NSCCSD Design Phase Feasibility Test
Household Screener – REVISED 12/17/08
S_INTRO. Hello, I’m calling from the University of Chicago. We’re conducting a study about the supply and demand for social and educational services in your community.
S1. First, I’d like to know how many children under 13 years of age are living in your household?
Number of children under 13:______________
S1_1. Can I confirm that you live in [SAMPLED GEOGRAPHIC AREA]?
1 YES
2 NO -> We are looking for people who live in [sampled geographic area]. Thank you very much for your time.
IF S1 GT 0 AND S1_1 =1, GO TO S2. ELSE IF S1_1=YES AND S1 = 0, THEN GO TO S1_2.
S1_2. Do you regularly look after any children under age 13 who are not your own? IF NEEDED: By regularly I mean two hours a week or more.
1 Yes
2 No
S1_3. Does any other adult in this household regularly look after any children under age 13 who are not his or her own? IF NEEDED: By regularly I mean two hours a week or more.
1 Yes
2 No
S1_4. [IF YES TO S1_2 AND/OR S1_3] Are children being looked after in someone’s home or in a school or child-care center?
1 Home
2 School or Center
3 BOTH
S1_5. [IF S1_4 = 1 OR 3] Please tell me the names of adults in this household who regularly look after children under age 13 who are not their own. IF NEEDED: I am only interested in people looking after children in someone’s home, not in a center or school.
a._______________
b._______________
c._______________
IF 0 TO s1 AND NO TO S1_2 AND S1_3 OR S1_4=2, THEN END:
We are looking for households with young children and people who provide home-based care to young children. Thanks very much for your time.
IF S1=0 BUT PERSONS MENTIONED IN S1_5, GO TO HOME-BASED PROVIDER QUESTIONNAIRE.
S2. May I speak to the mother of the youngest child in the household?
ALREADY SPEAKING WITH MOTHER ->GO TO C_INTRO
MOTHER AVAILABLE ->GO TO C_INTRO
MOTHER LIVES IN HOUSEHOLD, NOT AVAILABLE AT THIS TIME->CALL BACK
MOTHER NOT AVAILABLE DURING SURVEY
MOTHER DOES NOT LIVE IN HOUSEHOLD
DON’T KNOW
REFUSED
S3. Is there anyone available at this time who knows how the youngest child spends his or her day?
YES
NO ->CALL BACK
DON’T KNOW ->CALL BACK
REFUSED -> CALL BACK.
S4. May I speak with him/her please?
YES-> GO TO HOUSEHOLD (DEMAND) QUESTIONNAIRE
NO ->CALL BACK TO CONDUCT HOUSEHOLD QUESTIONNAIRE
DON’T KNOW ->CALL BACK TO CONDUCT HOUSEHOLD QUESTIONNAIRE
REFUSED-> CALL BACK TO CONDUCT HOUSEHOLD QUESTIONNAIRE
File Type | application/msword |
File Title | NSCCSD Design Phase Feasibility Test |
Author | datta-atreyee |
Last Modified By | DHHS |
File Modified | 2008-12-17 |
File Created | 2008-12-17 |