L. CLOSING

Weíll be eager to talk with you again in two years to see how you and [CHILD] are doing then. We want to make sure we donít lose track of you.

 

1

2

  

L1. Do you have an email address?
 

GO TO L2

YES

1
 

GO TO L3

NO

2
 

DONíT KNOW

-1
 

REFUSED

-2

1

2

  

L2. What is your email address? ENTER EMAIL ADDRESS OR CIRCLE CODE

_____________________________________ EMAIL ADDRESS
   

DONíT KNOW

-1
   

REFUSED

-2

1

2

  

L3. Could you please tell me the name of someone who is likely to know where you are if you move? RECORD NAME OR INDICATE REFUSAL: What is their address? RECORD ADDRESS. What is their phone number? RECORD PHONE NUMBER. What is their email address? RECORD EMAIL
 

GO TO END

REFUSED

-2

 

Name:_____________________________________________________________________

Address:___________________________________________________________________

___________________________________________________________________________
or DONíT KNOW -1

 

Phone:_____________________________________________________________________
OR DONíT KNOW -1

 

EMAIL _______________________________________________
OR DONíT KNOW -1

 

 

 

1

2

  

L4. What is this personís relationship to [CHILD]?

   

MOTHER

01
   

ADOPTIVE MOTHER

02
   

STEPMOTHER

03
   

FOSTER MOTHER

04
   

LEGAL GUARDIAN

05
   

SISTER/STEP SISTER

06
   

AUNT

07
   

GRANDMOTHER

08
   

FATHER

09
   

ADOPTIVE FATHER

10
   

STEPFATHER

11
   

FOSTER FATHER

12
   

LEGAL GUARDIAN

13
   

BROTHER/STEP BROTHER

14
   

UNCLE

15
   

GRANDFATHER

16
   

COUSIN

17
   

FAMILY FRIEND/NEIGHBOR

18
   

OTHER (SPECIFY) _____________________________

97

CHECKPOINT: IF RESPONDENT IS FOSTER PARENT (S11 OR S12=04) ASK L5a. ELSE GO TO L5c.

 

1

2

  

L5a. Is there someone else who would know where CHILD has moved if he/she is no longer in your foster care? PROBE FOR SOCIAL WORKER ASSIGNED TO CHILD.
   

YES

1
 

GO TO L5c

NO

2
 

GO TO L5c

DONíT KNOW

-1
 

GO TO L5c

REFUSED

-2

 

 

1

2

  

L5b. What is their name and address? RECORD NAME AND ADDRESS. What is their phone number? RECORD PHONE NUMBER. What is their email address?

 

GO TO END

REFUSED

-2

 

Name:_____________________________________________________________________

Address:___________________________________________________________________

___________________________________________________________________________
or DONíT KNOW -1

Phone:_____________________________________________________________________
or DONíT KNOW -1

EMAIL _________________________
or DONíT KNOW -1

GO TO END

 

1

2

  

L5c. Is there someone else who also would know where you are if you move?

   

YES

1
 

GO TO END

NO

2
 

GO TO END

DONíT KNOW

-1
 

GO TO END

REFUSED

-2

 

 

1

2

  

L6. What is their name and address? RECORD NAME AND ADDRESS. What is their phone number? RECORD PHONE NUMBER. What is their email address?

 

GO TO END

REFUSED

-2

 

Name:_____________________________________________________________________

Address:___________________________________________________________________

___________________________________________________________________________
or DONíT KNOW -1

Phone:_____________________________________________________________________
or DONíT KNOW -1

EMAIL _________________________
or DONíT KNOW -1

1

2

  

L7. What is this personís relationship to [CHILD]?
   

MOTHER

01
   

ADOPTIVE MOTHER

02
   

STEPMOTHER

03
   

FOSTER MOTHER

04
   

LEGAL GUARDIAN

05
   

SISTER/STEP SISTER

06
   

AUNT

07
   

GRANDMOTHER

08
   

FATHER

09
   

ADOPTIVE FATHER

10
   

STEPFATHER

11
   

FOSTER FATHER

12
   

LEGAL GUARDIAN

13
   

BROTHER/STEP BROTHER

14
   

UNCLE

15
   

GRANDFATHER

16
   

COUSIN

17
   

FAMILY FRIEND/NEIGHBOR

18
   

OTHER (SPECIFY)

______________________________

97

 

END: Thank you very much for taking time to answer these questions and help us with this important study .

 
BACK
DESIGN DOCS