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pdfForm Approved
OMB No. 0990-0331
Exp. Date xx-xx-xxxx
Evaluation of the Administration for Children and
Families Responsible Fatherhood, Marriage and
Family Strengthening Grants for Incarcerated and
Reentering Fathers and Their Partners
Data Collection Instrument
9 month male follow-up survey
18 month male follow-up survey
34 month male follow-up survey
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a
collection of information unless it displays a valid OMB control number. The valid OMB
control number for this information collection is 0990-0331. The time required to complete
this information collection is estimated to average 1 hour, 30 minutes per response,
including the time to review instructions, search existing data resources, gather the data
needed, and complete and review the information collection. If you have comments
concerning the accuracy of the time estimate(s) or suggestions for improving this form,
please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200
Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports
Clearance Officer
Male 9, 18, and 34M Follow-up
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Introduction and Consent
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Logic before:
Fill baseline interviewer name below.
ONE" instead of an interviewer name.
MNCONFI
If baseline nstrument was a final noninterview, fill "NO
NO LABEL
THE INTERVIEWER LISTED BELOW IS NOT ALLOWED TO INTERVIEW THIS RESPONDENT BECAUSE THEY HAVE
PREVIOUSLY INTERVIEWED THIS RESPONDENT'S PARTNER.
^prld.FBBLFI INTERVIEWED THIS RESPONDENT'S PARTNER AT BASELINE
ALSO, MAKE SURE THAT YOU DID NOT INTERVIEW THIS RESPONDENT'S PARTNER FOR THE 9MFU.
Question Type:
TFI, nodk, norf
MUSTSTOP
GOODTOGO
1 I HAVE INTERVIEWED THIS RESPONDENT'S PARTNER
2 I HAVE NEVER INTERVIEWED THIS RESPONDENT'S PARTNER
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MNCON1
9MFU Private Setting
[INTERVIEWER: LOOK AROUND YOU IN ALL DIRECTIONS. MAKE SURE THAT YOU ARE OUT OF EARSHOT OF OTHER
PEOPLE, INCLUDING PEOPLE WHO MAY BE IN AN ADJACENT ROOM OR OUTSIDE.
FOR AN INTERVIEW SETTING TO BE CONSIDERED PRIVATE, YOU MUST BE CERTAIN THAT THE QUESTIONS YOU READ
AND THE RESPONDENT'S ANSWERS CANNOT BE (1) OVERHEARD OR (2) ASCERTAINED BY SOMEONE LOOKING THROUGH
A WINDOW.
ARE YOU CONFIDENT THE INTERVIEW SETTING IS PRIVATE?]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MNCON1=yes, go to MNCON3. If MNCON1 = no, go to MNCON2.
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MNCON2
9MFU Inappropriate Interview Room
[INTERVIEWER: BECAUSE YOU HAVE INDICATED THAT THE INTERVIEW SETTING IS NOT PRIVATE, YOU CANNOT
PROCEED WITH THE INTERVIEW. YOU WILL NEED TO BREAK OFF THE INTERVIEW AND RESCHEDULE FOR A TIME WHEN
YOU CAN CONDUCT THE INTERVIEW IN PRIVATE.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
If breakoff at this screen, do not update the event code.
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Tuesday, August 03, 2010
Page 1 of 215
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MNCON3
9MFU Consent Form
[HAND R INTERVIEW CONSENT FORM. FOR INCARCERATED RESPONDENTS, USE THE FACILITY CONSENT FORM THAT
MATCHES THE INCENTIVE PROTOCOL FOR THE FACILITY HE IS IN; FOR ALL OTHER RESPONDENTS, USE THE
COMMUNITY CONSENT FORM.]
This document is called a consent form, and I'm going to read it out loud to you. It will explain
the study and what we are asking you to do. After I'm done reading it, I will answer any questions
you may have.
[READ THE CONSENT FORM TO THE RESPONDENT.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
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MNCON4
9MFU Consent
[IF R AGREES TO PARTICIPATE IN THE INTERVIEW, HAND R PEN AND INSTRUCT R TO SIGN THE INTERVIEW
CONSENT FORM. THEN YOU SHOULD SIGN THE CONSENT FORM.
DID R CONSENT TO THE INTERVIEW OR DID R REFUSE THE INTERVIEW?]
Question Type:
TConsent
Consent
Refused
1 R CONSENTED TO THE INTERVIEW
2 R REFUSED THE INTERVIEW
Logic after:
If MNCON4 EQ 2, terminate interview and go to end. Assign event code 360.
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Logic before:
If MNCON4 EQ yes, go to MNCON4a.
MNCON4a
9MFU Consent to CARI
We are using a special quality control system on this project. The system runs on the computer and
will record what you and I say to each other during several different parts of the interview.
Neither you nor I will know when the computer is recording what we say. The recording will be
reviewed by people at RTI to monitor my work, and will be kept confidential. You may participate in
the interview even if you do not consent to the recordings.
By signing below, you are allowing us to use this quality control system. May we use this quality
control system during your interview?
[DID R CONSENT TO CARI?]
Question Type:
Logic after:
Bconsent
If MNCON4a=no, Turn OFF CARI and go to MNCON4b.
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MNCON4b
9MFU CARI Consent
[GIVE R AN @BUNSIGNED@B COPY OF THE INTERVIEW CONSENT FORM. RETURN YOUR SIGNED COPY OF THE CONSENT
FORM TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO YOUR FS/RTI.]
Question Type:
TContinue
Continue
1 Continue
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Tuesday, August 03, 2010
Page 2 of 215
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MNCON5
9MFU R Incarcerated
[IS R CURRENTLY INCARCERATED?]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
CREATE OUTPUT VARIABLE CALLED INCARSTATE. If MNCON5 = NO, then INCARSTATE = 1 (released).
INCARSTATE 2 and 3 will be created in MN1A000b.
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MNCON6
9MFU Gender
[WHAT IS R'S GENDER?]
Question Type:
TGender2
Male
Female
Trans
1 MALE
2 FEMALE
3 TRANSGENDER
Logic after:
MNCON6: add a consistency check if answer is female in male follow-up survey. Text should say,
"YOU ARE USING A CASEID THAT CAN ONLY BE USED FOR A FOLLOW-UP INTERVIEW WITH A MALE RESPONDENT.
EITHER YOU HAVE RECORDED THE WRONG GENDER, OR YOU ARE USING THE WRONG CASEID. PLEASE BACK UP AND
CORRECT THE GENDER, OR BREAK OFF THE INTERVIEW AND RESUME WITH THE CORRECT CASE ID."
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Tuesday, August 03, 2010
Page 3 of 215
Demographics
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Logic before:
Any break-off that occurs at any point in the instrument after this section has begun should be
coded as 393. The entire instrument must be completed for code 491 or 492 to be assigned. Fill
^INTDATE with date R was interviewed at male baseline.
MN1A000a
9MFU Interview Date
First let's take a few minutes to think about the memorable things that happened in your life since
your last interview. Our records show that you were interviewed on ^INTDATE.
[USE YOUR YELLOW HIGHLIGHTER TO MARK ^INTDATE ON REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
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Logic before:
If MNCON5 = yes, ask MN1A000b.
MN1A000b
9MFU Ever Released
At any point since your last interview were you released from prison or jail? In other words, since
your last interview have you spent any time out in the community?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
CREATE NEW OUTPUT VARIABLE CALLED INCARSTATE. [INCARSTATE = 1 (released) was created in MNCON5, so
please refer there]. If MNCON5 = YES and MN1A000b = NO, then INCARSTATE = 2 (still incarcerated).
If MNCON5 = YES and MN1A000b = YES, then INCARSTATE = 3 (reincarcerated).
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Logic before:
If INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN1A000c.
MN1A000c
9MFU Release for Non-Incar
What was the date of your release from the incarceration in which we last interviewed you?
[IF THE R CANNOT REMEMBER THE EXACT DAY, THEN RECORD THE DAY AS THE 15TH OF THE MONTH AND YEAR HE
REPORTS BEING RELEASED.]
@BIF R CANNOT RECALL EXACT DAY, SAY THIS TEXT TO THE R: Okay, because you cannot remember the day
you were released we will record the day as the 15th of (SAY MONTH and YEAR). There are questions
we will ask you later in the interview that will refer to this as the date of your release.@B
[USE YOUR GREEN HIGHLIGHTER TO MARK THE DATE ON THE REFERENCE CALENDAR. YOU WILL ENTER THE DATE ON
THE NEXT SCREEN.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
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Tuesday, August 03, 2010
Page 4 of 215
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Logic before:
If INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN1A000d.
MN1A000d
9MFU Release Date
[ENTER DATE R WAS RELEASED FROM INCARCERATION]
Question Type:
TabTDateFU2
month
day
year
1 MONTH 1..12
2 DAY 1..31
3 YEAR 2008..2011
Logic after:
Create new output variable called ^RELDATE based on the information in MN1A000d.
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MN1A000e
9MFU Memorable Events
What do you remember about these past months since your interview on ^INTDATE?
[PROBE FOR BIRTHDAYS, HOLIDAYS, AND OTHER MEMORABLE EVENTS AND RECORD ON CALENDAR.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
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MN1A000
9MFU Demographic Intro
Next, I'd like to get some updated information about you.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
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MN1A003
9MFU Level of Education
I know you were asked this during your last interview, but just in case there have been any
updates, can you tell me what is the highest grade or level of school you have ever completed?
Question Type:
TEducation
NoEd
Less8th
SomeHS
Ged
HSDip
VocTechDip
SoColl
Assoc
Bach
GradProf
1
2
3
4
5
6
7
8
9
10
NONE
8TH GRADE OR LESS
SOME HIGH SCHOOL
GED
HIGH SCHOOL DIPLOMA
VOCATIONAL/TECH/BUSINESS CERTIFICATE OR DIPLOMA
SOME COLLEGE
ASSOCIATE'S DEGREE (AA, AS)
BACHELOR'S DEGREE (BA, BS)
GRADUATE/PROFESSIONAL DEGREE (MA, MS, PHD, EDD,
MEDICINE/MD, DENTISTRY/DDS, LAW/JJ/LLB, ETC.)
Logic after:
If MN1A003= High School Diploma, ask MN1A003B. Else go to MN1A008.
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Tuesday, August 03, 2010
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MN1A003B
9MFU HS Diploma
Do you have a high school diploma or GED?
Question Type:
THSG
HSDiploma
GED
1 HIGH SCHOOL DIPLOMA
2 GED
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Logic before:
Preload MB1A008. If MB1A008 = YES, skip to next domain. If MB1A008 = NO, ask MN1A008.
MN1A008
9MFU US Citizen
Are you a U.S. citizen?
Question Type:
TYesNo
yes
no
1 Yes
2 No
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Tuesday, August 03, 2010
Page 6 of 215
Relationship Status
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Logic before:
Preload ^Namefill (female’s name) from male baseline.
MN1F000
9MFU Relationship Status Intro
Now I would like to ask you a few questions about ^prld.Namefill.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
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MN1F001
9MFU Namefill Deceased
I realize this may be difficult for you, but if ^prld.Namefill is no longer living, please let me
know.
[RECORD WHETHER ^prld.Namefill IS ALIVE OR DECEASED]
Question Type:
TDeceased
Alive
Dead
1 ^prld.NAMEFILL IS ALIVE
2 ^prld.NAMEFILL IS DECEASED
Logic after:
If MN1F001 = 2, skip to MN1F069. If MN1F001 = DK or RF, treat as if MN1F001 = 1.
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MN3Q001
9MFU Partner Incarceration
Is ^prld.Namefill currently incarcerated?
Question Type:
TYesNo
yes
no
1 Yes
2 No
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Logic before:
If MN3Q001 = YES, ask MN3Q001a.
MN3Q001a
9MFU Contact Difficulty Due to Incarceration
At any point since your last interview, have you found it difficult to stay in touch with
^prld.Namefill because she was or is incarcerated?
Question Type:
TYesNo
yes
no
1 Yes
2 No
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Tuesday, August 03, 2010
Page 7 of 215
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Logic before:
"Spouse/Partner/Co-Parent" will be identified by the variable ^companion preloaded from the male
baseline, as follows: If respondent answered MB1F055, ^prld.companion = spouse. If respondent
answered MB1F056a, ^prld.companion = partner. If respondent answered MB1F060a, ^prld.companion =
parenting partner.
If ^prld.companion = spouse, then ^lcfill should say "married to"
If ^prld.companion = partner, then ^lcfill should say "romantically involved with"
If ^prld.companion = parenting partner, then ^lcfill should say "not romantically involved with"
MN1F045
9MFU Relationship
During your last interview, you were asked some questions about your relationship history. We would
like to know if there have been any changes in your relationship with ^prld.Namefill since you
were last interviewed. At the time of your last interview you reported you were ^lcfill
^prld.Namefill.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If ^prld.companion = spouse (MB1F055), ask MN1F062.
MN1F062
9MFU Spouse Status Change
Have there been any changes in your relationship with ^prld.Namefill since your last interview? By
changes we mean separation, divorce, or no longer being in a romantic relationship with her.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN1F062 = YES, ask MN1F062a. Allow only one response to be selected.
MN1F062a
9MFU Changes in Marriage Status
In which of the following ways is your relationship with ^prld.Namefill different?
Question Type:
TMarrDiff
Sep
Divorce
NoRom
1 You and ^prld.Namefill are now legally separated
2 You and ^prld.Namefill are now divorced
3 You and ^prld.Namefill are still married but are now no longer
romantically involved
---------------------------------------------------------------------------------
Logic before:
If ^prld.companion = partner (MB1F056a), ask MN1F063.
MN1F063
9MFU Romantic Partner Status Change
Have there been any changes in your relationship with ^prld.Namefill since your last interview? By
changes we mean you got married or are no longer in a romantic relationship with her.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
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Tuesday, August 03, 2010
Page 8 of 215
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Logic before:
If MN1F063 = YES, ask MN1F063a. Allow only one response to be selected.
MN1F063a
9MFU Partner Change Type
In which of the following ways is your relationship with ^prld.Namefill different since your last
interview?
Question Type:
TParDiff
NoRom
Marr
1 You are no longer in a romantic relationship with ^prld.Namefill
2 You are now married to ^prld.Namefill
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Logic before:
If ^prld.companion = parenting partner (MB1F060a), ask MN1F064.
MN1F064
9MFU Co-Parent Status Change
At your last interview, you reported that you and ^prld.Namefill shared parenting responsibilities
for a child or children. Have there been any changes in your relationship with ^prld.Namefill since
your last interview? By changes we mean that you have become romantically involved with her,
gotten married to her, or you are no longer co-parenting a child with her.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN1F064 = YES, ask MN1F064a. Allow only one response option to be selected.
MN1F064a
9MFU Co-Parent Change Type
In which of the following ways is your relationship with ^prld.Namefill different since your last
interview?
Question Type:
TCoParDiff
Rom
Marr
NoCnt
1 You are now in a romantic relationship with ^prld.Namefill
2 You are now married to ^prld.Namefill
3 You are now no longer co-parenting a child with ^prld.Namefill
---------------------------------------------------------------------------------
Logic before:
If MN1F062a = 1 or 2 OR MN1F063a = 1 OR MN1F064a = 1 or 3, ask MN1F064c.
MN1F064c
9MFU R Married to Anyone
Are you currently married?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
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Tuesday, August 03, 2010
Page 9 of 215
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MN1F064b
9MFU R Married to Namefill
IS R MARRIED TO ^NAMEFILLcaps?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN1F062 NE YES or MN1F063a = 2 or MN1F064a = 2 or 3, OR MN1F062a = Sep or Divorce or NoRom,
MN1F065.
MN1F065
ask
9MFU Confirm Romantic Involvement
Are you currently romantically involved with ^prld.Namefill? That is, do you consider yourselves to
be a couple?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN1F064a = 3 OR MN1F064 = 2, skip to MN1F067. If MNCON5 = yes and MN3Q001 = yes, ^lcfill should
say "Even though you and ^prld.Namefill are both currently incarcerated, do you share parenting
responsibilities for a child or children together?" and ^lcfill2 should say "By sharing parenting
responsibilities we mean that you and ^prld.Namefill are both involved in parenting a particular
child or children in some way.". Else, ^lcfill should say "Do you share parenting responsibilities
for a child or children with ^prld.Namefill?", and ^lcfill2 should not fill.
MN1F066
9MFU Co-Parents
^lcfill ^lcfill2
Question Type:
TYesNo
yes
no
1 Yes
2 No
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Tuesday, August 03, 2010
Page 10 of 215
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Logic before:
If MN1F062a= 1, 2, or 3 OR MN1F063a = 1, ask MN1F067.
Bold and allow response options 1-15 if INCARSTATE = 1 (released) or 3 (reincarcerated). Bold and
allow response options 1-3 and 5-15 if INCARSTATE = 2 (still incarcerated). Do not allow option 4
to be selected if INCARSTATE = 2.
If INCARSTATE = 2 (still incarcerated), and option 4 is
selected, trigger a consistency check that says "YOU HAVE SELECTED A REASON FOR SPLITTING UP THAT
IS INCONSISTENT WITH THE R HAVING BEEN IN PRISON/JAIL SINCE HIS LAST INTERVIEW. PLEASE WORK WITH
THE R TO RESOLVE THE INCONSISTENCY".
Allow R to select all that apply. If "none" option is selected with any of the other options, check
text says "INTERVIEWER: IF "NONE" IS SELECTED, NO OTHER CATEGORY SHOULD BE SELECTED."
MN1F067
9MFU Relationship Split
[USE SHOWCARD 1]
I'm going to read a list of reasons that couples split up. Which of these issues were reasons for
you and ^prld.Namefill splitting up? Please select all that apply.
Question Type:
Tsplit1Set
Argue
PhysFight
NoCloseInc
1 ^F[1]You argued too much^F[1]
2 ^F[2]Your fights got too physical, like pushing or hitting^F[2]
3 ^F[3]You did not feel close to one another during your incarceration^F[3]
NoCloseRel
4 ^F[4]You did not feel close to one another after you were released^F[4]
Diff
Trust
FeInvd
MaInvd
HeDrugs
SheDrgs
Money
5
6
7
8
9
10
11
HeCrim
^F[5]You were just too different from one another^F[5]
^F[6]You and she had too many jealousy or trust issues^F[6]
^F[7]She got involved with someone else^F[7]
^F[8]You got involved with someone else^F[8]
^F[9]You had problems with drug or alcohol use^F[9]
^F[10]She had problems with drug or alcohol use^F[10]
^F[11]You had conflicts over not having enough money to support the
family^F[11]
12 ^F[12]You had conflicts about being involved in illegal activity^F[12]
ChildConf
Other
None
13 ^F[13]You had conflicts about how to raise children^F[13]
14 ^F[14]Some other reason (SPECIFY)^F[14]
15 ^F[15] (None of the above)^F[15]
---------------------------------------------------------------------------------
Logic before:
If MN1F067 = 14 (other), ask MN1F067s.
MN1F067s
9MFU Other Specify
SPECIFY REASON WHY R AND ^NAMEFILLcaps SPLIT UP.
Question Type:
STRING[300]
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Tuesday, August 03, 2010
Page 11 of 215
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Logic before:
If MN1F067 included more than TWO responses, ask MN1F068. Else, skip to MN1F069.
Only allow option 4 to be selected if INCARSTATE = 1 (released) or 3 (reincarcerated).
In MN1F068, use special font for the response options selected in MN1F067 and only allow those to
be selected by creating a consistency check. "YOU HAVE SELECTED AS THE TWO MOST IMPORTANT REASONS A
REASON(S) THAT WAS NOT REPORTED IN THE PREVIOUS QUESTION, MN1F067. PLEASE PROBE, AS NEEDED, TO
OBTAIN CONSISTENT RESPONSES." Set ^lcfill to fill from MN1F067s for response option 14.
MN1F068
Most Important Reasons for Breakup
What would you say are the two most important reasons that you and ^prld.Namefill split up?
Question Type:
Tsplit2Set
Argue
PhysFight
NoCloseInc
1 ^F[1]You argued too much^F[1]
2 ^F[2]Your fights got too physical, like pushing or hitting^F[2]
3 ^F[3]You did not feel close to one another during your incarceration^F[3]
NoCloseRel
4 ^F[4]You did not feel close to one another after you were released^F[4]
Diff
Trust
FeInvd
MaInvd
HeDrugs
SheDrgs
Money
5
6
7
8
9
10
11
HeCrim
^F[5]You were just too different from one another^F[5]
^F[6]You and she had too many jealousy or trust issues^F[6]
^F[7]She got involved with someone else^F[7]
^F[8]You got involved with someone else^F[8]
^F[9]You had problems with drug or alcohol use^F[9]
^F[10]She had problems with drug or alcohol use^F[10]
^F[11]You had conflicts over not having enough money to support the
family^F[11]
12 ^F[12]You had conflicts about being involved in illegal activity^F[12]
ChildConf
Other
13 ^F[13]You had conflicts about how to raise children^F[13]
14 ^F[14]^lcfill^F[14]
---------------------------------------------------------------------------------
Logic before:
If MN1F068 was asked, ask MN1F068a. Fill ^lcfill1 with the first response option chosen by R in
MN1F068; fill ^lcfill2 with the second response option chosen by R in MN1F068.
MN1F068a
9MFU Confirm Most Important Reasons for Breakup
So just to confirm, the two most important reasons that you and ^prld.Namefill split up were
@B^MN1F_STRINGFILL[1]^MN1F_FILL[1]@B and @B^MN1F_STRINGFILL[2]^MN1F_FILL[2]@B?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If MN1F068a = NO, create a consistency check. Consistency check text should say "GO BACK TO MN1F068
AND CORRECT THE RESPONSE OPTIONS UNTIL THE R AGREES ON THE TWO MOST IMPORTANT REASONS THAT HE AND
^PRLD.NAMEFILL SPLIT UP."
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Tuesday, August 03, 2010
Page 12 of 215
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Logic before:
Everyone is asked this item.
MN1F069
9MFU Romantic Other
Are you currently romantically involved in any way with anyone else?
Question Type:
TYesNocaps
Yes
No
1 YES
2 NO
Logic after:
Preload FB1F049a, FB1F053, and FB1F056 from female baseline. Preload MB1F056, MB1F053 and MB1F060
from male baseline. If (FB1F049a and FB1F053 = yes) OR FB1F056 = yes OR MB1F056 = yes OR MB1F053 =
yes, then create new variable named RELATIONSHIP STATUS = 1 (One or
both parties considers their relationship to be romantic at baseline). If (FB1F049a, FB1F056,
MB1F056 and MB1F053 NE yes) and MB1F060 = yes, then RELATIONSHIP STATUS = 2 (Co-Parent only at
baseline).
Create variable called RELSTATUSFU.
If MN1F062 = 2 (still married to namefill at follow-up) OR MN1F063 = 2 (still romantic with
namefill at follow-up) OR MN1F063a = 2 (married to namefll at follow-up) OR MN1F064a = 1 (romantic
with namefill at follow-up) or MN1F064a = 2 (married to namefill at follow-up) OR MN1F065 = 1
(romantically involved with namefill at follow-up), then RELSTATUSFU = 1 (romantically involved
with spouse or romantically involved with non-spousal partner at follow-up). Else RELSTATUSFU = 2
(co-parents or not romantically involved at follow-up).
---------------------------------------------------------------------------------
Logic before:
If MN1F069 = Yes and MN1F001 = 1, ask MN1F070.
MN1F070
9MFU Namefill Clarification
OK, for the purpose of this interview we will be asking you questions about ^prld.Namefill and not
your other partner(s).
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
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Tuesday, August 03, 2010
Page 13 of 215
GENOGRAM & Family Structure
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savecount
Question Type:
children count saved
integer
---------------------------------------------------------------------------------
MN1D026
9MFU Genogram Intro
Now I'd like to make a chart of everyone in your immediate family. We made a chart like this the
last time you were interviewed, and now we would like to know if there have been any changes in
these relationships since your last interview.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
Preload ^Namefill from male baseline.
MN1D027e
9MFU Confirm BL Primary Partner
Let's start with ^prld.Namefill. I am going to put her on the chart and then we'll add any living
children you parent in some way.
[ADD ^NAMEFILLcaps TO THE GENOGRAM IN THE SURVEY PARTNER BOX].
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If there are any children at baseline (from MB1D027b in male baseline), ask MN1D028. If there were
no children recorded at baseline, go to MN1D033.
MN1D028
9MFU Deceased Child Intro
I realize this may be difficult for you, but if a child is no longer living please let me know.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
Preload ^FOCCHILD and HASFOCAL from male baseline. If HASFOCAL = 1 (there was a focal child
reported at baseline), ask MN1D029. Else, skip to MN1D031.
MN1D029
9MFU Confirm Focal Child
Now let's add ^prld.FOCCHILD. Can you remind me who ^prld.FOCCHILD's mother is?
[RECORD ^PRLD.FOCCHILD AND HIS/HER MOTHER IF DIFFERENT FROM ^PRLD.NAMEFILL ON GENOGRAM.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 14 of 215
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 1, ask MN1D030.
MN1D030
9MFU Confirm Focal Child Living/Deceased
IS ^PRLD.FOCCHILD LIVING OR DECEASED?
[IF ^PRLD.FOCCHILD IS DECEASED, MARK A "D" NEXT TO HIS/HER NAME ON GENOGRAM]
Question Type:
TFocal
Live
Dead
1 ^prld.FOCCHILD IS LIVING
2 ^prld.FOCCHILD IS DECEASED
---------------------------------------------------------------------------------
Logic before:
If MN1D030 = living, ask MN1G062a. If MN1D030 = deceased, skip to MN1D031.
MN1G062a
9MFU Focal Child Age
What is ^prld.FOCCHILD's age? (PROBE IF NEEDED: Your best estimate is fine.)
[IF CHILD IS YOUNGER THAN 1 YEAR, RECORD AGE AS 0.]
Question Type:
0..18
---------------------------------------------------------------------------------
Logic before:
If MN1D030=1 and MN1F001=1, ask MN6N098a.
MN6N098a
Else go to MN1D031.
9MFU Namefill Coparent
Does ^prld.Namefill coparent ^prld.FOCCHILD with you?
involved in raising ^prld.FOCCHILD.
Question Type:
By coparent, we mean that ^prld.Namefill is
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MN1F064a = NoCnt (no longer co-parenting) AND MN6N098a = Yes, create a consistency check. Check
text should say "Earlier you reported that you are no longer co-parenting ^prld.FOCCHILD with
^prld.Namefill. Is this correct? IF R SAYS YES, THEN THE ANSWER TO MN6N098A MUST BE "NO". IF R SAYS
NO, THEN GO BACK TO MN1F064a AND CHANGE THE ANSWER ACCORDING TO R's RESPONSE TO RESOLVE THE
INCONSISTENCY."
---------------------------------------------------------------------------------
MN1Dchild
Question Type:
child loop
array[1..15] of BMN1Dsub
---------------------------------------------------------------------------------
MN1Dnewchild
Question Type:
Children New Since Baseline
array[1..15] of BMN1Dsub2
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 15 of 215
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, ask MN1D027d. Else go to next domain.
If MNCON5 = yes , ^lcfill should say "[IF R SAYS ZERO, ASK HIM TO INCLUDE THE PERSON(S) THE CHILD
IS LIVING WITH WHILE THE R IS INCARCERATED.]"
MN1D027d
9MFU Number of Coparents
Altogether, with how many adults do you share parenting responsibilities for any of your children?
This might include a current spouse or partner or ex-spouses or ex-partners who are mothers of
your children. This could also include another adult, such as a grandparent, with whom you are
raising one of your children.
^lcfill
Question Type:
0..25
---------------------------------------------------------------------------------
MN1G071
Required to Pay Child Support
Please look at the (child/children) on this chart. @BSince your last interview@B, were you required
by a court to pay child support for (this child/any of these children)?
[REFER RESPONDENT TO REFERENCE CALENDAR.]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes to MN1G071 and TOTALCHILD GE 2, go to MN1G072. If yes to MN1G071 and TOTALCHILD EQ 1, go to
MN1G073. Else go to next domain.
---------------------------------------------------------------------------------
MN1G072
Number of Children Supported
For how many children were you required to pay child support for since your last interview?
Question Type:
1..30
---------------------------------------------------------------------------------
MN1G073
Child Support Payments
Since your last interview, overall, how many of those court-ordered child support payments did you
make?
Question Type:
TPayments
All
Some
None
1 All required payments
2 Some required payments
3 No required payments
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 16 of 215
---------------------------------------------------------------------------------
MN1G074
Change in Child Support
Has the court order for child support been changed since your last interview?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN1G075
Back Child Support
Do you owe back child support?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 17 of 215
BL Child Loop
---------------------------------------------------------------------------------
Logic before:
Preload MB1G061 (name; ^CHILD) for all non-focal children recorded at baseline. If number of nonfocal children (use MB1G061 for count) recorded at baseline GE 1, then ask MN1D031. Else go to
MN1D033. Loop MN1D031 - MN1G065a for each of the respondent’s children (up to 15) as specified in
MB1G061.
MN1D031
9MFU Confirm Other Children
OK. Now I am going to record ^CHILD on the chart we have in front of us. Can you remind me who
^CHILD's mother is?
[RECORD ^CHILD AND ^CHILD'S MOTHER IF NOT ^PRLD.NAMEFILL ON GENOGRAM.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MN1D032
9MFU Confirm Other Children Living/Deceased
IS ^CHILD LIVING OR DECEASED?
[IF ^CHILD IS DECEASED, MARK A "D" NEXT TO HIS/HER NAME ON GENOGRAM]
Question Type:
TBLChild
Live
Dead
1 ^CHILD IS LIVING
2 ^CHILD IS DECEASED
Logic after:
If MN1D032 = 2 for ANY child, remove that child from the child loop.
---------------------------------------------------------------------------------
Logic before:
If MN1D032 = living, ask MN1G062b. If MN1D032 = deceased, skip to MN1D033.
MN1G062b
9MFU Age of Other Children
What is ^CHILD's age? (PROBE IF NEEDED: Your best estimate is fine.)
[IF CHILD IF YOUNGER THAN 1 YEAR, RECORD AGE AS 0.]
Question Type:
0..18
---------------------------------------------------------------------------------
Logic before:
If MN1D032 = 1 and MN1F001 = 1, ask MN1G065a. Else go to MN1D033.
MN1G065a
Spouse/Partner Coparent
Since your last interview, has ^prld.Namefill been involved in raising ^CHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 18 of 215
---------------------------------------------------------------------------------
deceasedflag
Question Type:
flag if child deceased
Tyesno
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 19 of 215
New Child Loop
---------------------------------------------------------------------------------
Logic before:
Start of new children loop. Loop MN1D033-MN1G064 until MN1D033 = NO (no new children remain).
If there are children from baseline (focal and/or non-focal) then ^lcfill should say "Do you parent
any other children @Bunder age 18@B that I haven't already mentioned?" If there are no children
from baseline, then ^lcfill should say "Do you parent any children @Bunder 18@B?"
MN1D033
9MFU Add New Children
^lcfill
[FI NOTE: DO NOT INCLUDE CHILDREN WHO ARE NOT YET BORN]
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If there were no children recorded at baseline (MB1D027b = No) AND there are no new children
(MN1D033 = No), go to MN3B009a.
---------------------------------------------------------------------------------
Logic before:
If MN1D033 = yes, ask MN1G061n. Else go to MN1D027d.
MN1G061n
9MFU Name of New Child(ren)
What is the child's name?
[ENTER THE CHILD'S FIRST NAME HERE.]
Question Type:
Logic after:
string[25]
Based on this question, add all new children to the child loop. Fill variable is called, ^CHILD
(child's first name). Do not overwrite this variable at each loop. Later we will need all of the
children's names, both new and preloaded (excluding all deceased children). All living non-focal
children, new and preloaded, should be on one child loop. Create new output variable called
NUMBCHILD (number of new children) based on how many times the MN1D033-MN1G064 loop was gone
through with MN1D033 = YES. Create another new output variable called TOTALCHILD (total number of
children) based on NUMBCHILD (number of new children) plus MN1D030 = 1 (focal child is living) plus
the number of times MN1D032 = 1 (non-focal child from BL is living). TOTALCHILD should equal a
number and will be used to gate subsequent items in the interview. Create a variable to be used in
subsequent fills called ^children. If TOTALCHILD = 1 ^children = child. If TOTALCHILD GT 1,
^children = children. Amother fill called ^children2 will have a comma after the word 'child' or
'children'.
---------------------------------------------------------------------------------
MN1G065
R's Relationship to Child's Mother
Is ^Child's mother...
Question Type:
TChildMother
SpousePartner
Married
Other
Never
1
2
3
4
^prld.Namefill
A former spouse of yours (someone you were married to)
A former partner or current partner other than ^prld.Namefill
Someone that you have never been romantically involved with such as a
family member
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 20 of 215
---------------------------------------------------------------------------------
MN1D034
9MFU Add New Child to Genogram
[ADD THIS CHILD AND HIS OR HER MOTHER TO THE GENOGRAM]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MN1F001=1, ask MN1G034a.
MN1G034a
Else, skip to MN1G062.
Spouse/Partner Coparent
Since your last interview, has ^prld.Namefill been involved in raising ^CHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN1G062
9MFU Age of Child
What is ^CHILD's age? (PROBE IF NEEDED: Your best estimate is fine.)
[IF CHILD IS YOUNGER THAN 1 YEAR, RECORD AGE AS 0.]
Question Type:
Logic after:
0..17
IF NEW CHILD IS 18 OR OLDER, DO NOT INCLUDE IN LOOP.
---------------------------------------------------------------------------------
MN1G063
Gender of Child
And is ^CHILD male or female?
Question Type:
TGender
Male
Female
1 MALE
2 FEMALE
---------------------------------------------------------------------------------
MN1G064
Relationship to Child
Is ^Child...
Question Type:
TChildRelate
Biological
NonBiological
1 Your biological or legally adopted child
2 A non-biological/non-adoptive child that you have been a parent to in
some way
Logic after:
Repeat MN1D033-MN1G064 loop until no new children remain.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 21 of 215
Incarceration Characteristics
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), skip to Part 4, Domain S.
MN3B009a
9MFU Incarceration Intro
The next set of questions is about your current incarceration.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 3 (reincarcerated), ask MN3B009. If INCARSTATE = 2 (still incarcerated) skip to
MN3B011.
MN3B009
9MFU Date Incarceration
Take a look at this calendar and please tell me the date you were incarcerated for this term of
incarceration. I'm asking for the date you entered incarceration this time, not the date of your
sentencing.
[REFER RESPONDENT TO REFERENCE CALENDAR]
[IF THE R CANNOT REMEMBER THE EXACT DAY, THEN RECORD THE DAY AS THE 15TH OF THE MONTH AND YEAR HE
REPORTS BEING REINCARCERATED.]
@BIF R CANNOT RECALL EXACT DAY, SAY THIS TEXT TO THE R: Okay, because you cannot remember the day
you were reincarcerated we will record the day as the 15th of (SAY MONTH and YEAR). There are
questions we will ask you later in the interview that will refer to this as the date of your
reincarceration.@B
[USE YOUR GREEN HIGHLIGHTER TO MARK THE DATE ON THE REFERENCE CALENDAR.]
Question Type:
TabTDate
Month
Date
Year
1 MONTH 1...12
2 DATE 1..31
3 YEAR 1947...2012
Logic after:
Based on the interview date and the response to MN3B009, create a series of variables that
calculates the years (^yearsin), months (^monthsin) and days (^daysin) to fill in the next screen.
IF MN3B009 = DK/DK/DK or RF/RF/RF, then skip to MN3B011. Create new output variable called
^INCARDATE2 based on the information from MN3B009.
---------------------------------------------------------------------------------
Logic before:
First sentence should fill as, "So, you've been incarcerated for over ___ day(s)/month(s)/year(s)."
MN3B010
9MFU Length of Incarceration
^lcfill. Is this correct?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
In MN3B010 = no, create a soft error message that says, "WORK WITH THE RESPONDENT TO CORRECT THE
ANSWER TO MN3B009, IF POSSIBLE. IF NOT POSSIBLE, CLICK ON THE SUPPRESS BUTTON AT THE BOTTOM OF
THIS BOX."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 22 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 2 (still incarcerated) or 3 (reincarcerated), ask MN3B011.
MN3B011
9MFU Expected Release
Do you expect to be released from this incarceration?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If yes go to MN3B012, If no go to MN3B013
---------------------------------------------------------------------------------
MN3B012
9MFU Release Date
When do you expect to be released from this incarceration?
Question Type:
TabTDate3
Month
Date
Year
1 MONTH 1...12
2 DATE 1...31
3 2008...2100
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 2 (still incarcerated), skip to MN3B017. Else ask MN3B013.
MN3B013
9MFU Parole or Probation
Are you currently serving time because of a parole or probation violation?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If yes go to MN3B014. Else go to MN3B016
---------------------------------------------------------------------------------
MN3B014
9MFU Violation
Was the (parole/probation) violation for a technical violation, like failing to report or having a
dirty urine analysis, for a new crime, or both?
Question Type:
TViolation
Tech
NewC
Both
1 TECHNICAL VIOLATION
2 NEW CRIME
3 BOTH
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 23 of 215
---------------------------------------------------------------------------------
Logic before:
If MN3B014 = new crime or both, ask MN3B015. Else go to MN3B017. Allow the respondent to "select
all that apply".
MN3B015
9MFU New Crime
[USE SHOWCARD 2]
What crime were you charged with for the new crime? Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TCrimeSet
Hom
Rape
OtherOffen
Rob
Assaul
Burg
Thef
Ctheft
FraudFor
Weap
Drug
DrugP
Dwi
Other
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Homicide
Rape
Other sex offense (not rape)
Robbery
Assault
Burglary
Theft
Car theft
Fraud or forgery
Weapons offense
Drug dealing
Drug possession
DWI or DUI
Other (SPECIFY)
Logic after:
If MN3B015 = other, ask MN3B015s
---------------------------------------------------------------------------------
MN3B015s
9MFU Specify Other
SPECIFY OTHER CRIME
Question Type:
string[50]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 24 of 215
---------------------------------------------------------------------------------
Logic before:
If MN3B013 = no, ask MN3B016, else go to MN3B017. Allow the respondent to "select all that apply".
MN3B016
9MFU Crime Conviction
[USE SHOWCARD 2]
What crimes were you convicted of for this prison term? Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TCrimeSet
Hom
Rape
OtherOffen
Rob
Assaul
Burg
Thef
Ctheft
FraudFor
Weap
Drug
DrugP
Dwi
Other
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Homicide
Rape
Other sex offense (not rape)
Robbery
Assault
Burglary
Theft
Car theft
Fraud or forgery
Weapons offense
Drug dealing
Drug possession
DWI or DUI
Other (SPECIFY)
Logic after:
IF MN3B016 = other, ask MN3B016s.
---------------------------------------------------------------------------------
MN3B016s
9MFU Specify Other
SPECIFY OTHER CRIME
Question Type:
string[50]
---------------------------------------------------------------------------------
MN3B017
9MFU Discipline
Since ^INTDATE, how many disciplinary infractions have you received?
Question Type:
0..997
---------------------------------------------------------------------------------
MN3B018
9MFU Administrative Segregation
Since ^INTDATE, how many days have you served in administrative segregation? This is sometimes
referred to as spending time "in the hole."
Question Type:
0..9999
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 25 of 215
---------------------------------------------------------------------------------
MN3B019
9MFU Number of Transfers
Since ^INTDATE, how many times have you been transferred? By transferred I mean moved from one
correctional facility to another or between a jail and a correctional facility. Do not include
times you were transferred out for court or medical appointments and returned to the same facility
after less than 7 days.
Question Type:
0..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 26 of 215
Social Support
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 2 (still incarcerated), ask MN3L001. If INCARSTATE = 3 (reincarcerated), skip to
MN3Q019.
MN3L001
9MFU Personal Visits
[USE SHOWCARD 3]
[REFER RESPONDENT TO REFERENCE CALENDAR]
Now, I'm going to ask you about your incarceration experiences since your last interview.
Since your last interview, how often have you received personal visits from family members other
than ^prld.Namefill or your child(ren)?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 27 of 215
Impact of Incarceration on Relationship with Partner
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATE = 2 (still incarcerated) AND MN1F001 = 1) and (RELATIONSHIP STATUS = 1 (One or both
parties considered their relationship to be romantic at baseline) OR RELSTATUSFU = 1 (romantically
involved with spouse or romantically involved with non-spousal partner at follow-up)), ask MN3Q002.
Else skip to MN3Q019.
MN3Q002
9MFU Contact with Partner Important
Now, I'd like to know how much you agree or disagree with each of the following statements.
Keeping in touch with ^prld.Namefill during this incarceration is very important to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3Q003
9MFU Assistance with Contact with Partner
You are satisfied with the amount of help you've received with staying in touch with ^prld.Namefill
during this incarceration. This could be help from outside programs or agencies, program staff at
your facility, clergy, correctional officers, or other staff.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3Q004
9MFU Talk to Partner
[USE SHOWCARD 3]
[REFER RESPONDENT TO REFERENCE CALENDAR]
Now, I'd like to ask about specific contact you currently have with ^prld.Namefill.
About how often do you currently talk on the phone with ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
Logic after:
If MN3Q004 = "NEVER", go to MN3Q006. Else go to MN3Q005
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 28 of 215
---------------------------------------------------------------------------------
MN3Q005
9MFU Length of Time on Phone
About how long is your average phone call with ^prld.Namefill?
[IN MINUTES]
Question Type:
1..120
---------------------------------------------------------------------------------
MN3Q006
9MFU Send Mail
[USE SHOWCARD 3]
How often do you currently send mail to ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
MN3Q007
9MFU Receive Mail
How often do you usually @Breceive@B mail from ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
Logic before:
If MN3Q001 = Yes, go to MN3Q016. Else ask MN3Q008.
MN3Q008
9MFU Receive Personal Visits
How often do you currently receive personal visits from ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
Logic after:
If MN3Q008 = "Never". Go to MN3Q010. Else go to MN3Q009.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 29 of 215
---------------------------------------------------------------------------------
MN3Q009
9MFU Length of Time Spent Together
About how much time do you spend visiting with ^prld.Namefill on an average visit?
[IN MINUTES]
Question Type:
0..540
---------------------------------------------------------------------------------
MN3Q010
9MFU Location of Facility
[USE SHOWCARD 4]
Thinking about your time in prison, please tell me how much you agree or disagree with each of the
following statements.
The prison is located too far away for ^prld.Namefill to make regular visits or is too hard to get
to because of transportation issues.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3Q011
9MFU Facility Policies
Visitor admission rules such as background checks, dress codes, searches, and metal detectors are
hard for ^prld.Namefill to deal with.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3Q012
9MFU Cost of Visiting
The cost of visiting makes it hard for ^prld.Namefill to visit as often as she would like to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 30 of 215
---------------------------------------------------------------------------------
MN3Q013
9MFU Schedule Issues
Schedule issues, like limited visiting hours and ^prld.Namefill's work schedule make it hard for
her to find time for visits.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3Q014
9MFU Cost of Receiving Calls
The cost of receiving calls is too high for ^prld.Namefill or you do not have access to a phone.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3Q015
9MFU Facility is Unpleasant
The prison is not a pleasant place to visit or not a place you want ^prld.Namefill to see you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If MN3Q001 = yes, ^lcfill should say "Thinking about your time in prison, please tell me how much
you agree or disagree with each of the following statements.". Else, do not fill ^lcfill.
MN3Q016
9MFU Partner Does Not Want Contact
^lcfill
^prld.Namefill does not want to maintain close contact with you while you are incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 31 of 215
---------------------------------------------------------------------------------
MN3Q017
9MFU R Does Not Want Contact with Partner
You do not want to maintain close contact with ^prld.Namefill while you are incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If 0, 1 or 2 problems are endorsed between MN3Q001a and MN3Q010-MN3Q017 then, go to MN3Q019. USE
SPECIAL FONT FOR ITEMS FOR WHICH R ANSWERED "STRONGLY AGREE" OR "AGREE" in MN3Q010-MN3Q017. OPTION
#9 SHOULD ONLY BE BOLD AND AVAILABLE IF, MN3Q001A = YES (female partner is currently incarcerated;
item is asked in Part One, Domain F). Allow only 2 response options to be selected.
MN3Q018
9MFU Two Biggest Difficulties
What would you say are the two biggest difficulties in staying in touch with ^prld.Namefill during
this incarceration?
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TContact3Set
Location
Policies
Cost
Issues
Calls
UnPleasant
NoContact
RNoContact
PartIncarcer
1 ^F1 The prison is located too far away for ^prld.Namefill to make
regular visits or is too hard to get to because of transportation issues
^F1
2 ^F2 Visitor admission rules such as background checks, dress codes,
searches, and metal detectors are hard for ^prld.Namefill to deal with
^F2
3 ^F3 The cost of visiting makes it hard for ^prld.Namefill to visit as
often as she would like to ^F3
4 ^F4 Schedule issues, like limited visiting hours and ^prld.Namefill's
work schedule, make it hard for her to find time for visits ^F4
5 ^F5 The cost of receiving calls is too high for ^prld.Namefill, or you
do not have access to a phone ^F5
6 ^F6 The prison is not a pleasant place to visit, or not a place you want
^prld.Namefill to see you ^F6
7 ^F7 ^prld.Namefill does not want to maintain close contact with you
while you are incarcerated ^F7
8 ^F8 You do not want to maintain close contact with ^prld.Namefill while
you are incarcerated. ^F8
9 ^F9 ^prld.Namefill is incarcerated ^F9
Logic after:
Consistency check if the R picks an item that that they did not strongly agree or agree to in
MN3Q010-MN3Q017 or if MN3Q001a NE No. Text should say, "YOU HAVE SELECTED AS THE BIGGEST
DIFFICULTY, SOMETHING THAT THE R DID NOT REPORT AS BEING A DIFFICULTY WHEN THEY WERE FIRST ASKED
ABOUT IT IN QUESTIONS MN3Q001a, MN3Q010-MN3Q017. GO BACK AND PROBE AS NEEDED."
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Tuesday, August 03, 2010
Page 32 of 215
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Logic before:
If INCARSTATE = 2 (still incarcerated) or 3 (reincarcerated) AND MN1F001 = 1, ask MN3Q019. Else go
to MN3R022.
MN3Q019
9MFU Incarceration Changed Relationship
How has your time in prison or jail changed your relationship with ^prld.Namefill, if at all? Has
it made you closer, has it made you drift apart, or has there been no change?
Question Type:
TChange
Closer
APART
NoC
1 MADE YOU CLOSER
2 MADE YOU DRIFT APART
3 NO CHANGE
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 2 (still incarcerated), ask MN3Q020. If INCARSTATE = 3 (reincarcerated) skip to
MN3R054. Allow the respondent to "select all that apply", but do not allow the respondent to select
option 9 (No concerns) with any other option. CC text should read: THE ‘NO CONCERNS’ OPTIONS CAN
NOT BE PICKED WITH OTHER OPTIONS.
MN3Q020
9MFU Relationship Concerns During Incarceration
[USE SHOWCARD 5]
What concerns or worries do you have about your relationship with ^prld.Namefill during your
incarceration?
Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TConcernsFU
Apart
Insecurity
1 Your time in prison will make you drift apart
2 It is hard for you to know what your place in her life is when you're in
prison
3 You don't know whether she will accept collect charges for your calls or
be at home when you call
4 She is concerned about your lifestyle in prison
5 She won't forgive you for problems or conflicts you've had
6 Being in prison makes it hard to open up to her or let yourself get
close to her
7 You don't know whether she will get involved with someone else while
you're in prison
8 Some other concern
9 No concerns
Accept
Lifestyle
Forgive
Close
Involved
Other
None
Logic after:
If MN3Q020 = 8 (other), go to MN3Q020s. If MN3Q020 = 9 (No concerns), go to MN3R022. Else go to
MN3Q021.
---------------------------------------------------------------------------------
MN3Q020s
9MFU Other Specify
SPECIFY OTHER CONCERN
Question Type:
string[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 33 of 215
---------------------------------------------------------------------------------
Logic before:
IF MN3Q020 includes more than one response, ask MN3Q021. Else, skip to MN3R022. SHOW RESPONSE
OPTIONS THAT WERE SELECTED IN MN3Q020 WITH SPECIAL FONT, AND DO NOT ALLOW A RESPONSE TO BE SELECTED
UNLESS IT IS ALSO SELECTED IN MN3Q020 BY CREATING A CONSISTENCY CHECK. CONSISTENCY CHECK TEXT,
"YOU HAVE SELECTED AS THE BIGGEST CONCERN SOMETHING THAT THE R DID NOT REPORT IN MN3Q020. PROBE,
AS NEEDED TO RESOLVE THE INCONSISTENCY." 8th option comes from setting lcfill from MN3Q020s. - cpc
MN3Q021
9MFU Biggest Concern
Of the concerns you mentioned, which one is your @Bbiggest@B concern?
Question Type:
TConcerns2
Apart
Insecurity
Accept
Lifestyle
Forgive
Close
Involved
Other
1 ^F1 Your time in prison will make you drift apart ^F1
2 ^F2 It is hard for you to know what your place in her life is when
you're in prison ^F2
3 ^F3 You don't know whether she will accept collect charges for your
calls or be at home when you call ^F3
4 ^F4 She is concerned about your lifestyle in prison ^F4
5 ^F5 She won't forgive you for problems or conflicts you've had ^F5
6 ^F6 Being in prison makes it hard to open up to her or let yourself get
close to her ^F6
7 ^F7 You don't know whether she will get involved with someone else while
you're in prison ^F7
8 ^F8 ^lcfill ^F8
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Tuesday, August 03, 2010
Page 34 of 215
Impact of Incarceration on Relationship with Children
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL= 0 (no focal child at BL) OR (MN1D030 = 2 (focal child is deceased) and MN1D032 = 2 for
ALL children (all children from BL deceased) and NUMBCHILD = 0 (there are no new children)), skip
to Part 4, domain S. If TOTALCHILD GE 1 AND INCARSTATE = 2 (still incarcerated), ask MN3R022. If
TOTALCHILD = 0 AND INCARSTATE = 2 (still incarcerated), skip to Part 4, domain S. If TOTALCHILD GE
1 AND INCARSTATE=3, skip to MN3R054.
MN3R022
9MFU Contact with Children
[USE SHOWCARD 6]
The next set of questions is about keeping in touch with your ^children during this incarceration.
For these questions, please only include children who are on this chart.
[REFER RESPONDENT TO GENOGRAM]
[REFER RESPONDENT TO REFERENCE CALENDAR]
First, I'd like to know how much you agree or disagree with each of the following statements.
Keeping in touch with your ^children during your incarceration is very important to you. Do you...
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3R023
9MFU Services Recvd to Stay in Contact w Children
You are satisfied with the amount of help you've received with staying in touch with your ^children
during this incarceration. This could be help from outside programs or agencies, program staff at
your facility, clergy, correctional officers, or other staff. Do you...
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 0 (no focal child at baseline) OR MN1D030 = 2 (focal child is deceased), skip to
MN3R025.
MN3R024
9MFU Talk on Phone with Focal Child
Do you talk on the phone to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 35 of 215
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GT 1, ask MN3R025. Else go to MN3R026. If R received MN3R024, ^lcfill should say
"other". If R did not receive MN3R024, do not fill ^lcfill.
MN3R025
9MFU Number of Children R Talks to on Phone
With how many of your ^lcfill children do you currently talk on the phone?
just talking about children who are on this chart.
Remember that we're
[REFER RESPONDENT TO GENOGRAM]
Question Type:
0..30
---------------------------------------------------------------------------------
Logic before:
If MN3R024=yes or if MN3R025 is "GE" 1, ask MN3R026. Else go to MN3R028.
MN3R026
9MFU Occurrence of Phone Conversation
[USE SHOWCARD 7]
How often do you talk on the phone with your ^children?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
MN3R027
9MFU Length of Call with Any Children
About how long is your average phone call with your ^children? [IN MINUTES]
Question Type:
1..120
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 0 (no focal child at baseline) OR MN1D030 = 2 (focal child is deceased), skip to
MN3R029.
MN3R028
9MFU Send Mail to Focal Child
Do you currently send mail to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 36 of 215
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GT 1, ask MN3R029. Else go to MN3R030. If R received MN3R028, ^lcfill should say
"other". If R did not receive MN3R028, do not fill ^lcfill.
MN3R029
9MFU Number of Children Send Mail To
How many of your ^lcfill children do you currently send mail to?
talking about children who are on this chart.
Remember that we are still only
[REFER RESPONDENT TO GENOGRAM]
Question Type:
0..30
---------------------------------------------------------------------------------
Logic before:
If MN3R028=yes or if MN3R029 is "GE" 1, ask MN3R030. Else go to MN3R031.
MN3R030
9MFU Send Mail to Any Child(ren)
[USE SHOWCARD 7]
How often do you currently send mail to your ^children?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
MN3R031
9MFU Send Audiotapes
Have you been able to send any audiotapes to your ^children?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 0 (no focal child at baseline) OR MN1D030 = 2 (focal child is deceased), skip to
MN3R033.
MN3R032
9MFU Receive Mail from Focal Child
Do you currently @Breceive@B mail from ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 37 of 215
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD "GT" 1, ask MN3R033. Else go to MN3R034. If R received MN3R032, ^lcfill should say
"other". If R did not receive MN3R032, do not fill ^lcfill.
MN3R033
9MFU Number of Children Send Mail to R
From how many of your ^lcfill children do you currently receive mail?
only talking about children who are on this chart.
Remember that we are still
[REFER RESPONDENT TO GENOGRAM]
Question Type:
0..30
---------------------------------------------------------------------------------
Logic before:
If MN3R032=yes or if MN3R033 is "GE" 1, ask MN3R034. Else go to MN3R035.
MN3R034
9MFU Receive Mail from Any Child(ren)
[USE SHOWCARD 7]
How often do you currently receive mail from your ^children?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
MN3R035
9MFU Received Photos or Audiotapes
Have you received any photographs or audiotapes of your ^children?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 0 (no focal child at baseline) OR MN1D030 = 2 (focal child is deceased), skip to
MN3R037.
MN3R036
9MFU Personal Visits from Focal Child
Do you currently receive personal visits from ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 38 of 215
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD "GT" 1, ask MN3R037. Else go to MN3R038. If R received MN3R036, ^lcfill should say
"other". If R did not receive MN3R036, do not fill ^lcfill.
MN3R037
9MFU Number of Children at Personal Visits
From how many of your ^lcfill children do you currently receive personal visits?
are still only talking about children who are on this chart.
Remember that we
[REFER RESPONDENT TO GENOGRAM]
Question Type:
0..30
---------------------------------------------------------------------------------
Logic before:
If MN3R036=yes or if MN3R037 is "GE" 1, ask MN3R038. Else go to MN3R043.
MN3R038
9MFU Personal Visits from Children
[USE SHOWCARD 7]
How often do you currently receive personal visits from your ^children?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
MN3R043
9MFU Distance of Facility
[USE SHOWCARD 8]
Thinking about your time in prison, please tell me how much you agree or disagree with each of the
following statements.
The prison is located too far away for your ^children to have regular visits, or is too hard for
the ^children's mother or caretaker to get to because of transportation issues.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3R044
9MFU Admission Rules
Visitor admission rules, such as background checks, dress codes, searches, and metal detectors, are
hard for your ^children to deal with.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 39 of 215
---------------------------------------------------------------------------------
MN3R045
9MFU Cost of Visiting
The cost of visiting is too high for the ^children's mother or caretaker to bring them as often as
she would like to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3R046
9MFU Schedule Issues
Schedule issues, like limited visiting hours and the ^children's mother's or caretaker's work
schedules make it hard to find time for visits.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3R047
9MFU Cost of Calls
The cost of calling or receiving calls is too high, or you do not have access to a phone.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3R048
9MFU Facility Pleasant Place
The prison is not a pleasant place to visit or not a place you want your ^children to see you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 40 of 215
---------------------------------------------------------------------------------
MN3R049
9MFU Mother Does Not Want Contact
Your ^children's mother or caretaker does not want your ^children to maintain close contact with
you while you are incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3R050
9MFU R Wants No Contact
You do not want to maintain close contact with your ^children while you are incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If ANY answers to MN1G062a (age of focal child) or MN1G062b (age of BL non-focal child) or MN1G062
are GT 1 then, go to MN3R051. If NO answers to MN1G062a or MN1G062b or MN1G062 EQ 0/DK/RF, then go
to MN3R053.
MN3R051
9MFU Children Do Not Want Contact
Your ^children (do/does) not want to maintain close contact with you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN3R052
9MFU No Close Contact with Children
You were not in close contact with your ^children before this incarceration.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 41 of 215
---------------------------------------------------------------------------------
Logic before:
If answered 1 or 2 (strongly agree or agree), to more than 2 questions between MN3R043 to MN3R052,
then ask MN3R053. Else, skip to MN3R054. For MN3R053 put response options that the R already
answered 1 or 2 (strongly agree or agree) to in MN3R043 to MN3R052 in special font and only allow
those to be selected, by creating a consistency check. "YOU HAVE SELECTED AS THE @BBIGGEST
CHALLENGE@B SOMETHING THAT WAS NOT REPORTED IN THE PREVIOUS QUESTIONS, MN3R043 to MN3R052. PLEASE
PROBE, AS NEEDED TO OBTAIN CONSISTENT RESPONSES." Also, allow only a total of 2 response options to
be selected. If more than 2 responses have been selected, consistency check should say "ONLY TWO
SELECTIONS CAN BE MADE ON THIS QUESTION."
MN3R053
9MFU Two Biggest Issues for Child Contact
What are the two biggest challenges in staying in touch with your ^children while you are
incarcerated?
Question Type:
TChallenge2Set
Location
1 ^F1 The prison is located too far away for your ^children to have
regular visits, or is too hard for the ^children mother or caretaker to
get to because of transportation issues ^F1
2 ^F2 Visitor admission rules such as background checks, dress codes,
searches, and metal detectors are hard for your ^children to deal with
^F2
3 ^F3 The cost of visiting is too high for the ^children's mother or
caretaker to bring them as often as she would like to ^F3
4 ^F4 Schedule issues, like limited visiting hours and the ^children's
mother's or caretaker's work schedules, make it hard to find time for
visits ^F4
5 ^F5 The cost of calling or receiving calls is too high, or you do not
have access to a phone ^F5
6 ^F6 The prison is not a pleasant place to visit, or not a place you want
your ^children to see you ^F6
7 ^F7 Your ^children's mother or caretaker does not want your ^children to
maintain close contact with you while you are incarcerated ^F7
AdRules
VisitCost
Schedule
CallCost
Pleasant
MotherNo
RNoContact
8 ^F8 You do not want to maintain close contact with your ^children while
you are incarcerated ^F8
9 ^F9 Your ^children (do/does) not want to maintain close contact with you
^F9
10 ^F10 You were not in close contact with your ^children before the
incarceration ^F10
ChildNoContact
NotClose
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 2 (still incarcerated) or 3 (reincarcerated) AND HASFOCAL = 1 AND MN1D030 = 1
(focal child is living), ask MN3R054. If HASFOCAL = 0 (no focal child at baseline) or MN1D030 = 2
(focal child is deceased), skip to Part 4.
MN3R054
9MFU Relationship with Child Since Incarceration
How has your time in prison or jail changed your relationship with ^prld.FOCCHILD, if at all? Has
it made you closer, has it made you drift apart, or has there been no change?
Question Type:
TChange
Closer
APART
NoC
1 MADE YOU CLOSER
2 MADE YOU DRIFT APART
3 NO CHANGE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 42 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 3 (reincarcerated), skip to next domain. Allow the respondent to "select all that
apply". Preload MB1G063 from male baseline. Gender is identified by MB1G063 loop for selected focal
child. FOCSEX1= he/she FOCSEX2= him/her FOCSEX3= his/her If gender = male, then FOCSEX1 = "he",
else FOCSEX1 = "she". If gender = male, then FOCSEX2 = "him", else FOCSEX2 = "her". If
gender=male, then FOCSEX3 = "his", else FOCSEX3 = "her".
MN3R055
9MFU Concerns/Worries About Focal Child
[USE SHOWCARD 9]
What concerns or worries do you have about ^prld.FOCCHILD during your incarceration? Select all
that apply.
REQUIRED PROBE: Anything else?
Question Type:
TWorrySet
Money
School
Happy
Peers
Emotional
1
2
3
4
5
Concerns about there being enough money to support ^focsex2
Concerns about how ^focsex1 is doing in school
Concerns about ^focsex3 happiness
Concerns about ^focsex2 getting teased or threatened by peers
Concerns that you will not be as close emotionally as you were before
you were incarcerated
6 Concerns that ^focsex1 won't have a male role model
7 Concerns that ^focsex1 will get in trouble
8 Other concerns
RoleModel
Trouble
Other
Logic after:
If MN3R055= other, go to MN3R055s. Else go to MN3R056.
---------------------------------------------------------------------------------
MN3R055s
9MFU Specify Other
SPECIFY OTHER
Question Type:
string[100]
---------------------------------------------------------------------------------
Logic before:
If MN3R055 includes more than one response, then ask MN3R056. Else, skip to end of domain. Last
option should be lcfill containing MN3R055s. In MN3R056, use special font for the response options
that the R choose in MN3R055, and only allow those to be chosen by adding a consistency check, "YOU
HAVE JUST SELECTED AS THE RESPONDENT'S @BBIGGEST CONCERN@B, A CONCERN THAT THEY DID NOT AGREE TO
HAVING IN MN3R055. PLEASE PROBE TO OBTAIN CONSISTENT RESPONSES."
MN3R056
9MFU Biggest Concern/Worry for Focal Child
What is your @Bbiggest@B concern or worry about ^prld.FOCCHILD during your incarceration?
Question Type:
TWorry2
Money
School
Happy
Peers
1
2
3
4
Emotional
5 ^F5 Concerns that you will not be as close emotionally as you were
before you were incarcerated ^F5
6 ^F6 Concerns that ^focsex1 won't have a male role model ^F6
7 ^F7 Concerns that ^focsex1 will get in trouble ^F7
8 ^F8^lcfill^F8
RoleModel
Trouble
Other
^F1
^F2
^F3
^F4
Concerns
Concerns
Concerns
Concerns
about
about
about
about
there being enough money to support ^focsex2 ^F1
how ^focsex1 is doing in school ^F2
^focsex3 happiness ^F3
^focsex2 getting teased or threatened by peers ^F4
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 43 of 215
Service Need & Receipt
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill1 should say "since your last
interview on ^INTDATE. ". If INCARSTATE = 1 or 2, do not fill ^lcfill2. If INCARSTATE = 3
(reincarcerated), ^lcfill1 should say "since your last interview on ^INTDATE, but before your
reincarceration on ^INCARDATE2". and ^lcfill2 should say "AND ^INCARDATE2".
MN4S057b
9MFU Introduction to Service Need and Receipt
Now, I'm going to ask you about services you might have received and programs you might have
participated in ^lcfill1
[REFER RESPONDENT TO ^INTDATE ^lcfill2 ON REFERENCE CALENDAR]
I will also ask you which services you might have wanted or needed. We are asking these questions
for research purposes only; your answers will not affect the services you receive.
Question Type:
Tnext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S057
9MFU Attended Class or Workshop
[REFER RESPONDENT TO REFERENCE CALENDAR]
^lcfill have you attended any group classes or workshops on healthy marriage or romantic
relationships? You would have done these sessions in a group.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S058
9MFU Felt Services Were Needed
Have you wanted or felt that you needed to attend any group classes or workshops on healthy
marriage or romantic relationships?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 44 of 215
---------------------------------------------------------------------------------
Logic before:
If MN4S057 = yes, ask MN4S059. Else skip to MN4S064. If INCARSTATE = 1 (released) or 2 (still
incarcerated), ^lcfill should say "since your last interview?" If INCARSTATE = 3 (reincarcerated),
^lcfill should say "since your last interview but before your reincarceration?"
MN4S059
9MFU Number of Times Attended Class
How many times have you attended any group classes or workshops on healthy marriage or romantic
relationships ^lcfill
NUMBER OF TIMES
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If MN4S057 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S057a.
MN4S057a
9MFU When Classes Received
Did you attend these classes or workshops. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
MN4S061
9MFU Length of Class
About how long did each class, workshop, or group session usually last?
In other words, for how many hours did you meet each time?
NUMBER OF HOURS [ROUND TO THE NEAREST HOUR]
Question Type:
1..20
---------------------------------------------------------------------------------
Logic before:
If MN4S059 GE 1 AND MN4S061 GE 1, ask MN4S061a.
MN4S061a
9MFU Confirmation on Number of Hours
So, you had about ^MN4S059 session(s) each lasting about ^MN4S061 hour(s)?
IF R ANSWERS NO, GO BACK TO MN4S059 and MN4S061 TO CORRECT THE ANSWERS.
PROBE, AS NEEDED.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MN4S061a = no, consistency check will say, "PLEASE CORRECT MN4S059 OR MN4S061.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 45 of 215
---------------------------------------------------------------------------------
Logic before:
If MN4S057 = no or MN1F001= 2, skip to MN4S061b. Else ask MN4S060. If INCARSTATE = 1 (released) or
2 (still incarcerated), ^lcfill should say "Since your last interview,". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Since your last interview but before your reincarceration,"
MN4S060
9MFU Attend Class with Partner
^lcfill how many of those sessions did you attend @Btogether with@B ^prld.Namefill?
NUMBER OF TIMES
Question Type:
0..100
---------------------------------------------------------------------------------
MN4S061b
9MFU Class Interesting
How interesting did you find the group classes or workshops?
Question Type:
Tinterest
VeryInt
SomeInt
NotInt
1 Very interesting
2 Somewhat interesting
3 Not interesting
---------------------------------------------------------------------------------
MN4S062
9MFU Frequency of Classes Attended
Did you attend all, most, or some of the classes or workshops that were offered?
Question Type:
TAttendCaps
All
Most
Some
1 ATTENDED ALL
2 ATTENDED MOST
3 ATTENDED SOME
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 46 of 215
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".If MN4S062 = 1, skip to MN4S064. Else, go to
MN4S063. If MN1F001 = ALIVE, bold and allow all response options to be selected. If MN1F001 = DEAD,
only bold and allow options 1, 2, 5, 6, 8, 10, 12, 13 and 14.
Soft check CC Text should read: SELECTIONS 3, 4, 7, 9 AND 11 ARE NOT ALLOWED IF ^PRLD.NAMEFILL IS
DECEASED. PLEASE CORRECT YOUR RESPONSE IF POSSIBLE.
MN4S063
9MFU Reason for Not Attending Class
[USE SHOWCARD 10]
Why did you stop attending the classes or workshops?
Choose all that apply.
[INTERVIEWER: ONLY READ ALOUD RESPONSE OPTIONS THAT ARE BOLD]
REQUIRED PROBE: Any other reasons?
Question Type:
TClassFU
NoInterest
NoHelp
PartnerObject
NoTransport
1
2
3
4
NoConvenient
RConflictIns
NmConIns
RConPartic
NmConPartic
RNoAgree
NmNoAgree
Moved
KickOut
Other
^F1 You were not interested in the classes/workshops ^F1
^F2 The classes/workshops were not helpful ^F2
^F3 ^prld.Namefill objected ^F3
^F4 ^prld.namefill lacked transportation, child care, or had conflicts
with her work schedule and couldn't attend with you ^F4
^F5 The location of the classes was not convenient ^F5
^F6 You had a conflict with the instructor ^F6
^F7 ^prld.namefill had a conflict with the instructor ^F7
^F8 You had a conflict with participants ^F8
^F9 ^prld.namefill had a conflict with participants ^F9
^F10 You did not agree with discussions/message ^F10
^F11 ^prld.namefill did not agree with discussions/message ^F11
^F12 You got released or transferred to another institution ^F12
^F13 You got kicked out ^F13
^F14 Some other reason (SPECIFY) ^F14
5
6
7
8
9
10
11
12
13
14
Logic after:
If MN4S063 = includes "other", go to MN4S063s. Else go to MN4S064.
---------------------------------------------------------------------------------
MN4S063s
9MFU Specify Other
SPECIFY OTHER REASON
Question Type:
string[100]
---------------------------------------------------------------------------------
Logic before:
If MN1F001 = 2, skip to MN4S069. Else ask MN4S064. If INCARSTATE = 1 (released) or 2 (still
incarcerated) = ^lcfill should say "Since your last interview,". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Since your last interview but before your reincarceration,".
MN4S064
9MFU Counseling
^lcfill have you met with a counselor, therapist, or social worker to work on your relationship
with ^prld.Namefill in sessions that were not part of a workshop, class, or group? In other words,
individual or couple's counseling sessions that did not include other people besides you or
^prld.Namefill.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 47 of 215
---------------------------------------------------------------------------------
MN4S065
9MFU Need Couple s Counseling
Have you wanted or felt that you needed to participate in individual or couple's counseling
sessions to work on your relationship with ^prld.Namefill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S064 EQ yes, ask MN4S066; else, skip to MN4S069. If INCARSTATE = 1 (released) or 2 (still
incarcerated), ^lcfill should say "Since your last interview,". If INCARSTATE = 3 (reincarcerated),
^lcfill should say "Since your last interview but before your reincarceration,".
MN4S066
9MFU Attended Marriage Counseling
^lcfill about how many times have you had these counseling sessions to work on your
(marriage/relationship)?
NUMBER OF TIMES
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If MN4S064 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S064a.
MN4S064a
9MFU When Counseling Received
Did you receive this counseling. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
MN4S068
9MFU Length of Sessions
About how long did each session usually last?
NUMBER OF HOURS [ROUND TO THE NEAREST HOUR]
Question Type:
1..24
---------------------------------------------------------------------------------
Logic before:
If MN4S066 GE 1 AND MN4S068 GE 1, ask MN4S068a.
MN4S068a
9MFU Confirmation on Number of Hours
So, you had about ^MN4S066 session(s), each lasting ^MN4S068 hour(s)?
Question Type:
TYesNocaps
Yes
No
1 YES
2 NO
Logic after:
If R answers no to MN4S068a, add consistency check, "GO BACK TO PREVIOUS TWO QUESTIONS
AND CORRECT THE ANSWERS. PROBE, AS NEEDED."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 48 of 215
---------------------------------------------------------------------------------
MN4S067
9MFU Number of Times Attended Counseling Classes
How many of those sessions did you attend @Btogether with@B ^prld.Namefill?
NUMBER OF TIMES
Question Type:
0..100
---------------------------------------------------------------------------------
Logic before:
If yes to MN4S057 or MN4S064, ask MN4S069. Else go to MN4S073.Allow the respondent to "select all
that apply".
MN4S069
9MFU Person Who Informed You
[SELECT ALL THAT APPLY]
How did you hear about the relationship strengthening activities in which you participated?
told you about the classes?
REQUIRED PROBE: Anyone else?
Question Type:
Tinform
InfoSession
Friend
Partner
Ad
CaseMngr
Service
Other
1
2
3
4
5
6
7
HEARD ABOUT IT AT AN ORIENTATION OR INFORMATION SESSION
HEARD ABOUT IT FROM A FRIEND OR FELLOW INMATE
HEARD ABOUT IT FROM ^prld.namefill
SAW POSTER, BROCHURE, OR OTHER AD
REFERRED BY CASE MANAGER OR OTHER STAFF MEMBER
REFERRED BY OTHER SERVICE AGENCY
OTHER (SPECIFY)
Logic after:
If MN4S069 = other, go to MN4S069s. Else go to MN4S070.
---------------------------------------------------------------------------------
MN4S069s
9MFU Other Specify
SPECIFY OTHER SOURCE
Question Type:
string[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 49 of 215
Who
---------------------------------------------------------------------------------
Logic before:
If MN1F001 = 2, skip to MN4S073. Allow respondent to select all that apply. If selected "none" with
other options, trigger a consistency check. CC text:
NONE OPTION CAN NOT BE CHOSEN IN COMBINATION WITH OTHER OPTIONS. PLEASE CORRECT MN4S070.
MN4S070
9MFU Skills Learned from Classes
[USE SHOWCARD 11]
What knowledge or skills did you learn in relationship classes or relationship counseling that
helped you improve your relationship with ^prld.Namefill?
Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
Tclasses
Talk
Work
Calm
Care
Trust
Feel
1
2
3
4
5
6
How to talk with ^prld.Namefill about things that matter
How to work through problems calmly and fairly
How to calm down when things get heated
How to work together on caring for the child(ren)
How to build and keep each other's trust
How to work with each other's feelings about other family members, expartners, and friends
7 How to deal with stress and life changes together
8 Some other skill (SPECIFY)
9 NONE
Stress
Other
None
Logic after:
If MN4S070 = other, go to MN4S070s. Else go to MN4S071.
---------------------------------------------------------------------------------
MN4S070s
9MFU Specify Other
SPECIFY OTHER KNOWLEDGE OR SKILL
Question Type:
string[30]
---------------------------------------------------------------------------------
Logic before:
IF MN4S070 included more than one response, ask MN4S071. Else, skip to MN4S072.In MN4S071, use
special font for the response options selected in MN4S070 and only allow those to be selected, by
creating a consistency check. "YOU HAVE SELECTED AS THE MOST IMPORTANT SKILL A SKILL THAT WAS NOT
REPORTED IN THE PREVIOUS QUESTION, MN4S070. PLEASE PROBE, AS NEEDED, TO OBTAIN CONSISTENT
RESPONSES." set lcfill to MN4S070s for 8th response option - cpc
MN4S071
9MFU Most Important Skill Learned
What would you say is the most important skill you learned in your relationship classes or
relationship counseling?
Question Type:
TClasses2
Talk
Work
Calm
Care
Trust
Feel
Stress
Other
1
2
3
4
5
6
^F1 How to talk with ^prld.Namefill about things that matter ^F1
^F2 How to work through problems calmly and fairly ^F2
^F3 How to calm down when things get heated ^F3
^F4 How to work together on caring for the child(ren) ^F4
^F5 How to build and keep each other's trust ^F5
^F6 How to work with each other's feelings about other family members,
ex-partners, and friends ^F6
7 ^F7 How to deal with stress and life changes together ^F7
8 ^F8^lcfill^F8
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 50 of 215
---------------------------------------------------------------------------------
MN4S072
9MFU Classes Improved Relationship
How much has your relationship with ^prld.Namefill improved as a result of the classes or
workshops?
Would you say. . .
Question Type:
Tsome
Lot
Little
Notatall
1 A lot
2 A little
3 Not at all
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, ask MN4S073. Else go to MN4S075.
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S073
9MFU Parenting Classes
^lcfill have you attended any classes, groups, or workshops to help you improve your parenting
skills or learn to be a better parent?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S074
9MFU Service Needed
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S073 = yes, ask MN4S075; else, skip to MN4S077. If INCARSTATE = 1 (released) or 2 (still
incarcerated), ^lcfill should say "since your last interview?" If INCARSTATE = 3 (reincarcerated),
^lcfill should say "since your last interview but before your reincarceration?"
MN4S075
9MFU Attended Classes to Improve Parenting Skills
How many times have you attended any parenting classes, groups, or workshops ^lcfill
NUMBER OF TIMES
Question Type:
1..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 51 of 215
---------------------------------------------------------------------------------
Logic before:
If MN4S073 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S073a.
MN4S073a
9MFU When Workshops Received
Did you attend these classes, groups, or workshops. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
MN4S076
9MFU Length of Classes
About how long did each class, workshop, or group session usually last? In other words, for how
many hours did you meet each time?
NUMBER OF HOURS
Question Type:
1..24
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S077
9MFU Consultation with Any Staff
^lcfill have you met with a staff member who talks with you about issues or needs you have, tries
to get you into services or programs, helps you get benefits or assistance, and/or monitors your
progress? These services are called case management and the person might be called a case manager,
case worker, social worker, transition coordinator, or systems navigator.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S078
9MFU Services Needed
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 52 of 215
---------------------------------------------------------------------------------
Logic before:
Go to MN4S079, if MN4S077=yes. Else go to MN4S082. If INCARSTATE = 1 (released) or 2 (still
incarcerated), ^lcfill should say "since your last interview?" If INCARSTATE = 3 (reincarcerated),
^lcfill should say "since your last interview but before your reincarceration?"
MN4S079
9MFU Sessions of Case Management
How many sessions of case management have you received ^lcfill
NUMBER OF SESSIONS
Question Type:
1..100
---------------------------------------------------------------------------------
MN4S079a
9MFU Case Manager Helpful
How helpful did you find your case manager?
Question Type:
Thelpful
VeryHelp
SomeHelp
NotHelp
1 Very helpful
2 Somewhat helpful
3 Not helpful
---------------------------------------------------------------------------------
Logic before:
If MN4S077 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S077a.
MN4S077a
9MFU When Case Management Received
Did you receive this case management. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 53 of 215
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply". Do not allow "none" to be selected along with
options 2-15. CC text should read: NONE CAN NOT BE AN OPTION SELECTED WITH OTHER OPTIONS
MN4S080
9MFU Case Manager Referred Services
[USE SHOWCARD 12]
Has a case manager referred you to any of the following kinds of services or benefits? Select all
that apply.
REQUIRED PROBE: Any others?
Question Type:
Tservices
None
Education
Parent
Job
Money
Life
Support
Counsel
Mental
SubAbuse
Other
Housing
Health
Public
Legal
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
None
Marriage or relationship education
Parenting education
Job training or employment readiness
Money management training
Other life skills training
Support groups
Marriage or relationship counseling
Mental health treatment
Substance abuse treatment
Other counseling
Housing program
Health benefits program
Public assistance, such as TANF or food stamps
Legal services
Logic after:
If MN4S080 EQ None, go to MN4S082. Else go to MN4S081.
---------------------------------------------------------------------------------
MN4S081
9MFU Case Manager Follow-Up on Services
Has a case manager followed up to make sure you received those services?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview," If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,"
MN4S082
9MFU Received Treatment for Emotional/Mental Probl
^lcfill have you received counseling, therapy, or other treatment to help you deal with an
emotional or mental health problem?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 54 of 215
---------------------------------------------------------------------------------
MN4S083
9MFU Needed Treatment
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S082 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S082a.
MN4S082a
9MFU When Counseling Received
Did you receive this counseling, therapy, or treatment. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S084
9MFU Received Group Therapy/Treatment
^lcfill have you received counseling, self-help groups, group sessions, or other treatment to help
you deal with alcohol or substance abuse?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S085
9MFU Needed Group Therapy/Treatment
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S084 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S084a.
MN4S084a
9MFU When Alcohol/Substance Abuse Treatment Receiv
Did you receive this alcohol or substance abuse treatment. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 55 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S086
9MFU Received Anger Management Services
^lcfill have you received services or taken a course to help you manage anger?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S087
9MFU Needed Anger Management Services
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S086 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S086a.
MN4S086a
9MFU When Anger Management Received
Did you participate in anger management services. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say" Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S088
9MFU Received Services for Partner Violence
^lcfill have you received services or taken a course for men to learn how to avoid hurting or
abusing their partners?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S089
9MFU Needed Services for Partner Violence
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 56 of 215
---------------------------------------------------------------------------------
Logic before:
If MN4S088 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S088a.
MN4S088a
9MFU When Partner Abuse Services Received
Did you participate in these services. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S090
9MFU Received Educational Classes
^lcfill have you participated in any GED, adult basic education, or college courses?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S091
9MFU Needed Educational Classes
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S090 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S090a.
MN4S090a
9MFU When Education Courses Received
Did you participate in these courses. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 57 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S092
9MFU Received Job Training
^lcfill have you participated in any employment readiness, vocational or job training programs?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S093
9MFU Needed Job Training
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S092 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S092a.
MN4S092a
9MFU When Job Training Received
Did you participate in this training. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill "should say Since your last interview but
before your reincarceration,".
MN4S094
9MFU Received Financial Planning Courses
^lcfill have you participated in any money management or financial planning programs?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S095
9MFU Needed Financial Planning Courses
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 58 of 215
---------------------------------------------------------------------------------
Logic before:
If MN4S094 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S094a.
MN4S094a
9MFU When Money/Financial Planning Received
Did you participate in money management or financial planning classes. . ..
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S096
9MFU Received Life Skills Education
^lcfill have you participated in any other life skills education?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S097
9MFU Needed Life Skills Education
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S096 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S096a.
MN4S096a
9MFU When Life Skills Received
Did you participate in other life skills education. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 59 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S098
9MFU Received Assistance for Housing Needs Post-Re
^lcfill have you received any help finding housing or paying for housing upon release?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S099
9MFU Needed Assistance for Housing Needs Post-Rele
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S098 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S098a.
MN4S098a
9MFU When Housing Help Received
Did you receive this housing-related help. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, go to MN3S100. Else go to MN3S102. If INCARSTATE = 1 (released) or 2 (still
incarcerated), ^lcfill should say "Since your last interview,". If INCARSTATE = 3 (reincarcerated),
^lcfill should say "Since your last interview but before your reincarceration,".
MN4S100
9MFU Received Assistance with Child Custody Issues
^lcfill have you received any assistance with retaining your parental rights or changing child
custody arrangements?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 60 of 215
---------------------------------------------------------------------------------
MN4S101
9MFU Needed Assistance with Child Custody Issues
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S100 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S100a.
MN4S100a
9MFU When Child Custody Assistance Received
Did you receive this assistance. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S102
9MFU Received Family Mediation
^lcfill have you participated in any family group conferencing or family mediation? We mean
meetings with any family members to discuss issues and set goals for the future.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S103
9MFU Needed Family Mediation
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S102 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S102a.
MN4S102a
9MFU When Family Conferencing Received
Did you participate in family group conferencing/family mediation. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 61 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S104
9MFU Received Group Support
^lcfill have you participated in any support groups? We mean a group of individuals who meet
regularly to discuss personal or interpersonal issues.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN4S105
9MFU Needed Group Support
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S104 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S104a.
MN4S104a
9MFU When Group Support Received
Did you participate in support groups. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 2 (still incarcerated), ^lcfill should say "Since your last
interview,". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Since your last interview but
before your reincarceration,".
MN4S106
9MFU Received Spiritual/Religious Help
^lcfill have you received spiritual or religious assistance from any faith-based organizations or
people? For example, this would include meeting with a chaplain, minister, or other clergy member.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 62 of 215
---------------------------------------------------------------------------------
MN4S107
9MFU Needed Spiritual/Religious Help
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN4S106 = YES and INCARSTATE = 1 (released) or 3 (reincarcerated), ask MN4S106a.
MN4S106a
9MFU When Religious Assistance Received
Did you receive this spiritual or religious assistance. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 63 of 215
First 24 Hours
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 2 (still incarcerated), skip to Part 6, Domain Z.
MN5U001a
9MFU First 24 Hours Intro
The next set of questions deal with your experiences since you were released from prison on
^RELDATE.
[REFER TO REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MN5U001
9MFU First 24 hours
First, I'm going to ask you about things that happened to you during the first 24 hours after you
were released on ^RELDATE.
On the day that you were released from incarceration, was anyone at the gate to meet you when you
were released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN5U001 = Yes, ask MN5U002. Select all that apply. Use special font as follows: If MN1F001 =
Live, bold and allow option 1. If MN1F001 = Dead, do not bold option 1 and do not let it be slected
(use soft error). Always bold options 2-8. CC text should read: SELECTION IS NOT ALLOWED IF
^PRLD.NAMEFILL IS DECEASED. PLEASE CORRECT YOUR RESPONSE IF POSSIBLE.
MN5U002
9MFU People at Release
[USE SHOWCARD 13]
Who was there to meet you?
Question Type:
Please indicate all that apply.
TReleaseFU
Nmfill
child
othrfam
frnd
poff
caswrk
mentor
other
1
2
3
4
5
6
7
8
^F1^prld.Namefill^F1
@BYour child/children@B
@BOther family member(s)@B
@BA friend/friends@B
@BA parole or probation officer@B
@BA case worker or case manager@B
@BA mentor@B
@BSome other type of person (SPECIFY)@B
---------------------------------------------------------------------------------
Logic before:
If MN5U002 = Other, ask MN5U002s.
MN5U002s
9MFU OTHER SPECIFY
SPECIFY RELATIONSHIP TO R
Question Type:
string[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 64 of 215
---------------------------------------------------------------------------------
MN5U003
9MFU Report to PO
On the day that you were released from incarceration, did you report to a parole or probation
officer?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN5U004
9MFU Talk to Service Agency
On the day that you were released from incarceration, did you see or talk to anyone from a service
agency?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN5U005
9MFU Sleep First Night Out
[USE SHOWCARD 14]
Where did you sleep the first night out of incarceration?
Question Type:
Please select one.
TResidence2
Own
1 ^F1 In your own house or apartment, meaning your name was on the title,
mortgage, or lease ^F1a
2 ^F2 In someone else's house or apartment ^F2a
3 ^F3 In a transitional housing building or halfway house ^F3a
4 ^F4 In a motel/hotel or rooming house ^F4a
5 ^F5 In a residential treatment facility ^F5a
6 ^F6 In a shelter ^F6a
7 ^F7 On the street ^F7a
8 ^F8 In an outdoor location where you camped out ^F8a
9 ^F9 In an abandoned building or vacant unit ^F9a
10 ^F10 In some other place ^F10a
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
---------------------------------------------------------------------------------
Logic before:
If MN1F001 = live, ask MN5U005a. Else go to MN5U006.
MN5U005a
9MFU Namefill There First Night Out
Was ^prld.Namefill there with you at the place where you slept on the first night out?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 65 of 215
---------------------------------------------------------------------------------
MN5U006
9MFU Photo ID
At the time of release, did you have a photo ID?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN5U006 = NO, ask MN5U007. If INCARSTATE = 1 (released), ^lcfill1 should say "Have you gotten"
and ^lcfill2 should say "since your release from prison". If INCARSTATE = 3 (reincarcerated),
"lcfill1 should say "Did you get" and ^lcfill2 should say "during your time on the outside".
MN5U007
9MFU New Photo ID
^lcfill1 a new photo ID ^lcfill2?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN5U009
9MFU Prepared to Live on Outside
Overall, in the first 24 hours after your release from incarceration, how prepared did you feel to
live on the outside?
Question Type:
preplev
Vprep
Prep
Unprep
Vunprep
1
2
3
4
Very prepared
Prepared
Unprepared
Very unprepared
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 66 of 215
Street Time
---------------------------------------------------------------------------------
MN5H001
9MFU Street Time 1
Now I'm going to ask you some more questions about your life since your release.
[REFER RESPONDENT TO REFERENCE CALENDAR]
In the time since you were released on ^RELDATE, how many days have you been incarcerated in a
prison or jail?
Question Type:
0..300
---------------------------------------------------------------------------------
MN5H002
9MFU Street Time 2
Since you were released, how many days have you been hospitalized in a hospital or mental health
institution?
Question Type:
0..300
---------------------------------------------------------------------------------
MN5H003
9MFU Street Time 3
Since you were released, how many days have you been in a residential treatment program?
Question Type:
0..300
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 67 of 215
Housing
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 3 (reincarcerated), ask MN5J000.
MN5J000
9MFU Housing Intro
For the next series of questions, we will be asking you about your life after your release from
incarceration on ^RELDATE but before your reincarceration on ^INCARDATE2. We will refer to this
time as "your time on the outside".
[REFER RESPONDENT TO REFERENCE CALENDAR AND HIGHLIGHT THE TIME BETWEEN ^RELDATE AND ^INCARDATE2
WITH YOUR GREEN HIGHLIGHTER].
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply". If INCARSTATE = 1 (released), ^lcfill should say
"since you were released from incarceration, have you lived". If INCARSTATE = 3 (reincarcerated),
^lcfill should say "during your time on the outside, did you live".
MN5J010
9MFU Ever Live
[USE SHOWCARD 14]
Now, I'd like to know about your living situation. At any point ^lcfill in these places? Select all
that apply.
[REFER RESPONDENT TO REFERENCE CALENDAR]
REQUIRED PROBE: Any other places?
Question Type:
TResidence
Own
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
1 In your own house or apartment, meaning your name was on the title,
mortgage, or lease
2 In someone else's house or apartment
3 In a transitional housing building or halfway house
4 In a motel/hotel or rooming house
5 In a residential treatment facility
6 In a shelter
7 On the street
8 In an outdoor location where you camped out
9 In an abandoned building or vacant unit
10 In some other place
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 68 of 215
---------------------------------------------------------------------------------
Logic before:
If R lived in more than one place, go to MN5J011. Else go to MN5J012. Use special font for
response options that were selected in MN5J010. If INCARSTATE = 1 (released), ^lcfill should say
"Since your release, where have you mostly lived?". If INCARSTATE = 3 (reincarcerated), ^lcfill
should say "During your time on the outside, where did you mostly live?".
MN5J011
9MFU Primarily Reside
^lcfill
SELECT ONE.
Question Type:
TResidence2
Own
1 ^F1 In your own house or apartment, meaning your name was on the title,
mortgage, or lease ^F1a
2 ^F2 In someone else's house or apartment ^F2a
3 ^F3 In a transitional housing building or halfway house ^F3a
4 ^F4 In a motel/hotel or rooming house ^F4a
5 ^F5 In a residential treatment facility ^F5a
6 ^F6 In a shelter ^F6a
7 ^F7 On the street ^F7a
8 ^F8 In an outdoor location where you camped out ^F8a
9 ^F9 In an abandoned building or vacant unit ^F9a
10 ^F10 In some other place ^F10a
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
Logic after:
Add a consistency check after MN5J011 if R chooses a response that was not also selected in
MN5J010. Text should say, "RESPONSE IS INCONSISTENT WITH RESPONSE TO PREVIOUS QUESTION. PROBE, AS
NEEDED, SO BOTH ITEMS ARE CONSISTENT."
---------------------------------------------------------------------------------
Logic before:
If MN5J010 includes own or else, go to MN5J012. Else go to MN5J015a. If INCARSTATE = 1 (released),
^lcfill should say "Is". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Was".
MN5J012
9MFU Public Housing
^lcfill the (house/apartment) public housing? Public housing is defined as a unit in a building
owned by a public housing authority.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MN5J012 = No, go to MN5J013. Else go to MN5J015a.
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Is’. If INCARSTATE = 3 (reincarcerated), ^lcfill
should say "Was".
MN5J013
9MFU Section 8
^lcfill the (house/apartment) Section 8? Section 8 housing is where a Section 8 voucher is being
used to pay for part or all of your rent for a privately owned unit.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 69 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "live." and ^lcfill2 should say "is". If
INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "lived." and ^lcfill2 should say "was".
MN5J015a
9MFU Neighborhood 1
[USE SHOWCARD 15]
[REFER RESPONDENT TO REFERENCE CALENDAR]
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about the neighborhood where you mainly ^lcfill1.
It ^lcfill2
Question Type:
hard to stay out of trouble in your neighborhood or community.
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "is". If INCARSTATE = 3 (reincarcerated), ^lcfill
should say "was".
MN5J015b
9MFU Neighborhood 2
Drug selling ^lcfill a major problem in your neighborhood or community.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "is". If INCARSTATE = 3 (reincarcerated), ^lcfill
should say "was".
MN5J015c
9MFU Neighborhood 3
Your neighborhood or community ^lcfill a good place to live.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 70 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "is". If INCARSTATE = 3 (reincarcerated), ^lcfill
should say "was".
MN5J015d
9MFU Neighborhood 4
Your neighborhood or community ^lcfill a good place to find a job.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Since your release," and ^lcfill 2 should say
"have you lived?". If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "During your time on
the outside," and ^lcfill 2 should say "did you live?".
MN5J043
9MFU Number of places lived
^lcfill1 in how many different places ^lcfill2
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If MN1F001 = live, ask MN5J044. If MN1F001 = dead, skip to MN5J046. If INCARSTATE = 1 (released),
^lcfill should say "Since your release, have you lived". If INCARSTATE = 3 (reincarcerated),
^lcfill should say "During your time on the outside, did you live".
MN5J044
9MFU Lived with Partner
^lcfill with ^prld.Namefill at any point?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN5J044 = Yes and MN3Q001 = No, ask MN5J045. If INCARSTATE = 3 (reincarcerated), skip to MN5J046.
MN5J045
9MFU Currently Live with Partner
Are you currently living with ^prld.Namefill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 71 of 215
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 0 or MN1D030 = dead (focal child is deceased), skip to MN5J048. If INCARSTATE = 1
(released), ^lcfill should say "Since your release, have you lived". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "During your time on the outside, did you live".
MN5J046
9MFU Lived with Focal Child
^lcfill with ^prld.FOCCHILD at any point?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN5J046 = Yes, ask MN5J047. If INCARSTATE = 3 (reincarcerated), skip to MN4G068a.
MN5J047
9MFU Currently Live with Focal Child
Is ^prld.FOCCHILD currently living with you, at least part of the time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) or 3 (reincarcerated) and MN5J046 = No, ask MN4G068a.
If INCARSTATE = 1 (released), ^lcfill1 should say "have you been living" and ^lcfill2 should say
"would take".
If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "were you living" and ^lcfill2 should say
"took".
MN4G068a
9MFU Distance from Focal Child
How far away from ^prld.FOCCHILD ^lcfill1? Please tell me about how long it ^lcfill2 for you to
travel from the place you were living to ^prld.FOCCHILD's home.
Question Type:
TabTTimeFU
Hour
Minutes
1 0...99
2 0...59
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATE = 1 (released) OR 3 (reincarcerated)) AND MN5J046 = No, ask MN5J047a. If INCARSTATE
= 1 (released), ^lcfill should say "How often do you". If INCARSTATE = 3 (reincarcerated), ^lcfill
should say "During your time on the outside, how often did you".
MN5J047a
9MFU Frequency of Seeing Focal Child
[USE SHOWCARD 16]
^lcfill see ^prld.FOCCHILD?
Question Type:
TOften2FU
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 72 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Since your last interview, have you" and
^lcfill2 should say "supported".
If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "During your time on the outside, did you"
and ^lcfill2 should say "support".
MN4G069
9MFU Financial Support for Focal Child
^lcfill1 financially ^lcfill2 ^prld.FOCCHILD in any way?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MN4G069 = Yes, go to MN4G069a. Else go to MN5J048.
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "In what way or ways have you provided financial
support for ^prld.FOCCHILD since your last interview? Please include support you provide to the
child directly as well as support you provide to the child's other parent or caretaker".
If INCARSTATE = 3 (reincarcerated), ^lcfill should say "In what way or ways did you provide
financial support for ^prld.FOCCHILD during your time on the outside? Please include support you
provided to the child directly as well as support you provided to the child's other parent or
caretaker".
Mark all that apply.
MN4G069a
9MFU Amount of Financial Support
[USE SHOWCARD 17]
^lcfill
Select all that apply.
Question Type:
TMonetary2
Gift
Shopping
1 Buying (CHILD) birthday or holiday gifts
2 Taking (CHILD) shopping for clothes, school supplies, or other things
s/he needs
3 Helping out occasionally with bills, rent or other expenses in the
child's household
4 Providing steady, regular financial support of over $300 per month
5 Providing steady, regular financial support of $200-$300 per month
6 Providing steady, regular financial support of $100-$200 per month
7 Providing steady, regular financial support of up to $100 per month
Expenses
More300
Two300
One200
Upto100
---------------------------------------------------------------------------------
Logic before:
Ask MN5J048 for each of R’s remaining living children. If INCARSTATE = 1 (released), ^lcfill should
say "Since your release, have you lived". If INCARSTATE = 3 (reincarcerated), ^lcfill should say
"During your time on the outside, did you live".
MN5J048
9MFU Lived with Child
^lcfill with ^Child at any point?
Question Type:
array[1..30] of TYesNoCaps
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 73 of 215
---------------------------------------------------------------------------------
Logic before:
If MN5J048 = No, ask MN4G068. If INCARSTATE = 1 (released), ^lcfill1 should say "have you been
living" and ^lcfill2 should say "would take" and ^lcfill3 should say "are". If INCARSTATE = 3
(reincarcerated), ^lcfill1 should say "were you living?" and ^lcfill2 should say "took" and
^lcfill3 should say "were".
MN4G068
9MFU Distance from Child
How far away from ^CHILD ^lcfill1
Please tell me about how long it ^lcfill2 for you to travel from the place you ^lcfill3 living to
^CHILD's home.
Question Type:
array[1..30] of TabTTimeFU
---------------------------------------------------------------------------------
Logic before:
Allow R to select all that apply. If INCARSTATE = 1 (released), ^lcfill should say "Who else have
you lived with since your release? Please list everyone who has lived with you at some point since
your release."
If INCARSTATE = 3 (reincarcerated), then ^lcfill should say "Who else did you live
with during your time on the outside? Please list everyone who lived with you at some point during
your time on the outside."
MN5J049
9MFU Else Lived With
^lcfill
[SELECT ALL THAT APPLY.]
Question Type:
TLiving
NoOne
Spouse
Ex
Mother
Father
Sister
Brother
AuntUnc
Cousin
Grandparent
Child
Friend
PartFriend
Other
1
2
3
4
5
6
7
8
9
10
11
12
13
14
NO ONE ELSE
SPOUSE OR ROMANTIC PARTNER
EX-SPOUSE OR ROMANTIC PARTNER
MOTHER/STEPMOTHER
FATHER/STEPFATHER
SISTER/STEPSISTER
BROTHER/STEPBROTHER
AUNT/UNCLE, GREAT AUNT/UNCLE
COUSIN
GRANDPARENT
CHILD/STEPCHILD
FRIEND OF R
FRIEND OF R'S PARTNER
SOME OTHER PERSON, NOT A FRIEND OR FAMILY MEMBER (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If MN5J049 = Other, ask MN5J049s.
MN5J049s
9MFU OTHER SPECIFY
SPECIFY ANY OTHER PERSON THE RESPONDENT LIVED WITH
Question Type:
string[25]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 74 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release, have you had". If INCARSTATE
= 3 (reincarcerated), ^lcfill should say "During your time on the outside, did you have".
MN5J050
9MFU Barriers to Housing
^lcfill trouble finding a place to live?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN5J050 = Yes, ask MN5J051. Allow R to select all that apply. If INCARSTATE = 1 (released),
^lcfill1 should say "What kind of trouble have you had". If INCARSTATE = 3 (reincarcerated),
^lcfill1 should say "What kind of trouble did you have". For the response options, please use the
following fills: If INCARSTATE = 1 (released), ^lcfill2 should say "are" for response options 1, 2,
3, 4, 5 and 7; ^lcfill3 should say "have"; ^lcfill4 should say "does"; ^lcfill5 should say "can";
^lcfill6 should say "is"; ^lcfill7 should say "want"; ^lcfill8 should say "makes". If INCARSTATE =
3 (reincarcerated), ^lcfill2 should say "were" for response options 1, 2, 3, 4, 5, and 7; ^lcfill3
should say "had"; ^lcfill4 should say "did"; ^lcfill5 should say "could"; ^lcfill6 should say
"was"; ^lcfill7 should say "wanted"; ^lcfill8 should say "made".
MN5J051
9MFU Reasons for Barriers to Housing
[USE SHOWCARD 18]
^lcfill1 finding a place to live? (SELECT ALL THAT APPLY.)
Question Type:
Ttroublelive
NoVouch
NoFrFamVch
TooExp
1 You ^lcfill2 unable to obtain public housing or a Section 8 voucher
2 You ^lcfill2 unable to stay with friends or family who live in public
housing or a Section 8 unit
3 You ^lcfill2 unable to obtain a lease on a non-public housing home or
apartment
4 You ^lcfill2 unable to stay with friends or family in a non-public
housing home or apartment
5 You ^lcfill2 unable to find a bed in a long-term shelter or supportive
housing
6 You ^lcfill3 no money for a housing deposit
7 There ^lcfill2 no public housing vouchers available
8 Your family ^lcfill4 not want you to live with them
9 Your family ^lcfill5 not have you live with then because of their
apartment lease or other housing rules
10 It ^lcfill6 too expensive in the neighborhood where you ^lcfill7 to live
CrimHist
Other
11 Your criminal record ^lcfill8 it difficult to find housing
12 Some other reason (SPECIFY)
Nolease
NoStyFrFam
NoShelter
NoMoneyDep
NoVouchAvl
NoFamWant
NoFamRules
---------------------------------------------------------------------------------
Logic before:
If MN5J051 = Other, ask MN5J051s.
MN5J051s
9MFU Other Specify
SPECIFY OTHER REASON FOR TROUBLE FINDING A PLACE TO LIVE
Question Type:
string[200]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 75 of 215
Income
---------------------------------------------------------------------------------
Logic before:
If (MN5J044 = Yes OR MN5J045 = Yes) AND MN1F001 = live, ask MN5K016. Else go to MN5K017. If
INCARSTATE = 1 (released), then ^lcfill should say "Since your release, have you and ^prld.Namefill
shared". If INCARSTATE = 3 (reincarcerated), then ^lcfill should say "During your time on the
outside, did you and ^prld.Namefill share".
MN5K016
9MFU Share Income with Partner
^lcfill any expenses, such as rent, mortgage, food, car expenses, utility bills, or credit card
bills?
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "have received", ^lcfill2 should say "since your
release from incarceration", and ^lcfill3 should say "receive". If INCARSTATE = 3 (reincarcerated),
^lcfill1 should say "received", ^lcfill2 should say "during your time on the outside", and
^lcfill3 should say "have received".
MN5K017
9MFU Welfare
Next I'm going to read a list of income sources. For each, tell me if you ^lcfill1 income from this
source ^lcfill2.
[REFER RESPONDENT TO REFERENCE CALENDAR.]
Cash welfare, also known as TANF? You may ^lcfill3 this benefit as an electronic transfer, a check,
or on a bank or debit card. TANF is Temporary Assistance for Needy Families.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN5K016 = Yes, go to MN5K018. Else go to MN5K019. If INCARSTATE = 1 (released), ^lcfill should
say "Has ^prld.Namefill received income from this source since your release?". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Did ^prld.Namefill receive income from this source during
your time on the outside?".
MN5K018
9MFU Partner Received Welfare
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 76 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "receive". If INCARSTATE = 3 (reincarcerated),
^lcfill should say "have received".
MN5K019
9MFU Public Assistance
Other public assistance, such as food stamp benefits, support from the Indian Health
Service,disability insurance such as Supplemental Security Income (SSI), Social Security Disability
Insurance (SSDI), or unemployment insurance benefits (UI)? You may ^lcfill these benefits as
coupons, electronic transfer, or as an EBT or debit card.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN5K016 = Yes, go to MN5K020. Else go to MN5K021. If INCARSTATE = 1 (released), ^lcfill should
say "Has ^prld.Namefill received income from this source since your release?". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Did ^prld.Namefill receive income from this source during
your time on the outside?".
MN5K020
9MFU Partner Received Public Assistance
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN5K021
9MFU Child Support Received
Child support payments?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN5K016 = Yes, go to MN5K022. Else go to MN5K023. If INCARSTATE = 1 (released), ^lcfill should
say "Has ^prld.Namefill received income from this source since your release?". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Did ^prld.Namefill receive income from this source during
your time on the outside?".
MN5K022
9MFU Partner Received Child Support
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 77 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "do". If INCARSTATE = 3 (reincarcerated), ^lcfill
should say "did".
MN5K023
9MFU Money from Others
Money from friends or relatives who ^lcfill not live with you?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN5K016 = Yes, go to MN5K024. Else go to MN5K025. If INCARSTATE = 1 (released), ^lcfill should
say "Has ^prld.Namefill received income from this source since your release?". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Did ^prld.Namefill receive income from this source during
your time on the outside?".
MN5K024
9MFU Partner Received Money from Others
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "receive" and ^lcfill2 should say "are". If
INCARSTATE = 3 (reincarcerated), ^lcfill should say "received" and ^lcfill2 should say "were".
MN5K025
9MFU Formal Payment
Formal employment? By "formal", we mean a job that you ^lcfill1 a pay stub for, and for which taxes
^lcfill2 taken out of your pay.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN5K016 = Yes, go to MN5K026. Else go to MN5K027. If INCARSTATE = 1 (released), ^lcfill should
say "Has ^prld.Namefill received income from this source since your release?". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Did ^prld.Namefill receive income from this source during
your time on the outside?".
MN5K026
9MFU Partner Received Formal Paycheck
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 78 of 215
---------------------------------------------------------------------------------
Logic before:
INCARSTATE = 1 (released), ^lcfill1 should say "do", and ^lcfill2 should say "are". If INCARSTATE =
3 (reincarcerated), ^lcfill should say "did" and ^lcfill2 should say "were".
MN5K027
9MFU Casual Work
"Under the table" or casual work. By "under the table", we mean work that you ^lcfill1 not receive
a pay stub for, for which taxes ^lcfill2 not taken out of your pay. This could include things you
^lcfill2 paid in cash for, like babysitting or mowing lawns.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN5K016 = Yes, go to MN5K028. Else go to MN5K029. If INCARSTATE = 1 (released), ^lcfill should
say "Has ^prld.Namefill received income from this source since your release?". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Did ^prld.Namefill receive income from this source during
your time on the outside?".
MN5K028
9MFU Partner Received Money Under the Table
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN5K029
9MFU Illegal Activities
Illegal activities, such as selling drugs, breaking and entering, etc.?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN5K016 = Yes, go to MN5K030. Else go to MN5K031. If INCARSTATE = 1 (released), ^lcfill should
say "Has ^prld.Namefill received income from this source since your release?". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Did ^prld.Namefill receive income from this source during
your time on the outside?".
MN5K030
9MFU Partner Received Funds from Illegal Activitie
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 79 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since you were released, how often have you
relied". If INCARSTATE = 3 (reincarcerated), ^lcfill should say, "During your time on the outside,
how often did you rely".
MN5K031
9MFU Budget
[USE SHOWCARD 19]
^lcfill on a planned budget to guide your monthly spending?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since you were released, how often have you had".
If INCARSTATE = 3 (reincarcerated), ^lcfill should say, "During your time on the outside, how
often did you have".
MN5K032
9MFU Meeting Bills
^lcfill difficulty meeting monthly payments on bills?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since you were released, how often have you had".
If INCARSTATE = 3 (reincarcerated), ^lcfill should say, "During your time on the outside, how
often did you have".
MN5K033
9MFU Money at End of Month
^lcfill money at the end of the month after the bills were paid?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 80 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release, how easy or hard has it
been". If INCARSTATE = 3 (reincarcerated), ^lcfill should say, "During your time on the outside,
how easy or hard was it".
MN5K013
9MFU Determination to Support Self
^lcfill to make enough money to support yourself?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 81 of 215
Employment
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "since your release, have you been". If INCARSTATE
= 3 (reincarcerated), ^lcfill should say "during your time on the outside, were you". Allow the
respondent to "select all that apply".
MN5I004
9MFU Employment
This next set of questions is about your job situation.
At any point ^lcfill...
Select all that apply.
Question Type:
TEmploy
Employ
Illness
1 Employed and working
2 Employed but not working due to sickness, vacation, strike, weather, etc.
Unemploy
3 Unemployed
Logic after:
If MN5I004 = only Unemploy (i.e., neither Employ nor Illness were selected along with option
Unemploy), skip to MN5I019.
---------------------------------------------------------------------------------
Logic before:
If MNCON5 = No, ask MN5I010.
MN5I010
9MFU Currently Employed
Are you @Bcurrently@B working at a job?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "have you worked since your release from
prison?". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "did you work during your time on
the outside?".
MN5I011
9MFU Employment Duration
How many months ^lcfill
Question Type:
1..25
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) and MN5I010 = Yes, ^lcfill should say "Is your current job...". If
(INCARSTATE = 1 (released) and MN5I010 = No) OR INCARSTATE = 3 (reincarcerated), ^lcfill should say
"Was your most recent job...".
MN5I005
9MFU Job Status
^lcfill
Question Type:
TJStatusFU
PT
FT
1 Part time
2 Full time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 82 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) and MN5I010 = Yes, ^lcfill should say "Is your current job...". If
(INCARSTATE = 1 (released) and MN5I010 = No) OR INCARSTATE = 3 (reincarcerated), ^lcfill should say
"Was your most recent job...".
MN5I006
9MFU Job Type
^lcfill
Question Type:
TJType
Formal
Self
Casual
1 Formal pay (a job that has a pay stub)
2 Self-employment
3 Casual pay (a job that is "under the table" or "off the books")
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) and MN5I010 = Yes, ^lcfill should say "do you earn per month from your
current job". If (INCARSTATE = 1 (released) and MN5I010 = No) OR INCARSTATE = 3 (reincarcerated),
^lcfill should say "did you earn per month from your last job".
MN5I007a
9MFU Earnings
How much ^lcfill before taxes, including any tips, bonuses, and commissions?
[ENTER THE DOLLAR AMOUNT ON THIS SCREEN. ROUND UP TO THE NEAREST WHOLE DOLLAR.]
Question Type:
1..999999
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) and MN5I010 = Yes, ^lcfill should say "Is health insurance provided at
your current job?". If (INCARSTATE = 1 (released) and MN5I010 = No) OR INCARSTATE = 3
(reincarcerated), ^lcfill should say "Was health insurance provided at your most recent job?".
MN5I008
9MFU Health Insurance
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) and MN5I010 = Yes, ^lcfill should say "Are". If (INCARSTATE = 1
(released) and MN5I010 = No) OR INCARSTATE = 3 (reincarcerated), ^lcfill should say "Were".
MN5I009
9MFU Entitled to Leave
^lcfill you entitled to any fully paid leave, such as sick leave, paid holidays, or vacation leave
from your employer?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 83 of 215
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATE = 1 (released) and MN5I010 = Yes) or INCARSTATE = 3 (reincarcerated), ^lcfill should
say "was it". If (INCARSTATE = 1 (released) and MN5I010 = No), ^lcfill should say "has it been".
MN5I017
9MFU Difficulty Finding Job
How easy or hard ^lcfill to get a job?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) and MN5I010 = Yes, ^lcfill should say "has it been". If (INCARSTATE =
1 (released) and MN5I010 = No) OR INCARSTATE = 3 (reincarcerated), ^lcfill should say "was it".
MN5I018
9MFU Difficulty Keeping Job
How easy or hard ^lcfill to @Bkeep@B a job?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Logic before:
Allow R to select all that apply, but do not allow option "NONE OF THE ABOVE" to be selected with
options 1-13.
MN5I019
9MFU Barriers to employment
[USE SHOWCARD 20]
Please tell me whether any of the following factors have made it difficult for you to look for a
job, get a job or keep a job. Select all that apply.
Question Type:
Tbarriers
Notrns
NoChldcar
Noskills
Nowkexp
Noedu
Dismed
Faildrg
Drgalc
Crmrec
Discrm
1
2
3
4
5
6
7
8
9
10
Not having transportation
Not having someone to watch your child/children
Not having the skills they were looking for
Not having the kind of work experience they were looking for
Not having the education they were looking for
Having a disability or serious medical condition
Not being able to pass a drug test
Having a drug or alcohol problem
Having a criminal record
Being discriminated against for something other than a criminal record
Parole
Nojbs
Other
None
11
12
13
14
Being on parole or community supervision
Lack of jobs in your neighborhood
Some other reason (specify)
NONE OF THE ABOVE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 84 of 215
---------------------------------------------------------------------------------
Logic before:
If MN5I019 = Other, ask MN5I019s.
MN5I019s
9MFU Other Specify
SPECIFY OTHER
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), then ^lcfill should say "have you contacted since your release?". If
INCARSTATE = 3 (reincarcerated), then ^lcfill should say "did you contact during your time on the
outside?".
MN5I020
9MFU Number of Job Contacts
How many employers ^lcfill
Question Type:
Tjobcontacts
None
TwoFv
SixTen
More10
1
2
3
4
None
1 - 5
6 - 10
More than 10
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), then ^lcfill should say "have you had since your release?". If
INCARSTATE = 3 (reincarcerated), then ^lcfill should say "did you have during your time on the
outside?".
MN5I021
9MFU Number of Job Interviews
How many job interviews ^lcfill
Question Type:
Tjobcontacts
None
TwoFv
SixTen
More10
1
2
3
4
None
1 - 5
6 - 10
More than 10
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Have you collected any Unemployment Insurance
since your release?". If INCARSTATE = 3 (reincarcerated), then ^lcfill should say "Did you collect
any Unemployment Insurance during your time on the outside?".
MN5I022
9MFU Unemployment Insurance
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 85 of 215
Social Support
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "since your release from incarceration on
^RELDATE." and ^lcfill2 should say "How many close friends do you currently have? These are people
you feel at ease with, can talk to about private matters, or can call on for help. ". If INCARSTATE
= 3 (reincarcerated), ^lcfill1 should say "during your time on the outside between ^RELDATE and
^INCARDATE2." and ^lcfill2 should say "How many close friends did you have during your time on the
outside? These would be people you felt at ease with, could talk to about private matters, or could
call on for help.".
MN5L031
9MFU Number of Friends
This next set of questions deals with the kinds of support you received from your friends and
family ^lcfill1
[REFER RESPONDENT TO REFERENCE CALENDAR]
First, I will ask about your friends. Please do not count any family members as you answer these
questions. ^lcfill2
Would you say you had no close friends, 1-2, 3-5, 6-10, or more than that?
Question Type:
TQuantity
None
Oneto2
Threeto5
Sixto10
TenMore
1
2
3
4
5
NO CLOSE FRIENDS
ONE OR TWO
THREE TO FIVE
SIX TO TEN
MORE THAN TEN
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "you have spent time with since your release" and
^lcfill2 should say "spend". If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "you spent
time with during your time on the outside" and ^lcfill2 should say "spent".
MN5L032
9MFU Peer Influence 1
[USE SHOWCARD 21]
Think about the people ^lcfill1, other than ^prld.Namefill and other family members.
Of the people you ^lcfill2 time with, how many have ever been in prison?
Question Type:
TAMSN
All
Most
Some
None
1
2
3
4
All
Most
Some
None
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 86 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "spend" and ^lcfill2 should say "are". If
INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "spent" and ^lcfill2 should say "were".
MN5L033
9MFU Peer Influence 2
Of the people you ^lcfill1 time with, how many ^lcfill2 employed full time?
Question Type:
TAMSN
All
Most
Some
None
1
2
3
4
All
Most
Some
None
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "spend" and ^lcfill2 should say "use". If
INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "spent" and ^lcfill2 should say "used".
MN5L035
9MFU Peer Influence 4
Of the people you ^lcfill1 time with, how many ^lcfill2 illegal drugs?
Question Type:
TAMSN
All
Most
Some
None
1
2
3
4
All
Most
Some
None
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "How often do the people you spend time with
convince you to do things you know you shouldn't be doing? Remember, we are still talking about the
time since ^RELDATE.". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "How often did the
people you spent time with convince you to do things you knew you shouldn’t be doing? Remember, we
are still talking about your time on the outside, between ^RELDATE and ^INCARDATE2.".
MN5L036
9MFU Friends Bad Influence
^lcfill
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Do you have a friend who will loan you money if
you need it?". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Did you have a friend who
would loan you money if you needed it?".
MN5L009
9MFU Friend Support Expectations 1
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 87 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Do you have a friend who will provide you with a
place to live if you need it?". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Did you
have a friend who would provide you with a place to live if you needed it?".
MN5L010
9MFU Friend Support Expectations 2
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Do you have a friend who will help you with
transportation to work or other appointments if you need it?". If INCARSTATE = 3 (reincarcerated),
^lcfill should say "Did you have a friend who would help you with transportation to work or other
appointments if you needed it?".
MN5L011
9MFU Friend Support Expectations 3
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Have your friends been". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Were your friends".
MN5L062
9MFU Friends Helpful
^lcfill as helpful as you hoped they would be after your release from incarceration?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 88 of 215
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, include " or your ^children" for ^childfill2 with the question text (^children
defined in MN1G061n). Childfill2 starts with a space. If INCARSTATE = 1 (released), ^lcfill should
say "How many close family members do you currently have? These are people you feel at ease with,
can talk to about private matters, or can call on for help. ". If INCARSTATE = 3 (reincarcerated),
^lcfill should say "How many close family members did you have during your time on the outside?
These would be people you felt at ease with, could talk to about private matters, or could call on
for help.".
MN5L037
9MFU Close Family Members
Next, I'd like to know about family members, other than ^prld.Namefill ^childfill2.
^lcfill Would you say you had no close family members, 1-2, 3-5, 6-10, or more than that?
Question Type:
TQuantity2
None
Oneto2
Threeto5
Sixto10
TenMore
1
2
3
4
5
NO CLOSE FAMILY MEMBERS
ONE TO TWO
THREE TO FIVE
SIX TO TEN
MORE THAN TEN
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Do you have a family member who will loan you
money if you need it? Remember, we are still talking about the time since ^RELDATE.". If INCARSTATE
= 3 (reincarcerated), ^lcfill should say "Did you have a family member who would loan you money if
you needed it? Remember, we are still talking about your time on the outside between ^RELDATE and
^INCARDATE2.".
MN5L006
9MFU Other Family Support Expectations 1
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Do you have a family member who will provide you
with a place to live if you need it?". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Did
you have a family member who would provide you with a place to live if you needed it?".
MN5L007
9MFU Other Family Support Expectations 2
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 89 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Do you have a family member who will help you
with transportation to work or other appointments if you need it?". If INCARSTATE =3
(reincarcerated), ^lcfill should say "Did you have a family member who would help you with
transportation to work or other appointments if you needed it?".
MN5L008
9MFU Other Family Support Expectations 3
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Have your family members been". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Was your family".
MN5L067
9MFU Family Helpful
^lcfill as helpful as you hoped they would be after your release from incarceration?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 90 of 215
Parenting
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL= 0 or MN1D030 = dead (focal child is deceased), skip to MN5N037. If INCARSTATE = 1
(released), ^lcfill should say "since your release from incarceration on ^RELDATE.". If INCARSTATE
= 3 (reincarcerated), ^lcfill should say "during your time on the outside between ^RELDATE and
^INCARDATE2.".
MN5N000
9MFU Parenting Intro
This next set of questions is about your experiences with parenting ^prld.FOCCHILD ^lcfill
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MN1F001 = dead, skip to MN5N062. If HASFOCAL=1 and MN1F001 = live, ask MN5N059, else skip to
MN5N061.
MN5N059
9MFU Discipline Decisions About Focal Child
How often have you and ^prld.Namefill stood by a discipline or parenting decision, even if one of
you did not like the decision?
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TOSRN2
Often
Sometimes
Rarely
Never
NotAp
1
2
3
4
5
Often
Sometimes
Rarely
Never
Not applicable
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Who has made" and ^lcfill2 should say "since
your release?". If INCARSTATE = 3 (reincarcerated), ^lcfill2 should say "Who made" and ^lcfill2
should say "during your time on the outside?".
MN5N061
9MFU Decisions Regarding Health of Focal Child
^lcfill1 major decisions about things such as child care and health care for ^prld.FOCCHILD
^lcfill2
Would you say...
Question Type:
TDecisionsPstFU
Both
Mother
Respondent
Someelse
Randother
1
2
3
4
^prld.Namefill and you made most of the decisions together
^prld.Namefill made most decisions without you
You made most decisions without ^prld.Namefill
Someone else involved in raising the child made most decisions without
you or ^prld.Namefill
5 You and someone else involved in raising the child made most of the
decisions
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 91 of 215
---------------------------------------------------------------------------------
Logic before:
If MN5J047 = Yes (R currently lives with focal child) or MN5J047a = OneMore (R sees focal child one
or more times a week), ask MN5N062. If INCARSTATE = 1 (released), ^lcfill1 should say "since your
release from incarceration" and ^lcfill2 should say "do" and ^lcfill3 should say "a typical week
since ^RELDATE.". If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "during your time on the
outside" and ^lcfill2 should say "did" and ^lcfill3 should say "a typical week between ^RELDATE
and ^INCARDATE2.".
MN5N062
9MFU Frequency of Activities with Focal Child
In a typical week ^lcfill1, how many days ^lcfill2 you participate in an activity with
^prld.FOCCHILD, such as eating meals, going shopping, helping with homework, or doing something fun
with ^FOCSEX2? Remember, we are talking about ^lcfill3
[REFER RESPONDENT TO REFERENCE CALENDAR.]
Question Type:
TDays
None
One
Two
Three
Four
Five
Six
Seven
0
1
2
3
4
5
6
7
NONE
ONE DAY
TWO DAYS
THREE DAYS
FOUR DAYS
FIVE DAYS
SIX DAYS
SEVEN DAYS
---------------------------------------------------------------------------------
Logic before:
If MN1F001 = dead, skip to MN5N036. Else ask MN5N063.If INCARSTATE = 1 (released), ^lcfill should
say "Since you were released, how often do you,". If INCARSTATE = 3 (reincarcerated), ^lcfill
should say "During your time on the outside, how often did you,".
MN5N063
9MFU Frequency Family Activities
^lcfill ^prld.Namefill and ^prld.FOCCHILD all do family-oriented activities together, such as
recreational activities, eating meals, or going to church?
Question Type:
TOSRN
Often
Sometimes
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release, how often do you,". If
INCARSTATE = 3 (reincarcerated), ^lcfill should say "During your time on the outside, how often did
you,".
MN5N064
9MFU Enjoy Being Together
^lcfill ^prld.Namefill and ^prld.FOCCHILD enjoy being together as a family?
Question Type:
TOSRN
Often
Sometimes
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 92 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "has it been" and ^lcfill2 should say "since your
release?". If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "was it" and ^lcfill2 should
say "during your time on the outside?".
MN5N036
9MFU Relationship with Children
How easy or hard ^lcfill1 to have a good relationship with ^prld.FOCCHILD ^lcfill2
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, ask MN5N037. Note that ^children was defined in MN1G061n. If INCARSTATE = 1
(released), ^lcfill1 should say "have been" and ^lcfill2 should say "since your release?". If
INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "were" and ^lcfill2 should say "during your
time on the outside?".
MN5N037
9MFU Biggest Challenges with Child
[USE SHOWCARD 22]
What ^lcfill1 the biggest challenges in your relationship with your ^children ^lcfill2
Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TExpect2
Find
Missed
1 Not knowing how to get in contact with your ^children
2 Having missed out on so much that happened with your ^children while you
were incarcerated
3 Getting your ^children to trust you or open up to you after the time
apart
4 Finding transportation for visits or activities
5 Dealing with people who don't want you to see your ^children
6 Not being in a stable enough housing and financial situation to be able
to spend time with your ^children
7 Your lifestyle not being a healthy one for kids
8 Your ^children being angry at you or not wanting to see you
9 Having money to financially support or buy things for your ^children
10 Some other challenge (SPECIFY)
Trust
Trans
Kids
Instability
Lifestyle
Angry
Money
Other
Logic after:
If MN5N037 = Other, go to MN5N037s.
---------------------------------------------------------------------------------
MN5N037s
Other Specify
SPECIFY OTHER CHALLENGE
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 93 of 215
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 0 or MN1D030 = dead (focal child is deceased), skip to next domain. If HASFOCAL = 1
AND MN1D030 = live (focal child is living), ask MN5R054.
If INCARSTATE = 1 (released), ^lcfill should say "How has your relationship with ^prld.FOCCHILD
changed since you were released, if at all? Have you become closer, have you drifted apart, or has
there been no change?"
If INCARSTATE = 3 (reincarcerated), ^lcfill should say "How did your relationship with
^prld.FOCCHILD change during your time on the outside, if at all? Did you become closer, did you
drift apart, or was there no change?"
MN5R054
9MFU Relationship with FoChild Since Incarceration
^lcfill
Question Type:
TChange
Closer
APART
NoC
1 MADE YOU CLOSER
2 MADE YOU DRIFT APART
3 NO CHANGE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 94 of 215
Physical & Mental Health
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Remember we are talking about the time since
^RELDATE." and ^lcfill2 should say "Since your release from incarceration, have you been". If
INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "Remember we are talking about the time
between ^RELDATE and ^INCARDATE2." and ^lcfill2 should say "During your time on the outside, were
you".
MN5P069
9MFU Medical Coverage
[REFER RESPONDENT TO REFERENCE CALENDAR]
The next questions are about health care and health insurance. ^lcfill1
^lcfill2 covered by Medicaid, Medicare, Champus, Indian Health Services, or any other government
program that pays for medical care?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release from incarceration, have you
been". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "During your time on the outside,
were you".
MN5P070
9MFU Medical Coverage by Someone Else
^lcfill covered by health insurance through your or someone else's employer, or insurance you
purchased directly from a private insurance company?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD "GE" 1, ^childfill should say "or your ^children" (^children defined in MN1G061n)
with the question text. If INCARSTATE = 1 (released), ^lcfill should say "Since your release from
incarceration, have you or ^prld.Namefill ^childfill ever needed". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "During your time on the outside, did you or ^prld.Namefill
^childlfill ever need".
MN5P071
9MFU Need Medical Assistance
^lcfill to see a doctor, go to the hospital, or take a prescription medication, but couldn't
because of the cost?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 95 of 215
Community Involvement
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release, have you done". If INCARSTATE
= 3 (reincarcerated), ^lcfill should say "During your time on the outside, did you do". Allow R to
select all that apply.
MN5T134
9MFU Community Involvement
[USE SHOWCARD 23]
^lcfill any of the following?
Question Type:
(CHECK ALL THAT APPLY.)
TCommInvle
AttRel
1 Attended a church, mosque, synagogue or any other type of religious
service?
2 Participated in any community volunteer work?
3 Voted in any political election, such as a general election, primary
election or special referendum?
4 Taken part in any local organizations like clubs, sports teams, ethnic
or racial pride groups, political organizations, or other community
groups?
5 NONE OF THE ABOVE
CommVol
Vote
LocOrg
None
---------------------------------------------------------------------------------
MN5T155
9MFU Belong to Religious Org
Do you belong to a church, synagogue, mosque, or other religious organization?
Question Type:
TYesNocaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 96 of 215
Personal Traits
---------------------------------------------------------------------------------
MN6Z001
9MFU Control Important Things in Life
[USE SHOWCARD 24]
These next questions deal with your feelings, attitudes, and how things are going for you
currently.
How often do you feel that you are not able to control the important things in your life?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MN6Z002
9MFU Anger Management 1
How often do you feel angry or mad?
Would you say....
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MN6Z003
9MFU Anger Management 2
In general, how much of the time does your anger cause problems in your relationships?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MN6Z004
9MFU Anger Management 3
How much of the time does your anger cause problems in your job or work life?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 97 of 215
---------------------------------------------------------------------------------
MN6Z005
9MFU Reactive Responding 1
[USE SHOWCARD 25]
For each of the following items, please tell me how much you agree or disagree. There are no
correct or incorrect answers.
You often respond quickly and emotionally when something happens.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z006
9MFU Reactive Responding 2
You let your emotions cool before you act.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z007
9MFU Spirituality 1
These next questions are about the role that religion or spirituality plays in your life. Please
tell me how much you agree or disagree with each of these statements.
You find strength in your religion or spirituality.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z008
9MFU Spirituality 2
You pray or meditate regularly.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 98 of 215
---------------------------------------------------------------------------------
MN6Z009
9MFU Spirituality 3
You read the Bible, Koran, or other religious books regularly.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z010
9MFU Spirituality 4
The religious services or groups you participate in matter a great deal to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z011
9MFU Self Efficacy 1
The next questions are about how you currently feel about your life.
You can do just about anything you really set your mind to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z012
9MFU Self Efficacy 2
Sometimes you feel like you're being pushed around in your life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 99 of 215
---------------------------------------------------------------------------------
MN6Z013
9MFU Self Efficacy 3
You often feel helpless dealing with the problems of life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z014
9MFU Goal Orientation 1
It's important for you to take time to plan out where you're going in life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z015
9MFU Goal Orientation 2
You have many goals that you will work to achieve.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z016
9MFU Attachment 1
For each of the following statements, please tell me how much you agree or disagree when it comes
to close relationships.
[USE SHOWCARD 26]
It is easy for me to become emotionally close to others. I am comfortable depending on them and
having them depend on me. I don't worry about being alone or having others not accept me.
Question Type:
TAgreeAtt
StroAgree
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
agree
disagree
disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 100 of 215
---------------------------------------------------------------------------------
MN6Z017
9MFU Attachment 2
I am uncomfortable getting close to others. I want emotionally close relationships, but I find it
difficult to trust others completely, or to depend on them. I worry that I will be hurt if I allow
myself to become too close to others.
Question Type:
TAgreeAtt
StroAgree
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
agree
disagree
disagree
---------------------------------------------------------------------------------
MN6Z018
9MFU Attachment 3
I want to be completely emotionally intimate with others, but I often find that others are
reluctant to get as close as I would like. I am uncomfortable being without close relationships,
but I sometimes worry that others don't value me as much as I value them.
Question Type:
TAgreeAtt
StroAgree
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
agree
disagree
disagree
---------------------------------------------------------------------------------
MN6Z018a
9MFU Attachment 4
I am comfortable without close emotional relationships. It is very important to me to feel
independent and self-sufficient, and I prefer not to depend on others or have others depend on me.
Question Type:
TAgreeAtt
StroAgree
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
agree
disagree
disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 101 of 215
---------------------------------------------------------------------------------
MN6Z019
9MFU Cooperation 1
[USE SHOWCARD 27]
You often consider another person's feelings as much as your own.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z020
9MFU Cooperation 2
People involved with you have to learn how to do things your way.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z021
9MFU Relationship Skills 1
These next questions are about your opinions about romantic relationships. Please tell me how much
you agree or disagree.
Once a couple starts to have problems, it usually is not possible to fix them.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z022
9MFU Relationship Skills 2
Couples should not have to work on their relationships in order to have a happy relationship.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 102 of 215
---------------------------------------------------------------------------------
MN6Z023
9MFU Relationship Skills 3
Most people can learn to communicate better with their spouse.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z024
9MFU Relationship Skills 4
When one spouse says something mean or hurtful, it is OK for the other spouse to say something mean
or hurtful back.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z025
9MFU Relationship Skills 5
When wives and husbands have very different views about important things in the family, it is best
to not talk about those things.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6Z026
9MFU Relationship Skills 6
People can learn to avoid situations where they might be tempted to cheat on their spouse or
partner.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 103 of 215
---------------------------------------------------------------------------------
MN6Z027
9MFU Relationship Skills 7
It is sometimes OK for couples to get a little rough physically, like pushing or hitting.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 104 of 215
Mental & Physical Health
---------------------------------------------------------------------------------
MN6P037
9MFU Physical Health 1
Now I'd like to ask you some questions about your health and how you have been feeling over the
last @B1 month@B.
[POINT TO 1 MONTH AGO ON REFERENCE CALENDAR.]
In general, how is your health? Would you say it is . . .
Question Type:
TCondition
Excel
Vgood
Good
Fair
Poor
1
2
3
4
5
Excellent
Very good
Good
Fair
Poor
---------------------------------------------------------------------------------
MN6P038
9MFU Physical Health 2
Do you have a serious health problem that limits the amount or kind of work you can do?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN6P039
9MFU Emotional Psychological Health
In general, would you say your current emotional or psychological health is excellent, very good,
good, fair, or poor?
Question Type:
TCondition
Excel
Vgood
Good
Fair
Poor
1
2
3
4
5
Excellent
Very good
Good
Fair
Poor
---------------------------------------------------------------------------------
MN6P040
9MFU ADHD 1
[USE SHOWCARD 28]
Thinking about the past 1 month, please tell me how much you agree or disagree with each of the
following statements.
You are easily distracted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 105 of 215
---------------------------------------------------------------------------------
MN6P041
9MFU ADHD 2
You get frustrated easily.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6P042
9MFU ADHD 3
You do not think before acting.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6P043
9MFU PTSD 1
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you have had nightmares about it or thought about it when you did not
want to?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN6P044
9MFU PTSD 2
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you tried hard not to think about it or went out of your way to avoid
situations that reminded you of it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN6P045
9MFU PTSD 3
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you were constantly on guard, watchful, or easily startled?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 106 of 215
---------------------------------------------------------------------------------
MN6P046
9MFU PTSD 4
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you felt numb or detached from others, activities, or your surroundings?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN6P047
9MFU CES-D 1
[USE SHOWCARD 29]
Below is a list of ways you might have felt or behaved recently. Please tell me how often you have
felt this way during the @Bpast week@B.
[REFER RESPONDENT TO REFERENCE CALENDAR]
During the past week. . .
You were bothered by things that don't usually bother you.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
MN6P048
9MFU CES-D 2
You had trouble keeping your mind on what you were doing.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
MN6P049
9MFU CES-D 3
You felt depressed.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 107 of 215
---------------------------------------------------------------------------------
MN6P050
9MFU CES-D 4
You felt that everything you did was an effort.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
MN6P051
9MFU CES-D 5
You felt hopeful about the future.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
MN6P052
9MFU CES-D 6
You felt fearful.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
MN6P053
9MFU CES-D 7
Your sleep was restless.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 108 of 215
---------------------------------------------------------------------------------
MN6P054
9MFU CES-D 8
You were happy.
Question Type:
Tfrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
MN6P055
9MFU CES-D 9
You felt lonely.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 109 of 215
Parenting & Child Well-being
---------------------------------------------------------------------------------
Logic before:
If (HASFOCAL=1 AND MN1D030 = live (focal child is living)), go to MN6N095. If (HASFOCAL = 0 or
MN1D030 = dead (focal child is deceased)) AND MN1D032 = live for ANY non-focal child from baseline
or NUMBCHILD GE 1, go to MN6N099a. If TOTALCHILD = 0, go to MN6N121. Response option 1 should only
be available if MNCON5 = NO. Allow the respondent to "select all that apply". Use special font as
follows: If MNCON5 = no, bold option 1. Always bold options 2-10.
MN6N095
9MFU Focal Child Residence
[USE SHOWCARD 30]
The next items ask about your relationship with ^prld.FOCCHILD.
With whom does ^prld.FOCCHILD currently live? Select all that apply.
REQUIRED PROBE: Anyone else?
Question Type:
TFocalFU
You
Mother
GrandparentM
GrandparentP
StepGrand
RelativesB
Stepparent
NonBlood
SocialS
Other
1
2
3
4
5
6
7
8
9
10
^F1 You ^F1
@BThe child's mother@B
@BThe child's maternal grandparent(s)@B
@BThe child's paternal grandparent(s)@B
@BThe child's step-grandparent(s)@B
@BOther blood relatives of the child@B
@BThe child's stepparent@B
@BOther non-blood relatives@B
@BThe child is in custody of social services@B
@BOther (SPECIFY)@B
Logic after:
If MN6N095 = Other, go to MN6N095s. Else go to MN6N096. If MNCON5 = yes AND response option 1 is
selected, create a consistency check that says "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT
WITH THE R BEING CURRENTLY INCARCERATED. PLEASE PROBE TO RESOLVE THE INCONSISTENCY."
---------------------------------------------------------------------------------
MN6N095s
9MFU Other Specify
SPECIFY OTHER
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MN6N096
9MFU Feelings as a Parent
Please think about how you feel about yourself as a parent to ^prld.FOCCHILD.
Would you say you are...
Question Type:
TType
Excel
Vgood
Good
Nogood
1
2
3
4
An excellent parent
A very good parent
A good parent
Not a very good parent
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 110 of 215
---------------------------------------------------------------------------------
MN6N097
9MFU Relationship with Focal Child
Would you say your current relationship with ^prld.FOCCHILD is..
Question Type:
TEGFP
Excel
Good
Fair
Poor
1
2
3
4
Excellent
Good
Fair
Poor
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 2 (still incarcerated) or 3 (reincarcerated) AND MN1G062a GE 1, ask MN6N098. If
MN1G062a EQ 0, skip to MN6N099.
MN6N098
Focal Child knows about Incarceration
Does ^prld.FOCCHILD know that you are incarcerated?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 3 (reincarcerated), ask MN6R036.
MN6R036
Personal Visits from Focal Child
Do you currently receive personal visits from ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 3 (reincarcerated) OR MN5J047 = No (released R does not currently live with focal
child), ask MN6R036t. If INCARSTATE = 3 (reincarcerated), ^lcfill should say “other”. Else do not
fill.
MN6R036t
Other Contact with Focal Child
Do you have any ^lcfill contact with ^prld.FOCCHILD, such as phone calls or letters?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 111 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) and (MN5J047 = Yes (R currently lives with focal child) OR MN5J047a NE
6 (sees focal child) OR MN6R036t = Yes (R has contact with focal child via letters or phone
calls)), ask MN6R039. If INCARSTATE = 2 (still incarcerated) and (MN3R024 = Yes (phone) OR MN3R028
= Yes (sends mail) or MN3R036 = Yes (receives visits)), ask MN6R039. If INCARSTATE = 3
(reincarcerated) and (MN6R036 = Yes (receives visits) OR MN6R036t = Yes (R has contact with focal
child via letters or phone calls)), ask MN6R039.
MN6R039
Parental Warmth Intro
For the next set of questions, I'd like you to think about what things are like when you see or
communicate with ^prld.FOCCHILD now.
On average, how often do you do each of the following with ^prld.FOCCHILD when you communicate with
^FOCSEX2?
Question Type:
Tnext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) and (MN5J047 = Yes OR MN5J047a NE 6), ask MN6R039a. If INCARSTATE = 2
(still incarcerated) and MN3R036 = Yes, ask MN6R039a. If INCARSTATE = 3 (reincarcerated) and
MN6R036 = Yes, ask MN6R039a. Allow option 5 to be selected only if MNCON5 = YES and (MN3R036 or
MN6R036) = YES. CC text reads: NO CONTACT IS NOT LOGICALLY CONSISTENT WITH YOUR OTHER RESPONSES.
MN6R039a
Parental Warmth 1
Hug or show physical affection to ^prld.FOCCHILD?
Question Type:
Tphysical
Always
Usually
Sometimes
Never
NoContact
1
2
3
4
5
Always
Usually
Sometimes
Never
Physical contact is not permitted during visits at your facility
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) and MN5J047 = Yes OR MN5J047a NE 6 OR MN6R036t = Yes), ask MN6R040.If
INCARSTATE = 2 (still incarcerated) and (MN3R024 = Yes OR MN3R028 = Yes OR MN3R036 = Yes), ask
MN6R040. If INCARSTATE = 3 (reincarcerated) and (MN6R036 = Yes or MN6R036t = Yes), ask MN6R040.
MN6R040
Parental Warmth 2
[USE SHOWCARD 31]
Tell ^prld.FOCCHILD that you love ^FOCSEX2?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 112 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) and MN5J047 = Yes OR MN5J047a NE 6 OR MN6R036t = Yes), ask MN6R041. If
INCARSTATE = 2 (still incarcerated) and (MN3R024 = Yes OR MN3R028 = Yes OR MN3R036 = Yes), ask
MN6R041. If INCARSTATE = 3 (reincarcerated) and (MN6R036 = Yes or MN6R036t = Yes), ask MN6R041.
MN6R041
Parental Warmth 3
Communicate with ^prld.FOCCHILD about things ^FOCSEX1 is interested in?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released) and MN5J047 = Yes OR MN5J047a NE 6 OR MN6R036t = Yes), ask MN6R042. If
INCARSTATE = 2 (still incarcerated) and (MN3R024 = Yes OR MN3R028 = Yes OR MN3R036 = Yes), ask
MN6R042. If INCARSTATE = 3 (reincarcerated) and (MN6R036 = Yes or MN6R036t = Yes), ask MN6R042.
MN6R042
Parental Warmth 4
Praise ^prld.FOCCHILD? By praise, we mean tell the child that ^FOCSEX1 is good in some way or that
^FOCSEX1 has done something well.
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Logic before:
If MN1F001 = dead (Namefill is deceased), skip to MN6N100.
MN6N099
9MFU Arguments over Focal Child
Parenting with another person can be challenging.
Do you and ^prld.Namefill have arguments about ^prld.FOCCHILD...
Question Type:
TOSRN
Often
Sometimes
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 113 of 215
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, ask MN6N099a. Else go to MN6N100.
MN6N099a
9MFU Count on One Another
How often can you and ^prld.Namefill count on one another to follow through on your parenting
responsibilities?
Question Type:
TOSRN2
Often
Sometimes
Rarely
Never
NotAp
1
2
3
4
5
Often
Sometimes
Rarely
Never
Not applicable
---------------------------------------------------------------------------------
Logic before:
If MN1F001 = Alive and (HASFOCAL = 1 and MN1D030 = live), ask MN6N100. If MN1F001 = Dead and
(HASFOCAL = 1 and MN1D030 = live), skip to MN6N101. Else, skip to MN6N121.
MN6N100
9MFU Decisions about Child/Health Care
Who makes major decisions about things such as child care and health care for ^prld.FOCCHILD?
Question Type:
TDecisionsPFU
Both
Mother
Respondent
Someelse
1
2
3
4
^prld.Namefill and you make most of the decisions together
^prld.Namefill makes most decisions without you
You make most decisions without ^prld.Namefill
Someone else involved in raising the child makes most decisions without
you or ^prld.Namefill
5 You and someone else involved in raising the child make most of the
decisions
RandOther
---------------------------------------------------------------------------------
Logic before:
Preload MB1G063 for FOCAL CHILD from male baseline. If Focal child's gender (from MB1G063 from male
baseline) = male, then FOCSEX3 = "his", else FOCSEX3 = "her"
MN6N101
9MFU Focal Child's Relationship with Mother
Please rate ^prld.FOCCHILD's relationship with ^FOCSEX3 mother or main caretaker.
Would you say it is...
Question Type:
TEGFP
Excel
Good
Fair
Poor
1
2
3
4
Excellent
Good
Fair
Poor
---------------------------------------------------------------------------------
Logic before:
If MN1G062a
"GE" 4, go to MN6N103.
MN6N103
9MFU Focal Child Attend School
Does ^prld.FOCCHILD attend school?
Question Type:
By school I mean kindergarten through college.
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MN6N103 =yes, go to MN6N104. Else go to MN6N107
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 114 of 215
---------------------------------------------------------------------------------
MN6N104
9MFU Grade Level
What grade is ^prld.FOCCHILD in?
Question Type:
TGrade
Kinger
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Nineth
Tenth
Eleventh
Twelveth
College
Other
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
KINDERGARTEN
1st GRADE
2nd GRADE
3rd GRADE
4th GRADE
5th GRADE
6th GRADE
7th GRADE
8th GRADE
9th GRADE
10th GRADE
11th GRADE
12th GRADE
COLLEGE
OTHER, SPECIFY
Logic after:
If MN6N104 = Other, go to MN6N104s. Else go to MN6N105.
---------------------------------------------------------------------------------
MN6N104s
9MFU Other Specify
SPECIFY OTHER
Question Type:
STRING[25]
---------------------------------------------------------------------------------
MN6N105
9MFU School Assessment Overall
[USE SHOWCARD 32]
Based on your knowledge of ^prld.FOCCHILD's school work, including ^FOCSEX3 most recent report
cards, how is ^FOCSEX1 doing in school overall?
Would you say . . .
Question Type:
TAverage
Well
Below
Average
Above
WellA
1
2
3
4
5
Well below average
Below average
Average
Above average
Well above average
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 115 of 215
---------------------------------------------------------------------------------
MN6N106
9MFU Extracurricular Activities
Based on your knowledge, does ^FOCSEX1 participate in any sports, clubs, organizations, or programs
after school or on weekends?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN1G062a GE 4, ask MN6N107.
MN6N107
If MN1G062a
LT 4, skip to MN6N115i.
9MFU NSCH Behavior 1
[USE SHOWCARD 33]
[POINT TO ONE MONTH AGO ON REFERENCE CALENDAR]
I'm going to read a list of behaviors that sometimes describe children. For each item, please tell
me how often this has been true for ^prld.FOCCHILD during the past 1 month.
^prld.FOCCHILD bullies, or is cruel or mean to others.
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Would you say. . .
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
MN6N108
9MFU NSCH Behavior 2
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
^prld.FOCCHILD shows respect for teachers and neighbors.
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 116 of 215
---------------------------------------------------------------------------------
MN6N109
9MFU NSCH Behavior 3
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
. . .gets along well with other children
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
MN6N110
9MFU NSCH Behavior 4
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
. . .is disobedient
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
MN6N111
9MFU NSCH Behavior 5
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
. . .is stubborn, sullen, or irritable
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
MN6N112
9MFU NSCH Behavior 6
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
. . .feels worthless or inferior
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 117 of 215
---------------------------------------------------------------------------------
MN6N113
9MFU NSCH Behavior 7
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
. . .is unhappy, sad, or depressed
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
MN6N114
9MFU NSCH Behavior 8
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
. . .is withdrawn, and does not get involved with others
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
MN6N115i
9MFU Raising a child can be difficult
Raising children can be difficult these days. Has ^prld.FOCCHILD ever had any of the following
problems?
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MN1G062a GE 4, ask MN6N115. Else, go to MN6N117.
MN6N115
9MFU New Hope 1
Being suspended or expelled from school?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 118 of 215
---------------------------------------------------------------------------------
MN6N116
9MFU New Hope 2
Needing to repeat a grade in school?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN6N117
9MFU New Hope 3
Being placed in foster care, or being sent to live with a friend or relative?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN1G062a is "GE" 10, go to MN6N118. Else go to MN6N121.
MN6N118
9MFU New Hope 4
Running away?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN6N119
9MFU New Hope 5
Getting into trouble for using alcohol or drugs?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN6N120
9MFU New Hope 6
Getting into trouble with the police?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 119 of 215
---------------------------------------------------------------------------------
Logic before:
Everyone should be asked items MN6N121 - MN6N127.
MN6N121
9MFU Fatherhood Attitude 1
[FI NOTE: THIS SERIES APPLIES TO ALL RESPONDENTS, EVEN IF THEY ARE NOT CURRENTLY A FATHER.]
[USE SHOWCARD 34]
Here are some statements that men have made about their role as fathers. For each of the following
statements, please indicate how strongly you agree or disagree.
It's hard for men to act loving toward children.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6N122
9MFU Fatherhood Attitude 2
Fathers should spend as much time taking care of their children as mothers.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6N123
9MFU Fatherhood Attitude 3
The way a father treats his child will affect the child later in life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6N124
9MFU Fatherhood Attitude 4
The activities a father does with his children don't matter. What matters more is whether he
supports them financially.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 120 of 215
---------------------------------------------------------------------------------
MN6N125
9MFU Fatherhood Attitude 5
It is sometimes OK for fathers to physically discipline their children, such as hitting or spanking
them.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6N126
9MFU Fatherhood Attitude 6
Incarcerated fathers can still be good role models for their children.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6N127
9MFU Fatherhood Attitude 7
Incarcerated fathers can still be involved in making decisions about their children's lives.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 121 of 215
Social Support
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, include "or your ^children" for ^childfill with question text (^children
defined in MN1G061n).
MN6L128
9MFU Extended Family Support 1
[USE SHOWCARD 34]
Now I'd like to ask about how you currently feel about your relationships with your family members
other than ^prld.Namefill ^childfill. This would mean your parents, siblings, cousins, or other
family members. Please tell me whether you strongly agree, agree, disagree, or strongly disagree
with the following statements.
You feel close to your family.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6L129
9MFU Extended Family Support 2
You have family members who will stand by you no matter what.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6L130
9MFU Extended Family Support 3
You want your family to be involved in your life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6L131
9MFU Extended Family Support 4
You are criticized a lot or put down by your family.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 122 of 215
---------------------------------------------------------------------------------
MN6L132
9MFU Extended Family Support 5
You have someone in your family to talk to about yourself or your problems.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN6L133
9MFU Extended Family Support 6
You have someone in your family to love you and make you feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 123 of 215
ACASI Intro
---------------------------------------------------------------------------------
MNACASI1
9MFU ACASI 1
This study promises to keep the information you provide entirely confidential. However, there are
some questions people might prefer to answer privately. For that reason, some sections of this
interview are designed for you to enter answers into the laptop yourself. When you enter answers
into the laptop, I will not know your answers. Please be as honest as you can while completing
these sections.
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MN1F001 = live (Namefill is living) ask MNACASI1a. If MN1F001 = dead (Namefill is deceased),
skip to MNACASI1b.
MNACASI1a
9MFU ACASI 1a
At your last survey with us you identified ^prld.Namefill as the person we should include in our
survey to get a better understanding of how incarceration has affected your family. In this next
section, we will refer to ^prld.Namefill as your, "Survey Partner".
[POINT TO SURVEY PARTNER ON GENOGRAM. BE SURE THAT THE RESPONDENT CAN SEE THE GENOGRAM WHILE
COMPLETING THE ACASI PORTION OF THE INTERVIEW.]
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MNACASI1b
9MFU ACASI 1b
Now I'll help you begin with some practice questions that will show you how the laptop works.
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MNACASI2
9MFU ACASI 2
[INTERVIEWER: MAKE SURE THE RESPONDENT CAN SEE THE COMPUTER SCREEN]
[POINT TO ON/OFF BUTTON]
First, this button up here turns the machine on and off.
Please do not press it!
Question Type:
It will turn the machine off, and we'll lose the interview.
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
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---------------------------------------------------------------------------------
MNACASI2a
9MFU ACASI2a
[POINT TO THE ROW OF NUMBER KEYS]
These are the number keys. You'll use these keys to answer most questions.
[POINT TO THE ENTER KEY]
After typing your answer, you'll need to press the Enter key to go to the next question.
Question Type:
TContinue
Continue
1 Continue
---------------------------------------------------------------------------------
MNACASI3
9MFU ACASI 3
If you want to go back and change a previous answer, you can press the up-arrow to return to an
earlier question.
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MNACASI4
9MFU ACASI 4
Here is a question asking if I rent my home. I can press 1 for Yes or 2 for No.
press 1 to answer Yes.
I am going to
[POINT TO BOTTOM OF THE SCREEN]
The number 1 appears at the bottom of the screen. Next I'll press the Enter key to go to the next
screen.
Do you rent your home?
Question Type:
TYESNOCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MNACASI5
9MFU ACASI 5
Here is a new screen.
I want to go back and change my answer about renting my home.
[POINT TO THE UP ARROW KEY]
Here is the up arrow. By pressing this, you can return to a previous question. I will press it
once to back up one question. Watch as I change the answer to 2 and then hit enter to move forward
again.
[PRESS UP ARROW, PRESS 2, PRESS ENTER TWICE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
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Tuesday, August 03, 2010
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MNACASI6
9MFU ACASI 6
Let me show you some other features on this laptop.
[POINT TO THE ROW OF FUNCTION KEYS] Above the number keys are the function keys.
[POINT TO F3] If you don't know the answer to a question, you can press F3.
[PRESS F3] When you press F3, you will see a question mark like this appear.
[POINT TO F4] If you don't want to answer a question, you can press F4.
[PRESS F4] When you press F4, you will see an exclamation point like this appear.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MNACASI6a
NO LABEL
Do you have any questions before I give you the laptop?
[TURN THE LAPTOP OVER TO THE RESPONDENT NOW]
Question Type:
TContinue
Continue
1 Continue
---------------------------------------------------------------------------------
MNACASI7
ACASI 7
These next few questions are for practice. Your interviewer is available to help if you have
questions. Press 1 and then the ENTER key on the right side of the keyboard to continue.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MNACASI8
ACASI 8
Some questions ask for a yes or no answer, like this one.
the ENTER key to continue. Practice this now.
Press 1 for Yes or 2 for No, then press
Do you have a dog?
Question Type:
TYESNOCaps
Yes
No
1 YES
2 NO
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Tuesday, August 03, 2010
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MNACASI9
ACASI 9
Some questions ask you to pick an answer from a list, like this one.
fits you and press ENTER. Practice this now.
Type the number that best
What is your eye color?
Question Type:
TEyeColor
Brown
Blue
Green
Gray
Black
Other
1
2
3
4
5
6
Brown
Blue
Green
Grey
Black
Other
---------------------------------------------------------------------------------
MNACASI10
MBACASI 10
Some questions ask you to enter a number. For these questions, you will press the number you wish
to select. When you have finished pressing the number, press ENTER. Practice this now.
How many cups of coffee do you drink each day?
each day during a typical day.
Question Type:
Please enter the number of cups of coffee you drink
0..100
---------------------------------------------------------------------------------
MNACASI11
ACASI 11
Some questions ask how much you agree or disagree with a statement. For these questions, you will
press the number you wish to select. When you have finished pressing the number, press ENTER.
Practice this now.
I like it when it rains.
Would you say....
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
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MNACASI12
ACASI 12
Some questions will ask you how often you do something. For these questions, you will press the
number you wish to select. When you have finished pressing the number, press ENTER. Practice this
now.
How often do you read the newspaper?
Would you say....
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
Select all that apply.
MNACASI13
ACASI 13
Some questions let you select more than one answer. For these questions, you will press the space
bar between the numbers you select.
To select more than one kind of music from the list, press the space bar between each number that
you type. When you have finished, press ENTER to pick all the types of music you have selected.
Practice this now.
What kinds of music do you listen to?
Question Type:
Tmusic
Classical
Country
HipHop
Jazz
Latin
Folk
Pop
Soul
Techno
1
2
3
4
5
6
7
8
9
Classical
Country
Hip Hop
Jazz
Latin American/Spanish
Other Folk/Ethnic
Pop/Rock
Soul/R&B
Techno
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 128 of 215
---------------------------------------------------------------------------------
Logic before:
Bold response options selected in ACASI13.
MNACASI14
ACASI 14
Some questions will ask you to choose the answer that best fits based on answers to a previous
question.
For these questions, you will see that your answers from the previous question are darker than the
other possible answers. You will only be allowed to select among those answers which are darker.
When you have finished, press ENTER. Practice this now.
Which of the following types of music do you listen to most?
Question Type:
Tmusic2
Classical
Country
HipHop
Jazz
Latin
Folk
Pop
Soul
Techno
1
2
3
4
5
6
7
8
9
^F1
^F2
^F3
^F4
^F5
^F6
^F7
^F8
^F9
Classical ^F1
Country ^F2
Hip Hop ^F3
Jazz ^F4
Latin American/Spanish ^F5
Other Folk/Ethnic ^F6
Pop/Rock ^F7
Soul/R&B ^F8
Techno ^F9
---------------------------------------------------------------------------------
MNACASI15
ACASI 15
Next are more interview questions that you will answer on your own. If you have any questions about
how to use the computer, you can ask your interviewer. Please tell the interviewer if you would
like help reading the screens. Press 1 and then the Enter key to begin.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 129 of 215
Criminal Behavior
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE= 2, skip to MNACASIJ000.
If INCARSTATE = 1 (released), ^lcfill1 should say "since your release from incarceration. We are
taking about the period of time since the date shown below on your screen.", and ^lcfill2 should
say "since your release, have you been", and ^lcfill3 should fill "@B^RELDATE@B" but do not record
^lcfill3; only show it on the screen.
If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "during your time on the outside. We are
talking about the period of time between the dates shown below on your screen.", and ^lcfill2
should say "during your time on the outside, were you", and ^lcfill3 should say "@B^RELDATE and
^INCARDATE2@B" but do not record ^lcfill3; only show it on the screen.
MNACASI5W127
9MFU Supervision Status
The next set of items ask about your experiences with the law ^lcfill1.
^lcfill3
At any point ^lcfill2 on post-release supervision, such as probation or parole?
Question Type:
Tsupervise
Probate
Parole
NoProbPar
1 Yes, probation
2 Yes, parole
3 Neither probation or parole
---------------------------------------------------------------------------------
Logic before:
If MNACASI5W127 = Probate or Parole, ask MNACASI5W128. If INCARSTATE = 3 (reincarcerated), skip to
MNACASI5W130.
MNACASI5W128
9MFU On Probation or Parole
Are you currently on probation/parole?
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If MNACASI5W128 = Yes, ask MNACASI5W129.
MNACASI5W129
9MFU Duration of Supervision
How much more of your supervision term do you have left to serve?
Please enter how many @Bmonths@B you have left to serve.
Question Type:
1..100
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Tuesday, August 03, 2010
Page 130 of 215
---------------------------------------------------------------------------------
Logic before:
If MNACASI5W127 = Probate or Parole, ask MNACASI5W130. If INCARSTATE = 1 (released), text should
say "Since you were released from incarceration, have you ever failed". If INCARSTATE = 3
(reincarcerated), text should say "During your time on the outside, did you ever fail".
MNACASI5W130
9MFU Compliance with Supervision
^lcfill to comply with any conditions of your supervision, regardless of whether you were caught?
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "since your release from prison" and ^lcfill2
should say "Since your release from prison, have you...". If INCARSTATE = 3 (reincarcerated),
^lcfill1 should say "during your time on the outside" and ^lcfill2 should say "During your time on
the outside, did you...". Allow R to select all that apply. For the response options, if INCARSTATE
= 1 (released), ^lcfill3 should say "Committed", ^lcfill4 should say "Carried", ^lcfill5 should
say "Used or possessed", ^lcfill6 should say "Sold", ^lcfill7 should say "Driven". For the response
options, if INCARSTATE = 3 (reincarcerated), ^lcfill3 should say "Commit", ^lcfill4 should say
"Carry", ^lcfill5 should say "Use or possess", ^lcfill6 should say "Sell", ^lcfill7 should say
"Drive".
MNACASI5W131
9MFU Criminal Behavior
Now, I am going to ask about various crimes you may have committed ^lcfill1, @Bregardless of
whether or not you were caught@B. Remember, your answers will be kept completely confidential and
@Bno one@B except the people working on the study will be able to find out how you've answered.
^lcfill2
Check all that apply.
Question Type:
Tcrmbeh
Viocrm
Peocrm
Weapon
UseDrgs
SldDrgs
DrgCrm
DUI
PropCrm
OthrCrm
None
1 ^lcfill3 any violent crimes? By violent crimes, we mean things like
physical or sexual assault, rape, robbery, manslaughter, attempted
murder, murder, vehicular manslaughter, or vehicular homicide, whether
you knew the person or not.
2 ^lcfill3 any other crimes against people? Crimes against people include
things like hit and run, child neglect, or harassment.
3 ^lcfill4 a gun, knife, or other weapon?
4 ^lcfill5 either drugs or drug paraphernalia?
5 ^lcfill6 any drugs?
6 ^lcfill3 any other drug crimes, such as manufacturing, trafficking, or
prescription fraud?
7 ^lcfill7 while intoxicated or under the influence?
8 ^lcfill3 any property crimes? Property crimes include things like
burglary, larceny, auto theft, bad checks, fraud, forgery, or grand
theft?
9 ^lcfill3 any other crimes such as prostitution, soliciting, shoplifting,
or disorderly conduct? Do not include any violations of parole or
probation.
10 You did not commit or have not committed any crimes
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Tuesday, August 03, 2010
Page 131 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release, have you been". If INCARSTATE
= 3 (reincarcerated), ^lcfill should say "During your time on the outside, were you ever".
MNACASI5W132
9MFU Arrests
^lcfill arrested? Please count all arrests, not just those that led to a conviction.
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If MNACASI5W132 = Yes, ask MNACASI5W133. If INCARSTATE = 1 (released), ^lcfill1 should say "have
you been arrested since your release?" and ^lcfill2 should say "since release". If INCARSTATE = 3
(reincarcerated), ^lcfill1 should say "were you arrested during your time on the outside?" and
^lcfill2 should say "during time on the outside".
MNACASI5W133
9MFU Number of Arrests Since Release
How many times ^lcfill1
Please enter the @Bnumber@B of arrests ^lcfill2.
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release on the date shown below, have
you been back", and ^lcfill2 should say "@B^RELDATE@B" on the screen but do not record ^lcfill2.
If INCARSTATE = 3 (reincarcerated), ^lcfill should say "During your time on the outside between the
dates shown below, were you ever back", and ^lcfill2 should say "@B^RELDATE and ^INCARDATE2@B" on
the screen, but do not record ^lcfill2.
MNACASI5W134
9MFU Reincarceration
^lcfill in a jail or prison for more than 24 hours at one time?
^lcfill2
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 132 of 215
---------------------------------------------------------------------------------
Logic before:
If MNACASI5W134 = Yes, ask MNACASI5W135.
If INCARSTATE = 1 (released), ^lcfill should say "have you been to prison or jail since your
release on the date shown below?', and ^lcfill2 should say "@B^RELDATE@B" on screen, but do not
record ^lcfill2.
If INCARSTATE = 3 (reincarcerated), ^lcfill should say "were you in prison or jail between the
dates shown below?", and ^lcfill2 should say "@B^RELDATE and ^INCARDATE2@B" on the screen, but do
not record ^lcfill2.
MNACASI5W135
9MFU Times in Prison/Jail Since Release
How many separate times ^lcfill
^lcfill2
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If (MNACASI5W131 = None AND MNACASI5W134 = No) AND INCARSTATE = 1 (released), ask MNACASI5W136. If
INCARSTATE = 3 (reincarcerated), skip to MNACASI5W138. Allow R to select all that apply.
MNACASI5W136
9MFU Factors Associated with Desistance
What do you think has made the @Bmost@B difference in terms of keeping you out of trouble since
being released from incarceration? Select all that apply.
Question Type:
Tdesistance
GdJob
Chnge
StpAssoc
GdLive
Neigh
NmeHlp
NmeLve
NmeSupp
FamSupp
NoDgsAlc
RcdServ
NoStress
Relig
Other
1
2
3
4
5
You
You
You
You
You
found a good job
wanted to change for your children’s sake
stopped associating with friends that got you into trouble
found a good place to live
live in a safe neighborhood where it is easy to stay out of trouble
6 Survey Partner helped to keep you out of trouble
7 Survey Partner loved and inspired you
8 Survey Partner provided material support for you, such as money,
housing, or food
9 Other family members are supportive
10 You stopped using drugs or alcohol
11 You got the services you needed
12 You learned how to deal with the stress or pressure in your life
13 Your religion or spirituality has helped you stay out of trouble
14 Some other reason
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 133 of 215
---------------------------------------------------------------------------------
Logic before:
If MNACASI5W136 GT 3 responses, ask MNACASI5W137. SHOW RESPONSE OPTIONS THAT WERE SELECTED IN
MNACASI5W136 WITH SPECIAL FONT.
MNACASI5W137
9MFU Main Reasons for Staying out of Trouble
Of the reasons that you just indicated, which @Bthree@B do you think have made the most difference
in terms of keeping you out of trouble since being released from incarceration?
Question Type:
Tdesistance2
GdJob
Chnge
StpAssoc
1 ^F1 You found a good job ^F1
2 ^F2 You wanted to change for your children’s sake ^F2
3 ^F3 You stopped associating with friends that got you into trouble ^F3
GdLive
Neigh
4 ^F4 You found a good place to live ^F4
5 ^F5 You live in a safe neighborhood where it is easy to stay out of
trouble ^F5
6 ^F6 Survey Partner helped to keep you out of trouble ^F6
7 ^F7 Survey Partner loved and inspired you ^F7
8 ^F8 Survey Partner provided material support for you, such as money,
housing, or food ^F8
9 ^F9 Other family members are supportive ^F9
10 ^F10 You stopped using drugs or alcohol ^F10
11 ^F11 You got the services you needed ^F11
12 ^F12 You learned how to deal with the stress or pressure in your life
^F12
13 ^F13 Your religion or spirituality has helped you stay out of trouble
^F13
14 ^F14 Some other reason ^F14
NmeHlp
NmeLve
NmeSupp
FamSupp
NoDgsAlc
RcdServ
NoStress
Relig
Other
---------------------------------------------------------------------------------
Logic before:
If (MNACASI5W131 NE None OR MNACASI5W134 = Yes) or INCARSTATE = 3 (reincarcerated), ask
MNACASI5W138. Allow R to select all that apply.
MNACASI5W138
9MFU Factors Associated with Recidivism
What would you say are the @Bmain@B reasons that you committed crimes or got in trouble? Select all
that apply.
Question Type:
Trecidivism
NoJob
ProbNme
ProbFam
ProbFrnd
1 You could not find a good job
2 You had problems with your Survey Partner
3 You had problems with other family members
4 The people you were hanging out with made it hard to stay out of trouble
NoHome
BdNeigh
5
6
DrgsAlc
NoServe
Stress
Discrim
Other
You could not find a place to live
You lived in a neighborhood where it was hard to stay out of trouble
7 You were using drugs or alcohol
8 You couldn’t get the services you needed
9 You were under too much stress or pressure
10 You were discriminated against in the legal system
11 Some other reason
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 134 of 215
---------------------------------------------------------------------------------
Logic before:
If MNACASI5W138 GT 3 responses, ask MNACASI5W139. BOLD
MNACASI5W138.
MNACASI5W139
RESPONSE OPTIONS THAT WERE SELECTED IN
9MFU Main Reasons Associated with Recidivism
Of the reasons that you just indicated, what would you say are the @Bthree main@B reasons that you
committed crimes or got in trouble?
Question Type:
Trecidivism2
NoJob
ProbNme
ProbFam
ProbFrnd
1
2
3
4
NoHome
BdNeigh
5
6
DrgsAlc
NoServe
Stress
Discrim
Other
7
8
9
10
11
^F1 You could not find a good job ^F1
^F2 You had problems with Survey Partner ^F2
^F3 You had problems with other family members ^F3
^F4 The people you were hanging out with made it hard to stay out of
trouble ^F4
^F5 You could not find a place to live ^F5
^F6 You lived in a neighborhood where it was hard to stay out of trouble
^F6
^F7 You were using drugs or alcohol ^F7
^F8 You couldn’t get the services you needed ^F8
^F9 You were under too much stress or pressure ^F9
^F10 You were discriminated against in the legal system ^F10
^F11 Some other reason ^F11
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 135 of 215
Housing
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 2 (still incarcerated), skip to MNACASI2O063. If INCARSTATE = 1 (released), ^lcfill
should say "you live with now."If INCARSTATE = 3 (reincarcerated), ^lcfill should say "you lived
with during your time on the outside."
MNACASIJ000
9MFU Housing Intro
Next I would like to ask you about the people ^lcfill
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "are currently living with". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "were living with during your time on the outside".
MNACASIJ006
9MFU Current Housepartner Correctional Facility
Has anyone you ^lcfill ever been to jail, prison or some other correctional institution?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Do any of the people you are currently living
with use illegal drugs?". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "Did any of the
people you were living with during your time on the outside use illegal drugs?".
MNACASIJ007
9MFU Current Housepartner Drug Use
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 136 of 215
Substance Use
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 2 (still incarcerated), skip to MNACASI7O005. If INCARSTATE = 1 (released), ^lcfill
should say "since your last interview" , and ^lcfill2 should say "@B^INTDATE@B" to display
interview date on screen but do not record in audio files
If INCARSTATE = 3 (reincarcerated), ^lcfill should say "during your time on the outside" and
^lcfill2 should say "^@B^RELDATE to ^INCARDATE2@B" to display range of date on outside on the
screen but do not record in audio files.
Allow the respondent to "select all that apply".
MNACASI2O063
9MFU Substances Used
Now I would like you to think about your drug and alcohol use.
Please tell me which of the following substances you used ^lcfill, even just once.
Select all that apply.
To select more than one substance from the list, press the space bar between each number that you
type. When you have finished, press ENTER to pick all the types of substances you have selected.
^lcfill2
Question Type:
TSubstanceFU
Alcohol
Marijuana
Pcoke
Ccoke
Heroin
Meth
Other
Hallucin
Prescription
Methadone
NoUse
1
2
3
4
5
Alcohol
Marijuana or hashish
Powder cocaine
Crack cocaine
Heroin (this includes smoking, sniffing, snorting, and injecting heroin)
6 Methamphetamine
7 Other amphetamines, such as monster, crank, or ice
8 Halluginogens or designer drugs, such as ecstasy, LSD, acid, mushrooms,
mescaline, peyote, green, PCP, or angel dust
9 Prescription medications without a prescription or for other reasons
than were prescribed, or in larger amounts, or more often than your
doctor ordered. This includes sedatives, tranquilizers, stimulants,
pain relievers, opiates, or anabolic steroids
10 Methadone without a prescription or for other reasons than were
prescribed, or in larger amounts, or more often than your doctor ordered
11 Did not use any alcohol or drugs
Logic after:
If MNACASI2O063 = NoUse, go to MNACASI7O005. If MNACASI20063 includes more than one response, go to
MNACASI2O064. Else, go to MNACASI2O065a.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 137 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "have you used the most since your last interview"
If INCARSTATE = 3 (reincarcerated), ^lcfill should say "did you use the most during your time on
the outside" Use special font for the response options that were selected in the previous question.
MNACASI2O064
9MFU Substances Used Most
Which of the following ^lcfill?
Question Type:
TDrugs2
Alcohol
Marijuana
Powder
Crack
Heroin
1
2
3
4
5
Meth
Other
Hallucinogens
6
7
8
Prescriptions
9
Methadone
10
^F1 Alcohol ^F1
^F2 Marijuana or hashish ^F2
^F3 Powder cocaine ^F3
^F4 Crack cocaine ^F4
^F5 Heroin (this includes smoking, sniffing, snorting, and injecting
heroin) ^F5
^F6 Methamphetamine ^F6
^F7 Other amphetamines, such as monster, crank, or ice ^F7
^F8 Hallucinogens or designer drugs, such as ecstasy, LSD or acid,
mushrooms, mescaline, peyote, green, PCP, or angel dust ^F8
^F9 Prescription medication without a prescription or for other reasons
than were prescribed, or in larger amounts, or more often than your
doctor ordered. Include sedatives, tranquilizers, stimulants, pain
relievers, opiates, or anabolic steroids ^F9
^F10 Methadone without a prescription or for other reasons than were
prescribed, or in larger amounts, or more often than your doctor ordered
^F10
---------------------------------------------------------------------------------
Logic before:
IF MNACASI2O063 includes alcohol, ask MNACASI2O0265a. Else, go to MNACASI2O065e. If INCARSTATE = 1
(released), ^lcfill1 should say "Since your last interview" and ^lcfill2 should say "Have you
felt". If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "During your time on the outside"
and ^lcfill2 should say "Did you feel".
MNACASI2O065a
9MFU CAGE 1
^lcfill1...
^lcfill2 you should cut down on your drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Have people annoyed". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Did people annoy".
MNACASI2O065b
9MFU CAGE 2
^lcfill you by complaining about your drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 138 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Have you felt". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Did you feel".
MNACASI2O065c
9MFU CAGE 3
^lcfill bad or guilty about your drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Have you had". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Did you have".
MNACASI2O065d
9MFU CAGE 4
^lcfill a drink first thing in the morning to steady your nerves or get rid of a hangover
("otherwise known as an eye-opener")?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MNACASI2O063 includes any of responses 2-10 (drugs other than alcohol), ask MNACASI2O065e.
Else, go to MNACASI2O066. If INCARSTATE = 1 (released), ^lcfill1 should say "Since your last
interview" and ^lcfill2 should say "Have you felt". If INCARSTATE = 3 (reincarcerated), ^lcfill1
should say "During your time on the outside" and ^lcfill2 should say "Did you feel".
MNACASI2O065e
9MFU CAGE 5
^lcfill1...
^lcfill2 you should cut down on your drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Logic before: If INCARSTATE = 1 (released), ^lcfill should say 'Have people annoyed'. If INCARSTATE
= 3 (reincarcerated), ^lcfill should say 'Did people annoy'.
MNACASI2O065f
9MFU CAGE 6
^lcfill you by complaining about your drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 139 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Have you felt". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "Did you feel".
MNACASI2O065g
9MFU CAGE 7
^lcfill bad or guilty about your drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your last interview, how often have you
experienced problems with anger when you have been drinking or using drugs?" If INCARSTATE = 3
(reincarcerated), ^lcfill should say "During your time on the outside, how often did you experience
problems with anger when you had been drinking or using drugs?"
MNACASI2O066
9MFU Experience Problems with Anger
^lcfill
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your last interview, how often have you
physically hurt or gotten rough with a spouse or partner or other family members when you have been
drinking or using drugs?". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "During your
time on the outside, how often did you physically hurt or get rough with a spouse or partner or
other family members when you had been drinking or using drugs?"
MNACASI2O067
9MFU Physically Hurt or Get Rough with Partner
^lcfill
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 140 of 215
---------------------------------------------------------------------------------
Logic before:
If MNACASI2O063 includes alcohol, ask MNACASI2O068. Else, go to MNACASI7O005. If INCARSTATE = 1
(released), ^lcfill should say "Since your last interview, how often have you had". If INCARSTATE =
3 (reincarcerated), ^lcfill should say "During your time on the outside, how often did you have".
MNACASI2O068
9MFU Five or More Drinks
^lcfill 5 or more drinks of beer, wine, or liquor on the same occasion? By 'drink', we mean a
bottle or can of beer, a wine cooler or a glass of wine, a shot of liquor, or a mixed drink or
cocktail. By 'occasion', we mean at the same time or within a couple of hours of each other.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
Logic before: If MNCON5 = Yes AND MN3B011 = yes, ask MNACASI7O005. If INCARSTATE = 2, ^lcfill
should say 'First I’d like you to think about your drug and alcohol use.' Else do not fill.
MNACASI7O005
9MFU Use of Illegal Drugs Post-Release
^lcfill
How likely is it that you will use any illegal drugs after release?
realistic expectations.
Question Type:
Please answer based on your
Tlikely
Very
Likely
Unlikely
VeryUn
1
2
3
4
Very likely
Likely
Unlikely
Very unlikely
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 141 of 215
Partner Relationship Quality
---------------------------------------------------------------------------------
Logic before:
If R reports female partner as deceased (MN1F001 = dead), skip to ACASIEND1. If RELSTATUSFU = 1
(romantically involved with spouse or romantically involved with non-spousal partner at follow-up)
OR RELATIONSHP STATUS = 1 (one or both parties considered their relationship to be romantic at
baseline), ask MNACASI6V056. Else skip to MNACASI6V062.
MNACASI6V056
9MFU DAS 1
Now, I'm going to ask you some questions about your romantic relationship with your Survey Partner.
You may find it helpful to look at the chart in front of you that shows who your Survey Partner
is.
Please remember that all information you provide will be kept strictly confidential.
On a scale from 1 to 10 where 1 means not at all happy and 10 means perfectly happy, which number
best describes your happiness with your relationship now?
Question Type:
1..10
---------------------------------------------------------------------------------
MNACASI6V057
9MFU DAS 2
How often do you and your Survey Partner agree on displays of affection? By displays of affection,
I mean holding hands, hugging, kissing, or other kinds of physical affection.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MNACASI6V058
9MFU DAS 3
How often have you discussed or considered divorce, separation, or ending your current relationship
with your Survey Partner?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MNACASI6V059
9MFU DAS 4
In general, how often do you think that things between you and your Survey Partner are going well?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 142 of 215
---------------------------------------------------------------------------------
MNACASI6V060
9MFU DAS 5
Do you confide in your Survey Partner? By confide, I mean share secrets or personal, sensitive
information.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MNACASI6V061
9MFU DAS 6
Do you ever regret getting into your relationship with your Survey Partner?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If RELATIONSHIP STATUS = 1 or 2 OR RELSTATUSFU = 1 or 2, ask MNACASI6V062. If RELSTATUSFU NE 1 OR
RELATIONSHIP STATUS NE 1 , ^lcfill should say "Now, I'm going to ask you some questions about your
relationship with your Survey Partner. You may find it helpful to look at the chart in front of you
that shows who your Survey Partner is." Else do not fill.
MNACASI6V062
9MFU DAS 7
^lcfill
How often do you and your Survey Partner calmly discuss something?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MNACASI6V063
9MFU DAS 8
How often do you and your Survey Partner work together on something?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 143 of 215
---------------------------------------------------------------------------------
MNACASI6V064
9MFU Communication 1
Even when arguing, you and your Survey Partner can keep a sense of humor.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MNACASI6V065
9MFU Communication 2
Your arguments get very heated.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MNACASI6V066
9MFU Communication 3
Small issues suddenly become big arguments.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MNACASI6V067
9MFU Communication 4
You are good at working out your differences with each other.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 144 of 215
---------------------------------------------------------------------------------
MNACASI6V068
9MFU Communication Skills 1
When discussing issues, you repeat back what your Survey Partner says to make sure you understand
her.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MNACASI6V069
9MFU Communication Skills 2
When your talks begin to get out of hand, you agree to stop them and talk later.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MNACASI6V070
9MFU Communication Skills 3
When discussing issues you allow your Survey Partner to finish talking before you respond.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MNACASI6V071
9MFU Communication Skills 4
Your Survey Partner interrupts you when you are talking.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 145 of 215
---------------------------------------------------------------------------------
Logic before:
If RELATIONSHIP STATUS = 1 (one or both parties considered their relationship to be romantic at
baseline) or RELSTATUSFU = 1 (romantically involved with spouse or romantically involved with nonspousal partner at follow-up), ask MNACASI6V072.
Else go to MNACASI6V085.
MNACASI6V072
9MFU Forgive Partner
You are usually able to forgive your Survey Partner.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MNACASI6V073
9MFU Fidelity 1
How often are you tempted to have sexual or romantic contact with someone other than your Survey
Partner?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MNACASI6V074
9MFU Fidelity 2
During your relationship with your Survey Partner, was there ever a time when you had sexual or
romantic contact with someone else?
Would you say . . .
Question Type:
TYesNoMaybe
Yes
No
Maybe
1 Yes
2 No
3 Maybe
---------------------------------------------------------------------------------
MNACASI6V075
9MFU Fidelity 3
How much do you agree or disagree with the following statements?
You know you can count on your Survey Partner to remain faithful to you. By faithful, we mean never
having sexual contact with anyone except you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 146 of 215
---------------------------------------------------------------------------------
MNACASI6V076
9MFU Fidelity 4
You know how to avoid situations where you might be tempted to cheat on your Survey Partner.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MNACASI6V077
9MFU Fidelity 5
Here are some statements about your relationship with your Survey Partner. For each one, please
tell me if you strongly agree, agree, disagree, or strongly disagree.
It is very important to you to be completely faithful to your Survey Partner. By faithful, we mean
never having sexual contact with anyone except your Survey Partner.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MNACASI6V078
9MFU Fidelity 6
It is very important to you that your Survey Partner be completely faithful to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MNACASI6V079
9MFU Feelings about Future of Relationship
You may not want to be with your Survey Partner a few years from now.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 147 of 215
---------------------------------------------------------------------------------
MNACASI6V080
9MFU Bonding 1
You and your Survey Partner have fun together.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MNACASI6V081
9MFU Bonding 2
You believe you and your Survey Partner can handle whatever conflicts will arise in the future.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MNACASI6V082
9MFU Bonding 3
You feel good about your chances to make this relationship work for a lifetime.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MNACASI6V083
9MFU Support 1
Your Survey Partner encourages or helps you to do things that are important to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 148 of 215
---------------------------------------------------------------------------------
MNACASI6V084
9MFU Support 2
For this next question, I'd like you to tell me how often the following is true for you.
When you have problems, your Survey Partner really understands what you're going through.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If (RELATIONSHIP STATUS = 1 OR RELSTATUSFU = 1) and (INCARSTATE = 1 or 3), ask MNACASI6V022. Else
go to MNACASI6V085.
MNACASI6V022
9MFU Relationsip with Partner
How easy or hard has it been to have a good relationship with your Survey Partner since you were
released?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to select all that apply.
MNACASI6V023
9MFU Biggest Challenges Post-Release
Since you were released, what have been the biggest challenges in your relationship with your
Survey Partner? Select all that apply.
Question Type:
TBChallengesFUm
Find
Close
Trust
Problems
1
2
3
4
Missed
5 Having missed out on so much that happened in her life while you were
incarcerated
6 Trying to meet her expectations for you related to finding a job,
staying clean, helping her financially
7 Being angry at her or not wanting to see her
8 Her being angry at you or not wanting to see you
9 Some other challenge
Except
Angry
PartAngry
Other
Not knowing how to get in contact with her
Being able to feel close to her again after the time in prison
Being able to trust her after the time in prison
Problems or new situations that have come up since you were incarcerated
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 149 of 215
---------------------------------------------------------------------------------
MNACASI6V025
9MFU Partner Support Expectations 2
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about how you and your Survey Partner have treated one another since your release.
You have loved your Survey Partner and made her feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MNACASI6V026
9MFU Partner Support Expectations 3
You have helped your Survey Partner with whatever problems she has faced.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MNACASI6V028
9MFU Partner Support Expectations 5
Your Survey Partner has loved you and made you feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MNACASI6V029
9MFU Partner Support Expectations 6
Your Survey Partner has helped you with whatever problems you have faced.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 150 of 215
---------------------------------------------------------------------------------
Logic before:
If MN1F062a = 1 (Sep) or 2 (Divorce) OR MN1F063a = 1 (NoRom) OR MN1F064a = 1 (Rom) OR MN1F065 = No
OR MN1F063 = No OR MN1F064 = No or MN1F064c = No, ask MNACASI6V085. Else go to MNACASI6V086.
MNACASI6V085
9MFU Marriage Attitude 1
Getting and staying married is an important goal for you.
Question Type:
Would you say . . .
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If MN1F062 = No OR MN1F063a = 2 (Marr) OR MN1F064a = 2 (Marr) or MN1F062a = 3 (NoRom), or MN1F064c
= yes, ask MNACASI6V086. Else go to MNACASI6V087i.
MNACASI6V086
9MFU Marriage Attitude 2
Staying married to your spouse for the rest of your life is an important goal for you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MNACASI6V087i
9MFU Future Relationship Expectations
The next questions are about your thoughts on what could happen in your relationship with your
Survey Partner in the future. No one knows what the future holds, but we would like your best guess
about what you expect.
Please answer based on your realistic expectations, rather than what you wish for or hope will
happen.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If RELSTATUSFU NE 1, ask MNACASI6V087a. Else go to MNACASI6V087.
MNACASI6V087a
9MFU Become Involved with Coparent
What do you think are the chances that you and your Survey Partner will ever get into a committed
romantic relationship with each other?
Would you say. . .
Question Type:
TChance
NoC
Little
Fifty50
Good
Certain
1
2
3
4
5
No chance
A little chance
A 50-50 chance
A pretty good chance
An almost certain chance
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 151 of 215
---------------------------------------------------------------------------------
Logic before:
If MN1F063 = No (still romantically involved with non-spousal namefill at followup) OR MN1F064a = 1
(Rom; now romantically involved with non-spousal namefill at followup), ask MNACASI6V087. Else go
to MNACASI6V088.
MNACASI6V087
9MFU Chances of Marriage
What do you think the chances are that you will marry your Survey Partner in the future?
Would you say. . .
Question Type:
TChance
NoC
Little
Fifty50
Good
Certain
1
2
3
4
5
No chance
A little chance
A 50-50 chance
A pretty good chance
An almost certain chance
---------------------------------------------------------------------------------
Logic before:
If RELSTATUSFU = 1 (romantically involved with spouse or romantically involved with non-spousal
partner at follow-up), ask MNACASI6V088. Else, skip to MNACASI2M038
MNACASI6V088
9MFU Perceived Life Changes 1
Even though it may be very unlikely, think for a moment about how various areas of your life might
be different if you and your Survey Partner split up. Then, I'll ask you how you think things might
be different for your Survey Partner. For each of the following areas, please tell me whether you
would you expect it to get better, worse, or stay the same if you split up?
Let's start with you.
How would @Byour@B financial situation change if you split up?
Would it get. . .
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
MNACASI6V089
9MFU Perceived Life Changes 2
How would @Byour@B overall happiness change if you split up?
Would it get...
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 152 of 215
---------------------------------------------------------------------------------
MNACASI6V090
9MFU Perceived Life Changes 3
Now, let's think about your Survey Partner.
How would @Bher@B financial situation change if you split up?
Would it get...
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
MNACASI6V091
9MFU Perceived Life Changes 4
How would @Bher@B overall happiness change if you split up?
Would it get...
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1 ask MBACASI6V092.
MNACASI6V092
Else, skip to MBACASI6V093.
9MFU Perceived Life Changes 5
Next, let's talk about your ^children.
How would @Byour ^children's@B overall happiness change if you and your Survey Partner split up?
Would it get
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 153 of 215
---------------------------------------------------------------------------------
MNACASI6V093
9MFU Parents Support Relationship 1
Please tell me how much you agree or disagree with the following statements about your parents'
feelings about your relationship with your Survey Partner.
Your parents want you and your Survey Partner to stay together as a couple.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MNACASI6V094
9MFU Parents Support Relationship 2
Your Survey Partner's parents want you and your Survey Partner to stay together as a couple.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 154 of 215
Intimate Partner Violence
---------------------------------------------------------------------------------
Logic before:
If RELATIONSHIP STATUS = 1 (one or both parties considered their relationship to be romantic at
baseline) or RELSTATUSFU = 1 (romantically involved with spouse or romantically involved with nonspousal partner at follow-up), ask MNACASI2M038. Else go to MNACASIEND1. If INCARSTATE = 2 (still
incarcerated), skip to MNACASIEND1.
If INCARSTATE = 1 (released), ^lcfill1 should say "since your release from incarceration on the
date shown below", do not fill ^lcfill2, and ^lcfill3 should say "have you felt", and
^lcfill6 should say "@B^RELDATE@B" on screen but do not record.
If INCARSTATE =
^lcfill3 should
outside between
the screen, but
3 (reincarcerated), ^lcfill1 should say "during your time on the outside" and
say "did you feel", and ^lcfill 2 should say "We are asking about your time on the
the dates shown below.", and ^lcfill5 should say "@B^RELDATE to ^INCARDATE2@B" on
do not record ^lcfill5; else do not fill ^lcfill5.
Preload MB3Q001 from male baseline. If INCARSTATE = 3 AND (MN3Q001 = yes OR MB3Q001 = yes),
^lcfill4 should say "When you answer the questions below, please only count the time when you were
both on the outside.". Else do not fill ^lcfill4.
MNACASI2M038
9MFU Safe in Relationship
Now, I'm going to ask you some questions about your relationship with your Survey Partner ^lcfill1.
It may be helpful to look at the reference calendar and think about what was happening in your
life at this time. ^lcfill4
Please remember that we cannot share your answers with your family, friends, or acquaintances under
any circumstances.
Thinking about the time ^lcfill1, please tell me how much of the time each of these statements was
true.
^lcfill2
^lcfill5
^lcfill6
How often ^lcfill3 safe in your relationship with your Survey Partner? Would you say..
Question Type:
TAOSRNlower
Always
Often
Some
Rarely
Never
1
2
3
4
5
Always
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "has". If INCARSTATE = 3 (reincarcerated), ^lcfill
should say "did"
MNACASI2M039
9MFU Jealousy
How often ^lcfill your Survey Partner become jealous or possessive?
Would you say. . .
Question Type:
TAOSRNlower
Always
Often
Some
Rarely
Never
1
2
3
4
5
Always
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 155 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "has" and ^lcfill2 should say "made". If
INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "did" and ^lcfill2 should say "make".
MNACASI2M040
9MFU Inadequate
How often ^lcfill1 your Survey Partner ^lcfill2 you feel like you were not good enough?
Would you say...
Question Type:
TAOSRNlower
Always
Often
Some
Rarely
Never
1
2
3
4
5
Always
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "since your release from incarceration" and
^lcfill2 should say "have you thrown", and ^lcfill3 should say "Since your release from
incarceration," .If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say "during your time on the
outside" and ^lcfill2 should say "did you throw", and ^lcfill3 should say "During your time on the
outside,".
MNACASI2M041
9MFU CTS 1
No matter how well a couple gets along, there are times when they disagree or have fights. I am
going to read a list of things that might happen when you have differences.
First, tell me how many times ^lcfill1 you did the following. Then I'll ask you how many times
^lcfill1 your Survey Partner did the following.
^lcfill3, how many times ^lcfill2 something at your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Since your release from incarceration", ^lcfill2
should say "has" and ^lcfill3 should say "thrown".If INCARSTATE = 3 (reincarcerated), ^lcfill1
should say "During your time on the outside" and ^lcfill2 should say "did" and ^lcfill3 should say
"throw".
MNACASI2M042
9MFU CTS 2
^lcfill1, how many times ^lcfill2 your Survey Partner ^lcfill3 something at you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 156 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release from incarceration, how many
times have you pushed, shoved, hit, slapped or grabbed your Survey Partner" If INCARSTATE = 3
(reincarcerated), ^lcfill should say "During your time on the outside, how many times did you push,
shove, hit, slap, or grab your Survey Partner"
MNACASI2M043
9MFU CTS 3
^lcfill?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release from incarceration, how many
times has your Survey Partner pushed, shoved, hit, slapped, or grabbed you" If INCARSTATE = 3
(reincarcerated), ^lcfill should say "During your time on the outside, how many times did your
Survey Partner push, shove, hit, slap, or grab you"
MNACASI2M044
9MFU CTS 4
^lcfill?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Since your release from incarceration" and
^lcfill2 should say "have" and ^lcfill3 should say "used".If INCARSTATE = 3 (reincarcerated),
^lcfill1 should say "During your time on the outside" and ^lcfill2 should say "did" and ^lcfill3
should say "use".
MNACASI2M045
9MFU CTS 5
^lcfill1, how many times ^lcfill2 you ^lcfill3 a knife or gun on your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 157 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Since your release from incarceration" and
^lcfill2 should say "has" and ^lcfill3 should say "used".If INCARSTATE = 3 (reincarcerated),
^lcfill1 should say "During your time on the outside" and ^lcfill2 should say "did" and ^lcfill3
should say "use".
MNACASI2M046
9MFU CTS 6
^lcfill1, how many times ^lcfill2 your Survey Partner ^lcfill3 a knife or gun on you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release from incarceration how many
times have you choked, slammed, kicked, burned, or beaten your Survey Partner?". If INCARSTATE = 3
(reincarcerated), ^lcfill should say "During your time on the outside, how many times did you
choke, slam, kick, burn or beat your Survey Partner?"
MNACASI2M047
9MFU CTS 7
^lcfill
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release from incarceration, how many
times has your Survey Partner choked, slammed, kicked, burned, or beaten you?" If INCARSTATE = 3
(reincarcerated), ^lcfill should say "During your time on the outside, how many times did your
Survey Partner choke, slam, burn or beat you?"
MNACASI2M048
9MFU CTS 8
^lcfill
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 158 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Since your release from incarceration" and
^lcfill2 should say "have" and ^lcfill3 should say "used". If INCARSTATE = 3 (reincarcerated),
^lcfill1 should say "During your time on the outside" and ^lcfill2 should say ‘did" and ^lcfill3
should say "use".
MNACASI2M049
9MFU CTS 9
^lcfill1, how many times ^lcfill2 you ^lcfill3 force to make your Survey Partner have sex? Force
means things like hitting, holding down, or using a weapon.
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Since your release from incarceration" and
^lcfill2 should say "has" and ^lcfill3 should say "used". If INCARSTATE = 3 (reincarcerated),
^lcfill1 should say "During your time on the outside" and ^lcfill2 should say "did" and ^lcfill3
should say "use".
MNACASI2M050
9MFU CTS 10
^lcfill1, how many times ^lcfill2 your Survey Partner ^lcfill3 force to make you have sex? Force
means things like hitting, holding down, or using a weapon.
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Since your release from incarceration" and
^lcfill2 should say "have you threatened". If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say
"During your time on the outside" and ^lcfill2 should say "did you threaten".
MNACASI2M051
9MFU CTS 11
^lcfill1, how many times ^lcfill2 to hurt your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 159 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Since your release from incarceration" and
^lcfill2 should say "has" and ^lcfill3 should say "threatened". If INCARSTATE = 3 (reincarcerated),
^lcfill1 should say "During your time on the outside" and ^lcfill2 should say "did" and ^lcfill3
should say "threaten".
MNACASI2M052
9MFU CTS 12
^lcfill1, how many times ^lcfill2 your Survey Partner ^lcfill3 to hurt you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Since your release from incarceration" and
^lcfill2 should say "have you threatened". If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say
"During your time on the outside" and ^lcfill2 should say "did you threaten". If TOTALCHILD GE 1,
include the"^children," fill (If TOTALCHILD=1 then ^children=child If TOTALCHILD GT 1
^children=children).
MNACASI2M053
9MFU CTS 13
^lcfill1, how many times ^lcfill2 to hurt your Survey Partner's ^children, family members, or other
loved ones?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD GE 1, include the "^children," fill (^children defined in MN1G061n). If INCARSTATE =
1 (released), ^lcfill1 should say "Since your release from incarceration" and ^lcfill2 should say
"has" and ^lcfill3 should say "threatened". If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say
"During your time on the outside" and ^lcfill2 should say "did" and ^lcfill3 should say "threaten".
MNACASI2M054
9MFU CTS 14
^lcfill1, how many times ^lcfill2 your Survey Partner ^lcfill3 to hurt your ^children2 family
members, or other loved ones?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 160 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill1 should say "Since your release from incarceration" and
^lcfill2 should say "have you tried". If INCARSTATE = 3 (reincarcerated), ^lcfill1 should say
"During your time on the outside" and ^lcfill2 should say "did you try".
MNACASI2M055
9MFU CTS 15
^lcfill1, how many times ^lcfill2 to keep your Survey Partner from seeing or talking with her
friends or family?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release from incarceration" and
^lcfill2 should say "has" and ^lcfill3 should say "tried". If INCARSTATE = 3 (reincarcerated),
^lcfill1 should say "During your time on the outside" and ^lcfill2 should say "did" and ^lcfill3
should say "try".
MNACASI2M056
9MFU CTS 16
^lcfill1, how many times ^lcfill2 your Survey Partner ^lcfill3 to keep you from seeing or talking
with your friends or family?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release from incarceration, how many
times have you kept money from your Survey Partner, made her ask for money, or taken money from
her?". If INCARSTATE = 3 (reincarcerated), ^lcfill should say "During your time on the outside, how
many times did you keep money from your Survey Partner, make her ask for money, or take money from
her?"
MNACASI2M057
9MFU CTS 17
^lcfill
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 161 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 1 (released), ^lcfill should say "Since your release from incarceration, how many
times has your Survey Partner tried to keep money from you, made you ask for money, or taken money
from you?" If INCARSTATE = 3 (reincarcerated), ^lcfill should say "During your time on the outside,
how many times did your Survey Partner try to keep money from you, make you ask for money, or take
money from you?"
MNACASI2M058
9MFU CTS 18
^lcfill
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 162 of 215
ACASI End
---------------------------------------------------------------------------------
MNACASIEND1
9MFU End1
That was the last question where you are asked to answer the questions yourself. The remainder of
the questions will be asked by your interviewer.
Please press 1 and then press the Enter key before you turn the laptop back to the interviewer.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MNACASIEND2
9MFU End2
[INTERVIEWER: PLEASE ENTER THE PASSWORD TO CONTINUE WITH THE REMAINDER OF THE INTERVIEW QUESTIONS]
Question Type:
Logic after:
STRING[10]
If password NE CAPI, create a consistency check such that the FI cannot continue with the remainder
of the interview questions without entering the correct password. Text should say "THIS QUESTION
REQUIRES YOU TO ENTER A PASSWORD IN ORDER TO CONTINUE WITH THE REMAINDER OF THE INTERVIEW
QUESTIONS. YOU HAVE ENTERED AN INCORRECT PASSWORD. PLEASE ENTER THE CORRECT PASSWORD TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 163 of 215
Criminal Behavior
---------------------------------------------------------------------------------
Logic before:
If (MN3B011 = no OR INCARSTATE = 1 (released)) AND R is in Minnesota, go to MN7ZZ000. If (MN3B011 =
no OR INCARSTATE = 1 (released)) AND R is NOT in Minnesota, go to MNHOU1. If MN3B011 = yes AND
(INCARSTATE = 2 (still incarcerated) OR INCARSTATE = 3 (reincarcerated)), ask MN7W001.
MN7W001
9MFU Post-Release
The next set of questions deals with your release from this incarceration and transition back into
the community.
No one knows what the future holds, but we would like your best guess about what you expect.
Please answer based on your realistic expectations, rather than what you wish for or hope will
happen.
When you are released from this incarceration, will you be on some type of post-release
supervision, such as parole or probation?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN7W004
9MFU Return to Jail/Prison
Do you think you will ever be sent back to jail or prison again, after you are released from this
incarceration?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 164 of 215
Social Support
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD "GE" 1, include "or your ^children" fill with the question text (^children defined in
MN1G061n).
MN7L006
9MFU Other Family Support Expectations 1
The next set of questions are about your expectations for your relationships with family members
other than ^prld.Namefill ^childfill after your release from incarceration.
Do you have a family member who will loan you money if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN7L007
9MFU Other Family Support Expectations 2
Do you have a family member who will provide you with a place to live if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN7L008
9MFU Other Family Support Expectations 3
Do you have a family member who will help you with transportation to work or other appointments if
you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN7L009
9MFU Friend Support Expectations 1
Next, I'd like to know about your expectations for your relationships with friends after your
release from incarceration.
Do you have a friend who will loan you money if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 165 of 215
---------------------------------------------------------------------------------
MN7L010
9MFU Friend Support Expectations 2
Do you have a friend who will provide you with a place to live if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN7L011
9MFU Friend Support Expectations 3
Do you have a friend who will help you with transportation to work or other appointments if you
need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 166 of 215
Income
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
MN7K012
9MFU Financial Support
[USE SHOWCARD 35]
Next, I'd like to know more about your plans for your financial and living situation when you are
released.
What sources of financial support do you expect to have in the first 1 month following your
release?
Select all that apply.
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
REQUIRED PROBE: Any other source?
Question Type:
TMoney
None
Job
Savings
PartnerSav
Family
Friends
PA
Illegal
Other
1
2
3
4
5
6
7
8
9
None
Pay from a job
Your own savings
Money from your spouse/partner's job or savings
Money from other family members
Money from your friends
Public assistance
Money from illegal sources
Some other source (SPECIFY)
Logic after:
If MN7K012 = Other, go to MN7K012s. Else, go to MN7K013.
---------------------------------------------------------------------------------
MN7K012s
9MFU Specify Other
OTHER SPECIFY
Question Type:
STRING[50]
---------------------------------------------------------------------------------
MN7K013
9MFU Determination to Support Self
[USE SHOWCARD 36]
How easy or hard do you think it will be to make enough money to support yourself?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 167 of 215
Employment
---------------------------------------------------------------------------------
MN7I014
9MFU Expected Employment Difficulty 1
Based on past experience, how easy or hard do you think it will be to find a decent job?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
MN7I015
9MFU Expected Employment Difficulty 2
Based on past experience, how easy or hard do you think it will be to @Bkeep@B a job?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 168 of 215
Housing
---------------------------------------------------------------------------------
Logic before:
If MN1F001 = dead (Namefill is deceased), skip to MN7J017.
MN7J016
9MFU Reside with Partner Post-Release
Do you expect to live with ^prld.Namefill after you are released?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL=1 AND MN1D030 = live (focal child is living), go to MN7J017. Else go to MN7J018.
MN7J017
9MFU Reside with Focal Child Post-Release
Do you expect to live with ^prld.FOCCHILD after you are released?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Loop this question for each of the respondent's non-focal living children (up to 15) as specified
in MB1G061 (for preloaded non-focal children where MN1D032 = live) and NUMBCHILD (for all new
children). Do not include any deceased children or focal child.
MN7J018
9MFU Reside with Child(ren)
Do you plan to live with ^CHILD after you are released?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
array[1..30] of TYesNoCaps
---------------------------------------------------------------------------------
MN7J019
9MFU Reside with Anyone Post-Release
Do you expect to live with anyone else after you are released?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 169 of 215
Partner Relationship Quality
---------------------------------------------------------------------------------
Logic before:
If RELSTATUSFU = 1 (romantically involved with spouse or romantically involved with non-spousal
partner at follow-up) and MN1F001 = live (Namefill is living), ask MN7V020. Else go to MN7N030.
MN7V020
9MFU Want to Continue Relationship 1
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Next, I'd like to know about your expectations for your relationship with ^prld.Namefill after you
are released.
Do you want to remain in a committed romantic relationship with ^prld.Namefill after you are
released?
Would you say . . .
Question Type:
TYND
Yes
No
Dknow
1 Yes
2 No
3 Don't know
---------------------------------------------------------------------------------
MN7V021
9MFU Want to Continue Relationship 2
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Do you think ^prld.Namefill wants to remain in a committed romantic relationship with you after you
are released?
Would you say . . .
Question Type:
TYND
Yes
No
Dknow
1 Yes
2 No
3 Don't know
---------------------------------------------------------------------------------
Logic before:
If MN7V020 = yes or don't know, ask MN7V022. Else go to MN7N030.
MN7V022
9MFU Relationship with Partner
How easy or hard do you think it will be to have a good relationship with ^prld.Namefill after you
get out?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 170 of 215
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
MN7V023
9MFU Biggest Challenges Post-Release
[USE SHOWCARD 37]
Thinking about when you are released, what do you expect will be the biggest challenges in your
relationship with ^prld.Namefill? Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TBChallenges
Find
Close
Trust
Problems
1
2
3
4
Missed
5 Having missed out on so much that happened in her life while you were
incarcerated
6 Trying to meet her expectations for you related to finding a job,
staying clean helping her financially
7 Being angry at her or not wanting to see her
8 Her being angry at you or not wanting to see you
9 Some other challenge (SPECIFY)
Expect
Angry
PartAngry
Other
Not knowing how to get in contact with her
Being able to feel close to her again after the time in prison
Being able to trust her after the time in prison
Problems or new situations that have come up since you were incarcerated
---------------------------------------------------------------------------------
Logic before:
IF MN7V023 EQ "Other", ask MN7V023s.
MN7V023s
Else, go to MN7V025.
9MFU Other Specify
OTHER SPECIFY
Question Type:
STRING[150]
---------------------------------------------------------------------------------
MN7V025
9MFU Partner Support Expectations 2
[USE SHOWCARD 38]
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about your expectations about how you and ^prld.Namefill will treat one another after
you are released.
You will love ^prld.Namefill and make her feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 171 of 215
---------------------------------------------------------------------------------
MN7V026
9MFU Partner Support Expectations 3
You will help ^prld.Namefill with whatever problems she faces.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN7V028
9MFU Partner Support Expectations 5
You think ^prld.Namefill will love you and make you feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MN7V029
9MFU Partner Support Expectations 6
You think ^prld.Namefill will help you with whatever problems you face.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 172 of 215
Parenting
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL NE 1 AND R is in Minnesota, skip to MN7ZZ000. If HASFOCAL NE 1 AND R is NOT in
Minnesota, skip to MNHOU1. If MN1D030 = dead (focal child is deceased) and TOTALCHILD GT 1, go to
MN7N036. If MN7J017 eq no, DK or RF, go to MN7N030. If MN7J017 = yes, go to MN7N035.
MN7N030
9MFU See Focal Child
[USE SHOWCARD 39]
Now, I'd like to know about your expectations for your relationship with your ^children after you
are released.
How often do you think you will see ^prld.FOCCHILD in person after you are released?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
MN7N031
9MFU Financially Support Focal Child
Do you expect to financially support ^prld.FOCCHILD in any way after you are released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MN7N031=no, go to MN7N035.
---------------------------------------------------------------------------------
Logic before:
If MN7N031 = yes, ask MN7N032.
MN7N032
If MN7N031 = no, dk, or rf, skip to MN7N035. Mark all that apply.
9MFU Financial Support for Focal Child
[USE SHOWCARD 40]
In what ways do you expect to provide financial support for ^prld.FOCCHILD? Please include support
you expect to provide to the child directly as well as support you will provide to the child's
other parent or caretaker. Please select all that apply.
Question Type:
TMonetary3
Gift
Shopping
Expense
More300
Two300
One200
Upto100
1 Buying ^FOCCHILD birthday or holiday gifts
2 Taking ^FOCCHILD shopping for clothes, school supplies, or other things
^FOCSEX1 needs
3 Helping out occasionally with bills, rent or other expenses in the
child's household
4 Providing steady, regular financial support of over $300 per month
5 Providing steady, regular financial support of $200-$300 per month
6 Providing steady, regular financial of $100-$200 per month
7 Providing steady, regular financial support up to $100 per month
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 173 of 215
---------------------------------------------------------------------------------
Logic before:
If MN1F001 = dead (Namefill is deceased), skip to MN7N036.
MN7N035
9MFU Decision Making for Focal Child Post-Release
Who will make major decisions about things such as child care and health care for ^prld.FOCCHILD?
Would you say . . .
Question Type:
TDecisionsFFU
Both
MotherMain
Respondent
Someelse
1
2
3
4
^prld.Namefill and you will make most of the decisions together
^prld.Namefill will make most decisions without you
You will make most decisions without ^prld.Namefill
Someone else involved in raising the child will make most decisions
without you or ^prld.Namefill
5 You and someone else involved in raising the child will make most of the
decisions
RandOther
---------------------------------------------------------------------------------
Logic before:
IF TOTALCHILD GE 1 ASK MN7N036 ELSE SKIP TO NEXT SECTION
MN7N036
9MFU Relationship with Children
How easy or hard do you think it will be to have a good relationship with your ^children after you
get out?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 174 of 215
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply". If TOTALCHILD GT 1 child, include fill text,
"Please consider only the children you were in contact with before you were incarcerated.” Else do
not include this fill text.
MN7N037
9MFU Biggest Challenges with Other Children
[USE SHOWCARD 41]
Thinking about when you are released, what do you expect will be the biggest challenges in your
relationship with your ^children? Select all that apply.
^lcfill
REQUIRED PROBE: Anything else?
Question Type:
TExpect2
Find
Missed
1 Not knowing how to get in contact with your ^children
2 Having missed out on so much that happened with your ^children while you
were incarcerated
3 Getting your ^children to trust you or open up to you after the time
apart
4 Finding transportation for visits or activities
5 Dealing with people who don't want you to see your ^children
6 Not being in a stable enough housing and financial situation to be able
to spend time with your ^children
7 Your lifestyle not being a healthy one for kids
8 Your ^children being angry at you or not wanting to see you
9 Having money to financially support or buy things for your ^children
10 Some other challenge (SPECIFY)
Trust
Trans
Kids
Instability
Lifestyle
Angry
Money
Other
Logic after:
If MN7N037 = Other, go to MN7N037s. Else go to MNHOU1.
---------------------------------------------------------------------------------
MN7N037s
9MFU Other Specify
SPECIFY OTHER CHALLENGE
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 175 of 215
FSP Minnesota
---------------------------------------------------------------------------------
Logic before:
Preload Sgroup from male baseline. If Sgroup = treatment AND the respondent is in Minnesota, ask
MN7ZZ000. Else skip to the next domain (Locator section).
MN7ZZ000
9MFU Minnesota Intro
This final set of questions is only for men/partners who have enrolled in the Family Strengthening
Program, known as FSP. FSP staff would like to know what types of assistance you have gotten and
how helpful their program has been. If you agree to answer these questions, RTI will send the
answers you give to research staff at the Council on Crime and Justice (CCJ). We will not send
your name or any identifying information about you. We will only send your answers to these
questions about FSP. None of the answers you provided to the other questions in this interview
will be shared with CCJ. RTI will send the information to CCJ in a secure manner, to prevent
anyone else from seeing it.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
Do not allow DK or RF.
MN7ZZ000a
9MFU Minnesota Consent
Just like with the rest of the interview, you can choose to skip a question if you don’t want to
answer it. Even if you agree to answer these questions about FSP, you can choose to skip a
question if you want. Do you agree to answer the questions about FSP and allow RTI to send your
answers to CCJ?
Question Type:
TYesNoCaps, nodk, norf
Yes
No
1 YES
2 NO
Logic after:
If MN7ZZ000a = NO, skip to next domain (Locator).
---------------------------------------------------------------------------------
MN7ZZ001
9MFU Minnesota 1
How did you hear about the Family Strengthening Program (FSP)?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ002
9MFU Minnesota 2
When did you begin participating in the program?
[IF R CANNOT RECALL THE DAY THE PROGRAM BEGAN, JUST RECORD THE MONTH AND YEAR AND PRESS F3 FOR THE
DAY].
Question Type:
TabTDateMn
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 176 of 215
---------------------------------------------------------------------------------
MN7ZZ003
9MFU Minnesota 3
Why did you become involved in FSP?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ004
9MFU Minnesota 4
Did you face any challenges in starting your participation in FSP? For example, community partner,
DOC, prison context etc.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ004 = yes, ask MN7ZZ004a.
MN7ZZ004a
9MFU Minnesota 4a
Have these challenges caused you to stop participating in FSP?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ004a = yes, ask MN7ZZ004b. Else go to MN7ZZ004d.
MN7ZZ004b
9MFU Minnesota 4b
When did you stop participating?
Question Type:
TabTDateMn2
---------------------------------------------------------------------------------
Logic before:
If MN7Z004a = yes, ask MN7ZZ004c.
MN7ZZ004c
9MFU Minnesota 4c
What was the main reason to stop participating?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ004d
9MFU Minnesota 4d
What has FSP done to reconnect you with your family?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 177 of 215
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ004a = Yes, ask MN7ZZ004e.
MN7ZZ004e
9MFU Minnesota 4e
What could FSP have done differently to help you stay in the program?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ005a
9MFU Minnesota 5a
Have you had a case advocate?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ005a = yes, ask MN7ZZ005b. Else go to MN7ZZ010a.
MN7ZZ005b
9MFU Minnesota 5b
What is your case advocate's name?
Question Type:
STRING[50]
---------------------------------------------------------------------------------
MN7ZZ005
9MFU Minnesota 5
How helpful has your case advocate been?
Question Type:
THelpMn
Vhelp
Shelp
UnHelp
NoHelp
1
2
3
4
Very helpful
Somewhat helpful
Somewhat unhelpful
Very unhelpful
---------------------------------------------------------------------------------
MN7ZZ006
9MFU Minnesota 6
Have you requested any specific assistance from your case advocate?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 178 of 215
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ006 = yes, ask MN7ZZ006a.
MN7ZZ006a
9MFU Minnesota 6a
What specific assistance have you requested from your case advocate?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ006 = yes, ask MN7ZZ007.
MN7ZZ007
9MFU Minnesota 7
Was your case advocate able to provide that assistance?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN7ZZ008
9MFU Minnesota 8
What other ways has your case advocate helped your family?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ009
9MFU Minnesota 9
What are ways your case advocate could be more helpful?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ010a
9MFU Minnesota 10a
Have you had a family counselor?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ010a = yes, ask MN7ZZ010b. Else go to MN7ZZ010c.
MN7ZZ010b
9MFU Minnesota 10b
What is your family counselor's name?
Question Type:
STRING[50]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 179 of 215
---------------------------------------------------------------------------------
MN7ZZ010c
9MFU Minnesota 10c
Have you participated in family counseling?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ010a = No, skip to MN7ZZ014.
MN7ZZ010
9MFU Minnesota 10
How helpful has your family counselor been?
Question Type:
THelpMn
Vhelp
Shelp
UnHelp
NoHelp
1
2
3
4
Very helpful
Somewhat helpful
Somewhat unhelpful
Very unhelpful
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ010 = 1 (VHelp), 2 (SHelp), or 3 (UnHelp), ask MN7ZZ011.
MN7ZZ011
9MFU Minnesota 11
In what specific ways has your counselor helped you?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ012
9MFU Minnesota 12
In what specific ways has your counselor helped your family as a whole?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ013
9MFU Minnesota 13
What are ways your counselor could have been more helpful?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ010c = no, ask MN7ZZ014.
MN7ZZ014
9MFU Minnesota 14
Why did you choose not to participate in family counseling?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 180 of 215
---------------------------------------------------------------------------------
MN7ZZ015
9MFU Minnesota 15
Which of the following classes are you taking or have you taken?
Question Type:
TClassMn
Parent
Relation
Both
None
1
2
3
4
Parenting classes only
Relationship classes only
Both parenting and reltionship classes
Neither parenting nor reltionship classes
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ015 = 1 (Parent) or 3 (Both), ask MN7ZZ015b.
MN7ZZ015b
9MFU Minnesota 15b
When did you take the parenting classes?
[RECORD THE MONTH R TOOK THE PARENTING CLASSES. IF HE CANNOT RECALL THE DAY AND YEAR, PRESS F3 FOR
DAY AND F3 FOR YEAR].
Question Type:
TabTDateMn2
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ015 = 1 (Parent) or 3 (Both), ask MN7ZZ018.
MN7ZZ018
9MFU Minnesota 18
In your opinion, how helpful was/are the parenting class?
Question Type:
THelpMn
Vhelp
Shelp
UnHelp
NoHelp
1
2
3
4
Very helpful
Somewhat helpful
Somewhat unhelpful
Very unhelpful
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ015 = 2 (Relation) or 3 (Both), ask MN7ZZ015d.
MN7ZZ015d
9MFU Minnesota 15d
When did you take the relationship classes?
[RECORD THE MONTH R TOOK THE RELATIONSHIP CLASSES. IF HE CANNOT RECALL THE DAY AND YEAR, PRESS F3
FOR DAY AND F3 FOR YEAR].
Question Type:
TabTDateMn2
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 181 of 215
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ015 = 2 (Relation) or 3 (Both), ask MN7ZZ019.
MN7ZZ019
9MFU Minnesota 19
In your opinion, how helpful was/are the relationship classes?
Question Type:
THelpMn
Vhelp
Shelp
UnHelp
NoHelp
1
2
3
4
Very helpful
Somewhat helpful
Somewhat unhelpful
Very unhelpful
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ015 = 4 (None), ask MN7ZZ016.
MN7ZZ016
9MFU Minnesota 16
Why did you decide to not take part in parenting or relationship classes?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ017
9MFU Minnesota 17
Have you faced any difficulties in taking the classes (e.g., the classes were not offered at your
facility, programming conflicts, etc.)?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ017 = yes, ask MN7ZZ017a.
MN7ZZ017a
9MFU Minnesota 17a
What difficulties have you faced in taking the classes?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ015 = 1 (Parent) or 3 (Both), ask MN7ZZ020a
MN7ZZ020a
9MFU Minnesota 20a
What would you change about the parenting classes to make them better?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 182 of 215
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ015 = 2 (Relation) or 3 (Both), ask MN7ZZ020b.
MN7ZZ020b
9MFU Minnesota 20b
What would you change about the relationship classes to make them better?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ021
9MFU Minnesota 21
Have you received a referral from FSP for financial counseling?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ021 = yes, ask MN7ZZ021a.
MN7ZZ021a
9MFU Minnesota 21a
Did you receive financial counseling?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ021a = yes, ask MN7ZZ022.
MN7ZZ022
9MFU Minnesota 22
How helpful has financial counseling been?
Question Type:
THelpMn
Vhelp
Shelp
UnHelp
NoHelp
1
2
3
4
Very helpful
Somewhat helpful
Somewhat unhelpful
Very unhelpful
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ021a = yes, ask MN7ZZ023
MN7ZZ023
9MFU Minnesota 23
What types of financial services did you receive?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 183 of 215
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 2 (still incarcerated) or 3 (reincarcerated), ask MN7ZZ024.
MN7ZZ024
9MFU Minnesota 24
Has FSP discussed your release from prison or jail?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 2 (still incarcerated) or 3 (reincarcerated), ask MN7ZZ025. Allow R to select all
that apply.
MN7ZZ025
9MFU Minnesota 25
[USE SHOWCARD 42]
Which of the following specific concerns do you have about your release from prison? Please select
all that apply.
Question Type:
TConcernsMn
House
Emp
Health
ParRel
Finance
Other
1
2
3
4
5
6
Housing
Employment
Healthcare
Parenting or Relationship
Money
Some other concern
---------------------------------------------------------------------------------
Logic before:
If MN7ZZ025 = 6 (Other), ask MN7ZZ025s
MN7ZZ025s
9MFU Minnesota Other
SPECIFY OTHER CONCERN
Question Type:
string[50]
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE = 2 (still incarcerated) or 3 (reincarcerated), ask MN7ZZ026.
MN7ZZ026
9MFU Minnesota 26
What can a program like FSP do to help you with these concerns?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ027
9MFU Minnesota 27
In what specific ways has FSP helped you stay connected to your family?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 184 of 215
---------------------------------------------------------------------------------
MN7ZZ028
9MFU Minnesota 28
What can FSP do to improve how connected you are with your family?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ029
9MFU Minnesota 29
What can be done to improve FSP?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ030
9MFU Minnesota 30
What areas of your life has FSP helped with the most?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ031
9MFU Minnesota 31
What are examples in your life where FSP has been most useful?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ032
9MFU Minnesota 32
Are there needs or issues you have that are currently not being addressed by FSP?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MN7ZZ033
9MFU Minnesota 33
Overall, how helpful is FSP?
Question Type:
THelpMn
Vhelp
Shelp
UnHelp
NoHelp
1
2
3
4
Very helpful
Somewhat helpful
Somewhat unhelpful
Very unhelpful
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 185 of 215
---------------------------------------------------------------------------------
MN7ZZ034
9MFU Minnesota 34
Is there anything I didn't ask that I should have?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MN7ZZ034a
9MFU Minnesota 34a
Do you have any additional thoughts about the FSP program?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 186 of 215
Locator Information
---------------------------------------------------------------------------------
Logic before:
IF MN3B011 = yes, DK, or RF ask MNHOU1.
MNHOU1
If MN3B011 = no, go to MNHOU9. Else, go to MNHOU6a.
Contact Post Release
Finally, so that we can contact you once you are released, please tell me where you are going to
stay immediately after release. Where is the very first place you will go as you are getting back
on your feet?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL THEY LIVE IN?
WHERE WILL THEY LIVE, MORE SPECIFICALLY?
WHO WILL THE R LIVE WITH?
WHAT TYPE OF STRUCTURE WILL THEY LIVE IN?
HOW LONG WILL THEY STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MNHOU2
Specific Address
DOES THE R HAVE A SPECIFIC ADDRESS?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If yes, go to MNHOU2a. If no, go to MNHOU3
---------------------------------------------------------------------------------
MNHOU2a
Address
What is your address?
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MNHOU2b
City
And in what city is that?
Question Type:
STRING[15]
---------------------------------------------------------------------------------
MNHOU2c
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 187 of 215
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MNHOU2d
Phone Number
What is the phone number, where you can be reached?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MNHOU3
Length of Stay Post Release
Do you think you will stay there indefinitely, or will that be a temporary situation?
Question Type:
TLength
Stay
Temp
1 STAY
2 ONLY TEMPORARY
Logic after:
If "STAY", go to MNHOU9. If "ONLY TEMPORARY", go to MNHOU4
---------------------------------------------------------------------------------
MNHOU4
2nd Residence Post Release
Where do you think you will live next?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL THEY LIVE IN?
WHERE WILL THEY LIVE, MORE SPECIFICALLY?
WHO WILL THE R LIVE WITH?
WHAT TYPE OF STRUCTURE WILL THEY LIVE IN?
HOW LONG WILL THEY STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MNHOU5
2nd Address Available
DOES THE R HAVE A SPECIFIC ADDRESS?
@B[FI NOTE: IF THIS IS THE SAME ADDRESS REPORTED PREVIOUSLY, ENTER NO].@B
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If yes, go to MNHOU5a. If no, go to MNHOU9.
---------------------------------------------------------------------------------
MNHOU5a
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 188 of 215
---------------------------------------------------------------------------------
MNHOU5b
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
MNHOU5c
State
State
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MNHOU5d
Phone Number
Phone
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If MNCON5 = No, ask MNHOU6a. If MNCON5 = yes and MN3B011 = yes or no, go to MNHOU9.
MNHOU6a
Current Address
This next set of questions ask for your current contact information.
Please tell me your current address.
[ENTER CURRENT ADDRESS]
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MNHOU6b
Current City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 189 of 215
---------------------------------------------------------------------------------
MNHOU6c
Current State
State
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE
Question Type:
TabTState
---------------------------------------------------------------------------------
MNHOU6d
Current Zip Code
Zip Code
Question Type:
STRING[5]
---------------------------------------------------------------------------------
MNHOU6e
Current Phone Number
What is your current phone number?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MNHOU6f
Second Current Phone Number
Is there another phone number where we are able to reach you?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MNHOU6f = yes, go to MNHOU6g. Else go to MNHOU7.
---------------------------------------------------------------------------------
MNHOU6g
2nd Current Phone Number
Phone number
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 190 of 215
---------------------------------------------------------------------------------
Logic before:
If MNCON5 = No, ask MNHOU7. Else, go to MNHOU9.
MNHOU7
Contact in 9 Months
Finally, so that we can contact you for a follow-up interview, please tell me where you expect to
be living 9 months from now.
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL HE LIVE IN?
WHERE WILL HE LIVE, MORE SPECIFICALLY?
WHO WILL HE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL HE LIVE IN?
HOW LONG WILL HE STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MNHOU7a
Specific Address
DOES THE R HAVE A SPECIFIC ADDRESS?
@B[FI NOTE: IF THIS IS THE SAME ADDRESS REPORTED PREVIOUSLY, ENTER NO].@B
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MNHOU7a = yes, ask MNHOU7b. If MNHOU7a = No/DK/RF, go to MNHOU7e.
MNHOU7b
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MNHOU7c
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
MNHOU7d
State
State
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
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---------------------------------------------------------------------------------
MNHOU7e
Phone Number
At what phone number will we be able to reach you?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MNHOU7f
Other Contact in 9 Months
Where else might you be living 9 months from now?
INTERVIEWER: PROBE FOR DETAILS:
WHO WILL HE LIVE WITH?
WHAT CITY WILL HE LIVE IN?
WHERE WILL HE LIVE, MORE SPECIFICALLY?
WHAT TYPE OF STRUCTURE WILL HE LIVE IN?
HOW LONG WILL HE STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MNHOU7g
Specific Address
DOES THE R HAVE A SPECIFIC ADDRESS?
@B[FI NOTE: IF THIS IS THE SAME ADDRESS REPORTED PREVIOUSLY, ENTER NO].@B
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MNHOU7g = yes, ask MNHOU7h. If MNHOU7g = No/DK/RF, go to MNHOU7l.
MNHOU7h
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MNHOU7i
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 192 of 215
---------------------------------------------------------------------------------
MNHOU7j
State
State
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
MNHOU7k
Phone Number
At what phone number will we be able to reach you?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If MN5I010 = yes, go to MNHOU7l. If MN5I010 = no OR MNCON5 = yes, skip to MNHOU9.
MNHOU7l
Employer
Where do you work? In other words, what is the name of the company or organization you work for?
We will not contact you at work unless we cannot get in touch with you at your home.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MNHOU7m
Employer City
What city is this in?
Question Type:
STRING[15]
---------------------------------------------------------------------------------
MNHOU7n
Employer State
What state is this in?
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 193 of 215
---------------------------------------------------------------------------------
MNHOU7o
Employer Phone Number
What is the phone number there?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MNHOUcontact
Question Type:
contact loop
array[1..3] of BMNHousub
---------------------------------------------------------------------------------
Logic before:
Preload namefill’s last name and use to fill ^lastname. If MN1F001 = 2, go to MNHOU25.
MNHOU17
Spouse/Partner Name
In case we are having problems locating ^prld.Namefill for the next interview, we have a few
questions we would like to ask you.
What is ^prld.Namefill's full legal name? Please include her middle name.
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MNHOU17a
Spouse/Partner Other Last Name
Does she have a maiden name or other last name that she has ever used?
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If MNHOU17a = yes, ask MNHOU17b. If MNHOU17a = No, skip to MNHOU17c.
MNHOU17b
Spouse/Partner Other Name Specify
What is ^prld.Namefill's maiden or other last name? Please spell it for me.
Question Type:
STRING[50]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 194 of 215
---------------------------------------------------------------------------------
MNHOU17c
Spouse/Partner DOB
Do you know ^prld.Namefill's date of birth?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MNHOU17c = yes, ask MNHOU17d. If MNHOU17c = no, ask MNHOU17e.
MNHOU17d
Spouse/Partner DOB Specify
What is her date of birth?
Question Type:
TabDate2
Month
Day
Year
1 Month 1...12
2 Day 1...31
3 1934...1995
---------------------------------------------------------------------------------
Logic before:
If MNHOU17c = no, ask MNHOU17e.
MNHOU17e
Spouse/Partner Age
Okay. How old is ^prld.Namefill?
Question Type:
STRING[25]
---------------------------------------------------------------------------------
MNHOU17f
Spouse/Partner Race
[USE SHOWCARD 43]
What race or ethnicity is ^prld.Namefill?
Select all that apply.
[IF R SAYS NATIVE AMERICAN, VERIFY BY ASKING: I am recording this as American Indian.
right?]
REQUIRED PROBE: Any others?
Question Type:
Trace
White
BlacAfr
AmerIn
Asian
Native
Other
1
2
3
4
5
6
White or Caucasian
Black or African American
American Indian or Alaskan Native
Asian
Native Hawaiian or Other Pacific Islander
Some other race
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 195 of 215
Is that
---------------------------------------------------------------------------------
MNHOU18
Spouse/Partner Address
What is ^prld.Namefill's address? If you don't know the exact address, please tell me a street name
or a neighborhood.
INTERVIEWER: BE SURE TO PROBE FOR A BLDG AND/OR APT NUMBER.
Question Type:
Logic after:
STRING[100]
IF MNHOU18=RF go to MNHOU19
---------------------------------------------------------------------------------
MNHOU18a
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MNHOU18b
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
MNHOU18c
Zip Code
And what is the zip code?
Question Type:
STRING[5]
---------------------------------------------------------------------------------
MNHOU19
Spouse/Partner Phone Number Available
Does ^prld.Namefill have a phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MNHOU19=yes, go to MNHOU19a. Else go to MNHOU21
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 196 of 215
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MNHOU19a
Spouse/Partner Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If MNHOU19=yes, go to MNHOU20. Else go to MNHOU21.
MNHOU20
Partner/Spouse Second Phone Number Available
Does ^prld.Namefill have a second phone number, such as a cell phone?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MNHOU20=yes, go to MNHOU20a.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MNHOU20a
Partner/Spouse Second Number
What is that phone number, starting with the area code?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MNHOU21
Partner/Spouse Work Status
Does ^prld.Namefill work outside of the home?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MNHOU21=yes, go to MNHOU22. Else go to MNHOU23d.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 197 of 215
---------------------------------------------------------------------------------
MNHOU22
Partner/Spouse Place of Employment
Where does ^prld.Namefill work? In other words, what is the name of the company or organization she
works for? Again, we will not contact her at work unless we've tried all other possible means of
locating her.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MNHOU22a
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MNHOU22b
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
MNHOU23
Partner/Spouse Work Number Available
Does ^prld.Namefill have a work phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MNHOU23=yes, go to MNHOU23a. Else go to MNHOU23d.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MNHOU23a
Partner/Spouse Work Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 198 of 215
---------------------------------------------------------------------------------
MNHOU23d
Spouse/Partner Other Tracing
In case we are having trouble finding her, is there anyone else who would know how to find her?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MNHOU23d = yes, ask MNHOU23e. If MNHOU23d = No, skip to MNHOU24.
MNHOU23e
Spouse/Partner Other Tracing 1
What is his or her name?
ENTER FIRST NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MNHOU23f
Spouse/Partner Other Tracing 2
ENTER MIDDLE NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MNHOU23g
Spouse/Partner Other Tracing 3
ENTER LAST NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MNHOU23h
Address of Contact
What is this person's address? If you don't know the exact address, please tell me a street name or
a neighborhood.
INTERVIEWER: BE SURE TO PROBE FOR A BLDG AND/OR APT NUMBER.
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MNHOU23i
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 199 of 215
---------------------------------------------------------------------------------
MNHOU23j
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
MNHOU23k
Phone Number Available
Does this person have a phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes, go to MNHOU23l. Else go to MNHOU23v.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MNHOU23l
Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If MNHOU23k =yes, go to MNHOU23m.
MNHOU23m
Second Phone Number Available
Does this person have a second phone number, such as a cell phone?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If MNHOU23m = yes, go to MNHOU23n. Else go to MNHOU23v.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 200 of 215
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MNHOU23n
Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MNHOU23v
Namefill Relationship to Contact Person
What is this person's relationship to ^prld.Namefill?
Question Type:
TContactRelateF
spouse
mother
father
brother
auntuncle
cousin
grandparent
child
friend
neighbor
coworkder
someone
1
2
3
4
5
6
7
8
9
10
11
12
Her spouse or partner
Her mother/stepmother
Her father/stepfather
Her brother, stepbrother, sister, or stepsister
Her aunt or uncle
Her cousin
Her grandmother or grandfather
Her child or stepchild
Her friend
Her neighbor or former neighbor
Her co-worker or former co-worker
Someone else (specify)
Logic after:
If MNHOU23v = Someone Else, go to MNHOU23vs. Else go to MNHOU24.
---------------------------------------------------------------------------------
MNHOU23vs
Description of Relationship
DESCRIBE THE RELATIONSHIP OF THE PERSON TO R, RECORDING THE R'S ANSWER VERBATIM.
Question Type:
STRING[150]
---------------------------------------------------------------------------------
MNHOU24
Thank You Partner/Spouse Information
Thank you. Please let ^prld.Namefill know that you would like her to tell me where I can find you
when it is time for your next interview.
Question Type:
Tcontinue
Continue
1 Continue
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 201 of 215
---------------------------------------------------------------------------------
Logic before:
IF MNCON5 = no OR MN3B011 = yes, DK, or RF ask MNHOU25, Else, go to MNHOU26.
MNHOU25
Description of Places
If I'm really having difficulty finding where @Byou@B live, can you tell me where you spend your
time when you are not at home and not at work? What local places do you like to spend time at?
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 2; field3, allow 4
MNHOU26
R Social Security Number
What is your social security number?
Question Type:
TabTSSN1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
Preload male’s first and last name from baseline and use to fill ^prld.fname and ^prld.lname.
MNHOU27
R Name Confirmation
And just to confirm, do you still go by ^prld.fname ^prld.lname?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If MNHOU27=no, go to MNHOU27a. Else go to MNHOU28
---------------------------------------------------------------------------------
MNHOU27a
Additional Names for R
What name or names do you go by?
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MNHOU28
Other Information Shared by R
Finally, is there anything else you think we should know about how incarceration has affected you
or your family?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 202 of 215
---------------------------------------------------------------------------------
Logic before:
Preload MBHOUarr1 from male baseline. If MBHOUarr1 = assent, skip to
declines, ask MNHOUarr1.
MNHOUarr1
MNHOU28a. If MBHOUarr1 =
Records Release Form Consent
[HAND R ADMINISTRATIVE RECORDS RELEASE FORM.]
Before we go, I've got one more form I'd like to show you. This document is called an
administrative records release form, and I'm going to read it out loud to you. It will explain what
we are asking you to do. After I'm done reading it, I will answer any questions you may have.
[READ THE FORM TO THE RESPONDENT.]
[OPTIONAL PROBE: By matching your information with administrative records from these agencies,
we’ll be able to get a bigger picture of how families with an incarcerated father are doing and
what kind of programs really help them. This type of information is not publicly available, so we
can only get it with your consent. These agencies will not be permitted to use your personal
information for any purposes other than to fulfill our research request, and we’ll be combining
your data with data from all of the other study participants rather than looking at your personal
information individually. If you choose to give permission for this data matching, it will help us
to ensure the usefulness of this study to other families in your situation.]
[IF R AGREES, HAND R PEN AND INSTRUCT R TO SIGN THE FORM. THEN YOU SHOULD SIGN THE FORM.]
DID R CONSENT OR REFUSE?]
Question Type:
Tadmin
assent
declines
1 YES: R CONSENTS
2 NO: R DECLINES
Logic after:
If MNHOU26 = RF/DK and MNHOUARR1 = yes, add a consistency check. "Thank you. We'll need your
social security number to access these records." [FI GO BACK TO MNHOU26 AND ASK FOR THIS
INFORMATION AGAIN. IF R REFUSES OR DOES NOT KNOW, THEN ENTER 2 AT MNHOUARR1.]
---------------------------------------------------------------------------------
Logic before:
If MNHOUarr1 = 1, then ask MNHOUarr2.
MNHOUarr2
Records Release
[GIVE R AN @BUNSIGNED@B COPY OF THE RECORDS RELEASE FORM.
RETURN YOUR SIGNED COPY OF THE CONSENT FORM TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO
YOUR FS/RTI.]
Question Type:
Tcontinue
Continue
1 Continue
---------------------------------------------------------------------------------
Logic before:
If MNHOUarr1 = 2, then ask MNHOUarr3.
MNHOUarr3
Refused Records Release
[WRITE 'REFUSED' ON THE FORM AND RETURN TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO YOUR
FS/RTI.]
Question Type:
Tcontinue
Continue
1 Continue
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 203 of 215
---------------------------------------------------------------------------------
MNHOU28a
Thank You for Participation
That was our last question. Thank you for your participation in this study!
We will contact you again in 9 months to invite you to participate in a follow-up interview. You
can decide at that time whether or not you wish to participate.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If (MNCON5 = No) OR (R is from Minnesota), ask MNHOU28d. Else go to MNHOU30.
MNHOU28d
Incentive Receipt
I also need to give you your incentive payment, and I need to ask you to initial a receipt.
[FI: MALE IS ELIGIBLE FOR $35 INCENTIVE PAYMENT]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MNCON5 = No, ask MNHOU28e. Else skip to MNHOU30.
MNHOU28e
Call-in Bonus
WAS R ELIGIBLE FOR THE $5 CALL-IN BONUS?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MNHOU30
Method Incentive is Paid
HOW WAS THE INCENTIVE PAID?
Question Type:
TIncentiveFU
Inmate
Designee
NotAllow
Cash
Other
1
2
3
4
5
INMATE ACCOUNT
DESIGNEE
INCENTIVE NOT PERMITTED BY FACILITY
CASH
OTHER (SPECIFY)
Logic after:
If MNHOU30 = Other, go to MNHOU30s. Else go to MNHOU31.
---------------------------------------------------------------------------------
MNHOU30s
Specify Other Incentive Method
SPECIFY OTHER
Question Type:
STRING[20]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 204 of 215
---------------------------------------------------------------------------------
Logic before:
If MNCON5 = yes, ask MNHOU31. Else go to MNFIO001.
MNHOU31
State that IV was conducted in
IN WHICH STATE DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tivstate
Mnsota
indy
ohi
newy
newj
oths
1
2
3
4
5
6
MINNESOTA
INDIANA
OHIO
NEW YORK
NEW JERSEY
OTHER STATE (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If MNHOU31 = 6, ask MNHOU31s.
MNHOU31s
SPECIFY OTHER STATE AND FACILITY
SPECIFY THE STATE AND FACILITY NAME.
Question Type:
TabTfacstate
staten
facname
1 STATE
2 FACILITY NAME
---------------------------------------------------------------------------------
Logic before:
IF MNHOU31 1, ask MNHOU32a.
MNHOU32a
Which MN facility
IN WHICH MINNESOTA FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
TmnfacilityFU
frbault
llakes
mlake
prre
rcity
stlwater
stcld
will
otsp
1
2
3
4
5
6
7
8
9
FARIBAULT
LINO LAKES
MOOSE LAKE
PRARIE
RUSH CITY
STILLWATER
ST. CLOUD
WILLOW RIVER
OTHER (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If MNHOU32a = other, ask MNHOU32as.
MNHOU32as
Specify other MN facility
SPECIFY OTHER MINNESOTA FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 205 of 215
---------------------------------------------------------------------------------
Logic before:
If MNHOU31 = 2, ask MNHOU32b.
MNHOU32b
Which IN facility
IN WHICH INDIANA FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
TinfactiliesFU
brchvlle
chlakes
corinfac
ednbrg
hryvl
inst
mads
mmi
newcas
pdltn
plnfld
plfldre
ptnmvl
wbsh
vstvl
hen
green
marr
otsp
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
BRANCHVILLE
CHAIN OF LAKES
CORRECTIONAL INDUSTRIAL FACILITY
EDINBURGH
HENRYVILLE
IN STATE
MADISON
MIAMI
NEWCASTLE
PENDLETON
PLAINFIELD CORRECTIONAL FACILITY
PLANFIELD RE-ENTRY EDUCATION FACILITY
PUTNAMVILLE
WABASH VALLEY
WESTVILLE
HENDRICKS COUNTY WORK RELEASE
GREEN COUNTY JAIL
MARION COUNTY JAIL
OTHER (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If MNHOU32b = other, then ask MNHOU34bs.
MNHOU32bs
Specify other IN facility
SPECIFY OTHER INDIANA FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 206 of 215
---------------------------------------------------------------------------------
Logic before:
IF MNHOU31 = 3, then ask MNHOU32c.
MNHOU32c
Which OH facility
IN WHICH OHIO FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
TohfacilitiesFU
tldo
allcor
trmb
dtn
chllc
msfld
rchlnd
mtgm
rsc
grft
ctf
leb
ncen
pick
lndn
mad
nccc
warr
soci
otsp
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TOLEDO CORRECTIONAL INSTITUTION
ALLEN CORRECTIONAL INSTITUTION
TRUMBULL CORRECTIONAL INSTITUTION
DAYTON CORRECTIONAL INSTITUTION
CHILLICOTHE CORRECTIONAL INSTITUTION
MANSFIELD CORRECTIONAL INSTITUTION
RICHLAND CORRECTIONAL INSTITUTION
MONTGOMERY EDUCATION PRE-RELEASE CENTER
ROSS CORRECTIONAL INSTITUTION
GRAFTON CORRECTIONAL INSTITUTION
CORRECTIONAL TREATMENT FACILITY
LEBANON CORRECTIONAL FACILITY
NORTH CENTRAL CORRECTIONAL FACILITY
PICKAWAY CORRECTIONAL INSTITUTION
LONDON CORRECTIONAL INSTITUTION
MADISON CORRECTION INSTITUTION
NORTHWEST COMMUNITY CORRECTIONS CENTER
WARREN CORRECTIONAL INSTITUTION
SOUTHERN OHIO CORRECTIONAL INSTITUTION
OTHER (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If MNHOU32c = other, then ask MNHOU32cs.
MNHOU32cs
Specify other OH facilities
SPECIFY OTHER OHIO FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Logic before:
If MNHOU31 = 4, then ask MNHOU32d.
MNHOU32d
Which NY facility
IN WHICH NEW YORK FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tnyfacilities
fshkl
otsvl
sng
grnh
estrn
fvpts
wt
mar
othsp
1
2
3
4
5
6
7
8
9
FISHKILL
OTISVILLE
SING SING
GREEN HAVEN
EASTERN
FIVE POINTS
WATERTOWN
MARCY
OTHER (SPECIFY)
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 207 of 215
---------------------------------------------------------------------------------
Logic before:
If MNHOU31 = 4, then ask MNHOU32d.
MNHOU32ds
Specify other NY facilities
SPECIFY OTHER FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Logic before:
If MNHOU31 = 5, then ask MNHOU32e.
MNHOU32e
Which NJ facility?
IN WHICH NEW JERSEY FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tnjfacilities
nost
grdnst
sthwds
mdst
sthst
albwgnr
bysde
otsp
1
2
3
4
5
6
7
8
NORTHERN STATE
GARDEN STATE
SOUTHWOODS
MIDSTATE
SOUTHERN STATE
ALBERT WAGNER
BAYSIDE
OTHER (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If MNHOU32e = 7, then ask MNHOU32es.
MNHOU32es
Specify other NJ facility
SPECIFY OTHER FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 208 of 215
Contact Loop
---------------------------------------------------------------------------------
Logic before:
MNHOU9 though MNHOU16 should be repeated 3 times to capture 3 sets of contact information.
If INCARSTATE = 1 OR (INCARSTATE = 2 or 3 AND MN3B011 = yes), ^lcfill should say "In the event that
you are not living where you expect to live in nine months, I need to collect contact information
on three people who would know your whereabouts and who could help us contact you to be
interviewed, if necessary."
If (INCARSTATE = 2 or 3 AND MN3B011 = no), ^lcfill should say "In case you are transferred and we
are unable to locate you, I need to collect information on three people who would know your
whereabouts and who could help us contact you to be interviewed, if necessary."
MNHOU9
Preface Locator Section
^lcfill2
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
^lcfill should say “first” for the first time the contact loop is gone through; the second time the
loop is gone through, ^lcfill should say “second” and the third time the loop is gone through it
should say “third”.
MNHOU9a
First Name
What is the name of the ^lcfill person who would know how to reach you?
ENTER FIRST NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MNHOU9b
Middle Name
ENTER MIDDLE NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MNHOU9c
Last Name
ENTER LAST NAME
Question Type:
Logic after:
STRING[30]
If (MNHOU9a and MNHOU9b and MNHOU9c) = RF/DK for first contact person, skip to MNHOU17.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 209 of 215
---------------------------------------------------------------------------------
MNHOU10
Address of Contact
What is this person's address? If you don't know the exact address, please tell me a street name or
a neighborhood.
INTERVIEWER: BE SURE TO PROBE FOR A BLDG AND/OR APT NUMBER.
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MNHOU10a
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MNHOU10b
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
MNHOU11
Phone Number Available
Does this person have a phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes, go to MNHOU11a. Else go to MNHOU13.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MNHOU11a
Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 210 of 215
---------------------------------------------------------------------------------
Logic before:
If MNHOU11=yes, go to MNHOU12.
MNHOU12
Second Phone Number Available
Does this person have a second phone number, such as a cell phone?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If MNHOU12=yes, go to MNHOU12a. Else go to MNHOU13
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MNHOU12a
Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MNHOU13
Work Outside of Home
Does this person work outside of the home?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MNHOU13 = yes, go to MNHOU14. Else go to MNHOU15.
---------------------------------------------------------------------------------
MNHOU14
Where Does Contact Person Work
Where does this person work? In other words, what is the name of the company or organization this
person works for? We will not contact them at work unless we've tried all other possible means of
locating you.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MNHOU14a
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 211 of 215
---------------------------------------------------------------------------------
MNHOU14b
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
MNHOU14c
Work Phone Available
Does this person have a work phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MNHOU14c=yes, go to MNHOU14d. Else go to MNHOU15.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MNHOU14d
Work Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MNHOU15
R Relationship to Contact Person
What is this person's relationship to you?
Question Type:
TContactRelate
spouse
mother
father
brother
auntuncle
cousin
grandparent
child
friend
neighbor
coworker
someone
1
2
3
4
5
6
7
8
9
10
11
12
Your spouse or partner
Your mother/stepmother
Your father/stepfather
Your brother, stepbrother, sister, or stepsister
Your aunt or uncle
Your cousin
Your grandmother or grandfather
Your child or stepchild
Your friend
Your neighbor or former neighbor
Your co-worker or former co-worker
Someone else (specify)
Logic after:
If MNHOU15 = 12 (Someone Else), go to MNHOU15s. Else go to MNHOU16.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 212 of 215
---------------------------------------------------------------------------------
MNHOU15s
Description of Relationship
DESCRIBE THE RELATIONSHIP OF THE PERSON TO R, RECORDING THE R'S ANSWER VERBATIM.
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MNHOU16
Thank You for Contact Information
Thank you. Please let this person know that you would like them to tell me where I can find you
when it is time for your next interview.
Question Type:
Tcontinue
Continue
1 Continue
---------------------------------------------------------------------------------
MNHOU16s
NO LABEL
Is there another person who would always know how to reach you?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If MNHOU16s EQ yes, loop back and ask MNHOU9 - MNHOU16. Else go to MNHOU17.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 213 of 215
Interviewer Observations
---------------------------------------------------------------------------------
MNFIO001
R Cooperated
HOW COOPERATIVE WAS THE RESPONDENT?
Question Type:
TCoop
Vcoop
Fair
NotCoop
Hostile
1
2
3
4
VERY COOPERATIVE
FAIRLY COOPERATIVE
NOT VERY COOPERATIVE
OPENLY HOSTILE
---------------------------------------------------------------------------------
MNFIO002
R Level of Understanding
ESTIMATE THE RESPONDENT'S LEVEL OF UNDERSTANDING OF THE INTERVIEW QUESTIONS.
Question Type:
TComp
NoDif
Little
Fair
Alot
1
2
3
4
NO DIFFICULTY UNDERSTANDING QUESTIONS
JUST A LITTLE DIFFICULTY UNDERSTANDING QUESTIONS
A FAIR AMOUNT OF DIFFICULTY UNDERSTANDING QUESTIONS
A LOT OF DIFFICULTY UNDERSTANDING QUESTIONS
---------------------------------------------------------------------------------
MNFIO003
R Remember Past Events
HOW MUCH TROUBLE DID THE RESPONDENT HAVE REMEMBERING PAST EVENTS?
Question Type:
TTrouble
NoTroub
Little
Fair
Alot
1
2
3
4
NO TROUBLE
JUST A LITTLE TROUBLE
A FAIR AMOUNT OF TROUBLE
A LOT OF TROUBLE
---------------------------------------------------------------------------------
MNFIO004
R Level of Truthfulness
ESTIMATE THE RESPONDENT'S LEVEL OF TRUTHFULNESS/MISPRESENTATION.
Question Type:
TTruth
Very
Fair
NoTruth
Lying
1
2
3
4
VERY TRUTHFUL
FAIRLY TRUTHFUL
NOT VERY TRUTHFUL
OPENLY LYING
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 214 of 215
---------------------------------------------------------------------------------
MNFIO005
R Level of Engagement
IN GENERAL, HOW ENGAGED/INTERESTED WAS THE RESPONDENT DURING THE INTERVIEW?
Question Type:
TEngage
Very
Fair
NotVery
Unengaged
1
2
3
4
VERY ENGAGED AND INTERESTED
FAIRLY ENGAGED AND INTERESTED
NOT VERY ENGAGED AND INTERESTED
TOTALLY UNENGAGED AND DISINTERESTED
---------------------------------------------------------------------------------
MNFIO006
R Mood Level
IN GENERAL, HOW IRRITABLE OR MOODY WAS THE RESPONDENT DURING THE INTERVIEW?
Question Type:
TMood
Very
Fairly
NotVery
NotAtAll
1
2
3
4
VERY IRRITABLE/MOODY
FAIRLY IRRITABLE/MOODY
NOT VERY IRRITABLE/MOODY
NOT AT ALL IRRITABLE/MOODY
---------------------------------------------------------------------------------
MNFIO007
Number of Distractions
INDICATE THE DEGREE OF DISTRACTIONS OR INTERRUPTIONS DURING THE INTERVIEW.
Question Type:
TInterrupt
None
Few
Fair
Alot
1
2
3
4
NO DISTRACTIONS OR INTERRUPTIONS
JUST A FEW DISTRACTIONS OR INTERRUPTIONS
A FAIR NUMBER OF DISTRACTIONS OR INTERRUPTIONS
A LOT OF DISTRACTIONS OR INTERRUPTIONS
---------------------------------------------------------------------------------
MNFIO008
R Level of Eye Contact
HOW MUCH EYE CONTACT DID THE RESPONDENT USE DURING YOUR INTERACTION?
Question Type:
TEyeCon
Avoid
Occasion
Mostly
1 R MOSTLY AVOIDED EYE CONTACT
2 R OCCASIONALLY MADE EYE CONTACT
3 R MOSTLY MADE EYE CONTACT
Logic after:
Code completed interviews that took place in a jail or prison setting (MNCON5 EQ YES) as a 492.
MNCON5 EQ NO, code completed interview as 491.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 215 of 215
If
Male 18M Follow-up
---------------------------------------------------------------------------------
Introduction and Consent
---------------------------------------------------------------------------------
Logic before:
As this question only if the unique portion of the caseid ends in an even number
MECON3a
NO LABEL
Next I'm going to tell you more about the study and answer any additional questions you may have.
While I'm doing that, we'll be recorded so my supervisors can give me feedback on my work. This
recording will be kept confidential.
Question Type:
Trecord
Nextscreen
Objection
1 CONTINUE
2 R REFUSES TO CONTINUE UNLESS RECORDING IS TURNED OFF
---------------------------------------------------------------------------------
Logic before:
Fill baseline and 9mfu interviewer names below. If baseline and/or 9mfu instrument was a final
noninterview, fill "NO ONE" instead of an interviewer name.
MECONFI
NO LABEL
THE INTERVIEWERS LISTED BELOW ARE NOT ALLOWED TO INTERVIEW THIS RESPONDENT BECAUSE THEY HAVE
PREVIOUSLY INTERVIEWED THIS RESPONDENT'S PARTNER.
^prld.FBBLFI INTERVIEWED THIS RESPONDENT'S PARTNER AT BASELINE
^prld.FB9MFI INTERVIEWED THIS RESPONDENT'S PARTNER AT 9MFU
ALSO, MAKE SURE THAT YOU DID NOT INTERVIEW THIS RESPONDENT'S PARTNER FOR THE 18MFU.
Question Type:
TFI
MUSTSTOP
GOODTOGO
1 I HAVE INTERVIEWED THIS RESPONDENT'S PARTNER
2 I HAVE NEVER INTERVIEWED THIS RESPONDENT'S PARTNER
Logic after:
Create a hard consistency check if MECONFI=1, "BECAUSE YOU HAVE INDICATED THAT YOU HAVE PREVIOUSLY
INTERVIEWED THIS RESPONDENT'S PARTNER, YOU ARE NOT AUTHORIZED TO CONDUCT THIS INTERVIEW. PLEASE
BREAK OFF AND INFORM YOUR FS THAT ANOTHER INTERVIEWER MUST BE ASSIGNED."
---------------------------------------------------------------------------------
MECON1
18MFU Private Setting
[INTERVIEWER: LOOK AROUND YOU IN ALL DIRECTIONS. MAKE SURE THAT YOU ARE OUT OF EARSHOT OF OTHER
PEOPLE, INCLUDING PEOPLE WHO MAY BE IN AN ADJACENT ROOM OR OUTSIDE.
FOR AN INTERVIEW SETTING TO BE CONSIDERED PRIVATE, YOU MUST BE CERTAIN THAT THE QUESTIONS YOU READ
AND THE RESPONDENT'S ANSWERS CANNOT BE (1) OVERHEARD OR (2) ASCERTAINED BY SOMEONE LOOKING THROUGH
A WINDOW.
ARE YOU CONFIDENT THE INTERVIEW SETTING IS PRIVATE?]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MECON1=yes, go to MECON3. If MECON1 = no, go to MECON2.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 1 of 220
---------------------------------------------------------------------------------
MECON2
18MFU Inappropriate Interview Room
[INTERVIEWER: BECAUSE YOU HAVE INDICATED THAT THE INTERVIEW SETTING IS NOT PRIVATE, YOU CANNOT
PROCEED WITH THE INTERVIEW. YOU WILL NEED TO BREAK OFF THE INTERVIEW AND RESCHEDULE FOR A TIME WHEN
YOU CAN CONDUCT THE INTERVIEW IN PRIVATE.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
If breakoff at this screen, do not update the event code.
---------------------------------------------------------------------------------
MECON3
18MFU Consent Form
[HAND R INTERVIEW CONSENT FORM. FOR INCARCERATED RESPONDENTS, USE THE FACILITY CONSENT FORM THAT
MATCHES THE INCENTIVE PROTOCOL FOR THE FACILITY HE IS IN; FOR ALL OTHER RESPONDENTS, USE THE
COMMUNITY CONSENT FORM.]
This document is called a consent form, and I'm going to read it out loud to you. It will explain
the study and what we are asking you to do. After I'm done reading it, I will answer any questions
you may have.
[READ THE CONSENT FORM TO THE RESPONDENT.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MECON4
18MFU Consent
[IF R AGREES TO PARTICIPATE IN THE INTERVIEW, HAND R PEN AND INSTRUCT R TO SIGN THE INTERVIEW
CONSENT FORM. THEN YOU SHOULD SIGN THE CONSENT FORM.
DID R CONSENT TO THE INTERVIEW OR DID R REFUSE THE INTERVIEW?]
Question Type:
TConsent
Consent
Refused
1 R CONSENTED TO THE INTERVIEW
2 R REFUSED THE INTERVIEW
Logic after:
If MECON4 EQ 2, terminate interview and go to end. Assign event code 360.
---------------------------------------------------------------------------------
Logic before:
If MECON4 EQ yes, go to MECON4a.
MECON4a
18MFU Consent to CARI
We are using a special quality control system on this project. The system runs on the computer and
will record what you and I say to each other during several different parts of the interview.
Neither you nor I will know when the computer is recording what we say. The recording will be
reviewed by people at RTI to monitor my work, and will be kept confidential. You may participate in
the interview even if you do not consent to the recordings.
By signing below, you are allowing us to use this quality control system. May we use this quality
control system during your interview?
[DID R CONSENT TO CARI?]
Question Type:
Logic after:
Bconsent
If MECON4a=no, Turn OFF CARI and go to MECON4b.
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Tuesday, August 03, 2010
Page 2 of 220
---------------------------------------------------------------------------------
MECON4b
18MFU CARI Consent
[GIVE R AN @BUNSIGNED@B COPY OF THE INTERVIEW CONSENT FORM. RETURN YOUR SIGNED COPY OF THE CONSENT
FORM TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO YOUR FS/RTI.]
Question Type:
TContinue
continue
1 continue
---------------------------------------------------------------------------------
MECON5
18MFU R Incarcerated
[IS R CURRENTLY INCARCERATED?]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MECON6
18MFU Gender
[WHAT IS R'S GENDER?]
Question Type:
TGender2
Male
Female
Trans
1 MALE
2 FEMALE
3 TRANSGENDER
Logic after:
MECON6: add a consistency check if answer is female in male follow-up survey. Text should say,
"YOU ARE USING A CASEID THAT CAN ONLY BE USED FOR A FOLLOW-UP INTERVIEW WITH A MALE RESPONDENT.
EITHER YOU HAVE RECORDED THE WRONG GENDER, OR YOU ARE USING THE WRONG CASEID. PLEASE BACK UP AND
CORRECT THE GENDER, OR BREAK OFF THE INTERVIEW AND RESUME WITH THE CORRECT CASE ID."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 3 of 220
Demographics
---------------------------------------------------------------------------------
Logic before:
Any break-off that occurs at any point in the instrument after this section has begun should be
coded as 393. The entire instrument must be completed for code 491 or 492 to be assigned.
If MALE9MO=2 (male did not complete 9M intv), ask ME1A000f. Else go to ME1A000a.
ME1A000f
Ever Released from BL
We last interviewed you around 18 months ago, on ^prld.BLDate.
incarcerated. Were you ever released from that incarceration?
At that point, you were
[FI NOTE: IF R IS @BNOT@B CURRENTLY INCARCERATED, PLEASE ADD "Since you are not incarcerated now,
I am assuming you were released, but I need you to confirm this."]
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
CREATE NEW OUTPUT VARIABLE CALLED NEWINCARSTATE (for males who did not conplete 9MFU) AND A SECOND
OUTPUT VARIABLE CALLED INCARSTATE18 (this output variable has 6 states and will be calculated
throughout this domain). If ME1A000f=no, code NEWINCARSTATE as 2 (still incarcerated) and
INCARSTATE18=2 (still incarcerated from BL). If ME1A000f=yes, DK, or REF, ask ME1A000g. If
ME1A000f=No, skip to ME1A000a.
---------------------------------------------------------------------------------
ME1A000g
Release Date for BL Incarceration
What was the date of your release from that incarceration?
in which we last interviewed you.
We are talking about the incarceration
[IF THE R CANNOT REMEMBER THE EXACT DAY, THEN RECORD THE DAY AS THE 15TH OF THE MONTH AND YEAR HE
REPORTS BEING RELEASED AND SAY: Okay, because you cannot remember the day you were released we will
record your release date as the 15th of (SAY MONTH and YEAR)..]
Question Type:
Logic after:
TabTDate18b
Create new output variable called ^RELDATE. If release date provided in ME1A000g occurred on or
after ^NINEMO (date 9 months ago from today's interview date), code NEWINCARSTATE as 2 and go to
ME1A000h. Else go to ME1A000i.
---------------------------------------------------------------------------------
ME1A000h
Ref Calendar for BL Release Date
[USE YOUR GREEN HIGHLIGHTER TO MARK THE RELEASE DATE, ^RELDATE, ON THE REFERENCE CALENDAR)
Later in the interview, we will ask you about the time period since your release.
time period since ^RELDATE.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 4 of 220
That means the
---------------------------------------------------------------------------------
Logic before:
(ask only for those for whom ^RELDATE occurred prior to ^NINEMO)
ME1A000i
18MFU Incarceration Status
Next, I'd like to know whether you were incarcerated at the time that we tried to locate you for
your 9 month interview.
[USE YOUR YELLOW HIGHLIGHTER TO HIGHLIGHT ^NINEMO ON THE REFERENCE CALENDAR.]
On ^NINEMO, were you incarcerated in a jail or prison?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If ME1A000i=Yes, NEWINCARSTATE=3 (reincarcerated). If ME1A000i=No, DK, or REF, NEWINCARSTATE=1
(released).
---------------------------------------------------------------------------------
Logic before:
Preload INCARSTATE from male 9 month interview. Preload date of male 9 month interview and create
output variable called ^MNINTDATE (date of male 9mfu).
Throughout the remainder of the interview, ^REFDATE will be filled as follows. If MALE9MO=1 (male
completed 9M intv), ^REFDATE=^MNINTDATE (9 month interview date). If MALE9MO=2, ^REFDATE=^NINEMO
(date 9 months ago).
If MALE9MO=1 (male completed 9M intv), ^lcfill should say "This was the date you were last
interviewed for this study, around 9 months ago." If MALE9MO=2, ^lcfill should say "This was the
date 9 months ago, when we tried to locate you for your 9 month interview.".
ME1A000a
Reference Calendar
Let's take a few minutes to think about the memorable things that have happened in your life since
^REFDATE. ^lcfill
[USE YOUR YELLOW HIGHLIGHTER TO MARK ^REFDATE ON REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
ME1A000e
Reference Calendar 2
What do you remember about these past months since ^REFDATE?
[PROBE FOR BIRTHDAYS, HOLIDAYS, AND OTHER MEMORABLE EVENTS AND RECORD ON CALENDAR.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
Logic after:
If INCARSTATE18=2, skip to ME1A000.
or after ^NINEMO, skip to ME1A000j.
Else go to ME1A000j.
If ME1A000f=yes and ^RELDATE provided in ME1A000g occurred on
If (NEWINCARSTATE=3) OR (INCARSTATE = 2 or 3), ask ME1A000b.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 5 of 220
---------------------------------------------------------------------------------
Logic before:
If (NEWINCARSTATE=3) OR (INCARSTATE=2 or 3), ask ME1A000b. ^lcfill will be filled as follows. If
MALE9MO=1 (male completed 9M intv), ^lcfill will be filled as "When we last interviewed you on
^REFDATE,". If MALE9MO=2, ^lcfill will be filled as "You indicated that on ^REFDATE,"
ME1A000b
Any Release from 9M Incarceration
^ lcfill you were incarcerated. At any point since ^REFDATE, were you released from prison or
jail? In other words, since ^REFDATE have you spent any time out in the community?
[FI NOTE: IF R IS @BNOT@B CURRENTLY INCARCERATED, PLEASE ADD "Since you are not incarcerated now,
I am assuming you were released, but I need you to confirm this."]
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
INCARSTATE18 is a variable that was partially created in ME1A000f. If (INCARSTATE = 2) and
ME1A000b=no, DK, or REF, INCARSTATE18=2 (still incarcerated from BL). If (NEWINCARSTATE=3 or
INCARSTATE = 3) and ME1A000b=no, DK, or REF INCARSTATE18=4 (still incarcerated from 9M).
If (NEWINCARSTATE= 3 OR INCARSTATE = 2 or 3) and ME1A000b=yes, go to ME1A000c.
Else, go to ME1A000.
---------------------------------------------------------------------------------
ME1A000c
Release Date
What was the date of your release from that incarceration?
[ENTER DATE R WAS RELEASED FROM INCARCERATION AND HIGHLIGHT THE DATE IN GREEN]
[IF THE R CANNOT REMEMBER THE EXACT DAY, THEN RECORD THE DAY AS THE 15TH OF THE MONTH AND YEAR HE
REPORTS BEING RELEASED AND SAY THIS TEXT TO THE R: Okay, because you cannot remember the day you
were released we will record the day as the 15th of (SAY MONTH and YEAR).]
Question Type:
Logic after:
TabTDate18b
Create new output variable called ^RELDATE based on the information in ME1A000c. If ( INCARSTATE =
2) and ME1A000b=yes, ask ME1A000d. If (INCARSTATE = 3) and ME1A000b=yes, go to ME1A000j.
---------------------------------------------------------------------------------
ME1A000d
Reference Calendar 3
Later in the interview, we will ask you about the time period since your release.
time period since ^RELDATE.
[POINT TO ^RELDATE, HIGHLIGHTED IN GREEN, ON REFERENCE CALENDAR)
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 6 of 220
That means the
---------------------------------------------------------------------------------
Logic before:
If (NEWINCARSTATE=1 or INCARSTATE = 1), ^lcfill should be filled with "^REFDATE [POINT TO THE DATE
HIGHLIGHTED IN YELLOW ON THE REFERENCE CALENDAR]". If (NEWINCARSTATE=2 or 3 OR INCARSTATE = 2 or
3), ^lcfill should be filled with "your release on ^RELDATE [POINT TO THE DATE HIGHLIGHTED IN GREEN
ON THE REFERENCE CALENDAR]".
ME1A000j
18MFU Any Reincarceration
Next I'd like to know whether, at any point since ^ lcfill, you have been incarcerated in a jail or
prison for more than 24 hours at one time?
[FI NOTE: IF R @BIS@B CURRENTLY INCARCERATED, PLEASE ADD "Since you are incarcerated right now, I
am assuming your answer is yes, but I need you to confirm this."]
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If (NEWINCARSTATE = 1 OR INCARSTATE=1) and ME1A000j=yes, INCARSTATE18=5 (all others).
If (NEW INCARSTATE = 1 OR INCARSTATE=1) and ME1A000j=no, DK, or REF, INCARSTATE18=6 (no
reincarceration).
If (NEWINCARSTATE = 2 OR INCARSTATE=2) and ME1A000j=yes, INCARSTATE18=3 (released from BL
incarceration, some reincarceration).
If (NEWINCARSTATE = 2 OR INCARSTATE=2) and ME1A000j=no, DK, or REF, INCARSTATE18=1 (released from
BL incarceration).
If (NEWINCARSTATE = 3 OR INCARSTATE=3) and (ME1A000j=yes, no, DK, or REF), INCARSTATE18=5 (all
others)
---------------------------------------------------------------------------------
Logic before:
If ME1A000j=yes, ask ME1A000k. Else, go to ME1A000. If (NEWINCARSTATE=1 OR INCARSTATE = 1),
^lcfill should say "^REFDATE". If (NEWINCARSTATE = 2 or 3 OR INCARSTATE=2 or 3), ^lcfill should say
"your release on ^RELDATE".
ME1A000k
18M Number of Reincarcerations
How many separate times have you been to prison and jail at any point since ^lcfill?
We are
interested in the number of separate incarcerations. The next question will ask you how many
@Bdays@B you were incarcerated.
i
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If ME1A000j=yes, ask ME5H001. Else, go to ME1A000. If NEWINCARSTATE=1 OR INCARSTATE=1), ^lcfill
should say "^REFDATE,". If (NEWINCARSTATE=2 OR 3 OR INCARSTATE=2 OR 3), ^lcfill should say "your
release on ^RELDATE,".
ME5H001
18MFU Street Time 1
In the time since ^lcfill how many days have you been incarcerated in a prison or jail?
Question Type:
0..300
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 7 of 220
---------------------------------------------------------------------------------
Logic before:
If ME1A000j=yes, ask ME1A000l.
Else, go to ME1A000.
If INCARSTATE18=3 ^lcfill1 should be filled with "^RELDATE (highlighted in green)" and ^lcfill2
should be filled with "^RELDATE (highlighted in green), but not counting any time you were
reincarcerated".
If INCARSTATE18=5, ^lcfill1 should be filled with "^REFDATE (highlighted in yellow)" and ^lcfill2
should be filled with "^REFDATE" (highlighted in yellow), but not counting any time you were
incarcerated."
ME1A000l
Reference Calendar 4
[USE YOUR BLUE HIGHLIGHTER TO MARK ALL DAYS R WAS INCARCERATED SINCE ^LCFILL1 ON THE REFERENCE
CALENDAR.]
Later in the interview we will ask you about the time period since ^lcfill2. In other words, these
questions ask about your time on the outside. These are days that are not highlighted in blue
[REFER TO REFERENCE CALENDAR].
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
ME1A000
18MFU Demographic Intro
Next, I'd like to get some updated information about you.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
ME1A003
18MFU Level of Education
I know you were asked this during your last interview, but just in case there have been any
updates, can you tell me what is the highest grade or level of school you have ever completed?
Question Type:
TEducation
NoEd
Less8th
SomeHS
Ged
HSDip
VocTechDip
SoColl
Assoc
Bach
GradProf
1
2
3
4
5
6
7
8
9
10
NONE
8TH GRADE OR LESS
SOME HIGH SCHOOL
GED
HIGH SCHOOL DIPLOMA
VOCATIONAL/TECH/BUSINESS CERTIFICATE OR DIPLOMA
SOME COLLEGE
ASSOCIATE'S DEGREE (AA, AS)
BACHELOR'S DEGREE (BA, BS)
GRADUATE/PROFESSIONAL DEGREE (MA, MS, PHD, EDD,
MEDICINE/MD, DENTISTRY/DDS, LAW/JJ/LLB, ETC.)
Logic after:
If ME1A003= High School Diploma, ask ME1A003B. Else go to ME1A008.
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Tuesday, August 03, 2010
Page 8 of 220
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ME1A003B
18MFU HS Diploma
Do you have a high school diploma or GED?
Question Type:
THSG
HSDiploma
GED
1 HIGH SCHOOL DIPLOMA
2 GED
---------------------------------------------------------------------------------
Logic before:
Preload MB1A008 and MN1A008. If (MB1A008
ME1A008
OR MN1A008) = YES, skip to next domain. Else ask ME1A008.
18MFU US Citizen
Are you a U.S. citizen?
Question Type:
TYesNo
yes
no
1 Yes
2 No
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Tuesday, August 03, 2010
Page 9 of 220
Relationship Status
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Logic before:
Preload ^Namefill (female’s name) from male baseline. Preload MN1F001 from 9MFU. Create new
output variable called NAMEFILL ALIVE. If MN1F001=2 (deceased), code NAMEFILL ALIVE as 2
(Deceased). IF MALE9MO = 1 AND MN1F001 = DEAD, SKIP TO ME1F069. Else ask ME1F000.
Preload variable named RELSTATUSBL = 1 (One or both parties considers their relationship to be
romantic at baseline) which will be computed in the control system based on questions in the MB and
FB instruments. If (FB1F049a and FB1F053 = yes) OR FB1F056 = yes OR MB1F056 = yes OR MB1F053 =
yes, then RELSTATUSBL = 1 (One or both parties considers their relationship to be romantic at
baseline). If (FB1F049a, FB1F056, MB1F056 and MB1F053 NE yes) and MB1F060 = yes, then RELSTATUSBL
= 2 (Co-Parent only at baseline).
ME1F000
18MFU Relationship Status Intro
Now I would like to ask you a few questions about ^prld.Namefill.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
ME1F001
18MFU Namefill Deceased
I realize this may be difficult for you, but if ^prld.Namefill is no longer living, please let me
know.
[RECORD WHETHER ^prld.NAMEFILL IS ALIVE OR DECEASED]
Question Type:
TDeceased
Alive
Dead
1 ^prld.NAMEFILL IS ALIVE
2 ^prld.NAMEFILL IS DECEASED
Logic after:
If ME1F001 = 2, code NAMEFILL ALIVE as 2 (deceased) and skip to ME1F069. If ME1F001 = 1, DK or RF,
code NAMEFILL ALIVE as 1 (alive).
---------------------------------------------------------------------------------
ME3Q001b
18MFU Partner Incarceration during Ref Period
[REFER TO DATE HIGHLIGHTED IN YELLOW ON THE REFERENCE CALENDAR]
At any point since ^REFDATE, has ^prld.Namefill been incarcerated in a jail or prison?
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
ME3Q001
18MFU Partner Incarceration
Is ^prld.Namefill currently incarcerated?
Question Type:
TYesNo
yes
no
1 Yes
2 No
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Tuesday, August 03, 2010
Page 10 of 220
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Logic before:
If (ME3Q001b = YES or ME3Q001 = YES) AND (INCARSTATE18=1, 3, 5, or 6), ask ME3Q001c. Else skip to
ME1F046. ^lcfill should be filled as follows: If INCARSTATE18=1 or 3, ^lcfill should read
"^RELDATE [POINT TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALENDAR.]" If INCARSTATE=5 or 6,
^lcfill should read "^REFDATE [POINT TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR.]"
^lcfill2 should be filled as follows: If INCARSTATE18=3 or 5, ^lcfill2 should read "This will mean
dates that are not highlighted in blue when ^prld.Namefill was B@alsoB@ on the outside." If
INCARSTATE18=1 or 6, ^lcfill2 should read "This will mean dates where ^prld.Namefill was not
incarcerated."
ME3Q001c
18MFU Reference Calendar for Time on Outside
In a couple of places later in the interview, we will ask about things that have happened since
^lcfill, during the time that you and ^prld.Namefill were @Bboth@B on the outside. ^lcfill2
[FI NOTE: YOU DO @BNOT@B NEED TO HIGHLIGHT DAYS THAT ^PRLD.NAMEFILL WAS INCARCERATED ON THE
REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If ME3Q001 = YES or ME3Q001b = YES, ask ME3Q001a.
ME3Q001a
18MFU Contact Difficulty Due to Incarceration
At any point since ^REFDATE, have you found it difficult to stay in touch with ^prld.Namefill
because she was or is incarcerated?
Question Type:
TYesNo
yes
no
1 Yes
2 No
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Tuesday, August 03, 2010
Page 11 of 220
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Logic before:
If MALE9MO=2 (male did not complete 9M intv), ask ME1F046. Else to go ME1F045.
"Spouse/Partner/Co-Parent" will be identified by the variable ^companion preloaded from the male
baseline, as follows: If respondent answered MB1F055, ^companion = spouse. If respondent
answered MB1F056a, ^companion = partner. If respondent answered MB1F060a, ^prld.companion =
parenting partner.
If ^companion = 1 (spouse), then ^lcfill should say "married to"
If ^companion = 2 (partner), then ^lcfill should say "romantically involved with"
If ^companion = 3 (parenting partner), then ^lcfill should say "not romantically involved with"
Allow only one response to be selected.
ME1F046
18MFU Relationship 1
During your last interview 18 months ago, you reported you were ^lcfill ^prld.Namefill. Some
relationships change over time. We would like to know how you would describe your relationship
with ^prld.Namefill at the time that we tried to locate you for your 9 month interview.
[REFER TO DATE HIGHLIGHTED IN YELLOW IN THE REFERENCE CALENDAR].
How would you describe your relationship on ^REFDATE?
At that time, were you...
[ALLOW ONLY ONE RESPONSE TO BE SELECTED]
Question Type:
TRelationship9M
Married
Romantic
Coparents
1 Married to ^prld.Namefill
2 Not married, but dating or romantically involved with ^prld.Namefill
3 Neither married nor romantically involved with ^prld.Namefill
Logic after:
If ME1F046=1 or 2, code NEWRELSTATUSFU as 1 (romantically involved with spouse or romantically
involved with non-spousal partner at follow-up). If ME1F046=3, DK, or REF, code NEWRELSTATUSFU as
2
(co-parents or not romantically involved at follow-up).
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Tuesday, August 03, 2010
Page 12 of 220
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Logic before:
If MALE9MO=2, "Spouse/Partner/Co-Parent" will be identified by ME1F046, as follows:
If ME1F046=1, ^lcfill should say "married to". If ME1F046=2, ^lcfill should say "romantically
involved with". If ME1F046=3, DK, or REF, ^lcfill should say "not romantically involved with".
If MALE9MO=1, "Spouse/Partner/No romantic involvement" will be identified by ^prld.companion9M, as
follows: If MN1F062=2 OR MN1F062a=3 or MN1F063a=2 or MN1F064a=2 or MN1F064b=1, ^prld.companion9M =
spouse. If MN1F063=2 or MN1F064a=1 or MN1F065=yes, ^prld.companion9M = 2 (partner). Else,
^prld.companion9M = 3 (no romantic involvement).
If ^prld.companion9M = 1 (spouse), then ^lcfill should say "married to"
If ^prld.companion9M = 2 (partner), then ^lcfill should say "romantically involved with"
If ^prld.companion9M = 3 (no romantic involvement), then ^lcfill should say "not romantically
involved with"
Preload RELSTATUSFU from male 9MFU (RELSTATUSFU = 1 if romantically involved with spouse or
romantically involved with non-spousal partner at follow-up and RELSTATUSFU = 2 if co-parents or
not
romantically involved at follow-up). Preload RELSTATUSFU from female 9MFU (RELSTATUSFU = 1 if
romantically involved with spouse or romantically involved with non-spousal partner at follow-up
and RELSTATUSFU = 2 if co-parents or not romantically involved at follow-up).
Create new variable called RELSTATUS9MO. Set RELSTATUS9MO as 2 (not romantically involved at 9
month follow-up). If NEWRELSTATUSFU=1 OR RELSTATUSFU (from male 9MFU)=1 OR RELSTATUSFU (from
female 9MFU)=1, then RELSTATUS9MO=1 (one ore more parties considered them to be romantically
involved at the 9 month interview).
ME1F045
18MFU Relationship 2
Next, I’d like to know if there have been any changes in your relationship with ^prld.Namefill
since ^REFDATE. You reported that on ^REFDATE, you were ^lcfill ^prld.Namefill.
[REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If (ME1F046=1 OR ^prld.companion9M) = spouse, ask ME1F062.
ME1F062
18MFU Spouse Status Change
Have there been any changes in your relationship with ^prld.Namefill since ^REFDATE? By changes we
mean separation, divorce, or no longer being in a romantic relationship with her.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME1F062 = YES, ask ME1F062a. Allow only one response to be selected.
ME1F062a
18MFU Changes in Marriage Status
In which of the following ways is your relationship with ^prld.Namefill different?
Question Type:
TMarrDiff
Sep
Divorce
NoRom
1 You and ^prld.Namefill are now legally separated
2 You and ^prld.Namefill are now divorced
3 You and ^prld.Namefill are still married but are now no longer
romantically involved
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Tuesday, August 03, 2010
Page 13 of 220
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Logic before:
If (ME1F046=2 or ^prld.companion9M) = 2 (partner), ask ME1F063.
ME1F063
18MFU Romantic Partner Status Change
Have there been any changes in your relationship with ^prld.Namefill since ^REFDATE? By changes we
mean you got married or are no longer in a romantic relationship with her.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME1F063 = YES, ask ME1F063a. Allow only one response to be selected.
ME1F063a
18MFU Partner Change Type
In which of the following ways is your relationship with ^prld.Namefill different since ^REFDATE?
Question Type:
TParDiff
NoRom
Marr
1 You are no longer in a romantic relationship with ^prld.Namefill
2 You are now married to ^prld.Namefill
---------------------------------------------------------------------------------
Logic before:
If (ME1F046=3, DK, or REF) or ^prld.companion9M = 3 (no romantic relationship), ask ME1F064.
ME1F064
18MFU Co-Parent Status Change
Have there been any changes in your relationship with ^prld.Namefill since ^REFDATE? By changes we
mean that you have become romantically involved with her or gotten married to her?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME1F064 = YES, ask ME1F064a. Allow only one response option to be selected.
ME1F064a
18MFU Co-Parent Change Type
In which of the following ways is your relationship with ^prld.Namefill different since ^REFDATE?
Question Type:
TCoParDiff18
Rom
Marr
1 You are now in a romantic relationship with ^prld.Namefill
2 You are now married to ^prld.Namefill
---------------------------------------------------------------------------------
ME1F064b
18MFU R Married to Namefill
IS R MARRIED TO ^NAMEFILLcaps?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
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Tuesday, August 03, 2010
Page 14 of 220
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Logic before:
If ME1F064b NE yes, ask ME1F064c.
ME1F064c
Else, go to ME1F065.
18MFU R Married to Anyone
Are you currently married to anyone?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Everyone (except NAMEFILL ALIVE=2) is asked this item.
ME1F065
18MFU Confirm Romantic Involvement
And just to confirm, are you currently romantically involved with ^prld.Namefill? That is, do you
consider yourselves to be a couple?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
Create variable called RELSTATUS18MO. Set RELSTATUS18MO as 2 (not romantically involved at 18
month). Then, if ME1F062=2 (still married to namefill at 18 mo) OR ME1F063=2 (still romantic with
namefill at 18 mo) OR ME1F063a=2 (married to namefill at 18 mo) OR ME1F064a=1 (romantic with
namefill at 18 mo) or ME1F064a=2 (married to namefill at 18 mo) or ME1F065=1 (romantically involved
with namefill at 18 mo), then RELSTATUS18MO=1 (romantically involved at 18 month).
---------------------------------------------------------------------------------
Logic before:
If ME1F065=2, ask ME1F065a.
ME1F065a
Else go to ME1F069.
18MFU Explanation of Focus on Namefill
OK. Even though you and ^prld.Namefill are not romantically involved with each other and may not
even be in contact right now, this interview will still ask you many questions about her. She was
an important person in your life during the incarceration where we first interviewed you, and this
study is longitudinal, which means that it captures the same types of information at several points
in time. We want to understand how relationships change over time. So please try to answer the
questions the best you can, even if they may be difficult to answer.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
Everyone is asked this item. If MALE9MO = 1 and NAMEFILL ALIVE = 2, ^lcfill should say "Now I would
like to ask you about your romantic relationships. Are you currently romantically involved in any
way with anyone?". Else, ^lcfill should say "Are you currently romantically involved in any way
with anyone else?"
ME1F069
18MFU Romantic Other
^lcfill
Question Type:
TYesNocaps
Yes
No
1 YES
2 NO
Logic after:
If NAMEFILL ALIVE = 2 (deceased), go to ME1D026.
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Tuesday, August 03, 2010
Page 15 of 220
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Logic before:
If ME1F069 = Yes and NAMEFILL ALIVE = 1, ask ME1F070.
ME1F070
18MFU Namefill Clarification
OK, for the purpose of this interview we will be asking you questions about ^prld.Namefill and not
your other partner(s).
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
Everyone (except NAMEFILL ALIVE=2) is asked this item. If MECON5 = yes and ME3Q001 = yes, ^lcfill
should say "Even though you and ^prld.Namefill are both currently incarcerated, do you share
parenting responsibilities for a child or children together?" and ^lcfill2 should say "By sharing
parenting
responsibilities we mean that you and ^prld.Namefill are both involved in parenting a particular
child or children in some way.". Else, ^lcfill should say "Do you share parenting responsibilities
for a child or children with ^prld.Namefill?", and ^lcfill2 should not fill.
ME1F066
18MFU Co-Parents
^lcfill ^lcfill2
Question Type:
TYesNo
yes
no
1 Yes
2 No
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Tuesday, August 03, 2010
Page 16 of 220
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Logic before:
If ME1F062a= 1, 2, or 3 OR ME1F063a = 1, ask ME1F067.
Bold and allow response options 1-15 if INCARSTATE18 = 1, 3, 5, or 6. Bold and allow response
options 1-3 and 5-15 if INCARSTATE18 = 2 or 4. Do not allow option 4 to be selected if INCARSTATE18
= 2 or 4.
If INCARSTATE18 = 2 or 4, and option 4 is selected, trigger a consistency check that
says "YOU HAVE SELECTED A REASON FOR SPLITTING UP THAT IS INCONSISTENT WITH THE R HAVING BEEN IN
PRISON/JAIL THE WHOLE REFERENCE PERIOD. PLEASE WORK WITH THE R TO RESOLVE THE INCONSISTENCY".
Allow R to select all that apply. If "none" option is selected with any of the other options, check
text says "INTERVIEWER: IF "NONE" IS SELECTED, NO OTHER CATEGORY SHOULD BE SELECTED."
ME1F067
18MFU Relationship Split
[USE SHOWCARD 1]
I'm going to read a list of reasons that couples split up. Which of these issues were reasons for
you and ^prld.Namefill splitting up? Please select all that apply.
Question Type:
Tsplit1Set
Argue
PhysFight
NoCloseInc
1 ^F[1]You argued too much^F[1]
2 ^F[2]Your fights got too physical, like pushing or hitting^F[2]
3 ^F[3]You did not feel close to one another during your incarceration^F[3]
NoCloseRel
4 ^F[4]You did not feel close to one another after you were released^F[4]
Diff
Trust
FeInvd
MaInvd
HeDrugs
SheDrgs
Money
5
6
7
8
9
10
11
HeCrim
^F[5]You were just too different from one another^F[5]
^F[6]You and she had too many jealousy or trust issues^F[6]
^F[7]She got involved with someone else^F[7]
^F[8]You got involved with someone else^F[8]
^F[9]You had problems with drug or alcohol use^F[9]
^F[10]She had problems with drug or alcohol use^F[10]
^F[11]You had conflicts over not having enough money to support the
family^F[11]
12 ^F[12]You had conflicts about being involved in illegal activity^F[12]
ChildConf
Other
None
13 ^F[13]You had conflicts about how to raise children^F[13]
14 ^F[14]Some other reason (SPECIFY)^F[14]
15 ^F[15] (None of the above)^F[15]
---------------------------------------------------------------------------------
Logic before:
If ME1F067 = 14 (other), ask ME1F067s.
ME1F067s
18MFU Other Specify
SPECIFY REASON WHY R AND ^NAMEFILLcaps SPLIT UP.
Question Type:
STRING[300]
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Tuesday, August 03, 2010
Page 17 of 220
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Logic before:
If ME1F067 included more than TWO responses, ask ME1F068. Else, skip to ME1F069.
Only allow option 4 to be selected if INCARSTATE18 = 1, 3, 5, OR 6.
In ME1F068, use special font for the response options selected in ME1F067 and only allow those to
be selected by creating a consistency check. "YOU HAVE SELECTED AS THE TWO MOST IMPORTANT REASONS A
REASON(S) THAT WAS NOT REPORTED IN THE PREVIOUS QUESTION, ME1F067. PLEASE PROBE, AS NEEDED, TO
OBTAIN CONSISTENT RESPONSES." Set ^lcfill to fill from ME1F067s for response option 14.
ME1F068
Most Important Reasons for Breakup
What would you say are the two most important reasons that you and ^prld.Namefill split up?
Question Type:
Tsplit2Set
Argue
PhysFight
NoCloseInc
1 ^F[1]You argued too much^F[1]
2 ^F[2]Your fights got too physical, like pushing or hitting^F[2]
3 ^F[3]You did not feel close to one another during your incarceration^F[3]
NoCloseRel
4 ^F[4]You did not feel close to one another after you were released^F[4]
Diff
Trust
FeInvd
MaInvd
HeDrugs
SheDrgs
Money
5
6
7
8
9
10
11
HeCrim
^F[5]You were just too different from one another^F[5]
^F[6]You and she had too many jealousy or trust issues^F[6]
^F[7]She got involved with someone else^F[7]
^F[8]You got involved with someone else^F[8]
^F[9]You had problems with drug or alcohol use^F[9]
^F[10]She had problems with drug or alcohol use^F[10]
^F[11]You had conflicts over not having enough money to support the
family^F[11]
12 ^F[12]You had conflicts about being involved in illegal activity^F[12]
ChildConf
Other
13 ^F[13]You had conflicts about how to raise children^F[13]
14 ^F[14]^lcfill^F[14]
---------------------------------------------------------------------------------
Logic before:
If ME1F068 was asked, ask ME1F068a. Fill ^lcfill1 with the first response option chosen by R in
ME1F068; fill ^lcfill2 with the second response option chosen by R in ME1F068.
ME1F068a
18MFU Confirm Most Important Reasons for Breakup
So just to confirm, the two most important reasons that you and ^prld.Namefill split up were
@B^ME1F_STRINGFILL[1]^ME1F_FILL[1]@B and @B^ME1F_STRINGFILL[2]^ME1F_FILL[2]@B?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If ME1F068a = NO, create a consistency check. Consistency check text should say "GO BACK TO ME1F068
AND CORRECT THE RESPONSE OPTIONS UNTIL THE R AGREES ON THE TWO MOST IMPORTANT REASONS THAT HE AND
^PRLD.NAMEFILL SPLIT UP."
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Tuesday, August 03, 2010
Page 18 of 220
GENOGRAM & Family Structure
---------------------------------------------------------------------------------
savecount
Question Type:
children count saved
integer
---------------------------------------------------------------------------------
ME1D026
18MFU Genogram Intro
Now I'd like to make a chart of everyone in your immediate family. We made a chart like this the
last time you were interviewed, and now we would like to know if there have been any changes in
these relationships since your last interview.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE=1 (Alive), fill ^lcfill with "Let’s start with ^prld.Namefill. I am going to put
her on the chart and then". If NAMEFILL ALIVE=2 (Deceased), do not fill ^lcfill.
If NAMEFILL ALIVE=1 (Alive), fill ^lcfill2 with " [ADD ^NAMEFILLcaps TO THE GENOGRAM IN THE SURVEY
PARTNER BOX]". If NAMEFILL ALIVE=2 (Deceased), do not fill ^lcfill2.
ME1D027e
18MFU Confirm BL Primary Partner
^lcfill I’ll add any living children you parent in some way.
^lcfill2
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If any living children are preloaded from baseline and/or 9mfu, ask ME1D028. Else (no children at
BL or 9MFU), go to ME1D033.
ME1D028
18MFU Deceased Child Intro
I realize this may be difficult for you, but if a child is no longer living please let me know.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 19 of 220
---------------------------------------------------------------------------------
Logic before:
Preload ^FOCCHILD and HASFOCAL from male baseline and MN1D030 from male 9MFU. Create output
variable called FOCLIVE: If MALE9MO = 1 (male took part at 9mfu) and MN1D030 = dead, then FOCLIVE =
2 (dead). If MALE9MO = 1 (male took part at 9mfu) and MN1D030 = Live), then FOCLIVE = 1 (alive).
If (HASFOCAL = 0 or FOCLIVE = 2), skip to ME1D031.
If (MALE9MO = 1 and FOCLIVE = 1) or (MALE9MO = 2 and HASFOCAL = 1), ask ME1D029.
ME1D029
18MFU Confirm Focal Child
Now let's add ^prld.FOCCHILD. Can you remind me who ^prld.FOCCHILD's mother is?
[RECORD ^PRLD.FOCCHILD AND HIS/HER MOTHER IF DIFFERENT FROM ^PRLD.NAMEFILL ON GENOGRAM.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MALE9MO = 1 AND FOCLIVE = 1, ask ME1D030. If MALE9MO = 2 AND HASFOCAL = 1, ask ME1D030. Else go
to ME1D031.
ME1D030
18MFU Confirm Focal Child Living/Deceased
IS ^PRLD.FOCCHILD LIVING OR DECEASED?
[IF ^PRLD.FOCCHILD IS DECEASED, MARK A "D" NEXT TO HIS/HER NAME ON GENOGRAM]
Question Type:
TFocal
Live
Dead
1 ^prld.FOCCHILD IS LIVING
2 ^prld.FOCCHILD IS DECEASED
Logic after:
Add the following to the output variable called FOCLIVE:
ME1D030 = 2 (dead), then FOCLIVE = 2 (dead).
If ME1D030 = 1(live), DK, or RF, then FOCLIVE = 1 (alive).
---------------------------------------------------------------------------------
Logic before:
If FOCLIVE = 1, ask ME1G062a. If FOCLIVE = 2, skip to ME1D031.
ME1G062a
18MFU Focal Child Age
What is ^prld.FOCCHILD's age? (PROBE IF NEEDED: Your best estimate is fine.)
[IF CHILD IS YOUNGER THAN 1 YEAR, RECORD AGE AS 0.]
Question Type:
0..20
---------------------------------------------------------------------------------
Logic before:
If (FOCLIVE = 1 and NAMEFILL ALIVE = 1), ask ME6N098a. Else go to ME1D031.
ME6N098a
18MFU Namefill Coparent
Does ^prld.Namefill coparent ^prld.FOCCHILD with you?
involved in raising ^prld.FOCCHILD.
Question Type:
By coparent, we mean that ^prld.Namefill is
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 20 of 220
---------------------------------------------------------------------------------
ME1Dchild
Question Type:
Existing Child Loop
array[1..15] of BME1Dsub
---------------------------------------------------------------------------------
ME1Dnewchild
Question Type:
Children New Since Last Interview
array[1..15] of BME1Dsub2
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18 GE 1, ask ME1D027d. Else go to next domain.
If MECON5 = yes , ^lcfill should say "[IF R SAYS ZERO, ASK HIM TO INCLUDE THE PERSON(S) THE CHILD
IS LIVING WITH WHILE THE R IS INCARCERATED.]"
ME1D027d
18MFU Number of Coparents
Altogether, with how many adults do you share parenting responsibilities for any of your children?
This might include a current spouse or partner or ex-spouses or ex-partners who are mothers of
your children. This could also include another adult, such as a grandparent, with whom you are
raising one of your children.
^lcfill
Question Type:
0..25
---------------------------------------------------------------------------------
ME1G071
18MFU Required to Pay Child Support
Please look at the (child/children) on this chart. @BSince ^refdate@B, were you required by a court
to pay child support for (this child/any of these children)?
[REFER RESPONDENT TO REFERENCE CALENDAR.]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes to ME1G071 and TOTALCHILD18 GE 2, go to ME1G072. If yes to ME1G071 and TOTALCHILD18 EQ 1, go
to ME1G073. Else go to next domain.
---------------------------------------------------------------------------------
ME1G072
18MFU Number of Children Supported
For how many children were you required to pay child support for since ^refdate?
Question Type:
1..30
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 21 of 220
---------------------------------------------------------------------------------
ME1G073
18MFU Child Support Payments
Since ^REFDATE, overall, how many of those court-ordered child support payments did you make?
Question Type:
TPayments
All
Some
None
1 All required payments
2 Some required payments
3 No required payments
---------------------------------------------------------------------------------
ME1G074
18MFU Change in Child Support
Has the court order for child support been changed since ^refdate?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME1G075
18MFU Back Child Support
Do you owe back child support?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 22 of 220
BL Child Loop
---------------------------------------------------------------------------------
Logic before:
Preload MB1G061 (name; ^CHILD) for all non-focal children recorded at baseline and preload MN1G061n
(name; ^CHILD) for all new children recorded at 9MFU.
If MALE9MO = 1 (male did 9MFU) and number of non-focal preloaded children GE 1, ask ME1D031.
If MALE9MO = 2 (male did not do 9MFU) and number of non-focal preloaded children GE 1, ask ME1D031.
Else go to ME1D033.
Loop ME1D031 - ME1G065a for each of the respondent’s living non-focal children (up to 30).
ME1D031
18MFU Confirm Other Children
OK. Now I am going to record ^CHILD on the chart we have in front of us. Can you remind me who
^CHILD's mother is?
[RECORD ^CHILD AND ^CHILD'S MOTHER IF NOT ^PRLD.NAMEFILL ON GENOGRAM.]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
ME1D032
18MFU Confirm Other Children Living/Deceased
IS ^CHILD LIVING OR DECEASED?
[IF ^CHILD IS DECEASED, MARK A "D" NEXT TO HIS/HER NAME ON GENOGRAM]
Question Type:
TBLChild
Live
Dead
1 ^CHILD IS LIVING
2 ^CHILD IS DECEASED
Logic after:
If ME1D032 = 2 for ANY child, remove that child from the child loop.
---------------------------------------------------------------------------------
Logic before:
If ME1D032 = Live, ask ME1G062b. If ME1D032 = Dead, skip to ME1D033.
ME1G062b
18MFU Age of Other Children
What is ^CHILD's age? (PROBE IF NEEDED: Your best estimate is fine.)
[IF CHILD IF YOUNGER THAN 1 YEAR, RECORD AGE AS 0.]
Question Type:
0..20
---------------------------------------------------------------------------------
Logic before:
If ME1D032 = Live and NAMEFILL ALIVE = 1, ask ME1G065a. Else go to ME1D033.
ME1G065a
18MFU Spouse/Partner Coparent
Since ^refdate, has ^prld.Namefill been involved in raising ^CHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 23 of 220
---------------------------------------------------------------------------------
deceasedflag
Question Type:
flag if child deceased
Tyesno
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 24 of 220
New Child Loop
---------------------------------------------------------------------------------
Logic before:
Start of new children loop. Loop ME1D033-ME1G064 until ME1D033 = NO (no new children remain).
If there are children from baseline or 9MFU (focal and/or non-focal) then ^lcfill should say "Do
you parent any other children @Bunder age 18@B that I haven't already mentioned?" If there are no
existing children from baseline or 9MFU, then ^lcfill should say "Do you parent any children
@Bunder 18@B?" when the loop counter is 0 and "Do you parent any other children @Bunder 18@B?" when
the loop counter is ge 1.
ME1D033
18MFU Add New Children
^lcfill
[FI NOTE: DO NOT INCLUDE CHILDREN WHO ARE NOT YET BORN]
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If there are no existing children (from BL and/or 9MFU) and ME1D033 = No, go to ME3B009a.
---------------------------------------------------------------------------------
Logic before:
If ME1D033 = yes, ask ME1G061n. Else go to ME1D027d.
ME1G061n
18MFU Name of New Child(ren)
What is the child's name?
[ENTER THE CHILD'S FIRST NAME HERE.]
Question Type:
Logic after:
string[25]
Based on this question, add all new children to the child loop. Fill variable is called, ^CHILD
(child's first name). Do not overwrite this variable at each loop. Later we will need all of the
children's names, both new and preloaded (excluding all deceased children). All living non-focal
children, new and preloaded, should be on one child loop. Create new output variable called
NUMBCHILD18 (number of new children) based on how many times the ME1D033-ME1G064 loop was gone
through with ME1D033 = YES. Create another new output variable called TOTALCHILD18 (total number
of children) based on NUMBCHILD18 (number of new children) plus ME1D030 = 1 (focal child is living)
plus the number of times ME1D032 = 1 (non-focal child from BL or 9MFU is living). TOTALCHILD18
should equal a number and will be used to gate subsequent items in the interview. Create a
variable to be used in subsequent fills called ^children. If TOTALCHILD18 = 1 ^children = child.
If TOTALCHILD18 GT 1, ^children = children. Another fill called ^children2 will have a comma after
the word 'child' or 'children'.
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE = Dead, do not display response option 1 and do not fill ^lcfill. If NAMEFILL
ALIVE = Live, display all response options and fill ^lcfill with "other than "prld.Namefill".
ME1G065
18MFU R's Relationship to Child's Mother
Is ^Child's mother...
Question Type:
TChildMother18
SpousePartner
Married
Other
Never
1
2
3
4
^lcfill8
A former spouse of yours (someone you were married to)
A former partner or current partner ^lcfill
Someone that you have never been romantically involved with such as a
family member
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 25 of 220
---------------------------------------------------------------------------------
ME1D034
18MFU Add New Child to Genogram
[ADD THIS CHILD AND HIS OR HER MOTHER TO THE GENOGRAM]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE = Live, ask ME1G034a. Else go to ME1G062.
ME1G034a
18MFU Spouse/Partner Coparent
Since ^Refdate, has ^prld.Namefill been involved in raising ^CHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME1G062
18MFU Age of Child
What is ^CHILD's age? (PROBE IF NEEDED: Your best estimate is fine.)
[IF CHILD IS YOUNGER THAN 1 YEAR, RECORD AGE AS 0.]
Question Type:
0..17
---------------------------------------------------------------------------------
ME1G063
Gender of Child
And is ^CHILD male or female?
Question Type:
TGender
Male
Female
1 MALE
2 FEMALE
---------------------------------------------------------------------------------
ME1G064
Relationship to Child
Is ^Child...
Question Type:
TChildRelate
Biological
NonBiological
1 Your biological or legally adopted child
2 A non-biological/non-adoptive child that you have been a parent to in
some way
Logic after:
Repeat ME1D033-ME1G064 loop until no new children remain.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 26 of 220
Incarceration Characteristics
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, skip to Part 4, Domain S. If MECON5 = yes, ask ME3B009a.
ME3B009a
18MFU Incarceration Intro
The next set of questions is about your current incarceration.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATE18 = 2 or 4) skip to ME3B011. Else ask ME3B009.
ME3B009
18MFU Date Incarceration
Take a look at this calendar and please tell me the date you were incarcerated for this term of
incarceration. I'm asking for the date you entered incarceration this time, not the date of your
sentencing.
[REFER RESPONDENT TO REFERENCE CALENDAR]
[IF THE R CANNOT REMEMBER THE EXACT DAY, THEN RECORD THE DAY AS THE 15TH OF THE MONTH AND YEAR HE
REPORTS BEING REINCARCERATED.]
[RECORD THE DATE ON THE REFERENCE CALENDAR. @BDO NOT HIGHLIGHT THIS DATE.@B]
Question Type:
TabTDate18a
Month
Day
Year
1 MONTH 1…12
2 DAY 1…31
3 YEAR 1947…2013
Logic after:
Based on the interview date and the response to ME3B009, create a series of variables that
calculates the years (^yearsin), months (^monthsin) and days (^daysin) to fill in the next screen.
IF ME3B009 = DK/DK/DK or RF/RF/RF, then skip to ME3B011.
---------------------------------------------------------------------------------
Logic before:
First sentence should fill as, "So, you've been incarcerated for over ___ day(s)/month(s)/year(s)."
ME3B010
18MFU Length of Incarceration
^lcfill. Is this correct?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
In ME3B010 = no, create a soft error message that says, "WORK WITH THE RESPONDENT TO CORRECT THE
ANSWER TO ME3B009, IF POSSIBLE. IF NOT POSSIBLE, CLICK ON THE SUPPRESS BUTTON AT THE BOTTOM OF
THIS BOX."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 27 of 220
---------------------------------------------------------------------------------
ME3B011
18MFU Expected Release
Do you expect to be released from this incarceration?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If ME3B011 = yes, go to ME3B012. If ME3B011 = no, go to ME3B013.
---------------------------------------------------------------------------------
ME3B012
18MFU Release Date
When do you expect to be released from this incarceration?
Question Type:
TabTDate3
Month
Date
Year
1 MONTH 1...12
2 DATE 1...31
3 2008...2100
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATE18 = 2 or 4), skip to ME3B017. Else ask ME3B013.
ME3B013
18MFU Parole or Probation
Are you currently serving time because of a parole or probation violation?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If yes go to ME3B014. Else go to ME3B016
---------------------------------------------------------------------------------
ME3B014
18MFU Violation
Was the (parole/probation) violation for a technical violation, like failing to report or having a
dirty urine analysis, for a new crime, or both?
Question Type:
TViolation
Tech
NewC
Both
1 TECHNICAL VIOLATION
2 NEW CRIME
3 BOTH
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 28 of 220
---------------------------------------------------------------------------------
Logic before:
If ME3B014 = new crime or both, ask ME3B015. Else go to ME3B017. Allow the respondent to "select
all that apply".
ME3B015
18MFU New Crime
[USE SHOWCARD 2]
What crime were you charged with for the new crime? Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TCrimeSet
Hom
Rape
OtherOffen
Rob
Assaul
Burg
Thef
Ctheft
FraudFor
Weap
Drug
DrugP
Dwi
Other
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Homicide
Rape
Other sex offense (not rape)
Robbery
Assault
Burglary
Theft
Car theft
Fraud or forgery
Weapons offense
Drug dealing
Drug possession
DWI or DUI
Other (SPECIFY)
Logic after:
If ME3B015 = other, ask ME3B015s
---------------------------------------------------------------------------------
ME3B015s
18MFU Specify Other
SPECIFY OTHER CRIME
Question Type:
string[50]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 29 of 220
---------------------------------------------------------------------------------
Logic before:
If ME3B013 = no, ask ME3B016, else go to ME3B017. Allow the respondent to "select all that apply".
ME3B016
18MFU Crime Conviction
[USE SHOWCARD 2]
What crimes were you charged with or convicted of for this prison or jail term? Select all that
apply.
REQUIRED PROBE: Anything else?
Question Type:
TCrimeSet
Hom
Rape
OtherOffen
Rob
Assaul
Burg
Thef
Ctheft
FraudFor
Weap
Drug
DrugP
Dwi
Other
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Homicide
Rape
Other sex offense (not rape)
Robbery
Assault
Burglary
Theft
Car theft
Fraud or forgery
Weapons offense
Drug dealing
Drug possession
DWI or DUI
Other (SPECIFY)
Logic after:
IF ME3B016 = other, ask ME3B016s.
---------------------------------------------------------------------------------
ME3B016s
18MFU Specify Other
SPECIFY OTHER CRIME
Question Type:
string[50]
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 3 or 5, ^lcfill should say ", including any time you have been incarcerated
[REFER TO DATE HIGHLIGHTED IN BLUE ON THE REFERENCE CALENDAR]". Else, do not fill ^lcfill.
ME3B017
18MFU Discipline
[REFER TO DATE HIGHLIGHTED IN YELLOW ON REFERENCE CALENDAR.]
Since ^REFDATE, ^lcfill how many disciplinary infractions have you received?
Question Type:
0..997
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 30 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 3 or 5, ^lcfill should say ", including any time you have been incarcerated
[REFER TO DATES HIGHLIGHTED IN BLUE ON THE REFERENCE CALENDAR].". Else, do not fill ^lcfill.
ME3B018
18MFU Administrative Segregation
[REFER TO DATE HIGHLIGHTED IN YELLOW ON REFERENCE CALENDAR]
Since ^REFDATE, ^lcfill how many days have you served in administrative segregation? This is
sometimes referred to as spending time "in the hole."
Question Type:
0..9999
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 3 or 5, ^lcfill should say ", including any time you have been incarcerated
[REFER TO DATES HIGHLIGHTED IN BLUE ON THE REFERENCE CALENDAR].]". Else, do not fill ^lcfill.
ME3B019
18MFU Number of Transfers
[REFER TO DATE HIGHLIGHTED IN YELLOW ON REFERENCE CALENDAR]
Since ^REFDATE, ^lcfill how many times have you been transferred? By transferred I mean moved from
one correctional facility to another or between a jail and a correctional facility. Do not include
times you were transferred out for court or medical appointments and returned to the same facility
after less than 7 days.
Question Type:
0..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 31 of 220
Social Support
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATE18 = 2), ask ME3L001. Else go to ME3Q019.
If NAMEFILL ALIVE= Live, ^lcfill=^prld.Namefill. Else ^lcfill= blank.
If NAMEFILL ALIVE= Live, ^lcfill1=or. Else ^lcfill1=blank.
ME3L001
18MFU Personal Visits
[USE SHOWCARD 3]
Now, I'm going to ask you about your incarceration experiences since ^REFDATE.
[REFER RESPONDENT TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]
Since ^REFDATE, how often have you received personal visits from family members other than ^lcfill
your child(ren)?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 32 of 220
Impact of Incarceration on Relationship with Partner
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATE18 = 2 AND NAMEFILL ALIVE= Live and (prld.RELSTATUSBL = 1 (One or both
parties considered their relationship to be romantic at baseline) OR RELSTATUS9MO = 1 (one or both
parties considered their relationship to be romantic at 9 month) OR
RELSTATUS18M = 1 (R considers relationship to be romantic at 18 month), ask ME3Q002. Else skip to
ME3Q019.
ME3Q002
18MFU Contact with Partner Important
Now, I'd like to know how much you agree or disagree with each of the following statements.
Keeping in touch with ^prld.Namefill during this incarceration is very important to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3Q003
18MFU Assistance with Contact with Partner
You are satisfied with the amount of help you've received with staying in touch with ^prld.Namefill
during this incarceration. This could be help from outside programs or agencies, program staff at
your facility, clergy, correctional officers, or other staff.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3Q004
18MFU Talk to Partner
[USE SHOWCARD 3]
[REFER RESPONDENT TO REFERENCE CALENDAR]
Now, I'd like to ask about specific contact you currently have with ^prld.Namefill.
About how often do you currently talk on the phone with ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
Logic after:
If ME3Q004 = "NEVER", go to ME3Q006. Else go to ME3Q005.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 33 of 220
---------------------------------------------------------------------------------
ME3Q005
18MFU Length of Time on Phone
About how long is your average phone call with ^prld.Namefill?
[IN MINUTES]
Question Type:
1..120
---------------------------------------------------------------------------------
ME3Q006
18MFU Send Mail
[USE SHOWCARD 3]
How often do you currently send mail to ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
ME3Q007
18MFU Receive Mail
How often do you usually @Breceive@B mail from ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
Logic before:
If ME3Q001 = Yes, go to ME3Q016. Else ask ME3Q008.
ME3Q008
18MFU Receive Personal Visits
How often do you currently receive personal visits from ^prld.Namefill?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
Logic after:
If ME3Q008 = "Never". Go to ME3Q010. Else go to ME3Q009.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 34 of 220
---------------------------------------------------------------------------------
ME3Q009
18MFU Length of Time Spent Together
About how much time do you spend visiting with ^prld.Namefill on an average visit?
[IN MINUTES]
Question Type:
0..540
---------------------------------------------------------------------------------
ME3Q010
18MFU Location of Facility
[USE SHOWCARD 4]
Thinking about your time in prison, please tell me how much you agree or disagree with each of the
following statements.
The prison is located too far away for ^prld.Namefill to make regular visits or is too hard to get
to because of transportation issues.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3Q011
18MFU Facility Policies
Visitor admission rules such as background checks, dress codes, searches, and metal detectors are
hard for ^prld.Namefill to deal with.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3Q012
18MFU Cost of Visiting
The cost of visiting makes it hard for ^prld.Namefill to visit as often as she would like to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 35 of 220
---------------------------------------------------------------------------------
ME3Q013
18MFU Schedule Issues
Schedule issues, like limited visiting hours and ^prld.Namefill's work schedule make it hard for
her to find time for visits.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3Q014
18MFU Cost of Receiving Calls
The cost of receiving calls is too high for ^prld.Namefill or you do not have access to a phone.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3Q015
18MFU Facility is Unpleasant
The prison is not a pleasant place to visit or not a place you want ^prld.Namefill to see you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If ME3Q001 = yes, ^lcfill should say "Thinking about your time in prison, please tell me how much
you agree or disagree with each of the following statements.". Else, do not fill ^lcfill.
ME3Q016
18MFU Partner Does Not Want Contact
^lcfill
^prld.Namefill does not want to maintain close contact with you while you are incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 36 of 220
---------------------------------------------------------------------------------
ME3Q017
18MFU R Does Not Want Contact with Partner
You do not want to maintain close contact with ^prld.Namefill while you are incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If 0, 1 or 2 problems are endorsed between ME3Q010-ME3Q017 then, go to ME3Q019. USE
SPECIAL FONT FOR ITEMS FOR WHICH R ANSWERED "STRONGLY AGREE" OR "AGREE" in ME3Q010-ME3Q017. OPTION
#9 SHOULD ONLY BE BOLD AND AVAILABLE IF, ME3Q001 = YES (female partner is currently incarcerated;
item is asked in Part One, Domain F). Allow only 2 response options to be selected.
ME3Q018
18MFU Two Biggest Difficulties
What would you say are the two biggest difficulties in staying in touch with ^prld.Namefill during
this incarceration?
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TContact3Set
Location
1 ^F1 The prison is located too far away for ^prld.Namefill to make
regular visits or is too hard to get to because of transportation issues
^F1
2 ^F2 Visitor admission rules such as background checks, dress codes,
searches, and metal detectors are hard for ^prld.Namefill to deal with
^F2
3 ^F3 The cost of visiting makes it hard for ^prld.Namefill to visit as
often as she would like to ^F3
4 ^F4 Schedule issues, like limited visiting hours and ^prld.Namefill's
work schedule, make it hard for her to find time for visits ^F4
Policies
Cost
Issues
Calls
5 ^F5 The cost of receiving calls is too high for ^prld.Namefill, or you
do not have access to a phone ^F5
6 ^F6 The prison is not a pleasant place to visit, or not a place you want
^prld.Namefill to see you ^F6
7 ^F7 ^prld.Namefill does not want to maintain close contact with you
while you are incarcerated ^F7
8 ^F8 You do not want to maintain close contact with ^prld.Namefill while
you are incarcerated. ^F8
9 ^F9 ^prld.Namefill is incarcerated ^F9
UnPleasant
NoContact
RNoContact
PartIncarcer
Logic after:
Consistency check
ME3Q010-ME3Q017.
R DID NOT REPORT
ME3Q017. GO BACK
if the R picks an item that that they did not strongly agree or agree to in
Text should say, "YOU HAVE SELECTED AS THE BIGGEST DIFFICULTY, SOMETHING THAT THE
AS BEING A DIFFICULTY WHEN THEY WERE FIRST ASKED ABOUT IT IN QUESTIONS ME3Q010AND PROBE AS NEEDED."
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 37 of 220
---------------------------------------------------------------------------------
Logic before:
If (MECON5 = yes AND NAMEFILL ALIVE = Live), ask ME3Q019. Else go to ME3R022.
ME3Q019
18MFU Incarceration Changed Relationship
How has your time in prison or jail changed your relationship with ^prld.Namefill, if at all? Has
it made you closer, has it made you drift apart, or has there been no change?
Question Type:
TChange
Closer
APART
NoC
1 MADE YOU CLOSER
2 MADE YOU DRIFT APART
3 NO CHANGE
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 2 , ask ME3Q020. Else skip to ME3R054. Allow the respondent to "select all that
apply", but do not allow the respondent to select option 9 (No concerns) with any other option. CC
text should read: THE ‘NO CONCERNS’ OPTIONS CAN NOT BE PICKED WITH OTHER OPTIONS.
ME3Q020
18MFU Relationship Concerns During Incarceration
[USE SHOWCARD 5]
What concerns or worries do you have about your relationship with ^prld.Namefill during your
incarceration?
Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TConcernsFU
Apart
Insecurity
1 Your time in prison will make you drift apart
2 It is hard for you to know what your place in her life is when you're in
prison
3 You don't know whether she will accept collect charges for your calls or
be at home when you call
4 She is concerned about your lifestyle in prison
5 She won't forgive you for problems or conflicts you've had
6 Being in prison makes it hard to open up to her or let yourself get
close to her
7 You don't know whether she will get involved with someone else while
you're in prison
8 Some other concern
9 No concerns
Accept
Lifestyle
Forgive
Close
Involved
Other
None
Logic after:
If ME3Q020 = 8 (other), go to ME3Q020s. If ME3Q020 = 9 (No concerns), go to ME3R022. Else go to
ME3Q021.
---------------------------------------------------------------------------------
ME3Q020s
18MFU Other Specify
SPECIFY OTHER CONCERN
Question Type:
string[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 38 of 220
---------------------------------------------------------------------------------
Logic before:
IF ME3Q020 includes more than one response, ask ME3Q021. Else, skip to ME3R022. SHOW RESPONSE
OPTIONS THAT WERE SELECTED IN ME3Q020 WITH SPECIAL FONT, AND DO NOT ALLOW A RESPONSE TO BE SELECTED
UNLESS IT IS ALSO SELECTED IN ME3Q020 BY CREATING A CONSISTENCY CHECK. CONSISTENCY CHECK TEXT,
"YOU HAVE SELECTED AS THE BIGGEST CONCERN SOMETHING THAT THE R DID NOT REPORT IN ME3Q020. PROBE,
AS NEEDED TO RESOLVE THE INCONSISTENCY." 8th option comes from setting lcfill from ME3Q020s. - cpc
ME3Q021
18MFU Biggest Concern
Of the concerns you mentioned, which one is your @Bbiggest@B concern?
Question Type:
TConcerns2
Apart
Insecurity
Accept
Lifestyle
Forgive
Close
Involved
Other
1 ^F1 Your time in prison will make you drift apart ^F1
2 ^F2 It is hard for you to know what your place in her life is when
you're in prison ^F2
3 ^F3 You don't know whether she will accept collect charges for your
calls or be at home when you call ^F3
4 ^F4 She is concerned about your lifestyle in prison ^F4
5 ^F5 She won't forgive you for problems or conflicts you've had ^F5
6 ^F6 Being in prison makes it hard to open up to her or let yourself get
close to her ^F6
7 ^F7 You don't know whether she will get involved with someone else while
you're in prison ^F7
8 ^F8^lcfill^F8
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 39 of 220
Impact of Incarceration on Relationship with Children
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18 = 0, skip to Part 4, domain S.
If TOTALCHILD18 GE 1 AND INCARSTATE18 = 2, ask ME3R022.
If TOTALCHILD18 GE 1 AND (INCARSTATE18 = 3, 4, or 5), skip to ME3R054.
ME3R022
18MFU Contact with Children
[USE SHOWCARD 6]
The next set of questions is about keeping in touch with your ^children during this incarceration.
For these questions, please only include children who are on this chart.
[REFER RESPONDENT TO GENOGRAM]
First, I'd like to know how much you agree or disagree with each of the following statements.
Keeping in touch with your ^children during your incarceration is very important to you. Do you...
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3R023
18MFU Services Recvd to Stay in Contact w Children
You are satisfied with the amount of help you've received with staying in touch with your ^children
during this incarceration. This could be help from outside programs or agencies, program staff at
your facility, clergy, correctional officers, or other staff. Do you...
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 0 (no focal child at baseline) OR FOCLIVE = Dead, skip to ME3R025.
ME3R024
18MFU Talk on Phone with Focal Child
Do you talk on the phone to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 40 of 220
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18 GT 1, ask ME3R025. Else go to ME3R026. If R received ME3R024, ^lcfill should say
"other". If R did not receive ME3R024, do not fill ^lcfill.
ME3R025
18MFU Number of Children R Talks to on Phone
With how many of your ^lcfill children do you currently talk on the phone?
just talking about children who are on this chart.
Remember that we're
[REFER RESPONDENT TO GENOGRAM]
Question Type:
0..30
---------------------------------------------------------------------------------
Logic before:
If ME3R024=yes or if ME3R025 is "GE" 1, ask ME3R026. Else go to ME3R028.
ME3R026
18MFU Occurrence of Phone Conversation
[USE SHOWCARD 7]
How often do you talk on the phone with your ^children?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
ME3R027
18MFU Length of Call with Any Children
About how long is your average phone call with your ^children? [IN MINUTES]
Question Type:
1..120
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 0 (no focal child at baseline) OR FOCLIVE = Dead, skip to ME3R029.
ME3R028
18MFU Send Mail to Focal Child
Do you currently send mail to ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18 GT 1, ask ME3R029. Else go to ME3R030. If R received ME3R028, ^lcfill should say
"other". If R did not receive ME3R028, do not fill ^lcfill.
ME3R029
18MFU Number of Children Send Mail To
How many of your ^lcfill children do you currently send mail to?
talking about children who are on this chart.
Remember that we are still only
[REFER RESPONDENT TO GENOGRAM]
Question Type:
0..30
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 41 of 220
---------------------------------------------------------------------------------
Logic before:
If ME3R028=yes or if ME3R029 is "GE" 1, ask ME3R030. Else go to ME3R031.
ME3R030
18MFU Send Mail to Any Child(ren)
[USE SHOWCARD 7]
How often do you currently send mail to your ^children?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
ME3R031
18MFU Send Audiotapes
Have you been able to send any audiotapes to your ^children?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 0 (no focal child at baseline) OR FOCLIVE = Dead, skip to ME3R033.
ME3R032
18MFU Receive Mail from Focal Child
Do you currently @Breceive@B mail from ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18 "GT" 1, ask ME3R033. Else go to ME3R034. If R received ME3R032, ^lcfill should say
"other". If R did not receive ME3R032, do not fill ^lcfill.
ME3R033
18MFU Number of Children Send Mail to R
From how many of your ^lcfill children do you currently receive mail?
only talking about children who are on this chart.
Remember that we are still
[REFER RESPONDENT TO GENOGRAM]
Question Type:
0..30
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 42 of 220
---------------------------------------------------------------------------------
Logic before:
If ME3R032=yes or if ME3R033 is "GE" 1, ask ME3R034. Else go to ME3R035.
ME3R034
18MFU Receive Mail from Any Child(ren)
[USE SHOWCARD 7]
How often do you currently receive mail from your ^children?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
ME3R035
18MFU Received Photos or Audiotapes
Have you received any photographs or audiotapes of your ^children?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 0 (no focal child at baseline) OR FOCLIVE = Dead, skip to ME3R037.
ME3R036
18MFU Personal Visits from Focal Child
Do you currently receive personal visits from ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18 "GT" 1, ask ME3R037. Else go to ME3R038. If R received ME3R036, ^lcfill should say
"other". If R did not receive ME3R036, do not fill ^lcfill.
ME3R037
18MFU Number of Children at Personal Visits
From how many of your ^lcfill children do you currently receive personal visits?
are still only talking about children who are on this chart.
[REFER RESPONDENT TO GENOGRAM]
Question Type:
0..30
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 43 of 220
Remember that we
---------------------------------------------------------------------------------
Logic before:
If ME3R036=yes or if ME3R037 is "GE" 1, ask ME3R038. Else go to ME3R043.
ME3R038
18MFU Personal Visits from Children
[USE SHOWCARD 7]
How often do you currently receive personal visits from your ^children?
Question Type:
TOften2
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
1
2
3
4
5
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
---------------------------------------------------------------------------------
ME3R043
18MFU Distance of Facility
[USE SHOWCARD 8]
Thinking about your time in prison, please tell me how much you agree or disagree with each of the
following statements.
The prison is located too far away for your ^children to have regular visits, or is too hard for
the ^children's mother or caretaker to get to because of transportation issues.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3R044
18MFU Admission Rules
Visitor admission rules, such as background checks, dress codes, searches, and metal detectors, are
hard for your ^children to deal with.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3R045
18MFU Cost of Visiting
The cost of visiting is too high for the ^children's mother or caretaker to bring them as often as
she would like to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 44 of 220
---------------------------------------------------------------------------------
ME3R046
18MFU Schedule Issues
Schedule issues, like limited visiting hours and the ^children's mother's or caretaker's work
schedules make it hard to find time for visits.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3R047
18MFU Cost of Calls
The cost of calling or receiving calls is too high, or you do not have access to a phone.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3R048
18MFU Facility Pleasant Place
The prison is not a pleasant place to visit or not a place you want your ^children to see you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3R049
18MFU Mother Does Not Want Contact
Your ^children's mother or caretaker does not want your ^children to maintain close contact with
you while you are incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 45 of 220
---------------------------------------------------------------------------------
ME3R050
18MFU R Wants No Contact
You do not want to maintain close contact with your ^children while you are incarcerated.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If ANY answers to ME1G062a (age of focal child) or ME1G062b (age of BL non-focal child) or ME1G062
are GT 1 then, go to ME3R051. If NO answers to ME1G062a or ME1G062b or ME1G062 EQ 0/DK/RF, then go
to ME3R053. If TOTALCHILD18 EQ 1, ^fill1 should say "does". If TOTALCHILD18 GT 1, ^fill1 should
say "do".
ME3R051
18MFU Children Do Not Want Contact
Your ^children ^fill1 not want to maintain close contact with you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME3R052
18MFU No Close Contact with Children
You were not in close contact with your ^children before this incarceration.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 46 of 220
---------------------------------------------------------------------------------
Logic before:
If answered 1 or 2 (strongly agree or agree), to more than 2 questions between ME3R043 to ME3R052,
then ask ME3R053. Else, skip to ME3R054. For ME3R053 put response options that the R already
answered 1 or 2 (strongly agree or agree) to in ME3R043 to ME3R052 in special font and only allow
those to be selected, by creating a consistency check. "YOU HAVE SELECTED AS THE @BBIGGEST
CHALLENGE@B SOMETHING THAT WAS NOT REPORTED IN THE PREVIOUS QUESTIONS, ME3R043 to ME3R052. PLEASE
PROBE, AS NEEDED TO OBTAIN CONSISTENT RESPONSES." Also, allow only a total of 2 response options to
be selected. If more than 2 responses have been selected, consistency check should say "ONLY TWO
SELECTIONS CAN BE MADE ON THIS QUESTION."
ME3R053
18MFU Two Biggest Issues for Child Contact
What are the two biggest challenges in staying in touch with your ^children while you are
incarcerated?
Question Type:
TChallenge2Set
Location
1 ^F1 The prison is located too far away for your ^children to have
regular visits, or is too hard for the ^children mother or caretaker to
get to because of transportation issues ^F1
2 ^F2 Visitor admission rules such as background checks, dress codes,
searches, and metal detectors are hard for your ^children to deal with
^F2
3 ^F3 The cost of visiting is too high for the ^children's mother or
caretaker to bring them as often as she would like to ^F3
4 ^F4 Schedule issues, like limited visiting hours and the ^children's
mother's or caretaker's work schedules, make it hard to find time for
visits ^F4
5 ^F5 The cost of calling or receiving calls is too high, or you do not
have access to a phone ^F5
6 ^F6 The prison is not a pleasant place to visit, or not a place you want
your ^children to see you ^F6
7 ^F7 Your ^children's mother or caretaker does not want your ^children to
maintain close contact with you while you are incarcerated ^F7
AdRules
VisitCost
Schedule
CallCost
Pleasant
MotherNo
RNoContact
8 ^F8 You do not want to maintain close contact with your ^children while
you are incarcerated ^F8
9 ^F9 Your ^children (do/does) not want to maintain close contact with you
^F9
10 ^F10 You were not in close contact with your ^children before the
incarceration ^F10
ChildNoContact
NotClose
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 1 AND FOCLIVE = Live, ask ME3R054. If HASFOCAL = 0 (no focal child at baseline) or
FOCLIVE = Dead, skip to Part 4.
ME3R054
18MFU Relationship with Child Since Incarceration
How has your time in prison or jail changed your relationship with ^prld.FOCCHILD, if at all? Has
it made you closer, has it made you drift apart, or has there been no change?
Question Type:
TChange
Closer
APART
NoC
1 MADE YOU CLOSER
2 MADE YOU DRIFT APART
3 NO CHANGE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 47 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 2 ask ME3R055. Else skip to next domain.
Allow the respondent to "select all that apply". Preload MB1G063 from male baseline. Gender is
identified by MB1G063 loop for selected focal child. FOCSEX1= he/she FOCSEX2= him/her FOCSEX3=
his/her If gender = male, then FOCSEX1 = "he", else FOCSEX1 = "she". If gender = male, then
FOCSEX2 = "him", else FOCSEX2 = "her". If gender=male, then FOCSEX3 = "his", else FOCSEX3 = "her".
ME3R055
18MFU Concerns/Worries About Focal Child
[USE SHOWCARD 9]
What concerns or worries do you have about ^prld.FOCCHILD during your incarceration? Select all
that apply.
REQUIRED PROBE: Anything else?
Question Type:
TWorrySet
Money
School
Happy
Peers
Emotional
1
2
3
4
5
Concerns about there being enough money to support ^focsex2
Concerns about how ^focsex1 is doing in school
Concerns about ^focsex3 happiness
Concerns about ^focsex2 getting teased or threatened by peers
Concerns that you will not be as close emotionally as you were before
you were incarcerated
6 Concerns that ^focsex1 won't have a male role model
7 Concerns that ^focsex1 will get in trouble
8 Other concerns
RoleModel
Trouble
Other
Logic after:
If ME3R055= other, go to ME3R055s. Else go to ME3R056.
---------------------------------------------------------------------------------
ME3R055s
18MFU Specify Other
SPECIFY OTHER
Question Type:
string[100]
---------------------------------------------------------------------------------
Logic before:
If ME3R055 includes more than one response, then ask ME3R056. Else, skip to end of domain. Last
option should be lcfill containing ME3R055s. In ME3R056, use special font for the response options
that the R choose in ME3R055, and only allow those to be chosen by adding a consistency check, "YOU
HAVE JUST SELECTED AS THE RESPONDENT'S @BBIGGEST CONCERN@B, A CONCERN THAT THEY DID NOT AGREE TO
HAVING IN ME3R055. PLEASE PROBE TO OBTAIN CONSISTENT RESPONSES."
ME3R056
18MFU Biggest Concern/Worry for Focal Child
What is your @Bbiggest@B concern or worry about ^prld.FOCCHILD during your incarceration?
Question Type:
TWorry2
Money
School
Happy
Peers
1
2
3
4
Emotional
5 ^F5 Concerns that you will not be as close emotionally as you were
before you were incarcerated ^F5
6 ^F6 Concerns that ^focsex1 won't have a male role model ^F6
7 ^F7 Concerns that ^focsex1 will get in trouble ^F7
8 ^F8^lcfill^F8
RoleModel
Trouble
Other
^F1
^F2
^F3
^F4
Concerns
Concerns
Concerns
Concerns
about
about
about
about
there being enough money to support ^focsex2 ^F1
how ^focsex1 is doing in school ^F2
^focsex3 happiness ^F3
^focsex2 getting teased or threatened by peers ^F4
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 48 of 220
Service Need & Receipt
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 4, skip to Part 5.
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "since ^REFDATE. [REFER RESPONDENT TO DATE
HIGHLIGHTED IN YELLOW ON REFERNCE CALENDAR].".
If INCARSTATE18 = 3 ^lcfill should say "since ^REFDATE but not counting any services you received
while you were reincarcerated for a new incarceration after your release on ^RELDATE. [REFER
RESPONDENT TO DATE HIGHLIGHTED IN YELLOW ON REFERENCE CALENDAR, AND TELL HIM NOT TO COUNT SERVICES
RECEIVED DURING TIME HE WAS REINCARCERATED, WHICH ARE HIGHLIGHTED IN BLUE]. "
If INCARSTATE18 = 5 ^lcfill should say "since "REFDATE but not counting any services you received
while you were incarcerated. [REFER RESPONDENT TO DATE HIGHLIGHTED IN YELLOW ON REFERENCE CALENDAR,
AND TELL HIM NOT TO COUNT SERVICES RECEIVED DURING TIMES HE WAS INCARCERATED, WHICH ARE
HIGHLIGHTED IN BLUE].".
ME4S057b
18MFU Introduction to Service Need and Receipt
Now, I'm going to ask you about services you might have received and programs you might have
participated in ^lcfill ^lcfill2
I will also ask you which services you might have wanted or needed. We are asking these questions
for research purposes only; your answers will not affect the services you receive.
Question Type:
Tnext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S057
18MFU Attended Class or Workshop
[REFER RESPONDENT TO REFERENCE CALENDAR]
^lcfill have you attended any group classes or workshops on healthy marriage or romantic
relationships? You would have done these sessions in a group.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S058
18MFU Felt Services Were Needed
Have you wanted or felt that you needed to attend any group classes or workshops on healthy
marriage or romantic relationships?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 49 of 220
---------------------------------------------------------------------------------
Logic before:
If ME4S057 = yes, ask ME4S059. Else skip to ME4S064.
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "since ^REFDATE? ". If INCARSTATE18 = 3 ^lcfill
should say "since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE?"
If INCARSTATE18 = 5 ^lcfill should say "since "REFDATE but not counting any services you received
while you were incarcerated?".
ME4S059
18MFU Number of Times Attended Class
How many times have you attended any group classes or workshops on healthy marriage or romantic
relationships ^lcfill
NUMBER OF TIMES
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If ME4S057 = YES and INCARSTATE18 = 1 or 3, ask ME4S057a.
ME4S057a
18MFU When Classes Received
Did you attend these classes or workshops. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
ME4S061
18MFU Length of Class
About how long did each class, workshop, or group session usually last?
In other words, for how many hours did you meet each time?
NUMBER OF HOURS [ROUND TO THE NEAREST HOUR]
Question Type:
1..20
---------------------------------------------------------------------------------
Logic before:
If ME4S059 GE 1 AND ME4S061 GE 1, ask ME4S061a.
ME4S061a
18MFU Confirmation on Number of Hours
So, you had about ^ME4S059 session(s) each lasting about ^ME4S061 hour(s)?
IF R ANSWERS NO, GO BACK TO ME4S059 and ME4S061 TO CORRECT THE ANSWERS.
PROBE, AS NEEDED.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If ME4S061a = no, consistency check will say, "PLEASE CORRECT ME4S059 OR ME4S061 TO OBTAIN
CONSISTENT REPONSES.".
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 50 of 220
---------------------------------------------------------------------------------
Logic before:
If ME4S057 = no or NAMEFILL ALIVE = 2 (DEAD) skip to ME4S061b. Else ask ME4S060.
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S060
18MFU Attend Class with Partner
^lcfill how many of those sessions did you attend @Btogether with@B ^prld.Namefill?
NUMBER OF TIMES
Question Type:
0..100
---------------------------------------------------------------------------------
ME4S061b
18MFU Class Interesting
How interesting did you find the group classes or workshops?
Question Type:
Tinterest
VeryInt
SomeInt
NotInt
1 Very interesting
2 Somewhat interesting
3 Not interesting
---------------------------------------------------------------------------------
ME4S062
18MFU Frequency of Classes Attended
Did you attend all, most, or some of the classes or workshops that were offered?
Question Type:
TAttendCaps
All
Most
Some
1 ATTENDED ALL
2 ATTENDED MOST
3 ATTENDED SOME
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 51 of 220
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".If ME4S062 = 1, skip to ME4S064. Else, go to
ME4S063. If NAMEFILL ALIVE = 1 (ALIVE), bold and allow all response options to be selected. If
NAMEFILL ALIVE = 2 (DEAD) only bold and allow options 1, 2, 5, 6, 8, 10, 12, 13 and 14.
Soft check CC Text should read: SELECTIONS 3, 4, 7, 9 AND 11 ARE NOT ALLOWED IF ^PRLD.NAMEFILL IS
DECEASED. PLEASE CORRECT YOUR RESPONSE IF POSSIBLE.
ME4S063
18MFU Reason for Not Attending Class
[USE SHOWCARD 10]
Why did you stop attending the classes or workshops?
Choose all that apply.
[INTERVIEWER: ONLY READ ALOUD RESPONSE OPTIONS THAT ARE BOLD]
REQUIRED PROBE: Any other reasons?
Question Type:
TClassFU
NoInterest
NoHelp
PartnerObject
NoTransport
1
2
3
4
NoConvenient
RConflictIns
NmConIns
RConPartic
NmConPartic
RNoAgree
NmNoAgree
Moved
KickOut
Other
^F1 You were not interested in the classes/workshops ^F1
^F2 The classes/workshops were not helpful ^F2
^F3 ^prld.Namefill objected ^F3
^F4 ^prld.namefill lacked transportation, child care, or had conflicts
with her work schedule and couldn't attend with you ^F4
^F5 The location of the classes was not convenient ^F5
^F6 You had a conflict with the instructor ^F6
^F7 ^prld.namefill had a conflict with the instructor ^F7
^F8 You had a conflict with participants ^F8
^F9 ^prld.namefill had a conflict with participants ^F9
^F10 You did not agree with discussions/message ^F10
^F11 ^prld.namefill did not agree with discussions/message ^F11
^F12 You got released or transferred to another institution ^F12
^F13 You got kicked out ^F13
^F14 Some other reason (SPECIFY) ^F14
5
6
7
8
9
10
11
12
13
14
Logic after:
If ME4S063 = includes "other", go to ME4S063s. Else go to ME4S064.
---------------------------------------------------------------------------------
ME4S063s
18MFU Specify Other
SPECIFY OTHER REASON
Question Type:
string[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
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---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE = 2 (DEAD), skip to ME4S069. Else ask ME4S064.
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE, ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated".
ME4S064
18MFU Counseling
^lcfill have you met with a counselor, therapist, or social worker to work on your relationship
with ^prld.Namefill in sessions that were not part of a workshop, class, or group? In other words,
individual or couple's counseling sessions that did not include other people besides you or
^prld.Namefill.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S065
18MFU Need Couple s Counseling
Have you wanted or felt that you needed to participate in individual or couple's counseling
sessions to work on your relationship with ^prld.Namefill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME4S064 EQ yes, ask ME4S066; else, skip to ME4S069.
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE, ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S066
18MFU Attended Marriage Counseling
^lcfill about how many times have you had these counseling sessions to work on your
(marriage/relationship)?
NUMBER OF TIMES
Question Type:
1..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
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---------------------------------------------------------------------------------
Logic before:
If ME4S064 = YES and INCARSTATE18 = 1 or 3 , ask ME4S064a.
ME4S064a
18MFU When Counseling Received
Did you receive this counseling. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
ME4S068
18MFU Length of Sessions
About how long did each session usually last?
NUMBER OF HOURS [ROUND TO THE NEAREST HOUR]
Question Type:
1..24
---------------------------------------------------------------------------------
Logic before:
If ME4S066 GE 1 AND ME4S068 GE 1, ask ME4S068a.
ME4S068a
18MFU Confirmation on Number of Hours
So, you had about ^ME4S066 session(s), each lasting ^ME4S068 hour(s)?
Question Type:
TYesNocaps
Yes
No
1 YES
2 NO
Logic after:
If R answers no to ME4S068a, add consistency check, "GO BACK TO PREVIOUS TWO QUESTIONS AND CORRECT
THE ANSWERS. PROBE, AS NEEDED."
---------------------------------------------------------------------------------
ME4S067
18MFU Number of Times Attended Counseling Classes
How many of those sessions did you attend @Btogether with@B ^prld.Namefill?
NUMBER OF TIMES
Question Type:
0..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 54 of 220
---------------------------------------------------------------------------------
Logic before:
If yes to ME4S057 or ME4S064, ask ME4S069. Else go to ME4S073. If NAMEFILL ALIVE = Alive, bold and
display all response options. If NAMEFILL ALIVE = Dead, bold and display response options 1, 2, 4,
5, 6, and 7. Allow the respondent to "select all that apply".
ME4S069
18MFU Person Who Informed You
[SELECT ALL THAT APPLY]
How did you hear about the relationship strengthening activities in which you participated?
told you about the classes?
Who
REQUIRED PROBE: Anyone else?
Question Type:
Tinform
InfoSession
Friend
Partner
Ad
CaseMngr
Service
Other
1
2
3
4
5
6
7
^F1
^F2
^F3
^F4
^F5
^F6
^F7
HEARD ABOUT IT AT AN ORIENTATION OR INFORMATION SESSION ^F1
HEARD ABOUT IT FROM A FRIEND OR FELLOW INMATE ^F2
HEARD ABOUT IT FROM ^prld.namefill ^F3
SAW POSTER, BROCHURE, OR OTHER AD ^F4
REFERRED BY CASE MANAGER OR OTHER STAFF MEMBER ^F5
REFERRED BY OTHER SERVICE AGENCY ^F6
OTHER (SPECIFY) ^F7
Logic after:
If ME4S069 = other, go to ME4S069s. Else go to ME4S070.
---------------------------------------------------------------------------------
ME4S069s
18MFU Other Specify
SPECIFY OTHER SOURCE
Question Type:
string[100]
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE = 2 (DEAD) , skip to ME4S073. Allow respondent to select all that apply. If
selected "none" with other options, trigger a consistency check. CC text:
NONE OPTION CAN NOT BE CHOSEN IN COMBINATION WITH OTHER OPTIONS. PLEASE CORRECT ME4S070.
ME4S070
18MFU Skills Learned from Classes
[USE SHOWCARD 11]
What knowledge or skills did you learn in relationship classes or relationship counseling that
helped you improve your relationship with ^prld.Namefill?
Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
Tclasses
Talk
Work
Calm
Care
Trust
Feel
Stress
Other
None
1
2
3
4
5
6
How to talk with ^prld.Namefill about things that matter
How to work through problems calmly and fairly
How to calm down when things get heated
How to work together on caring for the child(ren)
How to build and keep each other's trust
How to work with each other's feelings about other family members, expartners, and friends
7 How to deal with stress and life changes together
8 Some other skill (SPECIFY)
9 NONE
Logic after:
If ME4S070 = other, go to ME4S070s. Else go to ME4S071.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 55 of 220
---------------------------------------------------------------------------------
ME4S070s
18MFU Specify Other
SPECIFY OTHER KNOWLEDGE OR SKILL
Question Type:
string[30]
---------------------------------------------------------------------------------
Logic before:
IF ME4S070 included more than one response, ask ME4S071. Else, skip to ME4S072.In ME4S071, use
special font for the response options selected in ME4S070 and only allow those to be selected, by
creating a consistency check. "YOU HAVE SELECTED AS THE MOST IMPORTANT SKILL A SKILL THAT WAS NOT
REPORTED IN THE PREVIOUS QUESTION, ME4S070. PLEASE PROBE, AS NEEDED, TO OBTAIN CONSISTENT
RESPONSES." set lcfill to ME4S070s for 8th response option - cpc
ME4S071
18MFU Most Important Skill Learned
What would you say is the most important skill you learned in your relationship classes or
relationship counseling?
Question Type:
TClasses2
Talk
Work
Calm
Care
Trust
Feel
1
2
3
4
5
6
^F1 How to talk with ^prld.Namefill about things that matter ^F1
^F2 How to work through problems calmly and fairly ^F2
^F3 How to calm down when things get heated ^F3
^F4 How to work together on caring for the child(ren) ^F4
^F5 How to build and keep each other's trust ^F5
^F6 How to work with each other's feelings about other family members,
ex-partners, and friends ^F6
7 ^F7 How to deal with stress and life changes together ^F7
8 ^F8^lcfill^F8
Stress
Other
---------------------------------------------------------------------------------
ME4S072
18MFU Classes Improved Relationship
How much has your relationship with ^prld.Namefill improved as a result of the classes or
workshops?
Would you say. . .
Question Type:
Tsome
Lot
Little
Notatall
1 A lot
2 A little
3 Not at all
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 56 of 220
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18 GE 1, ask ME4S073. Else go to ME4S077.
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE, ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S073
18MFU Parenting Classes
^lcfill have you attended any classes, groups, or workshops to help you improve your parenting
skills or learn to be a better parent?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S074
18MFU Service Needed
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME4S073 = yes, ask ME4S075; else, skip to ME4S077.
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "since ^REFDATE? ". If INCARSTATE18 = 3 ^lcfill
should say "since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE?"
If INCARSTATE18 = 5 ^lcfill should say "since "REFDATE but not counting any services you received
while you were incarcerated?".
ME4S075
18MFU Attended Classes to Improve Parenting Skills
How many times have you attended any parenting classes, groups, or workshops ^lcfill
NUMBER OF TIMES
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If ME4S073 = YES and INCARSTATE18 = 1 or 3 , ask ME4S073a.
ME4S073a
18MFU When Workshops Received
Did you attend these classes, groups, or workshops. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
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---------------------------------------------------------------------------------
ME4S076
18MFU Length of Classes
About how long did each class, workshop, or group session usually last? In other words, for how
many hours did you meet each time?
NUMBER OF HOURS
Question Type:
1..24
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S077
18MFU Consultation with Any Staff
^lcfill have you met with a staff member who talks with you about issues or needs you have, tries
to get you into services or programs, helps you get benefits or assistance, and/or monitors your
progress? These services are called case management and the person might be called a case manager,
case worker, social worker, transition coordinator, or systems navigator.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S078
18MFU Services Needed
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Go to ME4S079, if ME4S077=yes. Else go to ME4S082.
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "since ^REFDATE? ". If INCARSTATE18 = 3 ^lcfill
should say "since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE?"
If INCARSTATE18 = 5 ^lcfill should say "since "REFDATE but not counting any services you received
while you were incarcerated?".
ME4S079
18MFU Sessions of Case Management
How many sessions of case management have you received ^lcfill
NUMBER OF SESSIONS
Question Type:
1..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
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---------------------------------------------------------------------------------
ME4S079a
18MFU Case Manager Helpful
How helpful did you find your case manager?
Question Type:
Thelpful
VeryHelp
SomeHelp
NotHelp
1 Very helpful
2 Somewhat helpful
3 Not helpful
---------------------------------------------------------------------------------
Logic before:
If ME4S077 = YES and INCARSTATE18 = 1 or 3 , ask ME4S077a.
ME4S077a
18MFU When Case Management Received
Did you receive this case management. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply". Do not allow "none" to be selected along with
options 2-15. CC text should read: NONE CAN NOT BE AN OPTION SELECTED WITH OTHER OPTIONS
ME4S080
18MFU Case Manager Referred Services
[USE SHOWCARD 12]
Has a case manager referred you to any of the following kinds of services or benefits? Select all
that apply.
REQUIRED PROBE: Any others?
Question Type:
Tservices
None
Education
Parent
Job
Money
Life
Support
Counsel
Mental
SubAbuse
Other
Housing
Health
Public
Legal
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
None
Marriage or relationship education
Parenting education
Job training or employment readiness
Money management training
Other life skills training
Support groups
Marriage or relationship counseling
Mental health treatment
Substance abuse treatment
Other counseling
Housing program
Health benefits program
Public assistance, such as TANF or food stamps
Legal services
Logic after:
If ME4S080 EQ None, go to ME4S082. Else go to ME4S081.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 59 of 220
---------------------------------------------------------------------------------
ME4S081
18MFU Case Manager Follow-Up on Services
Has a case manager followed up to make sure you received those services?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S082
18MFU Received Treatment for Emot/Mental Probl
^lcfill have you received counseling, therapy, or other treatment to help you deal with an
emotional or mental health problem?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S083
18MFU Needed Treatment
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME4S082 = YES and INCARSTATE18 = 1 or 3, ask ME4S082a.
ME4S082a
18MFU When Counseling Received
Did you receive this counseling, therapy, or treatment. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 60 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S084
18MFU Received Group Therapy/Treatment
^lcfill have you received counseling, self-help groups, group sessions, or other treatment to help
you deal with alcohol or substance abuse?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S085
18MFU Needed Group Therapy/Treatment
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME4S084 = YES and INCARSTATE18 = 1 or 3, ask ME4S084a.
ME4S084a
18MFU When Alcohol/Substance Abuse Treatmnt Receiv
Did you receive this alcohol or substance abuse treatment. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S086
18MFU Received Anger Management Services
^lcfill have you received services or taken a course to help you manage anger?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 61 of 220
---------------------------------------------------------------------------------
ME4S087
18MFU Needed Anger Management Services
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME4S086 = YES and INCARSTATE18 = 1 or 3 , ask ME4S086a.
ME4S086a
18MFU When Anger Management Received
Did you participate in anger management services. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S088
18MFU Received Services for Partner Violence
^lcfill have you received services or taken a course for men to learn how to avoid hurting or
abusing their partners?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S089
18MFU Needed Services for Partner Violence
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 62 of 220
---------------------------------------------------------------------------------
Logic before:
If ME4S088 = YES and INCARSTATE18 = 1 or 3, ask ME4S088a.
ME4S088a
18MFU When Partner Abuse Services Received
Did you participate in these services. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S090
18MFU Received Educational Classes
^lcfill have you participated in any GED, adult basic education, or college courses?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S091
18MFU Needed Educational Classes
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME4S090 = YES and INCARSTATE18 = 1 or 3, ask ME4S090a.
ME4S090a
18MFU When Education Courses Received
Did you participate in these courses. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 63 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,".
If INCARSTATE18 = 5 ^lcfill should say "since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S092
18MFU Received Job Training
^lcfill have you participated in any employment readiness, vocational or job training programs?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S093
18MFU Needed Job Training
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME4S092 = YES and INCARSTATE18 = 1 or 3, ask ME4S092a.
ME4S092a
18MFU When Job Training Received
Did you participate in this training. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S094
18MFU Received Financial Planning Courses
^lcfill have you participated in any money management or financial planning programs?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 64 of 220
---------------------------------------------------------------------------------
ME4S095
18MFU Needed Financial Planning Courses
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME4S094 = YES and INCARSTATE18 = 1 or 3, ask ME4S094a.
ME4S094a
18MFU When Money/Financial Planning Received
Did you participate in money management or financial planning classes. . ..
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S096
18MFU Received Life Skills Education
^lcfill have you participated in any other life skills education?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S097
18MFU Needed Life Skills Education
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 65 of 220
---------------------------------------------------------------------------------
Logic before:
If ME4S096 = YES and INCARSTATE18 = 1 or 3, ask ME4S096a.
ME4S096a
18MFU When Life Skills Received
Did you participate in other life skills education. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S098
18MFU Received Assistance for Housing Need Post-Re
^lcfill have you received any help finding housing or paying for housing upon release?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S099
18MFU Needed Assistance for Housing Need Post-Rele
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME4S098 = YES and INCARSTATE18 = 1 or 3, ask ME4S098a.
ME4S098a
18MFU When Housing Help Received
Did you receive this housing-related help. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 66 of 220
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18 GE 1, go to ME3S100. Else go to ME3S102.
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S100
18MFU Received Assistance with Child Custody Issue
^lcfill have you received any assistance with retaining your parental rights or changing child
custody arrangements?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S101
18MFU Needed Assistance with Child Custody Issues
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME4S100 = YES and INCARSTATE18 = 1 or 3, ask ME4S100a.
ME4S100a
18MFU When Child Custody Assistance Received
Did you receive this assistance. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S102
18MFU Received Family Mediation
^lcfill have you participated in any family group conferencing or family mediation? We mean
meetings with any family members to discuss issues and set goals for the future.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 67 of 220
---------------------------------------------------------------------------------
ME4S103
18MFU Needed Family Mediation
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME4S102 = YES and INCARSTATE18 = 1 or 3, ask ME4S102a.
ME4S102a
18MFU When Family Conferencing Received
Did you participate in family group conferencing/family mediation. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S104
18MFU Received Group Support
^lcfill have you participated in any support groups? We mean a group of individuals who meet
regularly to discuss personal or interpersonal issues.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S105
18MFU Needed Group Support
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 68 of 220
---------------------------------------------------------------------------------
Logic before:
If ME4S104 = YES and INCARSTATE18 = 1 or 3, ask ME4S104a.
ME4S104a
18MFU When Group Support Received
Did you participate in support groups. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 2, or 6, ^lcfill should say "Since ^REFDATE ". If INCARSTATE18 = 3 ^lcfill
should say "Since ^REFDATE but not counting any services you received while you were reincarcerated
for a new incarceration after your release on ^RELDATE,"
If INCARSTATE18 = 5 ^lcfill should say "Since "REFDATE but not counting any services you received
while you were incarcerated,".
ME4S106
18MFU Received Spiritual/Religious Help
^lcfill have you received spiritual or religious assistance from any faith-based organizations or
people? For example, this would include meeting with a chaplain, minister, or other clergy member.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME4S107
18MFU Needed Spiritual/Religious Help
Have you wanted or felt that you needed this service?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME4S106 = YES and INCARSTATE18 = 1 or 3, ask ME4S106a.
ME4S106a
18MFU When Religious Assistance Received
Did you receive this spiritual or religious assistance. . .
Question Type:
TWhenClasses
Incar
Relse
Both
1 Before you were released on ^RELDATE
2 During your time on the outside
3 or both?
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 69 of 220
First 24 Hours
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1 or 3, ask ME5U001a. Else skip to ME5H002.
ME5U001a
18MFU First 24 Hours Intro
The next set of questions deal with your experiences since you were released from prison on
^RELDATE.
[REFER TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
ME5U001
18MFU First 24 hours
First, I'm going to ask you about things that happened to you during the first 24 hours after you
were released on ^RELDATE.
On the day that you were released from incarceration, was anyone at the gate to meet you when you
were released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME5U001 = Yes, ask ME5U002. Select all that apply. Use special font as follows: If NAMEFILL
ALIVE = 1 (Live), bold and allow option 1. If NAMEFILL ALIVE = 2 (Dead), do not bold option 1 and
do not let it be slected (use soft error). Always bold options 2-8. CC text should read:
SELECTION IS NOT ALLOWED IF ^PRLD.NAMEFILL IS DECEASED. PLEASE CORRECT YOUR RESPONSE IF POSSIBLE.
ME5U002
18MFU People at Release
[USE SHOWCARD 13]
Who was there to meet you?
Question Type:
Please indicate all that apply.
TReleaseFU
Nmfill
child
othrfam
frnd
poff
caswrk
mentor
other
1
2
3
4
5
6
7
8
^F1^prld.Namefill^F1
@BYour child/children@B
@BOther family member(s)@B
@BA friend/friends@B
@BA parole or probation officer@B
@BA case worker or case manager@B
@BA mentor@B
@BSome other type of person (SPECIFY)@B
---------------------------------------------------------------------------------
Logic before:
If ME5U002 = Other, ask ME5U002s.
ME5U002s
18MFU OTHER SPECIFY
SPECIFY RELATIONSHIP TO R
Question Type:
string[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 70 of 220
---------------------------------------------------------------------------------
ME5U003
18MFU Report to PO
On the day that you were released from incarceration, did you report to a parole or probation
officer?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME5U004
18MFU Talk to Service Agency
On the day that you were released from incarceration, did you see or talk to anyone from a service
agency?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME5U005
18MFU Sleep First Night Out
[USE SHOWCARD 14]
Where did you sleep the first night out of incarceration?
Question Type:
Please select one.
Tresidence2
Own
1 ^F1 In your own house or apartment, meaning your name was on the title,
mortgage, or lease ^F1a
2 ^F2 In someone else's house or apartment ^F2a
3 ^F3 In a transitional housing building or halfway house ^F3a
4 ^F4 In a motel/hotel or rooming house ^F4a
5 ^F5 In a residential treatment facility ^F5a
6 ^F6 In a shelter ^F6a
7 ^F7 On the street ^F7a
8 ^F8 In an outdoor location where you camped out ^F8a
9 ^F9 In an abandoned building or vacant unit ^F9a
10 ^F10 In some other place ^F10a
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE = 1 (Live), ask ME5U005a. Else go to ME5U006.
ME5U005a
18MFU Namefill There First Night Out
Was ^prld.Namefill there with you at the place where you slept on the first night out?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 71 of 220
---------------------------------------------------------------------------------
ME5U006
18MFU Photo ID
At the time of release, did you have a photo ID?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME5U006 = NO, ask ME5U007. If INCARSTATE18 = 1 (released), ^lcfill1 should say "Have you gotten"
and ^lcfill2 should say "since your release from prison". If INCARSTATE18 = 3 (reincarcerated),
"lcfill1 should say "Did you get" and ^lcfill2 should say "during your time on the outside".
ME5U007
18MFU New Photo ID
^lcfill1 a new photo ID ^lcfill2?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME5U009
18MFU Prepared to Live on Outside
Overall, in the first 24 hours after your release from incarceration, how prepared did you feel to
live on the outside?
Question Type:
preplev
Vprep
Prep
Unprep
Vunprep
1
2
3
4
Very prepared
Prepared
Unprepared
Very unprepared
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 72 of 220
Street Time
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 3, 5, or 6, ask ME5H002. If INCARSTATE18 = 2 or 4, skip to Part 6.
If INCARSTATE18=1 or 3, fill ^lcfill with "since ^RELDATE." AND ^lcfill2 with "^RELDATE [REFER TO
DATE HIGHLIGHTED IN GREEN ON REFERENCE CALENDAR.],".
If INCARSTATE=5 or 6, fill ^lcfill with "since ^REFDATE." and ^lcfill2 with "^REFDATE [REFER TO
DATE HIGHLIGHTED IN YELLOW ON REFERENCE CALENDAR],".
ME5H002
18MFU Street Time 2
Now I'm going to ask you some more questions about your life ^lcfill
Since ^lcfill2 how many days have you been hospitalized in a hospital or mental health institution?
Question Type:
0..300
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18=1 or 3, fill ^lcfill2 with "^RELDATE [REFER TO DATE HIGHLIGHTED IN GREEN ON
REFERENCE CALENDAR.],".
If INCARSTATE=5 or 6, fill ^lcfill2 with "^REFDATE [REFER TO DATE HIGHLIGHTED IN YELLOW ON
REFERENCE CALENDAR],".
ME5H003
18MFU Street Time 3
Since ^lcfill2 how many days have you been in a residential treatment program?
Question Type:
0..300
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 73 of 220
Housing
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 3, 5, or 6 ask ME5J000. Else skip to Part 6.
If INCARSTATE18 = 1, ^lcfill should say "since your release from incarceration on ^RELDATE. [REFER
TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALENDAR]"
If INCARSTATE18 = 3, ^lcfill should say "after your release from incarceration on ^RELDATE, during
your time on the outside. [REFER TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALNEDAR. REMIND
RESPONDENT NOT TO INCLUDE DATES HIGHLIGHTED IN BLUE]"
If INCARSTATE18 = 5, ^lcfill should say "since ^REFDATE, during your time on the outside. [REFER
TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDER. REMIND RESPONDENT NOT TO INCLUDE DATES
HIGHLIGHTED IN BLUE]"
If INCARSTATE18 = 6, ^lcfill should say "since ^REFDATE. [REFER TO DATE HIGHLIGHTED IN YELLOW IN
REFERENCE CALENDAR]"
ME5J000
18MFU Housing Intro
For the next series of questions, we will be asking you about your life ^lcfill
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
If INCARSTATE18 = 1, ^lcfill should say "since your release from incarceration on ^RELDATE."
If INCARSTATE18 = 3, ^lcfill should say "after your release from incarceration on ^RELDATE, during
your time on the outside."
If INCARSTATE18 = 5, ^lcfill should say "since ^REFDATE, during your time on the outside."
If INCARSTATE18 = 6, ^lcfill should say "since ^REFDATE."
If MECON5=yes, ^lcfill2 should say "did you live"
If MECON5=no, ^lcfill2 should say "have you lived"
ME5J010
18MFU Ever Live
[USE SHOWCARD 14]
Now, I'd like to know about your living situation. At any point ^lcfill ^lcfill2 in these places?
Select all that apply.
[REFER RESPONDENT TO REFERENCE CALENDAR]
REQUIRED PROBE: Any other places?
Question Type:
TResidence
Own
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
1 In your own house or apartment, meaning your name was on the title,
mortgage, or lease
2 In someone else's house or apartment
3 In a transitional housing building or halfway house
4 In a motel/hotel or rooming house
5 In a residential treatment facility
6 In a shelter
7 On the street
8 In an outdoor location where you camped out
9 In an abandoned building or vacant unit
10 In some other place
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 74 of 220
---------------------------------------------------------------------------------
Logic before:
If R lived in more than one place, go to ME5J011. Else go to ME5J012.
response options that were selected in ME5J010.
Use special font for
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "where did you mostly live?"
If MECON5=no, ^lcfill2 should say "where have you mostly lived?"
ME5J011
18MFU Primarily Reside
^lcfill ^lcfill2
SELECT ONE.
Question Type:
TResidence2
Own
1 ^F1 In your own house or apartment, meaning your name was on the title,
mortgage, or lease ^F1a
2 ^F2 In someone else's house or apartment ^F2a
3 ^F3 In a transitional housing building or halfway house ^F3a
4 ^F4 In a motel/hotel or rooming house ^F4a
5 ^F5 In a residential treatment facility ^F5a
6 ^F6 In a shelter ^F6a
7 ^F7 On the street ^F7a
8 ^F8 In an outdoor location where you camped out ^F8a
9 ^F9 In an abandoned building or vacant unit ^F9a
10 ^F10 In some other place ^F10a
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other
Logic after:
Add a consistency check after ME5J011 if R chooses a response that was not also selected in
ME5J010. Text should say, "RESPONSE IS INCONSISTENT WITH RESPONSE TO PREVIOUS QUESTION. PROBE, AS
NEEDED, SO BOTH ITEMS ARE CONSISTENT."
---------------------------------------------------------------------------------
Logic before:
If ME5J010 includes own or else, go to ME5J012. Else go to ME5J015a.
should say "Was". If MECON5 = no, ^lcfill should say "Is".
ME5J012
If MECON5 = yes, ^lcfill
18MFU Public Housing
^lcfill the (house/apartment) public housing? Public housing is defined as a unit in a building
owned by a public housing authority.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If ME5J012 = No, go to ME5J013. Else go to ME5J015a.
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill should say "Is’. If MECON5 = yes, ^lcfill should say "Was".
ME5J013
18MFU Section 8
^lcfill the (house/apartment) Section 8? Section 8 housing is where a Section 8 voucher is being
used to pay for part or all of your rent for a privately owned unit.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 75 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill1 should say "live." and ^lcfill2 should say "is".
If MECON5 = yes, ^lcfill1 should say "lived." and ^lcfill2 should say "was".
ME5J015a
18MFU Neighborhood 1
[USE SHOWCARD 15]
[REFER RESPONDENT TO REFERENCE CALENDAR]
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about the neighborhood where you mainly ^lcfill1.
It ^lcfill2
hard to stay out of trouble in your neighborhood or community.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill should say "is".
If MECON5 = yes,
^lcfill should say "was".
ME5J015b
18MFU Neighborhood 2
Drug selling ^lcfill a major problem in your neighborhood or community.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill should say "is".
If MECON5 = yes,
^lcfill should say "was".
ME5J015c
18MFU Neighborhood 3
Your neighborhood or community ^lcfill a good place to live.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 76 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill should say "is".
If MECON5 = yes, ^lcfill should say "was".
ME5J015d
18MFU Neighborhood 4
Your neighborhood or community ^lcfill a good place to find a job.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "did you live?"
If MECON5=no, ^lcfill2 should say "have you lived?"
ME5J043
18MFU Number of places lived
^lcfill in how many different places ^lcfill2
Question Type:
1..100
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE = 1 (Live), ask ME5J044. If NAMEFILL ALIVE = 2 (Dead), skip to ME5J046.
If INCARSTATE18 = 1, ^lcfill should say "After your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "did you live"
If MECON5=no, ^lcfill2 should say "have you lived"
ME5J044
18MFU Lived with Partner
^lcfill ^lcfill2 with ^prld.Namefill at any point?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 77 of 220
---------------------------------------------------------------------------------
Logic before:
If (MECON5 = no AND ME5J044 = yes AND ME3Q001 = No), ask ME5J045.
Else, skip to ME5J046.
ME5J045
18MFU Currently Live with Partner
Are you currently living with ^prld.Namefill?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 0 or FOCLIVE = 2 (Dead), skip to ME5J048.
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "did you live"
If MECON5=no, ^lcfill2 should say "have you lived"
ME5J046
18MFU Lived with Focal Child
^lcfill ^lcfill2 with ^prld.FOCCHILD at any point?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If (MECON5 = no AND ME5J046 = yes), ask ME5J047. If MECON5 = yes, skip to ME4G068a.
ME5J047
18MFU Currently Live with Focal Child
Is ^prld.FOCCHILD currently living with you, at least part of the time?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME5J046 = No, ask ME4G068a.
If MECON5 = no, ^lcfill1 should say "have you been living" and ^lcfill2 should say "would take".
If MECON5 = yes, ^lcfill1 should say "were you living" and ^lcfill2 should say "took".
ME4G068a
18MFU Distance from Focal Child
How far away from ^prld.FOCCHILD ^lcfill1? Please tell me about how long it ^lcfill2 for you to
travel from the place you were living to ^prld.FOCCHILD's home.
Question Type:
TabTTimeFU
Hour
Minutes
1 0...99
2 0...59
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 78 of 220
---------------------------------------------------------------------------------
Logic before:
If ME5J046 = No, ask ME5J047a.
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "did"
If MECON5=no, ^lcfill2 should say "do"
ME5J047a
18MFU Frequency of Seeing Focal Child
[USE SHOWCARD 16]
^lcfill how often ^lcfill2 you see ^prld.FOCCHILD?
Question Type:
TOften2FU
OneMore
Couple
OnceMon
CoupleMon
CoupleTime
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration on ^RELDATE,"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside,"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside,"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE,"
If MECON5=yes, ^lcfill2 should say "did you financially support"
If MECON5=no, ^lcfill2 should say "have you financially supported"
ME4G069
18MFU Financial Support for Focal Child
^lcfill ^lcfill2 ^prld.FOCCHILD in any way?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If ME4G069 = Yes, go to ME4G069a. Else go to ME5J048.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 79 of 220
---------------------------------------------------------------------------------
Logic before:
Allow select all that apply.
If MECON5=yes, ^lcfill should say "did you provide"
If MECON5=no, ^lcfill should say "have you provided"
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE?"
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside?"
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside?"
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE?"
ME4G069a
18MFU Amount of Financial Support
[USE SHOWCARD 17]
In what way or ways ^lcfill financial support for ^prld.FOCCHILD ^lcfill2? Please include support
you provide to the child directly as well as support you provide to the child's other parent or
caretaker.
Select all that apply.
Question Type:
TMonetary2
Gift
Shopping
1 Buying (CHILD) birthday or holiday gifts
2 Taking (CHILD) shopping for clothes, school supplies, or other things
s/he needs
3 Helping out occasionally with bills, rent or other expenses in the
child's household
4 Providing steady, regular financial support of over $300 per month
5 Providing steady, regular financial support of $200-$300 per month
6 Providing steady, regular financial support of $100-$200 per month
7 Providing steady, regular financial support of up to $100 per month
Expenses
More300
Two300
One200
Upto100
---------------------------------------------------------------------------------
Logic before:
Ask ME5J048 for each of R’s remaining living children.
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "did you live"
If MECON5=no, ^lcfill2 should say "have you lived"
ME5J048
18MFU Lived with Child
^lcfill ^lcfill2 with ^Child at any point?
Question Type:
array[1..30] of TYesNoCaps
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 80 of 220
---------------------------------------------------------------------------------
Logic before:
If ME5J048 = No, ask ME4G068.
If MECON5=yes, ^lcfill should say "were you living?" and ^lcfill2 should say "Please tell me about
how long it took for you to travel from the place you were living to ^CHILD’s home."
If MECON5=no, ^lcfill should say "have you been living?" and ^lcfill2 should say "Please tell me
about how long it would take for you to travel from the place you are living to ^CHILD’s home."
ME4G068
18MFU Distance from Child
How far away from ^CHILD ^lcfill
^lcfill2
Question Type:
array[1..30] of TabTTimeFU
---------------------------------------------------------------------------------
Logic before:
Allow R to select all that apply.
If MECON5=yes, ^lcfill should say "did you live"
If MECON5=no, ^lcfill should say "have you lived"
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE?"
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside?"
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside?"
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE?"
ME5J049
18MFU Else Lived With
Who else ^lcfill with ^lcfill2
[SELECT ALL THAT APPLY.]
Question Type:
TLiving
NoOne
Spouse
Ex
Mother
Father
Sister
Brother
AuntUnc
Cousin
Grandparent
Child
Friend
PartFriend
Other
1
2
3
4
5
6
7
8
9
10
11
12
13
14
NO ONE ELSE
SPOUSE OR ROMANTIC PARTNER
EX-SPOUSE OR ROMANTIC PARTNER
MOTHER/STEPMOTHER
FATHER/STEPFATHER
SISTER/STEPSISTER
BROTHER/STEPBROTHER
AUNT/UNCLE, GREAT AUNT/UNCLE
COUSIN
GRANDPARENT
CHILD/STEPCHILD
FRIEND OF R
FRIEND OF R'S PARTNER
SOME OTHER PERSON, NOT A FRIEND OR FAMILY MEMBER (SPECIFY)
Logic after:
If selected "no
one else " with other options, trigger a consistency check.
CC text:
NO ONE ELSE OPTION CAN NOT BE CHOSEN IN COMBINATION WITH OTHER OPTIONS. PLEASE CORRECT ME5J049.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 81 of 220
---------------------------------------------------------------------------------
Logic before:
If ME5J049 = Other, ask ME5J049s.
ME5J049s
18MFU OTHER SPECIFY
SPECIFY ANY OTHER PERSON THE RESPONDENT LIVED WITH
Question Type:
string[25]
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "did you have"
If MECON5=no, ^lcfill2 should say "have you had"
ME5J050
18MFU Barriers to Housing
^lcfill ^lcfill2 trouble finding a place to live?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 82 of 220
---------------------------------------------------------------------------------
Logic before:
If ME5J050 = Yes, ask ME5J051. Allow R to select all that apply.
If MECON5=yes, ^lcfill should say "did you have"
If MECON5=no, ^lcfill should say "have you had"
For the response options, please use the following fills: If MECON5 = no, ^lcfill2 should say "are"
for response options 1, 2, 3, 4, 5 and 7; ^lcfill3 should say "have"; ^lcfill4 should say "does";
^lcfill5 should say "can"; ^lcfill6 should say "is"; ^lcfill7 should say "want"; ^lcfill8 should
say "makes". If MECON5 = yes, ^lcfill2 should say "were" for response options 1, 2, 3, 4, 5, and
7; ^lcfill3 should say "had"; ^lcfill4 should say "did"; ^lcfill5 should say "could"; ^lcfill6
should say "was"; ^lcfill7 should say "wanted"; ^lcfill8 should say "made".
ME5J051
18MFU Reasons for Barriers to Housing
[USE SHOWCARD 18]
What kind of trouble ^lcfill finding a place to live?
(SELECT ALL THAT APPLY.)
Question Type:
Ttroublelive
NoVouch
NoFrFamVch
TooExp
1 You ^lcfill2 unable to obtain public housing or a Section 8 voucher
2 You ^lcfill2 unable to stay with friends or family who live in public
housing or a Section 8 unit
3 You ^lcfill2 unable to obtain a lease on a non-public housing home or
apartment
4 You ^lcfill2 unable to stay with friends or family in a non-public
housing home or apartment
5 You ^lcfill2 unable to find a bed in a long-term shelter or supportive
housing
6 You ^lcfill3 no money for a housing deposit
7 There ^lcfill2 no public housing vouchers available
8 Your family ^lcfill4 not want you to live with them
9 Your family ^lcfill5 not have you live with them because of their
apartment lease or other housing rules
10 It ^lcfill6 too expensive in the neighborhood where you ^lcfill7 to live
CrimHist
Other
11 Your criminal record ^lcfill8 it difficult to find housing
12 Some other reason (SPECIFY)
Nolease
NoStyFrFam
NoShelter
NoMoneyDep
NoVouchAvl
NoFamWant
NoFamRules
---------------------------------------------------------------------------------
Logic before:
If ME5J051 = Other, ask ME5J051s.
ME5J051s
18MFU Other Specify
SPECIFY OTHER REASON FOR TROUBLE FINDING A PLACE TO LIVE
Question Type:
string[200]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 83 of 220
Income
---------------------------------------------------------------------------------
Logic before:
If (ME5J044 = Yes OR ME5J045 = Yes) AND NAMEFILL ALIVE = 1 (Live), ask ME5K016. Else go to ME5K017.
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "did you and ^prld.Namefill share"
If MECON5=no, ^lcfill2 should say "have you and ^prld.Namefill shared"
ME5K016
18MFU Share Income with Partner
^lcfill ^lcfill2 any expenses, such as rent, mortgage, food, car expenses, utility bills, or credit
card bills?
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "received"
If MECON5=no, ^lcfill should say "have received"
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE."
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside."
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside."
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE."
If MECON5=yes, ^lcfill3 should say "have received"
If MECON5=no, ^lcfill3 should say "receive"
ME5K017
18MFU Welfare
Next I'm going to read a list of income sources. For each, tell me if you ^lcfill income from this
source ^lcfill2
[REFER RESPONDENT TO REFERENCE CALENDAR.]
Cash welfare, also known as TANF? You may ^lcfill3 this benefit as an electronic transfer, a check,
or on a bank or debit card. TANF is Temporary Assistance for Needy Families.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 84 of 220
---------------------------------------------------------------------------------
Logic before:
If ME5K016 = Yes, go to ME5K018. Else go to ME5K019.
If MECON5=yes, ^lcfill should say "Did ^prld.Namefill receive"
If MECON5=no, ^lcfill should say "Has ^prld.Namefill received"
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE?"
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside?"
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside?"
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE?"
ME5K018
18MFU Partner Received Welfare
^lcfill income from this source ^lcfill2
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "have received"
If MECON5=no, ^lcfill should say "receive"
ME5K019
18MFU Public Assistance
Other public assistance, such as food stamp benefits, support from the Indian Health
Service,disability insurance such as Supplemental Security Income (SSI), Social Security Disability
Insurance (SSDI), or unemployment insurance benefits (UI)? You may ^lcfill these benefits as
coupons, electronic transfer, or as an EBT or debit card.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME5K016 = Yes, go to ME5K020. Else go to ME5K021.
If MECON5=yes, ^lcfill should say "Did ^prld.Namefill receive"
If MECON5=no, ^lcfill should say "Has ^prld.Namefill received"
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE?"
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside?"
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside?"
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE?"
ME5K020
18MFU Partner Received Public Assistance
^lcfill income from this source ^lcfill2
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 85 of 220
---------------------------------------------------------------------------------
ME5K021
18MFU Child Support Received
Child support payments?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME5K016 = Yes, go to ME5K022. Else go to ME5K023.
If MECON5=yes, ^lcfill should say "Did ^prld.Namefill receive"
If MECON5=no, ^lcfill should say "Has ^prld.Namefill received"
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE?"
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside?"
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside?"
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE?"
ME5K022
18MFU Partner Received Child Support
^lcfill income from this source ^lcfill2
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did"
If MECON5=no, ^lcfill should say "do"
ME5K023
18MFU Money from Others
Money from friends or relatives who ^lcfill not live with you?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 86 of 220
---------------------------------------------------------------------------------
Logic before:
If ME5K016 = Yes, go to ME5K024. Else go to ME5K025.
If MECON5=yes, ^lcfill should say "Did ^prld.Namefill receive"
If MECON5=no, ^lcfill should say "Has ^prld.Namefill received"
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE?"
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside?"
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside?"
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE?"
ME5K024
18MFU Partner Received Money from Others
^lcfill income from this source ^lcfill2
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "received" and ^lcfill2 should say "are".
If MECON5=no, ^lcfill should say "receive" and ^lcfill2 should say "were".
ME5K025
18MFU Formal Payment
Formal employment? By "formal", we mean a job that you ^lcfill a pay stub for, and for which taxes
^lcfill2 taken out of your pay.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME5K016 = Yes, go to ME5K026. Else go to ME5K027.
If MECON5=yes, ^lcfill should say "Did ^prld.Namefill receive"
If MECON5=no, ^lcfill should say "Has ^prld.Namefill received"
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE?"
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside?"
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside?"
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE?"
ME5K026
18MFU Partner Received Formal Paycheck
^lcfill income from this source ^lcfill2
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 87 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5 = yes, ^lcfill should say "did" and ^lcfill2 should say "were". If MECON5 = no, ^lcfill1
should say "do", and ^lcfill2 should say "are".
ME5K027
18MFU Casual Work
"Under the table" or casual work. By "under the table", we mean work that you ^lcfill not receive a
pay stub for, for which taxes ^lcfill2 not taken out of your pay. This could include things you
^lcfill2 paid in cash for, like babysitting or mowing lawns.
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME5K016 = Yes, go to ME5K028. Else go to ME5K029.
If MECON5=yes, ^lcfill should say "Did ^prld.Namefill receive"
If MECON5=no, ^lcfill should say "Has ^prld.Namefill received"
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE?"
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside?"
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside?"
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE?"
ME5K028
18MFU Partner Received Money Under the Table
^lcfill income from this source ^lcfill2
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME5K029
18MFU Illegal Activities
Illegal activities, such as selling drugs, breaking and entering, etc.?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 88 of 220
---------------------------------------------------------------------------------
Logic before:
If ME5K016 = Yes, go to ME5K030. Else go to ME5K031.
If MECON5=yes, ^lcfill should say "Did ^prld.Namefill receive"
If MECON5=no, ^lcfill should say "Has ^prld.Namefill received"
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE?"
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside?"
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside?"
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE?"
ME5K030
18MFU Partner Received Funds from Illegal Act
^lcfill from this source ^lcfill2
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "did you rely"
If MECON5=no, ^lcfill2 should say "have you relied"
ME5K031
18MFU Budget
[USE SHOWCARD 19]
^lcfill how often ^lcfill2 on a planned budget to guide your monthly spending?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 89 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "did you have"
If MECON5=no, ^lcfill2 should say "have you had"
ME5K032
18MFU Meeting Bills
^lcfill how often ^lcfill2 difficulty meeting monthly payments on bills?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "did you have"
If MECON5=no, ^lcfill2 should say "have you had"
ME5K033
18MFU Money at End of Month
^lcfill how often ^lcfill2 money at the end of the month after the bills were paid?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 90 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "was it"
If MECON5=no, ^lcfill2 should say "has it been"
ME5K013
18MFU Determination to Support Self
^lcfill how easy or hard ^lcfill2 to make enough money to support yourself?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 91 of 220
Employment
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill
If INCARSTATE18 = 3, ^lcfill
your time on the outside"
If INCARSTATE18 = 5, ^lcfill
If INCARSTATE18 = 6, ^lcfill
should say "since your release from incarceration on ^RELDATE"
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside"
should say "since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "were you"
If MECON5=no, ^lcfill2 should say "have you been"
ME5I004
18MFU Employment
This next set of questions is about your job situation. Select all that apply.
At any point ^lcfill ^lcfill2
Question Type:
TEmploy
Employ
Illness
1 Employed and working
2 Employed but not working due to sickness, vacation, strike, weather, etc.
Unemploy
3 Unemployed
Logic after:
If ME5I004 = only Unemploy (i.e., neither Employ nor Illness were selected along with option
Unemploy), skip to ME5I019.
---------------------------------------------------------------------------------
Logic before:
If MECON5 = No, ask ME5I010.
ME5I010
18MFU Currently Employed
Are you @Bcurrently@B working at a job?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did you work"
If MECON5=no, ^lcfill should say "have you worked"
If INCARSTATE18 =
If INCARSTATE18 =
your time on the
If INCARSTATE18 =
If INCARSTATE18 =
1, ^lcfill2
3, ^lcfill2
outside?"
5, ^lcfill2
6, ^lcfill2
ME5I011
should say "since your release from incarceration on ^RELDATE?"
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside?"
should say "since ^REFDATE?"
18MFU Employment Duration
How many months ^lcfill ^lcfill2
Question Type:
1..25
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 92 of 220
---------------------------------------------------------------------------------
Logic before:
If
ME5I010 = Yes, ^lcfill should say "Is your current job...".
If ME5I010 = No OR (MECON5 = yes and ME5I004 =
most recent job...".
ME5I005
employ or illness,) , ^lcfill should say "Was your
18MFU Job Status
^lcfill
Question Type:
TJStatusFU
PT
FT
1 Part time
2 Full time
---------------------------------------------------------------------------------
Logic before:
If ME5I010 = Yes, ^lcfill should say "Is your current job...".
If ME5I010 = No OR (MECON5 = yes AND ME5I004 =
most recent job...".
ME5I006
employ or illness), ^lcfill should say "Was your
18MFU Job Type
^lcfill
Question Type:
TJType
Formal
Self
Casual
1 Formal pay (a job that has a pay stub)
2 Self-employment
3 Casual pay (a job that is "under the table" or "off the books")
---------------------------------------------------------------------------------
Logic before:
If ME5I010 = Yes, ^lcfill should say "do you earn per month from your current job".
If ME5I010 = No OR (MECON5 = yes AND ME5I004 =
earn per month from your last job".
ME5I007a
employ or illness), ^lcfill should say "did you
18MFU Earnings
How much ^lcfill before taxes, including any tips, bonuses, and commissions?
[ENTER THE DOLLAR AMOUNT ON THIS SCREEN. ROUND UP TO THE NEAREST WHOLE DOLLAR.]
Question Type:
1..999999
---------------------------------------------------------------------------------
Logic before:
If ME5I010 = Yes, ^lcfill should say "Is health insurance provided at your current job?".
If ME5I010 = No OR(MECON5 = yes AND ME5I004 =
insurance provided at your most recent job?".
ME5I008
employ or illness,), ^lcfill should say "Was health
18MFU Health Insurance
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 93 of 220
---------------------------------------------------------------------------------
Logic before:
If ME5I010 = Yes, ^lcfill should say "Are".
If (MECON5 = yes AND ME5I004 =
ME5I009
employ or illness,) or (ME5I010 = no), ^lcfill
should say "Were".
18MFU Entitled to Leave
^lcfill you entitled to any fully paid leave, such as sick leave, paid holidays, or vacation leave
from your employer?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME5I010 = no, ^lcfill should say "has it been".
If ME5I010=yes or MECON5 = yes, ^lcfill should say "was it"
ME5I017
18MFU Difficulty Finding Job
How easy or hard ^lcfill to get a job?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Logic before:
If ME5I010 = yes, ^lcfill should say "has it been".
If ME5I010=no or MECON5 = yes, ^lcfill should say "was it".
ME5I018
18MFU Difficulty Keeping Job
How easy or hard ^lcfill to @Bkeep@B a job?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 94 of 220
---------------------------------------------------------------------------------
Logic before:
Allow R to select all that apply, but do not allow option "NONE OF THE ABOVE" to be selected with
options 1-13.
ME5I019
18MFU Barriers to employment
[USE SHOWCARD 20]
Please tell me whether any of the following factors have made it difficult for you to look for a
job, get a job or keep a job. Select all that apply.
Question Type:
Tbarriers
Notrns
NoChldcar
Noskills
Nowkexp
Noedu
Dismed
Faildrg
Drgalc
Crmrec
Discrm
1
2
3
4
5
6
7
8
9
10
Not having transportation
Not having someone to watch your child/children
Not having the skills they were looking for
Not having the kind of work experience they were looking for
Not having the education they were looking for
Having a disability or serious medical condition
Not being able to pass a drug test
Having a drug or alcohol problem
Having a criminal record
Being discriminated against for something other than a criminal record
Parole
Nojbs
Other
None
11
12
13
14
Being on parole or community supervision
Lack of jobs in your neighborhood
Some other reason (specify)
NONE OF THE ABOVE
---------------------------------------------------------------------------------
Logic before:
If ME5I019 = Other, ask ME5I019s.
ME5I019s
18MFU Other Specify
SPECIFY OTHER
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did you contact"
If MECON5=no, ^lcfill should say "have you contacted"
If INCARSTATE18 =
If INCARSTATE18 =
your time on the
If INCARSTATE18 =
If INCARSTATE18 =
1, ^lcfill2
3, ^lcfill2
outside?"
5, ^lcfill2
6, ^lcfill2
ME5I020
should say "since your release from incarceration on ^RELDATE?"
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside?"
should say "since ^REFDATE?"
18MFU Number of Job Contacts
How many employers ^lcfill ^lcfill2
Question Type:
Tjobcontacts
None
TwoFv
SixTen
More10
1
2
3
4
None
1 - 5
6 - 10
More than 10
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 95 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did you have"
If MECON5=no, ^lcfill should say "have you had"
If INCARSTATE18 =
If INCARSTATE18 =
your time on the
If INCARSTATE18 =
If INCARSTATE18 =
1, ^lcfill2
3, ^lcfill2
outside?"
5, ^lcfill2
6, ^lcfill2
ME5I021
should say "since your release from incarceration on ^RELDATE?"
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside?"
should say "since ^REFDATE?"
18MFU Number of Job Interviews
How many job interviews ^lcfill ^lcfill2
Question Type:
Tjobcontacts
None
TwoFv
SixTen
More10
1
2
3
4
None
1 - 5
6 - 10
More than 10
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "Did you collect"
If MECON5=no, ^lcfill should say "Have you collected"
If INCARSTATE18 =
If INCARSTATE18 =
your time on the
If INCARSTATE18 =
If INCARSTATE18 =
1, ^lcfill2
3, ^lcfill2
outside?"
5, ^lcfill2
6, ^lcfill2
ME5I022
should say "since your release from incarceration on ^RELDATE?"
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside?"
should say "since ^REFDATE?"
18MFU Unemployment Insurance
^lcfill any Unemployment Insurance ^lcfill2
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 96 of 220
Social Support
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill should say "since your release from incarceration on ^RELDATE"
If INCARSTATE18 = 3, ^lcfill should say "after your release from incarceration on ^RELDATE, during
your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "since ^REFDATE, during your time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "since ^REFDATE"
If MECON5=yes, ^lcfill2 should say "did you have? These would be people you felt at ease with,
could talk to about private matters, or could call on for help."
"
If MECON5=no, ^lcfill2 should say "do you currently have? These are people you feel at ease with,
can talk to about private matters, or can call on for help."
ME5L031
18MFU Number of Friends
This next set of questions deals with the kinds of support you received from your friends and
family ^lcfill.
[REFER RESPONDENT TO REFERENCE CALENDAR]
First, I will ask about your friends. Please do not count any family members as you answer these
questions.
How many close friends ^lcfill2
Would you say you had no close friends, 1-2, 3-5, 6-10, or more than that?
Question Type:
TQuantity
None
Oneto2
Threeto5
Sixto10
TenMore
1
2
3
4
5
NO CLOSE FRIENDS
ONE OR TWO
THREE TO FIVE
SIX TO TEN
MORE THAN TEN
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 97 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "spent"
If MECON5=no, ^lcfill should say "have spent"
If INCARSTATE18 =
If INCARSTATE18 =
your time on the
If INCARSTATE18 =
If INCARSTATE18 =
1, ^lcfill2
3, ^lcfill2
outside"
5, ^lcfill2
6, ^lcfill2
should say "since your release from incarceration on ^RELDATE"
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside"
should say "since ^REFDATE"
If NAMEFILL ALIVE=1 (Alive), ^lcfill3 should say " ^prld.Namefill and other".
(Deceased), ^lcfill3 should not fill.
ME5L032
If NAMEFILL ALIVE=2
18MFU Peer Influence 1
[USE SHOWCARD 21]
Think about the people you ^lcfill time with ^lcfill2, other than ^lcfill3 family members.
Of the people you ^lcfill time with, how many have ever been in prison?
Question Type:
TAMSN
All
Most
Some
None
1
2
3
4
All
Most
Some
None
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "spent" and ^lcfill2 should say "were"
If MECON5=no, ^lcfill should say "have spent" and ^lcfill2 should say "are"
ME5L033
18MFU Peer Influence 2
Of the people you ^lcfill time with, how many ^lcfill2 employed full time?
Question Type:
TAMSN
All
Most
Some
None
1
2
3
4
All
Most
Some
None
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "spent" and ^lcfill2 should say "used"
If MECON5=no, ^lcfill should say "have spent" and ^lcfill2 should say "use"
ME5L035
18MFU Peer Influence 4
Of the people you ^lcfill time with, how many ^lcfill2 illegal drugs?
Question Type:
TAMSN
All
Most
Some
None
1
2
3
4
All
Most
Some
None
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 98 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did the people you spent time with convince you to do things you
knew you shouldn’t be doing"
If MECON5=no, ^lcfill should say "do the people you spend time with convince you to do things you
know you shouldn’t be doing"
If INCARSTATE18 =
If INCARSTATE18 =
your time on the
If INCARSTATE18 =
If INCARSTATE18 =
1, ^lcfill2
3, ^lcfill2
outside."
5, ^lcfill2
6, ^lcfill2
ME5L036
should say "since your release from incarceration on ^RELDATE."
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside."
should say "since ^REFDATE."
18MFU Friends Bad Influence
How often ^lcfill?
Question Type:
Remember, we are still talking about the time period ^lcfill2
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If MECON5 = yes, ^lcfill should say "Did you have a friend who would loan you money if you needed
it?".
If MECON5 = no, ^lcfill should say "Do you have a friend who will loan you money if you need it?".
ME5L009
18MFU Friend Support Expectations 1
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5 =
live if you
If MECON5 =
if you need
yes, ^lcfill should say "Did you have a friend who would provide you with a place to
needed it?".
no, ^lcfill should say "Do you have a friend who will provide you with a place to live
it?".
ME5L010
18MFU Friend Support Expectations 2
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 99 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5 = yes, ^lcfill should say "Did you have a friend who would help you with transportation
to work or other appointments if you needed it?".
If MECON5 =no, ^lcfill should say "Do you have a friend who will help you with transportation to
work or other appointments if you need it?".
ME5L011
18MFU Friend Support Expectations 3
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5 = yes, ^lcfill should say "Were your friends"
If MECON5 = no ^lcfill should say "Have your friends been"
If INCARSTATE18 =
If INCARSTATE18 =
your time on the
If INCARSTATE18 =
If INCARSTATE18 =
1, ^lcfill2
3, ^lcfill2
outside?"
5, ^lcfill2
6, ^lcfill2
ME5L062
should say "since your release from incarceration on ^RELDATE?"
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside?"
should say "since ^REFDATE?"
18MFU Friends Helpful
^lcfill as helpful as you hoped they would be ^lcfill2
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 100 of 220
---------------------------------------------------------------------------------
Logic before:
If namefillalive=live
If namefillalive=live
If namefillalive=live
If TOTALCHILD18 GE 1,
in ME1G061n).
or totalchild18 ge 1, ^fill="other than". Else, ^fill=blank.
^fill1="^prld.Namefill". Else ^fill1= blank.
and totalchild18 ge 1 ^fill2="or". Else ^fill2=blank.
include "your ^children" for ^childfill with question text (^children defined
If MECON5 = yes, ^lcfill3 should say "did you have" and ^lcfill5 should say "These would be people
you felt at ease with, could talk to about private matters, or could call on for help.".
If MECON5 = no, ^lcfill3 should say "have you had" and ^lcfill5 should say "These are people you
feel at ease with, can talk to about private matters, or can call on for help."
If INCARSTATE18 =
If INCARSTATE18 =
your time on the
If INCARSTATE18 =
If INCARSTATE18 =
1, ^lcfill4
3, ^lcfill4
outside"
5, ^lcfill4
6, ^lcfill4
ME5L037
should say "since your release from incarceration on ^RELDATE"
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside"
should say "since ^REFDATE"
18MFU Close Family Members
Next, I'd like to know about family members ^lcfill ^fill1 ^fill2 ^childfill3.
How many close family members ^lcfill3 ^lcfill4. ^lcfill5
members, 1-2, 3-5, 6-10, or more than that?
Question Type:
Would you say you had no close family
TQuantity2
None
Oneto2
Threeto5
Sixto10
TenMore
1
2
3
4
5
NO CLOSE FAMILY MEMBERS
ONE TO TWO
THREE TO FIVE
SIX TO TEN
MORE THAN TEN
---------------------------------------------------------------------------------
Logic before:
If MECON5 = yes, ^lcfill should say "Did you have a family member who would loan you money if you
needed it"
If MECON5 = no, ^lcfill should say "Do you have a family member who will loan you money if you need
it"
If INCARSTATE18 =
If INCARSTATE18 =
your time on the
If INCARSTATE18 =
If INCARSTATE18 =
1, ^lcfill2
3, ^lcfill2
outside."
5, ^lcfill2
6, ^lcfill2
should say "since your release from incarceration on ^RELDATE."
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside."
should say "since ^REFDATE."
ME5L006
18MFU Other Family Support Expectations 1
^lcfill?
Remember, we are still talking about the time ^lcfill2
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 101 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5 = yes, ^lcfill should say "Did you have a family member who would provide you with a
place to live if you needed it?"
If MECON5 = no, ^lcfill should say "Do you have a family member who will provide you with a place
to live if you need it?"
ME5L007
18MFU Other Family Support Expectations 2
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5 = yes, ^lcfill should say " Did you have a family member who would help you with
transportation to work or other appointments if you needed it?"
If MECON5 = no, ^lcfill should say "Do you have a family member who will help you with
transportation to work or other appointments if you need it?"
ME5L008
18MFU Other Family Support Expectations 3
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5 = yes, ^lcfill should say "Was your family"
If MECON5 = no, ^lcfill should say "Have your family members been"
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE?"
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside?"
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside?"
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE?"
ME5L067
18MFU Family Helpful
^lcfill as helpful as you hoped they would be ^lcfill2
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 102 of 220
Parenting
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL= 0 or FOCLIVE=
If INCARSTATE18 = 1, ^lcfill
If INCARSTATE18 = 3, ^lcfill
your time on the outside."
If INCARSTATE18 = 5, ^lcfill
If INCARSTATE18 = 6, ^lcfill
ME5N000
dead (focal child is deceased), skip to ME5N037.
should say "since your release from incarceration on ^RELDATE."
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside."
should say "since ^REFDATE."
18MFU Parenting Intro
This next set of questions is about your experiences with parenting ^prld.FOCCHILD ^lcfill
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE=2 (Deceased), skip to ME5N062. If HASFOCAL=1 and NAMEFILL ALIVE=1 (Alive), ask
ME5N059, else skip to ME5N061.
ME5N059
18MFU Discipline Decisions About Focal Child
How often have you and ^prld.Namefill stood by a discipline or parenting decision, even if one of
you did not like the decision?
[REFER RESPONDENT TO REFERENCE CALENDAR]
Question Type:
TOSRN2
Often
Sometimes
Rarely
Never
NotAp
1
2
3
4
5
Often
Sometimes
Rarely
Never
Not applicable
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 103 of 220
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL=1 and NAMEFILL ALIVE=1 (Alive),
ask ME5N061, else skip to ME5N062.
If MECON5 = yes, ^lcfill1 should say "Who made"
If MECON5 = no, ^lcfill1 should say "Who has made"
If INCARSTATE18 =
If INCARSTATE18 =
your time on the
If INCARSTATE18 =
If INCARSTATE18 =
1, ^lcfill2
3, ^lcfill2
outside?"
5, ^lcfill2
6, ^lcfill2
ME5N061
should say "since your release from incarceration on ^RELDATE?"
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside?"
should say "since ^REFDATE?"
18MFU Decisions Regarding Health of Focal Child
^lcfill1 major decisions about things such as child care and health care for ^prld.FOCCHILD
^lcfill2
Would you say...
Question Type:
TDecisionsPstFU
Both
Mother
Respondent
Someelse
1
2
3
4
^prld.Namefill and you made most of the decisions together
^prld.Namefill made most decisions without you
You made most decisions without ^prld.Namefill
Someone else involved in raising the child made most decisions without
you or ^prld.Namefill
5 You and someone else involved in raising the child made most of the
decisions
Randother
---------------------------------------------------------------------------------
Logic before:
If ME5J047 = Yes (R currently lives with focal child) or ME5J047a = OneMore (R sees focal child one
or more times a week), ask ME5N062.
If INCARSTATE18 = 1, ^lcfill
If INCARSTATE18 = 3, ^lcfill
your time on the outside"
If INCARSTATE18 = 5, ^lcfill
If INCARSTATE18 = 6, ^lcfill
should say "since your release from incarceration on ^RELDATE"
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside"
should say "since ^REFDATE"
If MECON5 = yes, ^lcfill2 should say "did".
If MECON5 = no, ^lcfill2 should say "do".
ME5N062
18MFU Frequency of Activities with Focal Child
In a typical week ^lcfill, how many days ^lcfill2 you participate in an activity with
^prld.FOCCHILD, such as eating meals, going shopping, helping with homework, or doing something fun
with ^FOCSEX2? Remember, we are talking about the time ^lcfill.
Question Type:
TDays
None
One
Two
Three
Four
Five
Six
Seven
0
1
2
3
4
5
6
7
NONE
ONE DAY
TWO DAYS
THREE DAYS
FOUR DAYS
FIVE DAYS
SIX DAYS
SEVEN DAYS
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 104 of 220
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE=2 (Deceased), skip to ME5N036. Else ask ME5N063.
If INCARSTATE18 = 1 or 3, ^lcfill should say "Since your release from incarceration on ^RELDATE,"
If INCARSTATE18 = 5 or 6, ^lcfill should say "Since ^REFDATE,"
If ME3Q001b=1 OR INCARSTATE18=1, 3, or 5, ^lcfill2 should say "during the time that you were both
on the outside,". Else, ^lcfill2 should not be filled.
If MECON5 = yes OR ME3Q001=yes, ^lcfill3 should say "did". Else, ^lcfill2 should say "do".
ME5N063
18MFU Frequency Family Activities
^lcfill ^lcfill2 how often ^lcfill3 you, ^prld.Namefill and ^prld.FOCCHILD all do family-oriented
activities together, such as recreational activities, eating meals, or going to church?
Question Type:
TOSRN
Often
Sometimes
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1 or 3, ^lcfill should say "Since your release from incarceration on ^RELDATE,"
If INCARSTATE18 = 5 or 6, ^lcfill should say "Since ^REFDATE,"
If ME3Q001b=1 OR INCARSTATE18=1, 3, or 5, ^lcfill2 should say "during the time that you were both
on the outside,". Else, ^lcfill2 should not be filled.
If MECON5 = yes OR ME3Q001=yes, ^lcfill3 should say "did". Else, ^lcfill2 should say "do".
ME5N064
18MFU Enjoy Being Together
^lcfill ^lcfill2 how often ^lcfill3 you, ^prld.Namefill and ^prld.FOCCHILD enjoy being together as
a family?
Question Type:
TOSRN
Often
Sometimes
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 105 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5 = yes, ^lcfill should say "was it".
If MECON5 = no, ^lcfill should say "has it been".
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE?"
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside?"
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside?"
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE?"
ME5N036
18MFU Relationship with Children
How easy or hard ^lcfill to have a good relationship with ^prld.FOCCHILD ^lcfill2
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18 GE 1, ask ME5N037. Note that ^children was defined in ME1G061n.
If MECON5 = yes, ^lcfill should say "were".
If MECON5 = no, ^lcfill should say "have been".
If INCARSTATE18 = 1, ^lcfill2 should say "since your release from incarceration on ^RELDATE?"
If INCARSTATE18 = 3, ^lcfill2 should say "after your release from incarceration on ^RELDATE, during
your time on the outside?"
If INCARSTATE18 = 5, ^lcfill2 should say "since ^REFDATE, during your time on the outside?"
If INCARSTATE18 = 6, ^lcfill2 should say "since ^REFDATE?"
ME5N037
18MFU Biggest Challenges with Child
[USE SHOWCARD 22]
What ^lcfill the biggest challenges in your relationship with your ^children ^lcfill2
Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TExpect2
Find
Missed
Trust
Trans
Kids
Instability
Lifestyle
Angry
Money
Other
1 Not knowing how to get in contact with your ^children
2 Having missed out on so much that happened with your ^children while you
were incarcerated
3 Getting your ^children to trust you or open up to you after the time
apart
4 Finding transportation for visits or activities
5 Dealing with people who don't want you to see your ^children
6 Not being in a stable enough housing and financial situation to be able
to spend time with your ^children
7 Your lifestyle not being a healthy one for kids
8 Your ^children being angry at you or not wanting to see you
9 Having money to financially support or buy things for your ^children
10 Some other challenge (SPECIFY)
Logic after:
If ME5N037 = Other, go to ME5N037s.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 106 of 220
---------------------------------------------------------------------------------
ME5N037s
18MFU Other Specify
SPECIFY OTHER CHALLENGE
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL = 0 or FOCLIVE = dead (focal child is deceased), skip to next domain. If HASFOCAL = 1
AND FOCLIVE = live (focal child is living), ask ME5R054.
If MECON5 = yes, ^lcfill should say "How did your relationship with ^prld.FOCCHILD change" and
^lcfill3 should say "Did you become closer, did you drift apart, or was there no change?".
If MECON5 = no, ^lcfill should say "How has your relationship with ^prld.FOCCHILD changed" and
^lcfill3 should say "Have you become closer, have you drifted apart, or has there been no change?".
If INCARSTATE18 =
If INCARSTATE18 =
your time on the
If INCARSTATE18 =
If INCARSTATE18 =
1, ^lcfill2
3, ^lcfill2
outside,"
5, ^lcfill2
6, ^lcfill2
ME5R054
should say "since ^REFDATE, during your time on the outside,"
should say "since ^REFDATE,"
18MFU Relationship with FoChild Since Incar
^lcfill ^lcfill2 if at all?
Question Type:
should say "since your release from incarceration on ^RELDATE,"
should say "after your release from incarceration on ^RELDATE, during
^lcfill3
TChange
Closer
APART
NoC
1 MADE YOU CLOSER
2 MADE YOU DRIFT APART
3 NO CHANGE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 107 of 220
Physical & Mental Health
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill
If INCARSTATE18 = 3, ^lcfill
your time on the outside."
If INCARSTATE18 = 5, ^lcfill
If INCARSTATE18 = 6, ^lcfill
should say "since your release from incarceration on ^RELDATE."
should say "after your release from incarceration on ^RELDATE, during
should say "since ^REFDATE, during your time on the outside."
should say "since ^REFDATE."
If MECON5 = yes, ^lcfill2 should say "Were you".
If MECON5 = no, ^lcfill2 should say "Have you been".
ME5P069
18MFU Medical Coverage
[REFER RESPONDENT TO REFERENCE CALENDAR]
The next questions are about health care and health insurance. Remember we are talking about the
time ^lcfill
^lcfill2 covered by Medicaid, Medicare, Champus, Indian Health Services, or any other government
program that pays for medical care?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill
If INCARSTATE18 = 3, ^lcfill
your time on the outside,"
If INCARSTATE18 = 5, ^lcfill
If INCARSTATE18 = 6, ^lcfill
should say "Since your release from incarceration on ^RELDATE,"
should say "After your release from incarceration on ^RELDATE, during
should say "Since ^REFDATE, during your time on the outside,"
should say "Since ^REFDATE,"
If MECON5 = yes, ^lcfill2 should say "were you".
If MECON5 = no, ^lcfill2 should say "have you been".
ME5P070
18MFU Medical Coverage by Someone Else
^lcfill ^lcfill2 covered by health insurance through your or someone else's employer, or insurance
you purchased directly from a private insurance company?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 108 of 220
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE=1 (Alive), ^lcfill3 should say "or ^prld.Namefill".
If NAMEFILL ALIVE=2 (Deceased), ^lcfill3 should not fill. If TOTALCHILD18 "GE" 1, ^childfill
should say "or your ^children" (^children defined in ME1G061n) with the question text.
If INCARSTATE18 = 1, ^lcfill
If INCARSTATE18 = 3, ^lcfill
your time on the outside,"
If INCARSTATE18 = 5, ^lcfill
If INCARSTATE18 = 6, ^lcfill
should say "Since your release from incarceration on ^RELDATE,"
should say "After your release from incarceration on ^RELDATE, during
should say "Since ^REFDATE, during your time on the outside,"
should say "Since ^REFDATE,"
If MECON5 = yes, ^lcfill2 should say "did you ^lcfill3 ^childfill ever need".
If MECON5 = no, ^lcfill2 should say "have you ^lcfill3 ^childfill ever needed".
ME5P071
18MFU Need Medical Assistance
^lcfill ^lcfill2 to see a doctor, go to the hospital, or take a prescription medication, but
couldn't because of the cost?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 109 of 220
Community Involvement
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill
If INCARSTATE18 = 3, ^lcfill
your time on the outside,"
If INCARSTATE18 = 5, ^lcfill
If INCARSTATE18 = 6, ^lcfill
should say "Since your release from incarceration on ^RELDATE,"
should say "After your release from incarceration on ^RELDATE, during
should say "Since ^REFDATE, during your time on the outside,"
should say "Since ^REFDATE,"
If MECON5 = yes, ^lcfill2 should say "did you do".
If MECON5 = no, ^lcfill2 should say "have you done".
Allow R to select all that apply.
ME5T134
18MFU Community Involvement
[USE SHOWCARD 23]
^lcfill ^lcfill2 any of the following?
Question Type:
(CHECK ALL THAT APPLY.)
TCommInvle
AttRel
1 Attended a church, mosque, synagogue or any other type of religious
service?
2 Participated in any community volunteer work?
3 Voted in any political election, such as a general election, primary
election or special referendum?
4 Taken part in any local organizations like clubs, sports teams, ethnic
or racial pride groups, political organizations, or other community
groups?
5 NONE OF THE ABOVE
CommVol
Vote
LocOrg
None
Logic after:
If selected "none of the above" with other options, trigger a consistency check.
CC text:
NONE OF THE ABOVE CAN NOT BE CHOSEN IN COMBINATION WITH OTHER OPTIONS. PLEASE CORRECT ME5T134.
---------------------------------------------------------------------------------
ME5T155
18MFU Belong to Religious Org
Do you belong to a church, synagogue, mosque, or other religious organization?
Question Type:
TYesNocaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 110 of 220
Personal Traits
---------------------------------------------------------------------------------
ME6Z001
18MFU Control Important Things in Life
[USE SHOWCARD 24]
These next questions deal with your feelings, attitudes, and how things are going for you
currently.
How often do you feel that you are not able to control the important things in your life?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
ME6Z002
18MFU Anger Management 1
How often do you feel angry or mad?
Would you say....
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
ME6Z003
18MFU Anger Management 2
In general, how much of the time does your anger cause problems in your relationships?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
ME6Z004
18MFU Anger Management 3
How much of the time does your anger cause problems in your job or work life?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 111 of 220
---------------------------------------------------------------------------------
ME6Z005
18MFU Reactive Responding 1
[USE SHOWCARD 25]
For each of the following items, please tell me how much you agree or disagree. There are no
correct or incorrect answers.
You often respond quickly and emotionally when something happens.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z006
18MFU Reactive Responding 2
You let your emotions cool before you act.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z007
18MFU Spirituality 1
These next questions are about the role that religion or spirituality plays in your life. Please
tell me how much you agree or disagree with each of these statements.
You find strength in your religion or spirituality.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z008
18MFU Spirituality 2
You pray or meditate regularly.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 112 of 220
---------------------------------------------------------------------------------
ME6Z009
18MFU Spirituality 3
You read the Bible, Koran, or other religious books regularly.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z010
18MFU Spirituality 4
The religious services or groups you participate in matter a great deal to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z011
18MFU Self Efficacy 1
The next questions are about how you currently feel about your life.
You can do just about anything you really set your mind to.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z012
18MFU Self Efficacy 2
Sometimes you feel like you're being pushed around in your life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 113 of 220
---------------------------------------------------------------------------------
ME6Z013
18MFU Self Efficacy 3
You often feel helpless dealing with the problems of life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z014
18MFU Goal Orientation 1
It's important for you to take time to plan out where you're going in life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z015
18MFU Goal Orientation 2
You have many goals that you will work to achieve.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z016
18MFU Attachment 1
For each of the following statements, please tell me how much you agree or disagree when it comes
to close relationships.
[USE SHOWCARD 26]
It is easy for me to become emotionally close to others. I am comfortable depending on them and
having them depend on me. I don't worry about being alone or having others not accept me.
Question Type:
TAgreeAtt
StroAgree
Agree
SomeAgree
SomeDis
Disagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
Agree
Disagree
disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 114 of 220
---------------------------------------------------------------------------------
ME6Z017
18MFU Attachment 2
I am uncomfortable getting close to others. I want emotionally close relationships, but I find it
difficult to trust others completely, or to depend on them. I worry that I will be hurt if I allow
myself to become too close to others.
Question Type:
TAgreeAtt
StroAgree
Agree
SomeAgree
SomeDis
Disagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
Agree
Disagree
disagree
---------------------------------------------------------------------------------
ME6Z018
18MFU Attachment 3
I want to be completely emotionally intimate with others, but I often find that others are
reluctant to get as close as I would like. I am uncomfortable being without close relationships,
but I sometimes worry that others don't value me as much as I value them.
Question Type:
TAgreeAtt
StroAgree
Agree
SomeAgree
SomeDis
Disagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
Agree
Disagree
disagree
---------------------------------------------------------------------------------
ME6Z018a
18MFU Attachment 4
I am comfortable without close emotional relationships. It is very important to me to feel
independent and self-sufficient, and I prefer not to depend on others or have others depend on me.
Question Type:
TAgreeAtt
StroAgree
Agree
SomeAgree
SomeDis
Disagree
StroDisagree
1
2
3
4
5
6
Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly
agree
Agree
Disagree
disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 115 of 220
---------------------------------------------------------------------------------
ME6Z019
18MFU Cooperation 1
[USE SHOWCARD 27]
You often consider another person's feelings as much as your own.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z020
18MFU Cooperation 2
People involved with you have to learn how to do things your way.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z021
18MFU Relationship Skills 1
These next questions are about your opinions about romantic relationships. Please tell me how much
you agree or disagree.
Once a couple starts to have problems, it usually is not possible to fix them.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z022
18MFU Relationship Skills 2
Couples should not have to work on their relationships in order to have a happy relationship.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 116 of 220
---------------------------------------------------------------------------------
ME6Z023
18MFU Relationship Skills 3
Most people can learn to communicate better with their spouse.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z024
18MFU Relationship Skills 4
When one spouse says something mean or hurtful, it is OK for the other spouse to say something mean
or hurtful back.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z025
18MFU Relationship Skills 5
When wives and husbands have very different views about important things in the family, it is best
to not talk about those things.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6Z026
18MFU Relationship Skills 6
People can learn to avoid situations where they might be tempted to cheat on their spouse or
partner.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 117 of 220
---------------------------------------------------------------------------------
ME6Z027
18MFU Relationship Skills 7
It is sometimes OK for couples to get a little rough physically, like pushing or hitting.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 118 of 220
Mental & Physical Health
---------------------------------------------------------------------------------
ME6P037
18MFU Physical Health 1
Now I'd like to ask you some questions about your health and how you have been feeling over the
last @B1 month@B.
[POINT TO 1 MONTH AGO ON REFERENCE CALENDAR.]
In general, how is your health? Would you say it is . . .
Question Type:
TCondition
Excel
Vgood
Good
Fair
Poor
1
2
3
4
5
Excellent
Very good
Good
Fair
Poor
---------------------------------------------------------------------------------
ME6P038
18MFU Physical Health 2
Do you have a serious health problem that limits the amount or kind of work you can do?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME6P039
18MFU Emotional Psychological Health
In general, would you say your current emotional or psychological health is excellent, very good,
good, fair, or poor?
Question Type:
TCondition
Excel
Vgood
Good
Fair
Poor
1
2
3
4
5
Excellent
Very good
Good
Fair
Poor
---------------------------------------------------------------------------------
ME6P040
18MFU ADHD 1
[USE SHOWCARD 28]
Thinking about the past 1 month, please tell me how much you agree or disagree with each of the
following statements.
You are easily distracted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 119 of 220
---------------------------------------------------------------------------------
ME6P041
18MFU ADHD 2
You get frustrated easily.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6P042
18MFU ADHD 3
You do not think before acting.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6P043
18MFU PTSD 1
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you have had nightmares about it or thought about it when you did not
want to?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME6P044
18MFU PTSD 2
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you tried hard not to think about it or went out of your way to avoid
situations that reminded you of it?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME6P045
18MFU PTSD 3
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you were constantly on guard, watchful, or easily startled?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 120 of 220
---------------------------------------------------------------------------------
ME6P046
18MFU PTSD 4
In your life, have you ever had any experience that was so frightening, horrible, or upsetting
that, in the past 1 month, you felt numb or detached from others, activities, or your surroundings?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME6P047
18MFU CES-D 1
[USE SHOWCARD 29]
Below is a list of ways you might have felt or behaved recently. Please tell me how often you have
felt this way during the @Bpast week@B.
[REFER RESPONDENT TO REFERENCE CALENDAR]
During the past week. . .
You were bothered by things that don't usually bother you.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
ME6P048
18MFU CES-D 2
You had trouble keeping your mind on what you were doing.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
ME6P049
18MFU CES-D 3
You felt depressed.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 121 of 220
---------------------------------------------------------------------------------
ME6P050
18MFU CES-D 4
You felt that everything you did was an effort.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
ME6P051
18MFU CES-D 5
You felt hopeful about the future.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
ME6P052
18MF CES-D 6
You felt fearful.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
ME6P053
18MFU CES-D 7
Your sleep was restless.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 122 of 220
---------------------------------------------------------------------------------
ME6P054
18MFU CES-D 8
You were happy.
Question Type:
Tfrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
ME6P055
18MFU CES-D 9
You felt lonely.
Question Type:
TFrequency
All
Most
Some
Alittle
None
1
2
3
4
5
All of the time
Most of the time
Some of the time
A little of the time
None of the time
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 123 of 220
Parenting & Child Well-being
---------------------------------------------------------------------------------
Logic before:
If (HASFOCAL=1 AND FOCLIVE = Live), go to ME6N095. If (HASFOCAL = 0 or FOCLIVE = Dead) AND ME1D032
= live for ANY non-focal child from baseline or 9MFU or NUMBCHILD18 GE 1, go to ME6N099a. If
TOTALCHILD18 = 0, go to ME6N121. Response option 1 should only be available if MECON5 = NO. Allow
the respondent to "select all that apply". Use special font as follows: If MECON5 = no, bold
option 1. Always bold options 2-10.
ME6N095
18MFU Focal Child Residence
[USE SHOWCARD 30]
The next items ask about your relationship with ^prld.FOCCHILD.
With whom does ^prld.FOCCHILD currently live? Select all that apply.
REQUIRED PROBE: Anyone else?
Question Type:
TFocalFU
You
Mother
GrandparentM
GrandparentP
StepGrand
RelativesB
Stepparent
NonBlood
SocialS
Other
1
2
3
4
5
6
7
8
9
10
^F1 You ^F1
@BThe child's mother@B
@BThe child's maternal grandparent(s)@B
@BThe child's paternal grandparent(s)@B
@BThe child's step-grandparent(s)@B
@BOther blood relatives of the child@B
@BThe child's stepparent@B
@BOther non-blood relatives@B
@BThe child is in custody of social services@B
@BOther (SPECIFY)@B
Logic after:
If ME6N095 = Other, go to ME6N095s. Else go to ME6N096. If MECON5 = yes AND response option 1 is
selected, create a consistency check that says "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT
WITH THE R BEING CURRENTLY INCARCERATED. PLEASE PROBE TO RESOLVE THE INCONSISTENCY."
---------------------------------------------------------------------------------
ME6N095s
18MFU Other Specify
SPECIFY OTHER
Question Type:
STRING[100]
---------------------------------------------------------------------------------
ME6N096
18MFU Feelings as a Parent
Please think about how you feel about yourself as a parent to ^prld.FOCCHILD.
Would you say you are...
Question Type:
TType
Excel
Vgood
Good
Nogood
1
2
3
4
An excellent parent
A very good parent
A good parent
Not a very good parent
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 124 of 220
---------------------------------------------------------------------------------
ME6N097
18MFU Relationship with Focal Child
Would you say your current relationship with ^prld.FOCCHILD is..
Question Type:
TEGFP
Excel
Good
Fair
Poor
1
2
3
4
Excellent
Good
Fair
Poor
---------------------------------------------------------------------------------
Logic before:
If MECON5 = yes AND ME1G062a GE 1, ask ME6N098. If ME1G062a EQ 0, skip to ME6N099. If MECON5 = no,
skip to ME6R036t.
ME6N098
Focal Child knows about Incarceration
Does ^prld.FOCCHILD know that you are incarcerated?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATE18=3, 4, or 5) AND MECON5=yes, ask ME6R036.
ME6R036
Personal Visits from Focal Child
Do you currently receive personal visits from ^prld.FOCCHILD?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATE18=3, 4, or 5) AND MECON5=yes OR ME5J046 =no (have not lived with fochild during
reference period) or ME5J047 = No (nonincarcerated R does not currently live with focal child),
askME6R036t. If (INCARSTATE18 = 3, 4 or 5 AND MECON5 = yes), ^lcfill should say "other". Else do
not fill.
ME6R036t
Other Contact with Focal Child
Do you have any ^lcfill contact with ^prld.FOCCHILD, such as phone calls or letters?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 125 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 3, 5 or 6 and (ME5J047 = Yes (R currently lives with focal child) OR ME5J047a
NE 6 (sees focal child) OR ME6R036t = Yes (R has contact with focal child via letters or phone
calls)), ask ME6R039.
If INCARSTATE18 = 2 and (ME3R024 = Yes (phone) OR ME3R028= Yes (sends mail) or ME3R036 = Yes
(receives visits), ask ME6R039.
If INCARSTATE18 = 4 and (ME6R036 = Yes (receives visits) OR ME6R036t = Yes (R has contact with
focal child via letters or phone calls)), ask ME6R039.
ME6R039
Parental Warmth Intro
For the next set of questions, I'd like you to think about what things are like when you see or
communicate with ^prld.FOCCHILD now.
On average, how often do you do each of the following with ^prld.FOCCHILD when you communicate with
^FOCSEX2?
Question Type:
Tnext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 3, 5 or 6 and (ME5J047 = Yes (R currently lives with focal child) OR ME5J047a
NE 6 (sees focal child) OR ME6R036t = Yes (R has contact with focal child via letters or phone
calls)), ask ME6R039a.
If INCARSTATE18 = 2 and (ME3R024 = Yes (phone) OR ME3R028= Yes (sends mail) or ME3R036 = Yes
(receives visits), ask ME6R039a.
If INCARSTATE18 = 4 and (ME6R036 = Yes (receives visits) OR ME6R036t = Yes (R has contact with
focal child via letters or phone calls)), ask ME6R039a.
CC text reads:
NO CONTACT IS NOT LOGICALLY CONSISTENT WITH YOUR OTHER RESPONSES.
ME6R039a
Parental Warmth 1
Hug or show physical affection to ^prld.FOCCHILD?
Question Type:
Tphysical
Always
Usually
Sometimes
Never
NoContact
1
2
3
4
5
Always
Usually
Sometimes
Never
Physical contact is not permitted during visits at your facility
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 126 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 3, 5 or 6 and (ME5J047 = Yes (R currently lives with focal child) OR ME5J047a
NE 6 (sees focal child) OR ME6R036 = Yes (R receives personal visits from child) OR ME6R036t = Yes
(R has contact with focal child via letters or phone calls)), ask ME6R040.
If INCARSTATE18 = 2 and (ME3R024 = Yes (phone) OR ME3R028= Yes (sends mail) or ME3R036 = Yes
(receives visits), ask ME6R040.
If INCARSTATE18 = 4 and (ME6R036 = Yes (receives visits) OR ME6R036t = Yes (R has contact with
focal child via letters or phone calls)), ask ME6R040
ME6R040
Parental Warmth 2
[USE SHOWCARD 31]
Tell ^prld.FOCCHILD that you love ^FOCSEX2?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 3, 5 or 6 and (ME5J047 = Yes (R currently lives with focal child) OR ME5J047a
NE 6 (sees focal child) OR ME6R036 = Yes (R receives personal visits from child) OR ME6R036t = Yes
(R has contact with focal child via letters or phone calls)), ask ME6R041.
If INCARSTATE18 = 2 and (ME3R024 = Yes (phone) OR ME3R028= Yes (sends mail) or ME3R036 = Yes
(receives visits), ask ME6R041.
If INCARSTATE18 = 4 and (ME6R036 = Yes (receives visits) OR ME6R036t = Yes (R has contact with
focal child via letters or phone calls)), ask ME6R041.
ME6R041
Parental Warmth 3
Communicate with ^prld.FOCCHILD about things ^FOCSEX1 is interested in?
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 127 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, 3, 5 or 6 and (ME5J047 = Yes (R currently lives with focal child) OR ME5J047a
NE 6 (sees focal child) OR ME6R036 = Yes (R receives personal visits from child) OR ME6R036t = Yes
(R has contact with focal child via letters or phone calls)), ask ME6R042.
If INCARSTATE18 = 2 and (ME3R024 = Yes (phone) OR ME3R028= Yes (sends mail) or ME3R036 = Yes
(receives visits), ask ME6R042.
If INCARSTATE18 = 4 and (ME6R036 = Yes (receives visits) OR ME6R036t = Yes (R has contact with
focal child via letters or phone calls)), ask ME6R042.
ME6R042
Parental Warmth 4
Praise ^prld.FOCCHILD? By praise, we mean tell the child that ^FOCSEX1 is good in some way or that
^FOCSEX1 has done something well.
Question Type:
TAUSN
Always
Usually
Some
Never
1
2
3
4
Always
Usually
Sometimes
Never
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE = 2 (Namefill is deceased), skip to ME6N100.
ME6N099
18MFU Arguments over Focal Child
Parenting with another person can be challenging.
Do you and ^prld.Namefill have arguments about ^prld.FOCCHILD...
Question Type:
TOSRN
Often
Sometimes
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18 GE 1 and NAMEFILL ALIVE = 1 (Namefill is alive), ask ME6N099a. Else go to ME6N100.
ME6N099a
18MFU Count on One Another
How often can you and ^prld.Namefill count on one another to follow through on your parenting
responsibilities?
Question Type:
TOSRN2
Often
Sometimes
Rarely
Never
NotAp
1
2
3
4
5
Often
Sometimes
Rarely
Never
Not applicable
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 128 of 220
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE = 1 (Alive) and (HASFOCAL = 1 and FOCLIVE = live), ask ME6N100. If NAMEFILL
ALIVE = 2 (Dead) and (HASFOCAL = 1 and ME1D030 = live), skip to ME6N101. Else, skip to ME6N121.
ME6N100
18MFU Decisions about Child/Health Care
Who makes major decisions about things such as child care and health care for ^prld.FOCCHILD?
Question Type:
TDecisionsPFU
Both
Mother
Respondent
Someelse
1
2
3
4
^prld.Namefill and you make most of the decisions together
^prld.Namefill makes most decisions without you
You make most decisions without ^prld.Namefill
Someone else involved in raising the child makes most decisions without
you or ^prld.Namefill
5 You and someone else involved in raising the child make most of the
decisions
RandOther
---------------------------------------------------------------------------------
Logic before:
Preload MB1G063 for FOCAL CHILD from male baseline. If Focal child's gender (from MB1G063 from male
baseline) = male, then FOCSEX3 = "his", else FOCSEX3 = "her"
ME6N101
18MFU Focal Child's Relationship with Mother
Please rate ^prld.FOCCHILD's relationship with ^FOCSEX3 mother or main caretaker.
Would you say it is...
Question Type:
TEGFP
Excel
Good
Fair
Poor
1
2
3
4
Excellent
Good
Fair
Poor
---------------------------------------------------------------------------------
Logic before:
If ME1G062a
"GE" 4, go to ME6N103.
ME6N103
18MFU Focal Child Attend School
Does ^prld.FOCCHILD attend school?
Question Type:
By school I mean kindergarten through college.
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If ME6N103 =yes, go to ME6N104. Else go to ME6N107.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 129 of 220
---------------------------------------------------------------------------------
ME6N104
18MFU Grade Level
What grade is ^prld.FOCCHILD in?
Question Type:
TGrade
Kinger
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Nineth
Tenth
Eleventh
Twelveth
College
Other
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
KINDERGARTEN
1st GRADE
2nd GRADE
3rd GRADE
4th GRADE
5th GRADE
6th GRADE
7th GRADE
8th GRADE
9th GRADE
10th GRADE
11th GRADE
12th GRADE
COLLEGE
OTHER, SPECIFY
Logic after:
If ME6N104 = Other, go to ME6N104s. Else go to ME6N105.
---------------------------------------------------------------------------------
ME6N104s
18MFU Other Specify
SPECIFY OTHER
Question Type:
STRING[25]
---------------------------------------------------------------------------------
ME6N105
18MFU School Assessment Overall
[USE SHOWCARD 32]
Based on your knowledge of ^prld.FOCCHILD's school work, including ^FOCSEX3 most recent report
cards, how is ^FOCSEX1 doing in school overall?
Would you say . . .
Question Type:
TAverage
Well
Below
Average
Above
WellA
1
2
3
4
5
Well below average
Below average
Average
Above average
Well above average
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 130 of 220
---------------------------------------------------------------------------------
ME6N106
18MFU Extracurricular Activities
Based on your knowledge, does ^FOCSEX1 participate in any sports, clubs, organizations, or programs
after school or on weekends?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME1G062a GE 4, ask ME6N107.
ME6N107
If ME1G062a
LT 4, skip to ME6N115i.
18MFU NSCH Behavior 1
[USE SHOWCARD 33]
[POINT TO ONE MONTH AGO ON REFERENCE CALENDAR]
I'm going to read a list of behaviors that sometimes describe children. For each item, please tell
me how often this has been true for ^prld.FOCCHILD during the past 1 month.
^prld.FOCCHILD bullies, or is cruel or mean to others.
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Would you say. . .
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
ME6N108
18MFU NSCH Behavior 2
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
^prld.FOCCHILD shows respect for teachers and neighbors.
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 131 of 220
---------------------------------------------------------------------------------
ME6N109
18MFU NSCH Behavior 3
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
. . .gets along well with other children
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
ME6N110
18MFU NSCH Behavior 4
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
. . .is disobedient
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
ME6N111
18MFU NSCH Behavior 5
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
. . .is stubborn, sullen, or irritable
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
ME6N112
18MFU NSCH Behavior 6
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
. . .feels worthless or inferior
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 132 of 220
---------------------------------------------------------------------------------
ME6N113
18MFU NSCH Behavior 7
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
. . .is unhappy, sad, or depressed
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
ME6N114
18MFU NSCH Behavior 8
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
. . .is withdrawn, and does not get involved with others
Question Type:
TAUSND
Always
Usually
Sometimes
Never
DontK
1
2
3
4
5
Always
Usually
Sometimes
Never
Don't know
---------------------------------------------------------------------------------
ME6N115i
18MFU Raising a child can be difficult
Raising children can be difficult these days. Has ^prld.FOCCHILD ever had any of the following
problems?
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If ME1G062a GE 4, ask ME6N115. Else, go to ME6N117.
ME6N115
18MFU New Hope 1
Being suspended or expelled from school?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 133 of 220
---------------------------------------------------------------------------------
ME6N116
18MFU New Hope 2
Needing to repeat a grade in school?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME6N117
18MFU New Hope 3
Being placed in foster care, or being sent to live with a friend or relative?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If ME1G062a is "GE" 10, go to ME6N118. Else go to ME6N121.
ME6N118
18MFU New Hope 4
Running away?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME6N119
18MFU New Hope 5
Getting into trouble for using alcohol or drugs?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME6N120
18MFU New Hope 6
Getting into trouble with the police?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 134 of 220
---------------------------------------------------------------------------------
Logic before:
Everyone should be asked items ME6N121 - ME6N127.
ME6N121
18MFU Fatherhood Attitude 1
[FI NOTE: THIS SERIES APPLIES TO ALL RESPONDENTS, EVEN IF THEY ARE NOT CURRENTLY A FATHER.]
[USE SHOWCARD 34]
Here are some statements that men have made about their role as fathers. For each of the following
statements, please indicate how strongly you agree or disagree.
It's hard for men to act loving toward children.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6N122
18MFU Fatherhood Attitude 2
Fathers should spend as much time taking care of their children as mothers.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6N123
18MFU Fatherhood Attitude 3
The way a father treats his child will affect the child later in life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6N124
18MFU Fatherhood Attitude 4
The activities a father does with his children don't matter. What matters more is whether he
supports them financially.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 135 of 220
---------------------------------------------------------------------------------
ME6N125
18MFU Fatherhood Attitude 5
It is sometimes OK for fathers to physically discipline their children, such as hitting or spanking
them.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6N126
18MFU Fatherhood Attitude 6
Incarcerated fathers can still be good role models for their children.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6N127
18MFU Fatherhood Attitude 7
Incarcerated fathers can still be involved in making decisions about their children's lives.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 136 of 220
Social Support
---------------------------------------------------------------------------------
Logic before:
If namefillalive=live
If namefillalive=live
If namefillalive=live
If TOTALCHILD18 GE 1,
in ME1G061n).
or totalchild18 ge 1, ^fill="other than". Else, ^fill=blank.
^fill1="^prld.Namefill". Else ^fill1= blank.
and totalchild18 ge 1 ^fill2="or". Else ^fill2=blank.
include "your ^children" for ^childfill with question text (^children defined
ME6L128
18MFU Extended Family Support 1
[USE SHOWCARD 34]
Now I'd like to ask about how you currently feel about your relationships with your family members
^fill ^fill1 ^fill2 ^childfill3. This would mean your parents, siblings, cousins, or other family
members. Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the
following statements.
You feel close to your family.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6L129
18MFU Extended Family Support 2
You have family members who will stand by you no matter what.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6L130
18MFU Extended Family Support 3
You want your family to be involved in your life.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 137 of 220
---------------------------------------------------------------------------------
ME6L131
18MFU Extended Family Support 4
You are criticized a lot or put down by your family.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6L132
18MFU Extended Family Support 5
You have someone in your family to talk to about yourself or your problems.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME6L133
18MFU Extended Family Support 6
You have someone in your family to love you and make you feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 138 of 220
ACASI Intro
---------------------------------------------------------------------------------
Logic before:
If incarstate18=2 or 4 and Namefill alive=2 (Deceased) and ME3B011=2 (no) (R does not expect to be
released) then skip ACASI and go to ME7W001.
ACASI module is only for incarstate18=1,3,5,6 or ((incarstate18=2 or 4 and (namefill alive = 1
[alive] or me3b011=1 yes)).
MEACASI1
18MFU ACASI 1
This study promises to keep the information you provide entirely confidential. However, there are
some questions people might prefer to answer privately. For that reason, some sections of this
interview are designed for you to enter answers into the laptop yourself. When you enter answers
into the laptop, I will not know your answers. Please be as honest as you can while completing
these sections.
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE=1 (Alive) ask MEACASI1a. If NAMEFILL ALIVE=2 (Deceased), skip to MEACASI1a1.
MEACASI1a
18MFU ACASI 1a
At your first survey with us you identified ^prld.Namefill as the person we should include in our
survey to get a better understanding of how incarceration has affected your family. In this next
section, we will refer to ^prld.Namefill as your, "Survey Partner".
[POINT TO SURVEY PARTNER ON GENOGRAM. BE SURE THAT THE RESPONDENT CAN SEE THE GENOGRAM WHILE
COMPLETING THE ACASI PORTION OF THE INTERVIEW.]
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18=2 or 4, skip to MEACASI1b. If INCARSTATE18=1, 3, 5, OR 6, ask MEACASI1a1.
If INCARSTATE18=1, 3, or 5, ^lcfill1 should read ", during your time on the outside. [REFER R TO
REFERENCE CALENDAR AND REMIND HIM THAT THAT IS THE TIME SINCE THE DATE HIGHLIGHTED IN YELLOW BUT
NOT COUNTING ANY INCARCERATION DATES HIGHLIGHTED IN BLUE]" If INCARSTATE18=6, ^lcfill1 should read
"[REFER R TO THE DATE HIGHLIGHTED IN YELLOW IN THE REFERENCE CALENDAR.]"
If INCARSTATE18=5 OR 6 AND NAMEFILL ALIVE=ALIVE, lcfill2 should say "Some of the questions ask you
to think about the time since ^REFDATE that you and ^prld.Namefill were both on the outside.
[REFER R TO THE REFERENCE CALENDAR AND REMIND HIM NOT TO COUNT ANY DAYS SINCE ^REFDATE IN WHICH HE
OR NAMEFILL WERE INCARCERATED.]" Else, ^lcfill2 should not fill.
MEACASI1a1
NO LABEL
Many of the questions in this section ask about past nine months, that is, since ^REFDATE ^lcfill1
^lcfill2 ^lcfill3
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 139 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18=1 or 3, ask MEACASI1a2.
Else skip to MEACASI1b.
If INCARSTATE18=3, ^lcfill1 should say "Some of the questions ask you to think about the time since
^RELDATE during your time on the outside. [REMIND R NOT TO COUNT DATES AFTER RELDATE THAT ARE
HIGHLIGHTED IN BLUE.] " Else, ^lcfill1 should not fill.
If NAMEFILL ALIVE=ALIVE, ^lcfill2 should say "Some of the questions ask you to think about the time
since ^RELDATE that you and ^prld.Namefill were both on the outside [REFER R TO THE REFERENCE
CALENDAR AND REMIND HIM NOT TO COUNT ANY DAYS SINCE ^RELDATE IN WHICH HE OR NAMEFILL WERE
INCARCERATED.]" Else, ^lcfill2 should not fill.
MEACASI1a2
NO LABEL
Many of the questions in this section ask about the time period since you were released, that is,
since ^RELDATE. [REFER TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALENDAR].
^lcfill1 ^lcfill3
^lcfill2 ^lcfill4
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MEACASI1b
18MFU ACASI 1b
Now I'll help you begin with some practice questions that will show you how the laptop works.
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MEACASI2
18MFU ACASI 2
[INTERVIEWER: MAKE SURE THE RESPONDENT CAN SEE THE COMPUTER SCREEN]
[POINT TO ON/OFF BUTTON]
First, this button up here turns the machine on and off.
Please do not press it!
Question Type:
It will turn the machine off, and we'll lose the interview.
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MEACASI2a
18MFU ACASI2a
[POINT TO THE ROW OF NUMBER KEYS]
These are the number keys. You'll use these keys to answer most questions.
[POINT TO THE ENTER KEY]
After typing your answer, you'll need to press the Enter key to go to the next question.
Question Type:
TContinue
continue
1 continue
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 140 of 220
---------------------------------------------------------------------------------
MEACASI3
18MFU ACASI 3
If you want to go back and change a previous answer, you can press the up-arrow to return to an
earlier question.
[PRESS 1 TO CONTINUE]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MEACASI4
18MFU ACASI 4
Here is a question asking if I rent my home. I can press 1 for Yes or 2 for No.
press 1 to answer Yes.
I am going to
[POINT TO BOTTOM OF THE SCREEN]
The number 1 appears at the bottom of the screen. Next I'll press the Enter key to go to the next
screen.
Do you rent your home?
Question Type:
TYESNOCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MEACASI5
18MFU ACASI 5
Here is a new screen.
I want to go back and change my answer about renting my home.
[POINT TO THE UP ARROW KEY]
Here is the up arrow. By pressing this, you can return to a previous question. I will press it
once to back up one question. Watch as I change the answer to 2 and then hit enter to move forward
again.
[PRESS UP ARROW, PRESS 2, PRESS ENTER, PRESS 1, PRESS ENTER]
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MEACASI6
18MFU ACASI 6
Let me show you some other features on this laptop.
[POINT TO THE ROW OF FUNCTION KEYS] Above the number keys are the function keys.
[POINT TO F3] If you don't know the answer to a question, you can press F3.
[PRESS F3] When you press F3, you will see a question mark like this appear.
[POINT TO F4] If you don't want to answer a question, you can press F4.
[PRESS F4] When you press F4, you will see an exclamation point like this appear.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 141 of 220
---------------------------------------------------------------------------------
MEACASI6a
18MFU Confirm Use
Do you have any questions before I give you the laptop?
[TURN THE LAPTOP OVER TO THE RESPONDENT NOW]
Question Type:
TContinue
continue
1 continue
---------------------------------------------------------------------------------
MEACASI7
18MFU ACASI 7
These next few questions are for practice. Your interviewer is available to help if you have
questions. Press 1 and then the ENTER key on the right side of the keyboard to continue.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MEACASI8
18MFU ACASI 8
Some questions ask for a yes or no answer, like this one.
the ENTER key to continue. Practice this now.
Press 1 for Yes or 2 for No, then press
Do you have a dog?
Question Type:
TYESNOCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MEACASI9
18MFU ACASI 9
Some questions ask you to pick an answer from a list, like this one.
fits you and press ENTER. Practice this now.
Type the number that best
What is your eye color?
Question Type:
TEyeColor
Brown
Blue
Green
Gray
Black
Other
1
2
3
4
5
6
Brown
Blue
Green
Grey
Black
Other
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 142 of 220
---------------------------------------------------------------------------------
MEACASI10
18MFU ACASI 10
Some questions ask you to enter a number. For these questions, you will press the number you wish
to select. When you have finished pressing the number, press ENTER. Practice this now.
How many cups of coffee do you drink each day?
each day during a typical day.
Question Type:
Please enter the number of cups of coffee you drink
0..100
---------------------------------------------------------------------------------
MEACASI11
18MFU ACASI 11
Some questions ask how much you agree or disagree with a statement. For these questions, you will
press the number you wish to select. When you have finished pressing the number, press ENTER.
Practice this now.
I like it when it rains.
Would you say....
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MEACASI12
18MFU ACASI 12
Some questions will ask you how often you do something. For these questions, you will press the
number you wish to select. When you have finished pressing the number, press ENTER. Practice this
now.
How often do you read the newspaper?
Would you say....
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 143 of 220
---------------------------------------------------------------------------------
Logic before:
Select all that apply.
MEACASI13
18MFU ACASI 13
Some questions let you select more than one answer. For these questions, you will press the space
bar between the numbers you select.
To select more than one kind of music from the list, press the space bar between each number that
you type. When you have finished, press ENTER to pick all the types of music you have selected.
Practice this now.
What kinds of music do you listen to?
Question Type:
Tmusic
Classical
Country
HipHop
Jazz
Latin
Folk
Pop
Soul
Techno
1
2
3
4
5
6
7
8
9
Classical
Country
Hip Hop
Jazz
Latin American/Spanish
Other Folk/Ethnic
Pop/Rock
Soul/R&B
Techno
---------------------------------------------------------------------------------
Logic before:
Bold response options selected in MEACASI13.
MEACASI14
18MFU ACASI 14
Some questions will ask you to choose the answer that best fits based on answers to a previous
question.
For these questions, you will see that your answers from the previous question are darker than the
other possible answers. You will only be allowed to select among those answers which are darker.
When you have finished, press ENTER. Practice this now.
Which of the following types of music do you listen to most?
Question Type:
Tmusic2
Classical
Country
HipHop
Jazz
Latin
Folk
Pop
Soul
Techno
1
2
3
4
5
6
7
8
9
^F1
^F2
^F3
^F4
^F5
^F6
^F7
^F8
^F9
Classical ^F1
Country ^F2
Hip Hop ^F3
Jazz ^F4
Latin American/Spanish ^F5
Other Folk/Ethnic ^F6
Pop/Rock ^F7
Soul/R&B ^F8
Techno ^F9
---------------------------------------------------------------------------------
MEACASI15
18MFU ACASI 15
Next are more interview questions that you will answer on your own. If you have any questions about
how to use the computer, you can ask your interviewer. Please tell the interviewer if you would
like help reading the screens. Press 1 and then the Enter key to begin.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 144 of 220
Criminal Behavior
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 2 or 4, skip to next domain.
If INCARSTATE18 = 1, ^lcfill should say "since your release from incarceration [on ^RELDATE]."
If INCARSTATE18 = 3, ^lcfill should say "after your release from incarceration [on ^RELDATE],
during your time on the outside."
If INCARSTATE18 = 5, ^lcfill should say "over the past nine months [since ^REFDATE], during your
time on the outside."
If INCARSTATE18 = 6, ^lcfill should say "over the past nine months [since ^REFDATE]."
If MECON5=yes, ^lcfill2 should say "were you"
If MECON5=no, ^lcfill2 should say "have you been"
MEACASI5W127
18MFU Supervision Status
The next set of items ask about your experiences with the law ^lcfill.
It may be helpful to look at the reference calendar and think about what was happening in your life
at this time.
At any point ^lcfill2 on post-release supervision, such as probation or parole?
Question Type:
Tsupervise
Probate
Parole
NoProbPar
1 Yes, probation
2 Yes, parole
3 Neither probation or parole
---------------------------------------------------------------------------------
Logic before:
If MEACASI5W127 = Probate or Parole, ask MEACASI5W128. If MECON5=yes, skip to MEACASI5W130.
MEACASI5W128
18MFU On Probation or Parole
Are you currently on probation/parole?
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If MEACASI5W128 = Yes, ask MEACASI5W129.
MEACASI5W129
18MFU Duration of Supervision
How much more of your supervision term do you have left to serve?
Please enter how many @Bmonths@B you have left to serve.
Question Type:
1..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 145 of 220
---------------------------------------------------------------------------------
Logic before:
If MEACASI5W127 = Probate or Parole, ask MEACASI5W130.
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration [on ^RELDATE]"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration [on ^RELDATE],
during your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Over the past nine months [since ^REFDATE], during your
time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Over the past nine months [since ^REFDATE]"
if MECON5=yes, ^lcfill2 should say "did you ever fail". If MECON5=no, ^lcfill2 should say "have you
ever failed".
MEACASI5W130
18MFU Compliance with Supervision
^lcfill ^lcfill2 to comply with any conditions of your supervision, regardless of whether you were
caught?
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 146 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill1 should say "Since your release from incarceration [on ^RELDATE]"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration [on ^RELDATE],
during your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Over the past nine months [since ^REFDATE], during your
time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Over the past nine months [since ^REFDATE]"
If MECON5=yes, ^lcfill2 should say "did'
If MECON5=no, ^lcfill2 should say "have"
Allow R to select all that apply. For the response options, if MECON5=No, ^lcfill3 should say
"Committed", ^lcfill4 should say "Carried", ^lcfill5 should say "Used or possessed", ^lcfill6
should say "Sold", ^lcfill7 should say "Driven". For the response options, if MECON5=Yes, ^lcfill3
should say "Commit", ^lcfill4 should say "Carry", ^lcfill5 should say "Use or possess", ^lcfill6
should say "Sell", ^lcfill7 should say "Drive".
MEACASI5W131
18MFU Criminal Behavior
Now, I am going to ask about various crimes you may have committed, @Bregardless of whether or not
you were caught@B. Remember, your answers will be kept completely confidential and @Bno one@B
except the people working on the study will be able to find out how you've answered.
Check all that apply.
^lcfill, ^lcfill2 you
Question Type:
Tcrmbeh
Viocrm
Peocrm
Weapon
UseDrgs
SldDrgs
DrgCrm
DUI
PropCrm
OthrCrm
None
1 ^lcfill3 any violent crimes? By violent crimes, we mean things like
physical or sexual assault, rape, robbery, manslaughter, attempted
murder, murder, vehicular manslaughter, or vehicular homicide, whether
you knew the person or not.
2 ^lcfill3 any other crimes against people? Crimes against people include
things like hit and run, child neglect, or harassment.
3 ^lcfill4 a gun, knife, or other weapon?
4 ^lcfill5 either drugs or drug paraphernalia?
5 ^lcfill6 any drugs?
6 ^lcfill3 any other drug crimes, such as manufacturing, trafficking, or
prescription fraud?
7 ^lcfill7 while intoxicated or under the influence?
8 ^lcfill3 any property crimes? Property crimes include things like
burglary, larceny, auto theft, bad checks, fraud, forgery, or grand
theft?
9 ^lcfill3 any other crimes such as prostitution, soliciting, shoplifting,
or disorderly conduct? Do not include any violations of parole or
probation.
10 You did not commit or have not committed any crimes
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 147 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration [on ^RELDATE]"
If INCARSTATE18 = 3, ^lcfill should say "After your release from incarceration [on ^RELDATE],
during your time on the outside"
If INCARSTATE18 = 5, ^lcfill should say "Over the past nine months [since ^REFDATE], during your
time on the outside"
If INCARSTATE18 = 6, ^lcfill should say "Over the past nine months [since ^REFDATE]"
If MECON5=yes, ^lcfill2 should say "were you ever"
If MECON5=no, ^lcfill2 should say "have you been"
MEACASI5W132
18MFU Arrests
^lcfill ^lcfill2 arrested? Please count all arrests, not just those that led to a conviction.
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If MEACASI5W132 = Yes, ask MEACASI5W133.
If MECON5=yes, ^lcfill should say "were you"
If MECON5=no, ^lcfill should say "have you been"
If INCARSTATE18 = 1, ^lcfill1 should say "since your release from incarceration [on ^RELDATE]."
If INCARSTATE18 = 3, ^lcfill1 should say "after your release from incarceration [on ^RELDATE],
during your time on the outside."
If INCARSTATE18 = 5, ^lcfill1 should say "over the past nine months [since ^REFDATE], during your
time on the outside."
If INCARSTATE18 = 6, ^lcfill1should say "over the past nine months [since ^REFDATE]."
MEACASI5W133
18MFU Number of Arrests Since Release
How many times ^lcfill1 arrested?
Please enter the @Bnumber@B of arrests ^lcfill2
Question Type:
1..100
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 148 of 220
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATE18=1 or 6) and (MEACASI5W131=None), ask MEACASI5W136. Allow R to select all that
apply.
If INCARSTATE18=1, ^lcfill = "since your release from incarceration [on ^RELDATE]."
If INCARSTATE18=6, ^lcfill = "over the past 9 months [since ^REFDATE]."
MEACASI5W136
18MFU Factors Associated with Desistance
What do you think has made the @Bmost@B difference in terms of keeping you out of trouble ^lcfill?
Select all that apply.
Question Type:
Tdesistance
GdJob
Chnge
StpAssoc
GdLive
Neigh
1
2
3
4
5
NmeHlp
NmeLve
NmeSupp
You
You
You
You
You
found a good job
wanted to change for your children’s sake
stopped associating with friends that got you into trouble
found a good place to live
live in a safe neighborhood where it is easy to stay out of trouble
6 Survey Partner helped to keep you out of trouble
7 Survey Partner loved and inspired you
8 Survey Partner provided material support for you, such as money,
housing, or food
9 Other family members are supportive
10 You stopped using drugs or alcohol
11 You got the services you needed
12 You learned how to deal with the stress or pressure in your life
13 Your religion or spirituality has helped you stay out of trouble
14 Some other reason
FamSupp
NoDgsAlc
RcdServ
NoStress
Relig
Other
---------------------------------------------------------------------------------
Logic before:
If MEACASI5W136 GT 3 responses, ask MEACASI5W137. SHOW RESPONSE OPTIONS THAT WERE SELECTED IN
MEACASI5W136 WITH SPECIAL FONT.
If INCARSTATE18=1, ^lcfill ="since your release from incarceration [on ^RELDATE]"
IF INCARSTATE18=6, ^lcfill = "over the past 9 months [since ^REFDATE]."
MEACASI5W137
18MFU Main Reasons for Staying out of Trouble
Of the reasons that you just indicated, which @Bthree@B do you think have made the most difference
in terms of keeping you out of trouble ^lcfill?
Question Type:
Tdesistance2
GdJob
Chnge
StpAssoc
GdLive
Neigh
NmeHlp
NmeLve
NmeSupp
FamSupp
NoDgsAlc
RcdServ
NoStress
Relig
Other
1 ^F1 You found a good job ^F1
2 ^F2 You wanted to change for your children’s sake ^F2
3 ^F3 You stopped associating with friends that got you into trouble ^F3
4 ^F4 You found a good place to live ^F4
5 ^F5 You live in a safe neighborhood where it is easy to stay out of
trouble ^F5
6 ^F6 Survey Partner helped to keep you out of trouble ^F6
7 ^F7 Survey Partner loved and inspired you ^F7
8 ^F8 Survey Partner provided material support for you, such as money,
housing, or food ^F8
9 ^F9 Other family members are supportive ^F9
10 ^F10 You stopped using drugs or alcohol ^F10
11 ^F11 You got the services you needed ^F11
12 ^F12 You learned how to deal with the stress or pressure in your life
^F12
13 ^F13 Your religion or spirituality has helped you stay out of trouble
^F13
14 ^F14 Some other reason ^F14
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 149 of 220
---------------------------------------------------------------------------------
Logic before:
If (INCARSTATE18=3 or 5) or (MEACASI5W131 NE None), ask MEACASI5W138. Allow R to select all that
apply.
MEACASI5W138
18MFU Factors Associated with Recidivism
What would you say are the @Bmain@B reasons that you committed crimes or got in trouble? Select all
that apply.
Question Type:
Trecidivism
NoJob
ProbNme
ProbFam
ProbFrnd
1 You could not find a good job
2 You had problems with your Survey Partner
3 You had problems with other family members
4 The people you were hanging out with made it hard to stay out of trouble
NoHome
BdNeigh
5
6
DrgsAlc
NoServe
Stress
Discrim
Other
You could not find a place to live
You lived in a neighborhood where it was hard to stay out of trouble
7 You were using drugs or alcohol
8 You couldn’t get the services you needed
9 You were under too much stress or pressure
10 You were discriminated against in the legal system
11 Some other reason
---------------------------------------------------------------------------------
Logic before:
If MEACASI5W138 GT 3 responses, ask MEACASI5W139. BOLD
MEACASI5W138.
MEACASI5W139
RESPONSE OPTIONS THAT WERE SELECTED IN
18MFU Main Reasons Associated with Recidivism
Of the reasons that you just indicated, what would you say are the @Bthree main@B reasons that you
committed crimes or got in trouble?
Question Type:
Trecidivism2
NoJob
ProbNme
ProbFam
ProbFrnd
1
2
3
4
NoHome
BdNeigh
5
6
DrgsAlc
NoServe
Stress
Discrim
Other
7
8
9
10
11
^F1 You could not find a good job ^F1
^F2 You had problems with Survey Partner ^F2
^F3 You had problems with other family members ^F3
^F4 The people you were hanging out with made it hard to stay out of
trouble ^F4
^F5 You could not find a place to live ^F5
^F6 You lived in a neighborhood where it was hard to stay out of trouble
^F6
^F7 You were using drugs or alcohol ^F7
^F8 You couldn’t get the services you needed ^F8
^F9 You were under too much stress or pressure ^F9
^F10 You were discriminated against in the legal system ^F10
^F11 Some other reason ^F11
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 150 of 220
Housing
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 2 or 4, skip to next domain.
If MECON5 = no, ^lcfill
should say "you live with now."
If MECON5 = yes, ^lcfill should say "you lived with during your time on the outside"
MEACASIJ000
18MFU Housing Intro
Next I would like to ask you about the people ^lcfill
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill should say "are currently living with".
If MECON5 = yes, ^lcfill should say "were living with during your time on the outside".
MEACASIJ006
18MFU Current Housepartner Correctional Facility
Has anyone you ^lcfill ever been to jail, prison or some other correctional institution?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill should say "Do any of the people you are currently living with use illegal
drugs?". If MECON5 = yes, ^lcfill should say "Did any of the people you were living with during
your time on the outside use illegal drugs?".
MEACASIJ007
18MFU Current Housepartner Drug Use
^lcfill
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 151 of 220
Substance Use
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 2 or 4, skip to MEACASI7O005.
For INCARSTATE18=1, 3, or 5 ^lcfill will read "over the past 9 months [since ^REFDATE], during your
time on the outside,"
For INCARSTATE18=6 ^lcfill will read "over the past 9 months [since REFDATE],"
Allow the respondent to "select all that apply".
MEACASI2O063
18MFU Substances Used
Now I would like you to think about your drug and alcohol use.
Please tell me which of the following substances you used ^lcfill even just once.
Select all that apply.
To select more than one substance from the list, press the space bar between each number that you
type. When you have finished, press ENTER to pick all the types of substances you have selected.
Question Type:
TSubstanceFU
Alcohol
Marijuana
Pcoke
Ccoke
Heroin
Meth
Other
Hallucin
Prescription
Methadone
NoUse
1
2
3
4
5
Alcohol
Marijuana or hashish
Powder cocaine
Crack cocaine
Heroin (this includes smoking, sniffing, snorting, and injecting heroin)
6 Methamphetamine
7 Other amphetamines, such as monster, crank, or ice
8 Halluginogens or designer drugs, such as ecstasy, LSD, acid, mushrooms,
mescaline, peyote, green, PCP, or angel dust
9 Prescription medications without a prescription or for other reasons
than were prescribed, or in larger amounts, or more often than your
doctor ordered. This includes sedatives, tranquilizers, stimulants,
pain relievers, opiates, or anabolic steroids
10 Methadone without a prescription or for other reasons than were
prescribed, or in larger amounts, or more often than your doctor ordered
11 Did not use any alcohol or drugs
Logic after:
If MEACASI2O063 = NoUse, go to MEACASI7O005. If MEACASI20063 includes more than one response, go to
MEACASI2O064. Else, go to MEACASI2O065a.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 152 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill should say "have you used"
If MECON5 = yes, ^lcfill should say "did you use"
For INCARSTATE18=1, 3, or 5 ^lcfill2 will read "over the past 9 months [since ^REFDATE], during
your
time on the outside"
For INCARSTATE18=6 ^lcfill2 will read "over the past 9 months [since REFDATE]"
Use special font for the response options that were selected in the previous question.
MEACASI2O064
18MFU Substances Used Most
Which of the following ^lcfill the most ^lcfill2?
Question Type:
TDrugs2
Alcohol
Marijuana
Powder
Crack
Heroin
1
2
3
4
5
Meth
Other
Hallucinogens
6
7
8
Prescriptions
9
Methadone
10
^F1 Alcohol ^F1
^F2 Marijuana or hashish ^F2
^F3 Powder cocaine ^F3
^F4 Crack cocaine ^F4
^F5 Heroin (this includes smoking, sniffing, snorting, and injecting
heroin) ^F5
^F6 Methamphetamine ^F6
^F7 Other amphetamines, such as monster, crank, or ice ^F7
^F8 Hallucinogens or designer drugs, such as ecstasy, LSD or acid,
mushrooms, mescaline, peyote, green, PCP, or angel dust ^F8
^F9 Prescription medication without a prescription or for other reasons
than were prescribed, or in larger amounts, or more often than your
doctor ordered. Include sedatives, tranquilizers, stimulants, pain
relievers, opiates, or anabolic steroids ^F9
^F10 Methadone without a prescription or for other reasons than were
prescribed, or in larger amounts, or more often than your doctor ordered
^F10
---------------------------------------------------------------------------------
Logic before:
IF MEACASI2O063 includes alcohol, ask MEACASI2O0265a.
Else, go to MEACASI2O065e.
For INCARSTATE18=1, 3, or 5 ^lcfill will read "over the past 9 months [since ^REFDATE], during your
time on the outside."
For INCARSTATE18=6 ^lcfill will read "over the past 9 months [since ^REFDATE]"
If MECON5 = no, ^lcfill2 should say "Have you felt".
If MECON5 = yes, ^lcfill2 should say "Did you feel".
MEACASI2O065a
18MFU CAGE 1
^lcfill...
^lcfill2 you should cut down on your drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 153 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill should say "Have people annoyed". If MECON5= yes, ^lcfill should say "Did
people annoy".
MEACASI2O065b
18MFU CAGE 2
^lcfill you by complaining about your drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill should say "Have you felt". If MECON5 = yes, ^lcfill should say "Did you
feel".
MEACASI2O065c
18MFU CAGE 3
^lcfill bad or guilty about your drinking?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill should say "Have you had". If MECON5 = yes, ^lcfill should say "Did you
have".
MEACASI2O065d
18MFU CAGE 4
^lcfill a drink first thing in the morning to steady your nerves or get rid of a hangover
("otherwise known as an eye-opener")?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MEACASI2O063 includes any of responses 2-10 (drugs other than alcohol), ask MEACASI2O065e.
Else, go to MEACASI2O066.
For INCARSTATE18=1, 3, or 5 ^lcfill will read "over the past 9 months [since ^REFDATE], during your
time on the outside."
For INCARSTATE18=6 ^lcfill will read "over the past 9 months [since ^REFDATE]"
If MECON5 = no, ^lcfill2 should say "Have you felt". If MECON5 = yes, ^lcfill2 should say "Did you
feel".
MEACASI2O065e
18MFU CAGE 5
^lcfill...
^lcfill2 you should cut down on your drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 154 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill should say 'Have people annoyed'. If MECON5 = yes, ^lcfill should say 'Did
people annoy'.
MEACASI2O065f
18MFU CAGE 6
^lcfill you by complaining about your drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MECON5 = no, ^lcfill should say "Have you felt". If MECON5 = yes, ^lcfill should say "Did you
feel".
MEACASI2O065g
18MFU CAGE 7
^lcfill bad or guilty about your drug use?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
For INCARSTATE18=1, 3, or 5 ^lcfill will read "Over the past 9 months [since ^REFDATE], during your
time on the outside"
For INCARSTATE18=6 ^lcfill will read "Over the past 9 months [since ^REFDATE"].
If MECON5 =
drinking or
If MECON5 =
drinking or
no, ^lcfill2 should say "have you experienced problems with anger when you have been
using drugs?
yes, ^lcfill2 should say "did you experience problems with anger when you had been
using drugs?"
MEACASI2O066
18MFU Experience Problems with Anger
^lcfill how often ^lcfill2
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 155 of 220
---------------------------------------------------------------------------------
Logic before:
For INCARSTATE18=1, 3, or 5 ^lcfill will read "over the past 9 months [since ^REFDATE], during your
time on the outside"
For INCARSTATE18=6 ^lcfill will read "over the past 9 months [since ^REFDATE]"
If MECON5 = no, ^lcfill2 should say "have you physically hurt or gotten rough with a spouse or
partner or other family members when you have been drinking or using drugs?".
If MECON5 = yes, ^lcfill2 should say "did you physically hurt or get rough with a spouse or partner
or other family members when you had been drinking or using drugs?"
MEACASI2O067
18MFU Physically Hurt or Get Rough with Partner
^lcfill how often ^lcfill2
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If MEACASI2O063 includes alcohol, ask MEACASI2O068.
Else, go to MEACASI7O005.
For INCARSTATE18=1, 3, or 5 ^lcfill will read "Over the past 9 months [since ^REFDATE], during your
time on the outside."
For INCARSTATE18=6 ^lcfill will read "Over the past 9 months [since ^REFDATE]"
If MECON5 = yes, ^lcfill2 should say "did you have". If MECON5 = no, ^lcfill2 should say "have you
had".
MEACASI2O068
18MFU Five or More Drinks
^lcfill how often ^lcfill2 5 or more drinks of beer, wine, or liquor on the same occasion? By
'drink', we mean a bottle or can of beer, a wine cooler or a glass of wine, a shot of liquor, or a
mixed drink or cocktail. By 'occasion', we mean at the same time or within a couple of hours of
each other.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
Logic before: If MECON5 = Yes AND ME3B011 = yes, ask MEACASI7O005.
If INCARSTATE18=2 or 4, ^lcfill should say 'First I’d like you to think about your drug and alcohol
use.' Else do not fill.
MEACASI7O005
18MFU Use of Illegal Drugs Post-Release
^lcfill
How likely is it that you will use any illegal drugs after release?
realistic expectations.
Question Type:
Please answer based on your
Tlikely
Very
Likely
Unlikely
VeryUn
1
2
3
4
Very likely
Likely
Unlikely
Very unlikely
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 156 of 220
Partner Relationship Quality
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE=2 (Deceased), skip to ACASIEND1. If prld.RELSTATUSBL = 1 (One or both parties
considered their relationship to be romantic at baseline) OR RELSTATUS9MO (one or both parties
considered their relationship to be romantic at 9 month) OR RELSTATUS18MO (R considers relationship
to be romantic at 18 month), ask MEACASI6V056. Else skip to MEACASI6V062
MEACASI6V056
18MFU DAS 1
Now, I'm going to ask you some questions about your romantic relationship with your Survey Partner.
You may find it helpful to look at the chart in front of you that shows who your Survey Partner
is.
Please remember that all information you provide will be kept strictly confidential.
On a scale from 1 to 10 where 1 means not at all happy and 10 means perfectly happy, which number
best describes your happiness with your relationship now?
Question Type:
1..10
---------------------------------------------------------------------------------
MEACASI6V057
18MFU DAS 2
How often do you and your Survey Partner agree on displays of affection? By displays of affection,
I mean holding hands, hugging, kissing, or other kinds of physical affection.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MEACASI6V058
18MFU DAS 3
How often have you discussed or considered divorce, separation, or ending your current relationship
with your Survey Partner?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MEACASI6V059
18MFU DAS 4
In general, how often do you think that things between you and your Survey Partner are going well?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 157 of 220
---------------------------------------------------------------------------------
MEACASI6V060
18MFU DAS 5
Do you confide in your Survey Partner? By confide, I mean share secrets or personal, sensitive
information.
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MEACASI6V061
18MFU DAS 6
Do you ever regret getting into your relationship with your Survey Partner?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
This question is asked of everyone (except if NAMEFILL ALIVE=2). If someone did not receive
MEACASI6V056 (and if NAMEFILL ALIVE=1) , ^lcfill should say "Now, I'm going to ask you some
questions about your relationship with your Survey Partner. You may find it helpful to look at the
chart in front of you that shows who your Survey Partner is." Else do not fill.
MEACASI6V062
18MFU DAS 7
^lcfill
How often do you and your Survey Partner calmly discuss something?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MEACASI6V063
18MFU DAS 8
How often do you and your Survey Partner work together on something?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 158 of 220
---------------------------------------------------------------------------------
MEACASI6V064
18MFU Communication 1
Even when arguing, you and your Survey Partner can keep a sense of humor.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MEACASI6V065
18MFU Communication 2
Your arguments get very heated.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MEACASI6V066
18MFU Communication 3
Small issues suddenly become big arguments.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MEACASI6V067
18MFU Communication 4
You are good at working out your differences with each other.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 159 of 220
---------------------------------------------------------------------------------
MEACASI6V068
18MFU Communication Skills 1
When discussing issues, you repeat back what your Survey Partner says to make sure you understand
her.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MEACASI6V069
18MFU Communication Skills 2
When your talks begin to get out of hand, you agree to stop them and talk later.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MEACASI6V070
18MFU Communication Skills 3
When discussing issues you allow your Survey Partner to finish talking before you respond.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MEACASI6V071
18MFU Communication Skills 4
Your Survey Partner interrupts you when you are talking.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 160 of 220
---------------------------------------------------------------------------------
Logic before:
If RELATSTATUSBL = 1 (One or both parties considered their relationship to be romantic at baseline)
OR RELSTATUS9MO (one or both parties considered their relationship to be romantic at 9 month) OR
RELSTATUS18MO (R considers relationship to be romantic at 18 month), ask MNACASI6V072.
Else go to MNACASI6V085.
MEACASI6V072
18MFU Forgive Partner
You are usually able to forgive your Survey Partner.
Would you say . . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MEACASI6V073
18MFU Fidelity 1
How often are you tempted to have sexual or romantic contact with someone other than your Survey
Partner?
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
MEACASI6V074
18MFU Fidelity 2
During your relationship with your Survey Partner, was there ever a time when you had sexual or
romantic contact with someone else?
Would you say . . .
Question Type:
TYesNoMaybe
Yes
No
Maybe
1 Yes
2 No
3 Maybe
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 161 of 220
---------------------------------------------------------------------------------
MEACASI6V075
18MFU Fidelity 3
How much do you agree or disagree with the following statements?
You know you can count on your Survey Partner to remain faithful to you. By faithful, we mean never
having sexual contact with anyone except you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MEACASI6V076
18MFU Fidelity 4
You know how to avoid situations where you might be tempted to cheat on your Survey Partner.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MEACASI6V077
18MFU Fidelity 5
Here are some statements about your relationship with your Survey Partner. For each one, please
tell me if you strongly agree, agree, disagree, or strongly disagree.
It is very important to you to be completely faithful to your Survey Partner. By faithful, we mean
never having sexual contact with anyone except your Survey Partner.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MEACASI6V078
18MFU Fidelity 6
It is very important to you that your Survey Partner be completely faithful to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 162 of 220
---------------------------------------------------------------------------------
MEACASI6V079
18MFU Feelings about Future of Relationship
You may not want to be with your Survey Partner a few years from now.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MEACASI6V080
18MFU Bonding 1
You and your Survey Partner have fun together.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MEACASI6V081
18MFU Bonding 2
You believe you and your Survey Partner can handle whatever conflicts will arise in the future.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MEACASI6V082
18MFU Bonding 3
You feel good about your chances to make this relationship work for a lifetime.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 163 of 220
---------------------------------------------------------------------------------
MEACASI6V083
18MFU Support 1
Your Survey Partner encourages or helps you to do things that are important to you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MEACASI6V084
18MFU Support 2
For this next question, I'd like you to tell me how often the following is true for you.
When you have problems, your Survey Partner really understands what you're going through.
Would you say. . .
Question Type:
TOSRNlower
Often
Some
Rarely
Never
1
2
3
4
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If [INCARSTATE18=1
relationship to be
relationship to be
at 18 month)], ask
or 3] AND[prld.RELSTATUSBL = 1 (One or both parties considered their
romantic at baseline) OR RELSTATUS9MO (one or both parties considered their
romantic at 9 month) OR RELSTATUS18MO (R considers relationship to be romantic
MEACASI6V022. Else go to MEACASI6V085.
MEACASI6V022
18MFU Relationsip with Partner
How easy or hard has it been to have a good relationship with your Survey Partner since you were
released?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 164 of 220
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to select all that apply.
MEACASI6V023
18MFU Biggest Challenges Post-Release
Since you were released, what have been the biggest challenges in your relationship with your
Survey Partner? Select all that apply.
Question Type:
TBChallengesFUm
Find
Close
Trust
Problems
1
2
3
4
Missed
5 Having missed out on so much that happened in her life while you were
incarcerated
6 Trying to meet her expectations for you related to finding a job,
staying clean, helping her financially
7 Being angry at her or not wanting to see her
8 Her being angry at you or not wanting to see you
9 Some other challenge
Except
Angry
PartAngry
Other
Not knowing how to get in contact with her
Being able to feel close to her again after the time in prison
Being able to trust her after the time in prison
Problems or new situations that have come up since you were incarcerated
---------------------------------------------------------------------------------
MEACASI6V025
18MFU Partner Support Expectations 2
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about how you and your Survey Partner have treated one another since your release.
You have loved your Survey Partner and made her feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MEACASI6V026
18MFU Partner Support Expectations 3
You have helped your Survey Partner with whatever problems she has faced.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 165 of 220
---------------------------------------------------------------------------------
MEACASI6V028
18MFU Partner Support Expectations 5
Your Survey Partner has loved you and made you feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MEACASI6V029
18MFU Partner Support Expectations 6
Your Survey Partner has helped you with whatever problems you have faced.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Logic before:
If ME1F064b=yes or ME1F064c=yes, go to MEACASI6V086. If ME1F064c = no, dk or rf, then ask
MEACASI6V085.
MEACASI6V085
18MFU Marriage Attitude 1
Getting and staying married is an important goal for you.
Question Type:
Would you say . . .
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
Logic after:
If ME1F064b=yes or ME1F064c=yes, go to MEACASI6V087i.
---------------------------------------------------------------------------------
Logic before:
If ME1F064b=yes or ME1F064c=yes, ask MEACASI6V086.
MEACASI6V086
18MFU Marriage Attitude 2
Staying married to your spouse for the rest of your life is an important goal for you.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 166 of 220
---------------------------------------------------------------------------------
MEACASI6V087i
18MFU Future Relationship Expectations
The next questions are about your thoughts on what could happen in your relationship with your
Survey Partner in the future. No one knows what the future holds, but we would like your best guess
about what you expect.
Please answer based on your realistic expectations, rather than what you wish for or hope will
happen.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If RELSTATUS18MO NE 1, ask MEACASI6V087a. Else go to MEACASI6V087.
MEACASI6V087a
18MFU Become Involved with Coparent
What do you think are the chances that you and your Survey Partner will ever get into a committed
romantic relationship with each other?
Would you say. . .
Question Type:
TChance
NoC
Little
Fifty50
Good
Certain
1
2
3
4
5
No chance
A little chance
A 50-50 chance
A pretty good chance
An almost certain chance
---------------------------------------------------------------------------------
Logic before:
If ME1F063 = No (still romantically involved with non-spousal namefill at followup) OR ME1F064a = 1
(Rom; now romantically involved with non-spousal namefill at followup), ask MEACASI6V087. Else go
to MEACASI6V088.
MEACASI6V087
18MFU Chances of Marriage
What do you think the chances are that you will marry your Survey Partner in the future?
Would you say. . .
Question Type:
TChance
NoC
Little
Fifty50
Good
Certain
1
2
3
4
5
No chance
A little chance
A 50-50 chance
A pretty good chance
An almost certain chance
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 167 of 220
---------------------------------------------------------------------------------
Logic before:
If RELSTATUS18MO = 1 (romantically involved with spouse or romantically involved with non-spousal
partner at follow-up), ask MEACASI6V088. Else, skip to MEACASI2M038
MEACASI6V088
18MFU Perceived Life Changes 1
Even though it may be very unlikely, think for a moment about how various areas of your life might
be different if you and your Survey Partner split up. Then, I'll ask you how you think things might
be different for your Survey Partner. For each of the following areas, please tell me whether you
would you expect it to get better, worse, or stay the same if you split up?
Let's start with you.
How would @Byour@B financial situation change if you split up?
Would it get. . .
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
MEACASI6V089
18MFU Perceived Life Changes 2
How would @Byour@B overall happiness change if you split up?
Would it get...
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
MEACASI6V090
18MFU Perceived Life Changes 3
Now, let's think about your Survey Partner.
How would @Bher@B financial situation change if you split up?
Would it get...
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 168 of 220
---------------------------------------------------------------------------------
MEACASI6V091
18MFU Perceived Life Changes 4
How would @Bher@B overall happiness change if you split up?
Would it get...
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18 GE 1 ask MEACASI6V092.
MEACASI6V092
Else, skip to MEACASI6V093.
18MFU Perceived Life Changes 5
Next, let's talk about your ^children.
How would @Byour ^children's@B overall happiness change if you and your Survey Partner split up?
Would it get
Question Type:
TFeel
Better
Worse
Same
Predict
1
2
3
4
Better
Worse
Stay the same
You can't predict
---------------------------------------------------------------------------------
MEACASI6V093
18MFU Parents Support Relationship 1
Please tell me how much you agree or disagree with the following statements about your parents'
feelings about your relationship with your Survey Partner.
Your parents want you and your Survey Partner to stay together as a couple.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
MEACASI6V094
18MFU Parents Support Relationship 2
Your Survey Partner's parents want you and your Survey Partner to stay together as a couple.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 169 of 220
Intimate Partner Violence
---------------------------------------------------------------------------------
Logic before:
If prld.RELSTATUSBL = 1 (One or both parties considered their relationship to be romantic at
baseline) OR RELSTATUS9MO = 1 (one or both parties considered their relationship to be romantic at
9 month) OR RELSTATUS18MO = 1 (R considers relationship to be romantic at 18 month), ask
MEACASI2M038. Else go to MEACASIEND1. If INCARSTATE18 = 2 or 4, skip to MEACASIEND1.
If
If
If
If
INCARSTATE18 = 1, ^lcfill should say "since your release from incarceration [on ^RELDATE]"
INCARSTATE18=3, ^lcfill should say "after your release from incarceration [on ^RELDATE]"
INCARSTATE18 = 5 or 6, ^lcfill should say "over the past 9 months [since ^REFDATE]
(INCARSTATE18=1 or 3 or 5) OR ME3Q001b=yes, ^lcfill2 should say ", during the time you were both
on the outside".
Else, ^lcfill2 should not fill.
If MECON5=yes, ^lcfill4 should say "did you feel"
If MECON5=no, ^lcfill4 should say "have you felt"
MEACASI2M038
18MFU Safe in Relationship
Now, I'm going to ask you some questions about your relationship with your Survey Partner ^lcfill
^lcfill2.
It may be helpful to look at the reference calendar and think about what was happening in your life
at this time.
Please remember that we cannot share your answers with your family, friends, or acquaintances under
any circumstances.
Thinking about this time period, please tell me how much of the time each of these statements was
true.
How often ^lcfill4 safe in your relationship with your Survey Partner? Would you say..
Question Type:
TAOSRNlower
Always
Often
Some
Rarely
Never
1
2
3
4
5
Always
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did"
If MECON5=no, ^lcfill should say "has"
MEACASI2M039
18MFU Jealousy
How often ^lcfill your Survey Partner become jealous or possessive?
Would you say. . .
Question Type:
TAOSRNlower
Always
Often
Some
Rarely
Never
1
2
3
4
5
Always
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 170 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did" and ^lcfill2 should say "make"
If MECON5=no, ^lcfill should say "has" and ^lcfill2 should say "made"
MEACASI2M040
18MFU Inadequate
How often ^lcfill your Survey Partner ^lcfill2 you feel like you were not good enough?
Would you say..
Question Type:
TAOSRNlower
Always
Often
Some
Rarely
Never
1
2
3
4
5
Always
Often
Sometimes
Rarely
Never
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1 or 3, ^lcfill should say "Since your release from incarceration [on ^RELDATE]"
If INCARSTATE18=3, ^lcfill should say "After your release from incarceration [on ^RELDATE]"
If INCARSTATE18 = 5 or 6, ^lcfill should say "Over the past 9 months [since ^REFDATE]"
If (INCARSTATE18=1 or 3 or 5) OR ME3Q001b=yes, ^lcfill2 should say "during the time you were both
on the outside". Else, ^lcfill2 should not fill.
If MECON5=yes, ^lcfill4 should say "did you throw"
If MECON5=no, ^lcfill4 should say "have you thrown"
MEACASI2M041
18MFU CTS 1
No matter how well a couple gets along, there are times when they disagree or have fights. I am
going to read a list of things that might happen when you have differences.
First, tell me how many times you did the following. Then I'll ask you how many times your Survey
Partner did the following.
^lcfill, ^lcfill2 how many times ^lcfill4 something at your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did" and ^lcfill4 should say "throw"
If MECON5=no, ^lcfill should say "has" and ^lcfill4 should say "thrown"
MEACASI2M042
18MFU CTS 2
How many times ^lcfill your Survey Partner ^lcfill4 something at you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 171 of 220
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration [on ^RELDATE]"
If INCARSTATE18=3, ^lcfill should say "After your release from incarceration [on ^RELDATE]"
If INCARSTATE18 = 5 or 6, ^lcfill should say "Over the past 9 months [since ^RELDATE]"
If (INCARSTATE18=1 or 3 or 5) OR ME3Q001b=yes, ^lcfill2 should say "during the time you were both
on the outside". Else, ^lcfill2 should not fill.
If MECON5=yes, ^lcfill3 should say "did you push, shove, hit, slap, or grab"
If MECON5=no, ^lcfill3 should say "have you pushed, shoved, hit, slapped, or grabbed"
MEACASI2M043
18MFU CTS 3
^lcfill, ^lcfill2 how many times ^lcfill3 your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did your Survey Partner push, shove, hit, slap, or grab"
If MECON5=no, ^lcfill should say "has your Survey Partner pushed, shoved, hit, slapped, or grabbed"
MEACASI2M044
18MFU CTS 4
How many times ^lcfill you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did you use"
If MECON5=no, ^lcfill should say "have you used"
MEACASI2M045
18MFU CTS 5
How many times ^lcfill a knife or gun on your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 172 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did your Survey Partner use"
If MECON5=no, ^lcfill should say "has your Survey Partner used"
MEACASI2M046
18MFU CTS 6
How many times ^lcfill a knife or gun on you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration [on ^RELDATE]"
If INCARSTATE18=3, ^lcfill should say "After your release from incarceration [on ^RELDATE]"
If INCARSTATE18 = 5 or 6, ^lcfill should say "Over the past 9 months [since ^REFDATE]"
If (INCARSTATE18=1 or 3 or 5) OR ME3001b=yes, ^lcfill2 should say "during the time you were both on
the outside". Else, ^lcfill2 should not fill.
If MECON5=yes, ^lcfill3 should say "did you choke, slam, kick, burn, or beat"
If MECON5=no, ^lcfill3 should say "have you choked, slammed, kicked, burned, or beaten"
MEACASI2M047
18MFU CTS 7
^lcfill, ^lcfill2 how many times ^lcfill3 your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did your Survey Partner choke, slam, burn, or beat"
If MECON5=no, ^lcfill should say "has your Survey Partner choked, slammed, kicked, burned, or
beaten"
MEACASI2M048
18MFU CTS 8
How many times ^lcfill you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 173 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill3 should say "did you use"
If MECON5=no, ^lcfill3 should say "have you used"
MEACASI2M049
18MFU CTS 9
How many times ^lcfill force to make your Survey Partner have sex? Force means things like hitting,
holding down, or using a weapon.
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did your Survey Partner use"
If MECON5=no, ^lcfill should say "has your Survey Partner used"
MEACASI2M050
18MFU CTS 10
How many times ^lcfill force to make you have sex? Force means things like hitting, holding down,
or using a weapon.
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1 or 3, ^lcfill should say "Since your release from incarceration [on ^RELDATE]"
If INCARSTATE18=3, ^lcfill should say "After your release from incarceration [on ^RELDATE]"
If INCARSTATE18 = 5 or 6, ^lcfill should say "Over the past 9 months [since ^REFDATE]"
If (INCARSTATE18=1 or 3 or 5) OR ME3001b=yes, ^lcfill2 should say "during the time you were both on
the outside". Else, ^lcfill2 should not fill.
If MECON5=yes, ^lcfill3 should say "did you threaten"
If MECON5=no, ^lcfill3 should say "have you threatened"
MEACASI2M051
18MFU CTS 11
^lcfill, ^lcfill2 how many times ^lcfill3 to hurt your Survey Partner?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 174 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did your Survey Partner threaten"
If MECON5=no, ^lcfill should say "has your Survey Partner threatened"
MEACASI2M052
18MFU CTS 12
How many times ^lcfill to hurt you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did you threaten"
If MECON5=no, ^lcfill should say "have you threatened"
If TOTALCHILD18 GE 1, include the"^children," fill (If TOTALCHILD18=1 then ^children=child
TOTALCHILD GT 1 ^children=children).
MEACASI2M053
18MFU CTS 13
How many times ^lcfill to hurt your Survey Partner's ^children2 family members, or other
ones?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If TOTALCHILD18 GE 1, include the "^children," fill (^children defined in ME1G061n).
If MECON5=yes, ^lcfill should say "did your Survey Partner threaten"
If MECON5=no, ^lcfill should say "has your Survey Partner threatened"
MEACASI2M054
18MFU CTS 14
How many times ^lcfill to hurt your ^children2 family members, or other loved ones?
Question Type:
If
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 175 of 220
loved
---------------------------------------------------------------------------------
Logic before:
If INCARSTATE18 = 1, ^lcfill should say "Since your release from incarceration [on ^RELDATE]"
If INCARSTATE18=3, ^lcfill should say "After your release from incarceration [on ^RELDATE]"
If INCARSTATE18 = 5 or 6, ^lcfill should say "Over the past 9 months [since ^REFDATE]"
If (INCARSTATE18=1 or 3 or 5) OR ME3Q001b=yes, ^lcfill2 should say "during the time you were both
on the outside". Else, ^lcfill2 should not fill.
If MECON5=yes, ^lcfill3 should say "did you try"
If MECON5=no, ^lcfill3 should say "have you tried"
MEACASI2M055
18MFU CTS 15
^lcfill ^lcfill2 how many times ^lcfill3 to keep your Survey Partner from seeing or talking with
her friends or family?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did your Survey Partner try"
If MECON5=no, ^lcfill should say "has your Survey Partner tried"
MEACASI2M056
18MFU CTS 16
How many times ^lcfill to keep you from seeing or talking with your friends or family?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did you keep money from your Survey Partner, make her ask for
money, or take"
If MECON5=no, ^lcfill should say "have you kept money from your Survey Partner, made her ask for
money, or taken"
MEACASI2M057
18MFU CTS 17
How many times ^lcfill money from her?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 176 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes, ^lcfill should say "did your Survey Partner try to keep money from you, make you ask
for money, or take"
If MECON5=no, ^lcfill should say"has your Survey Partner tried to keep money from you, made you ask
for money, or taken"
MEACASI2M058
18MFU CTS 18
How many times ^lcfill money from you?
Question Type:
TOccurrences
None
Time1
Time2
time3to5
more
0
1
2
3
6
None
1 time
2 times
3-5 times
6 or more times
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 177 of 220
ACASI End
---------------------------------------------------------------------------------
MEACASIEND1
18MFU End1
That was the last question where you are asked to answer the questions yourself. The remainder of
the questions will be asked by your interviewer.
Please press 1 and then press the Enter key before you turn the laptop back to the interviewer.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
MEACASIEND2
18MFU End2
[INTERVIEWER: PLEASE ENTER THE PASSWORD TO CONTINUE WITH THE REMAINDER OF THE INTERVIEW QUESTIONS]
Question Type:
Logic after:
STRING[10]
If password NE CAPI, create a consistency check such that the FI cannot continue with the remainder
of the interview questions without entering the correct password. Text should say "THIS QUESTION
REQUIRES YOU TO ENTER A PASSWORD IN ORDER TO CONTINUE WITH THE REMAINDER OF THE INTERVIEW
QUESTIONS. YOU HAVE ENTERED AN INCORRECT PASSWORD. PLEASE ENTER THE CORRECT PASSWORD TO CONTINUE
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 178 of 220
Criminal Behavior
---------------------------------------------------------------------------------
Logic before:
If MECON5=yes and ME3B011=yes, ask ME7W001. Else go to Locator Section.
ME7W001
18MFU Post-Release
The next set of questions deals with your release from this incarceration and transition back into
the community.
No one knows what the future holds, but we would like your best guess about what you expect.
Please answer based on your realistic expectations, rather than what you wish for or hope will
happen.
When you are released from this incarceration, will you be on some type of post-release
supervision, such as parole or probation?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME7W004
18MFU Return to Jail/Prison
Do you think you will ever be sent back to jail or prison again, after you are released from this
incarceration?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 179 of 220
Social Support
---------------------------------------------------------------------------------
Logic before:
If namefillalive=live
If namefillalive=live
If namefillalive=live
If TOTALCHILD18 GE 1,
in ME1G061n).
or totalchild18 ge 1, ^fill="other than". Else, ^fill=blank.
^fill1="^prld.Namefill". Else ^fill1= blank.
and totalchild18 ge 1 ^fill2="or". Else ^fill2=blank.
include "your ^children" for ^childfill with question text (^children defined
.
ME7L006
18MFU Other Family Support Expectations 1
The next set of questions are about your expectations for your relationships with family members
^fill ^fill1 ^fill2 ^childfill3 after your release from incarceration.
Do you have a family member who will loan you money if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME7L007
18MFU Other Family Support Expectations 2
Do you have a family member who will provide you with a place to live if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME7L008
18MFU Other Family Support Expectations 3
Do you have a family member who will help you with transportation to work or other appointments if
you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 180 of 220
---------------------------------------------------------------------------------
ME7L009
18MFU Friend Support Expectations 1
Next, I'd like to know about your expectations for your relationships with friends after your
release from incarceration.
Do you have a friend who will loan you money if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME7L010
18MFU Friend Support Expectations 2
Do you have a friend who will provide you with a place to live if you need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
ME7L011
18MFU Friend Support Expectations 3
Do you have a friend who will help you with transportation to work or other appointments if you
need it?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 181 of 220
Income
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
ME7K012
18MFU Financial Support
[USE SHOWCARD 35]
Next, I'd like to know more about your plans for your financial and living situation when you are
released.
What sources of financial support do you expect to have in the first 1 month following your
release?
Select all that apply.
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
REQUIRED PROBE: Any other source?
Question Type:
TMoney
None
Job
Savings
PartnerSav
Family
Friends
PA
Illegal
Other
1
2
3
4
5
6
7
8
9
None
Pay from a job
Your own savings
Money from your spouse/partner's job or savings
Money from other family members
Money from your friends
Public assistance
Money from illegal sources
Some other source (SPECIFY)
Logic after:
If ME7K012 = Other, go to ME7K012s. Else, go to ME7K013.
---------------------------------------------------------------------------------
ME7K012s
18MFU Specify Other
OTHER SPECIFY
Question Type:
STRING[50]
---------------------------------------------------------------------------------
ME7K013
18MFU Determination to Support Self
[USE SHOWCARD 36]
How easy or hard do you think it will be to make enough money to support yourself?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 182 of 220
Employment
---------------------------------------------------------------------------------
ME7I014
18MFU Expected Employment Difficulty 1
Based on past experience, how easy or hard do you think it will be to find a decent job?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
ME7I015
18MFU Expected Employment Difficulty 2
Based on past experience, how easy or hard do you think it will be to @Bkeep@B a job?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 183 of 220
Housing
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE = 2 (dead), skip to ME7J017.
ME7J016
18MFU Reside with Partner Post-Release
Do you expect to live with ^prld.Namefill after you are released?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If HASFOCAL=1 AND FOCLIVE = 1 (focal child is living), go to ME7J017. Else go to ME7J018.
ME7J017
18MFU Reside with Focal Child Post-Release
Do you expect to live with ^prld.FOCCHILD after you are released?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
Loop this question for each of the respondent's non-focal living children (up to 30). Do not
include any deceased children or focal child.
ME7J018
18MFU Reside with Child(ren)
Do you plan to live with ^CHILD after you are released?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
array[1..30] of TYesNoCaps
---------------------------------------------------------------------------------
ME7J019
18MFU Reside with Anyone Post-Release
Do you expect to live with anyone else after you are released?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 184 of 220
Partner Relationship Quality
---------------------------------------------------------------------------------
Logic before:
If RELSTATUS18MO = 1 (romantically involved with spouse or romantically involved with non-spousal
partner at follow-up) and NAMEFILL ALIVE=1 (Alive), ask ME7V020. Else go to ME7N030.
ME7V020
18MFU Want to Continue Relationship 1
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Next, I'd like to know about your expectations for your relationship with ^prld.Namefill after you
are released.
Do you want to remain in a committed romantic relationship with ^prld.Namefill after you are
released?
Would you say . . .
Question Type:
TYND
Yes
No
Dknow
1 Yes
2 No
3 Don't know
---------------------------------------------------------------------------------
ME7V021
18MFU Want to Continue Relationship 2
[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Do you think ^prld.Namefill wants to remain in a committed romantic relationship with you after you
are released?
Would you say . . .
Question Type:
TYND
Yes
No
Dknow
1 Yes
2 No
3 Don't know
---------------------------------------------------------------------------------
Logic before:
If ME7V020 = yes or don't know, ask ME7V022. Else go to ME7N030.
ME7V022
18MFU Relationship with Partner
How easy or hard do you think it will be to have a good relationship with ^prld.Namefill after you
get out?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 185 of 220
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply".
ME7V023
18MFU Biggest Challenges Post-Release
[USE SHOWCARD 37]
Thinking about when you are released, what do you expect will be the biggest challenges in your
relationship with ^prld.Namefill? Select all that apply.
REQUIRED PROBE: Anything else?
Question Type:
TBChallenges
Find
Close
Trust
Problems
1
2
3
4
Missed
5 Having missed out on so much that happened in her life while you were
incarcerated
6 Trying to meet her expectations for you related to finding a job,
staying clean helping her financially
7 Being angry at her or not wanting to see her
8 Her being angry at you or not wanting to see you
9 Some other challenge (SPECIFY)
Expect
Angry
PartAngry
Other
Not knowing how to get in contact with her
Being able to feel close to her again after the time in prison
Being able to trust her after the time in prison
Problems or new situations that have come up since you were incarcerated
---------------------------------------------------------------------------------
Logic before:
IF ME7V023 EQ "Other", ask ME7V023s.
ME7V023s
Else, go to ME7V025.
18MFU Other Specify
OTHER SPECIFY
Question Type:
STRING[150]
---------------------------------------------------------------------------------
ME7V025
18MFU Partner Support Expectations 2
[USE SHOWCARD 38]
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about your expectations about how you and ^prld.Namefill will treat one another after
you are released.
You will love ^prld.Namefill and make her feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 186 of 220
---------------------------------------------------------------------------------
ME7V026
18MFU Partner Support Expectations 3
You will help ^prld.Namefill with whatever problems she faces.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME7V028
18MFU Partner Support Expectations 5
You think ^prld.Namefill will love you and make you feel wanted.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
ME7V029
18MFU Partner Support Expectations 6
You think ^prld.Namefill will help you with whatever problems you face.
Question Type:
TAgreeLower
StroAgree
Agree
Disagree
StroDisagree
1
2
3
4
Strongly agree
Agree
Disagree
Strongly disagree
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 187 of 220
Parenting
---------------------------------------------------------------------------------
Logic before:
If FOCLIVE = 2 (Dead )and TOTALCHILD18 GT 1, go to ME7N036. If ME7J017 eq no, DK or RF, go to
ME7N030. If ME7J017 = yes, go to ME7N035.
ME7N030
18MFU See Focal Child
[USE SHOWCARD 39]
Now, I'd like to know about your expectations for your relationship with your ^children after you
are released.
How often do you think you will see ^prld.FOCCHILD in person after you are released?
Question Type:
TOften
One
Couple
OnceMon
CoupMon
OnlyCoup
Never
1
2
3
4
5
6
One or more times a week
A couple of times a month
About once a month
Every couple of months
Only a couple of times
Never
---------------------------------------------------------------------------------
ME7N031
18MFU Financially Support Focal Child
Do you expect to financially support ^prld.FOCCHILD in any way after you are released?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If ME7N031=no, go to ME7N035.
---------------------------------------------------------------------------------
Logic before:
If ME7N031 = yes, ask ME7N032.
ME7N032
If ME7N031 = no, dk, or rf, skip to ME7N035. Mark all that apply.
18MFU Financial Support for Focal Child
[USE SHOWCARD 40]
In what ways do you expect to provide financial support for ^prld.FOCCHILD? Please include support
you expect to provide to the child directly as well as support you will provide to the child's
other parent or caretaker. Please select all that apply.
Question Type:
TMonetary3
Gift
Shopping
Expense
More300
Two300
One200
Upto100
1 Buying ^prld.FOCCHILD birthday or holiday gifts
2 Taking ^prld.FOCCHILD shopping for clothes, school supplies, or other
things ^FOCSEX1 needs
3 Helping out occasionally with bills, rent or other expenses in the
child's household
4 Providing steady, regular financial support of over $300 per month
5 Providing steady, regular financial support of $200-$300 per month
6 Providing steady, regular financial of $100-$200 per month
7 Providing steady, regular financial support up to $100 per month
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 188 of 220
---------------------------------------------------------------------------------
Logic before:
If NAMEFILL ALIVE = 2 (dead) skip to ME7N036.
ME7N035
18MFU Decision Making for Focal Child Post-Release
Who will make major decisions about things such as child care and health care for ^prld.FOCCHILD?
Would you say . . .
Question Type:
TDecisionsFFU
Both
MotherMain
Respondent
Someelse
1
2
3
4
^prld.Namefill and you will make most of the decisions together
^prld.Namefill will make most decisions without you
You will make most decisions without ^prld.Namefill
Someone else involved in raising the child will make most decisions
without you or ^prld.Namefill
5 You and someone else involved in raising the child will make most of the
decisions
RandOther
---------------------------------------------------------------------------------
Logic before:
IF TOTALCHILD18 GE 1 ASK ME7N036 ELSE SKIP TO NEXT SECTION
ME7N036
18MFU Relationship with Children
How easy or hard do you think it will be to have a good relationship with your ^children after you
get out?
Question Type:
TDifficulty
Veasy
PretEasy
PretHard
Vhard
1
2
3
4
Very easy
Pretty easy
Pretty hard
Very hard
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 189 of 220
---------------------------------------------------------------------------------
Logic before:
Allow the respondent to "select all that apply". If TOTALCHILD18 GT 1 child, include fill text,
"Please consider only the children you were in contact with before you were incarcerated." Else do
not include this fill text.
ME7N037
18MFU Biggest Challenges with Other Children
[USE SHOWCARD 41]
Thinking about when you are released, what do you expect will be the biggest challenges in your
relationship with your ^children? Select all that apply.
^lcfill
REQUIRED PROBE: Anything else?
Question Type:
TExpect2
Find
Missed
1 Not knowing how to get in contact with your ^children
2 Having missed out on so much that happened with your ^children while you
were incarcerated
3 Getting your ^children to trust you or open up to you after the time
apart
4 Finding transportation for visits or activities
5 Dealing with people who don't want you to see your ^children
6 Not being in a stable enough housing and financial situation to be able
to spend time with your ^children
7 Your lifestyle not being a healthy one for kids
8 Your ^children being angry at you or not wanting to see you
9 Having money to financially support or buy things for your ^children
10 Some other challenge (SPECIFY)
Trust
Trans
Kids
Instability
Lifestyle
Angry
Money
Other
Logic after:
If ME7N037 = Other, go to ME7N037s. Else go to MEHOU1.
---------------------------------------------------------------------------------
ME7N037s
18MFU Other Specify
SPECIFY OTHER CHALLENGE
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 190 of 220
Locator Information
---------------------------------------------------------------------------------
Logic before:
IF ME3B011 = yes, DK, or RF ask MEHOU1.
MEHOU1
If ME3B011 = no, go to MEHOU9. Else, go to MEHOU6a.
Contact Post Release
Finally, in case we ever need to contact you for a follow-up interview once you are released,
please tell me where you are going to stay immediately after release. Where is the very first place
you will go as you are getting back on your feet?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL THEY LIVE IN?
WHERE WILL THEY LIVE, MORE SPECIFICALLY?
WHO WILL THE R LIVE WITH?
WHAT TYPE OF STRUCTURE WILL THEY LIVE IN?
HOW LONG WILL THEY STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MEHOU2
Specific Address
DOES THE R HAVE A SPECIFIC ADDRESS?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If yes, go to MEHOU2a. If no, go to MEHOU3
---------------------------------------------------------------------------------
MEHOU2a
Address
What is your address?
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MEHOU2b
City
And in what city is that?
Question Type:
STRING[15]
---------------------------------------------------------------------------------
MEHOU2c
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 191 of 220
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MEHOU2d
Phone Number
What is the phone number, where you can be reached?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MEHOU3
Length of Stay Post Release
Do you think you will stay there indefinitely, or will that be a temporary situation?
Question Type:
TLength
Stay
Temp
1 STAY
2 ONLY TEMPORARY
Logic after:
If "STAY", go to MEHOU9. If "ONLY TEMPORARY", go to MEHOU4
---------------------------------------------------------------------------------
MEHOU4
2nd Residence Post Release
Where do you think you will live next?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL THEY LIVE IN?
WHERE WILL THEY LIVE, MORE SPECIFICALLY?
WHO WILL THE R LIVE WITH?
WHAT TYPE OF STRUCTURE WILL THEY LIVE IN?
HOW LONG WILL THEY STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MEHOU5
2nd Address Available
DOES THE R HAVE A SPECIFIC ADDRESS?
@B[FI NOTE: IF THIS IS THE SAME ADDRESS REPORTED PREVIOUSLY, ENTER NO].@B
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If yes, go to MEHOU5a. If no, go to MEHOU9.
---------------------------------------------------------------------------------
MEHOU5a
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 192 of 220
---------------------------------------------------------------------------------
MEHOU5b
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
MEHOU5c
State
State
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MEHOU5d
Phone Number
Phone
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If MECON5 = No, ask MEHOU6a. If MECON5 = yes and ME3B011 = yes or no, go to MEHOU9.
MEHOU6a
Current Address
This next set of questions ask for your current contact information.
Please tell me your current address.
[ENTER CURRENT ADDRESS]
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MEHOU6b
Current City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 193 of 220
---------------------------------------------------------------------------------
MEHOU6c
Current State
State
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE
Question Type:
TabTState
---------------------------------------------------------------------------------
MEHOU6d
Current Zip Code
Zip Code
Question Type:
STRING[5]
---------------------------------------------------------------------------------
MEHOU6e
Current Phone Number
What is your current phone number?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MEHOU6f
Second Current Phone Number
Is there another phone number where we are able to reach you?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MEHOU6f = yes, go to MEHOU6g. Else go to MEHOU7.
---------------------------------------------------------------------------------
MEHOU6g
2nd Current Phone Number
Phone number
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 194 of 220
---------------------------------------------------------------------------------
Logic before:
If MECON5 = No, ask MEHOU7. Else, go to MEHOU9.
MEHOU7
Contact in 9 Months
Finally, in case we ever need to contact you for a follow-up interview, please tell me where you
expect to be living 9 months from now.
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL HE LIVE IN?
WHERE WILL HE LIVE, MORE SPECIFICALLY?
WHO WILL HE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL HE LIVE IN?
HOW LONG WILL HE STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MEHOU7a
Specific Address
DOES THE R HAVE A SPECIFIC ADDRESS?
@B[FI NOTE: IF THIS IS THE SAME ADDRESS REPORTED PREVIOUSLY, ENTER NO].@B
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MEHOU7a = yes, ask MEHOU7b. If MEHOU7a = No/DK/RF, go to MEHOU7e.
MEHOU7b
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MEHOU7c
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
MEHOU7d
State
State
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 195 of 220
---------------------------------------------------------------------------------
MEHOU7e
Phone Number
At what phone number will we be able to reach you?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MEHOU7f
Other Contact in 9 Months
Where else might you be living in the future?
INTERVIEWER: PROBE FOR DETAILS:
WHO WILL HE LIVE WITH?
WHAT CITY WILL HE LIVE IN?
WHERE WILL HE LIVE, MORE SPECIFICALLY?
WHAT TYPE OF STRUCTURE WILL HE LIVE IN?
HOW LONG WILL HE STAY?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
MEHOU7g
Specific Address
DOES THE R HAVE A SPECIFIC ADDRESS?
@B[FI NOTE: IF THIS IS THE SAME ADDRESS REPORTED PREVIOUSLY, ENTER NO].@B
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MEHOU7g = yes, ask MEHOU7h. If MEHOU7g = No/DK/RF, go to MEHOU7l.
MEHOU7h
Address
Address
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MEHOU7i
City
City
Question Type:
STRING[15]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 196 of 220
---------------------------------------------------------------------------------
MEHOU7j
State
State
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
MEHOU7k
Phone Number
At what phone number will we be able to reach you?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If ME5I010 = yes, go to MEHOU7l. If ME5I010 = no OR MECON5 = yes, skip to MEHOU9.
MEHOU7l
Employer
Where do you work? In other words, what is the name of the company or organization you work for?
We will not contact you at work unless we cannot get in touch with you at your home.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MEHOU7m
Employer City
What city is this in?
Question Type:
STRING[15]
---------------------------------------------------------------------------------
MEHOU7n
Employer State
What state is this in?
INTERVIEWER: CODE THE STATE USING THE Lookup TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 197 of 220
---------------------------------------------------------------------------------
MEHOU7o
Employer Phone Number
What is the phone number there?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MEHOUcontact
Question Type:
contact loop
array[1..3] of BMEHousub
---------------------------------------------------------------------------------
Logic before:
Preload namefill’s last name and use to fill ^lastname. If NAMEFILL ALIVE = 2, go to MEHOU25.
MEHOU17
Spouse/Partner Name
In case we are having problems locating ^prld.Namefill for the next interview, we have a few
questions we would like to ask you.
What is ^prld.Namefill's full legal name? Please include her middle name.
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MEHOU17a
Spouse/Partner Other Last Name
Does she have a maiden name or other last name that she has ever used?
Question Type:
TYesNo
yes
no
1 Yes
2 No
---------------------------------------------------------------------------------
Logic before:
If MEHOU17a = yes, ask MEHOU17b. If MEHOU17a = No, skip to MEHOU17c.
MEHOU17b
Spouse/Partner Other Name Specify
What is ^prld.Namefill's maiden or other last name? Please spell it for me.
Question Type:
STRING[50]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 198 of 220
---------------------------------------------------------------------------------
MEHOU17c
Spouse/Partner DOB
Do you know ^prld.Namefill's date of birth?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MEHOU17c = yes, ask MEHOU17d. If MEHOU17c = no, ask MEHOU17e.
MEHOU17d
Spouse/Partner DOB Specify
What is her date of birth?
Question Type:
TabDate2
Month
Day
Year
1 Month 1...12
2 Day 1...31
3 1934...1995
---------------------------------------------------------------------------------
Logic before:
If MEHOU17c = no, ask MEHOU17e.
MEHOU17e
Spouse/Partner Age
Okay. How old is ^prld.Namefill?
Question Type:
STRING[25]
---------------------------------------------------------------------------------
MEHOU17f
Spouse/Partner Race
[USE SHOWCARD 43]
What race or ethnicity is ^prld.Namefill?
Select all that apply.
[IF R SAYS NATIVE AMERICAN, VERIFY BY ASKING: I am recording this as American Indian.
right?]
REQUIRED PROBE: Any others?
Question Type:
Trace
White
BlacAfr
AmerIn
Asian
Native
Other
1
2
3
4
5
6
White or Caucasian
Black or African American
American Indian or Alaskan Native
Asian
Native Hawaiian or Other Pacific Islander
Some other race
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 199 of 220
Is that
---------------------------------------------------------------------------------
MEHOU18
Spouse/Partner Address
What is ^prld.Namefill's address? If you don't know the exact address, please tell me a street name
or a neighborhood.
INTERVIEWER: BE SURE TO PROBE FOR A BLDG AND/OR APT NUMBER.
Question Type:
Logic after:
STRING[100]
IF MEHOU18=RF go to MEHOU19
---------------------------------------------------------------------------------
MEHOU18a
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MEHOU18b
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
MEHOU18c
Zip Code
And what is the zip code?
Question Type:
STRING[5]
---------------------------------------------------------------------------------
MEHOU19
Spouse/Partner Phone Number Available
Does ^prld.Namefill have a phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MEHOU19=yes, go to MEHOU19a. Else go to MEHOU21
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 200 of 220
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MEHOU19a
Spouse/Partner Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If MEHOU19=yes, go to MEHOU20. Else go to MEHOU21.
MEHOU20
Partner/Spouse Second Phone Number Available
Does ^prld.Namefill have a second phone number, such as a cell phone?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MEHOU20=yes, go to MEHOU20a.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MEHOU20a
Partner/Spouse Second Number
What is that phone number, starting with the area code?
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MEHOU21
Partner/Spouse Work Status
Does ^prld.Namefill work outside of the home?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MEHOU21=yes, go to MEHOU22. Else go to MEHOU23d.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 201 of 220
---------------------------------------------------------------------------------
MEHOU22
Partner/Spouse Place of Employment
Where does ^prld.Namefill work? In other words, what is the name of the company or organization she
works for? Again, we will not contact her at work unless we've tried all other possible means of
locating her.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MEHOU22a
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MEHOU22b
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
MEHOU23
Partner/Spouse Work Number Available
Does ^prld.Namefill have a work phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MEHOU23=yes, go to MEHOU23a. Else go to MEHOU23d.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MEHOU23a
Partner/Spouse Work Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 202 of 220
---------------------------------------------------------------------------------
MEHOU23d
Spouse/Partner Other Tracing
In case we are having trouble finding her, is there anyone else who would know how to find her?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
Logic before:
If MEHOU23d = yes, ask MEHOU23e. If MEHOU23d = No, skip to MEHOU24.
MEHOU23e
Spouse/Partner Other Tracing 1
What is his or her name?
ENTER FIRST NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MEHOU23f
Spouse/Partner Other Tracing 2
ENTER MIDDLE NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MEHOU23g
Spouse/Partner Other Tracing 3
ENTER LAST NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MEHOU23h
Address of Contact
What is this person's address? If you don't know the exact address, please tell me a street name or
a neighborhood.
INTERVIEWER: BE SURE TO PROBE FOR A BLDG AND/OR APT NUMBER.
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MEHOU23i
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 203 of 220
---------------------------------------------------------------------------------
MEHOU23j
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
MEHOU23k
Phone Number Available
Does this person have a phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes, go to MEHOU23l. Else go to MEHOU23v.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MEHOU23l
Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If MEHOU23k =yes, go to MEHOU23m.
MEHOU23m
Second Phone Number Available
Does this person have a second phone number, such as a cell phone?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If MEHOU23m = yes, go to MEHOU23n. Else go to MEHOU23v.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 204 of 220
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MEHOU23n
Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MEHOU23v
Namefill Relationship to Contact Person
What is this person's relationship to ^prld.Namefill?
Question Type:
TContactRelateF
spouse
mother
father
brother
auntuncle
cousin
grandparent
child
friend
neighbor
coworkder
someone
1
2
3
4
5
6
7
8
9
10
11
12
Her spouse or partner
Her mother/stepmother
Her father/stepfather
Her brother, stepbrother, sister, or stepsister
Her aunt or uncle
Her cousin
Her grandmother or grandfather
Her child or stepchild
Her friend
Her neighbor or former neighbor
Her co-worker or former co-worker
Someone else (specify)
Logic after:
If MEHOU23v = Someone Else, go to MEHOU23vs. Else go to MEHOU24.
---------------------------------------------------------------------------------
MEHOU23vs
Description of Relationship
DESCRIBE THE RELATIONSHIP OF THE PERSON TO R, RECORDING THE R'S ANSWER VERBATIM.
Question Type:
STRING[150]
---------------------------------------------------------------------------------
MEHOU24
Thank You Partner/Spouse Information
Thank you. Please let ^prld.Namefill know that you would like her to tell me where I can find you
if I try to locate you for another interview.
Question Type:
Tcontinue
continue
1 continue
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 205 of 220
---------------------------------------------------------------------------------
Logic before:
IF MECON5 = no OR ME3B011 = yes, DK, or RF ask MEHOU25, Else, go to MEHOU26.
MEHOU25
Description of Places
If I'm really having difficulty finding where @Byou@B live, can you tell me where you spend your
time when you are not at home and not at work? What local places do you like to spend time at?
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 2; field3, allow 4
MEHOU26
R Social Security Number
What is your social security number?
Question Type:
TabTSSN1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
Preload male’s first and last name from baseline and use to fill ^prld.fname and ^prld.lname.
MEHOU27
R Name Confirmation
And just to confirm, do you still go by ^prld.fname ^prld.lname?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If MEHOU27=no, go to MEHOU27a. Else go to MEHOU28
---------------------------------------------------------------------------------
MEHOU27a
Additional Names for R
What name or names do you go by?
Question Type:
STRING[100]
---------------------------------------------------------------------------------
MEHOU28
Other Information Shared by R
Finally, is there anything else you think we should know about how incarceration has affected you
or your family?
Question Type:
STRING[300]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 206 of 220
Contact Loop
---------------------------------------------------------------------------------
Logic before:
MNHOU9 though MNHOU16 should be repeated 3 times to capture 3 sets of contact information.
MEHOU9
Preface Locator Section
In case we ever need to locate you for a follow-up interview, I need to collect contact information
on three people who would know your whereabouts and who could help us contact you to be
interviewed, if necessary.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
^lcfill should say “first” for the first time the contact loop is gone through; the second time the
loop is gone through, ^lcfill should say “second” and the third time the loop is gone through it
should say “third”.
MEHOU9a
First Name
What is the name of the ^lcfill person who would know how to reach you?
ENTER FIRST NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MEHOU9b
Middle Name
ENTER MIDDLE NAME
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MEHOU9c
Last Name
ENTER LAST NAME
Question Type:
Logic after:
STRING[30]
If (MEHOU9a and MEHOU9b and MEHOU9c) = RF/DK for first contact person, skip to MEHOU17.
---------------------------------------------------------------------------------
MEHOU10
Address of Contact
What is this person's address? If you don't know the exact address, please tell me a street name or
a neighborhood.
INTERVIEWER: BE SURE TO PROBE FOR A BLDG AND/OR APT NUMBER.
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 207 of 220
---------------------------------------------------------------------------------
MEHOU10a
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MEHOU10b
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
MEHOU11
Phone Number Available
Does this person have a phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If yes, go to MEHOU11a. Else go to MEHOU13.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MEHOU11a
Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
Logic before:
If MEHOU11=yes, go to MEHOU12.
MEHOU12
Second Phone Number Available
Does this person have a second phone number, such as a cell phone?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If MEHOU12=yes, go to MEHOU12a. Else go to MEHOU13
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 208 of 220
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MEHOU12a
Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MEHOU13
Work Outside of Home
Does this person work outside of the home?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MEHOU13 = yes, go to MEHOU14. Else go to MEHOU15.
---------------------------------------------------------------------------------
MEHOU14
Where Does Contact Person Work
Where does this person work? In other words, what is the name of the company or organization this
person works for? We will not contact them at work unless we've tried all other possible means of
locating you.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MEHOU14a
City
And in what city is that?
Question Type:
STRING[30]
---------------------------------------------------------------------------------
MEHOU14b
State
And in what state is that?
INTERVIEWER: CODE THE STATE USING THE LookUp TABLE BY EITHER PRESSING OR STARTING TO
TYPE THE NAME OF THE STATE.
Question Type:
TabTState
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 209 of 220
---------------------------------------------------------------------------------
MEHOU14c
Work Phone Available
Does this person have a work phone number?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
Logic after:
If MEHOU14c=yes, go to MEHOU14d. Else go to MEHOU15.
---------------------------------------------------------------------------------
Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4
MEHOU14d
Work Phone Number
What is that phone number, starting with the area code?
INTERVIEWER: IF R DOES NOT KNOW THE NUMBER, CODE "DON'T KNOW".
Question Type:
TabTNumber1
Field1
Field2
Field3
1 Field1
2 Field2
3 Field3
---------------------------------------------------------------------------------
MEHOU15
R Relationship to Contact Person
What is this person's relationship to you?
Question Type:
TContactRelate
spouse
mother
father
brother
auntuncle
cousin
grandparent
child
friend
neighbor
coworker
someone
1
2
3
4
5
6
7
8
9
10
11
12
Your spouse or partner
Your mother/stepmother
Your father/stepfather
Your brother, stepbrother, sister, or stepsister
Your aunt or uncle
Your cousin
Your grandmother or grandfather
Your child or stepchild
Your friend
Your neighbor or former neighbor
Your co-worker or former co-worker
Someone else (specify)
Logic after:
If MEHOU15 = 12 (Someone Else), go to MEHOU15s. Else go to MEHOU16.
---------------------------------------------------------------------------------
MEHOU15s
Description of Relationship
DESCRIBE THE RELATIONSHIP OF THE PERSON TO R, RECORDING THE R'S ANSWER VERBATIM.
Question Type:
STRING[100]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 210 of 220
---------------------------------------------------------------------------------
MEHOU16
Thank You for Contact Information
Thank you. Please let this person know that you would like them to tell me where I can find you if
I try to locate you for another interview.
Question Type:
Tcontinue
continue
1 continue
---------------------------------------------------------------------------------
MEHOU16s
NO LABEL
Is there another person who would always know how to reach you?
Question Type:
TYesNo
yes
no
1 Yes
2 No
Logic after:
If MEHOU16s EQ yes, loop back and ask MEHOU9 - MEHOU16. Else go to MEHOU17.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 211 of 220
Interviewer Observations
---------------------------------------------------------------------------------
MEFIO001
R Cooperated
HOW COOPERATIVE WAS THE RESPONDENT?
Question Type:
TCoop
Vcoop
Fair
NotCoop
Hostile
1
2
3
4
VERY COOPERATIVE
FAIRLY COOPERATIVE
NOT VERY COOPERATIVE
OPENLY HOSTILE
---------------------------------------------------------------------------------
MEFIO002
R Level of Understanding
ESTIMATE THE RESPONDENT'S LEVEL OF UNDERSTANDING OF THE INTERVIEW QUESTIONS.
Question Type:
TComp
NoDif
Little
Fair
Alot
1
2
3
4
NO DIFFICULTY UNDERSTANDING QUESTIONS
JUST A LITTLE DIFFICULTY UNDERSTANDING QUESTIONS
A FAIR AMOUNT OF DIFFICULTY UNDERSTANDING QUESTIONS
A LOT OF DIFFICULTY UNDERSTANDING QUESTIONS
---------------------------------------------------------------------------------
MEFIO003
R Remember Past Events
HOW MUCH TROUBLE DID THE RESPONDENT HAVE REMEMBERING PAST EVENTS?
Question Type:
TTrouble
NoTroub
Little
Fair
Alot
1
2
3
4
NO TROUBLE
JUST A LITTLE TROUBLE
A FAIR AMOUNT OF TROUBLE
A LOT OF TROUBLE
---------------------------------------------------------------------------------
MEFIO004
R Level of Truthfulness
ESTIMATE THE RESPONDENT'S LEVEL OF TRUTHFULNESS/MISPRESENTATION.
Question Type:
TTruth
Very
Fair
NoTruth
Lying
1
2
3
4
VERY TRUTHFUL
FAIRLY TRUTHFUL
NOT VERY TRUTHFUL
OPENLY LYING
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 212 of 220
---------------------------------------------------------------------------------
MEFIO005
R Level of Engagement
IN GENERAL, HOW ENGAGED/INTERESTED WAS THE RESPONDENT DURING THE INTERVIEW?
Question Type:
TEngage
Very
Fair
NotVery
Unengaged
1
2
3
4
VERY ENGAGED AND INTERESTED
FAIRLY ENGAGED AND INTERESTED
NOT VERY ENGAGED AND INTERESTED
TOTALLY UNENGAGED AND DISINTERESTED
---------------------------------------------------------------------------------
MEFIO006
R Mood Level
IN GENERAL, HOW IRRITABLE OR MOODY WAS THE RESPONDENT DURING THE INTERVIEW?
Question Type:
TMood
Very
Fairly
NotVery
NotAtAll
1
2
3
4
VERY IRRITABLE/MOODY
FAIRLY IRRITABLE/MOODY
NOT VERY IRRITABLE/MOODY
NOT AT ALL IRRITABLE/MOODY
---------------------------------------------------------------------------------
MEFIO007
Number of Distractions
INDICATE THE DEGREE OF DISTRACTIONS OR INTERRUPTIONS DURING THE INTERVIEW.
Question Type:
TInterrupt
None
Few
Fair
Alot
1
2
3
4
NO DISTRACTIONS OR INTERRUPTIONS
JUST A FEW DISTRACTIONS OR INTERRUPTIONS
A FAIR NUMBER OF DISTRACTIONS OR INTERRUPTIONS
A LOT OF DISTRACTIONS OR INTERRUPTIONS
---------------------------------------------------------------------------------
MEFIO008
R Level of Eye Contact
HOW MUCH EYE CONTACT DID THE RESPONDENT USE DURING YOUR INTERACTION?
Question Type:
TEyeCon
Avoid
Occasion
Mostly
1 R MOSTLY AVOIDED EYE CONTACT
2 R OCCASIONALLY MADE EYE CONTACT
3 R MOSTLY MADE EYE CONTACT
Logic after:
Code completed interviews that took place in a jail or prison setting (MECON5 EQ YES) as a 492.
MECON5 EQ NO, code completed interview as 491.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 213 of 220
If
Locator Info2
---------------------------------------------------------------------------------
Logic before:
Preload MBHOUarr1 and MNHouarr1. If (MBHOUarr1 or MNHouarr1) = assent, skip to
MEHOUarr1.
MEHOUarr1
MEHOU28a. Else ask
Records Release Form Consent
[HAND R ADMINISTRATIVE RECORDS RELEASE FORM.]
Before we go, I've got one more form I'd like to show you. This document is called an
administrative records release form, and I'm going to read it out loud to you. It will explain what
we are asking you to do. After I'm done reading it, I will answer any questions you may have.
[READ THE FORM TO THE RESPONDENT.]
[OPTIONAL PROBE: By matching your information with administrative records from these agencies,
we’ll be able to get a bigger picture of how families with an incarcerated father are doing and
what kind of programs really help them. This type of information is not publicly available, so we
can only get it with your consent. These agencies will not be permitted to use your personal
information for any purposes other than to fulfill our research request, and we’ll be combining
your data with data from all of the other study participants rather than looking at your personal
information individually. If you choose to give permission for this data matching, it will help us
to ensure the usefulness of this study to other families in your situation.]
[IF R AGREES, HAND R PEN AND INSTRUCT R TO SIGN THE FORM. THEN YOU SHOULD SIGN THE FORM.]
DID R CONSENT OR REFUSE?]
Question Type:
Tadmin
assent
declines
1 YES: R CONSENTS
2 NO: R DECLINES
Logic after:
If MEHOU26 = RF/DK and MEHOUARR1 = yes, add a consistency check. "Thank you. We'll need your
social security number to access these records." [FI GO BACK TO MEHOU26 AND ASK FOR THIS
INFORMATION AGAIN. IF R REFUSES OR DOES NOT KNOW, THEN ENTER 2 AT MEHOUARR1.]
---------------------------------------------------------------------------------
Logic before:
If MEHOUarr1 = 1, then ask MEHOUarr2.
MEHOUarr2
Records Release
[GIVE R AN @BUNSIGNED@B COPY OF THE RECORDS RELEASE FORM.
RETURN YOUR SIGNED COPY OF THE CONSENT FORM TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO
YOUR FS/RTI.]
Question Type:
Tcontinue
continue
1 continue
---------------------------------------------------------------------------------
Logic before:
If MEHOUarr1 = 2, then ask MEHOUarr3.
MEHOUarr3
Refused Records Release
[WRITE 'REFUSED' ON THE FORM AND RETURN TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO YOUR
FS/RTI.]
Question Type:
Tcontinue
continue
1 continue
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 214 of 220
---------------------------------------------------------------------------------
MEHOU28a
Thank You for Participation
That was our last question. Thank you for your participation in this study!
We may decide to contact you again in the future to invite you to participate in a follow-up
interview. You can decide at that time whether or not you wish to participate.
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If (MECON5 = No) OR (R is from Minnesota), ask MEHOU28d. Else go to MEHOU30.
If male9mo = yes, then fill1 = [R IS ALSO ELIGIBLE FOR $25 BONUS INCENTIVE FOR COMPLETING ALL 3
INTERVIEWS.]
IF MALE9MO NE YES, THEN FILL1 = [R IS NOT ELIGIBLE FOR THE $25 INCENTIVE BONUS BECAUSE HE DID NOT
COMPLETE THE 9MFU INTERVIEW.]
MEHOU28d
Incentive Receipt
I also need to give you your incentive payment, and I need to ask you to initial a receipt.
[FI: MALE IS ELIGIBLE FOR $40 INCENTIVE PAYMENT]
^fill1
Question Type:
TNext
NextScreen
1 PRESS 1 TO CONTINUE
---------------------------------------------------------------------------------
Logic before:
If MECON5 = No, ask MEHOU28e. Else skip to MEHOU30.
MEHOU28e
Call-in Bonus
WAS R ELIGIBLE FOR THE $5 CALL-IN BONUS?
Question Type:
TYesNoCaps
Yes
No
1 YES
2 NO
---------------------------------------------------------------------------------
MEHOU30
Method Incentive is Paid
HOW WAS THE INCENTIVE PAID?
Question Type:
TIncentiveFU
Inmate
Designee
NotAllow
Cash
Other
1
2
3
4
5
INMATE ACCOUNT
DESIGNEE
INCENTIVE NOT PERMITTED BY FACILITY
CASH
OTHER (SPECIFY)
Logic after:
If MEHOU30 = Other, go to MEHOU30s. Else go to MEHOU31.
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 215 of 220
---------------------------------------------------------------------------------
MEHOU30s
Specify Other Incentive Method
SPECIFY OTHER
Question Type:
STRING[20]
---------------------------------------------------------------------------------
Logic before:
If MECON5 = yes, ask MEHOU31. Else go to MEFIO001.
MEHOU31
State that IV was conducted in
IN WHICH STATE DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tivstate
Mnsota
indy
ohi
newy
newj
oths
1
2
3
4
5
6
MINNESOTA
INDIANA
OHIO
NEW YORK
NEW JERSEY
OTHER STATE (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If MEHOU31 = 6, ask MEHOU31s.
MEHOU31s
SPECIFY OTHER STATE AND FACILITY
SPECIFY THE STATE AND FACILITY NAME.
Question Type:
TabTfacstate
staten
facname
1 STATE
2 FACILITY NAME
---------------------------------------------------------------------------------
Logic before:
IF MEHOU31 1, ask MEHOU32a.
MEHOU32a
Which MN facility
IN WHICH MINNESOTA FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
TmnfacilityFU
frbault
llakes
mlake
prre
rcity
stlwater
stcld
will
otsp
1
2
3
4
5
6
7
8
9
FARIBAULT
LINO LAKES
MOOSE LAKE
PRARIE
RUSH CITY
STILLWATER
ST. CLOUD
WILLOW RIVER
OTHER (SPECIFY)
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 216 of 220
---------------------------------------------------------------------------------
Logic before:
If MBHOU32a = other, ask MEHOU32as.
MEHOU32as
Specify other MN facility
SPECIFY OTHER MINNESOTA FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Logic before:
If MEHOU31 = 2, ask MEHOU32b.
MEHOU32b
Which IN facility
IN WHICH INDIANA FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
TinfactiliesFU
brchvlle
chlakes
corinfac
ednbrg
hryvl
inst
mads
mmi
newcas
pdltn
plnfld
plfldre
ptnmvl
wbsh
vstvl
hen
green
marr
ind
boone
wabash
mwr
stj
spmu
dccc
rwr
acj
voa
jenn
otsp
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
BRANCHVILLE
CHAIN OF LAKES
CORRECTIONAL INDUSTRIAL FACILITY
EDINBURGH
HENRYVILLE
IN STATE
MADISON
MIAMI
NEWCASTLE
PENDLETON
PLAINFIELD CORRECTIONAL FACILITY
PLANFIELD RE-ENTRY EDUCATION FACILITY
PUTNAMVILLE
WABASH VALLEY
WESTVILLE
HENDRICKS COUNTY WORK RELEASE
GREEN COUNTY JAIL
MARION COUNTY JAIL
INDIANAPOLIS MEN'S COMMUNITY RE-ENTRY
BOONE COUNTY
WABASH VALLEY REGIONAL COMMUNITY CORRECTION
MARION COUNTY WORK RELEASE - DUVALL RESIDENTIAL
ST JOSEPH CO `CORRECTIONS
STATE PRISON MINIMUM UNIT
DELALARE COUNTY COMMUNITY CORRECTIONS
RIVERSIDE WORK RELEASE
ALLEN COUNTY JAIL
VANDERBURGH COUNTY VOA
JENNINGS COUNTY
OTHER (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If MEHOU32b = other, then ask MEHOU34bs.
MEHOU32bs
Specify other IN facility
SPECIFY OTHER INDIANA FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 217 of 220
---------------------------------------------------------------------------------
Logic before:
IF MEHOU31 = 3, then ask MEHOU32c.
MEHOU32c
Which OH facility
IN WHICH OHIO FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
TohfacilitiesFU
tldo
allcor
trmb
dtn
chllc
msfld
rchlnd
mtgm
rsc
grft
ctf
leb
ncen
pick
lndn
mad
nccc
warr
soci
bel
lor
recp
cnw
mar
erie
otsp
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
TOLEDO CORRECTIONAL INSTITUTION
ALLEN CORRECTIONAL INSTITUTION
TRUMBULL CORRECTIONAL INSTITUTION
DAYTON CORRECTIONAL INSTITUTION
CHILLICOTHE CORRECTIONAL INSTITUTION
MANSFIELD CORRECTIONAL INSTITUTION
RICHLAND CORRECTIONAL INSTITUTION
MONTGOMERY EDUCATION PRE-RELEASE CENTER
ROSS CORRECTIONAL INSTITUTION
GRAFTON CORRECTIONAL INSTITUTION
CORRECTIONAL TREATMENT FACILITY
LEBANON CORRECTIONAL FACILITY
NORTH CENTRAL CORRECTIONAL FACILITY
PICKAWAY CORRECTIONAL INSTITUTION
LONDON CORRECTIONAL INSTITUTION
MADISON CORRECTION INSTITUTION
NORTHWEST COMMUNITY CORRECTIONS CENTER
WARREN CORRECTIONAL INSTITUTION
SOUTHERN OHIO CORRECTIONAL INSTITUTION
BELMONT CORRECTIONAL INSTITUTE
LORAIN CORRECTIONAL INSTITUTE
CORRECTIONAL RECEPTION CENTER
CORRECTIONS COMMISSION OF NORTHWEST OHIO
MARION CORRECTIONAL INSTITUTE
LAKE ERIE CORRECTIONAL INSTITUTE
OTHER (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If MEHOU32c = other, then ask MEHOU32cs.
MEHOU32cs
Specify other OH facilities
SPECIFY OTHER OHIO FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 218 of 220
---------------------------------------------------------------------------------
Logic before:
If MEHOU31 = 4, then ask MEHOU32d.
MEHOU32d
Which NY facility
IN WHICH NEW YORK FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tnyfacilities
fshkl
otsvl
sng
grnh
estrn
fvpts
wt
mar
col
hale
cape
riv
wall
camp
gouv
wb
otsp
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
FISHKILL
OTISVILLE
SING SING
GREEN HAVEN
EASTERN
FIVE POINTS
WATERTOWN
MARCY
COLLINS CORRECTIONAL FACILITY
HALE CREEK CORRECTIONAL FACILITY
CAPE VINCENT CORRECTIONAL FACILITY
RIVERSIDE CORRECTIONAL FACILITY
WALLKILL CORRECTIONAL FACILITY
CAMP GEORGETOWN CORRECTIONAL FACILITY
GOUVERMEUR CORRECTIONAL FACILITY
WOODBOURNE CORRECTIONAL FACILITY
OTHER (SPECIFY)
---------------------------------------------------------------------------------
Logic before:
If MEHOU31 = 4, then ask MEHOU32d.
MEHOU32ds
Specify other NY facilities
SPECIFY OTHER FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Logic before:
If MEHOU31 = 5, then ask MEHOU32e.
MEHOU32e
Which NJ facility?
IN WHICH NEW JERSEY FACILITY DID YOU CONDUCT THIS INTERVIEW?
Question Type:
Tnjfacilities
nost
grdnst
sthwds
mdst
sthst
albwgnr
bysde
bo
mon
tal
ej
essex
otsp
1
2
3
4
5
6
7
8
9
10
11
12
13
NORTHERN STATE
GARDEN STATE
SOUTHWOODS
MIDSTATE
SOUTHERN STATE
ALBERT WAGNER
BAYSIDE
BO ROBINSON EDUCATIONAL & TRAINING CENTER
MONMOUTH COUNTY CORRECTIONAL INSTITUTE
TALBOT HALL ASSESSMENT & TREATMENT CENTER
EAST JERSEY STATE PRISON
ESSEX COUNTY CORRECTIONAL FACILITY
OTHER (SPECIFY)
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 219 of 220
---------------------------------------------------------------------------------
Logic before:
If MEHOU32e = 7, then ask MEHOU32es.
MEHOU32es
Specify other NJ facility
SPECIFY OTHER FACILITY.
Question Type:
STRING[30]
---------------------------------------------------------------------------------
Tuesday, August 03, 2010
Page 220 of 220
| File Type | application/pdf |
| File Title | Microsoft Word - M9MFU.rtf |
| Author | afg |
| File Modified | 2011-10-18 |
| File Created | 2010-08-05 |