Appx C-1 - NSCAW Caregiver Remote Interview

Before we begin, I would like to remind you of the study details. These study details are also included on the Fact Sheet and Consent Form you received by mail or email. I can send these materials to you again if you did not receive them or have not had a chance to review them yet.

Did you have time to review the materials?

1 = YES (GOTO P_Review)

2 = NO (GOTO P_NoReview)

P_Review

This study is sponsored by the Administration for Children and Families, a part of the U.S. Department of Health and Human Services. We are following up with children and their caregivers roughly 36 months after the initial interview. The caregiver interview takes about 45 minute to complete. There are two parts: first a telephone survey, and then a web survey. The interview asks about your child’s health, learning, behavior, and relationships with friends. We will ask about services your child may receive. Knowledge gained from this study will improve child welfare services and programs. Any data you provide will only be used by qualified individuals for research purposes. The only exceptions to this promise of confidentiality are if you tell me you intend to seriously harm yourself or someone else, or if a child has been or will be seriously harmed. In this situation I may need to notify a mental health professional or other authorities.

Your participation is voluntary. You may consider some of the questions to be sensitive and some of the

questions may also make you feel certain emotions, such as sadness. Remember you can choose not to answer any questions you do not want to answer, and you can stop the interview at any time. If you become upset at any time during the interview and wish to speak to a mental health professional about how you are feeling, I will provide you with the toll-free hotline numbers to call. A $50 electronic gift card will be sent to you after the telephone and web surveys. We may also telephone you in the future to check on the quality of my work during this interview.

Do you have any questions before we begin? ANSWER RESPONDENT QUESTIONS.

Can we go ahead and get started?

1 = YES, AGREES TO STUDY PARTICIPATION

2 = NO, DOES NOT AGREE TO STUDY PARTICIPATION

IF R STILL UNWILLING TO PARTICIPATE: Thank you for your time. END CALL. DOCUMENT THE SITUATION.

P_NoReview

Before we begin, I must review the consent form with you to ensure you are fully informed about study participation and your rights as a respondent. This will take just a few minutes.

Y_NoReview1

[IF P_Setting = 1 GOTO CG_FULLCON]

[IF P_Setting = 2 GOTO CG_INSTICG_FULLCON]

[IF P_CHSTAT = 1 GOTO CG_EY_FULLCON

CG_FULLCON (VERSION 2CL)

CG_INSTFULLCON (VERSION 2GL)

CG_FYFULLCON (VERSION 2P)

PRIVACY

Because you may not want others to hear the responses to some of our questions, I’d like to be sure you’re in a private area. Where are you right now? Are you at home, at work, or somewhere else? Are you in an area where you can answer these questions privately?

YES: PROCEED

NO: Please move to a more private area. Do you need more time?

YES: PAUSE, THEN CONTINUE

NO: CONTINUE

UP-FRONT VERIFICATION MODULE

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Logic before:

Preloads from CMS>ch_eman< [allow 1] [# emancipated kid] >CH_indliv< [allow 1] [# emancipated

kid, living independantly for over 90 days] >ch_wthcg< [allow 1] [# lives with CG] >ch_wthcg90<

[allow 1] [# lived with the CG in the past 90 days - 3 months]

UP-FRONT VERIFICATION MODULE Verification of CID - Case Initiation DataIF CHILD IS

LEGALLY EMANCIPATED, FILL -CHILD IS LEGALLY EMANCIPATED ACCORDING TO THE

GOVERNING STATE LAWS. IF CHILD IS LEGALLY EMANCIPATED AND DOES NOT LIVE WITH

A CAREGIVER, FILL -CHILD DOES@b NOT @bLIVE WITH A CAREGIVER. IF CHILD IS

LEGALLY EMANCIPATED, DOES NOT LIVE WITH A CAREGIVER AND HAS NOT LIVED WITH A

CAREGIVER FOR THE PAST 90 DAYS,FILL -CHILD HAS@b NOT @bLIVED WITH A

CAREGIVER DURING THE PAST 90 DAYS. -CAREGIVER INTERVIEW IS@b NOT

@bREQUIRED.IF CHILD IS LEGALLY EMANCIPATED, DOES NOT LIVE WITH A CAREGIVER

BUT HAS LIVED WITH A CAREGIVER FOR THE PAST 90 DAYS, FILLCHILD HAS LIVED WITH

A CAREGIVER DURING THE PAST 90 DAYS. CAREGIVER INTERVIEW IS REQUIRED. IF

CHILD IS LEGALLY EMANCIPATED BUT LIVES WITH A CAREGIVER, FILL -CHILD LIVES WITH

A CAREGIVER. -CAREGIVER INTERVIEW IS REQUIRED. IF CHILD IS NOT LEGALLY

EMANCIPATED, FILL -CHILD IS@b NOT @bLEGALLY EMANCIPATED ACCORDING TO THE

GOVERNING STATE LAWS. -CAREGIVER INTERVIEW IS REQUIRED.

P_NP0 [ PNP0 ] NO LABEL

INTERVIEWER: PLEASE VERIFY THE CHILD'S EMANCIPATION STATUS FROM THE

CID:@/@/^fills.P_NP01@/ ^fills.P_NP02 @/^fills.P_NP03

IS THE INFORMATION LISTED ABOVE CORRECT?

IF YES, ENTER 1 (YES)

IF NO, YOU MUST BREAKOFF THIS INTERVIEW AND RETURN TO THE CID TO CORRECT

THE EMANCIPATION STATUS OF THE CHILD.

Question Type: TYN

yes 1 YES

no 2 NO

Question Fill: ^fillP_NP01

LE -CHILD IS LEGALLY EMANCIPATED ACCORDING TO THE

GOVERNING STATE LAWS.

NLE -CHILD IS@b NOT @bLEGALLY EMANCIPATED ACCORDING TO THE

GOVERNING STATE LAWS.

-CAREGIVER INTERVIEW IS REQUIRED.

BLANK1

Question Fill: ^fillP_NP02

LE_DNL -CHILD DOES@b NOT @bLIVE WITH A CAREGIVER.

BLANK2

Question Fill: ^fillP_NP03

LE_DNL90M -CHILD HAS@b NOT @bLIVED WITH A CAREGIVER DURING THE

PAST 90 DAYS.

-CAREGIVER INTERVIEW IS@b NOT @bREQUIRED.

LE_LW90L -CHILD HAS LIVED WITH A CAREGIVER DURING THE PAST 90 DAYS.

CAREGIVER INTERVIEW IS REQUIRED.

LE_LW -CHILD LIVES WITH A CAREGIVER.

-CAREGIVER INTERVIEW IS REQUIRED.

blank3

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P_NP1a [ PNP1a ] Does CH live with R

INTERVIEWER: THIS IS THE @bCURRENT CAREGIVER@b INSTRUMENT. DOES ^CHILD

LIVE WITH RESPONDENT?

Question Type: TYN

yes 1 YES

no 2 NO

Logic after:

1 = YES GO TO P_NP2am

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P_NP1am [ PNP1am ] CH stop living with R - M

When did ^CHILD stop living with you? Please tell me the month and year.

MONTH

Question Type: TMonth

jan 1 January

feb 2 February

mar 3 March

apr 4 April

may 5 May

jun 6 June

jul 7 July

aug 8 August

sep 9 September

oct 10 October

nov 11 November

dec 12 December

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P_NP1ay [ PNP1ay ] CH stop living with R - Y

When did ^CHILD stop living with you? Please tell me the month and year.

YEAR

Question Type: 1990..2013

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P_NP2am [ PNP2am ] CH begin living with R - M

When did ^child begin living with you?

INTERVIEWER: IF R CANNOT PROVIDE DAY, ASK FOR MONTH AND YEAR

MONTH

Question Type: TMonth, noDK, noRF

jan 1 January

feb 2 February

mar 3 March

apr 4 April

may 5 May

jun 6 June

jul 7 July

aug 8 August

sep 9 September

oct 10 October

nov 11 November

dec 12 December

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P_NP2ad [ PNP2ad ] CH begin living with R - D

When did ^child begin living with you?

INTERVIEWER: IF R CANNOT PROVIDE DAY, ASK FOR MONTH AND YEAR

DAY

Question Type: 1..31

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P_NP2ay [ PNP2ay ] CH begin living with R - Y

When did ^child begin living with you?

INTERVIEWER: IF R CANNOT PROVIDE DAY, ASK FOR MONTH AND YEAR

YEAR

Question Type: 1990..2013, noDK, noRF

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Logic before:

IF MONTH/YEAR IN P_NP1am, P_NP1ay IS MORE THAN 3 MONTHS BEFORE INTERVIEW

MONTH/YEAR, GO TO P_NP3a; ELSE, COMPUTE NUMBER OF DAYSBETWEEN INTERVIEW

DATE AND DATE CHILD BEGAN LIVING WITH R IN (P_NP2am - P_NP2ay) IF DIFFERENCE

CAN BE COMPUTED AS DAYS AND LT 30 DAYS, GO TO P_NP3a; ELSE, IF DIFFERENCE GE

30 DAYS, GO TO P_NPRCHKIF DIFFERENCE CANNOT BE COMPUTED AS DAYS AND

MONTH/YEAR IN P_NP2am, P_NP2ay IS SAME AS MONTH/YEAR OF INTERVIEW OR 1

MONTH BEFORE MONTH/YEAR OF INTERVIEW, GO TO P_NP2chk; ELSE IF P_NP2am,

P_NP2ay IS TWO OR MORE MONTHS BEFORE MONTH/YEAR OF INTERVIEW, GO TO

P_NP2chk [ PNP2chk ] CH begin living with R before/after int date - 30 days

Did ^CHILD begin living with you before or after ^intdateminus30

Question Type: TonAfter

ON_BEFORE 1 ON OR BEFORE

_AFTER 2 AFTER

Logic after:

1 = ON OR BEFORE [fill INTERVIEW DATE MINUS 30 DAYS] GO TO P_NPRCHK

2 = AFTER [fill INTERVIEW DATE MINUS 30 DAYS] GO TO P_NP3a

REF, DK GO TO P_NP3a

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Logic before:

IF CHILD IS EMANCIPATED PER CID AND MONTH/YEAR IN P_NP1am, P_NP1ay IS MORE

THAN 3 MONTHS BEFORE INTERVIEW MONTH/YEAR, fill:INTERVIEWER: THE STUDY

PROTOCOL SPECIFIES THAT A CAREGIVER INTERVIEW IS REQUIRED ONLY IF THE

EMANCIPATED YOUTH CURRENTLY LIVES WITH THE CAREGIVER OR LIVED WITH A

CAREGIVER DURING THE LAST 3 MONTHS.ELSE fill: INTERVIEWER: THE STUDY

PROTOCOL REQUIRES THAT THIS RESPONDENT MUST (1) CURRENTLY LIVE WITH THE

CHILD, AND/OR (2) MUST HAVE LIVED WITH THE CHILD FOR AT LEAST @bONE MONTH@b.

P_NP3a [ PNP3a ] Supervisor authorize interview

^fills.P_NP3A

HAS YOUR SUPERVISOR AUTHORIZED YOU TO CONDUCT THE CURRENT CAREGIVER

INTERVIEW WITH THIS RESPONDENT EVEN THOUGH THE STUDY CRITERIA HAVE NOT

BEEN MET?

Question Type: TYN

yes 1 YES

no 2 NO

Question Fill: ^FillP_NP3a

more3 INTERVIEWER: THE STUDY PROTOCOL SPECIFIES THAT A

CAREGIVER INTERVIEW IS REQUIRED ONLY IF THE EMANCIPATED

YOUTH CURRENTLY LIVES WITH THE CAREGIVER OR LIVED WITH A

CAREGIVER DURING THE LAST 3 MONTHS.

else3orless INTERVIEWER: THE STUDY PROTOCOL REQUIRES THAT THIS

RESPONDENT MUST (1) CURRENTLY LIVE WITH THE CHILD, AND/OR

(2) MUST HAVE LIVED WITH THE CHILD FOR AT LEAST @bONE

MONTH@b.

Logic after:

1 = YES GOTO P_NP5a

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P_NP4 [ PNP4 ] NO LABEL

Because ^CHILD doesn't live with you currently, or has lived with you for a short period of time, I

need to talk to my supervisor to see if I should go ahead and interview you. Let me check with my

supervisor and get back to you in case I need to schedule an interview with you at a later date.

Thank you for your time today.

INTERVIEWER: PRESS ENTER TO GO BACK TO CASE MANAGEMENT SYSTEM AND CALL

Question Type: TCont

Continue 1 Continue

Logic after:

GOTO CASE MANAGEMENT SCREEN.

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Logic before:

DISPLAY GRID SHOWING NAME, RELATIONSHIP AND CAREGIVER TYPE FROM CID

(EXAMPLE SHOWN BELOW)Name Relationship to CHILD Caregiver Type from CID

Respondent?FILL NAME FROM CID SCREEN 4 FILL RELATIONSHIP FROM CID SCREEN 4

PrimaryFILL NAME FROM CID SCREEN 5 fILL RELATIONSHIP FROM CID SCREEN 5

P_NPRCHK [ PNPRCHK ] NO LABEL

INTERVIEWER: SELECT WHICH PERSON IS THE RESPONDENT ^cg_info

Question Type: TPNPRCHK, noDK, noRF

_Primary 1 Primary Caregiver: ^cg_cid.cga_first ^cg_cid.cga_initl ^cg_cid.cga_last

^cg_cid.cga_suffx

_Secondary 2 Secondary Caregiver: ^cg_cid.cgb_first ^cg_cid.cgb_initl

^cg_cid.cgb_last ^cg_cid.cgb_suffx

NotListed 3 Respondent is not listed above

Logic after:

IF R IS PRIMARY OR SECONDARY CG, GO TO P_NP5a; ELSE GO TO P_NP5e

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Logic before:

FILL NAME BELOW FROM CID SCREEN (4 OR 5) FOR PERSON IN P_NP5a MARKED AS R

P_NP5a [ PNP5x ] PCG name verification

INTERVIEWER: VERIFY THE PRIMARY CAREGIVER'S NAME:

FIRST: ^pRFIRST

MIDDLE INITIAL: ^pRINITL

LAST: ^pRLAST

IS THIS CORRECT?

Question Type: TYN

yes 1 YES

no 2 NO

Logic after:

1 = YES GOTO P_NP6a

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P_NP5b [ PNP5b ] Correct PCG first name

INTERVIEWER: CORRECT FIRST NAME AS NEEDED.

FIRST NAME:

Question Type: string[30]

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P_NP5c [ PNP5c ] Correct PCG middle name

INTERVIEWER: CORRECT MIDDLE NAME AS NEEDED.

MIDDLE NAME:

Question Type: string[30], empty

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P_NP5d [ PNP5d ] Correct PCG last name

INTERVIEWER: CORRECT LAST NAME AS NEEDED.

LAST NAME:

Question Type: string[30]

Logic after:

GO TO P_NP6a

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P_NP5E1 [ PNP5E1 ] Enter R first name

INTERVIEWER: ENTER THE RESPONDENT'S NAME:

FIRST NAME:

Question Type: string[30]

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P_NP5E2 [ PNP5E2 ] Enter R middle name

INTERVIEWER: ENTER THE RESPONDENT'S NAME:

MIDDLE INITIAL:

Question Type: string[3], empty

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P_NP5E3 [ PNP5E3 ] Enter R last name

INTERVIEWER: ENTER THE RESPONDENT'S NAME:

LAST NAME:

Question Type: string[30]

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Logic before:

FILL RELATIONSHIP FROM CID SCREEN 4 OR 5 FOR PERSON IN P_NP5a MARKED AS R IF

R IS PRIMARY OR SECONDARY CG FROM CID; ELSE, IF R IS NOT LISTED ON CID; USE

RELATIONSHIP FROM CID SCREEN 4 OR 5 DEPENDING ON EXPECTED RESPONDENT

FROM CID SCREEN 7

P_NP6a [ PNP6x ] Verify PCG relation to CH

INTERVIEWER: VERIFY THE PRIMARY CAREGIVER'S RELATIONSHIP TO ^CHILD:

^RELATIONSHIP

IS THIS CORRECT?

Question Type: TYN

yes 1 YES

no 2 NO

Logic after:

1 = YES GOTO P_NP8ac

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P_NP7a [ PNP7x ] PCGs relation to CH

INTERVIEWER: CODE PRIMARY CAREGIVER'S RELATIONSHIP TO ^CHILD.

Question Type: TCH14a

biomom 1 BIOLOGICAL MOTHER

stepmom 2 STEP-MOTHER

adoptmom 3 ADOPTIVE MOTHER

fostmom 4 FOSTER MOTHER

sister 5 SISTER

aunt 6 AUNT

grandma 7 GRANDMOTHER

biodad 8 BIOLOGICAL FATHER

stepdad 9 STEP-FATHER

adoptdad 10 ADOPTIVE FATHER

fostdad 11 FOSTER FATHER

brother 12 BROTHER

uncle 13 UNCLE

grandpa 14 GRANDFATHER

otherrel 95 OTHER RELATIVE

othernonrel 96 OTHER NON-RELATIVE

Logic after:

95 = OTHER RELATIVE (SPECIFY) GOTO P_NP7b

96 = OTHER NON-RELATIVE (SPECIFY) GOTO P_NP7c

ELSE, GOTO P_NP8a

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Logic before:

IF P_NP7a = 95,

P_NP7b [ PNP7b ] Other PCG relative reltionship to CH

PLEASE SPECIFY OTHER RELATIVE RELATIONSHIP.

RELATIONSHIP:

Question Type: string[30]

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Logic before:

IF P_NP7a = 96,

P_NP7c [ PNP7c ] Other PCG non-relative reltionship to CH

PLEASE SPECIFY OTHER NON-RELATIVE RELATIONSHIP.

RELATIONSHIP:

Question Type: string[30]

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Logic before:

IF R IS PRIMARY CAREGIVER FROM CID, GO TO P_NP8a; ELSE IF R IS SECONDARY CG

FROM CID OR NOT LISTED ON CID, GO TO P_NP10a. FILL NAME BELOW FROM CID SCREEN

P_NP8a [ PNP8x ] SCG name verification

INTERVIEWER: VERIFY THAT ^CHILD's CURRENT SECONDARY CAREGIVER IS:

FIRST: ^pSFirst

MIDDLE INITIAL: ^pSInitl

LAST: ^PSLast

IS THIS CORRECT?

Question Type: TPNP8F, noDk, noRF

YES 1 YES

NO 2 NO

NOCG2 3 CHILD DOES NOT HAVE A SECONDARY CAREGIVER

Logic after:

1 = YES GOTO P_NP9a

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P_NP8b [ PNP8b ] Correct SCG first name

INTERVIEWER: CORRECT FIRST NAME IF NEEDED.

FIRST NAME:

Range: 30

Question Type: string[30]

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P_NP8c [ PNP8c ] Correct SCG middle name

INTERVIEWER: CORRECT MIDDLE NAME IF NEEDED.

MIDDLE NAME:

Question Type: string[30], empty

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P_NP8d [ PNP8d ] Correct SCG last name

INTERVIEWER: CORRECT LAST NAME IF NEEDED.

LAST NAME:

Question Type: string[30]

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P_NP9a [ PNP9x ] Verify SCG relation to CH

INTERVIEWER: VERIFY THAT ^CHILD'S CURRENT SECONDARY CAREGIVER'S

RELATIONSHIP TO ^CHILD IS:

^cg_cid.cgb_reltxt

IS THIS CORRECT?

Question Type: TYN

yes 1 YES

no 2 NO

Logic after:

1 = YES GOTO P_NP10a

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Logic before:

[IF CHILD DOES NOT LIVE WITH A

CAREGIVER PER CID, FILL: MOST RECENT/ELSE, FILL: CURRENT]

P_NP9b [ PNP9b ] SCGs relation to CH

INTERVIEWER: CODE^fills.currrecent SECONDARY CAREGIVER'S RELATIONSHIP TO ^CHILD.

Question Type: TCH14a

biomom 1 BIOLOGICAL MOTHER

stepmom 2 STEP-MOTHER

adoptmom 3 ADOPTIVE MOTHER

fostmom 4 FOSTER MOTHER

sister 5 SISTER

aunt 6 AUNT

grandma 7 GRANDMOTHER

biodad 8 BIOLOGICAL FATHER

stepdad 9 STEP-FATHER

adoptdad 10 ADOPTIVE FATHER

fostdad 11 FOSTER FATHER

brother 12 BROTHER

uncle 13 UNCLE

grandpa 14 GRANDFATHER

otherrel 95 OTHER RELATIVE

othernonrel 96 OTHER NON-RELATIVE

Logic after:

95 = OTHER RELATIVE GOTO P_NP9c

96 = OTHER NON-RELATIVE GOTO P_NP9d

ELSE, GOTO Y_CH10a

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Logic before:

IF P_NP9b = 95, ASK p_NP9C

P_NP9c [ PNP9c ] Other SCG relative reltionship to CH

SPECIFY OTHER RELATIVE RELATIONSHIP

RELATIONSHIP:

Question Type: string[30]

Logic after:

GO TO P_NP10a

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Logic before:

IF P_NP9b = 96, ASK P_NP9D

P_NP9d [ PNP9d ] Other SCG non-relative reltionship to CH

SPECIFY OTHER NON-RELATIVE RELATIONSHIP

RELATIONSHIP:

Question Type: string[30]

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Logic before:

IF WAVE 1, GOTO P_NP11a. ELSE, ASK P_NP10a.FILL NAME OF CURRENT CAREGIVER

RESPONDENT FROM LAST WAVE

P_NP10a [ PNP10x ] Verify respondent's name

INTERVIEWER: IS RESPONDENT'S NAME DISPLAYED BELOW?

^lastwavenamecur

Question Type: TYN

yes 1 YES

no 2 NO

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P_NP11a

INTERVIEWER: IS THE CHILD LIVING IN A FAMILY SETTING?

INTERVIEWER: ^CHILD'S PRIMARY CAREGIVER'S RELATIONSHIP TO ^CHILD FROM CID IS

@B^CAREGIVER_A@B.

A FAMILY SETTING INCLUDES LIVING WITH A BIRTH PARENT, ADOPTIVE PARENT, RELATIVES, FICTIVE KIN, OR FOSTER PARENTS.

Question Type: TYN

yes 1 YES [GO TO P_NP12a]

no 2 NO [GO TO P_NP12b]

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P_NP12a

INTERVIEWER: ^CHILD'S PRIMARY CAREGIVER'S RELATIONSHIP TO ^CHILD FROM CID IS

@B^CAREGIVER_A@B.

FROM THE CATEGORIES BELOW, WHAT BEST DESCRIBES ^CHILD'S FAMILY SETTING?

With one or both birth parents
With one or both adoptive parents
With relatives oR FICTIVE KIN (E.G. GODPARENTS or FAMILY FRIEND)
With non-relatives IN A FOSTER HOME

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P_NP12b

FROM THE CATEGORIES BELOW, WHAT BEST DESCRIBES ^CHILD'S NON-FAMILY SETTING?

INTERVIEWER: ^CHILD'S PRIMARY CAREGIVER'S RELATIONSHIP TO ^CHILD FROM CID IS

@B^CAREGIVER_A@B.

In an emergency shelter
In a specialized or therapeutic foster home or therapeutic home
In a group home
In a residential treatment facility
IN A psychiatric hospital
In a medical hospital or facility
In a place of detention (e.g., juvenile detention, juvenile or adult corrections)
In transitional independent living Apartment, HOME, OR FACILITY
CHILD LIVES ON OWN (INCLUDES SCHOOL/COLLEGE, MILITARY, ETC.)
Whereabouts unknown, runaway
OTHER

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Logic before:

IF P_NP12b =3 or 4, ASK P_NP13a. ELSE, GO TO P_NP14a.

P_NP13a [ PNP13a ] Facility description

USE CARD 0. Please look at Card 0 and tell me which answer best describes this facility.

Question Type: TFacDesc

SMALLFAM 1 SMALL FAMILY GROUP HOME (RUN BY FAMILY WITH HELP OF

ADDITIONAL STAFF, 3-6 BEDS)

GROUP 2 GROUP HOME (3-6 BEDS)

SMALLRES 3 SMALL SIZED RESIDENTIAL FACILITY (7-12 BEDS)

MID 4 MID SIZED RESIDENTIAL FACILITY (13 TO 20 BEDS)

LARGE 5 LARGE SIZED RESIDENTIAL FACILITY (20 TO 49 BEDS)

LARGEST 6 LARGEST RESIDENTIAL FACILITY (50 OR MORE BEDS)

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P_NP14a [ PNP14a ] Is R the CHs LG

INTERVIEWER: IS THE RESPONDENT ^CHILD'S LEGAL GUARDIAN, THAT IS, THE PERSON

REQUIRED TO GIVE CONSENT FOR ^CHILD'S INTERVIEW?

Question Type: TYN

yes 1 YES

no 2 NO

Logic after:

GOTO P_NPEND

HOUSEHOLD ROSTER

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IF CHILD SETTING IS GROUP HOME OR RESIDENTIAL FACILITY (P_NP12b = 3 OR 4) THEN GO TO Y_HHEND

Logic before:

IF WAVE = 1, START AT P_HH1. ELSE, START AT P_HH0.

P_HH0a [ PHH0a ] Verify CHs full name

I'd like to begin by updating some of the information in our records about you, ^CHILD, and

^Fills.HisHer household and family.

Is ^CHILD's full name still ^ChildFullName?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Question Fill: ^fillhisher

his his

her her

Logic after:

FILL FIRST, MIDDLE, AND LAST NAME FROM P_HH1a IN PREVIOUS WAVE. If P_HH0a=yes

GOTO P_HH2ca.

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P_HH0a1 [ PH0aFN ] NO LABEL

What is ^CHILD's full legal name now?

First:

Question Type: string[20]

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P_HH0a2 [ PH0aMN ] NO LABEL

What is ^CHILD's full legal name now?

Middle:

Question Type: string[20], empty

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P_HH0a3 [ PH0aLN ] NO LABEL

What is ^CHILD's full legal name now?

Last:

Question Type: string[20]

Logic after:

GOTO P_HH2ca.

September, 2016 Page 18 of 591

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P_HH1a [ PHH1a ] Ch full name

I'd like to begin by asking some questions about you, ^CHILD, and ^Fills.HisHer household and

family. Let's start with ^CHILD.

What is ^CHILD's full legal name?

First:

Question Type: string[20]

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P_HH1b [ PHH1b ] Ch full name

What is ^CHILD's full legal name?

Middle:

Question Type: string[20], empty

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P_HH1c [ PHH1c ] Ch full name

What is ^CHILD's full legal name?

Last:

Question Type: string[20]

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P_HH2n [ PHH2a ] CH age in years

How old is ^CHILD?

AGE

Question Type: 0..18, noDK, noRF

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P_HH2am [ PHH2amm ] NO LABEL

When was ^CHILD born?

MONTH

Question Type: TMonth

jan 1 January

feb 2 February

mar 3 March

apr 4 April

may 5 May

jun 6 June

jul 7 July

aug 8 August

sep 9 September

oct 10 October

nov 11 November

dec 12 December

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P_HH2ad [ PHH2add ] NO LABEL

When was ^CHILD born?

DAY

Question Type: 1..31

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P_HH2ay [ PHH2ayy ] NO LABEL

When was ^CHILD born?

YEAR

Question Type: 1990..2013

Logic after:

EVALUATE RESPONSES TO P_HH2n AND P_HH2am-y FOR CONSISTENCY. IF CONSISTENT,

GO TO P_HH2ba, OTHERWISE DISPLAY INCONSISTENCY TEXT LISTED BELOW: I have

entered ^CHILD's age as ^P_HH2n and birthday as ^ChildDOB. These are inconsistent. I must

have something wrong. Which one do I need to correct?

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Logic before:

EVALUATE RESPONSES TO P_HH2n AND P_HH2am-y FOR CONSISTENCY. IF CONSISTENT,

GO TO P_HH2ba, OTHERWISE DISPLAY INCONSISTENCY TEXT LISTED BELOW.

P_HH2c [ PHH2c ] Inconsistent CH age and CH DOB

I have entered ^CHILD's age as ^P_HH2n and birthday as ^ChildDOB. These are inconsistent. I

must have something wrong. Which one do I need to correct?

Question Type: TCkAge, noDK, noRF

dob 1 CORRECT DATE OF BIRTH

age 2 CORRECT AGE

Logic after:

If 1 GOTO P_HH2am-y

If 2 GOTO P_HH2n

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P_HH2ba [ PHH2ba ] CH gender

(IF UNCLEAR, ASK:) Is ^CHILD a boy or girl?

(THE CONTROL CARD INDICATES THAT THE CHILD IS A ^ChildSex. IF THIS IS NOT

CORRECT, VERIFY THAT YOU ARE ASKING ABOUT THE CORRECT CHILD BEFORE

CONTINUING.)

Question Type: TGenderC

male 1 MALE

female 2 FEMALE

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P_HH2ca [ PHH2cx ] CH current grade

What grade is ^CHILD currently in?

(IF CHILD ON SUMMER BREAK, RECORD GRADE HE/SHE WILL BE IN WHEN SCHOOL

RESUMES. IF CHILD HAS GRADUATED, ENTER CHILD NOT IN SCHOOL)

Question Type: TgradeC

preschool 44 NURSERY SCHOOL/PRESCHOOL/HEAD START

kindergrtn 55 KINDERGARTEN

first 1 FIRST GRADE

second 2 SECOND GRADE

third 3 THIRD GRADE

fourth 4 FOURTH GRADE

fifth 5 FIFTH GRADE

sixth 6 SIXTH GRADE

seventh 7 SEVENTH GRADE

eighth 8 EIGHTH GRADE

ninth 9 NINTH GRADE

tenth 10 TENTH GRADE

eleventh 11 ELEVENTH GRADE

twelfth 12 TWELFTH GRADE

vocatech 13 VOCATIONAL/TECHNICAL

college 14 ANY YEAR OF COLLEGE

ungraded 17 UNGRADED PLACEMENT

notinschool 18 CHILD NOT IN SCHOOL

tooyoung 19 TOO YOUNG FOR SCHOOL

---------------------------------------------------------------------------------

Logic before:

IF P_HH2ca = 18, DK or REF, GO TO P_HH2cb; ELSE GO TO P_HH2da

P_HH2cb [ PHH2cb ] Highest grade in school CH has completed

What is the highest grade in school ^CHILD has completed?

Question Type: THH2Grd

preschool 44 NURSERY SCHOOL/PRESCHOOL/HEAD START

kindergrtn 55 KINDERGARTEN

first 1 FIRST GRADE

second 2 SECOND GRADE

third 3 THIRD GRADE

fourth 4 FOURTH GRADE

fifth 5 FIFTH GRADE

sixth 6 SIXTH GRADE

seventh 7 SEVENTH GRADE

eighth 8 EIGHTH GRADE

ninth 9 NINTH GRADE

tenth 10 TENTH GRADE

eleventh 11 ELEVENTH GRADE

twelfth 12 TWELFTH GRADE (GED)

vocatech 13 VOCATIONAL/TECHNICAL

college 14 ANY YEAR OF COLLEGE

ungraded 17 UNGRADED PLACEMENT

---------------------------------------------------------------------------------

Logic before:

IF P_HH2ca = 01-12, ASK P_HH2da. ELSE, GOTO P_HH3a.

P_HH2da [ PHH2da ] CH repeated any grades since last interview

Since ^Global.LastInt, has ^CHILD repeated any grades?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

If NO GOTO P_HH3a

---------------------------------------------------------------------------------

P_HH2e [ PHH2e ] Labels are in Logic After

Which grades has ^Fills.HeShe repeated?

CODE ALL THAT APPLY.

Question Type: TGrdRepS

kindergrtn 55 KINDERGARTEN

first 1 FIRST GRADE

second 2 SECOND GRADE

third 3 THIRD GRADE

fourth 4 FOURTH GRADE

fifth 5 FIFTH GRADE

sixth 6 SIXTH GRADE

seventh 7 SEVENTH GRADE

eighth 8 EIGHTH GRADE

ninth 9 NINTH GRADE

tenth 10 TENTH GRADE

eleventh 11 ELEVENTH GRADE

twelfth 12 TWELFTH GRADE

Question Fill: ^fillheshe

he he

she she

Logic after:

COMPARE GRADES IN P_HH2e TO GRADE IN P_HH2ca. GRADES REPEATED CANNOT BE

HIGHER THAN CURRENT GRADE. IF INCONSISTENT, DISPLAY: I have recorded that ^CHILD is

currently in the ^P_HH2ca but that ^Fills.HeShe repeated ^P_HH2ea. These are inconsistent. I

must have something wrong. Which one do I need to correct?; PHHTG_55 --Which grades has CH

repeated - kindergarten; PHHTG_1 --Which grades has CH repeated - first grade; PHHTG_2 --

Which grades has CH repeated - second grade; PHHTG_3 --Which grades has CH repeated - third

grade; PHHTG_4 --Which grades has CH repeated - fourth grade; PHHTG_5 --Which grades has

CH repeated - fifth grade; PHHTG_6 --Which grades has CH repeated - sixth grade; PHHTG_7 --

Which grades has CH repeated - seventh grade; PHHTG_8 --Which grades has CH repeated -

eighth grade; PHHTG_9 --Which grades has CH repeated - ninth grade; PHHTG_10 --Which grades

has CH repeated - tenth grade; PHHTG_11 --Which grades has CH repeated - eleventh grade;

PHHTG_12 --Which grades has CH repeated - twelfth grade

---------------------------------------------------------------------------------

Logic before:

COMPARE GRADES IN P_HH2e TO GRADE IN P_HH2ca. GRADES REPEATED CANNOT BE

HIGHER THAN CURRENT GRADE. IF INCONSISTENT, DISPLAY question and fill incorrect

response text from P_HH2ea.

P_HH2ec [ PHH2ecka ] Inconsistent CH grade and CH repeated grades

I have recorded that ^CHILD is currently in the ^P_HH2ca but that ^Fills.HeShe repeated

^P_HH2e[k]. These are inconsistent. I must have something wrong. Which one do I need to

correct?

Question Type: TPHH2ec

hh2ca 1 CURRENT GRADE

hh2ea 2 REPEATED GRADE(S)

Question Fill: ^fillheshe

he he

she she

Logic after:

If 1 GOTO P_HH2ca;

If 2 GOTO P_HH2e

P_HH2fa

What type of grades does ^CHILD typically get in school?

1 Mostly A’s & B’s

2 Mostly B’s & C’s

3 Mostly C’s…& D’s

4 Mostly D’s & lower

5 CHILD’S SCHOOL USES A DIFFERENT GRADING SCALE

P_HH2fb

In general, would you say that ^CHILD does better, worse, or about the same in school as other children?

1 Better

2 Worse

3 About the same

P_HH2fc

Has child ever received a failing grade in any school course or subject?

1 YES

2 NO

P_HH2fd

Has child ever had a behavior or discipline problems at school which resulted in suspension or expulsion?

1 YES

2 NO

P_HH2fe

Did ^CHILD’s school close to in-person learning because of COVID-19 outbreak?

1 YES

2 NO

P_HH2fg

If P_HH2fe = YES: Did ^CHILD’s school offer online learning while closed to in-person learning?

1 YES

2 NO

P_HH2fh

IF P_HH2fg = YES: Has ^CHILD’s school provided any of the following services to support their online learning? [CODE ALL THAT APPLY]

Free home internet access
Free computer or tablet
Free Meals
Tutoring
Learning pods or childcare

---------------------------------------------------------------------------------

Logic before:

IF AGE < 16, GOTO P_HH4a. Fill: IF WAVE > 1:" What is ^CHILD's marital status? Is

^Fills.HeShe ..." ELSE:"USE CARD 1. Please look at Card 1. What is ^CHILD's marital status?

P_HH3a [ PHH3a ] CH marital status

USE CARD 1. Please look at Card 1.

What is ^CHILD's marital status? Is ^Fills.HeShe...

Question Type: TMarSt2F

married 1 Married,

separated 2 Separated,

divorced 3 Divorced,

widowed 4 Widowed, or

nevermarried 5 Has ^Fills.HeShe never been married?

---------------------------------------------------------------------------------

P_HH4a [ PHH4a ] Verify Rs first name

Next, I need to record the first name of ^CHILD’s primary and secondary caregiver in this household. By "living in this

household" I mean caregivers who considers this their current primary residence, or who stays

here at least three nights per week, every week.

Let's start with you. Your first name is ^CAREGIVER1. Is that correct?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

If YES GOTO P_HH5

---------------------------------------------------------------------------------

P_HH4a1 [ PHH4aa ] Correct Rs first name

What is your first name?

FIRST NAME:

Question Type: string[20]

---------------------------------------------------------------------------------

P_HH5BEG [ PHH5BEG ] NoDeliv

PLEASE PRESS "1" TO CONTINUE.

Question Type: BCallCARIRouter

---------------------------------------------------------------------------------

Logic before:

FILL IF SECONDARY CAREGIVER HAS BEEN IDENTIFIED IN QP SECTION: In addition to

yourself, I have (FILL NAME OF SECONDARY CAREGIVER FROM QP SECTION).

P_HH5 [ PHH5 ] Labels are in Logic After

What is the first name of the other caregiver who lives

here?^

P_HH5a

Including you, how many adults, age 18 or over are living in this household?

P_HH5b

Including ^CHILD, how many children, age 17 or younger are living in this household?

---------------------------------------------------------------------------------

P_HH6a [ PHH6ax ] Rs relationship to CH

USE CARD 2. Please look at the list on Card 2. What is your relationship to ^CHILD?

(PROBE TO DETERMINE IF BIOLOGIC, STEP, ADOPTIVE, FOSTER, ETC.)

Question Type: TRlCrd2F

_2 2 MOTHER (BIOLOGICAL)

_3 3 FATHER (BIOLOGICAL)

_4 4 STEP-MOTHER

_5 5 STEP-FATHER

_6 6 ADOPTIVE MOTHER

_7 7 ADOPTIVE FATHER

_8 8 FOSTER MOTHER

_9 9 FOSTER FATHER

_10 10 FULL SISTER

_11 11 FULL BROTHER

_12 12 HALF SISTER

_13 13 HALF BROTHER

_14 14 STEP-SISTER

_15 15 STEP-BROTHER

_16 16 FOSTER SISTER

_17 17 FOSTER BROTHER

_18 18 ADOPTIVE SISTER

_19 19 ADOPTIVE BROTHER

_30 30 AUNT

_31 31 UNCLE

_32 32 GREAT AUNT

_33 33 GREAT UNCLE

_34 34 COUSIN

_40 40 MATERNAL GRANDMOTHER

_41 41 PATERNAL GRANDMOTHER

_42 42 MATERNAL GRANDFATHER

_43 43 PATERNAL GRANDFATHER

_44 44 MATERNAL GREAT-GRANDMOTHER

_45 45 PATERNAL GREAT-GRANDMOTHER

_46 46 MATERNAL GREAT-GRANDFATHER

_47 47 PATERNAL GREAT-GRANDFATHER

_94 94 BABYSITTER

_95 95 OTHER BLOOD RELATIVE

_96 96 OTHER NON-RELATIVE

Logic after:

If 2,3,16,17,18,19 then GO TO P_HH6hm; If 95 then GO TO P_HH6as1; If 96 then GO TO

P_HH6as2; else GO TO P_HH6b

---------------------------------------------------------------------------------

Logic before:

IF P_HH6a = 95

P_HH6as1 [ PHH6as1 ] Rs other relative relationship to CH

PLEASE SPECIFY OTHER RELATIVE RELATIONSHIP.

RELATIONSHIP:

Question Type: string[30]

Logic after:

GO TO P_HH6b

---------------------------------------------------------------------------------

Logic before:

IF P_HH6a = 96

P_HH6as2 [ PHH6as2 ] Rs other non-relative relationship to CH

PLEASE SPECIFY OTHER NON-RELATIVE RELATIONSHIP.

RELATIONSHIP:

Question Type: string[30]

Logic after:

GO TO P_HH6b

---------------------------------------------------------------------------------

Logic before:

If ch_eman = yes (Child is EY) ship P_HH6b

P_HH6b [ PHH6b ] Has R legally adopted CH

Have you legally adopted ^CHILD, that is, have you signed court papers to complete an adoption

process for ^CHILD?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

If YES then GO TO P_HH6f; if NO then GO TO P_HH6c

---------------------------------------------------------------------------------

P_HH6c [ PHH6c ] Did fstr care/social services agency help

Did anyone from a foster care or social services agency help arrange for you to care for ^CHILD?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

---------------------------------------------------------------------------------

P_HH6d [ PHH6d ] Regularly talk CW about CH

Do you regularly talk to a caseworker about ^CHILD?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

---------------------------------------------------------------------------------

P_HH6e [ PHH6e ] Currently receive payments for being CHs foster parent

Do you currently receive payments for being ^CHILD's foster parent?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

---------------------------------------------------------------------------------

Logic before:

ASK P_HH6f if P_HH6a = 6,7,8 or 9; ELSE GO TO P_HH6hm

P_HH6f [ PHH6f ] Is R related to CH

Are you related to ^CHILD?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

If NO then GO TO P_HH6hm

---------------------------------------------------------------------------------

P_HH6g [ PHH6g ] Aside from the PHH6a rel, what is your other rel to CHILD

USE CARD 3. Aside from being ^CHILD's ^P_HH6a, what is your relationship to ^CHILD?

Question Type: TRelHH6g

_2 2 MOTHER (BIOLOGICAL)

_3 3 FATHER (BIOLOGICAL)

_10 10 FULL SISTER

_11 11 FULL BROTHER

_12 12 HALF SISTER

_13 13 HALF BROTHER

_14 14 STEP-SISTER

_15 15 STEP-BROTHER

_16 16 FOSTER SISTER

_17 17 FOSTER BROTHER

_18 18 ADOPTIVE SISTER

_19 19 ADOPTIVE BROTHER

_30 30 AUNT

_31 31 UNCLE

_32 32 GREAT AUNT

_33 33 GREAT UNCLE

_34 34 COUSIN

_40 40 MATERNAL GRANDMOTHER

_41 41 PATERNAL GRANDMOTHER

_42 42 MATERNAL GRANDFATHER

_43 43 PATERNAL GRANDFATHER

_44 44 MATERNAL GREAT-GRANDMOTHER

_45 45 PATERNAL GREAT-GRANDMOTHER

_46 46 MATERNAL GREAT-GRANDFATHER

_47 47 PATERNAL GREAT-GRANDFATHER

_95 95 OTHER BLOOD RELATIVE

_96 96 OTHER NON-RELATIVE

Logic after:

IF P_HH6g = 95; GO TO P_HH6gs1; ELSE IF P_HH6g = 96, GO TO P_HH6gs2; ELSE IF P_HH6g

NE 95 OR 96, GO TO P_HH6hm

---------------------------------------------------------------------------------

Logic before:

IF P_HH6g = 95

P_HH6gs1 [ PHH6gs1 ] SPECIFY, OTHER RELATIVE RELATIONSHIP

PLEASE SPECIFY OTHER RELATIVE RELATIONSHIP.

RELATIONSHIP:

Question Type: string[30]

---------------------------------------------------------------------------------

Logic before:

IF P_HH6g = 96

P_HH6gs2 [ PHH6gs2 ] SPECIFY, OTHER NON-RELATIVE RELATIONSHIP

PLEASE SPECIFY OTHER NON-RELATIVE RELATIONSHIP.

RELATIONSHIP:

Question Type: string[30]

---------------------------------------------------------------------------------

P_HH6hm [ PHH7am ] NO LABEL

What is your date of birth?

MONTH

Question Type: TMonth

jan 1 January

feb 2 February

mar 3 March

apr 4 April

may 5 May

jun 6 June

jul 7 July

aug 8 August

sep 9 September

oct 10 October

nov 11 November

dec 12 December

---------------------------------------------------------------------------------

P_HH6hd [ PHH7ad ] NO LABEL

What is your date of birth?

DAY

Question Type: 1..31

---------------------------------------------------------------------------------

P_HH6hy [ PHH7ay ] NO LABEL

What is your date of birth?

YEAR

Question Type: 1913..1996

---------------------------------------------------------------------------------

P_HH6hn [ PHH7bb ] Caregivers age

How old are you now?

YEARS OLD

Question Type: 15..95

Logic after:

COMPARE AGE CALCULATED FROM DATE OF BIRTH IN P_HH6hm-y TO AGE REPORTED IN

P_HH6hn. IF AGES AGREE OR INCOMPLETE INFORMATION MAKES THE CHECK

IMPOSSIBLE TO PERFORM, GOTO P_HH6i. IF AGES DISAGREE, FILL: Based on the date of

birth I entered, the computer has calculated that you are FILL CALCULATED AGE FROM

P_HH6hm-y YEARS OLD. This is different from the age I entered for you. Which of these needs

to be corrected? Your date of birth or your age?

---------------------------------------------------------------------------------

Logic before:

COMPARE AGE CALCULATED FROM DATE OF BIRTH IN P_HH6hm-y TO AGE REPORTED IN

P_HH6hn. IF AGES AGREE OR INCOMPLETE INFORMATION MAKES THE CHECK

IMPOSSIBLE TO PERFORM, GOTO P_HH6i. IF AGES DISAGREE

P_HH6hc [ PHH7bcka ] age-DOB check

Based on the date of birth I entered, the computer has calculated that you are ^Rage years old.

This is different from the age I entered for you. Which of these needs to be corrected? Your date

of birth or your age?

Question Type: TCkAge, noDK, NoRF

dob 1 CORRECT DATE OF BIRTH

age 2 CORRECT AGE

Logic after:

If 1 GO BACK TO P_HH6hm-y

If 2 GO BACK TO P_HH6hn

---------------------------------------------------------------------------------

Logic before:

IF P_HH6a = 2-33, 40-47 gender can be determined so set P_HH6i accordingly and skip P_HH6i

else, ask P_HH7a.

P_HH6i [ PHH8c ] CGs gender

INTERVIEWER: RECORD SEX OF R.

Question Type: TGenderC

male 1 MALE

female 2 FEMALE

---------------------------------------------------------------------------------

Logic before:

ASK P_HH7a THROUGH P_HH7c FOR EACH PERSON LISTED IN P_HH5. SET NEXT PERSON

LISTED IN P_HH5 AS VARIABLE <PERSON>

P_HH7a [ PHH7a ] Labels are in Logic After

USE CARD 4. Let's talk about ^SECONDARY CAREGIVER Looking at Card 4, what is ^PERSON's relationship to

^CHILD? (PROBE TO DETERMINE BIOLOGIC, STEP, ADOPTIVE, FOSTER, ETC.)

Question Type: TReld2Ar

_2 2 MOTHER (BIOLOGICAL)

_3 3 FATHER (BIOLOGICAL)

_4 4 STEP-MOTHER

_5 5 STEP-FATHER

_6 6 ADOPTIVE MOTHER

_7 7 ADOPTIVE FATHER

_8 8 FOSTER MOTHER

_9 9 FOSTER FATHER

_10 10 FULL SISTER

_11 11 FULL BROTHER

_12 12 HALF SISTER

_13 13 HALF BROTHER

_14 14 STEP-SISTER

_15 15 STEP-BROTHER

_16 16 FOSTER SISTER

_17 17 FOSTER BROTHER

_18 18 ADOPTIVE SISTER

_19 19 ADOPTIVE BROTHER

_30 30 AUNT

_31 31 UNCLE

_32 32 GREAT AUNT

_33 33 GREAT UNCLE

_34 34 COUSIN

_40 40 MATERNAL GRANDMOTHER

_41 41 PATERNAL GRANDMOTHER

_42 42 MATERNAL GRANDFATHER

_43 43 PATERNAL GRANDFATHER

_44 44 MATERNAL GREAT-GRANDMOTHER

_45 45 PATERNAL GREAT-GRANDMOTHER

_46 46 MATERNAL GREAT-GRANDFATHER

_47 47 PATERNAL GREAT-GRANDFATHER

_94 94 BABYSITTER

_95 95 OTHER BLOOD RELATIVE

_96 96 OTHER NON-RELATIVE

Logic after:

PHH7a_1 --Other adult in HH relationship to CH - 1; PHH7a_2 --Other adult in HH relationship to

CH - 2; PHH7a_3 --Other adult in HH relationship to CH - 3; PHH7a_4 --Other adult in HH

relationship to CH - 4; PHH7a_5 --Other adult in HH relationship to CH - 5; PHH7a_6 --Other adult

in HH relationship to CH - 6; PHH7a_7 --Other adult in HH relationship to CH - 7; PHH7a_8 --Other

adult in HH relationship to CH - 8; PHH7a_9 --Other adult in HH relationship to CH - 9; PHH7a_10 --

Other adult in HH relationship to CH - 10

---------------------------------------------------------------------------------

Logic before:

IF P_HH7a = 95

P_HH7as1 [ PHH7as1 ] Labels are in Logic After

PLEASE SPECIFY OTHER RELATIVE RELATIONSHIP.

RELATIONSHIP:

Question Type: Tstr30Ar

_30 1 STRING[30]

Logic after:

PHH7as1_1 --Other adult in HH othr rltve relationship to CH - 1; PHH7as1_2 --Other adult in HH

othr rltve relationship to CH - 2; PHH7as1_3 --Other adult in HH othr rltve relationship to CH - 3;

PHH7as1_4 --Other adult in HH othr rltve relationship to CH - 4; PHH7as1_5 --Other adult in HH

othr rltve relationship to CH - 5; PHH7as1_6 --Other adult in HH othr rltve relationship to CH - 6;

PHH7as1_7 --Other adult in HH othr rltve relationship to CH - 7; PHH7as1_8 --Other adult in HH

othr rltve relationship to CH - 8; PHH7as1_9 --Other adult in HH othr rltve relationship to CH - 9;

PHH7as1_10 --Other adult in HH othr rltve relationship to CH - 10

---------------------------------------------------------------------------------

Logic before:

IF P_HH7a = 96

P_HH7as2 [ PHH7as2 ] Labels are in Logic After

PLEASE SPECIFY OTHER NON-RELATIVE RELATIONSHIP.

RELATIONSHIP:

Question Type: Tstr30Ar

_30 1 STRING[30]

Logic after:

PHH7as2_1 --Other adult in HH othr non-rltve relationship to CH - 1; PHH7as2_2 --Other adult in

HH othr non-rltve relationship to CH - 2; PHH7as2_3 --Other adult in HH othr non-rltve relationship

to CH - 3; PHH7as2_4 --Other adult in HH othr non-rltve relationship to CH - 4; PHH7as2_5 --Other

adult in HH othr non-rltve relationship to CH - 5; PHH7as2_6 --Other adult in HH othr non-rltve

relationship to CH - 6; PHH7as2_7 --Other adult in HH othr non-rltve relationship to CH - 7;

PHH7as2_8 --Other adult in HH othr non-rltve relationship to CH - 8; PHH7as2_9 --Other adult in

HH othr non-rltve relationship to CH - 9; PHH7as2_10 --Other adult in HH othr non-rltve relationship

---------------------------------------------------------------------------------

P_HH7bn [ PHHGE ] Labels are in Logic After

How old is ^PERSON?

YEARS OLD

Question Type: TInt095Ar

_0_95 1 0..95

Logic after:

PHHGE_1 --Age HH member 1; PHHGE_2 --Age HH member 2; PHHGE_3 --Age HH member 3;

PHHGE_4 --Age HH member 4; PHHGE_5 --Age HH member 5; PHHGE_6 --Age HH member 6;

PHHGE_7 --Age HH member 7; PHHGE_8 --Age HH member 8; PHHGE_9 --Age HH member 9;

PHHGE_10 --Age HH member 10

---------------------------------------------------------------------------------

Logic before:

IF P_HH7a = 2-33, 40-47 the gender can be determined so fill P_HH7c appropriately and GOTO

P_HH7 for the next HH member until all have been asked about.

P_HH7c [ PHHEX ] Labels are in Logic After

IF SEX UNCLEAR, ASK: Is ^PERSON male or female?

Question Type: TGenr10F

male 1 MALE

female 2 FEMALE

---------------------------------------------------------------------------------

Logic before:

IF ALL OTHER HH MEMBERS ARE AGES 0-17 GO TO P_HH9a; ELSE, GO TO HH8aa. IF A 2nd

CG WAS IDENTIFIED IN CID AND CONFIRMED IN NP SECTION, ASK HH8aa.

P_HH8aa [ PHH8aa ] Other adult in HH responsible for CH

Aside from yourself, is there another adult in the household who is responsible for ^CHILD's

health, education and well-being?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

If NO then GO TO P_HH9a

---------------------------------------------------------------------------------

Logic before:

IF P_HH7a FOR CAREGIVER2 = 2,3,16,17,18 or 19, GO TO P_HH8f; ELSE GO TO P_HH8b

P_HH8b [ PHH8b ] Has CG legally adopted CH

Has ^CAREGIVER2 legally adopted ^CHILD, that is, has ^Fills.HeShe signed court papers to

complete an adoption process for ^CHILD?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

If YES then GO TO P_HH8f

---------------------------------------------------------------------------------

Logic before:

IF P_HH6c = 1 OR P_HH6d = 1 OR P_HH6e = 1; GO TO P_HH8f; ELSE ASK P_HH8c

P_HH8c [ PHH8b2 ] Foster care/soc serv agency hlp arrng CAREGIVER2 for CHILD?

Did anyone from a foster care or social services agency help arrange for ^CAREGIVER2 to care

for ^CHILD?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

---------------------------------------------------------------------------------

P_HH8d [ PHH8d ] Does CG regularly talk to caseworker about CH

Does ^CAREGIVER2 regularly talk to a caseworker about ^CHILD?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

---------------------------------------------------------------------------------

P_HH8e [ PHH8e ] Does CG rcv payments for bing CHs foster parent

I understand that ^CAREGIVER2 is ^CHILD's ^CAREGIVER2_Rel.

Does ^CAREGIVER2 currently receive any payments for being ^CHILD's foster parent?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

---------------------------------------------------------------------------------

Logic before:

ASK P_HH8f if P_HH7a = 6,7,8 or 9; ELSE GO TO P_HH8hm

P_HH8f [ PHH8f ] Is CG related to CH

Is ^CAREGIVER2 related to ^CHILD?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

If NO then GO TO P_HH8hm

---------------------------------------------------------------------------------

Logic before:

if P_HH7a = 6,7,8 or 9 set fills.p_hh8g to _6, _7, _8, _9 (adoptive or foster mom or dad)

P_HH8g [ PHH8g ] Aside from the P_HH8g rel, what is CARGIVER2s rel to CHILD

USE CARD 5. Aside from being ^CHILD's ^Fills.P_HH8g, what is ^CAREGIVER2's relationship to

^CHILD?

Question Type: TRelHH6g

_2 2 MOTHER (BIOLOGICAL)

_3 3 FATHER (BIOLOGICAL)

_10 10 FULL SISTER

_11 11 FULL BROTHER

_12 12 HALF SISTER

_13 13 HALF BROTHER

_14 14 STEP-SISTER

_15 15 STEP-BROTHER

_16 16 FOSTER SISTER

_17 17 FOSTER BROTHER

_18 18 ADOPTIVE SISTER

_19 19 ADOPTIVE BROTHER

_30 30 AUNT

_31 31 UNCLE

_32 32 GREAT AUNT

_33 33 GREAT UNCLE

_34 34 COUSIN

_40 40 MATERNAL GRANDMOTHER

_41 41 PATERNAL GRANDMOTHER

_42 42 MATERNAL GRANDFATHER

_43 43 PATERNAL GRANDFATHER

_44 44 MATERNAL GREAT-GRANDMOTHER

_45 45 PATERNAL GREAT-GRANDMOTHER

_46 46 MATERNAL GREAT-GRANDFATHER

_47 47 PATERNAL GREAT-GRANDFATHER

_95 95 OTHER BLOOD RELATIVE

_96 96 OTHER NON-RELATIVE

Question Fill: ^FillP_HH8g

_6 ADOPTIVE MOTHER

_7 ADOPTIVE FATHER

_8 FOSTER MOTHER

_9 FOSTER FATHER

---------------------------------------------------------------------------------

Logic before:

IF P_HH8g = 95

P_HH8gs1 [ PHH8gs1 ] SPECIFY, OTHER RELATIVE RELATIONSHIP

PLEASE SPECIFY OTHER RELATIVE RELATIONSHIP.

RELATIONSHIP:

Question Type: string[30]

---------------------------------------------------------------------------------

Logic before:

IF P_HH8g = 96

P_HH8gs2 [ PHH8gs2 ] SPECIFY, OTHER NON-RELATIVE RELATIONSHIP

PLEASE SPECIFY OTHER NON-RELATIVE RELATIONSHIP.

RELATIONSHIP:

Question Type: string[30]

---------------------------------------------------------------------------------

P_HH8hm [ PHH8hm ] CAREGIVER2s date of birth - MONTH

What is ^CAREGIVER2's date of birth?

MONTH

Question Type: TMonth

jan 1 January

feb 2 February

mar 3 March

apr 4 April

may 5 May

jun 6 June

jul 7 July

aug 8 August

sep 9 September

oct 10 October

nov 11 November

dec 12 December

---------------------------------------------------------------------------------

P_HH8hd [ PHH8hd ] CAREGIVER2s date of birth - DAY

What is ^CAREGIVER2's date of birth?

DAY

Question Type: 1..31

---------------------------------------------------------------------------------

P_HH8hy [ PHH8hy ] CAREGIVER2s date of birth - YEAR

What is ^CAREGIVER2's date of birth?

YEAR

Question Type: 1913..1996

Logic after:

COMPARE AGE CALCULATED FROM DATE OF BIRTH IN P_HH8hm-y TO AGE REPORTED IN

P_HH7bn. IF AGES AGREE OR INCOMPLETE INFORMATION MAKES THE CHECK

IMPOSSIBLE TO PERFORM, GOTO P_HH9a. IF AGES DISAGREE, FILL: Based on the date of

birth I entered, the computer has calculated that CAREGIVER2 is FILL CALCULATED AGE FROM

P_HH8hm-y YEARS OLD. This is different from the age I entered for (him/her). Which of these

needs to be corrected? (His/Her) date of birth or (his/her) age?

---------------------------------------------------------------------------------

Logic before:

COMPARE AGE CALCULATED FROM DATE OF BIRTH IN P_HH8hm-y TO AGE REPORTED IN

P_HH7bn. IF AGES AGREE OR INCOMPLETE INFORMATION MAKES THE CHECK

IMPOSSIBLE TO PERFORM, GOTO P_HH9a. IF AGES DISAGREE

P_HH8i [ PHH8i ] CAREGIVER2 date of birth and age do not match

Based on the date of birth I entered, the computer has calculated that ^CAREGIVER2 is ^RAge

years old. This is different from the age I entered for ^Fills.HimHer. Which of these needs to be

corrected? ^Fills.HisHer date of birth or ^Fills.HisHer age?

Question Type: TCkAge, NoDK, NoRF

dob 1 CORRECT DATE OF BIRTH

age 2 CORRECT AGE

Logic after:

If 1 GO BACK TO P_HH8hm-y

If 2 GO BACK TO P_HH8hn

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Logic before:

IF RESPONDENT OR CAREGIVER2 IS BIOLOGICAL PARENT (P_HH6a = 2,3 OR P_HH6g = 2,3

OR P_HH7a = 2,3 OR P_HH8g = 2,3) OR RESPONDENT OR CAREGIVER2 IS ADOPTIVE HAS

ADOPTED CHILD (P_HH6b = 1 OR P_HH8b = 1), GO TO HH11a; ELSE ASK P_HH9a - P_HH10A

P_HH9a [ PHH9a ] Are you CHs LG

Are you ^CHILD's legal guardian?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

If YES then GO TO P_HH10a

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Logic before:

IF NO CAREGIVER2, GO TO P_HH9d

P_HH9c [ PHH9c ] Is CG CHs LG

Is ^CAREGIVER2 ^CHILD's legal guardian?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

IF YES then GO TO P_HH10a

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P_HH9d [ PHH9d ] Does CH have a LG living in the HH

Does ^CHILD have a legal guardian living in the household?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

If NO then GO TO P_HH10a

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P_HH10a [ PHH10a ] Consider your home to be CHs permanent home

Do you consider your home to be ^CHILD's permanent home?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

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P_HH11a [ PHH12a ] Rs marital status

USE CARD 6. Now I have a few more questions about you. Please look at Card 6. Are you

currently...

NOTE: "MARRIED" CAN INCLUDE LEGAL AND COMMON LAW MARRIAGES, DEPENDING ON

Question Type: TMStat

married 1 Married,

separated 2 Separated,

divorced 3 Divorced,

widowed 4 Widowed, or

nevermarried 5 Have you never been married?

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Logic before:

IF P_HH5 IS BLANK, THAT IS "R LIVES ALONE", GO TO HH15a; ASK P_HH12a FOR

CAREGIVER 2

P_HH12a [ PHH12x ] Labels are in Logic After

USE CARD 7. Please look at the list on Card 7. What is ^PERSON's relationship to you?

Question Type: TReHH12a

_1 1 SPOUSE

_2 2 UNMARRIED PARTNER, BOYFRIEND/GIRLFRIEND

_3 3 CHILD (BIOLOGICAL)

_4 4 CHILD (ADOPTIVE)

_5 5 CHILD (STEP)

_6 6 CHILD (FOSTER)

_7 7 GRANDCHILD

_8 8 MOTHER (BIRTH/ADOPTIVE/STEP/FOSTER/OTHER)

_9 9 FATHER (BIRTH/ADOPTIVE/STEP/FOSTER/OTHER)

_10 10 BROTHER/SISTER

_11 11 GRANDFATHER/GRANDMOTHER

_12 12 NIECE/NEPHEW

_13 13 AUNT/UNCLE

_14 14 COUSIN

_15 15 GREAT GRANDCHILD

_16 16 HOUSEMATE/ROOMMATE

_17 17 ROOMER/BOARDER

_18 18 OTHER RELATIVE

_19 19 OTHER NONRELATIVE

_20 20 UNRELATED LEGAL GUARDIAN

Logic after:

IF P_HH12a = 18 GO TO P_HH12as1; ELSE IF P_HH12a = 19, GO TO P_HH12as2; ELSE

CONTINUE TO NEXT PERSON UNTIL ALL RELATIONSHIPS TO R HAVE BEEN DETERMINED;

THEN GO TO P_HH13am; PHH12x_1 --R 2 marital status; PHH12x_2 --R 3 marital status;

PHH12x_3 --R 4 marital status; PHH12x_4 --R 5 marital status; PHH12x_5 --R 6 marital status;

PHH12x_6 --R 7 marital status; PHH12x_7 --R 8 marital status; PHH12x_8 --R 9 marital status;

PHH12x_9 --R 10 marital status; PHH12x_10 --R 11 marital status

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Logic before:

IF P_HH12a = 18

P_HH12as1 [ PHH12as1 ] Labels are in Logic After

PLEASE SPECIFY OTHER RELATIVE RELATIONSHIP.

RELATIONSHIP:

Question Type: Tstr30Ar

_30 1 STRING[30]

Logic after:

PHH12as1_1 --Other relative 2 reltionship; PHH12as1_2 --Other relative 3 reltionship; PHH12as1_3

--Other relative 4 reltionship; PHH12as1_4 --Other relative 5 reltionship; PHH12as1_5 --Other

relative 6 reltionship; PHH12as1_6 --Other relative 7 reltionship; PHH12as1_7 --Other relative 8

reltionship; PHH12as1_8 --Other relative 9 reltionship; PHH12as1_9 --Other relative 10 reltionship;

PHH12as1_10 --Other relative 11 reltionship

---------------------------------------------------------------------------------

Logic before:

IF P_HH12a = 19

P_HH12as2 [ PHH12as2 ] Labels are in Logic After

PLEASE SPECIFY OTHER NON-RELATIVE RELATIONSHIP.

RELATIONSHIP:

Question Type: Tstr30Ar

_30 1 STRING[30]

Logic after:

PHH12as2_1 --Other non-relative 2 reltionship; PHH12as2_2 --Other non-relative 3 reltionship;

PHH12as2_3 --Other non-relative 4 reltionship; PHH12as2_4 --Other non-relative 5 reltionship;

PHH12as2_5 --Other non-relative 6 reltionship; PHH12as2_6 --Other non-relative 7 reltionship;

PHH12as2_7 --Other non-relative 8 reltionship; PHH12as2_8 --Other non-relative 9 reltionship;

PHH12as2_9 --Other non-relative 10 reltionship; PHH12as2_10 --Other non-relative 11 reltionship

---------------------------------------------------------------------------------

Logic before:

IF SPOUSE HAS BEEN IDENTIFIED (P_HH12a = 1), ASK P_HH13am - ay; ELSE GO TO

P_HH13am [ PHH13bm ] NO LABEL

What is your spouse's date of birth?

MONTH

Question Type: TMonth

jan 1 January

feb 2 February

mar 3 March

apr 4 April

may 5 May

jun 6 June

jul 7 July

aug 8 August

sep 9 September

oct 10 October

nov 11 November

dec 12 December

---------------------------------------------------------------------------------

P_HH13ad [ PHH13bd ] NO LABEL

What is your spouse's date of birth?

DAY

Question Type: 1..31

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P_HH13ay [ PHH13by ] NO LABEL

What is your spouse's date of birth?

YEAR

Question Type: 1913..1993

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Logic before:

ASK P_HH15A -- P_HH29E FOR RESPONDENT - ASK P_HH15AC -- P_HH29EC FOR

CAREGIVER2

P_HH15a [ PHH15x ] Rs highest degree

USE CARD 8. Please look at Card 8. What is the highest grade in school you have completed?

Please include vocational or technical training and any years in college you may have completed.

Question Type: TGraH15F

LESS 0 LESS THAN FIRST GRADE

FIRST 1 FIRST GRADE

SECON 2 SECOND GRADE

THIRD 3 THIRD GRADE

FOURT 4 FOURTH GRADE

FIFTH 5 FIFTH GRADE

SIXTH 6 SIXTH GRADE

SEVEN 7 SEVENTH GRADE

EIGHT 8 EIGHTH GRADE

NINTH 9 NINTH GRADE

TENTH 10 TENTH GRADE

ELEVE 11 ELEVENTH GRADE

TWELFTH 12 TWELFTH GRADE

VOCATIO 13 VOCATIONAL/TECHNICAL

SOMECOL 14 SOME COLLEGE CREDIT, LESS THAN 1 YEAR

col1_3 15 1 TO 3 YEARS OF COLLEGE

col4MO 16 4 OR MORE YEARS OF COLLEGE

UNGRAD 17 UNGRADED PLACEMENT

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P_HH16a [ PHH16x ] Rs highest grade completed

USE CARD 9. Please look at Card 9. What is the highest degree, diploma, or certificate you hold?

Question Type: TGraH16F

NONE 1 NONE

HIGH 2 HIGH SCHOOL EQUIVALENCY (for example: GED)

H_S 3 H.S. DIPLOMA

VOCA 4 VOCATIONAL TECH CERTIFICATE/DIPLOMA (for example: DENTAL

TECHNICIAN, COSMETOLOGY LICENSE, ETC.)

NURS 5 NURSING DIPLOMA/CERTIFICATE

ASSO 6 ASSOCIATE DEGREE (for example: AA, AS, ASN)

BACH 7 BACHELOR'S DEGREE (for example: BA, AB, BS, BSN)

MAST 8 MASTERS DEGREE (for example MA, MS, MEng, Med, MSW, MBA)

GRAD 9 GRADUATE OR PROFESSIONAL DEGREE (for example MD, DDS,

DVM, LLB, JD, PhD, EdD)

OTHER 10 OTHER

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P_HH17a [ PHH17a ] R currently enrolled in school

Are you currently enrolled in school?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

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P_HH18n [ PHH18a ] Rs # bio children

How many children have you ^Fills.P_HH18?

NUMBER OF BIRTHS:

Question Type: 0..20

Question Fill: ^fillP_HH18

male fathered

female given birth to

Logic after:

FILL BASED ON SUBJECT'S GENDER: given birth to/fathered

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P_HH21a [ PHH21a ] Rs current employment situation

USE CARD 10. Please look at Card 10. Which of the categories on the card best describes your

current employment situation?

NOTE: DO NOT INCLUDE VOLUNTEER WORK (ONLY "PAID" WORK.)

Question Type: TWKCRD6F

_1 1 REGULARLY WORK FULL-TIME, 35 OR MORE HOURS/WEEK

_2 2 REGULARLY WORK PART-TIME, LESS THAN 35 HOURS/WEEK

_3 3 WORK SOMETIMES, WHEN WORK'S AVAILABLE

_4 4 UNEMPLOYED, LOOKING FOR WORK

_5 5 DON'T WORK BECAUSE OF FAMILY RESPONSIBILITIES

_6 6 DON'T WORK BECAUSE RETIRED

_7 7 DON'T WORK BECAUSE OF ILLNESS OR DISABILITY

_8 8 DON'T WORK BECAUSE DON'T WANT TO WORK

_9 9 DON'T WORK BECAUSE CURRENTLY A STUDENT

_10 10 OTHER

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Logic before:

IF P_HH21a = 1-2 GO TO P_HH24a; ELSE, CONTINUE.

P_HH22a [ PHH22a ] R worked for pay in last 6 mos

Have you worked for pay any time in the @blast 6 months@b?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

If NO then GOTO P_HH26ac

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P_HH24a [ PHH24a ] R currently has >1 job?

Do you @bcurrently@b have more than one job?

Question Type: TYesNoC

Yes 1 YES

No 2 NO

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P_HH26a [ PHH26x ] R Spanish/Hispanic/Latino

Are you Spanish, Hispanic, or Latino?

Question Type: TRaceGrp

no 1 No, not Spanish/Hispanic/Latino

mex 2 Yes, Mexican, Mexican-American, Chicano

pr 3 Yes, Puerto Rican

cuba 4 Yes, Cuban

other 5 Yes, Other

---------------------------------------------------------------------------------

P_HH27a [ PHH27a ] Labels are in Logic After

USE CARD 12. Please look at Card 12. What is your race? You may pick one or more groups

from the card.

Question Type: TRaceC

amerind 1 AMERICAN INDIAN OR ALASKA NATIVE

asian 2 ASIAN

black 3 BLACK OR AFRICAN AMERICAN

pacislandr 4 NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER

white 5 WHITE

Logic after:

PHH7TG_1 --CCG Amer Indian/Alaskan Native; PHH7TG_2 --CCG Asian; PHH7TG_3 --CCG Black

or African American; PHH7TG_4 --CCG Native Hawaiian/othr Pac Islander; PHH7TG_5 --CCG

White; PHH7TG_7 --CCG Race DK; PHH7TG_8 --CCG Race RF

---------------------------------------------------------------------------------

P_HH28a [ PHH28a ] R born in the US

Were you born in the United States? The United States includes the 50 states and the District of

Columbia, but not US territories.

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

If NO then GOTO P_HH28a3

---------------------------------------------------------------------------------

Logic before:

ASK IF P_HH28a = 2

P_HH28a3

In what country were you born?

MEXICO..................................................................................................1

GUATEMALA..........................................................................................2

CUBA.....................................................................................................3

DOMINICAN REPUBLIC........................................................................................ ... 4

INDIA......................................................................................................5

CHINA....................................................................................................6

PHILIPPINES.........................................................................................7

JAPAN....................................................................................................8

KOREA...................................................................................................9

VIETNAM...............................................................................................10

GUAM.....................................................................................................11

SAMOA..................................................................................................12

OTHER (SPECIFY)................................................................................13

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P_HH29n [ PHH29a ] Total years R lived in US

How many years all together have you been living in the U.S.?

(COUNT THE SUM OF ALL TIME SPENT IN THE U.S., EVEN IF NOT CONTINUOUS.)

YEARS:

Question Type: 0..95

---------------------------------------------------------------------------------

Logic before:

ASK P_HH15Ac -- P_HH29Ec FOR CAREGIVER2, IF APPLICABLE

P_HH15ac [ PHH15xc ] Highest grade CG2 completed

USE CARD 8. Please look at Card 8. What is the highest grade in school ^CAREGIVER2 has

completed? Please include vocational or technical training and any years in college

^CAREGIVER2 may have completed.

Question Type: TGraH15F

LESS 0 LESS THAN FIRST GRADE

FIRST 1 FIRST GRADE

SECON 2 SECOND GRADE

THIRD 3 THIRD GRADE

FOURT 4 FOURTH GRADE

FIFTH 5 FIFTH GRADE

SIXTH 6 SIXTH GRADE

SEVEN 7 SEVENTH GRADE

EIGHT 8 EIGHTH GRADE

NINTH 9 NINTH GRADE

TENTH 10 TENTH GRADE

ELEVE 11 ELEVENTH GRADE

TWELFTH 12 TWELFTH GRADE

VOCATIO 13 VOCATIONAL/TECHNICAL

SOMECOL 14 SOME COLLEGE CREDIT, LESS THAN 1 YEAR

col1_3 15 1 TO 3 YEARS OF COLLEGE

col4MO 16 4 OR MORE YEARS OF COLLEGE

UNGRAD 17 UNGRADED PLACEMENT

---------------------------------------------------------------------------------

P_HH16ac [ PHH16xc ] Highest degree CG2 holds

USE CARD 9 . Please look at Card 9. What is the highest degree, diploma, or certificate

^CAREGIVER2 holds?

Question Type: TGraH16F

NONE 1 NONE

HIGH 2 HIGH SCHOOL EQUIVALENCY (for example: GED)

H_S 3 H.S. DIPLOMA

VOCA 4 VOCATIONAL TECH CERTIFICATE/DIPLOMA (for example: DENTAL

TECHNICIAN, COSMETOLOGY LICENSE, ETC.)

NURS 5 NURSING DIPLOMA/CERTIFICATE

ASSO 6 ASSOCIATE DEGREE (for example: AA, AS, ASN)

BACH 7 BACHELOR'S DEGREE (for example: BA, AB, BS, BSN)

MAST 8 MASTERS DEGREE (for example MA, MS, MEng, Med, MSW, MBA)

GRAD 9 GRADUATE OR PROFESSIONAL DEGREE (for example MD, DDS,

DVM, LLB, JD, PhD, EdD)

OTHER 10 OTHER

---------------------------------------------------------------------------------

P_HH21ac [ PHH21ac ] CG2 current employment situation

USE CARD 10 Please look at Card 10. Which of the categories on the card best describes

^CAREGIVER2's current employment situation?

NOTE: DO NOT INCLUDE VOLUNTEER WORK (ONLY "PAID" WORK.)

Question Type: TWKCRD6F

_1 1 REGULARLY WORK FULL-TIME, 35 OR MORE HOURS/WEEK

_2 2 REGULARLY WORK PART-TIME, LESS THAN 35 HOURS/WEEK

_3 3 WORK SOMETIMES, WHEN WORK'S AVAILABLE

_4 4 UNEMPLOYED, LOOKING FOR WORK

_5 5 DON'T WORK BECAUSE OF FAMILY RESPONSIBILITIES

_6 6 DON'T WORK BECAUSE RETIRED

_7 7 DON'T WORK BECAUSE OF ILLNESS OR DISABILITY

_8 8 DON'T WORK BECAUSE DON'T WANT TO WORK

_9 9 DON'T WORK BECAUSE CURRENTLY A STUDENT

_10 10 OTHER

---------------------------------------------------------------------------------

P_HH26ac [ PHH26xc ] Is CG2 Spanish/Hispanic/Latino?

Is ^CAREGIVER2 Spanish, Hispanic, or Latino?

Question Type: TRaceGrp

no 1 No, not Spanish/Hispanic/Latino

mex 2 Yes, Mexican, Mexican-American, Chicano

pr 3 Yes, Puerto Rican

cuba 4 Yes, Cuban

other 5 Yes, Other

---------------------------------------------------------------------------------

P_HH27ac [ PHH27ac ] Labels are in Logic After

USE CARD 12. Please look at Card 12. What is ^CAREGIVER2's race? You may pick one or

more groups from the card.

Question Type: TRaceC

amerind 1 AMERICAN INDIAN OR ALASKA NATIVE

asian 2 ASIAN

black 3 BLACK OR AFRICAN AMERICAN

pacislandr 4 NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER

white 5 WHITE

Logic after:

PHH27ac_1 --What is CGs race - American Indian/Alaskan Native; PHH27ac_2 --What is CGs race

- Asian; PHH27ac_3 --What is CGs race - Black or African American; PHH27ac_4 --What is CGs

race - Native HA/Othr Pac Islander; PHH27ac_5 --What is CGs race - White; PHH27ac_7 --What is

CGs race - DK; PHH27ac_8 --What is CGs race - RF

---------------------------------------------------------------------------------

P_HH28ac [ PHH28ac2 ] CG2 born in the US

Was ^CAREGIVER2 born in the United States? The United States includes the 50 states and the

District of Columbia, but not US territories.

Question Type: TYesNoC

Yes 1 YES

No 2 NO

Logic after:

If NO then GOTO P_HH28a3c

---------------------------------------------------------------------------------

Logic before:

ASK IF P_HH28ac = 2

P_HH28a3c

In what country was ^CAREGIVER2 born?