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Questionnaire: National Longitudinal Survey of Youth 1979: NLSY79 Round 26: R26 Youth Main Field
| Q-START [] | Section: Household Interview |
NATIONAL LONGITUDINAL SURVEY OF YOUTH 1979
(NLSY79)
ROUND 26 (2014) QUESTIONNAIRE
| CASE_VERIFICATION [] | Section: Household Interview |
INTERVIEWER: YOU HAVE OPENED A QUESTIONNAIRE FOR THE FOLLOWING PERSON:
[r's first name] [r's last name]
LOCATED IN [Respondent City] ON [Date of last interview] (THE DATE OF LAST INTERVIEW).
IF THIS IS NOT CORRECT, PLEASE CLOSE THIS QUESTIONNAIRE USING THE DISKETTE ICON AT THE TOP OF THE SCREEN AND OPEN A QUESTIONNAIRE FOR THE CORRECT RESPONDENT.
| Q1-3_A [] | Section: Household Interview |
For verification purposes, please tell me your date of birth?
| BDATE-COMPARE [] | Section: Household Interview |
([birthdate_rept] == [Respondent's date of birth])
If Answer = 1 Then Go To FEE-1
| BDATE_NONMATCH1 [] | Section: Household Interview |
INTERVIEWER: THE BIRTHDATE YOU HAVE ENTERED DOES NOT MATCH THE BIRTHDATE IN OUR RECORDS. PLEASE BACK UP, VERIFY THE BIRTHDATE WITH THE RESPONDENT AND MAKE ANY CORRECTIONS NECESSARY.
IF RESPONDENT VERIFIES DATE AND DATE WAS ENTERED ACCURATELY, PLEASE BREAK-OFF INTERVIEW TEMPORARILY TO CHECK THE RECORDS.
| FEE-1 [] | Section: Household Interview |
{waverep} == 101 || {waverep} == 201 || {waverep} == 301 || {waverep} == 401 || {waverep} == 501 || {waverep} == 601 || {waverep} == 701 || {waverep} == 801 || {waverep} == 901
If Answer = 0 Then Go To FEE-2
| FEE-2 [] | Section: Household Interview |
INTERVIEWER: CHECK IF RESPONDENT'S EARLY BIRD WINDOW IS STILL OPEN.
IF RESPONDENT IS STILL ELIGIBLE FOR EARLY BIRD FEE, SELECT "YES". IF NO LONGER ELIGIBLE FOR EARLY BIRD FEE, CHECK "NO".
CONSULT CASE MANAGEMENT SYSTEM IF NECESSARY.
| | 1 YES - BASE FEE OF $90 |
| | 0 NO - BASE FEE OF $60 ...(Go To Q1-A) |
| Q1-A [] | Section: Household Interview |
([any hh members?] ==1) && ([# hh members from dli] == 0) && ([any hh members to append?] == 1)
COMMENT: check if there are people on info sheet, the first time adding people and append flag - should only happen one time
If Answer = 1 Then Go To Q1-D
| Q1-D [] | Section: Household Interview |
{hhi_incount} == 0
COMMENT: Check if no one transferred into roster
If Answer = 1 Then Go To CONSENT-1200
| CONSENT-1200 [] | Section: Household Interview |
(INTERVIEWER READ TO R:)
The U.S. Department of Labor, Bureau of Labor Statistics, asks you to participate in the National Longitudinal Survey of Youth 1979, Round 26. This survey is conducted to understand your generation's career, labor market, and family experiences.
Your participation remains vital to the success of this study and is voluntary. As always, you may decline to answer specific questions, or end the interview at any point. Personal identifiers will be secured in confidence and will not be released to the public without your consent. All personnel associated with this study are legally bound to protect the security and confidentiality of information you provide. Parts of this interview may be recorded for quality control purposes. This will not compromise the confidentiality of your responses.
As in previous rounds of the survey, we will ask about experiences you may have had with employment, education and training, family life/household dynamics, health, income, attitudes and preparation for retirement. The information will continue to help researchers identify how to make important life transitions more successful.
You will receive a cash gift of $[(r fee)+(any missed interview fee)+(any child fee)] as a token of appreciation for your participation. [This includes $[msfee] for the questions you will be answering about your child(ren).]
| | 1 R CONSENTS TO PARTICIPATE IN THE SURVEY |
| | 2 R DOES NOT CONSENT TO PARTICIPATE IN THE SURVEY ...(Go To CONSENT-1210) |
| | 3 R CONSENTS TO PARTICIPATE IN THE INTERVIEW BUT DOES NOT WANT TO BE RECORDED ...(Go To INTRO2) |
| INTRO2 [] | Section: Household Interview |
(READ IF PERSONAL INTERVIEW:
In order that your answers to our questions are not biased by anyone else's presence, it is necessary that we conduct the interview in private.)
(INTERVIEWER: PLEASE INFORM RESPONDENT OF THE RESPONDENT FEE HE OR SHE IS ELIGIBLE FOR.)
| CONSENT-1210 [] | Section: Household Interview |
INTERVIEWER: ATTEMPT TO GAIN R'S CONSENT TO PROCEED WITH THE INTERVIEW. IF YOU ARE UNABLE TO GAIN CONSENT, BREAK OFF THE INTERVIEW AT THIS POINT AND MAKE A RECORD OF ALL INFORMATION THAT COULD BE USEFUL IN GAINING THE RESPONDENT'S COOPERATION AT A LATER DATE.
| CONSENT-1220 [] | Section: Household Interview |
We appreciate your help in answering these questions. At the end of this survey I will ask you some questions that may help us contact you in the future. By sharing this contact information, you give your permission for us to use it to try to contact you for future interviews. In attempting to reach you, we will never reveal any of the answers you've provided to the survey questions.
| | 1 R AGREES WITH PROVIDING CONTACT INFORMATION ...(Go To CONSENT-MILPRIS) |
| | 2 R DISAGREES WITH PROVIDING CONTACT INFORMATION |
| CONSENT-MILPRIS [] | Section: Household Interview |
{consent_milpris}==1
COMMENT: The respondent falls into the odd sample group
If Answer = 1 Then Go To CONSENT-1250
| CONSENT-1250 [] | Section: Household Interview |
If you are or were to become a member of the Armed Forces, or if you were to enter a correctional facility or a residential care facility, may we contact government or other administrative officials to get their help in locating and interviewing you? When attempting to locate and interview you, we may reveal the fact that you are a participant in this survey. However, as stated earlier, we will never reveal any of the answers you've provided to the survey questions.
| Q-2 [] | Section: Household Interview |
We have the spelling of your name as ... (REPEAT NAME AND SPELL AS SHOWN BELOW.)
[r's first name] [r's middle name] [r's last name]
Is that correct?
| | 1 INFORMATION CORRECT ...(Go To HH1-1) |
| | 2 INFORMATION INCORRECT |
| Q-3 [] | Section: Household Interview |
We have your first name spelled...(INTERVIEWER: SPELL OUT:) [r's first name].
Is that correct?
| | 1 INFORMATION CORRECT |
| | 2 INFORMATION INCORRECT ...(Go To Q-3A) |
| Default Next: | Q-4 |
| Lead-In: | Q-2 [Default] |
| Q-3A [] | Section: Household Interview |
How do you spell your first name?
(INTERVIEWER: RECORD NAME EXACTLY AS RESPONDENT SPELLS IT.)
| Default Next: | Q-4 |
| Lead-In: | Q-3 [2:2] |
| Q-4 [] | Section: Household Interview |
We have your middle name spelled...(INTERVIEWER: SPELL OUT:) [r's middle name].
Is that correct?
| | 1 INFORMATION CORRECT |
| | 2 INFORMATION INCORRECT ...(Go To Q-4A) |
| Default Next: | Q-5 |
| Lead-In: | Q-3 [Default], Q-3A [Default] |
| Q-4A [] | Section: Household Interview |
How do you spell your middle name?
(INTERVIEWER: RECORD NAME EXACTLY AS RESPONDENT SPELLS IT.)
| Default Next: | Q-5 |
| Lead-In: | Q-4 [2:2] |
| Q-5 [] | Section: Household Interview |
We have your last name spelled...(INTERVIEWER: SPELL OUT:) [r's last name].
Is that correct?
| | 1 INFORMATION CORRECT |
| | 2 INFORMATION INCORRECT ...(Go To Q-5A) |
| Q-5A [] | Section: Household Interview |
How do you spell your last name?
(INTERVIEWER: RECORD NAME EXACTLY AS RESPONDENT SPELLS IT.)
| HH1-1 [] | Section: Household Interview |
What type of residence or dwelling unit are you living in?
(IF NECESSARY, READ) For example, are you living in your own residence or dwelling unit, your parents' household, on- or off-base mililtary family housing, a dorm or religious institute or something else?
| | 11 OWN DWELLING UNIT ...(Go To HH1-3) |
| | 19 RESPONDENT IN PARENT HOUSEHOLD ...(Go To HH1-3) |
| | 15 CONVENT, MONASTERY, OTHER RELIGIOUS INSTITUTE ...(Go To HH3-1) |
| | 13 OFF-BASE MILITARY FAMILY HOUSING ...(Go To HH1-3) |
| | 12 ON-BASE MILITARY FAMILY HOUSING ...(Go To HH1-3) |
| | 16 OTHER INDIVIDUAL QUARTERS (SPECIFY) ...(Go To HH3-1) |
| | 1 OPEN BAY OR TROOP BARRACKS, ABOARD SHIP ...(Go To HH1-4) |
| | 2 BACHELOR ENLISTED OR OFFICER QUARTERS ...(Go To HH1-4) |
| | 3 DORMITORY, FRATERNITY OR SORORITY ...(Go To HHI_ROSTER_CHK1A_PERM) |
| | 5 JAIL ...(Go To HHI_ROSTER_CHK1A_PERM) |
| | 4 HOSPITAL ...(Go To HHI_ROSTER_CHK1A_PERM) |
| | 6 OTHER TEMPORARY INDIVIDUAL QUARTERS (SPECIFY) ...(Go To HHI_ROSTER_CHK1A_PERM) |
| HHI_ROSTER_CHK1A_PERM [] | Section: Household Interview |
Can I please have the address of your permanent residence and the name of the person living there?
INTERVIEWER: PLEASE FILL IN MISSING FIELDS WITH CORRECT PERMANENT ADDRESS INFORMATION. VERIFY INFORMATION THAT IS PRESENT, AND ASK ABOUT INFORMATION NOT PRESENT IF APPLICABLE. SELECT <MODIFY ROW> TO CORRECT OR UPDATE ITEMS.
WHEN EVERYTHING IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| HH1-3 [] | Section: Household Interview |
I'd like to ask you a few questions about the members of your household. Things change from year to year, and we need to be sure that we have accurate information for this year.
| HH1-4 [] | Section: Household Interview |
I'd like to ask you a few questions about the members of your household. Things change from year to year, and we need to be sure that we have accurate information for this household.
| HH1-5 [] | Section: Household Interview |
First, I'd like to ask you ...
Are you currently married, widowed, divorced, legally separated, or have you never been married?
| | 1 Married ...(Go To HH2-1_A) |
| | 2 Widowed |
| | 3 Divorced |
| | 4 Legally Separated |
| | 5 Never Married |
| HH2-1_A [] | Section: Household Interview |
{hhi_text1} I have listed as living in your household {hhi_text2}.... (READ AND VERIFY ALL INFORMATION ABOUT EACH HOUSEHOLD MEMBER LISTED BELOW).
| HH2-1_B [] | Section: Household Interview |
Is all of this information still correct?
Please tell me if someone has a usual residence somewhere else, or if I am missing anyone who usually lives in your household [(in (respondent's city of residence))].
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)
| | 1 ALL INFORMATION STILL CORRECT |
| | 2 HOUSEHOLD MEMBERS CORRECT - NEED TO UPDATE SOME INFORMATION |
| | 3 DELETE HOUSEHOLD MEMBER(S) WITH RESIDENCE SOMEWHERE ELSE |
| | 4 ADD HOUSEHOLD MEMBER(S) CURRENTLY LIVING IN HOUSEHOLD |
| HH2-CHK1 [] | Section: Household Interview |
INSELECTION([HH2-1_B],3)
COMMENT: R indicate someone has usual residence somewhere else?
If Answer = 1 Then Go To HH2-1C_1
| HH2-1C_1 [] | Section: Household Interview |
(INTERVIEWER: PLEASE DELETE ALL HOUSEHOLD MEMBERS WHO HAVE A USUAL RESIDENCE SOMEWHERE ELSE BY SELECTING <DELETE ROW> FOR EACH.
SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
(IF NECESSARY, ASK:) Which of these persons has a usual residence somewhere else?
(PROBE:) Is there anyone else on this list who has a usual residence somewhere else?
| HH2-CHK2 [] | Section: Household Interview |
INSELECTION([HH2-1_B],2)
If Answer = 0 Then Go To HH2-CHK3
| FIX-HH-ROSTER [] | Section: Household Interview |
You mentioned that some information for (READ NAMES OF HOUSEHOLD MEMBERS) needed to be updated. For whom do we need to update our information?
INTERVIEWER: IF NECESSARY, READ RELATIONSHIP AND AGE INFORMATION TO VERIFY. SELECT <MODIFY ROW> TO MAKE CHANGES TO A SPECIFIC HOUSEHOLD MEMBER'S INFORMATION.
IF PERSON IS 5 OR OLDER, VERIFY HIGHEST GRADE COMPLETED.
IF PERSON IS 14 OR OLDER, VERIFY WHETHER PERSON WORKED PART- OR FULL-TIME IN [calendar year prior to survey year].
IF ALL INFORMATION ON ROSTER IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| HH2-CHK3 [] | Section: Household Interview |
INSELECTION([HH2-1_B],4)
COMMENT: Did R indicate someone is missing from Household Roster?
If Answer = 1 Then Go To HH2-ALL
| HH2-ALL [] | Section: Household Interview |
Who else is living in the household that we don't have listed. Have I missed...
| | - ...any babies or small children living (here/there)? |
| | - ...any lodgers, boarders, or persons in (your/their) employment who live (here/there)? |
| | - ...anyone who usually lives (here/there) but is away at present traveling, at school, or in a hospital? |
| | - ...anyone else staying (here/there)? |
| HH2-CHK3A [] | Section: Household Interview |
[HH2-ALL~1]==1 || [HH2-ALL~2]==1 || [HH2-ALL~3]==1|| [HH2-ALL~4]==1
If Answer = 0 Then Go To HH4-3A
| HHADD-LOOP-BEGIN [] | Section: Household Interview |
REPEAT
COMMENT: Begin loop to add household members
| HHADD-1 [] | Section: Household Interview |
May I have the full name of the [first/next] additional person living in your household [(in (respondent's city of residence))]?
(INTERVIEWER: RECORD NAME EXACTLY AS RESPONDENT SPELLS IT.)
| HHADD-2 [] | Section: Household Interview |
What is [hhiadd_name([hhadd-loop])]'s relationship to you?
| | 1 SPOUSE |
2 SON |
3 DAUGHTER |
| | 33 PARTNER |
70 PARTNER'S SON |
71 PARTNER'S ADOPTIVE/STEP SON |
| | 72 PARTNER'S DAUGHTER |
73 PARTNER'S ADOPTIVE/STEP DAUGHTER |
74 PARTNER'S BLOOD/IN-LAW RELATIVE |
| | 4 FATHER |
5 MOTHER |
6 BROTHER |
| | 7 SISTER |
8 GRANDFATHER |
9 GRANDMOTHER |
| | 10 GRANDSON |
11 GRANDDAUGHTER |
12 UNCLE ETC. |
| | 13 AUNT ETC. |
14 GREAT-UNCLE |
15 GREAT-AUNT |
| | 16 COUSIN |
17 NEPHEW |
18 NIECE |
| | 19 OTHER BLOOD RELATIVE |
20 ADOPTED OR STEP-SON |
21 ADOPTED OR STEP-DAUGHTER |
| | 22 SON-IN-LAW |
23 DAUGHTER-IN-LAW |
24 FATHER-IN-LAW |
| | 25 MOTHER-IN-LAW |
26 BROTHER-IN-LAW |
27 SISTER-IN-LAW |
| | 28 GRANDFATHER-IN-LAW |
29 GRANDMOTHER-IN-LAW |
30 GRANDSON-IN-LAW |
| | 31 GRANDDAUGHTER-IN-LAW |
32 OTHER IN-LAW RELATIVE |
34 BOARDER |
| | 35 FOSTER CHILD |
36 OTHER NON-RELATIVE |
37 STEP-FATHER |
| | 38 STEP-MOTHER |
39 STEP-BROTHER |
40 STEP-SISTER |
| | 41 GREAT GRANDSON |
42 GREAT GRANDDAUGHTER |
43 STEP GRANDSON |
| | 44 STEP GRANDDAUGHTER |
45 FOSTER SON |
46 FOSTER DAUGHTER |
| | 47 PARENTS |
48 GRANDPARENTS |
49 AUNT& UNCLE |
| | 50 FOSTER FATHER |
51 FOSTER MOTHER |
52 FOSTER BROTHER |
| | 53 FOSTER SISTER |
54 GUARDIAN |
57 HUSBAND OR BROTHER-IN-LAW |
| | 58 WIFE OR SISTER-IN-LAW |
59 ADOPTED OR STEP-BROTHER |
60 ADOPTED OR STEP-SISTER |
| | 62 BROTHER OR COUSIN |
63 SISTER OR COUSIN |
64 BROTHER (NATURAL, STEP, ADOPTED) |
| | 65 SISTER (NATURAL, STEP, ADOPTED) |
66 SIBLING OR IN-LAW'S SPOUSE |
| HHADD-2CHK [] | Section: Household Interview |
{^hhiadd_relcode({hhadd-loop})^}
COMMENT: SKIP ACCORDING TO RELCODE TO FIX CHARACTER GENDER FOR HOUSEHOLD MEMBER
If Answer = 1 Then Go To HHADD-2A
If Answer = 2 Then Go To HHADD-3
If Answer = 3 Then Go To HHADD-3
If Answer = 4 Then Go To HHADD-3
If Answer = 5 Then Go To HHADD-3
If Answer = 6 Then Go To HHADD-3
If Answer = 7 Then Go To HHADD-3
If Answer = 8 Then Go To HHADD-3
If Answer = 9 Then Go To HHADD-3
If Answer = 10 Then Go To HHADD-3
If Answer = 11 Then Go To HHADD-3
If Answer = 12 Then Go To HHADD-3
If Answer = 13 Then Go To HHADD-3
If Answer = 14 Then Go To HHADD-3
If Answer = 15 Then Go To HHADD-3
If Answer = 16 Then Go To HHADD-2A
If Answer = 17 Then Go To HHADD-3
If Answer = 18 Then Go To HHADD-3
If Answer = 19 Then Go To HHADD-2A
If Answer = 20 Then Go To HHADD-3
If Answer = 21 Then Go To HHADD-3
If Answer = 22 Then Go To HHADD-3
If Answer = 23 Then Go To HHADD-3
If Answer = 24 Then Go To HHADD-3
If Answer = 25 Then Go To HHADD-3
If Answer = 26 Then Go To HHADD-3
If Answer = 27 Then Go To HHADD-3
If Answer = 28 Then Go To HHADD-3
If Answer = 29 Then Go To HHADD-3
If Answer = 30 Then Go To HHADD-3
If Answer = 31 Then Go To HHADD-3
If Answer >= 32 AND Answer <= 36 Then Go To HHADD-2A
If Answer = 37 Then Go To HHADD-3
If Answer = 38 Then Go To HHADD-3
If Answer = 39 Then Go To HHADD-3
If Answer = 40 Then Go To HHADD-3
If Answer = 41 Then Go To HHADD-3
If Answer = 42 Then Go To HHADD-3
If Answer = 43 Then Go To HHADD-3
If Answer = 44 Then Go To HHADD-3
If Answer = 45 Then Go To HHADD-3
If Answer = 46 Then Go To HHADD-3
If Answer >= 47 AND Answer <= 49 Then Go To HHADD-2A
If Answer = 50 Then Go To HHADD-3
If Answer = 51 Then Go To HHADD-3
If Answer = 52 Then Go To HHADD-3
If Answer = 53 Then Go To HHADD-3
If Answer = 54 Then Go To HHADD-2A
If Answer = 57 Then Go To HHADD-3
If Answer = 58 Then Go To HHADD-3
If Answer = 59 Then Go To HHADD-3
If Answer = 60 Then Go To HHADD-3
If Answer = 62 Then Go To HHADD-3
If Answer = 63 Then Go To HHADD-3
If Answer = 64 Then Go To HHADD-3
If Answer = 65 Then Go To HHADD-3
If Answer = 66 Then Go To HHADD-2A
If Answer >= 70 AND Answer <= 71 Then Go To HHADD-3
If Answer >= 72 AND Answer <= 73 Then Go To HHADD-3
If Answer = 74 Then Go To HHADD-2A
| HHADD-2A [] | Section: Household Interview |
INTERVIEWER: IF NOT OBVIOUS, ASK:
What sex is [hhiadd_name([hhadd-loop])]?
| HHADD-3 [] | Section: Household Interview |
How old is [s/he]?
| Default Next: | HHADD-4CHK |
| Lead-In: | HHADD-2CHK [2:2], HHADD-2CHK [3:3], HHADD-2CHK [4:4], HHADD-2CHK [5:5], HHADD-2CHK [6:6], HHADD-2CHK [7:7], HHADD-2CHK [8:8], HHADD-2CHK [9:9], HHADD-2CHK [10:10], HHADD-2CHK [11:11], HHADD-2CHK [12:12], HHADD-2CHK [13:13], HHADD-2CHK [14:14], HHADD-2CHK [15:15], HHADD-2CHK [17:17], HHADD-2CHK [18:18], HHADD-2CHK [20:20], HHADD-2CHK [21:21], HHADD-2CHK [22:22], HHADD-2CHK [23:23], HHADD-2CHK [24:24], HHADD-2CHK [25:25], HHADD-2CHK [26:26], HHADD-2CHK [27:27], HHADD-2CHK [28:28], HHADD-2CHK [29:29], HHADD-2CHK [30:30], HHADD-2CHK [31:31], HHADD-2CHK [37:37], HHADD-2CHK [38:38], HHADD-2CHK [39:39], HHADD-2CHK [40:40], HHADD-2CHK [41:41], HHADD-2CHK [42:42], HHADD-2CHK [43:43], HHADD-2CHK [44:44], HHADD-2CHK [45:45], HHADD-2CHK [46:46], HHADD-2CHK [50:50], HHADD-2CHK [51:51], HHADD-2CHK [52:52], HHADD-2CHK [53:53], HHADD-2CHK [57:57], HHADD-2CHK [58:58], HHADD-2CHK [59:59], HHADD-2CHK [60:60], HHADD-2CHK [62:62], HHADD-2CHK [63:63], HHADD-2CHK [64:64], HHADD-2CHK [65:65], HHADD-2CHK [70:71], HHADD-2CHK [72:73], HHADD-2A [2:2], HHADD-2A [Default] |
| HHADD-4CHK [] | Section: Household Interview |
{^hhiadd_age({hhadd-loop})^}
If Answer >= 0 AND Answer <= 4 Then Go To HHADD-8
| HHADD-5 [] | Section: Household Interview |
What was the highest grade or year of regular school [s/he] has ever completed?
| | 0 NONE |
93 PRE-KINDERGARTEN |
| | 94 KINDERGARTEN |
1 1ST GRADE |
| | 2 2ND GRADE |
3 3RD GRADE |
| | 4 4TH GRADE |
5 5TH GRADE |
| | 6 6TH GRADE |
7 7TH GRADE |
| | 8 8TH GRADE |
9 9TH GRADE |
| | 10 10TH GRADE |
11 11TH GRADE |
| | 12 12TH GRADE |
13 1ST YEAR COLLEGE |
| | 14 2ND YEAR COLLEGE |
15 3RD YEAR COLLEGE |
| | 16 4TH YEAR COLLEGE |
17 5TH YEAR COLLEGE |
| | 18 6TH YEAR COLLEGE |
19 7TH YEAR COLLEGE |
| | 20 8TH YEAR COLLEGE OR MORE |
95 UNGRADED |
| HHADD-6CHK [] | Section: Household Interview |
{^hhiadd_age({hhadd-loop})^}
If Answer >= 0 AND Answer <= 13 Then Go To HHADD-8
| HHADD-7 [] | Section: Household Interview |
At any time in [calendar year prior to survey year], did [s/he] work either full- or part-time -- not counting work around the house?
| HHADD-8 [] | Section: Household Interview |
Am I missing anyone else besides [hhiadd_name([hhadd-loop])] who's usual residence is in your household [(in (respondent's city of residence))]?
(IF NECESSARY, READ): So far, I have (READ NAMES OF HOUSEHOLD MEMBERS ON ROSTER).
| HHADD-ANYMORE [] | Section: Household Interview |
INTERVIEWER: PLEASE SELECT "YES" TO ENTER ANOTHER PERSON MISSING FROM THE ROSTER ABOVE.
| HHADD-LOOP-END [] | Section: Household Interview |
UNTIL ([any more hh members to add] == 0)
COMMENT: End loop when no more people missing from household roster
| HH3-1 [] | Section: Household Interview |
INTERVIEWER: RESPONDENT IS LIVING IN A RELIGIOUS INSTITUTION OR OTHER INDIVIDUAL QUARTERS:
(DELETE ALL NAMES IN LIST BY SELECTING "DELETE ROW". SELECT "SUBMIT AND CONTINUE" TO PROCEED.)
| HH3-2 [] | Section: Household Interview |
INTERVIEWER: RESPONDENT IS LIVING IN OPEN BAY OR TROOP BARRACKS, ABOARD SHIP, OR IN BACHELOR OR OFFICER QUARTERS.
(DELETE ALL NAMES IN LIST BY SELECTING <DELETE ROW>. SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| HH4-3A [] | Section: Household Interview |
{hhmem-count} > 0
COMMENT: Is there at least one household member listed?
If Answer = 0 Then Go To HH4-28Y
| HH4-28Y [] | Section: Household Interview |
{hhmem-count} > 0
COMMENT: Is there at least one household member listed?
If Answer = 0 Then Go To HH5-1
| HH5-1 [] | Section: Household Interview |
([type of dwelling unit] == 15) || ([type of dwelling unit] == 16) || ((([type of dwelling unit] == 1) || ([type of dwelling unit] == 2)) && ([r's marital status] != 1))
COMMENT: CHECK THE LIVING ARRANGEMENTS FOR R. IF IN RELIGIOUS QUARTERS, OR TROOP BARRACKS, ETC, THEN SKIP OVER SECTIONS OF THE HH.
If Answer = 1 Then Go To Q1-2
| HH5-2 [] | Section: Household Interview |
{spflag}==1
COMMENT: Is there a spouse listed on the household roster
If Answer = 1 Then Go To Q1-2
| HH5-2A [] | Section: Household Interview |
{paflag}==1
COMMENT: Is there a partner listed on the household roster
If Answer = 1 Then Go To HH5-8
| HH5-4D [] | Section: Household Interview |
{pamaybe} >= 1
COMMENT: Is there at least one person unrelated to R listed in the household
If Answer = 1 Then Go To HH5-6
| HH5-6 [] | Section: Household Interview |
(INTERVIEWER: IF ANY ADULTS NOT RELATED TO RESPONDENT ARE LISTED BELOW, ASK:)
Are you currently living as a partner with someone?
(IF YES, SELECT LINE NUMBER OF CORRECT PERSON AND SELECT "YES" BELOW.
OTHERWISE, SELECT "NO".
SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| HH5-5 [] | Section: Household Interview |
INTERVIEWER: SELECT RESPONSE AND <SUBMIT AND CONTINUE> TO PROCEED.
| | 1 YES ...(Go To HH5-7) |
| | 0 NO |
| HH5-7 [] | Section: Household Interview |
INTERVIEWER: YOU HAVE SELECTED [partner's name] AS THE RESPONDENT'S PARTNER.
IF THIS IS NOT CORRECT, PLEASE RETURN TO THE PREVIOUS QUESTION BY USING THE BACK/LEFT ARROW AT TOP OF SCREEN AND SELECT THE CORRECT NAME.
| HH5-8 [] | Section: Household Interview |
INTERVIEWER: IF ANY OTHER NON-RELATIVES ARE LISTED BELOW, ASK IF ANY OF THESE PEOPLE ARE RELATED TO THE PARTNER.
IF "YES", SELECT <MODIFY ROW> FOR EACH PERSON AND ENTER THE RELATIONSHIP.
IF "NO", SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q1-2 [] | Section: Household Interview |
These are all the questions in this short first part of the interview.
Now let's begin the main questionnaire.
(INTERVIEWER: SELECT TIME OF DAY INTERVIEW BEGINS BELOW AND SELECT "AM/PM".)
| SIBLING-CHK1 [] | Section: Migration History and Family Background |
{lint_rnd} == 22 || {lint_rnd} == 23 || {lint_rnd} == 24
COMMENT: R interviewed in round 22 (2006) or subsequent survey year?
If Answer = 1 Then Go To MIGR-1
| SIBLING-CNT [] | Section: Migration History and Family Background |
RECCOUNT ([SIBLING])
COMMENT: R report any siblings in round 15 (1993) interview?
If Answer = 0 Then Go To MIGR-1
| SIBLING-LOOP-BEGIN [] | Section: Migration History and Family Background |
REPEAT
| SIBLING-1 [] | Section: Migration History and Family Background |
Do you and [sibling name([sibling loop counter])] have the same biological mother?
(INTERVIEWER: WE ARE ASKING THIS BECAUSE SOME RESEARCHERS ARE LOOKING AT HOW SIMILAR HEALTH IS AMONG FAMILY MEMBERS. TO DO THE ANALYSIS CAREFULLY, THEY NEED US TO ASK THE FOLLOWING QUESTIONS.)
| | 1 Yes |
| | 0 No |
| | 2 (IF VOLUNTEERED - DO NOT READ:) NOT SURE |
| SIBLING-2 [] | Section: Migration History and Family Background |
Do you and [sibling name([sibling loop counter])] have the same biological father?
| | 1 Yes |
| | 0 No |
| | 2 (IF VOLUNTEERED - DO NOT READ:) NOT SURE |
| SIBLING-LOOP-END [] | Section: Migration History and Family Background |
UNTIL ([sibling_cnt] == [sibling loop counter])
| MIGR-1 [] | Section: Migration History and Family Background |
Now I have some questions about where you've been living since [Date of last interview]. At that time you were living at [r street address at dli]. Since then, have you ever lived at a different address?
| MIGR-2 [] | Section: Migration History and Family Background |
Not including where you were living at the time of last interview ([r street address at dli]), how many different addresses have you lived at for more than a month?
| MIGR-3 [] | Section: Migration History and Family Background |
Since [Date of last interview], have you moved from one state, city, or county to another?
| MIGR-LOOP-BEGIN [] | Section: Migration History and Family Background |
REPEAT
COMMENT: Begin loop asking about addresses since date of last interview
| MIGR-5_000005 [] | Section: Migration History and Family Background |
| MIGR-5_000006 [] | Section: Migration History and Family Background |
| MIGR-5_000007 [] | Section: Migration History and Family Background |
| MIGR-5_000009 [] | Section: Migration History and Family Background |
| MIGR-6 [] | Section: Migration History and Family Background |
What month and year did you move to that location?
| MIGR-7 [] | Section: Migration History and Family Background |
Since that time, have you moved to another state, city or county?
INTERVIEWER: CODE 'YES' IF R MOVED BACK TO A PREVIOUSLY MENTIONED PLACE.
| MIGR-8-LOOP-END [] | Section: Migration History and Family Background |
UNTIL ([Since that time, have you moved to another state, city or county?] != 1 || [migr-loop counter]==[number of moves])
COMMENT: End loop when no more moves reported since date of last interview.
| MIGR-10 [] | Section: Migration History and Family Background |
[MIGR-3]==1
COMMENT: did R report moving to a different city or state
If Answer = 0 Then Go To R_REL_LINT
| R_REL_LINT [] | Section: Migration History and Family Background |
{lint_rnd}==25
If Answer = 1 Then Go To R_REL_CHK1
| R_REL_CHK1 [] | Section: Migration History and Family Background |
VAREXIST([religiondli]
If Answer = 0 Then Go To Q2-1
| R_REL-2 [] | Section: Migration History and Family Background |
What is your present religion, if any?
| | 1 PROTESTANT |
| | 11 CHRISTIAN, NO DENOMINATION GIVEN |
| | 12 NON-DENOMINATIONAL OR NO DENOMINATION KNOWN |
| | 2 BAPTIST |
| | 3 ESPISCOPALIAN |
| | 4 LUTHERAN |
| | 5 METHODIST |
| | 6 PRESBYTERIAN |
| | 7 ROMAN CATHOLIC |
| | 8 JEWISH |
| | 9 OTHER (SPECIFY) |
| | 10 NONE, NO RELIGION |
| R_REL-2_CHK1 [] | Section: Migration History and Family Background |
{R_REL-2}
If Answer = 1 Then Go To R_REL-2_A3_2
If Answer = 7 Then Go To R_REL-3
If Answer = 8 Then Go To R_REL-2_B1
If Answer = 9 Then Go To R_REL-2_A1
If Answer = 10 Then Go To R_REL-3
If Answer = 11 Then Go To R_REL-2_A2
If Answer = 12 Then Go To R_REL-2_A1
| R_REL-2_A1 [] | Section: Migration History and Family Background |
INTERVIEWER: R REPORTED PRESENT RELIGION AS [respondent's present religion]. IF OBVIOUS, ENTER CODE BELOW. OTHERWISE, ASK:
Would that be a Christian church?
| R_REL-2_A2 [] | Section: Migration History and Family Background |
Would you consider that a Protestant church?
| R_REL-2_A3_1A [] | Section: Migration History and Family Background |
Just to clarify, what specific denomination of [respondent's present religion] is that, if any?
| R_REL-2_A3_2 [] | Section: Migration History and Family Background |
What specific denomination is that, if any?
| | 2 BAPTIST |
| | 3 ESPISCOPALIAN |
| | 4 LUTHERAN |
| | 5 METHODIST |
| | 6 PRESBYTERIAN |
| | 9 OTHER (SPECIFY) |
| | 12 NON-DENOMINATIONAL OR NO DENOMINATION KNOWN |
| R_REL-2_A3_2A [] | Section: Migration History and Family Background |
Just to clarify, what specific denomination of [rrelig_text2] is that, if any?
| R_REL-2_A3_3 [] | Section: Migration History and Family Background |
You mentioned in an earlier interview that your religious preference is [religiondli]. Just to clarify, what specific denomination of [religiondli] is that, if any?
(INTERVIEWER: PLEASE ENTER COMMENTS IF NECESSARY.)
| R_REL-2_B1 [] | Section: Migration History and Family Background |
Do you consider yourself Orthodox, Conservative, Reform or none of these?
| | 1 Orthodox |
| | 2 Conservative |
| | 3 Reform |
| | 4 None of these |
| | 5 Other (specify) |
| R_REL-3 [] | Section: Migration History and Family Background |
In the past year, about how often have you attended religious services? More than once a week, about once a week, two or three times a month, about once a month, several times or less during the year, or not at all?
| | 1 More than once a week |
| | 2 About once a week |
| | 3 Two or three times a month |
| | 4 About once a month |
| | 5 Several times a year or less |
| | 6 Not at all |
| Q2-1 [] | Section: Marital History |
When we last talked with you on [Date of last interview], you said you were [marital status at dli (text)].
Is that correct?
| | 1 YES ...(Go To Q2-3A) |
| | 0 NO |
| Q2-2 [] | Section: Marital History |
What was your marital status on [Date of last interview]?
(INTERVIEWER: If the respondent reports his/her status as "single" probe to find out if s/he has never been married before, is divorced, or is widowed now.)
| | 0 Never Married |
| | 1 Married |
| | 2 Separated |
| | 3 Divorced |
| | 6 Widowed |
| Q2-3A [] | Section: Marital History |
Have there been any changes in your marital status since [Date of last interview]?
(INTERVIEWER: If the respondent reports his/her status as "single" probe to find out if s/he has never been married before, is divorced, or is widowed now.)
| Q2-5A1-LOOP-BEGIN [] | Section: Marital History |
REPEAT
COMMENT: Begin loop about marital history
| Q2-5A1B [] | Section: Marital History |
{^marcode({MARHIST-LOOP1})^}
COMMENT: R's marital status at each point in the loop
If Answer = 0 Then Go To Q2-5B1
If Answer = 1 Then Go To Q2-5A1
If Answer = 2 Then Go To Q2-5A1_A
If Answer = 3 Then Go To Q2-5B2
If Answer >= 4 AND Answer <= 5 Then Go To Q2-5A1
If Answer = 6 Then Go To Q2-5B2
| Q2-5A1 [] | Section: Marital History |
Since [date of last marital change([marhist-loop1 counter])~X], what was the [first/next([marhist-loop1 counter])] change in your marital status?
[INTERVIEWER NOTE: MARITAL STATUS ON dli was " "/
INTERVIEWER NOTE: PREVIOUS MARITAL STATUS: last status listed([marhist-loop1 counter])]
| | 2 Separated |
| | 3 Divorced |
| | 6 Widowed |
| Q2-5A1_A [] | Section: Marital History |
Since [date of last marital change([marhist-loop1 counter])~X], what was the [first/next([marhist-loop1 counter])] change in your marital status?
[INTERVIEWER NOTE: MARITAL STATUS ON dli was " "/
INTERVIEWER NOTE: PREVIOUS MARITAL STATUS: last status listed([marhist-loop1 counter])]
| | 3 Divorced |
| | 4 Reunited |
| | 6 Widowed |
| Q2-5B1 [] | Section: Marital History |
When were you married?
[INTERVIEWER NOTE: DATE OF LAST INTERVIEW lintdate/
(INTERVIEWER NOTE: DATE OF FIRST MARITAL STATUS CHANGE: date of change([marhist-loop1 counter])]
| Q2-5B2 [] | Section: Marital History |
When were you remarried?
[INTERVIEWER NOTE: DATE OF LAST INTERVIEW lintdate/
(INTERVIEWER NOTE: DATE OF FIRST MARITAL STATUS CHANGE: date of change([marhist-loop1 counter])]
| Q2-5B3 [] | Section: Marital History |
When did that happen?
[INTERVIEWER NOTE: DATE OF LAST INTERVIEW lintdate/
(INTERVIEWER NOTE: DATE OF FIRST MARITAL STATUS CHANGE: date of change([marhist-loop1 counter])]
| Q2-5C1 [] | Section: Marital History |
After that, was there any other change in your marital status?
| Q2-5D8-LOOP-END [] | Section: Marital History |
UNTIL([any marital status changes since dli?] != 1)
COMMENT: Loop until no more changes in marital status.
| Q2-5E [] | Section: Marital History |
Just to verify, your current marital status is [Married/Unmarried]?
(INTERVIEWER: IF NO, A MARITAL STATUS CHANGE MAY HAVE BEEN MISSED. PROBE TO CLARIFY AND BACK UP TO ADD CHANGE IF POSSIBLE.)
| | 1 YES |
| | 0 NO ...(Go To Q2-5F) |
| Q2-5F [] | Section: Marital History |
What is your current marital status?
| | 1 Married |
| | 2 Separated |
| | 3 Divorced |
| | 6 Widowed |
| Q2-5H_CHK_10 [] | Section: Marital History |
{marchngcnt} > 0
COMMENT: Are any marital changes reported?
If Answer = 1 Then Go To Q2-5I
| Q2-5I [] | Section: Marital History |
VAREXIST([marital status change code(1)])
COMMENT: Is there a first marital status change reported from DLI?
If Answer = 0 Then Go To Q2-CH-1
| Q2-5J [] | Section: Marital History |
VAREXIST([marhist-loop1 counter])
COMMENT: Did R go through the marhist changes loop?
If Answer = 0 Then Go To Q2-CH-1
| Q2-CH-1 [] | Section: Marital History |
{margaps_num3mo} > 0
COMMENT: Are there any gaps of 3 months or more in the cohabitation calendar?
If Answer = 1 Then Go To Q2-CH-2
| Q2-CH-2 [] | Section: Marital History |
Since [Date of last interview], during the times that you were not married, did you ever live with anyone as a domestic partner for a period of 3 months or more?
[(READ IF NECESSARY:) Please include time that you lived with your (husband/wife) when you were not married.]
| Q2-CH-LOOP-BEGIN [] | Section: Marital History |
REPEAT
COMMENT: Begin loop to collect information about periods of cohabitation
| Q2-CH-4 [] | Section: Marital History |
You said your marital status was [marital status at start of unmarried gap] as of [Start date of marriage gap([cohabitation loop])~X], and you were not married, reunited or remarried between [Start date of marriage gap([cohabitation loop])~X] and [End date of marriage gap([cohabitation loop])~X]. During that period, did you live with any partner for at least three months?
(INTERVIEWER: PLEASE NOTE THIS QUESTION ASKS ABOUT THE SPECIFIC REFERENCE PERIOD OF BETWEEN [Start date of marriage gap([cohabitation loop])~X] AND [End date of marriage gap([cohabitation loop])~X], NOT SINCE [Date of last interview] AS IN Q2-CH-2.)
| Q2-CH-5 [] | Section: Marital History |
When did you start living with this partner between [Start date of marriage gap([cohabitation loop])~X] and [End date of marriage gap([cohabitation loop])~X]?
(INTERVIEWER: IF R WAS LIVING WITH PARTNER AT LAST INTERVIEW, PLEASE ENTER DATE OF LAST INTERVIEW.)
| Q2-CH-6 [] | Section: Marital History |
Since [q2-ch-5_date~X], [(have/did) you live(d)] continuously with that partner until [End date of marriage gap([cohabitation loop])~X], or did you ever stop living with that partner?
| | 1 Stopped living with that partner |
| | 2 Have lived with that partner continuously ...(Go To Q2-CH-LOOP-END) |
| Q2-CH-7 [] | Section: Marital History |
When did you stop living with that partner between [q2-ch-5_date~X] and [End date of marriage gap([cohabitation loop])~X]?
| Q2-CH-7A [] | Section: Marital History |
VAREXIST ([marital status change (code)([index for subsequent cohab loop])])
COMMENT: Is there a subsequent marital status on the roster?
If Answer = 1 Then Go To Q2-CH-7B
| Q2-CH-7B [] | Section: Marital History |
([marital status change (code)([index for subsequent cohab loop])] == 1 || [marital status change (code)([index for subsequent cohab loop])] == 5)
COMMENT: Is last marital status "married" or "remarried"?
If Answer = 1 Then Go To Q2-CH-7C
| Q2-CH-7C [] | Section: Marital History |
Is this the same partner that you [marital status change (text)([index for subsequent cohab loop])] in [mo/yr of unmarried gaps([index for subsequent cohab loop])~X]?
| Q2-CH-3_2G [] | Section: Marital History |
DATE2DAY([End date of marriage gap([cohabitation loop])]) - DATE2DAY([mo/day/yr stopped living with partner]) >= 90
COMMENT: Is remainder of the gap greater than 3 months in duration?
If Answer = 1 Then Go To Q2-CH-4_2G
| Q2-CH-4_2G [] | Section: Marital History |
You said you stopped living with that domestic partner in [q2-ch-7_date~X]. Between [q2-ch-7_date~X] and [End date of marriage gap([cohabitation loop])~X], did you live with any other partner for at least three months?
| Q2-CH-5_2G [] | Section: Marital History |
When did you start living with another partner between [q2-ch-7_date~X] and [End date of marriage gap([cohabitation loop])~X]?
| Q2-CH-6_2G [] | Section: Marital History |
Since [q2-ch-5_date2g~X], [(have/did) you live(d)] continuously with that partner until [End date of marriage gap([cohabitation loop])~X], or did you ever stop living with that partner?
| | 1 Stopped living with that partner |
| | 2 Have lived with that partner continuously ...(Go To Q2-CH-LOOP-END) |
| Q2-CH-7_2G [] | Section: Marital History |
When did you stop living with that partner between [q2-ch-5_date2g~X] and [End date of marriage gap([cohabitation loop])~X]?
| Q2-CH-7A_2G [] | Section: Marital History |
VAREXIST ([marital status change (code)([index for subsequent cohab loop])])
COMMENT: Is there a subsequent marital status on roster?
If Answer = 1 Then Go To Q2-CH-7B_2G
| Q2-CH-7B_2G [] | Section: Marital History |
([marital status change (code)([index for subsequent cohab loop])] == 1 || [marital status change (code)([index for subsequent cohab loop])] == 5)
COMMENT: Is last marital status "married" or "remarried"?
If Answer = 1 Then Go To Q2-CH-7C_2G
| Q2-CH-7C_2G [] | Section: Marital History |
Is this the same partner that you [marital status change (text)([index for subsequent cohab loop])] in [mo/yr of unmarried gaps([index for subsequent cohab loop])~X]?
| Q2-CH-LOOP-END [] | Section: Marital History |
UNTIL ([cohabitation loop]==[# unmarried gaps])
COMMENT: Execute loop until all gaps in marital cohabitation accounted for
| Q2-6C [] | Section: Marital History |
([r remarried since dli (new spouse)?]+[r married since dli (new spouse)?]) > 0
COMMENT: R reported a new spouse sometime since DLI?
If Answer = 1 Then Go To Q2-6H
| Q2-6H [] | Section: Marital History |
{new_spouse} == 1 && {paflag} == 0
COMMENT: New spouse was reported at some time since DLI, and R is not currently living with a partner?
If Answer = 0 Then Go To Q2-10A
| Q2-7 [] | Section: Marital History |
When was your (most recent) [Husband/Wife] born?
| Q2-10A [] | Section: Marital History |
{paflag} == 1
COMMENT: Is there a partner listed on the household roster
If Answer = 1 Then Go To Q2-10B
| Q2-10B [] | Section: Marital History |
When was [partner's name] born?
| SPARMAR-1 [] | Section: Marital History |
{spflag} ==1 || {marcode}==1 || {marcode}==5 || {paflag} == 1
COMMENT: Does R have new current spouse in or out of household or a partner listed on the household roster?
If Answer = 0 Then Go To SPARRACE-1A
| SPARMAR-1_D [] | Section: Marital History |
([spouse in hh?] ==1) || ([partner in hh?]== 1) || ([marital status code]==1) || ([marital status code]==5)
COMMENT: Does R have current spouse or partner?
If Answer = 0 Then Go To SPARRACE-1A
| SP_REL-1 [] | Section: Marital History |
Now, a few questions about [Spouse/partner's name]'s religious background.
First, in what religion was [Spouse/partner's name] raised?
| | 1 PROTESTANT |
| | 11 CHRISTIAN, NO DENOMINATION GIVEN |
| | 12 NON-DENOMINATIONAL OR NO DENOMINATION KNOWN |
| | 2 BAPTIST |
| | 3 ESPISCOPALIAN |
| | 4 LUTHERAN |
| | 5 METHODIST |
| | 6 PRESBYTERIAN |
| | 7 ROMAN CATHOLIC |
| | 8 JEWISH |
| | 9 OTHER (SPECIFY) |
| | 10 NONE, NO RELIGION |
| SP_REL-1_CHK1 [] | Section: Marital History |
{sp_rel-1}
If Answer = 1 Then Go To SP_REL-1_A3_2
If Answer = 7 Then Go To SP_REL-2
If Answer = 8 Then Go To SP_REL-1_B1
If Answer = 9 Then Go To SP_REL-1_A1
If Answer = 10 Then Go To SP_REL-2
If Answer = 11 Then Go To SP_REL-1_A2
If Answer = 12 Then Go To SP_REL-1_A1
| SP_REL-1_A1 [] | Section: Marital History |
INTERVIEWER: R REPORTED [Spouse/partner's name]'S RELIGION RAISED IN AS [religion spouse/partner raised in]. IF OBVIOUS, ENTER CODE BELOW. OTHERWISE, ASK:
Would that be a Christian church?
| SP_REL-1_A2 [] | Section: Marital History |
Would you consider that a Protestant church?
| SP_REL-1_A3_1A [] | Section: Marital History |
Just to clarify, what specific denomination of [religion spouse/partner raised in] was that, if any?
| SP_REL-1_A3_2 [] | Section: Marital History |
What specific denomination was that, if any?
| | 2 BAPTIST |
| | 3 ESPISCOPALIAN |
| | 4 LUTHERAN |
| | 5 METHODIST |
| | 6 PRESBYTERIAN |
| | 9 OTHER (SPECIFY) |
| | 12 NON-DENOMINATIONAL OR NO DENOMINATION KNOWN |
| SP_REL-1_A3_2A [] | Section: Marital History |
Just to clarify, what specific denomination of [religion spouse/partner raised in] is that, if any?
| SP_REL-1_B1 [] | Section: Marital History |
Did [Spouse/partner's name] consider [himself_herself] Orthodox, Conservative, Reform or none of these?
| | 1 Orthodox |
| | 2 Conservative |
| | 3 Reform |
| | 4 None of these |
| | 5 Other (specify) |
| SP_REL-2 [] | Section: Marital History |
What is [Spouse/partner's name]'s present religion, if any?
| | 1 PROTESTANT |
| | 11 CHRISTIAN, NO DENOMINATION GIVEN |
| | 12 NON-DENOMINATIONAL OR NO DENOMINATION KNOWN |
| | 2 BAPTIST |
| | 3 ESPISCOPALIAN |
| | 4 LUTHERAN |
| | 5 METHODIST |
| | 6 PRESBYTERIAN |
| | 7 ROMAN CATHOLIC |
| | 8 JEWISH |
| | 9 OTHER (SPECIFY) |
| | 10 NONE, NO RELIGION |
| SP_REL-2_CHK1 [] | Section: Marital History |
{sp_rel-2}
If Answer = 1 Then Go To SP_REL-2_A3_2
If Answer = 7 Then Go To SP_REL-3
If Answer = 8 Then Go To SP_REL-2_B1
If Answer = 9 Then Go To SP_REL-2_A1
If Answer = 10 Then Go To SP_REL-3
If Answer = 11 Then Go To SP_REL-2_A2
If Answer = 12 Then Go To SP_REL-2_A1
| SP_REL-2_A1 [] | Section: Marital History |
INTERVIEWER: R REPORTED [Spouse/partner's name]'S PRESENT RELIGION AS [spouse/partner's present religion]. IF OBVIOUS, ENTER CODE BELOW. OTHERWISE, ASK:
Would that be a Christian church?
| SP_REL-2_A2 [] | Section: Marital History |
Would you consider that a Protestant church?
| SP_REL-2_A3_1A [] | Section: Marital History |
Just to clarify, what specific denomination of [spouse/partner's present religion] is that, if any?
| SP_REL-2_A3_2 [] | Section: Marital History |
What specific denomination is that, if any?
| | 2 BAPTIST |
| | 3 ESPISCOPALIAN |
| | 4 LUTHERAN |
| | 5 METHODIST |
| | 6 PRESBYTERIAN |
| | 9 OTHER (SPECIFY) |
| | 12 NON-DENOMINATIONAL OR NO DENOMINATION KNOWN |
| SP_REL-2_A3_2A [] | Section: Marital History |
Just to clarify, what specific denomination of [spouse/partner's present religion] is that, if any?
| SP_REL-2_B1 [] | Section: Marital History |
Does [Spouse/partner's name] consider [himself_herself] Orthodox, Conservative, Reform or none of these?
| | 1 Orthodox |
| | 2 Conservative |
| | 3 Reform |
| | 4 None of these |
| | 5 Other (specify) |
| SP_REL-3 [] | Section: Marital History |
In the past year, about how often has [Spouse/partner's name] attended religious services? More than once a week, about once a week, two or three times a month, about once a month, several times or less during the year, or not at all?
| | 1 More than once a week |
| | 2 About once a week |
| | 3 Two or three times a month |
| | 4 About once a month |
| | 5 Several times a year or less |
| | 6 Not at all |
| SPARMAR-1D [] | Section: Marital History |
{new_spouse}==1 || {paflag}==1
COMMENT: Is the spouse in the household new since dli or partner in household?
If Answer = 0 Then Go To SPARRACE-1A
| SPARMAR-2 [] | Section: Marital History |
Now I have just a few more short questions about whether [Spouse/partner's name] has had any other marriages.
These questions are not meant to be intrusive in any way. This information is important in understanding the life experiences of your generation of Americans. Please let me remind you that your answers are kept confidential, as with all information you provide us in this survey.
First, has [spouse/partner] ever been married before?
(INTERVIEWER: PLEASE RECORD ONLY LEGALLY RECOGNIZED MARRIAGES.)
If Answer = -1 Then Go To SPARRACE-1A
| SPARMAR-3 [] | Section: Marital History |
{sparmar_text1} how many other times has {mar_text} been married?
(INTERVIEWER: PLEASE RECORD ONLY LEGALLY RECOGNIZED MARRIAGES. ENTER NUMBER. ENTER 0 FOR "NEVER MARRIED".)
| | 0 0 ...(Go To SPARRACE-1A) |
| | 1 1 |
| | 2 2 |
| | 3 3 |
| | 4 4 |
| | 5 5 |
| | 6 6 |
| | 7 7 |
| | 8 8 |
| | 9 9 |
| | 10 10 |
| SPARMAR-4 [] | Section: Marital History |
How old was [spouse/partner] when [S/HE] first married?
| SPARMAR-5 [] | Section: Marital History |
Thinking about [Spouse/partner's name]'s (most recent) previous marriage, how long did that marriage last?
(INTERVIEWER: ENTER TIME UNIT OF ANSWER BELOW. PRESS <ENTER> TO ENTER NUMBER OF WEEKS, MONTHS OR YEARS.)
| SPARMAR-5A [] | Section: Marital History |
(Thinking about [Spouse/partner's name]'s (most recent) previous marriage, how long did that marriage last?)
(INTERVIEWER: ENTER NUMBER OF WEEKS.)
| SPARMAR-5B [] | Section: Marital History |
(Thinking about [Spouse/partner's name]'s (most recent) previous marriage, how long did that marriage last?)
(INTERVIEWER: ENTER NUMBER OF MONTHS.)
| SPARMAR-5C [] | Section: Marital History |
(Thinking about [Spouse/partner's name]'s (most recent) previous marriage, how long did that marriage last?)
(INTERVIEWER: ENTER NUMBER OF YEARS.)
| SPARMAR-6 [] | Section: Marital History |
How did that marriage end?
| | 1 Divorce |
| | 2 Widowed |
| | 3 Annulment |
| | 4 Has not ended |
| SPARRACE-1A [] | Section: Marital History |
FOR ([loop for spouses/partners race]=1; [loop for spouses/partners race]<= [SPARHISTORY~R]; [loop for spouses/partners race]= [loop for spouses/partners race]+1;
[SPARRACEEND])
| SPARRACE-1C [] | Section: Marital History |
{*SPARHISTORY.RACEQSFLAG({RACELOOP})*}
If Answer = 1 Then Go To SPARRACEEND
| SPARRACE-1 [] | Section: Marital History |
Is [SPARHISTORY.NAME([loop for spouses/partners race])] Hispanic, Latino, or of Spanish origin?
(INTERVIEWER: MAY INCLUDE PAST SPOUSES AND/OR PARTNERS. SOME PAST SPOUSE/PARTNER NAMES MAY BE LISTED LAST NAME FIRST.)
| SPARRACE-2 [] | Section: Marital History |
What race or races does [SPARHISTORY.NAME([loop for spouses/partners race])] consider [him/her]self to be?
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY. CODE ALL RESPONSES INTO THE FOLLOWING CATEGORIES:)
| | 1 White |
| | 2 Black or African American |
| | 3 Asian |
| | 4 Native Hawaiian or other Pacific Islander |
| | 5 American Indian or Alaska Native |
| | 6 Some other race (specify) |
| | 7 Respondent refuses to classify spouse/partner race except as Hispanic/Latino |
| SPARRACEEND [] | Section: Marital History |
ENDFOR
| Q2-48 [] | Section: Marital History |
INTERVIEWER: DID RESPONDENT CONSULT WITH ANYONE ELSE WHEN ANSWERING ANY OF THE QUESTIONS IN THIS SECTION?
| | 1 R ANSWERED ALL QUESTIONS ON OWN |
| | 2 R ANSWERED IN CONSULTATION WITH PARTNER/SPOUSE |
| | 3 R USED SPOUSE/PARTNER'S ANSWERS ONLY |
| Q2-CHK-MOCK-ID [] | Section: Marital History |
{caseid} >= 555501 && {caseid} <= 555530
COMMENT: SKIP BASED ON R GENDER
If Answer = 1 Then Go To Q2-GO2_FERT
| Q2-GO2_FERT [] | Section: Marital History |
INTERVIEWER: DO YOU WANT TO GO STRAIGHT TO THE FERTILITY SECTION?
| Q3-B [] | Section: Regular Schooling |
Now I would like to ask you some questions about school.....
First I would like to ask you about regular school, such as high school, college, or graduate school. By regular school we mean school which can be counted toward a high school diploma or a bachelor or graduate degree. Later in the interview I'll be asking about other types of schools and training programs.
| Q3-1 [] | Section: Regular Schooling |
At any time since [Date of last interview], have you attended or been enrolled in regular school?
(READ IF NECESSARY:)--that is, in an elementary school, a middle school, a high school, a college, or a graduate school?
| | 1 YES ...(Go To Q3-1A) |
| | 0 NO |
| Default Next: | Q3-4 |
| Lead-In: | Q3-B [Default] |
| Q3-1A [] | Section: Regular Schooling |
Since [LINTDATE4~X], in which months were you attending regular school? (If you were attending regular school at all during the month, count it as a month attending school.)
(INTERVIEWER: PLEASE SCROLL THROUGH LIST BELOW AND CHOOSE ALL MONTHS IN 2012, 2013 AND 2014 THAT APPLY.)
| | 1 JANUARY 2012 |
2 FEBRUARY 2012 |
3 MARCH 2012 |
| | 4 APRIL 2012 |
5 MAY 2012 |
6 JUNE 2012 |
| | 7 JULY 2012 |
8 AUGUST 2012 |
9 SEPTEMBER 2012 |
| | 10 OCTOBER 2012 |
11 NOVEMBER 2012 |
12 DECEMBER 2012 |
| | 13 JANUARY 2013 |
14 FEBRUARY 2013 |
15 MARCH 2013 |
| | 16 APRIL 2013 |
17 MAY 2013 |
18 JUNE 2013 |
| | 19 JULY 2013 |
20 AUGUST 2013 |
21 SEPTEMBER 2013 |
| | 22 OCTOBER 2013 |
23 NOVEMBER 2013 |
24 DECEMBER 2013 |
| | 25 JANUARY 2014 |
26 FEBRUARY 2014 |
27 MARCH 2014 |
| | 28 APRIL 2014 |
29 MAY 2014 |
30 JUNE 2014 |
| | 31 JULY 2014 |
32 AUGUST 2014 |
33 SEPTEMBER 2014 |
| | 34 OCTOBER 2014 |
35 NOVEMBER 2014 |
36 DECEMBER 2014 |
| | 37 JANUARY 2015 |
38 FEBRUARY 2015 |
39 MARCH 2015 |
| | 40 APRIL 2015 |
41 MAY 2015 |
42 JUNE 2015 |
| | 43 JULY 2015 |
44 AUGUST 2015 |
45 SEPTEMBER 2015 |
| | 46 OCTOBER 2015 |
47 NOVEMBER 2015 |
48 DECEMBER 2015 |
| Q3-1B [] | Section: Regular Schooling |
Are you currently attending or enrolled in regular school?
| | 1 YES ...(Go To Q3-1C) |
| | 0 NO |
| Q3-1C [] | Section: Regular Schooling |
What grade or year of regular school are you attending or enrolled in?
| | 1 1ST GRADE |
2 2ND GRADE |
| | 3 3RD GRADE |
4 4TH GRADE |
| | 5 5TH GRADE |
6 6TH GRADE |
| | 7 7TH GRADE |
8 8TH GRADE |
| | 9 9TH GRADE |
10 10TH GRADE |
| | 11 11TH GRADE |
12 12TH GRADE |
| | 13 1ST YEAR COLLEGE |
14 2ND YEAR COLLEGE |
| | 15 3RD YEAR COLLEGE |
16 4TH YEAR COLLEGE |
| | 17 5TH YEAR COLLEGE |
18 6TH YEAR COLLEGE |
| | 19 7TH YEAR COLLEGE |
20 8TH YEAR COLLEGE OR MORE |
| | 95 UNGRADED |
| Q3-2A_VERBATIM [] | Section: Regular Schooling |
What is the main reason you left at that time?
(IF MORE THAN ONE REASON GIVEN, PROBE:) What is the one main reason?
| Q3-2A [] | Section: Regular Schooling |
| | 1 RECEIVED DEGREE, COMPLETED COURSE WORK |
| | 2 GETTING MARRIED |
| | 3 PREGNANCY |
| | 4 OTHER REASONS DIDN'T LIKE SCHOOL |
| | 5 LACK OF ABILITY, POOR GRADES |
| | 6 HOME RESPONSIBILITIES |
| | 7 OFFERED GOOD JOB, CHOSE TO WORK |
| | 8 COULDN'T AFFORD TO GO - FINANCIAL DIFFICULTIES |
| | 9 ENTERED MILITARY |
| | 10 EXPELLED OR SUSPENDED |
| | 11 SCHOOL TOO DANGEROUS |
| | 12 MOVED AWAY FROM SCHOOL |
| | 13 OTHER (SPECIFY) |
| Q3-3 [] | Section: Regular Schooling |
What is the highest grade of regular school you have ever attended?
| | 1 1ST GRADE |
2 2ND GRADE |
| | 3 3RD GRADE |
4 4TH GRADE |
| | 5 5TH GRADE |
6 6TH GRADE |
| | 7 7TH GRADE |
8 8TH GRADE |
| | 9 9TH GRADE |
10 10TH GRADE |
| | 11 11TH GRADE |
12 12TH GRADE |
| | 13 1ST YEAR COLLEGE |
14 2ND YEAR COLLEGE |
| | 15 3RD YEAR COLLEGE |
16 4TH YEAR COLLEGE |
| | 17 5TH YEAR COLLEGE |
18 6TH YEAR COLLEGE |
| | 19 7TH YEAR COLLEGE |
20 8TH YEAR COLLEGE OR MORE |
| | 95 UNGRADED |
| Q3-4 [] | Section: Regular Schooling |
What is the highest grade or year of regular school that you have completed and gotten credit for?
| | 1 1ST GRADE |
2 2ND GRADE |
| | 3 3RD GRADE |
4 4TH GRADE |
| | 5 5TH GRADE |
6 6TH GRADE |
| | 7 7TH GRADE |
8 8TH GRADE |
| | 9 9TH GRADE |
10 10TH GRADE |
| | 11 11TH GRADE |
12 12TH GRADE |
| | 13 1ST YEAR COLLEGE |
14 2ND YEAR COLLEGE |
| | 15 3RD YEAR COLLEGE |
16 4TH YEAR COLLEGE |
| | 17 5TH YEAR COLLEGE |
18 6TH YEAR COLLEGE |
| | 19 7TH YEAR COLLEGE |
20 8TH YEAR COLLEGE OR MORE |
| | 95 UNGRADED |
| Q3-4A [] | Section: Regular Schooling |
{enrolled}==1
COMMENT: Did r attend since DLI but not currently attending
If Answer = 1 Then Go To Q3-7
| Q3-5C [] | Section: Regular Schooling |
{Q3-4}
COMMENT: What is the highest grade R has attended since last interview?
If Answer >= 1 AND Answer <= 8 Then Go To Q3-10C_CHK0
If Answer >= 9 AND Answer <= 12 Then Go To Q3-7
If Answer = 13 Then Go To Q3-7
If Answer >= 14 AND Answer <= 20 Then Go To Q3-7
If Answer = 95 Then Go To Q3-10C_CHK0
| Q3-7 [] | Section: Regular Schooling |
{diplomaged} ==1
COMMENT: Did R have a HS diploma or GED at the date of last interview?
If Answer = 1 Then Go To Q3-9
| Q3-8 [] | Section: Regular Schooling |
Do you have a high school diploma or have you ever passed a high school equivalency or GED test?
| | 1 YES ...(Go To Q3-8A) |
| | 0 NO |
| Q3-8A [] | Section: Regular Schooling |
Which do you have, a high school diploma or a GED?
| | 1 High school diploma ...(Go To Q3-8C) |
| | 2 GED ...(Go To Q3-8B) |
| | 3 (IF VOLUNTEERED:) BOTH ...(Go To Q3-8C) |
| Q3-8B [] | Section: Regular Schooling |
When did you receive your GED?
| Q3-8C [] | Section: Regular Schooling |
When did you receive your high school diploma?
| Q3-9 [] | Section: Regular Schooling |
(([R currently enrolled in school?]==1) && ([Is respondent currently attending or enrolled in school? (not used in text)]==0))
COMMENT: Did R attend since DLI but not currently attending
If Answer = 1 Then Go To Q3-10A
| Q3-10A [] | Section: Regular Schooling |
Since [Date of last interview], have you obtained any kind of academic degree, for example, an associate's degree or any other type of college degree?
| Q3-10B [] | Section: Regular Schooling |
What is the name of the highest degree you have received since [Date of last interview]?
| | 0 None |
| | 1 High school diploma (or equivalent) |
| | 2 Associate/Junior College (AA) |
| | 3 Bachelor of Arts Degree (BA) |
| | 4 Bachelor of Science (BS) |
| | 5 Master's Degree (MA, MBA, MS, MSW) |
| | 6 Doctoral Degree (PhD) |
| | 7 Professional Degree (MD, LLD, DDS) |
| | 8 Other (SPECIFY) |
| Q3-10C [] | Section: Regular Schooling |
In what month and year did you complete that degree?
| Q3-10C_CHK0 [] | Section: Regular Schooling |
{lint_rnd} >= 23 && {hgcever} >= 0
COMMENT: Did R attend since DLI but not currently attending
If Answer = 1 Then Go To Q3-11
| Q3-10D [] | Section: Regular Schooling |
What is the name of the highest degree you have ever received?
(INTERVIEWER: IF NECESSARY, EXPLAIN THAT A HIGH SCHOOL DIPLOMA IS CONSIDERED A DEGREE.)
| | 0 None ...(Go To Q3-10E_CHK1) |
| | 1 High school diploma (or equivalent) |
| | 2 Associate/Junior College (AA) |
| | 3 Bachelor of Arts Degree (BA) |
| | 4 Bachelor of Science (BS) |
| | 5 Master's Degree (MA, MBA, MS, MSW) |
| | 6 Doctoral Degree (PhD) |
| | 7 Professional Degree (MD, LLD, DDS) |
| | 8 Other (SPECIFY) |
| Q3-10E [] | Section: Regular Schooling |
In what month and year did you complete that degree?
| Q3-10E_CHK1 [] | Section: Regular Schooling |
{q3-skip1}==1
COMMENT: Did R attend since DLI but not currently attending
If Answer = 1 Then Go To Q4-C
| Q3-11 [] | Section: Regular Schooling |
(([R currently enrolled in school?] == 1) && ([Grade or year of school respondent currently attending or enrolled in (not used in text)] >= 13)) || (([R currently enrolled in school?] == 1) && ([Highest grade ever attended?] >= 13))
COMMENT: Has R attended grade 13 or higher since the date of last interview?
If Answer = 1 Then Go To Q3-13
| Q3-13 [] | Section: Regular Schooling |
Now, I would like to ask you about all of the degree-granting colleges or universities you have attended since [Date of last interview].
Let's start with the most recent first.
| Q3-13A [] | Section: Regular Schooling |
VAREXIST([college attending at dli (initial on info sheet)])
COMMENT: Is there a university on the info sheet to match against?
If Answer = 1 Then Go To Q3-13B
| Q3-13B [] | Section: Regular Schooling |
We have [college attending at dli (initial on info sheet)] as the university you were attending on [Date of last interview]. Is this correct?
| Q3-13C [] | Section: Regular Schooling |
INTERVIEWER: ENTER THE CORRECT UNIVERSITY R ATTENDED ON [Date of last interview] BELOW. IF R ATTENDED NO UNIVERSITY ON [Date of last interview],
PRESS <SPACE BAR> ONCE AND THEN SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q3-14A-LOOP-BEGIN [] | Section: Regular Schooling |
REPEAT
COMMENT: Begin loop about schools attended
| Q3-14BB [] | Section: Regular Schooling |
VAREXIST([University or college attended at date of last interview (with employer update during survey)])
COMMENT: Is there a university on the info sheet to match against?
If Answer = 1 Then Go To Q3-14C
| Q3-14C [] | Section: Regular Schooling |
Is [Name of college or university respondent attended([sch-loop1 counter])] the same college or university that you (are currently attending/have most recently attended)?
| | 1 YES ...(Go To Q3-17) |
| | 0 NO |
| Q3-14CC [] | Section: Regular Schooling |
What is the name of the [first /next([sch-loop1 counter])] college or university you attended since [Date of last interview]?
| Q3-17 [] | Section: Regular Schooling |
Where is this school located? What is the town or city?
(INTERVIEWER NOTE: ENTER TOWN OR CITY.)
| Q3-18 [] | Section: Regular Schooling |
(INTERVIEWER: IS THIS SCHOOL LOCATED IN THE U.S.?)
| | 1 YES |
| | 0 NO ...(Go To Q3-20) |
| Q3-19 [] | Section: Regular Schooling |
What is the state?
| | 1 ALABAMA |
2 ALASKA |
4 ARIZONA |
| | 5 ARKANSAS |
6 CALIFORNIA |
8 COLORADO |
| | 9 CONNECTICUT |
10 DELAWARE |
11 DISTRICT OF COLUMBIA |
| | 12 FLORIDA |
13 GEORGIA |
15 HAWAII |
| | 16 IDAHO |
17 ILLINOIS |
18 INDIANA |
| | 19 IOWA |
20 KANSAS |
21 KENTUCKY |
| | 22 LOUISIANA |
23 MAINE |
24 MARYLAND |
| | 25 MASSACHUSETTS |
26 MICHIGAN |
27 MINNESOTA |
| | 28 MISSISSIPPI |
29 MISSOURI |
30 MONTANA |
| | 31 NEBRASKA |
32 NEVADA |
33 NEW HAMPSHIRE |
| | 34 NEW JERSEY |
35 NEW MEXICO |
36 NEW YORK |
| | 37 NORTH CAROLINA |
38 NORTH DAKOTA |
39 OHIO |
| | 40 OKLAHOMA |
41 OREGON |
42 PENNSYLVANIA |
| | 44 RHODE ISLAND |
45 SOUTH CAROLINA |
46 SOUTH DAKOTA |
| | 47 TENNESSEE |
48 TEXAS |
49 UTAH |
| | 50 VERMONT |
51 VIRGINIA |
53 WASHINGTON |
| | 54 WEST VIRGINIA |
55 WISCONSIN |
56 WYOMING |
| | 60 AMERICAN SAMOA |
61 CANAL ZONE |
62 CANTON AND ENDERBURY ISLANDS |
| | 66 GUAM |
67 JOHNSTON ATOLL |
71 MIDWAY ISLANDS |
| | 72 PUERTO RICO |
73 RYUKYU ISLANDS, SOUTHERN |
74 SWAN ISLANDS |
| | 75 TRUST TERRITORIES OF PACIFIC |
76 U.S. MISCELLANEOUS CARIBBEAN |
77 U.S. MISCELLANEOUS PACIFIC ISLANDS |
| | 78 VIRGIN ISLANDS |
79 WAKE ISLAND |
0 OTHER (SPECIFY) |
| Q3-20 [] | Section: Regular Schooling |
What is the country?
| Q3-21 [] | Section: Regular Schooling |
(Is/Was) [Name of college or university respondent attended([sch-loop1 counter])] a 2-year or 4-year school?
| Q3-22 [] | Section: Regular Schooling |
When did you first attend or enroll in this (college/university)?
| Q3-23 [] | Section: Regular Schooling |
What (is/was) your field of study at [Name of college or university respondent attended([sch-loop1 counter])]?
(PROBE IF NECESSARY:) What (are/were) you majoring in?
| Q3-24 [] | Section: Regular Schooling |
(Does/Did) [Name of college or university respondent attended([sch-loop1 counter])] consider you a full-time or part-time student?
(IF DON'T KNOW, PROBE:) What (do/did) you consider yourself?
| Q3-25 [] | Section: Regular Schooling |
What (is/was) the total number of credit hours you (have) ever earned at [Name of college or university respondent attended([sch-loop1 counter])]?
| Q3-26 [] | Section: Regular Schooling |
Since [Date of last interview], did you receive a loan to cover any of the costs for your college expenses at [Name of college or university respondent attended([sch-loop1 counter])]?
| | 1 YES ...(Go To Q3-27) |
| | 0 NO |
| Q3-27 [] | Section: Regular Schooling |
How much was the total dollar value of all the loans you have received for your college expenses at [Name of college or university respondent attended([sch-loop1 counter])] since [Date of last interview]?
| Q3-28 [] | Section: Regular Schooling |
Are you currently attending or enrolled in [Name of college or university respondent attended([sch-loop1 counter])]?
| | 1 YES |
| | 0 NO ...(Go To Q3-29) |
| Q3-29 [] | Section: Regular Schooling |
When did you last attend [Name of college or university respondent attended([sch-loop1 counter])]?
(INTERVIEWER: DATE FIRST ATTENDED: [Month/year respondent first attended university or college, if different from that listed at date of last interview([sch-loop1 counter])].)
| Q3-30 [] | Section: Regular Schooling |
Have you attended any other college or university since [Date of last interview]?
| Q3-31-LOOP-END [] | Section: Regular Schooling |
UNTIL([Did R attend any other schools?] ==0)
VAREXIST([military branch code at date of last interview (initial on info sheet)])
COMMENT: Was R enlisted in the military at date of last interview?
If Answer = 1 Then Go To Q4-D
([military branch code at date of last interview (initial on info sheet)] > 0)
COMMENT: Was R enlisted in the military at date of last interview?
If Answer = 1 Then Go To Q4-1B
| Q4-1B [] | Section: Military |
And now I'd like to ask some questions about military service.
When we talked to you on [Date of last interview], you were serving in the [military branch name at date of last interview (initial on info sheet)]. Is that correct?
| | 1 YES |
| | 0 NO ...(Go To Q4-2) |
What branch of the military were you serving in on [Date of last interview]?
| | 0 None ...(Go To Q4-8) |
| | 1 Army |
| | 2 Navy |
| | 3 Air Force |
| | 4 Marine Corps |
| | 11 Coast Guard |
| | 5 Army Reserves |
| | 6 Navy Reserves |
| | 7 Air Force Reserves |
| | 8 Marine Corps Reserves |
| | 12 Coast Guard Reserves |
| | 9 Air National Guard |
| | 10 Army National Guard |
| | 13 Other (SPECIFY) |
Are you currently serving in the [branch of military name at dli (possible update during survey)]?
| | 1 YES ...(Go To Q4-4A) |
| | 0 NO |
| Q4-4A [] | Section: Military |
{Q4-3} ==1
COMMENT: Was R in active forces during this time? This save index also takes into account a change in the military info sheet item.
If Answer = 1 Then Go To Q4-4B
| Q4-4B [] | Section: Military |
INTERVIEWER: DRAW A LINE ON ROW A OF CALENDAR FROM [Date of last interview] TO [CURDATE~X].
What is your current pay grade?
| | 0 ENLISTED, DON'T KNOW GRADE |
| | 1 E01 |
| | 2 E02 |
| | 3 E03 |
| | 4 E04 |
| | 5 E05 |
| | 6 E06 |
| | 7 E07 |
| | 8 E08 |
| | 9 E09 |
| | 10 OFFICER, DON'T KNOW GRADE |
| | 11 O01 |
| | 12 O02 |
| | 13 O03 |
| | 14 O04 |
| | 20 WARRANT OFFICER, DON'T KNOW GRADE |
| | 21 W01 |
| | 22 W02 |
| | 23 W03 |
| | 24 W04 |
| Q4-5A [] | Section: Military |
([r enlisted in active military at dli?]==1) && ([r currently serving in dli branch of military?]==1)
COMMENT: CHECK IF R CURRENTLY SERVING IN ACTIVE MILITARY FORCES
If Answer = 1 Then Go To Q4-5B
| Q4-5B [] | Section: Military |
Now I would like to get some information on any other employers you may have worked for since [Date of last interview].
| Q4-5C [] | Section: Military |
([r currently serving in dli branch of military?]==0) && ([r enlisted in active military at dli?]==1)
COMMENT: Check if R was in active forces but is not currently serving
If Answer = 1 Then Go To Q4-6A
| Default Next: | Q4-6 |
| Lead-In: | Q4-4 [Default] |
We'd like to ask you a few questions about your service in the [branch of military name at dli (possible update during survey)] since [Date of last interview]. In what month and year did you separate from the [branch of military name at dli (possible update during survey)]?
| Q4-6A [] | Section: Military |
We'd like to ask you a few questions about your service in the [branch of military name at dli (possible update during survey)] since [Date of last interview]. On what day did you separate?
(INTERVIEWER: ENTER DATE HERE)
What was your pay grade when you left the [branch of military name at dli (possible update during survey)]?
| | 0 ENLISTED, DON'T KNOW GRADE |
| | 1 E01 |
| | 2 E02 |
| | 3 E03 |
| | 4 E04 |
| | 5 E05 |
| | 6 E06 |
| | 7 E07 |
| | 8 E08 |
| | 9 E09 |
| | 10 OFFICER, DON'T KNOW GRADE |
| | 11 O01 |
| | 12 O02 |
| | 13 O03 |
| | 14 O04 |
| | 20 WARRANT OFFICER, DON'T KNOW GRADE |
| | 21 W01 |
| | 22 W02 |
| | 23 W03 |
| | 24 W04 |
Since [Date of last interview] have you been sworn into any (other) branch of the Armed Services, including the National Guard, the Reserves, or a Delayed Entry Program?
| | 1 YES ...(Go To Q4-9) |
| | 0 NO |
Which branch were you sworn into?
(IF MORE THAN ONE, PROBE FOR MOST RECENT BRANCH.)
| | 1 ARMY |
| | 2 NAVY |
| | 3 AIR FORCE |
| | 4 MARINE CORPS |
| | 11 COAST GUARD |
| | 5 ARMY RESERVES |
| | 6 NAVY RESERVES |
| | 7 AIR FORCE RESERVES |
| | 8 MARINE CORPS RESERVES |
| | 12 COAST GUARD RESERVES |
| | 9 AIR NATIONAL GUARD |
| | 10 ARMY NATIONAL GUARD |
| | 13 OTHER (SPECIFY) |
| Q4-9A-A [] | Section: Military |
[Q4-9]
COMMENT: save answer as milcode
If Answer = 1 Then Go To Q4-9A
If Answer = 2 Then Go To Q4-9B
If Answer = 3 Then Go To Q4-9A
If Answer = 4 Then Go To Q4-9B
If Answer = 11 Then Go To Q4-9B
| Q4-9A [] | Section: Military |
Was that the regular [Text of branch of military], the [Text of branch of military] Reserves, or the [Text of branch of military] National Guard?
| Q4-9A1 [] | Section: Military |
INTERVIEWER: PROBE FOR AND SELECT THE MOST RECENT BRANCH OF THE [Text of branch of military].
| | 1 Regular ...(Go To Q4-10) |
| | 2 Reserves ...(Go To Q4-10) |
| | 3 Guard ...(Go To Q4-10) |
| | 4 BOTH |
| Q4-9B [] | Section: Military |
Was that the regular [Text of branch of military] or the [Text of branch of military] Reserves?
| Q4-9B1 [] | Section: Military |
INTERVIEWER: PROBE FOR AND SELECT THE MOST RECENT BRANCH OF THE [Text of branch of military].
| | 1 Regular ...(Go To Q4-10) |
| | 2 Reserves ...(Go To Q4-10) |
| | 4 BOTH |
| Q4-10 [] | Section: Military |
Are you currently serving in the [Text of branch of military]?
| | 1 YES ...(Go To Q4-11) |
| | 0 NO |
| Default Next: | Q4-12 |
| Lead-In: | Q4-9A [1:1], Q4-9A [2:2], Q4-9A [3:3], Q4-9A1 [1:1], Q4-9A1 [2:2], Q4-9A1 [3:3], Q4-9B [1:1], Q4-9B [2:2], Q4-9B1 [1:1], Q4-9B1 [2:2], Q4-9A-A [Default], Q4-9A [Default], Q4-9A1 [Default], Q4-9B [Default], Q4-9B1 [Default] |
| Q4-11 [] | Section: Military |
([r sworn into active military since dli?]==1)
COMMENT: check if R entered the active forces.
If Answer = 1 Then Go To Q4-11B
| Q4-11A [] | Section: Military |
In what month and year did you enter the [Text of branch of military]?
| Q4-11B [] | Section: Military |
On what day did you enter the [Text of branch of military]?
(INTERVIEWER: ENTER DATE HERE.)
| Q4-12 [] | Section: Military |
Did you serve any time on active duty in the [Text of branch of military]?
| Q4-12A [] | Section: Military |
([r sworn into active military since dli?] ==1)
COMMENT: check if R entered the active forces.
If Answer = 1 Then Go To Q4-12B
| Q4-12B [] | Section: Military |
On what date did you enter active duty in the [Text of branch of military]?
| Q4-12C [] | Section: Military |
On what date did you enter active duty in the [Text of branch of military]?
| Q4-13 [] | Section: Military |
And on what date did you separate from the [Text of branch of military]?
| Q4-13A [] | Section: Military |
And on what date did you separate from the [Text of branch of military]?
| Q4-14 [] | Section: Military |
What (is/was) your (current) pay grade (when you left the [Text of branch of military])?
| | 0 ENLISTED, DON'T KNOW GRADE |
| | 1 E01 |
| | 2 E02 |
| | 3 E03 |
| | 4 E04 |
| | 5 E05 |
| | 6 E06 |
| | 7 E07 |
| | 8 E08 |
| | 9 E09 |
| | 10 OFFICER, DON'T KNOW GRADE |
| | 11 O01 |
| | 12 O02 |
| | 13 O03 |
| | 14 O04 |
| | 20 WARRANT OFFICER, DON'T KNOW GRADE |
| | 21 W01 |
| | 22 W02 |
| | 23 W03 |
| | 24 W04 |
| Q4-15 [] | Section: Military |
([r sworn into active military since dli?] == 1) && ([Is R currently serving in military branch reported at DLI?] ==1)
COMMENT: Is R currently serving in active forces enlisted in since last interview?
If Answer = 1 Then Go To Q4-15A
| Q4-15A [] | Section: Military |
Now I would like to get some information on any other employers you may have worked for since [Date of last interview].
| Q4-16 [] | Section: Military |
(([Confirmation that r was not serving in any branch of the milt at DLI] != 1) && ([military branch code at dli (possible update during survey)] != 0) && ([r currently serving in dli branch of military?] == 0) && ([r enlisted in active military at dli?] == 1)) || (([Was R sworn in since DLI?] == 1) && ([Is R currently serving in military branch reported at DLI?] == 0) && ([Active duty time served?] == 1))
COMMENT: HAS R SERVED IN AND LEFT THE ACTIVE FORCES?
If Answer = 1 Then Go To Q4-17
| Q4-17 [] | Section: Military |
Have you worked at a civilian job for pay since leaving the military?
| | 1 YES ...(Go To Q4-18) |
| | 0 NO |
| Q4-18 [] | Section: Military |
(Are/Were) you doing the same kind of work in your most recent civilian job that you did while you were in the military?
| | 1 YES |
| | 0 NO ...(Go To Q4-19) |
| Q4-19 [] | Section: Military |
Have you used any of the job skills you learned while in the military in any of the civilian jobs you held since leaving the military?
{dliempiscnt}
COMMENT: Are there any DLI employers listed at date of last interview?
If Answer = 1 Then Go To DLI-2A
If Answer >= 2 AND Answer <= 99 Then Go To DLI-2A
| DLI-1A [] | Section: On Jobs |
Our records show that you were not working for any employers ON [Date of last interview]. Is that correct?
(IF NECESSARY READ:) Right now, I am asking ONLY about employers for whom you were actually working ON [Date of last interview]. I will ask about employers you might have worked for SINCE [Date of last interview] next.
If Answer >= -2 AND Answer <= -1 Then Go To DLI-5A
| DLI-2A [] | Section: On Jobs |
Our records show that you were working for ...(READ NAMES OF EMPLOYERS LISTED BELOW)... ON [Date of last interview].
(IF NECESSARY, READ:) Right now, I am asking ONLY about employers for whom you were actually working ON [Date of last interview]. I will ask about employers you might have worked for SINCE [Date of last interview] shortly.
| DLI-2A_1 [] | Section: On Jobs |
Is this information correct?
Please tell me if you were working for any other employers ON [Date of last interview] who we do not listed or if any employers ON [Date of last interview] that I mentioned should not be listed above.
We also realize that sometimes businesses change names, maybe because they change ownership or for marketing purposes. If you were working for [this employer/these employers], but under a different business name or if you need to correct a business name, please tell me the (new/correct) business name.
(INTERVIEWER: READ CHOICES CAREFULLY, THEN SELECT ALL THAT APPLY.)
| | 1 YES, ALL EMPLOYER INFORMATION CORRECT ON DATE OF LAST INTERVIEW |
| | 2 NO, NEED TO CHANGE THE NAME OF (AN) EMPLOYER(S) |
| | 3 NO, LEFT (AN) EMPLOYER(S) BEFORE LAST INTERVIEW |
| | 4 NO, NEVER WORKED FOR (AN) EMPLOYER(S) |
| | 5 NO, NEED TO ADD EMPLOYER(S) |
| DLI-ROS-CHK1 [] | Section: On Jobs |
INSELECTION([DLI-2A_1],3)
COMMENT: R indicate s/he left an employer before last interview?
If Answer = 1 Then Go To DLI-DEL-1
| DLI-DEL-1 [] | Section: On Jobs |
Please tell me which employers you were NOT working for ON [Date of last interview] and should not be listed below. (READ NAMES OF EMPLOYERS IF NECESSARY).
(INTERVIEWER: SELECT <MODIFY ROW> FOR EACH EMPLOYER FOR WHOM RESPONDENT WAS NOT WORKING ON [Date of last interview] AND SHOULD NOT BE LISTED BELOW TO RECORD DATE AND REASON STOPPED WORKING FOR EMPLOYER.
SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| DLI-ROS-CHK2 [] | Section: On Jobs |
INSELECTION([DLI-2A_1],4)
COMMENT: R indicate s/he never worked for (an) employer(s)?
If Answer = 1 Then Go To DLI-4A
| DLI-4A [] | Section: On Jobs |
For which employer(s) listed below have you never worked?
(IF NECESSARY RE-READ EMPLOYER NAMES.)
(INTERVIEWER: SELECT ANY EMPLOYERS TO DELETE ON ROSTER. WHEN FINISHED, SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| DLI-6A-COUNT1 [] | Section: On Jobs |
RECCOUNT([Date of Last Interview Employers with Updates])
COMMENT: COUNT NUMBER OF DLI EMPLOYERS FROM LAST INTERVIEW APPEARING ON THE DLI ROSTER
If Answer = 0 Then Go To DLI-ROS-CHK4
| DLI-ROS-CHK3 [] | Section: On Jobs |
INSELECTION([DLI-2A_1],2)
COMMENT: R indicate employer name(s) needs to be changed?
If Answer = 1 Then Go To DLI-FIXROSTER
| DLI-FIXROSTER [] | Section: On Jobs |
You mentioned that you worked for an employer, but under a different name. Which employer name(s) need(s) to be updated or corrected. (IF NECESSARY, READ NAMES OF EMPLOYERS.)
INTERVIEWER: SELECT <MODIFY ROW> TO CHANGE EMPLOYER NAME.
IF ALL INFORMATION ON ROSTER IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| DLI-ROS-CHK3A [] | Section: On Jobs |
{dlisofar3} > 0
COMMENT: Any date of last interview employers listed so far?
If Answer = 1 Then Go To DLI-CURWK-1
| DLI-CURWK-1 [] | Section: On Jobs |
{curwktext1}
(INTERVIEWER: SELECT <MODIFY ROW> FOR EACH EMPLOYER TO ASK WHETHER R IS CURRENT WORKING FOR EMPLOYER.
SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| DLI-CURWK-LOOP-BEGIN [] | Section: On Jobs |
REPEAT
COMMENT: Begin Loop for adding new bio children.
| DLI-CURWK-CHK1A [] | Section: On Jobs |
VAREXIST([dli_upd1_dliflag([dlicurwk-loop])])
COMMENT: Last interview flag exist for this employer?
If Answer = 0 Then Go To DLI-CURWK-LOOP-END
| DLI-CURWK-CHK1B [] | Section: On Jobs |
{^dli_upd1_dliflag({dlicurwk-loop})^}
COMMENT: Was this employer listed on roster of last interview employers?
If Answer = 1 Then Go To DLI-CURWK-CHK2A
| DLI-CURWK-CHK2A [] | Section: On Jobs |
VAREXIST([currently working for dli employer([dlicurwk-loop])])
COMMENT: Currently working flag exist for employer?
If Answer = 0 Then Go To DLI-CURWK-LOOP-END
| DLI-CURWK-CHK2B [] | Section: On Jobs |
{^dli_upd1_curflag({dlicurwk-loop})^}
COMMENT: Is R currently working for employer?
If Answer = 0 Then Go To Q6-9
When did you last stop working for [date of last interview employer name([dlicurwk-loop])]?
(INTERVIEWER: YOU MUST ENTER A VALID DATE IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
| DLI-CURWK-LOOP-END [] | Section: On Jobs |
UNTIL ([dlicurwk-loop] == [number of last interview employers listed so far])
COMMENT: loop end about current working status with employer
| DLI-ROS-CHK4 [] | Section: On Jobs |
INSELECTION([DLI-2A_1],5)
COMMENT: R indicate need to add an employer?
If Answer = 1 Then Go To DLI-5A
| DLI-5A [] | Section: On Jobs |
You mentioned that you were working for (an/another) employer ON [Date of last interview] who we do not have listed. Please tell me the name(s) of (that/the first/the next) employer who we do not have listed?
IF NECESSARY, READ: Just as a reminder, I am asking ONLY about employers for whom you were actually working ON [Date of last interview]. I will ask about employers you might have worked for SINCE [Date of last interview] shortly.
(INTERVIEWER: TO ADD EMPLOYER, SELECT <ADD ROW>.
IF NO (MORE) ADDITIONS, SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| DLI-7A [] | Section: On Jobs |
RECCOUNT([Date of Last Interview Employers Add Only])
COMMENT: COUNT NUMBER OF DLI EMPLOYERS FROM LAST INTERVIEW APPEARING ON THE DLI ROSTER
If Answer = 0 Then Go To Q6-23C
| Q6-23C [] | Section: On Jobs |
[Q6-23A]==1 && [Q6-23BA]==1
COMMENT: Has R been in active military service AND employed in a civilian job since last interview?
If Answer = 1 Then Go To Q6-23F
| Q6-23D [] | Section: On Jobs |
[Q6-23A]==1 && [Q6-23BA]==0
COMMENT: Has R been in active military service and NOT employed in a civilian job since last interview?
If Answer = 1 Then Go To Q6-23H
| Q6-23E [] | Section: On Jobs |
[Q6-23A]==0 && [Q6-23BA]==1
COMMENT: Has R NOT been in active military service but HAS been employed in a civilian job since last interview?
If Answer = 1 Then Go To Q6-23I
| Q6-23F [] | Section: On Jobs |
Besides your employment with (READ NAMES OF EMPLOYERS LISTED)...
| Q6-23G [] | Section: On Jobs |
... and your military service, have you done any work for pay since [Date of last interview]?
(INTERVIEWER: READ IF NECESSARY:) That is besides your employment with the employers we have already talked about, for whom you were working ON [Date of last interview].
(INTERVIEWER: THE INSTRUMENT MAY REQUIRE A LITTLE MORE PROCESSING TIME AT THIS POINT. PLEASE BE PATIENT.)
| Q6-23H [] | Section: On Jobs |
Besides your military service, have you done any work for pay since [Date of last interview]?
(INTERVIEWER: THE INSTRUMENT MAY REQUIRE A LITTLE MORE PROCESSING TIME AT THIS POINT. PLEASE BE PATIENT.)
| Q6-23I [] | Section: On Jobs |
Besides your employment with (READ NAMES OF EMPLOYERS LISTED)...
| Q6-23J [] | Section: On Jobs |
... have you done any other work for pay since [Date of last interview]?
(INTERVIEWER: ADD IF NEEDED:) That is besides your employment with the employers we have already talked about, for whom you were working ON [Date of last interview].
(INTERVIEWER: THE INSTRUMENT MAY REQUIRE A LITTLE MORE PROCESSING TIME AT THIS POINT. PLEASE BE PATIENT.)
| Q6-23K [] | Section: On Jobs |
Since [Date of last interview], have you done any work at all for which you were paid?
(INTERVIEWER: THE INSTRUMENT MAY REQUIRE A LITTLE MORE PROCESSING TIME AT THIS POINT. PLEASE BE PATIENT.)
| NEWEMP-6 [] | Section: On Jobs |
ADD OTHER EMPLOYERS SINCE [Date of last interview]:
(Besides the employers we have already talked about ), For whom have you (also) worked since [Date of last interview]?
INTERVIEWER: SELECT <ADD ROW> AND ENTER INFORMATION.
IF NO (MORE) EMPLOYERS NEED TO BE ADDED, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| TEMPLOYER-CHK1A [] | Section: On Jobs |
{empsofar1} - {dlicnt1}
COMMENT: R report more employers than those active at last interview?
If Answer >= -99 AND Answer <= 0 Then Go To TEMPLOYER-CHK1B
| TEMPLOYER-CHK1B [] | Section: On Jobs |
{dlicnt1} == {empsofar1}
COMMENT: All employers reported so far active at date of last interview?
If Answer = 0 Then Go To TEMPLOYER-CHK2A
| TEMPLOYER-CHK2A [] | Section: On Jobs |
{empsofar1} == 0
COMMENT: Has R NOT been in active military service but HAS been employed in a civilian job since last interview?
If Answer = 1 Then Go To ONJS-7290
| TEMPLOYER-CHK2B [] | Section: On Jobs |
{dlicnt1} == {empsofar1}
COMMENT: Has R NOT been in active military service but HAS been employed in a civilian job since last interview?
If Answer = 1 Then Go To TEMPLOYER-VERIFY1
| ONJS-1000E [] | Section: On Jobs |
Thinking about (READ NAMES OF ADDED EMPLOYERS), have you ever worked for (that employer/any of these employers) before, perhaps under a different name?
(IF NECESSARY ASK:) Which (employer was that/employers were those)?
(INTERVIEWER: PLEASE SELECT EACH ADDED EMPLOYER RESPONDENT REPORTS WORKING FOR BEFORE.)
| ONJS-1000G [] | Section: On Jobs |
INTERVIEWER: WERE ANY ADDED EMPLOYERS SELECTED ON THE ABOVE ROSTER?
| ONJS-1000G-CHK1 [] | Section: On Jobs |
SELECTEDINSELECTION([ONJS-1000E])
COMMENT: Did R return to previous employers?
If Answer = 0 Then Go To DLI-LOOP1-BEGIN
| ONJS-WKB4-LOOP-BEGIN [] | Section: On Jobs |
REPEAT
COMMENT: BEGIN LOOPS TO UPDATE EMPLOYER RECORD WITH INFO FROM PREVIOUS TENURE WITH EMPLOYER
| ONJS-WKB4-CHK1A [] | Section: On Jobs |
VAREXIST([ONJS-1000E])
COMMENT: R report returning to previous employer(s)?
If Answer = 1 Then Go To ONJS-WKB4-CHK2
| ONJS-WKB4-CHK2 [] | Section: On Jobs |
INSELECTION([ONJS-1000E],[wkb4-loop])
COMMENT: Did R return to this employer?
If Answer = 0 Then Go To ONJS-WKB4-LOOP-END
| ONJS-WKB4-1000C [] | Section: On Jobs |
{pdliempiscnt} > 0
COMMENT: ARE THERE ANY EMPLOYERS PREVIOUS TO LAST INTERVIEW ON THE INFO SHEET?
If Answer = 0 Then Go To ONJS-WKB4-1000H
| ONJS-WKB4-1000F [] | Section: On Jobs |
Is [Name of employer([wkb4-loop])] listed in this roster? (READ NAMES OF EMPLOYERS FROM ROSTER LISTED BELOW.)
(INTERVIEWER: IF EMPLOYER IS LISTED ON ROSTER, SELECT EMPLOYER NAME.)
| ONJS-WKB4-1000F_1 [] | Section: On Jobs |
INTERVIEWER: DID RESPONDENT IDENTIFY AN EMPLOYER ON THE ROSTER ABOVE?
| ONJS-WKB4-1000H [] | Section: On Jobs |
{ppdliempiscnt} > 0
COMMENT: Are there any older previous employers listed on the info sheet?
If Answer = 0 Then Go To ONJS-WKB4-LOOP-END
| ONJS-WKB4-1000I [] | Section: On Jobs |
Is [Name of employer([wkb4-loop])] listed in this roster? (READ NAMES OF EMPLOYERS FROM ROSTER LISTED BELOW.)
(INTERVIEWER: IF EMPLOYER IS LISTED ON ROSTER, SELECT EMPLOYER NAME.)
| ONJS-WKB4-1000I_1 [] | Section: On Jobs |
INTERVIEWER: DID RESPONDENT IDENTIFY AN EMPLOYER ON THE ROSTER ABOVE?
| ONJS-WKB4-LOOP-END [] | Section: On Jobs |
UNTIL([wkb4-loop]==[employer count so far])
COMMENT: loop end about previous employers R returned to
| TEMPLOYER-VERIFY1 [] | Section: On Jobs |
INTERVIEWER: PLEASE REVIEW LIST OF EMPLOYERS TO VERIFY ACCURACY. BACK UP TO MAKE ANY FURTHER CORRECTIONS.
IMPORTANT: PLEASE CHECK START AND STOP DATES TO MAKE SURE THEY ARE VALID. IF ANY DATES ARE NOT VALID, PLEASE SELECT THE EMPLOYER LINE AND ASK THE RESPONDENT TO ESTIMATE A DATE.
DO NOT PROCEED WITHOUT ENTERING A VALID DATE! THIS WILL CAUSE PROBLEMS LATER IN THE SURVEY.
(IF EMPLOYERS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| TEMPLOYER-INTRO1 [] | Section: On Jobs |
Next I have a few questions about your employment situation(s) with (each of) your employer(s).
| DLI-LOOP1-BEGIN [] | Section: On Jobs |
REPEAT
COMMENT: BEGIN LOOPS TO UPDATE/VERIFY EMPLOYERS FROM DATE OF LAST INTERVIEW
| Q6-8_JOBVER_0_A [] | Section: On Jobs |
([last round R completed] >= 20 && [initial job type assigned to employer([dli loop 1])] > 0)
COMMENT: R interviewed in 2002 and old jobtype has been assigned?
If Answer = 0 Then Go To Q6-8E-LOOP-BEGIN
| Q6-8_JOBVER_0_B [] | Section: On Jobs |
{^temployer2_ojobtype({DLI-LOOP1})^}
If Answer = 2 Then Go To Q6-8_JOBVER_1B
If Answer = 3 Then Go To Q6-8_JOBVER_1C
| Q6-8_JOBVER_1A [] | Section: On Jobs |
When we last talked to you on [Date of last interview], you were a regular worker with [employer name([dli loop 1])].
[Has/Did([dli loop 1])] your employment situation with [employer name([dli loop 1])] [remain(ed) the same([dli loop 1])] [since (date of last interview)/until you left([dli loop 1])]?
(IF NECESSARY READ:) [Are/Were([dli loop 1])] you still a regular worker with [employer name([dli loop 1])] [since (date of last interview)/until you left([dli loop 1])]?
(INTERVIEWER: LEAVING THE EMPLOYER IS NOT THE SAME AS A CHANGE IN EMPLOYMENT SITUATION.
IF RESPONDENT'S EMPLOYMENT SITUATION CHANGED FROM "REGULAR" TO "TEMPORARY/ON-CALL/CONTRACT" EMPLOYMENT OR "SELF-EMPLOYMENT", SELECT <NO> TO CORRECT EMPLOYMENT SITUATION.)
| Q6-8_JOBVER_1B [] | Section: On Jobs |
When we last talked to you on [Date of last interview], you were a (temporary/contract/on-call) worker with [employer name([dli loop 1])]. [Has/Did([dli loop 1])] your employment situation with [employer name([dli loop 1])] [remain(ed) the same([dli loop 1])] [since (date of last interview)/until you left([dli loop 1])]?
(INTERVIEWER: LEAVING THE EMPLOYER IS NOT THE SAME AS A CHANGE IN EMPLOYMENT SITUATION.
IF RESPONDENT'S EMPLOYMENT SITUATION CHANGED FROM "REGULAR" TO "TEMPORARY/ON-CALL/CONTRACT" EMPLOYMENT OR "SELF-EMPLOYMENT", SELECT <NO> TO CORRECT EMPLOYMENT SITUATION.)
| Q6-8_JOBVER_1C [] | Section: On Jobs |
When we last talked to you on [Date of last interview], your employment situation with [employer name([dli loop 1])] was self-employed. [Has/Did([dli loop 1])] your employment situation with [employer name([dli loop 1])] [remain(ed) the same([dli loop 1])] [since (date of last interview)/until you left([dli loop 1])]?
(INTERVIEWER: LEAVING THE EMPLOYER IS NOT THE SAME AS A CHANGE IN EMPLOYMENT SITUATION.
IF RESPONDENT'S EMPLOYMENT SITUATION CHANGED FROM "REGULAR" TO "TEMPORARY/ON-CALL/CONTRACT" EMPLOYMENT OR "SELF-EMPLOYMENT", SELECT <NO> TO CORRECT EMPLOYMENT SITUATION.)
| Q6-8_JOBVER_2 [] | Section: On Jobs |
How [has/did([dli loop 1])] your job situation with [employer name([dli loop 1])] [changed([dli loop 1])] [since (date of last interview)/while you were working there([dli loop 1])]?
(INTERVIEWER: IF THE ONLY CHANGE BEING REPORTED IS THAT RESPONDENT LEFT THAT EMPLOYER OR THE JOB ENDED, PLEASE USE BACK/LEFT ARROW AT TOP OF SCREEN AND CHANGE ANSWER TO PREVIOUS QUESTION TO "YES".)
| | 1 SELF-EMPLOYED COMPANY SOLD TO ANOTHER COMPANY |
| | 2 TEMPORARY/CONTRACT/ON-CALL JOB BECAME TRADITIONAL/REGULAR JOB |
| | 3 TRADITIONAL/REGULAR JOB CHANGED TO TEMPORARY/CONTRACT/ON-CALL STATUS |
| | 4 TRADITIONAL/REGULAR EMPLOYEE BOUGHT THE COMPANY - NOW SELF-EMPLOYED |
| | 5 OTHER (SPECIFY) |
| Q6-8_JOBVER_3 [] | Section: On Jobs |
What [is your current/was your([dli loop 1])] employment situation with [employer name([dli loop 1])] [just before you left([dli loop 1])]? Would you characterize it as...
(INTERVIEWER: IF THE ONLY CHANGE BEING REPORTED IS THAT RESPONDENT LEFT THAT EMPLOYER OR THE JOB ENDED, PLEASE USE BACK/LEFT ARROW AT TOP OF SCREEN AND CHANGE ANSWER TO PREVIOUS QUESTION TO "YES". )
| | 1 TRADITIONAL/REGULAR EMPLOYMENT (EMPLOYEE WORKING FOR EMPLOYER) |
| | 2 NON-TRADITIONAL EMPLOYMENT (TEMPORARY/CONTRACT/ON-CALL WORK) ...(Go To DLI-LOOP1-END) |
| | 3 SELF-EMPLOYMENT ...(Go To DLI-LOOP1-END) |
| | 4 OTHER (SPECIFY) |
| Q6-8E-LOOP-BEGIN [] | Section: On Jobs |
REPEAT
COMMENT: Begin loop to check job type for DLI job
| Q6-8E_1A [] | Section: On Jobs |
{dlijobtype-loop1}==1
COMMENT: Is this the first time through the loop?
If Answer = 0 Then Go To Q6-8H_A1A
| Q6-8H_A1 [] | Section: On Jobs |
On this job with [employer name([dli loop 1])], [are/were([dli loop 1])] you self-employed?
| Q6-8H_A1A [] | Section: On Jobs |
([r work on-call hrs only?] !=0 && [r work on-call hrs only?] != 2)
COMMENT: Second pass through the loop and Q6-8H_C2 was answered and does not equal 2?
If Answer = 1 Then Go To Q6-8H_A5
| Q6-8H_A2 [] | Section: On Jobs |
On this job, [are/were([dli loop 1])] you an independent contractor, independent consultant, or freelancer? That is, someone who [obtains/obtained([dli loop 1])] customers on [HISR/HERR] own to provide a product or service.
| Q6-8H_A3 [] | Section: On Jobs |
On this job, [are/were([dli loop 1])] you paid by a temporary help agency that [assigns/assigned([dli loop 1])] you to assist other employers?
| Q6-8H_A3A [] | Section: On Jobs |
{dlijobtype-loop1}==1
COMMENT: Is this the first time through the loop?
If Answer = 0 Then Go To Q6-8H_A4B
| Q6-8H_A4A [] | Section: On Jobs |
Some people are called on-call workers. They are called to work only when they are needed, although they can be scheduled to work for several days or weeks in a row. Some examples of on-call workers are substitute teachers and construction workers.
On this job, [are/were([dli loop 1])] you an on-call worker?
| Q6-8H_A4B [] | Section: On Jobs |
On this job, [are/were([dli loop 1])] you an on-call worker?
| Q6-8H_A5 [] | Section: On Jobs |
{dlijobtype-loop1}==1
COMMENT: Is this the first time through the loop?
If Answer = 0 Then Go To Q6-8H_A5B
| Q6-8H_A5A [] | Section: On Jobs |
Some companies provide employees or their services to other companies under contract. A few examples of services that can be provided under contract include private security services, landscaping, or computer programming.
On this job, [do/did([dli loop 1])] you work for a company that [provides/provided([dli loop 1])] your services to other companies under contract?
| Q6-8H_A5B [] | Section: On Jobs |
On this job, [do/did([dli loop 1])] you work for a company that [provides/provided([dli loop 1])] your services to other companies under contract?
| Q6-8H_A5C [] | Section: On Jobs |
{^Are_Wereoj({dli-loop1})^} you assigned to more than one customer at a time?
| Q6-8H_A5D [] | Section: On Jobs |
{^Do_Didoj({dli-loop1})^} you usually work at the customer's worksite?
| Q6-8H_B1 [] | Section: On Jobs |
{^Are_Wereoj({dli-loop1})^} you the only owner of this business? (READ IF NECESSARY:) {^Are_Wereoj({dli-loop1})^} you the sole owner?
| Q6-8H_B1A [] | Section: On Jobs |
{^Are_Wereoj({dli-loop1})^} you a partner with (other) people (other than your spouse) in owning this business?
| Q6-8H_B1B [] | Section: On Jobs |
{^Do_Didoj({dli-loop1})^} you own 50 percent or more of this business?
| Q6-8H_B1C [] | Section: On Jobs |
{^Are_Wereoj({dli-loop1})^} you a director or the Chief Executive Officer, or principal managing partner of this business?
(INTERVIEWER: SEE HELP SCREEN FOR FURTHER INFORMATION.)
| Q6-8H_B2A [] | Section: On Jobs |
When you [file(d)([dli loop 1])] your federal income tax return, [are/were([dli loop 1])] you supposed to file a form SE to report self-employment income earned at this job?
| Q6-8H_B2A1 [] | Section: On Jobs |
VAREXIST ([file SE tax form?])
COMMENT: Is save array present?
If Answer = 1 Then Go To Q6-8H_B2A2
| Q6-8H_B2A2 [] | Section: On Jobs |
{q6-8h_b2a}
COMMENT: R report having to file SE form in previous loop?
If Answer = 1 Then Go To Q6-8H_C5A1
| Q6-8H_B2B [] | Section: On Jobs |
When you [file(d)([dli loop 1])] your federal income tax return, [are/were([dli loop 1])] you supposed to file a form SE to report self-employment income earned at this job?
| Q6-8H_C1 [] | Section: On Jobs |
(READ IF FIRST TIME OR IF NECESSARY:) For the purpose of this survey, we consider the temporary help agency to be a single employer. Until otherwise instructed, please answer all question about this job based on your experience with the temporary help agency and not a specific client or assignment.
[(is/was)([dli loop 1])] [employer name([dli loop 1])] the name of the temporary help agency?
| Q6-8H_C2 [] | Section: On Jobs |
(READ IF FIRST TIME OR IF NECESSARY:) Some on-call workers, such as doctors, nurses and some managers, have to work regularly scheduled hours, but in addition must work other hours when called. Other on-call workers, such as substitute teachers, work only when they are called. Which type of on-call worker [are/were([dli loop 1])] you?
| | 1 Work regular hours but must be available to work when called |
| | 2 Only work when called ...(Go To Q6-8H_C3) |
| Q6-8H_C3 [] | Section: On Jobs |
(READ IF FIRST TIME OR IF NECESSARY:) For the purpose of this survey, we consider an organization that lists you as an on-call worker to be a single employer. Until otherwise instructed, please answer all question about this job based on your experiences with the on-call organization and not a specific client or assignment.
[(is/was)([dli loop 1])] [employer name([dli loop 1])] the name of the organization where you are registered as an on-call worker?
| Q6-8H_C4 [] | Section: On Jobs |
(READ IF FIRST TIME OR IF NECESSARY:) For the purpose of this survey, we consider a company that contracts client services to be a single employer. Until otherwise instructed, please answer all questions about this job based on your experience with the organization that contracts out your services and not a specific client or assignment.
[(is/was)([dli loop 1])] [employer name([dli loop 1])] the name of the company that [contract(s/ed)([dli loop 1])] out your services?
| Q6-8H_C4B [] | Section: On Jobs |
Please tell me the name of the ["temporary help agency"/"organization for which you worked as an on-call worker"/"company that contracts out your services"].
(READ IF NECESSARY FOR ON-CALL ONLY WORKERS): Please report separately each organization you are registered with as an on-call worker.
| Q6-8H_C5A1 [] | Section: On Jobs |
Is [employer name([dli loop 1])] either the name of your business or a brief description of the job or type of work that you [do/did([dli loop 1])]?
| Q6-8H_C5A2 [] | Section: On Jobs |
Please give me the name of your business, or a brief description of the type of work you [do/did([dli loop 1])] in this job.
(INTERVIEWER: IF BUSINESS HAS A NAME, ENTER THAT NAME. OTHERWISE, ENTER SHORT DESCRIPTION OF JOB ACTIVITIES/OCCUPATION. THIS DESCRIPTION WILL BE USED AS THE NAME OF THIS JOB IN SUBSEQUENT QUESTIONS. SOME EXAMPLES INCLUDE: "FREELANCE WRITER", "CLEANING HOUSES", " CONSULTING DESIGNER", OR "LANDSCAPING AND YARD WORK".)
| Q6-8H_D1 [] | Section: On Jobs |
{^Is_Wasoj({dli-loop1})^} the person who {^supervises_edoj({dli-loop1})^} you for {^temployer2_name({dli-loop1})^} employed by the same company or organization as you?
| Q6-8H_D2 [] | Section: On Jobs |
{^Does_Didoj({dli-loop1})^} {^temployer2_name({dli-loop1})^} provide the tools or equipment you {^use_usedoj({dli-loop1})^} when you {^are_wereojlc({dli-loop1})^} working for them?
| Q6-8H_D3 [] | Section: On Jobs |
{^Do_Didoj({dli-loop1})^} you work primarily at home or from your home, but you {^are_wereojlc({dli-loop1})^} otherwise a regular employee of the company or organization that {^pays_paidoj({dli-loop1})^} you?
| Q6-8H_D4 [] | Section: On Jobs |
Well, this job does not seem to fit the usual patterns we deal with. Could you briefly describe the sort of working arrangement you [have/had([dli loop 1])] in terms of who [owns/owned([dli loop 1])] the business, your relationship with that business, who [supervises/supervised([dli loop 1])] you and [assigns/assigned([dli loop 1])] work and who [pays/paid([dli loop 1])] you?
| Q6-8H_D4B-LOOP-END [] | Section: On Jobs |
UNTIL ([loop to set dli emp job type] == 2 || [final job type assigned to employer([dli loop 1])] > 0)
COMMENT: Execute loop until job classification is set - maximum of 2 times
| Default Next: | Q6-8H_E2A |
| Lead-In: | Q6-8H_C1 [1:1], Q6-8H_C3 [1:1], Q6-8H_C4 [1:1], Q6-8H_C5A1 [1:1], Q6-8H_D1 [1:1], Q6-8H_D2 [1:1], Q6-8H_D3 [1:1], Q6-8H_B1C [Default], Q6-8H_B2A [Default], Q6-8H_C4B [Default], Q6-8H_C5A2 [Default], Q6-8H_D4 [Default] |
| Q6-8H_E2A [] | Section: On Jobs |
{empsofar1} > 1
COMMENT: Is there more than one employer listed at DLI?
If Answer = 1 Then Go To Q6-8H_E3
| Q6-8H_E3 [] | Section: On Jobs |
{^temployer2_fjobtype({DLI-LOOP1})^} == 2
COMMENT: Is this a non-traditional type employer?
If Answer = 1 Then Go To Q6-8H_E4-LOOP-BEGIN
| Q6-8H_E4-LOOP-BEGIN [] | Section: On Jobs |
REPEAT
COMMENT: Begin loop to mark assignments reported as individual jobs
| Q6-8H_E4 [] | Section: On Jobs |
Were any of the (other) employers on this list assigned through [employer name([dli loop 1])]? (READ NAMES OF EMPLOYERS FROM ROSTER LISTED BELOW.)
(INTERVIEWER: IF EMPLOYER LISTED ON ROSTER IS NAMED, SELECT EMPLOYER NAME ON ROSTER AND SELECT <SUBMIT AND CONTINUE> TO PROCEED. IF NO MORE EMPLOYERS WERE IDENTIFIED, SELECT "NO (OTHER) EMPLOYER" ON ROSTER AND SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| Q6-8H_E4D-LOOP-END [] | Section: On Jobs |
UNTIL ([line # dli assignment]==[employer count so far]+1)
COMMENT: Execute the loop until no-more-employers chosen
| DLI-LOOP1-END [] | Section: On Jobs |
UNTIL ([dli loop 1] ==[employer count so far])
COMMENT: ARE ALL THE EMPLOYERS THAT NEED TO BE ERASED ACCOUNTED FOR?
| ONJS-7290 [] | Section: On Jobs |
VAREXIST ([employer name(1)])
COMMENT: IS THERE AT LEAST ONE EMPLOYER ON THE TEMPLOYER ROSTER?
If Answer = 0 Then Go To ONJS-9800
| ONJS-7300 [] | Section: On Jobs |
ISVAREMPTY ([employer name(1)])
COMMENT: IS THERE AT LEAST ONE EMPLOYER ON THE TEMPLOYER ROSTER?
If Answer = 1 Then Go To ONJS-9800
| ONJS-7400 [] | Section: On Jobs |
{militaryflag} == 1
COMMENT: IS R CURRENTLY SERVING IN THE ACTIVE MILITARY FORCES?
If Answer = 1 Then Go To ONJS-9700
| ONJS-7500 [] | Section: On Jobs |
ISVAREMPTY ([employer name(2)])
COMMENT: ARE THERE AT LEAST TWO EMPLOYERS REPORTED?
If Answer = 1 Then Go To ONJS-9700
| ONJS-7800 [] | Section: On Jobs |
DATE2DAY([employer stopdate(1)]) == DATE2DAY([employer stopdate(2)])
COMMENT: IS THE DATE MOST RECENTLY WORKED FOR THE FIRST JOB EQUAL TO THAT OF THE SECOND JOB? IF SO, THIS INDICATES AT LEAST TWO DUAL JOBS THAT ARE THE MOST RECENT AND COULD BE THE PRIMARY JOB. THE EMPLOYER FOR WHOM THE R WORKED THE MOST HOURS NEEDS TO BE IDENTIFIED INDIVIDUALLY.
If Answer = 1 Then Go To ONJS-8800
| ONJS-8800 [] | Section: On Jobs |
Between (READ ONLY NAMES OF EMPLOYERS WITH SAME STOPDATE AS FIRST JOB LISTED BELOW), for which employer did you work the most hours (last week/the last week you worked)?
(INTERVIEWER: SELECT THE CORRECT EMPLOYER FROM THOSE WITH SAME STOP DATE ON ROSTER BELOW. IF ALL STOPDATES ARE DIFFERENT, SELECT FIRST EMPLOYER. SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| ONJS-9700 [] | Section: On Jobs |
INTERVIEWER: BELOW IS YOUR CORRECTED EMPLOYER ROSTER. PLEASE VERIFY. IF ANY INFORMATION IS INCORRECT, RETURN TO THE PREVIOUS QUESTIONS BY USING THE BACK/LEFT ARROW AT TOP OF SCREEN AND ENTER THE CORRECT ANSWERS.
IF DUPLICATE EMPLOYERS ARE LISTED, PLEASE DELETE NOW BY SELECTING <DELETE ROW> NEXT TO THE EMPLOYER NAME. DUPLICATE EMPLOYERS WILL CAUSE DUPLICATE EMPLOYER SUPPLEMENTS TO BE ADMINISTERED.
IF ROSTER IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
IMPORTANT: DO NOT CONTINUE UNTIL THE EMPLOYER ROSTER IS CORRECT AND THE CPS EMPLOYER - IF ANY - IS CORRECTLY IDENTIFIED.
PLEASE NOTE: IF RESPONDENT CURRENTLY WORKING FOR EMPLOYER, STOPDATE WILL BE CURRENT DATE OF INTERVIEW.
| ONJS-9700A [] | Section: On Jobs |
COUNTROSTER ([TEMPLOYERU],"ASSIGNMT","1")
If Answer >= 1 AND Answer <= 99 Then Go To ONJS-9700B
| ONJS-9700B [] | Section: On Jobs |
INTERVIEWER: PLEASE DELETE ANY EMPLOYERS FOR WHICH THE "ASSIGNMT OR JOB" FIELD IS "YES" BY SELECTING <DELETE ROW> NEXT TO THE EMPLOYER NAME. THESE EMPLOYERS HAVE BEEN IDENTIFIED AS ASSIGNMENTS THROUGH OTHER ORGANIZATIONS AND WILL NOT BE ASKED ABOUT INDIVIDUALLY.
IF NO ASSIGNMENT FIELDS CODED "YES", ROSTER IS CORRECT. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| ONJS-9800 [] | Section: On Jobs |
You have reported no work for pay (besides your military service) since [Date of last interview]. Is that correct?
(INTERVIEWER: IMPORTANT: DO NOT CONTINUE UNTIL THE RESPONDENT CONFIRMS REPORTS OF EMPLOYERS SINCE [Date of last interview].
IF RESPONSE IS "NO", PLEASE BACK UP AND ENTER EMPLOYER(S).
IF RESPONSE IS "YES", SELECT <SELECT AND CONTINUE> TO PROCEED.)
| QES-BA [] | Section: Employer Supplement |
{totemp} > 0
COMMENT: Check for at least one employer
If Answer = 1 Then Go To QES-LOOP-BEGIN
| QES-LOOP-BEGIN [] | Section: Employer Supplement |
REPEAT
COMMENT: Starting loop of Employer Supplement.
| QES-0 [] | Section: Employer Supplement |
{INTRO_TXT}
Now I'd like to ask a few questions about {youremp_yourbus} with {^employer_name({QES-LOOP1})^}.
| QES-4A [] | Section: Employer Supplement |
DATE2DAY([start date with employer([QES-LOOP1 counter])]) > DATE2DAY([Date of last interview])
COMMENT: compare dates
If Answer = 1 Then Go To QES-9
| QES-4B [] | Section: Employer Supplement |
DATE2DAY([start date with employer([QES-LOOP1 counter])]) == DATE2DAY([Date of last interview])
COMMENT: compare dates
If Answer = 1 Then Go To QES-9
| QES-5 [] | Section: Employer Supplement |
Between [start date with employer([QES-LOOP1 counter])~X] and [Date of last interview], were there any periods of one month or more during which you were [not working (at/for)/not available for assignment with] [(employer name)([QES-LOOP1 counter])], not counting [paid vacation or paid sick leave/time you took off for vacation or sick leave]?
[(READ IF NECESSARY): Please do not include any periods in which there were no assignments available or that you turned down an assignment which you were otherwise available to work."]
| | 1 Yes ...(Go To QES-6) |
| | 0 No |
| QES-6 [] | Section: Employer Supplement |
What is the total number of months you [did work (for/at)/were available for assignment with)] [(employer name)([QES-LOOP1 counter])] before [Date of last interview]?
| QES-7 [] | Section: Employer Supplement |
For all of the rest of the questions we have about [(employer name)([QES-LOOP1 counter])], please think only of the time you worked [at/for] since [Date of last interview].
| QES-9 [] | Section: Employer Supplement |
REFERENCE DATE IS: [employer start date/date of last int([QES-LOOP1 counter])~X].
THIS DATE IS THE POINT FROM WHICH INFORMATION WILL BE COLLECTED ABOUT THIS [employer/business].
| QES-BUSOWN_CHK1 [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: skip based on job type
If Answer = 3 Then Go To QES-BUSOWN-1
| QES-BUSOWN-1 [] | Section: Employer Supplement |
Just to verify, [(is/was)] , [(employer name)([QES-LOOP1 counter])] your own formal or informal business that was operated with regularity for the purpose of generating income or profit?
(INTERVIEWER: PLEASE SEE HELP SCREEN FOR FURTHER INFORMATION.)
| QES-BUSOWN-2 [] | Section: Employer Supplement |
Did you take an active role in the operation of [(employer name)([QES-LOOP1 counter])]?
(READ IF NECESSARY:) We are not interested in activities carried out purely as a hobby, or those in which you were merely a shareholder or investor with no role in the operation of the business.
(INTERVIEWER: PLEASE SEE HELP SCREEN FOR FURTHER INFORMATION.)
| QES-BUSOWN-3 [] | Section: Employer Supplement |
Just to verify, [(employer name)([QES-LOOP1 counter])] [(is/was)] not your own business? Is that correct?
(INTERVIEWER: PLEASE SEE HELP SCREEN FOR FURTHER INFORMATION.)
| QES-BUSOWN-4 [] | Section: Employer Supplement |
{Is_was} {^employer_name({qes-loop1})^} a business that you owned? By business, we mean any activity operated with regularity for the purpose of generating income or profit. We are interested in all incorporated companies and partnerships in which you had any ownership share, as well as unincorporated businesses that you may have operated as a sole proprietor, independent contractor, consultant, or free-lancer. This even includes informal businesses such as cleaning services, gardening services, and the selling of goods out of your home, as long as they generated income and were operated on a regular basis. The only businesses we are not interested in are those operated on a highly sporadic basis, those carried out purely as a hobby, and those in which you were merely a shareholder or investor with no role in the operation of the company.
{Is_was} {^employer_name({qes-loop1})^} a business that would be of interest to us according to this description?
(INTERVIEWER: PLEASE SEE HELP SCREEN FOR FURTHER INFORMATION.)
| QES-23 [] | Section: Employer Supplement |
{^employer_curflag({QES-LOOP1})^}==1
COMMENT: Is R currently working for this employer?
If Answer = 0 Then Go To QES-23-A
| QES-23-A [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: if this is a self-employed respondent, ask different questions about why left job than non-trad or regular
If Answer = 3 Then Go To SES-52A_CHK
| QES-23A [] | Section: Employer Supplement |
What is the main reason you [left your job with/stopped taking assignments with/no longer work at] [(employer name)([QES-LOOP1 counter])]?
(INTERVIEWER: FOR RESPONSES WHICH CAN NOT BE CODED IN THE CATEGORIES PROVIDED, PLEASE CHOOSE "OTHER (SPECIFY)" AND RECORD COMPLETE VERBATIM. SELECT "COMMENT" BUTTON BESIDE QNAME TO ENTER ANY ADDITIONAL COMMENTS IN AN INTERVIEWER COMMENT.)
(SELECT ONE ONLY)
| | 1 Layoff, job eliminated |
2 Company, office or workplace closed |
| | 3 End of temporary or seasonal job |
4 Discharged or fired |
| | 5 Government program ended |
6 Quit for pregnancy, childbirth or adoption of a child |
| | 7 Quit to look for another job |
8 Quit to take another job |
| | 9 Other (SPECIFY) |
10 Quit because Rs ill health, disability, or medical problems |
| | 11 Moved to another geographic area |
12 Quit to spend time with or take care of children, spouse, parents, or other family members |
| | 13 Quit because didn't like job, boss, coworkers, pay or benefits |
14 Quit to attend school or traning |
| | 15 Went to jail, prison, had legal problems |
16 Transportation problems |
| | 17 Retired |
18 No desirable assignments available |
| | 19 Job assigned through a temp agency or a contract firm became permanent |
20 Dissatisfied with job matching service |
| | 21 Project completed or job ended |
22 Business failed or bankruptcy |
| | 23 Sold business to another person or firm |
24 Business temporarily inactive |
| | 25 Closed business down or dissolved partnership |
| QES-23A_1 [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: Is this a non-traditional employer?
If Answer = 2 Then Go To QES-25J
| QES-23A_2 [] | Section: Employer Supplement |
[QES-23A([QES-LOOP1 counter])]
COMMENT: Skip based on reason left traditional job
If Answer = 1 Then Go To QES-25
If Answer = 2 Then Go To QES-24
If Answer >= 3 AND Answer <= 6 Then Go To QES-25
If Answer = 9 Then Go To QES-25
| QES-24 [] | Section: Employer Supplement |
About how many days notice did [(employer name)([QES-LOOP1 counter])] give you before the plant closed - under 30 days or 30 days or more?
| | 1 Under 30 days |
| | 2 over 30 days |
| QES-25 [] | Section: Employer Supplement |
Did you have a new job lined up before you left this one?
| QES-25A [] | Section: Employer Supplement |
When you left this job, did you receive any severance pay?
| QES-25B [] | Section: Employer Supplement |
{Received} your severance pay as a lump sum, or as a certain number of weeks or months of full or partial salary?
| | 1 Lump sum |
| | 2 Weekly payments |
| | 3 Monthly Payments |
| | 4 Other (SPECIFY) |
| QES-25E [] | Section: Employer Supplement |
How much [time unit of severence pay] did you or will you receive in severance pay?
| QES-25EE [] | Section: Employer Supplement |
{QES-25B}
COMMENT: CHECK TO SEE IF LUMP SUM WAS CHOSEN
If Answer = 1 Then Go To QES-25I
| QES-25F [] | Section: Employer Supplement |
How many [time unit of severence pay] of severance pay [are/were] you eligible for?
(ENTER TIME UNIT)
| | 1 ANSWERED IN WEEKS ...(Go To QES-25G) |
| | 2 ANSWERED IN MONTHS ...(Go To QES-25H) |
| | 3 ANSWERED IN YEARS |
| QES-25G [] | Section: Employer Supplement |
(How many weeks of severance pay [are/were] you eligible for?)
(ENTER NUMBER OF WEEKS:)
| QES-25H [] | Section: Employer Supplement |
(How many months of severance pay [are/were] you eligible for?)
(ENTER NUMBER OF MONTHS:)
| QES-25I [] | Section: Employer Supplement |
Did [(employer name)([QES-LOOP1 counter])] reduce the amount of severance pay if you found a new job during the period you were receiving severance pay?
| QES-25J [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: Is this a temp or non-traditional employer? Skip next series for regular employers and self-employed
If Answer = 3 Then Go To SES-52A_CHK
| QES-51 [] | Section: Employer Supplement |
{assign_note1}
How many hours per day {do_didlc} you usually work at {thisjob_thisassign}?
(INTERVIEWER: READ IF NECESSARY:) Usually is 50 percent of the time or more, or your most frequent schedule during the past 4 or 5 months. Please use whole numbers and count 30 minutes or more as a whole hour.
| QES-52D [] | Section: Employer Supplement |
Including hours that you [(work/worked)] at your place of employment and any hours worked at home, altogether how hours per week [do/did] you usually work at [(this job/current assignment or on-call job/business)]?
(PROBE: During the weeks when you [are/were] working).
| QES-52B [] | Section: Employer Supplement |
How many of those [hours/wk usually worked for employer] hours per week [do/did] you usually work at [(this job/current assignment or on-call job/business)] at home?
(ENTER '0' FOR 'NONE'.)
| SES-52A_CHK [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: if this is a self-employer then ask next question, if not skip to hours chk
If Answer = 3 Then Go To SES-52D
| SES-52D [] | Section: Employer Supplement |
Including hours that you [(work/worked)] at your place of business and any hours usually worked at home, altogether how hours per week [do/did] you usually work for this business?
| SES-52B [] | Section: Employer Supplement |
How many of those [hours/wk usually worked for employer] hours per week [do/did] you usually work at this business at home?
(INTERVIEWER: ENTER '0' FOR 'NONE'.)
| SES-52E [] | Section: Employer Supplement |
Over the course of [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])~Y], about how many weeks were you working actively at your business?
| SES-52F [] | Section: Employer Supplement |
{^employer_ind({QES-LOOP1})^} !=""
COMMENT: is industry for employer present from date of last interview
If Answer = 1 Then Go To SES-52G
| SES-52G [] | Section: Employer Supplement |
{^employer_occ1({QES-LOOP1})^} !=""
COMMENT: is occupation for employer present from date of last interview
If Answer = 1 Then Go To SES-52H
| SES-52H [] | Section: Employer Supplement |
Is this business, a ranch or a farm?
| QES-53B [] | Section: Employer Supplement |
{chkhrs}
COMMENT: Check whether R worked at least 10 hours a week for this employer (see previous question.)
If Answer = 0 Then Go To SES-56E_CHK1
If Answer = 1 Then Go To QES-54B
| QES-54B [] | Section: Employer Supplement |
{stp-ref}>=9 || {^employer_cpsflag({QES-LOOP1})^}==1
COMMENT: Did R work at least 9 weeks for this employer since last interview or is this the CPS employer?
If Answer = 1 Then Go To QES-55A
| QES-55A [] | Section: Employer Supplement |
ISVAREMPTY ([employer industry([QES-LOOP1 counter])])
COMMENT: Is industry for first employer present from date of last interview?
If Answer = 1 Then Go To QES-55E
| QES-55B [] | Section: Employer Supplement |
ISVAREMPTY ([employer occupation description([QES-LOOP1 counter])])
COMMENT: Is occupation for first employer present from date of last interview?
If Answer = 1 Then Go To QES-55H
| QES-55C [] | Section: Employer Supplement |
{assign_note3}
{Have_Had} the usual activities and duties of {yourjob_yourassign} changed since {^refdate({QES-LOOP1})~X^}?
| QES-55DC [] | Section: Employer Supplement |
On [Date of last interview], your occupation was reported as [employer occupation description([QES-LOOP1 counter])] and your usual activities were [employer occupation description([QES-LOOP1 counter])].....
[(READ IF NECESSARY:) Thinking of your current or most recent assignment...]
Is this an accurate description of [(your job/current assignment/business)] with [(employer name)([QES-LOOP1 counter])]?
(INTERVIEWER: READ IF NECESSARY:) Please think of your [current/most recent] activities.
| QES-55E [] | Section: Employer Supplement |
{assign_note3a}
What kind of business or industry {is_waslc} {busind_text}?
(READ IF NECESSARY:) What do they make or do where you {work_worked}?
| QES-55G [] | Section: Employer Supplement |
{assign_note3a}
(ASK IF NECESSARY:)
{Is_Was} this business or organization mainly manufacturing, retail trade, wholesale trade, or something else?
| | 1 Manufacturing |
| | 2 Retail Trade |
| | 3 Wholesale Trade |
| | 4 Business or government service |
| | 5 OTHER (SPECIFY) - Something else |
| QES-55H [] | Section: Employer Supplement |
{assign_note3a}
What kind of work {do_didlc} you do? That is, what {is_waslc} your occupation? (For example: plumber, typist, farmer...)
| QES-55J [] | Section: Employer Supplement |
{assign_note3a}
What {are_werelc} your usual activities or duties at {thisjob_thisassign}?
(For example: types, keeps account books, files, sells cars, operates printing press, lays brick...)
| QES-56AA_1 [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: Is this job a self-employed situation?
If Answer = 3 Then Go To QES-56E
| QES-56B [] | Section: Employer Supplement |
{assign_note3a}
{Are_Were} you employed by government, by a private company, or a non-profit organization {cow_text1}?
| | 1 Government |
| | 2 Private for profit |
| | 3 Non-profit |
| | 4 Self-Employed |
| | 5 Family Business |
| QES-56B_1 [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: What is job type for this employer?
If Answer = 1 Then Go To QES-56B_2
If Answer = 2 Then Go To QES-56B_3
| QES-56B_2 [] | Section: Employer Supplement |
[QES-56B([QES-LOOP1 counter])]
COMMENT: Skip based on class of worker for non-traditional employee
If Answer = 1 Then Go To QES-56D
| QES-56B_3 [] | Section: Employer Supplement |
[QES-56B([QES-LOOP1 counter])]
COMMENT: Skip based on class of worker for traditional employee
If Answer = 1 Then Go To QES-56D
If Answer >= 4 AND Answer <= 5 Then Go To QES-56E
| QES-56D [] | Section: Employer Supplement |
Would that be the federal, state, or local government?
| | 1 Federal |
| | 2 State |
| | 3 Local (county, city, township) |
| QES-56EA [] | Section: Employer Supplement |
{^employer_buswk({QES-LOOP1})^}==1
If Answer = 1 Then Go To QES-56E
| QES-56E [] | Section: Employer Supplement |
{Is_Was} this business incorporated?
INTERVIEWER: READ IF NECESSARY: INCORPORATED businesses are taxable entities with officers and by-laws registered with the state, and have met with all state and/or federal regulations.
UNINCORPORATED businesses are sole-proprietor (having only one owner) or partnerships, needing only a business license to operate.
| SES-56E_CHK1 [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: If this employer is a business, ask next series fo questions about pay
If Answer = 3 Then Go To SES-56EA_1A
| SES-56EA_1A [] | Section: Employer Supplement |
{Is_was} your business based entirely in your home, or {do_didlc} you have a place of business or office that is physically separate from the place you live?
| | 1 Business based entirely in home |
| | 2 Business or office physically separate from home |
| SES-56EA_2 [] | Section: Employer Supplement |
{Is_was} your business a partnership with at least one person outside your family, or a sole proprietorship (having only one owner or proprietor)?
| | 1 Partnership |
| | 2 Sole proprietorship (only one owner or proprietor) ...(Go To SES-56ED) |
| SES-56EB [] | Section: Employer Supplement |
How many partners [do/did] you have from outside your family?
| SES-56ED [] | Section: Employer Supplement |
{excluding}, how many paid employees does this business have?
(ENTER NUMBER OF EMPLOYEES)
| SES-56L [] | Section: Employer Supplement |
Some businesses are sidelines - that is, businesses you have part-time that you have in addition to a regular job. Other businesses are regular jobs- that is, a business that is your main occupation or most important job for making money. [(Is/Was)] this business more your sideline or more your main job?
| SES-56E_CHK2 [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^} == 3 || {^employer_busowner({qes-loop1})^} == 1
COMMENT: R SELF-EMPLOYED OR BUSINESS OWNER WITH THIS EMPLOYER?
If Answer = 1 Then Go To SES-56E_CHK4
| SES-56E_CHK4 [] | Section: Employer Supplement |
{^employer_dliflag({QES-LOOP1})^} == 1
COMMENT: EMPLOYER CONTINUING FROM LAST SURVEY YEAR?
If Answer >= -2 AND Answer <= 0 Then Go To SES-BUSOWN-5
| SES-BUSOWN-5 [] | Section: Employer Supplement |
Now let's talk about how you established or acquired this business.
In what year was [(employer name)([QES-LOOP1 counter])] originally established?
| SES-BUSOWN-6 [] | Section: Employer Supplement |
In what month and year did you acquire an ownership share in [(employer name)([QES-LOOP1 counter])]?
| SES-BUSOWN-7 [] | Section: Employer Supplement |
How did you acquire ownership in [(employer name)([QES-LOOP1 counter])]? Did you establish the business either alone or with partners, receive ownership as a gift, purchase ownership, inherit ownership, acquire ownership through marriage, or was it something else?
| | 1 Established the business alone or with partners |
| | 2 Received ownership as a gift |
| | 3 Purchased ownership |
| | 4 Inherited ownership |
| | 5 Received ownership through marriage |
| | 6 Other (specify) |
| SES-BUSOWN-8 [] | Section: Employer Supplement |
What was your reason for establishing or acquiring this business?
| SES-BUSOWN-9 [] | Section: Employer Supplement |
Prior to establishing or acquiring this business, had you ever owned or worked for a related type of business?
| SES-BUSOWN-10 [] | Section: Employer Supplement |
What sources of money did you use to establish or acquire this business?
(INTERVIEWER: RESPONDENTS SHOULD REPORT ONLY THE SOURCES THAT THEY THEMSELVES PROVIDED, AND NOT SOURCES USED BY PREVIOUS OWNERS AND/OR CO-OWNERS.)
SELECT ALL THAT APPLY.
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)
| | 1 Personal or family savings or assets |
| | 2 Personal or family home equity loan |
| | 3 Personal or business credit card |
| | 4 Business loan or investment from family or friends |
| | 5 Business loan from federal, state or local government |
| | 6 Business loan from a bank or financial institution |
| | 7 Other (specify) |
| | 0 None needed |
| SES-BUSOWN-11 [] | Section: Employer Supplement |
What was the total amount of money that you used to establish or acquire the business?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-11_UNF1
| SES-BUSOWN-11_UNF1 [] | Section: Employer Supplement |
Did you use $5,000 or less?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-12
| SES-BUSOWN-11_UNF2 [] | Section: Employer Supplement |
Did you use $10,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-12
| SES-BUSOWN-11_UNF3 [] | Section: Employer Supplement |
Did you use $25,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-12
| SES-BUSOWN-11_UNF4 [] | Section: Employer Supplement |
Did you use $50,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-12
| SES-BUSOWN-11_UNF5 [] | Section: Employer Supplement |
Did you use $100,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-12
| SES-BUSOWN-11_UNF6 [] | Section: Employer Supplement |
Did you use $250,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To SES-BUSOWN-12
| SES-BUSOWN-11_UNF7 [] | Section: Employer Supplement |
Did you use $1,000,000 or more?
| SES-BUSOWN-11A [] | Section: Employer Supplement |
Has the legal form of [(employer name)([QES-LOOP1 counter])] changed since [Date of last interview]?
| SES-BUSOWN-12 [] | Section: Employer Supplement |
What [(is/was)] the legal form of this business? [(Is/Was)] it a...
| | 1 Sole proprietorship |
| | 2 Partnership or limited liability partnership (LLP) |
| | 3 Limited liability corporation (LLC) |
| | 4 Sub-chapter S corporation |
| | 5 General corporation |
| | 6 Nonprofit organization |
| | 7 Other (specify) |
| Default Next: | SES-BUSOWN-12A |
| Lead-In: | SES-BUSOWN-11_UNF1 [-2:-1], SES-BUSOWN-11_UNF1 [1:1], SES-BUSOWN-11_UNF2 [-2:-1], SES-BUSOWN-11_UNF2 [0:0], SES-BUSOWN-11_UNF3 [-2:-1], SES-BUSOWN-11_UNF3 [0:0], SES-BUSOWN-11_UNF4 [-2:-1], SES-BUSOWN-11_UNF4 [0:0], SES-BUSOWN-11_UNF5 [-2:-1], SES-BUSOWN-11_UNF5 [0:0], SES-BUSOWN-11_UNF6 [-2:-1], SES-BUSOWN-11_UNF6 [0:0], SES-BUSOWN-11 [Default], SES-BUSOWN-11_UNF7 [Default], SES-BUSOWN-11A [Default] |
| SES-BUSOWN-12A [] | Section: Employer Supplement |
VAREXIST([employer_businddescrip([QES-LOOP1 counter])])
COMMENT: is there a business description
If Answer = 1 Then Go To SES-BUSOWN-12B
| SES-BUSOWN-12B [] | Section: Employer Supplement |
Our records show that the type of business done by [(employer name)([QES-LOOP1 counter])] is [employer_businddescrip([QES-LOOP1 counter])]. Is this still an accurate description?
| SES-BUSOWN-13 [] | Section: Employer Supplement |
What type of business [(is/was)] [(employer name)([QES-LOOP1 counter])]? (IF NECESSARY, READ:) What [(does/did)] the company make or do?
| SES-BUSOWN-14 [] | Section: Employer Supplement |
At its largest, how many people worked for this business, including you? Please include part-time and temporary workers, and exclude outside contractors.
(INTERVIEWER: PROBE FOR APPROXIMATE NUMBER IF NECESSARY.)
| SES-BUSOWN-15 [] | Section: Employer Supplement |
At it's largest, did this business have one physical location, multiple physical locations or no specific physical location?
| | 1 One physical location |
| | 2 Multiple physical locations |
| | 3 No specific physical location |
| SES-BUSOWN-16 [] | Section: Employer Supplement |
Approximately how much [(does/did)] this business generate in sales or revenue during a typical year?
(INTERVIEWER: IF R HAS DIFFICULTY WITH "TYPICAL" YEAR, ASK ABOUT REVENUE IN LAST CALENDAR YEAR OR THE LAST YEAR OF OWNERSHIP, AND ENTER A COMMENT.)
| SES-CHKA [] | Section: Employer Supplement |
{^employer_curflag({QES-LOOP1})^} == 1
COMMENT: R CURRENTLY WORKING AT THIS BUSINESS?
If Answer >= -2 AND Answer <= 0 Then Go To SES-BUSOWN-23A
| SES-BUSOWN-23A [] | Section: Employer Supplement |
What is the main reason you no longer work at [(employer name)([QES-LOOP1 counter])]?
(INTERVIEWER: FOR RESPONSES WHICH CAN NOT BE CODED IN THE CATEGORIES PROVIDED, PLEASE CHOOSE "OTHER (SPECIFY)" AND RECORD COMPLETE VERBATIM. SELECT "COMMENT" BUTTON BESIDE QNAME TO ENTER ANY ADDITIONAL COMMENTS IN AN INTERVIEWER COMMENT.)
(SELECT ONE ONLY)
| | 1 Business failed or bankruptcy |
| | 2 Sold business to another person or firm |
| | 3 Business temporarily inactive |
| | 4 Closed business down or dissolved partnership |
| SES-BUSOWN-17 [] | Section: Employer Supplement |
Do you still maintain an ownership share in this business?
| SES-BUSOWN-18 [] | Section: Employer Supplement |
In what year did your ownership end?
| SES-BUSOWN-19 [] | Section: Employer Supplement |
How did your ownership end? Did you sell the business, shut down the business or was it something else?
| | 1 Sold the business |
| | 2 Shut down business |
| | 3 Other (specify) |
| SES-BUSOWN-20 [] | Section: Employer Supplement |
At the time you (left/shut down) this business, what was your ownership share?
If Answer >= 1 AND Answer <= 99 Then Go To SES-BUSOWN-24
| SES-BUSOWN-24 [] | Section: Employer Supplement |
After [sold/closed selling/closing] your business, paying off the business's debts and selling your business's assets, did you come away with some money after liquidation, or did you have to put some of your personal funds into the business in order to shut it down?
| | 1 Came away with money after liquidation |
| | 2 Had to use personal funds in order to liquidate |
| | 3 (IF VOLUNTEERED) Neither |
| SES-BUSOWN-24A [] | Section: Employer Supplement |
How much money?
| SES-BUSOWN-24-A [] | Section: Employer Supplement |
{liquid}
COMMENT: if R made money after liquidation, then ask about future income, otherwise skip past those questions
If Answer = 1 Then Go To SES-BUSOWN-24B
| SES-BUSOWN-24B [] | Section: Employer Supplement |
Are you entitled to any future income, such as royalities, profit sharing, or future payments from selling this business?
| SES-BUSOWN-24BB [] | Section: Employer Supplement |
How much?
(INTERVIEWER: ENTER VERBATIM RESPONSE, FOR EXAMPLE, $4000 PER YEAR OVER 10 YEARS, 20 PERCENT OF THE PROFITS FOR THE NEXT 5 YEARS, ETC.)
| SES-BUSOWN-24D [] | Section: Employer Supplement |
Was there some property you had in the business that you did not sell or dispose of, but kept for yourself?
| SES-BUSOWN-24E [] | Section: Employer Supplement |
How much would you say the property you kept was worth?
| SES-BUSOWN-25 [] | Section: Employer Supplement |
Did you have a new job lined up before you closed your business?
| SES-BUSOWN-21 [] | Section: Employer Supplement |
What is your current ownership share?
If Answer >= 1 AND Answer <= 99 Then Go To SES-BUSOWN-22
| SES-BUSOWN-22 [] | Section: Employer Supplement |
{Is_Was} this business {ownsed} exclusively by members of your family. (READ IF NECESSARY:) Please include spouses, domestic partners, parents or guardians, brothers, sisters of other close relatives.
| QES-TEACH1 [] | Section: Employer Supplement |
INTERVIEWER: IS R A TEACHER OR SUBSTITUTE TEACHER IN [HISR/HERR] JOB WITH [(employer name)([QES-LOOP1 counter])]?
IF "YES", RESPONDENT WILL BE ASKED QUESTIONS SPECIFICALLY FOR TEACHERS IN THIS EMPLOYER SUPPLEMENT.
| QES-TEACH1_A [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: Is employer non-traditional?
If Answer = 2 Then Go To NTES-50A1
| QES-TEACH1_B [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: Is employer non-traditional?
If Answer = 2 Then Go To NTES-50A1
| QES-TEACH2 [] | Section: Employer Supplement |
Is this teaching job at a regular school, that is an elementary school, a secondary school, a college, or a university?
| QES-TEACH3 [] | Section: Employer Supplement |
The next few questions ask about periods when you did not work for [(employer name)([QES-LOOP1 counter])]. For most teachers this would include summer vacation and periods of unpaid personal leave, but not shorter breaks during the regular school year. If, during the summer, you work for [(employer name)([QES-LOOP1 counter])], for example as a summer school teacher, a coach or an advisor, please report only the weeks when you were not working at any appointment.
| NTES-50A1 [] | Section: Employer Supplement |
Across all (on-call job) assignments through [(employer name)([QES-LOOP1 counter])] (so far), about how much on average [do/did] you usually earn per month, before taxes or other deductions?
| NTES-50A2 [] | Section: Employer Supplement |
About how many different assignments (or on-call assignments) have you had from [(employer name)([QES-LOOP1 counter])] between [employer start date/date of last int([QES-LOOP1 counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])~X]?
(INTERVIEWER: IF "DON'T KNOW" PLEASE ENTER 995.)
| NTES-50A3 [] | Section: Employer Supplement |
Are you currently on an assignment or on-call with [(employer name)([QES-LOOP1 counter])] or are you between assignments?
| | 1 Currently on assignment |
| | 2 Between assignments |
| | 3 NO LONGER WORKING FOR TEMP/CONTRACTING/ON-CALL AGENCY |
| NTES-50A4 [] | Section: Employer Supplement |
Again, the next questions refer to your [current/most recent] assignment with [(employer name)([QES-LOOP1 counter])].
| NTES-50B1 [] | Section: Employer Supplement |
About how many weeks have you been working at your [current/most recent] assignment?
(INTERVIEWER: IF LESS THAN ONE WEEK, PLEASE ENTER '1' WEEK.)
| NTES-50B2 [] | Section: Employer Supplement |
{curr_assign}==1
COMMENT: IS the respondent currently on assignment?
If Answer = 0 Then Go To QES-28
| NTES-50C [] | Section: Employer Supplement |
About how many more weeks do you expect to work at this assignment (assuming that the job does not become permanent)?
(INTERVIEWER: IF LESS THAN ONE WEEK, PLEASE ENTER '1' WEEK. IF THIS ASSIGNMENT IS FOR AN INDEFINITE PERIOD OF TIME, ENTER 995.)
| QES-28 [] | Section: Employer Supplement |
{ONE_REASON}
Between {^refdate({QES-LOOP1})~X^} and {^employer_stopdate({QES-LOOP1})~X^}, were there any periods of a full week or more during which you did not work {empname_fill}
(INTERVIEWER: IF R IS NOT SELF-EMPLOYED IN {HISR_HERR} JOB WITH {^EMPLOYER_NAME({QES-LOOP1})^}, RECORD ONLY UNPAID PERIODS NOT WORKING HERE. IF R TOOK PAID LEAVE SPECIFICALLY FOR PREGNANCY, DO NOT REPORT ANY PART OF THE LEAVE THAT WAS PAID HERE; IT WILL BE RECORDED LATER. REPORT HERE ONLY ANY PART OF THE PREGNANCY LEAVE THAT WAS UNPAID.)
| QES-28AA [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: if this employer is non-traditional, go to series about non-traditional gaps, otherwise go to regular gap collection series
If Answer = 1 Then Go To QES-29-LOOP-BEGIN
If Answer = 3 Then Go To QES-29-LOOP-BEGIN
| NTES-28B [] | Section: Employer Supplement |
Between [employer start date/date of last int([QES-LOOP1 counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])~X], how many separate periods of a full week or more were you not on assignment [(for/at) (name of employer) - not counting (paid) vacations or (paid) sick leave?/at this business- not counting vacations or sick leave?] (IF NECESSARY PROMPT:) Were there less than 5 or 5 or more?
(READ IF NECESSARY:) This includes all periods including those when [(employer name)([QES-LOOP1 counter])] did not have an assignment for you and those when you chose to decline an assignment for [(employer name)([QES-LOOP1 counter])].
| | 1 Less than 5 |
| | 2 5 or more ...(Go To NTES-28C1) |
| NTES-28C1 [] | Section: Employer Supplement |
About how many weeks were you without an assignment for [(employer name)([QES-LOOP1 counter])] between [employer start date/date of last int([QES-LOOP1 counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])~X]?
(READ IF NECESSARY:) Please tell me about all periods including those when [(employer name)([QES-LOOP1 counter])] did not have an assignment for you and those when you chose to decline an assignment with them.
| NTES-28C3 [] | Section: Employer Supplement |
{totemp} > 1
COMMENT: did the respondent report more than one employer?
If Answer = 1 Then Go To NTES-28C4
| NTES-28C4 [] | Section: Employer Supplement |
Earlier you mentioned that you worked for [(an)other employer(s)] since [Date of last interview]. Between [employer start date/date of last int([QES-LOOP1 counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])] about how many weeks were you not working for [(employer name)([QES-LOOP1 counter])] and not working for any other employer?
| NTES-28D [] | Section: Employer Supplement |
Now, please tell me the beginning and ending dates of the most recent period between [employer start date/date of last int([QES-LOOP1 counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])] during which you didn't work for [(employer name)([QES-LOOP1 counter])] for a full week or more.
(INTERVIEWER: ENTER BEGINNING DATE OF MOST RECENT PERIOD BELOW. SELECT <SUBMIT AND CONTINUE> TO PROCEED AND ENTER ENDING DATE.)
| NTES-28E [] | Section: Employer Supplement |
INTERVIEWER: ENTER ENDING DATE OF MOST RECENT PERIOD BELOW.
NOTE: BEGINNING DATE OF THE MOST RECENT PERIOD WAS [date began most recent gap (non-trad emps)([QES-LOOP1 counter])~X]
| NTES-28F [] | Section: Employer Supplement |
Now, please tell me the beginning and ending dates of the longest period between [employer start date/date of last int([QES-LOOP1 counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])~X] during which you didn't work for [(employer name)([QES-LOOP1 counter])] for a full week or more. (IF LONGEST GAP WAS ALSO MOST RECENT, READ:) Please tell me about the next most recent period.
(INTERVIEWER: ENTER BEGINNING DATE OF LONGEST PERIOD BELOW. SELECT <SUBMIT AND CONTINUE> TO PROCEED AND ENTER ENDING DATE.)
| NTES-28G [] | Section: Employer Supplement |
INTERVIEWER: ENTER ENDING DATE OF LONGEST (OR NEXT MOST RECENT) PERIOD BELOW.
NOTE: BEGINNING DATE OF THE LONGEST (OR NEXT MOST RECENT) PERIOD WAS [date began longest gap (non-trad emps)([QES-LOOP1 counter])]
| QES-29-LOOP-BEGIN [] | Section: Employer Supplement |
REPEAT
COMMENT: Begin Loop.
| QES-30 [] | Section: Employer Supplement |
Please tell me the [first/next] period between [Month/day/year ended period not working([QES-LOOP1 counter]:[QES-LOOP3 counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])~X] during which you didn't work for [(employer name)([QES-LOOP1 counter])] for a full week or more.
(INTERVIEWER: ENTER BEGINNING DATE OF PERIOD BELOW.)
| QES-31 [] | Section: Employer Supplement |
INTERVIEWER: ENTER ENDING DATE OF PERIOD 1 BELOW.
NOTE: BEGINNING DATE OF PERIOD 1 WAS [Month/day/year began period not working([QES-LOOP1 counter]:[QES-LOOP3 counter])~X].
| QES-31B [] | Section: Employer Supplement |
(PROBE:) What other period was there during which you didn't work for [(your job/current assignment/business)] for a full week or more?
| | 2 SELECT TO ENTER DATES |
| | 1 NO MORE PERIODS |
| QES-31C-LOOP-END [] | Section: Employer Supplement |
UNTIL ([did r have another gap?]==1)
COMMENT: loop end
| QES-31D [] | Section: Employer Supplement |
{gap_loopplus}-1
COMMENT: establish number of gaps for next loop
If Answer >= 1 AND Answer <= 99 Then Go To QES-32-LOOP-BEGIN
| QES-32-LOOP-BEGIN [] | Section: Employer Supplement |
REPEAT
COMMENT: Begin Loop.
| QES-33 [] | Section: Employer Supplement |
You said that you were not working for [(employer name)([QES-LOOP1 counter])] between [Month/day/year began period not working([QES-LOOP1 counter]:[QES-LOOP4 counter])~X] and [Month/day/year ended period not working([QES-LOOP1 counter]:[QES-LOOP4 counter])~X]. What was the main reason why you were not working at [(your job/current assignment/business)] for [(employer name)([QES-LOOP1 counter])] during this period of time?
(PROBE IF NECESSARY:) What was the reason you were on vacation or unpaid leave.
If Answer = 14 Then Go To QES-35
| QES-35 [] | Section: Employer Supplement |
What was the reason?
| QES-35F [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: What is job type for this employer?
If Answer = 2 Then Go To QES-44B-LOOP-END
If Answer = 3 Then Go To QES-35I
| QES-35G [] | Section: Employer Supplement |
[QES-33([QES-LOOP1 counter]:[QES-LOOP4 counter])]
COMMENT: Skip based on reason for gap from traditional employer
If Answer >= 3 AND Answer <= 4 Then Go To QES-36
| QES-35I [] | Section: Employer Supplement |
[QES-33([QES-LOOP1 counter]:[QES-LOOP4 counter])]
COMMENT: Skip based on reason for gap from self-employment employer
If Answer = 1 Then Go To QES-36
If Answer = 3 Then Go To QES-36
If Answer = 4 Then Go To QES-36
| QES-36 [] | Section: Employer Supplement |
{gap_text1}
{gap_helptext}
| QES-39 [] | Section: Employer Supplement |
INT(DATE2WK ([Month/day/year ended period not working([QES-LOOP1 counter]:[QES-LOOP4 counter])])-
DATE2WK ([Month/day/year began period not working([QES-LOOP1 counter]:[QES-LOOP4 counter])]))
COMMENT: SUBTRACT WEEK GAP 1 BEGAN FROM WEEK GAP 1 ENDED. THIS IS THE ACTUAL DURATION OF GAP 1 IN WEEKS.
If Answer = 0 Then Go To QES-39A
| QES-39A [] | Section: Employer Supplement |
INTERVIEWER: THE GAP DATES R GAVE WERE NOT A FULL WEEK APART. VERIFY THE GAP DATES WITH R. IF THE DATES NEED TO BE CORRECTED, RETURN TO THE PREVIOUS QUESTIONS QES-30 AND QES-31 BY USING THE BACK/LEFT ARROW AT TOP OF SCREEN AND CORRECT THE DATES. IF R CLAIMS THE DATES ARE CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
(DATES: [Month/day/year began period not working([QES-LOOP1 counter]:[QES-LOOP4 counter])~X] [Month/day/year ended period not working([QES-LOOP1 counter]:[QES-LOOP4 counter])~X]).
| QES-40 [] | Section: Employer Supplement |
You were [not (working/on assignment)] from [Month/day/year began period not working([QES-LOOP1 counter]:[QES-LOOP4 counter])~X] to [Month/day/year ended period not working([QES-LOOP1 counter]:[QES-LOOP4 counter])~X]. That would be about [Duration of first gap (measured in weeks)([QES-LOOP4 counter])] weeks when you were not working. For how many of these weeks were you [permanent job flag] [not (working/on assignment)/or on layoff from this job]?
[(INTERVIEWER: READ IF NECEAARY: Looking for a job means looking for employment at an entirely different business or with an entirely new employer. It does not mean looking for new clients or jobs to bring to your business.)]
| QES-41 [] | Section: Employer Supplement |
{^wkwork1({QES-LOOP4})^} - {^wklook1({QES-LOOP4})^}
COMMENT: SUBTRACT NUMBER OF WEEKS LOOKING FOR WORK OR ON LAYOFF FROM TOTAL NUMBER OF WEEKS IN GAP 1. THIS LEAVES THE NUMBER OF WEEKS THAT R WAS NEITHER WORKING NOR LOOKING FOR WORK.
If Answer = 0 Then Go To QES-44B-LOOP-END
| QES-43_VERBATIM [] | Section: Employer Supplement |
That leaves [weeks during gap not looking for work or on layoff (OLF)([QES-LOOP4 counter])] week(s) that you were [not (working/on assignment)] or [looking for (work/a permanent regular employer/a different job)].
What would you say was the main reason that you were not [looking for (work/a permanent regular employer/a different job)] during that period?
[(INTERVIEWER: READ IF NECEAARY: Looking for a job means looking for employment at an entirely different business or with an entirely new employer. It does not mean looking for new clients or jobs to bring to your business.)]
| QES-43 [] | Section: Employer Supplement |
| | 1 DID NOT WANT TO WORK |
| | 2 ILL, DISABLED, UNABLE TO WORK |
| | 3 SCHOOL EMPLOYEES: SCHOOL WAS NOT IN SESSION FOR THIS PERIOD |
| | 4 ARMED FORCES |
| | 5 PREGNANCY |
| | 6 CHILD CARE PROBLEMS |
| | 7 PERSONAL/FAMILY REASONS |
| | 8 VACATION |
| | 9 LABOR DISPUTE/STRIKE |
| | 10 BELIEVED NO WORK AVAILABLE |
| | 11 COULD NOT FIND WORK |
| | 12 IN SCHOOL |
| | 13 HAD ANOTHER JOB |
| | 14 IN JAIL |
| | 15 TRANSPORTATION PROBLEMS |
| | 16 OTHER (SPECIFY) |
| QES-44B-LOOP-END [] | Section: Employer Supplement |
UNTIL([QES-LOOP4 counter]==[number of periods not working for employer([QES-LOOP1 counter])])
COMMENT: loop end
| QES-45 [] | Section: Employer Supplement |
{resp_gender}
COMMENT: Is respondent a male or a female? This determines whether the paid pregnancy leave questions which follow are asked.
If Answer = 2 Then Go To QES-46
| QES-46 [] | Section: Employer Supplement |
{pregap_text1}
(INTERVIEWER: RECORD ONLY PAID PERIODS OF LEAVE SPECIFICALLY FOR PREGNANCY. DO NOT RE-RECORD ANY UNPAID PERIODS REPORTED EARLIER.)
| QES-47-LOOP-BEGIN [] | Section: Employer Supplement |
REPEAT
COMMENT: Begin Loop.
| QES-48 [] | Section: Employer Supplement |
Please tell me the [first/next([QES-LOOP5 counter])] period between [min date for end of pregnancy leave period([QES-LOOP5 counter])~X] and [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])~X] during which you didn't work for [(your job/current assignment/business)] for a full week or more because of a pregnancy or the birth of a child [and you received pay].
(INTERVIEWER: ENTER BEGINNING DATE OF PERIOD [QES-LOOP5 counter] BELOW.)
| QES-49 [] | Section: Employer Supplement |
INTERVIEWER: ENTER ENDING DATE OF PERIOD [QES-LOOP5 counter] BELOW.
NOTE: BEGINNING DATE OF PERIOD [QES-LOOP5 counter] WAS [pregbeg~x].
| QES-49B [] | Section: Employer Supplement |
(PROBE:) What other period was there during which you didn't work for [(your job/current assignment/business)] for a full week or more because of pregnancy or the birth of a child [and you received pay/that you have not already told me about]?
| | 2 SELECT TO ENTER DATES |
| | 1 NO MORE PERIODS |
| QES-49C-LOOP-END [] | Section: Employer Supplement |
UNTIL([Are there any other pregnancies?]==1)
COMMENT: pregnancy or child birth leave loop end
| QES-56CHK [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: If this employer is a business, ask next series of questions about pay
If Answer = 1 Then Go To QES-TEACH4
If Answer = 3 Then Go To SES-71A
| QES-TEACH4 [] | Section: Employer Supplement |
{^teach_regschl({QES-LOOP1})^}==1
COMMENT: R teach in regular school
If Answer = 0 Then Go To QES-71A
| QES-TEACH5 [] | Section: Employer Supplement |
Aside from your regular contract, do you have any additional appointments with this school ([(employer name)([QES-LOOP1 counter])]), such as teaching summer school, coaching, or advising an extracurricular activity?
| QES-TEACH6 [] | Section: Employer Supplement |
What is your annual salary for your regular teaching contract, excluding extra pay for your additional appointments? We are looking for the total amount before taxes and deductions.
(INTERVIEWER: IF RESPONDENT IS PAID BY THE COURSE, ANSWER DK AND RECORD RESPONSE IN FOLLOWING QUESTION WITHOUT ASKING.)
If Answer = -2 Then Go To QES-TEACH7
| QES-TEACH7 [] | Section: Employer Supplement |
{Are_Were} you paid a certain amount for each course you teach on this job?
| QES-TEACH8 [] | Section: Employer Supplement |
How much [are/were] you paid for the [(course you are currently teaching/most recent course you taught)] before taxes deductions?
| QES-TEACH9 [] | Section: Employer Supplement |
How many weeks [(does/did)] this course last?
| QES-TEACH10 [] | Section: Employer Supplement |
During those weeks, how many hours per week [do/did] you spend on that course, including teaching, time with students, grading and instruction?
| QES-TEACH11 [] | Section: Employer Supplement |
How many courses [do/did] you usually teach at a time at this school?
| QES-TEACH11A [] | Section: Employer Supplement |
How many separate courses [do/did] you teach in the past calendar year at this school?
| QES-TEACH12 [] | Section: Employer Supplement |
Questions about teachers' earnings can be difficult to answer. I would appreciate it if you could tell me how much you [are/were] paid per pay period before taxes and other deductions. Then, please tell me how many pay periods there are per year.
(INTERVIEWER: PLEASE ENTER VERBATIM RESPONSE FOR AMOUNT AND PAY PERIOD.)
| QES-TEACH13 [] | Section: Employer Supplement |
In a typical week, about how many hours do you work at school and at home on your regular teaching duties? [(In a moment we will ask about time spent on additional appointments for which you are paid extra.)]
| QES-TEACH14 [] | Section: Employer Supplement |
{multi_teach}==1
COMMENT: Did R report additional assigments with school?
If Answer = 1 Then Go To QES-TEACH15
| QES-TEACH15 [] | Section: Employer Supplement |
Now we are going to ask about the additional appointments that you reported earlier, which might include teaching summer school, coaching or advising. Do you hold more than one paid appointment for this school outside of your regular contract?
| | 1 Yes |
| | 0 No |
| | 2 (IF VOLUNTEERED:) NO ADDITIONAL APPOINMENTS ...(Go To QES-80) |
| QES-TEACH16-LOOP-BEG [] | Section: Employer Supplement |
REPEAT
COMMENT: Begin loop for additional teaching appoinments
| QES-TEACH17 [] | Section: Employer Supplement |
What is your yearly stipend at this [first/next] additional appointment, outside your regular contract at this school? We are looking for the total amount before taxes and deductions.
| QES-TEACH18 [] | Section: Employer Supplement |
About how many weeks during the year do you work at this additional appointment?
| QES-TEACH19 [] | Section: Employer Supplement |
During a typical week, about how many total hours [do/did] you work at school and and home at this additional appointment?
| QES-TEACH20A [] | Section: Employer Supplement |
{teachadd-loop1}==1
COMMENT: Is this the first time through the loop?
If Answer = 1 Then Go To QES-TEACH20B
| QES-TEACH20B [] | Section: Employer Supplement |
{teach_apptnum}==1
COMMENT: Did R report additional assigments with school?
If Answer = 0 Then Go To QES-TEACH22-LOOP-END
| QES-TEACH21 [] | Section: Employer Supplement |
{Do_Did} you hold another additional appointment outside your regular teaching appointment at this school?
| QES-TEACH22-LOOP-END [] | Section: Employer Supplement |
UNTIL ([[Do/Did] you hold another additional appointment outside your regular teaching appointment at this school?]==0 || [addtl school appts loop]==3)
COMMENT: Did R report additional assigments with school?
| SES-71A [] | Section: Employer Supplement |
Now, we would like to ask you a few questions concerning your earnings at your business. We appreciate these questions are sensitive and difficult. Businesses are usually complex and business earnings hard to measure. Sometimes growth in the value of the business is a very important part of the financial return the owner gets from his or her work. I would like to ask you about two things - income from this business and then value of the business.
During [calendar year prior to survey year], how much did you receive after expenses from this business?
| SES-71G [] | Section: Employer Supplement |
What is the total value of the land, assets in the business, including tools and equipment, buildings (livestock, stored crops, except crops held under commodity credit loans) and other assets for this business?
| SES-72 [] | Section: Employer Supplement |
What is the total value of liabilities for this business?
| SES-72A [] | Section: Employer Supplement |
{ownership}==1
COMMENT: Is the respondent the sole owner of the business?
If Answer = 1 Then Go To SES-73
| SES-73 [] | Section: Employer Supplement |
What percentage of the business [Do/Did] you [or] [Spouse/partner's name] own?
(INTERVIEWER: PLEASE ENTER A NUMBER FROM 1 TO 100, THE ANSWER WILL BE RECORDED AS A PERCENTAGE.)
| QES-71A [] | Section: Employer Supplement |
{payrate_text1} {teach_intro}
For {thisjob_thisassign} with {^employer_name({QES-LOOP1})^}, what is the easiest way for you to report your total earnings before taxes or other deductions: hourly, weekly, annually, or on some other basis?
(READ IF NECESSARY:) We use this information to compare the amount that people earn in different types of jobs.
| | 1 per hour |
| | 2 per day |
| | 3 per week |
| | 4 bi-weekly (every 2 weeks) |
| | 8 bi-monthly (twice a month) |
| | 5 per month |
| | 6 per year |
| | 7 other (SPECIFY) |
| QES-71B [] | Section: Employer Supplement |
{Do_Did} you usually receive overtime pay, tips or commissions at {thisjob_thisassign} with {^employer_name({QES-LOOP1})^}?
| QES-71G [] | Section: Employer Supplement |
{^paytimen({QES-LOOP1})^}
COMMENT: Branch according the time unit for rate of pay R reported.
If Answer = 1 Then Go To QES-71H
If Answer = 4 Then Go To QES-75X
If Answer = 5 Then Go To QES-74T
If Answer = 6 Then Go To QES-75I
If Answer = 8 Then Go To QES-74T
| QES-71H [] | Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R receive overtime pay, tips or commissions?
If Answer = 1 Then Go To QES-71I
| QES-71I [] | Section: Employer Supplement |
Excluding overtime pay, tips and commissions, what [(is/was)] your hourly rate of pay, on [(this job/current assignment or on-call job/business)]?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-71P
If Answer = -1 Then Go To QES-80
If Answer >= 0 AND Answer <= 1 Then Go To QES-71K
If Answer >= 30 AND Answer <= 1,000,000 Then Go To QES-71K
| QES-71J [] | Section: Employer Supplement |
What [(is/was)] your hourly rate of pay, on [(this job/current assignment or on-call job/business)]?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-71P
If Answer = -1 Then Go To QES-80
If Answer >= 0 AND Answer <= 1 Then Go To QES-71Q
If Answer >= 0 AND Answer <= 1 Then Go To QES-71K
If Answer >= 30 AND Answer <= 1,000,000 Then Go To QES-71K
If Answer >= 30 AND Answer <= 1,000,000 Then Go To QES-71Q
| QES-71K [] | Section: Employer Supplement |
([rate of pay([QES-LOOP1 counter])]>=[Default minimum value hourly wages([QES-LOOP1 counter])]) && ([rate of pay([QES-LOOP1 counter])]<=[Default maximum value hourly wages([QES-LOOP1 counter])])
COMMENT: Is the reported hourly wage within the accepted range?
If Answer = 1 Then Go To QES-71T
| QES-71P [] | Section: Employer Supplement |
What is your best estimate of your hourly rate of pay on [(this job/current assignment or on-call job/business)]?
(ENTER AMOUNT)
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 30 Then Go To QES-71PA
| QES-71PA [] | Section: Employer Supplement |
([pay rate amount unknown([QES-LOOP1 counter])]>=[Default minimum value hourly wages([QES-LOOP1 counter])]) && ([pay rate amount unknown([QES-LOOP1 counter])]<=[Default maximum value hourly wages([QES-LOOP1 counter])])
COMMENT: Is the reported hourly wage within the accepted range?
If Answer = 1 Then Go To QES-71T
| QES-71Q [] | Section: Employer Supplement |
INTERVIEWER: DO NOT READ
EARNINGS RECORDED AS: $[hourly rate of pay for verification([QES-LOOP1 counter])] HOURLY. IS THIS ENTRY CORRECT?
| QES-71R [] | Section: Employer Supplement |
INTERVIEWER: DO NOT READ
INCORRECT ENTRY IS RECORDED AS: $[hourly rate of pay for verification([QES-LOOP1 counter])] HOURLY. ENTER CORRECT AMOUNT:
| QES-71T [] | Section: Employer Supplement |
Just to verify, you usually [(work/worked)] [hours/wk usually worked for employer] hours per week at this rate?
| QES-71U [] | Section: Employer Supplement |
How many hours [do/did] you usually work per week at this rate?
(INTERVIEWER: READ IF NECESSARY: Usually is 50 percent of the time or more, or your most frequent schedule during the past 4 or 5 months. Please use whole numbers and count 30 minutes or more as a whole hour).
If Answer = -2 Then Go To QES-74C
If Answer = -1 Then Go To QES-80
| QES-71W [] | Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R receive overtime pay, tips or commissions?
If Answer = 1 Then Go To QES-71X
| QES-71X [] | Section: Employer Supplement |
On [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did] you usually receive just in overtime pay, tips or commissions, before taxes or other deductions?
(INTERVIEWER: ENTER TIME UNIT FOR OVERTIME PAY FIRST. SELECT <SUBMIT AND CONTINUE> TO ENTER AMOUNT.)
| | 1 HOURLY |
| | 2 DAILY |
| | 3 WEEKLY |
| | 5 MONTHLY |
| | 6 YEARLY |
| | 7 OTHER (SPECIFY) |
| QES-71XB [] | Section: Employer Supplement |
{^overtimeun({QES-LOOP1})^}
COMMENT: Translate time unit for rate of overtime pay
If Answer = 1 Then Go To QES-71XBB
If Answer = 2 Then Go To QES-71XF
If Answer = 3 Then Go To QES-71XC
If Answer = 5 Then Go To QES-71XD
If Answer = 6 Then Go To QES-71XE
If Answer = 7 Then Go To QES-71XG
| QES-71XBB [] | Section: Employer Supplement |
(On [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did] you usually receive just in overtime pay, tips or commissions, before taxes or other deductions?)
(ENTER HOURLY AMOUNT)
If Answer = -2 Then Go To QES-72C
If Answer >= 1 AND Answer <= 30 Then Go To QES-72G
| QES-71XC [] | Section: Employer Supplement |
(On [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did] you usually receive just in overtime pay, tips or commissions, before taxes or other deductions?)
(ENTER WEEKLY AMOUNT)
If Answer = -2 Then Go To QES-72C
If Answer >= 1 AND Answer <= 1,500 Then Go To QES-72X
| QES-71XD [] | Section: Employer Supplement |
(On [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did] you usually receive just in overtime pay, tips or commissions, before taxes or other deductions?)
(ENTER MONTHLY AMOUNT)
If Answer = -2 Then Go To QES-72C
If Answer >= 1 AND Answer <= 6,000 Then Go To QES-72X
| QES-71XE [] | Section: Employer Supplement |
(On [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did] you usually receive just in overtime pay, tips or commissions, before taxes or other deductions?)
(ENTER ANNUAL AMOUNT)
If Answer = -2 Then Go To QES-72C
If Answer >= 1 AND Answer <= 72,000 Then Go To QES-72X
| QES-71XF [] | Section: Employer Supplement |
(On [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did] you usually receive just in overtime pay, tips or commissions, before taxes or other deductions?)
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-72C
If Answer >= 1 AND Answer <= 240 Then Go To QES-72X
| QES-71XG [] | Section: Employer Supplement |
(On [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], how much [do/did] you usually receive just in overtime pay, tips or commissions, before taxes or other deductions?)
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-72C
If Answer >= 1 AND Answer <= 140,000 Then Go To QES-72X
| QES-72C [] | Section: Employer Supplement |
What is your best estimate of how much you usually [earn/earned] weekly, just in overtime pay, tips or commissions, before taxes or other deductions on [(this job/current assignment or on-call job/business)]?
(ENTER AMOUNT)
If Answer >= 1 AND Answer <= 1,500 Then Go To QES-72X
| QES-72D [] | Section: Employer Supplement |
INTERVIEWER: DO NOT READ:
USUAL [time unit text for overtime pay rate([QES-LOOP1 counter])] EARNINGS IN OVERTIME PAY, TIPS OR COMMISSIONS RECORDED AS: $[overtime rate of pay for verification([QES-LOOP1 counter])]. IS THIS ENTRY CORRECT?
| QES-72E [] | Section: Employer Supplement |
INTERVIEWER: DO NOT READ
INCORRECT ENTRY IS RECORDED AS: $[overtime rate of pay for verification([QES-LOOP1 counter])] [time unit text for overtime pay rate([QES-LOOP1 counter])]. ENTER CORRECT AMOUNT:
| QES-72F [] | Section: Employer Supplement |
{^OVERTIMEUN({QES-LOOP1})^}
COMMENT: What time unit of overtime pay did R report?
If Answer = 1 Then Go To QES-72G
If Answer = 2 Then Go To QES-72X
If Answer = 7 Then Go To QES-72X
| QES-72G [] | Section: Employer Supplement |
How many hours [do/did] you usually work per week at this rate?
(ENTER NUMBER OF HOURS)
| QES-72X [] | Section: Employer Supplement |
([rate of pay()([QES-LOOP1 counter])]>=0) && ([Hours worked per week at hourly rate of pay([QES-LOOP1 counter])]>=0) && ([overtime pay amount([QES-LOOP1 counter])]>=0) && ([hours per week at overtime rate of pay([QES-LOOP1 counter])]>=0) && ([time unit for overtime pay rate([QES-LOOP1 counter])]>=0)
COMMENT: Do all elements of the overtime pay have a real value.
If Answer = 1 Then Go To QES-73D
| Default Next: | QES-73E |
| Lead-In: | QES-71XC [1:1,500], QES-71XD [1:6,000], QES-71XE [1:72,000], QES-71XF [1:240], QES-71XG [1:140,000], QES-72C [1:1,500], QES-72F [2:2], QES-72F [7:7], QES-71W [Default], QES-72F [Default], QES-72G [Default] |
| QES-73D [] | Section: Employer Supplement |
I have estimated your usual weekly earnings for [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])] as $[calculated weekly earnings([QES-LOOP1 counter])] before taxes or other deductions. Does that sound correct?
| QES-73E [] | Section: Employer Supplement |
I have recorded:
1: [rate of pay()([QES-LOOP1 counter])] as your hourly rate of pay,
2: [Hours worked per week at hourly rate of pay([QES-LOOP1 counter])] as the number of hours you usually [(work/worked)] at this rate,
3: [calculated weekly overtime pay([QES-LOOP1 counter])] as the amount you usually [earn/earned] weekly in
overtime pay, tips and commissions, and
4: [hours per week at overtime rate of pay([QES-LOOP1 counter])] as the number of hours per week you usually [(work/worked)] at this rate
Which piece of information does not seem to be correct?
(SELECT ALL THAT APPLY)
| | 1 Regular hourly rate of pay |
| | 2 Hours worked at regular hourly rate of pay |
| | 3 Overtime pay rate |
| | 4 Hours worked at overtime pay rate |
| | 5 Nothing seems to be incorrect |
| QES-73H [] | Section: Employer Supplement |
INSELECTION([QES-73E([QES-LOOP1 counter])],5)
COMMENT: Did R indicate that none of the figures seemed incorrect?
If Answer = 1 Then Go To QES-73Q
| QES-73I [] | Section: Employer Supplement |
INSELECTION([QES-73E([QES-LOOP1 counter])],1)
COMMENT: Did R indicate that hourly rate of pay seemed incorrect?
If Answer = 1 Then Go To QES-73J
| QES-73J [] | Section: Employer Supplement |
What [(is/was)] your hourly rate of pay on [(this job/current assignment or on-call job/business)], excluding overtime pay, tips or commissions?
(INTERVIEWER: IF OVER $30.00 OR UNDER $1.00, PLEASE VERIFY AMOUNT.)
| QES-73K [] | Section: Employer Supplement |
INSELECTION([QES-73E([QES-LOOP1 counter])],2)
COMMENT: Did R indicate that hours worked at hourly rate of pay seemed incorrect?
If Answer = 1 Then Go To QES-73L
| QES-73L [] | Section: Employer Supplement |
How many hours [do/did] you usually work per week at the rate of $[rate of pay()([QES-LOOP1 counter])]?
(ENTER NUMBER OF HOURS)
| QES-73M [] | Section: Employer Supplement |
INSELECTION([QES-73E([QES-LOOP1 counter])],3)
COMMENT: Did R indicate that weekly overtime pay seemed incorrect?
If Answer = 1 Then Go To QES-73N
| QES-73N [] | Section: Employer Supplement |
How much [do/did] you usually earn weekly just in overtime pay, tips or commissions?
(ENTER AMOUNT)
| QES-73O [] | Section: Employer Supplement |
INSELECTION([QES-73E([QES-LOOP1 counter])],4)
COMMENT: Did R indicate that hours worked at overtime rate of pay seemed incorrect?
If Answer = 1 Then Go To QES-73P
| QES-73P [] | Section: Employer Supplement |
How many hours [do/did] you usually work per week at the rate of $[calculated weekly overtime pay([QES-LOOP1 counter])]?
(ENTER NUMBER OF HOURS)
| QES-73Q [] | Section: Employer Supplement |
Then including [(overtime pay-)([QES-LOOP1 counter])] tips and commissions, what [are/were] your usual weeky earnings on [(this job/current assignment or on-call job/business)], before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $1500.00 OR LESS THAN $1.00, PLEASE VERIFY. ENTER AMOUNT)
| QES-73ZC [] | Section: Employer Supplement |
[QES-73Za([QES-LOOP1 counter])]==1 && [QES-73Zb([QES-LOOP1 counter])]==1
COMMENT: Are all elements of payrate and overtime pay valid values?
If Answer = 0 Then Go To QES-80
| QES-74B [] | Section: Employer Supplement |
I have estimated your total weekly earnings for [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])] as $[calculated weekly earnings error([QES-LOOP1 counter])] before taxes or other deductions. Does that sound correct?
| | 1 YES |
| | 0 NO, IRRECONCILABLE DIFFERENCE |
| QES-74C [] | Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
Beginning series for daily/weekly/other time unit ROP - see QES-71G
If Answer = 1 Then Go To QES-74E
| QES-74D [] | Section: Employer Supplement |
What [are/were] your usual weekly earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(ENTER AMOUNT)
(INTERVIEWER: BEGINNING SERIES OFR DAILY/WEEKLY/OTHER RATE OF PAY.)
If Answer = -2 Then Go To QES-74K
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 1,500 Then Go To QES-74KA
| QES-74E [] | Section: Employer Supplement |
Including overtime pay, tips and commissions, what [are/were] your usual weekly earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-74K
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 1,500 Then Go To QES-74KA
| QES-74K [] | Section: Employer Supplement |
What is your best estimate of your usual weekly earnings before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 1,500 Then Go To QES-74KB
| QES-74KA [] | Section: Employer Supplement |
([rate of pay([QES-LOOP1 counter])]>=[default minimum value r's reported weekly wages([QES-LOOP1 counter])]) && ([rate of pay([QES-LOOP1 counter])]<=[default maximum value r's reported weekly wages([QES-LOOP1 counter])])
COMMENT: Is the reported weekly wage within the accepted range?
If Answer = 1 Then Go To QES-74N
| QES-74KB [] | Section: Employer Supplement |
([pay rate amount unknown([QES-LOOP1 counter])]>=[default minimum value r's reported weekly wages([QES-LOOP1 counter])]) && ([pay rate amount unknown([QES-LOOP1 counter])]<=[default maximum value r's reported weekly wages([QES-LOOP1 counter])])
COMMENT: Is the reported weekly wage within the accepted range?
If Answer = 1 Then Go To QES-74N
| QES-74L [] | Section: Employer Supplement |
INTERVIEWER: DO NOT READ
EARNINGS RECORDED AS: $[weekly rate of pay for verification([QES-LOOP1 counter])] WEEKLY. IS THIS ENTRY CORRECT?
| QES-74M [] | Section: Employer Supplement |
INTERVIEWER: DO NOT READ
INCORRECT ENTRY IS RECORDED AS: $[weekly rate of pay for verification([QES-LOOP1 counter])] WEEKLY. ENTER CORRECT AMOUNT:
| QES-74N [] | Section: Employer Supplement |
I have recorded your total earnings for [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])] as $[weekly rate of pay for verification([QES-LOOP1 counter])] weekly before taxes or other deductions. Is that correct?
| QES-74O [] | Section: Employer Supplement |
{^paytimen({QES-LOOP1})^}==1
COMMENT: Did R report an hourly time unit for rate of pay? This shouldn't happen in this part of the series.
If Answer = 1 Then Go To QES-80
| QES-74P [] | Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
If Answer = 1 Then Go To QES-74Q
| QES-74Q [] | Section: Employer Supplement |
Including overtime pay, tips and commissions, what [are/were] your usual weekly earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $1500.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
| QES-74R [] | Section: Employer Supplement |
What [are/were] your usual weekly earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $1500.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
| QES-74S [] | Section: Employer Supplement |
{^paytimen({QES-LOOP1})^}==1
COMMENT: Did R report an hourly time unit for rate of pay?
If Answer = 1 Then Go To QES-80
| QES-74T [] | Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
Beginning series for monthly and bi-monthly time units for ROP
If Answer = 1 Then Go To QES-74V
| QES-74U [] | Section: Employer Supplement |
What [are/were] your usual monthly earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(ENTER AMOUNT)
(INTERVIEWER: BEGINNING SERIES FOR MONTHLY AND BI-MONTHLY TIME UNITS)
If Answer = -2 Then Go To QES-75B
If Answer = -1 Then Go To QES-80
| QES-74V [] | Section: Employer Supplement |
Including overtime pay, tips and commissions, what [are/were] your usual monthly earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-75B
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 6,000 Then Go To QES-75BA
| QES-75B [] | Section: Employer Supplement |
What is your best estimate of your usual monthly earnings before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -1 Then Go To QES-80
| QES-75BA [] | Section: Employer Supplement |
([rate of pay([QES-LOOP1 counter])]>=[Default minimum value monthly wages([QES-LOOP1 counter])]) && ([rate of pay([QES-LOOP1 counter])]<=[Default maximum value monthly wages([QES-LOOP1 counter])])
COMMENT: Is the reported monthly wage within the accepted range?
If Answer = 1 Then Go To QES-75E
| QES-75BB [] | Section: Employer Supplement |
([pay rate amount unknown([QES-LOOP1 counter])]>=[Default minimum value monthly wages([QES-LOOP1 counter])]) && ([pay rate amount unknown([QES-LOOP1 counter])]<=[Default maximum value monthly wages([QES-LOOP1 counter])])
COMMENT: Is the reported monthly wage within the accepted range?
If Answer = 1 Then Go To QES-75E
| QES-75C [] | Section: Employer Supplement |
INTERVIEWER: DO NOT READ
EARNINGS RECORDED AS: $[monthly rate of pay for verification([QES-LOOP1 counter])] MONTHLY. IS THIS ENTRY CORRECT?
| QES-75D [] | Section: Employer Supplement |
INTERVIEWER: DO NOT READ
INCORRECT ENTRY IS RECORDED AS: $[monthly rate of pay for verification([QES-LOOP1 counter])] MONTHLY. ENTER CORRECT AMOUNT:
| QES-75E [] | Section: Employer Supplement |
I have recorded your total earnings for your job with [(employer name)([QES-LOOP1 counter])] as $[monthly rate of pay for verification([QES-LOOP1 counter])] monthly before taxes or other deductions. Is that correct?
| QES-75F [] | Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
If Answer = 1 Then Go To QES-75G
| QES-75G [] | Section: Employer Supplement |
Including overtime pay, tips and commissions, what [are/were] your usual monthly earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $6000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
| QES-75H [] | Section: Employer Supplement |
What [are/were] your usual monthly earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])] before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $6000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
| QES-75I [] | Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
Beginning series for those reporting annual ROP. See QES-71G
If Answer = 1 Then Go To QES-75K
| QES-75J [] | Section: Employer Supplement |
What [are/were] your usual annual earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-75Q
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 72,000 Then Go To QES-75QA
| QES-75K [] | Section: Employer Supplement |
Including overtime pay, tips and commissions, what [are/were] your usual annual earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-75Q
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 72,000 Then Go To QES-75QA
| QES-75Q [] | Section: Employer Supplement |
What is your best estimate of your usual annual earnings before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 72,000 Then Go To QES-75QA
| QES-75QA [] | Section: Employer Supplement |
([rate of pay([QES-LOOP1 counter])]>=[Default minimum value annual wages([QES-LOOP1 counter])]) && ([rate of pay([QES-LOOP1 counter])]<=[Default maximum value annual wages([QES-LOOP1 counter])])
COMMENT: Is the reported annual wage within the accepted range?
If Answer = 1 Then Go To QES-75T
| QES-75QB [] | Section: Employer Supplement |
([pay rate amount unknown([QES-LOOP1 counter])]>=[Default minimum value annual wages([QES-LOOP1 counter])]) && ([pay rate amount unknown([QES-LOOP1 counter])]<=[Default maximum value annual wages([QES-LOOP1 counter])])
COMMENT: Is the reported annual wage within the accepted range?
If Answer = 1 Then Go To QES-75T
| QES-75R [] | Section: Employer Supplement |
INTERVIEWER: DO NOT READ
EARNINGS RECORDED AS: $[annual rate of pay for verification([QES-LOOP1 counter])] ANNUALLY. IS THIS ENTRY CORRECT?
| QES-75S [] | Section: Employer Supplement |
INTERVIEWER: DO NOT READ
INCORRECT ENTRY IS RECORDED AS: $[annual rate of pay for verification([QES-LOOP1 counter])] ANNUALLY. ENTER CORRECT AMOUNT:
| QES-75T [] | Section: Employer Supplement |
I have recorded your total earnings for [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])] as $[annual rate of pay for verification([QES-LOOP1 counter])] annually before taxes or other deductions. Is that correct?
| QES-75U [] | Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
If Answer = 1 Then Go To QES-75V
| QES-75V [] | Section: Employer Supplement |
Including overtime pay, tips and commissions, what [are/were] your usual annual earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $72,000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
| QES-75W [] | Section: Employer Supplement |
What [are/were] your usual annual earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])] before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $72,000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
| QES-75X [] | Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
Beginning series for R's that reported bi-weekly ROP in QES-71G
If Answer = 1 Then Go To QES-75Z
| QES-75Y [] | Section: Employer Supplement |
What [are/were] your usual bi-weekly earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-76F
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 3,000 Then Go To QES-76FA
| QES-75Z [] | Section: Employer Supplement |
Including overtime pay, tips and commissions, what [are/were] your usual bi-weekly earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To QES-76F
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 3,000 Then Go To QES-76FA
| QES-76F [] | Section: Employer Supplement |
What is your best estimate of your usual bi-weekly earnings before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -1 Then Go To QES-80
If Answer >= 1 AND Answer <= 3,000 Then Go To QES-76FB
| QES-76FA [] | Section: Employer Supplement |
([rate of pay([QES-LOOP1 counter])]>=[Default minimum value bi-weekly wages([QES-LOOP1 counter])]) && ([rate of pay([QES-LOOP1 counter])]<=[Default maximum value bi-weekly wages([QES-LOOP1 counter])])
COMMENT: Is the reported biweekly wage within the accepted range?
If Answer = 1 Then Go To QES-76I
| QES-76FB [] | Section: Employer Supplement |
([pay rate amount unknown([QES-LOOP1 counter])]>=[Default minimum value bi-weekly wages([QES-LOOP1 counter])]) && ([pay rate amount unknown([QES-LOOP1 counter])]<=[Default maximum value bi-weekly wages([QES-LOOP1 counter])])
COMMENT: Is the reported biweekly wage within the accepted range?
If Answer = 1 Then Go To QES-76I
| QES-76G [] | Section: Employer Supplement |
INTERVIEWER: DO NOT READ
EARNINGS RECORDED AS: $[bi-weekly rate of pay for verification([QES-LOOP1 counter])] BI-WEEKLY. IS THIS ENTRY CORRECT?
| QES-76H [] | Section: Employer Supplement |
INTERVIEWER: DO NOT READ
INCORRECT ENTRY IS RECORDED AS: $[bi-weekly rate of pay for verification([QES-LOOP1 counter])] BI-WEEKLY. ENTER CORRECT AMOUNT:
| QES-76I [] | Section: Employer Supplement |
I have recorded your total earnings for [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])] as $[bi-weekly rate of pay for verification([QES-LOOP1 counter])] bi-weekly before taxes or other deductions. Is that correct?
| QES-76J [] | Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
If Answer = 1 Then Go To QES-76K
| QES-76K [] | Section: Employer Supplement |
Including overtime pay, tips and commissions, what [are/were] your usual bi-weekly earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $3000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
| QES-76L [] | Section: Employer Supplement |
What [are/were] your usual bi-weekly earnings on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])] before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $3000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
| QES-76M [] | Section: Employer Supplement |
ISVAREMPTY ([Did R report overtime, tips and/or commissions?([QES-LOOP1 counter])])
COMMENT: Is there an entry in QES-75I? Did R report ROP in annual time unit?
If Answer = 1 Then Go To QES-76O
| QES-76N [] | Section: Employer Supplement |
How many weeks a year [do/did] you get paid for on [(this job/current assignment or on-call job/business)]?
(ENTER NUMBER OF WEEKS)
| QES-76O [] | Section: Employer Supplement |
{^paytimen({QES-LOOP1})^}==7 || {^paytimen({QES-LOOP1})^}==-2
COMMENT: Did R report "other" time unit for rate of pay, or R didn't know or refused to report time unit for rate of pay?
If Answer = 1 Then Go To QES-76P
| QES-76P [] | Section: Employer Supplement |
{Are_Were} you paid at an hourly rate on {thisjob_thisassign} with {^employer_name({QES-LOOP1})^}?
| QES-76Q [] | Section: Employer Supplement |
Even though you told me it is easier to report your earnings [time unit text for rate of pay([QES-LOOP1 counter])], [are/were] you paid at an hourly rate on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])]?
| QES-76R [] | Section: Employer Supplement |
[QES-71B([QES-LOOP1 counter])]==1
COMMENT: Did R report overtime, tips and/or commissions?
If Answer = 1 Then Go To QES-76S
| QES-76S [] | Section: Employer Supplement |
Excluding overtime pay, tips and commissions, what [(is/was)] your hourly rate of pay on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])]?
(INTERVIEWER: IF MORE THAN $30.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNT.)
| QES-76T [] | Section: Employer Supplement |
What [(is/was)] your hourly rate of pay on [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])]?
(INTERVIEWER: IF MORE THAN $30.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNT.)
| QES-80 [] | Section: Employer Supplement |
(((([Dli flag?([QES-LOOP1 counter])] == 0) && ([Pdli flag?([QES-LOOP1 counter])] == 0)) || ([employer roster information([QES-LOOP1 counter])] >=201400)) && ([(employer job type)([QES-LOOP1 counter])]==1))
COMMENT: Is this a newly reported employer (not a dli or pdli employer) or one that was first reported during this interview?
If Answer = 0 Then Go To QES-80A
| Default Next: | QES-81 |
| Lead-In: | QES-TEACH15 [2:2], QES-71I [-1:-1], QES-71J [-1:-1], QES-71P [-1:-1], QES-71U [-1:-1], QES-73ZC [0:0], QES-74D [-1:-1], QES-74E [-1:-1], QES-74K [-1:-1], QES-74O [1:1], QES-74S [1:1], QES-74U [-1:-1], QES-74V [-1:-1], QES-75B [-1:-1], QES-75J [-1:-1], QES-75K [-1:-1], QES-75Q [-1:-1], QES-75Y [-1:-1], QES-75Z [-1:-1], QES-76F [-1:-1], QES-TEACH14 [Default], QES-TEACH22-LOOP-END [Default], QES-73D [Default], QES-73Q [Default], QES-74B [Default], QES-76P [Default], QES-76Q [Default], QES-76S [Default], QES-76T [Default] |
| QES-80A [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: What job type is this employer?
If Answer = 1 Then Go To QES-FIRMSZ1
| QES-81 [] | Section: Employer Supplement |
{Have_Had} your earnings or the hours you usually {work_worked} per week changed at all since you first started working on {thisjob_thisassign} with {^employer_name({QES-LOOP1})^}?
| | 1 earnings changed |
| | 2 hours usually worked per week changed |
| | 3 NEITHER earnings nor hours usually worked per week changed |
| QES-81A [] | Section: Employer Supplement |
INSELECTION([QES-81([QES-LOOP1 counter])],3)
COMMENT: Did R say neither hours nor earnings had changed?
If Answer = 1 Then Go To QES-FIRMSZ1
| QES-81B [] | Section: Employer Supplement |
INSELECTION([QES-81([QES-LOOP1 counter])],1)
COMMENT: Did R say earnings had changed?
If Answer = 1 Then Go To QES-82
| QES-82 [] | Section: Employer Supplement |
How much did you earn when you first started working for [(employer name)([QES-LOOP1 counter])]?
(INTERVIEWER: THE <.> KEY SHOULD BE USED IN THE ANSWER OF THIS QUESTION.)
| QES-83 [] | Section: Employer Supplement |
(PROBE IF NECESSARY:) Was that per hour, per day, per week, or what?
| | 1 per hour |
| | 2 per day |
| | 3 per week |
| | 4 bi-weekly (every 2 weeks) |
| | 8 bi-monthly (twice a month) |
| | 5 per month |
| | 6 per year |
| | 7 other (SPECIFY) |
| QES-83A [] | Section: Employer Supplement |
INSELECTION([QES-81([QES-LOOP1 counter])],2)
COMMENT: Did R say hours had changed?
If Answer = 0 Then Go To QES-83C
| QES-83B [] | Section: Employer Supplement |
How hours per week did you usually work when you first started working for [(employer name)([QES-LOOP1 counter])]?
| QES-83C [] | Section: Employer Supplement |
{^employer_curflag({QES-LOOP1})^} == 0
COMMENT: Is this employer current?
If Answer = 0 Then Go To QES-FIRMSZ1
| QES-83D [] | Section: Employer Supplement |
How much were you earning when you stopped working for [(employer name)([QES-LOOP1 counter])] on [DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])~X]?
(INTERVIEWER: THE <.> KEY SHOULD BE USED IN THE ANSWER OF THIS QUESTION.)
| QES-83E [] | Section: Employer Supplement |
(PROBE IF NECESSARY:) Was that per hour, per day, per week, or what?
| | 1 per hour |
| | 2 per day |
| | 3 per week |
| | 4 bi-weekly (every 2 weeks) |
| | 8 bi-monthly (twice a month) |
| | 5 per month |
| | 6 per year |
| | 7 other (SPECIFY) |
| QES-FIRMSZ1 [] | Section: Employer Supplement |
Many companies or organizations have employees at more than one location. Besides the place where you [(work/worked)] ([(does/did)] [(employer name)([QES-LOOP1 counter])]/[do/did] you) have any employees working at any other locations, (as far as you know)?
| QES-FIRMSZ2 [] | Section: Employer Supplement |
At the place where you [(work/worked)], how many employees ([(does/did)] [(employer name)([QES-LOOP1 counter])]/[do/did] you) have?
(INTERVIEWER: IF VOLUNTEERED "NUMBER VARIES", ENTER "99995".)
| QES-FIRMSZ7 [] | Section: Employer Supplement |
(([Class of Worker([QES-LOOP1 counter])]==5) || ([Class of Worker([QES-LOOP1 counter])]==4) || ([employer class of worker([QES-LOOP1 counter])]==4) || ([employer class of worker([QES-LOOP1 counter])]==5)) || ([r self-emp in unincorporated business at dli?([QES-LOOP1 counter])]==1)
COMMENT: Is respondent self employed in an unincorporated business?
If Answer = 1 Then Go To QES-BONUS_59A
| QES-PROMO38 [] | Section: Employer Supplement |
Since [employer start date/date of last int([QES-LOOP1 counter])~X], [(have/had)] you experienced a promotion, a demotion, or any other type of position change?
(INTERVIEWER: IF MORE THAN ONE, ASK ABOUT MOST RECENT CHANGE.)
| QES-PROMO39 [] | Section: Employer Supplement |
Was this a promotion, a demotion, or a position change?
| | 1 promotion |
| | 2 demotion |
| | 3 position change |
| QES-PROMO40 [] | Section: Employer Supplement |
When did you experience this [promotion/demotion/position change([QES-LOOP1 counter])]?
| QES-PROMO41 [] | Section: Employer Supplement |
What were the reasons for the change in position that occurred on [Date of promotion([QES-LOOP1 counter])~X]?
(INTERVIEWER: PLEASE RECORD DESCRIPTION VERBATIM BELOW AND CONTINUE TO RECORD CODE.)
| QES-PROMO41_A [] | Section: Employer Supplement |
(INTERVIEWER: PLEASE SELECT REASONS FOR CHANGE IN POSITION, THAT CORRESPOND TO DESCRIPTION RECORDED ABOVE.)
(SELECT ALL THAT APPLY)
| | 1 Reorganization of department, division or section within company |
| | 2 Change in company ownership |
| | 3 Company growth |
| | 4 Company laying off others |
| | 5 My job performance |
| | 6 I requested it |
| | 7 It was automatic |
| | 8 Other (SPECIFY) |
| QES-PROMO46 [] | Section: Employer Supplement |
Did your supervisory responsibilities increase, decrease or stay the same?
| | 1 Increased |
| | 2 Decreased |
| | 3 Stayed the same |
| QES-PROMO48 [] | Section: Employer Supplement |
{Do_Did} you report to a higher level of supervisor?
| QES-PROMO49 [] | Section: Employer Supplement |
[QES-PROMO39([QES-LOOP1 counter])]
If Answer >= 2 AND Answer <= 3 Then Go To QES-BONUS_59A
| QES-PROMOPOS53 [] | Section: Employer Supplement |
Do you believe [it is/it would have been] possible for you to get (a/another) promotion with this employer in the next two years?
(INTERVIEWER: IF NO LONGER WITH EMPLOYER, SELECT "NOT APPLICABLE".)
| QES-PROMOPOS59 [] | Section: Employer Supplement |
What is the main reason it [(is/was)] not possible to get (a/another) promotion with this employer?
| | 1 NO FURTHER PROMOTION POTENTIAL |
| | 2 SOMEONE FROM ABOVE MUST LEAVE |
| | 3 ADDITIONAL EDUCATION/TRAINING IS NEEDED |
| | 4 COMPANY REORGANIZATION |
| | 5 CHANGE IN COMPANY OWNERSHIP |
| QES-BONUS_59A [] | Section: Employer Supplement |
Some employees receive cash bonus pay in addition to their regular earnings. For example, employees sometimes receive year-end bonuses, profit-sharing bonuses, or payments for exceeding a production quota or completing work ahead of schedule. Did you receive any cash bonuses on your job in [calendar year prior to survey year]? Please do not consider tips or commissions as bonus payments.
(INTERVIEWER: PLEASE RECORD ONLY CASH BONUSES. SELECT "HELP" BUTTON NEXT TO QNAME TO ACCESS HELP SCREEN WITH MORE INFORMATION ABOUT CASH BONUSES. IF YOU ARE UNCERTAIN ABOUT A BONUS, PLEASE RECORD A DESCRIPTION AND APPROXIMATE VALUE IN AN INTERVIEWER COMMENT BY SELECTING "COMMENT" BUTTON NEXT TO QNAME.)
| QES-BONUS_59B [] | Section: Employer Supplement |
In [calendar year prior to survey year], how much did you receive in cash bonuses on your job?
(INTERVIEWER: PLEASE RECORD ONLY CASH BONUSES. SELECT "HELP" BUTTON NEXT TO QNAME TO ACCESS HELP SCREEN WITH MORE INFORMATION ABOUT CASH BONUSES. IF YOU ARE UNCERTAIN ABOUT A BONUS, PLEASE RECORD A DESCRIPTION AND APPROXIMATE VALUE IN AN INTERVIEWER COMMENT BY SELECTING "COMMENT" BUTTON NEXT TO QNAME.)
| QES-BONUS_59B_CHK2 [] | Section: Employer Supplement |
DATE2DAY([DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])]) > DATE2DAY(TEXT2DATE("20140101")) ||
DATE2DAY([DATE RESPONDENT STOPPED WORKING FOR EMPLOYER([QES-LOOP1 counter])]) == DATE2DAY(TEXT2DATE("20140101"))
COMMENT: compare dates
If Answer = 1 Then Go To QES-BONUS_59B_1
| QES-BONUS_59B_1 [] | Section: Employer Supplement |
Did you receive any cash bonuses on your job in [current year]? Please do not consider tips or commissions as bonus payments.
(INTERVIEWER: PLEASE RECORD ONLY CASH BONUSES. SELECT "HELP" BUTTON NEXT TO QNAME TO ACCESS HELP SCREEN WITH MORE INFORMATION ABOUT CASH BONUSES. IF YOU ARE UNCERTAIN ABOUT A BONUS, PLEASE RECORD A DESCRIPTION AND APPROXIMATE VALUE IN AN INTERVIEWER COMMENT BY SELECTING "COMMENT" BUTTON NEXT TO QNAME.)
| QES-BONUS_59B_2 [] | Section: Employer Supplement |
{^bonus2013({QES-LOOP1})^} ==1 || {^bonus2014({QES-LOOP1})^} ==1
COMMENT: R report receiving cash bonus in 2004 or 2005?
If Answer = 0 Then Go To QES-84A
| QES-BONUS_59B_3 [] | Section: Employer Supplement |
{^teach_regschl({QES-LOOP1})^} == 1
COMMENT: Is R a teacher in a regular school system?
If Answer = 1 Then Go To QES-BONUS_59C_1
| QES-BONUS_59C [] | Section: Employer Supplement |
Does the $[rate of pay([QES-LOOP1 counter])] [time unit text for rate of pay([QES-LOOP1 counter])] you reported as your earnings on this job include bonus pay? Please do not consider tips or commissions as bonus payments.
| QES-BONUS_59C_1 [] | Section: Employer Supplement |
Did the amount you reported earlier as your earnings on this job include bonus pay? Please do not consider tips or commissions as bonus payments.
| QES-BONUS_59D [] | Section: Employer Supplement |
What would your earnings amount be on this job if you did not include bonus payments?
| QES-84A [] | Section: Employer Supplement |
{hrswork}>19 || {hrstot}>19
COMMENT: Did R work at least 20 hours per week at this job?
If Answer = 1 Then Go To QES-84C
| QES-84C [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: check employer type -- if non-traditional or self-emp, check if any benefits were available
If Answer >= 2 AND Answer <= 3 Then Go To QES-84D
| QES-84D [] | Section: Employer Supplement |
{anyben_text}
| QES-84E [] | Section: Employer Supplement |
{ben_txt}...
| | - Medical, surgical or hospital insurance that covers injuries or major illnesses off the job? |
| | - Life insurance that would cover your death for reasons not connected to your job? |
| | - Dental benefits? |
| | - (Maternity/Paternity) leave that will allow you to go back to your old job or one that pays the same as your old one? |
| | - A retirement plan other than social security? |
| | - Flexible hours or work schedule? |
| | - Profit sharing? |
| | - Training or educational opportunities including tuition reimbursement? |
| | - Company provided or subsidized child care? |
| QES-84N [] | Section: Employer Supplement |
How many sick days with full pay [are/were] you entitled to each year?
(INTERVIEWER: IF VOLUNTEERED "UNLIMITED SICK DAYS", ENTER "365". IF VOLUNTEERED "SICK AND VACATION DAYS COMBINED", ENTER "995".)
If Answer = 995 Then Go To QES-84NA
| QES-84NA [] | Section: Employer Supplement |
How many days of paid sick and vacation days combined [are/were] you entitled to each year?
| QES-84O [] | Section: Employer Supplement |
How many days of paid vacation [are/were] you entitled to each year?
| QES-84O_1 [] | Section: Employer Supplement |
On this job, [(does/did)] [(employer name)([QES-LOOP1 counter])] pay money into Social Security for you?
(READ IF NECESSARY:) Social Security is not the same as Medicare.
(INTERVIEWER: SOCIAL SECURITY AND MEDICARE ARE NOT THE SAME. IF THE R/EMPLOYER PAYS ONLY INTO MEDICARE, AND NOT INTO SOCIAL SECURITY, OR R SAYS EMPLOYER IS EXEMPT FROM PAYING INTO SOCIAL SECURITY, PLEASE SELECT "NO" AND CONTINUE.)
(INTERVIEWER: PLEASE SELECT "HELP" BUTTON NEXT TO QNAME TO ACCESS HELP SCREEN WITH KNOWN PLAN NAMES.)
If Answer = -2 Then Go To QES-84O_1_A
| QES-84O_1_A [] | Section: Employer Supplement |
{does_did} {^employer_name({QES-LOOP1})^} only pay money into Medicare for you, and not into Social Security?
(INTERVIEWER: SOCIAL SECURITY AND MEDICARE ARE NOT THE SAME. IF THE R/EMPLOYER PAYS ONLY INTO MEDICARE, AND NOT INTO SOCIAL SECURITY, OR R SAYS EMPLOYER IS EXEMPT FROM PAYING INTO SOCIAL SECURITY, PLEASE SELECT "NO" AND CONTINUE.)
| QES-84O_1A [] | Section: Employer Supplement |
([employer class of worker([QES-LOOP1 counter])] == 1 && ([local, state or fed govt employer([QES-LOOP1 counter])] == 1 || [local, state or fed govt employer([QES-LOOP1 counter])] == 2))
COMMENT: Class of worker for this job indicate state government or federal government?
If Answer = 1 Then Go To QES-84O_5
| QES-84O_2 [] | Section: Employer Supplement |
Is [(employer name)([QES-LOOP1 counter])] part of a state government or the federal government?
(READ IF NECESSARY:) On [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], are you working for a state government or the federal government?
| QES-84O_3 [] | Section: Employer Supplement |
Is [(employer name)([QES-LOOP1 counter])] a public elementary school, a public high school, or a public college?
(READ IF NECESSARY:) On [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], are you working for a public elementary school, a public high school, or a public college?
| QES-84O_4 [] | Section: Employer Supplement |
Is [(employer name)([QES-LOOP1 counter])] a railroad company?
(READ IF NECESSARY:) On [(this job/current assignment or on-call job/business)] with [(employer name)([QES-LOOP1 counter])], are you working for a railroad company?
| QES-84O_5 [] | Section: Employer Supplement |
Some public employers do not pay money into the Social Security system, but instead pay money into a mandatory employee retirement plan that replaces Social Security. [does/did] [(employer name)([QES-LOOP1 counter])] contribute to a mandatory employee retirement plan for you instead of paying money into Social Security?
| QES-84O_6 [] | Section: Employer Supplement |
What [(is/was)] the name of this plan?
| QES-84O_7 [] | Section: Employer Supplement |
Will you be eligible to receive benefits from [nonsoc-security pension plan([QES-LOOP1 counter])] in the future?
| QES-84P_1 [] | Section: Employer Supplement |
{anypens_text} Do not include Social Security, IRA or Keogh plans.
| SES-84P_1A [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: Skip based on job type
If Answer = 3 Then Go To SES-84P_1B
| SES-84P_1B [] | Section: Employer Supplement |
We would like to ask some questions about each pension or retirement plan you have through [(employer name)([QES-LOOP1 counter])]. Some businesses have several different plans for their owners.
How many plans [do/did] you have through [(employer name)([QES-LOOP1 counter])]?
| QES-84P_2 [] | Section: Employer Supplement |
{Are_were} you eligible to participate in any of these pension or retirement plans on your job with {^employer_name({QES-LOOP1})^}?
| QES-84P_2A [] | Section: Employer Supplement |
How many plans [(does/did)] [(employer name)([QES-LOOP1 counter])] have for which you [are/were] eligible? Please count plans for which you are eligible, but choose not to participate in.
| QES-84P_3 [] | Section: Employer Supplement |
{Do_did} you participate in {thisplan_theseplans} on your job with {^employer_name({QES-LOOP1})^}?
| QES-84SA [] | Section: Employer Supplement |
How many (of these) plans [are/were] you participating in?
(ENTER NUMBER OF PLANS)
If Answer >= -2 AND Answer <= 0 Then Go To QES-86A_0
| QESP-1-LOOP-BEGIN [] | Section: Employer Supplement |
REPEAT
COMMENT: Start loop.
| QESP-84P_4 [] | Section: Employer Supplement |
In some types of retirement plans, the amount of benefits is based on a formula usually involving your years of service and salary when you retire. In other plans, money is accumulated in a type of savings or investment account for you until your retire. Is [(first/next)] plan a "formula" plan, a "savings or investment account" plan, or something else?
| | 1 Formula ...(Go To QESP-FA_6C) |
| | 2 Savings |
| | 3 Other - something else - (specify) ...(Go To QESP-FA_6C) |
| QESP-13 [] | Section: Employer Supplement |
Roughly how much money is in your account at present? Include both your and your [employer/business]'s contributions and earnings.
(ENTER AMOUNT. IF NOTHING, ENTER "0").
| QESP-FA_6C [] | Section: Employer Supplement |
Have you withdrawn any money from this retirement plan that you intend to pay back?
| QESP-FA_6D [] | Section: Employer Supplement |
What is the total amount you intend to pay back on (that/those) withdrawal(s)?
| QESP-FA_6E [] | Section: Employer Supplement |
{qesp_penspaybk_text1} the total value of this retirement plan today?
| QESP-84P_8 [] | Section: Employer Supplement |
{^employer_curflag({qes-loop1})^} == 1
COMMENT: Is R currently working for employer?
If Answer = 0 Then Go To QESP-16B_1
| QESP-16B_1 [] | Section: Employer Supplement |
Were you entitled to get any money from this retirement plan when you left [(employer name)([QES-LOOP1 counter])], or will you be entitled to get any money in the future?
| | 1 Yes, entitled to take money when left employer ...(Go To QESP-16B_2A) |
| | 2 Yes, will be entitled to money in the future ...(Go To QESP-16B_5A) |
| | 3 Yes, BOTH entitled to money when left AND entitled to money in future ...(Go To QESP-16B_2A) |
| | 4 No, neither |
| QESP-16B_2A [] | Section: Employer Supplement |
What did you do with the money you got from this retirement plan?
(READ IF NECESSARY:) For example, transfer it to a different retirement account, did you cash it out, leave the money in this plan, or something else?
(INTERVIEWER: RECORD VERBATIM AND SELECT <SUBMIT AND CONTINUE> TO CODE.)
(SELECT ALL THAT APPLY)
| QESP-16B_2B [] | Section: Employer Supplement |
| | 1 Transferred it to another retirement or investment account (rolled over or reinvested) - put the money into another retirement plan or investment account |
| | 2 Took a cash settlement |
| | 3 Left the money in this plan |
| | 4 Currently receiving repeated payments |
| | 5 Haven't received money yet/just left job |
| | 6 Other (Specify) |
| QESP-16B_3_CHK1 [] | Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7 counter])],1)
COMMENT: R roll money over into anther retirement plan?
If Answer = 1 Then Go To QESP-16B_3B
| QESP-16B_3_CHK2 [] | Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7 counter])],5)
COMMENT: R hasn't received money yet?
If Answer = 0 Then Go To QESP-16B_3_CHK3
| QESP-16B_3_CHK3 [] | Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7 counter])],6)
COMMENT: R did something else with the money?
If Answer = 0 Then Go To QESP-16B_3_CHK4
| QESP-16B_3_CHK4 [] | Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7 counter])],-2)
COMMENT: R doesn't know what s/he did with the money?
If Answer = 0 Then Go To QESP-16B_4_CHK1
| QESP-16B_3A [] | Section: Employer Supplement |
(Did you/Do you plan to) put the money into another retirement savings account - that is, reinvest it or roll it over?
| QESP-16B_3B [] | Section: Employer Supplement |
(Did you/Do you plan to) transfer the money yourself, or (did/will) your old employer transfer it directly to your new employer?
| | 1 R transfer money him/herself |
| | 2 Old employer transfer directly to new employer |
| QESP-16B_4_CHK1 [] | Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7 counter])],2)
COMMENT: R cashed out the money?
If Answer = 1 Then Go To QESP-16B_4B
| QESP-16B_4_CHK2 [] | Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7 counter])],5)
COMMENT: R hasn't received money yet?
If Answer = 0 Then Go To QESP-16B_4_CHK3
| QESP-16B_4_CHK3 [] | Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7 counter])],6)
COMMENT: R did something else with the money?
If Answer = 0 Then Go To QESP-16B_4_CHK4
| QESP-16B_4_CHK4 [] | Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7 counter])],-2)
COMMENT: R doesn't know what s/he did with the money?
If Answer = 0 Then Go To QESP-16B_5_CHK1
| QESP-16B_4A [] | Section: Employer Supplement |
(Did you/Do you plan to) take any or all of the money in cash?
| QESP-16B_4B [] | Section: Employer Supplement |
What (did you do/do you plan to do) with the cash? (Did you/Do you plan to) use it to pay off debts, transfer it to another retirement or investment account or spend it or save it for some other purpose?
(SELECT ALL THAT APPLY)
| | 1 Pay off debts |
| | 2 Transfer it to another retirement account |
| | 3 Spend it for some other purpose or save it |
| QESP-16B_5_CHK1 [] | Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7 counter])],3)
COMMENT: R left the money in the plan?
If Answer = 0 Then Go To QESP-16B_5_CHK2
| QESP-16B_5_CHK2 [] | Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7 counter])],5)
COMMENT: R hasn't received money yet?
If Answer = 0 Then Go To QESP-16B_5_CHK3
| QESP-16B_5_CHK3 [] | Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7 counter])],6)
COMMENT: R did something else with the money?
If Answer = 0 Then Go To QESP-16B_5_CHK4
| QESP-16B_5_CHK4 [] | Section: Employer Supplement |
INSELECTION ([QESP-16B_2B([QES-LOOP1 counter]:[QES-LOOP7 counter])],-2)
COMMENT: R doesn't know what s/he did with the money?
If Answer = 0 Then Go To QESP-17-LOOP-END
| QESP-16B_5A [] | Section: Employer Supplement |
(Did you/Do you plan to) leave the money in this retirement plan with [(employer name)([QES-LOOP1 counter])], so that you will receive money when you retire or reach a certain age?
| QESP-16B_5B [] | Section: Employer Supplement |
Can you still continue to contribute to this plan through (your new/another) employer?
| QESP-17-LOOP-END [] | Section: Employer Supplement |
UNTIL([QES-LOOP7 counter]==[Number of pension plans R is participating in])
COMMENT: loop end
| QES-86A_0 [] | Section: Employer Supplement |
At [(your job/current assignment/business)] [do/did] you usually work a regular daytime schedule or some other schedule?
| | 1 A regular day schedule ...(Go To QES-86B_1) |
| | 2 Some other schedule |
| QES-86A [] | Section: Employer Supplement |
Which of the following best describes the hours you usually [(work/worked)] at [(this job/current assignment or on-call job/business)]?
| | 2 A regular evening shift ...(Go To QES-86B_1) |
| | 3 A regular night shift ...(Go To QES-86B_1) |
| | 4 A rotating shift (changes periodically from days to evenings or nights) ...(Go To QES-86D_1) |
| | 5 A split shift (consists of two distinct periods each day) ...(Go To QES-86D_1) |
| | 6 Irregular schedule (arranged by employer) |
| | 7 Other (SPECIFY) |
| QES-86B_1 [] | Section: Employer Supplement |
{qes-loop1} == 1
COMMENT: Is this the current/most recent employer?
If Answer = 0 Then Go To QES-87
| QES-86C [] | Section: Employer Supplement |
What time of the day [do/did] you usually begin work at [(this job/current assignment or on-call job/business)]?
(INTERVIEWER: ENTER TIME OF DAY BELOW AND SELECT "AM/PM".)
| QES-86D [] | Section: Employer Supplement |
What time of the day [do/did] you usually end work at [(this job/current assignment or on-call job/business)]?
(INTERVIEWER: ENTER TIME OF DAY BELOW AND SELECT "AM/PM".)
| QES-86D_1 [] | Section: Employer Supplement |
{qes-loop1} == 1
COMMENT: Is this the current/most recent employer?
If Answer = 0 Then Go To QES-87
| QES-86E [] | Section: Employer Supplement |
What time of the day [do/did] you usually begin work at [(this job/current assignment or on-call job/business)] [(last week)]?
(INTERVIEWER: ENTER TIME OF DAY BELOW AND SELECT "AM/PM".)
| QES-86F [] | Section: Employer Supplement |
What time of the day [do/did] you usually end work [(this job/current assignment or on-call job/business)] [(last week)]?
(INTERVIEWER: ENTER TIME OF DAY BELOW AND SELECT "AM/PM".)
| QES-87 [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: Is R self-employed on this job?
If Answer = 3 Then Go To QES-89
| QES-88A [] | Section: Employer Supplement |
On [(this job/current assignment or on-call job/business)], [are/were] you a member of a labor union or of an employee association similar to a union?
| QES-88B [] | Section: Employer Supplement |
On [(this job/current assignment or on-call job/business)], [are/were] you covered by a union or employee contract?
(INTERVIEWER: R COULD BE COVERED BY A UNION CONTRACT WITHOUT BEING A MEMBER OF A UNION.)
| QES-89 [] | Section: Employer Supplement |
How [do/did] you feel about [(your job/current assignment/business)] with [(employer name)([QES-LOOP1 counter])]? [Do/Did] you like it very much, like it fairly well, dislike it somewhat, or dislike it very much?
| | 1 Like it very much |
| | 2 Like it fairly well |
| | 3 Dislike it somewhat |
| | 4 Dislike it very much |
| SES-89A [] | Section: Employer Supplement |
{^employer_fjobtype({QES-LOOP1})^}
COMMENT: Is R self-employed on this job?
If Answer = 3 Then Go To SES-89B
| SES-89B [] | Section: Employer Supplement |
We would like to know a little more about how you started in this business. Did you start it up yourself, is it a family (farm/business) you took over, did you buy it, did you start the (farm/business) in partnership with someone outside the family, or was it something else?
| | 1 Started it myself |
| | 2 Took over family operation |
| | 3 Bought it |
| | 4 Start the (farm/business) in partnership with someone outside the family |
| | 5 Made partner by the firm |
| | 6 Something else |
| QES-92-LOOP-END [] | Section: Employer Supplement |
UNTIL ([QES-LOOP1 counter]==[total number of employers reported])
COMMENT: END EMPLOYER LOOP WHEN ALL EMPLOYERS ACCOUNTED FOR
| BUSOWN-LINT [] | Section: Business Ownership |
{lint_rnd}>=24
If Answer = 1 Then Go To BUSOWN-MATCH-CHK1
| BUSOWN-1 [] | Section: Business Ownership |
We would like to know whether you have ever owned a business. By business, we mean any activity operated with regularity for the purpose of generating income or profit. We are interested in all incorporated companies and partnerships in which you had any ownership share, as well as unincorporated businesses that you may have operated as a sole proprietor, independent contractor, consultant, or free-lancer. This even includes informal businesses such as cleaning services, gardening services, and the selling of goods out of your home, as long as they generated income and were operated on a regular basis. The only businesses we are not interested in are those operated on a highly sporadic basis, those carried out purely as a hobby, and those in which you were merely a shareholder or investor with no role in the operation of the company.
Since you were 18 years old, have you ever owned a business that would be of interest to us according to this description?
(INTERVIEWER: PLEASE SEE HELP SCREEN FOR FURTHER INFORMATION.)
| BUSOWN-2 [] | Section: Business Ownership |
{esbus_text1} How many such businesses have you owned?
If Answer = 0 Then Go To BUSOWN-23_CHK1
| BUSOWN-LOOP1-BEGIN [] | Section: Business Ownership |
REPEAT
COMMENT: BEGIN LOOPS TO UPDATE/VERIFY EMPLOYERS FROM DATE OF LAST INTERVIEW
| BUSOWN-4 [] | Section: Business Ownership |
{^busown_text1({busown-loop1})^} that you owned. What (is/was) the name of this business?
(INTERVIEWER: IF BUSINESS HAS A NAME, ENTER THAT NAME. OTHERWISE, ENTER SHORT DESCRIPTION OF JOB ACTIVITIES/OCCUPATION. THIS DESCRIPTION WILL BE USED AS THE NAME OF THIS JOB IN SUBSEQUENT QUESTIONS. SOME EXAMPLES INCLUDE: "FREELANCE WRITER", "CLEANING HOUSES", " CONSULTING DESIGNER", OR "LANDSCAPING AND YARD WORK".)
| BUSOWN-5 [] | Section: Business Ownership |
In what year was [name of business r owned([loop to collect information on businesses r owned])] originally established?
| BUSOWN-6 [] | Section: Business Ownership |
In what month and year did you acquire an ownership share in [name of business r owned([loop to collect information on businesses r owned])]?
| BUSOWN-7 [] | Section: Business Ownership |
How did you acquire ownership in [name of business r owned([loop to collect information on businesses r owned])]? Did you establish the business either alone or with partners, receive ownership as a gift, purchase ownership, inherit ownership, acquire ownership through marriage, or was it something else?
| | 1 Established the business alone or with partners |
| | 2 Received ownership as a gift |
| | 3 Purchased ownership |
| | 4 Inherited ownership |
| | 5 Received ownership through marriage |
| | 6 Other (specify) |
| BUSOWN-8 [] | Section: Business Ownership |
What was your reason for establishing or acquiring this business?
| BUSOWN-9 [] | Section: Business Ownership |
Prior to establishing or acquiring this business, had you ever owned or worked for a related type of business?
| BUSOWN-10 [] | Section: Business Ownership |
What sources of money did you use to establish or acquire this business?
(INTERVIEWER: RESPONDENTS SHOULD REPORT ONLY THE SOURCES THAT THEY THEMSELVES PROVIDED, AND NOT SOURCES USED BY PREVIOUS OWNERS AND/OR CO-OWNERS.)
SELECT ALL THAT APPLY.
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)
| | 1 Personal or family savings or assets |
| | 2 Personal or family home equity loan |
| | 3 Personal or business credit card |
| | 4 Business loan or investment from family or friends |
| | 5 Business loan from federal, state or local government |
| | 6 Business loan from a bank or financial institution |
| | 7 Other (specify) |
| | 0 None needed |
| BUSOWN-11 [] | Section: Business Ownership |
About how much money did you use to establish or acquire the business?
If Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-11_UNF1
| BUSOWN-11_UNF1 [] | Section: Business Ownership |
Did you use $50,000 or less?
If Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-12
| BUSOWN-11_UNF2 [] | Section: Business Ownership |
Did you use $100,000 or less?
If Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-12
| BUSOWN-11_UNF3 [] | Section: Business Ownership |
Did you use $250,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-12
| BUSOWN-11_UNF4 [] | Section: Business Ownership |
Did you use $1,000,000 or more?
| BUSOWN-11_UNF5 [] | Section: Business Ownership |
Did you use $25,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-12
| BUSOWN-11_UNF6 [] | Section: Business Ownership |
Did you use $10,000 or more?
If Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-12
| BUSOWN-11_UNF7 [] | Section: Business Ownership |
Did you use $5,000 or more?
| BUSOWN-12 [] | Section: Business Ownership |
What (is/was) the legal form of this business? (Is/Was) it a...
| | 1 Sole proprietorship |
| | 2 Partnership or limited liability partnership (LLP) |
| | 3 Limited liability corporation (LLC) |
| | 4 Sub-chapter S corporation |
| | 5 General corporation |
| | 6 Nonprofit organization |
| | 7 Other (specify) |
| Default Next: | BUSOWN-13 |
| Lead-In: | BUSOWN-11_UNF1 [-2:-1], BUSOWN-11_UNF2 [-2:-1], BUSOWN-11_UNF2 [1:1], BUSOWN-11_UNF3 [-2:-1], BUSOWN-11_UNF3 [1:1], BUSOWN-11_UNF5 [-2:-1], BUSOWN-11_UNF5 [1:1], BUSOWN-11_UNF6 [-2:-1], BUSOWN-11_UNF6 [1:1], BUSOWN-11 [Default], BUSOWN-11_UNF4 [Default], BUSOWN-11_UNF7 [Default] |
| BUSOWN-13 [] | Section: Business Ownership |
What type of business (is/was) [name of business r owned([loop to collect information on businesses r owned])]? (IF NECESSARY, READ:) What (does/did) the company make or do?
| BUSOWN-14 [] | Section: Business Ownership |
At its largest, how many people worked for this business, including you? Please include part-time and temporary workers, and exclude outside contractors.
(INTERVIEWER: PROBE FOR APPROXIMATE NUMBER IF NECESSARY.)
| BUSOWN-15 [] | Section: Business Ownership |
At it's largest, did this business have one physical location, multiple physical locations or no specific physical location?
| | 1 One physical location |
| | 2 Multiple physical locations |
| | 3 No specific physical location |
| BUSOWN-16 [] | Section: Business Ownership |
Approximately how much did this business generate in sales or revenue during a typical year?
(INTERVIEWER: IF R HAS DIFFICULTY WITH "TYPICAL" YEAR, ASK ABOUT REVENUE IN LAST CALENDAR YEAR OR THE LAST YEAR OF OWNERSHIP, AND ENTER A COMMENT.)
| BUSOWN-17 [] | Section: Business Ownership |
Do you still maintain an ownership share in this business?
| BUSOWN-18 [] | Section: Business Ownership |
In what year did your ownership end?
| BUSOWN-19 [] | Section: Business Ownership |
How did your ownership end? Did you sell the business, shut down the business or was it something else?
| | 1 Sold the business |
| | 2 Shut down business |
| | 3 Other (specify) |
| BUSOWN-20 [] | Section: Business Ownership |
At the time you (left/shut down) this business, what was your ownership share?
If Answer >= 1 AND Answer <= 99 Then Go To BUSOWN-22
| BUSOWN-21 [] | Section: Business Ownership |
What is your current ownership share?
If Answer >= 1 AND Answer <= 99 Then Go To BUSOWN-22
| BUSOWN-22 [] | Section: Business Ownership |
(Is/Was) this business own(ed) exclusively by members of your family. (READ IF NECESSARY:) Please include spouses, domestic partners, parents or guardians, brothers, sisters of other close relatives.
| BUSOWN-LOOP-END [] | Section: Business Ownership |
UNTIL ([loop to collect information on businesses r owned]==[busnum] || [loop to collect information on businesses r owned] == 10 || [busnum] == 0)
COMMENT: END EMPLOYER LOOP WHEN ALL EMPLOYERS ACCOUNTED FOR
| BUSOWN-23_CHK1 [] | Section: Business Ownership |
{busown-1} == 1 || {busnum} > 0 || {es-busnum} > 0
COMMENT: BEGIN LOOPS TO UPDATE/VERIFY EMPLOYERS FROM DATE OF LAST INTERVIEW
If Answer = 1 Then Go To BUSOWN-23A
| BUSOWN-23A [] | Section: Business Ownership |
Prior to acquiring your (first) business, had any of your family members ever owned a business? (READ IF NECESSARY:) Please include spouses, domestic partners, parents or guardians, brothers, sisters of other close relatives.
| BUSOWN-23B [] | Section: Business Ownership |
Have any of your family members ever owned a business? (READ IF NECESSARY:) Please include spouses, domestic partners, parents or guardians, brothers, sisters of other close relatives.
| BUSOWN-24A [] | Section: Business Ownership |
Did you work for any of those family members prior to acquiring your (first) business? (READ IF NECESSARY:) Please include spouses, domestic partners, parents or guardians, brothers, sisters of other close relatives.
| BUSOWN-24B [] | Section: Business Ownership |
Did you work for any of those family members? (READ IF NECESSARY:) Please include spouses, domestic partners, parents or guardians, brothers, sisters of other close relatives.
| BUSOWN-25 [] | Section: Business Ownership |
Has anyone, including yourself, ever applied for a U.S. patent for work that you significantly contributed to?
| BUSOWN-26 [] | Section: Business Ownership |
{busown-1} == 1
COMMENT: BEGIN LOOPS TO UPDATE/VERIFY EMPLOYERS FROM DATE OF LAST INTERVIEW
If Answer = 0 Then Go To BUSOWN-28A
| BUSOWN-27 [] | Section: Business Ownership |
Was any of the work leading to a patent application performed at or for a business that you owned?
| BUSOWN-28A [] | Section: Business Ownership |
How many U.S. patents have been obtained for work that you significantly contributed to?
| | 1 SELECT TO ENTER NUMBER |
| | 2 IF VOLUNTEERED: STILL PENDING ...(Go To BUSOWN-29) |
If Answer >= -2 AND Answer <= -1 Then Go To BUSOWN-29
| BUSOWN-28B [] | Section: Business Ownership |
(How many U.S. patents have been obtained for work that you significantly contributed to?)
| BUSOWN-29 [] | Section: Business Ownership |
Do you consider yourself to be an entrepreneur?
(INTERVIEWER: IF NECESSARY EXPLAIN THAT AN "ENTREPRENEUR" IS SOMEONE WHO LAUNCHES A BUSINESS ENTERPRISE, USUALLY WITH CONSIDERABLE INITIATIVE AND RISK.)
| BUSOWN-MATCH-CHK1 [] | Section: Business Match |
{busmatchflag} > 0
If Answer = 0 Then Go To STOCK_OPTIONS_LINT
| BUSOWN-MATCH-LOOP1-BEGIN [] | Section: Business Match |
REPEAT
COMMENT: BEGIN LOOPS TO UPDATE/VERIFY EMPLOYERS FROM DATE OF LAST INTERVIEW
| BUSOWN-MATCH-CHK2A [] | Section: Business Match |
{^busmatch_fixflag({busown-match-loop1})^} == 0
COMMENT: DOES THIS BUSINESS NEED TO BE RECONCILED (NO MATCH MADE)?
If Answer = 0 Then Go To BUSOWN-MATCH-CHK2B
| BUSOWN-MATCH-CHK2B [] | Section: Business Match |
{^busmatch_fixflag({busown-match-loop1})^} == 1
COMMENT: DOES THIS BUSINESS NEED TO BE RECONCILED (POSSIBLE MATCH MADE)?
If Answer = 0 Then Go To BUSOWN-MATCH-LOOP-END
| BUSOWN-MATCH-3A_1 [] | Section: Business Match |
Our records show that you reported [busmatch_name([busown-match-loop1])] as a business you once owned (between/in) [busmatch_startdate([busown-match-loop1])] and [busmatch_stopdate([busown-match-loop1])]. Is [busmatch_name([busown-match-loop1])] the same as (any of) these employers you have reported?
| BUSOWN-MATCH-3A_2 [] | Section: Business Match |
INTERVIEWER: READ NAMES FROM ROSTER BELOW. SELECT ALL EMPLOYERS THAT APPLY AND RECORD ANY EXPLANATION VERBATIM IN THE TEXT BOX BELOW.
IF NO EMPLOYERS MATCH, CHOOSE "NO EMPLOYERS ON ROSTER MATCH" BELOW AND RECORD ANY EXPLANATION IN THE TEXT BOX.
| BUSOWN-MATCH-3A_2A [] | Section: Business Match |
| | 0 NO EMPLOYERS CHOSEN FROM ROSTER |
| | 1 EMPLOYER(S) CHOSEN FROM ROSTER |
| BUSOWN-MATCH-3A_3 [] | Section: Business Match |
RECORD EXPLANATION IF ANY:
| BUSOWN-MATCH-3A_4 [] | Section: Business Match |
SELECTEDINSELECTION([^BUSOWN-MATCH-3A_2([busown-match-loop1])^])
COMMENT: ANY BUSINESS MATCH ESTABLISHED?
If Answer >= 1 AND Answer <= 99 Then Go To BUSOWN-MATCH-4
| BUSOWN-MATCH-3B_1 [] | Section: Business Match |
Our records show that you reported [busmatch_name([busown-match-loop1])] as a business you once owned (between/in) [busmatch_startdate([busown-match-loop1])] and [busmatch_stopdate([busown-match-loop1])]. Is [busmatch_name([busown-match-loop1])] the same as (any of) these employers you have reported?
| BUSOWN-MATCH-3B_2 [] | Section: Business Match |
INTERVIEWER: READ NAMES FROM ROSTER BELOW. SELECT ALL EMPLOYERS THAT APPLY AND RECORD ANY EXPLANATION VERBATIM IN THE TEXT BOX BELOW.
IF NO EMPLOYERS MATCH, CHOOSE "NO EMPLOYERS ON ROSTER MATCH" BELOW AND RECORD ANY EXPLANATION IN THE TEXT BOX.
| BUSOWN-MATCH-3B_2A [] | Section: Business Match |
| | 0 NO EMPLOYERS CHOSEN FROM ROSTER |
| | 1 EMPLOYER(S) CHOSEN FROM ROSTER |
| BUSOWN-MATCH-3B_3 [] | Section: Business Match |
RECORD EXPLANATION IF ANY:
| BUSOWN-MATCH-4 [] | Section: Business Match |
Is there any other information that you would like to report about [busmatch_name([busown-match-loop1])]?
(INTERVIEWER: RECORD COMMENTS VERBATIM.)
| BUSOWN-MATCH-LOOP-END [] | Section: Business Match |
UNTIL ([busown-match-loop1]==[busmatch_chkflag])
| STOCK_OPTIONS_LINT [] | Section: Stock Options |
{lint_rnd}>=24
If Answer = 1 Then Go To STOCK_OPTIONS_LINT_CHK1
| STOCK_OPTIONS_LINT_CHK1 [] | Section: Stock Options |
VAREXIST([r not planning to exercise stock options reported at 2010 interview])
If Answer = 1 Then Go To STOCK_OPTIONS_LINT_CHK2
| STOCK_OPTIONS_LINT_CHK2 [] | Section: Stock Options |
{stockoptions_noex_2010}==1
If Answer = 0 Then Go To Q7-A
| STOCK_OPTIONS_CHK1 [] | Section: Stock Options |
([any employers ever reported?] >= 1)
COMMENT: Has R ever been employed?
If Answer = 0 Then Go To Q7-A
| STOCK_OPTIONS_1 [] | Section: Stock Options |
Were you offered any stock options by your [current/last] employer? By stock option, we mean the right to buy shares of company stock at a specific price for a specific term.
| STOCK_OPTIONS_CHK4 [] | Section: Stock Options |
{soemp}==1
COMMENT: STATUS (Merged,%datevar%,1 WAS R WORKING IN WEEK BEFORE INTERVIEW WEEK?
If Answer = 0 Then Go To Q7-A
| STOCK_OPTIONS_2 [] | Section: Stock Options |
Were you offered a stock option more than once by your [current/last] employer?
| STOCK_OPTIONS_3 [] | Section: Stock Options |
Was a stock option offered before you accepted the job?
| STOCK_OPTIONS_4 [] | Section: Stock Options |
Was the stock option a factor in your decision to accept the job?
| STOCK_OPTIONS_5 [] | Section: Stock Options |
(Was/Were any of the) stock option(s) offered to you explicitly as a bonus or incentive for good work performance?
| STOCK_OPTIONS_6 [] | Section: Stock Options |
Can you currently exercise the (first) stock option offered to you by your [current/former] employer?
| STOCK_OPTIONS_7 [] | Section: Stock Options |
Are you unable to exercise that option because you are not yet allowed to, because the stock option has already expired, or because you already exercised the option?
| | 1 Not yet allowed to exercise option |
| | 2 Option has expired ...(Go To STOCK_OPTIONS_9) |
| | 3 Already exercised option ...(Go To Q7-A) |
| STOCK_OPTIONS_8 [] | Section: Stock Options |
Do you plan to exercise the option?
| | 1 Yes ...(Go To Q7-A) |
| | 0 No |
| STOCK_OPTIONS_9 [] | Section: Stock Options |
What is your reason for not [so_text3] the option?
| STOCK_OPTIONS_9A [] | Section: Stock Options |
Last time we spoke, you said you (had not/did not plan to) exercise(d) stock options that you were offered. What is your reason for not exercising the option?
| STOCK_OPTIONS_CHK6 [] | Section: Stock Options |
{soemp}==1
If Answer = 0 Then Go To Q7-A
| STOCK_OPTIONS_10 [] | Section: Stock Options |
Do you expect to be offered a stock option by your current employer in the future?
{totbjgaps} == 0
COMMENT: SKIP ACCORDING TO THE NUMBER OF GAPS
If Answer = 1 Then Go To Q8-1B
{totbjgaps} == 0
COMMENT: SKIP ACCORDING TO THE NUMBER OF GAPS
If Answer = 1 Then Go To Q8-1B
| Default Next: | Q7-8 |
| Lead-In: | Q7-A [Default] |
INTERVIEWER: NOW ENTERING GAPS SECTION - PERIODS WHEN R WAS NOT WORKING.
| Q7-9A-LOOP-BEGIN [] | Section: Gaps |
REPEAT
COMMENT: START LOOP TO GATHER INFORMATION ON BETWEEN JOB GAPS
{^stop_days({bjgaps-loop13})^} >= 7
COMMENT: Check to see if the total number of days is 7 or more to see if gaps should be asked about
If Answer = 1 Then Go To Q7-12
You said you were not working between [start date of gap([BJGAPS-LOOP13 counter])~X] and [stop date of gap([BJGAPS-LOOP13 counter])~X]. During how many of those weeks were you looking for work or on layoff from a job -- during none, some or all of those weeks?
You said you were not working from [start date of gap([BJGAPS-LOOP13 counter])~X] and [stop date of gap([BJGAPS-LOOP13 counter])~X]. That would be about [calculated number of total weeks in b/t job gap([BJGAPS-LOOP13 counter])] week(s) when you were not working.
For how many of these weeks were you looking for work or on layoff from a job?
{^bjgap_weeks({bjgaps-loop13})^} - {^q7-16({bjgaps-loop13})^}
COMMENT: CALCULATE THE NUMBER OF WEEKS NOT WORKING AS AN EMPLOYEE AND NOT WORKING FOR SELF
If Answer = 0 Then Go To Q7-37-LOOP-END
That leaves [Calculated number of weeks not working or self-employed([BJGAPS-LOOP13 counter])] week(s) that you were not working, looking for work.
| Q7-19_VERBATIM [] | Section: Gaps |
What would you say was the main reason that you were not looking for work during that period?
(INTERVIEWER: RECORD VERBATIM AND SELECT RESPONSE.)
| | 1 BELIEVED NO WORK AVAILABLE IN LINE OF WORK OR AREA |
| | 2 COULDN'T FIND ANY WORK |
| | 3 LACKS NECESSARY SCHOOLING, TRAINING, SKILLS OR EXPERIENCE |
| | 4 EMPLOYERS THINK TOO YOUNG OR TOO OLD |
| | 5 OTHER TYPES OF DISCRIMINATION |
| | 6 CHILD CARE PROBLEMS |
| | 7 FAMILY RESPONSIBILITIES |
| | 8 IN SCHOOL OR OTHER TRAINING |
| | 9 ILL-HEALTH, PHYSICAL DISABILITY |
| | 10 TRANSPORTATION PROBLEMS |
| | 11 OTHER (SPECIFY) |
| Q7-37-LOOP-END [] | Section: Gaps |
UNTIL ([BJGAPS-LOOP13 counter] == [total number of between job gaps])
COMMENT: END LOOP FOR BETWEEN JOB GAPS
| Q8-1B [] | Section: Training |
I would now like to ask you about other types of schooling and training you may have had, excluding regular schooling we have already talked about...
Some sources of occupational training programs include government training programs, business schools, apprenticeship programs, vocational or technical institutes, correspondence courses, company or military training, seminars, and adult education courses.
| Q8-1C-LOOP-BEGIN [] | Section: Training |
REPEAT
COMMENT: start the loop through the infosheet training programs
| Q8-1E [] | Section: Training |
{TRAINING_LOOP1} == 1
COMMENT: is this the first time in the loop
If Answer = 1 Then Go To Q8-2
{num_training_programs}
COMMENT: Are there any training programs on the information sheet?
If Answer = 0 Then Go To Q8-4
When we talked with you on [Date of last interview], you were (also) receiving training (in/from) (a) [name of dli training program([TRAINING_LOOP1 counter])]. Is that correct?
| | 1 Yes |
| | 0 No ...(Go To Q8-5A) |
When we talked with you on [Date of last interview], you were not participating in any training programs.
Is that correct?
| | 1 Yes |
| | 0 No ...(Go To Q8-5A) |
| Q8-5A [] | Section: Training |
(INTERVIEWER: IF R WAS NOT RECEIVING TRAINING, SELECT 'NO TRAINING PROGRAM AT LAST INTERVIEW". OTHERWISE ASK:)
Which of the following best describes the training program you were participating in on [Date of last interview]? Was it a training program or seminar related to your work, an apprenticeship program, business school, a vocational or technical institute, a correspondence course, a government training program, or something else?
| | 1 Training program or seminar related to work |
| | 2 Apprenticeship program ...(Go To Q8-7-LOOP-END) |
| | 3 Business school ...(Go To Q8-7-LOOP-END) |
| | 4 Vocational or technical institute ...(Go To Q8-7-LOOP-END) |
| | 5 Correspondence course ...(Go To Q8-7-LOOP-END) |
| | 6 Government training program ...(Go To Q8-5D) |
| | 7 Something else (other (specify)) |
| | 0 No training program at last interview ...(Go To Q8-7-LOOP-END) |
| Q8-5B [] | Section: Training |
Was that training program formal company training run by your employer?
| Q8-5C [] | Section: Training |
Was that training program a seminar you received at your work but was run by someone other than your employer?
| Q8-5D [] | Section: Training |
Was this a training program or seminar that took place outside of work?
| Q8-7-LOOP-END [] | Section: Training |
UNTIL (([exit_loop1 counter] == 1) || ([TRAINING_LOOP1 counter] >= [Number of training programs coming in from info sheet]))
| Q8-7C [] | Section: Training |
{traincode_value} > 0
COMMENT: check if any training value was between 1 and 13
If Answer = 0 Then Go To Q8-19
| Q8-7D_LOOP-BEGIN [] | Section: Training |
REPEAT
COMMENT: check the second training loop
| Q8-7A [] | Section: Training |
([type of training dli (code)()([TRAINING_LOOP2 counter])] > 0) && ([type of training dli (code)()([TRAINING_LOOP2 counter])] < 13)
COMMENT: Is there a 1ST training program on the information sheet?
If Answer = 1 Then Go To Q8-8-CHK1
| Q8-8-CHK1 [] | Section: Training |
VAREXIST([name of dli training program([training-loop2])])
COMMENT: r report new or correct old training program active at date of last interview?
If Answer = 0 Then Go To Q8-9
| Q8-8A [] | Section: Training |
Now, we would like to ask you a few questions about the training that you were receiving on [Date of last interview], (in/from) (a/the) [name of dli training program([TRAINING_LOOP2 counter])].
Was this training program paid for or provided by one of your employers?
INTERVIEWER: IF THE TRAINING WAS PARTIALLY PAID FOR, ANSWER "YES" AND WRITE A BRIEF EXPLANATION IN THE COMMENTS SCREEN.
| | 1 Yes |
| | 0 No ...(Go To Q8-9) |
| Q8-8B [] | Section: Training |
We have as your employer(s) at the date of the last interview...(READ EMPLOYER NAMES BELOW). (Is this/Are any of these) the employer that sponsored this training program?
(INTERVIEWER: SELECT THE MATCHING EMPLOYER FROM THE ROSTER. IF NO MATCH, SELECT THE FIRST LINE "NO EMPLOYER MATCH". SELECT <SUBMIT AND CONTINUE>.)
If Answer = 1 Then Go To Q8-8C
| Q8-8C [] | Section: Training |
What is the name of the employer that sponsored this training program?
(INTERVIEWER: SELECT MATCHING EMPLOYER FROM ROSTER. IF NO MATCH, SELECT "NO EMPLOYER MATCH". SELECT <SUBMIT AND CONTINUE> TO PROCEED.
If Answer = 1 Then Go To Q8-8D
| Q8-8D [] | Section: Training |
INTERVIEWER: SELECT MATCHING EMPLOYER FROM ROSTER. IF NO MATCH, SELECT "NO EMPLOYER MATCH". SELECT <SUBMIT AND CONTINUE> TO PROCEED.
If Answer = 1 Then Go To Q8-8F
| Q8-8F [] | Section: Training |
INTERVIEWER: NO EMPLOYER MATCH WAS FOUND.
RECORD THE EMPLOYER WHICH SPONSORED THE TRAINING PROGRAM BELOW.
Are you still enrolled in this program or have you finished or left the program (in/from) (a/the) [name of dli training program([TRAINING_LOOP2 counter])]?
| | 1 FINISHED OR LEFT PROGRAM ...(Go To Q8-10) |
| | 0 STILL ENROLLED |
| Q8-10 [] | Section: Training |
When did you finish or leave the training program (in/from) (a/the) [name of dli training program([TRAINING_LOOP2 counter])]?
(INTERVIEWER: ENTER DATE R FINISHED OR LEFT THIS TRAINING PROGRAM.)
| Q8-10-CHK1 [] | Section: Training |
VAREXIST([name of dli training program([training-loop2])])
COMMENT: check if any training value was between 1 and 13
If Answer = 0 Then Go To Q8-11
| Q8-10-A [] | Section: Training |
VAREXIST ([family or R pay for training program([TRAINING_LOOP2 counter])])
COMMENT: SYMBOL INDICATING WHETHER FAMILY OR R PAID FOR TRAINING EXIST?
If Answer = 1 Then Go To Q8-10A
| Q8-10A [] | Section: Training |
{^train_fam({TRAINING_LOOP2})^}==1
COMMENT: Did R or family pay for some or all of this training?
If Answer = 1 Then Go To Q8-10AA
| Q8-10A2 [] | Section: Training |
Did you or your family pay for this training?
| Q8-10AA [] | Section: Training |
You mentioned during the previous interview that (you and/or your family) paid for this training program. How much did (you/they) pay for this training program?
| Q8-10AB [] | Section: Training |
Did you take out a guaranteed student loan (Stafford Loan), a Pell grant, or any other type of loan to help pay for this training?
| | 1 Guaranteed Student Loan (Stafford Loan) |
| | 2 Pell Grant |
| | 3 Other (SPECIFY) |
| | 4 No loans or grants |
| Q8-10BA [] | Section: Training |
([Q8-10Ab([TRAINING_LOOP2 counter])] ==1 || [Q8-10Ab([TRAINING_LOOP2 counter])]==3)
COMMENT: Did R take out guaranteed Student loan or other type of loan to pay for training?
If Answer = 1 Then Go To Q8-10BB
| Q8-10BB [] | Section: Training |
What was the amount of the loan?
| Q8-10BC [] | Section: Training |
[Q8-10Ab([TRAINING_LOOP2 counter])]==2
COMMENT: Did R take out Pell Grant to pay for training?
If Answer = 1 Then Go To Q8-10BD
| Q8-10BD [] | Section: Training |
What was the amount of the Pell Grant?
| Q8-11 [] | Section: Training |
Altogether, for how many weeks did you attend this training?
(ENTER '0' IF LESS THAN ONE WEEK.)
| Q8-12 [] | Section: Training |
Did you complete this training or not?
| | 1 Completed |
| | 0 Did not complete |
| Q8-13 [] | Section: Training |
(Do/Did) you use this training on your (most recent) job?
| Q8-17 [] | Section: Training |
How many hours per week (do/did) you usually spend in this training?
If Answer = 0 Then Go To Q8-18-LOOP-END
| Q8-17A [] | Section: Training |
How many hours per week of the [number of hours per week r spent in training] hours per week were usually spent at work or on company time in this training?
(ENTER NUMBER OF HOURS)
| Q8-18-LOOP-END [] | Section: Training |
UNTIL (([TRAINING_LOOP2 counter] == [Number of training programs coming in from info sheet]) || ([Number of training programs coming in from info sheet]==0 && [check if value is 1 - 13 for training prg]==0) || ([TRAINING_LOOP2 counter] == [check if value is 1 - 13 for training prg]))
COMMENT: End loop if training_loop2 has covered all preloaded training programs, or there were no preloaded training programs and none added, or all training programs have been covered, including those added
| Q8-18 [] | Section: Training |
Besides the training programs we've already talked about, SINCE [Date of last interview], did you attend any other training program or any other on-the-job training designed to help people find a job, improve job skills, or learn a new job?
| Q8-19 [] | Section: Training |
Since [Date of last interview] did you attend any training program or any on-the-job training designed to improve job skills, help people find a job, or learn a new job?
| Q8-19-LOOP-BEGIN [] | Section: Training |
REPEAT
COMMENT: start the 3rd training loops
| Q8-20A [] | Section: Training |
Which of the following best describes (this/the first) training program you were enrolled in since [Date of last interview]? Was it a training program or seminar related to your work, an apprenticeship program, business school, a vocational or technical institute, a correspondence course, a government training program, or something else?
| | 1 Training program or seminar related to work |
| | 2 Apprenticeship program ...(Go To Q8-21_A) |
| | 3 Business school ...(Go To Q8-21_A) |
| | 4 Vocational or technical institute ...(Go To Q8-21_A) |
| | 5 Correspondence course ...(Go To Q8-21_A) |
| | 6 Government training program ...(Go To Q8-20D) |
| | 7 Something else (other (specify)) |
| | 0 No training program at last interview ...(Go To Q8-34) |
| Q8-20B [] | Section: Training |
Was that training program formal company training run by your employer?
| Q8-20C [] | Section: Training |
Was this training program a seminar you received at your work but was run by someone other than your employer?
| Q8-20D [] | Section: Training |
Was this a training program or seminar that took place outside of work?
| Q8-21_A [] | Section: Training |
Did your employer pay for some or all of the costs of this training program?
| | 1 Yes, some of the costs |
| | 2 Yes, all of the costs ...(Go To Q8-21_D) |
| | 0 NO |
| Q8-21_B [] | Section: Training |
Did you or your family pay for some or all of the costs of this training program?
| | 1 Yes, some of the costs |
| | 2 Yes, all of the costs ...(Go To Q8-21_D) |
| | 0 NO |
| Q8-21_C [] | Section: Training |
Did the government pay for some or all of the costs of this training program?
| | 1 Yes, some of the costs |
| | 2 Yes, all of the costs |
| | 0 NO |
| Q8-21_D [] | Section: Training |
([emp pay any trng cost([TRAINING_LOOP3 counter])] == 2 || [family pay any trng cost([TRAINING_LOOP3 counter])] == 2 || [govt pay any trng cost([TRAINING_LOOP3 counter])] == 2)
COMMENT: Did employer, family or government pay all of the training cost for this program?
If Answer = 1 Then Go To Q8-21B
| Q8-21_E [] | Section: Training |
Could you please tell me who [(else)] paid [(part of) the costs] for this training?
| | 1 SELECT TO ENTER TRAINING SPONSOR ...(Go To Q8-21_E_1) |
| | 0 NO (OTHER) TRAINING SPONSOR |
| Q8-21_E_1 [] | Section: Training |
(Could you please tell me who [(else)] paid [(part of) the costs] for this training?)
(INTERVIEWER: RECORD VERBATIM WITH OTHER SOURCES.)
| Q8-21B [] | Section: Training |
([emp pay any trng cost([TRAINING_LOOP3 counter])]==1 || [emp pay any trng cost([TRAINING_LOOP3 counter])]==2)
COMMENT: Did employer pay for some or all of this training?
If Answer = 1 Then Go To Q8-21C
| Q8-21C [] | Section: Training |
Which one of your employers paid for this training?
(INTERVIEWER: SELECT MATCHING EMPLOYER FROM ROSTER. IF NO MATCH, SELECT THE FIRST LINE "NO EMPLOYER MATCH". SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
If Answer = 1 Then Go To Q8-21D
| Q8-21D [] | Section: Training |
INTERVIEWER: NO EMPLOYER MATCH WAS FOUND. RECORD THE EMPLOYER WHICH SPONSORED THE TRAINING PROGRAM.
| Q8-21E [] | Section: Training |
([family pay any trng cost([TRAINING_LOOP3 counter])] == 1 || [family pay any trng cost([TRAINING_LOOP3 counter])] == 2)
COMMENT: Did R or family pay for some or all of this training?
If Answer = 1 Then Go To Q8-21EA
| Q8-21EA [] | Section: Training |
You mentioned that (you and/or your family) paid for this training program. How much did (you/they) pay for this training program?
(ENTER AMOUNT)
| Q8-21F [] | Section: Training |
Did you take out a guaranteed student loan (Stafford Loan), a Pell Grant, or any other type of loan to help pay for this training?
| | 1 Guaranteed Student Loan (Stafford Loan) |
| | 2 Pell Grant |
| | 3 Other (SPECIFY) |
| | 4 No loans or grants |
| Q8-21FA [] | Section: Training |
[Q8-21F([TRAINING_LOOP3 counter])] ==1 || [Q8-21F([TRAINING_LOOP3 counter])] ==3
COMMENT: Did R take out guaranteed Student loan or other type of loan to pay
for training?
If Answer = 1 Then Go To Q8-21FB
| Q8-21FB [] | Section: Training |
What was the amount of the loan?
| Q8-21FC [] | Section: Training |
[Q8-21F([TRAINING_LOOP3 counter])] ==2
COMMENT: Did R take out Pell Grant to pay for training?
If Answer = 1 Then Go To Q8-21FD
| Q8-21FD [] | Section: Training |
What was the amount of the Pell Grant?
| Q8-22 [] | Section: Training |
What month and year did you start this training?
| Q8-23 [] | Section: Training |
Are you still enrolled, or have you finished or left this program?
| | 1 FINISHED OR LEFT PROGRAM ...(Go To Q8-24) |
| | 0 STILL ENROLLED |
| Q8-24 [] | Section: Training |
When did you finish or leave this program?
(INTERVIEWER: ENTER DATE R FINISHED OR LEFT THIS TRAINING PROGRAM.)
| Q8-25 [] | Section: Training |
Altogether, for how many weeks did you attend this training?
(ENTER '00' IF LESS THAN ONE WEEK.)
| Q8-26 [] | Section: Training |
Did you complete this training or not?
| | 1 Completed |
| | 0 Did not complete |
| Q8-27 [] | Section: Training |
(Do/Did) you use this training on your (most recent) job?
| Q8-31 [] | Section: Training |
How many hours per week (do/did) you usually spend in this training?
If Answer = 0 Then Go To Q8-32A
| Q8-31A [] | Section: Training |
How many hours of the [number of hours per week r spent in training] hours per week were usually spent at work or on company time in this training?
(ENTER NUMBER OF HOURS)
| Q8-32A [] | Section: Training |
Was this training required by your employer or did you voluntarily choose to participate in this training program?
| Q8-32B [] | Section: Training |
What was the main reason that you enrolled in this training program?
(INTERVIEWER: FOR RESPONSES WHICH CAN NOT BE CODED IN THE CATEGORIES PROVIDED, PLEASE CHOOSE "OTHER (SPECIFY)" AND RECORD COMPLETE VERBATIM RESPONSE.)
| | 1 Training was associated with promotion or job advancement opportunity |
| | 2 New methods or processes introduced -- addtl training required to continue same job |
| | 3 The training was part of a regular program to maintain and upgrade employee skills |
| | 4 The training was necessary when I began a job |
| | 5 The training was necessary for a license or a certificate |
| | 6 The training was associated with looking for a new job |
| | 7 Other (SPECIFY) |
| Q8-33B [] | Section: Training |
I am going to read a list of skills that people sometimes learn in training programs. Please tell me if you learned any of the following skills at this training. In this training program, did you learn to...
| | - Operate or repair equipment? |
| | - Improve reading, writing, or math skills? |
| | - Acquire or upgrade computer skills? |
| | - Learn to be a better supervisor/manager? |
| | - Learn about a new prodcut or service of the company? |
| | - Learn about statistical process and quality management |
| | - Upgrade skills working as a team or problem solving |
| | - Learn about a new company information system |
| | - Learn about health or safety procedures |
| | - Learn a wider range of jobs or cross-training |
| Q8-34 [] | Section: Training |
Since [Date of last interview], have you attended any other training program or on-the-job training?
| Q8-34-LOOP-END [] | Section: Training |
UNTIL ([any other training programs?] == 0 || [any other training programs?] == -1 || [any other training programs?] == -2)
| Q8-35 [] | Section: Training |
{totemp} > 0
COMMENT: Did R report at least one employer since last interview?
If Answer = 1 Then Go To Q8-35-LOOP-BEGIN
| Q8-35-LOOP-BEGIN [] | Section: Training |
REPEAT
| Q8-35A1 [] | Section: Training |
{TRAINING_LOOP4}
If Answer = 1 Then Go To Q8-35A2
| Q8-35A2 [] | Section: Training |
{Q8-18}==1 || {Q8-19}==1
COMMENT: Did R report any training programs since last interview?
If Answer = 0 Then Go To Q8-35B-B
| Q8-35B-A [] | Section: Training |
{^employer_curflag({TRAINING_LOOP4})^}==1
COMMENT: Is this a current employer?
If Answer = 0 Then Go To Q8-35BE
| Q8-35B-B [] | Section: Training |
{^employer_curflag({TRAINING_LOOP4})^}==1
COMMENT: Is this a current employer?
If Answer = 0 Then Go To Q8-35BE
| Q8-35BA [] | Section: Training |
We have already talked about various types of schooling and training that you have had in the past year. Next, I would like to ask you a few questions about other ways of learning to do jobs.
| Q8-35BB [] | Section: Training |
The questions I will ask you now are about any additional learning activities that you have participated in at [job with (business)] [(employer name)([TRAINING_LOOP4 counter])] since [Date of last interview].
| Q8-35BE [] | Section: Training |
{^employer_curflag({TRAINING_LOOP4})^}
COMMENT: Is R currently employed on this job?
If Answer = 0 Then Go To Q8-40D
| Q8-36B [] | Section: Training |
Next, I would like to ask you a few questions about other ways of learning to do [job with (business)] [(employer name)([TRAINING_LOOP4 counter])] since [Date of last interview].
Earlier we talked about your main activities or duties for [(employer name)([TRAINING_LOOP4 counter])]. Thinking of the main activities or duties you do now, what month and year did you start doing this kind of [(work/assignment) for/business] [(employer name)([TRAINING_LOOP4 counter])]?
| Q8-40D [] | Section: Training |
{^employer_curflag({TRAINING_LOOP4})^} == 1
COMMENT: Is R currently working for employer?
If Answer = 1 Then Go To Q8-40EA
| Q8-40EA [] | Section: Training |
([used to calculate tenure]/7) >=4
COMMENT: Convert date started duties/occupation to week number.
If Answer = 0 Then Go To Q8-49-LOOP-END
| Q8-46 [] | Section: Training |
(Besides the schooling and training we've talked about) During the last 4 weeks while working at [(employer name)([TRAINING_LOOP4 counter])], did you receive any informal on-the-job training by making use of any self-study material or self-instructional packages, such as manuals, workbooks or computer-assisted teaching programs?
| Q8-46BA [] | Section: Training |
Over the last 4 weeks, how many weeks did you spend time using self-teaching packages?
(INTERVIEWER: ENTER NUMBER OF WEEKS. IF LESS THAN ONE WEEK, CODE "1" WEEK AND SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
If Answer = 0 Then Go To Q8-46DA
| Q8-46BC [] | Section: Training |
During the [How much time spent with self teaching packages in last 4 weeks?] week(s) you spent with (this/these) self-teaching materials how many hours per week did you spend?
(ENTER HOURS)
| Q8-46DA [] | Section: Training |
Would you say that the amount of time you spent with these self-study materials or self-instructional packages during the last 4 weeks is typical of any given month over the last [amount of time r has been at current job] months?
| Q8-46DB [] | Section: Training |
Is the amount of time you spent with these self-study materials or self-instructional packages during the last 4 weeks higher or lower than any given month over the last [amount of time r has been at current job] months.
| Q8-49-LOOP-END [] | Section: Training |
UNTIL ([TRAINING_LOOP4 counter] == [total number of employers reported])
COMMENT: loop until number of employers are covered
| PHIL_LINT [] | Section: Philanthropy |
{lint_rnd}>=24
If Answer = 1 Then Go To Q2-11
| PHIL_1D [] | Section: Philanthropy |
During the year [calendar year prior to survey year], did you [or] [Spouse/partner's name] donate money, assets, or goods with a combined value of at least $25 to religious or not-for-profit organizations such as schools, hospitals, museums, charities, or the United Way? If you received something in return, such as candy or tickets to an event, we would consider it to be a donation if the amount you gave exceeded the item's value.
| PHIL_2 [] | Section: Philanthropy |
I will now read a short list of different types of organizations. For each one, please tell me whether you [or] [Spouse/partner's name] made any donations specifically to an organization of this type in [calendar year prior to survey year].
| | - Religious or spiritual organizations including churches, synagogues, and mosques |
| | - Organizations that serve a combination of purposes such as the United Way |
| | - Organizations that help people in need of food, shelter, or other basic necessities |
| | - Health care or medical research organizations |
| | - Educational organizations, including schools and libraries |
| | - Youth, neighborhood or community organizations aside from schools and libraries |
| | - Organizations that support arts or culture |
| | - Organizations that support the environment |
| | - Organizations that provide international aid or promote world peace |
| | - Any other types of organizations |
| PHIL_CHK1 [] | Section: Philanthropy |
[PHIL_2~1]==0 &&
[PHIL_2~2]==0 &&
[PHIL_2~3]==0 &&
[PHIL_2~4]==0 &&
[PHIL_2~5]==0 &&
[PHIL_2~6]==0 &&
[PHIL_2~7]==0 &&
[PHIL_2~8]==0 &&
[PHIL_2~9]==0 &&
[PHIL_2~10]==0
If Answer = 1 Then Go To PHIL_8
| PHIL_2COUNT [] | Section: Philanthropy |
IIF([PHIL_2~1]==1,1,0)==1 ||
IIF([PHIL_2~2]==1,1,0)==1 ||
IIF([PHIL_2~3]==1,1,0)==1 ||
IIF([PHIL_2~4]==1,1,0)==1 ||
IIF([PHIL_2~5]==1,1,0)==1 ||
IIF([PHIL_2~6]==1,1,0)==1 ||
IIF([PHIL_2~7]==1,1,0)==1 ||
IIF([PHIL_2~8]==1,1,0)==1 ||
IIF([PHIL_2~9]==1,1,0)==1 ||
IIF([PHIL_2~10]==1,1,0)
If Answer = 1 Then Go To PHIL_3A
| PHIL_3A [] | Section: Philanthropy |
For each type of organization that you [or] [Spouse/partner's name] made donations to in [calendar year prior to survey year], please tell me the total dollar value of all donations made.
| PHIL_LOOP1_BEGIN [] | Section: Philanthropy |
REPEAT
| PHIL_LOOP1 [] | Section: Philanthropy |
IIF([specific type of monetary philanthropic activity reported?([loop for monetary philanthropic activity])]>0,1,0)
If Answer = 1 Then Go To PHIL_3
| PHIL_3 [] | Section: Philanthropy |
How much did you [or] [Spouse/partner's name] give to [text for monetary philanthropic activity([loop for monetary philanthropic activity])]?
| PHIL_TOTEMP1 [] | Section: Philanthropy |
{totemp} > 0
COMMENT: Check for at least one employer
If Answer = 1 Then Go To PHIL_4
| PHIL_4 [] | Section: Philanthropy |
Was some or all of that donation collected at your [or] [Spouse/partner's name][s] workplace?
| PHIL_EMP1 [] | Section: Philanthropy |
(INTERVIEWER: EMPLOYERS SINCE LAST INTERVIEW LISTED IN ROSTER.)
| PHIL_4_CHK1 [] | Section: Philanthropy |
{^phil_4({phil_loop1})^}==1
If Answer = 1 Then Go To PHIL_5
| PHIL_5 [] | Section: Philanthropy |
Was some or all of that donation made through payroll deduction?
| PHIL_6 [] | Section: Philanthropy |
Did an employer match any of those donations?
| PHIL_LOOP1_END [] | Section: Philanthropy |
UNTIL([loop for monetary philanthropic activity]>=10)
| PHIL_8 [] | Section: Philanthropy |
Let's talk about volunteering your time through or for religious or not-for-profit organizations such as schools, hospitals, museums, charities, or the United Way. By “volunteering” I don't mean just belonging to an organization - I mean doing unpaid work or providing unpaid assistance, either on a regular basis or infrequently. In [calendar year prior to survey year], did you do any volunteer activity through or for an organization?
| PHIL_9 [] | Section: Philanthropy |
I will now read a short list of activities or purposes for which people might volunteer their time. For each one, please tell me whether you volunteered any time in [calendar year prior to survey year] toward this type of purpose or activity.
| | - Promoting religious or spiritual goals, including helping at churches, synagogues, and mosques |
| | - Promoting education, including helping at schools or libraries |
| | - Helping youth, neighborhoods or communities outside schools and libraries |
| | - Helping people in poor health |
| | - Helping people in need of food, shelter, or other basic necessities |
| | - Activities that related to arts or culture |
| | - Activities that help the environment |
| | - Providing international aid or promoting world peace |
| | - Any other types of activities |
| PHIL_CHK2 [] | Section: Philanthropy |
[PHIL_9~1]==0 &&
[PHIL_9~2]==0 &&
[PHIL_9~3]==0 &&
[PHIL_9~4]==0 &&
[PHIL_9~5]==0 &&
[PHIL_9~6]==0 &&
[PHIL_9~7]==0 &&
[PHIL_9~8]==0 &&
[PHIL_9~9]==0
If Answer = 1 Then Go To Q2-11
| PHIL_9COUNT [] | Section: Philanthropy |
IIF([PHIL_9~1]==1,1,0)==1 ||
IIF([PHIL_9~2]==1,1,0)==1 ||
IIF([PHIL_9~3]==1,1,0)==1 ||
IIF([PHIL_9~4]==1,1,0)==1 ||
IIF([PHIL_9~5]==1,1,0)==1 ||
IIF([PHIL_9~6]==1,1,0)==1 ||
IIF([PHIL_9~7]==1,1,0)==1 ||
IIF([PHIL_9~8]==1,1,0)==1 ||
IIF([PHIL_9~9]==1,1,0)==1
If Answer = 1 Then Go To PHIL_LOOP2_BEGIN
| PHIL_LOOP2_BEGIN [] | Section: Philanthropy |
REPEAT
| PHIL_LOOP2 [] | Section: Philanthropy |
IIF([specific type of non-monetary philanthropic activity reported?([loop for non-monetary philanthropic activity])]>0,1,0)
If Answer = 1 Then Go To PHIL_10
| PHIL_10 [] | Section: Philanthropy |
In [calendar year prior to survey year], how many times did you volunteer for [code for non-monetary philanthropic activity([loop for non-monetary philanthropic activity])]?
| PHIL_11A [] | Section: Philanthropy |
How much time would you typically spend during one of those volunteering sessions?
| PHIL_11B [] | Section: Philanthropy |
| PHIL_LOOP2_END [] | Section: Philanthropy |
UNTIL([loop for non-monetary philanthropic activity]>=9)
| PHIL_TOTEMP2 [] | Section: Philanthropy |
{totemp} > 0
COMMENT: Check for at least one employer
If Answer = 1 Then Go To PHIL_12
| PHIL_12 [] | Section: Philanthropy |
Was any of your volunteer activity in [calendar year prior to survey year] organized through your workplace?
| PHIL_EMP2 [] | Section: Philanthropy |
(INTERVIEWER: EMPLOYERS SINCE LAST INTERVIEW LISTED IN ROSTER.)
| PHIL_12_CHK1 [] | Section: Philanthropy |
{^phil_12({phil_loop2})^}==1
If Answer = 1 Then Go To PHIL_13
| PHIL_13 [] | Section: Philanthropy |
Did any of your coworkers volunteer with you?
| PHIL_14 [] | Section: Philanthropy |
Did you get paid time off from work to volunteer?
| PHIL_15 [] | Section: Philanthropy |
Did any of your volunteer activity in [calendar year prior to survey year] utilize skills acquired or used at work?
| PHIL_16 [] | Section: Philanthropy |
Did any of your volunteer activity in [calendar year prior to survey year] help you learn about job openings or job-related opportunities?
| PHIL_17 [] | Section: Philanthropy |
Did any of your volunteer activity in [calendar year prior to survey year] teach you skills that you could then use at work?
| Q2-11 [] | Section: Spouse Labor Information |
(([partner in hh?] ==0) && (([marital status change]==1) && (([marital status code]==3) || ([marital status code]==6))))
COMMENT: WAS R WIDOWED OR DIVORCED SINCE DATE OF LAST INTERVIEW AND THERE IS NO PARTNER IN THE HOUSEHOLD CURRENTLY?
If Answer = 1 Then Go To Q2-11A
| Q2-11A [] | Section: Spouse Labor Information |
Even though your (most recent) [Husband/Wife] is no longer with you, we would like to get some information about [him/her].
| OCCSP-0A [] | Section: Spouse Labor Information |
(([marital status code] == 1) || ([marital status code] == 4) || ([marital status code] == 5)) && ([Is the spouse in the household new since dli] == 0)
COMMENT: IS R MARRIED TO THE SAME SPOUSE FROM DLI? (new_spouse should never be 0 if marcode is 4 or 5)
If Answer = 1 Then Go To OCCSP-D
| OCCSP-0B [] | Section: Spouse Labor Information |
{new_spouse} == 1
COMMENT: Was a new spouse reported since DLI?
If Answer = 1 Then Go To OCCSP-D
| OCCSP-A [] | Section: Spouse Labor Information |
{paflag} == 1
COMMENT: Did R report a partner?
If Answer = 1 Then Go To OCCSP-55B
| OCCSP-D [] | Section: Spouse Labor Information |
{new_spouse} == 1
COMMENT: Is this a new spouse since DLI?
If Answer = 1 Then Go To OCCSP-55H_1
| OCCSP-55B [] | Section: Spouse Labor Information |
VAREXIST ([spouse/partner's dli occupation])
COMMENT: Did spouse report a job description last year?
If Answer = 0 Then Go To OCCSP-55H_1
| OCCSP-55C [] | Section: Spouse Labor Information |
Now we'd like to gather some information about [name of (most recent) spouse/partner]'s work activities.........
Have the usual activities and duties of [name of (most recent) spouse/partner]'s main job changed during [calendar year prior to survey year]? By "main" job, we mean the one at which [S/HE] usually worked the most hours.
| | 1 YES |
| | 0 NO ...(Go To OCCSP-55DA) |
| | 2 SPOUSE/PARTNER NOT IN HOUSEHOLD IN 2013 ...(Go To CPSSP-2) |
| | 3 SPOUSE/PARTNER DID NOT WORK IN 2013 ...(Go To Q2-16) |
| OCCSP-55DA [] | Section: Spouse Labor Information |
On [Date of last interview], [name of (most recent) spouse/partner] was reported as [spouse/partner's dli occupation] and [name of (most recent) spouse/partner]'s usual activities were [DESCRIPTION OF SPOUSE'S USUAL ACTIVITIES ON JOB AT DLI].
Is this an accurate description of [name of (most recent) spouse/partner]'s main job in [calendar year prior to survey year]?
| OCCSP-55H [] | Section: Spouse Labor Information |
{SPAR_WKINTRO}
What kind of work did {spar4} do? That is, what was {spar4}'s occupation at {his_her} main job in {pcy_year}?
(For example: plumber, typist, farmer, etc)
| | 1 SELECT TO ENTER VERBATIM |
| | 2 SPOUSE/PARTNER NOT IN HOUSEHOLD IN 2013 ...(Go To CPSSP-2) |
| | 3 SPOUSE/PARTNER DID NOT WORK IN 2013 ...(Go To Q2-16) |
If Answer >= -2 AND Answer <= -1 Then Go To OCCSP-55I
| OCCSP-55H_1 [] | Section: Spouse Labor Information |
Now we'd like to gather some information about your (spouse/partner)'s work activities...
What kind of work did [name of (most recent) spouse/partner] do? That is, what was [name of (most recent) spouse/partner]'s occupation at [his/her] main job in [calendar year prior to survey year]?
(For example: plumber, typist, farmer, etc)
| | 1 SELECT TO ENTER VERBATIM |
| | 2 SPOUSE/PARTNER NOT IN HOUSEHOLD IN 2013 ...(Go To CPSSP-2) |
| | 3 SPOUSE/PARTNER DID NOT WORK IN 2013 ...(Go To Q2-16) |
If Answer >= -2 AND Answer <= -1 Then Go To OCCSP-55I
| OCCSP-55I [] | Section: Spouse Labor Information |
(What kind of work did [name of (most recent) spouse/partner] do? That is, what was [name of (most recent) spouse/partner]'s occupation at [his/her] main job in [calendar year prior to survey year]?)
(For example: plumber, typist, farmer, etc)
| OCCSP-55J [] | Section: Spouse Labor Information |
What were [name of (most recent) spouse/partner]'s usual duties or activities at [his/her] main job?
(For example: types, keeps account books, files, sells cars, teaches, lays bricks, etc....)
| WGSP-71A [] | Section: Spouse Labor Information |
Now we would like to ask you a few questions concerning [name of (most recent) spouse/partner]'s earnings at [his/her] main job during [calendar year prior to survey year]. Please include any tips, overtime, and bonuses and give me the amount [name of (most recent) spouse/partner] earned before deductions like taxes and Social Security were taken out.
For [name of (most recent) spouse/partner]'s main job what is the easiest way for you to report [his/her] total earnings before taxes or other deductions: hourly, weekly, annually, or on some other basis?
(READ IF NECESSARY:) We use this information to compare the amount that people earn in different types of jobs.
| | 1 per hour |
| | 2 per day |
| | 3 per week |
| | 4 bi-weekly (every 2 weeks) |
| | 8 bi-monthly (twice a month) |
| | 5 per month |
| | 6 per year |
| | 7 other (SPECIFY) |
| WGSP-71B [] | Section: Spouse Labor Information |
Did [S/HE] usually receive overtime pay, tips or commissions at [his/her] main job?
| WGSP-71G [] | Section: Spouse Labor Information |
{paytimen_sp}
COMMENT: Branch according the time unit for rate of pay R reported.
If Answer = -1 Then Go To Q2-15A
If Answer = 1 Then Go To WGSP-71H
If Answer = 4 Then Go To WGSP-75X
If Answer = 5 Then Go To WGSP-74T
If Answer = 6 Then Go To WGSP-75I
If Answer = 8 Then Go To WGSP-74T
| WGSP-71H [] | Section: Spouse Labor Information |
[WGSP-71B] == 1
COMMENT: Did R receive overtime pay, tips or commissions?
If Answer = 1 Then Go To WGSP-71I
| WGSP-71I [] | Section: Spouse Labor Information |
Excluding overtime pay, tips and commissions, what was [name of (most recent) spouse/partner]'s hourly rate of pay, on [his/her] job?
(ENTER AMOUNT)
If Answer = -2 Then Go To WGSP-71P
If Answer = -1 Then Go To Q2-15A
If Answer >= 0 AND Answer <= 1 Then Go To WGSP-71K
If Answer >= 30 AND Answer <= 1,000,000 Then Go To WGSP-71K
| WGSP-71J [] | Section: Spouse Labor Information |
What was [name of (most recent) spouse/partner]'s hourly rate of pay, on [his/her] job?
(ENTER AMOUNT)
If Answer = -2 Then Go To WGSP-71P
If Answer = -1 Then Go To Q2-15A
If Answer >= 0 AND Answer <= 1 Then Go To WGSP-71K
If Answer >= 30 AND Answer <= 1,000,000 Then Go To WGSP-71K
| WGSP-71K [] | Section: Spouse Labor Information |
([spouse's rate of pay] >= [Default minimum value hourly wages]) && ([spouse's rate of pay] <= [Default maximum value hourly wages])
COMMENT: Is the reported hourly wage within the accepted range?
If Answer = 1 Then Go To WGSP-71U
| WGSP-71P [] | Section: Spouse Labor Information |
What is your best estimate of [name of (most recent) spouse/partner]'s hourly rate of pay?
(ENTER AMOUNT)
If Answer >= -2 AND Answer <= -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 30 Then Go To WGSP-71PA
| WGSP-71PA [] | Section: Spouse Labor Information |
([spouse's estimated hourly rate of pay] >= [Default minimum value hourly wages]) && ([spouse's estimated hourly rate of pay] <= [Default maximum value hourly wages])
COMMENT: Is the reported hourly wage within the accepted range?
If Answer = 1 Then Go To WGSP-71U
| WGSP-71Q [] | Section: Spouse Labor Information |
INTERVIEWER: DO NOT READ:
EARNINGS RECORDED AS: $[spouse's hourly rate of pay for verification] HOURLY IS THIS ENTRY CORRECT?
| WGSP-71R [] | Section: Spouse Labor Information |
INTERVIEWER: DO NOT READ
INCORRECT ENTRY IS RECORDED AS: $[spouse's hourly rate of pay for verification] HOURLY
ENTER CORRECT AMOUNT:
| WGSP-71U [] | Section: Spouse Labor Information |
How many hours did [name of (most recent) spouse/partner] usually work per week at this rate?
(ENTER NUMBER OF HOURS)
| WGSP-71W [] | Section: Spouse Labor Information |
[WGSP-71B] ==1
COMMENT: Did R receive overtime pay, tips or commissions?
If Answer = 1 Then Go To WGSP-71X
| WGSP-71X [] | Section: Spouse Labor Information |
At [name of (most recent) spouse/partner]'s main job, how much did [S/HE] usually receive just in overtime pay, tips or commissions, before taxes or other deductions?
(INTERVIEWER: ENTER TIME UNIT FOR OVERTIME PAY FIRST. SELECT <SUBMIT AND CONTINUE> TO ENTER AMOUNT.)
| | 1 HOURLY |
| | 2 DAILY |
| | 3 WEEKLY |
| | 5 MONTHLY |
| | 6 YEARLY |
| | 7 OTHER (SPECIFY) |
| WGSP-71XB [] | Section: Spouse Labor Information |
[WGSP-71X]
COMMENT: Translate time unit for rate of overtime pay
If Answer = -1 Then Go To Q2-15A
If Answer = 1 Then Go To WGSP-71XBB
If Answer = 2 Then Go To WGSP-71XF
If Answer = 3 Then Go To WGSP-71XC
If Answer = 5 Then Go To WGSP-71XD
If Answer = 6 Then Go To WGSP-71XE
If Answer = 7 Then Go To WGSP-71XG
| WGSP-71XBB [] | Section: Spouse Labor Information |
(At [name of (most recent) spouse/partner] main job, how much did [S/HE] usually receive just in overtime pay, tips or commissions, before taxes or other deductions?)
(ENTER HOURLY AMOUNT)
If Answer = -2 Then Go To WGSP-72C
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 30 Then Go To WGSP-72G
| WGSP-71XC [] | Section: Spouse Labor Information |
(At [name of (most recent) spouse/partner]'s job how much did [S/HE] usually receive just in overtime pay, tips or commissions, before taxes or other deductions?)
(ENTER WEEKLY AMOUNT)
If Answer = -2 Then Go To WGSP-72C
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 1,500 Then Go To WGSP-73D
| WGSP-71XD [] | Section: Spouse Labor Information |
(At [name of (most recent) spouse/partner]'s main job, how much did [S/HE] usually receive just in overtime pay, tips or commissions, before taxes or other deductions?)
(ENTER MONTHLY AMOUNT)
If Answer = -2 Then Go To WGSP-72C
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 6,000 Then Go To WGSP-73D
| WGSP-71XE [] | Section: Spouse Labor Information |
(At [name of (most recent) spouse/partner]'s main job, how much did [S/HE] usually receive just in overtime pay, tips or commissions, before taxes or other deductions?)
(ENTER ANNUAL AMOUNT)
If Answer = -2 Then Go To WGSP-72C
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 72,000 Then Go To WGSP-73D
| WGSP-71XF [] | Section: Spouse Labor Information |
(At [name of (most recent) spouse/partner]'s main job, how much did [S/HE] usually receive just in overtime pay, tips or commissions, before taxes or other deductions?)
(ENTER DAILY AMOUNT)
If Answer = -2 Then Go To WGSP-72C
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 240 Then Go To WGSP-72C
| WGSP-71XG [] | Section: Spouse Labor Information |
(At [name of (most recent) spouse/partner]'s main job, how much did [S/HE] usually receive just in overtime pay, tips or commissions, before taxes or other deductions?)
(ENTER AMOUNT)
| WGSP-72C [] | Section: Spouse Labor Information |
What is your best estimate of how much [name of (most recent) spouse/partner] usually (earn/earned) weekly, just in overtime pay, tips or commissions, before taxes or other deductions?
(ENTER AMOUNT)
If Answer >= -2 AND Answer <= -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 1,500 Then Go To WGSP-73D
| WGSP-72D [] | Section: Spouse Labor Information |
INTERVIEWER: DO NOT READ:
USUAL [time unit text for overtime pay rate (spouse)] EARNINGS IN OVERTIME PAY, TIPS OR COMMISSIONS RECORDED AS: $[spouse's overtime pay amount for verification]
IS THIS ENTRY CORRECT?
| WGSP-72E [] | Section: Spouse Labor Information |
INTERVIEWER: DO NOT READ
INCORRECT ENTRY IS RECORDED AS: $[spouse's overtime pay amount for verification] [time unit text for overtime pay rate (spouse)]
ENTER CORRECT AMOUNT:
| WGSP-72F [] | Section: Spouse Labor Information |
{OVERTIMEUN_SP}
COMMENT: What time unit of overtime pay did R report?
If Answer = 1 Then Go To WGSP-72G
If Answer = 2 Then Go To WGSP-73D
If Answer = 7 Then Go To WGSP-73D
| WGSP-72G [] | Section: Spouse Labor Information |
How many hours did [name of (most recent) spouse/partner] usually work per week at this rate?
(ENTER NUMBER OF HOURS)
If Answer = -2 Then Go To WGSP-72H
If Answer = -1 Then Go To Q2-15A
| WGSP-72H [] | Section: Spouse Labor Information |
What is your best estimate of the number of hours per week[name of (most recent) spouse/partner] usually [(work/worked)] at this rate?
(ENTER NUMBER OF HOURS)
If Answer >= -2 AND Answer <= -1 Then Go To Q2-15A
| WGSP-73D [] | Section: Spouse Labor Information |
I have estimated [name of (most recent) spouse/partner]'s usual weekly earnings for [his/her] main job as $[calculated weekly earnings- spouse] before taxes or other deductions.
Does that sound correct?
If Answer = -2 Then Go To WGSP-73E
| Default Next: | Q2-15A |
| Lead-In: | WGSP-71XC [1:1,500], WGSP-71XD [1:6,000], WGSP-71XE [1:72,000], WGSP-72C [1:1,500], WGSP-72F [2:2], WGSP-72F [7:7], WGSP-71W [Default], WGSP-72F [Default], WGSP-72G [Default], WGSP-72H [Default] |
| WGSP-73E [] | Section: Spouse Labor Information |
I have recorded:
1: [spar's rate of pay] as [name of (most recent) spouse/partner]'s hourly rate of pay,
2: [Hours spouse/partner usually worked per week at hourly rate of pay for main job] as the number of hours [name of (most recent) spouse/partner] usually (work/worked) at this rate,
3: [calculated weekly overtime pay amount (spouse)] as the amount [name of (most recent) spouse/partner] usually (earns/earned) weekly in overtime pay, tips and commissions, and....
4: [hours per week at overtime rate of pay (spouse)] as the number of hours per week [name of (most recent) spouse/partner] usually (work/worked)
at this rate
Which piece of information does not seem to be correct?
(SELECT ALL THAT APPLY)
| | 1 Regular hourly rate of pay |
| | 2 Hours worked at regular hourly rate of pay |
| | 3 Overtime pay rate |
| | 4 Hours worked at overtime pay rate |
| | 5 Nothing seems to be incorrect |
| WGSP-73H [] | Section: Spouse Labor Information |
INSELECTION([WGSP-73E],5)
COMMENT: Did R indicate that none of the figures seemed incorrect?
If Answer = 1 Then Go To WGSP-73Q
| WGSP-73I [] | Section: Spouse Labor Information |
INSELECTION([WGSP-73E],1)
COMMENT: Did R indicate that hourly rate of pay seemed incorrect?
If Answer = 1 Then Go To WGSP-73J
| WGSP-73J [] | Section: Spouse Labor Information |
What was [name of (most recent) spouse/partner] hourly rate of pay on [his/her] main job, excluding overtime pay, tips or commissions?
(INTERVIEWER: IF OVER $30.00 OR UNDER $1.00, PLEASE VERIFY AMOUNT.)
| WGSP-73K [] | Section: Spouse Labor Information |
INSELECTION([WGSP-73E],2)
COMMENT: Did R indicate that hours worked at hourly rate of pay seemed
incorrect?
If Answer = 1 Then Go To WGSP-73L
| WGSP-73L [] | Section: Spouse Labor Information |
How many hours did [name of (most recent) spouse/partner] usually work per week at the rate of $[spar's rate of pay]?
(ENTER NUMBER OF HOURS)
| WGSP-73M [] | Section: Spouse Labor Information |
INSELECTION([WGSP-73E],3)
COMMENT: Did R indicate that weekly overtime pay seemed incorrect?
If Answer = 1 Then Go To WGSP-73N
| WGSP-73N [] | Section: Spouse Labor Information |
How much did [name of (most recent) spouse/partner] usually earn weekly just in overtime pay, tips or commissions?
(ENTER AMOUNT)
| WGSP-73O [] | Section: Spouse Labor Information |
INSELECTION([WGSP-73E],4)
COMMENT: Did R indicate that hours worked at overtime rate of pay seemed incorrect?
If Answer = 1 Then Go To WGSP-73P
| WGSP-73P [] | Section: Spouse Labor Information |
How many hours did [name of (most recent) spouse/partner] usually work per week at the rate of $[calculated weekly overtime pay amount (spouse)]?
(ENTER NUMBER OF HOURS)
| WGSP-73Q [] | Section: Spouse Labor Information |
Then, (including overtime pay), tips and commissions, what were [name of (most recent) spouse/partner]'s usual weekly earnings on this job, before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $1500.00 OR LESS THAN $1.00, PLEASE VERIFY. ENTER AMOUNT)
| WGSP-74B [] | Section: Spouse Labor Information |
I have estimated [name of (most recent) spouse/partner]'s total weekly earnings for [his/her] main job, as $[calculated weekly earnings error] before taxes or other deductions. Does that sound correct?
| | 1 YES |
| | 0 NO, IRRECONCILABLE DIFFERENCE |
| WGSP-74C [] | Section: Spouse Labor Information |
[WGSP-71B] == 1
COMMENT: Did R report overtime, tips and/or commissions?
Beginning series for daily/weekly/other time unit ROP - see WGSP-71G
If Answer = 1 Then Go To WGSP-74E
| WGSP-74D [] | Section: Spouse Labor Information |
What were [name of (most recent) spouse/partner]'s usual weekly earnings on [his/her] main job before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To WGSP-74K
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 1,500 Then Go To WGSP-74KA
| WGSP-74E [] | Section: Spouse Labor Information |
Including overtime pay, tips and commissions, what were [name of (most recent) spouse/partner]'s usual weekly earnings on [his/her] main job, before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To WGSP-74K
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 1,500 Then Go To WGSP-74KA
| WGSP-74K [] | Section: Spouse Labor Information |
What is your best estimate of [name of (most recent) spouse/partner]'s usual weekly earnings before taxes or other deductions?
(ENTER AMOUNT)
If Answer >= -2 AND Answer <= -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 1,500 Then Go To WGSP-74L
| WGSP-74KA [] | Section: Spouse Labor Information |
([spouse's rate of pay] >= [default minimum value r's reported weekly wages]) && ([spouse's rate of pay] <= [default maximum value r's reported weekly wages])
COMMENT: Is the reported weekly wage within the accepted range?
If Answer = 1 Then Go To WGSP-74N
| WGSP-74L [] | Section: Spouse Labor Information |
INTERVIEWER: DO NOT READ
EARNINGS RECORDED AS: $[spouse's weekly rate of pay for verification] WEEKLY
IS THIS ENTRY CORRECT?
| WGSP-74M [] | Section: Spouse Labor Information |
INTERVIEWER: DO NOT READ
INCORRECT ENTRY IS RECORDED AS: $[spouse's weekly rate of pay for verification] WEEKLY
ENTER CORRECT AMOUNT:
| WGSP-74N [] | Section: Spouse Labor Information |
I have recorded [name of (most recent) spouse/partner]'s total earnings for [his/her] main job in [calendar year prior to survey year] as $[spouse's weekly rate of pay for verification] weekly before taxes or other deductions. Is that correct?
| WGSP-74P [] | Section: Spouse Labor Information |
[WGSP-71B] == 1
COMMENT: Did R report overtime, tips and/or commissions?
If Answer = 1 Then Go To WGSP-74Q
| WGSP-74Q [] | Section: Spouse Labor Information |
Including overtime pay, tips and commissions, what were [name of (most recent) spouse/partner]'s usual weekly earnings on [his/her] job, before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $1500.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
If Answer >= -2 AND Answer <= -1 Then Go To WGSP-76O
| WGSP-74R [] | Section: Spouse Labor Information |
What were [name of (most recent) spouse/partner]'s usual weekly earnings on [his/her] main job in [calendar year prior to survey year] before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $1500.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
If Answer >= -2 AND Answer <= -1 Then Go To WGSP-76O
| WGSP-74T [] | Section: Spouse Labor Information |
[WGSP-71B] == 1
COMMENT: Did R report overtime, tips and/or commissions?
Beginning series for monthly and bi-monthly time units for ROP
If Answer = 1 Then Go To WGSP-74V
| WGSP-74U [] | Section: Spouse Labor Information |
What were [name of (most recent) spouse/partner]'s usual monthly earnings on [his/her] main job in [calendar year prior to survey year], before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To WGSP-75B
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 6,000 Then Go To WGSP-75BA
| WGSP-74V [] | Section: Spouse Labor Information |
Including overtime pay, tips and commissions, what were [name of (most recent) spouse/partner]'s usual monthly earnings on [his/her] main job before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To WGSP-75B
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 6,000 Then Go To WGSP-75BA
| WGSP-75B [] | Section: Spouse Labor Information |
What is your best estimate of [name of (most recent) spouse/partner]'s usual monthly earnings before taxes or other deductions?
(ENTER AMOUNT)
If Answer >= -2 AND Answer <= -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 6,000 Then Go To WGSP-75BB
| WGSP-75BA [] | Section: Spouse Labor Information |
([spouse's rate of pay] >= [Default minimum value monthly wages]) && ([spouse's rate of pay] <= [Default maximum value monthly wages])
COMMENT: Is the reported monthly wage within the accepted range?
If Answer = 1 Then Go To WGSP-75E
| WGSP-75BB [] | Section: Spouse Labor Information |
([spouse's estimated hourly rate of pay] >= [Default minimum value monthly wages]) && ([spouse's estimated hourly rate of pay] <= [Default maximum value monthly wages])
COMMENT: Is the reported monthly wage within the accepted range?
If Answer = 1 Then Go To WGSP-75E
| WGSP-75C [] | Section: Spouse Labor Information |
INTERVIEWER: DO NOT READ
EARNINGS RECORDED AS: $[spouse's monthly rate of pay for verification] MONTHLY. IS THIS ENTRY CORRECT?
| WGSP-75D [] | Section: Spouse Labor Information |
INTERVIEWER: DO NOT READ
INCORRECT ENTRY IS RECORDED AS: $[spouse's monthly rate of pay for verification] MONTHLY
ENTER CORRECT AMOUNT:
| WGSP-75E [] | Section: Spouse Labor Information |
I have recorded [name of (most recent) spouse/partner]'s total earnings for [his/her] main job as $[spouse's monthly rate of pay for verification] monthly before taxes or other deductions. Is that correct?
| WGSP-75F [] | Section: Spouse Labor Information |
[WGSP-71B] == 1
COMMENT: Did R report overtime, tips and/or commissions?
If Answer = 1 Then Go To WGSP-75G
| WGSP-75G [] | Section: Spouse Labor Information |
Including overtime pay, tips and commissions, what were [name of (most recent) spouse/partner]'s usual monthly earnings on [his/her], before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $6000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
| WGSP-75H [] | Section: Spouse Labor Information |
What were [name of (most recent) spouse/partner]'s usual monthly earnings on [his/her] job before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $6000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
| WGSP-75I [] | Section: Spouse Labor Information |
[WGSP-71B] == 1
COMMENT: Did R report overtime, tips and/or commissions?
Beginning series for those reporting annual ROP. See WGSP-71G
If Answer = 1 Then Go To WGSP-75K
| WGSP-75J [] | Section: Spouse Labor Information |
What were [name of (most recent) spouse/partner]'s usual annual earnings on [his/her] job, before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To WGSP-75Q
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 72,000 Then Go To WGSP-75QA
| WGSP-75K [] | Section: Spouse Labor Information |
Including overtime pay, tips and commissions, what are [name of (most recent) spouse/partner]'s usual annual earnings on [his/her] main job, before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To WGSP-75Q
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 72,000 Then Go To WGSP-75QA
| WGSP-75Q [] | Section: Spouse Labor Information |
What is your best estimate of [name of (most recent) spouse/partner]'s usual annual earnings before taxes or other deductions?
(ENTER AMOUNT)
If Answer >= -2 AND Answer <= -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 72,000 Then Go To WGSP-75QB
| WGSP-75QA [] | Section: Spouse Labor Information |
([spouse's rate of pay] >= [Default minimum value annual wages]) && ([spouse's rate of pay] <= [Default maximum value annual wages])
COMMENT: Is the reported annual wage within the accepted range?
If Answer = 1 Then Go To WGSP-75T
| WGSP-75QB [] | Section: Spouse Labor Information |
([spouse's estimated hourly rate of pay] >= [Default minimum value annual wages]) && ([spouse's estimated hourly rate of pay] <= [Default maximum value annual wages])
COMMENT: Is the reported annual wage within the accepted range?
If Answer = 1 Then Go To WGSP-75T
| WGSP-75R [] | Section: Spouse Labor Information |
INTERVIEWER: DO NOT READ
EARNINGS RECORDED AS: $[spouse's annual rate of pay for verification] ANNUALLY.
IS THIS ENTRY CORRECT?
| WGSP-75S [] | Section: Spouse Labor Information |
INTERVIEWER: DO NOT READ
INCORRECT ENTRY IS RECORDED AS: $[spouse's annual rate of pay for verification] ANNUALLY.
ENTER CORRECT AMOUNT:
| WGSP-75T [] | Section: Spouse Labor Information |
I have recorded [name of (most recent) spouse/partner]'s total earnings for [his/her] main job as $[spouse's annual rate of pay for verification] annually before taxes or other deductions. Is that correct?
| WGSP-75U [] | Section: Spouse Labor Information |
[WGSP-71B] == 1
COMMENT: Did R report overtime, tips and/or commissions?
If Answer = 1 Then Go To WGSP-75V
| WGSP-75V [] | Section: Spouse Labor Information |
Including overtime pay, tips and commissions, what were [name of (most recent) spouse/partner]'s usual annual earnings on [his/her] main job, before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $72,000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
If Answer >= -2 AND Answer <= -1 Then Go To WGSP-76O
| WGSP-75W [] | Section: Spouse Labor Information |
What were [name of (most recent) spouse/partner]'s usual annual earnings on [his/her] main job before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $72,000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
If Answer >= -2 AND Answer <= -1 Then Go To WGSP-76O
| WGSP-75X [] | Section: Spouse Labor Information |
[WGSP-71B] == 1
COMMENT: Did R report overtime, tips and/or commissions?
Beginning series for R's that reported bi-weekly ROP in WGSP-71G
If Answer = 1 Then Go To WGSP-75Z
| WGSP-75Y [] | Section: Spouse Labor Information |
What were [name of (most recent) spouse/partner]'s usual bi-weekly earnings on [his/her] main job, before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To WGSP-76F
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 3,000 Then Go To WGSP-76FA
| WGSP-75Z [] | Section: Spouse Labor Information |
Including overtime pay, tips and commissions, what were [name of (most recent) spouse/partner]'s usual bi-weekly earnings on [his/her] main job, before taxes or other deductions?
(ENTER AMOUNT)
If Answer = -2 Then Go To WGSP-76F
If Answer = -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 3,000 Then Go To WGSP-76FA
| WGSP-76F [] | Section: Spouse Labor Information |
What is your best estimate of [name of (most recent) spouse/partner]'s usual bi-weekly earnings before taxes or other deductions at [his/her] main job?
(ENTER AMOUNT)
If Answer >= -2 AND Answer <= -1 Then Go To Q2-15A
If Answer >= 1 AND Answer <= 3,000 Then Go To WGSP-76FB
| WGSP-76FA [] | Section: Spouse Labor Information |
([spouse's rate of pay] >= [Default minimum value bi-weekly wages]) && ([spouse's rate of pay] <= [Default maximum value bi-weekly wages])
COMMENT: Is the reported biweekly wage within the accepted range?
If Answer = 1 Then Go To WGSP-76I
| WGSP-76FB [] | Section: Spouse Labor Information |
([spouse's estimated hourly rate of pay] >= [Default minimum value bi-weekly wages]) && ([spouse's estimated hourly rate of pay] <= [Default maximum value bi-weekly wages])
COMMENT: Is the reported biweekly wage within the accepted range?
If Answer = 1 Then Go To WGSP-76I
| WGSP-76G [] | Section: Spouse Labor Information |
INTERVIEWER: DO NOT READ
EARNINGS RECORDED AS: $[spouse's bi-weekly rate of pay for verification] BI-WEEKLY.
IS THIS ENTRY CORRECT?
| WGSP-76H [] | Section: Spouse Labor Information |
INTERVIEWER: DO NOT READ
INCORRECT ENTRY IS RECORDED AS: $[spouse's bi-weekly rate of pay for verification] BI-WEEKLY.
ENTER CORRECT AMOUNT:
| WGSP-76I [] | Section: Spouse Labor Information |
I have recorded [name of (most recent) spouse/partner]'s total earnings for [his/her] main job as $[spouse's bi-weekly rate of pay for verification] bi-weekly before taxes or other deductions. Is that correct?
| WGSP-76J [] | Section: Spouse Labor Information |
[WGSP-71B] == 1
COMMENT: Did R report overtime, tips and/or commissions?
If Answer = 1 Then Go To WGSP-76K
| WGSP-76K [] | Section: Spouse Labor Information |
Including overtime pay, tips and commissions,what were [name of (most recent) spouse/partner]'s usual bi-weekly earnings on [his/her] main job, before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $3000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
| WGSP-76L [] | Section: Spouse Labor Information |
What were [name of (most recent) spouse/partner] usual bi-weekly earnings on [his/her] main job with before taxes or other deductions?
(INTERVIEWER: IF MORE THAN $3000.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNTS.)
| WGSP-76M [] | Section: Spouse Labor Information |
VAREXIST ([WGSP-75I])
COMMENT: Is there an entry in WGSP-75I? Did R report ROP in annual time unit?
If Answer = 1 Then Go To WGSP-76N
| WGSP-76N [] | Section: Spouse Labor Information |
How many weeks a year did [name of (most recent) spouse/partner] get paid for in [his/her] main job in [calendar year prior to survey year]?
(ENTER NUMBER OF WEEKS)
| WGSP-76O [] | Section: Spouse Labor Information |
{paytimen_sp} ==7 || {paytimen_sp} == -2
COMMENT: Did R report "other" time unit for rate of pay, or R didn't know or refused to report time unit for rate of pay?
If Answer = 1 Then Go To WGSP-76P
| Default Next: | WGSP-76Q |
| Lead-In: | WGSP-74N [1:1], WGSP-74Q [-2:-1], WGSP-74R [-2:-1], WGSP-75V [-2:-1], WGSP-75W [-2:-1], WGSP-74N [Default], WGSP-74Q [Default], WGSP-74R [Default], WGSP-75E [Default], WGSP-75G [Default], WGSP-75H [Default], WGSP-76I [Default], WGSP-76K [Default], WGSP-76L [Default], WGSP-76M [Default], WGSP-76N [Default] |
| WGSP-76P [] | Section: Spouse Labor Information |
Was [name of (most recent) spouse/partner] paid at an hourly rate on [his/her] main job?
| WGSP-76Q [] | Section: Spouse Labor Information |
Even though you told me it is easier to report [name of (most recent) spouse/partner] earnings [time unit text for spouse's rate of pay], was [S/HE] paid at an hourly rate on [his/her] job?
If Answer >= -2 AND Answer <= -1 Then Go To Q2-15A
| WGSP-76R [] | Section: Spouse Labor Information |
[WGSP-71B] == 1
COMMENT: Did R report overtime, tips and/or commissions?
If Answer = 1 Then Go To WGSP-76S
| WGSP-76S [] | Section: Spouse Labor Information |
Excluding overtime pay, tips and commissions, what was [name of (most recent) spouse/partner]'s hourly rate of pay on [his/her] main job?
(INTERVIEWER: IF MORE THAN $30.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNT.)
| WGSP-76T [] | Section: Spouse Labor Information |
What was [name of (most recent) spouse/partner]'s hourly rate of pay on [his/her] main job?
(INTERVIEWER: IF MORE THAN $30.00 OR LESS THAN $1.00, PLEASE VERIFY AMOUNT.)
| Q2-15A [] | Section: Spouse Labor Information |
During the 52 weeks of [calendar year prior to survey year], how many weeks did [name of (most recent) spouse/partner] work at all jobs, either full-time or part-time, not counting work around the house? Please include paid vacations as time worked.
If Answer >= -2 AND Answer <= -1 Then Go To Q2-15B
If Answer = 0 Then Go To Q2-16
| Default Next: | Q2-15B |
| Lead-In: | WGSP-71G [-1:-1], WGSP-71I [-1:-1], WGSP-71J [-1:-1], WGSP-71P [-2:-1], WGSP-71XB [-1:-1], WGSP-71XBB [-1:-1], WGSP-71XC [-1:-1], WGSP-71XD [-1:-1], WGSP-71XE [-1:-1], WGSP-71XF [-1:-1], WGSP-72C [-2:-1], WGSP-72G [-1:-1], WGSP-72H [-2:-1], WGSP-74D [-1:-1], WGSP-74E [-1:-1], WGSP-74K [-2:-1], WGSP-74U [-1:-1], WGSP-74V [-1:-1], WGSP-75B [-2:-1], WGSP-75J [-1:-1], WGSP-75K [-1:-1], WGSP-75Q [-2:-1], WGSP-75Y [-1:-1], WGSP-75Z [-1:-1], WGSP-76F [-2:-1], WGSP-76Q [-2:-1], WGSP-73D [Default], WGSP-73Q [Default], WGSP-74B [Default], WGSP-76P [Default], WGSP-76Q [Default], WGSP-76S [Default], WGSP-76T [Default] |
| Q2-15B [] | Section: Spouse Labor Information |
In the weeks [name of (most recent) spouse/partner] worked how many hours did [S/HE] usually work per week?
If Answer = 0 Then Go To Q2-16
| Q2-16 [] | Section: Spouse Labor Information |
52 - [Number of weeks spouse worked, either full- or part-time, at all jobs in calendar year previous to survey year]
COMMENT: Subtract the number of weeks worked from the number of weeks in a year, to produce the number of weeks that R's spouse did not work in the past calendar year.
If Answer = 0 Then Go To Q2-17
If Answer >= 1 AND Answer <= 51 Then Go To Q2-16B
If Answer = 52 Then Go To Q2-16A
If Answer >= 53 AND Answer <= 54 Then Go To Q2-16B_1
| Q2-16A [] | Section: Spouse Labor Information |
You said [name of (most recent) spouse/partner] did not work in [calendar year prior to survey year]. How many weeks was [S/HE] looking for work or on layoff from a job?
| Q2-16B [] | Section: Spouse Labor Information |
You said [name of (most recent) spouse/partner] worked [Number of weeks spouse worked, either full- or part-time, at all jobs in calendar year previous to survey year] week(s) during [calendar year prior to survey year]. How many of the remaining [Number of weeks spouse did not work, at all in calendar year previous to survey year] week(s) was [S/HE] looking for work or on layoff from a job?
(ENTER NUMBER OF WEEKS LOOKING FOR WORK OR ON LAYOFF FROM A JOB:)
| Q2-16B_1 [] | Section: Spouse Labor Information |
How many of the remaining [Number of weeks spouse did not work, at all in calendar year previous to survey year] week(s) in [calendar year prior to survey year] was [S/HE] looking for work or on layoff from a job?
(ENTER NUMBER OF WEEKS LOOKING FOR WORK OR ON LAYOFF FROM A JOB:)
| Q2-17 [] | Section: Spouse Labor Information |
{spflag}==1 || {paflag}==1
COMMENT: Does R have a spouse currently living in the household (listed on the household roster?)
If Answer = 1 Then Go To CPSSP-2
| CPSSP-2 [] | Section: Spouse Labor Information |
These next few questions will refer to [name of (most recent) spouse/partner]'s work-related activities last week.
Last week, did [name of (most recent) spouse/partner] do any work for pay or profit?
INTERVIEWER: READ IF NECESSARY: By last week I mean the week beginning on the Sunday before (this/this past) Sunday and (this/this past) Saturday.
| | 1 YES |
| | 0 NO |
| | 2 RETIRED |
| | 3 DISABLED |
| | 4 UNABLE TO WORK |
| CPSSP-5 [] | Section: Spouse Labor Information |
Last week, did [name of (most recent) spouse/partner] do any unpaid work in a family business or farm?
| CPSSP-5C [] | Section: Spouse Labor Information |
{cpssp-anywrk}==0 && {cpssp-unpdwrk}==0
COMMENT: Did spouse/partner do no work for pay or profit and no unpaid work in
a family business or farm?
If Answer = 0 Then Go To CPSSP-41A
| CPSSP-41A [] | Section: Spouse Labor Information |
Last week, how many hours did [name of (most recent) spouse/partner] actually work at all jobs combined?
| CPSSP-41AA [] | Section: Spouse Labor Information |
{cpssp-41hrs}<=34 && {cpssp-41hrs}>=0
COMMENT: Did spouse/partner work less than 35 hours last week at all jobs?
If Answer = 0 Then Go To SHIFTSP-1
| CPSSP-41AB30H [] | Section: Spouse Labor Information |
Does [name of (most recent) spouse/partner] usually work 35 hours or more per week at [his/her] main job?
| CPSSP-84 [] | Section: Spouse Labor Information |
Did [name of (most recent) spouse/partner] work at a job or business during the last 12 months?
| CPSSP-85 [] | Section: Spouse Labor Information |
Did [name of (most recent) spouse/partner] do any of this work during the last 4 weeks?
| CPSSP-93 [] | Section: Spouse Labor Information |
What best describes [name of (most recent) spouse/partner]'s situation at this time? For example, is [name of (most recent) spouse/partner] disabled, ill, in school, taking care of house or family, or something else?
| | 1 Disabled |
| | 2 Ill |
| | 3 In school |
| | 4 Taking care of house or family |
| | 5 In retirement |
| | 6 Something else/Other (SPECIFY) |
| SHIFTSP-1 [] | Section: Spouse Labor Information |
{cpssp-anywrk}==1
COMMENT: Did spouse/partner report working for pay at all last week?
If Answer = 1 Then Go To SHIFTSP-86A
| SHIFTSP-2 [] | Section: Spouse Labor Information |
{cpssp-84}==1 && {cpssp-85}==1
COMMENT: Did spouse/partner report working for pay at all last week?
If Answer = 0 Then Go To Q9-RECCOUNT1
| SHIFTSP-86A [] | Section: Spouse Labor Information |
Which of the following categories best describes the hours [name of (most recent) spouse/partner] (works/worked) at [his/her] main job?
| | 1 Regular day shift ...(Go To SHIFTSP-86C) |
| | 2 Regular evening shift ...(Go To SHIFTSP-86C) |
| | 3 Regular night shift ...(Go To SHIFTSP-86C) |
| | 4 Shift rotates (changes periodically from days to evenings) ...(Go To SHIFTSP-86E) |
| | 5 Split shift (consists of two distinct periods each day) ...(Go To SHIFTSP-86E) |
| | 6 Irregular schedule or hours ...(Go To SHIFTSP-86B) |
| | 7 Other (SPECIFY) |
| SHIFTSP-86B [] | Section: Spouse Labor Information |
Who sets [name of (most recent) spouse/partner]'s hours?
| | 1 Employer |
| | 2 Spouse/partner |
| | 3 Both spouse/partner and employer |
| SHIFTSP-86C [] | Section: Spouse Labor Information |
At what time of the day (does/did) [name of (most recent) spouse/partner] usually begin work at [his/her] main job?
(INTERVIEWER: ENTER TIME OF DAY BELOW AND SELECT "AM/PM".)
| SHIFTSP-86D [] | Section: Spouse Labor Information |
At what time of the day (does/did) [name of (most recent) spouse/partner] usually end work at [his/her] main job?
(INTERVIEWER: ENTER TIME OF DAY BELOW AND SELECT "AM/PM".)
| SHIFTSP-86E [] | Section: Spouse Labor Information |
At what time of the day (does/did) [name of (most recent) spouse/partner] usually begin work at [his/her] main job [last week]?
(INTERVIEWER: ENTER TIME OF DAY BELOW AND SELECT "AM/PM".)
| SHIFTSP-86F [] | Section: Spouse Labor Information |
At what time of the day (does/did) [name of (most recent) spouse/partner] usually end work at [his/her] main job [last week]?
(INTERVIEWER: ENTER TIME OF DAY BELOW AND SELECT "AM/PM".)
| Q9-RECCOUNT1 [] | Section: Fertility |
RECCOUNT ([biochild roster])
COMMENT: Count of biological children
If Answer = 0 Then Go To Q9-2A
| Q9-2A [] | Section: Fertility |
Our records show that you do not have any biological children. Is that correct?
| | 1 Yes ...(Go To Q9-5B) |
| | 0 No |
| Q9-2B_1 [] | Section: Fertility |
Now we have some questions about any biological children that you have had. I have your biological children listed as...(READ INFORMATION FOR EACH CHILD WHO IS NOT "DELETED" LISTED BELOW).
[warning text appearing if sensitive situation with biological kids deceased or no longer in the household]
| Q9-2B_2 [] | Section: Fertility |
Is all of this information still correct?
Please tell me if you have ever had any other biological children who are not listed or if any children I mentioned should not be listed above.
(INTERVIEWER: PLEASE MAKE SURE THAT ALL BIOLOGICAL CHILDREN ARE LISTED, WHETHER BORN BEFORE OR SINCE [Date of last interview].
IF RESPONDENT MENTIONS THAT CHILDREN NEED TO BE ADDED, READ THE NAMES OF DELETED CHILDREN, TO DETERMINE IF ANY MISSING CHILDREN ARE ALREADY LISTED AND NEED TO BE "UNDELETED".
READ CHOICES CAREFULLY AND SELECT ALL THAT APPLY.)
| | 1 ALL INFORMATION STILL CORRECT |
| | 2 BIOLOGICAL CHILDREN CORRECT - NEED TO UPDATE SOME INFORMATION |
| | 3 BIOLOGICAL CHILD INCORRECTLY MARKED AS "DELETED" |
| | 4 DELETE BIOLOGICAL CHILD(REN) WHO ARE LISTED INCORRECTLY |
| | 5 ADD NEW OR ADDITIONAL BIOLOGICAL CHILD(REN) NOT LISTED BELOW |
| Q9-BIOROS-CHK1 [] | Section: Fertility |
INSELECTION([Q9-2B_2],4)
COMMENT: R indicated biological child is incorrectly listed and should be deleted?
If Answer = 1 Then Go To Q9-BIOROS-DEL-1
| Q9-BIOROS-DEL-1 [] | Section: Fertility |
Please tell me which child(ren) are not your biological children and should not be listed below. (READ NAMES OF CHILDREN IF NECESSARY).
(INTERVIEWER: PLEASE SELECT ALL CHILDREN WHO ARE NOT RESPONDENT'S BIOLOGICAL CHILDREN AND SHOULD NOT BE LISTED BELOW.
DO NOT DELETE BIOLOGICAL CHILDREN WHO ARE DECEASED OR ADOPTED OUT.
SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| Q9-BIOROS-DEL-CHK1 [] | Section: Fertility |
SELECTEDINSELECTION([Q9-BIOROS-DEL-1])
COMMENT: Number of children selected to be deleted from roster
If Answer >= 1 AND Answer <= 99 Then Go To Q9-BIOROS-CHK2
| Q9-BIOROS-CHK2 [] | Section: Fertility |
INSELECTION([Q9-2B_2],2)
COMMENT: R indicate biological child(ren) name(s) need to be corrected?
If Answer = 0 Then Go To Q9-BIOROS-CHK3
| Q9-BIOROS-FIXROSTER [] | Section: Fertility |
You mentioned that some information for (READ NAMES OF CHILDREN) needed to be updated or corrected. For whom do we need to update our information?
INTERVIEWER: IF NECESSARY, READ INFORMATION AGAIN FOR EACH CHILD. SELECT <MODIFY ROW> TO MAKE CHANGES TO A SPECIFIC CHILD'S INFORMATION.
IF ALL INFORMATION ON ROSTER IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q9-BIOROS-CHK3 [] | Section: Fertility |
INSELECTION([Q9-2B_2],3)
COMMENT: R indicate biological child(ren) incorrectly marked as deleted?
If Answer = 1 Then Go To Q9-BIOROS-UNDEL-1
| Q9-BIOROS-UNDEL-1 [] | Section: Fertility |
You mentioned that (a) child(ren) was incorrectly deleted from your list of biological children. Our records show that (READ NAMES OF "DELETED" CHILDREN) have previously been deleted from the list. Please tell me if (any of those/that) child(ren) should not be deleted after all?
(INTERVIEWER: PLEASE SELECT ALL "DELETED" CHILDREN WHO ARE RESPONDENT'S BIOLOGICAL CHILDREN AND SHOULD BE LISTED BELOW.
WHEN FINISHED, OR IF NO CHILDREN NEED TO BE CHECKED, SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| Q9-BIOROS-UNDEL-CHK1 [] | Section: Fertility |
SELECTEDINSELECTION([Q9-BIOROS-UNDEL-1])
COMMENT: Number biological children R indicated were incorrectly marked as "deleted"
If Answer >= 1 AND Answer <= 99 Then Go To Q9-BIOROS-CHK4
| Q9-BIOROS-CHK4 [] | Section: Fertility |
INSELECTION([Q9-2B_2],5)
COMMENT: R indicate new or additional biological child to be added to roster?
If Answer = 1 Then Go To Q9-BIOADD-LOOP-BEGIN
| Q9-BIOADD-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Begin Loop for adding new/additional biological children.
| Q9-BIOADD-3 [] | Section: Fertility |
You mentioned that you have (had) (a/another) biological child(ren) missing from our list.
What did you name the [first/next] baby?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME. PLEASE RECORD FULL NAME OR FIRST AND LAST NAME. ENTERING A SINGLE NAME OR FIRST NAME ONLY MAY CAUSE DATA PROBLEMS LATER IN THE INTERVIEW.)
| Q9-BIOADD-4 [] | Section: Fertility |
Was the baby a boy or a girl?
| Q9-BIOADD-6 [] | Section: Fertility |
When was your child born?
(INTERVIEWER: YOU MUST ENTER A VALID YEAR IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
| Q9-BIOADD-11 [] | Section: Fertility |
Do you have another biological child that we do not have listed below?
(IF NECESSARY, READ): So far, I have (READ NAMES OF BIOLOGICAL CHILDREN ON ROSTER).
| Q9-BIOADD-ANYMORE [] | Section: Fertility |
(INTERVIEWER: SELECT "YES" TO ENTER ANOTHER BIOLOGICAL CHILD.)
| Q9-BIOADD-LOOP-END [] | Section: Fertility |
UNTIL ([R indicate another biological child to add to roster] == 0)
COMMENT: loop end about new biological children
| Q9-5B [] | Section: Fertility |
{totbio}>0
COMMENT: Any biological children on the roster?
If Answer = 0 Then Go To Q9-BIOCHILD-VERIFY2
| Q9-29GD [] | Section: Fertility |
{totbio4} > 1
If Answer = 1 Then Go To Q9-29HB-LOOP-BEGIN
| Q9-29HB-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Start loop to check for twins/triplets/etc.
| Q9-29I [] | Section: Fertility |
(INTERVIEWER: CHECK FOR CHILDREN WITH THE SAME BIRTHDATE WHO DO NOT HAVE A 'YES' IN THE "TWIN" COLUMN. SELECT R'S RESPONSE BELOW.)
| Q9-29J [] | Section: Fertility |
(INTERVIEWER: FOR EACH PAIR OR GROUP OF CHILDREN WITH THE SAME BIRTHDATE BUT NOT IDENTIFIED AS TWINS/TRIPLETS/ETC., ASK:)
Is it correct that (READ NAMES OF CHILDREN) are (twins/triplets/etc.)?
(DO NOT RE-REPORT TWINS/TRIPLETS ALREADY IDENTIFIED.)
| | 0 NO (ADDITIONAL) TWINS/TRIPLETS/ETC. ON CHILD ROSTER |
| | 1 ONE SET OF (ADDITIONAL) TWINS ON CHILD ROSTER |
| | 2 ONE SET OF (ADDITIONAL) TRIPLETS ON CHILD ROSTER |
| | 3 INCORRECT TWINS/TRIPLETS/ETC. IDENTIFIED ON CHILD ROSTER |
| Q9-29J-CHK1 [] | Section: Fertility |
{^Q9-29J({Q9-TWINLOOP})^}
COMMENT: R report set of multiple birth child(ren) not yet marked on roster.
If Answer = 0 Then Go To Q9-29QAA-LOOP-END
If Answer >= 1 AND Answer <= 2 Then Go To Q9-29L
| Q9-29K [] | Section: Fertility |
INTERVIEWER: VERIFY THE BIRTHDATE INFORMATION FOR THE CHILDREN INCORRECTLY LISTED AS TWINS/TRIPLETS/ETC. USE BACK/LEFT ARROW AT TOP OF SCREEN AS NECESSARY TO CORRECT CHILD INFORMATION. IF RESPONDENT CONFIRMS BIRTHDATES LISTED, EXPLAIN IN AN INTERVIEWER COMMENT BY SELECTING "COMMENT" BUTTON NEXT TO QNAME.
| Q9-29L [] | Section: Fertility |
(INTERVIEWER: SELECT (FIRST/NEXT) (ADDITIONAL) SET OF (TWINS/TRIPLETS) ON ROSTER, AND IF SAME SEX, ASK:)
Are (READ NAMES OF SELECTED CHILDREN) identical (twins/triplets) or are they fraternal (twins/triplets)? (IF NOT SAME SEX, SELECT "FRATERNAL" IN BELOW .)
| Q9-29M [] | Section: Fertility |
(Are (READ NAMES OF SELECTED CHILDREN) identical (twins/triplets) or are they fraternal (twins/triplets)?)
(INTERVIEWER: IF (TWINS/TRIPLETS) NOT THE SAME SEX, THEY ARE "FRATERNAL".)
| Q9-29N [] | Section: Fertility |
Are they (REPEAT NAMES OF CHILDREN IF NECESSARY) often mistaken for each other, or are they different enough to tell apart?
| | 1 Often mistaken for one another |
| | 2 Different enough to tell apart |
| Q9-29QAA-LOOP-END [] | Section: Fertility |
UNTIL([Q9-29J([Q9-twinloop])]==0 || [Q9-twinloop]==3)
COMMENT: END LOOP WHEN ALL SETS OF MULTIPLE BIRTHS ACCOUNTED FOR, OR HAVE PASSED THROUGH MAXIMUM OF 3 TIMES
| Q9-29RB [] | Section: Fertility |
{Totbio4} > 0
COMMENT: Is there at least one child on BIOCHILD roster?
If Answer = 1 Then Go To Q9-BIOCHILD-VERIFY1
| Q9-BIOCHILD-VERIFY1 [] | Section: Fertility |
INTERVIEWER: BELOW IS THE ROSTER OF BIOLOGICAL CHILDREN. PLEASE REVIEW THE ROSTER TO BE SURE THAT IT IS CORRECT.
IF THE ROSTER IS NOT CORRECT, RETURN TO THE PREVIOUS QUESTIONS BY USING BACK/LEFT ARROW AT TOP OF SCREEN AND CORRECT AS NEEDED.
SELECT <SUBMIT AND CONTINUE> TO PROCEED IF ROSTER IS CORRECT.
| Q9-BIOCHILD-VERIFY2 [] | Section: Fertility |
INTERVIEWER: THERE ARE NO BIOLOGICAL CHILDREN LISTED FOR THE RESPONDENT.
IF THIS IS INCORRECT, RETURN TO THE PREVIOUS QUESTIONS BY USING BACK/LEFT ARROW AT TOP OF SCREEN AND CORRECT AS NEEDED.
SELECT <SUBMIT AND CONTINUE> TO PROCEED IF ROSTER IS CORRECT.
| Q9NB-5A-COUNT [] | Section: Fertility |
RECCOUNT ([non-bio child roster])
COMMENT: save total number of children.
If Answer = 0 Then Go To Q9NB-2A
| Q9NB-2A [] | Section: Fertility |
Our records show that you do not have any adopted or step children. Is that correct?
| Q9NB-2B_1 [] | Section: Fertility |
Now we have some questions about any adopted or step children that you have. I have your adopted or step children listed as...(READ INFORMATION FOR EACH CHILD WHO IS NOT "DELETED" LISTED BELOW).
| Q9NB-2B_2 [] | Section: Fertility |
Is all of this information still correct?
Please tell me if you have any other non-biological children who are not listed or if any non-biological children I mentioned should (not/no longer) be listed below.
(INTERVIEWER: PLEASE MAKE SURE THAT ALL CURRENT NON-BIOLOGICAL CHILDREN ARE LISTED.
READ CHOICES CAREFULLY AND SELECT ALL THAT APPLY.)
| | 1 ALL INFORMATION STILL CORRECT |
| | 2 NON-BIOLOGICAL CHILDREN CORRECT - NEED TO UPDATE SOME INFORMATION |
| | 3 NON-BIOLOGICAL CHILD INCORRECTLY MARKED AS "DELETED" |
| | 4 DELETE NON-BIOLOGICAL CHILD(REN) WHO ARE LISTED INCORRECTLY |
| | 5 ADD NEW OR ADDITIONAL NON-BIOLOGICAL CHILD(REN) NOT LISTED BELOW |
| Q9-NBIOROS-CHK1 [] | Section: Fertility |
INSELECTION([Q9NB-2B_2],4)
COMMENT: R indicate any non-biological children need to be deleted from the roster?
If Answer = 1 Then Go To Q9-NBIOROS-DEL-1
| Q9-NBIOROS-DEL-1 [] | Section: Fertility |
Please tell me which child(ren) are (not/no longer) your non-biological children and should not be listed below. (READ NAMES OF CHILDREN IF NECESSARY).
(INTERVIEWER: PLEASE SELECT ALL CHILDREN WHO ARE NOT RESPONDENT'S NON-BIOLOGICAL CHILDREN AND SHOULD NOT BE LISTED BELOW.
SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| Q9-NBIOROS-DEL-CHK1 [] | Section: Fertility |
SELECTEDINSELECTION([Q9-NBIOROS-DEL-1])
COMMENT: Number of non-biological children to be deleted from roster
If Answer >= 1 AND Answer <= 99 Then Go To Q9-NBIOROS-CHK2
| Q9-NBIOROS-CHK2 [] | Section: Fertility |
INSELECTION([Q9NB-2B_2],2)
COMMENT: R indicate that non-biological children information need to be updated
If Answer = 0 Then Go To Q9-NBIOROS-CHK3
| Q9-NBIOROS-FIXROSTER [] | Section: Fertility |
You mentioned that some information for (READ NAMES OF CHILDREN) needed to be updated or corrected. For whom do we need to update our information?
INTERVIEWER: IF NECESSARY, READ INFORMATION AGAIN FOR EACH CHILD. SELECT <MODIFY ROW> TO MAKE CHANGES TO A SPECIFIC CHILD'S INFORMATION.
IF ALL INFORMATION ON ROSTER IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q9-NBIOROS-CHK3 [] | Section: Fertility |
INSELECTION([Q9NB-2B_2],3)
COMMENT: R indicate non-biological child incorrectly deleted from roster?
If Answer = 1 Then Go To Q9-NBIOROS-UNDEL-1
| Q9-NBIOROS-UNDEL-1 [] | Section: Fertility |
You mentioned that (a) child(ren) was incorrectly deleted from your list of non-biological children. Our records show that (READ NAMES OF "DELETED" CHILDREN) are no longer your non-biological children, and have been deleted from the list. Please tell me if (any of those/that) child(ren) should not be deleted after all?
(INTERVIEWER: PLEASE SELECT ALL "DELETED" CHILDREN WHO ARE CURRENTLY RESPONDENT'S
NON-BIOLOGICAL CHILDREN AND SHOULD BE LISTED BELOW.
WHEN FINISHED, OR IF NO CHILDREN NEED TO BE CHECKED, SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| Q9-NBIOROS-UNDEL-CHK1 [] | Section: Fertility |
SELECTEDINSELECTION([Q9-NBIOROS-UNDEL-1])
COMMENT: Number of non-biological children to be undeleted
If Answer >= 1 AND Answer <= 99 Then Go To Q9-NBIOROS-CHK4
| Q9-NBIOROS-CHK4 [] | Section: Fertility |
INSELECTION([Q9NB-2B_2],5)
COMMENT: Did R indicate someone is missing from Household Roster?
If Answer = 1 Then Go To Q9-NBIOADD-LOOP-BEGIN
| Q9-NBIOADD-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Begin Loop for adding new bio children.
| Q9-NBIOADD-3 [] | Section: Fertility |
What is the name your [first/next] non-biological child who should be added?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME. PLEASE RECORD FULL NAME OR FIRST AND LAST NAME. ENTERING A SINGLE NAME OR FIRST NAME ONLY MAY CAUSE DATA PROBLEMS LATER IN THE INTERVIEW.)
| Q9-NBIOADD-3A [] | Section: Fertility |
Is [nbioadd_name([nbioadd-loop])] your adopted or step child?
| Q9-NBIOADD-4 [] | Section: Fertility |
Is [NBIOADD_NAME([NBIOADD-LOOP])] a male or female?
| Q9-NBIOADD-6 [] | Section: Fertility |
How old is [nbioadd_name([nbioadd-loop])]
| Q9-NBIOADD-11 [] | Section: Fertility |
Do you have another adopted or step child that we do not have listed below?
(IF NECESSARY, READ): So far, I have (READ NAMES OF NON-BIOLOGICAL CHILDREN ON ROSTER).
| Q9-NBIOADD-ANYMORE [] | Section: Fertility |
INTERVIEWER: PLEASE SELECT "YES" TO ENTER ANOTHER NON-BIOLOGICAL CHILD MISSING FROM THE ROSTER ABOVE.
| Q9-NBIOADD-LOOP-END [] | Section: Fertility |
UNTIL ([nbio2add] == 0)
COMMENT: loop end about new bio children
| Q9NB-23A-COUNT [] | Section: Fertility |
RECCOUNT ([non-bio child roster])
COMMENT: Copy all non-bio children from non-bio child roster to save indexes
If Answer = 0 Then Go To Q9-NBIOCHILD-VERIFY2
| Q9-NBIOCHILD-VERIFY1 [] | Section: Fertility |
INTERVIEWER: BELOW IS THE ROSTER OF NON-BIOLOGICAL CHILDREN. PLEASE REVIEW THE ROSTER TO BE SURE THAT IT IS CORRECT.
IF THE ROSTER IS NOT CORRECT, RETURN TO THE PREVIOUS QUESTIONS BY USING BACK/LEFT ARROW AT TOP OF SCREEN AND CORRECT AS NEEDED.
SELECT <SUBMIT AND CONTINUE> TO PROCEED IF ROSTER IS CORRECT.
| Q9-NBIOCHILD-VERIFY2 [] | Section: Fertility |
INTERVIEWER: THERE ARE NO NON-BIOLOGICAL CHILDREN LISTED FOR THE RESPONDENT.
IF THIS IS INCORRECT, RETURN TO THE PREVIOUS QUESTIONS BY USING BACK/LEFT ARROW AT TOP OF SCREEN AND CORRECT AS NEEDED.
SELECT <SUBMIT AND CONTINUE> TO PROCEED IF ROSTER IS CORRECT.
| Q9-BIOROS-COUNT2 [] | Section: Fertility |
{Totbio4} > 0
COMMENT: Is there at least one child on BIOCHILD roster?
If Answer = 1 Then Go To Q9-30-LOOP-BEGIN
| Q9-30-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Begin loop to ask about residence/visitation of biological children
| Q9-30C [] | Section: Fertility |
{^BIOCHILD_STATCODE({Q9-resloop})^}
COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question
If Answer = 5 Then Go To Q9-44
If Answer = 8 Then Go To Q9-44
If Answer = 99 Then Go To Q9-60-LOOP-END
| Q9-30D [] | Section: Fertility |
Where does [name of biochild([Q9-resloop])] usually live?
| | 1 IN THIS HOUSEHOLD |
| | 2 WITH (HIS/HER) (FATHER/MOTHER) |
| | 3 WITH OTHER (SPECIFY) RELATIVES |
| | 4 WITH FOSTER CARE |
| | 5 WITH ADOPTIVE PARENTS |
| | 6 LONG TERM CARE INSTITUTION |
| | 7 AWAY AT SCHOOL |
| | 8 DECEASED ...(Go To Q9-30E) |
| | 9 PART-TIME WITH YOU, PART-TIME WITH OTHER PARENT |
| | 10 PART-TIME WITH YOU, PART-TIME WITH OTHER PERSON |
| | 11 OTHER (SPECIFY) |
| | 12 OWN INDEPENDENT RESIDENCE |
| Q9-30DB [] | Section: Fertility |
{^biochild_hhiflag({Q9-resloop})^}
COMMENT: Residence status of biological child
If Answer >= 2 AND Answer <= 4 Then Go To Q9-44
If Answer = 5 Then Go To Q9-44
If Answer >= 6 AND Answer <= 7 Then Go To Q9-44
If Answer = 8 Then Go To Q9-30E
If Answer = 11 Then Go To Q9-44
| Q9-30E [] | Section: Fertility |
When did [name of biochild([Q9-resloop])] die?
| Q9-44 [] | Section: Fertility |
{^biochild_hhiflag({Q9-resloop})^}
COMMENT: Does first biological child live in household or with another person
part time?
If Answer = 1 Then Go To Q9-44C
If Answer = 5 Then Go To Q9-60-LOOP-END
If Answer = 8 Then Go To Q9-60-LOOP-END
If Answer = 9 Then Go To Q9-46A
If Answer = 10 Then Go To Q9-44C
| Q9-44C [] | Section: Fertility |
{^biochild_othparstat({Q9-resloop})^}
COMMENT: Biological child's other parent in household at previous interview?
If Answer = 1 Then Go To Q9-60-LOOP-END
If Answer = 2 Then Go To Q9-44D
| Q9-44D [] | Section: Fertility |
Our records show that [name of biochild([Q9-resloop])]'s [father/mother] was not living in the household on [Date of last interview]? Is this still correct?
(INTERVIEWER: "NO" MEANS [name of biochild([Q9-resloop])]'s [father/mother] IS CURRENTLY LIVING IN THE HOUSEHOLD.
| | 1 Yes ...(Go To Q9-50) |
| | 0 No |
| Q9-45 [] | Section: Fertility |
Does [name of biochild([Q9-resloop])]'s natural [father/mother] live in this household?
| Q9-46 [] | Section: Fertility |
Is [name of biochild([Q9-resloop])]'s [father/mother] living?
| | 1 Yes ...(Go To Q9-47) |
| | 0 No |
If Answer >= -2 AND Answer <= -1 Then Go To Q9-47
| Q9-46A [] | Section: Fertility |
{^biochild_othparstat({Q9-resloop})^} == 2
COMMENT: Biological child's other parent reported out of household at previous interview?
If Answer = 1 Then Go To Q9-50
| Q9-47 [] | Section: Fertility |
When did [name of biochild([Q9-resloop])]'s natural [father/mother] leave the household?
| | 1 SELECT TO ENTER DATE |
| | 2 NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q9-50) |
If Answer >= -2 AND Answer <= -1 Then Go To Q9-50
| Q9-47A [] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [name of biochild([Q9-resloop])]'S NATURAL [father/mother] LEFT THE HOUSEHOLD.
| Q9-48 [] | Section: Fertility |
What month and year did [name of biochild([Q9-resloop])]'s natural [father/mother] die?
| Q9-50 [] | Section: Fertility |
About how far from you does [name of biochild([Q9-resloop])]'s [father/mother] live? Is it...
| | 1 WITHIN 1 MILE |
| | 2 1-10 MILES |
| | 3 11-100 MILES |
| | 4 101-200 MILES |
| | 5 MORE THAN 200 MILES |
| Q9-51 [] | Section: Fertility |
In the past 12 months, about how often has [name of biochild([Q9-resloop])] seen [his/her([Q9-resloop])] [father/mother]?
(IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [name of biochild([Q9-resloop])] has been separated from [his/her([Q9-resloop])] [father/mother], about how often has [name of biochild([Q9-resloop])] seen [his/her([Q9-resloop])] [father/mother]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q9-60-LOOP-END) |
| Q9-52 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)
| Q9-53 [] | Section: Fertility |
About how far from you does [name of biochild([Q9-resloop])] live? Is it....
| | 1 WITHIN 1 MILE |
| | 2 1-10 MILES |
| | 3 11-100 MILES |
| | 4 101-200 MILES |
| | 5 MORE THAN 200 MILES |
| Q9-54 [] | Section: Fertility |
In the past 12 months, about how often have you seen [name of biochild([Q9-resloop])]?
(IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [name of biochild([Q9-resloop])] has not been living with you, about how often have you seen [name of biochild([Q9-resloop])]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q9-56) |
| Q9-55 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)
| Q9-56 [] | Section: Fertility |
When did [name of biochild([Q9-resloop])] last live with you?
| | 1 SELECT TO ENTER DATE ...(Go To Q9-57) |
| | 0 NEVER LIVED WITH R |
| Q9-57 [] | Section: Fertility |
(When did [name of biochild([Q9-resloop])] last live with you?)
(ENTER DATE)
| Q9-58 [] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [name of biochild([Q9-resloop])] did not live with you before that time?
| | 1 Yes |
| | 0 No |
| | 2 CHILD IS LESS THAN THREE MONTHS OLD |
| Q9-60-LOOP-END [] | Section: Fertility |
UNTIL([Q9-resloop]==[total # bio children reported])
COMMENT: end loop.
| Default Next: | Q9-60D |
| Lead-In: | Q9-30C [99:99], Q9-44 [5:5], Q9-44 [8:8], Q9-44C [1:1], Q9-45 [1:1], Q9-51 [0:0], Q9-44D [Default], Q9-48 [Default], Q9-52 [Default], Q9-56 [Default], Q9-58 [Default] |
| Q9-60D [] | Section: Fertility |
{hh1-1} == 5
If Answer = 0 Then Go To Q9-64FB
| Q9-64FB [] | Section: Fertility |
{paflag}==1 && {pa_samesex}==1
COMMENT: Is a same sex partner reported?
If Answer = 1 Then Go To Q9-67A
| Q9-64GB_4 [] | Section: Fertility |
{sterilized_prior}
COMMENT: R report being surgically sterilized in prior rounds?
If Answer = 1 Then Go To Q9-67A
| Q9-64GB_4_CHK1 [] | Section: Fertility |
{resp_gender}
COMMENT: R report being surgically sterilized in prior rounds?
If Answer = 1 Then Go To Q9-64GB_4_CHK2A
| Q9-64GB_4_CHK2A [] | Section: Fertility |
{spar_age} > 48
COMMENT: Male R spouse/partner older than 48
If Answer = 1 Then Go To Q9-67A
| Q9-64GB_4_CHK3A [] | Section: Fertility |
{ageatdli} > 48 || {respage} > 48
COMMENT: Female R over 48 years old currently or at last interview?
If Answer = 1 Then Go To Q9-67A
| Q9-64GB_5 [] | Section: Fertility |
{bcsub5} currently pregnant?
COMMENT: r26test_chng5: change nextq from q9-63
| Q9-64GB_6 [] | Section: Fertility |
In how many months do you expect to have your next child?
| | 1 SELECT TO ENTER NUMBER OF MONTHS |
| | 2 IF VOLUNTEERED: PLANNING TO TERMINATE PREGNANCY ...(Go To Q9-63_CHK1) |
| Q9-64GB_7 [] | Section: Fertility |
In how many months do you expect your child?
| Q9-63 [] | Section: Fertility |
When [you/your wife/spouse/partner] became pregnant [with [youngest child's name]], were you trying to have a baby or trying not to have a baby?
(INTERVIEWER: CODE RESPONDENT'S INTENTION IF THERE WAS DISAGREEMENT BETWEEN RESPONDENT AND
(SPOUSE/PARTNER).)
| | 1 Trying to have a baby |
| | 2 Trying not to have a baby |
| | 3 Neither |
| Q9-63_CHK1 [] | Section: Fertility |
{resp_gender} == 2
COMMENT: Female R
If Answer = 1 Then Go To Q9-63_CHK2
| Q9-63_CHK2 [] | Section: Fertility |
{respage} > 48
COMMENT: Female R over 48 years old currently?
If Answer = 1 Then Go To Q9-67A
| Q9-64GC [] | Section: Fertility |
Have you had any operation to prevent pregnancy? That is have you [had (a vasectomy/your tubes tied or had a tubal ligation)] or has [your wife/husband/spouse/partner] [had (a vasectomy/her tubes tied or had a tubal ligation)]?
| | 1 Tubes tied only |
| | 2 Vasectomy only |
| | 3 Both tubes tied and vasectomy |
| | 4 (IF VOLUNTEERED:) Hysterectomy only |
| | 5 (IF VOLUNTEERED: Both hysterectomy and vasectomy |
| | 6 No surgical procedure ...(Go To Q9-64H) |
| Q9-64H [] | Section: Fertility |
During the last month, have you or [your wife/husband/spouse/partner] used any form of birth control? By birth control we mean any method at all you or [your wife/husband/spouse/partner] used to [keep (your spouse/partner) from getting pregnant], including such methods as abstinence, withdrawal, rhythm, natural family planning methods, the pill or any other methods.
| | 1 YES ...(Go To Q9-65) |
| | 0 NO |
| | 2 R OR PARTNER/SPOUSE IS CURRENTLY PREGNANT |
| Q9-65 [] | Section: Fertility |
What methods have you or [your wife/husband/spouse/partner] used in the last month? If more than one method was used in the last month, please tell me all the methods.
(INTERVIEWER: READ CATEGORIES ONLY AS NECESSARY.)
(SELECT ALL THAT APPLY)
| | 1 Pill |
| | 2 Condom, rubber |
| | 3 Foam |
| | 4 Jelly or cream alone |
| | 5 Suppository or insert |
| | 6 Diaphram with or without jelly or cream |
| | 7 Douching after intercourse |
| | 8 IUD, coil, loop |
| | 11 Natural family planning, safe period by temperature or cervical mucous test |
| | 12 Rhythm or safe period by calendar |
| | 13 Withdrawal/pulling out |
| | 14 Contraceptive sponge |
| | 15 Abstinence |
| | 17 Norplant |
| | 18 Cervical Cap |
| | 16 Other Method (SPECIFY) |
| | 20 Hysterectomy |
| | 21 Depo pravara |
| Q9-65E [] | Section: Fertility |
INSELECTION([Q9-65],20)
COMMENT: Was birth control method used "operation-sterilization"?
If Answer = 0 Then Go To Q9-66
| Q9-66 [] | Section: Fertility |
In the past month, how often have you or [your wife/husband/spouse/partner] used birth control? Would you say it was always, sometimes, or almost never?
| | 1 Always |
| | 2 Sometimes |
| | 3 Almost never |
| Q9-67A [] | Section: Fertility |
{resp_gender}==1
COMMENT: Is respondent male?
If Answer = 1 Then Go To Q9-68A
| Q9-68A [] | Section: Fertility |
INTERVIEWER: WAS ANYONE ELSE PRESENT, EXCLUDING YOUNG CHILDREN (AGE 3 AND UNDER), WHEN YOU ASKED THE QUESTIONS IN THIS SECTION (SECTION 9)?
| | 1 YES |
| | 0 NO |
| | 2 TELEPHONE INTERVIEW |
| Q9-68B [] | Section: Fertility |
For the rest of this section we are going to be asking about information since [fertrefdate~X]. So unless otherwise instructed, please think of [fertrefdate~X] when answering the questions in the rest of the section.
(INTERVIEWER: FOR THIS SERIES, PLEASE USE FERTILITY INTERVIEW DATE GIVEN IN QUESTION, INSTEAD OF THE ACTUAL LAST INTERVIEW DATE.)
| Q9-68C [] | Section: Fertility |
{hh1-1} == 5
If Answer = 0 Then Go To Q9-69B
| Q9-69B [] | Section: Fertility |
{totnew} > 0
COMMENT: Were any children born since last interview?
If Answer = 0 Then Go To Q9-69G
If Answer = 1 Then Go To Q9-69G
| Q9-69F [] | Section: Fertility |
{sterilized_prior} == 1
If Answer = 1 Then Go To Q9-72
| Q9-69G [] | Section: Fertility |
{ageatdli} > 48 || {respage} > 48
COMMENT: Female R over 48 years old currently or at last interview?
If Answer = 1 Then Go To Q9-72
| Q9-70A [] | Section: Fertility |
{pregtext1} you had any {pregtext2} pregnancies since {fertrefdate~X}?
INTERVIEWER: BY OTHER PREGNANCIES, WE MEAN:
- ANY CURRENT PREGNANCY
- ANY PREGNANCIES WHICH DID NOT END IN A LIVE BIRTH. THESE SHOULD NOT BE PREGNANCIES WHICH RESULTED IN THE BIRTH OF {pregtext3}
| Q9-70B [] | Section: Fertility |
{pregtext5} many {pregtext2} pregnancies have you had since {fertrefdate~X}?
(INTERVIEWER: IF R IS CURRENTLY PREGNANT, PLEASE COUNT THAT PREGNANCY.)
| Q9-70B2 [] | Section: Fertility |
{pregtext6} end in an abortion?
| Q9-70B3 [] | Section: Fertility |
{numothpreg}
If Answer >= 0 AND Answer <= 1 Then Go To Q9-72
| Q9-70B4 [] | Section: Fertility |
How many of those pregnancies ended in abortion?
| Q9-72 [] | Section: Fertility |
{totbio4} > 0
COMMENT: Has R ever had any children?
If Answer = 1 Then Go To Q9-73
| Q9-73 [] | Section: Fertility |
{totnew} >= 1
COMMENT: Has R had any live births since 2004 or prior interview?
If Answer = 1 Then Go To Q9-73Z-LOOP-BEGIN
| Q9-73Z-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Copy name of child resulting from first pregnancy since date of 2004 or prior interview.
| Q9-73ZE_1 [] | Section: Fertility |
{^biochild_statcode({Q9-LOOP16})^}==97
COMMENT: Is this a new biochild since date of last interview?
If Answer = 1 Then Go To Q9-73ZE_2
| Q9-73ZE_2 [] | Section: Fertility |
INTERVIEWER: THE FOLLOWING QUESTIONS REFER TO THE PREGNANCY THAT RESULTED IN THE BIRTH OF [name of biochild([Q9-loop16 counter])], WHO WAS BORN ON [biological child birth date([Q9-loop16 counter])~X].
| Q9-74A1 [] | Section: Fertility |
{q9-loop16} == 1
If Answer = 0 Then Go To Q9-74A2
| Q9-74A2 [] | Section: Fertility |
{^multbirth({lastloop})^} >= 1
COMMENT: WAS THIS A MULTIPLE BIRTH - REPORTED IN LAST LOOP?
If Answer = 0 Then Go To Q9-74B
| Q9-74B [] | Section: Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE BACK/LEFT ARROW AT TOP OF SCREEN IF NECESSARY TO CHECK THE ROSTER.
| Q9-76E [] | Section: Fertility |
{q9-loop16} == 1
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If Answer = 0 Then Go To Q9-76F
| Q9-76F [] | Section: Fertility |
{^multbirth({lastloop})^} >= 1
COMMENT: WAS THIS REPORTED AS A MULTIPLE BIRTH IN LAST LOOP?
If Answer = 1 Then Go To Q9-118A000001
| Q9-77 [] | Section: Fertility |
When did you become pregnant with [name of child born since dli]? What month and year?
| Q9-78 [] | Section: Fertility |
Just before you became pregnant with [name of child born since dli], did you use any methods such as abstinence, withdrawal, rhythm, natural family planning methods, the pill or any other methods, to keep from getting pregnant?
(INTERVIEWER: PLEASE SEE HELP SCREEN LISTING MANY POSSIBLE BIRTH CONTROL METHODS. READ METHODS TO RESPONDENT ONLY AS NECESSARY.)
| | 1 Yes |
| | 0 No ...(Go To Q9-80) |
| Q9-79 [] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| | 1 Yes ...(Go To Q9-80) |
| | 0 No |
| Q9-80 [] | Section: Fertility |
Was the reason you (were not/stopped) using any methods because you yourself wanted to become pregnant?
| | 1 Yes ...(Go To Q9-82) |
| | 0 No |
| Q9-81 [] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q9-82 [] | Section: Fertility |
And what about [your wife/husband/spouse/partner] when you became pregnant that time -- did (he/she) want you to have (a/another) baby?
(IF NO, PROBE:) Did (he/she) want you to have (a/another) baby but not at that time, or did (he/she) want you to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q9-83 [] | Section: Fertility |
During your pregnancy with [name of child born since dli], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?
| | 1 Yes ...(Go To Q9-84) |
| | 0 No |
| Q9-84 [] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
| Q9-85 [] | Section: Fertility |
Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [name of child born since dli] was born?
| | 1 Yes ...(Go To Q9-86) |
| | 0 No |
| Q9-86 [] | Section: Fertility |
How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q9-87 [] | Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12 months before [name of child born since dli] was born?
| | 1 Yes ...(Go To Q9-88) |
| | 0 No |
| Q9-88 [] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| | 3 2 or more packs a day |
| | 2 1 or more but less than 2 |
| | 1 Less than 1 pack a day |
| | 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
| Q9-89 [] | Section: Fertility |
Did you use marijuana or hashish at all during the 12 months before [name of child born since dli] was born?
| | 1 Yes ...(Go To Q9-90) |
| | 0 No |
| Q9-90 [] | Section: Fertility |
On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ...
(READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q9-91 [] | Section: Fertility |
Did you use any form of cocaine at all during the 12 months before [name of child born since dli] was born?
| | 1 Yes ...(Go To Q9-92) |
| | 0 No |
| Q9-92 [] | Section: Fertility |
On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ...
(READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q9-93 [] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
| Q9-99B [] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
| Q9-94 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the calories in the food you ate?
| Q9-100B [] | Section: Fertility |
Did you cut down on the calories in the food you ate based on a doctor's or nurse's suggestion?
| Q9-95 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
| Q9-101B [] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
| Q9-96 [] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
| Q9-102B [] | Section: Fertility |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
| Q9-97 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| | 1 YES ...(Go To Q9-103B) |
| | 0 NO |
| | 4 NOT APPLICABLE |
| Q9-103B [] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
| Q9-98 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
| | 1 YES ...(Go To Q9-104B) |
| | 0 NO |
| | 4 NOT APPLICABLE |
| Q9-104B [] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
| Q9-105 [] | Section: Fertility |
Based on either your last menstrual period date or your doctor's or clinic's information, was [name of child born since dli] born within one week of the expected (due) date?
| Q9-106A [] | Section: Fertility |
Was the baby born early or late?
| Q9-106B [] | Section: Fertility |
How many weeks early was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
| Q9-106C [] | Section: Fertility |
How many weeks late was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
| Q9-107 [] | Section: Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
| Q9-108 [] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| | 1 First cesarean |
| | 0 Had cesarean(s) before |
| Q9-109 [] | Section: Fertility |
What was your weight just before you delivered?
| Q9-110 [] | Section: Fertility |
What was your weight just before you became pregnant with [name of child born since dli]?
| Q9-111 [] | Section: Fertility |
{Q9-109} >= 0 && {Q9-110} >= 0
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?
If Answer = 0 Then Go To Q9-118A000001
| Q9-112 [] | Section: Fertility |
{Q9-109} - {Q9-110}
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q9-116
| Q9-113 [] | Section: Fertility |
{Q9-109} < {Q9-110}
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?
If Answer = 0 Then Go To Q9-115
If Answer = 1 Then Go To Q9-114B
| Q9-114B [] | Section: Fertility |
Does that mean that you lost [amount respondent gained/loss during pregnancy since dli] pounds during your pregnancy?
(INTERVIEWER: IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight before delivery]) AND Q9-110 ([r's weight before pregnancy]). BACK UP USING BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q9-115 [] | Section: Fertility |
Does that mean that you gained [amount respondent gained/loss during pregnancy since dli] pounds during your pregnancy?
(INTERVIEWER: IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight before delivery]) AND Q9-110 ([r's weight before pregnancy]). BACK UP USING BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q9-116 [] | Section: Fertility |
Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight before delivery]) AND Q9-110 ([r's weight before pregnancy]). BACK UP USING BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q9-117 [] | Section: Fertility |
Did you gain or lose weight during your pregnancy with [name of child born since dli]?
| | 1 GAINED WEIGHT ...(Go To Q9-117A) |
| | 2 LOST WEIGHT ...(Go To Q9-117A) |
| | 3 DID NOT GAIN OR LOSE ANY WEIGHT |
| Q9-117A [] | Section: Fertility |
How much weight did you (gain/lose)?
(ENTER NUMBER OF POUNDS)
| Q9-118A000001 [] | Section: Fertility |
How much did [name of child born since dli] weigh at birth?
(INTERVIEWER: ENTER POUNDS AND OUNCES BELOW.)
| Q9-118A000002 [] | Section: Fertility |
| Q9-118B [] | Section: Fertility |
([weight of baby in pounds([Q9-loop16 counter])] == -1 || [weight of baby in pounds([Q9-loop16 counter])]== -2 || [weight of baby in ounces([Q9-loop16 counter])] == -1 || [weight of baby in ounces([Q9-loop16 counter])]==-2)
COMMENT: If birth weight missing, go to estimate
If Answer = 1 Then Go To Q9-118C
| Q9-118C [] | Section: Fertility |
Did [name of child born since dli] weigh more than 5 1/2 pounds or less?
| Q9-119 [] | Section: Fertility |
What was [name of child born since dli]'s length at birth?
(ENTER INCHES)
| Q9-119A [] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
| Q9-HLTH-HGT-SELECT [] | Section: Fertility |
I'd also like to find out [name of child born since dli]'s current height. How tall is [he/she] now?
INTERVIEWER: SELECT HOW YOU WISH TO ENTER HEIGHT -
IN FEET AND INCHES - OR - TOTAL INCHES
.
| | 1 FEET AND INCHES ENTRY |
| | 2 TOTAL INCHES ENTRY (ESP INFANTS) |
| Q9-HLTH-HGT-MTHDCK [] | Section: Fertility |
{preg_hgtmethod}
COMMENT: Internal Function
If Answer = 1 Then Go To Q9-HLTH-HGT-FEET
If Answer = 2 Then Go To Q9-HLTH-HGT-TOTALINCHES
| Q9-HLTH-HGT-FEET [] | Section: Fertility |
INTERVIEWER: RECORD FEET AND INCHES BELOW.
| Q9-HLTH-HGT-INCHES [] | Section: Fertility |
| Q9-HLTH-HGT-TOTALINCHES [] | Section: Fertility |
INTERVIEWER: RECORD HEIGHT IN TOTAL INCHES.
| Q9-HLTH-HGTCOMP [] | Section: Fertility |
([height input] < [calculated min height]) || ([height input] > [calculated max height])
COMMENT: Internal Function - Is total child height in inches outside of calculated min - max range?
If Answer = 1 Then Go To Q9-HLTH-HGT-MTHDCK2
| Q9-HLTH-HGT-MTHDCK2 [] | Section: Fertility |
{PREG_HGTMETHOD}
COMMENT: Internal Function
If Answer = 1 Then Go To Q9-HLTH-HGTCONF1
If Answer = 2 Then Go To Q9-HLTH-HGTCONF2
| Q9-HLTH-HGTCONF1 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [name of child born since dli] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THESE VALUES CORRECT?
[PREG_FEET_TXT] FEET AND [PREG_INCH_TXT] INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUES AND CONTINUE.
| Q9-HLTH-HGTCONF2 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [name of child born since dli] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THIS VALUE CORRECT?
[PREG_TOTINCH_TXT] TOTAL INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.
| Q9-HLTH-HGT-REPT [] | Section: Fertility |
INTERVIEWER: HOW WAS HEIGHT REPORTED?
| | 1 TAPE MEASUREMENT |
| | 2 MOTHER RECALL |
| | 3 CHILD RECALL |
| Q9-HLTH-WGT-SELECT [] | Section: Fertility |
I'd also like to find out [name of child born since dli]'s current weight. How much does [he/she] weigh now?
INTERVIEWER: SELECT HOW YOU WISH TO ENTER WEIGHT
POUNDS - OR - POUNDS AND OUNCES (FOR CHILDREN UNDER 20 LBS.)
| | 1 ENTER POUNDS ONLY |
| | 2 ENTER POUNDS AND OUNCES (ESP INFANTS) |
| Q9-HLTH-WGT-MTHDCK [] | Section: Fertility |
{PREG_WGTMETHOD}
COMMENT: Internal Function
If Answer = 1 Then Go To Q9-HLTH-WGT-LBSONLY
If Answer = 2 Then Go To Q9-HLTH-WGT-LBS
| Q9-HLTH-WGT-LBSONLY [] | Section: Fertility |
INTERVIEWER: RECORD WEIGHT IN POUNDS. IF MEASUREMENT TAKEN, BE SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER GARMENTS.
.
| Q9-HLTH-WGT-LBS [] | Section: Fertility |
INTERVIEWER: (FOR CHILDREN UNDER 20 LBS.) RECORD POUNDS AND OUNCES. IF MEASUREMENT TAKEN, BE SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER GARMENTS.
.
| Q9-HLTH-WGT-OZS [] | Section: Fertility |
| Q9-HLTH-WGTCOMP [] | Section: Fertility |
([weight input] < [calculated min weight]) || ([weight input] > [calculated max weight])
COMMENT: Internal Function - Is total child height in inches outside of calculated min - max range?
If Answer = 1 Then Go To Q9-HLTH-WGT-MTHDCK2
| Q9-HLTH-WGT-MTHDCK2 [] | Section: Fertility |
{PREG_WGTMETHOD}
COMMENT: Internal Function
If Answer = 1 Then Go To Q9-HLTH-WGTCONF1
If Answer = 2 Then Go To Q9-HLTH-WGTCONF2
| Q9-HLTH-WGTCONF1 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [name of child born since dli] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THE VALUE SHOWN CORRECT?
[don't know/refused] POUNDS
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.
| Q9-HLTH-WGTCONF2 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [name of child born since dli] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THE VALUES SHOWN CORRECT?
[don't know/refused] POUNDS AND [don't know/refused] OUNCES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE(S) AND CONTINUE.
| Q9-HLTH-WGT-REPT [] | Section: Fertility |
INTERVIEWER: HOW WAS WEIGHT REPORTED?
| | 1 SCALE MEASUREMENT |
| | 2 MOTHER RECALL |
| | 3 CHILD RECALL |
| Q9-120 [] | Section: Fertility |
How long did your baby stay in the hospital?
| | 1 SELECT TO ENTER NUMBER OF DAYS |
| | 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q9-123) |
| Q9-120A [] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS)
| Q9-121 [] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
| Q9-122A [] | Section: Fertility |
How many days earlier?
| Q9-122B [] | Section: Fertility |
How many days later?
| Q9-123 [] | Section: Fertility |
In [name of child born since dli]'s first year, did you take [him/her] to a clinic, hospital, or doctor because [he/she] was sick or injured?
(IF BABY "ADOPTED OUT"/"DECEASED" AND R IS RELUCTANT, SAY:) We appreciate how difficult this is, but [name of child born since dli]'s experiences are important in helping us understand the health of other children like [him/her].
| Q9-124 [] | Section: Fertility |
When you took [name of child born since dli] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?
(INTERVIEWER: RECORD VERBATIM. SELECT <SUBMIT AND CONTINUE> TO PROCEED FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)
| Q9-124A [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. SELECT <SUBMIT AND CONTINUE> TO CODE SYMPTOMS MENTIONED FOR THIS ILLNESS OR INJURY.IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE: What was the main illness or injury?)
| | 1 fever |
| | 2 cold |
| | 3 sore throat |
| | 4 pneumonia |
| | 5 ear infection |
| | 6 vomiting, diarrhea, or dehydration |
| | 7 rash |
| | 15 broken bone |
| | 16 burn |
| | 8 other accident or poisoning |
| | 9 convulsions |
| | 10 jaundice |
| | 11 feeding problems (food allergy, formula tolerance, etc.) |
| | 12 meningitis |
| | 13 asthma or bronchitis |
| | 14 other (SPECIFY) |
| | 0 None |
| Q9-125 [] | Section: Fertility |
Please tell me which symptoms or conditions occurred with (the/a) [main illness - child's first visit to clinic].
(INTERVIEWER: SELECT ALL THAT APPLY AND SELECT "COMMENT" BUTTON BESIDE QNAME TO RECORD VERBATIM IN COMMENT. DO NOT RESELECT MAIN ILLNESS OR INJURY RECORDED IN Q9-124. PROBE AND READ CATEGORIES AS NECESSARY.)
| | 1 fever |
| | 2 cold |
| | 3 sore throat |
| | 4 pneumonia |
| | 5 ear infection |
| | 6 vomiting, diarrhea, or dehydration |
| | 7 rash |
| | 15 broken bone |
| | 16 burn |
| | 8 other accident or poisoning |
| | 9 convulsions |
| | 10 jaundice |
| | 11 feeding problems (food allergy, formula tolerance, etc.) |
| | 12 meningitis |
| | 13 asthma or bronchitis |
| | 14 other (SPECIFY) |
| | 0 None |
| Q9-126 [] | Section: Fertility |
How many months old was [name of child born since dli] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [main illness - child's first visit to clinic]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q9-127 [] | Section: Fertility |
In [name of child born since dli]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because [he/she] had (that) [main illness - child's first visit to clinic]?
If Answer = 1 Then Go To Q9-129
| Q9-128 [] | Section: Fertility |
In [name of child born since dli]'s first year, how many months old was [he/she] the last time you took [him/her] to a clinic or doctor for (that) [main illness - child's first visit to clinic]?
| Q9-129 [] | Section: Fertility |
In [name of child born since dli]'s first year, when you took [him/her] to a clinic, hospital, or doctor because [he/she] had (that) [main illness - child's first visit to clinic], where did you take [him/her]?
| | 1 Private doctor's office |
| | 2 Clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital |
| | 6 Community health center |
| | 8 Other (SPECIFY) |
| | 12 (IF VOLUNTEERED: Military doctor or army hospital or clinic) |
| Q9-130B [] | Section: Fertility |
INSELECTION([Q9-129([Q9-loop16 counter])],5)
COMMENT: Was child from first pregnancy admitted to hospital for first illness in first year of life?
If Answer = 1 Then Go To Q9-131
| Q9-131 [] | Section: Fertility |
When [name of child born since dli] was admitted to the hospital, was surgery necessary?
| Q9-132 [] | Section: Fertility |
Did you have to take time off from work?
| Q9-133 [] | Section: Fertility |
In [name of child born since dli]'s first year, did you take [him/her] to a clinic, hospital, or doctor because [he/she] was sick or injured with a different illness or injury than the one we have just talked about?
| Q9-134 [] | Section: Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECORD VERBATIM. SELECT <SUBMIT AND CONTINUE> TO PROCEED FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)
| Q9-134A [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. SELECT <SUBMIT AND CONTINUE> TO CODE SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 fever |
| | 2 cold |
| | 3 sore throat |
| | 4 pneumonia |
| | 5 ear infection |
| | 6 vomiting, diarrhea, or dehydration |
| | 7 rash |
| | 15 broken bone |
| | 16 burn |
| | 8 other accident or poisoning |
| | 9 convulsions |
| | 10 jaundice |
| | 11 feeding problems (food allergy, formula tolerance, etc.) |
| | 12 meningitis |
| | 13 asthma or bronchitis |
| | 14 other (SPECIFY) |
| | 0 None |
| Q9-135 [] | Section: Fertility |
Please tell me which symptoms or conditions occurred with (the/a) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other].
(INTERVIEWER: SELECT ALL THAT APPLY AND SELECT "COMMENT" BUTTON BESIDE QNAME TO RECORD VERBATIM IN COMMENT. DO NOT RESELECT MAIN ILLNESS OR INJURY RECORDED IN Q9-134. PROBE AND READ CATEGORIES AS NECESSARY.)
| | 1 fever |
| | 2 cold |
| | 3 sore throat |
| | 4 pneumonia |
| | 5 ear infection |
| | 6 vomiting, diarrhea, or dehydration |
| | 7 rash |
| | 15 broken bone |
| | 16 burn |
| | 8 other accident or poisoning |
| | 9 convulsions |
| | 10 jaundice |
| | 11 feeding problems (food allergy, formula tolerance, etc.) |
| | 12 meningitis |
| | 13 asthma or bronchitis |
| | 14 other (SPECIFY) |
| | 0 None |
| Q9-136 [] | Section: Fertility |
How many months old was [name of child born since dli] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q9-137 [] | Section: Fertility |
In [name of child born since dli]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because [he/she] had (that) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other]?
If Answer = 1 Then Go To Q9-139
| Q9-138 [] | Section: Fertility |
In [name of child born since dli]'s first year, how many months old was [he/she] the last time you took [him/her] to a clinic or doctor for (that) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other]?
| Q9-139 [] | Section: Fertility |
In [name of child born since dli]'s first year, when you took [him/her] to a clinic, hospital, or doctor because [he/she] had (that) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or dehydration/rash/broken bone/burn/other accident or poisening/convulsions/janudice/feeding problems(food allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other], where did you take [him/her]?
| | 1 Private doctor's office |
| | 2 Clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital |
| | 6 Community health center |
| | 8 Other (SPECIFY) |
| | 12 (IF VOLUNTEERED: Military doctor or army hospital or clinic) |
| Q9-140B [] | Section: Fertility |
INSELECTION([Q9-139([Q9-loop16 counter])],5)
COMMENT: Was child from first pregnancy admitted to hospital for second illness in first year of life?
If Answer = 1 Then Go To Q9-141
| Q9-141 [] | Section: Fertility |
When [name of child born since dli] was admitted to the hospital, was surgery necessary?
| Q9-142 [] | Section: Fertility |
Did you have to take time off from work?
| Q9-143 [] | Section: Fertility |
Now please think about well baby care.
In [name of child born since dli]'s first year, did you take [him/her] to a clinic or doctor for well baby care when [he/she] was not sick?
(INTERVIEWER: IF RESPONDENT SAYS "YES", BUT DOES NOT KNOW MONTHS, ENCOURAGE R TO ESTIMATE MONTHS OF AGE IF AT ALL POSSIBLE.
IF RESPONDENT CAN NOT ESTIMATE, CHOOSE "TOOK CHILD FOR WELL BABY CARE, DO NOT KNOW ANY MONTHS" IN LIST BELOW.)
| | 1 YES ...(Go To Q9-144A) |
| | 0 NO |
| | 2 DID TAKE CHILD FOR WELL BABY CARE, DO NOT KNOW ANY MONTHS ...(Go To Q9-145B) |
| Q9-144A [] | Section: Fertility |
How many months old was [name of child born since dli] when you took [him/her] to a clinic or doctor for well baby care the first time?.....
How old was [he/she] the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED.)
(SELECT ALL THAT APPLY)
| | 1 1 month old |
| | 2 2 months old |
| | 3 3 months old |
| | 4 4 months old |
| | 5 5 months old |
| | 6 6 months old |
| | 7 7 months old |
| | 8 8 months old |
| | 9 9 months old |
| | 10 10 months old |
| | 11 11 months old |
| | 12 12 months old |
| Q9-145B [] | Section: Fertility |
Where did you usually take [name of child born since dli] for well baby care? Was it a .... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office ...(Go To Q9-145B_D) |
| | 2 Clinic ...(Go To Q9-145B_A) |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital ...(Go To Q9-145B_B) |
| | 6 Community health center |
| | 8 Other (SPECIFY) |
| | 12 (IF VOLUNTEERED: Military doctor or army hospital or clinic) |
| Q9-145B_A [] | Section: Fertility |
What type of clinic was that? Was it a private clinic, a public clinic, a hospital or walk-in clinic, or some other type of clinic?
| | 1 Private clinic |
| | 2 Public Clinic |
| | 3 Hospital clinic, walk-in clinic |
| | 4 Other type of clinic (specify) |
| Q9-145B_B [] | Section: Fertility |
Was [name of child born since dli] admitted to the hospital?
| Q9-145B_C [] | Section: Fertility |
Did you take [name of child born since dli] to a hospital clinic or a hospital emergency room?
| | 1 Hospital clinic |
| | 2 Emergency room |
| Q9-145B_D [] | Section: Fertility |
Was the private doctor's office you took [name of child born since dli] to paid for by a Health Maintenance Organization (HMO)?
| Q9-146A-LOOP-BEGIN [] | Section: Fertility |
FOR ([months old]=1;[months old]<=12;[months old]=[months old]+1;[Q9-147A-LOOP-END])
COMMENT: start loop to ask where baby was taken for well care
| Q9-146AA [] | Section: Fertility |
INSELECTION([Q9-144A([Q9-loop16 counter])], [months old])
COMMENT: start loop to ask where baby was taken for well care
If Answer = 1 Then Go To Q9-146B
| Q9-146B [] | Section: Fertility |
When you took [name of child born since dli] for well baby care when [he/she] was [text equilvalent of number of months r took new baby since dli for well baby care], where did you take [him/her]?
Was it a .... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office ...(Go To Q9-146B_D) |
| | 2 Public clinic ...(Go To Q9-146B_A) |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic ...(Go To Q9-146B_B) |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| Q9-146B_A [] | Section: Fertility |
What type of clinic was that? Was it a private clinic, a public clinic, a hospital or walk-in clinic, or some other type of clinic?
| | 1 Private clinic |
| | 2 Public Clinic |
| | 3 Hospital clinic, walk-in clinic |
| | 4 Other type of clinic (specify) |
| Q9-146B_B [] | Section: Fertility |
Was [name of child born since dli] admitted to the hospital?
| Q9-146B_C [] | Section: Fertility |
Did you take [name of child born since dli] to a hospital clinic or a hospital emergency room?
| | 1 Hospital clinic |
| | 2 Emergency room |
| Q9-146B_D [] | Section: Fertility |
Was the private doctor's office you took [name of child born since dli] to for well baby care when [he/she] was [text equilvalent of number of months r took new baby since dli for well baby care], paid for by a Health Maintenance Organization (HMO)?
| Q9-147A-LOOP-END [] | Section: Fertility |
ENDFOR
COMMENT: Repeat loop for number of choices
| Q9-HLTH-INTRO [] | Section: Fertility |
(READ TO RESPONDENT:)
Now I'd like to ask you some questions about [name of biochild([Q9-loop16 counter])]'s general state of health.
| Q9-HLTH-2C [] | Section: Fertility |
Does [name of biochild([Q9-loop16 counter])] have any physical, emotional, or mental condition that limits or prevents [his/her([Q9-loop16 counter])] ability to...
...do usual childhood activities such as play, or participate in games (or sports)?
| Q9-HLTH-3A [] | Section: Fertility |
Does [he/she([Q9-loop16 counter])] have any physical, emotional, or mental condition that requires...
...frequent attention or treatment from a doctor or other health professional?
| Q9-HLTH-3B [] | Section: Fertility |
Does [name of biochild([Q9-loop16 counter])] have any physical, emotional, or mental condition that requires...
...regular use of any medicine or drug (other than vitamins)?
| Q9-HLTH-3C [] | Section: Fertility |
Does [he/she([Q9-loop16 counter])] have any physical, emotional, or mental condition that requires...
... use of any special equipment, such as a brace, crutches, a wheelchair, special shoes, a helmet, a special bed, a breathing mask, an air filter, or a catheter and so on?
| Q9-HLTH-5-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Begin loop about limiting conditions
| Q9-HLTH-5A_VERBATIM [] | Section: Fertility |
What is [name of biochild([Q9-loop16 counter])]'s (next) health condition or limitation?
INTERVIEWER: PROBE AS NECESSARY: (What is it called?)
| Q9-HLTH-5A [] | Section: Fertility |
CODE ONLY ONE
| | 1 Learning disability |
| | 2 Minimal brain dysfunction, minimal cerebral dysfunction, attention deficit disorder |
| | 3 Hyperkinesis, hyperactivity |
| | 4 Asthma |
| | 5 Respiratory disorder or sinus infection |
| | 6 Speech impairment |
| | 7 Serious hearing difficulty or deafness |
| | 8 Serious difficulty in seeing or blindness |
| | 9 Serious emotional disturbance |
| | 10 Allergic condition(s) |
| | 11 Orthopedic handicap |
| | 12 Mental retardation |
| | 13 Heart trouble |
| | 14 Chronic nervous disorder |
| | 16 Chronic ear problems or infections |
| | 17 Blood disorder or immune deficiency (e.g. sickle cell anemia) |
| | 18 Epilepsy/Seizures |
| | 95 Health condition not listed (SPECIFY) |
| Q9-HLTH-5C-AGECK [] | Section: Fertility |
{^biochild_age({q9-loop16})^} < 1
COMMENT: Don't ask how long had condition if less than 1 yr old
If Answer = 1 Then Go To Q9-HLTH-5-CNT
| Q9-HLTH-5C [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([Q9-loop16 counter]:[special needs loop counter])]
How old was [name of biochild([Q9-loop16 counter])] when [he/she([Q9-loop16 counter])] first developed this condition?
INTERVIEWER: ENTER AGE IN YEARS (SINCE BIRTH=0)
| Q9-HLTH-5-CNT [] | Section: Fertility |
{Q9-HLTH-LOOP5COUNTER}
COMMENT: IF loop=1 goto HLTH-5-1STQ2A, else skip to HLTH-5-SCHLCHK
If Answer = 1 Then Go To Q9-HLTH-5-1STQ2C
| Q9-HLTH-5-1STQ2C [] | Section: Fertility |
{^q9-lim-play({q9-loop16})^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To Q9-HLTH-5G
| Q9-HLTH-5-1STQ3A [] | Section: Fertility |
{^q9-lim-dr-oftn({q9-loop16})^} ==1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To Q9-HLTH-5H
| Q9-HLTH-5-1STQ3B [] | Section: Fertility |
{^q9-lim-meds({q9-loop16})^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To Q9-HLTH-5I
| Q9-HLTH-5-1STQ3C [] | Section: Fertility |
{^q9-lim-eqmt({q9-loop16})^} == 1
COMMENT: jump to NEXT effect of limit to ask about
If Answer = 1 Then Go To Q9-HLTH-5J
| Q9-HLTH-5F [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([Q9-loop16 counter]:[special needs loop counter])]
Does this condition limit or prevent [his/her([Q9-loop16 counter])] ability to...
...do usual childhood activities such as play, or participate in games or sports?
| Q9-HLTH-5G [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([Q9-loop16 counter]:[special needs loop counter])]
Does this condition require...
...frequent attention or treatment from a doctor or other health professional?
| Q9-HLTH-5H [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([Q9-loop16 counter]:[special needs loop counter])]
Does this condition require...
...regular use of any medicine or drug (other than vitamins)?
| Q9-HLTH-5I [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([Q9-loop16 counter]:[special needs loop counter])]
Does this condition require...
... use of any special equipment, such as a brace, crutches, a wheelchair, special shoes, a helmet, a special bed, a breathing mask, an inhaler, an air filter, or a catheter and so on?
| Q9-HLTH-5J [] | Section: Fertility |
Does [name of biochild([Q9-loop16 counter])] have any other health conditions (that we haven't talked about)?
| Q9-HLTH-5-LOOP-END [] | Section: Fertility |
UNTIL({^moreconds([Q9-loop16 counter]:[special needs loop counter])^}==0)
COMMENT: loop until there are no more conditions to ask about
| Q9-158D-LOOP-END [] | Section: Fertility |
UNTIL([Q9-loop16 counter]==[total # bio children reported])
COMMENT: End loop collecting information on live-birth pregnancies since dli?
| Q9-159B [] | Section: Fertility |
{Foodq1}>0 || {Foodq2}>0 || {totnew} > 0
COMMENT: Does any child have foodq=1 or foodq=2
If Answer = 1 Then Go To Q9-160-LOOP-BEGIN
| Q9-159C [] | Section: Fertility |
{totnew} > 0
COMMENT: Were any children born since last interview?
If Answer = 1 Then Go To Q9-160-LOOP-BEGIN
| Q9-160-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Start loop
0
| Q9-161 [] | Section: Fertility |
{^biochild_statcode({Q9-LOOP18})^} == 99
COMMENT: Has this child been deleted?
If Answer = 1 Then Go To Q9-165BB-LOOP-END
| Q9-164 [] | Section: Fertility |
When [name of biochild([Q9-loop18 counter])] was an infant, did you breast feed [him/her([Q9-loop18 counter])] at all?
(IF BABY "ADOPTED OUT"/"DECEASED" AND R IS RELUCTANT, SAY:) We appreciate how difficult this is, but [name of biochild([Q9-loop18 counter])]'s experiences are important in helping us understand the health of other children like [him/her([Q9-loop18 counter])].
| Q9-165 [] | Section: Fertility |
How many weeks old was [name of biochild([Q9-loop18 counter])] when you quit breast feeding [him/her([Q9-loop18 counter])] altogether?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q9-165A) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q9-165B) |
| | 0 STILL BREASTFEEDING |
| Q9-165A [] | Section: Fertility |
(How many weeks old was [name of biochild([Q9-loop18 counter])] when you quit breast feeding [him/her([Q9-loop18 counter])] altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q9-165B [] | Section: Fertility |
(How many months old was [name of biochild([Q9-loop18 counter])] when you quit breast feeding [him/her([Q9-loop18 counter])] altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q9-165BB-LOOP-END [] | Section: Fertility |
UNTIL([Q9-loop18 counter]==[total # bio children reported])
COMMENT: END loop
| Q9-SKID-15C [] | Section: Fertility |
([number of surprise children] > 0) && ([RESPONDENT GENDER]==2)
COMMENT: IS THIS A FEMALE AND ANY SURPRISE KIDS ON THE ROSTER?
If Answer = 1 Then Go To MS1_TOTBIO4
| MS1_TOTBIO4 [] | Section: Fertility |
{Totbio4} > 0
COMMENT: Total number of biological children reported?
If Answer = 0 Then Go To Q10-2B
| MS1-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: START loop
0
| MS-CKNAME_MS1 [] | Section: Fertility |
ISVAREMPTY({^CFNAME([mother supplement loop])^})
COMMENT: Check if first name is empty on spawned infosheet. If so, prompt for name entry.
If Answer = 1 Then Go To MS-ENTERNAME_MS1
| MS-ENTERNAME_MS1 [] | Section: Fertility |
INTERVIEWER: ENTER CHILD'S FIRST NAME:
| MS-CKFULLNAME_MS1 [] | Section: Fertility |
ISVAREMPTY({^CNAME([mother supplement loop])^})
COMMENT: Check if first name is empty on spawned infosheet. If so, prompt for name entry.
If Answer = 1 Then Go To MS-ENTERFULLNAME_MS1
| MS-ENTERFULLNAME_MS1 [] | Section: Fertility |
INTERVIEWER: ENTER CHILD'S FULL NAME:
| Q9-194 [] | Section: Fertility |
{^biochild_statcode({ms1-loop1})^}
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To HLTH-CHK1_MS1
If Answer = 8 Then Go To HLTH-CHK1_MS1
If Answer = 99 Then Go To HLTH-CHK1_MS1
| Q9-194A [] | Section: Fertility |
{^biochild_hhiflag({ms1-loop1})^}
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To HLTH-CHK1_MS1
If Answer = 8 Then Go To HLTH-CHK1_MS1
| BKGN-AGECHK_MS1 [] | Section: Fertility |
({^MSAGE([mother supplement loop])^} < 3)
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If Answer = 1 Then Go To HLTH-CHK1_MS1
| BKGN-TITLE_MS1 [] | Section: Fertility |
BEGIN CHILD BACKGROUND SECTION
[name of biochild([mother supplement loop])]
| BKGN-1_MS1 [] | Section: Fertility |
Please think about the [2011-2012([mother supplement loop])] regular school year. [is/was([mother supplement loop])] [name of biochild([mother supplement loop])] attending or enrolled in
[regular school (or preschool)([mother supplement loop])]?
(If [name of biochild([mother supplement loop])] is between the spring and fall school sessions, please tell us about the LAST school year.)
| BKGN-2_MS1 [] | Section: Fertility |
Has [s/he([mother supplement loop])] ever attended regular school, nursery school, or preschool?
| BKGN-3_MS1 [] | Section: Fertility |
What grade [(is/did) child (currently/last) attend(ing)([mother supplement loop])]?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
| | 90 Nursery/preschool |
0 Kindergarten |
| | 1 1st grade |
2 2nd grade |
| | 3 3rd grade |
4 4th grade |
| | 5 5th grade |
6 6th grade |
| | 7 7th grade |
8 8th grade |
| | 9 9th grade |
10 10th grade |
| | 11 11th grade |
12 12th grade |
| | 13 1st year in college |
14 2nd year in college |
| | 15 3rd year in college |
16 4th year in college |
| | 17 5th year in college |
18 6th year in college |
| | 19 7th year in college |
20 8th year in college or more |
| | 95 Ungraded ...(Go To BKGN-4_MS1) |
If Answer = -2 Then Go To BKGN-4_MS1
| BKGN-4_MS1 [] | Section: Fertility |
If [name of biochild([mother supplement loop])] were in a graded class, what grade would [s/he([mother supplement loop])] be enrolled in?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
| | 90 Nursery/preschool |
| | 0 Kindergarten |
| | 1 1st grade |
| | 2 2nd grade |
| | 3 3rd grade |
| | 4 4th grade |
| | 5 5th grade |
| | 6 6th grade |
| | 7 7th grade |
| | 8 8th grade |
| | 9 9th grade |
| | 10 10th grade |
| | 11 11th grade |
| | 12 12th grade |
| | 95 Other (SPECIFY) |
| BKGN-4A-CHK1_MS1 [] | Section: Fertility |
{^msgrade({ms1-loop1})^} == 90 || {^msgrade({ms1-loop1})^} == 95
If Answer = 1 Then Go To BKGN-AGECK-YA1_MS1
| SCHLFIND-4A [] | Section: Fertility |
{ms1-loop1}==1
COMMENT: Is this the first time through the loop?
If Answer = 1 Then Go To SCHLFIND-6
| SCHLFIND-5 [] | Section: Fertility |
Is [name of biochild([mother supplement loop])]'s school in this list?
(INTERVIEWER: IF THE SCHOOL IS IN THIS LIST, SELECT SCHOOL. IF SCHOOL IS NOT LISTED OR NO SCHOOLS LISTED, SELECT "NEW SCHOOL" AND SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
If Answer = 1 Then Go To SCHLFIND-6
| SCHLFIND-6 [] | Section: Fertility |
What type of school (does [name of biochild([mother supplement loop])] currently attend/did [name of biochild([mother supplement loop])] last attend)?
| | 1 Elementary School |
| | 2 Middle School/Intermediate School/Junior High School |
| | 3 High School |
| | 4 Two Year College, Community College, or Junior College |
| | 5 Four Year College or University |
| SCHLFIND-7 [] | Section: Fertility |
([SCHLFIND-6([mother supplement loop])]==1 || [SCHLFIND-6([mother supplement loop])]==2 || [SCHLFIND-6([mother supplement loop])]==3)
COMMENT: Is school elementary, middle or high school?
If Answer = 1 Then Go To SCHLFIND-9
| SCHLFIND-9 [] | Section: Fertility |
Is this school in the United States?
| SCHLFIND-9B [] | Section: Fertility |
[SCHLFIND-9([mother supplement loop])]
COMMENT: is the child's school in the u.s.?
If Answer = 1 Then Go To SCHLFIND-11
| SCHLFIND-10 [] | Section: Fertility |
In which country?
| | 102 AFGHANISTAN |
104 ALBANIA |
106 ALGERIA |
| | 108 ANTIGUA |
110 ARGENTINA |
112 ARMENIA |
| | 114 AUSTRALIA |
115 AUSTRIA |
116 AZERBAIJAN |
| | 130 BAHAMAS |
132 BANGLADESH (EAST PAKISTAN) |
134 BARBADOS |
| | 136 BELGIUM |
137 BYLORUSSIA (BELORUSSE) |
140 BENIN |
| | 142 BERMUDA |
144 BOLIVIA |
146 BOSNIA-HERCEGOVINA |
| | 148 BRAZIL |
150 BULGARIA |
152 MYAMAR2 (FORMERLY BURMA) |
| | 170 KAMPUCHEA (FORMERLY CAMBODIA) |
172 CANADA |
174 QUEBEC (CANADA) |
| | 176 CEYLON (SRI LANKA) |
178 CHILE |
180 CHINA |
| | 182 COLOMBIA |
184 COSTA RICA |
186 CROATIA |
| | 188 CUBA |
190 CURACAO |
192 CYPRUS |
| | 194 CZECH REPUBLIC (FORMERLY PART OF CZECHOSLOVAKIA) |
210 DENMARK |
212 DOMINICAN REPUBLIC |
| | 230 ECUADOR |
232 EGYPT |
234 EL SALVADOR |
| | 236 ENGLAND |
238 ESTONIA |
240 ETHIOPIA |
| | 250 FINLAND |
252 FRANCE |
254 FRENCH GUIANA |
| | 270 GAMBIA |
272 GERMANY |
274 GEORGIA |
| | 276 GHANA |
278 GREECE |
280 GUADELOUPE |
| | 282 GUATEMALA |
284 GUINEA |
286 GUINEA-BISSEAU |
| | 288 GUYANA |
300 HAITI |
302 HONDURAS |
| | 304 HONG KONG |
306 HUNGARY |
320 ICELAND |
| | 322 INDIA |
324 INDONESIA |
326 IRAN |
| | 328 IRAQ |
330 IRELAND (EIRE) |
332 ISRAEL |
| | 334 ITALY |
336 IVORY COAST |
350 JAMAICA |
| | 352 JAPAN |
354 JORDAN |
370 KHAZAKHSTAN |
| | 372 KOREA |
374 KURDIZIA |
390 LAOS |
| | 392 LATVIA |
394 LEBANON |
396 LIBERIA |
| | 398 LIBYA |
400 LIECHTENSTEIN |
402 LITHUANIA |
| | 404 LUXEMBOURG |
420 MACEDONIA |
422 MALAYSIA |
| | 424 MALTA |
426 MARTINIQUE |
428 MEXICO |
| | 430 MOLDAVIA |
432 MONACO |
434 MOROCCO |
| | 436 MYAMAR (FORMERLY BURMA) |
450 NETHERLANDS |
452 NEW GUINEA (PAPUA) |
| | 454 NEW ZEALAND |
456 NICARAGUA |
458 NIGERIA |
| | 460 NORTHERN IRELAND (ULSTER) |
462 NORWAY |
480 PAKISTAN |
| | 482 PANAMA |
484 PARAGUAY |
486 PHILIPPINES |
| | 488 PERU |
490 POLAND |
492 PORTUGUAL |
| | 510 RHODESIA |
512 ROMANIA |
514 RUSSIA |
| | 530 SAUDI ARABIA |
532 SCANDINAVIA |
534 SCOTLAND |
| | 536 SENEGAL |
538 SIERRA LEONE |
540 SINGAPORE |
| | 542 SLOVAK REPUBLIC (FORMERLY PART OF CZECHOSLOVAKIA) |
544 SLOVINIA |
546 SOUTH AFRICA |
| | 548 SPAIN |
550 SURINAM |
552 SWEDEN |
| | 554 SWITZERLAND |
556 SYRIA |
570 TAIWAN |
| | 572 TAJIKHISTAN |
574 THAILAND |
576 TOGO |
| | 578 TRINIDAD AND TOBAGO |
580 TUNISIA |
582 TURKEY |
| | 584 TURKOMENISTAN |
600 UGANDA |
602 UKRAINE |
| | 604 UNITED STATES |
606 UZBEKHISTAN |
620 VENEZUELA |
| | 622 VIETNAM |
624 VIRGIN ISLANDS (NOT U.S.) |
640 WALES |
| | 650 YUGOSLAVIA |
660 OTHER COUNTRY - ASIA |
662 OTHER COUNTRY - AFRICA (SUB-SAHARAN) |
| | 664 OTHER COUNTRY - CARIBBEAN |
666 OTHER COUNTRY - EUROPE |
668 OTHER COUNTRY - MIDDLE EAST |
| | 670 OTHER COUNTRY - PACIFIC ISLANDS |
672 OTHER (SPECIFY) |
| SCHLFIND-11 [] | Section: Fertility |
ENTER THE STATE:
| | 1 ALABAMA |
2 ALASKA |
4 ARIZONA |
| | 5 ARKANSAS |
6 CALIFORNIA |
8 COLORADO |
| | 9 CONNECTICUT |
10 DELAWARE |
11 DISTRICT OF COLUMBIA |
| | 12 FLORIDA |
13 GEORGIA |
15 HAWAII |
| | 16 IDAHO |
17 ILLINOIS |
18 INDIANA |
| | 19 IOWA |
20 KANSAS |
21 KENTUCKY |
| | 22 LOUISIANA |
23 MAINE |
24 MARYLAND |
| | 25 MASSACHUSETTS |
26 MICHIGAN |
27 MINNESOTA |
| | 28 MISSISSIPPI |
29 MISSOURI |
30 MONTANA |
| | 31 NEBRASKA |
32 NEVADA |
33 NEW HAMPSHIRE |
| | 34 NEW JERSEY |
35 NEW MEXICO |
36 NEW YORK |
| | 37 NORTH CAROLINA |
38 NORTH DAKOTA |
39 OHIO |
| | 40 OKLAHOMA |
41 OREGON |
42 PENNSYLVANIA |
| | 44 RHODE ISLAND |
45 SOUTH CAROLINA |
46 SOUTH DAKOTA |
| | 47 TENNESSEE |
48 TEXAS |
49 UTAH |
| | 50 VERMONT |
51 VIRGINIA |
53 WASHINGTON |
| | 54 WEST VIRGINIA |
55 WISCONSIN |
56 WYOMING |
| | 60 AMERICAN SAMOA |
61 CANAL ZONE |
62 CANTON AND ENDERBURY ISLANDS |
| | 66 GUAM |
67 JOHNSTON ATOLL |
71 MIDWAY ISLANDS |
| | 72 PUERTO RICO |
73 RYUKYU ISLANDS, SOUTHERN |
74 SWAN ISLANDS |
| | 75 TRUST TERRITORIES OF PACIFIC |
76 U.S. MISCELLANEOUS CARIBBEAN |
77 U.S. MISCELLANEOUS PACIFIC ISLANDS |
| | 78 VIRGIN ISLANDS |
79 WAKE ISLAND |
0 OTHER (SPECIFY) |
If Answer >= -2 AND Answer <= -1 Then Go To SCHLFIND-180_00001
| SCHLFIND-13 [] | Section: Fertility |
PLEASE SELECT THE CITY:
INTERVIEWER: IF CITY IS NOT ON LIST, SELECT "OTHER CITY" FROM THE LIST.
If Answer >= -2 AND Answer <= 0 Then Go To SCHLFIND-180_00001
| SCHLFIND-15 [] | Section: Fertility |
PLEASE SELECT THE SCHOOL:
INTERVIEWER: IF SCHOOL IS NOT ON LIST, SELECT "OTHER SCHOOL" FROM THE LIST. PLEASE BE PATIENT, THIS MAY TAKE A MOMENT TO LOAD.
If Answer >= -2 AND Answer <= 0 Then Go To SCHLFIND-180_00001
| SCHLFIND-180_00001 [] | Section: Fertility |
Verification Screen:
| SCHLFIND-180_00002 [] | Section: Fertility |
| SCHLFIND-180_00003 [] | Section: Fertility |
| SCHLFIND-180_00004 [] | Section: Fertility |
| SCHLFIND-180_00005 [] | Section: Fertility |
| BKGN-AGECK-YA1_MS1 [] | Section: Fertility |
({^biochild_bdate([mother supplement loop])~Y^} <= [1999])
If Answer = 1 Then Go To HLTH-CHK1_MS1
| BKGN-5-DATECHK_MS1 [] | Section: Fertility |
({^MSSUMMERTERM([mother supplement loop])^})
COMMENT: Is interview date near or after the end of the school year?
If Answer = 1 Then Go To BKGN-5A_MS1
| BKGN-5A_MS1 [] | Section: Fertility |
Is/Was [name of biochild([mother supplement loop])] (currently) attending or enrolled in summer school?
| BKGN-5B_MS1 [] | Section: Fertility |
Has [s/he([mother supplement loop])] ever attended summer school?
| BKGN-6-DATECHK_MS1 [] | Section: Fertility |
({^MSFALLTERM([mother supplement loop])^})
COMMENT: Is interview date after or near the beginning of the new school year?
If Answer = 1 Then Go To BKGN-6A_MS1
| BKGN-6A_MS1 [] | Section: Fertility |
Now please think about the [2012-2013([mother supplement loop])] regular school year.
Has [name of biochild([mother supplement loop])] been attending regular school or preschool for at least four weeks (of the [2012-2013([mother supplement loop])] school year)?
| BKGN-6B_MS1 [] | Section: Fertility |
What grade is [name of biochild([mother supplement loop])] currently attending?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
| | 90 Nursery/preschool |
0 Kindergarten |
| | 1 1st grade |
2 2nd grade |
| | 3 3rd grade |
4 4th grade |
| | 5 5th grade |
6 6th grade |
| | 7 7th grade |
8 8th grade |
| | 9 9th grade |
10 10th grade |
| | 11 11th grade |
12 12th grade |
| | 13 1st year in college |
14 2nd year in college |
| | 15 3rd year in college |
16 4th year in college |
| | 17 5th year in college |
18 6th year in college |
| | 19 7th year in college |
20 8th year in college or more |
| | 95 Ungraded |
| BKGN-6C_MS1 [] | Section: Fertility |
If [name of biochild([mother supplement loop])] were in a graded class, what grade would [s/he([mother supplement loop])] be enrolled in?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
| | 90 Nursery/preschool |
| | 0 Kindergarten |
| | 1 1st grade |
| | 2 2nd grade |
| | 3 3rd grade |
| | 4 4th grade |
| | 5 5th grade |
| | 6 6th grade |
| | 7 7th grade |
| | 8 8th grade |
| | 9 9th grade |
| | 10 10th grade |
| | 11 11th grade |
| | 12 12th grade |
| | 95 Other (SPECIFY) |
| BKGN-AGECK-PRESCHL_MS1 [] | Section: Fertility |
({^MSAGE([mother supplement loop])^} < 8)
If Answer = 1 Then Go To BKGN-GRDCHK-PRESCHL_MS1
| BKGN-GRDCHK-PRESCHL_MS1 [] | Section: Fertility |
({^MSGRADE([mother supplement loop])^})
COMMENT: Is CHILD currently attending nursery or preschool (i.e., Child's GRADE coded 90)?
If Answer = 90 Then Go To BKGN-8_MS1
| BKGN-7_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever been enrolled in a preschool program (not including kindergarten)?
| BKGN-8_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever been enrolled in day care?
| BKGN-11_MS1 [] | Section: Fertility |
({^HEADSTRT([mother supplement loop])^} == 1)
COMMENT: Does complete information on Head Start participation already exist for child ?
If Answer = 1 Then Go To BKGN-17_MS1
| BKGN-12_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever been enrolled in the Head Start Program?
| BKGN-13_MS1 [] | Section: Fertility |
How old was [name of biochild([mother supplement loop])] when [s/he([mother supplement loop])] first attended Head Start?
(INTERVIEWER: ENTER AGE IN YEARS. CODE 00 = LESS THAN 1 YEAR OLD.)
| BKGN-14_MS1 [] | Section: Fertility |
In total, how long (has [name of biochild([mother supplement loop])] attended/did [name of biochild([mother supplement loop])] attend) Head Start?
| | 1 Less than 3 months |
| | 2 3 - 11 months |
| | 3 1 year - 23 months |
| | 4 2 years or more |
| | 5 Still enrolled |
| BKGN-15_MS1 [] | Section: Fertility |
How satisfied are you with what Head Start has done for [name of biochild([mother supplement loop])]?
| | 1 Very satisfied |
| | 2 Somewhat satisfied |
| | 3 Somewhat dissatisfied |
| | 4 Very dissatisfied |
| BKGN-16_MS1 [] | Section: Fertility |
How satisfied are you with what [name of biochild([mother supplement loop])]'s Head Start program has done for you?
| | 1 Very satisfied |
| | 2 Somewhat satisfied |
| | 3 Somewhat dissatisfied |
| | 4 Very dissatisfied |
| BKGN-17_MS1 [] | Section: Fertility |
{^MSAGE({ms1-loop1})^} < 5
COMMENT: If child age is less than 5 YRS , jump to BKGN-END
If Answer = 1 Then Go To HLTH-CHK1_MS1
| BKGN-18_MS1 [] | Section: Fertility |
({^MSINSCHL([mother supplement loop])^} == 1)
If Answer = 1 Then Go To BKGN-20_MS1
| BKGN-19_MS1 [] | Section: Fertility |
If [name of biochild([mother supplement loop])] does not attend school at all, what is the reason?
| | 1 Unable to attend due to physical, emotional, or mental condition |
| | 2 Expelled or suspended |
| | 3 School closed because of strike, physical damage, etc. |
| | 4 Child's father, stepfather, father-figure won't let child attend |
| | 7 Home schooled |
| | 5 Other reasons (SPECIFY) |
| BKGN-20_MS1 [] | Section: Fertility |
Which of the following describes the school [name of biochild([mother supplement loop])] attends:
| | 1 Public school ...(Go To BKGN-23_MS1) |
| | 2 Charter school |
| | 3 Catholic school |
| | 4 Other religious or church-sponsored school |
| | 5 Non-religious private school ...(Go To BKGN-23_MS1) |
| | 6 Indian reservation school |
| | 7 Military academy |
| | 8 Home-schooled ...(Go To BKGN-23_MS1) |
| | 9 Other (SPECIFY) |
| BKGN-21_MS1 [] | Section: Fertility |
Is the school [s/he([mother supplement loop])] attends public or private?
| | 1 Public |
| | 2 Private |
| | 3 Other (SPECIFY) |
| | 4 Does not attend school at all |
| BKGN-23_MS1 [] | Section: Fertility |
({^MSEVERSCHL([mother supplement loop])^} == 0) && ({^MSINSCHL([mother supplement loop])^} == 0)
If Answer = 1 Then Go To BKGN-32_MS1
| BKGN-24_MS1 [] | Section: Fertility |
How many different schools has your child ever attended? Please include the school [s/he([mother supplement loop])] is currently attending.
If Answer >= -2 AND Answer <= -1 Then Go To BKGN-FIRSTLANG_MS1
| BKGN-25_MS1 [] | Section: Fertility |
How many of these were elementary schools?
| BKGN-FIRSTLANG_MS1 [] | Section: Fertility |
What language did [name of biochild([mother supplement loop])] speak when [s/he([mother supplement loop])] first started regular school?
| | 1 ENGLISH (OR MOSTLY ENGLISH) |
| | 2 SPANISH (OR MOSTLY SPANISH) |
| | 3 ENGLISH AND SPANISH EQUALLY |
| | 4 ENGLISH AND ANOTHER LANGUAGE EQUALLY (SPECIFY) |
| | 5 CHILD DOES NOT SPEAK |
| | 6 ANOTHER LANGUAGE (SPECIFY) |
| BKGN-CURRLANG_MS1 [] | Section: Fertility |
What language does [name of biochild([mother supplement loop])] speak most now?
COMMENT:
| | 1 ENGLISH (OR MOSTLY ENGLISH) |
| | 2 SPANISH (OR MOSTLY SPANISH) |
| | 3 ENGLISH AND SPANISH EQUALLY |
| | 4 ENGLISH AND ANOTHER LANGUAGE EQUALLY (SPECIFY) |
| | 5 CHILD DOES NOT SPEAK |
| | 6 ANOTHER LANGUAGE (SPECIFY) |
| BKGN-26_MS1 [] | Section: Fertility |
In a typical school week, how much time does [name of biochild([mother supplement loop])] usually spend after school working on math problems or math homework?
ENTER HOURS PER WEEK. ROUND TO NEAREST 1/2 HR.
| BKGN-27_MS1 [] | Section: Fertility |
In a typical school week, how much time does [name of biochild([mother supplement loop])] usually spend after school writing up reports, papers, book-reports, or stories?
ENTER HOURS PER WEEK. ROUND TO NEAREST 1/2 HR.
| BKGN-28_MS1 [] | Section: Fertility |
({^MSEVERSCHL([mother supplement loop])^} == 0) && ({^MSINSCHL([mother supplement loop])^} == 0)
If Answer = 1 Then Go To BKGN-32_MS1
| BKGN-29A-MATRIX_MS1 [] | Section: Fertility |
{^msschlyr({ms1-loop1})^}, did/has {^biochild_name({ms1-loop1})^} participate(d) in....
| | - ...a remedial math program? |
| | - ...a remedial reading, remedial English, or remedial language arts program? |
| | - ...a gifted and talented program, or a special class for advanced work? |
| | - ...special education or a program for handicapped children? |
| | - ...a program that teaches English as a second language (ESL)? |
| BKGN-30_MS1 [] | Section: Fertility |
({^MSINSCHL([mother supplement loop])^} == 1)
If Answer = 1 Then Go To BKGN-31-MATRIX_MS1
| BKGN-31-MATRIX_MS1 [] | Section: Fertility |
Do you or your (spouse/partner) ....
| | - ...participate in a parent-teacher organization at child's school? |
| | - ...volunteer in the classroom at child's school? |
| | - ...do volunteer work such as supervising lunch, or chaperoning a field trip at child's school? |
| | - ...attend parent-teacher conferences at child's school? |
| BKGN-32_MS1 [] | Section: Fertility |
How many of [name of biochild([mother supplement loop])]'s close friends do you know by sight and by first and last name?
Do you know . . .
| | 1 All of them |
| | 2 Most of them |
| | 3 About half |
| | 4 Only a few |
| | 5 None of them |
| | 6 CHILD HAS NO CLOSE FRIENDS |
| BKGN-33_MS1 [] | Section: Fertility |
About how often do you know who [name of biochild([mother supplement loop])] is with when [s/he([mother supplement loop])] is not at home?
Would you say you know who [s/he([mother supplement loop])] is with...
| | 1 All of the time |
| | 2 Most of the time |
| | 3 Some of the time, or |
| | 4 Rarely? |
| BKGN-34_MS1 [] | Section: Fertility |
In the past year, how often has [name of biochild([mother supplement loop])] attended religious services (including Sunday School or other religious classes)?
| | 1 About once a week |
| | 2 At least once a month |
| | 3 A few times a year |
| | 4 Never |
| BKGN-35_MS1 [] | Section: Fertility |
Aside from attending religious services, how important is it to you to provide religious training for [him/her([mother supplement loop])]?
| | 1 Very important |
| | 2 Fairly important |
| | 3 Not at all important |
| HLTH-CHK1_MS1 [] | Section: Fertility |
{^biochild_statcode({ms1-loop1})^}
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To HLTH-MS1-LOOP-END
If Answer = 8 Then Go To HLTH-MS1-LOOP-END
If Answer = 99 Then Go To HLTH-MS1-LOOP-END
| HLTH-CHK2_MS1 [] | Section: Fertility |
{^biochild_hhiflag({ms1-loop1})^}
COMMENT: Is child in the household at least part time?
If Answer = 1 Then Go To HLTH-TITLE_MS1
If Answer = 5 Then Go To HLTH-MS1-LOOP-END
If Answer = 8 Then Go To HLTH-MS1-LOOP-END
If Answer = 9 Then Go To HLTH-TITLE_MS1
If Answer = 10 Then Go To HLTH-TITLE_MS1
| HLTH-TITLE_MS1 [] | Section: Fertility |
BEGIN CHILD HEALTH SECTION
[name of biochild([mother supplement loop])]
| HLTH-INTRO_MS1 [] | Section: Fertility |
(READ TO MOTHER/GUARDIAN)
Now I'd like to ask you some questions about [name of biochild([mother supplement loop])]'s general health.
| HLTH-NEW-CHK1_MS1 [] | Section: Fertility |
{^biochild_statcode({ms1-loop1})^}
COMMENT: Is first biological child deleted, deceased or adopted out?
If Answer = 97 Then Go To Q9-AGE15-3
| HLTH-AGECHK-YA2_MS1 [] | Section: Fertility |
{^biochild_bdate({ms1-loop1})~Y^} <= {ya_year}
COMMENT: Does child turn 15 years or older during survey year?
If Answer = 1 Then Go To HLTH-8_MS1
| HLTH-HW-MODECHK [] | Section: Fertility |
{^MSINTMODE({ms1-loop1})^}==1
COMMENT: Internal Function - If telephone interview or mother permission refusal, go directly to height & weight questions. Otherwise continue.
If Answer = 1 Then Go To HLTH-21A
| HLTH-21A [] | Section: Fertility |
INTERVIEWER: DOES CHILD HAVE ANY SERIOUS HEALTH LIMITATIONS THAT WOULD AFFECT MEASUREMENT OR TESTING?
| HLTH-21B [] | Section: Fertility |
INTERVIEWER: IF CHILD HAS A SERIOUS PHYSICAL OR MENTAL CONDITION THAT MAY INFLUENCE MEASUREMENT, TACTFULLY TELL MOTHER THAT SOME MEASUREMENTS MAY BE INAPPROPRIATE FOR THE CHILD BUT YOU WILL ADMINISTER THE ONES YOU CAN.
RECORD CONDITION BELOW.
| HLTH-HW-INTRO-IP [] | Section: Fertility |
INTERVIEWER: (IF CHILD IS NOT ALREADY PRESENT) READ TO MOTHER:
Could you please bring [name of biochild([mother supplement loop])] into the room and help make [him/her([mother supplement loop])] feel comfortable?
| HLTH-HW-MSBORNB4_R19_CHK1 [] | Section: Fertility |
VAREXIST ([MSBORNB4_R19([mother supplement loop])])
COMMENT: Internal Function - If Child age eligible for assessment, read Intro B. Otherwise, read Intro A.
If Answer = 1 Then Go To HLTH-HW-INTRO-AGECK
| HLTH-HW-INTRO-AGECK [] | Section: Fertility |
{^MSBORNB4_R19({ms1-loop1})^}==1
COMMENT: Internal Function - If Child age eligible for assessment, read Intro B. Otherwise, read Intro A.
If Answer = 1 Then Go To HLTH-HW-INTRO-IPB
| HLTH-HW-INTRO-IPA [] | Section: Fertility |
What did your mother tell you about my visit?
(WAIT FOR CHILD'S RESPONSE, THEN CONTINUE:)
(That's right or I see.) Your mother has been helping us by answering some questions. Now it's your turn. First we'll see how big you are.
| HLTH-HW-INTRO-IPB [] | Section: Fertility |
What did your mother tell you about my visit?
(WAIT FOR CHILD'S RESPONSE, THEN CONTINUE:)
(That's right or I see.) Your mother has been helping us by answering questions for many years now. This makes her a very important person to us. Now we're going to take some measurements from you.
| HLTH-HGT-SELECT [] | Section: Fertility |
(TO MOTHER:) I'd like to find out [name of biochild([mother supplement loop])]'s height. How tall is [s/he([mother supplement loop])]?
[Would you prefer to measure yourself or shall I do it?/([mother supplement loop])]
INTERVIEWER: SELECT HOW YOU WISH TO ENTER HEIGHT -
IN FEET AND INCHES - OR - TOTAL INCHES
.
| | 1 FEET AND INCHES ENTRY |
| | 2 TOTAL INCHES ENTRY (ESP INFANTS) |
| HLTH-HGT-MTHDCK [] | Section: Fertility |
{^HGTMETHOD({ms1-loop1})^}
COMMENT: Internal Function
If Answer = 1 Then Go To HLTH-HGT-FEET
If Answer = 2 Then Go To HLTH-HGT-TOTALINCHES
| HLTH-HGT-FEET [] | Section: Fertility |
(TO MOTHER: I'd like to find out how tall [name of biochild([mother supplement loop])] is. [Would you prefer to measure yourself or shall I do it?/([mother supplement loop])])
INTERVIEWER: RECORD FEET AND INCHES BELOW.
| HLTH-HGT-INCHES [] | Section: Fertility |
| HLTH-HGT-TOTALINCHES [] | Section: Fertility |
(TO MOTHER: I'd like to find out how tall [name of biochild([mother supplement loop])] is. [Would you prefer to measure yourself or shall I do it?/([mother supplement loop])])
INTERVIEWER: RECORD HEIGHT IN TOTAL INCHES.
| HLTH-HGTCOMP [] | Section: Fertility |
([height input([mother supplement loop])] < [calculated min height([mother supplement loop])]) || ([height input([mother supplement loop])] > [calculated max height([mother supplement loop])])
COMMENT: Internal Function - Is total child height in inches outside of calculated min - max range?
If Answer = 1 Then Go To HLTH-HGT-MTHDCK2
| HLTH-HGT-MTHDCK2 [] | Section: Fertility |
{^HGTMETHOD({ms1-loop1})^}
COMMENT: Internal Function
If Answer = 1 Then Go To HLTH-HGTCONF1
If Answer = 2 Then Go To HLTH-HGTCONF2
| HLTH-HGTCONF1 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [Surpirse child's name([mother supplement loop])] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THESE VALUES CORRECT?
[number of feet([mother supplement loop])] FEET AND [number of inches([mother supplement loop])] INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUES AND CONTINUE.
| HLTH-HGTCONF2 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [Surpirse child's name([mother supplement loop])] IS OUTSIDE THE USUAL RANGE OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THIS VALUE CORRECT?
[total # inches([mother supplement loop])] TOTAL INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.
| HLTH-HGT-REPT [] | Section: Fertility |
INTERVIEWER: HOW WAS HEIGHT REPORTED?
| | 1 TAPE MEASUREMENT |
| | 2 MOTHER RECALL |
| | 3 CHILD RECALL |
| HLTH-WGT-SELECT [] | Section: Fertility |
(TO MOTHER:) Now I'd like to find out [name of biochild([mother supplement loop])]'s weight. How much does [s/he([mother supplement loop])] weigh?
[Would you prefer to weigh yourself or shall I do it?/([mother supplement loop])]
INTERVIEWER: SELECT HOW YOU WISH TO ENTER WEIGHT
POUNDS - OR - POUNDS AND OUNCES (FOR CHILDREN UNDER 20 LBS.)
| | 1 ENTER POUNDS ONLY |
| | 2 ENTER POUNDS AND OUNCES (ESP INFANTS) |
| HLTH-WGT-MTHDCK [] | Section: Fertility |
{^WGTMETHOD({ms1-loop1})^}
COMMENT: Internal Function
If Answer = 1 Then Go To HLTH-WGT-LBSONLY
If Answer = 2 Then Go To HLTH-WGT-LBS
| HLTH-WGT-LBSONLY [] | Section: Fertility |
(TO MOTHER: I'd like to find out [name of biochild([mother supplement loop])]'s weight. [Would you prefer to weigh yourself or shall I do it?/([mother supplement loop])])
INTERVIEWER: RECORD WEIGHT IN POUNDS. IF MEASUREMENT TAKEN, BE SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER GARMENTS.
| HLTH-WGT-LBS [] | Section: Fertility |
(TO MOTHER: I'd like to find out [name of biochild([mother supplement loop])]'s weight. [Would you prefer to weigh yourself or shall I do it?/([mother supplement loop])])
INTERVIEWER: (FOR CHILDREN UNDER 20 LBS.) RECORD POUNDS AND OUNCES. IF MEASUREMENT TAKEN, BE SURE CHILD IS NOT WEARING SHOES OR HEAVY OUTER GARMENTS.
| HLTH-WGT-OZS [] | Section: Fertility |
| HLTH-WGTCOMP [] | Section: Fertility |
([weight input([mother supplement loop])] < [calculated minweight([mother supplement loop])]) || ([weight input([mother supplement loop])] > [calculated max weight([mother supplement loop])])
COMMENT: Internal Function - Is total child height in inches outside of calculated min - max range?
If Answer = 1 Then Go To HLTH-WGT-MTHDCK2
| HLTH-WGT-MTHDCK2 [] | Section: Fertility |
{^WGTMETHOD({ms1-loop1})^}
COMMENT: Internal Function
If Answer = 1 Then Go To HLTH-WGTCONF1
If Answer = 2 Then Go To HLTH-WGTCONF2
| HLTH-WGTCONF1 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [Surpirse child's name([mother supplement loop])] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THE VALUE SHOWN CORRECT?
[# of pounds([mother supplement loop])] POUNDS
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE AND CONTINUE.
| HLTH-WGTCONF2 [] | Section: Fertility |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [Surpirse child's name([mother supplement loop])] IS OUTSIDE THE USUAL RANGE OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THE VALUES SHOWN CORRECT?
[# of pounds([mother supplement loop])] POUNDS AND [don't know/refused([mother supplement loop])] OUNCES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE(S) AND CONTINUE.
| HLTH-WGT-REPT [] | Section: Fertility |
INTERVIEWER: HOW WAS WEIGHT REPORTED?
| | 1 SCALE MEASUREMENT |
| | 2 MOTHER RECALL |
| | 3 CHILD RECALL |
| HLTH-AGECHK0_MS1 [] | Section: Fertility |
{^MSAGE({ms1-loop1})^} < 3 || {^biochild_statcode({ms1-loop1})^} == 97
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If Answer = 1 Then Go To Q9-AGE15-3
| HLTH-1A_MS1 [] | Section: Fertility |
{^RESN-NOSCHL({ms1-loop1})^} == 1
COMMENT: If reason for not attending school is health related, skip directly to HEALTH-5 LOOP begin
If Answer = 1 Then Go To HLTH-5-LOOP-BEGIN_MS1
| HLTH-1B_MS1 [] | Section: Fertility |
({^msage([mother supplement loop])^} >= 4) || ({^msinschl([mother supplement loop])^} == 1) || ({^mseverschl([mother supplement loop])^} == 1)
If Answer = 1 Then Go To HLTH-2A_MS1
| HLTH-2A_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] have any physical, emotional, or mental condition that limits or prevents [his/her([mother supplement loop])] ability to...
...attend school regularly?
| HLTH-2B_MS1 [] | Section: Fertility |
Does [s/he([mother supplement loop])] have any physical, emotional or mental condition that limits or prevents [his/her([mother supplement loop])] ability to...
...do regular school work?
| HLTH-2C_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] have any physical, emotional, or mental condition that limits or prevents [his/her([mother supplement loop])] ability to...
...do usual childhood activities such as play, or participate in games or sports?
| HLTH-3A_MS1 [] | Section: Fertility |
Does [s/he([mother supplement loop])] have any physical, emotional, or mental condition that requires...
...frequent attention or treatment from a doctor or other health professional?
| HLTH-3B_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] have any physical, emotional, or mental condition that requires...
...regular use of any medicine or drug (other than vitamins)?
| HLTH-3C_MS1 [] | Section: Fertility |
Does [s/he([mother supplement loop])] have any physical, emotional, or mental condition that requires...
... use of any special equipment, such as a brace, crutches, a wheelchair, special shoes, a helmet, a special bed, a breathing mask, an air filter, or a catheter and so on?
| HLTH-5-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
| HLTH-5A_VERBATIM_MS1 [] | Section: Fertility |
What is [name of biochild([mother supplement loop])]'s (next) health condition or limitation?
INTERVIEWER: PROBE AS NECESSARY: (What is it called?)
| HLTH-5A_MS1 [] | Section: Fertility |
CODE ONLY ONE
| | 1 Learning disability |
| | 2 Minimal brain dysfunction, minimal cerebral dysfunction, attention deficit disorder |
| | 3 Hyperkinesis, hyperactivity |
| | 4 Asthma |
| | 5 Respiratory disorder or sinus infection |
| | 6 Speech impairment |
| | 7 Serious hearing difficulty or deafness |
| | 8 Serious difficulty in seeing or blindness |
| | 9 Serious emotional disturbance |
| | 10 Allergic condition(s) |
| | 11 Orthopedic handicap |
| | 12 Mental retardation |
| | 13 Heart trouble |
| | 14 Chronic nervous disorder |
| | 16 Chronic ear problems or infections |
| | 17 Blood disorder or immune deficiency (e.g. sickle cell anemia) |
| | 18 Epilepsy/Seizures |
| | 95 Health condition not listed (SPECIFY) |
| HLTH-5C-AGECK_MS1 [] | Section: Fertility |
{^msagemo({ms1-loop1})^}<=11
COMMENT: Don't ask how long had condition if less than 1 yr old
If Answer = 1 Then Go To HLTH-5-CNT_MS1
| HLTH-5C_MS1 [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]
How old was [name of biochild([mother supplement loop])] when [s/he([mother supplement loop])] first developed this condition?
INTERVIEWER: ENTER AGE IN YEARS (SINCE BIRTH=0)
| HLTH-5-CNT_MS1 [] | Section: Fertility |
{HLTH-LOOP5COUNTER}
COMMENT: IF loop=1 goto HLTH-5-1STQ2A, else skip to HLTH-5-SCHLCHK
If Answer = 1 Then Go To HLTH-5-1STQ2A_MS1
| HLTH-5-1STQ2A_MS1 [] | Section: Fertility |
([limits to attending school?([mother supplement loop])] == 1) || ([reason child not attending school([mother supplement loop])] == 1)
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5E_MS1
| HLTH-5-1STQ2B_MS1 [] | Section: Fertility |
{^lim-schlwk({ms1-loop1})^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5F_MS1
| HLTH-5-1STQ2C_MS1 [] | Section: Fertility |
{^lim-play({ms1-loop1})^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5G_MS1
| HLTH-5-1STQ3A_MS1 [] | Section: Fertility |
{^lim-dr-oftn({ms1-loop1})^} ==1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5H_MS1
| HLTH-5-1STQ3B_MS1 [] | Section: Fertility |
{^lim-meds({ms1-loop1})^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask about
If Answer = 1 Then Go To HLTH-5I_MS1
| HLTH-5-1STQ3C_MS1 [] | Section: Fertility |
{^lim-eqmt({ms1-loop1})^} == 1
COMMENT: jump to NEXT effect of limit to ask about
If Answer = 1 Then Go To HLTH-5J_MS1
| HLTH-5-SCHLCK_MS1 [] | Section: Fertility |
({^msage([mother supplement loop])^} >=4) || ({^msinschl([mother supplement loop])^} == 1) || ({^mseverschl([mother supplement loop])^} == 1)
If Answer = 1 Then Go To HLTH-5D_MS1
| HLTH-5D_MS1 [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]
Does this condition limit or prevent [his/her([mother supplement loop])] ability to...
...attend school regularly?
| HLTH-5E_MS1 [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]
Does this condition limit or prevent [his/her([mother supplement loop])] ability to...
...do regular schoolwork?
| HLTH-5F_MS1 [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]
Does this condition limit or prevent [his/her([mother supplement loop])] ability to...
...do usual childhood activities such as play, or participate in games or sports?
| HLTH-5G_MS1 [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]
Does this condition require...
...frequent attention or treatment from a doctor or other health professional?
| HLTH-5H_MS1 [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]
Does this condition require...
...regular use of any medicine or drug (other than vitamins)?
| HLTH-5I_MS1 [] | Section: Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring special equipment loop])]
Does this condition require...
... use of any special equipment, such as a brace, crutches, a wheelchair, special shoes, a helmet, a special bed, a breathing mask, an inhaler, an air filter, or a catheter and so on?
| HLTH-5J_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] have any other health conditions (that we haven't talked about)?
| HLTH-5-LOOP-END_MS1 [] | Section: Fertility |
UNTIL({^anymoreconds([mother supplement loop]:[conditions requiring special equipment loop])^}==0)
COMMENT: loop until there are no more conditions to ask about
| Q9-AGE15-3 [] | Section: Fertility |
{^biochild_bdate({ms1-loop1})~Y^} <= {ya_year}
COMMENT: Is this child under age 15?
If Answer = 1 Then Go To HLTH-AGECHK1_MS1
| Q9-AGE15-3A [] | Section: Fertility |
{^biochild_asthma({ms1-loop1})^}
COMMENT: Is this child under age 15?
If Answer = 1 Then Go To Q9-59-ASTHMA-C2
| Q9-59-ASTHMA-M1 [] | Section: Fertility |
Has a doctor, nurse or other health professional ever told you that [name of biochild([mother supplement loop])] has asthma?
| Q9-59-ASTHMA-C1_A [] | Section: Fertility |
How old was [name of biochild([mother supplement loop])] when you were first told by (a doctor, nurse, or other health professional) that [s/he([mother supplement loop])] had asthma?
(INTERVIEWER: PLEASE ENTER YEARS OR MONTHS - NOT BOTH)
| Q9-59-ASTHMA-C1_B [] | Section: Fertility |
| Q9-59-ASTHMA-C2 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] still have asthma?
| Q9-59-ASTHMA-C3 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])]'s (biological) father ever been diagnosed with asthma, or told that he has asthma?
| Q9-59-ASTHMA-C3A [] | Section: Fertility |
[Q9-59-ASTHMA-C2([mother supplement loop])]==1
COMMENT: Eleventh bio child have asthma?
If Answer = 1 Then Go To Q9-59-ASTHMA-C4
| Q9-59-ASTHMA-C4 [] | Section: Fertility |
During the past 12 months, has [name of biochild([mother supplement loop])] had an episode of asthma or an asthma attack?
| Q9-59-ASTHMA-C5 [] | Section: Fertility |
During the past 12 months, how many times did [name of biochild([mother supplement loop])] have an unscheduled visit to an emergency room, doctor's office, or urgent care center because of asthma? (Please do not count any visits for routine medical care.)
| Q9-59-ASTHMA-C6 [] | Section: Fertility |
During the past 12 months, how many days of school did [name of biochild([mother supplement loop])] miss due to [his/her([mother supplement loop])] asthma?
(INTERVIEWER: IF CHILD NOT IN PRESCHOOL OR REGULAR SCHOOL, CODE "995").
| Q9-59-ASTHMA-C7A [] | Section: Fertility |
{^biochild_age({ms1-loop1})^} >= 2
COMMENT: Is child at least 2 yars old?
If Answer = 0 Then Go To Q9-59-ASTHMA-C8
| Q9-59-ASTHMA-C7B [] | Section: Fertility |
During the past 12 months, how much did [name of biochild([mother supplement loop])] limit [his/her([mother supplement loop])] usual activities due to asthma? Would you say...
| | 1 Not at all |
| | 2 A little |
| | 3 A fair amount |
| | 4 A moderate amount |
| | 5 A lot |
| Q9-59-ASTHMA-C8 [] | Section: Fertility |
In the past 30 days how often did [name of biochild([mother supplement loop])] have any asthma symptoms either during the day or at night? Would you say...
| Q9-59-ASTHMA-C8A [] | Section: Fertility |
In the past 30 days, how often did [name of biochild([mother supplement loop])]'s asthma symptoms make it difficult for [him/her([mother supplement loop])] to stay asleep at night?
(INTERVIEWER: PLEASE NOTE REFERENCE PERIOD CHANGE.)
| | 0 Not at any time in the past 30 days |
| | 1 Less than once a week |
| | 2 Once or twice a week |
| | 3 More than 2 times a week, but not every day |
| | 4 Every day, once per day |
| | 5 Every day, more than once per day |
| Q9-59-ASTHMA-C9 [] | Section: Fertility |
A quick relief medication is used during an asthma attack to stop it. In the past 30 days how often has [name of biochild([mother supplement loop])] used any quick relief medicines when [s/he([mother supplement loop])] has had an asthma attack? (For example, Airomir, Asmol, Albuterol, Atrovent, Bricanyl, Predmix, Redipred, Respolin, Maxair, Ventolin)
| | 0 Not at any time in the past 30 days |
| | 1 Less than once a week |
| | 2 Once or twice a week |
| | 3 More than 2 times a week, but not every day |
| | 4 Every day, once per day |
| | 5 Every day, more than once per day |
| Q9-59-ASTHMA-C10 [] | Section: Fertility |
Asthma controller medications are used daily to prevent asthma attacks. Does [name of biochild([mother supplement loop])] use a daily asthma controller medication to prevent attacks? (For example Accolate, Advair, Azmacort, Flovent, Fordile, Intal, Oxis, Seretide, Serevent, Singulair, Tilade, Vanceril)
| | 1 YES |
| | 0 NO |
| | 2 USES SOMETIMES/OCCASIONALLY/WHEN I REMEMBER |
| HLTH-AGECHK1_MS1 [] | Section: Fertility |
{^MSAGE({ms1-loop1})^} < 3 || {^biochild_statcode({ms1-loop1})^} == 97
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If Answer = 1 Then Go To Q9-195
| HLTH-AGECHK2_MS1 [] | Section: Fertility |
{^biochild_bdate({ms1-loop1})~Y^} <= {ya_year}
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If Answer = 1 Then Go To HLTH-8_MS1
| HLTH-6_MS1 [] | Section: Fertility |
{^hlth-sub3({ms1-loop1})^}, has {^biochild_name({ms1-loop1})^} had any accidents or injuries that required medical attention?
| HLTH-6-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
COMMENT: Begin loop about accidents requiring medical attention
| HLTH-6B_MS1 [] | Section: Fertility |
Thinking of the [most recent accident or injury/accident or injury that occurred before the one you just described([mother supplement loop]:[illnesses/injuries that required medical attention])], in what month and year did it occur?
| HLTH-6C_VERBATIM_MS1 [] | Section: Fertility |
What was the cause of that accident or injury?
| HLTH-6C_MS1 [] | Section: Fertility |
CODE ONLY ONE
| | 1 Motor vehicle accident as occupant |
2 Motor vehicle accident as pedestrian |
| | 3 Cycling |
4 Fall unrelated to athletics or sports activity |
| | 5 Fall/contact related to athletics/sports activity |
6 Fire or smoke |
| | 7 Hot liquid |
8 Toy or item intended for child use |
| | 9 Equipment or device not intended for a child |
10 Poisoning |
| | 11 Smashed body part: car/door/window bruise/contusion |
12 Adult injured child accidentally (pull/lift injury) |
| | 13 Intentional violent injury |
14 "Rough housing", impact injury: wrestling, etc. |
| | 16 Fighting: broke bone/nose, hit in face, shot, stabbed, etc. |
17 Struck by object from other person (intent unknown) |
| | 18 Insect sting or bite |
19 Stepped on sharp object, i.e. glass/nails/metal |
| | 20 Ran into stationary object (not in home environment) |
22 Ran into stationary object (home environment) |
| | 21 Animal bite |
23 Cut by sharp object, i.e. knife/glass/tool |
| | 24 Burn, i.e. from heater/cigarette/oven/stove |
25 Jump/fall accident, i.e. off furniture/other object |
| | 26 "Temper" injuries, i.e. fell, kicked furniture, etc. |
15 Other (SPECIFY) |
| HLTH-6D_MS1 [] | Section: Fertility |
What specific injury or conditions resulted from the accident just mentioned?
(SELECT ALL THAT APPLY)
| | 1 Broken or dislocated bones |
| | 2 Sprain, strain, or pulled muscle |
| | 3 Wound: cuts, scrapes, puncture |
| | 4 Head injury, concussion |
| | 5 Bruise, contusion, or internal bleeding |
| | 6 Burn, scald |
| | 7 Illness or effect from poisons, medicines (drugs), etc |
| | 15 Other (SPECIFY) |
| HLTH-6E_MS1 [] | Section: Fertility |
Where did the accident or injury happen?
| | 1 At home (any, not necessarily the child's) |
| | 2 School (including grounds and athletic areas) |
| | 3 Day care location (preschool/nursery) |
| | 4 Street or highway |
| | 5 Public building or space (other than streets or schools) |
| | 6 Place of recreation and sports, except school |
| | 7 Farm or agricultural area, except farm house |
| | 8 Other (SPECIFY) |
| HLTH-6G_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] had any other accidents or injuries requiring medical attention [since was born/during the past 12 months([mother supplement loop])]?
| HLTH-6-LOOP-END_MS1 [] | Section: Fertility |
UNTIL({^anymorehurts([mother supplement loop]:[illnesses/injuries that required medical attention])^}==0)
COMMENT: loop until there are no more accidents or injuries
| HLTH-7_MS1 [] | Section: Fertility |
Now we're going to talk about any time [name of biochild([mother supplement loop])] may have been hospitalized since [ was born/we last interviewed you on mother last int([mother supplement loop])]. (This may include an injury that you have already mentioned here.)
Has [name of biochild([mother supplement loop])] had any accidents or injuries that required hospitalization since [ was born/we last interviewed you on mother last int([mother supplement loop])]?
| HLTH-7-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
| HLTH-7B_MS1 [] | Section: Fertility |
Thinking of the [most recent accident or injury that/accident or injury that occurred before the one you just described that also([mother supplement loop]:[illnesses/injuries that required hospitalization])] required hospitalization, in what month and year did it occur?
| HLTH-7C_VERBATIM_MS1 [] | Section: Fertility |
What was the cause of this accident or injury?
| HLTH-7C_MS1 [] | Section: Fertility |
CODE ONLY ONE
| | 1 Motor vehicle accident as occupant |
2 Motor vehicle accident as pedestrian |
| | 3 Cycling |
4 Fall unrelated to athletics or sports activity |
| | 5 Fall/contact related to athletics/sports activity |
6 Fire or smoke |
| | 7 Hot liquid |
8 Toy or item intended for child use |
| | 9 Equipment or device not intended for a child |
10 Poisoning |
| | 11 Smashed body part: car/door/window bruise/contusion |
12 Adult injured child accidentally (pull/lift injury) |
| | 13 Intentional violent injury |
14 "Rough housing", impact injury: wrestling, etc. |
| | 16 Fighting: broke bone/nose, hit in face, shot, stabbed, etc. |
17 Struck by object from other person (intent unknown) |
| | 18 Insect sting or bite |
19 Stepped on sharp object, i.e. glass/nails/metal |
| | 20 Ran into stationary object (not in home environment) |
22 Ran into stationary object (home environment) |
| | 21 Animal bite |
23 Cut by sharp object, i.e. knife/glass/tool |
| | 24 Burn, i.e. from heater/cigarette/oven/stove |
25 Jump/fall accident, i.e. off furniture/other object |
| | 26 "Temper" injuries, i.e. fell, kicked furniture, etc. |
15 Other (SPECIFY) |
| HLTH-7D_MS1 [] | Section: Fertility |
What specific injury or conditions resulted from the accident just mentioned?
(SELECT ALL THAT APPLY)
| | 1 Broken or dislocated bones |
| | 2 Sprain, strain, or pulled muscle |
| | 3 Wound: cuts, scrapes, puncture |
| | 4 Head injury, concussion |
| | 5 Bruise, contusion, or internal bleeding |
| | 6 Burn, scald |
| | 7 Illness or effect from poisons, medicines (drugs), etc |
| | 15 Other (SPECIFY) |
| HLTH-7E_MS1 [] | Section: Fertility |
Where did the accident or injury happen?
| | 1 At home (any, not necessarily the child's) |
| | 2 School (including grounds and athletic areas) |
| | 3 Day care location (preschool/nursery) |
| | 4 Street or highway |
| | 5 Public building or space (other than streets or schools) |
| | 6 Place of recreation and sports, except school |
| | 7 Farm or agricultural area, except farm house |
| | 8 Other (SPECIFY) |
| HLTH-7G_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] had any other accidents or injuries requiring hospitalization since [ was born/we last interviewed you on mother last int([mother supplement loop])]?
| HLTH-7-LOOP-END_MS1 [] | Section: Fertility |
UNTIL({^anymorehosp([mother supplement loop]:[illnesses/injuries that required hospitalization])^}==0)
| HLTH-8_MS1 [] | Section: Fertility |
{^hlth-sub({ms1-loop1})^} had any illnesses that required medical attention or treatment?
| HLTH-8A_MS1 [] | Section: Fertility |
How many such illnesses has [name of biochild([mother supplement loop])] had [since was born/during the past 12 months([mother supplement loop])]?
| HLTH-9_MS1 [] | Section: Fertility |
When did [name of biochild([mother supplement loop])] last see a doctor for a routine health checkup?
| | 1 Less than 1 month ago |
| | 2 1 - 3 months ago |
| | 3 4 - 6 months ago |
| | 4 7 - 11 months ago |
| | 5 1 year - 23 months ago |
| | 6 2 or more years ago |
| | 7 Never |
| HLTH-9A_MS1 [] | Section: Fertility |
When did [name of biochild([mother supplement loop])] last see a dentist for a routine dental checkup?
| | 1 Less than 1 month ago |
| | 2 1 - 3 months ago |
| | 3 4 - 6 months ago |
| | 4 7 - 11 months ago |
| | 5 1 year - 23 months ago |
| | 6 2 or more years ago |
| | 7 Never |
| HLTH-AGECHK3_MS1 [] | Section: Fertility |
{^biochild_bdate({ms1-loop1})~Y^} <= {ya_year}
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If Answer = 1 Then Go To HLTH-14_MS1
| HLTH-11-AGECK_MS1 [] | Section: Fertility |
{^CHILDSEX({ms1-loop1})^} == 2 && {^MSAGE({ms1-loop1})^} >= 8 && {^CHILDPER({ms1-loop1})^}==0
If Answer = 1 Then Go To HLTH-11A_MS1
| HLTH-11A_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever had a menstrual period?
| HLTH-11B_MS1 [] | Section: Fertility |
How old was [name of biochild([mother supplement loop])] when she had her first menstrual period?
(INTERVIEWER: ENTER AGE IN YEARS.)
| HLTH-11C_MS1 [] | Section: Fertility |
In what month and year did she have her first period?
| HLTH-12-AGECHK_MS1 [] | Section: Fertility |
({^MSAGE([mother supplement loop])^}>=2)
COMMENT: Is child age 2 yrs or older?
If Answer = 1 Then Go To HLTH-12A_MS1
| HLTH-12A_MS1 [] | Section: Fertility |
Which hand does [name of biochild([mother supplement loop])] use for writing?
IF R VOLUNTEERS "AMBIDEXTROUS","EITHER", OR "BOTH", ENTER EITHER/BOTH AND RECORD EXPLANATION IN COMMENT SCREEN.
IF R SAYS CHILD DOESN'T WRITE YET, ASK WHICH HAND HE/SHE USES MOST OFTEN.
| | 1 Left |
| | 2 Right |
| | 3 Either/both |
| HLTH-12B_MS1 [] | Section: Fertility |
Please think about the hand [name of biochild([mother supplement loop])] uses for activities such as throwing a ball. When [s/he([mother supplement loop])] throws a ball, does [s/he([mother supplement loop])] use [his/her([mother supplement loop])]...
| | 1 right hand nearly all of the time? |
| | 2 right hand more than half of the time? |
| | 3 right and left hands about equally? |
| | 4 left hand more than half of the time? |
| | 5 left hand nearly all of the time? |
| HLTH-12C_MS1 [] | Section: Fertility |
When [s/he([mother supplement loop])] brushes [his/her([mother supplement loop])] teeth, does [s/he([mother supplement loop])] use [his/her([mother supplement loop])]...
| | 1 right hand nearly all of the time? |
| | 2 right hand more than half of the time? |
| | 3 right and left hands about equally? |
| | 4 left hand more than half of the time? |
| | 5 left hand nearly all of the time? |
| HLTH-13_MS1 [] | Section: Fertility |
When did [name of biochild([mother supplement loop])] last see a dentist for a checkup or to have some dental work done?
| | 1 Less than 1 month ago |
| | 2 1 - 3 months ago |
| | 3 4 - 6 months ago |
| | 4 7 - 11 months ago |
| | 5 1 year - 23 months ago |
| | 6 2 or more years ago |
| | 7 Never |
| HLTH-14_MS1 [] | Section: Fertility |
Is [name of biochild([mother supplement loop])]'s health care now covered by health insurance provided either by an employer or by an individual plan that pays part or all of a hospital, doctor's, or surgeon's bill?
(THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.)
| HLTH-15_MS1 [] | Section: Fertility |
There is a national program called Medicaid that pays for health care for persons in need.
Is [name of biochild([mother supplement loop])]'s health care now covered by Medicaid?
(PROBE IF NECESSARY:) In [RESPONDENT STATE], this would include programs such as [Child Health Insurance Program Name].
| Q9-195 [] | Section: Fertility |
{^biochild_bdate({ms1-loop1})~Y^} <= {ya_year} && ({^biochild_statcode({ms1-loop1})^} != 8 && {^biochild_hhiflag({ms1-loop1})^} != 8)
COMMENT: Will child turn at least 15 sometime during 2006 and child is not deceased?
If Answer = 1 Then Go To Q9-199
| Q9-199 [] | Section: Fertility |
{^biochild_age({ms1-loop1})^} < 18
COMMENT: Is this child less than 18 years old?
If Answer = 0 Then Go To HLTH-MS1-LOOP-END
| Q9-199A [] | Section: Fertility |
{^BIOCHILD_NAME({ms1-loop1})^} IS A YOUNG ADULT. IF UNDER 18 YEARS OLD (SEE BELOW), ASK FOR RESPONDENT'S CONSENT TO HAVE {^BIOCHILD_NAME({ms1-loop1})^} PARTICIPATE IN YOUNG ADULT SURVEY. RECORD R'S RESPONSE.
({^BIOCHILD_NAME({ms1-loop1})^} is {^BIOCHILD_AGE({ms1-loop1})^}, born on {^BIOCHILD_BDATE({ms1-loop1})~X^}).
(PLEASE REMEMBER TO GET {^BIOCHILD_NAME({ms1-loop1})^}'S ADDRESS IF NOT IN RESPONDENT'S HOUSEHOLD.)
| | 1 GAVE CONSENT |
| | 2 REFUSED CONSENT |
| | 3 NO CONSENT NECESSARY |
| HLTH-MS1-LOOP-END [] | Section: Fertility |
UNTIL ([mother supplement loop]==[total # bio children reported])
COMMENT: END LOOP WHEN INFO SHEETS GENERATED FOR ALL NEW KIDS
| HOME-MS1-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: START loop
0
| HOME-HHIFLAG-CHK1_MS1 [] | Section: Fertility |
{^biochild_statcode({ms1-loop3})^}
COMMENT: Is child in the household at least part time?
If Answer = 5 Then Go To MS1-LOOP-END_MS1
If Answer = 8 Then Go To MS1-LOOP-END_MS1
If Answer = 99 Then Go To MS1-LOOP-END_MS1
| HOME-HHIFLAG-CHK2_MS1 [] | Section: Fertility |
{^biochild_hhiflag({ms1-loop3})^}
COMMENT: Is child in the household at least part time?
If Answer = 5 Then Go To MS1-LOOP-END_MS1
If Answer = 8 Then Go To MS1-LOOP-END_MS1
| HOME-AGECHK-YA3_MS1 [] | Section: Fertility |
{^biochild_bdate({ms1-loop3})~Y^} <= {ya_year}
COMMENT: Is this child under age 15?
If Answer = 1 Then Go To MS1-LOOP-END_MS1
| HOME-AGECK1_MS1 [] | Section: Fertility |
([child age in months([mother supplement loop])]>=0)
COMMENT: IF child meets AGE and YOB/BORNSR19 constraints, then continue. Otherwise skip to HOME-END
If Answer = 1 Then Go To HOME-TITLE_MS1
| HOME-TITLE_MS1 [] | Section: Fertility |
BEGIN HOME SECTION
[name of biochild([mother supplement loop])]
| HOME-INTRO_MS1 [] | Section: Fertility |
INTERVIEWER: THE FOLLOWING SECTION IS A CHILD ASSESSMENT. IT IS VITAL THAT YOU COMPLETE ALL QUESTIONS IN THIS SECTION.
READ TO MOTHER
We are interested in your family's lifestyle and rules.
| HOME-AGECK2_MS1 [] | Section: Fertility |
([child age in months([mother supplement loop])])
COMMENT: Jump to appropriate HOME section based on months of age.
If Answer >= 0 AND Answer <= 35 Then Go To HOME-A01_MS1
If Answer >= 36 AND Answer <= 71 Then Go To HOME-B01_MS1
If Answer >= 72 AND Answer <= 119 Then Go To HOME-C01_MS1
If Answer >= 120 AND Answer <= 191 Then Go To HOME-D01_MS1
| HOME-A01_MS1 [] | Section: Fertility |
About how often does [name of biochild([mother supplement loop])] have a chance to get out of the house?
| | 5 Every day |
| | 4 4 or more times a week |
| | 3 A few times a week |
| | 2 About once a week |
| | 1 A few times a month or less |
| HOME-A02_MS1 [] | Section: Fertility |
About how many children's books does [name of biochild([mother supplement loop])] have?
| | 4 10 or more books |
| | 3 3 to 9 books |
| | 2 1 or 2 books |
| | 1 None |
| HOME-A03_MS1 [] | Section: Fertility |
How often do you get a chance to read stories to [name of biochild([mother supplement loop])]?
| | 1 Never |
| | 2 Several times a year |
| | 3 Several times a month |
| | 4 Once a week |
| | 5 About 3 times a week |
| | 6 Everyday |
| HOME-A04_MS1 [] | Section: Fertility |
About how often do you take [name of biochild([mother supplement loop])] to the grocery store?
| | 1 Twice a week or more |
| | 2 Once a week |
| | 3 Once a month |
| | 4 Hardly ever |
| HOME-A05_MS1 [] | Section: Fertility |
About how many, if any, cuddly, soft or role-playing toys (like a doll) does [name of biochild([mother supplement loop])] have? (May be shared with sister or brother.)
ENTER NUMBER OF SOFT TOYS.
| HOME-A06_MS1 [] | Section: Fertility |
About how many, if any, push or pull toys does [name of biochild([mother supplement loop])] have? (May be shared with sister or brother.)
ENTER NUMBER OF PUSH/PULL TOYS.
| HOME-A07_MS1 [] | Section: Fertility |
Some parents spend time teaching their children new skills while other parents believe children learn best on their own. Which of the following most closely describes your attitude?
| | 1 Parents should always spend time teaching their children |
| | 2 Parents should usually spend time teaching their children |
| | 3 Parents should usually allow their children to learn on their own |
| | 4 Parents should always allow their children to learn on their own |
| HOME-A08_MS1 [] | Section: Fertility |
Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--does [name of biochild([mother supplement loop])] spend watching television on a typical weekday?
INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)
| HOME-A09_MS1 [] | Section: Fertility |
Now, think about a typical weekend day (Saturday or Sunday) for your family. How much time--either in your home or elsewhere--does [name of biochild([mother supplement loop])] spend watching television on a typical weekend day?
INTERVIEWER: ENTER HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekend day?)
| HOME-A10A_MS1 [] | Section: Fertility |
About how many hours is the TV on in your home each day?
INTERVIEWER: ENTER HOURS PER DAY, ROUND TO NEAREST 1/2 HR.
NOTE: LESS THAN 1 HOUR PER DAY = 0. IF R DOES NOT HAVE A TV, ENTER ZERO AND CHANGE CHECK ITEM BELOW.
| HOME-A10B_MS1 [] | Section: Fertility |
MARK AS APPROPRIATE
| | 1 R HAS A TV |
| | 0 R DOES NOT HAVE A TV |
| HOME-A-DADCHK1_MS1 [] | Section: Fertility |
([Child's bio father in hh?([mother supplement loop])] == 1)
COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO HOME-A-TXTSUB1
If Answer = 1 Then Go To HOME-A14_MS1
| HOME-A11_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] ever see [his/her([mother supplement loop])] father, or someone [s/he([mother supplement loop])] considers a father-figure?
| HOME-A12_MS1 [] | Section: Fertility |
Is this person [his/her([mother supplement loop])] biological father, stepfather, or a father-figure?
| | 1 BIOLOGICAL FATHER |
| | 2 STEPFATHER |
| | 3 FATHER-FIGURE |
| HOME-A13_MS1 [] | Section: Fertility |
What is his relationship to you? (Is he your spouse, your partner, your friend, a relative, or someone else?)
| | 1 SPOUSE |
| | 2 EX-SPOUSE |
| | 3 PARTNER |
| | 4 EX-PARTNER |
| | 5 BOYFRIEND |
| | 6 EX-BOYFRIEND |
| | 7 FIANCE |
| | 8 FRIEND |
| | 9 FATHER |
| | 10 GRANDFATHER |
| | 11 BROTHER |
| | 12 UNCLE |
| | 13 SOMEONE ELSE (SPECIFY) |
| HOME-A14_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] see [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])] on a daily basis?
| HOME-A15_MS1 [] | Section: Fertility |
How often does [name of biochild([mother supplement loop])] eat a meal with both you and [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?
| | 1 More than once a day |
| | 2 Once a day |
| | 3 Several times a week |
| | 4 About once a week |
| | 5 About once a month |
| | 6 Never |
| HOME-A16_MS1 [] | Section: Fertility |
Children seem to demand attention when their parents are busy around the house. How often do you talk to [name of biochild([mother supplement loop])] while you are working?
| | 1 Always (talk to your child when working) |
| | 2 Often (talk to your child when working) |
| | 3 Sometimes (talk to your child when working) |
| | 4 Rarely (talk to your child when working) |
| | 5 Never (talk to your child when working) |
| HOME-A17A_MS1 [] | Section: Fertility |
How close does [name of biochild([mother supplement loop])] feel toward you? Does [s/he([mother supplement loop])] feel...
| | 1 Extremely close |
| | 2 Quite close |
| | 3 Fairly close |
| | 4 Not at all close |
| HOME-A-DADCHK2_MS1 [] | Section: Fertility |
([father/step-father/father-figure([mother supplement loop])])
COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-A18;
WHODAD>=1 SKIP TO HOME-A17B.
If Answer = 0 Then Go To HOME-A18_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-A17B_MS1
| HOME-A17B_MS1 [] | Section: Fertility |
How close does [s/he([mother supplement loop])] feel toward [his/her([mother supplement loop])] (biological) father?
| | 1 Extremely close |
| | 2 Quite close |
| | 3 Fairly close |
| | 4 Not at all close |
| | 5 Does not have this parent |
| HOME-A-DADCHK3_MS1 [] | Section: Fertility |
([father/step-father/father-figure([mother supplement loop])])
COMMENT: IF father is in HH, don't ask about closeness to stepfather
(WHODAD=1 skip to HOME-A18).
If Answer = 1 Then Go To HOME-A18_MS1
| HOME-A17D_MS1 [] | Section: Fertility |
How close does [s/he([mother supplement loop])] feel toward [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?
| | 1 Extremely close |
| | 2 Quite close |
| | 3 Fairly close |
| | 4 Not at all close |
| HOME-A18_MS1 [] | Section: Fertility |
Sometimes kids mind pretty well and sometimes they don't.
About how many times, if any, have you had to spank [name of biochild([mother supplement loop])] in the past week?
| HOME-B01_MS1 [] | Section: Fertility |
About how often do you read stories to [name of biochild([mother supplement loop])]?
| | 1 Never |
| | 2 Several times a year |
| | 3 Several times a month |
| | 4 Once a week |
| | 5 At least 3 times a week |
| | 6 Everyday |
| HOME-B02_MS1 [] | Section: Fertility |
About how many children's books does [name of biochild([mother supplement loop])] have?
| | 4 10 or more books |
| | 3 3 to 9 books |
| | 2 1 or 2 books |
| | 1 None |
| HOME-B03_MS1 [] | Section: Fertility |
About how many magazines does your family get regularly?
| | 1 None |
| | 2 One |
| | 3 Two |
| | 4 Three |
| | 5 Four or more |
| HOME-B04_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] have the use of a CD player, tape deck, or tape recorder, or record player at home and at least 5 children's records or tapes? (May be shared with sister or brother.)
| HOME-B05A_MS1 [] | Section: Fertility |
Please tell me which of the following you (or someone else) have helped [name of biochild([mother supplement loop])] learn at home.
Do you or have you helped with...numbers?
| HOME-B05B-MATRIX_MS1 [] | Section: Fertility |
Do you (or someone else) help with...
| | - ...the alphabet? |
| | - ...colors? |
| | - ...shapes and sizes? |
| HOME-B06_MS1 [] | Section: Fertility |
How much choice is [name of biochild([mother supplement loop])] allowed in deciding what foods [s/he([mother supplement loop])] eats at breakfast and lunch?
| | 1 A great deal of choice |
| | 2 Some choice |
| | 3 Little choice |
| | 4 No choice |
| HOME-B07A_MS1 [] | Section: Fertility |
About how many hours is the TV on in your home each day?
INTERVIEWER: ENTER HOURS PER DAY, ROUND TO NEAREST 1/2 HR.
NOTE: LESS THAN 1 HOUR PER DAY = 0. IF R DOES NOT HAVE A TV, ENTER ZERO AND CHANGE CHECK ITEM BELOW.
| HOME-B07B_MS1 [] | Section: Fertility |
| | 1 R HAS A TV |
| | 0 R DOES NOT HAVE A TV |
| HOME-B08A_MS1 [] | Section: Fertility |
Most children get angry at their parents from time to time. If [name of biochild([mother supplement loop])] got so angry that [s/he([mother supplement loop])] hit you, what would you do?
INTERVIEWER: ENTER VERBATIM AND SELECT ALL THAT APPLY
| HOME-B08B_MS1 [] | Section: Fertility |
| | 1 Hit him/her back |
| | 2 Send him/her to his/her room |
| | 3 Spank him/her |
| | 4 Talk to him/her |
| | 5 Ignore it |
| | 6 Give him/her household chore |
| | 7 Take away his/her allowance |
| | 8 Hold child's hands until he/she was calm |
| | 10 Put child in a short 'time out' |
| | 9 Other (SPECIFY) |
| HOME-B09_MS1 [] | Section: Fertility |
How often does a family member get a chance to take [name of biochild([mother supplement loop])] on any kind of outing (like shopping, to the park, a picnic, drive-in, and so on)?
| | 1 A few times a year or less |
| | 2 About once a month |
| | 3 About two or three times a month |
| | 4 Several times a week |
| | 5 About once a day |
| HOME-B10_MS1 [] | Section: Fertility |
How often has a family member taken or arranged to take [name of biochild([mother supplement loop])] to any type of museum (children's, scientific, art, historical, etc.) within the past year?
| | 1 Never |
| | 2 Once or twice |
| | 3 Several times |
| | 4 About once a month |
| | 5 About once a week or more often |
| HOME-B11_MS1 [] | Section: Fertility |
Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--does [name of biochild([mother supplement loop])] spend watching television on a typical weekday?
INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)
| HOME-B12_MS1 [] | Section: Fertility |
Now, think about a typical weekend day (Saturday or Sunday) for your family. How much time--either in your home or elsewhere--does [name of biochild([mother supplement loop])] spend watching television on a typical weekend day?
INTERVIEWER: ENTER HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekend day?)
| HOME-B-DADCHK1_MS1 [] | Section: Fertility |
([Child's bio father in hh?([mother supplement loop])] == 1)
COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO HOME-B-TXTSUB1
If Answer = 1 Then Go To HOME-B16_MS1
| HOME-B13_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] ever see [his/her([mother supplement loop])] father, or someone [s/he([mother supplement loop])] considers a father-figure?
| HOME-B14_MS1 [] | Section: Fertility |
Is this man [name of biochild([mother supplement loop])]'s biological father, stepfather, or a father-figure?
| | 1 BIOLOGICAL FATHER |
| | 2 STEPFATHER |
| | 3 FATHER-FIGURE |
| HOME-B15_MS1 [] | Section: Fertility |
What is his relationship to you? (Is he your spouse, your partner, your friend, a relative, or someone else?)
| | 1 SPOUSE |
| | 2 EX-SPOUSE |
| | 3 PARTNER |
| | 4 EX-PARTNER |
| | 5 BOYFRIEND |
| | 6 EX-BOYFRIEND |
| | 7 FIANCE |
| | 8 FRIEND |
| | 9 FATHER |
| | 10 GRANDFATHER |
| | 11 BROTHER |
| | 12 UNCLE |
| | 13 SOMEONE ELSE (SPECIFY) |
| HOME-B16_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] see [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])] on a daily basis?
| HOME-B17_MS1 [] | Section: Fertility |
How often does [name of biochild([mother supplement loop])] eat a meal with you and [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?
| | 1 More than once a day |
| | 2 Once a day |
| | 3 Several times a week |
| | 4 About once a week |
| | 5 About once a month |
| | 6 Never |
| HOME-B18A_MS1 [] | Section: Fertility |
How close does [name of biochild([mother supplement loop])] feel toward you? Does [s/he([mother supplement loop])] feel...
| | 1 Extremely close |
| | 2 Quite close |
| | 3 Fairly close |
| | 4 Not at all close |
| HOME-B-DADCHK2_MS1 [] | Section: Fertility |
([father/step-father/father-figure([mother supplement loop])])
COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-B19;
WHODAD>=1 SKIP TO HOME-B18B.
If Answer = 0 Then Go To HOME-B19_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-B18B_MS1
| HOME-B18B_MS1 [] | Section: Fertility |
How close does [name of biochild([mother supplement loop])] feel toward [his/her([mother supplement loop])] (biological) father?
| | 1 Extremely close |
| | 2 Quite close |
| | 3 Fairly close |
| | 4 Not at all close |
| | 5 Does not have this parent |
| HOME-B-DADCHK3_MS1 [] | Section: Fertility |
([father/step-father/father-figure([mother supplement loop])])
COMMENT: IF father is in HH, don't ask about closeness to stepfather (WHODAD=1 skip to HOME-B19).
If Answer = 1 Then Go To HOME-B19_MS1
| HOME-B18D_MS1 [] | Section: Fertility |
How close does [name of biochild([mother supplement loop])] feel toward [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?
| | 1 Extremely close |
| | 2 Quite close |
| | 3 Fairly close |
| | 4 Not at all close |
| HOME-B19_MS1 [] | Section: Fertility |
Sometimes kids mind pretty well and sometimes they don't. About how many times, if any, have you had to spank [name of biochild([mother supplement loop])] in the past week?
| HOME-C01_MS1 [] | Section: Fertility |
About how many books does [name of biochild([mother supplement loop])] have?
| | 1 None |
| | 2 1 or 2 books |
| | 3 3 to 9 books |
| | 4 10 or more books |
| HOME-C02_MS1 [] | Section: Fertility |
About how often do you read aloud to [name of biochild([mother supplement loop])]?
| | 1 Never |
| | 2 Several times a year |
| | 3 Several times a month |
| | 4 Once a week |
| | 5 At least 3 times a week |
| | 6 Everyday |
| HOME-C03-MATRIX_MS1 [] | Section: Fertility |
How often is [name of biochild([mother supplement loop])] expected to ....
| | - Make his/her own bed? |
| | - Clean his/her own room? |
| | - Clean up after spills? |
| | - Bathe him/her self? |
| | - Pick up after himself/herself? |
| | 1 Almost never |
| | 2 Less than 1/2 of the time |
| | 3 1/2 of the time |
| | 4 More than 1/2 of the time |
| | 5 Almost always |
| HOME-C04_MS1 [] | Section: Fertility |
Is there a musical instrument (for example, piano, drum, guitar, etc.) that [name of biochild([mother supplement loop])] can use here at home?
| HOME-C05_MS1 [] | Section: Fertility |
Does your family get a daily newspaper?
| | 1 Yes |
| | 0 No |
| | 2 (IF VOLUNTEERED:) READ NEWSPAPER ONLINE |
| | 3 (IF VOLUNTEERED:) SUNDAY PAPER ONLY |
| HOME-C06_MS1 [] | Section: Fertility |
About how often does [name of biochild([mother supplement loop])] read for enjoyment?
| | 1 Every day |
| | 2 Several times a week |
| | 3 Several times a month |
| | 4 Several times a year |
| | 5 Never |
| HOME-C07_MS1 [] | Section: Fertility |
Does your family encourage [name of biochild([mother supplement loop])] to start and keep doing hobbies?
| HOME-C08_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] get special lessons or belong to any organization that encourages activities such as sports, music, art, dance, drama, etc.?
| HOME-C09_MS1 [] | Section: Fertility |
How often has a family member taken, or arranged to take [name of biochild([mother supplement loop])] to any type of museum (children's, scientific, art, historical, etc.) within the past year?
| | 1 Never |
| | 2 Once or twice |
| | 3 Several times |
| | 4 About once a month |
| | 5 About once a week or more often |
| HOME-C10_MS1 [] | Section: Fertility |
How often has a family member taken, or arranged to take [name of biochild([mother supplement loop])] to any type of musical or theatrical performance within the past year?
| | 1 Never |
| | 2 Once or twice |
| | 3 Several times |
| | 4 About once a month |
| | 5 About once a week or more often |
| HOME-C11_MS1 [] | Section: Fertility |
About how often does your whole family get together with relatives or friends?
| | 1 Once a year or less |
| | 2 A few times a year |
| | 3 About once a month |
| | 4 Two or three times a month |
| | 5 About once a week or more |
| HOME-C12_MS1 [] | Section: Fertility |
Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--would you say [name of biochild([mother supplement loop])] spends watching television on a typical weekday?
INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)
| HOME-C13_MS1 [] | Section: Fertility |
Now, think for a moment about a typical weekend day (Saturday or Sunday) for your family. How much time--either in your home or elsewhere-- would you say [name of biochild([mother supplement loop])] spends watching television on a typical weekend day?
INTERVIEWER: ENTER HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekend day?)
| HOME-C-DADCHK1_MS1 [] | Section: Fertility |
([Child's bio father in hh?([mother supplement loop])] == 1)
COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO HOME-C-TXTSUB1
If Answer = 1 Then Go To HOME-C17_MS1
| HOME-C14_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] ever see [his/her([mother supplement loop])] father, or someone [s/he([mother supplement loop])] considers a father-figure?
| HOME-C15_MS1 [] | Section: Fertility |
Is this man [his/her([mother supplement loop])] biological father, step father, or a father-figure?
| | 1 BIOLOGICAL FATHER |
| | 2 STEPFATHER |
| | 3 FATHER-FIGURE |
| HOME-C16_MS1 [] | Section: Fertility |
What is his relationship to you? (Is he your spouse, your partner, your friend, a relative, or someone else?)
| | 1 SPOUSE |
| | 2 EX-SPOUSE |
| | 3 PARTNER |
| | 4 EX-PARTNER |
| | 5 BOYFRIEND |
| | 6 EX-BOYFRIEND |
| | 7 FIANCE |
| | 8 FRIEND |
| | 9 FATHER |
| | 10 GRANDFATHER |
| | 11 BROTHER |
| | 12 UNCLE |
| | 13 SOMEONE ELSE (SPECIFY) |
| HOME-C17_MS1 [] | Section: Fertility |
About how often does [name of biochild([mother supplement loop])] spend time with [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?
| | 1 Once a day or more often |
| | 2 At least 4 times a week |
| | 3 About once a week |
| | 4 About once a month |
| | 5 A few times a year or less |
| | 6 Never |
| | 7 No father, stepfather, or father-figure |
| HOME-C18_MS1 [] | Section: Fertility |
About how often does [name of biochild([mother supplement loop])] spend time with [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])] in outdoor activities?
| | 1 Once a day or more often |
| | 2 At least 4 times a week |
| | 3 About once a week |
| | 4 About once a month |
| | 5 A few times a year or less |
| | 6 Never |
| | 7 No father, stepfather, or father-figure |
| HOME-C19_MS1 [] | Section: Fertility |
How often does [name of biochild([mother supplement loop])] eat a meal with both you and [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?
| | 1 More than once a day |
| | 2 Once a day |
| | 3 Several times a week |
| | 4 About once a week |
| | 5 About once a month |
| | 6 Never |
| | 7 No father, stepfather, father-figure |
| HOME-C20_MS1 [] | Section: Fertility |
When your family watches TV together, do you [or child's (father/stepfather/father figure)([mother supplement loop])] discuss TV programs with [him/her([mother supplement loop])]?
| | 1 Yes |
| | 0 No |
| | 2 Do not have a TV |
| HOME-C21A_MS1 [] | Section: Fertility |
How close does [name of biochild([mother supplement loop])] feel toward...you? Does [s/he([mother supplement loop])] feel...
| | 1 Extremely close |
| | 2 Quite close |
| | 3 Fairly close |
| | 4 Not at all close |
| HOME-C-DADCHK2_MS1 [] | Section: Fertility |
([father/step-father/father-figure([mother supplement loop])])
COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-C22A;
WHODAD>=1 SKIP TO HOME-C21B.
If Answer = 0 Then Go To HOME-C22A_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-C21B_MS1
| HOME-C21B_MS1 [] | Section: Fertility |
How close does [name of biochild([mother supplement loop])] feel toward [his/her([mother supplement loop])] (biological) father?
| | 1 Extremely close |
| | 2 Quite close |
| | 3 Fairly close |
| | 4 Not at all close |
| | 5 Does not have this parent |
| HOME-C-DADCHK3_MS1 [] | Section: Fertility |
([father/step-father/father-figure([mother supplement loop])])
COMMENT: IF father is in HH, don't ask about closeness to stepfather/father-figure
(WHODAD=1 skip to HOME-C22A).
If Answer = 1 Then Go To HOME-C22A_MS1
| HOME-C21D_MS1 [] | Section: Fertility |
How close does [name of biochild([mother supplement loop])] feel toward [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?
| | 1 Extremely close |
| | 2 Quite close |
| | 3 Fairly close |
| | 4 Not at all close |
| HOME-C22A_MS1 [] | Section: Fertility |
Sometimes children get so angry at their parents that they say things like "I hate you" or swear in a temper tantrum.
What action(s) you would take if this happened?
INTERVIEWER: ENTER VERBATIM AND SELECT ALL THAT APPLY.
| HOME-C22B_MS1 [] | Section: Fertility |
| | 1 Grounding |
| | 2 Spanking |
| | 3 Talk with child |
| | 4 Give him/her a household chore |
| | 5 Ignore it |
| | 6 Send to room for more than 1 hour |
| | 7 Take away his/her allowance |
| | 8 Take away TV, phone, or other privileges |
| | 10 Put child in a short "time out" |
| | 9 Other (SPECIFY) |
| HOME-C23-MATRIX1_MS1 [] | Section: Fertility |
If [name of biochild([mother supplement loop])] brought home a report card with grades lower than expected, how likely would you be to ....
| | - contact his or her teacher or principal? |
| | - lecture him/her? |
| | - keep a closer eye on his/her activities? |
| | - punish him/her? |
| | - talk with him/her? |
| | 5 Very Likely |
| | 4 Somewhat Likely |
| | 3 Not Sure How Likely |
| | 2 Somewhat Unlikely |
| | 1 Not At All Likely |
| HOME-C23-MATRIX2_MS1 [] | Section: Fertility |
If [name of biochild([mother supplement loop])] brought home a report card with grades lower than expected, how likely would you be to ....
| | - wait and see if he/she improves on his/her own? |
| | - tell him/her to spend more time on schoolwork? |
| | - spend more time helping him/her with schoolwork? |
| | - limit or reduce his/her non-school activities (such as play, sports, clubs, etc.)? |
| | 5 Very Likely |
| | 4 Somewhat Likely |
| | 3 Not Sure How Likely |
| | 2 Somewhat Unlikely |
| | 1 Not At All Likely |
| HOME-C23J_MS1 [] | Section: Fertility |
(If [name of biochild([mother supplement loop])] brought home a report card with grades lower than expected),
...would you do anything else?
| HOME-C23JV_MS1 [] | Section: Fertility |
(If [name of biochild([mother supplement loop])] brought home a report card with grades lower than expected...would you do anything else?)
What would that be?
| HOME-C24A_MS1 [] | Section: Fertility |
INTERVIEWER: ENTER NUMBER OF TIMES IN PAST WEEK FOR EACH QUESTION
Sometimes kids mind pretty well and sometimes they don't. Sometimes they do things that make you feel good.
How many times in the past week have you...had to spank your child?
| HOME-C24B_MS1 [] | Section: Fertility |
How many times in the past week have you...grounded [him/her([mother supplement loop])]?
| HOME-C24C_MS1 [] | Section: Fertility |
How many times in the past week have you...taken away TV or other privileges?
| HOME-C24D_MS1 [] | Section: Fertility |
How many times (in the past week) have you...praised [name of biochild([mother supplement loop])] for doing something worthwhile?
| HOME-C24E_MS1 [] | Section: Fertility |
How many times (in the past week) have you...taken away [his/her([mother supplement loop])] allowance?
| HOME-C24F_MS1 [] | Section: Fertility |
How many times (in the past week) have you...shown [him/her([mother supplement loop])] physical affection (kiss, hug, stroke hair, etc.)?
| HOME-C24G_MS1 [] | Section: Fertility |
How many times (in the past week) have you...sent [name of biochild([mother supplement loop])] to [his/her([mother supplement loop])] room?
| HOME-C24H_MS1 [] | Section: Fertility |
How many times (in the past week) have you...told another adult (spouse, friend, co-worker, visitor, relative) something positive about [name of biochild([mother supplement loop])]?
| HOME-D01_MS1 [] | Section: Fertility |
About how many books does [name of biochild([mother supplement loop])] have?
| | 1 None |
| | 2 1 to 9 |
| | 3 10 to 19 |
| | 4 20 or more |
| HOME-D02-MATRIX_MS1 [] | Section: Fertility |
How often is [name of biochild([mother supplement loop])] expected to ....
| | - Make his/her own bed? |
| | - Clean his/her own room? |
| | - Pick up after himself/herself? |
| | - Help keep shared living areas clean and straight? |
| | - Do routine chores such as mow the lawn, help with dinner, wash dishes, etc.? |
| | - Help manage his/her own time (get up on time, be ready for school, etc.)? |
| | 1 Almost never |
| | 2 Less than 1/2 of the time |
| | 3 1/2 of the time |
| | 4 More than 1/2 of the time |
| | 5 Almost always |
| HOME-D03_MS1 [] | Section: Fertility |
Is there a musical instrument (for example, piano, drum, guitar, etc.) that your child can use here at home?
| HOME-D04_MS1 [] | Section: Fertility |
Does your family get a daily newspaper?
| HOME-D05_MS1 [] | Section: Fertility |
About how often does [name of biochild([mother supplement loop])] read for enjoyment?
| | 1 Every day |
| | 2 Several times a week |
| | 3 Several times a month |
| | 4 Several times a year |
| | 5 Never |
| HOME-D06_MS1 [] | Section: Fertility |
Does your family encourage [name of biochild([mother supplement loop])] to start and keep doing hobbies?
| HOME-D07_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] get special lessons or belong to any organization that encourages activities such as sports, music, art, dance, drama, etc.?
| HOME-D08_MS1 [] | Section: Fertility |
How often has any family member taken or arranged to take [name of biochild([mother supplement loop])] to any type of museum (children's, scientific, art, historical, etc.) within the past year?
| | 1 Never |
| | 2 Once or twice |
| | 3 Several times |
| | 4 About once a month |
| | 5 About once a week or more often |
| HOME-D09_MS1 [] | Section: Fertility |
How often has a family member taken or arranged to take [him/her([mother supplement loop])] to any type of musical or theatrical performance within the past year?
| | 1 Never |
| | 2 Once or twice |
| | 3 Several times |
| | 4 About once a month |
| | 5 About once a week or more often |
| HOME-D10_MS1 [] | Section: Fertility |
About how often does your whole family get together with relatives or friends?
| | 1 Once a year or less |
| | 2 A few times a year |
| | 3 About once a month |
| | 4 Two or three times a month |
| | 5 About once a week or more |
| HOME-D11_MS1 [] | Section: Fertility |
Think for a moment about a typical weekday for your family. How much time--either in your home or elsewhere--does [name of biochild([mother supplement loop])] spend watching television on a typical weekday?
INTERVIEWER: ENTER HOURS PER WEEKDAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekday?)
| HOME-D12_MS1 [] | Section: Fertility |
Now, think about a typical weekend day (Saturday or Sunday) for your family. How much time--either in your home or elsewhere--does [name of biochild([mother supplement loop])] spend watching television on a typical weekend day?
INTERVIEWER: ENTER HOURS PER WEEKEND DAY (ROUND TO NEAREST 1/2 HR. "NO" OR "NONE"= 0)
(IF REPLY IS "Do not have a TV" THEN PROMPT: Does [name of biochild([mother supplement loop])] spend any time watching TV outside of your home (for example with a babysitter) on a typical weekend day?)
| HOME-D-DADCHK1_MS1 [] | Section: Fertility |
{^FATHINHH({ms1-loop3})^} == 1
COMMENT: IF FATHER PRESENT IN MOTHER HOUSEHOLD SKIP TO HOME-D-TXTSUB1
If Answer = 1 Then Go To HOME-D16_MS1
| HOME-D13_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] ever see [his/her([mother supplement loop])] father, stepfather, or father-figure?
| HOME-D14_MS1 [] | Section: Fertility |
Is this man [his/her([mother supplement loop])] biological father, stepfather, or a father-figure?
| | 1 BIOLOGICAL FATHER |
| | 2 STEPFATHER |
| | 3 FATHER-FIGURE |
| HOME-D15_MS1 [] | Section: Fertility |
What is his relationship to you? (Is he your spouse, your partner, your friend, a relative, or someone else?)
| | 1 SPOUSE |
| | 2 EX-SPOUSE |
| | 3 PARTNER |
| | 4 EX-PARTNER |
| | 5 BOYFRIEND |
| | 6 EX-BOYFRIEND |
| | 7 FIANCE |
| | 8 FRIEND |
| | 9 FATHER |
| | 10 GRANDFATHER |
| | 11 BROTHER |
| | 12 UNCLE |
| | 13 SOMEONE ELSE (SPECIFY) |
| HOME-D16_MS1 [] | Section: Fertility |
About how often does [name of biochild([mother supplement loop])] spend time with [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?
| | 1 Once a day or more often |
| | 2 At least 4 times a week |
| | 3 About once a week |
| | 4 About once a month |
| | 5 A few times a year or less |
| | 6 Never |
| | 7 No father, stepfather, or father-figure |
| HOME-D17_MS1 [] | Section: Fertility |
About how often does [s/he([mother supplement loop])] spend time with [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])] in outdoor activities?
| | 1 Once a day or more often |
| | 2 At least 4 times a week |
| | 3 About once a week |
| | 4 About once a month |
| | 5 A few times a year or less |
| | 6 Never |
| | 7 No father, stepfather, or father-figure |
| HOME-D18_MS1 [] | Section: Fertility |
How often does [name of biochild([mother supplement loop])] eat a meal with both mother and father?
| | 1 More than once a day |
| | 2 Once a day |
| | 3 Several times a week |
| | 4 About once a week |
| | 5 About once a month |
| | 6 Never |
| | 7 No father, stepfather, father-figure |
| HOME-D19_MS1 [] | Section: Fertility |
When your family watches TV together, do you [or child's (father/stepfather/father figure)([mother supplement loop])] discuss TV programs with [him/her([mother supplement loop])]?
| | 1 Yes |
| | 0 No |
| | 2 Do not have a TV |
| HOME-D20A_MS1 [] | Section: Fertility |
How close does [name of biochild([mother supplement loop])] feel toward you?
| | 1 Extremely close |
| | 2 Quite close |
| | 3 Fairly close |
| | 4 Not at all close |
| HOME-D-DADCHK2_MS1 [] | Section: Fertility |
([father/step-father/father-figure([mother supplement loop])])
COMMENT: WHODAD=0 (NO FATHER-FIGURE), SKIP TO HOME-D21A;
WHODAD>=1 SKIP TO HOME-D20B.
If Answer = 0 Then Go To HOME-D21A_MS1
If Answer >= 1 AND Answer <= 3 Then Go To HOME-D20B_MS1
| HOME-D20B_MS1 [] | Section: Fertility |
How close does [name of biochild([mother supplement loop])] feel toward [his/her([mother supplement loop])] (biological) father?
| | 1 Extremely close |
| | 2 Quite close |
| | 3 Fairly close |
| | 4 Not at all close |
| | 5 Does not have this parent |
| HOME-D-DADCHK3_MS1 [] | Section: Fertility |
([father/step-father/father-figure([mother supplement loop])])
COMMENT: IF father is in HH, don't ask about closeness to stepfather (WHODAD=1 skip to HOME-D21A).
If Answer = 1 Then Go To HOME-D21A_MS1
| HOME-D20D_MS1 [] | Section: Fertility |
How close does [name of biochild([mother supplement loop])] feel toward [his/her([mother supplement loop])] [father/stepfather/father-figure([mother supplement loop])]?
| | 1 Extremely close |
| | 2 Quite close |
| | 3 Fairly close |
| | 4 Not at all close |
| | 5 Does not have this parent |
| HOME-D21A_MS1 [] | Section: Fertility |
Sometimes children get so angry at their parents that they say things like "I hate you" or swear in a temper tantrum.
What action(s) would you take if this happened?
INTERVIEWER: ENTER VERBATIM AND SELECT ALL THAT APPLY.
| HOME-D21B_MS1 [] | Section: Fertility |
| | 1 Grounding |
| | 2 Spanking |
| | 3 Talk with child |
| | 4 Give him/her a household chore |
| | 5 Ignore it |
| | 6 Send to room for more than 1 hour |
| | 7 Take away his/her allowance |
| | 8 Take away TV, phone, or other privileges |
| | 10 Put child in a short "time out" |
| | 9 Other (SPECIFY) |
| HOME-D22-MATRIX1_MS1 [] | Section: Fertility |
If [name of biochild([mother supplement loop])] brought home a report card with grades lower than expected, how likely would you be to...
| | - ...contact his/her teacher or principal? |
| | - ...lecture him/her? |
| | - ...keep a closer eye on his/her activities? |
| | - ...punish him/her? |
| | - ...talk with him/her? |
| | 5 Very Likely |
| | 4 Somewhat Likely |
| | 3 Not Sure How Likely |
| | 2 Somewhat Unlikely |
| | 1 Not At All Likely |
| HOME-D22-MATRIX2_MS1 [] | Section: Fertility |
If [name of biochild([mother supplement loop])] brought home a report card with grades lower than expected, how likely would you be to...
| | - ...wait and see if he/she improves on his/her own? |
| | - ...tell him/her to spend more time on schoolwork? |
| | - ...spend more time helping him/her with schoolwork? |
| | - ...limit or reduce his/her non-school activities (such as play, sports, clubs, etc.)? |
| | 5 Very Likely |
| | 4 Somewhat Likely |
| | 3 Not Sure How Likely |
| | 2 Somewhat Unlikely |
| | 1 Not At All Likely |
| HOME-D22J_MS1 [] | Section: Fertility |
(If [name of biochild([mother supplement loop])] brought home a report card with grades lower than expected),
...would you do anything else?
| HOME-D22JV_MS1 [] | Section: Fertility |
(If [name of biochild([mother supplement loop])] brought home a report card with grades lower than expected...would you do anything else?)
What would that be?
| HOME-D23A_MS1 [] | Section: Fertility |
INTERVIEWER: ENTER NUMBER OF TIMES IN PAST WEEK FOR EACH QUESTION
Sometimes kids mind pretty well and sometimes they don't. Sometimes they do things that make you feel good.
How many times in the past week have you...had to spank your child?
| HOME-D23B_MS1 [] | Section: Fertility |
How many times in the past week have you...grounded [him/her([mother supplement loop])]?
| HOME-D23C_MS1 [] | Section: Fertility |
How many times in the past week have you...taken away TV or other privileges?
| HOME-D23D_MS1 [] | Section: Fertility |
How many times (in the past week) have you...praised [name of biochild([mother supplement loop])] for doing something worthwhile?
| HOME-D23E_MS1 [] | Section: Fertility |
How many times (in the past week) have you...taken away [his/her([mother supplement loop])] allowance?
| HOME-D23F_MS1 [] | Section: Fertility |
How many times (in the past week) have you...shown [him/her([mother supplement loop])] physical affection (kiss, hug, stroke hair, etc.)?
| HOME-D23G_MS1 [] | Section: Fertility |
How many times (in the past week) have you...sent [name of biochild([mother supplement loop])] to [his/her([mother supplement loop])] room?
| HOME-D23H_MS1 [] | Section: Fertility |
How many times (in the past week) have you...told another adult (spouse, friend, co-worker, visitor, relative) something positive about [name of biochild([mother supplement loop])]?
| ACT-AGECK1_MS1 [] | Section: Fertility |
([child age in months([mother supplement loop])] < 84)
COMMENT: If child age is 83 months or younger and meets YOB/BORNSR19 constraints, then continue OTHERWISE goto end of section
If Answer = 1 Then Go To ACT-TITLE_MS1
| ACT-TITLE_MS1 [] | Section: Fertility |
BEGIN TEMPERAMENT SECTION
[name of biochild([mother supplement loop])]
| ACT-INTRO_MS1 [] | Section: Fertility |
INTERVIEWER: THE FOLLOWING SECTION IS A CHILD ASSESSMENT.
IT IS VITAL THAT YOU COMPLETE ALL QUESTIONS IN THIS SECTION.
READ TO MOTHER:
We are interested in how your child normally acts during an average day. Please think about
[name of biochild([mother supplement loop])] during the last two weeks.
If [s/he([mother supplement loop])] was not feeling well, think back to the last two-week time period when [s/he([mother supplement loop])] was [his/her([mother supplement loop])] normal self.
| ACT-AGECK2_MS1 [] | Section: Fertility |
([child age in months([mother supplement loop])])
COMMENT: Jump to appropriate section based on months of age.
If Answer >= 0 AND Answer <= 11 Then Go To ACT-A01-MATRIX_MS1
If Answer >= 12 AND Answer <= 23 Then Go To ACT-B01-MATRIX_MS1
If Answer >= 24 AND Answer <= 83 Then Go To ACT-C01-MATRIX1_MS1
| ACT-A01-MATRIX_MS1 [] | Section: Fertility |
(The following questions ask about how often [name of biochild([mother supplement loop])] acted in a certain way.)
READ QUESTION BELOW AND ASK...
Would that be...
| | - During feeding, how often does (CHILD) squirm and kick? |
| | - During feeding, how often does (CHILD) wave his/her arms? |
| | - During sleep, how often does s/he usually move around in the crib? |
| | - Some children get sleepy about the same time each evening, give or take 15 minutes. How often does (CHILD) do this? |
| | - Some children get hungry at about the same time each day, give or take 15 minutes. How often does (CHILD) do this? |
| | - When s/he wakes up in the morning, how often is s/he in the same mood? |
| | - When (CHILD) sees a stranger, how often does s/he turn away or cry as if afraid? |
| | - When s/he sees an unfamiliar dog or cat, how often does s/he turn away or cry as if afraid? |
| | - When you leave the room and leave him/her alone, how often does s/he become upset? |
| | - When you take (CHILD) to the doctor, dentist or nurse, how often does s/he turn away or cry as if afraid? |
| | - When you play with (CHILD), how often does s/he smile or laugh? |
| | - When s/he plays alone, how often does s/he smile or laugh? |
| | - When s/he is in the bath, how often does s/he smile or laugh? |
| | - When (CHILD) hears an unexpected loud sound (for example, a car back-firing or a vacuum cleaner), how often does s/he cry or become upset? |
| | - How often do you have trouble soothing or calming him/her when s/he is crying or upset? |
| | 1 Almost never |
| | 2 Less than 1/2 of the time |
| | 3 1/2 of the time |
| | 4 More than 1/2 of the time |
| | 5 Almost always |
| ACT-A16_MS1 [] | Section: Fertility |
The answer choices change a little here....
During the average day, how often does [name of biochild([mother supplement loop])] get fussy and irritable?
Would you say...
| | 1 Almost never |
| | 2 Once or twice a day |
| | 3 A couple of times a.m. & p.m. |
| | 4 Several times a day |
| | 5 Almost every hour |
| ACT-A17_MS1 [] | Section: Fertility |
In general, compared with most babies, how often does [name of biochild([mother supplement loop])] cry and fuss?
Would that be...
| | 1 Almost never |
| | 2 Less than average |
| | 3 About average |
| | 4 More than average |
| | 5 Almost always |
| ACT-B01-MATRIX_MS1 [] | Section: Fertility |
(The following questions ask about how often [name of biochild([mother supplement loop])] acted in a certain way.)
READ QUESTION BELOW AND ASK...
Would that be...
| | - When (CHILD) sees a stranger, how often does s/he turn away or cry as if afraid? |
| | - When s/he sees an unfamiliar dog or cat, how often does s/he turn away or cry as if afraid? |
| | - When you leave the room and leave him/her alone, how often does s/he become upset? |
| | - When you take (CHILD) to the doctor, dentist or nurse, how often does s/he turn away or cry as if afraid? |
| | - When you play with (CHILD), how often does s/he smile or laugh? |
| | - When s/he plays alone, how often does s/he smile or laugh? |
| | - When s/he is in the bath, how often does s/he smile or laugh? |
| | - When (CHILD) hears an unexpected loud sound (for example, a car back-firing or a vacuum cleaner), how often does s/he cry or become upset? |
| | - How often do you have trouble soothing or calming him/her when s/he is crying or upset? |
| | 1 Almost never |
| | 2 Less than 1/2 of the time |
| | 3 1/2 of the time |
| | 4 More than 1/2 of the time |
| | 5 Almost always |
| ACT-B10_MS1 [] | Section: Fertility |
The answer choices change a little here....
During the average day, how often does [name of biochild([mother supplement loop])] get fussy and irritable?
Would you say...
| | 1 Almost never |
| | 2 Once or twice a day |
| | 3 A couple of times a.m. & p.m. |
| | 4 Several times a day |
| | 5 Almost every hour |
| ACT-B11_MS1 [] | Section: Fertility |
In general, compared with most toddlers, how often does [name of biochild([mother supplement loop])] cry and fuss?
Would that be...
| | 1 Almost never |
| | 2 Less than average |
| | 3 About average |
| | 4 More than average |
| | 5 Almost always |
| ACT-C01-MATRIX1_MS1 [] | Section: Fertility |
(The following questions ask about how often [name of biochild([mother supplement loop])] acted in a certain way.)
READ QUESTION BELOW AND ASK...
Would that be...
| | - When it is mealtime, how often does (CHILD) eat what you want him/her to eat? |
| | - When (CHILD) doesn't eat what you want him/her to eat and you tell him/her to do so, how often does s/he obey and eat? |
| | - When it is (CHILD)'s bedtime, how often does s/he protest or resist going to bed? |
| | - When s/he does protest and you tell him/her again to go to bed, how often does s/he do so? |
| | - When you tell (CHILD) to turn off the TV, how often does s/he do so without protest? |
| | - When s/he does protest and you tell him/her again to turn off the TV, how often does s/he do so? |
| | - When (CHILD) meets a new child about the same age, how often is s/he shy at first? |
| | 1 Almost never |
| | 2 Less than 1/2 of the time |
| | 3 1/2 of the time |
| | 4 More than 1/2 of the time |
| | 5 Almost always |
| ACT-C01-MATRIX2_MS1 [] | Section: Fertility |
(The following questions ask about how often [name of biochild([mother supplement loop])] acted in a certain way.)
READ QUESTION BELOW AND ASK...
Would that be...
| | - When s/he meets an adult s/he does not know, how often is s/he shy at first? |
| | - How often does (CHILD) cry when s/he hurts himself/herself a little bit? |
| | - How often does s/he laugh and smile easily (for example, when no one is touching him/her)? |
| | - When (CHILD) is with other children his/her own age, how often does s/he fight, take toys, hit, and so on? |
| | - When s/he is with other children his/her own age, how often does s/he willingly share toys? |
| | - How often do you have trouble soothing or calming (CHILD) when s/he is upset? |
| | - When (CHILD) is playing, how often does s/he stay close to you and make sure that s/he can still see you? |
| | 1 Almost never |
| | 2 Less than 1/2 of the time |
| | 3 1/2 of the time |
| | 4 More than 1/2 of the time |
| | 5 Almost always |
| ACT-C01-MATRIX3_MS1 [] | Section: Fertility |
(The following questions ask about how often [name of biochild([mother supplement loop])] acted in a certain way.)
READ QUESTION BELOW AND ASK...
Would that be...
| | - How often does s/he try to copy what you do or how you act? (You may not always allow him/her to do this.) |
| | - When you leave the room and leave (CHILD) alone, how often does s/he get upset? |
| | - How often is (CHILD) demanding and impatient even when you are busy? |
| | - When you get upset about something, how often does s/he get worried, or try to help, or make you feel better? |
| | - How often does (CHILD) want you to help with the things s/he is doing? |
| | - During the past year, how often has (CHILD) slept through the night? |
| | 1 Almost never |
| | 2 Less than 1/2 of the time |
| | 3 1/2 of the time |
| | 4 More than 1/2 of the time |
| | 5 Almost always |
| MSD-AGECK1_MS1 [] | Section: Fertility |
{^MSAGEMO({MS1-LOOP3})^} < 48
COMMENT: MSD A1 to H15 Dropped for R21.
If Answer = 1 Then Go To MSD-TITLE_MS1
| MSD-TITLE_MS1 [] | Section: Fertility |
BEGIN MOTOR AND SOCIAL DEVELOPMENT SECTION
[name of biochild([mother supplement loop])]
| MSD-INTRO_MS1 [] | Section: Fertility |
INTERVIEWER: THE FOLLOWING SECTION IS A CHILD ASSESSMENT.
IT IS VITAL THAT YOU COMPLETE ALL QUESTIONS IN THIS SECTION.
READ TO MOTHER
This section asks you questions about things children do at different ages.
| MSD-AGECK2_MS1 [] | Section: Fertility |
([child age in months([mother supplement loop])])
COMMENT: AGE SKIP INFO FROM PREVIOUS ROUNDS PRESERVED - NOT ALL BRANCHES APPLY If child age is 0 to 3 mos jump to MSD A If child age is 4 to 6 mos jump to MSD B If child age is 7 to 9 mos jump to MSD C If child age is 10 to 12 mos jump to MSD D If child age is 13 to 15 mos jump to MSD E If child age is 16 to 18 mos jump to MSD F If child age is 19 to 21 mos jump to MSD G If child age is 22 to 47 mos jump to MSD H
If Answer >= 0 AND Answer <= 3 Then Go To MSD-A01_MS1
If Answer >= 4 AND Answer <= 6 Then Go To MSD-B01_MS1
If Answer >= 7 AND Answer <= 9 Then Go To MSD-C-MATRIX1_MS1
If Answer >= 10 AND Answer <= 12 Then Go To MSD-D-MATRIX1_MS1
If Answer >= 13 AND Answer <= 15 Then Go To MSD-E-MATRIX1_MS1
If Answer >= 16 AND Answer <= 18 Then Go To MSD-F-MATRIX1_MS1
If Answer >= 19 AND Answer <= 21 Then Go To MSD-G-MATRIX1_MS1
If Answer >= 22 AND Answer <= 47 Then Go To MSD-H-MATRIX1_MS1
| MSD-A01_MS1 [] | Section: Fertility |
When lying on [his/her([mother supplement loop])] stomach, has [name of biochild([mother supplement loop])] ever turned [his/her([mother supplement loop])] head from side to side?
| MSD-A02_MS1 [] | Section: Fertility |
Have [name of biochild([mother supplement loop])]'s eyes ever followed a moving object?
| MSD-A03_MS1 [] | Section: Fertility |
When lying on [his/her([mother supplement loop])] stomach on a flat surface, has [name of biochild([mother supplement loop])] ever lifted [his/her([mother supplement loop])] head off the surface for a moment?
| MSD-A04_MS1 [] | Section: Fertility |
Have [name of biochild([mother supplement loop])]'s eyes ever followed a moving object all the way from one side to the other?
| MSD-A05_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever smiled at someone when that person talked to or smiled at (but did not touch) [him/her([mother supplement loop])]?
| MSD-A06_MS1 [] | Section: Fertility |
When lying on [his/her([mother supplement loop])] stomach, has [name of biochild([mother supplement loop])] ever raised [his/her([mother supplement loop])] head AND chest from the surface while resting [his/her([mother supplement loop])] weight on [his/her([mother supplement loop])] lower arms or hands?
| MSD-A07_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever turned [his/her([mother supplement loop])] head around to look at something?
| MSD-A08_MS1 [] | Section: Fertility |
While lying on [his/her([mother supplement loop])] back and being pulled up to a sitting position, did [name of biochild([mother supplement loop])] ever hold [his/her([mother supplement loop])] head stiffly so that it DID NOT hang back as [s/he([mother supplement loop])] was pulled up?
| MSD-A09_MS1 [] | Section: Fertility |
Has [s/he([mother supplement loop])] ever laughed out loud without being tickled or touched?
| MSD-A10_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever held in one hand a moderate size object such as a block or a rattle?
| MSD-A11_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever rolled over on [his/her([mother supplement loop])] own ON PURPOSE?
| MSD-A12_MS1 [] | Section: Fertility |
Has [s/he([mother supplement loop])] ever seemed to enjoy looking in the mirror at [him/her([mother supplement loop])]self?
| MSD-A13_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever been pulled from a sitting to a standing position and supported [his/her([mother supplement loop])] own weight with legs stretched out?
| MSD-A14_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever looked around with [his/her([mother supplement loop])] eyes for a toy which was lost or not nearby?
| MSD-A15_MS1 [] | Section: Fertility |
Has [s/he([mother supplement loop])] ever sat alone with no help except for leaning forward on [his/her([mother supplement loop])] hands or with just a little help from someone else?
| MSD-B01_MS1 [] | Section: Fertility |
While lying on [his/her([mother supplement loop])] back and being pulled up to a sitting position, has [name of biochild([mother supplement loop])] ever held [his/her([mother supplement loop])] head stiffly so that it DID NOT hang back as [s/he([mother supplement loop])] was pulled up?
| MSD-B-MATRIX1_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ...
| | - ...laughed out loud without being tickled or touched? |
| | - ... held in one hand a moderate size object such as a block or a rattle? |
| | - ...rolled over on his/her own ON PURPOSE? |
| | - ...seemed to enjoy looking in the mirror at him/herself? |
| | - ...been pulled from a sitting to a standing position and supported his/her own weight with legs stretched out? |
| MSD-B-MATRIX2_MS1 [] | Section: Fertility |
(Has [name of biochild([mother supplement loop])] ever ....)
| | - ...looked around with his/her eyes for a toy which was lost or not nearby? |
| | - ...sat alone with no help except for leaning forward on his/her hands or with just a little help from someone else? |
| | - ...sat for 10 minutes without any support at all? |
| | - ...pulled hi/herself to a standing position without help from another person? |
| | - ...crawled when left lying on his/her stomach? |
| MSD-B-MATRIX3_MS1 [] | Section: Fertility |
(Has [name of biochild([mother supplement loop])] ever ....)
| | - ...said any recognizable words such as "mama" or "dada"? |
| | - ...picked up small objects such as raisins or cookie crumbs, using only his/her thumb and first finger? |
| | - ... walked at least 2 steps with one hand held or holding on to something? |
| | - ...waved good-bye without help from another person? |
| MSD-C-MATRIX1_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ...
| | - ...seemed to enjoy looking in the mirror at him/herself? |
| | - ...been pulled from a sitting to a standing position and supported his/her own weight with legs stretched out? |
| | - ...looked around with his/her eyes for a toy which was lost or not nearby? |
| | - ...sat alone with no help except for leaning forward on his/her hands or with just a little help from someone else? |
| | - ...sat for 10 minutes without any support at all? |
| MSD-C-MATRIX2_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...pulled him/herself to a standing position without help from another person? |
| | - ...crawled when left lying on his/her stomach? |
| | - ...said any recognizable words such as "mama" or "dada"? |
| | - ...picked up small objects such as raisins or cookie crumbs, using only his/her thumb and first finger? |
| | - ...walked at least 2 steps with one hand held or holding on to something? |
| MSD-C-MATRIX3_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...waved good-bye without help from another person? |
| | - ...shown by his/her behavior that he/she knows the names of common objects when somebody else names them out loud? |
| | - ...shown that he/she wanted something by pointing, pulling, or making pleasant sounds rather than crying or whining? |
| | - ...stood alone on his/her feet for 10 seconds or more without holding on to anything or another person? |
| | - ...walked at least 2 steps without holding on to anything or another person? |
| MSD-D-MATRIX1_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ...
| | - ...crawled when left lying on his/her stomach? |
| | - ...said any recognizable words such as "mama" or "dada"? |
| | - ...picked up small objects such as raisins or cookie crumbs, using only his/her thumb and first finger? |
| | - ...walked at least 2 steps with one hand held or holding on to something? |
| | - ...waved good-bye without help from another person? |
| MSD-D-MATRIX2_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...shown by his/her behavior that he/she knows the names of common objects when somebody else names them out loud? |
| | - ...shown that he/she wanted something by pointing, pulling, or making pleasant sounds rather than crying or whining? |
| | - ...stood alone on his/her feet for 10 seconds or more without holding on to anything or another person? |
| | - ...walked at least 2 steps without holding on to anything or another person? |
| | - ...crawled up at least 2 stairs or steps? |
| MSD-D-MATRIX3_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...said 2 recognizable words besides "mama" and "dada"? |
| | - ...run? |
| | - ...said the name of a familiar object, such as a ball? |
| | - ...made a line with a crayon or pencil? |
| | - ...walked up at least 2 stairs with one hand held or holding the railing? |
| MSD-E-MATRIX1_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ...
| | - ...waved good-bye without help from another person? |
| | - ...shown by his/her behavior that he/she knows the names of common objects when somebody else names them out loud? |
| | - ...shown that he/she wanted something by pointing, pulling, or making pleasant sounds rather than crying or whining? |
| | - ...stood alone on his/her feet for 10 seconds or more without holding on to anything or another person? |
| | - ...walked at least 2 steps without holding on to anything or another person? |
| MSD-E-MATRIX2_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...crawled up at least 2 stairs or steps? |
| | - ...said 2 recognizable words besides "mama" and "dada"? |
| | - ...run? |
| | - ...said the name of a familiar object, such as a ball? |
| | - ...made a line with a crayon or pencil? |
| MSD-E-MATRIX3_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...walked up at least 2 stairs with one hand held or holding the railing? |
| | - ...fed him/herself with a spoon or fork without spilling much? |
| | - ...let someone know, without crying, that wearing wet (soiled) pants or diapers bothered him/her? |
| | - ...spoken a partial sentence of 3 words or more? |
| | - ...walked up stairs by him/herself without holding on to a rail? |
| MSD-F-MATRIX1_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ...
| | - ...walked at least 2 steps without holding on to anything or another person? |
| | - ...crawled up at least 2 stairs or steps? |
| | - ...said 2 recognizable words besides "mama" and "dada"? |
| | - ...run? |
| | - ...said the name of a familiar object, such as a ball? |
| MSD-F-MATRIX2_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...made a line with a crayon or pencil? |
| | - ...walked up at least 2 stairs with one hand held or holding the railing? |
| | - ...fed him/herself with a spoon or fork without spilling much? |
| | - ...let someone know, without crying, that wearing wet (soiled) pants or diapers bothered him/her? |
| | - ...spoken a partial sentence of 3 words or more? |
| MSD-F-MATRIX3_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...walked up stairs by him/herself without holding on to a rail? |
| | - ...washed and dried his/her hands without any help except for turning the water on and off? |
| | - ...counted 3 objects correctly? |
| | - ...gone to the toilet alone? |
| | - ...walked up stairs by him/herself with no help, stepping on each step with only one foot? |
| MSD-G-MATRIX1_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ...
| | - ...run? |
| | - ...said the name of a familiar object, such as a ball? |
| | - ...made a line with a crayon or pencil? |
| | - ...walked up at least 2 stairs with one hand held or holding the railing? |
| | - ...fed him/herself with a spoon or fork without spilling much? |
| MSD-G-MATRIX2_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...let someone know, without crying, that wearing wet (soiled) pants or diapers bothered him/her? |
| | - ...spoken a partial sentence of 3 words or more? |
| | - ...walked up stairs by him/herself without holding on to a rail? |
| | - ...washed and dried his/her hands without any help except for turning the water on and off? |
| | - ...counted 3 objects correctly? |
| MSD-G-MATRIX3_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...ever gone to the toilet alone? |
| | - ...walked up stairs by him/herself with no help, stepping on each step with only one foot? |
| MSD-G13_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] know [his/her([mother supplement loop])] own age AND sex?
| MSD-G-MATRIX4_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...said the names of at least 4 colors? |
| | - ...pedaled a tricycle at least 10 feet? |
| MSD-H-MATRIX1_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ...
| | - ...let someone know, without crying, that wearing wet (soiled) pants or diapers bothered him/her? |
| | - ...spoken a partial sentence of 3 words or more? |
| | - ...walked up stairs by him/herself without holding on to a rail? |
| | - ...washed and dried his/her hands without any help except for turning the water on and off? |
| | - ...counted 3 objects correctly? |
| MSD-H-MATRIX2_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...ever gone to the toilet alone? |
| | - ...walked up stairs by him/herself with no help, stepping on each step with only one foot? |
| MSD-H08_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] know [his/her([mother supplement loop])] own age AND sex?
| MSD-H-MATRIX3_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever ....
| | - ...said the names of at least 4 colors? |
| | - ...pedaled a tricycle at least 10 feet? |
| | - ...done a somersault without help from anybody? |
| MSD-H12_MS1 [] | Section: Fertility |
Has [s/he([mother supplement loop])] ever dressed [him/her([mother supplement loop])]self without any help except for [tying shoes/tying shoes and buttoning the backs of dresses([mother supplement loop])]?
| MSD-H-MATRIX4_MS1 [] | Section: Fertility |
(Has [name of biochild([mother supplement loop])] ever ....)
| | - ...said his/her first and last name together without someone's help? (Nickname may be used for first name.) |
| | - ...counted out loud up to 10? |
| | - ...drawn a picture of a man or woman with at least 2 parts of the body besides a head? |
| BKGN-CASI-AGECK1_MS1 [] | Section: Fertility |
{^msage({ms1-loop3})^} >= 5
COMMENT: If child age is 5 years or OLDER then continue;
Otherwise, skip to BKGN-CASI-END
If Answer = 1 Then Go To BKGN-37_MS1
| BKGN-37_MS1 [] | Section: Fertility |
{^BKGN-SUB1({ms1-loop3})^} {^biochild_name({ms1-loop3})^} repeated a grade for any reason?
| BKGN-37-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
| BKGN-37A_MS1 [] | Section: Fertility |
What was the [most recent/next most recent([mother supplement loop]:[repeated grades loop])] grade that [name of biochild([mother supplement loop])] repeated?
| | 0 PRE-KINDERGARTEN/KINDERGARTEN/PRE-1ST GRADE |
| | 1 1ST GRADE |
| | 2 2ND GRADE |
| | 3 3RD GRADE |
| | 4 4TH GRADE |
| | 5 5TH GRADE |
| | 6 6TH GRADE |
| | 7 7TH GRADE |
| | 8 8TH GRADE |
| | 9 9TH GRADE |
| | 10 10TH GRADE |
| | 11 11TH GRADE |
| | 12 12TH GRADE |
| BKGN-37B_MS1 [] | Section: Fertility |
What was the main reason [s/he([mother supplement loop])] repeated that grade?
| | 1 Academic failure or lack of ability |
| | 2 Immature; acts too young |
| | 3 Frequently absent (excused absence) |
| | 4 Truancy (unexcused absence) |
| | 5 Health reasons |
| | 6 Moved into a more difficult school |
| | 7 Other reason (SPECIFY) |
| BKGN-37C_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] repeated any other grades?
| BKGN-37-LOOP-END_MS1 [] | Section: Fertility |
UNTIL({^ANYMOREREPT([mother supplement loop]:[repeated grades loop])^}==0)
| BKGN-38_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever had any behavior problems at school resulting in your receiving a note or being asked to come in and talk to the teacher or principal?
| BKGN-39_MS1 [] | Section: Fertility |
What grade was [name of biochild([mother supplement loop])] in the first time you received a note, or were asked to come in and talk to the teacher or principal?
| | 90 NURSERY/PRESCHOOL |
| | 0 KINDERGARTEN |
| | 1 1ST GRADE |
| | 2 2ND GRADE |
| | 3 3RD GRADE |
| | 4 4TH GRADE |
| | 5 5TH GRADE |
| | 6 6TH GRADE |
| | 7 7TH GRADE |
| | 8 8TH GRADE |
| | 9 9TH GRADE |
| | 10 10TH GRADE |
| | 11 11TH GRADE |
| | 12 12TH GRADE |
| BKGN-40_MS1 [] | Section: Fertility |
Has [name of biochild([mother supplement loop])] ever been suspended or expelled from school?
| BKGN-40A_MS1 [] | Section: Fertility |
(Has your child ever been suspended or expelled from school?)
In what grade did this first happen?
| | 90 NURSERY/PRESCHOOL |
| | 0 KINDERGARTEN |
| | 1 1ST GRADE |
| | 2 2ND GRADE |
| | 3 3RD GRADE |
| | 4 4TH GRADE |
| | 5 5TH GRADE |
| | 6 6TH GRADE |
| | 7 7TH GRADE |
| | 8 8TH GRADE |
| | 9 9TH GRADE |
| | 10 10TH GRADE |
| | 11 11TH GRADE |
| | 12 12TH GRADE |
| BKGN-41_MS1 [] | Section: Fertility |
{^MSINSCHL({ms1-loop3})^} == 1
If Answer = 1 Then Go To BKGN-42_MS1
| BKGN-42_MS1 [] | Section: Fertility |
Is your child one of the best students in class, above the middle, in the middle, below the middle, or near the bottom of the class?
| | 1 One of the best students in class |
| | 2 Above the middle |
| | 3 In the middle |
| | 4 Below the middle |
| | 5 Near the bottom of the class |
| BKGN-43-M1_MS1 [] | Section: Fertility |
Please think about how well [name of biochild([mother supplement loop])]'s school does its job.
What grade would you give the school for how much the teachers care about the students?
| | - ...how the teachers care about the students? |
| | - ...how effective the principal is as the leader of the school? |
| | - ...the skill of the teachers? |
| | - ...how safe the school is for the students to attend? |
| | - ...letting parents know how their children are doing? |
| | - ...letting parents participate in decisions about how the school is run? |
| | - ...helping students learn the difference between right and wrong? |
| | - ...maintaining order and discipline? |
| BKGN-44_MS1 [] | Section: Fertility |
Looking ahead, how far do you think [name of biochild([mother supplement loop])] will go in school? Will [s/he([mother supplement loop])]...
| | 1 leave high school before graduation |
| | 2 graduate from high school |
| | 3 get some college or other training |
| | 4 graduate from college |
| | 5 take further training after college |
| | 6 or something else? (SPECIFY) |
| BKGN-45_MS1 [] | Section: Fertility |
In general, how much trouble has [name of biochild([mother supplement loop])] been to bring up?
| | 1 None |
| | 2 Just a little |
| | 3 Quite a bit |
| | 4 A lot |
| BKGN-46-M1_MS1 [] | Section: Fertility |
Think now about how things are going in general in [name of biochild([mother supplement loop])]'s life. Please rate each of the parts of [his/her([mother supplement loop])] life listed below as either excellent, good, only fair, or poor.
How would you rate...
| | - ...his/her health? |
| | - ...his/her friendships? |
| | - ...his/her relationship with you? |
| | - ...his/her feelings about him/herself? |
| | - ...his/her prospects for the future? |
| | - ...his/her relationship with brothers, sisters or other children he/she lives with? |
| | 4 EXCELLENT |
| | 3 GOOD |
| | 2 FAIR |
| | 1 POOR |
| BPI-AGECK1_MS1 [] | Section: Fertility |
{^msage({ms1-loop3})^} >= 4
COMMENT: If child age is 4 years or OLDER and meets YOB/BORNSR19 constraints, then continue OTHERWISE skip to BPI-END.
If Answer = 1 Then Go To BPI-M1_MS1
| BPI-M1_MS1 [] | Section: Fertility |
The following statements are about behavior problems many children have. For each item, think about
[name of biochild([mother supplement loop])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.
[name of biochild([mother supplement loop])]...
| | - ...has sudden changes in mood or feeling. |
| | - ...feels or complains that no one loves him/her. |
| | - ...is rather high strung, tense and nervous. |
| | - ...cheats or tells lies. |
| | - ...is too fearful or anxious. |
| | - ...argues too much. |
| | 1 Often True |
| | 2 Sometimes True |
| | 3 Not True |
| BPI-M2_MS1 [] | Section: Fertility |
(REPEAT IF NECESSARY: The following statements are about behavior problems many children have. For each item, think about [name of biochild([mother supplement loop])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.)
[name of biochild([mother supplement loop])]...
| | - ...has difficulty concentrating, cannot pay attention for long. |
| | - ...is easily confused, seems to be in a fog. |
| | - ...bullies or is cruel or mean to others. |
| | - ...is disobedient at home. |
| | - ...does not seem to feel sorry after he/she misbehaves. |
| | - ...has trouble getting along with other children. |
| | 1 Often True |
| | 2 Sometimes True |
| | 3 Not True |
| BPI-M3_MS1 [] | Section: Fertility |
(REPEAT IF NECESSARY: The following statements are about behavior problems many children have. For each item, think about [name of biochild([mother supplement loop])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.)
[name of biochild([mother supplement loop])]...
| | - ...is impulsive, or acts without thinking. |
| | - ...feels worthless or inferior. |
| | - ...is not liked by other children. |
| | - ...has a lot of difficulty getting his/her mind off certain thoughts (has obsessions). |
| | - ...is restless or overly active, cannot sit still. |
| | - ...is stubborn, sullen, or irritable. |
| | 1 Often True |
| | 2 Sometimes True |
| | 3 Not True |
| BPI-M4_MS1 [] | Section: Fertility |
(REPEAT IF NECESSARY: The following statements are about behavior problems many children have. For each item, think about [name of biochild([mother supplement loop])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.)
[name of biochild([mother supplement loop])]...
| | - ...has a very strong temper and loses it easily. |
| | - ...is unhappy, sad, or depressed. |
| | - ...is withdrawn, does not get involved with others. |
| | - ...breaks things on purpose or deliberately destroys his/her own or another's things. |
| | - ...clings to adults. |
| | - ...cries too much. |
| | 1 Often True |
| | 2 Sometimes True |
| | 3 Not True |
| BPI-M5_MS1 [] | Section: Fertility |
(REPEAT IF NECESSARY: The following statements are about behavior problems many children have. For each item, think about [name of biochild([mother supplement loop])]'s behavior over the last three months. Then indicate whether the statement is often true, sometimes true, or not true.)
[name of biochild([mother supplement loop])]...
| | - ...demands a lot of attention. |
| | - ...is too dependent on others. |
| | - ...feels others are out to get him/her. |
| | - ...hangs around with kids who get into trouble. |
| | - ...is secretive, keeps things to himself/herself. |
| | - ...worries too much. |
| | 1 Often True |
| | 2 Sometimes True |
| | 3 Not True |
| BPI-SCHLCK_MS1 [] | Section: Fertility |
({^MSINSCHL([mother supplement loop])^} == 1) || ({^MSEVERSCHL([mother supplement loop])^} == 1)
If Answer = 1 Then Go To BPI-31_MS1
| BPI-31_MS1 [] | Section: Fertility |
Please answer even if school is not in session:
[name of biochild([mother supplement loop])]...is disobedient at school.
| | 1 Often True |
| | 2 Sometimes True |
| | 3 Not True |
| | 4 Never Attended School |
| BPI-32_MS1 [] | Section: Fertility |
(Please answer even if school is not in session:)
[name of biochild([mother supplement loop])]...has trouble getting along with teachers.
| | 1 Often True |
| | 2 Sometimes True |
| | 3 Not True |
| | 4 Never Attended School |
| BPI-END_MS1 [] | Section: Fertility |
End of series. Click on the "Submit and Continue" button to proceed....
COMMENT: ------------END OF BEHAVIOR PROBLEM INDEX ASSESSMENT-------------
| HLTH-16_MS1 [] | Section: Fertility |
{^msage({ms1-loop3})^} < 4
COMMENT: If child's age less than 4 years skip to HLTH-19, OTHERWISE continue
If Answer = 1 Then Go To HLTH-19_MS1
| HLTH-17_MS1 [] | Section: Fertility |
During the past 12 months has [name of biochild([mother supplement loop])] seen a psychiatrist, psychologist, or counselor about any behavioral, emotional, or mental problem?
| HLTH-17A_MS1 [] | Section: Fertility |
What was the problem?
| HLTH-17B_MS1 [] | Section: Fertility |
You said that the problem was "[behavioral problem description([mother supplement loop])]".
| | 1 LEARNING PROBLEMS OR DISABILITY, DYSLEXIA, READING OR SPEECH PROBLEMS |
| | 11 ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD, ADD) |
| | 2 BEHAVIOR PROBLEMS IN SCHOOL/PRESCHOOL |
| | 3 FAMILY PROBLEMS: LOSS OF PARENT OR SIB, DIVORCE |
| | 4 UNMANAGEABLE, TEMPER TANTRUMS, DISRUPTIVE, HYPERACTIVE |
| | 5 STRESS, CRIES A LOT |
| | 6 LYING |
| | 7 EMOTIONAL TRAUMA: MOLESTATION, ABUSE |
| | 8 AUTISM |
| | 9 SHYNESS |
| | 10 NIGHTMARES |
| | 15 OTHER (SPECIFY) |
| HLTH-18_MS1 [] | Section: Fertility |
Was the cost of the visit to the psychiatrist, psychologist, or counselor covered, at least in part, by any form of insurance or benefit program?
| HLTH-19_MS1 [] | Section: Fertility |
{^HLTH-SUB2({ms1-loop3})^}, have you felt, or has anyone suggested, that {^biochild_name({ms1-loop3})^} needed help for any behavioral, emotional, or mental problem?
| HLTH-20_MS1 [] | Section: Fertility |
Does [name of biochild([mother supplement loop])] regularly take any medicines or prescription drugs to help control [name of biochild([mother supplement loop])]'s activity level or behavior?
| CASI-OTHERPRES_MS1 [] | Section: Fertility |
INTERVIEWER: WAS ANYONE ELSE PRESENT, EXCLUDING THE RESPONDENT AND YOUNG CHILDREN (AGE 3 AND YOUNGER), WHEN YOU ASKED THE QUESTIONS ABOUT [name of biochild([mother supplement loop])]'S HEALTH AND BEHAVIOR?
| | 1 YES |
| | 0 NO |
| | 2 TELEPHONE INTERVIEW |
| MS1-LOOP-END_MS1 [] | Section: Fertility |
UNTIL([totbio4]==[mother supplement loop])
| Q10-2B [] | Section: Child Care |
{NUMBIO} > 0
COMMENT: Is there a child to check
If Answer = 1 Then Go To Q10-3-LOOP-BEGIN
| Q10-3-LOOP-BEGIN [] | Section: Child Care |
REPEAT
COMMENT: Start loop for checks
0
| Q10-4 [] | Section: Child Care |
{^biochild_statcode({Q10-LOOP1})^}==99
COMMENT: Is this child deleted ?
If Answer = 1 Then Go To Q10-65G-LOOP-END
| Q10-6B [] | Section: Child Care |
(([PREPRINTED CHILD CARE QUESTION([Q10-loop1 counter])]>0) || ([biological child status code([Q10-loop1 counter])]==97)) && ([age of biochild([Q10-loop1 counter])]>=1)
COMMENT: Is this a new child, a child without child care q pre-printed, and a child over the age of 1 ?
If Answer = 1 Then Go To Q10-9
| Q10-9 [] | Section: Child Care |
VAREXIST ([PREPRINTED CHILD CARE QUESTION([Q10-loop1 counter])])
COMMENT: Is there a child care question preprinted for this child?
If Answer = 1 Then Go To Q10-10
| Q10-10 [] | Section: Child Care |
{^biochild_chcareq({Q10-LOOP1})^}
COMMENT: SKIP BASED ON CHILD CARE Q?
If Answer = 0 Then Go To Q10-65G-LOOP-END
If Answer = 1 Then Go To Q10-11
If Answer = 2 Then Go To Q10-12
If Answer = 3 Then Go To Q10-31
If Answer = 4 Then Go To Q10-49
| Q10-11 [] | Section: Child Care |
([age of biochild([Q10-loop1 counter])]>=1)
COMMENT: Is first child one year old or older?
If Answer = 1 Then Go To Q10-12
| Q10-12 [] | Section: Child Care |
(Has/Did) [name of biochild([Q10-loop1 counter])] live(d) with you for all or most of [his/her([Q10-loop1 counter])] 1st year of life? By that I mean while [he/she([Q10-loop1 counter])] was less than a year old.
| Q10-13 [] | Section: Child Care |
{^intro_text({Q10-LOOP1})^}
In the 1st year of {^biochild_name({Q10-LOOP1})^}'s life, was {^bio_heshe({Q10-LOOP1})^} cared for in any regular childcare arrangement, for a month or more, while you worked or participated in some regular activity? Please include arrangements with {^biochild_name({Q10-LOOP1})^}'s other parent/step parent, a sibling or other relative.
| Q10-15 [] | Section: Child Care |
Not counting yourself, how many different childcare arrangements did you use for [name of biochild([Q10-loop1 counter])] during [his/her([Q10-loop1 counter])] 1st year of life that lasted for one month or more? If you used more than one sitter or more than one day care center, please count each one separately....
(INTERVIEWER: IF R STARTED WITH A SITTER OR CENTER AND THEN RETURNED TO THAT SAME SITTER OR CENTER AFTER AN INTERRUPTION OF AT LEAST ONE MONTH, PLEASE COUNT AS SEPARATE ARRANGEMENTS.)
| Q10-15B-LOOP-BEGIN [] | Section: Child Care |
REPEAT
COMMENT: Nested Loop about child care arrangements
| Q10-16A [] | Section: Child Care |
Where did the care take place for the [first/second/third] childcare arrangement during [name of biochild([Q10-loop1 counter])]'s 1st year of life. Did it take place in [name of biochild([Q10-loop1 counter])]'s home, another home, a day care or group care center, a nursery or preschool or somplace else?
| | 1 Child's home |
| | 2 Other home |
| | 3 Day care center or group care center ...(Go To Q10-17) |
| | 4 Nursery school or preschool ...(Go To Q10-17) |
| | 5 Other place (specify) ...(Go To Q10-17) |
| Q10-16B [] | Section: Child Care |
Who cared for [name of biochild([Q10-loop1 counter])] in the [child care location 1st year]? Was it [name of biochild([Q10-loop1 counter])]'s other parent/step parent, a sibling, a grandparent, another relative, or a nonrelative?
| | 1 Child's other parent or stepparent |
| | 2 Child's sibling |
| | 3 Child's grandparent |
| | 4 Other relative of child |
| | 5 Nonrelative |
| Q10-17 [] | Section: Child Care |
How many months did you use that childcare arrangement for [name of biochild([Q10-loop1 counter])] in [his/her([Q10-loop1 counter])] 1st year of life? (ROUND TO NEAREST MONTH.)
| Q10-18 [] | Section: Child Care |
What month and year did you first use that arrangement?
| Q10-19 [] | Section: Child Care |
How many months old was [name of biochild([Q10-loop1 counter])] when you first used that arrangement for [him/her([Q10-loop1 counter])]?
| Q10-20-LOOP-END [] | Section: Child Care |
UNTIL(([Q10-loop2 counter]==[# child care arrangements - bio child 1st yr of life]) || ([Q10-loop2 counter]==3))
COMMENT: Loop end
| Q10-30 [] | Section: Child Care |
([age of biochild([Q10-loop1 counter])]>=2)
COMMENT: Is first child two years old or older?
If Answer = 1 Then Go To Q10-31
| Q10-31 [] | Section: Child Care |
(Has/Did) [name of biochild([Q10-loop1 counter])] live(d) with you all or most of [his/her([Q10-loop1 counter])] 2nd year of life? By that I mean while [he/she([Q10-loop1 counter])] was between 1 & 2 years old.
| Q10-32 [] | Section: Child Care |
{^text_sub({Q10-LOOP1})^}
In the 2nd year of {^biochild_name({Q10-LOOP1})^}'s life, was {^bio_heshe({Q10-LOOP1})^} cared for in any regular childcare arrangement, for a month or more, while you worked or participated in some regular activity? Please include arrangements with {^biochild_name({Q10-LOOP1})^}'s other parent/step parent, a sibling or other relative.
| Q10-33A [] | Section: Child Care |
Not counting yourself, how many different childcare arrangements did you use for [name of biochild([Q10-loop1 counter])] during [his/her([Q10-loop1 counter])] 2nd year of life that lasted for one month or more? If you used more than one sitter or more than one day care center, please count each one separately....
(INTERVIEWER: IF R STARTED WITH A SITTER OR CENTER AND THEN RETURNED TO THAT SAME SITTER OR CENTER AFTER AN INTERRUPTION OF AT LEAST ONE MONTH, PLEASE COUNT AS SEPARATE ARRANGEMENTS.)
| Q10-33B-LOOP-BEGIN [] | Section: Child Care |
REPEAT
COMMENT: Nested Loop about child care arrangements in year two
| Q10-34A [] | Section: Child Care |
Where did the care take place for the [first/second/third] childcare arrangement during [name of biochild([Q10-loop1 counter])]'s 2nd year of life. Did it take place in [name of biochild([Q10-loop1 counter])]'s home, another home, a day care or group care center, a nursery or preschool or somplace else?
| | 1 Child's home |
| | 2 Other home |
| | 3 Day care center or group care center ...(Go To Q10-35) |
| | 4 Nursery school or preschool ...(Go To Q10-35) |
| | 5 Other place (specify) ...(Go To Q10-35) |
| Q10-34B [] | Section: Child Care |
Who cared for [name of biochild([Q10-loop1 counter])] in the [child care location 2nd year]? Was it [name of biochild([Q10-loop1 counter])]'s other parent/step parent, a sibling, a grandparent, another relative, or a nonrelative?
| | 1 Child's other parent or stepparent |
| | 2 Child's sibling |
| | 3 Child's grandparent |
| | 4 Other relative of child |
| | 5 Nonrelative |
| Q10-35 [] | Section: Child Care |
How many months did you use that childcare arrangement for [name of biochild([Q10-loop1 counter])] in [his/her([Q10-loop1 counter])] 2nd year of life? (ROUND TO NEAREST MONTH.)
| Q10-36 [] | Section: Child Care |
What month and year did you first use that arrangement?
| Q10-37A [] | Section: Child Care |
How old was [name of biochild([Q10-loop1 counter])] when you first used that arrangement for [him/her([Q10-loop1 counter])]?
| | 1 SELECT TO ENTER AGE |
| | 96 IF VOLUNTEERED: SINCE BIRTH ...(Go To Q10-38-LOOP-END) |
| Q10-37B [] | Section: Child Care |
(How old was [name of biochild([Q10-loop1 counter])] when you first used that arrangement for [him/her([Q10-loop1 counter])]?)
(INTERVIEWER: ENTER YEARS AND MONTHS BELOW.)
| Q10-37C [] | Section: Child Care |
| Q10-37E [] | Section: Child Care |
([Q10-37D([Q10-loop1 counter]:[Q10-loop3 counter])] + [Q10-37C([Q10-loop1 counter]:[Q10-loop3 counter])] > 24)
COMMENT: Was first child's age at first use of child care arrangement in 2nd year
of life over two years old?
If Answer = 0 Then Go To Q10-38-LOOP-END
| Q10-37F [] | Section: Child Care |
INTERVIEWER: THE AGE RESPONDENT HAS GIVEN FOR WHEN THIS ARRANGEMENT WAS FIRST USED FOR [name of biochild([Q10-loop1 counter])] IS INAPPROPRIATE. THE MAXIMUM POSSIBLE AGE OF [name of biochild([Q10-loop1 counter])] WHEN THIS ARRANGEMENT WAS FIRST USED WOULD BE THE EQUIVALENT OF 2 YEARS/24 MONTHS OLD. PLEASE VERIFY AGE AND BACK UP TO CORRECT INFORMATION AS NECESSARY.
| Q10-38-LOOP-END [] | Section: Child Care |
UNTIL(([Q10-loop3 counter]==[# child care arrangements - bio child 2nd yr of life]) || ([Q10-loop3 counter]==3))
COMMENT: End of loop for number of childcare arrangements
| Q10-48 [] | Section: Child Care |
([age of biochild([Q10-loop1 counter])]>=3)
COMMENT: Is first child three years old or older?
If Answer = 1 Then Go To Q10-49
| Q10-49 [] | Section: Child Care |
(Has/Did) [name of biochild([Q10-loop1 counter])] live(d) with you all or most of [his/her([Q10-loop1 counter])] 3rd year of life? By that I mean while [he/she([Q10-loop1 counter])] was between 2 & 3 years old.
| Q10-50 [] | Section: Child Care |
{^text_sub2({Q10-LOOP1})^}
In the 3rd year of {^biochild_name({Q10-LOOP1})^}'s life, was {^bio_heshe({Q10-LOOP1})^} cared for in any regular childcare arrangement, for a month or more, while you worked or participated in some regular activity? Please include arrangements with {^biochild_name({Q10-LOOP1})^}'s other parent/step parent, a sibling or other relative.
| Q10-51A [] | Section: Child Care |
Not counting yourself, how many different childcare arrangements did you use for [name of biochild([Q10-loop1 counter])] during [his/her([Q10-loop1 counter])] 3rd year of life that lasted for one month or more? If you used more than one sitter or more than one day care center, please count each one separately....
(INTERVIEWER: IF R STARTED WITH A SITTER OR CENTER AND THEN RETURNED TO THAT SAME SITTER OR CENTER AFTER AN INTERRUPTION OF AT LEAST ONE MONTH, PLEASE COUNT AS SEPARATE ARRANGEMENTS.)
| Q10-51B-LOOP-BEGIN [] | Section: Child Care |
REPEAT
COMMENT: Nested Loop about child care arrangements in year two
| Q10-52A [] | Section: Child Care |
Where did the care take place for the [first/second/third] childcare arrangement during [name of biochild([Q10-loop1 counter])]'s 3rd year of life. Did it take place in [name of biochild([Q10-loop1 counter])]'s home, another home, a day care or group care center, a nursery or preschool or somplace else?
| | 1 Child's home |
| | 2 Other home |
| | 3 Day care center or group care center ...(Go To Q10-53) |
| | 4 Nursery school or preschool ...(Go To Q10-53) |
| | 5 Other place (specify) ...(Go To Q10-53) |
| Q10-52B [] | Section: Child Care |
Who cared for [name of biochild([Q10-loop1 counter])] in the [child care location 3rd year]? Was it [name of biochild([Q10-loop1 counter])]'s other parent/step parent, a sibling, a grandparent, another relative, or a nonrelative?
| | 1 Child's other parent or stepparent |
| | 2 Child's sibling |
| | 3 Child's grandparent |
| | 4 Other relative of child |
| | 5 Nonrelative |
| Q10-53 [] | Section: Child Care |
How many months did you use that childcare arrangement for [name of biochild([Q10-loop1 counter])] in [his/her([Q10-loop1 counter])] 3rd year of life? (ROUND TO NEAREST MONTH.)
| Q10-54 [] | Section: Child Care |
What month and year did you first use that arrangement?
| Q10-55A [] | Section: Child Care |
How old was [name of biochild([Q10-loop1 counter])] when you first used that arrangement for [him/her([Q10-loop1 counter])]?
| | 1 SELECT TO ENTER AGE |
| | 96 IF VOLUNTEERED: SINCE BIRTH ...(Go To Q10-56-LOOP-END) |
| Q10-55B [] | Section: Child Care |
(How old was [name of biochild([Q10-loop1 counter])] when you first used that arrangement for [him/her([Q10-loop1 counter])]?)
(INTERVIEWER: ENTER YEARS AND MONTHS BELOW.)
| Q10-55C [] | Section: Child Care |
| Q10-55E [] | Section: Child Care |
([Q10-55D([Q10-loop1 counter]:[Q10-loop4 counter])]+[Q10-55C([Q10-loop1 counter]:[Q10-loop4 counter])]>36)
COMMENT: Was first child's age at first use of child care arrangement in 3rd year
of life over three years old?
If Answer = 0 Then Go To Q10-56-LOOP-END
| Q10-55F [] | Section: Child Care |
INTERVIEWER: THE AGE RESPONDENT HAS GIVEN FOR WHEN THIS ARRANGEMENT WAS FIRST USED FOR [name of biochild([Q10-loop1 counter])] IS INAPPROPRIATE. THE MAXIMUM POSSIBLE AGE OF [name of biochild([Q10-loop1 counter])] WHEN THIS ARRANGEMENT WAS FIRST USED WOULD BE THE EQUIVALENT OF 3 YEARS/36 MONTHS OLD. PLEASE VERIFY AGE AND BACK UP TO CORRECT INFORMATION AS NECESSARY.
| Q10-56-LOOP-END [] | Section: Child Care |
UNTIL(([Q10-loop4 counter]==[# child care arrangements - bio child 3rd yr of life]) || ([Q10-loop4 counter]==3))
COMMENT: End of loop for number of childcare arrangements
| Q10-65G-LOOP-END [] | Section: Child Care |
UNTIL ([Q10-loop1 counter]==[Number of biological children])
COMMENT: end for each child
| Q10-66 [] | Section: Child Care |
([partner in hh?]==1) || ([spouse in hh?]==1) || ([marital status code]==1) || ([marital status code]==5)
COMMENT: Does R have a spouse or partner listed on the household roster?
If Answer = 1 Then Go To Q10-67
| Q10-67 [] | Section: Child Care |
Now we have a few questions about your current (marriage/relationship).
Would you say that your (relationship/marriage) is...very happy, fairly happy, or not too happy?
| | 1 Very happy |
| | 2 Fairly happy |
| | 3 Not too happy |
| Q10-68 [] | Section: Child Care |
How often do you and [Spouse/partner's name]... (READ EACH ITEM IN LIST)...almost every day, once or twice a week, once or twice a month, or less than once a month?
| | - ...calmly discuss something? |
| | - ...laugh together |
| | - ...tell each other about your day |
| | 1 Almost Every Day |
| | 2 Once or Twice a Week |
| | 3 Once or Twice a Month |
| | 4 Less Than Once a Month |
| Q10-69 [] | Section: Child Care |
How frequently do you and [Spouse/partner's name] have arguments about ...(READ EACH ITEM IN LIST)....often, sometimes, hardly ever, or never?
| | - ...chores and responsibilities |
| | - ...your children |
| | - ...money |
| | - ...showing affection to each other |
| | - ...religion |
| | - ...leisure or free time |
| | - ...drinking |
| | - ...other women |
| | - ...(his/her) relatives |
| | - ...your relatives |
| | 1 Often |
| | 2 Sometimes |
| | 3 Hardly Ever |
| | 4 Never |
| Q10-70 [] | Section: Child Care |
Now we have a few questions about your current dating experiences.
How often do you go out on dates? Is it...READ CATEGORIES
| | 5 Almost every day |
| | 4 Once or twice a week |
| | 3 Once or twice a month |
| | 2 Less than once a month |
| | 1 Not at all |
| Q10-71A [] | Section: Child Care |
([Number of biological children] > 0)
COMMENT: Has R ever had any children?
If Answer = 1 Then Go To Q10-71C
| Q10-71C [] | Section: Child Care |
([status of oldest bio child] == 8) || ([status of oldest bio child] == 5)
If Answer = 0 Then Go To Q10-72
| Q10-72 [] | Section: Child Care |
Thinking of your oldest child, does (he/she)....READ CATEGORIES
(INTERVIEWER: OLDEST CHILD IS [name of oldest bio child].)
| | 1 Encourage your dating |
| | 2 Discourage your dating |
| | 3 Not care one way or the other whether you date |
| Q10-73 [] | Section: Child Care |
Thinking of the future, would you....READ CATEGORIES
| | 1 Like to get married |
| | 2 Like to marry sometime, but not right now |
| | 3 Rather not get married |
| Q10-76 [] | Section: Child Care |
INTERVIEWER: WAS ANYONE ELSE PRESENT, EXCLUDING SMALL CHILDREN (AGE 3 OR UNDER) WHEN YOU ASKED THE QUESTIONS IN SECTION 10?
| | 1 YES |
| | 0 NO |
| | 2 TELEPHONE INTERVIEW |
| Q11-1AAA [] | Section: Health |
([total number of employers reported] >= 1)
COMMENT: Is there at least one employer listed?
If Answer = 1 Then Go To Q11-1B
{*employer.curflag(1)*}==1
COMMENT: STATUS (Merged,%datevar%,1 WAS R WORKING IN WEEK BEFORE INTERVIEW WEEK?
If Answer = 1 Then Go To Q11-4
(INTERVIEWER: ENTERING HEALTH SECTION)
Would your health keep you from working on a job for pay now?
(Are you/Would you be) limited in the kind of work you (could) do on a job for pay because of your health?
(Are you/Would you be) limited in the amount of work you (could) do because of your health?
(([Would your health keep you from working now?]==1) || ([Limited in kind of work due to accident or injury?]==1) || ([Limited in amount of work due to accident or injury?]==1))
COMMENT: Check if R has reported a health limitation which affects work.
If Answer = 1 Then Go To Q11-5B
([RESPONDENT GENDER]==1)
COMMENT: Is respondent male?
If Answer = 1 Then Go To Q11-7
([time unit for time next child planned]==1) && ([number of months r plans to have next child]<=9)
COMMENT: Is R currently pregnant?
If Answer = 1 Then Go To Q11-6
Is your limitation entirely due to your current pregnancy?
Since what month and year have you had this limitation [" "/Other than your pregnancy]?
| | 1 SELECT TO ENTER DATE ...(Go To Q11-8) |
| | 0 IF VOLUNTEERED: 'ALL MY LIFE' |
INTERVIEWER: ENTER DATE FROM WHICH R HAS HAD THIS LIMITATION.
| Q11-ASTHMA-CHK0 [] | Section: Health |
VAREXIST ([asthma reptd in previous int])
COMMENT: Was R employed since last interview?
If Answer = 1 Then Go To Q11-ASTHMA-CHK1
| Q11-ASTHMA-CHK1 [] | Section: Health |
{r_asthma}==1
If Answer = 1 Then Go To Q11-ASTHMA-9_A
| Q11-ASTHMA-9_A [] | Section: Health |
VAREXIST ([DATE RESPONDENT STOPPED WORKING FOR EMPLOYER(1)])
COMMENT: Was R employed since last interview?
If Answer = 1 Then Go To Q11-ASTHMA-9_B
| Q11-ASTHMA-9_B [] | Section: Health |
DATE2DAY([DATE RESPONDENT STOPPED WORKING FOR EMPLOYER(1)]) >= DATE2DAY([12 months before reference date])
COMMENT: Has R been employed in the past 12 months?
If Answer = 0 Then Go To Q11-CARE-1
| Q11-ASTHMA-10 [] | Section: Health |
When we talked to you on [Date of last interview], you reported that you had asthma.
During the past 12 months, how many days of work did you miss due to your asthma?
| Q11-CARE-1 [] | Section: Health |
Is anyone in your household (besides you) disabled or chronically ill?
| Q11-CARE-2 [] | Section: Health |
Which household member is this?
(INTERVIEWER: PROBE IF THERE IS MORE THAN ONE HOUSEHOLD MEMBER: "Is there anyone else?")
| Q11-CARE-3 [] | Section: Health |
Do you regularly spend time helping or taking care of [this person/these people]?
| Q11-CARE-3B [] | Section: Health |
About how many hours per week do you spend doing this?
| Q11-CARE-4 [] | Section: Health |
Do you regularly spend time helping or taking care of a relative or friend who does not live in your household?
| Q11-CARE-4B [] | Section: Health |
About how many hours per week do you spend doing this?
How much do you weigh?
(ENTER POUNDS)
| Q11-10_A [] | Section: Health |
How tall are you?
(INTERVIEWER: IF R ANSWERS ONLY IN FEET OR ONLY IN INCHES, LEAVE OTHER FIELD BLANK.)
| Q11-10_B [] | Section: Health |
| Q11-GENHLTH_1A_1 [] | Section: Health |
How often do you do vigorous activities for at least 10 minutes that cause heavy sweating or large increases in breathing or heart rate?
(INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF ACTIVITY, ENTER "996" IN "FREQUENCY". IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0" IN "FREQUENCY".)
| Q11-GENHLTH_1A_2 [] | Section: Health |
CHOOSE TIME UNIT:
| | 1 Per day |
| | 2 Per week |
| | 3 Per month |
| | 4 Per year |
| | 5 Unable to do this activity |
| Q11-GENHLTH_1B [] | Section: Health |
([frequency of vigorous exercise]==0 || [frequency of vigorous exercise]==996)
COMMENT: If R is unable or never does physical activities then skip question about how long
If Answer = 1 Then Go To Q11-GENHLTH_2A_1
| Q11-GENHLTH_1C_1 [] | Section: Health |
About how long do you do these vigorous activities each time?
| Q11-GENHLTH_1C_2 [] | Section: Health |
SELECT TIME UNIT:
| Q11-GENHLTH_2A_1 [] | Section: Health |
How often do you do light or moderate activities for at least 10 minutes that cause only light sweating or slight to moderate increase in breathing or heart rate?
(INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF ACTIVITY, ENTER "996" IN "FREQUENCY". IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0" IN "FREQUENCY".)
| Q11-GENHLTH_2A_2 [] | Section: Health |
SELECT TIME UNIT:
| | 1 Per day |
| | 2 Per week |
| | 3 Per month |
| | 4 Per year |
| | 5 Unable to do this activity |
| Q11-GENHLTH_2B [] | Section: Health |
([frequency of moderate exercise]==0 || [frequency of moderate exercise]==996)
COMMENT: If R is unable or never does physical activities then skip question about how long
If Answer = 1 Then Go To Q11-GENHLTH_3A_1
| Q11-GENHLTH_2C_1 [] | Section: Health |
About how long do you do these light or moderate activities each time?
| Q11-GENHLTH_2C_2 [] | Section: Health |
SELECT TIME UNIT:
| Q11-GENHLTH_3A_1 [] | Section: Health |
How often do you do physical activities specifically designed to strengthen your muscles such as lifting weights or doing calisthenics? (Include all such activities even if you have mentioned them before.)
(INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF ACTIVITY, ENTER "996" IN "FREQUENCY". IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0" IN "FREQUENCY".)
| Q11-GENHLTH_3A_2 [] | Section: Health |
SELECT TIME UNIT:
| | 1 Per day |
| | 2 Per week |
| | 3 Per month |
| | 4 Per year |
| | 5 Unable to do this activity |
| Q11-GENHLTH-PRV1 [] | Section: Health |
Do you have a health care provider that you can see when you are sick or need advice about your health?
| Q11-GENHLTH-PRV2 [] | Section: Health |
What kind of place do you go to most often for this care—is it a clinic, doctor's office, emergency room, or some other place?
| | 1 Clinic or health center |
| | 2 Doctor’s office or HMO |
| | 3 Hospital emergency room |
| | 4 Some other place |
| | 5 Don’t go to one place most often |
| Q11-GENHLTH_4A [] | Section: Health |
About how long has it been since your last general physical exam or routine checkup by a medical doctor or other health professional? Do not include a visit about a specific problem.
Has it been...(READ CATEGORIES AS NECESSARY)?
| | 0 Never |
| | 1 A year ago or less |
| | 2 More than 1 year but not more than 2 years |
| | 3 More than 2 years but not more than 3 years |
| | 4 More than 3 years but not more than 5 years |
| | 5 Over 5 years ago |
| Q11-GENHLTH_4B [] | Section: Health |
{resp_gender}
COMMENT: If R is unable or never does physical activities then skip question about how long
If Answer = 1 Then Go To Q11-GENHLTH_4C_M
| Q11-GENHLTH_4C_M [] | Section: Health |
During the past 24 months, that is since [refdate_24mo~X], have you had any of the following medical tests or procedures?
| | - A flu shot? |
| | - A blood test for cholesterol? |
| | - A blood test for diabetes or blood sugar levels? |
| | - An examination of your prostate to screen for cancer? |
| | - A colonoscopy or other test to screen for colorectal cancer? |
| | - An electrocardiogram (EKG or ECG) or stress test? |
| | - Have you had your blood pressure measured? |
| Q11-GENHLTH_4D_M [] | Section: Health |
Are you currently taking...
| | - ...aspirin regularly to lower the risk of a heart attack or other cardiovascular event? |
| | - ...any medications to control your blood sugar level? |
| | - ...any medications to control your blood pressure? |
| Q11-GENHLTH_4E_M [] | Section: Health |
During the past 24 months, that is since [refdate_24mo~X], have you seen or talked to either of the following types of doctors?
| | - A dentist for a routine check-up or exam? |
| | - An optician or opthamologist for a routine eye exam? |
| Q11-GENHLTH_4C_F [] | Section: Health |
During the past 24 months, that is since [refdate_24mo~X], have you had any of the following medical tests or procedures?
| | - A flu shot? |
| | - A blood test for cholesterol? |
| | - A blood test for diabetes or blood sugar levels? |
| | - A mammogram or x-ray of the breast to search for cancer? |
| | - A PAP smear? |
| | - A bone density test to screen for osteoporosis? |
| | - A colonoscopy or other test to screen for colorectal cancer? |
| | - An electrocardiogram (EKG or ECG) or stress test? |
| | - Have you had your blood pressure measured? |
| Q11-GENHLTH_4D_F [] | Section: Health |
Are you currently taking...
| | - ...aspirin regularly to lower the risk of a heart attack or other cardiovascular event? |
| | - ...any medications to control your blood sugar level? |
| | - ...any medications to control your blood pressure? |
| | - ...any hormone replacement therapy or "HRT" medications? |
| Q11-GENHLTH_4E_F [] | Section: Health |
During the past 24 months, that is since [refdate_24mo~X], have you seen or talked to any of the following types of doctors?
| | - An obstetrician, gynecologist or other doctor who specializes in women's health? |
| | - A dentist for a routine check-up or exam? |
| | - An optician or opthamologist for a routine eye exam? |
| Q11-GENHLTH_4F [] | Section: Health |
Are you currently taking any medications to control or lower your cholesterol level?
| Q11-GENHLTH_4G [] | Section: Health |
Are any of those medications known as "statins"?
| Q11-GENHLTH_5A_1 [] | Section: Health |
Do you have any of your own, natural teeth?
| Q11-GENHLTH_5A_2 [] | Section: Health |
During a usual week, how many times do you....
...Brush your teeth?
| Q11-GENHLTH_5A_3 [] | Section: Health |
...Use dental floss?
| Q11-GENHLTH_6A [] | Section: Health |
Are you now trying to lose weight, gain weight, stay about the same, or are you not trying to do anything about your weight?
| | 1 Lose weight |
| | 2 Gain weight |
| | 3 Stay about the same |
| | 4 Not trying to do anything |
| Q11-GENHLTH_7A [] | Section: Health |
When you buy a food item for the first time, how often would you say you read the nutritional information sometimes listed on the label - would you say always, often, sometimes, rarely or never?
| | 0 Don't buy food |
| | 1 Always |
| | 2 Often |
| | 3 Sometimes |
| | 4 Rarely |
| | 5 Never |
| Q11-GENHLTH_7B [] | Section: Health |
When you buy a food item for the first time, how often would you say you read the ingredient list on the package - (would you say always, often, sometimes, rarely or never)?
| | 0 Don't buy food |
| | 1 Always |
| | 2 Often |
| | 3 Sometimes |
| | 4 Rarely |
| | 5 Never |
| Q11-GENHLTH_7C_1 [] | Section: Health |
In the past seven days, how many times did you...
...Eat food from a fast food restaurant such as McDonalds, Kentucky Fried Chicken, Pizza Hut, or Taco Bell?
| Q11-GENHLTH_7C_2 [] | Section: Health |
(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)
| Q11-GENHLTH_7D_1 [] | Section: Health |
(In the past seven days, how many times did you...)
...Eat a snack between meals?
| Q11-GENHLTH_7D_2 [] | Section: Health |
(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)
| Q11-GENHLTH_7E_1 [] | Section: Health |
(In the past seven days, how many times did you...)
...Skip a meal?
| Q11-GENHLTH_7E_2 [] | Section: Health |
(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)
| Q11-GENHLTH_7F_1 [] | Section: Health |
(In the past seven days, how many times did you...)
...Have a soft drink or soda that contained sugar? (Do not include diet soft drinks or sodas, or carbonated water.)
| Q11-GENHLTH_7F_2 [] | Section: Health |
(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)
| Q11-HLTHPLN-INTCHK [] | Section: Health |
{haschild_ins}==1 || {hassp_ins}==1
If Answer = 1 Then Go To Q11-HLTHPLN-INTRO
| Q11-HLTHPLN-INTRO [] | Section: Health |
The next questions are about health insurance. We would first like to find out about your own health insurance coverage. We will then ask about coverage of your [spintro] [hlth_and] [childins].
Are you covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)
(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].
| Q11-80B [] | Section: Health |
(INTERVIEWER: IF R PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE FOR THE SOURCE OF FUNDING.)
What is the source of your primary health insurance or hospitalization plan? Is it from a policy from your current or previous employer, a policy from [your husband/wife/partner] a policy bought directly from a medical insurance company, is it Medicaid or an alternative Medicaid provider, or is it from some other source?
| | 1 Policy from your CURRENT employer |
| | 2 Policy from a PREVIOUS employer |
| | 3 Policy from spouse's or partner's CURRENT employer |
| | 4 Policy from spouse's or partners PREVIOUS employer |
| | 5 Policy you or your spouse or partner bought directly from amedical insurance company |
| | 6 Medicaid or Medicaid provider/Medi-Cal/Medical Assist/Welfare/Medical Service |
| | 7 Other (SPECIFY) |
| Q11-80B_1 [T77084.00] | Section: Health |
Who else in your family is covered by this plan?
(SELECT ALL THAT APPLY.)
| | 1 Spouse |
| | 2 Partner |
| | 3 Residential children |
| | 4 Your non-residential biological/adopted children |
| | 5 Your spouse/partner's non-residential biological/adopted children |
| | 6 Other dependents |
| | 7 Your parents or siblings |
| | 99 No other person |
| Q11-80F [] | Section: Health |
Have you (or your employer) set up a health savings account, medical savings account, or health-related flexible savings account to help pay your health care expenses?
| Q11-HLTHPLN-3CHK [] | Section: Health |
{Q11-79}==0 || {Q11-80B}==1
COMMENT: /* Respondent reports no health insurance coverage, or coverage not specified in response categories. */
If Answer = 1 Then Go To Q11-80G
| Q11-80G [] | Section: Health |
There is a program called Medicaid that pays for health care for persons in need. In [RESPONDENT STATE] it is also called [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]]. Are you covered by Medicaid?
(INTERVIEWER: GENERALLY, IF R OR EMPLOYER DO NOT HAVE TO PAY, THE INSURANCE IS MEDICAID OR A MEDICAID ALTERNATIVE. PLEASE SEE HELP SCREEN FOR LIST OF MEDICAID ALTERNATIVE PROVIDERS AND PLANS FOR [RESPONDENT STATE].)
| Q11-81C_1 [] | Section: Health |
Not including single service plans, about how long has it been since you last had health care coverage?
| | 0 6 months or less |
| | 1 More than 6 months, but less than 1 year |
| | 2 More than 1 year, but not more than 3 years |
| | 3 More than 3 years |
| | 4 Never |
| Q11-HLTHPLN-5CHK [] | Section: Health |
{Q11-80B}==1
COMMENT: /* Respondent reports some type of health insurance */
If Answer = 1 Then Go To Q11-HLTHPLN-6CHK
| Q11-81A [] | Section: Health |
In the past 12 months, have you ever been without coverage?
| Q11-81B_1 [] | Section: Health |
About how many months were you without coverage?
| Q11-HLTHPLN-6CHK [] | Section: Health |
{Q11-79}==0 || {Q11-80B}==1 || {Q11-81A}==1
COMMENT: Respondent reports no health insurance coverage or coverage not specified in response categories or some non-coverage in the last 12 months
If Answer = 0 Then Go To Q11-HLTHPLN-7CHK
| Q11-81G [] | Section: Health |
Which of these are the reasons you (do/did) not have health insurance?
(INTERVIEWER: SELECT ALL THAT APPLY.)
| | 1 Person in family with health insurance lost job or changed employers |
| | 2 Got divorced or separated/death of spouse or partner |
| | 3 Employer does not offer coverage/or not eligible for coverage |
| | 4 Cost is too high |
| | 5 Insurance company refused coverage |
| | 6 [FEMALE ONLY] Medicaid/Medical plan stopped after pregnancy |
| | 7 Lost Medicaid/Medical Plan because of new job or increase in income |
| | 8 Lost Medicaid (other) |
| | 9 Other (specify) |
| Q11-HLTHPLN-7CHK [] | Section: Health |
{hassp_ins}==1
COMMENT: Respondent reported a spouse
If Answer = 1 Then Go To Q11-HLTHPLN-7CHKA
| Q11-HLTHPLN-7CHKA [] | Section: Health |
VAREXIST([Q11-80B_1])
If Answer = 1 Then Go To Q11-HLTHPLN-7CHKB
| Q11-HLTHPLN-7CHKB [] | Section: Health |
INSELECTION([Q11-80B_1],1) || INSELECTION([Q11-80B_1],2)
COMMENT: Spouse/partner covered by R's primary health care
If Answer = 1 Then Go To Q11-HLTHPLN-8CHK
Is [Spouse/partner's name] covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)
(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].
| Q11-84B [] | Section: Health |
(INTERVIEWER: IF R PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE FOR THE SOURCE OF FUNDING.)
What is the source of [Spouse/partner's name]'s primary health insurance or hospitalization plan? Is it from a policy from your current or previous employer, a policy from [your husband/wife/partner] a policy bought directly from a medical insurance company, is it Medicaid or an alternative Medicaid provider, or is it from some other source?
(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].
| | 1 Policy from your CURRENT employer |
| | 2 Policy from a PREVIOUS employer |
| | 3 Policy from spouse's or partner's CURRENT employer |
| | 4 Policy from spouse's or partners PREVIOUS employer |
| | 5 Policy you or your spouse or partner bought directly from amedical insurance company |
| | 6 Medicaid or Medicaid provider/Medi-Cal/Medical Assist/Welfare/Medical Service |
| | 7 Other (SPECIFY) |
| Q11-HLTHPLN-8CHK [] | Section: Health |
{haschild_ins}==1
If Answer = 1 Then Go To Q11-HLTHPLN-8CHKA
| Q11-HLTHPLN-8CHKA [] | Section: Health |
VAREXIST([Q11-80B_1])
If Answer = 1 Then Go To Q11-HLTHPLN-8CHKB
| Q11-HLTHPLN-8CHKB [] | Section: Health |
INSELECTION([Q11-80B_1],3) || INSELECTION([Q11-80B_1],4) ||
INSELECTION([Q11-80B_1],5
COMMENT: Children covered by R's primary health care
If Answer = 1 Then Go To Q11-RESP_AGE2
{childins_intro} covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)
(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, {medicaid_name}.
| Q11-88B [] | Section: Health |
(INTERVIEWER: IF R PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE FOR THE SOURCE OF FUNDING.)
What is the source of your child(ren)'s primary health insurance or hospitalization plan? Is it from a policy from your current or previous employer, a policy from [your husband/wife/partner] a policy bought directly from a medical insurance company, is it Medicaid or an alternative Medicaid provider, or is it from some other source?
(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].
| | 1 Policy from your CURRENT employer |
| | 2 Policy from a PREVIOUS employer |
| | 3 Policy from spouse's or partner's CURRENT employer |
| | 4 Policy from spouse's or partners PREVIOUS employer |
| | 5 Policy you or your spouse or partner bought directly from amedical insurance company |
| | 6 Medicaid or Medicaid provider/Medi-Cal/Medical Assist/Welfare/Medical Service |
| | 7 Other (SPECIFY) |
| Q11-RESP_AGE2 [] | Section: Health |
{cognition-flag} == 1
If Answer = 1 Then Go To Q11-H50-2
| COGNITION-C1 [] | Section: Health |
Part of this study is concerned with people's memory, and ability to think about things. First, how would you rate your memory at the present time? Would you say it is excellent, very good, good, fair or poor?
| | 1 Excellent |
| | 2 Very Good |
| | 3 Good |
| | 4 Fair |
| | 5 Poor |
| COGNITION-C2 [] | Section: Health |
Compared to (two years ago/[year before current year]), would you say your memory is better now, about the same, or worse now than it was then?
| | 1 better |
| | 2 about the same |
| | 3 worse |
| COGNITION-3_TEST1 [] | Section: Health |
I'll read a set of 10 words and ask you to recall as many as you can. We have purposely made the list long so that it will be difficult for anyone to recall all the words. Most people recall just a few. Please listen carefully as I read the set of words because I cannot repeat them. When I finish, I will ask you to recall aloud as many of the words as you can, in any order. Is this clear?
(INTERVIEWER: PROBE AS NEEDED FOR UNDERSTANDING OF TASK. READ ITEMS ON FOLLOWING SCREEN AT A SLOW STEADY RATE, AS THEY FLASH ON THE SCREEN.
IF R REFUSES DURING OR AFTER THE INTRODUCTION AND BEFORE ANY WORDS ARE READ, SELECT "REFUSED WORD LIST" BELOW AND SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| | 1 CONTINUE WITH WORD LIST |
| | 2 REFUSED WORD LIST ...(Go To COGNITION-6) |
| COG_RANDOM_TEST1 [] | Section: Health |
INT(RAND(0)*5)
If Answer = 1 Then Go To COG_LIST1A_TEST1_M1
If Answer = 2 Then Go To COG_LIST2A_TEST1_M2
If Answer = 3 Then Go To COG_LIST3A_TEST1_M3
If Answer = 4 Then Go To COG_LIST4A_TEST1_M4
| COG_LIST1A_TEST1_M1 [] | Section: Health |
(INTERVIEWER: DOUBLE CLICK START ARROW TO START WORD LIST. READ WORDS AS THEY FLASH ON THE SCREEN.
AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| | - Hotel |
| | - River |
| | - Tree |
| | - Skin |
| | - Gold |
| | - Market |
| | - Paper |
| | - Child |
| | - King |
| | - Book |
| | 1 RECALLED |
| | 0 NOT RECALLED |
| COGNITION-4A_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| COG_LIST2A_TEST1_M2 [] | Section: Health |
(INTERVIEWER: DOUBLE CLICK START ARROW TO START WORD LIST. READ WORDS AS THEY FLASH ON THE SCREEN.
AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| | - Sky |
| | - Ocean |
| | - Flag |
| | - Dollar |
| | - Wife |
| | - Machine |
| | - Home |
| | - Earth |
| | - College |
| | - Butter |
| | 1 RECALLED |
| | 0 NOT RECALLED |
| COGNITION-4B_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| COG_LIST3A_TEST1_M3 [] | Section: Health |
(INTERVIEWER: DOUBLE CLICK START ARROW TO START WORD LIST. READ WORDS AS THEY FLASH ON THE SCREEN.
AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| | - Woman |
| | - Rock |
| | - Blood |
| | - Corner |
| | - Shoes |
| | - Letter |
| | - Girl |
| | - House |
| | - Valley |
| | - Engine |
| | 1 RECALLED |
| | 0 NOT RECALLED |
| COGNITION-4C_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| COG_LIST4A_TEST1_M4 [] | Section: Health |
(INTERVIEWER: DOUBLE CLICK START ARROW TO START WORD LIST. READ WORDS AS THEY FLASH ON THE SCREEN.
AFTER READING WORDS, ASK:)
Now please tell me the words you can recall.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| | - Water |
| | - Church |
| | - Doctor |
| | - Palace |
| | - Fire |
| | - Garden |
| | - Sea |
| | - Village |
| | - Baby |
| | - Table |
| | 1 RECALLED |
| | 0 NOT RECALLED |
| COGNITION-4D_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| COGNITION-4_CHK4 [] | Section: Health |
(INTERVIEWER: PLEASE INDICATE WHETHER ANY OF THE FOLLOWING PROBLEMS OCCURRED IN RELATION TO WORD RECALL.)
(SELECT ALL THAT APPLY.)
| | 1 R HAD DIFFICULTY HEARING ANY OF THE WORDS |
| | 2 INTERRUPTION OCCURRED WHILE YOU WERE READING LIST |
| | 3 OTHER PROBLEM (PLEASE SPECIFY) |
| | 4 NO PROBLEMS OCCURRED |
| COGNITION-6 [] | Section: Health |
For this next question, please try to count backward as quickly as you can from the number I will give you. I will tell you when to stop.
Please start with: 20
(INTERVIEWER: ALLOW R TO START OVER IF S/HE WISHES TO DO SO. SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)
| | 1 CONTINUE WITH BACKWARD COUNTING |
If Answer >= -2 AND Answer <= -1 Then Go To COGNITION-6G
| COGNITION-6A [] | Section: Health |
INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS, OR ASKS TO START OVER.
R CAN CORRECTLY COUNT DOWN FROM 19 TO 10 OR FROM 20 TO 11.
| | 1 CONTINUE WITH BACKWARD COUNTING |
If Answer >= -2 AND Answer <= -1 Then Go To COGNITION-6G
| COGNITION-6C [] | Section: Health |
You may stop now. Thank you.
(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 19 TO 10 OR FROM 20 TO 11 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. DON'T KNOW IS NOT AN ACCEPTABLE RESPONSE.)
| | 1 CORRECT |
| | 5 INCORRECT |
| | 6 WANTS TO START OVER ...(Go To COGNITION-6D) |
| | 97 REFUSED |
| COGNITION-6D [] | Section: Health |
Let's try again.
The number to count backward from is : 20
(INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)
| | 1 CONTINUE WITH BACKWARD COUNTING |
If Answer >= -2 AND Answer <= -1 Then Go To COGNITION-6G
| COGNITION-6D_Y1 [] | Section: Health |
INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS.
| | 1 CONTINUE WITH BACKWARD COUNTING |
If Answer >= -2 AND Answer <= -1 Then Go To COGNITION-6G
| COGNITION-6F [] | Section: Health |
You may stop now. Thank you.
(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 19 TO 10 OR FROM 20 TO 11 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. DON'T KNOW IS NOT AN ACCEPTABLE RESPONSE.)
| | 1 CORRECT |
| | 5 INCORRECT |
| | 97 REFUSED |
| COGNITION-6G [] | Section: Health |
Now please try counting backward from a different number. Remember to count as quickly as you can from the number I mention.
Please start with: 86
(INTERVIEWER: ALLOW R TO START OVER IF S/HE WISHES TO DO SO. SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)
| | 1 CONTINUE WITH BACKWARD COUNTING |
If Answer >= -2 AND Answer <= -1 Then Go To COGNITION-7A
| COGNITION-6G_Y1 [] | Section: Health |
INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS, OR ASKS TO START OVER.
R CAN CORRECTLY COUNT DOWN FROM 86 TO 77 OR FROM 85 TO 76.
| | 1 CONTINUE WITH BACKWARD COUNTING |
If Answer >= -2 AND Answer <= -1 Then Go To COGNITION-7A
| COGNITION-6J [] | Section: Health |
You may stop now. Thank you.
(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 85 TO 76 OR FROM 86 TO 77 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. ALLOW R TO START OVER IF S/HE WISHES TO DO SO.)
| | 1 CORRECT |
| | 5 INCORRECT |
| | 6 WANTS TO START OVER ...(Go To COGNITION-6K) |
| | 97 REFUSED |
| COGNITION-6K [] | Section: Health |
Let's try again.
The number to count backward from is : 86
(INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS YOU READ THE NUMBER.)
| | 1 CONTINUE WITH BACKWARD COUNTING |
If Answer >= -2 AND Answer <= -1 Then Go To COGNITION-7A
| COGNITION-6K_Y1 [] | Section: Health |
INTERVIEWER: SELECT <CONTINUE WITH BACKWARD COUNTING> AS SOON AS R HAS COUNTED 10 NUMBERS, OR STOPS.
| | 1 CONTINUE WITH BACKWARD COUNTING |
If Answer >= -2 AND Answer <= -1 Then Go To COGNITION-7A
| COGNITION-6N [] | Section: Health |
You may stop now. Thank you.
(INTERVIEWER: SELECT <CORRECT> IF R COUNTED BACKWARDS FROM 85 TO 76 OR FROM 86 TO 77 WITHOUT ERROR. SELECT <REFUSED> IF R REFUSED TO TRY THE TASK. DON'T KNOW IS NOT AN ACCEPTABLE RESPONSE.)
| | 1 CORRECT |
| | 5 INCORRECT |
| | 97 REFUSED |
| COGNITION-7A [] | Section: Health |
Now let's try some subtraction of numbers. One hundred minus 7 equals what?
(INTERVIEWER: IF R ADDS 7 INSTEAD, YOU MAY REPEAT THE QUESTION. IF DON'T KNOW OR REFUSED ANY NUMBER, SELECT <SUBMIT AND CONTINUE> TO PROCEED.)
| COGNITION-7B [] | Section: Health |
And 7 from that?
| COGNITION-7C [] | Section: Health |
And 7 from that?
| COGNITION-7D [] | Section: Health |
And 7 from that?
| COGNITION-7E [] | Section: Health |
And 7 from that?
| COGNITION-8_CHK [] | Section: Health |
{word_list_refused1} == 2 || {correct_words_cnt1} > 0
If Answer = 0 Then Go To Q11-H50-2
| COGNITION-CHK4 [] | Section: Health |
{cog_word_list_flag}
If Answer = 1 Then Go To COGNITION-8A_1
If Answer = 2 Then Go To COGNITION-8B_1
If Answer = 3 Then Go To COGNITION-8C_1
If Answer = 4 Then Go To COGNITION-8D_1
| COGNITION-8A_1 [] | Section: Health |
A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| | - Hotel |
| | - River |
| | - Tree |
| | - Skin |
| | - Gold |
| | - Market |
| | - Paper |
| | - Child |
| | - King |
| | - Book |
| | 1 RECALLED |
| | 0 NOT RECALLED |
| COGNITION-8A_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| COGNITION-8B_1 [] | Section: Health |
A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| | - Sky |
| | - Ocean |
| | - Flag |
| | - Dollar |
| | - Wife |
| | - Machine |
| | - Home |
| | - Earth |
| | - College |
| | - Butter |
| | 1 RECALLED |
| | 0 NOT RECALLED |
| COGNITION-8B_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| COGNITION-8C_1 [] | Section: Health |
A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| | - Woman |
| | - Rock |
| | - Blood |
| | - Corner |
| | - Shoes |
| | - Letter |
| | - Girl |
| | - House |
| | - Valley |
| | - Engine |
| | 1 RECALLED |
| | 0 NOT RECALLED |
| COGNITION-8C_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| COGNITION-8D_1 [] | Section: Health |
A little while ago, I read you a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.
(INTERVIEWER: PERMIT AS MUCH TIME AS THE R WISHES UP TO ABOUT 2 MINUTES. SELECT "RECALLED" FOR WORDS R RECALLED, AND "NOT RECALLED" FOR WORDS THE R DID NOT RECALL.
SELECT <SUBMIT AND CONTINUE> TO ENTER WRONG WORDS ONTO THE ROSTER ON NEXT SCREEN. BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| | - Water |
| | - Church |
| | - Doctor |
| | - Palace |
| | - Fire |
| | - Garden |
| | - Sea |
| | - Village |
| | - Baby |
| | - Table |
| | 1 RECALLED |
| | 0 NOT RECALLED |
| COGNITION-8D_2 [] | Section: Health |
(INTERVIEWER: ENTER WRONG WORDS "RECALLED" ON ROSTER BELOW BY SELECTING <ADD ROW> AND TYPING THE WORD.)
| Q11-H50-2 [] | Section: Health |
{birthdate~Y} <= 1962
If Answer = 1 Then Go To Q11-H50-2A
| Q11-H50-2A [] | Section: Health |
([r complete 40+ health module?]==1)
COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out
If Answer = 1 Then Go To Q11-RCH-HLTH_LINT
| Q11-H50CESD [] | Section: Health |
Now I am going to read a list of the ways that you might have felt or behaved recently. After each statement, please tell me how often you felt this way during the past week.
During the past week.....
| | - I did not feel like eating; my appetite was poor. |
| | - I felt that I could not shake off the blues, even with help from my family or friends. |
| | - I had trouble keeping my mind on what I was doing. |
| | - I felt depressed. |
| | - I felt that everything I did was an effort. |
| | - My sleep was restless. |
| | - I felt lonely. |
| | - I felt sad. |
| | - I could not get "going". |
| | 0 None at all or less than 1 day |
| | 1 1-2 days |
| | 2 3-4 Days |
| | 3 5-7 Days |
| Q11-H50BPARCHK1 [] | Section: Health |
{fath_alive}
If Answer = 0 Then Go To Q11-H50BPARCHK2
| Q11-H50BPAR-1 [] | Section: Health |
This next series of questions asks about your biological parent's health.
Is your biological father still alive?
If Answer >= -2 AND Answer <= -1 Then Go To Q11-H50BPAR-6
| Q11-H50BPAR-2 [] | Section: Health |
What caused your biological father's death?
| | 1 Heart Attack/Stroke |
| | 2 Accident |
| | 3 Cancer |
| | 4 Old Age |
| | 5 Emphysema |
| | 6 Other (specify) |
| Q11-H50BPAR-3 [] | Section: Health |
How old was he when he died?
| Q11-H50BPAR-4 [] | Section: Health |
{Did_does_fath} your father have any major health problems?
| Q11-H50BPAR-5 [] | Section: Health |
What [are/were_fath] these problems?
| Q11-H50BPARCHK2 [] | Section: Health |
{moth_alive}
If Answer = 0 Then Go To Q11-H50SF12-1
| Q11-H50BPAR-6 [] | Section: Health |
Is your biological mother still alive?
If Answer >= -2 AND Answer <= -1 Then Go To Q11-H50SF12-1
| Q11-H50BPAR-7 [] | Section: Health |
What caused your biological mother's death?
| | 1 Heart Attack/Stroke |
| | 2 Accident |
| | 3 Cancer |
| | 4 Old Age |
| | 5 Emphysema |
| | 6 Other (specify) |
| Q11-H50BPAR-8 [] | Section: Health |
How old was she when she died?
| Q11-H50BPAR-9 [] | Section: Health |
{did_does_moth} your mother have any major health problems?
| Q11-H50BPAR-10 [] | Section: Health |
What [are/were_moth] these problems?
| Q11-H50SF12-1 [] | Section: Health |
Next I will be asking you more specific questions about your health. This information will help keep track of how you feel and how well you are able to do your usual activities.
If you are unsure about how to answer, please give the best answer you can.
| Q11-H50SF12-2 [] | Section: Health |
In general, would you say your health is ....
| | 1 Excellent |
| | 2 Very Good |
| | 3 Good |
| | 4 Fair |
| | 5 Poor |
| Q11-H50SF12-3 [] | Section: Health |
The following items are activities you might do during a typical day. Does your health limit you in these activities?
......Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling or playing golf?
| | 3 Yes, Limited a Lot |
| | 2 Yes, Limited a Little |
| | 1 No, Not Limited at All |
| Q11-H50SF12-3B [] | Section: Health |
..... Climbing several flights of stairs?
| | 3 Yes, Limited a Lot |
| | 2 Yes, Limited a Little |
| | 1 No, Not Limited at All |
| Q11-H50SF12-4 [] | Section: Health |
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health?
..... Accomplished less than you would like?
| Q11-H50SF12-4B [] | Section: Health |
.... Were limited in the kind of work or other activities?
| Q11-H50SF12-5 [] | Section: Health |
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?
.... Accomplished less than you would like?
| Q11-H50SF12-5B [] | Section: Health |
.... Didn't do work or other activities as carefully as usual?
| Q11-H50SF12-6 [] | Section: Health |
During the past 4 weeks, how much did pain interfere with your normal work (including both work outside of the home and housework)?
| | 1 Not at all |
| | 2 A little bit |
| | 3 Moderately |
| | 4 Quite a bit |
| | 5 Extremely |
| Q11-H50SF12-7 [] | Section: Health |
Thinking only of the past 4 weeks, please give the one answer that comes closest to the way you have been feeling. How often during the past 4 weeks....
.... have you felt calm and peaceful?
| | 1 All the time |
| | 2 Most of the time |
| | 3 A good bit of the time |
| | 4 Some of the time |
| | 5 A little of the time |
| | 6 None of the time |
| Q11-H50SF12-7B [] | Section: Health |
.... Did you have a lot of energy?
| | 1 All the time |
| | 2 Most of the time |
| | 3 A good bit of the time |
| | 4 Some of the time |
| | 5 A little of the time |
| | 6 None of the time |
| Q11-H50SF12-7C [] | Section: Health |
.... Have you felt down-hearted and blue?
| | 1 All the time |
| | 2 Most of the time |
| | 3 A good bit of the time |
| | 4 Some of the time |
| | 5 A little of the time |
| | 6 None of the time |
| Q11-H50SF12-8 [] | Section: Health |
During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?
| | 1 All the time |
| | 2 Most of the time |
| | 3 A good bit of the time |
| | 4 Some of the time |
| | 5 A little of the time |
| | 6 None of the time |
| Q11-H50CHRC_CHK1 [] | Section: Health |
{h40_bp_ht}==1
COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out
If Answer = 1 Then Go To Q11-H50CHRC-1B
| Q11-H50CHRC-1 [] | Section: Health |
Has a doctor ever told you that you have high blood pressure or hypertension?
| Q11-H50CHRC-1A [] | Section: Health |
In what month and year was that first diagnosed?
(ENTER MONTH AND YEAR)
| Q11-H50CHRC-1B [] | Section: Health |
Do you have high blood pressure or hypertension at the present time?
| Q11-H50CHRC_CHK2 [] | Section: Health |
{h40_diabetes_hbs}==1
COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out
If Answer = 1 Then Go To Q11-H50CHRC-2B
| Q11-H50CHRC-2 [] | Section: Health |
Has a doctor ever told you that you have diabetes or high blood sugar?
| Q11-H50CHRC-2A [] | Section: Health |
In what month and year was that first diagnosed?
| Q11-H50CHRC-2B [] | Section: Health |
Has a doctor ever told you that you had skin cancer?
| Q11-H50CHRC-3 [] | Section: Health |
{h50_cancer_text1} a doctor ever told you that you have cancer or malignant tumor of any kind except skin cancer?
| Q11-H50CHRC-3A [] | Section: Health |
How many such cancers have you [Had/had since (date of 40+ Health Module)]?
If Answer = 0 Then Go To Q11-H50CHRC_CHK3
| Q11-H50CHRC-3AB [] | Section: Health |
REPEAT
| Q11-H50CHRC-3B [] | Section: Health |
In what month and year was [most recent/next most recent] cancer diagnosed?
| Q11-H50CHRC-3C [] | Section: Health |
In which organ or part of your body did this cancer occur?
| Q11-H50CHRC-3D [] | Section: Health |
Do you currently have any such cancer?
| Q11-H50CHRC-3DB [] | Section: Health |
UNTIL ([Q11-loop3 counter]==[Number of cancers R reported] || [Number of cancers R reported]==0)
| Q11-H50CHRC_CHK3 [] | Section: Health |
{r_asthma}==1
COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out
If Answer = 1 Then Go To Q11-H50CHRC_CHK4
| Q11-H50CHRC-3E [] | Section: Health |
Do you currently suffer from asthma?
| Q11-H50CHRC_CHK4 [] | Section: Health |
{h40_nonasthma_chroniclung}==1
COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out
If Answer = 1 Then Go To Q11-H50CHRC-5
| Q11-H50CHRC-4 [] | Section: Health |
Not including asthma, has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema?
| Q11-H50CHRC-5 [] | Section: Health |
{h50_heart_text1} a doctor ever told you that you had a heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems?
| Q11-H50CHRC-5A [] | Section: Health |
{h50_heart_text2} you have a heart attack or myocardial infarction?
| Q11-H50CHRC-5B [] | Section: Health |
In what month and year did you have your [last] heart attack or myocardial infarction?
| Q11-H50CHRC-5C [] | Section: Health |
Do you currently have any angina or chest pains due to your heart?
| Q11-H50CHRC-6 [] | Section: Health |
Has a doctor ever told you that you have congestive heart failure?
| Q11-H50CHRC-6A [] | Section: Health |
In what month and year was your congestive heart failure?
| Q11-H50CHRC-7 [] | Section: Health |
{h50_stroke_text1} a doctor ever told you that you had a stroke?
| Q11-H50CHRC-7A [] | Section: Health |
In what month and year did you last have a stroke?
| Q11-H50CHRC-7B [] | Section: Health |
Has a doctor ever diagnosed you as suffering from depression?
| Q11-H50CHRC-7C [] | Section: Health |
In what month and year was your depression diagnosed?
| Q11-H50CHRC-7D [] | Section: Health |
During the last 12 months, have you suffered from depression?
| Q11-H50CHRC_CHK6 [] | Section: Health |
{h40_psychiatric}==1
COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out
If Answer = 1 Then Go To Q11-H50CHRC_CHK7
| Q11-H50CHRC-8 [] | Section: Health |
Has a doctor ever told you that you had emotional, nervous, or psychiatric problems other than depression?
| Q11-H50CHRC-8A [] | Section: Health |
In what month and year were your emotional, nervous or psychiatric problems diagnosed?
| Q11-H50CHRC-8B [] | Section: Health |
During the last 12 months, have you had any emotional, nervous, or psychiatric problems?
| Q11-H50CHRC_CHK7 [] | Section: Health |
{h40_arthritis}==1
COMMENT: Did this respondent go through the extended health questions in round 18, round 19, round 20 or round 21? If yes, skip out
If Answer = 1 Then Go To Q11-H50CHRC-9B
| Q11-H50CHRC-9 [] | Section: Health |
Have you ever had, or has a doctor ever told you that you have, arthritis or rheumatism?
| Q11-H50CHRC-9A [] | Section: Health |
In what month and year was your arthritis or rheumatism diagnosed?
| Q11-H50CHRC-9AB [] | Section: Health |
(In what month and year was your arthritis or rheumatism diagnosed?)
| Q11-H50CHRC-9B [] | Section: Health |
Do you sometimes have pain, stiffness, or swelling in your joints?
| Q11-H50CHRC-9C [] | Section: Health |
Has a doctor ever told you that you had osteoporosis?
| Q11-H50FL-1 [] | Section: Health |
Do you currently use any special equipment to aid you in your usual activities? By this we mean things such as hearing aids, wheelchairs, scooters, canes, protheses, or special telephones. Please do not include eyeglasses or false teeth.
| Q11-H50FL-2 [] | Section: Health |
We are interested in how much difficulty people have with various activities because of a health or physical problem. How difficult is it for you to…
| | - ... Run a mile? |
| | - … Walk several blocks? |
| | - … Walk one block? |
| | - ... Sit for about 2 hours? |
| | - ... Get up from a chair after sitting for long periods? |
| | - ... Climb several flights of stairs without resting? |
| | - ... Climb one flight of stairs without resting? |
| | - ... Lift or carry weights OVER 10 pounds, like a heavy bag of groceries? |
| | - ... Stoop, kneel, or crouch? |
| | - ... Pick up a dime from a table? |
| | - ... Reach or extend your arms above shoulder level? |
| | - ... Pull or push large objects like a living room chair? |
| | 1 Not at all difficult for you |
| | 2 A little difficult |
| | 3 Somewhat difficult |
| | 4 Very difficult/can't do |
| | 5 Don't do |
| Q11-H50SLP-1 [] | Section: Health |
How much sleep do you usually get at night (or in your main sleep period) on weekdays or workdays?
| Q11-H50SLP-1B [] | Section: Health |
| Q11-H50SLP-2 [] | Section: Health |
How much sleep do you usually get at night (or in your main sleep period) on weekends or your nonworkdays?
| Q11-H50SLP-2B [] | Section: Health |
| Q11-H50SLP-3 [] | Section: Health |
How long does it usually take you to fall asleep at bedtime?
| Q11-H50SLP-3B [] | Section: Health |
| Q11-H50SLP-4 [] | Section: Health |
During a usual week, how many times do you nap for 5 minutes or more?
| Q11-H50SLP-5 [] | Section: Health |
How often do you…
| | - … have trouble falling asleep? |
| | - … wake up during the night and have trouble going back to sleep? |
| | - … wake up too early in the morning and be unable to get back to sleep? |
| | - … feel unrested during the day, no matter how many hours of sleep you had? |
| | 1 Almost always (4+ times per week) |
| | 2 Often (2-3 times per week) |
| | 3 Sometimes (2-4 times per month) |
| | 4 Rarely or never (once a month or less) |
| Q11-H50OPEN-1 [] | Section: Health |
Is there anything else you want to tell us about your health?
| Q11-H50OPEN-1A [] | Section: Health |
(INTERVIEWER: RECORD VERBATIM RESPONSE.)
| Q11-RCH-HLTH_LINT [] | Section: Health |
{lint_rnd}==25
If Answer = 1 Then Go To CIG_CHK1
| Q11-RCH-HLTH-1 [] | Section: Health |
Consider your health when you were growing up, from birth to age 17. Would you say your health during that time was excellent, very good, good, fair, or poor?
| | 1 Excellent |
| | 2 Very Good |
| | 3 Good |
| | 4 Fair |
| | 5 Poor |
| Q11-RCH-HLTH-2 [] | Section: Health |
From birth to age 17, did you ever have a hospital stay lasting at least two weeks?
| Q11-RCH-HLTH-3 [] | Section: Health |
{CH_HLTH_TEXT} birth to age 17 were you ever confined to bed or home for four or more weeks because of a health condition?
| Q11-RCH-HLTH-4 [] | Section: Health |
Before age 18, did you live with anyone who was depressed, mentally ill, or suicidal?
| Q11-RCH-HLTH-5 [] | Section: Health |
Before age 18, did you live with anyone who was a problem drinker or alcoholic?
| Q11-RCH-HLTH-6 [] | Section: Health |
Before age 18, how often did a parent or adult in your home ever hit, beat, kick or physically harm you in any way? Do not include spanking. Would you say never, once, or more than once?
| | 0 Never |
| | 1 Once |
| | 2 More than once |
| Q11-RCH-HLTH-7 [] | Section: Health |
Before age 18, how much parental love and affection did you receive growing up? Would you say a great deal, quite a lot, a little, or none at all?
| | 1 A great deal |
| | 2 Quite a lot |
| | 3 A little |
| | 4 None at all |
| Q11-HEADINJ-1 [] | Section: Health |
Have you ever had a blow to the head or a similar type of head injury that was severe enough to require medical attention, or to cause loss of consciousness or memory loss for a period of time?
| Q11-HEADINJ-2A [] | Section: Health |
How many times has this happened?
If Answer >= 2 AND Answer <= 99 Then Go To Q11-HEADINJ-3B
| Q11-HEADINJ-3A [] | Section: Health |
Did the head injury lead to a loss of consciousness?
| Q11-HEADINJ-3B [] | Section: Health |
How many of those head injuries lead to a loss of consciousness?
If Answer >= 1 AND Answer <= 99 Then Go To Q11-HEADINJ-4
| Q11-HEADINJ-4 [] | Section: Health |
{head_injury_text1} How old were you at that time?
| Q11-HEADINJ-5 [] | Section: Health |
How long were you unconscious?
| | 1 Less than 5 minutes |
| | 2 5 to 29 minutes |
| | 3 30 to 59 minutes |
| | 4 1 to 24 hours |
| | 5 More than 1 day |
| Q11-HEADINJ-6 [] | Section: Health |
Would you say that, in general, your sense of smell is excellent, very good, good, fair or poor?
| | 1 Excellent |
| | 2 Very Good |
| | 3 Good |
| | 4 Fair |
| | 5 Poor ...(Go To Q11-HEADINJ-7) |
| Q11-HEADINJ-7 [] | Section: Health |
Are you completely unable to detect smells or odors?
| CIG_CHK1 [] | Section: Smoking and Alcohol Use |
{smoke_100} == 1
If Answer = 1 Then Go To CIG_CHK2
| DS-2 [] | Section: Smoking and Alcohol Use |
Have you smoked at least 100 cigarettes in your entire life?
| CIG_CHK2 [] | Section: Smoking and Alcohol Use |
{smoke_daily} == 1
If Answer = 1 Then Go To DS-5
| DS-3A [] | Section: Smoking and Alcohol Use |
Have you ever smoked cigarettes daily?
| | 1 Yes ...(Go To DS-5) |
| | 0 No |
| DS-5 [] | Section: Smoking and Alcohol Use |
Do you now smoke daily, occasionally or not at all?
| | 1 DAILY |
| | 2 OCCASIONALLY ...(Go To DS-6A) |
| | 3 NOT AT ALL ...(Go To DS-6A) |
| DS-6A [] | Section: Smoking and Alcohol Use |
How long has it been since you last smoked cigarettes daily?
(ENTER IN YEARS, MONTHS, OR WEEKS)
| DS-6B [] | Section: Smoking and Alcohol Use |
| | 1 ANSWERED IN WEEKS |
| | 2 ANSWERED IN MONTHS |
| | 3 ANSWERED IN YEARS |
| DS-7 [] | Section: Smoking and Alcohol Use |
How many cigarettes do you smoke per day?
| Q12-CHK1 [] | Section: Smoking and Alcohol Use |
{hh1-1} == 5
If Answer = 0 Then Go To Q12-3
| Q12-3 [] | Section: Smoking and Alcohol Use |
Have you had any alcoholic beverages, including beer, wine, or liquor, during the last 30 days?
| | 1 Yes |
| | 0 No ...(Go To Q12-8) |
| Q12-5 [] | Section: Smoking and Alcohol Use |
During the last 30 days, on how many days did you drink any alcoholic beverages, including beer, wine, or liquor?
| Q12-6 [] | Section: Smoking and Alcohol Use |
On the days that you drink, about how many drinks do you have on the average day? By a drink, we mean the equivalent of a can of beer, a glass of wine, or a shot glass of hard liquor.
| Q12-4 [] | Section: Smoking and Alcohol Use |
How often have you had 6 or more drinks on one occasion during the last 30 days? Would you say it was...(READ CATEGORIES)?
| | 0 Never in the last 30 days |
| | 1 Less often than once a week |
| | 2 1 or 2 times per week |
| | 3 3 or 4 times per week |
| | 4 5 or 6 times per week |
| | 5 Everyday |
| Q12-8 [] | Section: Smoking and Alcohol Use |
INTERVIEWER: WAS ANYONE ELSE PRESENT OTHER THAN SMALL CHILDREN (AGE 3 OR UNDER) WHEN YOU ASKED THE QUESTIONS ON ALCOHOL USE?
| | 1 YES |
| | 0 NO |
| | 2 TELEPHONE INTERVIEW |
| Q13-1A [] | Section: Income, Recipiency and Debt |
We now have some questions about your income and household spending in [calendar year prior to survey year]. We appreciate that our questions are difficult to answer and sometimes seem intrusive.
However, the spending patterns of Americans are of national importance, and your answers to these questions provide us with the most reliable figures on your generation's spending habits. As with other questions in this survey, we want to reassure you that the information you provide to us is kept confidential.
| Q13-2 [] | Section: Income, Recipiency and Debt |
During [calendar year prior to survey year], did you receive any income from service in the military?
| | 1 Yes ...(Go To Q13-3) |
| | 0 No |
| Q13-3 [] | Section: Income, Recipiency and Debt |
And how much total income did you receive during [calendar year prior to survey year] from the military before taxes and other deductions? Please include money received from special pays, allowances, and bonuses.
If Answer = -2 Then Go To Q13-3_SR000001
If Answer = -1 Then Go To Q13-3_UAB_A
| Q13-3_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-3_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-3_UAB_A
| Q13-3_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to $[entry pt military inc] or more?
| Q13-3_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $5,000 or more?
| Q13-3_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $40,000 or more?
| Q13-3_FLAGSET_CHK [] | Section: Income, Recipiency and Debt |
{q13_3_ref}==1
COMMENT: Q13_9_REF flag to 0
If Answer = 1 Then Go To Q13-5
| Q13-5 [] | Section: Income, Recipiency and Debt |
{inc_text1} {pcy_year}, how much did you receive from wages, salary, commissions, or tips from all (other) jobs, before deductions for taxes or anything else?
If Answer = -2 Then Go To Q13-5_SR000001
If Answer = -1 Then Go To Q13-5_REF_2
| Q13-5_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-5_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-5_REF_2
| Q13-5_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-6
| Q13-5_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to $[entry pt wage inc] or more?
| Q13-5_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $15,000 or more?
| Q13-5_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $50,000 or more?
| Q13-6 [] | Section: Income, Recipiency and Debt |
{inc_text2} {pcy_year}, did you receive any money in income ...
from your own farm?
| Q13-7 [] | Section: Income, Recipiency and Debt |
{inc_text2} {pcy_year}, did you receive any money in income from ...
your own non-farm business, partnership, or professional practice?
| Q13-8 [] | Section: Income, Recipiency and Debt |
([Farm ownership reported in income qs]==1) || ([Business or Professional pratice ownership reported in income qs]==1)
COMMENT: Did R receive income from either own farm or own non-farm business or partnership?
If Answer = 1 Then Go To Q13-8A
| Q13-8A [] | Section: Income, Recipiency and Debt |
([Farm ownership reported in income qs]==1)
COMMENT: Did R receive income from own farm?
If Answer = 1 Then Go To Q13-8B
| Q13-8B [] | Section: Income, Recipiency and Debt |
Are any of the farms you own or have investments in, jointly owned or invested in with someone else?
(INTERVIEWER: A FARM OWNED WITH A SPOUSE OR DOMESTIC PARTNER IS NOT CONSIDERED JOINTLY OWNED. R MUST OWN OR INVEST WITH SOMEONE OUTSIDE [HISR/HERR] HOUSEHOLD TO QUALIFY FOR JOINT OWNERSHIP.)
| Q13-8C [] | Section: Income, Recipiency and Debt |
([Business or Professional pratice ownership reported in income qs]==1)
COMMENT: Did R receive income from own non-farm business or partnership?
If Answer = 1 Then Go To Q13-8D
| Q13-8D [] | Section: Income, Recipiency and Debt |
Are any of the business or professional practices you own or have investments in, jointly owned or invested in with someone else?
(INTERVIEWER: A BUSINESS OR PROFESSIONAL PRACTICE OWNED WITH A SPOUSE OR DOMESTIC PARTNER IS NOT CONSIDERED JOINTLY OWNED. R MUST OWN OR INVEST WITH SOMEONE OUTSIDE [HISR/HERR] HOUSEHOLD TO QUALIFY FOR JOINT OWNERSHIP.)
| Q13-8E [] | Section: Income, Recipiency and Debt |
([Farm ownership reported in income qs]==1 || [Business or Professional pratice ownership reported in income qs]==1)
COMMENT: Did R report either farm or business income?
If Answer = 1 Then Go To Q13-8F
| Q13-8F [] | Section: Income, Recipiency and Debt |
([Farm ownership reported in income qs]==1 && [Business or Professional pratice ownership reported in income qs]==1 && [farms jointly owned or invested in with someone else]==0 && [Business or Professional Pratice Wholly Owned By R?]==0)
COMMENT: Did R report both business and farm income, but no joint ownership in either farm or business?
If Answer = 1 Then Go To Q13-9_REF_1
| Q13-8G [] | Section: Income, Recipiency and Debt |
([Farm ownership reported in income qs]==1 && [Business or Professional pratice ownership reported in income qs]==1 && [farms jointly owned or invested in with someone else]==1 && [Business or Professional Pratice Wholly Owned By R?]==1)
COMMENT: Did R report both business and farm income, and both joint ownership?
If Answer = 1 Then Go To Q13-9_REF_1
| Q13-8H [] | Section: Income, Recipiency and Debt |
([Farm ownership reported in income qs]==1 && [Business or Professional pratice ownership reported in income qs]==1 && [farms jointly owned or invested in with someone else]==1 && [Business or Professional Pratice Wholly Owned By R?]==0)
COMMENT: Did R report both business and farm income, and joint ownership of farm?
If Answer = 1 Then Go To Q13-9_REF_1
| Q13-8I [] | Section: Income, Recipiency and Debt |
([Farm ownership reported in income qs]==1 && [Business or Professional pratice ownership reported in income qs]==1 && [farms jointly owned or invested in with someone else]==0 && [Business or Professional Pratice Wholly Owned By R?]==1)
COMMENT: Did R report both business and farm income, and joint ownership of business or professional practice?
If Answer = 1 Then Go To Q13-9_REF_1
| Q13-8J [] | Section: Income, Recipiency and Debt |
([Farm ownership reported in income qs]==1 && [Business or Professional pratice ownership reported in income qs]==0 && [farms jointly owned or invested in with someone else]==0)
COMMENT: Did R report farm income, and no joint ownership?
If Answer = 1 Then Go To Q13-9_REF_1
| Q13-8K [] | Section: Income, Recipiency and Debt |
([Farm ownership reported in income qs]==1 && [Business or Professional pratice ownership reported in income qs]==0 && [farms jointly owned or invested in with someone else]==1)
COMMENT: Did R report farm income, and joint ownership?
If Answer = 1 Then Go To Q13-9_REF_1
| Q13-8L [] | Section: Income, Recipiency and Debt |
([Farm ownership reported in income qs]==0 && [Business or Professional pratice ownership reported in income qs]==1 && [Business or Professional Pratice Wholly Owned By R?]==0)
COMMENT: Did R report business income, and no joint ownership?
If Answer = 1 Then Go To Q13-9_REF_1
| Q13-8M [] | Section: Income, Recipiency and Debt |
([Farm ownership reported in income qs]==0 && [Business or Professional pratice ownership reported in income qs]==1 && [Business or Professional Pratice Wholly Owned By R?]==1)
COMMENT: Did R report business income, and joint ownership?
If Answer = 1 Then Go To Q13-9_REF_1
| Q13-9_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-9_REF_2
| Q13-9 [] | Section: Income, Recipiency and Debt |
How much did you receive after expenses [from your farms and businesses or professional practices/from your businesses or professional practices]?
If Answer = -2 Then Go To Q13-9_SR000001
If Answer = -1 Then Go To Q13-9_REF_2
| Q13-9_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-9_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-9_REF_2
| Q13-9_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13RECIP-1
| Q13-9_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt business inc] or more?
| Q13-9_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $2,500 or more?
| Q13-9_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $40,000 or more?
| Q13RECIP-1 [] | Section: Income, Recipiency and Debt |
([receipt of welfare program reported at last interview]==1)
COMMENT: Any r/spouse/partner unemp, ssi, afdc/general assistance, food stamp reported at dli?
If Answer = 1 Then Go To Q13U-43A
| Q13RECIP-2 [] | Section: Income, Recipiency and Debt |
Since [rec_refdate~X], have you [or] [Spouse/partner's name] received any unemployment benefits?
| | 1 R only ...(Go To Q13U-43B) |
| | 2 Spouse/partner only ...(Go To Q13-10) |
| | 3 Both R and spouse/partner ...(Go To Q13U-43B) |
| | 4 Neither R nor spouse/partner (if any) |
| Q13U-43A [] | Section: Income, Recipiency and Debt |
Since [rec_refdate~X] have you received unemployment compensation?
| Q13U-43B [] | Section: Income, Recipiency and Debt |
When did you start receiving unemployment compensation after [rec_refdate~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| Q13U-43C [] | Section: Income, Recipiency and Debt |
(When did you first start receiving unemployment compensation, after [rec_refdate~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13U-44A1-LOOP-BEGIN [] | Section: Income, Recipiency and Debt |
REPEAT
COMMENT: BEGIN LOOP TO COLLECT NEW SPELLS OF UNEMPLOYMENT RECEIPT
| Q13U-44A3 [] | Section: Income, Recipiency and Debt |
([UNEMPR_LOOP2 counter] ==1)
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If Answer = 1 Then Go To Q13U-44A5
| Q13U-44A5 [] | Section: Income, Recipiency and Debt |
([Month and year r started to rcv unemp comp payments] == 2)
COMMENT: DID R RECEIVE AGAIN, BUT DOES NOT KNOW DATES?
If Answer = 1 Then Go To Q13U-63A
| Q13U-44A6 [] | Section: Income, Recipiency and Debt |
(([Month and year r started to rcv unemp comp payments] == 1) && ([UNEMPR_LOOP2 counter] == 1))
COMMENT: WAS A DATE COLLECTED OUTSIDE OF THE LOOP
If Answer = 1 Then Go To Q13U-44D
| Q13U-44B [] | Section: Income, Recipiency and Debt |
When did you (next) start receiving unemployment compensation since [month/year respondent last received unemployment benefits([UNEMPR_LOOP2 counter])~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| | 1 SELECT TO ENTER DATES |
| | 2 DID RECEIVE, BUT DON'T KNOW DATES ...(Go To Q13U-63AA) |
If Answer >= -2 AND Answer <= -1 Then Go To Q13U-64C-LOOP-END
| Q13U-44C [] | Section: Income, Recipiency and Debt |
(When did you (next) start receiving unemployment compensation, after [month/year respondent last received unemployment benefits([UNEMPR_LOOP2 counter])~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13U-44D [] | Section: Income, Recipiency and Debt |
Have you received unemployment compensation continuously since [Month and Year R began receiving unemp. comp([UNEMPR_LOOP2 counter])~X]?
| Q13U-45A [] | Section: Income, Recipiency and Debt |
When did you first stop receiving unemployment compensation, since [Month and Year R began receiving unemp. comp([UNEMPR_LOOP2 counter])~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| | 1 SELECT TO ENTER DATES |
| | 2 DID RECEIVE, BUT DON'T KNOW DATES ...(Go To Q13U-63AB) |
| Q13U-45B [] | Section: Income, Recipiency and Debt |
(When did you first stop receiving unemployment compensation, since [Month and Year R began receiving unemp. comp([UNEMPR_LOOP2 counter])~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13U-47E [] | Section: Income, Recipiency and Debt |
On average, between [Month and Year R began receiving unemp. comp([UNEMPR_LOOP2 counter])~X] and [Month/year respondent stopped receiving unemployment benefits([UNEMPR_LOOP2 counter])~X], how much unemployment compensation did you receive per week?
| Q13U-62 [] | Section: Income, Recipiency and Debt |
([Recvd Unemp comp continuously since startdate?] == 1)
COMMENT: DID R REPORT CONTINUOUS RECEIPT OF UNEMPLOYMENT?
If Answer = 1 Then Go To Q13U-64C-LOOP-END
| Q13U-63 [] | Section: Income, Recipiency and Debt |
How much did you receive per week during [Month/year respondent stopped receiving unemployment benefits([UNEMPR_LOOP2 counter])~X]?
| Q13U-63A [] | Section: Income, Recipiency and Debt |
About how many weeks since [rec_refdate~X] did you receive any unemployment compensation?
| Q13U-63AA [] | Section: Income, Recipiency and Debt |
About how many weeks since [month/year respondent last received unemployment benefits([UNEMPR_LOOP2 counter])~X] did you receive any unemployment compensation?
| Q13U-63AB [] | Section: Income, Recipiency and Debt |
About how many weeks since [Month and Year R began receiving unemp. comp([UNEMPR_LOOP2 counter])~X] did you receive any unemployment compensation?
| Q13U-63B [] | Section: Income, Recipiency and Debt |
How much did you receive the last time you received any unemployment compensation?
| Q13U-64 [] | Section: Income, Recipiency and Debt |
Since [Month/year respondent stopped receiving unemployment benefits([UNEMPR_LOOP2 counter])~X], did you start receiving unemployment compensation again?
| Q13U-64C-LOOP-END [] | Section: Income, Recipiency and Debt |
UNTIL ([Did r rcv unemp comp again?([UNEMPR_LOOP2 counter])] != 1)
COMMENT: LOOP UNTIL NO MORE SPELLS OF UNEMPLOYMENT RECEIPT REPORTED
| Q13-10 [] | Section: Income, Recipiency and Debt |
(([spouse in hh?] ==1) && (([marital status code] ==1) || ([marital status code] ==5) || ([marital status code]==4) || ([partner in hh?] ==1)))
COMMENT: Is R currently married with a spouse in the household or is there a partner in the household?
If Answer = 1 Then Go To Q13-15
| Q13-15 [] | Section: Income, Recipiency and Debt |
During [calendar year prior to survey year], did [Spouse/partner's name] receive any income from service [S/HE] performed in the military?
| Q13-16_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1)
COMMENT: R already refuse previous amounts?
If Answer = 1 Then Go To Q13-16_REF_2
| Q13-16 [] | Section: Income, Recipiency and Debt |
And how much total income did [Spouse/partner's name] receive during [calendar year prior to survey year] from the military before taxes and other deductions? Please include money received from special pays, allowances, and bonuses.
If Answer = -2 Then Go To Q13-16_SR000001
If Answer = -1 Then Go To Q13-16_REF_2
| Q13-16_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-16_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-16_REF_2
| Q13-16_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1)
COMMENT: R already refuse previous amounts?
If Answer = 1 Then Go To Q13-18
| Q13-16_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt military inc] or more?
| Q13-16_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $5,000 or more?
| Q13-16_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $40,000 or more?
| Q13-18 [] | Section: Income, Recipiency and Debt |
{inc_text3} {pcy_year}, how much did {spar3} receive from wages, salary, commissions, or tips from all (other) jobs, before deductions for taxes or anything else?
If Answer = -2 Then Go To Q13-18_SR000001
If Answer = -1 Then Go To Q13-18_REF_2
| Q13-18_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-18_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-18_REF_2
| Q13-18_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-20
| Q13-18_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt wage inc] or more?
| Q13-18_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $15,000 or more?
| Q13-18_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $50,000 or more?
| Q13-20 [] | Section: Income, Recipiency and Debt |
{inc_text4} {inc_text5} {inc_text6} {pcy_year}, did {spar3} receive any money in income from {his_her} own farm?
{inc_intinstruct_text7}
| Q13-22 [] | Section: Income, Recipiency and Debt |
{inc_text4} {inc_text5} {inc_text6} {pcy_year}, did {spar3} receive any money in income from {his_her} own non-farm business, partnership, or professional practice?
{inc_intinstruct_text7}
| Q13-23 [] | Section: Income, Recipiency and Debt |
([Farm ownership by spouse/partner reported in income qs]==1) || ([Business or Professional pratice ownership by spouse/partner reported in income qs]==1)
COMMENT: Did spouse receive income from either own farm or own non-farm business or partnership?
If Answer = 1 Then Go To Q13-23A
| Q13-23A [] | Section: Income, Recipiency and Debt |
([Farm ownership by spouse/partner reported in income qs]==1)
COMMENT: Did spouse receive income from own farm?
If Answer = 1 Then Go To Q13-23B
| Q13-23B [] | Section: Income, Recipiency and Debt |
Are any of the farms [Spouse/partner's name] owns or has investments in, jointly owned or invested in with someone else?
(INTERVIEWER: A FARM OWNED WITH [r's first name] [r's middle name] [r's last name] IS NOT CONSIDERED JOINTLY OWNED. [Spouse/partner's name] MUST OWN OR INVEST WITH SOMEONE OUTSIDE [his/her] HOUSEHOLD TO QUALIFY FOR JOINT OWNERSHIP.)
| Q13-23C [] | Section: Income, Recipiency and Debt |
([Business or Professional pratice ownership by spouse/partner reported in income qs]==1)
COMMENT: Did spouse receive income from own non-farm business or partnership?
If Answer = 1 Then Go To Q13-23D
| Q13-23D [] | Section: Income, Recipiency and Debt |
Are any of the business or professional practices [Spouse/partner's name] owns or has investments in, jointly owned or invested in with someone else?
| Q13-23E [] | Section: Income, Recipiency and Debt |
([Farm ownership by spouse/partner reported in income qs]==1 || [Business or Professional pratice ownership by spouse/partner reported in income qs]==1)
COMMENT: Did spouse report either farm or business income?
If Answer = 1 Then Go To Q13-23F
| Q13-23F [] | Section: Income, Recipiency and Debt |
([Farm ownership by spouse/partner reported in income qs]==1 && [Business or Professional pratice ownership by spouse/partner reported in income qs]==1 && [Spouse/partner's farms jointly owned or invested in with someone else]==0 && [Business or Professional Pratice Jointly Owned By R?]==0)
COMMENT: Did spouse report both business and farm income, but no joint ownership in either farm or business?
If Answer = 1 Then Go To Q13-24_REF_1
| Q13-23G [] | Section: Income, Recipiency and Debt |
([Farm ownership by spouse/partner reported in income qs]==1 && [Business or Professional pratice ownership by spouse/partner reported in income qs]==1 && [Spouse/partner's farms jointly owned or invested in with someone else]==1 && [Business or Professional Pratice Jointly Owned By R?]==1)
COMMENT: Did spouse report both business and farm income, and both joint ownership?
If Answer = 1 Then Go To Q13-24_REF_1
| Q13-23H [] | Section: Income, Recipiency and Debt |
([Farm ownership by spouse/partner reported in income qs]==1 && [Business or Professional pratice ownership by spouse/partner reported in income qs]==1 && [Spouse/partner's farms jointly owned or invested in with someone else]==1 && [Business or Professional Pratice Jointly Owned By R?]==0)
COMMENT: Did spouse report both business and farm income, and joint ownership of farm?
If Answer = 1 Then Go To Q13-24_REF_1
| Q13-23I [] | Section: Income, Recipiency and Debt |
([Farm ownership by spouse/partner reported in income qs]==1 && [Business or Professional pratice ownership by spouse/partner reported in income qs]==1 && [Spouse/partner's farms jointly owned or invested in with someone else]==0 && [Business or Professional Pratice Jointly Owned By R?]==1)
COMMENT: Did spouse report both business and farm income, and joint ownership of business or professional practice?
If Answer = 1 Then Go To Q13-24_REF_1
| Q13-23J [] | Section: Income, Recipiency and Debt |
([Farm ownership by spouse/partner reported in income qs]==1 && [Business or Professional pratice ownership by spouse/partner reported in income qs]==0 && [Spouse/partner's farms jointly owned or invested in with someone else]==0)
COMMENT: Did spouse report farm income, and no joint ownership?
If Answer = 1 Then Go To Q13-24_REF_1
| Q13-23K [] | Section: Income, Recipiency and Debt |
([Farm ownership by spouse/partner reported in income qs]==1 && [Business or Professional pratice ownership by spouse/partner reported in income qs]==0 && [Spouse/partner's farms jointly owned or invested in with someone else]==1)
COMMENT: Did spouse report farm income, and joint ownership?
If Answer = 1 Then Go To Q13-24_REF_1
| Q13-23L [] | Section: Income, Recipiency and Debt |
([Farm ownership by spouse/partner reported in income qs]==0 && [Business or Professional pratice ownership by spouse/partner reported in income qs]==1 && [Business or Professional Pratice Jointly Owned By R?]==0)
COMMENT: Did spouse report business income, and no joint ownership?
If Answer = 1 Then Go To Q13-24_REF_1
| Q13-23M [] | Section: Income, Recipiency and Debt |
([Farm ownership by spouse/partner reported in income qs]==0 && [Business or Professional pratice ownership by spouse/partner reported in income qs]==1 && [Business or Professional Pratice Jointly Owned By R?]==1)
COMMENT: Did spouse report business income, and joint ownership?
If Answer = 1 Then Go To Q13-24_REF_1
| Q13-24_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1)
COMMENT: R already refuse previous amounts?
If Answer = 1 Then Go To Q13-24_REF_2
| Q13-24 [] | Section: Income, Recipiency and Debt |
How much did [S/HE] receive after expenses from [his/her] [from his/her farms and businesses or professional practices/from his/her farms]?
If Answer = -2 Then Go To Q13-24_SR000001
If Answer = -1 Then Go To Q13-24_REF_2
| Q13-24_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-24_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-24_REF_2
| Q13-24_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13S-A
| Q13-24_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt business inc] or more?
| Q13-24_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $2,500 or more?
| Q13-24_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $40,000 or more?
| Q13S-A [] | Section: Income, Recipiency and Debt |
[Q13RECIP-1] ==1 && [Q13-10] ==1
COMMENT: any program rec't reported at dli and r married or partner reported in the hh?
If Answer = 1 Then Go To Q13S-43A
| Q13S-AB [] | Section: Income, Recipiency and Debt |
[Q13RECIP-2] ==2 || [Q13RECIP-2] ==3
COMMENT: did spouse/partner receive unemployment benefits since dli?
If Answer = 1 Then Go To Q13S-43B
| Q13S-43A [] | Section: Income, Recipiency and Debt |
Since [rec_refdate~X] has [Spouse/partner's name] received unemployment compensation?
| Q13S-43B [] | Section: Income, Recipiency and Debt |
When did [Spouse/partner's name] start receiving unemployment compensation after [rec_refdate~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| Q13S-43C [] | Section: Income, Recipiency and Debt |
(When did [Spouse/partner's name] first start receiving unemployment compensation, after [rec_refdate~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13S-44A1-LOOP-BEGIN [] | Section: Income, Recipiency and Debt |
REPEAT
COMMENT: BEGIN LOOP TO COLLECT NEW SPELLS OF UNEMPLOYMENT RECEIPT
| Q13S-44A3 [] | Section: Income, Recipiency and Debt |
([unempsp_loop2 counter] ==1)
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If Answer = 1 Then Go To Q13S-44A5
| Q13S-44A5 [] | Section: Income, Recipiency and Debt |
([Month and year r's spouse started to rcv unemp comp] ==2)
COMMENT: DID R RECEIVE AGAIN, BUT DOES NOT KNOW DATES?
If Answer = 1 Then Go To Q13S-63A
| Q13S-44A6 [] | Section: Income, Recipiency and Debt |
(([Month and year r's spouse started to rcv unemp comp] ==1) && ([unempsp_loop2 counter] ==1))
COMMENT: WAS A DATE COLLECTED OUTSIDE OF THE LOOP
If Answer = 1 Then Go To Q13S-44D
| Q13S-44B [] | Section: Income, Recipiency and Debt |
When did [Spouse/partner's name] (next) start receiving unemployment compensation since [month/year spouse last received unemployment benefits([unempsp_loop2 counter])~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| | 1 SELECT TO ENTER DATES |
| | 2 DID RECEIVE, BUT DON'T KNOW DATES ...(Go To Q13S-63AA) |
If Answer >= -2 AND Answer <= -1 Then Go To Q13S-64C-LOOP-END
| Q13S-44C [] | Section: Income, Recipiency and Debt |
(When did [Spouse/partner's name] (next) start receiving unemployment compensation, after [month/year spouse last received unemployment benefits([unempsp_loop2 counter])~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13S-44D [] | Section: Income, Recipiency and Debt |
Has [Spouse/partner's name] received unemployment compensation continuously since [Month/year spouse began receiving unemployment benefits again([unempsp_loop2 counter])~X]?
| Q13S-45A [] | Section: Income, Recipiency and Debt |
When did [Spouse/partner's name] first stop receiving unemployment compensation, since [Month/year spouse began receiving unemployment benefits again([unempsp_loop2 counter])~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| | 1 SELECT TO ENTER DATES |
| | 2 DID RECEIVE, BUT DON'T KNOW DATES ...(Go To Q13S-63AB) |
| Q13S-45B [] | Section: Income, Recipiency and Debt |
(When did [Spouse/partner's name] first stop receiving unemployment compensation, since [Month/year spouse began receiving unemployment benefits again([unempsp_loop2 counter])~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13S-47E [] | Section: Income, Recipiency and Debt |
On average, between [Month/year spouse began receiving unemployment benefits again([unempsp_loop2 counter])~X] and [Month/year stopped receiving unemployment benefits([unempsp_loop2 counter])~X] how much unemployment compensation did [Spouse/partner's name] receive per week?
| Q13S-62 [] | Section: Income, Recipiency and Debt |
([Recvd unemp comp for spouse continuously since startdate?] == 1)
COMMENT: DID R REPORT CONTINUOUS RECEIPT OF UNEMPLOYMENT?
If Answer = 1 Then Go To Q13S-64C-LOOP-END
| Q13S-63 [] | Section: Income, Recipiency and Debt |
How much did [Spouse/partner's name] receive per week during [Month/year stopped receiving unemployment benefits([unempsp_loop2 counter])~X]?
| Q13S-63A [] | Section: Income, Recipiency and Debt |
About how many weeks since [rec_refdate~X] did [Spouse/partner's name] receive any unemployment compensation?
| Q13S-63AA [] | Section: Income, Recipiency and Debt |
About how many weeks since [month/year spouse last received unemployment benefits([unempsp_loop2 counter])~X] did [Spouse/partner's name] receive any unemployment compensation?
| Q13S-63AB [] | Section: Income, Recipiency and Debt |
About how many weeks since [Month/year spouse began receiving unemployment benefits again([unempsp_loop2 counter])~X] did [Spouse/partner's name] receive any unemployment compensation?
| Q13S-63B [] | Section: Income, Recipiency and Debt |
How much did [Spouse/partner's name] receive the last time [Spouse/partner's name] received any unemployment compensation?
| Q13S-64 [] | Section: Income, Recipiency and Debt |
Since [Month/year stopped receiving unemployment benefits([unempsp_loop2 counter])~X], did [Spouse/partner's name] start receiving unemployment compensation again?
| Q13S-64C-LOOP-END [] | Section: Income, Recipiency and Debt |
UNTIL ([did spouse rec'v unemp comp again?([unempsp_loop2 counter])] != 1)
COMMENT: LOOP UNTIL NO MORE SPELLS OF UNEMPLOYMENT RECEIPT REPORTED
| Q13-31A [] | Section: Income, Recipiency and Debt |
During [calendar year prior to survey year], did you [or] [Spouse/partner's name] receive any (other) worker's compensation payments?
| Q13-31B_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-31B_REF_2
| Q13-31B [] | Section: Income, Recipiency and Debt |
What is the total amount of these (other) worker's compensation payments you [or] [Spouse/partner's name] received during [calendar year prior to survey year]?
If Answer = -2 Then Go To Q13-31B_SR000001
If Answer = -1 Then Go To Q13-31B_REF_2
| Q13-31B_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-31B_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-31B_REF_2
| Q13-31B_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-32
| Q13-31B_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt pub assistance inc] or more?
| Q13-31B_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $2,000 or more?
| Q13-31B_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $12,000 or more?
| Q13-32 [] | Section: Income, Recipiency and Debt |
{chsupt_award}==1
If Answer = 1 Then Go To Q13-33BAA
| Q13-33 [] | Section: Income, Recipiency and Debt |
([total # bio children reported] > 0)
COMMENT: Has R ever had any children (bio)
If Answer = 1 Then Go To Q13-33A
| Q13-33A [] | Section: Income, Recipiency and Debt |
Are you [or] [Spouse/partner's name] currently legally entitled to receive child support payments through a court order or any other type of legal agreement?
| Q13-33BA [] | Section: Income, Recipiency and Debt |
[Q13-10]==1
COMMENT: Is R married and spouse is in household, or is R living with a partner?
If Answer = 1 Then Go To Q13-33C
| Q13-33BAA [] | Section: Income, Recipiency and Debt |
([Q13-10]==1)
COMMENT: Is R married and spouse is in household, or is R living with a partner? (R was last interviewed since 1993 and reported child support.)
If Answer = 1 Then Go To Q13-33EAB
| Q13-33C [] | Section: Income, Recipiency and Debt |
Who is legally entitled to receive child support - you, [Spouse/partner's name] or both of you?
| | 1 Yourself only ...(Go To Q13-33I) |
| | 2 Your spouse/partner only ...(Go To Q13-33KC) |
| | 3 Yourself and spouse/partner ...(Go To Q13-33EAC) |
| Q13-33EAB [] | Section: Income, Recipiency and Debt |
Is [Spouse/partner's name] legally entitled to receive child support?
| Q13-33EAC [] | Section: Income, Recipiency and Debt |
First, I am going to ask about your child support agreement. So for the next question, please think only about your child support agreement.
I will ask about [Spouse/partner's name]'s child support in a moment.
| Q13-33I [] | Section: Income, Recipiency and Debt |
In total, how much in child support did you actually receive during [calendar year prior to survey year]?
If Answer = -2 Then Go To Q13-33I_SR000001
If Answer = -1 Then Go To Q13-33I_REF_2
| Q13-33I_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-33I_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-33I_REF_2
| Q13-33I_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-33KC
| Q13-33I_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt ch supt inc] or more?
| Q13-33I_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $1,000 or more?
| Q13-33I_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $6,000 or more?
| Q13-33KC [] | Section: Income, Recipiency and Debt |
{Q13-33C}
COMMENT: Check to see if R's spouse or partner is also legally entitled to child support
If Answer >= 2 AND Answer <= 3 Then Go To Q13-33M
| Q13-33KCA [] | Section: Income, Recipiency and Debt |
{Q13-33E}
COMMENT: Check to see if R's spouse or partner is also legally entitled to child support
If Answer = 1 Then Go To Q13-33M
| Q13-33M [] | Section: Income, Recipiency and Debt |
In total, how much in child support did [Spouse/partner's name] actually receive during [calendar year prior to survey year]?
If Answer = -2 Then Go To Q13-33M_SR000001
If Answer = -1 Then Go To Q13-33M_REF_2
| Q13-33M_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-33M_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-33M_REF_2
| Q13-33M_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-33T
| Q13-33M_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt ch supt inc] or more?
| Q13-33M_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $1,000 or more?
| Q13-33M_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $6,000 or more?
| Q13-33T [] | Section: Income, Recipiency and Debt |
([total # bio children reported] > 0) || ([total non-bio children reported] > 0)
COMMENT: Has R ever had any children or non-biological children?
If Answer = 1 Then Go To Q13-33TA
| Q13-33TA [] | Section: Income, Recipiency and Debt |
During [calendar year prior to survey year], did you [or] [Spouse/partner's name] pay any money to anyone for child support for any child not living in (this/your) household (in [Respondent City])?
| Q13-33U_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-33U_REF_2
| Q13-33U [] | Section: Income, Recipiency and Debt |
How much did you [or] [Spouse/partner's name] pay in child support during [calendar year prior to survey year]?
If Answer = -2 Then Go To Q13-33U_SR000001
If Answer = -1 Then Go To Q13-33U_REF_2
| Q13-33U_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-33U_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-33U_REF_2
| Q13-33U_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13RECIP-4
| Q13-33U_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt ch supt inc] or more?
| Q13-33U_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $1,000 or more?
| Q13-33U_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $6,000 or more?
| Q13RECIP-4 [] | Section: Income, Recipiency and Debt |
Since [rec_refdate~X], have you [or] [Spouse/partner's name] received any SSI, TANF/AFDC/general assistance for families in need, or Food Stamp benefits?
In [RESPONDENT STATE], this includes programs such as [Temporary Assistance to Needy Families -- TANF].
| | 1 SSI |
| | 2 TANF/AFDC |
| | 3 Food Stamps |
| | 4 None |
| Q13RECIP-4A [] | Section: Income, Recipiency and Debt |
([Q13RECIP-1]==1)
COMMENT: any program benefits reported at DLI
If Answer = 0 Then Go To Q13RECIP-4B
| Q13RECIP-4B [] | Section: Income, Recipiency and Debt |
INSELECTION([Q13RECIP-4], 1)
COMMENT: R or spouse/partner receive SSi benefits since dli/january, lintyear
If Answer = 0 Then Go To Q13F-A
| Q13-35 [] | Section: Income, Recipiency and Debt |
([other relatives in hshld, not spouse/children?] >= 1)
COMMENT: are there other relatives in the hh, not spouse/partner/ children
If Answer = 1 Then Go To Q13-36
| Q13-36 [] | Section: Income, Recipiency and Debt |
For these next few questions, we are interested in different kinds of payments that might have been made directly to you [or/ " "] [your spouse/partner or children]. For these questions, please do not include any payments that were made to your parents or to other members of your family, even if the payments were used to help pay for your support.
| Q13SSI-A [] | Section: Income, Recipiency and Debt |
([Q13RECIP-1]==1)
COMMENT: Any program receipt reported at dli?
If Answer = 1 Then Go To Q13SSI-17B
| Q13SSI-B [] | Section: Income, Recipiency and Debt |
INSELECTION([Q13RECIP-4],1)
COMMENT: R or spouse/partner receive ssi benefits since dli/January, lintyear?
If Answer = 1 Then Go To Q13SSI-43B
| Q13SSI-17B [] | Section: Income, Recipiency and Debt |
([year of last interview] <= 1992 && [Flag on info sheet for receipt of SSI at dli] == 1)
COMMENT: WAS LAST INTERVIEW IN A PAPI YEAR AND WAS SSI REPORTED IN YEAR BEFORE LAST INTERVIEW?
If Answer = 0 Then Go To Q13SSI-18A
| Q13SSI-18 [] | Section: Income, Recipiency and Debt |
Were the benefits you reported receiving in [Year before last interview year], Supplemental Security Income benefits only, other public assistance or other welfare benefits only, or both kinds of benefits?
| | 1 Supplemental Security Income ONLY |
| | 2 Other public assistance or other welfare benefits ONLY |
| | 3 Both |
| | 4 IF VOLUNTEERED: Not receiving benefits then |
| Q13SSI-18A [] | Section: Income, Recipiency and Debt |
([year of last interview] > 1992) && ([year of last interview] <= 1998) && ([Flag on info sheet for receipt of SSI at dli] ==1)
COMMENT: DID R REPORT SSI AT LAST CAPI INTERVIEW?
If Answer = 1 Then Go To Q13SSI-19
| Q13SSI-19 [] | Section: Income, Recipiency and Debt |
Were the benefits you reported receiving between [prev_lintdate~X] and [Date of last interview], Supplemental Security Income benefits only, other public assistance or other welfare benefits only, or both kinds of benefits?
| | 1 Supplemental Security Income ONLY |
| | 2 Other public assistance or other welfare benefits ONLY |
| | 3 Both |
| | 4 IF VOLUNTEERED: Not receiving benefits then |
| Q13SSI-43A [] | Section: Income, Recipiency and Debt |
We are now going to ask you about your Supplemental Security Income benefits only. We will ask about the other public assistance or other welfare benefits you were receiving later.
Since [rec_refdate~X] have you [or] [Spouse/partner's name] [or your children] received Supplemental Security Income payments?
| Q13SSI-43AA [] | Section: Income, Recipiency and Debt |
When did you [or] [Spouse/partner's name] [or your children] start receiving Supplemental Security Income payments after [lastrecd_ssi~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| Q13SSI-43B [] | Section: Income, Recipiency and Debt |
We are now going to ask you about your Supplemental Security Income benefits only. We will ask about the other public assistance or other welfare benefits you were receiving later.
When did you [or] [Spouse/partner's name] [or your children] start receiving Supplemental Security Income payments after [rec_refdate~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND
YEAR.)
| Q13SSI-43C [] | Section: Income, Recipiency and Debt |
(When did you [or] [Spouse/partner's name] [or your children] first start receiving Supplemental Security Income payments after [rec_refdate~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13SSI-44A1-LOOP-BEGIN [] | Section: Income, Recipiency and Debt |
REPEAT
COMMENT: BEGIN LOOP TO COLLECT NEW SPELLS OF SSI RECEIPT
| Q13SSI-44A3 [] | Section: Income, Recipiency and Debt |
([SSI_LOOP2 counter] == 1)
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If Answer = 1 Then Go To Q13SSI-44A5
| Q13SSI-44A5 [] | Section: Income, Recipiency and Debt |
([Month and year r started to rcv SSI] == 2)
COMMENT: DID R RECEIVE AGAIN, BUT DOES NOT KNOW DATES?
If Answer = 1 Then Go To Q13SSI-63A
| Q13SSI-44A6 [] | Section: Income, Recipiency and Debt |
(([Month and year r started to rcv SSI] == 1) && ([SSI_LOOP2 counter] == 1))
COMMENT: WAS A DATE COLLECTED OUTSIDE OF THE LOOP
If Answer = 1 Then Go To Q13SSI-44D
| Q13SSI-44B [] | Section: Income, Recipiency and Debt |
When did you [or] [Spouse/partner's name] [or your children] (next) start receiving Supplemental Security Income payments since [month/year spouse last received ssi benefits([SSI_LOOP2 counter])~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| | 1 SELECT TO ENTER DATES |
| | 2 DID RECEIVE, BUT DON'T KNOW DATES ...(Go To Q13SSI-63AA) |
If Answer >= -2 AND Answer <= -1 Then Go To Q13SSI-64C-LOOP-END
| Q13SSI-44C [] | Section: Income, Recipiency and Debt |
(When did you [or] [Spouse/partner's name] [or your children] (next) start receiving Supplemental Security Income payments since [month/year spouse last received ssi benefits([SSI_LOOP2 counter])~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13SSI-44D [] | Section: Income, Recipiency and Debt |
Have you [or] [Spouse/partner's name] [or your children] received Supplemental Security Income payments continuously since [Month/year R began receiving ssi([SSI_LOOP2 counter])~X]?
| Q13SSI-45A [] | Section: Income, Recipiency and Debt |
When did you [or] [Spouse/partner's name] [or your children] first stop receiving Supplemental Security Income payments since [Month/year R began receiving ssi([SSI_LOOP2 counter])~X] - what month and year?
(INTERVIEWER: FOR DON'T KNOW OR REFUSE, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| | 1 SELECT TO ENTER DATES |
| | 2 DID RECEIVE, BUT DON'T KNOW DATES ...(Go To Q13SSI-63AB) |
| Q13SSI-45B [] | Section: Income, Recipiency and Debt |
(When did you [or] [Spouse/partner's name] [or your children] first stop receiving Supplemental Security Income payments since [Month/year R began receiving ssi([SSI_LOOP2 counter])~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13SSI-47E [] | Section: Income, Recipiency and Debt |
On average, between [Month/year R began receiving ssi([SSI_LOOP2 counter])~X] and [Month/year stopped receiving SSI payments([SSI_LOOP2 counter])~X], how much did you [or] [Spouse/partner's name] [or your children] receive per month?
| Q13SSI-62 [] | Section: Income, Recipiency and Debt |
([Recvd SSI continuously since startdate?] == 1)
COMMENT: DID R REPORT CONTINUOUS RECEIPT OF SSI?
If Answer = 1 Then Go To Q13SSI-64C-LOOP-END
| Q13SSI-63 [] | Section: Income, Recipiency and Debt |
How much did you [or] [Spouse/partner's name] [or your children] receive per month during [Month/year stopped receiving SSI payments([SSI_LOOP2 counter])~X]?
| Q13SSI-63A [] | Section: Income, Recipiency and Debt |
About how many months since [rec_refdate~X] did you [or] [Spouse/partner's name] [or your children] receive any Supplemental Security Income payments?
| Q13SSI-63AA [] | Section: Income, Recipiency and Debt |
About how many weeks since [month/year spouse last received ssi benefits([SSI_LOOP2 counter])~X] did you [or] [Spouse/partner's name] [or your children] receive any Supplemental Security Income payments?
| Q13SSI-63AB [] | Section: Income, Recipiency and Debt |
About how many weeks since [Month/year R began receiving ssi([SSI_LOOP2 counter])~X] did you [or] [Spouse/partner's name] [or your children] receive any Supplemental Security Income payments?
| Q13SSI-63B [] | Section: Income, Recipiency and Debt |
How much did you [or] [Spouse/partner's name] [or your children] receive the last time you [or] [Spouse/partner's name] [or your children] received any Supplemental Security Income payments?
| Q13SSI-63C [] | Section: Income, Recipiency and Debt |
What was the primary reason that you [or] [Spouse/partner's name] [or your children] stopped receiving benefits?
| | 1 Income or other resources too high because of marriage (NO LONGER ELIGIBLE) |
| | 2 Income or other resources too high because of getting a new job (NO LONGER ELIGIBLE) |
| | 3 Didn't meet health or disability requirements |
| | 4 Immigration status (NO LONGER ELIGIBLE) |
| | 5 No longer eligible (other reason) |
| | 6 Non-cooperation with work or workfare requirements |
| | 7 Non-cooperation with child support requirements |
| | 8 Failed substance abuse requirements (testing or other related) |
| | 9 Sanctioned- reason not specified |
| | 10 Have already received maximum assistance (time and or $ limit) |
| | 11 Child(ren) not meeting school attendance requirements |
| | 12 Noncompliance with immunization requirements |
| | 13 R VOLUNTEERED: STILL RECEIVING OR NEVER STOPPED RECEIVING BENEFITS |
| | 14 Other (SPECIFY) |
| Q13SSI-63D [] | Section: Income, Recipiency and Debt |
VAREXIST([Q13SSI-63B([SSI_LOOP2 counter])])
COMMENT: was this question already hit?
If Answer = 1 Then Go To Q13SSI-64C-LOOP-END
| Q13SSI-64 [] | Section: Income, Recipiency and Debt |
Since [Month/year stopped receiving SSI payments([SSI_LOOP2 counter])~X], did you [or] [Spouse/partner's name] [or your children] start receiving Supplemental Security Income payments again?
| Q13SSI-64C-LOOP-END [] | Section: Income, Recipiency and Debt |
UNTIL ([r rec'd ssi again?([SSI_LOOP2 counter])] != 1)
COMMENT: LOOP UNTIL NO MORE SPELLS OF SSI RECEIPT REPORTED
| Q13F-A [] | Section: Income, Recipiency and Debt |
([Q13RECIP-1]==1)
COMMENT: any program receipt reported at dli?
If Answer = 1 Then Go To Q13F-43A
| Q13F-B [] | Section: Income, Recipiency and Debt |
INSELECTION([Q13RECIP-4], 3)
COMMENT: R or spouse/partner receive food stamps since dli/jan, lintyr?
If Answer = 1 Then Go To Q13F-43B
| Q13F-43A [] | Section: Income, Recipiency and Debt |
Since [rec_refdate~X] have you [or] [Spouse/partner's name] received government food stamps?
| Q13F-43B [] | Section: Income, Recipiency and Debt |
When did you [or] [Spouse/partner's name] start receiving government food stamps after [rec_refdate~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| Q13F-43C [] | Section: Income, Recipiency and Debt |
(When did you [or] [Spouse/partner's name] start receiving government food stamps after [rec_refdate~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13F-44A1-LOOP-BEGIN [] | Section: Income, Recipiency and Debt |
REPEAT
COMMENT: BEGIN LOOP TO COLLECT NEW SPELLS OF FOOD STAMPS RECEIPT
| Q13F-44A3 [] | Section: Income, Recipiency and Debt |
([FOOD_LOOP2 counter] == 1)
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If Answer = 1 Then Go To Q13F-44A5
| Q13F-44A5 [] | Section: Income, Recipiency and Debt |
([Month and year r started to rcv food stamps] == 2)
COMMENT: DID R RECEIVE, BUT DOES NOT KNOW DATES?
If Answer = 1 Then Go To Q13F-63A
| Q13F-44A6 [] | Section: Income, Recipiency and Debt |
(([Month and year r started to rcv food stamps] == 1) && ([FOOD_LOOP2 counter] == 1))
COMMENT: WAS A DATE COLLECTED OUTSIDE OF THE LOOP
If Answer = 1 Then Go To Q13F-44D
| Q13F-44B [] | Section: Income, Recipiency and Debt |
When did you [or] [Spouse/partner's name] (next) start receiving government food stamps since [month/year last received food stamps([FOOD_LOOP2 counter])~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| | 1 SELECT TO ENTER DATES |
| | 2 DID RECEIVE, BUT DON'T KNOW DATES ...(Go To Q13F-63AA) |
If Answer >= -2 AND Answer <= -1 Then Go To Q13F-64C-LOOP-END
| Q13F-44C [] | Section: Income, Recipiency and Debt |
(When did you [or] [Spouse/partner's name] (next) start receiving government food stamps, after [month/year last received food stamps([FOOD_LOOP2 counter])~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13F-44D [] | Section: Income, Recipiency and Debt |
Have you [or] [Spouse/partner's name] received government food stamps continuously since [Month/year began receiving food stamps again([FOOD_LOOP2 counter])~X]?
| Q13F-45A [] | Section: Income, Recipiency and Debt |
When did you [or] [Spouse/partner's name] first stop receiving government food stamps, since [Month/year began receiving food stamps again([FOOD_LOOP2 counter])~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| | 1 SELECT TO ENTER DATES |
| | 2 DID RECEIVE, BUT DON'T KNOW DATES ...(Go To Q13F-63AB) |
| Q13F-45B [] | Section: Income, Recipiency and Debt |
(When did you [or] [Spouse/partner's name] first stop receiving government food stamps, since [Month/year began receiving food stamps again([FOOD_LOOP2 counter])~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13F-47E [] | Section: Income, Recipiency and Debt |
On average, between [Month/year began receiving food stamps again([FOOD_LOOP2 counter])~X] and [Month/year stopped receiving food stamps([FOOD_LOOP2 counter])~X], how much did you [or] [Spouse/partner's name] receive per month?
| Q13F-62 [] | Section: Income, Recipiency and Debt |
([Recvd Food stamps continuously since startdate?] == 1)
COMMENT: DID R REPORT CONTINUOUS RECEIPT OF FOOD STAMPS?
If Answer = 1 Then Go To Q13F-64C-LOOP-END
| Q13F-63 [] | Section: Income, Recipiency and Debt |
How much did you [or] [Spouse/partner's name] receive per month during [Month/year stopped receiving food stamps([FOOD_LOOP2 counter])~X]?
| Q13F-63A [] | Section: Income, Recipiency and Debt |
About how many months since [rec_refdate~X] did you [or] [Spouse/partner's name] receive any government food stamps?
| Q13F-63AA [] | Section: Income, Recipiency and Debt |
About how many months since [month/year last received food stamps([FOOD_LOOP2 counter])~X] did you [or] [Spouse/partner's name] receive any government food stamps?
| Q13F-63AB [] | Section: Income, Recipiency and Debt |
About how many months since [Month/year began receiving food stamps again([FOOD_LOOP2 counter])~X] did you [or] [Spouse/partner's name] receive any government food stamps?
| Q13F-63B [] | Section: Income, Recipiency and Debt |
How much did you [or] [Spouse/partner's name] receive the last time you [or] [Spouse/partner's name] received any government food stamps?
| Q13F-63C_VERBATIM [] | Section: Income, Recipiency and Debt |
What was the primary reason that you [or] [Spouse/partner's name] stopped receiving food stamp benefits?
| Q13F-63C [] | Section: Income, Recipiency and Debt |
| | 1 Income or other resources too high because of marriage (NO LONGER ELIGIBLE) |
| | 2 Income or other resources too high because of getting a new job (NO LONGER ELIGIBLE) |
| | 3 Immigration status (NO LONGER ELIGIBLE) |
| | 4 No longer eligible (other reason) |
| | 5 Non-cooperation with work or workfare requirements |
| | 6 Non-cooperation with child support requirements |
| | 7 Failed substance abuse requirements (testing or other related) |
| | 8 Sanctioned - reason not specified |
| | 9 R VOLUNTEERED: STILL RECEIVING OR NEVER STOPPED RECEIVING BENEFITS |
| | 10 Other (SPECIFY) |
| Q13F-63D [] | Section: Income, Recipiency and Debt |
VAREXIST([Q13F-63B([FOOD_LOOP2 counter])])
COMMENT: was 63b answered?
If Answer = 1 Then Go To Q13F-64C-LOOP-END
| Q13F-64 [] | Section: Income, Recipiency and Debt |
Since [Month/year stopped receiving food stamps([FOOD_LOOP2 counter])~X], did you [or] [Spouse/partner's name] start receiving government food stamps again?
| Q13F-64C-LOOP-END [] | Section: Income, Recipiency and Debt |
UNTIL ([loop counter([FOOD_LOOP2 counter])] != 1)
COMMENT: LOOP UNTIL NO MORE SPELLS OF FOOD STAMPS RECEIPT REPORTED
| Q13A-AA [] | Section: Income, Recipiency and Debt |
([Q13RECIP-1]==1)
COMMENT: ANY PROGRAM REC'T REPORTED AT DLI?
If Answer = 1 Then Go To Q13-OWELF-1
| Q13A-BB [] | Section: Income, Recipiency and Debt |
INSELECTION([Q13RECIP-4],2)
COMMENT: R OR SPOUSE/PARTNER RECIEVE AFDC/TANF/GENERAL CASH ASSISTANCE SINCE DLI/ JANUARY, LINTYEAR?
If Answer = 1 Then Go To Q13-OWELF-1
| Q13-OWELF-1 [] | Section: Income, Recipiency and Debt |
([Did R rcv Supplemental Security Income benefits ONLY, other public assistance or other welfare benefits ONLY, or both kinds of benefits] ==2) || ([Did R rcv Supplemental Security Income benefits ONLY, other public assistance or other welfare benefits ONLY, or both kinds of benefits] ==3) || ([Did R rcv Supplemental Security Income benefits ONLY, other public assistance or other welfare benefits ONLY, or both kinds of benefits] ==2) || ([Did R rcv Supplemental Security Income benefits ONLY, other public assistance or other welfare benefits ONLY, or both kinds of benefits] ==3)
COMMENT: did R report general assistance or other welfare
If Answer = 0 Then Go To Q13-OWELF-4A
| Q13-OWELF-2 [] | Section: Income, Recipiency and Debt |
You mentioned that you were also receiving other public assistance or other welfare benefits along with your SSI payments. Were these benefits general public assistance or other general welfare cash payments or were they other specifically targeted or non-cash benefits, such as emergency assistance, Cuban/Haitian or Indian assistance, or payments for foster children?
| | 1 General cash assistance to needy families (General public assistance or other general welfare cash payments) |
| | 2 Other targeted cash payments |
| | 3 Other non-cash benefits |
| | 4 Both (1) and (2 or 3) (General cash assistance and either other targeted cash payments or other non-cash benefits) |
| Q13-OWELF-4A [] | Section: Income, Recipiency and Debt |
I will now be asking about TANF or AFDC payments, or any other general cash assistance to needy families that you may have received. In [RESPONDENT STATE], this includes programs such as [Temporary Assistance to Needy Families -- TANF]. Please include payments to your dependent children, unless they are themselves a family head, i.e. have their own children.
Please do not include any payments that were made to other members of your family, even if the payments were used to help pay for your support.
| Q13A-A2 [] | Section: Income, Recipiency and Debt |
([Q13RECIP-1]==1)
COMMENT: Any program receipt reported at dli?
If Answer = 1 Then Go To Q13A-43A
| Q13A-A3 [] | Section: Income, Recipiency and Debt |
INSELECTION([Q13RECIP-4],2)
COMMENT: R or spouse/partner receive AFDC/TANF/general cash assistance since dli/ January, lintyear?
If Answer = 1 Then Go To Q13A-43B
| Q13A-43A [] | Section: Income, Recipiency and Debt |
Since [rec_refdate~X] have you [or] [Spouse/partner's name] [or your children] received TANF, AFDC or other general cash assistance to needy families?
(INTERVIEWER: IF NECESSARY, READ:) (As I mentioned earlier), In [RESPONDENT STATE], this includes programs such as [Temporary Assistance to Needy Families -- TANF].
(INTERVIEWER: TANF, AFDC OR OTHER GENERAL CASH ASSISTANCE TO NEEDY FAMILIES DOES NOT INCLUDE FOOD STAMPS, SSI OR OTHER PAYMENTS BASED ON DISABILITY, OR TARGETED CASH PAYMENTS OR IN-KIND/NON-CASH RELIEF. INFO ON FOOD STAMPS AND TARGETED CASH PAYMENTS OR IN-KIND/NON-CASH RELIEF WILL BE COLLECTED LATER.)
| Q13A-43B [] | Section: Income, Recipiency and Debt |
When did you [or] [Spouse/partner's name] [or your children] start receiving AFDC or other general cash assistance to needy families after [rec_refdate~X] - what month and year?
(INTERVIEWER: IF NECESSARY, READ:) (As I mentioned earlier), In [RESPONDENT STATE], this includes programs such as [Temporary Assistance to Needy Families -- TANF].
(INTERVIEWER: TANF, AFDC OR OTHER GENERAL CASH ASSISTANCE TO NEEDY FAMILIES DOES NOT INCLUDE FOOD STAMPS, SSI OR OTHER PAYMENTS BASED ON DISABILITY, OR TARGETED CASH PAYMENTS OR IN-KIND/NON-CASH RELIEF. INFO ON FOOD STAMPS AND TARGETED CASH PAYMENTS OR IN-KIND/NON-CASH RELIEF WILL BE COLLECTED LATER.)
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| Q13A-43C [] | Section: Income, Recipiency and Debt |
(When did you [or] [Spouse/partner's name] [or your children] start receiving AFDC or other general cash assistance to needy families after [rec_refdate~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13A-44A1-LOOP-BEGIN [] | Section: Income, Recipiency and Debt |
REPEAT
COMMENT: BEGIN LOOP TO COLLECT NEW SPELLS OF AFDC RECEIPT
| Q13A-44A3 [] | Section: Income, Recipiency and Debt |
([AFDC_LOOP2 counter] == 1)
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If Answer = 1 Then Go To Q13A-44A5
| Q13A-44A5 [] | Section: Income, Recipiency and Debt |
([Does r know dates of receipt?] == 2)
COMMENT: DID R RECEIVE AGAIN, BUT DOES NOT KNOW DATES?
If Answer = 1 Then Go To Q13A-63A
| Q13A-44A6 [] | Section: Income, Recipiency and Debt |
(([Does r know dates of receipt?] == 1) && ([AFDC_LOOP2 counter] == 1))
COMMENT: WAS A DATE COLLECTED OUTSIDE OF THE LOOP
If Answer = 1 Then Go To Q13A-44D
| Q13A-44B [] | Section: Income, Recipiency and Debt |
When did you [or] [Spouse/partner's name] [or your children] (next) start receiving TANF, AFDC or other general cash assistance to needy families since [month/year last received afdc([AFDC_LOOP2 counter])~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| | 1 SELECT TO ENTER DATES |
| | 2 DID RECEIVE, BUT DON'T KNOW DATES ...(Go To Q13A-63AA) |
If Answer >= -2 AND Answer <= -1 Then Go To Q13A-64C-LOOP-END
| Q13A-44C [] | Section: Income, Recipiency and Debt |
(When did you [or] [Spouse/partner's name] [or your children] (next) start receiving TANF, AFDC or other general cash assistance to needy families, after [month/year last received afdc([AFDC_LOOP2 counter])~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13A-44D [] | Section: Income, Recipiency and Debt |
Have you [or] [Spouse/partner's name] [or your children] received TANF, AFDC or other general cash assistance to needy families continuously since [Month/year began receiving afdc again([AFDC_LOOP2 counter])~X]?
| Q13A-45A [] | Section: Income, Recipiency and Debt |
When did you [or] [Spouse/partner's name] [or your children] first stop receiving AFDC or other general cash assistance to needy families, since [Month/year began receiving afdc again([AFDC_LOOP2 counter])~X] - what month and year?
(INTERVIEWER: IF DON'T KNOW OR REFUSED, PROBE FOR APPROXIMATE MONTH AND YEAR.)
| | 1 SELECT TO ENTER DATES |
| | 2 DID RECEIVE, BUT DON'T KNOW DATES ...(Go To Q13A-63AB) |
| Q13A-45B [] | Section: Income, Recipiency and Debt |
(When did you [or] [Spouse/partner's name] [or your children] first stop receiving AFDC or other general cash assistance to needy families, since [Month/year began receiving afdc again([AFDC_LOOP2 counter])~X] - what month and year?)
(ENTER MONTH AND YEAR:)
| Q13A-47E [] | Section: Income, Recipiency and Debt |
On average, between [Month/year began receiving afdc again([AFDC_LOOP2 counter])~X] and [Month/year stopped receiving afdc([AFDC_LOOP2 counter])~X], how much did you [or] [Spouse/partner's name] [or your children] receive per month?
| Q13A-62 [] | Section: Income, Recipiency and Debt |
([Recvd AFDC continuously since startdate?] == 1)
COMMENT: DID R REPORT CONTINUOUS RECEIPT OF AFDC?
If Answer = 1 Then Go To Q13A-64C-LOOP-END
| Q13A-63 [] | Section: Income, Recipiency and Debt |
How much did you [or] [Spouse/partner's name] [or your children] receive per month during [Month/year stopped receiving afdc([AFDC_LOOP2 counter])~X]?
| Q13A-63A [] | Section: Income, Recipiency and Debt |
About how many months since [rec_refdate~X] did you [or] [Spouse/partner's name] [or your children] receive any AFDC or other general cash assistance to needy families?
| Q13A-63AA [] | Section: Income, Recipiency and Debt |
About how many months since [month/year last received afdc([AFDC_LOOP2 counter])~X] did you [or] [Spouse/partner's name] [or your children] receive any AFDC or other general cash assistance to needy families?
| Q13A-63AB [] | Section: Income, Recipiency and Debt |
About how many months since [Month/year began receiving afdc again([AFDC_LOOP2 counter])~X] did you [or] [Spouse/partner's name] [or your children] receive any AFDC or other general cash assistance to needy families?
| Q13A-63B [] | Section: Income, Recipiency and Debt |
How much did you [or] [Spouse/partner's name] [or your children] receive the last time you [or] [Spouse/partner's name] [or your children] received any AFDC or other general cash assistance to needy families?
| Q13A-63C_VERBATIM [] | Section: Income, Recipiency and Debt |
What was the primary reason you [or] [Spouse/partner's name] [or your children] stopped receiving benefits?
| Q13A-63C [] | Section: Income, Recipiency and Debt |
| | 1 Income or other resources too high because of marriage (NO LONGER ELIGIBLE) |
| | 2 Income or other resources too high because of getting a new job (NO LONGER ELIGIBLE) |
| | 3 Immigration status (NO LONGER ELIGIBLE) |
| | 4 No longer eligible (other reason) |
| | 5 Non-cooperation with work or workfare requirements |
| | 6 Non-cooperation with child support requirements |
| | 7 Child(ren) not meeting school attendance requirements |
| | 8 Noncompliance with immunization requirements |
| | 9 Failed substance abuse requirements (testing or other related) |
| | 10 Sanctioned- other reason |
| | 11 Have already received maximum assistance (time and or $ limit) |
| | 12 R VOLUNTEERED: STILL RECEIVING OR NEVER STOPPED RECEIVING BENEFITS |
| | 13 Other (SPECIFY) |
| Q13A-63D [] | Section: Income, Recipiency and Debt |
VAREXIST([Q13A-63B([AFDC_LOOP2 counter])])
COMMENT: was Q13A-63B answered
If Answer = 1 Then Go To Q13A-64C-LOOP-END
| Q13A-64 [] | Section: Income, Recipiency and Debt |
Since [Month/year stopped receiving afdc([AFDC_LOOP2 counter])~X], did you [or] [Spouse/partner's name] [or your children] start receiving AFDC or other general cash assistance to needy families again?
| Q13A-64C-LOOP-END [] | Section: Income, Recipiency and Debt |
UNTIL ([Did r rec'v AFDC again?([AFDC_LOOP2 counter])] != 1)
COMMENT: LOOP UNTIL NO MORE SPELLS OF AFDC RECEIPT REPORTED
| Q13-58 [] | Section: Income, Recipiency and Debt |
Did you [or] [Spouse/partner's name] [or your children] receive any WIC benefits in [calendar year prior to survey year]?
| Q13-59 [] | Section: Income, Recipiency and Debt |
During [calendar year prior to survey year], did you [or] [Spouse/partner's name] receive any educational benefits for veterans under the G.I Bill or V.E.A.P?
| Q13-60 [] | Section: Income, Recipiency and Debt |
During [calendar year prior to survey year], did you [or] [Spouse/partner's name] receive any [(other kinds of)] scholarships, fellowships, or grants?
(INTERVIEWER: DO NOT INCLUDE EDUCATIONAL LOANS)
| Q13-61 [] | Section: Income, Recipiency and Debt |
([Q13-59] == 1) || ([Q13-60] == 1)
COMMENT: Did R report money from GI Bill, VEAP, scholarship, fellowships or grants for education?
If Answer = 1 Then Go To Q13-63
| Q13-63 [] | Section: Income, Recipiency and Debt |
Who received these benefits -- you, [Spouse/partner's name] or both of you?
| | 1 You Only |
| | 2 Spouse/Partner Only ...(Go To Q13-68_REF_1) |
| | 3 Both |
| Q13-66_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-66_REF_2
| Q13-66 [] | Section: Income, Recipiency and Debt |
What was the total dollar amount of the assistance you received from these sources (REPEAT AS NECESSARY:) veterans' educational benefits and/or other scholarships, fellowships, or grants in [calendar year prior to survey year]?
If Answer = -2 Then Go To Q13-66_SR000001
If Answer = -1 Then Go To Q13-66_REF_2
| Q13-66_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-66_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-66_REF_2
| Q13-66_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-67
| Q13-66_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt educ benefits inc] or more?
| Q13-66_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $1,000 or more?
| Q13-66_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $5,000 or more?
| Q13-67 [] | Section: Income, Recipiency and Debt |
([Did both R and spouse/partner receive educational benefits]==3)
COMMENT: Did both R and spouse/partner receive educational benefits?
If Answer = 0 Then Go To Q13-69_VET
| Q13-68_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-68_REF_2
| Q13-68 [] | Section: Income, Recipiency and Debt |
What was the total dollar value of the assistance [Spouse/partner's name] received from these sources during [calendar year prior to survey year]?
If Answer = -2 Then Go To Q13-68_SR000001
If Answer = -1 Then Go To Q13-68_REF_2
| Q13-68_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-68_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-68_REF_2
| Q13-68_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-69_VET
| Q13-68_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt educ benefits inc] or more?
| Q13-68_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $1,000 or more?
| Q13-68_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $5,000 or more?
| Q13-69_VET [] | Section: Income, Recipiency and Debt |
During [calendar year prior to survey year], did you [or] [Spouse/partner's name] receive any [(other)] veterans benefits?
| Q13-70_VET_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-70_VET_REF_2
| Q13-70_VET [] | Section: Income, Recipiency and Debt |
How much did you [or] [Spouse/partner's name] receive per month during [calendar year prior to survey year] in (other) veteran's benefits?
If Answer = -2 Then Go To Q13-70_VET_SR000001
If Answer = -1 Then Go To Q13-70_VET_REF_2
| Q13-70_VET_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-70_VET_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-70_VET_REF_2
| Q13-70_VET_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == -1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-70_VET_FLAGSET_CHK
| Q13-70_VET_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt pub assistance inc] or more?
| Q13-70_VET_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $2,000 or more?
| Q13-70_VET_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $12,000 or more?
| Q13-70_VET_FLAGSET_CHK [] | Section: Income, Recipiency and Debt |
([q13-70_vet refusal flag]==1)
If Answer = 1 Then Go To Q13-69_DIS
| Q13-70A_VET [] | Section: Income, Recipiency and Debt |
During how many months in [calendar year prior to survey year] did you [or] [Spouse/partner's name] receive these (other) veteran's benefits?
| Q13-69_DIS [] | Section: Income, Recipiency and Debt |
During [calendar year prior to survey year], did you [or] [Spouse/partner's name] receive any (other) disability payments?
| Q13-70_DIS_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-70_DIS_REF_2
| Q13-70_DIS [] | Section: Income, Recipiency and Debt |
How much did you [or] [Spouse/partner's name] receive per month during [calendar year prior to survey year] in these (other) disability payments?
If Answer = -2 Then Go To Q13-70_DIS_SR000001
If Answer = -1 Then Go To Q13-70_DIS_REF_2
| Q13-70_DIS_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-70_DIS_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-70_DIS_REF_2
| Q13-70_DIS_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == -1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == -1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-70_DIS_FLAGSET_CHK
| Q13-70_DIS_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt pub assistance inc] or more?
| Q13-70_DIS_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $2,000 or more?
| Q13-70_DIS_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $12,000 or more?
| Q13-70_DIS_FLAGSET_CHK [] | Section: Income, Recipiency and Debt |
([q13-70_vet refusal flag]==1)
If Answer = 1 Then Go To Q13-69_SS
| Q13-70A_DIS [] | Section: Income, Recipiency and Debt |
During how many months in [calendar year prior to survey year] did you [or] [Spouse/partner's name] receive these (other) disability payments?
| Q13-69_SS [] | Section: Income, Recipiency and Debt |
During [calendar year prior to survey year], did you [or] [Spouse/partner's name] receive any (other) payments from Social Security?
| Q13-70_SS_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag]== 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-70_SS_REF_2
| Q13-70_SS [] | Section: Income, Recipiency and Debt |
How much did you [or] [Spouse/partner's name] receive per month during [calendar year prior to survey year] in these (other) payments from Social Security?
If Answer = -2 Then Go To Q13-70_SS_SR000001
If Answer = -1 Then Go To Q13-70_SS_REF_2
| Q13-70_SS_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-70_SS_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-70_SS_REF_2
| Q13-70_SS_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == -1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner]== -1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == -1 || [estimate amount of respondent/spar total income from disability in 2003] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-70_SS_FLAGSET_CHK
| Q13-70_SS_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt pub assistance inc] or more?
| Q13-70_SS_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $2,000 or more?
| Q13-70_SS_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $12,000 or more?
| Q13-70_SS_FLAGSET_CHK [] | Section: Income, Recipiency and Debt |
([q13-70_vet refusal flag]==1)
If Answer = 1 Then Go To Q13RECIP-5
| Q13-70A_SS [] | Section: Income, Recipiency and Debt |
During how many months in [calendar year prior to survey year] did you [or] [Spouse/partner's name] receive these (other) Social Security payments?
| Q13RECIP-5 [] | Section: Income, Recipiency and Debt |
(([AFDC Flag]==1) || ([TANF/AFDC recd since last interview]==1))
COMMENT: R receive afdc/tanf at last interview or since last interview?
If Answer = 1 Then Go To WR-2
| Q13RECIP-5A [] | Section: Income, Recipiency and Debt |
INSELECTION([Q13RECIP-4], 2)
COMMENT: R receive TANF/AFDC since dli
If Answer = 1 Then Go To WR-2
| WR-5 [] | Section: Income, Recipiency and Debt |
(([spouse in hh?] ==0) && (([total income r rec'd from military] + [total income r rec'd]) <= ([calculate poverty level] + ([# hh members] * [calculate poverty level] * 1.25)))) || (([spouse in hh?] == 1) && (([total income r rec'd from military] + [total income r rec'd] + [spouse's wages from military] + [spouse's wages from military]) <= ([calculate poverty level] + ([# hh members] * [calculate poverty level] * 1.25))))
COMMENT: DETERMINE IF EARNED MILITARY/REGULAR INCOME IN THIS HOUSEHOLD (HH SIZE BASED ON ALL HH MEMBERS REPORTED) IS LESS THAN OR EQUAL TO 125 PERCENT OF THE POVERTY LEVEL FOR THAT FAMILY SIZE
If Answer = 1 Then Go To WR-2
| WR-0 [] | Section: Income, Recipiency and Debt |
([AFDC Flag]==1) || ([Flag on info sheet for receipt of SSI at dli]==1) || ([receipt of welfare program reported at last interview]==1) || ([TANF/AFDC recd since last interview]==1) || ([Does r know dates of receipt?]>1) || ([SSI recvd since dli?]==1) || ([Month and year r started to rcv SSI]>1)
COMMENT: did R report TANF/AFDC, SSI or general assistance this round or at dli
If Answer = 1 Then Go To WR-2
| WR-2 [] | Section: Income, Recipiency and Debt |
Since [Date of last interview], have you ever taken a job in order to continue receiving public assistance payments?
| | 1 Yes ...(Go To WR-2A) |
| | 0 No |
| WR-2A [] | Section: Income, Recipiency and Debt |
([total number of employers reported] > 0)
COMMENT: check if R has at least one job since dli and reported having to get a job to continue to get benefits
If Answer = 1 Then Go To WR-2A_1
| WR-2A_1 [] | Section: Income, Recipiency and Debt |
What (was/were) the name(s) of that(those) employer(s).
INTERVIEWER: PLEASE RECORD THE NAMES OF THE EMPLOYER OR EMPLOYERS.
| Q13-71 [] | Section: Income, Recipiency and Debt |
Since [Date of last interview], did you [or] [Spouse/partner's name] receive any property or money even if only a small amount, from any estates, trusts, inheritances, or gifts from relatives?
INTERVIEWER: NOTE REFERENCE DATE FOR THIS QUESTION IS [Date of last interview], NOT THE CALENDAR YEAR OF [calendar year prior to survey year].
| Q13-73_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-73_REF_2
| Q13-73 [] | Section: Income, Recipiency and Debt |
What was the total market value or amount that you [or] [Spouse/partner's name] received since [Date of last interview] from these sources?
(INTERVIEWER: "MARKET VALUE" IS DEFINED AS "HOW MUCH THE RESPONDENT WOULD REASONABLY EXPECT SOMEONE ELSE TO PAY IF THE ITEM(S) WERE SOLD TODAY IN ITS/THEIR PRESENT CONDITION: NOT THE ORIGINAL PRICE PAID FOR THE ITEM(S).")
If Answer = -2 Then Go To Q13-73_SR000001
If Answer = -1 Then Go To Q13-73_REF_2
| Q13-73_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-73_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-73_REF_2
| Q13-73_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == -1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == -1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == -1 || [estimate amount of respondent/spar total income from disability in 2003] == -1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-73A_REF_1
| Q13-73_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt inheritance inc] or more?
| Q13-73_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $1,000 or more?
| Q13-73_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $25,000 or more?
| Q13-73A_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag]== 1 || [q13-73 refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-73A_REF_2
| Q13-73A [] | Section: Income, Recipiency and Debt |
How much of this property or money, from estates, trusts, inheritances, or gifts did you receive in [calendar year prior to survey year]?
If Answer = -2 Then Go To Q13-73A_SR000001
If Answer = -1 Then Go To Q13-73A_REF_2
| Q13-73A_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-73A_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-73A_REF_2
| Q13-73A_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == -1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == -1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == -1 || [estimate amount of respondent/spar total income from disability in 2003] == -1 || [esimate amount respondent/spar recieved in total income from social security in 2003]== -1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-73B
| Q13-73A_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt inheritance inc] or more?
| Q13-73A_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $1,000 or more?
| Q13-73A_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $25,000 or more?
| Q13-73B [] | Section: Income, Recipiency and Debt |
Since [Date of last interview] [and not including any inheritances or trusts you've just mentioned], have you [or] [Spouse/partner's name] received $10,000 or more as the beneficiary of a life insurance settlement?
INTERVIEWER: NOTE REFERENCE DATE FOR THIS QUESTION IS [Date of last interview], NOT THE CALENDAR YEAR OF [calendar year prior to survey year].
| Q13-73C_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag]== 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-73C_REF_2
| Q13-73C [] | Section: Income, Recipiency and Debt |
Since [Date of last interview] how much is the total amount from all life insurance settlements you [or] [Spouse/partner's name] have ever received?
If Answer = -2 Then Go To Q13-73C_SR000001
If Answer = -1 Then Go To Q13-73C_REF_2
| Q13-73C_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-73C_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-73C_REF_2
| Q13-73C_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == -1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == -1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == -1 || [estimate amount of respondent/spar total income from disability in 2003] == -1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == -1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances] == -1 || [estimate market value respondent/spar received from estates/trusts/inheritances since dli]== -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-73D_REF_1
| Q13-73C_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt inheritance inc] or more?
| Q13-73C_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $1,000 or more?
| Q13-73C_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $25,000 or more?
| Q13-73D_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1 || [q13-73c refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-73D_REF_2
| Q13-73D [] | Section: Income, Recipiency and Debt |
How much of this money from life insurance settlements did you [or] [Spouse/partner's name] receive in [calendar year prior to survey year]?
If Answer = -2 Then Go To Q13-73D_SR000001
If Answer = -1 Then Go To Q13-73D_REF_2
| Q13-73D_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-73D_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-73D_REF_2
| Q13-73D_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == -1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == -1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == -1 || [estimate amount of respondent/spar total income from disability in 2003] == -1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == -1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances] == -1 || [estimate market value respondent/spar received from estates/trusts/inheritances since dli] == -1 || [estimate amount respondet/spar received from life insurance settlement since dli] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-74
| Q13-73D_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt inheritance inc] or more?
| Q13-73D_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $1,000 or more?
| Q13-73D_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $25,000 or more?
| Q13-74 [] | Section: Income, Recipiency and Debt |
(Aside from the things you have already told me about) During [calendar year prior to survey year], did you [or] [Spouse/partner's name] receive any money, even if only a small amount, from any other source such as interest on savings or bonds, dividends, pensions or annuities, net rental income, royalties, alimony, or any other regular or periodic source of income?
| Q13-75_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag]== 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1 || [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-75_REF_2
| Q13-75 [] | Section: Income, Recipiency and Debt |
How much altogether?
If Answer = -2 Then Go To Q13-75_SR000001
If Answer = -1 Then Go To Q13-75_REF_2
| Q13-75_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-75_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-75_REF_2
| Q13-75_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else]== -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == -1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == -1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == -1 || [estimate amount of respondent/spar total income from disability in 2003] == -1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == -1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances] == -1 || [estimate market value respondent/spar received from estates/trusts/inheritances since dli] == -1 || [estimate amount respondet/spar received from life insurance settlement since dli] == -1 || [estimate amount respondent/spar received from life insurance settlement in 2003] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-76
| Q13-75_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt other inc] or more?
| Q13-75_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $100 or more?
| Q13-75_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $5,000 or more?
| Q13-76 [] | Section: Income, Recipiency and Debt |
Did you [or] [Spouse/partner's name] file a federal income tax return for [calendar year prior to survey year]?
| Q13-77 [] | Section: Income, Recipiency and Debt |
What was your filing status on your [calendar year prior to survey year] federal income tax return? Did you file as ...(READ CATEGORIES)?
| | 1 A single taxpayer |
| | 2 Married, filing a joint return |
| | 3 Married, filing separate |
| | 4 Unmarried head of household |
| | 5 Qualifying widow(er) with dependent child |
| Q13-78 [] | Section: Income, Recipiency and Debt |
What were the total number of exemptions claimed (self, spouse, children or other dependents) on you(r) [and] [Spouse/partner's name]'s [calendar year prior to survey year] federal income tax return(s)?
| Q13-78A [] | Section: Income, Recipiency and Debt |
([total # bio children reported] > 0 && ([spouse in hh?] == 0 && ([total income r rec'd from military]+[total income r rec'd] <= 30000)) || ([spouse in hh?] == 1 && ([total income r rec'd from military]+[total income r rec'd]+[spouse's wages from military]+[spouse's wages from military]<=30000)))
COMMENT: WAS AT LEAST ONE CHILD REPORTED AND EARNED MILITARY/REGULAR INCOME IN THIS HOUSEHOLD (HH SIZE BASED ON ALL HH MEMBERS REPORTED) IS LESS THAN OR EQUAL TO $30,000? EITC ELIGIBLE WITH ONE CHILD = $25,760, OR WITH MORE THAN ONE CHILD = $29,290 IN 2001.
If Answer = 1 Then Go To Q13-78C
| Q13-78B [] | Section: Income, Recipiency and Debt |
([total # bio children reported] == 0 && ([spouse in hh?] == 0 && ([total income r rec'd from military]+[total income r rec'd] <= 10000)) || ([spouse in hh?] == 1 && ([total income r rec'd from military]+[total income r rec'd]+[spouse's wages from military]+[spouse's wages from military]<=10000)))
COMMENT: NO CHILDREN REPORTED AND EARNED MILITARY/REGULAR INCOME IN THIS HOUSEHOLD (HH SIZE BASED ON ALL HH MEMBERS REPORTED) IS LESS THAN OR EQUAL TO $10,000? EITC ELIGIBLE WITH NO CHILDREN = $9,770 IN 2001.
If Answer = 1 Then Go To Q13-78C
| Q13-78C [] | Section: Income, Recipiency and Debt |
Did you file for an Earned Income Tax Credit (EITC) in [calendar year prior to survey year]?
| Q13-78D_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1 || [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-78D_REF_2
| Q13-78D [] | Section: Income, Recipiency and Debt |
How much did you get from your Earned Income Tax Credit (EITC) in [calendar year prior to survey year]?
If Answer = -2 Then Go To Q13-78D_SR000001
If Answer = -1 Then Go To Q13-78D_REF_2
| Q13-78D_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-78D_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-78D_REF_2
| Q13-78D_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == -1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == -1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == -1 || [estimate amount of respondent/spar total income from disability in 2003] == -1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == -1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances] == -1 || [estimate market value respondent/spar received from estates/trusts/inheritances since dli] == -1 || [estimate amount respondet/spar received from life insurance settlement since dli] == -1 || [estimate amount respondent/spar received from life insurance settlement in 2003] == -1 || [estimate income received by respondent/spar in past calendar year] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-79
| Q13-78D_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt eitc inc] or more?
| Q13-78D_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $500 or more?
| Q13-78D_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $3,000 or more?
| Q13-79 [] | Section: Income, Recipiency and Debt |
([other relatives in hshld, not spouse/children?] >= 1)
COMMENT: Check flag if R lives with any relatives other than R's spouse and children
If Answer = 1 Then Go To Q13-80
| Q13-80 [] | Section: Income, Recipiency and Debt |
The next few questions are about the income received during [calendar year prior to survey year] by the other persons who live here/in your household (in [Respondent City]) who are related to you--that is,
...(READ NAMES OF ALL PERSONS IN HOUSEHOLD WHO ARE RELATED TO RESPONDENT OTHER THAN R'S SPOUSE OR PARTNER AND R'S CHILDREN AND SELECT <SUBMIT AND CONTINUE> TO PROCEED...)
| Q13-81 [] | Section: Income, Recipiency and Debt |
... During [calendar year prior to survey year], did any of these persons receive payments from TANF, Aid to Families with Dependent Children or other general cash assistance to needy families? Please include any payments which these persons may have received to help pay for your [or] [Spouse/partner's name] support?
| Q13-83 [] | Section: Income, Recipiency and Debt |
(During [calendar year prior to survey year], did any of these persons receive ...)
Supplemental Security Income, or any other public assistance or welfare from the local, state, or federal government?
| Q13-85 [] | Section: Income, Recipiency and Debt |
(During [calendar year prior to survey year], did any of these persons receive ...)
Unemployment compensation or worker's compensation?
| Q13-87 [] | Section: Income, Recipiency and Debt |
(During [calendar year prior to survey year], did any of these persons receive ...)
Veteran's benefits?
| Q13-89 [] | Section: Income, Recipiency and Debt |
[Q13-81]==1 || [Q13-83]==1 || [Q13-85]==1 || [Q13-87]==1
COMMENT: ANY OTHER SOURCES OF INCOME REPORTED FOR OTHER FAMILY MEMBERS IN HOUSEHOLD?
If Answer = 1 Then Go To Q13-90_REF_1
| Q13-90_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1 || [q13-73 refusal flag]== 1 || [q13-73a refusal flag] == 1 || [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal flag] == 1 || [q13-78d refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-92_REF_2
| Q13-90 [] | Section: Income, Recipiency and Debt |
What was the total income received by...
(READ NAMES FROM ROSTER OF ADULTS WHO ARE RELATED R OTHER THAN R'S SPOUSE OR PARTNER AND R'S CHILDREN) from .....
[payments from Aid to Families] [with Dependent Children,] [Supplemental Security Income, or any other] [public assistance or welfare from the] [local, state, or federal government,] [unemployment compensation] [or worker's compensation,] [veteran's benefits,] ...
| Q13-92 [] | Section: Income, Recipiency and Debt |
... during [calendar year prior to survey year] - before taxes and other deductions?
If Answer = -2 Then Go To Q13-92_SR000001
If Answer = -1 Then Go To Q13-92_REF_2
| Q13-92_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-92_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-92_REF_2
| Q13-92_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == -1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == -1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == -1 || [estimate amount of respondent/spar total income from disability in 2003] == -1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == -1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances]== -1 || [estimate market value respondent/spar received from estates/trusts/inheritances since dli] == -1 || [estimate amount respondet/spar received from life insurance settlement since dli] == -1 || [estimate amount respondent/spar received from life insurance settlement in 2003] == -1 || [estimate income received by respondent/spar in past calendar year] == -1 || [estimate amount respondent received from Earned Income Tax Credit in 2003] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-92A
| Q13-92_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt other hh mems inc] or more?
| Q13-92_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $5,000 or more?
| Q13-92_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $30,000 or more?
| Q13-92A [] | Section: Income, Recipiency and Debt |
And did any of these persons receive in [calendar year prior to survey year] any income from a full-time or part-time job, net income from their own farm, net income from their own non-farm business or professional practice, income from Social Security or pensions, or any income from any other regular or periodic sources?
| Q13-92B_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1 || [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-92C_REF_2
| Q13-92B [] | Section: Income, Recipiency and Debt |
What was the total income received by
(READ NAMES OF ADULTS WHO ARE RELATED TO R OTHER THAN R'S SPOUSE OR PARTNER AND R'S CHILDREN)...
| Q13-92C [] | Section: Income, Recipiency and Debt |
...from all sources mentioned above during [calendar year prior to survey year] - before taxes and other deductions?
If Answer = -2 Then Go To Q13-92C_SR000001
If Answer = -1 Then Go To Q13-92C_REF_2
| Q13-92C_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| Q13-92C_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-92C_REF_2
| Q13-92C_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == -1 || [estimate amount of total income from wages and salary in past calendar year] == -1 || [estimate income from farm/business/professional practice in past calendar year] == -1 || [estimate total income of spouse/partner from military service in 2003] == -1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == -1 || [amount spouse received after expsenses from farm/business/professional practice] == -1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == -1 || [estimate amount of child support respondent actually received in 2003] == -1 || [estimate amount of child support spouse/partner actually received in 2003] == -1 || [estimate amount of child support paid by r/spar in 2003] == -1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == -1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == -1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == -1 || [estimate amount of respondent/spar total income from disability in 2003] == -1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == -1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances] == -1 || [estimate market value respondent/spar received from estates/trusts/inheritances since dli] == -1 || [estimate amount respondet/spar received from life insurance settlement since dli] == -1 || [estimate amount respondent/spar received from life insurance settlement in 2003] == -1 || [estimate income received by respondent/spar in past calendar year] == -1 || [estimate amount respondent received from Earned Income Tax Credit in 2003] == -1 || [estimate income from all welfare sources for other hh members in 2003] == -1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To DEBT_1
| Q13-92C_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt other hh mems inc] or more?
| Q13-92C_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $5,000 or more?
| Q13-92C_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $30,000 or more?
| DEBT_1 [] | Section: Income, Recipiency and Debt |
Do you [or] [Spouse/partner's name] have any credit cards or owe money on any credit card accounts, such as Visa, American Express or credit cards for specific stores, such as department stores or gas stations?
| DEBT_1A_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1 || [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 || [q13-92c refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To DEBT_1A_REF_2
| DEBT_1A [] | Section: Income, Recipiency and Debt |
After the most recent payment, roughly what was the balance still owed on all of these accounts together? If you paid off all of these accounts, please report $0.
If Answer = -2 Then Go To DEBT_1A_SR000001
If Answer = -1 Then Go To DEBT_1A_REF_2
| DEBT_1A_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| DEBT_1A_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To DEBT_1A_REF_2
| DEBT_1A_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == 1 || [estimate amount of total income from wages and salary in past calendar year] == 1 || [estimate income from farm/business/professional practice in past calendar year] == 1 || [estimate total income of spouse/partner from military service in 2003] == 1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == 1 || [amount spouse received after expsenses from farm/business/professional practice] == 1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == 1 || [estimate amount of child support respondent actually received in 2003] == 1 || [estimate amount of child support spouse/partner actually received in 2003] == 1 || [estimate amount of child support paid by r/spar in 2003] == 1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == 1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == 1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == 1 || [estimate amount of respondent/spar total income from disability in 2003] == 1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == 1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances] == 1 || [estimate market value respondent/spar received from estates/trusts/inheritances since dli] == 1 || [estimate amount respondet/spar received from life insurance settlement since dli] == 1 || [estimate amount respondent/spar received from life insurance settlement in 2003] == 1 || [estimate income received by respondent/spar in past calendar year] == 1 || [estimate amount respondent received from Earned Income Tax Credit in 2003] == 1 || [estimate income from all welfare sources for other hh members in 2003] == 1 || [estimate income from all regular sources for other family] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To DEBT_2
| DEBT_1A_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt other hh mems inc] or more?
| DEBT_1A_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $5,000 or more?
| DEBT_1A_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $30,000 or more?
| DEBT_2 [] | Section: Income, Recipiency and Debt |
Are you [or] [Spouse/partner's name] responsible for making payments on any student loans that you had for your own education [or] [Spouse/partner's name]'s education?
| DEBT_2A_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1 || [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 || [q13-92c refusal flag] == 1 || [amount owed on credit cards] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To DEBT_2A_REF_2
| DEBT_2A [] | Section: Income, Recipiency and Debt |
About how much do you [or] [Spouse/partner's name] owe on all of these student loans?
If Answer = -2 Then Go To DEBT_2A_SR000001
If Answer = -1 Then Go To DEBT_2A_REF_2
| DEBT_2A_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| DEBT_2A_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To DEBT_2A_REF_2
| DEBT_2A_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == 1 || [estimate amount of total income from wages and salary in past calendar year] == 1 || [estimate income from farm/business/professional practice in past calendar year] == 1 || [estimate total income of spouse/partner from military service in 2003] == 1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == 1 || [amount spouse received after expsenses from farm/business/professional practice] == 1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == 1 || [estimate amount of child support respondent actually received in 2003] == 1 || [estimate amount of child support spouse/partner actually received in 2003] == 1 || [estimate amount of child support paid by r/spar in 2003] == 1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == 1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == 1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == 1 || [estimate amount of respondent/spar total income from disability in 2003] == 1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == 1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances] == 1 || [estimate market value respondent/spar received from estates/trusts/inheritances since dli] == 1 || [estimate amount respondet/spar received from life insurance settlement since dli] == 1 || [estimate amount respondent/spar received from life insurance settlement in 2003] == 1 || [estimate income received by respondent/spar in past calendar year] == 1 || [estimate amount respondent received from Earned Income Tax Credit in 2003] == 1 || [estimate income from all welfare sources for other hh members in 2003] == 1 || [estimate income from all regular sources for other family] == 1 || [amount owed on credit cards] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To DEBT_2B
| DEBT_2A_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt other hh mems inc] or more?
| DEBT_2A_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $5,000 or more?
| DEBT_2A_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $30,000 or more?
| DEBT_2B [] | Section: Income, Recipiency and Debt |
{totbio4} > 0 || {totnbio4} > 0
COMMENT: R report biological, adopted or stop children?
If Answer = 0 Then Go To DEBT_3
| DEBT_2C [] | Section: Income, Recipiency and Debt |
Are you [or] [Spouse/partner's name] responsible for making payments on any student loans for your (child/children)? Please only include loans that have been made in your [or] [Spouse/partner's name]'s name for your (child/children)'s education.
(INTERVIEWER: PLEASE READ IF NECESSARY:) Only include student loans from the government and not withdrawals against other types of loans, even if the withdrawal is used for educational purposes.
| DEBT_2D_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1 || [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 || [q13-92c refusal flag] == 1 || [amount owed on credit cards] == 1 || [amount owed on r student loans] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To DEBT_2D_REF_2
| DEBT_2D [] | Section: Income, Recipiency and Debt |
About how much do you owe on student loans for your (child/children) that you [or] [Spouse/partner's name] are primarily responsible for?
If Answer = -2 Then Go To DEBT_2D_SR000001
If Answer = -1 Then Go To DEBT_2D_REF_2
| DEBT_2D_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| DEBT_2D_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To DEBT_2D_REF_2
| DEBT_2D_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == 1 || [estimate amount of total income from wages and salary in past calendar year] == 1 || [estimate income from farm/business/professional practice in past calendar year] == 1 || [estimate total income of spouse/partner from military service in 2003] == 1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == 1 || [amount spouse received after expsenses from farm/business/professional practice] == 1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == 1 || [estimate amount of child support respondent actually received in 2003] == 1 || [estimate amount of child support spouse/partner actually received in 2003] == 1 || [estimate amount of child support paid by r/spar in 2003] == 1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == 1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == 1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == 1 || [estimate amount of respondent/spar total income from disability in 2003] == 1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == 1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances] == 1 || [estimate market value respondent/spar received from estates/trusts/inheritances since dli] == 1 || [estimate amount respondet/spar received from life insurance settlement since dli] == 1 || [estimate amount respondent/spar received from life insurance settlement in 2003] == 1 || [estimate income received by respondent/spar in past calendar year] == 1 || [estimate amount respondent received from Earned Income Tax Credit in 2003] == 1 || [estimate income from all welfare sources for other hh members in 2003] == 1 || [estimate income from all regular sources for other family] == 1 || [amount owed on credit cards] == 1 || [amount owed on r student loans] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To DEBT_3
| DEBT_2D_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt other hh mems inc] or more?
| DEBT_2D_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $5,000 or more?
| DEBT_2D_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $30,000 or more?
| DEBT_3 [] | Section: Income, Recipiency and Debt |
(Aside from the accounts that we talked about,) do you [or] [Spouse/partner's name] currently owe money to any other businesses, such as stores, doctor's offices, hospitals, or banks? Please include any installment plans, rent-to-own accounts, or any other business that you owe money to.
(INTERVIEWER: THIS SHOULD NOT INCLUDE MORTGAGE DEBT.)
| DEBT_3A_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1 || [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 || [q13-92c refusal flag] == 1 || [amount owed on credit cards] == 1 || [amount owed on r student loans] == 1 || [amount owed on children student loans] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To DEBT_3A_REF_2
| DEBT_3A [] | Section: Income, Recipiency and Debt |
After the most recent payments were made on these accounts, what was the balance still owed?
If Answer = -2 Then Go To DEBT_3A_SR000001
If Answer = -1 Then Go To DEBT_3A_REF_2
| DEBT_3A_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| DEBT_3A_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To DEBT_3A_REF_2
| DEBT_3A_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == 1 || [estimate amount of total income from wages and salary in past calendar year] == 1 || [estimate income from farm/business/professional practice in past calendar year] == 1 || [estimate total income of spouse/partner from military service in 2003] == 1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == 1 || [amount spouse received after expsenses from farm/business/professional practice] == 1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == 1 || [estimate amount of child support respondent actually received in 2003] == 1 || [estimate amount of child support spouse/partner actually received in 2003] == 1 || [estimate amount of child support paid by r/spar in 2003] == 1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == 1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == 1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == 1 || [estimate amount of respondent/spar total income from disability in 2003] == 1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == 1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances] == 1 || [estimate market value respondent/spar received from estates/trusts/inheritances since dli] == 1 || [estimate amount respondet/spar received from life insurance settlement since dli] == 1 || [estimate amount respondent/spar received from life insurance settlement in 2003] == 1 || [estimate income received by respondent/spar in past calendar year] == 1 || [estimate amount respondent received from Earned Income Tax Credit in 2003] == 1 || [estimate income from all welfare sources for other hh members in 2003] == 1 || [estimate income from all regular sources for other family] == 1 || [amount owed on credit cards] == 1 || [amount owed on r student loans] == 1 || [amount owed on children student loans] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To DEBT_4
| DEBT_3A_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt other hh mems inc] or more?
| DEBT_3A_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $5,000 or more?
| DEBT_3A_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $30,000 or more?
| DEBT_4 [] | Section: Income, Recipiency and Debt |
Aside from the items that we talked about, do you [or] [Spouse/partner's name] owe $1000 or more to any person, institution, or company?
(INTERVIEWER: THIS SHOULD NOT INCLUDE MORTGAGE DEBT.)
| DEBT_4A_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1 || [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 || [q13-92c refusal flag] == 1 || [amount owed on credit cards] == 1 || [amount owed on r student loans] == 1 || [amount owed on children student loans] == 1 || [amount owed to businesses] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To DEBT_4A_REF_2
| DEBT_4A [] | Section: Income, Recipiency and Debt |
What is the total amount of debt that you [or] [Spouse/partner's name] owe to these accounts, rounded to the nearest thousand dollars?
If Answer = -2 Then Go To DEBT_4A_SR000001
If Answer = -1 Then Go To DEBT_4A_REF_2
| DEBT_4A_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
| DEBT_4A_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To DEBT_4A_REF_2
| DEBT_4A_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == 1 || [estimate amount of total income from wages and salary in past calendar year] == 1 || [estimate income from farm/business/professional practice in past calendar year] == 1 || [estimate total income of spouse/partner from military service in 2003] == 1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == 1 || [amount spouse received after expsenses from farm/business/professional practice] == 1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == 1 || [estimate amount of child support respondent actually received in 2003] == 1 || [estimate amount of child support spouse/partner actually received in 2003] == 1 || [estimate amount of child support paid by r/spar in 2003] == 1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == 1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == 1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == 1 || [estimate amount of respondent/spar total income from disability in 2003] == 1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == 1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances] == 1 || [estimate market value respondent/spar received from estates/trusts/inheritances since dli] == 1 || [estimate amount respondet/spar received from life insurance settlement since dli] == 1 || [estimate amount respondent/spar received from life insurance settlement in 2003] == 1 || [estimate income received by respondent/spar in past calendar year] == 1 || [estimate amount respondent received from Earned Income Tax Credit in 2003] == 1 || [estimate income from all welfare sources for other hh members in 2003] == 1 || [estimate income from all regular sources for other family] == 1 || [amount owed on credit cards] == 1 || [amount owed on r student loans] == 1 || [amount owed on children student loans] == 1 || [amount owed to businesses] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-141
| DEBT_4A_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to [entry pt other hh mems inc] or more?
| DEBT_4A_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $5,000 or more?
| DEBT_4A_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $30,000 or more?
| Q13-141 [] | Section: Income, Recipiency and Debt |
Suppose you [and] [Spouse/partner's name] were to sell all of your major possessions (including your home), turn all of your investments and other assets into cash, and pay all of your debts. Would you have something left over, break even, or be in debt?
| | 1 Have something left over |
| | 2 Break even ...(Go To PS-1) |
| | 3 Be in debt |
| Q13-141A_REF_1 [] | Section: Income, Recipiency and Debt |
([q13-3 refusal flag] == 1 || [q13-5 refusal flag] == 1 || [q13-9 refusal flag] == 1 || [q13-16 refusal flag] == 1 || [q13-18 refusal flag] == 1 || [q13-24 refusal flag] == 1 || [q13-31b refusal flag] == 1 || [q13-33i refusal flag] == 1 || [q13-33m refusal flag] == 1 || [q13-33u refusal flag] == 1 || [q13-66 refusal flag] == 1 || [q13-68 refusal flag] == 1 || [q13-70_vet refusal flag] == 1 || [q13-70_dis refusal flag] == 1 || [q13-70_ss refusal flag] == 1 || [q13-73 refusal flag] == 1 || [q13-73a refusal flag] == 1 || [q13-73c refusal flag] == 1 || [q13-73d refusal flag] == 1 || [q13-75 refusal flag] == 1 || [q13-78d refusal flag] == 1 || [q13-92 refusal flag] == 1 || [q13-92c refusal flag] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To Q13-142_REF_2
| Q13-142 [] | Section: Income, Recipiency and Debt |
How much would you [have left over/be in debt]?
If Answer = -2 Then Go To Q13-142_SR000001
If Answer = -1 Then Go To Q13-142_REF_2
| Q13-142_SR000001 [] | Section: Income, Recipiency and Debt |
Can you give me an approximate range for that amount?
(INTERVIEWER: IT IS ACCEPTABLE FOR RESPONDENT TO REPORT UPPER AND LOWER RANGES VERY CLOSE TOGETHER, OR THE SAME FIGURE FOR UPPER AND LOWER RANGE IF A SPECIFIC NUMBER.)
COMMENT: FIELDS=({hi_orelinc_persrc}=LONG=10="More than:"=05=15,
{lo_orelinc_persrc}=LONG=10="Less than:"=20=400) ORIGINAL MULTIPLE FIELDS QUESTION. BROKEN INTO SEPARATE QUESTIONS BY CONVERSION.
| Q13-142_SR000002 [] | Section: Income, Recipiency and Debt |
If Answer >= -2 AND Answer <= -1 Then Go To Q13-142_REF_2
| Q13-142_REF_2 [] | Section: Income, Recipiency and Debt |
([estimate amount of total income received during 2003 from the military before taxes and other deductions] == 1 || [estimate amount of total income from wages and salary in past calendar year] == 1 || [estimate income from farm/business/professional practice in past calendar year] == 1 || [estimate total income of spouse/partner from military service in 2003] == 1 || [estimate amount spar received from wages, salary, commissions and tips from all (other) jobs, before deductions for taxes or anything else] == 1 || [amount spouse received after expsenses from farm/business/professional practice] == 1 || [estimate amount of respondent/spar's worker's compentation payments in 2003] == 1 || [estimate amount of child support respondent actually received in 2003] == 1 || [estimate amount of child support spouse/partner actually received in 2003] == 1 || [estimate amount of child support paid by r/spar in 2003] == 1 || [estimate amount of assistance received from veterans' education benefits and/or other scholarships, fellowships or grants in 2003?] == 1 || [estimate amount of educational benefits recieved in past calendar year by spouse/partner] == 1 || [estimate amount of total income respondent/spar received from veteran benefits in 2003] == 1 || [estimate amount of respondent/spar total income from disability in 2003] == 1 || [esimate amount respondent/spar recieved in total income from social security in 2003] == 1 || [estimate market value or amount that respondent/spar received since dli from estates/trusts/inheritances] == 1 || [estimate market value respondent/spar received from estates/trusts/inheritances since dli] == 1 || [estimate amount respondet/spar received from life insurance settlement since dli] == 1 || [estimate amount respondent/spar received from life insurance settlement in 2003] == 1 || [estimate income received by respondent/spar in past calendar year] == 1 || [estimate amount respondent received from Earned Income Tax Credit in 2003] == 1 || [estimate income from all welfare sources for other hh members in 2003] == 1 || [estimate income from all regular sources for other family] == 1)
COMMENT: R already refuse previous estimates?
If Answer = 1 Then Go To PS-1
| Q13-142_UAB_A [] | Section: Income, Recipiency and Debt |
Would it amount to $10,000 or more?
| Q13-142_UAB_B [] | Section: Income, Recipiency and Debt |
Would it amount to $1,000 or more?
| Q13-142_UAB_C [] | Section: Income, Recipiency and Debt |
Would it amount to $50,000 or more?
| PS-1 [] | Section: Income, Recipiency and Debt |
In the last 5 years, have you completely missed a payment or been at least 2 months late in paying any of your bills?
| PS-2 [] | Section: Income, Recipiency and Debt |
On how many credit cards do you [or] [Spouse/partner's name] owe the maximum amount allowed by the credit card company?
(INTERVIEWER: THIS MEANS HOW MANY CARDS ARE "MAXED OUT".)
| Default Next: | PS-3 |
| Lead-In: | PS-1 [Default] |
| PS-3 [] | Section: Income, Recipiency and Debt |
Have you [or] [Spouse/partner's name] ever declared bankruptcy?
| Default Next: | PS-4 |
| Lead-In: | PS-2 [Default] |
| PS-3_A [] | Section: Income, Recipiency and Debt |
How many times have you [or] [Spouse/partner's name] declared bankruptcy?
| PS-3_C [] | Section: Income, Recipiency and Debt |
{bankrupt_text1} Was this bankruptcy related to the failure of a business that you {sp_or} {spar3} owned?
| PS-3_D [] | Section: Income, Recipiency and Debt |
{bankrupt_text1} In what month and year was this?
| PS-3_E [] | Section: Income, Recipiency and Debt |
What type of bankruptcy did you [or] [Spouse/partner's name] declare? Was it...
| | 1 Chapter 7 - commonly referred to as Straight Bankruptcy |
| | 2 Chapter 11 - commonly referred to as Business Reorganization |
| | 3 Chapter 12 - commonly referred to as Family Farmer Reorganization |
| | 4 Chapter 13 - commonly referred to as Personal Debt Reorganization-Wage Earner Repayment Plan |
| | 5 Other (Specify) |
| PS-4 [] | Section: Income, Recipiency and Debt |
Have you [or] [Spouse/partner's name] applied for any type of credit or loan (since you declared bankruptcy or within the last 5 years)?
INTERVIEWER: ASK ABOUT SINCE R LAST DECLARED BANKRUPTCY OR WITHIN THE LAST 5 YEARS IF R HAS NOT DECLARED BANKRUPTCY.
| | 1 YES |
| | 0 NO ...(Go To PS-6) |
| PS-5 [] | Section: Income, Recipiency and Debt |
In the past 5 years, has a lender or a creditor turned down your [or] [Spouse/partner's name]'s request for credit or not given you as much credit as you applied for?
| PS-6 [] | Section: Income, Recipiency and Debt |
In the past 5 years, have you [or] [Spouse/partner's name] thought about applying for credit, but changed your mind because you thought you might be turned down?
| Q13-145A [] | Section: Income, Recipiency and Debt |
INTERVIEWER: DID RESPONDENT CONSULT WITH ANYONE ELSE WHEN ANSWERING ANY OF THE QUESTIONS IN THIS SECTION?
| | 1 R ANSWERED ALL QUESTIONS ON OWN |
| | 2 R ANSWERED IN CONSULTATION WITH PARTNER/SPOUSE |
| | 3 R USED SPOUSE/PARTNER'S ANSWERS ONLY |
| EDUCEXPEND_CHK1 [] | Section: Educational Expenditures |
{yacnt1} > 0
COMMENT: Any children turning 15 or older during survey year?
If Answer = 0 Then Go To ROTTER_INTRO
| EDUCEXPEND_LOOP_BEGIN [] | Section: Educational Expenditures |
REPEAT
COMMENT: Repeat loop for number of children turning 15 or older during survey year
| EDUCEXPEND_CHK2 [] | Section: Educational Expenditures |
{^biochild_bdate({educexpend-loop})^~Y} <= {ya_year}
COMMENT: Will child turn 15 years or older during survey year?
If Answer = 0 Then Go To EDUCEXPEND_LOOP_END
| EDUCEXPEND_CHK3 [] | Section: Educational Expenditures |
{^biochild_hsstatus({educexpend-loop})^}
COMMENT: What is child's high school status (age 14+, attending hs, dropped out of hs or received diploma/equivalent)
If Answer = 1 Then Go To EDUCEXPEND_2
| EDUCEXPEND_1 [] | Section: Educational Expenditures |
Did [name of biochild([educexpend-loop])] receive a high school diploma or an equivalent degree, is [he/she([educexpend-loop])] still in high school, or did [he/she([educexpend-loop])] drop out of high school?
| | 1 RECEIVED DIPLOMA OR EQUIVALENT |
| | 2 DROPPED OUT OF HIGH SCHOOL |
| | 3 STILL IN HIGH SCHOOL |
| EDUCEXPEND_CHK4 [] | Section: Educational Expenditures |
{^biochild_privschl({educexpend-loop})^}
COMMENT: Did child attend private school for grades 9-12 in the past?
If Answer = 0 Then Go To EDUCEXPEND_CHK7B
If Answer = 1 Then Go To EDUCEXPEND_3
| EDUCEXPEND_2 [] | Section: Educational Expenditures |
Did [name of biochild([educexpend-loop])] ever attend a private school for grades 9-12?
If Answer >= -2 AND Answer <= -1 Then Go To EDUCEXPEND_CHK8
| EDUCEXPEND_3 [] | Section: Educational Expenditures |
Including the current year if [he/she([educexpend-loop])] is still attending, for how many years or parts of years did [name of biochild([educexpend-loop])] attend private school for grades 9-12?
| EDUCEXPEND_4 [] | Section: Educational Expenditures |
We would like to know how much you and your family and friends actually paid or borrowed for [name of biochild([educexpend-loop])] to attend private school for grades 9-12. Not including financial aid, grants or fee waivers that might have been given, what was the total amount borrowed or paid in tuition and fees for [name of biochild([educexpend-loop])] to attend private school for all [privschlyrs([educexpend-loop])] years?
INTERVIEWER: INCLUDE LOANS THAT HAVE TO BE REPAID. DO NOT INCLUDE THE VALUE OF FINANCIAL AID, GRANTS, DISCOUNTS, OR FEE WAIVERS THAT MIGHT HAVE BEEN GIVEN.
| EDUCEXPEND_5 [] | Section: Educational Expenditures |
What percentage of that [privschlcost([educexpend-loop])] did you (or [Spouse/partner's name]) pay for [name of biochild([educexpend-loop])]'s private school?
If Answer = 100 Then Go To EDUCEXPEND_CHK7B
| EDUCEXPEND_CHK5A [] | Section: Educational Expenditures |
{^biochild_othparinhh({educexpend-loop})^}
COMMENT: Child's other parent in the household?
If Answer = 1 Then Go To EDUCEXPEND_CHK6A
| EDUCEXPEND_6 [] | Section: Educational Expenditures |
What percentage of that [privschlcost([educexpend-loop])] did [name of biochild([educexpend-loop])]'s [father/mother] pay?
| EDUCEXPEND_CHK6A [] | Section: Educational Expenditures |
([RPAYSCHL([EDUCEXPEND-LOOP])] + [OTHPARPAYSCHL([EDUCEXPEND-LOOP])] >= 100)
COMMENT: R and other parent (out of household) pay 100% of school costs
If Answer = 0 Then Go To EDUCEXPEND_7A
| EDUCEXPEND_7A [] | Section: Educational Expenditures |
What percentage of that [privschlcost([educexpend-loop])] was paid by [name of biochild([educexpend-loop])]'s grandparents?
| EDUCEXPEND_CHK7A [] | Section: Educational Expenditures |
([RPAYSCHL([EDUCEXPEND_LOOP])] + [OTHPARPAYSCHL([EDUCEXPEND_LOOP])] +
[GRPARPAYSCHL([EDUCEXPEND_LOOP])] >= 100)
COMMENT: R, other parent (out of household) and grandparents pay for 100% school costs?
If Answer = 0 Then Go To EDUCEXPEND_7B
| EDUCEXPEND_7B [] | Section: Educational Expenditures |
What percentage of that [privschlcost([educexpend-loop])] was paid by other relatives or friends of [name of biochild([educexpend-loop])]?
| EDUCEXPEND_CHK7B [] | Section: Educational Expenditures |
({^biochild_bdate([educexpend-loop])^~Y} <= 1996) && [biochild_hsstatus([educexpend-loop])] == 1
COMMENT: Will child be 18 years or older during survey year and has a high school diploma or equivalent?
If Answer = 0 Then Go To ROTTER_INTRO
| EDUCEXPEND_CHK7C [] | Section: Educational Expenditures |
{^biochild_colstatus({educexpend-loop})^}
COMMENT: What is child's college status?
If Answer = 0 Then Go To EDUCEXPEND_20
| EDUCEXPEND_8 [] | Section: Educational Expenditures |
Did [name of biochild([educexpend-loop])] ever attend a two-year or four-year college?
If Answer >= -2 AND Answer <= -1 Then Go To ROTTER_INTRO
| EDUCEXPEND_CHK8 [] | Section: Educational Expenditures |
{^biochild_bachstatus({educexpend-loop})^}
COMMENT: Did child graduate with bachelors degree?
If Answer = 1 Then Go To EDUCEXPEND_10A
| EDUCEXPEND_9 [] | Section: Educational Expenditures |
Did [name of biochild([educexpend-loop])] graduate from college with a bachelor's degree?
| EDUCEXPEND_10A [] | Section: Educational Expenditures |
What is the name of the college [name of biochild([educexpend-loop])] [graduated from/last attended]?
| EDUCEXPEND_10B [] | Section: Educational Expenditures |
In what state or country is that located?
| EDUCEXPEND_11 [] | Section: Educational Expenditures |
Including the current year if [he/she([educexpend-loop])] is still attending, for how many years or parts of years did [name of biochild([educexpend-loop])] attend college [prior to graduating with a bachelors degree]?
(INTERVIEWER: PLEASE COUNT UNDERGRADUATE ATTENDANCE AT ALL TWO-YEAR AND FOUR-YEAR COLLEGES. DO NOT INCLUDE YEARS IN GRADUATE SCHOOL (AFTER BACHELOR'S DEGREE IS EARNED).
| EDUCEXPEND_12 [] | Section: Educational Expenditures |
We would like to know how much you, [name of biochild([educexpend-loop])], and your family and friends actually paid or borrowed for [name of biochild([educexpend-loop])] to attend college. Not including financial aid, grants, or fee waivers that might have been given, and not including living costs, what was the total amount borrowed or paid in tuition and fees for [name of biochild([educexpend-loop])] to attend college for all [collegeyrs([educexpend-loop])] years?
(INTERVIEWER: DO NOT INCLUDE THE VALUE OF FINANCIAL AID, GRANTS, DISCOUNTS, OR FEE WAIVERS THAT MIGHT HAVE BEEN GIVEN, AND DO NOT INCLUDE THE COST OF HOUSING, FOOD, OR OTHER LIVING EXPENSES.)
| EDUCEXPEND_13 [] | Section: Educational Expenditures |
Including loans taken out by [name of biochild([educexpend-loop])], that you (and [Spouse/partner's name]) agreed to pay back, what percentage of that [collegecost([educexpend-loop])] did you (or [Spouse/partner's name]) pay for [name of biochild([educexpend-loop])]'s college?
If Answer = 100 Then Go To EDUCEXPEND_16
| EDUCEXPEND_CHK13A [] | Section: Educational Expenditures |
{^biochild_othparinhh({educexpend-loop})^}
COMMENT: Child's other parent in the household?
If Answer = 1 Then Go To EDUCEXPEND_CHK14
| EDUCEXPEND_14 [] | Section: Educational Expenditures |
Including loans taken out by [name of biochild([educexpend-loop])] that [he/she([educexpend-loop])] agreed to pay back, what percentage of that [collegecost([educexpend-loop])] did [name of biochild([educexpend-loop])]'s [father/mother] pay?
| EDUCEXPEND_CHK14 [] | Section: Educational Expenditures |
{^RPAYCOL({EDUCEXPEND-LOOP})^} + {^OTHPARPAYCOL({EDUCEXPEND-LOOP})^} >= 100
COMMENT: Did r and other parent (out of household) pay 100% of child's college cost
If Answer = 1 Then Go To EDUCEXPEND_16
| EDUCEXPEND_15 [] | Section: Educational Expenditures |
Including loans taken ot by [name of biochild([educexpend-loop])] that [his/her([educexpend-loop])] grandparents agreed to pay back, what percentage of that [collegecost([educexpend-loop])] was paid for by [name of biochild([educexpend-loop])]'s grandparents?
| EDUCEXPEND_CHK15 [] | Section: Educational Expenditures |
([RPAYCOL([EDUCEXPEND-LOOP])] + [OTHPARPAYCOL([EDUCEXPEND-LOOP])] +
[GRPARPAYCOL([EDUCEXPEND-LOOP])] >= 100)
COMMENT: Did r, other parent (out of household) and grandparents pay 100% of child's college cost
If Answer = 1 Then Go To EDUCEXPEND_16
| EDUCEXPEND_15B [] | Section: Educational Expenditures |
What percentage of that [collegecost([educexpend-loop])] was paid by [name of biochild([educexpend-loop])]?
| EDUCEXPEND_CHK15B [] | Section: Educational Expenditures |
([RPAYCOL([EDUCEXPEND-LOOP])] + [OTHPARPAYCOL([EDUCEXPEND-LOOP])] +
[GRPARPAYCOL([EDUCEXPEND-LOOP])] + [CHILDPAYCOL([EDUCEXPEND-LOOP])] >= 100)
COMMENT: Did r, other parent (out of household), grandparents and child pay 100% of child's college cost
If Answer = 1 Then Go To EDUCEXPEND_16
| EDUCEXPEND_15C [] | Section: Educational Expenditures |
What percentage of that [collegecost([educexpend-loop])] was paid by other relatives or friends of [name of biochild([educexpend-loop])]?
| EDUCEXPEND_16 [] | Section: Educational Expenditures |
Consider any time that [name of biochild([educexpend-loop])] was living away from home while attending college for [collegeyrs([educexpend-loop])] years. Not counting expenses paid while [name of biochild([educexpend-loop])] was living with you, what amount of [name of biochild([educexpend-loop])]'s food and housing costs did you (or [Spouse/partner's name]) pay?
(INTERVIEWER: WE NOW WANT DOLLAR AMOUNT, NOT PERCENTAGE OF TOTAL DOLLAR AMOUNT.)
| EDUCEXPEND_CHK16A [] | Section: Educational Expenditures |
{^biochild_othparinhh({educexpend-loop})^}
COMMENT: Child's other parent in the household?
If Answer = 1 Then Go To EDUCEXPEND_18
| EDUCEXPEND_17 [] | Section: Educational Expenditures |
Not counting expenses paid while [biochild_name)([educexpend-loop])] was living with [his/her([educexpend-loop])] [father/mother], what amount of [name of biochild([educexpend-loop])]'s food and housing costs did [his/her([educexpend-loop])] [father/mother] pay?
| EDUCEXPEND_18 [] | Section: Educational Expenditures |
Not counting expenses paid while [name of biochild([educexpend-loop])] was living with [his/her([educexpend-loop])] grandparents, what amount of [name of biochild([educexpend-loop])]'s food and housing costs did [name of biochild([educexpend-loop])]'s grandparents pay?
| EDUCEXPEND_19 [] | Section: Educational Expenditures |
Do you believe [name of biochild([educexpend-loop])] would have attended a more expensive college or attended college for a longer period of time if you and other family members had been able to contribute more to [his/her([educexpend-loop])] tuition, fees and living expenses?
| EDUCEXPEND_20 [] | Section: Educational Expenditures |
Do you believe [name of biochild([educexpend-loop])]'s decision not to attend college was influenced by concerns about the cost of college?
| EDUCEXPEND_21 [] | Section: Educational Expenditures |
If [name of biochild([educexpend-loop])] had attended college, do you believe you and other family members would have contributed to [his/her([educexpend-loop])] tuition, fees and living expenses?
| EDUCEXPEND_22 [] | Section: Educational Expenditures |
Given that [name of biochild([educexpend-loop])] did not attend college, did you (or [Spouse/partner's name]) give [him/her([educexpend-loop])] money that might otherwise have been used for college-related expenses?
| EDUCEXPEND_LOOP_END [] | Section: Educational Expenditures |
UNTIL ([educexpend-loop]==[total # bio children reported] || [total # bio children reported]==0)
COMMENT: Repeat until all children turning 15 during survey year
| ROTTER_INTRO [] | Section: Attitudes and Personality |
I am going to read you four pairs of statements about outlooks on life. For each pair, please select one statement which is closer to your opinion. In addition, tell me whether the statement you select is much closer to your opinion or slightly closer. Try to consider each pair of statements separately when making your choice; do not be influenced by your previous choices.
| ROTTER_1A [] | Section: Attitudes and Personality |
Statement A: What happens to me is my own doing.
(IF NECESSARY: or)
Statement B: Sometimes I feel that I don't have enough control over the direction my life is taking.
| | 1 STATEMENT A |
| | 2 STATEMENT B |
| ROTTER_1B [] | Section: Attitudes and Personality |
Is this statement much closer or slightly closer to your opinion?
| | 1 much closer |
| | 2 slightly closer |
| ROTTER_2A [] | Section: Attitudes and Personality |
Statement A: When I make plans, I am almost certain that I can make them work.
(IF NECESSARY: or)
Statement B: It is not always wise to plan too far ahead, because many things turn out to be a matter of good or bad fortune anyhow.
| | 1 STATEMENT A |
| | 2 STATEMENT B |
| ROTTER_2B [] | Section: Attitudes and Personality |
Is this statement much closer or slightly closer to your opinion?
| | 1 much closer |
| | 2 slightly closer |
| ROTTER_3A [] | Section: Attitudes and Personality |
Statement A: In my case, getting what I want has little or nothing to do with luck.
(IF NECESSARY: or)
Statement B: Man times we might just as well decide what to do by flipping a coin.
| | 1 STATEMENT A |
| | 2 STATEMENT B |
| ROTTER_3B [] | Section: Attitudes and Personality |
Is this statement much closer or slightly closer to your opinion?
| | 1 much closer |
| | 2 slightly closer |
| ROTTER_4A [] | Section: Attitudes and Personality |
Statement A: Many times I feel that I have little influence over the things that happen to me.
(IF NECESSARY: or)
Statement B: It is impossible for me to believe that chance or luck plays an important role in my life.
| | 1 STATEMENT A |
| | 2 STATEMENT B |
| ROTTER_4B [] | Section: Attitudes and Personality |
Is this statement much closer or slightly closer to your opinion?
| | 1 much closer |
| | 2 slightly closer |
| TIPI10 [] | Section: Attitudes and Personality |
Here are some personality traits that may or may not apply to you. You will hear several pairs of personality traits that are related but not exactly the same.
Using a scale of 1 to 7, where 1 means “disagree strongly” and 7 means “agree strongly” rate how well each pair of traits applies to you, even if one characteristic applies more strongly than the other.
| | - Extraverted, enthusiastic |
| | - Critical, quarrelsome |
| | - Dependable, self-disciplined |
| | - Anxious, easily upset |
| | - Open to new experiences, complex |
| | - Reserved, quiet |
| | - Sympathetic, warm |
| | - Disorganized, careless |
| | - Calm, emotionally stable |
| | - Conventional, uncreative |
| | 1 1 (disagree strongly) |
| | 2 2 |
| | 3 3 |
| | 4 4 |
| | 5 5 |
| | 6 6 |
| | 7 7 (agree strongly) |
| RISK_LINT [] | Section: Risk |
{lint_rnd}>=24
If Answer = 1 Then Go To RETIRE_EXP_P2_CHK2
Suppose that you are the only income earner in the family, and that you have to choose between two new jobs. The first job would guarantee your current total family income for life. The second job is possibly better paying, but the income is also less certain. There is a 50-50 chance the second job would increase your total lifetime income by 20 percent and a 50-50 change that is would cut it by 10 percent.
Which job would you take: the first job or the second job?
| | 1 First job ...(Go To RISK_3) |
| | 2 Second job ...(Go To RISK_2) |
Suppose the chances were 50-50 that the second job would increase your total lifetime income by 20 percent, and 50-50 that it would cut it by 15 percent.
Would you take the first job or the second job?
Suppose the chances were 50-50 that the second job would increase your total lifetime income by 20 percent, and 50-50 that it would cut it by five percent.
Would you take the first job or the second job?
Are you generally a person who is fully prepared to take risks or do you try to avoid taking risks? Rate yourself from 0 to 10, where 0 means “unwilling to take any risks” and 10 means “fully prepared to take risks.”
People can behave differently in different situations. How would you rate your willingness to take risks in the following areas? For each situation, rate your willingness from 0 to 10, where 0 means “unwilling to take any risks” and 10 means “fully prepared to take risks.”
(INTERVIEWER: TESTING HAS INDICATED POSSIBLE INTERMITTENT PROBLEMS AT THE NEXT FEW QUESTIONS. IF YOU EXPERIENCE A SURVEY INTERRUPTION, PLEASE EXIT AND ACCESS THE CASE AGAIN. IT WILL PICK UP WHERE YOU LEFT OFF.)
| | - ...While driving? |
| | - ...In financial matters? |
| | - ...In your occupation? |
| | - ...With your health? |
| | - ...In your faith in other people? |
| | - ...In your romantic relationships? |
| | - ...In making major life changes? |
| | 0 0 |
| | 1 1 |
| | 2 2 |
| | 3 3 |
| | 4 4 |
| | 5 5 |
| | 6 6 |
| | 7 7 |
| | 8 8 |
| | 9 9 |
| | 10 10 |
In placing “fair” bets where, for example, you have a 50-50 chance of winning $20 and a 50-50 chance of losing $10?
| RETIRE_EXP_P2_CHK2 [] | Section: Retirement Expectations |
VAREXIST ([(employer name)(1)])
If Answer = 1 Then Go To RETIRE_EXP_P2_1A
| RETIRE_EXP_P2_1A [] | Section: Retirement Expectations |
Next I have a few questions about your plans for the future. Are you working now, temporarily laid off, unemployed and looking for work, disabled and unable to work, retired, a homemaker, or what?
| | 1 Working now |
| | 2 Temporarily laid off |
| | 3 Unemployed and looking for work |
| | 4 Disabled and unable to work ...(Go To RETIRE_EXP_P2_1B) |
| | 5 Retired |
| | 6 Homemaker |
| | 7 Other |
| RETIRE_EXP_P2_1B [] | Section: Retirement Expectations |
Do you expect to work for pay or work at a family business for pay or profit in the future?
| RETIRE_EXP_P2_2 [] | Section: Retirement Expectations |
People often have different ideas about what it means to become retired. How would you define retirement for yourself?
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)
| | 1 Reduction in hours of work per week |
| | 2 Stop working entirely |
| | 3 Begin receiving retirement payments from a pension |
| | 4 Begin receiving retirement payments from Social Security |
| | 5 Quit career job and work at more fun or satisfying job |
| | 6 Spouse stops working |
| | 7 Spouse reduces his/her hours of work per week |
| | 8 Begin receiving retirement payments from a defined contribution plan |
| | 9 Become eligible for health care provided for by Medicare |
| | 11 Expects to have to work out of necessity |
| | 12 Never plans to stop working |
| | 10 Other |
| RETIRE_EXP_P2_4A [] | Section: Retirement Expectations |
People begin learning about and preparing for retirement at different ages and in different ways.
Have you [or] [Spouse/partner's name] ...(READ CATEGORIES)
| | - ...ever calculated how much retirement income you would need at retirement? |
| | - ...consulted a financial planner about how to plan your finances after retirement? |
| | - ...read any magazines or books on retirement planning |
| | - ...used a computer program to help you plan your retirement |
| | - ...ever attended any meetings on retirement or retirement planning? |
| RETIRE_EXP_P2_4B [] | Section: Retirement Expectations |
[RETIRE_EXP_P2_4A~5] == 1
If Answer = 1 Then Go To RETIRE_EXP_P2_5
| RETIRE_EXP_P2_5 [] | Section: Retirement Expectations |
Were any of the meetings organized by your ([or] [Spouse/partner's name]'s) employer?
| RETIRE_EXP_P2_6 [] | Section: Retirement Expectations |
Did you [or] [Spouse/partner's name] attend those retirement meetings on a voluntary basis or was attendance required by the employer?
| | 1 attendance required by employer |
| | 2 attendance was voluntary |
| RETIRE_EXP_P2_E_INTRO [] | Section: Retirement Expectations |
I have some questions about how likely you think various events might be. When I ask a question I'd like for you to give me a number from 0 to 100, where "0" means that you think there is absolutely no chance the event will occur, and "100" means that you think the event is absolutely sure to happen.
For example, no one can ever be sure about tomorrow's weather, but if you think that rain is very unlikely tomorrow, you might say that there is a 10 percent chance of rain. If you think there is a very good chance that it will rain tomorrow, you might say that there is an 80 percent chance of rain. If you are positive that it will rain tomorrow, you would say there is a 100 percent chance of rain.
| RETIRE_EXP_P2_E1 [] | Section: Retirement Expectations |
{expect_text1} do you think the chances are that you will be working full-time after you reach age 62?
If Answer = 0 Then Go To RETIRE_EXP_P2_E3
| RETIRE_EXP_P2_E2 [] | Section: Retirement Expectations |
What do you think the chances are that you will be working full-time after you reach age 65?
| RETIRE_EXP_P2_E3 [] | Section: Retirement Expectations |
What do you think the chances are that your health will limit your work activity during the next 10 years?
| RETIRE_EXP_P2_E4 [] | Section: Retirement Expectations |
Including property and other valuables that you own, what are the chances that you (and your spouse/partner) will leave inheritances totaling $10,000 or more?
If Answer = 0 Then Go To RETIRE_EXP_P2_E6
| RETIRE_EXP_P2_E5 [] | Section: Retirement Expectations |
What are the chances that you (and your spouse/partner) will leave inheritances totaling $100,000 or more?
| RETIRE_EXP_P2_E6 [] | Section: Retirement Expectations |
What are the chances that you (and your spouse/partner) will leave any inheritance?
| RETIRE_EXP_P2_E7 [] | Section: Retirement Expectations |
What do you think the chances are that you will live to be 75 or more?
If Answer = 0 Then Go To RETIRE_EXP_P2_E9
| RETIRE_EXP_P2_E8 [] | Section: Retirement Expectations |
What do you think the chances are that you will live to be 85 or more?
| RETIRE_EXP_P2_E9 [] | Section: Retirement Expectations |
What do you think the chances are that you will ever have to move to a nursing home?
| WILL_LINT [] | Section: Wills |
{lint_rnd}==25
If Answer = 1 Then Go To FORECLOSURE-1_INTRO
Do you currently have a will or living trust that is written and witnessed?
Which do you have: a will, a trust, or both a will and a trust?
| | 1 Will only |
| | 2 Trust only |
| | 3 Both will and trust ...(Go To WILL_3_DATE) |
| WILL_3_DATE [] | Section: Wills |
When did you first establish the [will/trust]?
[(INTERVIEWER: IF R HAS BOTH, PLEASE REFER TO THE EARLIER OF THE TWO.)]
When did you last modify the [will/trust]?
[(INTERVIEWER: PLEASE REFER TO THE LAST MODIFICATION.)]
| | 1 SELECT TO ENTER DATE ...(Go To WILL_4_DATE) |
| | 0 NO MODIFICATION SINCE DOCUMENT WAS FIRST WRITTEN |
| WILL_4_DATE [] | Section: Wills |
When did you last modify the [will/trust]?
[(INTERVIEWER: PLEASE REFER TO THE LAST MODIFICATION.)]
What was the main reason for making that modification?
Have you made provisions in your [will/trust] for any family members [other than spouse/partner]?
| WILL_6CHK [] | Section: Wills |
{totbio4} > 0 || {totnbio4} > 0
COMMENT: R report biological, adopted or step children?
If Answer = 0 Then Go To WILL_14
Does your [will/trust] include provisions for all your children, some of your children, or none of your children? By children, we refer to all biological, adopted, and step-children.
| WILL_8_A [] | Section: Wills |
Does your [will/trust] provide for more than one child?
Among those children who are included in the [will/trust], does the document provide for all of them about equally?
| WILL_10CHK1 [] | Section: Wills |
([will provide for all children?]==0)
If Answer = 1 Then Go To WILL_10
| WILL_10CHK2A [] | Section: Wills |
([will provide for all children?]==2) && ([will provide for more than one child?]==0)
If Answer = 1 Then Go To WILL_10
| WILL_10CHK2B [] | Section: Wills |
([will provide for all children?]==2) && ([will provide for all included children equally?]==1)
If Answer = 1 Then Go To WILL_10
| WILL_10CHK3 [] | Section: Wills |
([will provide for all children?]==2) && ([will provide for all included children equally?]==0)
If Answer = 1 Then Go To WILL_10
| WILL_10CHK4 [] | Section: Wills |
([will provide for all children?]==1) && ([will provide for all included children equally?]==0)
If Answer = 1 Then Go To WILL_10
What is the main reason that your [will/trust] [excludes (some of) your children (and does not provide equally for all of your children)]?
| WILL_CHILD15CHK1 [] | Section: Wills |
{child15count}>0 || {totnbio}>0
If Answer = 1 Then Go To WILL_11A
| WILL_11A [] | Section: Wills |
We would like to get a quick count of how many biological, adopted, or step-grandchildren you have. Do you have any grandchildren?
| WILL_11B [] | Section: Wills |
Do you have more than one grandchild?
| WILL_12A [] | Section: Wills |
Does the [will/trust] include direct provisions for all your grandchildren, some of your grandchildren, or none of your grandchildren? Please do not include provisions your grandchildren might get through their parents. Again, we refer to all biological, adopted, and step-grandchildren.
| | 1 All |
| | 2 Some |
| | 0 None ...(Go To WILL_14) |
| WILL_12B [] | Section: Wills |
Does the [will/trust] include direct provisions for your grandchild?
Among those grandchildren who are included in the [will/trust], does the document provide for all of them about equally?
Have you made provisions for any charities or nonprofit organizations in your [will/trust]?
Do you intend to establish a will or trust in the future?
Not including government programs, do you have long-term care insurance that specifically covers nursing home care for a year or more, or any part of personal or medical care in your home?
| FORECLOSURE-1_INTRO [] | Section: Foreclosure |
We have all heard a lot about problems in the U.S. housing market. In some parts of the country home values have dropped, and some people are having problems making their mortgage payments.
| FORECLOSURE-2 [] | Section: Foreclosure |
Do you (or your spouse/partner) currently own the house in which you are living?
| FORECLOSURE-3 [] | Section: Foreclosure |
From January [reference year for reporting foreclosures] to today, did you (or your spouse/partner) ever own the house in which you were living?
| FORECLOSURE-4 [] | Section: Foreclosure |
Since January [reference year for reporting foreclosures], have you ever fallen more than 2 months behind on mortgage payments on the house in which you were living?
| FORECLOSURE-5 [] | Section: Foreclosure |
Did you ever go through foreclosure on that house? That is, did you ever receive a notice of foreclosure from your bank?
(INTERVIEWER: SEE HELP SCREEN FOR FURTHER EXPLANATION.)
| FORECLOSURE-6 [] | Section: Foreclosure |
Did you lose your home because of this?
| FORECLOSURE-6CHK [] | Section: Foreclosure |
{CUROWN_HOME} != 1
If Answer = 0 Then Go To FORECLOSURE-7
| FORECLOSURE-7 [] | Section: Foreclosure |
Are you facing possible foreclosure?
| FORECLOSURE-8 [] | Section: Foreclosure |
How likely is it that you will fall behind in your mortgage payments during the next 6 months? Is it very likely, somewhat likely, or not likely at all?
| | 1 Very Likely |
| | 2 Somewhat Likely |
| | 3 Not likely at all |
| FORECLOSURE-9 [] | Section: Foreclosure |
From January [reference year for reporting foreclosures] to today, did you (or your spouse/partner) ever own any other real estate, such as a vacation home, a house you had bought to resell, or property you were renting to tenants?
| FORECLOSURE-10 [] | Section: Foreclosure |
Since January [reference year for reporting foreclosures], did you ever fall more than 2 months behind on mortgage payments on any of these properties?
| FORECLOSURE-11 [] | Section: Foreclosure |
Did you ever go through foreclosure on any of these properties? That is, did you ever receive a notice of foreclosure from your bank?
(INTERVIEWER: SEE HELP SCREEN FOR FURTHER EXPLANATION.)
| FORECLOSURE-12 [] | Section: Foreclosure |
Did you lose any of these properties because of this?
| FORECLOSURE-13 [] | Section: Foreclosure |
Are you facing possible foreclosure on any of these properties?
| FIN_LIT_LINT [] | Section: Financial Literacy |
{lint_rnd}==25
If Answer = 1 Then Go To Q13-145_01
| FIN_LIT_1 [] | Section: Financial Literacy |
Have you set aside emergency or rainy day funds that would cover your expenses for 3 months, in case of sickness, job loss, economic downturn, or other emergencies?
| FIN_LIT_2 [] | Section: Financial Literacy |
How strongly do you agree or disagree with the following statements? Please give your answer on a scale of 1 to 7, where 1 means “strongly disagree” 7 means “strongly agree,” and 4 means “neither agree nor disagree."
| | - I am good at dealing with day-to-day financial matters, such as checking accounts, credit and debit cards, and tracking expenses |
| | - I regularly keep up with economic and financial news |
| | 1 1 (disagree strongly) |
| | 2 2 |
| | 3 3 |
| | 4 4 |
| | 5 5 |
| | 6 6 |
| | 7 7 (agree strongly) |
| FIN_LIT_3 [] | Section: Financial Literacy |
On a scale from 1 to 7, where 1 means very low and 7 means very high, how would you assess your overall financial knowledge?
| | 1 1 |
| | 2 2 |
| | 3 3 |
| | 4 4 |
| | 5 5 |
| | 6 6 |
| | 7 7 |
| FIN_LIT_4 [] | Section: Financial Literacy |
Do you think that the following statement is true or false? Buying a single company stock usually provides a safer return than a stock mutual fund.
| FIN_LIT_5 [] | Section: Financial Literacy |
Suppose you had $100 in a savings account and the interest rate was 2 percent per year. After 5 years, how much do you think you would have in the account if you left the money to grow: more than $102, exactly $102, or less than $102?
| | 1 More than $102 |
| | 2 Exactly $102 |
| | 3 Less than $102 |
| FIN_LIT_6 [] | Section: Financial Literacy |
Imagine that the interest rate on your savings account was 1% per year and inflation was 2% per year. After 1 year, would you be able to buy more than, exactly the same as, or less than today with the money in this account?
| | 1 More than today |
| | 2 Exactly the same as today |
| | 3 Less than today |
| FIN_LIT_7 [] | Section: Financial Literacy |
If interest rates rise, what will typically happen to bond prices?
| | 1 They will rise |
| | 2 They will fall |
| | 3 They will stay the same |
| | 4 There is no relationship between bond prices and the interest rate |
| FIN_LIT_8 [] | Section: Financial Literacy |
Do you think that the following statement is true or false? A 15-year mortgage typically requires higher monthly payments than a 30-year mortgage, but the total interest paid over the life of the loan will be less.
| Q13-145_01 [] | Section: Interview End |
Now we would like to ask about your access to the internet or the World Wide Web.
Do you have an electronic device that you can use to access the internet?
(INTERVIEWER: IF RESPONDENT DOES NOT KNOW, CLARIFY THAT THE INTERNET AND THE WORLD WIDE WEB ARE THE SAME THING.)
| Q13-145_01A [] | Section: Interview End |
What devices do you use most often to access the internet?
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)
| | 1 laptop |
| | 2 macbook |
| | 3 tablet |
| | 4 iPad |
| | 5 desktop computer |
| | 6 mac desktop |
| | 7 cell phone (specify iPhone or something else) |
| | 8 other (specify) |
| Q13-145_02 [] | Section: Interview End |
Do you use your device(s) to access the internet using a web browser such as Internet Explorer, Firefox, Chrome or Safari?
| Q13-145_03 [] | Section: Interview End |
Does your device have the ability to access the internet (World Wide Web, FTP servers, News Services, etc.) through a wireless connection, broadband, dialup modem, or other connection?
| LIFE-SATISFACTION [] | Section: Interview End |
How dissatisfied or satisfied are you with your life overall?
| | 1 1 (not at all satisfied) |
| | 2 2 |
| | 3 3 |
| | 4 4 |
| | 5 5 |
| | 6 6 |
| | 7 7 (completely satisfied) |
| Q13INT-TIME [] | Section: Interview End |
(INTERVIEWER: ENTER TIME OF DAY INTERVIEW ENDS BELOW AND SELECT "AM/PM".)
That's all the survey questions I have, but (as you know) we would like to keep in touch with you. So let me be certain that we have your correct name, address and phone number.
INTERVIEWER: IS THIS A FOREIGN ADDRESS?
(INTERVIEWER: WE ARE NO LONGER ASKING FOR DRIVER'S LICENSE NUMBER. IF THE RESPONDENT VOLUNTEERS IT, DO NOT RECORD THE DRIVER'S LICENSE NUMBER IN THE COMMENT FIELD.)
| Q14_R_ROSTER_CHK1 [] | Section: Locator |
That's all the survey questions I have, but (as you know) we would like to keep in touch with you. So let me be certain that we have your correct name, address and phone number.
INTERVIEWER: VERIFY INFORMATION AND ASK ABOUT INFORMATION NOT PRESENT IF APPLICABLE. SELECT <MODIFY ROW> TO CORRECT OR UPDATE ITEMS.
IF EVERYTHING IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_R_ROSTER_CHK2 [] | Section: Locator |
INTERVIEWER: PLEASE VERIFY INFORMATION AND ANY CORRECTIONS THAT WERE MADE.
IF ZIPCODE IS MISSING, PLEASE ASK: Do you happen to know what your zip code is?
IF COUNTY IS MISSING, PLEASE ASK: What county is your address in [r's city] located in?
MAKE ANY FURTHER CORRECTIONS AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14-3H [] | Section: Locator |
Is your home address the same as your mailing address? (IF NECESSARY READ:) We want to make certain that we mail your check to the correct address.
| Q14_R_ROSTER_CHK1A_MAIL [] | Section: Locator |
Our records show (READ INFORMATION BELOW) as your mailing address. Is this still correct?"
INTERVIEWER: VERIFY INFORMATION BELOW AND ASK ABOUT INFORMATION NOT PRESENT IF APPLICABLE. SELECT <MODIFY ROW> TO CORRECT OR UPDATE ITEMS.
IF EVERYTHING IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_R_ROSTER_CHK2_MAIL [] | Section: Locator |
INTERVIEWER: PLEASE VERIFY INFORMATION AND ANY CORRECTIONS THAT WERE MADE.
IF ZIPCODE IS MISSING, PLEASE ASK: Do you happen to know what your zip code is?
MAKE ANY FURTHER CORRECTIONS AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14-CONSENT-FLAG1 [] | Section: Locator |
{contactyes}==1
COMMENT: INITIALIZE E-mail symbol for collecting during locator section and apt nubmer
If Answer = 0 Then Go To Q14-BEST-CONTACTMODE-1
| Q14-CONSENT-1240 [] | Section: Locator |
In order to confirm your contacting information, may we search the Web, check phone and address directories, consult public records, and use companies that provide directory assistance or other commercial locator services? As always, we won't reveal your participation in the survey when using these services.
| Q14-BEST-CONTACTMODE-1 [] | Section: Locator |
For future reference, are there times that are best for us to call you? (READ IF NECESSARY:) What days and times are best for us to call you?
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY AND ENTER SPECIFIC TIMES IF SPECIFIED. ENTER ANY COMMENTS ABOUT CIRCUMSTANCES IN INTERVIEWER COMMENT.)
| | - Sunday |
| | - Monday |
| | - Tuesday |
| | - Wednesday |
| | - Thursday |
| | - Friday |
| | - Saturday |
| | 1 All Day |
| | 2 Morning |
| | 3 Afternoon |
| | 4 Evening |
| Q14-BEST-CONTACTMODE-2 [] | Section: Locator |
What are the best ways to get in contact with you? For instance, is your home phone best, cell or work phone, texting, e-mail, in person, or some other way?
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)
| | 1 home phone |
| | 2 cell phone |
| | 3 work phone |
| | 4 text message |
| | 5 e-mail |
| | 6 in person |
| | 7 other way to contact is best (specify) |
| Q14-EMPCHK1 [] | Section: Locator |
([total number of employers reported] >= 1)
COMMENT: Is there at least one employer listed?
If Answer = 1 Then Go To Q14-4
VAREXIST ([(employer name)(1)])
If Answer = 0 Then Go To Q14-6A
| Q14-4A [] | Section: Locator |
([is this job current?(1)]==1)
COMMENT: Is R currently employed?
If Answer = 0 Then Go To Q14-6A
| Q14-4B [] | Section: Locator |
I have your current employer as [(employer name)(1)]? Do I have that recorded correctly?
| Q14-CHK1_EMP [] | Section: Locator |
{q14-4b} == 1
COMMENT: Is save array present?
If Answer = 1 Then Go To Q14_ROSTER_CHK1A_EMP
| Q14_ROSTER_CHK1A_EMP [] | Section: Locator |
Now I would like to check the information we have for [(employer name)(1)]. We have as [(employer name)(1)]'s address information...
INTERVIEWER: VERIFY INFORMATION BELOW AND UPDATE NAME TO [(employer name)(1)] IF NECESSARY. ASK ABOUT INFORMATION NOT PRESENT IF APPLICABLE. SELECT <MODIFY ROW> TO CORRECT OR UPDATE ITEMS.
IF EVERYTHING IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK1B_EMP [] | Section: Locator |
Could you please give me the name, address and phone number for your current employer?
| Q14_R_ROSTER_CHK2_EMP [] | Section: Locator |
INTERVIEWER: PLEASE VERIFY INFORMATION AND ANY CORRECTIONS THAT WERE MADE.
IF PHONE IS MISSING, PLEASE ASK: Can you give me the phone number at [R's employer's name]?
MAKE ANY FURTHER CORRECTIONS AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14-5C [] | Section: Locator |
Is it OK for us to call you at work?
| Q14-6A [] | Section: Locator |
Do you expect to move at any time in the next two years?
| Q14-6B [] | Section: Locator |
Do you know when that might happen?
(INTERVIEWER: PROBE FOR MONTH AND YEAR. IF RESPONDENT IS UNSURE, ENTER DON'T KNOW FOR MONTH AND YEAR.)
| Q14-6C [] | Section: Locator |
Do you know where do you expect to move?
(INTERVIEWER: PROBE FOR DETAIL, SPECIFIC ADDRESS IF POSSIBLE.)
| Q14-7AB [] | Section: Locator |
VAREXIST([type of dwelling unit])
If Answer = 0 Then Go To Q14-8C
([type of dwelling unit] == 3) || ([type of dwelling unit] == 4) || ([type of dwelling unit] == 5) || ([type of dwelling unit] == 6)
COMMENT: IS TYPE OF RESIDENCE A DORMITORY, FRATERNITY, SORORITY, HOSPITAL, JAIL, OR OTHER TEMPORARY INDIVIDUAL QUARTERS?
If Answer = 0 Then Go To Q14-8C
| Q14-8C [] | Section: Locator |
(([spouse in hh?] ==0) && ([marital status code] ==1) || ([marital status code] ==5) || ([marital status code] ==4))
COMMENT: IS R MARRIED BUT SPOUSE NOT IN THE HOUSEHOLD?
If Answer = 0 Then Go To Q14-8F
| Q14-8D [] | Section: Locator |
(([spouse in hh?] ==0) && ([marital status code] ==1) || ([marital status code] ==5) || ([marital status code] ==4))
COMMENT: IS R MARRIED BUT SPOUSE NOT IN THE HOUSEHOLD?
If Answer = 0 Then Go To Q14_ROSTER_CHK1A_PERM
| Q14_ROSTER_CHK1A_PERM [] | Section: Locator |
Please tell me the name of the householder at the [spouse/partner street address] address in [spouse/partner city] and (his/her) relationship to you.
(INTERVIEWER: VERIFY INFORMATION THAT IS PRESENT, AND ASK ABOUT INFORMATION NOT PRESENT IF APPLICABLE. SELECT <MODIFY ROW> TO CORRECT OR UPDATE ITEMS.
IF EVERYTHING IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK1B_PERM [] | Section: Locator |
Please tell me the name of your [Spouse/partner's name] at the [spouse/partner street address] address in [spouse/partner city].
INTERVIEWER: VERIFY INFORMATION THAT IS PRESENT, AND ASK ABOUT INFORMATION NOT PRESENT IF APPLICABLE. SELECT <MODIFY ROW> TO CORRECT OR UPDATE ITEMS.
IF RELATIONSHIP IS BLANK, MARK AS "SPOUSE".
IF EVERYTHING IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK2_PERM [] | Section: Locator |
INTERVIEWER: PLEASE VERIFY INFORMATION AND ANY CORRECTIONS THAT WERE MADE.
MAKE ANY FURTHER CORRECTIONS AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14-8F [] | Section: Locator |
VAREXIST ([Contact person 1's last name])
If Answer = 0 Then Go To Q14-CHK1_P1
| Q14-9-CHECK1 [] | Section: Locator |
ISVAREMPTY ([Contact person 1's last name])
If Answer = 1 Then Go To Q14-9_ANYMORE
Is [Contact person 1's first name] [Contact person 1's middle name] [Contact person 1's last name] still the one person you keep in touch with, who would be most likely to know where you are?
| Q14-9_ANYMORE [] | Section: Locator |
Who is the one person you keep in touch with, who would be most likely to know where you are?
| Q14-CHK1_P1 [] | Section: Locator |
{locp1_flag1} == 0 || {locp1_flag2} == 1 || {q14-9} == 0
COMMENT: Is save array present?
If Answer = 1 Then Go To Q14_ROSTER_CHK1B_P1
| Q14_ROSTER_CHK1A_P1 [] | Section: Locator |
Let me just verify the address information we have for [Contact person 1's first name] [Contact person 1's last name].
INTERVIEWER: VERIFY INFORMATION THAT IS PRESENT, AND ASK ABOUT INFORMATION NOT PRESENT IF APPLICABLE. SELECT <MODIFY ROW> TO CORRECT OR UPDATE ITEMS.
IF EVERYTHING IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK1B_P1 [] | Section: Locator |
Who is the one person you keep in touch with, who would be most likely to know where you are?
INTERVIEWER: PLEASE ENTER INFORMATION FOR CONTACT PERSON AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK2_P1 [] | Section: Locator |
INTERVIEWER: PLEASE VERIFY INFORMATION AND ANY CORRECTIONS THAT WERE MADE.
IF PHONE IS MISSING, PLEASE ASK: Can you give me [Contact person 1's first name] [Contact person 1's last name]'s phone number?
MAKE ANY FURTHER CORRECTIONS AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14-9E [] | Section: Locator |
VAREXIST ([Contact person 2's last name])
If Answer = 0 Then Go To Q14-CHK1_P2
| Q14-10-CHECK1 [] | Section: Locator |
ISVAREMPTY ([Contact person 2's last name])
If Answer = 1 Then Go To Q14-10_ANYMORE
| Q14-10 [] | Section: Locator |
From our last interview, we have [Contact person 2's first name] [Contact person 2's middle name] [Contact person 2's last name], (your [Contact person 2's relationship to youth]), listed also. Do you (still) keep in touch with [Contact person 2's first name] [Contact person 2's last name] frequently?
| Q14-10_ANYMORE [] | Section: Locator |
What other relative or close friend do you keep in touch with most frequently?
| | 1 REPORT ANOTHER CONTACT |
| | 2 NO OTHER CONTACTS TO REPORT ...(Go To Q14-CONSENT-1230) |
| Q14-CHK1_P2 [] | Section: Locator |
{locp2_flag1} == 0 || {locp2_flag2} == 1 || {q14-10} == 0
If Answer = 1 Then Go To Q14_ROSTER_CHK1B_P2
| Q14_ROSTER_CHK1A_P2 [] | Section: Locator |
Let me just verify the address information we have for [Contact person 2's first name] [Contact person 2's last name].
INTERVIEWER: VERIFY INFORMATION THAT IS PRESENT, AND ASK ABOUT INFORMATION NOT PRESENT IF APPLICABLE. SELECT <MODIFY ROW> TO CORRECT OR UPDATE ITEMS.
IF EVERYTHING IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK1B_P2 [] | Section: Locator |
What other relative or close friend do you keep in touch with most frequently?
INTERVIEWER: PLEASE ENTER INFORMATION FOR CONTACT PERSON AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK2_P2 [] | Section: Locator |
INTERVIEWER: PLEASE VERIFY INFORMATION AND ANY CORRECTIONS THAT WERE MADE.
IF PHONE IS MISSING, PLEASE ASK: Can you give me [Contact person 2's first name] [Contact person 2's last name]'s phone number?
MAKE ANY FURTHER CORRECTIONS AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14-10E [] | Section: Locator |
VAREXIST ([Contact person 3's last name])
If Answer = 0 Then Go To Q14-CHK1_P3
| Q14-11-CHECK1 [] | Section: Locator |
ISVAREMPTY ([Contact person 3's last name])
If Answer = 1 Then Go To Q14-11_ANYMORE
| Q14-11 [] | Section: Locator |
From our last interview, we have [Contact person 3's first name] [Contact person 3's middle name] [Contact person 3's last name], (your [Contact person 3's relationship to youth]), listed also. Do you (still) keep in touch with [Contact person 3's first name] frequently?
| Q14-11_ANYMORE [] | Section: Locator |
What other relative or close friend do you keep in touch with most frequently?
| | 1 REPORT ANOTHER CONTACT |
| | 2 NO OTHER CONTACTS TO REPORT ...(Go To Q14-CONSENT-1230) |
| Q14-CHK1_P3 [] | Section: Locator |
{locp3_flag1} == 0 || {locp3_flag2} == 1 || {q14-11} == 0
COMMENT: Is save array present?
If Answer = 1 Then Go To Q14_ROSTER_CHK1B_P3
| Q14_ROSTER_CHK1A_P3 [] | Section: Locator |
Let me just verify the address information we have for [Contact person 3's first name] [Contact person 3's last name].
INTERVIEWER: VERIFY INFORMATION THAT IS PRESENT, AND ASK ABOUT INFORMATION NOT PRESENT IF APPLICABLE. SELECT <MODIFY ROW> TO CORRECT OR UPDATE ITEMS.
IF EVERYTHING IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK1B_P3 [] | Section: Locator |
What other relative or close friend do you keep in touch with most frequently?
INTERVIEWER: PLEASE ENTER INFORMATION FOR CONTACT PERSON AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK2_P3 [] | Section: Locator |
INTERVIEWER: PLEASE VERIFY INFORMATION AND ANY CORRECTIONS THAT WERE MADE.
IF PHONE IS MISSING, PLEASE ASK: Can you give me [Contact person 3's first name] [Contact person 3's last name]'s phone number?
MAKE ANY FURTHER CORRECTIONS AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14-11E [] | Section: Locator |
VAREXIST ([Contact person 4's last name])
If Answer = 0 Then Go To Q14-CHK1_P4
| Q14-12-CHECK1 [] | Section: Locator |
ISVAREMPTY ([Contact person 4's last name])
If Answer = 1 Then Go To Q14-12_ANYMORE
| Q14-12 [] | Section: Locator |
From our last interview, we have [Contact person 4's first name] [Contact person 4's middle name] [Contact person 4's last name], (your [Contact person 4's relationship with youth]), listed also. Do you (still) keep in touch with [Contact person 4's first name] [Contact person 4's last name] frequently?
| Q14-12_ANYMORE [] | Section: Locator |
What other relative or close friend do you keep in touch with most frequently?
| | 1 REPORT ANOTHER CONTACT |
| | 2 NO OTHER CONTACTS TO REPORT ...(Go To Q14-CONSENT-1230) |
| Q14-CHK1_P4 [] | Section: Locator |
{locp4_flag1} == 0 || {locp4_flag2} == 1 || {q14-12} == 0
COMMENT: Is save array present?
If Answer = 1 Then Go To Q14_ROSTER_CHK1B_P4
| Q14_ROSTER_CHK1A_P4 [] | Section: Locator |
Let me just verify the address information we have for [Contact person 4's first name] [Contact person 4's last name].
INTERVIEWER: VERIFY INFORMATION THAT IS PRESENT, AND ASK ABOUT INFORMATION NOT PRESENT IF APPLICABLE. SELECT <MODIFY ROW> TO CORRECT OR UPDATE ITEMS.
IF EVERYTHING IS CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK1B_P4 [] | Section: Locator |
What other relative or close friend do you keep in touch with most frequently?
INTERVIEWER: PLEASE ENTER INFORMATION FOR CONTACT PERSON AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK2_P4 [] | Section: Locator |
INTERVIEWER: PLEASE VERIFY INFORMATION AND ANY CORRECTIONS THAT WERE MADE.
IF PHONE IS MISSING, PLEASE ASK: Can you give me [Contact person 4's first name] [Contact person 4's last name]'s phone number?
MAKE ANY FURTHER CORRECTIONS AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14-13 [] | Section: Locator |
Is there any other relative or close friend that you keep in touch with frequently?
| Q14_ROSTER_CHK1B_P5 [] | Section: Locator |
What other relative or close friend do you keep in touch with most frequently?
INTERVIEWER: PLEASE ENTER INFORMATION FOR CONTACT PERSON AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK2_P5 [] | Section: Locator |
INTERVIEWER: PLEASE VERIFY INFORMATION AND ANY CORRECTIONS THAT WERE MADE.
IF PHONE IS MISSING, PLEASE ASK: Can you give me [Contact person 5's first name] [Contact person 5's last name]'s phone number?
MAKE ANY FURTHER CORRECTIONS AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14-CONSENT-1230 [] | Section: Locator |
If the contacts you've provided offer the names of other people who may help us reach you, may we contact those people as well?
| Q14-CONSENT-MILPRIS [] | Section: Locator |
{consent_milpris}==0
COMMENT: The respondent falls into the odd sample group
If Answer = 1 Then Go To Q14-CONSENT-1250
| Q14-CONSENT-1250 [] | Section: Locator |
If you are or were to become a member of the Armed Forces, or if you were to enter a correctional facility or a residential care facility, may we contact government or other administrative officials to get their help in locating and interviewing you? When attempting to locate and interview you, we may reveal the fact that you are a participant in this survey. However, as stated earlier, we will never reveal any of the answers you've provided to the survey questions.
| Q14-CONSENT-FLAG2 [] | Section: Locator |
{contactyes}==1
COMMENT: R agree to asking contacts for further contacts?
If Answer = 0 Then Go To Q14-14
| Q14-YA-1 [] | Section: Locator |
([total # bio children reported] > 0) && ([RESPONDENT GENDER] == 2)
COMMENT: RESPONDENT IS FEMALE AND ANY BIO CHILDREN REPORTED?
If Answer = 0 Then Go To Q14-14
| Q14-YA2-LOOP-BEGIN [] | Section: Locator |
REPEAT
COMMENT: BEGIN LOOP TO COLLECT ADDRESSES FOR ANY INDEPENDENT YOUNG ADULTS
| Q14-YA3 [] | Section: Locator |
([biological child status code([YALOC-LOOP counter])] == 99 || [Usual residence of biological child([YALOC-LOOP counter])] == 8 || [biological child status code([YALOC-LOOP counter])] == 8)
COMMENT: Is child deleted or deceased?
If Answer = 1 Then Go To Q14-YA6-LOOP-END
| Q14-YA-3 [] | Section: Locator |
((([biological child birth date([YALOC-LOOP counter])~Y] < 2000 && [Usual residence of biological child([YALOC-LOOP counter])] != 8) ||
([biological child birth date([YALOC-LOOP counter])~Y] <= [1999] &&
([Usual residence of biological child([YALOC-LOOP counter])] == 2 || [Usual residence of biological child([YALOC-LOOP counter])] == 3 || [Usual residence of biological child([YALOC-LOOP counter])] == 7)) ||
([Usual residence of biological child([YALOC-LOOP counter])] >= 9 && [Usual residence of biological child([YALOC-LOOP counter])] <= 12)) &&
([female r sign ya permission form (if applicable)?([YALOC-LOOP counter])] == 1 || [female r sign ya permission form (if applicable)?([YALOC-LOOP counter])] == 3))
COMMENT: IS THIS A LIVE 21+ YOUNG ADULT OR A YOUNG ADULT AT LEAST 15 SOMETIME IN 2000, AND NOT LIVING IN MOTHERS HOUSEHOLD FULLTIME AND MOTHER EITHER SIGNED THE CONSENT FORM FOR INTERVIEW OR NO CONSENT FORM WAS NECESSARY?
If Answer = 0 Then Go To Q14-YA6-LOOP-END
| Q14-YA-3_A [] | Section: Locator |
INTERVIEWER: IS [name of biochild([YALOC-LOOP counter])]'S ADDRESS THE SAME AS (HIS/HER) MOTHER'S?
(IF NECESSARY, ASK:) Does [name of biochild([YALOC-LOOP counter])] live with you?
| Q14_ROSTER_CHK1B_YA [] | Section: Locator |
We would like to be certain that we have the correct name, address and phone number for [name of biochild([YALOC-LOOP counter])].
INTERVIEWER: PLEASE ENTER INFORMATION FOR YOUNG ADULT [name of biochild([YALOC-LOOP counter])] AS NECESSARY.
WHEN INFORMATION ENTERED AND CORRECT, SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14_ROSTER_CHK2_YA [] | Section: Locator |
INTERVIEWER: PLEASE VERIFY INFORMATION AND ANY CORRECTIONS THAT WERE MADE.
IF PHONE IS MISSING, PLEASE ASK: Can you give me [loclist_ya_name]'s phone number?
MAKE ANY FURTHER CORRECTIONS AS NECESSARY. SELECT <SUBMIT AND CONTINUE> TO PROCEED.
| Q14-YA6-LOOP-END [] | Section: Locator |
UNTIL ([YALOC-LOOP counter] == [total # bio children reported])
COMMENT: END LOOP WHEN ALL BIO CHILDREN ACCOUNTED FOR
| Q14-14 [] | Section: Locator |
INTERVIEWER: PLEASE THANK THE RESPONDENT FOR COMPLETING THE INTERVIEW AND INFORM [him/her] THAT A CHECK WILL BE SENT IN THE AMOUNT THE RESPONDENT IS ELIGIBLE FOR.
[(FEES BELOW INCLUDE $[missedintfee] FOR MISSED INTERVIEWS,/ AND $[msfeeplus] FOR QUESTIONS THE RESPONDENT ANSWERED ABOUT HER CHILDREN,/ INCLUDING (AN) UNANTICIPATED CHILD(REN). PLEASE INFORM RESPONDENT THAT SHE WILL BE RECEIVING MORE THAN SHE WAS INITIALLY INFORMED AS SHE ANSWERED QUESTIONS ABOUT (AN) ADDITIONAL CHILD(REN)).]
TOTAL FEE DUE IS $[(r fee)+(any missed interview fee)+(any child fee)]
IF RESPONDENT IS RECEIVING CASH IN PERSON OR PHONE RESPONDENT PREFERS TO RECEIVE CASH (FED-EXed), PLEASE INDICATE IN THE APPROPRIATE QUESTION IN THE NEXT SECTION.
| Q15-ANY_SIBS [] | Section: Interviewer Remarks |
INTERVIEWER: DID YOU UPDATE OR ADD ANY SIBLING PHONE OR ADDRESS INFORMATION IN THE LOCATOR SECTION?
| INTMODE [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE SELECT THE TYPE OF INTERVIEW BELOW.
COMMENT: Mode of Interview
| | 71 COMPLETED PERSONAL |
| | 72 COMPLETED TELEPHONE |
| | 74 CONVERTED PERSONAL |
| | 75 CONVERTED TELEPHONE |
| Q15-PROXY1 [] | Section: Interviewer Remarks |
INTERVIEWER: WAS THIS INTERVIEW CONDUCTED WITH A PROXY (SOMEONE OTHER THAN THE RESPONDENT).
| | 1 Respondent interviewed |
| | 2 Proxy interviewed ...(Go To Q15-PROXY2) |
| Q15-PROXY2 [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE DESCRIBE THE PROXY SITUATION AND IDENTIFY THE PROXY RESPONDENT IN THE TEXT BOX PROVIDED.
| Q15-3 [] | Section: Interviewer Remarks |
INTERVIEWER: IN WHAT LANGUAGE WAS THIS INTERVIEW CONDUCTED?
| | 1 English |
| | 2 Spanish |
| | 3 Other (SPECIFY) |
| Q15-4 [] | Section: Interviewer Remarks |
INTERVIEWER: IN GENERAL, WHAT WAS THE RESPONDENT'S ATTITUDE TOWARD THE INTERVIEW?
| | 1 Friendly and interested |
| | 2 Cooperative but not particularly interested |
| | 3 Impatient and restless |
| | 4 Hostile |
| Q15-4A [] | Section: Interviewer Remarks |
INTERVIEWER: HOW MANY TIMES DID YOU HAVE TO PAUSE THE INTERVIEW FOR THE RESPONDENT TO DO SOMETHING ELSE (E.G., TAKE A PHONE CALL, GO TO THE BATHROOM, TALK TO SOMEONE ELSE, ETC.)?
| | 0 0 times |
| | 1 1-2 times |
| | 2 3-5 times |
| | 3 6 or more times |
| Q15-4B [] | Section: Interviewer Remarks |
INTERVIEWER: HOW MANY TIMES DID YOU HAVE TO REPEAT A QUESTION BECAUSE.....
| | - ...THE RESPONDENT DID NOT UNDERSTAND THE QUESTION? |
| | - ...THE RESPONDENT DID NOT SEEM TO BE PAYING ATTENTION? |
| | 0 0 times |
| | 1 1-2 times |
| | 2 3-5 times |
| | 3 6 or more times |
| Q15-4C [] | Section: Interviewer Remarks |
INTERVIEWER: WHERE WAS THE RESPONDENT DURING THE INTERVIEW?
SELECT ALL THAT APPLY
| | 1 AT RESPONDENT'S HOME |
| | 2 AT SOMEONE ELSE'S HOME |
| | 3 AT WORK |
| | 4 OUTSIDE/IN A CAR OR TRAIN, ETC. |
| | 5 A PUBLIC BUILDING SUCH AS A LIBRARY, RESTAURANT OR COFFEE SHOP, LOBBY, ETC. |
| | 6 OTHER LOCATION (SPECIFY) |
| | 7 DON'T KNOW/COULDN'T TELL |
| Q15-4D [] | Section: Interviewer Remarks |
INTERVIEWER: HOW MUCH OF THIS INTERVIEW WAS CONDUCTED BY PHONE VERSUS IN-PERSON? IF YOU COMPLETED ONLY PART OF THE INTERVIEW AND DON'T KNOW THE MODE OF THE EARLIER PARTS, CODE FOR THE PART OF THE INTERVIEW YOU COMPLETED.
| | 1 ALL BY TELEPHONE |
| | 2 MOSTLY BY PHONE, BUT SOME IN-PERSON |
| | 3 ABOUT EQUALLY BY PHONE AND IN-PERSON |
| | 4 MOSTLY IN-PERSON, BUT SOME BY PHONE |
| | 5 ALL IN-PERSON ...(Go To Q15-4F) |
| Q15-4E [] | Section: Interviewer Remarks |
INTERVIEWER: WHAT TYPE OF PHONE WAS THE RESPONDENT USING?
SELECT ALL THAT APPLY.
| Q15-4F [] | Section: Interviewer Remarks |
INTERVIEWER: DO YOU RECALL THE RESPONDENT DOING ANYTHING ELSE WHILE COMPLETING THE INTERVIEW? FOR EXAMPLE, WAS S/HE LOOKING AFTER CHILDREN, HOUSEHOLD CHORES, WATCHING TELEVISION, USING A COMPUTER, DRIVING, WALKING AROUND, EATING, SHOPPING, OR SOMETHING ELSE?
| | 1 YES ...(Go To Q15-4G) |
| | 0 NO |
| | 2 COULDN'T TELL |
| Q15-4G [] | Section: Interviewer Remarks |
INTERVIEWER: WHAT OTHER ACTIVITIES DO YOU RECALL THE RESPONDENT DOING WHILE COMPLETING THE INTERVIEW?
SELECT ALL THAT APPLY.
| | 1 LOOKING AFTER CHILDREN |
| | 2 HOUSEHOLD CHORES SUCH AS CLEANING, COOKING, LAWN WORK, FIXING THINGS, ETC. |
| | 3 WATCHING TELEVISION |
| | 4 USING A COMPUTER OR PLAYING VIDEO GAMES |
| | 5 DRIVING A CAR |
| | 6 WALKING AROUND |
| | 7 EATING |
| | 8 SHOPPING |
| | 9 OTHER (SPECIFY) |
| Q15-5 [] | Section: Interviewer Remarks |
INTERVIEWER: IN GENERAL, WAS THE RESPONDENT'S UNDERSTANDING OF THE QUESTIONS GOOD, FAIR OR POOR?
| Q15-6 [] | Section: Interviewer Remarks |
INTERVIEWER: WAS ANYONE ELSE PRESENT OTHER THAN SMALL CHILDREN (AGE 3 AND UNDER) DURING ANY PORTION OF THE INTERVIEW?
| | 1 YES ...(Go To Q15-6A) |
| | 0 NO |
| | 2 TELEPHONE INTERVIEW |
| Q15-6A [] | Section: Interviewer Remarks |
INTERVIEWER: WHO WAS PRESENT?
| | 5 Spouse/partner |
| | 1 R's parent(s) |
| | 2 Other member(s) of R's household |
| | 3 R's friend(s) |
| | 4 Other (SPECIFY) |
| Q15-7 [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE LIST QUESTIONS THAT CONFUSED, ANGERED, OR CAUSED DISCOMFORT TO THE RESPONDENT OR QUESTIONS THAT YOU FEEL THE RESPONDENT DID NOT ANSWER TRUTHFULLY.
| | 1 SELECT TO ENTER QUESTION |
| | 0 NO QUESTIONS CAUSED RESPONDENT PROBLEMS ...(Go To Q15-8) |
| Q15-7A [] | Section: Interviewer Remarks |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF FIRST QUESTION THAT CAUSED RESPONDENT PROBLEMS. IF DON'T KNOW SECTION OR QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.
| Q15-7B [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-7A. BACK UP TO REVIEW Q15-7A.
| Q15-7C [] | Section: Interviewer Remarks |
INTERVIEWER: WERE THERE ANY OTHER QUESTIONS THAT CONFUSED, ANGERED, OR CAUSED DISCOMFORT TO THE RESPONDENT OR QUESTIONS THAT YOU FEEL THE RESPONDENT DID NOT ANSWER TRUTHFULLY?
| | 1 SELECT TO ENTER QUESTION |
| | 0 NO OTHER QUESTIONS CAUSED RESPONDENT PROBLEMS ...(Go To Q15-8) |
| Q15-7D [] | Section: Interviewer Remarks |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT CAUSED RESPONDENT PROBLEMS. IF DON'T KNOW SECTION AND QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.
| Q15-7E [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-7D. BACK UP TO REVIEW Q15-7D.
| Q15-7F [] | Section: Interviewer Remarks |
INTERVIEWER: WERE THERE ANY OTHER QUESTIONS THAT CONFUSED, ANGERED, OR CAUSED DISCOMFORT TO THE RESPONDENT OR QUESTIONS THAT YOU FEEL THE RESPONDENT DID NOT ANSWER TRUTHFULLY?
| | 1 SELECT TO ENTER QUESTION |
| | 0 NO OTHER QUESTIONS CAUSED RESPONDENT PROBLEMS ...(Go To Q15-8) |
| Q15-7G [] | Section: Interviewer Remarks |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT CAUSED RESPONDENT PROBLEMS. IF DON'T KNOW SECTION AND QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.
| Q15-7H [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-7G. BACK UP TO REVIEW Q15-7G.
| Q15-8 [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE LIST QUESTIONS WITH SKIP ERRORS, QUESTIONS THAT WERE CONFUSING TO YOU, OR QUESTIONS THAT OTHERWISE DID NOT WORK.
| | 1 SELECT TO ENTER QUESTION |
| | 0 NO QUESTIONS CAUSED INTERVIEWER PROBLEMS ...(Go To Q15-9) |
| Q15-8A [] | Section: Interviewer Remarks |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF FIRST QUESTION THAT CAUSED INTERVIEWER PROBLEMS. IF DON'T KNOW SECTION OR QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.
| Q15-8B [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-8A. BACK UP TO REVIEW Q15-8A.
| Q15-8C [] | Section: Interviewer Remarks |
INTERVIEWER: WERE THERE ANY OTHER QUESTIONS WITH SKIP ERRORS, QUESTIONS THAT WERE CONFUSING TO YOU, OR QUESTIONS THAT OTHERWISE DID NOT WORK?
| | 1 SELECT TO ENTER QUESTION |
| | 0 NO OTHER QUESTIONS CAUSED INTERVIEWER PROBLEMS ...(Go To Q15-9) |
| Q15-8D [] | Section: Interviewer Remarks |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT CAUSED INTERVIEWER PROBLEMS. IF DON'T KNOW SECTION OR QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.
| Q15-8E [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-8D. BACK UP TO REVIEW Q15-8D.
| Q15-8F [] | Section: Interviewer Remarks |
INTERVIEWER: WERE THERE ANY OTHER QUESTIONS WITH SKIP ERRORS, QUESTIONS THAT WERE CONFUSING TO YOU, OR QUESTIONS THAT OTHERWISE DID NOT WORK?
| | 1 SELECT TO ENTER QUESTION |
| | 0 NO OTHER QUESTIONS CAUSED INTERVIEWER PROBLEMS ...(Go To Q15-9) |
| Q15-8G [] | Section: Interviewer Remarks |
INTERVIEWER: LIST SECTION AND QUESTION NUMBER OF NEXT QUESTION THAT CAUSED INTERVIEWER PROBLEMS. IF DON'T KNOW SECTION OR QUESTION NUMBER, RECORD DESCRIPTION OF QUESTION.
| Q15-8H [] | Section: Interviewer Remarks |
INTERVIEWER: ENTER DESCRIPTION OF PROBLEM WITH QUESTION MENTIONED IN Q15-8G. BACK UP TO REVIEW Q15-8G.
| Q15-9 [] | Section: Interviewer Remarks |
INTERVIEWER: DID THE RESPONDENT HAVE ANY OF THE SPECIAL CHARACTERISTICS THAT COULD AFFECT HIS/HER ABILITY TO ANSWER ANY PORTION OF THIS QUESTIONNAIRE?
| Q15-9A [] | Section: Interviewer Remarks |
INTERVIEWER: WHICH CHARACTERISTIC(S) DID THE RESPONDENT HAVE?
| | 1 Respondent deaf |
| | 2 Respondent blind |
| | 3 Respondent mentally handicapped or retarded |
| | 4 Respondent's English is very poor |
| | 5 Respondent cannot read |
| | 6 Respondent physically handicapped (SPECIFY HANDICAP IN COMMENT) |
| | 7 Other (SPECIFY) |
| Q15-11 [] | Section: Interviewer Remarks |
INTERVIEWER: HAVE YOU INTERVIEWED THIS RESPONDENT IN PRIOR YEARS?
| Q15-11_A_1 [] | Section: Interviewer Remarks |
COMMENT: INTERVIEWER: PLEASE RECORD AMOUNT OF RESPONDENT FEE AND FORM OF PAYMENT (CHECK, CASH (FED-EXed) or CASH (PAID IN PERSON)).
WE WILL ASK ABOUT ADDITIONAL INCENTIVES BESIDES THE RESPONDENT FEE IN THE NEXT QUESTION.
| Q15-11_A_2 [] | Section: Interviewer Remarks |
SELECT FORM OF PAYMENT
| | 3 CASH (PAID IN PERSON) |
| | 1 CHECK |
| | 2 CASH (FED-EXed) |
| | 4 OTHER (SPECIFY) |
| Q15-11A [] | Section: Interviewer Remarks |
INTERVIEWER: BESIDES THE RESPONDENT FEE, DID YOU GIVE [r's first name] [r's last name] ANYTHING ELSE, OR DO ANYTHING FOR [him/her], TO GET [him/her] TO COMPLETE THE INTERVIEW?
| Q15-11B [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE DESCRIBE WHAT YOU GAVE [r's first name] [r's last name], OR DID FOR [him/her].
| Q15-11C [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE ENTER THE AMOUNT YOU SPENT ON THE INCENTIVES DESCRIBED IN THE PREVIOUS QUESTION.
(IF NOTHING SPENT, ENTER 0.00)
| Q15-12 [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE ENTER YOUR PROJECT IDENTIFICATION NUMBER FOR THIS CASE.
| Q15-12A000001 [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE ENTER YOUR FULL NAME ON THE LINE PROVIDED. THEN <SUBMIT AND CONTINUE> TO PROCEED.
| Q15-12E_1 [] | Section: Interviewer Remarks |
INTERVIEWER: IS THERE ANY ADDITIONAL INFORMATION ABOUT THIS CASE THAT WOULD BE IMPORTANT TO REMEMBER FOR THE NEXT ROUND, OR THAT MIGHT BE OF USE TO FUTURE INTERVIEWERS?
PLEASE SELECT "YES" AND <SUBMIT AND CONTINUE> TO RECORD INFORMATION.
| | 1 Yes |
| | 0 No ...(Go To NIL) |
| Q15-12E_2 [] | Section: Interviewer Remarks |
INTERVIEWER: PLEASE ENTER ANY ADDITIONAL INFORMATION ABOUT THIS CASE THAT WOULD BE IMPORTANT TO REMEMBER FOR THE NEXT ROUND, OR THAT MIGHT BE OF USE TO FUTURE INTERVIEWERS?
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| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |