Second follow-up survey – participants

OPRE Evaluation: Next Generation of Enhanced Employment Strategies Project [Impact, Descriptive, and Cost Studies]

Instrument 4. NextGen second follow-up survey - revised

Second follow-up survey – participants

OMB: 0970-0545

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Instrument 4. NextGen second follow-up survey – revised




Next Generation of Enhanced Employment Strategies Project

Second Follow-up Survey



PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN:

The purpose of this information collection is to evaluate innovative programs serving individuals facing challenges to employment and economic independence to expand the evidence base. Public reporting burden for this collection of information is estimated to average 50 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0545 and the expiration date is 04/30/2023. If you have any comments on this collection of information, please contact Mathematica at [email protected].



COMPUTER ASSISTED WEB INTERVIEW (CAWI) ALL

COMPUTER ASSISTED TELEPHONE INTERVIEW (CATI) ALL

Intro1.* [IF CATI: My name is [fill Interviewer Name] and I’m calling on behalf of the U.S. Department of Health and Human Services.] Recently, you should have received a letter about a survey Mathematica is conducting for the U.S. Department of Health and Human Services. The [NEXTGEN PROGRAM] is participating in the Next Generation of Enhanced Employment Strategies Project and this survey is part of that study. To inform the study, we need to hear about your experiences including your use of employment services, your jobs, your health, and your receipt of assistance. Your participation in this study will help policymakers and program staff better understand how to improve programs like [NEXTGEN PROGRAM]. Mathematica will mail you a [$50/$55] gift card when the survey is completed.

You agreed to be part of the study around [RA MONTH/YEAR] when you talked with staff from [NEXTGEN PROGRAM]. [IF FIRST FOLLOW-UP COMPLETE: As you may remember, you completed the first survey in [DATE MONTH/YEAR.]]

All of your responses will be kept private; your name will not appear in any written reports we produce. Your responses to these questions are completely voluntary. That means you may choose not to answer any question, or you may stop the survey at any time.

According to the Paperwork Reduction Act (PRA), this collection of information is voluntary. Public reporting burden for this collection of information is estimated to average 50 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. A government agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB number and expiration date for this collection are OMB #: 0970-0545, Exp: 04/30/2023. If you later have any questions about the study, you can email us at [email protected].

[IF CATI: Do you have any questions before we begin?]



COMPUTER ASSISTED WEB INTERVIEW (CAWI) ALL

COMPUTER ASSISTED TELEPHONE INTERVIEW (CATI) DO NOT DISPLAY


How to complete the survey

Thank you for taking the time to complete this survey.

  • There are no right or wrong answers.

  • To answer a question, click the box that indicates your response or fill in your response.

  • To continue to the next webpage, press the "Next" button.

  • To go back to the previous webpage, click the "Back" button. Please note that this command is only available in some sections.

  • Do not use the navigation arrows in your browser.

  • If you need to stop before you have finished, you can close the survey and come back to it at any time. The responses you gave before leaving will be securely stored and available when you return to complete the survey.

  • Select “Next” to begin the survey.





CATI/CAWI: ALL

CATI: First we are going to ask you some questions to check that we are speaking with the correct person.

CAWI: First we are going to ask you some questions to check that we are surveying the correct person.



IF PROGRAM=

Bridges: DO NOT ask

fast: ASK

ips: ask

moms: ASK

PHILLYWINS: ASK



IF CAWI DO NOT SHOW DK OR REF


Intro2. When you enrolled in [NEXTGEN PROGRAM] program in [RA MONTH/YEAR], what was your marital status?

MARRIED 1

SEPARATED 2

DIVORCED 3

WIDOWED 4

NEVER MARRIED 5

DON’T KNOW d

REFUSED r



CATI/CAWI HARD CHECK: AN ANSWER MUST BE PROVIDED FOR THIS QUESTION, IF ASKED






PROGRAMMER BOX



IF SSN EXISTS AT BASELINE, GO TO INTRO3.

IF SSN DOES NOT EXIST AT BASELINE, GO TO INTRO4.













CATI/CAWI: ALL with SSN at baseline

IF CAWI DO NOT SHOW DK OR REF



Intro3.* And what are the last 4-digits of your Social Security number?

| | | | | LAST FOUR

(0000-9999)

DON’T KNOW d GO TO INTRO4

REFUSED r GO TO INTRO4

CATI HARD CHECK:

AN ANSWER MUST BE PROVIDED FOR THIS QUESTION.



CAWi hard check:

an anSwer must be provided to go to the next question. this is to protect your privacy to make sure no one accesses the information provided in the survey.











PROGRAMMER BOX



IF INTRO2 (MARITAL STATUS) MATCHES RECORDS AND INTRO3 (SSN) MATCHES, GO TO A1.

OTHERWISE GO TO INTRO4











IF CAWI DO NOT SHOW DK OR REF



INTRO4.* What is your date of birth?

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

MONTH DAY YEAR

(1-12) (1-31) (MIN-MAX)

DON’T KNOW d

REFUSED r



CATI HARD CHECK: AN ANSWER MUST BE PROVIDED FOR THIS QUESTION.



CAWi hard check: an anSwer must be provided to go to the next question. this is to protect your privacy to make sure no one accesses the information provided in the survey.



PROGRAMMER BOX



IF PROGRAM=

fast

ips

moms

PHILLYWINS:

IF INTRO2 (MARITAL STATUS) MATCHES AND INTRO3 (SSN) DOES NOT MATCH AND INTRO4 (DOB) DOES NOT MATCH THEN FLAG CASE FOR FOLLOW-UP VERIFICATION CALL.

IF INTRO2 (MARITAL STATUS) DOES NOT MATCH AND INTRO3 (SSN) DOES MATCH AND INTRO4 (DOB) DOES NOT MATCH THEN FLAG CASE FOR FOLLOW-UP VERIFICATION CALL.

IF INTRO2 (MARITAL STATUS) DOES NOT MATCH AND INTRO3 (SSN) DOES NOT MATCH AND INTRO4 (DOB) DOES NOT MATCH THEN FLAG CASE FOR FOLLOW-UP VERIFICATION CALL.

IF INTRO2 (MARITAL STATUS) DOES NOT MATCH AND INTRO3 (SSN) DOES NOT MATCH AND INTRO4 (DOB) DOES MATCH THEN FLAG CASE FOR FOLLOW-UP VERIFICATION CALL.

GO TO A1.



IF PROGRAM=BRIDGES

IF INTRO3 (SSN) DOES MATCH AND INTRO4 (DOB) DOES NOT MATCH THEN FLAG CASE FOR FOLLOW-UP VERIFICATION CALL.

IF INTRO3 (SSN) DOES NOT MATCH AND INTRO4 (DOB) DOES MATCH THEN FLAG CASE FOR FOLLOW-UP VERIFICATION CALL.

IF INTRO3 (SSN) DOES NOT MATCH AND INTRO4 (DOB) DOES NOT MATCH THEN FLAG CASE FOR FOLLOW-UP VERIFICATION CALL.

GO TO A1.















































A. EMPLOYMENT AND EARNINGS

CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

CATI: First I would like to ask some questions about work.

CAWI: The first set of questions are about work.

A1.* Are you currently working for pay?

Working for pay can include regular paid jobs, odd jobs, temporary jobs, work done in your own business, jobs or tasks you find using a web or mobile app, “under the table” work, “off the books” work, paid work experience, apprenticeships, or any other types of work you have done for pay.



YES 1 A2A

NO 0 A2

DON’T KNOW d A2

REFUSED r A2


CATI/CAWI: A1 NE= 1

IF CAWI DO NOT SHOW DK OR REF



if first follow-up complete, [date month/year] = month and year of last interview.

if first follow-up not complete, [date month/year] = Ra month and year.

A2. Have you worked for pay at any time since [DATE MONTH YEAR]?

YES 1 A2A

NO 0 A11 IF FU1 NOT COMPLETE; ELSE PROGRAMMER BOX A3

DON’T KNOW d A11 IF FU1 NOT COMPLETE; ELSE PROGRAMMER BOX A3

REFUSED r A11 IF FU1 NOT COMPLETE; ELSE PROGRAMMER BOX A3





























CATI/CAWI: A1=1 or A2=1

if coronavirus pandemic challenges remain ask A2a. else skip A2A.

IF CAWI DO NOT SHOW DK OR REF

A2a. Since [RA MONTH YEAR], have any of the following changes happened to you at work because of COVID-19?

Select one per row


NO

YES

DK

REF

a. Were your hours cut?

0 m

1 m

d m

r m

b. Were you asked to work more hours than usual?

0 m

1 m

d m

r m

c. Were you temporarily laid off or furloughed?

0 m

1 m

d m

r m

d. Did you lose your job?

0 m

1 m

d m

r m

e. Did you quit your job because of the risk of exposure to COVID-19?

0 m

1 m

d m

r m

programmer BOX A3

CREATE SLOTS FOR 20 JOBS. THE FIRST SLOT IS RESERVED FOR THE 1st JOB listed on the 1st fup survey. TEN SLOTS ARE FOR JOBS collected at 1st fup, TEN SLOTS ARE FOR jobs collected at 2ND FUP.

Pl_job = count of current jobs from 1st fup.

if pl_job >= 1 (working at time of last survey) go to A3.0

IF PL_JOB = 0 (NOT WORKING AT TIME OF LAST SURVEY OR DID NOT COMPLETE 1ST FUP) AND A1=1 (CURRENTLY EMPLOYED) GO TO A3.

IF PL_JOB = 0 (NOT WORKING AT TIME OF LAST SURVEY OR DID NOT COMPLETE 1ST FUP) AND A2=1 (NOT CURRENTLY EMPLOYED BUT EMPLOYED SINCE RA/1ST FUP) GO TO A4A.

IF PL_JOB = 0 (NOT WORKING AT TIME OF LAST SURVEY OR DID NOT COMPLETE 1ST FUP) AND A2=0, D, R (NOT CURRENTLY EMPLOYED AND NOT EMPLOYED SINCE RA/1ST FUP) GO TO A11.

if 1st FUP complete, [date month/year] = month and year of last interview.

if 1st FUp not complete, [date month/year] = Ra month and year.



PROGRAMMER: SET LIMIT OF 10 CURRENT JOBS AND 10 FORMER JOBS (TOTAL OF 20 JOBS)


JOB 1

JOB 2

PROGRAMMER: START WITH FIRST JOB [PL_JOB_NAME] FROM FIRST FOLLOW-UP (THEN JOB 2, JOB 3, ETC.).

CATI/CAWI

IF 1ST FUP A3=2 [SELF_EMPLOYED] FILL “for yourself;” ELSE FILL “at [PL_JOB_NAME]”

A3.0. According to my records you were working [for yourself/at [PL_JOB_NAME]] in [DATE MO/YR], is that correct?


YES 1 GO TO [A3.0a/A6A]

NO 0

DON’T KNOW d

REFUSED r



IF A3.0 = 0, d, or r and PL_job_count > 1, GO TO A3.0.JOB2



IF PL_JOB >= 1 (WORKING AT TIME OF LAST SURVEY) AND A1 = 0 (NOT CURRENTLY WORKING) AND A2 = 0 (NOT WORKING SINCE 1ST FUP), GO TO A6A, ELSE GO TO A3.0A.

YES 1 GO TO [A3.0a/A6A]

NO 0

DON’T KNOW d

REFUSED r



IF A3.0 = 0, d, or r and PL_job_count > 1, GO TO A3.0.JOB2



IF PL_JOB >= 1 (WORKING AT TIME OF LAST SURVEY) AND A1 = 0 (NOT CURRENTLY WORKING) AND A2 = 0 (NOT WORKING SINCE 1ST FUP), GO TO GO TO A6A, ELSE GO TO A3.0A.

CATI/CAWI

IF 1ST FUP A3=2 [SELF_EMPLOYED] FILL “for yourself;” ELSE FILL “at [PL_JOB_NAME]”

IF A3.0=1

A3.0a. Are you still working [for yourself/at [PL_JOB_NAME]]?


YES 1

NO 0

DON’T KNOW d

REFUSED r



IF PL_job_count > 1 GO TO A3.0_JOB 2

IF PL_job_count = 1 AND A1=1, GO TO A3.0B

IF PL_job_count = 1 AND A1 !=1, GO TO A4B


YES 1

NO 0

DON’T KNOW d

REFUSED r



IF PL_job_count > 2 LOOP A3.0 JOBS UNTIL TOTAL NUMBER OF PL_JOBS ROSTERED UP TO 10 TOTAL JOBS. WHEN ALL PL_JOBS ARE ASKED AT A3.0 UP TO A3.0_JOB 10 GO TO A3.0B.


CATI/CAWI

If A1=1 AND PL_JOB >= 1

IF CAWI DO NOT SHOW DK OR REF

A3.0b Including all types of jobs, do you currently have any other paid jobs?

Working for pay can include regular paid jobs, odd jobs, temporary jobs, work done in your own business, “under the table” work, “off the books” work, paid work experiences, apprenticeships, or any other types of work you have done for pay


YES 1 GO TO A3

NO 0 GO TO A4B

DON’T KNOW d GO TO A4B

REFUSED r GO TO A4B



IF A3.0b=1 LOOP A3 JOBS UNTIL A3.0b=(0,d, r). WHEN A3.0b= 0,d,or r GO TO A4B JOB 1.

YES 1 GO TO A3

NO 0 GO TO A4B

DON’T KNOW d GO TO A4B

REFUSED r GO TO A4B



IF A3.0b=1 LOOP A3 JOBS UNTIL A3.0b=(0,d, r). WHEN A3.0b= 0,d,or r GO TO A4B JOB 1.






JOB 1

JOB 2

A1 =1

IF CAWI DO NOT SHOW DK OR REF

CATI

FILL “FIRST I AM GOING TO ASK ABOUT YOUR CURRENT JOB OR JOBS” FOR JOB 1 ONLY.

CAWI

FILL “THE NEXT QUESTIONS ARE ABOUT YOUR CURRENT JOB OR JOBS.” FOR JOB 1 ONLY.

A3. CATI: [First I am going to ask about your current job or jobs.] Please tell me who you work for.

CAWI: [The next questions are about your current job or jobs.] Please tell us who you work for.

CATI/CAWI: This could include the names of regular paid jobs, odd jobs, temporary jobs, work done in your own business, jobs or tasks you find using a web or mobile app, “under the table” work, “off the books” work, paid work experiences, apprenticeships, or any other types of work you have done for pay. If you currently work at more than one job, please start with the job where you usually work the most hours.

JOB NAME (SPECIFY) 1

(STRING 50)

SELF EMPLOYED 2

DON’T KNOW d

REFUSED r

PROGRAMMER: IF A3 = d, r, make [JOB NAME] be “Job 1” for Job 1, “Job 2” for Job 2, etc.

INTERVIEWER: IF A3=d, r, THEN SAY: That’s okay, we’ll just refer to this job as “Job 1” in the next few questions.

JOB NAME (SPECIFY) 1

(STRING 50)

SELF EMPLOYED 2

DON’T KNOW d

REFUSED r




CATI/CAWI

A1=1 (CURRENTLY EMPLOYED)

IF CAWI DO NOT SHOW DK OR REF

A4. Including all types of jobs, do you currently have any other paid jobs?

Working for pay can include regular paid jobs, odd jobs, temporary jobs, work done in your own business, “under the table” work, “off the books” work, paid work experiences, apprenticeships, or any other types of work you have done for pay.

YES 1 GO TO A3, JOB 2

NO 0 GO TO A4b

DON’T KNOW d GO TO A4b

REFUSED r GO TO A4b



IFA1=1 LOOP A4 JOBS UNTIL A4=(0,d, r). WHEN A4= 0,d,or r GO TO A4b JOB 1.

YES 1 GO TO A3, JOB 3

NO 0 GO TO A4b

DON’T KNOW d GO TO A4b

REFUSED r GO TO A4b



IFA1=1 LOOP A4 JOBS UNTIL A4=(0,d, r). WHEN A4= 0,d,or r GO TO A4b JOB 1.

A2=1 (NOT CURRENTLY EMPLOYED)

COMP_STATUS = 0 OR 1ST FUP B1=0 (Not currently employed at 1st FUP)



IF CAWI DO NOT SHOW DK OR REF

IF COMP_STATUS = 1 fill FUP_COMP_MONTH_YEAR

IF COMP_STATUS = 0 fill RA_MONTH_YEAR

A4a. CATI: Since [DATE MONTH YEAR], please tell me who you worked for.

CAWI: Since [DATE MONTH YEAR], please indicate who you worked for.

CATI/CAWI: This could include the names of regular paid jobs, odd jobs, temporary jobs, work done in your own business, jobs or tasks you found using a web or mobile app, “under the table” work, “off the books” work, paid work experiences, apprenticeships, or any other types of work you have done for pay. If you had more than one job, please start with the job where you worked the most hours.

JOB NAME (SPECIFY) 1

(STRING 50)

SELF EMPLOYED 2

DON’T KNOW d

REFUSED r

JOB NAME (SPECIFY) 1

(STRING 50)

SELF EMPLOYED 2

DON’T KNOW d

REFUSED r

IF A4=(0, d, r) [TOLD INTERVIEWER THAT NO MORE CURRENT JOBS] or A2=1 [NOT CURRENTLY EMPLOYED BUT EMPLOYED SINCE RA_MONTH_YEAR/FUP_COMP_MONTH_YEAR]

IF A2=1 AND A4A != BLANK



IF COMP_STATUS = 1 fill FUP_COMP_MONTH_YEAR

IF COMP_STATUS = 0 fill RA_MONTH_YEAR



IF CAWI DO NOT SHOW DK OR REF



A4b. CATI: Have you had any other paid jobs since [DATE MONTH YEAR] that you haven’t told me about?

CAWI: Have you had any other paid jobs since [DATE MONTH YEAR]?


YES 1 GO TO A4a, JOB 2

NO 0 GO TO A5

DON’T KNOW d GO TO A5

REFUSED r GO TO A5

IF A4b=1 LOOP A4a AND A4b UNTIL A4b=0,d, or r. WHEN A4b=0, d, or r GO TO A5.


YES 1 GO TO A4a, JOB 3

NO 0 GO TO B5

DON’T KNOW d GO TO B5

REFUSED r GO TO B5

IF A4b=1 LOOP A4a AND A4b UNTIL A4b=0,d, or r. WHEN A4b=0, d, or r GO TO A5.


CATI/CAWI

A1=1 OR A2=1

IF CAWI DO NOT SHOW DK OR REF



ASK ONLY FOR 2FUP JOBS IN ARRAY 11-21 IF NO JOBS IN 2ND FUP JOB ARRAY 11-21 GO TO A6a



IF A3 or A4a = 2, FILL “YOURSELF;” ELSE FILL “[JOB NAME 1]”

A5. When did you start working for [2ND_FUP_JOB]/yourself]?

INTERVIEWER: RECORD MONTH AND YEAR.

NOTE: ALLOW SKIP ON MONTH.

| | | / | | | | |

MONTH YEAR

(1-12) (1970-current year)

DON’T KNOW d

REFUSED r

| | | / | | | | |

MONTH YEAR

(1-12) (1970-current year)

DON’T KNOW d

REFUSED r

CATI/CAWI

A1=1 OR A2=1

IF CAWI DO NOT SHOW DK OR REF



If A3 = 2 or A4a = 2 FILL “YOURSELF,” ELSE FILL “[2ND_FUP_JOB]”

2ND FUP JOBS FALL IN ARRAYS 11-21, FILL 2ND_FUP_JOB_1 FROM ARRAY 11.

A6. Are you still working for [2ND_FUP_JOB/yourself]?

YES 1 GO TO A7

NO 0 GO TO A6a

DON’T KNOW d

REFUSED r

YES 1 GO TO A7

NO 0 GO TO A6a

DON’T KNOW d

REFUSED r

CATI/CAWI

A6 =0 OR B3.0A=0

IF CAWI DO NOT SHOW DK OR REF

A6a. When did you stop working at this job?

INTERVIEWER: RECORD MONTH AND YEAR.

| | | / | | | | |

MONTH YEAR

(1-12) (1970-current year)

STILL AT JOB 98

DON’T KNOW d

REFUSED r

| | | / | | | | |

MONTH YEAR

(1-12) (1970-current year)

STILL AT JOB 98

DON’T KNOW d

REFUSED r

CATI/CAWI

A1=1 OR A2=1

IF CAWI DO NOT SHOW DK OR REF



IF A6=1 FILL “DO,” ELSE FILL “DID”

A7. How many hours [do/did] you usually work in a week at this job? Your best estimate is fine.

| | | HOURS PER WEEK

(0-98)

99 OR MORE HOURS PER WEEK 99

DON’T KNOW d

REFUSED r




| | | HOURS PER WEEK

(0-98)

99 OR MORE HOURS PER WEEK 99

DON’T KNOW d

REFUSED r




CATI/CAWI

A1=1 OR A2=1

IF CAWI DO NOT SHOW DK OR REF



If A3 = 2 or A4a = 2 FILL “being self-employed” ELSE FILL “your job at [job name]”





FILL ”DO” IF A6=1, ELSE FILL ”DID”

FILL “VARIES” / “ARE” / “MAKE” IF A6=1. ELSE FILL “VARIED” / “WERE” / “MADE”



A8. Now thinking about [being self-employed/your job at [JOB NAME]], how much [do/did] you get paid before taxes and deductions, at this job? Please include tips, commissions, and regular overtime. Your best estimate is fine.



CATI: PROBE: If your pay [varies/varied], please provide an average amount. If you [are/were] paid per job or for completing a particular task, please tell us the total amount you usually [make/made] while doing this type of work.



CAWI: SOFTCHECK: If your pay [varies/varied], please provide an average amount. If you [are/were] paid per job or for completing a particular task, please tell us the total amount you usually [make/made] while doing this type of work.



IF THE RESPONDENT DOES NOT PROVIDE A PAY PERIOD THEN PROBE: And, is that per hour, per week, per month, once every two weeks, twice a month, per year, or something else?

ACCEPT MOST CONVENIENT PAY PERIOD.

SOFT CHECK: IF ANSWER IS GREATER THAN $50 PER HOUR, $2000 PER WEEK, $4000 ONCE EVERY 2 WEEKS, $4000 TWICE A MONTH, $100,000 PER YEAR, OR $8000 MONTH, SAY: “I recorded [A8 and A8 amount answer]. Is that correct?”

$ | | | |,| | | |.| | | AVERAGE

(0-999,999.99) AMOUNT

PER HOUR 1

PER WEEK 2

PER MONTH 3

ONCE EVERY TWO WEEKS 4

TWICE A MONTH 5

PER YEAR 6

OTHER (SPECIFY) 99

(STRING (100))

DON’T KNOW d

REFUSED r












$ | | | |,| | | |.| | | AVERAGE

(0-999,999.99) AMOUNT

PER HOUR 1

PER WEEK 2

PER MONTH 3

ONCE EVERY TWO WEEKS 4

TWICE A MONTH 5

PER YEAR 6

OTHER (SPECIFY) 99

(STRING (100))

DON’T KNOW d

REFUSED r


CATI/CAWI

IF CAWI DO NOT SHOW DK OR REF



FILL WAGE AND HOUR/UNIT FROM B8.

IF A8 = 99, D, R, or M, FILL “YOUR CURRENT WAGE”

A9. Did you always earn [[A8 WAGE] per [HOUR/UNIT FROM A8]/your current wage] at this job?


YES 1

NO 0

DON’T KNOW d

REFUSED r


YES 1

NO 0

DON’T KNOW d

REFUSED r

CATI/CAWI

If A9= no

IF CAWI DO NOT SHOW DK OR REF

FILL “VARIES” IF A6=1. ELSE FILL “VARIED”.



A10. How much were you paid when you started working at this job before taxes and deductions? Your best estimate is fine.

If your pay [varies/varied], please provide an average amount.

ACCEPT MOST CONVENIENT PAY PERIOD.



IF THE RESPONDENT DOES NOT PROVIDE A PAY PERIOD THEN PROBE: And, is that per hour, per week, per month, once every two weeks, twice a month, per year, or something else?



SOFT CHECK: IF ANSWER IS GREATER THAN $50 PER HOUR, $2000 PER WEEK, $4000 ONCE EVERY 2 WEEKS, $4000 TWICE A MONTH, $100,000 PER YEAR, $400 DAY/DAILY, OR $8000 MONTH, SAY: “I recorded [A10 and A10 amount answer]. Is that correct?”

$ | | | |,| | | |.| | | AVERAGE

(0-999,999.99) AMOUNT

PER HOUR 1

PER WEEK 2

PER MONTH 3

ONCE EVERY TWO WEEKS 4

TWICE A MONTH 5

PER YEAR 6

OTHER (SPECIFY) 99

(STRING (100))

DON’T KNOW d

REFUSED r

$ | | | |,| | | |.| | | AVERAGE

(0-999,999.99) AMOUNT

PER HOUR 1

PER WEEK 2

PER MONTH 3

ONCE EVERY TWO WEEKS 4

TWICE A MONTH 5

PER YEAR 6

OTHER (SPECIFY) 99

(STRING (100))

DON’T KNOW d

REFUSED r



CATI/CAWI: all



if a1=0 and a2=0 do not display “else,” display “or,” and do not display “or any other type of work]

if a1=1 or a2=1 display “else”, do not display “or”, and display “or any other type of work]

if cawi display “that you haven’t reported”

if cati display “that we haven’t already talked about”

IF CAWI DO NOT SHOW DK OR REF

A11.* Since [DATE MONTH YEAR], was there anything [else] you did for pay, such as odd jobs, temporary jobs, work done in your own business, jobs or tasks you found using a web or mobile app, “under the table” work, “off the books” work, paid work experience, [or] apprenticeships, [or any other type of work], [that you haven’t reported/that we haven’t already talked about]?

YES 1 A12

NO 0 A13

DON’T KNOW d A13

REFUSED r A13











CATI/CAWI: A11=1

IF CAWI DO NOT SHOW DK OR REF

A12. CATI: What is your best guess of how much money you received from these activities in a typical month since [DATE MONTH YEAR]? Please do not include money you made from jobs we talked about earlier. We just need your best guess for how much money you’ve received from these activities.

CAWI: What is your best guess of how much money you received from these activities in a typical month since [DATE MONTH YEAR]? Please do not include money you made from jobs you reported earlier. Just make your best guess for how much money you’ve received from these activities.



$| | | , | | | |

(0-99,999)

DON’T KNOW d

REFUSED r

CATI/CAWI: ask A13 only if # of current jobs >1 OR there are no current jobs but multiple prior jobs. else skip to A13a

(A1=1 AND (number of Current (A6=1 or A3.0A=1) jobs > 1) OR

(A2=1 AND (number of nonCurrent (A6=0/d/r or A3.0A=0/D/R) jobs > 1) AND number of Current (A6=1 or A3.0A=1) jobs = 0



DISPLAY [JOBNAME/SELF-EMPLOYED] FROM A3 IF (A1=1 AND (number of Current (A6=1) jobs > 1)

DISPLAY [JOBNAME/SELF-EMPLOYED] FROM A4A IF (A2=1 AND (number of nonCurrent (A6=0/d/r) jobs > 1) AND number of Current (A6=1) jobs = 0



Pl_job = count of current jobs from 1st fup.

Pl_job_name = name of current job from 1st fup.



IF CAWI DO NOT SHOW DK OR REF

A13. For the next questions, please think about the job at which you [currently / most recently] work[ed] the most hours. What is the name of that job? Is it…

[PL_JOB_NAME1/PL_SELF-EMPLOYED1] / [NONCURRENT PL_JOB_NAME1/PL_SELF-EMPLOYED1] 1

[PL_JOB_NAME2/PL_SELF-EMPLOYED2] / [NONCURRENT PL_JOB_NAME2/PL_SELF-EMPLOYED2] 2

[PL_JOB_NAME3/PL_SELF-EMPLOYED3] / [NONCURRENT PL_JOB_NAME3/PL_SELF-EMPLOYED3] 3

[PL_JOB_NAME4/PL_SELF-EMPLOYED4] / [NONCURRENT PL_JOB_NAME4/PL_SELF-EMPLOYED4] 4

[PL_JOB_NAME5/PL_SELF-EMPLOYED5] / [NONCURRENT PL_JOB_NAME5/PL_SELF-EMPLOYED5] 5

[A3JOBNAME1/A3SELF-EMPLOYED1] / [A4BJOBNAME1/A4BSELF-EMPLOYED1] 6

[A3JOBNAME2/A3SELF-EMPLOYED2] / [A4BJOBNAME1/A4BSELF-EMPLOYED2] 7

[A3JOBNAME3/A3SELF-EMPLOYED3] / [A4BJOBNAME1/A4BSELF-EMPLOYED3] 8

[A3JOBNAME4/A3SELF-EMPLOYED4] / [A4BJOBNAME4/A4BSELF-EMPLOYED4] 9

[A3JOBNAME5/A3SELF-EMPLOYED5] / [A4BJOBNAME5/A4BSELF-EMPLOYED5] 10

DON’T KNOW d

REFUSED r



PROGRAMMER BOX to set [jobname]



IF A13 1 TO 10 SET [JOBNAME]=A13JOBNAME.



IF (A13=D or R) AND (number of Current jobs > 1) SET [JOBNAME]= “CURRENT main”

IF (A13=D or R) AND (A2=1) AND (number of nonCurrent jobs > 1) AND number of Current (A6=1) jobs = 0 SET [JOBNAME]=“MOST RECENT main”





IF A13 = LOGICAL SKIP AND NUMBER OF CURRENT JOBS (A6/A3.0a = 1) = 1, SET [JOBNAME] = “Current”



if A13 = logical skip and (number of nonCurrent (A6=0/D/R, A3.0A=0/D/R) jobs > 1) AND number of Current jobs = 0, SET [JOBNAME] = “most recent”




PROGRAMMER BOX to set SELFEMPLOYEDFLAG



IF A13 = 1 TO 10 AND A13 PREFILL FOR selected A13 = SELF-EMPLOYED, SET SELFEMPLOYEDFLAG=1



IF A13 = LOGICAL SKIP AND NUMBER OF CURRENT JOBS (A6/A3.0A) = 1 AND A3=2 (SELF-EMPLOYED), SET SELFEMPLOYEDFLAG=1



IF A13 = LOGICAL SKIP AND (number of nonCurrent (A6=0/D/R, A3.0A=0/D/r) jobs > 1) AND number of Current jobs = 0 AND A4a=2 (SELF-EMPLOYED), SET SELFEMPLOYEDFLAG=1



oTHERWISE SET SELFEMPLOYEDFLAG=0




CATI/CAWI: A1=1 OR A2=1

if no jobs reported skip to A21



IF CAWI DO NOT SHOW DK OR REF

A13a. For the next questions, please think about your [JOBNAME] job.

Which of the following best describes your employment at that job? [Were/Are] you working . . .

CATI: PROBE: A temporary help agency supplies workers to other companies on an as needed basis.

PROBE: Independent contractors, independent consultants, and freelance workers obtain customers on their own to provide a product or service and can have other employees working for them.

PROBE: Day laborers are people who work as needed. For example, day laborers may get work by waiting at a place where employers pick up people to work for a day or by posting paper or electronic job wanted ads and responding on a day-by-day basis.

PROBE: Some workers find short, in-person jobs or tasks through companies that connect them directly with customers using a website or mobile app. These companies also coordinate payment for the service through the app. Other workers select short, paid tasks through companies that maintain online lists of tasks.

CODE ONE ONLY

as a regular full-time or part-time employee, 1

for a temporary help agency, 2

for an occasional job or task service that relies on a website or mobile app that connects you to customers (such as Uber or Lyft) 3

as an independent contractor, independent consultant, or freelance worker, 4

in your own business, 5

as a day laborer, 6

or something else (PLEASE SPECIFY)? 99

_________________________________________(STRING (100))

DON’T KNOW d

REFUSED r


CATI/CAWI: A1=1 OR A2=1

IF CAWI DO NOT SHOW DK OR REF

A13b. (Is/Was) this job a seasonal or temporary job?

PROBE: (Is/Was) this a job that you knew from the beginning would only last a few weeks or months?

YES 1

NO 0

DON’T KNOW d

REFUSED r



CATI/CAWI: A1=1 OR A2=1

IF CAWI DO NOT SHOW DK OR REF

A14. (Do/did) you usually work a daytime schedule or some other schedule at your [JOBNAME] job?

PROBE: By daytime schedule, (I/we) mean that you work anytime between 6 A.M. and 6 P.M.

A DAYTIME SCHEDULE (ANYTIME BETWEEN 6 A.M. TO 6 P.M.) 1

SOME OTHER SCHEDULE 2

DON’T KNOW d

REFUSED r


CATI/CAWI: A14=2

IF CAWI DO NOT SHOW DK OR REF

A15. Which of the following best describes the hours you usually work(ed) at your [JOB NAME] job?

CODE ONE ONLY

An evening shift (anytime between 2 P.M. and midnight) 1

A night shift (anytime between 9 P.M. and 8 A.M.) 2

A rotating shift (one that changes periodically from days to evenings or night) 3

A split shift (one consisting of two distinct periods each day) 4

An irregular schedule 5

Some other shift (specify) 99

_________________________________________(STRING (100))

DON’T KNOW d

REFUSED r
















CATI/CAWI: A1=1 OR A2=1

if program=

Bridges: do not ask

fast: ask

ips: ask

moms: ask

PHILLYWINS: ask



IF CAWI DO NOT SHOW DK OR REF

A16. Which of the following benefits [are/were] available to you at your [JOB NAME] job? (READ EACH ITEM) . . .

CODE ALL THAT APPLY

Health insurance or membership in a Health Maintenance Organization (HMO) or Preferred Provider Organization (PPO) plan? 1

Paid leave for vacation, illness, or holidays? 2

None of the above 0

DON’T KNOW d

REFUSED r



CATI/CAWI: (A1=1 OR A2=1) and selfemployedflag=0

IF CAWI DO NOT SHOW DK OR REF

A17. [Have/Had] you been promoted to a higher position with greater responsibility while working at this job?

YES 1

NO 0

DON’T KNOW d

REFUSED r


CATI/CAWI: (A1=1) and selfemployedflag=0

IF CAWI DO NOT SHOW DK OR REF

A18. How likely do you think it is that you will be promoted at your [JOBNAME] job in the next 12 months?

Very likely, 1

somewhat likely, 2

not very likely, or 3

not likely at all? 4

DON’T KNOW d

REFUSED r



CATI/CAWI: (A1=1 OR A2=1) AND A13A = (1, 2, 99, D, or R)

IF PROGRAM =

Bridges: do not ask

fast: ask

ips: ASK, but do not ask A19a or A19d

moms: DO NOT ask

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

A19. Please tell me whether or not your [JOBNAME] employer has made any of the following changes because of a physical or mental health condition. Has your employer, because of any physical or mental health condition…


CODE ONE RESPONSE PER ROW


YES

NO

N/A

DK

REF

a. provided you with any special equipment or assistive technology? (PROBE: For example, special tools or equipment, software, or devices to accommodate your condition in the workplace.)

1

0

n

d

r

b. made any changes in your work schedule? (PROBE: For example, working fewer hours, changing the time you arrive or leave, or taking more breaks to accommodate your condition in the workplace.)

1

0

n

d

r

c. made any changes to the tasks you were assigned or how they are performed? (PROBE: For example, a light duty job or less demanding job tasks to accommodate your condition in the workplace.)

1

0

n

d

r

d. made any changes to the physical work environment to make things easier for you? (PROBE: For example, modifying your work area, allowing tele-work, improving accessibility in the building, or providing assigned parking to accommodate your condition in the workplace.)

1

0

n

d

r

e. arranged for co-workers or others to assist you? (PROBE: For example, providing a personal care attendant, interpreter, or job coach while at work.)

1

0

n

d

r
















CATI/CAWI: A1=1

IF CAWI DO NOT SHOW DK OR REF

A20. How satisfied are you with your [JOBNAME] job? Would you say very satisfied, somewhat satisfied, or not satisfied?

VERY SATISFIED 1

SOMEWHAT SATISFIED 2

NOT SATISFIED 3

DON’T KNOW d

REFUSED r



CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

A21.* Are you currently looking for a job?

PROBE: Some people look for work even when they have a job.

YES 1

NO 0

DON’T KNOW d

REFUSED r


CATI/CAWI: A1=0,d,r AND A2= 0,D,R



if PROGRAM=bridges do not display retired=2

IF CAWI DO NOT SHOW DK OR REF

A21a. How would you describe your current employment status? Are you . . .

CODE ALL THAT APPLY

Temporarily laid off, 1

Retired, 2

In school or training, 3

Unable to work because of caring for another family member, 4

Unable to work because of pregnancy 5

Unable to work due to illness, disability, or ongoing mental health or substance use issues or treatment, 6

Gave up looking for work 7

Incarcerated, or 8

Something else? (SPECIFY) 99

(STRING (NUM))

DON’T KNOW d

REFUSED r



CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

A22.* The next questions are about things that some people find challenging when they try to work. First, does a physical, mental, or emotional condition limit the kind or amount of work you can do?

Select one only

YES 1 A22A

NO 0 A23

DON’T KNOW d A23

REFUSED r A23



CATI/CAWI: A22=1

IF CAWI DO NOT SHOW DK OR REF

A22a.* Is the physical, mental, or emotional condition that limits the kind or amount of work you can do related to COVID-19 or its effects?

Select one only

m YES 1

m NO 0

m DON’T KNOW d

m REFUSED r




















CATI/CAWI: ALL

if coronavirus pandemic challenges remain ask A23. otherwise do not ask A23.



IF CAWI DO NOT SHOW DK OR REF

A23.*

Now, please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past three months. CATI: If something I say does not apply to you, you can say “does not apply.”

Would you say that [FILL a-r] made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the last three months?

Select one per row


NOT AT ALL HARD

SLIGHTLY HARD

MODERATELY HARD

VERY HARD

DOES NOT APPLY

DK

REF

a. Not having good enough care for a child or someone else in your household who needs care due to COVID-19 or its effects

0

1

2

3

n

d

r

b. Not having good enough care for a child who is learning at home due to COVID-19

0 m

1 m

2 m

3 m

n m

d m

r m

c. The risk that you will get sick from COVID-19

0 m

1 m

2 m

3 m

n m

d m

r m

d. The risk that someone in your household or family will get sick from COVID-19

0 m

1 m

2 m

3 m

n m

d m

r m

























CATI/CAWI: ALL

IF currently employed (A1=1) then do not ask A24d.

IF PROGRAM =

Bridges: ask all

fast: ask all

ips: do not ask

moms: ask all

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

A24. The next questions are about work goals and looking for jobs.

Please indicate if you strongly disagree, disagree, agree, or strongly agree with the following statements.

Select one per row


STRONGLY DISAGREE

DISAGREE

AGREE

STRONGLY AGREE

DK

REF

a. I set long-term employment goals that I hope to achieve within a year, such as finding a job, finding a better job, getting promoted, or enrolling in further education.

1

2

3

4

d

r

b. I set specific short-term goals that will allow me to achieve my long-term employment goals.

1

2

3

4

d

r

c. I think I should work on finding a job or a better job1.

1

2

3

4

d

r

d. I think there is nothing I can do about being out of work right now2…………………………………….

1

2

3

4

d

r









CATI/CAWI: ALL

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

A25. Now please indicate how confident you are that you can do each of the following activities.



Would you say that you are confident, somewhat confident, or not confident in your ability to [FILL a-h] by yourself?

Select one per row


CONFIDENT

SOMEWHAT CONFIDENT

NOT CONFIDENT

DK

REF

a. look for jobs.

1

2

3

d

r

b. fill out job applications.

1

2

3

d

r

c. create or update a resume.

1

2

3

d

r

d. do a job interview.

1

2

3

d

r

e. fill out forms that are needed to start work….

1

2

3

d

r

f. get along with coworkers or customers………….

1

2

3

d

r

g. ask a manager or supervisor for changes to your schedule, time off, or other necessary changes.……………….

1

2

3

d

r

h. offer advice to family or friends about things like searching for jobs, doing job interviews, or getting along with coworkers……………………….

1

2

3

d

r



B. SERVICE RECEIPT



CATI: Next, we are going to ask you about services you may have received to help you find or keep a job.

CAWI: The next set of questions are about services you may have received to help you find or keep a job.



CATI/CAWI: ALL

IF PROGRAM=

Bridges: do not ask b1i, b1j, b1n, b1o

fast: do not ask B1E, b1i

ips: do not ask B1E, b1j

moms: do not ask B1E, b1i, b1o

PHILLYWINS: do not ask B1e, b1i, b1j, b1n



IF CAWI DO NOT SHOW DK OR REF

B1. CATI: I would like you to tell me about help you may have received since [DATE MONTH/YEAR] from organizations in your community to help you find or keep a job or to help you deal with problems that made it hard for you to find or keep a job.

CAWI: We would like to ask you about help you may have received since [DATE MONTH/YEAR] from organizations in your community to help you find or keep a job or to help you deal with problems that made it hard for you to find or keep a job.

PROBE IF 1ST FU NOT COMPLETE: [DATE MONTH/YEAR] is the date you applied to get into the [NEXTGEN PROGRAM].

PROBE IF 1ST FU COMPLETE: [DATE MONTH/YEAR] is the date you completed the last survey.

[IF TREATMENT GROUP] Please include both help you may have received from [NEXTGEN PROGRAM] and help you may have received from other programs or organizations in the community.

[IF CONTROL] Please include help you may have received from any programs or organizations in the community.



Since [DATE MONTH/YEAR], did you receive help with…

CODE ONE PER ROW


YES

NO

DK

REF

a. …planning your future career, which could include an assessment of your interests and skills?

1

0

d

r

b. …preparing a resume or filling out job applications?

1

0

d

r

c. …preparing for job interviews?

1

0

d

r

d. …getting referrals to available jobs or setting up interviews for specific job openings?

1

0

d

r

e. …obtaining a valid drivers’ license?

1

0

d

r

f. …obtaining documents you need to work, such as a social security card or photo identification?

1

0

d

r

g. …how to talk with an employer about a disability and any changes they need to make to accommodate it?

1

0

d

r

h. …how to act when you are at work? This includes being on time, managing your tasks, getting along with your supervisor, and handling conflicts.

1

0

d

r

i. …communicating your legal history to an employer, clearing or sealing criminal records, or other legal help?

1

0

d

r

j. … finding or paying for child care or care for other dependents?

1

0

d

r

k. … finding, using, or paying for transportation?

1

0

d

r

l. …paying for clothing, tools, or other supplies for work?

1

0

d

r

m. …meeting your employer’s COVID-19-related requirements such as the need to wear masks or be vaccinated?

1

0

d

r

n. …finding or paying for temporary, transitional, or

permanent housing?

1

0

d

r

o. …understanding how work may affect your eligibility for benefits such as Social Security, disability insurance, TANF, or Medicaid?

1

0

d

r

p. …any other employment help?

(Please specify: ______________)

1

0

d

r





CATI/CAWI: ALL

iF PROGRAM=

Bridges: do not ask

fast: do not ask

ips: do not ask

moms: ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

B2. Since [DATE MONTH/YEAR] did you participate or attend any organizations or activities where people provided advice or support in a group setting?

PROBE IF 1ST FU NOT COMPLETE: [DATE MONTH/YEAR] is the date you applied to get into the [NEXTGEN PROGRAM].

PROBE IF 1ST FU COMPLETE: [DATE MONTH/YEAR] is the date you completed the last survey.

[IF TREATMENT GROUP] Please include both help you may have received in a group from [NEXTGEN PROGRAM] and help you may have received in a group from other programs or organizations.

YES 1

NO 0

DON’T KNOW d

REFUSED r




CATI/CAWI: IF B1 OR B2 HAS AT LEAST ONE YES RESPONSE

IF CAWI DO NOT SHOW DK OR REF

B3. You said that you received help related to finding or keeping a job since [DATE MONTH/YEAR]. Where did you receive most of this help from? Would you say you received the most help from the…

Select one only

[NAME OF LOCAL WELFARE PROGRAM], 1

[NAME OF AMERICAN JOB CENTERS IN STATE] or an unemployment office, 2

Food Stamp Program or SNAP, 3

[NAME OF LOCAL VOCATIONAL REHABILITATION PROGRAM] 4

[NEXTGEN PROGRAM] 5

[NAME OF SITE-SPECIFIC PROVIDER 1] 6

[NAME OF SITE-SPECIFIC PROVIDER 2] 7

[NAME OF SITE-SPECIFIC PROVIDER 3] 8

[NAME OF SITE-SPECIFIC PROVIDER 4] 9

[NAME OF SITE-SPECIFIC PROVIDER 5] 10

Or some other place (SPECIFY: __________) 11

DON’T KNOW d

REFUSED r



CATI/CAWI: ALL

IF PROGRAM=

BRIDGES: DO NOT ASK

FAST: ASK

IPS: ASK

MOMS: ASK

PHILLYWINS: ASK



IF CAWI DO NOT SHOW DK OR REF

The next questions ask you about your participation in education and training programs. First [we/I] will ask about education programs.

B4. Since [DATE MONTH/YEAR], did you attend any school or education program? This includes high school, adult basic education or GED courses, English as a Second Language classes, online courses, and college or other types of schools. Do not include training programs to develop skills for a particular job or occupation. [We/I] will ask you about those later.

YES 1 B4A

NO 0 B5

DON’T KNOW d B5

REFUSED r B5


CATI/CAWI: B4=1

IF PROGRAM=

BRIDGES: DO NOT ASK

FAST: ASK

IPS: ASK

MOMS: ASK

PHILLYWINS: ASK



IF CAWI DO NOT SHOW DK OR REF

B4a. Are you attending any of these education programs now?

YES 1

NO 0

DON’T KNOW d

REFUSED r













CATI/CAWI: B4=1

IF PROGRAM=

BRIDGES: DO NOT ASK

FAST: ASK

IPS: ASK

MOMS: ASK

PHILLYWINS: ASK



IF CAWI DO NOT SHOW DK OR REF

B4b. Since [DATE MONTH/YEAR], did you receive any diploma or degree?

YES 1 B4c

NO 0 B5

DON’T KNOW d B5

REFUSED r B5




CATI/CAWI: B4B=1

IF PROGRAM=

BRIDGES: DO NOT ASK

FAST: ASK

IPS: ASK

MOMS: ASK

PHILLYWINS: ASK



IF CAWI DO NOT SHOW DK OR REF

B4c. What specific diploma or degree did you receive? If you received more than one, please [select all that apply/let me know about all of them].

SELECT ALL THAT APPLY

GED OR GENERAL EDUCATION DEVELOPMENT 1

REGULAR HIGH SCHOOL DIPLOMA (NOT A GED) 2

ASSOCIATE’S DEGREE 3

BACHELOR’S DEGREE 4

GRADUATE DEGREE OR PROFESSIONAL DEGREE 5

OTHER (SPECIFY:__________) 6

DON’T KNOW d

REFUSED r




CATI/CAWI: ALL

IF PROGRAM=

BRIDGES: DO NOT ASK

FAST: ASK

IPS: ASK

MOMS: ASK

PHILLYWINS: ASK



IF CAWI DO NOT SHOW DK OR REF

The next questions ask you about your participation in training programs. Do not include any programs [we already discussed / you already reported] or any training program you received from your employer.

B5. Since [DATE MONTH/YEAR], did you particpate in any training program to build skills for a particular job or occupation?

YES 1 B5A

NO 0 B9

DON’T KNOW d B9

REFUSED r B9




CATI/CAWI: B5=1

IF PROGRAM=

BRIDGES: DO NOT ASK

FAST: ASK

IPS: ASK

MOMS: ASK

PHILLYWINS: ASK



IF CAWI DO NOT SHOW DK OR REF

B5a. Are you attending any of these training programs now?

YES 1

NO 0

DON’T KNOW d

REFUSED r















CATI/CAWI: B5=1

IF PROGRAM=

BRIDGES: DO NOT ASK

FAST: ASK

IPS: ASK

MOMS: ASK

PHILLYWINS: ASK



IF CAWI DO NOT SHOW DK OR REF

B5b. Since [DATE MONTH/YEAR], did you receive any professional certificate or state or industry license?

PROBE: A professional certificate or license shows you are qualified to perform a specific job and includes things like Certified Medical Assistant, Certified Construction Manager, a Project Management Professional certification, or an IT certification.

YES 1 B9

NO 0 B9

DON’T KNOW d B9

REFUSED r B9



CATI/CAWI: if b6a(FUp1)=0,D,R,L or fup1 not complete

IF PROGRAM=

BRIDGES: ASK

FAST: DO NOT ASK

IPS: DO NOT ASK

MOMS: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

The next questions ask you about your participation in education and training programs.

B6. Are you currently in high school?

YES 1 B7

NO 0 B6a

DON’T KNOW d B6a

REFUSED r B6a












CATI/CAWI: B6=0,d,r

IF PROGRAM=

BRIDGES: ASK

FAST: DO NOT ASK

IPS: DO NOT ASK

MOMS: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B6a. Do you have a high school diploma? Do not count a GED or General Education Development credential.

YES 1 B7

NO 0 B6b

DON’T KNOW d B6b

REFUSED r B6b




CATI/CAWI: (B6=0,d,r and B6a=0,D,R) and (B6D(FUP1)=0,D,R,L or FUP1 not complete)

IF PROGRAM=

BRIDGES: ASK

FAST: DO NOT ASK

IPS: DO NOT ASK

MOMS: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B6b. Since [DATE MONTH/YEAR], did you attend any program to earn a GED or General Education Development credential?

YES 1 B6c

NO 0 B7

DON’T KNOW d B7

REFUSED r B7











CATI/CAWI: B6=0,d,r and B6a=0,D,R and B6b=1

IF PROGRAM=

BRIDGES: ASK

FAST: DO NOT ASK

IPS: DO NOT ASK

MOMS: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B6c. Are you attending any GED program now?

YES 1 B7

NO 0 B6d

DON’T KNOW d B6d

REFUSED r B6d




CATI/CAWI: B6=0,d,r and B6a=0,D,R and B6b=1 and B6c=0,d,r

IF PROGRAM=

BRIDGES: ASK

FAST: DO NOT ASK

IPS: DO NOT ASK

MOMS: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B6d. Since [DATE MONTH/YEAR], did you receive a GED or General Education Development credential?

YES 1

NO 0

DON’T KNOW d

REFUSED r



















CATI/CAWI: all

IF PROGRAM=

BRIDGES: ASK

FAST: DO NOT ASK

IPS: DO NOT ASK

MOMS: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B7. Since [DATE MONTH/YEAR], did you attend any [other] school or education program? This includes adult basic education, English as a Second Language classes, online courses, and college. Do not include high school or GED programs. Do not include any training programs to build skills for a particular job or occupation. [We/I] will ask you about those later.

YES 1 B7a

NO 0 B8

DON’T KNOW d B8

REFUSED r B8




CATI/CAWI: B7=1

IF PROGRAM=

BRIDGES: ASK

FAST: DO NOT ASK

IPS: DO NOT ASK

MOMS: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B7a. Are you attending any of these education programs now?

YES 1 B7b

NO 0 B7c

DON’T KNOW d B7c

REFUSED r B7c















CATI/CAWI: B7a=1

IF PROGRAM=

BRIDGES: ASK

FAST: DO NOT ASK

IPS: DO NOT ASK

MOMS: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B7b. Are you attending any college or university now?

YES 1

NO 0

DON’T KNOW d

REFUSED r



CATI/CAWI: B7=1

IF PROGRAM=

BRIDGES: ASK

FAST: DO NOT ASK

IPS: DO NOT ASK

MOMS: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B7c. Since [DATE MONTH/YEAR], did you receive a diploma or degree? Do not include high school diplomas or GEDs.

YES 1 B7d

NO 0 B8

DON’T KNOW d B8

REFUSED r B8












CATI/CAWI: B7=1 and B7c=1

IF CAWI DO NOT SHOW DK OR REF

B7d. What specific diploma or degree did you receive? If you received more than one, please [select all that apply/let me know about all of them].

SELECT ALL THAT APPLY

ASSOCIATE’S DEGREE 1

BACHELOR’S DEGREE 2

GRADUATE DEGREE OR PROFESSIONAL DEGREE 3

OTHER (SPECIFY:__________) 4

DON’T KNOW d

REFUSED r





CATI/CAWI: ALL

IF PROGRAM=

BRIDGES: ASK

FAST: DO NOT ASK

IPS: DO NOT ASK

MOMS: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

The next questions ask you about your participation in training programs. Do not include any programs [we already discussed / you already reported] or any training program you received from your employer.



B8. Since [DATE MONTH/YEAR], did you particpate in any training program to build skills for a particular job or occupation?

YES 1 B8A

NO 0 B9

DON’T KNOW d B9

REFUSED r B9


















CATI/CAWI: B8=1

IF PROGRAM=

BRIDGES: ASK

FAST: DO NOT ASK

IPS: DO NOT ASK

MOMS: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B8a. Are you attending any of these training programs now?

YES 1

NO 0

DON’T KNOW d

REFUSED r



CATI/CAWI: B8=1

IF PROGRAM=

BRIDGES: ASK

FAST: DO NOT ASK

IPS: DO NOT ASK

MOMS: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B8b. Since [DATE MONTH/YEAR], did you receive a professional certificate or state or industry license?

PROBE: A professional certificate or license shows you are qualified to perform a specific job and includes things like Certified Medical Assistant, Certified Construction Manager, a Project Management Professional certification, or an IT certification.

YES 1

NO 0

DON’T KNOW d

REFUSED r















CATI/CAWI: ALL

IF PROGRAM =

Bridges: DO NOT asK

fast: do not ASK

ips: ASK

moms: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B9. The next question is about services you may have received related to drug or alcohol use. Since [DATE MONTH/YEAR], have you received help for problems related to drug or alcohol use?

YES 1 B9A

NO 0 B10

DON’T KNOW d B10

REFUSED r B10



CATI/CAWI: B9=1

IF PROGRAM=

Bridges: DO NOT asK

fast: do not ASK

ips: ASK

moms: DO NOT ASK

PHILLYWINS: DO NOT ASK





IF CAWI DO NOT SHOW DK OR REF

B9a. At what type of place did you receive help for problems related to drug or alcohol use? Was it…

SELECT ALL THAT APPLY

A hospital or clinic with overnight stays, 1

A hospital or clinic without overnight stays, 2

A residential substance treatment program with overnight stays, 3

A non-residential substance treatment program without overnight stays, 4

A support group, such as Alcoholics Anonymous or Narcotics Anonymous 5

[NEXTGEN PROGRAM, if relevant] facilities, or 6

Some other type place? SPECIFY (__________) 7

DON’T KNOW d

REFUSED r





CATI/CAWI: ALL

IF PROGRAM=

Bridges: DO NOT asK

fast: ASK

ips: ASK

moms: ASK

PHILLYWINS: ASK



IF CAWI DO NOT SHOW DK OR REF

The next few questions are about services you may have received related to your health and well-being in the last six months.

B10. In the last six months, have you received help for problems related to emotions, nerves, anger management or mental health? This would include help dealing with depression, anxiety, or other conditions from a mental health center, a therapist, a psychologist or psychiatrist, social worker, counselor, doctor, or other provider.

YES 1 B10A

NO 0 B11

DON’T KNOW d B11

REFUSED r B11


CATI/CAWI: B10=1

IF PROGRAM=

Bridges: do not ask

fast: ask

ips: ask

moms: ask

PHILLYWINS: ask



IF CAWI DO NOT SHOW DK OR REF

IF PROGRAM = FAST OR MOMS DISPLAY OPTION 6. OTHERWISE DO NOT DISPLAY OPTION 6.

B10a. Where did you receive help with problems related to emotions, nerves, anger management or mental health? Was it…

SELECT ALL THAT APPLY

A mental health agency 1

A clinic or doctor’s office 2

A hospital with overnight stays 3

A hospital without overnight stays, or 4

Some other type of place (please specify) 5

[NEXTGEN PROGRAM] 6

DON’T KNOW d

REFUSED r





CATI/CAWI: B10=1

IF PROGRAM =

Bridges: DO NOT ask

fast: ASK

ips: ask

moms: ASK

PHILLYWINS: ASK



IF CAWI DO NOT SHOW DK OR REF

B10b. In the last six months, how many times did you visit a mental health agency, clinic, doctor’s office, hospital, or other type of place for treatment for problems related to emotions, nerves, anger management or mental health? Do not include visits for physical medical conditions or substance use.



Shape4




NUMBER OF VISTS

(1-99)


  • DON’T KNOW d

REFUSED r





CATI/CAWI: ALL

IF PROGRAM =

Bridges: DO NOT asK

fast: ASK

ips: DO NOT ASK

moms: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF



B11. In the last six months, have you received any treatment for any physical medical condition at a hospital, clinic, or doctor’s office? Do not include visits for mental health or substance use.

  • YES 1 B11a

  • NO 2 B12

  • DON’T KNOW d B12

  • REFUSED r B12



CATI/CAWI: B11=1

IF PROGRAM =

Bridges: DO NOT asK

fast: ASK

ips: DO NOT ASK

moms: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B11a. In the last six months, how many times did you visit a hospital, clinic, or doctor’s office for treatment for any physical medical condition? Your best estimate is fine.

Do not include visits for mental health or substance use.



Shape6




NUMBER OF VISTS

(1-99)


  • DON’T KNOW d

REFUSED r



CATI/CAWI: ALL

IF PROGRAM =

Bridges: DO NOT asK

fast: ASK

ips: DO NOT ASK

moms: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

The next questions are about services your child (or children) may have received related to their health and well-being. CATI: If you do not have children under the age of 18, just let me know.

B12. In the last six months, have any of your children under the age of 18 received help for problems related to their emotions, nerves, anger management or mental health? This would include help dealing with their depression, anxiety, or other conditions from a mental health center, a therapist, a psychologist or psychiatrist, social worker, counselor, doctor, or other provider.

YES 1 B12A

NO 0 C1

DO NOT HAVE ANY CHILDREN UNDER AGE 18 2 C1

DON’T KNOW d C1

REFUSED r C1



CATI/CAWI: B12=1

IF PROGRAM =

Bridges: DO NOT asK

fast: ASK

ips: DO NOT ASK

moms: DO NOT ASK

PHILLYWINS: DO NOT ASK



IF CAWI DO NOT SHOW DK OR REF

B12a. Where did your child (or children) receive help with their problems related to emotions, nerves, anger management or mental health? Was it…

SELECT ALL THAT APPLY

A mental health agency 1

A clinic or doctor’s office 2

A hospital with overnight stays 3

A hospital without overnight stays, or 4

Some other type of place (please specify) 5

[NEXTGEN PROGRAM] 6

DON’T KNOW d

REFUSED r






C. ECONOMIC INDEPENDENCE AND WELL-BEING



Now, [I’d/we’d] like to ask you some questions about your living situation.

CATI/CAWI: ALL

IF PROGRAM=

Bridges: do not ask

fast: ask

ips: ask

moms: ask

PHILLYWINS: ask



IF CAWI DO NOT SHOW DK OR REF

C1. Which of the following best describes your housing during the past month?

PROBE: Tell me about the housing you spent the most time at in the last month.

Select one only

Own your own home or apartment, 1

Rent your home or apartment, 2

Homeless or live in emergency or temporary housing, such as a shelter, 3

Live in a halfway house, sober house, or other transitional housing, 4

Live in a group home 5

Live with friends or relatives and pay rent 6

Live with friends or relatives and not pay rent, or 7

Or some other arrangement? (SPECIFY: __________) 99

DON’T KNOW d

REFUSED r









CATI/CAWI: ALL

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C1a. Which of the following best describes your housing during the past month?

PROBE: Tell me about the housing you spent the most time at in the last month.

Select one only

Live with a parent or guardian and pay rent, 1

Live with a parent or guardian and do not pay rent, 2

Rent your home or apartment, 3

Homeless or live in emergency or temporary housing, such as a shelter, 4

Live in a halfway house, sober house, or other transitional housing, 5

Live in a group home 6

Live with friends or relatives and pay rent 7

Live with friends or relatives and not pay rent, or 8

Or some other arrangement? (SPECIFY: __________) 99

DON’T KNOW d

REFUSED r



CATI/CAWI: C1 NE 3 OR C1A NE 4

IF CAWI DO NOT SHOW DK OR REF

C2. Have you been homeless at any time in the last three months? Include living on the street, in your car, in an abandoned building, in a homeless or domestic violence shelter, or staying at someone else’s home because you have nowhere else to go.

YES 1

NO 0

DON’T KNOW d

REFUSED r







CATI/CAWI: ALL

IF PROGRAM=

Bridges: do not ask

fast: ask

ips: ask

moms: ask

PHILLYWINS: ask



IF C1 = (4 OR 5) OR c1a = (5 OR 6), DO NOT DISPLAY “OR ANYONE IN YOUR HOUSEHOLD”

if program=ips do not display c3_2 or C3_5

IF CAWI DO NOT SHOW DK OR REF

C3. During the past year, did you [or anyone in your household] receive income or assistance from any of the following sources?

Select all that apply

Disability benefits from the Social Security Administration. These are also called Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI) 1

Temporary Assistance for Needy Families (TANF) or

[STATE SPECIFIC TANF NAME] 2

Unemployment Insurance 3

Food Stamps/Supplemental Nutrition Assistance Program (SNAP)/

[STATE-SPECIFIC PROGRAM] 4

Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) 5

Medicaid or [STATE SPECIFIC MEDICAID] or Children’s Health Insurance Program (CHIP) 6

NONE OF THE ABOVE 0

DON’T KNOW d

REFUSED r

























CATI/CAWI: ALL

if program=

Bridges: do not ask

fast: ask

ips: ask

moms: ask

PHILLYWINS: ASK



IF program=moms, do not ask c4h

IF CAWI DO NOT SHOW DK OR REF

C4. Now [I/we] have some questions about your current financial situation. [As I read each question, please let me/ please let us] know if you have faced any of the following situations.

In the last six months, has there been a time when…

Select one per row


YES

NO

N/A

DK

REF

a. …you did not pay the full amount of the rent or mortgage because you could not afford it?

1

0

2

d

r

b. …you were evicted from your home or apartment for not paying the rent or mortgage?

1

0

2

d

r

c. …you filed in court for bankruptcy?

1

0

2

d

r

d. …you did not pay the full amount of the gas, oil, or electricity bills?

1

0

2

d

r

e. …you had service turned off by the gas or electric company, or the oil company would not deliver oil?

1

0

2

d

r

f. …you had cellular or land telephone service turned off because payments were not made?

1

0

2

d

r

g. …you could not fill or had to wait to fill a prescription for medicine when they were needed because you could not afford it?

1

0

2

d

r

h. …you did not pay the full amount of child support payments because you could not afford it?

1

0

2

d

r

i. …you did not pay the full amount of other bills?

1

0

2

d

r





CATI/CAWI: ALL



IF CAWI DO NOT SHOW DK/R

C4a.* Getting enough food can be a problem for some people. Which of these statements best describes the food eaten in your household in [PRIOR MONTH]? Would you say there was…

enough of the kinds of food you want, 1

enough, but not always the kinds of food you want, 2

sometimes not enough to eat, or 3

often not enough to eat? 4

DON’T KNOW d

REFUSED r



CATI/CAWI: All

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF PROGRAM=BRIDGES DISPLAY FIRST SENTENCE. ELSE DO NOT DISPLAY FIRST SENTENCE.

IF CAWI DO NOT SHOW DK/R

C4b. [Now [I/we] have some questions about your current financial situation.] Do you currently receive any financial help from your parents, relatives, friends, or neighbors in paying for transportation or rides to places you need to be?

Select one only

YES 1 C4B1

NO 0 C4C

DON’T KNOW d C4C

REFUSED r C4C















CATI/CAWI: C4b=1

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK/R

C4b1. About how much financial help do you currently receive from your parents, relatives, friends, or neighbors in paying for transportation or for rides to places you need to be? Would you say they pay for…

Select one only

all, 1

most, 2

or a little of your transportation or rides? 3

DON’T KNOW d

REFUSED r



CATI/CAWI: All

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK/R

C4c. Do you currently receive any financial help from your parents, relatives, friends, or neighbors in paying for food, meals, or groceries?

Select one only

YES 1 C4C1

NO 0 C4D

DON’T KNOW d C4D

REFUSED r C4D







CATI/CAWI: C4C=1

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK/R

C4c1. About how much financial help do you currently receive from your parents, relatives, friends, or neighbors in paying for food, meals, or groceries? Would you say they pay for…

Select one only

all, 1

most, 2

or a little of your food, meals, or groceries? 3

DON’T KNOW d

REFUSED r



CATI/CAWI: ALL

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK/R

C4d. Do you currently receive any financial help from your parents, relatives, friends, or neighbors in paying for some or all of your cellular phone service?

Select one only

YES 1 C4D1

NO 0 C4E

DON’T KNOW d C4E

REFUSED r C4E









CATI/CAWI: C4D=1

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK/R

C4d1. About how much financial help do you currently receive from your parents, relatives, friends, or neighbors in paying for your cellular phone service? Would you say they pay for…

Select one only

all, 1

most, 2

or a little of your cellular phone service? 3

DON’T KNOW d

REFUSED r



CATI/CAWI: all

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK/R

C4e. Do you currently receive any cash gifts or money from your parents, relatives, friends, or neighbors on a regular basis?

Select one only

YES 1 C4E1

NO 0 C5

DON’T KNOW d C5

REFUSED r C5









CATI/CAWI: C4E=1

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK/R

C4e1. About how much do your parents, relatives, friends, or neighbors provide in the form of money or cash gifts on a regular basis? Your best estimate is fine.

$| | | , | | | |

(0-99,999)



Is this amount per day, per week, per month, once every two weeks, per year, or a one-time payment? If you receive this amount occasionally or not on a regular basis, please provide your best estimate as to how often you received it during the past few months.

Select one only

PER DAY 1

PER WEEK 2

PER MONTH 3

ONCE EVERY TWO WEEKS 4

PER YEAR 5

A ONE-TIME PAYMENT 6

DON’T KNOW d

REFUSED r



















CATI/CAWI: ALL

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C5. If you had an emergency, about how many people would you be able to count on to help you? Would you say…

Select one only

m None, 1

m One to two, 2

m Three to five, or 3

m More than five? 4

DON’T KNOW d

REFUSED r



CATI/CAWI: ALL

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C6.* About how many people could you turn to if you suddenly needed to borrow $100? Would you say…

Select one only

m None, 1

m One to two, 2

m Three to five, or 3

m More than five? 4

DON’T KNOW d

REFUSED r



CATI/CAWI: all

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C7a. About how many people could you talk to for help or advice?

Select one only

m None, 1

m One to two, 2

m Three to five, or 3

m More than five? 4

m DON’T KNOW d

m REFUSED r



CATI/CAWI: all

IF PROGRAM =

Bridges: do not ask

fast: do not ask

ips: do not ask

moms: ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C7b. Generally speaking, would you say most people can be trusted?

Select one only

m YES 1

m NO 0

m DON’T KNOW d

m REFUSED r











CATI/CAWI: all

IF PROGRAM =

Bridges: do not ask

fast: do not ask

ips: do not ask

moms: ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C7c. Would you say you trust most people in your neighborhood?

Select one only

m YES 1

m NO 0

m DON’T KNOW d

m REFUSED r





































CATI/CAWI: ALL

IF PROGRAM=

Bridges: do not ask

fast: do not ask

ips: do not ask

moms: ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C8. CATI: Now I will read you a list of statements about being a parent. Please tell me if the following statements apply to you rarely or never, a little of the time, some of the time, a good part of the time, or always or most of the time.

CAWI: Please choose the one answer that best fits for you. 3

Select one per row


RARELY OR NEVER

A LITTLE OF THE TIME

SOME OF THE TIME

GOOD PART OF THE TIME

ALWAYS OR MOST OF THE TIME

DK

REF

a. I feel I’m doing an excellent job as a parent.

1

2

3

4

5

d

r

b. I am proud of myself as a parent.

1

2

3

4

5

d

r

c. I am more effective than most parents.

1

2

3

4

5

d

r

d. I have set goals about how I want to raise my child.

1

2

3

4

5

d

r

e. I am a good example to other parents.

1

2

3

4

5

d

r

f. I learn new parenting skills and use them with my child

1

2

3

4

5

d

r





















CATI/CAWI: all

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK/R

C9a. Now [I/we] have some questions about your future financial situation. Would you say that you are confident, somewhat confident, or not confident that in five years’ time you will earn enough to support yourself without financial help from your parents, relatives, friends, or neighbors?

Select one only

CONFIDENT 1

SOMEWHAT CONFIDENT 2

NOT CONFIDENT 3

DON’T KNOW d

REFUSED r



CATI/CAWI: all

IF PROGRAM=

Bridges: ask

fast: do not ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK/R

C9b. Would you say that you are confident, somewhat confident, or not confident that in five years’ time you will be working at a paid job?

Select one only

CONFIDENT 1

SOMEWHAT CONFIDENT 2

NOT CONFIDENT 3

DON’T KNOW d

REFUSED r






CATI: Now, I’d like to ask you some questions about your health.

CAWI: Now, we have some questions about your health. 4

CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF



C10.* In general, would you say your health is:

  • Excellent, 1

  • Very good, 2

  • Good, 3

  • Fair, or 4

  • Poor? 5

  • DON’T KNOW d

  • REFUSED r


CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C10a.* Are you fully vaccinated against COVID-19? Fully vaccinated means you got all the required shots.

Select one only

m YES 1

m NO 0

m DON’T KNOW d

m REFUSED r












CATI/CAWI: ALL

IF PROGRAM=

Bridges: do not ask

fast: ask

ips: do not ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C10b. Are you currently covered by any type of health insurance plan, either private or government, including Medicare or Medicaid?

Select one only

m YES 1

m NO 0

m DON’T KNOW d

m REFUSED r



CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C11.* The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much?

CATI: The first question is about…

Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.

CATI: Would you say you are limited a lot, limited a little, or not at all?

YES, LIMITED A LOT 1

YES, LIMITED A LITTLE 2

NO, NOT LIMITED AT ALL 3

DON’T KNOW d

REFUSED r















CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C12.* CATI: The second question is about…

Climbing several flights of stairs. Would you say you are limited a lot, limited a little, or not at all?

YES, LIMITED A LOT 1

YES, LIMITED A LITTLE 2

NO, NOT LIMITED AT ALL 3

DON’T KNOW d

REFUSED r





CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C13.* During the past 4 weeks how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health?

CATI: The first statement is that you…

Accomplished less than you would like.

CATI: Would you say that you accomplished less than you would like all of the time, most of the time, some of the time, a little of the time, or none of the time as a result of your physical health?

ALL OF THE TIME 1

MOST OF THE TIME 2

SOME OF THE TIME 3

A LITTLE OF THE TIME 4

NONE OF THE TIME 5

DON’T KNOW d

REFUSED r










CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C14.* CATI: The second statement is that you…

Were limited in the kind of work or other activities.

CATI: Would you say that you were limited in the kind of work or other activities all of the time, most of the time, some of the time, a little of the time, or none of the time as a result of your physical health?

ALL OF THE TIME 1

MOST OF THE TIME 2

SOME OF THE TIME 3

A LITTLE OF THE TIME 4

NONE OF THE TIME 5

DON’T KNOW d

REFUSED r


CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C15.* During the past 4 weeks, how much of the time 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)?

CATI: The first item is that you…

Accomplished less than you would like.

CATI: Would you say that you accomplished less than you would like all of the time, most of the time, some of the time, a little of the time, or none of the time as a result of any emotional problems?

ALL OF THE TIME 1

MOST OF THE TIME 2

SOME OF THE TIME 3

A LITTLE OF THE TIME 4

NONE OF THE TIME 5

DON’T KNOW d

REFUSED r







CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C16.* CATI: The second item is that you…

Did work or other activities less carefully than usual.

CATI: Would you say that did work or other activities less carefully than usual all of the time, most of the time, some of the time, a little of the time, or none of the time as a result of any emotional problems?

ALL OF THE TIME 1

MOST OF THE TIME 2

SOME OF THE TIME 3

A LITTLE OF THE TIME 4

NONE OF THE TIME 5

DON’T KNOW d

REFUSED r



CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C17.* During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)? Would you say…

Not at all, 1

A little bit, 2

Moderately, 3

Quite a bit, or 4

Extremely 5

DON’T KNOW d

REFUSED r















CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C18.* These next questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks:

have you felt calm and peaceful?

All of the time, 1

Most of the time, 2

Some of the time, 3

A little of the time, or 4

None of the time 5

DON’T KNOW d

REFUSED r



CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C19.* How much of the time during the past 4 weeks did you have a lot of energy?

All of the time, 1

Most of the time, 2

Some of the time, 3

A little of the time, or 4

None of the time 5

DON’T KNOW d

REFUSED r


CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C20.* How much of the time during the past 4 weeks have you felt downhearted and depressed?

All of the time, 1

Most of the time, 2

Some of the time, 3

A little of the time, or 4

None of the time 5

DON’T KNOW d

REFUSED r

CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C21.* 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.)? Would you say…

All of the time, 1

Most of the time, 2

Some of the time, 3

A little of the time, or 4

None of the time 5

DON’T KNOW d

REFUSED r





































CATI/CAWI: ALL

IF PROGRAM=

Bridges: ask

fast: ask

ips: ask

moms: do not ask

PHILLYWINS: ask



IF CAWI DO NOT SHOW DK OR REF

CATI: Now I will read you a list of statements about the last 30 days. Please tell me if the following applies to you all of the time, most of the time, some of the time, a little of the time, or none of the time.

C22. During the last 30 days, about how often did you…5

Select one per row


ALL THE TIME

MOST OF THE TIME

SOME OF THE TIME

A LITTLE OF THE TIME

NONE OF THE TIME

DK

REF

a. feel so depressed that nothing could cheer you up?

4

3

2

1

0

d

r

b. feel hopeless?

4

3

2

1

0

d

r

c. feel restless or fidgety?

4

3

2

1

0

d

r

d. feel that everything was an effort?

4

3

2

1

0

d

r

e. feel worthless?

4

3

2

1

0

d

r

f. feel nervous?

4

3

2

1

0

d

r

















CATI/CAWI: ALL

IF PROGRAM =

Bridges: do not ask

fast: do not ask

ips: do not ask

moms: ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C22a. CATI: Now I will read you a list of the ways you might have felt or behaved. Please tell me how often you have felt this way in the past week or so. Please tell me if you felt this way not at all or less than one day, one to two days, three to four days, five to seven days, or nearly everyday for the last two weeks.

CAWI: Below is a list of the ways you might have felt or behaved. Please select the boxes to let us know how often you have felt this way in the past week or so.6

Select one per row


NOT AT ALL OR LESS THAN 1 DAY

1-2 DAYS

3-4 DAYS

5-7 DAYS

NEARLY EVERY DAY FOR 2 WEEKS

DK

REF

a. My appetite was poor.

1

2

3

4

5

d

r

b. I could not shake off the blues.

1

2

3

4

5

d

r

c. I had trouble keeping my mind on what I was doing.

1

2

3

4

5

d

r

d. I felt depressed.

1

2

3

4

5

d

r

e. My sleep was restless..

1

2

3

4

5

d

r

f. I felt sad.

1

2

3

4

5

d

r

g. I could not get going.

1

2

3

4

5

d

r

h. Nothing made me happy.

1

2

3

4

5

d

r

i. I felt like a bad person.

1

2

3

4

5

d

r

j. I lost interest in my usual activities.

1

2

3

4

5

d

r

k. I slept much more than usual..

1

2

3

4

5

d

r

l. I felt like I was moving too slowly.

1

2

3

4

5

d

r

m. I felt fidgety.

1

2

3

4

5

d

r

n. I wished I were dead.

1

2

3

4

5

d

r

o. I wanted to hurt myself.

1

2

3

4

5

d

r

p. I was tired all the time..

1

2

3

4

5

d

r

q. I did not like myself.

1

2

3

4

5

d

r

r. I lost a lot of weight without trying to.

1

2

3

4

5

d

r

s. I had a lot of trouble getting to sleep.

1

2

3

4

5

d

r

t. I could not focus on the important things.

1

2

3

4

5

d

r



CATI/CAWI: ALL

IF CAWI DO NOT SHOW DK OR REF

C23.* Taken all together, how would you say things are going these days? Would you say that you are…

Very happy, 1

Pretty happy, or 2

Not too happy? 3

DON’T KNOW d

REFUSED r



























CATI: The next questions are about alcohol use. If you do not drink alcohol at all, just say so.

CAWI: The next questions are about your use of alcohol.

CATI/CAWI: ALL

IF PROGRAM=

Bridges: do not ask

fast: do not ask

ips: ask

moms: do not ask

PHILLYWINS: do not ask

IF CAWI DO NOT SHOW DK OR REF

C24. How often do you have a drink containing alcohol, such as beer, wine or liquor? Would you say…7

Never, 1 C25

Monthly or less, 2 C23

2 to 4 times a month, 3 C23

2 to 3 times a week, or 4 C23

4 or more times a week 5 C23

DON’T KNOW d C25

REFUSED r C25


CATI/CAWI: c24 = 2, 3, 4, or 5

IF CAWI DO NOT SHOW DK OR REF

C25. How many drinks containing alcohol do you have on a typical day when you are drinking? Would you say …

PROBE: A standard drink is a 5-ounce glass of wine, a 12-ounce can of beer, or a 1.5-ounce shot.

1 or 2 per day, 1

3 or 4, 2

5 or 6, 3

7 to 9, or 4

10 or more per day 5

DON’T KNOW d

REFUSED r







CATI/CAWI: c24 = 2, 3, 4, or 5

IF CAWI DO NOT SHOW DK OR REF

C26. How often do you have six or more drinks on one occasion? Would you say…

Never, 1

Less than monthly, 2

Monthly, 3

Weekly, or 4

Daily or almost daily 5

DON’T KNOW d

REFUSED r



CATI: Next, I would like to ask you about your use of drugs, not including alcohol, in the past 6 months. For these questions, using drugs means taking more of a prescription drug than prescribed, taking more of an over-the-counter drug than the directions say, or using any drug for nonmedical reasons. The types of drugs may include cannabis (such as marijuana or hashish), inhalants (such as paint thinner), tranquilizers (such as Valium), barbiturates (such as downers), cocaine (such as crack), stimulants (such as Ritalin or speed), hallucinogens (such as LSD, peyote), or narcotics (such as heroin or pain killers).

Remember, do not include alcohol.

If you have difficulty with a yes or no statement, let me know the response that is mostly right.

CAWI: The following questions ask about your use of drugs (not including alcohol) in the past 6 months.

For these questions, using drugs means (1) taking more of a prescription than prescribed, (2) taking more of an overthecounter drug than the directions say, or (2) using any drug for nonmedical reasons.

The types of drugs may include cannabis (e.g., marijuana, hashish), inhalants (e.g., paint thinner), tranquilizers (e.g., Valium), barbiturates (e.g., downers), cocaine (e.g., crack), stimulants (e.g., Ritalin, speed), hallucinogens (e.g., LSD, peyote), or narcotics (e.g., heroin, pain killers).

Remember, do not include alcohol.

Please answer every question. If you have difficulty with a statement, then choose the response that is mostly right.









CATI/CAWI: ALL

IF PROGRAM=

Bridges: do not ask

fast: do not ask

ips: ask

moms: do not ask

PHILLYWINS: do not ask

IF CAWI DO NOT SHOW DK OR REF

C27. In the past 6 months have you used drugs other than those required for medical reasons? 8

YES 1 C28

NO 2 C37

DON’T KNOW d C37

REFUSED r C37


CATI/CAWI: C27=1

IF CAWI DO NOT SHOW DK OR REF

C28. Do you use more than one drug at a time?

PROBE: Consider your use of drugs, not including alcohol, in the past 6 months.

YES 1

NO 2

DON’T KNOW d

REFUSED r



CATI/CAWI: C27=1

IF CAWI DO NOT SHOW DK OR REF

C29. Are you always able to stop using drugs when you want to?

PROBE: Consider your use of drugs, not including alcohol, in the past 6 months.

YES 1

NO 2

DON’T KNOW d

REFUSED r





CATI/CAWI: C27=1

IF CAWI DO NOT SHOW DK OR REF

C30. Have you ever had blackouts or flashbacks as a result of drug use?

PROBE: Consider your use of drugs, not including alcohol, in the past 6 months.

YES 1

NO 2

DON’T KNOW d

REFUSED r



CATI/CAWI: C27=1

IF CAWI DO NOT SHOW DK OR REF

C31. Do you ever feel bad or guilty about your drug use?

PROBE: Consider your use of drugs, not including alcohol, in the past 6 months.

YES 1

NO 2

DON’T KNOW d

REFUSED r



CATI/CAWI: C27=1

IF CAWI DO NOT SHOW DK OR REF

C32. Does anyone ever complain about your involvement with drugs?

PROBE: Consider your use of drugs, not including alcohol, in the past 6 months.

YES 1

NO 2

DON’T KNOW d

REFUSED r



CATI/CAWI: C27=1

IF CAWI DO NOT SHOW DK OR REF

C33. Have you neglected your family because of your drug use?

PROBE: Consider your use of drugs, not including alcohol, in the past 6 months.

YES 1

NO 2

DON’T KNOW d

REFUSED r



CATI/CAWI: C27=1

IF CAWI DO NOT SHOW DK OR REF

C34. Have you engaged in illegal activities in order to obtain drugs?

PROBE: Consider your use of drugs, not including alcohol, in the past 6 months.

YES 1

NO 2

DON’T KNOW d

REFUSED r



CATI/CAWI: C27=1

IF CAWI DO NOT SHOW DK OR REF

C35. Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?

PROBE: Consider your use of drugs, not including alcohol, in the past 6 months.

YES 1

NO 2

DON’T KNOW d

REFUSED r


CATI/CAWI: C27=1

IF CAWI DO NOT SHOW DK OR REF

C36. Have you had medical problems as a result of your drug use (for example, memory loss, hepatitis, convulsions, or bleeding)?

PROBE: Consider your use of drugs, not including alcohol, in the past 6 months.

YES 1

NO 2

DON’T KNOW d

REFUSED r












CATI/CAWI: ALL

IF PROGRAM=

Bridges: do not ask

fast: do not ask

ips: ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C37. The next question asks about using prescription pain relievers in any way a doctor did not direct you to use them.

When you answer this question, please think only about your use of the drug in any way a doctor did not direct you to use it, including:

  • Using it without a prescription of your own

  • Using it in greater amounts, more often, or longer than you were told to take it

  • Using it in any other way a doctor did not direct you to use it

Are you currently taking a prescription painkiller (such as OxyContin, Percocet, or Vicodin) without a prescription or in any way not directed by a doctor?

YES 1

NO 0

DON’T KNOW d

REFUSED r

























CATI/CAWI: ALL

IF PROGRAM =

Bridges: do not ask

fast: do not ask

ips: ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C38. Now [I/we] have some questions about your experiences with the criminal justice system. Are you currently under some form of court-ordered supervision?

m Yes, parole 1

m Yes, probation 2

m Yes, diversion or alternative sentencing to avoid incarceration (such as, alternative court, drug court, mental health court, or community sentencing) 3

m Yes, something else, or (SPECIFY) 99

Shape19

Specify (STRING 100)

m No, not under some form of supervision 0

m DON’T KNOW d

m REFUSED r



CATI/CAWI: ALL

IF PROGRAM = ips, do not display “Now [I/we] have some questions about your experiences with the criminal justice system” and display “Do not include any arrests for violating the terms of court-ordered supervision.”

IF CAWI DO NOT SHOW DK OR REF

C39.* [Now [I/we] have some questions about your experiences with the criminal justice system.]

Since [DATE MONTH YEAR], have you been arrested? [Do not include any arrests for violating the terms of court-ordered supervision.]

YES 1

NO 0

DON’T KNOW d

REFUSED r





programmer box

IF PROGRAM = ips go to c40.

For all other programs go to D1.

CATI/CAWI: C39=1

IF PROGRAM=

Bridges: do not ask

fast: do not ask

ips: ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C40. Since [DATE MONTH YEAR], how many times have you been arrested? Do not include any arrests for violating the terms of court-ordered supervision.



NUMBER OF ARRESTS

Shape20


(1-99)

DON’T KNOW d

REFUSED r


CATI/CAWI: C39=1

IF PROGRAM=

Bridges: do not ask

fast: do not ask

ips: ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C41. How many of these arrests since [DATE MONTH YEAR] resulted in at least one conviction?

NUMBER OF ARRESTS LEADING TO A CONVICTION

Shape21

C41=0 C43

(0-99) C41>0 C42

DON’T KNOW d C43

REFUSED r C43








CATI/CAWI: C39=1 and c41>0

IF PROGRAM=

Bridges: do not ask

fast: do not ask

ips: ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C42. How many of these convictions since [DATE MONTH YEAR] were felony convictions?

NUMBER OF FELONY CONVICTIONS

Shape22


(0-99)

DON’T KNOW d

REFUSED r



CATI/CAWI: C39=1,D,R

IF PROGRAM=

Bridges: do not ask

fast: do not ask

ips: ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C43. Since [DATE MONTH YEAR], have you been incarcerated in a detention center, jail, or prison? Do not include any incarcerations for violating the terms of court-ordered supervision.

YES 1

NO 0

DON’T KNOW d

REFUSED r









CATI/CAWI: All

IF PROGRAM=

Bridges: do not ask

fast: do not ask

ips: ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C44. Since [DATE MONTH YEAR], have you been incarcerated in a detention center, jail, or prison for violating the terms of court-ordered supervision?

YES 1

NO 0

DON’T KNOW d

REFUSED r


programmer box

IF PROGRAM = IPS and c43=1 or c44=1 go to c45.

IF PROGRAM = IPS and c43=0,D,R and c44=0,D,R go to D1.


CATI/CAWI: c43=1 OR C44 =1

IF PROGRAM=

Bridges: do not ask

fast: do not ask

ips: ask

moms: do not ask

PHILLYWINS: do not ask



IF CAWI DO NOT SHOW DK OR REF

C45. What is the total time you have spent in incarceration since [DATE MONTH YEAR]? If less than 1 month, please record 1 month. Include any incarceration for any reason.

Your best estimate is fine.

| | | YEARS AND | | | MONTHS

DON’T KNOW d

REFUSED r











D. PROGRAM SATISFACTION

SECTION IS NOT PART OF SECOND FOLLOW-UP



E. UPDATED CONTACT INFORMATION

CATI/CAWI: ALL

E1.* Next, we would like to ask for some contact information. This will help us contact you if we ever need to reach you in the future.

What is your address?

PROBE: Where do you receive your mail?

PROBE: Is there an apartment number?

Shape23

Street Address 1: (STRING (NUM))

Shape24

Street Address 2: (STRING (NUM))

Shape25

City: (STRING (NUM))

Shape26

State: (STRING (NUM))

Shape27

Zip: (STRING (NUM))

DON’T KNOW d

REFUSED r

CATI/CAWI: ALL

E2.* What is your email address?

Shape28



EMAIL ADDRESS

(STRING 50)

DON’T HAVE ONE 0

DON’T KNOW d

REFUSED r




CATI/CAWI: all

Shape29

E3.* What is your home telephone number?

HOME TELEPHONE

(201-989) (200-999) (0000-9999)

NO LANDLINE 1

DON’T KNOW d

REFUSED r





CATI/CAWI: all

E3a.* Do you have a cell phone?

YES 1 E3b

NO 0 E4

DON’T KNOW d E4

REFUSED r E4


CATI/CAWI: E3a=01

Shape30

E3b. What is your cell phone number?

CELL PHONE

(201-989) (200-999) (0000-9999)

DON’T KNOW d

REFUSED r

CATI/CAWI: E3a=01

E3c. Is it okay for us to text you at this number? Message and data rates may apply.

YES 1

NO 0

DON’T KNOW d

REFUSED r



CATI/CAWI: ALL

Shape31

E4.* What is another phone number where you can be reached?

PHONE NUMBER

(201-989) (200-999) (0000-9999)

DON’T KNOW d

REFUSED r



CATI/CAWI: ALL

E5.* May we contact you through Facebook?



YES 1 E5a

NO/DON’T HAVE ACCOUNT 0 E6

DON’T KNOW d E6

REFUSED r E6


CATI/CAWI: E5 = 1

E5a. What name do you use on Facebook?

Shape32



USER NAME

(STRING 50)

DON’T KNOW d

REFUSED r


CATI/CAWI: E5 = 1

E5b. What is your Facebook url?

Shape33



USER NAME

(STRING 50)

DON’T KNOW d

REFUSED r


CATI/CAWI: ALL

E6.* May we contact you through LinkedIn?



YES 1 E6a

NO/DON’T HAVE ACCOUNT 0 E7

DON’T KNOW d E7

REFUSED r E7


CATI/CAWI: E6 = 1

E6a. What name do you use on LinkedIn?

Shape34



USER NAME

(STRING 50)

DON’T KNOW d

REFUSED r










CATI/CAWI: ALL

E7.* May we contact you through Instagram?



YES 1 E7a

NO/DON’T HAVE ACCOUNT 0 E8

DON’T KNOW d E8

REFUSED r E8


CATI/CAWI: E7 = 1

E7a. What username do you use on Instagram?

Shape35



USER NAME

(STRING 50)

DON’T KNOW d

REFUSED r




CATI/CAWI: ALL

E8.* In case Mathematica needs to reach you and has trouble reaching you, we would like to have the names of three people who would most likely know where you are or who you keep in close contact with, such as a grandmother or grandfather, other relative, or friend. Mathematica will not contact these people for any other reason.

What is the full name of the first person we should contact?

Shape36



FIRST NAME

(STRING 50)

Shape37



MIDDLE INITIAL

(STRING 1)

Shape38



LAST NAME

(STRING 50)

DON’T KNOW d END

REFUSED r END





CATI/CAWI: E8 NE D OR R

E8a. What is (his/her) address?

PROBE: Is there an apartment number?

Shape39

Street Address 1: (STRING (NUM))

Shape40

Street Address 2: (STRING (NUM))

Shape41

City: STRING (NUM))

Shape42

State: (STRING (NUM))

Shape43

Zip: (STRING (NUM))

DON’T KNOW d

REFUSED r


CATI/CAWI: E8 NE D OR R

E8b. What is (his/her) relationship to you?

Select one only

SPOUSE/PARTNER 1

MOTHER 2

FATHER 3

SISTER/BROTHER 4

GRANDMOTHER/GRANDFATHER 5

SON/DAUGHTER 6

FRIEND 7

OTHER (SPECIFY) 99

Shape44

Specify (STRING 50)

DON’T KNOW d

REFUSED r


IF OTHER SPECIFY (99): ENTER OTHER RELATIONSHIP TYPE













CATI/CAWI: E8 NE D OR R

Shape45

E8c. What is (his/her) home telephone number?

HOME TELEPHONE



(201-989) (200-999) (0000-9999)

NO LANDLINE 1

DON’T KNOW d

REFUSED r



CATI/CAWI: E8 NE D OR R

E8d. Does (he/she) have a cell phone?

YES 1

NO 0 E8F

DON’T KNOW d E8F

REFUSED r E8F


CATI/CAWI: e8D=1

Shape46

E8e. Can I have that number?

TELEPHONE



(201-989) (200-999) (0000-9999)

DON’T KNOW d

REFUSED r

CATI/CAWI: E8 NE D OR R

Shape47

E8f. What is (his/her) work telephone number?

TELEPHONE


(201-989) (200-999) (0000-9999)

NO WORK NUMBER 1

DON’T KNOW d

REFUSED r





CATI/CAWI: E8 NE D OR R

E8g. What is (his/her) email address?

Shape48


EMAIL ADDRESS

(STRING 50)

DON’T HAVE ONE 0 E9

DON’T KNOW d E9

REFUSED r E9



CATI/CAWI: E8g NE 0, D, OR R

E8h. Does (he/she) have another email address?

Shape49


EMAIL ADDRESS

(STRING 50)

NO 0

DON’T KNOW d

REFUSED r


SECOND CONTACT

CATI/CAWI: E8 NE D OR R

E9. What is the full name of the second person we should contact?

Shape50


FIRST NAME

(STRING 50)

Shape51



MIDDLE INITIAL

(STRING 1)

Shape52



LAST NAME

(STRING 50)

DON’T KNOW d END

REFUSED r END

CATI/CAWI: E9 NE D OR R

E9a. What is (his/her) address?

PROBE: Is there an apartment number?

Shape53

Street Address 1: (STRING (NUM))

Shape54

Street Address 2: (STRING (NUM))

Shape55

City: STRING (NUM))

Shape56

State: (STRING (NUM))

Shape57

Zip: (STRING (NUM))

DON’T KNOW d

REFUSED r


CATI/CAWI: E9 NE D OR R

E9b. What is (his/her) relationship to you?

Select one only

SPOUSE/PARTNER 1

MOTHER 2

FATHER 3

SISTER/BROTHER 4

GRANDMOTHER/GRANDFATHER 5

  • SON/DAUGHTER 6

FRIEND 7

OTHER (SPECIFY) 99

Shape58

Specify (STRING 50)

DON’T KNOW d

REFUSED r


CATI/CAWI: E9 NE D OR R

E9c. What is (his/her) home telephone number?

Shape59

HOME TELEPHONE



(201-989) (200-999) (0000-9999)

NO LANDLINE 1

DON’T KNOW d

REFUSED r



CATI/CAWI: E9 NE D OR R

E9d. Does (he/she) have a cell phone?

YES 1

NO 0 E9F

DON’T KNOW d E9F

REFUSED r E9F



CATI/CAWI: E9D=1

E9e. Can I have that number?

Shape60

TELEPHONE



(201-989) (200-999) (0000-9999)

DON’T KNOW d

REFUSED r

CATI/CAWI: E9 NE D OR R

Shape61

E9f. What is (his/her) work telephone number?



(201-989) (200-999) (0000-9999)

NO WORK NUMBER 1

DON’T KNOW d

REFUSED r

CATI/CAWI: E9 NE D OR R

E9g. What is (his/her) email address?

Shape62


EMAIL ADDRESS

(STRING 50)

DON’T HAVE ONE 0 E10

DON’T KNOW d E10

REFUSED r E10

CATI/CAWI: E9G NE D OR R

E9h. Does (he/she) have another email address?

Shape63


EMAIL ADDRESS

(STRING 50)

NO 0

DON’T KNOW d

REFUSED r


THIRD CONTACT

CATI/CAWI: E9 NE D OR R

E10. What is the full name of the third person we should contact?

Shape64


FIRST NAME

(STRING 50)

Shape65



MIDDLE INITIAL

(STRING 1)

Shape66



LAST NAME

(STRING 50)

DON’T KNOW d END

REFUSED r END

CATI/CAWI: E10 NE d OR r

E10a. What is (his/her) address?

PROBE: Is there an apartment number?

Shape67

Street Address 1: (STRING (NUM))

Shape68

Street Address 2: (STRING (NUM))

Shape69

City: STRING (NUM))

Shape70

State: (STRING (NUM))

Shape71

Zip: (STRING (NUM))

DON’T KNOW d

REFUSED r


CATI/CAWI: E10 NE d OR r

E10b. What is (his/her) relationship to you?

Select one only

SPOUSE/PARTNER 1

MOTHER 2

FATHER 3

SISTER/BROTHER 4

GRANDMOTHER/GRANDFATHER 5

  • SON/DAUGHTER 6

FRIEND 7

OTHER (SPECIFY) 99

Shape72

Specify (STRING 50)

DON’T KNOW d

REFUSED r



CATI/CAWI: E10 NE d OR r

E10c. What is (his/her) home telephone number?

Shape73

HOME TELEPHONE



(201-989) (200-999) (0000-9999)

NO LANDLINE 1

DON’T KNOW d

REFUSED r

CATI/CAWI: E10 NE d OR r

E1d. Does (he/she) have a cell phone?

YES 1

NO 0 E10F

DON’T KNOW d E10F

REFUSED r E10F

CATI/CAWI: E10e=1

Shape74

E10e. Can I have that number?

TELEPHONE


(201-989) (200-999) (0000-9999)

DON’T KNOW d

REFUSED r


CATI/CAWI: E10 NE d OR r

E10f. What is (his/her) work telephone number?

Shape75

TELEPHONE

(201-989) (200-999) (0000-9999)

NO WORK NUMBER 0

DON’T KNOW d

REFUSED r


CATI/CAWI: E10 NE d OR r

E10g. What is (his/her) email address?

Shape76


EMAIL ADDRESS

(STRING 50)

DON’T HAVE ONE 0 END

DON’T KNOW d END

REFUSED r END

CATI/CAWI: E10g NE 0, d, OR r

E10h. Does (he/she) have another email address?

Shape77


EMAIL ADDRESS

NO 0

DON’T KNOW d

REFUSED r



CATI/CAWI: ALL

Completed.* This completes the survey. Thank you for your continued participation in this survey and the Next Generation of Enhanced Employment Strategies Project. We appreciate you taking the time to share this information with us. It is a very important contribution to our study. We will send your [$50/$55] gift card in the mail in the next two weeks.



Thank you again.





1,2 A24a, A24b: Noonan, P.M., & Gaumer Erickson, A.S. (2017). The skills that matter: Teaching intrapersonal and interpersonal competencies in any classroom. Thousand Oaks, CA: Corwin.

2

3 Healthy Families Parenting Inventory (HFPI), Parenting Efficacy questions, Copyright LeCroy & Milligan Associates, Inc. 2004.

4 © C10, C11 to C21 is the SF-12v2, 1994, 2002 by QualityMetric Inc. and Medical Outcomes Trust. All Rights Reserved.

6 Center for Epidemiologic Studies Depression Scale Revised (CESD-R)

8 Skinner HA (1982). The Drug Abuse Screening Test. Addictive Behavior. 7(4):363-371. Note that the follow-up survey asks for a 6 month reference period whereas the baseline asks about a 12 month reference period. This is to avoid overlap in the time period being asked about.



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AuthorAlicia Harrington
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File Created2022-05-03

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