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 ____