********************************************************************** NSFH2 PARENT INTERVIEW QUESTIONNAIRE (7/01/96) ********************************************************************** PA7 Hello, this is _______ from Temple University's Institute for Survey Research. Your family is part of an important national survey that started five years ago. A few weeks ago, we talked with your (son/daughter) (NAME) about (his/her) experiences over the last five years. We would like to talk with you for a few minutes about your experiences. Anything you tell us will be confidential. If there is a question you do not want to answer, just tell me and we will go on to the next question. 1 R is willing to do survey now 6 R can't do interview now, appointment set GO TO CKPT:PA11 7 R refuses to participate GO TO CKPT:PA11 PA8 ENTER FULL NAME OF PARENT ________________________________ PA9 Is this R's father or mother? 1 Father 2 Mother ********************************************************************** OTHER MEMBERS OF HOUSEHOLD ********************************************************************** PA10 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 GO TO PA11 91 R does not live in a household, lives in group quarters (e.g., prison, dormitory, nursing home, hospital, large rooming house) GO TO CKPT:PA11 97 Refused GO TO PA11 CKPT:PA11 - If anyone else living with parent, GO TO PA14 PA11 What is your current marital status? Are you: 1 married, 2 separated because of marital problems, 3 divorced, 4 widowed, or 5 never married? PA12 How old were you on your last birthday? __________ (years) (RANGE:35-96) PA13 What is the highest grade or level of education that you have completed? __________ grade/level (RANGE:0-18;or specify) =====> ALL GO TO CKPT:PA27b PA14 Tell me the first name(s) of the other member(s) of this household. (Include everyone who stays here half the time or more, and anyone temporarily in a hospital or other institution. Do NOT include sons or daughters who are away attending college or in the armed forces.) (ENTER IN TABLE 1) _____________ **NOTE: We probed for additional names by using the following four questions: Is there anyone else who stays here half the time or more? 1 Yes 2 No 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? 1 Add name(s) to household roster 2 No additions I have recorded (NAMES LISTED ABOVE) as members of this household. Is there anyone that I have missed, such as someone temporarily in a hospital or other institution? 1 Add name(s) to household roster 3 Delete name(s) from household roster 5 No additions or deletions What is that person's name? _____________ PA15 (Ask if necessary:) (Is (name) male or female?) 1 Male 2 Female PA16 How old was (name) on (his/her) last birthday? __________ (years) (RANGE:0-96) CKPT:PA17 - If person is age 16 or yonger, GO TO PA23 PA17 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? PA18 Current cohabitation status 0 No 1 Yes PA19 How is (he/she) related to you? 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:PA20 . . a. If relationship of person to R is not husband/wife or lover/partner, GO TO CKPT:PA20b b. If person is not married, is not a biological child, step-child, adopted child, foster child, or child or partner, GO TO PA21 . . PA20 Is (name) in (his/her) first marriage, or has (he/she) been married before? 1 First marriage 2 Married before PA21 Is (name) a biological child of your present (spouse/partner)? 1 Yes 2 No CKPT:PA22 . . a. If person is less than 18, GO TO CKPT:PA25 b. If person is child, step-child, adopted child, foster child, or child of partner, GO TO CKPT:PA25 . . PA22 How much education has (he/she) completed? __________ grade/level (RANGE:0-18;or specify) PA23 Is (name) currently: 1 working full-time, 2 working part-time, or 3 not working for pay? PA24 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:PA25 . . a. If person is less than 16, GO TO PA26 b. If person is child, stepchild, adopted child, foster child, or child of partner, GO TO CKPT:PA27 . . PA25 How many biological or adopted children, if any, does (he/she) have? __________ children (RANGE:0-15) PA26 Taking things all together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely perfect, how would you describe your relationship with (child's name)? 00 Really bad 01 02 03 04 05 06 07 08 09 10 Absolutely perfect CKPT:PA27 . . a. If have not asked about every person listed by R in question PA10, GO BACK TO PA14 . . TABLE 1 ________________________________________________________________________________ HOUSEHOLD ROSTER OTHER THAN R NAME SEX AGE MARITAL COHAB RELATION- MARRIED STATUS STATUS SHIP TO R BEFORE ________________________________________________________________________________ 1. _____________ 1 5 _____ ____ _____ ______ 1 2 2. _____________ 1 5 _____ ____ _____ ______ 1 2 3. _____________ 1 5 _____ ____ _____ ______ 1 2 4. _____________ 1 5 _____ ____ _____ ______ 1 2 5. _____________ 1 5 _____ ____ _____ ______ 1 2 6. _____________ 1 5 _____ ____ _____ ______ 1 2 7. _____________ 1 5 _____ ____ _____ ______ 1 2 8. _____________ 1 5 _____ ____ _____ ______ 1 2 9. _____________ 1 5 _____ ____ _____ ______ 1 2 10. _____________ 1 5 _____ ____ _____ ______ 1 2 11. _____________ 1 5 _____ ____ _____ ______ 1 2 12. _____________ 1 5 _____ ____ _____ ______ 1 2 13. _____________ 1 5 _____ ____ _____ ______ 1 2 14. _____________ 1 5 _____ ____ _____ ______ 1 2 ________________________________________________________________________________ HOUSEHOLD ROSTER OTHER THAN R CHILD OF EDUCATION WORK ECONOMIC NUMBER OF RELATION CURRENT R2 STATUS STATUS STATUS CHILDREN W/ CHILD ________________________________________________________________________________ 1. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 2. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 3. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 4. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 5. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 6. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 7. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 8. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 9. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 10. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 11. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 12. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 13. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ 14. 1 2 ______ 1 2 3 1 2 3 4 5 _______ ________ ________________________________________________________________________________ CKPT:PA27 (continued) . . b. If R is not married, GO TO PA28 c. If married and spouse in household, GO TO PA28 . . PA27 I've recorded that you are married, but your (spouse) is not living here now. Why is that? 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) PA28 In whose name is this home owned or rented? 1 Respondent only GO TO PA31 2 Spouse only (This does not include partner) GO TO PA31 3 Respondent and spouse GO TO PA31 4 Respondent and someone else GO TO PA31 5 Someone else PA29 Enter the person number (pnum) of first person mentioned as householder: __________ (household member number) (RANGE:60-79) Someone not listed on household roster PA30 Enter the person number (pnum) of second person mentioned as householder: __________ (household member number) (RANGE:60-79) Someone not listed on household roster 90 No second mention ********************************************************* R'S CHILDREN LIVING ELSEWHERE ********************************************************* PA31 (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 PA49 PA32 What are their first names? (ENTER IN TABLE 2) PROBE for additional names: Are there any others? 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.) PA33 (Ask if necessary:) Is (child's name) a son or a daughter? 1 Son 2 Daughter CKPT:PA34 - If R not married or cohabiting, GO TO PA35 PA34 Is (child's name) a biological child of your present (spouse/partner)? 1 Yes 2 No PA35 How old was (child's name) on (his/her) last birthday? (If less than one year old, enter 0) __________ years (RANGE:0-96) CKPT:PA36 - If child age 16 or younger, GO TO PA38 PA36 What is (his/her) marital status? Is (he/she): 1 married, GO TO PA38 2 separated because of marital problems, 3 divorced, 4 widowed, or 5 never married? PA37 Nowadays many unmarried couples live together. Is (child's name) currently living with a partner? 1 Yes 2 No =====> ALL GO TO PA39 PA38 Is this (his/her) first marriage, or has (he/she) been married before? 1 First marriage 2 Married before PA39 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) PA40 During the last 12 months, how often did you see (child's name)? Was it: (If R lived apart from this child for less than 12 months, ask only about the time period they lived apart) 1 Not at all, 2 Less than once a month, 3 1 to 3 times a month, 4 About once a week, or 5 More than once a week? Some other frequency (specify) PA41 During the last 12 months, about how often did you talk on the telephone or receive a letter from (child's name)? Was it: (If R lived apart from this child for less than 12 months, ask only about the time period they lived apart) 1 Not at all, 2 Less than once a month, 3 1 to 3 times a month, 4 About once a week, or 5 More than once a week? Some other frequency (specify) CKPT:PA42 - If child's age less than 16, GO TO CKPT:PA47 PA42 How many biological or adopted children, if any, does (he/she) have? __________ children (RANGE:0-15) 00 None GO TO CKPT:PA44 97 Refused GO TO CKPT:PA44 98 Don't know GO TO CKPT:PA44 PA43 How many of these children live with (child's name)? __________ children (RANGE:0-15) CKPT:PA44 . . a. If child isn't married, GO TO CKPT:PA44b b. If child is age 18 or younger, GO TO CKPT:PA47 . . PA44 How much education has (he/she) completed? __________ (grade/level) (RANGE:0-18;or specify) PA45 Is (child's name) currently: 1 working full-time, 2 working part-time, or 3 not working for pay? PA46 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:PF47 - If child older than 18, GO TO PA48 PA47 Where is (child's name) now living? 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) PA48 Taking things all together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely perfect, how would you describe your relationship with (child's name)? 00 Really bad 01 02 03 04 05 06 07 08 09 10 Absolutely perfect CKPT:PA49 - If have not asked about all children living elsewhere, GO BACK TO PA32 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 YRS OF CHILD LETTER KIDS LIVE WITH EDUCATION -------------------------------------------------------------------------------- 1. ________ 1 2 3 4 5 1 2 3 4 5 ______ ______ ______ 2. ________ 1 2 3 4 5 1 2 3 4 5 ______ ______ ______ 3. ________ 1 2 3 4 5 1 2 3 4 5 ______ ______ ______ 4. ________ 1 2 3 4 5 1 2 3 4 5 ______ ______ ______ 5. ________ 1 2 3 4 5 1 2 3 4 5 ______ ______ ______ 6. ________ 1 2 3 4 5 1 2 3 4 5 ______ ______ ______ 7. ________ 1 2 3 4 5 1 2 3 4 5 ______ ______ ______ 8. ________ 1 2 3 4 5 1 2 3 4 5 ______ ______ ______ 9. ________ 1 2 3 4 5 1 2 3 4 5 ______ ______ ______ 10. ________ 1 2 3 4 5 1 2 3 4 5 ______ ______ ______ ________________________________________________________________________________ R'S CHILDREN LIVING ELSEWHERE JOB ECONOMIC WHERE CHILD RELATION STATUS STATUS IS LIVING W/ CHILD -------------------------------------------------------------------------------- 1. 1 2 3 1 2 3 4 _______ _____ 2. 1 2 3 1 2 3 4 _______ _____ 3. 1 2 3 1 2 3 4 _______ _____ 4. 1 2 3 1 2 3 4 _______ _____ 5. 1 2 3 1 2 3 4 _______ _____ 6. 1 2 3 1 2 3 4 _______ _____ 7. 1 2 3 1 2 3 4 _______ _____ 8. 1 2 3 1 2 3 4 _______ _____ 9. 1 2 3 1 2 3 4 _______ _____ 10. 1 2 3 1 2 3 4 _______ _____ ________________________________________________________________________________ PA49 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 CKPT:PC1b PA50 What are their first names? (ENTER IN TABLE 3) PROBE for additional names: Are there any others? 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?) PA51 Is (child's name) a son or a daughter? 1 Son 2 Daughter PA52 How old was (child's name) on (his/her) last birthday? (If less than one year old, enter 0) __________ years (RANGE:0-96) CKPT:PA53 - If child is age 16 or younger, GO TO PA56 PA53 What is (his/her) marital status? Is (he/she): 1 married, GO TO PA55 2 separated because of marital problems, 3 divorced, 4 widowed, or 5 never married? PA54 Nowadays many unmarried couples live together. Is (child's name) currently living with a partner? 1 Yes 2 No =====> ALL GO TO PA56 PA55 Is this (his/her) first marriage, or has (he/she) been married before? 1 First marriage 2 Married before PA56 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 PA65 PA57 During the last 12 months, how often did you see (name)? Was it: (If R lived apart from this child for less than 12 months, ask only about the time period they lived apart) 1 Not at all, 2 Less than once a month, 3 1 to 3 times a month, 4 About once a week, or 5 More than once a week? Some other frequency (specify) PA58 During the last 12 months, about how often did you talk on the telephone or receive a letter from (name)? Was it: (If R lived apart from this child for less than 12 months, ask only about the time period they lived apart) 1 Not at all, 2 Less than once a month, 3 1 to 3 times a month, 4 About once a week, or 5 More than once a week? Some other frequency (specify) CKPT:PA59 - If child's age less than 17, GO TO CKPT:PA61b PA59 How many biological or adopted children, if any, does (he/she) have? __________ children (RANGE:0-15) 00 None GO TO CKPT:PA61 92 R knows nothing about this child GO TO PA64 97 Refused GO TO CKPT:PA61 98 Don't know GO TO CKPT:PA61 PA60 How many of these children live with (child's name)? __________ children (RANGE:0-15) CKPT:PA61 . . a. If child isn't married, GO TO CKPT:PA61b b. If child is age 18 or younger, GO TO CKPT:PA64 . . PA61 How much education has (he/she) completed? __________ (grade/level) (RANGE:0-18;or specify) PA62 Is (child's name) currently: 1 working full-time, 2 working part-time, or 3 not working for pay? PA63 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? PA64 Where is (child's name) now living? 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) PA65 Taking things all together, on a scale from 0 to 10, where 0 is really bad and 10 is absolutely prefect, how would you describe your relationship with (child's name)? 00 Really bad 01 02 03 04 05 06 07 08 09 10 Absolutely perfect CKPT:PC1 . . a. If have not asked about all of spouse/partner's children living elsewhere, GO BACK TO PA45 . . 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 YRS OF CHILD LETTER KIDS LIVE WITH EDUCATION -------------------------------------------------------------------------------- 1. ________ 1 2 3 4 5 1 2 3 4 5 _____ _____ _____ 2. ________ 1 2 3 4 5 1 2 3 4 5 _____ _____ _____ 3. ________ 1 2 3 4 5 1 2 3 4 5 _____ _____ _____ 4. ________ 1 2 3 4 5 1 2 3 4 5 _____ _____ _____ 5. ________ 1 2 3 4 5 1 2 3 4 5 _____ _____ _____ 6. ________ 1 2 3 4 5 1 2 3 4 5 _____ _____ _____ 7. ________ 1 2 3 4 5 1 2 3 4 5 _____ _____ _____ 8. ________ 1 2 3 4 5 1 2 3 4 5 _____ _____ _____ 9. ________ 1 2 3 4 5 1 2 3 4 5 _____ _____ _____ 10. ________ 1 2 3 4 5 1 2 3 4 5 _____ _____ _____ ________________________________________________________________________________ SPOUSE/PARTNER'S CHILDREN LIVING ELSEWHERE JOB ECONOMIC WHERE CHILD RELATION STATUS STATUS IS LIVING W/ CHILD -------------------------------------------------------------------------------- 1. 1 2 3 1 2 3 4 5 _______ _______ 2. 1 2 3 1 2 3 4 5 _______ _______ 3. 1 2 3 1 2 3 4 5 _______ _______ 4. 1 2 3 1 2 3 4 5 _______ _______ 5. 1 2 3 1 2 3 4 5 _______ _______ 6. 1 2 3 1 2 3 4 5 _______ _______ 7. 1 2 3 1 2 3 4 5 _______ _______ 8. 1 2 3 1 2 3 4 5 _______ _______ 9. 1 2 3 1 2 3 4 5 _______ _______ 10. 1 2 3 1 2 3 4 5 _______ _______ ________________________________________________________________________________ ********************************************************************** MARRIAGE HISTORY ********************************************************************** CKPT:PC1 (continued) . . b. If parent is currently married, GO TO CKPT:PC8d . . PC1 How many times have you been married? ___________ (times) (RANGE:0-3) 0 None GO TO CKPT:PC8d 7 Refused GO TO CKPT:PC8d 8 Don't know GO TO CKPT:PC8d PC2M In what month and year did you get married (for the first time)? (Probe for second marriage: In what month and year did you (next) get married?) (Probe for third marriage: In what month and year did your most recent marriage begin?) (ENTER IN TABLE 4) Month: _______________ 1 9 ___ ___ (1-12) (00-93) CKPT:PC3 . . a. If there is another marriage, GO TO PC4 b. If parent's marital status is not married, GO TO PC4 c. If currently married, GO TO CKPT:PC8d . . PC3 Are you still in this marriage? 1 Yes GO TO CKPT:PC8d 2 No PC4 Did this marriage end in: 1 divorce, GO TO PC6M 2 separation, or GO TO PC7M 3 widowhood? 7 Refused GO TO CKPT:PC8d 8 Don't know GO TO CKPT:PC8d PC5M In what month and year did your (husband/wife) die? Month: _______________ 1 9 ___ ___ (1-12) (00-93) ====> ALL GO TO CKPT:PC8 PC6M In what month and year did you get divorced? Month: _______________ 1 9 ___ ___ (1-12) (00-93) PC7M In what month and year did you stop living together? Month: _______________ 1 9 ___ ___ (1-12) (00-93) CKPT:PC8 . . a. If have not asked about each marriage, GO BACK TO PC2M b. If this is the third marriage, GO TO CKPT:PC8d c. GO TO CKPT:PC8d . . TABLE 4 --------------------------------------------------------- MARRIAGE HISTORY DATE MARRIED STILL MARRIED HOW ENDED --------------------------------------------------------- 1. __________ 19___ 1 2 1 2 3 2. __________ 19___ 1 2 1 2 3 3. __________ 19___ 1 2 1 2 3 --------------------------------------------------------- MARRIAGE HISTORY DATE WIDOWED DATE DIVORCED DATE SEPARATED --------------------------------------------------------- 1. _________ 19___ __________ 19___ _________ 19___ 2. _________ 19___ __________ 19___ _________ 19___ 3. _________ 19___ __________ 19___ _________ 19___ --------------------------------------------------------- CKPT:PC8 (continued) . . d. If parent is not cohabiting, GO TO CKPT:PC9 . . PC8M In what month and year did you and your partner start living together? Month: _______________ 1 9 ___ ___ (1-12) (00-93) CKPT:PC9 - If parent is not married, GO TO PD1 PC9 How likely is it that you will get (re)married some day? Would you say you: 1 definitely won't get married, 2 probably won't, 3 about a 50-50 chance, 4 probably will, or 5 definitely will get married? CKPT:PC10 - If parent is cohabiting, GO TO PD1 PC10 In the last month, about how many times, if any, did you date or go out with someone of the opposite sex? (This includes "formal" dates, as well as going out or getting together informally with someone with whom R has or may be interested in having, a romantic interest) __________ (times) (RANGE:0-31) ********************************************************************** HEALTH AND WELL-BEING ********************************************************************** PD1 Taking things all together, how would you say things are these days? On a scale of 0 to 10 where 0 is very unhappy and 10 is very happy, how happy would you say you are these days? 00 Very unhappy 01 02 03 04 05 06 07 08 09 10 Very happy PD2 How often do you worry that your total household family income will not be enough to meet your household's expenses and bills? Would you say: 1 almost all the time, 2 often, 3 once in a while, 4 hardly ever, or 5 never? PD3 Compared with other people your age, how would you describe your health? Is it: 1 very poor, 2 poor, 3 fair, 4 good, or 5 excellent? PD4 On a scale of 0 to 10 where 0 is very unhappy and 10 is very happy, how would you describe your (marriage/relationship with your partner)? 00 Very unhappy 01 02 03 04 05 06 07 08 09 10 Very happy PD5 Do physical or mental conditions limit your ability to move about inside the house? 1 Yes 2 No PD6 (Do physical or mental conditions limit your ability to:) do day-to-day household tasks? 1 Yes 2 No PD7 (Do physical or mental conditions limit your ability to:) walk six blocks? 1 Yes 2 No PD8 (Do physical or mental conditions limit your ability to:) do heavy work like shoveling snow or heavy housecleaning? 1 Yes 2 No PD9 (Do physical or mental conditions limit your ability to:) work for pay, such as the amount or type of work you do? 1 Yes 2 No PD10 Next is a list of the ways you might have felt or behaved during the last week. On how many days during the last week did you feel that you could not shake off the blues, even with help from your family or friends? ___________ days (RANGE:0-7) PD11 (On how many days during the last week did you:) feel hopeful about the future? ___________ days (RANGE:0-7) PD12 (On how many days during the last week did you:) have trouble keeping your mind on what you were doing? ___________ days (RANGE:0-7) PD13 (On how many days during the last week did you:) feel that everything you did was an effort? ___________ days (RANGE:0-7) PD14 (On how many days during the last week did you:) sleep restlessly? ___________ days (RANGE:0-7) PD15 (On how many days during the last week did you:) feel lonely? ___________ days (RANGE:0-7) PD16 (On how many days during the last week did you:) feel sad? ___________ days (RANGE:0-7) PD17 (On how many days during the last week did you:) feel you could not get going? ___________ days (RANGE:0-7) PD18 (On how many days during the last week did you:) feel irritable, or likely to fight or argue? ___________ days (RANGE:0-7) PD19 (On how many days during the last week did you:) feel like telling someone off? ___________ days (RANGE:0-7) PD20 (On how many days during the last week did you:) feel angry or hostile for several hours at a time? ___________ days (RANGE:0-7) PD21 In the last year have you had 2 weeks or more during which you felt sad, blue, or depressed or when you lost all interest or pleasure in things that you usually cared about or enjoyed? 1 Yes 2 No PD22 Have you felt depressed or sad much of the time in the last year? 1 Yes 2 No PD23 The next few questions are about drinking alcoholic beverages, that is, beer, wine, and liquor, like whiskey, gin, or scotch, including mixed alcoholic drinks like gin and tonic. During the last 30 days, did you have one or more alcoholic drinks? 1 Yes 2 No GO TO PD27 PD24 During the last 30 days, on about how many different days did you have one or more alcoholic drinks? __________ days (RANGE:0-30) PD25 During the last 30 days, about how many alcoholic drinks did you USUALLY have in a DAY on the days that you drank? __________ drinks (RANGE:1-25) PD26 On about how many days did you have five or more drinks on the same occasion during the last 30 days? By occasion we mean at the same time or within a couple of hours of each other. __________ days (RANGE:0-30) PD27 How much do you agree or disagree with each of the following statements? Children ought to let aging parents live with them when the parents can no longer live by themselves. Do you: 1 strongly agree, 2 agree, 3 neither agree nor disagree, 4 disagree, or 5 strongly disagree? PD28 Parents ought to provide financial help to their adult children when the children are having financial difficulty. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree PD29 Children ought to provide financial help to aging parents when their parents are having financial difficulty. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree PD30 Parents ought to let their adult children live with them when the children are having problems. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree PD31 About how often do you do the following things? How often do you get together socially with relatives? Is it: 1 once a year or less, 2 several times a year, 3 about once a month, 4 about once a week, or 5 more than once a week? PD32 How often do you get together socially with a neighbor? Is it: 1 once a year or less, 2 several times a year, 3 about once a month, 4 about once a week, or 5 more than once a week? PD33 How often do you get together socially with people you work with? 1 Once a year or less 2 Several times a year 3 About once a month 4 About once a week 5 More than once a week 6 Does not work PD34 How often do you get together socially with friends who live outside your neighborhood? 1 Once a year or less 2 Several times a year 3 About once a month 4 About once a week 5 More than once a week PD35 How often do you participate in a group recreational activity such as bowling, golf, square dancing, or similar activities? Is it: 1 once a year or less, 2 several times a year, 3 about once a month, 4 about once a week, or 5 more than once a week? PD36 How often do you participate in the following types of organizations? Service clubs, fraternal groups, or political groups? Is it: 1 once a year or less, 2 several times a year, 3 about once a month, 4 about once a week, or 5 more than once a week? PD37 (How often do you participate in) work-related groups, such as unions, farm organizations, or professional societies? 1 Once a year or less 2 Several times a year 3 About once a month 4 About once a week 5 More than once a week PD38 (How often do you participate in) sports, hobby or garden organizations, or discussion groups? 1 Once a year or less 2 Several times a year 3 About once a month 4 About once a week 5 More than once a week PD39 How often do you attend religious services? Is it: 1 once a year or less, 2 several times a year, 3 about once a month, 4 about once a week, or 5 more than once a week? PD40 How often do you participate in church-affiliated groups, not including religious services? Is it: 1 once a year or less, 2 several times a year, 3 about once a month, 4 about once a week, or 5 more than once a week? ********************************************************************** CAREGIVING AND RECEIVING ********************************************************************** PE1 Next are some questions about your health. Do you have any long-term PHYSICAL OR MENTAL CONDITION OR DISABILITY which limites what you are able to do, or which is likely to limit your activities in the future? 1 Yes 2 No GO TO CKPT:PE4 PE2 What is the most serious condition that you have? _________________________ Condition given (specify) 990 No specific condition given GO TO CKPT:PE4 997 Refused GO TO CKPT:PE4 998 Don't know GO TO CKPT:PE4 PE3 What is the next most serious condition? __________________________ Condition given (specify) 990 No second condition given CKPT:PE4 . . a. If parent is married, go to PE4 b. If parent is not cohabiting, go to CKPT:PE7 . . PE4 Does your (spouse/partner) have any 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? 1 Yes 2 No GO TO CKPT:PE7 PE5 What is the most serious condition that (he/she) has? __________________________ Condition given (specify) 990 No specific condition given GO TO CKPT:PE7 997 Refused GO TO CKPT:PE7 998 Don't know GO TO CKPT:PE7 PE6 What is the next most serious condition? _________________________ Condition given (specify) 990 No second condition given CKPT:PE7 - If no one else in household other than parent and his/her spouse/partner, GO TO PE15 PE7 Do any other members of your household have any 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? 1 Yes 2 No GO TO PE15 PE8 Who has such a condition? ____________ (household member number) (RANGE:60-79) 97 Refused GO TO PE15 98 Don't know GO TO PE15 PE9 What is the most serious condition that (he/she) has? _________________________ Condition given (specify) 990 No specific condition given GO TO CKPT:PE11 997 Refused GO TO CKPT:PE11 998 Don't know GO TO CKPT:PE11 PE10 What is the next most serious condition? _________________________ Condition given (specify) 990 No second condition given CKPT:PE11 - If there is only 1 other person in the household other than parent and parent's spouse, GO TO PE15 PE11 Does anyone else in your household have any 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? 1 Yes 2 No GO TO PE15 PE12 Who has such a condition? __________(household member number) (RANGE:60-79) 97 Refused GO TO PE15 98 Don't know GO TO PE15 PE13 What is the most serious condition that (he/she) has? __________________________ Condition given (specify) 990 No specific condition given GO TO PE15 997 Refused GO TO PE15 998 Don't know GO TO PE15 PE14 What is the next most serious condition? _________________________ Condition given (specify) 990 No second condition given PE15 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 PE18 CKPT:PE16 - If only one other person in household, GO TO PE18 PE16 Who needs such assistance? __________(household member number) (RANGE:60-79) 97 Refused GO TO PE18 98 Don't know GO TO PE18 PE17 Who else? __________(household member number) (RANGE:60-79) 90 No one else PE18 (Because of a health or physical problem, do you (or anyone living here) need assistance with:) dressing? 1 Yes 2 No GO TO PE21 CKPT:PE19 - If only one other person in the household, GO TO PE21 PE19 Who needs such assistance? __________(household member number) (RANGE:60-79) 97 Refused GO TO PE21 98 Don't know GO TO PE21 PE20 Who else? __________(household member number) (RANGE:60-79) 90 No one else PE21 (Because of a health or physical problem, do you (or anyone living here) need assistance with:) eating? 1 Yes 2 No GO TO PE24 CKPT:PE22 - If only one other person in household, GO TO PE24 PE22 Who needs such assistance? __________(household member number) (RANGE:60-79) 97 Refused GO TO PE24 98 Don't know GO TO PE24 PE23 Who else? __________(household member number) (RANGE:60-79) 90 No one else PE24 (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 PE27 CKPT:PE25 - If only one other person in the household, GO TO PE27 PE25 Who needs such assistance? __________(household member number) (RANGE:60-79) 97 Refused GO TO PE27 98 Don't know GO TO PE27 PE26 Who else? __________(household member number) (RANGE:60-79) 90 No one else PE27 (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 PE30 CKPT:PE28 - If only one other person in the household, GO TO PE30 PE28 Who needs such assistance? __________(household member number) (RANGE:60-79) 97 Refused GO TO PE30 98 Don't know GO TO PE30 PE29 Who else? __________(household member number) (RANGE:60-79) 90 No one else PE30 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 PE38 PE31 Who did you provide with the most help? 02 Son 03 Daughter 04 Son-in-law GO TO PE33 05 Daughter-in-law GO TO PE33 06 Father GO TO PE35 07 Mother GO TO PE35 08 Father-in-law GO TO PE35 09 Mother-in-law GO TO PE35 10 Brother GO TO PE35 11 Sister GO TO PE35 12 Brother-in-law GO TO PE35 13 Sister-in-law GO TO PE35 14 Grandson GO TO PE35 15 Graddaughter GO TO PE35 16 Male friend GO TO PE35 17 Female friend GO TO PE35 Other (specify) GO TO PE34 97 Refused GO TO PE38 98 Don't know GO TO PE38 PE32 Which (son/daughter) is that? __________ (household member number) (RANGE:60-79;or specify) =====> ALL GO TO PE35 PE33 Which (son/daughter)'s (wife/husband) is that? __________(household member number) (RANGE:60-79;or specify) =====> ALL GO TO PE35 PE34 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 PE35 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) __________ weeks (RANGE:1-52) PE36 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:PE37 - If number of weeks helped during the past 12 months is greater than 47, GO TO PE38 PE37 Have you given any of this help in the last 30 days? 1 Yes 2 No PE38 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 PE46 PE39 Who provided you with the most help? 02 Son 03 Daughter 04 Son-in-law GO TO PE41 05 Daughter-in-law GO TO PE41 06 Father GO TO PE43 07 Mother GO TO PE43 08 Father-in-law GO TO PE43 09 Mother-in-law GO TO PE43 10 Brother GO TO PE43 11 Sister GO TO PE43 12 Brother-in-law GO TO PE43 13 Sister-in-law GO TO PE43 14 Grandson GO TO PE43 15 Granddaughter GO TO PE43 16 Male friend GO TO PE43 17 Female friend GO TO PE43 Other (specify) GO TO PE42 97 Refused GO TO PE46 98 Don't know GO TO PE46 PE40 Which (son/daughter) is that? __________ (household member number) (RANGE:60-79;or specify) =====> ALL GO TO PE43 PE41 Which (son/daughter)'s (wife/husband) is that? __________ (household member number) (RANGE:60-79;or specify) =====> ALL GO TO PE43 PE42 Is this a male or a female? 1 Male 2 Female PE43 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) PE44 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:PE45 - If number of weeks R received help in the past twelve months is greater than 47, GO TO PE46 PE45 Have you received any of this help in the last 30 days? 1 Yes 2 No PE46 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 PE50 7 Refused GO TO CKPT:PF1 8 Don't know GO TO CKPT:PF1 PE47 Who did you give the most personal care of this kind? ___________ (household member number) (RANGE:60-79) 60-79 Household member number GO TO PE49 Other person no longer living with R (specify) (Enter relationship; if son or daughter, enter relationship and name) PE48 Relationship of person who R gave the most personal care to: 02 Son 03 Daughter 04 Son-in-law 05 Daughter-in-law 06 Father 07 Mother 08 Father-in-law 09 Mother-in-law 10 Brother 11 Sister 12 Brother-in-law 13 Sister-in-law 14 Grandson 15 Granddaughter 16 Male friend 17 Female friend Other (specify) PE49 About how many weeks during the last 12 months did you help this person with personal care? __________ number of weeks (RANGE:1-52) PE50 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:PF1 PE51 Who provided you with the most help with personal care? ___________ (household member number) (RANGE:60-79) 60-79 Household member number GO TO PE53 Other person no longer living with R (specify) (Enter relationship; if son or daughter, enter relationship and name) PE52 Relationship of person who provided R with the most help: 02 Son 03 Daughter 04 Son-in-law 05 Daughter-in-law 06 Father 07 Mother 08 Father-in-law 09 Mother-in-law 10 Brother 11 Sister 12 Brother-in-law 13 Sister-in-law 14 Grandson 15 Granddaughter 16 Male friend 17 Female friend Other (specify) PE53 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) ********************************************************************** RELATIONSHIPS WITH PARENTS ********************************************************************** CKPT:PF1 - If mother is on HH roster, GO TO CKPT:PF4 PF1 Next I have some questions about your parents. Is your mother still living? 1 Yes 2 No GO TO CKPT:PF3 PF2 How old is she? (Age in years at last birthday) _________ years old (RANGE:30-99) CKPT:PF3 - If mother is alive, GO TO CKPT:PF4 PF3 In what year did she die? 1 9 ___ ___ (RANGE:01-93) CKPT:PF4 - If father is on HH roster, GO TO PF7 PF4 Is your father still living? 1 Yes 2 No GO TO CKPT:PF6 PF5 How old is he? (Age in years at last birthday) _________ years old (RANGE:30-99) CKPT:PF6 - If father is alive, GO TO PF7 PF6 In what year did he die? 1 9 ___ ___ (RANGE:01-93) PF7 Did you ever live with a step-parent? 1 Yes 2 No GO TO CKPT:PF11 PF8 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:PF11 8 Don't know GO TO CKPT:PF11 PF9 Is your (step-father/step-mother) still living? 1 Yes 2 No CKPT:PF10 . . a. If step-mother/step-father is not alive, GO TO CKPT:PF11 b. If stepmother in PF8 and R's father are NOT alive, GO TO CKPT:PF11 c. If stepfather in PF8 and if R's mother are NOT alive, GO TO CKPT:PF11 . . PF10 Is (he/she) still married to your (mother/father)? 1 Yes 2 No CKPT:PF11 . . a. If R is currently married, GO TO CKPT:PF11c b. If R is NOT currently cohabiting, GO TO CKPT:PF17 c. If R's mother-in-law/partner's mother on HH roster, GO TO CKPT:PF14 . . PF11 Is your (spouse/partner's) mother still living? 1 Yes 2 No CKPT:PF12 . . a. If spouse/partner's mother is still living, GO TO PF13 b. If R refused or doesn't know if spouse/partner's mother is still living, GO TO CKPT:PF14 . . PF12 In what year did she die? 1 9 ___ ___ (RANGE:01-93) ======> ALL GO TO CKPT:PF14 PF13 How old is she? (Age in years at last birthday) _________ years old (RANGE:30-99) CKPT:PF14 - If R's father-in-law/partner's father is on HH roster, GO TO CKPT:PF17 PF14 Is your (spouse/partner's) father still living? 1 Yes 2 No CKPT:PF15 . . a. If spouse/partner's father is still living, GO TO PF16 b. If R refused or doesn't know if spouse/partner's father is still living, GO TO CKPT:PF17 . . PF15 In what year did he die? 1 9 ___ ___ (RANGE:01-93) ======> ALL GO TO CKPT:PF17 PF16 How old is he? (Age in years at last birthday) _________ years old (RANGE:30-99) CKPT:PF17 . . a. If all of R's parents or parents-in-law died before 1987, GO TO CKPT:PG1 b. If all of R's parents are dead, GO TO CKPT:PF60 c. If R's mother is NOT alive, GO TO CKPT:PF29 . . PF17 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? PF18 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? 00 Really bad 01 02 03 04 05 06 07 08 09 10 Absolutely perfect Other (specify) CKPT:PF19 . . a. If R's father is NOT alive, GO TO CKPT:PF20 b. If R has a step-mother, GO TO CKPT:PF20 c. If R has a step-father, GO TO PF21 d. If R ever lived with a step-parent, GO TO CKPT:PF20 e. If R's mother is on HH roster, GO TO PF22 . . PF19 Are your mother and father presently married to each other? 1 Yes GO TO CKPT:PF23 2 No CKPT:PF20 - If R's mother is on HH roster, GO TO CKPT:PF23 PF20 What is your mother's current marital status? Is she: 1 married, 2 separated because of marital problems, GO TO CKPT:PF23 3 divorced, GO TO CKPT:PF23 4 widowed, or GO TO CKPT:PF23 5 has she never married? GO TO CKPT:PF23 7 Refused GO TO CKPT:PF23 8 Don't know GO TO CKPT:PF23 PF21 In what year did your mother get married to (her current husband/your step-father)? 1 9 ___ ___ (RANGE:01-93) PF22 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)? 00 Really bad 01 02 03 04 05 06 07 08 09 10 Absolutely perfect Other (specify) 90 R has no relationship/contact with (current husband/step-father) CKPT:PF23 - If R's mother is on the HH roster, GO TO CKPT:PF24 PF23 (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 PF25 03 in the home of another son or daughter, 04 in a nursing home, or somewhere else? (specify) 09 Parents do not live together - e.g. one in nursing home. Enter explanatory text, including how long apart (specify) 97 Refused GO TO PF25 98 Don't know GO TO PF25 CKPT:PF24 - If mother is on HH roster and R is not a householder, GO TO PF29 PF24M 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 PF23. (in your home/ in home of another child/in a nursing home/there)) Month __________________ 1 9 ___ ___ (1-12) (24-93) Other responses PF24F Do you remember what part of the year it was? (Probe for season, portion of year. If R says "Winter" probe: do you think it was January or February or December?) (specify) _______ CKPT:PF25 - If mother is on HH roster, GO TO CKPT:PF29 PF25 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 9994 Foreign country, distance not given 9995 Lives here PF26 During the last 12 months, about how often did you see your mother? Was it: 01 Not at all 02 Less than once a month GO TO PF28 04 1 to 3 times a month GO TO PF28 05 About once a week GO TO PF28 06 More than once a week GO TO PF28 Some other frequency (specify) GO TO PF28 PF27 In what year did you last see your mother? 1 9 ___ ___ (RANGE:20-93) PF28 During the last 12 months, about how often did you communicate with your mother by letter or phone? Was it: 01 Not at all 02 Less than once a month 04 1 to 3 times a month 05 About once a week 06 More than once a week Some other frequency (specify) CKPT:PF29 - If R's father is NOT alive, GO TO CKPT:PF40 PF29 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? PF30 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? 00 Really bad 01 02 03 04 05 06 07 08 09 10 Absolutely perfect Other (specify) CKPT:PF31 . . a. If R's parents are still married to each other, GO TO CKPT:PF40 b. If R's father is still married to R's step-mother, GO TO PF32 c. If R's father is on HH roster, GO TO CKPT:PF34 . . PF31 What is your father's current marital status? Is he: 1 married, 2 separated because of marital problems, GO TO CKPT:PF34 3 divorced, GO TO CKPT:PF34 4 widowed, or GO TO CKPT:PF34 5 has he never married? GO TO CKPT:PF34 PF32 In what year did your father get married to (his current wife/your step-mother)? 1 9 ___ ___ (RANGE:01-93) PF33 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? 00 Really bad 01 02 03 04 05 06 07 08 09 10 Absolutely perfect Other (specify) 90 R has no relationship/contact with father's wife CKPT:PF34 - If R's father is on HH roster, GO TO CKPT:PF39b PF34 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 somewhere else? (specify) 97 Refused GO TO CKPT:PF40 98 Don't know GO TO CKPT:PF40 PF35 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 9994 Foreign country, distance not given 9995 Lives here PF36 During the last 12 months, about how often did you see your father? 01 Not at all 02 Less than once a month GO TO PF38 04 1 to 3 times a month GO TO PF38 05 About once a week GO TO PF38 06 More than once a week GO TO PF38 Some other frequency (specify) GO TO PF38 PF37 In what year did you last see your father? 1 9 ___ ___ (RANGE:20-93) 95 Never GO TO CKPT:PF40 PF38 During the last 12 months, about how often did you communicate with your father by letter or phone? Was it: 01 Not at all 02 Less than once a month 03 1 to 3 times a month 04 About once a week 05 More than once a week Some other frequency (specify) CKPT:PF39 . . 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:PF40 b. If R's father lives in R's household and R is NOT the householder, GO TO CKPT:PF43 . . PF39M In what month and year did he begin living (there)? (Question replaced (there) with option based on response to PF34. (in your home/ in home of another child/ in a nursing home/ there)) Month __________________ 1 9 ___ ___ (1-12) (24-93) Other responses PF39F Do you remember what part of the year it was? (Probe for season, portion of year. If R says "Winter" probe: do you think it was January or February or December?) (specify) _______ CKPT:PF40 - If R's step-father/mother is NOT still living, GO TO CKPT:PF43 PF40 During the last 12 months, about how often did you see your step-(father/mother)? Was it: (If more than one step-parent, ask about the one that he/she lived with the longest.) 01 Not at all 02 Less than once a month GO TO CKPT:PF42 03 1 to 3 times a month GO TO CKPT:PF42 04 About once a week GO TO CKPT:PF42 05 More than once a week GO TO CKPT:PF42 Some other frequency (specify) PF41 In what year did you last see your step-(father/mother)? 1 9 ___ ___ (RANGE:20-93) CKPT:PF42 - If R's father/mother is still married to step-(father/mother), GO TO CKPT:PF43 PF42 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)? 00 Really bad 01 02 03 04 05 06 07 08 09 10 Absolutely perfect Other (specify) 90 R has no relationship/contact with step-parent CKPT:PF43 - If R's mother-in-law is NOT alive, GO TO CKPT:PF52 PF43 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? PF44 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? 00 Really bad 01 02 03 04 05 06 07 08 09 10 Absolutely perfect Other (specify) 90 R has no relationship/contact with spouse/partner's mother CKPT:PF45 . . a. If R's spouse/partner's father is NOT alive, GO TO CKPT:PF46 b. If R's spouse/partner's mother is on HH roster, GO TO CKPT:PF47 . . PF45 Are your (spouse/partner's) mother and father presently married to each other? 1 Yes GO TO CKPT:PF47 2 No CKPT:PF46 - If R's spouse/partner's mother is on HH roster, GO TO CKPT:PF47 PF46 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:PF47 - If mother-in-law is on HH roster, GO TO CKPT:PF51b PF47 (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 somewhere else? (specify) PF48 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 9994 Foreign country, distance not given 9995 Lives here PF49 During the last 12 months, about how often did you see your (spouse/partner's) mother? Was it: 01 Not at all 02 Less than once a month 03 1 to 3 times a month 04 About once a week 05 More than once a week Some other frequency (specify) PF50 During the last 12 months, about how often did you communicate with your (spouse/partner's) mother by letter or phone? Was it: 01 Not at all 02 Less than once a month 03 1 to 3 times a month 04 About once a week 05 More than once a week Some other frequency (specify) CKPT:PF51M . . 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:PF52 b. If spouse/partner's mother is not on HH roster and R is not the householder, GO TO CKPT:PF52 . . PF51M In what month and year did (she/they) begin living (there)? (Question replaced (there) with option based on response to PF34. (in your home/ in home of another child/ in a nursing home/ there)) Month __________________ 1 9 ___ ___ (1-12) (24-93) Other responses PF51F Do you remember what part of the year it was? (Probe for season, portion of year. If R says "Winter" probe: do you think it was January or February or December?) (specify) _______ CKPT:PF52 - If spouse/partner's father is not alive, GO TO PF60 PF52 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? PF53 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? 00 Really bad 01 02 03 04 05 06 07 08 09 10 Absolutely perfect Other (specify) 90 R has no relationship/contact with spouse/partner's father CKPT:PF54 . . a. If spouse/partner's parents still married to each other, GO TO PF60 b. If spouse/partner's father is on HH roster, GO TO CKPT:PF55 . . PF54 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:PF55 - If spouse/partner's father is on HH roster, GO TO CKPT:PF59 PF55 (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's, 04 in a nursing home, or somewhere else? (specify) PF56 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 9994 Foreign country, distance not given 9995 Parent and respondent live in same household GO TO CKPT:PF59 PF57 During the last 12 months, about how often did you see your (spouse/partner's) father? Was it: 01 Not at all 02 Less than once a month 03 1 to 3 times a month 04 About once a week 05 More than once a week Some other frequency (specify) PF58 During the last 12 months, about how often did you communicate with your (spouse/partner's) father by letter or phone? Was it: 01 Not at all 02 Less than once a month 03 1 to 3 times a month 04 About once a week 05 More than once a week Some other frequency (specify) CKPT:PF59 . . 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 PF60 b. If spouse/partner's father is on HH roster and R is NOT a householder, GO TO PF60 . . PF59M In what month and year did he begin living (there)? (Question replaced (there) with option based on response to PF34. (in your home/ in home of another child/ in a nursing home/ there)) Month __________________ 1 9 ___ ___ (1-12) (24-93) Other respsonses PF59F Do you remember what part of the year it was? (Probe for season, portion of year. If R says "Winter" probe: do you think it was January or February or December?) (specify) _______ CKPT:PF60 - 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:PF71 PF60 (Other than your (parents who currently live in R's HH)), At any time since NSFH1, 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:PF71 PF61 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) PF62M 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) Other responses PF62F Do you remember what part of the year it was? (Probe for season, portion of year. If R says "Winter" probe: do you think it was January or February or December?) (specify) _______ PF63 How did it happen that (he/she/they) started living with you? 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 Other reason (specify) PF64M In what month and year did (he/she/they) stop living with you? Month __________________ 1 9 ___ ___ (1-12) (24-93) Other responses 9990 Still lives with R GO TO PF66 PF64F Do you remember what part of the year it was? (Probe for season, portion of year. If R says "Winter" probe: do you think it was January or February or December?) (specify) _______ PF65 After (he/she) stopped living with you, where did (he/she) live? (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:PF66 - If only one living parent, GO TO CKPT:PF71 PF66 Did any other (parents) live with you in your household since NSFH1? (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:PF71 PF67M 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) PF67F Do you remember what part of the year it was? (Probe for season, portion of year. If R says "Winter" probe: do you think it was January or February or December?) (specify) _______ PF68 How did it happen that (he/she/they) started living with you? 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 Other reason (specify) PF69M In what month and year did (he/she/they) stop living with you? Month __________________ 1 9 ___ ___ (1-12) (24-93) Other responses 9990 Still lives with R PF69F Do you remember what part of the year it was? (Probe for season, portion of year. If R says "Winter" probe: do you think it was January or February or December?) (specify) _______ PF70 After (he/she) stopped living with you, where did (he/she) live? (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:PF71 . . a. If both mother and father were dead before NSFH1, GO TO CKPT:PF80 b. If R reported that all living parents went to live with respondent's siblings, GO TO CKPT:PF80 . . PF71 ((Other than) (your mother/your father)), At any time since NSFH1, 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:PF80 6 Does not apply: no brothers or sisters GO TO CKPT:PF80 PF72 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) PF73M 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) Other responses PF73F Do you remember what part of the year it was? (Probe for season, portion of year. If R says "Winter" probe: do you think it was January or February or December?) (specify) _______ PF74 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? Other (specify) PF75M In what month and year did (he/she/they) stop living with your brother or sister? Month __________________ 1 9 ___ ___ (1-12) (24-93) Other responses 9990 Still lives with brother/sister PF75F Do you remember what part of the year it was? (Probe for season, portion of year. If R says "Winter" probe: do you think it was January or February or December?) (specify) _______ CKPT:PF76 - If there is just one living parent, GO TO CKPT:PF80 PF76 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 6 No other parent GO TO CKPT:PF80 Other (specify) PF77 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? Other (specify) PF78M 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) Other responses PF78F Do you remember what part of the year it was? (Probe for season, portion of year. If R says "Winter" probe: do you think it was January or February or December?) (specify) _______ PF79M In what month and year did (he/she/they) stop living with your brother or sister? Month __________________ 1 9 ___ ___ (1-12) (24-93) Other responses 9990 Still lives with brother/sister PF79F Do you remember what part of the year it was? (Probe for season, portion of year. If R says "Winter" probe: do you think it was January or February or December?) (specify) _______ CKPT:PF80 - 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:PF83 PF80 (Other than your (parents)), At any time since NSFH1, 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:PF83 PF81 Which of your (parents) have been residents of a nursing home since NSFH1? (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) PF82 Which, if any, other (parents) have been residents of nursing homes since NSFH1? (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 90 No other parent Other (specify) CKPT:PF83 . . a. If any step-parents are still alive, GO TO PF83 b. If no parents are alive, GO TO CKPT:PG1 . . PF83 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 PF86 6 R says no parent is living GO TO CKPT:PG1 7 Refused GO TO PF86 8 Don't know GO TO PF86 CKPT:PF84 - If R has only one living parent, GO TO PF86 PF84 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 91 All living parents and parents-in-law GO TO PF86 Other (specify) PF85 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 90 No other parent 91 All living parents and parents-in-law Other (specify) PF86 DURING THE LAST MONTH, have you GIVEN your (parents) help 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 PF89 CKPT:PF87 - If R has only one living parent, GO TO PF89 PF87 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 91 All living parents and parents-in-law GO TO PF89 Other (specify) PF88 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 90 No other parent 91 All living parents and parents-in-law Other (specify) PF89 DURING THE LAST MONTH, have you GIVEN your (parents) advice, encouragement, moral, or emotional support? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 1 Yes 2 No GO TO CKPT:PF92 CKPT:PF90 - If R has only one living parent, GO TO CKPT:PF92 PF90 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 91 All living parents and parents-in-law GO TO CKPT:PF92 Other (specify) PF91 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 90 No other parent 91 All living parents and parents-in-law Other (specify) CKPT:PF92 . . a. If R gave parents any kind of help during the last month, GO TO PF92 b. All GO TO PF93 . . PF92 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) PF93 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 PF96 CKPT:PF94 - If R has only one living parent, GO TO PF96 PF94 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 90 No other parent 91 All living parents and parents-in-law GO TO PF96 Other (specify) PF95 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 90 No other parent 91 All living parents and parents-in-law Other (specify) PF96 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 PF99 CKPT:PF97 - If R has only one living parent, GO TO PF99 PF97 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 90 No other parent 91 All living parents and parents-in-law GO TO PF99 Other (specify) PF98 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 90 No other parent 91 All living parents and parents-in-law Other (specify) PF99 DURING THE LAST MONTH, have you RECEIVED advice, encouragement, moral or emotional support from your (parents)? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 1 Yes 2 No GO TO CKPT:PF102 CKPT:PF100 - If R has only one living parent, GO TO CKPT:PF102 PF100 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 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:PF102 Other (specify) PF101 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 90 No other parent 91 All living parents and parents-in-law Other (specify) CKPT:PF102 . . a. If R does not have children, GO TO CKPT:PF108 b. If age of youngest child in the household is greater than 12, GO TO CKPT:PF105 . . PF102 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:PF105 CKPT:PF103 - If R has only one living parent, GO TO CKPT:PF105 PF103 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 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:PF105 Other (specify) PF104 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 90 No other parent 91 All living parents and parents-in-law Other (specify) CKPT:PF105 - If age of youngest child in the household is greater than 18, GO TO CKPT:PF108 PF105 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:PF108 CKPT:PF106 - If R has only one living parent, GO TO CKPT:PF108 PF106 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 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:PF108 Other (specify) PF107 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 90 No other parent 91 All living parents and parents-in-law Other (specify) CKPT:PF108 . . a. If parents gave R any help in the past month, GO TO PF108 b. All GO TO CKPT:PF109 . . PF108 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? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) (Hours refers to the average number of hours for weeks in which help was given during the last month.) ____________ Hours (RANGE:0-75) CKPT:PF109 - If R has no living parents or parents-in-law, GO TO CKPT:PG1 PF109 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 PF112 CKPT:PF110 - If R has only one living parent, GO TO PF112 PF110 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 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:PF112 Other (specify) PF111 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 90 No other parent 91 All living parents and parents-in-law Other (specify) PF112 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? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 1 Yes 2 No GO TO PF115 CKPT:PF113 - If R has only one living parent, GO TO PF115 PF113 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 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:PF115 Other (specify) PF114 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 90 No other parent 91 All living parents and parents-in-law Other (specify) PF115 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 PF118 CKPT:PF116 - If R has only one living parent, GO TO PF118 PF116 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 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:PF118 Other (specify) PF117 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 90 No other parent 91 All living parents and parents-in-law Other (specify) PF118 Do any of your (parents) have problems because of too little income to meet day-to-day needs? (Parents included: R's father or mother and/or R's spouse/partner's father or mother.) 1 Yes 2 No GO TO CKPT:PG1 CKPT:PF119 - If R has only one living parent, GO TO CKPT:PG1 PF119 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 90 No other parent 91 All living parents and parents-in-law GO TO CKPT:PG1 Other (specify) PF120 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 90 No other parent 91 All living parents and parents-in-law Other (specify) PARENT INTERVIEW QUESTIONNAIRE (continued) (7/01/96) ********************************************************************** RELATIONSHIPS WITH ADULT CHILDREN ********************************************************************** CKPT:PG1 - If parent and/or spouse/partner have no children age 19 or over, GO TO PH1 PG1 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 PG3 CKPT:PG2 - If parent and/or spouse/partner have only 1 child, GO TO PG3 PG2 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? (ENTER IN TABLE 5) ////////////////////////////////////////////////////// / 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?) __________ (household member number) (RANGE:60-79;or specify) 90 No other child 91 All children PG3 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 PG5 CKPT:PG4 - If parent and/or spouse/partner have only 1 child, GO TO PG5 PG4 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:61-79;or specify) 90 No other child 91 All children PG5 During the last month, have your given advice, encouragement, moral or emotional support to you children (or your wife/ husband/partner's children) age 19 or older? 1 Yes 2 No GO TO CKPT:PG7 CKPT:PG6 - If parent and/or spouse/partner have only 1 child, GO TO CKPT:PG7 PG6 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:61-79;or specify) 90 No other child 91 All children CKPT:PG7 - If parent is not a grandparent, GO TO CKPT:PG11 PG7 During the last month, have you help 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 PG9 6 None have any children GO TO CKPT:PG11 7 Refused GO TO PG9 8 Don't know GO TO PG9 CKPT:PG8 - If parent and spouse/partner have only 1 child, GO TO PG9 PG8 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:61-79;or specify) 90 No other child 91 All children PG9 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:PG11 CKPT:PG10 - If parent and spouse/partner have only 1 child, GO TO CKPT:PG11 PG10 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:61-79;or specify) 90 No other child 91 All children TABLE 5 ________________________________________________________________________________ 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. ________ ________ ________ ________________________________________________________________________________ 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:PG11 . . a. If parent has given any children help with transportation and/or housework and/or support and/or child care while child was working, GO TO PG11 b. If parent has not helped children with child care at times other than when child was working, GO TO PG12 . . PG11 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;or specify) PG12 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. (ENTER IN TABLE 6) 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 PG14 CKPT:PG13 - If parent and/or spouse/partner have only 1 child, GO TO PG14 PG13 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?) __________ (household member number) (RANGE:61-79;or specify) 90 No other child 91 All children PG14 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 PG16 CKPT:PG15 - If parent and/or spouse/partner have only 1 child, GO TO PG16 PG15 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:61-79;or specify) 90 No other child 91 All children PG16 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:PG18 CKPT:PG17 - If parent and/or spouse/partner have only 1 child, GO TO CKPT:PG18 PG17 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:61-79;or specify) 90 No other child 91 All children TABLE 6 ________________________________________________________________________________ HELP GIVEN BY CHILDREN RECEIVE TRANSPOR- RECEIVE HOUSE- RECEIVE SUPPORT HELP TATION HELP WORK HELP (HH #) (HH #) (HH #) ________________________________________________________________________________ 1. 1 2 ________ 1 2 ________ 1 2 ________ 2. ________ ________ ________ 3. ________ ________ ________ 4. ________ ________ ________ 5. ________ ________ ________ 6. ________ ________ ________ ________________________________________________________________________________ CKPT:PG18 . . a. If parent has received help with transportation and/or housework and/or support, GO TO PG18 b. ALL GO TO PG19 . . PG18 Taking all kinds of help together, in an average week about how many hours do your children (or your wife/ husband/partner's children) age 19 and older spend helping you? __________ hours per week (RANGE:0-99;or specify) PG19 Do any of your (or your husband/wife's) sons or daughters have a long-lasting physical condition that limits their ability to walk, drive a car, or do other normal tasks of daily life? 1 Yes 2 No GO TO PG23 Enter up to three children: PG20 Which son or daughter? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// __________ (household member number) (RANGE:61-79;or specify) 90 No other child GO TO PG23 PG23 Do any of these children have a long-lasting mental or emotional problem that limits their ability to learn, hold a job, or do other normal taks of adult life? 1 Yes 2 No GO TO PH1 Enter up to three children: PG24 Which son or daughter? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// __________ (household member number) (RANGE:61-79;or specify) 90 No other child GO TO PH1 ********************************************************************** SIBLINGS ********************************************************************** PH1 Now I have a few questions about your brothers and sisters. How many living brothers and sisters, including step- or half-brothers and sisters, do you have? _________ brothers and sisters (RANGE:0-16) 00 None GO TO CKPT:PH9 CKPT:PH2 - If parent has more than 1 living sibling, GO TO PH3 PH2 About how many miles from here does this brother or sister live? (If R does not know precise distance, get rough estimate) __________ miles (RANGE:1-8000) =====> ALL GO TO PH7 PH3 How many, if any, of these brothers and sisters live within 2 miles of here? __________ brothers and sisters (RANGE:0-16) CKPT:PH4 - If all siblings live within 2 miles of parent, GO TO PH7 PH4 How many, if any, of these brothers and sisters live between 2 and 25 miles from here? ___________ brothers and sisters (RANGE:0-16) CKPT:PH5 - If all siblings live within 25 miles of parent, GO TO PH7 PH5 How many, if any, of these brothers and sisters live between 25 and 300 miles from here? __________ brothers and sisters (RANGE:0-16) CKPT:PH6 - If all living siblings live within 300 miles of parent, GO TO PH7 PH6 How many, if any, of these brothers and sisters live more than 300 miles from here? ___________ brothers and sisters (RANGE:0-16) PH7 During the last 12 months, how often did you see (your/either of/any of your brother(s) or sister(s))? Was it: (This question refers to how frequently R sees ANY brother or sister, not to seeing a specific brother or sister) 01 not at all, 02 less than once a month, 03 1 to 3 times a month 04 about once a week, or 05 more than once a week? Some other frequency (specify) PH8 During the last 12 months, how often did you talk on the telephone or receive a letter from (your/either of/any of your brother or sisters)? Was it: (This question refers to how frequently R sees ANY brother or sister, not to seeing a specific brother or sister) 01 not at all, 02 less than once a month, 03 1 to 3 times a month, 04 about once a week, or 05 more than once a week? Some other frequency (specify) ********************************************************************** GRANDPARENTING ********************************************************************** CKPT:PH9 - If not a grandparent, GO TO PP1 PH9 The next questions are about grandchildren. How many grandchildren do you have? (If ambiguity in who is a grandchild, let R use own definition) __________ grandchildren (RANGE:0-30) 00 None GO TO PP1 PH10 How old is (your/your youngest) grandchild? ___________ years (RANGE:0-65) CKPT:PH11 - If only has 1 grandchild, GO TO CKPT:PH12 PH11 How old is your oldest grandchild? __________ years (RANGE:0-65) CKPT:PH12 - If youngest grandchild is older than age 12, GO TO PH13 PH12 During the last 12 months, about how many nights altogether, if any, did (your grandchild/any of your grandchildren) stay overnight at your house without his or her parents? (This question refers to how frequently ANY grandchild stays overnight, not to the number of overnight visits from a specific grandchild) __________ nights (RANGE:0-360) PH13 During the last 12 months, about how often did you see (your grandchild/any of your grandchildren)? Was it: (This question refers to how frequently ANY grandchild stays overnight, not to the number of overnight visits from a specific grandchild) 01 not at all, 02 less than once a month, 03 1 to 3 times a month, 04 about once a week, or 05 more than once a week? Some other frequency (specify) CKPT:PH14 - If oldest grandchild is younger than age 3, GO TO PH15 PH14 During the last 12 months, about how often did you talk on the telephone or receive a letter from (your grandchild/any of your grandchildren)? Was it: (This question refers to how frequently ANY grandchild stays overnight, not to the number of overnight visits from a specific grandchild) 01 not at all, 02 less than once a month, 03 1 to 3 times a month, 04 about once a week, or 05 more than once a week Some other frequency (specify) PH15 On a scale from 0 to 10, where 0 is not at all close and 10 is extremely close, how would you describe your relationship with your grandchild(ren)? Not at Extremely All Close|___|___|___|___|___|___|___|___|___|___|___|Close 0 1 2 3 4 5 6 7 8 9 10 90 It varies among different grandchildren; can't give an average PH16 For various reasons, grandparents sometimes take on the primary responsibility for raising a grandchild. Have you ever had the primary responsibility for (your grand- child/any of your grandchildren) for six months or more? 1 Yes 2 No GO TO PP1 PH17 How many different times did this occur? __________ times (RANGE:1-10) PH18 How old was this grandchild (the first time)? __________ years (RANGE:0-20) PH19M In what month and year did (this/the first such time) begin? Month _______________ 1 9 ____ ____ (1-12) (76-93) PH20M In what month and year did it end? Month _______________ 1 9 ____ ____ (1-12) (76-93) CKPT:PH21 - If parent took on primary responsibility for raising a grandchild only 1 time, GO TO PH22 PH21 About how many years altogether have you had the primary responsibility for (your grandchild/any of your grandchildren)? ___________ years (RANGE:0-19) PH22 Which of your children was the parent of (this grandchild/ the grandchild you took care of the longest)? ////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF CHILDREN / / DISPLAYED FOR INTERVIEWER REFERENCE / ////////////////////////////////////////////////// ___________ (household member number) (RANGE:60-79;or specify name) ********************************************************************** EMPLOYMENT ********************************************************************** PP1 Do you presently have a full- or part-time job for which you get paid? 1 Yes GO TO PP3 2 No 7 Refused GO TO PP6 8 Don't know GO TO PP6 PP2M In what month and year did you last work? Month _______________ 1 9 ___ ___ (1-12) (20-93) CKPT:PP3 - GO TO PP4A PP3 How many hours per week do you ususally work for pay? (If R has more than one job, include usual hours on all jobs) (Probe if hours vary from week to week: What is it most often? If still no hour response, probe: How many hours did you work last week?) ___________ hours (RANGE:0-94) PP4A What kind of work (are/were) you doing at your (current/most recent) job? What is your job title? What are your main activities or duties at this job? (If R has more than one job, this question refers to the one at which he/she usually spends the most hours) ____________________ 977 Uncodable Occupation 997 Refused PP5 (Do/Did) you work: 1 for yourself, 2 in a family business, or 3 for someone else? CKPT:PP6 - If have not worked in the past year, GO TO PP7 PP6 Now, we are interested in your work experience in the last year. How many of the last 52 weeks did you work at a paid job? Include PAID vacations and PAID sick leave as time spent working. __________ weeks (RANGE:0-52) 997 Refused GO TO CKPT:PP11 CKPT:PP7 - If R has worked the past 52 weeks, GO TO CKPT:MP11 PP7 How many weeks, if any, in the last year were you unemployed; that is, weeks that you were not working at all, but were looking for a job? __________ weeks (RANGE:0-52) 997 Refused GO TO CKPT:PP11 CKPT:PP8 . . a. If parent never worked, GO TO CKPT:PP11 b. If parent has not worked in a year, GO TO CKPT:PP11 c. If number of weeks worked and weeks unemployed given by parent equals 52, GO TO CKPT:PP11 d. If number of weeks worked and weeks unemployed given by parent is less than 52, GO TO PP9 e. If parent refused or did not know the number of weeks worked in the last year, GO TO PP9 f. If parent refused or did not know the number of weeks unemployed in the last year, GO TO PP9 . . PP8 ERROR: WEEKS WORKED PLUS WEEKS UNEMPLOYED NOT EQUAL TO 52 WEEKS OR LESS. 1 Returned to correct weeks worked GO BACK TO PP6 2 Returned to correct weeks unemployed GO BACK TO PP7 3 Can't reconcile PP9 How many weeks were you not working, and not looking for work? __________ weeks (RANGE:0-52) 997 Refused GO TO CKPT:PP11 998 Don't know GO TO CKPT:PP11 CKPT:PP10 . . a. If total number of weeks worked, weeks unemployed, and weeks not in labor force equal 52, GO TO CKPT:PP11 b. If parent refused or did not know the number of weeks worked in the last year, GO TO CKPT:PP11 c. If parent refused or did not know the number of weeks unemployed in the last year, GO TO CKPT:MP11 . . PP10 ERROR: WEEKS WORKED PLUS WEEKS UNEMPLOYED DO NOT ADD TO 52 WEEKS 1 Returned to correct weeks worked GO BACK TO PP6 2 Returned to correct weeks unemployed GO BACK TO PP7 3 Returned to correct weeks neither working nor unemployed GO BACK TO PP9 4 Can't reconcile CKPT:PP11 . . a. If parent is cohabiting, GO TO PP11 b. If parent is not married, GO TO PQ1 . . PP11 Next are some questions about your (husband/wife/ partner)'s work. How many of the last 52 weeks did (he/she) work at a paid job? Include paid vacations and paid sick leave as time spent working. ___________ weeks (RANGE:0-52) 52 GO TO PP13 PP12 How many weeks in the last year was (he/she) unemployed; that is, weeks that (he/she) was not working at all, but was looking for a job? __________ weeks (RANGE:0-52) PP13 Is (he/she) currently working at a paid job, even for a few hours a week? 1 Yes 2 No GO TO PP15M PP14 How many hours per week does (he/she) usually work? __________ hours (RANGE:0-94) =====> ALL GO TO PP16A PP15M In what month and year did (he/she) last work? Month:_______________ 1 9 ___ ___ (1-12) (20-93) 9990 Never worked GO TO PQ1 PP16A What kind of work (is/was) (he/she) doing at (his/her) (current/last) job? What (is/was) (his/her) job title? What are your main activities or duties at this job? (If R has more than one job, this question refers to the one at which he/she usually spends the most hours) ____________________ 977 Uncodable Occupation ********************************************************************** EARNINGS ********************************************************************** PQ1 Next are some questions about your income. In the last 12 months, did you receive any income from an employer? 1 Yes 2 No GO TO PQ3 PQ2 About how much income from wages, salaries, commissions, and tips did you receive in the last 12 months, before taxes and other deductions? (This is combined income from all employers over the past 12 months) $ _______________ (RANGE:1-999,999) Other (specify) GO TO PQ3 PQ2C Can you tell me approximately how much it was? 01 Less than $1,000 02 $1,000 to $4,999 03 $5,000 to $9,999 04 $10,000 to $19,999 05 $20,000 to $29,999 06 $30,000 to $39,999 07 $40,000 to $49,999 08 $50,000 or more 96 Amount of income given by respondent PQ3 In the last 12 months, did you receive any income from self-employment in a business or a farm? 1 Yes 2 No GO TO CKPT:PQ5 PQ4 What was the total net income you received in the last 12 months from self-employment in your own business or farm, after all expenses but before taxes and other deductions? $ _______________ (RANGE:1-999,999) 9999990 Loss-do not enter amount GO TO CKPT:PQ5 PQ4C Can you tell me approximately how much it was? 01 Less than $1,000 02 $1,000 to $4,999 03 $5,000 to $9,999 04 $10,000 to $19,999 05 $20,000 to $29,999 06 $30,000 to $39,999 07 $40,000 to $49,999 08 $50,000 or more 96 Amount of income given by respondent CKPT:PQ5 . . a. If R is cohabiting, GO TO PQ5 b. If R is the only person age 16 or older in the household, GO TO PQ8 c. If R is not the householder, GO TO PQ8 . . Ask questions PQ5 - PQ7C for up to two additional people age 16 or older in the household. PQ5 Who (else) in your household received income from employers or from self-employment in the last 12 months? (ENTER IN TABLE 7) //////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HH MEMBERS AGE / / 16 AND OLDER DISPLAYED FOR INTERVIEWER REFERENCE / //////////////////////////////////////////////////////// __________ (household member number) (RANGE:60-79;or specify) 90 No one GO TO PQ8 97 Refused GO TO PQ8 PQ6 How much, if any, income did (he/she) recieve from wages, salaries, commissions, and tips in the last 12 months, before taxes and other deductions? $ _______________ (RANGE:1-999,999;or specify) PQ6C Can you tell me approximately how much it was? 01 Less than $1,000 02 $1,000 to $4,999 03 $5,000 to $9,999 04 $10,000 to $19,999 05 $20,000 to $29,999 06 $30,000 to $39,999 07 $40,000 to $49,999 08 $50,000 or more 96 Amount of income given by respondent PQ7 About how much, if any, income did (he/she) receive from self-employment in the last 12 months, after all expenses but before taxes and other deductions? $ _______________ (RANGE:1-999,999) 9999990 Loss--do not enter amount NEXT PERSON PQ7C Can you tell me approximately how much it was? 01 Less than $1,000 02 $1,000 to $4,999 03 $5,000 to $9,999 04 $10,000 to $19,999 05 $20,000 to $29,999 06 $30,000 to $39,999 07 $40,000 to $49,999 08 $50,000 or more 96 Amount of income given by respondent TABLE 7 -------------------------------------------------------------------------------- EARNINGS TABLE CATEGORICAL CATEGORICAL WAGES SELF-EMP. INCOME HOUSEHOLD WAGES OPTION FOR INCOME OPTION FOR MEMBER # AMOUNT REF/D.K. AMOUNT REF/D.K. -------------------------------------------------------------------------------- 1. __ ______ __ _ ______ __ 2. __ ______ __ _ ______ __ -------------------------------------------------------------------------------- ********************************************************************** OTHER INCOME SOURCES ********************************************************************** Repeat questions PQ8-PQ12 for each of the 7 income sources. Except for cohabitors, the income of other household members is only asked of householders. PQ8 For each of the following sources of income, tell me whether you (or anyone in your entire household) received it in the last 12 months. Did you (or anyone in your entire household) receive (income source)? (ENTER IN TABLE 8) Income sources: Social Security or Railroad Retirement; other pensions, annuities, or survivor's benefits; public assistance, including welfare, AFDC, general assistance, food stamps, or energy assistance; any other government program, such as veterans' benefits, unemployment compensation, worker's compensation, or Supplemental Security Income (SSI); interest, dividends, rent, or other investments; any other source. 1 Yes 2 No GO TO CKPT:PQ13c Repeat questions MQ9-MQ12 up to three times for each of the income sources. (repeat only two times for the category of child support, alimony or family support) PQ9 Who received (income source)? //////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF HH MEMBERS AGE / / 16 AND OLDER DISPLAYED FOR INTERVIEWER REFERENCE / //////////////////////////////////////////////////////// (Probe for second and third recipients: Who else received (source)?) __________ (household member number) (RANGE:60-79) Income Received Jointly By More Than One Person or Other (specify) 90 No one CKPT:PQ10 - If income source is social security, pension or retirement income, public assitance, or interest, GO TO PQ12 PQ10 From what source or program did (you/she/he) receive income? 01 Veteran's benefits 02 Unemployment compensation 03 Worker's compensation 04 Supplemental Security Income (SSI) Other (specify) CKPT:PQ11 - If income source is NOT other government programs, GO TO PQ12 PQ11 Any other government program? 1 Veteran's benefits 2 Unemployment compensation 3 Worker's compensation 4 Supplemental Security Income (SSI) 6 No other program Other PQ12 What was the total amount of (source) that (you/she/he) received in the last 12 months? $ _______________ (RANGE:1-36,000) PQ12C Can you tell me approximately how much it was? 1 Less than $5,000 2 $5,000 to $9,999 3 $10,000 to $14,999 4 $15,000 to $19,999 5 More than $20,000 6 Amount of income given by respondent CKPT:PQ13 . . a. If R is the householder and there is at least one other household member age 16 or older, GO BACK TO PQ9 b. If there is a third person in the household age 16 or older and not asking about child support, GO BACK TO PQ9 c. If have not asked about all seven types of other income sources, GO BACK TO PQ8 d. ALL GO TO PQ13 . . TABLE 8 -------------------------------------------------------------------------------- OTHER INCOME SOURCE CATEGORICAL WAS SOURCE INCOME SOURCE RECEIVED WHO RECEIVED WHERE OTHER INCOME OPTION FOR Y/N FROM SOURCE AMOUNT REF/D.K. -------------------------------------------------------------------------------- A. SOCIAL 1 2 __________ _______ ____ SECURITY __________ _______ ____ __________ _______ ____ B. OTHER 1 2 __________ ______ _______ ____ PENSIONS __________ ______ _______ ____ __________ ______ _______ ____ C. PUBLIC 1 2 __________ ______ _______ ____ ASSISTANCE __________ _______ ____ __________ _______ ____ D. OTHER 1 2 __________ ______ ______ _______ ____ GOVERNMENT __________ ______ ______ _______ ____ PROGRAMS __________ ______ ______ _______ ____ E. INTEREST, 1 2 __________ _______ ____ DIVIDENDS, __________ _______ ____ INVESTMENTS __________ _______ ____ F. OTHER 1 2 __________ ______ _______ ____ INCOME __________ ______ _______ ____ SOURCE __________ ______ _______ ____ -------------------------------------------------------------------------------- ********************************************************************** GIFTS AND LOANS FROM PERSONS NOT LIVING WITH R ********************************************************************** PQ13 The next questions are about gifts or loans you may have received from friends or relatives, (including sons and daughters), NOT LIVING IN YOUR HOUSEHOLD. In the last 12 months have you (or your wife/or your husband) received a gift worth more than $200 at any one time from anyone not living with you at the time? Include gifts of items such as a car, furniture, jewelry or stocks, as well as gifts of money. 1 Yes 2 No GO TO PQ17 PQ14 Who on this list gave you the largest gift during the last 12 months? (Probe for second gift: Who, if anyone, gave you the next largest amount?) (ENTER IN TABLE 9) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative Other (specify) 90 No one else GO TO PQ17 CKPT:PQ15 - If have not received a gift from R's or spouse's child , GO TO PQ16 PQ15 Which son or daughter was that? //////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF SONS AND DAUGHTERS / / NOT IN THE HH DISPLAYED FOR INTERVIEWER REFERENCE / //////////////////////////////////////////////////////////// __________ (person number) (RANGE:61-79;or specify name) PQ16 About how much altogether did (PERSON) give to you in the last 12 months? $ _______________ (RANGE:200-50,000) CKPT:PQ17 . . a. If R or R's spouse received a second gift in the last 12 months, GO BACK TO PQ14 b. ALL GO TO PQ17 . . TABLE 9 -------------------------------------------------------------------------------- GIFTS TO RESPONDENT TABLE RECEIVED WHICH AMOUNT GIFT FROM CHILD -------------------------------------------------------------------------------- __ __ _____ __ __ _____ -------------------------------------------------------------------------------- PQ17 In the last 12 months have you (or your wife/or your husband) received a loan of more than $200 at any one time from anyone not living with you at the time? (This does not include loans from banks or other financial institutions.) 1 Yes 2 No GO TO PQ21 PQ18 Who on this list loaned you the largest amount in the last 12 months? (Probe for second loan: Who, if anyone, loaned you the next largest amount?) (ENTER IN TABLE 10) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative 90 No one else GO TO PQ21 Other (specify) CKPT:PQ19 - If have not received a loan from R's or spouse's child, GO TO PQ20 PQ19 Which son or daughter was that? //////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF SONS AND DAUGHTERS / / NOT IN THE HH DISPLAYED FOR INTERVIEWER REFERENCE / //////////////////////////////////////////////////////////// __________ (person number) (RANGE:61-79;or specify name) PQ20 About how much altogether did (PERSON) loan you in the last 12 months? $ _______________ (RANGE:200-50,000) CKPT:PQ21 . . a. If R or R's spouse received a second loan in the last 12 months, GO BACK TO PQ18 b. ALL GO TO PQ21 . . TABLE 10 -------------------------------------------------------------------------------- LOANS TO RESPONDENT TABLE RECEIVED WHICH AMOUNT LOAN FROM CHILD -------------------------------------------------------------------------------- __ __ _____ __ __ _____ -------------------------------------------------------------------------------- PQ21 (Other than what we've already talked about) In the last 12 months has anyone not living with you helped you out by paying some of your day-to-day expenses or educational expenses? 1 Yes 2 No GO TO PQ25 PQ22 Who on this list helped you the most with your living expenses or educational expenses? (ENTER IN TABLE 11) (Probe for second person who helped with expenses: Who, if anyone, else helped with your living expenses or educational expenses?) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative 90 No one else GO TO PQ25 Other (specify) CKPT:PQ23 - If have not received help with expenses from R's or spouse's child, GO TO PQ24 PQ23 Which son or daughter was that? //////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF SONS AND DAUGHTERS / / NOT IN THE HH DISPLAYED FOR INTERVIEWER REFERENCE / //////////////////////////////////////////////////////////// __________ (person number) (RANGE:61-79;or specify name) PQ24 About how much altogether did (PERSON) give to you to help with your living expenses or educational expenses in the last 12 months? $ _______________ (RANGE:200-50,000) CKPT:PQ25 . . a. If R or R's spouse received help from a second person with living expenses in the last 12 months, GO BACK TO PQ22 b. ALL GO TO PQ25 . . TABLE 11 -------------------------------------------------------------------------------- HELP WITH EXPENSES TABLE RECEIVED WHICH AMOUNT HELP FROM CHILD -------------------------------------------------------------------------------- __ __ _____ __ __ _____ -------------------------------------------------------------------------------- ********************************************************************** GIFTS AND LOANS TO PERSONS NOT LIVING WITH R ********************************************************************** PQ25 In the last 12 months, have you (or your wife/or your husband) GIVEN a gift worth more than $200 at any one time to anyone, including sons or daughters, NOT LIVING WITH YOU AT THE TIME? Include gifts of items such as a car, furniture, jewelry or stocks as well as gifts of money. 1 Yes 2 No GO TO PQ29 Repeat questions PQ26-PQ28 up to two times. PQ26 To whom on this list did you give the MOST during the last 12 months? (Probe for second gift: Who, if anyone, on this list did you give the next largest amount in the last 12 months?) (ENTER IN TABLE 12) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative 90 No one else GO TO PQ29 Other (specify) CKPT:PQ27 - If have not given gift to R's or spouse's child, GO TO PQ28 PQ27 Which son or daughter was that? //////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF SONS AND DAUGHTERS / / NOT IN THE HH DISPLAYED FOR INTERVIEWER REFERENCE / //////////////////////////////////////////////////////////// __________ (person number) (RANGE:60-79;or specify name) PQ28 About how much altogether did you give to (her/him/them) in the last 12 months? $ _______________ (RANGE:200-50,000) TABLE 12 ----------------------------------------------------------------- GIFTS TO PERSONS NOT LIVING WITH RESPONDENT TABLE GIVEN GIFT WHICH CHILD AMOUNT ----------------------------------------------------------------- __ __ _____ __ __ _____ ----------------------------------------------------------------- PQ29 In the last 12 months have you (or your wife/or your husband) loaned more than $200 at any one time to anyone, (including sons and daughters), not living with you at the time? (This does not include loans from banks or other financial institutions.) 1 Yes 2 No GO TO PQ33 Repeat questions PQ30-PQ32 up to two times. PQ30 Who on this list did you loan the largest amount in the last 12 months? (Probe for second person loaned money: Who, if anyone, did you loan the next largest amount in the last 12 months?) (ENTER IN TABLE 13) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative 90 No one else GO TO PQ33 Other (specify) CKPT:PQ31 - If did not give a loan to R's or spouse's child, GO TO PQ32 PQ31 Which son or daughter was that? //////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF SONS AND DAUGHTERS / / NOT IN THE HH DISPLAYED FOR INTERVIEWER REFERENCE / //////////////////////////////////////////////////////////// __________ (person number) (RANGE:61-79;or specify name) PQ32 About how much altogether did you loan (her/him/them) in the last 12 months? $ _______________ (RANGE:200-50,000) TABLE 13 -------------------------------------------------------------------------------- LOANS TO PERSONS NOT LIVING WITH RESPONDENT TABLE GIVEN LOAN WHICH CHILD AMOUNT -------------------------------------------------------------------------------- __ __ _____ __ __ _____ -------------------------------------------------------------------------------- PQ33 Other than what we've already talked about, in the last 12 months, have you helped out anyone, (including sons and daughters), not living with you by paying some of their day-to-day expenses or educational expenses? 1 Yes 2 No GO TO CKPT:PQ37c Repeat questions PQ34-PQ36 up to two times. PQ34 Who on this list have you helped with living expenses or educational expenses? (ENTER IN TABLE 14) (Probe for second person helped: Is there anyone else that you helped with living expenses or educational expenses in the last 12 months?) 01 R's parent(s) 02 Mother- or Father-in-law or partner's parent 03 R's brother or sister 04 Spouse's brother or sister 05 R's grandparent 06 Spouse's grandparent 07 R's child 08 Spouse's child 09 Grandchild 10 Other relative 11 Non-relative 90 No one else GO TO CKPT:PQ37c Other (specify) CKPT:PQ35 - If has not helped R's or spouse's child with expenses, GO TO PQ36 PQ35 Which son or daughter was that? //////////////////////////////////////////////////////////// / LIST OF NAMES AND PERSON NUMBERS OF SONS AND DAUGHTERS / / NOT IN THE HH DISPLAYED FOR INTERVIEWER REFERENCE / //////////////////////////////////////////////////////////// __________ (person number) (RANGE:61-79;or specify name) PQ36 About how much altogether did you give to (her/him/them) to help with living expenses or educational expenses in the last 12 months? $ _______________ (RANGE:1-50,000) TABLE 14 -------------------------------------------------------------------------------- HELP WITH EXPENSES TO PERSONS NOT LIVING WITH RESPONDENT TABLE GIVEN HELP WHICH CHILD AMOUNT WITH EXPENSES -------------------------------------------------------------------------------- __ __ _____ __ __ _____ -------------------------------------------------------------------------------- ********************************************************************** ASSETS ********************************************************************** CKPT:PQ37 - If R is not the householder, GO TO PQ41A PQ37 Do you(or your wife/or your husband) own your own home or are you renting? 1 Owns or is buying home 5 Rents GO TO PQ41A Other (specify) GO TO PQ41A PQ38 How much do you think your home would sell for now? $ _______________ (RANGE:5000-999,999) PQ39 How much, if anything, do you( or your wife/or your husband) owe on your home? $ _______________ (RANGE:0-999,999) CKPT:PQ40 . . a. If R owes nothing on home, GO TO PQ41A b. If R refused to answer questions on amount of money owed on home, GO TO PQ41A . . PQ40 How much is your monthly payment on your home loan? If you have a second mortgage on your home, include it in your answer. $ _______________ (RANGE:0-9999;or specify) 99997 Refused GO TO PQ41A 99998 Don't know GO TO PQ41A PQ41 Do you (or your wife/or your husband) own (asset type): (ENTER IN TABLE 15) a. Any real estate (other than your home)? 1 Yes GO TO PQ42 2 No b. A business or farm? 1 Yes GO TO PQ42 2 No c. Motor vehicles, including cars, trucks, campers, boats, and other recreational vehicles? 1 Yes 2 No GO TO PQ44 PQ42 How much do you think this (asset type) would sell for now? $ _______________ (RANGE:1-999,999) PQ43 How much, if anything, do you( or your wife/ or your husband) owe on your (asset type)? $ _______________ (RANGE:0-999,999) CKPT:PQ44 . . a. If have not asked about all three types of assets, GO BACK TO PQ41 b. ALL GO TO PQ44 . . TABLE 15 -------------------------------------------------------------------------------- ASSETS OWN SALE VALUE AMOUNT OWED -------------------------------------------------------------------------------- A. OTHER REAL 1 2 _______ _______ ESTATE B. A BUSINESS 1 2 _______ _______ OR FARM C. MOTOR VEHICLES 1 2 _______ _______ -------------------------------------------------------------------------------- PQ44 What is the approximate total value of your (and your wife's/ and your husband's) savings, including savings accounts, savings bonds, IRAs, money market funds, and CDs? $ _____________ (RANGE:0-999,999) PQ44C Categorical Income Option for refused/don't know 1 Less than $10,000 2 $10,000 to $24,999 3 $25,000 to $49,999 4 $50,000 to $99,999 5 $100,000 or more 6 Amount of income given by respondent PQ45 In addition to these savings, what is the approximate total value of your (and your wife's/and your husband's) other investments, including stocks, bonds, shares in mutual funds, or other investments? (If R already included investments in previous question, do not count again.) $ ____________ (RANGE:0-999,999) PQ45 Categorical Income Option for refused/don't know 1 Less than $10,000 2 $10,000 to $24,999 3 $25,000 to $49,999 4 $50,000 to $99,999 5 $100,000 or more 6 Amount of income given by respondent ********************************************************************** DEBTS ********************************************************************** PQ46 Next I will read a list of things that people often owe money on. How much, if anything, do you (and your wife/and your husband) owe on credit cards or charge accounts, installment loans, and personal loans from banks or other financial institutions? $ _______________ (RANGE:0-99,999) PQ47 Next I will read a list of things that people often owe money on. How much, if anything, do you (and your wife/and your husband) owe on any other debts that we have not mentioned, including personal loans from friends and relatives, home improvement loans, and other bills you've owed for 2 months or longer? $ _______________ (RANGE:0-99,999) CKPT:PQ48 . . a. If R owns or is buying own home, GO TO CKPT:PQ49 b. If R is not the householder, GO TO CKPT:PQ49 . . PQ48 How much do you pay per month for rent? $ ____________ (RANGE:0-9999) CKPT:PQ49 - This is the end of the parent interview. Some additional information is obtained to store in tracking file for NSFH3