Not including yourself and (FOCUS CHILD), how many people are there in your family now? Include anyone in your household who is related to you by blood, marriage, adoption, or commitment; and people who are temporarily away, for example, at school or in a hospital. Include (FOCUS CHILD)’s parents who may not live in your household if you consider them part of your family.

INTERVIEWER: IF “NONE,” PROBE: Do you have children living with you?

PROBE:By someone related by commitment we mean someone like your boyfriend or girlfriend.

|___ |___| NUMBER OF OTHER PEOPLE IN FAMILY

Are you currently working, in school, in a training program, or are you doing something else?

PROBE: IF RESPONDENT IS NOT WORKING, ASK: Are you looking for work?

The next questions are about your current job. When did you start working for your current employer?

PROBE FOR BEGINNING, MIDDLE, OR END OF MONTH IF EXACT DATES ARE NOT KNOWN. IF “BEGINNING,” ENTER 05; IF “MIDDLE,” ENTER 15; IF “END,” ENTER 25.

IF THERE IS MORE THAN ONE CURRENT EMPLOYER, ASK THIS AND FOLLOWING QUESTIONS ABOUT EMPLOYER FOR WHOM RESPONDENT WORKS THE MOST HOURS.

NO D24 THIS VERSION.

How many days per week do you usually work in that job?

PROBE: How many days in an average week?

|___ | DAYS PER WEEK

And how many hours per day do you usually work in that job? Please include regular overtime hours.

PROBE: How many hours in an average day?

|___ |___| HOURS PER DAY

What is your work schedule at your current job?

READ RESPONSE CATEGORIES IF NECESSARY.

RECORD ONE RESPONSE.

WATCH THE DECIMAL POINT.

$ |___|___|.|___|___| PER HOUR

How much are your weekly earnings before taxes and other deductions? Please include tips, commissions, and regular overtime pay you may receive.

CIRCLE PAY PERIOD CODE.

Now I would like to ask about benefits that are available to you on this job. Are the following benefits available to you?

READ CATEGORIES.

CIRCLE YES OR NO FOR EACH.

NO D31-D39 THIS VERSION.

PROBE: Include jobs like babysitting or housekeeping if you were paid. Count babysitting, housekeeping, or odd jobs for different families together as one job.

|___ |___| JOBS

NO SUPPLEMENT THIS VERSION.

The next questions are about your educational background.

What types of degrees, diplomas, or certificates have you received (since LAST PSI INTERVIEW DATE)?

PROBE: IF RESPONDENT SAYS “NONE,” ASK: Did you complete an elementary, middle, or junior high school program?

PROBE: IF RESPONDENT SAYS “HIGH SCHOOL DIPLOMA,” ASK: Did you receive your high school diploma through a GED program?

CIRCLE THE CODE FOR EACH DIPLOMA OR CERTIFICATE REPORTED.

NO E4-E23 THIS VERSION.

The next questions are about school or training programs you may have attended since (LAST PSI INTERVIEW DATE).

How many school programs, training programs, and other courses have you attended since (LAST PSI INTERVIEW DATE)? Please include regular high school, adult basic education or GED courses, vocational or trade school, Job Corps, college, or other types of school as well as training programs to help you learn job skills or get a job. Also include classes you may have attended to learn English or improve your reading skills.

PROBE: Include beauty school and secretarial or nursing courses.

NONE . . . . . . . . . . . . . . . . . . . . . . . . . . . 00 GO TO SECTION F

Home visitors may have come to do activities with you and (FOCUS CHILD) or talk to you about how (he/she) is doing or about how your family is getting along. Has anyone from Early Head Start or another program or agency visited you at home since (LAST PSI INTERVIEW DATE)?

PROBE: Please do not include (NAMES OF DATA COLLECTORS/ research staff) who may have visited you to talk to you about (FOCUS CHILD) and collect information for the Early Head Start Evaluation.

Where did the person(s) who visited you come from?

PROBE: From what program or organization?

PROBE: Any place else?

Since (LAST PSI INTERVIEW DATE), how often were you and (FOCUS CHILD)
visited by . . .

READ LIST IF NECESSARY.

INTERVIEWER: USE EXAMPLES FROM YOUR AREA.

How many days did your youngest child stay in the hospital after birth because of medical problems?

|___|___|___| DAYS

|___|___|___| DAYS

Where do you usually take (FOCUS CHILD) for health care? Include visits for preventative care, such as immunizations or physical exams, and visits for health problems, such as illness or injury.

INTERVIEWER: IF THEY SEE A HMO DOCTOR IN A PRIVATE DOCTOR’S
OFFICE, CODE 6.

PROBE: Does (she/he) see a doctor in a private office; a doctor in a clinic or HMO facility; another type of health care provider in a clinic, hospital, or emergency room; or does (she/he) go somewhere else for health care?

PROBE: IF RESPONDENT DOESN’T KNOW OR REFUSES: Did (FOCUS
CHILD) visit a health professional such as a doctor or nurse at least once since (LAST PSI INTERVIEW DATE)?

|___ |___| NUMBER OF VISITS

PROBE: Early intervention services are services designed to meet the needs of very young children with special needs. They are provided by the state or the school system, usually at no cost to parents.

(LOCAL NAME), social workers, family workers, case managers, and family advocates can provide a variety of services. For example, they may help a person find a job, get help for a medical or drug problem, get help for a child with special needs, offer advice about how to improve someone’s life, or help a person apply for government programs or benefits.

Since (LAST PSI INTERVIEW DATE), did you or your family meet or talk with a (LOCAL NAME) social worker, case manager, service coordinator, or family advocate from any of the following programs or places?

Since (LAST PSI INTERVIEW DATE), how often did you or your family meet or talk with (a) case manager(s) from (this program/these programs) at home, in person, or by telephone? Was it two to three times per week, once a week, two to three times a month, once a month, less than once a month, or only once?

ASK FOR EACH PROGRAM MENTIONED IN L1: How often did you meet or talk with the case manager(s) from (PROGRAM IN L1)?

Now I would like to ask you about your satisfaction with your Early Head Start (case manager(s)/social worker(s))? How satisfied were you with your overall relationship with your Early Head Start (case manager (s)/social worker(s))?

Please tell me whether you (are/were) very satisfied, somewhat satisfied, satisfied but would change something, or very dissatisfied.

Now I would like to ask you about your satisfaction with your (case manager(s)/ social worker(s)) from (OTHER AGENCIES IN L1)? How satisfied were you with your overall relationship with your (case manager(s)/social worker(s))?

Please tell me whether you (are/were) very satisfied, somewhat satisfied, satisfied but would change something, or very dissatisfied with each aspect of what (he/she/they) did.

PROBE: Your best estimate would be fine.

Finally, I would like to ask you to think back on your experiences over the last three years.

|___ |___| MONTHS

Please tell me how often you participated in the following activities at (LOCAL EHS PROGRAM) since you enrolled in the program. For each one, tell me if you did not participate at all or if you participated once or twice, or three or more times.

INTERVIEWER: FOR FIRST 2 ITEMS, PROBE IF RESPONSE IS 3 OR
MORE TIMES: Would you say you participated at least monthly or more often than monthly?

During the time that you were participating in (NAME OF LOCAL EHS
PROGRAM), how much time would you say you usually spent in these program activities in a typical month?

PROBE: Would you say you typically spent less than 2 hours a month, between 2 and 5 hours a month, between 6 and 10 hours per month, or more than 10 hours per month?

|___|___| HOURS PER MONTH OR

How much time would you say (FOCUS CHILD) usually spent in these program activities in a typical month? Please include the time (FOCUS CHILD) was in (NAME OF LOCAL EHS PROGRAM) child care, participating in home visits, or participating in group socialization activities in a typical month.

PROBE: Would you say (FOCUS CHILD) typically spent less than 2 hours a month, between 2 and 5 hours a month, between 6 and 20 hours per month, between 20 and 40 hours per month, or more than 40 hours per month?

|___|___| HOURS PER MONTH OR

What were the two most important things that (LOCAL EHS PROGRAM) helped you and your family with?

RECORD VERBATIM THEN CIRCLE ALL THAT APPLY.

What was that?

Thank you so much for completing this final interview in the National Early Head Start Study. Over the last 3 years, you have made an important contribution to helping us learn about the needs of families with infants and toddlers in this country, and we appreciate your help very much.