NSFH2 INTERVIEW QUESTIONNAIRE - PART 1 (2/13/97) * Variables which were part of the interview but are NOT included in the codebook (i.e., public use data), thus they were not assigned variable names. MA* INTERVIEWER: VERIFY THAT YOU HAVE TYPED IN THE CORRECT CASE ID. CASE ID NUMBER IS: 1 Case ID is correct 2 Case ID is incorrect EXIT PROGRAM MA* This phase of the study is a reinterview of persons who originally participated in the National Survey of Families and Households in either 1987 or 1988. You may have received a letter from Temple University telling you about this survey. Like the first survey, this study is also about family experiences in America: the changing composition of families over time and interactions among family members. This time, you will be asked questions about changes in family life that may have occurred between 1987 or 1988 and now. The results of this study will make an important contribution to the understanding of American family life. As is always true in our work, results are a statistical tabulation of everyone's answers, and no names are ever connected with the survey results. Your participation is completely voluntary. I will be pleased to answer any questions you may have. ********************************************************************** RESPONDENT INFORMATION ********************************************************************** MA2 To begin, what is your date of birth? __________ (month) __________ (day) __________ (year) (1-12) (1-31) (0-72,87-99) CKPT:MA*: If the month, day, and year of birth given by R is the same as given during the first interview, GO TO MA* (The name I have listed for you is...) MA* THIS BIRTHDATE, (month)/(day)/(year), DOES NOT MATCH R's BIRTHDATE FROM THE FIRST INTERVIEW. BEFORE PROCEEDING, REVIEW THE INFORMATION BELOW WITH R, THEN DETERMINE IF YOU ARE INTERVIEWING THE CORRECT RESPONDENT FOR THIS CASE. Case ID Number: (id number) Respondent's name: (name) Maiden name: (maiden name) Sex: (male/female) Age at Time 1: (age) Birthdate at Time 1: (month)-(day)-(year) Address at Time 1: (street address) (city), (state) (zip code) 1 Respondent and current birthdate are correct for this case 2 Correct Respondent, but birthdate ((month)/(day)/(year)) is wrong GO BACK TO MA2 3 Incorrect Respondent for this case EXIT INTERVIEW MA* The name I have listed for you is: (R's full name) Is this correct? 1 Name is correct GO TO CKPT:MA5 2 Name is not correct MA* Tell me your first, middle, and last name. (Enter all three names together; verify correct spelling with R) -------------------------------- CKPT:MA5 . . a. If interviewing R1 or New spouse/partner, GO TO MA7 b. If R is not married, GO TO MA6 . . MA5 Are you and (spouse's first name)(partner's first name) still married to each other? (If separated, use code 2) 1 Yes 2 No =====> ALL GO TO MA* (The address I have listed...) MA6 Are you and (spouse's first name)(partner's first name) still living together or married to each other? (If separated, use code 2) 1 Yes 2 No MA* The address I have listed for you is: (street address), (city), (state) (zip code) Is this correct? 1 Address is correct GO TO MB1 2 Address not correct ENTER: MA* NEW STREET ADDRESS: ________________________________ MA* CITY: ________________________________ MA* STATE: ________________________________ MA* ZIP CODE: _____ ********************************************************************** OTHER MEMBERS OF HOUSEHOLD ********************************************************************** MB1 How many additional persons live in this household with you, not including yourself? Include everyone who stays here half the time or more. Also include members of this household who are temporarily in a hospital or other institution. Do NOT include sons or daughters who are away attending college or in the armed forces, or who are temporarily home on vacation. ____________ (persons) (RANGE:0-20) 00 None 91 R does not live in a household, R lives in group quarters (e.g., prison, dormitory, nursing home, hospital, large rooming house) PROBE: I have recorded that you are the only person living here. Is there anyone that I have missed, such as someone temporarily in a hospital or other institution? MB2 What is your current marital status? Are you: 1 married, 2 separated because of marital problems, 3 divorced, 4 widowed, or 5 never married? MB3 Tell me the first name(s) of the other member(s) of this household. (ENTER NAMES IN TABLE 1) PROBE for additional names: Is there anyone else who stays here half the time or more? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// I have recorded (NAMES IN TABLE) as members of this household. Is there anyone that I have missed, such as someone temporarily in a hospital or other institution? Repeat questions MB4 - MB18 for each household member. MB4 (Ask if necessary:) Is (name) male or female? 1 Male 2 Female MB5 How old was (name) on (his/her) last birthday? __________ (years) (RANGE:0-96) CKPT:MB6 - If person in household is age 16 or younger, GO TO MB8 MB6 What is (his/her) marital status? Is (he/she): 1 married, 2 separated because of marital problems, 3 divorced, 4 widowed, or 5 never married? MB8 How is (he/she) related to you? (CARD 1) 01 Husband or Wife 02 Lover/partner 03 Biological child 04 Step-child 05 Adopted child 06 Foster child 07 Child of Lover/partner 08 Son- or Daughter-in-law 09 Mother or Father 10 Step-Parent 11 Mother- or Father-in-law or partner's parent 12 Grandparent 13 Brother or Sister 14 Step-brother or Step-sister 15 Half-brother or Half-sister 16 Brother- or Sister-in-law 17 Grandchild 18 Other Relative 19 Roommate 20 Friend 21 Other Non-relative CKPT:MB9 - If the person is married and is the biological, adopted, foster or stepchild of R, or R's partner's child, GO TO MB9; otherwise, GO TO CKPT:MB10 MB9 Is (name) in (his/her) first marriage, or has (he/she) been married before? 1 First marriage 2 Married before CKPT:MB10 - If person is not R's biological child or R not married or cohabiting, GO TO CKPT:MB11 MB10 Is (name) a biological child of your present (spouse/partner)? 1 Yes 2 No CKPT:MB11 . . a. If person is less than 18, GO TO CKPT:MB16 b. If person is not a child, step-child, adopted child, foster child, or child of partner, GO TO CKPT:MB16 . . MB11 How much education has (he/she) completed? __________ grade/level (RANGE:0-18;or specify) MB12 Is (name) currently: 1 working full-time, 2 working part-time, or 3 not working for pay? CKPT:MB13 - If person is older than 26, GO TO CKPT:MB15 MB13 Has (name) been enrolled in a high school, college, university, or vocational school at any time in the last four months? (This includes two- and four-year colleges, graduate and professional schools, and vocational and technical schools.) 1 Yes 2 No GO TO CKPT:MB15 MB14 What type of school has (he/she) attended? Is it a: 1 high school, 2 vocational school, 3 two-year college, 4 four-year college, or something else? (specify) CKPT:MB15 - If enrolled in high school, vocational school or college in the last four months, GO TO CKPT:MB16 MB15 How about (his/her) economic situation? Would you describe (him/her) as: 1 very well off, 2 well off, 3 about average, 4 poor, or 5 very poor? CKPT:MB16 . . a. If person is less than 16, GO TO MB18 b. If person is not a child, stepchild, adopted child, foster child, or child of partner, GO TO MB18 . . MB16 How many biological or adopted children, if any, does (he/she) have? __________ children (RANGE:0-15) 00 None GO TO MB18 MB17 How many of (name)'s children, if any, live here with you? __________ children (RANGE:0-15) TABLE 1 ________________________________________________________________________________ HOUSEHOLD ROSTER OTHER THAN R NAME SEX AGE MARITAL COHAB RELATION- STATUS STATUS SHIP TO R ________________________________________________________________________________ 1. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 2. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 3. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 4. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 5. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 6. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 7. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 8. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 9. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 10. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 11. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 12. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 13. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ 14. _____________ 1 2 _____ 1 2 3 4 5 ____ _______ ________________________________________________________________________________ HOUSEHOLD ROSTER OTHER THAN R MARRIED CHILD OF EDUCATION WORK ENROLLED TYPE OF BEFORE CURRENT R2 STATUS STATUS IN SCHOOL SCHOOL ________________________________________________________________________________ 1. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 2. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 3. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 4. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 5. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 6. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 7. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 8. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 9. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 10. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 11. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 12. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 13. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 14. 1 2 ______ ________ 1 2 3 1 2 1 2 3 4 ________________________________________________________________________________ ________________________________________________________________________________ HOUSEHOLD ROSTER OTHER THAN R ECONOMIC NUMBER OF KIDS LIVE STATUS STATUS CHILDREN WITH R ________________________________________________________________________________ 1. 1 2 3 4 5 ______ ________ _____ 2. 1 2 3 4 5 ______ ________ _____ 3. 1 2 3 4 5 ______ ________ _____ 4. 1 2 3 4 5 ______ ________ _____ 5. 1 2 3 4 5 ______ ________ _____ 6. 1 2 3 4 5 ______ ________ _____ 7. 1 2 3 4 5 ______ ________ _____ 8. 1 2 3 4 5 ______ ________ _____ 9. 1 2 3 4 5 ______ ________ _____ 10. 1 2 3 4 5 ______ ________ _____ 11. 1 2 3 4 5 ______ ________ _____ 12. 1 2 3 4 5 ______ ________ _____ 13. 1 2 3 4 5 ______ ________ _____ 14. 1 2 3 4 5 ______ ________ _____ ________________________________________________________________________________ CKPT:MB19 - If R is married and spouse is not in HH, GO TO MB19; otherwise, GO TO CKPT:MB20 MB19 I've recorded that you are married, but your (spouse) is not living here now. Why is that? Choose your answer from the categories on this card. (CARD 2) 01 Work-related separation 03 R or spouse is in a nursing home 05 R or spouse in other medical care facility 07 School-related separation 09 R or spouse in armed forces 11 R or spouse in prison or correctional institution 13 Marital problems or conflict Some other reason (specify) CKPT:MB20 - If no one else age 18 or over in household other than R, GO TO MB23 MB20 In whose name is this home owned or rented? 1 Respondent only GO TO MB23 2 Spouse only (This does not include partner) GO TO MB23 3 Respondent and spouse GO TO MB23 4 Respondent and someone else GO TO MB23 5 Someone else MB21 Enter the person number of first person mentioned as householder: __________ (household member number) (RANGE:1-55) Someone not listed on household roster MB22 Enter the person number of second person mentioned as householder: __________ (household member number) (RANGE:1-55) Someone not listed on household roster 90 No second person mentioned MB23 ADMINISTER SE-1. (Before handing R the self-enumerated booklet, turn to page 1 and cross out these columns: (1, 2, 3) (Computer determined correct columns). This booklet contains some forms that you can fill out on your own at different times during the interview. You won't do all the forms, just those appropriate for you. The first form, on Page 1, asks about who in your household normally spends time doing various household tasks. For each task, write in the number of hours each person spends on that task, weekly. If no time is spent doing the task, write in zero. (Make sure that R fills in an answer in every box of all relevant columns of SE-1) 1 R completed SE-1 by himself/herself 2 SE-1 was read to R Other (specify) *************************************************************************** R'S CHILDREN LIVING ELSEWHERE *************************************************************************** MC1 (In addition to sons and daughters living here, that we have already listed,) do you have any (other) biological or adopted sons or daughters of any age who live somewhere else? This includes sons or daughters who are away attending college or in the armed forces. 1 Yes 2 No GO TO MC22 MC2 What are their first names? (ENTER NAMES IN TABLE 2) PROBE for additional names: Are there any others? //////////////////////////////////////////////// / LIST OF NAMES OF CHILDREN LIVING ELSEWHERE / / DISPLAYED FOR INTERVIEWER REFERENCE / //////////////////////////////////////////////// I have recorded (NAMES LISTED ABOVE) as your child(ren) who live(s) elsewhere. Do you have any other biological or adopted sons or daughters who live elsewhere that I have missed? Is there any other son or daughter who lives somewhere else? Remember, this includes your biological or adopted sons or daughters of any age who live somewhere else.) (NSFH1 names and household member numbers provided so that NSFH2 household member number matches NSFH1 household member number for each child.) Repeat questions MC3 - MC21 for each child living elsewhere. MC3 (Ask if necessary:) Is (child) a son or a daughter? 1 Son 2 Daughter CKPT:MC4 - If R is neither married nor cohabiting, GO TO MC5 MC4 Is (child) a biological child of your present (spouse/partner)? 1 Yes 2 No MC5 How old was (child) on (his/her) last birthday? (If less than one year old, enter 0) __________ years (RANGE:0-96) CKPT:MC6 - If child is age 16 or younger, GO TO MC9 MC6 What is (his/her) marital status? Is (he/she): 1 married, GO TO MC8 2 separated because of marital problems, 3 divorced, 4 widowed, or 5 never married? MC7 Nowadays many unmarried couples live together. Is (child) currently living with a partner? 1 Yes 2 No =====> ALL GO TO MC9 MC8 Is this (his/her) first marriage, or has (he/she) been married before? 1 First marriage 2 Married before MC9 Approximately how many miles from here does (he/she) live? __________ miles (RANGE:0-9000) Don't know distance - RECORD THE CITY AND STATE WHERE HE/SHE LIVES (specify) MC10 During the last 12 months, how often did you see (child)? Choose your answer from the categories on this card. (CARD 3) (If R lived apart from this child for less than 12 months, ask only about the time period they lived apart) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) MC11 During the last 12 months, about how often did you talk on the telephone or receive a letter from (child)? (CARD 3) (If R lived apart from this child for less than 12 months, ask only about the time period they lived apart) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) CKPT:MC12 - If child's age less than 16, GO TO CKPT:MC20 MC12 How many biological or adopted children, if any, does (he/she) have? __________ children (RANGE:0-15) 00 None GO TO CKPT:MC14 MC13 How many of these children live with (child)? __________ children (RANGE:0-15) CKPT:MC14 - If child isn't married, GO TO CKPT:MC15 MC14 Does (child) have any stepchildren who live with (him/her)? 1 Yes 2 No CKPT:MC15 - If child is under 18, GO TO CKPT:MC20 MC15 How much education has (he/she) completed? __________ (grade/level) (RANGE:0-18;or specify) MC16 Is (child) currently: 1 working full-time, 2 working part-time, or 3 not working for pay? CKPT:MC17 - If child is age 26 or older, GO TO CKPT:MC19 MC17 Has (child) been enrolled in a high school, college, university, or vocational school at any time in the last four months? (This includes two- and four-year colleges, graduate and professional schools, and vocational and technical schools) 1 Yes 2 No GO TO CKPT:MC19 MC18 What type of school has (he/she) attended? Is it a: 1 high school, 2 vocational school, 3 two-year college, 4 four-year college, or something else? (specify) CKPT:MC19 - If child is enrolled in school, GO TO CKPT:MC20 MC19 How about (his/her) economic situation? Would you describe (him/her) as: 1 very well off, 2 well off, 3 about average, 4 poor, or 5 very poor? CKPT:MC20 - If child is older than 18, GO TO MC21 MC20 Where is (child) now living? Choose your answer from the categories on this card. (CARD 4) 01 With other parent 02 With a grandparent 03 With other relatives 04 In a foster home 05 Away at college 07 In an institution or group home, including hospitals and correctional institutions 08 With partner or lover (boyfriend/girlfriend) 09 With friend 10 In own household, alone or with roommates Other reason (specify) MC21 Status ????? TABLE 2 ________________________________________________________________________________ R'S CHILDREN LIVING ELSEWHERE NAME SEX CHILD OF AGE MARITAL COHAB FIRST CURRENT STATUS STATUS MARRIAGE SPOUSE ________________________________________________________________________________ 1. _____________ 1 2 1 2 _____ 1 2 3 4 5 1 2 1 2 2. _____________ 1 2 1 2 _____ 1 2 3 4 5 1 2 1 2 3. _____________ 1 2 1 2 _____ 1 2 3 4 5 1 2 1 2 4. _____________ 1 2 1 2 _____ 1 2 3 4 5 1 2 1 2 5. _____________ 1 2 1 2 _____ 1 2 3 4 5 1 2 1 2 6. _____________ 1 2 1 2 _____ 1 2 3 4 5 1 2 1 2 7. _____________ 1 2 1 2 _____ 1 2 3 4 5 1 2 1 2 8. _____________ 1 2 1 2 _____ 1 2 3 4 5 1 2 1 2 9. _____________ 1 2 1 2 _____ 1 2 3 4 5 1 2 1 2 10. _____________ 1 2 1 2 _____ 1 2 3 4 5 1 2 1 2 ________________________________________________________________________________ R'S CHILDREN LIVING ELSEWHERE DISTANCE SEE PHONE/ NUM OF NUM KIDS STEP- YRS OF CHILD LETTER KIDS LIVE WITH KIDS EDUCATION ________________________________________________________________________________ 1. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 2. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 3. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 4. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 5. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 6. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 7. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 8. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 9. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 10. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ ________________________________________________________________________________ R'S CHILDREN LIVING ELSEWHERE JOB ENROLLED SCHOOL ECONOMIC WHERE CHILD STATUS STATUS IN SCHOOL TYPE STATUS IS LIVING ________________________________________________________________________________ 1. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 2. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 3. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 4. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 5. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 6. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 7. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 8. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 9. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 10. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ ________________________________________________________________________________ ********************************************************************** SPOUSE/PARTNER'S CHILDREN LIVING ELSEWHERE ********************************************************************** MC22 What about your (spouse/partner)? Does (he/she) have any other sons or daughters of any age who live somewhere else (other than the sons and daughters we have already listed)? This includes sons or daughters who are away attending college or in the armed forces. 1 Yes 2 No GO TO MC42 MC23 What are their first names? (ENTER NAMES IN TABLE 3) PROBE for additional names: Are there any others? /////////////////////////////////////////////////////// / LIST OF NAMES OF SPOUSE/PARTNER'S CHILDREN LIVING / / ELSEWHERE DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////////// I have recorded (NAMES LISTED ABOVE) as your (spouse/partner)'s child(ren) who live(s) elsewhere. Are there any other sons or daughters of your (spouse/partner) who live elsewhere? Does your (spouse/partner) have any other sons or daughters who live somewhere else?) (NSFH1 names and household member numbers provided so that NSFH2 household member number matches NSFH1 household member number for each child.) Repeat questions MC24 - MC41 for each child living elsewhere. MC24 Is (child) a son or a daughter? 1 Son 2 Daughter MC25 How old was (child) on (his/her) last birthday? (If less than one year old, enter 0) __________ years (RANGE:0-96) CKPT:MC26 - If child age 16 or younger, GO TO MC29 MC26 What is (his/her) marital status? Is (he/she): 1 married, GO TO MC28 2 separated because of marital problems, 3 divorced, 4 widowed, or 5 never married? MC27 Nowadays many unmarried couples live together. Is (child) currently living with a partner? 1 Yes 2 No =====> ALL GO TO MC29 MC28 Is this (his/her) first marriage, or has (he/she) been married before? 1 First marriage 2 Married before MC29 Approximately how many miles from here does (he/she) live? __________ (miles) (RANGE: 0-9000) Don't know distance - RECORD THE CITY AND STATE WHERE HE/SHE LIVES (specify) 9992 R knows nothing about this child GO TO MC42 MC30 During the last 12 months, how often did you see (child)? Choose your answer from the categories on this card. (CARD 3) (If R lived apart from this child for less than 12 months, ask only about the time period they lived apart) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) MC31 During the last 12 months, about how often did you talk on the telephone or receive a letter from (child)? (CARD 3) (If R lived apart from this child for less than 12 months, ask only about the time period they lived apart) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) CKPT:MC32 - If child's age less than 17, GO TO CKPT:MC35 MC32 How many biological or adopted children, if any, does (he/she) have? __________ children (RANGE:0-15) 00 None GO TO CKPT:MC34 92 R knows nothing about this child GO TO MC42 97 Refused GO TO CKPT:MC34 98 Don't know GO TO CKPT:MC34 MC33 How many of these children live with (child)? __________ children (RANGE:0-15) CKPT:MC34 - If child isn't married, GO TO CKPT:MC35 MC34 Does (child) have any stepchildren who live with (him/her)? 1 Yes 2 No CKPT:MC35 - If child is under 18, GO TO CKPT:MC40 MC35 How much education has (he/she) completed? __________ (grade/level) (RANGE:0-18;or specify) MC36 Is (child) currently: 1 working full-time, 2 working part-time, or 3 not working for pay? CKPT:MC37 - If child is age 26 or older, GO TO CKPT:MC39 MC37 Has (child) been enrolled in a high school, college, university, or vocational school at any time in the last four months? (This includes two- and four-year colleges, graduate and professional schools, and vocational and technical schools) 1 Yes 2 No GO TO CKPT:MC39 MC38 What type of school has (he/she) attended? Is it a: 1 high school, 2 vocational school, 3 two-year college, 4 four-year college, or something else? (specify) CKPT:MC39 - If child is enrolled in school, GO TO CKPT:MC40 MC39 How about (his/her) economic situation? Would you describe (him/her) as: 1 very well off, 2 well off, 3 about average, 4 poor, or 5 very poor? CKPT:MC40 - If child is older than 18, GO TO MC41 MC40 Where is (child) now living? Choose your answer from the categories on this card. (CARD 4) 01 With other parent 02 With a grandparent 03 With other relatives 04 In a foster home 05 Away at college 07 In an institution or group home, including hospitals and correctional institutions 08 With partner or lover (boyfriend/girlfriend) 09 With friend 10 In own household, alone or with roommates Other reason (specify) MC41 Status ????? TABLE 3 ________________________________________________________________________________ SPOUSE/PARTNER'S CHILDREN LIVING ELSEWHERE NAME SEX AGE MARITAL COHAB FIRST STATUS STATUS MARRIAGE ________________________________________________________________________________ 1. _____________ 1 5 _____ 1 2 3 4 5 1 2 1 2 2. _____________ 1 5 _____ 1 2 3 4 5 1 2 1 2 3. _____________ 1 5 _____ 1 2 3 4 5 1 2 1 2 4. _____________ 1 5 _____ 1 2 3 4 5 1 2 1 2 5. _____________ 1 5 _____ 1 2 3 4 5 1 2 1 2 6. _____________ 1 5 _____ 1 2 3 4 5 1 2 1 2 7. _____________ 1 5 _____ 1 2 3 4 5 1 2 1 2 8. _____________ 1 5 _____ 1 2 3 4 5 1 2 1 2 9. _____________ 1 5 _____ 1 2 3 4 5 1 2 1 2 10. _____________ 1 5 _____ 1 2 3 4 5 1 2 1 2 ________________________________________________________________________________ ________________________________________________________________________________ SPOUSE/PARTNER'S CHILDREN LIVING ELSEWHERE DISTANCE SEE PHONE/ NUM OF NUM KIDS STEP- YRS OF CHILD LETTER KIDS LIVE WITH KIDS EDUCATION ________________________________________________________________________________ 1. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 2. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 3. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 4. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 5. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 6. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 7. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 8. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 9. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ 10. ________ 1 2 3 4 5 6 1 2 3 4 5 6 ____ ____ 1 2 ____ ________________________________________________________________________________ SPOUSE/PARTNER'S CHILDREN LIVING ELSEWHERE JOB ENROLLED SCHOOL ECONOMIC WHERE CHILD STATUS STATUS IN SCHOOL TYPE STATUS IS LIVING ________________________________________________________________________________ 1. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 2. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 3. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 4. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 5. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 6. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 7. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 8. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 9. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ 10. 1 2 3 1 2 1 2 3 4 1 2 3 4 5 ____ ______ ________________________________________________________________________________ ********************************************************************** CHILDREN ON NSFH1 ROSTER NOT PRESENT AT NSFH2 ********************************************************************** Repeat questions MC42 - MC45 for each child on NSFH1 roster but not currently on NSFH2 roster. MC42 Household member number of lost child (Household member number automatically entered into TABLE 4) MC43 When we last talked to you in (NSFH1 date), a (son/daughter) named (child) (was living with you). Can you tell me where (child) is now? (He/she was about (age) years old in (NSFH1 date)). 1 Child died GO TO MC44M 2 Child lives here (R forgot to mention him/her) 3 Child lives elsewhere (R forgot to mention him/her) 4 Child's whereabouts unknown GO TO MC45M 6 Child already listed under different name or person number (specify) Other (specify) =====> All go to CKPT:MD1 MC44M In what month and year did (child) die? Month ________________ 1 9 ___ ___ (1-12) (87-93) =====> All go to CKPT:MD1 MC45M In what month and year did you last have any contact with (child), either in person, or by telephone or mail? Month ________________ 1 9 ___ ___ (1-12) (87-93) TABLE 4 ________________________________________________________________________________ LOST CHILDREN PERSON CHILD'S DEATH LAST HEARD FROM NUMBER STATUS MONTH YEAR MONTH YEAR -------------------------------------------------------------------------------- 1. ______ 1 3 5 7 ________ 19__ ________ 19__ 2. ______ 1 3 5 7 ________ 19__ ________ 19__ 3. ______ 1 3 5 7 ________ 19__ ________ 19__ 4. ______ 1 3 5 7 ________ 19__ ________ 19__ 5. ______ 1 3 5 7 ________ 19__ ________ 19__ 6. ______ 1 3 5 7 ________ 19__ ________ 19__ 7. ______ 1 3 5 7 ________ 19__ ________ 19__ 8. ______ 1 3 5 7 ________ 19__ ________ 19__ 9. ______ 1 3 5 7 ________ 19__ ________ 19__ 10. ______ 1 3 5 7 ________ 19__ ________ 19__ -------------------------------------------------------------------------------- ********************************************************************** CHILDREN ON NSFH1 & NSFH2 ROSTERS ********************************************************************** CKPT:MD1 - If no children on both NSFH1 and NSFH2 rosters, GO TO CKPT:MD7M MD1 Child's person number. /////////////////////////////////////////////////////// / LIST OF NAMES OF CHILDREN ON BOTH NSFH1 AND NSFH2 / / ROSTERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////////// Repeat questions MD2 - MD7 for each child on both NSFH1 and NSFH2 rosters. MD2 Since (NSFH1 date), did (child) live apart from you for three months or longer? (ENTER IN TABLE 5) 1 Yes 2 No GO TO NEXT CHILD MD3M In what month and year after (NSFH1 date) did you and (child) first begin living apart for three months or longer? Month ________________ 1 9 ___ ___ (1-12) (87-93) 9995 All information is same as for previous child GO TO NEXT CHILD CKPT:MD4 . . a. If R refuses or doesn't know age of child, GO TO MD5 b. If child is age 17 or younger, GO TO MD4 c. If child is age 23 or older, GO TO MD5 d. If R refuses or doesn't know year when child first began living apart from R, GO TO MD4; otherwise, GO TO MD5 . . MD4 At that time did (child) live with: 01 (his/her) other parent, 02 with grandparents, or 03 somewhere else? (specify) MD5 Since (NSFH1 date), how many times have you and (child) lived apart for a period of three months or longer? ___________ times (RANGE:1-10) MD6M In what month and year did you and (child) last begin living together? Month ________________ 1 9 ___ ___ (1-12) (87-93) MD7 How did it happen that you and (child) began living together at that time? (specify) ________ ********************************************************************** CHILDREN ON NSFH2 ROSTER, NOT ON NSFH1 ********************************************************************** CKPT:MD8M - If any children on NSFH2 roster but not on NSFH1 roster, GO TO MD9M; otherwise, GO TO CKPT:MD16 MD8 Child's person number. ////////////////////////////////////////////////////////// / LIST OF NAMES OF CHILDREN ON NSFH2 ROSTER BUT NOT ON / / NSFH1 ROSTER DISPLAYED FOR INTERVIEWEER REFERENCE / ////////////////////////////////////////////////////////// Repeat questions MD9M - MD14 for each child listed above. MD9M In what month and year after (NSFH1 date) did you and (child) first begin living together for three months or longer? Month ________________ 1 9 ___ ___ (1-12) (87-93) Other: e.g. R says child lived with (him/her) since 19(87/88); never lived together for 3 months, etc. (specify) GO TO NEXT CHILD 9995 All information is same as for previous child GO TO NEXT CHILD CKPT:MD10 - If child is R's biological or adopted child, GO TO MD10; otherwise, GO TO MD11 MD10 How did it happen that you and (child) began living together at that time? (specify) ________ MD11 Since that time, did (child) ever live apart from you for three months or longer? 1 Yes 2 No GO TO NEXT CHILD MD12 Since (month) 19(87-93), how many times have you and (child) lived apart for a period of three months or longer? __________ times (RANGE:1-10) MD13M In what month and year did you and (child) last begin living together? Month ________________ 1 9 ___ ___ (1-12) (87-93) MD14 How did it happen that you and (child) began living together at that time? (specify) ________ TABLE 5 -------------------------------------------------------------------------------- CHILDREN ON ROSTER LIVE MONTH YEAR WHERE # OF MONTH YEAR REASON APART LIVED TIMES -------------------------------------------------------------------------------- 1. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 2. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 3. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 4. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 5. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 6. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 7. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 8. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 9. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 10. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 11. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 12. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 13. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ 14. 1 2 ______ 19 __ 1 2 3 ____ ______ 19 __ ______ -------------------------------------------------------------------------------- ________________________________________________________________________________ CHILDREN ON ROSTER MONTH YEAR REASON LIVE NUMBER MONTH YEAR REASON APART OF TIMES ________________________________________________________________________________ 1. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 2. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 3. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 4. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 5. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 6. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 7. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 8. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 9. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 10. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 11. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 12. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 13. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ 14. ______ 19 __ ______ 1 2 _______ ______ 19 __ ______ -------------------------------------------------------------------------------- ********************************************************************** CHILDREN ON NSFH1 ROSTER, NOW LIVING ELSEWHERE ********************************************************************** CKPT:MD15 - If there are any children on NSFH1 roster presently living elsewhere, GO TO MD16M; otherwise, GO TO CKPT:MD23 ////////////////////////////////////////////////////////// / LIST OF NAMES OF CHILDREN ON NSFH1 ROSTER, PRESENTLY / / LIVING ELSEWHERE DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////// Repeat MD16M - MD21 for each child listed above. MD16M In what month and year after (NSFH1 date) did you and (child) first begin living apart for three months or longer? (ENTER IN TABLE 6) Month ________________ 1 9 ___ ___ (1-12) (87-93) Other: e.g. R says child never lived with (him/her) since 19(87/88); never lived apart for 3 months, etc. (specify) GO TO NEXT CHILD R gave date prior to 1987 (specify) 9995 All information is same as for previous child GO TO NEXT CHILD CKPT:MD17 . . a. If R refuses or doesn't know age of child, GO TO MD18 b. If child is age 17 or younger, GO TO MD17 c. If child is age 23 or older, GO TO MD18 d. If R refuses or doesn't know year when child began living apart from R, GO TO MD17; otherwise, GO TO MD18 . . MD17 At that time did (child) live with: 01 (his/her) other parent, 02 with grandparents, or 03 somewhere else? (specify) MD18 Since that time, has (child) lived with you for a period lasting three months or longer? 1 Yes 2 No GO TO NEXT CHILD MD19 Since (month) 19(87-93), how many times have you and (child) lived together for a period of three months or longer? __________ times (RANGE:1-10) MD20M In what month and year did you and (child) last begin living apart? Month ________________ 1 9 ___ ___ (1-12) (87-93) CKPT:MD21 . . a. If R refuses or doesn't know age of child, GO TO NEXT CHILD b. If child is age 17 or younger, GO TO MD21 c. If child is age 23 or older, GO TO NEXT CHILD d. If R refuses or doesn't know year when R and child last began living apart, GO TO MD21; otherwise, GO TO NEXT CHILD . . MD21 At that time did (child) live with: 01 (his/her) other parent, 02 with grandparents, or 03 somewhere else? (specify) ********************************************************************** CHILDREN LIVING ELSEWHERE AT NSFH1 AND NSFH2 ********************************************************************** CKPT:MD22 - If there are any children living elsewhere at both NSFH1 and NSFH2, GO TO MD23; otherwise, GO TO CKPT:MD30M MD22 Child's person number. ///////////////////////////////////////////////////////// / LIST OF NAMES OF CHILDREN LIVING ELSEWHERE AT BOTH / / NSFH1 AND NSFH2 DISPLAYED FOR INTERVIEWER REFERENCE / ///////////////////////////////////////////////////////// Repeat questions MD23 - MD28 for each child listed above. MD23 Since (NSFH1 date), has (child) lived with you for three months or longer? 1 Yes 2 No GO TO NEXT CHILD MD24M In what month and year since (NSFH1 date) did you and (child) first begin living together for three months or longer? Month ________________ 1 9 ___ ___ (1-12) (87-93) Other: e.g. began living with R prior to (month) 19(87/88) (specify) GO TO NEXT CHILD R gave date prior to 1987 (specify) 9995 All information is same as for previous child GO TO NEXT CHILD MD25 How did it happen that you and (child) began living together at that time? (specify) ________ MD26 Since (NSFH1 date), how many times have you and (child) lived together for a period of three months or longer? __________ times (RANGE:1-10) MD27M In what month and year did you and (child) last begin living apart? Month ________________ 1 9 ___ ___ (1-12) (87-93) CKPT:MD28 . . a. If R refuses or doesn't know age of child, GO TO NEXT CHILD b. If child is age 17 or younger, GO TO MD28 c. If child is age 23 or older, GO TO NEXT CHILD d. If R refuses or doesn't know year when R and child last began living apart, GO TO MD28; otherwise GO TO NEXT CHILD . . MD28 At that time did (child) live with: 01 (his/her) other parent, 02 with grandparents, or 03 somewhere else? (specify) TABLE 6 ________________________________________________________________________________ CHILDREN ON ROSTER AT FIRST INTERVIEW MONTH YEAR WHERE LIVED # OF MONTH YEAR WHERE LIVED APART TIMES LIVED ________________________________________________________________________________ 1. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 2. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 3. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 4. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 5. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 6. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 7. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 8. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 9. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 10. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 ________________________________________________________________________________ CHILDREN ON ROSTER AT FIRST INTERVIEW LIVED MONTH YEAR REASON NUMBER MONTH YEAR WHERE APART OF TIMES LIVED ________________________________________________________________________________ 1. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 2. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 3. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 4. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 5. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 6. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 7. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 8. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 9. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 10. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 -------------------------------------------------------------------------------- ********************************************************************** SPOUSE/PARTNER'S CHILDREN IN HOUSEHOLD AT NSFH1 ********************************************************************** CKPT:MD29M - If there are any spouse/partner's children on NSFH1 roster, but presently living elsewhere, GO TO MD30M; otherwise, GO TO CKPT:MD36 //////////////////////////////////////////////////////////////////// / LIST OF NAMES OF SPOUSE/PARTNER'S CHILDREN ON NSFH1 ROSTER / / PRESENTLY LIVENG ELSEWHERE DISPLAYED FOR INTERVIEWER REFERENCE / //////////////////////////////////////////////////////////////////// Repeat questions MD30M - MD35 for each child listed above. MD30M In what month and year after (NSFH1 date) did you and (child) first begin living apart for three months or longer? (ENTER IN TABLE 7) Month ________________ 1 9 ___ ___ (1-12) (87-93) Other: e.g. never lived apart for 3 months or longer (specify) GO TO NEXT CHILD R gave date prior to 1987 (specify) GO TO NEXT CHILD 9995 All information is same as for previous child GO TO NEXT CHILD CKPT:MD31 . . a. If R refuses or doesn't know child's age, GO TO MD32 b. If child is age 17 or younger, GO TO MD31 c. If child is age 23 or greater, GO TO MD32 d. If R refuses or doesn't know year when R and child began living apart, GO TO MD31; otherwise, GO TO MD32 . . MD31 At that time did (child) live with: 01 (his/her) other parent, 02 with grandparents, or 03 somewhere else? (specify) MD32 Since that time, has (child) lived with you for a period lasting three months or longer? 1 Yes 2 No GO TO NEXT CHILD MD33 Since (month) 19(87-93), how many times have you and (child) lived together for a period of three months or longer? __________ times (RANGE:1-10) MD34M In what month and year did you and (child) last begin living apart? Month ________________ 1 9 ___ ___ (1-12) (87-93) CKPT:MD35 . . a. If R refuses or doesn't know child's age, GO TO NEXT CHILD b. If child is age 17 or younger, GO TO MD35 c. If child is age 23 or older, GO TO NEXT CHILD d. If R refuses or doesn't know year when R and child last began living apart, GO TO MD35; otherwise, GO TO NEXT CHILD . . MD35 At that time did (child) live with: 01 (his/her) other parent, 02 with grandparents, or 03 somewhere else? (specify) ********************************************************************** SPOUSE/PARTNER'S CHILDREN LIVING ELSEWHERE AT NSFH1 AND NSFH2 ********************************************************************** CKPT:MD36 - If any of spouse/partner's children living elsewhere at NSFH1 and NSFH2, GO TO MD37; otherwise, GO TO CKPT:ME1 /////////////////////////////////////////////////////////// / LIST OF SPOUSE/PARTNER'S CHILDREN LIVING ELSEWHERE AT / / NSFH1 AND NSFH2 DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////////////// Repeat questions MD37 - MD42 for each child listed above. MD37 Since (NSFH1 date), has (child) lived with you for three months or longer? 1 Yes 2 No GO TO NEXT CHILD MD38M In what month and year since (NSFH1 date) did you and (child) first begin living together for three months or longer? Month ________________ 1 9 ___ ___ (1-12) (87-93) Other: e.g. began living with R prior to (month) 19(87/88) (specify) GO TO NEXT CHILD R gave date prior to 1987 (specify) GO TO NEXT CHILD 9995 All information is same as for previous child GO TO NEXT CHILD MD39 How did it happen that you and (child) began living together at that time? (specify) ________ MD40 Since (NSFH1 date), how many times have you and (child) lived together for a period of three months or longer? __________ times (RANGE:1-10) MD41M In what month and year did you and (child) last begin living apart? Month ________________ 1 9 ___ ___ (1-12) (87-93) CKPT:MD42 . . a. If R refuses or doesn't know age of child, GO TO NEXT CHILD b. If child is age 17 or younger, GO TO MD42 c. If child is age 23 or older, GO TO NEXT CHILD d. If R refuses or doesn't know year when R and child last began living apart, GO TO MD42; otherwise, GO TO NEXT CHILD . . MD42 At that time did (child) live with: 01 (his/her) other parent, 02 with grandparents, or 03 somewhere else? (specify) TABLE 7 -------------------------------------------------------------------------------- SPOUSE'S CHILDREN ON ROSTER AT FIRST INTERVIEW MONTH YEAR WHERE LIVED # OF MONTH YEAR WHERE LIVED APART TIMES LIVED -------------------------------------------------------------------------------- 1. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 2. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 3. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 4. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 5. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 6. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 7. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 8. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 9. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 10. ______ 19 __ 1 2 3 1 2 ____ ______ 19 __ 1 2 3 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- SPOUSE'S CHILDREN ON ROSTER AT FIRST INTERVIEW LIVED MONTH YEAR REASON NUMBER MONTH YEAR WHERE APART OF TIMES LIVED -------------------------------------------------------------------------------- 1. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 2. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 3. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 4. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 5. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 6. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 7. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 8. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 9. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 10. 1 2 ______ 19 __ ______ _______ ______ 19 __ 1 2 3 -------------------------------------------------------------------------------- ********************************************************************** PHYSICAL AND MENTAL CONDITIONS FOR HOUSEHOLD MEMBERS ********************************************************************** ME1 Next are some questions about your health. This card lists a number of common long-term medical problems. Do you have any of these conditions? (CARD 5) 1 Yes 2 No ME2 Do you have any other long-term PHYSICAL OR MENTAL CONDITION OR DISABILITY which limits what you are able to do, or which is likely to limit your activities in the future? 1 Yes 2 No CKPT:ME3 - If response to both ME1 and ME2 is "no", GO TO CKPT:ME5 ME3 What is the most serious condition that you have? _________________________ Condition given (specify) 990 No specific condition given GO TO CKPT:ME5 ME4 What is the next most serious condition? __________________________ Condition given (specify) 990 No second condition given GO TO CKPT:ME5 CKPT:ME5 - If R is neither married nor cohabiting, GO TO CKPT:ME8 ME5 Does your (spouse/partner) have any of the conditions on this card or any other long-term PHYSICAL OR MENTAL CONDITION OR DISABILITY which limits what (he/she) is able to do, or which is likely to limit (his/her) activities in the future? (CARD 5) 1 Yes 2 No GO TO CKPT:ME8 ME6 What is the most serious condition that (he/she) has? __________________________ Condition given (specify) 990 No specific condition given GO TO CKPT:ME8 ME7 What is the next most serious condition? _________________________ Condition given (specify) 990 No second condition given CKPT:ME8 - If no one else in household other than R and spouse/partner, GO TO CKPT:ME16 ME8 Do any other members of your household have any of the conditions on this card, or any other long-term PHYSICAL OR MENTAL CONDITION OR DISABILITY, which limits what they are able to do, or which is likely to limit their activities in the future? (CARD 5) 1 Yes 2 No GO TO CKPT:ME16 ME9 Who has such a condition? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// ____________ (household member number) (RANGE:1-55) 97 Refused GO TO CKPT:ME16 98 Don't know GO TO CKPT:ME16 ME10 What is the most serious condition that (he/she) has? _________________________ Condition given (specify) 990 No specific condition given GO TO CKPT:ME12 ME11 What is the next most serious condition? _________________________ Condition given (specify) 990 No second condition given CKPT:ME12 - If there is only 1 other person in the household other than R and R's spouse, GO TO CKPT:ME16 ME12 Does anyone else in your household have any of the conditions on this card, or any other long-term PHYSICAL OR MENTAL CONDITION OR DISABILITY, which limits what they are able to do, or which is likely to limit their activities in the future? (CARD 5) 1 Yes 2 No GO TO CKPT:ME16 ME13 Who has such a condition? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55) 97 Refused GO TO CKPT:ME16 98 Don't know GO TO CKPT:ME16 ME14 What is the most serious condition that (he/she) has? __________________________ Condition given (specify) 990 No specific condition given GO TO CKPT:ME16 ME15 What is the next most serious condition? _________________________ Condition given (specify) 990 No second condition given CKPT:ME16 - If no one in household is age 55 or greater, GO TO ME31 ME16 Because of a health or physical problem, do you (or anyone living here) need assistance with bathing or showering? 1 Yes 2 No GO TO ME19 CKPT:ME17 - If only one person age 16 or older in household, GO TO ME19 ME17 Who needs such assistance? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55) 97 Refused GO TO ME19 98 Don't know GO TO ME19 ME18 Who else? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55) 90 No one else ME19 (Because of a health or physical problem, do you (or anyone living here) need assistance with:) dressing? 1 Yes 2 No GO TO ME22 CKPT:ME20 - If there is only one person age 16 or over in the household, GO TO ME22 ME20 Who needs such assistance? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55) 97 Refused GO TO ME22 98 Don't know GO TO ME22 ME21 Who else? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55) 90 No one else ME22 (Because of a health or physical problem, do you (or anyone living here) need assistance with:) eating? 1 Yes 2 No GO TO ME25 CKPT:ME23 - If only one person age 16 or over in household, GO TO ME25 ME23 Who needs such assistance? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55) 97 Refused GO TO ME25 98 Don't know GO TO ME25 ME24 Who else? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55) 90 No one else ME25 (Because of a health or physical problem, do you (or anyone living here) need assistance with:) getting in or out of bed or a chair? 1 Yes 2 No GO TO ME28 CKPT:ME26 - If there is only one person age 16 or over in the household, GO TO ME28 ME26 Who needs such assistance? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55) 97 Refused GO TO ME28 98 Don't know GO TO ME28 ME27 Who else? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55) 90 No one else ME28 (Because of a health or physical problem, do you (or anyone living here) need assistance with:) using the toilet? 1 Yes 2 No GO TO ME31 CKPT:ME29 - If there is only one person age 16 or over in the household, GO TO ME31 ME29 Who needs such assistance? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55) 97 Refused GO TO ME31 98 Don't know GO TO ME31 ME30 Who else? /////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD / / MEMBERS DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55) 90 No one else ********************************************************************** CARE GIVEN TO SOMEONE NOT IN HOUSEHOLD ********************************************************************** ME31 Sometimes because of a physical or mental condition, illness, or disability, people require the assistance of friends or relatives. During the last 12 months have you, yourself, GIVEN ANYONE NOT LIVING WITH YOU AT THE TIME any help or assistance because of their health problem or disability? (This includes only help that the respondent him/herself gave; not help that other family members may have given; financial assistance or paid help in not included here) 1 Yes 2 No GO TO ME40 ME32 Who did you provide with the most help? Choose your answer from this card. (CARD 6) 02 Son 03 Daughter 04 Son-in-law GO TO ME34 05 Daughter-in-law GO TO ME34 06 Father GO TO ME36 07 Mother GO TO ME36 08 Father-in-law GO TO ME36 09 Mother-in-law GO TO ME36 10 Brother GO TO ME36 11 Sister GO TO ME36 12 Brother-in-law GO TO ME36 13 Sister-in-law GO TO ME36 14 Grandson GO TO ME36 15 Graddaughter GO TO ME36 16 Male friend GO TO ME36 17 Female friend GO TO ME36 Other (specify) GO TO ME35 97 Refused GO TO ME40 98 Don't know GO TO ME40 ME33 Which (son/daughter) is that? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55;or specify name) =====> ALL GO TO ME36 ME34 Which (son/daughter)'s (wife/husband) is that? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55;or specify name) =====> ALL GO TO ME36 ME35 Is this a male or a female? (If R said help was given to more than one person, sex of person who had most serious illness or disability that resulted in need for help was recorded) 1 Male 2 Female ME36 What condition, illness, or disability caused (him/her) to need help? _________________________ ME37 In about how many different weeks during the last 12 months did you help (him/her)? (Includes only weeks that R and person helped were not living in the same household) __________ number of weeks (RANGE:1-52) ME38 During those weeks, about how many hours per week on the average did you spend providing help? (Includes only weeks that R and person helped were not living in the same household) __________ hours per week (RANGE:0-75) CKPT:ME39 - If number of weeks helped during the past 12 months is greater than 47, GO TO ME40 ME39 Have you given any of this help in the last 30 days? 1 Yes 2 No ********************************************************************** CARE RECEIVED FROM SOMEONE NOT IN HOUSEHOLD ********************************************************************** ME40 Next we are interested in help or assistance that you may have RECEIVED in the last 12 months FROM FAMILY MEMBERS OR FRIENDS NOT LIVING WITH YOU AT THE TIME. Because of a health condition, illness, or disability did you receive help or assistance from anyone WHO WAS NOT LIVING WITH YOU? (Financial assistance is not included here) 1 Yes 2 No GO TO ME48 ME41 Who provided you with the most help? Choose your answer from this card. (CARD 6) 02 Son 03 Daughter 04 Son-in-law GO TO ME43 05 Daughter-in-law GO TO ME43 06 Father GO TO ME45 07 Mother GO TO ME45 08 Father-in-law GO TO ME45 09 Mother-in-law GO TO ME45 10 Brother GO TO ME45 11 Sister GO TO ME45 12 Brother-in-law GO TO ME45 13 Sister-in-law GO TO ME45 14 Grandson GO TO ME45 15 Granddaughter GO TO ME45 16 Male friend GO TO ME45 17 Female friend GO TO ME45 Other (specify) GO TO ME44 97 Refused GO TO ME48 98 Don't know GO TO ME48 ME42 Which (son/daughter) is that? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55;or specify name) =====> ALL GO TO ME45 ME43 Which (son/daughter)'s (wife/husband) is that? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55;or specify name) =====> ALL GO TO ME45 ME44 Is this a male or a female? 1 Male 2 Female 6 More than one person - e.g., a couple or family-helped ME45 In about how many different weeks during the last 12 months did you receive help from (him/her)? (Includes only weeks when R and person helping were not living in the same household) __________ number of weeks (RANGE:1-52) ME46 During those weeks, about how many hours per week on the average did (he/she) help you? (Includes only weeks when R and person helping were not living in the same household) __________ hours per week (RANGE:0-75) CKPT:ME47 - If number of weeks R received help in the past twelve months is greater than 47, GO TO ME48 ME47 Have you received any of this help in the last 30 days? 1 Yes 2 No ********************************************************************** CARE GIVEN TO SOMEONE IN HOUSEHOLD ********************************************************************** ME48 During the last 12 months have you, yourself, GIVEN anyone who was LIVING WITH YOU AT THE TIME any help with personal care because of their long term physical or mental condition, illness, or disability? (This includes only help that the respondent him/herself gave; not help that other family members may have given) 1 Yes 2 No GO TO ME51 7 Refused GO TO CKPT:MF1 8 Don't know GO TO CKPT:MF1 ME49 Who did you give the most personal care of this kind? ___________ (household member number) (RANGE:1-55) Other person no longer living with R (specify) (Enter relationship; if son or daughter, enter relationship and name) ME50 About how many weeks during the last 12 months did you help this person with personal care? __________ weeks (RANGE:1-52) ********************************************************************** RECEIVE CARE FROM SOMEONE IN HOUSEHOLD ********************************************************************** ME51 At any time in the last 12 months, did you RECEIVE help with personal care from anyone WHO WAS LIVING WITH YOU, because of a health condition, illness, or disability? (This includes help from persons who were living with R at the time even if they are not living with R now) 1 Yes 2 No GO TO CKPT:MF1 ME52 Who provided you with the most help with personal care? ___________ (household member number) (RANGE:1-55) Other person no longer living with R (specify) (Enter relationship; if son or daughter, enter relationship and name) ME53 About how many weeks during the last 12 months did you receive help with personal care from this person? __________ number of weeks (RANGE:1-52) ********************************************************************** RELATION WITH PARENT(S) ********************************************************************** CKPT:MF1 - If mother is on HH roster, GO TO CKPT:MF4 MF1 Next I have some questions about your parents. Is your mother still living? 1 Yes 2 No GO TO CKPT:MF3 CKPT:MF3 . . a. If mother is alive, GO TO CKPT:MF4 b. If mother died before NSFH1, GO TO CKPT:MF4 . . MF3 In what year did she die? 1 9 ___ ___ (RANGE:01-93) CKPT:MF4 - If father is on HH roster, GO TO MF7 MF4 Is your father still living? 1 Yes 2 No GO TO CKPT:MF6 CKPT:MF6 . . a. If father is alive, GO TO MF7 b. If father died before NSFH1, GO TO MF7 . . MF6 In what year did he die? 1 9 ___ ___ (RANGE:01-93) MF7 Did you ever live with a step-parent? 1 Yes 2 No GO TO CKPT:MF11 MF8 Was this a step-father or step-mother? (If more than one step-parent, ask about the one that he/she lived with the longest) 1 Step-father 2 Step-mother 7 Refused GO TO CKPT:MF11 8 Don't know GO TO CKPT:MF11 MF9 Is your step-(father/mother) still living? 1 Yes 2 No CKPT:MF10 . . a. If step-mother/father is not alive, GO TO CKPT:MF11 b. If stepmother in MF8, and R's father is NOT alive, GO TO CKPT:MF11 c. If stepfather in MF8, and if R's mother is NOT alive, GO TO CKPT:MF11 . . MF10 Is (he/she) still married to your (mother/father)? 1 Yes 2 No CKPT:MF11 . . a. If R is neither married nor cohabiting, GO TO MF13 b. If R's mother-in-law/partner's mother on HH roster, GO TO CKPT:MF14 . . MF11 Is your (spouse/partner's) mother still living? 1 Yes GO TO MF13 2 No CKPT:MF12 - If R refused or doesn't know if spouse/partner's mother is still living, GO TO CKPT:MF14 MF12 In what year did she die? 1 9 ___ ___ (RANGE:01-93) ======> ALL GO TO CKPT:MF14 MF13 How old is she? (Age in years at last birthday) _________ years old (RANGE:30-99) CKPT:MF14 - If R's father-in-law/partner's father is on HH roster, GO TO CKPT:MF17 MF14 Is your (spouse/partner's) father still living? 1 Yes 2 No CKPT:MF15 - If R refused or doesn't know if spouse/partner's father is still living, GO TO CKPT:MF17 MF15 In what year did he die? 1 9 ___ ___ (RANGE:01-93) ======> ALL GO TO CKPT:MF17 MF16 How old is he? (Age in years at last birthday) _________ years old (RANGE:30-99) CKPT:MF17 . . a. If all of R's parents or parents-in-law died before 1987, GO TO CKPT:MF121 b. If all of R's parents are dead, GO TO CKPT:MF60 c. If R's mother is NOT alive, GO TO CKPT:MF29 . . MF17 How would you describe your mother's physical health? Would you say it is: 1 very poor, 2 poor, 3 fair, 4 good, or 5 excellent? MF18 Taking all things together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely perfect, how would you describe your relationship with your mother? (CARD 7) Really Absolutely Bad |___|___|___|___|___|___|___|___|___|___|___| Perfect 0 1 2 3 4 5 6 7 8 9 10 Other (specify) CKPT:MF19 . . a. If R's father is NOT alive, GO TO CKPT:MF20 b. If R has a step-mother, GO TO CKPT:MF20 c. If R has a step-father, GO TO MF21 d. If R ever lived with a step-parent, GO TO CKPT:MF20 e. If R's mother is on HH roster, GO TO MF22 . . MF19 Are your mother and father presently married to each other? 1 Yes GO TO CKPT:MF23 2 No CKPT:MF20 - If R's mother is on HH roster, GO TO CKPT:MF23 MF20 What is your mother's current marital status? Is she: 1 married, 2 separated because of marital problems, GO TO CKPT:MF23 3 divorced, GO TO CKPT:MF23 4 widowed, or GO TO CKPT:MF23 5 has she never married? GO TO CKPT:MF23 MF21 In what year did your mother get married to (her current husband/your step-father)? 1 9 ___ ___ (RANGE:01-93) MF22 Taking all things together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely perfect, how would you describe your relationship with (her current husband/your step-father)? (CARD 7) Really Absolutely Bad |___|___|___|___|___|___|___|___|___|___|___| Perfect 0 1 2 3 4 5 6 7 8 9 10 Other (specify) 90 R has no relationship/contact with (current husband/step-father) CKPT:MF23 - If R's mother is on the HH roster, GO TO CKPT:MF24 MF23 (Do/Does) your (parents/mother) live: (Nursing home refers to a facility that provides more or less continuous care or custody.) 01 in (her/their) own house or apartment, GO TO MF25 03 in the home of another son or daughter, 04 in a nursing home, or 07 somewhere else? (specify) 09 Parents do not live together - e.g. one in nursing home. Enter explanatory text, including how long apart (specify) CKPT:MF24 - If mother is on HH roster and R is not a householder, GO TO MF29 MF24M In what month and year did (she/they) begin living (there)? (Question refers to (they) if mother and father are still married to each other or the mother (she) if not still together. Question replaced (there) with option based on response to MF23. (in your home/ in home of another child/in a nursing home/there)) Month __________________ 1 9 ___ ___ (1-12) (24-93) CKPT:MF25 - If mother is on HH roster, GO TO CKPT:MF29 MF25 Approximately how many miles from here (do/does) your (mother/parents) live? A "less than one mile" response was coded 0. If the respondent did not know how many miles, we asked for the city/state and estimated the distance. ______ Miles (RANGE:0-9000) 9993 Don't know where parent lives MF26 During the last 12 months, about how often did you see your mother? (CARD 3) 01 Not at all 02 About once a year GO TO MF28 03 Several times a year GO TO MF28 04 1 to 3 times a month GO TO MF28 05 About once a week GO TO MF28 06 More than once a week GO TO MF28 Some other frequency (specify) __________ GO TO MF28 MF27 In what year did you last see your mother? 1 9 ___ ___ (RANGE:20-93) MF28 During the last 12 months, about how often did you communicate with your mother by letter or phone? (CARD 3) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) __________ CKPT:MF29 - If R's father is NOT alive, GO TO CKPT:MF40 MF29 How would you describe your father's physical health? Would you say it is: 1 very poor, 2 poor, 3 fair, 4 good, or 5 excellent? MF30 Taking all things together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely perfect, how would you describe your relationship with your father? (CARD 7) Really Absolutely Bad |___|___|___|___|___|___|___|___|___|___|___| Perfect 0 1 2 3 4 5 6 7 8 9 10 Other (specify) CKPT:MF31 . . a. If R's parents are still married to each other, GO TO CKPT:MF40 b. If R's father is still married to R's step-mother, GO TO MF32 c. If R's father is on HH roster, GO TO CKPT:MF34 . . MF31 What is your father's current marital status? Is he: 1 married, 2 separated because of marital problems, GO TO CKPT:MF34 3 divorced, GO TO CKPT:MF34 4 widowed, or GO TO CKPT:MF34 5 has he never married? GO TO CKPT:MF34 MF32 In what year did your father get married to (his current wife/your step-mother)? 1 9 ___ ___ (RANGE:01-93) MF33 Taking all things together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely perfect, how would you describe your relationship with your father's wife? (CARD 7) Really Absolutely Bad |___|___|___|___|___|___|___|___|___|___|___| Perfect 0 1 2 3 4 5 6 7 8 9 10 Other (specify) 90 R has no relationship/contact with father's wife CKPT:MF34 - If R's father is on HH roster, GO TO CKPT:MF39b MF34 Does your father live: (Nursing home refers to a facility that provides more or less continuous care or custody.) 01 in his own house or apartment, 03 in another son or daughter's home, 04 in a nursing home, or 07 somewhere else? (specify) _______ MF35 Approximately how many miles from here does your father live? (A "less than one mile" response was coded 0. If the respondent did not know how many miles, we asked for the city/state and estimated the distance.) ______ Miles (RANGE:0-9000) 9993 Don't know where parent lives MF36 During the last 12 months, about how often did you see your father? (CARD 3) 01 Not at all 02 About once a year GO TO MF38 03 Several times a year GO TO MF38 04 1 to 3 times a month GO TO MF38 05 About once a week GO TO MF38 06 More than once a week GO TO MF38 Some other frequency (specify) ________ GO TO MF38 MF37 In what year did you last see your father? 1 9 ___ ___ (RANGE:20-93) 95 Never GO TO CKPT:MF40 MF38 During the last 12 months, about how often did you communicate with your father by letter or phone? (CARD 3) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) __________ CKPT:MF39 . . a. If R's father does NOT live in R's household, in another son or daughter's home, or in a nursing home, GO TO CKPT:MF40 b. If R's father lives in R's household and R is NOT the householder, GO TO CKPT:MF43 . . MF39M In what month and year did he begin living (there)? (Question replaced (there) with option based on response to MF34. (in your home/ in home of another child/ in a nursing home/ there)) Month __________________ 1 9 ___ ___ (1-12) (24-93) CKPT:MF40 - If R's step-father/mother is NOT still living, GO TO CKPT:MF43 MF40 During the last 12 months, about how often did you see your step-(father/mother)? (CARD 3) (If more than one step-parent, ask about the one that he/she lived with the longest.) 01 Not at all 02 About once a year GO TO CKPT:MF42 03 Several times a year GO TO CKPT:MF42 04 1 to 3 times a month GO TO CKPT:MF42 05 About once a week GO TO CKPT:MF42 06 More than once a week GO TO CKPT:MF42 Some other frequency (specify) __________ MF41 In what year did you last see your step-(father/mother)? 1 9 ___ ___ (RANGE:20-93) CKPT:MF42 - If R's father/mother is still married to step-(father/mother), GO TO CKPT:MF43 MF42 Taking all things together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely perfect, how would you describe your relationship with your step-(father/mother)? (CARD 7) Really Absolutely Bad |___|___|___|___|___|___|___|___|___|___|___| Perfect 0 1 2 3 4 5 6 7 8 9 10 Other (specify) 90 R has no relationship/contact with step-parent CKPT:MF43 - If R's mother-in-law is NOT alive, GO TO CKPT:MF52 MF43 Next are some questions about your (spouse/partner's) parents. How would you describe your (spouse/partner's) mother's physical health? Would you say it is: 1 very poor, 2 poor, 3 fair, 4 good, or 5 excellent? MF44 Taking all things together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely perfect, how would you describe your relationship with your (spouse/partner's) mother? (CARD 7) Really Absolutely Bad |___|___|___|___|___|___|___|___|___|___|___| Perfect 0 1 2 3 4 5 6 7 8 9 10 Other (specify) 90 R has no relationship/contact with spouse/partner's mother CKPT:MF45 . . a. If R's spouse/partner's father is NOT alive, GO TO CKPT:MF46 b. If R's spouse/partner's mother is on HH roster, GO TO CKPT:MF47 . . MF45 Are your (spouse/partner's) mother and father presently married to each other? 1 Yes GO TO CKPT:MF47 2 No CKPT:MF46 - If R's spouse/partner's mother is on HH roster, GO TO CKPT:MF47 MF46 What is your (spouse/partner's) mother's current marital status? Is she: 1 married, 2 separated because of marital problems, 3 divorced, 4 widowed, or 5 has she never married? CKPT:MF47 - If mother-in-law is on HH roster, GO TO CKPT:MF51b MF47 (Do/Does) your (spouse/partner's) (mother/parents) live: (Nursing home refers to a facility that provides more or less continuous care or custody.) 01 in (her/their) own house or apartment, 03 in the home of another son or daughter's, 04 in a nursing home, or 07 somewhere else? (specify) __________ MF48 Approximately how many miles from here (do/does) your (spouse/partner's)(mother/parents) live? (A "less than one mile" response was coded 0. If the respondent did not know how many miles, we asked for the city/state and estimated the distance.) ______ Miles (RANGE:0-9000) 9993 Don't know where parent(s) live 9995 Parent and respondent live in same household MF49 During the last 12 months, about how often did you see your (spouse/partner's) mother? (CARD 3) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) __________ MF50 During the last 12 months, about how often did you communicate with your (spouse/partner's) mother by letter or phone? (CARD 3) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) __________ CKPT:MF51M . . a. If spouse/partner's mother does not live in the home of another son or daughter or live in a nursing home, GO TO CKPT:MF52 b. If spouse/partner's mother is not on HH roster and R is not the householder, GO TO CKPT:MF52 . . MF51M In what month and year did (she/they) begin living (there)? (Question replaced (there) with option based on response to MF34. (in your home/ in home of another child/ in a nursing home/ there)) Month __________________ 1 9 ___ ___ (1-12) (24-93) CKPT:MF52 - If spouse/partner's father is not alive, GO TO MF60 MF52 How would you describe your (spouse/partner's) father's physical health? Would you say it is: 1 very poor, 2 poor, 3 fair, 4 good, or 5 excellent? MF53 Taking all things together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely perfect, how would you describe your relationship with your (spouse/partner's) father? (CARD 7) Really Absolutely Bad |___|___|___|___|___|___|___|___|___|___|___| Perfect 0 1 2 3 4 5 6 7 8 9 10 Other (specify) 90 R has no relationship/contact with spouse/partner's father CKPT:MF54 . . a. If spouse/partner's parents still married to each other, GO TO MF60 b. If spouse/partner's father is on HH roster, GO TO CKPT:MF55 . . MF54 What is your (spouse/partner's) father's current marital status? Is he: 1 married, 2 separated because of marital problems, 3 divorced, 4 widowed, or 5 has he never married? CKPT:MF55 - If spouse/partner's father is on HH roster, GO TO CKPT:MF59 MF55 (Do/Does) your (spouse/partner's) father live in: (Nursing home refers to a facility that provides more or less continuous care or custody.) 01 in his own house or apartment, 03 in the home of another son or daughter, 04 in a nursing home, or 07 somewhere else? (specify) __________ MF56 Approximately how many miles from here does your (spouse/partner's) father live? (A "less than one mile" response was coded 0. If the respondent did not know how many miles, we asked for the city/state and estimated the distance.) ______ Miles (RANGE:0-9000) 9993 Don't know where parent lives 9995 Parent and respondent live in same household GO TO CKPT:MF59 MF57 During the last 12 months, about how often did you see your (spouse/partner's) father? (CARD 3) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) __________ MF58 During the last 12 months, about how often did you communicate with your (spouse/partner's) father by letter or phone? (CARD 3) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) __________ CKPT:MF59 . . a. If spouse/partner's father does NOT live in the home of another son or daughter or live in a nursing home, GO TO MF60 b. If spouse/partner's father is on HH roster and R is NOT a householder, GO TO MF60 . . MF59M In what month and year did he begin living (there)? (Question replaced (there) with option based on response to MF34. (in your home/ in home of another child/ in a nursing home/ there)) Month __________________ 1 9 ___ ___ (1-12) (24-93) CKPT:MF60 - If the number of R's living parents plus those that have died since NSFH1 is less than or equal to the number of parents living in R's household, GO TO CKPT:MF71 MF60 (Other than your (parents who currently live in R's HH)), At any time since (NSFH1 date), did (any of/either of) your parents live with you in your household? (The wording of this question was complex and took all combinations of parents into account. It included parents who may have died since NSFH1 interview. Parents included: R's father or mother and/or R's spouse/partner's father or mother. The parents must have lived in R's household, NOT R in parent's household.) 1 Yes 2 No GO TO CKPT:MF71 MF61 Which of your (parents) lived with you in your household? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ MF62M In what month and year did (he/she/they) begin living with you? If it happened more than once, tell me about the most recent time. Month __________________ 1 9 ___ ___ (1-12) (24-93) MF63 How did it happen that (he/she/they) started living with you? (CARD 8) 01 Parent ill/disabled 02 R ill/disabled 03 Parent had financial problem 04 R had financial problem 05 Parent was providing other assistance to R 07 Other reason (specify) __________ MF64M In what month and year did (he/she/they) stop living with you? Month __________________ 1 9 ___ ___ (1-12) (24-93) 9990 Still lives with R GO TO MF66 MF65 After (he/she) stopped living with you, where did (he/she) live? (CARD 9) (Nursing home refers to a facility that provides more or less continuous care or custody.) 1 Parent died 2 Parent went to own household 3 Parent moved to nursing home 4 Parent moved in with respondent's brother or sister or other relative Parent moved to some other place (specify) ________ CKPT:MF66 - If only one living parent, GO TO CKPT:MF71 MF66 Did any other (parents) live with you in your household since (NSFH1 date)? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent GO TO CKPT:MF71 MF67M In what month and year did (he/she/they) begin living with you? If it happened more than once, tell me about the most recent time. Month __________________ 1 9 ___ ___ (1-12) (24-93) MF68 How did it happen that (he/she/they) started living with you? (CARD 8) 01 Parent ill/disabled 02 R ill/disabled 03 Parent had financial problem 04 R had financial problem 05 Parent was providing other assistance to R 07 Other reason (specify) __________ MF69M In what month and year did (he/she/they) stop living with you? Month __________________ 1 9 ___ ___ (1-12) (24-93) 9990 Still lives with R MF70 After (he/she) stopped living with you, where did (he/she) live? (CARD 9) (Nursing home refers to a facility that provides more or less continuous care or custody.) 1 Parent died 2 Parent went to own household 3 Parent moved to nursing home 4 Parent moved in with respondent's brother or sister or other relative Parent moved to some other place (specify) _________ CKPT:MF71 . . a. If both mother and father were dead before (NSFH1 date), GO TO CKPT:MF80 b. If R reported that all living parents went to live with respondent's siblings, GO TO CKPT:MF80 . . MF71 ((Other than) (your mother/your father)), At any time since (NSFH1 date), did your (mother/father/parents) live in the household of any of your brothers or sisters? (This question refers to R's parents only; not to parents of a spouse/partner. Parent must have lived in household of sibling; not sibling in parent's household.) 1 Yes 2 No GO TO CKPT:MF80 6 Does not apply: no brothers or sisters GO TO CKPT:MF80 MF72 Which parent lived in the household of any of your brothers or sisters? 1 Respondent's mother 2 Respondent's father 3 Respondent's mother and father 4 Respondent's step-parent Other (specify) __________ MF73M In what month and year did (he/she/they) begin living with your brother or sister? If it happened more than once, tell me about the most recent time. Month __________________ 1 9 ___ ___ (1-12) (24-93) MF74 How did it happen that (he/she/they) started living with your brother or sister? If it happened more than once, tell me about the most recent time. Was it because: 01 your parent was ill/disabled, 02 your sibling was ill/disabled, 03 your parent had financial problems, 04 your sibling had financial problems, or 05 your parent was providing other assistance to sibling? 07 Other (specify) __________ MF75M In what month and year did (he/she/they) stop living with your brother or sister? Month __________________ 1 9 ___ ___ (1-12) (24-93) 9990 Still lives with brother/sister CKPT:MF76 - If there is just one living parent, GO TO CKPT:MF80 MF76 Which, if any, other parent lived in the household of any of your brothers or sisters? 1 Respondent's mother 2 Respondent's father 3 Respondent's mother and father 4 Respondent's step-parent Other (specify) __________ 6 No other parent GO TO CKPT:MF80 MF77 How did it happen that (he/she/they) started living with your brother or sister? If it happened more than once, tell me about the most recent time. Was it because: 01 your parent was ill/disabled, 02 your sibling was ill/disabled, 03 your parent had financial problems, 04 your sibling had financial problems, or 05 your parent was providing other assistance to sibling? 07 Other (specify) __________ MF78M In what month and year did (he/she/they) begin living with your brother or sister. If it happened more than once, tell me about the most recent time. Month __________________ 1 9 ___ ___ (1-12) (24-93) MF79M In what month and year did (he/she/they) stop living with your brother or sister? Month __________________ 1 9 ___ ___ (1-12) (24-93) 9990 Still lives with brother/sister CKPT:MF80 - If number of R's living parents plus those that have died since NSFH1 is less than or equal to the number of parents living in a nursing home, GO TO CKPT:MF83 MF80 (Other than your (parents)), At any time since (NSFH1 date), has (any of/either of) your parents been a resident or patient in a nursing home or other long-term care facility? (The wording of this question was complex and took all combinations of parents into account. It included parents who may have died since NSFH1 interview. Parents included: R's father or mother and/or R's spouse/partner's father or mother.) (Nursing home refers to a facility that provides more or less continuous care or custody). 1 Yes 2 No GO TO CKPT:MF83 MF81 Which of your (parents) have been residents of a nursing home since (NSFH1 date)? (The wording of this question was complex and took all combinations of parents into account. It included parents who may have died since NSFH1 interview.) 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ MF82 Which, if any, other (parents) have been residents of nursing homes since (NSFH1 date)? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent ********************************************************************** HELP GIVEN TO PARENTS ********************************************************************** CKPT:MF83 - If no parents or step-parents are living, GO TO CKPT:MF121 MF83 Next we are interested in the help and support that you may have given to (parents) IN THE LAST MONTH. Include only help that you, yourself, gave, not help that other members of your family gave. Have you GIVEN help with shopping, running errands, or transportation to your (parents) DURING THE LAST MONTH? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 1 Yes 2 No GO TO MF86 6 R says no parent is living GO TO CKPT:MF121 CKPT:MF84 - If R has only one living parent, GO TO MF86 MF84 Which (parents) have you given help with shopping, errands, or transportation? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 91 All living parents and parents-in-law GO TO MF86 MF85 Any others? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law MF86 DURING THE LAST MONTH, have you GIVEN your (parents) help with housework, yard work, car repairs, or other work around the house? 1 Yes 2 No GO TO MF89 CKPT:MF87 - If R has only one living parent, GO TO MF89 MF87 Which (parents) have you given help with housework, yard work, car repairs, or other work around the house? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 91 All living parents and parents-in-law GO TO MF89 MF88 Any others? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law MF89 DURING THE LAST MONTH, have you GIVEN your (parents) advice, encouragement, moral, or emotional support? 1 Yes 2 No GO TO CKPT:MF92 CKPT:MF90 - If R has only one living parent, GO TO CKPT:MF92 MF90 Which (parents) have you given advice, encouragement, moral or emotional support? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 91 All living parents and parents-in-law GO TO CKPT:MF92 MF91 Any others? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law CKPT:MF92 - If R gave parents any kind of help during the last month, GO TO MF92; otherwise, GO TO MF93 MF92 Taking all kinds of help together, in an average week in the last month how many hours would you say you spend helping your (parents)? (Hours refers to the average number of hours for weeks in which help was given during the last month ) ____________ Hours (RANGE:0-75) ********************************************************************** HELP RECEIVED FROM PARENTS ********************************************************************** MF93 Next we are interested in help and support that you have RECEIVED from your (parents). DURING THE LAST MONTH, have you RECEIVED help from your (parents) with shopping, errands, or transportation? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 1 Yes 2 No GO TO MF96 CKPT:MF94 - If R has only one living parent, GO TO MF96 MF94 From which (parents) have you received help with shopping, errands, or transportation? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law GO TO MF96 MF95 Any others? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law MF96 DURING THE LAST MONTH, have you RECEIVED help from your (parents) with housework, yard work, car repairs, or other work around the house? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 1 Yes 2 No GO TO MF99 CKPT:MF97 - If R has only one living parent, GO TO MF99 MF97 From which (parents) have you received help with housework, yard work, car repairs, or other work around the house? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law GO TO MF99 MF98 Any others? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law MF99 DURING THE LAST MONTH, have you RECEIVED advice, encouragement, moral or emotional support from your (parents)? 1 Yes 2 No GO TO CKPT:MF102 CKPT:MF100 - If R has only one living parent, GO TO CKPT:MF102 MF100 From which (parents) have you received advice, encouragement, moral or emotional support? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:MF102 MF101 Any others? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law CKPT:MF102 . . a. If R does not have children, GO TO CKPT:MF108 b. If age of youngest child in the household is greater than 12, GO TO CKPT:MF105 . . MF102 DURING THE LAST MONTH, have you RECEIVED help from your (parents) with child care WHILE YOU (OR YOUR WIFE/ HUSBAND/PARTNER) WERE WORKING? (Counted R paying parent for child care as help received. Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 1 Yes 2 No GO TO CKPT:MF105 CKPT:MF103 - If R has only one living parent, GO TO CKPT:MF105 MF103 From which (parents) have you received help with child care while you (or your wife/husband/partner) were working? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:MF105 MF104 Any others? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law CKPT:MF105 - If age of youngest child in the household is greater than 18, GO TO CKPT:MF108 MF105 DURING THE LAST MONTH, have you RECEIVED help from your (parents) with child care at times OTHER THAN WHEN YOU (OR YOUR WIFE/HUSBAND/PARTNER) WERE WORKING? (Counted R paying parent for child care as help received. Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 1 Yes 2 No GO TO CKPT:MF108 CKPT:MF106 - If R has only one living parent, GO TO CKPT:MF108 MF106 From which (parents) have you received help with child care at times other than when you (or your wife/husband/partner) were working? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:MF108 MF107 Any others? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law CKPT:MF108 - If parents gave R any help in the past month, GO TO MF108; otherwise, GO TO CKPT:MF109 MF108 Taking all kinds of help together, in an average week in the last month how many hours would you say your (parent(s)) spend(s) helping you? (Hours refers to the average number of hours for weeks in which help was given during the last month.) ____________ Hours (RANGE:0-75) ********************************************************************** PARENT MENTAL OR PHYSICAL WELL-BEING ********************************************************************** CKPT:MF109 - If R has no living parents or parents-in-law, GO TO CKPT:MF121 MF109 In the last 12 months has any of your (parents) been hospitalized for more than two days? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 1 Yes 2 No GO TO MF112 CKPT:MF110 - If R has only one living parent, GO TO MF112 MF110 Which of your (parents) has been hospitalized for more than two days in the last 12 months? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:MF112 MF111 Any others? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law MF112 Do any of your (parents) need help moving around inside the house or with personal care such as eating, bathing, dressing, or going to the bathroom? 1 Yes 2 No GO TO MF115 CKPT:MF113 - If R has only one living parent, GO TO MF115 MF113 Which (parent) needs help? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:MF115 MF114 Any others? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law MF115 Do any of your (parents) have serious problems with memory or mental confusion? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 1 Yes 2 No GO TO MF118 CKPT:MF116 - If R has only one living parent, GO TO MF118 MF116 Which of your (parents) have such a problem? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:MF118 MF117 Any others? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law MF118 Do any of your (parents) have problems because of too little income to meet day-to-day needs? 1 Yes 2 No GO TO CKPT:MF121 CKPT:MF119 - If R has only one living parent, GO TO CKPT:MF121 MF119 Which of your (parents) have too little income? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:MF121 MF120 Any others? 01 Respondent's mother 02 Respondent's father 03 Respondent's mother and father 04 Respondent's step-parent 05 Spouse/partner's mother 06 Spouse/partner's father 07 Spouse/partner's mother and father 08 Spouse/partner's step-parent Other (specify) __________ 90 No other parent 91 All living parents and parents-in-law ********************************************************************** CORESIDENCE WITH PARENTS ********************************************************************** CKPT:MF121 . . a. If not interviewing R1, GO TO CKPT:MG1 b. If R's parents died before NSFH1, GO TO CKPT:MG1 c. If R in parent's household for NSFH1 and is currently in parent's household, GO TO MF121 d. If R in parent's household at NSFH1 but currently not in parent's household, GO TO MF129M e. If R not in parent's household at NSFH1 but currently in parent's household, GO TO MF135M f. If R not in parent's household at NSFH1 nor currently in parents' household, GO TO MF141 . . MF121 When we talked to you at (NSFH1 date), you were living in your parents' household. Was there any time since then when you were not living in your parents' household? 1 Yes 2 No GO TO CKPT:MG1 MF122M In what month and year after (NSFH1 date) did you first stop living in your parents' household? Month ______________________ 1 9 ___ ___ (1-12) (24-93) MF123 Why did you stop living with them at that time? (specify) ________ MF124M In what month and year did you start living with your parent(s) again? Month ______________________ 1 9 ___ ___ (1-12) (24-93) 9990 Never started living with parent(s) again GO TO CKPT:MG1 MF125 Why did you start living with them at that time? (specify) ________ MF126 Did you stop living with them again? 1 Yes 2 No GO TO CKPT:MG1 MF127M In what month and year did you start living with your parent(s) the last time? Month ________________________ 1 9 ___ ___ (1-12) (24-93) MF128 Why did you start living with them at that time? (specify) ________ =====> All GO TO CKPT:MG1 MF129M When we talked to you at (NSFH1 date), you were living in your parents' household. In what month and year after (NSFH1 date) did you first stop living in your parents' household? Month ________________________ 1 9 ___ ___ (1-12) (24-93) MF130 Why did you stop living with them at that time? (specify) ________ MF131M In what month and year, if ever, did you start living with your parent(s) again? Month _______________________ 1 9 ___ ___ (1-12) (24-93) 9990 Never started living with parents again GO TO CKPT:MG1 MF132 Why did you start living with them at that time? (specify) ________ MF133M In what month and year did you stop living with your parent(s) the last time? Month ________________________ 1 9 ___ ___ (1-12) (24-93) MF134 Why did you stop living with them at that time? (specify) ________ =====> All GO TO CKPT:MG1 MF135M When we talked to you at (NSFH1 date), you were not living in your parents' household. In what month and year after (NSFH1 date) did you first start living in your parents' household? Month ______________________ 1 9 ___ ___ (1-12) (24-93) MF136 Why did you start living with them at that time? (specify) ________ MF137M In what month and year did you next stop living with your parent(s) again? Month ________________________ 1 9 ___ ___ (1-12) (24-93) 9990 Never stopped living with parents again GO TO CKPT:MG1 MF138 Why did you stop living with them at that time? (specify) ________ MF139M In what month and year did you start living with your parent(s) the last time? Month _______________________ 1 9 ___ ___ (1-12) (24-93) MF140 Why did you start living with them at that time? (specify) ________ ======> All GO TO CKPT:MG1 MF141 At any time since (NSFH1 date), did you live in the household of your parents? 1 Yes 2 No GO TO CKPT:MG1 MF142M In what month and year after (NSFH1 date) did you first start living in your parents' household? Month _______________________ 1 9 ___ ___ (1-12) (24-93) MF143 Why did you start living with them at that time? (specify) ________ MF144M In what month and year did you next stop living with your parent(s) again? Month _______________________ 1 9 ___ ___ (1-12) (24-93) MF145 Why did you stop living with them at that time? (specify) ________ MF146 Did you start living with them again? 1 Yes 2 No GO TO CKPT:MG1 MF147M In what month and year did you stop living with your parent(s) the last time? Month _______________________ 1 9 ___ ___ (1-12) (24-93) MF148 Why did you stop living with them at that time? (specify) ________ NSFH2 INTERVIEW QUESTIONNAIRE - PART 2 ********************************************************************** HELP GIVEN TO ADULT CHILDREN ********************************************************************** CKPT:MG1 - If R and/or spouse/partner have no children age 19 or over, GO TO MG19 MG1 Next we are interested in help and support that you may have given to your children (or your wife/husband/partner's children) age 19 and older. This includes: (Roster of children's names generated by computer) Include only help that you, yourself gave, but not help that other members of your family may have given. During the last month, have you given help with shopping or errands, or provided transportation to your children (or your wife/husband/partner's children) age 19 or older? 1 Yes 2 No GO TO MG3 CKPT:MG2 - If R and/or R's spouse/partner have only 1 child, GO TO MG3 MG2 Which of your children (or your wife/husband/partner's children) age 19 and older have you given help with shopping, errands, or transportation in the last month? ///////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN AGE 19 / / AND OLDER DISPLAYED FOR INTERVIEWER REFERENCE / ///////////////////////////////////////////////////////// (Probe: Repeat this question for up to six children: Which other children have you helped with shopping, errands, or transportation?) (ENTER NAMES IN TABLE 8) __________ (household member number) (RANGE:1-55;or specify name) 90 No other child 91 All children MG3 During the last month, have you given help with housework, yard work, car repairs, or other work around the house to your children (or your wife/husband/partner's children) age 19 or older? 1 Yes 2 No GO TO MG5 CKPT:MG4 - If R and/or R's spouse/partner have only 1 child, GO TO MG5 MG4 Which of your children (or your wife/husband/partner's children) age 19 and older have you given help with housework, yard work, car repairs, or other work around the house in the last month? ///////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN AGE 19 / / AND OLDER DISPLAYED FOR INTERVIEWER REFERENCE / ///////////////////////////////////////////////////////// (Probe: Repeat this question for up to six children: Which other children have you helped with housework, yard work, car repairs, or other work around the house in the last month?) __________ (household member number) (RANGE:2-55;or specify name) 90 No other child 91 All children MG5 During the last month, have your given advice, encouragement, moral or emotional support to your children (or your wife/ husband/partner's children) age 19 or older? 1 Yes 2 No GO TO CKPT:MG7 CKPT:MG6 - If R and/or R's spouse/partner have only 1 child, GO TO CKPT:MG7 MG6 Which of your children (or your wife/husband/partner's children) age 19 and older have you given advice, encouragement, moral or emotional support in the last month? ///////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN AGE 19 / / AND OLDER DISPLAYED FOR INTERVIEWER REFERENCE / ///////////////////////////////////////////////////////// (Probe: Repeat this question for up to six children: Which other children have you given advice, encouragement, moral or emotional support?) __________ (household member number) (RANGE:2-55;or specify name) 90 No other child 91 All children CKPT:MG7 - If R is not a grandparent, GO TO CKPT:MG11 MG7 During the last month, have you helped your children (or your wife/husband/partner's children) age 19 or older with child care while they were working? 1 Yes 2 No GO TO MG9 6 None have any children GO TO CKPT:MG11 CKPT:MG8 - If R and R's spouse/partner have only 1 child, GO TO MG9 MG8 Which of your children (or your wife/husband/partner's children) age 19 and older have you helped with child care while they were working? ///////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN AGE 19 / / AND OLDER DISPLAYED FOR INTERVIEWER REFERENCE / ///////////////////////////////////////////////////////// (Probe: Repeat this question for up to six children: Which other children have you helped with child care while they were working?) __________ (household member number) (RANGE:2-55;or specify name) 90 No other child 91 All children MG9 During the last month, have you helped you children, (or your wife/husband/partner's children) with child care at time other than when they were working? 1 Yes 2 No GO TO CKPT:MG11 CKPT:MG10 - If R and R's spouse/partner have only 1 child, GO TO CKPT:MG11 MG10 Which of your children (or your wife/husband/partner's children) age 19 and older have you helped with child care at times other than when they were working? ///////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN AGE 19 / / AND OLDER DISPLAYED FOR INTERVIEWER REFERENCE / ///////////////////////////////////////////////////////// (Probe: Repeat this question for up to six children: Which other children have you helped with child care at times other than when they were working?) __________ (household member number) (RANGE:2-55;or specify name) 90 No other child 91 All children TABLE 8 ________________________________________________________________________________ R GIVEN HELP TO CHILDREN GIVE TRANSPOR- GIVE HOUSE- GIVE SUPPORT HELP TATION HELP WORK HELP (HH #) (HH #) (HH #) -------------------------------------------------------------------------------- 1. 1 2 ________ 1 2 ________ 1 2 ________ 2. ________ ________ ________ 3. ________ ________ ________ 4. ________ ________ ________ 5. ________ ________ ________ 6. ________ ________ ________ ________________________________________________________________________________ R GIVEN HELP TO CHILDREN CHILD CARE CHILD CARE GIVE WHEN GIVE OTHER THAN HELP WORKING HELP WHEN WORKING (HH #) (HH #) -------------------------------------------------------------------------------- 1. 1 2 ________ 1 2 _________ 2. ________ _________ 3. ________ _________ 4. ________ _________ 5. ________ _________ 6. ________ _________ ________________________________________________________________________________ CKPT:MG11 . . a. If R has given any children help with transportation and/or housework and/or support and/or child care while child was working, GO TO MG11 b. If R has not helped children with child care at times other than when child was working, GO TO MG12 . . MG11 Taking all kinds of help together, in an average week about how many hours would you say you spend helping your children (or your wife/husband/partner's children) age 19 and older? __________ hours per week (RANGE:0-99) Other __________ ********************************************************************** HELP RECEIVED FROM ADULT CHILDREN ********************************************************************** MG12 Next we are interested in help and support that you have received from your children (or your wife/husband/ partner's children) age 19 or older. During the last month, have your received help from your children (or your wife/husband/partner's children) age 19 or older with shopping, running errands, or transportation? 1 Yes 2 No GO TO MG14 CKPT:MG13 - If R and/or R's spouse/partner have only 1 child, GO TO MG14 MG13 From which of your children (or your wife/husband/partner's children) age 19 and older have you received help with shopping, errands, or transportation during the last month? ///////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN AGE 19 / / AND OLDER DISPLAYED FOR INTERVIEWER REFERENCE / ///////////////////////////////////////////////////////// (Probe: Repeat question for up to six children: From which other children have you received help with shopping, errands, or transportation?) (ENTER NAMES IN TABLE 9) __________ (household member number) (RANGE:2-55;or specify name) 90 No other child 91 All children MG14 During the last month, have you recieved help from your children (or your wife/husband/partner's children) age 19 or older with housework, yard work, car repairs, or other work around the house? 1 Yes 2 No GO TO MG16 CKPT:MG15 - If R and/or R's spouse/partner have only 1 child, GO TO MG16 MG15 From which of your children (or your wife/husband/ partner's children) age 19 and older have you received help with housework, yard work, car repairs, or other work around the house in the last month? ///////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN AGE 19 / / AND OLDER DISPLAYED FOR INTERVIEWER REFERENCE / ///////////////////////////////////////////////////////// (Probe: Repeat question for up to six children: From which other children have you received help with housework, yard work, car repairs, or other work around the house?) __________ (household member number) (RANGE:2-55;or specify name) 90 No other child 91 All children MG16 During the last month, have you recieved advice, encouragement, moral or emotional support from your children (or your wife/husband/partner's children) age 19 or older? 1 Yes 2 No GO TO CKPT:MG18 CKPT:MG17 - If R and/or R's spouse/partner have only 1 child, GO TO CKPT:MG18 MG17 From which of your children (or your wife/husband/partner's children) age 19 and older have you received advice, encouragement, moral or emotional support in the last month? ///////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN AGE 19 / / AND OLDER DISPLAYED FOR INTERVIEWER REFERENCE / ///////////////////////////////////////////////////////// (Probe: Repeat question for up to six children: From which other children have you received advice, encouragement, moral or emotional support?) __________ (household member number) (RANGE:2-55;or specify name) 90 No other child 91 All children TABLE 9 ________________________________________________________________________________ HELP GIVEN BY CHILDREN RECEIVE NUMBER TRANSPOR- RECEIVE NUMBER HOUSE- RECEIVE NUMBER SUPPORT HELP OF KIDS TATION HELP OF KIDS WORK HELP OF KIDS HELPED (HH #) HELPED (HH #) HELPED (HH #) ________________________________________________________________________________ 1. 1 2 ____ ________ 1 2 ____ ________ 1 2 ____ ________ 2. ________ ________ ________ 3. ________ ________ ________ 4. ________ ________ ________ 5. ________ ________ ________ 6. ________ ________ ________ ________________________________________________________________________________ CKPT:MG18 - If R has received help with transportation and/or housework and/or support, GO TO MG18; otherwise, GO TO MG19 MG18 Taking all kinds of help together, in an average week about how many hours do your children (or your wife/ husband/partner's children) age 19 and older spend helping you? __________ hours per week (RANGE:0-99) Other __________ MG19 Turn to page 3 of the booklet. Here are some questions that you can fill out by yourself. Tell me when you are finished. 1 Respondent completed form by himself/herself 2 Form read to respondent Comments (specify) ********************************************************************** SIBLINGS ********************************************************************** MH1 Now I have a few questions about your brothers and sisters. How many living brothers and sisters, including step- or half-brothers and sisters, do you have? _________ brothers and sisters (RANGE:0-16) 00 None GO TO CKPT:MH9 CKPT:MH2 - If R has more than 1 living sibling, GO TO MH3 MH2 About how many miles from here does this brother or sister live? (If R does not know precise distance, get rough estimate) __________ miles (RANGE:1-8000) =====> ALL GO TO MH7 MH3 How many, if any, of these brothers and sisters live within 2 miles of here? __________ brothers and sisters (RANGE:0-16) CKPT:MH4 - If all siblings live within 2 miles of R, GO TO MH7 MH4 How many, if any, of these brothers and sisters live between 2 and 25 miles from here? ___________ brothers and sisters (RANGE:0-16) CKPT:MH5 - If all siblings live within 25 miles of R, GO TO MH7 MH5 How many, if any, of these brothers and sisters live between 25 and 300 miles from here? __________ brothers and sisters (RANGE:0-16) CKPT:MH6 - If all living siblings live within 300 miles of R, GO TO MH7 MH6 How many, if any, of these brothers and sisters live more than 300 miles from here? ___________ brothers and sisters (RANGE:0-16) MH7 During the last 12 months, how often did you see (your/either of/any of your brother(s) or sister(s))? (CARD 3) (This question refers to how frequently R sees ANY brother or sister, not to seeing a specific brother or sister) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) __________ MH8 During the last 12 months, how often did you talk on the telephone or receive a letter from (your/either of/any of your brother or sisters)? (CARD 3) (This question refers to how frequently R sees ANY brother or sister, not to seeing a specific brother or sister) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) __________ ********************************************************************** GRANDPARENTING ********************************************************************** CKPT:MH9 - If R has no grandchildren, GO TO CKPT:MH23 MH9 The next questions are about grandchildren. How many grandchildren do you have? (If ambiguity in who is a grandchild, let R use own definition) __________ grandchildren (RANGE:0-30) 00 None GO TO CKPT:MH23 MH10 How old is (your/your youngest) grandchild? ___________ years (RANGE:0-65) CKPT:MH11 - If R has only 1 grandchild, GO TO CKPT:MH12 MH11 How old is your oldest grandchild? __________ years (RANGE:0-65) CKPT:MH12 - If R's youngest grandchild is older than age 12, GO TO MH13 MH12 During the last 12 months, about how many nights altogether, if any, did (your grandchild/any of your grandchildren) stay overnight at your house without his or her parents? (This question refers to how frequently ANY grandchild stays overnight, not to the number of overnight visits from a specific grandchild) __________ nights (RANGE:0-360) MH13 During the last 12 months, about how often did you see (your grandchild/any of your grandchildren)? (CARD 3) (This question refers to how frequently ANY grandchild stays overnight, not to the number of overnight visits from a specific grandchild) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) __________ CKPT:MH14 - If R's oldest grandchild is younger than age 3, GO TO MH15 MH14 During the last 12 months, about how often did you talk on the telephone or receive a letter from (your grandchild/any of your grandchildren)? (CARD 3) (This question refers to how frequently ANY grandchild stays overnight, not to the number of overnight visits from a specific grandchild) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) __________ MH15 On a scale from 0 to 10, where 0 is "not at all close" and 10 is "extremely close," how would you describe your relationship with your grandchild(ren)? ________ (RANGE:0-10) 90 It varies among different grandchildren; can't give an average MH16 For various reasons, grandparents sometimes take on the primary responsibility for raising a grandchild. Have you ever had the primary responsibility for (your grand- child/any of your grandchildren) for six months or more? 1 Yes 2 No GO TO CKPT:MH23 MH17 How many different times did this occur? __________ times (RANGE:1-10) MH18 How old was this grandchild (the first time)? __________ years (RANGE:0-20) MH19M In what month and year did (this/the first such time) begin? Month _______________ 1 9 ____ ____ (1-12) (76-93) MH20M In what month and year did it end? Month _______________ 1 9 ____ ____ (1-12) (76-93) CKPT:MH21 - If R took on primary responsibility for raising a grandchild only 1 time, GO TO MH22 MH21 About how many years altogether have you had the primary responsibility for (your grandchild/any of your grandchildren)? ___________ years (RANGE:0-19) MH22 Which of your children was the parent of (this grandchild/ the grandchild you took care of the longest)? ___________ (household member number) (RANGE:2-55;or specify name) ********************************************************************** NEW SPOUSE INFORMATION ********************************************************************** CKPT:MH23 - If interviewing R1, GO TO CKPT:MI1 MH23 Next I have some questions about your background. Did you live with both your natural parents during all of the time from when you were born until age 14? 1 Yes GO TO MH25 2 No MH24 Was the reason you did not live with both parents because of: 01 the death of a parent, 02 the separation or divorce of your parents, or 03 for some other reason? (specify) MH25 What was the highest grade or level of education that your mother completed? __________ grade/level (RANGE:0-18;or specify) MH26 What was the highest grade or level of education that your father completed? If you lived with a step-father at age 16 answer for your step-father. __________ grade/level (RANGE:0-18;or specify) 90 Did not live with father or step-father at age 16 MH27 Which of these groups best describes you? (CARD 10) 01 Black 02 White - not of Hispanic origin 03 Mexican American, Chicano, Mexicano 04 Puerto Rican 05 Cuban 06 American Indian 07 Asian Other (specify) __________ CKPT:MH28 - If interviewing R1's NSFH1 spouse, GO TO MH36 MH28 For the next few questions, I want you to think back to (NSFH1 date). In (month) of (NSFH1 date), what was your marital status? Were you: (If marital status changed in month of (NSFH1 date) record status as of the 15th of the month of (NSFH1 date)) 1 married, GO TO MH31 2 separated because of marital problems, 3 divorced, 4 widowed, or 5 never married at that time? MH29 In (NSFH1 date), were you living with a partner of the opposite sex? 1 Yes 2 No GO TO CKPT:MH32 MH30 What was that partner's first name? __________ (household member number) (RANGE:2-55) =====> ALL GO TO CKPT:MH32 MH31 What was that (husband/wife)'s first name? _________ (household member number) (RANGE:2-55) =====> ALL GO TO MH32 CKPT:MH32 - If R's status was never married at NSFH1, GO TO CKPT:MH34 MH32 At that time how many times had you been married? (Include the marriage that R was in at that time) __________ times (RANGE:0-5) 0 None GO TO CKPT:MH34 MH33 At what age did you get married (for the first time)? __________ years (RANGE:15-74) CKPT:MH34 - If R was cohabiting at NSFH1, GO TO MH35 MH34 At any time prior to (NSFH1 date), did you ever live with a partner of the opposite sex to whom you were not married? 1 Yes 2 No GO TO MH36 MH35 Up to that time, how many different partners had you lived with? __________ partners (RANGE:1-20) MH36 Think back to (NSFH1 date). At that time how many, if any, children had you (given birth to/fathered)? __________ children (RANGE:0-15) CKPT:MH37 . . a. If not interviewing same spouse as R1 had at NSFH1, GO TO MH37 b. If education level at NSFH1 is not blank, GO TO CKPT:MH42 . . MH37 In (NSFH1 date), what was the highest grade or level of education that you had completed? __________ grade/level (RANGE:0-18) 00-18 GO TO CKPT:MH42 Other (specify) __________ MH38 Prior to (NSFH1 date), had you received any college or other post-secondary degrees? 1 Yes 2 No GO TO CKPT:MH42 MH39 What diplomas or degrees had you received prior to (NSFH1 date)? 1 Associate Degree (2 year) 2 Bachelor's Degree (BA, BS, etc.) 3 Master's Degree (MS, MA, etc.) 4 Doctorate (Ph.D., M.D., etc.) Other (specify) __________ 7 Refused GO TO CKPT:MH42 8 Don't know GO TO CKPT:MH42 MH40 What other degrees had you received by that time? 1 Associate Degree (2 year) 2 Bachelor's Degree (BA, BS, etc.) 3 Master's Degree (MS, MA, etc.) 4 Doctorate (Ph.D., M.D., etc.) 6 No other degree GO TO CKPT:MH42 Other (specify) __________ MH41 What other degrees had you received by that time? 01 Associate Degree (2 year) 02 Bachelor's Degree (BA, BS, etc.) 03 Master's Degree (MS, MA, etc.) 04 Doctorate (Ph.D., M.D., etc.) 90 No other degree Other (specify) __________ CKPT:MH42 . . a. If not interviewing same spouse as R1 had at NSFH1, GO TO MH42 b. If employment status at NSFH1 is blank, GO TO MH42 c. If employment status at NSFH1 is known, GO TO CKPT:SI1 . . MH42 In (NSFH1 date), were you working for pay, either part- or full-time? 1 Yes 2 No GO TO CKPT:SI1 MH43 At that time, about how many hours per week were you usually working? __________ hours per week (RANGE:0-93) GO TO MH45 MH44 Was it full-time or part-time? (Full-time work is 35 or more hours per week; part-time is less than 35 hours per week) 1 Full time 2 Part time MH45 What kind of work were you doing? What was your job title? What were your main responsibilities or duties at this job? (specify) __________ MH46 Did you work: 1 for yourself, GO TO CKPT:SI1 2 in a family business, or 3 for someone else? MH47 What was the name of the company or business that you worked for at that time? __________________________ 1 Name provided ********************************************************************** MARITAL AND COHABITATION HISTORY ********************************************************************** CKPT:MI1 . . a. If interviewing R1, GO TO CKPT:MI1d b. If R married to same spouse as at NSFH1, GO TO MI154 c. If R married at NSFH1, but now married to a different person, GO TO MI35 d. If R was married at NSFH1, GO TO CKPT:MI30 e. If R was separated at NSFH1 and is now divorced, GO TO MI5 f. If R was separated at NSFH1 and is not currently divorced, GO TO MI1 g. If R was cohabiting at NSFH1, GO TO MI8 h. If R was NOT cohabiting at NSFH1, GO TO MI39 . . MI1 Next I want to ask you about any changes in your marital status since (NSFH1 date). At that time you were separated from your (husband/wife). Since then have you gotten legally divorced? 1 Yes GO TO MI6M 2 No 7 Refused GO TO CKPT:MI7 8 Don't know GO TO CKPT:MI7 CKPT:MI2 - If R is not married, GO TO CKPT:MI7 MI2 Did you get back together with your (husband/wife)? 1 Yes 2 No GO TO CKPT:MI7 MI3M In what month and year did you and your (husband/wife) start living together again? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of original interview. MI4 Are the two of you still married and living together? 1 Yes GO TO MI154 2 No GO TO MI34 7 Refused GO TO CKPT:MI154 MI5M Next I want to ask you about any changes in your marital status since (NSFH1 date). At that time you were separated from your (husband/wife). In what month and year did the two of you get divorced? Month _______________ 1 9 ____ ____ (1-12) (87-93) =====> ALL GO TO MI6F MI6M In what month and year did you get divorced? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of original interview. CKPT:MI7 - If R was not cohabiting at NSFH1 and if R who was separated at NSFH1 did NOT get divorced, GO TO MI42; otherwise, GO TO MI40 MI7 In (NSFH1 date) you were living with (partner's name). Did you and (he/she) get married? 1 Yes GO TO MI9M 2 No GO TO MI28 6 R says he/she was not living with this person GO TO MI40 7 Refused GO TO MI28 MI8 Next I want to ask you about any changes in your marital status since (NSFH1 date). At that time you were living with (partner's name). Did you and (he/she) get married? 1 Yes 2 No GO TO MI28 6 R says he/she was not living with this person GO TO MI40 7 Refused GO TO MI28 MI9M In what month and year did you get married? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of original interview. MI10 Are the two of you still married and living together? 1 Yes GO TO CKPT:MI15 2 No 7 Refused GO TO CKPT:MI166 MI11 Did that marriage end in: 1 divorce, GO TO MI13M 2 separation with no divorce, or GO TO MI14M 3 widowhood? MI12M In what month and year did your (husband/wife) die? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of marriage. =====> ALL GO TO CKPT:MI15 MI13M In what month and year did you get divorced? Month ________________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of marriage. MI14M In what month and year did you and (partner's name) stop living together? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview, date of marriage, and date of divorce. MI15 How old was (partner's name) when you got married? ________ years (RANGE:14-94) MI16 What was the highest grade or level of education that (partner's name) had completed at the time you got married? (If R does not know the exact level of education, probe for approxiamte level) ________ grade/level (RANGE:0-18) Other (specify) __________ MI17 What was (partner's name)'s religious preference at the time you got married? (CARD 11) (If Protestant ask: What denomination was that?) 01 No religion 02 Roman Catholic 03 Jewish 04 Baptist 05 Episcopalian 06 Lutheran 07 Methodist 08 Latter Day Saints (Mormon) 09 Presbyterian 10 United Church of Christ (Congregational) 11 Protestant (use this code only if R did not specify denomination) Other (specify) __________ MI18 At any time (in your first year of marriage/since your marriage began) was (partner's name) working full-time? 1 Yes 2 No MI19 At any time (in your first year of marriage/since your marriage began) was (partner's name) working part-time? 1 Yes 2 No MI20 (At any time (in your first year of marriage/since your marriage began) was (partner's name): attending school? 1 Yes 2 No MI21 (At any time (in first year of marriage/since marriage began) was (partner's name): in the Armed Forces? 1 Yes 2 No MI22 (At any time (in first year of marriage/since marriage began) was (partner's name): unemployed and looking for work? 1 Yes 2 No MI23 Did (partner's name) live with both of (his/her) natural parents up to age 14? 1 Yes GO TO MI25 2 No MI24 Was that because: 01 Parents separated or divorced 05 A parent died 07 Other (specify) __________ MI25 Had (he/she) been married before (he/she) married you? 1 Yes 2 No MI26 Had (he/she) had any children? 1 Yes 2 No GO TO CKPT:MI28 MI27 Did any of these children live with you after you got married? 1 Yes 2 No CKPT:MI28 - If R married partner from NSFH1 and is still married, GO TO MI154; otherwise, GO TO MI40 MI28 Are you and (partner's name) still living together? 1 Yes GO TO MI155 2 No 7 Refused GO TO CKPT:MI154 8 Don't know GO TO CKPT:MI154 MI29M In what month and year did you separate? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of original interview. =====> ALL GO TO MI40 CKPT:MI30 - If R is not married, GO TO MI35 MI30 Next we want to find out about any changes in your marital status since (NSFH1 date). At that time you were married to (spouse's name). Are you still married (and living with/to) (him/her)? 1 Yes GO TO MI154 2 No GO TO MI34 R says they were married to someone else 7 Refused GO TO CKPT:MI154 MI31 What was that spouse's name? _________________________ MI32M When did you and (he/she) get married? (Response entered verbatim) _________________________ MI33 Are you and (he/she) still married? 1 Yes GO TO MI154 2 No 7 Refused GO TO CKPT:MI154 MI34 Did that marriage end in: 1 divorce, GO TO MI37M 2 separation with no divorce, or GO TO MI38M 3 widowhood? GO TO MI36M MI35 Next we want to find out about any changes in your marital status since (NSFH1 date). At that time you were married to (spouse's name). Did your marriage end in: 1 divorce, GO TO MI37M 2 separation with no divorce, or GO TO MI38M 3 widowhood? MI36M In what month and year did (spouse's name) die? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of original interview. =====> ALL GO TO MI40 MI37M In what month and year did you get divorced? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of original interview. MI38M In what month and year did you and (spouse's name) stop living together? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview, date of original interview, and the date of divorce. =====> ALL GO TO MI40 MI39 Next I want to ask you about any changes in your marital status since (NSFH1 date). At that time you (were married/ separated/widowed/divorced/had never been married). Since then have you (re)married? 1 Yes GO TO MI41 2 No GO TO MI42 7 Refused GO TO CKPT:MI154 8 Don't know GO TO CKPT:MI154 MI40 Since then have you (re)married? 1 Yes 2 No GO TO MI42 MI41 How many times have you gotten married since (NSFH1 date)? ________ times (RANGE:1-3) 1 GO TO CKPT:MI43 2 GO TO MI44 3+ GO TO MI44 7 Refused GO TO CKPT:MI154 8 Don't know GO TO CKPT:MI154 MI42 Since then have you lived with (a/another) partner of the opposite sex? 1 Yes GO TO MI140 2 No GO TO CKPT:MI154 CKPT:MI43 - If R is married, GO TO CKPT:MI45 MI43 What was this (husband/wife)'s first name? _________________________ CKPT:MI44 - If R gave the spouse's first name, GO TO CKPT:MI45 MI44 What was the first name of the first of these (husband/wive)s? _________________________ CKPT:MI45 . . a. If R has gotten married only once since NSFH1, GO TO MI47M b. If R has gotten married twice and is currently married, GO TO CKPT:MI46 . . MI45 What was first name of the second of these (husband/wive)s? _________________________ CKPT:MI46 . . a. If R has gotten married twice since NSFH1, GO TO MI47M b. If R has gotten married three or more times since NSFH1 and is currently married, GO TO MI47M . . MI46 What was first name of the third of these (husband/wive)'s? _________________________ MI47M In what month and year did you and (spouse's name/ first spouse's name) get married? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview, date of original interview, and (if appropriate) date of end of previous marriage. MI48 Did the two of you live together before you got married? 1 Yes 2 No GO TO CKPT:MI51 MI49M In what month and year did you begin living together? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of marriage. MI50 Did you live together continuously until your marriage? 1 Yes 2 No CKPT:MI51 - If R's status at NSFH1 was married, separated, divorced, or widowed, GO TO MI52 MI51 Did you live with any other partner between (NSFH1 date) and when you married ((first)spouse's name)? 1 Yes GO TO MI53 2 No GO TO CKPT:MI60 MI52 Did you live with any other partner between the end of your previous marriage and when you married (spouse's name/first spouse's name)? 1 Yes 2 No GO TO CKPT:MI60 MI53 How many other partners did you live with in this period? ________ partners (RANGE:1-6) 7 Refused GO TO CKPT:MI60 8 Don't know GO TO CKPT:MI60 MI54M In what month and year did you start living with (this/first) partner? Month _______________ 1 9 ____ ____ (1-12) (50-93) This date was checked for consistency against the date of current interview and the date of marriage. MI55M In what month and year did you stop living with (him/her)? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date began living with partner. CKPT:MI56M - If R lived with one partner between previous marriage and most recent marriage, GO TO CKPT:MI60 MI56M In what month and year did you start living with the second partner? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of last separation. MI57M In what month and year did you stop living with (him/her)? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date began living with partner. CKPT:MI58M - If R lived with 2 partners between previous marriage and most recent marriage, GO TO CKPT:MI60 MI58M In what month and year did you start living with the last partner? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of last separation. MI59M In what month and year did you stop living with (him/her)? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date began living with partner. CKPT:MI60 . a. If R has gotten married more than once since NSFH1, GO TO MI61 b. If R is married, GO TO CKPT:MI65 . MI60 Are you still married and living with (spouse's name) 1 Yes GO TO CKPT:MI65 2 No MI61 Did your marriage to ((first)spouse's name) end in: 1 divorce, GO TO MI63M 2 separation, or GO TO MI64M 3 widowhood? 7 Refused GO TO CKPT:MI65 8 Don't know GO TO CKPT:MI65 MI62M In what month and year did your (husband/wife) die? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of marriage. =====> ALL GO TO CKPT:MI65 I63M In what month and year did you get divorced? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of marriage. MI64M In what month and year did you and ((first)spouse's name) stop living together? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview, date of marriage, and date of divorce. MI65 How old was ((first)spouse's name) when you married (him/her)? ________ years (RANGE:14-94) MI66 What was the highest grade or level of education that ((first)spouse's name) had completed when you married (him/her)? (If R does not know the exact level of education, probe for approximate level) ________ grade/level (RANGE:0-18;or specify) MI67 What was ((first)spouse's name)'s religious preference when you married (him/her)? (CARD 11) (If Protestant ask: What denomination was that?) 01 No religion 02 Roman Catholic 03 Jewish 04 Baptist 05 Episcopalian 06 Lutheran 07 Methodist 08 Latter Day Saints (Mormon) 09 Presbyterian 10 United Church of Christ (Congregational) 11 Protestant (use this code only if R did not specify denomination) All other responses (specify) __________ MI68 At any time (in your first year of marriage/since your marriage began) was ((first)spouse's name) working full time? 1 Yes 2 No MI69 At any time (in your first year of marriage/since your marriage began) was (he/she) working part time? 1 Yes 2 No MI70 (At any time (in your first year of marriage/since your marriage began) was (he/she): attending school? 1 Yes 2 No MI71 (At any time (in your first year of marriage/since your marriage began) was (he/she):) in the Armed Forces? 1 Yes 2 No MI72 (At any time (in your first year of marriage/since your marriage began) was (he/she):) unemployed and looking for work? 1 Yes 2 No MI73 Did ((first)spouse's name) live with both of (his/her) natural parents up to age 14? 1 Yes GO TO MI75 2 No MI74 Was that because they had divorced or separated, because one of (his/her) parents had died, or for some other reason? 01 Parents separated or divorced 05 A parent died 07 Other (specify) __________ MI75 Had ((first)spouse's name) been married before (he/she) married you? 1 Yes 2 No MI76 Had (he/she) had any children? 1 Yes 2 No GO TO CKPT:MI78M MI77 Did any of these children live with you after you got married? 1 Yes 2 No CKPT:MI78M - If R has gotten married only once since NSFH1, GO TO CKPT:MI39 MI78M In what month and year did you and (second spouse) get married? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of end of previous marriage. MI79 Did the two of you live together before you got married? 1 Yes 2 No GO TO MI82 MI80M In what month and year did you begin living together? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of marriage. MI81 Did you live together continuously until your marriage? 1 Yes 2 No MI82 Did you live with any other partner between the end of your previous marriage and when you married (second spouse)? 1 Yes 2 No GO TO CKPT:MI90 MI83 How many other partners did you live with in this period? ________ partners (RANGE:1-6) 7 Refused GO TO CKPT:MI90 8 Don't know GO TO CKPT:MI90 MI84M In what month and year did you start living with the first partner? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of marriage. MI85M In what month and year did you stop living with (him/her)? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date began living together. CKPT:MI86M - If R lived with only one partner between first and second marriages since NSFH1, GO TO CKPT:MI90 MI86M In what month and year did you start living with the second partner? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of last separation. MI87M In what month and year did you stop living with (him/her)? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date began living together. CKPT:MI88M - If R lived with two partners between first and second marriages since NSFH1, GO TO CKPT:MI90 MI88M In what month and year did you start living with the last partner? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of last separation. MI89M In what month and year did you stop living with (him/her)? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date began living together. CKPT:MI90 . . a. If R has gotten married more than twice since NSFH1, GO TO MI91 b. If R is married, GO TO CKPT:MI95 . . MI90 Are you still married to and living with (second spouse)? 1 Yes GO TO CKPT:MI95 2 No MI91 Did your marriage to (second spouse) end in: 1 divorce, GO TO MI93M 2 separation, or GO TO MI94M 3 widowhood? 7 Refused GO TO CKPT:MI95 8 Don't know GO TO CKPT:MI95 MI92M In what month and year did (he/she) die? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of marriage. ======> ALL GO TO CKPT:MI95 MI93M In what month and year did you get divorced? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of marriage. MI94M In what month and year did you and (second spouse) stop living together? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview, date of divorce, and date of marriage. MI95 How old was (second spouse's name) when you married (him/her)? ________ years (RANGE:14-94) MI96 What was the highest grade or level of education that (second spouse) had completed when you married (him/her)? (If R does not know the exact level of education, probe for approximate level) ________ grade/level (RANGE:0-18;or specify) MI97 What was (his/her) religious preference at the time you married (him/her)? (CARD 11) (If Protestant ask: What denomination was that?) 01 No religion 02 Roman Catholic 03 Jewish 04 Baptist 05 Episcopalian 06 Lutheran 07 Methodist 08 Latter Day Saints (Mormon) 09 Presbyterian 10 United Church of Christ (Congregational) 11 Protestant (use this code only if R did not specify denomination) All other responses (specify) __________ MI98 At any time (in your first year of marriage/since marriage began) was (name of second spouse) working full-time? 1 Yes 2 No MI99 At any time (in your first year of marriage/since marriage began) was (he/she) working part-time? 1 Yes 2 No MI100 (At any time (in your first year of marriage/since marriage began) was (he/she): attending school? 1 Yes 2 No MI101 (At any time (in your first year of marriage/since marriage began) was (he/she): in the Armed Forces? 1 Yes 2 No MI102 (At any time (in your first year of marriage/since marriage began) was (he/she): unemployed and looking for work? 1 Yes 2 No MI103 Did (he/she) live with both of (his/her) natural parents up to age 14? 1 Yes GO TO MI105 2 No MI104 Was that because they had divorced or separated, because one of (his/her) parents had died, or for some other reason? 01 Parents separated or divorced 05 A parent died 07 Other (specify) __________ MI105 Had (he/she) been married before (he/she) married you? 1 Yes 2 No MI106 Had (he/she) had any children? 1 Yes 2 No GO TO CKPT:MI108M MI107 Did any of these children live with you after you got married? 1 Yes 2 No CKPT:MI108M - If R has gotten married twice since NSFH1, GO TO CKPT:MI139 MI108M In what month and year did you and (third spouse) get married? Month _______________ 1 9 ____ ____ (1-12) (87-93) MI109 Did the two of you live together before you got married? 1 Yes 2 No GO TO MI112 MI110M In what month and year did you begin living together? Month _______________ 1 9 ____ ____ (1-12) (87-93) MI111 Did you live together continuously until your marriage? 1 Yes 2 No CKPT:MI112 - If R had never been married at time of NSFH1, GO TO MI113 MI112 Did you live with any other partner between the end of your previous marriage and when you married (third spouse)? 1 Yes GO TO MI114 2 No GO TO MI121 MI113 Did you live with any other partner between (NSFH1 date) and when you married (third spouse)? 1 Yes 2 No GO TO MI121 MI114 How many other partners did you live with in this period? ________ partners (RANGE:1-6) 7 Refused GO TO MI121 8 Don't know GO TO MI121 MI115M In what month and year did you start living with the first partner? Month _______________ 1 9 ____ ____ (1-12) (87-93) MI116M In what month and year did you stop living with (him/her)? Month _______________ 1 9 ____ ____ (1-12) (87-93) CKPT:MI117M - If R lived with only one partner between second and third marriages since NSFH1, GO TO MI121 MI117M In what month and year did you start living with the second partner? Month _______________ 1 9 ____ ____ (1-12) (87-93) MI118M In what month and year did you stop living with (him/her)? Month _______________ 1 9 ____ ____ (1-12) (87-93) CKPT:MI119M - If R lived with two partners between second and third marriages since NSFH1, GO TO MI121 MI119M In what month and year did you start living with the last partner? Month _______________ 1 9 ____ ____ (1-12) (87-93) MI120M In what month and year did you stop living with (him/her)? Month _______________ 1 9 ____ ____ (1-12) (87-93) MI121 Are you still married to and living with (third spouse)? 1 Yes GO TO CKPT:MI126 2 No MI122 Did your marriage to (third spouse's name) end in: 1 divorce, GO TO MI124M 2 separation, or GO TO MI125M 3 widowhood? 7 Refused GO TO CKPT:MI126 8 Don't know GO TO CKPT:MI126 MI123M In what month and year did (third spouse) die? Month _______________ 1 9 ____ ____ (1-12) (87-93) =====> ALL GO TO CKPT:MI126 MI124M In what month and year did you get divorced? Month _______________ 1 9 ____ ____ (1-12) (87-93) MI125M In what month and year did you and (third spouse) stop living together? Month _______________ 1 9 ____ ____ (1-12) (87-93) MI126 How old was (third spouse) at the time you married (him/her)? ________ years (RANGE:14-94) MI127 What was the highest grade or level of education that (third spouse) had completed at the time you married (him/her)? (If R does not know the exact level of education, probe for approximate level) __________ grade/level (RANGE:0-18;or specify) MI128 What was (his/her) religious preference at the time you married (him/her)? (CARD 11) (If Protestant ask: What denomination was that?) 01 No religion 02 Roman Catholic 03 Jewish 04 Baptist 05 Episcopalian 06 Lutheran 07 Methodist 08 Latter Day Saints (Mormon) 09 Presbyterian 10 United Church of Christ (Congregational) 11 Protestant (use this code only if R did not specify denomination) All other responses (specify) __________ MI129 At any time (in your first year of marriage/since marriage began) was (third spouse's name) working full-time? 1 Yes 2 No MI130 At any time (in your first year of marriage/since marriage began) was (he/she) working part-time? 1 Yes 2 No MI131 (At any time (in your first year of marriage/since marriage began) was (he/she): attending school? 1 Yes 2 No MI132 (At any time (in your first year of marriage/since marriage began) was (he/she): in the Armed Forces? 1 Yes 2 No MI133 (At any time (in your first year of marriage/since marriage began) was (he/she): unemployed and looking for work? 1 Yes 2 No MI134 Did (he/she) live with both of (his/her) natural parents up to age 14? 1 Yes GO TO MI136 2 No MI135 Was that because they had divorced or separated, because one of (his/her) parents had died, or for some other reason? 01 Parents separated or divorced 05 A parent died 07 Other (specify) __________ MI136 Had (he/she) been married before (he/she) married you? 1 Yes 2 No MI137 Had (he/she) had any children? 1 Yes 2 No GO TO CKPT:MI139 MI138 Did any of these children live with you after you got married? 1 Yes 2 No CKPT:MI139 - If R is currently married or cohabiting, GO TO CKPT:MI140 MI139 Since your marriage to (most recent spouse's name) ended, have you lived with a partner of the opposite sex? 1 Yes GO TO MI140 2 No CKPT:MI140 . . a. If R is married, GO TO MI154 b. If R is cohabiting, GO TO MI155; otherwise, GO TO MI156 . . MI140 How many different partners have you lived with since then? ________ partners (RANGE:1-6) 7 Refused GO TO CKPT:MI154 8 Don't know GO TO CKPT:MI154 MI141M In what month and year did you begin living with (the first/this) partner? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of original interview. CKPT:MI142 - If R lived with more than 1 partner since most recent marriage ended, GO TO M143M MI142 Are you still living with this partner? 1 Yes GO TO CKPT:MI144 2 No MI143M And when did you stop living with (him/her)? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date began living together. CKPT:MI144 - If R has lived with at least 1 partner since NSFH1, GO TO CKPT:MI199 MI144 How old was (he/she) when you started living together? ________ years (RANGE:14-94) MI145 What was the highest grade or level of education that (he/she) had completed at the time you started living together? (If R does not know the exact level of education, probe for approximate level) ________ grade/level (RANGE:0-18;or specify) MI146 What was (his/her) religious preference? (CARD 11) (If Protestant ask: What denomination was that?) 01 No religion 02 Roman Catholic 03 Jewish 04 Baptist 05 Episcopalian 06 Lutheran 07 Methodist 08 Latter Day Saints (Mormon) 09 Presbyterian 10 United Church of Christ (Congregational) 11 Protestant (use this code only if R did not specify denomination) All other responses (specify) _________ MI147 Had (he/she) been married before you started living together? 1 Yes 2 No CKPT:MI148M - If R has lived with less than 2 partners since last marriage, GO TO CKPT:MI154 MI148M In what month and year did you begin living with the second partner? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of last separation. CKPT:MI149 - If R has not lived with only 2 partners since last marriage, GO TO MI150M MI149 Are you still living with this partner? 1 Yes GO TO MI155 2 No MI150M In what month and year did you stop living with (him/her)? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date began living together. CKPT:MI151M - If R has lived with less than 3 partners since last marriage, GO TO CKPT:MI154 MI151M In what month and year did you begin living with the last partner? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of last separation. MI152 Are you still living with this partner? 1 Yes GO TO MI155 2 No 7 Refused GO TO CKPT:MI154 8 Don't know GO TO CKPT:MI154 MI153M And when did you stop living with (him/her)? Month _______________ 1 9 ____ ____ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date began living together. CKPT:MI154 . . a. If R is married, GO TO MI154 b. If R is cohabiting, GO TO MI155; otherwise, GO TO MI156 . . MI154 Please turn to page 39 in your booklet. Here are some questions about your present marriage. Please tell me when you are finished. 1 Respondent completed form by himself/herself 2 Form read to respondent Comments (specify) __________ =====> ALL GO TO CKPT:MI166 MI155 Please turn to page 25 in your booklet. Here are some questions about your relationship. Please tell me when you are finished. 1 Respondent completed SE-5 by himself/herself 2 SE-5 read to respondent Comments (specify) __________ =====> ALL GO TO CKPT:MI166 MI156 How likely is it that you will get (re)married some day? Would you say you: 1 definitely won't get married, 2 probably won't, 3 about a 50-50 chance, 4 probably will, or 5 definitely will get married? MI157 How likely is it that you will live with a partner of the opposite sex without being married? Would you say you: 1 definitely won't, 2 probably won't, 3 about a 50-50 chance, 4 probably will, or 5 definitely will live with a partner to whom you are not married? MI158 In the last month, about how many times, if any, did you date or go out with someone of the opposite sex? (this includes "formal" dates, as well as going out or getting together informally with someone with whom R has, or may be interested in having, a romantic interest) ________ times (RANGE:0-31) MI159 In the last twelve months, about how many different persons, if any, have you dated? _________ persons (RANGE:0-90) MI160 Tell me whether you strongly agree, agree, disagree, or strongly disagree with the following statement: I would like to date more than I do. (CARD 12) 1 Strongly agree 2 Agree 3 Disagree 4 Strongly disagree CKPT:MI161 - If R has not dated anyone in the last 12 months, GO TO MI165 MI161 Do you have a steady (girl/boy)friend? 1 Yes 2 No GO TO MI165 MI162 How many days in the last week did you get together with (him/her)? ________ days (RANGE:0-7) MI163 How likely is it that you and your (girl/boy)friend will get married some day? Would you say you and your (girl/boy)friend: 1 definitely won't get married, 2 probably won't, 3 about a 50-50 chance, 4 probably will, or 5 definitely will get married? MI164 How likely is it that you and your (boy/girl)friend will decide to live together without being married? Would you say you: 1 definitely won't live together, 2 probably won't, 3 about a 50-50 chance, 4 probably will, or 5 definitely will live together? MI165 Turn in your booklet to page 19. Here are some questions about how you view marriage. Please tell me when you are finished. 1 Respondent completed SE-4 by himself/herself 2 SE-4 read to respondent Comments (specify) __________ ********************************************************************** WIDOWED SINCE FIRST INTERVIEW ********************************************************************** CKPT:MI166 - If marriage to spouse at NSFH1 ended in widowhood, GO TO MI166; otherwise, GO TO CKPT:MI196 MI166 The next few questions are about your (husband/wife), (spouse), and (his/her) experiences between the time we last interviewed (him/her) in (NSFH1 date) and (his/her) death. First of all, what was the MAIN cause of (his/her) death? (CARD 13) 01 Heart disease, heart attack 02 Cancer (malignancy, leukemia) 03 Stroke 04 Accident GO TO MI170 06 Pneumonia/influenza 07 Homicide/murder GO TO MI170 08 Suicide GO TO MI170 09 Diabetes 10 Cirrhosis of liver 11 Emphysema, chronic bronchitis, or asthma Some other cause (specify) __________ MI167 How long was your (husband/wife) ill with the condition that resulted in (his/her) death? ________ (RANGE:0-99) 000 Never ill, died suddenly GO TO MI170 997 Refused GO TO MI169 998 Don't know GO TO MI169 MI168 UNITS 1 Days 2 Weeks 3 Months 4 Years MI169 Was (his/her) final illness the result of an ongoing condition that you knew about for 6 months or longer, or did you learn about it for the first time only shortly before (he/she) died? 1 Knew about condition for 6 months or longer 2 Learned shortly before died MI170 In addition to the condition that resulted in (his/her) death, did (he/she) have any other chronic illness or condition at the time (he/she) died? 1 Yes 2 No GO TO MI172 MI171 What chronic illness or condition did (he/she) have? _________________________ MI172 In the 12 months prior to (his/her) death, how many weeks was (he/she) hospitalized? ________ weeks (RANGE:0-52) 90 Was not hospitalized MI173 In the 12 months before (he/she) died, how many weeks was (he/she) in a nursing home, convalescent center, or similar place? ________ weeks (RANGE:0-52) 90 Was not in nursing home, convalescent center, etc. MI174 Not counting time in a hospital or a nursing home, how many (additional) weeks did (he/she) require daily physical care during the 12 months before (his/her) death? By physical care we mean help eating, bathing, dressing, or going to the bathroom. ________ weeks (RANGE:0-52) 90 Did not require daily physical care GO TO MI180 MI175 Did you provide all of this daily physical care yourself or did someone else help you? 1 R did it by self GO TO MI180 2 Someone else helped MI176 Who helped you the most with (his/her) physical care in your home? (CARD 14) 01 Respondent's son 02 Respondent's son-in-law 03 Respondent's daughter 04 Respondent's daughter-in-law 05 Respondent's brother 06 Respondent's brother-in-law 07 Respondent's sister 08 Respondent's sister-in-law 09 Other relative (specify) __________ 10 Neighbor 11 Friend 12 Paid help 77 Some other person (specify) __________ MI177 Who else helped with (his/her) physical care in your home? 01 Respondent's son 02 Respondent's son-in-law 03 Respondent's daughter 04 Respondent's daughter-in-law 05 Respondent's brother 06 Respondent's brother-in-law 07 Respondent's sister 08 Respondent's sister-in-law 09 Other relative (specify) 10 Neighbor 11 Friend 12 Paid help 77 Some other person (specify) 90 No one else helped GO TO MI179 MI178 Who else helped with (his/her) physical care in your home? 01 Respondent's son 02 Respondent's son-in-law 03 Respondent's daughter 04 Respondent's daughter-in-law 05 Respondent's brother 06 Respondent's brother-in-law 07 Respondent's sister 08 Respondent's sister-in-law 09 Other relative (specify) 10 Neighbor 11 Friend 12 Paid help 77 Some other person (specify) 90 No one else helped MI179 About how many hours per week did (this person/these people) usually help with the physical care of your (husband/wife) in your home? ________ hours per week (RANGE:0-50) MI180 Just before your (husband/wife) died, were you living: 1 in your own house or apartment, 2 in the home of a son or daughter, GO TO MI185M 3 in a nursing home, or GO TO MI185M 4 someplace else? (specify) GO TO MI185M MI181 In the first six months after your (husband/wife) died, did someone stay with you for a week or more to help you or to be with you? 1 Yes 2 No GO TO MI183 MI182 Who stayed with you after your (husband/wife) died? (CARD 14) (If more than one person came to stay, enter the one who stayed the longest) 01 Respondent's son 02 Respondent's son-in-law 03 Respondent's daughter 04 Respondent's daughter-in-law 05 Respondent's brother 06 Respondent's brother-in-law 07 Respondent's sister 08 Respondent's sister-in-law 09 Other relative (specify) 10 Neighbor 11 Friend 12 Paid help 77 Some other person (specify) __________ MI183 In the first six months after your (husband/wife) died, did you go to stay with someone for a week or longer, so that they could help or comfort you? 1 Yes 2 No GO TO MI185M MI184 Who did you go to stay with after your (husband/wife) died? (If R stayed with more than one person, enter the one R stayed with the longest) 01 Respondent's son 03 Respondent's daughter 05 Respondent's brother 06 Respondent's brother-in-law 07 Respondent's sister 08 Respondent's sister-in-law 09 Other relative (specify) 10 Neighbor 11 Friend 77 Other (specify) __________ MI185M In what month and year did your (husband/wife) last work for pay in a full- or part-time job? Month _______________ 1 9 ____ ____ (1-12) (50-93) 9990 Never worked GO TO MI191 9997 Refused GO TO MI186 MI186 At the time of your (husband/wife)'s death was (he/she) receiving income from a pension plan based on (his/her) own employment, other than Social Security? 1 Yes 2 No CKPT:MI187 - If last time deceased spouse worked for pay was before or at the time of NSFH1, GO TO MI191 MI187 What kind of work did (he/she) do in (his/her) most recent job? (If spouse had more than one job, ask about the one at which he/she usually spent the most hours) _________________________ MI188 In the last year that (he/she) was working, about how many hours per week did (he/she) usually work? ________ hours per week (RANGE:1-93) CKPT:MI189 . . a. If R did not know year deceased spouse last worked for pay, GO TO MI190 b. If last time deceased spouse worked for pay was before NSFH1, GO TO MI190 . . MI189 Were there any periods of two months or longer between (NSFH1 date) and (month) 19(50-93) when (he/she) was not working? 1 Yes 2 No MI190 What was the highest grade or level of education that (he/she) completed? ________ grade/level (RANGE:0-18;or specify) MI191 Do you see your (husband's/wife's) relatives: 1 more frequently than before (his/her) death, 2 about the same, 3 less frequently, or 4 not at all? 6 Don't have any living relatives MI192 Do you see the friends you used to see together: 1 more frequently than before (his/her) death, 2 about the same, 3 less frequently, or 4 not at all? 5 Some more and some less 6 Didn't have any friends together CKPT:MI193 - If R has no adult children living elsewhere, GO TO CKPT:MI194 MI193 Please tell me whether you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements: I often wish I could live with one of my children. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree 6 Don't have any children GO TO CKPT:MI196 CKPT:MI194 - If R has no biological or adopted children age 5+, GO TO CKPT:MI196 MI194 After the death of my (husband/wife), my children encouraged me to date. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree 6 Don't have any children GO TO CKPT:MI196 MI195 After the death of my (husband/wife), my children encouraged me to remarry. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree 6 Don't have any children ********************************************************************** NONRESPONDENT SPOUSE AT NSFH1 ********************************************************************** CKPT:MI196 - If R was married or cohabiting at NSFH1 and spouse/partner did not fill out R2 questionnaire, GO TO MI196; otherwise, GO TO CKPT:MI203 MI196 When we interviewed you in (NSFH1 date) your (husband/wife/partner), (partner's name)(spouse's name), was not able to complete (his/her) questionnaire. I have a few questions about (him/her). How many years of education had (he/she) completed? ________ grade/level (RANGE:0-18;or specify) MI197 In (NSFH1 date) was (he/she): 1 working part-time, 2 working full-time, or 3 not working for pay? Other (specify) __________ MI198 Did (partner's name)(spouse's name) live with both of (his/her) natural parents up to age 14? 1 Yes GO TO MI200 2 No MI199 Was that because they had divorced or separated, because one of (his/her) parents had died, or for some other reason? 01 Parents separated or divorced 05 A parent died 07 Other (specify) __________ MI200 Had (partner's name)(spouse's name) been married before (he/she) (married/started living with) you? 1 Yes 2 No MI201 Had (he/she) had any children before (he/she) married you? 1 Yes 2 No GO TO CKPT:MI203 MI202 Did any of these children live with you after you got married to (him/her)? 1 Yes 2 No CKPT:MI203 - If interviewing current spouse/partner, GO TO CKPT:MJ1 MI203 Please turn in the booklet to page 11. The questions in this section refer to your separation from (spouse's/ partner's name) in (month) 19(87-93). Tell me when you have finished with these questions. 1 Respondent completed SE-3 by himself/herself 2 SE-3 read to Respondent Comments (specify) __________ ********************************************************************** FERTILITY ********************************************************************** CKPT:MJ1 . . a. If R is female age fifty or greater, GO TO CKPT:MK1 b. If R is female and less than fifty, GO TO MJ3 c. If R is married male and his wife is less than fifty, GO TO MJ1 d. If R is male and cohabiting and his partner is less than fifty, GO TO MJ1 e. If R is non-married, non-cohabiting male age fifty- five or greater, GO TO CKPT:MK1 . . MJ1 Have you fathered any children that were born since (NSFH1 date)? 1 Yes 2 No GO TO MJ15 MJ2 How many children have you fathered that were born since (NSFH1 date)? ________ children (RANGE:1-6) =====> ALL GO TO MJ5M MJ3 Have you given birth to any children since (NSFH1 date)? 1 Yes 2 No GO TO MJ15 MJ4 How many children have you given birth to since (NSFH1 date)? ________ children (RANGE:1-6) Repeat questions MJ5M - MJ14M for up to 6 children born since NSFH1 MJ5M In what month and year was (this child) born? (ENTER IN TABLE 10) Month _______________ 1 9 ___ ___ (1-12) (87-93) This date was checked for consistency against the date of current interview and date of original interview (or previous post-NSFH1 birth) CKPT:MJ6 - If the birth dates of two or more children are the same, GO TO MJ10 MJ6 Just before that pregnancy began, did you yourself want to have (a/another) baby at SOME time? 1 Yes 2 No GO TO MJ8 MJ7 Did that pregnancy occur sooner than you wanted, later than you wanted, or at about the right time? 1 Sooner 2 Later 3 About the right time MJ8 And what about the (father/mother) - just before that pregnancy began, did (he/she) want (you) to have a baby at some time? 1 Yes 2 No GO TO MJ10 MJ9 Did that pregnancy occur sooner than the (father/mother) wanted, later than (he/she) wanted, or at about the right time? 1 Sooner 2 Later 3 About the right time MJ10 Has this child ever lived apart from you for two months or longer? (Probe for second through sixth child: Since then, has this child lived apart from you for two months or longer?) 1 Yes 2 No GO TO CKPT:MJ15 5 Child has never lived with R GO TO CKPT:MJ15 6 Child has died GO TO CKPT:MJ15 MJ11M In what month and year did you and this child first begin living apart for two months or longer? Month _______________ 1 9 ___ ___ (1-12) (87-93) 9990 Child has never lived with R GO TO CKPT:MJ15 MJ12 During that time, did the child live with: 01 the other parent, 02 with grandparents, or 03 somewhere else? MJ13 How many, if any, other times have you and this child lived apart for two months or more? ________ times apart (RANGE:0-10) MJ14M In what month and year did you and this child last begin living together again? Month _______________ 1 9 ___ ___ (1-12) (87-93) 9990 Never lived together again TABLE 10 ________________________________________________________________________________ FERTILITY HISTORY TABLE Birth Error Did you Pregnancy Did other Pregnancy Month Year Checks: want wanted parent wanted by another sooner, want other parent 1 2 child? later, or another sooner, later, right time? child or right time? ________________________________________________________________________________ 1. _____ 19 __ 1 2 1 2 1 2 1 2 3 1 2 1 2 3 2 _____ 19 __ 1 2 1 2 1 2 1 2 3 1 2 1 2 3 3. _____ 19 __ 1 2 1 2 1 2 1 2 3 1 2 1 2 3 4. _____ 19 __ 1 2 1 2 1 2 1 2 3 1 2 1 2 3 5. _____ 19 __ 1 2 1 2 1 2 1 2 3 1 2 1 2 3 6. _____ 19 __ 1 2 1 2 1 2 1 2 3 1 2 1 2 3 ________________________________________________________________________________ ________________________________________________________________________________ FERTILITY HISTORY TABLE Lived Month Year Where Number Month Year apart? child of times last began lived? lived apart living again? together ________________________________________________________________________________ 1. 1 2 _____ 19 __ 1 2 3 _____ _____ 19 __ 2. 1 2 _____ 19 __ 1 2 3 _____ _____ 19 __ 3. 1 2 _____ 19 __ 1 2 3 _____ _____ 19 __ 4. 1 2 _____ 19 __ 1 2 3 _____ _____ 19 __ 5. 1 2 _____ 19 __ 1 2 3 _____ _____ 19 __ 6. 1 2 _____ 19 __ 1 2 3 _____ _____ 19 __ ________________________________________________________________________________ MJ15 Have you adopted any children since (NSFH1 date)? 1 Yes 2 No GO TO CKPT:MJ19 MJ16 How many children have you adopted since (NSFH1 date)? ________ children (RANGE:1-4) 7 Refused GO TO CKPT:MJ19 Repeat questions MJ17M - MJ18 for up to 3 children adopted since NSFH1. MJ17M In what month and year did you adopt (this) child? Month _______________ 1 9 ___ ___ (1-12) (87-93) This date was checked for consistency against the date of current interview and date of original interview (or previous post-NSFH1 adoption) MJ18 How old was this child when you adopted (him/her)? ________ years (RANGE:0-18) ________________________________________________________________________________ ADOPTION TABLE MONTH YEAR ERROR CHECKS: CHILD'S AGE AT ADOPTION 1 2 -------------------------------------------------------------------------------- 1. __________ 19 __ 1 2 1 2 ____ 2. __________ 19 __ 1 2 1 2 ____ 3. __________ 19 __ 1 2 1 2 ____ -------------------------------------------------------------------------------- CKPT:MJ19 . . a. If R is male and is neither married nor cohabiting, GO TO CKPT:MJ25 b. If R is male and spouse/partner is not given, GO TO CKPT:MJ25 c. If R is male and spouse/partner is age 45 or more, GO TO CKPT:MK1 d. If R is female aged 45 or greater, GO TO CKPT:MK1 . . MJ19 (Are you/Is your wife/Is your partner) currently pregnant? 1 Yes 2 No GO TO CKPT:MJ25 MJ20 In what month is the baby due? ________ (RANGE:1-12) MJ21 Just before this pregnancy began, did you yourself want to have (a/another) baby at SOME time? 1 Yes 2 No GO TO MJ23 MJ22 Did this pregnancy occur sooner than you wanted, later than you wanted, or at about the right time? 1 Sooner 2 Later 3 About the right time MJ23 And what about the (father/mother) - just before this pregnancy began, did (he want you/she want) to have a baby at some time? 1 Yes 2 No GO TO CKPT:MJ25 MJ24 Did this pregnancy occur sooner than the (father/mother) wanted, later than (he/she) wanted, or at about the right time? 1 Sooner 2 Later 3 About the right time CKPT:MJ25 - If R or R's wife/partner is currently pregnant, GO TO MJ26 MJ25 Do you intend to have (a/another) (birth/child) sometime? 1 Yes GO TO MJ29 2 No GO TO MJ27 7 Refused GO TO CKPT:MJ31 8 Don't know GO TO CKPT:MJ31 MJ26 Not counting (your/your wife's/ your partner's) current pregnancy, do you intend to have another child sometime? 1 Yes GO TO MJ29 2 No 7 Refused GO TO CKPT:MJ31 8 Don't know GO TO CKPT:MJ31 MJ27 How sure are you that you will NOT have (more) children? Are you: 1 very sure, 2 moderately sure, or 3 not at all sure? =====> ALL GO TO CKPT:MJ31 MJ28 How sure are you that you will have (more) children? Are you: 1 very sure, 2 moderately sure, or 3 not at all sure? =====> ALL GO TO CKPT:MJ31 MJ29 How many (more) children do you intend to have? ________ children (RANGE:1-13) Respondent gave a range such as "2 or 3" (specify) 97 Refused GO TO CKPT:MJ31 98 Don't know GO TO CKPT:MJ31 MJ30 How sure are you that you will have (more) children? Are you: 1 very sure, 2 moderately sure, or 3 not at all sure? =====> ALL GO TO CKPT:MK1 CKPT:MJ31 . . a. If R or R's spouse/partner is currently pregnant, GO TO CKPT:MK1 b. If R intends to have another child, GO TO CKPT:MK1 . . MJ31 Since (NSFH1 date), have you had an operation that makes it impossible to have a child? 1 Yes 2 No GO TO CKPT:MJ33 MJ32M In what month and year did you have this operation? Month _______________ 1 9 ___ ___ (1-12) (87-93) CKPT:MJ33 - If R is neither married nor cohabiting, GO TO CKPT:MK1 MJ33 Since (NSFH1 date), has your (husband/wife/partner) had an operation that makes it impossible to have a child? 1 Yes 2 No GO TO CKPT:MK1 MJ34M In what month and year did your (husband/wife/partner) have this operation? Month _______________ 1 9 ___ ___ (1-12) (87-93) NSFH2 INTERVIEW QUESTIONNAIRE - PART 3 ********************************************************************** PROBLEM INVENTORY FOR ALL CHILDREN AGE 5-17 ********************************************************************** CKPT:MK1 - If neither R nor spouse/partner have children age 5-17, GO TO CKPT:MK44 MK1 Next I have some questions about: (child)/(the children age 5 to 17 living with you)/(your child(ren) age 5 to 17 who are not living with you)/(your (husband/wife/partner)'s child(ren) age 5 to 17) ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (If Respondent did not know anything about one or more of these children, he/she was told to answer for the children that he/she DID know about.) 1 Continue 2 R says he/she has no contact and knows nothing about any of these children GO TO CKPT:MK44 MK2 Sometimes, for one reason or another, some children are particularly difficult to raise. Would you describe (child/any of these children) as particularly difficult to raise? 1 Yes If only 1 eligible child, GO TO MK6 2 No GO TO MK4 6 R says he/she has no contact and knows nothing about (the child/any of these children) GO TO CKPT:MK44 Repeat question MK3 up to 5 times. MK3 Which children are particularly difficult to raise? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 5-17; if only eligible child is difficult to raise, name was automatically inserted. Probe for second through fifth children: Which other children are particularly difficult to raise?) (ENTER IN TABLE 10) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children that R says are difficult to raise (specify) 90 No other child mentioned GO TO MK4 91 R says all children are difficult to raise GO TO MK6 TABLE 10 ______________________________________________________ CHILDREN DIFFICULT TO RAISE HOUSEHOLD MEMBER NUMBER ------------------------------------------------------ 1. ____ 2. ____ 3. ____ 4. ____ 5. ____ ------------------------------------------------------ MK4 Would you describe (child/any of these children) as particularly EASY to raise? 1 Yes 2 No GO TO MK6 6 R says he/she has no contact and knows nothing about the child(ren) GO TO CKPT:MK44 Repeat question MK5 up to 5 times. MK5 Which children are particularly easy to raise? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 5-17; if only eligible child is easy to raise, name was automatically inserted. Probe for second through fifth children: Which other children are particularly easy to raise?) (ENTER IN TABLE 11) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children that R says are easy to raise (specify) 90 No other child mentioned GO TO MK6 91 R says all children are easy to raise GO TO MK6 TABLE 11 ______________________________________________________ CHILDREN EASY TO RAISE HOUSEHOLD MEMBER NUMBER ------------------------------------------------------ 1. _____ 2. _____ 3. _____ 4. _____ 5. _____ ------------------------------------------------------ MK6 (Does child/Do any of these children) have a long-lasting physical condition that limits (his/her/their) ability to walk, run, or play? 1 Yes 2 No GO TO MK10 6 R says he/she has no contact and knows nothing about the child(ren) GO TO CKPT:MK44 Repeat question MK7 up to 3 times. Ask MK8-MK9 only for first 2 children. MK7 Which children have a long-lasting physical condition that limits their ability to walk, run, or play? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 5-17; if only eligible child had a limiting physical condition, name was automatically inserted. Probe for second and third children: Which other child has a long-lasting physical condition that limits his or her ability to walk, run, or play?) (ENTER IN TABLE 12) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK10 MK8 How long has (he/she/this child) been limited in this way? 1 Less than 6 months 2 6-11 months 3 12 months or more 4 Since birth MK9 Is (child/this child) able to attend regular school? 1 Yes 2 No TABLE 12 _______________________________________________________________________________ CHILDREN WITH PHYSICAL DISABILITY HOUSEHOLD MEMBER LENGTH OF TIME ABLE TO ATTEND NUMBER WITH CONDITION REGULAR SCHOOL ________________________________________________________________________________ 1. __ 1 2 3 4 1 2 2. __ 1 2 3 4 1 2 3. __ ________________________________________________________________________________ MK10 (Does child/Do any of these children) have a long-lasting mental or emotional problem that limits (his/her/their) ability to learn or do regular school work? 1 Yes 2 No GO TO MK13 6 R says he/she has no contact and knows nothing about the child(ren) GO TO CKPT:MK44 Repeat question MK11 up to 3 times. Ask MK12 only for first 2 children. MK11 Which children have a long-lasting mental or emotional problem that limits their ability to learn or do regular school work? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 5-17; if only eligible child had a limiting mental or emotional problem, name was automatically inserted. Probe for second and third children: Which other children have a long-lasting mental or emotional problem that limits their ability to learn or do regular school work?) (ENTER IN TABLE 13) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK13 MK12 How long has (he/she/child) been limited in this way? 1 Less than 6 months 2 6-11 months 3 12 months or more 4 Since birth TABLE 13 ______________________________________________________________ CHILDREN WITH MENTAL OR EMOTIONAL PROBLEM HOUSEHOLD MEMBER LENGTH OF TIME NUMBER WITH CONDITION ______________________________________________________________ 1. __ 1 2 3 4 2. __ 1 2 3 4 3. __ ______________________________________________________________ MK13 (Has child/Have any of these children) ever dropped out of school or not been able to attend school for at least three months? 1 Yes 2 No GO TO MK18 6 R says he/she has no contact and knows nothing about the child(ren) GO TO CKPT:MK44 Repeat question MK14 up to 3 times. Ask MK15-MK17 only for first 2 children. MK14 Which children have ever dropped out of school or not been able to attend school for at least three months? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 5-17; if only eligible child had ever dropped out of school, name was automatically inserted. Probe for second and third children: Which other children have ever dropped out of school or not been able to attend school for at least three months?) (ENTER IN TABLE 14) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK18 MK15 Has that happened to (him/her/this child) more than once? 1 Yes 2 No MK16 What grade was (he/she/this child) in when this happened (the last time)? __________ (grade level) (RANGE:k-c (college);or specify) MK17 Why did (he/she/child) drop out or not attend school (the last time)? TABLE 14 ________________________________________________________________________________ CHILDREN DROPPED OUT OR UNABLE TO ATTEND SCHOOL HOUSEHOLD MEMBER HAPPENED MORE GRADE LAST REASON NUMBER THAN ONCE TIME HAPPENED ________________________________________________________________________________ 1. __ 1 2 __ __ 2. __ 1 2 __ __ 3. __ ________________________________________________________________________________ MK18 (Has child/Have any of these children) ever repeated a grade? 1 Yes 2 No GO TO MK22 Repeat question MK19 up to 3 times. Ask MK20-MK21 only for first 2 children. MK19 Which children have repeated a grade? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 5-17; if only eligible child has repeated a grade, name was automatically inserted. Probe for second and third children: Which other children have repeated a grade?) (ENTER IN TABLE 15) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK22 MK20 Which grades did (he/she/this child) repeat? ___________ (grade level) (RANGE:k-12;or specify) MK21 Which, if any, other grade did (he/she/this child) repeat? __________ (grade level) (RANGE:k-12;or specify) 90 No other grade mentioned TABLE 15 ________________________________________________________________________________ CHILDREN WHO HAVE REPEATED A GRADE HOUSEHOLD MEMBER GRADE REPEATED OTHER GRADE NUMBER REPEATED ________________________________________________________________________________ 1. __ __ __ 2. __ __ __ 3. __ ________________________________________________________________________________ MK22 (Has child/Have any of these children) been suspended or expelled from school at any time since (NSFH1 date)? 1 Yes 2 No GO TO MK26 Repeat question MK23 up to 3 times. Ask MK24-MK25 only for first 2 children. MK23 Which children have been suspended or expelled from school since (NSFH1 date)? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 5-17; if only eligible child had been suspended or expelled, name was automatically inserted. Probe for second and third children: Which other children have been suspended or expelled from school since (NSFH1 date)?) (ENTER IN TABLE 16) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK26 MK24 Has this happened to (him/her/child) more than once during this time? 1 Yes 2 No MK25 What grade was (he/she) in when this happened (the last time)? __________ (grade level) (RANGE:k-c (college);or specify) TABLE 16 _____________________________________________________________ CHILDREN WHO HAVE BEEN SUSPENDED OR EXPELLED HOUSEHOLD MEMBER MORE THAN GRADE NUMBER ONCE HAPPENED _____________________________________________________________ 1. __ 1 2 __ 2. __ 1 2 __ 3. __ _____________________________________________________________ MK26 Since (NSFH1 date), (has child/have any of the children) ever been in trouble with the police? 1 Yes 2 No GO TO CKPT:MK30b Repeat question MK27 up to 3 times. Ask MK28-MK29 only for first 2 children. MK27 Which children have been been in trouble with the police since (NSFH1 date)? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question is not asked if only one child age 5-17; if only eligible child had been in trouble with the police, name was automatically inserted. Probe for second and third children: Which other children have been in trouble with the police since (NSFH1 date)?) (ENTER IN TABLE 17) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO CKPT:MK30b MK28 Has (he/she/this child) been in trouble with the police more than once since (NSFH1 date)? 1 Yes 2 No MK29 How old was (he/she) when this happened (the last time)? __________ years (RANGE:5-19) TABLE 17 _____________________________________________________________ CHILDREN WHO HAVE BEEN IN TROUBLE WITH POLICE HOUSEHOLD MEMBER MORE THAN AGE HAPPENED NUMBER ONCE LAST TIME ------------------------------------------------------------- 1. __ 1 2 __ 2. __ 1 2 __ 3. __ _____________________________________________________________ CKPT:MK30 - If there is only one eligible child and that child has not attended school, GO TO MK36b MK30 During the last 12 months, (has child/have any of these children) skipped school or cut classes without your permission, or refused to go to school? 1 Yes 2 No GO TO MK33 Repeat question MK31 up to 3 times. Ask MK32 only for first 2 children. MK31 Which children skipped school or cut classes without your permission, or refused to go to school during the last 12 months? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 5-17; if only eligible child had skipped school, name was automatically inserted. Probe for second and third children: Which other children have skipped school or cut classes without your permission, or refused to go to school during the last 12 months?) (ENTER IN TABLE 18) __________ (household member number) (RANGE:2-55;or specify) 90 No other child mentioned GO TO MK33 MK32 How many days in the last 12 months did this happen? __________ days (RANGE:1-50) TABLE 18 _____________________________________________________________ CHILDREN WHO HAVE SKIPPED SCHOOL HOUSEHOLD MEMBER NUMBER OF TIMES NUMBER PAST 12 MONTHS ------------------------------------------------------------- 1. __ -- 2. __ __ 3. __ ------------------------------------------------------------- MK33 In the last 12 months, have you been asked to meet with a teacher or principal because of (child's/a child's) behavior problems? 1 Yes 2 No GO TO CKPT:MK36b Repeat question MK34 up to 3 times. Ask MK35 only for first 2 children. MK34 For which children's behavior problem have you been asked to meet with a teacher or principal in the last 12 months? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 5-17; if only eligible child had a behavioral problem which caused R to meet with a teacher, name was automatically inserted. Probe for second and third children: Which other children's behavior problem have you been asked to meet with a teacher or principal during the last 12 months?) (ENTER IN TABLE 19) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO CKPT:MK36b MK35 About how many times has this happened (with this child) in the last 12 months? __________ times (RANGE:1-25) TABLE 19 ______________________________________________________________ MEETING WITH CHILD'S TEACHER OR PRINCIPAL  CHILD'S HOUSEHOLD NUMBER OF TIMES MEMBER NUMBER PAST 12 MONTHS ______________________________________________________________ 1. __ -- 2. __ __ 3. __ ______________________________________________________________ CKPT:MK36 - If no children age 14-17 in household, GO TO MK40 MK36 (Has child/Have any of these children) ever (been/ gotten someone) pregnant? 1 Yes 2 No GO TO MK40 Repeat question MK37 up to 3 times. Ask MK38-MK39 only for first 2 children. MK37 Which children have been pregnant or gotten someone pregnant? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 5-17; if only eligible child had been/gotten someone pregnant, name was automatically inserted. Probe for second and third children: Which other children have been pregnant or gotten someone pregnant?) (ENTER IN TABLE 19) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK40 MK38 Has this happened more than once? 1 Yes 2 No MK39 How old was (he/she) (the last time)? __________ years (RANGE:13-19) TABLE 19 _____________________________________________________________ CHILD BEEN PREGNANT OR GOTTEN SOMEONE PREGNANT  CHILD'S HOUSEHOLD HAPPENED MORE AGE LAST MEMBER NUMBER THAN ONCE TIME HAPPENED _____________________________________________________________ 1. __ 1 2 13 14 15 16 17 18 19 2. __ 1 2 13 14 15 16 17 18 19 3. __ _____________________________________________________________ MK40 Since (NSFH1 date), (has child/have any of the children) ever seen a doctor or therapist about any emotional or behavioral problems? 1 Yes 2 No GO TO CKPT:MK43 Repeat question MK41 up to 3 times. Ask MK42 only for first 2 children. MK41 Which children have seen a doctor or therapist about an emotional or behavioral problem since (NSFH1 date)? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 5-17 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 5-17; if only eligible child had seen a doctor or therapist, name was automatically inserted. Probe for second and third children: Which other children have seen a doctor or therapist about an emotional or behavioral problem since (NSFH1 date)?) (ENTER IN TABLE 20) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO CKPT:MK43 MK42 How old was (child/he/she) the last time? __________ years (RANGE:0-19) TABLE 20 ______________________________________________________________ CHILD SEEN DOCTOR OR THERAPIST  CHILD'S HOUSEHOLD AGE LAST MEMBER NUMBER TIME ______________________________________________________________ 1. __ __ 2. __ __ 3. __ ______________________________________________________________ CKPT:MK43 - If R and spouse/partner have no children age 5-17, GO TO CKPT:MK44 MK43 Please turn to page 55 of the booklet, and answer the questions about parenting. 1 Respondent completed form by himself/herself 2 Form read to respondent Comments (specify) ********************************************************************** FOCAL CHILD AGE 5-17 BEHAVIOR AND OUTCOMES ********************************************************************** CKPT:ML1 . . a. If there is no focal child, GO TO CKPT:ML92 b. If Focal Child's name is blank, GO TO CKPT:ML92 d. If interviewing R1, GO TO ML2 d. If interviewing same spouse R had at NSFH1, GO TO ML1 e. If focal child is a biological or adoptive child of R, GO TO ML1 f. If focal child is living in R1's household, GO TO ML1 g. GO TO CKPT:ML92 . . ML1 When we interviewed your (husband/wife/partner) in 19(87/88), we asked a special series of questions about (focal child). Now we have more questions about (him/her) and (his/her) life. First some questions about (his/her) health. How would you rate (focal child)'s physical health in comparison to other children (his/her) age? Would you say it is: 01 excellent, 02 very good, 03 good, 04 fair, or 05 poor? 90 Respondent has no knowledge of focal child GO TO CKPT:ML92 91 Child is deceased GO TO CKPT:ML92 ML2 When we talked to you last time, we asked a special series of questions about (focal child). Now we have more questions about (him/her) and (his/her) life. First some questions about (his/her) health. How would you rate (focal child)'s physical health in comparison to other children (his/her) age? Would you say it is: 01 excellent, 02 very good, 03 good, 04 fair, or 05 poor? 90 Respondent has no knowledge of focal child GO TO CKPT:ML92 91 Child is deceased GO TO CKPT:ML92 CKPT:ML3 - If Focal Child is not living in R1's household, GO TO ML5 ML3 How tall is (focal child)? (Enter height in feet and/or inches) ________ feet (RANGE:3-6) ________ inches (RANGE:0-83) 90 Respondent has no knowledge of focal child GO TO CKPT:ML92 91 Focal child is deceased GO TO CKPT:ML92 ML4 How much does (he/she) weigh? ____________ pounds (RANGE:30-250;or specify) 990 Respondent has no knowledge of focal child GO TO CKPT:ML92 991 Focal child is deceased GO TO CKPT:ML92 ML5 (If interview occurs during school year): What grade is (focal child) currently in? (If interview occurs during the summer): What grade was (focal child) in last spring? ________ grade (RANGE:k-12;or specify) 90 Child (is not attending/was not attending last spring) 91 Child has not started school GO TO ML8 CKPT:ML6 - If Focal Child's age is less than 12, GO TO ML8 ML6 What sort of grades does (focal child) get? Would you say it is mostly A's, B's, C's, D's or what? 01 Mostly A's, GO TO ML8 02 A's and B's GO TO ML8 03 B's GO TO ML8 04 B's and C's GO TO ML8 05 C's GO TO ML8 06 C's and D's GO TO ML8 07 D's GO TO ML8 08 F's GO TO ML8 Other (specify) 90 Child does not attend school GO TO ML8 ML7 How well does (focal child) do in school? Is (he/she): 1 one of the best, 2 above the middle, 3 in the middle, 4 below the middle, or 5 near the bottom of the class? ML8 How good is (focal child) at the following activities, compared to other children (his/her) age? Is (he/she) one of the best, above the middle, in the middle, below the middle, or one of the worst at athletics and sports? (CARD 15) 1 One of the best 2 Above the middle 3 In the middle 4 Below the middle 5 One of the worst 6 R says not relevant to this child ML9 Compared to other children (his/her) age: Is (he/she) one of the best, above the middle, in the middle, below the middle, or one of the worst at: art or design? 1 One of the best 2 Above the middle 3 In the middle 4 Below the middle 5 One of the worst 6 R says not relevant to this child ML10 (Compared to other children (his/her) age, is (he/she) one of the best, above the middle, in the middle, below the middle, or one of the worst at:) Music? 1 One of the best 2 Above the middle 3 In the middle 4 Below the middle 5 One of the worst 6 R says not relevant to this child ML11 (Compared to other children (his/her) age, is (he/she) one of the best, above the middle, in the middle, below the middle, or one of the worst at:) Making or fixing mechanical things? 1 One of the best 2 Above the middle 3 In the middle 4 Below the middle 5 One of the worst 6 R says not relevant to this child ML12 (Even though it may be a long way off,) How much education do you think (focal child) will probably get? (CARD 16) 01 Not finish high school 02 Graduate from high school 03 Graduate from vocational or trade school 04 Graduate from a two-year junior or community college 05 Complete one to three years of college 06 Graduate from a four-year college or university 07 Complete a master's or doctorate degree Other (specify) CKPT:ML13 - If Focal Child is not living in R1's household, GO TO ML23 ML13 About how many good friends does (focal child) have who are (boys/girls)? (This refers to good friends who are same sex as child) ________ good friends (RANGE:0-20) ML14 About how many good friends does (he/she) have who are (girls/boys)? (This refers to good friends who are opposite sex as child) ________ good friends (RANGE:0-20) ML15 How frequently does (focal child) have friends come to your home for fun or to work on something together? Is it: 1 never or rarely, 2 once a month or less, 3 several times a month, 4 about once a week, 5 several times a week, or 6 almost every day? ML16 How many of (focal child)'s good friends do you know? Would you say you know: 1 all of them, 2 most of them, 3 about half, 4 a few of them, or 5 none of them? ML17 Last week, did you spend time with (focal child), just the two of you, for example, working on homework or a project, in leisure activities, or just having private talks? 1 Yes 2 No GO TO ML19 ML18 About how many hours did you do this with (focal child)? ________ hours (RANGE:1-50) ML19 When (focal child) does something especially bad, how often do you talk to (him/her) about what (he/she) did wrong: (CARD 17) 1 never, 2 less than half the time, 3 about half the time, 4 more than half the time, or 5 always? 6 Child never does anything especially bad GO TO ML23 ML20 When (focal child) does something especially bad, how often do you yell at (him/her)? (CARD 17) 1 Never 2 Less than half the time 3 About half the time 4 More than half the time 5 Always 6 Child never does anything especially bad GO TO ML23 ML21 (When (focal child) does something especially bad, how often do you:) take away (his/her) privileges, like TV, movies or dating? (CARD 17) 1 Never 2 Less than half the time 3 About half the time 4 More than half the time 5 Always 6 Child never does anything especially bad GO TO ML23 ML22 (When (focal child) does something especially bad, how often do you:) spank or slap (him/her)? (CARD 17) 1 Never 2 Less than half the time 3 About half the time 4 More than half the time 5 Always 6 Child never does anything especially bad ML23 During the last 30 days, how often did you and (focal child) talk about something that was worrying (him/her): (CARD 18) 1 almost every day, 2 several times a week, 3 about once a week, 4 two or three times, 5 once, or 6 never? ML24 During the last 30 days how often did you and (focal child) talk about something that (he/she) was excited about or interested in? (CARD 18) 1 Almost every day 2 Several times a week 3 About once a week 4 Two or three times 5 Once 6 Never CKPT:ML25 - If Focal Child is not living in R1's household, GO TO ML50 ML25 Some families are very physical in expressing affection and others are not so physical. During the last week, have you given (focal child) a hug or kiss to express your affection? 1 Yes 2 No GO TO ML27 ML26 About how many times in the last week have you done this? ________ times (RANGE:1-99) ML27 Sometimes children behave well and sometimes they don't. In the last week have you had to spank or hit (focal child) when (he/she) behaved badly? 1 Yes 2 No GO TO ML29 ML28 About how many times have you had to spank or hit (him/her) in the last week? ________ times (RANGE:1-99) ML29 There are many different ways that parents try to influence their children's behavior. How much of the time do you use each of the following to get (focal child) to do what you want or NOT to do what you don't want? How often do you explain your reasons to (him/her)? Is it: (CARD 17) 1 never, 2 less than half the time, 3 about half the time, 4 more than half the time, or 5 always? ML30 How often do you offer extra privileges or money? (CARD 17) 1 Never 2 Less than half the time 3 About half the time 4 More than half the time 5 Always ML31 How often do you threaten to take away privileges? (CARD 17) 1 Never 2 Less than half the time 3 About half the time 4 More than half the time 5 Always ML32 How often do you yell or shout? (CARD 17) 1 Never 2 Less than half the time 3 About half the time 4 More than half the time 5 Always ML33 Is (focal child) allowed to be at home alone in the afternoon after school, between 3 and 6 pm? 1 Yes 2 No 3 Sometimes - it depends ML34 Is (focal child) allowed to be at home alone at night, if you were gone late at night? 1 Yes 2 No 3 Sometimes - it depends ML35 Is (focal child) allowed to be at home alone overnight if you went on a trip? 1 Yes 2 No 3 Sometimes - it depends CKPT:ML36 - If Focal Child is younger than age 12, GO TO ML39 ML36 By what time is (focal child) supposed to be home on school nights? ________________ time (RANGE:4:00pm-3:30am;or specify) 9990 Child has no curfew 9991 By dark ML37 By what time is (he/she) supposed to be home on Friday and Saturday nights? ________________ time (RANGE:4:00pm-3:30am;or specify) 9990 Child has no curfew 9991 By dark ML38 In the last month, how many times has (focal child) violated (his/ her) curfew, coming home more than an hour late without permission? ________ times late (RANGE:0-30) CKPT:ML39 - If Focal Child is not attending school (or was not last spring), GO TO CKPT:ML52 ML39 In a typical school week, how many days do you check on whether (focal child) did (his/her) homework or other school assignments? (Asking child if homework is done is included as checking) ________ days (RANGE:0-7) 90 Child is not in school GO TO ML52 91 Child does not have homework or assignments GO TO ML41 ML40 In a typical school week, how many days do you help (focal child) with (his/her) homework or other school assignments? ________ days (RANGE:0-7) ML41 (In a typical school week how many days do you:) talk with (focal child) about school activities or events? ________ days (RANGE:0-7) ML42 (In a typical school week how many days do you:) talk with (focal child) about things (he/she) has learned in school? ________ days (RANGE:0-7) ML43 Do you give (focal child) special privileges or other rewards because of good grades or reports? 1 Yes 2 No 6 Not relevant- child doesn't get good grades or reports ML44 Do you limit (his/her) privileges or use other punishments because of bad grades or reports? 1 Yes 2 No 6 Not relevant- child doesn't get bad grades or reports ML45 Is the school (focal child) attends: 1 a public school, 2 a parochial or church school, or 3 another kind of private school? Other (specify) ML46 I'd like you to grade the school (focal child) attends. For each thing I read, tell me whether you would give the school a grade of A, B, C, D, or Fail. First, what grade would you give for: the overall quality of education? 1 A 2 B 3 C 4 D 5 Fail Other (specify) ML47 What grade would you give for how safe the school is for students who attend? 1 A 2 B 3 C 4 D 5 Fail Other (specify) ML48 (What grade would you give for:) teaching values that you want (focal child) to learn? 1 A 2 B 3 C 4 D 5 Fail Other (specify) ML49 (What grade would you give for:) maintaining order and discipline? 1 A 2 B 3 C 4 D 5 Fail Other (specify) ML50 During the last 12 months, about how many times, if at all, did you attend a school event in which (focal child) participated such as a play, sports competition, concert, or science fair? ________ times (RANGE:0-50) 90 Child doesn't participate in these activities ML51 During the last 12 months, about how many times did you attend a meeting for parents at the school (for example, to get information about school programs or policies or to hear about parents' concerns)? ________ times (RANGE:0-50) 90 School doesn't have such meetings CKPT:ML52 - If Focal Child is not living in R1's household, GO TO ML77 ML52 On a WEEKDAY, about how many hours does (focal child) watch television? ________ hours (RANGE:0-15) 90 None ML53 On a Saturday or Sunday, about how many hours does (focal child) watch television? (If R says it is different on Saturdays and Sundays, get average for Saturday and Sunday) ________ hours (RANGE:0-15) 90 None CKPT:ML54 - If Focal Child watches any television on weekdays or weekends, GO TO ML54; otherwise, GO TO ML56 ML54 Do you restrict the amount of television that (focal child) watches? 1 Yes 2 No 3 Try to, but not always successfully/sometimes ML55 Do you restrict the type of programs that (he/she) watches? 1 Yes 2 No 3 Try to, but not always successfully/sometimes ML56 About how many hours per week does (focal child) spend doing regular chores around the house, such as doing dishes, taking out the trash, mowing the lawn, taking care of younger children who live here, or helping in other ways? (If R says it varies at different times of the year, ask about what it is now) ________ hours (RANGE:0-50) ML57 Does (focal child) receive an allowance? 1 Yes 2 No GO TO ML60 ML58 How much is (his/her) allowance? (Enter dollars only; do not enter cents) $ ____________ (RANGE:0-500;or specify) ML59 Does this allowance pay (him/her) for work that (he/she) regularly does around the house? 1 Yes 2 No ML60 (In addition to this allowance,) is (he/she) paid for extra jobs done around the house? 1 Yes 2 No GO TO CKPT:ML62 ML61 In a typical month, how much is (he/she) usually paid for work around the house (in addition to the allowance)? (Enter dollars only; do not enter cents) $ ____________ (RANGE:0-500;or specify) CKPT:ML62 - If Focal Child's age is less than 12, GO TO CKPT:ML65 ML62 During the (past month/last month of the school year), did (focal child) earn money from other sources, such as a regular job, baby-sitting, or any other occasional work? 1 Yes 2 No GO TO ML64 ML63 How many hours each week did (focal child) usually work? (If R says it varies widely, no usual week, probe to get average) ________ hours (RANGE:0-50) =====> ALL GO TO CKPT:ML65 ML64 During (last) summer, (did/does) (focal child) earn money from a regular job, baby-sitting or any other occasional work? 1 Yes 2 No CKPT:ML65 - If Focal Child does not receive an allowance, is not paid for extra jobs around the house, does not receive money from any other sources, and did not earn money from any work last summer, GO TO ML66 ML65 Does (focal child) contribute any money to help pay family expenses, or to pay for things you would normally pay for such as food, clothes or school expenses? 1 Yes 2 No ML66 How much, if any, of (his/her) money is supposed to be saved for the future? (CARD 19) 0 None 1 Less than half 2 About half 3 More than half 4 All 6 Child has no money GO TO CKPT:ML68 ML67 How much, if any, of (his/her) money can be spent for whatever (he/she) wants? (CARD 19) 0 None 1 Less than half 2 About half 3 More than half 4 All CKPT:ML68 - If Focal Child's age is less than 15, GO TO CKPT:ML73 ML68 Does (focal child) have a driver's license or learner's permit? 1 Yes 2 No GO TO CKPT:ML73 ML69 Does (focal child) have (his/her) own car? 1 Yes 2 No ML70 Does (focal child) have (his/her) own motorcycle? 1 Yes 2 No ML71 Do you allow (focal child) to use a car pretty much whenever (he/she) wants to? 1 Yes 2 No 6 Family has no car GO TO CKPT:ML73 ML72 About how often does (focal child) use a car? Is it: (CARD 20) 1 Never or rarely, 2 Once a month or less, 3 Several times a month, 4 About once a week, 5 Several times a week, or 6 Almost every day? CKPT:ML73 - If Focal Child's age is less than 10, GO TO ML77 ML73 At what age, if at all, did (focal child) first date or go out with a (girl/boy)? ________ years (RANGE:10-18) 90 Has not gone out with a boy/girl yet GO TO ML77 ML74 And now, about how often does (focal child) usually go out with a (girl/boy)? (CARD 20) 1 Never or rarely 2 Once a month or less 3 Several times a month 4 About once a week 5 Several times a week 6 Almost every day ML75 Does (focal child) have a steady (girl/boy)friend? (If R says child has more than one steady girl/boyfriend, enter "2" (No)) 1 Yes 2 No GO TO ML77 ML76 How well, if at all, do you know (her/his) parents? Is it: 1 very well, 2 somewhat, 3 have met them, or 4 have never met them? ML77 In the last 3 months, how often have you and (focal child) had open disagreements about each of the following: how (he/she) dresses? (CARD 20) 1 Never or rarely 2 Once a month or less 3 Several times a month 4 About once a week 5 Several times a week 6 Almost every day CKPT:ML78 - If Focal Child's age is less than 12, GO TO ML79 ML78 (In the last 3 months, how often have you and (focal child) had open disagreements about:) (his/her) (girl/boy)friend? (CARD 20) 01 Never or rarely 02 Once a month or less 03 Several times a month 04 About once a week 05 Several times a week 06 Almost every day 90 Has no (girl/boy)friend ML79 (In the last 3 months, how often have you and (focal child) had open disagreements about:) (his/her) friends? (CARD 20) 1 Never or rarely 2 Once a month or less 3 Several times a month 4 About once a week 5 Several times a week 6 Almost every day ML80 (In the last 3 months, how often have you and (focal child) had open disagreements about:) (his/her) helping around the house? (CARD 20) 1 Never or rarely 2 Once a month or less 3 Several times a month 4 About once a week 5 Several times a week 6 Almost every day ML81 (In the last 3 months, how often have you and (focal child) had open disagreements about:) (his/her) school? (CARD 20) 1 Never or rarely 2 Once a month or less 3 Several times a month 4 About once a week 5 Several times a week 6 Almost every day ML82 (In the last 3 months, how often have you and (focal child) had open disagreements about:) getting along with other family members? (CARD 20) 1 Never or rarely 2 Once a month or less 3 Several times a month 4 About once a week 5 Several times a week 6 Almost every day ML83 (In the last 3 months, how often have you and (focal child) had open disagreements about:) money? (CARD 20) 1 Never or rarely 2 Once a month or less 3 Several times a month 4 About once a week 5 Several times a week 6 Almost every day CKPT:ML84 - If Focal Child's age is less than 12, GO TO ML87 ML84 (In the last 3 months, how often have you and (focal child) had open disagreements about:) how late (he/she) stays out at night? (CARD 20) 1 Never or rarely 2 Once a month or less 3 Several times a month 4 About once a week 5 Several times a week 6 Almost every day ML85 (In the last 3 months, how often have you and (focal child) had open disagreements about:) (his/her) sexual behavior? (CARD 20) 1 Never or rarely 2 Once a month or less 3 Several times a month 4 About once a week 5 Several times a week 6 Almost every day ML86 (In the last 3 months, how often have you and (focal child) had open disagreements about:) (his/her) drinking, smoking, or drug use? (CARD 20) 1 Never or rarely 2 Once a month or less 3 Several times a month 4 About once a week 5 Several times a week 6 Almost every day ML87 Taking all things together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely perfect, how would you describe your relationship with (focal child)? (CARD 7) Really Absolutely Bad |___|___|___|___|___|___|___|___|___|___|___| Perfect 0 1 2 3 4 5 6 7 8 9 10 CKPT:ML88 - If both R's mother and father are deceased, GO TO ML91 ML88 Now I want to ask you about (focal child)'s relationship with your parents. During the last year, how often did (focal child) talk on the telephone or receive a letter from your (mother or father/mother/father)? 1 Not at all 2 About once a year 3 Several times a year 4 1-3 times a month 5 About once a week 6 More than once a week ML89 During the last year, how often did (focal child) see your (mother or father/mother/father)? 1 Not at all 2 About once a year 3 Several times a year 4 1-3 times a month 5 About once a week 6 More than once a week ML90 On a scale of 0 to 10, where 0 is "not at all close", and 10 is "extremely close," how would you describe (focal child)'s relationship with your parent(s)? Not at Extremely All Close|___|___|___|___|___|___|___|___|___|___|___|Close 0 1 2 3 4 5 6 7 8 9 10 Relationship with grandmother and grandfather is very different - (specify) ML91 Next I have some questions about (focal child) for you to answer in the booklet. Please turn to page 49. 1 Respondent completed form by himself/herself 2 Form read to respondent Comments (specify) ********************************************************************** PROBLEM INVENTORY FOR CHILDREN 18-23 ********************************************************************** CKPT:MK44 - If neither R nor spouse/partner have any children age 18-23, GO TO CKPT:MK73b MK44 Next I have some questions about young adult children age 18-23. This includes (the children living here:)/(your children living elsewhere:)/(your (husband/wife/partner)'s children:) ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 18-23 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (Respondent may volunteer that he/she does not know anything about one or more of these children - e.g., spouse/partner's children living elsewhere. If so, say: Then just answer for the children that you do know about.) 1 Continue 2 R says he/she has no contact and knows nothing about any of these children GO TO CKPT:MK73b MK45 Sometimes, for one reason or another, some children are particularly difficult to raise. Would you describe (child/any of these children) as having been particularly difficult to raise? 1 Yes If only 1 eligible child, GO TO MK49 2 No GO TO MK47 6 R says he/she has no contact and knows nothing about the child(ren) GO TO CKPT:MK73b Repeat question MK46 up to 5 times. MK46 Which children were particularly difficult to raise? ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 18-23 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 18-23; if only eligible child was difficult to raise, name was automatically inserted. Probe for second through fifth children: Which other children are particularly difficult to raise?) (ENTER IN TABLE 21) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children that R says are difficult to raise (specify) 90 No other child mentioned GO TO MK47 91 R says all children are difficult to raise GO TO MK49 TABLE 21 ______________________________________________________ CHILDREN DIFFICULT TO RAISE HOUSEHOLD MEMBER NUMBER ______________________________________________________ 1. _____ 2. _____ 3. _____ 4. _____ 5. _____ ______________________________________________________ MK47 Would you describe (child/any of these children) as having been particularly EASY to raise? 1 Yes 2 No GO TO MK49 6 R says he/she had no contact and knows nothing about the child(ren) GO TO CKPT:MK73b Repeat question MK48 up to 5 times. MK48 Which children were particularly easy to raise? ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 18-23 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 18-23; if only eligible child was easy to raise, name was automatically inserted. Probe for second through fifth children: Which other children are particularly easy to raise?) (ENTER IN TABLE 22) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK49 91 R says all children are easy to raise GO TO MK49 TABLE 22 ______________________________________________________ CHILDREN EASY TO RAISE HOUSEHOLD MEMBER NUMBER ------------------------------------------------------ 1. ______ 2. ______ 3. ______ 4. ______ 5. ______ ------------------------------------------------------ MK49 (Does child/Do any of these children) have a long-lasting physical condition that limits (his/her/their) ability to walk, drive a car, or do other normal tasks of daily life? 1 Yes 2 No GO TO MK52 6 R says he/she has no contact and knows nothing about the child(ren) GO TO CKPT:MK73b Repeat question MK50 up to 3 times. Ask MK51 only for first 2 children. MK50 Which children have a long-lasting physical condition that limits their ability to walk, drive a car, or do other normal tasks of daily life? ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 18-23 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 18-23; if only eligible child had a limiting physical condition, name was automatically inserted. Probe for second and third children: Which other child has a long-lasting physical condition that limits (his/her) ability to walk, drive a car, or do other normal tasks of daily life?) (ENTER IN TABLE 23) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK52 MK51 How long has (he/she/this child) been limited in this way? 1 Less than 6 months 2 6-11 months 3 12 months or more 4 Since birth TABLE 23 _____________________________________________________________ CHILDREN WITH PHYSICAL DISABILITY HOUSEHOLD MEMBER LENGTH OF TIME NUMBER WITH CONDITION ------------------------------------------------------------- 1. _____ 1 2 3 4 2. _____ 1 2 3 4 3. _____ _____________________________________________________________ MK52 (Does child/Do any of these children) have a long-lasting mental or emotional problem that limits (his/her/their) ability to learn, hold a job, or do other normal tasks of adult life? 1 Yes 2 No GO TO MK55 6 R says he/she has no contact and knows nothing about the child(ren) GO TO CKPT:MK73b Repeat question MK53 up to 3 times. Ask MK54 only for first 2 children. MK53 Which children have a long-lasting mental or emotional problem that limits (his/her) ability to learn, hold a job, or do other normal tasks of adult life? Child's name selected by household member number. ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 18-23 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 18-23; if only eligible child had a limiting mental or emotional problem, name was automatically inserted. Probe for second and third children: Which other children have a long-lasting mental or emotional problem that limits their ability to learn, hold a job, or do other normal tasks of daily life?) (ENTER IN TABLE 24) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK55 MK54 How long has (he/she/this child) been limited in this way? 1 Less than 6 months 2 6-11 months 3 12 months or more 4 Since birth TABLE 24 _____________________________________________________________ CHILDREN WITH MENTAL OR EMOTIONAL PROBLEM HOUSEHOLD MEMBER LENGTH OF TIME NUMBER WITH CONDITION ------------------------------------------------------------- 1. __ 1 2 3 4 2. __ 1 2 3 4 3. __ _____________________________________________________________ MK55 (Has child/Have any of these children) ever dropped out of school before completing high school? 1 Yes 2 No GO TO MK58 6 R says he/she has no contact and knows nothing about the child(ren) GO TO CKPT:MK73b Repeat question MK56 up to 3 times. Ask MK57 only for first 2 children. MK56 Which children have ever dropped out of school before completing high school? (ENTER IN TABLE 25) ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 18-23 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 18-23; if only eligible child had dropped out of school, name was automatically inserted. Probe for second and third children: Which other children has ever dropped out of school before completing high school?) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK58 MK57 What grade was (he/she/this child) in when (he/she) dropped out? __________ grade/level (RANGE:k-c (college);or specify) TABLE 25 _____________________________________________________________ CHILDREN WHO HAVE DROPPED OUT OF SCHOOL HOUSEHOLD MEMBER GRADE WHEN NUMBER DROPPED OUT _____________________________________________________________ 1. _____ _____ 2. _____ _____ 3. _____ _____________________________________________________________ MK58 (Has child/Have any of these children) been suspended or expelled from school at any time since (NSFH1 date)? 1 Yes 2 No GO TO MK62 Repeat question MK59 up to 3 times. Ask MK60-MK61 only for first 2 children. MK59 Which children have been suspended or expelled from school since (NSFH1 date)? (ENTER IN TABLE 26) ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 18-23 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 18-23; if only eligible child had been suspended or expelled, name was automatically inserted. Probe for second and third children: Which other children have been suspended or expelled from school since (NSFH1 date)?) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK62 MK60 Has this happened to (him/her) more than once during this time? 1 Yes 2 No MK61 How old was (he/she) when this happened (the last time)? ___________ years (RANGE:13-23) TABLE 26 _____________________________________________________________ CHILDREN WHO HAVE BEEN SUSPENDED OR EXPELLED HOUSEHOLD MEMBER MORE THAN AGE LAST NUMBER ONCE HAPPENED _____________________________________________________________ 1. _____ 1 2 _____ 2. _____ 1 2 _____ 3. _____ _____________________________________________________________ MK62 Since (NSFH1 date), (has child/have any of the children) ever been in trouble with the police? 1 Yes 2 No GO TO MK66 Repeat question MK63 up to 3 times. Ask MK54-MK65 only for first 2 children. MK63 Which children have been been in trouble with the police since (NSFH1 date)? ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 18-23 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 18-23; if only eligible child had been in trouble with the police, name was automatically inserted. Probe for second and third children: Which other children have been in trouble with the police since (NSFH1 date)?) (ENTER IN TABLE 27) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK66 MK64 Has (he/she/this child) been in trouble with the police more than once since (NSFH1 date)? 1 Yes 2 No MK65 How old was (he/she) when this happened (the last time)? __________ years (RANGE:13-23) TABLE 27 _____________________________________________________________ CHILDREN WHO HAVE BEEN IN TROUBLE WITH POLICE HOUSEHOLD MEMBER MORE THAN AGE HAPPENED NUMBER ONCE LAST TIME _____________________________________________________________ 1. _____ 1 2 _____ 2. _____ 1 2 _____ 3. _____ _____________________________________________________________ MK66 (Has child/Have any of the children) ever been pregnant or gotten someone pregnant while they were not married? 1 Yes 2 No GO TO MK70 Repeat question MK67 up to 3 times. Ask MK68-MK69 only for first 2 children. MK67 Which children have been pregnant or gotten someone pregnant while they were not married? ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 18-23 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 18-23; if only eligible child had been/gotten someone pregnant, name was automatically inserted. Probe for second and third children: Which other children have been pregnant or gotten someone pregnant while they were not married?) (ENTER IN TABLE 28) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK70 MK68 Has this happened more than once? 1 Yes 2 No MK69 How old was (he/she) (the last time)? __________ years (RANGE:12-23) TABLE 28 _____________________________________________________________ CHILD BEEN PREGNANT OR GOTTEN SOMEONE PREGNANT CHILD'S HOUSEHOLD HAPPENED MORE AGE LAST MEMBER NUMBER THAN ONCE TIME HAPPENED _____________________________________________________________ 1. _____ 1 2 _____ 2. _____ 1 2 _____ 3. _____ _____________________________________________________________ MK70 Since (NSFH1 date), (has child/have any of the children) ever seen a doctor or therapist about any emotional or behavioral problems? 1 Yes 2 No GO TO CKPT:MK73b Repeat question MK71 up to 3 times. Ask MK72 only for first 2 children. MK71 Which children have seen a doctor or therapist about an emotional or behavioral problems in the last 5 years? ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN AGE 18-23 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 18-23; if only eligible child had seen a doctor or therapist, name was automatically inserted. Probe for second and third children: Which other children have seen a doctor or therapist about an emotional or behavioral problem in the last five years?) (ENTER IN TABLE 29) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO CKPT:MK73b MK72 How old was (child) the last time? __________ years (RANGE:13-23) TABLE 29 _____________________________________________________________ CHILD SEEN DOCTOR OR THERAPIST CHILD'S HOUSEHOLD AGE LAST MEMBER NUMBER TIME _____________________________________________________________ 1. _____ _____ 2. _____ _____ 3. _____ _____________________________________________________________ ********************************************************************** RELATIONSHIPS WITH FOCAL CHILD AGE 18-23 ********************************************************************** CKPT:ML92 . . a. If there is no focal 1 child, GO TO CKPT:ML140 b. If Focal Child's age is blank, GO TO CKPT:ML140 c. If Focal Child's age is less than 18, GO TO CKPT:ML140 d. If Focal Child's name is blank, GO TO CKPT:ML140 e. If interviewing R1, GO TO ML93 f. If R has the same spouse as at NSFH1, GO TO ML92 g. If focal child is a biological or adoptive child of R, GO TO ML92 h. If focal child in NOT living in R1's HH, GO TO ML140 . . ML93 When we talked to you last time, we asked a special series of questions about (focal child). Now we have more questions about (him/her) and (his/her) life. Over the last 3 months, about how often have you spent time with (focal child) in leisure activities, working on something together, or just having private talks? Answer from the categories on this card. (CARD 21) 01 Almost every day 02 Several times a week or more 03 About once a week 04 1 to 3 times a month 05 Once a month or less 06 Never 90 Have not seen child in last 3 months GO TO ML95 91 Child is deceased GO TO CKPT:ML140 ML94 Over the last 3 months, how often have you had a meal together with (him/her)? (CARD 21) 01 Almost every day 02 Several times a week or more 03 About once a week 04 1 to 3 times a month 05 Once a month or less 06 Never 90 Have not seen child in last 3 months ML95 In the last three months, how often have you and (focal child) had open disagreements about each of the following? how (he/she) dresses? (CARD 20) 01 Never or rarely 02 Once a month or less 03 Several times a month 04 About once a week 05 Several times a week 06 Almost every day 90 No contact with child in last 3 months GO TO ML106 CKPT:ML96 - If Focal Child is married, GO TO ML97 ML96 (In the last three months, how often have you had open disagreements about:) (his/her) (boyfriend/girlfriend)? (CARD 20) 01 Never or rarely 02 Once a month or less 03 Several times a month 04 About once a week 05 Several times a week 06 Almost every day 90 No contact with child in last 3 months GO TO ML106 91 Has no boy/girlfriend ML97 (In the last three months, how often have you had open disagreements about:) (his/her) friends? (CARD 20) 01 Never or rarely 02 Once a month or less 03 Several times a month 04 About once a week 05 Several times a week 06 Almost every day 90 No contact with child in last 3 months GO TO ML106 ML98 (In the last three months, how often have you had open disagreements about:) getting a job or a better job? (CARD 20) 01 Never or rarely 02 Once a month or less 03 Several times a month 04 About once a week 05 Several times a week 06 Almost every day 90 No contact with child in last 3 months GO TO ML106 ML99 (In the last three months, how often have you had open disagreements about:) (his/her) sexual behavior? (CARD 20) 01 Never or rarely 02 Once a month or less 03 Several times a month 04 About once a week 05 Several times a week 06 Almost every day 90 No contact with child in last 3 months GO TO ML106 ML100 (In the last three months, how often have you had open disagreements about:) (his/her) drinking, smoking, or drug use? (CARD 20) 01 Never or rarely 02 Once a month or less 03 Several times a month 04 About once a week 05 Several times a week 06 Almost every day 90 No contact with child in last 3 months GO TO ML106 ML101 (In the last three months, how often have you had open disagreements about:) money? (CARD 20) 01 Never or rarely 02 Once a month or less 03 Several times a month 04 About once a week 05 Several times a week 06 Almost every day 90 No contact with child in last 3 months GO TO ML106 CKPT:ML102 - If Focal Child is not living in R1's household, GO TO CKPT:ML104 ML102 (In the last three months, how often have you had open disagreements about:) (his/her) helping around the house? (CARD 20) 01 Never or rarely 02 Once a month or less 03 Several times a month 04 About once a week 05 Several times a week 06 Almost every day 90 No contact with child in last 3 months GO TO ML106 ML103 (In the last three months, how often have you had open disagreements about:) how late (he/she) stays out at night? (CARD 20) 01 Never or rarely 02 Once a month or less 03 Several times a month 04 About once a week 05 Several times a week 06 Almost every day 90 No contact with child in last 3 months GO TO ML106 CKPT:ML104 - If Focal Child is not married, GO TO CKPT:ML105 ML104 (In the last three months, how often have you had open disagreements about:) (his/her) (husband/wife)? (CARD 20) 01 Never or rarely 02 Once a month or less 03 Several times a month 04 About once a week 05 Several times a week 06 Almost every day 90 No contact with child in last 3 months GO TO ML106 CKPT:ML105 - If Focal Child does not have any children, GO TO ML106 ML105 (In the last three months, how often have you had open disagreements about:) raising (his/her) children? (CARD 20) 01 Never or rarely 02 Once a month or less 03 Several times a month 04 About once a week 05 Several times a week 06 Almost every day 90 No contact with child in last 3 months ML106 Sometimes parents and grown children avoid talking about certain topics because they lead to serious disagreements. Do you avoid talking with (focal child) about topics like politics, money, sex, or religion because it leads to serious disagreements? 1 Yes 2 No ML107 During the last 3 months, how often did you have an especially enjoyable time with (focal child)? (CARD 21) 01 Almost every day 02 Several times a week or more 03 About once a week 04 1 to 3 times a month 05 Once a month or less 06 Never 90 No contact with child in last 3 months GO TO ML109 ML108 During the last 3 months, how often did you argue or fight or have a lot of difficulty with (focal child)? (CARD 21) 01 Almost every day 02 Several times a week or more 03 About once a week 04 1 to 3 times a month 05 Once a month or less 06 Never 90 No contact with child in last 3 months ML109 Taking things all together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely perfect, how would you describe your relationship with (focal child)? (CARD 7) Really Absolutely Bad |___|___|___|___|___|___|___|___|___|___|___| Perfect 0 1 2 3 4 5 6 7 8 9 10 ML110 There are various ways that parents deal with serious disagreements with their sons and daughters. How often do you handle disagreements with (focal child) by: refusing to talk about it? Would you say: (CARD 22) 0 never, 1 seldom, 2 sometimes, 3 often, or 4 always? 6 R says they have no serious disagreements GO TO ML114 ML111 How often do you handle disagreements with (focal child) by: letting (focal child) have (his/her) way without much argument? (CARD 22) 0 Never 1 Seldom 2 Sometimes 3 Often 4 Always 6 R says they have no serious disagreements GO TO ML114 ML112 (How often do you handle disagreements with (focal child) by:) discussing your disagreements calmly? (CARD 22) 0 Never 1 Seldom 2 Sometimes 3 Often 4 Always 6 R says they have no serious disagreements GO TO ML114 ML113 (How often do you handle disagreements with (focal child) by:) arguing heatedly or shouting at each other? (CARD 22) 0 Never 1 Seldom 2 Sometimes 3 Often 4 Always 6 R says they have no serious disagreements ML114 Tell me if you strongly agree, agree, disagree, or strongly disagree with each of the following statements. It's easy for me to laugh and have a good time with (focal child). (CARD 12) 1 Strongly agree 2 Agree 3 Disagree 4 Strongly disagree 6 Neither agree nor disagree ML115 Do you strongly agree, agree, disagree, or strongly disagree: I feel on edge or tense when I'm with (focal child). (CARD 12) 1 Strongly agree 2 Agree 3 Disagree 4 Strongly disagree 6 Neither agree nor disagree ML116 (Focal child) is not very interested in my life or in what happens to me. (CARD 12) 1 Strongly agree 2 Agree 3 Disagree 4 Strongly disagree 6 Neither agree nor disagree ML117 I would like more influence over (focal child)'s decisions. (CARD 12) 1 Strongly agree 2 Agree 3 Disagree 4 Strongly disagree 6 Neither agree nor disagree ML118 (Focal child) is a loving and affectionate child. (CARD 12) 1 Strongly agree 2 Agree 3 Disagree 4 Strongly disagree 6 Neither agree nor disagree ML119 (Focal child) is often critical of me. (CARD 12) 1 Strongly agree 2 Agree 3 Disagree 4 Strongly disagree 6 Neither agree nor disagree ML120 How happy are you with each of the following aspects of (focal child)'s life: how well (focal child) has done in school? Are you: (CARD 23) 1 extremely unhappy, 2 somewhat unhappy, 3 somewhat happy, or 4 extremely happy? 5 Doesn't care/not interested/not involved GO TO ML125 6 Neither unhappy or happy CKPT:ML121 - If Focal Child is married, GO TO CKPT:ML122 ML121 How happy are you with (his/her) (girlfriend/boyfriend)? (CARD 23) 1 Extremely unhappy 2 Somewhat unhappy 3 Somewhat happy 4 Extremely happy 5 Has no girl/boyfriend 6 Neither unhappy or happy CKPT:ML122 - If Focal Child has never been married, GO TO ML124 ML122 How happy are you with (his/her) getting married at the age (he/she) did? (CARD 23) 1 Extremely unhappy 2 Somewhat unhappy 3 Somewhat happy 4 Extremely happy 6 Neither unhappy or happy ML123 How happy are you with (his/her) choice of a (husband/wife)? (CARD 23) 1 Extremely unhappy 2 Somewhat unhappy 3 Somewhat happy 4 Extremely happy 6 Neither unhappy or happy ML124 How happy are you with the occupation or career (he/she) wants? (CARD 23) 1 Extremely unhappy 2 Somewhat unhappy 3 Somewhat happy 4 Extremely happy 6 Neither unhappy or happy ML125 If you felt depressed or unhappy, how likely would you be to talk with (focal child)? Would you say: 1 definitely not, 2 probably not, 3 about a 50-50 chance, 4 probably would, or 5 definitely would? ML126 If you had a major decision to make, how likely would you be to talk with (focal child)? Would you say: 1 definitely not, 2 probably not, 3 about a 50-50 chance, 4 probably would, or 5 definitely would? =====> ALL GO TO CKPT:ML132 ML127-131 Not asked in interview. CKPT:ML132 - If Focal Child does not live in R1's household, GO TO CKPT:ML140 ML132 Taking things all together, on a scale from 0 to 10, where 0 means really bad and 10 means absolutely wonderful, how does having (focal child) living here work out for you? (CARD 25) Really Absolutely Bad|___|___|___|___|___|___|___|___|___|___|___| Wonderful 0 1 2 3 4 5 6 7 8 9 10 ML133 Does (he/she) pay anything to you for room or board? 1 Yes 2 No GO TO ML135 ML134 How much does (he/she) pay per month? $ ____________ (RANGE:1-999) 9990 Varies from month to month (specify) ML135 For each of the following things, tell me if you pay for none, some, or most of (focal child)'s expenses: (his/her) food. 1 None 2 Some 3 Most ML136 (Do you pay for none, some, or most of:) (his/her) clothing. 1 None 2 Some 3 Most ML137 (Do you pay for none, some, or most of:) (his/her) entertainment. 1 None 2 Some 3 Most ML138 (Do you pay for none, some, or most of:) (his/her) health care or health insurance. 1 None 2 Some 3 Most ML139 (Do you pay for none, some, or most of:) (his/her) transportation. 1 None 2 Some 3 Most ********************************************************************** PROBLEM INVENTORY FOR CHILDREN UNDER AGE 5 ********************************************************************** CKPT:MK73 - If neither R nor spouse/partner have any children under age 5, GO TO CKPT:MM1 MK73 Next I have some questions about: child/(the children age 4 or younger living with you:)/(your children age 4 or younger who are not living with you:)/(your husband/wife's/partner's children age 4 or younger:) ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN UNDER AGE 5 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (Respondent may volunteer that he/she does not know anything about one or more of these children - e.g., spouse/partner's children living elsewhere. If so, say: Then just answer for the children that you DO know about.) 1 Continue 2 R says he/she has no contact and knows nothing about any of these children GO TO CKPT:ML1 MK74 Sometimes, for one reason or another, some children are particularly difficult to raise. Would you describe (child/any of these children) as particularly difficult to raise? 1 Yes If only 1 eligible child, GO TO MK78 2 No GO TO MK76 Repeat question MK75 up to 5 times. MK75 Which children are particularly difficult to raise? ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN UNDER AGE 5 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 4 or younger; if only eligible child was difficult to raise, name was automatically inserted. Probe for second through fifth children: Which other children are particularly difficult to raise?) (ENTER IN TABLE 30) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children that R says are difficult to raise (specify) 90 No other child mentioned GO TO MK76 91 R says all children are difficult to raise GO TO MK76 TABLE 30 ______________________________________________________ CHILDREN DIFFICULT TO RAISE HOUSEHOLD MEMBER NUMBER ______________________________________________________ 1. _______ 2. _______ 3. _______ 4. _______ 5. _______ ______________________________________________________ MK76 Would you describe (child/any of them) as particularly EASY to raise? 1 Yes 2 No GO TO MK78 Repeat question MK77 up to 5 times. MK77 Which children are particularly easy to raise? ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN UNDER AGE 5 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 4 or younger; if only eligible child was easy to raise, name was automatically inserted. Probe for seond through fifth children: Which other children are particularly easy to raise?) (ENTER IN TABLE 31) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK78 91 R says all children are easy to raise GO TO MK78 TABLE 31 ______________________________________________________ CHILDREN EASY TO RAISE HOUSEHOLD MEMBER NUMBER ______________________________________________________ 1. ______ 2. ______ 3. ______ 4. ______ 5. ______ ______________________________________________________ MK78 (Does child/Do any of these children) have a long-lasting physical condition that limits (his/her/ their) ability to walk, run, crawl, play, or eat? 1 Yes 2 No GO TO MK81 Repeat question MK79 up to 3 times. Ask MK80 only for first 2 children. MK79 Which children have a long-lasting physical condition that limits their ability to walk, run, crawl, play, or eat? ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN UNDER AGE 5 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 4 or younger; if only eligible child had a limiting physical condition, name was automatically inserted. Probe for second and third children: Which other child has a long-lasting physical condition that limits their ability to walk, run, crawl, play or eat?) (ENTER IN TABLE 32) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK81 MK80 How long has (he/she/this child) been limited in this way? 1 Less than 6 months 2 6-11 months 3 12 months or more 4 Since birth TABLE 32 _____________________________________________________________ CHILDREN WITH LONG-LASTING PHYSICAL CONDITION HOUSEHOLD MEMBER LENGTH OF TIME NUMBER WITH CONDITION _____________________________________________________________ 1. _____ 1 2 3 4 2. _____ 1 2 3 4 3. _____ _____________________________________________________________ MK81 (Does child/Do any of these children) have a long-lasting mental or emotional problem that limits (his/her/their) ability to learn? 1 Yes 2 No GO TO MK84 Repeat question MK82 up to 3 times. Ask MK83 only for first 2 children. MK82 Which children have a long-lasting mental or emotional problem that limits their ability to learn? ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN UNDER AGE 5 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 4 or younger; if only eligible child had a limiting mental or emotional problem, name was automatically inserted. Probe for second and third children: Which other children have a long-lasting mental or emotional problem that limits their ability to learn?) (ENTER IN TABLE 33) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO MK84 MK83 How long has (he/she/this child) been limited in this way? 1 Less than 6 months 2 6-11 months 3 12 months or more 4 Since birth TABLE 33 _____________________________________________________________ CHILDREN WITH MENTAL OR EMOTIONAL PROBLEM HOUSEHOLD MEMBER LENGTH OF TIME NUMBER WITH CONDITION _____________________________________________________________ 1. _____ 1 2 3 4 2. _____ 1 2 3 4 3. _____ _____________________________________________________________ MK84 Has a doctor or therapist ever been consulted about emotional or behavioral problems (for any of these children)? 1 Yes 2 No GO TO CKPT:ML1 Repeat question MK85 up to 3 times. Ask MK86 only for first 2 children. MK85 Which children? (doctor or therapist consulted about) ////////////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF R'S AND SPOUSE/PARTNER'S / / CHILDREN UNDER AGE 5 DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////////////////////// (This question not asked if only one child age 4 or younger; if only eligible child had caused R to consult a doctor or therapist, name was automatically inserted. Probe for second and third children: Which other children?) (ENTER IN TABLE 34) __________ (household member number) (RANGE:2-55) Enter names and numbers of all other children mentioned (specify) 90 No other child mentioned GO TO CKPT:ML1 MK86 How old was (child/he/she) the last time? __________ years (RANGE:0-4) TABLE 34 _____________________________________________________________ CHILDREN R CONSULTED A DOCTOR OR THERAPIST ABOUT CHILD'S HOUSEHOLD AGE LAST MEMBER NUMBER TIME ------------------------------------------------------------- 1. _____ _____ 2. _____ _____ 3. _____ _____________________________________________________________ ********************************************************************** NEW FOCAL CHILD UNDER AGE 5 ********************************************************************** CKPT:ML140 . . a. If there are no children age 4 and under in the household, GO TO CKPT:MM1 b. If the item which stores the "number of children in the household under age 4" is blank, GO TO CKPT:MM1 c. If the Focal1 Child's person number is not blank, GO TO CKPT:MM1 d. If R has already completed form SE-9, GO TO CKPT:ML141 . . ML140 Please turn to page 55 of the booklet, and answer the questions about parenting. 1 Respondent completed form by himself/herself 2 Form read to respondent Comments (specify) CKPT:ML141 - If there is only 1 child in the household between ages 0-18, GO TO ML142 ML141 The computer has selected (focal child) for some additional questions, beginning with some questions about (his/her) health. How would you rate (focal child)'s physical health in comparison to other children (his/her) age? Would you say it is: 1 excellent, 2 very good, 3 good, 4 fair, or 5 poor? =====> ALL GO TO ML143 ML142 How would you rate (focal child)'s physical health in comparison to other children (his/her) age? Would you say it is: 1 excellent, 2 very good, 3 good, 4 fair, or 5 poor? ML143 How tall is (focal child)? (Enter height and feet in inches) ______ feet (RANGE:1-6) ______ inches (RANGE:0-83;or specify) ML144 How much does (he/she) weigh? _________ pounds (RANGE:2-250;or specify) CKPT:ML145 . . a. If Focal Child's age is less than 1 year, GO TO ML149 b. If Focal Child's age = 1, GO TO ML154 c. If Focal Child's age = 2 or 3, GO TO ML162 . . ML145 Do you think (focal child) is ready for kindergarten? 1 Yes GO TO ML147 2 No 3 Currently in kindergarten GO TO ML147 4 Currently in first grade GO TO ML162 ML146 At what age do you think (he/she) will be ready? ________ years (RANGE:1-18;or specify) =====> ALL GO TO ML162 ML147 Do you think (focal child) is ready for first grade? 1 Yes GO TO ML162 2 No 3 Currently in first grade GO TO ML162 ML148 At what age do you think (he/she) will be ready? ________ years (RANGE:1-18;or specify) =====> ALL GO TO ML162 ML149 During feeding, how often does (focal child) squirm and kick? (CARD 26) 1 Almost never 2 Less than half the time 3 About half the time 4 More than half the time 5 Almost always ML150 During feeding, how often does (focal child) wave (his/her) arms? (CARD 26) 1 Almost never 2 Less than half the time 3 About half the time 4 More than half the time 5 Almost always ML151 During sleep, how often does (he/she) usually move around in the crib? (CARD 26) 1 Almost never 2 Less than half the time 3 About half the time 4 More than half the time 5 Almost always ML152 How regular is the time when (focal child) gets sleepy at night? Give or take 15 minutes, is it: 1 almost always the same time, 2 usually the same time, 3 usually different times, or 4 a different time almost every night? ML153 How regular are the times when (focal child) gets hungry during the day? Give or take 15 minutes, is it: 1 almost always the same time, 2 usually the same time, 3 usually different times, or 4 almost always different times? CKPT:ML154 - If Focal Child's age is less than 1, GO TO ML160 ML154 When (focal child) sees a stranger, how often does (he/she) turn away or cry as if afraid? Is it: (CARD 26) 1 almost never, 2 less than half the time, 3 about half the time, 4 more than half the time, or 5 almost always? ML155 When (focal child) sees an unfamiliar dog or cat, how often does (he/she) turn away or cry as if afraid? (CARD 26) 1 Almost never 2 Less than half the time 3 About half the time 4 More than half the time 5 Almost always ML156 When you leave the room and leave (focal child) alone, how often does (he/she) become upset? (CARD 26) 1 Almost never 2 Less than half the time 3 About half the time 4 More than half the time 5 Almost always ML157 When you take (him/her) to the doctor, dentist or nurse, how often does (he/she) turn away or cry as if afraid? (CARD 26) 1 Almost never 2 Less than half the time 3 About half the time 4 More than half the time 5 Almost always ML158 When (focal child) hears an unexpected loud sound, for example, a car backfiring or a vacuum cleaner, how often does (he/she) cry or become upset? (CARD 26) 1 Almost never 2 Less than half the time 3 About half the time 4 More than half the time 5 Almost always ML159 How often do you have trouble soothing or calming (focal child) when (he/she) is crying or upset? (CARD 26) 1 Almost never 2 Less than half the time 3 About half the time 4 More than half the time 5 Almost always ML160 During the average day, how often does (focal child) get fussy and irritable? (CARD 26) 1 Almost never 2 Once or twice a day 3 Several times a day 4 Almost every hour ML161 In general, compared with most children (her/his) age, how much does (focal child) cry and fuss? 1 Much less 2 Somewhat less 3 About the same 4 Somewhat more 5 Much more CKPT:ML162 - If Focal Child's age is less than 1, GO TO ML171 ML162 Last week, did you spend time with (focal child), just the two of you, for example, playing, working on a project, in leisure activities away from home, or just having private talks? 1 Yes 2 No GO TO ML164 ML163 Last week, about how many hours did you do this with (focal child)? ________ hours (RANGE:1-50) ML164 On a weekday, about how many hours does (focal child) watch television? ________ hours (RANGE:0-16) 90 Child never watches television GO TO ML168 ML165 On a weekend day, about how many hours does (focal child) watch television? ________ hours (RANGE:0-16) ML166 Do you restrict the amount of television that (focal child) watches? 1 Yes 2 No 3 Try to, but not always successfully/sometimes ML167 Do you restrict the type of programs that (he/she) watches? 1 Yes 2 No 3 Try to, but not always successfully/sometimes ML168 Does (focal child) attend a nursery, preschool, or daycare center? 1 Yes 2 No GO TO ML171 ML169 How many days each week does (he/she) attend? (If days vary ask for average or most frequent number) ________ days each week (RANGE:1-7;or specify) ML170 About how many hours each day does (he/she) spend there? (If time varies, ask for average or most frequent time) ________ hours each day (RANGE:1-15) ML171 About how many hours in a typical day do you spend taking care of (focal child)'s physical needs, including feeding, bathing, dressing, and putting (him/her) to bed? ________ hours (RANGE:0-24;or specify) CKPT:ML172 - If R is neither married nor cohabiting, GO TO ML173 ML172 About how many hours in a typical day does your (husband/wife/partner) spend taking care of (focal child)'s physical needs, including feeding, bathing, dressing, and putting (him/her) to bed? ________ hours (RANGE:0-24;or specify) ML173 Taking all things together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely perfect, how would you describe your relationship with (focal child)? (CARD 7) Really Absolutely Bad|___|___|___|___|___|___| ___|___|___|___|___|Perfect 0 1 2 3 4 5 6 7 8 9 10 CKPT:ML174 - If Focal Child's age is less than 3, GO TO CKPT:ML175 ML174 Next I have some questions about (focal child) for you to answer in the booklet. Please turn to page 53. 1 Respondent completed form by (him/her)self 2 Form read to respondent Comments (specify) CKPT:ML175 . . a. If R is living with parents, GO TO CKPT:ML178 b. If both of R's parents are deceased, GO TO CKPT:ML178 . . ML175 Now I want to ask you about (focal child)'s relationship with your parents. During the last year, how often did (focal child) talk on the telephone or receive a letter from your (mother or father/mother/father)? 01 Not at all 02 About once a year 03 Several times a year 04 1-3 times a month 05 About once a week 06 More than once a week 90 Child is too young ML176 During the last year, how often did (focal child) see your (mother or father/mother/father)? 01 Not at all 02 About once a year 03 Several times a year 04 1-3 times a month 05 About once a week 06 More than once a week 90 Child is too young ML177 On a scale of 0 to 10, where 0 is "not at all close," and 10 is "extremely close," how would you describe (focal child)'s relationship with your parents? Not at Extremely All Close|___|___|___|___|___|___|___|___|___|___|___|Close 0 1 2 3 4 5 6 7 8 9 10 Relationship with grandmother and grandfather is very different (specify) 90 Child is too young CKPT:ML178 - If child's birth month has not been given, GO TO ML179 ML178 You told me that (focal child) was born in (month) 19(87-93). What day of (month) is (his/her) birthday? ________ (day of month) (RANGE:1-31) GO TO CKPT:ML183 90 This is not correct month and/or year ML179 What is (focal child)'s date of birth? ________ (month) (RANGE:1-12) ML180 ENTER DAY OF MONTH OF BIRTH ________ (day of month) (RANGE:1-31) ML181 ENTER LAST TWO DIGITS OF YEAR OF BIRTH ________ (year) (RANGE:86-93) CKPT:ML183 - If month or year that focal child was born is not given, GO TO CKPT:MM1 ML183 Please turn to page (page) of the booklet, and answer the questions about (focal child). 1 Respondent completed form by (him/her)self 2 Form read to respondent Comments (specify) ********************************************************************** RESIDENT CHILD'S ABSENT PARENT ********************************************************************** CKPT:MM1 . . a. If R is currently married and spouse is not in the household, GO TO CKPT:MM87 b. If there are no children in HH with an absent parent, GO TO CKPT:MM87 c. If only one child in HH with an absent parent, GO TO MM2 . . MM1 From the list above, enter the household member number of the child whose names comes first alphabetically. __________ (household member number) (RANGE:2-55) MM2 Next, I'd like to ask you some questions about (child) and (his/her) (mother/father). First, did (his/her) (mother/father) have any children with someone else before you got together? 1 Yes 2 No CKPT:MM3 - If R has never married, GO TO MM4 MM3 Were you married to (child's) (mother/father) when child was born? 1 Yes GO TO MM12 2 No MM4 A child's natural, birth father can be made the child's legal father by going to a judge in a court, going to the child support office, or signing a special form in front of witnesses or a notary public. Have any of these things been done to try to make (you/the birth father) (child's) legal father, no matter what the outcome was? 1 Yes GO TO MM7 2 No GO TO CKPT:MM9 3 R says father's name/his name is on the birth certificate 4 R doesn't know who the father is GO TO CKPT:MM87 MM5 Was anything else done to make (you/the birth father) (child's) legal father? 1 Yes 2 No GO TO CKPT:MM9 MM6 What was that? _______________ (specify) MM7 As a result of what happened, (were/was) (you/the birth father) judged or declared to be (child's) legal father? This is sometimes referred to as establishing paternity. 1 Yes 2 No GO TO CKPT:MM9 3 Court has not yet made decision GO TO CKPT:MM9 MM8 How old was (child) when this happened? __________ years (RANGE:0-23) 90 Prior to birth 91 At birth CKPT:MM9 - If R has never been married, GO TO MM12 MM9 Did you marry (child's) (father/mother) after (he/she) was born? 1 Yes 2 No GO TO MM12 MM10M In what month and year did you marry (his/her) (mother/father)? Month __________________ 1 9 ___ ___ (1-12) (70-93) MM11 How old was (child) when you married (his/her) (mother/father)? __________ years (RANGE:0-23) MM12 What was the highest grade or level of education that (child's) (mother/father) had completed at the time (child) was born? __________ grade/level (RANGE:0-18;or specify) GO TO MM15 MM13 As far as you know, had (child's) (mother/father) completed high school? 1 Yes 2 No GO TO MM15 MM14 Had (he/she) completed college? 1 Yes 2 No MM15 Did you have any other children with (child's) (mother/father) either before or after (child) was born? 1 Yes 2 No GO TO MM19 CKPT:MM16 - If there are less than 2 biological children in HH, GO TO CKPT:MM17 MM16P01 Which of the other children living here are your children with (child's) (mother/father)? (ENTER IN TABLE 35) __________ (household member number) (RANGE:2-55) 90 None are (his/her) children GO TO MM17 97 Refused GO TO MM19 98 Don't know GO TO MM19 MM16P02 Which other children living here are your children with (child's) (mother/father)? (Enter HH number of next child in table below, repeat probe: "Any other children?" until no more children are listed.) (ENTER IN TABLE 35) __________ (household member number) (RANGE:2-55) 90 No more children GO TO MM18 97 Refused GO TO MM19 98 Don't know GO TO MM19 TABLE 35 ________________________________________________ OTHER CHILDREN OF ABSENT PARENT LIVING IN HH HH NUMBER __________________ a. ________ b. ________ c. ________ d. ________ e. ________ f. ________ _________________________________________________ CKPT:MM17 - If there are NO biological children living elsewhere, GO TO MM19 MM17 Did you and (child's) (mother/father) have any other children who don't live here? 1 Yes 2 No GO TO MM19 MM18 What are the names of these children? (ENTER IN TABLE 36) (Enter HH number of each child in table below, repeat probe: "Any other children?" until no more children are listed.) __________ (household member number) (RANGE:2-55) Other (specify) 90 No more children GO TO MM19 TABLE 36 -------------------------------------------------- NAMES OF OTHER CHILDREN OF R AND ABSENT PARENT HH MEMBER NUMBER ---------------- a. ________ b. ________ c. ________ d. ________ e. ________ f. ________ g. ________ h. ________ _________________________________________________ MM19 Is (child's) (mother/father) still living? 1 Yes GO TO MM21M 2 No 7 Refused GO TO MM46 8 Don't know GO TO MM46 MM20M In what month and year did (child's) (mother/father) die? Month __________________ 1 9 ___ ___ (1-12) (70-93) ======> ALL GO TO MM46 MM21M In what month and year did you, (child), and (his/her) (mother/father) last live in the same household? Month __________________ 1 9 ___ ___ (1-12) (70-93) 9990 Never lived with other parent MM22 What is (child's) (mother/father)'s current marital status? Is (she/he): 1 married, GO TO MM24 2 separated because of marital problems, 3 divorced, 4 widowed, or 5 never married? 6 R knows absolutely nothing about other parent GO TO MM28 MM23 Is (she/he) currently living with a partner? 1 Yes 2 No 6 R knows absolutely nothing about other parent GO TO MM28 MM24 Has (child's) (mother/father) had any children since those (she/he) had with you? 1 Yes 2 No 3 Currently pregnant 6 R knows absolutely nothing about other parent GO TO MM28 MM25 Currently, are there any children aged 20 or younger living in (her/his) household? 1 Yes 2 No MM26 About how many miles from here does (child's) (mother/father) live? (A "less than one mile" response was coded 0. If the respondent did not know how many miles, we asked for the city/state and estimated the distance.) ______ Miles (RANGE:0-8000) 9993 Don't know where he/she lives GO TO MM28 MM27 In what state does (she/he) live? State: ___________ Respondent gave state GO TO CKPT:MM29 MM28 In what state did (she/he) live the last time you knew where (she/he) was? State: __________ CKPT:MM29 - If R does not know anything on current status of absent parent, GO TO MM34 MM29 The next questions are about (child's) (mother/father)'s work during the last 12 months. During the last 12 months, how many months was (she/he) working for pay? ___________ months (RANGE:0-12) 00 None GO TO MM31 MM30 During the last 12 months when (she/he) was employed, about how many hours a week did (she/he) usually work? ______________ hours a week (RANGE:1-65;or specify) MM31 What was (child's) (mother/father)'s total personal income in the last 12 months? $ ________________ (RANGE:0-99,999) Other (specify) GO TO MM34 999997 Refused GO TO MM34 999998 Don't know GO TO MM33 MM32 PER 1 Week 2 Month 3 Year Other (specify) ======> ALL GO TO MM34 MM33 Can you tell me approximately what (her/his) income was using the categories on this card? (CARD 27) MM34 About how often did (child) talk on the telephone or receive a letter from (his/her) (mother/father) during the (last 12 months/ time since (he/she) and CHILD stopped living together)? 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) MM35 During the (last 12 months/time since (he/she) and CHILD stopped living together), how often did (child) see (his/her) (mother/father) in person? (CARD 3) 01 Not at all 02 About once a year GO TO MM38 03 Several times a year GO TO MM38 04 1 to 3 times a month GO TO MM38 05 About once a week GO TO MM38 06 More than once a week GO TO MM38 Some other frequency (specify) MM36M In what month and year did (child) last see (her/him)? Month __________________ 1 9 ___ ___ (1-12) (70-92) 9990 Never saw parent GO TO MM44 MM37 How old was (child) the last time (he/she) saw (his/her) (mother/father)? ____________ years old (RANGE:0-20) =======> ALL GO TO MM44 MM38 In the (last 12 months/time since (he/she) and CHILD stopped living together), did (child) ever stay overnight with (his/her) (mother/father)? 1 Yes 2 No GO TO MM41 MM39 In the (last 12 months/time since (he/she) and CHILD stopped living together), how many nights all together did (child) spend with (his/her) (mother/father)? __________ nights (RANGE:0-200) 000 None GO TO MM41 200+ GO TO CKPT:MM87 MM40 What was the most nights in a row that (child) spent with (his/her) (mother/father) at one time? (These are nights when R and child's other parent were not living together.) __________ nights (RANGE:1-200) MM41 I'm going to read a list of things that sometimes happen with arrangements for children to spend time with the other parent. Using the categories on this card, please tell me how often these things happened in the (last 12 months/time since (he/she) and CHILD stopped living together). How often, if ever, did (child's) (mother/father) not show up for visits with (child)? Was it: (CARD 28) 0 never, 1 seldom, 2 sometimes, 3 very often, or 4 always? 6 There were no visits and no visits were planned GO TO MM44 MM42 How often, if ever, did (child's)(mother/father) make last minute changes about when to spend time with (him/her)? (CARD 28) 0 Never 1 Seldom 2 Sometimes 3 Very often 4 Always 6 There were no visits and no visits were planned GO TO MM44 MM43 How often, if ever, did YOU make last minute changes about when (child) would spend time with (his/her) (mother/father)? (CARD 28) 0 Never 1 Seldom 2 Sometimes 3 Very often 4 Always 6 There were no visits and no visits were planned MM44 If it were up to you, how often would you like (child) to see (his/her) (mother/father)? (CARD 3) 01 Not at all GO TO MM46 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 16 More than once a week 17 Would prefer that child live with other parent all the time GO TO MM46 18 As often as child (parent) wants Some other frequency 90 Is totally satisfied with current number 97 Refused GO TO MM46 MM45 If it were up to you, how many nights in a year would (child) spend with (his/her) (mother/father)? ___________ nights (RANGE:0-365) 990 Is totally satisfied with current number MM46 Now I have a few questions about (child's) grandparents on (his/her) (mother/father)'s side. Is (child's) grandfather on (his/her) (mother/father)'s side alive? 1 Yes 2 No MM47 Is (child's) grandmother on (his/her) (mother/father)'s side alive? 1 Yes 2 No CKPT:MM48 . . a. If grandfather is deceased, GO TO CKPT:MM51 b. If grandmother is deceased, GO TO CKPT:MM50 . . MM48 Do (child's) grandparents on (his/her) (mother/father)'s side live together? 1 Yes 2 No GO TO CKPT:MM50 MM49 How often in the last 12 months did (child) see (his/her) grandparents on (his/her) (mother/father)'s side? (CARD 3) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) =======> ALL GO TO CKPT:MM52 CKPT:MM50 - If grandfather is deceased, GO TO CKPT:MM51 MM50 How often in the last 12 months did (child) see (his/her) grandfather on (his/her) (mother/father)'s side? (CARD 3) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) CKPT:MM51 - If grandmother is deceased, GO TO CKPT:MM52 MM51 How often in the last 12 months did (child) see (his/her) grandmother on (his/her) (mother/father)'s side? (CARD 3) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) CKPT:MM52 - If child's other parent, GO TO CKPT:MM87 MM52 How much influence does (child's) (mother/father) have in making major decisions about such things as education, religion and health care? Does (she/he) have: 0 none, 1 a little, 2 some, 3 pretty much, or 4 a great deal of influence? 6 R says no contact with other parent: therefore no influence GO TO MM56 MM53 How often during the (last 12 months/time since (he/she) and CHILD stopped living together), did you talk about (child) with (his/her) (mother/father)? (CARD3) 01 Not at all GO TO MM56 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) 90 R says no contact with other parent GO TO MM56 MM54 During the (last 12 months/time since (he/she) and CHILD stopped living together), how much help did you get from (child) (mother/father) with raising (him/her)? (CARD 29) 00 None 01 A little 02 Some 03 Pretty much 04 A great deal Other (specify) 90 R says no contact with other parent GO TO MM56 MM55 During the (last 12 months/time since (he/she) and CHILD stopped living together), how much did (child's) (mother/father) interfere with the way you were raising (him/her)? (CARD 29) 00 None 01 A little 02 Some 03 Pretty much 04 A great deal Other (specify) 90 R says no contact with other parent GO TO MM56 MM56 I'm going to read you a list of issues that you and (child's) (mother/father) may have conflict over. For each one, please tell me if you have no conflict, a little, some, pretty much, or a great deal of conflict. How much conflict do you have about where (child) lives? Is it: (CARD 29) 0 none, 1 a little, 2 some, 3 pretty much, or 4 a great deal? 6 R says no conflict with other parent GO TO MM62 MM57 How much conflict do you have about: how (he/she) is raised? (CARD 29) 0 None 1 A little 2 Some 3 Pretty much 4 A great deal 6 R says no contact with other parent GO TO MM62 MM58 (How much conflict do you have about:) how you spend money on (child)? (CARD 29) 0 None 1 A little 2 Some 3 Pretty much 4 A great deal 6 R says no contact with other parent GO TO MM62 MM59 (How much conflict do you have about:) how he/she spends money on (child)? (CARD 29) 0 None 1 A little 2 Some 3 Pretty much 4 A great deal 6 R says no contact with other parent GO TO MM62 MM60 (How much conflict do you have about:) the time (she/he) spends with (child)? (CARD 29) 0 None 1 A little 2 Some 3 Pretty much 4 A great deal 6 R says no contact with other parent GO TO MM62 MM61 (How much conflict do you have about:) (her/his) financial contribution to (child's) support? (CARD 29) 0 None 1 A little 2 Some 3 Pretty much 4 A great deal 6 R says no contact with other parent MM62 How much do you try to keep (child) from knowing about your serious disagreements with (his/her) (mother/father): Is it: (CARD 29) 0 none, 1 a little, 2 some, 3 pretty much, or 4 a great deal? 6 Have no serious disagreements with other parent MM63 Overall, how satisfied are you with the current situation in each of the following areas? Tell me if you are very satisfied, somewhat satisfied, somewhat dissatisfied, or very dissatisfied with: where (child) lives? (CARD 30) 1 Very satisfied 2 Somewhat satisfied 3 Somewhat dissatisfied 4 Very dissatisfied MM64 How satisfied are you with the time (child) spends with (his/her) (mother/father)? (CARD 30) 1 Very satisfied 2 Somewhat satisfied 3 Somewhat dissatisfied 4 Very dissatisfied MM65 (How satisfied are you with:) (her/his) financial contribution to (child's) support? (CARD 30) 1 Very satisfied 2 Somewhat satisfied 3 Somewhat dissatisfied 4 Very dissatisfied MM66 On a scale from 0 to 10 where 0 is very unhappy and 10 is very happy, how happy are you with (child's) (mother/father) as a parent? (CARD 31) Very Very Unhappy |___|___|___|___|___|___|___|___|___|___|___| Happy 0 1 2 3 4 5 6 7 8 9 10 Other (specify) MM67 Now I have some questions about financial contributions (child's) (mother/father) might make to help support (child) (and his/her brothers and sisters living here). First I will ask about child support, including money paid directly to you as well as money you got from (she/he) through a court or government agency. During the (last 12 months/time since (he/she) and CHILD stopped living together), how much, if any, money did (child's) (mother/father) pay you in child support to spend on (him/her/the children)? (Do not include: basic AFDC grant, alimony paid to you, or family support.) $ ________________ (RANGE:0-99999) 0 None GO TO MM70 MM67 PER 1 Week 2 Every other week (twice a month, biweekly) 3 Month 4 Year Other (specify) MM69 Did you receive most of these payments: 01 directly from (child's) (mother/father), 02 through a court office, 03 through the AFDC agency, or 04 from someone else? (specify) MM70 Did (child's) (mother/father) pay for or provide (his/her) health insurance? (If other parent's employer provides insurance, enter "1" (yes) whether or not child actually used it.) 1 Yes 2 No MM71 (In addition to the money you've already told me about), in the last 12 months did (she/he) pay for (his/her/the children's) uninsured medical or dental expenses? 1 Yes 2 No MM72 Did (she/he) pay for or provide anything else, such as alimony or payments to a child care provider? (Alimony and maintenance are the same thing.) 1 Yes 2 No GO TO CKPT:MM74 MM73 What was that? _____________________________ (specify) CKPT:MM74 - If in the last 12 months absent child's other parent did not pay for any uninsured medical or dental expenses, alimony, or child care, GO TO MM76 MM74 Apart from money that you received directly from (child's) (mother/father), or through a court or government agency, what was the total dollar value of everything else (she/he) provided for (him/her/the children) in the (last 12 months/time since (he/she) and CHILD stopped living together)? $ ________________ (RANGE:0-99999) 0 None GO TO MM76 MM75 PER 1 Week 2 Every other week (twice a month, biweekly) 3 Month 4 Year Other (specify) MM76 Do you have a legal agreement with (child's) (mother/father) about child support, alimony, custody or visitation? (A legal agreement is one approved by a judge or court. Maintenance is the same as alimony.) 1 Yes 2 No GO TO CKPT:MM87 MM77 Is there a legal agreement about who (child) lives with? 1 Yes 2 No GO TO MM79 MM78 Is the agreement that (child): 01 lives with you all the time, 02 lives with (his/her) (mother/father) all the time, or 03 some other arrangement? (specify) MM79 Today, many states allow for joint legal custody. Joint legal custody means that both parents have equal decision-making rights regardless of where the child lives. Does your legal agreement give (child's) (mother/father) an equal say in making decisions about (him/her)? 1 Yes 2 No MM80 Now I need to know how much money (child's) (mother/father) is SUPPOSED to pay, whether or not (she/he) actually paid it. According to your legal agreement how much, if any, child support is (she/he) supposed to pay for (child) (and his/her brothers and sisters living here)? (Do not include alimony; include family support and payments that are supposed to be paid to an agency as well as payments that are supposed to be made directly) $ ________________ (RANGE:0-99,999) 0 None GO TO MM83 MM81 PER 1 Week 2 Every other week (twice a month, biweekly) 3 Month 4 Year Other (specify) MM82 In the (last 12 months/time since (he/she) and CHILD stopped living together), how many of the child support payments that (child's) (mother/father) was supposed to make were missed? Was it: 0 none, 1 less than one-quarter, 2 about a one-quarter, 3 half, 4 about three quarters, or 5 all? MM83 (In addition to the child support payments,) is (his/ her/the children)'s (mother/father) supposed to pay for or provide health insurance as part of your legal agreement? 1 Yes 2 No MM84 According to your legal agreement, is (child's) (mother/father) supposed to pay for uninsured medical or dental expenses? 1 Yes 2 No MM85 According to your legal agreement is (she/he) supposed to pay for or provide anything else, such as alimony or child care expenses? (Alimony and maintenance are the same thing) 1 Yes 2 No GO TO CKPT:MM87 MM86 What is that? ___________________________ (specify) ********************************************************************** ABSENT CHILD'S OTHER PARENT ********************************************************************** CKPT:MM87 . . a. If R is married and spouse is not in HH, GO TO CKPT:MN1 b. If Focal child lives with both parents, GO TO CKPT:MN1 c. If there are no biological children living elsewhere, GO TO CKPT:MN1 . . MM87 From the list above, enter the household member number of the child whose name comes first alphabetically. (Roster of absent child names displayed on screen) _______ (household member number) (RANGE:2-55) MM88 Next, I'd like to ask you some questions about (absent child) and (his/her) (mother/father). First, did (his/her) (mother/father) have any children with someone else before you got together? 1 Yes 2 No 6 R says already told you this in last series GO TO CKPT:MM119M CKPT:MM89 - If R has never married, GO TO MM90 MM89 Were you married to (child's) (mother/father) when (child) was born? 1 Yes GO TO MM98 2 No 6 R says already told you this in last series GO TO CKPT:MM119M MM90 A child's natural birth father can be made the child's legal father by going to a judge in a court, going to the child support office, or signing a special form in front of witnesses or a notary public. Have any of these things been done to try to make (you/the birth father) (child's) legal father, no matter what the outome was? 1 Yes GO TO MM93 2 No GO TO CKPT:MM95 4 R doesn't know who the father is GO TO CKPT:MN1 5 Father's name is on the birth certificate 6 R says already told you this in last series GO TO CKPT:MM119M 7 Refused GO TO CKPT:MM95 8 Don't know GO TO CKPT:MM95 MM91 Was anything else done to make (you/the birth father) (child's) legal father? 1 Yes 2 No GO TO CKPT:MM95 MM92 What was that? ___________________________ (specify) MM93 As a result of what happened, (were/was) (you/the birth father) judged or declared to be (child's) legal father? (This is sometimes called establishing paternity) 1 Yes 2 No GO TO CKPT:MM95 6 Court has not yet made decision GO TO CKPT:MM95 MM94 How old was (child) when this happened? _______________ years old (RANGE:0-23) 90 Prior to birth 91 At birth CKPT:MM95 - If R's marital status is never married, GO TO MM98 MM95 Did you marry (child's) (mother/father) after (he/she) was born? 1 Yes 2 No GO TO MM98 6 R says already told you this in last series GO TO CKPT:MM119M MM96M In what month and year did you marry (his/her) (mother/father)? Month __________________ 1 9 ___ ___ (1-12) (70-93) MM97 How old was (child) when you married (his/her) (mother/father)? _______________ years old (RANGE:0-23) MM98 What was the highest grade or level of education that (child's) (mother/father) had completed at the time (child) was born? __________ grade/level (RANGE:0-18;or specify) GO TO MM101 96 R says already told you this in last series GO TO CKPT:MM119M MM99 As far as you know, had (child's) (mother/father) completed high school? 1 Yes 2 No GO TO MM101 MM100 Had (she/he) completed college? 1 Yes 2 No MM101 Did you have any other children with (child's) (mother/father) either before or after (child) was born? 1 Yes 2 No GO TO MM105 CKPT:MM102 - If there are no biological children living in the HH, GO TO MM104 MM102 Which of the children living here are your children with (child's) (mother/father)? (Enter HH number of next child in table below, repeat probe: "Which other children living here are children with (child's) (mother/father)?" until no more children are listed) (ENTER IN TABLE 37) __________ (household member number) (RANGE:2-55) 90 None are (her/his) children GO TO CKPT:MM104 90 No more children GO TO CKPT:MM103 TABLE 37 ________________________________________________________ NAMES OF CHILDREN OF R AND ABSENT PARENT WHO LIVE IN HH HH MEMBER NUMBER a. ________ b. ________ c. ________ d. ________ e. ________ f. ________ _________________________________________________ CKPT:MM103 - If there are NO biological children living elsewhere, GO TO MM105 MM103 Did you and (child's) (mother/father) have any other children who don't live here? 1 Yes 2 No GO TO MM105 CKPT:MM104 - If R has less than 2 biological children living elsewhere, GO TO MM105 MM104 What are the names of these children? (ENTER IN TABLE 38) (Enter HH number of next child in table below, repeat probe: "What other children?" until no more children are listed) __________ (household member number) (RANGE:2-55;or specify) 90 No more children GO TO MM105 TABLE 38 ______________________________________________________________ NAMES OF CHILDREN OF R AND ABSENT PARENT WHO LIVE ELSEWHERE HH MEMBER NUMBER a. ________ b. ________ c. ________ d. ________ e. ________ f. ________ g. ________ h. ________ ____________________________________________________ CKPT:MM105 - If child lives with other parent, GO TO MM107 MM105 Is (child's) (mother/father) still living? 1 Yes GO TO CKPT:MM107 2 No 7 Refused GO TO CKPT:MM128 8 Don't know GO TO CKPT:MM128 MM106M In what month and year did (child's) (mother/father) die? Month __________________ 1 9 ___ ___ (1-12) (70-93) =======> ALL GO TO CKPT:MM128 MM107 What is (child's) (mother/father)'s current marital status? Is (she/he): 1 married, GO TO MM109 2 separated because of marital problems, 3 divorced, 4 widowed, or 5 never married? 6 R knows absolutely nothing about other parent GO TO MM113 MM108 Is (she/he) currently living with a partner? 1 Yes 2 No 6 R knows absolutely nothing about other parent GO TO MM113 MM109 Has (child's) (mother/father) had any children since those (she/he) had with you? 1 Yes 2 No 5 Currently pregnant 6 R knows absolutely nothing about other parent GO TO MM113 MM110 Currently, are there any other children aged 20 or younger living in (her/his) household? 1 Yes 2 No CKPT:MM111 . . a. If child lives with other parent, GO TO MM111 b. If R doesn't know where child lives or refused to say, GO TO CKPT:MM114 c. If R doesn't know distance of how far away child lives, GO TO MM112 . . MM111 In what state does (she/he) live? _____________ (state) R gave state (specify) ======> All GO TO CKPT:MM114 MM112 In what city and state does (child's) (mother/father) live? City: _____________________ State: _____________ R gave city (specify) 9999998 Don't know GO TO MM113 ======> ALL GO TO CKPT:MM114 MM113 In what city and state did (she/he) live the last time you knew where (she/he) was? City: _____________________ State: _____________ R gave city (specify) CKPT:MM114 - If R does not know anything about other parent, GO TO CKPT:MM119M MM114 The next questions are about (child's) (mother/father)'s work during the last 12 months. During the last 12 months, how many months was (she/he) working for pay? __________ months (RANGE:0-12;or specify) 00 GO TO MM116 MM115 During the last 12 months when (she/he) was employed, about how many hours a week did (she/he) usually work? _____________ hours a week (RANGE:1-65;or specify) MM116 What was (child's) (mother/father)'s total personal income in the last 12 months? $ ________________ (RANGE:0-99,999) Other (specify) GO TO CKPT:MM119M 999997 Refused GO TO CKPT:MM119M 999998 Don't know GO TO MM118 MM117 PER 1 Week 2 Month 3 Year Other (specify) =======> ALL GO TO CKPT:MM119M MM118 Can you tell me approximately what (her/his) income was using the categories on this card? (CARD 27) CKPT:MM119M - If R has not seen child in past 12 months, GO TO MM121 MM119M In what month and year did you last see (child) in person? Month __________________ 1 9 ___ ___ (1-12) (70-93) 9990 Never saw child =======> ALL GO TO MM126 MM120 How old was (child) the last time you saw (him/her)? _________ years old (RANGE 1-20) =======> ALL GO TO MM126 MM121 In the (last 12 months/time since you and (he/she) stopped living together), did (child) ever stay overnight with you? (These are nights when R and the other parent were not living together) 1 Yes 2 No GO TO CKPT:MM124 MM122 In the (last 12 months/time since you and (he/she) stopped living together), how many nights all together did (absent child) spend with you? _________ nights (RANGE:0-200) 000 None GO TO CKPT:MM124 MM123 What was the most nights in a row that (child) spent with you at one time? (These are nights when R and the other parent were not living together) _________ nights (RANGE:1-200) CKPT:MM124 - If child not living with other parent, GO TO MM126 MM124 I'm going to read a list of things that sometimes happen with arrangements for children to spend time with the other parent. Using the categories on this card, tell me how often these things happened in the (last 12 months/time since you and (he/she) stopped living together). How often, if ever, did (child's) (mother/father) make last minute changes about when (child) would spend time with you? (CARD 28) 0 Never 1 Seldom 2 Sometimes 3 Very often 4 Always 6 There were no visits and no visits were planned GO TO MM126 MM125 How often, if ever, did YOU make last minute changes about when to spend time with (child)? (CARD 28) 0 Never 1 Seldom 2 Sometimes 3 Very often 4 Always 6 There were no visits and no visits were planned MM126 If it were up to you, how often would you like to see (child)? (CARD 3) 01 Not at all GO TO CKPT:MM128 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 16 More than once a week 17 Would prefer that child live with him/her all the time GO TO CKPT:MM128 Some other frequency (specify) 90 Is totally satisfied with current number 97 Refused GO TO CKPT:MM128 MM127 If it were up to you, how many nights in a year would (child) spend with you? _________ nights (RANGE:0-365) 990 R is totally satisfied with current number CKPT:MM128 . . a. If absent child is focal 1 child from NSFH1, GO TO MM131 b. If R's father is dead, GO TO CKPT:MM130 c. If R's mother is dead, GO TO CKPT:MM129 d. If R's mother and father are not currently married to each other, GO TO CKPT:MM129 . . MM128 How often in the last 12 months did (child) see your parents? (CARD 3) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) =======> ALL GO TO MM131 CKPT:MM129 - If R's father is dead, GO TO CKPT:MM130 MM129 How often in the last 12 months did (child) see your father? (CARD 3) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) CKPT:MM130 - If R's mother is dead, GO TO MM131 MM130 How often in the last 12 months did (child) see your mother? (CARD 3) 01 Not at all 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) MM131 How much influence do you have in making major decisions about such things as education, religion and health care? (CARD 29) 0 None 1 A little 2 Some 3 Pretty much 4 A great deal 6 R says no contact with other parent; therefore no influence GO TO MM133 CKPT:MM132 - If child does NOT live with other parent or if absent parent is not alive, GO TO MM164 MM132 How often during the (last 12 months/time since you and (he/she) stopped living together), did you talk about (child) with (his/her) (mother/father)? (CARD 3) 01 Not at all GO TO MM133 02 About once a year 03 Several times a year 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) 90 R says no contact with other parent GO TO MM133 MM133 I'm going to read you a list of issues that you and (child's) (mother/father) may have conflict over. For each one, please tell me if you have no conflict, a little, some, pretty much, or a great deal of conflict. How much conflict do you have about where (child) lives? Is it: (CARD 29) 0 none, 1 a little, 2 some, 3 pretty much, or 4 a great deal? 6 R says no contact with other parent over anything GO TO MM139 MM134 How much conflict do you have about how (he/she) is raised? (CARD 29) 0 None 1 A little 2 Some 3 Pretty much 4 A great deal 6 R says no contact with other parent GO TO MM139 MM135 (How much conflict do you have about:) how you spend money on (child)? (CARD 29) 0 None 1 A little 2 Some 3 Pretty much 4 A great deal 6 R says no contact with other parent GO TO MM139 MM136 (How much conflict do you have about:) how (she/he) spends money on (child)? (CARD 29) 0 None 1 A little 2 Some 3 Pretty much 4 A great deal 6 R says no contact with other parent GO TO MM139 MM137 (How much conflict do you have about:) the time you spend with (child)? (CARD 29) 0 None 1 A little 2 Some 3 Pretty much 4 A great deal 6 R says no contact with other parent GO TO MM139 MM138 (How much conflict do you have about:) your financial contribution to (child's) support? (CARD 29) 0 None 1 A little 2 Some 3 Pretty much 4 A great deal 6 R says no contact with other parent MM139 How much do you try to keep (child) from knowing about your serious disagreements with (his/her) (mother/father)? Is it: (CARD 29) 0 none, 1 a little, 2 some, 3 pretty much, 4 a great deal? 6 Have no serious disagreements MM140 Overall, how satisfied are you with the current situation in each of the following areas? Tell me if you are very satisfied, somewhat satisfied, somewhat dissatisfied, or very dissatisfied with: where (child) lives? (CARD 30) 1 Very satisfied 2 Somewhat satisfied 3 Somewhat dissatisfied 4 Very dissatisfied MM141 How satisfied are you with the time you spend with (child)? (CARD 30) 1 Very satisfied 2 Somewhat satisfied 3 Somewhat dissatisfied 4 Very dissatisfied MM142 (How satisfied are you with:) your financial contribution to (child's) support? (CARD 30) 1 Very satisfied 2 Somewhat satisfied 3 Somewhat dissatisfied 4 Very dissatisfied MM143 On a scale from 0 to 10 where 0 is very unhappy and 10 is very happy, how happy are you with (child's) (mother/father) as a parent? (CARD 31) Very Very Unhappy |___|___|___|___|___|___|___|___|___|___|___| Happy 0 1 2 3 4 5 6 7 8 9 10 Other (specify) MM144 Now I have some questions about financial contributions you might make to help support (child) (and his/her brothers and sisters). First I will ask about child support. Include money you paid directly to (child's) (mother/father), money you paid to a court or government agency, and money deducted from your paycheck. During the (last 12 months/time since you and (he/she) stopped living together), how much, if any, money did you pay in child support for (child's) (mother/father) to spend on (him/her/the children)? (Do not include alimony; do include family support) $ ________________ (RANGE:0-99,999) 0 None GO TO MM147 MM145 PER 1 Week 2 Every other week (twice a month, biweekly) 3 Month 4 Year Other (specify) MM146 Did most of these payments go: 1 directly to (child's) (mother/father), 2 to a court office, 3 to the AFDC agency, or 4 to someone else? (specify) MM147 Did you pay for or provide health insurance for (child)? (If R's employer provides insurance, enter "1" (yes) whether or not the children used the insurance) 1 Yes 2 No MM148 (In addition to money you already told me about) in the (last 12 months/time since you and (he/she) stopped living together), did you pay for (his/her/their) uninsured medical or dental expenses? 1 Yes 2 No MM149 Did you pay for or provide anything else, such as alimony or payments to a child care provider? (Alimony and maintenance are the same thing) 1 Yes 2 No GO TO CKPT:MM151 MM150 What was that? ____________________________ CKPT:MM151 - If R did not pay for uninsured medical or dental expenses or did not make other payments for alimony or child care, GO TO MM153 MM151 Apart from money that you paid directly to (child's) (mother/ father), through a court or government agency, or by deduction from your paycheck, what was the total dollar value of everything else you provided for (him/her/the children)? $ ________________ (RANGE:0-99,999) 0 None GO TO MM153 MM152 PER 1 Week 2 Every other week (twice a month, biweekly) 3 Month 4 Year Other (specify) MM153 Do you have a legal agreement with (child's) (mother/father) about child support, alimony, custody or visitation? (A legal agreement is one approved by a judge or a court. Alimony and maintainence are the same thing.) 1 Yes 2 No GO TO CKPT:MN1 MM154 Is there a legal agreement about who (child) lives with? 1 Yes 2 No GO TO MM156 MM155 Is the agreement that (child): 1 lives with (his/her) (mother/father) all the time, 2 lives with you all the time, or 3 some other arrangement? (specify) MM156 Today, many states allow for joint legal custody. Joint legal custody means that both parents have equal decision-making rights regardless of where the child lives. Does your legal agreement give you an equal say in making decisions about (him/her)? 1 Yes 2 No MM157 Now I need to know how much money you are SUPPOSED to pay, whether or not you actually pay it. According to your legal agreement how much, if any, child support are you supposed to pay for (child)(and his/her brothers and sisters)? (Do not include alimony. Include family support and payments that are supposed to be paid to an agency as well as payments that are supposed to be made directly.) $ ________________ (RANGE:0-99,999) 0 None GO TO MM160 MM158 PER 1 Week 2 Every other week (twice a month, biweekly) 3 Month 4 Year Other (specify) MM159 In the (last 12 months/time since you and (he/she) stopped living together), how many of the child support payments that were supposed to be paid were missed? Was it: 0 none, 1 less than one-quarter, 2 about a one-quarter, 3 half, 4 three quarters, or 5 all? MM160 (In addition to child support payments,) are you supposed to pay for or provide health insurance as part of your legal agreement? 1 Yes 2 No MM161 According to your legal agreement, are you supposed to pay for (child's) uninsured medical or dental expenses? 1 Yes 2 No MM162 According to your legal agreement, are you supposed to pay for or provide anything else, such as alimony or child care expenses? (Alimony and maintenance are the same thing.) 1 Yes 2 No GO TO CKPT:MN1 MM163 What is that? ____________________________ =======> ALL GO TO CKPT:MN1 MM164 During the (last 12 months/time since you and (he/she) stopped living together), how much, if anything, did you pay for (child's) support? $ ________________ (RANGE:0-99,999) 0 None GO TO CKPT:MN1 MM165 PER 1 Week 2 Every other week (twice a month, biweekly) 3 Month 4 Year Other (specify) NSFH2 INTERVIEW SCHEDULE - PART 4 ********************************************************************** RESIDENCE HISTORY SINCE NSFH1 ********************************************************************** MN1 Is R's NSFH1 address the same as R's current address? (Interviewer answers this question) 1 Street address is the same 2 Street is different; city and state are the same GO TO MN3 3 City is different GO TO MN4 MN2 Now we want to find out where you have lived since we last talked to you. At any time since (NSFH1 date), did you live at any other address? (If respondent left to attend college or for military service, include this as a move.) 1 Yes 2 No GO TO MN11 MN3 Since (NSFH1 date), have you lived in another city or town, or have you always lived in (city)? (If respondent left to attend college or for military service, include this as a move.) 1 Lived in another city or town 2 Always lived in this city or town GO TO MN10 7 Refused GO TO MN11 8 Don't know GO TO MN11 Repeat MN4-MN7 for up to 5 different cities. MN4 Now we are interested in different cities or towns you have lived in since (NSFH1 date). When you left (city) to what city or town and state did you move? (Repeat this question for each move) (Here we are interested only in moves from one city/ town to another: not in moves from one address to another within a city or town. If respondent left to attend college or for military service, include this as a move. Do not include return to parents' home in summer as a move.) (ENTER IN TABLE 37) City:_______________ State:____________ MN5M In what month and year did you move to (city)? Month __________________ 1 9 ___ ___ (1-12) (87-93) MN6 Did you stay in (city), or did you move to another city or town? 1 Stayed there GO TO MN9 2 Moved to another city or town 7 Refused GO TO MN11 8 Don't know GO TO MN11 MN7 During that time you were in (city), at how many different addresses did you live? (Probe: Approximately how many addresses?) ___________ different addresses (RANGE:1-16) TABLE 37 ____________________________________________________________________________ RESIDENTIAL HISTORY TABLE ____________________________________________________________________________ Month or Stayed in Number of Move to: City State Season Year City addresses ---------------------------------------------------------------------------- 1. ________________ _____ ________ 19 ____ 1 2 _______ 2. ________________ _____ ________ 19 ____ 1 2 _______ 3. ________________ _____ ________ 19 ____ 1 2 _______ 4. ________________ _____ ________ 19 ____ 1 2 _______ 5. ________________ _____ ________ 19 ____ 1 2 _______ ___________________________________________________________________________ MN8M In what month and year did you move to the city or town that you are now living in? Month __________________ 1 9 ___ ___ (1-12) (87-93) MN9 Since you moved to your current community, at how many different addresses have you lived? (Probe: Approximately how many addresses?) ___________ different addresses (RANGE:1-16) =====> ALL GO TO MN11 MN10 Since (NSFH1 date), at how many different addresses have you lived? (Includes current address. Probe: Approximately how many addresses?) ___________ different addresses (RANGE:1-16) ********************************************************************** RELIGION ********************************************************************** MN11 What is your religious preference? (CARD 11) (If Protestant ask: What denomination was that?) _________________________ 01 No religion 02 Roman Catholic 03 Jewish 04 Baptist 05 Episcopalian 06 Lutheran 07 Methodist 08 Latter Day Saints (Mormon) 09 Presbyterian 10 United Church of Christ (Congregational) 11 Protestant (use this code only if R did not specify denomination) (specify) MN12 How often do you attend religious services? (The number of times attended is followed by the unit: per day, week, month, year in MN13.) ______ times (RANGE:0-50) 00 Never GO TO CKPT:MN14 Other (specify> GO TO CKPT:MN14 MN13 Per 1 Day 2 Week 3 Month 4 Year ********************************************************************** EDUCATION HISTORY ********************************************************************** CKPT:MN14 . . a. If R's education is less than a high school graduate, GO TO MN14 b. If R was not enrolled in school at NSFH1, GO TO MN20; otherwise, GO TO MN18M . . MN14 Since (NSFH1 date), did you receive a high school diploma or pass a high school equivalency test such as the GED? 1 Yes 2 No GO TO CKPT:MN32b MN15 Did you pass a high school equivalency test like the GED to get your diploma, or did you get a diploma at graduation from high school? 1 Passed equivalency test/GED GO TO MN16M 2 Got diploma at graduation from high school 3 Both GO TO MN17M MN16 In what month and year did you pass this test? Month __________________ 1 9 ___ ___ (1-12) (87-93) =====> ALL GO TO MN20 MN17M In what month and year did you receive your high school diploma? Month __________________ 1 9 ___ ___ (1-12) (87-93) =====> ALL GO TO MN20 MN18M In (NSFH1 date), you were attending a (college, trade, or professional school). In what month and year did you stop attending a (college, trade, or professional school) for at least four months? Month __________________ 1 9 ___ ___ (1-12) (87-93) 9990 Still attending MN19 During the period from (NSFH1 date), to ((month) 87-93), were you enrolled mostly full-time or mostly part-time? 1 Mostly part-time 2 About half full-time/half part-time 3 Mostly full-time CKPT:MN20 - If R is still attending NSFH1 school, GO TO MN26 MN20 Have you (again) attended as a full- or part-time student any of the types of schools listed on this card at any time since ((month) (87-93)? Do not count correspondence courses, schools at which you took 2 or fewer courses, or schools you attended less than six weeks. (CARD 32) (Types of schools listed: vocational, technical, or trade school; junior or community college; four-year college or university; professional or graduate school requiring prior college work for entrance, such as medical, dental, or law school, or seminary; business college or secretarial or nursing school) 1 Yes GO TO MN21M 2 No GO TO MN26 Repeat questions MN21M-MN25 for up to 5 different schools. MN21M In what month and year did you (next) begin attending one of the school types listed on the card? (CARD 32) (ENTER IN TABLE 38) Month __________________ 1 9 ___ ___ (1-12) (87-93) MN22 What type of school was this? Choose your answer from the categories on the card. (CARD 32) 1 Vocational, technical, or trade school. 2 Junior or community college. 3 Four-year college or university. 4 Professional or graduate school requiring prior college work for entrance, such as medical, dental, or law school, or seminary. 5 Business college or secretarial or nursing school. MN23M In what month and year did you stop attending a (college, trade, or professional school) for at least four months? (If R stopped attending and never attended again, enter month and year last attended.) Month __________________ 1 9 ___ ___ (1-12) (87-93) 9990 Still attending MN24 During this period were you enrolled mostly full-time or mostly part-time? 1 Mostly part-time 2 About half full-time/half part-time 3 Mostly full-time MN25 After that did you again attend as a full- or part-time student any of these types of schools? 1 Yes 2 No GO TO MN26 TABLE 38 ____________________________________________________________________________ EDUCATION HISTORY TABLE Month or Type of Month or Full/ Again Season Year School? Season Year Part? Attend? ____________________________________________________________________________ 1. ________ 19 ___ 1 2 3 4 5 ________ 19 ___ 1 2 3 1 2 2. ________ 19 ___ 1 2 3 4 5 ________ 19 ___ 1 2 3 1 2 3. ________ 19 ___ 1 2 3 4 5 ________ 19 ___ 1 2 3 1 2 4. ________ 19 ___ 1 2 3 4 5 ________ 19 ___ 1 2 3 1 2 5. ________ 19 ___ 1 2 3 4 5 ________ 19 ___ 1 2 3 - - ___________________________________________________________________________ MN26 Since (NSFH1 date), have you received any degrees? 1 Yes 2 No GO TO CKPT:MN32b Repeat questions MN27-MN31 for up to 3 degrees. MN27 What degrees have you received? (CARD 33) (ENTER IN TABLE 39) 1 Associate's Degree (2-year) 2 Bachelor's Degree 3 Master's Degree 4 Doctorate (Ph.D., M.D., LL.D., etc.) 7 Other (specify) MN28 In what year did you receive your (degree)? __________ (year) (RANGE:87-93) MN29 From what school did you receive your (degree)? ________________ MN30 In what city and state was this school? _________________ MN31 Since (NSFH1 date), have you received any other degrees? 1 Yes 2 No GO TO CKPT:MN32b TABLE 39 ____________________________________________________________________________ DEGREE HISTORY TABLE Type of Other Degree? Year School Name City & State Degree? ____________________________________________________________________________ 1. 1 2 3 4 5 19 ___ ______________ _______________ 1 2 2. 1 2 3 4 5 19 ___ ______________ _______________ 1 2 3. 1 2 3 4 5 19 ___ ______________ _______________ - - ___________________________________________________________________________ ********************************************************************** MILITARY SERVICE HISTORY ********************************************************************** CKPT:MN32 - If Respondent is older than age 49, GO TO CKPT:MO1 MN32 Now we have some questions about military service. Have you been on active duty in the Armed Forces at any time since (NSFH1 date)? 1 Yes 2 No GO TO CKPT:MO1 MN33M In what month and year did this period of active duty begin? Month __________________ 1 9 ___ ___ (1-12) (50-93) MN34M What was the month and year of your last separation from active duty? Month __________________ 1 9 ___ ___ (1-12) (87-93) 9990 Still on active duty GO TO CKPT:MO1 ********************************************************************** WORK HISTORY ********************************************************************** CKPT:MO1 . . a. If R was not employed at NSFH1, GO TO CKPT:MO7 b. If name of R's primary employer at NSFH1 is not known, GO TO CKPT:MO7 . . MO1 In (NSFH1 date), you were working for (primary employer). Are you still working (there/for yourself) as your main job? 1 Yes GO TO MO5 2 No Other (specify) GO TO MO17 6 R says he/she was not working for this employer GO TO CKPT:MO7 MO2M In what month and year did you last work for (primary employer)? Month _______________ 1 9 ___ ___ (1-12) (87-93) MO3 How many years altogether did you work for (primary employer)? __________ years (RANGE:0-65;or specify) CKPT:MO4 - If R is younger than 55, GO TO CKPT:MO7 MO4 Were you included in a pension or retirement plan when you worked for (primary employer)? 1 Yes 2 No Other (specify) =====> All GO TO CKPT:MO7 MO5 Altogether, how many years have you worked for (primary employer)? (Total number of years that R has worked for this employer as his/her primary job) __________ years (RANGE:0-65;or specify) CKPT:MO6 - If R is younger than 55, GO TO CKPT:MO7 MO6 Are you included in a pension or retirement plan in this job? 1 Yes 2 No Other (specify) CKPT:MO7 - If R was working at NSFH1, GO TO MO17 MO7 In (NSFH1 date), you were not working for pay. Since then have you worked in a full- or part-time job for two months or longer? 1 Yes GO TO MO10M 2 No 6 R says he/she was working for pay GO TO MO17 7 Refused GO TO MP1 8 Don't know GO TO MP1 MO8 Since (NSFH1 date), have you ever looked for work? 1 Yes 2 No GO TO CKPT:MP1 7 Refused GO TO MP1 8 Don't know GO TO MP1 Questions MO9A-MO9H: Work history for R not working at NSFH1 or since that time but who has looked for work. CKPT:MO9 - If first interview occurred in 1988, GO TO MO9B MO9A In which of the following years did you look for work for two months or longer? 1987? 1 Yes 2 No =====> ALL GO TO MO9C MO9B In which of the following years did you look for work for two months or longer? 1988? 1 Yes 2 No =====> ALL GO TO MO9D MO9C 1988? 1 Yes 2 No MO9D 1989? 1 Yes 2 No MO9E 1990? 1 Yes 2 No MO9F 1991? 1 Yes 2 No MO9G 1992? 1 Yes 2 No CKPT:MO9H - If current year is 1992, GO TO CKPT:MP1 MO9H 1993? 1 Yes 2 No ===> All GO TO CKPT:MP1 Questions MO10M-MO15: Work history for R who was not working at NSFH1 but has worked since then. Repeat for up to 4 periods in which R was working. MO10M In what month and year did you start working for (the first time/two months or longer) after (NSFH1 date)? (Probe for second through fourth time starting work since (NSFH1 date): In what month and year did you next start working for two months or longer after (month) (87-93)?) (ENTER IN TABLE 40) Month _______________ 1 9 ___ ___ (1-12) (87-93) This date was checked for consistency against the date of current interview and the date of original interview. MO11 In the time that you weren't working between (NSFH1 date) and (month) 19(87-93), was there a period of two months or longer when you looked for work, but were unable to find a job? (Probe for second through fourth times not working since (NSFH1 date): While you weren't working between (month) (87-93) and (month) (87-93) was there a period of two months or longer when you looked for work, but were unable to find a job?) 1 Yes 2 No MO12M In what month and year did you next stop working for two months or longer after (month) 19(87-93)? Month _______________ 1 9 ___ ___ (1-12) (87-93) 9990 Still working GO TO MO37 This date was checked for consistency against the date of current interview and the date started working since (NSFH1 date) (or since previous job). MO13 Between (month) 19(87-93) and (month) 19(87-93), were you working: 1 all full-time GO TO MO15 2 all part-time, or GO TO MO15 3 some part and some full-time? MO14 Was it mostly part-time or mostly full-time? 1 Mostly part-time 2 Mostly full-time 3 Half part-time, half full-time MO15 Did you start working again since (month) 19(87-93)? 1 Yes If less than 4th loop, REPEAT SEQUENCE 2 No If less than 3rd loop, GO TO MO16; otherwise, GO TO CKPT:MO39 7 Refused If less than 3rd loop, GO BACK TO MO11; 8 Don't know otherwise, GO TO MP1 =====> ALL GO TO CKPT:MO39 MO16 Since (month) 19(87-93), was there a period of two months or longer when you looked for work, but were unable to find a job? 1 Yes 2 No =====> ALL GO TO CKPT:MO39 TABLE 40 ________________________________________________________________________________ R NOT WORKING AT FIRST INTERVIEW BUT WORKED SINCE MONTH YEAR ERROR CHECKS: SEARCHED MONTH YEAR OR SEASON 1 2 FOR WORK OR SEASON -------------------------------------------------------------------------------- 1. _________ 19__ 1 2 1 2 1 2 _________ 19__ 2. _________ 19__ 1 2 1 2 1 2 _________ 19__ 3. _________ 19__ 1 2 1 2 1 2 _________ 19__ 4. _________ 19__ 1 2 1 2 1 2 _________ 19__ ________________________________________________________________________________ R NOT WORKING AT FIRST INTERVIEW BUT WORKED SINCE ERROR CHECKS: HOURS EXTENT WORK SEARCHED 1 2 WORKED PART TIME AGAIN FOR WORK -------------------------------------------------------------------------------- 1. 1 2 1 2 1 2 3 1 2 3 1 2 1 2 2. 1 2 1 2 1 2 3 1 2 3 1 2 1 2 3. 1 2 1 2 1 2 3 1 2 3 1 2 4. 1 2 1 2 1 2 3 1 2 3 1 2 ________________________________________________________________________________ MO17 Since (month) 19(87/88), have there been any periods of two months or longer when you were not working? (Leaves of absence of two months or longer are included as time spent not working, even if R is receiving partial or full pay) 1 Yes 2 No GO TO CKPT:MO24 7 Refused GO TO MP1 8 Don't know GO TO MP1 Questions MO18-MO23: Work history for R who was working at NSFH1. Repeat for up to 5 different periods in which R was not working since then. MO18M In what month and year did you (next) stop working for the first time after (NSFH1 date)? (ENTER IN TABLE 41) Month _______________ 1 9 ___ ___ (1-12) (87-93) 9990 Did not stop, still working GO TO MO37 This date was checked for consistency against the date of current interview and the date of original interview. MO19 Between (month) 19(87/88), and (month) 19(87-93), were you working: 1 all full-time GO TO MO21M 2 all part-time, or GO TO MO21M 3 some part and some full-time? MO20 Was it mostly part-time or mostly full-time? 1 Mostly part-time 2 Mostly full-time 3 Half part-time; half full-time MO21M In what month and year did you next start working for two months or longer (after (month) 19(87-93))? Month _______________ 1 9 ___ ___ (1-12) (87-93) 9990 Did not start again GO TO MO22 This date was checked for consistency against the date of current interview and the date stopped working at previous job. =====> ALL GO TO MO23 MO22 Since (month) 19(87-93) was there a period of two months or longer when you looked for work, but were unable to find a job? 1 Yes 2 No =====> ALL GO TO CKPT:MO39b MO23 Between (month) 19(87-93) and (month) 19(87-93) was there a period of two months or longer when you were looking for work? 1 Yes 2 No TABLE 41 ________________________________________________________________________________ R WORKING AT FIRST INTERVIEW DATE STOPPED MONTH YEAR ERROR CHECKS: FULL/PART EXTENT 1 2 TIME PART TIME ________________________________________________________________________________ 1. _________ 19__ 1 2 1 2 1 2 3 1 2 3 2. _________ 19__ 1 2 1 2 1 2 3 1 2 3 3. _________ 19__ 1 2 1 2 1 2 3 1 2 3 4. _________ 19__ 1 2 1 2 1 2 3 1 2 3 5. _________ 19__ 1 2 1 2 1 2 3 1 2 3 ________________________________________________________________________________ R WORKING AT FIRST INTERVIEW DATE STARTED MONTH YEAR ERROR CHECKS: UNABLE TO LOOKING 1 2 FIND WORK FOR WORK ________________________________________________________________________________ 1. _________ 19__ 1 2 1 2 1 2 1 2 2. _________ 19__ 1 2 1 2 1 2 1 2 3. _________ 19__ 1 2 1 2 1 2 1 2 4. _________ 19__ 1 2 1 2 1 2 1 2 5. ________________________________________________________________________________ CKPT:MO24 - If R gave the number of hours worked at NSFH1, GO TO CKPT:MO25 MO24 About how many hours per week were you usually working in (NSFH1 date)? __________ hours (RANGE:0-78) 97 Refused GO TO MP1 98 Don't know GO TO MP1 CKPT:MO25 . . a. If R worked less than 35 hours per week at the time of the first interview, GO TO MO31 b. If response to previous MO24 is less than 35 hours per week at first interview, GO TO MO31 . . Questions MO25-MO29: Work history for R working full time at NSFH1. Repeat up to 2 times. MO25T01 Since (NSFH1 date), have there been any periods of two months or longer when you were usually working less than 35 hours per week or have you always worked full-time? (ENTER IN TABLE 42) 1 Were periods working less than 35 hours 2 Always worked full-time GO TO MP1 MO25T02 Since (month) 19(87-93) have you continued working full-time, or did you again begin working less than 35 hours per week for two months or more? 1 Continued full-time GO TO MP1 2 Began part-time MO26 In what month and year (after (NSFH1 date)), did you (first/again) begin working part-time? Month _______________ 1 9 ___ ___ (1-12) (87-93) MO27 During that time about how many hours per week were you usually working? __________ hours (RANGE:1-34) 90 Hours varied greatly MO28 Since (month) 19(87-93) have you continued working part-time, or did you again (start/begin) working 35 or more hours a week for two months or longer? 1 Continued working part-time GO TO CKPT:MO39 2 Worked full-time again MO29M In what month and year did you (next/again) begin working full-time? Month _______________ 1 9 ___ ___ (1-12) (87-93) TABLE 42 ________________________________________________________________________________ R WORKING FULL TIME AT FIRST INTERVIEW ANY PART MONTH YEAR HOURS WORK FULL MONTH YEAR TIME WORK? WORKED TIME AGAIN? ________________________________________________________________________________ 1. 1 2 _________ 19__ __ 1 2 ________ 19__ 2. 1 2 _________ 19__ __ 1 2 ________ 19__ ________________________________________________________________________________ Questions MO31-MO35: Work history for R working part-time at NSFH1. Repeat up to 2 times. MO30 Since (month) 19(87-93) were there any other periods of two months or longer when you were usually working less than 35 hours per week? 1 Yes 2 No =====> ALL GO TO CKPT:MO39 MO31T01 Since (NSFH1 date), have there been any periods of two months or longer when you were usually working 35 or more hours per week or have you always worked part-time? (ENTER IN TABLE 43) (Part-time work is 34 or fewer hours per week; Full-time is 35 or more hours per week) 1 Were periods 35 or more hours GO TO MO32M 2 Always worked part-time GO TO CKPT:MO39 MO31T02 Since (month) 19(87-93) have you continued working part-time, or did you again begin working 35 or more hours per week for two months or more? 1 Continued part-time GO TO CKPT:MO39 2 Began full-time MO32M In what month and year (after (NSFH1 date)), did you (first/again) begin working full-time? Month _______________ 1 9 ___ ___ (1-12) (87-93) MO33 Since (month) 19(87-93) have you continued working full-time, or did you again start working less than 35 hours a week for two months or longer? 1 Continued working full-time GO TO CKPT:MO39 2 Worked part-time again MO34M In what month and year did you (next/again) begin working part-time? Month _______________ 1 9 ___ ___ (1-12) (87-93) MO35 During that time about how many hours per week were you usually working? __________ hours (RANGE:1-34) 90 Hours varied greatly CKPT:MO36 - If the answer to MO35T02 is: 90 "Hours varied greatly", GO TO MO36; otherwise, GO TO MP1 TABLE 43 ________________________________________________________________________________ R WORKING PART TIME AT FIRST INTERVIEW ANY FULL MONTH YEAR WORK PART MONTH YEAR HOURS TIME WORK? TIME AGAIN? WORKED ________________________________________________________________________________ 1. 1 2 _________ 19__ 1 2 ________ 19__ __ 2. 1 2 _________ 19__ 1 2 ________ 19__ __ ________________________________________________________________________________ MO36 Since (month) 19(87-93) have you continued working part-time, or did you again begin working 35 or more hours per week for two months or more? 1 Continued full-time 2 Began full-time =====> ALL GO TO CKPT:MO39 MO37 Since (month) 19(87-93), have you been working: 1 all full-time GO TO CKPT:MO39 2 all part-time, or GO TO CKPT:MO39 3 some part and some full-time? MO38 Was it mostly part-time or mostly full-time? 1 Mostly part-time 2 Mostly full-time 3 Half part-time, half full-time =====> ALL GO TO CKPT:MO39 CKPT:MO39 - If R has stopped working in the past year, GO TO MP69 MO39 Have you looked for work at all during the last 12 months? 1 Yes 2 No GO TO CKPT:MP1 MO40 How many weeks in the last 12 months were you looking for work? __________ weeks (RANGE:1-52) ********************************************************************** CURRENT EMPLOYMENT - MAIN JOB ********************************************************************** CKPT:MP1 - If R's age is less than 60 or greater than 64, GO TO CKPT:MP91; otherwise, GO TO MP89A MP1 How many hours did you work last week at your main job? (Main job is the one at which he/she normally works the most hours per week) ___________ hours (RANGE:0-94) CKPT:MP2 - If R worked at main job last week, GO TO MP5 MP2 Do you have a job from which you were absent last week? 1 Yes 2 No GO TO MP69 MP3 How is it that you were not working last week? Was it because you were: 01 not scheduled to work last week, GO TO MP6 02 on vacation, GO TO MP6 03 on sick leave, 04 on strike, 05 on temporary layoff, 06 on a leave of absence, or for some other reason? (specify) MP4M In what month and year did you last work? Month _______________ 1 9 ___ ___ (1-12) (87-93) MP5 Is this the number of hours that you usually work at your main job? 1 Yes GO TO MP8 2 No 6 No usual week; hours vary widely GO TO MP8 MP6 How many hours a week do you usually work at your main job? __________ hours (RANGE:0-80) GO TO MP8 90 No usual hours - varies widely MP7 Is it mostly part-time or mostly full-time? 1 Mostly part-time 2 Mostly full-time 3 About half full-time and half part-time Other (specify) MP8 In addition to your main job, do you have a second job or small business for which you get paid? 1 Yes 2 No CKPT:MP9 - If R still working for same employer as at NSFH1, GO TO MP10A MP9 (On your main job) Do you work: 1 for yourself, 2 in a family business, or 3 for someone else? MP10A What kind of work are you doing (on your main job)? What is your job title? What are your main activities or duties at this job? (If R has more than one job, this question refers to the one at which he/she usually spends the most time) ____________________ 977 Uncodable Occupation MP11 What kind of business or industry is this? ____________________ 977 Uncodable industry 990 Industry not reported CKPT:MP12 . . b. If R's age is less than 60 or greater than 64, GO TO MP16 . . MP12 Is this the same kind of work you were doing when you were about 50 years old? 1 Yes GO TO MP16 2 No MP13A What kind of work were you doing when you were about age 50? What was your job title? What were your main activities or duties on that job? ____________________ 992 Retired 995 Unemployed/disabled MP14 Did you work: 1 for yourself, 2 in a family business, or 3 for someone else? 6 Not working for pay, i.e., housewife, disabled MP15 Returning now to your current employment, (on your main job) are you paid: 1 by the hour, GO TO MP17 2 salaried, or GO TO MP18 3 on some other basis? GO TO MP25 7 Refused GO TO CKPT:MP28 8 Don't know GO TO CKPT:MP28 MP16 (On your main job) are you paid: 1 by the hour, 2 salaried, or GO TO MP18 3 on some other basis? GO TO MP25 7 Refused GO TO CKPT:MP28 8 Don't know GO TO CKPT:MP28 MP17 What is your base hourly wage rate at this job? $ __________ dollars and cents (RANGE:2.50-10000) Other (specify) =====> ALL GO TO CKPT:MP28 MP18 What is your gross salary before deductions at this job? (Enter dollars only; if R receives tips, commissions, or other income from their work, include usual or average amount in salary) $ __________ (RANGE:50-999,991) Other (specify) GO TO MP20 999997 Refused GO TO CKPT:MP28 999998 Don't know GO TO CKPT:MP28 MP19 PER 1 Week 2 Biweekly (every two weeks) 3 Month 4 Year GO TO MP23 MP20 Is this rate for full-time work? 1 Yes GO TO CKPT:MP28 2 No MP21 What would the full-time equivalent salary be? (Enter dollars only; no cents) $ __________ (RANGE:100-999,999) PER: Week Biweekly Month Year Other (specify) MP22 PER 1 Week GO TO CKPT:MP28 2 Biweekly (every two weeks) GO TO CKPT:MP28 3 Month GO TO CKPT:MP28 4 Year MP23 Is this the rate for working full-time, year round? 1 Yes GO TO CKPT:MP28 2 No MP24 What would the full-time, year round equivalent be? (This variable contains special notes that help clarify salary situation. All dollar amounts were included in MP21.) __________ MP25 In an average month, how much do you earn from this job, before taxes and other deductions? $ __________ (RANGE:50-999,991) GO TO CKPT:MP28 999996 There is no average month MP26 Over the whole year, about how much do you earn from this job? (Amount in dollars per month) $ __________ (RANGE:50-99990) $50-99990 GO TO CKPT:MP28 Other (specify) Some people are paid in ways not covered well by this question. If necessary, enter (other) and add information that will clarify how R is paid. MP28 Some people do some or all of their paid work out of their homes or bring work home with them to finish. Last week did you do any of your work (on your main job) at home? (If R did not work last week, ask about the most recent week worked) 1 Yes 2 No GO TO MP31 MP29 How many hours did you work at home (on your main job) last week? ________ hours (RANGE:0-94) 00 None GO TO MP31 MP30 Are these hours included in the work hours you mentioned earlier? 1 Yes 2 No Other (specify) MP31 Next I have some questions about the days and hours that you usually work (on your main job). Do you usually work the same days each week? 1 Yes 2 No GO TO MP33 MP32 Which days of the week do you normally work? 1 R works five day week - Monday through Friday - with no weekend work GO TO MP35 2 Any other schedule GO TO MP34A Other (specify) GO TO MP35 MP33 Which days did you work last week? 1 R worked Monday through Friday GO TO MP35 2 Any schedule other than Monday through Friday Other (specify) GO TO MP35 MP34A Does/did R work on Monday? 1 Yes 2 No MP34B Tuesday 1 Yes 2 No MP34C Wednesday 1 Yes 2 No MP34D Thursday 1 Yes 2 No MP34E Friday 1 Yes 2 No MP34F Saturday 1 Yes 2 No MP34G Sunday 1 Yes 2 No MP35 Is the time you start and stop work( on your main job) about the same each day that you work? 1 Yes 2 No GO TO MP38 MP36 What is your usual starting time? ____:____ am/pm Other (specify) MP37 What time do you usually stop working? ____:____ am/pm Other (specify) =====> ALL GO TO MP40 Repeat questions MP38-MP39 for Monday through Sunday. MP38A What time did you start working on (day of week)? (ENTER IN TABLE 44) ____:____ am/pm Other (specify) 9996 R did not work on (day of week) MP39A What time did you stop working last (day of week)? ____:____ am/pm Other (specify) TABLE 44 ________________________________________________________________________________ WORK SCHEDULE START WORK STOP WORK ________________________________________________________________________________ A. MONDAY ____:____ am/pm ____:____ am/pm B. TUESDAY ____:____ am/pm ____:____ am/pm C. WEDNESDAY ____:____ am/pm ____:____ am/pm D. THURSDAY ____:____ am/pm ____:____ am/pm E. FRIDAY ____:____ am/pm ____:____ am/pm F. SATURDAY ____:____ am/pm ____:____ am/pm G. SUNDAY ____:____ am/pm ____:____ am/pm _______________________________________________________________________________ MP40 Do you work some of your hours (on your main job) in the evening between 6pm and midnight? 1 Yes 2 No MP41 Do you work some of your hours (on your main job) at night, between midnight and 5 am? 1 Yes 2 No CKPT:MP42 - If R worked at main job at ANY time on Saturday or Sunday, GO TO MP43 MP42 Do you sometimes work (on your main job) on Saturdays or Sundays? (This includes work at home) 1 Yes 2 No GO TO CKPT:MP46 MP43 On how many Saturdays have you worked (on your main job) in the last four weeks? __________ Saturdays (RANGE:0-4) MP44 On how many Sundays have you worked (on your main job) in the last four weeks? __________ Sundays (RANGE:0-4) MP45 When you work (on your main job) on Saturdays or Sundays, about how many hours per day do you usually work? __________ hours (RANGE:1-17) Other (specify) CKPT:MP46 - If R does not work any hours between 6pm and midnight or between midnight and 5am, GO TO MP47 MP46 Sometimes work schedules regularly alternate between day shifts and evening or night shifts. Is this true of your schedule (on your main job)? 1 Yes 2 No MP47 Do you ever have to go to work unexpectedly (on your main job) at times when you are not scheduled to work? 1 Yes 2 No GO TO MP49 Other (specify) MP48 How many times has this happened in the last 30 days? __________ times (RANGE:0-30;or specify) MP49 Do you sometimes unexpectedly have to work (on your main job) more than an hour later than you are scheduled to work? 1 Yes 2 No GO TO MP51 MP50 How many times has this happened in the last 30 days? __________ times (RANGE:0-30;or specify) MP51 About how many minutes does it usually take you to get to work (on your main job)? __________ minutes (RANGE:0-180) 995 Works at home 996 No usual amount of time - time varies e.g., job site varies MP52 Does your (main) job sometimes require you to travel and be away from home overnight? 1 Yes 2 No GO TO CKPT:MP54 Other (specify) MP53 Over the last 12 months, about how many NIGHTS PER MONTH, on the average, were you away from home because of work-related travel (on your main job)? __________ nights per month (RANGE:0-30) No average month or other (specify) ********************************************************************** CURRENT EMPLOYMENT - SECOND JOB ********************************************************************** CKPT:MP54 - If R does not have a second job, GO TO MP69 MP54 How many hours did you work at your second job or business last week? (If R has more than two jobs, include hours on all jobs (or businesses) except the first job) __________ hours (RANGE:0-94) 00 None GO TO MP56 MP55 Is this the number of hours you usually work at your second job or business? 1 Yes GO TO MP57 2 No 6 No usual week; hours vary widely GO TO MP57 MP56 How many hours a week do you usually work at this second job or business? (Hours that you work in an average week when you are working) __________ hours (RANGE:0-94) 96 No ususal week 97 Refused GO TO MP59 MP57 Do you work at this second job or business all year round, or just for part of the year? 1 All year GO TO MP59 2 Part of the year MP58 About how many weeks a year do you work at this job? ___________ weeks (RANGE:0-52) MP59 Last week did you do any of the work for you second job at home? (If R did not work at second job last week, ask about the most recent week worked) 1 Yes 2 No GO TO MP61 MP60 Last week, how many hours did you work at home on your second job? __________ hours (RANGE:0-94) MP61 Do you work a regular schedule on your second job, or does your schedule vary from week to week? 1 Works a regular schedule 2 Schedule varies MP62 Do you sometimes work on your second job on Saturdays or Sundays? 1 Yes 2 No GO TO MP65 MP63 On how many Saturdays and Sundays have you worked on your second job in the last four weeks? __________ Saturdays & Sundays (RANGE:0-8) MP64 When you work on your second job on Saturdays or Sundays about how many hours per day do you usually work? __________ hours (RANGE:1-20) 96 Varies widely MP65 Do you work some of your hours on your second job in the evening between 6pm and midnight? 1 Yes 2 No MP66 Do you work some of your hours on your second job at night, between midnight and 5 am? 1 Yes 2 No MP67 Does your second job sometimes require you to travel and be away from home overnight? 1 Yes 2 No GO TO MP69 MP68 Over the last 12 months, about how many nights per month, on the average, were you away from home because of work-related travel on your second job? __________ nights per month (RANGE:0-30) 96 No average month ********************************************************************** WORK EXPERIENCE IN PAST YEAR ********************************************************************** MP69 Now, we are interested in your work experience in the last year. How many of the last 52 weeks did you work at a paid job? Include PAID vacations and PAID sick leave as time spent working. __________ weeks (RANGE:0-52) 97 Refused GO TO CKPT:MP72 CKPT:MP70 - If R has worked all of the past 52 weeks, GO TO CKPT:MP72 MP70 How many weeks, if any, in the last year were you unemployed; that is, weeks that you were not working at all, but were looking for a job? __________ weeks (RANGE:0-52) 97 Refused GO TO CKPT:MP72 An error check is located here to make sure the number of weeks worked plus the number of weeks unemployed equals 52 or less. MP71 How many weeks were you not working, and not looking for work? __________ weeks (RANGE:0-52) 97 Refused GO TO CKPT:MP72 98 Don't know GO TO CKPT:MP72 An error check is located here to make sure the number of weeks worked, the number of weeks unemployed, and the number of weeks not working total 52. CKPT:MP72 . . a. If R is currently employed, GO TO CKPT:MP91 b. If R is not working and has not looked for a job in the last 52 weeks, GO TO MP74 . . MP72 Have you looked for work during the last 4 weeks? 1 Yes 2 No GO TO MP74 MP73 How many weeks ago did you start looking for work? __________ weeks (RANGE:0-53) 53 More than one year ago MP74 In your last job were you paid: 1 by the hour, 2 salaried, or GO TO MP76 3 on some other basis? GO TO MP82 7 Refused GO TO MP85A 8 Don't know GO TO MP85A MP75 What was your base hourly wage rate at the time you left this job? (If R received tips, commissions, or other income from their work, include usual or average amount in hourly wage) $ __________ (RANGE:250-10000) Other (specify) =====> ALL GO TO MP85A MP76 What was your gross salary before deductions at the time you left this job? (If R received tips, commissions, or other income from their work, include usual or average amount in hourly wage) $ __________ (RANGE:50-999,991) Other (specify) 999997 Refused GO TO MP85A 999998 Don't know GO TO MP85A MP77 PER 1 Week 2 Biweekly (every two weeks) 3 Month 4 Year GO TO MP79 MP78 Was this the rate for full-time work? 1 Yes GO TO MP85A 2 No GO TO MP80 MP79 Was this the rate for working full-time, year round? 1 Yes GO TO MP85A 2 No MP80 What would the full-time equivalent salary have been? $ __________ (RANGE:100-999,999) Complex situation, respondent cannot give dollar amount (specify) GO TO MP85A MP81 PER 1 Week 2 Biweekly (every two weeks) 3 Month 4 Year =====> ALL GO TO MP85A MP82 In an average month, how much did you earn from this job, before taxes and other deductions? $ __________ (RANGE:50-999,991) GO TO MP85A 999996 No average month MP83 Over the whole year, about how much did you earn from this job? $ __________ (RANGE:50-99990) GO TO MP85A Other (specify) Some people are paid in ways not covered well by this question. Enter any information below that will clarify how R is paid. MP85A What kind of work were you doing in your most recent job? What was your job title? What were your main activities or duties at this job? ________________ 977 Uncodable Occupation MP86 What kind of business or industry was this? _________________ 977 Uncodable industry 990 Industry not reported MP87 In this job, did you work: 1 for yourself, 2 in a family business, or 3 for someone else? CKPT:MP88 - If R is less than 60 or older than 64 years old, GO TO CKPT:MP91 MP88 Is this the same kind of work you were doing when you were about 50 years old? 1 Yes GO TO CKPT:MP91 2 No 6 R was not working at age 50 GO TO CKPT:MP91 MP89A What kind of work were you doing when you were about age 50? What was your job title? What were your main activities or duties on that job? __________________ 977 Uncodable Occupation MP90 In this job, did you work: 1 for yourself, 2 in a family business, or 3 for someone else? 6 Not working for pay, i.e., housewife, disabled CKPT:MP91 - If R is neither married nor cohabiting, GO TO MP91 ********************************************************************** SPOUSE'S EMPLOYMENT ********************************************************************** MP91 Next are some questions about your (husband/wife/partner)'s work. First we are interested in (his/her) work experience in the last year: How many of the last 52 weeks did (he/she) work at a paid job? Include paid vacations and paid sick leave as time spent working. ___________ weeks (RANGE:0-52) 97 Refused GO TO MP93 98 Don't know GO TO MP93 CKPT:MP92 - If number of weeks worked by spouse/partner equals 52, GO TO MP93 MP92 How many weeks in the last year was (he/she) unemployed; that is, weeks that (he/she) was not working at all, but was looking for a job? __________ weeks (RANGE:0-52) MP93 Is (he/she) currently working at a paid job, even for a few hours a week? 1 Yes 2 No GO TO CKPT:MP98 MP94 How many hours did (he/she) work last week? __________ hours (RANGE:0-94) 00 Did not work last week GO TO MP96 97 Refused GO TO CKPT:MP98 98 Don't know GO TO MP96 MP95 Is this the number of hours that (he/she) usually works? 1 Yes GO TO CKPT:MP98 2 No MP96 How many hours a week does (he/she) usually work? __________ hours (RANGE:0-80) GO TO CKPT:MP98 90 No usual hours - varies widely MP97 Is it mostly part-time or mostly full-time? 1 Mostly part-time 2 Mostly full-time 3 About half full-time and half part-time Other (specify) ********************************************************************** CHILD CARE ********************************************************************** CKPT:MP98 . . a. If age of youngest child in household is greater than five, GO TO MQ1 b. If age of youngest child in household is blank, GO TO MQ1 c. If R is male, GO TO MQ1 d. If R worked at main job last week, GO TO MP98 e. If R usually works at a job each week, GO TO MP98 . . Repeat questions MP98-MP101 for up to 3 child care providers. MP98 Next we are interested in how your (child/children) age 5 and younger (is/are) cared for while you are working. During the last week, which of the following has provided THE MOST care for your (child/children) while you were working? (CARD 34) (If R did not work last week, ask about most recent week she worked) (ENTER IN TABLE 45) 01 Your husband or partner 02 Child's grandparent 03 Other relatives, including brothers or sisters 04 Neighbor or babysitter (not a relative) 05 Day care center, nursery school, or kindergarten 06 Respondent cares for child while working 07 Other (specify) 90 No other provider GO TO MQ1 MP99 In the last week, how many hours did (relative/day care provider) care for your (child/children) age five and younger while you were working? __________ hours (RANGE:1-80) CKPT:MP100 . . a. If day care provider is a day care center, GO TO MP101 b. If day care provider is husband or partner, GO BACK TO MP98 . . MP100 (Does/Do) (relative/day care provider) care for your (child/children) in your home? 1 Yes in R's home 2 No CKPT:MP101 - If R cares for child while working, GO BACK TO MP98 MP101 How much, if anything, per week do you usually pay (relative/day care provider) for the care of your (child/ children) age 5 and younger while you are working? $ __________ per week (RANGE:0-300) TABLE 45 ________________________________________________________________________________ CHILD CARE WHILE R IS WORKING PROVIDER HOURS OF CARE DONE AMOUNT PAID CARE IN HOME FOR CARE ________________________________________________________________________________ 1. _______ ____ 1 2 $_______ 2. _______ ____ 1 2 $_______ 3. _______ ____ 1 2 $_______ ________________________________________________________________________________ ********************************************************************** INCOME FROM WAGES AND SALARIES ********************************************************************** MQ1 Next are some questions about your income. In the last 12 months, did you receive any income from an employer? 1 Yes 2 No GO TO MQ3 MQ2 About how much income from wages, salaries, commissions, and tips did you receive in the last 12 months, before taxes and other deductions? (This is combined income from all employers over the past 12 months) $ _______________ (RANGE:1-999,999) Other (specify) GO TO MQ3 Respondent was asked to select an approximate income interval if no exact amount was given. MQ3 In the last 12 months, did you receive any income from self-employment in a business or a farm? 1 Yes 2 No GO TO CKPT:MQ5 MQ4 What was the total net income you received in the last 12 months from self-employment in your own business or farm, after all expenses but before taxes and other deductions? $ _______________ (RANGE:1-999,999) 9999990 Loss-do not enter amount GO TO CKPT:MQ5 Respondent was asked to select an approximate income interval if no exact amount was given. CKPT:MQ5 . . a. If R is cohabiting, GO TO MQ5 b. If R is the only person age 16 or older in the household, GO TO MQ8 c. If R is not the householder, GO TO MQ8 . . Repeat questions MQ5-MQ7 for up to 2 additional household members. MQ5 Who (else) in your household received income from employers or from self-employment in the last 12 months? (ENTER IN TABLE 46) /////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD MEMBERS / / AGE 16 AND OLDER DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////////////// __________ (household member number) (RANGE:1-55) Other (specify) 90 No one GO TO MQ8 MQ6 How much, if any, income did (he/she) recieve from wages, salaries, commissions, and tips in the last 12 months, before taxes and other deductions? $ _______________ (RANGE:1-999,999) Other (specify) Respondent was asked to select an approximate income interval if no exact amount was given. MQ7 About how much, if any, income did (he/she) receive from self-employment in the last 12 months, after all expenses but before taxes and other deductions? $ _______________ (RANGE:1-999,999) 9999990 Loss--do not enter amount GO TO CKPT:MQ8 TABLE 46 -------------------------------------------------------------------------------- EARNINGS TABLE CATEGORICAL CATEGORICAL WAGES SELF-EMP. INCOME HOUSEHOLD WAGES OPTION FOR INCOME OPTION FOR MEMBER # AMOUNT REF/D.K. AMOUNT REF/D.K. -------------------------------------------------------------------------------- 1. __ ______ __ _ ______ __ 2. __ ______ __ _ ______ __ -------------------------------------------------------------------------------- ********************************************************************** OTHER INCOME SOURCES ********************************************************************** Repeat questions MQ8-MQ12 for each of the 7 income sources. Except for cohabitors, the income of other household members is only asked of householders. MQ8 For each of the following sources of income, tell me whether you (or anyone in your entire household) received it in the last 12 months. Did you (or anyone in your entire household) receive (income source)? (ENTER IN TABLE 47) Income sources: Social Security or Railroad Retirement; other pensions, annuities, or survivor's benefits; public assistance, including welfare, AFDC, general assistance, food stamps, or energy assistance; any other government program, such as veterans' benefits, unemployment compensation, worker's compensation, or Supplemental Security Income (SSI); child support, alimony, or family support; interest, dividends, rent, or other investments; any other source. 1 Yes 2 No GO TO CKPT:MQ13c Repeat questions MQ9-MQ12 up to 3 times for each of the income sources. (repeat only 2 times for the category of child support, alimony or family support) MQ9 Who received (income source)? /////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HOUSEHOLD MEMBERS / / AGE 16 AND OLDER DISPLAYED FOR INTERVIEWER REFERENCE / /////////////////////////////////////////////////////////// (Probe for second and third recipients: Who else received (source)?) __________ (household member number) (RANGE:0-55) Income Received Jointly By More Than One Person or Other (specify) 90 No one CKPT:MQ10 - If income source is social security, public assitance, child support, or interest, GO TO MQ12 MQ10 From what source or program did (you/she/he) receive income? 01 A retirement pension based on your own employment 02 A survivor pension based on a deceased spouse's employment 03 A combination of both types 04 Disability pension 05 Veteran's benefits 06 Unemployment compensation 07 Worker's compensation 08 Supplemental Security Income (SSI) 09 Sold stock, bonds, mutual funds, etc 10 Sold property 77 Other (specify) CKPT:MQ11 - If income source is NOT other government programs, GO TO MQ9 MQ11 Any other government program? 1 Veteran's benefits 2 Unemployment compensation 3 Worker's compensation 4 Supplemental Security Income (SSI) 6 No other program Other MQ12 What was the total amount of (source) that (you/she/he) received in the last 12 months? $ _______________ (RANGE:1-999,999) Respondent was asked to select an approximate income interval if no exact amount was given. TABLE 47 -------------------------------------------------------------------------------- OTHER INCOME SOURCE CATEGORICAL WAS SOURCE INCOME SOURCE RECEIVED WHO RECEIVED WHERE OTHER INCOME OPTION FOR Y/N FROM SOURCE AMOUNT REF/D.K. -------------------------------------------------------------------------------- A. SOCIAL 1 2 __________ _______ ____ SECURITY __________ _______ ____ __________ _______ ____ B. OTHER 1 2 __________ ______ _______ ____ PENSIONS __________ ______ _______ ____ __________ ______ _______ ____ C. PUBLIC 1 2 __________ _______ ____ ASSISTANCE __________ _______ ____ __________ _______ ____ D. OTHER 1 2 __________ ______ ______ _______ ____ GOVERNMENT __________ ______ ______ _______ ____ PROGRAMS __________ ______ ______ _______ ____ E. CHILD 1 2 __________ _______ ____ SUPPORT OR __________ _______ ____ ALIMONY F. INTEREST, 1 2 __________ _______ ____ DIVIDENDS, __________ _______ ____ INVESTMENTS __________ _______ ____ G. OTHER 1 2 __________ ______ _______ ____ INCOME __________ ______ _______ ____ SOURCE __________ ______ _______ ____ -------------------------------------------------------------------------------- CKPT:MQ13 - If R has received any public assistance in the past 12 months, GO TO MQ14 MQ13 At any time since 1987, have you received any public assistance? Public assistance includes welfare, AFDC, general assistance, food stamps, and energy assistance? Do not include Supplemental Security Income (SSI). 1 Yes 2 No GO TO CKPT:MQ15 MQ14 In which years since 1987 did you receive public assistance income? (Public assistance includes welfare, AFDC, general assistance, food stamps, and energy assistance.) MQ14A A. 1987 1 Yes 2 No 7 Refused GO TO CKPT:MQ15 MQ14B B. 1988 1 Yes 2 No 7 Refused GO TO CKPT:MQ15 MQ14C C. 1989 1 Yes 2 No 7 Refused GO TO CKPT:MQ15 MQ14D D. 1990 1 Yes 2 No 7 Refused GO TO CKPT:MQ15 MQ14E E. 1991 1 Yes 2 No 7 Refused GO TO CKPT:MQ15 CKPT:MQ14F - If current year is 1992, GO TO CKPT:MQ15 MQ14F F. 1992 1 Yes 2 No 7 Refused GO TO CKPT:MQ15 ********************************************************************** ECONOMIC RELATIONSHIP WITH RELATIVES LIVING IN R'S HOUSEHOLD (Relatives other than spouse, sons, and daughters) ********************************************************************** CKPT:MQ15 . . a. If R is not the householder, GO TO CKPT:MQ28 b. If there are no members in the household with relationship codes greater than 7, GO TO MQ39 c . If there are two or more person in household who have relationship codes greater than 7, GO TO MQ15 . . MQ15 HOUSEHOLD MEMBER NUMBER OF PERSON SELECTED (Person chosen was first name alphabetically on list generated by computer) __________ (household member number) (RANGE:2-55) MQ16 The next questions are about (name). How many hours, if any, does (she/he) normally work per week at a paid job? ________ hours per week (RANGE:0-99) MQ17 Does (she/he) pay anything to you for room or board? 1 Yes 2 No GO TO MQ19 6 Person directly pays their own share of rent and food GO TO MQ22 MQ18 How much does (she/he) pay per month? $ _________ per month (RANGE:1-999) MQ19 Tell me if you pay for all, some, or none of (person)'s expenses in each of the following areas: (her/his) food? 1 None 2 Some 3 All 6 Person pays for (her/his) share of food MQ20 Do you pay for none, some, or all of (person)'s clothing or personal care expenses? 1 None 2 Some 3 All MQ21 Do you pay for some, none or all of (person)'s health care or health insurance? 1 None 2 Some 3 All MQ22 (Other than what we've already mentioned,) has (person) given or loaned you more than $200 during the last 12 months? 1 Yes 2 No GO TO MQ25 MQ23 How much altogether has (she/he) loaned you? $ _______________ (RANGE:0, 200-99,999) MQ24 How much altogether has (she/he) given you? $ _______________ (RANGE:0, 200-99,999) MQ25 Have you given or loaned (person) more than $200 during the last 12 months? 1 Yes 2 No GO TO MQ39 MQ26 How much altogether have you loaned (her/him) in the last 12 months? $ _______________ (RANGE:0, 200-99,999) MQ27 How much altogether have you given (her/him) in the last 12 months? $ _______________ (RANGE:0, 200-99,999) ********************************************************************** ECONOMIC RELATIONSHIP OF RESPONDENT (LIVING IN HOUSEHOLD OF A RELATIVE) TO THAT HOUSEHOLDER ********************************************************************** CKPT:MQ28 - If R is the householder, GO TO MQ39 MQ28 Next are some questions about your current living arrangement. Do you pay anything to (name of householder) for room or board? 1 Yes 2 No GO TO MQ30 MQ29 How much do you pay per month? $ _________ (RANGE:1-999) MQ30 Tell me if (name of householder) pay for none, some, or all of your expenses in each of the following areas: your food? 1 None 2 Some 3 All 6 R pays for (her/his) share of food MQ31 Does (name of householder) pay for none, some, or all of your clothing or personal care expenses? 1 None 2 Some 3 All MQ32 Does (name of householder) pay for none, some, or all of your health care or health insurance? 1 None 2 Some 3 All MQ33 (Other than what we've already mentioned,) has (name of householder) given or loaned you more than $200 during the last 12 months? 1 Yes 2 No GO TO MQ36 MQ34 How much altogether has (name of householder) loaned you? $ _______________ (RANGE:0, 200-99,999) MQ35 How much altogether has (name of householder) given you? $ _______________ (RANGE:0, 200-99,999) MQ36 (Other than what we've already mentioned,) Have you given or loaned (name of householder) more than $200 during the last 12 months? 1 Yes 2 No GO TO MQ39 MQ37 How much altogether have you loaned (her/him) in the last 12 months? $ _______________ (RANGE:0, 200-99,999) MQ38 How much altogether have you given (her/him) in the last 12 months? $ _______________ (RANGE:0, 200-99,999) ********************************************************************** HOME PURCHASE SINCE NSFH1 ********************************************************************** MQ39 The next questions are about buying a home. Have you purchased a home or condominium since (NSFH1 date)? Include only your primary residence, not a vacation or second home. 1 Yes 2 No GO TO CKPT:MQ54 MQ40M In what month and year did you purchase a home or condominium? If you purchased more than one home since that date, tell me about the first home you bought after (NSFH1 date). Month _______________ 1 9 ___ ___ (1-12) (87-93) MQ41 What was its total purchase price, including the land and any buildings that came with it? $ _______________ (RANGE:5,000-999,999) MQ42 Did you sell another home before you purchased this home? 1 Yes 2 No GO TO MQ44 MQ43 When you sold your home, how much did you receive, over and above what you owed? $ _______________ (RANGE:0-999,999) MQ44 How much was the down payment on the home you purchased? $ _______________ (RANGE:0-999,999) MQ45 Did you receive any financial gifts or loans from relatives or friends to help you buy or build this home? 1 Yes 2 No GO TO CKPT:MQ54 MQ46 Who on this list helped? (CARD 35) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative Other (specify) MQ47 Anyone else? 01 R's parent(s) 02 Parent-in-law, husband's or wife's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative Other (specify) 90 No one else GO TO MQ49 MQ48 Anyone else? 01 R's parent(s) 02 Parent-in-law, husband's or wife's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative Other (specify) 90 No one else MQ49 How much did you receive as a gift that you didn't have to pay back? $ _______________ (RANGE:0-999,999) MQ50 How much did you receive as a loan? $ _______________ (RANGE:0-999,999) 0 Nothing GO TO CKPT:MQ54 MQ51 Have you paid back the entire amount of the loan(s)? 1 Yes GO TO CKPT:MQ54 2 No MQ52 Are you still making payments? 1 Yes 2 No MQ53 How much do you still owe? $ _______________ (RANGE:0-999,999) ********************************************************************** INHERITANCES ********************************************************************** CKPT:MQ54 - If R is not married, GO TO MQ55 MQ54 Since (NSFH1 date), has anyone left you or your (husband/wife/partner) anything worth more than $1,000 when they died, such as an inheritance, insurance settlement, or share in a family business or farm? 1 Yes GO TO MQ56 2 No GO TO MQ60 MQ55 Since (NSFH1 date), has anyone left you anything worth more than $1,000 when they died, such as an inheritance, insurance settlement, or share in a family business or farm? 1 Yes 2 No GO TO MQ60 Repeat questions MQ56-MQ59 up to 2 times. MQ56 Tell me who left you (or your wife/or your husband) anything worth $1,000 or more since (NSFH1 date). (CARD 35) (ENTER IN TABLE 48) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative 12 Husband or wife Other (specify) MQ57 What was the amount you received? $ _______________ (RANGE:1-999,999) MQ58 In what year did you receive this? ______ last 2 digits of year (RANGE:87-93) MQ59 Did you receive another inheritance since (NSFH1 date)? 1 Yes 2 No GO TO MQ60 TABLE 48 -------------------------------------------------------------------------------- INHERITANCE TABLE RECEIVED AMOUNT YEAR RECEIVE INHERITANCE RECEIVED ANOTHER FROM INHERITANCE -------------------------------------------------------------------------------- __ _______ __ 1 2 __ _______ __ - - -------------------------------------------------------------------------------- ********************************************************************** GIFTS AND LOANS FROM PERSONS NOT LIVING WITH R ********************************************************************** MQ60 The next questions are about gifts or loans you may have received from friends or relatives, (including sons and daughters), NOT LIVING IN YOUR HOUSEHOLD. (Do not include money to help purchase your home that you already told me about.) In the last 12 months have you (or your wife/or your husband) received a gift worth more than $200 at any one time from anyone not living with you at the time? Include gifts of items such as a car, furniture, jewelry or stocks, as well as gifts of money. 1 Yes 2 No GO TO MQ64 Repeat questions MQ61-MQ63 up to 2 times. MQ61 Who on this list gave you the largest gift during the last 12 months? (CARD 35) (ENTER IN TABLE 49) (Probe for second gift: Who, if anyone, gave you the next largest amount?) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative Other (specify) 90 No one else GO TO MQ64 CKPT:MQ62 - If have not received a gift from R's or spouse's child , GO TO MQ63 MQ62 Which son or daughter was that? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// __________ (person number) (RANGE:2-55;or specify name) MQ63 About how much altogether did (PERSON) give to you in the last 12 months? $ _______________ (RANGE:200-50,000) TABLE 49 -------------------------------------------------------------------------------- GIFTS TO RESPONDENT TABLE RECEIVED WHICH AMOUNT GIFT FROM CHILD -------------------------------------------------------------------------------- __ __ _____ __ __ _____ -------------------------------------------------------------------------------- Repeat questions MQ64-MQ67 up to 2 times. MQ64 In the last 12 months have you (or your wife/or your husband) received a loan of more than $200 at any one time from anyone not living with you at the time? (Do not include money to help purchase your home that you already told me about. This does not include loans from banks or other financial institutions.) 1 Yes 2 No GO TO MQ68 MQ65 Who on this list loaned you the largest amount in the last 12 months? (CARD 35) (ENTER IN TABLE 50) (Probe for second loan: Who, if anyone, loaned you the next largest amount?) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative Other (specify) 90 No one else GO TO MQ68 CKPT:MQ66 - If have not received a loan from R's or spouse's child, GO TO MQ67 MQ66 Which son or daughter was that? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// __________ (person number) (RANGE:2-55;or specify name) MQ67 About how much altogether did (PERSON) loan you in the last 12 months? $ _______________ (RANGE:200-50,000) TABLE 50 -------------------------------------------------------------------------------- LOANS TO RESPONDENT TABLE RECEIVED WHICH AMOUNT LOAN FROM CHILD -------------------------------------------------------------------------------- __ __ _____ __ __ _____ -------------------------------------------------------------------------------- Repeat questions MQ68-MQ71 up to 2 times. MQ68 (Other than what we've already talked about) In the last 12 months has anyone not living with you helped you out by paying some of your day-to-day expenses or educational expenses? 1 Yes 2 No GO TO MQ72 MQ69 Who on this list helped you the most with your living expenses or educational expenses? (CARD 35) (ENTER IN TABLE 51) (Probe for second person who helped with expenses: Who, if anyone, else helped with your living expenses or educational expenses?) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative Other (specify) 90 No one else GO TO MQ72 CKPT:MQ70 - If have not received help with expenses from R's or spouse's child, GO TO MQ71 MQ70 Which son or daughter was that? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// __________ (person number) (RANGE:2-55;or specify name) MQ71 About how much altogether did (PERSON) give to you to help with your living expenses or educational expenses in the last 12 months? $ _______________ (RANGE:200-50,000) TABLE 51 -------------------------------------------------------------------------------- HELP WITH EXPSENSES TABLE RECEIVED WHICH AMOUNT HELP FROM CHILD -------------------------------------------------------------------------------- __ __ _____ __ __ _____ -------------------------------------------------------------------------------- ********************************************************************** GIFTS AND LOANS TO PERSONS NOT LIVING WITH R ********************************************************************** MQ72 In the last 12 months, have you (or your wife/or your husband) GIVEN a gift worth more than $200 at any one time to anyone, including sons or daughters, NOT LIVING WITH YOU AT THE TIME? Include gifts of items such as a car, furniture, jewelry or stocks as well as gifts of money. 1 Yes 2 No GO TO MQ76 Repeat questions MQ73-MQ75 up to 2 times. MQ73 To whom on this list did you give the MOST during the last 12 months? (CARD 35) (ENTER IN TABLE 52) (Probe for second gift given: Who, if anyone, on this list did you give the next largest amount in the last 12 months?) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative Other (specify) 90 No one else GO TO MQ76 CKPT:MQ74 - If have not given gift to R's or spouse's child, GO TO MQ75 MQ74 Which son or daughter was that? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// __________ (person number) (RANGE:1-55;or specify name) MQ75 About how much altogether did you give to (her/him/them) in the last 12 months? $ _______________ (RANGE:200-50,000) TABLE 52 -------------------------------------------------------------------------------- GIFTS TO PERSONS NOT LIVING WITH RESPONDENT TABLE GIVEN GIFT WHICH CHILD AMOUNT -------------------------------------------------------------------------------- __ __ _____ __ __ _____ -------------------------------------------------------------------------------- MQ76 In the last 12 months have you (or your wife/or your husband) loaned more than $200 at any one time to anyone, (including sons and daughters), not living with you at the time? (This does not include loans from banks or other financial institutions.) 1 Yes 2 No GO TO MQ80 Repeat questions MQ77-MQ79 up to 2 times. MQ77 Who on this list did you loan the largest amount in the last 12 months? (CARD 35) (ENTER IN TABLE 53) (Probe for second person loaned money to: Who, if anyone, did you loan the next largest amount in the last 12 months?) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative Other (specify) 90 No one else GO TO MQ80 CKPT:MQ78 - If did not give a loan to R's or spouse's child, GO TO MQ79 MQ78 Which son or daughter was that? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// __________ (person number) (RANGE:2-55;or specify name) MQ79 About how much altogether did you loan (her/him/them) in the last 12 months? $ _______________ (RANGE:200-50,000) TABLE 53 -------------------------------------------------------------------------------- LOANS TO PERSONS NOT LIVING WITH RESPONDENT TABLE GIVEN LOAN WHICH CHILD AMOUNT -------------------------------------------------------------------------------- __ __ _____ __ __ _____ -------------------------------------------------------------------------------- Repeat questions MQ80-MQ83 up to 2 times. MQ80 Other than what we've already talked about, in the last 12 months, have you helped out anyone, (including sons and daughters), not living with you by paying some of their day-to-day expenses or educational expenses? 1 Yes 2 No GO TO CKPT:MQ84c MQ81 Who on this list have you helped with living expenses or educational expenses? (CARD 35) (ENTER IN TABLE 54) (Probe for second person helped: Is there anyone else that you helped with living expenses or educational expenses in the last 12 months?) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative Other (specify) 90 No one else GO TO CKPT:MQ84c CKPT:MQ82 - If has not helped R's or spouse's child with expenses, GO TO MQ83 MQ82 Which son or daughter was that? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// __________ (person number) (RANGE:2-55;or specify name) MQ83 About how much altogether did you give to (her/him/them) to help with living expenses or educational expenses in the last 12 months? $ _______________ (RANGE:1-50,000) TABLE 54 -------------------------------------------------------------------------------- HELP WITH EXPENSES TO PERSONS NOT LIVING WITH RESPONDENT TABLE GIVEN HELP WHICH CHILD AMOUNT WITH EXPENSES -------------------------------------------------------------------------------- __ __ _____ __ __ _____ -------------------------------------------------------------------------------- ********************************************************************** ASSETS ********************************************************************** CKPT:MQ84 - If R is not the householder, GO TO MQ90A MQ84 Do you(or your wife/or your husband) own your own home or are you renting? 1 Owns or is buying home 5 Rents GO TO MQ90A Other (specify) GO TO MQ90A MQ85 How much do you think your home would sell for now? $ _______________ (RANGE:5000-999,999) MQ86 How much, if anything, do you( or your wife/or your husband) owe on your home? $ _______________ (RANGE:0-999,999) CKPT:MQ87 . . a. If R owes nothing on home, GO TO MQ90A b. If R refused to answer questions on amount of money owed on home, GO TO MQ90A . . MQ87 How much is your monthly payment on your home loan? If you have a second mortgage on your home, include it in your answer. $ _______________ (RANGE:0-9999) Other (specify) 99997 Refused GO TO MQ90A 99998 Don't know GO TO MQ90A MQ88 Does this amount include property taxes? 1 Yes 2 No MQ89 What was the total property tax on your home last year? $ _______________ (RANGE:0-99,999;or specify) Repeat MQ90-MQ92c for all 3 asset types. MQ90 Do you (or your wife/or your husband) own (asset type): (ENTER IN TABLE 55) a. Any real estate (other than your home)? 1 Yes GO TO MQ91 2 No b. A business or farm? 1 Yes GO TO MQ91 2 No c. Motor vehicles, including cars, trucks, campers, boats, and other recreational vehicles? 1 Yes 2 No GO TO MQ93 MQ91 How much do you think this (asset type) would sell for now? $ _______________ (RANGE:1-999,999) MQ92C How much, if anything, do you( or your wife/ or your husband) owe on your (asset type)? $ _______________ (RANGE:0-999,999) TABLE 55 -------------------------------------------------------------------------------- ASSETS OWN SALE VALUE AMOUNT OWED -------------------------------------------------------------------------------- A. OTHER REAL 1 2 _______ _______ ESTATE B. A BUSINESS 1 2 _______ _______ OR FARM C. MOTOR VEHICLES 1 2 _______ _______ -------------------------------------------------------------------------------- MQ93 What is the approximate total value of your (and your wife's/ and your husband's) savings, including savings accounts, savings bonds, IRAs, money market funds, and CDs? Just tell me the number from this card. (CARD 36) 00 None 01 $1 to $1,499 02 $1,500 to $2,999 03 $3,000 to $4,999 04 $5,000 to $9,999 05 $10,000 to $19,999 06 $20,000 to $49,999 07 $50,000 to $99,999 08 $100,000+ MQ94 In addition to these savings, what is the approximate total value of your (and your wife's/ and your husband's) other investments, including stocks, bonds, shares in mutual funds, or other investments? Tell me the number from this card. (CARD 36) 00 None 01 $1 to $1,499 02 $1,500 to $2,999 03 $3,000 to $4,999 04 $5,000 to $9,999 05 $10,000 to $19,999 06 $20,000 to $49,999 07 $50,000 to $99,999 08 $100,000+ 90 R said investments were reported above ********************************************************************** DEBTS ********************************************************************** Repeat questions MQ95-MQ96 for all 8 debt types. MQ95 Next I will read a list of things that people often owe money on. How much, if anything, do you (and your wife/ and your husband) owe on (debt type)? (ENTER IN TABLE 56) Debt types: A. Credit cards or charge accounts; B. Installment loans for major purchases, such as furniture or appliances, but other than auto loans; C. Educational loans; D. Personal loans from banks and other businesses, other than mortgage or auto loans already mentioned; E. Personal loans from friends or relatives, other than those already mentioned; F. Home improvement loans, other than those already mentioned; G. Other bills owed for more than two months; H. Any other debts not mentioned. (A. If you almost always pay off your credit card balance each month, answer 0.) (C. Include loans to pay for education of R's children or others, as well as loans for R's own education) $ _______________ (RANGE:0-99,999) CKPT:MQ96 - If type of debt is credit and charge accounts or bills owed for over 2 months, GO TO CKPT:MQ97 MQ96 How much are you supposed to pay each month? $ _______________ (RANGE:0-9999) (For the questions regarding installment loans, educational loans, and personal loans from banks and businesses, the respondent was also allowed to choose the responses: Not currently due and Varies) Other (specify) 99990 Not currently due 99991 Varies TABLE 56 -------------------------------------------------------------------------------- DEBTS OWE AMOUNT PAY PER MONTH -------------------------------------------------------------------------------- A. CREDIT CARDS & CHARGE ACCOUNTS ______ -- B. INSTALLMENT LOANS ______ ____ C. EDUCATIONAL LOANS ______ ____ D. PERSONAL LOANS FROM BANKS AND BUSINESSES ______ ____ E. PERSONAL LOANS FROM FRIENDS AND RELATIVES ______ ____ F. HOME IMPROVEMENT LOANS ______ ____ G. BILLS OWED FOR OVER 2 MONTHS ______ -- H. OTHER DEBTS ______ _____ -------------------------------------------------------------------------------- CKPT:MQ97 . . a. If R owns or is buying own home, GO TO MQ100 b. If R is not the householder, GO TO MQ100 . . MQ97 How much do you pay per month for rent? $ ____________ (RANGE:0-9999) MQ98 Does this include heat, or do you pay extra for heat? 1 Includes heat 2 Pay extra for heat MQ99 Does this include other utilities such as electricity and gas? 1 Utilities included 2 Some included, some not 3 Utilities not included MQ100 Turn to page 77 of the the booklet for some questions about your opinions on a number of family issues. Tell me when you are finished. (When R has started SE-18, enter 1 and continue with Interviewer Observations) 1 Continue ********************************************************************** INTERVIEWER OBSERVATIONS ********************************************************************** MR1 Where was the interview conducted? 1 Inside respondent's home 2 By telephone GO TO MR15 5 Somewhere else - (specify) MR2 What electrical source was used for the computer? 1 Computer was plugged into electrical outlet for entire interview 2 Computer was run on battery for entire interview 4 Other - EXPLAIN (specify) MR3 Did you have any difficulty with the computer during this interview? 1 Yes 2 No GO TO MR5 MR5 Which of the following best describes the building in which R lives? 1 Entirely residential 2 Primarily residential with some commercial or other non-residential 3 Primarily commercial or other non-residential Other (specify) MR6 In what type of structure does R live? 01 Trailer/mobile home GO TO MR9 02 Detached single family house GO TO MR9 03 Two family house, one unit above the other GO TO MR9 04 Two family house, two units side by side GO TO MR9 05 Row/town house (three or more attached units with separate ground level entrances) GO TO MR9 06 Three or four family house/apartment building 07 Apartment building (five or more units) Other (specify) MR7 How many stories are in this building? _________ stories (RANGE:1-20;or specify) MR8 On what floor of the building does R live? 00 Basement 01 1st or ground floor 02 03 04 05-09 10-19 20+ Other (specify) MR9 At any time during the interview was any other person (adult or child) present or near enough to overhear any of the interview? 1 Yes 2 No GO TO MR11A MR10 During how much of the interview was each of the following present or able to overhear the interview? MR10A A. Spouse or partner 0 Not at all 1 Less than 5 minutes 2 5 to 14 minutes 3 15 or more minutes 4 Most or all Other (specify) MR10B B. Child(ren) under age 3 0 Not at all 1 Less than 5 minutes 2 5 to 14 minutes 3 15 or more minutes 4 Most or all Other (specify) MR10C C. Child(ren) age 3-5 0 Not at all 1 Less than 5 minutes 2 5 to 14 minutes 3 15 or more minutes 4 Most or all Other (specify) MR10D D. Child(ren) age 6-11 0 Not at all 1 Less than 5 minutes 2 5 to 14 minutes 3 15 or more minutes 4 Most or all Other (specify) MR10E E. Child(ren) age 12-17 0 Not at all 1 Less than 5 minutes 2 5 to 14 minutes 3 15 or more minutes 4 Most or all Other (specify) MR10F F. Son or daughter age 18+ 0 Not at all 1 Less than 5 minutes 2 5 to 14 minutes 3 15 or more minutes 4 Most or all Other (specify) MR10G G. Other adult relative 0 Not at all 1 Less than 5 minutes 2 5 to 14 minutes 3 15 or more minutes 4 Most or all Other (specify) MR10H H. Adult non-relative 0 Not at all 1 Less than 5 minutes 2 5 to 14 minutes 3 15 or more minutes 4 Most or all Other (specify) MR11A A. The respondent was: ABLE TO UNDERSTAND HARDLY ABLE QUESTIONS EASILY |___|___|___|___|___|___|___| TO UNDERSTAND 1 2 3 4 5 6 7 Other (specify) MR11B B. The respondent was: COOPERATIVE |___|___|___|___|___|___|___| UNCOOPERATIVE 1 2 3 4 5 6 7 Other (specify) MR11C C. The respondent was: INTERESTED |___|___|___|___|___|___|___| NOT INTERESTED 1 2 3 4 5 6 7 Other (specify) MR12 The interview was conducted: WITHOUT INTERRUPTED INTERRUPTION |___|___|___|___|___|___|___| OFTEN 1 2 3 4 5 6 7 Other (specify) MR13 Rapport with the respondent was: VERY POOR |___|___|___|___|___|___|___| EXCELLENT 1 2 3 4 5 6 7 Other (specify) MR14 What is the round trip distance between your home and the location of this interview? _________ miles (RANGE:1-150) MR15 End of interviewer observations: (When respondent completes SE-18, enter appropriate code and continue.) 1 Respondent completed form by himself/herself 2 Form read to respondent Comments (specify)