Attachment 14
2019 NSECE
Household Questionnaire Items - Overview and Comparison
August 2018
Overview of Proposed 2019 NSECE Questionnaire and Changes from 2012 NSECE Questionnaire 1
Item Level Comparison between 2012 NSECE and Proposed 2019 Questionnaire 8
2019 Category |
2019 Construct |
Key changes from 2012 to 2019 |
Section A: Child Demographics |
Number of children in household |
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Roster of each child in household |
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Sex of each child in household |
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Dates of birth for each child in household |
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Country of birth for each child in household |
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Ethnicity of each child in household |
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Race of each child in household |
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Respondent’s relationship to each child |
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Presence of each child’s parent in the household |
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Emotional, developmental, or behavioral condition for each child that affects care |
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Confirmation of other parent of a specific child being mentioned previously |
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Location of parent(s) not in household |
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Work status of parent(s) not in household |
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Educational attainment of parent(s) not in household |
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Number of times nonresident parent(s) visited child in last 12 months |
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Nonresident parent contributes at least $500 to child |
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Confirmation of respondent providing information on both parents of each child. |
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Identification of additional nonresident parents |
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Section B: Respondent and Household Adults Demographics |
Number of people over 13 living in household |
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Roster of person over 13 in household |
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Age of each person over 13 in household |
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Sex of each person over 13 in household |
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Respondent’s relationship to each person over 13 in household |
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Any children living in household for each household member |
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Identification of each household member’s children living in the household |
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Household member cares for children in household |
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Educational attainment of each household member over 13 |
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Ethnicity of each household member over 13 |
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Race of each household member over 13 |
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Country of birth for each household member over 13 |
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Year each household member first came to U.S. |
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Any guardian for child present in household |
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Type of guardian arrangement |
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Description of relationship between parents in the household |
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Language usually spoken in household |
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Any relative of children live nearby |
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Any nearby relative able to regularly care for children at no cost |
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Any nearby relative able to regularly care for children if paid |
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Section C: Child Care: Types and Hours |
Individuals and organizations that cared for each child last week |
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Additional information about specific child with no providers |
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Nonparental care schedule for each child last week |
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Identification of additional non-parental care providers who regularly care for child but did not care for child last week |
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Types of providers for each child Identification of last week providers as individuals or organizations |
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Any providers’ personal relationship to child |
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Respondent’s relationship to ECE provider |
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Provider lives or provides care in household |
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Any payment to provider who lives or provides care in household |
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Age of child when provider began caring for them |
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Linkage of specific providers mentioned to nearby providers |
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Location of provider |
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Provider is a school |
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Provider offers single type of activity |
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Provider offers care on a drop-in basis |
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Provider regularly cares for child (at least 5 hours each week) |
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Child enrolled in kindergarten through grade eight |
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Child enrolled in kindergarten |
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Hours of the regular school day |
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Child participates in Head Start or preK |
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Provider cares for child at child’s home or somewhere else |
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Method of transportation to provider |
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Who usually takes child to provider |
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Any language difficulty speaking with provider |
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Perception of specific types of care for randomly selected child: nurturing environment |
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Perception of specific types of care for randomly selected child: child prepared for school |
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Perception of specific types of care for randomly selected child: child taught to get along with others |
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Perception of specific types of care for randomly selected child: safe environment |
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Perception of specific types of care for randomly selected child: affordable care |
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Perception of specific types of care for randomly selected child: flexibility for parent |
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Section D: Respondent and spouse employment schedules |
Respondent/spouse/relevant HHM worked for pay last week |
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Respondent/spouse/relevant HHM attended high school or college last week |
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Respondent/spouse/relevant HHM attended additional courses or training programs last week |
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Respondent/spouse/relevant HHM daily activity schedule during last week |
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Reconciliation of adult and child calendar to identify gaps in child care |
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Location where relevant HHM works most hours each week |
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How relevant HHM gets to work |
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How long it takes relevant HHM to get to work |
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How far in advance is work schedule known for relevant HHM |
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Identification of whether there is a usual work schedule and if it applied last week for relevant HHM |
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Occupation and industry of relevant household member |
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Current wage of relevant household member |
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Relevant household member ever worked for pay |
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Last job held by relevant household member |
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When last job was held by relevant household member |
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Hours worked each week at last job by relevant household member |
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Wage received at last job for relevant household member |
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Number of days last month a parent worked from home for a child care related reason |
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Number of work days missed in the last 3 months |
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Number of work days missed because child care provider unavailable in the last 3 months |
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Number of work days missed because child was sick in the last 3 months |
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Any wages lost by respondent/spouse/HHM for missed work |
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Number of days late to work/left early in the last 3 months |
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Number of days late to work/left early for child care reasons in the last 3 months |
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Any wages lost by respondent/spouse/HHM for being late to work/leaving early |
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Number of days special child care arrangements made in the last 3 months because of unavailable provider |
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Number of days special child care arrangements made in the last 3 months because of any other reason |
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Respondent/spouse participates in flexible spending account at work |
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Section J: Child Care Payment and Subsidy to Each Provider |
Proxy for household income below 200 percent of federal poverty line, which allows to subset subsidy-related items to these households |
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Any payment from parent for each child care arrangement |
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Child care provider paid for by someone/someplace else for each child care arrangement |
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Other organizations/individuals who pay provider for each child care arrangement |
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Whether payment is a copayment for each child care arrangement |
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Job loss or reduction in work hours of parent would cause child to lose child care arrangement |
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Local resource/referral agency helped find arrangement or arrange for payment |
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Child care arrangement is free |
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Child care arrangement is a Head Start/Pre-K program |
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Child care arrangement relies on sliding fee scale |
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Amount paid for each child care arrangement |
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Other individual/organization reimburses provider |
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Any payments/reimbursements/vouchers paid directly to the household for child care arrangement |
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Amount of payments/reimbursements/vouchers paid directly to the household for child care arrangement |
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Amount of payments/reimbursements/vouchers paid directly to household for a specific child is the same amount received for each other child using provider |
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Non-monetary compensation for care provided: Identification of services exchanged with provider for child care and frequency |
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Confirmation that payment to provider includes payment for other children and amount paid |
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Section F: Non-parental Child Care Search |
Date when respondent last searched for child care for selected child |
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Last search included child care search for another child at same time |
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Main reason respondent initiated search for child care |
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Type of child care used at time of last child care search |
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Perception of different ECE types of care: Nurturing environment; educational Preparedness; social interactions; safety; affordability; flexibility for parents |
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More than one provider considered during last child care search |
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Type of provider(s) considered |
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Method(s) used by respondent to search for providers |
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Type(s) of information respondent collected about providers during search |
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Types of provider considered |
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Rate charged for care from considered provider(s) |
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Travel time to considered provider(s) |
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Perception of how well considered providers’ schedule would cover needed hours of care |
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Respondent’s overall quality rating for considered provider(s) |
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Any child care centers or organizations for school age children considered |
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Respondent considered someone they had a prior relationship with to care for child |
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Respondent considered home-based care from someone with no prior relationship to respondent |
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Result of child care search |
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Determination of which provider (if two listed) was chosen after search |
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Main reason for choosing child care provider |
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Types of help paying for care requested during provider search |
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Section G: Household characteristics |
Respondent/spouse/partner housing tenure |
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Car ownership |
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Total household income last month |
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Total household income last calendar year |
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Number of different earners included in last year’s total income |
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Any sources of income beyond job earnings included in last year’s total income |
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Amount of last year’s household income from sources other than job earnings |
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Any public assistance or welfare payments in last calendar year |
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Type of health insurance coverage for selected child |
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Number of respondent’s other children under 13 with health insurance coverage |
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Level of food insecurity in household |
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Types of food assistance currently received |
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Received EITC on most recent tax return |
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Any household members receive child care subsidies |
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Number of months in the past year a household member child care subsidies |
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Reason for end to child care subsidies |
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Ability to borrow $500 from someone/someplace for 3 months |
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Any internet access in the home |
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Device used for internet access |
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Section H: Parental Consent to Access Administrative Records |
Confirmation respondent is able to authorize release of records for eligible children |
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If respondent is not able to provide authorization: Name and contact information of person able to authorize release of records for eligible children |
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Respondent grants permission to access administrative records for eligible children |
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Roster and date of birth for every child under 13 in the household for whom respondent gives permission |
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Full name of authorizing adult |
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Confirmation of household’s address |
Category |
Construct |
2012 Questionnaire Item |
2019 Questionnaire Item |
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CAPI Household Screener |
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S_INTRO. Hello, my name is [NAME] and I’m from NORC at the University of Chicago. We’re conducting a study sponsored by the U.S. Department of Health and Human Services about the supply and demand for social and educational services in your community. May I speak to someone living in this household who is 18 years or older and is knowledgeable about the household?
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S1. First, I’d like to know how many children under 13 years of age are living in your household? Number of children under 13:______________
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S1_M. First, I’d like to know how many children under 6 years of age are living in your household? Number of children under 6:______________
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Item not included in 2012. |
S1_1. How many children between 6 and 13 years old live in this household? Number of children between 6 and 13:_____________________
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Item not included in 2012. |
S1_2. Do you personally regularly look after any children under age 13 who are not your own? IF NEEDED: By regularly I mean five hours a week or more.
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S1_3. Does any other adult 18 years or older living in this household regularly look after any children under age 13 who are not his or her own? IF NEEDED: By regularly I mean five hours a week or more.
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Household screener item S1_3 has not changed. |
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S1_4. Are children being looked after in someone’s home or in a school or child-care center?
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Household screener item S1_4 has not changed. |
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S1_5. Please tell me the names of individuals 18 years or older living in this household who regularly look after children under age 13 who are not their own. IF NEEDED: I am only interested in people looking after children in someone's home, not in a center or school.
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Household screener item S1_5 has not changed. |
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S1_6. May I verify that you live on (SAMPLE ADDRESS)?
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S1_6_M. May I verify that you live at (ADDRESS)?
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S1_7. May I know your street address? _________________________________________________
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Household screener item S1_7 has not changed. |
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S2a. Is the parent/guardian of the youngest child in the household at least 18 years of age?
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Household screener item S2a has not changed. |
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S2. May I speak to the parent/guardian of the youngest child in the household?
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Household screener item S2 has not changed. |
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S3. Is there anyone available at this time who is 18 years or older and knows how the youngest child spends his or her day?
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Household screener item S3 has not changed. |
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S4. May I speak with him/her please?
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Household screener item S4 has not changed. |
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S5. May I speak to [SELECTED FFNN PROVIDER]?
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Household screener item S5 has not changed. |
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Mail Household Screener |
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Q1. First, how many adults (18 years and older) live in this household? __________________NUMBER OF ADULTS
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Mail household screener item Q1 has not changed. |
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Q2. How many children under the age of 6, including babies, live in this household? _________________NUMBER OF CHILDREN
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Mail household screener item Q2 has not changed. |
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Q3. How many children between 6 and 13 years old live in this household? _________________NUMBER OF CHILDREN
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Mail household screener item Q3 has not changed. |
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Q4. Is anyone in this household expecting to have a baby in the next three months?
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Item not included in 2019. |
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Q5. Do you regularly look after any children under age 13 who are not your own for 5 hours a week or more? Please include children you may live with as well as children from other households.
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Mail household screener item Q5 has not changed. |
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Q6. Do you look after those children in someone’s home or in a school or child-care center?
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Mail household screener item Q6 has not changed. |
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Q7. Not including yourself, how many other adults in the household, if any, regularly look after any children under age 13 who are not his or her own, for 5 hours a week or more? Again, please include looking after children in this household.
_______________________Number of adults |
Mail household screener item Q7 has not changed. |
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Q8. Do they look after children in someone’s home or in a school or child-care center?
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Mail household screener item Q5 has not changed. |
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Q9. Three months from now, how likely do you think it is that any adult in the household will be regularly looking after children under age 13 who are not their own?
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Item not included in 2019. |
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Item not included in 2012. |
Q8. Are there any adults age 18 or over in this household who require assistance with daily activities such as eating or walking?
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Item not included in 2012. |
Q9. Does anyone in this household care for an adult who requires assistance with daily activities such as eating and walking? The care could be in this household or another.
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Q10. In general, how do you feel about the quality and cost of child care and early education available to families with children in your community? Do you feel..
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Mail household screener item Q10 has not changed. |
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Q11. What is the best phone number to reach you if we have any questions about your survey? Name or Initial: ___________________________ Phone: _ _ _ -_ _ _ -_ _ __
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Mail household screener item Q11 has not changed. |
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Section A. Child Demographics |
Number of children in household |
S1. First, how many children under 13 live in your household?
Number of children: ________ DK/REF |
S1_M. First, how many children under 6 live in your household?
Number of children under 6 years: ________ DK/REF |
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Number of children in household |
Item not included in 2012. |
S1_SA. Next, how many children ages six to thirteen years live in your household? Number of children 6 to 13 years old: ________ DK/REF
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Roster of each child in household |
A1.
[IF S1>1: For each child under 13, starting with the youngest,] Can you tell me the first names (or initials) of all of the children under 13 who usually live in this household?
Child #1: ________ Child #2: ________ Child #3: ________ Child #4: ________ Child #5: ________ Child #6: ________ Child #7: ________ Child #8: ________ Child #9: ________ Child #10: ________
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Household item A1 has not changed. |
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Sex of each child in household |
A1b. (ASK IF NECESSARY:). Is [CHILD NAME] a boy or a girl?
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Household item A1b has not changed. |
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Dates of birth for each child in household |
A1c. In what month and year was [CHILD NAME] born?
MONTH: ________ DK/REF
YEAR: ________ |
Household item A1c has not changed. |
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Country of birth for each child in household |
A1c1. In what country was [CHILD NAME] born?
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Household item A1c1 has not changed. |
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Country of birth for each child in household |
A1c1_CNTRY [drop down list] In what country was [CHILD NAME] born?
NOTE: Refer to instrument item A1c1_CNTRY for complete list of countries available to respondents.
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Household item A1c1_CNTRY has not changed.
NOTE: Refer to instrument item A1c1_CNTRY for complete list of countries available to respondents.
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Ethnicity of each child in household |
A2d. Is [CHILD NAME] of Hispanic or Latino origin?
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Household item A2d has not changed. |
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Race of each child in household |
A2e. Is [CHILD NAME]…(select one or more)?
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Household item A2e has not changed. |
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Race of each child in household |
A2e_OS. (PLEASE SPECIFY:) _________________ DK/REF |
Household item A2e_OS has not changed. |
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Respondent’s relationship to each child |
A2f. What is [CHILD NAME]’s relationship to you?
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Household item A2f has not changed. |
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Presence of each child’s parent in the household |
A2g. [IF A2f = 2, 3, 4, 5, 6, 7 OR 8] Does [CHILD NAME] have a parent in the household? [IF A2f =1 OR 2] Does [CHILD NAME] have another parent in the household?
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Household item A2g has not changed. |
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Emotional, developmental, or behavioral condition for each child that affects care |
A2h. Does [CHILD NAME] have a physical, emotional, developmental, or behavioral condition that affects the way you provide care for [him/her]?
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Household item A2h has not changed. |
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Confirmation of other parent of a specific child being mentioned previously |
A2G1. You mentioned that [CHILD NAME]’s parent does not live in the household. Have you already told me about that other parent?
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Household item A2G1 has not changed. |
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Location of parent(s) not in household |
A2G2. You mentioned that [CHILD NAME]’s parent does not live in the household. Can you tell me the zip code or city and state where he/she lives?
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Household item A2G2 has not changed. |
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Location of parent(s) not in household |
A2G2_ZIP. ENTER PARENT’S ZIP CODE. ZIP CODE: _________________ |
Household item A2G2_ZIP has not changed. |
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Location of parent(s) not in household |
A2G2_CS. ENTER PARENT’S CITY AND STATE. CITY: _________________ -1 DK/REF STATE: _________________ |
Household item A2G2_CS has not changed. |
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Work status of parent(s) not in household |
A2G7. Last week, was s/he working full-time, part-time, or something else?
1 Working full time 2 Working part time 3 Something else 4 DK/REF
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Household item A2G7 has not changed. |
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Work status of parent(s) not in household |
A2G7_SPEC. SPECIFY: DK/REF |
Household item A2G7_spec has not changed. |
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Educational attainment of parent(s) not in household |
A2G8. What is the highest grade or level of schooling he/she has completed? (READ IF NECESSARY)
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Household item A2G8 has not changed. |
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Number of times nonresident parent(s) visited child in last 12 months |
A2G9. In the past 12 months, about how many times has he/she seen [CHILD NAME]?
TIMES: _________________ DK/REF
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Household item A2G9 has not changed. |
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Nonresident parent contributes at least $500 to child |
Item not included in 2012. |
A2G9a. In the past 12 months, has he/she contributed $500 or more for [CHILD NAME]’s basic needs, for example, food, clothing, or medical expenses? 1. Yes 2 No DK/REF
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Confirmation of respondent providing information on both parents of each child. |
A2g10. Have you accounted for two parents for this child?
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Household item A2g10 has not changed. |
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Identification of additional nonresident parents |
A2G10A. Does [CHILD NAME] have another parent who doesn’t live in this household?
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Household item A2G10A has not changed. |
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Section B: Respondent and Household Adults Demographics |
Number of people over 13 living in household |
B1a1. These next questions are about your family and the other people who live in your household and who are 13 years old or older. Including yourself, how many people 13 years old or older live in your household?
NUMBER OF PEOPLE: _________________ DK/REF
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Household item B1a1 has not changed. |
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Roster of person over 13 in household |
B1A.
[IF FIRST HHM:] Now please tell me the first names (or initials) of individuals over the age of 13 who usually live here. We will start with you. Can you please state your first name or initials?
[IF SECOND OR HIGHER HHM:] (Please tell me the name (or initials) of the next individual over the age of 13 who usually lives here.)
NAME: _________________ DK/REF
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Household item B1A has not changed. |
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Age of each person over 13 in household |
B1b. [IF FIRST HHM:] How old are you? [IF SECOND OR HIGHER HHM:] How old is [HHM NAME]? IF NEEDED: Your best guess is fine.
AGE: _________________ DK/REF
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Household item B1b has not changed. |
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Sex of each person over 13 in household |
B1c. IF NOT OBVIOUS: [IF FIRST HHM:] Are you male or female? [IF SECOND OR HIGHER HHM:] Is [HHM NAME] male or female?
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Household item B1c has not changed. |
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Respondent’s relationship to each person over 13 in household |
B1d. What is your relationship to [HHM NAME]?
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Household item B1d has not changed. |
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Any children living in household for each household member |
B1e. IF NOT OBVIOUS, ASK: Does [HHM NAME] have any children under the age of 13 in this household? IF NEEDED: Please include biological and adopted children.
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Household item B1e has not changed. |
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Identification of each household member’s children living in the household |
B1e_1. Who are [HHM NAME]’s children in this household?
[SELECT ALL THAT APPLY]
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Household item B1e_1 has not changed. |
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Household member cares for children in household |
B1f. Does [HHM NAME] ever look after the young children in the household? IF NEEDED: How about for more than 5 hours at a time?
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Household item B1f has not changed. |
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Educational attainment of each household member over 13 |
B1j. What is the highest grade or level of schooling that [you have/[HHM NAME] has] ever completed? (READ IF NECESSARY)
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Household item B1j has not changed. |
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Ethnicity of each household member over 13 |
B1m. Are you of Hispanic or Latino origin? Is [HHM NAME] of Hispanic or Latino origin?
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B1m_M. What is your ethnicity? Is [HHM NAME] of Hispanic or Latino origin?
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Race of each household member over 13 |
B1n. Which of the following are you… Which of the following is [HHM NAME]… (SELECT ONE OR MORE)
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B1n_M. What is your race… Which of the following is [HHM NAME]… (SELECT ONE OR MORE)
5 American Indian or Alaska Native 3 Asian 2 Black or African American 4 Native Hawaiian or Other Pacific Islander 1 White
7 DK/REF
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Country of birth for each household member over 13 |
B1o. [IF FIRST HHM:] In which country were you born? [IF SECOND OR HIGHER HHM:] In which country was [HHM NAME] born?
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Household item B1o has not changed. |
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Country of birth for each household member over 13 |
B1o_CNTRY [IF FIRST HHM:] In which country were you born? [IF SECOND OR HIGHER HHM:] In which country was [HHM NAME] born?
NOTE: Refer to instrument item B1o_CNTRY for complete list of countries available to respondents.
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Household item B1o_CNTRY has not changed. |
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Year each household member first came to U.S. |
B1o_1. [IF FIRST HHM:] In what year did you first come to USA? [IF SECOND OR HIGHER HHM:] In what year did [he/she] first come to USA?
YEAR: _________________ DK/REF
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Household item B1o_1 has not changed. |
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Any guardian for child present in household |
Item not included in 2012. |
B1_CUST. I do not have a parent recorded for [CHILD] in this household. Who is a guardian for [CHILD]? < list of B adults> 1. No guardian 2. Guardian or parent outside of household only
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Type of guardian arrangement |
Item not included in 2012. |
B1_CUST_a. Is that a formal relationship such as foster care or legal guardianship, or an informal arrangement? 1. Foster 2. Legal, not foster 3. Informal
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Description of relationship between parents in the household |
Item not included in 2012. |
B1_STRUCT. I see that there are [x] number of parents of young children in this household. Could you describe the family, marriage or other relationships between the [x] parents? INTERVIEWER: FOR EXAMPLE, 1 PARENT MAY BE THE DAUGHTER OF ANOTHER PARENT, OR TWO SISTERS AND THEIR HUSBANDS MAY BE LIVING IN THE SAME HOUSEHOLD.
VERBATIM: ________________________________________________________________________
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Language usually spoken in household |
B2. Now I have some additional questions about your household and other family. These questions are about the whole household and not just individual people.
What language is usually spoken in this household? (CHECK ALL THAT APPLY)
NOTE: Refer to instrument item B2 for complete list of languages available to respondents.
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Household item B2 has not changed. |
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Language usually spoken in household |
B2_SPEC. SPECIFY LANGUAGE _________________
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Household item B2_SPEC has not changed. |
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Any relative of children live nearby |
B3. [Does your child/Do your children] have any relatives who live within 45 minutes of your child's home? Please include relatives on your side of the family as well as relatives of the child’s other parent. IF NEEDED: Please report all relatives, even if they could not or would not provide care for a child.
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B3_M. [Does your child/Do your children] have any relatives who live within 45 minutes of your child's home? Please include relatives on your side of the family as well as relatives of the child’s other parent. IF NEEDED: Please report all relatives, even if they could not or would not provide care for a child.
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Any nearby relative able to regularly care for children at no cost |
B3b. Would any of these relatives be able to care for your child/children on a regular basis with no payment or only payment that covers transportation costs?
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Household item B3b has not changed. |
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Any nearby relative able to regularly care for children if paid |
B3c. Would any of these relatives be able to care for your child if you were to pay them?
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Household item B3c has not changed. |
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Section C: Child Care: Types and Hours |
Individuals and organizations that cared for each child last week |
C1. [Let’s start with [CHILD 1 NAME]./Now let’s talk about [CHILD X NAME].] Please tell me all of the people or organizations that cared for [him/her] last week. Do not include any parent of a child under 13 in this household or his or her spouse.
[IF CHILD AGE 5 YEARS OR MORE]: If your child attended regular school for any grade from kindergarten through eighth grade, please tell me the name of that school. If [CHILD NAME] also attended a before or after-school program, either at the school or somewhere else, please mention that program separately.
Please also include any other activities, such as playdates or babysitters.
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Household item C1 has not changed. |
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Individuals and organizations that cared for each child last week |
C1A1. ENTER PROVIDER NAME. _________________ DK/REF
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Household item C1A1 has not changed. |
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Individuals and organizations that cared for each child last week |
C1A_MORE. Is there another provider for [CHILD]?
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Household item C1A_MORE has not changed. |
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Additional information about specific child with no providers |
Item not included in 2012. |
IF CHILD IS AGE 8 YEARS OR OLDER AND NO PROVIDERS ARE INDICATED, ASK: C1A_SA_CHECK. I don’t have any providers recorded for [CHILD]. Some children his or her age who do not have any providers are home-schooled or have an illness or disability that limits their activities. Is there anything you’d like to share about how [CHILD] spends his or her time? VERBATIM: ______________________________________________________________________
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Nonparental care schedule for each child last week |
C2. IF NEEDED: Please tell me about last week, even if it was an unusual week. I’ll ask you other questions about usual schedule later on.
Thinking about last [DAY] (that is, [FILL DATE]), who cared for [CHILD NAME]? Do not include any parent of a child under 13 in this household or his or her spouse.
Add new provider |
Household item C2 has not changed. |
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Nonparental care schedule for each child last week |
C2A1. What time last [DAY] did [PROVIDER] start to care for [CHILD NAME]?
START TIME: |
Household item C2A1 has not changed. |
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Nonparental care schedule for each child last week |
C2D. When did the care with [PROVIDER] end last [DAY]?
END TIME: |
Household item C2D has not changed. |
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Nonparental care schedule for each child last week |
C2D2. Thinking about [CHILD NAME]’s schedule for last week, was any day’s schedule last week the same as last [Monday/Tuesday/Wednesday/Thursday/Friday/Saturday/Sunday]? SELECT ALL THAT APPLY.
NOTE: FILL [DAY] SCHEDULE IN THE GRID BELOW.
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Household item C2D2 has not changed. |
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Nonparental care schedule for each child last week |
C2A2. [IF NEEDED: Sometimes a child’s schedule on a specific day is different from his/her regular schedule for that day of the week.] Was [CHILD NAME]’s schedule last [DAY SELECTED IN C2D2] identical to [ORIGINAL DAY] that week, or were there some differences in when or where s/he spent time those two days?
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Household item C2A2 has not changed. |
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Identification of additional non-parental care providers who regularly care for child but did not care for child last week |
C3. Does anyone else regularly care for [CHILD NAME], even if they didn’t happen to care for [him/her] last week? By regularly I mean at least five hours each week.
3. DK/REF
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Household item C3 has not changed. |
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Identification of additional non-parental care providers who regularly care for child but did not care for child last week |
C4. Who usually provides care for [CHILD NAME] but didn’t do so last week? NAME: _________________ DK/REF
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Household item C4 has not changed. |
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Identification of additional non-parental care providers who regularly care for child but did not care for child last week |
C4a. Does that care usually take place at your home or somewhere else?
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Household item C4a has not changed. |
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Identification of additional non-parental care providers who regularly care for child but did not care for child last week |
C4b. How many hours per week does [C4 PROVIDER] usually care for [CHILD NAME]? NAME: _________________ DK/REF
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Household item C4b has not changed. |
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Identification of additional non-parental care providers who regularly care for child but did not care for child last week |
C4c. Was (CHILD)’s schedule last Monday the same as another child’s Monday schedule?
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Household item C4c has not changed. |
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Identification of additional non-parental care providers who regularly care for child but did not care for child last week |
C4C1. Which child had the same [DAY] schedule?
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Household item C4C1 has not changed. |
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Identification of additional non-parental care providers who regularly care for child but did not care for child last week |
C4C2. [IF NEEDED: Sometimes a (CHILD)’s schedule on a specific day is different from his/her regular schedule for that day of the week.] Was [CHILD NAME]’s schedule last [DAY] identical to [CHILD SELECTED IN C4C1]’s schedule, or were there some differences in when or where s/he spent time last [DAY]?
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Household item C4C2 has not changed. |
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Types of providers for each child Identification of last week providers as individuals or organizations |
C5A. [if not obvious, ask:] Is (PROVIDER) an individual or an organization?
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Household item C5A has not changed. |
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Any providers’ personal relationship to child |
C5C. Did you have a personal relationship with (PROVIDER) before s/he began caring for your child/children?
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Household item C5C has not changed. |
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Respondent’s relationship to ECE provider |
C5CA. What is your relationship to (PROVIDER)?
|
C5CA_M. What is your relationship to (PROVIDER)?
|
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Respondent’s relationship to ECE provider |
C5CB. (IF C5CA = 2) So (PROVIDER) Is the CHILD’s grandparent? / (IF C5CA = 4) Is this [CHILD]’s grandparent?
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Household item C5CB has not changed. |
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Provider lives or provides care in household |
C5D. (IF NOT OBVIOUS: ) Does this individual live in this household or provide care in this household?
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Household item C5D has not changed. |
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Any payment to provider who lives or provides care in household |
Item not included in 2012. |
C5E. Do you usually pay this person for looking after your child(ren)? 1. Yes 2 No 3 DK/REF |
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Age of child when provider began caring for them |
Item not included in 2012. |
C5F. How old was [CHILD] when [PROVIDER] started regularly looking after him or her? ____ Months ___ Years
|
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Linkage of specific providers mentioned to nearby providers |
C6. (IF NOT OBVIOUS:) What is the full name of [PROVIDER NAME]? INTERVIEWER INSTRUCTION: RE-ENTER FULL NAME OF PROVIDER IF OBVIOUS. _________________
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Household item C6 has not changed. |
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Linkage of specific providers mentioned to nearby providers |
C7. I have a list of most child care providers in the area, and I’ll see if this program is on my list. In that case, I won’t have to ask you quite as many questions about their care.
SELECT STATE PROVIDER LOCATED IN
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Household item C7 has not changed. |
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Linkage of specific providers mentioned to nearby providers |
C7_2. IN WHAT CITY IS [PROVIDER NAME] LOCATED?
CITY:
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Household item C7_2 has not changed. |
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Linkage of specific providers mentioned to nearby providers |
C7_3. PLEASE SELECT PROVIDER. IF PROVIDER NOT LISTED, SELECT "NOT ON LIST".
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Household item C7_3 has not changed. |
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Location of provider |
C8. [IF C5A=2 OR 3]IF ORGANIZATION: I’m not finding the listing.] Could you tell me the street address where (s/he lives/they are)?
IF NEEDED: Your answers to this and all other questions will be private and released only in statistical form.
IF NEEDED: Could I know just the zip code and the intersection nearest provider? You can just tell me two cross-streets and the zip code, or the city and state and cross streets.
IF NEEDED: We know that the location of child care is very important to parents and children. We only want the location of the provider in order to understand the distances between providers, the child’s home, and other important locations.
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C8_M. [IF C5A=2 OR 3]IF ORGANIZATION: I’m not finding the listing.] Could you tell me the street address where (s/he lives/they are)?
IF NEEDED: Your answers to this and all other questions will be privatel and released only in statistical form.
IF NEEDED: Could I know just the zip code and the intersection nearest provider? You can just tell me two cross-streets and the zip code, or the city and state and cross streets.
IF NEEDED: We know that the location of child care is very important to parents and children. We only want the location of the provider in order to understand the distances between providers, the child’s home, and other important locations.
DK/REF |
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Location of provider |
C8_ADDR2. ENTER ADDRESS INFORMATION: ADDRESS _________________ DK/REF CITY _________________ DK/REF STATE _________________ DK/REF ZIP _________________ DK/REF |
Household item C8_ADDR2 has not changed. |
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Location of provider |
C8_CROSS. CROSS-STREETS ZIP _________________ DK/REF STREET 1 _________________ DK/REF STREET 2 _________________ DK/REF
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Household item C8_CROSS has not changed. |
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Location of provider |
C8_CROSS2. CROSS-STREETS CITY _________________ DK/REF STATE _________________ DK/REF STREET 1 _________________ DK/REF STREET 2 _________________ DK/REF |
Household item C8_CROSS2 has not changed. |
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Provider is a school |
C8A. (INTERVIEWER: CODE OR ASK IF NECESSARY:) Is [PROVIDER NAME] a regular school such as a K to 6 or K to 8 elementary school or grades 6-8 middle school?
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Item not included in 2019. |
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Provider offers single type of activity |
C8_3. Some organizations provide a single type of activity for children, that many children may participate in for only a couple of hours each week. These could include tutoring programs, sports, or music or dance lessons.
Would you say that [PROVIDER] offers a single type of activity or more than one type of activity?
1 Single 2 More than one 3 DK/REF
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Household item C8_3 has not changed. |
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Provider offers care on a drop-in basis |
C8_4. Some organizations offer drop-in care that parents can use on an unscheduled basis and without signing up in advance. Gyms, shopping malls, community centers and churches are some places that can offer drop-in care.
Does [CHILD] attend [PROVIDER] on a drop-in basis?
1 YES 2 NO 3 DK/REF
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Household item C8_4 has not changed. |
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Provider regularly cares for child (at least 5 hours each week) |
C9. Does [PROVIDER] care for (CHILD) regularly? By regularly, we mean at least five hours each week.
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Household item C9 has not changed. |
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Child enrolled in kindergarten through grade eight |
Item not included in 2012. |
C8B. (IF [PROVIDER] IS AN ELEMENTARY SCHOOL IN SAMPLE FRAME AND CHILD IS AGE 60 MONTHS OR OLDER, ASK c8B. ELSE SKIP TO INSTRUCTION ABOVE C1a2_INTRO) Is [CHILD] enrolled in regular elementary or middle school, grades kindergarten through eight, at [PROVIDER]?
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Child enrolled in kindergarten |
Item not included in 2012. |
C8C. (IF CHILD IS 54 MONTHS TO 71 MONTHS, ASK) Is [CHILD] enrolled in kindergarten (IF CALIFORNIA: or transitional kindergarten) at [PROVIDER]? 1 Yes (KINDERGARTEN OR CALIFORNIA TRANSITIONAL KINDERGARTEN) 2 No (INCLUDES Pre-Kindergarten)
|
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Hours of the regular school day |
C8_1. Last week, what were the hours of the regular school day at [PROVIDER]? IF HOURS VARIED BY DAY, RECORD LONGEST DAY LAST WEEK.
START TIME: _________ DK/REF END TIME: ___________ DK/REF |
Household item C8_1 has not changed. |
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Child participates in Head Start or preK |
Item not included in 2012. |
C8_2. Does [CHILD] participate in a Head Start or Public Pre-Kindergarten program at [PROVIDER]? 1. YES 2 NO
|
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Provider cares for child at child’s home or somewhere else |
C1a2. Please tell me whether this care usually takes place in your home or somewhere else.
1 R’S HOME 2 SOMEWHERE ELSE 3 DK/REF
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Household item C1a2 has not changed. |
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Method of transportation to provider |
C1B. How did your child/children usually get to [PROVIDER] last week? (CODE ONE PER CHILD, DO NOT PROBE FOR ADDITIONAL.)
|
Household item C1B has not changed. |
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Who usually takes child to provider |
C1C. Who usually took your child/children there? <list PROVIDERS AND PARENTS> DK/REF
|
Household item C1C has not changed. |
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Any language difficulty speaking with provider |
C11. Do you have any difficulties talking with (PROVIDER/your caregiver at PROVIDER) because both of you aren’t comfortable speaking the same language?
1 Yes 2 No 3 DK/REF
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Household item C11 has not changed. |
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Perception of specific types of care for randomly selected child: nurturing environment |
C14_1. Now how would you rate it on having a nurturing environment for children of the same age as (SELECTED CHILD IN C14_SELECT)? Would you say: excellent, good, fair, poor?
|
Household item C14_1 has not changed. |
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Perception of specific types of care for randomly selected child: child prepared for school |
C14_2. How would you rate (center care/relative or friend care/family day care/parental care) on helping children be ready to learn in school for children of the same age as (SELECTED CHILD IN C14_SELECT)? Would you say excellent, good, fair, poor?
|
Household item C14_2 has not changed. |
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Perception of specific types of care for randomly selected child: child taught to get along with others |
C14_3. How about (center care/relative or friend care/family day care/parental care) for teaching children how to get along with other children? (Would you say it is excellent, good, fair, poor very good, somewhat good, or not very good for children of the same age as (SELECTED CHILD IN C14_SELECT)?)
|
Household item C14_3 has not changed. |
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Perception of specific types of care for randomly selected child: safe environment |
C14_4. How about safety in center care/relative or friend care/family day care/parental care (for children of the same age as (SELECTED CHILD IN C14_SELECT))? (Would you say it is excellent, good, fair, poor for children of the same age as (SELECTED CHILD IN C14_SELECT)?)
|
Household item C14_4 has not changed. |
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Perception of specific types of care for randomly selected child: affordable care |
C14_5. How about affordability of center care/relative or friend care/family care/parental care ()? (Would you say this type of care is excellent, good, fair, poor in terms of parents being able to afford it?)
|
Household item C14_5 has not changed. |
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Perception of specific types of care for randomly selected child: flexibility for parent |
C14_6. How about flexibility for parents who use center care/relative or friend care/family care/parental care? (Would you say this type of care is excellent, good, fair, poor for parents’ flexibility?)
|
Household item C14_6 has not changed. |
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Section D: Respondent and Spouse Employment Schedules |
Respondent/spouse/relevant HHM worked for pay last week |
D1A. I’m going to ask you about (your/HHMEM’s) current work situation. Last week, did (you/s/he) do any work for pay? IF NEEDED: Please include freelance work, work in the military, work for a family-owned business even if (you/s/he) did not get paid, and work on (your/his/her) own business or farm.
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Household item D1A has not changed. |
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Respondent/spouse/relevant HHM attended high school or college last week |
D1B. Last week, (did you/was s/he) attend classes in a high school, college or university?
|
Household item D1B has not changed. |
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|
Respondent/spouse/relevant HHM attended additional courses or training programs last week |
D1C. Other than high school, college, or university, did (you/s/he) attend any courses or training programs last week designed to help people find a job, improve their job skills, or learn a new job?
|
Household item D1C has not changed. |
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|
Respondent/spouse/relevant HHM daily activity schedule during last week |
D1D. Thinking about last [DAY], [FILL DATE], did you go to work/school/training?
DK/REF |
Household item D1D has not changed. |
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|
Respondent/spouse/relevant HHM daily activity schedule during last week |
D1D_1. What time did you begin [work/school/training] on last [DAY]? (Please include time you spent commuting to and from [work/school/training] in your response.)
TIME STARTED: |
Household item D1D_1 has not changed. |
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|
Respondent/spouse/relevant HHM daily activity schedule during last week |
D1D_2. What time did you end [work/school/training] on last [DAY]?
TIME ENDED: |
Household item D1D_2 has not changed. |
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|
Respondent/spouse/relevant HHM daily activity schedule during last week |
D1D_C2. What day(s) last week is (are) the same as [your/his/her] [DAY OF WEEK] schedule last week for work, school or training?
|
Household item D1D_C2 has not changed. |
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|
Reconciliation of adult and child calendar to identify gaps in child care |
CHK3. It seemed that (CHILD) was not in any care and you (and your spouse/partner) were at work/school/training from [INSERT SPELL OF TIME]. Was (CHILD) with you (and/or your spouse/partner) at work/school/training, or did he/she care for himself/herself during that period of time?
|
Household item CHK3 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Reconciliation of adult and child calendar to identify gaps in child care |
CHK3_SPECIFY. ENTER ANY ADDITIONAL INFORMATION ABOUT CHILD CARE GAP: __________________________
|
Household item CHK3_SPECIFY has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Respondent/spouse/relevant HHM daily activity schedule during last week |
D1D_C3. Sometimes people’s schedule on a specific day is different from their regular schedule for that day of the week. Thinking about last [DAY SELECTED IN D1D_C2] , was your/his/her schedule last [DAY SELECTED IN D1D_C2] identical to last [DAY D1D_C2 ASKED ABOUT] that week, or were there some differences in when you/he/she arrived at or left work, school, or training on those two days?
|
Household item D1D_C3 has not changed. |
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|
Location where relevant household member works most hours each week |
D2_1. Where is the place that (you/he/she) work(s) the most hours each week? Please tell me the address or nearest major intersection.
|
Household item D2_1 has not changed. |
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|
Location where relevant household member works most hours each week |
D2_ADDR. ENTER ADDRESS INFORMATION:
ADDRESS _________________ DK/REF CITY _________________ DK/REF STATE _________________ DK/REF ZIP _________________ DK/REF
|
Household item D2_ADDR has not changed. |
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|
Location where relevant HHM works most hours each week |
D2_CROSS. CROSS-STREETS
STREET 1 _________________ DK/REF STREET 2 _________________ DK/REF CITY _________________ DK/REF |
Household item D2_CROSS has not changed. |
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|
How relevant HHM gets to work |
Item not included in 2012. |
D2_TRANS. How (do you/ does he/she) usually get to work? 1 car 2 public transportation 3 bicycle 4 taxi or carpool 5 walking 6 VARIES/ OTHER METHOD
|
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|
How long it takes relevant HHM to get to work |
Item not included in 2012. |
D2_COMMUTE. On average, how long does it take (you/him/her) to make the trip to or from work? IF NECESSARY: Your best guess is fine.
________ minutes for one-way commute
|
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|
How far in advance is work schedule known for relevant HHM |
D2_2. How far in advance (do you/he/she) usually know what days and hours you/he/she will need to work?
|
Household item D2_2 has not changed. |
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|
Identification of whether there is a usual work schedule and if it applied last week for relevant HHM |
D2_3. Did (you/she/he) work (your/his/her) usual schedule last week, is there no usual schedule, or was last week’s schedule not the usual one?
|
Household item D2_3 has not changed. |
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|
Occupation and industry of relevant household member |
D2. What kind of work (do you/does he/she) do? RECORD JOB OR OCCUPATION NAME IN TABLE BELOW. IF NECESSARY, What is (your/his/her) title or the name of (your/his/her) job? PROBE: What are the usual activities on that job? _________________ DK/REF
|
Household item D2has not changed. |
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|
Occupation and industry of relevant household member |
D2A. What kind of business is that? RECORD FIRM NAME OR INDUSTRY DESCRIPTION IN TABLE BELOW. IF NECESSARY, What does the company make or do? PERSON X _________________ DK/REF
|
Household item D2A has not changed. |
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|
Current wage of relevant household member |
D3D. About how much are you paid at that job? [FILL D2 JOB NAME]
RECORD WAGE: _________________ DK/REF
Is that per…?
RECORD UNIT:
|
Household item D3D has not changed. |
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|
Relevant household member ever worked for pay |
D4. [Have you/has he/she] ever worked for pay?
|
Household item D4 has not changed. |
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|
Last job held by relevant household member |
D5A. What was the last job that (you/he/she) had? What was the job title or what were the main duties of the job? _________________
|
Household item D5A has not changed. |
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|
When last job was held by relevant household member |
D5B. When did you/he/she last work at that job? ENTER 33/33 IF R STILL WORKS THERE. MONTH: _______________ YEAR: _________________ |
Household item D5B has not changed. |
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|
Hours worked each week at last job by relevant household member |
D5C. About how many hours [did/do] (you/he/she) usually work at that job each week [when (you/he/she) stopped working there]? Would you say it was less than 15, between 15 and 30, or more than 30 hours per week?
|
Household item D5C has not changed. |
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|
Wage received at last job for relevant household member |
D5D. About how much (were you/was he/she/are you) paid at that job? Your best estimate is fine.
AMOUNT:
PER UNIT OF TIME
|
Household item D5D has not changed. |
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|
Number of days last month a parent worked from home for a child care related reason |
D9A. How many days in the past month did [one of] you work from home for a child-care related reason, such as wanting to stay nearby for a sick child, you didn’t have a child-care arrangement in place, or your child-care provider was sick?
DAYS:__________ DK/REF
|
Household item D9A has not changed. |
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|
Number of work days missed in the last 3 months |
D10. During the past 3 months, how many days of work have [one of] you missed for any reason? Don’t include scheduled holidays or vacation days.
DAYS:__________ (IF 0, SKIP TO D11) DK/REF
|
Household item D10 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Number of work days missed because child care provider unavailable in the last 3 months |
D10A. How many of these days did [one of] you miss because your provider was sick or on vacation?
DAYS:__________ DK/REF
|
Household item D10A has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Number of work days missed because child was sick in the last 3 months |
D10B. How many days did [one of] you miss because a child was sick and had to stay home?
DAYS:__________ DK/REF
|
Household item D10B has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Any wages lost by respondent/spouse/HHM for missed work |
D10C. Did that person lose any pay because of missed work?
1 YES 2 NO
|
Household item D10C has not changed. |
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|
Number of days late to work/left early in the last 3 months |
D11. During the past 3 months, how many days did [one of] you get to work late or have to leave early for any reason?
DAYS:__________ (IF 0, SKIP TO D12) DK/REF
|
Household item D11 has not changed. |
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|
Number of days late to work/left early for child care reasons in the last 3 months |
D11A. How many of these days did [one of] you get to work late or leave early because of child care responsibilities?
DAYS:__________ (IF 0, SKIP TO D12) DK/REF
|
Household item D11A has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Any wages lost by respondent/spouse/HHM for being late to work/leaving early |
D11B. Did that person lose any pay because of getting to work late or leaving early?
1 YES 2 NO
|
Household item D11B has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Number of days special child care arrangements made in the last 3 months because of unavailable provider |
D12. Approximately how many days in the last 3 months did [one of] you have to make special arrangements for (CHILD)’s care because a provider was sick or unavailable? Don’t count days that were holidays anyway.
DAYS:__________ DK/REF
|
Household item D12 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Number of days special child care arrangements made in the last 3 months because of any other reason |
D13. Approximately how many days in the last 3 months did [one of] you have to make special arrangements for (CHILD)’s care for some other reason (for example, a child was sick, transportation broke down, or any other reason)? Don’t count days that were holidays anyway.
DAYS:__________ DK/REF
|
Household item D13 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Respondent/spouse participates in flexible spending account at work |
D15. Do you or your spouse participate in a cafeteria-style flexible spending account at work so that you can pay for child care expenses out of pre-tax income?
1 Yes 2 No 3 DK/REF
|
Household item D15 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
Section E: Child Care Payment and Subsidy to Each Provider |
Proxy for household income below 200 percent of federal poverty line, which allows to subset subsidy-related items to these households |
Item not included in 2012. |
E0_subelig. In order to understand whether or not child care is affordable to American families, we need to know your household’s income. Was your total household income in 2018, before taxes and other deductions, below [$26,000 if (S1 + B1a1) = 2, $39,000 if (S1 + B1a1) = 3, $52,000 if (S1 + B1a1) = 4, $65,000 if (S1 + B1a1) = 5, $78,000 if (S1 + B1a1) = 6, $91,000 if (S1 + B1a1) = 7]?
1. Yes 2. No 3. DK/REF
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Any payment from parent for each child care arrangement |
E1. Now I have some more questions about the regular child care arrangements you use.
(Starting with the youngest child,) Does (PROVIDER FILLED IN FROM C1A) charge you anything directly for the care of (CHILD)? Please include charges even if you are later reimbursed.
1. YES 2. NO 3. DK/REF
|
E1_M. Now I have some more questions about the regular child care arrangements you use.
(Starting with the youngest child,) Do you pay (PROVIDER FILLED IN FROM C1A) anything directly for the care of (CHILD)? Please include payments even if you are later reimbursed.
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Child care provider paid for by someone/someplace else for each child care arrangement |
E2. Is the [PROVIDER] paid by someone or someplace else for the care of (CHILD)? Do not include payments, reimbursements or vouchers that go directly to you.
1. YES 2. NO 3. DK/REF
|
Household item E2 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Other organizations/individuals who pay provider for each child care arrangement |
E3. Who pays them? MARK ALL THAT APPLY
-1. dk/ref 1. Welfare or office of employment services 2. Agency for child development 3. local or community program 4. Community or religious group 5. Family or friend 6. Employer 7. Other
|
Household item E3 has not changed. |
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|
Child care arrangement is a Head Start/Pre-K program |
E5A. Two programs that might not charge parents for taking care of their young children are Head Start and [LOCAL NAME FOR PRE-K]. Do you happen to know if [PROVIDER] is one of these types of programs?
1. Yes 2. No 3. DK/REF
|
Household item E5A has not changed. |
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|
Child care arrangement is free |
E5. So this care is provided free by [PROVIDER]?
1. Yes 2. No 3. DK/REF
|
Household item E5 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Child care arrangement relies on sliding fee scale |
E6. Now think about the money you pay for [PROVIDER]. Sometimes the amount of money that a parent is charged for a child care arrangement or program depends on how much the family earns. This is sometimes called a sliding fee scale. Is the amount you are charged by [PROVIDER] determined by how much money you earn? 1.YES 2.NO 3.DK/REF
|
E6_M. Now think about the money you pay for [PROVIDER]. Sometimes the amount of money that a parent is charged for a child care arrangement or program depends on how much the family earns. This is sometimes called a sliding fee scale.
Is the amount you pay to [PROVIDER] determined by how much money you earn??
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Amount paid for each child care arrangement |
E7. How much do you pay this [PROVIDER]?
$___________ DK/REF (SKIP TO E7B) |
Household item E7 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Amount paid for each child care arrangement |
E7A. Is that per hour, per day, per week, bi-weekly, monthly, or something else?
1. Per Hour 2. per day 3. per week 4. every other week 5. per month 6. Something else (specify:___________) 7. DK/REF
|
Household item E7A has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Whether payment is a copayment for each child care arrangement |
E4. In addition to the payments made by (this source/these sources), do you have a co-payment? In other words, do you need to pay [PROVIDER] yourself with money out of your own pocket?
1.YES 2. NO 3. DK/REF
|
E4_M. Is this amount you pay provider [PROVIDER] a co-payment?
3. DK/REF |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Amount paid for each child care arrangement |
E4A. How much do you pay yourself?
________________________ -1 DK/REF (SKIP TO E2A)
|
Item not included in 2019. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Amount paid for each child care arrangement |
E4B. Is that per hour, per day, per week, bi-weekly, monthly, or something else?
1. Per hour 2. Per day 3. Per week 4. Every other week 5. Per month 6. Something else (specify:___________) 7. DK/REF
|
Item not included in 2019. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Confirmation that payment to provider includes payment for other children and amount paid |
E4C. (if r has more than one child who uses provider) Is that amount for (CHILD) only, or does it cover more than one child?
1. Child only (ask e4c1) 2. OTHER Children (SKIP TO E4C_OTHCHLDRN.) 3. DK/REF (SKIP TO E2A)
|
Item not included in 2019. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Confirmation that payment to provider includes payment for other children and amount paid |
E4C_OTHCHLDRN Which children?
|
Item not included in 2019. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Confirmation that payment to provider includes payment for other children and amount paid |
E4C1. (IF R HAS MORE THAN ONE CHILD WHO USES PROVIDER) Do you pay the same amount for each other child cared for by [PROVIDER] ? 1. YES 2. NO 3. DK/REF
|
Item not included in 2019. |
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|
Confirmation that payment to provider includes payment for other children and amount paid |
E7B. (if r has more than one child who uses provider) Is that amount for (CHILD) only, or for more than one child?
1. Child only 2. OTHER children 3. DK/REF |
Household item E7B has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Confirmation that payment to provider includes payment for other children and amount paid |
E7B_OTHCHLDRN Which children?
11. DK/REF |
Household item E7B_OTHCHLDRN has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Confirmation that payment to provider includes payment for other children and amount paid |
E7B1. Do you pay the same amount for each other child cared for by [PROVIDER] ?
1. YES 2. NO 3. DK/REF
|
Household item E7B1 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Other individual/organization reimburses provider |
E8. Is [PROVIDER] also paid or reimbursed directly by any person or program? IF NEEDED: Do not include payments, reimbursements or vouchers that went directly to you.
1.Yes 2. No 3. DK/REF
|
Household item E8 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Other individual/organization reimburses provider |
E8A. Who pays them? MARK ALL THAT APPLY
-1. DK/REF 1. Welfare or office of employment services 2. agency for child development 3. local or community program 4. Community or religious group 5. Family or friend 6. Employer 7. DK/REF |
E8A_M. Who pays them? MARK ALL THAT APPLY
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Job loss or reduction in work hours of parent would cause child to lose child care arrangement |
E2A. Would you lose your child’s spot at this provider if you lost your job or had your hours cut back? 1. YES 2. NO 3. DK/REF
|
Household item E2A has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Local resource/referral agency helped find arrangement or arrange for payment |
E2B. Did you work with a local resource and referral agency to find this provider or arrange for payment?
1. YES 2. NO 3. DK/REF
|
Household item E2B has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Amount of payments/reimbursements/vouchers paid directly to the household for child care arrangement |
E9. Do you receive payments, reimbursements or vouchers that are paid directly to you to cover some portion of the payments you make to [PROVIDER] for (CHILD)’s care?
1. YES 2. No 3. DK/REF
|
Household item E9 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Amount of payments/reimbursements/vouchers paid directly to the household for child care arrangement |
E9A. How much do you receive in payments, reimbursements or vouchers that are paid directly to you for [PROVIDER]?
$________ DK/REF |
Household item E9A has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Amount of payments/reimbursements/vouchers paid directly to the household for child care arrangement |
E9B. Is that per hour, per day, per week, bi-weekly, monthly, or something else?
1. Per hour 2. Per day 3. Per week 4. Every other week 5. Per Month 6. Something else (specify:___________) 7. DK/REF
|
Household item E9B has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Confirmation that payment to provider includes payment for other children and amount paid |
E9C. Is that amount for (CHILD) only, or for more than one child?
1. Child only 2. Other children 3. DK/REF
|
Household item E9C has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Confirmation that payment to provider includes payment for other children and amount paid |
E9C_OTHCHLDRN. Which children?
|
Household item E9C_OTHCHLDRN has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Amount of payments/reimbursements/vouchers paid directly to household for a specific child is the same amount received for each other child using provider |
Item not included in 2012. |
E9_NEW. (IF R HAS MORE THAN ONE CHILD WHO USES PROVIDER) Is that amount received for each other child cared for by [PROVIDER] ?
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Non-monetary compensation for care provided: Identification of services exchanged with provider for child care and frequency |
E10.
Do you (also) give [PROVIDER] anything other than money in exchange for caring for [CHILD]? For example, do you provide groceries or transportation, or do work such as caring for children or small repair jobs in exchange for the care that {} receives?
1 YES 2 NO 3 DK/REF
|
Household item E10 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Non-monetary compensation for care provided: Identification of services exchanged with provider for child care and frequency |
E10A. What do you give [PROVIDER] in exchange for caring for your (child/children)?
1.Groceries 2.Transportation 3. Services such as child-care or small repair jobs 4. Housing or Housing Expenses 5. OTHER (SPECIFY: ____________) 6. DK/REF
|
Item not included in 2019. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Non-monetary compensation for care provided: Identification of services exchanged with provider for child care and frequency |
E10B. What does it cost you to provide these things each time you give them?
$ _____________ DK/REF
|
Item not included in 2019. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Non-monetary compensation for care provided: Identification of services exchanged with provider for child care and frequency |
E10B1. How often do you give these things? _______________ DK/REF
|
Household item E10B1 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Non-monetary compensation for care provided: Identification of services exchanged with provider for child care and frequency |
E10B2. How much time do you spend providing these things each time you give them?
HOURS: ____________ DK/REF |
Item not included in 2019. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Amount paid for each child care arrangement |
E12. You said that the [amount per unit] you pay to [PROVIDER] includes your payments for [CHILD] as well, is that correct?
1 YES 2 NO 3 DK/REF
|
Household item E12 has not changed. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Amount paid for each child care arrangement |
E12A. How much do you pay this [PROVIDER]?
$________________ DK/REF |
Household item E12A has not changed. |
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|
Amount paid for each child care arrangement |
E12AA. Is that per hour, per day, per week, bi-weekly, monthly, or something else?
1. Per hour 2. Per day 3. Per week 4. Every other week 5. Per month 6. Something else (specify:___________) 7. DK/REF
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Household item E12AA has not changed. |
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Confirmation that payment to provider includes payment for other children and amount paid |
E12AB. (if r has more than one child who uses provider) Is that amount for (CHILD) only, or for more than one child?
1. Child only 2. Other children 3. DK/REF
|
Household item E12AB has not changed. |
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Confirmation that payment to provider includes payment for other children and amount paid |
E12AB_OTHCHLDRN. Which children?
|
Household item E12AB_OTHCHLDRN has not changed. |
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Confirmation that payment to provider includes payment for other children and amount paid |
E12_1. You said that the [AMOUNT] per [UNIT] you pay to [PROVIDER] is the same as your payments for [CHILD NAME]. Is that correct?
|
Household item E12_1 has not changed. |
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Section F: Non-Parental Child Care Search |
Date when respondent last searched for child care for selected child |
F2. Please think about the last time you searched for care for [SELECTED CHILD NAME].
What year and month was that?
MONTH: ________ -1 DK/REF
YEAR: ________ -1 DK/REF
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Household item F2 has not changed. |
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Last search included child care search for another child at same time |
F2A. Were you also searching for care for another child at the same time?
CODE ALL THAT APPLY
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Household item F2A has not changed. |
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Main reason respondent initiated search for child care |
F3. What is the main reason that you were looking for child care at that time?
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Household item F3 has not changed. |
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Main reason respondent initiated search for child care |
F3_OS. SPECIFY _________________ -1 DK/REF
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Household item F3_OS has not changed. |
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Type of child care used at time of last child care search |
F4. At the time of that last search, what type of child care were you mostly using for [SELECTED CHILD NAME]?
1 Parental care only 2 Home-based provider I had prior personal relationship with 3 Home-based provider I didn’t have prior personal relationship with 4 Center-based care 5 OTHER 6 DK/REF
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Household item F4 has not changed. |
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Type of child care used at time of last child care search |
F4_OS. SPECIFY _________________ -1 DK/REF
|
Household item F4_OS has not changed. |
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Perception of different ECE types of care: Nurturing environment; educational Preparedness; social interactions; safety; affordability; flexibility for parents |
Characteristics of care may be more or less important for different children depending on the age or personality of the child.
C14A. Thinking about [SELECTED CHILD NAME], how important was a loving environment for him/her? Would you say very important, somewhat important, or not very important? |
Household item C14A has not changed. |
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Perception of different ECE types of care: Nurturing environment; educational Preparedness; social interactions; safety; affordability; flexibility for parents |
Characteristics of care may be more or less important for different children depending on the age or personality of the child.
C14A_2. How about helping children being ready to learn in school? (Would you say it was very important, somewhat important, or not very important for [SELECTED CHILD NAME])? |
Household item C14A_2 has not changed. |
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Perception of different ECE types of care: Nurturing environment; educational Preparedness; social interactions; safety; affordability; flexibility for parents |
Characteristics of care may be more or less important for different children depending on the age or personality of the child.
C14A_3. How about learning how to get along with other children? (Would you say it was very important, somewhat important, or not very important for [SELECTED CHILD NAME])? |
Household item C14A_3 has not changed. |
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Perception of different ECE types of care: Nurturing environment; educational Preparedness; social interactions; safety; affordability; flexibility for parents |
Characteristics of care may be more or less important for different children depending on the age or personality of the child.
C14A_5. How about affordability? (Would you say it was very important, somewhat important, or not very important)? |
Household item C14A_5 has not changed. |
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Perception of different ECE types of care: Nurturing environment; educational Preparedness; social interactions; safety; affordability; flexibility for parents |
C14A_GRID. Characteristics of care may be more or less important for different children depending on the age or personality of the child.
C14A_6. How about flexibility for you? (Would you say it was very important, somewhat important, or not very important)? |
Household item C14A_6 has not changed. |
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More than one provider considered during last child care search |
F5. Thinking about your last child care search for [SELECTED CHILD NAME] in [YEAR from F2], did you consider more than one provider as part of your search or did you consider only one provider? Please include providers you asked about, read about, or talked to, even if you didn’t consider them seriously in your decision.
|
Household item F5 has not changed. |
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Type of provider(s) considered |
F6A. (IF NOT ALREADY STATED:) What type of provider is this?
|
Household item F5 has not changed. |
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Method(s) used by respondent to search for providers |
F6B. How did you know about this provider?
_________________ DK/REF |
Household item F6B has not changed. |
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|
Method(s) used by respondent to search for providers |
F7. How did you look for providers in your last search? CODE FIRST TWO MENTIONS.
1. Asked friends and family with children 2. Asked potential contacts who are providers 3. Community service, resource and referral lists 4. Posted an ad/responded to an ad 5. Yellow pages/newspapers/bulletin boards 6. Welfare or social services 7. Healthcare provider 8. Other 9. DK/REF
|
Household item F7 has not changed. |
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Method(s) used by respondent to search for providers |
F7_OS. SPECIFY _________________ -1 DK/REF
|
Household item F7_OS has not changed. |
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Type(s) of information respondent collected about providers during search |
F8B. What was the specific information you tried to learn about providers?
_________________ DK/REF |
Household item F8B has not changed. |
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Types of provider considered |
F9C. What type of provider was the [first/second] provider you considered?
1 Home-based provider I had prior personal relationship with 2 Home-based provider I didn't have prior personal relationship with 3 Center-based care 4 OTHER 5 DK/REF
|
Household item F9C has not changed. |
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|
Types of provider considered |
F9C_OS. SPECIFY: _________________ DK/REF
|
Household item F9C_OS has not changed. |
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Rate charged for care from considered provider(s) |
F9E. How much would it have cost you to have that provider care for [SELECTED CHILD NAME]? _________________ DK/REF |
Household item F9E has not changed. |
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Rate charged for care from considered provider(s) |
F9F.
Is that per…
|
Household item F9F has not changed. |
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|
Rate charged for care from considered provider(s) |
F9f_OS. SPECIFY: _________________ -1 DK/REF
|
Household item F9F_OS has not changed. |
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|
Travel time to considered provider(s) |
F9J. How many minutes would it take in travel time for you or some one else to take [SELECTED CHILD NAME] to that provider? _________________ DK/REF |
Household item F9J has not changed. |
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Perception of how well considered providers’ schedule would cover needed hours of care |
F9L. How well would the provider’s schedule have covered the hours of care you needed?
|
Household item F9L has not changed. |
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|
Respondent’s overall quality rating for considered provider(s) |
F9M. How would you rate the overall quality of that provider?
|
Household item F9M has not changed. |
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|
Any child care centers or organizations for school age children considered |
F10. Did you consider any [child-care] centers or organizations for [school-age] children as part of your search?
|
Household item F10 has not changed. |
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|
Respondent considered someone they had a prior relationship with to care for child |
F11. Did you consider asking someone you know to care for your child, for example a family member, friend or neighbor?
|
Household item F11 has not changed. |
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|
Respondent considered home-based care from someone with no prior relationship to respondent |
F12. Did you consider someone who provides care at home but whom you didn’t know before as part of your search?
|
Household item F12 has not changed. |
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|
Result of child care search |
F13. What was the result of this search for child care? 1 Found care 2 Stayed with existing provider 3 Decided not to use care other than parents 4 Gave up search for another reason 5 OTHER 6 DK/REF
|
Household item F13 has not changed. |
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|
Result of child care search |
F13_OS. SPECIFY: _________________ DK/REF |
Household item F13_OS has not changed. |
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|
Determination of which provider (if two listed) was chosen after search |
F13A. Did you choose the first or second provider you told me about?
|
Household item F13A has not changed. |
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|
Main reason for choosing child care provider |
F14. What was the main reason you made that decision?
1 Had no other choices 2 Cost 3 Schedule 4 Location 5 Quality of care 6 Best feeling 7 Provider had space available 8 OTHER 9 DK/REF
|
Household item F14 has not changed. |
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|
Main reason for choosing child care provider |
F14_OS. SPECIFY: _________________ DK/REF
|
Household item F14_OS has not changed. |
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|
Types of help paying for care requested during provider search |
Item not included in 2012. |
F15. During your search, did you ask any providers or other organizations about getting help paying for care, for example: a. child care subsidies 1. Yes 2. No b. scholarships 1. Yes 2. No c. sliding fee scales or discounts 1. Yes 2. No d. payment plans 1. Yes 2. No e. fees for part-time enrollment 1. Yes 2. No
|
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Section G: Household Characteristics |
Respondent/spouse/partner housing tenure |
G1. Do [you/you or your spouse/you or your partner] own this home, do you rent, or something else?
|
Household item G1 has not changed. |
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|
Respondent/spouse/partner housing tenure |
G1A. What is your situation?
|
Household item G1A has not changed. |
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|
Car ownership |
G2. (IF NOT OBVIOUS) Do you have a car?
|
Household item G2 has not changed. |
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|
Total household income last month |
G3. Approximately what was your total household income last month? IF NEEDED: Please include the income of anyone who contributes to household expenses and child care costs. Also include any child support you may receive if that contributes to household expenses or child care costs. Include income from pensions or from government programs like food stamps or unemployment insurance. TOTAL INCOME: $_________________ -1 DK/REF |
Household item G3 has not changed. |
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|
Total household income last month |
G3A. Is that before or after taxes and other deductions?
|
Household item G3A has not changed. |
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|
Total household income last month |
G3B. Let me assure you that your responses to this and all other questions in this survey will not be revealed to any agency except in summary form for all study participants combined. Which of the following categories do you think best describes your total household income after taxes from all sources last month. Just stop me when I get to the right category:
|
G3B_M. Let me assure you that your responses to this and all other questions in this survey will not be revealed to any agency except in summary form for all study participants combined. This information helps us better describe the affordability of different types of early care and education. Which of the following categories do you think best describes your total household income after taxes from all sources last month. Just stop me when I get to the right category:
|
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|
Total household income last calendar year |
G4A. And how about all of last year, that is, 2011. What was the total amount of your household income that year? Total amount for the past 12 months: $________ DK/REF |
G4A_M. And how about all of last year, that is, 2018. What was the total amount of your household income that year? Total amount for the past 12 months: $________ DK/REF |
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|
Total household income last calendar year |
G4A1. You may not be able to give us an exact figure for your household income but would it amount to $30,000 or more?
In order to understand whether or not child care affordable to American families, we need to know your household’s income. You may not be able to give us an exact figure, but was your household income last year through wages and salaries from all jobs….
|
Household item G4A1 has not changed. |
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Total household income last calendar year |
G4A2. Would it amount to $50,000 or more?
|
Household item G4A2 has not changed. |
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|
Total household income last calendar year |
G4A3. Would it amount to $75,000 or more?
|
Household item G4A3 has not changed. |
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|
Total household income last calendar year |
G4A4. Would it amount to $40,000 or more?
|
Household item G4A4 has not changed. |
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|
Total household income last calendar year |
G4A5. Would it amount to $15,000 or more?
|
Household item G4A5 has not changed. |
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|
Total household income last calendar year |
G4A6. Would it amount to $20,000 or more?
|
Household item G4A6 has not changed. |
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|
Total household income last calendar year |
G4A7. Would it amount to $10,000 or more?
|
Household item G4A7 has not changed. |
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Number of different earners included in last year’s total income |
G4B. How many different people’s job earnings did you count in that 2011 household income? NUMBER OF PEOPLE: _________________ DK/REF
|
G4B. How many different people’s job earnings did you count in that 2018 household income? NUMBER OF PEOPLE: _________________ DK/REF
|
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Any sources of income beyond job earnings included in last year’s total income |
G4c. Again, thinking about the 2011 household income that you reported, was any of that from sources other than job earnings -- for example, from child support, pensions, government assistance programs, or interest from a bank account?
|
G4c_M. Again, thinking about the 2018 household income that you reported, was any of that from sources other than job earnings -- for example, from child support, pensions, government assistance programs, or interest from a bank account?
|
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|
Amount of last year’s household income from sources other than job earnings |
G4d. How much of your 2011 total household income was from sources other than job earnings? Amount from non-job sources: _________________ DK/REF |
G4d_M. How much of your 2018 total household income was from sources other than job earnings? Amount from non-job sources: _________________ DK/REF |
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Amount of last year’s household income from sources other than job earnings |
G4e. You may not be able to give us an exact figure for, but were non-job household earnings in 2011 ….
|
G4e_M. You may not be able to give us an exact figure for, but were non-job household earnings in 2018 ….
|
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|
Any public assistance or welfare payments in last calendar year |
G4B1. In the last calendar year did your household receive any public assistance or welfare payments?
|
G4B1_M. In the last calendar year did your household receive any payments from a welfare or public assistance program like the Supplemental Security Income or SSI program or from TANF or Temporary Assistance for Needy Families?
|
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|
Type of health insurance coverage for selected child |
G10. What kind of health insurance or health care coverage does [SELECTED CHILD NAME] have?
|
Household item G10 has not changed. |
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|
Type of health insurance coverage for selected child |
g10_OS. PLEASE SPECIFY. _________________ DK/REF
|
Household item G10_OS has not changed. |
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Number of respondent’s other children under 13 with health insurance coverage |
G10A. Besides (YOUNGEST CHILD), how many of your other children under 13 have some sort of health insurance or health care coverage? NUMBER OF CHILDREN: _________________ DK/REF
|
Household item G10A has not changed. |
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Level of food insecurity in household |
G11. Which of these statements best describes the food eaten in your household in the last 12 months: We always had enough to eat, sometimes we did not have enough to eat, or often, we did not have enough to eat?
|
Household item G11 has not changed. |
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|
Types of food assistance currently received |
G12. Do you or your [child/children] receive food stamps, WIC or participate in a reduced or free school meals program? (CODE ALL THAT APPLY) IF NEEDED: By school meals I mean reduced or free lunch, breakfast program or after school meals program for children of low-income families. IF NEEDED: WIC is the Women, Infants and Children supplemental nutrition program.
|
Household item G12 has not changed. |
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Received EITC on most recent tax return |
Item not included in 2012. |
G12a. Did you receive an Earned Income Tax Credit (EITC) on your most recent income tax return?
|
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|
Any household members receive child care subsidies |
Item not included in 2012. |
G12B. In the past 12 months, did anyone in this household receive child care subsidies for children of working parents such as [PROGRAM NAME]?
1. Yes 2. No 3. DK/REF
|
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|
Number of months in the past year a household member child care subsidies |
Item not included in 2012. |
G12C. How many months in the past year did anyone in this household receive child care subsidies? _____
|
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|
Reason for end to child care subsidies |
Item not included in 2012. |
G12D. What was the main reason that child care subsidies ended?
1. PARENT LOST ELIGIBILITY 2. CHILD DID NOT NEED CARE ANYMORE 3. DID NOT LIKE CARE 4. SUBSIDY PROGRAM WAS TOO DIFFICULT TO PARTICIPATE IN 5. STILL RECEIVING SUBSIDIES
|
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|
Ability to borrow $500 from someone/someplace for 3 months |
G13. If you needed to borrow $500 for three months, is there some person or place you could borrow it from? IF NEEDED: I'm just asking a hypothetical question.
|
Household item G13 has not changed. |
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Any internet access in the home |
Item not included in 2012. |
G14. Do you have access to the Internet at home? 1. Yes 2. No 3. DK/REF
|
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|
Device used for internet access |
Item not included in 2012. |
G14a. Is your Internet access using
1. Yes 2. No
1. Yes 2. No
|
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Section H: Parental consent to access administrative records |
Confirmation respondent is able to authorize release of records for eligible children |
H1. I need to verify that I am speaking with someone who can authorize the release of state government program records for [NAME(S) OF ELIGIBLE CHILD(REN)]. Are you that person?
|
Household item H1 has not changed. |
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|
If respondent is not able to provide authorization: Name and contact information of person able to authorize release of records for eligible children |
H2. May I know who would be able to authorize such a release? ENTER PHONE NUMBER AS ###-###-#### NAME: _________________ DK/REF PHONE: _________________ DK/REF RELATIONSHIP TO CHILD: _________________ DK/REF |
Household item H2 has not changed. |
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|
Respondent grants permission to access administrative records for eligible children |
H5. We are asking your permission to search state or local government records for child-care subsidy, Supplemental Nutritional Assistance Program (Food Stamps), TANF, WIC, Medicaid, or other programs that provide assistance to families. We would give the state agency basic information that identifies [CHILD NAME], and request that information about [his/her] participation in government programs be sent to the U.S. Department of Health and Human Services or its contractors, for study purposes only. Do we have your permission to do so?
|
Household item H5 has not changed. |
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|
Respondent grants permission to access administrative records for eligible children |
H3. (SUGGESTED SCRIPT) State or local government program records can provide additional information about the child care and financial assistance for care that a child and his/her family may be receiving. (IF NEEDED: For example, some pre-schools or after-school programs may be receiving government subsidies that parents are not aware of. These subsidies would be recorded in state program data on child care subsidies or such child care-related programs as Head Start or Universal Pre-Kindergarten.) NORC requests your permission to search child-care related government program records for information about your child or about the providers who serve your children. Even if your (child has/children have) not received subsidies or (has/have) never been in child care, it is still important for us to have your permission so that we can compare families like yours against those that do enroll in programs. We would not provide the state agency with any of the answers you’ve told me today, other than your name and the name(s) of your child/ren, and enough information to find them in state records.
All information about your child and your child’s care provider is held in strict confidence and used for study purposes only. Any names of children, as well as any names of childcare providers, will not be used in reporting the study results. We will never release any information that may identify you or your child. The information will be reported in statistical form to the U.S. Department of Health and Human Services as part of the results of this study.
|
Household item H3 has not changed. |
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|
Roster and date of birth for every child under 13 in the household for whom respondent gives permission |
H6. Can you please tell me the full name and date of birth for each child under age 13 in your household? CHILD/REN’S FULL NAME(S)
|
Household item H6 has not changed. |
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Full name of authorizing adult |
H6_ADULT . As the authorizing adult, can you please tell me your full name? NAME: _________________ DK/REF |
Household item H6_ADULT has not changed. |
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Confirmation of household’s address |
H7_ADDR Our records have [ADDRESS1], [ADDRESS2], [CITY], [STATE], [ZIP]. Can I confirm that you are still living at that address?
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Household item H7_ADDR has not changed. |
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Confirmation of household’s address |
H7_ADDR2. What is your correct address then? ADDRESS: _________________ CITY: _________________ STATE: _________________ ZIP: _________________
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Household item H7_ADDR2 has not changed. |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |