Instrument 1 2024 NSECE Household Screener and Questionnaire_toOPRE_042823
2024 National Survey of Early Care and Education
Instrument 1 2024 NSECE Household Screener and Questionnaire_toOPRE_042823
OMB: 0970-0391
Household
Screener and Questionnaire
Reviewer
Notes
Clarification regarding respondent response options:
Please note that while only some items may list a “DK/REF” (Don’t Know/Refused) option, respondents answering the survey in any mode always have the option to decline to answer any item. Any respondent declining to provide a response to an item is directed to the next survey item.
Please note that response options preceded by the term “added” in this document reflect internal codes used for back-end data management, and are not displayed, shown or read to the respondent. Note that these response options preceded by the term “added” are only in the English versions of the questionnaires and not included in the Spanish-translated questionnaires (since they are for internal purposes and do not require translation).
2024 National Survey of Early Care and Education
Household Questionnaire
Contents
Household Screener (CATI/IN-PERSON) SCR-1
Household Questionnaire INTRO-1
Section A. Child Demographics A-1
Section B. Respondent and Household Adults Demographics B-1
Section C. Child Care: Types and Hours C-1
Section D. Respondent and Spouse Employment Schedules D-1
Section J. Nonparental Care Payment and Subsidy to Each Provider J-1
Section F. Non-Parental Child Care Search F-1
Section G. Household Characteristics G-1
Section H. Parental Consent to Access Administrative Records H-1
Questionnaire Key
Skip Patterns:
Simple skip patterns are identified with an arrow immediately following a response option, as in the example below:
A8A.
Is
your program for profit, not for profit, or is it run by a government
agency?
1. for profit SKIP TO A9
2. not for profit
3. run by a government agency
4. OTHER, SPECIFY: ______________
More complex skip patterns are identified with a bordered box, as in the example below. Skip Logic Boxes are titled in bold and numbered using the following naming convention: [Section]_S_[Sequential count].
Skip Logic Box A_S_1:
IF
A8A = 1 OR 2 (“FOR PROFIT” OR “NOT FOR PROFIT”),
ASK A9
ELSE, SKIP TO A11.
Loops:
A loop is a series of questions that are asked iteratively about one or more entities, for example, a series of personal characteristics asked about each child in the household. The loop’s questions appear once in the questionnaire, with skip instructions that indicate when the series starts and ends and for which entities the loop is asked. Sometimes one loop is nested within another.
Loop patterns are identified with a broken-line bordered box, as in the example below. All loops are bookended with a boxes designated as ‘Start of…’ and ‘End of…’ Loop. Loop boxes are titled in italics and numbered using the following naming convention: [Section]_L_[Sequential count].
Start of B_L_1 Loop (*BL1):
REPEAT B1_5 – B1_5H FOR EACH AGE GROUP = 1 (HAVE A RATE IN B1_3A)
All questionnaire items within a loop are identified with a truncated loop title, preceded by a ‘*’ and formatted in italics with blue font. A single questionnaire item may be included in none, one, or multiple loops and will be identified accordingly in the questionnaire with zero, one, or multiple loop titles.
B1_5C.
*BL1
How
many hours per week does that cover?
Ranges:
Numeric open-ended responses throughout the questionnaire, such as number of years or weeks, have a pre-assigned lower and upper limit in the computerized questionnaire to minimize error. These ranges are shown directly beneath such open-ended responses, as in the example below. Ranges are prefixed with “RANGE:” in all caps and formatted with purple font.
B5d.
How many of the children in your program have variation in the number of paid hours of care each week?
Number of children
RANGE: 0-999
Programmatic fills:
Some questions have customized text that is programmatically filled during computerized administration. A descriptor of the customized text is indicated, and users can tell that customized rather than generic text was visible during the interview because the text is bracketed and in CAPS. Programmatic fills within the questionnaire are contained within brackets […], as in the example below. The fill text within the brackets provides a brief description of what the fill is.
A2G9a.
*AL1
*AL2
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?
Household
Screener
Household Screener (CATI/IN-PERSON)
S_INTRO.
Hello, my name is [NAME], and I’m from NORC at the University of Chicago. We’re conducting a study funded by the Administration for Children and Families of the U.S. Department of Health and Human Services. We would like to ask you a few questions to learn about young children in your community and who cares for them when they are not with their parents. Your answers will help the government better support the people who care for our nation’s children. May I speak to someone living in this household who is 18 years or older and is knowledgeable about the household?
Knowledgeable person 18 years or older available to talk ASK S1
Knowledgeable person 18 years or older, but not available now SHOW SCREEN THAT SAYS “INTERVIEWER: MAKE APPOINTMENT TO CALL/COME BACK”
No one in the household is 18 years or older TERMINATE
DK/REF SHOW SCREEN THAT SAYS “INTERVIEWER: MAKE APPOINTMENT TO CALL/COME BACK”
S1.
First, I’d like to know how many children under 13 years of age are living in your household?
Number of children under 13:______________
S1_2.
Do you look after any children under age 13 who are not your own for five hours a week or more?
YES
NO
S1_3.
Does any other adult 18 years or older living in this household look after any children under age 13 who are not their own for five hours a week or more?
YES
NO
IF S1_2 =1 AND/OR S1_3=1, ASK S1_4
ELSE, SKIP TO S_S_4
S1_4.
Are children being looked after in someone’s home or in a school or child-care center?
HOME
SCHOOL OR CENTER
BOTH
DK/REF
S1_A.
Are any of these children a foster child, a spouse or partner’s child, or child with shared custody?
YES
NO
DK/REF
Skip Logic Box S_S_2
IF S1_3=1 AND S1_4 = (1 OR 3), ASK S1_5 A-C
ELSE, SKIP TO S_S_3
S1_5.
Please tell me the names of individuals 18 years or older living in this household, including yourself, who look after children under age 13 who are not their own for 5 hours a week or more. Names will remain private and used for the purposes of this study only.
IF NEEDED: I am only interested in people looking after children in someone's home, not in a center or school.
_______________
_______________
_______________
IF S1_2 =1 (YES) AND S1_3=2 (NO/BLANK) AND S1_4 = (1 OR 3), ASK S1_5d
ELSE, SKIP TO S_S_4
d. _______________
Skip Logic Box S_S_4:
IF BOTH S1=0 AND (NO PERSON MENTIONED IN S1_5A-S1_5D), ASSIGN ELIGIBILITY FLAG SO HH_ELIG=0 AND GO TO “END”
ELSE, GO TO “CREATE ELIGIBILITY FLAGS” RULES
END.
We are looking for households with young children and people who provide home-based care to young children. Thanks very much for your time.
HOUSEHOLD ELIGIBILITY: HH_ELIG FLAG RULES
IF S1 >0, HH_ELIG=1.
IF S1 =0, HH_ELIG=0.
HOME-BASED (UNLISTED) ELIGIBILITY: HB_ELIG FLAG RULES
IF S1_5 =NOT NULL, HB_ELIG=1.
IF S1_5 =NULL, HB_ELIG=0.
IF ADMINDUP PRELOAD=1 (1=CASE ON ADMIN LIST FOR LISTED HB PROVIDERS, 0=CASE IS NOT ON ADMIN LIST), HB_ELIG=2.
IF TELEPHONE INTERVIEW AND:
HH_ELIG=1 OR HB_ELIG=1, THEN ASK S1_6
IF PERSONAL INTERVIEW, GO TO INSTRUCTION BEFORE S2A
S1_6.
May I verify that you live at (ADDRESS)?
S1_7.
May I know your street address?
ADDRESS: _____________
CITY:__________________
STATE:________________
ZIP:___________________
IF HH_ELIG=1, AND HB_ELIG=0, ASK S2a
IF HH_ELIG=0 AND HB_ELIG=1 AND:
IF ADDRESS APPEARS IN PROVIDER SAMPLING FRAME, GO TO S5_3 AND TERMINATE. DO NOT SPAWN FOR HOME-BASED QUESTIONNAIRE.
IF ADDRESS DOES NOT APPEAR IN THE PROVIDER SAMPLING FRAME, AND IF S1_5 HAS ONLY ONE NAME, GO TO S5. INTERVIEWER WILL USE SCREENER TO PURSUE HOME-BASED RESPONDENT. CASE DOES NOT GET HOUSEHOLD QUESTIONNAIRE, BUT DOES SPAWN HOME-BASED QUESTIONNAIRE.
IF ADDRESS DOES NOT APPEAR IN THE PROVIDER SAMPLING FRAME, AND IF S1_5 HAS MORE THAN ONE NAME, RANDOMLY SELECT ONE HOME-BASED PROVIDER IN HOUSEHOLD FROM S1_5 THEN GO TO S5.
IF HH_ELIG=1 AND HB_ELIG=1 AND:
IF ADDRESS APPEARS IN PROVIDER SAMPLING FRAME, GO TO S2A TO COMPLETE SCREENER. CASE WILL GET HOUSEHOLD QUESTIONNAIRE BUT DO NOT SPAWN FOR HOME-BASED QUESTIONNAIRE.
IF ADDRESS DOES NOT APPEAR IN THE PROVIDER SAMPLING FRAME, AND IF S1_5 HAS ONLY ONE NAME, GO TO S2A. INTERVIEWER WILL USE SCREENER TO PURSUE HOUSEHOLD RESPONDENT. CASE GETS BOTH HOUSEHOLD QUESTIONNAIRE AND SPAWNS HOME-BASED QUESTIONNAIRE (HB R IS THE NAME THAT WAS ENTERED IN S1_5).
IF ADDRESS DOES NOT APPEAR IN THE PROVIDER SAMPLING FRAME, AND IF S1_5 HAS MORE THAN ONE NAME, RANDOMLY SELECT ONE HOME-BASED PROVIDER IN HOUSEHOLD FROM S1_5 THEN GO TO S5 (HB R IS THE NAME THAT WAS RANDOMLY SELECTED).
S2a.
Is the parent/guardian of the youngest child in the household at least 18 years of age?
YES ASK S2
NO SKIP TO S3
PARENT/GUARDIAN DOES NOT LIVE IN HOUSEHOLD SKIP TO S3
DK/REF SKIP TO S3
S2.
May I speak to the parent/guardian of the youngest child in the household?
ALREADY SPEAKING WITH PARENT/GUARDIAN SKIP TO S5_2
PARENT/GUARDIAN AVAILABLE SKIP TO S5_2
PARENT/GUARDIAN LIVES IN HOUSEHOLD, NOT AVAILABLE AT THIS TIME CALL BACK
PARENT/GUARDIAN NOT AVAILABLE DURING SURVEY PERIOD ASK S3
DON’T KNOW/REFUSED ASK S3
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?
YES ASK S4
NO, NOT AVAILABLE SHOW “INTERVIEWER: MAKE AN APPOINTMENT TO CALL BACK.”
DON’T KNOW/REF SHOW “INTERVIEWER: MAKE AN APPOINTMENT TO CALL BACK.”
S4.
May I speak with him/her please?
YES ASK S5_2
NO SHOW “INTERVIEWER: SCHEDULE A CALL BACK TO CONDUCT HOUSEHOLD QUESTIONNAIRE.”
DON’T KNOW/REFUSED SHOW “INTERVIEWER: SCHEDULE A CALL BACK TO CONDUCT HOUSEHOLD QUESTIONNAIRE.”
S5.
May I speak to [SELECTED UNLISTED HOME-BASED PROVIDER]?
YES, ARE AVAILABLE S5_2_END
NO, ARE NOT AVAILABLE AT THIS TIME SHOW “INTERVIEWER: SCHEDULE A CALL BACK.”
NO, ARE NOT AVAILABLE DURING SURVEY PERIOD SELECT ANOTHER PROVIDER IF MORE THAN ONE PERSON IS MENTIONED IN S1_5 AND ASK S5 AGAIN. OTHERWISE, SKIP TO S5_3 AND TERMINATE.
S5_2.
Thank you very much. We’d like to ask some questions about the child care resources you use. Please give me one minute while I pull up the questionnaire.
S5_2_END.
Thank you very much. We’d like to ask some additional questions about your/their experiences looking after children. Please give me one minute while I pull up the questionnaire.
S5_3.
Thank you very much for your time. That is all I have. TERMINATE AND DO NOT SPAWN FOR HOME-BASED QUESTIONNAIRE (COMPLETED SCREENER).
S_INTRO.
We are conducting an important study to learn about young children in your community and who cares for them when they are not with their parents. This information will help inform school districts, local, state and federal agencies, and private organizations in their efforts to improve child care services for all children. This study is funded by the Administration for Children and Families, of the U.S. Department of Health and Human Services. Please have an adult (18 years or older) who lives in this household answer the following questions. Even if you do not have any children, it is important for us to hear from you so that every type of household is represented. If you have any questions or would prefer to answer these questions by phone, please call toll-free at [XXX-XXX-XXXX].
S_A.
How old are you?
__________ years old
IF S_A ≥18 YEARS OLD THEN ASK S_B
IF S_A <18 YEARS OLD THEN TERMINATE
S_B.
Are you knowledgeable about the people in your household?
YES ASK S1
NO TERMINATE
DK/REF TERMINATE
TERMINATE.
Based on your responses, you are not eligible to participate. Thanks very much for your time.
S1.
First, I’d like to know how many children under 13 years of age are living in your household?
Number of children under 13:______________
S1_2.
Do you look after any children under age 13 who are not your own for 5 hours a week or more?
YES
NO
S1_3.
Does any other adult 18 years or older living in this household look after any children under age 13 who are not their own for 5 hours a week or more?
YES
NO
IF S1_2=1 AND/OR S1_3 = 1, ASK S1_4
S1_4.
Where are children being looked after?
IN SOMEONE’S HOME
IN A SCHOOL OR CHILD-CARE CENTER
BOTH IN SOMEONE’S HOME AND A SCHOOL OR CHILD-CARE CENTER
DK/REF
S1_A.
Are any of these children a foster child, a spouse or partner’s child, or child with shared custody?
YES
NO
DK/REF
IF S1_3=1 AND S1_4 = (1 OR 3), ASK S1_5 A-C
S1_5.
Please tell me the names of individuals 18 years or older living in this household, including yourself, who look after children under age 13 who are not their own for 5 hours a week or more. Names will remain private and used for the purposes of this study only.
REMINDER: We are only interested in people looking after children in someone's home, not in a center or school.
_______________
_______________
_______________
Skip Logic Box S_S_3
IF S1_2 =1 (YES) AND S1_3=2 (NO/BLANK) AND S1_4 = (1 OR 3), ASK S1_5d
ELSE, SKIP TO S_S_4
What is your name?
d. _______________
Skip Logic Box S_S_4:
IF BOTH S1 = 0 AND (NO PERSON MENTIONED IN S1_5A-S1_5D), ASSIGN ELIGIBILITY FLAG SO HH_ELIG=0 AND GO TO “END”
ELSE, GO TO “CREATE ELIGIBILITY FLAGS” RULES
END.
We are looking for households with young children and people who provide home-based care to young children. Thanks very much for your time.
CREATE ELIGIBILITY FLAGS
HOUSEHOLD ELIGIBILITY: HH_ELIG FLAG RULES
IF S1 >0, HH_ELIG=1.
IF S1 =0, HH_ELIG=0.
HOME-BASED (UNLISTED) ELIGIBILITY: HB_ELIG FLAG RULES
IF S1_5 =NOT NULL, HB_ELIG=1.
IF S1_5 =NULL, HB_ELIG=0.
IF ADMINDUP PRELOAD=1 (1=CASE ON ADMIN LIST FOR LISTED HB PROVIDERS, 0=CASE IS NOT ON ADMIN LIST), HB_ELIG=2.
IF CAWI INTERVIEW AND:
HH_ELIG=1 OR HB_ELIG=1, THEN ASK S1_6
S1_6.
NORC at the University of Chicago may wish to invite you to participate further in the National Survey of Early Care and Education. May I verify that you live at (ADDRESS)?
YES SKIP TO CLOSE
NO ASK S1_7
DON’T KNOW/REFUSED ASK S1_7
S1_7.
What is your street address?
ADDRESS: _____________
CITY:__________________
STATE:________________
ZIP:___________________
CLOSE.
Thank you for your time. Your responses have been recorded. If you are eligible, NORC at the University of Chicago may invite you to participate further in the National Survey of Early Care and Education.
Mail Household Screener
National Survey of Early Care and Education
If you have any questions, please call [TOLL-FREE #]
We are conducting an important study to learn about young children in your community and who cares for them when they are not with their parents. This information will help inform school districts, local, state and federal agencies, and private organizations in their efforts to improve child care services for all children. This study is funded by the Administration for Children and Families, of the U.S. Department of Health and Human Services. Please have an adult (18 years or older) who lives in this household answer the following questions. Even if you do not have any children, it is important for us to hear from you so that every type of household is represented. This will take only about six minutes, and your participation is voluntary. Your information will be kept private and used only for statistical purposes. If you have any questions or would prefer to answer these questions by phone, please call toll-free at [XXX-XXX-XXXX].
Q1.
First, how many adults (18 years and older) live in this household?
__________________NUMBER OF ADULTS
Q2.
How many children under the age of 13, including babies, live in this household?
_________________NUMBER OF CHILDREN
Q4.
Do you 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.
YES
NO SKIP TO Q6.
Q5.
Do you look after those children in someone’s home or in a school or child-care center?
Home
School or center
Both
Q6.
Not including yourself, how many other adults in the household, if any, 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 ASK Q7.
IF Q6=0, THEN SKIP TO Q8
Q7.
Do they look after children in someone’s home or in a school or child-care center?
Home
School or center
Both
QA.
Are any of these children a foster child, a spouse or partner’s child, or child with shared custody?
YES
NO
Q8.
Are there any adults age 18 or over in this household who require assistance with daily activities such as eating or walking?
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 one.
YES
NO
Q10.
In general, how satisfied are you about the quality and cost of child care and early education available to families with children in your community?
Extremely satisfied
Very satisfied
Somewhat satisfied
A little satisfied
Not at all satisfied
Q11.
In general, how satisfied are you about the quality and cost of resources available to elderly or disabled people in your community?
Extremely satisfied
Very satisfied
Somewhat satisfied
A little satisfied
Not at all satisfied
Q12. What is the best way for us to reach you if we have any questions about your survey?
Name or Initial: ___________________________ Phone: _ _ _ -_ _ _ -_ _ _ _
Email: __________________________________
Thank you very much for your participation! Please return this form in the postage-paid envelope provided or mail it to:
National Survey of Early Care and Education
NORC at the University of Chicago
55 East Monroe Street, Ste 1900
Chicago, IL 60603
Toll-free number: [toll-free #]
nsece24survey@norc.org
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 0970-0391 and the expiration date is
[MM/DD/YYYY].
Please
send comments regarding the time required for this survey or any
other aspect of the described information collection to: NORC at the
University of Chicago, 55 E Monroe St, Ste 3000, Chicago, IL, 60603,
Attention: A. Rupa Datta.
Household
Questionnaire
Household Questionnaire
QUEXLANG.
PLEASE SELECT THE LANGUAGE IN WHICH YOU WOULD LIKE TO CONDUCT THE INTERVIEW.
ENGLISH
SPANISH
IF R RETURNED MAIL SCREENER, GO TO A_INTRO1
ELSE GO TO A_INTRO2
A_INTRO1.
Hello. I am _____________from NORC at the University of Chicago. We are conducting a survey about how families use and think about child care and after-school programs. Someone in your household recently completed a short questionnaire for this study and we have some additional questions we’d like to ask. May I speak to the parent/guardian of the child under 13 in the household?
Speaking with parent/guardian SKIP TO CHECK_S
Parent/guardian not available SKIP TO ADR_3
ADR_3.
Thank you very much. I will try back at another time to reach the parent/guardian.
TERMINATE INTERVIEW AND ATTEMPT AT ANOTHER TIME.
CHECK_S
WAS THIS CASE COMPLETED ON OR AFTER MAY 31, 2024?
YES
NO
IF CHECK_S=1, THEN SKIP TO A_INTRO2 _S
ELSE, ASK A_INTRO2
A_INTRO2.
(Hello, my name is [NAME], and I am from NORC at the University of Chicago.)
IF R SCREENED IN AS ELIGIBLE THROUGH MAIL/FIELD AT PRIOR TIME, READ:
You recently completed a short questionnaire for the 2024 National Survey of Early Care and Education.
IF R SCREENED ELIGIBLE WITH INTERVIEWER: Thank you for answering those questions.
We are looking to speak further with parents of young children to help us understand how families use and think about child care for children under age 13. This study is funded by the Administration for Children and Families, of the U.S. Department of Health and Human Services, and conducted by NORC at the University of Chicago. Your participation in this study will help policy-makers and child care providers better understand and support the child care services that are most needed in your area.
This interview takes about an hour, and your participation is voluntary. You may choose not to answer any questions you don’t wish to answer, or end the interview at any time. We use computing systems, staff training, and strict data access requriements to protect your identity and keep your responses private.To better protect your privacy, this interview does not contain questions that require you to disclose any sensitive, private information about yourself. This study also has a Federal Certificate of Confidentiality from the government which protects researchers and other staff from being forced to release information that could be used to identify participants in court proceedings. You should understand, however, that we would take necessary action to prevent serious harm to children or others, including reporting to authorities.
Data collected for this study will be used for statistical purposes only, so that no individuals or organizations can be identified directly or indirectly in research findings. Identifiers such as your name and addresses will be considered private and can only be accessed for the study’s research purposes by authorized personnel associated with the study. Access to indentifying information is granted to authorized personnel only on a need-to-know basis.
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 0970-0391
and
the expiration date is MM/DD/YYYY.
Please
send comments regarding the time required for this survey or any
other aspect of the described information collection to: NORC at the
University of Chicago, 55 E Monroe St, Ste 3000, Chicago, IL, 60603,
Attention: A. Rupa Datta
Parts of this interview may be recorded for quality control purposes. This will not compromise the strict privacy of your responses. These recordings will be shared only with authorized personnel associated with the study. Recordings will be maintained until we finalize our notes. May I continue with the recording?
R CONSENTS TO PARTICIPATE IN THE SURVEY CONTINUE
R CONSENTS TO PARTICIPATE IN THE SURVEY BUT DOES NOT WANT TO BE RECORDED TURN OFF RECORDING FEATURE AND CONTINUE
R DOES NOT CONSENT TO PARTICIPATE BREAK OFF AND INQUIRE ABOUT ALTERNATE RESPONDENT
A_INTRO2 _S
(Hello, my name is [NAME], and I am _____________from NORC at the University of Chicago. )
IF R SCREENED IN AS ELIGIBLE THROUGH MAIL/FIELD AT PRIOR TIME, READ: You recently completed a short questionnaire for the 2024 National Survey of Early Care and Education.
IF R SCREENEDELIGIBLE WITH INTERVIEWER, READ: Thank you for answering those questions.
We are looking to speak further with parents of young children to help us understand how families use and think about child care for children under age 13. This study is funded by the Administration for Children and Families, of the U.S. Department of Health and Human Services, and conducted by NORC at the University of Chicago. Your participation in this study will help policy-makers and child care providers better understand and support the child care services that are most needed in your area.
This interview takes about an hour, and your participation is voluntary. You may choose not to answer any questions you don’t wish to answer, or end the interview at any time. We use computing systems, staff training, and strict data access requriements to protect your identity and keep your responses private.To better protect your privacy, this interview does not contain questions that require you to disclose any sensitive, private information about yourself. This study also has a Federal Certificate of Confidentiality from the government which protects researchers and other staff from being forced to release information that could be used to identify participants in court proceedings. You should understand, however, that we would take necessary action to prevent serious harm to children or others, including reporting to authorities.
Data collected for this study will be used for statistical purposes only, so that no individuals or organizations can be identified directly or indirectly in research findings. Identifiers such as your name and addresses will be considered private and can only be accessed for the study’s research purposes by authorized personnel associated with the study. Access to indentifying information is granted to authorized personnel only on a need-to-know basis.
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 0970-0391
and
the expiration date is MM/DD/YYYY.
Please
send comments regarding the time required for this survey or any
other aspect of the described information collection to: NORC at the
University of Chicago, 55 E Monroe St, Ste 3000, Chicago, IL, 60603,
Attention: A. Rupa Datta
Parts of this interview may be recorded for quality control purposes. This will not compromise the strict privacy of your responses. These recordings will be shared only with authorized personnel associated with the study. Recordings will be maintained until we finalize our notes. May I continue with the recording?
R CONSENTS TO PARTICIPATE IN THE SURVEY CONTINUE
R CONSENTS TO PARTICIPATE IN THE SURVEY BUT DOES NOT WANT TO BE RECORDED TURN OFF RECORDING FEATURE AND CONTINUE
R DOES NOT CONSENT TO PARTICIPATE BREAK OFF AND INQUIRE ABOUT ALTERNATE RESPONDENT
Section A. Child Demographics
S1_Check.
First, how many children under 6 live in your household?
Number of children under 6 years: _______
Range: 0-10
-4. DK/REF
S1_SA.
Next, how many children between six and thirteen years old live in your household?
Number of children 6 to 13 years old: _______
Range: 0-10
-4. DK/REF
IF S1_CHECK >0 AND/OR S1_SA>0, SKIP TO A1
IF BOTH S1_CHECK AND S1_SA=0 OR DK/REF, ASK S_PROBE
S_PROBE.
Someone in your household participated in an earlier part of our study and said that there were [X=SUM OF ALL CHILDREN UNDER 13 FROM SCREENER] children under age 13 living in this household. They may not be your own children or they may be living here only temporarily. Please tell me how many children under age 13 live in this household currently.
Number of children under 13: _______
Range: 0-10
-4. DK/REF
IF S_PROBE=0 OR DK/REF, SKIP TO S1_TERM
ELSE SKIP TO A1
CREATE “S1” VARIABLE TO USE THROUGHOUT QUEX:
• IF R DID NOT GET S_PROBE, S1=SUM OF S1_Check AND S1_SA.
IF S1_Check OR S1_SA=DK/REF, S1=THE REMAINING VALID VALUE.
• IF R DID GET S_PROBE, S1=S_PROBE.
THROUGHOUT QUEX, ANY TIME THE VALUE OF “S1” IS USED, USE THIS CALCULATED VARIABLE.
S1_TERM.
Thank you very much. That is all I have.
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: _______
Start of A_L_1 Loop (*AL1):
ASK A1B-A2G8A FOR EACH CHILD LISTED IN A1
A1b. *AL1
Is [CHILD NAME] a boy or a girl?
BOY
GIRL
A1c. *AL1
In what month and year was [CHILD NAME] born?
MONTH: _______
Range: 1-12
YEAR: _______
Range: 2011-2024
A1c1. *AL1
In what country was [CHILD NAME] born?
UNITED STATES SKIP TO A2d
NOT IN U.S.
DK/REF SKIP TO A2d
A1c1_CNTRY [drop down list] *AL1
In what country was [CHILD NAME] born?
1. Don't know/Refused
2. Afghanistan
3. Akrotiri
4. Albania
5. Algeria
6. American Samoa
7. Andorra
8. Angola
9. Anguilla
10. Antarctica
11. Antigua and Barbuda
12. Argentina
13. Armenia
14. Aruba
15. Ashmore and Cartier Islands
16. Australia
17. Austria
18. Azerbaijan
19. Bahamas
20. Bahrain
21. Bangladesh
22. Barbados
23. Bassas da India
24. Belarus
25. Belgium
26. Belize
27. Benin
28. Bermuda
29. Bhutan
30. Bolivia
31. Bosnia and Herzegovina
32. Botswana
33. Bouvet Island
34. Brazil
35. British Indian Ocean Territory
36. British Virgin Islands
37. Brunei
38. Bulgaria
39. Burkina Faso
40. Burma
41. Burundi
42. Cambodia
43. Cameroon
44. Canada
45. Cape Verde
46. Cayman Islands
47. Central African Republic
48. Chad
49. Chile
50. China
51. Christmas Island
52. Clipperton Island
53. Cocos (Keeling) Islands
54. Colombia
55. Comoros
56. Congo
57. Cook Islands
58. Coral Sea Islands
59. Costa Rica
60. Cote d'Ivoire
61. Croatia
62. Cuba
63. Cyprus
64. Czech Republic
65. Denmark
66. Dhekelia
67. Djibouti
68. Dominica
69. Dominican Republic
70. Ecuador
71. Egypt
72. El Salvador
73. Equatorial Guinea
74. Eritrea
75. Estonia
76. Ethiopia
77. Europa Island
78. Falkland Islands (Islas Malvinas)
79. Faroe Islands
80. Fiji
81. Finland
82. France
83. French Guiana
84. French Polynesia
85. French Southern and Antarctic Lands
86. Gabon
87. Gambia
88. Gaza Strip
89. Georgia
90. Germany
91. Ghana
92. Gibraltar
93. Glorioso Islands
94. Greece
95. Greenland
96. Grenada
97. Guadeloupe
98. Guam
99. Guatemala
100. Guernsey
101. Guinea
102. Guinea-Bissau
103. Guyana
104. Haiti
105. Heard Island and McDonald Islands
106. Holy See (Vatican City)
107. Honduras
108. Hong Kong
109. Hungary
110. Iceland
111. India
112. Indonesia
113. Iran
114. Iraq
115. Ireland
116. Isle of Man
117. Israel
118. Italy
119. Jamaica
120. Jan Mayen
121. Japan
122. Jersey
123. Jordan
124. Juan de Nova Island
125. Kazakhstan
126. Kenya
127. Kiribati
128. North Korea
129. South Korea
130. Kuwait
131. Kyrgyzstan
132. Laos
133. Latvia
134. Lebanon
135. Lesotho
136. Liberia
137. Libya
138. Liechtenstein
139. Lithuania
140. Luxembourg
141. Macau
142. Macedonia
143. Madagascar
144. Malawi
145. Malaysia
146. Maldives
147. Mali
148. Malta
149. Marshall Islands
150. Martinique
151. Mauritania
152. Mauritius
153. Mayotte
154. Mexico
155. Micronesia, Federated States of
156. Moldova
157. Monaco
158. Mongolia
159. Montserrat
160. Morocco
161. Mozambique
162. Namibia
163. Nauru
164. Navassa Island
165. Nepal
166. Netherlands
167. Netherlands Antilles
168. New Caledonia
169. New Zealand
170. Nicaragua
171. Niger
172. Nigeria
173. Niue
174. Norfolk Island
175. Northern Mariana Islands
176. Norway
177. Oman
178. Pakistan
179. Palau
180. Panama
181. Papua New Guinea
182. Paracel Islands
183. Paraguay
184. Peru
185. Philippines
186. Pitcairn Islands
187. Poland
188. Portugal
189. Puerto Rico
190. Qatar
191. Reunion
192. Romania
193. Russia
194. Rwanda
195. Saint Helena
196. Saint Kitts and Nevis
197. Saint Lucia
198. Saint Pierre and Miquelon
199. Saint Vincent and the Grenadines
200. Samoa
201. San Marino
202. Sao Tome and Principe
203. Saudi Arabia
204. Senegal
205. Serbia and Montenegro
206. Seychelles
207. Sierra Leone
208. Singapore
209. Slovakia
210. Slovenia
211. Solomon Islands
212. Somalia
213. South Africa
214. South Georgia and the South Sandwich Islands
215. Spain
216. Spratly Islands
217. Sri Lanka
218. Sudan
219. Suriname
220. Svalbard
221. Swaziland
222. Sweden
223. Switzerland
224. Syria
225. Taiwan
226. Tajikistan
227. Tanzania
228. Thailand
229. Timor-Leste
230. Togo
231. Tokelau
232. Tonga
233. Trinidad and Tobago
234. Tromelin Island
235. Tunisia
236. Turkey
237. Turkmenistan
238. Turks and Caicos Islands
239. Tuvalu
240. Uganda
241. Ukraine
242. United Arab Emirates
243. United Kingdom
244. United States
245. Uruguay
246. Uzbekistan
247. Vanuatu
248. Venezuela
249. Vietnam
250. Virgin Islands
251. Wake Island
252. Wallis and Futuna
253. West Bank
254. Western Sahara
255. Yemen
256. Zambia
257. Zimbabwe
A2d. *AL1
Is [CHILD NAME] of Hispanic or Latino origin?
Yes
No
DK/REF
A2e. *AL1
Is [CHILD 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
6. Other
7. Added: Hispanic
IF A2e=6 ASK A2e_6OS
ELSE, SKIP TO A2H
A2e_6OS. *AL1
(PLEASE SPECIFY:) _________________
A2h. *AL1
Does [CHILD NAME] have a physical, emotional, developmental, or behavioral condition that affects the way you provide care for [him/her]?
Yes
No
A2f. *AL1
What is [CHILD NAME]’s relationship to you?
Son or daughter (biological or adopted)
Stepson or stepdaughter
Brother or sister
Grandchild
Foster child
Other relative (e.g., niece or nephew)
Other nonrelative
DK/REF
A2g. *AL1
IF A2f = 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?
INTERVIEWER: IF PARENT TEMPORARILY OUT OF TOWN/OUT OF COUNTRY ON BUSINESS OR AWAY ON MILITARY DEPLOYMENT, SELECT ‘YES’ TO THIS QUESTION
Yes
No
IF VOLUNTEERED: MOTHER DECEASED
IF VOLUNTEERED: FATHER DECEASED
DK/REF
IF A2F = 3,4,5,6,7 OR 8 AND A2G = 1 THEN ASK A2G_1
ELSE, SKIP TO HH14_1
Does [CHILD NAME] have another parent in the household?
INTERVIEWER: IF PARENT TEMPORARILY OUT OF TOWN/OUT OF COUNTRY ON BUSINESS OR AWAY ON MILITARY DEPLOYMENT, SELECT ‘YES’ TO THIS QUESTION
Yes
No
If volunteered: mother deceased
If volunteered: father deceased
Does [CHILD NAME] have a parent who doesn’t live in this household?
Yes
Does [CHILD NAME] live at this address and another address (for example, because of a joint custody arrangement)? Do not include vacation properties.
Yes
HH15_3. *AL1
What nights last week did [CHILD] spend with a parent who doesn’t live in this household at another address? (SELECT ALL THAT APPLY)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
IF THIS IS THE FIRST CHILD AND IF HH SCREENER VAR S2=5 OR HH14_1=1, THEN SKIP TO A2G2
ELSE, IF THIS IS THE SECOND OR LATER CHILD, AND S2=5 OR HH14_1=1, ASK A2G1
Start of A_L_2 Loop (*AL2):
ASK A2G1-A2G8A ONCE FOR EACH CHILD LISTED IN A1 WHO ANSWERED IF HH14_1=1 OR VAR S2=5
A2G1. *AL1 *AL2
You mentioned that [CHILD NAME]’s parent does not live in the household. Have you already told me about that other parent?
IF YES, SELECT WHICH CHILD’S PARENT IS ALSO THE PARENT OF THIS CHILD:
YES, [CHILD1]
YES, [CHILD2]
YES, [CHILD3]
YES, [CHILD4]
YES, [CHILD5]
YES, [CHILD6]
YES, [CHILD7]
YES, [CHILD8]
YES, [CHILD9]
YES, [CHILD10]
No, parent not previously mentioned
A2G2. *AL1 *AL2
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?
ENTER ZIP CODE
ENTER CITY AND STATE SKIP TO A2G2_CS
IF VOLUNTEERED: MOTHER DECEASED SKIP TO END OF A_L_2_LOOP
IF VOLUNTEERED: FATHER DECEASED SKIP TO END OF A_L_2_LOOP
DK/REF SKIP TO OF END A_L_2_LOOP
A2G2_ZIP. *AL1 *AL2
ENTER PARENT’S ZIP CODE.
ZIP CODE: _______
SKIP TO A2G8
A2G2_CS. *AL1 *AL2
ENTER PARENT’S CITY AND STATE.
CITY: _______
STATE: _______
A2G8. *AL1 *AL2
What is the highest grade or level of schooling he/she has completed? READ IF NECESSARY
8th grade or less
9th-12th grade no diploma
High school graduate or GED completed
Some college credit but no degree
Associate degree (AA, AS)
Bachelor’s degree (BA, BS, AB)
Graduate or professional degree
A2G9. *AL1 *AL2
In the past 12 months, about how many times has he/she seen [CHILD NAME]?
TIMES: _______
Range: 0-999
A2G9a. *AL1 *AL2
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?
Yes
No
A2G8A.
Does [he/she] have a spouse or partner that lives in their household?
Yes
No
End of A_L_2 Loop (*AL2):
REPEAT A1B-A2G8A FOR EACH CHILD LISTED IN A1
Section B. Respondent and Household Adults Demographics
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?
INTERVIEWER INSTRUCTION: IDENTIFY ALL HOUSEHOLD MEMBERS FIRST, THEN ASK QUESTIONS ABOUT EACH PERSON.
NUMBER OF PEOPLE: _______
Range: 1-99
-4. DK/REF
Start of B_L_0 Loop (*BL0):
REPEAT B1A FOR ALL INDIVIDUALS OVER 13 WHO USUALLY LIVE IN THE HOUSEHOLD LISTED IN B1A1 WHERE B1A1≠ DK/REF OR BLANK
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: _______
-4. DK/REF SKIP TO B_S_7
End of B_L_0 Loop (*BL0):
REPEAT B1A FOR ALL INDIVIDUALS OVER 13 WHO USUALLY LIVE IN THE HOUSEHOLD LISTED IN B1A1 WHERE B1A1≠ DK/REF OR BLANK
Start of B_L_1 Loop (*BL1):
ASK B1B-B1O_1 FOR EACH NAMED HHM LISTED IN B1A1 WHERE B1A1≠ DK/REF OR BLANK
Now I have some questions about each person in the household. The questions may be different for different people. Let me start with you.
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: _______
Range: 1-99
B1c. *BL1
IF FIRST HHM: You may select more than one answer. Are you:
IF SECOND OR HIGHER HHM: You may select more than one answer. Is [HHM NAME]:
1. Male
2. Female
3. Transgender, non-binary, or another gender
Skip Logic Box B_S_1:
IF HHM NOT R, ASK B1D
ELSE SKIP TO B_S_2
B1d. *BL1
What is your relationship to [HHM NAME]?
Spouse (i.e., legally married)
Partner (i.e., not legally married)
Parent or Parent-in-law
Child or child-in-law
Sibling or sibling-in-law
Other relative
Non-relative
DK/REF
Added: Friend/roommate
Added: Rental relationship (landlord, tenant, etc)
Added: Live-in nanny
Added: Other household staff
Added: Relative of partner, boyfriend/girlfriend
Added: Partner of related HH member
Added: Ex-wife/husband/partner
IF B1D=7 ASK B1D_SPEC
ELSE, SKIP TO B1E
B1D_SPEC. *BL1
(PLEASE SPECIFY:) _________________
Skip Logic Box B_S_2:
IF B1B >= 14 AND HHM NOT R, ASK B1E
ELSE SKIP TO SKIP B_S_3
B1e. *BL1
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.
B1e_1. *BL1
Who are [HHM NAME]’s children in this household?
(SELECT ALL THAT APPLY)
Child1
Child2
Child3
Child4
Child5
Child6
Child7
Child8
Child9
IF B1B >= 14, B1D ≠1, AND B1E = 2 OR 3, ASK B1F
B1f. *BL1
Does [HHM NAME] ever look after the young children in the household?
IF NEEDED: How about for more than 5 hours at a time?
Yes
No
Skip Logic Box B_S_4:
IF B1D≠1, B1E≠1, AND B1F≠1, SKIP TO END OF B_L_1 LOOP
ELSE, ASK B1J
B1j. *BL1
What is the highest grade or level of schooling that [you have/[HHM NAME] has] ever completed?
INTERVIEWER: READ IF NECESSARY
8th grade or less
9th-12th grade no diploma
High school graduate or GED completed
Some college credit but no degree
Associate degree (AA, AS)
Bachelor’s degree (BA, BS, AB)
Graduate or professional degree
Skip Logic Box B_S_5:
IF FIRST HHM, ASK B1M
IF SECOND OR HIGHER HHM, SKIP TO B_S_6
B1m. *BL1
Are you of Hispanic, Latino/a, or Spanish origin?
(SELECT ONE OR MORE)
1. No, not of Hispanic, Latino/a, or Spanish origin
2. Yes, Mexican, Mexican American, Chicano/a
3. Yes, Puerto Rican
4. Yes, Cuban
5. Yes, of another Hispanic, Latino/a or Spanish origin
B1n. *BL1
What is your race…
5. American Indian or Alaska Native
3. Asian
2. Black or African American
4. Native Hawaiian or Other Pacific Islander
1. White
6. IF VOLUNTEERED: OTHER
B1_SO.
Which of the following best represents how you think of yourself?
1. Gay or lesbian
2. Straight, that is not gay or lesbian
3. Bisexual
4. I use a different term--> SKIP TO B1_SO_OS
5. I don’t know
B1_SO_OS.
OTHER, SPECIFY:___________
Skip Logic Box B_S_6:
IF FIRST HHM OR B1E=1, ASK B1O
ELSE, SKIP TO END OF B_L_1 LOOP
B1o. *BL1
IF FIRST HHM: In which country were you born?
IF SECOND OR HIGHER HHM: In which country was [HHM NAME] born?
United States SKIP END OF B_L_1 LOOP
Not in U.S.
DK/REF SKIP TO END OF B_L_1 LOOP
B1o_CNTRY *BL1
IF FIRST HHM: In which country were you born?
IF SECOND OR HIGHER HHM: In which country was [HHM NAME] born?
[drop down]
1. Don't know/Refused
2. Afghanistan
3. Akrotiri
4. Albania
5. Algeria
6. American Samoa
7. Andorra
8. Angola
9. Anguilla
10. Antarctica
11. Antigua and Barbuda
12. Argentina
13. Armenia
14. Aruba
15. Ashmore and Cartier Islands
16. Australia
17. Austria
18. Azerbaijan
19. Bahamas
20. Bahrain
21. Bangladesh
22. Barbados
23. Bassas da India
24. Belarus
25. Belgium
26. Belize
27. Benin
28. Bermuda
29. Bhutan
30. Bolivia
31. Bosnia and Herzegovina
32. Botswana
33. Bouvet Island
34. Brazil
35. British Indian Ocean Territory
36. British Virgin Islands
37. Brunei
38. Bulgaria
39. Burkina Faso
40. Burma
41. Burundi
42. Cambodia
43. Cameroon
44. Canada
45. Cape Verde
46. Cayman Islands
47. Central African Republic
48. Chad
49. Chile
50. China
51. Christmas Island
52. Clipperton Island
53. Cocos (Keeling) Islands
54. Colombia
55. Comoros
56. Congo
57. Cook Islands
58. Coral Sea Islands
59. Costa Rica
60. Cote d'Ivoire
61. Croatia
62. Cuba
63. Cyprus
64. Czech Republic
65. Denmark
66. Dhekelia
67. Djibouti
68. Dominica
69. Dominican Republic
70. Ecuador
71. Egypt
72. El Salvador
73. Equatorial Guinea
74. Eritrea
75. Estonia
76. Ethiopia
77. Europa Island
78. Falkland Islands (Islas Malvinas)
79. Faroe Islands
80. Fiji
81. Finland
82. France
83. French Guiana
84. French Polynesia
85. French Southern and Antarctic Lands
86. Gabon
87. Gambia
88. Gaza Strip
89. Georgia
90. Germany
91. Ghana
92. Gibraltar
93. Glorioso Islands
94. Greece
95. Greenland
96. Grenada
97. Guadeloupe
98. Guam
99. Guatemala
100. Guernsey
101. Guinea
102. Guinea-Bissau
103. Guyana
104. Haiti
105. Heard Island and McDonald Islands
106. Holy See (Vatican City)
107. Honduras
108. Hong Kong
109. Hungary
110. Iceland
111. India
112. Indonesia
113. Iran
114. Iraq
115. Ireland
116. Isle of Man
117. Israel
118. Italy
119. Jamaica
120. Jan Mayen
121. Japan
122. Jersey
123. Jordan
124. Juan de Nova Island
125. Kazakhstan
126. Kenya
127. Kiribati
128. North Korea
129. South Korea
130. Kuwait
131. Kyrgyzstan
132. Laos
133. Latvia
134. Lebanon
135. Lesotho
136. Liberia
137. Libya
138. Liechtenstein
139. Lithuania
140. Luxembourg
141. Macau
142. Macedonia
143. Madagascar
144. Malawi
145. Malaysia
146. Maldives
147. Mali
148. Malta
149. Marshall Islands
150. Martinique
151. Mauritania
152. Mauritius
153. Mayotte
154. Mexico
155. Micronesia, Federated States of
156. Moldova
157. Monaco
158. Mongolia
159. Montserrat
160. Morocco
161. Mozambique
162. Namibia
163. Nauru
164. Navassa Island
165. Nepal
166. Netherlands
167. Netherlands Antilles
168. New Caledonia
169. New Zealand
170. Nicaragua
171. Niger
172. Nigeria
173. Niue
174. Norfolk Island
175. Northern Mariana Islands
176. Norway
177. Oman
178. Pakistan
179. Palau
180. Panama
181. Papua New Guinea
182. Paracel Islands
183. Paraguay
184. Peru
185. Philippines
186. Pitcairn Islands
187. Poland
188. Portugal
189. Puerto Rico
190. Qatar
191. Reunion
192. Romania
193. Russia
194. Rwanda
195. Saint Helena
196. Saint Kitts and Nevis
197. Saint Lucia
198. Saint Pierre and Miquelon
199. Saint Vincent and the Grenadines
200. Samoa
201. San Marino
202. Sao Tome and Principe
203. Saudi Arabia
204. Senegal
205. Serbia and Montenegro
206. Seychelles
207. Sierra Leone
208. Singapore
209. Slovakia
210. Slovenia
211. Solomon Islands
212. Somalia
213. South Africa
214. South Georgia and the South Sandwich Islands
215. Spain
216. Spratly Islands
217. Sri Lanka
218. Sudan
219. Suriname
220. Svalbard
221. Swaziland
222. Sweden
223. Switzerland
224. Syria
225. Taiwan
226. Tajikistan
227. Tanzania
228. Thailand
229. Timor-Leste
230. Togo
231. Tokelau
232. Tonga
233. Trinidad and Tobago
234. Tromelin Island
235. Tunisia
236. Turkey
237. Turkmenistan
238. Turks and Caicos Islands
239. Tuvalu
240. Uganda
241. Ukraine
242. United Arab Emirates
243. United Kingdom
244. United States
245. Uruguay
246. Uzbekistan
247. Vanuatu
248. Venezuela
249. Vietnam
250. Virgin Islands
251. Wake Island
252. Wallis and Futuna
253. West Bank
B1o_1. *BL1
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: _______
Range: 1900-2024
End of B_L_1 Loop (*BL1):
REPEAT B1B-B1O_1 FOR EACH NAMED HHM LISTED IN B1A1 WHERE B1A1≠ DK/REF OR BLANK
Skip Logic Box B_S_7 (B_HHSTR_CHK):
IF A2F≠1 OR 2 AND A2G ≠1 (NO PARENT LISTED IN HH), THEN ASK B1_CUST
ELSE IF > 3 PARENTS ARE LISTED FOR A CHILD IN B1E_1, THEN SKIP TO B1_STRUCT
IF A2F = 1,2 OR A2G = 1 OR PARENT IS LISTED FOR CHILD IN B1_E1, SKIP TO B2
B1_CUST.
I do not have a parent recorded for [CHILD] in this household. Who is a guardian for [CHILD]?
[HHM1]
[HHM2]
[HHM3]
[HHM4]
[HHM5]
[HHM6]
[HHM7]
[HHM8]
[HHM9]
[HHM10]
[HHM11]
[HHM12]
[HHM13]
[HHM14]
[HHM15]
No guardian SKIP TO B2
Guardian or parent outside of household only SKIP TO B2
DK/REF SKIP TO B2
B1_CUST_a.
Is that a formal relationship such as foster care or legal guardianship, or an informal arrangement?
Foster
Legal, not foster
Informal
LOOP TO B1_CUST FOR ANY CHILDREN UNDER 13 FOR WHOM NO PARENTS ARE LISTED
SKIP LOGIC BOX B_S_8:
IF > 3 PARENTS ARE LISTED FOR A CHILD IN B1E_1, THEN ASK B1_STRUCT
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: _________________
Open-ended responses coded into created codeframe:
Parent and adult children both had minor children and lived together
Parents were siblings living together sometimes with partners/spouses
Parents were friends living together sometimes with partners/spouses
Parents were cousins living together sometimes with partners/spouses
Parents confirmed relation not specified
Parents confirmed and a combination of all of the above
Parents confirmed but it is two or more different families renting one home an living together
Reported Additional Adults in error
Other
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? (SELECT ALL THAT APPLY)
LANGUAGE:
0 No other language provided
1 Arabic
2 Armenian
3 Chinese
4 English
5 French (including Patois, Cajun)
6 French creole
7 German
8 Greek
9 Guajarati
10 Hebrew
11 Hindi
12 Hungarian
13 Italian
14 Japanese
15 Korean
16 Laotian
17 Miao, Hmong
18 Mon-Khmer, Cambodian
19 Navajo
20 Persian
21 Polish
22 Portuguese or Portuguese Creole
23 Russian
24 Serbo-Croatian
25 Spanish or Spanish Creole
26 Tagalog
27 Thai
28 Urdu
29 Vietnamese
30 Yiddish
31 Other
32 DK/REF
33 American Sign Language
34 Amharic
35 Albanian
36 Bengali
37 Bulgarian
38 Burmese
39 Cape Verdean
40 Chamorro
41 Chuukese
42 Creole
43 Czech
44 Creole
45 Dutch
46 Ethiopian
47 Fijian
48 African dialects
49 Igbo
50 Ilocano
51 Indian dialects
52 Indonesian
53 Moratai
54 Jamaican/Haitian Creole
55 Kannada
56 Karen
57 Kurdish
58 Lakota
59 Latvian
60 Mixteco
61 Nepali
62 Mongolian
63 Norwegian
64 Oromo
65 Pashto
66 Punjabi
67 Romanian
68 Samoan
69 Somali
70 Swahili
71 Tamil
72 Telugu
73 Tigrinya
74 Turkish
75 Twi
76 Ukrainian
77 Visyan/Cebuano/Bisaya
78 Yoruba
79 Malayalam
80 Pennsylvanian Dutch
81 Tongan
82 Nahuatl
83 Hawaiian
84 Mandinka
85 Finnish
86 Pidgin
87 Sesotho
IF B2=31 ASK B2_SPEC
ELSE, skip to B3
B2_SPEC.
SPECIFY LANGUAGE: _________________
[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.
Yes
No skip TO beginning of section c
DK/REF skip TO beginning of section c
IF volunteered: yES, BUT CHILD HAS NO RELATIONSHIP WITH THEM skip TO beginning of section c
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?
Yes
No
B3c.
Would any of these relatives be able to care for your child if you were to pay them?
Yes
No
Section C. Child Care: Types and Hours
Summer Skip Logic Box S_S_1:
IF CHECK_S=1, SKIP TO C1_INTRO_S
ELSE ASK C1_INTRO
Now I’d like to understand your child care schedule last week.
C1_INTRO.
[READ FOR FIRST CHILD ONLY:] In addition to a child’s parents, a child may be cared for by other adults in the household, by relatives or friends outside of the household, or by a child-care professional in a center or someone’s home. Older children may sometimes care for themselves. Next I have some questions about various people who cared for your child/children during the last week (that is, Monday, [MONDAY DATE] to Sunday, [SUNDAY DATE]).
SKIP TO INSTRUCTION BEFORE C1
C1_INTRO_S.
Now I’d like to understand your child care schedule in a typical week in May.
[READ FOR FIRST CHILD ONLY:] In addition to a child’s parents, a child may be cared for by other adults in the household, by relatives or friends outside of the household, or by a child-care professional in a center or someone’s home. Older children may sometimes care for themselves. Next I have some questions about various people who regularly cared for your child/children in a typical week in May.
SKIP TO START OF SUMMER LOOP S_L_1
Start of C_L_1 Loop (*CL1):
ASK C1-C1A_MORE FOR EACH CHILD LISTED IN A1
C1. *CL1
[Let’s start with [CHILD 1 NAME]./Now let’s talk about [CHILD X NAME]./Can you tell me who else cared for [CHILD X NAME] last week?] 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.
[IN SLOTS 1-15, LIST ALL HHMS WHO ARE NOT THE RESPONDENT, ARE NOT THE RESPONDENT’S SPOUSE (B1d NOT 1), AND DO NOT HAVE A CHILD IN THE HH (B1e NOT 1).]
[HHM 1]
[HHM 2]
[HHM 3]
[HHM 4]
[HHM 5]
[HHM 6]
[HHM 7]
[HHM 8]
[HHM 9]
[HHM 10]
[HHM 11]
[HHM 12]
[HHM 13]
[HHM 14]
[HHM 15]
[PROV 1]
[PROV 2]
[PROV 3]
[PROV 4]
[PROV 5]
[PROV 6]
[PROV 7]
[PROV 8]
[PROV 9]
[PROV 10]
[PROV 11]
[PROV 12]
[PROV 13]
[PROV 14]
[PROV 15]
ADD PROVIDER
CHILD HIM/HERSELF
USED PARENTAL CARE ONLY
IF C1=31, THEN ASK C1A1
IF C1=33, THEN SKIP TO C3
ELSE, SKIP TO C1A_MORE
C1A1. *CL1
ENTER PROVIDER NAME:
_________________
C1A_MORE. *CL1
Is there another provider for [CHILD]?
Yes LOOP TO C1 FOR [CHILD], NEXT PROVIDER
No
End of C_L_1 Loop:
REPEAT C1-C1A_MORE FOR ALL CHILDREN LISTED IN A1
Skip Logic Box C_S_1:
IF CHILD IS EQUAL TO OR GREATHER THAN 8 YEARS OLD (CALCULATED FROM A1C) AND HAS NO PROVIDERS LISTED IN C1, ASK C1_SA_CHECK
ELSE, SKIP TO C2_INTRO
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: _________________
Home-schooled
Illness/Disability/Special Needs
Self-Care by Child
At home with parent/parental care
Formal arrangements
With family or friends (non-parent)
Various activities, possibly unsupervised
Informal/Ad hoc Arrangements
Vacations, holidays or other breaks, possibly unsupervised
Other
LOOP TO C1A_SA_CHECK FOR ANY CHILD THAT MEETS THE CRITERIA IN C_S_1.
C2_INTRO.
Now I’d like to understand your child care schedule last week.
Start of C_L_2 Loop (*CL2):
ASK C2-C4C2 FOR EACH CHILD LISTED IN A1
Start of C_L_3 Loop(*CL3):
ASK C2-C2A2 UNTIL CHILD CARE SCHEDULE IS COMPLETE FOR ALL DAYS, MONDAY-SUNDAY, FOR CHILD
C2. *CL2 *CL3
INTERVIEWER INSTRUCTION: FOR EACH CARE ARRANGEMENT REPORTED BY RESPONDENT, SELECT PROVIDER FROM THE DROP-DOWN MENU AND ASK C2A1 AND C2D BELOW. IF A PROVIDER CARED FOR CHILD MULTIPLE TIMES IN THE DAY, EACH SESSION OF CARE SHOULD BE REPORTED SEPARATELY.
IF NEEDED: Please tell me about last week, even if it was an unusual week. I'll ask you other questions about your usual schedule later on.
|
C2. Thinking about last [DAY] (that is, [DATE]), who cared for [CHILD NAME]? Do not include any parent of a child under 13 in this household or his or her spouse. |
C2A1. What time last [DAY] did [PROVIDER] start to care for [CHILD NAME]?
START TIME: |
C2D. When did the care with [PROVIDER] end last [DAY]?
END TIME: |
And who cared for him/her next that day? |
1 |
|
_________
|
_________
|
|
2 |
|
_________
|
_________
|
|
3 |
|
_________
|
_________
|
|
4 |
|
_________
|
_________
|
|
5 |
|
_________
|
_________
|
C2D2. *CL2 *CL3
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)
PROVIDER: |
START TIME: |
END TIME: |
|
|
|
|
|
|
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
NO IDENTICAL DAYS LOOP TO C2 FOR NEXT DAY OF THE WEEK
C2A2. *CL2 *CL3
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?
PROVIDER: |
START TIME: |
END TIME: |
|
|
|
|
|
|
Identical LOOP TO NEXT DAY OF WEEK IN C2A2 IF INDICATED AS IDENTICAL IN C2D2
some differences LOOP TO CURRENT DAY OF WEEK IN C2
End of C_L_3 Loop (*CL3):
REPEAT C2-C2A2 UNTIL CHILD CARE SCHEDULE IS COMPLETE FOR ALL DAYS, MONDAY-SUNDAY, FOR CHILD
Start of C_L_4 Loop (*CL4):
ASK C3-C4B FOR UP TO 2 PROVIDERS PER CHILD
C3. *CL2 *CL4
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.
YES
C4. *CL2 *CL4
Who usually provides care for [CHILD NAME] but didn’t do so last week?
NAME:
_________________
C4a. *CL2 *CL4
Does that care usually take place at your home or somewhere else?
R’s home
Somewhere else
C4b. *CL2 *CL4)
How many hours per week does [C4 PROVIDER] usually care for [CHILD NAME]?
NAME:
_________________
End of C_L_4 Loop (*CL4):
REPEAT C3-C4B FOR UP TO 2 PROVIDERS PER CHILD
Skip Logic Box C_S_1A:
IF HH15_1 = 1 FOR [CHILD], ASK HH15_4
ELSE SKIP TO C_S_2
HH15_4.
When a child is spending time with their parent who doesn’t live in this household, how certain are you about the amount of time your child spends with a regular child care provider? By regular we mean at least five hours per week. Please include all types of child care providers that are not the child’s parent, including child care professionals (in centers or someone’s home), babysitters, nannies, relative and friend care, etc.).
Very certain
Somewhat certain
Uncertain
Skip Logic Box C_S_2:
IF MORE THAN ONE CHILD(LISTED IN A1), SKIP TO C4C
IF ONLY ONE CHILD OR LAST CHILD WHICH HAS COMPLETED THE C_L_3 LOOP, SKIP TO C5
Start of Summer Loop S_L_1 (*SL1):
ASK C3_S-CS_2 FOR EACH CHILD LISTED IN A1
ASK C3_S- CS_2 FOR UP TO 4 PROVIDERS PER CHILD WHO USUALLY PROVIDED CARE IN A TYPICAL WEEK IN MAY
C3_S. *SL1
Did anyone regularly care for [CHILD NAME] in a typical week in May? By regularly I mean at least five hours each week.
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.
Do not include any parent of a child under 13 in this household or his or her spouse.
Please also include any other regular activities, such as regular playdates or babysitters.
YES
NO SKIP TO END OF C_L_2 LOOP
DK/REF SKIP TO END OF C_L_2 LOOP
C4_S. *SL1
Who usually provided care for [CHILD NAME] in a typical week in May?
NAME:
_________________
C4a_S. *SL1
Did that care usually take place at your home or somewhere else?
R’s home
Somewhere else
C4b_S. *SL1
How many hours per week did [C4 PROVIDER] usually care for [CHILD NAME]?
_______ Number of hours
Range: 1-168
CS_1. *SL1
How many of those hours were between 8am and 6pm Monday through Friday?
_______ Number of hours
Range: 1-168
CS_2. *SL1
About how many of the hours that [CHILD] was with [C4 PROVIDER] were you (and your spouse/partner) in work-related activities such as work, school, training or commuting to these activities?
_______ Number of Hours
Range: 1-168
End of Summer Loop S_L_1:
REPEAT C3_S-CS_2 UNTIL UP TO FOUR PROVIDERS HAVE BEEN LISTED FOR THE CHILD
REPEAT FOR EACH CHILD LISTED IN A1
Summer Skip Logic Box S_S_3:
SKIP TO S_S_4
C4c. *CL2
Was (CHILD)’s schedule last Monday the same as another child’s Monday schedule?
Yes
No LOOP TO C2 FOR THIS CHILD, MONDAY
C4C1. *CL2
Which child had the same [DAY] schedule?
[Child 1]
[Child 2]
[Child 3]
[Child 4]
[Child 5]
[Child 6]
[Child 7]
[Child 8]
[Child 9]
[Child 10]
C4C2. *CL2
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]?
identical LOOP TO C2D2
some differences LOOP TO C2 FOR [CHILD] ON [DAY]
End of C_L_2 Loop (*CL2):
REPEAT C2-C4C2 UNTIL CHILD CARE SCHEDULE IS COMPLETE FOR ALL DAYS, MONDAY-SUNDAY, FOR THIS CHILD
REPEAT C2-C4C2 FOR EACH CHILD LISTED IN A1
C5.
Now I have a few more questions about each (person/organization) that cares for your (child/children).
Start of C_L_5 Loop (*CL5):
ASK C5-C8_1 FOR EACH PROVIDER (LISTED IN C2 AND C4)
Skip Logic Box C_S_3:
IF NO PROVIDERS SELECTED FOR ANY CHILD IN HH, SKIP TO END OF C_L_5 LOOP
IF PROVIDER IS NON-RESIDENT PARENT, SKIP TO C9
ELSE ASK C5A
Summer Skip Logic Box S_S_4:
IF CHECK_S =1 SKIP TO C5A
IF CHECK_S=2:
IF PROVIDER IS A HH MEMBER, SKIP TO C5E
C5A. *CL5
if not obvious, ask: Is [PROVIDER] an individual or an organization?
Individual
INDIVIDUAL WITH FAMILY DAY CARE
Organization SKIP TO C6
DK/REF SKIP TO C8
C5C. *CL5
Did you have a personal relationship with (PROVIDER) before s/he began caring for your child/children?
YES
NO SKIP TO C5CB2
DK/REF SKIP TO C5CB2
C5CA. *CL5
What is your relationship to (PROVIDER)?
R is provider’s former spouse/partner SKIP TO C5CB2
R is provider’s child/son/daughter-in-law
R is provider’s brother or sister or brother or sister-in-law SKIP TO C5CB2
R is provider’s other relative
R is provider’s friend SKIP TO C5CB2
R is provider’s neighbor SKIP TO C5CB2
DK/REF
C5CB. *CL5
IF C5CA = 2: So (PROVIDER) Is the CHILD’s grandparent?
IF C5CA = 4 OR 7: Is this [CHILD]’s grandparent?
Yes
No
C5CB2. *CL5
As far as you know, does (PROVIDER) care for a total of four or more children each week, not counting his or her own children?
Yes
No
C5E. *CL5
Does this person usually receive payment for looking after your child(ren)?
Yes SKIP TO C5D
No
C5E1. *CL5
Do you 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 [CHILD] receives?
Yes
No
DK/REF
C5D. *CL5
IF NOT OBVIOUS: Does this individual live in this household or provide care in this household?
YES, LIVES HERE SKIP TO START OF C_L_6 LOOP
YES, PROVIDES CARE HERE BUT DOES NOT LIVE HERE SKIP TO START OF C_L_6 LOOP
NO, NEITHER LIVES HERE NOR PROVIDES CARE HERE SKIP TO C8
DK/REF SKIP TO C8
C6. *CL5
IF NOT OBVIOUS: What is the full name of [PROVIDER NAME]?
INTERVIEWER INSTRUCTION: RE-ENTER FULL NAME OF PROVIDER IF OBVIOUS.
C7. *CL5
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
IF STATE NOT LISTED, SELECT "NOT ON LIST".
C7_2. *CL5
IN WHAT CITY IS [PROVIDER NAME] LOCATED?
CITY: ____________
C7_3. *CL5
INTERVIEWER INSTRUCTIONS:PLEASE SELECT PROVIDER. IF PROVIDER NOT LISTED, SELECT "NOT ON LIST".
Skip Logic Box C_S_4:
IF PROVIDER FOUND IN C7_3 LIST, SKIP TO C1B
ELSE ASK C8
C8. *CL5
IF C5A=2 OR 3: [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 kept 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.
ENTER ADDRESS
ENTER ZIP AND CROSS STREETS SKIP TO C8_CROSS
ENTER CITY/STATE AND CROSS STREETS SKIP TO C8_CROSS2
DK/REF SKIP TO C1B
C8_ADDR2. *CL5
ENTER ADDRESS INFORMATION:
ADDRESS: _______
CITY: _______
STATE: _______
ZIP:_______
SKIP TO C1B
C8_CROSS. *CL5
CROSS-STREETS
ZIP : _______
STREET 1: _______
STREET 2:_______
SKIP TO C1B
C8_CROSS2. *CL5
CROSS-STREETS
CITY: _______
STATE: _______
STREET 1: _______
STREET 2:_______
C1B. *CL5
How did your child/children usually get to [PROVIDER] last week?
INTERVIEWER INSTRUCTION: SELECT ONE PER CHILD, DO NOT PROBE FOR ADDITIONAL.
Walking or bicycle
Car
Public transportation
School bus
Other
C1C. *CL5
Who usually took your child/children there?
[LIST OF PROVIDERS AND PARENTS]
IF C5A = 2 OR 3 (ORG OR FAM DAY CARE), OR C5A = 1 AND C5C= 2, ASK C11
ELSE, SKIP TO START OF C_L_6 LOOP
C11. *CL5
Do you have any difficulties talking with (PROVIDER/your caregiver at PROVIDER) because both of you aren’t comfortable speaking the same language?
YES
NO
Skip Logic Box C_S_6:
IF C5A = 3, ASK C8_3
ELSE SKIP TO START OF C_L_6 LOOP
C8_3. *CL5
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?
Single
More than one SKIP TO C8_4
DK/REF SKIP TO C8_4
What single type of activity does your provider offer?
(SELECT ONE ONLY)
Academic support or tutoring programs
Sports (e.g., gymnastics, swim, martial arts)
Music, dance, or art
Enrichment (library school/story time, science/nature)
General child care services or daycare, nursery school or preschool
Other, specify:________
C8_4. *CL5
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.
Do you use [PROVIDER] on a drop-in basis?
Start of C_L_6 Loop (*CL6):
ASK C9-C8_1 EACH CHILD, STARTING WITH THE YOUNGEST, CARED FOR BY PROVIDER LISTED IN C2 AND C4
C9. *CL5 *CL6
Does [PROVIDER] care for [CHILD] regularly? By regularly, we mean at least five hours each week.
How old was [CHILD] when [PROVIDER] started regularly looking after him or her?
ENTER 0 YRS 0 MONTHS IF PROVIDER HAS CARED FOR CHILD SINCE BIRTH.
_______ Months
Range: 0-12
_______ Years
Range: 0-13
Skip Logic Box C_S_6a (CHK_HH10_Q4):
IF CHILD IS < 72 MONTHS OLD, ASK HH10_Q4
How often would you say the following statements are true about the care [CHILD] receives from [PROVIDER]: Never, Rarely, Sometimes, Often, or Always?
HH10_Q4a. My child gets a lot of individual attention.
Never
Rarely
Sometimes
Often
Always
HH10_Q4b. My caregiver is open to new information and learning.
Never
Rarely
Sometimes
Often
Always
HH10_Q4c. My child feels safe and secure in care.
Never
Rarely
Sometimes
Often
Always
HH10_Q5. *CL5 *CL6
If you could change one thing about [PROVIDER] to better meet [CHILD’s] needs, what would it be?
(SELECT ONE ONLY)
Fewer children/smaller setting
More communication from the provider
Better quality environment (play areas, toys, etc.)
Provider I liked or trusted more
Provider who better represented my child’s culture, language or ethnicity
Nothing, it’s just right.
Other, specify:_____________
IF PROVIDER NOT AN ORGANIZATION (C5A ≠ 3), THEN SKIP TO END OF C_L_5 LOOP
ELSE IF PROVIDER AN ORG (C5A=3), SKIP TO C_S_8
Skip Logic Box C_S_8 (CHK_C8C):
IF CHILD IS 54 MONTHS TO 71 MONTHS, ASK C8C
ELSE IF CHILD IS 72 MONTHS OR OLDER, SKIP TO C_S_9
ELSE IF CHILD IS < 54 MONTHS, SKIP TO C8_2
C8C. *CL5 *CL6
Is [CHILD] enrolled in kindergarten (IF CALIFORNIA: or transitional kindergarten) at [PROVIDER]?
Yes (KINDERGARTEN OR CALIFORNIA TRANSITIONAL KINDERGARTEN) SKIP TO C_S_9.
No (INCLUDES PRE-KINDERGARTEN)
C8_2. *CL5 *CL6
At [PROVIDER], does [CHILD] participate in a Head Start program, a Public Pre-Kindergarten program, such as [LOCAL NAME FOR PRE_K], another kind of preschool, or something else?
(SELECT FIRST MENTION)
HEAD START
PUBLIC PRE-KINDERGARTEN
ANOTHER KIND OF PRESCHOOL
SOMETHING ELSE
SKIP TO END OF C_L_6 LOOP
Skip Logic Box C_S_9 (CHK_C8a):
IF CHILD 60 MONTHS OR OLDER AND [PROVIDER] IS AN ELEMENTARY SCHOOL IN SAMPLE FRAME, ASK C8A
ELSE, SKIP TO C8_1
C8A. *CL5 *CL6
INTERVIEWER: SELECT 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?
Yes
No SKIP TO END OF C_L_5 LOOP
DK/REF SKIP TO END OF C_L_5 LOOP
C8_1. *CL5 *CL6
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: _______
END TIME: _______
End of C_L_6 Loop (*CL6):
REPEAT C9-C8_1 EACH NEXT CHILD CARED FOR BY THIS PROVIDER (LISTED IN C2 AND C4)
End of C_L_5 Loop (*CL5):
REPEAT C5A-C8_1 FOR EACH PROVIDER (LISTED IN C2 AND C4)
HH21_1.
In the past 12 months, have you ever been told by a child care provider that your child might need to “take a break” or leave care, either permanently or temporarily?
HH21_2.
What was the primary reason given?
1. Provider could not manage child’s behavior towards other children or adults
2. Provider could not meet child’s health or physical care needs
3. Provider could not meet child’s developmental needs
4. Child not adjusting emotionally/crying/separation anxiety
5. Other, specify: ____________
HH21_3.
How old was your child at that time?
________ Years
Children can be cared for by many different types of caregivers, including their parents, other adults living in or outside the household (including relatives or friends), or by child-care professionals in centers or someone’s home.
These next questions are about the types of care you prefer for [SELECTED CHILD IN C14_SELECT], and about your experiences finding and choosing adults or organizations to care for [SELECTED CHILD].
As a reminder: Please answer the following questions with [SELECTED CHILD] in mind:
HH10_Q8.
If all types of child care were free and in a convenient location for your family, what type of care would you most want for [SELECTED CHILD]?
Home-based provider I had a prior personal relationship with
Home-based provider I didn’t have a prior personal relationship with
Center-based care
OTHER
DK/REF
How much difficulty did you have finding the type of child care you wanted for [SELECTED CHILD]?
No difficulty
A little difficulty
Some difficulty
A lot of difficulty
Did not find the type of care I wanted
HH10_Q11_INTRO:
For the next questions, we would like you to think of your family’s child care situation overall. By this we mean all of the types of care that you use to care for all of the children in your family.
HH10_Q11_b.
Thinking of your family’s child care situation overall, if you could change one thing (other than cost) to better meet your family needs, what would it be? (SELECT ONLY ONE)
More conveniently located care
Fewer different arrangements to get the coverage I need
More flexible hours and scheduling
More total hours, days or weeks of coverage
Hours of care that better align to my/my spouse/my partner’s work schedule
Something else: ______________________________
NOTHING, IT’s JUST RIGHT.
For the following statements, I would like to know if each statement applies to you.
Please tell us yes, somewhat or no.
HH10_Q13a. There are good choices for child care where I live.
Yes
Somewhat
No
HH10_Q13b. When I chose care for [CHILD], I had more than one option.
Yes
Somewhat
No
Section D. Respondent and Spouse Employment Schedules
ASK SECTION D FOR R, AND R’S SPOUSE IF ANY IN HOUSEHOLD (HH_B1D_RLTION_R_X = 1), AND FOR ANY OTHER PARENT OF A CHILD UNDER 13 IN HH (HH_B1E_HAVECHILD_X = 1), AND FOR ANY ADULT WHO IS A GUARDIAN (SELECTED IN B1_CUST)
D1A. *DL1
I’m going to ask you about [your/HHM’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.
YES
NO
D1B. *DL1
Last week, (did you/was s/he) attend classes in a high school, college or university?
YES, ATTENDED
NO, NOT ATTENDED
D1C. *DL1
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?
YES, IN TRAINING
NO, NOT IN TRAINING
Summer Skip Logic Box S_S_5:
IF CHECK_S=1, SKIP TO D_S_2
ELSE, GO TO START LOOP BOX D_L_2
Start of D_L_2 Loop (*DL2):
ASK D1D – D1D_C3 FOR ANY PARENT OF A CHILD < 13 IN THE HH OR ANY SPOUSE OR PARTNER OF A PARENT OF A CHILD < 13 OR A GUARDIAN IN A NON-PARENTAL HH
D1D. *DL1 *DL2
Next, I’d like to ask you about (your/his/her) day-to-day (work/school/training) schedule last week.
IF D1A=1 THEN DISPLAY “WORK’” AS AN OPTION IN THE CALENDAR DROP DOWN
IF D1B=1 THEN DISPLAY “SCHOOL” AS AN OPTION IN THE CALENDAR DROP DOWN
IF D1C=1 THEN DISPLAY “TRAINING” AS AN OPTION IN THE CALENDAR DROP DOWN
SELECT ACTIVITY FROM THE DROP-DOWN MENU AND ASK D1D_1 AND D1D_2 BELOW. IF R DID AN ACTIVITY MULTIPLE TIMES IN THE DAY, EACH SCHEDULE SHOULD BE REPORTED SEPARATELY.
|
D1D. *DL1 *DL2 Thinking about last [DAY], [DATE], did you go to work/school/training? |
D1D_1. *DL1 *DL2 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: |
D1D_2. *DL1 *DL2 What time did you end [work/school/training] on last [DAY]?
TIME ENDED: |
And did you attend work/ school/ training any other time that day? |
schedule 1 |
|
_________
|
_________
|
|
schedule 2 |
|
_________
|
_________
|
|
schedule 3 |
|
_________
|
_________
|
|
schedule 4 |
|
_________
|
_________
|
|
schedule 5 |
|
_________
|
_________
|
What day(s) last week is (are) the same as [your/his/her] [DAY OF WEEK] schedule last week for work, school or training?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
No identical days
Skip Logic Box D_S_1:
IF A DAY is SELECTED (D1D_C2= 1-7), SKIP TO D1D_C3
ELSE, SKIP TO D_S_2
Gap Check Logic Box:
COMPARE EMPLOYMENT SCHEDULES (D1D Grid) AGAINST CHILD CARE SCHEDULES (C2 Grid) ON LAST [DAY], IF THERE ARE PERIODS OF ONE HOUR OR MORE WHEN CHILD NOT IN ANY CARE AND PARENT(S) AT WORK/SCHOOL/TRAINING, ASK CHK3
FOR THE GAP CHECK, ASK UP TO 7 GAPS ABOUT FOR EACH CHILD AND DAY
Start of D_L_3 Loop (*DL3):
ASK CHK3 – CHK3_SPECIFY FOR ALL CHILDREN WITH GAPS IN CARE
CHK3. *DL1 *DL2 *DL3
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?
Child with r/r spouse/partner at work/school/training
Child with r/spouse/partner and r/spouse not at work/school/training
Child cared for him/herself
Child with sibling less than 18
6. Child with a parent who doesn’t live in this HH
5. OTHER ARRANGEMENT
IF CHK3 = 5, ASK CHK3_SPECIFY
ELSE, SKIP TO END OF LOOP BOX D_L_3
CHK3_SPECIFY. *DL1 *DL2 *DL3
ENTER ANY ADDITIONAL INFORMATION ABOUT CHILD CARE GAP: ______________________
End of D_L_3 Loop (*DL3):
REPEAT CHK3 – CHK3_SPECIFY FOR ALL CHILDREN WITH GAPS IN CARE
D1D_C3. *DL1 *DL2
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?
Identical CHECK FOR GAPS, GO TO NEXT DAY
Some differences LOOP TO D1D FOR DAY SELECTED IN D1D_C2
End of D_L_2 Loop (*DL2):
REPEAT D1D – D1D_C3 FOR ANY PARENT OF A CHILD < 13 IN THE HH OR ANY SPOUSE OR PARTNER OF A PARENT OF A CHILD < 13 OR A GUARDIAN IN A NON-PARENTAL HH
Skip Logic Box D_S_2:
IF HHM IS CHILD’S PARENT OR PARENT’S SPOUSE, ASK D2
ELSE, SKIP TO D9A_NEW
Start of D_L_4 Loop (*DL4):
ASK D2_1 – D5D FOR ALL PARENT’S AND SPOUSES OF PARENTS
The next questions are about the people in this household who have young children or are caring for them. I may have different questions about each of you.
Skip Logic Box D_S_3:
IF D1A = 1, ASK WFH_1
IF HHM IS CHILD’S PARENT OR PARENT’S SPOUSE AND D1A IS NOT EQUAL TO 1, SKIP TO D4
These next questions are about [you/[NAME]].
Which of the following best describes (your/your spouse’s/your partner’s) current work situation?
I/my spouse/my partner work(s) only at home SKIP TO WFH_4
I/my spouse/my partner work(s) only at workplace(s) outside of home SKIP TO D2_1
I/my spouse/my partner work(s) both at home and at workplace(s) outside of home
As part of (your/your spouse’s/your partner’s) work schedule last week, were there any days when (you/they) worked only at home?
WFH_3. *DL1 *DL4
Which days of the week were these?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
WFH_4. *DL1 *DL4
How many total hours did (you/your spouse/your partner) work from home last week?
___________ hours
WFH_5. *DL1 *DL4
During the hours when (you/your spouse/your partner) work(s) from home, what type of child care do(es) (you/your spouse/your partner) mostly use for [SELECTED CHILD-FROM C14_SELECT].
I care for [CHILD] at home
My spouse/partner cares for [CHILD] at home
Someone besides (me/my spouse/my partner) cares for [CHILD] at home
[CHILD] is cared for outside of the home
[CHILD] cares for themselves [Note to interviewer: only read if child is older than 8 years]
IF WFH_1 = 1 (ONLY FROM HOME) THEN SKIP TO D2_2
D2_1. *DL1 *DL4
Where is the place that (you/he/she) work(s) the most hours each week? Please tell me the address or nearest major intersection.
Work from home
Enter address SKIP TO D2_ADDR
IF WFH_1 = 3 AND D2_1 = 1, THEN ASK D2_1A
ELSE SKIP TO D2_2
D2_1A. *DL1 *DL4
When working at workplace(s) outside the home where do(es)(you/he/she) work(s) the most hours each week? Please tell me the address or nearest major intersection.
No set workplace SKIP TO D2_2
Enter address SKIP TO D2_ADDR
Enter cross-streets SKIP TO D2_CROSS
DK/REF SKIP TO D2_2
D2_ADDR. *DL1 *DL4
ENTER ADDRESS INFORMATION:
ADDRESS ________________
CITY ____________
STATE ____________
ZIP ____________
SKIP TO D2_COMMUTE
D2_CROSS. *DL1 *DL4
CROSS-STREETS
STREET 1 ____________
STREET 2 ____________
CITY ____________
D2_COMMUTE. *DL1 *DL4
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
D2_2.* *DL1 *DL4
How far in advance (do you/he/she) usually know what days and hours you/he/she will need to work?
D2_3. *DL1 *DL4
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?
Usual schedule
No usual schedule
Last week unusual
D2.
*DL1
*DL4
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?
[PERSON X]
_________________
D2A.
*DL1
*DL4
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]
-4. DK/REF SKIP TO D3D
D3D. *DL1 *DL4
About how much are you paid at that job?
[D2 JOB NAME]
RECORD WAGE: _________________
Is that per…?
RECORD UNIT:
Per hour
Per day
Per week
Bi-weekly
Per month
Per year
OTHER
Skip Logic Box D_S_4:
IF D1A=1 SKIP TO END OF D_L_4 LOOP
ELSE, ASK D4
D4. *DL1 *D4
[Have you/has he/she] ever worked for pay?
Yes
No SKIP TO END D_L_4 LOOP
DK/REF SKIP TO END OF D_L_4 LOOP
D5A. *DL1 *DL4
What was the last job that (you/he/she) had? What was the job title or what were the main duties of the job?
_________________
D5B. *DL1 *DL4
When did you/he/she last work at that job?
INTERVIEWER INSTRUCTION: ENTER 33/33 IF R STILL WORKS THERE
MONTH: _________
Range: 1-12, 33
YEAR: _________
Range: 1900-2024, 33
D5C. *DL1 *DL4
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?
LESS THAN 15
15 TO 30
MORE THAN 30
D5D. *DL1 *DL4
About how much (were you/was he/she/are you) paid at that job? Your best estimate is fine.
AMOUNT: _________________
PER UNIT OF TIME
Per hour
Per day
Per week
Bi-weekly
Per month
Per year
OTHER
End of D_L_4 Loop (*DL4):
REPEAT D2_1 – D5D FOR ALL PARENT’S AND SPOUSES OF PARENTS
For these next questions, please think about the adults in the household who have young children or care for them at least 5 hours per week. That is [INSERT NAME(S)].
D9A_REVISED. *DL1
How many days in the past 3 months did [one of] you miss work 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: __________
Range: 0-100
IF D9A_REVISED = 0, SKIP TO D11
ELSE, ASK D10A_REVISED
D10A_REVISED. *DL1
How many of these days were missed because your provider was sick or on vacation?
DAYS: __________
Range: 0-100
Skip Logic Box D_S_6:
IF D10A_REVISED > 0, ASK D10C
ELSE, SKIP TO D13
D10C. *DL1
Did that person lose any pay because of missed work?
YES
NO
D13. *DL1
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: __________
Range: 0-100
D13a.
What did you do when you last had to make a special arrangement for [CHILD]?
(INTERVIEWER: CODE FIRST MENTION)
A relative that does not live with us cared for my child
A friend that does not live with us or a neighbor cared for my child
Child’s older sibling cared for my child
A center-based provider or organization that provides emergency/back-up care cared for my child
A home-based provider that provides emergency/back-up care cared for my child
I/my spouse/partner cared for my child
I/MY SPOUSE/PARTNER TOok my child to work
child cared for themselves
Another adult who lives with us cared for my child
Other, specify:________
Skip Logic Box D_S_6a:
IF R OR R’S SPOUSE EMPLOYED (D1A=1), ASK D15
ELSE, SKIP TO S_S_5
D15. *DL1
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?
Yes
No
DK/REF
Summer Skip Logic Box S_S_5a:
IF CHECK_S=1, ASK D2_INTRO
ELSE, SKIP TO SECTION J
DS_INTRO.
Now I will ask you some questions about a typical week in May.
Start of Summer Loop S_L_2 (*SL2):
ASK DS_1 – DS_2C FOR ALL SPECIFIED INDIVIDUALS
DS_1. *DL1 *SL2
In a typical week in May, how many hours did (you/[HHM]) spend working and commuting to and from work? Please enter 0 if you did not work any hours in a typical week.
_________ hours
IF DS_1 = 0, SKIP TO END OF SUMMER LOOP S_L_2
ELSE, ASK DS_2
DS_2. *DL1 *SL2
How many of these hours were Monday through Friday between 8am and 6pm?
_________ hours
DS_2a. *DL1 *SL2
In May, did (you/[HHM]) usually work or commute to and from work any hours Monday through Friday before 8am?
Yes
No
DS_2b. *DL1 *SL2
In May, did (you/[HHM]) usually work or commute to and from work any hours Monday through Friday after 6pm?
Yes
No
DS_2c. *DL1 *SL2
In May, did (you/[HHM]) usually work or commute to and from work any hours on Saturdays or Sundays?
Yes
No
End of Summer Loop S_L_2 (*SL2):
REPEAT DS_1 – DS_2C FOR ALL SPECIFIED INDIVIDUALS
Skip Logic Box D_S_7:
IF DS_1 > 0 FOR R AND FOR R’S SPOUSE, ASK DS_3
ELSE, SKIP TO SECTION J
DS_3. *DL1
In a typical week in May, how many hours were both you and your spouse or partner at work or commuting at the same time?
_________ hours
Range: 0-168
IF DS_3 > 0, ASK DS_4
ELSE, SKIP TO SECTION J
DS_4. *DL1
How many of those hours were between 8am and 6pm Monday through Friday?
_________ hours
Range: <= DS_3
End of D_L_1 Loop (*DL1):
REPEAT SECTION D FOR R, AND R’S SPOUSE IF ANY IN HOUSEHOLD (HH_B1D_RLTION_R_X = 1), AND FOR ANY OTHER PARENT OF A CHILD UNDER 13 IN HH (HH_B1E_HAVECHILD_X = 1), AND FOR ANY ADULT WHO IS A GUARDIAN (SELECTED IN B1_CUST)
Section J. Nonparental Care Payment and Subsidy to Each Provider
Skip Logic Box J_S_1
IF ANY PROVIDER IS (1) NOT DROP-IN (C8_4 ≠ 1) AND (2) NOT SINGLE ACTIVITY (C8_3 ≠ 1) AND (3) NOT INDIVIDUAL UNPAID PRIOR RELATIONSHIP (DO NOT ENTER WHEN C5C = 1 AND C5E = 2)
AND (4) IF CHILD IS NOT IN ELEMENTARY/MIDDLE SCHOOL (C8B_X ≠ 1) AND (5) NOT IRREGULAR CARE (C9_X ≠ 2), GO TO START OF J_L_1 LOOP
ELSE, SKIP TO SECTION F
Start of J_L_1 Loop (*JL1):
ASK SECTION J (J1 – J11_SAME) FOR EACH CHILD AND PROVIDER, STARTING WITH THE YOUNGEST CHILD
INTERVIEWER CHECK 1. *JL1
HAS PAYMENT, REIMBURSEMENT AND SUBSIDY FOR THIS CHILD IN THIS ARRANGEMENT ALREADY BEEN COVERED IN A PREVIOUS LOOP’S RESPONSE?
[CHECK IF OTHER CHILDREN USE THE SAME PROVIDER AND J11=2 AND J11_OTHCHLDRN=THIS CHILD]
YES SKIP TO END OF J_L_1 LOOP
NO/NOT SURE
INTERVIEWER CHECK 2. *JL1
IS PAYMENT, REIMBURSEMENT AND SUBSIDY FOR THIS CHILD IN THIS ARRANGEMENT THE SAME AS THE PAYMENT, REIMBURSEMENT AND SUBSIDY FOR ANOTHER CHILD IN THIS ARRANGEMENT?
[CHECK IF OTHER CHILDREN USE THE SAME PROVIDER AND J11_SAME=THIS CHILD]
YES SKIP TO END OF J_L_1 LOOP
NO/NOT SURE
J1_E1. *JL1
Now I have some more questions about the regular child care arrangements you use. We will start with your youngest child and (his/her) arrangements. [SHOW THIS SENTENCE JUST ONE TIME]
Do you pay [PROVIDER FILLED IN FROM C1A] anything directly for the care of [CHILD]? Please include payments even if you are later reimbursed.
Yes
No SKIP TO J3_E2
DK/REF SKIP TO J3_E2
J1a_E1.
Do you use and pay this [PROVIDER] varying numbers of hours of care each week. In other words, do you vary the hours you use each week and pay the provider for these hours used each week?
Yes, at our convenience
Yes, from a set of schedule options
Yes, beyond a minimum number of hours
No
J2_E7. *JL1
How much do you pay this [PROVIDER]?
$___________
-4. DK/REF SKIP TO J3_E2
Is that per hour, per day, per week, bi-weekly, monthly, or something else?
Per Hour
Per day
Per week
Every other week
Per month
Something else
DK/REF
Added: Per year
Added: School year
Added: Per X # months
Added: Semester
Added: Session
Added: Quarter
Added: Half-day
Added: One -time fee
Added: Flat rate
Added: Per X # weeks
Added: Whole program
Added: Per X # days
Added: Varies/Depends/Occasionally
IF J2_E7_A = 6, ASK J2A_E7_OS
ELSE, SKIP TO J3_E2
J2A_E7_OS. *JL1
Please specify: _________________
J3_E2. *JL1
Is the [PROVIDER] IF J1 = 1 THEN ADD: [also] paid by any person or program for the care of (CHILD)? Do not include payments or reimbursements that go directly to you.
Yes
No
DK/REF
Skip Logic Box J_S_2:
IF J3_E2 = 2 AND IF J1_E1 = 2, SKIP TO J5_E5
ELSE IF J3_E2 = 2, SKIP TO J9_E9
ELSE IF J3_E2 = 3, SKIP TO J9_E9
ELSE, ASK J4_E3
J4_E3. *JL1
Who pays them?
(SELECT ALL THAT APPLY)
8. A government agency such as for welfare, employment services, child development, education or child care subsidies
9. A non-government organization such as a community group or a religious institution
10. The child’s parent who lives outside of this household
11. Other family or friend
6. An Employer
7. Other
12. Don’t Know/Refused
Skip Logic Box J_S_3:
IF J3_E2 = 2 AND IF J1_E1 = 2, ASK J5_E5
ELSE, SKIP TO J9_E9
J5_E5. *JL1
So this care is provided free by [PROVIDER]?
Yes
No
J9_E9. *JL1
Do you receive payments or reimbursements that are paid directly to you to cover some portion of the payments you make to [PROVIDER] for [CHILD]’s care?
Yes
No SKIP TO J_S_4
DK/REF SKIP TO J_S_4
J9A_E9A. *JL1
How much do you receive in payments or reimbursements that are paid directly to you for [PROVIDER]?
$________
-4. DK/REF SKIP TO J9_1
J9B_E9B. *JL1
Is that per hour, per day, per week, bi-weekly, monthly, or something else?
Per hour
Per day
Per week
Every other week
Per month
Something else (specify:______)
DK/REF/No Response
Added: Per year
J9_1. *JL1
Who makes these payments or reimbursements that are paid directly to you? (If more than one, please select the payer covering the highest amount).
8. A government agency such as for welfare, employment services, child development, education or child care subsidies
9. A non-government organization such as a community group or a religious institution
10. The child’s parent who lives outside of this household
11. Other family or friend
6. An Employer
7. Other
Skip Logic Box J_S_4:
IF (S1 + S1_SA+ B1a1) >=8, THEN J10_ subelig = 1 AND SKIP TO J_S_5
ELSE IF (S1 + S1_SA+ B1a1) <= 7, ASK J10 _subelig
J10_subelig. *JL1
In order to understand whether or not child care is affordable to families in the U.S., we need to know your household’s income. Was your total household income in 2023, before taxes and other deductions, below
IF (S1 + S1_SA + B1a1) = 2: [$26,000]
IF (S1 + S1_SA + B1a1) = 3: [$39,000]
IF (S1 + S1_SA + B1a1) = 4: [$52,000]
IF (S1 + S1_SA + B1a1) = 5: [$65,000]
IF (S1 + S1_SA + B1a1) = 6: [$78,000]
IF (S1 + S1_SA + B1a1) = 7: [$91,000]?
Skip Logic Box J_S_5:
IF J10_subelig = 2, SKIP TO J_S_6
ELSE, IF J10_subelig = 1 OR J10_subelig = 3 AND J1_E1 = 1, ASK J6_E6
ELSE, SKIP TO J8A_E2A
J6_E6. *JL1
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?
Yes
No
Is this amount you pay provider [PROVIDER] a co-payment for a child care subsidy paid to the provider?
Does the amount you pay provider [PROVIDER] include diaper, baby formula, snacks or other supplies fees?
Yes
J7_E4_c. *JL1
Does the amount you pay [PROVIDER] include any additional fees or payments in addition to co-pays, fees or payments that have not already been mentioned?
Yes
No
J8A_E2A.*JL1
Did you have to provide any proof that you were employed, in school, in training or searching for work in order to enroll your child with this provider?
Yes
No
J8B_E2B. *JL1
As far as you know, do you receive any help from a child care subsidy program such as [STATE CCDF PGM] to pay [PROVIDER] for your child’s care?
Yes
No
Skip Logic Box J_S_6
IF R HAS MORE THAN ONE CHILD WHO USES PROVIDER AND THIS IS THE FIRST CHILD USING THIS PROVIDER AND PROVIDER IS INDIVIDUAL (C5A = 1), THEN ASK J11
ELSE, IF R HAS MORE THAN ONE CHILD WHO USES PROVIDER AND THIS IS THE FIRST CHILD USING THIS PROVIDER AND PROVIDER IS NOT INDIVIDUAL (C5A ≠ 1), SKIP TO START OF J_L_2 LOOP
J11. *JL1
Is the information that you told me about for payment, reimbursement and subsidy arrangements for (CHILD) in (PROVIDER) only for (CHILD), or does it cover more than one child?
Child only SKIP TO START OF J_L_2 LOOP
Other children
DK/REF SKIP TO START OF J_L_2 LOOP
J11_OTHCHLDRN. *JL1
Which children?
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
Child 7
Child 8
Child 9
Child 10
Start of J_L_2 Loop (*JL2):
ASK J11_SAME FOR ALL CHILDREN WHO RECEIVE CARE FROM PROVIDER AND WERE NOT REPORTED TO BE IN J11_OTHCHILDREN
J11_SAME. *JL1 *JL2
You have other children who receive care from [PROVIDER] as well.
Is the information that you told me about for payment, reimbursement and subsidy arrangements for (CHILD) in (PROVIDER) the same as the payment, reimbursement and subsidy for (OTHER CHILD) in (PROVIDER)?
Yes
No
End of J_L_2 Loop (*JL2):
REPEAT J11_SAME FOR ALL CHILDREN WHO RECEIVE CARE FROM PROVIDER AND WERE NOT REPORTED TO BE IN J11_OTHCHILDREN
End of J_L_1 Loop (*JL1):
REPEAT SECTION J FOR EACH CHILD AND PROVIDER
IF THERE IS ANOTHER PROVIDER FOR THIS CHILD, RETURN TO INSTRUCTIONS BEFORE J1 AND ASK SECTION J FOR NEXT PROVIDER FOR THIS CHILD.
IF THERE IS NOT ANOTHER PROVIDER FOR THIS CHILD, RETURN TO INSTRUCTIONS BEFORE J1 AND ASK SECTION J FOR NEXT CHILD, PROVIDER 1.
IF THERE ARE NO MORE PROVIDERS AND NO MORE CHILDREN, GO TO SECTION F.
Section F. Non-Parental Child Care Search
ASK SECTION F QUESTIONS ABOUT CHILD SELECTED IN C14_SELECT
F2_INTRO.
Next, I’m going to ask you some questions about your latest search for child care, whether or not a new arrangement resulted from the search. We are interested in things like what you were looking for, how you were searching, and what you considered during your search.
[FOR SCHOOL AGE CHILDREN: Please think about before or after-school care you searched for, or activities, lessons or other programs outside of the regular school day.]
F2.
Please think about the last time you searched for care for [SELECTED CHILD NAME].
What year and month was that?
IF NEEDED: Please think about when you last wanted to start a new arrangement for someone to care for him/her, even if you knew who would provide that care. What year and month was that?
ENTER 99 IF R DID NOT DO SEARCH
MONTH: ________
Range: 1-12, 99
-4. DK/REF
YEAR: ________
Range: 99, 1990-2024
-4. DK/REF
IF YEAR=99, GO TO G1
ELSE IF MONTH=99 AND YEAR=DK/REF, GO TO G1
ELSE IF MONTH=DK/REF AND YEAR=DK/REF, GO TO G1
ELSE IF MONTH=DK/REF AND YEAR=2 YEARS AGO OR MORE, GO TO G1
ELSE IF LAST SEARCH 25 MONTHS OR MORE AGO, GO TO G1
ELSE, GO TO SKIP LOGIC FOX F_S_1
Skip Logic Box F_S_1:
IF S1>1 (TWO OR MORE CHILDREN IN THE HH) THEN GO TO F2A
ELSE GO TO F3
F2A.
Were you also searching for care for another child at the same time?
(SELECT ALL THAT APPLY)
NO OTHER CHILD
Child1
Child2
Child3
Child4
Child5
Child6
Child7
Child8
Child9
Child10
F3.
What is the main reason that you were looking for child care at that time?
SO THAT I COULD WORK/CHANGE IN WORK SCHEDULE
TO PROVIDE MY CHILD EDUCATIONAL OR SOCIAL ENRICHMENT
TO GIVE ME SOME RELIEF
TO FILL IN GAPS LEFT BY MY MAIN PROVIDER OR BEFORE/AFTER SCHOOL
WASN’T SATISFIED WITH CARE
WANTED TO REDUCE CHILD CARE EXPENSES
PROVIDER STOPPED PROVIDING CARE
CHILD NO LONGER ELIGIBLE FOR PREVIOUS CARE (E.G., AGED OUT OR SUMMER BREAK)
11. SO THAT R OR R’S SPOUSE COULD GO TO SCHOOL/SCHOOL SCHEDULE CHANGED
Added: Family moved to new area
Added: Change in family/household composition (e.g., death, divorce, pregnancy, new baby, etc.)
Added: Health problems created need for care arrangement
Added: Needed a provider who was closer to home or work
Added: Wanted to give PROVIDER relief
Added: PROVIDER moved
Added: Care during a temporary commitment by parent(s)/R (e.g., scrapbooking meeting, PTA meeting, bible study, date night, birthday party, weekend getaway, to run errands, Medical or Doctor Appointment)
Added: Needed care that could provide transportation to/from school
Added: A specific extracurricular activity (e.g., violin lessons, skiing lessons)
Added: Child WANTED to go to program
Added: To learn what care arrangements were available/to learn about other options in case I needed one
Added: Child needed a special kind of help (e.g., speech therapy, special needs, disabled, bilingual, etc.)
Added: Specific reason not given
IF F3 = 9, ASK F3_OS
ELSE, SKIP TO F4
F3_OS.
SPECIFY: ________
F4.
At the time of that last search, what type of child care were you mostly using for [SELECTED CHILD NAME]?
Parental care only
Home-based provider I didn’t have prior relationship with
Center-based care
OTHER
DK/REF
Added: Siblings (child’s)
Added: Single activity care arrangement
Added: Home-based provider – relationship uncertain
Added: Child not born yet/just been born/not yet adopted or in custody
Added: Summer Camp
Added: Combination of center-based and home-based care (e.g., camp and family care, school and grandma, etc.)
Added: Combination of all (1-4)
Added: Child cared for him/herself
IF F4 = 5, ASK F4_OS
ELSE, SKIP TO HH10_Q10
F4_OS.
HH10_Q10.
Families can have difficulty finding and choosing care for their child. How challenging did you find the following:
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(1) Very challenging; |
(2) Moderately challenging; |
(3) Slightly challenging; |
(4) Not at all challenging. |
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(5) Not applicable |
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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.
More than one provider considered SKIP TO F6C
Only one provider considered
DK/REF SKIP TO F10
F6A.
IF NOT ALREADY STATED: What type of provider is this?
Home-based provider I had prior personal relationship with SKIP TO F10
Home-based provider I didn’t have prior personal relationship with
Center-based care
F6B.
How did you know about this provider?
RECORD VERBATIM AND CODE
_________________
Self/family members/friends work or worked in the center
Knew provider personally
Self/friends/family have used this provider in the past
Provider has good reputation in the community
No other providers of this type in the area
Saw advertisement online or elsewhere
Resource and referral agency
SKIP TO F_S_2
F6C.
IF NOT ALREADY STATED: What types of providers did you consider?
(SELECT ALL THAT APPLY)
Home-based provider(s) I had prior personal relationship with
Home-based provider(s) I didn’t have prior personal relationship with
Center-based care
F7.
How did you look for providers in your last search?
INTERVIEWER INSTRUCTIONS: SELECT FIRST TWO MENTIONS. DO NOT READ RESPONSES EXCEPT TO PROBE.
1. ASKED FRIENDS AND FAMILY WITH CHILDREN
2. ASKED PROVIDERS I KNEW ALREADY
7. ASKED A HEALTHCARE PROVIDER, CLERGY MEMBER, OR OTHER PROFESSIONAL
18. USED SOCIAL MEDIA TO LEARN ABOUT PROVIDERS FROM PEOPLE I DON’T KNOW WELL
3. CONSULTED A RESOURCE AND REFERRAL AGENCY OR LOCAL COMMUNITY ORGANIZATION THAT HELPS PARENTS FIND CHILD CARE
4. POSTED AN AD OR RESPONDED TO AN AD
5. LOOKED IN PAPER DIRECTORIES FOR CHILD CARE PROVIDERS
10. LOOKED IN ELECTRONIC DIRECTORIES FOR CHILD CARE PROVIDERS
6. GOT HELP FROM A WELFARE OR SOCIAL SERVICES CASEWORKER
8. OTHER
9. DK/REF
11. Added: Drove/rode around
12. Added: Asked School
13. Added: Previous Experience with Provider (e.g., through older siblings)
14. Added: Made phone calls
15. Added: In person visits
16. Added: Near home or work/location
17. Added: Referral through church
IF F7 = 8, ASK F7_OS
ELSE, SKIP TO F8B
F7_OS.
SPECIFY: ________
F8B.
What was the specific information you tried to learn about providers?
INTERVIEWER INSTRUCTIONS: RECORD VERBATIM AND SELECT UP TO THREE MENTIONS, DO NOT READ CATEGORIES
_________________
Type of care
Hours of care
Willingness to accept or availability of subsidies
Financial aid available
Fees charged
Geographic location
Public transportation accessibility
Content of program
Year round care
Services provided (e.g., transportation, meals, etc.)
Languages spoken
Curriculum/philosophy (including religion)
Licensing status
Teacher tenure/turnover
Other
Skip Logic Box F_S_2:
IF F6A ≠ 3, ASK F10
ELSE, SKIP TO F_S_3
F10.
Did you consider any [child-care] centers or organizations for [school-age] children as part of your search?
Yes
No
Skip Logic Box F_S_3:
IF F6A ≠ 1, ASK F11
ELSE, SKIP TO F_S_4
F11.
Did you consider asking someone you know to care for your child, for example a family member, friend or neighbor?
Yes
No
Skip Logic Box F_S_4:
IF F6A ≠ 2, ASK F12
ELSE SKIP TO F13
F12.
As part of your search, did you consider someone who provides care at home but whom you didn’t know before?
Yes
No
F13.
What was the result of this search for child care?
Found care
Stayed with existing provider
Decided not to use care other than parents
Gave up search for another reason
OTHER
DK/REF
Still searching/looking
Added: Provider selected but on wait list/no openings at this time/waiting to hear if accepted
Added: Waiting to hear about funding
Added: New provider no longer needed/Not yet needed at this time due to not finding a job yet or child’s age
Added: Did not qualify/Not accepted
Added: R selected provider but it did not work out
Added: Decided to use family and friends
Added: Search unsuccessful/ Did not find care
Added: Other Recoded To: Found Care
IF F13 = 5, ASK F13_OS
ELSE, SKIP TO F14
F13_OS.
SPECIFY: ________
F14.
What was the main reason you made that decision?
Had no other choices
Cost
Schedule
Location
Quality of care
Best feeling
Provider had space available
OTHER
DK/REF
Added: Still looking
Added: Had prior relationship with provider
Added: Provider had no spots available
Added: Household circumstances changed
Added: Liked program content curriculum/activities
Added: Concerns with program quality (e.g., safety, crowding, number of adults, etc.)
Added: Program’s ability to care for children with special needs
Added: Convenience/flexibility
Added: Decided to take care of child myself (or spouse decided to)
Added: Child’s choice (wanted or did not want)
Added: Did not find work, no job
Added: Transportation (or lack thereof)
Added: To interact with other children
Added: Waiting to hear back from program/ not started yet
Added: Did NOT like curriculum or lack of education
Added: Did not qualify
Added: Did not change providers
Added: Met all my needs
Added: Medical/health
Added: Moving/moved
Added: Uncomfortable with strangers watching my child
IF F14 = 8, ASK F14_OS
ELSE, SKIP TO SECTION G
F14_OS.
SPECIFY: ________
Section G. Household Characteristics
G1.
Do [you/you or your spouse/you or your partner] own this home, do you rent, or something else?
Own SKIP TO G2
G1A.
What is your situation?
Live with parent(s)
Live with spouse’s/partner’s parent(s)
Housing is part of job compensation; live-in servant; housekeeper; gardener; farm laborer
Housing is a gift paid for by an HU resident other than R or spouse/partner
Housing is a gift paid for by a friend or relative outside of the HU
Housing paid for by a government agency/welfare/charitable institution
Sold home, not moved out of it yet
Living in house which R will inherit; estate in progress
Living in temporary quarters (garage, shed) while home is under construction
Live here without formal arrangements; staying temporarily; squatting
Other
G2.
Do you have a car?
Yes
No
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: $ _________________
Range: 0-999999999
-4. DK/REF SKIP TO G3B
G3A.
Is that before or after taxes and other deductions?
Before taxes
After taxes
SKIP TO G4A
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. 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:
Less than $1200
$1200 to $1999
$2000 to $2999
$3000 to $4199
$4200 to $5499
$5500 or more
G4A.
And how about all of last year, that is, 2023. What was the total amount of your household income that year?
Total amount for the past 12 months: $________ SKIP TO G4B
Range: 0-999999999
-4. DK/REF ASK G4A1
G4A1.
In order to understand whether or not child care is affordable to families in the U.S., 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 $30,000 or more?
Yes, $30,000 OR MORE
No, less than $30,000 SKIP TO G4A5
DK/REF SKIP TO G4A5
G4A2.
Would it amount to $50,000 or more?
YES
NO SKIP TO G4A4
DK/REF SKIP TO G4A4
G4A3.
Would it amount to $75,000 or more?
YES
NO
SKIP TO G4B
G4A4.
Would it amount to $40,000 or more?
YES
NO
SKIP TO G4B
G4A5.
Would it amount to $15,000 or more?
YES
NO SKIP TO G4A7
DK/REF SKIP TO G4A7
G4A6.
Would it amount to $20,000 or more?
YES
NO
SKIP TO G4B
G4A7.
Would it amount to $10,000 or more?
Yes
No
G4B.
How many different people’s job earnings did you count in that 2023 household income?
NUMBER OF PEOPLE: ___________
Range: 1-20
G4c.
Again, thinking about the 2023 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?
YES
NO SKIP TO G4B1
DK/REF SKIP TO G4B1
G4d.
How much of your 2023 total household income was from sources other than job earnings?
Amount from non-job sources: _________ SKIP TO G4B1
Range: 0-999999999
-4. DK/REF ASK G4E
G4e.
You may not be able to give us an exact figure for, but were non-job household earnings in 2023
Less than $2,500
$2,500 to less than $5,000
$5,000 to less than $7,500
$10,000 to less than $12,500
$12,500 to less than $15,000
$15,000 to less than $20,000
8. $20,000 or more
Do you or any member of this household currently receive any payments or benefits from…
G4B1a. Financial assistance from a state or local assistance office or the Temporary Assistance for Needy Families (TANF) program?
Yes
No
G4B1b. A cash assistance program for disabilities or Supplemental Security Income (SSI) program?
Yes
No
(QUESTION G10 ASKS ABOUT CHILD SELECTED IN C14_SELECT)
G10.
What kind of health insurance or health care coverage does [SELECTED CHILD NAME] have?
INTERVIEWER INSTRUCTIONS: SELECT FIRST MENTION, USE CATEGORIES TO PROBE AS NEEDED
1. Private Health Insurance Plan from your employer or workplace
2. Private Health Insurance Plan through your spouse or partner’s workplace
3. Private Health Insurance Plan purchased directly
4. Private Health Insurance Plan through a state or local government or community program, including a marketplace from healthcare.gov
5. Medicaid
6. Medicare
7. Military Health Care/VA or Champus/Tricare/Champ – VA
8. No coverage of any type
9. Other Specify
10. Added: Private Health Insurance plan through CHILD’s parents or other relatives (e.g., grandparents, aunts/uncles, or siblings, etc.)
11. Added: Private Health Insurance Source unspecified
12. Added: Health Insurance through Union, College/University, or Church
13. Added: Supplemental Insurance Plan
14. Added: Charity care, Local clinic, Sliding scale, etc.
15. Added: Privately purchased limited coverage plan
16. Added: Coverage from another (possibly prior) employer (includes cobra)
17. Added: Indian Health Services
18. Added: Other state/local public health insurance (local and state health plans)
IF G10 = 9, ASK G10_OS
ELSE, SKIP TO G_S_1
G10_OS.
PLEASE SPECIFY: ________
Skip Logic Box G_S_1:
IF S1>1 (TWO OR MORE CHILDREN IN THE HH) THEN GO TO G10A
G10A.
Of your children under age 13 other than [SELECTED CHILD NAME] how many have some sort of health insurance or health care coverage?
NUMBER OF CHILDREN: ________
Range: 0-10
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? (CODE ONE ONLY)
Always enough to eat
Sometimes not enough to eat
Often not enough to eat
G12_1a. Did you or any member of this household receive benefits from the Food Stamp Program or SNAP (the Supplemental Nutrition Assistance Program)? Do NOT include WIC, the School Lunch Program, or assistance from food banks.
1. Yes
2. No
IF S1_CHECK > 0 (ONE OR MORE CHILDREN IN THE HH UNDER AGE 6) THEN ASK G12_1B
ELSE GO TO G12B
G12_1b. Do you or any member of this household participate in the WIC program, meaning the Women, Infants and Children supplemental nutrition program?
1. Yes
G12B.
In the past 12 months, did anyone in this household receive child care subsidies for children of working parents, such as from [STATE CCDF PGM]? These programs may also be open to parents who are in school or training.
3. DK/REF SKIP TO G12B_1
G12C.
How many months in the past year did anyone in this household receive child care subsidies?
_________
Range: 0-12
G12D.
What was the main reason that child care subsidies ended?
PARENT LOST ELIGIBILITY DUE TO INCREASED INCOME
PARENT LOST ELIGIBILITY DUE TO NO LONGER MEETING WORK, SCHOOL OR TRAINING REQUIREMENTS
PARENT LOST ELIGIBILITY DUE TO OTHER OR UNKNOWN REASONS
CHILD DID NOT NEED CARE ANYMORE
DID NOT LIKE CARE
SUBSIDY PROGRAM WAS TOO DIFFICULT TO PARTICIPATE IN
STILL RECEIVING SUBSIDIES
SKIP TO G_S_2
As far as you know, did anyone in this household in the last 5 years receive child care subsidies for children of working parents, such as from [STATE CCDF PGM]? These programs may also be open to parents who are in school or training.
1. YesSKIP TO G_S_2
2. No
G12B_2.
Did you apply for child care subsidies in the last 5 years for children of working parents, such as from a state child care assistance program, such as [STATE CCDF PGM] or from another financial assistance program that helps with child care costs?
1. Yes
2. No
IF J_SUBELIG = 1 THEN ASK G12B_3
G12B_3. Families can experience challenges applying for and receiving child care subsidies and other forms of child care assistance. Below is a list of potential challenges. For each one please indicate whether the following was:
(1) Very challenging; (2) Moderately challenging; (3) Slightly challenging; (4) Not at all challenging
G12B_3a. Finding information about child care subsidies or assistance, like whether our family was eligible and how to get assistance.
Very challenging
Moderately challenging
Slightly challenging
Not at all challenging
G12B_3b. Meeting paperwork and documentation requirements to prove eligibility for child care assistance.
Very challenging
Moderately challenging
Slightly challenging
Not at all challenging
G12B_3c. Having transportation to child care assistance offices/appointments.
Very challenging
Moderately challenging
Slightly challenging
Not at all challenging
G12B_3d. Office staff don’t speak my language or understand my culture or religion.
Very challenging
Moderately challenging
Slightly challenging
Not at all challenging
G12B_3e. Long wait lists and waiting periods for receiving child care assistance or an available subsidized slot for my child.
Very challenging
Moderately challenging
Slightly challenging
Not at all challenging
Suppose that you have an emergency expense that costs $400. Could you pay for this expense right now using cash or money in a checking/savings account, or with a credit card that you could pay off at the next statement?
Yes
No
G14.
Do you have access to the Internet at home?
Yes
No SKIP TO BEGINNING OF SECTION H
DK/REF SKIP TO BEGINNING OF SECTION H
G14a.
Is your Internet access using
a. A cellphone or tablet
Yes
No
b. A desktop or laptop computer
Yes
No
Section H. Parental Consent to Access Administrative Records
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?
Yes SKIP TO H4
No
H2.
May I know who would be able to authorize such a release?
ENTER PHONE NUMBER AS ###-###-####
NAME: _________________
PHONE: _________________
RELATIONSHIP TO CHILD: _________________
SKIP TO H7_ADDR
H4.
PLEASE ENTER YOUR INTERVIEWER ID
_______________
Start of H_L_1 Loop (*HL1):
ASK H5 – H6 FOR EACH CHILD IN HH
H5. *HL1
We are asking your permission to search state or local government records for child care subsidy, Supplemental Nutritional Assistance Program (SNAP or 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 Administration for Children and Families, of the U.S. Department of Health and Human Services or its contractors, for study purposes only. Do we have your permission to do so?
Yes
No
LOOP TO H5 AND REPEAT H5 FOR EACH CHILD IN HH
IF H5=1 FOR EVERY CHILD, THEN SKIP TO H6
ELSE, ASK H3
H3. *HL1
(SUGGESTED SCRIPT) State or local government program records can provide additional information about the child care and financial assistance 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. We will use this information to help understand how families make different decisions about care for their children. 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 will be considered private 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. Only authorized personnel associated with this study will be granted access to this identifying information on a need-to-know basis The information will be reported as statistics to the Administration for Children and Families, of the U.S. Department of Health and Human Services as part of the results of this study.
Continue
Respondent still refuses ONLY CHOOSE THIS WHEN YOU HAVE MADE ALL APPROPRIATE AVERSION ATTEMPTS
IF H3 = 1 ASK H6 AND COLLECT INFO ON ALL CHILDREN
ELSE, IF H3 = 2 AND H5 = 2 FOR ALL CHILDREN, THEN SKIP TO H_S_1
ELSE, ASK H6 AND COLLECT INFO FOR EACH CHILD WHERE H5=1
H6. *HL1
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)
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FULL NAME:
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DOB MONTH:
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DOB DAY:
|
DOB YEAR: Range: 2011-2024 |
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2. |
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3. |
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4. |
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5. |
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6. |
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End of H_L_1 Loop (*HL1):
REPEAT H5 – H6 FOR EACH CHILD IN HH
H6_ADULT.
As the authorizing adult, can you please tell me your full name?
NAME: _________________
Skip Logic Box H_S_1:
IF R RETURNED MAIL SCREENER AND ADR_1 IS BLANK (I.E., NOT CONFIRMED ADDRESS) GO TO H7_ADDR ELSE GO TO H7
H7_ADDR.
Our records have [ADDRESS1], [ADDRESS2], [CITY], [STATE], [ZIP]. Can I confirm that you are still living at that address?
Correct SKIP TO H7
Not correct
H7_ADDR2.
What is your correct address then?
ADDRESS: _________________
CITY: _________________
STATE: _________________
ZIP: _________________
H7.
Thank you very much for speaking with me today. Those are all of the questions I have for you. Your contribution is greatly appreciated and will help improve the understanding of the experiences and preferences of parents regarding the care of their young children.
PROCEED TO INCENTIVE PAYMENT SCREEN AND CONTACT INFORMATION UPDATE
HHX_INCENTIVE
Thank you for taking the time to complete this survey. As a token of appreciation, you may choose to have a $[25/40] electronic gift code sent by email or have $[25/40] gift card mailed to you.
[INTERVIEWER-ADMINISTERED:] Would you prefer to receive your token of appreciation by email or by mail?
1. By Email SKIP TO HHX_INC_EMAIL
2. By Mail SKIP TO HHX _INC_MAIL
3 Neither SKIP TO HHX_CNTCT_UPDC
HHX_INC_EMAIL
[INTERVIEWER-ADMINISTERED:] Please tell me the email address where you would like the gift code sent.
Email address*:
SKIP TO FUTURE CONTACT INFORMATION
HHX_INC_MAIL
[INTERVIEWER-ADMINISTERED:] Please tell me your full name and the address where you would like the gift card sent.
Full Name*: ____________________
Address 1*: ____________________
Address 2: ____________________
City*: ____________________
State*: ____________________
Zip*: ____________________
Future Contact Information
We may follow up with families again in the future and would like for you to continue participating. If a future study is conducted, you can decide whether you wish to participate or not at that time. We may also contact you in the future if we need to clarify one of your interview responses.
[INTERVIEWER ADMINISTERED:] I’d like to confirm that we have the best contact information for you on file.
[INFORMATION WILL BE PREFILLED FROM THE CASE MANAGEMENT SYSTEM]
Full Name |
[RESPONDENT NAME] |
Telephone Number |
[PRIMARY PHONE] |
Telephone Type |
[LANDLINE/CELL] |
[PRIMARY EMAIL] |
|
Secondary Email |
[SECONDARY EMAIL] |
Home Address |
[RESPONDENT ADDRESS 1] |
|
[RESPONDENT ADDRESS 2] |
City |
[CITY] |
State |
[STATE] |
Zip |
ZIP |
[IF TELEPHONE IS CELL:] NORC at the University of Chicago or the U.S. Department of Health and Human Services may wish to text you about your participation in the National Survey of Early Care and Education (NSECE). We will only use your phone number to facilitate your cooperation with this study and will not share, sell, or otherwise use this number. Standard messaging and data rates may apply. You will be able to opt out of receiving text messages at any time. Do we have your permission to text you at the number provided?
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | IMB OPRE |
| File Modified | 0000-00-00 |
| File Created | 2023-08-27 |
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