Head Start Family and Child Experiences
Survey
Spring '98 Parent
Interview Supplement
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| Respondent ID number ___ ___ - ___ - ___ - ___ ___
___ |
| A3. |
When did CHILD begin Head Start? |
___ ___ /
Month |
___ ___
Year |
| A4. |
How did you and CHILD find out about this
Head Start program? |
| DO
NOT READ LIST. CIRCLE ALL THAT APPLY. |
| Family/friend |
|
|
01 |
| Referral from another agency |
|
|
02 |
| Word of mouth |
|
|
03 |
| Head Start came to visit at our home |
|
|
04 |
| Previous children in Head Start |
|
|
05 |
| Flyer/mailing |
|
|
06 |
| Other (Please specify) |
|
|
07 |
| A5. |
How does CHILD usually get to the Head
Start Program to attend classes or group activities? |
| DO
NOT READ LIST. CIRCLE ALL THAT APPLY. |
| Head Start school bus |
|
01 |
| Personal transportation (including car or car pool) |
|
02 |
| Public transportation (bus/subway) |
|
03 |
| Walks |
|
04 |
| Other (Please specify) |
|
05 |
| Don't Know (Give prompt) |
|
99 |
| A6. |
How long does it take for CHILD to travel
from home to the Center? |
___ ___ minutes |
| A7. |
How many days per week does CHILD
attend Head Start class? |
|
| |
___ ___ days/week
[for center-based child]
___ ___ days/month [for home-based child] |
| A8. |
How many hours per day does CHILD spend
in Head Start class? |
|
| |
___ ___ hours/day |
| A9. |
Did CHILD attend any center-based child
care or child development programs before (he/she) entered Head Start?
|
| A10. |
How old was CHILD when (he/she) first started
such a program? |
___ ___ months |
| A11. |
How old was CHILD when (he/she) stopped
attending that program? |
___ ___ months |
| |
Still attending ................80 |
| A13. |
Is that person or place licensed, certified,
or regulated?
|
| |
No |
01 |
|
| |
Yes |
02 |
|
| |
Don't Know |
99 |
|
| Now I’d like to ask you
some questions about any child care arrangements, other than Head
Start, that you may have used for CHILD. |
| J1. |
Let’s think about the years before
CHILD was enrolled in Head Start. During that time, was (he/she) cared
for on a regular basis (10 hrs/wk or more) by someone other than yourself? |
| J2. |
How old in months was CHILD when (he/she)
first started in a child care arrangement for 10 or more hours per
week? |
___ ___ months old |
| J3. |
Thinking about all of the child care arrangements
that CHILD was in before enrollment in Head Start, (a) where and by
whom was that care provided? (b) Which arrangement did you use most
frequently? |
|
CIRCLE ALL
THAT APPLY |
CIRCLE THE ONE
USED MOST |
| |
(a) |
(b) |
| At CHILD's home by a relative |
01 |
01 |
| At CHILD's home by a non-relative |
02 |
02 |
| In a relative's home |
03 |
03 |
| In a friend's or neighbor's home |
04 |
04 |
| Family day care home |
05 |
05 |
| Other child care center/child development program |
06 |
06 |
| At Head Start (not including time in class) |
07 |
07 |
| Other (Please specify) |
08 |
08 |
| J4. |
Before enrolling in Head Start, in how many different
arrangements did CHILD spend 10 or more hours per week? |
| |
___ ___ arrangements |
| G25. |
Is any language other than English spoken
in your home? |
| G26. |
What are those languages? |
| DO
NOT READ LIST. CIRCLE ALL THAT APPLY. |
| French |
|
01 |
| Spanish |
|
02 |
| Cambodian (Khmer) |
|
03 |
| Chinese |
|
04 |
| Haitian Creole |
|
05 |
| Hmong |
|
06 |
| Japanese |
|
07 |
| Korean |
|
08 |
| Vietnamese |
|
09 |
| Arabic |
|
10 |
| Other (Please specify) |
|
11 |
| G27. |
Do you or your family need someone from
Head Start to speak to you in (LANGUAGE from G26)? |
| G28. |
Is someone from Head Start available to
speak to you or your family in (LANGUAGE from G26)? |
| G29. |
Does CHILD ever need or want a member of
the Head Start teaching staff to speak in (LANGUAGE from G26)? |
| G30. |
Is there someone in the classroom at Head
Start available for CHILD to speak in (LANGUAGE from G26)? |
| G31. |
. What is CHILD’S racial or ethnic
background? |
| DO NOT READ LIST. CIRCLE
ONE RESPONSE. IF MULTIRACIAL, CODE UNDER “OTHER.” |
|
| Asian or Pacific Islander |
|
01 |
| Black (African American; non Hispanic) |
|
02 |
| White (Caucasian; non-Hispanic) |
|
03 |
| Hispanic (Latino) |
|
04 |
| Native American or American Indian or Alaskan Native |
|
05 |
| Other (Please specify) |
|
06 |
| G32. |
In what country was CHILD born? |
| |
USA |
01 |
SKIP
TO G34 |
| |
Other (Please specify country) |
02 |
|
| G33. |
How many years has CHILD lived in the United
States? |
___ ___ years |
| G34. |
In what country was CHILD born? |
| |
USA |
01 |
SKIP
TO G38 |
| |
Other (Please specify country) |
02 |
|
| G35. |
How many years have you lived in the United
States? |
___ ___ years |
| G36. |
Did you attend school outside the U.S.? |
| G37. |
How many years did you attend school before
coming to the U.S.? |
___ ___ years |
| G38. |
How many grades of school did you complete? |
|
| DO
NOT READ LIST. CIRCLE ONE RESPONSE. |
| No formal schooling |
00 |
| Less than 8th grade |
07 |
| 8th grade |
08 |
| 9th grade |
09 |
| 10th grade |
10 |
| 11th grade |
11 |
| 12th grade |
12 |
| G39. |
Do you have a high school diploma or GED? |
| |
No |
01 |
|
| |
Yes, Diploma |
02 |
|
| |
Yes, GED |
03 |
|
| G40. |
Have you attended college? |
| G41 |
Have you received any degrees?
(IF YES) What is your highest degree? |
| DO NOT READ LIST.
CIRCLE ALL THAT APPLY. |
| No |
01 |
| Yes, Associate Degree |
02 |
| Yes, Bachelor's Degree |
03 |
| Yes, Graduate Degree |
04 |
| G42. |
Did you attend vocational or trade school? |
| G43 |
Have you obtained any job-related
certificates or licenses? |
| DO NOT READ LIST.
CIRCLE ALL THAT APPLY. |
| No |
|
01 |
| Yes, trade license or certificate |
|
02 |
| Yes, CDA. (Child Development Associate) |
|
03 |
| Yes, other (Please specify) |
|
04 |
| H16. |
Since CHILD was born, has your family
ever been homeless or not had a regular place to live? |
| H17. |
How many times has this happened? |
___ ___ time |
| DO NOT READ LIST.
CIRCLE ALL THAT APPLY. |
| Homeless shelter |
|
01 |
| On the street |
|
02 |
| In a car |
|
03 |
| In a motel |
|
04 |
| Doubling up with others as a last resort |
|
05 |
| Other (Please specify) |
|
06 |
| H19. |
What was the longest
time you were without a place to live? |
___ ___ days or
___ ___ weeks or
___ ___ months |
| H20. |
Since CHILD began Head Start have you
been without a place to live at any time? |
| K3. |
How much did CHILD weigh when (he/she)
was born? |
___ ___ Pounds___ ___ Ounces |
| |
Don't know................99 |
| G2a. |
How much did CHILD weigh when (he/she)
was born? |
___ ___ years old |
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RETURN TO PARENT INTERVIEW
Question Q6 Page 64
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