Instrument 7: Staff Child Report

OPRE Evaluation: The Early Head Start Family and Child Experiences Survey (Baby FACES)—2020 [Nationally-representative descriptive study]

A7a BF2020 Staff Child Report (SCR)- Teacher OMB [REDACTED]_2-21-2020CLEAN

Instrument 7: Staff Child Report

OMB: 0970-0354

Document [pdf]
Download: pdf | pdf
Staff Child Report – Teachers
Programming Specifications

Draft for OMB (Redacted)
February 21, 2020

ABOUT THIS SURVEY
PROGRAMMER: DISPLAY BELOW TEXT ON INTRO1. ‘WELCOME’ LINE BELOW SHOULD
APPEAR BOLD IN CONFIRMIT.
Welcome to the Baby FACES Staff Child Report for Teachers
• The questions in this survey are about [CHILD FIRST NAME] [CHILD LAST NAME].
PROGRAMMER: FULL NAME SHOULD APPEAR IN BOLD.
• Throughout this survey, we will be asking you to respond to questions about your
interactions with this child’s parent. This can include the child’s mother or a guardian who
serves as the child’s primary caregiver. When responding to these questions, please think
about the parent who you interact with most often, unless otherwise noted.
• The survey will take about 15 minutes to complete. The questions in this survey can be
answered by selecting the box next to your response. For a few questions, you will be
asked to type in a brief response.
• If you are unsure how to answer a question, please give the best answer you can rather
than leaving it blank.
• If you begin the survey and need to complete it at a later time, all of your responses will
be saved. After logging back in, you will be directed to the item where you last left off.
PROGRAMMER: DISPLAY BELOW TEXT ON INTRO2
• Your participation in the study is voluntary. All information you provide will be kept private
to the extent permitted by law. Neither your name nor the child’s name will be attached to
any information you give us; and it will not be shared with others at your Early Head Start
program.
• If you have any questions, please contact the Baby FACES team at Mathematica Policy
Research at 1-833-763-2178, or email us at BabyFACES@mathematica-mpr.com.
• This collection of information will be used to describe the characteristics of children and
families served by Early Head Start, and the characteristics and features of programs and
staff that serve them. An agency may not conduct or sponsor, and a person is not required
to respond to, a collection of information unless it displays a currently valid OMB control
number. The OMB number for this information collection is 0970–0354 and the expiration
date is 10/31/2021.

PROGRAMMER: DISPLAY BELOW TEXT ON INTRO3.
• This survey works best on computers and tablets. We do not recommend you complete
the survey on a smartphone, as it may take longer and will require scrolling throughout.
• Do not use your browser’s back and forward buttons. Instead, use the “Back” and “Next”
buttons on the bottom of each screen to move through the survey.

Source: Items A1-A4 adapted from Baby FACES 2009
PROGRAMMER: IF VERSION = 1 (NEWBORN-7 MOS), 2 (8-16 MOS), 3 (17-30 MOS), OR 4 (31-37 MOS).

SECTION A. BACKGROUND
A1.

Are you currently the Early Head Start teacher for this child?
1

 Yes

2

 Not currently, but I was this child’s teacher within the past 2 months

0

 No

PROGRAMMER: IF A1=1, 2, OR MISSING
PROGRAMMER: IF A1=1 OR MISSING, FILL WITH “have you been”. IF A1=2, FILL WITH “were you”

A1a.

For how many months (have you been / were you) this child’s teacher?
If you (have been/were) this child’s teacher for less than 1 month, please enter 1.
PROGRAMMER: IF A1=1, FILL WITH “have been”. IF A1=2, FILL WITH “were”
|___|___| MONTH(S)

(RANGE 1-40)

SOFT CHECK: RESPONSE CANNOT BE GREATER THAN CHILD’S CHRONOLOGICAL AGE (BASED
ON PROJECTED CHILD AGE IN MOS AT TIME OF SITE VISIT); You have entered [FILL A1a]
month(s), but this is greater than the child’s current age based on our records. Please confirm
your response.
PROGRAMMER: IF A1=1, 2, OR MISSING
PROGRAMMER: IF A1=1 OR MISSING, FILL “Are” and “do” and “serves”. IF A1=2, FILL “Were” and
“did” and “served”.
Source: New Item
A1b. (Are/Were) you this child’s “primary” teacher? That is, (do/did) you have primary
responsibility for this child’s care and instruction during the day?
1

 Yes

 No, someone else in the classroom (serves/served) as the child’s primary
teacher
3
 No, children are not assigned a primary teacher
2

SURVEY NOTE: AFTER A1B, INSTRUMENT VERSION 1 PROCEEDS TO D1. VERSION 2 PROCEEDS
TO SECTION B1 IF CHILD PROJECTED AGE IN MOS AT TIME OF SITE VISIT IS AT LEAST 12 MOS;
VERSION 2 PROCEEDS TO SECTION C1 IF CHILD PROJECTED AGE IN MOS AT TIME OF SITE
VISIT IS 8-11 MOS. VERSIONS 3 AND 4 PROCEED TO B1. PROGRAMMER, THESE SPECS ARE
PROVIDED BELOW.
PROGRAMMER: IF A1=0

A2.

What is the main reason you are no longer this child’s teacher?
PROGRAMMER: MARK ONE ONLY
1

 Child moved to another class in the same center

2

 Child moved from center- to home-based care in this program

3

 Child moved to another center in this program

4

 Child left this Early Head Start program

5

 Child aged out of Early Head Start

Prepared by Mathematica Policy Research

1

OMB (Redacted)

Prepared by Mathematica Policy Research

2

OMB (Redacted)

PROGRAMMER: IF A2 = 1 OR 2

What is the name of this child’s current Early Head Start teacher or home visitor?

A3.

Name:_____________________________________________
PROGRAMMER: IF A1 = 0

A4.

Please record the last date you had this child in your class.
|

|
MONTH

|/|

|

|/|

DAY

|

|

|

|

YEAR

SOFT CHECK: DATE CANNOT BE IN THE FUTURE. You have entered [FILL A4], which is in the
future. Please check and confirm your entry.
PROGRAMMER: VALID YEAR RANGES ARE 2017 TO 2020.

PROGRAMMER: IF A1 = 0

A_end. You have reached the end of this survey.
If you would like to go back to any question, use the "Back" button to navigate back
through the survey.
Please click "Next" to submit your completed survey.
PROGRAMMER: CLICKING NEXT WILL BRING THE RESPONDENT TO A NEW SCREEN.

Your survey has been submitted. Thank you for your participation in Baby FACES!
PROGRAMMER: RE-DIRECT RESPONDENT TO THE BABY FACES PAGE ON MATHEMATICA’S
EXTERNAL SITE: https://www.mathematica-mpr.com/our-publications-and-findings/projects/baby-faces2018
PROGRAMMER: IF A2 = 1 OR 2, WE WILL ATTEMPT TO FIND THE BEST RESPONDENT FOR
COMPLETING THE TCR FOR THIS CHILD. IN THIS SCENARIO, THE SURVEY TEAM NEEDS TO BE
ALERTED ABOUT THIS CASE. IF A2 = 3 OR 4, WE WILL FINAL STATUS.

Prepared by Mathematica Policy Research

3

OMB (Redacted)

Source: BITSEA, B1-B2 (PROPRIETARY)
Included in versions: 2 [8-16 mos], 3 [17-30 mos], and 4 [31-37 mos]
Same items for all age versions (appropriate for 12-36 months only)

SECTION B. SOCIAL SKILLS
B1.

The first set of questions contains statements about 1- to 3-year-old children. Many statements describe
normal feelings and behaviors, but some describe things that can be problems. Some may seem too
young or too old for this child. Please do your best to answer every question.
For each statement, please select the answer that best describes this child in the past month.

Items B1a to B1hh are protected under copyright and have been redacted from this instrument.
Source: Briggs-Gowan, M.J., and A.S. Carter. The Brief Infant–Toddler Social and Emotional
Assessment (BITSEA). San Antonio, TX: Harcourt Assessment, 2006.

Prepared by Mathematica Policy Research

4

OMB (Redacted)

B2.

The following questions are about feelings and behaviors that can be problems for young children. Some
of the questions may be a bit hard to understand, especially if you have not seen them in a child. Please
do your best to answer them anyway.
For each statement, please select the answer that best describes this child in the past month.

Items B2a to B2h are protected under copyright and have been redacted from this instrument.
Source: Briggs-Gowan, M.J., and A.S. Carter. The Brief Infant–Toddler Social and Emotional
Assessment (BITSEA). San Antonio, TX: Harcourt Assessment, 2006.

Prepared by Mathematica Policy Research

5

OMB (Redacted)

Source: MacArthur-Bates Communicative Development Inventories, Infant and Toddler Short Forms and CDI-III
(PROPRIETARY)
Included in versions: 2 [8-16 mos], 3 [17-30 mos], and 4 [31-37 mos]; Different item sets for age versions

SECTION C. LANGUAGE AND COMMUNICATION
PROGRAMMER: TEACHERS WILL BE ASKED TO COMPLETE THE ENGLISH CDI WORD LIST USING THE RELEVANT AGE
FORM. THESE AGE-BASED VOCABULARY LISTS INCLUDE APPROXIMATELY 100 WORDS EACH AND ARE APPENDED
AT THE END OF THIS DOCUMENT.

C1.

The following is a list of typical words in young children’s vocabularies. We are interested
specifically in the words this child understands or says in English. We will ask parents about the
child’s home language.
For words this child does not yet understand, select the first option (does not understand). For
words he/she understands but does not yet say on his/her own, select the second option
(understands). For words he/she understands and also says on his/her own, select the third option
(understands and says). If this child uses a different pronunciation of a word or another word with
the same meaning (for example, “raffe” for “giraffe” or “nana” for “grandma”), select the word
anyway. For each item, select only one response.
Remember, this is a “catalogue” of words that are used by many different children. Don’t worry if
this child knows only a few right now.
These items are protected under copyright and have been redacted from this instrument.
Source: MacArthur-Bates Communicative Development Inventories.

Prepared by Mathematica Policy Research

6

OMB (Redacted)

Source: MacArthur-Bates Communicative Development Inventories, Infant Long Form, First Communicative Gestures (12 items) (PROPRIETARY)
Included in versions: 2 [8-16 mos]

C2.1.

When infants are first learning to communicate, they often use gestures to make their wishes
known. For each item below, select the response that describes this child’s actions right now.

Items C2.1a to C2.1l are protected under copyright and have been redacted from this instrument.
Source: MacArthur-Bates Communicative Development Inventories.

Source: MacArthur-Bates Communicative Development Inventories, Toddler Short Form and CDI-III, Combining words (PROPRIETARY)
Included in versions: 3 [17-30 mos] and 4 [31-37 mos]

C2.2.

This item is protected under copyright and has been redacted from this instrument.
Source: MacArthur-Bates Communicative Development Inventories

OMB (Redacted)

Source: MacArthur-Bates Communicative Development Inventories, Sentences, CDI-III (PROPRIETARY)
Included in versions: 4 [31-37 mos]

C2.3.

For each pair of sentences below, select the one that sounds most like the way this child talks
at the moment. If this child is saying sentences even more complicated than the two provided,
select the second one.

Items C2.3a to C2.3l are protected under copyright and have been redacted from this instrument.
Source: MacArthur-Bates Communicative Development Inventories.

OMB (Redacted)

Source: MacArthur-Bates Communicative Development Inventories, Using Language, CDI-III (PROPRIETARY)
Included in versions: 4 [31-37 mos]

C2.4.

These next questions are about how this child uses language to communicate in English. For
each item, select only one response.

Items C2.4a to C2.4l are protected under copyright and have been redacted from this instrument.
Source: MacArthur-Bates Communicative Development Inventories.

OMB (Redacted)

Source: Items D1 to D5 adapted from Baby FACES 2009
PROGRAMMER: IF VERSION = 1 (NEWBORN-7 MOS), 2 (8-16 MOS), 3 (17-30 MOS), OR 4 (31-37 MOS).

SECTION D. CHILD DEVELOPMENT
D1.

Since September, has this child been given a developmental screening?
1
0

 Yes
 No

Since September, have you had any concerns about the child’s development?

D3.

1
0

 Yes
 No

GO TO E1

PROGRAMMER: IF D3 = MISSING, GO TO D3a

PROGRAMMER: IF D3=1 OR MISSING
Source: New Item

D3a.

Since September, has this child been referred by anyone in your program to any of the
following?

PROGRAMMER: MARK ALL THAT APPLY. IF OPTION 7 IS ENDORSED, NO OTHER OPTION CAN BE SELECTED.
1
3
4
5
7







Health care provider
Mental health care provider
Part C or Part B or other disabilities services provider
Child care partner or other child care provider
NO REFERRALS MADE SINCE SEPTEMBER

PROGRAMMER: IF D3a=1, 3, or 4

D5.

What was the reason for the referral?
PROGRAMMER: MARK ALL THAT APPLY
1
2
3
4
5
6
7
8
9

 Behavior problem
 Emotional problem
 Attention problem
 Developmental or cognitive delay
 Problems with the use of arms or legs
 Speech problem
 Hearing problem
 Vision problem
 Something else (Please specify)
____________________________

SOFT CHECK: IF D5_9 IS ENDORSED BUT SPECIFY IS LEFT BLANK: Please specify the reason for the child’s

referral

OMB (Redacted)

Source: Student Teacher Relationship Scale, Short Form (STRS-SF)
PROGRAMMER: IF VERSION = 1 (NEWBORN-7 MOS), 2 (8-16 MOS), 3 (17-30 MOS), OR 4 (31-37 MOS).

SECTION E. RELATIONSHIP WITH THIS CHILD
E1.

For the next items, please think about the degree to which each currently applies to your relationship
with this child. For each statement, please select only one response.

E1A AND E1B SHOULD APPEAR ON SAME SCREEN AS ABOVE INTRO. FOR ITEMS E1C ONWARD,
DISPLAY 2 ITEMS PER PAGE, AND AT TOP OF PAGE SHOW: How much does this currently apply to your
relationship with this child?
PROGRAMMER: DO NOT DISPLAY ITEMS G AND
O FOR VERSIONS 1 (NEWBORN-7 MOS) AND 2 (816 MOS) FOR ALL ITEMS, RESPONSE OPTIONS
SHOULD APPEAR VERTICALLY RATHER THAN
IN GRID FORMAT.
PROGRAMMER: SINCE ITEMS ARE NOT SHOWN AS A
GRID, DISPLAY ANSWER SCALES IN SENTENCE CASE.

a. I share an affectionate, warm relationship
with this child ...................................................
b. This child and I always seem to be
struggling with each other ..............................
c.

If upset, this child will seek comfort from
me ......................................................................

d. This child is uncomfortable with physical
affection or touch from me..............................
e. This child values his/her relationship with
me ......................................................................
f.

When I praise this child, he/she beams with
pride...................................................................

g. This child spontaneously shares information
about himself/herself .......................................
h. This child easily becomes angry with me .....
i.

j.

It is easy to be in tune with what this child is
feeling ................................................................
This child remains angry or is resistant after
being disciplined ..............................................

k.

Dealing with this child drains my energy ......

l.

When this child is in a bad mood, I know
we’re in for a long and difficult day ................

m. This child’s feelings toward me can be
unpredictable or can change suddenly .........
n. This child is sneaky or manipulative with
me ......................................................................

PROGRAMMER: MARK ONE PER ROW
DEFINITELY
DOES NOT
APPLY

NOT
REALLY

NEUTRAL/
NOT SURE

APPLIES
SOMEWHAT

DEFINITELY
APPLIES

1

□

2

□

3

□

4

□

5

□

1

□

2

□

3

□

4

□

5

□

1

□

2

□

3

□

4

□

5

□

1

□

2

□

3

□

4

□

5

□

1

□

2

□

3

□

4

□

5

□

1

□

2

□

3

□

4

□

5

□

1

□
□

1

□

1

1

□
□

1

2

□
□

2

□

2

2

□
□

□

2

1

□

1

□

1

3

□
□

3

□

3

3

□
□

□

3

2

□

2

□

2

4

□
□

4

□

4

4

□
□

□

4

3

□

3

□

3

5

□
□

5

□

5

5

□
□

□

5

□

4

□

5

□

4

□

5

□

4

5

OMB (Redacted)

PROGRAMMER: DO NOT DISPLAY ITEMS G AND
O FOR VERSIONS 1 (NEWBORN-7 MOS) AND 2 (816 MOS) FOR ALL ITEMS, RESPONSE OPTIONS
SHOULD APPEAR VERTICALLY RATHER THAN
IN GRID FORMAT.
PROGRAMMER: SINCE ITEMS ARE NOT SHOWN AS A
GRID, DISPLAY ANSWER SCALES IN SENTENCE CASE.

o. This child openly shares his/her feelings
and experiences with me.................................

PROGRAMMER: MARK ONE PER ROW
DEFINITELY
DOES NOT
APPLY

1

□

NOT
REALLY

2

□

NEUTRAL/
NOT SURE

3

□

APPLIES
SOMEWHAT

4

□

DEFINITELY
APPLIES

5

□

OMB (Redacted)

Source: Cocaring Relationship Questionnaire, adapted (CRQ; Lang)
PROGRAMMER: IF VERSION = 1 (NEWBORN-7 MOS), 2 (8-16 MOS), 3 (17-30 MOS), OR 4 (31-37 MOS).

SECTION F. PARENT-CAREGIVER RELATIONSHIP
F1.

This next section includes statements about the way you and this child’s parent work together. For
each item, select how true you feel the statement is, where 0 is “not true” and 6 is “very true.” You
may pick any number between 0 and 6. Please only think about the parent you interact with most
often.

PROGRAMMER: DISPLAY PARAGRAPH ABOVE AS INTRO SCREEN FOR THIS SECTION.
PROGRAMMER: FOR ITEMS F1A TO F1R, DISPLAY 6 ITEMS PER SCREEN. DISPLAY AT THE TOP OF EACH
SCREEN: Which response best describes the way you and this child’s parent work together?
PROGRAMMER: MARK ONE PER ROW
NOT
TRUE

a. I believe this child’s parent is a good parent ...........
b. This parent asks for my opinion on issues related
to caring for his/her child ..........................................
c.

This parent pays a great deal of attention to his/her
child .............................................................................

VERY TRUE

0

□

1

□

2

□

3

□

4

□

0

□

1

□

2

□

3

□

4

□

5

6

□

□

6

□

5

□

0

□

1

□

2

□

3

□

4

□

5

□

6

□

d. This parent and I have the same goals for his/her
child ..............................................................................

0

□

1

□

2

□

3

□

4

□

5

□

6

□

e. This parent and I have different ideas about how to
raise his/her child ........................................................

0

□

1

□

2

□

3

□

4

□

5

□

6

□

0

□

1

□

2

□

3

□

4

□

5

□

6

□

f.

This parent tells me I am doing a good job or
otherwise lets me know I am being a good teacher

g. This parent and I have different ideas regarding
his/her child’s eating, sleeping, potty, and/or other
routines ........................................................................

0

h. This parent does not trust my abilities as a teacher

0

□
□

This parent and I have different standards for
his/her child’s behavior ..............................................

0

□

This parent tries to show that she or he is better
than me at caring for his/her child ............................

0

k.

This parent has a lot of patience with his/her child

0

□
□

l.

We often discuss the best way to meet his/her
child’s needs ...............................................................

0

m. When we are together, this parent sometimes
competes with me for his/her child’s attention........

i.
j.

1

□
□

1

□

1

1

□
□

□

1

0

□

n. This parent is willing to make personal sacrifices to
help take care of his/her child....................................

0

o. This parent appreciates how hard I work at being a
good teacher ................................................................

2

□
□

2

□

2

2

□
□

□

2

1

□

□

1

0

□

p. This parent makes me feel like I’m the best
possible teacher for his/her child ..............................

0

q. This parent doesn’t like to be bothered by his/her
child ..............................................................................
r.

When this parent picks up or drops off, I feel
uncomfortable or tense in his/her presence ............

3

□
□

3

□

3

3

□
□

□

3

2

□

□

2

1

□

□

1

0

□

0

□

4

□
□

4

□

4

4

□
□

□

4

3

□

□

3

2

□

□

2

1

□

1

□

1

5

□
□

5

□

5

5

□
□

□

5

4

□

□

4

3

□

□

3

2

□

2

□

2

6

□
□

6

□

6

6

□
□

□

6

□

5

□

6

□

□

5

□

6

□

4

□

5

□

6

□

□

4

□

5

□

6

□

3

□

4

□

5

□

6

□

3

□

4

□

5

□

6

□

3

4

5

6

OMB (Redacted)

Source: Items G1-G2 adapted from Baby FACES 2009
Included in versions: 1 [newborn-7 mos], 2 [8-16 mos], 3 [17-30 mos], and 4
[31-37 mos]; same items for all age versions

SECTION G. PARENT ENGAGEMENT
G1.

In which of the following ways has this child’s parents participated in Early Head Start since
September? If both parents are involved, please answer the questions concerning both parents.
PROGRAMMER: MARK ONE PER
ROW

YES

NO

NOT SURE

a. As members of a parent council or other governing bodies? ......

1



0



D



b. As classroom volunteers? ................................................................

1



0



D



c.

By doing maintenance, chores, or shopping for the program?....

1



0



D



d. By helping at special events or activities? .....................................

1



0



D



e. By attending special events or activities, such as a children's
performance, or a holiday party? .....................................................

1



0



D



f.

1



0



D



By attending parent workshops? .....................................................

PROGRAMMER: DISPLAY G1A TO G1F ON SAME SCREEN AND ALLOW FOR DON’T KNOW OPTION.
REQUIRE RESPONSE FOR EACH ITEM: Please provide a response for each of these activities.
PROGRAMMER: FOR ITEMS G2A TO G2D, DISPLAY 2 ITEMS PER SCREEN. DISPLAY INTRO WITH G2A/B.
G2.

For each of the following, please select the response that best describes how engaged this
child’s parents have been in the program since September.
a.

Thinking first about appointments, would you say…
1
2
3
4

b.

Parent kept most appointments scheduled since September
Parent kept some appointments, but cancelled others
Parent missed or cancelled most appointments
Parent had no scheduled appointments since September

Which best describes this child’s attendance in class? Would you say that since
September, child attended class…
1
2
3
4

c.

□
□
□
□
□
□
□
□

Nearly all of the time
Most of the time
Some of the time
Only a little of the time

Now thinking about this parent’s participation in activities offered by the program, would
you say parent participated in…
1
2
3
4

□
□
□
□

Many activities offered by the program since September
Some activities, but passed on others
Only a few activities offered by the program
No activities since September
OMB (Redacted)

d.

Which best describes this parent’s attitude and receptivity to the program? Would you say this
parent was…
1
2
3

□
□
□

Very engaged (asked questions, was willing to try new things)
Somewhat engaged (asked a few questions, was hesitant to try a few new things)
Not engaged (didn’t ask many questions, little interest in new things)

G_name.
PROGRAMMER: PLEASE SHOW APPROPRIATE TEXT BASED ON INSTRUMENT MODE. FOR WEB AND DE VERSIONS,
PREFILL STAFF FIRST AND LAST NAME FROM PRELOAD.
TEXT TO APPEAR IN DE VERSION: Please compare the first and last names recorded by the respondent in

item G3n of the survey and below, and indicate your response.
TEXT TO APPEAR IN WEB VERSION: Thank you for responding to this survey. Please confirm your first and

last names for your thank-you check, and record the appropriate response below. If you need to make a
correction to your name, you will be able to do so on the next screen. We will mail the check directly to the
Baby FACES coordinator at your program; he/she will then deliver it to you.
[FIRST NAME] [LAST NAME]
PROGRAMMER: FOR WEB VERSION, DISPLAY FIRST OPTION; FOR DE VERSION, DISPLAY SECTION OPTION

1

□
□

2

□

0

The name as displayed is correct / Both names match
This is me; but I need to make a spelling correction / The names are the almost the same, but differ
in spelling
The name shown is someone other than me / The names appear to be two different people

PROGRAMMER: FOR WEB AND DE VERSIONS, IF G_NAME = 1, 2, OR MISSING, GO TO G_NAMEFIX. FOR WEB
VERSION, IF G_NAME = 0, GO TO G_END. FOR DE VERSION, IF G_NAME = 0, GO TO G3.

G_namefix.
TEXT TO APPEAR IN DE VERSION: Enter the names as recorded by the respondent in item G3n of the survey.
TEXT TO APPEAR IN WEB VERSION: Please enter your complete first and last names for your thank-you

check.
PROGRAMMER: PLEASE ALLOW ENTRY OF ‘FIRST NAME’ AND ‘LAST NAME’ IN TWO SEPARATE FIELDS THAT ARE
CLEARLY LABELED AS SUCH.
First name: ___________________
Last name: ___________________
PROGRAMMER: FOR WEB VERSION, GO TO G_END. FOR DE VERSION, GO TO G3.

OMB (Redacted)

PROGRAMMER: DISPLAY FOR DE VERSION ONLY. ITEM G3 BELOW APPEARS IN HARD COPY VERSION (“Please
indicate today’s date”). SO THAT WE HAVE THIS INFORMATION REGARDLESS OF MODE (WEB OR HARD COPY), WE
WILL NEED TO (1) CAPTURE DATE OF COMPLETION FOR WEB AND (2) ENTER DATE OF COMPLETION AS RECORDED
ON HARD COPY WHEN ENTERING COMPLETED FORMS INTO CONFIRMIT.
PROGRAMMER: VALID MONTH RANGES ARE 02 TO 07. YEAR CANNOT BE A VALUE OTHER THAN 2018.

G3. Please enter the date recorded by the respondent in item G3 of the survey. This should indicate the date
they completed the survey.

|

|

|/|

MONTH

G_end.

|
DAY

|/|

|

|

|

|

YEAR

You have reached the end of this survey.

If you would like to go back to any question, use the "Back" button to navigate back through the survey.
Please click "Next" to submit your completed survey.
PROGRAMMER: CLICKING NEXT WILL BRING THE RESPONDENT TO A NEW SCREEN.
Your survey has been submitted. Thank you for your participation in Baby FACES!
PROGRAMMER: RE-DIRECT RESPONDENT TO THE BABY FACES PAGE ON MATHEMATICA’S EXTERNAL
SITE: https://www.mathematica-mpr.com/our-publications-and-findings/projects/baby-faces-2018

OMB (Redacted)


File Typeapplication/pdf
File TitleBaby FACES Teacher Child Rating Age 2
SubjectQuestionnaire
AuthorMPR Staff
File Modified2020-02-21
File Created2020-02-21

© 2024 OMB.report | Privacy Policy