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phone_questionnaire.Rmd
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---
title: ""
output:
html_document:
toc: true
toc_depth: 2
toc_float: true
---
## LANGUAGES SPOKEN TO CHILD
**L1. What language(s) do you speak at home?**
**L2. What language(s) do you speak to your child?**
(NOTE: END screener if language is spoken to target child is not English or Spanish to target child.)
## CHILD INFORMATION
**A1. What is [CHILD]’s birth date?**
Month ______ Day _________ Year_______
**A2. What was his/her due date?**
Month ______ Day _________ Year_______
(NOTE: END screener if child was born preterm, 36 weeks or under. Term is 40 weeks.)
**A3. How much did your baby weigh at birth?**
Pounds: ______ Ounces: ______
**A4. Were there any birth or newborn complications?**
YES ______ NO ______
If yes, please specify:
**A5. Has your child had any major illnesses or injury or medical or behavioral diagnoses (e.g., asthma, ADHD)?**
YES ______ NO ______
If yes, please specify:
**A7. At what time does your child typically:**
- **A7a. Fall asleep at night?**
- **A7b. Wake up in the morning?**
## CHILD CARE ARRANGEMENTS
**B1. Does anyone other than you take care of the child on regular basis?**
- Someone (nanny, babysitter, relative, etc)
- Childcare center
- Both
- None
**B2. How many hours per week does {CHILD} spend in the care of someone else?**
Hours/week: __________
## MOTHER INFORMATION
**C1. What is your birth date?**
Month ______ Day _________ Year_______
(NOTE: END screener if mother was younger than 21-yo when {CHILD} was born.)
**C2. What is your race and ethnicity? “Would you describe your race/ethnicity as…”**
Race:
1. American Indian or Alaskan Native
2. Asian
3. Native Hawaiian or Other Pacific Islander
4. Black or African American
5. White
6. More than one
7. Other
8. REFUSED
Ethnicity:
- Hispanic or Latino
- Not Hispanic or Latino
## PARTNER INFORMATION [WIFE / HUSBAND]
[EXPERIMENTER] Say to mom: *“Does [CHILD]’s father live in the home with you?”*
If yes: continue…
If no: SKIP AND MOVE ONTO PART E.
**D1. What is [HIS / HER] birth date?**
Month ______ Day _________ Year_______
REFUSED DON'T KNOW
(NOTE: END screener if father was younger than 21-yo when {CHILD} was born.)
**D2. What is their race and ethnicity? “Would you describe their race/ethnicity as…”**
Race:
1. American Indian or Alaskan Native
2. Asian
3. Native Hawaiian or Other Pacific Islander
4. Black or African American
5. White
6. More than one
7. Other
8. REFUSED
Ethnicity:
- Hispanic or Latino
- Not Hispanic or Latino
## FAMILY STRUCTURE
**E1. In addition to you and [CHILD]’s father (if dad lives with mom/child), please tell me who else lives with you permanently?**
Categories are listed by relation to [CHILD]. Put in the number living with you and [CHILD] permanently for each category.
- Sister ______
- Brother ______
- Partner/ Husband/ Boyfriend of child's parent or guardian ______
- Grandmother Grandfather Aunt ______
- Uncle ______
- Cousin ______
- Other relative ______
- Other non-relative ______
**E2. IF [CHILD]’s siblings live with you, what are their birthdates?**
Month ______ Day _________ Year_______
Month ______ Day _________ Year_______
Month ______ Day _________ Year_______
Month ______ Day _________ Year_______