Second Caregiver


Input Screens and Forms

G2G0002 Enter your identification number: @
INTN Enter your name: @
CENSUS ENTER CENSUS TRACT ID FROM FAMILY INFORMATION FORM
BGA Enter BGA Number on FIF.
name Enter the first name of the target child:
GENDER Verify target's gender.
pname Enter primary caregiver's first name:
GPRIM What is the gender of the primary caregiver?
G2G0004 What is the second caregiver's relationship to the primary caregiver?
G2G0005 Specify relationship to primary caregiver?
G2G0006 Is the second caregiver the parent of [fill name]?
G2G0249 What is the gender of the second caregiver?
INTRO The questions in this interview are about experiences and feelings that might
G2G0007 During the past 12 months, would you agree or disagree that [fill par]
G2G0008 How satisfied are you with your relationship with [fill name]?
G2G0009 How happy are you with the way things are between you and
G2G0010 Thinking about the past 12 months, how would you describe your
G2G0011 Now, I will be asking questions about how you relate to [fill name]
G2G0012 How often do you know where [fill name] is and what [fill he_she] is
G2G0013 How often do you know how well [fill name] is doing in school? Is it...
G2G0014 How often do you know if [fill name] does something wrong? Is it...
G2G0015 How often can [fill name] do whatever [fill he_she] wants after
G2G0016 How often would [fill name] be disciplined at home if you knew
G2G0017 How often do you give up when you ask [fill name] to do something
G2G0018 When you tell [fill name] to stop doing something and [fill he_she]
G2G0019 Once a discipline has been decided, how often can [fill name]
G2G0020 How often do you discipline [fill name] for something at one time,
G2G0021 When you discipline [fill name], how often does the type of discipline you
G2G0022 When [fill name] does something wrong, how often do you ground
G2G0023 When [fill name] does something wrong, how often do you lose your
G2G0024 How often do you spank [fill name] when [fill he_she] does
G2G0025 When you discipline [fill name], how often do you hit [fill him_her] with a
G2G0026 When [fill name] does something wrong, how often do you tell
G2G0027 How often do the same problems between you and [fill name] come up
G2G0028 When you and [fill name] have a problem, how often can the two of you
G2G0029 How often does [fill name] talk to you about things that bother
G2G0030 How often do you ask [fill name] what [fill he_she] thinks before
G2G0031 How often do you give reasons to [fill name] for your decisions? Is it...
G2G0032 How often do you ask [fill name] what [fill he_she] thinks before
G2G0033 When [fill name] doesn't know why you make certain rules,
G2G0034 How often do you discipline [fill name] by reasoning, explaining,
G2G0035 When [fill name] has done something you like or approve of,
G2G0036 How often do you give [fill name] a reward like money or something
G2G0037 I will now be asking you questions about the relationship you have
G2G0038 How often do you and [fill pname] have big differences of opinion
G2G0039 How often would you say that [fill pname] is a help to you in raising
G2G0040 About how many hours a week does [fill pname] take care of [fill name]?
G2G0041 Now, I will be asking you if it is extremely important, important, somewhat
G2G0042 How important to you is it that [fill name]
G2G0043 How important to you is it that [fill name]
G2G0044 How important to you is it that [fill name]
G2G0045 How important to you is it that [fill name]
G2G0046 How important to you is it that [fill name]
G2G0047 How important to you is it that [fill name]
G2G0048 How important to you is it that [fill name]
G2G0049 How important to you is it that [fill name].
G2G0050 Now I'm going to read some statements about different behaviors.
G2G0051 If [fill name] stole something that did not belong to [fill him_her],
G2G0052 If [fill name] took part in community activities like YMCA, YWCA,
G2G0053 If [fill name] beat up on someone just because [fill he_she] wanted to, would
G2G0054 If [fill name] beat up on someone in self-defense, would you...
G2G0055 If [fill name] purposely damaged or destroyed
G2G0056 If [fill name] worked hard to get good grades in school, would you...
G2G0057 If [fill name] used force to get what [fill he_she] wanted
G2G0058 If [fill name] saved [fill his_her] money to go to college,
G2G0059 If [fill name] drank beer, wine, wine coolers, or hard liquor,
G2G0060 If [fill name] used marijuana, would you...
G2G0061 If [fill name] took part in sports at school, would you...
G2G0062 If [fill name] lied to [fill his_her] parents or teachers, would you...
G2G0063 If [fill name] took part in church activities, would you...
G2G0064 If [fill name] did things at school that could get [fill him_her]
G2G0065 If [fill name] helped at home by doing things like cleaning, doing
G2G0066 If [fill name] wanted to go out on a date with someone of the opposite
G2G0067 If [fill name] helped at home by spending money [fill he_she]
G2G0068 If [fill name] cheated on a test, would you...
G2G0069 If [fill name] smoked cigarettes, would you...
G2G0070 The next questions ask about daily experiences in your family. I
G2G0071 How often do you help [fill name] with [fill his_her] homework? Is it...
G2G0072 How often does [fill name] do [fill his_her] homework at the same time each
G2G0073 How often does [fill name] take part in regular activities after school
G2G0074 How often is there an adult at home when [fill name] comes home from school,
G2G0075 How often does [fill name] go to bed at the same time each night? Is it...
G2G0076 How often does your family eat a meal together each
G2G0077 How often does [fill name] do regular household chores? Is it...
G2G0078 Have you helped or encouraged [fill name] to become involved in
G2G0079 Have you helped or encouraged [fill name] to become involved in
G2G0080 Have you helped or encouraged [fill name] to become involved in
G2G0081 Have you helped or encouraged [fill name] to attend after school
G2G0082 Have you helped or encouraged [fill name] to spend time with successful
G2G0083 Now I will be asking you how much you have felt about each of
G2G0084 During the past week, how much have you...
G2G0085 During the past week, how much have you...
G2G0086 During the past week, how much have you...
G2G0087 During the past week, how much have you...
G2G0088 During the past week, how much have you...
G2G0089 During the past week, how much have you...
G2G0090 During the past week, how much have you...
G2G0091 During the past week, how much have you...
G2G0092 During the past week, how much have you...
G2G0093 During the past week, how much have you...
G2G0094 During the past week, how much have you...
G2G0095 During the past week, how much have you...
G2G0096 During the past week, how much have you...
G2G0097 During the past week, how much have you...
G2G0098 During the past week, how much have you...
G2G0099 During the past week, how much have you...
G2G0100 During the past week, how much have you...
G2G0101 During the past week, how much...
G2G0102 During the past week, how much...
G2G0103 During the past week, how much...
G2G0104 During the past week, how much...
G2G0105 During the past week, how much...
G2G0106 During the past week, how much...
G2G0107 During the past week, how much...
G2G0108 During the past week, how much...
G2G0109 Next, please think about your physical health.
G2G0110 Compared to one year ago, how would you rate your physical health in
G2G0111 Did you use tobacco (cigarettes, cigars, pipe, or chewing tobacco)
G2G0112 On average, how many cigarettes...
G2G0113 On average, how many cigars...
G2G0114 On average, how many pipes of tobacco...
G2G0115 On average, how many pinches of tobacco do you usually chew per day?
Q20 Now we would like to ask some questions about your relationship with
G2G0116 Sometimes couples experience serious problems in their relationship and
G2G0117 Have you discussed [fill sep_div] from [fill pname] with a close friend?
G2G0118 Even people who get along quite well with their partner sometimes
G2G0119 Have you and [fill pname] talked about consulting an attorney
G2G0120 Has the thought of [fill sep_div] crossed your mind?
G2G0121 I would like to know overall how happy or satisfied you are with your
G2G0122 All in all, how satisfied are you with your relationship? Are you...
G2G0123 During the past 12 months when you and [fill pname] have spent time
G2G0124 During the past 12 months
G2G0125 During the past 12 months, how often did [fill pname]...
G2G0126 During the past 12 months,
G2G0127 During the past 12 months,
G2G0128 During the past 12 months:
G2G0129 During the past 12 months:
G2G0130 During the past 12 months:
G2G0131 During the past 12 months:
G2G0132 During the past 12 months:
G2G0133 During the past 12 months:
G2G0134 During the past 12 months:
G2G0135 During the past 12 months:
G2G0136 During the past 12 months:
G2G0137 During the past 12 months:
G2G0138 During the past 12 months:
G2G0139 During the past 12 months:
G2G0140 During the past 12 months:
G2G0141 During the past 12 months:
G2G0142 During the past 12 months:
G2G0143 During the past 12 months:
G2G0144 Now, please think about [fill pname]'s life during the past year.
G2G0145 During the past 12 months:
G2G0146 During the past 12 months:
G2G0147 During the past 12 months:
G2G0148 During the past 12 months:
G2G0149 During the past 12 months:
G2G0150 During the past 12 months:
G2G0151 During the past 12 months:
G2G0152 During the past 12 months:
G2G0153 How often do the demands of [fill pname]'s work interfere with your
G2G0154 How often do the demands of family life interfere with
G2G0155 How satisfied are you with [fill pname]'s contribution to
G2G0156 How satisfied are you with [fill pname]'s contributions to raising
G2G0157 How much do you agree or disagree that the following statements describe
G2G0158 is often upset or angry because [fill phe_she] feels we
G2G0159 often yells or gets mad at me over financial issues. Do you...
G2G0160 How would you rate [fill pname]'s overall physical health? Would you
G2G0161 How would you rate [fill pname]'s overall mental health?
G2G0162 During the past 12 months, has [fill pname] been to see a doctor or
G2G0163 What kind of problem did [fill phe_she] have?
G2G0164 Do you belong to any clubs or organizations, such as church groups,
G2G0165 How many different groups do you belong to?
G2G0166 Thinking of all the organizations, clubs or groups you belong to, how
G2G0167 Are you currently an officer, a member of the board, or a committee
G2G0168 How many organizations?
G2G0169 Now I have some questions about religion.
G2G0170 SPECIFY OTHER RELIGION
G2G0171 In general, how important are religious or spiritual beliefs in your
G2G0172 When you have problems or difficulties in your family, work, or personal
G2G0173 Please indicate how often in the past month you have done the
G2G0174 How often in the past month did you...
G2G0175 How often in the past month did you...
G2G0176 How often in the past month did you...
G2G0177 How often in the past month did you...
G2G0178 The following statements concern your family's financial situation. For
G2G0179 We have enough money to afford the kind of clothing we need. Do you...
G2G0180 We have enough money to afford the kind of food we need. Do you...
G2G0181 We have enough money to afford the kind of medical care we need. Do you...
G2G0182 During the past 12 months, how much difficulty have you had paying
G2G0183 Think again over the past 12 months. Generally, at the end of each
G2G0184 For each of the following statements, please tell me if you strongly
G2G0185 One of the most important things about a family is that they are well
G2G0186 The following questions ask about important financial and employment
G2G0187 During the past 12 months, did you...
G2G0188 During the past 12 months, did you...
G2G0189 During the past 12 months, did you...
G2G0190 During the past 12 months, did you...
G2G0191 During the past 12 months, did you...
G2G0192 During the past 12 months, did you...
G2G0193 During the past 12 months, did you...
G2G0194 During the past 12 months, did you...
G2G0195 During the past 12 months, did you...
G2G0196 During the past 12 months, did you...
G2G0197 During the past 12 months, did you...
G2G0198 During the past 12 months, did you...
G2G0199 During the past 12 months, did you...
G2G0200 During the past 12 months, did you...
G2G0201 How often in the past year have you had no money at all?
G2G0202 In the past 12 months has your family
G2G0203 In the past 12 months has your family
G2G0204 In the past 12 months has your family
G2G0205 In the past 12 months has your family
G2G0206 In the past 12 months has your family
G2G0207 In the past 12 months has your family
G2G0208 In the past 12 months has your family
G2G0209 In the past 12 months has your family
G2G0210 In the past 12 months has your family
G2G0211 In the past 12 months has your family
G2G0212 In the past 12 months has your family
G2G0213 In the past 12 months has your family
G2G0214 During the past 12 months, how many household family members, including
Q129A How much income did each of these people in your family receive from
NAM1
NAM2
NAM3
NAM4
NAM5
NAM6
NAM7
G2K0001 What is [fill NAM1@a]'s relationship to you?
othrr1 SPECIFY OTHER RELATION
G2K0002 How much was earned by [fill NAM1@a] during the past 12 months?
G2K0003 What is [fill NAM2@a]'s relationship to you?
othrr2 SPECIFY OTHER RELATION
G2K0004 How much was earned by [fill NAM2@a] during the past 12 months?
G2K0005 What is [fill NAM3@a]'s relationship to you?
othrr3 SPECIFY OTHER RELATION
G2K0006 How much was earned by [fill NAM3@a] during the past 12 months?
G2K0007 What is [fill NAM4@a]'s relationship to you?
othrr4 SPECIFY OTHER RELATION
G2K0008 How much was earned by [fill NAM4@a] during the past 12 months?
G2K0009 What is [fill NAM5@a]'s relationship to you?
othrr5 SPECIFY OTHER RELATION
G2K0010 How much was earned by [fill NAM5@a] during the past 12 months?
G2K0011 What is [fill NAM6@a]'s relationship to you?
othrr6 SPECIFY OTHER RELATION
G2K0012 How much was earned by [fill NAM6@a] during the past 12 months?
G2K0013 What is [fill NAM7@a]'s relationship to you?
othrr7 SPECIFY OTHER RELATION
G2K0014 How much was earned by [fill NAM7@a] during the past 12 months?
G2G0215 During the past 12 months, did anyone in your household have his or her
Q130A GIVE SELF EMPLOYMENT FORM TO RESPONDENT
G2G0216 What is your present work situation?
G2G0217 Currently, what is your MAIN occupation? Please give as
G2G0218 Currently, what is your MAIN occupation? Please give as
G2G0219 Currently, what is your MAIN occupation? Please give as
G2G0220 Are you working at a job that is different from your usual line of work?
G2G0221 What is your usual line of work?
G2G0222 What is your usual line of work?
G2G0223 In a normal week, how many hours per week on average do you work at
G2G0224 What hours of the day do you normally work on this job?
G2G0225 How many miles do you have to travel one-way from your home to get to
G2G0226 How many days per week do you normally travel to this job?
G2G0227 How happy are you with this job? Would you say...
G2G0228 How long have you worked at this job?
G2G0229 For each of these statements concerning your main job, please tell me if
G2G0230 This job involves some danger of illness or injury.
G2G0231 This job gives me opportunities for advancement.
G2G0232 I am always concerned that I might lose this job.
G2G0233 This job provides a steady income.
G2G0234 In addition to your main job, do you currently have other jobs?
G2G0235 In a normal week, how many hours per week on average do you work at
G2G0236 How often do the demands of your work interfere with your family
G2G0237 How often do the demands of family life interfere with your work? Is it...
G2G0238 During the past 12 months, were you unemployed at any time when you
G2G0239 For how many weeks?
G2G0240 What is your usual occupation or what type of work do you usually do?
G2G0241 What is your usual occupation or what type of work do you usually do?
G2G0242 What is your usual occupation or what type of work do you usually do?
G2G0243 What was your usual occupation or what type of work did you usually do?
G2G0244 What was your usual occupation or what type of work did you usually do?
G2G0245 What was your usual occupation or what type of work did you usually do?
G2G0246 Are you a full-time homemaker and not working for pay either through
G2G0247 How satisfied are you with being a full-time homemaker rather than
G2G0248 How happy are you as a full-time homemaker?
WHGO This interview started [fill totalday] day's ago
CCHK Please enter the Family ID again...
CCMPR Please pick the CORRECT Family ID!
OUTC RECORD OUTCOME
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Second Caregiver