Attachment J.2 FemaleCAPI-lite_NSFG_2020.docx

NSFG Female CAPI-lite (1st draft of Year 1 questionnaire, Attachment 2 for RFP/PWS) As of May 2020

Attachment J.2 NSFG FEMALE CAPI-Lite QUESTIONNAIRE Proposed for Year 1 of Next NSFG Contract

SECTION A

Calendar Instructions; Demographic Characteristics;

Household Roster; Childhood Background

INTRO_1

AA-0. Now we can begin.

THIS ITALICIZED TEXT CURRENTLY APPEARS ON SCREEN, IN COMPLIANCE WITH OMB GUIDELINES.

Public reporting burden of this collection of information is estimated to average 80 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. 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. Send comments regarding this burden estimate or any other aspects of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, GA 30333; ATTN: PRA (OMB No. 0920-0314)

Assurance of Confidentiality – All information which would permit identification of an individual, a practice, or an establishment will be held confidential, will be used only by NCHS staff, contractors, and agents only when required and with necessary controls, and will not be disclosed or released to other persons without the consent of the individual or establishment in accordance with section 308(d) of the Public Health Service Act (42 USC 242m) and the Confidential Information Protection and Statistical Efficiency Act (PL-107-347). By law, every employee as well as every agent has taken an oath and is subject to a jail term of up to five years, a fine of up to $250,000, or both if he or she willfully discloses ANY identifiable information about you.

I’ll begin with some basic questions about your background.

{ NOTE:FOR EVERY ITEM IN THE QUESTIONNAIRE, RESPONDENTS CAN REFUSE

{TO ANSWER OR CAN ANSWER AS “DON’T KNOW.”

Age and Date of Birth (AA)

AGE_A

AA-1. (First, I’d like to know your age and date of birth.) How old are you?

ENTER age at last birthday in years __________

BIRTHDAY

AA-2. What is the date of your birth?

ENTER MM/DD/YYYY, with or without dividers ____________

(This is the only date in the interview that is asked for as month/day/year. All others are asked for only as month & year.)

(ASKED IF RESPONDENT DID NOT KNOW OR REFUSED TO PROVIDE AGE AND BIRTHDAY

MISSBRTH

AA-2A. In order to proceed with this interview, we need to know either

( IF R IS BETWEEN THE AGES OF 15 and 49, GO TO AC SERIES)

TERMINATION SCRIPTS:

ENTER [1] TO EXIT INTERVIEW

EXIT APPLICATION {age not given}

TERM In this survey we are only interviewing women who are between the AA-3. ages of 15 and 49. Therefore, that's all the questions I have for you. Thank you for your time.

ENTER [1] TO EXIT INTERVIEW

EXIT APPLICATION {age ineligible} -------------------------------

Note: “[Help Available]” indicates the availability of additional information (using a special key) for interviewers or respondents to answer this question. See PWS Section 4.6.5.7 and Deliverables D.3 through D.6

For some questions, some information is on-screen, shown in italics under the question wording in the CAPI-lites.

Hispanic Origin and Race (AC)

HISP

AC-1. Now I have some questions about your ethnic background and your race. (You may have already told me this, but) Are you Hispanic or Latina, or of Spanish origin?

[HELP AVAILABLE]

Yes No

INTROCARD

A-1a. For many questions on this survey, I’ll ask you to look at numbered cards that list answer choices. After you’ve read the choices on the card, you can tell me your answer or, if you prefer, you can just tell me the number next to the answer you choose.

{ ASKED IF HISPANIC

HISPGRP

AC-2. Looking at Card 1a, are you Puerto Rican; Cuban; Mexican, Mexican American or Chicana; Central or South American; or another Hispanic, Latina, or Spanish origin? One or more categories may be selected.

ENTER all that apply

Puerto Rican Cuban Mexican, Mexican American, or Chicana Central or South American Another Hispanic, Latina, or Spanish origin

RRACE

AC-3. Looking at Card 1b, what is your race? One or more races may be selected.

[HELP AVAILABLE]

ENTER all that apply

NOTE: If R reports a mixture of several races (biracial, mixed, mulatto, etc.), ENTER all groups that are part of the mixture.

{ ASKED ONLY IF MULTIPLE RACE GROUPS MENTIONED

RACEBEST

AC-4. Which of these groups, that is (RACE GROUPS SELECTED ABOVE) would you say best describes your racial background?

(DISPLAY ONLY THOSE GROUPS MENTIONED IN RRACE AC-3)

Household Roster and Marital/Cohabiting Status (AD)

{THE BELOW TABLE WILL BE PRE-FILLED (EXCEPT FOR “Relar” and “RowDone”) WITH INFORMATION ON EACH HOUSEHOLD MEMBER MENTIONED IN THE SCREENER.

{QUESTIONS AD-0 THROUGH AD-6 APPEAR WHEN THE CURSOR IS IN THE CORRESPONDING CELL OF THE TABLE.

{(NOTE: IF THE RESPONDENT HERSELF PROVIDED THE SCREENER INFORMATION, (IS THE “SCREENER INFORMANT”), SHE ONLY PROVIDES RELATIONSHIP (“Relar”) OF EACH PRE-FILLED HOUSEHOLD MEMBER. IF SHE IS NOT THE SCREENER INFORMANT, SHE VERIFIES THE INFORMATION OF EACH PRE-FILLED HOUSEHOLD MEMBER AND PROVIDES RELATIONSHIP.)

Verify

Name

UsualRes

Sex

Age

Relar

RowDone

HHL[1]

HHL[2]

HHL[3]

HHL[4]

HHL[5]

HHL[6]

HHL[7]

HHL[8]

HHL[9]

{ASKED OF ALL RESPONDENTS:

Verify[X] AD-0. I would like to get some additional information about the people in this household. / I would like to go over the information that I have about the people in this household.

There’s you and you are [AGE_R] years old. / There’s [Name[X]] and [he/she] is (less than 1 year old/1 year old/[Age[X]] years old). (Is this correct?)

If information is not correct, PROBE if necessary:

(What should be changed?)

{IF THE RESPONDENT HAS GOTTEN TO AN EMPTY ROW (THE END OF THE ROSTER)

Is there anyone else who lives here?

If no, GO TO AD-7 ENDROSTER If yes, CONTINUE

{ IF THE ROW IS NON-EMPTY, AND IF THE INFORMATION IS CORRECT OR IF RESPONDENT

{ IS THE SCREENER INFORMANT,

{ GO TO AD-5 RELAR

Name[X] AD-1. Enter name or initials of person who usually lives here.

Name or initials ___________ (NO NAMES OR INITIALS ARE PLACED ON THE FINAL DATA FILE.)

UsualRes[X] AD-2. Is this address considered to be (NAME[X])’s usual residence?

Yes No

Sex[X] AD-3. If necessary, ASK: (Is (NAME) a male or female?)

Male Female

Age[X] AD-4. How old is (Name[X])?

If necessary, ASK: (How old was (Name[X]) on (his/her) last birthday?)

Age ____________

Relar[X] AD-5. Please look at Card (3a/3b). What is (Name[X])’s relationship to you?

NOTE: If R says “child”, PROBE for whether she means biological child or something else.

If R says ‘foster sister’ or ‘foster brother’, enter [23], ‘Other nonrelative’

(IF HOUSEHOLD MEMBER IS MALE, DISPLAY:)

Husband/spouse Male unmarried partner

Biological son Step-son (son of spouse) Adopted son Legal ward Foster child Partner’s son Grandson Nephew

Biological father Step-father (husband of mother) Adoptive father Legal guardian Foster parent Your parent’s male partner Grandfather Uncle

Brother Other male relative Roommate (male) Tenant or boarder (male) Other male nonrelative

(IF HOUSEHOLD MEMBER IS FEMALE, DISPLAY:)

Wife/spouse Female unmarried partner

Biological daughter Step-daughter (daughter of spouse) Adopted daughter Legal ward Foster child Partner’s daughter Granddaughter Niece

Biological mother Step-mother (wife of father) Adoptive mother Legal guardian Foster parent Your parent’s female partner Grandmother Aunt Sister Other female relative Roommate (female) Tenant or boarder (female) Other female nonrelative

{ASKED OF ALL RESPONDENTS:

RowDone[X] AD-6. ENTER [1] to VERIFY next row or to add additional HH members

{ASKED OF ALL RESPONDENTS:

ENDROSTER

AD-7. You have reached the end of the roster, ENTER [1] when ready to proceed.

MARSTAT

AD-8. The next questions are about marriage and cohabitation.

IF ANY RELAR[X]=1 and SEX[X]=1, then ask:

Earlier you indicated your husband is living in this household. Looking at card 4, please confirm your current marital status.

IF ANY RELAR[X]=1 and SEX[X]=2, then ask:

Earlier you indicated your wife is living in this household. Looking at card 4, please confirm your current marital status.

IF ANY RELAR[X]=2 and SEX[X]=1, then ask:

Earlier you indicated your male unmarried partner is living in this household. Looking at card 4, please confirm your current marital status.

IF ANY RELAR[X]=2 and SEX[X]=2, then ask:

Earlier you indicated your female unmarried partner is living in this household. Looking at card 4, please confirm your current marital status.

OTHERWISE ASK:

I’d like to confirm your current marital status. Looking at card 4, are you now married, living with a partner together as an unmarried couple, or neither?

[HELP AVAILABLE]

Married Living with a partner together as an unmarried couple Neither

{ ASKED IF NOT CURRENTLY MARRIED

LMARSTAT

AD-9. What is current legal marital status? That is, are you widowed, divorced, separated, or have you never been married?

[HELP AVAILABLE]

Widowed Divorced or annulled Separated, because you and your spouse are not getting along Never been married

{ASKED IF THERE IS A SPOUSE OR PARTNER (ANY RELAR[X]=1,2) AND THERE ARE CHILD/REN IN HOUSEHOLD

RELSPCH[X]

AD-10. This next question asks about [SPOUSE/PARTNER’S NAME]’s relationship to the children who live here. Please look at Card 7. What is [SPOUSE/PARTNER’S NAME]’s relationship to [CHILD’s NAME]?

(IF SPOUSE OR PARTNER IS FEMALE, DISPLAY)

Biological mother Stepmother Adoptive mother Aunt, grandmother, or some other relation Foster mother or legal guardian Not related (legally or by blood)

(IF SPOUSE OR PARTNER IS MALE, DISPLAY)

Biological father Stepfather Adoptive father Uncle, grandfather, or some other relation Foster father or legal guardian Not related (legally or by blood)

Calendar Intro (AE)

CALENDAR_1

AE_1. This is a calendar to help you remember when things happened, when they come up in the interview. At the end of the interview, you can keep it or, if you prefer, I can take it with me and shred it.

We will be talking about dates during the interview, and getting accurate dates is very important. At times I will ask you to enter specific events on the calendar. The boxes are small but you can use abbreviations that are meaningful to you. You may also wish to draw a line between the beginning and end of an event, such as a period of school or a pregnancy.

CALENDAR_2

AE_2. Notice that the calendar's boxes start with January [YEAR OF INTERVIEW - 3]. Some things that I ask about will have happened since then and others will have happened longer ago. The column labeled "Before January [YEAR OF INTERVIEW - 3]" is for you to note things that happened before January [YEAR OF INTERVIEW - 3].

CALENDAR_3

AE_3. Now I’d like you to write your date of birth on the calendar on the line marked “Your Date of Birth”. Then, find the month and year of your last birthday and write your age in the box right underneath it (read if necessary: the row labeled “Your Age”). Now, please write your age under your birth month for the other years on the calendar.

INTERVIEWER: Demonstrate, monitor, and help when needed.

ENTER [1] to continue

CALENDAR_4

AE_4. Sometimes we'll be asking how old you were at a particular event in your life. Remember that your age at the event will depend on whether it happened before or after your birthday in that year. You can use the calendar to help figure that out.

Now let's continue with the interview.

ENTER [1] to continue

Regular school and GED (AF)

ATTAIN

AF-1. Please look at Card 8. What (is the highest grade or level of school you have completed or the highest degree you have received?

[HELP AVAILABLE]

ASSOCIATE DEGREE: OCCUPATIONAL, TECHNICAL, OR VOCATIONAL

PROGRAM

ASSOCIATE DEGREE: ACADEMIC PROGRAM

BACHELOR’S DEGREE (EXAMPLE: BA,

AB, BS, BBA) 18

MASTER’S DEGREE (EXAMPLE: MA,

MS, MEng, MEd, MBA) 19

PROFESSIONAL SCHOOL DEGREE

(EXAMPLE: MD, DDS, DVM, JD) 20

DOCTORAL DEGREE (EXAMPLE:

{IF HIGHEST GRADE ATTENDED IS 0, GO TO AG-0 AGINTRO

{ ALL DATES IN THE INTERVIEW ARE ASKED IN THE SAME MANNER AS SHOWN BELOW FOR EARNHS_M and EARNHS_Y

{ ASKED IF R HAS A HIGH SCHOOL DIPLOMA

EARNHS_M

AF-2. In what month and year did you get your high school diploma?

ENTER month.

PROBE for season if DK month.

{ ASKED IF R HAS A HIGH SCHOOL DIPLOMA

EARNHS_Y

AF-2. (In what month and year did you get your high school diploma?)

ENTER year in 4 digits __________

Please record this on your calendar in the row marked "Education", in the box for the month and year that it happened. Remember, if you received your diploma before January [YEAR OF INTERVIEW - 3], please record this in the "Before [YEAR OF INTERVIEW - 3]" space in the "Education" row. You might write “HS” or some other abbreviation that you will recognize later.

{ ASKED IF R HAS AT LEAST A BACHELOR’S DEGREE

EARNBA_M, EARNBA_Y

AF-3. In what month and year did you get your Bachelor’s degree?

Please record this on your calendar in the row marked "Education", in the box for the month and year that it happened. Remember, if you received your diploma before [THREEYRS_FILL], please record this in the "Before [THREEYRS_FILL]" space in the "Education" row. You might write “Coll” or some other abbreviation that you will recognize later.

ENTER month and year

Childhood Background (AG)

AGINTRO

AG-0. Now I have a few questions about your parents or parent-figures.

{IF R IS UNDER 18 AND HAS NO PARENT OR PARENT-LIKE PEOPLE IN THE HOUSEHOLD, GO TO AG-1 INTACT

{ASKED IF AGE >=18 OR IF (AGE<18 AND R HAS A PARENT OR PARENT-LIKE PERSON IN THE HOUSEHOLD

ONOWN

AG-0a. (Before you turned 18, did you ever live/Have you ever lived) away from your parents or guardians?

Please include times you were away at college or in the Armed Forces. But, do not include times you were away at boarding school for elementary, middle, or high school, or living in an institution or jail or group home. Also, please do not include temporary supervised arrangements such as summer camp.

Yes No

{IF R NEVER LIVED AWAY FROM PARENT(S), IS UNDER AGE 18, AND IS LIVING IN NONINTACT FAMILY HH, GO TO PARMARR AG-2

INTACT

AG-1. Between your birth or adoption and (the present time/the time you first started living on your own/your 18th birthday), (have you always lived/did you always live) with both your (biological/adoptive) mother and (biological/adoptive) father?

If R volunteers that she never lived on her own, ask her whether she has always lived with both parents between her birth or adoption and the present time.

Yes No

{ ASKED OF ALL

PARMARR

AG-2. Were your biological parents married to each other at the time you were born?

Yes No

{ASKED IF R DID NOT LIVE WITH BOTH PARENTS WHILE GROWING UP

LVSIT14F

AG-3. Now, think about when you were 14 years old. Looking at Card 10, what female and male parents or parent-figures were you living with at age 14?

[HELP AVAILABLE]

ENTER female adult first

No female parent or parent-figure present...1 Biological mother Stepmother Adoptive mother Father's girlfriend Foster mother Grandmother Aunt Other female

{ASKED IF R DID NOT LIVE WITH BOTH PARENTS WHILE GROWING UP

LVSIT14M

AG-4. Ask if necessary:

[HELP AVAILABLE]

Now tell me who was the male parent or parent-figure you were living with when you were 14 years old.

ENTER male adult

No male parent or parent-figure present Biological father Stepfather Adoptive father Mother's boyfriend Foster father Grandfather Uncle Other male

{ASKED IF R DID NOT LIVE WITH BOTH PARENTS WHILE GROWING UP

WOMRASDU

AG-5. Who, if anyone, do you think of as the woman who mostly raised you when you were growing up?

If there is more than one woman R considers raised her, and they are equally important, probe for parent-figure during the teen years.

Biological mother Adoptive mother Stepmother Father's girlfriend Foster mother Grandmother Other female relative Female nonrelative No such person Other

{IF R DID NOT HAVE A MOTHER OR MOTHER-FIGURE, GO TO AG-11 MANRASDU

{ASKED IF R HAD A MOTHER OR ANY MOTHER-FIGURE WHO RAISED HER

MOMDEGRE

AG-6. Please look at Card 11. What is the highest level of education (she/your mother) completed?

Less than high school High school graduate or GED Some college but no degree 2-year college degree (e.g., Associate’s degree).4 4-year college graduate (e.g., BA, BS) Graduate or professional school

MOMWORKD

AG-7. During most of the time you were growing up, that is when you were between the ages of 5 and 15, did she usually work full time, part time or did she not work for pay at all?

[HELP AVAILABLE]

Full-time Part-time Equal amounts full time and part time Not at all (for pay)

{ASKED IF R HAD A MOTHER OR ANY MOTHER-FIGURE WHO RAISED HER

MOMFSTCH

AG-9. How old was she when she had her first child who was born alive?

ENTER 96 if R says that her mother or mother-figure did not have any children

Age in years

{ASKED IF R’s MOTHER/MOTHER-FIGURE HAD AT LEAST ONE CHILD AND R DOESN’T KNOW AGE AT FIRST BIRTH

MOM18

AG-10. Was she under 18, 18 to 19, 20 to 24, or 25 or older?

Under 18 25 or older

{ASKED IF R DID NOT LIVE WITH BOTH PARENTS WHILE GROWING UP

MANRASDU

AG-11. Who, if anyone, do you think of as the man who mostly raised you when you were growing up?

Biological father Adoptive father Stepfather Mother's boyfriend Foster father Grandfather Other male relative Male nonrelative No such person Other

{ NOW ASKED OF ALL Rs

FOSTEREV

AG-13. Did you ever live in state-sponsored foster care? This includes settings such as a family foster home, a relative foster home, a group home, institution, or supervised independent living.

If necessary say: If someone from the state or from family services arranged for you to live there, it is considered foster care.

Yes No

{ ASKED IF R EVER LIVED WITH A FOSTER PARENT

MNYFSTER

AG-14. In how many different foster care settings or locations have you lived?

If necessary say: If someone from the state or from family services arranged for you to live there, it is considered foster care.

ENTER number

{ ASKED IF R EVER LIVED WITH A FOSTER PARENT

DURFSTER

AG-15. Looking at Card {11a}, approximately how much time overall did you spend in foster care during your life?

{ ASKED IF R EVER LIVED WITH A FOSTER PARENT BUT DOES NOT CURRENTLY DO SO

AGEFSTER

AG-16. The last time you left foster care, how old were you?

ENTER age in years

UNDERLYING RANGE: 0 to 21

SECTION B

Pregnancy & Birth History; Adoption & Nonbiological Children

BINTRO_1

BA-0. The next section is about your experience with childbearing and pregnancy. First I would like to know when you started having your menstrual periods.

MENARCHE AND CURRENT PREGNANCY (BA)

MENARCHE

BA-1. How old were you when you had your first menstrual period?

[HELP AVAILABLE]

Age in years ________

{ ASKED FOR ALL Rs REGARDLESS OF MENARCHE

PREGNOWQ

BA-2. Are you pregnant now?

Yes No

{ IF R DOESN’T KNOW IF SHE’s CURRENTLY PREGNANT

MAYBPREG

BA-3. Do you think you are probably pregnant or not?

Probably pregnant Probably not pregnant .. 5

{ NOW ASKED FOR ALL Rs REGARDLESS OF MENARCHE

BINTRO_2

BA-4. Next I will be asking you about any pregnancies you have had -- whether they resulted in babies born alive, stillbirth, abortion, miscarriage, or ectopic or tubal pregnancy. We’ll be talking about each of your pregnancies in the order they occurred. This information is some of the most important in this interview because it will help to improve family planning and health services for all women. So please take whatever time you need to answer them as accurately and completely as possible.

NUMBER OF PREGNANCIES (BB)

{ ASKED FOR ALL Rs REGARDLESS OF MENARCHE

NUMPREGS

BB-1. (Including this pregnancy,) how many times have you been pregnant in your life?

Number ________

{ ASKED IF CURRENTLY PREGNANT

{ R CAN ANSWER IN WEEKS OR MONTHS

HOWPREG_N

BB-2. 1 of 2 How many weeks or months pregnant are you now?

If R is less than 1 week pregnant, Enter 0.

Number of weeks or months __________

HOWPREG_P

BB-2. 2 of 2

After R has selected the units, SAY: Please record the month when this pregnancy began using a “P” in the appropriate box on your calendar’s “Pregnancies and Births” row.

Weeks Months...2

{ IF DK HOW MANY MONTHS OR WEEKS PREGNANT

NOWPRGDK

BB-3. Are you in your first trimester, in your second trimester, or in your third trimester?

[HELP AVAILABLE]

First trimester Second trimester Third trimester

{ IF CURRENTLY PREGNANT WITH 1st PREGNANCY, GO TO BI SERIES.

{ IF ANY COMPLETED PREGNANCIES, CONTINUE WITH BC SERIES.

{ PREGNANCY LOOP BEGINS HERE.

{ THESE QUESTIONS ARE ASKED FOR EACH COMPLETED PREGNANCY.

{ IF PREGNANCY BEING DESCRIBED IS A CURRENT PREGNANCY, GO TO BI SERIES.

PREGNANCY OUTCOME, DATE, AND GESTATIONAL LENGTH -- ALL COMPLETED PREGS (BC)

BINTRO_3

BC-0. Now I'd like to ask some questions specifically about your (nth) pregnancy. (Remember, we’ll be talking about each of your pregnancies in the order they occurred.)

PREGEND

BC-1. In which of the ways shown on Card 13 did the pregnancy end?

[HELP AVAILABLE]

ENTER all that apply.

NOTE: This is a critical item. PROBE if R says DK or RF.

Miscarriage Stillbirth Abortion Ectopic or tubal pregnancy Live birth by Cesarean section Live birth by vaginal delivery

{ASKED IF R RESPONDED DK OR REF TO PREGEND

HOWENDDK

BC-1b. I understand that you may not want to answer this question in detail. If you are willing to say, did this pregnancy result in a baby or babies born alive, or did it end in some other way?

{ IF PREGNANCY ENDED IN ANY LIVE BIRTH

NBRNALIV

BC-2. (With your (nth) pregnancy,) How many babies did you have that were born alive? Please include babies that may have died shortly after birth and babies that you placed for adoption.

Number

{ IF MORE THAN 1 LIVEBORN BABY REPORTED FROM THIS PREGNANCY

MULTBRTH

BC-3. Did you have (twins/triplets/all of these babies with this [nth] pregnancy)?

Yes No

{ IF ANY LIVEBORN BABY FROM THIS PREGNANCY, GO TO BC-5 GESTASUN.

{ IF THIS PREGNANCY DID NOT RESULT IN LIVEBIRTH

DATPRGEN_M, DATPRGEN_Y

BC-4a. In what month and year did this pregnancy end?

After R has given the year, say: Please record the pregnancy in the “Birth or Pregnancy Ending Dates” section below the calendar. Then, if the pregnancy ended in January [YEAR OF INTERVIEW - 3] or later, please record “S" for a stillbirth, “M" for miscarriage or ectopic, or “A" for abortion in the appropriate box on the “Births & Other Pregnancies" row of the calendar.

{ IF R REPORTED ONLY A SEASON OR MO/YR = DK/RF

AGEATEND

BC-4b. How old were you when this pregnancy ended?

Age in years ______

{ IF THIS PREGNANCY DID NOT RESULT IN LIVEBIRTH

HPAGEEND

BC-4c. How old was the father when this pregnancy ended?

Age in years _______

{ ASKED FOR EACH COMPLETED PREGNANCY, REGARDLESS OF OUTCOME

GESTASUN_M, GESTASUN_W

BC-5. How many months or weeks had you been pregnant when (the baby was born/the [MULT] were born/that pregnancy ended)?

Number of months/weeks _________

{ IF GESTATIONAL LENGTH REPORTED, GO TO BD SERIES.

{ IF GESTATIONAL LENGTH = DK/RF, CONTINUE WITH DK FOLLOW-UP QUESTIONS.

{ IF GESTATIONAL LENGTH = DK/RF AND PREGNANCY ENDED IN STILBIRTH

DK1GEST

BC-6. Was it...

Less than 6 months, or 6 months or more?

{ IF GESTATIONAL LENGTH = DK/RF AND PREGNANCY ENDED IN LIVEBIRTH

DK2GEST

BC-7. A preterm delivery is one that occurs at 36 weeks or earlier in pregnancy. As far as you know, did you have a preterm delivery?

Yes No

{ IF GESTATIONAL LENGTH = DK/RF AND PREGNANCY ENDED IN MISCARRIAGE, ABORTION,

{ OR ECTOPIC

DK3GEST

BC-8. Was it...

Less than 3 months, 3 months or more, but less than 6 months, or 6 months or more?

{ IF PREGNANCY ENDED IN LIVEBIRTH, CONTINUE WITH BD SERIES.

{ IF PREGNANCY ENDED ONLY IN ABORTION, GO TO BI SERIES.

{ IF PREGNANCY ENDED ONLY IN MISCARR, ECTOPIC, OR STILLBIRTH, GO TO BE SERIES.

DELIVERY INFORMATION -- ALL LIVE BIRTHS, SOME BABY-SPECIFIC QUESTIONS (BD)

BABYNAME

BD-1. What did you name your (baby/[MULT])?

Name or initials __________ (NO NAMES OR INITIALS ARE PLACED ON THE FINAL DATA FILE)

{ IF MORE THAN 1 BABY BORN ALIVE FROM THIS PREGNANCY

BINTRO_4

BD-1b. "In order to save time during the interview, I will only ask you specific questions about the first baby from this pregnancy."

{ ASKED FOR (FIRST) LIVEBORN BABY FROM THIS PREGNANCY

BABYSEX

BD-2. ASK IF NECESSARY: (Is/Was) (BABY NAME) male or female?

Male Female

{ ASKED FOR (FIRST) LIVEBORN BABY FROM THIS PREGNANCY

LOBTHWGT

BD-4. Did (she/he) weigh 5 1/2 pounds or more, or less than 5 1/2 pounds?

5 1/2 pounds or more Less than 5 1/2 pounds

{ ASKED IF ANY LIVE BIRTH FROM THIS PREGNANCY

BABYDOB_M, BABYDOB_Y

BD-5. IF NUMBER OF BABIES BORN ALIVE IS NOT DK OR RF, ASK:

In what month and year (was she/was he/were the [MULT]) born?

ELSE IF NUMBER OF BABIES BORN ALIVE = DK OR RF, ASK:

In what month and year did this pregnancy end?

[HELP AVAILABLE]

After R has given the year, say: Please write this date in the "Birth or Pregnancy Ending Dates" section below the calendar. Then, if the birth occurred in January [YEAR OF INTERVIEW - 3] or later, please record a "B" in the box for this month and year on the "Births & Other Pregnancies" row of the calendar.

{ ASKED FOR ALL PREGNANCIES RESULTING IN LIVEBIRTH

HPAGELB

BD-6. How old was the father when ([BABYNAME]/the [MULT]) (was/were) born?

Age _________

{ IF DELIVERY OCCURRED EARLIER THAN January [YEAR OF INTERVIEW - 5], GO TO BG SERIES.

{ IF DELIVERY OCCURRED IN January [YEAR OF INTERVIEW - 5] OR LATER, CONTINUE WITH BD-7 BIRTHPLC.

{ ASKED FOR ALL PREGNANCIES RESULTING IN LIVEBIRTH >=January (5 years before)

PAYBIRTH

BD-8. When ([BABY NAME] was born/your [MULT] were born,) in which of the ways on Card 16 was the delivery bill paid?

[HELP AVAILABLE]

ENTER all that apply.

Insurance Co-payment or out-of-pocket payment Medicaid No payment required Some other way

{ IF BABY(IES) BORN FROM THIS PREGNANCY WERE ALL PLACED FOR ADOPTION,

{ GO TO BI SERIES.

{ ELSE IF PREGNANCY ENDED IN January [YEAR OF INTERVIEW - 5] OR LATER, CONTINUE WITH BE SERIES.

{ ELSE IF PREGNANCY ENDED EARLIER THAN January [YEAR OF INTERVIEW - 5], GO TO BG SERIES.

SELECTED INFORMATION FOR RECENT PREGNANCIES (SINCE JANUARY OF THE YEAR 5 YEARS BEFORE INTERVIEW) (BE)

KNEWPREG

BE-1. How many weeks pregnant were you when you learned that you were pregnant this (nth) time?

Number of weeks ________

{ IF BE-1 KNEWPREG = DK OR RF AND PREGNANCY LASTED LESS THAN 4 MONTHS,

{ GO TO BI SERIES.

{ ASKED IF BE-1 KNEWPREG = DK OR RF AND PREGNANCY LASTED AT LEAST 4 MONTHS

LTRIMEST

BE-2b. Was it less than 3 months or 3 months or more?

Less than 3 months 3 months or more

{ ASKED FOR EACH RECENT PREGNANCY NOT ENDING IN ABORTION

PRIORSMK

BE-3. Please look at Card 17. In the 6 months before you found out you were pregnant this (nth) time, how many cigarettes did you smoke a day, on average?

None About one cigarette a day or less Just a few cigarettes a day (2-4) About half a pack a day (5-14) About a pack a day (15-24) About 1 1/2 packs a day (25-34) About 2 packs a day (35-44) More than 2 packs a day (45 or more) ... 7

{ ASKED FOR EACH RECENT PREGNANCY NOT ENDING IN ABORTION

POSTSMKS

BE-4. After you found out you were pregnant this (nth) time, did you smoke cigarettes at all during the pregnancy?

Yes No ......... 5 (BE-6 GETPRENA)

{ ASKED IF SMOKED AT ALL AFTER LEARNING SHE WAS PREGNANT

NPOSTSMK

BE-5. Looking at Card 18, on average, how many cigarettes did you smoke per day after you found out that you were pregnant this (nth) time?

About one cigarette a day or less Just a few cigarettes a day (2-4) About half a pack a day (5-14) About a pack a day (15-24) About 1 1/2 packs a day (25-34) About 2 packs a day (35-44) More than 2 packs a day (45 or more) ... 7

{ ASKED FOR EACH RECENT PREGNANCY NOT ENDING IN ABORTION

GETPRENA

BE-6. During this (nth) pregnancy, did you ever visit a doctor or other medical care provider for prenatal care, that is, for one or more pregnancy check-ups?

[HELP AVAILABLE]

Yes No.........................5 (BG SERIES)

{ IF WENT FOR PRENATAL CARE

BGNPRENA

BE-7. How many weeks pregnant were you at the time of your first prenatal care visit?

[HELP AVAILABLE]

Number _____________

{ IF BE-7 BGNPRENA = DK OR RF AND PREGNANCY ENDED AT LESS THAN 4 MONTHS,

{ GO TO BI SERIES.

{ ASKED IF BE-7 BGNPRENA = DK OR RF AND PREGNANCY LASTED AT LEAST 4 MONTHS

LPNCTRI

BE-8b. Was it less than 3 months or 3 months or more?

Less than 3 months 3 or more months

{ IF PREGNANCY DID NOT END IN LIVE BIRTH, GO TO BI SERIES.

{ ELSE CONTINUE WITH BG SERIES.

{ IF CHILD’s CURRENT AGE IS 18 YEARS OR YOUNGER, CONTINUE WITH BG SERIES.

{ ELSE IF CHILD IS OLDER THAN 18, GO TO BI SERIES.

CURRENT LIVING STATUS OF (FIRST) BABY BORN FROM THIS PREGNANCY (if under age 19) (BG)

{ BG SERIES IS ONLY ASKED FOR (FIRST) CHILD BORN FROM THIS PREGNANCY, WHO IS

{ CURRENTLY 18 YEARS OLD OR YOUNGER.

{ ASKED IF NOT ALREADY APPARENT THAT CHILD LIVES WITH R

LIVEHERE

BG-1. Earlier I don't think you mentioned (BABY NAME) when you told me who lives with you. Does (BABY NAME) still live with you?

ENTER “Yes” if child usually lives with R.

Yes .................1 (BH-1 ANYNURSE) No

{ ASKED IF CHILD NOT LIVING WITH R

ALIVENOW

BG-2. Is (she/he) still living?

Yes No

{ Asked if child has died (ALIVENOW= no)

AGEDIED

BG-3. Looking at Card XX, how old was (BABY NAME) when (she/he) died?

{ IF CHILD DIED (BG-2 ALIVENOW = 5), GO TO BH-6 CNFMPREG.

{ IF CHILD IS STILL LIVING OR DK/RF ON ALIVENOW, GO TO BG-5 WHERENOW.

{ ASKED IF CHILD IS ALIVE BUT NOT LIVING WITH R

WHERENOW

BG-5. Please look at Card 19. Where does (BABY NAME) now live?

With biological father With other relatives With adoptive family Away at school/college Living on own Other

{ IF CHILD IS AWAY AT SCHOOL OR COLLEGE, LIVING ON OWN OR “other” (WHERENOW NE 1, 2, 3), THEN GO TO BH-1 ANYNURSE.

{ ELSE IF CHILD IS LIVING WITH BIOLOGICAL FATHER, OTHER RELATIVES, OR ADOPTIVE, ASK BG-5b AGELEFT.

{ ASKED IF BG-5 WHERENOW in(1,2,3)

AGELEFT

BG-5b. Looking at Card XX, how old was (BABY NAME) when (she/he) last lived with you?

{ ASKED IF CHILD (18 or under) IS LIVING WITH BIOLOGICAL FATHER

LEGAGREE

BG-6. Do you and (BABY NAME)’s father have a legal agreement about (BABY NAME) regarding child support, alimony, custody, visitation, or where the child lives?

Yes No

{ ASKED IF CHILD (18 or under) IS LIVING WITH BIOLOGICAL FATHER OR LIVING

{ WITH OTHER RELATIVES.

PARENEND

BG-7. Are you still the legal mother of (BABY NAME)?

ENTER “No” if R’s parental rights have been terminated.

Yes No .......5 (BH-6 CNFMPREG)

BREASTFEEDING SERIES FOR SINGLETON LIVEBORN BABIES(BH)

{ BH SERIES ASKED IF:

· ONLY 1 LIVEBORN CHILD FROM THIS PREGNANCY (limiting to singletons)

· CHILD IS 18 YEARS OR YOUNGER AT TIME OF INTERVIEW (reducing recall bias)

· CHILD IS R’s 1st, 2nd, or most recent live birth (reducing intvw lngth)

· CHILD STILL ALIVE (ALIVENOW=1) AND LIVED WITH R FOR AT LEAST 1 YEAR (AGELEFT = sysmis, 2 or 3) (reducing sensitivity)

{ ASKED FOR EACH CHILD CURRENTLY MEETING ABOVE CRITERIA.

ANYNURSE

BH-1. (When (BABY NAME) was an infant,) (Have/did) you breastfeed (him/her) at all?

ENTER “Yes” for any amount of breastfeeding by R. If R only expressed or pumped breastmilk to be fed to the baby, count this as a “yes” as well.

Yes No ........... 5 (BH-6 CNFMPREG)

{ IF CHILD IS 1 YEAR OR OLDER, GO TO BH-3 FRSTEATD.

{ ASKED IF CHILD IS LESS THAN 1 YEAR OLD

FEDSOLID

BH-2. Besides breastmilk, babies are sometimes given formula, baby food, or other liquid or solid foods. (Did you feed/Have you fed) [BABY NAME] something other than breast milk yet?

Yes No ...........................5 (BH-6 CNFMPREG)

{ IF CHILD WAS EVER FED SOMETHING OTHER THAN BREAST MILK OR

{ IF CHILD OLDER THAN 1 YEAR.

{ ANSWER CAN BE GIVEN IN DAYS, WEEKS, OR MONTHS.

FRSTEATD_N

BH-3. How old was (she/he) when you first fed (her/him) something other than breast milk?

Age in days, weeks, or months _________

FRSTEATD_P

BH-3. (How old was (she/he) when you first fed (her/him) something other than breast milk?)

(FRSTEATD_N) (Month(s)/Week(s)/Day(s))

Months ...1 Weeks Days

{ IF CHILD OLDER THAN 2 YEARS, GO TO BH-5 AGEQTNUR.

{ ASKED IF CHILD AGED 2 YEARS OR YOUNGER

QUITNURS

BH-4. (Have/Had) you stopped breast-feeding (her/him) altogether?

Yes No ..........................5 (BH-6 CNFMPREG)

{ ASKED IF R STOPPED BREASTFEEDING THIS CHILD OR CHILD IS OLDER THAN 2 YEARS.

{ ANSWER CAN BE GIVEN IN DAYS, WEEKS, OR MONTHS.

AGEQTNUR_N

BH-5. How old was (she/he) when you stopped breast-feeding (her/him) altogether?

Use the information already recorded on the calendar to help you remember the date you stopped breast-feeding. You may want to record this on the calendar, but it is not necessary.

Age in days, weeks, or months _________

AGEQTNUR_P

BH-5. (How old was (she/he) when you stopped breast-feeding (her/him) altogether?)

(AGEQTNUR_N) (Month(s)/Week(s)/Day(s))

Months ...1 Weeks Days

{ If elements needed for CNFMPREG are missing and this is not a current pregnancy, then the text of CNFMPREG is adjusted accordingly. See CRQ for details.

CNFMPREG

BH-6. Thank you. Now I would like to confirm some of the important information about this (nth) pregnancy to make sure I have it right.

IF PREGNANCY ENDED IN A LIVE BIRTH:

This pregnancy ended in the birth of (1 baby (named [BABY NAME])/ a set of [mult]. This pregnancy began in (mo/yr corresponding to cmprgbeg), lasted (GESTASUN_M) month(s) and (GESTASUN_W) week(s) and ended in (mo/yr corresponding to cmprgbeg).

Is this correct?

IF PREGNANCY DID NOT END IN A LIVE BIRTH:

This pregnancy did not end in a live birth. This pregnancy began in (mo/yr corresponding to cmprgbeg), lasted ((GESTASUN_M) month(s) and (GESTASUN_W) week(s) and ended in (mo/yr corresponding to cmprgbeg).

Is this correct?

Yes No

After R has verified the pregnancy information, including the estimated conception date, the interviewer reads this calendar instruction:

Please record the month and year when this pregnancy began using a "P" in the appropriate box on your calendar's “Births & Other Pregnancies" row. You may wish to draw a line from the beginning to the ending month of this pregnancy. If pregnancy began before [mo/yr corresponding to 3 years before interview], please record this, including the date, in the box for “Before [mo/yr corresponding to 3 years before interview]”.

{ CONTINUE WITH NEXT PREGNANCY, IF THERE IS ONE.

{ IF NO MORE PREGNANCIES TO DISCUSS, GO TO BI SERIES.

CONFIRMATION OF REPORTED PREGNANCIES (BI)

This series involved a set of summary screens and questions to ensure that all R’s pregnancy information was accurately reported and in chronological order.

{ IF R IS YOUNGER THAN 18, SHE IS SKIPPED TO SECTION C.

OTHER (NON-BIOLOGICAL) CHILDREN CARED FOR SERIES (BJ)

{ BJ SERIES ONLY ASKED IF R IS 18 YEARS OR OLDER.

OTHERKID

BJ-1. (Not counting the child(ren) born to you,) have any (other) children lived with you under your care and responsibility?

[HELP AVAILABLE]

Yes No.................... 5 (BK SERIES)

{ASKED IF R CARED FOR AN UNRELATED CHILD

NOTHRKID

BJ-2. How many children?

Number of children ________

OKDNOWLIV

BJ-2b. How many of those children currently live with you?

Number ____

OKDNAME

What is the name of this child/[this nth child)?

{ BEGIN LOOP TO ASK ABOUT EACH (up to 3) CHILD REPORTED ON BJ-3

{ ASKED FOR EACH NONBIOKID REPORTED IN BJ-3 OKDNAME

SEXOTHKD

BJ-4. [ASK IF NECESSARY:] Is (CHILD’s NAME) male or female?

Male Female

{ ASKED FOR EACH NONBIOKID REPORTED IN BJ-3 OKDNAME

RELOTHKD

BJ-5. Please look at Card 20. When (CHILD’s NAME) began living with you, how was (she/he/this child) related to you?

[HELP AVAILABLE]

Your husband’s child (stepchild) The child of a blood relative The child of a relative by marriage The child of a friend Your boyfriend or partner's child Related to you in some other way Unrelated to you previously in any way

{ ASKED FOR EACH NONBIOKID REPORTED IN BJ-3 OKDNAME

OTKDAGE

BJ-5b. How old was (CHILD’s NAME) when (she/he/this child) began living with you?

Age in years ___

[enter 0 if child was younger than 1 year)

{ ASKED FOR EACH NONBIOKID REPORTED IN BJ-3 OKDNAME

ADPTOTKD

BJ-6. Have you legally adopted (CHILD’s NAME) or become (CHILD’s NAME)’s legal guardian?

[HELP AVAILABLE]

ENTER [1] if R both adopted and became legal guardian to this child.

Yes, adopted Yes, became guardian No, neither

{ IF R REPORTED ADOPTING THIS CHILD, GO TO BJ-10 OTHKIDFOS.

{ ELSE IF R REPORTED BECOMING GUARDIAN TO THIS CHILD, ASK BJ-7a TRYADOPT.

{ ELSE IF R SAID “NEITHER,” GO TO BJ-7b TRYEITHR.

{ ASKED IF R BECAME LEGAL GUARDIAN TO THIS CHILD

TRYADOPT

BJ-7a. Are you in the process of trying to legally adopt [CHILD’s NAME]?

[HELP AVAILABLE]

Yes ...........1 (BJ-10 OTHKDFOS) No ............5 (BJ-10 OTHKDFOS)

{ ASKED IF R NEITHER ADOPTED NOR BECAME LEGAL GUARDIAN TO THIS CHILD

TRYEITHR

BJ-7b. Are you in the process of trying to legally adopt [CHILD’s NAME] or to become (his/her/this child’s) legal guardian?

[HELP AVAILABLE]

Yes, trying to adopt Yes, trying to become guardian No, neither

{ IF R IS A STEPCHILD OR PARTNER’S CHILD (RELOTHKD=1 or 5), GO TO BJ-11 OKDDOB.

{ ASKED IF CHILD LIVES WITH R AND IS NEITHER STEPCHILD NOR PARTNER’S CHILD

OTHKDFOS

BJ-10. Was (CHILD’s NAME) a foster or related child who was placed in your home by a court, child welfare department, or social service agency?

ENTER “Yes” for any child for whom R was designated or formally certified as a caregiver (e.g., foster parent, relative foster parent, or custodian) by a court, child welfare department, or social service agency.

Yes No

{ IF CHILD DOES NOT LIVE WITH R OR IF CHILD WAS NEVER ADOPTED BY R,

{ GO TO END OF LOOP AND ASK ABOUT NEXT CHILD, IF ANY.

{ ELSE, IF NO MORE CHILDREN TO DISCUSS, GO TO BK SERIES.

{ END OF LOOP ABOUT NONBIOLOGICAL CHILDREN:

{ IF ANOTHER CHILD TO DISCUSS, RETURN TO BJ-4 SEXOTHKD.

{ ELSE, CONTINUE WITH BK SERIES.

CURRENT PLANS TO ADOPT (BK)

{ BK SERIES ASKED IF R IS 18 YEARS OR OLDER

BINTRO_6

BK-0. IF R HAS REPORTED ADOPTING A CHILD, SAY:

The next questions are about any plans you currently have to adopt another child.

ELSE IF R HAS REPORTED THAT SHE IS TRYING TO ADOPT, SAY:

The next questions are about any plans you currently have to adopt a child that is not currently living with you. When answering these questions, do not count any children you are currently in the process of adopting.

ELSE SAY:

The next questions are about any plans you currently have to adopt a child.

SEEKADPT

BK-1. (Not counting children who have lived with you or children who live with you now,/At this time,) are you (currently) seeking to adopt (a/another) child?

YES

NO ......... 5 (BL SERIES)

{ASKED IF R IS CURRENTLY SEEKING TO ADOPT A CHILD

CONTAGEM

BK-2. (Not counting things you've done for any children you are currently in the process of adopting,) have you placed a newspaper ad or contacted an adoption agency, a lawyer, a doctor, or other source about adopting (a/another) child?

YES

NO ......... 5 (BK-4 KNOWADPT)

{ASKED IF R HAS TAKEN STEPS TO ADOPT

TRYLONG

BK-3. (Again, not counting things you've done for any children you have adopted or are currently in the process of adopting,) how long have you been seeking to adopt (a/another) child? (Has it been...)

Less than 1 year 1-2 years Or longer than 2 years ..3

{ ASKED IF R IS CURRENTLY SEEKING TO ADOPT A CHILD

KNOWADPT

BK-4. Are you seeking to adopt a child whom you know?

[HELP AVAILABLE]

Yes No

PREVIOUS PLANS TO ADOPT (BL)

{ BL SERIES ASKED IF R IS 18 YEARS OR OLDER

{ IF R IS CURRENTLY SEEKING TO ADOPT, GO TO BL-5 HRDEMBRYO.

{ ASKED IF R IS NOT CURRENTLY SEEKING TO ADOPT

EVWNTANO

BL-1. (Not counting any children you are currently in the process of adopting, have/Have) you ever considered adopting (a/another) child?

Yes No ......... 5 (BL-5 HRDEMBRYO)

{ ASKED IF R EVER CONSIDERED ADOPTING A CHILD

EVCONTAG

BL-2. (Not counting any children you are in the process of adopting, did/Did) you ever contact an adoption agency, a lawyer, a doctor, or other source about adopting (a/another) child?

Yes No .......... 5 (BL-5 HRDEMBRYO)

{ ASKED IF R TOOK STEPS TO ADOPT

TURNDOWN

BL-3. Were you turned down for adoption, unable to find a child to adopt, or did you decide not to pursue adoption any further?

Turned down .............1 (BL-5 HRDEMBRYO) Unable to find child ....2 (BL-5 HRDEMBRYO) Decided not to pursue ...3

{ ASKED IF R DECIDED NOT TO PURSUE ADOPTING A CHILD

YQUITTRY

BL-4. What were your reasons for deciding not to pursue adoption any further? Were they reasons having to do with the adoption process itself, reasons related to your own situation, or both?

[HELP AVAILABLE]

Adoption process only Own situation only ..........2 (BL-5 HRDEMBRYO) Both

{ ASKED OF ALL R’S 18 OR OLDER

HRDEMBRYO

BL-5. Now I have one additional question about ways to become a parent. Have you ever heard of frozen embryo donation or frozen embryo adoption as a method of family building?

Yes No

{ ASKED IF R HAS HEARD OF EMBRYO DONATION OR ADOPTION

SRCEMBRYO

BL-6. Please look at Card 89. From which of these sources did you hear of embryo adoption or donation?

ENTER all that apply

Health professional or counselor Relative or friend Television, radio or a magazine Internet Other

SECTION C

Marital and Relationship History

{ IF R HAS EVER BEEN MARRIED, BEGIN WITH CA SERIES.

{ ELSE IF R HAS NEVER BEEN MARRIED, BUT IS CURRENTLY COHABITING,

{ GO TO CC SERIES.

{ ELSE IF R HAS NEVER BEEN MARRIED AND IS NOT CURRENTLY COHABITING,

{ GO TO CD SERIES.

Note: Although not currently shown in the CA-CC series, our Year 1 female questionnaire will ask selected questions about any current marriage or cohabitation with a same-sex partner.

NUMBER OF MARRIAGES (CA)

{ CA SERIES ASKED IF R HAS EVER BEEN MARRIED.

C_INTRO1

CA-0. The next questions are about your marriages and other relationships.

TIMESMAR

CA-1. (Including your present marriage,) how many times have you been married?

[HELP AVAILABLE]

Number ______

{ CA-2, CA-2b, & CA-2c ARE INTENDED TO OBTAIN NAMES OR INITIALS OF HUSBANDS, { ONLY FOR PURPOSES OF LOOPING THROUGH CA SERIES.

{ IF R HAS ANSWERED DK/RF FOR # OF TIMES MARRIED, SHE IS LOOPED ONLY ONCE

{ THROUGH CA SERIES.

HUSBNAMEX

CA-2. IF R IS CURRENTLY IN HER 1st MARRIAGE, ASK:

Please tell me your husband's first name or his initials so that I can refer to him during the interview.

{ ASKED IF R HAS BEEN MARRIED MORE THAN ONCE AND SHE IS CURRENTLY MARRIED.

HSBVERIF

CA-2b. And you told me that your current husband is [NAME FROM HH ROSTER]?

Yes ......1 (CB SERIES) No .......5 (CB SERIES)

{ ASKED ONLY IF HUSBAND WAS NOT LISTED IN HH ROSTER BUT R IS CURRENTLY MARRIED

{ OR IF R SAID DK/RF FOR # OF TIMES MARRIED.

CHVERIFY

CA-2c. You may have mentioned this earlier, but what is your (current/ most recent) husband’s name or initials, so that I can refer to him during the interview?

Name or initials __________ (NO NAMES OR INITIALS ARE PLACED ON THE FINAL DATA FILE.)

HUSBANDS (CB)

{ CB SERIES IS A LOOP FOR EACH HUSBAND REPORTED

C_INTRO2

CB-0. The next questions are about your (Nth) marriage.

{ ASKED FOR EACH HUSBAND

WHMARHX_M, WHMARHX_Y

CB-1. In what month and year were you and (HUSBAND) married?

[HELP AVAILABLE]

After R has given the year, say: Please record husband's initials in the box for this month and year on the "Marriages, Cohabs, Partners" row of your calendar. If this happened before January [YEAR OF INTERVIEW - 3], please write the date and his initials in the "Before January [YEAR OF INTERVIEW - 3]" column.

{ ASKED IF MO/YR OF MARRIAGE NOT REPORTED

AGEMARHX

CB-2. How old were you when you got married (this [nth] time)?

Age in years ______

{ ASKED FOR EACH HUSBAND

HXAGEMAR

CB-3. How old was (HUSBAND) when you got married?

Age in years ______

{ ASKED FOR EACH HUSBAND

LVTOGHX

CB-5. Some couples live together without being married. By living together, we mean having a sexual relationship while sharing the same usual address. Did you and (HUSBAND) live together in a sexual relationship before you got married?

[HELP AVAILABLE]

Yes No.....................5 (CB-8 HISPHX)

{ ASKED IF R COHABITED PREMARITALLY WITH THIS MAN

STRTOGHX_M, STRTOGHX_Y

CB-6. In what month and year did you and he first start living together in a sexual relationship?

[HELP AVAILABLE]

After R has reported year, say: Please record something in the appropriate box on the "Marriages, Cohabs, Partners" row on your calendar to indicate when this occurred.

{ ASKED IF R COHABITED PREMARITALLY WITH THIS MAN

ENGAGHX

CB-7. At the time you began living together, were you and he engaged to be married or did you have definite plans to get married?

ENTER [1] if R both engaged and had definite plans to get married

Yes, engaged to be married Not engaged but had definite plans to get married No, neither engaged nor had definite plans

{ ASKED ONLY FOR R’s 1ST OR CURRENT/SEPARATED HUSBAND

HISPHX

CB-8. (Is/Was) (HUSBAND) Hispanic or Latino, or of Spanish origin?

Yes No

{ ASKED ONLY FOR R’s 1ST OR CURRENT/SEPARATED HUSBAND

RACEHX

CB-9. Which of the groups on Card 2 describes (HUSBAND)'s racial background? Please select one or more groups.

[HELP AVAILABLE]

ENTER all that apply

NOTE: If R reports a mixture of several races (biracial, mixed, mulatto, etc.), ENTER all groups that are part of the mixture.

American Indian or Alaska Native Asian Native Hawaiian or Other Pacific Islander Black or African American White

{ ASKED ONLY FOR R’s 1ST OR CURRENT/SEPARATED HUSBAND AND R REPORTED MORE THAN

{ 1 RACE FOR HIM

BSTRACHX

CB-10. Which of these groups, that is (RESPONSES FROM CB-9 RACEHX), would you say best describes his racial background?

{ Display only those categories reported in CB-9 RACEHX

{ ASKED ONLY FOR 1st OR CURRENT/SEPARATED HUSBANDS

CHEDMARN

CB-11. Please look at Card 11. What is the highest level of education (HUSBAND) has completed?

Less than high school High school graduate or GED Some college but no degree 2-year college degree (e.g., Associate’s degree).4 4-year college graduate (e.g., BA, BS) Graduate or professional school

{ ASKED FOR EACH HUSBAND

MARBEFHX

CB-12. At the time you and he were married, had (HUSBAND) been married before?

[HELP AVAILABLE]

Yes No

{ ASKED FOR EACH HUSBAND

KIDSHX

CB-13. When you and he got married, did he have any children, either biological or adopted, from any previous relationships?

Yes No

{ ASKED IF HE HAD ANY CHILDREN

KIDLIVHX

CB-15. Did any of his children from previous relationships ever live with you and (HUSBAND)?

Yes No

{ ASKED IF R HAS EVER HAD A CHILD (HASBABES=YES) AND IT IS NOT READILY APPARENT FROM THE KEY DATES THAT SHE HAS HAD A CHILD WITH THIS HUSBAND

BIOHUSBX

CB-18b. (You may have already told me this, but) (Do/Did) you and (CURRENT OR FORMER HUSBAND) have any biological children together? By that, I mean you are the biological mother and he is the biological father.

BIONUMHX

CB-18c. How many biological children (have/did) you and he (had/have) together?

Number _________

{ IF R IS CURRENTLY MARRIED TO THIS HUSBAND, GO TO CC SERIES.

{ ELSE IF R IS SEPARATED FROM THIS HUSBAND, GO TO CB-22 WNSTPHX.

{ ASKED IF R IS NOT MARRIED TO OR SEPARATED FROM THIS HUSBAND

MARENDHX

CB-19. How did your (Nth) marriage end?

[HELP AVAILABLE]

Death of husband ................1 (CB-20 WNDIEHX) Divorce .........................2 (CB-21 DIVDATHX) Annulment .......................3 (CB-21 DIVDATHX)

{ IF DK/RF FOR MARENDHX, GO TO CB-22 WNSTPHX

{ ASKED IF MARRIAGE ENDED BY DEATH OF HUSBAND

WNDIEHX_M, WNDIEHX_Y

CB-20. In what month and year did (HUSBAND) die?

After R has given the year, say: Please record something in the appropriate box on the "Marriages, Cohabs, Partners" row on your calendar to indicate when this occurred.

{ ASKED IF MARRIAGE ENDED IN DIVORCE OR ANNULMENT

DIVDATHX_M, DIVDATHX_Y

CB-21. In what month and year did your (divorce become final/annulment take place)?

[HELP AVAILABLE]

After R has given the year, say: Please record something in the appropriate box on the "Marriages, Cohabs, Partners" row on your calendar to indicate when this occurred.

{ ASKED IF MARRIAGE ENDED IN DIVORCE OR ANNULMENT,

WNSTPHX_M, WNSTPHX_Y

CB-22. In what month and year did you and (HUSBAND NAME) stop living together (for the last time)?

[HELP AVAILABLE]

After R has reported year, say: Please record something in the appropriate box on the "Marriages, Cohabs, Partners" row on your calendar to indicate when this occurred.

{ IF MORE HUSBANDS TO DISCUSS, RETURN TO C-INTRO2.

{ ELSE IF ALL HUSBANDS HAVE BEEN DISCUSSED, CONTINUE WITH CC SERIES.

CURRENT COHABITING PARTNER (CC)

{ IF R HAS REPORTED A CURRENT COHABITING PARTNER (REGARDLESS OF HER FORMAL

{ MARITAL STATUS), CONTINUE WITH CC SERIES.

{ ELSE GO TO CD SERIES.

{ ASKED IF NO CURRENT COHAB PARTNER WAS LISTED IN HH ROSTER, BUT R REPORTED

{ HAVING ONE IN AB-1 MARSTAT

CPNAME

CC-0. Earlier, you told me that you are living with a male partner. Please tell me his first name or initials, so that I can refer to him in the interview.

Name or initials ________ (NO NAMES OR INITIALS ARE PLACED ON THE…