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Wage and Hour Division (WHD)
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APPENDIX D 2000 SURVEY OF EMPLOYEES MATERIALS
Advance Letter
2000 Survey of Employees
Screener
Instrument
2000 SURVEY OF EMPLOYEES
SCREENER
SINTRO_1. Hello, my name is {INTERVIEWER} and I'm calling for a study that is being conducted for the U.S. Department of Labor.
RESIDENTIAL |
BUSINESS |
Are you a member of this household and at least 18 years old? |
Is this phone number used for... |
YES......................................1 (BUSINESS COL.) |
Home use .................................4 (S5) |
NO...................................... .2 (S3A) |
Home and business use, or.........5 (S5) |
PROBABLE BUSINESS..... 3 (BUSINESS COL.) |
Business use only?.....................6 (THANK01) |
ANSWERING MACHINE.. AM (READMSG) |
GO TO RESULT GT |
RETRY AUTODIALER....... RT (AUTODIALER) |
|
NONWORKING, DISCONNECTED |
|
GO TO RESULT...................GT |
|
[HOME USE EXCLUDES PHONES IN DORMITORIES, NURSING HOMES, VACATION HOMES (UNLESS PRIMARY RESIDENCE), AND ANY LIVING QUARTERS WITH 10 OR MORE UNRELATED ROOMMATES. SEE KEY CONCEPTS SHEET]
S3A. May I speak to a household member who is at least 18 years old?
AVAILABLE...............1 (S4)
NOT AVAILABLE .............2 (RESULTS)
THERE ARE NONE............3
GO TO RESULT................ GT
[HOUSEHOLD (HH) MEMBERS INCLUDE PEOPLE WHO THINK OF THIS HH AS THEIR PRIMARY PLACE OF RESIDENCE. IT INCLUDES PERSONS WHO USUALLY STAY IN THE HH BUT ARE TEMPORARILY AWAY ON BUSINESS, VACATION, IN A HOSPITAL, OR LIVING AT SCHOOL IN A DORM, FRATERNITY, OR SORORITY.]
S3OV [IF RESPONDENT IS A CHILD, ASK FOR AN OLDER HOUSEHOLD MEMBER]
NO ONE LIVING IN HH IS 18 OR OLDER... 1 (P20)
THERE ARE HH MEMBERS 18 OR OLDER ..................................2
GO TO RESULT................................................................................GT
S5. We are conducting this study for the U.S. Department of Labor to find out about people's use of and attitudes about workplace family and medical leave. Study results will be used to assess the impact of family and medical leave policies on employees. Your participation is
voluntary and all information you provide will be kept confidential. If we should come to any question that you don't want to answer, just let me know and we'll go on to the next question.
I now have a few questions that, altogether, should take between 3 and 5 minutes to answer.
WU1. Does anyone in your household have more than one job?
YES....................... 1
NO..............................2
REFUSED................ -7
DON'T KNOW.........-8
WU2. Does anyone in your household ever take public transportation to work?
YES........................1
NO.......................................................2
REFUSED...........................................-7
DON'T KNOW..................................-8
S6. We're interested in talking to someone in the household in more depth about workplace family and medical leave. In order to do that, I need to list all the first names of members of your household, their ages, and genders. Let's start with you. May I have your name?
FIRST NAME |
AGE |
SEX |
1 |
||
2 |
||
3 |
||
4 |
||
5 |
||
6 |
||
7 |
||
8 |
S6VERF1 AND S6VERF2 OVERLAY ON BOTTOM OF S6 MATRIX
S6VERF1. [VERIFY THE NUMBER OF HOUSEHOLD MEMBERS LISTED ABOVE]
NUMBER OF HH MEMBERS IN MATRIX CORRECT..................................1
RETURN TO MATRIX..................................2 [RETURN TO MATRIX]
GO TO RESULT..................................GT
ASK P30 FOR EVERY HH MEMBER WHERE AGE IS MISSING
P30 {Are you/Is this person} 18 years old or older?
YES....................................1 [GO TO P31b]
NO......................................................................2
REFUSED..........................................................-7
DONT KNOW.................................................-8
ASK P31 FOR EVERY HH MEMBER WHERE AGE < 3 OR P30 = 2
P31. What is {PERSON FROM MATRIX}s month and year of birth?
MONTH |__|__|....................................[HR: 00-12]
YEAR.................................................................|__|__|__|__| [HR: 1997-2000]
Refused................................................................-7
Dont know..........................................................-8
ASK P31b FOR EVERY HH MEMBER WHO IS 18 OR OLDER
P31b {Have you/Has this person} been employed at all since January 1, 1999?
YES...........................................1
NO..........................................................................2
REFUSED..............................................................-7 [R IS INELIGIBLE]
DONT KNOW.....................................................-8
REPEAT P32 AND P33 FOR EVERYONE LISTED IN MATRIX WHO IS 18 YEARS OLD OR OLDER AND HAS BEEN EMPLOYED AT ALL SINCE JANUARY 1, 1999
P32. Since January 1, 1999, {have you/has this person} taken leave from work
YES......................1
NO....................................2
REFUSED........................-7
DON'T KNOW..............-8
P33. Since January 1, 1999, {have you/has this person} needed to take leave from work but did not
YES...........................1
NO.............................................2
REFUSED.................................-7
DON'T KNOW........................-8
IF P32 = 1 AND P33 = 1, 2, -7, -8, PERSON IS LEAVE TAKER
(FMLAFLG = 1).
IF P32 = 2, -7, -8 AND P33 = 1, PERSON IS LEAVE NEEDER
(FMLAFLG = 2).
IF P32 = 2, -7, -8 AND P33 = 2, -7, -8, PERSON IS EMPLOYED ONLY
(FMLAFLG = 3).
SAMPLE EMPLOYED ONLY RESPONDENTS.
S15AD. In addition to {THIS TELEPHONE NUMBER}, are there any other telephone numbers in your household?
YES................................1
NO..................................................................2 (BOX A)
NOT MY PHONE NUMBER........................91
IF CODED "91" OVERLAY
[What number have I reached? ( ) - ]
S16. {Is this/Are these} number(s) for...
Home use, ..................................1
Business and home use or..........................................2
Business use only?.....................................................3
BOX A
IF RESPONDENT SELECTED FOR EXTENDED, CODE RESULT = CS
AND SKIP TO NO CHOICE OR HHSELECT SCREEN
IF NO RESPONDENT SELECTED, SKIP TO THANK02
TERMINATIONS:
READMSG [PLEASE READ THE FOLLOWING MESSAGE INTO THE ANSWERING MACHINE]
This is {INTERVIEWER} calling on behalf of the U.S. Department of Labor. We are conducting a survey to ask you about workplace family and medical leave. Results will be used by the U.S. Department of Labor and others in assessing the impact of family and medical leave policies on employees, so your opinions are important. Your phone number was randomly selected and your answers will be kept confidential. We will call back within the next day or two. Thank you.
P20. Thank you very much, we are only interviewing in households with members who are 18 and over.
THANK 02 Thank you very much for the information. These are all the questions I have at this time.
2000 SURVEY OF EMPLOYEES
QUESTIONNAIRE
INTRO2. [Hello] May I speak to {SELECTED RESPONDENT}?
[I'm calling on behalf of the U.S. Department of Labor. We're conducting a study about workplace family and medical leave.]
SUBJECT SPEAKING/COMING TO PHONE...............1
SUBJECT LIVES HERE - NEEDS APPOINTMENT...............2 [SKIP TO RESULTS SCREEN]
SUBJECT KNOWN LIVES AT ANOTHER NUMBER...............3NEVER HEARD OF SUBJECT............... 4
TELEPHONE COMPANY RECORDING...............5
ANSWERING MACHINE...............AM
GO TO RESULT CODES...............GT
RETRY AUTODIALER...............RT [RETURN TO AUTODIALER]
NAME1. We are conducting this study for the U.S. Department of Labor to find out about people's use of and attitudes about workplace family and medical leave. Results will be used to study the impact of family and medical leave policies on employees. Your participation is voluntary and all information you provide will be kept confidential. If we should come to any question that you don't want to answer, just let me know and we'll go on to the next question.
IF RESPONDENT WANTS STATEMENT, COMPLETE ADDRESS FORM
[PRESS ENTER TO CONTINUE]
SECTION A
PROGRAMMING NOTE: IF LEAVE TAKER (QP32 = 1), GO TO QA1a. |
A1a.
I want to confirm with you that since January 1, 1999, you have taken leave from work:
- for the care of a newborn, newly adopted or new foster child;
- for reasons related to your or a family members pregnancy; or
- for yourself, your child, spouse, or parent because of a serious health condition. A serious health condition is one that lasted more than 3 days or required an overnight hospital stay.
Is this correct? [Have you taken leave from work for one or more of these reasons?]
Yes...............1 [GO TO QA1d]
No...............2
REFUSED...............-7
DONT KNOW...............-8
A1b.
Since January 1, 1999, did you need but not take leave from work:
- for the care of a new child;
- for reasons related to your or a family members pregnancy; or
- for yourself, your child, spouse, or parent because of a serious health condition? [A serious health condition is one that lasted more than 3 days or required an overnight hospital stay.]
Yes...............1 [GO TO QB1b]
No...............2 [GO TO QC0]
REFUSED...............-7 [R INELIGIBLE]
DONT KNOW...............-8
A1d.
Are you currently on this type of leave from work?
Yes...............1
No...............2
REFUSED...............-7
DONT KNOW...............-8
A2.
How many leaves of this type have you taken since January 1, 1999?
|__|__|...............[SR: 00-08]
...............[HR: 00-20]
REFUSED...............-7
DONT KNOW...............-8
A2a.
How about just since January 1, 2000, through today?
|__|__|...............[SR: 00-04]
...............[HR: 00-10]
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE: IF QA3 = 1, 8-12, IMMEDIATELY ASK FOLLOW-UP QUESTION IN OVERLAY SCREEN. |
PROGRAMMING NOTE: IF QA2 = 1, -7, -8, DISPLAY "leave" and "leave" IF QA2 = 2 OR MORE, DISPLAY "leaves" and "longest leave" |
A3.
Now I'm going to ask you some questions about the {leave/leaves} you have taken since January 1, 1999. What was the reason for the {leave/longest leave}?
Own health condition, except
maternity-related illness...............1[WOMEN ONLY] FOR maternity-related disability,
OR OTHER PREGNANCY-RELATED AILMENT PRIOR
TO DELIVERY...............2[WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY
AND TO CARE FOR A NEWBORN...............3[WOMEN ONLY] MISCARRIAGE...............4
TO CARE FOR A NEWBORN...............5
TO CARE for NEWLY ADOPTED CHILD...............6
TO CARE FOR NEWLY PLACED FOSTER CHILD...............7
CHILD'S HEALTH CONDITION...............8
SPOUSE'S HEALTH CONDITION...............9
PARENT'S HEALTH CONDITION...............10
OTHER RELATIVE'S HEALTH CONDITION...............11
OTHER NON-RELATIVE'S HEALTH CONDITION...............12
REFUSED...............-7
DONT KNOW...............-8
A3a/1 OVERLAY.
[SPECIFY R'S HEALTH CONDITION OR ASK] What health condition did you have?
[RECORD RESPONSE VERBATIM; 90 CHARACTERS/2 LINES]REFUSED...............-7
DONT KNOW...............-8
A3a/8 OVERLAY.
[SPECIFY CHILD'S HEALTH CONDITION OR ASK] What health condition did your child have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]
REFUSED...............-7
DONT KNOW...............-8
A3a/9
OVERLAY. [SPECIFY SPOUSE'S HEALTH CONDITION OR ASK] What health condition did your spouse have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]
REFUSED...............-7
DONT KNOW...............-8
A3a/10 OVERLAY.
[SPECIFY PARENT'S HEALTH CONDITION OR ASK] What health condition did your parent have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]
REFUSED...............-7
DONT KNOW...............-8
A3a/11 OVERLAY.
[SPECIFY RELATION TO R OR ASK] What is that persons relationship to you?
GRANDCHILD...............1
GRANDPARENT...............2
SIBLING...............3
OTHER (SPECIFY)__(35 CHAR)___...............91
REFUSED...............-7
DONT KNOW...............-8
A3a/12 OVERLAY.
[SPECIFY RELATION TO R OR ASK] What is that persons relationship to you?
DOMESTIC PARTNER...............1
OTHER (SPECIFY)__(35 CHAR)__...............91
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE: IF QA3 = 1, 8-10 CONTINUE. |
PROGRAMMING NOTE: IF QA3 = 1, DISPLAY "you" |
A3b.
Did {you/your child/your spouse/your parent} require a doctor's care?
YES...............1
NO...............2
REFUSED...............-7 [SKIP TO QA3d]
DONT KNOW...............-8
A3c.
{Were/Was} {you/your childyour spouse/your parent} in the hospital overnight?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
A3d.
Over how long a period of time did this leave last? [IF STILL ON THIS LEAVE, STATE "so far."]
|__|__|__|...............[HR: 00-999]
DAYS...............1
WEEKS...............2
MONTHS...............3
REFUSED...............-7 [GO TO QA3f]
DONT KNOW...............-8
A3e.
Were you off work that entire time?
Yes...............1 [SKIP TO NEXT PROGRAMMING NOTE]
No...............2
REFUSED...............-7
DONT KNOW...............-8
A3f.
How much time were you actually away from work? [ENTRY SHOULD BE LESS THAN {ANSEWR FROM QA3d}. IF RESPONSE IS GREATER, PLEASE VERIFY.]
|__|__|__|...............[HR: 00-999]
DAYS...............1
WEEKS...............2
MONTHS...............3
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE: IF QA3 = 2, 3, OR 5, CONTINUE |
A3g.
How much time were you away from work after the birth of your child?
|__|__|__|...............[HR: 00-999]
DAYS...............1
WEEKS...............2
MONTHS...............3
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE: IF QA2 = 1, -7, -8 SKIP TO QA5b. |
PROGRAMMING NOTE: IF QA4 = 1, 8-12, IMMEDIATELY ASK FOLLOW-UP QUESTION IN OVERLAY SCREEN. |
PROGRAMMING NOTE:
|
A4.
Now I'm going to briefly ask you about your other leave{s}. What was the reason for the second longest leave you have taken since January 1, 1999?
OWN HEALTH CONDITION, EXCEPT
MATERNITY-RELATED ILLNESS...............1
[WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY,
OR OTHER PREGNANCY-RELATED AILMENT PRIOR
TO DELIVERY...............2
[WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY
AND TO CARE FOR A NEWBORN...............3
[WOMEN ONLY] MISCARRIAGE...............4
TO CARE FOR NEWBORN...............5
TO CARE FOR NEWLY ADOPTED CHILD...............6
TO CARE FOR NEWLY PLACED FOSTER CHILD...............7
CHILDS HEALTH CONDITION...............8
SPOUSE'S HEALTH CONDITION...............9
PARENT'S HEALTH CONDITION...............10
OTHER RELATIVE'S HEALTH CONDITION...............11
OTHER NON-REALATIVE'S HEALTH CONDITION...............12
REFUSED...............-7
DONT KNOW...............-8
A4a/1 OVERLAY.
[SPECIFY R'S HEALTH CONDITION OR ASK] What health condition did you have? [RECORD RESPONSE VERBATIM; 90 CHARACTERS/2 LINES]
REFUSED...............-7
DONT KNOW...............-8
A4a/8 OVERLAY.
[SPECIFY CHILD'S HEALTH CONDITION OR ASK] What health condition did your child have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]
REFUSED...............-7
DONT KNOW...............-8
A4a/9 OVERLAY.
[SPECIFY SPOUSE'S HEALTH CONDITION OR ASK] What health condition did your spouse have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]
REFUSED...............-7
DONT KNOW...............-8
A4a/10 OVERLAY.
[SPECIFY PARENT'S HEALTH CONDITION OR ASK] What health condition did your parent have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]
REFUSED...............-7
DONT KNOW...............-8
A4a/11 OVERLAY.
[SPECIFY RELATION TO R OR ASK] What is that persons relationship to you?
GRANDCHILD...............1
GRANDPARENT...............2
SIBLING...............3
OTHER (SPECIFY)__(35 CHAR)___...............91
REFUSED...............-7
DONT KNOW...............-8
A4a/12 OVERLAY.
[SPECIFY RELATION TO R OR ASK] What is that persons relationship to you?
DOMESTIC PARTNER...............1
OTHER (SPECIFY)__(35 CHAR)__...............91
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE: IF QA4 = 1, 8-10 CONTINUE. |
PROGRAMMING NOTE: IF QA4 = 1, DISPLAY "you" |
A4b.
Did {you/your child/your spouse/your parent} require a doctor's care?
YES...............1
NO...............2
REFUSED...............-7 [SKIP TO QA4d]
DONT KNOW...............-8
A4c.
{Were/Was} {you/your child/your spouse/your parent} in the hospital overnight?
Yes...............1
No...............2
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE: IF QA1d = 1, DISPLAY "so far" |
A4d.
Over how long a period of time did this leave last? [IF STILL ON THIS LEAVE, STATE "so far."]
|__|__|__|...............[HR: 00-999]
DAYS...............1
WEEKS...............2
MONTHS...............3
REFUSED...............-7 [GO TO QA4f]
DONT KNOW...............-8
A4e.
Were you off work that entire time?
Yes...............1 [SKIP TO NEXT PROGRAMMING NOTE]
No...............2
REFUSED...............-7
DONT KNOW...............-8
A4f.
How much time were you actually away from work? [ANSWER SHOULD BE LESS THAN {ANSWER FROM QA4d}. IF GREATER, PLEASE VERIFY.]
|__|__|__|...............[HR: 00-999]
DAYS...............1
WEEKS...............2
MONTHS...............3
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
A4g.
How much time were you away from work after the birth of your child?
|__|__|__| [HR: 00-999]
DAYS...............1
WEEKS...............2
MONTHS...............3
REFUSED...............7
DONT KNOW...............8
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
PROGRAMMING NOTE:
|
A5.
You said before that you took {NUMBER FROM QA2} leaves since January 1, 1999. We just asked you about your two longest leaves. What {was/were} the reason{s} for the {other/other {NUMBER FROM QA2 MINUS 2}} leave{s} you took since January 1, 1999? [CODE UP TO 4 RESPONSES.]
OWN HEALTH CONDITION, EXCEPT
MATERNITY-RELATED ILLNESS...............1[WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY,
OR OTHER PREGNANCY-RELATED AILMENT PRIOR
TO DELIVERY...............2[WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY
AND TO CARE FOR A NEWBORN...............3[WOMEN ONLY] MISCARRIAGE...............4
TO CARE FOR NEWBORN...............5
TO CARE FOR NEWLY ADOPTED CHILD...............6
TO CARE FOR NEWLY PLACED FOSTER CHILD...............7
CHILD'S HEALTH CONDITION...............8
SPOUSE'S HEALTH CONDITION...............9
PARENT'S HEALTH CONDITION...............10
OTHER RELATIVE'S HEALTH CONDITION...............11
OTHER NON-RELATIVE'S HEALTH CONDITION...............12
REFUSED...............-7
DONT KNOW...............-8
A5b.
Sometimes people alternate between work and leave. That is, they repeatedly take leave for a few hours or days at a time because of ongoing family or medical reasons. Have you taken this kind of leave since January 1, 1999?
Yes...............1
No...............2
REFUSED...............-7 [GO TO PROGRAMMING NOTE
DONT KNOW...............-8 BEFORE QA6]
A5c.
Was this kind of leave less than half, about half, or more than half of all the time you spent on family or medical leave since January 1, 1999?
LESS THAN HALF...............1
ABOUT HALF...............2
MORE THAN HALF...............3
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
A6.
Is your current leave the longest leave you have taken since January 1, 1999?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
A7.
Im going to read you some reasons why some people might be worried about taking family or medical leave. For each of these, please tell me if you were worried. Were you worried about taking family or medical leave
|
YES |
NO |
REFUSED |
DONT KNOW |
a. Because you thought you might lose your job if you took leave? |
1 |
2 |
-7 |
-8 |
b. Because you thought taking leave might hurt your job advancement? |
1 |
2 |
-7 |
-8 |
c. Because you would lose your seniority? |
1 |
2 |
-7 |
-8 |
d. Because you worried about not having enough money to pay bills |
1 |
2 |
-7 |
-8 |
e. For some other reason? (SPECIFY) (35 CHAR) |
1 |
2 |
-7 |
-8 |
PROGRAMMING NOTE:
|
A8.
Please think about the leave that lasted the longest when you answer the rest of the questions during this interview. Did you take the leave all at once or did you alternate between work and leave?
ALL AT ONCE...............1 [GO TO QA9]
ALTERNATED...............2
BOTH...............3
REFUSED...............-7 [GO TO QA9]
DONT KNOW...............-8
PROGRAMMING NOTE:
|
A8a.
Did you take leave on a regular routine or as needed?
Regular routine...............1
As needed...............2
REFUSED...............-7
DONT KNOW...............-8
A9.
Did you lose any of your benefits during your leave or didnt you have any?
Yes...............1
No...............2
Didnt have any...............3 [GO TO QA10]
REFUSED...............-7
DONT KNOW...............-8
A9a.
What benefits did you lose? [PROBE: Anything else?] [CODE ALL THAT APPLY.]
Health insurance...............1
Life insurance...............2
Disability insurance...............3
Pension contributions...............4
Other (SpecifY)__(35 cHAR)_____...............91
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
A10.
Did you receive pay for any part of your {longest} leave?
YES...............1
no...............2
REFUSED...............-7 [GO TO QA11]
DONT KNOW...............-8
A10a.
Was the pay you received part of
|
YES |
NO |
REFUSED |
DONT KNOW |
a. Your sick leave? |
1 |
2 |
-7 |
-8 |
b. Your vacation leave? |
1 |
2 |
-7 |
-8 |
c. Personal leave? |
1 |
2 |
-7 |
-8 |
d. Parental leave? |
1 |
2 |
-7 |
-8 |
e. Temporary disability insurance? |
1 |
2 |
-7 |
-8 |
f. Some other benefit? |
1 |
2 |
-7 |
-8 |
PROGRAMMING NOTE:
|
A10b.
OVERLAY What benefit is that? [RECORD BENEFIT VERBATIM; 135 CHARACTERS/3 LINES]
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
A10c.
Did you receive your full pay for the entire time you were on {[your longest]} leave?
YES...............1 [GO TO PROGRAMMING NOTE BEFORE QA12]
NO...............2
REFUSED...............-7 [GO TO PROGRAMMING NOTE BEFORE QA12]
DONT KNOW...............-8
A10d.
Did you receive at least some pay for each pay period that you were on {[your longest]} leave?
YES...............1 [GO TO QA10f]
NO...............2
REFUSED...............-7
DONT KNOW...............-8
A10e.
When you received this pay, was it for your full salary or only for part of your salary?
FULL...............1
PART...............2
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
A10f.
Over the entire time you were on {[your longest]} leave, about how much of your usual pay did you receive in total? Would you say
Less than half,...............1
About half, or...............2
More than half?...............3
REFUSED...............-7
DON'T KNOW...............-8
A11.
In order to cover lost wages or salary during the leave, did you
|
YES |
NO |
REFUSED |
DONT |
a. Use savings that you had earmarked for this situation? |
1 |
2 |
-7 |
-8 |
b. Use savings earmarked for something else? |
1 |
2 |
-7 |
-8 |
c. Borrow money to cover lost wages? |
1 |
2 |
-7 |
-8 |
d. Go on public assistance? |
1 |
2 |
-7 |
-8 |
e. Limit extras? |
1 |
2 |
-7 |
-8 |
f. Put off paying your bills? |
1 |
2 |
-7 |
-8 |
g. Cut your leave time short? |
1 |
2 |
-7 |
-8 |
h. Do anything else? (SPECIFY)____(35 CHAR)____ |
1 |
2 |
-7 |
-8 |
PROGRAMMING NOTE:
|
A11b.
How easy or difficult was it for you to make ends meet during your {[longest]} leave? Would you say
Very easy,...............1
Somewhat easy,...............2
Neither easy nor difficult,...............3
Somewhat difficult, or...............4
Very difficult?...............5
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
A11c.
If you had received {some/additional} pay, would you have taken leave for a longer period of time?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE: ASK QA12a IF QA3 = 3, 5-11 |
A12.
Would you say using family and medical leave had a positive effect or no effect at all on
|
YES |
NO |
REFUSED |
DONT |
a. Your ability to care for family members? |
1 |
2 |
-7 |
-8 |
b. Your ability to select a satisfactory childcare provider? |
1 |
2 |
-7 |
-8 |
c. Your ability to select a satisfactory caretaker for |
1 |
2 |
-7 |
-8 |
d. Your or your family member's physical health? |
1 |
2 |
-7 |
-8 |
e. Your or your family member's emotional well-being? |
1 |
2 |
-7 |
-8 |
PROGRAMMING NOTE: IF QA12d = 1, ASK QA13. |
A13.
Which effects did your family and medical leave have on your or your family member's physical health? Would you say
|
YES |
NO |
REFUSED |
DONT |
a. A quicker recovery time, |
1 |
2 |
-7 |
-8 |
b. It was easier to comply with doctor's instructions, |
1 |
2 |
-7 |
-8 |
c. It delayed or avoided need to enter nursing home or |
1 |
2 |
-7 |
-8 |
d. Was there another effect (SPECIFY)?__(35 CHAR) |
1 |
2 |
-7 |
-8 |
A14.
Now Im going to ask you some questions about how your work was covered while you were away on your leave. By cover your work, we mean what your employer did while you were away on leave to make sure that the work you usually did was completed. Did your employer:
|
YES |
NO |
REFUSED |
DONT |
a. Cover your work by assigning it to other employees? |
1 |
2 |
-7 |
-8 |
b. Hire a permanent employee? |
1 |
2 |
-7 |
-8 |
c. Hire an outside temporary worker? |
1 |
2 |
-7 |
-8 |
d. Leave your work for you when you returned? |
1 |
2 |
-7 |
-8 |
PROGRAMMING NOTE: IF R SAYS YES TO MORE THAN ONE ITEM IN QA14, CONTINUE AND DISPLAY IN QA14a ONLY THOSE ITEMS FROM Q14 WHERE RESPONSE = 1. OTHERWISE, SKIP TO NEXT PROGRAMMING NOTE. |
A14a.
Which method was used most often?
WORK ASSIGNED TO OTHER EMPLOYEES...............1
PERMANENT EMPLOYEE HIRED...............2
OUTSIDE TEMPORARY WORKER HIRED...............3
EMPLOYER LEFT WORK FOR LEAVE WORK FOR YOUR RETURN...............4
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE: IF QA1d = 1, GO TO QA19. OTHERWISE CONTINUE |
A15.
After your leave ended, did you go back to work for the same employer, a new employer, or did you not return to work at all?
SAME EMPLOYER 1...............[GO TO QA16]
NEW EMPLOYER...............2 [GO TO QA16]
NOT RETURN TO WORK...............3
REFUSED...............-7 [GO TOQA19]
DONT KNOW...............-8
A15a.
Why didnt you return to work?
OBTAINED OTHER INCOME SOURCE (SELF EMPLOYED)...............1
HEALTH CONDITION CONTINUED (ILLNESS CONTINUES)...............2
LAID OFF / FIRED / REPLACED............... 3 [GO TO QA19]
DIDN'T WANT TO RETURN TO WORK...............4
COULDN'T FIND CHILD CARE...............5
Other (SPECIFY)__(35 CHAR)________...............91
REFUSED...............-7
DONT KNOW...............-8
Im going to read some reasons that people give for returning to work after taking leave.
A16. Was a reason you returned to work because you no longer needed to be on leave?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE: DO NOT ASK QA17f IF QA3 = 1, 2, 3, OR 4. |
A17.
Was a reason you returned to work because
|
YES |
NO |
REFUSED |
DONT |
a. You could not afford financially to take more time off? |
1 |
2 |
-7 |
-8 |
b. You just wanted to get back to work? |
1 |
2 |
-7 |
-8 |
c. You used up all the leave time you were allowed? |
1 |
2 |
-7 |
-8 |
d. You felt pressured by your boss or co-workers to return? |
1 |
2 |
-7 |
-8 |
e. You had too much work to do to stay away longer? |
1 |
2 |
-7 |
-8 |
f. Someone else took over care? |
1 |
2 |
-7 |
-8 |
PROGRAMMING NOTE: IF QA15 = 1, CONTINUE.
|
A18.
After your leave, did you return to the same or an equal position, a higher position, or a lower position than you had before the leave?
SAME OR EQUAL POSITION...............1 [GO TO QA19]
HIGHER POSITION...............2 [GO TO QA19]
LOWER POSITION...............3
REFUSED...............-7 [GO TO QA19]
DONT KNOW...............-8
A18a.
Did you choose to take a lower position or did your employer ask you to take a lower position?
CHOSE LOWER POSITION............... 1
EMPLOYER ASKED...............2
REFUSED...............-7
DONT KNOW...............-8
A19.
Now Im going to ask you some questions about your feelings regarding your leave. How easy or difficult was it to get your employer to let you take time off? Would you say it was
Very easy,...............1
Somewhat easy,...............2
Neither easy nor difficult,...............3
Somewhat difficult, or...............4
Very difficult?...............5
REFUSED...............-7
DONT KNOW...............-8
A20.
How satisfied were you with the amount of time you took off? Would you say you were
Very satisfied,...............1
Somewhat satisfied,...............2
Neither satisfied nor dissatisfied,...............3
Somewhat dissatisfied, or...............4
Very dissatisfied?...............5
REFUSED...............-7
DONT KNOW...............-8
A21.
Since January 1, 1999, have you ever been denied leave to take care of family or medical problems?
Yes...............1
No...............2 [GO TO QC1]
REFUSED -7
DONT KNOW -8
A22.
Were you denied leave
|
YES |
NO |
REFUSED |
DONT |
a. Because your employer does not offer family or medical leave? |
1 |
2 |
-7 |
-8 |
b. Because you hadnt worked for your employer long enough to be eligible for family or medical leave? |
1 |
2 |
-7 |
-8 |
c. Because you had worked too few hours in the previous year? |
1 |
2 |
-7 |
-8 |
d. Because you had no leave left? |
1 |
2 |
-7 |
-8 |
e. For other reasons? (SPECIFY)____(90 CHAR)_____ |
1 |
2 |
-7 |
-8 |
(GO TO QC1)
SECTION B LEAVE NEEDER
B1.
I want to confirm with you that since January 1, 1999 you wanted to take leave from work but did not for an event in your family such as:
- the arrival of a newborn, newly adopted or new foster child;
- reasons related to your or a family members pregnancy; or
- the serious health condition of yourself, your child, spouse, or parent. A serious health condition is one that lasted more than 3 days or required an overnight hospital stay.
Is that correct? [Have you wanted but not taken leave from work for one or more of these reasons?]
YES...............1 [GO TO QB1b]
NO...............2
REFUSED...............-7
DONT KNOW...............-8
B1a.
Did you actually take leave since January 1, 1999 for any of the events I just described?
Yes 1...............[GO TO QA1d]
NO...............2 [GO TO QC0]
REFUSED...............-7 [R INELIGIBLE; TERMINATE]
DONT KNOW...............-8
B1b.
Was there an event like this since January 1, 2000?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
PROGRAMMING NOTE:
|
B2.
{Thinking of the times you needed leave since January 1, 1999, what/What} were the reasons you needed to take leave from work? [CODE UP TO 4 RESPONSES]
OWN HEALTH CONDITION, EXCEPT MATERNITY-RELATED ILLNESS...............1
[WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY, OR OTHER PREGNANCY-RELATED
AILMENT PRIOR TO DELIVERY...............2
[WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY AND TO CARE FOR A NEWBORN...............3
[WOMEN ONLY] MISCARRIAGE 4 TO CARE FOR NEWBORN...............5
TO CARE FOR NEWLY ADOPTED CHILD...............6
TO CARE FOR NEWLY PLACED FOSTER CHILD...............7
CHILD'S HEALTH CONDITION...............8
SPOUSE'Ss HEALTH CONDITION...............9
PARENT'S HEALTH CONDITION...............10
OTHER RELATIVE'S HEALTH CONDITION...............11
OTHER NON-RELATIVE'S HEALTH CONDITION...............12
REFUSED...............-7 [SKIP TO QB3]
DONT KNOW...............-8
B2a/1 OVERLAY.
[SPECIFY R'S HEALTH CONDITION OR ASK] What health condition did you have? [RECORD RESPONSE VERBATIM; 90 CHARACTERS/2 LINES]
REFUSED...............-7
DONT KNOW...............-8
B2a/8 OVERLAY.
[SPECIFY CHILD'S HEALTH CONDITION OR ASK] What health condition did your child have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]
REFUSED...............-7
DONT KNOW...............-8
B2a/9 OVERLAY.
[SPECIFY SPOUSE'S HEALTH CONDITION OR ASK] What health condition did your spouse have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]
REFUSED...............-7
DONT KNOW...............-8
B2a/10 OVERLAY.
[SPECIFY PARENT'S HEALTH CONDITION OR ASK] What health condition did your parent have? [RECORD VERBATIM; 90 CHARACTERS/2 LINES]
REFUSED...............-7
DONT KNOW...............-8
B2a/11 OVERLAY.
[SPECIFY RELATION TO R OR ASK] What is that persons relationship to you?
GRANDCHILD...............1
GRANDPARENT...............2
SIBLING...............3
OTHER (SPECIFY)__(35 CHAR)___ ...............91
REFUSED...............-7
DONT KNOW...............-8
B2a/12 OVERLAY.
[SPECIFY RELATION TO R OR ASK] What is that persons relationship to you?
DOMESTIC PARTNER...............1
OTHER (SPECIFY)__(35 CHAR)__...............91
REFUSED...............-7
DONT KNOW...............-8
B2a.
How many different times did you need leave but not take it, since January 1, 1999?
|__|__|...............[HR: 00-99]
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
B2b.
What was the most recent reason you needed to take leave from work? [CODE ONLY ONE]
OWN HEALTH CONDITION, EXCEPT MATERNITY-RELATED ILLNESS...............1
[WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY, OR OTHER
PREGNANCY-RELATED AILMENT PRIOR TO DELIVERY...............2
[WOMEN ONLY] FOR MATERNITY-RELATED DISABILITY AND TO CARE FOR A NEWBORN...............3
[WOMEN ONLY] MISCARRIAGE...............4
TO CARE FOR NEWBORN...............5
TO CARE FOR NEWLYADOPTED CHILD...............6
TO CARE FOR NEWLY PLACED FOSTER CHILD...............7
CHILD'S HEALTH CONDITION...............8
SPOUSE'S HEALTH CONDITION...............9
PARENT'S HEALTH CONDITION...............10
OTHER RELATIVE'S HEALTH CONDITION...............11
OTHER NON-RELATIVE'S HEALTH CONDITION...............12
REFUSEDHEALTH CONDITION...............-7
DONT KNOWHEALTH CONDITION...............-8
B2c.
How many different times did you need leave for the {first/second/third/fourth} reason you mentioned? [REASON FROM QB2]
|__|__|...............[HR: 00-99]
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
PROGRAMMING NOTE:
|
B2d.
Did {you/your child/your spouse/your parent} require a doctor's care?
YES...............1
NO...............2 [GO TO QB2c FOR THE NEXT REASON
REFUSED...............-7 OR SKIP TO QB3]
DONT KNOW...............-8
B2e.
{Were/Was} {you/your child/your spouse/your parent} in the hospital overnight?
YES...............1
NO...............2
REFUSED -7
DONT KNOW -8
PROGRAMMING NOTE:
|
B3.
Im going to read some reasons people dont take leave from work. Please answer yes or no to all that apply. Was a reason you didnt take {a leave/the leaves you needed} because
|
YES |
NO |
REFUSED |
DONT |
a. You thought you might lose your job? |
1 |
2 |
-7 |
-8 |
b. You thought you might hurt your job advancement? |
1 |
2 |
-7 |
-8 |
c. You didnt want to lose your seniority? |
1 |
2 |
-7 |
-8 |
d. You weren't eligible because you only worked part-time? |
1 |
2 |
-7 |
-8 |
e. You hadnt worked for your employer long enough to be eligible? |
1 |
2 |
-7 |
-8 |
f. Your employer denied your request? |
1 |
2 |
-7 |
-8 |
g. You couldnt afford to? |
1 |
2 |
-7 |
-8 |
h. You wanted to save your leave time? |
1 |
2 |
-7 |
-8 |
i. Your work is too important? or |
1 |
2 |
-7 |
-8 |
j. Was there some other reason you didnt take leave (SPECIFY/35) |
1 |
2 |
-7 |
-8 |
PROGRAMMING NOTE:
|
B3a.
If you had received some or additional pay, would you have taken leave?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
B4.
Since you did not take leave, what did you do to take care of your situation?
[RECORD RESPONSE VERBATIM; 135 CHARACTERS/3 LINES]REFUSED...............-7
DONT KNOW...............-8
[GO TO QC1]
SECTION B
START AT QC0a IF R IS EMPLOYED ONLY AND NOT: A SCREENER R AND STARTING THE EXTENDED ON THE SAME DAY AS COMPLETING THE SCREENER. |
C0a.
I want to confirm with you that since January 1, 1999, you have not taken or needed to take a leave from work:
- for the care of a newborn, newly adopted or new foster child;
- for reasons related to your or a family members pregnancy; or
- for yourself, your child, spouse, or parent because of a serious health condition. A serious health condition is one that lasted more than 3 days or required an overnight hospital stay.
Is this correct? [You have not needed or taken leave from work for any of these reasons?]
YES...............1
NO...............2 [GO TO QA1a]
REFUSED...............-7 [THANK AND TERMINATE]
DONT KNOW...............-8
|
C0.
Have you been employed at all since January 1, 1999?
YES...............1
NO...............2
REFUSED...............-7 [R INELIGIBLE; TERMINATE]
DONT KNOW...............-8
|
C1.
Do you currently take care of a newborn, newly adopted or new foster child, or a relative with a serious health condition on a daily basis?
YES...............1
NO...............2
REFUSED...............-7 [GO TO QC1d]
DONT KNOW...............-8
PROGRAMMING NOTE:
|
C1a.
Whom do you care for? [CODE UP TO 3 RESPONSES]
NEWBORN...............1
NEWLY ADOPTED...............2
NEW FOSTER CHILD...............3 [GO TO QC1d]
CHILD...............4
SPOUSE...............5
PARENT...............6
OTHER RELATIVE...............7
OTHER NON-RELATIVE...............8
REFUSED...............-7 [GO TO QC1d]
DONT KNOW...............-8 [GO TO QC1d]
C1a/7 OVERLAY.
[SPECIFY RELATION TO R OR ASK] What is that persons relationship to you?
GRANDCHILD...............1
GRANDPARENT...............2
SIBLING...............3
OTHER (SPECIFY)__(35 CHAR)____...............91
REFUSED...............-7
DONT KNOW...............-8
C1a/8 OVERLAY.
[SPECIFY RELATION TO R OR ASK] What is that persons relationship to you?
DOMESTIC PARTNER...............1
OTHER (SPECIFY)__(35 CHAR)__...............91
REFUSED...............-7
DONT KNOW...............-8
C1d.
For the next question, please think about time you took off from work since January 1, 1999, because you were sick. What was the largest number of sick days in a row that you took off from work in this time period?
|__|__|__|...............[HR: 00-999]
REFUSED...............-7
DONT KNOW...............-8
C1e.
Earlier we discussed whether you had taken leave from work for a family or medical reason since January 1, 1999. Now think about the period from 1995 through 1998. During that time, did you take leave from work:
- for the care of a newborn, newly adopted or new foster child;
- for reasons related to your or a family members pregnancy; or
- for yourself, your child, spouse, or parent because of a serious health condition? A serious health condition is one that lasted more than 3 days or required an overnight hospital stay.
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
C2.
Over the next 5 years, how likely do you think it is that you will need to take a leave from work for your own serious health condition, the serious health condition of your child, spouse, or parent, or for the arrival of a newborn, newly adopted, or new foster child. Would you say it was
Very likely,...............1
Somewhat likely,...............2
Somewhat unlikely, or...............3
Very unlikely?...............4 [GO TO QC3]
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
C2a.
Who do you think that person or persons will be? [CODE UP TO 4 RESPONSES]
YOURSELF...............1
NEWBORN...............2
NEWLY ADOPTED...............3
NEW FOSTER CHILD...............4 [GO TO QC3]
CHILD...............5
SPOUSE...............6
PARENT...............7
OTHER RELATIVE...............8
OTHER NON-RELATIVE...............9
REFUSED...............-7 [GO TO QC3]
DONT KNOW...............-8 [GO TO QC3]
C2a/8 OVERLAY.
[SPECIFY RELATION TO R OR ASK] What is that persons relationship to you?
GRANDCHILD...............1
GRANDPARENT...............2
SIBLING...............3
OTHER (SPECIFY)_____(35 CHAR)_______...............91
REFUSED...............-7
DONT KNOW...............-8
C2a/9 OVERLAY.
[SPECIFY RELATION TO R OR ASK] What is that persons relationship to you?
DOMESTIC PARTNER...............1
OTHER (SPECIFY)__(35 CHAR)__...............91
REFUSED...............-7
DONT KNOW...............-8
C3.
Have you ever heard about the federal Family and Medical Leave Act?
YES...............1
NO...............2 [GO TO QC8]
REFUSED...............-7
DONT KNOW...............-8
C4.
How did you first learn about the federal Family and Medical Leave Act?
MEDIA (TV, NEWSPAPERS, ETC.)...............1
CO-WORKERS...............2
EMPLOYERS GAVE OUT INFORMATION...............3
POSTERS...............4
INTERNET...............5
FAMILY MEMBER...............6
UNION GAVE OUT INFORMATION...............7
OTHER (SPECIFY)_____(35 CHAR)______ 91
REFUSED -7
DONT KNOW -8
PROGRAMMING NOTE:
|
C5.
{Please think about the most recent time you needed leave}. At the time you {took/took your longest/needed/most recently needed} leave, {do you think you were/Do you think you are} eligible to take advantage of the federal Family and Medical Leave Act?
YES...............1
NO...............2
REFUSED...............-7 [GO TO QC7]
DONT KNOW...............-8
PROGRAMMING NOTE:
|
C6.
Was the leave you just told me about taken under the federal Family and Medical Leave Act?
YES...............1
NO...............2 [GO TO QC8]
REFUSED...............-7
DONT KNOW...............-8
C7.
Prior to January 1, 1999, had you ever taken leave from a job under the federal Family and Medical Leave Act?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
C8.
Are you currently employed?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
IF R IS LEAVE-TAKER OR LEAVE NEEDER (QA1a = 1 OR QA1b = 1 OR QB1 = 1), READ:
IF R IS EMPLOYED ONLY AND NOT CURRENTLY EMPLOYED (QC0a = 1 AND QC8 = 2, -7, -8), READ: |
PROGRAMMING NOTE:
|
C9.
At your place of employment, {is/was} there a notice posted that explains the federal Family and Medical Leave Act?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
C10.
You told me earlier that you had been denied leave. Were you denied leave because you reached the FMLA limit of 12 weeks?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
C11.
Please tell me whether you agree or disagree with the following statements:
|
YES |
NO |
REFUSED |
DONT |
a. Every employee should be able to have up to 12 |
1 |
2 |
-7 |
-8 |
b. Having to provide employees with up to 12 |
1 |
2 |
-7 |
-8 |
PROGRAMMING NOTE: IF EMPLOYED ONLY AND CURRENTLY EMPLOYED (QC0a = 1 AND QC8 = 1), |
C11c.
Since January 1, 1999, have any co-workers where you work{ed} taken leave for family or medical reasons?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
C11d.
As a result of these co-workers taking leave, did you
|
YES |
NO |
REFUSED |
DONT |
a. Work more hours than you usually do? |
1 |
2 |
-7 |
-8 |
b. Work a shift that you do not normally work? |
1 |
2 |
-7 |
-8 |
c. Take on additional duties? |
1 |
2 |
-7 |
-8 |
PROGRAMMING NOTE:
|
C11e.
Would you say that your co-workers taking leave had a positive impact on you, a negative impact on you, or neither?
POSITIVE...............1
NEGATIVE...............2
NEITHER...............3
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
C12. Im going to read a list of benefits that some employers offer to their employees. For each, please tell me if it {USE DISPLAY FROM PROGRAMMING NOTE}.
|
YES |
NO |
REFUSED |
DONT |
a. Flextime |
1 |
2 |
-7 |
-8 |
b. Flexplace or telecommuting |
1 |
2 |
-7 |
-8 |
c. Job sharing |
1 |
2 |
-7 |
-8 |
d. Referral services for child care |
1 |
2 |
-7 |
-8 |
e. Vouchers for child care |
1 |
2 |
-7 |
-8 |
f. Onsite child care |
1 |
2 |
-7 |
-8 |
g. Referral services for elder care |
1 |
2 |
-7 |
-8 |
h. Adoption assistance |
1 |
2 |
-7 |
-8 |
i. Employee Assistance Program |
1 |
2 |
-7 |
-8 |
j. Paid parental leave |
1 |
2 |
-7 |
-8 |
k. Workplace provision for lactation |
1 |
2 |
-7 |
-8 |
PROGRAMMING NOTE:
|
C12a.
Of those offered, which two are the most important to you?
Flextime...............1
Flexplace/telecommuting...............2
Job sharing...............3
Referral services for child care...............4
Vouchers for child car...............5
Onsite child care...............6
Referral services for elder
care...............7
Adoption assistance...............8
Employee Assistance Program...............9
Paid parental leave...............10
Workplace provision for lactation...............11
REFUSED...............-7
DON'T KNOW...............-8
PROGRAMMING NOTE:
|
C13.
{Does/Did} your employer allow you to take leave for the following reasons?
PROGRAMMING NOTE:
|
|
YES |
NO |
REFUSED |
DONT |
a. To take part in childrens school and |
1 |
2 |
-7 |
-8 |
b. To attend to routine family medical needs? |
1 |
2 |
-7 |
-8 |
c. To help with elderly relatives health care needs? |
1 |
2 |
-7 |
-8 |
C13a.
Since January 1, 1999, have you taken this type of leave?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
C13b.
Have you needed to take this kind of leave?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
IF R IS LEAVE-TAKER OR LEAVE NEEDER (QA1a = 1 OR QA1b = 1 OR QB1 = 1), READ: Please continue to think about your employment situation during the time you {took your/took your longest/needed/most recently needed} leave.
IF R IS EMPLOYED ONLY AND NOT CURRENTLY EMPLOYED (QC0a = 1 AND QC8 = 2, -7, -8), READ: |
PROGRAMMING NOTE:
|
C14.
{Were/Are} you salaried on {that/this} job, paid by the hour, or what? [CODE ALL THAT APPLY]
SALARIED...............1
HOURLY...............2
PIECEWORK/COMMISSION...............3
OTHER/COMBINATION...............4
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
C14a. {Were/Are} you a contract worker?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
|
C15. At the place where you work{ed}, (for example the site store, building) would you say there {were/are} 50 or more employees?
YES...............1 [Go to Qc16]
NO...............2
REFUSED...............-7
DONT KNOW...............-8
C15a.
Counting all of the sites in your organization, would you say there {were/are} 50 or more employees within 75 miles of where you work{ed}?
YES...............1 [GO TO QC16]
NO...............2
REFUSED...............-7
DONT KNOW...............-8
C15b.
Counting all of the sites in your organization, would you say there {were/are} 25 or more employees within 75 miles of where you work{ed}?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
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C16.
{Since/During the time you were employed between} January 1, 1999 and the present, {have/had} you worked continuously for the same employer {except for the leave you just told me about}?
YES...............1
NO...............2 [GO TO QC19]
REFUSED...............-7
DONT KNOW -8
C17.
({Since/During the time you were employed between} January 1, 1999 and the present, {have/had} you always been a full-time employee {except for the leave you just told me about}?
YES...............1 [GO TO SECTION D]
N0...............2
REFUSED...............-7
DONT KNOW...............-8
C18.
{Since/During the time you were employed between} January 1, 1999 and the present, how many hours per week did you work on average?
|__|__|...............[HR: 00 -99]
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
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PROGRAMMING NOTE:
|
C19.
{DISPLAY FILL FROM PROGRAMMING NOTE}, for how many months from January 1, 1999 to the present did you work for that employer?
|__|__|...............[HR: 00-22]
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
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C19a.
On average, how many hours a week did you work for that employer?
|__|__|...............[HR: 00-99]
REFUSED...............-7
DONT KNOW...............-8
SECTION D - DEMOGRAPHICS
D1.
Are you currently
Married;...............1
Living with a partner;...............2
Separated;...............3
Divorced;...............4
Widowed; or...............5
Never married?...............6
REFUSED...............-7
DONT KNOW...............-8
D2.
Are you Spanish, Hispanic or Latino?
YES...............1
NO...............2
REFUSED...............-7
DONT KNOW...............-8
D2b.
Please tell me which of the following best describes your race. Would you say
White,...............1
Black or African American,...............2
American Indian or Alaska Native,...............3
Asian...............4
Native Hawaiian or Pacific Islander?...............5
Something else (Specify)__(35 CHAR)___...............91
REFUSED...............-7
DONT KNOW...............-8
D3.
How many of your own children under 18 years old do you have living with you?
|__|__|...............[HR: 00-20]
REFUSED...............-7
DONT KNOW...............-8
D4.
What is the highest level of education you have completed?
LESS THEN HIGH SCHOOL...............1
SOME HIGH SCHOOL...............2
HIGH SCHOOL GRADUATE OR GED...............3
SOME COLLEGE............... 4
COLLEGE GRADUATE...............5
GRADUATE SCHOOL...............6
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
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D5.
{Were/Are} you employed by government, by a private company, a non-profit organization or {were/are} you self-employed?
GOVERNMENT...............1
PRIVATE FOR PROFIT...............2
NON-PROFIT ORGANIZATION INCLUDING TAX EXEMPT
AND CHARITABLE ORGANIZATIONS...............3
TAX EXEMPT AND CHARITABLE ORGANIZATIONS...............3
SELF EMPLOYED...............4 [GO TO QD6]
WORKNG IN FAMILY BUSINESS...............5
REFUSED...............-7
DONT KNOW...............-8
D5a.
Would that be the federal, state or local government?
FEDERAL...............1
STATE...............2
LOCAL (COUNTY, CITY, TOWNSHIP)...............3
REFUSED...............-7
DONT KNOW...............-8
PROGRAMMING NOTE:
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D6.
To get a picture of peoples financial situation we need to know the general range of income of all people we interview. Now, thinking about your total family income before taxes from all sources including your job {and your spouses job}, how much did you receive in 1999?
|__|__|__|__|__|__|__| [GO TO END] [HR: 00- 9999999]
REFUSED...............-7
DONT KNOW...............-8
D6a.
Was your family income $35,000 or more in 1999?
YES...............1
NO...............2 [GO TO QD6f]
REFUSED...............-7 [GO TO END]
DONT KNOW...............-8
D6b.
Was it $40,000 or above?
YES...............1
NO...............2
REFUSED...............-7 [GO TO END]
DONT KNOW...............-8
D6c.
Was it $50,000 or above?
YES...............1
NO...............2
REFUSED...............-7 [GO TO END]
DONT KNOW...............-8
D6d.
Was it $75,000 or above?
YES...............1
NO...............2
REFUSED...............-7 [GO TO END]
DONT KNOW...............-8
D6e.
Was it $100,000 or above?
YES...............1 [GO TO END]
NO...............2
REFUSED...............-7
DONT KNOW...............-8
D6f.
Was it $30,000 or above?
YES 1...............[GO TO END]
NO...............2
REFUSED -7...............[GO TO END]
DONT KNOW...............-8
D6g.
Was it $20,000 or above?
YES...............1 [GO TO END]
NO...............2
REFUSED...............-7 [GO TO END]
DONT KNOW...............-8
D6h.
Was it $10,000 or above?
YES...............1 [GO TO END]
NO...............2
REFUSED...............-7 [GO TO END]
DONT KNOW...............-8
D6j.
Was it $5,000 or above?
YES...............1 [GO TO END]
NO...............2
REFUSED...............-7
DONT KNOW...............-8
THAT CONCLUDES THE INTERVIEW
THANK YOU VERY MUCH FOR YOUR PARTICIPATION
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