Form NSCH-S1 & NSCH-T1 NSCH-S1 & NSCH-T1 2020 NSCH Questionnaire Content Revisions

Appendix A

2020 National Survey of Children’s Health
Questionnaire Content Revisions

Questionnaire

Section

Item Number
(2019)

Item Number
(2020)

2019 NSCH Content

2020 Revised Content

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Section A

A9 (T1)
A11 (T2 & T3)

A33 (T1, T2, & T3)

Has a doctor or other health care provider EVER told you that this
child has…
Brain injury, concussion or head injury?
Yes
No

Do you think this child has EVER had a concussion or brain injury?
A concussion or brain injury is when a blow or jolt to the head
causes problems such as headaches, dizziness, being dazed or
confused, difficulty remembering or concentrating, vomiting, blurred
vision, changes in mood or behavior, or being knocked out.
Yes
No

If yes, does this child CURRENTLY have the condition?
Yes
No
If yes, is it:
Mild
Moderate
Severe

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Section A

A13 (T1)
A15 (T2 & T3)

A11 (T1, T2, & T3)

If yes, did you seek medical care from a doctor or other health
care provider?
Yes
No
If yes, did a doctor or other health care provider tell you that your
child had a concussion or brain injury?
Yes
No

Has a doctor or other health care provider EVER told you that this
child has…
Heart Condition?
Yes
No

Has a doctor or other health care provider EVER told you that this
child has…
Heart Condition?
Yes
No

If yes, does this child CURRENTLY have the condition?
Yes
No

If yes, was this child born with the condition?
Yes
No

If yes, is it:
Mild
Moderate
Severe

Does this child CURRENTLY have the condition?
Yes
No
If yes, is it:
Mild
Moderate
Severe

A-2

Questionnaire

Section

Item Number
(2019)

Item Number
(2020)

2019 NSCH Content

2020 Revised Content

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Section A

A18 (T1)
A20 (T2 & T3)

A16 (T1, T2, & T3)

Has a doctor or other health care provider EVER told you that this
child has…
Down Syndrome
Yes
No

Has a doctor or other health care provider EVER told you that this
child has…
Down Syndrome
Yes
No

If yes, is it:
Mild
Moderate
Severe

[This question part will be dropped for the 2020 NSCH.]

Has a doctor or other health care provider EVER told you that this
child has…
Blood disorders (such as Sickle Cell Disease, Thalassemia, or
Hemophilia)?
Yes
No

Has a doctor or other health care provider EVER told you that this
child has…
Blood disorders (such as Sickle Cell Disease, Thalassemia, or
Hemophilia)?
Yes
No

If yes, is it:
Mild
Moderate
Severe

If yes, is it:
Mild
Moderate
Severe

Was this condition identified through a blood test done shortly after
birth? These tests are sometimes called newborn screening.
Yes
No

Was this child diagnosed with:
Sickle Cell Disease
Y/N
Thalassemia
Y/N
Hemophilia
Y/N
Other Blood Disorders Y/N

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Section A

A19 (T1)
A20 (T2 & T3)

A17 (T1, T2, & T3)

If yes, was this child diagnosed with:
Sickle Cell Disease
Y/N
Thalassemia
Y/N
Hemophilia
Y/N
Other Blood Disorders Y/N

Blood Disorders (such as Sickle Cell Disease,
Thalassemia, or Hemophilia)?
Yes
No

Were any of these blood disorders identified through a blood test
done shortly after birth? These tests are sometimes called newborn
screening.
Yes
No

A-3

Questionnaire

Section

Item Number
(2019)

Item Number
(2020)

2019 NSCH Content

2020 Revised Content

NSCH-T2 &
NSCH-T3

Topical Section A

A24 (T2 & T3)

N/A

Has a doctor or other health care provider EVER told
you that this child has...
Substance Use Disorder
Yes
No

This question series will be dropped for the 2020 NSCH.

If yes, does this child CURRENTLY have the disorder?
Yes
No
If yes, is it:
Mild
Moderate
Severe

NSCH-T1

Topical Section B

B6 (T1)

B6 (T1)

If yes, how old was this child when they COMPLETELY stopped
breastfeeding or being fed breastmilk?

If yes, how old was this child when they COMPLETELY stopped
breastfeeding or being fed breastmilk? Your best estimate is fine.

_ _ days
OR
_ weeks
OR
_ _ months
OR
□ Check this box if child is still breastfeeding

□ This child is still breastfeeding
OR
_ _ days
OR
_ _ weeks
OR
_ _ months

A-4

Questionnaire

Section

Item Number
(2019)

Item Number
(2020)

2019 NSCH Content

2020 Revised Content

NSCH-T1

Topical Section B

B7 (T1)

B7 (T1)

How old was this child when they were FIRST fed formula?

How old was this child when they were FIRST fed formula? Your
best estimate is fine.

NSCH-T1

Topical Section B

□ Check this box if child has never been fed formula
OR
□ At birth
OR
_ _ days
OR
_ weeks
OR
_ _ months

B8 (T1)

B8 (T1)

□ This child has never been fed formula
OR
□ At birth
OR
_ _ days
OR
_ _ weeks
OR
_ _ months

How old was this child when they were FIRST fed anything other than
breast milk or formula? Include juice, cow’s milk, sugar water, baby
food, or anything else that your child might have been given, even
water.

How old was this child when they were FIRST fed anything other
than breast milk or formula? Include water, juice, cow’s milk, sugar
water, baby food, or anything else that your child might have been
given. Your best estimate is fine.

□ Check this box if child has never been fed anything other than breast
milk or formula
OR
□ At birth
OR
_ _ days
OR
_ weeks
OR
_ _ months

□ This child has never been fed anything other than breast milk or
formula
OR
□ At birth
OR
_ _ days
OR
_ _ weeks
OR
_ _ months

A-5

Questionnaire

Section

Item Number
(2019)

Item Number
(2020)

2019 NSCH Content

2020 Revised Content

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Section E

E7 (T1, T2, & T3)

E7 (T1, T2, & T3)

Thinking specifically about this child’s mental or behavioral health
needs, how often does this child’s health insurance offer benefits or
cover services that meet these needs?
This child does not use mental or behavioral health services
Always
Usually
Sometimes
Never

Thinking specifically about this child’s mental or behavioral health
needs, how often does this child’s health insurance offer benefits
or cover services that meet these needs?
Always
Usually
Sometimes
Never
This child does not use mental or behavioral health services

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Section I

I4 (T1, T2, & T3)

N/A

DURING THE PAST 12 MONTHS, how often were pesticides used
inside your residence to control for insects? If the frequency changed
throughout the year, report the highest frequency.

This question will be dropped for the 2020 NSCH.

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Section I

I5 (T1, T2, & T3)

N/A

DURING THE PAST 12 MONTHS, other than in a shower or bathtub,
have you seen any mold, mildew or other signs of water damage on
walls or other surfaces inside
your home?

This question will be dropped for the 2020 NSCH.

NSCH-T2 &
NSCH-T3

Topical Section I

I13 (T2 & T3)

I10 (T2 & T3)

This sub-question was not included in the 2019 NSCH.

i. Treated or judged unfairly because of their sexual orientation or
gender identity

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Section J

J10 (T1, T2, &
T3)

J10 (T1, T2, & T3)

Were you employed at least 50 out of the past 52 weeks?
Yes
No

Which of the following best describes your current employment
status?
Mark (X) ONE box.
Employed full-time
Employed part-time
Working WITHOUT pay
Not employed but looking for work
Not employed and not looking for work

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Section J

N/A

J13 (T1, T2, & T3)

If this child has another primary adult caregiver who lives in this
household, complete Questions J13-J24. Otherwise, skip to Question
K1 on page 20 (page 19 for T2/T3).

New J13. Does this child have another parent or adult caregiver
who lives in this household?
Yes ➔ Complete Questions J14-J25 for this other parent or adult
caregiver
No ➔ SKIP to Question K1 on page 20

CAREGIVER 2

OTHER PARENT OR CAREGIVER IN THE HOUSEHOLD

A-6

Questionnaire

Section

Item Number
(2019)

Item Number
(2020)

2019 NSCH Content

2020 Revised Content

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Section J

J13 (T1, T2, &
T3)

J14 (T1, T2, & T3)

J13. How is Caregiver 2 related to this child?
There is only one primary adult caregiver in the
household for this child ➔ SKIP to question K1 on
page 20
Biological or Adoptive Parent
Etc…

New J14. How is this other caregiver related to this child?
Biological or Adoptive Parent
Etc…

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Section J

J22 (T1, T2, &
T3)

J23 (T1, T2, & T3)

Was Caregiver 2 employed at least 50 out of the past 52
weeks?
Yes
No

Which of the following best describes this caregiver's current
employment status?
Mark (X) ONE box.
Employed full-time
Employed part-time
Working WITHOUT pay
Not employed but looking for work
Not employed and not looking for work

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Section J

J14-J24 (T1, T2,
& T3)

J15-J25 (T1, T2, &
T3)

Reference "Caregiver 2" in the series of questions about the second
caregiver.

Revised to "this caregiver" in the series of questions about the
second caregiver.

Example:
J14. What is Caregiver 2's sex?
Male
Female

Example:
New J15. What is this caregiver’s sex?
Male
Female

A-7

Questionnaire

Section

Item Number
(2019)

Item Number
(2020)

2019 NSCH Content

2020 Revised Content

NSCH-T1,
NSCH-T2, &
NSCH-T3

Topical Multiple
Sections

T1, T2, T3
(throughout)

T1, T2, T3
(throughout)

Questions referenced the following:
"him or her", "he or she", and "his or hers"

Questions will reference the following:
"they" and "their"

Example:
A28. How old was this child when a doctor or other health care
provider FIRST told you that he or she had Autism, ASD, Asperger’s
Disorder or PDD?

Example:
A26. How old was this child when a doctor or other health care
provider FIRST told you that they had Autism, ASD, Asperger’s
Disorder or PDD?

A31. At any time DURING THE PAST 12 MONTHS, did this child
receive behavioral treatment for Autism, ASD, Asperger’s Disorder or
PDD, such as training or an intervention that you or this child
received to help with his or her behavior?

A29. At any time DURING THE PAST 12 MONTHS, did this child
receive behavioral treatment for Autism, ASD, Asperger’s Disorder
or PDD, such as training or an intervention that you or this child
received to help with their behavior?

A-8