Attachment J.3 MaleCAPI-lite_NSFG_2020.docx

NSFG Male CAPI-lite (draft of Year 1 questionnaire, Attachment 3 for RFP/PWS) As of May 2020

Attachment J.3 NSFG Male CAPI-lite Questionnaire Proposed for Year 1 of Next NSFG Contract

SECTION A

Demographic characteristics; Household roster; Childhood background; Marital/cohabiting status

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 60 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 your age or your date of birth. I’d like to assure you that all information collected in this survey will remain confidential and be used only for statistical tabulations. Would you please give me your age or date of birth?

Yes ............1 RETURN TO AGE_A AA-1 No .............5 GO TO TERMINATION SCRIPT TERMAGE AA-3A.

{ 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}

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 Latino, or of Spanish origin?

[HELP AVAILABLE]

Yes No

INTROCARD

AC-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, Latino or Spanish origin? One or more categories may be selected.

ENTER all that apply

Puerto Rican Cuban Mexican, Mexican American, or Chicano Central or South American Another Hispanic, Latino, 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?

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 HIMSELF PROVIDED THE SCREENER INFORMATION, (IS THE “SCREENER INFORMANT”), HE ONLY PROVIDES RELATIONSHIP (“Relar”) OF EACH PRE-FILLED HOUSEHOLD MEMBER. IF HE IS NOT THE SCREENER INFORMANT, HE 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?

[HELP AVAILABLE]

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

If R says ‘foster sister’ or ‘foster brother’, enter 23, ‘Other non relative’.

(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

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-7b. The next questions are about marriage and cohabitation.

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]=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]=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.

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.

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-7c. 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-9. 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)

Education (AE)

ATTAIN

AE-3. Please look at Card 8. What (is the highest level of school you have completed or the highest degree you have received?

[HELP AVAILABLE]

No formal schooling Grade 1-11 12th grade, no diploma GED or equivalent High School Graduate Some college, no degree Associate degree: occupational, technical, or vocational program Associate degree: academic program Bachelor’s degree (Example: BA, AB, BS, BBA) Master’s degree (Example: MA, MS, Meng, Med, MBA.9 Professional school degree (Example: MD, DDS, DVM, JD)

Doctoral degree (Example: PhD, EdD)

{ 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

AE-7. 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

AE-7. (In what month and year did you get your high school diploma?)

ENTER year in 4 digits __________

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

EARNBA_M, EARNBA_Y

AE-12. In what month and year did you get your Bachelor’s degree?

Childhood background (AF)

AFINTRO

AF-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 AF-1 INTACT

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

{ THE HOUSEHOLD

ONOWN

AF-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.

[HELP AVAILABLE]

Yes No

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

INTACT

AF-1. Between your birth/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 he never lived on his own, ask him whether he has always lived with both parents between his birth or adoption and the present time.

Yes No

{ASKED OF ALL

PARMARR

AF-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

AF-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

AF-4. Ask if necessary:

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

[HELP AVAILABLE]

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

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

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 AF-11 MANRASDU

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

MOMDEGRE

AF-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., Associates degree)..4 4-year college graduate (e.g., BA, BS) Graduate or professional school

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

MOMWORKD

AF-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 HIM

MOMFSTCH

AF-9. How old was (she/your biological mother) 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

ENTER 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

AF-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

AF-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

AF-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

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

ENTER number

{ ASKED IF R EVER LIVED WITH A FOSTER PARENT

DURFSTER

AF-15. Looking at Card 11a, approximately how much time 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

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

ENTER age in years

UNDERLYING RANGE: 0 to 21

Marriage and Cohabitation (AG)

{ IF R IS CURRENTLY MARRIED OR COHABITING WITH A MAN, GO TO AGINTRO2.

{ASKED OF RESPONDENTS NOT CURRENTLY MARRIED TO OR COHABITING WITH A MAN

AGINTRO

AG-1. Now I have some more questions about marriage and cohabitation.

{IF R HAS NEVER BEEN MARRIED, GO TO AG-5 EVCOHAB2

{ ASKED IF EVER MARRIED

TIMESMAR

AG-2. (Including your present marriage,) how many times have you been married to a woman?

[HELP AVAILABLE]

Number

{ IF R IS COHABITING WITH A WOMAN, GO TO NUMCOH1 AG-4.

{ ASKED IF EVER MARRIED

EVCOHAB1

AG-3. Not including the (woman/women) you married, have you ever lived together with any other female sexual partner as an unmarried couple? By living together, I mean having a sexual relationship while sharing the same usual residence.

IF NECESSARY SAY: Remember, do not include the woman/women who you married.

Do not count 'dating' or 'sleeping over' as living together.

Yes No

{IF R NEVER COHABITED WITH A WOMAN, GO TO SECTION B

{ ASKED IF EVER MARRIED AND EVER COHABITED WITH ANY OTHER WOMEN (EVCOHAB1=1)

NUMCOH1

AG-4. Not including the (woman/women) you married, how many other female sexual partners have you lived together with in your life? (Please include the woman you live with now.)

[HELP AVAILABLE]

Number (GO TO SECTION B)

{ IF R IS CURRENTLY COHABITING WITH A WOMAN, GO TO AG-6 NUMCOH2.

{ ASKED IF NEVER MARRIED AND NOT CURRENTLY COHABITING WITH A WOMAN

EVCOHAB2

AG-5. Have you ever lived together with a female sexual partner? By living together, I mean having a sexual relationship while sharing the same usual residence.

Yes No

{IF R NEVER COHABITED WITH A WOMAN, GO TO SECTION B

{ ASKED IF NEVER MARRIED AND EVER COHABITED WITH A WOMAN (EVCOHAB2= 1)

NUMCOH2

AG-6. (Including the woman you live with now,) How many female sexual partners have you lived with in your life?

[HELP AVAILABLE]

Number ___________

{ ASKED IF RESPONDENT IS CURRENTLY MARRIED TO OR COHABITING WITH A MAN

{ IF R IS NOT CURRENTLY MARRIED TO OR COHABITING WITH A MAN GO TO SECTION B

AGINTRO2

AG-7. Now I have some questions about marriage and cohabitation. For some parts of this interview, the questions about marriages and other sexual relationships are about opposite-sex partners because of a focus on fathering children. There are questions later in the interview related to your current relationship, any children you have had, and about sexual experience with same-sex partners.

EVMAR

AG-8. Have you ever been married to a woman?

Yes No

{ ASKED IF EVER MARRIED TO A WOMAN (EVMAR=1)

TMSMAR

AG-9. How many times have you been married to a woman?

Number

{ ASKED IF CURRENTLY MARRIED TO OR COHABITING WITH A MALE

EVCOH

AG-10. Have you ever lived together with a female sexual partner? By living together, I mean having a sexual relationship while sharing the same usual residence.

Yes No

{ ASKED IF EVER COHABITED WITH A FEMALE SEXUAL PARTNER (EVCOH=1)

TMSCOH

AG-11. How many female sexual partners have you lived with in your life including any women you later married?

[HELP AVAILABLE]

Number ___________

SECTION B

Ever Sex with a Female, Sex Education/Communication, Surgical/Nonsurgical Sterility, and Numbers of Female Sexual Partners

Ever Had Sex with a Female; Sex Communication (BA)

{ ASKED IF R NEVER MARRIED, NEVER COHABITED WITH A WOMAN

EVERSEX

BA-1. The next section is about sexual relationships with females.

Have you ever had sexual intercourse with a female (sometimes this is called making love, having sex, or going all the way)?

[HELP AVAILABLE]

Yes No

{ ASKED IF EVERSEX=1

SXMTONCE

BA-2. Have you had sexual intercourse more than once?

[HELP AVAILABLE]

Yes No

{ ASKED IF R NEVER MARRIED, NEVER COHABITED, AND NEVER HAD SEX WITH A FEMALE

YNOSEX

BA-3. As you know, some people have had sexual intercourse by your age and others have not. Please look at Card 13 which lists some reasons that people give for not having sexual intercourse.

[HELP AVAILABLE]

What would you say is the most important reason why you have not had sexual intercourse with a female up to now?

Against religion or morals Don’t want to get a female pregnant Don’t want to get a sexually transmitted disease Haven’t found the right person yet In a relationship, but waiting for the right time Not attracted to females 6 Other

{ REMAINDER OF BA SERIES IS ONLY ASKED OF 15-24 YEAR OLDS.

{ IF R IS OLDER THAN 24 YEARS, GO TO BB-1 EVEROPER

{ ASKED IF R IS AGED 15-24 YEARS

TALKPAR

BA-4. The next questions are about how you learned about sex and birth control. (Before you were 18 years old,) which, if any, of the topics shown on Card 23 did you ever talk with a parent or guardian about?

ENTER all that apply.

How to say no to sex Methods of birth control Where to get birth control Sexually transmitted diseases ...4 How to prevent HIV/AIDS How to use a condom Not to have sex before marriage….7 None of the above

{ ASKED IF R IS AGED 15-24 YEARS

SEDNO

BA-5. Now I’m interested in knowing about formal sex education you may have had. (Before you were 18, did you ever have/ Have you ever had) any formal instruction at school, church, a community center or some other place about how to say no to sex?

Yes No.............5 (BA-8 SEDBC)

{ ASKED IF R REPORTED HAVING SEX ED ON THIS TOPIC

SEDNOLC

BA-5a. Looking at card 23a, where did you receive that instruction about how to say no to sex?

ENTER all that apply

SEDNOG

BA-6. What grade were you in when you first received instruction on how to say no to sex?

1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade 1st year of college 2nd year of college 3rd year of college 4th year of college Not in school when received instruction

{ IF R HAS NEVER HAD SEX, GO TO BA-8 SEDBC.

SEDNOSX

BA-7. Did you receive instruction about how to say no to sex before or after the first time you had sex?

Before After

{ ASKED IF R IS AGED 15-24 YEARS

SEDBC

BA-8. (Before you were 18, did you ever have/ Have you ever had) any formal instruction at school, church, a community center or some other place about methods of birth control?

Yes No.............5 (BA-11 SEDWHBC)

{ ASKED IF R REPORTED HAVING SEX ED ON THIS TOPIC

SEDBCLC

BA-8a. Looking at card 23a, where did you receive that instruction about methods of birth control?

ENTER all that apply

SEDBCG

BA-9. What grade were you in when you first received instruction on methods of birth control?

1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade 1st year of college 2nd year of college 3rd year of college 4th year of college Not in school when received instruction

{ IF R HAS NEVER HAD SEX, GO TO BA-11 SEDWHBC.

SEDBCSX

BA-10. Did you receive instruction about methods of birth control before or after the first time you had sex?

Before After

{ ASKED IF R IS AGED 15-24 YEARS

SEDWHBC

BA-11. Before you were 18, did you ever have/ Have you ever had) any formal instruction at school, church, a community center or some other place about where to get birth control?

Yes No.............5 (BA-14 SEDCOND)

{ ASKED IF R REPORTED HAVING SEX ED ON THIS TOPIC

SEDWHLC

BA-11a. Looking at card 23a, where did you receive that instruction about where to get birth control?

ENTER all that apply

SEDWHBCG

BA-12. What grade were you in when you first received instruction on where to get birth control?

1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade 1st year of college 2nd year of college 3rd year of college 4th year of college Not in school when received instruction

{ IF R HAS NEVER HAD SEX, GO TO BA-14 SEDCOND.

SEDWHBCSX

BA-13. Did you receive instruction about where to get birth control before or after the first time you had sex?

Before After

{ ASKED IF R IS AGED 15-24 YEARS

SEDCOND

BA-14. Before you were 18, did you ever have/ Have you ever had) any formal instruction at school, church, a community center or some other place about how to use a condom?

Yes No.............5 (BA-17 SEDSTD)

{ ASKED IF R REPORTED HAVING SEX ED ON THIS TOPIC

SEDCONLC

BA-14a. Looking at card 23a, where did you receive that instruction about how to use a condom?

ENTER all that apply

SEDCONDG

BA-15. What grade were you in when you first received instruction on how to use a condom?

1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade 1st year of college 2nd year of college 3rd year of college 4th year of college Not in school when received instruction

{ IF R HAS NEVER HAD SEX, GO TO BA-17 SEDSTD.

SEDCONDSX

BA-16. Did you receive instruction about how to use a condom before or after the first time you had sex?

Before After

{ ASKED IF R IS AGED 15-24 YEARS

SEDSTD

BA-17. Before you were 18, did you ever have/ Have you ever had) any formal instruction at school, church, a community center or some other place about sexually transmitted diseases?

Yes No.............5 (BA-20 SEDHIV)

{ ASKED IF R REPORTED HAVING SEX ED ON THIS TOPIC

SEDSTDLC

BA-17a. Looking at card 23a, where did you receive that instruction about sexually transmitted diseases?

ENTER all that apply

SEDSTDG

BA-18. What grade were you in when you first received instruction on sexually transmitted diseases?

1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade 1st year of college 2nd year of college 3rd year of college 4th year of college Not in school when received instruction

{ IF R HAS NEVER HAD SEX, GO TO BA-20 SEDHIV.

SEDSTDSX

BA-19.Did you receive instruction about sexually transmitted diseases before or after the first time you had sex?

Before After

{ ASKED IF R IS AGED 15-24 YEARS

SEDHIV

BA-20.(Have you ever had/Before you were 18, did you ever have) any formal instruction at school, church, a community center or some other place about how to prevent HIV/AIDS?

No.............5 (BA-23 SEDABST)

{ ASKED IF R REPORTED HAVING SEX ED ON THIS TOPIC

SEDHIVLC

BA-20a. Looking at card 23a, where did you receive that instruction about how to prevent HIV/AIDS?

ENTER all that apply

SEDHIVG

BA-21. What grade were you in when you first received instruction on how to prevent HIV/AIDS?

1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade 1st year of college 2nd year of college 3rd year of college 4th year of college Not in school when received instruction

{ IF R HAS NEVER HAD SEX, GO TO BA-23 SEDABST.

SEDHIVSX

BA-22. Did you receive instruction about how to prevent HIV/AIDS before or after the first time you had sex?

Before After

{ ASKED IF R IS AGED 15-24 YEARS

SEDABST

BA-23.(Before you were 18, did you ever have/ Have you ever had) any formal instruction at school, church, a community center or some other place about waiting until marriage to have sex?

No.............5 (BB-1 EVEROPER)

{ ASKED IF R REPORTED HAVING SEX ED ON THIS TOPIC

SEDABLC

BA-23a. Looking at card 23a, where did you receive that instruction about waiting until marriage to have sex?

ENTER all that apply

SEDABSTG

BA-24. What grade were you in when you first received instruction about waiting until marriage to have sex?

1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade 1st year of college 2nd year of college 3rd year of college 4th year of college Not in school when received instruction

{ IF R HAS NEVER HAD SEX, GO TO BB-1 EVEROPER.

SEDSABSSX

BA-25. Did you receive instruction about waiting until marriage to have sex before or after the first time you had sex?

Before After

Vasectomy/other sterilizing operations; Ability to reproduce (BB)

{ ASKED OF ALL

EVEROPER

BB-1. Some men have operations that make it impossible for them to father a child.

[HELP AVAILABLE]

Have you ever had a vasectomy or any other operation that makes it impossible for you to father a child?

ENTER [1] if the respondent had a vasectomy for any reason.

ENTER [1] if respondent says he had a vasectomy and had a reversal.

Yes No........5 (BB-8 FATHPOSS)

{ ASKED IF HAD ANY STERILIZING OPERATION

TYPEOPER

BB-2. What type of operation did you have? Was it a vasectomy or some other operation?

Vasectomy..................................1 (BB-4 VASEC_M) Other operation Vasectomy failed...........................3 (BB-4 VASEC_M) Vasectomy already surgically reversed......4 (BB-4 VASEC_M)

{ ASKED IF HAD OTHER OPERATION OR DK/RF TO TYPE OF OPERATION

STEROPER

BB-3. As far as you know, are you completely sterile from this operation; that is, does it make it impossible for you to father a baby in the future?

Yes No ............5 (BB-9 FATHDIFF)

{ ASKED IF HAD VASECTOMY OR HAD OTHER OPERATION THAT MADE IMPOSSIBLE TO FATHER A CHILD

VASEC_M/VASEC_Y

BB-4. In what month and year did you have your (vasectomy / sterilizing operation)?

{ ASKED IF VASECTOMY/STERILIZING OPERATION WAS IN LAST FIVE YEARS

PLCSTROP

BB-5. Please look at Card 25 and tell me where (your vasectomy / your sterilizing operation) was performed.

Private doctor's office HMO facility Community health clinic, community clinic, public health clinic Family planning or Planned Parenthood clinic Employer or company clinic School or school-based clinic Hospital outpatient clinic Hospital emergency room Hospital regular room Urgent care center, urgi-care, or walk-in facility ..10 Some other place

{ IF R HAD OPERATION OTHER THAN VASECTOMY, GO TO SECTION BC

{ ASKED IF R HAD VASECTOMY

RVRSVAS

BB-6. (Have you ever had surgery to reverse your vasectomy? / You said that you had surgery to reverse your vasectomy, is that right? )

[HELP AVAILABLE]

Yes No..........5 (BC SERIES)

{ ASKED IF R HAD VASECTOMY AND REVERSAL

VASREV_M/VASREV_Y

BB-7. In what month and year did you have the reversal?

{ ASKED IF R DID NOT HAVE STERILIZING OPERATION OR HAD A VASECTOMY THAT FAILED OR HAD AN OPERATION FOR WHICH HE ANSWER NO, DK, OR RF ON WHETHER IT WAS FULLY STERILIZING

FATHPOSS

BB-8. Some men are not physically able to father children. As far as you know, is it physically possible for you, yourself to biologically father a child in the future?

[HELP AVAILABLE]

Yes No ............5 (BC SERIES)

{ ASKED IF R DID NOT HAVE STERILIZING OPERATION AND PHYSICALLY POSSIBLE

{ (OR DK/RF) TO FATHER CHILD OR HAD OTHER STERILIZING OPERATION BUT NOT

{ IMPOSSIBLE TO HAVE CHILD

FATHDIFF

BB-9. Some men are physically able to father a child, but would have difficulty doing so. As far as you know, would you have any difficulty fathering a child?

[HELP AVAILABLE]

Yes No

Number of Female Sexual Partners (BC)

{ IF R NEVER HAD SEX WITH A FEMALE, GO TO SECTION F

{ ASKED IF R EVER MARRIED OR EVER COHABITED WITH A FEMALE, OR HAS HAD SEX WITH A FEMALE MORE THAN ONCE IN THEIR LIFE

LIFEPRT

BC-6. Now I have some additional questions about your sexual relationships with females.

How many different females have you ever had intercourse with? This includes any female you had intercourse with, even if it was only once or if you did not know her well.

[HELP AVAILABLE]

Number _______

Range 1 to 995

IF R REPORTS MORE THAN 1 PARTNER, GO TO BC-8 MON12PRT.

{ ASKED IF R HAS ONLY HAD SEX WITH ONE FEMALE (LIFEPRT = 1)

SXMON12

BC-7. (The next questions are about your sexual relationships with females. You said that you had sexual intercourse with a female once in your life. Was that in the last 12 months,/ Have you had sexual intercourse with this female in the last 12 months,) that is, since (INTERVIEW MONTH, INTERVIEW YEAR - 1)?

[HELP AVAILABLE]

Yes No...........5 (BD SERIES)

{ ASKED IF R HAD MORE THAN ONE FEMALE PARTNER IN LIFE (LIFEPRT > 1)

MON12PRT

BC-8. How many different females have you had sexual intercourse with in the past 12 months, that is, since (INTERVIEW MONTH, INTERVIEW YEAR - 1)?

[HELP AVAILABLE]

Number _______

Range 0-995

IF R REPORTS 0, GO TO BD SERIES.

{ ASKED IF R HAD 1 FEMALE SEX PARTNER IN THE LAST 12 MONTHS, OR ONLY HAD SEX ONCE IN LIFE

P12MOCONO

BC-8a. Did you use a condom that time?

Yes No

{ ASKED IF R HAD AT LEAST ONE FEMALE SEX PARTNER IN THE LAST 12 MONTHS AND

{ HAS HAD SEX MORE THAN ONCE

P12MOCON

BC-8b.Please look at card 48. Thinking back over the past 12 months, that is, since (INTERVIEW MONTH, INTERVIEW YEAR - 1), would you say you used a condom with your female partner or partners for sexual intercourse every time, most of the time, about half of the time, some of the time, or none of the time?

Every time Most of the time About half of the time Some of the time None of the time

{ IF R NEVER HAD SEX WITH A FEMALE, GO TO SECTION F

{ IF R DIDN’T HAVE SEX WITH A FEMALE IN THE LAST 12 MONTHS, GO TO SECTION BD

{ ASKED IF R HAD AT LEAST ONE FEMALE SEX PARTNER IN THE LAST 12 MONTHS

SEXFREQ

BC-9. Now please think about the last four weeks. How many times have you had sexual intercourse with a female in the last four weeks?

[HELP AVAILABLE]

Number of times

{ ASKED IF R HAD AT LEAST ONE FEMALE SEX PARTNER IN THE LAST 12 MONTHS

{ AND HAD SEX IN THE LAST 4 WEEKS

CONFREQ

BC-10. And, in the last four weeks, how many of the times that you had sexual intercourse with a female did you use a condom?

Number of times

Enumeration of recent female sex partner(s) or last partner ever (BD)

{ ASKED OF ALL WHO HAD SEX WITH A FEMALE, EVEN IF MORE THAN 12 MONTHS AGO

P1NAME

BD-1. So, that I can refer to her in the interview, please give me the name or initials of the female with whom you (most recently) had sexual intercourse.

[HELP AVAILABLE]

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

{ ASKED IF R EVER MARRIED

P1RLTN1

BD-2. Were you ever married to (PARTNER’S NAME)?

Yes No

{ ASKED IF R CURRENTLY MARRIED

P1CURRWIFE

BD-3. If necessary, ASK: (Is she your current wife?)

Yes No

{ ASKED IF R CURRENTLY SEPARATED

P1CURRSEP

BD-4. If necessary, ASK: (Is she the woman you are separated from now?)

Yes No

{ ASKED IF R WAS NEVER MARRIED TO THIS PARTNER BUT HE EVER COHABITED

P1RLTN2

BD-5. Did you ever live together with (PARTNER’S NAME)?

[HELP AVAILABLE]

Yes No

{ ASKED IF R WAS NEVER MARRIED TO THIS PARTNER AND HE EVER LIVED WITH THIS

{ PARTNER AND HE IS CURRENTLY COHABITING

P1COHABIT

BD-6. If necessary, ASK: (Is she the woman you live with now?)

Yes No

P1SXLAST_M/P1SXLAST_Y

BD-7/8. (Please think of the last time that you had sexual intercourse with her./That time that you had sexual intercourse with her,) in what month and year was that?

[HELP AVAILABLE]

{ IF R HAD NONE OR ONE PARTNER IN LAST 12 MONTHS, GO TO END OF SECTION B

P2NAME

BD-9. Now think of the last female with whom you had sexual intercourse before (LAST PARTNER’S NAME). Please give me her name or initials.

[HELP AVAILABLE]

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

P2RLTN1

BD-10. Were you ever married to (PARTNER’S NAME)?

Yes No

{ ASKED IF R CURRENTLY MARRIED AND MOST RECENT PARTNER WAS NOT THIS WIFE

P2CURRWIFE

BD-11. If necessary, ASK: (Is she your current wife?)

Yes No

{ ASKED IF R CURRENTLY SEPARATED AND THAT WIFE NOT IDENTIFIED YET

P2CURRSEP

BD-12. If necessary, ASK: (Is she the woman you are separated from now?)

Yes No

{ ASKED IF R WAS NEVER MARRIED TO THIS PARTNER BUT HE EVER COHABITED

P2RLTN2

BD-13. Did you ever live together with (PARTNER’S NAME)?

[HELP AVAILABLE]

Yes No

{ ASKED IF R WAS NEVER MARRIED TO THIS PARTNER AND HE EVER LIVED WITH THIS

{ PARTNER AND HE IS CURRENTLY COHABITING AND THIS COHABITING PARTNER NOT YET

{ IDENTIFIED

P2COHABIT

BD-14. If necessary, ASK: (Is she the woman you live with now?)

Yes No

P2SXLAST_M/P2SXLAST_Y

BD-15/16. (Please think of the last time that you had sexual intercourse with her./That time that you had sexual intercourse with her,) in what month and year was that?

[HELP AVAILABLE]

{ IF R HAD 2 SEXUAL PARTNERS IN THE LAST 12 MONTHS, GO TO END OF SECTION B

P3NAME

BD-17. Think of the last female with whom you had sexual intercourse before (2ND TO LAST PARTNER’S NAME). Please give me her name or initials.

[HELP AVAILABLE]

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

P3RLTN1

BD-18. Were you ever married to (PARTNER’S NAME)?

Yes No

{ ASKED IF R CURRENTLY MARRIED AND MOST RECENT or 2nd-to-Last PARTNER WAS NOT THIS WIFE

P3CURRWIFE

BD-19. If necessary, ASK: (Is she your current wife?)

Yes No

{ ASKED IF R CURRENTLY SEPARATED AND THAT WIFE NOT IDENTIFIED YET

P3CURRSEP

BD-20. If necessary, ASK: (Is she the woman you are separated from now?)

Yes No

{ ASKED IF R WAS NEVER MARRIED TO THIS PARTNER BUT HE EVER COHABITED

P3RLTN2

BD-21. Did you ever live together with (PARTNER’S NAME)?

[HELP AVAILABLE]

Yes No

{ ASKED IF R WAS NEVER MARRIED TO THIS PARTNER AND HE EVER LIVED WITH THIS

{ PARTNER AND HE IS CURRENTLY COHABITING AND THIS COHABITING PARTNER NOT YET

{ IDENTIFIED

P3COHABIT

BD-22. If necessary, ASK: (Is she the woman you live with now?)

Yes No

P3SXLAST_M/P3SXLAST_Y

BD-23/24. (Please think of the last time that you had sexual intercourse with her./That time that you had sexual intercourse with her,) in what month and year was that?

[HELP AVAILABLE]

{ ASKED IF TWO OR THREE PARTNERS BOTH IN LIFETIME AND IN THE LAST 12 MONTHS

FIRST

BD-25. Were (either/any) of the females we’ve talked about, [DISPLAY PARTNER NAMES HERE], the first female with whom you ever had sexual intercourse?

[HELP AVAILABLE]

Yes, (PARTNER 1 NAME)...........1 (SECTION C) Yes, (PARTNER 2 NAME)...........2 (SECTION C) Yes, (PARTNER 3 NAME)...........3 (SECTION C) No .............................5 (BD-26 FIRST2)

{ ASKED IF TWO OR THREE PARTNERS BOTH IN LIFETIME AND IN THE LAST 12 MONTHS AND NONE OF THEM WAS FIRST PARTNER EVER

FIRST2

BD-26. So that I can refer to her in the interview, please tell me the name or initials of the first female with whom you ever had sexual intercourse.

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

SECTION C

Current Spouse or Cohabiting Partner

{ IF MARRIED OR COHABITING, CONTINUE WITH CA SERIES

{ ELSE GO TO SECTION D

Key Dates in Current Marriage or Cohabitation (CA)

CAINTRO

CA-0. Now I have some questions about your relationship with your current (spouse/partner).

{ ASKED IF SPOUSE/PARTNER WAS NOT NAMED IN SECTION B

CA_NAME

CA-1. You may have already told me this, but please tell me her/his name or initials so that I can refer to her/him during the interview.

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

[IF COHABITING, GO TO CA-5 STRTWFCP_M]

MARRDATE_M/MARRDATE_Y

CA-2. In what month and year were you and (SPOUSE) married?

{ASKED IF R DOESN’T KNOW THE DATE OF MARRIAGE

HISAGEM

CA-3. How old were you when you and (SPOUSE) got married?

Age in years ____________

{ASKED OF ALL CURRENTLY MARRIED

SPAGEM

CA-3a. How old was your spouse you when you got married?

Age in years ____________

{ ASKED IF R MARRIED TO THIS SPOUSE/PARTNER

LIVTOGWF

CA-4. 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 your spouse live together before you got married?

[HELP AVAILABLE]

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

{ ASKED IF R [IS MARRIED TO AND DID COHABIT WITH] OR [IS COHABITING WITH]

{ THIS SPOUSE/PARTNER

STRTWFCP_M/STRTWFCP_Y

CA-5. In what month and year did you and (SPOUSE/PARTNER) first start living together?

{ ASKED IF R [IS MARRIED TO AND DID COHABIT WITH] OR [IS COHABITING WITH]

{ THIS SPOUSE/PARTNER AND START DATE OF COHABITATION = DK/RF

HISAGEC

CA-6. How old were you when you and (SPOUSE/PARTNER) first started living together?

Age in years ____________

{ ASKED IF R IS COHABITING

CPAGEC

CA-6a. How old was your partner when you and (PARTNER) first started living together?

Age in years ____________

{ ASKED IF R [IS MARRIED TO AND DID COHABIT WITH] OR [IS COHABITING WITH]

{ THIS SPOUSE/PARTNER

ENGATHEN

CA-7. At the time you began living together, were you and he/she engaged to be married or did you have 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 IF R IS COHABITING WITH THIS PARTNER

WILLMARR

CA-8. Please look at Card 58. Do you think that you and (PARTNER) will marry each other?

If R insists he does not know, enter [Ctrl] + [D]

Characteristics of Spouse/Partner (CB)

CWPAGE

CB-1. How old is (SPOUSE/PARTNER) now?

Age in years ________

CWPHISP

CB-2. Is your (spouse/partner) Hispanic or Latino, or of Spanish origin?

Yes No

CWPRACE

CB-3. Which of the groups shown on Card 2 describes (SPOUSE/PARTNER)’s racial background? Please select one or more groups.

NOTE: If the respondent mentions a mixture of multiple races (e.g. biracial, mixed, mulatto), probe for and code all racial groups that are part of the mix.

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

{ ASKED IF MORE THAN ONE RACE GROUP MENTIONED

CWPRACEB

CB-4. Which of these groups, that is (responses from CWPRACE), would you say best describes your (spouse/partner)’s racial background?

{ DISPLAY THOSE GROUPS MENTIONED IN CB-3 CWPRACE

CWPEDUCN

CB-5. Please look at Card 11. What is the highest level of education (SPOUSE/PARTNER) 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

CWPMARBF

CB-6. (At the time you and he/she were married, had / Has) (SPOUSE/PARTNER) been married before?

[HELP AVAILABLE]

Yes No

{ REMAINDER OF SECTION C ASKED IF CURRENTLY MARRIED OR COHABITING WITH A WOMAN, OTHERWISE GO TO SECTION D

First Sex with Current Wife/Partner (CC)

CWPSX1WN_M/CWPSX1WN_Y

CC-1. Now I have some questions about the beginning of your relationship with your (wife/partner).

Think back to the very first time that you had sexual intercourse with your (wife/partner). In what month and year was that?

{ ONLY ASKED IF DK/RF DATE OF FIRST SEX

CWPSX1AG

CC-2. The very first time that you had sexual intercourse with your (wife/partner), how old were you?

[HELP AVAILABLE]

Age in years __________

{ ONLY ASKED IF THIS WOMAN IS FIRST SEX PARTNER EVER

CWPSX1RL

CC-3. Please look at Card 44. At the time you first had sexual intercourse with (WIFE/PARTNER), how would you describe your relationship with her?

Married to her Engaged to her, and living together Engaged to her, but not living together Living together in a sexual relationship, but not engaged Going with her or going steady Going out with her once in a while Just friends Had just met her Something else

CWPFUSE

CC-4. That first time that you had sexual intercourse with (WIFE/PARTNER), did you or she use any methods to prevent pregnancy or sexually transmitted disease? Please look at Card 45a for some examples of methods, before answering “yes” or “no.”

[HELP AVAILABLE]

Yes No .........5 (CD SERIES)

{ASKED IF METHODS WERE USED

CWPFMET

CC-5. Looking at Card 45b, that first time, what methods did you and she use to prevent pregnancy or sexually transmitted disease?

[HELP AVAILABLE]

ENTER all that apply.

Condom or rubber Withdrawal or pulling out Vasectomy or male sterilization Pill Tubal sterilization (“tubes tied”) or other female

Spermicidal foam/jelly/cream/film/suppository Hormonal implant (NorplantTM or ImplanonTM) 8 Rhythm or safe period

Sterilization and Impaired Fecundity (CD)

{ ASKED IF THEY DID NOT USE FEMALE STERILIZATION AT FIRST SEX

CWPOPSTR

CD-1. As far as you know, has your (wife/partner) ever had an operation that made it impossible for her to have a baby?

Yes No .........5 (CD-5 CWPPOSS)

CWPTYPOP

CD-2. (You said that your (wife/partner) has had a sterilizing operation.) Which of these types of sterilizing operations did she have? Did she have a tubal ligation or tubal sterilization, a hysterectomy, or something else?

[HELP AVAILABLE]

ENTER all that apply.

Tubal ligation or tubal sterilization Hysterectomy Something else

{ ASKED IF STERILIZING OPERATION WAS ONLY “SOMETHING ELSE”

CWPTOTST

CD-3. As far as you know, did the operation make your (wife/partner) completely sterile, that is, is it completely impossible for her to have a baby?

Yes No

{ ASKED IF R’s W/CP HAD TUBAL AND NO OTHER STERILIZING OPERATION

CWPREVST

CD-4. Has your (wife/partner) ever had surgery to reverse her tubal sterilization?

[HELP AVAILABLE]

Yes No

{ If R was asked CD-4 CWPREVST, GO TO CE SERIES.

{ ASKED IF W/CP DID NOT HAVE STERILIZING OPERATION

CWPPOSS

CD-5. Some women are not physically able to have children. As far as you know, is it physically possible for (WIFE/PARTNER) to have a baby?

[HELP AVAILABLE]

Yes No ..................5 (CE SERIES)

{ ASKED IF W/CP DID NOT HAVE OPERATION AND IS PHYSICALLY ABLE TO HAVE

{ CHILDREN (OR DK/RF TO CWPPOSSB) OR IF W/CP HAD OPERATION THAT DID

{ NOT MAKE IT COMPLETELY IMPOSSIBLE FOR HER TO HAVE CHILDREN

CWPDIFF

CD-6. Some women are physically able to have another baby, but have difficulty getting pregnant or carrying the baby to term. As far as you know, would (WIFE/PARTNER) have any difficulty getting pregnant or carrying a baby?

[HELP AVAILABLE]

Yes

Most Recent Sex with Current Wife/Partner (CE)

{ ASKED IF CURRENTLY MARRIED OR COHABITING TO A WOMAN BUT CWP WAS NOT THE RECENT PARTNER(S)

CWPLSXWN_M, CWPLSXWN_Y

CE-2. Think back to the most recent time that you had sexual intercourse with your (wife/partner). In what month and year was that?

CWPLUSE1

CE-5. That last time that you had sexual intercourse with your (wife/partner), did you, yourself use any methods to prevent pregnancy or sexually transmitted disease? Please look at Card 46a for some examples of methods for males, before answering “yes” or “no.”

[HELP AVAILABLE]

Yes No .........5 (CE-7 CWPLUSE2)

{ ASKED IF HE USED A METHOD (CWPLUSE1=1)

CWPLMET1

CE-6. Looking at Card 46b, that last time, what methods did you use?

[HELP AVAILABLE]

ENTER all that apply.

Condom or rubber Withdrawal or pulling out Vasectomy or male sterilization Something else

CWPLUSE2

CE-7. That last time that you had sexual intercourse with your (wife/partner), did she use any methods to prevent pregnancy or sexually transmitted disease? Please look at Card 47a for some examples of methods for females, before answering “yes” or “no.”

[HELP AVAILABLE]

Do not probe a DK response

Yes No .........5 (CF SERIES)

{ ASKED IF CE-7 CWPLUSE2 IS DON’T KNOW

DKCWPLUSE

CE-7b. Is it that you don’t recall right now, or that you never knew?

{ ASKED IF SHE USED A METHOD (CWPLUSE2=1)

CWPLMET2

CE-8. Looking at Card 47b, that last time, what methods did she use?

[HELP AVAILABLE]

ENTER all that apply.

Do not probe a DK response

Methods Used in the Last 12 Months (CF)

CFINTRO

CF-0. Now I have some questions about methods that you and (WIFE/PARTNER) used in the past 12 months, that is since (INTERVIEW MONTH, INTERVIEW YEAR - 1), to prevent pregnancy or sexually transmitted disease.

(If you were not involved with her for the whole 12 months, please think of only that time that you were involved with her during the past 12 months.)

{ ASKED IF CAN’T TELL IF THEY USED A METHOD IN LAST 12 MONTHS

CWPRECBC

CF-1. During the last 12 months, did you or your (wife/partner) use any methods to prevent pregnancy or sexually transmitted disease when you had intercourse together? Please answer yes if you used a method even once. (If necessary: Please look at Card 45a for some examples of methods, before answering “yes” or “no.”)

[HELP AVAILABLE]

Yes No .........5 (CG SERIES)

{ ASKED OF ALL WHO USED ANY METHOD IN 12 MONTHS EVEN IF CONDOM NOT LISTED

CONDFREQ

CF-4. During the last 12 months, what percent of the times that you and she had sex together did you use a condom?

[HELP AVAILABLE]

Percentage (IF 100%, GO TO CG SERIES)

{ ASKED OF ALL WHO USED ANY METHOD IN 12 MOS, EXCEPT 100% CONDOM USERS

CWPNOFRQ

CF-5. Please look at Card 48. During the last 12 months, that is, since (INTERVIEW MONTH, INTERVIEW YEAR-1), how often did you or she use any method when you had sex together?

Every time Most of the time About half of the time Some of the time None of the time

Current Pregnancy (CG)

{ IF SHE IS STERILE, GO TO SECTION D

{ ASKED IF W/CP NOT STERILE AND R HAD SEX WITH HER IN LAST 12 MOS

CWPPRGNW

CG-1. Is your (wife/partner) pregnant with your child now?

Yes ........1 (CG-4 CWPCPWNT) No

{ ASKED IF R’S W/CP NOT PREGNANT NOW

CWPTRYPG

CG-2. Are you and your (wife/partner) currently trying to get pregnant?

Yes No .........5 (SECTION D)

{ ASKED IF R’S W/CP NOT PREGNANT NOW AND THEY’VE BEEN TRYING TO GET PREGNANT

CWPTRYLG

CG-3. How long have you and she been trying to get pregnant?

Number of months ________

{ If R is asked CG-3 CWPTRYLG, GO TO SECTION D.

{ ASKED IF R’S W/CP IS PREGNANT NOW (CG-1 CWPPRGNW=1)

CWPCPWNT

CG-4. Please look at Card 58. Right before (WIFE/PARTNER) became pregnant, did you, yourself, want to have a child at some time in the future?

[HELP AVAILABLE]

NOTE: If R says that he already had children, say “Right before she became pregnant, did you, yourself, want to have another child at some time in the future?”

Definitely yes Probably yes Probably no ...................3…