Form 1 Follow-up suvey

OMB No.: 0970-0439

Expiration Date: xx/xx/20xx

INFORMATION COLLECTION ACTIVITY #10

CHILD SUPPORT NONCUSTODIAL PARENT EMPLOYMENT DEMONSTRATION (CSPED)

CSPED

Follow-up Survey

May 1, 2014

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0970-0403. The time required to complete this information collection is estimated to average 45 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection.

National Child Support Noncustodial Parent Employment Demonstration (CSPED)

CONTENTS

Section Page

i. INTRODUCTION 4

A. CONTACT INFORMATION 1 AND DEMOGRAPHIC CHARACTERISTICS 8

B. BIOLOGICAL CHILD ROSTER AND MOTHER/FATHER INVOLVEMENT 10

C. RELATIONSHIPS WITH MOTHERS/FATHERS 19

D. CHILD SUPPORT PROGRAM: ATTITUDES AND INTERACTIONS ………… ……….35

E. ECONOMIC STABILITY 38

F. CRIMINAL JUSTICE INVOLVEMENT 47

G. FATHER/MOTHER WELLBEING 49

H. SERVICE RECEIPT 51

I. CONTACT INFORMATION 2 58

all

PACT modified for CSPED

i1. My name is [NAME] and I’m calling from the University of Wisconsin Survey Center. May I please speak with [SAMPLE MEMBER]?

SPEAKING WITH SAMPLE MEMBER 1 GO TO i3

SAMPLE MEMBER COMES TO PHONE 2 GO TO i3

SAMPLE MEMBER NOT AVAILABLE 3 GO TO i2

SAMPLE MEMBER NO LONGER LIVES HERE 3 GO TO WRONG NUMBER BLOCK

SAMPLE MEMBER UNKNOWN 3 GO TO WRONG NUMBER BLOCK

SAMPLE MEMBER DECEASED 0 GO TO END2

i1=3

PACT modified for CSPED

i2. When would be a good time to reach [SAMPLE MEMBER]?

INSTRUCTION: RECORD DATE AND TIME FOR CALL BACK.

INSTRUCTION: MAKE AN APPOINTMENT USING THE PARALLEL BLOCK.

INSTRUCTION: USE THE ‘APPOINTMENT’ TAB OR PRESS <CTRL-S> TO INVOKE THE APPOINTMENT MAKING DIALOG.

(STRING 50) GO TO i8

i1=1 OR 2

If i1 = 2, FILL “Hello, my name is [NAME] and I’m calling from Mathematica Policy Research.”

If state NE Texas fill “when you applied to the [GRANTEE PROGRAM] program.”

i3. [Hello, my name is [NAME] and I’m calling from the University of Wisconsin Survey Center.]

PACT modified for CSPED

I’m calling about a study called the National Child Support Employment Demonstration Project, or CSPED, which is looking at how programs and services help noncustodial parents meet their child support obligations and build better relationships with their children. You agreed to become part of the study [when you applied to the [GRANTEE PROGRAM] program] about a year ago. I am calling you today in order to update the information you provided to us at that time and to ask some new questions. You may have recently received a letter about this. We will send you a $25 gift card for completing the interview.

Is now a good time to start?

YES 1 GO TO i5_intro

NO 0

i3=0

PACT modified for CSPED

i4. When would be a good time to do the interview?

INSTRUCTION: RECORD DATE AND TIME FOR CALL BACK.

INSTRUCTION: MAKE AN APPOINTMENT USING THE PARALLEL BLOCK.

INSTRUCTION: USE THE ‘APPOINTMENT’ TAB OR PRESS <CTRL-S> TO INVOKE THE APPOINTMENT MAKING DIALOG.

(STRING 50) GO TO i8

i3=1

PACT modified for CSPED

i5_intro. The interview will take about 45 minutes. Your participation is very important and will help us understand if services for noncustodial parents help families and how they can be improved, but it is up to you whether you want to complete the survey. Whether or not you complete it will not affect any services or benefits you receive now or in the future. During the survey, you may choose not to answer any questions that I ask.

Your answers will be kept private to the extent allowed by federal law. The information you provide will be combined with information provided by others who also complete the survey. Nothing will be said about you as an individual in any reports about the study. While there are no direct benefits to participating, the results of this study will be used to improve the kinds of services offered to noncustodial parents like you.

This interview may be recorded so my supervisor can make sure that I asked the questions correctly. These recordings will be destroyed when the study is completed.

<1> CONTINUE

<9> R REFUSES TO PARTICIPATE GO TO PARALLEL BLOCK

i3=1

i5.

PACT modified for CSPED

Before we begin, I just need to verify that I am speaking with the correct person. What is your date of birth?

| | | / | | | / | | | | |

MONTH DAY YEAR

(1-12) (1-31) (1900-1998)

PROGRAMMER NOTE: IF AT LEAST 2 DATA ELEMENTS MATCH GO TO A1a

DON’T KNOW d GO TO i6

REFUSED r GO TO i6

BIRTHDAY INCORRECT= LESS THAN 2 DATA ELEMENTS MATCH MM/DD/YYYY GO TO i6

PROGRAMMER: NOTE AT LEAST TWO PIECES OF BIRTHDAY INFORMATION MUST MATCH FOR VERIFICATION (FOR EXAMPLE, MONTH AND YEAR)

i5=BIRTHDATE INCORRECT, d OR r

PACT modified for CSPED

i6. And what are the last 4-digits of your Social Security Number?

| | | | | DESCRIPTION IF MATCH GO TO A1a

(0000-9999)

DON’T KNOW d GO TO i7

REFUSED r GO TO i7

SSN INCORRECT FF GO TO i7

i6= D, R or FF

PACT modified for CSPED

i7. I’m sorry. I need to check my records before I can interview you. Is this the best time to reach you in the future?

YES 1

NO, CALL BACK INFO 0

(STRING 50)

INSTRUCTION: RECORD DATE AND TIME FOR CALL BACK.

i7=answer

PACT modified for CSPED

i8. Thank you for taking time to speak with me. Good-bye.

Great. Thank you for taking the time to talk with me today. Before we get started, I would like to make sure we have your name recorded correctly.

ALL

BSF 36 Month Follow-up modified for CSPED

A1a. Can you verify your first name?

PROBE: Can you spell that for me please?

(STRING 50)

FIRST NAME

ALL

BSF 36 Month Follow-up modified for CSPED

A1b. And your middle name please?

PROBE: Can you spell that for me please?

(STRING 50)

MIDDLE NAME

ALL

BSF 36 Month Follow-up modified for CSPED

A1c. And your last name please?

PROBE: Can you spell that for me please?

(STRING 50)

LAST NAME

ALL

Fill [RESP FIRST name] from a1a.

A2. Are you usually called [RESP FIRST NAME] or do you go by another name?

BSF 15 Month Follow-up modified for CSPED

INSTRUCTION: IF SAME JUST HIT ENTER.

PROBE: Can you spell that for me please?

(STRING 50)

FIRST NAME

The first questions I have for you today ask for a little more information about you and your background.

all

IF BASELINE B5= 1-4 (MARRIED, DIVORCED, SEPARATED, WIDOWED), FILL “OR SEPARATED” AND SHOW “HAVE YOU NEVER BEEN MARRIED” AS A VOLUNTEERED RESPONSE

A3. First, what is your current marital status? Are you:

OMB tailored
for CSPED

Married, 1

Divorced, 2

Widowed,[or] 3

Separated, [or] 4

Have you never been married? 5

DON’T KNOW d

REFUSED r

all

CBRA tailored
for CSPED

A4. What is the highest level of education you have completed?

INSTRUCTION: IF RESPONDENT SAYS “HIGH SCHOOL,”

PROBE: Did you receive a diploma or GED?

DID NOT COMPLETE HIGH SCHOOL OR GED 1

HIGH SCHOOL: DIPLOMA 2

HIGH SCHOOL: GENERAL EDUCATION DEVELOPMENT OR GED 3

SOME COLLEGE/SOME POSTSECONDARY VOCATIONAL COURSES 4

2-YEAR OR 3-YEAR COLLEGE DEGREE (ASSOCIATE’S DEGREE) 5

VOCATIONAL SCHOOL DIPLOMA 6

4-YEAR COLLEGE DEGREE (BACHELOR’S DEGREE) 7

SOME GRADUATE WORK/NO GRADUATE DEGREE 8

GRADUATE OR PROFESSIONAL DEGREE (e.g., MA, MBA, Ph.D., JD, MD) 9

NEVER ATTENDED SCHOOL 10

DON’T KNOW d

REFUSED r

The next questions I have are about your family. To get started, I would like to ask you some questions about your children.

ALL

FILL [BASELINE NUMBER OF CHILDREN] AND [BASELINE CHILD NAMES] FROM SAMPLE LOAD.

IF NUMBER OF CHILDREN = 1, FILL “CHILD.” IF NUMBER OF CHILDREN > 1, FILL “CHILDREN.”

IF R=MALE FILL “HAVE YOU HAD ANY CHILDREN;” IF R = FEMALE FILL “HAVE YOU GIVEN BIRTH TO ANY CHILDREN.”

PACT modified for CSPED

B1. Last time we talked to you in [RA MONTH YEAR], you told me you had [BASELINE NUMBER OF CHILDREN] [child/children], named [BASELINE CHILD NAMES].

Since [RA MONTH YEAR], [have you had any other children/have you given birth to any other children]? Please only include children for whom you are the biological [father/mother]. Do not include any current pregnancies.

INTERVIEWER INSTRUCTION: IF B1= 2, 4, or 6 (BABY DIED), SAY: “I am sorry for your loss.”

PROGRAMMER: DISPLAY TABLE WITH CHILD FIRST AND LAST NAMES FOR CHILDREN 1-10 ON BASELINE ROSTER, AS WELL AS CHILD AGES AND MOTHER’S NAME FOR REFERENCE.

YES 1 B2

YES, BUT BABY DIED 2 B4_INTRO

NO 3 B4_INTRO

NO, MISCARRIAGE 4 B4_INTRO

NO, ABORTION 5 B4_INTRO

NO, BABY DIED 6 B4_INTRO

R VOLUNTEERS: CHILD ON BASELINE CHILD ROSTER IS INCORRECT 9 B1A

DON’T KNOW d B4_INTRO

REFUSED r B4_INTRO

B1=9

New

B1a. PROGRAMMER: DISPLAY TABLE WITH CHILD FIRST AND LAST NAMES FOR CHILDREN 1-10 ON BASELINE ROSTER, AS WELL AS CHILD AGES AND MOTHER’S NAME FOR REFERENCE.

INTERVIEWER: INDICATE CORRECTION. PROBE AS NEEDED.

CHILD NAME IS INCORRECT/MISSPELLED 1

CHILD HAS DIED 2

R DENIES CHILD IS HIS/HER BIOLOGICAL CHILD 3

R VOLUNTEERS THAT HE/SHE HAS ADDITIONAL CHILDREN NOT PREVIOUSLY RECORDED 9 B4_alt

DON’T KNOW d

REFUSED r

SOFT CHECK: IF B1a=3 SAY: “I have recorded that [CHILD FIRST NAME] IS NOT YOUR BIOLOGICAL CHILD. IS THAT CORRECT?

IF YES: CONTINUE

IF NO: RETURN TO B1a

INTERVIEWER: IF R ANSWERS CHILD HAS DIED, SAY: “I’m very sorry to hear that. Our condolences for your loss.”

PROGRAMMER: IF B1a= 2, 3, REMOVE CHILD FROM BASELINE CHILD ROSTER

B1a=1

New

B1b. Can you please spell [CHILD FIRST NAME]’s correct first name for me?

(STRING 50)

FIRST NAME

PROGRAMMER: UPDATE BASELINE CHILD ROSTER ENTRY FOR CHILD 1-10.

if b1 = 1

B2. ENTER WITHOUT ASKING IF KNOWN: OTHERWISE PROBE:

BSF 15 month follow-up modified for CSPED

How many biological children have you had since [RA MONTH YEAR]?

IF NEEDED: “DO NOT INCLUDE ANY CURRENT PREGNANCIES.”

INTERVIEWER INSTRUCTION: ENTER THE NUMBER OF CHILDREN BORN

INTERVIEWER INSTRUCTION: IF B2=0 (BABY DIED), SAY: “I am sorry for your loss.”

| | |NUMBER OF CHILDREN BORN GO TO B3

(1-99)

BABY DIED 0 GO TO B4_INTRO

if B2 > 0 OR B4_ALT >1

If b2 = 1, fill Child, if b2 > 1, fill children; IF b4_alt = 1, fill Child, if b4_Alt > 1, fill children

Now I would like to ask you a few questions about the [child/children] you just told me about.

PROGRAMMER:

CONTINUE LOOP FOR CHILDREN REPORTED AT B2 UP TO 3 CHILDREN.

	CHILD 1	CHILD 2	CHILD 3
PACT IF B2 >0 OR B4_ALT > 0 B3. [FOR CHILD 1 (IF B2 >1 OR B4_ALT > 1), SAY: Thinking of the youngest child born since [RA month year]/ [IFB2=1 OR B2=1, SAY]: Please spell your child’s first name. FOR CHILD 2-3: Now thinking of the next child born since] [RA month year], please spell that child’s first name.	(STRING 50) FIRST NAME DON’T KNOW d REFUSED r	(STRING 50) FIRST NAME DON’T KNOW d REFUSED r	(STRING 50) FIRST NAME DON’T KNOW d REFUSED r
PACT IF B2 >0 OR B4_ALT > 0 FILL [CHILD FIRST NAME] NAME FROM B3 B3a. I want to make sure that we use [CHILD FIRST NAME]’s correct first name. Do you call [CHILD FIRST NAME] by a different name?	YES 1 NO 0 GO TO B3c DON’T KNOW d GO TO B3c REFUSED r GO TO B3c	YES 1 NO 0 GO TO B3c DON’T KNOW d GO TO B3c REFUSED r GO TO B3c	YES 1 NO 0 GO TO B3c DON’T KNOW d GO TO B3c REFUSED r GO TO B3c
PACT B3a = 1 B3b. Please spell that name for me.	(STRING 50) NAME DON’T KNOW d REFUSED r	(STRING 50) NAME DON’T KNOW d REFUSED r	(STRING 50) NAME DON’T KNOW d REFUSED r
PACT INTERVIEWER: CODE SEX OR ASK IF NECESSARY FILL [CHILD FIRST NAME] FROM B3 B3c. Is [CHILD FIRST NAME] a boy or a girl?	BOY 1 GIRL 2 DON’T KNOW d REFUSED r	BOY 1 GIRL 2 DON’T KNOW d REFUSED r	BOY 1 GIRL 2 DON’T KNOW d REFUSED r
PACT IF B2 >0 OR B4_ALT > 0 B3d. What is [CHILD FIRST NAME]’s date of birth?	PROGRAMMER NOTE: ALLOW REFUSAL IN MM/DD/YYYY | | |/| | |/| | | | | GO TO B3f (0-12) (01-31) (1900-2013) DECEASED 1 INTERVIEWER: IF B3d=1, THEN SAY: I’m very sorry to hear that. Our condolences for your loss DON’T KNOW d REFUSED r SOFT CHECK: IF CHILD DOB MATCHES ANY CHILD DOB FROM BASELINE: Is this child the same as the [CHILD FIRST NAME] you told us about in [RA MONTH YEAR]? PROGRAMMER: DISPLAY TABLE WITH CHILD FIRST AND LAST NAMES FOR CHILDREN 1-10 ON BASELINE ROSTER, AS WELL AS CHILD AGES AND MOTHER’S NAME FOR REFERENCE. IF NEEDED: I am only asking about children born since [RA MONTH YEAR] IF YES: RETURN TO B2 AND REVISE ANSWER IF NO: CONTINUE	PROGRAMMER NOTE: ALLOW REFUSAL IN MM/DD/YYYY | | |/| | |/| | | | | GO TO B3f (0-12) (01-31) (1900-2013) DECEASED 1 INTERVIEWER: IF B3d=1, THEN SAY: I’m very sorry to hear that. Our condolences for your loss DON’T KNOW d REFUSED r SOFT CHECK: IF CHILD DOB MATCHES ANY CHILD DOB FROM BASELINE: Is this child the same as the [CHILD FIRST NAME] you told us about in [RA MONTH YEAR]? PROGRAMMER: DISPLAY TABLE WITH CHILD FIRST AND LAST NAMES FOR CHILDREN 1-10 ON BASELINE ROSTER, AS WELL AS CHILD AGES AND MOTHER’S NAME FOR REFERENCE. IF NEEDED: I am only asking about children born since [RA MONTH YEAR] IF YES: RETURN TO B2 AND REVISE ANSWER IF NO: CONTINUE	PROGRAMMER NOTE: ALLOW REFUSAL IN MM/DD/YYYY | | |/| | |/| | | | | GO TO B3f (0-12) (01-31) (1900-2013) DECEASED 1 INTERVIEWER: IF B3d=1, THEN SAY: I’m very sorry to hear that. Our condolences for your loss DON’T KNOW d REFUSED r SOFT CHECK: IF CHILD DOB MATCHES ANY CHILD DOB FROM BASELINE: Is this child the same as the [CHILD FIRST NAME] you told us about in [RA MONTH YEAR]? PROGRAMMER: DISPLAY TABLE WITH CHILD FIRST AND LAST NAMES FOR CHILDREN 1-10 ON BASELINE ROSTER, AS WELL AS CHILD AGES AND MOTHER’S NAME FOR REFERENCE. IF NEEDED: I am only asking about children born since [RA MONTH YEAR] IF YES: RETURN TO B2 AND REVISE ANSWER IF NO: CONTINUE
PACT B3d=d OR r B3e. How old is [CHILD FIRST NAME]? Is that weeks, months or years?	| | |.| | (0-99.9) WEEKS 1 MONTHS 2 YEARS 3 DECEASED 4 INTERVIEWER: IF B3e=4, THEN SAY: I’m very sorry to hear that. Our condolences for your loss. DON’T KNOW d REFUSED r	| | |.| | (0-99.9) WEEKS 1 MONTHS 2 YEARS 3 DECEASED 4 INTERVIEWER: IF B3e=4, THEN SAY: I’m very sorry to hear that. Our condolences for your loss. DON’T KNOW d REFUSED r	| | |.| | (0-99.9) WEEKS 1 MONTHS 2 YEARS 3 DECEASED 4 INTERVIEWER: IF B3e=4, THEN SAY: I’m very sorry to hear that. Our condolences for your loss. DON’T KNOW d REFUSED r
PACT IF B2 >0 OR B4_ALT > 0 IF R’S GENDER=MALE, FILL MOTHER; IF R’S GENDER= FEMALE, FILL FATHER B3f. Please tell me [CHILD’S FIRST NAME]’s [mother/father]’s first name. PROBE: Please spell that for me. DO NOT CODE “0” UNLESS HE DOES NOT KNOW WHO THE CHILD’S MOTHER/FATHER IS.	(STRING 50) FIRST NAME (STRING 50) LAST NAME MOTHER/FATHER UNKNOWN 0 DON’T KNOW d REFUSED r	(STRING 50) FIRST NAME (STRING 50) LAST NAME MOTHER/FATHER UNKNOWN 0 DON’T KNOW d REFUSED r	(STRING 50) FIRST NAME (STRING 50) LAST NAME MOTHER/FATHER UNKNOWN 0 DON’T KNOW d REFUSED r
PACT IF B2 >1 GO TO B3 NEXT CHILD, ELSE GO TO B4_Intro GO TO B4_Intro IF B2 >2 GO TO B3 NEXT CHILD, ELSE GO TO B4_Intro (B2>0 OR B4_ALT>0) AND (B3f NE d OR r) B3g. Is [CHILD FIRST NAME]’s [mother/father] the same as…?	ASK FOR EACH BASELINE CHILD 1-10 WITH UNIQUE MOTHERS YES 1 NO 0 DON’T KNOW d REFUSED r	ASK FOR EACH BASELINE CHILD 1-10 WITH UNIQUE MOTHERS AND [NEW CHILD 1] YES 1 NO 0 DON’T KNOW d REFUSED r	ASK FOR EACH BASELINE CHILD 1-10 WITH UNIQUE MOTHERS AND [NEW CHILD 1 OR 2] YES 1 NO 0 DON’T KNOW d REFUSED r

ALL

IF B2 > 0, FILL “NEXT I HAVE” AND “AS WELL AS…”

IF B2 = 0, FILL “I’D LIKE TO START BY ASKING YOU”

IF BASELINE C2=1 AND B1 NE1, FILL “ YOUR CHILD”, IF BASELINE C2 > 1, FILL “EACH OF YOUR CHILDREN”

PACT modified for CSPED

B4_Intro. [Next I have/I’d like to start by asking you] some questions about [your child/each of your children].

PROGRAMMER: FILL NAMES OF ALL CHILDREN FROM BASELINE C3C (OR C3A IF C3C=NULL), THEN FILL NAMES OF CHILDREN FROM FOLLOW-UP B3. If B3a = 1 FILL NAME FROM B3 OR B3b.

PROGRAMMER: DISPLAY TABLE WITH CHILD FIRST AND LAST NAMES FOR CHILDREN 1-10 ON BASELINE ROSTER, NAMES OF CHILDREN FROM FOLLOW-UP B3, AS WELL AS CHILD AGES AND MOTHER’S NAME FOR REFERENCE.

PROGRAMMER: ALLOW UP TO 13 CHILDREN

CONTINUE 1 B4_check_1

R VOLUNTEERS THAT HE/SHE HAS ADDITIONAL CHILDREN NOT PREVIOUSLY RECORDED 9 B4_alt

B_4_intro= 9, SOFT CHECK: “I just want to confirm I am recording all of the information you share with me correctly. You already told me about [FILL NAMES OF CHILDREN FROM BASELINE] [and FILL NAMES OF CHILDREN FROM FOLLOW-UP]. You said that you have other biological children in addition to these children. Is that correct?

IF YES: GO TO B4_ALT

IF NO, ALL CHILDREN HAVE BEEN RECORDED, GO TO B4_check_1

if b1A=9 OR B4_INTRO=1

New

B4_alt. Not including [FILL CHILD NAMES FROM BASELINE] [FILL CHILD NAMES FROM FOLLOW UP], how many other biological children do you have?

INTERVIEWER INSTRUCTION: ENTER THE NUMBER OF CHILDREN

| | |NUMBER OF ADDITIONAL CHILDREN GO TO B3

(1-99)

NO ADDITIONAL CHILDREN GO TO B4_check_1

ALL

IF R= MALE, FILL MOTHER. IF R=FEMALE, FILL FATHER.

B4_check_1.

PROGRAMMER: DISPLAY TABLE WITH CHILD FIRST AND LAST NAMES FOR CHILDREN 1-10 ON BASELINE ROSTER, NAMES OF CHILDREN FROM FOLLOW-UP B3, AS WELL AS CHILD AGES AND MOTHER’S NAME FOR REFERENCE. INCLUDE A NUMERIC IDENTIFIER FOR EACH CHILD.

INTERVIEWER: REVIEW CHILD ROSTER. IF POTENTIAL DUPLICATES ARE INDENTIFIED, PROBE IF NECESSARY WITH “I have recorded that you have a child named [READ POTENTIAL DUPLICATE FROM SCREEN], age [READ FROM SCREEN], whose [mother/father] is [READ FROM SCREEN]. Is that child the same as [READ FROM SCREEN], age [READ FROM SCREEN], whose [mother/father] is [READ FROM SCREEN]?”

NO DUPLICATES, CONTINUE 1 B4

DUPLICATES PRESENT 9 B4_check_2

ALL

B4_check_2.

INTERVIEWER: ENTER DUPLICATE CHILD NUMBER

| | | CHILD NUMBER

REVIEW UPDATED CHILD ROSTER 1 B4_Intro

B4_check_2= CHILD NUMBER ENTERED, SOFT CHECK: INTERVIEWER: ARE YOU SURE YOU WANT TO DELETE THIS CHILD FROM THE ROSTER?

IF YES: REMOVE CHILD FROM ROSTER; RETURN TO B4_check_2

IF NO: RETURN TO B4_check_1

FFCWS tailored for CSPED B4. Since [RA MONTH YEAR], have you lived with [CHILD FIRST NAME]?	YES 1 NO 0 DON’T KNOW d REFUSED r	YES 1 NO 0 DON’T KNOW d REFUSED r	YES 1 NO 0 DON’T KNOW d REFUSED r
FFCWS tailored for CSPED CHILD B3D AGE <21 FOR NEW CHILDREN; CHILD C7 AGE PLUS 1 YEAR FOR CHILREN FROM BASELINE CHILD ROSTER B5. In the past 30 days, how many nights did you and [CHILD FIRST NAME] stay in the same place?	| | | NIGHTS (0-30) GO TO B7 DON’T KNOW d REFUSED r	| | | NIGHTS (0-30) GO TO B7 DON’T KNOW d REFUSED r	| | | NIGHTS (0-30) GO TO B7 DON’T KNOW d REFUSED r
WFNJ tailored for CSPED B5 = DK, REF B6. I just need to know a range, can you tell me if it was…?	1-5 nights, 1 6-10 nights, 2 11-15 nights, 3 16-20 nights, or 4 More than 20 nights 5 DON’T KNOW d REFUSED r	1-5 nights, 1 6-10 nights, 2 11-15 nights, 3 16-20 nights, or 4 More than 20 nights 5 DON’T KNOW d REFUSED r	1-5 nights, 1 6-10 nights, 2 11-15 nights, 3 16-20 nights, or 4 More than 20 nights 5 DON’T KNOW d REFUSED r
EHS tailored for CSPED B5 NE 30 B7. In the past 30 days, how many days did you have any contact with [CHILD FIRST NAME], either in person, over the telephone, or through letters, emails, or text messages? IF NEEDED: I just need to know your best guess.	| | | (0-30) DAYS DON’T KNOW d REFUSED r	| | | (0-30) DAYS DON’T KNOW d REFUSED r	| | | (0-30) DAYS DON’T KNOW d REFUSED r
EHS tailored for CSPED B5 NE 30 AND B7 NE 0, DK, REF FILL DAYS FROM B7 B8. On how many of these [FILL DAYS FROM B7] days did you have contact with [CHILD FIRST NAME] in person?	| | | (0-30) DAYS DON’T KNOW d REFUSED r SOFT CHECK: IF B8 GT B7, “I have recorded that you had contact with [CHILD FIRST NAME] in person [B8] times in the past 30 days. Is that correct?”	| | | (0-30) DAYS DON’T KNOW d REFUSED r SOFT CHECK: IF B8 GT B7, “I have recorded that you had contact with [CHILD FIRST NAME] in person [B8] times in the past 30 days. Is that correct?”	| | | (0-30) DAYS DON’T KNOW d REFUSED r SOFT CHECK: IF B8 GT B7, “I have recorded that you had contact with [CHILD FIRST NAME] in person [B8] times in the past 30 days. Is that correct?”
PACT ASK IF B5 NE 1-30 AND B8 NE 1-30 B9. When was the last time you spent time with [CHILD FIRST NAME] in person?	| | | / | | | | | MONTH YEAR GO TO B11 DON’T KNOW d REFUSED r	| | | / | | | | | MONTH YEAR GO TO B11 DON’T KNOW d REFUSED r	| | | / | | | | | MONTH YEAR GO TO B11 DON’T KNOW d REFUSED r
PACT B9=d OR r B10. Would you say it was three or fewer months ago, four to six months ago, seven to nine months ago, ten to twelve months ago, or more than twelve months ago?	3 OR FEWER MONTHS AGO 1 4 TO 6 MONTHS AGO 2 7-9 MONTHS AGO 3 10-12 MONTHS AGO 4 MORE THAN 12 MONTHS AGO 5 DON’T KNOW d REFUSED r	3 OR FEWER MONTHS AGO 1 4 TO 6 MONTHS AGO 2 7-9 MONTHS AGO 3 10-12 MONTHS AGO 4 MORE THAN 12 MONTHS AGO 5 DON’T KNOW d REFUSED r	3 OR FEWER MONTHS AGO 1 4 TO 6 MONTHS AGO 2 7-9 MONTHS AGO 3 10-12 MONTHS AGO 4 MORE THAN 12 MONTHS AGO 5 DON’T KNOW d REFUSED r
EHS tailored for CSPED B11. In general, would you say your relationship with [CHILD FIRST NAME] is excellent, very good, good, fair, or poor?	EXCELLENT 1 VERY GOOD 2 GOOD 3 FAIR 4 POOR 5 DON’T KNOW d REFUSED r	EXCELLENT 1 VERY GOOD 2 GOOD 3 FAIR 4 POOR 5 DON’T KNOW d REFUSED r	EXCELLENT 1 VERY GOOD 2 GOOD 3 FAIR 4 POOR 5 DON’T KNOW d REFUSED r

DO NOT ASK ABOUT A MOTHER/FATHER IF SHE/HE WAS REPORTED DECEASED AT BASELINE (BL C20a NE 2 OR BL D2 NE 6), OR IF ALL OF HER/HIS CHILDREN WERE REPORTED DECEASED (bl C7 NE 1 AND (FU B1 NE 2, 6 OR FU B1A NE 2 AND FU B3D NE 1 AND FU B3E NE 4).

MOTHER/FATHER FIRST NAME(S) FROM BL C9 OR BL D1 OR FU B3f

IF BL D2 NE 1, FILL “or have you never been married to each other”

IF BL D2=1, FILL “or”

	MOTHER/FATHER 1	MOTHER/FATHER 2	MOTHER/FATHER 3
BSF modified for CSPED ALL C1. Now I would like to talk to you about your relationship[s] with the [mother/father][s] of your [child/children]. Let’s talk about [MOTHER FIRST NAME/FATHER FIRST NAME]. Are you and [MOTHER FIRST NAME/FATHER FIRST NAME] married, divorced, [or] separated [or have you never been married to each other]?	MARRIED 1 GO TO C4 DIVORCED 2 SEPARATED 3 ANNULLED 4 NEVER MARRIED… 5 DECEASED 6 GO TO C1, MOTHER 2 IF NUMBER OF MOTHERS/FATHERS > 1 ELSE GO TO C18 INTERVIEWER: IF C1=6, THEN SAY: I’m very sorry to hear that. Our condolences for your loss. DON’T KNOW d REFUSED r	MARRIED 1 GO TO C4 DIVORCED 2 SEPARATED 3 ANNULLED 4 NEVER MARRIED.. 5 DECEASED 6 GO TO D1, MOTHER 2 IF NUMBER OF MOTHERS/FATHERS > 2 ELSE GO TO C18 INTERVIEWER: IF C1=6, THEN SAY: I’m very sorry to hear that. Our condolences for your loss. DON’T KNOW d REFUSED r	MARRIED 1 GO TO C4 DIVORCED 2 SEPARATED 3 ANNULLED 4 NEVER MARRIED.. 5 DECEASED 6 GO TO D1, MOTHER 2 IF NUMBER OF MOTHERS/FATHERS > 3 ELSE GO TO C18 INTERVIEWER: IF C1=6, THEN SAY: I’m very sorry to hear that. Our condolences for your loss. DON’T KNOW d REFUSED r
BSF modified for CSPED IF C2=1 OR 2, GO TO C4 IF C2=3, d, OR r, GO TO C3 IF C2=1 OR 2, GO TO C4 IF C2=3, d, OR r, GO TO C3 IF C2=1 OR 2, GO TO C4 IF C2=3, d, OR r, GO TO C3 (C1=2, 3, 4, 5, d, OR r) C2. Currently, are you and [MOTHER FIRST NAME/FATHER FIRST NAME] romantically involved on a steady basis, involved in an on- again, off-again romantic relationship, or not in a romantic relationship?	ROMANTICALLY INVOLVED ON STEADY BASIS 1 INVOLVED ON-AND-OFF AGAIN 2 NOT IN ROMANTIC RELATIONSHIP 3 DON’T KNOW d REFUSED r	ROMANTICALLY INVOLVED ON STEADY BASIS 1 INVOLVED ON-AND-OFF AGAIN 2 NOT IN ROMANTIC RELATIONSHIP 3 DON’T KNOW d REFUSED r	ROMANTICALLY INVOLVED ON STEADY BASIS 1 INVOLVED ON-AND-OFF AGAIN 2 NOT IN ROMANTIC RELATIONSHIP 3 DON’T KNOW d REFUSED r
PACT modified for CSPED C2=3, d, OR r C3. In the past 30 days, have you had any contact with [MOTHER FIRST NAME/FATHER FIRST NAME], such as in person, over the telephone, or through letters, emails, or text messages?	YES 1 NO 0 GO TO C6 DON’T KNOW d GO TO C6 REFUSED r GO TO C6	YES 1 NO 0 GO TO C6 DON’T KNOW d GO TO C6 REFUSED r GO TO C6	YES 1 NO 0 GO TO C6 DON’T KNOW d GO TO C6 REFUSED r GO TO C6
BSF tailored for CSPED (C1=1) OR (C2=1 OR 2) C4. Do you live with [MOTHER FIRST NAME/FATHER FIRST NAME] all of the time? By this I mean you do not have another place that you consider your home. PROBE: This is where you receive your mail, have keys, pay rent, and keep most or all of your belongings.	YES 1 GO TO C6 NO 0 DON’T KNOW d REFUSED r	YES 1 GO TO C6 NO 0 DON’T KNOW d REFUSED r	YES 1 GO TO C6 NO 0 DON’T KNOW d REFUSED r
PACT tailored for CSPED SKIP IF (C1=1 OR 6) OR (C2= 1 OR 2) OR C4= 1 C5. In the past 30 days, how many nights did you and [MOTHER FIRST NAME/FATHER FIRST NAME] stay together in the same place?	| | | NIGHTS (0-30) DON’T KNOW d REFUSED r	| | | NIGHTS (0-30) DON’T KNOW d REFUSED r	| | | NIGHTS (0-30) DON’T KNOW d REFUSED r
C1≠6 FFCWS C6. In general, would you say your relationship with [MOTHER FIRST NAME/FATHER FIRST NAME] is excellent, very good, good, fair, or poor?	EXCELLENT 1 VERY GOOD 2 GOOD 3 FAIR 4 POOR 5 DON’T KNOW d REFUSED r	EXCELLENT 1 VERY GOOD 2 GOOD 3 FAIR 4 POOR 5 DON’T KNOW d REFUSED r	EXCELLENT 1 VERY GOOD 2 GOOD 3 FAIR 4 POOR 5 DON’T KNOW d REFUSED r
PAM C1≠6 The next question is about you and [MOTHER FIRST NAME/FATHER FIRST NAME] as parents. C7. For the following statement, please tell me if you strongly agree, agree, are not sure, disagree, or strongly disagree. [MOTHER FIRST NAME/FATHER FIRST NAME] and I are a good parenting team.	STRONGLY AGREE 1 AGREE 2 NOT SURE 3 DISAGREE 4 STRONGLY DISAGREE 5 DON’T KNOW d REFUSED r	STRONGLY AGREE 1 AGREE 2 NOT SURE 3 DISAGREE 4 STRONGLY DISAGREE 5 DON’T KNOW d REFUSED r	STRONGLY AGREE 1 AGREE 2 NOT SURE 3 DISAGREE 4 STRONGLY DISAGREE 5 DON’T KNOW d REFUSED r
BSF tailored for CSPED C1≠ 1, 6 Now, I’m going to ask you some questions about the financial support you may provide to your [child/children]. C8. Do you have a legal arrangement or child support order that requires you to provide financial support for [the child/any of the children] you have with [MOTHER FIRST NAME/FATHER FIRST NAME]?	SKIP C8-17a IF C1, [MOTHER/FATHER] 1=1 YES 1 NO 0 GO TO D13 DON’T KNOW d GO TO D13 REFUSED r GO TO D13	SKIP C8-17a IF C1, [MOTHER/FATHER] 2=1 YES 1 NO 0 GO TO D13 DON’T KNOW d GO TO D13 REFUSED r GO TO D13	SKIP C8-17a IF C1, [MOTHER/FATHER] 3=1 YES 1 NO 0 GO TO D13 DON’T KNOW d GO TO D13 REFUSED r GO TO D13
BSF tailored for CSPED C8=1 C9. How much money are you required to pay for that order each month? SOFT CHECK: IF C11 AMOUNT GTE 2000, “I have recorded that you are required to pay [C9 AMOUNT] for that order each month. Is that correct?”	$| | |,| | | | (0-99999) AMOUNT DON’T KNOW d REFUSED r	$| | |,| | | | (0-99999) AMOUNT DON’T KNOW d REFUSED r	$| | |,| | | | (0-99999) AMOUNT DON’T KNOW d REFUSED r
BSF tailored for CSPED C9=D C10. I just need to know about how much it is each month. Can you tell me if it was:	$100 or less per month 1 $101- $500 per month 2 $501-$1000 per month 3 $1001-$1500 per month 4 Or more than $1500 per month?. 5 DON’T KNOW d REFUSED r	$100 or less per month 1 $101- $500 per month 2 $501-$1000 per month 3 $1001-$1500 per month 4 Or more than $1500 per month?. 5 DON’T KNOW d REFUSED r	$100 or less per month 1 $101- $500 per month 2 $501-$1000 per month 3 $1001-$1500 per month 4 Or more than $1500 per month?. 5 DON’T KNOW d REFUSED r
BSF tailored for CSPED C8=1 C11. In the past month, how much did you pay for the order you have for your child[ren] with [MOTHER FIRST NAME /FATHER FIRST NAME]? SOFT CHECK: IF C13 AMOUNT GTE 2000, “I have recorded that you spent [C11 AMOUNT] for the order you have for your child[ren] with [MOTHER FIRST NAME/FATHER FIRST NAME]. Is that correct?”	$| | |,| | | | (0-99999) AMOUNT DON’T KNOW d REFUSED r	$| | |,| | | | (0-99999) AMOUNT DON’T KNOW d REFUSED r	$| | |,| | | | (0-99999) AMOUNT DON’T KNOW d REFUSED r
BSF tailored for CSPED C11=D C12. I just need to know about how much it was in the past month. Can you tell me if it was:	$100 or less per month 1 $101- $500 per month 2 $501-$1000 per month 3 $1001-$1500 per month 4 Or more than $1500 per month? 5 DON’T KNOW d REFUSED r	$100 or less per month 1 $101- $500 per month 2 $501-$1000 per month 3 $1001-$1500 per month 4 Or more than $1500 per month? 5 DON’T KNOW d REFUSED r	$100 or less per month 1 $101- $500 per month 2 $501-$1000 per month 3 $1001-$1500 per month 4 Or more than $1500 per month? 5 DON’T KNOW d REFUSED r
FFCWS tailored for CSPED C1≠1 C13. The next questions are about money or items you may have provided for the child[ren] you have with [MOTHER FIRST NAME/FATHER FIRST NAME]. When answering these questions, do not include any money you paid as formal child support. In the past 30 days, have you given any money to pay for things such as food, diapers, clothing or school supplies for the children you have with [MOTHER FIRST NAME/FATHER FIRST NAME]?	YES 1 NO 0 GO TO C16 DON’T KNOW d REFUSED r	YES 1 NO 0 GO TO C16 DON’T KNOW d REFUSED r	YES 1 NO 0 GO TO C16 DON’T KNOW d REFUSED r
FFCWS tailored for CSPED C13 NE 0 C14. In the past 30 days, how much money, if any, did you give to pay for things like food, diapers, clothing, or school supplies, for the child[ren] you have with [MOTHER FIRST NAME/FATHER FIRST NAME] ? SOFT CHECK: IF C15 AMOUNT GTE 2000, “I have recorded that you spent [C14 AMOUNT] on things like food, diapers, clothing, or school supplies for the children you have with [MOTHER FIRST NAME/FATHER FIRST NAME]. Is that correct?”	$| | |,| | | | (0-99999) AMOUNT DON’T KNOW d REFUSED r	$| | |,| | | | (0-99999) AMOUNT DON’T KNOW d REFUSED r	$| | |,| | | | (0-99999) AMOUNT DON’T KNOW d REFUSED r
BSF tailored for CSPED C14=D C15. I just need to know about how much it was in the past 30 days. Can you tell me if it was:	$100 or less per month 1 $101- $500 per month 2 $501-$1000 per month 3 $1001-$1500 per month 4 Or more than $1500 per month?. 5 DON’T KNOW d REFUSED r	$100 or less per month 1 $101- $500 per month 2 $501-$1000 per month 3 $1001-$1500 per month 4 Or more than $1500 per month?. 5 DON’T KNOW d REFUSED r	$100 or less per month 1 $101- $500 per month 2 $501-$1000 per month 3 $1001-$1500 per month 4 Or more than $1500 per month?. 5 DON’T KNOW d REFUSED r
BSF tailored for CSPED C1≠1 C16. The next question is about items you may have bought for the child[ren] you have with [MOTHER FIRST NAME/FATHER FIRST NAME]. When answering this question, do not include any money you paid as formal child support. In the past 30 days, did you buy any items such as food, diapers, clothing, or school supplies, for the child[ren] you have with [MOTHER FIRST NAME/FATHER FIRST NAME]?	YES 1 NO 0 GO TO C18 DON’T KNOW d REFUSED r	YES 1 NO 0 GO TO C18 DON’T KNOW d REFUSED r	YES 1 NO 0 GO TO C18 DON’T KNOW d REFUSED r
C16 NE 0 FFCWS tailored for CSPED C17. In the past 30 days, how much money did you spend on items that you bought for the child[ren] you have with [MOTHER FIRST NAME/FATHER FIRST NAME]? SOFT CHECK: IF C17 AMOUNT GTE 2000, “I have recorded that you spent [C17 AMOUNT] on items that you bought for the children you have with [MOTHER FIRST NAME/FATHER FIRST NAME]. Is that correct?”	$| | |,| | | | (0-99999) AMOUNT DON’T KNOW d REFUSED r	$| | |,| | | | (0-99999) AMOUNT DON’T KNOW d REFUSED r	$| | |,| | | | (0-99999) AMOUNT DON’T KNOW d REFUSED r
BSF tailored for CSPED C17=D C17a. I just need to know about how much it was in the past 30 days. Can you tell me if it was:	$100 or less per month 1 $101- $500 per month 2 $501-$1000 per month 3 $1001-$1500 per month 4 Or more than $1500 per month?. 5 DON’T KNOW d REFUSED r	$100 or less per month 1 $101- $500 per month 2 $501-$1000 per month 3 $1001-$1500 per month 4 Or more than $1500 per month?. 5 DON’T KNOW d REFUSED r	$100 or less per month 1 $101- $500 per month 2 $501-$1000 per month 3 $1001-$1500 per month 4 Or more than $1500 per month?. 5 DON’T KNOW d REFUSED r
EHS tailored for CSPED C1≠1 C18. Sometimes parents have a hard time spending as much time as they would like with their children. During the past 30 days, did you spend as much time as you would like with the children you have with [MOTHER FIRST NAME/FATHER FIRST NAME]?	YES 1 GO TO C20 NO 0 DON’T KNOW d REFUSED r	YES 1 GO TO C20 NO 0 DON’T KNOW d REFUSED r	YES 1 GO TO C20 NO 0 DON’T KNOW d REFUSED r
EHS tailored for CSPED ASK IF C18 NE 1 C19. What were the main reasons you didn’t spend as much time as you wanted to with the children you have with [MOTHER FIRST NAME/FATHER FIRST NAME]?	RESPONDENT TOO BUSY WITH WORK/SCHOOL/ETC 1 KIDS LIVE TOO FAR AWAY 2 RESPONDENT HAS NO ACCESS TO TRANSPORTATION/NO WAY TO GET THERE/CAN’T AFFORD TO TRAVEL THERE 3 [MOTHER/FATHER] PREVENTS IT/MAKES IT HARD TO SEE KIDS 4 [MOTHER/FATHER]’S FRIENDS OR FAMILY PREVENT IT/MAKE IT HARD TO SEE KIDS 5 KIDS DON’T WANT TO SEE RESPONDENT …………………..…6 PROBLEMS WITH WHERE RESPONDENT LIVES/WOULDN’T WANT KIDS TO COME THERE 7 EMBARRASSED TO SEE KIDS BECAUSE NO JOB/NO MONEY 8 OTHER (SPECIFY) 99 DON’T KNOW d REFUSED r	RESPONDENT TOO BUSY WITH WORK/SCHOOL/ETC 1 KIDS LIVE TOO FAR AWAY 2 RESPONDENT HAS NO ACCESS TO TRANSPORTATION/NO WAY TO GET THERE/CAN’T AFFORD TO TRAVEL THERE 3 [MOTHER/FATHER] PREVENTS IT/MAKES IT HARD TO SEE KIDS 4 [MOTHER/FATHER]’S FRIENDS OR FAMILY PREVENT IT/MAKE IT HARD TO SEE KIDS 5 KIDS DON’T WANT TO SEE RESPONDENT …………………..…6 PROBLEMS WITH WHERE RESPONDENT LIVES/WOULDN’T WANT KIDS TO COME THERE 7 EMBARRASSED TO SEE KIDS BECAUSE NO JOB/NO MONEY 8 OTHER (SPECIFY) 99 DON’T KNOW d REFUSED r	RESPONDENT TOO BUSY WITH WORK/SCHOOL/ETC 1 KIDS LIVE TOO FAR AWAY 2 RESPONDENT HAS NO ACCESS TO TRANSPORTATION/NO WAY TO GET THERE/CAN’T AFFORD TO TRAVEL THERE 3 [MOTHER/FATHER] PREVENTS IT/MAKES IT HARD TO SEE KIDS 4 [MOTHER/FATHER]’S FRIENDS OR FAMILY PREVENT IT/MAKE IT HARD TO SEE KIDS 5 KIDS DON’T WANT TO SEE RESPONDENT …………………..…6 PROBLEMS WITH WHERE RESPONDENT LIVES/WOULDN’T WANT KIDS TO COME THERE 7 EMBARRASSED TO SEE KIDS BECAUSE NO JOB/NO MONEY 8 OTHER (SPECIFY) 99 DON’T KNOW d REFUSED r
New C1≠1, 6 C20. Has a court established or confirmed an arrangement between you and [MOTHER/FATHER] about when you can see the [child/children] you have with [her/him]? These arrangements are sometimes called parenting time orders or visitation orders.	YES 1 NO…………………… 0 GO TO C23 DON’T KNOW ……….d GO TO C23 REFUSED…………… r GO TO C23	YES 1 NO…………………… 0 GO TO C23 DON’T KNOW ……….d GO TO C23 REFUSED…………… r GO TO C23	YES 1 NO…………………… 0 GO TO C23 DON’T KNOW ……….d GO TO C23 REFUSED…………… r GO TO C23
New C1≠1, 6 C21. Was this order established or confirmed before [RA MONTH YEAR]?	YES………………………..1 NO 0 DON’T KNOW d REFUSED r	YES………………………..1 NO 0 DON’T KNOW d REFUSED r	YES………………………..1 NO 0 DON’T KNOW d REFUSED r
New C1≠1, 6 C22. Since [RA MONTH YEAR], has this order been modified?	YES………………………..1 NO 0 DON’T KNOW d REFUSED r	YES………………………..1 NO 0 DON’T KNOW d REFUSED r	YES………………………..1 NO 0 DON’T KNOW d REFUSED r

The next statements are about support provided by parents who live apart from their children.

ALL

Fragile Families modified for CSPED

C23. How important is it for parents who live apart from their children to support their children financially? Would you say not at all important, a little important, somewhat important, very important, or extremely important?

NOT AT ALL 1

A LITTLE 2

SOMEWHAT 3

VERY 4

EXTREMELY 5

DON’T KNOW D

REFUSED R

ALL

Fragile Families modified for CSPED

C24. How important is it for parents who live apart from their children to try to be involved in their children’s lives?

Would you say not at all important, a little important, somewhat important, very important, or extremely important?

NOT AT ALL 1

A LITTLE 2

SOMEWHAT 3

VERY 4

EXTREMELY 5

DON’T KNOW D

REFUSED R

PROGRAMMER BOX C25:

ASK THE FOLLOWING QUESTIONS ABOUT UP TO THREE CHILDREN (LIVING AND DECEASED).

IF ANY CHILD WAS IDENTIFIED AS DECEASED AT BASELINE OR FOLLOW-UP, EXCLUDE CHILD FROM SELECTION. IF ANY CHILD IS ≥18 AT THE TIME OF FOLLOW-UP OR IF AGE IS MISSING, EXCLUDE FROM SELECTION.

• IF THERE IS ONE CHILD, SELECT THAT CHILD

• IF THERE ARE TWO CHILDREN WITH ONE OR MORE MOTHERS, SELECT BOTH CHILDREN.

• IF THERE ARE THREE OR MORE CHILDREN WITH ONE MOTHER, SELECT THE OLDEST AND YOUNGEST CHILD OF THAT MOTHER.

• IF THERE ARE THREE CHILDREN WITH TWO OR THREE MOTHERS, SELECT ALL THREE CHILDREN.

• IF THERE ARE FOUR OR MORE CHILDREN WITH TWO MOTHERS: :

• PLACE ALL LIVING CHILDREN UNDER AGE 18 AT THE TIME OF THE FOLLOW-UP IN ORDER BY AGE. INCLUDE CHILDREN IDENTIFIED AT BASELINE AND CHILDREN IDENTIFIED AT FOLLOW-UP.

  • SELECT THE YOUNGEST CHILD AS FOCAL CHILD #1.

  • SELECT THE OLDEST CHILD WITH A MOTHER OTHER THAN FOCAL CHILD #1’S MOTHER AS FOCAL CHILD #2.

  • SELECT A RANDOM CHILD ASSOCIATED WITH ANY MOTHER FROM REMAINING CHILDREN AS FOCAL CHILD #3.

• IF THERE ARE FOUR OR MORE CHILDREN WITH THREE OR MORE MOTHERS:

• PLACE ALL LIVING CHILDREN UNDER AGE 18 AT THE TIME OF THE FOLLOW-UP IN ORDER BY AGE. INCLUDE CHILDREN IDENTIFIED AT BASELINE AND CHILDREN IDENTIFIED AT FOLLOW-UP.

  • SELECT THE YOUNGEST CHILD AS FOCAL CHILD #1. REMOVE ALL OTHER CHILDREN ASSOCIATED WITH THIS MOTHER/FATHER FROM POSSIBLE SELECTION AS FOCAL CHILD #2 OR #3.

  • SELECT THE OLDEST REMAINING CHILD AS FOCAL CHILD #2. REMOVE ALL OTHER CHILDREN ASSOCIATED WITH THIS MOTHER/FATHER FROM POSSIBLE SELECTION AS FOCAL CHILD #3.

  • RANDOMLY SELECT A REMAINING CHILD AS FOCAL CHILD #3.

ASK FOR EACH SELECTED FOCAL CHILD. ASK C25-C27_1 FOR CHILD #1, THEn C25-27_1 for Children #2 and #3 if present.

IF ONE CHILD IS SELECTED, FILL “CHILD.” IF > TWO CHILDREN SELECTED, FILL, “YOUR CHILDREN.”

IF R HAS MORE THAN TWO CHILDREN PER ANY MOTHER/FATHER, FILL “THE COMPUTER HAS SELECTED A FEW OF YOUR CHILDREN FOR ME TO ASK ADDITIONAL QUESTIONS ABOUT.” THEN FILL “LET’S START WITH [CHILD]” FOR THE FIRST CHILD SERIES, AND “NOW I’LL ASK ABOUT [CHILD]” FOR THE SECOND AND THIRD CHILDREN.

Next I have some additional questions about [your child/your children]. [The computer has selected a few of your children for me to ask more questions about. [Let’s start with [CHILD]/ Now I’ll ask about [CHILD].

all

CPRS modified for CSPED

SHARP modified for CSPED

C25. For each of the following statements, tell me if you strongly agree with the statement, agree with the statement, are not sure, disagree with the statement, or strongly disagree with the statement.

PSI	STRONGLY AGREE	AGREE	NOT SURE	DISAGREE	STRONGLY DISAGREE	DK	REF
a. I feel good about myself as a parent to [CHILD].	1	2	3	4	5	d	R
b. I think [CHILD] will grow up to say I was a good parent.	1	2	3	4	5	d	R
c. I share an affectionate and warm relationship with [CHILD].	1	2	3	4	5	d	R
d. Since [RA MONTH YEAR], I have taken specific steps to be a better [mother/father] to [CHILD].	1	2	3	4	5	d	R
e. I am involved in making decisions about raising [CHILD], such as decisions about child care, education, religion and medical care.	1	2	3	4	5	d	R

PACT modified for CSPED

New

ASK FOR EACH SELECTED FOCAL CHILD FOR WHOM B8 NE 0, DK, REF

IF CHILD IS 0-5, ASK C26a

ASK C26b, C26d-C26f, OF ALL FOCAL CHILDREN

IF CHILD IS 2-17 ASK C26c, C26g

FILL NUMBER OF DAYS FROM B8.

PACT modified for CSPED

C26. Now I would like to ask you some questions about the time you spend with [CHILD]. Earlier, you told me that in the past 30 days, you spent [FILL B8 DAYS] with [CHILD]. On how many of those [FILL B8 DAYS] did you:

PROGRAMMER: INSERT A-I. IF ANY ITEM IS ANSWERED DK, GO IMMEDIATELY TO C26_1, THEN RETURN TO C26 TO COMPLETE THE SERIES.

	DAYS (0-30)		DK	REF
Read books or tell stories to [CHILD]?	| | |		d	R
Give [CHILD] something to eat or feed [him/her]?	| | |		d	R
c. Have a meal together with [CHILD]?	| | |		d	R
d. Take [CHILD] places [he/she] needed to go, such as doctor appointments, school, or child care?	| | |		d	R
e. Have contact, either in person or by phone or email, with [CHILD]’s teacher, coach, child care provider or doctor?	| | |		d	R
f. Take [CHILD] to visit or spend time with your family?	| | |		d	R
g. Talk with [CHILD] about things [he/she] is especially interested in?	| | |		d	R

C26 SOFT CHECK:

IF ANY C26 A-G ANSWER IS GREATER THAN B8: “Earlier you told me that you spent [FILL B8 DAYS] in person with child in the past 30 days. I have recorded that you [FILL ITEM FROM C26] on [C26 DAYS] out of the [FILL B8 DAYS] days you spent with [CHILD]. Did I record your answer incorrectly?

IF NO, UNABLE TO RECONCILE, SUPPRESS EDIT. ELSE, RETURN TO C26A_I TO UPDATE.

ASK FOR EACH C26 a-I= DK

FILL NUMBER PROVIDED AT B8

FOR C26A FILL, “READ BOOKS OR TOLD STORIES TO [CHILD]”

FOR C26B FILL, “FED [CHILD] OR GAVE [HIM/HER] SOMETHING TO EAT”

FOR C26C FILL, “HAD A MEAL TOGETHER WITH [CHILD]”

FOR C26D FILL, “TOOK [CHILD] PLACES [HE/SHE] NEEDED TO GO, SUCH AS DOCTOR APPOINTMENTS, SCHOOL OR CHILD CARE,”

FOR C26E FILL, “HAD CONTACT, EITHER IN PERSON OR BY PHONE OR EMAIL, WITH [CHILD]’S DOCTOR, TEACHER, OR CHILD CARE PROVIDER,”

FOR C26F FILL, “TOOK [CHILD] TO VISIT OR SPEND TIME WITH YOUR FAMILY”

FOR C26G FILL, TALKED WITH [CHILD] ABOUT THINGS [HE/SHE] IS ESPECIALLY INTERESTED IN”

Fragile Families modified for CSPED

C26_1. I just need to know a range. On the [FILL B8 DAYS] that you saw [CHILD] in person, would you say you [FILL FROM ABOVE] on:

None of the days, 1

Less than half of the days, 2

About half of the days, 3

More than half of the days, or 4

Almost all of the days? 4

DON’T KNOW D

REFUSED R

ASK FOR EACH SELECTED FOCAL CHILD FOR WHOM B8 NE 0, DK, REF

IF CHILD IS 0-2 ASK C27c-g,

IF CHILD IS 3-17 ASK C27a-C27d, C27f-g

FILL NUMBER OF DAYS FROM B8.

C27. Of the [FILL B8 DAYS] that you saw [CHILD] in person during the past 30 days, on how many days did you:

PROGRAMMER: INSERT A-F. IF ANY ITEM IS ANSWERED DK, GO IMMEDIATELY TO C27_1, THEN RETURN TO C27 TO COMPLETE THE SERIES.

a, c, e, f CTSPC modified for CSPED	DAYS (0-30)	DK	REF
b, d PPQ modified for CSPED Take privileges away from [CHILD]?	| | |	d	R
Encourage [CHILD] to talk about [his/her] feelings?	| | |	d	R
c. Shout, yell, or scream at [CHILD]?	| | |	d	R
d. Praise [CHILD] when [he/she] behaves or meets a goal?	| | |	d	R
e. Spank [CHILD] with your hand?	| | |	d	R
f. Hit [CHILD] with a belt or other object?	| | |	d	R
g. Hug or kiss [CHILD], or tell [him/her] that you love [him/her]?	| | |	d	R

C27 SOFT CHECK:

IF ANY C27 A-G ANSWER IS GREATER THAN B8: “Earlier you told me that you spent [FILL B8 DAYS] in person with child in the past 30 days. I have recorded that you [FILL ITEM FROM C24] on [C27 DAYS] out of the [FILL B8 DAYS] days you spent with [CHILD]. Did I record your answer incorrectly?

IF NO, UNABLE TO RECONCILE, SUPPRESS EDIT. ELSE, RETURN TO C27A_G TO UPDATE.

ASK FOR EACH C27 a-G= DK

FILL NUMBER PROVIDED AT B8

FOR C27A FILL, “TOOK PRIVILEGES AWAY FROM [CHILD]”

FOR C27B FILL, “ENCOURAGED [CHILD] TO TALK ABOUT [HIS/HER] FEELINGS”

FOR C27C FILL, “SHOUTED, YELLED, OR SCREAMED AT [CHILD]”

FOR C27D FILL, “PRAISED [CHILD] WHEN [HE/SHE] BEHAVED OR MET A GOAL”

FOR C27E FILL, “SPANKED [CHILD] WITH YOUR HAND”

FOR C27F FILL, “HIT [CHILD]WITH A BELT OR OTHER OBJECT”

FOR C27G FILL, “HUGGED OR KISSED [CHILD], OR TOLD [HIM/HER] THAT YOU LOVE [HIM/HER]”

Fragile Families modified for CSPED

C27_1. I just need to know a range. On the [FILL B8 DAYS] that you saw [CHILD] in person, would you say you [FILL FROM C27] on:

None of the days, 1

Less than half of the days, 2

About half of the days, 3

More than half of the days, or 4

Almost all of the days? 4

DON’T KNOW D

REFUSED R

ASK FOR EACH SELECTED FOCAL CHILD FOR WHOM C20 NE 0 FOR THE MOTHER/FATHER OF THE FOCAL CHILD.

New

C28. Do you have a parenting time order or visitation order for [CHILD]?

IF NEEDED: A parenting time order or visitation order is an arrangement established or confirmed by a court about when noncustodial parents spend time with their children.

YES 0

NO 1 GO TO C30

DON’T KNOW D GO TO C30

REFUSED R GO TO C30

C28=1

New

C29. About how much time does the order state that [CHILD] is supposed to spend with you?

INTERVIEWER:

• SPECIFY RESPONSE FORMAT BELOW FIRST, THEN UNIT, NUMERIC RESPONSE, AND VERBATIM TEXT IF APPLICABLE

• IF RESPONDENT PROVIDES A NUMBER OF WEEKDAYS AND WEEKEND DAYS IN A TIME PERIOD, ADD THESE TOGETHER AND VERIFY WITH THE RESPONDENT THAT THE SUM IS CORRECT.

• IF THE RESPONDENT PROVIDES A NUMBER OF NIGHTS (RATHER THAN DAYS), TREAT AS A DAY

• IF THE RESPONDENT PROVIDES A FRACTION OF DAYS OR NUMBER OF HOURS, ROUND UP TO A WHOLE DAY

TOTAL NUMBER OF DAYS PER TIME INTERVAL 1 GO TO C29_UNIT

PERCENT OR PROPORTION OF TIME 2 GO TO C29_NUM

R VOLUNTEERS: SOME OTHER ARRANGEMENT (SPECIFY) 3 GO TO C29_SPECIFY

R SAYS ORDER DOESN’T SPECIFY AN AMOUNT OF TIME 4 GO TO C30

DON’T KNOW d GO TO C30

REFUSED r GO TO C30

C29=1

New

C29_UNIT. INTERVIEWER: ENTER TIME INTERVAL

PER WEEK 1 GO TO C29_NUM

PER TWO WEEK PERIOD 2 GO TO C29_NUM

PER MONTH 3 GO TO C29_NUM

PER YEAR 4 GO TO C29_NUM

DON’T KNOW d GO TO C30

REFUSED r GO TO C30

c29= 2 or C29_UNIT=1-4

New

C29_NUM. INTERVIEWER: ENTER NUMERIC VALUE

|     |     | 

(0-99)....................................................................................................... GO TO C30

c29= 3

New

C29_SPECIFY. INTERVIEWER: ENTER RESPONSE VERBATIM

_______________________________________________ (STRING 250)

IF A3=1 AND (IF C1=1 OR C4=1 FOR ANY [MOTHER/FATHER]), SKIP TO D1

Now, I’m going to ask about [women/men] you may have romantic relationships with who are not the [mothers/fathers] of your children.

C2=1 OR 2, FILL [with someone other than MOTHER/FATHER’S NAME/MOTHERS/FATHERS’ NAMES].

PACT modifiedfor CSPED

C30. Are you in a romantic relationship [with someone other than MOTHER/FATHER’S NAME/ MOTHERS/FATHERS’ NAMES]?

YES 1

NO 0 SKIP TO D1

DON’T KNOW d SKIP TO D1

REFUSED r SKIP TO D1

C30=1

WFNJ modifiedfor CSPED

C31. Some people may have a romantic relationship with more than one partner. If you have a relationship with more than one partner that we haven’t already talked about, please think about the romantic relationship that you consider to be the most serious.

Please spell that person’s first name.

PROBE: If you would rather not share the name, you can just tell me this person’s initials

(STRING 250)
NAME

DON’T KNOW d SKIP TO D1

REFUSED r SKIP TO D1

C31=ANSWERED

WFNJ modifiedfor CSPED

C32. Are you and [C31 FIRST NAME] married, divorced, separated, or have you never been married to each other?

MARRIED 1 SKIP TO C32

DIVORCED 2

SEPARATED 3

ANNULLED 4

NEVER MARRIED 5

DON’T KNOW d

REFUSED r

C32 NE 1

C33. Do you live with [C31 FIRST NAME] all of the time? By this I mean that you do not have another place that you consider your home.

PROBE: This is where you receive your mail, have keys, pay rent, or keep all or most of your belongings.

BSF modified for CSPED

YES 1 SKIP TO C32

NO 0

DON’T KNOW d

REFUSED r

C33 NE1

C34. In the past 30 days, how many nights did you and [C31 FIRST NAME] stay in the same place?

CSPED- developed

| | | NIGHTS
(0-30)

DON’T KNOW d

REFUSED r

C32=1 OR C33= 1 OR C34 ≥15

C35. Does [C31 FIRST NAME] have any children under the age of 18?

YES 1

PACT tailored for CSPED

NO 0 SKIP TO D1

DON’T KNOW d SKIP TO D1

REFUSED r SKIP TO D1

C35=1

C36. In the past 30 days, how many of [C30 FIRST NAME]’s children stayed in the same place as you and [C30 FIRST NAME]?

PACT tailored for CSPED

| | | CHILDREN
(0-10)

DON’T KNOW d

REFUSED r

The next questions are about your experiences with the child support program since [RA MONTH YEAR]. By this I mean any child support case managers, child support court staff, or other child support agency staff members that you might have come into contact with about your child support case.

aLL

First, please tell me if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with the following statement.

PACT modified for CSPED

D1. I am satisfied with the experiences I have had with the child support program since [RA MONTH YEAR].

CODE ONE ONLY

STRONGLY AGREE 1

AGREE 2

NEITHER AGREE NOR DISAGREE 3

DISAGREE 4

STRONGLY DISAGREE 5

DON’T KNOW d

REFUSED r

PACT modified for CSPED

D2. If I have a question about my child support agreement, I know who to contact at the child support program to get answers.

CODE ONE ONLY

STRONGLY AGREE 1

AGREE 2

NEITHER AGREE NOR DISAGREE 3

DISAGREE 4

STRONGLY DISAGREE 5

DON’T KNOW d

REFUSED r

ALL

IF C8=1 FOR ONE MOTHER/father, FILL order at D3_A. if C8=1 for more than one mother/father, fill orders.

D3. For each of the following statements, please tell me if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree.

Fragile Families

Since [RA MONTH YEAR], the child support program has [FILL A-D]:

		SELECT ONE RESPONSE PER ROW
	STRONGLY AGREE		AGREE	NEITHER AGREE NOR DISAGREE	DISAGREE	STRONGLY DISAGREE	DK	REF
a. treated me fairly when setting my child support [order/orders].	0		1	2	3	4	d	r
b. helped me have a better relationship with the [mother/father][s] of my children.	0		1	2	3	4	d	r
c. helped me provide financial support to my children	0		1	2	3	4	d	r
d. helped me have good relationships with my children.	0		1	2	3	4	d	r

The next questions are about the rights and obligations of parents who live apart from their children. For each of the following statements, please tell me if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree.

ALL

IF R= MALE FILL FATHER, HIS, MOTHER; IF R=FEMALE FILL MOTHER; HEr, FATHER

Fragile Families modified for CSPED

D4. Even if the custodial [mother/father] has a new partner, a noncustodial [father/mother] should be required to provide financial support to [his/her] child.

Do you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree?

STRONGLY AGREE 1

AGREE 2

NEITHER AGREE NOR DISAGREE 3

DISAGREE 4

STRONGLY DISAGREE 5

DON’T KNOW D

REFUSED R

ALL

IF R= MALE FILL FATHER, he; IF R=FEMALE FILL MOTHER; SHE

Fragile Families modified for CSPED

D5. Even if a noncustodial [mother/father] has a child with a new partner, [he/she] should be required to provide financial support for a child from a previous relationship..

Do you strongly agree, agree, neither agree nor disagree, disagree, strongly disagree?

STRONGLY AGREE 1

AGREE 2

NEITHER AGREE NOR DISAGREE 3

DISAGREE 4

STRONGLY DISAGREE 5

DON’T KNOW D

REFUSED R

Now I would like to ask some questions about your work.

ALL

WIA modified for CSPED

E1. Working for pay can include be regular paid jobs, odd jobs, temporary jobs, work done in your own business, “under the table” work, “informal” work, or any other types of work you have done for pay. Thinking of all of these types of work, are you currently working for pay?

YES 1 GO TO E2

NO 0 GO TO E1a

DON’T KNOW d GO TO E1a

REFUSED r GO TO E1a

E1 NE 1

PACT modified for CSPED

E1a. Have you worked for pay at any time since [RA MONTH YEAR]?

YES 1 GO TO E3b_1

NO 0 GO TO E10

DON’T KNOW d GO TO E10

REFUSED r GO TO E10

NOTE: SPACE FOR UNLIMITED JOBS WILL BE IN CATI PROGRAM.

	JOB 1		JOB 2
New E1=1 (CURRENTLY EMPLOYED) E2. First I am going to ask about your current job or jobs. Do you currently have your own business? This includes work you work do for multiple people providing a service, such as lawn care or child care.	YES 1 GO TO E3 NO 0 GO TO E2a DON’T KNOW d GO TO E2a REFUSED……………… r GO TO E2a		YES 1 GO TO E3 NO 0 GO TO E2a DON’T KNOW d GO TO E2a REFUSED……………… r GO TO E2a
E2≠1 WIA E2a. What is the name of the company or organization you currently work for? If you currently work for more than one company, please start with the job where you usually work the most hours.	COMPANY NAME (SPECIFY) 99 (STRING 50) DON’T KNOW d REFUSED r		COMPANY NAME (SPECIFY) 99 (STRING 50) DON’T KNOW d REFUSED r
PACT E1=1 (CURRENTLY EMPLOYED) E3. Including all types of jobs, do you currently have any other paid jobs?	YES 1 GO TO E3a, JOB 2 NO 0 GO TO E3c DON’T KNOW d GO TO E3c REFUSED r GO TO E3c		YES 1 GO TO E3a, JOB 3 NO 0 GO TO E3c DON’T KNOW d GO TO E3c REFUSED r GO TO E3c
IF E1=1 LOOP E3 AND E3a JOBS UNTIL E3=(0,d, r). WHEN E3= 0,d,or r GO TO E3c. E1=1 (CURRENTLY EMPLOYED) WIA E3a. Please tell me who you work for on that job?			COMPANY NAME (SPECIFY) 99 (STRING 50) DON’T KNOW d REFUSED r
New E1a=1 (NOT CURRENTLY EMPLOYED) E3b_1. Since RA, have you worked in your own business? This includes working for multiple people in your own business providing a service, such as lawn care or child care.	YES 1 GO TO E3c NO 0 GO TO E3b_2 DON’T KNOW d GO TO E3b_2 REFUSED……………… r GO TO E3b_2		YES 1 GO TO E3c NO 0 GO TO E3b_2 DON’T KNOW d GO TO E3b_2 REFUSED……………… r GO TO E3b_2
WIA E3b_1≠1 E3b_2. Please tell me who you worked for? If you worked for more than one company, please start with the job you had most recently. INTERVIEWER INSTRUCTION: ASK RESPONDENT FOR A DIFFERENT NAME THAN GIVEN AT F2 & F3a.	COMPANY NAME (SPECIFY) 99 (STRING 50) DON’T KNOW d REFUSED r		COMPANY NAME (SPECIFY) 99 (STRING 50) DON’T KNOW d REFUSED r
PACT IF E3c=1 LOOP E3b AND E3c UNTIL E3C=0,d, or r. WHEN E3C=0, d, or r GO TO E4. IF E3c=1 LOOP E3b AND E3c UNTIL E3C=0,d, or r . WHEN E3C=0, d, or r GO TO E4. If E3=(0, d, r) [TOLD INTERVIEWER THAT NO MORE CURRENT JOBS] or E1a=1 [NOT CURRENTLY EMPLOYED BUT EMPLOYED SINCE RA DATE] E3c. Have you had any other paid jobs since [RA MONTH YEAR] that you haven’t told me about?	YES 1 GO TO E3b, JOB 2 NO 0 GO TO E4 DON’T KNOW d GO TO E4 REFUSED r GO TO E4		YES 1 GO TO F3b, JOB 3 NO 0 GO TO F4 DON’T KNOW d GO TO F4 REFUSED r GO TO F4
E1=1 OR E1a=1 IF E2 or E3b_1 = 1, FILL “YOURSELF;” ELSE FILL “NOW THINKING OF THE JOB YOU [DO/DID] AT JOB NAME 1].” WIA E4. [Now thinking of the job you [do/did] at JOB NAME 1]. When did you start working for [JOB NAME 1/yourself]? INTERVIEWER: RECORD MONTH AND YEAR. NOTE: ALLOW SKIP ON MONTH.	| | | / | | | | | MONTH YEAR (1-12) (1990-2017) DON’T KNOW d REFUSED r		| | | / | | | | | MONTH YEAR (1-12) (1990-2017) DON’T KNOW d REFUSED r
E1=0 WIA E5. When did you stop working at this job? INTERVIEWER: RECORD MONTH AND YEAR.	| | | / | | | | | MONTH YEAR (1-12) (2013-2017) STILL AT JOB……………………………..98 DON’T KNOW………………………………d REFUSED…………………………………...r		| | | / | | | | | MONTH YEAR (1-12) (2013-2017) STILL AT JOB 98 DON’T KNOW d REFUSED r
E1a=1 SKIP IF E2 or E3b _1= 1 FILL “ARE” IF E5=98, ELSE FILL “WERE” WIA E6. Which of the following best describes your work at [JOB NAME]? [Are/Were] you working . . .	CODE ONE ONLY as a regular full-time or part-time employee, 1 for a temporary help agency, 2 self-employed, 4 as a day laborer, 5 or something else (PLEASE specify)? 99 (STRING (100)) DON’T KNOW d REFUSED r	CODE ONE ONLY as a regular full-time or part-time employee, 1 for a temporary help agency, 2 self-employed, 4 as a day laborer, 5 or something else (PLEASE specify)? 99 (STRING (100)) DON’T KNOW d REFUSED r
E1=1 OR E1a=1 IF E1=1 FILL DO; IF E1a=1, FILL DID New E6a. [Do/Did] you have taxes taken out of your paycheck for the work you [do/did] at this job?	YES 1 NO 0 R VOLUNTEERS: WAS PAID IN CASH……………………..9 DON’T KNOW d REFUSED r	YES 1 NO 0 R VOLUNTEERS: WAS PAID IN CASH……………………..9 DON’T KNOW d REFUSED r
IF E3=1 OR E3c=1 GO TO E4 [JOB 2-6] WHEN E3 NE 1 AND E3c NE 1 GO TO E10 IF E3=1 OR E3c=1 GO TO E4 [JOB 2-6] WHEN (E3 NE 1 AND E3c NE 1) GO TO E10 E1=1 OR E1a=1 IF E5=98 FILL “DO”, ELSE FILL “DID” WIA E7. How many hours [do/did] you usually work in a week on this job? Your best estimate is fine.	| | | HOURS PER WEEK (0-98) 99 OR MORE HOURS PER WEEK 99 DON’T KNOW d REFUSED r	| | | HOURS PER WEEK (0-98) 99 OR MORE HOURS PER WEEK 99 DON’T KNOW d REFUSED r
E1=1 OR E1a=1 FILL “IS” AND “CURRENT” IF E5=98, ELSE FILL “WAS” AND “MOST RECENT” WIA E8. What [was/is] your [most recent/current] rate of pay, before taxes and deductions, at that job? PROBE: If your pay [varies/varied], please provide an average amount. ACCEPT MOST CONVENIENT PAY PERIOD. SOFT CHECK: IF ANSWER IS GREATER THAN $50 PER HOUR, $2000 PER WEEK, $4000 ONCE EVERY 2 WEEKS, $4000 TWICE A MONTH, $100,000 PER YEAR, $400 DAY/DAILY, OR $8000 MONTH, SAY: “I RECORDED [E7 ANSWER]. IS THAT CORRECT?”	$ | | | |,| | | |.| | | AVERAGE (0-999,999.99) AMOUNT PER HOUR 1 PER WEEK 2 MONTH 3 ONCE EVERY TWO WEEKS 4 TWICE A MONTH 5 PER YEAR 6 DAY/DAILY 7 PER EVENT/ACTIVITY/UNIT/JOB 8 PLUS TIPS/COMMISSION/BONUS 9 OTHER (SPECIFY) 99 (STRING (100)) DON’T KNOW d REFUSED r	$ | | | |,| | | |.| | | AVERAGE (0-999,999.99) AMOUNT PER HOUR 1 PER WEEK 2 MONTH 3 ONCE EVERY TWO WEEKS 4 TWICE A MONTH 5 PER YEAR 6 DAY/DAILY 7 PER EVENT/ACTIVITY/UNIT/JOB 8 PLUS TIPS/COMMISSION/BONUS 9 OTHER (SPECIFY) 99 (STRING (100)) DON’T KNOW d REFUSED r
E1=1 SKIP IF E2 or E3b = 2 OR E6=5 WIA modified for CSPED E9. Which of the following benefits are available to you on your job (READ EACH ITEM) . . . SELECT IF AVAILABLE, BUT NOT USED.	CODE ALL THAT APPLY Paid leave for holidays, vacation or illness? 1 Health insurance or membership in an HMO or PPO plan? 2 DON’T KNOW d REFUSED r	CODE ALL THAT APPLY Paid leave for holidays, vacation or illness? 1 Health insurance or membership in an HMO or PPO plan? 2 DON’T KNOW d REFUSED r
E9=2 New E9b. [Were you ever covered by /Have you ever been covered by] the health insurance plan offered by this employer?	YES 1 NO 0 GO TO E10 DON’T KNOW d GO TO E10 REFUSED r GO TO E10	YES 1 NO 0 GO TO E10 DON’T KNOW d GO TO E10 REFUSED r GO TO E10
E9b=1 New E9c. [Were any of your children ever covered /Have any of your children ever been covered by] the health insurance plan offered by this employer?	YES 1 NO 0 DON’T KNOW d REFUSED r	YES 1 NO 0 DON’T KNOW d REFUSED r

all

PACT

E10. Since [RA MONTH YEAR], was there anything else you did for pay, such as odd jobs or any other type of work, that we haven’t already talked about?

YES 1

NO 0 GO TO E12

DON’T KNOW d GO TO E12

REFUSED r GO TO E12

E10=1

PACT

E11. What is your best guess of how much money you received from these activities since [RA MONTH YEAR]? Please do not include money you made from jobs we talked about earlier.

PROBE: Your best guess is fine.

$| | | , | | | |

(0-99,999)

DON’T KNOW d

REFUSED r

all

BSF 15 month follow-up modified for CSPED

E12. Since [RA MONTH YEAR], have you received any disability insurance income, such as Supplemental Security Income (SSI), or Social Security Disability Insurance (SSDI)?

YES 1

NO 0 GO TO E14

DON’T KNOW d GO TO E14

REFUSED r GO TO E14

E12=1

BSF 15 month follow-up modified for CSPED

E13. In the past 30 days, about how much money did you receive from disability insurance income, such as Supplemental Security Income or Social Security Disability Insurance?

PROBE: Your best guess is fine.

$| | | , | | | | IN PAST 30 DAYS

(0-99,999)

DON’T KNOW d

REFUSED r

ALL

if F1=1 1 fill “better job” OR if F1=0, DK, R fill “Job”

E14. The next question asks about looking for a job. In the past 30 days, have you taken steps to find a [job/better job]?

PACT developed

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

FFCWS, BSF tailored for CSPED

E15. Now I am going to read you a list of things that can make it hard for people to find or keep a job. Please tell me if each of the following has made it not at all hard, a little hard, somewhat hard, very hard, or extremely hard for you to find or keep a job since [RA MONTH YEAR]?:

	NOT AT ALL	A LITTLE	SOMEWHAT	VERY	EXTREMELY	DK	REF
a. Problems getting to work, such as not having a car or access to public transportation	0	1	2	3	4	d	R
b. Not having the kinds of skills employers are looking for	0	1	2	3	4	d	R
c. Having to take care of a family member (Has this made finding and keeping a job extremely hard, very hard, somewhat hard, a little bit hard, or not hard at all?) (Has this made finding and keeping a job extremely hard, very hard, somewhat hard, a little bit hard, or not hard at all?)	0	1	2	3	4	r	R
d. Not having a steady place to live	0	1	2	3	4	d	R
e. Alcohol or drug use	0	1	2	3	4	d	R
f. Trouble getting along with other people or controlling your anger (Has this made finding and keeping a job extremely hard, very hard, somewhat hard, a little bit hard, or has this not made it hard at all?) (Has this made finding and keeping a job extremely hard, very hard, somewhat hard, a little bit hard, or has this not made it hard at all?)	0	1	2	3	4	d	R
g. Your physical health	0	1	2	3	4	d	R
h. Having a criminal record	0	1	2	3	4	d	R
i. A lack of jobs available in your area	0	1	2	3	4	d	R

ALL

New

E16. The next question asks about bank accounts you might have, such as savings accounts or checking accounts with a bank or credit union. Do you currently have a bank account?

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

SHARP

E17. Since [RA MONTH YEAR], did you do any of the following because there wasn’t enough money?

	YES	NO
a. Cut the size of your meals or skip meals because you couldn’t afford enough food?	1	0
b. Move in with other people, even for a little while, because of financial problems?	1	0
c. Ask to borrow money from friends or family?	1	0
d. Go without a phone because you could not afford to pay the bill or buy extra cell phone minutes?	1	0
e. Sold or pawned your belongings, or taken a payday loan or auto-title loan?	1	0
f. Thought about going to the doctor, dentist or hospital, but decided not to because of the cost?	1	0

Next I have some questions about people that you could turn to if you needed help.

ALL

BSF 15 Month Follow-up Modified for CSPED

E18. If you suddenly needed to borrow $100 because of an emergency, how many people could you turn to for help?

| | | PEOPLE

(0-25)

MORE THAN 25 PEOPLE 99

DON’T KNOW d

REFUSED r

ALL

BSF 15 Month Follow-up Modified for CSPED

E19. If you needed a place to stay for a few days, how many people could you turn to for help?

| | | PEOPLE

(0-25)

MORE THAN 25 PEOPLE 99

DON’T KNOW d

REFUSED r

ALL

BSF 15 Month Follow-up Modified for CSPED

E20. If you needed a ride somewhere, such as to work or to an appointment, how many people could you turn to for help?

| | | PEOPLE

(0-25)

MORE THAN 25 PEOPLE 99

DON’T KNOW d

REFUSED r

The next questions ask for a little more information about where you live.

C4≠1 OR C20≠1

HII modified for CSPED

E21. Do you live in the place where you are currently living all of the time? By this I mean that you do not have another place that consider your home.

PROBE: This is where you receive your mail, have keys, pay rent, or keep all or most of your belongings.

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

PACT

E22. Do you currently own the place where you live, rent it, pay some amount toward rent, live rent free with a friend or relative, or do you have some other arrangement?

OWN OR HAVE MORTGAGE 1

RENT 2

PAY SOME OF THE RENT 3

LIVE RENT FREE (SOMEONE ELSE RENTS/OWNS HOUSE) 4

LIVE IN SHELTER 5

LIVE ON STREETS 6

LIVE IN ABANDONED BUILDING/CAR 7

OTHER (SPECIFY) 99

DON’T KNOW d

REFUSED r

ALL

HII modified for CSPED

E23. Since [RA MONTH YEAR], how many times have you moved?

| | | TIMES

(0-25)

DON’T KNOW d GO TO E22a

REFUSED r GO TO E22a

E 23= DK, REF

New

E23a. I just need to know a range. Would you say you moved:

1-3 times, 1

4-6 times, 2

7-9 times, or 2

10 or more times? 3

DON’T KNOW d

REFUSED r

The next questions ask about driver’s licenses.

ALL

New

E24. Have you ever had a driver’s license?

YES 1

NO 0 GO TO F1

DON’T KNOW d GO TO F1

REFUSED r GO TO F1

E 24=1

New

E25. Is your driver’s license currently valid?

IF NEEDED: By valid we mean that it not expired, and has not been suspended or taken away.

YES 1

NO 0

DON’T KNOW d

REFUSED r

I would like to ask you a few questions about your experience with the criminal justice system.

all

BSF

F1. Have you been arrested since [RA MONTH YEAR]?

YES 1

NO 0 GO TO G1

DON’T KNOW d GO TO G1

REFUSED r GO TO G1

F1= 1

SVORI tailored for CSPED

F2. How many times have you been arrested since [RA MONTH YEAR]?

INTERVIEWER: CODE 0 IF NEVER ARRESTED

| | | TIMES

(1-99)

NEVER ARRESTED 0 GO TO G1

DON’T KNOW d

REFUSED r

F2=d or r

SVORI tailored for CSPED

F3. Would you say . . .

once or twice, 1

3 to 5 times, 2

6 or more? 3

DON’T KNOW d

REFUSED r

F2 NE 0

F4. Since [RA MONTH YEAR], have you been convicted of a crime?

SVORI tailored for CSPED

YES 1

NO 0 GO TO G1

DON’T KNOW d GO TO G1

REFUSED r GO TO G1

F4=1

SVORI tailored for CSPED

F5. Since [RA MONTH YEAR], have you spent any time in an adult correctional institution, like a county, state or federal jail or prison?

YES 1

NO 0 GO TO F7

DON’T KNOW d GO TO F7

REFUSED r GO TO F7

F5=1

SVORI tailored for CSPED

F6. How long have you spent in adult correctional institution since [RA MONTH YEAR]?

INTERVIEWER: IF LESS THAN 1 WEEK, ENTER 1 WEEK.

INTERVIEWER: FIRST ENTER IF RESPONSE IS WEEKS, MONTHS AND/OR YEARS. YOU WILL ENTER THE NUMBER OF YEARS AND/OR MONTH ON NEXT TWO SCREENS.

| | | |
IF UNIT IS WEEKS, RANGE= 0-52

IF UNIT= MONTHS, RANGE= 0-99

IF UNIT= YEARS, RANGE= 0-99

SOFT CHECK: IF UNIT= YEARS “I have recorded [F6 VALUE AND UNIT]. Is that correct?”

WEEKS 1

MONTHS 2

YEARS 3

DON’T KNOW d

REFUSED r

F4=1

SVORI tailored for CSPED

F7. Have you been on probation or parole since [RA MONTH YEAR]?

YES 1

NO 0 GO TO G1

DON’T KNOW d GO TO G1

REFUSED r GO TO G1

F7=1

SVORI tailored for CSPED

F8. Are you currently on probation or parole?

YES 1

NO 0

DON’T KNOW d

REFUSED r

The next questions are about how you are doing.

all

PHQ

G1. Over the last two weeks, how often have you been bothered by any of the following problems?

PROGRAMMER: INSERT a-h

Would you say that the problem happened not at all, on several days, on more than half the days, or on nearly every day in the last two weeks?

	CODE ONE RESPONSE PER ROW
	NOT AT ALL	SEVERAL DAYS	MORE THAN HALF THE DAYS	NEARLY EVERY DAY	DK	REF
a. Little interest or pleasure in doing things	0	1	2	3	d	R
b. Feeling down, depressed, or hopeless	0	1	2	3	d	R
c. Trouble falling or staying asleep, or sleeping too much	0	1	2	3	d	R
d. Feeling tired or having little energy	0	1	2	3	d	R
e. Poor appetite or overeating	0	1	2	3	d	R
f. Feeling bad about yourself—or that you are a failure or have let yourself or your family down	0	1	2	3	d	R
g. Trouble concentrating on things, such as reading the newspaper or watching television	0	1	2	3	d	R
h. Moving or speaking so slowly that other people could have noticed? Or the opposite—being so fidgety or restless that you have been moving around a lot more than usual	0	1	2	3	d	R

all

G2. For each of the following questions, please tell me if you feel this way never, rarely, sometimes, very often, or extremely often. How often do you:

		SELECT ONE RESPONSE PER ROW
FFCWS tailored for CSPED	NEVER		RARELY	SOMETIMES	VERY OFTEN	EXTREMELY OFTEN	DK	REF
FFCWS tailored for CSPED a. Feel in control over the things that happen to you?	1		2	3	4	5	d	R
FFCWS tailored for CSPED b. Feel that you can change many of the important things in your life?	1		2	3	4	5	d	R
FFCWS tailored for CSPED c. Feel helpless in dealing with problems?	1		2	3	4	5	d	R
d. Feel that you are being pushed around?	1		2	3	4	5	d	R
PACT e. Find it hard to make plans for the future?	1		2	3	4	5	d	R

Now I would like to ask you about some of the services you may have received since [RA MONTH YEAR].

all

BSF 15 month follow-up modified for CSPED

H1. Since [RA MONTH YEAR], have you participated in any classes, groups, or workshops to help you find a job, create a resume, or prepare for job interviews?

YES 1

NO 0 GO TO H4

DON’T KNOW d GO TO H4

REFUSED r GO TO H4

H1=1

BSF 15 month follow-up modified for CSPED

H2. About how many times did you participate in classes, groups, or workshops like this since [RA MONTH YEAR]?

| | | NUMBER OF CLASSES, GROUPS, OR WORKSHOPS GO TO H3

DON’T KNOW d GO TO H4

REFUSED r GO TO H4

H2=ANSWERED

IF H2>1 FILL “EACH.” IF H2=1, FILL “THIS”

BSF 15 month follow-up modified for CSPED

H3. About how many minutes or hours did [each/this] class, group, or workshop session last?

| | | MINUTES

| | | HOURS

DON’T KNOW d

REFUSED r

all

BSF 15 month follow-up modified for CSPED

H4. Since [RA MONTH YEAR], have you received any one-on-one services to assess your job skills and interests, or to help you find a job, create a resume, or prepare for job interviews?

YES 1

NO 0 GO TO H7

DON’T KNOW d GO TO H7

REFUSED r GO TO H7

H4=1

BSF 15 month follow-up modified for CSPED

H5. About how many times have you met with someone to receive these services since [RA MONTH YEAR]?

| | | NUMBER OF TIMES

DON’T KNOW d GO TO H7

REFUSED r GO TO H7

H5=ANSWERED

IF H5>1 FILL “EACH;” “TYPICALLY.” IF H5=1, FILL “THIS”

BSF 15 month follow-up modified for CSPED

H6. About how many minutes or hours did [each/this] meeting [typically] last?

| | | MINUTES

| | | HOURS

DON’T KNOW d

REFUSED r

all

BSF 15 month follow-up modified for CSPED

H7. Since [RA MONTH YEAR], have you participated in a training program for a specific job, trade, or occupation?

YES 1

NO 0 GO TO H10

DON’T KNOW d GO TO H10

REFUSED r GO TO H10

H7=1

BSF 15 month follow-up modified for CSPED

H8. About how many times did you attend this training program since [RA MONTH YEAR]?

| | | NUMBER OF MEETINGS

DON’T KNOW d GO TO H10

REFUSED r GO TO H10

H8=ANSWERED

IF H8>1 FILL “EACH.” IF H8=1, FILL “THIS”

BSF 15 month follow-up modified for CSPED

H9. About how many minutes or hours did [each/this] session last?

| | | MINUTES

| | | HOURS

DON’T KNOW d

REFUSED r

ALL

New

H10. Since [RA MONTH YEAR], has someone from an employment program put you in touch with an employer about a specific job opening?

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

New

H11. Since [RA MONTH YEAR], have you gotten help from a program where someone checked in with you once in a while after you got a job to see how things were going at work?

YES 1 GO TO H13

NO 0 GO TO H13

DON’T KNOW d GO TO H13

REFUSED r GO TO H13

H11=1

New

H12. Since [RA MONTH YEAR], about how many times has this person checked in with you, either in-person, by phone, or by email? If you aren’t sure, please provide your best guess.

| | | NUMBER OF TIMES

DON’T KNOW d

REFUSED r

ALL

PACT

H13. The next question is about jobs in which all or part of your wages were paid by someone other than your employer, such as a program that helps people find jobs. Sometimes these jobs are called subsidized employment, supported work, or transitional employment. At any time since [RA MONTH YEAR], did you have a job like this?

YES 1

NO 0

DON’T KNOW d

REFUSED r

ALL

New

H14. The next question is about help you might have received from a program getting to or from work. Help getting to or from work can include a program staff member giving you a ride or giving you a bus pass or gas card. Since [RA MONTH YEAR], have you gotten any help from a program getting to or from work?

YES 1

NO 0

DON’T KNOW d

REFUSED r

all

ASK IF BL B6=1, DK, RF

BSF 15 month follow-up modified for CSPED

H15. Since [RA MONTH YEAR], have you participated in any classes to finish high school or get a GED?

YES 1

NO 0

DON’T KNOW d

REFUSED r

all

BSF 15 month follow-up modified for CSPED

H16. Since [RA MONTH YEAR], did you receive any services for a mental health, alcohol or substance use problem?

YES 1

NO 0

DON’T KNOW d

REFUSED r

all

BSF 15 month follow-up modified for CSPED

H17. Since [RA MONTH YEAR], did you receive any services for anger management or domestic violence?

YES 1

NO 0

DON’T KNOW d

REFUSED r

all

New

H18. Since [RA MONTH YEAR], did someone from a program help you to get any arrests or convictions removed from your record? This process is sometimes called expungement.

YES 1

NO 0

R VOLUNTEERS: I DON’T HAVE A RECORD 9

DON’T KNOW d

REFUSED r

all

BSF 15 month follow-up modified for CSPED

H19. Since [RA MONTH YEAR], have you participated in any classes, groups, or workshops about parenting, or to help you improve your relationship with your children?

YES 1

NO 0 GO TO H22

DON’T KNOW d GO TO H22

REFUSED r GO TO H22

H19=1

BSF 15 month follow-up modified for CSPED

H20. About how many classes, groups, or workshops like this have you attended since [RA MONTH YEAR]?

| | | NUMBER OF CLASSES, GROUPS, OR WORKSHOPS

DON’T KNOW d GO TO H22

REFUSED r GO TO H22

H20=ANSWERED

IF H17>1 FILL “EACH.” IF H17=1, FILL “THIS”

BSF 15 month follow-up modified for CSPED

H21. About how many minutes or hours did [each/this] class, group, or workshop session last?

| | | MINUTES

| | | HOURS

DON’T KNOW d

REFUSED r

ALL

New

H22. Since [RA MONTH YEAR], have you received any help from a program to establish or modify a visitation order or parenting time order?

YES 1

NO 0

DON’T KNOW d

REFUSED r

all

New

H23. The next question is about contact you may have had with the child support program. Since [RA MONTH YEAR], have you had contact with a specific person in the child support program who helped you address issues related to your child support case?

YES 1

NO 0 GO TO I1

DON’T KNOW d GO TO I1

REFUSED r GO TO I1

H23=1

New

H24. Since [RA MONTH YEAR], about how many times have you talked with this person, over the telephone or in-person?

| | | TIMES

DON’T KNOW d GO TO I1

REFUSED r GO TO I1

H24=ANSWERED

IF H24>1 FILL “EACH.” IF H17=1, FILL “THIS”

New

H25. About how many minutes or hours did [each/this] conversation typically last?

| | | MINUTES

| | | HOURS

DON’T KNOW d

REFUSED r

We are almost finished. I just have a few more questions. These will help us contact you if we need to reach you in the future. We will only use this information if we cannot reach you with the other information you provided us.

all

PACT

I1. What is your current address?

PROBE: Is there an apartment number?

STREET 1

STREET 2

APT. #

CITY

STATE

ZIP

all

PACT

I2. What is your current home telephone number?

| | | | - | | | | -| | | | | TELEPHONE

(201-989) (200-999) (0000-9999)

NO LANDLINE AT HOME 0

DON’T KNOW d

REFUSED r

all

PACT

I3. Do you have a cell phone?

YES 1

NO 0 GO TO I5

DON’T KNOW d GO TO I5

REFUSED r GO TO I5

I3=1

PACT

I4. What is your cell phone number?

| | | | - | | | | -| | | | | TELEPHONE

(201-989) (200-999) (0000-9999)

DON’T KNOW d

REFUSED r

ALL

PACT

I5. What is your email address?

INTERVIEWER: ENTER E-MAIL ON NEXT SCREEN

(STRING 50)

DON’T HAVE ONE 0

DON’T KNOW d

REFUSED r

END OF CALL

PACT

END1. Thank you very much for your time. Those are all the questions I have right now. You will receive a $25 gift card as a token of our appreciation. Thank you for your participation in the CSPED study.

PACT

END2. I am sorry to hear that, our condolences for your loss. Thank you for your time.

INTERVIEWER: BRING THIS CASE TO LOCATING FOR CONFIRMATION OF DEATH.