentM
GrandparentP
StepGrand
RelativesB
Stepparent
NonBlood
SocialS
Other
1
2
3
4
5
6
7
8
9
10
11
12
^F1 YOU ^F1
^F2 THE CHILD'S BIOLOGICAL MOTHER ^F2
^F3 ^NAMEFILLcaps ^F3
^F4 THE CHILD'S BIOLOGICAL FATHER ^F4
^F5 THE CHILD'S MATERNAL GRANDPARENT(S) ^F5
^F6 THE CHILD'S PATERNAL GRANDPARENT(S) ^F6
^F7 THE CHILD'S STEP-GRANDPARENT(S) ^F7
^F8 OTHER BLOOD RELATIVES OF THE CHILD ^F8
^F9 THE CHILD'S STEPPARENT ^F9
^F10 OTHER NON-BLOOD RELATIVES ^F10
^F11 THE CHILD IS IN CUSTODY OF SOCIAL SERVICES ^F11
^F12 OTHER (SPECIFY) ^F12
Logic after:
If FE6N095 includes 12 (other), go to FE6N095s
FE6N095: Add a consistency check after FE6N095 if R chooses option 1 and FECON5 NE no. CC text
should say "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT WITH FEMALE CURRENTLY BEING
INCARCERATED (FECON5). PLEASE PROBE AS NEEDED TO SECURE CONSISTENT RESPONSE."
Add a consistency check after FE6N095 if R chooses option 3 and (FE3Q000=YES) or NAMEFILL
ALIVE.FE=Dead. CC text should say: "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT WITH
^prld.NAMEFILL BEING INCARCERATED OR DEAD. PLEASE PROBE AS NEEDED TO SECURE A CONSISTENT RESPONSE."
---------------------------------------------------------------------------------
FE6N095s
18MFU Other Specify Focal Child Residence
SPECIFY OTHER
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 120 of 207
---------------------------------------------------------------------------------
Logic before:
If PARTNERFOCAL = 1 and FOCLIVE.FE= Live, ask FE6N096.
FE6N096
Else, go to FE6N121.
18MFU Feelings as a Parent
Please think about how you feel about yourself as a parent to ^prld.FOCCHILD.
Would you say you are . . .
Question Type:
TType
Excel
Vgood
Good
Nogood
1
2
3
4
An excellent parent
A very good parent
A good parent
Not a very good parent
---------------------------------------------------------------------------------
FE6N097
18MFU Relationship with Focal Child
Would you say your current relationship with ^prld.FOCCHILD is..
Question Type:
TEGFP
Excel
Good
Fair
Poor
1
2
3
4
Excellent
Good
Fair
Poor
---------------------------------------------------------------------------------
Logic before:
If FECON5 = yes, ^lcfill should say "^prld.FOCCHILD during this incarceration.". If FECON5 = no,
^lcfill should say "^prld.FOCCHILD.".
FE6R039
18MFU Parental Warmth Intro
For the next set of questions, I'd like you to think about what things are like when you see or
communicate with ^lcfill
On average, how often do you do each of the following with ^prld.FOCCHILD when you communicate with
^FOCSEX2?
Question Type:
Tnext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FECON5=no then the first 4 response options should be bolded on only those four should be
eligible for selection. If FECON5=yes, then all response options should be bolded and eligible for
selection. CC text reads: NO CONTACT IS NOT LOGICALLY CONSISTENT WITH YOUR OTHER RESPONSES.
FE6R039a
18MFU Parental Warmth 1
Hug or show physical affection to ^prld.FOCCHILD?
Question Type:
Tphysical
Always
Usually
Sometimes
Never
NoContact
1
2
3
4
5
^F1
^F2
^F3
^F4
^F5
Always ^F1
Usually ^F2
Sometimes ^F3
Never ^F4
Physical contact is not permitted during visits at your facility ^F5
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 121 of 207
---------------------------------------------------------------------------------
FE6R040
18MFU Parental Warmth 2
[USE SHOWCARD 36]
Tell ^prld.FOCCHILD that you love ^FOCSEX2?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
FE6R041
18MFU Parental Warmth 3
Communicate with ^prld.FOCCHILD about things ^FOCSEX1 is interested in?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
FE6R042
18MFU Parental Warmth 4
Praise ^prld.FOCCHILD? By praise, we mean tell the child that ^FOCSEX1 is good in some way or that
^FOCSEX1 has done something well.
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE.FE= Dead, skip to FE6N103. If MALEINCAR18 = 2 OR 4, ask FE6N099. Else go to
FE6N099a.
FE6N099
18MFU Arguments over Focal Child
Parenting with another person can be challenging.
Do you and ^prld.Namefill have arguments about ^prld.FOCCHILD?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 122 of 207
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18.FE GE 1, ask FE6N099a.
FE6N099a
18MFU Count on One Another
How often can you and ^prld.Namefill count on one another to follow through on your parenting
responsibilities?
Question Type:
TOSRN2
Often
Sometimes
Rarely
Never
NotAp
1
2
3
4
5
Often
Sometimes
Rarely
Never
Not applicable
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18 = 2 OR 4, ask FE6N100. Else go to FE6N101p.
FE6N100
18MFU Decisions about Child/Health Care
[USE SHOWCARD 37]
Who makes major decisions about things such as child care and health care for ^prld.FOCCHILD?
Question Type:
TDecisionsP
Both
Mother
Respondent
Someelse
1
2
3
4
^prld.Namefill and you make most of the decisions together
^prld.Namefill makes most decisions without you
You make most decisions without ^prld.namefill
Someone else involved in raising the child makes most decisions without
you or ^prld.namefill
5 You and someone else involved in raising the child make most of the
decisions
RandOther
---------------------------------------------------------------------------------
FE6N101p
18MFU Focal Child s Relationship with Father
Please rate ^prld.FOCCHILD's relationship with ^prld.NAMEFILL.
Would you say it is . . .
Question Type:
TEGFP
Excel
Good
Fair
Poor
1
2
3
4
Excellent
Good
Fair
Poor
---------------------------------------------------------------------------------
Logic before:
If FE1G062a (for focal child) "GE" 4, go to FE6N103.
FE6N103
18MFU Focal Child Attend School
Does ^prld.FOCCHILD attend school?
Question Type:
By school I mean kindergarten through college.
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FE6N103 = yes, go to FE6N104. Else go to FE6N107.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 123 of 207
---------------------------------------------------------------------------------
FE6N104
18MFU Grade Level
What grade is ^prld.FOCCHILD in?
Question Type:
TGrade
Kinger
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Nineth
Tenth
Eleventh
Twelveth
College
Other
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
KINDERGARTEN
1st GRADE
2nd GRADE
3rd GRADE
4th GRADE
5th GRADE
6th GRADE
7th GRADE
8th GRADE
9th GRADE
10th GRADE
11th GRADE
12th GRADE
COLLEGE
OTHER, SPECIFY
Logic after:
If FE6N104 = other, go to FE6N104s. Else go to FE6N105.
---------------------------------------------------------------------------------
FE6N104s
18MFU Other Specify
SPECIFY OTHER
Question Type:
STRING[25]
---------------------------------------------------------------------------------
FE6N105
18MFU School Assessment Overall
[USE SHOWCARD 38]
Based on your knowledge of ^prld.FOCCHILD's school work, including ^FOCSEX3 most recent report
cards, how is ^FOCSEX1 doing in school overall?
Would you say . . .
Question Type:
TAverage
Well
Below
Average
Above
WellA
1
2
3
4
5
Well below average
Below average
Average
Above average
Well above average
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 124 of 207
---------------------------------------------------------------------------------
FE6N106
18MFU Extracurricular Activities
Based on your knowledge, does ^FOCSEX1 participate in any sports, clubs, organizations, or programs
after school or on weekends?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE1G062a for ^FOCCHILD GE 4, ask FE6N107.
FE6N107
If FE1G062a for ^FOCCHILD LT 4, skip to FE6N115i.
18MFU NSCH Behavior 1
[USE SHOWCARD 39]
[POINT TO ONE MONTH AGO ON REFERENCE CALENDAR]
I'm going to read a list of behaviors that sometimes describe children. For each item, please tell
me how often this has been true for ^prld.FOCCHILD during the past 1 month.
^prld.FOCCHILD bullies, or is cruel or mean to others.
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Would you say. . .
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
FE6N108
18MFU NSCH Behavior 2
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
^prld.FOCCHILD shows respect for teachers and neighbors.
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 125 of 207
---------------------------------------------------------------------------------
FE6N109
18MFU NSCH Behavior 3
. . .gets along well with other children
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
FE6N110
18MFU NSCH Behavior 4
. . .is disobedient
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
FE6N111
18MFU NSCH Behavior 5
. . .is stubborn, sullen, or irritable
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
FE6N112
18MFU NSCH Behavior 6
. . .feels worthless or inferior
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 126 of 207
---------------------------------------------------------------------------------
FE6N113
18MFU NSCH Behavior 7
. . .is unhappy, sad, or depressed
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
FE6N114
18MFU NSCH Behavior 8
. . .is withdrawn, and does not get involved with others
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
FE6N115i
18MFU Raising a child can be difficult
Raising children can be difficult these days. Has ^prld.FOCCHILD ever had any of the following
problems?
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FE1G062a GE 4, ask FE6N115. Else, go to FE6N117.
FE6N115
18MFU New Hope 1
Being suspended or expelled from school?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE6N116
18MFU New Hope 2
Needing to repeat a grade in school?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 127 of 207
---------------------------------------------------------------------------------
FE6N117
18MFU New Hope 3
Being placed in foster care, or being sent to live with a friend or relative?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE1G062a for focal child is "GE" 10, go to FE6N118. Else go to FE6N121.
FE6N118
18MFU New Hope 4
Running away?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE6N119
18MFU New Hope 5
Getting into trouble for using alcohol or drugs?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE6N120
18MFU New Hope 6
Getting into trouble with the police?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 128 of 207
---------------------------------------------------------------------------------
FE6N121
18MFU Fatherhood Attitude 1
[FI NOTE: THIS SERIES APPLIES TO ALL RESPONDENTS.]
[USE SHOWCARD 40]
Here are some statements that men have made about their role as fathers. For each of the following
statements, please indicate how strongly you agree or disagree.
It's hard for men to act loving toward children.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6N122
18MFU Fatherhood Attitude 2
Fathers should spend as much time taking care of their children as mothers.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6N123
18MFU Fatherhood Attitude 3
The way a father treats his child will affect the child later in life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6N124
18MFU Fatherhood Attitude 4
The activities a father does with his children don't matter. What matters more is whether he
supports them financially.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 129 of 207
---------------------------------------------------------------------------------
FE6N125
18MFU Fatherhood Attitude 5
It is sometimes OK for fathers to physically discipline their children, such as hitting or spanking
them.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6N126
18MFU Fatherhood Attitude 6
Incarcerated fathers can still be good role models for their children.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6N127
18MFU Fatherhood Attitude 7
Incarcerated fathers can still be involved in making decisions about their children's lives.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 130 of 207
Social Support
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE.FE= Alive AND TOTALCHILD18.FE GE 1, ^lcfill should say "other than ^prld.Namefill
or your ^children". If NAMEFILL ALIVE.FE = Alive AND TOTALCHILD18.FE=0, ^lcfill should say "other
than ^prld.Namefill". If NAMEFILL ALIVE.FE =Dead AND TOTALCHILD18.FE GE1, ^lcfill should say
“other than your ^children". Else, lcfill should not fill.
FE6L128
Extended Family Support 1
[USE SHOWCARD 40]
Now I'd like to ask about how you currently feel about your relationships with your family members
^lcfill. This would mean your parents, siblings, cousins, or other family members. Please tell me
whether you strongly agree, agree, disagree, or strongly disagree with the following statements.
You feel close to your family.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6L129
Extended Family Support 2
You have family members who will stand by you no matter what.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6L130
Extended Family Support 3
You want your family to be involved in your life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 131 of 207
---------------------------------------------------------------------------------
FE6L131
Extended Family Support 4
You are criticized a lot or put down by your family.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6L132
Extended Family Support 5
You have someone in your family to talk to about yourself or your problems.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE6L133
Extended Family Support 6
You have someone in your family to love you and make you feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 132 of 207
ACASI Intro
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18=2 or 3 or [FEMINCARSTATE18=1 and (Namefill alive.fe=1 or (fembase = 2 and
fem9mo=2))] ask ACASI1. IF (FEMBASE=1 or FEM9MO=1) AND FEMINCARSTATE18=1 AND NAMEFILL ALIVE.FE=2,
go to FE7W000.
FEACASI1
18MFU ACASI 1
This study promises to keep the information you provide entirely confidential. However, there are
some questions people might prefer to answer privately. For that reason, some sections of this
interview are designed for you to enter answers into the laptop yourself. When you enter answers
into the laptop, I will not know your answers. Please be as honest as you can while completing
these sections. I'll help you begin with some practice questions that will show you how the laptop
works.
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE.FE = Alive ask FEACASI1a. If NAMEFILL ALIVE.FE = Dead, skip to FEACASI1b.
FEACASI1a
18MFU ACASI 1a
As you know, you were referred to us for this study by ^prld.Namefill.
will refer to ^prld.Namefill as your "Survey Partner".
In this next section, we
[POINT TO SURVEY PARTNER ON GENOGRAM. BE SURE THAT THE RESPONDENT CAN SEE THE GENOGRAM WHILE
COMPLETING THE ACASI PORTION OF THE INTERVIEW.]
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
This question is asked of everyone. If FEMINCARSTATE18=2, ^lcfill1 should say "Some of the
questions ask you to only think about the time that you were on the outside. [REMIND R NOT TO
COUNT DAYS HIGHLIGHTED IN PINK]. Else, ^lcfill1 should not fill. If (MALEINCAR18=1, 3 OR 5) AND
(NAMEFILL ALIVE.FE = Alive), ^lcfill2 should say "Some questions ask you to only think about the
time that your Survey Partner was on the outside. [REMIND R NOT TO COUNT DAYS HIGHLIGHTED IN
BLUE]. Else, ^lcfill2 should not fill. If NAMEFILLALIVE.FE=ALIVE and (FEMINCARSTATE18=2 OR
MALEINCAR18=5), ^lcfill3 should say "And some of the questions ask you to only think about the time
that you were both on the outside. [REMIND R NOT TO COUNT DAYS HIGHLIGHTED IN PINK OR BLUE].
Else, ^lcfill3 should not fill.
FEACASI1b
18MFU ACASI b
Many of the questions in this section ask about the past nine months. That means the time since
^REFDATE. [REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]
^lcfill1
^lcfill2
^lcfill3
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 133 of 207
---------------------------------------------------------------------------------
Logic before:
If (NAMEFILL ALIVE.FE = Alive) AND (MALEINCAR18=1 OR 3), ask FEACASI1c. Else, go to FEACASI2.
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1 OR 3), ^lcfill should say "Some of the questions ask you
to only think about the time since ^prld.Namefill was released that you were both on the outside.
[REMIND R NOT TO COUNT ANY DAYS HIGHLIGHTED IN PINK OR BLUE].
FEACASI1c
18MFU ACASI 1c
Some of the questions in this section ask about the time since your Survey Partner was released.
This means the time after ^prld.Namefill was released. [REFER TO DATE HIGHLIGHTED IN GREEN IN
REFERENCE CALENDAR]
^lcfill
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FEACASI2
18MFU ACASI 2
[INTERVIEWER: MAKE SURE THE RESPONDENT CAN SEE THE COMPUTER SCREEN]
[POINT TO ON/OFF BUTTON]
First, this button up here turns the machine on and off.
Please do not press it!
Question Type:
It will turn the machine off, and we'll lose the interview.
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FEACASI2a
18MFU ACASI 2a
[POINT TO THE ROW OF NUMBER KEYS]
These are the number keys. You'll use these keys to answer most questions.
[POINT TO THE ENTER KEY]
After typing your answer, you'll need to press the Enter key to go to the next question.
Question Type:
TContinue
Continue
1 Continue
---------------------------------------------------------------------------------
FEACASI3
18MFU ACASI 3
If you want to go back and change a previous answer, you can press the up-arrow to return to an
earlier question.
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 134 of 207
---------------------------------------------------------------------------------
FEACASI4
18MFU ACASI 4
Here is a question asking if I rent my home. I can press 1 for Yes or 2 for No.
press 1 to answer Yes.
I am going to
[POINT TO BOTTOM OF THE SCREEN]
The number 1 appears at the bottom of the screen. Next I'll press the Enter key to go to the next
screen.
Do you rent your home?
Question Type:
TYESNOCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FEACASI5
18MFU ACASI 5
Here is a new screen.
I want to go back and change my answer about renting my home.
[POINT TO THE UP ARROW KEY]
Here is the up arrow. By pressing this, you can return to a previous question. I will press it
once to backup one question. Watch as I change the answer to 2 and then hit enter to move forward
again.
[PRESS UP ARROW, PRESS 2, PRESS ENTER TWICE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FEACASI6
18MFU ACASI 6
Let me show you some other features on this laptop.
[POINT TO THE ROW OF FUNCTION KEYS] Above the number keys are the function keys.
[POINT TO F3]
If you don't know the answer to a question, you can press F3.
[PRESS F3] When you press F3, you will see a question mark like this appear.
[POINT TO F4] If you don't want to answer a question, you can press F4.
[PRESS F4] When you press F4, you will see an exclamation point like this appear.
Do you have any questions before I give you the laptop?
[TURN THE LAPTOP OVER TO THE RESPONDENT NOW]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 135 of 207
---------------------------------------------------------------------------------
FEACASI7
18MFU ACASI 7
These next few questions are for practice. Your interviewer is available to help if you have
questions. Press 1 and then the ENTER key on the right side of the keyboard to continue.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FEACASI8
18MFU ACASI 8
Some questions ask for a yes or no answer, like this one.
Press 1 for Yes or 2 for No, then press the ENTER key to continue.
Practice this now.
Do you have a dog?
Question Type:
TYESNOCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FEACASI9
18MFU ACASI 9
Some questions ask you to pick an answer from a list, like this one.
Type the number that best fits you and press ENTER. Practice this now.
What is your eye color?
Question Type:
TEyeColor
Brown
Blue
Green
Gray
Black
Other
1
2
3
4
5
6
Brown
Blue
Green
Grey
Black
Other
---------------------------------------------------------------------------------
FEACASI10
18MFU ACASI 10
Some questions ask you to enter a number. For these questions, you will press the number you wish
to select. When you have finished pressing the number, press ENTER. Practice this now.
How many cups of coffee do you drink each day?
each day during a typical day.
Question Type:
Please enter the number of cups of coffee you drink
0..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 136 of 207
---------------------------------------------------------------------------------
FEACASI11
18MFU ACASI 11
Some questions ask how much you agree or disagree with a statement. For these questions, you will
press the number you wish to select. When you have finished pressing the number, press ENTER.
Practice this now.
I like it when it rains.
Would you say....
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FEACASI12
18MFU ACASI 12
Some questions will ask you how often you do something. For these questions, you will press the
number you wish to select. When you have finished pressing the number, press ENTER. Practice this
now.
How often do you read the newspaper?
Would you say....
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
Allow R to select all that apply.
FEACASI13
18MFU ACASI 13
Some questions let you select more than one answer. For these questions, you will press the space
bar between the numbers you select.
To select more than one kind of music from the list, press the space bar between each number that
you type. When you have finished, press ENTER to pick all the types of music you have selected.
Practice this now.
What kinds of music do you listen to?
Question Type:
Tmusic
Classical
Country
HipHop
Jazz
Latin
Folk
Pop
Soul
Techno
1
2
3
4
5
6
7
8
9
Classical
Country
Hip Hop
Jazz
Latin American/Spanish
Other Folk/Ethnic
Pop/Rock
Soul/R&B
Techno
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 137 of 207
---------------------------------------------------------------------------------
Logic before:
Bold the response options selected in FEACASI13 and only allow one response to be selected.
FEACASI14
18MFU ACASI 14
Some questions will ask you to choose the answer that best fits based on answers to a previous
question.
For these questions, you will see that your answers from the previous question are darker than the
other possible answers. You will only be allowed to select among those answers which are darker.
When you have finished, press ENTER. Practice this now.
Which of the following types of music do you listen to most?
Question Type:
Tmusic2
Classical
Country
HipHop
Jazz
Latin
Folk
Pop
Soul
Techno
1
2
3
4
5
6
7
8
9
^F1
^F2
^F3
^F4
^F5
^F6
^F7
^F8
^F9
Classical ^F1
Country ^F2
Hip Hop ^F3
Jazz ^F4
Latin American/Spanish ^F5
Other Folk/Ethnic ^F6
Pop/Rock ^F7
Soul/R&B ^F8
Techno ^F9
---------------------------------------------------------------------------------
FEACASI15
18MFU ACASI 15
Next are more interview questions that you will answer on your own. If you have any questions about
how to use the computer, you can ask your interviewer. Please tell the interviewer if you would
like help reading the screens.
Press 1 and then the Enter key to begin.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 138 of 207
Criminal History
---------------------------------------------------------------------------------
Logic before:
If (FEMBASE = 2 AND FEM9MO = 2), ask FEACASI1C001a. Else, go to FEACASIJ006.
FEACASI1C001a
18MFU Criminal Intro
The next set of questions are about events and experiences in the past.
First, I'm going to ask you some questions about your involvement with the criminal justice system.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FECON5 = no, ask FECASAI1C001.
FEACASI1C001
If FECON5 = yes, skip to FEACASI1C002
18MFU Ever Arrested
Have you ever been arrested?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FEACASI1C001 = yes OR FECON5=yes, ask FEACASI1C002.
FEACASI1C002
Else, go to FEACASIJ006.
18MFU Number of Arrest
How many times in your life have you been arrested? Please count all arrests, not just those that
led to a conviction.
Your best estimate is fine.
Question Type:
0..100
---------------------------------------------------------------------------------
FEACASI1C003
18MFU Number of Convictions
How many times in your life have you been convicted of a crime?
Question Type:
0..100
---------------------------------------------------------------------------------
Logic before:
If FECON5 = yes, ask FEACASI1C003a. Else, skip to FEACASI1C004
FEACASI1C003a
18MFU Number of Adult Incar if Currently Incar
Not counting your current term of incarceration, have you ever served time in a jail or prison for
more than 24 hours at one time? Do not include any time you may have spent in a juvenile facility
in your answer.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes to FEACASI1C003a, go to FEACASI1C003b. Else, go to FEACASIJ006.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 139 of 207
---------------------------------------------------------------------------------
Logic before:
If FECON5 = yes, ask FEACASI1C003b. Else, skip to FEACASI1C004.
FEACASI1C003b
18MFU Number of Incarcerations in Life if Currentl
Not counting your current term of incarceration, how many times in your life have you been sent to
prison or jail for more than 24 hours? Do not include any time you may have spent in a juvenile
facility in your answer.
Please enter the number of separate times you were booked into prison/jail.
Question Type:
0..100
---------------------------------------------------------------------------------
Logic before:
If FECON5 = no, ask FEACASI1C004.
FEACASI1C004
18MFU Number of Adult Incarceration
Have you ever been in a jail or prison for more than 24 hours at one time? Do not include any time
you may have spent in a juvenile facility in your answer.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FEACASI1C004=yes, go to FEACASI1C005. Else, go to FEACASIJ006.
---------------------------------------------------------------------------------
FEACASI1C005
18MFU Number of Incarcerations in Life
How many times in your life have you been sent to prison or jail for more than 24 hours? Do not
include any time you may have spent in a juvenile facility in your answer.
Please enter the number of separate times you were booked into prison/jail.
Question Type:
1..999
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 140 of 207
Housing
---------------------------------------------------------------------------------
Logic before:
If FECON5 = yes, skip to FEACASI6O012. If FE5J002 = yes, ^lcfill should say "other than your Survey
Partner"
FEACASIJ006
18MFU Current Housepartner Correctional Facility
Has anyone you are currently living with ^lcfill ever been to jail, prison or some other
correctional institution?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FEACASIJ007
18MFU Current Housepartner Drug Use
Do any of the people you are currently living with use illegal drugs?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 141 of 207
Substance Use
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18 = 1, skip to FEACASI6O012p. If FEMINCARSTATE18 = 2, ^lcfill1 should say "over
the past nine months [SINCE ^REFDATE], during your time on the outside.", and ^lcfill2 should say
"over the past nine months, during your time on the outside,". If FEMINCARSTATE18 = 3, ^lcfill1
should say "during the past nine months [SINCE ^REFDATE].", and ^lcfill2 should say "during the
past nine months,".
FEACASI6O012
18MFU Substances Used
For these next questions, it may be helpful to look at the reference calendar and think about your
life ^lcfill1
Please tell me which of the following substances you have used ^lcfill2 even just once.
that apply.
Select all
To select more than one substance from the list, press the space bar between each number that you
type. When you have finished, press ENTER to pick all the types of substances you have selected.
Question Type:
TSubstance
Alcohol
Marijuana
Pcoke
Ccoke
Heroin
Meth
Other
Hallucin
Prescription
Methadone
NoUse
1
2
3
4
5
Alcohol
Marijuana or hashish
Powder cocaine
Crack cocaine
Heroin (this includes smoking, sniffing, snorting, and injecting heroin)
6 Methamphetamine
7 Other amphetamines, such as monster, crank, or ice
8 Hallucinogens or designer drugs, such as ecstasy, LSD, acid, mushrooms,
mescaline, peyote, green, PCP, or angel dust
9 Prescription medications without a prescription or for other reasons
than were prescribed, or in larger amounts, or more often than your
doctor ordered. This includes sedatives, tranquilizers, stimulants, pain
relievers, opiates, or anabolic steroids
10 Methadone without a prescription or for other reasons than were
prescribed, or in larger amounts, or more often than your doctor ordered
11 DID NOT USE ANY ALCOHOL OR DRUGS
Logic after:
If FEACASI6O012 includes more than one response, go to FEACASI6O013.
FEACASIO012 = "DID NOT USE", go to FEACASI6O012p.
Else, go to FEACASI6O008a. If
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 142 of 207
---------------------------------------------------------------------------------
Logic before:
Use special font for the response options that were selected in the previous question.
If FEMINCARSTATE18 = 2, ^lcfill should say "over the past nine months [SINCE ^REFDATE], during your
time on the outside?"
If FEMINCARSTATE18 = 3, ^lcfill should say "during the past nine months [SINCE ^REFDATE]?"
FEACASI6O013
18MFU Substances Since Last Int
Which of the following have you used the most ^lcfill
Question Type:
TDrugs2
Alcohol
Marijuana
Powder
Crack
Heroin
1
2
3
4
5
Meth
Other
Hallucinogens
6
7
8
Prescriptions
9
Methadone
10
^F1 Alcohol ^F1
^F2 Marijuana or hashish ^F2
^F3 Powder cocaine ^F3
^F4 Crack cocaine ^F4
^F5 Heroin (this includes smoking, sniffing, snorting, and injecting
heroin) ^F5
^F6 Methamphetamine ^F6
^F7 Other amphetamines, such as monster, crank, or ice ^F7
^F8 Hallucinogens or designer drugs, such as ecstasy, LSD or acid,
mushrooms, mescaline, peyote, green, PCP, or angel dust ^F8
^F9 Prescription medication without a prescription or for other reasons
than were prescribed, or in larger amounts, or more often than your
doctor ordered. Include sedatives, tranquilizers, stimulants, pain
relievers, opiates, or anabolic steroids ^F9
^F10 Methadone without a prescription or for other reasons than were
prescribed, or in larger amounts, or more often than your doctor ordered
^F10
---------------------------------------------------------------------------------
Logic before:
If FEACASI6O012 includes 1 (alcohol), ask FEACASI6O008a. Else go to FEACASI6O008e.If
FEMINCARSTATE18 = 2, ^lcfill should say "over the past nine months [SINCE ^REFDATE], during your
time on the outside." If FEMINCARSTATE18 = 3, ^lcfill should say "during the past nine months
[SINCE ^REFDATE]."
FEACASI6O008a
18MFU CAGE 1
Now, I'd like you to think about your drug and alcohol use ^lcfill
Have you felt you should cut down on your drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FEACASI6O008b
18MFU CAGE 2
Have people ever annoyed you by complaining about your drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 143 of 207
---------------------------------------------------------------------------------
FEACASI6O008c
18MFU CAGE 3
Have you felt bad or guilty about your drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FEACASI6O008d
18MFU CAGE 4
Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover
(otherwise known as an "eye-opener")?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FEACASI6O012 includes any responses 2-10 (drugs other than alcohol) ask FEACASI6O008e. Else go
to FEACASI6O009. If FEMINCARSTATE18 = 2, ^lcfill should say "Over the past nine months [SINCE
^REFDATE], during your time on the outside..." If FEMINCARSTATE18 = 3, ^lcfill should say "During
the past nine months [SINCE ^REFDATE]..."
FEACASI6O008e
18MFU CAGE 5
^lcfill
Have you ever felt you should cut down on your drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FEACASI6O008f
18MFU CAGE 6
Have people ever annoyed you by complaining about your drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FEACASI6O008g
18MFU CAGE 7
Have you felt bad or guilty about your drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 144 of 207
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18 = 2, ^lcfill should say "Over the past nine months [SINCE ^REFDATE], during your
time on the outside," If FEMINCARSTATE18 = 3, ^lcfill should say "During the past nine months
[SINCE ^REFDATE],"
FEACASI6O009
18MFU Experience Problems with Anger
^lcfill how often have you experienced problems with anger when you have been drinking or using
drugs?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If FEMINCARSTATE18 = 2, ^lcfill should say "Over the past nine months [SINCE ^REFDATE], during your
time on the outside," If FEMINCARSTATE18 = 3, ^lcfill should say "During the past nine months
[SINCE ^REFDATE],"
FEACASI6O010
18MFU Physically Hurt or Get Rough with Partner
^lcfill how often have you physically hurt or gotten rough with a spouse or partner or other family
members when you have been drinking or using drugs?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If FEACASI6O012 includes 1 (alcohol), ask FEACASI6O011. Else go to FEACASI6O012p. If
FEMINCARSTATE18 = 2, ^lcfill should say "Over the past nine months [SINCE ^REFDATE], during your
time on the outside,". If FEMINCARSTATE18 = 3, ^lcfill should say "During the past nine months
[SINCE ^REFDATE],"
FEACASI6O011
18MFU Five or More Drinks
^lcfill how often have you had 5 or more drinks of beer, wine, or liquor on the same occasion? By
'drink', we mean a bottle or can of beer, a wine cooler or a glass of wine, a shot of liquor, or a
mixed drink or cocktail. By 'occasion', we mean at the same time or within a couple of hours of
each other.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 145 of 207
---------------------------------------------------------------------------------
Logic before:
If (RELSTATUSBL.FE=1 OR RELSTATUS9MO.FE=1 OR RELSTATUS18MO.FE=1) AND [(NAMEFILL ALIVE.FE = Alive)
AND (MALEINCAR18 = 1, 3, 5, OR 6)], ask FEACASI6O012p. Else, skip to FEACASI7O024p.
If MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the outside"
MALEINCAR18=6, ^lcfill should not fill.
FEACASI6O012p
If
18MFU Substances Partner Used
These next questions ask about @Byour Survey Partner's@B substance use over the past nine months
[SINCE ^REFDATE] ^lcfill.
For these questions, it may be helpful to look at the reference calendar.
Please tell me which of the following substances @Byour Survey Partner@B used over the past nine
months [SINCE ^REFDATE] even just once.
Select all that apply. To select more than one substance from the list, press the space bar
between each number that you type. When you have finished, press ENTER to pick all the types of
substances you have selected.
Question Type:
TSubstance
Alcohol
Marijuana
Pcoke
Ccoke
Heroin
Meth
Other
Hallucin
Prescription
Methadone
NoUse
1
2
3
4
5
Alcohol
Marijuana or hashish
Powder cocaine
Crack cocaine
Heroin (this includes smoking, sniffing, snorting, and injecting heroin)
6 Methamphetamine
7 Other amphetamines, such as monster, crank, or ice
8 Hallucinogens or designer drugs, such as ecstasy, LSD, acid, mushrooms,
mescaline, peyote, green, PCP, or angel dust
9 Prescription medications without a prescription or for other reasons
than were prescribed, or in larger amounts, or more often than your
doctor ordered. This includes sedatives, tranquilizers, stimulants, pain
relievers, opiates, or anabolic steroids
10 Methadone without a prescription or for other reasons than were
prescribed, or in larger amounts, or more often than your doctor ordered
11 DID NOT USE ANY ALCOHOL OR DRUGS
Logic after:
If FEACASI6O012p = "DID NOT USE", go to FEACASI7O024p. If FEACASI6O012p includes more than one
response, go to FEACASI6O013p. Else, go to FEACASI6O014p.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 146 of 207
---------------------------------------------------------------------------------
Logic before:
Use special font for the response options that were selected in the previous question. If
MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the outside". If MALEINCAR18=6,
^lcfill should not fill.
FEACASI6O013p
18MFU Substances Partner Used Most
Which of the following did @Byour Survey Partner@B use the most over the past nine months [SINCE
^REFDATE] ^lcfill.
Question Type:
TDrugs2
Alcohol
Marijuana
Powder
Crack
Heroin
1
2
3
4
5
Meth
Other
Hallucinogens
6
7
8
Prescriptions
9
Methadone
10
^F1 Alcohol ^F1
^F2 Marijuana or hashish ^F2
^F3 Powder cocaine ^F3
^F4 Crack cocaine ^F4
^F5 Heroin (this includes smoking, sniffing, snorting, and injecting
heroin) ^F5
^F6 Methamphetamine ^F6
^F7 Other amphetamines, such as monster, crank, or ice ^F7
^F8 Hallucinogens or designer drugs, such as ecstasy, LSD or acid,
mushrooms, mescaline, peyote, green, PCP, or angel dust ^F8
^F9 Prescription medication without a prescription or for other reasons
than were prescribed, or in larger amounts, or more often than your
doctor ordered. Include sedatives, tranquilizers, stimulants, pain
relievers, opiates, or anabolic steroids ^F9
^F10 Methadone without a prescription or for other reasons than were
prescribed, or in larger amounts, or more often than your doctor ordered
^F10
---------------------------------------------------------------------------------
Logic before:
If FEACASI6O012p includes 1 (alcohol), ask FEACASI6O014p. Else, go to FEACASI6O018p. If
MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the outside". If MALEINCAR18=6,
^lcfill1 should not fill. If FE3Q000=yes, ^lcfill2 should say "Did @he@ feel". If FE3Q000=no,
^lcfill2 should say "Has @Bhe@B felt".
FEACASI6O014p
18MFU CAGE 1
Now I'd like you to think back to @Byour Survey Partner's@B alcohol use over the past nine months
[SINCE ^REFDATE] ^lcfill1.
^lcfill2 @Bhe@B should cut down on @Bhis@B drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE3Q000=yes, ^lcfill should say "Did people ever annoy".
"Have people ever annoyed".
FEACASI6O015p
If FE3Q000=no, ^lcfill should say
18MFU CAGE 2
^lcfill @Bhim@B by complaining about @Bhis@B drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 147 of 207
---------------------------------------------------------------------------------
Logic before:
If FE3Q000= no, ^lcfill should say "Has @BheB@ ever felt". If FE3Q000=yes, ^lcfill should say "Did
@Bhe@B ever feel".
FEACASI6O016p
18MFU CAGE 3
^lcfill bad or guilty about @Bhis@B drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE3Q000=no, ^lcfill should say "Has @BheB@ ever had". If FE3Q000=yes, ^lcfill should say "Did
@Bhe@B ever have".
FEACASI6O017p
18MFU CAGE 4
^lcfill a drink first thing in the morning to steady @Bhis@B nerves or get rid of a hangover
(otherwise known as an "eye-opener")?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FEACASI6O012p includes any responses 2-10 (drugs other than alcohol), ask FEACASI6O018p. Else,
go to FEACASI6O021p. If MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the
outside" If MALEINCAR18=6, ^lcfill1 should not fill. If FE3Q000=no, ^lcfill2 should say "Has
@Bhe@B ever felt". If FE3Q000=yes, ^lcfill2 should say "Did @Bhe@B ever feel".
FEACASI6O018p
18MFU CAGE 5
Now I'd like you to think back to @Byour Survey Partner's@B drug use over the past nine months
[SINCE ^REFDATE] ^lcfill1
^lcfill2 @Bhe@B should cut down on @Bhis@B drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE3Q000=no, ^lcfill should say "Have people ever annoyed". If FE3Q000=yes, ^lcfill should say
"Did people ever annoy".
FEACASI6O019p
18MFU CAGE 6
^lcfill @Bhim@B by complaining about @Bhis@B drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 148 of 207
---------------------------------------------------------------------------------
Logic before:
If FE3Q000=no, ^lcfill should say "Has @BheB@ ever felt". If FE3Q000=yes, ^lcfill should say "Did
@Bhe@B ever feel".
FEACASI6O020p
18MFU CAGE 7
^lcfill bad or guilty about @Bhis@B drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the outside".
MALEINCAR18=6, ^lcfill1 should not fill.
If
If FE3Q000=no, ^lcfill2 should say "has @Byour Survey Partner@B experienced problems with anger
when @Bhe@B has" If FE3Q000=yes, lcfill2 should say "did @Byour Survey Partner@B experience
problems with anger when @Bhe@B had"
FEACASI6O021p
18MFU Experience Problems with Anger
Over the past nine months [SINCE ^REFDATE] ^lcfill1, how often ^lcfill2 been drinking or using
drugs?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the outside".
MALEINCAR18=6, ^lcfill1 should not fill.
If
If FE3Q000=no, ^lcfill2 should say "has @Byour Survey Partner@B physically hurt or gotten rough
with you or other family members while @Bhe@B has" If FE3Q000=yes, lcfill2 should say "did @Byour
Surevy Partner@B physically hurt or get rough with you or other family members when @Bhe@B had"
FEACASI6O022p
18MFU Physically Hurt or Get Rough with Partner
Over the past nine months [SINCE ^REFDATE] ^lcfill1, how often ^lcfill2 been drinking or using
drugs?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 149 of 207
---------------------------------------------------------------------------------
Logic before:
If FEACASI6O012p includes 1 (alcohol), ask FEACASI6O023p.
Else, go to FEACASI7O024p.
If MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the outside,".
MALEINCAR18=6, ^lcfill1 should not fill.
If FE3Q000=no, ^lcfill2 should say "has @byour Survey Partner@B had".
should say "did @Byour Survey Partner@B have".
FEACASI6O023p
If
If FE3Q000=yes, ^lcfill2
18MFU Five or More Drinks
Over the past nine months [SINCE ^REFDATE] ^lcfill1 how often ^lcfill2 5 or more drinks of beer,
wine, or liquor on the same occasion? By 'drink', we mean a bottle or can of beer, a wine cooler or
a glass of wine, a shot of liquor, or a mixed drink or cocktail. By 'occasion', we mean at the
same time or within a couple of hours of each other.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If (RELSTATUSBL.FE=1 OR RELSTATUS9MO.FE=1 OR RELSTATUS18MO.FE=1) and [(NAMEFILL ALIVE.FE = Alive)
AND (FE3Q000=yes AND FE3Q000a=yes), ask FEACASI7O024p. Else go to FEACASI7O025.
FEACASI7O024p
18MFU Use of Illegal Drugs Post-Release
For the next question, please think about when @Byour Survey Partner@B is released from
incarceration.
How likely is it that he will use any illegal drugs after release?
Please answer based on your realistic expectations.
Question Type:
TLikely
Very
Likely
Unlikely
VeryUn
1
2
3
4
Very likely
Likely
Unlikely
Very unlikely
---------------------------------------------------------------------------------
Logic before:
If (MALEINCAR18 = 1 OR 3) AND (FEACASI6O012 NE NoUse) AND (NAMEFILL ALIVE.FE = Alive), ask
FEACASI7O025. Else go to FEACASIV056.
FEACASI7O025
18MFU Female Substance Use Change Since Male Relea
Since your Survey Partner was released, are @Byou@B drinking alcohol or using drugs more, less or
about the same as when he was incarcerated?
Question Type:
TMrLssSme
More
Less
Same
1 MORE
2 LESS
3 ABOUT THE SAME
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 150 of 207
Partner Relationship Quality
---------------------------------------------------------------------------------
Logic before:
If FE1F001 = dead, skip to ACASIEND1. If RELSTATUS9MO OR RELSTATUS18MO = 1 (romantically involved
with spouse or romantically involved with non-spousal partner at one of the follow-up interviews)
OR RELATIONSHP STATUS = 1 (one or both parties considered their relationship to be romantic at
baseline), ask FEACASIV056. Else, skip to FEACASIV062.
FEACASIV056
18MFU DAS 1
Now, I'm going to ask you some questions about your romantic relationship with your Survey Partner.
Please remember that all information you provide will be kept strictly confidential.
On a scale from 1 to 10 where 1 means not at all happy and 10 means perfectly happy, which number
best describes your happiness with your relationship now?
Question Type:
1..10
---------------------------------------------------------------------------------
FEACASIV057
18MFU DAS 2
How often do you and your Survey Partner agree on displays of affection? By displays of affection,
I mean holding hands, hugging, kissing, or other kinds of physical affection.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FEACASIV058
18MFU DAS 3
How often have you discussed or considered divorce, separation, or ending your current relationship?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FEACASIV059
18MFU DAS 4
In general, how often do you think that things between you and your Survey Partner are going well?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 151 of 207
---------------------------------------------------------------------------------
FEACASIV060
18MFU DAS 5
Do you confide in your Survey Partner? By confide, I mean share secrets or personal, sensitive
information.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FEACASIV061
18MFU DAS 6
Do you ever regret getting into your current relationship?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
This question is asked of everyone (except if NAMEFILL ALIVE.FE = dead). If someone did not
receive FEACASIV056 (and if NAMEFILL ALIVE.FE = ALIVE), ^lcfill should say "Now, I'm going to ask
you some questions about your relationship with your Survey Partner. You may find it helpful to
look at the
chart in front of you that shows who your Survey Partner is." Else do not fill.
FEACASIV062
18MFU DAS 7
^lcfill How often do you and your Survey Partner calmly discuss something?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FEACASIV063
18MFU DAS 8
How often do you and your Survey Partner work together on something?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 152 of 207
---------------------------------------------------------------------------------
FEACASIV064
18MFU Communication 1
Even when arguing, you and your Survey Partner can keep a sense of humor.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FEACASIV065
18MFU Communication 2
Your arguments get very heated.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FEACASIV066
18MFU Communication 3
Small issues suddenly become big arguments.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FEACASIV067
18MFU Communication 4
You are good at working out your differences with each other.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 153 of 207
---------------------------------------------------------------------------------
FEACASIV068
18MFU Communication Skills 1
When discussing issues, you repeat back what your Survey Partner says to make sure you understand
him.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FEACASIV069
18MFU Communication Skills 2
When your talks begin to get out of hand, you agree to stop them and talk later.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FEACASIV070
18MFU Communication Skills 3
When discussing issues you allow your Survey Partner to finish talking before you respond.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FEACASIV071
18MFU Communication Skills 4
Your Survey Partner interrupts you when you are talking.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 154 of 207
---------------------------------------------------------------------------------
Logic before:
If (RELSTATUSBL.FE=1 OR RELSTATUS9MO.FE=1 OR RELSTATUS18MO.FE=1), ask FEACASIV072. Else, go to
FEACASIV085.
FEACASIV072
18MFU Forgive Partner
You are usually able to forgive your Survey Partner.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FEACASIV073
18MFU Fidelity 1
How often are you tempted to have sexual or romantic contact with someone other than your Survey
Partner?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
FEACASIV074
18MFU Fidelity 2
During your relationship with your Survey Partner, was there ever a time when you had sexual or
romantic contact with someone else?
Would you say . . .
Question Type:
TYesNoMaybe
Yes
No
Maybe
1 Yes
2 No
3 Maybe
---------------------------------------------------------------------------------
FEACASIV075
18MFU Fidelity 3
How much do you agree or disagree with the following statements?
You know you can count on your Survey Partner to remain faithful to you. By faithful, we mean never
having sexual contact with anyone except you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 155 of 207
---------------------------------------------------------------------------------
FEACASIV076
18MFU Fidelity 4
You know how to avoid situations where you might be tempted to cheat on your Survey Partner.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FEACASIV077
18MFU Fidelity 5
Here are some statements about your relationship with your Survey Partner. For each one, please
tell me if you strongly agree, agree, disagree, or strongly disagree.
It is very important to you to be completely faithful to your Survey Partner. By faithful, we mean
never having sexual contact with anyone except your Survey Partner.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FEACASIV078
18MFU Fidelity 6
It is very important to you that your Survey Partner be completely faithful to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FEACASIV079
18MFU Feelings about Future of Relationship
You may not want to be with your Survey Partner a few years from now.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 156 of 207
---------------------------------------------------------------------------------
FEACASIV080
18MFU Bonding 1
You and your Survey Partner have fun together.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FEACASIV081
18MFU Bonding 2
You believe you and your Survey Partner can handle whatever conflicts will arise in the future.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FEACASIV082
18MFU Bonding 3
You feel good about your chances to make this relationship work for a lifetime.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FEACASIV083
18MFU Support 1
Your Survey Partner encourages or helps you to do things that are important to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 157 of 207
---------------------------------------------------------------------------------
Logic before:
If FE1F064b=yes or FE1F064c=yes, ask FEACASI6V086.
FEACASIV084
18MFU Support 2
For this next question, I'd like you to tell me how often the following is true for you.
When you have problems, your Survey Partner really understands what you're going through.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If (RELSTATUSBL.FE=1 OR RELSTATUS9MO.FE=1 OR RELSTATUS18MO.FE=1) AND (MALEINCAR18 = 1 or 3), ask
FEACASI7V022. Else go to FEACASIV085.
FEACASI7V022
18MFU Relationship with Partner
How easy or hard has it been to have a good relationship with your Survey Partner since he was
released?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
FEACASI7V023
18MFU Biggest Challenges Post-Release
Since he was released, what were the biggest challenges in your relationship with your Survey
Partner? Select all that apply.
Question Type:
TBChallengesFU
Find
Close
Trust
Problems
Missed
Except
Angry
PartAngry
Hedecide
NoInvolve
Other
1
2
3
4
Not knowing how to get in contact with him
Being able to feel close to him again after his time in prison
Being able to trust him after the time in prison
Problems or new situations that have come up since he was incarcerated
5 His having missed out on so much that happened in your life while he was
incarcerated
6 His trying to meet your expectations related to finding a job, staying
clean, helping you financially
7 Being angry at him or not wanting to see him
8 Him being angry at you or not wanting to see you
9 Him trying to make all of the decisions for you and your child(ren)
10 Him not getting involved enough in running the household
11 Some other challenge
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 158 of 207
---------------------------------------------------------------------------------
FEACASI7V025
18MFU Partner Support Expectations 2
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about how you and your Survey Partner have treated one another since his release.
You have loved your Survey Partner and made him feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FEACASI7V026
18MFU Partner Support Expectations 3
You have helped your Survey Partner with whatever problems he has faced.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FEACASI7V028
18MFU Partner Support Expectations 5
Your Survey Partner has loved you and made you feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FEACASI7V029
18MFU Partner Support Expectations 6
Your Survey Partner has helped you with whatever problems you have faced.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 159 of 207
---------------------------------------------------------------------------------
Logic before:
If FE1F064b = yes or FE1F064c = yes, go to FEACASIV086.
FEACASIV085
Else ask FEACASIV085.
18MFU Marriage Attitude 1
Getting and staying married is an important goal for you.
Would you say..
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If FE1F064b = yes or FE1F064c = yes, ask FEACASIV086.
FEACASIV086
18MFU Marriage Attitude 2
Staying married to your spouse for the rest of your life is an important goal for you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FEACASIV087i
18MFU Future Relationship Expectations
The next questions are about your thoughts on what could happen in your relationship with your
Survey Partner in the future. No one knows what the future holds, but we would like your best guess
about what you expect.
Please answer based on your realistic expectations, rather than what you wish for or hope will
happen.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If RELSTATUS18MO.FE NE 1, ask FEACASIV087a.
FEACASIV087a
Else go to FEACASIV087.
18MFU Become Involved with Coparent
What do you think are the chances that you and your Survey Partner will ever get into a committed
romantic relationship with each other?
Would you say. . .
Question Type:
TChance
NoC
Little
Fifty50
Good
Certain
1
2
3
4
5
No chance
A little chance
A 50-50 chance
A pretty good chance
An almost certain chance
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 160 of 207
---------------------------------------------------------------------------------
Logic before:
If FE1F063 = No (still romantically involved with non-spousal namefill at followup) OR FE1F064a =
Rom (now romantically involved with non-spousal namefill at followup), ask FEACASIV087. Else go to
FEACASIV088.
FEACASIV087
18MFU Chances of Marriage
What do you think the chances are that you will marry your Survey Partner in the future?
Would you say. . .
Question Type:
TChance
NoC
Little
Fifty50
Good
Certain
1
2
3
4
5
No chance
A little chance
A 50-50 chance
A pretty good chance
An almost certain chance
---------------------------------------------------------------------------------
Logic before:
If RELSTATUS18MO.FE = 1 (romantically involved with spouse or romantically involved with nonspousal partner at follow-up), ask FEACASIV088. Else, skip to FEACASI2M023.
FEACASIV088
18MFU Perceived Life Changes 1
Even though it may be very unlikely, think for a moment about how various areas of your life might
be different if you and your Survey Partner split up. Then, I'll ask you how you think things might
be different for your Survey Partner. For each of the following areas, please tell me whether you
would you expect it to get better, worse, or stay the same if you split up.
Let's start with you.
How would @Byour@B financial situation change if you split up?
Would it get. . .
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
FEACASIV089
18MFU Perceived Life Changes 2
How would @Byour@B overall happiness change if you split up?
Would it get...
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 161 of 207
---------------------------------------------------------------------------------
FEACASIV090p
18MFU Perceived Life Changes 3
Now, let's think about your Survey Partner.
How would @Bhis@B financial situation change if you split up?
Would it get . . .
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
FEACASIV091p
18MFU Perceived Life Changes 4
How would @Bhis@B overall happiness change if you split up?
Would it get...
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18.FE GE 1 ask FEACASIV092.
FEACASIV092
Else, skip to FEACASIV093.
18MFU Perceived Life Changes 5
Next, let's talk about your ^children.
How would @Byour ^children's@B overall happiness change if you and your Survey Partner split up?
Would it get..
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 162 of 207
---------------------------------------------------------------------------------
FEACASIV093
18MFU Parents Support Relationship 1
Please tell me how much you agree or disagree with the following statements about your parents'
feelings about your relationship with your Survey Partner.
Your parents want you and your Survey Partner to stay together as a couple.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FEACASIV094
18MFU Parents Support Relationship 2
Your Survey Partner's parents want you and your Survey Partner to stay together as a couple.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 163 of 207
Intimate Partner Violence
---------------------------------------------------------------------------------
Logic before:
If (RELSTATUSBL.FE=1 OR RELSTATUS9MO.FE=1 OR RELSTATUS18MO.FE=1) AND (FEMINCARSTATE18 = 2 or 3) AND
(MALEINCAR18=1, 3, 5, OR 6), ask FEACASI2M023. Else go to FEACASIEND1.
If MALEINCAR18 = 1 or 3, ^lcfill1 should say "since your Survey Partner was released"
If MALEINCAR18 = 5 or 6, ^lcfill1 should say "over the past 9 months [SINCE ^REFDATE]"
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1, 3 or 5), ^lcfill2 should say ",during the time you were
both on the outside." Else, ^lcfill2 should not fill.
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill3 should say "did you feel". Else, ^lcfill3 should say
"have you felt".
FEACASI2M023
18MFU Safe in Relationship
Now, I'm going to ask you some questions about your relationship with your Survey Partner ^lcfill1
^lcfill2.
It may be helpful to look at the reference calendar and think about what was happening in your life
at this time.
Please remember that we cannot share your answers with your family, friends, or acquaintances under
any circumstances.
Thinking about the time ^lcfill1, please tell me how much of the time each of these statements was
true.
How often ^lcfill3 safe in your relationship with your Survey Partner? Would you say. . .
Question Type:
TAOSRNlower
Always
Often
Some
Rarely
Never
1
2
3
4
5
Always
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill should say "did". Else, ^lcfill should say "has".
FEACASI2M024
18MFU Jealousy
How often ^lcfill your Survey Partner become jealous or possessive?
Would you say. . .
Question Type:
TAOSRNlower
Always
Often
Some
Rarely
Never
1
2
3
4
5
Always
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 164 of 207
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did" and ^lcfill2 should say "make".
Else, ^lcfill1 should say "has" and ^lcfill2 should say "made".
FEACASI2M025
18MFU Inadequate
How often ^lcfill1 your Survey Partner ^lcfill2 you feel like you were not good enough?
Would you say . . .
Question Type:
TAOSRNlower
Always
Often
Some
Rarely
Never
1
2
3
4
5
Always
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18 = 1 or 3, ^lcfill1 should say "Since your Survey Partner was released"
If MALEINCAR18 = 5 or 6, ^lcfill1 should say "Over the past 9 months [SINCE ^REFDATE]"
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1, 3 or 5), ^lcfill2 should say "during the time you were
both on the outside," Else, ^lcfill2 should not fill.
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill3 should say "did @Byou@B throw".
should say "have you thrown".
FEACASI2M026
Else, ^lcfill3
18MFU CTS 1
No matter how well a couple gets along, there are times when they disagree or have fights. I am
going to read a list of things that might happen when you have differences.
First, tell me how many times you did the following.
Partner did the following.
Then I'll ask you how many times your Survey
^lcfill1, ^lcfill2 how many times ^lcfill3 something at your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did" and ^lcfill2 should say "throw".
Else, ^lcfill1 should say "has” and ^lcfill2 should say "thrown".
FEACASI2M027
18MFU CTS 2
How many times ^lcfill1 your Survey Partner ^lcfill2 something at you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 165 of 207
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18 = 1 or 3, ^lcfill1 should say "Since your Survey Partner was released"
If MALEINCAR18 = 5 or 6, ^lcfill1 should say "Over the past 9 months [SINCE ^REFDATE]"
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1, 3 or 5), ^lcfill2 should say "during the time you were
both on the outside," Else, ^lcfill2 should not fill.
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill3 should say "did you push, shove, hit, slap, or
grab". Else, ^lcfill3 should say "have you pushed, shoved, hit, slapped, or grabbed".
FEACASI2M028
18MFU CTS 3
^lcfill1, ^lcfill2 how many times ^lcfill3 your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did" and ^lcfill2 should say "push,
shove, hit, slap, or grab". Else, ^lcfill1 should say "has" and ^lcfill2 should say "pushed,
shoved, hit, slapped, or grabbed ".
FEACASI2M029
18MFU CTS 4
How many times ^lcfill1 your Survey Partner ^lcfill2 you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did" ^lcfill2 should say "use".
^lcfill1 should say "have" and ^lcfill2 should say "used".
FEACASI2M030
18MFU CTS 5
How many times ^lcfill1 you ^lcfill2 a knife or gun on your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 166 of 207
Else,
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did" ^lcfill2 should say "use".
^lcfill1 should say "has" and ^lcfill2 should say "used".
FEACASI2M031
Else,
18MFU CTS 6
How many times ^lcfill1 your Survey Partner ^lcfill2 a knife or gun on you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18 = 1 or 3, ^lcfill1 should say "Since your Survey Partner was released'
If MALEINCAR18 = 5 or 6, ^lcfill1 should say "Over the past 9 months [SINCE ^REFDATE]"
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1, 3 or 5), ^lcfill2 should say "during the time you were
both on the outside," Else, ^lcfill2 should not fill.
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill3 should say "did" and ^lcfill4 should say "choke,
slam, kick, burn, or beat". Else, ^lcfill3 should say "have" and ^lcfill4 should say "choked,
slammed, kicked, burned, or beaten".
FEACASI2M032
18MFU CTS 7
^lcfill1, ^lcfill2 how many times ^lcfill3 you ^lcfill4 your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes) ^lcfill1 should say "did" and ^lcfill2 should say "choke,
slam, kick, burn, or beat". Else, ^lcfill1 should say "has" and ^lcfill2 should say "choked,
slammed, kicked, burned, or beaten".
FEACASI2M033
18MFU CTS 8
How many times ^lcfill1 your Survey Partner ^lcfill2 you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 167 of 207
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill should say "did you use". Else, ^lcfill should say
"have you used".
FEACASI2M034
18MFU CTS 9
How many times ^lcfill force to make your Survey Partner have sex? Force means things like hitting,
holding down, or using a weapon.
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did", and ^lcfill2 should say "use".
Else, ^lcfill1 should say "has", and ^lcfill2 should say "used".
FEACASI2M035
18MFU CTS 10
How many times ^lcfill1 your Survey Partner ^lcfill2 force to make you have sex? Force means things
like hitting, holding down, or using a weapon.
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18 = 1 or 3, ^lcfill1 should say "Since your Survey Partner was released"
If MALEINCAR18 = 5 or 6, ^lcfill1 should say "Over the past 9 months [SINCE ^REFDATE]"
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1, 3 or 5), ^lcfill2 should say "during the time you were
both on the outside," Else, ^lcfill2 should not fill.
If (FECON5 = yes) OR (FE3Q000 = yes),^lcfill3 should say "did you threaten". Else, ^lcfill3 should
say "have you threatened".
FEACASI2M036
18MFU CTS 11
^lcfill1, ^lcfill2 how many times ^lcfill3 to hurt your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 168 of 207
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did" and ^lcfill2 should say "threaten".
Else, ^lcfill1 should say "has" and ^lcfill2 should say "threatened".
FEACASI2M037
18MFU CTS 12
How many times ^lcfill1 your Survey Partner ^lcfill2 to hurt you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill should say "did you threaten". Else, ^lcfill should
say "have you threatened".
FEACASI2M038
18MFU CTS 13
How many times ^lcfill to hurt your Survey Partner's child or children, family members, or other
loved ones?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes) ^lcfill1 should say "did" and ^lcfill2 should say "threaten".
Else, ^lcfill1 should say "has" and ^lcfill2 should say "threatened".
If TOTALCHILD18.FE GE 1, ^lcfill3 should say "^children,". Else do not fill ^lcfill3.
FEACASI2M039
18MFU CTS 14
How many times ^lcfill1 your Survey Partner ^lcfill2 to hurt your ^lcfill3 family members, or other
loved ones?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 169 of 207
---------------------------------------------------------------------------------
Logic before:
If MALEINCAR18 = 1 or 3, ^lcfill1 should say "Since your Survey Partner was released"
If MALEINCAR18 = 5 or 6, ^lcfill1 should say "Over the past 9 months [SINCE ^REFDATE]"
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1, 3 or 5), ^lcfill2 should say "during the time you were
both on the outside," Else, ^lcfill2 should not fill.
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill3 should say "did you try". Else, ^lcfill3 should say
"have you tried".
FEACASI2M040
18MFU CTS 15
^lcfill1, ^lcfill2 how many times ^lcfill3 to keep your Survey Partner from seeing or talking with
his friends or family?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes) ^lcfill1 should say "did" and ^lcfill2 should say "try".
Else, ^lcfill1 should say "has" and ^lcfill2 should say "tried".
FEACASI2M041
18MFU CTS 16
How many times ^lcfill1 your Survey Partner ^lcfill2 to keep you from seeing or talking with your
friends or family?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes) ^lcfill should say "did you keep money from your Survey
Partner, make him ask for money, or take money from him?". Else, ^lcfill should say "have you kept
money from your Survey Partner, made him ask for money, or taken money from him?".
FEACASI2M042
18MFU CTS 17
How many times ^lcfill
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 170 of 207
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill should say "did your Survey Partner try to keep money
from you, make you ask for money, or take money from you?". Else, ^lcfill should say "has your
Survey Partner tried to keep money from you, made you ask for money, or taken money from you?".
FEACASI2M043
18MFU CTS 18
How many times ^lcfill
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 171 of 207
ACASI End
---------------------------------------------------------------------------------
FEACASIEND1
18MFU End ACASI Segment
That was the last question where you are asked to answer the questions yourself. The remainder of
the questions will be asked by your interviewer.
Please press 1 and then press the Enter key before you turn the laptop back to the Interviewer.
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FEACASIEND2
18MFU Password Screen
[INTERVIEWER: PLEASE ENTER THE PASSWORD TO CONTINUE WITH THE REMAINDER OF THE INTERVIEW QUESTIONS]
Question Type:
Logic after:
string[4]
If password NE CAPI, create a consistency check such that the FI cannot continue with the remainder
of the interview questions without entering the correct password. Text should say "THIS QUESTION
REQUIRES YOU TO ENTER A PASSWORD IN ORDER TO CONTINUE WITH THE REMAINDER OF THE INTERVIEW
QUESTIONS. YOU HAVE ENTERED AN INCORRECT PASSWORD. PLEASE ENTER THE CORRECT PASSWORD TO CONTINUE.".
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 172 of 207
Criminal Behavior
---------------------------------------------------------------------------------
Logic before:
IF (FE3Q000=YES) AND (FE3Q000a=YES) AND (NAMEFILL ALIVE.FE = Alive), ASK FE7W000.
FEHOU00.
FE7W000
ELSE SKIP TO
18MFU Release Date Intro
The next set of questions deals with ^prld.Namefill's release from prison and transition back into
the community. No one knows what the future holds, but we would like your best guess about what you
expect. Please answer based on your realistic expectations, rather than what you wish for or hope
will happen.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE7W001p
18MFU Release Date
When do you expect that ^prld.Namefill will be released from this incarceration?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TabTDate3
Month
Date
Year
1 MONTH 1...12
2 DATE 1...31
3 2008...2100
---------------------------------------------------------------------------------
FE7W002
18MFU Return to Jail/Prison
Do you think ^prld.Namefill will ever be sent back to jail or prison again, after he is released
from this incarceration?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 173 of 207
Social Support
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18.FE "GE" 1, include "or your ^children" fill with the question text.
FE7L006
18MFU Other Family Support Expectations 1
The next set of questions are about your expectations for your relationships with family members
other than ^prld.Namefill ^childfill after ^prld.Namefill's release from prison.
Do you have a family member who will loan you money if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE7L007
18MFU Other Family Support Expectations 2
Do you have a family member who will provide you with a place to live if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE7L008
18MFU Other Family Support Expectations 3
Do you have a family member who will help you with transportation to work or other appointments if
you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE7L009
18MFU Friend Support Expectations 1
Next, I'd like to know about your expectations for your relationships with friends after
^prld.Namefill's release from prison.
Do you have a friend who will loan you money if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 174 of 207
---------------------------------------------------------------------------------
FE7L010
18MFU Friend Support Expectations 2
Do you have a friend who will provide you with a place to live if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
FE7L011
18MFU Friend Support Expectations 3
Do you have a friend who will help you with transportation to work or other appointments if you
need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 175 of 207
Income
---------------------------------------------------------------------------------
FE7K000
18MFU Income Intro
Next, I'd like to know more about your expectations for your financial situation after
^prld.Namefill is released.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE7K012a
18MFU Expect Partner Financial Support
When ^prld.Namefill is released from prison, do you expect that he will provide any financial
support to you?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply". Do not allow option 1 (None) to be selected with
options 2-8.
FE7K012
18MFU Financial Support
[USE SHOWCARD 41]
What sources of financial support do you expect to have in the first 1 month following
^prld.Namefill's release?
Select all that apply.
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
REQUIRED PROBE: Any other source?
Question Type:
TMoney
None
Job
Savings
PartnerSav
Family
Friends
PA
Illegal
Other
1
2
3
4
5
6
7
8
9
None
Pay from a job
Your own savings
Money from your spouse/partner's job or savings
Money from other family members
Money from your friends
Public assistance
Money from illegal sources
Some other source (SPECIFY)
Logic after:
If FE7K012 includes 9 (other), go to FE7K012s. Else, go to FE7K013p.
---------------------------------------------------------------------------------
FE7K012s
18MFU Specify Other
OTHER SPECIFY
Question Type:
STRING[50]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 176 of 207
---------------------------------------------------------------------------------
FE7K013p
18MFU Determination to Support Self
[USE SHOWCARD 42]
How easy or hard do you think it will be for ^prld.Namefill to make enough money to support
himself?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 177 of 207
Employment
---------------------------------------------------------------------------------
FE7I014p
18MFU Expected Employment Difficulty 1
Based on past experience, how easy or hard do you think it will be for ^prld.Namefill to find a
decent job?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
FE7I015p
18MFU Expected Employment Difficulty 2
Based on past experience, how easy or hard do you think it will be for ^prld.Namefill to @Bkeep@B a
job?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 178 of 207
Housing
---------------------------------------------------------------------------------
FE7J016
18MFU Reside with Partner Post-Release
Do you expect to live with ^prld.Namefill after his release?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If (PARTNERFOCAL = 0 or FOCLIVE.FE = dead), skip to FE7J019. Else ask FE7J017p.
FE7J017p
18MFU Reside with Focal Child Post-Release
Do you expect ^prld.Namefill to live with ^prld.FOCCHILD after his release?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If FE7J016 = yes, go to FE7J019. Else ask FE7V020.
FE7J019
18MFU Reside with Anyone Post-Release
Do you expect that you and ^prld.Namefill will live with anyone else after he is released?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 179 of 207
Partner Relationship Quality
---------------------------------------------------------------------------------
Logic before:
If RELSTATUS18MO.FE = 1, ask FE7V020. Else, go to FE7N030p.
FE7V020
18MFU Want to Continue Relationship 1
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Do you want to remain in a committed romantic relationship with ^prld.Namefill after he is
released?
Would you say . . .
Question Type:
TYND
Yes
No
Dknow
1 Yes
2 No
3 Don't know
---------------------------------------------------------------------------------
FE7V021
18MFU Want to Continue Relationship 2
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Do you think ^prld.Namefill wants to remain in a committed romantic relationship with you after he
is released?
Would you say..
Question Type:
TYND
Yes
No
Dknow
1 Yes
2 No
3 Don't know
Logic after:
If FE7V020 = No, skip to FE7N030p. Else go to FE7V022.
---------------------------------------------------------------------------------
FE7V022
18MFU Relationship with Partner
How easy or hard do you think it will be to have a good relationship with ^prld.Namefill after he
gets out?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 180 of 207
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
FE7V023
18MFU Biggest Challenges Post-Release
[USE SHOWCARD 43]
Thinking about when he is released, what do you expect will be the biggest challenges in your
relationship with ^prld.Namefill? Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TBChallengesFB
Find
Close
Trust
Problems
1
2
3
4
Missed
5 His having missed out on so much that happened in your life while he was
incarcerated
6 His trying to meet your expectations related to finding a job, staying
clean, helping you financially
7 Being angry at him or not wanting to see him
8 Him being angry at you or not wanting to see you
9 Some other challenge (SPECIFY)
Except
Angry
PartAngry
Other
Not knowing how to get in contact with him
Being able to feel close to him again after his time in prison
Being able to trust him after the time in prison
Problems or new situations that have come up since he was incarcerated
---------------------------------------------------------------------------------
Logic before:
If FE7V023 includes 9 (other), ask FE7V023s. Else, go to FE7V024.
FE7V023s
18MFU Other Specify
OTHER SPECIFY
Question Type:
STRING[150]
---------------------------------------------------------------------------------
FE7V024
18MFU Partner Support Expectations Intro
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about your expectations about how you and ^prld.Namefill will treat one another after
he is released.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FE7V025
18MFU Partner Support Expectations 2
[USE SHOWCARD 44]
You will love ^prld.Namefill and make him feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 181 of 207
---------------------------------------------------------------------------------
FE7V026
18MFU Partner Support Expectations 3
You will help ^prld.Namefill with whatever problems he faces.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE7V028
18MFU Partner Support Expectations 5
You think ^prld.Namefill will love you and make you feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
FE7V029
18MFU Partner Support Expectations 6
You think ^prld.Namefill will help you with whatever problems you face.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 182 of 207
Parenting
---------------------------------------------------------------------------------
Logic before:
If (PARTNERFOCAL = 0 or FOCLIVE.FE = dead), go to FEHOU00. If FE7J017p = yes, go to FE7N031p. If
FE7J017p = no/dk/rf go to FE7N030p.
FE7N030p
18MFU See Focal Child
[USE SHOWCARD 45]
How often do you think ^prld.Namefill will see ^prld.FOCCHILD in person after he is released?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
FE7N031p
18MFU Financially Support Focal Child
Do you expect that ^prld.Namefill will financially support ^prld.FOCCHILD in any way after he is
released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FE7N031p = no, don’t know or refused, go to FE7N035.
---------------------------------------------------------------------------------
Logic before:
Allow R to select all that apply.
FE7N032p
18MFU Financial Support for Focal Child
[USE SHOWCARD 46]
In what ways do you expect ^prld.Namefill will provide financial support for ^prld.FOCCHILD after
he is released? Please include support provided to the child directly as well as support provided
to you or another caretaker of the child.
[ALLOW R TO SELECT ALL THAT APPLY]
Question Type:
TMonetary3
Gift
Shopping
Expense
More300
Two300
One200
Upto100
1 Buying ^prld.FOCCHILD birthday or holiday gifts
2 Taking ^prld.FOCCHILD shopping for clothes, school supplies, or other
things ^FOCSEX1 needs
3 Helping out occasionally with bills, rent or other expenses in the
child's household
4 Providing steady, regular financial support of over $300 per month
5 Providing steady, regular financial support of $200-$300 per month
6 Providing steady, regular financial of $100-$200 per month
7 Providing steady, regular financial support up to $100 per month
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 183 of 207
---------------------------------------------------------------------------------
FE7N035
18MFU Decision Making for Focal Child Post-Release
[USE SHOWCARD 47]
After ^prld.Namefill is released, who will make major decisions about things such as child care and
health care for ^prld.FOCCHILD?
Would you say . . .
Question Type:
TDecisionsFU3
Both
Father
Respondent
Someone
1
2
3
4
^prld.Namefill and you will make most of the decisions together
^prld.Namefill will make most decisions without you
You will make most decisions without ^prld.Namefill
Someone else involved in raising the child will make most decisions
without you or ^prld.Namefill
5 You and someone else involved in raising the child will make most of the
decisions
RandOther
---------------------------------------------------------------------------------
FE7N036p
18MFU Relationship with Children
How easy or hard do you think it will be for ^prld.Namefill to have good relationships with his
child(ren) after he gets out?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
FE7N037p
18MFU Biggest Challenges with Focal Child
[USE SHOWCARD 48]
Thinking about when ^prld.Namefill is released, what do you expect will be the biggest challenges
in his relationship with ^prld.FOCCHILD? Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TExpectFB
Find
Missed
Trust
Transport
Kids
Instability
Lifestyle
Angry
Money
Other
1 Him not knowing how to get in contact with ^prld.FOCCHILD
2 Having missed out on so much that happened with ^prld.FOCCHILD while he
was incarcerated
3 Getting ^prld.FOCCHILD to trust him or open up to him after the time
apart
4 Finding transportation for visits or activities
5 Dealing with people who don’t want him to see ^prld.FOCCHILD
6 Him not being in a stable enough housing and financial situation to be
able to spend time with ^prld.FOCCHILD
7 His lifestyle not being a healthy one for kids
8 ^prld.FOCCHILD being angry at him or not wanting to see him
9 Having money to financially support or buy things for ^prld.FOCCHILD
10 Some other challenge (SPECIFY)
Logic after:
If FE7N037p includes 10 (other), go to FE7N037s. Else go to FE7HOU00.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 184 of 207
---------------------------------------------------------------------------------
FE7N037s
Other Specify
SPECIFY OTHER CHALLENGE
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 185 of 207
Locator Information
---------------------------------------------------------------------------------
Logic before:
If FECON5 = Yes, ask FEHOU00. If FECON5=NO go to FEHOU6a.
FEHOU00
Expected Release
Do you expect to be released from this incarceration within the next @Btwo years@B?
REQUIRED PROBE FOR YES RESPONSE: "And your release date is @Bwithin the next two years@B?"
Question Type:
TRelease
RelN2
MoreT2
NoRel
1 RELEASE EXPECTED WITHIN NEXT TWO YEARS
2 RELEASE EXPECTED IN MORE THAN TWO YEARS
3 DOES NOT EXPECT TO BE RELEASED
Logic after:
If FEHOU00=NoRel go to FEHOU11; Else ask FEHOU00a
---------------------------------------------------------------------------------
FEHOU00a
Release Date
What date do you expect to be released from this incarceration?
Question Type:
TabTDate3
Month
Date
Year
1 MONTH 1...12
2 DATE 1...31
3 2008...2100
---------------------------------------------------------------------------------
Logic before:
If FECON5 = Yes, ask FEHOU1. Else, go to FEHOU6a.
FEHOU1
Contact Post Release
Finally, in case we ever need to contact you for a follow-up interview once you are released,
please tell me where you are going to stay immediately after release. Where is the very first place
you will go as you are getting back on your feet?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FEHOU2
Specific Address
DOES THE R HAVE A SPECIFIC ADDRESS?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes, go to FEHOU2a. If no, go to FEHOU3.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 186 of 207
---------------------------------------------------------------------------------
FEHOU2a
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FEHOU2b
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
FEHOU2c
State
State
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTstate
---------------------------------------------------------------------------------
FEHOU2d
Phone Number
Phone
Question Type:
TabTnumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
FEHOU3
Length of Stay Post Release
Do you think you will stay there indefinitely, or will that be a temporary situation?
Question Type:
TLength
Stay
Temp
1 STAY
2 ONLY TEMPORARY
Logic after:
If FEHOU3 =1, go to FEHOU11. Else, go to FEHOU4.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 187 of 207
---------------------------------------------------------------------------------
FEHOU4
2nd Residence Post Release
Where do you think you will live next?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FEHOU5
2nd Address Available
DOES THE R HAVE A SPECIFIC ADDRESS?
@B[FI NOTE: IF THIS IS THE SAME ADDRESS REPORTED PREVIOUSLY, ENTER NO].@B
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes, go to FEHOU5a. If no, go to FEHOU11.
---------------------------------------------------------------------------------
FEHOU5a
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FEHOU5b
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
FEHOU5c
State
State
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 188 of 207
---------------------------------------------------------------------------------
FEHOU5d
Phone Number
Phone
Question Type:
TabTnumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If FECON5 = No, ask FEHOU6a.
FEHOU6a
Else go to FEHOU11.
Current Address
This next set of questions ask for your current contact information.
Please tell me your current address.
[ENTER CURRENT ADDRESS]
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FEHOU6b
Current City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
FEHOU6c
Current State
State
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE
Question Type:
TabTState
---------------------------------------------------------------------------------
FEHOU6d
Current Zip Code
Zip Code
Question Type:
STRING[5]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 189 of 207
---------------------------------------------------------------------------------
FEHOU6e
Current Phone Number
What is your current phone number?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
FEHOU6f
Second Current Phone Number
Is there another phone number where we are able to reach you?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FEHOU6f = yes, go to FEHOU6g. Else go to FEHOU6.
---------------------------------------------------------------------------------
FEHOU6g
2nd Current Phone Number
Phone number
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If FECON5 = No, ask FEHOU6. Else, go to FEHOU11.
FEHOU6
Contact in 9 Months
Finally, in case we ever need to contact you for follow-up interviews, please tell me where you
expect to be living in the future.
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 190 of 207
---------------------------------------------------------------------------------
FEHOU7
Specific Address
DOES THE R HAVE A SPECIFIC ADDRESS?
@B[FI NOTE: IF THIS IS THE SAME ADDRESS REPORTED PREVIOUSLY, ENTER NO].@B
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes, go to FEHOU7a. If no, go to FEHOU8. .
---------------------------------------------------------------------------------
FEHOU7a
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FEHOU7b
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
FEHOU7c
State
State
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
FEHOU7d
Phone Number
At what phone number will we be able to reach you?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 191 of 207
---------------------------------------------------------------------------------
FEHOU8
Other Contact in 9 Months
Where else might you be living in the future?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
FEHOU9
Specific Address
DOES THE R HAVE A SPECIFIC ADDRESS?
@B[FI NOTE: IF THIS IS THE SAME ADDRESS REPORTED PREVIOUSLY, ENTER NO].@B
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes, go to FEHOU9a. If no, go to FEHOU10.
---------------------------------------------------------------------------------
FEHOU9a
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FEHOU9b
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
FEHOU9c
State
State
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 192 of 207
---------------------------------------------------------------------------------
FEHOU9d
R Phone
Phone
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If (FECON5 = no and FE4I034a = yes), ask FEHOU10. Else, including empty, skip to FEHOU11.
FEHOU10
Employer
Where do you work? In other words, what is the name of the company or organization you work for? We
will not contact you at work unless we cannot get in touch with you at your home.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
FEHOU10a
Employer City
What city is this in?
Question Type:
STRING[15]
---------------------------------------------------------------------------------
FEHOU10b
Employer State
What state is this in?
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
FEHOU10c
Employer Phone Number
What is the phone number there?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
FEHOUcontact
Question Type:
contact loop
array[1..3] of BFEHousub
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 193 of 207
---------------------------------------------------------------------------------
Logic before:
If FECON5=NO or FEHOU00=1 or 2 ask FEHOU25.
FEHOU25
Else go to FEHOU26.
Description of Places
If I'm really having difficulty finding where you live, can you tell me where you spend your time
when you are not at home and not at work? What local places do you like to spend time at?
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 2; field3, allow 3
FEHOU26
R Social Security Number
What is your social security number?
Question Type:
TabTSSN1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
FEHOU27
R Name Confirmation
And just to confirm, do you still go by ^prld.fname ^prld.lname?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FEHOU27 = no, go to FEHOU27a. Else go to FEHOU28.
---------------------------------------------------------------------------------
FEHOU27a
Additional Names for R
What name or names do you go by?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Logic before:
IF namefillalive=alive then ask FEhou28.
FEHOU28
Else go to fehouarr1.
Other Information Shared by R
Finally, is there anything else you think we should know about how ^prld.Namefill's incarceration
has affected you or your family?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 194 of 207
Contact Loop
---------------------------------------------------------------------------------
Logic before:
If FECON5 = NO or (FECON5 = Yes and FEHOU00 = 1 or 2) ^lcfill should say "In the event that you are
not living where you expect to live, I need to collect contact information on three people who
would know your whereabouts and who could help us contact you to be interviewed, if necessary."
IF FECON5=YES and FEHOU00= NoRel ^lcfill should say "In case you are transferred and we are unable
to locate you, I need to collect contact information on three people who would know your
whereabouts and who could help us contact you to be interviewed, if necessary."
FEHOU11
Preface Locator Section
^lcfill
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
^lcfill should say "first"for the first time the contact loop is gone through; the second time the
loop is gone through, ^lcfill should say "second" and the third time the loop is gone through it
should say "third".
FEHOU11a
First Name
What is the name of the ^lcfill5 person who would know how to reach you?
ENTER FIRST NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
FEHOU11b
Middle Name
ENTER MIDDLE NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
FEHOU11c
Last Name
ENTER LAST NAME
Question Type:
Logic after:
STRING[30]
If (FEHOU11a and FEHOU11b and FEHOU11c) = RF/DK for first contact person, skip to FEHOU25. Else
continue through loop.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 195 of 207
---------------------------------------------------------------------------------
FEHOU11d
Address of Contact
What is this person's address? If you don't know the exact address, please tell me a street name or
a neighborhood.
INTERVIEWER: BE SURE TO PROBE FOR A BLDG AND/OR APT NUMBER.
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FEHOU11e
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
FEHOU11f
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
FEHOU11g
Phone Number Available
Does this person have a phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FEHOU11g = yes, go to FEHOU11h. Else go to FEHOU11k.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
FEHOU11h
Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 196 of 207
---------------------------------------------------------------------------------
Logic before:
If FEHOU11g = yes, go to FEHOU11i.
FEHOU11i
Second Phone Number Available
Does this person have a second phone number, such as a cell phone?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FEHOU11i = yes, go to FEHOU11j. Else go to FEHOU11k.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
FEHOU11j
Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
FEHOU11k
Work Outside of Home
Does this person work outside of the home?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FEHOU11k = yes, go to FEHOU11l. Else go to FEHOU11q.
---------------------------------------------------------------------------------
FEHOU11l
Where Does Contact Person Work
Where does this person work? In other words, what is the name of the company or organization this
person works for? We will not contact them at work unless we've tried all other possible means of
locating you.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
FEHOU11m
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 197 of 207
---------------------------------------------------------------------------------
FEHOU11n
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
FEHOU11o
Work Phone Available
Does this person have a work phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If FEHOU11o = yes, go to FEHOU11p. Else go to FEHOU11q.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
FEHOU11p
Work Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
FEHOU11q
R Relationship to Contact Person
What is this person's relationship to you?
Question Type:
TContactRelate
spouse
mother
father
brother
auntuncle
cousin
grandparent
child
friend
neighbor
coworker
someone
1
2
3
4
5
6
7
8
9
10
11
12
Your spouse or partner
Your mother/stepmother
Your father/stepfather
Your brother, stepbrother, sister, or stepsister
Your aunt or uncle
Your cousin
Your grandmother or grandfather
Your child or stepchild
Your friend
Your neighbor or former neighbor
Your co-worker or former co-worker
Someone else (specify)
Logic after:
If FEHOU11q = Someone Else, go to FEHOU11r. Else, go to FEHOU11s.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 198 of 207
---------------------------------------------------------------------------------
FEHOU11r
Description of Relationship
DESCRIBE THE RELATIONSHIP OF THE PERSON TO R, RECORDING THE R'S ANSWER VERBATIM.
Question Type:
STRING[100]
---------------------------------------------------------------------------------
FEHOU11s
Thank You for Contact Information
Thank you. Please let this person know that you would like them to tell me where I can find you if
I try to locate you for another interview.
Question Type:
tcontinue
Continue
1 Continue
Logic after:
Repeat 11a-t two more times to elicit information on a total of three contact persons.
---------------------------------------------------------------------------------
FEHou11t
Will R provide additional contact
Is there another person who would always know how to reach you?
Question Type:
TYesNoCap
Yes
No
1 YES
2 NO
Logic after:
If this is the third time this item has been asked, do not ask it again.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 199 of 207
Locator Info2
---------------------------------------------------------------------------------
Logic before:
Preload FBHOUarr1 from female baseline and FNhouarr1 from female nine month.
If (FEMBASE = 2 AND FEM9MO= 2) OR (neither FBhouarr1 or FNhouarr1=Assent), FEHOUarr1.Else, skip to
FEHOU28a.
FEhouarr1
Records Release
[HAND R ADMINISTRATIVE RECORDS RELEASE FORM.]
Before we go, I've got one more form I'd like to show you. This document is called an
administrative records release form, and I'm going to read it out loud to you. It will explain what
we are asking you to do. After I'm done reading it, I will answer any questions you may have.
[READ THE FORM TO THE RESPONDENT.]
[OPTION PROBE: By matching your information with administrative records from these agencies, we’ll
be able to get a bigger picture of how families with an incarcerated father are doing and what kind
of programs really help them. This type of information is not publicly available, so we can only
get it with your consent. These agencies will not be permitted to use your personal information for
any purposes other than to fulfill our research request, and we’ll be combining your data with
data from all of the other study participants rather than looking at your personal information
individually. If you choose to give permission for this data matching, it will help us to ensure
the usefulness of this study to other families in your situation.]
[IF R AGREES, HAND R PEN AND INSTRUCT R TO SIGN THE FORM. THEN YOU SHOULD SIGN THE FORM.]
DID R CONSENT OR REFUSE?]
Question Type:
Tadmin
assent
declines
1 YES: R CONSENTS
2 NO: R DECLINES
Logic after:
If FEHOU26 = RF/DK and FEHOUARR1 = yes, add a consistency check. "Thank you. We'll need your social
security number to access these records." [FI GO BACK TO FEHOU26 AND ASK FOR THIS INFORMATION
AGAIN. IF R REFUSES OR DOES NOT KNOW, THEN ENTER 2 AT FEHOUARR1.]
---------------------------------------------------------------------------------
Logic before:
If FEhourarr1 = 1, then ask FEhouarr2.
FEhouarr2
Records Release 2
[GIVE R AN @BUNSIGNED@B COPY OF THE RECORDS RELEASE FORM.
RETURN YOUR SIGNED COPY OF THE CONSENT FORM TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO
YOUR FS/RTI.]
Question Type:
Tcontinue
Continue
1 Continue
---------------------------------------------------------------------------------
Logic before:
If FEhouarr1 = 2, then ask FEhouarr3.
FEhouarr3
Records Release 3
[WRITE 'REFUSED' ON THE FORM AND RETURN TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO YOUR
FS/RTI.]
Question Type:
Tcontinue
Continue
1 Continue
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 200 of 207
---------------------------------------------------------------------------------
FEHOU28a
Thank You for Participation
That was our last question. Thank you for your participation in this study!
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
FEHOU28b
Future Contact
We may decide to contact you again in the future to invite you to participate in a follow-up
interview. You can decide at that time whether or not you wish to participate.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FECON5 = No, ask FEHOU28d. Else go to FEHOU30.
If fem9mo = yes, then fill1 = [R IS ALSO ELIGIBLE FOR $25 BONUS INCENTIVE FOR COMPLETING ALL 3
INTERVIEWS.]
IF fem9MO NE YES, THEN FILL1 = [R IS NOT ELIGIBLE FOR THE $25 INCENTIVE BONUS BECAUSE SHE DID NOT
COMPLETE ALL THREE INTERVIEWS.]
FEHOU28d
Incentive Receipt
I also need to give you your incentive payment, and I need to ask you to initial a receipt.
[FI: FEMALE IS ELIGIBLE FOR $40 INCENTIVE PAYMENT]
^fill1
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If FECON5 = no, ask FEHOU28e. Else skip to FEHOU30.
FEHOU28e
Eligibility for Bonus
WAS R ELIGIBLE FOR THE $5 CALL-IN BONUS?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 201 of 207
---------------------------------------------------------------------------------
FEHOU30
Method Incentive is Paid
HOW WAS THE INCENTIVE PAID?
Question Type:
TIncentiveFU
Inmate
Designee
NotAllow
Cash
Other
1
2
3
4
5
INMATE ACCOUNT
DESIGNEE
INCENTIVE NOT PERMITTED BY FACILITY
CASH
OTHER (SPECIFY)
Logic after:
If FEHOU30="other", go to FEHOU30s. Else go to FEFI001.
---------------------------------------------------------------------------------
FEHOU30s
Specify Other
SPECIFY OTHER
Question Type:
STRING[20]
---------------------------------------------------------------------------------
Logic before:
If FECON5 = Yes, ask FEHOU31. Else, skip to next domain.
FEHOU31
State Interview Conducted
IN WHICH STATE WAS THIS INTERVIEW CONDUCTED?
Question Type:
Tstate
mnst
indy
ohi
newy
newj
thsp
1
2
3
4
5
6
MINNESOTA
INDIANA
OHIO
NEW YORK
NEW JERSEY
OTHER STATE (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If FEHOU31 = 6, ask FEHOU31s.
FEHOU31s
Specify State and Facility
SPECIFY STATE AND FACILITY NAME.
Question Type:
TabTfacstate
staten
facname
1 STATE
2 FACILITY NAME
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 202 of 207
---------------------------------------------------------------------------------
Logic before:
If FEHOU31=1, ask FEHOU32a.
FEHOU32a
Minnesota
IN WHICH MINNESOTA FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tmnfemalefac
mcf
othsp
1 MCF (IN SHAKOPEE)
2 OTHER FACILITY (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If FEHOU32a = 2, ask FEHOU32as.
FEHOU32as
Other Minnesota
SPECIFY OTHER MINNESOTA FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Logic before:
If FEHOU31 = 2, ask FEHOU32b.
FEHOU32b
Indiana
IN WHICH INDIANA FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tinfemalefac
wmpr
rcvl
indywm
atbry
van
othsp
1
2
3
4
5
6
WOMAN'S PRISON
ROCKVILLE CORRECTIONAL FACILITY
INDIANAPOLIS WOMAN'S COMMUNITY RE-ENTRY
ATTERBURY CORRECTIONAL FACILITY
VANDERBURGH COUNTY VOA
OTHER (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If FEHOU32b = 5, ask FEHOU32bs.
FEHOU32bs
Other Indiana
SPECIFY OTHER INDIANA FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 203 of 207
---------------------------------------------------------------------------------
Logic before:
If FEHOU31 = 3, ask FEHOU32c.
FEHOU32c
Ohio
IN WHICH OHIO FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tfemaleohfac
ohrf
frkl
noea
trmbl
oakw
othsp
1
2
3
4
5
6
OHIO REFORMATORY FOR WOMAN
FRANKLIN PRE-RELEASE CENTER
NORTHEAST PRE-RELEASE CENTER
TRUMBALL CORRECTIONAL CAMP
OAKWOOD CORRECTIONAL FACILITY
OTHER OHIO FACILITY (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If FEHOU32c = 6, ask FEHOU32cs.
FEHOU32cs
Other Ohio
SPECIFY OTHER OHIO FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Logic before:
IF FEHOU31 = 4, as FEHOU32d.
FEHOU32d
New York
IN WHICH NEW YORK FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tfemalenyfac
alb
byvw
bcn
bdfrd
lvws
tcnc
wlrd
otsp
1
2
3
4
5
6
7
8
ALBION CORRECTIONAL FACILITY
BAYVIEW CORRECTIONAL FACILITY
BEACON CORRECTIONAL FACILITY
BEDFORD HILLS CORRECTIONAL FACILITY
LAKEVIEW SHOCK INCARCERATION C.F.
TACONIC CORRECTIONAL FACILITY
WILLARD DRUG TREATMENT CENTER
OTHER NEW YORK FACILITY (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If FEHOU32d = 8, then ask FEHOU32ds.
FEHOU32ds
Other New York
SPECIFY OTHER NEW YORK FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 204 of 207
---------------------------------------------------------------------------------
Logic before:
If FEHOU31 = 5, ask FEHOU32e.
FEHOU32e
New Jersey
IN WHICH NEW JERSEY FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tfemalenjfac
edna
njsp
otsp
1 EDNA MAHAN CORRECTIONAL FACILITY FOR WOMAN
2 NEW JERSEY STATE PRISON
3 OTHER NEW JERSEY FACILITY (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If FEHOU32e = 3, ask FEHOU32es.
FEHOU32es
Other New Jersey
SPECIFY OTHER NEW JERSEY FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 205 of 207
Interviewer Observations
---------------------------------------------------------------------------------
FEFIO001
R Cooperated
HOW COOPERATIVE WAS THE RESPONDENT?
Question Type:
TCoop
Vcoop
Fair
NotCoop
Hostile
1
2
3
4
VERY COOPERATIVE
FAIRLY COOPERATIVE
NOT VERY COOPERATIVE
OPENLY HOSTILE
---------------------------------------------------------------------------------
FEFIO002
R Level of Understanding
ESTIMATE THE RESPONDENT'S LEVEL OF UNDERSTANDING OF THE INTERVIEW QUESTIONS.
Question Type:
TComp
NoDif
Little
Fair
Alot
1
2
3
4
NO DIFFICULTY UNDERSTANDING QUESTIONS
JUST A LITTLE DIFFICULTY UNDERSTANDING QUESTIONS
A FAIR AMOUNT OF DIFFICULTY UNDERSTANDING QUESTIONS
A LOT OF DIFFICULTY UNDERSTANDING QUESTIONS
---------------------------------------------------------------------------------
FEFIO003
R Remember Past Events
HOW MUCH TROUBLE DID THE RESPONDENT HAVE REMEMBERING PAST EVENTS?
Question Type:
TTrouble
NoTroub
Little
Fair
Alot
1
2
3
4
NO TROUBLE
JUST A LITTLE TROUBLE
A FAIR AMOUNT OF TROUBLE
A LOT OF TROUBLE
---------------------------------------------------------------------------------
FEFIO004
R Level of Truthfulness
ESTIMATE THE RESPONDENT'S LEVEL OF TRUTHFULNESS/MISPRESENTATION.
Question Type:
TTruth
Very
Fair
NoTruth
Lying
1
2
3
4
VERY TRUTHFUL
FAIRLY TRUTHFUL
NOT VERY TRUTHFUL
OPENLY LYING
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 206 of 207
---------------------------------------------------------------------------------
FEFIO005
R Level of Engagement
IN GENERAL, HOW ENGAGED/INTERESTED WAS THE RESPONDENT DURING THE INTERVIEW?
Question Type:
TEngage
Very
Fair
NotVery
Unengaged
1
2
3
4
VERY ENGAGED AND INTERESTED
FAIRLY ENGAGED AND INTERESTED
NOT VERY ENGAGED AND INTERESTED
TOTALLY UNENGAGED AND DISINTERESTED
---------------------------------------------------------------------------------
FEFIO006
R Mood Level
IN GENERAL, HOW IRRITABLE OR MOODY WAS THE RESPONDENT DURING THE INTERVIEW?
Question Type:
TMood
Very
Fairly
NotVery
NotAtAll
1
2
3
4
VERY IRRITABLE/MOODY
FAIRLY IRRITABLE/MOODY
NOT VERY IRRITABLE/MOODY
NOT AT ALL IRRITABLE/MOODY
---------------------------------------------------------------------------------
FEFIO007
Number of Distractions
INDICATE THE DEGREE OF DISTRACTIONS OR INTERRUPTIONS DURING THE INTERVIEW.
Question Type:
TInterrupt
None
Few
Fair
Alot
1
2
3
4
NO DISTRACTIONS OR INTERRUPTIONS
JUST A FEW DISTRACTIONS OR INTERRUPTIONS
A FAIR NUMBER OF DISTRACTIONS OR INTERRUPTIONS
A LOT OF DISTRACTIONS OR INTERRUPTIONS
---------------------------------------------------------------------------------
FEFIO008
R Level of Eye Contact
HOW MUCH EYE CONTACT DID THE RESPONDENT USE DURING YOUR INTERACTION?
Question Type:
TEyeCon
Avoid
Occasion
Mostly
1 R MOSTLY AVOIDED EYE CONTACT
2 R OCCASIONALLY MADE EYE CONTACT
3 R MOSTLY MADE EYE CONTACT
Logic after:
Code completed interview that took place in a jail or prison setting (FECON5 EQ YES) as 492. If
FECON5 EQ NO, code completed interview as 491.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 207 of 207
| File Type | application/pdf |
| File Title | Microsoft Word - F9MFU.rtf |
| Author | afg |
| File Modified | 2011-10-18 |
| File Created | 2010-08-05 |