Q9-2A
Now
we have a few questions about any children that you have had....
We
are first going to gather basic information about the biological children that
you've had, if any, and then we will ask about any non-biological children in
your household. [Biological
children are those that you have fathered./
Biological
children are those that you have given birth to.]
Go
To: Q9-5b
Lead-In:
Q2-11 [Default], Q2-17 [Default], SHIFTSP-86A [Default], SHIFTSP-86B
[Default], SHIFTSP-2 [0:0]
Q9-5b
([number
in house hold]>0);/*Check if there is anybody in the household*/
If
Answer =0 Then Go To:
Q9-14Bc
Go
To: Q9-6-loop-begin
Lead-In:
Q9-2A [Default]
Q9-6-loop-begin
REPEAT([Q9-loop1
counter]);/* start loop to list already reported bio children */
Go
To: Q9-6B
Lead-In:
Q9-5b [Default]
Q9-6B
(([hh
member relationship to r (code)()]=2) or ([hh member relationship to r
(code)()]=3));
/*
check if this person's relationship is son or daughter? */
If
Answer =0 Then Go To:
Q9-6-loop-end
Go
To: Q9-6-loop-end
Lead-In:
Q9-6-loop-begin [Default]
Q9-6-loop-end
UNTIL([Q9-loop1
counter],([Q9-loop1 counter]=[number in house hold]));
/*
end loop to list already reported bio children */
Go
To: Q9-7Da
Lead-In:
Q9-6B [Default], Q9-6B [0:0]
Q9-7Da
RECCOUNT(BIOCHILD);/*skip
based on children reported in the household */
If
Answer =0 Then Go To:
Q9-14Bc
Go
To: Q9-7-Loop-Begin
Lead-In:
Q9-6-loop-end [Default]
Q9-7-Loop-Begin
REPEAT([loop
to collect date of birth for bio children]);/* begin loop to collect birth dates
of bio children */
Go
To: Q9-7F
Lead-In:
Q9-7Da [Default]
Q9-7F
What
is [bio child name()]'s date of birth?
Enter Date: |__|__||__|__||__|__|__|__|
Mon
Day Year
Go
To: Q9-8-Loop-End
Lead-In:
Q9-7-Loop-Begin [Default]
Q9-8-Loop-End
UNTIL([loop
to collect date of birth for bio children], [kids in the household]=[loop to
collect date of birth for bio children]);/*loop through all of the children in
the household */
Go
To: Q9-8B
Lead-In:
Q9-7F [Default]
Q9-8B
I
am going to read you the names and birth dates of your biological children we
have listed. This list should
include ALL of your biological children, even those who live somewhere else.
READ
NAMES TO RESPONDENT.
Refer
to Roster: BIOCHILD
NAME
GENDER BDATE
DELETED HHIFLAG
STATUS CHCAREQ
NICHD FOODQ
TWIN ID
Go
To: Q9-8C
Lead-In:
Q9-8-Loop-End [Default]
Q9-8C
Is
this list correct?
READ
IF NECESSARY: Please remember to include any biological children not currently
living in your household.
1 YES--INFORMATION
CORRECT
0 NO--INFORMATION
INCORRECT...(Go to Q9-10)
Go
To: Q9-18E-loop-begin
Lead-In:
Q9-8B [Default]
Q9-10
INTERVIEWER
ONLY: DOES A BIO-CHILD NAME
NEED TO BE DELETED FROM THE ROSTER?
READ
TO R IF NEEDED: Is there a
biological child who should NOT be listed?
1 YES...(Go
to Q9-11)
0 NO
Go
To: Q9-15b
Lead-In:
Q9-8C [0:0]
Q9-11
INTERVIEWER:
PLEASE DELETE THE CHLD(REN) THAT DO NOT BELONG ON THIS ROSTER.
Refer
to Roster: BIOCHILD
NAME
GENDER BDATE
DELETED HHIFLAG
STATUS CHCAREQ
NICHD FOODQ
TWIN ID Go To: Q9-15b
Lead-In:
Q9-10 [1:1]
Q9-14Bc
Our
records show that you have NOT had any children of your own. Is that correct?
INTERVIEWER:
READ IF NECESSARY: Please remember to include any biological children not
currently living in your household.
1 YES--INFORMATION
CORRECT
0 NO--INFORMATION
INCORRECT...(Go to Q9-15B-LOOP-BEGIN)
Go
To: Q9-20
Lead-In:
Q9-5b [0:0], Q9-7Da [0:0]
Q9-15b
INTERVIEWER:
DO YOU NEED TO ADD A BIO-CHILD TO THE ROSTER?
IF
NEEDED: Is there a biological child
whose name was missing from that list, but who should be there?
1 YES...(Go
to Q9-15B-LOOP-BEGIN)
0 NO
Go
To: Q9-18E-loop-begin
Lead-In:
Q9-10 [Default], Q9-11 [Default]
Q9-15B-LOOP-BEGIN
REPEAT([Q9-loop3
counter]);/* Begin loop to add missing bio children */
Go
To: Q9-16
Lead-In:
Q9-14Bc [0:0], Q9-15b [1:1]
Q9-16
What
is the name of the [first/next] biological child that you have [had/given birth
to] who we do not have listed?
(INTERVIEWER:
ENTER FIRST NAME, MIDDLE INITIAL, LAST NAME.)
Enter Answer: _____________________
Go
To: Q9-16A
Lead-In:
Q9-15B-LOOP-BEGIN [Default]
Q9-16A
Is
[name of bio child improperly missing from roster()] a male or a female?
1 Male
2 Female
Go
To: Q9-16B
Lead-In:
Q9-16 [Default]
Q9-16B
When
was [name of bio child improperly missing from roster()] born?
(INTERVIEWER:IN
CASE OF INVALID DATE, VERIFY CHILD'S BIRTH DATE WITH R.
YOU MUST ENTER A VALID YEAR IN THIS QUESTION.
REPORT ANY UNUSUAL ANSWERS IN A
COMMENT.)
Enter Date: |__|__||__|__||__|__|__|__|
Mon Day
Year
Go
To: Q9-16L
Lead-In:
Q9-16A [Default]
Q9-16L
Did
you have another biological child who we do not have listed?
1 YES
0 NO
Go
To: Q9-16P-Loop-End
Lead-In:
Q9-16B [Default]
Q9-16P-Loop-End
UNTIL([Q9-loop3
counter],[Q9-16L()]=0);/* Loop end
for entering missing bio children */
Go
To: Q9-18E-loop-begin
Lead-In:
Q9-16L [Default]
Q9-18E-loop-begin
REPEAT([Q9-loop4
counter]);/* Start loop to verify final bio Roster. */
Go
To: Q9-19
Lead-In:
Q9-8C [Default], Q9-15b [Default], Q9-16P-Loop-End [Default]
Q9-19
I'd
like to read the information about your children from our records.
FOR
EACH CHILD, READ: Our records show that (Name Of Child) is a (Gender) and was
born on (Birthdate). Is that
correct?
IF
INFORMATION IS CORRECT, GO TO NEXT QUESTION.
IF
INFORMATION IS INCORRECT, HIGHLIGHT THE LINE WITH THE MISTAKE, AND PRESS
<ENTER>.
Refer
to Roster: BIOTMP
NAME
GENDER BDATE
DELETED HHIFLAG
STATUS CHCAREQ
NICHD FOODQ
TWIN ID
If
Answer =1 Then Go To:
Q9-19Je-loop-end
Go
To: Q9-19C
Lead-In:
Q9-18E-loop-begin [Default]
Q9-19C
(INTERVIEWER:
MARK INFORMATION THAT IS INCORRECT.
IF
NECESSARY, ASK:
Is
[name of bio child requiring change()([roster line # bio child requiring
change()])]'s birthdate correct?
(BIRTHDATE=[bdate of bio child requiring change()([roster line # bio
child requiring change()])])
Is
[name of bio child requiring change()([roster line # bio child requiring
change()])]'s name correct?
Is
[name of bio child requiring change()([roster line # bio child requiring
change()])]'s sex correct?
(GENDER=[gender of bio child requiring change()([roster line # bio child
requiring change()])]))
1 BIRTHDATE
4 NAME
5 SEX
6 OTHER
(SPECIFY)
Go
To: Q9-19D
Lead-In:
Q9-19 [Default]
Q9-19D
INLIST([Q9-19C()],4);/*Check
if answered name was incorrect. */
If
Answer =1 Then Go To:
Q9-19F
Go
To: Q9-19G
Lead-In:
Q9-19C [Default]
Q9-19F
What
is the correct name and spelling for [name of bio child requiring
change()([roster line # bio child requiring change()
()])]?
Enter Answer: _____________________
Go
To: Q9-19G
Lead-In:
Q9-19D [1:1]
Q9-19G
INLIST([Q9-19C()],1);/*Check
if answered birth date was incorrect. */
If
Answer =1 Then Go To:
Q9-19H
Go
To: Q9-19I
Lead-In:
Q9-19D [Default], Q9-19F [Default]
Q9-19H
What
is the correct birth date for [name of bio child requiring change()([roster line
# bio child requiring change()
()])]?
(INTERVIEWER:
ENTER THE CORRECTED BIRTHDATE HERE.
YOU
MUST ENTER A VALID YEAR IN THIS QUESTION.
REPORT
ANY UNUSUAL ANSWERS IN A COMMENT.)
Enter Date: |__|__||__|__||__|__|__|__|
Mon Day
Year
Go
To: Q9-19I
Lead-In:
Q9-19G [1:1]
Q9-19I
INLIST([Q9-19C()],5);/*
Check if answered sex was incorrect. */
If
Answer =1 Then Go To:
Q9-19J
Go
To: Q9-19Je-loop-end
Lead-In:
Q9-19G [Default], Q9-19H [Default]
Q9-19J
IF
NOT OBVIOUS, ASK: What is the correct sex of [name of bio child requiring
change()([roster line # bio child requiring change()])]?
INTERVIEWER:
ENTER THE CORRECTED GENDER HERE.
1 Male
2 Female
Go
To: Q9-19Je-loop-end
Lead-In:
Q9-19I [1:1]
Q9-19Je-loop-end
UNTIL([Q9-loop4
counter],[roster line # bio child requiring change()
()]=1);/*
End loop to verify final bio roster */
Go
To: Q9-20
Lead-In:
Q9-19I [Default], Q9-19J [Default], Q9-19 [1:1]
Q9-20
INTERVIEWER:
THIS IS THE CORRECTED BIOLOGICAL CHILD ROSTER.
PLEASE REVIEW THE ROSTER TO BE SURE IT IS CORRECT.
IF
ROSTER IS CORRECT, GO TO NEXT
QUESTION.
IF
ROSTER IS INCORRECT, RETURN TO THE
PREVIOUS QUESTIONS AND CORRECT THE ERROR.
Refer
to Roster: BIOCHILD3
NAME
GENDER BDATE
DELETED HHIFLAG
STATUS CHCAREQ
NICHD FOODQ
TWIN ID
Go
To: Q9NB-3B
Lead-In:
Q9-14Bc [Default], Q9-19Je-loop-end [Default]
Q9NB-3B
Now
I would like to gather some basic information about any non-biological children
living in your household, if any.
IF
NEEDED: I am referring here to the
step-children, adopted children, foster children, or children of relatives who
live in the household with you.
Go
To: Q9NB-4a
Lead-In:
Q9-20 [Default]
Q9NB-4a
([number
of biological children in the household] > 0);
If
Answer =1 Then Go To:
Q9NB-6-Loop-Begin
Go
To: Q9NB-14Bc
Lead-In:
Q9NB-3B [Default]
Q9NB-6-Loop-Begin
REPEAT([Q9-loop5
counter]);/*start loop to find names of non-bio children in HH*/
Go
To: Q9NB-6A
Lead-In:
Q9NB-4a [1:1]
Q9NB-6A
([hh
member age()] <= 18);/*check for people in the hh under 18*/
If
Answer =1 Then Go To:
Q9NB-6AA
Go
To: Q9NB-6-Loop-End
Lead-In:
Q9NB-6-Loop-Begin [Default]
Q9NB-6AA
(([hh
member relationship to r (code)()] !=2) AND ([hh member relationship to r
(code)()] !=3));
/*exculde
any bio children*/
If
Answer =1 Then Go To:
Q9NB-6-Loop-End
Go
To: Q9NB-6-Loop-End
Lead-In:
Q9NB-6A [1:1]
Q9NB-6-Loop-End
UNTIL([Q9-loop5
counter], [number of biological children in the household]=[Q9-loop5 counter]);
/*
do until all non-bio children's info has been copied */
Go
To: Q9NB-6C3
Lead-In:
Q9NB-6A [Default], Q9NB-6AA [Default], Q9NB-6AA [1:1]
Q9NB-6C3
RECCOUNT(NBIOCHILD);
If
Answer =0 Then Go To:
Q9NB-14Bc
Go
To: Q9NB-7-LOOP-BEGIN
Lead-In:
Q9NB-6-Loop-End [Default]
Q9NB-7-LOOP-BEGIN
REPEAT([loop
to collect nbio children's DOB]);
/*begin
loop to collect information about nbio children's date of birth*/
Go
To: Q9NB-7a
Lead-In:
Q9NB-6C3 [Default]
Q9NB-7a
What
is [non-bio child name()]'s date of birth?
Enter Date: |__|__||__|__||__|__|__|__|
Mon Day
Year
Go
To: Q9NB-7-LOOP-END
Lead-In:
Q9NB-7-LOOP-BEGIN [Default]
Q9NB-7-LOOP-END
UNTIL([loop
to collect nbio children's DOB], [number of nonbio kids]=[loop to collect nbio
children's DOB]);
/*loop
until all of the nbio children are asked about dob*/
Go
To: Q9NB-8
Lead-In:
Q9NB-7a [Default]
Q9NB-8
Here
is a list of the names of your step-children, adopted children, or foster
children who live in the household: (READ
THE NAME(S))
Refer
to Roster: NBIOCHILD
NAME
GENDER BDATE
DELETED HHIFLAG
STATUS CHCAREQ
NICHD FOODQ
TWIN ID
Go
To: Q9NB-8B
Lead-In:
Q9NB-7-LOOP-END [Default]
Q9NB-8B
Is
that correct?
1 YES--INFORMATION
CORRECT
0 NO--INFORMATION
INCORRECT...(Go to Q9NB-14Ac)
Go
To: Q9NB-18D
Lead-In:
Q9NB-8 [Default]
Q9NB-14Ac
INTERVIEWER:
IS THERE A NON-BIOLOGICAL
CHILD WHO SHOULD BE ADDED TO THE ROSTER?
IF
NEEDED: Is there a non-biological child who lives in the house but whose name
should be added to this list?
(REMEMBER:
This refers to step-children,
adopted children, foster-children, and children of relatives living in
the household with you. They also have to be 18 years old or younger.
1 YES...(Go
to Q9NB-15B-LOOP-BEGIN)
0 NO
Go
To: Q9NB-18D
Lead-In:
Q9NB-8B [0:0]
Q9NB-14Bc
Our
records show that you do not have any non-biological children listed for this
household. Is that correct?
1 YES
0 NO...(Go
to Q9NB-15B-LOOP-BEGIN)
Go
To: Q9NB-18D
Lead-In:
Q9NB-4a [Default], Q9NB-6C3 [0:0]
Q9NB-15B-LOOP-BEGIN
REPEAT([Q9-loop7
counter]);/* Loop begin to add missing nonbio children to roster*/
Go
To: Q9NB-15Ca
Lead-In:
Q9NB-14Ac [1:1], Q9NB-14Bc [0:0]
Q9NB-15Ca
SYMBOLEXIST([number
of nonbio kids]);
/*did
r have any incoming nbio children from the HH roster or are these newly entered
kids*/
If
Answer =0 Then Go To:
Q9NB92-16
Go
To: Q9NB92-16
Lead-In:
Q9NB-15B-LOOP-BEGIN [Default]
Q9NB92-16
What
is the name of the [first/next] non-biological child that we do not have listed?
(INTERVIEWER:
ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
Enter Answer: _____________________
Go
To: Q9NB92-16A
Lead-In:
Q9NB-15Ca [Default], Q9NB-15Ca [0:0]
Q9NB92-16A
Is
[name of non-bio child improperly missing from roster()] a boy or a girl?
1 Male
2 Female
Go
To: Q9NB92-16B
Lead-In:
Q9NB92-16 [Default]
Q9NB92-16B
When
was [name of non-bio child improperly missing from roster()] born?
(INTERVIEWER:
IN CASE OF INVALID DATE, VERIFY CHILD'S BIRTH DATE WITH R.)
Enter Date: |__|__||__|__||__|__|__|__|
Mon Day
Year
Go
To: Q9NB92-16L
Lead-In:
Q9NB92-16A [Default]
Q9NB92-16L
Did
you have another non-biological child that we do not have listed?
1 YES
0 NO
Go
To: Q9NB92-16M-loop-end
Lead-In:
Q9NB92-16B [Default]
Q9NB92-16M-loop-end
UNTIL([Q9-loop7
counter],[Q9NB92-16L()]=0);/* end of loop for adding nbio children. */
Go
To: Q9NB-18D
Lead-In:
Q9NB92-16L [Default]
Q9NB-18D
([#
non-bio children on roster temp]>0);/* Does R have at least one
non-biological child? */
If
Answer =1 Then Go To:
Q9NB-18G-loop-begin
Go
To: Q9NB-20C
Lead-In:
Q9NB-8B [Default], Q9NB-14Ac [Default], Q9NB-14Bc [Default],
Q9NB92-16M-loop-end [Default]
Q9NB-18G-loop-begin
REPEAT([Q9-loop9
counter]);/* Start loop to verify final bio Roster. */
Go
To: Q9NB-19
Lead-In:
Q9NB-18D [1:1]
Q9NB-19
FOR
EACH CHILD, READ: Our records show
that (Name) is a (Gender) and was born on (Birthdate). Is that correct?
IF
INFORMATION IS CORRECT, GO TO NEXT QUESTION.
IF
INFORMATION IS INCORRECT, HIGHLIGHT THE LINE WITH THE MISTAKE, AND PRESS
<ENTER>.
Refer
to Roster: NBIOTMP
NAME
GENDER BDATE
DELETED HHIFLAG
STATUS CHCAREQ
NICHD FOODQ
TWIN ID
If
Answer =1 Then Go To:
Q9NB-19K-loop-end
Go
To: Q9NB-19C
Lead-In:
Q9NB-18G-loop-begin [Default]
Q9NB-19C
MARK
INFORMATION THAT IS INCORRECT.
IF
NEEDED, ASK:
Is
[name of nbio child requiring change()([Line # of non biological child requiring
correction to roster()])]'s name correct?
Is
[name of nbio child requiring change()([Line # of non biological child requiring
correction to roster()])]'s sex correct? (GENDER=[gender
of nbio child requiring change()([Line # of non biological child requiring
correction to roster()])])
Is
[name of nbio child requiring change()([Line # of non biological child requiring
correction to roster()])]'s birthdate correct?
(BIRTHDATE=[bdate
of nbio child requiring change()([Line # of non biological child requiring
correction to roster()])]
1 BIRTHDATE
4 NAME
5 SEX
6 OTHER
(SPECIFY)
Go
To: Q9NB-19D
Lead-In:
Q9NB-19 [Default]
Q9NB-19D
INLIST([Q9NB-19C()],4);/*
Did R answer name was incorrect */
If
Answer =1 Then Go To:
Q9NB-19F
Go
To: Q9NB-19G
Lead-In:
Q9NB-19C [Default]
Q9NB-19F
What
is the correct name and spelling for [name of nbio child requiring
change()([Line # of non biological child requiring correction to roster()])]?
INTERVIEWER:
ENTER CORRECTED NAME HERE.
Enter Answer: _____________________
Go
To: Q9NB-19G
Lead-In:
Q9NB-19D [1:1]
Q9NB-19G
INLIST([Q9NB-19C()],1);/*
Did R answer birth date was incorrect */
If
Answer =1 Then Go To:
Q9NB-19H
Go
To: Q9NB-19I
Lead-In:
Q9NB-19D [Default], Q9NB-19F [Default]
Q9NB-19H
What
is the correct birth date for [name of nbio child requiring change()([Line # of
non biological child requiring correction to roster()])]?
INTERVIEWER:
ENTER CORRECTED BIRTHDATE HERE.
YOU
MUST ENTER A VALID YEAR IN THIS QUESTION.
REPORT
ANY UNUSUAL ANSWERS IN A COMMENT.
Enter Date: |__|__||__|__||__|__|__|__|
Mon Day
Year
Go
To: Q9NB-19I
Lead-In:
Q9NB-19G [1:1]
Q9NB-19I
INLIST([Q9NB-19C()],5);/*
Did R answer SEX was incorrect */
If
Answer =1 Then Go To:
Q9NB-19J
Go
To: Q9NB-19K-loop-end
Lead-In:
Q9NB-19G [Default], Q9NB-19H [Default]
Q9NB-19J
IF
NOT OBVIOUS, ASK: What is the correct sex of [name of nbio child requiring
change()([Line # of non biological child requiring correction to roster()])]?
(RECORD
CORRECTED GENDER.)
1 Male
2 Female
Go
To: Q9NB-19K-loop-end
Lead-In:
Q9NB-19I [1:1]
Q9NB-19K-loop-end
UNTIL([Q9-loop9
counter],[Line # of non biological child requiring correction to roster()]=1);
/*
End loop to verify final nonbio roster */
Go
To: Q9NB-20C
Lead-In:
Q9NB-19I [Default], Q9NB-19J [Default], Q9NB-19 [1:1]
Q9NB-20C
THIS
IS THE CORRECTED NON-BIOLOGICAL CHILD ROSTER.
REVIEW
THE ROSTER TO BE SURE IT IS CORRECT.
IF
ROSTER IS CORRECT, GO TO NEXT QUESTION.
IF
ROSTER IS INCORRECT, RETURN TO THE PREVIOUS QUESTIONS AND CORRECT THE ERROR.
Refer
to Roster: NBIOCHILD3
NAME
GENDER BDATE
DELETED HHIFLAG
STATUS CHCAREQ
NICHD FOODQ
TWIN ID
Go
To: Q9NB-23B
Lead-In:
Q9NB-18D [Default], Q9NB-19K-loop-end [Default]
Q9NB-23B
([total
non-bio children reported]>0);
If
Answer =0 Then Go To:
Q9-29Gd
Go
To: Q9NB-30-loop-begin
Lead-In:
Q9NB-20C [Default]
Q9NB-30-loop-begin
REPEAT([Q9-loop10
counter]);/* START LOOP TO COLLECT
RESIDENCE INFO FOR NON-BIO CHILDREN */
Go
To: Q9NB-30C
Lead-In:
Q9NB-23B [Default]
Q9NB-30C
[non-bio
child status (code)()];
/*Check
the status of the child. if deceased or deleted, or adopted out skip to the next
child. If the child is added, skip
to appropriate question */
If
Answer =8 Then Go To:
Q9NB-50-loop-end
If
Answer =5 Then Go To:
Q9NB-50-loop-end
If
Answer =99 Then Go To:
Q9NB-50-loop-end
Go
To: Q9NB-30C1
Lead-In:
Q9NB-30-loop-begin [Default]
Q9NB-30C1
What
is [non-bio child name()]'s relationship to you?
1 ADOPTED
CHILD
2 STEP
CHILD
3 OTHER
(SPECIFY)
4 GRANDCHILD
5 BROTHER
OR SISTER
6 NEPHEW
OR NIECE
7 FRIEND'S
CHILD
8 PARENTS
9 PARTNER'S
CHILD
Go
To: Q9NB-30D
Lead-In:
Q9NB-30C [Default]
Q9NB-30D
Where
does [non-bio child name()] usually live?
|
1 IN THIS HOUSEHOLD
2 WITH OTHER PARENT (father / mother)
3 WITH GRANDPARENT(S)
4 WITH FOSTER CARE
5 WITH ADOPTIVE PARENTS
6 LONG TERM CARE INSTITUTION
7 AWAY AT SCHOOL
8 DECEASED
9 PART-TIME WITH YOU, PART-TIME
WITH OTHER PARENT |
10 PART-TIME WITH YOU, PART-TIME WITH
OTHER PERSON
13 WITH OTHER (SPECIFY) RELATIVES
12 OWN INDEPENDENT RESIDENCE
11 OTHER (SPECIFY)
14 IN THE MILITARY
15
JAIL OR CORRECTIONAL FACILITY
16 SISTER OR BROTHER
17 AUNT OR UNCLE
18 STEP PARENT |
Go
To: Q9NB-30Db
Lead-In:
Q9NB-30C1 [Default]
Q9NB-30Db
[non-bio
child's usual residence()];/* Enter code for hhiflag. */
If
Answer =8 Then Go To:
Q9NB-30E
If
Answer =1 Then Go To:
Q9NB-50-loop-end
If
Answer >=2 and Answer <=4
Then Go To: Q9NB-50-loop-end
If
Answer =11 Then Go To:
Q9NB-50-loop-end
If
Answer >=6 and Answer <=7
Then Go To: Q9NB-50-loop-end
Go
To: Q9NB-50-loop-end
Lead-In:
Q9NB-30D [Default]
Q9NB-30E
When
did [non-bio child name()] die?
Enter Date: |__|__||__|__|__|__|
Mon Year
Go
To: Q9NB-50-loop-end
Lead-In:
Q9NB-30Db [8:8]
Q9NB-50-loop-end
UNTIL([Q9-loop10
counter],[Q9-loop10 counter]=[total non-bio children reported]);
/*
End of the loop to get status of Nonbio children */
Go
To: Q9-29Gd
Lead-In:
Q9NB-30Db [Default], Q9NB-30E [Default], Q9NB-30C [8:8], Q9NB-30C [5:5],
Q9NB-30C [99:99], Q9NB-30Db [1:1], Q9NB-30Db [2:4], Q9NB-30Db [11:11],
Q9NB-30Db [6:7]
Q9-29Gd
([total
bio children reported] >= 1);/*is there at least one biochild*/
If
Answer =1 Then Go To:
Q9-30-Loop-Begin
Go
To: Q9-59
Lead-In:
Q9NB-50-loop-end [Default], Q9NB-23B [0:0]
Q9-30-Loop-Begin
REPEAT([Q9-loop14
counter]);/* Begin loop to ask about new kids situations */
Go
To: Q9-30C
Lead-In:
Q9-29Gd [1:1]
Q9-30C
[bio
child status (code)()];
/*
Check the status of the child. if deceased or deleted, or adopted out skip to
the next child. If the child is
added, skip to appropriate question */
If
Answer =8 Then Go To:
Q9-44D
If
Answer =5 Then Go To:
Q9-44D
If
Answer =99 Then Go To:
Q9-58-loop-end
Go
To: Q9-30D
Lead-In:
Q9-30-Loop-Begin [Default]
Q9-30D
Where
does [bio child name()] usually live?
|
1 IN THIS HOUSEHOLD
2 WITH OTHER PARENT (father / mother)
3 WITH GRANDPARENT(S)
4 WITH FOSTER CARE
5 WITH ADOPTIVE PARENTS
6 LONG TERM CARE INSTITUTION
7
AWAY AT SCHOOL
8 DECEASED...(Go to Q9-30E)
9 PART-TIME WITH YOU, PART-TIME
WITH OTHER PARENT |
10 PART-TIME WITH YOU, PART-TIME WITH
OTHER PERSON
13 WITH OTHER (SPECIFY) RELATIVES
12 OWN INDEPENDENT RESIDENCE
11 OTHER (SPECIFY)
14 IN THE MILITARY
15 JAIL OR CORRECTIONAL FACILITY
16 SISTER OR BROTHER
17 AUNT OR UNCLE
18 STEP PARENT |
Go
To: Q9-30Db
Lead-In:
Q9-30C [Default]
Q9-30Db
[usual
residence of biological child()];/* Enter code for hhiflag. */
If
Answer =5 Then Go To:
Q9-44D
If
Answer >=2 and Answer <=4
Then Go To: Q9-44D
If
Answer >=6 and Answer <=7
Then Go To: Q9-44D
If
Answer =11 Then Go To:
Q9-44D
If
Answer =8 Then Go To:
Q9-30E
Go
To: Q9-44D
Lead-In:
Q9-30D [Default]
Q9-30E
When
did [bio child name()] die?
Enter Date: |__|__||__|__|__|__|
Mon Year
Go
To: Q9-44D
Lead-In:
Q9-30D [8:8], Q9-30Db [8:8]
Q9-44D
[usual
residence of biological child()];
/*
Does first biological child live in household or with another person part time?
1=in this HH;5=adopted out; 8=deceased;
9=part-tim with oth parent; 10=part-time
with oth person */
If
Answer =10 Then Go To:
Q9-45
If
Answer =1 Then Go To:
Q9-45
If
Answer =9 Then Go To:
Q9-47
If
Answer =5 Then Go To:
Q9-58-loop-end
If
Answer =8 Then Go To:
Q9-58-loop-end
Go
To: Q9-53
Lead-In:
Q9-30Db [Default], Q9-30E [Default], Q9-30C [8:8], Q9-30C [5:5], Q9-30Db
[5:5], Q9-30Db [2:4], Q9-30Db [6:7], Q9-30Db [11:11]
Q9-45
Does
[bio child name()]'s natural [mother/father] live in this household?
1 YES...(Go
to Q9-58-loop-end)
0 NO
Go
To: Q9-46
Lead-In:
Q9-44D [10:10], Q9-44D [1:1]
Q9-46
Is
[bio child name()]'s [mother/father] living?
1 YES...(Go
to Q9-47)
0 NO
If
Answer >=-2 and Answer <=-1
Then Go To: Q9-47
Go
To: Q9-48
Lead-In:
Q9-45 [Default]
Q9-47
When
did [bio child name()]'s natural [mother/father] leave the household?
1
SELECT TO ENTER DATE
2
NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD...(Go to Q9-50)
Go
To: Q9-47A
Lead-In:
Q9-44D [9:9], Q9-46 [1:1], Q9-46 [-2:-1]
Q9-47A
INTERVIEWER:
ENTER MONTH AND YEAR [bio child name()]'S NATURAL [mother/father] LEFT
THE HOUSEHOLD.
Enter Date: |__|__||__|__|__|__|
Mon Year
Go
To: Q9-50
Lead-In:
Q9-47 [Default]
Q9-48
In
what month and year did [bio child name()]'s natural [mother/father] die?
Enter Date: |__|__||__|__|__|__|
Mon Year
Go
To: Q9-58-loop-end
Lead-In:
Q9-46 [Default]
Q9-50
About
how many miles from you does [bio child name()]'s [mother/father] live?
1 within 1
mile?
2 1-10
miles?
3 11-50
miles?
4 51-100
miles?
5 more
than 100 miles?
Go
To: Q9-51
Lead-In:
Q9-47A [Default], Q9-47 [2:2]
Q9-51
Since
[bio child name()] has been separated from [his/her()] [mom/dad], about how
often has [bio child name()] seen [his/her()] [mom/dad]?
|
1 Almost every day
2 2-5 times a week
3 About once a week
4 1-3 times a month
6 7-11 times in past 12 months
5 2-6
times in past 12 months
7 Once in past 12 months
9 Never |
8 Other (SPECIFY)
10 5 or less times in entire life
11 Has not seen in over a year
12 One time in past 2-5 years
13 5 or less times in 5 or more years
14 Varies
15 6-10 times in entire life
16 During the summer |
Go
To: Q9-52
Lead-In:
Q9-50 [Default]
Q9-52
How
many days do these visits usually last?
IF
LESS THAN 1 DAY, ENTER 0 (zero).
Enter Answer: |__|__|__|
Go
To: Q9-58-loop-end
Lead-In:
Q9-51 [Default]
Q9-53
About
how far from you does [bio child name()] live?
Is it....
1 within 1
mile?
2 1-10
miles?
3 11-50
miles?
4 51-100
miles?
5 more
than 100 miles?
Go
To: Q9-54
Lead-In:
Q9-44D [Default]
Q9-54
In
the past 12 months, about how often have you seen [bio child name()]?
|
1 Almost every day
2 2-5 times a week
3
About once a week
4 1-3 times a month
6 7-11 times in past 12 months
5 2-6 times in past 12 months
7 Once in past 12 months
9 Never |
8 Other (SPECIFY)
10 5 or less times in entire life
11 Has not seen in over a year
12 One time in past 2-5 years
13 5 or less times in 5 or more years
14 Varies
15 6-10 times in entire life
16 During the summer |
Go
To: Q9-55
Lead-In:
Q9-53 [Default]
Q9-55
How
long do these visits usually last?
(INTERVIEWER:
ENTER NUMBER OF DAYS. IF
LESS THAN 1 DAY, ENTER 0.)
Enter Answer: |__|__|__|
Go
To: Q9-56
Lead-In:
Q9-54 [Default]
Q9-56
When
did [bio child name()] last live with you?
1 SELECT
TO ENTER DATE...(Go to Q9-57)
0 NEVER
LIVED WITH R
Go
To: Q9-58-loop-end
Lead-In:
Q9-55 [Default], Q9-54 [0:0]
Q9-57
(When
did [bio child name()] last live with you?)
Enter Date: |__|__||__|__|__|__|
Mon Year
Go
To: Q9-58
Lead-In:
Q9-56 [1:1]
Q9-58
Before
then, were there any periods of more than three consecutive months when [bio
child name()] did not live with you?
1 Yes
0 No
2 CHILD IS
LESS THAN THREE MONTHS OLD
Go
To: Q9-58-loop-end
Lead-In:
Q9-57 [Default]
Q9-58-loop-end
UNTIL([Q9-loop14
counter],[Q9-loop14 counter]=[total bio children reported]);/* end loop. */
Go
To: Q9-59
Lead-In:
Q9-48 [Default], Q9-52 [Default], Q9-56 [Default], Q9-58 [Default], Q9-30C
[99:99], Q9-44D [5:5], Q9-44D [8:8], Q9-45 [1:1], Q9-51 [0:0]
Q9-59
([total
bio children reported] >= 1);/* is there at least one biochild on the roster
*/
If
Answer =0 Then Go To:
Q9-66-a
Go
To: Q9-60-Loop-Begin
Lead-In:
Q9-29Gd [Default], Q9-58-loop-end [Default]
Q9-60-Loop-Begin
REPEAT([loop
to collect info on every HH kid]);/*begin loop to make roster of all children in
the household */
Go
To: Q9-61
Lead-In:
Q9-59 [Default]
Q9-61
(([usual
residence of biological child()]=1) OR ([usual residence of biological
child()]=9) OR ([usual residence of biological child()]=10));
/*
is biochild in the hh at least part of the time?
1= in HH; 9=part-time w/oth
parent 10=part-time w/oth person; all others are out of HH */
If
Answer =0 Then Go To:
Q9-64-LOOP-END
Go
To: Q9-64-LOOP-END
Lead-In:
Q9-60-Loop-Begin [Default]
Q9-64-LOOP-END
UNTIL([loop
to collect info on every HH kid], [loop to collect info on every HH kid]=[total
bio children reported]);
/*
Ends the loop where info on all kids in HH compiled */
Go
To: Q9-66-a
Lead-In:
Q9-61 [Default], Q9-61 [0:0]
Q9-66-a
([total
non-bio children reported] >= 1);/* did R report at least one non-bio child
on roster? */
If
Answer =0 Then Go To:
Q9-69
Go
To: Q9-66-Loop-Begin
Lead-In:
Q9-64-LOOP-END [Default], Q9-59 [0:0]
Q9-66-Loop-Begin
REPEAT([roster
of all nbio children in HH]);/*begin loop to make roster of all nbio children in
the household */
Go
To: Q9-66a
Lead-In:
Q9-66-a [Default]
Q9-66a
(([non-bio
child's usual residence()]=1) OR ([non-bio child's usual residence()]=9) OR
([non-bio child's usual residence()]=10));
/*
is non-biochild in the HH at least part of the time? 1= in HH; 9=part-time
w/oth parent 10=part-time w/oth person; all others are out of HH */
If
Answer =0 Then Go To:
Q9-65-LOOP-END
Go
To: Q9-65-LOOP-END
Lead-In:
Q9-66-Loop-Begin [Default]
Q9-65-LOOP-END
UNTIL([roster
of all nbio children in HH], [roster of all nbio children in HH]=[total non-bio
children reported]);
/*
Ends the loop where info on all nbio kids in HH compiled */
Go
To: Q9-69
Lead-In:
Q9-66a [Default], Q9-66a [0:0]
Q9-69
([total
number kids in household]=0);/* Any kids in HH? skip to beginning of school finder */
If
Answer =1 Then Go To:
Q9-203
Go
To: Q9-70-LOOP-BEGIN
Lead-In:
Q9-65-LOOP-END [Default], Q9-66-a [0:0]
Q9-70-LOOP-BEGIN
REPEAT([loop
collecting info on all HH kids]);
/*
loop contains all the child well-being questions; Each child in HH goes through
this loop */
Go
To: Q9-75
Lead-In:
Q9-69 [Default]
Q9-75
([HH
child's date of birth()] >= [01/01/1997]);/* AGE FILTER for PRE-NATAL: Was
child born on or after 1/01/97?
If YES then ask pre-natal questions */
If
Answer =1 Then Go To:
Q9-75a
Go
To: Q9-94
Lead-In:
Q9-70-LOOP-BEGIN [Default]
Q9-75a
([Is
R male or female]=1);/* if R is male, skip pregnancy questions */
If
Answer =0 Then Go To:
Q9-75aa
Go
To: Q9-94
Lead-In:
Q9-75 [1:1]
Q9-75aa
([HH
child's ID()] < 50);/*is this a biological child? */
If
Answer =1 Then Go To:
Q9-76
Go
To: Q9-94
Lead-In:
Q9-75a [0:0]
Q9-76
Next
I'd like to ask you a few questions about [HH child's name()].
During
your pregnancy with [HH child's name()], did you make any visits to a doctor or
nurse for prenatal care, that is, to be examined or talk about your pregnancy?
1 YES...(Go
to Q9-77)
0 NO
Go
To: Q9-85
Lead-In:
Q9-75aa [1:1]
Q9-77
When
did you first visit a doctor or nurse for prenatal care -- during which month of
your pregnancy?
IF
NEEDED: That is, was it the 1st
month, 2nd month, etc
(INTERVIEWER:
ENTER MONTH NUMBER)
Enter Answer: |__|__|
Go
To: Q9-78
Lead-In:
Q9-76 [1:1]
Q9-78
How
was this prenatal care paid for?
INTERVIEWER:
The following are names of Medicaid Alternative plans in Ohio and should be
coded as Medicaid or Medicaid Alternative Plan :
|
Healthy
Start Mediplan FHP Paramount SuperMed |
CHIP DAHP Genesis QualChoice Total
Health Care |
LIF Emerald HMO
HealthOH SummaCare |
|
2 Policy from your employer
3 Policy from employer of spouse or partner
5 Policy bought directly from medical
insurance company
4 Medicaid or Medicaid Alternative Plan
1 NOT COVERED BY ANY PLAN /
NO HEALTH
INSURANCE |
6 OTHER
(SPECIFY)
7 VA Health Plan
8 Social Security or Medicare
9 Child's other parent's insurance
10 Child's own employer
11 R's parent's plan |
Go
To: Q9-85
Lead-In:
Q9-77 [Default]
Q9-85
How
much did [HH child's name()] weigh at birth?
(ENTER
# OF POUNDS)
Enter Answer: |__|__|
If
Answer >=-2 and Answer <=-1
Then Go To: Q9-87
Go
To: Q9-86
Lead-In:
Q9-76 [Default], Q9-78 [Default]
Q9-86
(How
much did [HH child's name()] weigh at birth?)
(ENTER
OUNCES.)
Enter Answer: |__|__|
If
Answer >=-2 and Answer <=-1
Then Go To: Q9-87
Go
To: Q9-88
Lead-In:
Q9-85 [Default]
Q9-87
Did
[HH child's name()] weigh more than 5 1/2 pounds or less?
1 More
2 Less
Go
To: Q9-88
Lead-In:
Q9-85 [-2:-1], Q9-86 [-2:-1]
Q9-88
What
insurance plan, if any, was used to pay for the birth of [HH child's name()]?
INTERVIEWER:
The following are names of Medicaid Alternative plans in Ohio and should be
coded as Medicaid or Medicaid Alternative Plan:
|
Healthy
Start Mediplan FHP Paramount SuperMed |
CHIP DAHP Genesis QualChoice Total
Health Care |
LIF Emerald HMO
HealthOH SummaCare |
|
2 Policy from your employer
3 Policy from employer of spouse or partner
5 Policy bought directly from medical
insurance company
4 Medicaid or Medicaid Alternative Plan
1 NOT COVERED BY ANY PLAN /
NO HEALTH
INSURANCE |
6 OTHER
(SPECIFY)
7 VA Health Plan
8 Social Security or Medicare
9 Child's other parent's insurance
10 Child's own employer
11 R's parent's plan |
Go
To: Q9-89
Lead-In:
Q9-86 [Default], Q9-87 [Default]
Q9-89
Now
we'll talk about the times you may have brought [HH child's name()] to the
doctor or clinic even when [he or she()] wasn't sick.
This is what some people refer to as "well-baby care".
Did
you take [HH child's name()] to a clinic or doctor for well-baby care when [he
or she()] was not sick or injured?
1 YES...(Go
to Q9-90)
0 NO
Go
To: Q9-94
Lead-In:
Q9-88 [Default]
Q9-90
How
many months old was [HH child's name()] when you took [him/her()] to a clinic or
doctor for well baby care the first time?.....
(INTERVIEWER:
ENCOURAGE THE RESPONDENT TO ESTIMATE MONTHS OF AGE IF AT ALL POSSIBLE.)
1 SELECT
TO ENTER MONTHS OF AGE...(Go to Q9-91)
2 TOOK
CHILD FOR WELL BABY CARE, BUT DO NOT KNOW ANY MONTHS OF AGE
Go
To: Q9-92
Lead-In:
Q9-89 [1:1]
Q9-91
(How
many months old was [HH child's name()] when you took [him/her()] to a clinic or
doctor for well baby care the first time?.....)
Enter Answer: |__|__|
Go
To: Q9-92
Lead-In:
Q9-90 [1:1]
Q9-92
When
you took [HH child's name()] for well-baby care the first time, where did you
take [him/her()]? Did you go to one
or two doctors you see regularly, to
a clinic where you are seen by the next available doctor, or to the hospital emergency room?
1 REGULAR
(SAME) DOCTOR
2 CLINIC
TO SEE NEXT AVAILABLE DOCTOR
3 HOSPITAL
EMERGENCY ROOM
4 OTHER
Go
To: Q9-94
Lead-In:
Q9-90 [Default], Q9-91 [Default]
Q9-94
([child's
age()] > 2);/* AGE FILTER: Is child older than 2? If so ask "illness/injury" Qs */
If
Answer =1 Then Go To:
Q9-95
Go
To: Q9-108
Lead-In:
Q9-75 [Default], Q9-75a [Default], Q9-75aa [Default], Q9-89 [Default], Q9-92
[Default]
Q9-95
I'd
like to ask you a few questions about [HH child's name()]'s health.
Since
January 1997, have you taken [HH child's name()] to a clinic, hospital, or
doctor because [he or she()] was sick or injured?
1 YES...(Go
to Q9-96)
0 NO
Go
To: Q9-108
Lead-In:
Q9-94 [1:1]
Q9-96
(Since
January 1997) How many times
did you bring [HH child's name()] to the doctor because [he or she()] was sick
or injured?
(RECORD
NUMBER OF ILLNESSES)
Enter Answer: |__|__|
If
Answer =0 Then Go To:
Q9-108
Go
To: Q9-97
Lead-In:
Q9-95 [1:1]
Q9-97
When
did you most recently take [HH child's name()] to the doctor (because of an
illness or injury)?
Enter Date: |__|__||__|__|__|__|
Mon Year
Go
To: Q9-97a
Lead-In:
Q9-96 [Default]
Q9-97a
("-"$[Date
of most recent/second most recent time R took child to the clinic, hospital, or
doctor because of an illness or injury()]);/* is there a refuse or don't know
inside the date symbol? */
If
Answer =1 Then Go To:
Q9-98
Go
To: Q9-98
Lead-In:
Q9-97 [Default]
Q9-98
Where
did you take [HH child's name()] on this most recent visit? Did you go to one or two doctors you see regularly,
to a clinic where you are seen by the next available doctor,
or to the hospital emergency room?
1 REGULAR
(SAME) DOCTOR
2 CLINIC
TO SEE NEXT AVAILABLE DOCTOR
3 HOSPITAL
EMERGENCY ROOM
4 OTHER
Go
To: Q9-100
Lead-In:
Q9-97a [Default], Q9-97a [1:1]
Q9-100
Were
you employed when you took [HH child's name()] to the doctor in [Date of most
recent/second most recent time R took child to the clinic, hospital, or doctor
because of an illness or injury()]?
1 YES...(Go
to Q9-101)
0 NO
Go
To: Q9-102
Lead-In:
Q9-98 [Default]
Q9-101
Did
you take time off from work the most recent time you brought [HH child's name()]
to the doctor?
1 YES
0 NO
2
ON LEAVE OR VACATION (e.g., MATERNITY LEAVE)
Go
To: Q9-108
Lead-In:
Q9-100 [1:1]
Q9-102
([#
times child brought to doctor/hosp because of illness or injury()] >1);
/*
Did R bring child to the doctor more than once for illness/injury? */
If
Answer =1 Then Go To:
Q9-103
Go
To: Q9-108
Lead-In:
Q9-100 [Default]
Q9-103
What
was date of the second most recent time you took [HH child's name()] to the
clinic, hospital, or doctor because of an illness or injury?
Enter Date: |__|__||__|__|__|__|
Mon Year
Go
To: Q9-104
Lead-In:
Q9-102 [1:1]
Q9-104
Where
did you take [HH child's name()] on this second most recent visit? Did you go to
one or two doctors you see regularly, to
a clinic where you are seen by the next available doctor,
or to the hospital emergency room?
1 REGULAR
(SAME) DOCTOR
2 CLINIC
TO SEE NEXT AVAILABLE DOCTOR
3 HOSPITAL
EMERGENCY ROOM
4 OTHER
Go
To: Q9-106
Lead-In:
Q9-103 [Default]
Q9-106
Were
you employed when you took [HH child's name()] to the doctor on [Date of second
most recent time R took child to the clinic, hospital, or doctor because of an
illness or injury()]?
1 YES...(Go
to Q9-107)
0 NO
2 ON LEAVE
OR VACATION (e.g., MATERNITY LEAVE)
Go
To: Q9-108
Lead-In:
Q9-104 [Default]
Q9-107
Did
you take time off from work the second most recent time you brought [HH child's
name()] to the doctor?
1 YES
0 NO
Go
To: Q9-108
Lead-In:
Q9-106 [1:1]
Q9-108
Has
[HH child's name()] been diagnosed with any permanent or chronic health
conditions that require medical attention or treatment from a doctor or other
health professional?
IF
YES, PROBE: Are they physical, learning, behavioral, or mental health
conditions?
0 NO, NO
CONDITION
1 YES -
PHYSICAL CONDITION
2 YES -
LEARNING, BEHAVIORAL, MENTAL HEALTH
Go
To: Q9-111a
Lead-In:
Q9-94 [Default], Q9-95 [Default], Q9-101 [Default], Q9-102 [Default], Q9-106
[Default], Q9-107 [Default], Q9-96 [0:0]
Q9-111a
INLIST([Q9-108()],1);
If
Answer =0 Then Go To:
Q9-112a
Go
To: Q9-112
Lead-In:
Q9-108 [Default]
Q9-112
What
physical health conditions does [HH child's name()] have that requires medical
attention or treatment?
|
3 Respiratory disorder (asthma, sinus
condition)
4 Speech impairment
5 Deafness, serious hearing difficulty
6 Blindness, serious difficulty in seeing
8 Allergic conditions
9
Crippled, orthopedic handicap
10 Mental retardation, serious or mild
11 Heart trouble
13 Chronic ear problems or infections
14 Blood disorder, immune deficiency (e.g.,
sickle cell anemia)
15 Epilepsy
/ seizures |
95 OTHER
(SPECIFY)
16 Flat feet
17 Knee problems
18 Lazy eye
19 Female/ovarian problems
20 ADD/ADHD
21 Kidney trouble
23 Lead Poisoning
24 Skin condition (Exema)
25 Migraines
26 Thyroid problems |
Go
To: Q9-112a
Lead-In:
Q9-111a [Default]
Q9-112a
INLIST([Q9-108()],2);/*Did
this R pick learning, behavioral, & mental conditions?*/
If
Answer =1 Then Go To:
Q9-113
Go
To: Q9-114
Lead-In:
Q9-112 [Default], Q9-111a [0:0]
Q9-113
What
learning, behavioral, or mental health conditions does [HH child's name()] have
that requires medical attention or treatment?
|
1 Learning disability
2 Attention deficit disorder/Hyperactivity
(ADD/ADHD)
7 Emotional disturbance
10 Mental retardation, serious or mild |
12 Chronic nervous disorder
15 Epilepsy / seizures
95 Other (SPECIFY)
16 Speech problem |
Go
To: Q9-114
Lead-In:
Q9-112a [1:1]
Q9-114
INLIST([Q9-108()],
0);/* does a physical or mental condition limit at least one of the child's
activities? */
If
Answer =0 Then Go To:
Q9-115
Go
To: Q9-120
Lead-In:
Q9-112a [Default], Q9-113 [Default]
Q9-115
How
is this medical care paid for?
INTERVIEWER:
The following are names of Medicaid Alternative plans in Ohio and should be
coded as Medicaid or Medicaid Alternative Plan:
|
Healthy
Start Mediplan FHP Paramount SuperMed |
CHIP DAHP Genesis QualChoice Total
Health Care |
LIF Emerald HMO
HealthOH SummaCare |
|
1 SELF-PAY / NO INSURANCE
2 R's INSURANCE
3 NON-CUSTODIAL PARENT'S INSURANCE
4 MEDICAID / MEDICIAD ALTERNATIVE |
7 SPOUSE'S INSURANCE
8 FREE CLINIC
5 OTHER (SPECIFY) |
Go
To: Q9-116
Lead-In:
Q9-114 [0:0]
Q9-116
Does
[HH child's name()]'s health or physical condition limit the amount or kind of
work for pay you can do?
1 YES
0 NO
Go
To: Q9-120
Lead-In:
Q9-115 [Default]
Q9-120
When
did [HH child's name()] last see a doctor for a routine health checkup?
|
1 LESS THAN 1 MONTH AGO
2 1-3 MONTHS AGO
3 4-6 MONTHS AGO
4 7-11 MONTHS AGO |
5 1 YEAR-23 MONTHS AGO
6 2 OR MORE YEARS AGO
7 NEVER |
If
Answer >=-2 and Answer <=-1
Then Go To: Q9-122
Go
To: Q9-122
Lead-In:
Q9-114 [Default], Q9-116 [Default]
Q9-122
([child's
age()] <= 7);/* AGE FILTER FOR IMMUNIZATION: Is child 7 or younger? */
If
Answer =1 Then Go To:
Q9-123
Go
To: Q9-130-Loop-End
Lead-In:
Q9-120 [Default], Q9-120 [-2:-1]
Q9-123
Infants
and very young children are normally given a series of immunization shots, such
as DPT, oral polio, and MMR. Has
[HH child's name()] received these shots?
IF
NEEDED: These shots are to prevent childhood illnesses such as diphtheria,
measles, mumps, and tetanus.
1 YES
0 NO
Go
To: Q9-130-Loop-End
Lead-In:
Q9-122 [1:1]
Q9-130-Loop-End
UNTIL([loop
collecting info on all HH kids], [loop collecting info on all HH kids]=[total
number kids in household]);
/*end
loop after well-being questions are asked of every child in HH */
Go
To: Q9-192b
Lead-In:
Q9-122 [Default], Q9-123 [Default]
Q9-192b
([total
number of kids in the household] > 0);/* Number of kids greater than 0? */
If
Answer =0 Then Go To:
Q10-1
Go
To: Q9-193-loop-begin
Lead-In:
Q9-130-Loop-End [Default]
Q9-193-loop-begin
REPEAT([Q9-loop19
counter]);/* START loop */
Go
To: Q9-194
Lead-In:
Q9-192b [Default]
Q9-194
[child
in household's statcode()];/* Is first biological child deleted, deceased or
adopted out? */
If
Answer =5 Then Go To:
Q9-199B-loop-end
If
Answer =8 Then Go To:
Q9-199B-loop-end
If
Answer =99 Then Go To:
Q9-199B-loop-end
Go
To: SCHLFIND-2
Lead-In:
Q9-193-loop-begin [Default]
SCHLFIND-2
(([year
of R's DOB()] <= 1994) and ([year of R's DOB()] >= 1980));
/*
Is first biological child going to turn 5 in 1999 and is less than 19 years old?
*/
If
Answer =0 Then Go To:
Q9-195
If
Answer =-3 Then Go To:
Q9-195
Go
To: SCHLFIND-3
Lead-In:
Q9-194 [Default]
SCHLFIND-3
Is
[child's name()] currently attending or enrolled in regular school?
(INTERVIEWER:
REGULAR SCHOOL INCLUDES "PRE-KINDERGARTEN" AND
"KINDERGARTEN" OR "PRE-FIRST GRADE", AS WELL AS
"1ST-12TH GRADE AND COLLEGE")
1 YES...(Go
to SCHLFIND-4a)
0 NO
Go
To: SCHLFIND-4
Lead-In:
SCHLFIND-2 [Default]
SCHLFIND-4
Has
[he or she()] ever attended regular school?
1 YES...(Go
to SCHLFIND-4a)
0 NO
Go
To: Q9-195
Lead-In:
SCHLFIND-3 [Default]
SCHLFIND-4a
([Q9-loop19
counter]=1);/*Is this the first time through the loop?*/
If
Answer =1 Then Go To:
SCHLFIND-6
Go
To: SCHLFIND-5
Lead-In:
SCHLFIND-4 [1:1], SCHLFIND-3 [1:1]
SCHLFIND-5
Is
[child's name()]'s school in this list?
INTERVIEWER:
IF NOT LISTED, HIGHLIGHT 'ENTER
NEW SCHOOL' AND PRESS <ENTER> (or click on 'Continue') TO CONTINUE TO NEXT
QUESTION.
IF
SCHOOL IS IN THIS LIST, HIGHLIGHT
THE NAME OF THE SCHOOL, THEN PRESS <ENTER> (or click on 'Continue') TO
CONTINUE TO NEXT QUESTION.
Refer
to Roster: SCHOOLS2
SCHLNAME
STREET
CITY
STATE
COUNTRY
If
Answer =1 Then Go To:
SCHLFIND-6
Go
To: Q9-195
Lead-In:
SCHLFIND-4a [Default]
SCHLFIND-6
What
type of school (does [child's name()] currently attend/did [child's name()] last
attend)?
INTERVIEWER:
KINDERGARTEN = ELEMENTARY SCHOOL
1
Elementary School
2
Middle School/Intermediate School/Junior High School
3
High School
4
Two Year College, Community College, or Junior College...(Go to Q9-195)
5
Four Year College or University...(Go to Q9-195)
Go
To: SCHLFIND-11
Lead-In:
SCHLFIND-5 [1:1], SCHLFIND-4a [1:1]
SCHLFIND-11
SYMBOL([school_state4()]="Ohio"=CHAR);
If
Answer >=-2 and Answer <=-1
Then Go To: SCHLFIND-18
Go
To: SCHLFIND-13
Lead-In:
SCHLFIND-6 [Default]
SCHLFIND-13
What
city is the school located in?
SELECT CITY__________________________
If
Answer >=-2 and Answer <=0
Then Go To: SCHLFIND-18
Go
To: SCHLFIND-15
Lead-In:
SCHLFIND-11 [Default]
SCHLFIND-15
What
is the name of the school?
IF
NOT ON LIST: SELECT 'OTHER' AT THE END OF THE PICK LIST
SELECT
NAME OF SCHOOL______________________
If
Answer >=-2 and Answer <=0
Then Go To: SCHLFIND-18
Go
To: SCHLFIND-18
Lead-In:
SCHLFIND-13 [Default]
SCHLFIND-18
VERIFICATION
SCREEN: DO NOT READ OUT LOUD
CONFIRM
THAT THE CITY AND NAME SHOWN HERE MATCHES INFORMATION COLLECTED IN PREVIOUS 2
QUESTIONS
Pin Number: :
_________________________________
School Name:: _________________________________
Address:: _________________________________
City:: _________________________________
State:: _________________________________
Go
To: Q9-195
Lead-In:
SCHLFIND-15 [Default], SCHLFIND-15 [-2:0], SCHLFIND-11 [-2:-1], SCHLFIND-13
[-2:0]
Q9-195
([total
number kids in household] >=1);/*is there at least one child (bio or non-bio)
in the HH*/
If
Answer =1 Then Go To:
Q9-199B-loop-end
Go
To: Q9-199B-loop-end
Lead-In:
SCHLFIND-4 [Default], SCHLFIND-5 [Default], SCHLFIND-18 [Default], SCHLFIND-2
[0:0], SCHLFIND-6 [4:5], SCHLFIND-2 [-3:-3]
Q9-199B-loop-end
UNTIL([Q9-loop19
counter],([Q9-loop19 counter]=[total number kids in household]) or ([total
number kids in household]=0));/* run through this loop for all kids */
Go
To: Q9-202
Lead-In:
Q9-195 [Default], Q9-195 [1:1], Q9-194 [5:5], Q9-194 [8:8], Q9-194 [99:99]
Q9-202
([Is
this an in person interview or over the phone?]=1);/*Is this interview in person
or over the phone*/
If
Answer =1 Then Go To:
Q9-203
Go
To: Q10-1
Lead-In:
Q9-199B-loop-end [Default]
Q9-203
INTERVIEWER:
WAS ANYONE ELSE PRESENT, EXCLUDING YOUNG CHILDREN (AGE 3 AND UNDER), WHEN
YOU ASKED THE QUESTIONS IN THIS SECTION?
1 YES
0 NO
2 TELEPHONE
INTERVIEW
Go
To: Q10-1
Lead-In:
Q9-202 [1:1], Q9-69 [1:1]