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pdfOMB Control #0970-0356, Expiration Date 01/31/2015
Attachment B: Interview Questions
SOP Data Collection Project Computer Assisted Personal Interview
QUESTION LABEL: INTRO
[This is an INTRO question. Are you able to conduct the survey with the respondent now?]
Choice Label: INTRO
[Yes, continue] [OK] ->LASTQ
[No, trying to schedule it later] [02] ->/CB
[Refused completely to cooperate] [03] ->/END
INTCK1
[DOES THE RESPONDENT SHOW...]
Question Label: INTCK1 L=1 M=1 N=1
[]
Choice Label: INTCK1
[Visible Evidence of Substance Use?] [1]
[Visible Evidence of Mental Illness?] [2]
[Neither Visible Evidence of Substance Use or Mental Illness] [3]
COG1
[Please say the following to the respondent:]
Question Label: COG1 L=1 M=1 N=1
["I am going to name three objects. Please wait until I say all three words, and then repeat them.
Remember what they are because I am going to ask you to name them again in a few minutes. Please
repeat these words for me: APPLE TABLE PENNY ]
*SK COG1
->RESPID
INTCK1=3
Choice Label: COG1
[R correctly repeated all 3 words] [1]
[R incorrectly repeat all 3 words] [0]
Question Label: COG2 L=1 M=1 N=1
["What year is this?" ]
Choice Label: COG2
[R correctly identified the year.] [1]
[R incorrectly identified the year.] [0]
Question Label: COG3 L=1 M=1 N=1
[What month is this? ]
Choice Label: COG3
[R correctly identified the month.] [1]
[R incorrectly identified the month.] [0]
Question Label: COG4 L=1 M=1 N=1
[What is the day of the week? ]
Choice Label: COG4
[R correctly identified the day.] [1]
[R incorrectly identified the day.] [0]
Question Label: COG5 L=1 M=1 N=1
[What were the three objects I asked you to remember? ]
COG5
[OBJECT 1 ]
Choice Label: COG5
[R correctly identified object 1.] [1]
[R incorrectly identified object 1.] [0]
Question Label: COG6 L=1 M=1 N=1
[]
COG6
[OBJECT 2 ]
Choice Label: COG6
[R correctly identified object 2.] [1]
[R incorrectly identified object 2.] [0]
Question Label: COG7 L=1 M=1 N=1
[]
COG7
[OBJECT 3 ]
Choice Label: COG7
[R correctly identified object 3.] [1]
[R incorrectly identified object 3.] [0]
Question Label: SCORE L=1 M=1 N=1
[This question computes the number of points. ]
*SK SCORE
->*
COG2+COG3+COG4+COG5+COG6+COG7
RESPID
[PLEASE ENTER THE RESPONDENT'S COUPON NUMBER]
Question Label: RESPID L=6 M=1 N=1
[]
*SK RESPID
-> ELSE INT99
SCORE>3 OR INTCK1=3
LOCATION
[PLEASE SELECT THE CITY YOU ARE INTERVIEWING IN]
Question Label: LOCATION L=2 M=1 N=1
[]
Choice Label: LOCATION
[Omaha] [01]
[Austin] [02]
[Boston] [03]
[Chicago] [04]
[Minneapolis] [05]
[New York City] [06]
[Port Saint Lucie] [07]
[San Diego] [08]
[Seattle] [09]
[Tucson] [10]
[Washington, D.C.] [11]
INTID
[PLEASE ENTER YOUR TWO DIGIT INTERVIEWER ID#]
Question Label: INTID L=2 M=1 N=1
[]
DATE
[PLEASE ENTER TODAY'S DATE]
Question Label: DATE L=8 M=1 N=1
[]
DATE
$D/SPLIT 20121201 20131231
Question Label: SCRN2 L=2 M=1 N=1
[How old are you? ]
Question Label: SCRN1 L=1 M=1 N=1
[Are you currently homeless? For the purpose of this study, when we say homeless, we mean: - Lacking a
permanent or fixed regular nighttime residence - doubling up or staying rent free without your own bed or
your name on a lease, sometimes known as couch surfing - living in a place not meant for habitation,
including outside, in a tent city or homeless camp, in a car, in an abandoned vehicle or in an abandoned
building - staying in an emergency shelter, transitional living program or residential treatment program ]
*SK SCRN1
->ENDEXPLA
SCRN2<14 OR SCRN2>21
Choice Label: SCRN1
[Yes] [1]
[No] [5]
[DK/refusal] [9]ID
EXPLAIN
[GIVE THE RESPONDENT THE RESPONSE CARD NOW]
Question Label: EXPLAIN L=1 M=1 N=1
[Since many people have never been in an interview exactly like this, let me read you a paragraph that
explains a little bit about how it works. I am going to read you a set of questions exactly as they are worded
so that every respondent in the survey is answering the same questions. You'll be asked to answer two
kinds of questions. In some cases, you'll be asked to answer in your own words. In other cases, you will be
given a list of answers and asked to choose the one that fits best. Some of those answers are listed on this
response card. If at any time during the interview you are not clear about what is wanted, please be sure to
ask me. ]
*SK EXPLAIN
->ENDEXPLA
SCRN1=5,9
Choice Label: EXPLAIN
[] [1]ID
Question Label: INSTRUCT L=1 M=1 N=0
[Now I am going to begin the interview and I will be asking you questions about yourself and your life. There
are no right or wrong answers to the questions and you can choose to skip any questions that you do not
want to answer. Are you ready to begin? ]
Choice Label: INSTRUCT
[] [1]ID
Question Label: S1Q1A L=1 M=1 N=1
[Now I am going to read you a list of things that people sometimes need. Right now, do you need... ]
S1Q1A
[Legal help? ]
Choice Label: S1Q1A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1AA L=1 M=1 N=1
[]
S1Q1AA
[A safe place to stay? ]
Choice Label: S1Q1AA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1B L=1 M=1 N=1
[]
S1Q1B
[Assistance with intimate partner violence? ]
Choice Label: S1Q1B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1BA L=1 M=1 N=1
[]
S1Q1BA
[Assistance with family violence? ]
Choice Label: S1Q1BA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1C L=1 M=1 N=1
[]
S1Q1C
[Job training or help finding a job? ]
Choice Label: S1Q1C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1D L=1 M=1 N=1
[]
S1Q1D
[Help with education? ]
Choice Label: S1Q1D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1E L=1 M=1 N=1
[]
S1Q1E
[Treatment for use of alcohol or other drugs? ]
Choice Label: S1Q1E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1F L=1 M=1 N=1
[]
S1Q1F
[Services for emotional or psychiatric problems? ]
Choice Label: S1Q1F
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1G L=1 M=1 N=1
[]
S1Q1G
[Meals served at soup kitchens? ]
Choice Label: S1Q1G
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1H L=1 M=1 N=1
[]
S1Q1H
[Bagged meals to be picked up and taken with you? ]
Choice Label: S1Q1H
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1I L=1 M=1 N=1
[]
S1Q1I
[Medical services? ]
Choice Label: S1Q1I
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1J L=1 M=1 N=1
[]
S1Q1J
[Help obtaining prescription medications? ]
Choice Label: S1Q1J
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1JA L=1 M=1 N=1
[]
S1Q1JA
[Help obtaining non-prescription medications? ]
Choice Label: S1Q1JA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1K L=1 M=1 N=1
[]
S1Q1K
[Help with transportation? ]
Choice Label: S1Q1K
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1M L=1 M=1 N=1
[]
S1Q1M
[A place to rest, study, or hang out during the day? ]
Choice Label: S1Q1M
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1N L=1 M=1 N=1
[]
S1Q1N
[A phone? ]
Choice Label: S1Q1N
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1O L=1 M=1 N=1
[]
S1Q1O
[A mailing address? ]
Choice Label: S1Q1O
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1P L=1 M=1 N=1
[]
S1Q1P
[Clothing? ]
Choice Label: S1Q1P
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1Q L=1 M=1 N=1
[]
S1Q1Q
[Laundry facilities? ]
Choice Label: S1Q1Q
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1R L=1 M=1 N=1
[]
S1Q1R
[Shower facilities? ]
Choice Label: S1Q1R
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1L L=1 M=1 N=1
[]
S1Q1L
[Anything else? ]
Choice Label: S1Q1L
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q1LO L=1 M=1 N=1 O=19
[You said that you needed something else right now. Can you tell me what else you need? ]
*SK S1Q1LO
->+1
S1Q1L=5,9
Choice Label: S1Q1LO
[Please specify:] [0]O
Question Label: S1Q2A L=1 M=1 N=1
[Next I am going to read you a list of things that may prevent people from accessing shelter. For each one,
please tell me whether or not this has ever prevented you from accessing [services]shelter when you
needed it. ]
S1Q2A
[The shelter was full? ]
Choice Label: S1Q2A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q2B L=1 M=1 N=1
[]
S1Q2B
[You reached the maximum stay that the shelter allowed? ]
Choice Label: S1Q2B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q2C L=1 M=1 N=1
[]
S1Q2C
[You didn't have transportation? ]
Choice Label: S1Q2C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q2D L=1 M=1 N=1
[]
S1Q2D
[You didn't know where to go for shelter? ]
Choice Label: S1Q2D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1QDAA L=1 M=1 N=1
[]
S1QDAA
[You didn't meet the age requirement at the shelter? ]
Choice Label: S1QDAA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q2DA L=1 M=1 N=1
[]
S1Q2DA
[You felt embarrassed? ]
Choice Label: S1Q2DA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q2E L=1 M=1 N=1
[]
S1Q2E
[You didn't like the shelter staff? ]
Choice Label: S1Q2E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q2F L=1 M=1 N=1
[]
S1Q2F
[You didn't like the other shelter clients? ]
Choice Label: S1Q2F
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q2G L=1 M=1 N=1
[]
S1Q2G
[You didn't want to be identified? ]
Choice Label: S1Q2G
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q2H L=1 M=1 N=1
[]
S1Q2H
[Did anything else ever prevent you from accessing [services]shelter when you needed it? ]
Choice Label: S1Q2H
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q2O L=1 M=1 N=1 O=19
[You said that something else prevented you from accessing shelter when you needed it. Can you tell me
what that was? ]
*SK S1Q2O
->+1
S1Q2H=5,9
Choice Label: S1Q2O
[Please specify:] [0]O
Question Label: S1Q6 L=1 M=1 N=1 O=19
[Could you please tell me in your own words, what is the most important service or support that you are
lacking right now in your community? ]
Choice Label: S1Q6
[] [1]O
[Don't Know] [8]
[Refuse] [9]ID
Question Label: S1Q5 L=1 M=1 N=1 O=19
[What is the most important service or support in your community that you use right now? ]
Choice Label: S1Q5
[] [1]O
[Don't Know] [8]
[Refuse] [9]ID
Question Label: S1Q3 L=1 M=1 N=1 O=19
[In a sentence or two, could you tell me what service agencies could do to make your life easier on any
given day? ]
Choice Label: S1Q3
[] [1]O
[Don't Know] [8]
[Refuse] [9]ID
Question Label: SEX1 L=1 M=1 N=1
[Now I'm going to ask you a few questions about your sex and your gender identity. What is your sex? ]
Choice Label: SEX1
[Female] [1]
[Male] [2]
[DK/REF] [9]ID
Question Label: S3Q12 L=1 M=1 N=1
When a person’s sex and gender do not match, they might think of themselves as transgender. Sex is what a
person is born. Gender is how a person feels. Which one response best describes you? ]
Choice Label: S3Q12
I am not transgender
Transgender, and identify as a boy or man
Transgender, and identify as a girl or woman
Transgender, and identify in some other way
[DK/REF] [9]ID
Question Label: S3Q12B L=1 M=1 N=1 O=19
*SK S3Q12B
->+1
S3Q12T=5,9
Choice Label: S3Q12B
[] [1]O
[DK/REF] [2]ID
[Next I am going to read you a list of service providers in the area. For each one, please tell me whether you
have ever accessed services there. Have you ever accessed services from... ]
S1Q7C
[The 37th Street Residential Salvation Army or the Salvation Army Transitional Housing? ]
*SK S1Q7C
->+1
SCRN2<19
Choice Label: S1Q7C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7D L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7D
[The Lydia House at the Open Door Mission? ]
*SK S1Q7D
->+1
SCRN2<19
Choice Label: S1Q7D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7E L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7E
[The Stephen Center? ]
*SK S1Q7E
->+1
SCRN2<19
Choice Label: S1Q7E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7F L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7F
[The Stephen Center Transitional Living Program? ]
*SK S1Q7F
->+1
SCRN2<19
Choice Label: S1Q7F
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7H L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7H
[Safe Haven? ]
*SK S1Q7H
->+1
SCRN2<18
Choice Label: S1Q7H
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7J L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7J
[Heartland Family Services (On 42nd Street)? ]
*SK S1Q7J
->+1
SCRN2>18
Choice Label: S1Q7J
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7K L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7K
[Heartland Family Services Transitions (in Council Bluffs)? ]
*SK S1Q7K
->+1
SCRN2<18
Choice Label: S1Q7K
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7L L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7L
[Heartland Family Services Heartland Homes (in Council Bluffs)? ]
*SK S1Q7L
->+1
SCRN2<18
Choice Label: S1Q7L
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7Q L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7Q
[The Micah House (in Council Bluffs)? ]
*SK S1Q7Q
->+1
SCRN2<18
Choice Label: S1Q7Q
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7S L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7S
[Children's Square (in Council Bluffs)? ]
*SK S1Q7S
->+1
SCRN2>17
Choice Label: S1Q7S
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7T L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7T
[The Child Institute Crisis Center? ]
*SK S1Q7T
->+1
SCRN2>18
Choice Label: S1Q7T
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7V L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7V
[Park Avenue Community Meal First Baptist Church? ]
Choice Label: S1Q7V
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7W L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7W
[In Common Community Meal? ]
Choice Label: S1Q7W
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7X L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7X
[Holy Family Church (on 17th and Izard)? ]
Choice Label: S1Q7X
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7A1 L=1 M=1 N=1
[]
S1Q7A1
[Y.E.S. Maternity Group Home ]
*SK S1Q7A1
->+1
SCRN2<16 OR SCRN2>21 OR S3Q12=2
Choice Label: S1Q7A1
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7B L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7B
[The Sienna House (on Nicholas Street)? ]
*SK S1Q7B
->+1
SCRN2<19 OR S3Q12=2
Choice Label: S1Q7B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7G L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7G
[The Shelter (Catholic Charities)? ]
*SK S1Q7G
->+1
SCRN2<18 OR S3Q12=2
Choice Label: S1Q7G
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7U L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7U
[The Phoenix House? ]
*SK S1Q7U
->+1
SCRN2<18 OR S3Q12=2
Choice Label: S1Q7U
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7Y L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7Y
[Bethlehem House Maternity Group Home? ]
*SK S1Q7Y
->+1
SCRN2<18 OR S3Q12=2
Choice Label: S1Q7Y
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7MALE L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7MALE
[The Francis House (on 17th Street)? ]
*SK S1Q7MALE
->+1
SCRN2<19 OR S3Q12=1
Choice Label: S1Q7MALE
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7M L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7M
[The Omaha Home for Boys- Jacob's Place (on 42nd Street)? ]
*SK S1Q7M
->+1
SCRN2<17 OR SCRN2>21 OR S3Q12=1
Choice Label: S1Q7M
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7R L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7R
[Mohm's Place- Joshua House (in Council Bluffs)? ]
*SK S1Q7R
->+1
SCRN2<18 OR S3Q12=1
Choice Label: S1Q7R
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q7O L=1 M=1 N=1
[Have you ever accessed services from... ]
S1Q7O
[The Open Door Mission? ]
*SK S1Q7O
->+1
SCRN2<19 OR S3Q12=1
Choice Label: S1Q7O
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q8 L=1 M=1 N=1
[Have you ever used any services from Youth Emergency Services (sometimes called "YES")? ]
Choice Label: S1Q8
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q9 L=1 M=1 N=1 O=19
[What is the main reason that you did not access services from Youth Emergency Services? ]
*SK S1Q9
->S1Q9Z
S1Q8=1
Choice Label: S1Q9
[Wasn't aware of their services] [1]
[Lack of transportation] [2]
[Didn't need the services that they provide] [3]
[Dislike one or more staff members] [4]
[Dislike other clients at the agency] [5]
[Embarrassment] [6]
[Scheduling Conflicts] [7]
[Or something else?] [8]O
[DK/REF] [9]ID
Question Label: S1Q9Z L=1 M=1 N=1
[Now I will read a list of statements about Youth Emergency Services. For each statement, please tell me if
you strongly agree, agree, disagree, or strongly disagree. ]
S1Q9Z
[I believe that Youth Emergency Services accommodates people of various sexual orientations. ]
Choice Label: S1Q9Z
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly disagree] [4]
[DK/REF] [5]ID
Question Label: S1Q9ZA L=1 M=1 N=1
[]
S1Q9ZA
[I believe that Youth Emergency Services accommodates people of various cultural backgrounds. ]
Choice Label: S1Q9ZA
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly disagree] [4]
[DK/REF] [5]ID
Question Label: S1Q9ZB L=1 M=1 N=1
[]
S1Q9ZB
[I believe that Youth Emergency Services will assist me in achieving independent living. ]
Choice Label: S1Q9ZB
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly disagree] [4]
[DK/REF] [5]ID
Question Label: S1Q9ZC L=1 M=1 N=1
[]
S1Q9ZC
[I feel safe when I am at Youth Emergency Services. ]
Choice Label: S1Q9ZC
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly disagree] [4]
[DK/REF] [5]ID
Question Label: S1Q9ZD L=1 M=1 N=1
[]
S1Q9ZD
[I believe that the services at Youth Emergency Services are easily accessible. ]
Choice Label: S1Q9ZD
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly disagree] [4]
[DK/REF] [5]ID
Question Label: S1Q10AA L=1 M=1 N=1
[Have you ever used the short term emergency shelter at Youth Emergency Services? ]
*SK S1Q10AA
->S1Q11AA
SCRN2<16 OR SCRN2>18
Choice Label: S1Q10AA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q10A L=1 M=1 N=1
[Next I am going to list some services that the short term emergency shelter at YES provides. For each one,
could you please tell me whether or not you have ever used that particular service at YES short term
emergency shelter? ]
S1Q10A
[Meals? ]
*SK S1Q10A
->S1Q11AA
S1Q10AA=5,9
Choice Label: S1Q10A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q10B L=1 M=1 N=1
[]
S1Q10B
[Sleeping quarters? ]
Choice Label: S1Q10B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q10C L=1 M=1 N=1
[]
S1Q10C
[Television and computer privileges? ]
Choice Label: S1Q10C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q10D L=1 M=1 N=1
[]
S1Q10D
[Laundry facilities? ]
Choice Label: S1Q10D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q10F L=1 M=1 N=1
[]
S1Q10F
[Individual time with youth workers, counselors, or advocates? ]
Choice Label: S1Q10F
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q11AA L=1 M=1 N=1
[Have you ever used Youth Street Outreach services from Youth Emergency Services? ]
Choice Label: S1Q11AA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q11A L=1 M=1 N=1
[Next I am going to list some services that Youth Street Outreach at YES provides. Have you ever... ]
S1Q11A
[Gotten information from a Youth Street Outreach worker? ]
*SK S1Q11A
->S1Q12AA
S1Q11AA=5,9
Choice Label: S1Q11A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q11B L=1 M=1 N=1
[]
S1Q11B
[Gotten emergency supplies from a Youth Street Outreach worker? ]
Choice Label: S1Q11B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q11C L=1 M=1 N=1
[]
S1Q11C
[Been invited to the YES Drop-In Center by a Youth Street Outreach worker? ]
Choice Label: S1Q11C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q12AA L=1 M=1 N=1
[Have you ever used the Maternity Group Home at Youth Emergency Services? ]
*SK S1Q12AA
->S1Q13AA
S3Q12=2
Choice Label: S1Q12AA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q12A L=1 M=1 N=1
[Next I am going to list some services that the Maternity Group Home at YES provides. For each one, could
you please tell me whether or not you have ever used that particular service at the YES Maternity Group
Home? ]
S1Q12A
[Housing? ]
*SK S1Q12A
->S1Q13AA
S1Q12AA=5,9
Choice Label: S1Q12A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q12B L=1 M=1 N=1
[]
S1Q12B
[Life skills training? ]
Choice Label: S1Q12B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q12C L=1 M=1 N=1
[]
S1Q12C
[Mental health counseling? ]
Choice Label: S1Q12C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q12D L=1 M=1 N=1
[]
S1Q12D
[Case management? ]
Choice Label: S1Q12D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q12E L=1 M=1 N=1
[]
S1Q12E
[Medical screening or referral? ]
Choice Label: S1Q12E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q12F L=1 M=1 N=1
[]
S1Q12F
[Pregnancy or parenting instruction? ]
Choice Label: S1Q12F
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q13AA L=1 M=1 N=1
[Have you ever used the Transitional Living Program at Youth Emergency Services? ]
*SK S1Q13AA
->S1Q14AA
SCRN2<16
Choice Label: S1Q13AA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q13A L=1 M=1 N=1
[Have you ever used any of the following services from the Transitional Living Program at Youth Emergency
Services? ]
S1Q13A
[Housing? ]
*SK S1Q13A
->S1Q14AA
S1Q13AA=5,9
Choice Label: S1Q13A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q13B L=1 M=1 N=1
[]
S1Q13B
[Life skills training? ]
Choice Label: S1Q13B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q13C L=1 M=1 N=1
[]
S1Q13C
[Mental health counseling? ]
Choice Label: S1Q13C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q13D L=1 M=1 N=1
[]
S1Q13D
[Case management? ]
Choice Label: S1Q13D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q13E L=1 M=1 N=1
[]
S1Q13E
[Medical screening or referral? ]
Choice Label: S1Q13E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14AA L=1 M=1 N=1
[Have you ever used the Drop-In Center at Youth Emergency Services? ]
Choice Label: S1Q14AA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14A L=1 M=1 N=1
[Next I am going to list some services that the Drop In Center at YES provides. For each one, could you
please tell me whether or not you have ever used that particular service at the drop in center. Have you
ever... ]
S1Q14A
[Received meals? ]
*SK S1Q14A
->S1Q8F
S1Q14AA=5,9
Choice Label: S1Q14A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14B L=1 M=1 N=1
[]
S1Q14B
[Used shower facilities? ]
Choice Label: S1Q14B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14C L=1 M=1 N=1
[]
S1Q14C
[Used laundry facilities? ]
Choice Label: S1Q14C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14D L=1 M=1 N=1
[]
S1Q14D
[Used computer access? ]
Choice Label: S1Q14D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14E L=1 M=1 N=1
[]
S1Q14E
[Received help with education planning? ]
Choice Label: S1Q14E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14F L=1 M=1 N=1
[]
S1Q14F
[Received help with job searching? ]
Choice Label: S1Q14F
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14G L=1 M=1 N=1
[]
S1Q14G
[Received crisis intervention services? ]
Choice Label: S1Q14G
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14H L=1 M=1 N=1
[]
S1Q14H
[Received help with problem solving? ]
Choice Label: S1Q14H
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14I L=1 M=1 N=1
[]
S1Q14I
[Talked to staff for emotional support? ]
Choice Label: S1Q14I
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14J L=1 M=1 N=1
[]
S1Q14J
[Talked to a nurse for basic health counseling? ]
Choice Label: S1Q14J
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14K L=1 M=1 N=1
[]
S1Q14K
[Talked to a nurse for parenting classes? ]
Choice Label: S1Q14K
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14KA L=1 M=1 N=1
[]
S1Q14KA
[Talked to a nurse for sexual education classes? ]
Choice Label: S1Q14KA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14KB L=1 M=1 N=1
[]
S1Q14KB
[Received STD prevention materials, like condoms? ]
Choice Label: S1Q14KB
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14L L=1 M=1 N=1
[]
S1Q14L
[Used HIV or STD testing? ]
Choice Label: S1Q14L
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q14M L=1 M=1 N=1
[]
S1Q14M
[Used pregnancy testing? ]
Choice Label: S1Q14M
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q8F L=1 M=1 N=1
[Overall, how satisfied or dissatisfied are you with the services that you have received from Youth
Emergency Services? Would you say... ]
Choice Label: S1Q8F
[Very Satisfied] [1]
[Satisfied] [2]
[Neither Satisfied nor Dissatisfied] [3]
[Dissatisfied] [4]
[Very Dissatisfied] [5]
[DK/REF] [9]ID
Question Label: S1Q15 L=1 M=1 N=1 O=19
[In your own words, can you tell me about which services at YES you use the most often and why? ]
Choice Label: S1Q15
[] [1]O
[Don't Know] [8]
[Refuse] [9]ID
Question Label: S1Q16 L=1 M=1 N=1
[Are there services at Youth Emergency Services that you know of and need but choose not to use? ]
Choice Label: S1Q16
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q16A L=1 M=1 N=1 O=19
[Can you tell me which services at Youth Emergency Services you know of and need but choose not to use?
]
*SK S1Q16A
->+1
S1Q16=5,9
Choice Label: S1Q16A
[] [1]O
[No] [5]
[Refuse] [9]ID
[Don't Know] [8]
Question Label: S1Q17 L=1 M=1 N=1 O=19
[Can you talk more about why you don't access those services? ]
*SK S1Q17
->+1
S1Q16=5,9
Choice Label: S1Q17
[] [1]O
[No] [5]
[Refuse] [9]ID
[Don't Know] [8]
Question Label: S1Q18 L=1 M=1 N=1 O=19
[What are some things that Youth Emergency Services could do to make services more useful and accessible
to you? ]
Choice Label: S1Q18
[] [1]O
[Don't Know] [8]
[Refuse] [9]ID
Question Label: S1Q19 L=1 M=1 N=1 O=19
[Can you please talk about any challenges that you have ever had in terms of accessing services in Omaha,
Nebraska? ]
Choice Label: S1Q19
[] [1]O
[Don't Know] [8]
[Refuse] [9]ID
Question Label: S2INTRO L=0 M=0 N=0
[Next I am going to ask you some questions about yourself, your life, and your past experiences. ]
Question Label: S2Q5DA L=1 M=1 N=1
[How many times have you been homeless, throughout your entire life? For example, if you were homeless
for three weeks last year, then became housed, but became homeless again two months ago, that would
count as two times. ]
Choice Label: S2Q5DA
[1 time] [1]
[2 times] [2]
[3 times] [3]
[4 times] [4]
[5 times] [5]
[6 times] [6]
[7 times] [7]
[More than 7 times] [8]
[DK/REF] [9]ID
Question Label: S2Q6A L=3 M=1 N=0
[Thinking about your entire life, for how long in total have you been homeless? You may answer in days,
weeks, months, OR years. ]
[DAYS]
[WEEKS]
[MONTHS]
[YEARS]
Question Label: S2Q2 L=2 M=1 N=1
[Now, I want you to think about the first time you became homeless, ran away from home, or were kicked
out of your home. How old were you? ]
S2Q2
0 21
Choice Label: S2Q2
[DK/REF] [9 ]ID
Question Label: S2Q3 L=1 M=1 N=1 O=19
[Who were you living with before you became homeless for the first time? ]
Choice Label: S2Q3
[] [1]O
[DK/REF] [9]ID
Question Label: S2Q4A L=1 M=1 N=1
[Now I am going to list a few reasons that young people may have become homeless. For each one, please
tell me whether or not it was a reason that you became homeless for the first time. ]
S2Q4A
[Your drug or alcohol use was causing problems? ]
Choice Label: S2Q4A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q4C L=1 M=1 N=1
[]
S2Q4C
[Your caretaker's drug or alcohol use was causing problems? ]
Choice Label: S2Q4C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q4D L=1 M=1 N=1
[]
S2Q4D
[The people you were living with told you to leave? ]
Choice Label: S2Q4D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S1Q4DA L=1 M=1 N=1
[]
S1Q4DA
[You were being physically abused or beaten? ]
Choice Label: S1Q4DA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q4E L=1 M=1 N=1
[]
S2Q4E
[You were being sexually abused? ]
Choice Label: S2Q4E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
[You had a romantic relationship breakup?]
Choice Label: S1Q4DA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
[You became sick or disabled? ]
Choice Label: S1Q4DA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
[You couldn’t pay the rent? ]
Choice Label: S1Q4DA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
[You couldn’t find a job? ]
Choice Label: S1Q4DA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
[You were released from an in-patient mental health treatment facility? ]
Choice Label: S1Q4DA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
[You were released from an in-patient drug or alcohol treatment facility?]
Choice Label: S1Q4DA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
[You were released from a hospital? ]
Choice Label: S1Q4DA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
[You were released from a jail or prison? ]
Choice Label: S1Q4DA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q4F L=1 M=1 N=1
[]
S2Q4F
[Is there any other reason you became homeless for the first time? ]
Choice Label: S2Q4F
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
S2Q4FO
[IF R JUST GAVE YOU ANOTHER REASON. WRITE THAT HERE. IF REASON WAS NOT GIVEN, PROMPT WITH:
CAN YOU TELL ME THE OTHER REASON?]
Question Label: S2Q4FO L=1 M=1 N=0 O=19
[]
*SK S2Q4FO
->+1
S2Q4F=5,9
Choice Label: S2Q4FO
[] [1]OD
Question Label: _577 L=3 M=1 N=0
[How long were you homeless for the first time? ]
_577
[DAYS]
_577
Question Label: _578 L=3 M=1 N=0
[]
_578
[WEEKS]
_578
Question Label: _579 L=3 M=1 N=0
[]
_579
[MONTHS]
_579
Question Label: _580 L=2 M=1 N=0
[]
_580
[YEARS]
_580
Question Label: S2Q5CA L=1 M=1 N=0 O=19
[When you became homeless for the first time, who did you turn to for help? ]
Choice Label: S2Q5CA
[] [1]O
[Don't know] [8]
Question Label: S2Q5DB L=1 M=1 N=1 O=19
[Now I want you to think about being homeless this most recent time. How long have you been homeless
this most recent time? ]
*SK S2Q5DB
->S2Q1
S2Q5DA=1
Choice Label: S2Q5DB
[] [1]O
[Don't Know] [8]
[Refuse] [9]ID
Question Label: S2Q9A L=1 M=1 N=1
[Please indicate whether any of the following are reasons that you do not currently have a place to live. ]
S2Q9A
[Your drug or alcohol use was causing problems? ]
*SK S2Q9A
->S2Q5E
S2Q5DA=1
Choice Label: S2Q9A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9B L=1 M=1 N=1
[]
S2Q9B
[Your caretaker's drug or alcohol use was causing problems? ]
Choice Label: S2Q9B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9C L=1 M=1 N=1
[]
S2Q9C
[The people you were living with told you to leave? ]
Choice Label: S2Q9C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9D L=1 M=1 N=1
[]
S2Q9D
[You were being physically abused or beaten? ]
Choice Label: S2Q9D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9DD L=1 M=1 N=1
[]
S2Q9DD
[You were being sexually abused? ]
Choice Label: S2Q9DD
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9E L=1 M=1 N=1
[]
S2Q9E
[You had a romantic relationship breakup? ]
Choice Label: S2Q9E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9G L=1 M=1 N=1
[]
S2Q9G
[You became sick or disabled? ]
Choice Label: S2Q9G
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9GA L=1 M=1 N=1
[]
S2Q9GA
[You couldn't pay the rent? ]
Choice Label: S2Q9GA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9GB L=1 M=1 N=1
[]
S2Q9GB
[You couldn't find a job? ]
Choice Label: S2Q9GB
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9H L=1 M=1 N=1
[]
S2Q9H
[You were released from an in-patient mental health treatment facility? ]
Choice Label: S2Q9H
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9I L=1 M=1 N=1
[]
S2Q9I
[You were released from an in-patient drug or alcohol treatment program? ]
Choice Label: S2Q9I
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9J L=1 M=1 N=1
[]
S2Q9J
[You were released from a hospital? ]
Choice Label: S2Q9J
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9K L=1 M=1 N=1
[]
S2Q9K
[You were released from a jail or prison? ]
Choice Label: S2Q9K
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q9L L=1 M=1 N=1 O=19
[]
S2Q9L
[Is there any other reason that you do not currently have a place to live? ]
Choice Label: S2Q9L
[Yes:] [1]O
[No] [2]
[DK/REF] [9]ID
Question Label: S2Q1 L=1 M=1 N=0 O=19
[Where did you sleep last night? ]
Choice Label: S2Q1
[At an emergency or temporary shelter or transitional living program] [1]
[At a family member's house or apartment] [2]
[At a friend's house or apartment] [3]
[In an abandoned building or in a vehicle] [4]
[On the street, in a park, or anywhere else outside] [5]
[Somewhere else? [IF YES; Where?]] [6]O
[Don't Know/Refused] [9]ID
Question Label: S2Q1BZ L=3 M=1 N=0
[You just told me where you slept last night. How long have you been staying there? ]
S2Q1BZ
[DAYS]
S2Q1BZ
Question Label: S1Q1CZ L=3 M=1 N=0
[]
S1Q1CZ
[WEEKS]
S1Q1CZ
Question Label: S1Q1DZ L=3 M=1 N=0
[]
S1Q1DZ
[MONTHS]
S1Q1DZ
Question Label: S1Q1EZ L=2 M=1 N=0
[]
S1Q1EZ
[YEARS]
S1Q1EZ
Question Label: S2Q5E L=1 M=1 N=1
[Have you ever been kicked out of your home by a parent or other adult in charge? ]
Choice Label: S2Q5E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q5F L=3 M=1 N=0
[How many times have you been kicked out? ]
S2Q5F
0 100
*SK S2Q5F
->+1
S2Q5E=5,9
Question Label: S2Q6 L=1 M=1 N=1
[Could you go home to live now, if you wanted to? ]
Choice Label: S2Q6
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q7 L=1 M=1 N=1 O=19
[What are the reasons that you could not go home? ]
*SK S2Q7
->S2Q7 ELSE +1
S2Q6=5
Choice Label: S2Q7
[] [1]O
[DK/REF] [2]ID
Question Label: S2Q10A L=1 M=1 N=1
[Have any of the following things ever happened to you while you were homeless? ]
S2Q10A
[Been beaten up? ]
Choice Label: S2Q10A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q10B L=1 M=1 N=1
[]
S2Q10B
[Been robbed? ]
Choice Label: S2Q10B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q10C L=1 M=1 N=1
[]
S2Q10C
[Been sexually assaulted or raped? ]
Choice Label: S2Q10C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q10D L=1 M=1 N=1
[]
S2Q10D
[Been threatened with a weapon? ]
Choice Label: S2Q10D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q10E L=1 M=1 N=1
[]
S2Q10E
[Been assaulted or wounded with a weapon? ]
Choice Label: S2Q10E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q11 L=2 M=1 N=1
[How many close friends did you have before you became homeless? ]
S2Q11
0 50
Choice Label: S2Q11
[DK/REF] [9 ]ID
Question Label: S2Q12 L=2 M=1 N=1
[How many of these people do you still consider to be your close friends now, since becoming homeless? ]
S2Q12
0 50
Choice Label: S2Q12
[DK/REF] [9 ]ID
Question Label: S2Q12A L=1 M=1 N=1
[Are there people in your life that you can count on to give you help and aid? People who may lend you
money, give you food, or give you a place to stay without asking for anything in return? ]
Choice Label: S2Q12A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q12B L=1 M=1 N=1 O=19
[Thinking about those people, who is the most likely to provide you with help and aid? ]
*SK S2Q12B
->+1
S2Q12A=5,9
Choice Label: S2Q12B
[Parent] [1]
[Other relative] [2]
[A friend that you met while you were homeless] [3]
[A friend that you met before you were homeless] [4]
[Someone else [Please Specify]:] [5]O
[[DON'T READ: ONLY MARK IF RESPONDENT SAYS] Nobody] [6]
[DK/REF] [9]ID
Question Label: S2Q13A L=1 M=1 N=1
[Have you ever stayed in any of the following places? ]
S2Q13A
[A foster home? ]
Choice Label: S2Q13A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q13B L=1 M=1 N=1
[]
S2Q13B
[A group home? ]
Choice Label: S2Q13B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q13C L=1 M=1 N=1
[]
S2Q13C
[A jail, prison, or a juvenile detention center? ]
Choice Label: S2Q13C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q13D L=1 M=1 N=1
[]
S2Q13D
[An in-patient mental health facility? ]
Choice Label: S2Q13D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q13E L=1 M=1 N=1
[]
S2Q13E
[An in-patient drug or alcohol treatment facility? ]
Choice Label: S2Q13E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q14A L=1 M=1 N=1
[Have you ever, while you were homeless, slept or rested in any of the following locations? ]
S2Q14A
[An emergency shelter, a temporary shelter, or a transitional living program? ]
Choice Label: S2Q14A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q14B L=1 M=1 N=1
[]
S2Q14B
[A hotel or motel you paid for yourself? ]
Choice Label: S2Q14B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: _622 L=1 M=1 N=1
[]
_622
[A hotel or motel paid for by an agency? ]
Choice Label: _622
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: _623 L=1 M=1 N=1
[]
_623
[A hotel or motel paid for by someone else? ]
Choice Label: _623
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q14D L=1 M=1 N=1
[]
S2Q14D
[A car or any other vehicle, including abandoned vehicles? ]
Choice Label: S2Q14D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q14E L=1 M=1 N=1
[]
S2Q14E
[A bus station, airport, subway station, or train station? ]
Choice Label: S2Q14E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: _626 L=1 M=1 N=1
[]
_626
[On a bus, on the subway, or on a train? ]
Choice Label: _626
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q14F L=1 M=1 N=1
[]
S2Q14F
[A place of business, such as an all-night restaurant or library? ]
Choice Label: S2Q14F
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q14G L=1 M=1 N=1
[]
S2Q14G
[An abandoned building? ]
Choice Label: S2Q14G
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q14H L=1 M=1 N=1
[]
S2Q14H
[A public restroom, such as one in a park? ]
Choice Label: S2Q14H
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q14J L=1 M=1 N=1
[]
S2Q14J
[A homeless camp or tent city? ]
Choice Label: S2Q14J
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S2Q14I L=1 M=1 N=1
[]
S2Q14I
[Anywhere outside, such as a street, park, or bench? ]
Choice Label: S2Q14I
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: _632 L=1 M=1 N=1
[Are you Hispanic or Latino? ]
Choice Label: _632
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q2 L=1 M=6 N=1 O=19
[Please look at List 8 on your response card. Which of the following describes your race? You can choose as
many as apply. ]
Choice Label: S3Q2
[American Indian or Alaska Native] [1]
[Asian] [2]
[Black or African American] [3]
[Native Hawaiian or Other Pacific Islander] [4]
[White] [5]
[Other] [6]O
[DK/REF] [9]ID
Question Label: S3Q4 L=1 M=1 N=1
[Do you have a high school diploma or GED? ]
Choice Label: S3Q4
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q5 L=1 M=1 N=1
[What is the last grade that you completed? ]
*SK S3Q5
->+1
S3Q4=1
Choice Label: S3Q5
[5th grade or less] [1]
[6th grade] [2]
[7th grade] [3]
[8th grade] [4]
[9th grade] [5]
[10th grade] [6]
[11th grade] [7]
[12th grade] [8]
[DK/REF] [9]ID
Question Label: S3Q3 L=1 M=1 N=1
[Are you currently enrolled in... ]
Choice Label: S3Q3
[Junior High School] [1]
[High School] [2]
[College] [3]
[A workforce program] [4]
[An alternative school program, like any night school programs] [5]
[A GED program] [6]
[None of the above] [7]
[DK/REF] [9]ID
Question Label: S3Q6 L=1 M=1 N=1
[Has anyone, like a teacher, counselor, doctor, or some other professional, ever told you that you have a
learning disability? ]
Choice Label: S3Q6
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q7 L=1 M=1 N=1
[Have you ever enlisted in the military? ]
*SK S3Q7
->+1
SCRN2<17
Choice Label: S3Q7
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q8 L=1 M=1 N=1
[Do you have a full-time job working 35 hours or more per week? ]
Choice Label: S3Q8
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q9 L=1 M=1 N=1
[Do you have a part-time job working fewer than 35 hours per week? ]
Choice Label: S3Q9
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA8A L=1 M=1 N=1
[Next I am going to ask you about ways that people sometimes get money. In the past 30 days, did you... ]
SA8A
[Receive money from parents, relatives, or caretakers? ]
Choice Label: SA8A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA8C L=1 M=1 N=1
[]
SA8C
[Borrow money? ]
Choice Label: SA8C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA8D L=1 M=1 N=1
[]
SA8D
[Do chores or odd jobs for money? ]
Choice Label: SA8D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA8E L=1 M=1 N=1
[]
SA8E
[Sell blood or plasma for money?]
Choice Label: SA8E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA8G L=1 M=1 N=1
[]
SA8G
[Receive state vouchers or public assistance, like welfare or food stamps? ]
Choice Label: SA8G
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA8I L=1 M=1 N=1
[]
SA8I
[Panhandle or ask for spare change? ]
Choice Label: SA8I
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA8H L=1 M=1 N=1
[]
SA8H
[Steal money or things from a store or place of business? ]
Choice Label: SA8H
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA8J L=1 M=1 N=1
[]
SA8J
[Break in and take things or money from a house or car? ]
Choice Label: SA8J
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: _649 L=1 M=1 N=1
[]
_649
[Steal money from someone else? ]
Choice Label: _649
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA8K L=1 M=1 N=1
[]
SA8K
[Sell drugs for money? ]
Choice Label: SA8K
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q10 L=1 M=1 N=1
[Now I have a few questions about things you may do on a day to day basis. Do you have a driver's license? ]
Choice Label: S3Q10
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: _652 L=1 M=1 N=1
[Do you have a government issued ID? ]
*SK _652
->+1
S3Q10=1
Choice Label: _652
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q10C L=1 M=1 N=1
[Do you have a library card? ]
Choice Label: S3Q10C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
S3Q10A
[Please hand the respondent the response card.]
Question Label: S3Q10A L=1 M=1 N=1
[In order to answer the next five questions, please look at List 1 on your response card. When was the last
time you drove a car? ]
Choice Label: S3Q10A
[Within the last week] [1]
[More than one week ago but within the last month] [2]
[More than one month ago but within the last year] [3]
[More than one year ago] [4]
[Never] [5]
[DK/REF] [9]ID
Question Label: S3Q10B L=1 M=1 N=1
[When was the last time you went to a movie? ]
Choice Label: S3Q10B
[Within the last week] [1]
[More than one week ago but within the last month] [2]
[More than one month ago but within the last year] [3]
[More than one year ago] [4]
[Never] [5]
[DK/REF] [9]ID
Question Label: S3Q10D L=1 M=1 N=1
[When was the last time that you used services from the library? ]
Choice Label: S3Q10D
[Within the last week] [1]
[More than one week ago but within the last month] [2]
[More than one month ago but within the last year] [3]
[More than one year ago] [4]
[Never] [5]
[DK/REF] [9]ID
Question Label: S3Q10F L=1 M=1 N=1
[When was the last time you applied for a job? ]
Choice Label: S3Q10F
[Within the last week] [1]
[More than one week ago but within the last month] [2]
[More than one month ago but within the last year] [3]
[More than one year ago] [4]
[Never] [5]
[DK/REF] [9]ID
Question Label: PREGINTR L=0 M=0 N=0
[Next I'm going to ask you about relationships and family. ]
Question Label: S3Q11 L=1 M=1 N=1
[Are you currently in a romantic relationship with another person? ]
Choice Label: S3Q11
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q13 L=1 M=1 N=1
[Have you ever been pregnant? ]
*SK S3Q13
->S3Q21
S3Q12=2
Choice Label: S3Q13
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q14 L=1 M=1 N=1
[Are you currently pregnant? ]
*SK S3Q14
->S3Q21 ELSE S3Q14
S3Q13=5
Choice Label: S3Q14
[Yes] [1]
[No] [5]
[Refuse] [9]ID
[Don't Know/Unsure] [8]
Question Label: S3Q15 L=2 M=1 N=1
[Thinking about your entire life, how many times have you been pregnant? ]
*SK S3Q15
->S3Q15A ELSE S3Q15
S3Q14=1
Choice Label: S3Q15
[0 times] [00]
[1 time] [01]
[2 times] [02]
[3 times] [03]
[4 times] [04]
[5 times] [05]
[6 times] [06]
[7 times] [07]
[8 times] [08]
[9 times] [09]
[10 times] [10]
[11 times] [11]
[12 times] [12]
[13 times] [13]
[14 times] [14]
[15 times] [15]
Question Label: S3Q15A L=2 M=1 N=1
[Thinking about your entire life, how many times have you been pregnant (including your current
pregnancy)? ]
*SK S3Q15A
->+1
S3Q14=5,8,9
Choice Label: S3Q15A
[1 time] [01]
[2 times] [02]
[3 times] [03]
[4 times] [04]
[5 times] [05]
[6 times] [06]
[7 times] [07]
[8 times] [08]
[9 times] [09]
[10 times] [10]
[11 times] [11]
[12 times] [12]
[13 times] [13]
[14 times] [14]
[15 times] [15]
Question Label: S3Q17A L=1 M=1 N=1
[]
S3Q17A
[Have you ever given birth? ]
Choice Label: S3Q17A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q17 L=2 M=1 N=1
[How many times have you given birth?]
S3Q17
*SK S3Q17
->S3Q21
S3Q17A=5,9
Choice Label: S3Q17
[1 time] [01]
[2 times] [02]
[3 times] [03]
[4 times] [04]
[5 times] [05]
[6 times] [06]
[7 times] [07]
[8 times] [08]
[9 times] [09]
[10 times] [10]
[11 times] [11]
[12 times] [12]
[13 times] [13]
[14 times] [14]
[15 times] [15]
Question Label: S3Q18 L=1 M=1 N=1
[Are all of the children you have given birth to still under your care? ]
*SK S3Q18
->S3Q21
S3Q17A=5
Choice Label: S3Q18
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q19 L=2 M=1 N=1
[How many of the children you have given birth to are still under you care? ]
*SK S3Q19
->S3Q21
S3Q18=1
Choice Label: S3Q19
[0 children] [00]
[1 child] [01]
[2 children] [02]
[3 children] [03]
[4 children] [04]
[5 children] [05]
[6 children] [06]
[7 children] [07]
[8 children] [08]
[9 children] [09]
[10 children] [10]
[11 children] [11]
[12 children] [12]
[13 children] [13]
[14 children] [14]
[15 children] [15]
Question Label: S3Q20A L=1 M=1 N=1
[Thinking about the child/children you gave birth to who are not currently under your care, have any of
these children ever been... ]
S3Q20A
[Given up for adoption at birth? ]
Choice Label: S3Q20A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q20B L=1 M=1 N=1
[]
S3Q20B
[Given up for adoption later in their life ]
Choice Label: S3Q20B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q20C L=1 M=1 N=1
[]
S3Q20C
[Taken from your care against your wishes ]
Choice Label: S3Q20C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q20D L=1 M=1 N=1
[]
S3Q20D
[In the custody of another family member or relative (who is not the child's other parent)? ]
Choice Label: S3Q20D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q21 L=1 M=1 N=1
[Are you currently caring for children?]
Choice Label: S3Q21
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q22 L=1 M=1 N=1
[Do you have any biological children? ]
*SK S3Q22
->S4Q0
S3Q12=1
Choice Label: S3Q22
[Yes] [1]
[No] [5]
[Don't Know] [8]
[REF] [9]ID
Question Label: S3Q23A L=1 M=1 N=1
[Thinking about your biological children, have any of your biological children ever... ]
S3Q23A
[Been given up for adoption at birth? ]
*SK S3Q23A
->S4Q0
S3Q22=5
Choice Label: S3Q23A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q23B L=1 M=1 N=1
[]
S3Q23B
[Been given up for adoption later in life? ]
Choice Label: S3Q23B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q23C L=1 M=1 N=1
[]
S3Q23C
[Taken from your care against your wishes? ]
Choice Label: S3Q23C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S3Q23D L=1 M=1 N=1
[]
S3Q23D
[In the custody of another family member or relative (who is not the child's other parent)? ]
Choice Label: S3Q23D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q0 L=1 M=1 N=1
[Now I will read a list of statements describing you. For each statement, please tell me if you strongly agree,
agree, disagree, or strongly disagree. These response options are in List 2 on your response card. You feel
that you are a person of worth, at least of an equal level with others. Do you... ]
Choice Label: S4Q0
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0A L=1 M=1 N=1
[You feel that you have a number of good qualities. Do you... ]
Choice Label: S4Q0A
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0B L=1 M=1 N=1
[All in all, you are inclined to feel that you are a failure. Do you... ]
Choice Label: S4Q0B
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0C L=1 M=1 N=1
[You are able to do things as well as most other people. Do you... ]
Choice Label: S4Q0C
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0D L=1 M=1 N=1
[You feel that you do not have much to be proud of. Do you... ]
Choice Label: S4Q0D
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0E L=1 M=1 N=1
[You take a positive attitude towards yourself. Do you... ]
Choice Label: S4Q0E
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0F L=1 M=1 N=1
[On the whole, you are satisfied with yourself. Do you... ]
Choice Label: S4Q0F
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0G L=1 M=1 N=1
[You certainly feel useless at times. Do you... ]
Choice Label: S4Q0G
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0H L=1 M=1 N=1
[You wish you could have more respect for yourself. Do you... ]
Choice Label: S4Q0H
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0I L=1 M=1 N=1
[At times you think you are no good at all. Do you... ]
Choice Label: S4Q0I
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0J L=1 M=1 N=1
[You really want to get out of homelessness. Do you... ]
Choice Label: S4Q0J
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0K L=1 M=1 N=1
[You love the freedom of not living with your parents. Do you... ]
Choice Label: S4Q0K
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0L L=1 M=1 N=1
[You were happier at home than you are now. Do you... ]
Choice Label: S4Q0L
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0M L=1 M=1 N=1
[No one would want to live in the home you came from. Do you... ]
Choice Label: S4Q0M
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0N L=1 M=1 N=1
[If someone offered you a good place to live, with parents and rules, you would go there to get off the
streets. Do you... ]
*SK S4Q0N
->+1
SCRN2>18
Choice Label: S4Q0N
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0O L=1 M=1 N=1
[You are doing things you need to do to get out of homelessness. Do you... ]
Choice Label: S4Q0O
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0P L=1 M=1 N=1
[Life out here is better than you thought it would be. Do you... ]
Choice Label: S4Q0P
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q0Q L=1 M=1 N=1
[You are afraid you would get beat up if you went home. Do you... ]
Choice Label: S4Q0Q
[Strongly agree] [1]
[Agree] [2]
[Disagree] [3]
[Strongly Disagree] [4]
[DK/REF] [9]ID
Question Label: S4Q1A L=1 M=1 N=1
[Next I am going to read you several statements about how you may have felt during the past week. For
each one, please tell me how often you have felt this way during the past 7 days. These response options
are in List 3 on your response card. ]
S4Q1A
[You felt bothered by things that don't usually bother you. In the past week, would you say... ]
Choice Label: S4Q1A
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1B L=1 M=1 N=1
[]
S4Q1B
[You did not feel like eating; your appetite was poor. ]
Choice Label: S4Q1B
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1C L=1 M=1 N=1
[]
S4Q1C
[You felt that you could not shake off the blues even with help from your family or friends. ]
Choice Label: S4Q1C
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1D L=1 M=1 N=1
[]
S4Q1D
[You felt you were just as good as other people ]
Choice Label: S4Q1D
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1E L=1 M=1 N=1
[]
S4Q1E
[You had trouble keeping your mind on what you were doing ]
Choice Label: S4Q1E
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1F L=1 M=1 N=1
[]
S4Q1F
[You felt depressed. ]
Choice Label: S4Q1F
[0 Days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1G L=1 M=1 N=1
[]
S4Q1G
[You felt that everything you did was an effort. ]
Choice Label: S4Q1G
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1H L=1 M=1 N=1
[]
S4Q1H
[You felt hopeful about the future. ]
Choice Label: S4Q1H
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1I L=1 M=1 N=1
[]
S4Q1I
[You thought your life had been a failure. ]
Choice Label: S4Q1I
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1J L=1 M=1 N=1
[]
S4Q1J
[You felt fearful. ]
Choice Label: S4Q1J
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1K L=1 M=1 N=1
[]
S4Q1K
[Your sleep was restless. In the past week, would you say... ]
Choice Label: S4Q1K
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1L L=1 M=1 N=1
[]
S4Q1L
[You were happy. ]
Choice Label: S4Q1L
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1M L=1 M=1 N=1
[]
S4Q1M
[You talked less than usual. ]
Choice Label: S4Q1M
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1N L=1 M=1 N=1
[]
S4Q1N
[You felt lonely. ]
Choice Label: S4Q1N
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1O L=1 M=1 N=1
[]
S4Q1O
[People were unfriendly. ]
Choice Label: S4Q1O
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1P L=1 M=1 N=1
[]
S4Q1P
[You enjoyed life. ]
Choice Label: S4Q1P
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1Q L=1 M=1 N=1
[]
S4Q1Q
[You had crying spells. ]
Choice Label: S4Q1Q
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1R L=1 M=1 N=1
[]
S4Q1R
[You felt sad. ]
Choice Label: S4Q1R
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1S L=1 M=1 N=1
[]
S4Q1S
[You felt that people disliked you. ]
Choice Label: S4Q1S
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q1T L=1 M=1 N=1
[]
S4Q1T
[You could not get going. ]
Choice Label: S4Q1T
[0 days] [1]
[1-2 days] [2]
[3-4 days] [3]
[5-7 days] [4]
[DK/REF] [5]ID
Question Label: S4Q2A L=1 M=1 N=1
[Here are a few questions about how you are feeling and the response options are in List 4 on the response
card. How often do you... ]
S4Q2A
[Feel angry? ]
Choice Label: S4Q2A
[Most of the time] [1]
[Some of the time] [2]
[None of the time] [3]
[DK/REF] [4]ID
Question Label: S4Q2B L=1 M=1 N=1
[]
S4Q2B
[Feel quick tempered? ]
Choice Label: S4Q2B
[Most of the time] [1]
[Some of the time] [2]
[None of the time] [3]
[DK/REF] [4]ID
Question Label: S4Q2C L=1 M=1 N=1
[]
S4Q2C
[Feel mad? ]
Choice Label: S4Q2C
[Most of the time] [1]
[Some of the time] [2]
[None of the time] [3]
[DK/REF] [4]ID
Question Label: S4Q2D L=1 M=1 N=1
[]
S4Q2D
[Feel like hitting someone? ]
Choice Label: S4Q2D
[Most of the time] [1]
[Some of the time] [2]
[None of the time] [3]
[DK/REF] [4]ID
Question Label: S4Q2E L=1 M=1 N=1
[]
S4Q2E
[Feel hotheaded? ]
Choice Label: S4Q2E
[Most of the time] [1]
[Some of the time] [2]
[None of the time] [3]
[DK/REF] [4]ID
Question Label: S4Q2F L=1 M=1 N=1
[]
S4Q2F
[Feel like you are ready to fly off the handle? ]
Choice Label: S4Q2F
[Most of the time] [1]
[Some of the time] [2]
[None of the time] [3]
[DK/REF] [4]ID
Question Label: S4Q3A L=1 M=1 N=1
[Please look at List 5 on your response card and indicate whether the following statement is never true,
sometimes true, or always true for you. ]
S4Q3A
[You are stubborn. ]
Choice Label: S4Q3A
[Never True] [1]
[Sometimes True] [2]
[Always True] [3]
[DK/REF] [4]ID
Question Label: S4Q3B L=1 M=1 N=1
[]
S4Q3B
[Your moods or feelings change suddenly. ]
Choice Label: S4Q3B
[Never True] [1]
[Sometimes True] [2]
[Always True] [3]
[DK/REF] [4]ID
Question Label: S4Q3C L=1 M=1 N=1
[]
S4Q3C
[You talk too much. ]
Choice Label: S4Q3C
[Never True] [1]
[Sometimes True] [2]
[Always True] [3]
[DK/REF] [4]ID
Question Label: S4Q3D L=1 M=1 N=1
[]
S4Q3D
[You tease others a lot. ]
Choice Label: S4Q3D
[Never True] [1]
[Sometimes True] [2]
[Always True] [3]
[DK/REF] [4]ID
Question Label: S4Q3E L=1 M=1 N=1
[]
S4Q3E
[You have a hot temper. ]
Choice Label: S4Q3E
[Never True] [1]
[Sometimes True] [2]
[Always True] [3]
[DK/REF] [4]ID
Question Label: S4Q3F L=1 M=1 N=1
[]
S4Q3F
[You are louder than other people. ]
Choice Label: S4Q3F
[Never True] [1]
[Sometimes True] [2]
[Always True] [3]
[DK/REF] [4]ID
Question Label: S4Q4 L=1 M=1 N=1
[The next set of questions won't require you to look at the response card. I'd like you to respond by saying
yes or no. Have you ever had an extremely frightening traumatic or horrible experience, like being a victim
of a violent crime, being seriously injured in an accident, being sexually assaulted, seeing someone seriously
injured or killed, or being a victim of a natural disaster? ]
Choice Label: S4Q4
[Yes] [1]
[No] [5]
[I don't know] [8]
[Refuse] [9]ID
S4Q5
[INT INSTRUCT: If R asks what "preoccupation" means, respond that it means you often think about the
traumatic experience.]
Question Label: S4Q5 L=1 M=1 N=1
[Thinking about that extremely frightening traumatic experience, did you ever relive that experience
through recurrent dreams, preoccupation or flashbacks? ]
*SK S4Q5
->S4Q13
S4Q4=5,8,9
Choice Label: S4Q5
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q5A L=1 M=1 N=1
[Did you have problems with these recurrent dreams, preoccupations, or flashbacks for more than one
month? ]
*SK S4Q5A
->+1
S4Q5=5
Choice Label: S4Q5A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q6 L=1 M=1 N=1
[Since that traumatic experience, have you ever been less interested in important things, not "with it," or
unable to experience or express emotions? ]
Choice Label: S4Q6
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q6A L=1 M=1 N=1
[Were you less interested in important things, not "with it," or unable to experience or express emotions for
more than one month? ]
*SK S4Q6A
->+1
S4Q6=5
Choice Label: S4Q6A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q7 L=1 M=1 N=1
[Since that traumatic experience, did you ever have problems sleeping, concentrating, or having a short
temper? ]
Choice Label: S4Q7
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q7A L=1 M=1 N=1
[Did your problems sleeping, concentrating, or having a short temper last for more than one month? ]
*SK S4Q7A
->+1
S4Q7=5
Choice Label: S4Q7A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q8 L=1 M=1 N=1
[Since that traumatic experience, did you avoid any place or anything that reminded you of the original
horrible event? ]
Choice Label: S4Q8
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q8A L=1 M=1 N=1
[Did you avoid any place or anything that reminded you of the original horrible event for more than one
month? ]
*SK S4Q8A
->+1
S4Q8=5
Choice Label: S4Q8A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q13 L=1 M=1 N=1
[Have you ever tried smoking tobacco, such as cigarettes, cigars, or pipes? By saying tried, I want to know if
you have ever smoked tobacco, even just once. ]
Choice Label: S4Q13
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q13A L=1 M=1 N=1
[In the past 12 months, have you smoked tobacco? ]
*SK S4Q13A
->S4Q14
S4Q13=5,9
Choice Label: S4Q13A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q13B L=1 M=1 N=1
[Please look at List 6 on your response card. How often in the past 30 days did you smoke tobacco? ]
*SK S4Q13B
->S4Q14
S4Q13A=5,9
Choice Label: S4Q13B
[Never] [0]
[Once] [1]
[2 or 3 times] [2]
[Once a week] [3]
[2 or 3 times a week] [4]
[Nearly every day] [5]
[Everyday] [6]
[DK/REF] [9]ID
Question Label: S4Q14 L=1 M=1 N=1
[Have you ever tried drinking alcohol? By saying tried, I want to know whether you have ever had a drink of
alcohol, including beer, wine, or hard alcohol. ]
Choice Label: S4Q14
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q14A L=1 M=1 N=1
[In the past 12 months, have you drank alcohol? ]
*SK S4Q14A
->S4Q15
S4Q14=5,9
Choice Label: S4Q14A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: ALCSKIP L=1 M=1 N=0
[]
*SK ALCSKIP
->S4Q15 ELSE +1
S4Q14A=5,9
Question Label: SA12F L=1 M=1 N=1
[During the past 12 months have you had 4 or more drinks within a two hour period? ]
*SK SA12F
->SA12MA
SEX1=2
Choice Label: SA12F
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA12FA L=2 M=1 N=1
[Please look at List 7 on your response card. During the past 12 months, how often did you have 4 or more
drinks within a two hour period? ]
*SK SA12FA
->S4Q14B
SA12F=5,9
Choice Label: SA12FA
[Everyday] [01]
[5 to 6 days a week] [02]
[3 to 4 days a week] [03]
[2 days a week] [04]
[1 day a week] [05]
[2 to 3 days a month] [06]
[1 day a month] [07]
[3-11 days in the past year] [08]
[1 or 2 days in the past year] [09]
[DK/REF] [99]ID
Question Label: SA12MA L=1 M=1 N=1
[During the past 12 months have you had 5 or more drinks within a two hour period? ]
*SK SA12MA
->S4Q14B
SEX1=1
Choice Label: SA12MA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA12M L=2 M=1 N=1
[Please look at List 7 on your response card. During the past 12 months, how often did you have 5 or more
drinks within a two hour period? ]
*SK SA12M
->+1
SA12MA=5,9
Choice Label: SA12M
[Everyday] [01]
[5 to 6 days a week] [02]
[3 to 4 days a week] [03]
[2 days a week] [04]
[1 day a week] [05]
[2 to 3 days a month] [06]
[1 day a month] [07]
[3-11 days in the past year] [08]
[1 or 2 days in the past year] [09]
[DK/REF] [99]ID
Question Label: S4Q14B L=1 M=1 N=1
[Please look at List 6 in your response card. How often in the past 30 days did you drink alcohol? ]
*SK S4Q14B
->S4Q15
S4Q14A=5
Choice Label: S4Q14B
[Never] [0]
[Once] [1]
[2 or 3 times] [2]
[Once a week] [3]
[2 or 3 times a week] [4]
[Nearly every day] [5]
[Everyday] [6]
[DK/REF] [9]ID
Question Label: S4Q15 L=1 M=1 N=1
[Have you ever smoked marijuana, which may also be known as weed, pot, or grass? ]
Choice Label: S4Q15
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q15A L=1 M=1 N=1
[In the past 12 months, have you smoked marijuana? ]
*SK S4Q15A
->S4Q16
S4Q15=5,9
Choice Label: S4Q15A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q15B L=1 M=1 N=1
[Again, please look at List 6 on your response card to answer this question. How often in the past 30 days
did you smoke marijuana? ]
*SK S4Q15B
->S4Q16
S4Q15A=5,9
Choice Label: S4Q15B
[Never] [0]
[Once] [1]
[2 or 3 times] [2]
[Once a week] [3]
[2 or 3 times a week] [4]
[Nearly every day] [5]
[Everyday] [6]
[DK/REF] [9]ID
Question Label: S4Q16 L=1 M=1 N=1
[Have you ever tried methamphetamines, which can also be referred to as speed, crystal, ice, or glass? ]
Choice Label: S4Q16
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q16A L=1 M=1 N=1
[In the past 12 months, have you used methamphetamines? ]
*SK S4Q16A
->S4Q17
S4Q16=5,9
Choice Label: S4Q16A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q16B L=1 M=1 N=1
[Please look at List 6 on your response card. How often in the past 30 days did you use methamphetamines?
]
*SK S4Q16B
->S4Q17
S4Q16A=5,9
Choice Label: S4Q16B
[Never] [0]
[Once] [1]
[2 or 3 times] [2]
[Once a week] [3]
[2 or 3 times a week] [4]
[Nearly every day] [5]
[Everyday] [6]
[DK/REF] [9]ID
Question Label: _755 L=1 M=1 N=1
[Some people take medications prescribed to them by a doctor. Sometimes people will take a medication
that was not prescribed to them for the experience or feeling it brings. Have you ever used prescription
medications that were not prescribed to you for these reasons? ]
Choice Label: _755
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: _756 L=1 M=1 N=1
[In the past 12 months, did you use any prescription medications in this way? ]
*SK _756
->S4Q17
S4Q16=5,9
Choice Label: _756
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: _757 L=1 M=1 N=1
[Please look at List 6 on your response card. How often in the past 30 days did you use prescription
medications in this way? ]
*SK _757
->S4Q17
S4Q16A=5,9
Choice Label: _757
[Never] [0]
[Once] [1]
[2 or 3 times] [2]
[Once a week] [3]
[2 or 3 times a week] [4]
[Nearly every day] [5]
[Everyday] [6]
[DK/REF] [9]ID
Question Label: S4Q17 L=1 M=1 N=1
[Have you ever tried inhalants, which are things that you sniff or smell to get high? ]
Choice Label: S4Q17
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q17A L=1 M=1 N=1
[In the past 12 months, have you used inhalants? ]
*SK S4Q17A
->S4Q18
S4Q17=5,9
Choice Label: S4Q17A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q17B L=1 M=1 N=1
[Please look at List 6 on your response card. How often in the past 30 days did you use inhalants? ]
*SK S4Q17B
->S4Q18
S4Q17A=5,9
Choice Label: S4Q17B
[Never] [0]
[Once] [1]
[2 or 3 times] [2]
[Once a week] [3]
[2 or 3 times a week] [4]
[Nearly every day] [5]
[Everyday] [6]
[DK/REF] [9]ID
Question Label: S4Q18 L=1 M=1 N=1
[Have you ever tried steroids that weren't prescribed to you by a doctor? ]
Choice Label: S4Q18
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q18A L=1 M=1 N=1
[In the past 12 months, have you used steroids that weren't prescribed to you by a doctor? ]
*SK S4Q18A
->S4Q19
S4Q18=5,9
Choice Label: S4Q18A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q18B L=1 M=1 N=1
[Please look at List 6 on your response card. How often in the past 30 days did you use steroids that weren't
prescribed to you by a doctor? ]
*SK S4Q18B
->S4Q19
S4Q18A=5,9
Choice Label: S4Q18B
[Never] [0]
[Once] [1]
[2 or 3 times] [2]
[Once a week] [3]
[2 or 3 times a week] [4]
[Nearly every day] [5]
[Everyday] [6]
[DK/REF] [9]ID
Question Label: S4Q19 L=1 M=1 N=1
[Have you ever tried cocaine or crack? ]
Choice Label: S4Q19
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q19A L=1 M=1 N=1
[In the past 12 months, have you used cocaine or crack? ]
*SK S4Q19A
->S4Q20
S4Q19=5, 9
Choice Label: S4Q19A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q19B L=1 M=1 N=1
[Please look at List 6 on your response card. How often in the past 30 days have you used cocaine or crack?
]
*SK S4Q19B
->S4Q20
S4Q19A=5,9
Choice Label: S4Q19B
[Never] [0]
[Once] [1]
[2 or 3 times] [2]
[Once a week] [3]
[2 or 3 times a week] [4]
[Nearly every day] [5]
[Everyday] [6]
[DK/REF] [9]ID
Question Label: S4Q20 L=1 M=1 N=1
[Have you ever tried any other illegal drugs, such as LSD, PCP, ecstasy, mushrooms, or heroin? ]
Choice Label: S4Q20
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q20A L=1 M=1 N=1
[In the past 12 months, have you used other illegal drugs? ]
*SK S4Q20A
->S4Q21
S4Q20=5,9
Choice Label: S4Q20A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q20B L=1 M=1 N=1
[Please look at List 6 on your response card. How often in the past 30 days have you used other illegal
drugs? ]
*SK S4Q20B
->S4Q21
S4Q20A=5,9
Choice Label: S4Q20B
[Never] [0]
[Once] [1]
[2 or 3 times] [2]
[Once a week] [3]
[2 or 3 times a week] [4]
[Nearly every day] [5]
[Everyday] [6]
[DK/REF] [9]ID
Question Label: S4Q21 L=1 M=1 N=1
[Have you ever injected any type of drug with a needle or syringe? ]
Choice Label: S4Q21
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q21A L=1 M=1 N=1
[In the past 12 months, have you injected any drugs with a needle or syringe? ]
*SK S4Q21A
->S5Q2
S4Q21=5,9
Choice Label: S4Q21A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q21B L=1 M=1 N=1
[Please look at List 6 on the response card. How often in the past 30 days have you injected drugs using a
needle or syringe? ]
*SK S4Q21B
->S5Q2
S4Q21A=5,9
Choice Label: S4Q21B
[Never] [0]
[Once] [1]
[2 or 3 times] [2]
[Once a week] [3]
[2 or 3 times a week] [4]
[Nearly every day] [5]
[Everyday] [6]
[DK/REF] [9]ID
Question Label: S4Q21C L=1 M=1 N=1
[Do you know how to clean or bleach your own needles? ]
*SK S4Q21C
->S4QOD
S4Q21=5,9
Choice Label: S4Q21C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4Q21D L=1 M=1 N=1
[In the past year, how often have you used a needle exchange? ]
*SK S4Q21D
->+1
S4Q21A=5,9
Choice Label: S4Q21D
[Never] [1]
[Once or twice in the past year] [2]
[Once a month] [3]
[Two or three times a month] [4]
[Once a week] [5]
[More than once a week] [6]
[DK/REF] [9]ID
Question Label: S4QOD L=1 M=1 N=1
[Have you ever overdosed on drugs? ]
Choice Label: S4QOD
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4QOD2 L=1 M=1 N=1
[Have you ever received medical intervention, such as NARCAN, for an overdose? ]
*SK S4QOD2
->+1
S4QOD=5,9
Choice Label: S4QOD2
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4QPD L=1 M=1 N=1
[Have you ever had an interaction with the police? ]
Choice Label: S4QPD
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4QPD2 L=1 M=1 N=1 O=19
[In a few sentences, can you tell me about your interaction or interactions with the police? We are
interested in things like whether you felt safe and whether you felt those interactions were helpful to you
or hurtful to you. ]
*SK S4QPD2
->+1
S4QPD=5,9
Choice Label: S4QPD2
[] [1]O
[DK/REF] [9]ID
Question Label: S4QWEA L=1 M=1 N=1
[Have you ever carried a weapon, such as a gun or knife, for protection? ]
Choice Label: S4QWEA
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: S4QWEA2 L=1 M=1 N=1
[For this question, please look at list 6 on your response card. In the past year, how often have you carried a
weapon, such as a gun or knife, for protection? ]
*SK S4QWEA2
->+1
S4QWEA=5,9
Choice Label: S4QWEA2
[Never] [1]
[Once] [2]
[Two or three times] [3]
[Once a week] [4]
[Two or three times a week] [5]
[Nearly every day] [6]
[Everyday] [7]
[DK/REF] [9]ID
Question Label: S4QWEA3 L=1 M=1 N=1
[In your whole life, how often have you had to use a weapon, such as a gun or knife, for protection? ]
*SK S4QWEA3
->+1
S4QWEA=5,9
Choice Label: S4QWEA3
[Never] [1]
[Once] [2]
[Two or three times] [3]
[Four to ten times] [4]
[More than 10 times] [5]
[DK/REF] [9]ID
Question Label: S5Q2 L=1 M=1 N=1 O=19
[Is there any additional information that you would like to share with me about your life, homelessness, or
street outreach programs? ]
Choice Label: S5Q2
[Yes] [1]O
[No] [5]
[Refuse] [9]ID
Question Label: SAINT1 L=1 M=1 N=0
[You are now finished with most of the interview. The last section of the interview asks questions that can
be sensitive and for your privacy, I won't be asking them aloud. Instead, I will turn the computer to face you
and give you a set of headphones. You may read the question on the screen silently to yourself, or have the
question read aloud by the computer by pushing the "play" button in each question. ]
SAINT
[Does the respondent have earphones?]
Question Label: SAINT L=1 M=1 N=0
[Okay, please read the question on the screen, then select your response using the mouse pad. After you
select your response, please push the "NEXT" button. I won't be able to see the screen, but I will still be in
the room in case you have any questions. ]
Question Label: SA1Z L=1 M=1 N=0
[This begins the last section of the interview. Please press the "NEXT" button. ]
Question Label: SA1 L=1 M=1 N=1 O=19
Which of the following best represents how you think of yourself?]
Choice Label: SA1
[Gay or Lesbian] [1]
[Straight (that is, not gay or lesbian)] [2]
[Bisexual] [3]
[Something else] [4]O
[DK/REF] [5]ID
Question Label: SA1A L=4 M=1 N=0
[How many different people have you had sex with in your whole life? SA1A
[Were any of these sexual partners a steady boyfriend or girlfriend? Choice Label: SA1C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA1D L=4 M=1 N=0
[How many of these sexual partners were a steady boyfriend or girlfriend?
*SK SA1D
->+1
SA1C=5,9
Question Label: SA1E L=1 M=1 N=1
[Were any of your sexual partners a stranger or someone that you didn't know very well? Choice Label:
SA1E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA1F L=4 M=1 N=0
[How many of these partners were a stranger or someone you didn't know very well?
SA1F
*SK SA1F
->+1
SA1E=5,9
Question Label: SA7A L=1 M=1 N=1
[Now think of all of the people you have had sex with. Did you agree to be sexual with any of these people
because you needed...
SA7A
[A place to spend the night? ]
*SK SA7A
->SA2
SA1A==0
Choice Label: SA7A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA7B L=1 M=1 N=1
[]
SA7B
[Food? ]
Choice Label: SA7B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA7C L=1 M=1 N=1
[]
SA7C
[Drugs? ]
Choice Label: SA7C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA7D L=1 M=1 N=1
[]
SA7D
[Protection? ]
Choice Label: SA7D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
SA7E
[Sa7e]
Question Label: SA7E L=1 M=1 N=1
[]
SA7E
[Money? ]
Choice Label: SA7E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SEXW1 L=1 M=1 N=1
[Thinking about your entire life, how many times have you ever had sex in exchange for money?
*SK SEXW1
->+1
SA7E=5,9
Choice Label: SEXW1
[Never] [1]
[Once] [2]
[2-5 times] [3]
[6-10 times] [4]
[11-20 times] [5]
[21-30 times] [6]
[More than 30 times] [7]
[DK/REF] [9]ID
Question Label: SEXW2 L=1 M=1 N=1
[Was the first time you had sex in exchange for money before you were homeless or after you were
homeless?
*SK SEXW2
->+1
SA7E=5,9
Choice Label: SEXW2
[Before you were homeless] [1]
[After you were homeless] [2]
[DK/REF] [9]ID
Question Label: SEXW3 L=1 M=1 N=1
[Have you ever been physically assaulted while you were exchanging sex for money?
*SK SEXW3
->+1
SA7E=5,9
Choice Label: SEXW3
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SEXW4 L=1 M=1 N=1
[The last time that you exchanged sex for money, did you get to keep all of the money?
*SK SEXW4
->+1
SA7E=5,9
Choice Label: SEXW4
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SEXW5 L=1 M=1 N=1
[Has a romantic partner ever asked you to have sex with someone else in exchange for money?
Choice Label: SEXW5
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA1B L=4 M=1 N=0
[In the past 12 months, how many different people have you had sex with?
Question Label: SA2 L=1 M=1 N=1
[Have you ever had vaginal sex
Choice Label: SA2
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA2A L=1 M=1 N=1
[In the past year, how often did you use a condom when you had vaginal sex?
*SK SA2A
->+1
SA2=5,9
Choice Label: SA2A
[All of the time] [1]
[Most of the time] [2]
[Half of the time] [3]
[Some of the time] [4]
[None of the time] [5]
[DK/REF] [9]ID
Question Label: SA2A3 L=1 M=1 N=1
[Have you ever had oral sex?
Choice Label: SA2A3
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA2A3A L=1 M=1 N=1
[In the past year, how often did you use a condom or dental dam when you had oral sex? *SK SA2A3A
->+1
SA2A3=5,9
Choice Label: SA2A3A
[All of the time] [1]
[Most of the time] [2]
[Half of the time] [3]
[Some of the time] [4]
[None of the time] [5]
[DK/REF] [9]ID
Question Label: SA2A4 L=1 M=1 N=1
[Have you ever had anal sex?
Choice Label: SA2A4
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA2A4A L=1 M=1 N=1
[In the past year, how often did you use a condom when you had anal sex?
*SK SA2A4A
->+1
SA2A4=5,9
Choice Label: SA2A4A
[All of the time] [1]
[Most of the time] [2]
[Half of the time] [3]
[Some of the time] [4]
[None of the time] [5]
[DK/REF] [9]ID
Question Label: FABORT L=1 M=1 N=1
[Have you ever had an abortion?
*SK FABORT
->+2
S3Q12=2
Choice Label: FABORT
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: FABORT2 L=2 M=1 N=0
[How many times have you had an abortion?
FABORT2
0 1000
*SK FABORT2
->+1
FABORT=5,9
Question Label: MABORT L=1 M=1 N=1
[Has someone ever been pregnant with your child?
*SK MABORT
->+3
S3Q12=1
Choice Label: MABORT
[Yes] [1]
[No] [5]
[I Don't Know] [8]
[REF] [9]ID
Question Label: MABORT2 L=1 M=1 N=1
[PREVIOUSLY ABORTIONS ONLY ASKED FOR WOMEN] [Have any of those pregnancies resulted in an
abortion?
Choice Label: MABORT2
[Yes] [1]
[No] [5]
[I Don't Know] [8]
[REF] [9]ID
Question Label: MABORT3 L=2 M=1 N=0
[PREVIOUSLY ABORTIONS ONLY ASKED FOR WOMEN] [How many of those pregnancies have resulted in an
abortion?
MABORT3
0 1000
*SK MABORT3
->+1
MABORT2=5,9
Choice Label: MABORT3
[I Don't Know] [88]
[REF] [99]ID
Question Label: SA3 L=1 M=1 N=1
[Have you ever been tested for a sexually transmitted infection (STI) or HIV/AIDS?
Choice Label: SA3
[Yes] [1]
[No] [5]
[I Don't Know] [8]
[REFUSE] [9]ID
Question Label: SA4 L=1 M=1 N=1
[Have you ever had a Sexually Transmitted Infection?
Choice Label: SA4
[Yes] [1]
[No] [5]
[I Don't Know] [8]
[REFUSE] [9]ID
Question Label: SA5A L=1 M=1 N=1
[Has a doctor or medical professional ever told you that you had HIV or AIDS?
Choice Label: SA5A
[Yes] [1]
[No] [5]
[I Don't Know] [8]
[REFUSE] [9]ID
Question Label: SA6 L=1 M=1 N=1
[Are you worried that you may have a sexually transmitted infection now?
Choice Label: SA6
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA9A L=1 M=1 N=1
[Before you were 18 years old, did an adult ever do any of the following things to you?
SA9A
[Hit you, beat you, kicked you, or physically hurt you? ]
Choice Label: SA9A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA9B L=1 M=1 N=1
[]
SA9B
[Called you names or said mean things to you? ]
Choice Label: SA9B
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA9C L=1 M=1 N=1
[]
SA9C
[Touched you in a sexual way against your will? ]
Choice Label: SA9C
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA9D L=1 M=1 N=1
[]
SA9D
[Forced you to touch someone else in a sexual way? ]
Choice Label: SA9D
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA9E L=1 M=1 N=1
[]
SA9E
[Forced you to have sex? ]
Choice Label: SA9E
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA20 L=1 M=1 N=1
[Have you ever participated in gang activity?
Choice Label: SA20
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA20A L=1 M=1 N=1
[Are you currently a member of a gang?
*SK SA20A
->+1
SA20=5
Choice Label: SA20A
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA21 L=1 M=1 N=1
[Have you ever been arrested?
Choice Label: SA21
[Yes] [1]
[No] [5]
[DK/REF] [9]ID
Question Label: SA22 L=2 M=1 N=1
[How many times have you been arrested? *SK SA22
->+2
SA21=5,9
Choice Label: SA22
[1 Time] [01]
[2 Times] [02]
[3 Times] [03]
[4 Times] [04]
[5 Times] [05]
[6 Times] [06]
[7 Times] [07]
[8 Times] [08]
[9 Times] [09]
[10 or more Times] [10]
[DK/REF] [11]ID
Question Label: SA23 L=1 M=1 N=1 O=19
[What were you arrested for? Choice Label: SA23
[] [1]O
[Don't Know] [8]
[Refuse] [9]ID
INT99
[Please give the computer back to the interviewer now.]
Question Label: INT99 L=2 M=1 N=1
[That is all the questions that I have for you. Thank you very much for participating!
Choice Label: INT99
[Completed the Questionnaire] [01]D ->END
Question Label: INT L=2 M=1 N=1
[]
Choice Label: INT
[Interruption with a reschedule (to resume another time)] [70] ->/CB
[Final Interruption (refusal)] [99] ->END
[Idle Time Out] [W0]N ->END
[Double Connection at Same Time] [W1]N ->END
[Project Deactivation] [W2]N ->END
[Disconnected by Supervisor] [W3]N ->END
[(INT99) complete] [01]N
[(INTRO) Yes, continue] [OK]N
[(INTRO) No, trying to schedule it later] [02]N
[(INTRO) Refused completely to cooperate] [03]N
CB
[This is a reserved question used to re-schedule the survey with the respondent]
Question Label: CB L=12 M=1 N=1
[What day would you like to reschedule this interview? ]
CB
$CH
Question Label: ENDEXPLA L=1 M=1 N=0
[That is all the questions that I have for you. Thank you very much for participating! ]
Question Label: NOTES L=1 M=1 N=1 O=19
[NOTES ]
Choice Label: NOTES
[] [1]OD
File Type | application/pdf |
Author | Melissa Welch |
File Modified | 2013-02-12 |
File Created | 2013-02-12 |