Appendix C
Household Outcomes Survey Item by Item Justification – Experimental Version
AHPP QOL Evaluation – Household Outcomes Survey Item by Item Justification for Non-Experimental Version
Q # |
Question |
Previous Survey Question Used on (if not new) |
Domain(s) |
Justification |
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Screener Confirmation of Respondent |
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SC1-SC3 |
Confirmation of respondent’s name, baseline address, and date of birth |
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These questions are necessary to ensure that 1) the respondent is the person of interest and 2) that the baseline information in our records is accurate. |
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Introduction |
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None |
Informed Consent |
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Tracking |
It is important to obtain renewed consent from study participants for the first and second household outcomes survey. The study participants are a vulnerable population and it is imperative that they understand what they are agreeing to and how we will protect them. |
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INTRO1-INTRO3 |
Where were you living immediately before the hurricane, that is, in August 2005? At the time that you applied, what type of housing were you living in? Did you ever live in a FEMA travel trailer or mobile home? On what kind of site was your FEMA unit located? |
AHPP baseline (modified) New |
Tracking
Mobility |
It is important for us to understand participant mobility in order to track participants, understand residential mobility, and identify subgroups for data analysis. These questions track key participant addresses and ask questions about the type of place they were living at the time. If a participant provided address information during the baseline survey, he/she will not be asked the questions again. |
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INTRO4 |
What is your current address and phone number? |
Moving To Opportunity (MTO) |
Tracking
Mobility |
Current address is critical to the tracking effort and also to understanding current neighborhood conditions and the residential patterns of AHPP participants. |
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Section A: AHPP Unit |
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A1 |
What is the main reason you applied for an AHPP unit? |
AHPP baseline |
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A1 allows us to capture this data retrospectively for those participants in Mississippi who did not complete a baseline survey. |
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A2 |
Were you offered an AHPP unit? |
New |
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Verifies that controls were not offered an AHPP unit. CONTROLS skip to Section B from here. |
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A3 |
Did you accept an AHPP unit? |
New |
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Allows us to identify treatment group members that may not have accepted an AHPP unit. |
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A4 |
Why didn’t you accept the AHPP unit you were offered? |
New |
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Allows us to capture reasons that treatment group members may not accept an AHPP unit. This is the only way we can systematically collect this for all treatment group members.. |
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A5 |
In what month and year did you move into your AHPP unit? |
New |
Mobility |
A5-A8 will be paired with address information so we can understand residential mobility and identify subgroups for data analysis. |
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A6 |
Are you currently living in your AHPP unit? |
New |
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A7 |
On what type of site is/was your AHPP unit located? |
New |
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A8 |
When did you move out of your AHPP unit? |
New |
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A9-A9e1 |
What was the main reason that you moved out of your AHPP unit?
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MTO modified response categories |
Housing quality
Mobility |
A9 is designed to get an overall sense of why participants choose to leave the AHPP units. A9a-A9ed1 are intended to capture more specific feedback on reasons for leaving including issues with the AHPP unit (quality, location, or affordability) or personal issues that were unrelated to the unit. |
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A10 |
At any time while you were living in your AHPP unit, were any of the following conditions present? |
AHPP baseline |
Housing quality |
This series of questions assesses quality of AHPP housing for program participants who moved out of their AHPP unit. (Section B repeats this series of questions for participants that are currently living in the AHPP unit.) |
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a. Mildew, mold, or water damage on any wall floor, or ceiling? |
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b. Floor problems such as boards, tiles, carpeting or linoleum that were missing, curled or loose? |
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c. Any holes or large cracks where outdoor air or rain could come in? |
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d. Did you smell bad odors such as sewer, natural gas, etc. in your home? |
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e. Bathroom floors covered by water because of a plumbing problem? |
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f. Had your toilet not worked for 6 hours or more? |
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g. Had your electricity not worked for 2 hours or more? |
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h. In cold weather, did you ever need to use your oven to heat your home? |
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i. Did all outside doors and windows have locks that worked? |
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A11 |
Not including bathrooms and hallways, how many rooms were in your AHPP unit? |
MTO (originally from 3City) |
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A9-A11 in combination with household composition data provide information on overcrowding for former AHPP participants. Section B captures this information for current AHPP participants. |
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A12 |
How many of the rooms in the AHPP unit were bedrooms? |
New |
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A13
A13a |
When you were living in the AHPP unit, did anyone in the household regularly sleep in a room other than a bedroom because there were not enough bedrooms? Was this because there were not enough bedrooms |
New |
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A14
A14a |
When you were living in the AHPP unit, did anyone in the household go somewhere else to sleep because there was not enough space in the AHPP unit? Was this because there was not enough space in the AHPP unit for everyone to sleep there? |
New |
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A15 |
What feature(s) of the AHPP units are/were most attractive to your family? |
New |
Housing quality |
This series of questions will help us understand what aspects of the AHPP units were most attractive to current and former program participants. |
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a. Was the amount of living space an attractive feature to you? |
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b. Was the number of bedrooms an attractive feature to you? |
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c. Were the kitchen facilities (stove, dishwasher etc.) attractive features to you? |
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d. Were the bathroom facilities (tub, shower, size) attractive features to you? |
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e. Was the room design and layout an attractive feature to you? |
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f. Was the furniture an attractive feature to you? |
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g. Was the structural soundness, or way that the unit was built, an attractive feature to you? |
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h. Was the accessibility of the unit an attractive feature to you? |
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i. Was there any other feature that was attractive to you? (SPECIFY_____________________) |
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A16 |
I’d like you to think about your housing unit when you lived in a FEMA travel trailer/mobile home. How would you describe the overall condition of your AHPP unit as compared to your FEMA unit? Would you say your AHPP unit is/was in better condition, worse condition, or about the same condition as the FEMA unit? |
MTO and HOPE VI modified |
Housing quality |
Asks participants to directly compare their FEMA unit and their AHPP unit. If AHPP units are an alternative to FEMA travel trailers, we need a direct comparison to judge the relative merit of each unit type. |
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A17 |
I’m going to read a list of housing features and I’d like you to tell me whether the feature was better in your AHPP unit, worse in your AHPP unit, or about the same in your AHPP unit.
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AHPP baseline, modified |
Housing quality |
Allows participant to make direct comparisons between the FEMA unit and the AHPP unit in several key housing quality areas. If AHPP units are an alternative to FEMA travel trailers, we need a direct comparison to judge the relative merit of each unit type. |
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Section B: Current Housing and Housing Quality |
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B1
B1a. |
[IF NOT IN AHPP UNIT] I’d like to ask you some questions about your current housing situation. Do you/Are you…
Do you currently rent or own your AHPP unit? |
MTO modified |
Housing quality |
Allows us to determine the current housing type/situation for all participants. |
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B2-B2a |
How many years have you lived at your current address? How many months have you lived at your current address? |
MTO |
Housing security |
[B2-B5] These questions (combined with B14-23) measure housing security. Are sample members able to maintain their own housing units? If not, are they doubling-up with other families and/or experiencing homelessness? |
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B3 |
Was there ever a time during the past 12 months when you did not have your own place to stay? |
MTO |
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B4 |
During this time, did you stay:
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MTO |
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B5 |
[ASK OF TREATMENT GROUP ONLY] During the time when you did not have your own place to stay, were you unable to live in an AHPP unit that you were supposed to be occupying?
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B6 |
Overall, how would you describe the condition of your current house/apartment/living space? Would you say it was in excellent, good, fair, or poor condition?
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MTO baseline |
Housing quality |
Housing quality is both an outcome of interest in its own right and a mediating factor for other outcomes. Moves into AHPP units are likely to increase with the quality of housing. Better-quality housing may also reduce stress. |
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B7
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Does your current housing have any of the following problems?
[Categories for a-i are the same as A8] |
AHPP baseline |
Housing quality |
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B8
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Not including bathrooms and hallways, how many rooms are there in your current house/apartment/living space? |
MTO (originally from 3City) |
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B8-B10a in combination with household composition data provide information on overcrowding. |
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B8a. |
How many of the rooms in your house/apartment/living space are bedrooms? |
New |
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B9
B9a |
Does anyone in the household regularly sleep in a room other than a bedroom because there are not enough bedrooms? Was this because there were not enough bedrooms in your unit? |
New |
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B10
B10a |
Does anyone in the household go somewhere else to sleep because there is not enough space in your house/apartment/unit? Was this because there was not enough space in the unit for everyone to sleep there? |
New |
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B11 |
Do you agree or disagree with the following statement: “This place where I live now feels like home to me”? |
New |
Housing quality |
Combined with B6 this question measures housing satisfaction. |
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B12
B13
B14
B14a |
Is your current residence your permanent unit?
What is your permanent or long-term housing plan?
When do you expect to be in your permanent housing?
What is the main reason you have not been able to complete your permanent housing plans? |
New |
Permanent housing plans |
Questions B12-B14a define the participant’s permanent housing plans and serve as a benchmark to be measured against in the second household outcomes survey. It will help us understand how AHPP fits into the respondent’s permanent housing plan and allow us to compare outcomes for respondents who view AHPP as temporary and those who view it as permanent. |
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B15
B15a
B16 |
What is the monthly amount you pay for owning this (condo/house)?
I have recorded that you pay [amount] to own this unit is that correct?
During the past 12 months, were you ever more than 15 days late paying your mortgage? |
MTO and HOPE VI (modified) |
Housing security
Rent/mortgage payments and hardship
Utility payments and hardship |
This series, in connection with B3-B5 assess financial burden on the respondents with respect to rent/mortgage and utility payments. Most residents in FEMA housing are not paying rent or utilities. It will be important to determine if utility or other payments make living in AHPP units more burdensome for occupants. B15-B16 are asked of owners and B17--B23 are asked of renters; B24-B23a are asked of all. |
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B17
B17a
B18
B18a
B19
B20
B21
B22
B23 |
Altogether in the month just past, what did you pay as rent?
I have recorded that you pay [amount] monthly in rent is that correct?
What is the total current monthly rent payment on this apartment/house? I have recorded [amount] as the total current monthly rent for this unit, is that correct?
Do you currently receive any governmental housing assistance in paying rent such as through public housing or a housing choice voucher?
Is your rent lower because you are in a Federal, State or local government housing program?
During the past 12 months were you ever more than 16 days late paying your rent?
During the last 12 months, have you ever been evicted for any reason?
Do you pay utilities separately from rent? |
MTO and HOPE VI (modified) |
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B24
B24a |
During the past 12 months, were you ever more than 15 days late paying your electric, gas, or water bill?
In the past 12 months, was your gas, water, or electricity ever shut off? |
MTO and HOPE VI (modified) |
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B25
B26
B27
B28
B29
B30
B30a
B31 |
Were any of the following items broken during the last six months?
[FOR EACH YES IN B24a-g] Have you called to have [B24item] repaired in the last six months?
Thinking about the most recent time you called to have something repaired, how many days did it take for someone to come repair it?
Still thinking about that time, were you satisfied with how quickly the broken item was repaired?
Were you satisfied with the quality of the repair?
Do you know the phone number or know where to find the phone number to call if you need the landlord to repair something in your house?
In general, how satisfied are you with the quality of routine repairs and maintenance?
In general, how satisfied are you with the promptness of emergency repairs?
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New |
Housing quality, maintenance quality |
This series of questions is intended to capture issues around AHP unit maintenance and repair to measure if an item(s) required repair, it the repairs were done, and the respondent’s knowledge of who to contact with repair issues, |
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B32
B32a
B33
B34
B35a-e
B36
B37
B38 |
How many people do you live with now?
What is your marital status?
Now I’d like you to think back to the time when the hurricane hit and the people that were living with you then. Are all, some or none of them living with you now?
Is the reason these people are not living with you now related to the AHPP unit or is it a personal reason?
I’d like to learn a little bit more about why those people are no longer living with you. Are any of them no longer living with you because…
Does your AHPP unit allow more, less, or the same number of you family members to live together than the place you lived in just before your AHPP unit?
Now I’d like you think about all of the people that lived with you both at the time of the hurricane and now. Have you been separated from any of them for 30 days or more at any time since the hurricane?
Did receiving your AHPP unit allow you to live together once again? |
AHPP baseline and new |
Household Composition |
B33 – B38 measure whether or not receipt of an AHPP unit allows families to “reconnect.” For all current household members we ask if they were living with the respondent at the time of the hurricane. If yes, we ask if there was any period of separation lasting 30 days or more. For those who are not living with all pre-hurricane household we ask why they aren’t together. Control group members are asked about current unit, treatment group members are asked about AHPP unit. |
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Section C: Quality of Life Measures |
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C1
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Would you say your health is excellent, very good, good, fair, or poor?
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SF-12v2
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Physical health |
The physical health questions [C1 – C10] have been modified to focus primarily on the aspects of physical health that are likely to be affected by a housing unit, particularly a trailer or other manufactured unit—physical disabilities and ease of accessibility and breathing problems, such as asthma. Questions are asked with regard to respondent’s health, the health of other adults in household, and the health of children in household. |
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C2
C2a |
Do you or anyone in the household have a physical disability or condition that limits one or more basic activities such as walking, climbing stairs, reaching, lifting, or carrying?
Is anyone in a wheelchair or otherwise unable to climb stairs at all? |
AHPP baseline |
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C3 |
(IF C2 or C2a=YES) I’d like to ask some questions about how the needs of this person were/are addressed in your FEMA unit, your AHPP unit, and in your current housing.
a. Could the person with the physical disability get in and out of their [FEMA/AHPP/CURRENT] unit by themselves?
b. Could the person with the physical disability move around from room to room within the unit by themselves?
c. Could the person with the physical disability or condition get in and out of the bathroom by themselves in the [FEMA/AHPP/CURRENT] unit? |
New |
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C4
C4a
C4b |
Has a doctor or other health professional ever told you that you had asthma?
Do you still have symptoms?
When were you first diagnosed with asthma? |
NHIS99 (MTO and HOPE VI modified) |
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These questions measure the incidence of asthma and emphysema in the study population. Asthma incidence is known to be higher in high-poverty communities and communities with older housing stock, possibly due to crowding, poor air quality, stress, and/or exposure to allergens from cockroaches, mites, mice, mold, and cigarette smoke. Unlike many other chronic health problems, asthma is highly sensitive to current environmental conditions. Breathing problems are of particular interest for AHPP recipients who lived in FEMA trailers because of formaldehyde concerns. Questions are asked of the adult respondent, other adults, and children. Controls will be asked about symptoms in their ‘current unit’ and treatments asked about their ‘AHPP unit’. |
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C5
C6 |
During the past 6 months, have you had an episode of asthma or asthma attack?
During the past 6 months did you have to visit an emergency room or urgent care center because of asthma? |
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C7 |
Have you ever been told by a doctor or other health professional that you have…
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New |
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C8 |
We are interested in knowing if living in the [AHPP/current] unit has affected your breathing problems in any way. While living in an AHPP unit, do you think that your breathing problems got better, worse or stayed the same?
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New |
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C9 |
Has another adult in your household ever been told by a doctor or other health professional that he/she has…
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New |
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C10 |
We are interested in knowing if living in the [AHPP/current] unit has affected any other adults breathing problems in any way. While living in an [AHPP/current] unit, do you think that any other adults breathing problems got better, worse or stayed the same?
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New |
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C11 |
Has a child in your household ever been told by a doctor or other health professional that he/she has…
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New |
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C12 |
We are interested in knowing if living in the [AHPP/current] unit has affected a child in your household’s breathing problems in any way. While living in an [AHPP/current] unit, do you think that a child’s breathing problems got better, worse or stayed the same?
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New |
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C13
C13a
C14
C14a
C15
C15a
C15b
C16 |
Have you smoked at least 100 cigarettes in your entire life? Have you smoked at least 100 cigarettes since Hurricane Katrina?
On how many of the past 30 days did you smoke a cigarette?
On average when you smoked in the past 30 days, about how many cigarettes did you smoke per day?
Do you smoke cigarettes inside your home?
Did you smoke cigarettes inside your FEMA trailer or mobile home?
Did you quit smoking before you moved into your AHPP Unit?
Since living in the AHPP unit, do you think that you smoke, more, less, or about the same? |
NHIS99 (MTO and HOPE VI modified) |
Physical health |
C13 measures the prevalence and intensity of tobacco use among AHPP participants. People who experience natural disasters may suffer from depression, anxiety or post-traumatic stress disorder. Depression and stress are heightened in people that experience such adverse events and both are correlated with tobacco use. Participants who move to an AHPP unit may experience less depression and stress if they feel that their housing situation has stabilized. These changes may be reflected in tobacco use.
C16 asks respondents to compare their smoking habits from before living in the AHPP unit to their current smoking habits. This question is asked only of treatment group members. |
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C17 |
How much of the time during the past month have you felt… a. So sad that nothing could cheer you up? b. Nervous? c. Restless or fidgety? d. Hopeless? e. That everything was an effort? f. Worthless? g. Calm and Peaceful? |
AHPP baseline [National Co-Morbidity Survey (K6 Scale)] |
Emotional health |
It is hypothesized that a move to better quality housing (like an AHPP unit) would have a positive impact on a participant’s emotional health. This scale allows a comparison of emotional health measures over time. |
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C18 |
In the lat month how much ere you bothered by [READ ITEM]? Would you say you were bothered not at all, a little bit, moderately, quite a bit, extremely? |
PTSD PCL-Civilian checklist |
Emotional health |
We use the PTSD PCL module to measure Post Traumatic Stress Disorder. This 17 question module is the shortest module that yields reliable results. We use the full module to ensure that the results retain the high level of reliability and leave open the opportunity to compare results against national norms. The participants in this study may experience PTSD. This module will allow us to measure if they are more affected than the general population and also to measure differences between those who receive and AHPP unit and those who do not. |
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a. Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? |
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b. Repeated, disturbing dreams of a stressful experience from the past? |
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c. Suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it)? |
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d. Feeling very upset when something reminded you of a stressful experience from the past? |
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e. Having physical reactions (e.g., heart pounding, trouble breathing, or sweating) when something reminded you of a stressful experience from the past? |
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f. Avoid thinking about or talking about a stressful experience from the past or avoid having feelings related to it? |
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g. Avoid activities or situations because they remind you of a stressful experience from the past? |
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h. Trouble remembering important parts of a stressful experience from the past? |
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i. Loss of interest in things that you used to enjoy? |
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j. Feeling distant or cut off from other people? |
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k. Feeling emotionally numb or being unable to have loving feelings for those close to you? |
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l. Feeling as if your future will somehow be cut short? |
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m. Trouble falling or staying asleep? |
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n. Feeling irritable or having angry outbursts? |
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o. Having difficulty concentrating? |
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p. Being “super alert” or watchful on guard? |
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q. Feeling jumpy or easily startled? |
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C19
C20 C21 |
In a usual week, do you do moderate activities on three or more days for at least 10 minutes at a time?
About how tall are you without shoes? About how much do you weigh? |
AHPP baseline
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Physical health |
Obesity is an important indicator of overall health, and could play a role in breathing issues and emotional health. |
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C22 |
Are you currently… Employed full-time, part-time, self-employed, unemployed looking for work, not working for pay? |
AHPP baseline |
Employment, education, and income |
Repeat of baseline measures. This will allow us to measure changes in employment, education, and income over time. |
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C23 |
[IF not working] What is the main reason you aren’t working for pay? |
AHPP baseline |
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C23 – C34 will be used in conjunction with similar questions in other domain areas to build an index of quality of life measures affected by the hurricane. |
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C24 |
Did you have to leave a job in order to move to where your MAHP unit was located |
New |
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C25 |
Are you currently working for the same employer that you worked for before you moved into your AHPP unit? |
New |
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C26a-e |
Compared to where you lived before you moved into your AHPP unit, is it easier, harder, or about the same to… |
New |
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C27 |
How many people in your household (including yourself) are employed full-time or part-time? |
AHPP baseline |
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C28 |
I’m going to read a list of possible income sources. For each one, please answer yes, if someone in your family had income from this source in the past month. |
AHPP baseline |
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C29
C29a
C29b |
What is your household’s total monthly income?
I have recorded that your total monthly household income is [Amount] is that correct? If C28=NO INCOME IN PAST MONTH: I‘ve recorded that you had no income in the past month. Is that correct |
AHPP baseline modified |
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C30
C31
C31a |
Was your total household income last month what you would receive in a typical month?
In a typical month, what would your household’s total monthly income from all sources be?
I have recorded your total monthly household income in a typical month as… |
New |
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C32a-d |
In the past month have you or anyone in your household had to use one of the following sources in order to cover your living expenses? |
AHPP baseline |
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C33a-d |
In the past month have you lived in housing or received financial assistance from family, friends, or a charitable organization? |
AHPP baseline |
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C34 |
What is the highest degree or level of school that you have completed? |
AHPP baseline |
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A more stable living situation may encourage a participant to further their education as a means to employment. |
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C35
C35a
C35b
C35c |
Of the [# in B32] people living in your household, are any of them children age 17 or under?
How many children in your household are age 5 or under? How many children in your household are between ages 6 to 11 years of age? How many children in your household are between ages 12 and 17 |
New |
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C35-C38 One of the expected quality of life changes we expect to see centers around children. It is expected that living in an AHPP unit is likely to help with strengthen the child’s connection to school. Improved living situations may also strengthen the parent’s ability to play a more active role in the child’s educational experiences. |
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C36 |
Now I’d like to learn a little more about your opinion on how the AHPP program may have affected your children age 17 and under.
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New |
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C37 |
Since moving into your AHPP unit, have you or another adult…
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MTO |
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C38 |
Are you or another adult more likely, less likely, or equally likely to do the types of events we just discussed now than you were before moving into your [AHPP/current] unit? |
New |
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C39
C39a |
Are you living on the same property or lot as you were before the hurricane hit? Thinking about your neighborhood now, are you living in the same neighborhood as when the hurricane hit when you lived at [PRE-Hurricane address] or living in a different neighborhood? |
New HOPE VI modified |
Neighborhood quality |
Measures changes in neighborhood as perceived by the respondent. Can be compared against census and crime data for the neighborhood once addresses are geocoded. |
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C40 |
Thinking about your neighborhood now, are you living in the same neighborhood as when you lived at [BASELINE address] or living in a different neighborhood? |
HOPE VI modified |
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C41 |
Now please tell us how satisfied you are with the following neighborhood amenities for your current housing… - Distance to your job? - Distance to your child’s school? - Quality of your child’s school? - Garbage pick-up? - Police response? - Outdoor space? - Distance to grocery store? - Friendliness of neighbors? - Availability of child care? - Availability of health care? |
AHPP baseline |
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C41 allows direct comparison of satisfaction in current unit to baseline, or pre-AHPP, unit. Allows comparisons between treatments in an AHPP unit and those who did not receive a unit. |
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C42
C42a. |
How safe do you feel … On the streets near your home during the day? On the streets near your home at night?
Do you feel more, less, or equally safe in your current unit than you did in your FEMA unit? |
MTO baseline/ HOPE VI |
Neighborhood quality |
These questions measure fear of crime and crime victimization in the current neighborhood. In prior research fear of crime and victimization were identified as factors with pervasive effects on families’ lives. Fear also contributes to stress. AHPP units in new neighborhoods may reduce stress and fear. Reduced stress and fear may also affect mental health (e.g., reduced anxiety and depression), with consequent impacts on employability. Thus, families’ sense of safety and exposure to crime and violence can be expected to act as mediating factors in a number of areas. |
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C43 |
Please tell me if any of the following things have happened to you or anyone who lives/lived with you in the past 6 months.
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MTO baseline NCVS modified |
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C44 |
Now, still thinking about the area you consider your neighborhood, please tell me if the following items are a big problem, small problem or no problem at all.
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HOPE VI |
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C45
C46 |
I am going to ask you about different types of help that may be available to you if you need it. First, I’d like you to think back to the time immediately before the hurricane. If you needed help in the following areas, was it available to you?
If you needed that help now, would it be available to you?
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Florida Hurricane Survey |
Social interactions |
Measures the social supports available to participants in the time prior to the hurricanes and now. |
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C47 |
Think about the unit and the neighborhood you live in now. How safe do you feel…
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New |
Neighborhood safety |
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C48 |
In what ways do you think that the AHP program has affected your quality of life? |
New |
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This open end question allows us to capture information on what participants think the benefit of an AHP unit has been to their life. |
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Secondary Contact Information |
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C49-C56 |
Name, Address, Phone, Relationship to Respondent |
MTO |
Tracking |
C49-56 captures relevant contact data for up to two people who will always know how to reach the respondent for participant tracking purposes. |
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C57 C58 C59 C60
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Debriefing Module: Were any of the survey questions upsetting to you? Are you still upset? Would you like to take this card and call the helpline? INTERVIEWER DID RESPONDENT ACCEPT CARD? |
Florida Hurricane Survey |
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This module was incorporated to ensure that participating in the study does not pose any emotional trauma to AHP participants. |
File Type | application/msword |
File Title | Abt Single-Sided Body Template |
Author | RobinsonM |
Last Modified By | BuronL |
File Modified | 2008-05-16 |
File Created | 2008-05-04 |