A. STUDENT CHARACTERISTICS

 

CHECKPOINT: IF WAVE 1 GO TO A1. IF WAVE 2 OR 3 GO TO A5a.

1

   

A1. Iíd like to ask you some questions about CHILD. Is CHILD male or female?

   

Male

1

   

Female

2

   

DONíT KNOW

-1

   

REFUSED

-2

 

CHECKPOINT: IF Birthdate is in Sample File ask A2a, if not ask A2b.

1

   

A2a. I have CHILDíS birthdate as (BIRTHDATE FROM SAMPLE FILE). Is that correct?

 

GO TO A3

Yes

1

 

ASK A2b

No

2

   

DONíT KNOW

-1

   

REFUSED

-2

1

   

A2b. What is CHILDíS birthdate? RECORD BIRTHDATE

______/______/_______

MM DD YY

VERIFICATION CHECK. IF BIRTHDATE MAKES CHILD LESS THAN 6 OR MORE THAN 12 YEARS OLD, CONFIRM THAT YOU ARE TALKING ABOUT THE CHILD ON THE SAMPLE FILE. IF UNCLEAR, GO TO TERMINATION SCRIPT.

TERMINATION SCRIPT: I may have an error here. Let me check with my supervisor and I will call you back. Thank you.

 

Census

1

   

A3. Iím going to read a list of categories. Please choose one or more categories that best describe [CHILDís] race and ethnicity. Is he/she .... READ CATEGORIES. CODE ALL THAT APPLY. IF RESPONDENT SAYS MIXED RACE OR BI- OR MULTIRACIAL, ASK WHICH RACES THE CHILD REPRESENTS AND CODE EACH.

   

White

1

   

African-American or Black

2

   

Hispanic, Latino, or other Spanish Origin

3

   

American Indian or Alaskan Native

4

   

Asian

5

   

Native Hawaiian

6

   

Other Pacific Islander

7

   

Or another race or ethnicity (SPECIFY)

___________________________________

8

 

DONíT READ

DONíT KNOW

-1

   

REFUSED

-2

 

NELS:88, ECLS-K

1

   

A4a. Is any language other than English regularly spoken in your home?

 

Go to A4b

Yes

01

 

Go to A5a

NO

02

 

GO A4b

DONíT KNOW

-1

   

REFUSED

-2

 

 

NELS:88, ECLS-K

1

   

A4b. What is the main language CHILD usually speaks at home? DO NOT READ CATEGORIES; CIRCLE ALL THAT APPLY.

   

English

01

   

Spanish

02

   

Albanian

03

   

Cambodian

04

   

Chinese

05

   

Croatian

06

   

Farsi

07

   

German

08

   

Greek

09

   

Hebrew

10

   

Hmong

11

   

Italian

12

   

Japanese

13

   

Korean

14

   

Laotian

15

   

Portuguese

16

   

Tagalog (Filipino language)

17

   

Russian

18

   

Vietnamese

19

   

Other (SPECIFY)

______________________________

97

 

DONíT READ

DONíT KNOW

-1

   

REFUSED

-2

 

NELS:88

1

2

3

A5a. In the past year has [CHILD] lived with you all of the time?

 

GO TO CHECKPOINT BEFORE A5f

YES

1

 

GO TO A5b

NO

2

 

CONDOLENCE SCRIPT

CHILD IS DECEASED

3

 

GO TO A5b

DONíT KNOW

-1

 

GO TO A5b

REFUSED

-2

 

 

NELS:88

1

2

3

A5b. How much of the time has he/she lived with you? Has it been...: READ CATEGORIES. CIRCLE ONE CODE

 

 

GO TO A5C

More than half time

1

 

Half of the time

2

 

Less than half time

3

 

None of the time

4

 

DONíT KNOW

-1

 

REFUSED

-2

 

NLTS

1

2

3

A5c. Where else has CHILD lived in the past year? DO NOT READ CATEGORIES. CODE ALL THAT APPLY

   

With his/her other parent

01

   

With his/her parents

02

   

With another relative

03

 

GO TO CHECKPOINT BEFORE B1a

In foster care

04

   

In a residential or boarding school

05

   

In a group home

06

 

GO TO A5d

In a hospital, medical facility, convalescent hospital or institution for persons with disabilities

07

 

GO TO A5d

In a mental health facility

08

 

In a correctional facility/youth detention center

09

 

GO TO B1a

Other, specify
___________________________________

10

 

CONDOLENCE SCRIPT

Child is deceased

11

 

GO TO CHECKPOINT BEFORE B1a

DONíT KNOW

-1

   

REFUSED

-2

 

NELS:88

1

2

3

A5d. Is [CHILD] currently living there? IF CHILD HAS LIVED IN SEVERAL FACILITIES THEN ANSER FOR THE PLACE LIVED IN MOST RECENTLY

   

YES

1

   

NO

2

   

DONíT KNOW

-1

   

REFUSED

-2

 

 

CHECKPOINT ñ WAVE 1 ASK A5e. WAVE 2 & 3: IF A5d=1 I(WAS CURRENTLY IN A FACILITY) IN PREVIOUS WAVE AND A5d=1 ALSO IN CURRENT WAVE GO TO A5f, ELSE GO TO A5e.

1

2

3

A5e. IF A5d=2 (NOT CURRENTLY THERE, ASK: How long did CHILD live there?
IF A5d NE2, ASK: How long has CHILD lived there?
ENTER NUMBER OR CIRCLE CODE

 

____________

# OF DAYS
OR

Number of days

1

 

____________

# OF MONTHS
OR

Number of months

2

 

____________

# OF YEARS

Number of Years

3

   

DONíT KNOW

-1

   

REFUSED

-2

 

1

2

3

A5f. How long do you think he/she will be living there? Would you say...READ CATEGORIES. CODE ONE RESPONSE

   

A few weeks

1

 

A few months

2

 

About a year

3

   

Longer than a year

4

   

DONíT KNOW

-1

 

REFUSED

-2

CHECKPOINT ñ IF S11=01,02 OR 03 (BIOLOGICAL, ADOPTIVE OR STEP MOTHER) OR S12 = 01,02, OR 03(BIOLOGICAL, ADOPTIVE OR STEP FATHER) GO TO CHECKPOINT BEFORE B1a; IF A5b = 4 (LIVED WITH RESPONDENT NONE OF THE TIME) GO TO CHECKPOINT BEFORE B1a; OTHERWISE ASK A5g. [i.e. Foster Care]

1

2

3

A5g. How long has CHILD lived with you? ENTER NUMBER OR CIRCLE CODE

 

 

 

____________

# OF YEARS
OR

Number of Years

1

____________

# OF MONTHS

Number of months

2

 

DONíT KNOW

-1

 

REFUSED

-2

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