[ Main Page of Report | Contents of Report ]
Construct: Bio or Social Father
Question #: 2.1
Study: EHS- 1 Month
2.1 What is your relationship to (CHILD)?
RELATIVE CIRCLE ONE
BIOLOGICAL FATHER…….……….…..…01
ADOPTIVE/ STEPFATHER….………….....02
PATERNAL GRANDFATHER………....….03
MATERNAL GRANDFATHER..……..……04
PATERNAL UNCLE……...……………..….05
MATERNAL UNCLE…………...……..……06
PATERNAL COUSIN……..…………...……07
MATERNAL COUSIN………………....…...08
NON-RELATIVE
MOTHER'S PARTNER…………..……..…..09
MOTHER'S FRIEND…………..………...….10
NEIGHBOR……………………..……..…….11
OTHER (SPECIFY)…………………..….….12
Construct: Bio or Social Father
Question #: 2.2
Study: EHS- 1 Month
1.2 Is this a resident father/father-figure?
YES…………………………………………..01
NO……………………………………………02
Construct: Bio or Social Father
Question #: 2.1
Study: EHS- 6 Month
2.1 What is your relationship to (CHILD)?
RELATIVE CIRCLE ONE
BIOLOGICAL FATHER…….……….…..…01
ADOPTIVE/ STEPFATHER….………….....02
PATERNAL GRANDFATHER………....….03
MATERNAL GRANDFATHER..……..……04
PATERNAL UNCLE……...……………..….05
MATERNAL UNCLE…………...……..……06
PATERNAL COUSIN……..…………...……07
MATERNAL COUSIN………………....…...08
NON-RELATIVE
MOTHER'S PARTNER…………..……..…..09
MOTHER'S FRIEND…………..………...….10
NEIGHBOR……………………..……..…….11
OTHER (SPECIFY)…………………..….….00
Construct: Bio or Social Father
Question #: 2.2
Study: EHS- 6 Month
1.3 Is this a resident father/father-figure?
YES…………………………………………..01
NO……………………………………………00
[ Go to Contents ]
Construct: Residence
Question #: 2.5a
Study: EHS- 1 Month
2.5a In the past year, how many times have you moved?
/_(INSERT #)____/
Construct: Residence
Question #: 2.5a
Study: EHS- 6 Month
2.5a Since (MONTH OF LAST INTERVIEW), how many times have you moved?
/ (INSERT #) / TIMES
Construct: Residence
Question #: K1
Study: ECLS-B, Non-Resident Father
K1. In what type of housing do you now live? Is it…
A house…………………………………...…1
An apartment………………………………...2
A mobile home or trailer…………………….3
A community shelter……………………...…4
A hotel or motel room……………………….5
Are you homeless, or……………………..…6
Do you live in another type of housing?
(SPECIFY)……………………….…..…….91
DON'T KNOW…………………………….98
REFUSED………………………………….99
Construct: Residence
Question #: K2
Study: ECLS-B, Non-Resident Father
K2. What is your current housing situation? Do you…
Own your own home or condominium…..….1
Rent your house or apartment……………….2
Exchange services for housing…………...…3
Not pay for housing…………………………4
Live in temporary housing or a shelter……...5
Have another type of housing arrangement
(SPECIFY)………………….…………..….91
DON'T KNOW………………….…………98
REFUSED………………………………….99
Construct: Residence
Question #: K3
Study: ECLS-B, Non-Resident Father
K3. Do you live in public housing or do you and your family receive a rent subsidy or pay a lower rent because the government pays part of the cost?
YES……………………………………….…1
NO…………………………………………...2
DON'T KNOW…………………………….98
REFUSED……………………………….....99
Construct: Residence
Question #: F1
Study: FF-F
F1. Now I would like to ask you some questions about the neighborhood and the city you live in. How long have you lived in your neighborhood?
/ (INSERT #) / NUMBER OF YEARS
/ (INSERT #) / NUMBER OF MONTHS
ALL MY LIFE……………………………..99
Construct: Residence
Question #: F2
Study: FF-F
F2. Is the home or apartment where you currently reside…
Owned or being bought by someone in your family?………………………………………1
Rented?……………………………………...2
Construct: Residence
Question #: F3
Study: FF-F
F3. Do you live in a public housing project?
YES………………………………………….1
NO…………………………………………..2
Construct: Residence
Question #: F4
Study: FF-F
F4. Is the federal, state, or local government helping to pay for your rent?
YES………………………………………….1
NO…………………………………………..2
Construct: Residence
Question #: F5
Study: FF-F
F5. How safe are the streets around your home at night? Would you say they are very safe, safe, unsafe, or very unsafe?
VERY SAFE………………………………...1
SAFE………………………………………...2
UNSAFE…………………………………….3
VERY UNSAFE…………………………….4
[ Go to Contents ]
Construct: Household Composition/ Living Situation
Question #: 2.5b
Study: EHS- 1 Month
2.5b Not including yourself, how many people lived in your (house/apartment) with you since (CHILD) was born?
/_(INSERT #)____/
JUST CHILD AND CHILD'S MOTHER….01
NO ONE ELSE--ONLY SELF…………….02
HOMELESS………………………………...03
INSTITUTIONALIZED…………………….04
Construct: Household Composition/ Living Situation
Question #: 2.6
Study: EHS- 1 Month
1.6 Are any of these people your spouse or partner?
YES……………………………………...…01
NO…………………………………………02
Construct: Household Composition/ Living Situation
Question #: 2.8
Study: EHS- 1 Month
1.8 How (are these people/ is this person) related to (CHILD)?
CIRCLE ALL THAT APPLY
MOTHER…………………………………01 /_(INSERT #)____/
STEPPARENT……………………………02 /_(INSERT #)____/
AUNT, UNCLE, GREAT-AUNT, OR GREAT-UNCLE…………………..…03 /_(INSERT #)____/
GRANDPARENT OR GREAT GRANDPARENT……………………...…04 /_(INSERT #)____/
SIBLING (BROTHER OR SISTER)……..05 /_(INSERT #)____/
STEPBROTHER OR STEPSISTER…...…06 /_(INSERT #)____/
NEPHEW OR NIECE………………….....07 /_(INSERT #)____/
COUSIN…………………………………..08 /_(INSERT #)____/
OTHER RELATIVE………………………09 /_(INSERT #)____/
NON RELATIVE ADULT (INCLUDE MOTHER'S PARTNER, BOYFRIEND)…10 /_(INSERT #)____/
NON-RELATIVE CHILD…………………11 /_(INSERT #)____/
OTHER (SPECIFY)………………………..12 /_(INSERT #)____/
Construct: Household Composition/ Living Situation
Question #: 2.9
Study: EHS- 1 Month
1.9 Are any of these people your children or children you are responsible for?
YES………………………………………..01
NO…………………………………………02
1) How many?
/_(INSERT #)___/ CHILDREN
Construct: Household Composition/ Living situation
Question #: 2.5b
Study: EHS- 6 Month
2.5b How many other people lived in your (house/apartment) with you in the last month?
/ (INSERT #) /
NO ONE ELSE-- ONLY SELF………...….00
HOMELESS…………………………….....95
INSTITUTIONALIZED……...………...….96
Construct: Household Composition/ Living situation
Question #: 2.6
Study: EHS- 6 Month
1.6 A. Are any of these people your spouse or partner?
YES…………………………..…….01
NO………………………………….00
B. Are any of these people your children or children you are responsible for?
YES…………………………..…….01
NO………………………………….00
1. How many?
/ (INSERT #) /
C. Are any of these people your parents?
YES…………………………..…….01
NO………………………………….00
Construct: Household composition/Living situation
Question #: K4
Study: ECLS-B, Non-Resident Father
K4. How many other people lived in your (house/apartment) with you last month?
/ (INSERT #) /
NO ONE ELSE--ONLY SELF………..……0
HOMELESS…………………..…………...95
INSTITUTIONALIZED…………...………96
DON'T KNOW…………………………….98
REFUSED………………………………….99
Construct: Household Composition/Living situation
Question #: E1
Study: FF-F
E1. I'd like to make a list of the people who currently live in your household. Please give me their first names and how they are related to you. Then, please tell me whether the person is male or female, their age, and whether or not he or she is usually employed. Please start by giving the name of the oldest person currently living in your household.
| Usually Employed? | ||||||
|---|---|---|---|---|---|---|
| Name | Relationship | Male | Female | Age | Yes | No |
| 1 | 2 | 1 | 2 | |||
| 1 | 2 | 1 | 2 | |||
| 1 | 2 | 1 | 2 | |||
| 1 | 2 | 1 | 2 | |||
| 1 | 2 | 1 | 2 | |||
| 1 | 2 | 1 | 2 | |||
| 1 | 2 | 1 | 2 | |||
| 1 | 2 | 1 | 2 | |||
[ Go to Contents ]
Construct: Marital/Partner Status
Question #: 2.17
Study: EHS- 1 Month
2.17 My next questions are about your current marital status. Are you currently married, widowed, divorced, separated, or have you never been married?
MARRIED………………….….…………..01
WIDOWED………………………………...02
DIVORCED………………………………..03
SEPARATED…………...…………………04
LIVING AS MARRIED…………………...05
NEVER MARRIED………………………..06
A. Are you (married to/widowed from/divorced from/separated from/living as married with) (CHILD)'s mother or someone else?
CHILD'S MOTHER……………………….01
SOMEONE ELSE………………………….02
BOTH (VOLUNTEERED)……………...…03
Construct: Marital/Partner Status
Question #: 2.1a
Study: EHS- 6 Month
2.1a Are you currently married, widowed, divorced, separated, or have you never been married?
MARRIED…………………………………...01
WIDOWED…………………………………..02
DIVORCED………………………………….03
SEPARATED………………………………..04
NEVER MARRIED………………………….05
Construct: Marital/Partner Status
Question #: 2.1b
Study: EHS- 6 Month
2.1b Are you (married to/widowed from/divorced from/separated from) (CHILD)'s mother or someone else?
FOCUS CHILDS MOTHER……………...…01
SOMEONE ELSE……………………….…...02
BOTH (VOLUNTEERED)…………………..03
Construct: Marital/Partner Status
Question #: Q28
Study: ECLS-B, Resident Father
Q28. How many times, if ever, have you been married?
/ (INSERT #) / NUMBER OF TIMES (including current marriage)
Construct: Marital/Partner Status
Question #: MH005
Study: ECLS-B, Non-Resident Father
MH005. Next are a few questions about your marital history. Are you now…
1. Married
2. Separated
3. Divorced
4. Widowed, or
5. Have you never been married?
6. REFUSED
7. DON'T KNOW
Construct: Marital/Partner status
Question #: B8
Study: FF-F
B8. Are you and (BABY'S MOTHER) living together now?
Yes…………………………………………..1
No..……..……………………………………0
[ Go to Contents ]
Construct: Number of biological children
Question #: 2.18
Study: EHS- 1 Month
2.18 (Not including CHILD), how many biological children do you have?
/ (INSERT #) / CHILDREN NOT INCLUDING (CHILD)
ONLY FOCUS CHILD……………………00
A. (Not including CHILD), (how many of these children are) (READ CATEGORIES)…
[IF ONE OTHER CHILD READ… How old is your (other) child?
AND FILL IN CATEGORY]
Less than one year old?...… / (INSERT #) /
1-2 years old?…………….. / (INSERT #) /
3-5 years old…………….…/ (INSERT #) /
6-10 years old…………..…./ (INSERT #) /
11-15 years old?………….. / (INSERT #) /
16 or older?………..……... / (INSERT #) /
Construct: Number of biological children
Question #: Q29
Study: ECLS-B, RESIDENT FATHER
Q29. Altogether, how many biological or natural children do you have?
/ (INSERT #) / NUMBER OF CHILDREN (including subject child)
Construct: Number of biological children
Question #: Q16
Study: ECLS-B, Non-Resident Father
Q16. Altogether, how many biological or natural children do you have?
Please include subject child- that is the child selected for this survey.
/ (INSERT #) / NUMBER OF CHILDREN
Construct: Number of biological children
Question #: A6
Study: FF-F
A6. Do you have any other biological children?
YES………………………………………….1
NO………………………………………..…2
[ Go to Contents ]
Construct: Hispanic Origin
Question #: 7.1
Study: EHS- 1 Month
7.1 Are you of Hispanic origin or descent?
YES…………………………………...……01
NO………………………………………….00
DON'T KNOW…………………………….-1
REFUSED………………………...………..-3
A. Are you…
Central American…………………………..01
Cuban………………………………………02
Mexican or Chicano………………………..03
Puerto Rican………………………………..04
South American…………………...……….05
Dominican, or…………..………………….06
From some other background?
(SPECIFY)…………………………………07
Construct: Hispanic Origin
Question #: H3
Study: FF-F
H3. Are you of Hispanic or Latino origin or descent?
YES………………………………………….1
NO………………………………………..…2
A. Are you Mexican, Puerto Rican, or other Hispanic?
Mexican, Mexican-American……………….1
Puerto Rican…………………………………2
Cuban………………………………………..3
Other Hispanic/Latino (SPECIFY)………….4
[ Go to Contents ]
Construct: Race/Ethnicity
Question #: 7.2
Study: EHS- 1 Month
7.2 How do you primarily identify your racial background?
ASIAN OR PACIFIC ISLANDER, INCLUDING NATIVE HAWAIIAN…...…01
BLACK OR AFRICAN AMERICAN….....02
WHITE………………………….………….03
AMERICAN INDIAN OR ALASKA NATIVE, INCLUDING CENTRAL AND SOUTH AMERICAN INDIANS……...…..04
OTHER (SPECIFY)……………...………..05
Construct: Race/Ethnicity
Question #: H3b
Study: FF-F
H3b. Which of these categories best describes your race?
White………………………………………...1
Black, African-American……………………2
Asian or Pacific Islander…………………….3
American Indian, Eskimo, Aleut……………4
Other (SPECIFY)……………………………5
[ Go to Contents ]
Construct: Age mth/yr born
Question #: 7.3
Study: EHS- 1 Month
7.3 When were you born?
/ (MTH) /(YR) /
Construct: Age mth/yr born
Question #: 8.1
Study: EHS- 6 Month
8.1 When were you born?
/ (MONTH) /(YEAR) /
Construct: Age mth/yr born
Question #: Q34
Study: ECLS-B, Resident Father
Q34. What is your birth date?
/ / / MONTH / / / DAY / / / / / YEAR
Construct: Age mth/yr born
Question #: F1
Study: ECLS-B, Non-Resident Father
F1. Now I would like to ask you some questions about your background. First, what is your birth date?
/ / / MONTH / / / DAY / / / / / YEAR
DON'T KNOW…………………………….98
REFUSED………………………………….99
Construct: Age mth/yr born
Question #: H1
Study: FF-F
H1. How old are you?
/ (INSERT #) / YEARS
[ Go to Contents ]
Construct: Country of Origin, Citizenship/Immigration
Question #: 7.4
Study: EHS- 1 Month
7.4 Were you born in the United States?
YES…………………………………..……...…...01
NO………………………………………….…….00
A. In what country were you born?
COUNTRY:___________________________
USA………………………………………..…..……...01
MEXICO………………………….…………….….…02
EL SALVADOR………………………………….……03
CUBA…………………………………..…………..…04
OTHER CENTRAL AMERICAN OR LATIN AMERICAN COUNTRY (SPECIFY)… ………….....05
HAITI……………………………..……..…………....06
CHINA (MAINLAND)……..………...………..……..07
TAIWAN……………………………….....……..……08
SOUTH ASIA (PAKISTAN, INDIA, BANGLADESH) (SPECIFY)…………… …….…………………....…..09
MIDDLE EAST (LEBANON, ISRAEL, IRAQ,
SYRIA, JORDAN, OR IRAN) (SPECIFY) ……...…..10
RUSSIA OR OTHER EASTERN EUROPE OR FORMER SOVIET REPUBLIC (SPECIFY).……..…11
AFRICAN COUNTRY (SPECIFY)…… ……..….…..12
OTHER ASIAN COUNTRY (SPECIFY)…… ………13
EUROPEAN COUNTRY (SPECIFY)...…… ....…......14
OTHER (SPECIFY)………………… …...…….….....15
B. How old were you when you moved to the U.S. for the first time?
/ (INSERT #) / YEARS OLD
Construct: Country of Origin, Citizenship/Immigration
Question #: Q35
Study: ECLS-B, Resident Father
Q35. In what country were you born?
Construct: Country of Origin, Citizenship/Immigration
Question #: Q37
Study: ECLS-B, Resident Father
Q37. Are you a citizen of the United States?
Construct: Country of Origin, Citizenship/Immigration
Question #: F2
Study: ECLS-B, Non-Resident Father
F2. In what country were you born?
UNITED STATES (50 STATES OR DC)…..1
U.S. TERRITORIES: PUERTO RICO, GUAM, AMERICAN SAMOA, U.S. VIRGIN ISLANDS, MARIANA ISLANDS, OR SOLOMON ISLANDS (SPECIFY)…….2
SOME OTHER COUNTRY (SPECIFY)...…3
DON'T KNOW…………………………….98
REFUSED……………………………….....99
Construct: Country of Origin, Citizenship/Immigration
Question #: F3
Study: ECLS-B, Non-Resident Father
F3. How old were you when you first moved to the (United States/ 50 states/ District of Columbia)?
/ (INSERT #) / AGE
DON'T KNOW…………………………….98
REFUSED…………………….………….....99
Construct: Country of Origin, Citizenship/Immigration
Question #: F4
Study: ECLS-B, Non-Resident Father
F4. Are you a citizen of the United States?
YES………………………………………….1
NO…………………………………………...2
DON'T KNOW…………………………….98
REFUSED……………………….……….....99
Construct: Country of Origin, Citizenship/Immigration
Question #: H2
Study: FF-F
H2. Were you born in the United States?
YES………………………………………….1
NO………………………………………..…2
H2a. In what city and state were you born?
H2b. In what country or territory were you born?
H2c. In what year did you first come to the United States to live?
[ Go to Contents ]
Construct: Language
Question #: 7.5
Study: EHS- 1 Month
7.5 How well does the respondent speak English?
VERY WELL………………………………01
WELL…………………………………...…02
NOT WELL…………………………...…...03
NOT AT ALL…………………………...…04
Construct: Language
Question #: 7.6
Study: EHS- 1 Month
7.6 What is the primary language you speak at home?
ENGLISH………………………………….01
SPANISH…………………………………..02
OTHER (SPECIFY)……………………….00
DON'T KNOW…………………….………-1
REFUSED………………………………….-3
Construct: Language
Question #: 7.7
Study: EHS- 1 Month
7.7 How much reading do you do in English? Would you say you…
Do not read in English at all……………….01
Read in English only when you need to, for example, traffic signs and items at the grocery store…………………………………...……02
Read in English about half the time………..03
Read in English most of the time, or……….04
Read in English all of the time?…...……….05
Construct: Language
Question #: 8.2
Study: EHS- 6 Month
8.2 About how often do you read at home? Is it…
CIRCLE ONE
Every day or almost every day……………..01
A few times a week……………………...…02
Once a week………………………………..03
A few times a month……………………….04
A few times a year, or…………………...…05
Never……………………………………….06
A. About how often do you read a newspaper? Is it…
CIRCLE ONE
Every day or almost every day……………..01
A few times a week……………………...…02
Once a week………………………………..03
A few times a month……………………….04
A few times a year, or…………………...…05
Never……………………………………….06
Construct: Language
Question #: Q38
Study: ECLS-B, Resident Father
Q38. What was the first language you learned to speak?
Construct: Language
Question #: Q39
Study: ECLS-B, Resident Father
Q39. How well do you…
(for each item, mark one response)
| VERY WELL | PRETTY WELL | NOT VERY WELL | NOT WELL AT ALL | |
|---|---|---|---|---|
| a. Speak English? | ||||
| b. Read English? | ||||
| c. Write English? | ||||
| d. Understand someone speaking English? |
Construct: Language
Question #: Q40
Study: ECLS-B, Resident Father
Q40. With the exception of children's books or books required for work or school, did you read any books in the last 12 months?
Construct: Language
Question #: Q41
Study: ECLS-B, Resident Father
Q41. About how many books did you read during the past 12 months?
/ (INSERT #) / NUMBER OF BOOKS
Construct: Language
Question #: Q42
Study: ECLS-B, Resident Father
Q42. How often do you read a newspaper? Would it be…
Construct: Language
Question #: Q43
Study: ECLS-B, Resident Father
Q43. About how many different magazines do you look at or read on a regular basis?
/ (INSERT #) /
Construct: Language
Question #: F5
Study: ECLS-B, Non-Resident Father
F5. What was the first language you learned to speak?
English…………………………………...….1
Spanish………………………………………2
Spanish and English equally……………...…3
Another language (SPECIFY)………………4
DON'T KNOW…………………………….98
REFUSED………………………………….99
Construct: Language
Question #: F6
Study: ECLS-B, Non-Resident Father
F6. How well do you do the following? Would you say very well, pretty well, not very well, or not well at all? How well do you…
| VERY WELL | PRETTY WELL | NOT VERY WELL | NOT WELL AT ALL | DON'T KNOW | REFUSED | |
|---|---|---|---|---|---|---|
| a. Speak English? | 1 | 2 | 3 | 4 | 98 | 99 |
| b. Read English? | 1 | 2 | 3 | 4 | 98 | 99 |
| c. Write English? | 1 | 2 | 3 | 4 | 98 | 99 |
| d. Understand someone speaking English? | 1 | 2 | 3 | 4 | 98 | 99 |
Construct: Language
Question #: F7
Study: ECLS-B, Non-Resident Father
F7. With the exception of books required for work or school, did you read any books in the last 12 months?
YES………………………………………….1
NO…………………………………………...2
DON'T KNOW…………………………….98
REFUSED………………………………….99
Construct: Language
Question #: F8
Study: ECLS-B, Non-Resident Father
F8. About how many books did you read during the past 12 months?
/ (INSERT #) /
DON'T KNOW………………………...…..98
REFUSED……………………………….....99
Construct: Language
Question #: F9
Study: ECLS-B, Non-Resident Father
F9. How often do you read a newspaper? Would it be…
Almost every day…………………………....1
At least once a week…………………..…….2
At least once a month, or……………………3
Hardly ever?…………………………………4
DON'T KNOW…………………………….98
REFUSED………………………...………..99
Construct: Language
Question #: F10
Study: ECLS-B, Non-Resident Father
F10. About how many different magazines do you look at or read on a regular basis?
/ (INSERT #) /
DON'T KNOW………………………...…..98
REFUSED……………………………….....99
[ Go to Contents ]
Construct: Employment Status
Question #: 7.8
Study: EHS- 1 Month
7.8 The next questions are about the types of jobs you may have had, including odd jobs, military service, work in your own business, or other types of jobs you may have had on a regular basis.
Have you had any full-time or part-time jobs, including active military service since (MONTH, 6 MONTHS AGO)?
YES……………………………………….01
NO………………………………………...00
DON'T KNOW…………………………...-1
REFUSED…………………………………-3
A. Altogether, how many different jobs have you had in the past 6 months?
/ (INSERT #) /
Construct: Employment Status
Question #: 7.9
Study: EHS- 1 Month
7.9 What kinds of work (do/did) you do in (this/these) (NUMBER IN Q7.8a) jobs?
COLLECT FOR 4 MAIN JOBS.
1.____________________________________
2.____________________________________
3.____________________________________
4.____________________________________
Construct: Employment Status
Question #: 7.12
Study: EHS- 1 Month
7.12 How long has it been since you've had regular work? Has it been…
1 to 5 months…………………………….....00
6 to less than 12 months……………………01
1 to less than 2 years…………………...…..02
2 to less than 4 years……………………….03
More than 4 year…………………...………04
AM WORKING……………………………-4
Construct: Employment Status
Question #: 7.13
Study: EHS- 1 Month
7.13 In the last six months, have you looked for work?
YES………………………………………...01
NO………………………………..………..02
DON'T KNOW……………………………-1
REFUSED………………………………….-3
Construct: Employment status
Question #: 8.3
Study: EHS- 6 Month
8.3 The next questions are about paid jobs you may have had, including odd jobs, military service, work in your own business, or other types of jobs you may have had on a regular basis.
Have you had any full-time or part-time jobs, including active military service since (MONTH--MONTH OF LAST INTERVIEW)?
YES………………………………………...01
NO…………………………………………02
DON'T KNOW……………………………-1
REFUSED………………………………….-3
A. Altogether, how many different jobs have you had since (MONTH
--MONTH OF LAST INTERVIEW)?
/ (INSERT #) / JOBS
Construct: Employment status
Question #: 8.4
Study: EHS- 6 Month
8.4 Please tell me where you have worked since (MONTH--MONTH OF LAST INTERVIEW). Count odd jobs for different families together as one job. Please start with your current or most recent job and work back from there.
MANDATORY PROBE: Please tell me where else you have worked since then.
PROBE FOR DON'T KNOW OR REFUSED: We don't need to know the name of the place- we just need some way to refer to it. Should I use "JOB #1" or some other name?
CURRENT OR MOST RECENT JOB (01)
SECOND MOST RECENT JOB (02)
THIRD MOST RECENT JOB (03)
FOURTH MOST RECENT JOB (04)
FIFTH MOST RECENT JOB (05)
DON'T KNOW……………………………-1
REFUSED………………………………….-3
SELF-EMPLOYED……………………..…02
Construct: Employment status
Question #: 8.5
Study: EHS- 6 Month
8.5 When did you start working for EMPLOYER? In what month and year?
CURRENT OR MOST RECENT JOB (01)
SECOND MOST RECENT JOB (02)
THIRD MOST RECENT JOB (03)
FOURTH MOST RECENT JOB (04)
FIFTH MOST RECENT JOB (05)
START: / (MTH) / (YR) /
WORKING AT JOB ON (MONTH)………-7
DON'T KNOW…………………………….-1
REFUSED………………………………….-3
Construct: Employment status
Question #: 8.6
Study: EHS- 6 Month
8.6 When did you stop working for EMPLOYER? In what month and year?
CURRENT OR MOST RECENT JOB (01)
SECOND MOST RECENT JOB (02)
THIRD MOST RECENT JOB (03)
FOURTH MOST RECENT JOB (04)
FIFTH MOST RECENT JOB (05)
STOP: / (MTH) / (YR) /
STILL WORKING AT JOB………..………-7
DON'T KNOW…………………………….-1
REFUSED………………………………….-3
Construct: Employment status
Question #: 8.7
Study: EHS- 6 Month
8.7 And how many hours per day (do/did) you usually work at EMPLOYER? Please include regular overtime hours. How many hours in an average day?
CURRENT OR MOST RECENT JOB (01)
SECOND MOST RECENT JOB (02)
THIRD MOST RECENT JOB (03)
FOURTH MOST RECENT JOB (04)
FIFTH MOST RECENT JOB (05)
/ (INSERT HRS/DAY) /
DON'T KNOW…………………………….-1
REFUSED………………………………….-3
Construct: Employment status
Question #: 8.8
Study: EHS- 6 Month
8.8 What (do/did) you do (there)? What (is/was) your job title?
CURRENT OR MOST RECENT JOB (01)
_____________________________________
DON'T KNOW…………………………….-1
REFUSED………………………………….-3
Construct: Employment Status
Question #: Q52
Study: ECLS-B, Resident Father
Q52. During the past week, did you work at a job or business for pay?
Construct: Employment Status
Question #: Q53
Study: ECLS-B, Resident Father
Q53. Were you on leave or vacation from a job or business?
Construct: Employment Status
Question #: Q54
Study: ECLS-B, Resident Father
Q54. How many jobs do you have now?
/ (INSERT #) / JOBS
Construct: Employment Status
Question #: Q55
Study: ECLS-B, Resident Father
Q55. About how many total hours per week do you usually work for pay, counting all jobs?
/ (INSERT #) / HOURS
Construct: Employment Status
Question #: Q56
Study: ECLS-B, Resident Father
Q56. Which of the following best describes the hours you usually work at your main job?
Construct: Employment Status
Question #: Q57
Study: ECLS-B, Resident Father
Q57. If you do not currently have a job or business, have you been actively looking for work in the past 4 weeks?
Construct: Employment Status
Question #: Q58
Study: ECLS-B, Resident Father
Q58. What have you been doing in the past 4 weeks to find work?
Construct: Employment Status
Question #: Q59
Study: ECLS-B, Resident Father
Q59. What were you doing most of last week? Would you say…
Construct: Employment Status
Question #: Q60
Study: ECLS-B, Resident Father
Q60. Could you have taken a job last week if one had been offered?
Construct: Employment Status
Question #: G1
Study: ECLS-B, Non-Resident Father
G1. During the past week, did you work at a job or business for pay?
YES………………………………………….1
NO…………………………………………..2
DON'T KNOW…………………………….98
REFUSED………………………….……....99
Construct: Employment Status
Question #: G2
Study: ECLS-B, Non-Resident Father
G2. Were you on leave or vacation from a job or business?
YES………………………………………….1
NO…………………………………………..2
DON'T KNOW…………………………….98
REFUSE…………………………………....99
Construct: Employment Status
Question #: G3
Study: ECLS-B, Non-Resident Father
G3. Have you actively been looking for work in the past 4 weeks?
YES……………………………………….…1
NO…………………………………………..2
DON'T KNOW…………………………….98
REFUSE…………………………………....99
Construct: Employment Status
Question #: G4
Study: ECLS-B, Non-Resident Father
G4. What have you been doing in the past 4 weeks to find work?
CHECKED WITH PUBLIC EMPLOYMENT AGENCY……………………1
CHECKED WITH PRIVATE EMPLOYMENT AGENCY……………...…2
CHECKED WITH EMPLOYER DIRECTLY/SENT RESUME……………....3
CHECKED WITH FRIENDS OR RELATIVES………………………………...4
PLACED OR ANSWERED ADS/ SENT RESUME………………………………5
READ WANT-ADS………………………...6
SOMETHING ELSE (SPECIFY)…………...7
DON'T KNOW…………………………….98
REFUSED………………………………….99
Construct: Employment Status
Question #: G5
Study: ECLS-B, Non-Resident Father
G5. What were you doing most of last week? Would you say…
Keeping house or caring for children…..……1
Going to school………………………….…..2
Retire………………………………………...3
Unable to work…………………..…….…….4
Something else (SPECIFY).………….……..5
DON'T KNOW………………………..…...98
REFUSED…………………………..……...99
Construct: Employment Status
Question #: G6
Study: ECLS-B, Non-Resident Father
G6. Could you have taken a job last week if one had been offered?
YES…………………………………………1
NO………………………………………….2
DON'T KNOW………………………..…...98
REFUSED…………………………..……...99
Construct: Employment Status
Question #: G7
Study: ECLS-B, Non-Resident Father
G7. How many jobs do you have now?
/ (INSERT #) / JOBS
DON'T KNOW………………………..…...98
REFUSED…………………………..……...99
Construct: Employment Status
Question #: G8
Study: ECLS-B, Non-Resident Father
G8. What is the total number of hours per week that you usually work for pay
(counting all jobs)?
/ (INSERT #) / HOURS WEEKLY
DON'T KNOW………………………..…...98
REFUSED…………………………..……...99
Construct: Employment status
Question #: J1
Study: FF-F
J1. Last week, did you do any regular work for pay?
YES………………………………………….1
NO………………………………………..…2
Construct: Employment status
Question #: J2
Study: FF-F
J2. Are you currently looking for a regular job?
YES………………………………………….1
NO………………………………………..…2
Construct: Employment status
Question #: J3
Study: FF-F
J3. How long have you been looking for regular work?
_________________________________________
A. Is that…
Days…………………………………1
Weeks………………………………..2
Months………………………………3
Years………………………………...4
B. Why weren't you looking for work?
ALREADY HAVE A JOB (ILL OR TEMPORARY LAYOFF)…………..1
IN SCHOOL………………………...2
DON'T WANT TO WORK…………3
DISABLED………………………….4
PERSONAL/FAMILY REASONS…5
BELIEVE NO WORK AVAILABLE………………………..6
OTHER (SPECIFY)………………...7
Construct: Employment status
Question #: J4
Study: FF-F
J4. What would the hourly wage have to be in order for you to take a job?
$ / (INSERT #) / Per Hour
Construct: Employment status
Question #: J5
Study: FF-F
J5. In what month and year did you last work at a regular job lasting two consecutive weeks or more, for which you received a regular paycheck, either full-time or part-time?
/ (INSERT #) / Month
/ (INSERT #) / Year
NEVER WORKED FOR TWO CONSECUTIVE WEEKS………………….1
Construct: Employment status
Question #: J13
Study: FF-F
J13. We are interested in finding out about some ways, other than regular work, in which people make a living. Please indicate whether, in the last twelve months, you engaged in any of the following activities in order to generate income, or in exchange for meals, clothing, a place to live, or other basic necessities.
| ACTIVITY | YES | NO |
|---|---|---|
| J13a. Off the books or under the table work, such as household maintenance/repairs, providing transportation or other personal services, selling personal property. | 1 | 2 |
| J13b. Work in own business (DO NOT INCLUDE ANY ACTIVITY ALREADY REPORTED IN A) | 1 | 2 |
| J13c. Selling stolen goods, selling or delivering drugs, or other hustles. | 1 | 2 |
| J13d. Other (SPECIFY) | 1 | 2 |
[ Go to Contents ]
Construct: Occupation
Question #: 7.9
Study: EHS- 1 Month
7.9 What kinds of work (do/did) you do in (this/these) (NUMBER IN Q7.8a) jobs?
COLLECT FOR 4 MAIN JOBS.
1.____________________________________
2.____________________________________
3.____________________________________
4.____________________________________
Construct: Occupation
Question #: 8.8
Study: EHS- 6 Month
8.8 What (do/did) you do (there)? What (is/was) your job title?
CURRENT OR MOST RECENT JOB (01)
_____________________________________
DON'T KNOW…………………………….-1
REFUSED………………………………….-3
Construct: Occupation
Question #: Q61
Study: ECLS-B, Resident Father
Q61. We want to learn more about the type of work you usually do. Describe your chief job activity or business last week. If you had more than one job, describe the one at which you worked the most hours. If you had no job or business last week, give the information for your last job or business since 1993.
A. For whom do you work?
/ (NAME OF COMPANY, BUSINESS, ORGANIZATION, OR OTHER EMPLOYER) /
B. What kind of business or industry is this? What do they make or do? For example: TV and radio manufacturing, retail shoe store, state labor department, farming.
/ (INDUSTRY DESCRIPTION) /
C. What kind of work are you doing? For example: electrical engineer, stock clerk, typist, farmer.
/ (JOB TITLE OR DESCRIPTION) /
D. What are your most important activities or duties on this job? What do you actually do at this job? For example: typing, keeping account books, filing, selling cars, operating a printing press, finishing concrete.
/ (JOB DUTIES) /
Construct: Occupation
Question #: G12
Study: ECLS-B, Non-Resident Father
G12. For whom (do/did) you work?
/ (NAME OF COMPANY) /
DON'T KNOW………………………..…...98
REFUSED…………………………..……...99
Construct: Occupation
Question #: G13
Study: ECLS-B, Non-Resident Father
G13. What kind of business or industry is (was) it? What do (did) they make or do? For example: TV and radio manufacturing, retail shoe store, state labor department, farming.
/ (TYPE OF INDUSTRY ) /
DON'T KNOW………………………..…...98
REFUSED…………………………..……...99
Construct: Occupation
Question #: G14
Study: ECLS-B, Non-Resident Father
G14. What kind of work are (did) you doing (do)? What is (was) (your/(NAME)'s) job called? For example, electrical engineer, stock clerk, typist, farmer.
/ (JOB TITLE ) /
DON'T KNOW………………………..…...98
REFUSED…………………………..……...99
Construct: Occupation
Question #: G15
Study: ECLS-B, Non-Resident Father
G15. What are (were) your most important activities or duties on the job? What do (did) you actually do at this job? For example: typing, keeping account books, filing, selling cars, operating a printing press, finishing concrete.
/ (IMPORTANT DUTY ) /
DON'T KNOW………………………..…...98
REFUSED…………………………..……...99
Construct: Occupation
Question #: J7
Study: FF-F
J7. What sort of work (do/did) you do in your current or most recent job?
_____________________________________
[ Go to Contents ]
Construct: Work Schedule
Question #: 7.10
Study: EHS- 1 Month
7.10 How many hours a week do you usually work, including regular overtime?
IF MORE THAN ONE JOB: Please tell me the total number of hours at all jobs.
IF VARIES: In a typical week.
/ (INSERT #) / HOURS PER WEEK
Construct: Work Schedule
Question #: 7.11
Study: EHS- 1 Month
7.11 Do you usually work…
| YES | NO | |
|---|---|---|
| Days? | 01 | 00 |
| Evenings? | 01 | 00 |
| Late at night? | 01 | 00 |
| Weekends? | 01 | 00 |
Construct: Work schedule
Question #: 8.10
Study: EHS- 6 Month
8.10 Do you usually work…
CURRENT OR MOST RECENT JOB (01)
SECOND MOST RECENT JOB (02)
THIRD MOST RECENT JOB (03)
FOURTH MOST RECENT JOB (04)
FIFTH MOST RECENT JOB (05)
| YES | NO | |
|---|---|---|
| Days? | 01 | 00 |
| Evenings? | 01 | 00 |
| Late at night? | 01 | 00 |
| Weekends? | 01 | 00 |
Construct: Work Schedule
Question #: Q55
Study: ECLS-B, Resident Father
Q55. About how many total hours per week do you usually work for pay, counting all jobs?
/ (INSERT #) / HOURS
Construct: Work Schedule
Question #: Q56
Study: ECLS-B, Resident Father
Q56. Which of the following best describes the hours you usually work at your main job?
Construct: Work Schedule
Question #: G9
Study: ECLS-B, Non-Resident Father
G9. Which of the following best describes the hours you usually work at your main job?
A regular daytime shift……………..……….1
A regular evening shift…………..….……….2
A regular night shift………………..………..3
A rotating shift- one that changes periodically from days to evenings or night…..…………..4
A split shift- one consisting of two distinct periods each day………………..……………5
Some other schedule (SPECIFY)………..…..6
DON'T KNOW………………………..…...98
REFUSED…………………………..……...99
Construct: Work Schedule
Question #: J6
Study: FF-F
J6. Thinking about your current or most recent job, how many hours do/did you usually work per week?
/ (INSERT #) / Hours Per Week
Construct: Work Schedule
Question #: J12
Study: FF-F
J12. When you were working at these jobs, about how many hours per week did you usually work?
/ (INSERT #) / Hours Per Week
[ Go to Contents ]
Construct: Satisfaction w/ income/job
Question #: 7.14
Study: EHS- 1 Month
7.4 People sometimes feel satisfied about certain things in their life and want to change others. At the present time, how do you feel about each of the following statements?
How satisfied are you with (READ ITEM)? Would you say very dissatisfied, somewhat dissatisfied, somewhat satisfied, or very satisfied?
| VERY DISSATISFIED | SOMEWHAT DISSATISFIED | SOMEWHAT SATISFIED | VERY SATISFIED | DON'T KNOW | NA | |
|---|---|---|---|---|---|---|
| a. Your principle occupation or job? | 01 | 02 | 03 | 04 | -1 | -4 |
| b. Your job security? | 01 | 02 | 03 | 04 | -1 | -4 |
| c. Your level of income? | 01 | 02 | 03 | 04 | -1 | |
| d. The money you have for family necessities? | 01 | 02 | 03 | 04 | -1 | |
| e. Your ability to handle financial emergencies? | 01 | 02 | 03 | 04 | -1 | |
| f. The amount of money you owe? | 01 | 02 | 03 | 04 | -1 | |
| g. Your level of saving? | 01 | 02 | 03 | 04 | -1 | |
| h. The money you have for future needs of your family? | 01 | 02 | 03 | 04 | -1 |
Construct: Satisfaction with income/job
Question #: 8.14
Study: EHS- 6 Month
8.14 People sometimes feel satisfied about certain things in their life and want to change other things.
At the present time, how satisfied are you with (READ ITEM)? Would you say very dissatisfied, somewhat dissatisfied, somewhat satisfied, or very satisfied?
| VERY DISSATISFIED | SOMEWHAT DISSATISFIED | SOMEWHAT SATISFIED | VERY SATISFIED | DON'T KNOW | NA | |
|---|---|---|---|---|---|---|
| a. Your principle occupation or job? | 01 | 02 | 03 | 04 | -1 | -4 |
| b. Your job security? | 01 | 02 | 03 | 04 | -1 | -4 |
| c. Your level of income? | 01 | 02 | 03 | 04 | -1 | |
| d. The money you have for family necessities? | 01 | 02 | 03 | 04 | -1 | |
| e. Your ability to handle financial emergencies? | 01 | 02 | 03 | 04 | -1 | |
| f. The amount of money you owe? | 01 | 02 | 03 | 04 | -1 | |
| g. Your level of saving? | 01 | 02 | 03 | 04 | -1 | |
| h. The money you have for future needs of your family? | 01 | 02 | 03 | 04 | -1 |
[ Go to Contents ]
Construct: Income/ Earnings
Question #: 7.15
Study: EHS- 1 Month
7.15 What was your income last month? Please include earnings from wages and salaries, before taxes and deductions, from all jobs. Please also include money from benefits such as unemployment insurance and SSI.
$ / (INSERT #) /
DON'T KNOW…………………………….-1
REFUSED………………………………….-3
A. I just need to know a range. You can tell me the letter if you like. (Was it….
a. Under $250………………………………….01
b. $251 - $500……………………...…….……02
c. $501 - $750…………………….……...……03
d. $751 - $1,000………………...……………..04
e. $1,001 - $2,000…………………………..…05
f. More than $2,000…………...………………06
Construct: Income/Earnings
Question #: 8.9
Study: EHS- 6 Month
8.9 How much (are/were) your weekly earnings before taxes and other deductions (just before you left that job)? Please include tips, commissions, and regular overtime pay you may have received.
CURRENT OR MOST RECENT JOB (01)
$ / (INSERT #) /
PER WEEK…………………………...……01
PER DAY……………………………...…..02
ONCE EVERY TWO WEEKS……………03
TWICE A MONTH…………………..……04
PER MONTH…………………...…………05
PER YEAR………………………..………06
DON'T KNOW……………………………-1
REFUSED………………………………….-3
Construct: Income/ Earnings
Question #: 8.15
Study: EHS- 6 Month
8.15 What was your income last month? Please include earnings from wages and salaries, before taxes and deductions, from all jobs. Please also include money from benefits such as unemployment insurance and SSI.
$ / (INSERT #) /
DON'T KNOW……………………………-1
REFUSED………………………………….-3
A. I just need to know a range. You can just tell me the letter if you like. Was it….
a. Under $250………………………..…….01
b. $251 - $500……….………...…….……02
c. $501 - $750…………………….....……03
d. $751 - $1,000…………...……….……..04
e. $1,001 - $2,000…………….………..…05
More than $2,000…………...………………06
Construct: Income/Earnings
Question #: Q62
Study: ECLS-B, Resident Father
Q62. Counting all jobs, about how much do you earn before taxes and other deductions?
$ / (INSERT #) /
Is this amount…
Construct: Income/Earnings
Question #: K5
Study: ECLS-B, Non-Resident Father
K5. In studies like this, households are sometimes grouped according to income. What was the total income of all persons in your household over the past year, including salaries or other earnings, interest, retirement, and so on for all household members? Was it…
$25,000 or less, or…………………………...1 (READ SET 1, K6)
More than $25,000…………………………..2 (READ SET 2, K6)
DON'T KNOW………………………..…...98 (READ SET 2, K6)
REFUSED…………………………..……...99 (READ SET 2, K6)
Construct: Income/Earnings
Question #: K6
Study: ECLS-B, Non-Resident Father
K6. Was it…
[SET ONE]
$5,000 or less………………………………..1
$5,000 to $10,000………………………...…2
$10,001 to $15,000………………………….3
$15,001 to $20,000………………………….4
$20,001 to $25,000………………………….5
DON'T KNOW………………………..…...98
REFUSED…………………………..……...99
[SET TWO]
$25,001 to $30,000………………………….6
$30,001 to $35,000………………………….7
$35,001 to $40,000………………………….8
$40,001 to $50,000………………………….9
$50,001 to $75,000………………………...10
More than $75,000…………………………11
DON'T KNOW………………………..…...98
REFUSED…………………………..……...99
Construct: Income/Earnings
Question #: K7
Study: ECLS-B, Non-Resident Father
K7. What was your total income last year, to the nearest thousand?
$ / (INSERT #) /
DON'T KNOW………………………..…...98
REFUSED…………………………..……....99
Construct: Income/Earnings
Question #: K8
Study: ECLS-B, Non-Resident Father
K8. Including yourself, how many adults contribute to your household income?
/ (INSERT #) /
DON'T KNOW………………………..…...98
REFUSED…………………………..……....99
Construct: Income/Earnings
Question #: G10
Study: ECLS-B, Non-Resident Father
G10. (Counting all jobs) about how much do you currently earn before taxes and other deductions?
/ (INSERT #) /
PER HOUR………………………………….1
PER DAY…………………………………...2
PER WEEK………………………………….3
PER BI-WEEKLY (EVERY 2 WEEKS)…...4
PER MONTH……………………………….5
PER YEAR………………………………….6
OTHER (SPECIFY)……………………….91
DON'T KNOW………………………..…...98
REFUSED…………………………..….......99
Construct: Income/Earnings
Question #: J8
Study: FF-F
J8. About how much did you earn?
$ / (INSERT #) /
A. Was that:
Per hour?…………………………….1
Per day?……………………….……..2
Per week?……………………………3
Per month?…………………………..4
Per year?…………………….……….5
Other (SPECIFY)……………………6
Construct: Income/Earnings
Question #: J10
Study: FF-F
J10. Some people work more than one job. About how much did you earn from all of your regular jobs in the last 12 months? Please do not count earnings from any "off-the-books" or "under-the-table" jobs.
Under $5,000………………………………...1
$5,000 to $9,999…………………………….2
$10,000 to $14,999………………………….3
$15,000 to $19,999………………………….4
$20,000 to $24,999………………………….5
$25,000 to $34,999………………………….6
$35,000 to $49,999………………………….7
$50,000 to $74,999………………………….8
Greater than $75,000………………………..9
REFUSED………………………………….97
DON'T KNOW………………….…………98
DID NO REGULAR WORK………………99
Construct: Income/Earnings
Question #: K3
Study: FF-F
K3. Thinking about your income and the income of everyone else who lives with you, what was your total household income before taxes in the past 12 months?
Under $5,000………………………………...1
$5,000 to $9,999…………………………….2
$10,000 to $14,999………………………….3
$15,000 to $19,999………………………….4
$20,000 to $24,999………………………….5
$25,000 to $34,999………………………….6
$35,000 to $49,999………………………….7
$50,000 to $74,999………………………….8
Greater than $75,000………………………..9
REFUSED………………………………….97
DON"T KNOW……………………………98
Construct: Income/Earnings
Question #: K4
Study: FF-F
K4. What are your monthly expenses for rent or mortgage?
$ / (INSERT #) /
Construct: Income/Earnings
Question #: K5
Study: FF-F
K5. At the end of the month, do you usually have…
Some money left over……………………….1
Just enough to make ends meet……………...2
Not enough to make ends meet……………...3
[ Go to Contents ]
Construct: Education
Question #: 7.16
Study: EHS- 1 Month
7.16 The next questions are about your educational background.
What is the highest grade or year of regular school that you have already completed?
CIRCLE ONE CODE
NONE……………………………………...00
ELEMENTARY, MIDDLE, OR JUNIOR HIGH SCHOOL………01 02 03 04 05 06 07 08
HIGH SCHOOL…………………………....09 10 11 12
COLLEGE OR VOCATIONAL SCHOOL……13 14 15 16
POST COLLEGE…………………………..17 18 19 20+
DON'T KNOW…………………………....-1
REFUSED………………………………….-3
Construct: Education
Question #: 7.17
Study: EHS- 1 Month
7.2 What types of degrees, diplomas, or certificates have you received?
If NONE: Did you complete an elementary, middle, or junior high school program?
If HIGH SCHOOL DIPLOMA: Did you receive your high school diploma through a GED program?
CIRCLE ALL THAT APPLY
A. NONE……………………..…….…………...…..00
B. ELEMENTARY, MIDDLE, OR JUNIOR HIGH SCHOOL DIPLOMA………………………...….01
C. ABE OR ADULT BASIC EDUCATION CERTIFICATE (PRE-GED)……………..….…..02
D. GED CERTIFICATE…………………….…..…..03
E. HIGH SCHOOL DIPLOMA……...………..…....04
F. AA OR ASSOCIATES DIPLOMA OR DEGREE (TWO YEAR)..……….…………………...….….05
G. BA OR BS OR COLLEGE DIPLOMA OR DEGREE (FOUR-YEAR)……………..……...…06
H. ESL OR ENGLISH AS A SECOND LANGUAGE CERTIFICATE……………………….…….……07
I. VOCATIONAL, TECHNICAL, OR TRADE DIPLOMA, CERTIFICATE OR DEGREE (SPECIFY)……….08
J. NURSING LICENSURE (LPN OR RN)……….09
K. BUSINESS CERTIFICATE OR DEGREE..…….10
L. SECRETARIAL CERTIFICATE OR DEGREE...11
M. OTHER TYPES (SPECIFY)………………….…12
DON'T KNOW…………………………...…..….-1
REFUSED………………………………...……...-3
Construct: Education
Question #: 8.16
Study: EHS- 6 Month
8.16 The next questions are about your educational background.
What is the highest grade or year of regular school that you have already completed?
CIRCLE ONE CODE
NONE……………………………………...00
ELEMENTARY, MIDDLE, OR JUNIOR
HIGH SCHOOL……………………………01 02 03 04 05 06 07 08
HIGH SCHOOL…………………………....09 10 11 12
COLLEGE OR VOCATIONAL
SCHOOL…………………………………...13 14 15 16
POST COLLEGE…………………………..17 18 19 20+
DON'T KNOW…………………………....-1
REFUSED………………………………….-3
Construct: Education
Question #: 8.17
Study: EHS- 6 Month
8.17 What types of degrees, diplomas, or certificates have you received?
If NONE: Did you complete an elementary, middle, or junior high school program?
If HIGH SCHOOL DIPLOMA: Did you receive your high school diploma through a GED program?
CIRCLE ALL THAT APPLY
A. NONE…………………………….…….……..00
B. ELEMENTARY, MIDDLE, OR JUNIOR
HIGH SCHOOL DIPLOMA…………..….….01
C. ABE OR ADULT BASIC EDUCATION CERTIFICATE (PRE-GED)…………………02
N. GED CERTIFICATE…………………………03
O. HIGH SCHOOL DIPLOMA………….....…...04
P. AA OR ASSOCIATES DIPLOMA OR DEGREE (TWO YEAR)..……….…………...05
Q. BA OR BS OR COLLEGE DIPLOMA OR DEGREE (FOUR YEAR)……………………06
R. ESL OR ENGLISH AS A SECOND LANGUAGE CERTIFICATE………………..07
S. VOCATIONAL, TECHNICAL, OR TRADE DIPLOMA, CERTIFICATE OR DEGREE (SPECIFY)………08
T. NURSING LICENSURE (LPN OR RN)………………………………...09
U. BUSINESS CERTIFICATE OR DEGREE……………………………………...10
V. SECRETARIAL CERTIFICATE OR DEGREE…………………………...……....…11
W. OTHER TYPES (SPECIFY)……………....…12
DON'T KNOW……………………..…..…...-1
REFUSED……………………..………......-3
Construct: Education
Question #: 8.18
Study: EHS- 6 Month
8.18 Since (MONTH-MONTH OF LAST INTERVIEW), did you attend any school or training programs or take any classes? Please include regular high school, adult basic education or GED courses, vocational or trade school, Job Corps, college, or other types of school as well as training programs to help you learn job skills or get a job. Also include classes you may have attended to learn English or improve your writing skills. Include welding, auto mechanic, or nursing courses.
YES……………………………………...…01
NO………………………………………….02
DON'T KNOW…………………………….-1
REFUSED……………………………….....-3
Construct: Education
Question #: 8.19
Study: EHS- 6 Month
8.19 What type of school or training was it?
CIRCLE ALL THAT APPLY
ELEMENTARY OR MIDDLE SCHOOL (GRADE 1-8)………………………..….….01
HIGH SCHOOL (GRADE 9-12)…………..02
ABE--ADULT BASIC EDUCATION PROGRAM (PRE-GED)…………………..03
GED PROGRAM………………………….04
ESL-ENGLISH AS A SECOND LANGUAGE PROGRAM……………...…05
NURSING SCHOOL (LPN OR RN)……...06
BUSINESS OR SECRETARIAL SCHOOL………………………………..…07
VOCATIONAL, TECHNICAL, OR TRADE SCHOOL…………………………………..08
COMMUNITY OR JUNIOR COLLEGE (2-YEAR)……………………………………..09
COLLEGE…………………………….…...10
OTHER TYPE (SPECIFY)……………......11
Construct: Education
Question #: Q64
Study: ECLS-B, Resident Father
Q64. Are you currently attending or enrolled in any courses from a school, college, or university?
Construct: Education
Question #: G16
Study: ECLS-B, Non-Resident Father
G16. Are you currently attending or enrolled in any courses from a school, college, or university?
YES………………………………………….1
NO…………………………………………..2
DON'T KNOW………………………..…...98
REFUSED…………………………..….......99
Construct: Education
Question #: G17
Study: ECLS-B, Non-Resident Father
G17. Are you currently taking courses full-time or part-time?
FULL-TIME………………………………..1
PART-TIME………………………………..2
DON'T KNOW……………………………98
REFUSED………………………………….99
Construct: Education
Question #: Q44
Study: ECLS-B, Resident Father
Q44. What is the highest year of school that you have completed?
Construct: Education
Question #: Q45
Study: ECLS-B, Resident Father
Q45. Do you have a high school diploma or it's equivalent, such as a GED?
Construct: Education
Question #: Q46
Study: ECLS-B, Resident Father
Q46. Which do you have, a high school diploma or a GED?
Construct: Education
Question #: Q47
Study: ECLS-B, Resident Father
Q47. When you were in school, did you ever receive special help because you had trouble with reading?
Construct: Education
Question #: Q48
Study: ECLS-B, Resident Father
Q48. Did you ever repeat a grade in school?
Construct: Education
Question #: Q49
Study: ECLS-B, Resident Father
Q49. Now thinking about high school, what grades did you usually get?
Construct: Education
Question #: Q50
Study: ECLS-B, Resident Father
Q50. Was your high school program…
Construct: Education
Question #: Q51
Study: ECLS-B, Resident Father
Q51. While you were in high school, did you take any of the following high school mathematics and technical courses? (For each item, mark one response.)
Courses |
Yes | No |
|---|---|---|
| a. Elementary Algebra or Algebra I | ||
| b. Plane Geometry | ||
| c. Business math | ||
| d. Intermediate Algebra or Algebra II | ||
| e. Trigonometry | ||
| f. Calculus | ||
| g. Physics |
Construct: Education
Question #: F11
Study: ECLS-B, Non-Resident Father
F11. Now I have a few questions about your education. What is the highest grade or year of school that you have completed?
1ST GRADE…………………………………..……….1
2ND GRADE………………………….………..………2
3RD GRADE…………………………...………………3
4TH GRADE………………………………...…………4
5TH GRADE……………………………...……………5
6TH GRADE……………………………...……………6
7TH GRADE…………………………...………………7
8TH GRADE…………………………...………………8
9TH GRADE………………………...…………………9
10TH GRADE………………………...………………10
11TH GRADE…………………………...……………11
12TH GRADE BUT NO DIPLOMA…………...…….12
HIGH SCHOOL DIPLOMA/EQUIVALENT………………………..……………..13
VOC/TECH PROGRAM AFTER HIGH SCHOOL BUT NO VOC/TECH DEGREE…………………….14
VOC/TECH DIPLOMA AFTER HIGH SCHOOL….15
SOME COLLEGE BUT NO DEGREE……………...16
ASSOCIATE'S DEGREE…………………………...17
BACHELOR'S DEGREE……………………………18
GRADUATE OR PROFESSIONAL SCHOOL BUT NO DEGREE………………………………………...19
MASTER'S DEGREE (MA, MS)…………………...20
DOCTORATE DEGREE (PHD, EDD)……………...21
PROFESSIONAL DEGREE AFTER BACHELOR'S DEGREE (MEDICINE/MD; DENTISTRY/DDS; LAW/JD/LLB; ETC.)……..22
DON'T KNOW………………………………………98
REFUSED……………………………………………99
Construct: Education
Question #: F12
Study: ECLS-B, Non-Resident Father
F12. Do you have a high school diploma or it's equivalent, such as a GED?
YES………………………………………….1
NO…………………………………………..2
DON'T KNOW………………………..…...98
REFUSED…………………………..….......99
Construct: Education
Question #: F13
Study: ECLS-B, Non-Resident Father
F13. Which do you have, a high school diploma or a GED?
HIGH SCHOOL DIPLOMA………………..1
GED…………………………………………2
DON'T KNOW………………………..…...98
REFUSED…………………………..….......99
Construct: Education
Question #: F14
Study: ECLS-B, Non-Resident Father
F14. When you were in high school, did you ever receive special help because you had trouble reading?
YES………………………………………….1
NO…………………………………………..2
DON'T KNOW………………………..…...98
REFUSED…………………………..….......99
Construct: Education
Question #: F15
Study: ECLS-B, Non-Resident Father
F15. Did you ever repeat a grade in school?
YES………………………………………….1
NO…………………………………………..2
DON'T KNOW………………………..…...98
REFUSED…………………………..….......99
Construct: Education
Question #: F16
Study: ECLS-B, Non-Resident Father
F16. Now, thinking about high school, which grades did you usually get?
MOSTLY A'S (NUMERICAL AVERAGE OF 90-100)………..1
MOSTLY A'S AND B'S (85-89)…………...2
MOSTLY B'S (80-84)………………………3
MOSTLY B'S AND C'S (75-79)…………...4
MOSTLY C'S (70-74)………………………5
MOSTLY C'S AND D'S (65-69)…………...6
MOSTLY D'S AND LOWER (64 AND BELOW)…………………………………….7
DON'T KNOW………………………..…...98
REFUSED…………………………..….......99
Construct: Education
Question #: F17
Study: ECLS-B, Non-Resident Father
F17. Was your high school program…
Academic or college preparatory……………1
Commercial or business training, or………...2
Vocational or technical?…………………….3
DON'T KNOW………………………..…...98
REFUSED…………………………..….......99
Construct: Education
Question #: F18
Study: ECLS-B, Non-Resident Father
F18. Now I have a list of high school mathematics and technical courses. As I read each one, please tell me whether you have taken that course in regular high school.
Courses |
TAKEN | NOT TAKEN | DON'T KNOW | REFUSED |
|---|---|---|---|---|
| a. Elementary Algebra or Algebra I? | 1 | 2 | 98 | 99 |
| b. Plane Geometry? | 1 | 2 | 98 | 99 |
| c. Business math? | 1 | 2 | 98 | 99 |
| d. Intermediate Algebra or Algebra II? | 1 | 2 | 98 | 99 |
| e. Trigonometry? | 1 | 2 | 98 | 99 |
| f. Calculus? | 1 | 2 | 98 | 99 |
| g. Physics? | 1 | 2 | 98 | 99 |
Construct: Education
Question #: I1
Study: FF-F
I1. Now I'd like to ask some questions about your education and work experience. What is the highest grade or year of school that you have completed?
No formal schooling………………………...1
8th grade or less……………………………...2
Some high school (Grades 9, 10, 11, and 12)… …………...…...3
High school diploma (Completed 12th grade)……………………...4
G.E.D. ………………………………………5
Some college or 2 year degree………………6
Technical or trade school……………………7
Bachelor's degree……………………………8
Graduate or professional school……………..9
[ Go to Contents ]
Construct: Religion
Question #: Q93
Study: ECLS-B, Resident Father
Q93. In what religion were you raised?
Construct: Religion
Question #: Q94
Study: ECLS-B, Resident Father
Q94. How often did you attend religious services in the past year? Was it…
Construct: Religion
Question #: J1
Study: ECLS-B, Non-Resident Father
J1. In what religion were you raised?
BAPTIST………………………………..………1
METHODIST…………………………..……….2
LUTHERAN…………………………..….….….3
PRESBYTERIAN………………………….……4
EPISCOPAL…………………………………….5
PENTECOSTAL………………………………...6
OTHER PROTESTANT………………………...7
ROMAN CATHOLIC…………………………..8
EASTERN ORTHODOX……………………….9
MORMON……………………………………..10
OTHER CHRISTIAN………………………….11
JEWISH………………………………………..12
MUSLIM………………………………………13
HINDU…………………………………………14
BUDDHIST……………………………………15
OTHER (SPECIFY)…………………………...16
NONE………………………………………….17
DON'T KNOW………………………………..98
REFUSED……………………………………...99
Construct: Religion
Question #: J2
Study: ECLS-B, Non-Resident Father
J2. How often did you attend religious services in the past year? Was it…
Never………………………………………...0
About once or twice…………………………1
Several times during the year………………..2
About once or twice a month………………..3
Nearly every week or more………………….4
DON'T KNOW...…………………………..98
REFUSED……………..…………………...99
Construct: Religion
Question #: F6
Study: FF-F
F6. About how often do you attend religious services?
Once a week or more………………………..1
Several times a month……………………….2
Several times a year…………………………3
Hardly ever…………………………………..4
Not at all……………………………………..5
Construct: Religion
Question #: F7
Study: FF-F
F7. What is your religious preference?
NO RELIGION……………………………...1
PROTESTANT……………………………...2
CATHOLIC…………………………………3
JEWISH……………………………………..4
MUSLIM……………………………………5
CHRISTIAN………………………………...6
BAPTIST……………………………………7
CHURCH OF CHRIST……………………..8
EPISCOPALIAN……………………………9
JEHOVAH'S WITNESS…………………..10
LUTHERAN……………………………….11
METHODIST……………………………...12
PRESBYTERIAN………………………….13
OTHER (SPECIFY)……………………….14
[ Go to Contents ]
Construct: Enrollment and training
Question #: 8.18
Study: EHS- 6 Month
8.18 Since (MONTH-MONTH OF LAST INTERVIEW), did you attend any school or training programs or take any classes? Please include regular high school, adult basic education or GED courses, vocational or trade school, Job Corps, college, or other types of school as well as training programs to help you learn job skills or get a job. Also include classes you may have attended to learn English or improve your writing skills. Include welding, auto mechanic, or nursing courses.
YES……………………………………...…01
NO………………………………………….02
DON'T KNOW…………………………….-1
REFUSED……………………………….....-3
Construct: Enrollment and Training
Question #: Q64
Study: ECLS-B, Resident Father
Q64. Are you currently attending or enrolled in any courses from a school, college, or university?
Construct: Enrollment and Training
Question #: Q65
Study: ECLS-B, Resident Father
Q65. Are you currently participating in a job-training or on-the-job-training program?
Construct: Enrollment and Training
Question #: Q66
Study: ECLS-B, Resident Father
Q66. About how many hours a week do you spend in that program?
/ (INSERT #) / HOURS PER WEEK
Construct: Enrollment and Training
Question #: G16
Study: ECLS-B, Non-Resident Father
G16. Are you currently attending or enrolled in any courses from a school, college, or university?
YES………………………………………….1
NO…………………………………………..2
DON'T KNOW………………………..…...98
REFUSED…………………………..….......99
Construct: Enrollment and Training
Question #: G17
Study: ECLS-B, Non-Resident Father
G17. Are you currently taking courses full-time or part-time?
FULL-TIME………………………………..1
PART-TIME………………………………..2
DON'T KNOW……………………………98
REFUSED………………………………….99
Construct: Enrollment and Training
Question #: G18
Study: ECLS-B, Non-Resident Father
G18. Are you currently participating in a job-training or on-the-job-training program?
YES………………………………………….1
NO…………………………………………..2
DON'T KNOW………………………..…...98
REFUSED…………………………..….......99
Construct: Enrollment and Training
Question #: G19
Study: ECLS-B, Non-Resident Father
G19. About how many hours a week do you spend in that program?
/ (INSERT #) / HOURS PER WEEK
DON'T KNOW………………………..…...98
REFUSED…………………………..….......99
Construct: Enrollment and Training
Question #: I2
Study: FF-F
I2. Have you ever received skills training from a government-sponsored program such as JTPA or Job Corps?
YES………………………………………….1
NO…………………………………………..2
A. How long did you participate in this program?
/ (INSERT #) / Years
/ (INSERT #) / Months
Construct: Enrollment and Training
Question #: I3
Study: FF-F
I3. Have you ever attended a business college, vocational technical school, or an apprenticeship program?
YES………………………………………….1
NO…………………………………………..2
A. How long did you participate in this program?
/ (INSERT #) / Years
/ (INSERT #) / Months
Construct: Enrollment and Training
Question #: I4
Study: FF-F
I4. Have you ever served in the military?
YES………………………………………….1
NO…………………………………………..2
[ Go to Contents ]
Construct: Employment benefits
Question #: Q63
Study: ECLS-B, Resident Father
Q63. Are you eligible for the following benefits through (any of) your current job(s)?
For each item, mark one response.
| YES | NO | |
|---|---|---|
| a. Medical or hospital insurance? | ||
| b. Sick leave with full pay? | ||
| c. Vacation with full pay? | ||
| d. Pension plan or retirement plan, such as a 401K plan? | ||
| e. Child care assistance? | ||
| f. Flexible hours or flex-time? | ||
| g. A dental plan? | ||
| h. Employer-provided transportation? | ||
| i. Tuition reimbursement or training classes? |
Construct: Employment benefits
Question #: G11
Study: ECLS-B, Non-Resident Father
G11. Are you eligible for the following benefits through (any of) your current job(s)? How about…
| YES | NO | DON'T KNOW | REFUSED | |
|---|---|---|---|---|
| a. Medical or hospital insurance? | 1 | 2 | 98 | 99 |
| b. Sick leave with full pay? | 1 | 2 | 98 | 99 |
| c. Vacation with full pay? | 1 | 2 | 98 | 99 |
| d. Pension plan or retirement plan, such as a 401K plan? | 1 | 2 | 98 | 99 |
| e. Child care assistance? | 1 | 2 | 98 | 99 |
| f. Flexible hours or flex-time? | 1 | 2 | 98 | 99 |
| g. A dental plan? | 1 | 2 | 98 | 99 |
| h. Employer-provided transportation? | 1 | 2 | 98 | 99 |
| i. Tuition reimbursement or training classes? | 1 | 2 | 98 | 99 |
Main Page of Report | Contents of Report
Home Pages:
Human Services Policy
(HSP)
Assistant Secretary for Planning and Evaluation
(ASPE)
U.S. Department of Health and Human Services
(HHS)