MFS-IP Follow up survey-(34 month) Female

Form 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 female follow-up survey
18 month female follow-up survey
34 month female 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

Female 9, 18, and 34M Follow-up
---------------------------------------------------------------------------------

Introduction and Consent
---------------------------------------------------------------------------------

Logic before:
Fill baseline interviewer name below.
ONE" instead of an interviewer name.

FNCONFI

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.MBBLFI 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

MUSTSTOP
GOODTOGO

1 I HAVE INTERVIEWED THIS RESPONDENT'S PARTNER
2 I HAVE NEVER INTERVIEWED THIS RESPONDENT'S PARTNER

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Logic before:
Create new variable called FEMBASE. If female did not participate in the baseline interview, then
FEMBASE = 2. If female participated in the baseline interview, then FEMBASE = 1.

FNCON1

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 FNCON1 = yes, go to FNCON3. If FNCON1= no, go to FNCON2.
---------------------------------------------------------------------------------

FNCON2

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 209

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FNCON3

9MFU Consent Form

[HAND R INTERVIEW CONSENT FORM. FOR INCARCERATED RESPONDENTS, USE THE FACILITY CONSENT FORM THAT
MATCHES THE INCENTIVE PROTOCOL FOR THE FACILITY YOU ARE 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.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FNCON4

9MFU Consent

[GIVE R AN @BUNSIGNED@B COPY OF THE INTERVIEW CONSENT FORM. 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, nodk, norf

Consent
Refused

1 R CONSENTED TO THE INTERVIEW
2 R REFUSED THE INTERVIEW

Logic after:
If FNCON4 = 2 (refused), go to end. Assign event code 360.
---------------------------------------------------------------------------------

Logic before:
If FNCON4 EQ yes, go to FNCON4a.

FNCON4a

Don't allow DK/RF to FNCON4a.

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:

TYesNoCaps, nodk, norf

Yes
No

1 YES
2 NO

Logic after:
If FNCON4a EQ no, TURN OFF CARI and go to FNCON4b.
---------------------------------------------------------------------------------

FNCON4aa

To turn CARI on and off

This exiwsts to turn CARI on or off.

Question Type:

Bconsent

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Tuesday, August 03, 2010

Page 2 of 209

---------------------------------------------------------------------------------

Logic before:
Eveyone should get this item.

FNCON4b

9MFU CARI Consent

GIVE R AN @BUNSIGNED@B COPY OF THE INTERVIEW CONSENT FORM.
[RETURN YOUR COPY OF THE CONSENT FORM TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO YOUR FS.]

Question Type:

TContinue

Continue

1 Continue

---------------------------------------------------------------------------------

Logic before:
Don't allow DK/RF.

FNCON5

9MFU R Incarcerated

IS R CURRENTLY INCARCERATED?

Question Type:

TYesNoCaps, nodk, norf

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FNCON6

9MFU Gender

WHAT IS R'S GENDER?

Question Type:

TGender2

Male
Female
Trans

1 MALE
2 FEMALE
3 TRANSGENDER

Logic after:
FNCON6: add a consistency check if answer is male, DK, or RF in female follow-up survey. Text
should say, "YOU ARE USING A CASEID THAT CAN ONLY BE USED FOR A FOLLOW-UP INTERVIEW WITH A FEMALE
OR TRANSGENDER 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 209

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Logic before:
If FEMBASE = 2, ask FNCON7. Else go to FN1A000a. Calculate nine months prior to current interview
date and use to fill ^NINEMO. Preload the variable ^Namefill (male respondent’s first name) from
male baseline. Allow only one option to be selected.

FNCON7

9MFU Relationship to Male R

As you may know, you were referred to us for this study by ^prld.Namefill about 9 months ago. How
would you define your relationship to him nine months ago, on ^NINEMO?
[REFER R TO ^NINEMO ON REFERENCE CALENDAR]
[PROBES IF NEEDED: At that time, did you consider yourself to be romantically involved with him?
Were you married to him? Did you have children under 18 together? Did you share any parenting
responsibilities with him for a child under 18?]

PRESS 1 IF R WAS @BMARRIED@B TO ^NAMEFILLCAPS @BWITH OR WITHOUT CHILDREN@B
PRESS 2 IF R WAS @BROMANTICALLY INVOLVED@B WITH (@UBUT NOT MARRIED TO@U) ^NAMEFILLCAPS @BWITH OR
WITHOUT CHILDREN@B
PRESS 3 IF R WAS @BNOT MARRIED/ROMANTICALLY INVOLVED@B WITH ^NAMEFILLCAPS @UBUT@U CO-PARENTED A
CHILD OR CHILDREN WITH ^NAMEFILLCAPS
PRESS 4 IF R WAS NEITHER MARRIED, ROMANTICALLY INVOLVED, NOR CO-PARENTING WITH ^NAMEFILLCAPS

Question Type:

TRelationshipFU

Married
Romantic
Coparents

1 MARRIED
2 DATING, OR OTHERWISE ROMANTICALLLY INVOLVED
3 CO-PARENTING TO A BIOLOGICAL OR NON-BIOLOGICAL CHILD AND NOT
ROMANTICALLY INVOLVED
4 NEITHER MARRIED, ROMANTICALLY INVOLVED, NOR CO-PARENTS

NoRomNoCoPar

Logic after:
IF FNCON7 = 1, 2, or 3 skip to FN1A000a. Else, go to FNCON7a.
---------------------------------------------------------------------------------

FNCON7a

9MFU Non-Romantic and Non-Parent

I'm sorry. To be eligible for this study, you and ^prld.Namefill must have been in a romantic or
coparenting relationship on ^NINEMO.

Question Type:

Tnext

NextScreen

1 PRESS 1 TO CONTINUE

Logic after:
Terminate interview and assign event code (349).

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Tuesday, August 03, 2010

Page 4 of 209

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. Fill
^INTDATE with date R was interviewed at female baseline. If FEMBASE = 2 (female did not participate
in baseline), ^lcfill should say "The past 9 months is the time period since ^NINEMO.
[USE YOUR YELLOW HIGHLIGHTER TO MARK ^NINEMO ON THE REFERENCE CALENDAR]".
If FEMBASE = 1, ^lcfill should say "The past 9 months is the time period since your last
interview. Our records show that you were interviewed on ^INTDATE.
[USE YOUR YELLOW HIGHLIGHTER TO MARK ^INTDATE ON REFERENCE CALENDAR]".

FN1A000a

9MFU Interview Date

During the interview, there are several places where I will ask you about things that have happened
over the past 9 months. Let's take a few minutes to think about the memorable things that
happened in your life over the past 9 months.
^lcfill

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

Logic after:
create new variable called ^REFDATE. If FEMBASE=2, ^REFDATE is equal to ^NINEMO.
^REFDATE is equal to ^INTDATE.
---------------------------------------------------------------------------------

For FEMBASE=1,

Logic before:
Disable DK/RF. If FNCON5 = yes (female currently incarcerated), ask FN1B009. Else go to FN1W134.

FN1B009

9MFU Incarceration Date

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 SHE
REPORTS BEING INCARCERATED.]
@BIF R CANNOT RECALL EXACT DAY, SAY THIS TEXT TO THE R: Okay, because you cannot remember the day
you were incarcerated 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
incarceration.@B
[USE YOUR GREEN HIGHLIGHTER TO MARK ANY INCARCERATION DAYS THAT HAPPENED DURING THE TIME PERIOD
FROM ^REFDATE TO TODAY'S DATE.]

Question Type:

TabTDate

Month
Date
Year

1 MONTH 1...12
2 DATE 1..31
3 YEAR 1947...2012

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Tuesday, August 03, 2010

Page 5 of 209

---------------------------------------------------------------------------------

FN1W134

9MFU Any Incarceration

FI NOTE: IF R IS CURRENTLY INCARCERATED, DO NOT READ THE QUESTION. ANSWER "YES" INSTEAD.
Since ^REFDATE, have you been incarcerated in a jail or prison for more than 24 hours at one time?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
IF FNCON5=YES and FN1W134=NO create at Consistency check that says: " You previously answered that
you are currently incarcerated but have indicated that you have not been incarcerated for 24 or
more hours since ^REFDATE. Which is correct?" PROBE TO MAKE RESPONSES AT FNCON5 and FN1W134
CONSISTENT.
CREATE NEW OUTPUT VARIABLE CALLED FEMINCARSTATE. If FNCON5=yes and the incarceration date provided
in FN1B009 happened on or before ^REFDATE, then FEMINCARSTATE = 1 (incarcerated the entire
reference period). If (FNCON5=yes AND the incarceration date provided in FN1B009 was later than
^REFDATE) OR (FNCON5 = no and FN1W134 =yes), then FEMINCARSTATE = 2 (incarcerated for part of the
reference period). If FN1W134=no, then FEMINCARSTATE = 3 (not incarcerated for any of the reference
period).
---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE = 2, ask FN1H001. Else go to FN1F000.

FN1H001

9MFU Days Incarcerated

Since ^REFDATE, how many days have you been incarcerated in a prison or jail?
PROBE: "Your best estimate is fine."
[REFER TO REFERENCE CALENDAR. IF POSSIBLE, USE YOUR GREEN HIGHLIGHTER TO MARK ANY INCARCERATION
DAYS THAT HAPPENED DURING THE TIME PERIOD FROM ^REFDATE TO TODAY'S DATE]

Question Type:

0..300

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE = 2, ask FN1A00f. Else go to FN1F00i.

FN1A00f

9MFU Definition of Street Time

Some of the questions in this interview will ask you to think about the time you were on the
outside. In other words, the time since ^REFDATE that you were not incarcerated.
[REFER TO REFERENCE CALENDAR, NOTING THAT @B HER TIME ON THE OUTSIDE MEANS THE DATES THAT ARE NOT
HIGHLIGHTED IN GREEN@B]
Later in the interview, we will refer to this as @Byour time on the outside@B.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

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Tuesday, August 03, 2010

Page 6 of 209

---------------------------------------------------------------------------------

Logic before:
Preload ^Namefill (male’s name) from male baseline.

FN1F00i

9MFU Male Incarceration Date Intro

During the interview, I will also ask you some questions about ^prld.Namefill, so I'd like to
record important dates about his incarceration on this calendar.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN1F001

9MFU Namefill Deceased

I realize this may be difficult for you, but if ^prld.Namefill is no longer living, please let me
know.

Question Type:

Tdeceased

Alive
Dead

1 ^NAMEFILLcaps IS ALIVE
2 ^NAMEFILLcaps IS DECEASED

Logic after:
If FN1F001 = Dead, skip to FN1A00e. If FN1F001 = DK or RF, treat as if FN1F001 = Alive.
---------------------------------------------------------------------------------

Logic before:
Preload date male was interviewed at baseline.

FN3Q000x

This variable will be called ^MBINTDATE.

9MFU Namefill Released

We interviewed ^prld.NAMEFILL on ^MBINTDATEstr. Was he released from that incarceration?
words, has he spent any time on the outside since ^MBINTDATEstr?

In other

[IF YES, RECORD ^NAMEFILLcaps 's RELEASE DATE ON REFERENCE CALENDAR.]

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
Ask FN3Q000 if FN3Q00X NE No.

FN3Q000

Else go to FN1A00e.

9MFU Namefill Incarcerated

Is ^prld.Namefill currently incarcerated? By incarcerated we mean in prison or jail.
[IF YES, RECORD ^NAMEFILLcaps's REINCARCERATION DATE ON REFERENCE CALENDAR.
USE YOUR @BPINK HIGHLIGHTER TO HIGHLIGHT THE TIME PERIOD THAT ^NAMEFILLcaps WAS @UREINCARCERATED@U
SINCE HIS RELEASE FROM HIS PRIOR INCARCERATION.@B]

Question Type:

Tyesnocaps

Yes
No

1 YES
2 NO

Logic after:
If FN3Q000 = no, go to FN1A000e.

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Tuesday, August 03, 2010

Page 7 of 209

---------------------------------------------------------------------------------

Logic before:
If FN3Q000x = Yes and FN3Q000 = Yes, ask FN1A000c. Else go to FN1A000e.

FN1A000c

9MFU Definition of Ref Period Until Male’s Incarce

Some of the questions in this interview will ask you to think about the time from ^REFDATE until
^prld.NAMEFILL was reincarcerated.
[REFER TO REFERENCE CALENDAR, NOTING THIS TIME PERIOD.]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If FN3Q000x = Yes and FN3Q000 = Yes, ask FN1A000d. Else go to FN1A000e.

FN1A000d

9MFU Definition of Ref Period Time on the Outside

Some of the questions in the interview will ask you to think about the time from ^REFDATE that
^prld.NAMEFILL was on the outside. In other words, the time since ^REFDATE that he was not
incarcerated. Later in the interview, we will refer to this as his time on the outside.
[REFER TO REFERENCE CALENDAR, NOTING THAT @B^NAMEFILLcaps'S TIME ON THE OUTSIDE MEANS THE DATES
THAT ARE NOT HIGHLIGHTED IN PINK@B]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN1A000e

9MFU Memorable Events

What else do you remember about the past 9 months, that is, the time 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:
Create output variable called MALEINCAR. If (FN3Q000x = Yes and FN3Q000 = No) OR (FN3Q000x = Yes
and FN3Q000 = DK/REF) OR (FN3Q000x=DK/REF AND FN3Q000=No), then MALEINCAR = 1 (male is released).If
FN3Q000x = No OR (FN3Q000x=DK/REF AND FN3Q000=Yes) OR (FN3Q000x=DK/REF AND FN3Q000=DK/REF) OR
FN1F001 = Dead, then MALEINCAR = 2 (male still incarcerated). If FN3Q000x = Yes and FN3Q000 = Yes,
then MALEINCAR = 3 (male reincarcerated).
---------------------------------------------------------------------------------

FN1A000

9MFU Demographics Intro

The next set of questions asks for some basic information about you.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

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Tuesday, August 03, 2010

Page 8 of 209

---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 2 (female did not participate in baseline), ask FN1A001. Else go to FN1A003.

FN1A001

9MFU Date of Birth

In what month, day, and year were you born?

Question Type:

TabDate4

Month
Day
Year

1 Month 1…12
2 Day 1…31
3 Year 1934…1995

Logic after:
Calculate age based on current date, using the "year" field if "month" and/or "day" is
DK/RF/blank.. If DK/RF/blank for the year field in FN1A001, go to FN1A002B.
---------------------------------------------------------------------------------

FN1A002A

9MFU Age

So that makes you ^calcage

Question Type:

years old. Is this correct?

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If calculated age LT 18 then go to FN1A002B, else go to FN1A003. If FN1A002A = no, add consistency
check that says "PLEASE CORRECT THE DATE OF BIRTH BY GOING BACK TO FN1A001."
---------------------------------------------------------------------------------

FN1A002B

9MFU END

I'm sorry. You must be at least 18 years of age to participate in this study.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

Logic after:
After this screen TERMINATE interview and code as 348.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 9 of 209

---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 1, ^lcfill should say "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?". If FEMBASE = 2, ^lcfill should say "What is the highest grade or level
of school you have ever completed?".

FN1A003

9MFU Level of Education

^lcfill

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 FN1A003 = High School Diploma, ask FN1A003B. Else go to FN1A004.
---------------------------------------------------------------------------------

FN1A003B

9MFU HS Diploma

Do you have a high school diploma or GED?

Question Type:

THSG

HSDiploma
GED

1 HIGH SCHOOL DIPLOMA
2 GED

---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 2 (female did not participate in baseline interview), ask FN1A004. Else skip to
FN1A008.

FN1A004

9MFU Hispanic Origin

These next questions are about your background.
Do you consider yourself Hispanic, Latina, or Spanish?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

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Tuesday, August 03, 2010

Page 10 of 209

---------------------------------------------------------------------------------

Logic before:
Allow the respondent to "select all that apply".

FN1A005

9MFU Race

[USE SHOWCARD 1]
Do you consider yourself to be...
Select all that apply.
[IF R SAYS NATIVE AMERICAN, VERIFY BY ASKING: I am recording this as American Indian. Is that
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

---------------------------------------------------------------------------------

FN1A006

9MFU Country of Origin

In what country were you born?
What area of the world are you from? For example, Mexico, Central America, South America, Middle
East, Asia, Africa, Europe, Caribbean, or Canada.

Question Type:

TCountry

US
PuertoR
OtherUS
Can
Chi
Cub
DomRep
ElSal
Germ
Ind
Jam
Kor
Mex
Phil
Rus
Viet
Other

1 UNITED STATES
2 PUERTO RICO
3 OTHER U.S. TERRITORY (AMERICAN SAMOA, GUAM, MARSHALL ISLANDS,
NORTHERN MARIANAS ISLANDS, OR U.S. VIRGIN ISLANDS)
4 CANADA
5 CHINA
6 CUBA
7 DOMINICAN REPUBLIC
8 EL SALVADOR
9 GERMANY
10 INDIA
11 JAMAICA
12 KOREA (SOUTH)
13 MEXICO
14 THE PHILIPPINES
15 RUSSIA
16 VIETNAM
17 OTHER COUNTRY (SPECIFY)

Logic after:
IF FN1A006 = other, go to FN1A006s; else go to FN1A007.

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Tuesday, August 03, 2010

Page 11 of 209

---------------------------------------------------------------------------------

FN1A006s

9MFU Other Country

SPECIFY OTHER COUNTRY

Question Type:

STRING[25]

---------------------------------------------------------------------------------

FN1A007

9MFU Language

What language do you speak most often?

Question Type:

TLang

Eng
Span
Other

1 ENGLISH
2 SPANISH
3 OTHER (SPECIFY)

Logic after:
If FN1A007 = other, go to FN1A007s. Else go to FN1A008.
---------------------------------------------------------------------------------

FN1A007s

9MFU Other Specify

SPECIFY OTHER LANGUAGE

Question Type:

STRING[25]

---------------------------------------------------------------------------------

Logic before:
Preload FB1A008 from female baseline. If FB1A008 = yes, skip to next domain. If FB1A008 = no or
FEMBASE = 2, ask FN1A008.

FN1A008

9MFU US Citizen

Are you a U.S. citizen?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

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Tuesday, August 03, 2010

Page 12 of 209

Relationship Status
---------------------------------------------------------------------------------

Logic before:
If FN1F001=Dead, skip to FN1F069.

FN1F000

9MFU Relationship Status Intro

Now I would like to ask you a few more questions about your relationship with ^prld.Namefill.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 2 or 3, ask FN3Q000a.

FN3Q000a

9MFU Namefill Release

Does ^prld.Namefill expect to be released from this incarceration?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 1, "Spouse/Partner/Co-Parent" will be identified by the variable ^companion preloaded
from the female baseline, as follows: If respondent answered FB1F049b, ^prld.companion = spouse. If
respondent answered FB1F056b, ^prld.companion = partner. If respondent answered FB1F056d,
^prld.companion = parenting partner. If FEMBASE=2, "Spouse/Partner/Co-Parent" will be identified by
FNCON7, as follows: If FNCON7=1, then ^prld.companion = spouse. If FNCON7=2, then ^prld.companion
= partner. If FNCON7=3, then ^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"

FN1F045

9MFU Relationship

We would like to know if there have been any changes in your relationship with ^prld.Namefill over
the past 9 months, that is, since ^REFDATE. You reported that nine months ago you were ^lcfill
^prld.Namefill.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If ^prld.companion = spouse, ask FN1F062.

FN1F062

9MFU 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 him.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 13 of 209

---------------------------------------------------------------------------------

Logic before:
If FN1F062 = YES, ask FN1F062a. Allow only one response to be selected.

FN1F062a

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, ask FN1F063.

FN1F063

9MFU 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 him.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN1F063 = YES, ask FN1F063a. Allow only one response to be selected.

FN1F063a

9MFU 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 ^prld.companion = parenting partner, ask FN1F064.

FN1F064

9MFU Co-Parent Status Change

You reported that nine months ago you and ^prld.Namefill shared parenting responsibilities for a
child or children. Have there been any changes in your relationship with ^prld.Namefill since
^REFDATE? By changes we mean that you have become romantically involved with him, gotten married to
him, or you are no longer co-parenting a child with him.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 14 of 209

---------------------------------------------------------------------------------

Logic before:
If FN1F064 = YES, ask FN1F064a.

FN1F064a

Allow only one response option to be selected.

9MFU Co-Parent Change Type

In which of the following ways is your relationship with ^prld.Namefill different since ^REFDATE?

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 FN1F062a = 1 or 2 OR FN1F063a = 1 OR FN1F064a = 1 OR FN1F064a=3, ask FN1F064c.

FN1F064c

9MFU R Married to Anyone

Are you currently married?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN1F064b

9MFU R Married to Namefill

IS R MARRIED TO ^NAMEFILLcaps?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN1F062 NE YES or FN1F063a = 2 or FN1F064a = 2 or 3 or FN1F062a=Sep or Divorce or NoRom, ask
FN1F065.

FN1F065

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 15 of 209

---------------------------------------------------------------------------------

Logic before:
If FN1F064a = 3 OR FN1F064 = 2, skip to FN1F067. If FNCON5 = yes and FN3Q000 = 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.

FN1F066

9MFU Co-Parents

^lcfill
^lcfill2

Question Type:

TYesNo

yes
no

1 Yes
2 No

---------------------------------------------------------------------------------

Logic before:
If FN1F062a= 1, 2, or 3 OR FN1F063a = 1, ask FN1F067. Bold and allow response options 1-15 if
MALEINCAR=1 (released) or 3 (reincarcerated). Bold and allow response options 1-3 and 5-15 if
MALEINCAR = 2 (still incarcerated). Do not allow option 4 to be selected if MALEINCAR = 2. If
MALEINCAR = 2, and option 4 is selected, trigger a consistency check that says "YOU HAVE SELECTED A
REASON FOR SPLITTING UP THAT IS INCONSISTENT WITH ^prld.NAMEFILL HAVING BEEN IN PRISON/JAIL DURING
THE ENTIRE REFERENCE PERIOD. PLEASE WORK WITH THE R TO RESOLVE THE INCONSISTENCY." Allow R to
select all that apply. If the "none" option is selected with any other option or options trigger a
hard consistency check that says: " IF "NONE" IS SELECTED, NO OTHER CATEGORY SHOULD BE SELECTED."

FN1F067

9MFU Relationship Split

[USE SHOWCARD 2]
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:

Tsplit1F

Argue
PhysFight
NoCloseInc

1 ^F1 You argued too much ^F1
2 ^F2 Your fights got too physical, like pushing or hitting ^F2
3 ^F3 You did not feel close to one another during his incarceration ^F3

NoCloseRel
Diff
Trust
MaInvd
FeInvd
HeDrugs
SheDrgs
Money

4
5
6
7
8
9
10
11

HeCrim
ChildConf
Other
None

12
13
14
15

^F4 You did not feel close to one another after he was released ^F4
^F5 You were just too different from one another ^F5
^F6 You and he had too many jealousy or trust issues ^F6
^F7 He got involved with someone else ^F7
^F8 You got involved with someone else ^F8
^F9 He had problems with drug or alcohol use ^F9
^F10 You had problems with drug or alcohol use ^F10
^F11 You had conflicts over not having enough money to support the
family ^F11
^F12 You had conflicts about being involved in illegal activity ^F12
^F13 You had conflicts about how to raise children ^F13
^F14 Some other reason (SPECIFY) ^F14
^F15 (None of the above) ^F15

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 16 of 209

---------------------------------------------------------------------------------

Logic before:
If FN1F067 = 14 (other), ask FN1F067s.

FN1F067s

9MFU Other Specify

SPECIFY REASON WHY R AND ^prld.Namefill SPLIT UP.

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Logic before:
If FN1F067 included more than two responses, ask FN1F068. Else, skip to FN1F069. Do not allow
option 4 to be selected if MALEINCAR = 2. In FN1F068, use special font for the response options
selected in FN1F067 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, FN1F067. PLEASE PROBE, AS NEEDED, TO OBTAIN CONSISTENT RESPONSES." Set ^lcfill to fill
from FN1F067s for response option 14. Require 2 options to be selected. If only 1 option selected
trigger hard check that says: "YOU MUST SELECT THE @B2@B MOST IMPORTANT REASONS." if more than two
options selected create a hard consistency check that says: "YOU MUST SELECT THE @B2@B MOST
IMPORTANT REASONS."

FN1F068

9MFU

Most Important Reasons for Breakup

What would you say are the two most important reasons that you and ^prld.Namefill split up?

Question Type:

Tsplit2

Argue
PhysFight
NoCloseInc

1 ^F1 You argued too much ^F1
2 ^F2 Your fights got too physical, like pushing or hitting ^F2
3 ^F3 You did not feel close to one another during his incarceration ^F3

NoCloseRel
Diff
Trust
MaInvd
FeInvd
HeDrugs
SheDrgs
Money

4
5
6
7
8
9
10
11

HeCrim

^F4 You did not feel close to one another after he was released ^F4
^F5 You were just too different from one another ^F5
^F6 You and he had too many jealousy or trust issues ^F6
^F7 He got involved with someone else ^F7
^F8 You got involved with someone else ^F8
^F9 He had problems with drug or alcohol use ^F9
^F10 You had problems with drug or alcohol use ^F10
^F11 You had conflicts over not having enough money to support the
family ^F11
12 ^F12 You had conflicts about being involved in illegal activity ^F12

ChildConf
Other

13 ^F13 You had conflicts about how to raise children ^F13
14 ^F14 ^lcfill ^F14

---------------------------------------------------------------------------------

Logic before:
If FN1F068 was asked, ask FN1F068a.Fill ^lcfill1 with the first response option chosen by R in
FN1F068; fill ^lcfill2 with the second response option chosen by R in FN1F068.

FN1F068a

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^lcfill1@B and @B^lcfill2@B?

Question Type:

TYesNo

yes
no

1 Yes
2 No

Logic after:
If FN1F068a = No, create a consistency check. Consistency check text should say "GO BACK TO FN1F068
AND CORRECT THE RESPONSE OPTIONS UNTIL THE R AGREES ON THE TWO MOST IMPORTANT REASONS THAT SHE AND
^PRLD.NAMEFILL SPLIT UP." Do not allow this check to be suppressed.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 17 of 209

---------------------------------------------------------------------------------

Logic before:
Everyone is asked this item. If FN1F001 = ALIVE, ^lcfill should say "anyone else?". If FN1F001 =
DEAD, ^lcfill should say "anyone?"

FN1F069

9MFU Romantic Other

Are you currently romantically involved in any way with ^lcfill

Question Type:

TYesNo

yes
no

1 Yes
2 No

Logic after:
Preload MB1F053, MB1F056, and MB1F060 from male baseline. Preload FB1F049a, FB1F053, and FB1F056
from female baseline. Create new variable named RELATIONSHIP STATUS. 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). If
(FB1F049a, FB1F056, MB1F056 and MB1F053 NE yes) and MB1F060 = yes, then RELATIONSHIP STATUS = 2
(Co-Parent only). Create variable called RELSTATUSFU. If FN1F062 = 2 (still married to namefill at
follow-up) OR FN1F063 = 2 (still romantic with namefill at follow-up) OR FN1F063a = 2 (married to
namefill at follow-up) OR FN1F064a = 1 (romantic with namefill at follow-up) or FN1F064a = 2
(married to namefill at follow-up) OR FN1F065 = 1 (romantically involved with namefill at followup), then RELSTATUSFU = 1 (romantically involved with spouse or romantically involved with nonspousal partner at follow-up). Else RELSTATUS = 2 (co-parnets only or not romantically involved at
follow up).
---------------------------------------------------------------------------------

Logic before:
If FN1F069 = Yes and FN1F001 = Alive, ask FN1F070.

FN1F070

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 18 of 209

GENOGRAM & Family Structure
---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 2, ask FN1D000.

FN1D000

9MFU Geno Intro Non-BL

Now I'd like to make a chart of everyone in your immediate family.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 1, ask FN1D026.

FN1D026

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

---------------------------------------------------------------------------------

FN1D027e

9MFU Confirm BL Primary Partner

Let's start with ^prld.Namefill. I am going to put him 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 after:
Preload PARTNERFOCAL from male baseline. Preload FB1D027b from the female baseline. If PARTNERFOCAL
= 1 (male reports that female partners focal child in the male baseline interview) or FB1D027b in
female baseline= yes (female reported parenting any children under 18), ask FN1D028. Else go to
FN1D033.
---------------------------------------------------------------------------------

FN1D028

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 19 of 209

---------------------------------------------------------------------------------

Logic before:
Preload ^FOCCHILD from male baseline.
to FN1D029.

FN1D028a

If FEMBASE = 2 and PARTNERFOCAL = 1, ask FN1D028a. Else go

9MFU Focal Intro for Non-BL Female

When we interviewed ^prld.Namefill nine months ago, he told us that you parented ^prld.FOCCHILD in
some way. Because ^prld.FOCCHILD is an important person in ^prld.Namefill's life, we will be asking
you some questions about ^prld.FOCCHILD.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
Preload ^FOCCHILD from male baseline. If PARTNERFOCAL = 1, ask FN1D029. Else, skip to FN1D031.

FN1D029

9MFU Confirm Focal Child

Let's add ^prld.FOCCHILD to the chart, along with the child's father.
[RECORD ^FOCCHILDCAPS AND HIS/HER FATHER IF DIFFERENT FROM ^NAMEFILLCAPS ON GENOGRAM.]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If PARTNERFOCAL = 1, ask FN1D030.

FN1D030

9MFU Confirm Focal Child Living/Deceased

IS ^FOCCHILDCAPS LIVING OR DECEASED?
[IF ^FOCCHILDCAPS 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 FN1D030 = Dead, go to FN1D031. Else ask FN1G062a.

FN1G062a

9MFU Age of Focal Child

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 FEMBASE = 2, ask FN1D027l. Else, go to FN6N098a.

FN1D027l

9MFU Non-BL Respondent Parents Focal Child

Nine months ago, that is, on ^REFDATE, did you consider yourself to be a parent to ^prld.FOCCHILD?
Did you parent the child in any way?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 20 of 209

---------------------------------------------------------------------------------

Logic before:
If FN1D030= Live, ask FN6N098a.

FN6N098a

9MFU Namefill Coparent

Are you currently involved in raising ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN1Dchild

Question Type:

BL child loop

array[1..15] of BFN1Dsub

---------------------------------------------------------------------------------

FN1Dnewchild

Question Type:

new child loop

array[1..15] of BFN1Dsub2

---------------------------------------------------------------------------------

Logic before:
Ask if TOTALCHILD GE 1. If FNCON5 = yes , ^lcfill should say "[IF R SAYS ZERO, ASK HER TO INCLUDE
THE PERSON(S) THE CHILD IS LIVING WITH WHILE THE R IS INCARCERATED.]"

FN1D027d

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 fathers 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

---------------------------------------------------------------------------------

savecount

Question Type:

saved work variable

integer

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 21 of 209

BL Child Loop
---------------------------------------------------------------------------------

deceasedflag

Question Type:

Flag if child is dead

Tyesno

yes
no

1 Yes
2 No

---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 2, skip to FN1D033. Preload FB1G061 (name of child; ^CHILD) for all non-focal children
recorded at baseline. If number of non-focal children recorded at baseline GE 1, then ask FN1D031.
Else go to FN1D033. Loop FN1D031 - FN1G065a for each of the respondent’s non-focal children (up to
15) as specified in FB1G061.

FN1D031

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 father is?
[RECORD ^CHILD AND ^CHILD'S FATHER IF NOT ^PRLD.NAMEFILL ON GENOGRAM.]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN1D032

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 FN1D032 = Dead for ANY child, remove that child from the child loop.
---------------------------------------------------------------------------------

FN1G062b

9MFU Age of Other 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..18

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 22 of 209

---------------------------------------------------------------------------------

Logic before:
If FN1D032 = Live and FN1F001 = Alive, ask FN1G065a. Else go to FN1D033.

FN1G065a

Spouse/Partner Coparent

During the past nine months, that is, 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 209

New Child Loop
---------------------------------------------------------------------------------

Logic before:
Start of new children loop. Loop FN1D033-FN1G064 until FN1D033 = NO (no new children remain). If
FEMBASE = 2 or (if FEMBASE=1 and (PARTNERFOCAL=0 AND FB1D027B=NO)), ^lcfill should say "Do you
parent any children @Bunder age 18@B?". Else, ^lcfill should say "Do you parent any other children
@Bunder age 18@B that I haven’t already mentioned?".

FN1D033

9MFU Add New Children

^lcfill
[FI NOTE: DO NOT INCLUDE CHILDREN WHO ARE DECEASED OR NOT YET BORN]

Question Type:

TYesNo

yes
no

1 Yes
2 No

---------------------------------------------------------------------------------

Logic before:
If FN1D033 = yes, ask FN1G061n. Else go to FN1D027d.

FN1G061n

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 FN1D033-FN1G064 loop was gone
through with FN1D033 = YES. Create another new output variable called TOTALCHILD (total number of
children) based on NUMBCHILD (number of new children) plus FN1D030 = Live (focal child is living)
plus the number of times FN1D032 = Live (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.
---------------------------------------------------------------------------------

FN1G065

Rs Relationship to Childs Father

Is ^Child's father...

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

---------------------------------------------------------------------------------

FN1D034

9MFU Add New Child to Genogram

[ADD THIS CHILD AND HIS OR HER FATHER TO THE GENOGRAM]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 24 of 209

---------------------------------------------------------------------------------

Logic before:
If FN1F001 = Alive, ask FN1G034a.

FN1G034a

Else, skip to FN1G062.

Spouse/Partner Coparent

During the past nine months, that is, since ^REFDATE, has ^prld.Namefill been involved in raising
^CHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN1G062

9MFU Age of New 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..18

[IF NEW CHILD IS 18 OR OLDER, DO NOT INCLUDE IN LOOP.]
---------------------------------------------------------------------------------

FN1G063

Gender of New Child

And is ^CHILD male or female?

Question Type:

TGender

Male
Female

1 MALE
2 FEMALE

---------------------------------------------------------------------------------

FN1G064

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 FN1D033-FN1G064 loop until no new children remain.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 25 of 209

Impact of Incarceration on Relationship with Partner
---------------------------------------------------------------------------------

Logic before:
If MALEINCAR=1 (released), go to Part 4.

FN3Q002a

If FN1F001=Dead, go to FN3R022.

Else go to FN3Q002a.

9MFU Intro screen for Part 3

The next set of questions is about your experiences since ^prld.Namefill was incarcerated. We are
talking about his @Bcurrent@B incarceration.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR=2 (still incarcerated) AND (RELATIONSHIP STATUS = 1 or RELSTATUSFU = 1) , ask FN3Q002.
Else go to FN3Q019a.

FN3Q002

9MFU Contact with Partner Important

[USE SHOWCARD 3]
First, I'd like to know how much you agree or disagree with each of the following statements about
keeping in touch with ^prld.Namefill.
Keeping in touch with ^prld.Namefill during his incarceration is very important to you.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3Q003

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 his incarceration. This could be help from outside programs or agencies, program staff at
the correctional facility, clergy, correctional officers, or other staff.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 26 of 209

---------------------------------------------------------------------------------

FN3Q004

9MFU Talk to Partner

[USE SHOWCARD 4]
[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 FN3Q004 = "Never", go to FN3Q006. Else go to FN3Q005.
---------------------------------------------------------------------------------

FN3Q005

9MFU Length of Time on Phone

About how long is your average phone call with ^prld.Namefill?
[IN MINUTES]

Question Type:

1..120

---------------------------------------------------------------------------------

FN3Q006

9MFU Send Mail

[USE SHOWCARD 4]
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

---------------------------------------------------------------------------------

FN3Q007

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 27 of 209

---------------------------------------------------------------------------------

Logic before:
If FNCON5 = yes, skip to FN3Q016. Else ask FN3Q008.

FN3Q008

9MFU Receive Personal Visits

How often do you currently visit ^prld.Namefill in person?

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 FN3Q008 = "Never", go to FN3Q010. Else go to FN3Q009.
---------------------------------------------------------------------------------

FN3Q009

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

---------------------------------------------------------------------------------

FN3Q010

9MFU Location of Facility

[USE SHOWCARD 5]
Thinking about ^prld.Namefill's 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 you 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

---------------------------------------------------------------------------------

FN3Q011

9MFU Facility Policies

Visitor admission rules such as background checks, dress codes, searches, and metal detectors are
hard for you 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 28 of 209

---------------------------------------------------------------------------------

FN3Q012

9MFU Cost of Visiting

The cost of visiting makes it hard for you to visit as often as you would like to.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3Q013

9MFU Schedule Issues

Schedule issues, like limited visiting hours and your work schedule, make it hard for you to find
time for visits.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3Q014

9MFU Cost of Receiving Calls

The cost of receiving ^prld.Namefill's calls is too high for you, 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

---------------------------------------------------------------------------------

FN3Q015

9MFU Facility is Unpleasant

The prison is not a pleasant place to visit, or not a place you want to see ^prld.Namefill.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 29 of 209

---------------------------------------------------------------------------------

Logic before:
If FNCON5 = yes, ^lcfill should say “Thinking about ^prld.Namefill’s time in prison, please tell me
how much you agree or disagree with each of the following statements.”. If FNCON5 = no, do not
fill ^lcfill.

FN3Q016

9MFU Partner Does Not Want Contact

^lcfill
^prld.Namefill does not want to maintain close contact with you while he is incarcerated.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3Q017

9MFU R Does Not Want Contact with Partner

You do not want to maintain close contact with ^prld.Namefill while he is incarcerated.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Logic before:
IF FN3Q010-FN3Q017 includes 2 or fewer strongly agree or agree responses, go to FN3Q019a. If
FN3Q010-FN3Q017 includes 3 or more strongly agree or agree responses, ask FN3Q018. USE SPECIAL FONT
FOR ITEMS FOR WHICH R ANSWERED "STRONGLY AGREE" OR "AGREE" in FN3Q010-FN3Q017. Allow only 2
response options to be selected.

FN3Q018

9MFU Two Biggest Difficulties

What would you say are the two biggest difficulties in staying in touch with ^prld.Namefill during
this incarceration?

Question Type:

TContactFB1

Location
Policies
Cost
Issues
Calls
Unpleasant
NoContact
RNoContact

1 ^F1 The prison is located too far away for you 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 you to deal with ^F2
3 ^F3 The cost of visiting makes it hard for you to visit as often as you
would like ^F3
4 ^F4 Schedule issues, like limited visiting hours and your work schedule,
make it hard for you to find time for visits ^F4
5 ^F5 The cost of receiving ^prld.Namefill's calls is too high for you, 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
to see ^prld.Namefill ^F6
7 ^F7 ^prld.Namefill does not want to maintain close contact with you
while he is incarcerated ^F7
8 ^F8 You do not want to maintain close contact with ^prld.Namefill while
he is incarcerated ^F8

Logic after:
Consistency check if the R picks an item that that they did not strongly agree or agree to in
FN3Q010-FN3Q017. 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 FN3Q010FN3Q017. GO BACK AND PROBE AS NEEDED."
---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 30 of 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR=2 or 3 ask FN3Q019a.

FN3Q019a

9MFU Incarceration Changed Relationship

How has ^prld.Namefill's time in prison changed your relationship with him, if at all? Has it made
you closer, has it made you drift apart, or has there been no change?

Question Type:

TChange3

Closer
APART
NOC

1 MADE YOU CLOSER
2 MADE YOU DRIFT APART
3 NO CHANGE

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 2, ask FN3Q020a. Else, skip to FN3R022. Allow the respondent to "select all that
apply".

FN3Q020a

9MFU Relationship Concerns During Incarceration

[USE SHOWCARD 6]
What concerns or worries do you have about your relationship with ^prld.Namefill during this
incarceration?
Select all that apply.
REQUIRED PROBE: Anything else?

Question Type:

TConcernsFB3

Apart
Insecurity

1 His time in prison will make you drift apart
2 It is hard for you to know what his place in your life is when he is in
prison
3 Sometimes you can't accept collect charges for his calls or be at home
when he calls
4 You are concerned about his lifestyle in prison
5 You may not be able to forgive him for problems or conflicts you've had

Accept
Lifestyle
Forgive
Close

6 Being in prison makes it hard for him to open up to you or let himself
get close to you
7 You don't know whether he will get involved with someone else during
this incarceration
8 You have become or might become involved with someone else during this
incarceration
9 Or some other concern that I haven't mentioned

InvolvedHim
InvolvedYou
Other

Logic after:
If FN3Q020a = other, go to FN3Q020as. Else go to FN3Q021a.
---------------------------------------------------------------------------------

FN3Q020as

9MFU Other Specify

SPECIFY OTHER CONCERN

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 31 of 209

---------------------------------------------------------------------------------

Logic before:
IF FN3Q020a includes more than one response, ask FN3Q021a. For response option 8, fill this with
information captured in FN3Q020 as SHOW RESPONSE OPTIONS THAT WERE SELECTED IN FN3Q020a WITH
SPECIAL FONT, AND DO NOT ALLOW A RESPONSE TO BE SELECTED UNLESS IT IS ALSO SELECTED IN FN3Q020a BY
CREATING A CONSISTENCY CHECK. CONSISTENCY CHECK TEXT, "YOU HAVE SELECTED AS THE BIGGEST CONCERN
SOMETHING THAT THE R DID NOT REPORT IN FN3Q020a. PROBE, AS NEEDED TO RESOLVE THE INCONSISTENCY."

FN3Q021a

9MFU Biggest Concern

Of the concerns you mentioned, which one is your @Bbiggest@B concern?

Question Type:

TConcernsFB3a

Apart
Insecurity
Accept
Lifestyle
Forgive
Close
InvolvedHim
InvolvedYou
Other

1 ^F1 His time in prison will make you drift apart ^F1
2 ^F2 It is hard for you to know what his place in your life is when he is
in prison ^F2
3 ^F3 Sometimes you can't accept collect charges for his calls or be at
home when he calls ^F3
4 ^F4 You are concerned about his lifestyle in prison ^F4
5 ^F5 You may not be able to forgive him for problems or conflicts you've
had ^F5
6 ^F6 Being in prison makes it hard for him to open up to you or let
himself get close to you ^F6
7 ^F7 You don’t know whether he will get involved with someone else during
this incarceration^F7
8 ^F8 You have become or might become involved with someone else during
this incarceration ^F8
9 ^F9^lcfill^F9

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 32 of 209

Impact of Incarceration on Relationship with Children
---------------------------------------------------------------------------------

Logic before:
If PARTNERFOCAL=0 OR if FN1D030=Dead, go to Part 4, domain S (FN4S000). If FNCON5 = yes, go to
FN3R022. Else, skip to FN3R022p.

FN3R022

9MFU Contact with Children

[USE SHOWCARD 7]
The next set of questions is about keeping in touch with ^prld.FOCCHILD during your incarceration.
For these questions, please only include children who are under the age of 18. First, I'd like to
know how much you agree or disagree with each of the following statements.
Keeping in touch with ^prld.FOCCHILD 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

---------------------------------------------------------------------------------

FN3R023

9MFU Services Received to Stay in Contact with Chi

You are satisfied with the amount of help you've received with staying in touch with ^prld.FOCCHILD
during your 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

---------------------------------------------------------------------------------

FN3R024

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 33 of 209

---------------------------------------------------------------------------------

Logic before:
If FN3R024 = yes, ask FN3R026. Else go to FN3R028.

FN3R026

9MFU Frequency Talk on Phone with Focal Child

[USE SHOWCARD 8]
How often do you talk on the phone with ^prld.FOCCHILD?

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

---------------------------------------------------------------------------------

FN3R027

9MFU Length of Call with Any Children

About how long is your average phone call with ^prld.FOCCHILD?
[IN MINUTES]

Question Type:

0..120

---------------------------------------------------------------------------------

FN3R028

9MFU 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 FN3R028 = yes, ask FN3R030. Else go to FN3R031.

FN3R030

9MFU Frequency Send Mail to Focal Child

[USE SHOWCARD 8]
How often do you currently send mail to ^prld.FOCCHILD?

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 34 of 209

---------------------------------------------------------------------------------

FN3R031

9MFU Send Audiotapes

Have you been able to send any audiotapes to ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN3R032

9MFU 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 FN3R032 = yes, ask FN3R034. Else go to FN3R035.

FN3R034

9MFU Frequency Receive Mail from Focal Child

[USE SHOWCARD 8]
How often do you currently receive mail from ^prld.FOCCHILD?

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

---------------------------------------------------------------------------------

FN3R035

9MFU Received Photos or Audiotapes from Focal Chil

Have you received any photographs or audiotapes of ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN3R036

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 35 of 209

---------------------------------------------------------------------------------

Logic before:
If FN3R036 = yes, ask FN3R038. Else go to FN3R043.

FN3R038

9MFU Frequency Personal Visits from Focal Child

[USE SHOWCARD 8]
How often do you currently receive personal visits from ^prld.FOCCHILD?

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

---------------------------------------------------------------------------------

Logic before:
Preload ^FOCSEX1, ^FOCSEX2, and ^FOCSEX3 from male baseline.

FN3R043

9MFU Distance of Facility

[USE SHOWCARD 9]
Thinking more about @Byour@B 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.FOCCHILD to have regular visits, or is too hard for
^FOCSEX3 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

---------------------------------------------------------------------------------

FN3R044

9MFU Admission Rules

Visitor admission rules, such as background checks, dress codes, searches, and metal detectors, are
hard for ^prld.FOCCHILD to deal with.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3R045

9MFU Cost of Visiting

The cost of visiting is too high for ^prld.FOCCHILD's caretaker to bring ^FOCSEX2 as often as he or
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 36 of 209

---------------------------------------------------------------------------------

FN3R046

9MFU Schedule Issues

Schedule issues, like limited visiting hours and ^prld.FOCCHILD's 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

---------------------------------------------------------------------------------

FN3R047

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

---------------------------------------------------------------------------------

FN3R048

9MFU Facility Pleasant Place

The prison is not a pleasant place to visit, or not a place you want ^prld.FOCCHILD to see you.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3R049

9MFU Caretaker Does Not Want Contact

^prld.FOCCHILD's caretaker does not want ^FOCSEX2 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 37 of 209

---------------------------------------------------------------------------------

FN3R050

9MFU R Wants No Contact

You do not want to maintain close contact with ^prld.FOCCHILD while you are incarcerated.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3R051

9MFU Focal Child Does Not Want Contact

^prld.FOCCHILD 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

---------------------------------------------------------------------------------

FN3R052

9MFU No Close Contact with Focal Child

You were not in close contact with ^prld.FOCCHILD before your incarceration.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 38 of 209

---------------------------------------------------------------------------------

Logic before:
If answered 1 or 2 (strongly agree or agree), to more than 2 questions between FN3R043 to
FN3R052,then ask FN3R053. Else, skip to FN3R022p. For FN3R053 put response options that the R
already answered 1 or 2 (strongly agree or agree) to in FN3R043 to FN3R052 in special font and only
allow those to be selected, by creating a consistency check. "YOU HAVE SELECTED AS THE BIGGEST
CHALLENGE SOMETHING THAT WAS NOT REPORTED IN THE PREVIOUS QUESTIONS, FN3R043 to FN3R052. PLEASE
PROBE, AS NEEDED TO OBTAIN CONSISTENT RESPONSES." Also, allow only a total of 2 response options to
be selected. Preload ^FOCSEX1, ^FOCSEX2, and ^FOCSEX3 from male baseline.

FN3R053

9MFU Two Biggest Issues for Child Contact

What are the two biggest challenges in staying in touch with ^prld.FOCCHILD while you are
incarcerated?

Question Type:

TChallenge2FB

Location

1 ^F1 The prison is located too far away for ^prld.FOCCHILD to have
regular visits, or is too hard for ^FOCSEX3 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 ^prld.FOCCHILD to deal with.
^F2
3 ^F3 The cost of visiting is too high for ^prld.FOCCHILD's caretaker to
bring ^FOCSEX2 as often as he or she would like to. ^F3
4 ^F4 Schedule issues, like limited visiting hours and ^prld.FOCCHILD's
caretaker's work schedules, make it hard to find time for visits. ^F4

Ruls

VisitCost
Schedule

CallCost

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
^prld.FOCCHILD to see you. ^F6
7 ^F7 ^prld.FOCCHILD's caretaker does not want ^FOCSEX2 to maintain close
contact with you while you are incarcerated. ^F7
8 ^F8 You do not want to maintain close contact with ^prld.FOCCHILD while
you are incarcerated. ^F8
9 ^F9 ^prld.FOCCHILD does not want to maintain close contact with you. ^F9

Pleasant
MotherNo
RNoContact
ChildNoContact
NotClose

10 ^F10 You were not in close contact with ^prld.FOCCHILD before this
incarceration. ^F10

---------------------------------------------------------------------------------

Logic before:
If FN1F001 = Dead, skip to Section 4 S (FN4S000).
go to FN3R054p.

FN3R022p

If MALEINCAR = 2, ask FN3R022p. If MALEINCAR=3,

9MFU Contact with Focal Child

The next set of questions is about ^prld.Namefill keeping in touch with ^prld.FOCCHILD during his
incarceration. First, I'd like to know how much you agree or disagree with the following statement.

It's very important to you that ^prld.Namefill keep in touch with ^prld.FOCCHILD during his
incarceration. Do you . . .

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 39 of 209

---------------------------------------------------------------------------------

FN3R024p

9MFU Talk on Phone with Focal Child

Now, I'd like to ask about specific contact ^prld.Namefill may have had with ^prld.FOCCHILD during
this incarceration.
Does ^prld.Namefill talk on the phone to ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN3R024p = yes, ask FN3R026p. Else go to FN3R028p.

FN3R026p

9MFU Occurrence of Phone Conversation

[USE SHOWCARD 10]
How often does ^prld.Namefill talk on the phone with ^prld.FOCCHILD?

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

---------------------------------------------------------------------------------

FN3R027p

9MFU Length of Call with Any Children

About how long is his average phone call with ^prld.FOCCHILD?
[IN MINUTES]

Question Type:

1..120

---------------------------------------------------------------------------------

FN3R028p

9MFU Send Mail to Focal Child

Does ^prld.Namefill currently send mail to ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 40 of 209

---------------------------------------------------------------------------------

Logic before:
FN3R028p = yes, ask FN3R030p. Else go to FN3R031p.

FN3R030p

9MFU Frequency Send Mail to Focal Child

How often does ^prld.Namefill currently send mail to ^prld.FOCCHILD?

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

---------------------------------------------------------------------------------

FN3R031p

9MFU Send Audiotapes

Has ^prld.Namefill been able to send any audiotapes to ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN3R032p

9MFU Focal Child Send Mail

Does ^prld.FOCCHILD @Bsend@B mail to ^prld.Namefill?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN3R032p = yes, ask FN3R034p. Else go to FN3R035p.

FN3R034p

9MFU Frequency Focal Child Send Mail

How often does ^prld.FOCCHILD send mail to ^prld.Namefill?

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 41 of 209

---------------------------------------------------------------------------------

FN3R035p

9MFU Received Photos or Audiotapes

As far as you know, has ^prld.Namefill received any photographs or audiotapes of ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN3R036p

9MFU Personal Visits from Focal Child

Does ^prld.FOCCHILD visit ^prld.Namefill in person?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN3R036p = yes, ask FN3R038p.

FN3R038p

9MFU Frequency Personal Visits from Focal Child

How often does ^prld.FOCCHILD visit ^prld.Namefill in person?

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

---------------------------------------------------------------------------------

Logic before:
If FNCON5 =yes, skip to FN3R054p.

FN3R043p

9MFU Distance of Facility

[USE SHOWCARD 11]
Thinking about ^prld.Namefill's 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.FOCCHILD to have regular visits with ^prld.Namefill,
or is too hard for you to bring ^prld.FOCCHILD to because of transportation issues.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 42 of 209

---------------------------------------------------------------------------------

FN3R044p

9MFU Admission Rules

Visitor admission rules, such as background checks, dress codes, searches, and metal detectors, are
hard for ^prld.FOCCHILD to deal with.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3R045p

9MFU Cost of Visiting

The cost of visiting is too high for you to bring ^FOCSEX2 as often as you would like to.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3R046p

9MFU Schedule Issues

Schedule issues, like limited visiting hours and your work schedule, make it hard to find time to
bring ^prld.FOCCHILD for visits.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3R047p

9MFU Cost of Calls

The cost of ^prld.Namefill's calls with ^prld.FOCCHILD 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 43 of 209

---------------------------------------------------------------------------------

FN3R048p

9MFU Facility Pleasant Place

The prison is not a pleasant place to visit, or not a place you want ^prld.FOCCHILD to see
^prld.Namefill.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3R049p

9MFU Caretaker Does Not Want Contact

You do not want ^prld.FOCCHILD to maintain close contact with ^prld.Namefill while he is
incarcerated.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3R050p

9MFU Father Wants No Contact

^prld.Namefill does not want to maintain close contact with ^prld.FOCCHILD while he is incarcerated.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3R051p

9MFU Focal Child Does Not Want Contact

^prld.FOCCHILD does not want to maintain close contact with ^prld.Namefill.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 44 of 209

---------------------------------------------------------------------------------

FN3R052p

9MFU No Close Contact with Focal Child

^prld.Namefill was not in close contact with ^prld.FOCCHILD before his incarceration.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN3R054p

9MFU Relationship with Child Since Incarceration

How has ^prld.Namefill's time in prison changed his relationship with ^prld.FOCCHILD, if at all?
Has it made them closer, has it made them drift apart, or has there been no change?

Question Type:

TChangeFU

closer
drift
NoChnge

1 MADE THEM CLOSER
2 MADE THEM DRIFT APART
3 NO CHANGE

---------------------------------------------------------------------------------

FN3R055p

9MFU Concerns/Worries About Focal Child

[USE SHOWCARD 12]
What concerns or worries do you have about ^prld.FOCCHILD during ^prld.Namefill's incarceration?
Select all that apply.
REQUIRED PROBE: Anything else?

Question Type:

TWorry

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 ^prld.Namefill and ^prld.FOCCHILD will not be as close
emotionally as they were before he was 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 FN3R055p = other, go to FN3R055s. Else go to FN3R056p.
---------------------------------------------------------------------------------

FN3R055s

9MFU Specify Other

SPECIFY OTHER

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 45 of 209

---------------------------------------------------------------------------------

Logic before:
If FN3R055p includes more than one response, then ask FN3R056p. Else, skip to end of domain. For
response option 8, fill this with information captured in FN3R055s In FN3R056p, use special font
for the response options that the R chose in FN3R055p, and only allow those to be chosen by adding
a consistency check, "YOU HAVE JUST SELECTED AS THE RESPONDENT'S BIGGEST CONCERN, A CONCERN THAT
THEY DID NOT AGREE TO HAVING IN FN3R055p. PLEASE PROBE TO OBTAIN CONSISTENT RESPONSES." Allow only
one option to be selected.

FN3R056p

9MFU Biggest Concern/Worry for Focal Child

What is your @Bbiggest@B concern or worry about ^prld.FOCCHILD during ^prld.Namefill's
incarceration?

Question Type:

TWorryFB

Money
School
Happy
Peers

1
2
3
4

Emotional

5 ^F5 Concerns that ^prld.Namefill and ^prld.FOCCHILD will not be as close
emotionally as they were before his incarceration ^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
^FOCSEX2 happiness ^F3
^FOCSEX2 getting teased or threatened by peers ^F4

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 46 of 209

Service Need & Receipt
---------------------------------------------------------------------------------

Logic before:
If MALEINCAR=3 (reincarcerated) AND FN1F001 = Alive, ^lcfill should say "Please only count services
received since ^REFDATE but before ^prld.Namefill’s reincarceration. [REFER TO REINCARCERATION
DATE ON REFERENCE CALENDAR]."
If MALEINCAR=1(released) or MALEINCAR=2 (still incarcerated) or FN1F001= Dead (male deceased and
therefore MALEINCAR not calculated), ^lcfill should say "That is, since ^REFDATE [REFER TO
REFERENCE CALENDAR.]."

FN4S057a

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 over the past nine months. ^lcfill
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 MALEINCAR=3 (reincarcerated) AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking
about services received between ^REFDATE and ^prld.Namefill’s reincarceration." Else do not fill.

FN4S057

9MFU Attended Class or Workshop

Since ^REFDATE, have you attended any group classes or workshops on healthy marriage or romantic
relationships? You would have done these sessions in a group.
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4S058

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

---------------------------------------------------------------------------------

Logic before:
If FN4S057 = yes, ask FN4S059. Else skip to FN4S064.

FN4S059

9MFU Number of Times Attended Class

How many times have you attended any group classes or workshops on healthy marriage or romantic
relationships since ^REFDATE?
NUMBER OF TIMES

Question Type:

1..100

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 47 of 209

---------------------------------------------------------------------------------

FN4S061

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 FN43S059 GE 1 AND FN4S061 GE 1, ask FN4S061a.

FN4S061a

9MFU Confirmation on Number of Hours

So, you had about ^FN4S059 session(s) each lasting about ^FN4S061 hour(s)?
IF R ANSWERS NO, GO BACK TO PREVIOUS TWO QUESTIONS AND CORRECT THE ANSWERS.

Question Type:

PROBE, AS NEEDED.

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FN4S061a = no, consistency check text should say "YOU HAVE SELECTED AN ANSWER THAT IS
INCONSISTENT WITH THE NUMBER OF SESSIONS RECORDED IN FN4S059 AND HOURS RECORDED IN FN4S061. PLEASE
GO BACK TO FN4S059 AND FN4S061 AND CORRECT TO SECURE A CONSISTENT RESPONSE".
---------------------------------------------------------------------------------

Logic before:
If FN4S057 = yes and ((MALEINCAR=1 or 3)

FN4S061c

AND FN1F001 = Alive), ask FN4S061c. Check all that apply.

9MFU When Classes Received

Did you attend these classes or workshops....

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Logic before:
If FN4S057 = no or FN1F001 = Dead, skip to FN4S061b.

FN4S060

9MFU Attend Class with Partner

How many of these sessions did you attend @Btogether with@B ^prld.Namefill?
NUMBER OF TIMES

Question Type:

0..100

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 48 of 209

---------------------------------------------------------------------------------

FN4S061b

9MFU Class Interesting

How interesting did you find the group-classes or workshops?

Question Type:

TInteresting

VeryInt
SomeInt
NotInt

1 Very interesting
2 Somewhat interesting
3 Not interesting

---------------------------------------------------------------------------------

FN4S062

9MFU How Often Class Attended

Did you attend all, most, or some of the classes or workshops that were offered?

Question Type:

TAttend3

All
Most
Few

1 ATTENDED ALL
2 ATTENDED MOST
3 ATTENDED A FEW

---------------------------------------------------------------------------------

Logic before:
If FN4S062 = 1, skip to FN4S064. Else, ask FN4S063. Allow the respondent to "select all that
apply". If FN1F001 = Alive, bold and allow all response options. If FN1F001 = DEAD, only bold and
allow options 1, 2, 5, 6, 8, 10, 12, 13 and 14.

FN4S063

9MFU Reason for Not Attending Class

[USE SHOWCARD 13]
Why did you stop attending the classes or workshops?

Choose all that apply.

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

5
6
7
8
9
10
11
12
13
14

^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 couldn't attend with you because of schedule
conflicts, rule violations, or issues with the prison ^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

Logic after:
If FN4S063 = 14, go to FN4S063s. Else go to FN4S064.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 49 of 209

---------------------------------------------------------------------------------

FN4S063s

9MFU Specify Other

SPECIFY OTHER REASON

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Logic before:
If FN1F001= Dead, skip to FN4S069. If MALEINCAR=3, ^lcfill should say "Remember, we are asking
about services received between ^REFDATE and ^prld.Namefill’s reincarceration.". Else do not fill.

FN4S064

9MFU Counseling

Since ^REFDATE, 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. ^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4S065

9MFU Need Couples 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 FN4S064 = yes, ask FN4S066; else, skip to FN4S069.

FN4S066

9MFU Attended Marriage Counseling

Since ^REFDATE, 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 FN4S064 = yes and ((MALEINCAR=1 or 3)

FN4S064a

AND FN1F001 = Alive), ask FN4S064a.

9MFU When Counseling Received

Did you receive this counseling....

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 50 of 209

---------------------------------------------------------------------------------

FN4S068

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 FN4S066 GE 1 AND FN4S068 GE 1, ask FN4S068a.

FN4S068a

9MFU Confirmation on Number of Hours

So, you had about ^FN4S066 sessions each lasting ^FN4S068 hours?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If R answers no to FN4S068a, add consistency check, "GO BACK TO PREVIOUS TWO QUESTIONS AND CORRECT
THE ANSWERS. PROBE, AS NEEDED."
---------------------------------------------------------------------------------

FN4S067

9MFU Number of Times Attended Counseling Classes

How many of these sessions did you attend @Btogether with@B ^prld.Namefill?
NUMBER OF TIMES

Question Type:

0..100

---------------------------------------------------------------------------------

Logic before:
If yes to FN4S057 or FN4S064, ask FN4S069. Else go to FN4S073. Allow the respondent to "select all
that apply".

FN4S069

9MFU Person Who Informed You

[SELECT ALL THAT APPLY]
How did you hear about the relationship strengthening activities in which you participated? Who
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 FN4S069 = other, go to FN4S069s. Else go to FN4S070.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 51 of 209

---------------------------------------------------------------------------------

FN4S069s

9MFU Other Specify

SPECIFY OTHER SOURCE

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Logic before:
If FN1F001= Dead, skip to FN4S073. Allow the respondent to "select all that apply", but do not
allow option 9 (NONE) to be selected along with options 1-8.

FN4S070

9MFU Skills Learned from Classes

[USE SHOWCARD 14]
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:

TClassesFB

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 FN4S070 = other, go to FN4S070s. Else go to FN4S071.
---------------------------------------------------------------------------------

FN4S070s

9MFU Specify Other

SPECIFY OTHER KNOWLEDGE OR SKILL

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 52 of 209

---------------------------------------------------------------------------------

Logic before:
IF FN4S070 included more than one response, ask FN4S071. Else, skip to FN4S072. Fill response
option 8 with information captured in FN4S070s In FN4S071,use special font for the response option
selected in FN4S070 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,
FN4S070. PLEASE PROBE, AS NEEDED, TO OBTAIN CONSISTENT RESPONSES." Allow R to select only one
response.

FN4S071

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:

TClassesFB2

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

---------------------------------------------------------------------------------

FN4S072

9MFU Classes Improved Relationship

How much has your relationship with ^prld.Namefill improved as a result of the relationship classes
or counseling?
Would you say. . .

Question Type:

TSome

Lot
Little
Notatall

1 A lot
2 A little
3 Not at all

---------------------------------------------------------------------------------

Logic before:
Ask if TOTALCHILD GE 1. Else skip to FN4S077. If MALEINCAR=3 AND FN1F001 = Alive, ^lcfill should
say "Remember, we are asking about services received between ^REFDATE and ^prld.Namefill’s
reincarceration." Else do not fill.

FN4S073

9MFU Parenting Classes

Since ^REFDATE, have you attended any classes, groups, or workshops to help you improve your
parenting skills or learn to be a better parent?
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 53 of 209

---------------------------------------------------------------------------------

FN4S074

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 FN4S073 = yes, ask FN4S075; else, skip to FN4S077.

FN4S075

9MFU Attended Classes to Improve Parenting Skills

Since ^REFDATE, how many times have you attended any parenting classes, groups, or workshops?
NUMBER OF TIMES

Question Type:

1..100

---------------------------------------------------------------------------------

Logic before:
If FN4S073 = yes and ((MALEINCAR=1 or 3)

FN4S073a

AND FN1F001 = Alive), ask FN4S073a. Else go to FN4S076.

9MFU When Workshops Received

Did you attend these classes/groups/workshops...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FN4S076

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 54 of 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR=3 AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking about services
received between ^REFDATE and ^prld.Namefill’s reincarceration". Else do not fill.

FN4S077

9MFU Consultation with Any Staff

Since ^REFDATE, 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.
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4S078

9MFU Services Needed

Have you wanted or felt that you needed this service?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN4S077 = yes, ask FN4S079. Else go to FN4S082.

FN4S079

9MFU Sessions of Case Management

How many sessions of case management have you received since your last interview?
NUMBER OF SESSIONS

Question Type:

1..100

---------------------------------------------------------------------------------

FN4S079a

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 55 of 209

---------------------------------------------------------------------------------

Logic before:
If FN4S077 = yes and ((MALEINCAR=1 or 3) AND FN1F001 = Alive),

FN4S077a

ask FN4S077a. Else go to FN4S080.

9MFU When Case Management Received

Did you receive this case management....

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Logic before:
Allow the respondent to "select all that apply", but do not allow R to select "None" (option 1)
along with options 2-15.

FN4S080

9MFU Case Manager Referred Services

[USE SHOWCARD 15]
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 FN4S080 = none, go to FN4S082. Else go to FN4S081.
---------------------------------------------------------------------------------

FN4S081

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 56 of 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR=3 AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking about services
received between ^REFDATE and ^prld.Namefill’s reincarceration". Else do not fill.

FN4S082

9MFU Received Treatment for Emotional/Mental Probl

Since ^REFDATE, have you received counseling, therapy, or other treatment to help you deal with an
emotional or mental health problem?
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4S083

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 FN4S082 = yes and ((MALEINCAR=1 or 3) AND FN1F001 = Alive), ask FN4S082a.

FN4S082a

9MFU When Counseling Received

Did you receive this counseling/therapy/treatment....

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FN4S084

9MFU Received Group Therapy/Treatment

Since ^REFDATE, 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

---------------------------------------------------------------------------------

FN4S085

9MFU Needed Group Therapy/Treatment

Have you wanted or felt that you needed this service?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 57 of 209

---------------------------------------------------------------------------------

Logic before:
If FN4S084 = yes and ((MALEINCAR=1or 3) AND FN1F001 = Alive),

FN4S084a

ask FN4S084a.

9MFU When Alc/Substance Abuse Treatment Received

Did you receive this alcohol or substance abuse treatment....

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR=3 AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking about services
received between ^REFDATE and ^prld.Namefill’s reincarceration." Else do not fill.

FN4S086

9MFU Received Anger Management Services

Since ^REFDATE, have you received services or taken a course to help you manage anger?
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4S087

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 FN4S086 = yes and ((MALEINCAR=1or 3 ) AND FN1F001 = Alive),

FN4S086a

ask FN4S086a.

9MFU When Anger Mngmt Received

Did you participate in anger management services....

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 58 of 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR=3 AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking about services
received between ^REFDATE and ^prld.Namefill’s reincarceration." Else do not fill.

FN4S090

9MFU Received Educational Classes

Since ^REFDATE, have you participated in any GED, adult basic education, or college courses?
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4S091

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 FN4S090 = yes and ((MALEINCAR=1or 3 ) AND FN1F001 = Alive),

FN4S090a

ask FN4S090a.

9MFU When Education Courses Received

Did you participate in these courses...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FN4S092

9MFU Received Job Training

Since ^REFDATE, have you participated in any employment readiness, vocational or job training
programs?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4S093

9MFU Needed Job Training

Have you wanted or felt that you needed this service?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 59 of 209

---------------------------------------------------------------------------------

Logic before:
If FN4S092 = yes and ((MALEINCAR=1 or 3) AND FN1F001 = Alive), ask FN4S092a.

FN4S092a

9MFU When Job Training Received

Did you participate in this training...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 3 AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking about services
received between ^REFDATE and ^prld.Namefill’s reincarceration." Else do not fill.

FN4S094

MFU Received Financial Planning Courses

Since ^REFDATE, have you participated in any money management or financial planning programs?
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4S095

9MFU 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 FN4S094 = yes and ((MALEINCAR=1or 3) AND FN1F001 = Alive),

FN4S094a

ask FN4S094a.

9MFU When Money/Financial Planning Received

Did you participate in money management or financial planning classes...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FN4S096

9MFU Received Life Skills Education

Since ^REFDATE have you participated in any other life skills education?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 60 of 209

---------------------------------------------------------------------------------

FN4S097

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 FN4S096 = yes and ((MALEINCAR=1 or 3)

FN4S096a

AND FN1F001 = Alive),

ask FN4S096a.

9MFU When Life Skills Received

Did you participate in other life skills training...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FN4S098

9MFU Received Assistance for Housing Needs Post-Re

Since ^REFDATE have you received any help finding housing or paying for housing?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4S099

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 FN4S098 = yes and ((MALEINCAR=1 or 3)

FN4S098a

AND FN1F001 = Alive),

ask FN4S098a.

9MFU When Housing Help Received

Did you receive this housing-related help ...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 61 of 209

---------------------------------------------------------------------------------

Logic before:
If TOTALCHILD GE 1, ask FN4S100. Else go to FN4S102.

FN4S100

9MFU Received Assistance with Child Custody Issues

Since ^REFDATE have you received any assistance with retaining your parental rights or changing
child custody arrangements?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4S101

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 FN4S100 = yes and ((MALEINCAR=1 or 3) AND FN1F001 = Alive),

FN4S100a

ask FN4S100a.

9MFU When Child Custody Assistance Received

Did you receive assistance...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR=3 AND FN1F001 = Alive, ^lcfill should say "Remember, we are asking about services
received between ^REFDATE and ^prld.Namefill’s reincarceration." Else do not fill.

FN4S102

9MFU Received Family Mediation

Since ^REFDATE, 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.
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4S103

9MFU Needed Family Mediation

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 209

---------------------------------------------------------------------------------

Logic before:
If FN4S102 = yes and ((MALEINCAR=1 or 3)

FN4S102a

AND FN1F001 = Alive),

ask FN4S102a.

9MFU When Family Conferencing Received

Did you participate in family group conferencing/mediation...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FN4S104

9MFU Received Group Support

Since ^REFDATE 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

---------------------------------------------------------------------------------

FN4S105

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 FN4S104 = yes and ((MALEINCAR=1 or 3)

FN4S104a

AND FN1F001 = Alive),

ask FN4S104a.

9MFU When Group Support Received

Did you participate in support groups...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FN4S106

9MFU Received Spiritual/Religious Help

Since ^REFDATE 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 63 of 209

---------------------------------------------------------------------------------

FN4S107

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 FN4S106 = yes and ((MALEINCAR=1 or 3)

FN4S106a

AND FN1F001 = Alive),

ask FN4S106a.

9MFU When Religious Assistance Received

Did you receive this spiritual or religious assistance...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 64 of 209

Housing
---------------------------------------------------------------------------------

Logic before:
If MALEINCAR=1 or 3, skip to FN4I034 (employment). If FEMINCARSTATE = 1, skip to FN4L134a. Else go
to FN4J040. Allow the respondent to "select all that apply".

FN4J040

9MFU Ever Live

[USE SHOWCARD 16]
Now, I have some questions about your living situation over the past nine months.
[REFER TO REFERENCE CALENDAR]
Since ^REFDATE, have you lived in any of these places? Select all that apply.
REQUIRED PROBE: Any other places?

Question Type:

Tresidence

Own

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

Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other

---------------------------------------------------------------------------------

Logic before:
If R lives in more than one place (from FN4J040), go to FN4J041. Else go to FN4J042. Use special
font for response options that were selected in FN4J040.

FN4J041

9MFU Primarily Reside

During the past nine months, where did you mostly live?
SELECT ONE.

Question Type:

TResidenceFB

Own
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other

1 ^F1 In your own house or apartment, meaning your name is on the title,
mortgage, or lease ^F1
2 ^F2 In someone else's house or apartment ^F2
3 ^F3 In a transitional housing building or halfway house ^F3
4 ^F4 In a motel/hotel or rooming house ^F4
5 ^F5 In a residential treatment facility ^F5
6 ^F6 In a shelter ^F6
7 ^F7 On the street ^F7
8 ^F8 In an outdoor location where you camp out ^F8
9 ^F9 In an abandoned building or vacant unit ^F9
10 ^F10 In some other place ^F10

Logic after:
Add a consistency check after FN4J041 if R chooses a response that was not also selected in
FN4J040. Text should say, "RESPONSE IS INCONSISTENT WITH RESPONSE TO PREVIOUS QUESTION. PROBE, AS
NEEDED, SO BOTH ITEMS ARE CONSISTENT."

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 65 of 209

---------------------------------------------------------------------------------

Logic before:
If FN4J040 includes Own or Elses, ask FN4J042. Else go to FN4J043a.

FN4J042

9MFU Public Housing

Was/is 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 FN4J042 = no, go to FN4J043. Else go to FN4J043a.
---------------------------------------------------------------------------------

FN4J043

9MFU Section 8

Was/is 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

---------------------------------------------------------------------------------

FN4J043a

9MFU Number of Places

During the past nine months, in how many places have you lived?

Question Type:

1..100

---------------------------------------------------------------------------------

Logic before:
If (PARTNERFOCAL = 1 and FN1D030= Live) ask FN4J043b. If (PARTNERFOCAL = 0 or FN1D030 = Dead), skip
to FN4J044b.

FN4J043b

9MFU Live with Focal Child

During the past nine months, have you lived with ^prld.FOCCHILD at least part of the time?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN4J043b = yes and FNCON5=no, ask FN4J044a.

FN4J044a

9MFU Living 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 66 of 209

---------------------------------------------------------------------------------

Logic before:
Ask FN4J044b for each of R’s remaining living non-focal children (include non-focal children from
baseline as well as all new children). Else skip to FN4J045.

FN4J044b

9MFU Live with Other Chidlren

During the past nine months, have you lived with ^CHILD at least part of the time?

Question Type:

array[1..30] of TYesNoCaps

---------------------------------------------------------------------------------

Logic before:
If FN4J044b = yes and FNCON5=no, ask FN4J044c. Loop FN4J044b-FN4J044c for each of R’s remaining
living children.

FN4J044c

9MFU Living with Other Children

Are you currently living with ^CHILD?

Question Type:

array[1..30] of TYesNoCaps

---------------------------------------------------------------------------------

Logic before:
Allow the respondent to "select all that apply".

FN4J045

9MFU Living with Others

Who else have you lived with during the past nine months?
Please list everyone who has lived with you at some point during the past nine months.
[SELECT ALL THAT APPLY]
REQUIRED PROBE: Anyone else?

Question Type:

TLivingFUInc

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
A CURRENT ROMANTIC PARTNER OTHER THAN ^Namefillcaps
AN EX-SPOUSE OR ROMANTIC PARTNER OTHER THAN ^Namefillcaps
MOTHER/STEPMOTHER
FATHER/STEPFATHER
SISTER/STEPSISTER
BROTHER/STEPBROTHER
AUNT/UNCLE, GREAT AUNT/UNCLE
COUSIN
GRANDPARENT
CHILD/STEPCHILD
FRIEND OF R
FRIEND OF ^Namefillcaps
SOME OTHER PERSON, NOT A FRIEND OR FAMILY MEMBER (SPECIFY)

Logic after:
If FN4J045 = 14, go to FN4J045s. Else go to FN4J045a.
---------------------------------------------------------------------------------

FN4J045s

9MFU Specify Other

SPECIFY ANY OTHER PERSON THE RESPONDENT LIVED WITH

Question Type:

STRING[25]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 67 of 209

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE = 2, ^lcfill1 should say "have lived during your time on the outside.
REFERENCE CALENDAR]." If FEMINCARSTATE = 3, ^lcfill1 should say "currently live."

FN4J045a

[REFER TO

9MFU Neighborhood 1

[USE SHOWCARD 17]
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about the neighborhood where you ^lcfill1
It is 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

---------------------------------------------------------------------------------

FN4J045b

9MFU Neighborhood 2

Drug selling is 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

---------------------------------------------------------------------------------

FN4J045c

9MFU Neighborhood 3

Your neighborhood or community is a good place to live.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN4J045d

9MFU Neighborhood 4

Your neighborhood or community is a good place to find a job.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 68 of 209

Income
---------------------------------------------------------------------------------

FN4K017

9MFU Welfare

Next I'm going to read a list of income sources. For each, tell me if you have received income from
this source during the past nine months, that is, since ^REFDATE.
[REFER RESPONDENT TO REFERENCE CALENDAR.]
Cash welfare, also known as TANF? You may have received 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

---------------------------------------------------------------------------------

FN4K019

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 have received these benefits as
coupons, electronic transfer, or as an EBT or debit card.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4K021

9MFU Child Support Received

Child support payments?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4K023

9MFU Money from Others

Money from friends or relatives who did not live with you at that time?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 69 of 209

---------------------------------------------------------------------------------

FN4K025

9MFU Formal Payment

Formal employment? By "formal", we mean a job that you received a pay stub for, and for which taxes
were taken out of your pay.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4K027

9MFU Casual Work

"Under the table" or casual work? By "under the table", we mean work that you did not receive a
pay stub for, for which taxes were not taken out of your pay. This could include things you were
paid in cash for, like babysitting or mowing lawns.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4K029

9MFU Illegal Activities

Illegal activities, such as selling drugs, breaking and entering, etc.?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4K031

9MFU Budget

[USE SHOWCARD 18]
During the past nine months, how often have you relied 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 70 of 209

---------------------------------------------------------------------------------

FN4K032

9MFU Meeting Bills

During the past nine months, how often have you had difficulty meeting monthly payments on bills?

Question Type:

TAUSN

Always
Usually
Some
Never

1
2
3
4

Always
Usually
Sometimes
Never

---------------------------------------------------------------------------------

FN4K033

9MFU Money at End of Month

During the past nine months, how often have you had 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 71 of 209

Employment
---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE = 2, ^lcfill1 should say "since ^REFDATE, that is, during your time on the
outside.", IF FEMINCARSTATE=3, ^lcfill1 should say "since ^REFDATE."

FN4I034

9MFU Any Job

This next set of questions deals with any employment you have had ^lcfill1
At any point since ^REFDATE have you worked at a job?
[REFER TO REFERENCE CALENDAR]

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
FN4I034 = Yes and FNCON5=no, ask FN4I034a. If FN4I034=yes and FNCON5=yes, skip to FN4I036.
FN4I034=no, go to FN4L134a.
---------------------------------------------------------------------------------

FN4I034a

If

9MFU Currently Employed

Are you @Bcurrently@B working at a job?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN4I034a = yes, ^lcfill1 should say "Is" and ^lcfill2 should say "current". If FN4I034a NE yes,
^lcfill1 should say "Was" and ^lcfill2 should say "most recent".

FN4I036

9MFU Job Status

^lcfill1 your ^lcfill2 job...

Question Type:

TJStatus

PT
FT
NoJob

1 Part time
2 Full time
3 You have never had a job

---------------------------------------------------------------------------------

FN4I035a

9MFU Employment Duration

How many months have you worked since ^REFDATE?

Question Type:

0..11

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 72 of 209

---------------------------------------------------------------------------------

Logic before:
If FN4I034a = yes, ^lcfill1 should say "Is" and ^lcfill2 should say "current". If FN4I034a NE yes,
^lcfill1 should say "Was" and ^lcfill2 should say "most recent".

FN4I037

9MFU Job Type

^lcfill1 your ^lcfill2 job...

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 FN4I034a = yes, ^lcfill should say "do". If FN4I034a NE yes, ^lcfill should say "did".

FN4I037a

9MFU Earnings

How much ^lcfill you earn per month from your job 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 FN4I034a = yes, ^lcfill should say "Does your current". If FN4I034a NE yes, ^lcfill should say
"Did your most recent".

FN4I038

9MFU Health Insurance

^lcfill job provide health insurance coverage?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN4I034a = yes, ^lcfill should say "Are". If FN4I034a NE yes, ^lcfill should say "Were".

FN4I039

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 73 of 209

Social Support
---------------------------------------------------------------------------------

FN4L134a

9MFU Number of Friends

Next, you will be asked about the kinds of support you have received from your friends and family
since ^REFDATE.
First, I will ask about your friends. Please do not count ^prld.Namefill or any family members as
you answer this question.
How many close friends do you have? These are people you feel at ease with, can talk to about
private matters, or can call on for help. Would you say you have 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 TOTALCHILD GE 1, include "or your ^children." fill with the question text.

FN4L128a

9MFU Close Family Members

Next, I'd like to know about support you have received from family members other than
^prld.Namefill ^lcfill.
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. Would you say you have 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 74 of 209

Parenting
---------------------------------------------------------------------------------

Logic before:
If FEMALEINCARSTATE=2 OR 3 and (PARTNERFOCAL=1 and FN1D030= Live), ask FN4N062 Else skip to FN4P069.

FN4N062

9MFU Frequency of Activities with Focal Child

In a typical week since ^REFDATE, how many days have you participated in an activity with
^prld.FOCCHILD, such as eating meals, going shopping, helping with homework, or doing something fun
with him or her?
[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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 75 of 209

Physical & Mental Health
---------------------------------------------------------------------------------

FN4P069

9MFU Medical Coverage

The next questions are about health care and health insurance.
Are you covered by Medicaid, Medi-Cal, Medicare, Champus, Indian Health Services, or any other
government program that pays for medical care?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN4P070

9MFU Medical Coverage by Someone Else

Are you covered by health insurance through your or someone else's employer, or insurance you
purchase directly from a private insurance company?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE=1, skip to part 5. If FEMINCARSTATE=2, ^lcfill1 should say “during your time on
the outside,”. Else do not fill. If TOTALCHILD "GE" 1, include "or your ^children" as ^lcfill2.

FN4P071

9MFU Need Medical Assistance

Since ^REFDATE, ^lcfill1 have you ^lcfill2 ever needed to see a doctor or go to the hospital, or
take prescription medication, but couldn't because of the cost?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 76 of 209

Housing
---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 2 or FN1F001=Dead, skip to Part Six, domain Z (FN6Z000). If MALEINCAR=1 OR 3 AND
FEMINCARSTATE=1, skip to FN5N095. ELSE GO TO FN5J040. Allow the respondent to "select all that
apply".

FN5J040

9MFU Ever Live

[USE SHOWCARD 19]
Now, I have some questions about your living situation since ^prld.Namefill's release.
[REFER TO REFERENCE CALENDAR]
Have you lived in any of these places? Select all that apply.
REQUIRED PROBE: Any other places?

Question Type:

Tresidence

Own

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

Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other

---------------------------------------------------------------------------------

Logic before:
If R lives in more than one place (from FN5J040), go to FN5J041. Else go to FN5J042. Use special
font for response options that were selected in FN5J040.

FN5J041

9MFU Primarily Reside

Since ^prld.Namefill was released, where have you mostly lived?
SELECT ONE.

Question Type:

TResidenceFB

Own
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other

1 ^F1 In your own house or apartment, meaning your name is on the title,
mortgage, or lease ^F1
2 ^F2 In someone else's house or apartment ^F2
3 ^F3 In a transitional housing building or halfway house ^F3
4 ^F4 In a motel/hotel or rooming house ^F4
5 ^F5 In a residential treatment facility ^F5
6 ^F6 In a shelter ^F6
7 ^F7 On the street ^F7
8 ^F8 In an outdoor location where you camp out ^F8
9 ^F9 In an abandoned building or vacant unit ^F9
10 ^F10 In some other place ^F10

Logic after:
Add a consistency check after FN5J041 if R chooses a response that was not also selected in
FN5J040. Text should say, "RESPONSE IS INCONSISTENT WITH RESPONSE TO PREVIOUS QUESTION. PROBE, AS
NEEDED, SO BOTH ITEMS ARE CONSISTENT."

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 77 of 209

---------------------------------------------------------------------------------

Logic before:
If FN5J040 includes Own or Elses, ask FN5J042. Else go to FN5J043a.

FN5J042

9MFU Public Housing

Was 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 FN5J042 = no, go to FN5J043. Else go to FN5J043a.
---------------------------------------------------------------------------------

FN5J043

9MFU Section 8

Was 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

---------------------------------------------------------------------------------

FN5J043a

9MFU Number of Places

Since ^prld.Namefill was released, in how many places have you lived?

Question Type:

1..100

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 78 of 209

---------------------------------------------------------------------------------

Logic before:
If PARTNERFOCAL = 1 and FN1D030= Live, ask FN5N095. Else, go to FN5J044b. Use special font for all
response options; use special font for following options based on responses to previous questions:
If FNCON5 = no, bold option 1 If MALEINCAR=1, bold option 3.
Always bold response options 2, and
4-12. Allow the respondent to "select all that apply".

FN5N095

9MFU Focal Child Residence

[USE SHOWCARD 20]
The next items ask about ^prld.FOCCHILD.
With whom does ^prld.FOCCHILD currently live? Select all that apply.
REQUIRED PROBE:

Anyone else?

Question Type:

TFocalResideFU

Respondent
Mother
Nmfill
Father
GrandparentM
GrandparentP
StepGrand
RelativesB
Stepparent
NonBlood
SocialS
Other

1
2
3
4
5
6
7
8
9
10
11
12

^F1 YOU ^F1
^F2 THE CHILD'S BIOLOGICAL MOTHER ^F2
^F3 ^NAMEFILLcaps ^F3
^F4 THE CHILD'S BIOLOGICAL FATHER ^F4
^F5 THE CHILD'S MATERNAL GRANDPARENT(S) ^F5
^F6 THE CHILD'S PATERNAL GRANDPARENT(S) ^F6
^F7 THE CHILD'S STEP-GRANDPARENT(S) ^F7
^F8 OTHER BLOOD RELATIVES OF THE CHILD ^F8
^F9 THE CHILD'S STEPPARENT ^F9
^F10 OTHER NON-BLOOD RELATIVES ^F10
^F11 THE CHILD IS IN CUSTODY OF SOCIAL SERVICES ^F11
^F12 OTHER (SPECIFY) ^F12

Logic after:
If FN5N095 = 12 (other), go to FN5N095s. If FEMINCARSTATE=1, go to FNJ045b. Else go to FN5J043b.
FN5N095: Add a consistency check after FN5N095 if R chooses option 1 and FNCON5 NE no; text should
say "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT WITH FEMALE CURRENTLY BEING INCARCERATED
(FNCON5). PLEASE PROBE AS NEEDED TO SECURE CONSISTENT RESPONSE.
---------------------------------------------------------------------------------

FN5N095s

9MFU Other Specify

SPECIFY OTHER

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE=1, skip to FN5J045b.
FN5N095. Else go to FN5J044a.

FN5J043b

Ask FN5J043b if response option 1 was not selected in

9MFU Live with Focal Child

Since ^prld.Namefill's release, have you lived with ^prld.FOCCHILD at least part of the time?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 79 of 209

---------------------------------------------------------------------------------

Logic before:
If FN5J043b=yes and FNCON5=no, ask FN5J044a. Else go to FN5J045b.

FN5J044a

9MFU Living with Focal Child

Are you currently living with ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
Ask FN5J045b if response option 3 was not selected in FN5N095. Else go to FN5J046a.

FN5J045b

9MFU Live with Focal Child

Since ^prld.NAMEFILL's release, has he lived with ^prld.FOCCHILD at least part of the time?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
Ask FN5J046a if FN5J045b=yes and MALEINCAR =1. Else go to FN5J044b.

FN5J046a

9MFU Living with Focal Child

Is ^prld.NAMEFILL currently living with ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE=1, skip to FN5N000. If any non-focal living children remain (that is, children
from either from baseline or NUMBCHILD), ask FN5J044b.

FN5J044b

9MFU Live with Other Chidlren

Since ^prld.NAMEFILL was released, have you lived with ^CHILD at least part of the time?

Question Type:

array[1..30] of TYesNoCaps

---------------------------------------------------------------------------------

Logic before:
If FN5J044b = yes and FNCON5=no, ask FN5J044c. Loop FN5J044b-FN5J044c for each of R’s remaining
living children.

FN5J044c

9MFU Living with Other Children

Are you currently living with ^CHILD?

Question Type:

array[1..30] of TYesNoCaps

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 80 of 209

---------------------------------------------------------------------------------

FN5J001

9MFU Live with Namefill

Since ^prld.NAMEFILL was released, have you lived with him at any point?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN5J001 = yes and FNCON5 = no and MALEINCAR=1, ask FN5J002. Else go to FN5J045.

FN5J002

9MFU Currently Live with Namefill

Are you currently living with ^prld.Namefill?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
Allow the respondent to "select all that apply".

FN5J045

9MFU Living with Others

Who else have you lived with since ^prld.Namefill was released?
Please list everyone who has lived with you at some point since ^prld.Namefill was released.
[SELECT ALL THAT APPLY]
REQUIRED PROBE: Anyone else?

Question Type:

TLivingFBx

NoOne
Spouse
Ex
Mother
Father
Sister
Brother
AuntUnc
Cousin
Grandparent
Child
Friend
PartFriend
Other
Nmfill

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

NO ONE ELSE
A CURRENT ROMANTIC PARTNER OTHER THAN ^Namefillcaps
AN EX-SPOUSE OR ROMANTIC PARTNER OTHER THAN ^Namefillcaps
MOTHER/STEPMOTHER
FATHER/STEPFATHER
SISTER/STEPSISTER
BROTHER/STEPBROTHER
AUNT/UNCLE, GREAT AUNT/UNCLE
COUSIN
GRANDPARENT
CHILD/STEPCHILD
FRIEND OF R
FRIEND OF ^Namefillcaps
SOME OTHER PERSON, NOT A FRIEND OR FAMILY MEMBER (SPECIFY)
^Namefillcaps

Logic after:
If FN5J045 = 14, go to FN5J045s. Else go to FN5J003.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 81 of 209

---------------------------------------------------------------------------------

FN5J045s

9MFU Specify Other

SPECIFY ANY OTHER PERSON THE RESPONDENT LIVED WITH

Question Type:

STRING[25]

---------------------------------------------------------------------------------

FN5J003

9MFU Live with Namefill Better

Since ^prld.Namefill was released, is your housing situation better, worse or about the same as it
was before he was released?

Question Type:

TBetWrseSme

Better
Worse
Same

1 BETTER
2 WORSE
3 ABOUT THE SAME

---------------------------------------------------------------------------------

FN5J055a

9MFU Neighborhood 1

[USE SHOWCARD 21]
[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 have mainly lived since ^prld.Namefill was released.
It is 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

---------------------------------------------------------------------------------

FN5J055b

9MFU Neighborhood 2

Drug selling is 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 82 of 209

---------------------------------------------------------------------------------

FN5J055c

9MFU Neighborhood 3

Your neighborhood or community is a good place to live.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN5J055d

9MFU Neighborhood 4

Your neighborhood or community is a good place to find a job.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 83 of 209

Income
---------------------------------------------------------------------------------

FN5K000

9MFU Income intro

Now I'm going to ask you some questions about your life since ^prld.Namefill was released.
[REFER RESPONDENT TO REFERENCE CALENDAR]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN5K016

9MFU Share Income with Partner

First, I'd like to know about your finances.
Since he was released, have you and ^prld.Namefill had any shared expenses, such as rent, mortgage,
food, car expenses, utility bills, or credit card bills?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN5K016a

9MFU Both Contribute to Income

Have you and ^prld.Namefill both contributed to the assets you share? That is, have both you and
^prld.Namefill had money coming in that you have used for your shared expenses?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN5K017

9MFU Welfare

Next I'm going to read a list of income sources. For each, tell me if you have received income from
this source since ^prld.Namefill was released.
[REFER RESPONDENT TO REFERENCE CALENDAR.]
Cash welfare, also known as TANF? You may have received 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 209

---------------------------------------------------------------------------------

Logic before:
If FN5K016 = yes, ask FN5K018. Else go to FN5K019.

FN5K018

9MFU Partner Received Welfare

Has ^prld.Namefill received income from this source since he was released?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN5K019

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 have received 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 FN5K016 = yes, ask FN5K020. Else go to FN5K021.

FN5K020

9MFU Partner Received Public Assistance

Has ^prld.Namefill received income from this source since he was released?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN5K021

9MFU Child Support Received

Child support payments?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN5K016 = yes, ask FN5K022. Else go to FN5K023.

FN5K022

9MFU Partner Received Child Support

Has ^prld.Namefill received income from this source since he was released?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 85 of 209

---------------------------------------------------------------------------------

FN5K023

9MFU Money from Others

Money from friends or relatives who did not live with you at that time?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN5K016 = yes, ask FN5K024. Else go to FN5K025.

FN5K024

9MFU Partner Received Money from Others

Has ^prld.Namefill received income from this source since he was released?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN5K025

9MFU Formal Payment

Formal employment? By "formal", we mean a job that you received a pay stub for, and for which taxes
were taken out of your pay.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN5K016 = yes, ask FN5K026. Else go to FN5K027.

FN5K026

9MFU Partner Received Formal Paycheck

Has ^prld.Namefill received income from this source since he was released?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN5K027

9MFU Casual Work

"Under the table" or casual work? By "under the table", we mean work that you did not receive a
pay stub for, for which taxes were not taken out of your pay. This could include things you were
paid in cash for, like babysitting or mowing lawns.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 86 of 209

---------------------------------------------------------------------------------

Logic before:
If FN5K016 = yes, ask FN5K028. Else go to FN5K029.

FN5K028

9MFU Partner Received Money Under the Table

Has ^prld.Namefill received income from this source since he was released?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN5K029

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 FN5K016 = yes, ask FN5K030. Else go to FN5K031.

FN5K030

9MFU Partner Received Funds from Illegal Activitie

Has ^prld.Namefill received income from this source since he was released?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN5K031

9MFU Budget

[USE SHOWCARD 22]
Since ^prld.Namefill was released, how often have you relied 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 87 of 209

---------------------------------------------------------------------------------

FN5K032

9MFU Meeting Bills

Since ^prld.Namefill was released, how often have you had difficulty meeting monthly payments on
bills?

Question Type:

TAUSN

Always
Usually
Some
Never

1
2
3
4

Always
Usually
Sometimes
Never

---------------------------------------------------------------------------------

FN5K033

9MFU Money at End of Month

Since ^prld.Namefill was released, how often have you had 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

---------------------------------------------------------------------------------

FN5K034

9MFU Money Better, Worse, Same

Since ^prld.Namefill was released, is your money situation better, worse or about the same as it
was before he was released?

Question Type:

TBetWrseSme

Better
Worse
Same

1 BETTER
2 WORSE
3 ABOUT THE SAME

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 88 of 209

Social Support
---------------------------------------------------------------------------------

FN5L009

9MFU Friend Support Expectations 1

This next set of questions asks about the kinds of support you have received from your friends and
family since ^prld.NAMEFILL was released.
Do you have a friend who will loan you money if you need it?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN5L010

9MFU Friend Support Expectations 2

Do you have a friend who will provide you with a place to live if you need it?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN5L011

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?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If TOTALCHILD GE 1, ^childfill should fill "or your ^children". Else do not fill.

FN5L006

9MFU Other Family Support Expectations 1

This next set of questions asks about the kinds of support you have received from your family
members, other than ^prld.Namefill ^childfill since ^prld.NAMEFILL was released.
Do you have a family member who will loan you money if you need it?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 89 of 209

---------------------------------------------------------------------------------

FN5L007

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

---------------------------------------------------------------------------------

FN5L008

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

---------------------------------------------------------------------------------

FN5L036p

9MFU Other Family Support Expectations 4

Now let’s think about the support ^prld.Namefill received.
Since ^prld.NAMEFILL was released, how often have the people he spends time with convinced him to
do things he knows he shouldn't be doing?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 90 of 209

Parenting
---------------------------------------------------------------------------------

Logic before:
If (PARTNERFOCAL = 1 and FN1D030 = Live) or (TOTALCHILD GE 1 AND FN1D030 <> empty), ask FN5N000.
Else go to Domain T, item FN5T134.

FN5N000

9MFU Parenting Intro

This next set of questions is about your and ^prld.Namefill's experiences with parenting since
^prld.Namefill was released.
[REFER TO REFERENCE CALENDAR]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
(If PARTNERFOCAL=0 OR FN1D030=Dead) AND (total # of non-focal children GE1), GO TO FN5N001.
PARTNERFOCAL = 1 AND FN1D030=Live AND FN5J045b =no ask FN5N030. Else go to FN5N031p.

FN5N030

9MFU See Focal Child

[USE SHOWCARD 23]
Since his release, how often does ^prld.NAMEFILL see ^prld.FOCCHILD in person?
[REFER RESPONDENT TO REFERENCE CALENDAR]

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

---------------------------------------------------------------------------------

FN5N031p

9MFU Financially Support Focal Child

Has ^prld.Namefill financially supported ^prld.FOCCHILD in any way since he was released from
incarceration?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FN5N031p = no, don’t know or refused, go to FN5N059.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 91 of 209

If

---------------------------------------------------------------------------------

Logic before:
Allow R to select all that apply.

FN5N032p

9MFU Financial Support for Focal Child

[USE SHOWCARD 24]
In what way or ways did ^prld.Namefill provide financial support for ^prld.FOCCHILD since his
release. Please include support provided to the child directly as well as support provided to you
or another caretaker of the child.
[ALLOW R TO SELECT ALL THAT APPLY]

Question Type:

TMonetary3

Gift
Shopping

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

Expense
More300
Two300
One200
Upto100

---------------------------------------------------------------------------------

FN5N059

9MFU Discipline Decisions About Focal Child

Since ^prld.Namefill was released, 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

---------------------------------------------------------------------------------

FN5N060

9MFU Arguments About Focal Child

Since ^prld.Namefill was released, have you often, sometimes, rarely, or never had arguments about
^prld.FOCCHILD?

Question Type:

TOSRNcaps

Often
Some
Rare
Never

1
2
3
4

OFTEN
SOMETIMES
RARELY
NEVER

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 92 of 209

---------------------------------------------------------------------------------

FN5N061

9MFU Decisions Regarding Health of Focal Child

[USE SHOWCARD 25]
Since ^prld.Namefill was released, who has made major decisions about things such as child care and
health care for ^prld.FOCCHILD?
Would you say . . .

Question Type:

TDecisionsFU2

Both
Father
Respondent
Someone

1
2
3
4

^prld.Namefill and you have made most of the decisions together
^prld.Namefill has made most decisions without you
You have made most decisions without ^prld.Namefill
Someone else involved in raising the child has made most decisions
without you or ^prld.Namefill
5 You and someone else involved in raising the child have made most of the
decisions

RandOther

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE=1, skip to FN5N036p. If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill should say
"since he was released and during the time that you were both on the outside". Else, ^lcfill should
say "since he was released?"

FN5N063

9MFU Frequency Family Activities

How often have you, ^prld.Namefill, and ^prld.FOCCHILD all done family-oriented activities
together, such as recreational activities, eating meals, or going to church ^lcfill

Question Type:

TOSRNcaps

Often
Some
Rare
Never

1
2
3
4

OFTEN
SOMETIMES
RARELY
NEVER

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill should say "since ^prld.Namefill was released and
during the time that you were both on the outside?". Else ^lcfill should say "since ^prld.Namefill
was released?"

FN5N064

9MFU Enjoy Being Together

How often have you, ^prld.Namefill and ^prld.FOCCHILD enjoyed being together as a family ^lcfill

Question Type:

TOSRNcaps

Often
Some
Rare
Never

1
2
3
4

OFTEN
SOMETIMES
RARELY
NEVER

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 93 of 209

---------------------------------------------------------------------------------

FN5N036p

9MFU Relationship with Focal

How easy or hard has it been for ^prld.Namefill to have a good relationship with ^prld.FOCCHILD
since he was 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".

FN5N037p

9MFU Biggest Challenges with Focal Child

[USE SHOWCARD 26]
Thinking about the time since ^prld.Namefill was released, what have been the biggest challenges in
his relationship with ^prld.FOCCHILD? Select all that apply.
REQUIRED PROBE: Anything else?

Question Type:

TExpectFB

Find
Missed

1 Him not knowing how to get in contact with ^prld.FOCCHILD
2 Having missed out on so much that happened with ^prld.FOCCHILD while he
was incarcerated
3 Getting ^prld.FOCCHILD to trust him or open up to him after the time
apart
4 Finding transportation for visits or activities
5 Dealing with people who don’t want him to see ^prld.FOCCHILD
6 Him not being in a stable enough housing and financial situation to be
able to spend time with ^prld.FOCCHILD
7 His lifestyle not being a healthy one for kids
8 ^prld.FOCCHILD being angry at him or not wanting to see him
9 Having money to financially support or buy things for ^prld.FOCCHILD
10 Some other challenge (SPECIFY)

Trust
Transport
Kids
Instability
Lifestyle
Angry
Money
Other

Logic after:
If FN5N037p includes 10 (other), go to FN5N037s. Else go to FN5N001.
---------------------------------------------------------------------------------

FN5N037s

9MFU Other Specify

SPECIFY OTHER CHALLENGE

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 94 of 209

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE=1, skip to FN5Y000.

FN5N001

If TOTALCHILD GE 1, Ask FN5N001.

Else go to FN5T134.

9MFU Fatherhood Intro

Thinking about the time since ^prld.Namefill was released, please tell me how much you agree or
disagree with each of the following statements about your ^children.
[REFER RESPONDENT TO REFERENCE CALENDAR]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN5N002

9MFU Male Role Model

It is good for the child(ren) to have a male role model.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN5N003

9MFU Namefill Discipline

[USE SHOWCARD 27]
^prld.Namefill disciplines the child(ren) too harshly sometimes.

Question Type:

TAgreeNALower

StroAgree
Agree
Disagree
StroDisagree
NA

1
2
3
4
5

Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable

---------------------------------------------------------------------------------

FN5N004

9MFU Namefill Alone w Child(ren)

You have felt comfortable leaving ^prld.Namefill alone with the child(ren).

Question Type:

TAgreeNALower

StroAgree
Agree
Disagree
StroDisagree
NA

1
2
3
4
5

Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 95 of 209

---------------------------------------------------------------------------------

FN5N005

9MFU Namefill Bad Influence

You have been concerned about ^prld.Namefill being a bad influence on the child(ren).

Question Type:

TAgreeNALower

StroAgree
Agree
Disagree
StroDisagree
NA

1
2
3
4
5

Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable

---------------------------------------------------------------------------------

FN5N006

9MFU Ease of Raising Child(ren)

Since ^prld.Namefill was released, it has gotten easier to manage the work of raising (a)
child(ren).

Question Type:

TAgreeNALower

StroAgree
Agree
Disagree
StroDisagree
NA

1
2
3
4
5

Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 96 of 209

Community Involvement
---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE = 1, skip to FN5Y000. Allow R to select all that apply. Do not allow option 5 to
be selected along with options 1, 2, 3, and/or 4, CC text sould read: "OPTION 5, NONE, CAN NOT BE
SELECTED IN CONJUNCTION WITH RESPONSE OPTIONS 1-4. GO BACK AND EDIT RESPONSES."

FN5T134

9MFU Community Involvement

[USE SHOWCARD 28]
Since ^prld.Namefill was released, have you done any of the following?
[CHECK ALL THAT APPLY.)

Question Type:

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

---------------------------------------------------------------------------------

FN5T155

9MFU Belong to Religious Org

Do you belong to a church, synagogue, mosque, or other religious organization?

Question Type:

TYesNo

yes
no

1 Yes
2 No

---------------------------------------------------------------------------------

FN5T001

9MFU Degree of Community Involvement

Since ^prld.Namefill was released, have you participated in community activities more, less or
about the same as when he was incarcerated? By community activities, I mean attending religious
services, doing volunteer work, voting, and/or participating in community groups or organizations.

Question Type:

TMreLssSme

More
Less
Same

1 MORE
2 LESS
3 ABOUT THE SAME

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 97 of 209

Overall Quality of Life
---------------------------------------------------------------------------------

FN5Y000

9MFU QOL Intro

Please tell me how much you agree or disagree with each of the following statements.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN5Y001

9MFU QOL 1

Overall, your life is harder since ^prld.Namefill was released.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN5Y002

9MFU QOL 2

Overall, your life is better since ^prld.Namefill was released

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 98 of 209

Personal Traits
---------------------------------------------------------------------------------

FN6Z000

9MFU Personal Traits Intro

These next questions deal with your feelings, attitudes, and how things are going for you
currently.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN6Z001

9MFU Control Important Things in Life

[USE SHOWCARD 29]
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

---------------------------------------------------------------------------------

FN6Z002

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

---------------------------------------------------------------------------------

FN6Z003

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 99 of 209

---------------------------------------------------------------------------------

FN6Z004

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

---------------------------------------------------------------------------------

FN6Z004a

9MFU Reactive Intro

For each of the following items, please tell me how much you agree or disagree. There are no
correct or incorrect answers.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN6Z005

9MFU Reactive Responding 1

[USE SHOWCARD 30]
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

---------------------------------------------------------------------------------

FN6Z006

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

---------------------------------------------------------------------------------

FN6Z006a

9MFU Spritual Intro

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.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 100 of 209

---------------------------------------------------------------------------------

FN6Z007

9MFU Spirituality 1

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

---------------------------------------------------------------------------------

FN6Z008

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

---------------------------------------------------------------------------------

FN6Z009

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

---------------------------------------------------------------------------------

FN6Z010

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

---------------------------------------------------------------------------------

FN6Z010a

9MFU Self Efficacy Intro

The next questions are about how you currently feel about your life.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 101 of 209

---------------------------------------------------------------------------------

FN6Z011

9MFU Self Efficacy 1

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

---------------------------------------------------------------------------------

FN6Z012

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

---------------------------------------------------------------------------------

FN6Z013

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

---------------------------------------------------------------------------------

FN6Z014

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 102 of 209

---------------------------------------------------------------------------------

FN6Z015

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

---------------------------------------------------------------------------------

FN6Z015a

Attachment Intro

For each of the following statements, please tell me how much you agree or disagree when it comes
to close relationships.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN6Z016

9MFU Attachment 1

[USE SHOWCARD 31]
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

---------------------------------------------------------------------------------

FN6Z017

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 103 of 209

---------------------------------------------------------------------------------

FN6Z018

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

---------------------------------------------------------------------------------

FN6Z018a

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

---------------------------------------------------------------------------------

FN6Z019

9MFU Cooperation 1

[USE SHOWCARD 32]
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

---------------------------------------------------------------------------------

FN6Z020

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 104 of 209

---------------------------------------------------------------------------------

FN6Z021i

9MFU Relationship Skills Intro

These next questions are about your opinions about romantic relationships. Please tell me how much
you agree or disagree.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN6Z021

9MFU Relationship Skills 1

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

---------------------------------------------------------------------------------

FN6Z022

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

---------------------------------------------------------------------------------

FN6Z023

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

---------------------------------------------------------------------------------

FN6Z024

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 105 of 209

---------------------------------------------------------------------------------

FN6Z025

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

---------------------------------------------------------------------------------

FN6Z026

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

---------------------------------------------------------------------------------

FN6Z027

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 106 of 209

Mental & Physical Health
---------------------------------------------------------------------------------

FN6P000

9MFU Physical Health Intro

Now I'd like to ask you some questions about your health and how you have been feeling over the
last 1 month.
[POINT TO 1 MONTH AGO ON REFERENCE CALENDAR.]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN6P037

9MFU Physical Health 1

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

---------------------------------------------------------------------------------

FN6P038

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

---------------------------------------------------------------------------------

FN6P039

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 107 of 209

---------------------------------------------------------------------------------

FN6P039a

9MFU ADHD Intro

Thinking about the past 1 month, please tell me how much you agree or disagree with each of the
following statements.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN6P040

9MFU ADHD 1

[USE SHOWCARD 33]
You are easily distracted.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN6P041

9MFU ADHD 2

You get frustrated easily.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN6P042

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

---------------------------------------------------------------------------------

FN6P043

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 108 of 209

---------------------------------------------------------------------------------

FN6P044

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

---------------------------------------------------------------------------------

FN6P045

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

---------------------------------------------------------------------------------

FN6P046

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

---------------------------------------------------------------------------------

FN6P046a

9MFU CES-D Intro

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]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 109 of 209

---------------------------------------------------------------------------------

FN6P047

9MFU CES-D 1

[USE SHOWCARD 34]
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

---------------------------------------------------------------------------------

FN6P048

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

---------------------------------------------------------------------------------

FN6P049

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

---------------------------------------------------------------------------------

FN6P050

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 110 of 209

---------------------------------------------------------------------------------

FN6P051

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

---------------------------------------------------------------------------------

FN6P052

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

---------------------------------------------------------------------------------

FN6P053

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

---------------------------------------------------------------------------------

FN6P054

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 111 of 209

---------------------------------------------------------------------------------

FN6P055

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 112 of 209

Parenting & Child Well-being
---------------------------------------------------------------------------------

Logic before:
If (PARTNERFOCAL = 1 and FN1D030= Live) and FN5N095=empty ask FN6N095. Else, go to FN6N096.
Response option 1 shoud only be available if FNCON5=NO. Use special font as follows: If FNCON5=
NO bold option 1. If FN1F001=Alive and MALEINCAR=1 bold option 3. Always bold options 2 and 4-12.
Allow respondent to select all that apply.

FN6N095

9MFU Focal Child Residence 2

[USE SHOWCARD 35]
The next items ask about ^prld.FOCCHILD.
With whom does ^prld.FOCCHILD currently live? Select all that apply.
REQUIRED PROBE:

Anyone else?

Question Type:

TFocalResideFU

Respondent
Mother
Nmfill
Father
GrandparentM
GrandparentP
StepGrand
RelativesB
Stepparent
NonBlood
SocialS
Other

1
2
3
4
5
6
7
8
9
10
11
12

^F1 YOU ^F1
^F2 THE CHILD'S BIOLOGICAL MOTHER ^F2
^F3 ^NAMEFILLcaps ^F3
^F4 THE CHILD'S BIOLOGICAL FATHER ^F4
^F5 THE CHILD'S MATERNAL GRANDPARENT(S) ^F5
^F6 THE CHILD'S PATERNAL GRANDPARENT(S) ^F6
^F7 THE CHILD'S STEP-GRANDPARENT(S) ^F7
^F8 OTHER BLOOD RELATIVES OF THE CHILD ^F8
^F9 THE CHILD'S STEPPARENT ^F9
^F10 OTHER NON-BLOOD RELATIVES ^F10
^F11 THE CHILD IS IN CUSTODY OF SOCIAL SERVICES ^F11
^F12 OTHER (SPECIFY) ^F12

Logic after:
If FN6N095 = 12 (other), go to FN6N095s
FN6N095: Add a consistency check after FN6N095 if R chooses option 1 and FNCON5 NE no . CC text
should say "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT WITH FEMALE
CURRENTLY BEING INCARCERATED (FNCON5). PLEASE PROBE AS NEEDED TO SECURE
CONSISTENT RESPONSE."
Add a consistency check after FN6N095 if R chooses option 3 and (MALEINCAR=2 or 3) or
FN1F001=Dead. CC text should say: "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT WITH
^prld.NAMEFILL BEING INCARCERATED OR DEAD. PLEASE PROBE AS NEEDED TO SECURE A CONSISTENT RESPONSE."

---------------------------------------------------------------------------------

FN6N095s

9MFU Other Specify Focal Child Residence

SPECIFY OTHER

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 113 of 209

---------------------------------------------------------------------------------

Logic before:
If PARTNERFOCAL = 1 and FN1D030= Live, ask FN6N096.

FN6N096

Else, go to FN6N121.

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

---------------------------------------------------------------------------------

FN6N097

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 FNCON5 = yes, ^lcfill should say "^prld.FOCCHILD during this incarceration.". If FNCON5 = no,
^lcfill should say "^prld.FOCCHILD.".

FN6R039

9MFU 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 ^lcfill
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 FNCON5=no then the first 4 response options should be bolded on only those four should be
eligible for selection. If FNCON5=yes, then all response options should be bolded and eligible for
selection. CC text reads: NO CONTACT IS NOT LOGICALLY CONSISTENT WITH YOUR OTHER RESPONSES.

FN6R039a

9MFU Parental Warmth 1

Hug or show physical affection to ^prld.FOCCHILD?

Question Type:

Tphysical

Always
Usually
Sometimes
Never
NoContact

1
2
3
4
5

^F1
^F2
^F3
^F4
^F5

Always ^F1
Usually ^F2
Sometimes ^F3
Never ^F4
Physical contact is not permitted during visits at your facility ^F5

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

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---------------------------------------------------------------------------------

FN6R040

9MFU Parental Warmth 2

[USE SHOWCARD 36]
Tell ^prld.FOCCHILD that you love ^FOCSEX2?

Question Type:

TAUSN

Always
Usually
Some
Never

1
2
3
4

Always
Usually
Sometimes
Never

---------------------------------------------------------------------------------

FN6R041

9MFU 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

---------------------------------------------------------------------------------

FN6R042

9MFU 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 FN1F001= Dead, skip to FN6N103. If MALEINCAR = 2, ask FN6N099. Else go to FN6N099a.

FN6N099

9MFU Arguments over Focal Child

Parenting with another person can be challenging.
Do you and ^prld.Namefill have arguments about ^prld.FOCCHILD?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 115 of 209

---------------------------------------------------------------------------------

Logic before:
If TOTALCHILD GE 1, ask FN6N099a.

FN6N099a

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 MALEINCAR = 2, ask FN6N100. Else go to FN6N101p.

FN6N100

9MFU Decisions about Child/Health Care

[USE SHOWCARD 37]
Who makes major decisions about things such as child care and health care for ^prld.FOCCHILD?

Question Type:

TDecisionsP

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

---------------------------------------------------------------------------------

FN6N101p

9MFU Focal Child s Relationship with Father

Please rate ^prld.FOCCHILD's relationship with ^prld.NAMEFILL.
Would you say it is . . .

Question Type:

TEGFP

Excel
Good
Fair
Poor

1
2
3
4

Excellent
Good
Fair
Poor

---------------------------------------------------------------------------------

Logic before:
If FN1G062a (for focal child) "GE" 4, go to FN6N103.

FN6N103

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 FN6N103 = yes, go to FN6N104. Else go to FN6N107.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 116 of 209

---------------------------------------------------------------------------------

FN6N104

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 FN6N104 = other, go to FN6N104s. Else go to FN6N105.
---------------------------------------------------------------------------------

FN6N104s

9MFU Other Specify

SPECIFY OTHER

Question Type:

STRING[25]

---------------------------------------------------------------------------------

FN6N105

9MFU School Assessment Overall

[USE SHOWCARD 38]
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 117 of 209

---------------------------------------------------------------------------------

FN6N106

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 FN1G062a for ^FOCCHILD GE 4, ask FN6N107.

FN6N107

If FN1G062a for ^FOCCHILD LT 4, skip to FN6N115i.

9MFU NSCH Behavior 1

[USE SHOWCARD 39]
[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

---------------------------------------------------------------------------------

FN6N108

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 118 of 209

---------------------------------------------------------------------------------

FN6N109

9MFU NSCH Behavior 3

. . .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

---------------------------------------------------------------------------------

FN6N110

9MFU NSCH Behavior 4

. . .is disobedient

Question Type:

TAUSND

Always
Usually
Sometimes
Never
DontK

1
2
3
4
5

Always
Usually
Sometimes
Never
Don't know

---------------------------------------------------------------------------------

FN6N111

9MFU NSCH Behavior 5

. . .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

---------------------------------------------------------------------------------

FN6N112

9MFU NSCH Behavior 6

. . .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 119 of 209

---------------------------------------------------------------------------------

FN6N113

9MFU NSCH Behavior 7

. . .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

---------------------------------------------------------------------------------

FN6N114

9MFU NSCH Behavior 8

. . .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

---------------------------------------------------------------------------------

FN6N115i

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 FN1G062a GE 4, ask FN6N115. Else, go to FN6N117.

FN6N115

9MFU New Hope 1

Being suspended or expelled from school?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN6N116

9MFU New Hope 2

Needing to repeat a grade in school?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 120 of 209

---------------------------------------------------------------------------------

FN6N117

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 FN1G062a for focal child is "GE" 10, go to FN6N118. Else go to FN6N121.

FN6N118

9MFU New Hope 4

Running away?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN6N119

9MFU New Hope 5

Getting into trouble for using alcohol or drugs?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN6N120

9MFU New Hope 6

Getting into trouble with the police?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 121 of 209

---------------------------------------------------------------------------------

FN6N121

9MFU Fatherhood Attitude 1

[FI NOTE: THIS SERIES APPLIES TO ALL RESPONDENTS.]
[USE SHOWCARD 40]
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

---------------------------------------------------------------------------------

FN6N122

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

---------------------------------------------------------------------------------

FN6N123

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

---------------------------------------------------------------------------------

FN6N124

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 122 of 209

---------------------------------------------------------------------------------

FN6N125

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

---------------------------------------------------------------------------------

FN6N126

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

---------------------------------------------------------------------------------

FN6N127

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 123 of 209

Social Support
---------------------------------------------------------------------------------

Logic before:
If TOTALCHILD GE 1, ^lcfill should say "or your ^children". Else do not fill.

FN6L128

Extended Family Support 1

[USE SHOWCARD 40]
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

---------------------------------------------------------------------------------

FN6L129

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

---------------------------------------------------------------------------------

FN6L130

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

---------------------------------------------------------------------------------

FN6L131

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 124 of 209

---------------------------------------------------------------------------------

FN6L132

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

---------------------------------------------------------------------------------

FN6L133

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 125 of 209

ACASI Intro
---------------------------------------------------------------------------------

FNACASI1

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. 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

---------------------------------------------------------------------------------

Logic before:
If FN1F001 = Alive ask FNACASI1a. If FN1F001 = Dead, skip to FNACASI2.

FNACASI1a

9MFU ACASI 1a

As you know, you were referred to us for this study by ^prld.Namefill.
will refer to ^prld.Namefill as your, "Survey Partner".

In this next section, we

[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

---------------------------------------------------------------------------------

FNACASI2

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

---------------------------------------------------------------------------------

FNACASI2a

9MFU ACASI 2a

[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 126 of 209

---------------------------------------------------------------------------------

FNACASI3

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

---------------------------------------------------------------------------------

FNACASI4

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

---------------------------------------------------------------------------------

FNACASI5

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 backup 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 127 of 209

---------------------------------------------------------------------------------

FNACASI6

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.
Do you have any questions before I give you the laptop?
[TURN THE LAPTOP OVER TO THE RESPONDENT NOW]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FNACASI7

9MFU 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

---------------------------------------------------------------------------------

FNACASI8

9MFU ACASI 8

Some questions ask for a yes or no answer, like this one.
Press 1 for Yes or 2 for No, then press the ENTER key to continue.

Practice this now.

Do you have a dog?

Question Type:

TYESNOCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FNACASI9

9MFU ACASI 9

Some questions ask you to pick an answer from a list, like this one.
Type the number that best fits you and press ENTER. Practice this now.
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 128 of 209

---------------------------------------------------------------------------------

FNACASI10

9MFU 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

---------------------------------------------------------------------------------

FNACASI11

9MFU 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

---------------------------------------------------------------------------------

FNACASI12

9MFU 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 129 of 209

---------------------------------------------------------------------------------

Logic before:
Allow R to select all that apply.

FNACASI13

9MFU 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 the response options selected in FNACASI13 and only allow one response to be selected.

FNACASI14

9MFU 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

---------------------------------------------------------------------------------

FNACASI15

9MFU 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 130 of 209

Criminal History
---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 2 (female did not participate in baseline interview), ask FNACASI1C001a. If FEMBASE =
1, go to FNACASIJ006.

FNACASI1C001a

9MFU Criminal Intro

The next set of questions are about events and experiences in the past.
First, I'm going to ask you some questions about your involvement with the criminal justice system.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If FNCON5 = no, ask FNCASAI1C001.

FNACASI1C001

If FNCON5 = yes, skip to FNACASI1C002

9MFU Ever Arrested

Have you ever been arrested?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FNACASI1C001 = yes, ask FNACASI1C002.

FNACASI1C002

Else, go to FNACASIJ006.

9MFU Number of Arrest

How many times in your life have you been arrested? Please count all arrests, not just those that
led to a conviction.
Your best estimate is fine.

Question Type:

0..100

---------------------------------------------------------------------------------

FNACASI1C003

9MFU Number of Convictions

How many times in your life have you been convicted of a crime?

Question Type:

0..100

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 131 of 209

---------------------------------------------------------------------------------

Logic before:
If FNCON5 = yes, ask FNACASI1C003a. Else, skip to FNACASI1C004

FNACASI1C003a

9MFU Number of Adult Incar if Currently Incar

Not counting your current term of incarceration, have you ever served time in a jail or prison for
more than 24 hours at one time? Do not include any time you may have spent in a juvenile facility
in your answer.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If yes to FNACASI1C003a, go to FNACASI1C003b. Else, go to FNACASIJ006.
---------------------------------------------------------------------------------

Logic before:
If FNCON5 = yes, ask FNACASI1C003b. Else, skip to FNACASI1C004.

FNACASI1C003b

9MFU Number of Incarcerations in Life if Currently

Not counting your current term of incarceration, how many times in your life have you been sent to
prison or jail for more than 24 hours? Do not include any time you may have spent in a juvenile
facility in your answer.
Please enter the number of separate times you were booked into prison/jail.

Question Type:

0..100

---------------------------------------------------------------------------------

Logic before:
If FNCON5 = no, ask FNACASI1C004.

FNACASI1C004

9MFU Number of Adult Incarceration

Have you ever been in a jail or prison for more than 24 hours at one time? Do not include any time
you may have spent in a juvenile facility in your answer.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FNACASI1C004=yes, go to FNACASI1C005. Else, go to FNACASIJ006.
---------------------------------------------------------------------------------

FNACASI1C005

9MFU Number of Incarcerations in Life

How many times in your life have you been sent to prison or jail for more than 24 hours? Do not
include any time you may have spent in a juvenile facility in your answer.
Please enter the number of separate times you were booked into prison/jail.

Question Type:

1..999

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 132 of 209

Housing
---------------------------------------------------------------------------------

Logic before:
If FNCON5 = yes, skip to FNACASI6O012. If FN5J002 = yes, ^lcfill should say "other than your Survey
Partner"

FNACASIJ006

9MFU Current Housepartner Correctional Facility

Has anyone you are currently living with ^lcfill ever been to jail, prison or some other
correctional institution?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FNACASIJ007

9MFU Current Housepartner Drug Use

Do any of the people you are currently living with use illegal drugs?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 133 of 209

Substance Use
---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE = 1, skip to FNACASI6O012p. If FEMINCARSTATE = 2, ^lcfill1 should say "over the
past nine months, during your time on the outside.", and ^lcfill2 should say "over the past nine
months, during your time on the outside,". If FEMINCARSTATE = 3, ^lcfill1 should say "during the
past nine months.", and ^lcfill2 should say "during the past nine months,".

FNACASI6O012

9MFU Substances Used

For these next questions, it may be helpful to look at the reference calendar and think about your
life ^lcfill1
Please tell me which of the following substances you have used ^lcfill2 even just once.
that apply.

Select all

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:

TSubstance

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 Hallucinogens 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 FNACASI6O012 includes more than one response, go to FNACASI6O013.
FNACASIO012 = "DID NOT USE", go to FNACASI6O012p.

Else, go to FNACASI6O008a. If

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 134 of 209

---------------------------------------------------------------------------------

Logic before:
Use special font for the response options that were selected in the previous question. If
FEMINCARSTATE = 2, ^lcfill should say "over the past nine months, during your time on the outside?"
If FEMINCARSTATE = 3, ^lcfill should say "during the past nine months?"

FNACASI6O013

9MFU Substances Since Last Int

Which of the following have you used the most ^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 FNACASI6O012 includes 1 (alcohol), ask FNACASI6O008a. Else go to FNACASI6O008e.If FEMINCARSTATE
= 2, ^lcfill1 should say "over the past nine months, during your time on the outside." If
FEMINCARSTATE = 3, ^lcfill1 should say "during the past nine months."

FNACASI6O008a

9MFU CAGE 1

Now, I'd like you to think about your drug and alcohol use ^lcfill1
Have you felt you should cut down on your drinking?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FNACASI6O008b

9MFU CAGE 2

Have people ever annoyed you by complaining about your drinking?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 135 of 209

---------------------------------------------------------------------------------

FNACASI6O008c

9MFU CAGE 3

Have you felt bad or guilty about your drinking?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FNACASI6O008d

9MFU CAGE 4

Have you ever had 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 FNACASI6O012 includes any responses 2-10 (drugs other than alcohol) ask FNACASI6O008e. Else go
to FNACASI6O009. If FEMINCARSTATE = 2, ^lcfill1 should say "Over the past nine months, during your
time on the outside..." If FEMINCARSTATE = 3, ^lcfill1 should say "During the past nine months..."

FNACASI6O008e

9MFU CAGE 5

^lcfill1
Have you ever felt you should cut down on your drug use?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FNACASI6O008f

9MFU CAGE 6

Have people ever annoyed you by complaining about your drug use?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FNACASI6O008g

9MFU CAGE 7

Have you felt bad or guilty about your drug use?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 136 of 209

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE = 2, ^lcfill should say "Over the past nine months, during your time on the
outside," If FEMINCARSTATE = 3, ^lcfill should say "During the past nine months,"

FNACASI6O009

9MFU Experience Problems with Anger

^lcfill how often have you experienced problems with anger when you have been drinking or using
drugs?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE = 2, ^lcfill should say "Over the past nine months, during your time on the
outside," If FEMINCARSTATE = 3, ^lcfill should say "During the past nine months,"

FNACASI6O010

9MFU Physically Hurt or Get Rough with Partner

^lcfill 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?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

Logic before:
If FNACASI6O012 includes 1 (alcohol), ask FNACASI6O011. Else go to FNACASI6O012p. If FEMINCARSTATE
= 2, ^lcfill should say "Over the past nine months, during your time on the outside," If
FEMINCARSTATE = 3, ^lcfill should say "During the past nine months,"

FNACASI6O011

9MFU Five or More Drinks

^lcfill how often have you had 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 137 of 209

---------------------------------------------------------------------------------

Logic before:
If (RELATIONSHIP STATUS = 1 or RELSTATUSFU = 1) and (MALEINCAR = 1 or 3) and FN1F001 = Alive, ask
FNACASI6O012p. Else, skip to FNACASI7O024p. If MALEINCAR = 1 (released), ^lcfill1 should say
"during the past nine months.", and ^lcfill2 should say "during the past nine months,". If
MALEINACR = 3 (reincarcerated), ^lcfill1 should say "over the past nine months, during his time on
the outside.", and ^lcfill2 should say "over the past nine months, during his time on the outside,".

FNACASI6O012p

9MFU Substances Partner Used

These next questions ask about @Byour Survey Partner's@B substance use ^lcfill1
For these questions, it may be helpful to look at the reference calendar.
Please tell me which of the following substances @Byour Survey Partner@B used ^lcfill2 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:

TSubstance

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 Hallucinogens 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 FNACASI6O012p = "DID NOT USE", go to FNACASI7O024p. If FNACASI6O012p includes more than one
response, go to FNACASI6O013p. Else, go to FNACASI6O014p.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 138 of 209

---------------------------------------------------------------------------------

Logic before:
Use special font for the response options that were selected in the previous question. If MALEINCAR
= 1 (released), ^lcfill should say "during the past nine months?" If MALEINACR = 3
(reincarcerated), ^lcfill should say "over the past nine months, during his time on the outside?"

FNACASI6O013p

9MFU Substances Partner Used Most

Which of the following did @Byour Survey Partner@B use the most ^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 FNACASI6O012p includes 1 (alcohol), ask FNACASI6O014p. Else, go to FNACASI6O018p. If MALEINCAR
= 1 (released), ^lcfill1 should say "during the past nine months.", and ^lcfill2 should say "Has
@Bhe@B felt". If MALEINACR = 3 (reincarcerated), ^lcfill1 should say "over the past nine months,
during his time on the outside.", and ^lcfill2 should say "Did @Bhe@B feel".

FNACASI6O014p

9MFU CAGE 1

Now I'd like you to think back to @Byour Survey Partner's@B alcohol use ^lcfill1
^lcfill2 @Bhe@B should cut down on @Bhis@B drinking?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "Have people ever annoyed". If MALEINACR = 3
(reincarcerated), ^lcfill should say "Did people ever annoy".

FNACASI6O015p

9MFU CAGE 2

^lcfill @Bhim@B by complaining about @Bhis@B drinking?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 139 of 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "Has @BheB@ ever felt". If MALEINACR = 3
(reincarcerated), ^lcfill should say "Did @Bhe@B ever feel".

FNACASI6O016p

9MFU CAGE 3

^lcfill bad or guilty about @Bhis@B drinking?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "Has @BheB@ ever had". If MALEINACR = 3
(reincarcerated), ^lcfill should say "Did @Bhe@B ever have".

FNACASI6O017p

9MFU CAGE 4

^lcfill a drink first thing in the morning to steady @Bhis@B 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 FNACASI6O012p includes any responses 2-10 (drugs other than alcohol), ask FNACASI6O018p. Else,
go to FNACASI6O021p. If MALEINCAR = 1 (released), ^lcfill1 should say "during the past nine
months.", and ^lcfill2 should say "Has @Bhe@B ever felt". If MALEINACR = 3 (reincarcerated),
^lcfill1 should say "over the past nine months, during his time on the outside.", and ^lcfill2
should say "Did @Bhe@B ever feel".

FNACASI6O018p

9MFU CAGE 5

Now I'd like you to think back to @Byour Survey Partner's@B drug use ^lcfill1
^lcfill2 @Bhe@B should cut down on @Bhis@B drug use?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "Have people ever annoyed". If MALEINACR = 3
(reincarcerated), ^lcfill should say "Did people ever annoy".

FNACASI6O019p

9MFU CAGE 6

^lcfill @Bhim@B by complaining about @Bhis@B drug use?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 140 of 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "Has @BheB@ ever felt". If MALEINACR = 3
(reincarcerated), ^lcfill should say "Did @Bhe@B ever feel".

FNACASI6O020p

9MFU CAGE 7

^lcfill bad or guilty about @Bhis@B drug use?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "During the past nine months, how often has @Byour
Survey Partner@B experienced problems with anger when @Bhe@B has been drinking or using drugs?" If
MALEINACR = 3 (reincarcerated), ^lcfill should say "Over the past nine months, during his time on
the outside, how often did @Byour Survey Partner@B experience problems with anger when @Bhe@B had
been drinkning or using drugs?"

FNACASI6O021p

9MFU Experience Problems with Anger

^lcfill

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 1 (released), ^lcfill should say "During the past nine months, how often has @Byour
Survey Partner@B physically hurt or gotten rough with you or other family members while @Bhe@B has
been drinking or using drugs?" If MALEINACR = 3 (reincarcerated), ^lcfill should say "Over the
past nine months, during his time on the outside, how often did @Byour Surevy Partner@B physically
hurt or get rough with you or other family members when @Bhe@B had been drinking or using drugs?"

FNACASI6O022p

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 141 of 209

---------------------------------------------------------------------------------

Logic before:
If FNACASI6O012p includes 1 (alcohol), ask FNACASI6O023p. Else, go to FNACASI7O024p. If MALEINCAR
= 1 (released), ^lcfill should say "During the past nine months, how often has @byour Survey
Partner@B had" If MALEINACR = 3 (reincarcerated), ^lcfill should say "Over the past nine months,
during his time on the outside, how often did @Byour Survey Partner@B have".

FNACASI6O023p

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:
If (RELATIONSHIP STATUS = 1 or RELSTATUSFU = 1) and (MALEINCAR = 2 or 3) AND FN3Q000a = yes AND
FN1F001 = Alive, ask FNACASI7O024p. Else go to FNACASI7O025.

FNACASI7O024p

9MFU Use of Illegal Drugs Post-Release

For the next question, please think about when @Byour Survey Partner@B is released from
incarceration.
How likely is it that he will use any illegal drugs after release?
Please answer based on your realistic expectations.

Question Type:

TLikely

Very
Likely
Unlikely
VeryUn

1
2
3
4

Very likely
Likely
Unlikely
Very unlikely

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 1 AND FNACASI6O012 NE NoUse AND FN1F001 = Alive, ask FNACASI7O025. Else go to
FNACASIV056.

FNACASI7O025

9MFU Female Substance Use Change Since Male Releas

Since your Survey Partner was released, are @Byou@B drinking alcohol or using drugs more, less or
about the same as when he was incarcerated?

Question Type:

TMrLssSme

More
Less
Same

1 MORE
2 LESS
3 ABOUT THE SAME

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 142 of 209

Partner Relationship Quality
---------------------------------------------------------------------------------

Logic before:
If FN1F001 = 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 FNACASIV056. Else, skip to
FNACASIV062.

FNACASIV056

9MFU DAS 1

Now, I'm going to ask you some questions about your romantic relationship with your Survey Partner.
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

---------------------------------------------------------------------------------

FNACASIV057

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

---------------------------------------------------------------------------------

FNACASIV058

9MFU DAS 3

How often have you discussed or considered divorce, separation, or ending your current relationship?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

FNACASIV059

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 143 of 209

---------------------------------------------------------------------------------

FNACASIV060

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

---------------------------------------------------------------------------------

FNACASIV061

9MFU DAS 6

Do you ever regret getting into your current relationship?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

Logic before:
If RELSTATUSFU = 2 AND RELATIONSHIP STATUS = 2, ^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.

FNACASIV062

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

---------------------------------------------------------------------------------

FNACASIV063

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 144 of 209

---------------------------------------------------------------------------------

FNACASIV064

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

---------------------------------------------------------------------------------

FNACASIV065

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

---------------------------------------------------------------------------------

FNACASIV066

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

---------------------------------------------------------------------------------

FNACASIV067

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 145 of 209

---------------------------------------------------------------------------------

FNACASIV068

9MFU Communication Skills 1

When discussing issues, you repeat back what your Survey Partner says to make sure you understand
him.
Would you say . . .

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

FNACASIV069

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

---------------------------------------------------------------------------------

FNACASIV070

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

---------------------------------------------------------------------------------

FNACASIV071

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 146 of 209

---------------------------------------------------------------------------------

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 FNACASIV072. Else, go to FNACASIV085.

FNACASIV072

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

---------------------------------------------------------------------------------

FNACASIV073

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

---------------------------------------------------------------------------------

FNACASIV074

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

---------------------------------------------------------------------------------

FNACASIV075

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 147 of 209

---------------------------------------------------------------------------------

FNACASIV076

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

---------------------------------------------------------------------------------

FNACASIV077

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

---------------------------------------------------------------------------------

FNACASIV078

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

---------------------------------------------------------------------------------

FNACASIV079

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 148 of 209

---------------------------------------------------------------------------------

FNACASIV080

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

---------------------------------------------------------------------------------

FNACASIV081

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

---------------------------------------------------------------------------------

FNACASIV082

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

---------------------------------------------------------------------------------

FNACASIV083

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 149 of 209

---------------------------------------------------------------------------------

FNACASIV084

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 (MALEINCAR = 1 or 3), ask FNACASI7V022. Else go
to FNACASIV085.

FNACASI7V022

9MFU Relationship with Partner

How easy or hard has it been to have a good relationship with your Survey Partner since he was
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".

FNACASI7V023

9MFU Biggest Challenges Post-Release

Since he was released, what were the biggest challenges in your relationship with your Survey
Partner? Select all that apply.

Question Type:

TBChallengesFU

Find
Close
Trust
Problems
Missed
Except
Angry
PartAngry
Hedecide
NoInvolve
Other

1
2
3
4

Not knowing how to get in contact with him
Being able to feel close to him again after his time in prison
Being able to trust him after the time in prison
Problems or new situations that have come up since he was incarcerated

5 His having missed out on so much that happened in your life while he was
incarcerated
6 His trying to meet your expectations related to finding a job, staying
clean, helping you financially
7 Being angry at him or not wanting to see him
8 Him being angry at you or not wanting to see you
9 Him trying to make all of the decisions for you and your child(ren)
10 Him not getting involved enough in running the household
11 Some other challenge

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 150 of 209

---------------------------------------------------------------------------------

FNACASI7V025

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 his release.
You have loved your Survey Partner and made him feel wanted.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FNACASI7V026

9MFU Partner Support Expectations 3

You have helped your Survey Partner with whatever problems he has faced.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FNACASI7V028

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

---------------------------------------------------------------------------------

FNACASI7V029

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 151 of 209

---------------------------------------------------------------------------------

Logic before:
If FN1F062a = Sep or Divorce OR FN1F063a = NoRom OR FN1F064a = Rom OR FN1F065 = No OR FN1F063 = No
OR FN1F064 = No or FN1F064c = No, ask FNACASIV085. Else go to FNACASIV086.

FNACASIV085

9MFU Marriage Attitude 1

Getting and staying married is an important goal for you.
Would you say..

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Logic before:
If FN1F062 = No OR FN1F062a=NoRom OR FN1F063a = Marr OR FN1F064a = Marr, OR FN1F064c = yes, ask
FNACASIV086. Else go to FNACASIV087i.

FNACASIV086

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

---------------------------------------------------------------------------------

FNACASIV087i

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 FNACASIV087a.

FNACASIV087a

Else go to FNACASIV087.

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 152 of 209

---------------------------------------------------------------------------------

Logic before:
If FN1F063 = No (still romantically involved with non-spousal namefill at followup) OR FN1F064a =
Rom (now romantically involved with non-spousal namefill at followup), ask FNACASIV087. Else go to
FNACASIV088.

FNACASIV087

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 FNACASIV088. Else, skip to FNACASI2M023.

FNACASIV088

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

---------------------------------------------------------------------------------

FNACASIV089

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 153 of 209

---------------------------------------------------------------------------------

FNACASIV090p

9MFU Perceived Life Changes 3

Now, let's think about your Survey Partner.
How would @Bhis@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

---------------------------------------------------------------------------------

FNACASIV091p

9MFU Perceived Life Changes 4

How would @Bhis@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 FNACASIV092.

FNACASIV092

Else, skip to FNACASIV093.

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 154 of 209

---------------------------------------------------------------------------------

FNACASIV093

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

---------------------------------------------------------------------------------

FNACASIV094

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 155 of 209

Intimate Partner Violence
---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 2 (still incarcerated), skip to FNACASIEND1.
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)) AND FEMINCARSTATE = 2 or 3, ask FNACASI2M023. Else go to
FNACASIEND1. If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "since your Survey Partner
was released and during the time that you were both on the outside.", and ^lcfill2 should say
"since your Survey Partner was released and during the time that you were both on the outside,",
and ^lcfill3 should say "did you feel". Else, ^lcfill1 should say "since your Survey Partner was
released.", and ^lcfill2 should say "since your Survey Partner was released,", and ^lcfill3 should
say "have you felt".

FNACASI2M023

9MFU Safe in Relationship

Now, I'm going to ask you some questions about your relationship ^lcfill1
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 the time ^lcfill2 please tell me how much of the time each of these statements was
true.
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 MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill should say "did". Else, ^lcfill should say "has".

FNACASI2M024

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 156 of 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "did" and ^lcfrill2 should say "make".
Else, ^lcfill1 should say "has" and ^lcfill2 should say "made".

FNACASI2M025

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 MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "was released from incarceration and
during the time that you were both on the outside @Byou@B did", and ^lcfill2 should say "did", and
^lcfill3 should say "Since he was released and during the time that you were both on the outside,",
and ^lcfill4 should say " did @Byou@B throw". Else, ^lcfill1 should say "was released from
incarceration @Byou@B have done", and ^lcfill2 should say "has done", and ^lcfill3 should say
"Since he was released from incarceration,", and ^lcfill4 should say "have you thrown".

FNACASI2M026

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 since your Survey Partner ^lcfill1 the following. Then I'll ask you
how many times your Survey Partner ^lcfill2 the following.
^lcfill3 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 MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "throw".
Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "has" and ^lcfill3
should say "thrown".

FNACASI2M027

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 157 of 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did you push, shove, hit, slap, or
grab". Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "have you pushed,
shoved, hit, slapped, or grabbed".

FNACASI2M028

9MFU CTS 3

^lcfill1 how many times ^lcfill2 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 MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "push,
shove, hit, slap, or grab you?". Else, ^lcfill1 should say "Since he was released," and ^lcfill2
should say "has" and ^lcfill3 should say "pushed, shoved, hit, slapped, or grabbed you?".

FNACASI2M029

9MFU CTS 4

^lcfill1 how many times ^lcfill2 your Survey Partner ^lcfill3

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 MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "use".
Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "have" and ^lcfill3
should say "used".

FNACASI2M030

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 158 of 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "use".
Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "has" and ^lcfill3
should say "used".

FNACASI2M031

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 MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "choke,
slam, kick, burn, or beat". Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should
say "have" and ^lcfill3 should say "choked, slammed, kicked, burned, or beaten".

FNACASI2M032

9MFU CTS 7

^lcfill1 how many times ^lcfill2 you ^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 MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "choke,
slam, kick, burn, or beat". Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should
say "has" and ^lcfill3 should say "choked, slammed, kicked, burned, or beaten".

FNACASI2M033

9MFU CTS 8

^lcfill1 how many times ^lcfill2 your Survey Partner ^lcfill3 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 159 of 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did you use". Else, ^lcfill1 should
say "Since he was released," and ^lcfill2 should say "have you used".

FNACASI2M034

9MFU CTS 9

^lcfill1 how many times ^lcfill2 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 MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did", and ^lcfill3 should say "use".
Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "has", and ^lcfill3
should say "used".

FNACASI2M035

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 MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did you threaten". Else, ^lcfill1
should say "Since he was released," and ^lcfill2 should say "have you threatened".

FNACASI2M036

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 160 of 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say
"threaten". Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "has" and
^lcfill3 should say "threatened".

FNACASI2M037

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 MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did you threaten". Else, ^lcfill1
should say "Since he was released," and ^lcfill2 should say "have you threatened".

FNACASI2M038

9MFU CTS 13

^lcfill1 how many times ^lcfill2 to hurt your Survey Partner's child or 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, ^lcfill4 should say "^children,". Else do not fill ^lcfill4. If MALEINCAR = 3
or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time that you were
both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "threaten". Else,
^lcfill1 should say "Since he was released," and ^lcfill2 should say "has" and ^lcfill3 should say
"threatened".

FNACASI2M039

9MFU CTS 14

^lcfill1 how many times ^lcfill2 your Survey Partner ^lcfill3 to hurt your ^lcfill4 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 161 of 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did you try". Else, ^lcfill1 should
say "Since he was released," and ^lcfill2 should say "have you tried".

FNACASI2M040

9MFU CTS 15

^lcfill1 how many times ^lcfill2 to keep your Survey Partner from seeing or talking with his
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 MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did" and ^lcfill3 should say "try".
Else, ^lcfill1 should say "Since he was released," and ^lcfill2 should say "has" and ^lcfill3
should say "tried".

FNACASI2M041

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 MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did you keep money from your Survey
Partner, make him ask for money, or take money from him?". Else, ^lcfill1 should say "Since he was
released," and ^lcfill2 should say "have you kept money from your Survey Partner, made him ask for
money, or taken money from him?".

FNACASI2M042

9MFU CTS 17

^lcfill1 how many times ^lcfill2

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 209

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR = 3 or FEMINCARSTATE=2, ^lcfill1 should say "Since he was released and during the time
that you were both on the outside," and ^lcfill2 should say "did your Survey Partner try to keep
money from you, make you ask for money, or take money from you?". Else, ^lcfill1 should say "Since
he was released," and ^lcfill2 should say "has your Survey Partner tried to keep money from you,
made you ask for money, or taken money from you?".

FNACASI2M043

9MFU CTS 18

^lcfill1 how many times ^lcfill2

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 163 of 209

ACASI End
---------------------------------------------------------------------------------

FNACASIEND1

9MFU End ACASI Segment

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.
[PRESS 1 TO CONTINUE]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FNACASIEND2

9MFU Password Screen

[INTERVIEWER: PLEASE ENTER THE PASSWORD TO CONTINUE WITH THE REMAINDER OF THE INTERVIEW QUESTIONS]

Question Type:
Logic after:

string[4]

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 164 of 209

Criminal Behavior
---------------------------------------------------------------------------------

Logic before:
IF (MALEINCAR=2 OR MALEINCAR=3) AND FN3Q000a=yes AND FN1F001=ALIVE, ASK FN7W000.
DOMAIN ZZ.

FN7W000

ELSE SKIP TO

9MFU Release Date Intro

The next set of questions deals with ^prld.Namefill's release from prison 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.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN7W001p

9MFU Release Date

When do you expect that ^prld.Namefill will be released from this incarceration?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)

Question Type:

TabTDate3

Month
Date
Year

1 MONTH 1...12
2 DATE 1...31
3 2008...2100

---------------------------------------------------------------------------------

FN7W002

9MFU Return to Jail/Prison

Do you think ^prld.Namefill will ever be sent back to jail or prison again, after he is 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 165 of 209

Social Support
---------------------------------------------------------------------------------

Logic before:
If TOTALCHILD "GE" 1, include "or your ^children" fill with the question text.

FN7L006

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 ^prld.Namefill's release from prison.
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

---------------------------------------------------------------------------------

FN7L007

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

---------------------------------------------------------------------------------

FN7L008

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

---------------------------------------------------------------------------------

FN7L009

9MFU Friend Support Expectations 1

Next, I'd like to know about your expectations for your relationships with friends after
^prld.Namefill's release from prison.
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 166 of 209

---------------------------------------------------------------------------------

FN7L010

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

---------------------------------------------------------------------------------

FN7L011

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 167 of 209

Income
---------------------------------------------------------------------------------

FN7K000

9MFU Income Intro

Next, I'd like to know more about your expectations for your financial situation after
^prld.Namefill is released.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN7K012a

9MFU Expect Partner Financial Support

When ^prld.Namefill is released from prison, do you expect that he will provide any financial
support to you?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
Allow the respondent to "select all that apply". Do not allow option 1 (None) to be selected with
options 2-8.

FN7K012

9MFU Financial Support

[USE SHOWCARD 41]
What sources of financial support do you expect to have in the first 1 month following
^prld.Namefill's 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 FN7K012 includes 9 (other), go to FN7K012s. Else, go to FN7K013p.
---------------------------------------------------------------------------------

FN7K012s

9MFU Specify Other

OTHER SPECIFY

Question Type:

STRING[50]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 168 of 209

---------------------------------------------------------------------------------

FN7K013p

9MFU Determination to Support Self

[USE SHOWCARD 42]
How easy or hard do you think it will be for ^prld.Namefill to make enough money to support
himself?
(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 169 of 209

Employment
---------------------------------------------------------------------------------

FN7I014p

9MFU Expected Employment Difficulty 1

Based on past experience, how easy or hard do you think it will be for ^prld.Namefill 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

---------------------------------------------------------------------------------

FN7I015p

9MFU Expected Employment Difficulty 2

Based on past experience, how easy or hard do you think it will be for ^prld.Namefill 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 170 of 209

Housing
---------------------------------------------------------------------------------

FN7J016

9MFU Reside with Partner Post-Release

Do you expect to live with ^prld.Namefill after his release?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If (PARTNERFOCAL = 0 or FN1D030 = dead), skip to FN7J019. Else ask FN7J017p.

FN7J017p

9MFU Reside with Focal Child Post-Release

Do you expect ^prld.Namefill to live with ^prld.FOCCHILD after his release?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN7J016 = yes, go to FN7J019. Else ask FN7V020.

FN7J019

9MFU Reside with Anyone Post-Release

Do you expect that you and ^prld.Namefill will live with anyone else after he is 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 171 of 209

Partner Relationship Quality
---------------------------------------------------------------------------------

Logic before:
If RELSTATUSFU = 1, ask FN7V020. Else, go to FN7N030p.

FN7V020

9MFU Want to Continue Relationship 1

[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Do you want to remain in a committed romantic relationship with ^prld.Namefill after he is
released?
Would you say . . .

Question Type:

TYND

Yes
No
Dknow

1 Yes
2 No
3 Don't know

---------------------------------------------------------------------------------

FN7V021

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 he
is released?
Would you say..

Question Type:

TYND

Yes
No
Dknow

1 Yes
2 No
3 Don't know

Logic after:
If FN7V020 = No, skip to FN7N030p. Else go to FN7V022.
---------------------------------------------------------------------------------

FN7V022

9MFU Relationship with Partner

How easy or hard do you think it will be to have a good relationship with ^prld.Namefill after he
gets 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 172 of 209

---------------------------------------------------------------------------------

Logic before:
Allow the respondent to "select all that apply".

FN7V023

9MFU Biggest Challenges Post-Release

[USE SHOWCARD 43]
Thinking about when he is 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:

TBChallengesFB

Find
Close
Trust
Problems

1
2
3
4

Missed

5 His having missed out on so much that happened in your life while he was
incarcerated
6 His trying to meet your expectations related to finding a job, staying
clean, helping you financially
7 Being angry at him or not wanting to see him
8 Him being angry at you or not wanting to see you
9 Some other challenge (SPECIFY)

Except
Angry
PartAngry
Other

Not knowing how to get in contact with him
Being able to feel close to him again after his time in prison
Being able to trust him after the time in prison
Problems or new situations that have come up since he was incarcerated

---------------------------------------------------------------------------------

Logic before:
If FN7V023 includes 9 (other), ask FN7V023s. Else, go to FN7V024.

FN7V023s

9MFU Other Specify

OTHER SPECIFY

Question Type:

STRING[150]

---------------------------------------------------------------------------------

FN7V024

9MFU Partner Support Expectations Intro

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
he is released.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FN7V025

9MFU Partner Support Expectations 2

[USE SHOWCARD 44]
You will love ^prld.Namefill and make him feel wanted.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 173 of 209

---------------------------------------------------------------------------------

FN7V026

9MFU Partner Support Expectations 3

You will help ^prld.Namefill with whatever problems he faces.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FN7V028

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

---------------------------------------------------------------------------------

FN7V029

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 174 of 209

Parenting
---------------------------------------------------------------------------------

Logic before:
If (PARTNERFOCAL = 0 or FN1D030 = dead), go to Domian ZZ: FSP Minnesota. If FN7J017p = yes, go to
FN7N031p. If FN7J017p = no/dk/rf go to FN7N030p.

FN7N030p

9MFU See Focal Child

[USE SHOWCARD 45]
How often do you think ^prld.Namefill will see ^prld.FOCCHILD in person after he is 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

---------------------------------------------------------------------------------

FN7N031p

9MFU Financially Support Focal Child

Do you expect that ^prld.Namefill will financially support ^prld.FOCCHILD in any way after he is
released?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FN7N031p = no, don’t know or refused, go to FN7N035.
---------------------------------------------------------------------------------

Logic before:
Allow R to select all that apply.

FN7N032p

9MFU Financial Support for Focal Child

[USE SHOWCARD 46]
In what ways do you expect ^prld.Namefill will provide financial support for ^prld.FOCCHILD after
he is released? Please include support provided to the child directly as well as support provided
to you or another caretaker of the child.
[ALLOW R TO 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 175 of 209

---------------------------------------------------------------------------------

FN7N035

9MFU Decision Making for Focal Child Post-Release

[USE SHOWCARD 47]
After ^prld.Namefill is released, who will make major decisions about things such as child care and
health care for ^prld.FOCCHILD?
Would you say . . .

Question Type:

TDecisionsFU3

Both
Father
Respondent
Someone

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

---------------------------------------------------------------------------------

FN7N036p

9MFU Relationship with Children

How easy or hard do you think it will be for ^prld.Namefill to have good relationships with his
child(ren) after he gets out?

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".

FN7N037p

9MFU Biggest Challenges with Focal Child

[USE SHOWCARD 48]
Thinking about when ^prld.Namefill is released, what do you expect will be the biggest challenges
in his relationship with ^prld.FOCCHILD? Select all that apply.
REQUIRED PROBE: Anything else?

Question Type:

TExpectFB

Find
Missed
Trust
Transport
Kids
Instability
Lifestyle
Angry
Money
Other

1 Him not knowing how to get in contact with ^prld.FOCCHILD
2 Having missed out on so much that happened with ^prld.FOCCHILD while he
was incarcerated
3 Getting ^prld.FOCCHILD to trust him or open up to him after the time
apart
4 Finding transportation for visits or activities
5 Dealing with people who don’t want him to see ^prld.FOCCHILD
6 Him not being in a stable enough housing and financial situation to be
able to spend time with ^prld.FOCCHILD
7 His lifestyle not being a healthy one for kids
8 ^prld.FOCCHILD being angry at him or not wanting to see him
9 Having money to financially support or buy things for ^prld.FOCCHILD
10 Some other challenge (SPECIFY)

Logic after:
If FN7N037p includes 10 (other), go to FN7N037s. Else go to FN7ZZ000.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 176 of 209

---------------------------------------------------------------------------------

FN7N037s

Other Specify

SPECIFY OTHER CHALLENGE

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 177 of 209

FSP Minnesota
---------------------------------------------------------------------------------

Logic before:
Preload Sgroup from male baseline. If Sgroup = treatment AND the respondent is in Minnesota, ask
FN7ZZ000. Else skip to the next domain (Locator section).

FN7ZZ000

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.

FN7ZZ000a

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 FN7ZZ000a = NO, skip to next domain (Locator).
---------------------------------------------------------------------------------

FN7ZZ001

9MFU Minnesota 1

How did you hear about the Family Strengthening Program (FSP)?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ002

9MFU Minnesota 2

When did you begin participating in the program?

Question Type:

TabTDateMN

---------------------------------------------------------------------------------

FN7ZZ003

9MFU Minnesota 3

Why did you become involved in FSP?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

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---------------------------------------------------------------------------------

FN7ZZ004

9MFU Minnesota 4

Did you face any challenges in starting your participation in FSP?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ004 = yes, ask FN7ZZ004a.

FN7ZZ004a

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 FN7ZZ004a = yes, ask FN7ZZ004b. Else go to FN7ZZ004d.

FN7ZZ004b

9MFU Minnesota 4b

When did you stop participating?

Question Type:

TabTDateFSP2

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ004a = yes, ask FN7ZZ004c.

FN7ZZ004c

9MFU Minnesota 4c

What was the main reason to stop participating?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ004d

9MFU Minnesota 4d

What has FSP done to reconnect you with your family?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ004a = yes, ask FN7ZZ004e. Else go to FN7ZZ005a.

FN7ZZ004e

9MFU Minnesota 4e

What could FSP have done differently to help you stay in the program?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 179 of 209

---------------------------------------------------------------------------------

FN7ZZ005a

9MFU Minnesota 5a

Have you had a case advocate?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ005a = yes, ask FN7ZZ005b. Else go to FN7ZZ010a.

FN7ZZ005b

9MFU Minnesota 5b

What is your case advocate's name?

Question Type:

STRING[50]

---------------------------------------------------------------------------------

FN7ZZ005

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

---------------------------------------------------------------------------------

FN7ZZ006

9MFU Minnesota 6

Have you requested any specific assistance from your case advocate?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ006 = yes, ask FN7ZZ006a.

FN7ZZ006a

9MFU Minnesota 6a

What specific assistance have you requested from your case advocate?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 180 of 209

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ006 = yes, ask FN7ZZ007.

FN7ZZ007

9MFU Minnesota 7

Was your case advocate able to provide that assistance?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN7ZZ008

9MFU Minnesota 8

What other ways has your case advocate helped your family (children and incarcerated partner)?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ009

9MFU Minnesota 9

What are ways your case advocate could be more helpful?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ010a

9MFU Minnesota 10a

Have you had a family counselor?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ010a = yes, ask FN7ZZ010b. Else go to FN7ZZ010c.

FN7ZZ010b

9MFU Minnesota 10b

What is your family counselor's name?

Question Type:

STRING[50]

---------------------------------------------------------------------------------

FN7ZZ010c

9MFU Minnesota 10c

Have you participated in family counseling?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 181 of 209

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ010a = No, skip to FN7ZZ014.

FN7ZZ010

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 FN7ZZ010 = 1, 2, or 3 ask FN7ZZ011.

FN7ZZ011

9MFU Minnesota 11

In what specific ways has your counselor helped you?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ012

9MFU Minnesota 12

In what specific ways has your counselor helped your family as a whole?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ013

9MFU Minnesota 13

What are ways your counselor could have been more helpful?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ010c = no, ask FN7ZZ014.

FN7ZZ014

9MFU Minnesota 14

Why did you choose not to participate in family counseling?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 182 of 209

---------------------------------------------------------------------------------

FN7ZZ015

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
Relationship classes
Both parenting and relationship classes
Neither parenting nor relationship classes

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ015 = 1 or 3 ask FN7ZZ015a.

FN7ZZ015a

9MFU Minnesota 15a

Where did you take the parenting classes?

Question Type:

STRING[150]

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ015 = 1 or 3, ask FN7ZZ015b.

FN7ZZ015b

9MFU Minnesota 15b

When did you take the parenting classes?
[RECORD THE MONTH R TOOK THE PARENTING CLASSES. IF SHE CANNOT RECALL THE DAY AND YEAR, PRESS F3 FOR
DAY AND F3 FOR YEAR].

Question Type:

TabTDateMN

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ015 = 1 or 3, ask FN7ZZ018.

FN7ZZ018

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 FN7ZZ015 = 2 or 3, ask FN7ZZ015c.

FN7ZZ015c

9MFU Minnesota 15c

Where did you take the relationship classes?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 183 of 209

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ015 = 2 or 3, ask FN7ZZ015d.

FN7ZZ015d

9MFU Minnesota 15d

When did you take the relationship classes?
[RECORD THE MONTH R TOOK THE RELATIONSHIP CLASSES. IF SHE CANNOT RECALL THE DAY AND YEAR, PRESS F3
FOR DAY AND F3 FOR YEAR].

Question Type:

TabTDateMN

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ015 = 2 or 3, ask FN7ZZ019.

FN7ZZ019

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 FN7ZZ015 = 4, ask FN7ZZ016.

FN7ZZ016

9MFU Minnesota 16

Why did you decide to not take part in parenting or relationship classes?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ017

9MFU Minnesota 17

Have you faced any difficulties in taking the classes (e.g., scheduling, transportation, child
care, etc.)?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ017 = yes, ask FN7ZZ017a.

FN7ZZ017a

9MFU Minnesota 17a

What difficulties have you faced in taking the classes?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 184 of 209

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ015=

1 or 3, ask FN7ZZ020a

FN7ZZ020a

9MFU Minnesota 20a

What would you change about the parenting classes to make them better?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ015 = 2 or 3, ask FN7ZZ020b.

FN7ZZ020b

9MFU Minnesota 20b

What would you change about the relationship classes to make them better?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ021

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 FN7ZZ021 = yes, ask FN7ZZ021a.

FN7ZZ021a

9MFU Minnesota 21a

Did you receive financial counseling?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ021a = yes, ask FN7ZZ022.

FN7ZZ022

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 185 of 209

---------------------------------------------------------------------------------

Logic before:
If FN7ZZ021a = yes, ask FN7ZZ023.

FN7ZZ023

9MFU Minnesota 23

What types of financial services did you receive?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Logic before:
If FN3Q000a = yes, ask FN7ZZ024. Else go to FN7ZZ027.

FN7ZZ024

9MFU Minnesota 24

Has FSP begun to discuss your partner's return home from prison?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
Allow R to select all that apply.

FN7ZZ025

9MFU Minnesota 25

[USE SHOWCARD 49]
Which of the following specific concerns do you have about your partner's 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 FN7ZZ025 = 6 (other), ask FN7ZZ025s

FN7ZZ025s

9MFU Minnesota 25s

SPECIFY OTHER CONCERN

Question Type:

STRING[50]

---------------------------------------------------------------------------------

FN7ZZ026

9MFU Minnesota 26

What can a program like FSP do to help you with these concerns?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 186 of 209

---------------------------------------------------------------------------------

FN7ZZ027

9MFU Minnesota 27

In what specific ways has FSP helped you and your children stay connected to your partner?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ028

9MFU Minnesota 28

What can FSP do to improve how connected you and your children are with your partner?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ029

9MFU Minnesota 29

What can be done to improve FSP?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ030

9MFU Minnesota 30

In what areas of your life has FSP helped with the most?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ031

9MFU Minnesota 31

What are examples in your life where FSP has been most useful?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ031a

9MFU Minnesota 31a

In what area of your partner and children's lives has FSP helped with the most?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FN7ZZ032

9MFU Minnesota 32

Are there needs or issues you have that are currently not being addressed by FSP?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 187 of 209

---------------------------------------------------------------------------------

FN7ZZ033

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

---------------------------------------------------------------------------------

FN7ZZ034

9MFU Minnesota 34

Is there anything I didn't ask that I should have?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FN7ZZ034a

9MFU Minnesota 34a

Do you have any additional thoughts about the FSP program?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 188 of 209

Locator Information
---------------------------------------------------------------------------------

Logic before:
If FNCON5 = Yes, ask FNHOU00. If FNCON5=NO go to FNHOU6a.

FNHOU00

Expected Release

Do you expect to be released from this incarceration within the next @Btwo years@B?
REQUIRED PROBE FOR YES RESPONSE: "And your release date is @Bwithin the next two years@B?"

Question Type:

TRelease

RelN2
MoreT2
NoRel

1 RELEASE EXPECTED WITHIN NEXT TWO YEARS
2 RELEASE EXPECTED IN MORE THAN TWO YEARS
3 DOES NOT EXPECT TO BE RELEASED

Logic after:
If FNHOU00=NoRel go to FNHOU11; Else ask FNHOU00a
---------------------------------------------------------------------------------

FNHOU00a

Release Date

What date 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 FNCON5 = Yes, ask FNHOU1. Else, go to FNHOU6a.

FNHOU1

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 SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FNHOU2

Specific Address

DOES THE R HAVE A SPECIFIC ADDRESS?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If yes, go to FNHOU2a. If no, go to FNHOU3.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 189 of 209

---------------------------------------------------------------------------------

FNHOU2a

Address

Address

Question Type:

STRING[100]

---------------------------------------------------------------------------------

FNHOU2b

City

City

Question Type:

STRING[15]

---------------------------------------------------------------------------------

FNHOU2c

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

---------------------------------------------------------------------------------

FNHOU2d

Phone Number

Phone

Question Type:

TabTnumber1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

FNHOU3

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 FNHOU3 =1, go to FNHOU11. Else, go to FNHOU4.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 190 of 209

---------------------------------------------------------------------------------

FNHOU4

2nd Residence Post Release

Where do you think you will live next?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FNHOU5

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:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If yes, go to FNHOU5a. If no, go to FNHOU11.
---------------------------------------------------------------------------------

FNHOU5a

Address

Address

Question Type:

STRING[100]

---------------------------------------------------------------------------------

FNHOU5b

City

City

Question Type:

STRING[15]

---------------------------------------------------------------------------------

FNHOU5c

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 191 of 209

---------------------------------------------------------------------------------

FNHOU5d

Phone Number

Phone

Question Type:

TabTnumber1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

Logic before:
If FNCON5 = No, ask FNHOU6a.

FNHOU6a

Else go to FNHOU11.

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]

---------------------------------------------------------------------------------

FNHOU6b

Current City

City

Question Type:

STRING[15]

---------------------------------------------------------------------------------

FNHOU6c

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

---------------------------------------------------------------------------------

FNHOU6d

Current Zip Code

Zip Code

Question Type:

STRING[5]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 192 of 209

---------------------------------------------------------------------------------

FNHOU6e

Current Phone Number

What is your current phone number?

Question Type:

TabTNumber1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

FNHOU6f

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 FNHOU6f = yes, go to FNHOU6g. Else go to FNHOU6.
---------------------------------------------------------------------------------

FNHOU6g

2nd Current Phone Number

Phone number

Question Type:

TabTNumber1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

Logic before:
If FNCON5 = No, ask FNHOU6. Else, go to FNHOU11.

FNHOU6

Contact in 9 Months

Finally, so that we can contact you for follow-up interviews, please tell me where you expect to be
living 9 months from now.
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 193 of 209

---------------------------------------------------------------------------------

FNHOU7

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 after:
If yes, go to FNHOU7a. If no, go to FNHOU8. .
---------------------------------------------------------------------------------

FNHOU7a

Address

Address

Question Type:

STRING[100]

---------------------------------------------------------------------------------

FNHOU7b

City

City

Question Type:

STRING[15]

---------------------------------------------------------------------------------

FNHOU7c

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

---------------------------------------------------------------------------------

FNHOU7d

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 194 of 209

---------------------------------------------------------------------------------

FNHOU8

Other Contact in 9 Months

Where else might you be living 9 months from now?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FNHOU9

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 after:
If yes, go to FNHOU9a. If no, go to FNHOU10.
---------------------------------------------------------------------------------

FNHOU9a

Address

Address

Question Type:

STRING[100]

---------------------------------------------------------------------------------

FNHOU9b

City

City

Question Type:

STRING[15]

---------------------------------------------------------------------------------

FNHOU9c

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 209

---------------------------------------------------------------------------------

FNHOU9d

R Phone

Phone

Question Type:

TabTNumber1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

Logic before:
If (FNCON5 = no and FN4I034a = yes), ask FNHOU10. Else, including empty, skip to FNHOU11.

FNHOU10

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]

---------------------------------------------------------------------------------

FNHOU10a

Employer City

What city is this in?

Question Type:

STRING[15]

---------------------------------------------------------------------------------

FNHOU10b

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

---------------------------------------------------------------------------------

FNHOU10c

Employer Phone Number

What is the phone number there?

Question Type:

TabTNumber1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

FNHOUcontact

Question Type:

contact loop

array[1..3] of BFNHousub

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 196 of 209

---------------------------------------------------------------------------------

Logic before:
If FNCON5=NO or FNHOU00=1 or 2 ask FNHOU25.

FNHOU25

Else go to FNHOU26.

Description of Places

If I'm really having difficulty finding where you 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 3

FNHOU26

R Social Security Number

What is your social security number?

Question Type:

TabTSSN1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

FNHOU27

R Name Confirmation

And just to confirm, do you still go by ^prld.fname ^prld.lname?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FNHOU27 = no, go to FNHOU27a. Else go to FNHOU28.
---------------------------------------------------------------------------------

FNHOU27a

Additional Names for R

What name or names do you go by?

Question Type:

STRING[30]

---------------------------------------------------------------------------------

FNHOU28

Other Information Shared by R

Finally, is there anything else you think we should know about how ^prld.Namefill's incarceration
has affected you or your family?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 197 of 209

---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 2 (female did not take part at baseline), ask FNHOUarr1.
Preload FBHOUarr1 from female baseline. If FBHOUarr1 = assent, skip to
declines, ask FNHOUarr1.

FNhouarr1

FNHOU28a. If FBHOUarr1 =

Records Release

[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.]
[OPTION 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 FNHOU26 = RF/DK and FNHOUARR1 = yes, add a consistency check. "Thank you. We'll need your social
security number to access these records." [FI GO BACK TO FNHOU26 AND ASK FOR THIS INFORMATION
AGAIN. IF R REFUSES OR DOES NOT KNOW, THEN ENTER 2 AT FNHOUARR1.]
---------------------------------------------------------------------------------

Logic before:
If FNhourarr1 = 1, then ask FNhouarr2.

FNhouarr2

Records Release 2

[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 FNhouarr1 = 2, then ask FNhouarr3.

FNhouarr3

Records Release 3

[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 198 of 209

---------------------------------------------------------------------------------

FNHOU28a

Thank You for Participation

That was our last question. Thank you for your participation in this study!

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FNHOU28b

Future Contact

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 FNCON5 = No, ask FNHOU28d. Else go to FNHOU30.

FNHOU28d

Incentive Receipt

I also need to give you your incentive payment, and I need to ask you to initial a receipt.
[FI: FEMALE IS ELIGIBLE FOR $40 INCENTIVE PAYMENT]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If FNCON5 = no, ask FNHOU28e. Else skip to FNHOU30.

FNHOU28e

Eligibility for Bonus

WAS R ELIGIBLE FOR THE $5 CALL-IN BONUS?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FNHOU30

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 FNHOU30="other", go to FNHOU30s. Else go to FNFI001.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 199 of 209

---------------------------------------------------------------------------------

FNHOU30s

Specify Other

SPECIFY OTHER

Question Type:

STRING[20]

---------------------------------------------------------------------------------

Logic before:
If FNCON5 = Yes, ask FNHOU31. Else, skip to next domain.

FNHOU31

State Interview Conducted

IN WHICH STATE WAS THIS INTERVIEW CONDUCTED?

Question Type:

Tstate

mnst
indy
ohi
newy
newj
thsp

1
2
3
4
5
6

MINNESOTA
INDIANA
OHIO
NEW YORK
NEW JERSEY
OTHER STATE (SPECIFY)

---------------------------------------------------------------------------------

Logic before:
If FNHOU31 = 6, ask FNHOU31s.

FNHOU31s

Specify State and Facility

SPECIFY STATE AND FACILITY NAME.

Question Type:

TabTfacstate

staten
facname

1 STATE
2 FACILITY NAME

---------------------------------------------------------------------------------

Logic before:
If FNHOU31=1, ask FNHOU32a.

FNHOU32a

Minnesota

IN WHICH MINNESOTA FACILITY DID YOU CONDUCT THIS INTERVIEW?

Question Type:

Tmnfemalefac

mcf
othsp

1 MCF (IN SHAKOPEE)
2 OTHER FACILITY (SPECIFY)

---------------------------------------------------------------------------------

Logic before:
If FNHOU32a = 2, ask FNHOU32as.

FNHOU32as

Other Minnesota

SPECIFY OTHER MINNESOTA FACILITY.

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 200 of 209

---------------------------------------------------------------------------------

Logic before:
If FNHOU31 = 2, ask FNHOU32b.

FNHOU32b

Indiana

IN WHICH INDIANA FACILITY DID YOU CONDUCT THIS INTERVIEW?

Question Type:

Tinfemalefac

wmpr
rcvl
indywm
atbry
othsp

1
2
3
4
5

WOMAN'S PRISON
ROCKVILLE CORRECTIONAL FACILITY
INDIANAPOLIS WOMAN'S COMMUNITY RE-ENTRY
ATTERBURY CORRECTIONAL FACILITY
OTHER FACILITY (SPECIFY)

---------------------------------------------------------------------------------

Logic before:
If FNHOU32b = 5, ask FNHOU32bs.

FNHOU32bs

Other Indiana

SPECIFY OTHER INDIANA FACILITY.

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Logic before:
If FNHOU31 = 3, ask FNHOU32c.

FNHOU32c

Ohio

IN WHICH OHIO FACILITY DID YOU CONDUCT THIS INTERVIEW?

Question Type:

Tfemaleohfac

ohrf
frkl
noea
trmbl
oakw
othsp

1
2
3
4
5
6

OHIO REFORMATORY FOR WOMAN
FRANKLIN PRE-RELEASE CENTER
NORTHEAST PRE-RELEASE CENTER
TRUMBALL CORRECTIONAL CAMP
OAKWOOD CORRECTIONAL FACILITY
OTHER OHIO FACILITY (SPECIFY)

---------------------------------------------------------------------------------

Logic before:
If FNHOU32c = 6, ask FNHOU32cs.

FNHOU32cs

Other Ohio

SPECIFY OTHER OHIO FACILITY.

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 201 of 209

---------------------------------------------------------------------------------

Logic before:
IF FNHOU31 = 4, as FNHOU32d.

FNHOU32d

New York

IN WHICH NEW YORK FACILITY DID YOU CONDUCT THIS INTERVIEW?

Question Type:

Tfemalenyfac

alb
byvw
bcn
bdfrd
lvws
tcnc
wlrd
otsp

1
2
3
4
5
6
7
8

ALBION CORRECTIONAL FACILITY
BAYVIEW CORRECTIONAL FACILITY
BEACON CORRECTIONAL FACILITY
BEDFORD HILLS CORRECTIONAL FACILITY
LAKEVIEW SHOCK INCARCERATION C.F.
TACONIC CORRECTIONAL FACILITY
WILLARD DRUG TREATMENT CENTER
OTHER NEW YORK FACILITY (SPECIFY)

---------------------------------------------------------------------------------

Logic before:
If FNHOU32d = 8, then ask FNHOU32ds.

FNHOU32ds

Other New York

SPECIFY OTHER NEW YORK FACILITY.

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Logic before:
If FNHOU31 = 5, ask FNHOU32e.

FNHOU32e

New Jersey

IN WHICH NEW JERSEY FACILITY DID YOU CONDUCT THIS INTERVIEW?

Question Type:

Tfemalenjfac

edna
njsp
otsp

1 EDNA MAHAN CORRECTIONAL FACILITY FOR WOMAN
2 NEW JERSEY STATE PRISON
3 OTHER NEW JERSEY FACILITY (SPECIFY)

---------------------------------------------------------------------------------

Logic before:
If FNHOU32e = 3, ask FNHOU32es.

FNHOU32es

Other New Jersey

SPECIFY OTHER NEW JERSEY FACILITY.

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 202 of 209

Contact Loop
---------------------------------------------------------------------------------

Logic before:
If FNCON5 = NO or (FNCON5 = Yes and FNHOU00 = 1 or 2) ^lcfill should say "In the event that you are
not living where you expect to live, 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 FNCON5=YES and FNHOU00= NoRel ^lcfill should say "In case you are transferred and we are unable
to locate you, 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."

FNHOU11

Preface Locator Section

^lcfill

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".

FNHOU11a

First Name

What is the name of the ^lcfill5 person who would know how to reach you?
ENTER FIRST NAME

Question Type:

STRING[30]

---------------------------------------------------------------------------------

FNHOU11b

Middle Name

ENTER MIDDLE NAME

Question Type:

STRING[30]

---------------------------------------------------------------------------------

FNHOU11c

Last Name

ENTER LAST NAME

Question Type:
Logic after:

STRING[30]

If (FNHOU11a and FNHOU11b and FNHOU11c) = RF/DK for first contact person, skip to FNHOU25. Else
continue through loop.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 203 of 209

---------------------------------------------------------------------------------

FNHOU11d

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]

---------------------------------------------------------------------------------

FNHOU11e

City

And in what city is that?

Question Type:

STRING[30]

---------------------------------------------------------------------------------

FNHOU11f

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

---------------------------------------------------------------------------------

FNHOU11g

Phone Number Available

Does this person have a phone number?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FNHOU11g = yes, go to FNHOU11h. Else go to FNHOU11k.
---------------------------------------------------------------------------------

Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4

FNHOU11h

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 204 of 209

---------------------------------------------------------------------------------

Logic before:
If FNHOU11g = yes, go to FNHOU11i.

FNHOU11i

Second Phone Number Available

Does this person have a second phone number, such as a cell phone?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FNHOU11i = yes, go to FNHOU11j. Else go to FNHOU11k.
---------------------------------------------------------------------------------

Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4

FNHOU11j

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

---------------------------------------------------------------------------------

FNHOU11k

Work Outside of Home

Does this person work outside of the home?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FNHOU11k = yes, go to FNHOU11l. Else go to FNHOU11q.
---------------------------------------------------------------------------------

FNHOU11l

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]

---------------------------------------------------------------------------------

FNHOU11m

City

And in what city is that?

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 205 of 209

---------------------------------------------------------------------------------

FNHOU11n

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

---------------------------------------------------------------------------------

FNHOU11o

Work Phone Available

Does this person have a work phone number?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FNHOU11o = yes, go to FNHOU11p. Else go to FNHOU11q.
---------------------------------------------------------------------------------

Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4

FNHOU11p

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

---------------------------------------------------------------------------------

FNHOU11q

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 FNHOU11q = Someone Else, go to FNHOU11r. Else, go to FNHOU11s.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 206 of 209

---------------------------------------------------------------------------------

FNHOU11r

Description of Relationship

DESCRIBE THE RELATIONSHIP OF THE PERSON TO R, RECORDING THE R'S ANSWER VERBATIM.

Question Type:

STRING[100]

---------------------------------------------------------------------------------

FNHOU11s

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

Logic after:
Repeat 11a-t two more times to elicit information on a total of three contact persons.
---------------------------------------------------------------------------------

FNHou11t

Will R provide additional contact

Is there another person who would always know how to reach you?

Question Type:

TYesNoCap

Yes
No

1 YES
2 NO

Logic after:
If this is the third time this item has been asked, do not ask it again.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 207 of 209

Interviewer Observations
---------------------------------------------------------------------------------

FNFIO001

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

---------------------------------------------------------------------------------

FNFIO002

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

---------------------------------------------------------------------------------

FNFIO003

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

---------------------------------------------------------------------------------

FNFIO004

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 208 of 209

---------------------------------------------------------------------------------

FNFIO005

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

---------------------------------------------------------------------------------

FNFIO006

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

---------------------------------------------------------------------------------

FNFIO007

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

---------------------------------------------------------------------------------

FNFIO008

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 interview that took place in a jail or prison setting (FNCON5 EQ YES) as 492. If
FNCON5 EQ NO, code completed interview as 491.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 209 of 209

Female 18M Follow-up
---------------------------------------------------------------------------------

Introduction and Consent
---------------------------------------------------------------------------------

FECONFI

NO LABEL

THE INTERVIEWERS LISTED BELOW ARE NOT ALLOWED TO INTERVIEW THIS RESPONDENT BECAUSE THEY HAVE
PREVIOUSLY INTERVIEWED THIS RESPONDENT'S PARTNER.
^prld.MBBLFI INTERVIEWED THIS RESPONDENT'S PARTNER AT BASELINE
^prld.MB9MFI 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 FECONFI=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."
---------------------------------------------------------------------------------

Logic before:
Create new variable called FEMBASE. If female did not participate in the baseline interview, then
FEMBASE = 2. If female participated in the baseline interview, then FEMBASE = 1.
Create new variable called FEM9MO. If female did not participate in the 9 month interview, then
FEM9MO = 2. If female participated in the 9 month interview, then FEM9MO = 1.

FECON1

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 FECON1 = yes, go to FECON3. If FECON1= no, go to FECON2.
---------------------------------------------------------------------------------

FECON2

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.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 1 of 207

---------------------------------------------------------------------------------

Logic before:
As this question only if the unique portion of the caseid ends in an even number

FECON3a

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

CONTINUE
OBJECTION

1 CONTINUE
2 R REFUSES TO CONTINUE UNLESS RECORDING IS TURNED OFF

---------------------------------------------------------------------------------

FECON3

18MFU Consent Form

[HAND R INTERVIEW CONSENT FORM. FOR INCARCERATED RESPONDENTS, USE THE FACILITY CONSENT FORM THAT
MATCHES THE INCENTIVE PROTOCOL FOR THE FACILITY YOU ARE 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.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FECON4

18MFU Consent

[GIVE R AN @BUNSIGNED@B COPY OF THE INTERVIEW CONSENT FORM. 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, nodk, norf

Consent
Refused

1 R CONSENTED TO THE INTERVIEW
2 R REFUSED THE INTERVIEW

Logic after:
If FECON4 = 2 (refused), go to end. Assign event code 360.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 2 of 207

---------------------------------------------------------------------------------

Logic before:
If FECON4 EQ yes, go to FECON4a.

FECON4a

Don't allow DK/RF to FECON4a.

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:

TYesNoCaps, nodk, norf

Yes
No

1 YES
2 NO

Logic after:
If FECON4a EQ no, TURN OFF CARI and go to FECON4b.
---------------------------------------------------------------------------------

Logic before:
Eveyone should get this item.

FECON4b

18MFU CARI Consent

GIVE R AN @BUNSIGNED@B COPY OF THE INTERVIEW CONSENT FORM.
[RETURN YOUR COPY OF THE CONSENT FORM TO YOUR INTERVIEWING MATERIALS FOR LATER SHIPMENT TO YOUR FS.]

Question Type:

TContinue

Continue

1 Continue

---------------------------------------------------------------------------------

Logic before:
Don't allow DK/RF.

FECON5

18MFU R Incarcerated

IS R CURRENTLY INCARCERATED?

Question Type:

TYesNoCaps, nodk, norf

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FECON6

18MFU Gender

WHAT IS R'S GENDER?

Question Type:

TGender2

Male
Female
Trans

1 MALE
2 FEMALE
3 TRANSGENDER

Logic after:
FECON6: add a consistency check if answer is male, DK, or RF in female follow-up survey. Text
should say, "YOU ARE USING A CASEID THAT CAN ONLY BE USED FOR A FOLLOW-UP INTERVIEW WITH A FEMALE
OR TRANSGENDER 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 207

---------------------------------------------------------------------------------

Logic before:
If (FEMBASE = 2) AND (FEM9MO=2), ask FECON7. Else go to FE1A000a. Calculate eighteen months prior
to current interview date and use to fill ^EighteenMO. Preload the variable ^Namefill (male
respondent’s first name) from male baseline. Allow only one option to be selected.

FECON7

18MFU Relationship to Male R

As you may know, you were referred to us for this study by ^prld.Namefill about 18 months ago. How
would you define your relationship to him eighteen months ago, on ^EighteenMO?
[REFER R TO ^EighteenMO ON REFERENCE CALENDAR]
[PROBES IF NEEDED: At that time, did you consider yourself to be romantically involved with him?
Were you married to him? Did you have children under 18 together? Did you share any parenting
responsibilities with him for a child under 18?]

PRESS 1 IF R WAS @BMARRIED@B TO ^NAMEFILLCAPS @BWITH OR WITHOUT CHILDREN@B.
MARRIED, BUT SEPERATED HERE.

INCLUDE THOSE WHO WERE

PRESS 2 IF R WAS @BROMANTICALLY INVOLVED@B WITH (@UBUT NOT MARRIED TO@U) ^NAMEFILLCAPS @BWITH OR
WITHOUT CHILDREN@B
PRESS 3 IF R WAS @BNOT MARRIED/ROMANTICALLY INVOLVED@B WITH ^NAMEFILLCAPS @UBUT@U CO-PARENTED A
CHILD OR CHILDREN WITH ^NAMEFILLCAPS
PRESS 4 IF R WAS NEITHER MARRIED, ROMANTICALLY INVOLVED, NOR CO-PARENTING WITH ^NAMEFILLCAPS

Question Type:

TRelationshipFU

Married
Romantic
Coparents

1 MARRIED
2 DATING, OR OTHERWISE ROMANTICALLY INVOLVED
3 CO-PARENTING TO A BIOLOGICAL OR NON-BIOLOGICAL CHILD AND NOT
ROMANTICALLY INVOLVED
4 NEITHER MARRIED, ROMANTICALLY INVOLVED, NOR CO-PARENTS

NoRomNoCoPar

Logic after:
IF FECON7 = 1, 2, or 3 skip to FE1A000a. Else, go to FECON7a.
---------------------------------------------------------------------------------

FECON7a

18MFU Non-Romantic and Non-Parent

I'm sorry. To be eligible for this study, you and ^prld.Namefill must have been in a romantic or
coparenting relationship on ^EighteenMO.

Question Type:

Tnext

NextScreen

1 PRESS 1 TO CONTINUE

Logic after:
Terminate interview and assign event code (349).

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 4 of 207

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
FEM9MO=1, preload date of female 9 month interview and create output variable called ^FNINTDATE
(date of female 9mfu). Calculate nine months prior to current interview date and use to fill
^NINEMO.
Throughout the remainder of the interview, ^REFDATE will be filled as follows. If FEM9MO=1 (female
completed 9M intv), ^REFDATE=^FNINTDATE (date of female 9mfu). If FEM9MO=2 (female did not
complete 9M intv), ^REFDATE=^NINEMO (date 9 months ago).
If FEM9MO = 2 (female did not complete 9M intv), ^lcfill should say "This was the date 9 months
ago, when we tried to locate you for a 9 month interview.".
If FEM9MO = 1, ^lcfill should say "This was the date you were last interviewed for this study,
around 9 months ago."

FE1A000a

18MFU Interview Date

During the interview, there are several places where I will ask you about things that have happened
since ^REFDATE, so I'm going to mark that date on the calendar. Let's take a few minutes to think
about the memorable things that happened in your life since ^REFDATE.
^lcfill
[USE YOUR YELLOW HIGHLIGHTER TO MARK ^REFDATE ON REFERENCE CALENDAR]
[PROBE FOR BIRTHDAYS, HOLIDAYS, AND OTHER MEMORABLE EVENTS AND RECORD ON CALENDAR.]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
Disable DK/RF. If FECON5 = yes (female currently incarcerated), ask FE1B009. Else go to FE1W134.

FE1B009

18MFU Incarceration Date

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.
@BIF R CANNOT RECALL EXACT DAY, SAY THIS TEXT TO THE R: Okay, because you cannot remember the day
you were incarcerated we will record the day as the 15th of (SAY MONTH and YEAR).@B
[USE YOUR PINK HIGHLIGHTER TO MARK ANY INCARCERATION DAYS THAT HAPPENED DURING THE TIME PERIOD FROM
^REFDATE TO TODAY'S DATE.]

Question Type:

TabTDate

Month
Date
Year

1 MONTH 1...12
2 DATE 1..31
3 YEAR 1947...2013

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 5 of 207

---------------------------------------------------------------------------------

Logic before:
Logic before:
If FECON5=yes, ^lcfill should say “[FI NOTE: BECAUSE R IS CURRENTLY INCARCERATED, DO NOT READ THE
QUESTION. ANSWER "YES" INSTEAD.] Else, ^lcfill should not fill.

FE1W134

18MFU Any Incarceration

^lcfill
(Since ^REFDATE, have you been incarcerated in a jail or prison for more than 24 hours at one time?)

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
IF FECON5=YES and FE1W134=NO create at Consistency check that says: "YOU PREVIOUSLY ANSWERED THAT
R IS CURRENTLY INCARCERATED BUT HAVE INDICATED THAT R HAS NOT BEEN INCARCERATED FOR 24 OR MORE
HOURS SINCE ^REFDATE. WHICH IS CORRECT?" PROBE TO MAKE RESPONSES AT FECON5 and FE1W134 CONSISTENT.

CREATE NEW OUTPUT VARIABLE CALLED FEMINCARSTATE18. If FECON5=yes and the incarceration date
provided in FE1B009 happened before ^REFDATE, then FEMINCARSTATE18 = 1 (incarcerated the entire
reference period). If (FECON5=yes AND the incarceration date provided in FE1B009 was on or after
^REFDATE) OR (FECON5 = no and FE1W134 =yes), then FEMINCARSTATE18 = 2 (incarcerated for part of the
reference period). If FE1W134=no, then FEMINCARSTATE18 = 3 (not incarcerated for any of the
reference period).
---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18 = 2, ask FE1H001. Else go to FE1F00i.

FE1H001

18MFU Days Incarcerated

Now let's mark the days on this calendar that you were in prison or jail since ^REFDATE. Since
^REFDATE, how many days have you been incarcerated in a prison or jail?
PROBE: "Your best estimate is fine."
[REFER TO REFERENCE CALENDAR. USE YOUR PINK HIGHLIGHTER TO MARK ANY (ADDITIONAL) INCARCERATION DAYS
THAT HAPPENED DURING THE TIME PERIOD FROM ^REFDATE TO TODAY'S DATE]

Question Type:

0..300

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18 = 2, ask FE1A00f. Else go to FE1F00i.

FE1A00f

18MFU Definition of Street Time

Some of the questions in this interview will ask you to think about the time since ^REFDATE that
you were on the outside. In other words, the time since ^REFDATE that you were not incarcerated.
[REFER TO REFERENCE CALENDAR, NOTING THAT @B HER TIME ON THE OUTSIDE MEANS THE DATES THAT ARE NOT
HIGHLIGHTED IN PINK@B]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 6 of 207

---------------------------------------------------------------------------------

Logic before:
Preload ^Namefill (male’s name) from male baseline. If FEM9MO=1, preload FN1F001 from female 9MFU.
Create new output variable called NAMFEILL ALIVE.FE. If FN1F001=2 (Dead), code NAMEFILL ALIVE.FE
as 2 (Dead) and skip to FE1A000. Else ask FE1F00i.

FE1F00i

18MFU Male Incarceration Date Intro

During the interview, I will also ask you some questions about ^prld.Namefill, so I'd like to
record important dates about his incarceration on this calendar.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE1F001

18MFU Namefill Deceased

I realize this may be difficult for you, but if ^prld.Namefill is no longer living, please let me
know.

Question Type:

Tdeceased

Alive
Dead

1 ^NAMEFILLcaps IS ALIVE
2 ^NAMEFILLcaps IS DECEASED

Logic after:
If FE1F001 = Dead, code NAMEFILL ALIVE.FE as 2 (Dead) and skip to FE1A000. If FE1F001 = Alive, DK
or RF, code NAMEFILL ALIVE.FE as 1 (alive).
---------------------------------------------------------------------------------

Logic before:
Preload date male was interviewed at baseline.
an indicator of whether or not the male did a 9
MALE9MO=yes, preload date male was interviewed
9 month interview. If MALE9MO=2 and FEM9MO=1,
If MALE9MO=2 and FEM9MO=2, ask FE3Q000t.

FE3Q000t

This variable will be called ^MBINTDATE. Preload
month interview (MALE9MO=1 if yes and 2 if no). If
at 9 month (^MNINTDATE) and INCARSTATEm9m from male
preload MALEINCAR from female 9 month instrument.

Else go to FE3Q000x.

18MFU Namefill Released from BL

We first interviewed ^prld.NAMEFILL around 18 months ago, on ^prld.MBINTDATE. At that point, he
was incarcerated. Was he released from that incarceration? In other words, has he spent any time
on the outside since ^prld.MBINTDATE?

Question Type:

TYesNoCAPS

Yes
No

1 YES
2 NO

Logic after:
Create new variable called NEWMALEINCAR, to be calculated in FE3Q000t and FE3Q000u. Create new
variable called MALEINCAR18, to be calculated throughout the rest of this section. If FE3Q000t =
No, code NEWMALEINCAR as 2 and MALEINCAR18 as 2 (still incarcerated from 9 month incarceration) and
go to FE3Q000. If FE3Q000t = yes, DK, or REF, go to FE3Q000u.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 7 of 207

---------------------------------------------------------------------------------

Logic before:
Calculate new variable, ^MBPLUS9, which is is the date 9 months after ^MBINTDATE.
If MALE9MO=2 and FEM9MO=2, ask FE3Q000u.

FE3Q000u

Else go to FE3Q000x.

18MFU Namefill Incarcerated at 9M

Next, we need to know whether ^prld.Namefill was incarcerated 9 months later, that is, on ^MBPLUS9.
On ^MBPLUS9 was he incarcerated in a jail or prison?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If (FE3Q000t=yes) AND (FE3Q000u = No, DK, or REF), code NEWMALEINCAR as 1 and go to FE3Q000z. If
(FE3Q000t=yes) AND (FE3Q000u = yes), code NEWMALEINCAR as 3 and go to FE3Q000x. If (FE3Q000t=DK or
REF) AND (FE3Q000u=DK or REF), code NEWMALEINCAR as 2 and MALEINCAR18 as 2 and go to FE3Q000. If
(FE3Q000t=DK or REF) AND (FE3Q000u=yes), code NEWMALEINCAR as 2 and go to FE3Q000x.
FE3Q000t=DK/REF and ME3Q000u=no code NEWMALEINCAR=1 and go to FE3Q000x.
---------------------------------------------------------------------------------

Logic before:
If (INCARSTATEm9m=2 or 3) OR [(MALE9MO=2) and (MALEINCAR=2 or 3)] OR [(MALE9MO=2 and FEM9MO=2) AND
(NEWMALEINCAR = 2 or 3)], ask FE3Q000x. Else, go to FE3Q000z.
If (INCARSTATEm9m=2 or 3), ^lcfill should read "When we last interviewed ^Namefill on ^MNINTDATE,
he" and ^lcfill2 should read "^MNINTDATE"
If [(MALE9MO=2) and (MALEINCAR=2 or 3)], ^lcfill should read "When we last interviewed you, on
^FNINTDATE, you indicated that ^Namefill" and ^lcfill2 should read "^FNINTDATE"
If [(MALE9MO=2 and FEM9MO=2) AND (NEWMALEINCAR = 2 or 3)], ^lcfill should read "You indicated that
on ^MBPLUS9, ^Namefill" and ^lcfill2 should read "^MBPLUS9"

FE3Q000x

18MFU Namefill Released

^lcfill was incarcerated. At any point since then, was he released from prison or jail?
words, since ^lcfill2, has ^prld.Namefill spent any time out in the community?

Question Type:

In other

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If [(INCARSTATEm9m = 2) OR (MALE9MO=2 AND MALEINCAR=2) OR (MALE9MO=2 AND FEM9MO=2 AND NEWMALEINCAR
=2)] AND (FE3Q000x = No, DK, or REF), code MALEINCAR18 as 2 (still incarcerated from baseline
incarceration) and go to FE3Q000. If [(INCARSTATEm9m = 3) OR (MALE9MO=2 AND MALEINCAR=3) OR
(MALE9MO=2 AND FEM9MO=2 AND NEWMALEINCAR=3)] AND (FE3Q000x = No, DK, or REF), code MALEINCAR18 as 4
(still incarcerated from 9 month incarceration) and go to FE3Q000. If [(INCARSTATEm9m = 3) OR
(MALE9MO=2 AND MALEINCAR=3) OR (MALE9MO=2 AND FEM9MO=2 and NEWMALEINCAR =3)] AND (FE3Q000x = yes),
code MALEINCAR18 as 5 (all others) and go to FE3Q000. Else, go to FE1F000y.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 8 of 207

---------------------------------------------------------------------------------

Logic before:
If [(INCARSTATEm9m = 2) OR (MALE9MO=2 AND MALEINCAR=2) OR (MALE9MO=2 AND FEM9MO=2 AND NEWMALEINCAR
=2)] AND (FE3Q000x=yes), ask FE1F000y.

FE1F000y

18MFU Release Date Reference

When was ^prld.Namefill released?
[RECORD ^NAMEFILLcaps 's RELEASE DATE AND HIGHLIGHT IN GREEN ON REFERENCE CALENDAR]
Some of the questions in this interview will ask you to think about the time since ^prld.Namefill's
release.
[REFER TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALENDAR].
[PROBE FOR MEMORABLE EVENTS THAT HAVE HAPPENED SINCE ^prld.NAMEFILL'S RELEASE AND RECORD THEM ON
REFERENCE CALENDAR]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If (INCARSTATEm9m=1) OR (MALE9MO=2 and MALEINCAR=1) OR (MALE9MO=2 AND FEM9MO=2 AND NEWMALEINCAR =
1), ask FE3Q000z. If [(INCARSTATEm9m=2 and FE3Q000x = yes)] OR [(MALE9MO=2 and MALEINCAR=2) AND
(FE3Q000x=yes)] OR [(MALE9MO=2 AND FEM9MO=2 and NEWMALEINCAR=2) AND (FE3Q000x=yes)], ask FE3Q000z.
Else, go to FE3Q000.
If (INCARSTATEm9m=1) OR (MALE9MO=2 and MALEINCAR=1) OR (MALE9MO=2 AND FEM9MO=2 AND NEWMALEINCAR =
1), ^lcfill should read "^REFDATE [REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]".
If (INCARSTATEm9m=2 and FE3Q000x = yes) OR [(MALE9MO=2 and MALEINCAR=2) AND (FE3Q000x=yes)] OR
[(MALE9MO=2 AND FEM9MO=2 and NEWMALEINCAR=2) AND (FE3Q000x=yes)], ^lcfill should read "^Namefill's
release [REFER TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALENDAR]"

FE3Q000z

18MFU Namefill Incarceration Since 9M

Since ^lcfill, has ^prld.Namefill been incarcerated in a jail or prison for more than 24 hours at
one time?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If [(INCARSTATEm9m = 1) OR (MALE9MO=2 AND MALEINCAR=1) OR (MALE9MO=2 AND FEM9MO=2 AND NEWMALEINCAR
=1)] AND (FE3Q000z = Yes), code MALEINCAR18 as 5 (all others). If [(INCARSTATE = 1) OR (MALE9MO=2
AND MALEINCAR=1) OR (MALE9MO=2 AND FEM9MO=2 and NEWMALEINCAR =1)] AND (FE3Q000z = No,DK, or REF),
code MALEINCAR18 as 6 (released from baseline before 9 month reference period and was not
reincarcerated). If [(INCARSTATEm9m = 2) OR (MALE9MO=2 AND MALEINCAR=2) OR (MALE9MO=2 AND FEM9MO=2
AND NEWMALEINCAR =2)] AND (FE3Q000z = Yes), code MALEINCAR18 as 3 (released from BL incarceration,
reincarcerated). If [(INCARSTATEm9m = 2) OR (MALE9MO=2 AND MALEINCAR=2) OR (MALE9MO=2 AND FEM9MO=2
and NEWMALEINCAR =2)] AND (FE3Q000z = No, DK, or REF), code MALEINCAR18 as 1 (released from
baseline after the 9 month reference period and was not reincarcerated).

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 9 of 207

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=3, ask FE1A000e.

FE1A000e

Else, go to FE3Q000.

18MFU Definition of Ref Period Time 'til reincarc

Some of the questions in the interview will ask you to think about the time since ^REFDATE but not
counting the time that ^prld.Namefill was reincarcerated for a new incarceration after his release.

[ENTER ^prld.NAMEFILL'S REINCARCERATION DATE(S) ON REFERENCE CALENDAR AND CIRCLE THE DATE.
HIGHLIGHT ANY DAYS THAT HE WAS REINCARCERATED IN BLUE. TELL RESPONDENT THAT THE TIME PERIOD SINCE
^REFDATE IS THE TIME SINCE YELLOW AND THAT IF THE QUESTION ASKS HER TO NOT COUNT THE TIME THAT
^prld.NAMEFILL WAS INCARCERATED, IT MEANS EXCLUDING THE DATES THAT ARE HIGHLIGHTED IN BLUE.]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
Ask FE3Q000 if MALEINCAR18=2,3,4,OR 5.

Else go to FE1A000.

If (MALEINCAR18=2 or 4), ^lcfill should say [DO NOT READ THE QUESTION. ANSWER "YES" INSTEAD.

FE3Q000

18MFU Namefill Incarcerated

^lcfill
Is ^prld.Namefill currently incarcerated? By incarcerated we mean in prison, jail, or work release.
(Home detention does not count as incarceration.)

Question Type:

Tyesnocaps

Yes
No

1 YES
2 NO

Logic after:
If (MALEINCAR18=2 OR 4) AND (FE3Q000=2), create a consistency check that says "R PREVIOUSLY
ANSWERED THAT ^NAMFEILL HAD NOT BEEN RELEASED FROM JAIL/PRISON (FE3Q000x) BUT YOU HAVE INDICATED
THAT HE IS NOT CURRENTLY INCARCERATED (FE3Q000). PROBE TO MAKE RESPONSES CONSISTENT." Note that a
DK or RF to FE3q000 should not trigger the consistency check.
---------------------------------------------------------------------------------

Logic before:
If FE3Q000=yes, ask FE3Q000a.

FE3Q000a

Else go to FE1A000d.

18MFU Namefill Release

Does ^prld.Namefill expect to be released from this incarceration?

Question Type:

TYesNoCAPS

Yes
No

1 YES
2 NO

Logic after:
If (MALEINCAR18=2 OR 4), go to FE1A000.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 10 of 207

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=3 or 5, ask FE1A000d.

Else, go to FE1A000.

If MALEINCAR18=3, ^lcfill should read
"[LOOK AT THE CALENDAR WHERE ^PRLD.NAMEFILL’S RELEASE DATE IS HIGHLIGHTED IN GREEN. NOW USE YOUR
BLUE HIGHLIGHTER TO HIGHLIGHT DATES SINCE ^PRLD.NAMEFILL’S RELEASE THAT HE WAS REINCARCERATED, IF
THOSE DATES ARE NOT ALREADY HIGHLIGHTED.]
^lcfill2 should read "Some of the questions in the interview will ask you to think about the time
since ^prld.Namefill’s release while ^prld.NAMEFILL was on the outside. In other words, the time
since ^prld.Namefill’s release that he was not incarcerated. On the calendar that is any date
after this green mark that is not blue."
If MALEINCAR18=5, ^lcfill should read
"[REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR. USE YOUR BLUE HIGHLIGHTER TO
HIGHLIGHT DATES SINCE ^REFDATE THAT ^PRLD.NAMEFILL WAS INCARCERATED, IF THEY ARE NOT ALREADY
HIGHLIGHTED]
^lcfill2 should read, "Some of the questions in the interview will ask you to think about the time
since ^refdate while ^prld.NAMEFILL was on the outside. In other words, the time since ^refdate
that he was not incarcerated. On the calendar that is any date after this yellow mark that is not
blue."

FE1A000d

18MFU Definition of Ref Period Time on the Outside

^lcfill
^lcfill2 ^lcfill3
On the calendar that is any date after this ^lcfill4 mark that is not blue.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If (MALEINCAR18=3 or 5) AND (FEMINCARSTATE18=2), ask FE1A000c.

Else, go to FE1A000.

If MALEINCAR18=3, ^lcfill should read "^prld.Namefill'sRelease"
If MALEINCAR18=5, ^lcfill should read "refdate" and ^lcfill2 = yellow

FE1A000c

18MFU Definition of Ref Period Until Male’s Incarc

Some of the questions in this interview will ask you to think about the time since ^lcfill that you
were both on the outside. In other words, the time since ^lcfill that neither one of you was
incarcerated. On the calendar that is any date after this ^lcfill2 mark that is not blue or pink.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE1A000

18MFU Demographics Intro

The next set of questions asks for some basic information about you.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 11 of 207

---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 2 (female did not participate in baseline) AND FEM9MO =2 (female did not complete
9MFU), ask FE1A001. Else go to FE1A003.

FE1A001

18MFU Date of Birth

In what month, day, and year were you born?

Question Type:

TabDate4

Month
Day
Year

1 Month 1…12
2 Day 1…31
3 Year 1934…1995

Logic after:
Calculate age based on current date, using the "year" field if "month" and/or "day" is
DK/RF/blank.. If DK/RF/blank for the year field in FE1A001, go to FE1A002B.
---------------------------------------------------------------------------------

FE1A002A

18MFU Age

So that makes you ^calcage

Question Type:

years old. Is this correct?

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If calculated age LT 18 then go to FE1A002B, else go to FE1A003. If FE1A002A = no, add consistency
check that says "PLEASE CORRECT THE DATE OF BIRTH BY GOING BACK TO FE1A001."
---------------------------------------------------------------------------------

FE1A002B

18MFU END

I'm sorry. You must be at least 18 years of age to participate in this study.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

Logic after:
After this screen TERMINATE interview and code as 348.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 12 of 207

---------------------------------------------------------------------------------

Logic before:
If (FEMBASE = 1) OR (FEM9MO=1), ^lcfill should say "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?". Else, ^lcfill should say "What is the highest grade
or level of school you have ever completed?".

FE1A003

18MFU Level of Education

^lcfill

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 FE1A003 = High School Diploma, ask FE1A003B. Else go to FE1A004.
---------------------------------------------------------------------------------

FE1A003B

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:
If (FEMBASE = 2) AND (FEM9MO=2), ask FE1A004. Else skip to FE1A008.

FE1A004

18MFU Hispanic Origin

These next questions are about your background.
Do you consider yourself Hispanic, Latina, or Spanish?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 13 of 207

---------------------------------------------------------------------------------

Logic before:
Allow the respondent to "select all that apply".

FE1A005

18MFU Race

[USE SHOWCARD 1]
Do you consider yourself to be...
Select all that apply.
[IF R SAYS NATIVE AMERICAN, VERIFY BY ASKING: I am recording this as American Indian. Is that
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

---------------------------------------------------------------------------------

FE1A006

18MFU Country of Origin

In what country were you born?
What area of the world are you from? For example, Mexico, Central America, South America, Middle
East, Asia, Africa, Europe, Caribbean, or Canada.

Question Type:

TCountry

US
PuertoR
OtherUS
Can
Chi
Cub
DomRep
ElSal
Germ
Ind
Jam
Kor
Mex
Phil
Rus
Viet
Other

1 UNITED STATES
2 PUERTO RICO
3 OTHER U.S. TERRITORY (AMERICAN SAMOA, GUAM, MARSHALL ISLANDS,
NORTHERN MARIANAS ISLANDS, OR U.S. VIRGIN ISLANDS)
4 CANADA
5 CHINA
6 CUBA
7 DOMINICAN REPUBLIC
8 EL SALVADOR
9 GERMANY
10 INDIA
11 JAMAICA
12 KOREA (SOUTH)
13 MEXICO
14 THE PHILIPPINES
15 RUSSIA
16 VIETNAM
17 OTHER COUNTRY (SPECIFY)

Logic after:
IF FE1A006 = other, go to FE1A006s; else go to FE1A007.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 14 of 207

---------------------------------------------------------------------------------

FE1A006s

18MFU Other Country

SPECIFY OTHER COUNTRY

Question Type:

STRING[25]

---------------------------------------------------------------------------------

FE1A007

18MFU Language

What language do you speak most often?

Question Type:

TLang

Eng
Span
Other

1 ENGLISH
2 SPANISH
3 OTHER (SPECIFY)

Logic after:
If FE1A007 = other, go to FE1A007s. Else go to FE1A008.
---------------------------------------------------------------------------------

FE1A007s

18MFU Other Specify

SPECIFY OTHER LANGUAGE

Question Type:

STRING[25]

---------------------------------------------------------------------------------

Logic before:
Preload FB1A008 from female baseline and FN1A008 from female 9 month. If (FB1A008 = yes) OR
(FN1A008=yes), skip to next domain. Else, ask FE1A008.

FE1A008

18MFU US Citizen

Are you a U.S. citizen?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 15 of 207

Relationship Status
---------------------------------------------------------------------------------

Logic before:
If NAMEFILL ALIVE.FE=Dead, skip to FE1F069.
Preload FB1F049a, FB1F053, and FB1F056 from female baseline. Preload MB1F056, MB1F053 and MB1F060
from male baseline. Create new variable named RELSTATUSBL.FE. If (FB1F049a and FB1F053 = yes) OR
FB1F056 = yes OR MB1F056 = yes OR MB1F053 = yes, then code RELSTATUSBL.FE as 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 code RELSTATUSBL.FE as 2 (Co-Parent only at baseline).

FE1F000

18MFU Relationship Status Intro

Now I would like to ask you a few more questions about your relationship with ^prld.Namefill.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If FEM9MO=2 (female did not complete 9M intv), ask FE1F044. Else go to FE1F045.
If FEMBASE = 1 (female completed BL intv), "Spouse/Partner/Co-Parent" will be identified by the
variable ^companion preloaded from the female baseline, as follows: If respondent answered
FB1F049b, ^companion = 1 (spouse). If respondent answered FB1F056b, ^companion = 2 (partner). If
respondent answered FB1F056d, ^companion = 3 (parenting partner).
If FEMBASE=2 (female did not complete BL intv), "Spouse/Partner/Co-Parent" will be identified by
FECON7, as follows: If FECON7=1, then ^companion = 1 (spouse). If FECON7=2, then ^companion = 2
(partner). If FECON7=3, then ^companion = 3 (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 option to be selected.

FE1F044

18MFU Relationship to Male R at 9M

You reported that 18 months ago, 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, which was ^REFDATE.
[REFER TO DATE HIGHLIGHTED IN YELLOW ON 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 FE1F044=1 or 2, code NEWRELSTATUSFU.FE as 1 (romantically involved with spouse or romantically
involved with non-spousal partner at follow-up). If FE1F044=3, DK, or REF, code NEWRELSTATUSFU.FE
as 2 (co-parents or not romantically involved at follow-up).

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 16 of 207

---------------------------------------------------------------------------------

Logic before:
If FEM9MO=1 (female completed 9M intv), "Spouse/Partner/Co-Parent" will be identified by the
variable ^companion9M, as follows:
If FN1F062=2 OR FN1F062a=3 or FN1F063a=2 or FN1F064a=2 or
FN1F064b=1, ^companion9M = 1 (spouse). If FN1F063=2 or FN1F064a=1 or FN1F065=yes, ^companion9M = 2
(partner). Else, ^companion9M = 3 (no romantic involvement).
If FEM9MO=2 (female did not complete 9M intv),”Spouse/Partner/Co-Parent" will be identified by
FE1F044, as follows: If FE1F044=1, then ^companion9M = 1 (spouse). If FE1F044=2, then ^companion9M
= 2 (partner). If FE1F044=3,DK, or REF, then ^companion9M = 3 (parenting partner).
If ^companion9M = 1 (spouse), then ^lcfill should say "married to"
If ^companion9M = 2 (partner), then ^lcfill should say "romantically involved with"
If ^companion9M = 3 (no romantic involvement), then ^lcfill should say "not romantically involved
with"
Preload relstatusMFU from male 9MFU (relstatusMFU = 1 if romantically involved with spouse or
romantically involved with non-spousal partner at follow-up and relstatusMFU = 2 if co-parents or
not romantically involved at follow-up). Preload relstatusFFU from female 9MFU (relstatusFFU = 1
if romantically involved with spouse or romantically involved with non-spousal partner at follow-up
and relstatusFFU = 2 if co-parents or not romantically involved at follow-up).
Create new variable called RELSTATUS9MO.FE. Set RELSTATUS9MO.FE as 2 (not romantically involved at
9 month follow-up). If NEWRELSTATUSFU.FE=1 OR relstatusMFU (from male 9MFU)=1 OR relstatusFFU
(from female 9MFU)=1, then RELSTATUS9MO.FE=1 (one ore more parties considered them to be
romantically involved at the 9 month interview).

FE1F045

18MFU Relationship

We would 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 ^companion9M = 1 (spouse), ask FE1F062.

FE1F062

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 him.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE1F062 = YES, ask FE1F062a. Allow only one response to be selected.

FE1F062a

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 17 of 207

---------------------------------------------------------------------------------

Logic before:
If ^companion9M = 2 (partner), ask FE1F063.

FE1F063

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 him.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE1F063 = YES, ask FE1F063a. Allow only one response to be selected.

FE1F063a

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 ^companion9M = 3 (no romantic relationship), ask FE1F064.

FE1F064

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 him or gotten married to him.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE1F064 = YES, ask FE1F064a.

FE1F064a

Allow only one response option to be selected.

18MFU Co-Parent Change Type

In which of the following ways is your relationship with ^prld.Namefill different since ^REFDATE?

Question Type:

TCoParDiff

Rom
Marr

1 You are now in a romantic relationship with ^prld.Namefill
2 You are now married to ^prld.Namefill

---------------------------------------------------------------------------------

FE1F064b

18MFU R Married to Namefill

IS R MARRIED TO ^NAMEFILLcaps?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 18 of 207

---------------------------------------------------------------------------------

Logic before:
If FE1F064b NE yes, ask FE1F064c.

FE1F064c

Else, go to FE1F065.

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.FE=2) is asked this item.

FE1F065

18MFU 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 after:
Create variable called RELSTATUS18MO.FE. Set RELSTATUS18MO.FE as 2 (not romantically involved at 18
month). Then, if FE1F062=2 (still married to namefill at 18 mo) OR FE1F063=2 (still romantic with
namefill at 18 mo) OR FE1F063a=2 (married to namefill at 18 mo) OR FE1F064a=1 (romantic with
namefill at 18 mo) or FE1F064a=2 (married to namefill at 18 mo) or FE1F065=1 (romantically involved
with namefill at 18 mo), then RELSTATUS18MO.FE=1 (romantically involved at 18 month).

---------------------------------------------------------------------------------

Logic before:
If FE1F065=2, ask FE1F065a.

FE1F065a

Else go to FE1F069.

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 him. You were
an important person in his life during the incarceration where we first interviewed him, 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 it they may be difficult to answer.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
Everyone is asked this item. If NAMEFILL ALIVE.FE = 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?"

FE1F069

18MFU Romantic Other

^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If NAMEFILL ALIVE.FE = 2 (Dead), go to FE1D000.
---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 19 of 207

---------------------------------------------------------------------------------

Logic before:
If FE1F069 = Yes and NAMEFILL ALIVE.FE = 1, ask FE1F070.

FE1F070

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 after:
Everyone (except NAMEFILL ALIVE.FE=2) is asked this item. If (FECON5=yes) and (FE3Q000=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.
---------------------------------------------------------------------------------

Logic before:
Everyone (except NAMEFILL ALIVE.FE=2) is asked this item. If (FECON5=yes) and (FE3Q000=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.

FE1F066

18MFU Co-Parents

^lcfill
^lcfill2

Question Type:

TYesNo

yes
no

1 Yes
2 No

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 20 of 207

---------------------------------------------------------------------------------

Logic before:
If FE1F062a= 1, 2, or 3 OR FE1F063a = 1, ask FE1F067. Bold and allow response options 1-15 if
MALEINCAR18=1, 3, 5, OR 6. Bold and allow response options 1-3 and 5-15 if
MALEINCAR18 = 2 OR 4. Do not allow option 4 to be selected if MALEINCAR18 = 2 OR 4. If
MALEINCAR = 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 ^prld.NAMEFILL HAVING BEEN IN
PRISON/JAIL DURING THE ENTIRE REFERENCE PERIOD. PLEASE WORK WITH THE R TO RESOLVE THE
INCONSISTENCY." Allow R to select all that apply. If the "none" option is selected with any other
option or options trigger a hard consistency check that says: " IF "NONE" IS SELECTED, NO OTHER
CATEGORY SHOULD BE SELECTED."

FE1F067

18MFU Relationship Split

[USE SHOWCARD 2]
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:

Tsplit1F

Argue
PhysFight
NoCloseInc

1 ^F1 You argued too much ^F1
2 ^F2 Your fights got too physical, like pushing or hitting ^F2
3 ^F3 You did not feel close to one another during his incarceration ^F3

NoCloseRel
Diff
Trust
MaInvd
FeInvd
HeDrugs
SheDrgs
Money

4
5
6
7
8
9
10
11

HeCrim
ChildConf
Other
None

12
13
14
15

^F4 You did not feel close to one another after he was released ^F4
^F5 You were just too different from one another ^F5
^F6 You and he had too many jealousy or trust issues ^F6
^F7 He got involved with someone else ^F7
^F8 You got involved with someone else ^F8
^F9 He had problems with drug or alcohol use ^F9
^F10 You had problems with drug or alcohol use ^F10
^F11 You had conflicts over not having enough money to support the
family ^F11
^F12 You had conflicts about being involved in illegal activity ^F12
^F13 You had conflicts about how to raise children ^F13
^F14 Some other reason (SPECIFY) ^F14
^F15 (None of the above) ^F15

---------------------------------------------------------------------------------

Logic before:
If FE1F067 includes 14 (other), ask FE1F067s.

FE1F067s

18MFU Other Specify

SPECIFY REASON WHY R AND ^prld.Namefill SPLIT UP.

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 21 of 207

---------------------------------------------------------------------------------

Logic before:
If FE1F067 included more than two responses, ask FE1F068. Else, skip to FE1F069. Do not allow
option 4 to be selected if MALEINCAR18 = 2 OR 4. In FE1F068, use special font for the response
options selected in FE1F067 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, FE1F067. PLEASE PROBE, AS NEEDED, TO OBTAIN CONSISTENT RESPONSES." Set ^lcfill
to fill from FE1F067s for response option 14. Require 2 options to be selected. If only 1 option
selected trigger hard check that says: "YOU MUST SELECT THE @B2@B MOST IMPORTANT REASONS." if more
than two options selected create a hard consistency check that says: "YOU MUST SELECT THE @B2@B
MOST IMPORTANT REASONS."

FE1F068

18MFU

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 he had too many jealousy or trust issues^F[6]
^F[7]He 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]He 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 FE1F068 was asked, ask FE1F068a.Fill ^lcfill1 with the first response option chosen by R in
FE1F068; fill ^lcfill2 with the second response option chosen by R in FE1F068.

FE1F068a

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^FE1F_STRINGFILL[1]^FE1F_FILL[1]@B and
@B^FE1F_STRINGFILL[2]^FE1F_FILL[2]@B?

Question Type:

TYesNo

yes
no

1 Yes
2 No

Logic after:
If FE1F068a = No, create a consistency check. Consistency check text should say "GO BACK TO FE1F068
AND CORRECT THE RESPONSE OPTIONS UNTIL THE R AGREES ON THE TWO MOST IMPORTANT REASONS THAT SHE AND
^PRLD.NAMEFILL SPLIT UP." Do not allow this check to be suppressed.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 22 of 207

GENOGRAM & Family Structure
---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 2 AND FEM9MO = 2, ask FE1D000.

FE1D000

18MFU Geno Intro Non-BL

Now I'd like to make a chart of everyone in your immediate family.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 1 OR FEM9MO = 1, ask FE1D026.

FE1D026

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.FE=1 (Alive), fill ^lcfill with "Let’s start with ^prld.Namefill. I am going to
put him on the chart and then". If NAMEFILL ALIVE.FE=2 (Dead), do not fill ^lcfill.
If NAMEFILL ALIVE.FE=1(Alive), fill ^lcfill2 with "[ADD ^NAMEFILLcaps TO THE GENOGRAM IN THE SURVEY
PARTNER BOX]". If NAMEFILL ALIVE.FE=2 (Dead), do not fill ^lcfill2.

FE1D027e

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 after:
Preload PARTNERFOCAL from male baseline. Preload FB1D027b from the female baseline. Preload FN1D030
and TOTALCHILD from female 9 month.
Create output variable called FOCLIVE.FE.
(Dead).

If FEM9MO = 1 and FN1D030= Dead, then FOCLIVE.FE= 2

If FEM9MO=2 and [PARTNERFOCAL = 1 (male reports that female partners focal child in the male
baseline interview) OR FB1D027b in female baseline= yes (female reported parenting any children
under 18)], ask FE1D028. If FEM9MO=1 and [(PARTNERFOCAL=1 AND FN1D030=Live) OR (TOTALCHILD GE 1),
ask FE1D028. Else go to FE1D033.
---------------------------------------------------------------------------------

FE1D028

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 23 of 207

---------------------------------------------------------------------------------

Logic before:
Preload ^FOCCHILD from male baseline.
FE1D028a. Else go to FE1D029.

FE1D028a

If (FEMBASE = 2 AND FEM9MO = 2) AND (PARTNERFOCAL = 1), ask

18MFU Focal Intro for Non-BL Female

When we interviewed ^prld.Namefill eighteen months ago, he told us that you parented ^prld.FOCCHILD
in some way. Because ^prld.FOCCHILD is an important person in ^prld.Namefill's life, we will be
asking you some questions about ^prld.FOCCHILD.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If (PARTNERFOCAL = 1 and FOCLIVE = LIVE), ask FE1D029. Else, skip to FE1D031.

FE1D029

18MFU Confirm Focal Child

Let's add ^prld.FOCCHILD to the chart, along with the child's father.
[RECORD ^FOCCHILDCAPS AND HIS/HER FATHER IF DIFFERENT FROM ^NAMEFILLCAPS ON GENOGRAM.]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If PARTNERFOCAL = 1, ask FE1D030.

FE1D030

18MFU Confirm Focal Child Living/Deceased

IS ^FOCCHILDCAPS LIVING OR DECEASED?
[IF ^FOCCHILDCAPS 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:
If FE1D030=Live, then FOCLIVE.FE=1 (LIVE). IF FE1D030=DEAD, then FOCLIVE.FE=2 (Dead).
FOCLIVE.FE=2 (Dead), go to FE1D031.
---------------------------------------------------------------------------------

Logic before:
If FOCLIVE.FE=LIVE, ask FE1G062a.

FE1G062a

Else, go to FE1D031.

18MFU Age of Focal Child

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 24 of 207

If

---------------------------------------------------------------------------------

Logic before:
If (FEMBASE = 2 AND FEM9MO = 2), ask FE1D027l. Else, go to FE1D027m.

FE1D027l

18MFU Non-BL Respondent Parents Focal Child

Eighteen months ago, that is, on ^Eighteenmo, did you consider yourself to be a parent to
^prld.FOCCHILD?
Did you parent the child in any way?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If (FEM9MO = 2), ask FE1D027m. Else, go to FE6N098a.

FE1D027m

18MFU Non-9m Respondent Parents Focal Child

Nine months ago, that is, on ^REFDATE, did you consider yourself to be a parent to ^prld.FOCCHILD?
Did you parent the child in any way?
[REFER RESPONDENT TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE6N098a

18MFU Namefill Coparent

Are you currently involved in raising ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE1Dchild

Question Type:

Existing Child Loop

array[1..15] of BFE1Dsub

---------------------------------------------------------------------------------

FE1Dnewchild

Question Type:

Children New Since Last Interview

array[1..15] of BFE1Dsub2

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 25 of 207

---------------------------------------------------------------------------------

Logic before:
Ask if TOTALCHILD18.FE GE 1. If FECON5 = yes, ^lcfill should say "[IF R SAYS ZERO, ASK HER TO
INCLUDE THE PERSON(S) THE CHILD IS LIVING WITH WHILE THE R IS INCARCERATED.]"

FE1D027d

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 fathers of
your children. This could also include another adult, such as a grandparent, with whom you are
raising one of your children.
^lcfill
foclive = ^foclive
totalchild18 = ^totalchild18

Question Type:

0..25

---------------------------------------------------------------------------------

savecount

Question Type:

saved work variable

integer

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 26 of 207

BL Child Loop
---------------------------------------------------------------------------------

deceasedflag

Question Type:

Flag if child is dead

Tyesno

yes
no

1 Yes
2 No

---------------------------------------------------------------------------------

Logic before:
If FEMBASE = 2 AND FEM9MO = 2, skip to FE1D033.
Preload FB1G061 (name of child; ^CHILD) for all non-focal children recorded at baseline and preload
FE1G061n (name; ^CHILD) for all new children recorded in female 9MFU. Preload FN1D032 (non-focal
BL child live/dead) and NUMCHILD from female 9MFU.
If FEM9MO=1 and number of non-focal children GE 1 (use FN1D032 = Live AND NUMCHILD for count), ask
FE1D031.
IF (FEM9MO=2 AND FEMBASE=1) and number of non-focal children GE 1 (use FB1G061 for count), ask
FE1D031.
Else, go to FE1D033.

FE1D031

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 father is?
[RECORD ^CHILD AND ^CHILD'S FATHER IF NOT ^PRLD.NAMEFILL ON GENOGRAM.]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE1D032

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 FE1D032 = Dead for ANY child, remove that child from the child loop.
---------------------------------------------------------------------------------

FE1G062b

18MFU Age of Other 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..20

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 27 of 207

---------------------------------------------------------------------------------

Logic before:
If FE1D032 = Live and NAMEFILL ALIVE.FE = Alive, ask FE1G065a. Else go to FE1D033.

FE1G065a

Spouse/Partner Coparent

During the past nine months, that is, since ^REFDATE, has ^prld.Namefill been involved in raising
^CHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 28 of 207

New Child Loop
---------------------------------------------------------------------------------

Logic before:
Start of new children loop. Loop FE1D033-FE1G064 until FE1D033 = NO (no new children remain). If
(FEMBASE = 2 AND FEM9MO = 2) OR [PARTNERFOCAL=0 AND there are no non-focal children), ^lcfill
should say "Do you parent any children @Bunder age 18@B?" when child counter equals 0 and ^lcfill
should say, ""Do you parent any other children @Bunder age 18@B?" when child counter ge 1.
Else, ^lcfill should say "Do you parent any other children @Bunder age 18@B that I haven’t already
mentioned?".

FE1D033

18MFU Add New Children

^lcfill
[FI NOTE: DO NOT INCLUDE CHILDREN WHO ARE DECEASED OR NOT YET BORN]

Question Type:

TYesNo

yes
no

1 Yes
2 No

---------------------------------------------------------------------------------

Logic before:
If FE1D033 = yes, ask FE1G061n. Else go to FE1D027d.

FE1G061n

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.FE (number of new children) based on how many times the FE1D033-FE1G064 loop was gone
through with FE1D033 = YES. Create another new output variable called TOTALCHILD18.FE (total number
of children) based on NUMBCHILD18.FE (number of new children) plus FOCLIVE.FE = Live plus the
number of times FE1D032 = Live (non-focal child from BL or 9M is living). TOTALCHILD18.FE 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.FE = 1 ^children = child. If
TOTALCHILD18.FE GT 1, ^children = children.
---------------------------------------------------------------------------------

Logic before:
If NAMEFILL ALIVE.FE=Dead, do not display response option 1 and do not fill ^lcfill. If NAMEFILL
ALIVE.FE= Live, display all response options and fill ^lcfill with “other than “prld.Namefill”.

FE1G065

Rs Relationship to Childs Father

Is ^Child's father...

Question Type:

TChildMother

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 29 of 207

---------------------------------------------------------------------------------

FE1D034

18MFU Add New Child to Genogram

[ADD THIS CHILD AND HIS OR HER FATHER TO THE GENOGRAM]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If NAMEFILL ALIVE.FE = Alive, ask FE1G034a.

FE1G034a

Else, skip to FE1G062.

Spouse/Partner Coparent

Since ^REFDATE, has ^prld.Namefill been involved in raising ^CHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE1G062

18MFU Age of New 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

---------------------------------------------------------------------------------

FE1G063

Gender of New Child

And is ^CHILD male or female?

Question Type:

TGender

Male
Female

1 MALE
2 FEMALE

---------------------------------------------------------------------------------

FE1G064

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 FE1D033-FE1G064 loop until no new children remain.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 30 of 207

Impact of Incarceration on Relationship with Partner
---------------------------------------------------------------------------------

Logic before:
If NAMEFILL ALIVE.FE=DEAD go to FE3R022.
to FE3R022. Else go to FE3Q002a.

FE3Q002a

If FE3Q000 (Namefill currently incarcerated) NE Yes, go

18MFU Intro screen for Part 3

The next set of questions is about your experiences since ^prld.Namefill was incarcerated. We are
talking about his @Bcurrent@B incarceration.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=2 AND (RELSTATUSBL.FE=1 OR RELSTATUS9MO.FE=1 OR RELSTATUS18MO.FE=1), ask FE3Q002.
Else go to FE3Q019a.

FE3Q002

18MFU Contact with Partner Important

[USE SHOWCARD 3]
First, I'd like to know how much you agree or disagree with each of the following statements about
keeping in touch with ^prld.Namefill.
Keeping in touch with ^prld.Namefill during his incarceration is very important to you.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3Q003

18MFU Assistance with Contact with Partner

[USE SHOWCARD 3]
You are satisfied with the amount of help you've received with staying in touch with ^prld.Namefill
during his incarceration. This could be help from outside programs or agencies, program staff at
the correctional facility, clergy, correctional officers, or other staff.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 31 of 207

---------------------------------------------------------------------------------

FE3Q004

18MFU Talk to Partner

[USE SHOWCARD 4]
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 FE3Q004 = "Never", go to FE3Q006. Else go to FE3Q005.
---------------------------------------------------------------------------------

FE3Q005

18MFU Length of Time on Phone

About how long is your average phone call with ^prld.Namefill?
[IN MINUTES]

Question Type:

1..120

---------------------------------------------------------------------------------

FE3Q006

18MFU Send Mail

[USE SHOWCARD 4]
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

---------------------------------------------------------------------------------

FE3Q007

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 32 of 207

---------------------------------------------------------------------------------

Logic before:
If FECON5 = yes, skip to FE3Q016. Else ask FE3Q008.

FE3Q008

18MFU Receive Personal Visits

How often do you currently visit ^prld.Namefill in person?

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 FE3Q008 = "Never", go to FE3Q010. Else go to FE3Q009.
---------------------------------------------------------------------------------

FE3Q009

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

---------------------------------------------------------------------------------

FE3Q010

18MFU Location of Facility

[USE SHOWCARD 5]
Thinking about ^prld.Namefill's 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 you 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

---------------------------------------------------------------------------------

FE3Q011

18MFU Facility Policies

Visitor admission rules such as background checks, dress codes, searches, and metal detectors are
hard for you 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 33 of 207

---------------------------------------------------------------------------------

FE3Q012

18MFU Cost of Visiting

The cost of visiting makes it hard for you to visit as often as you would like to.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3Q013

18MFU Schedule Issues

Schedule issues, like limited visiting hours and your work schedule, make it hard for you to find
time for visits.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3Q014

18MFU Cost of Receiving Calls

The cost of receiving ^prld.Namefill's calls is too high for you, 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

---------------------------------------------------------------------------------

FE3Q015

18MFU Facility is Unpleasant

The prison is not a pleasant place to visit, or not a place you want to see ^prld.Namefill.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 34 of 207

---------------------------------------------------------------------------------

Logic before:
If FECON5 = yes, ^lcfill should say "Thinking about ^prld.Namefill’s time in prison, please tell me
how much you agree or disagree with each of the following statements." If FECON5 = no, do not fill
^lcfill.

FE3Q016

18MFU Partner Does Not Want Contact

^lcfill
^prld.Namefill does not want to maintain close contact with you while he is incarcerated.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3Q017

18MFU R Does Not Want Contact with Partner

You do not want to maintain close contact with ^prld.Namefill while he is incarcerated.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Logic before:
IF FE3Q010-FE3Q017 includes 2 or fewer strongly agree or agree responses, go to FE3Q019a. If
FE3Q010-FE3Q017 includes 3 or more strongly agree or agree responses, ask FE3Q018. USE SPECIAL FONT
FOR ITEMS FOR WHICH R ANSWERED "STRONGLY AGREE" OR "AGREE" in FE3Q010-FE3Q017. Allow only 2
response options to be selected.

FE3Q018

18MFU Two Biggest Difficulties

What would you say are the two biggest difficulties in staying in touch with ^prld.Namefill during
this incarceration?

Question Type:

TContactFB1

Location
Policies
Cost
Issues
Calls
Unpleasant
NoContact
RNoContact

1 ^F1 The prison is located too far away for you 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 you to deal with ^F2
3 ^F3 The cost of visiting makes it hard for you to visit as often as you
would like ^F3
4 ^F4 Schedule issues, like limited visiting hours and your work schedule,
make it hard for you to find time for visits ^F4
5 ^F5 The cost of receiving ^prld.Namefill's calls is too high for you, 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
to see ^prld.Namefill ^F6
7 ^F7 ^prld.Namefill does not want to maintain close contact with you
while he is incarcerated ^F7
8 ^F8 You do not want to maintain close contact with ^prld.Namefill while
he is incarcerated ^F8

Logic after:
Consistency check if the R picks an item that that they did not strongly agree or agree to in
FE3Q010-FE3Q017. 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 FE3Q010FE3Q017. GO BACK AND PROBE AS NEEDED."
---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 35 of 207

---------------------------------------------------------------------------------

Logic before:
If FE3Q000=YES ask FE3Q019a.

FE3Q019a

18MFU Incarceration Changed Relationship

How has ^prld.Namefill's time in prison changed your relationship with him, if at all? Has it made
you closer, has it made you drift apart, or has there been no change?

Question Type:

TChange3

Closer
APART
NOC

1 MADE YOU CLOSER
2 MADE YOU DRIFT APART
3 NO CHANGE

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18 = 2, ask FE3Q020a. Else, skip to FE3R022. Allow the respondent to "select all that
apply".

FE3Q020a

18MFU Relationship Concerns During Incarceration

[USE SHOWCARD 6]
What concerns or worries do you have about your relationship with ^prld.Namefill during this
incarceration?
Select all that apply.
REQUIRED PROBE: Anything else?

Question Type:

TConcernsFB3

Apart
Insecurity

1 His time in prison will make you drift apart
2 It is hard for you to know what his place in your life is when he is in
prison
3 Sometimes you can't accept collect charges for his calls or be at home
when he calls
4 You are concerned about his lifestyle in prison
5 You may not be able to forgive him for problems or conflicts you've had

Accept
Lifestyle
Forgive
Close

6 Being in prison makes it hard for him to open up to you or let himself
get close to you
7 You don't know whether he will get involved with someone else during
this incarceration
8 You have become or might become involved with someone else during this
incarceration
9 Or some other concern that I haven't mentioned

InvolvedHim
InvolvedYou
Other

Logic after:
If FE3Q020a includes other (9), go to FE3Q020as. Else go to FE3Q021a.
---------------------------------------------------------------------------------

FE3Q020as

18MFU Other Specify

SPECIFY OTHER CONCERN

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 36 of 207

---------------------------------------------------------------------------------

Logic before:
IF FE3Q020a includes more than one response, ask FE3Q021a. For response option 8, fill this with
information captured in FE3Q020 as SHOW RESPONSE OPTIONS THAT WERE SELECTED IN FE3Q020a WITH
SPECIAL FONT, AND DO NOT ALLOW A RESPONSE TO BE SELECTED UNLESS IT IS ALSO SELECTED IN FE3Q020a BY
CREATING A CONSISTENCY CHECK. CONSISTENCY CHECK TEXT, "YOU HAVE SELECTED AS THE BIGGEST CONCERN
SOMETHING THAT THE R DID NOT REPORT IN FE3Q020a. PROBE, AS NEEDED TO RESOLVE THE INCONSISTENCY."

FE3Q021a

18MFU Biggest Concern

Of the concerns you mentioned, which one is your @Bbiggest@B concern?

Question Type:

TConcernsFB3a

Apart
Insecurity
Accept
Lifestyle
Forgive
Close
InvolvedHim
InvolvedYou
Other

1 ^F1 His time in prison will make you drift apart ^F1
2 ^F2 It is hard for you to know what his place in your life is when he is
in prison ^F2
3 ^F3 Sometimes you can't accept collect charges for his calls or be at
home when he calls ^F3
4 ^F4 You are concerned about his lifestyle in prison ^F4
5 ^F5 You may not be able to forgive him for problems or conflicts you've
had ^F5
6 ^F6 Being in prison makes it hard for him to open up to you or let
himself get close to you ^F6
7 ^F7 You don’t know whether he will get involved with someone else during
this incarceration^F7
8 ^F8 You have become or might become involved with someone else during
this incarceration ^F8
9 ^F9^lcfill^F9

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 37 of 207

Impact of Incarceration on Relationship with Children
---------------------------------------------------------------------------------

Logic before:
If PARTNERFOCAL=0 OR if FOCLIVE.FE=Dead, go to Part 4, domain S (FE4S057a). If FECON5 = yes, go to
FE3R022. Else, skip to FE3R022p.

FE3R022

18MFU Contact with Children

[USE SHOWCARD 7]
The next set of questions is about keeping in touch with ^prld.FOCCHILD during your incarceration.
For these questions, please only include children who are under the age of 18. First, I'd like to
know how much you agree or disagree with each of the following statements.
Keeping in touch with ^prld.FOCCHILD 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

---------------------------------------------------------------------------------

FE3R023

18MFU Services Received to Stay in Contact with Ch

You are satisfied with the amount of help you've received with staying in touch with ^prld.FOCCHILD
during your 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

---------------------------------------------------------------------------------

FE3R024

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 38 of 207

---------------------------------------------------------------------------------

Logic before:
If FE3R024 = yes, ask FE3R026. Else go to FE3R028.

FE3R026

18MFU Frequency Talk on Phone with Focal Child

[USE SHOWCARD 10]
How often do you talk on the phone with ^prld.FOCCHILD?

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

---------------------------------------------------------------------------------

FE3R027

18MFU Length of Call with Any Children

About how long is your average phone call with ^prld.FOCCHILD?
[IN MINUTES]

Question Type:

0..120

---------------------------------------------------------------------------------

FE3R028

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 FE3R028 = yes, ask FE3R030. Else go to FE3R031.

FE3R030

18MFU Frequency Send Mail to Focal Child

[USE SHOWCARD 10]
How often do you currently send mail to ^prld.FOCCHILD?

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 39 of 207

---------------------------------------------------------------------------------

FE3R031

18MFU Send Audiotapes

Have you been able to send any audiotapes to ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE3R032

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 FE3R032 = yes, ask FE3R034. Else go to FE3R035.

FE3R034

18MFU Frequency Receive Mail from Focal Child

[USE SHOWCARD 10]
How often do you currently receive mail from ^prld.FOCCHILD?

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

---------------------------------------------------------------------------------

FE3R035

18MFU Received Photos or Audiotapes from Focal Chi

Have you received any photographs or audiotapes of ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE3R036

18MFU 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 40 of 207

---------------------------------------------------------------------------------

Logic before:
If FE3R036 = yes, ask FE3R038. Else go to FE3R043.

FE3R038

18MFU Frequency Personal Visits from Focal Child

[USE SHOWCARD 10]
How often do you currently receive personal visits from ^prld.FOCCHILD?

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

---------------------------------------------------------------------------------

Logic before:
Preload ^FOCSEX1, ^FOCSEX2, and ^FOCSEX3 from male baseline.

FE3R043

18MFU Distance of Facility

[USE SHOWCARD 9]
Thinking more about @Byour@B 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.FOCCHILD to have regular visits, or is too hard for
^FOCSEX3 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

---------------------------------------------------------------------------------

FE3R044

18MFU Admission Rules

Visitor admission rules, such as background checks, dress codes, searches, and metal detectors, are
hard for ^prld.FOCCHILD to deal with.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3R045

18MFU Cost of Visiting

The cost of visiting is too high for ^prld.FOCCHILD's caretaker to bring ^FOCSEX2 as often as he or
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 41 of 207

---------------------------------------------------------------------------------

FE3R046

18MFU Schedule Issues

Schedule issues, like limited visiting hours and ^prld.FOCCHILD's 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

---------------------------------------------------------------------------------

FE3R047

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

---------------------------------------------------------------------------------

FE3R048

18MFU Facility Pleasant Place

The prison is not a pleasant place to visit, or not a place you want ^prld.FOCCHILD to see you.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3R049

18MFU Caretaker Does Not Want Contact

^prld.FOCCHILD's caretaker does not want ^FOCSEX2 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 42 of 207

---------------------------------------------------------------------------------

FE3R050

18MFU R Wants No Contact

You do not want to maintain close contact with ^prld.FOCCHILD while you are incarcerated.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3R051

18MFU Focal Child Does Not Want Contact

^prld.FOCCHILD 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

---------------------------------------------------------------------------------

FE3R052

18MFU No Close Contact with Focal Child

You were not in close contact with ^prld.FOCCHILD before your incarceration.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 43 of 207

---------------------------------------------------------------------------------

Logic before:
If answered 1 or 2 (strongly agree or agree), to more than 2 questions between FE3R043 to
FE3R052,then ask FE3R053. Else, skip to FE3R022p. For FE3R053 put response options that the R
already answered 1 or 2 (strongly agree or agree) to in FE3R043 to FE3R052 in special font and only
allow those to be selected, by creating a consistency check. "YOU HAVE SELECTED AS THE BIGGEST
CHALLENGE SOMETHING THAT WAS NOT REPORTED IN THE PREVIOUS QUESTIONS, FE3R043 to FE3R052. PLEASE
PROBE, AS NEEDED TO OBTAIN CONSISTENT RESPONSES." Also, allow only a total of 2 response options to
be selected. Preload ^FOCSEX1, ^FOCSEX2, and ^FOCSEX3 from male baseline.

FE3R053

18MFU Two Biggest Issues for Child Contact

What are the two biggest challenges in staying in touch with ^prld.FOCCHILD while you are
incarcerated?

Question Type:

TChallenge2FB

Location

1 ^F1 The prison is located too far away for ^prld.FOCCHILD to have
regular visits, or is too hard for ^FOCSEX3 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 ^prld.FOCCHILD to deal with.
^F2
3 ^F3 The cost of visiting is too high for ^prld.FOCCHILD's caretaker to
bring ^FOCSEX2 as often as he or she would like to. ^F3
4 ^F4 Schedule issues, like limited visiting hours and ^prld.FOCCHILD's
caretaker's work schedules, make it hard to find time for visits. ^F4

Ruls

VisitCost
Schedule

CallCost

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
^prld.FOCCHILD to see you. ^F6
7 ^F7 ^prld.FOCCHILD's caretaker does not want ^FOCSEX2 to maintain close
contact with you while you are incarcerated. ^F7
8 ^F8 You do not want to maintain close contact with ^prld.FOCCHILD while
you are incarcerated. ^F8
9 ^F9 ^prld.FOCCHILD does not want to maintain close contact with you. ^F9

Pleasant
MotherNo
RNoContact
ChildNoContact
NotClose

10 ^F10 You were not in close contact with ^prld.FOCCHILD before this
incarceration. ^F10

---------------------------------------------------------------------------------

Logic before:
If NAMEFILL ALIVE.FE = Dead, skip to Section 4 S (FE4S057a).
Else, go to FE3R054p.

FE3R022p

If MALEINCAR18 = 2, ask FE3R022p.

18MFU Contact with Focal Child

The next set of questions is about ^prld.Namefill keeping in touch with ^prld.FOCCHILD during his
incarceration. First, I'd like to know how much you agree or disagree with the following statement.

It's very important to you that ^prld.Namefill keep in touch with ^prld.FOCCHILD during his
incarceration. Do you . . .

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 44 of 207

---------------------------------------------------------------------------------

FE3R024p

18MFU Talk on Phone with Focal Child

Now, I'd like to ask about specific contact ^prld.Namefill may have had with ^prld.FOCCHILD during
this incarceration.
Does ^prld.Namefill talk on the phone to ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE3R024p = yes, ask FE3R026p. Else go to FE3R028p.

FE3R026p

18MFU Occurrence of Phone Conversation

[USE SHOWCARD 10]
How often does ^prld.Namefill talk on the phone with ^prld.FOCCHILD?

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

---------------------------------------------------------------------------------

FE3R027p

18MFU Length of Call with Any Children

About how long is his average phone call with ^prld.FOCCHILD?
[IN MINUTES]

Question Type:

1..120

---------------------------------------------------------------------------------

FE3R028p

18MFU Send Mail to Focal Child

Does ^prld.Namefill currently send mail to ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 45 of 207

---------------------------------------------------------------------------------

Logic before:
FE3R028p = yes, ask FE3R030p. Else go to FE3R031p.

FE3R030p

18MFU Frequency Send Mail to Focal Child

How often does ^prld.Namefill currently send mail to ^prld.FOCCHILD?

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

---------------------------------------------------------------------------------

FE3R031p

18MFU Send Audiotapes

Has ^prld.Namefill been able to send any audiotapes to ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE3R032p

18MFU Focal Child Send Mail

Does ^prld.FOCCHILD @Bsend@B mail to ^prld.Namefill?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE3R032p = yes, ask FE3R034p. Else go to FE3R035p.

FE3R034p

18MFU Frequency Focal Child Send Mail

How often does ^prld.FOCCHILD send mail to ^prld.Namefill?

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 46 of 207

---------------------------------------------------------------------------------

FE3R035p

18MFU Received Photos or Audiotapes

As far as you know, has ^prld.Namefill received any photographs or audiotapes of ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE3R036p

18MFU Personal Visits from Focal Child

Does ^prld.FOCCHILD visit ^prld.Namefill in person?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE3R036p = yes, ask FE3R038p.

FE3R038p

18MFU Frequency Personal Visits from Focal Child

How often does ^prld.FOCCHILD visit ^prld.Namefill in person?

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

---------------------------------------------------------------------------------

Logic before:
If FECON5 =yes, skip to FE3R054p.

FE3R043p

18MFU Distance of Facility

[USE SHOWCARD 11]
Thinking about ^prld.Namefill's 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.FOCCHILD to have regular visits with ^prld.Namefill,
or is too hard for you to bring ^prld.FOCCHILD to because of transportation issues.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 47 of 207

---------------------------------------------------------------------------------

FE3R044p

18MFU Admission Rules

Visitor admission rules, such as background checks, dress codes, searches, and metal detectors, are
hard for ^prld.FOCCHILD to deal with.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3R045p

18MFU Cost of Visiting

The cost of visiting is too high for you to bring ^FOCSEX2 as often as you would like to.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3R046p

18MFU Schedule Issues

Schedule issues, like limited visiting hours and your work schedule, make it hard to find time to
bring ^prld.FOCCHILD for visits.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3R047p

18MFU Cost of Calls

The cost of ^prld.Namefill's calls with ^prld.FOCCHILD 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 48 of 207

---------------------------------------------------------------------------------

FE3R048p

18MFU Facility Pleasant Place

The prison is not a pleasant place to visit, or not a place you want ^prld.FOCCHILD to see
^prld.Namefill.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3R049p

18MFU Caretaker Does Not Want Contact

You do not want ^prld.FOCCHILD to maintain close contact with ^prld.Namefill while he is
incarcerated.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3R050p

18MFU Father Wants No Contact

^prld.Namefill does not want to maintain close contact with ^prld.FOCCHILD while he is incarcerated.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE3R051p

18MFU Focal Child Does Not Want Contact

^prld.FOCCHILD does not want to maintain close contact with ^prld.Namefill.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 49 of 207

---------------------------------------------------------------------------------

FE3R052p

18MFU No Close Contact with Focal Child

^prld.Namefill was not in close contact with ^prld.FOCCHILD before his incarceration.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Logic before:
If FE3Q000 NE Yes, go to Section 4.

FE3R054p

If FE3Q000 eq yes ask FE3R054p.

18MFU Relationship with Child Since Incarceration

How has ^prld.Namefill's time in prison changed his relationship with ^prld.FOCCHILD, if at all?
Has it made them closer, has it made them drift apart, or has there been no change?

Question Type:

TChangeFU

closer
drift
NoChnge

1 MADE THEM CLOSER
2 MADE THEM DRIFT APART
3 NO CHANGE

---------------------------------------------------------------------------------

Logic before:
If FE3Q000 eq yes ask FE3R055p.

FE3R055p

18MFU Concerns/Worries About Focal Child

[USE SHOWCARD 12]
What concerns or worries do you have about ^prld.FOCCHILD during ^prld.Namefill's incarceration?
Select all that apply.
REQUIRED PROBE: Anything else?

Question Type:

TWorry

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 ^prld.Namefill and ^prld.FOCCHILD will not be as close
emotionally as they were before he was 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 FE3R055p includes 8 (other), go to FE3R055s. Else go to FE3R056p.
---------------------------------------------------------------------------------

FE3R055s

18MFU Specify Other

SPECIFY OTHER

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 50 of 207

---------------------------------------------------------------------------------

Logic before:
If FE3R055p includes more than one response, then ask FE3R056p. Else, skip to end of domain. For
response option 8, fill this with information captured in FE3R055s In FE3R056p, use special font
for the response options that the R chose in FE3R055p, and only allow those to be chosen by adding
a consistency check, "YOU HAVE JUST SELECTED AS THE RESPONDENT'S BIGGEST CONCERN, A CONCERN THAT
THEY DID NOT AGREE TO HAVING IN FE3R055p. PLEASE PROBE TO OBTAIN CONSISTENT RESPONSES." Allow only
one option to be selected.

FE3R056p

18MFU Biggest Concern/Worry for Focal Child

What is your @Bbiggest@B concern or worry about ^prld.FOCCHILD during ^prld.Namefill's
incarceration?

Question Type:

TWorryFB

Money
School
Happy
Peers

1
2
3
4

Emotional

5 ^F5 Concerns that ^prld.Namefill and ^prld.FOCCHILD will not be as close
emotionally as they were before his incarceration ^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
^FOCSEX2 happiness ^F3
^FOCSEX2 getting teased or threatened by peers ^F4

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 51 of 207

Service Need & Receipt
---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=4, skip to FE4J040.
If (MALEINCAR18=1, 2, or 6) OR NAMEFILLALIVE.FE=DEAD, ^lcfill should read "[REFER R TO DATE
HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]."
If MALEINCAR18=3 and NAMEFILLALIVE.FE=Alive, ^lcfill should read ", but not counting any services
you received while ^prld.Namefill was reincarcerated. [REFER R TO DATE HIGHLIGHTED IN YELLOW IN
REFERENCE CALENDAR, AND REMIND HER NOT TO COUNT SERVICES RECEIVED WHILE ^PRLD.NAMEFILL WAS
REINCARCERATED, WHICH ARE DATES HIGHLIGHTED IN BLUE]."
If MALEINCAR18=5 and NAMEFILLALIVE.FE=Alive, ^lcfill should read ", but not counting any services
you received while ^prld.Namefill was incarcerated [REFER R TO DATE HIGHLIGHTED IN YELLOW IN
REFERENCE CALENDAR, AND REMIND HER NOT TO COUNT DATES HIGHLIGHTED IN BLUE]."

FE4S057a

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 since ^REFDATE ^lcfill
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 MALEINCAR18=3 and NAMEFILLALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated." If MALEINCAR18=5 and NAMEFILLALIVE.FE=Alive, ^lcfill should read "Remember,
we are asking about services received since ^REFDATE but not counting any services you received
while ^prld.Namefill was incarcerated." Else do not fill.

FE4S057

18MFU Attended Class or Workshop

Since ^REFDATE, have you attended any group classes or workshops on healthy marriage or romantic
relationships? You would have done these sessions in a group.
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4S058

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 52 of 207

---------------------------------------------------------------------------------

Logic before:
If FE4S057 = yes, ask FE4S059. Else skip to FE4S064.

FE4S059

18MFU Number of Times Attended Class

How many times have you attended any group classes or workshops on healthy marriage or romantic
relationships since ^REFDATE?
NUMBER OF TIMES

Question Type:

1..100

---------------------------------------------------------------------------------

FE4S061

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 FE4S059 GE 1 AND FE4S061 GE 1, ask FE4S061a.

FE4S061a

18MFU Confirmation on Number of Hours

So, you had about ^FE4S059 session(s) each lasting about ^FE4S061 hour(s)?
IF R ANSWERS NO, GO BACK TO PREVIOUS TWO QUESTIONS AND CORRECT THE ANSWERS.

Question Type:

PROBE, AS NEEDED.

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FE4S061a = no, consistency check text should say "YOU HAVE SELECTED AN ANSWER THAT IS
INCONSISTENT WITH THE NUMBER OF SESSIONS RECORDED IN FE4S059 AND HOURS RECORDED IN FE4S061. PLEASE
GO BACK TO FE4S059 AND FE4S061 AND CORRECT TO SECURE A CONSISTENT RESPONSE".
---------------------------------------------------------------------------------

Logic before:
If FE4S057 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILLALIVE.FE = Alive)], ask FE4S061c. Check all
that apply.

FE4S061c

18MFU When Classes Received

Did you attend these classes or workshops....

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 53 of 207

---------------------------------------------------------------------------------

Logic before:
If NAMEFILLALIVE.FE = Dead, skip to FE4S061b.

FE4S060

18MFU Attend Class with Partner

How many of these sessions did you attend @Btogether with@B ^prld.Namefill?
NUMBER OF TIMES

Question Type:

0..100

---------------------------------------------------------------------------------

FE4S061b

18MFU Class Interesting

How interesting did you find the group-classes or workshops?

Question Type:

TInteresting

VeryInt
SomeInt
NotInt

1 Very interesting
2 Somewhat interesting
3 Not interesting

---------------------------------------------------------------------------------

FE4S062

18MFU How Often Class Attended

Did you attend all, most, or some of the classes or workshops that were offered?

Question Type:

TAttend3

All
Most
Few

1 ATTENDED ALL
2 ATTENDED MOST
3 ATTENDED A FEW

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 54 of 207

---------------------------------------------------------------------------------

Logic before:
If FE4S062 = 1, skip to FE4S064. Else, ask FE4S063. Allow the respondent to "select all that
apply". If NAMEFILLALIVE.FE = Alive, bold and allow all response options. If NAMEFILLALIVE.FE =
DEAD, only bold and allow options 1, 2, 5, 6, 8, 10, 12, 13 and 14.

FE4S063

18MFU Reason for Not Attending Class

[USE SHOWCARD 13]
Why did you stop attending the classes or workshops?

Choose all that apply.

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

5
6
7
8
9
10
11
12
13
14

^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 couldn't attend with you because of schedule
conflicts, rule violations, or issues with the prison ^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

Logic after:
If FE4S063 includes 14 (other), go to FE4S063s. Else go to FE4S064.
---------------------------------------------------------------------------------

FE4S063s

18MFU Specify Other

SPECIFY OTHER REASON

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Logic before:
If NAMEFILLALIVE.FE= Dead, skip to FE4S069. If MALEINCAR18=3 and NAMEFILLALIVE.FE=Alive, ^lcfill
should read "Remember, we are asking about services received since ^REFDATE but not counting any
services you received while ^prld.Namefill was reincarcerated." If MALEINCAR18=5 and
NAMEFILLALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about services received since
^REFDATE but not counting any services you received while ^prld.Namefill was incarcerated." Else do
not fill.

FE4S064

18MFU Counseling

Since ^REFDATE, 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. ^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 55 of 207

---------------------------------------------------------------------------------

FE4S065

18MFU Need Couples 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 FE4S064 = yes, ask FE4S066; else, skip to FE4S069.

FE4S066

18MFU Attended Marriage Counseling

Since ^REFDATE, 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 FE4S064 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S064a.

FE4S064a

18MFU When Counseling Received

Did you receive this counseling....

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FE4S068

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 FE4S066 GE 1 AND FE4S068 GE 1, ask FE4S068a.

FE4S068a

18MFU Confirmation on Number of Hours

So, you had about ^FE4S066 sessions each lasting ^FE4S068 hours?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If R answers no to FE4S068a, add consistency check, "GO BACK TO PREVIOUS TWO QUESTIONS AND CORRECT
THE ANSWERS. PROBE, AS NEEDED."

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 56 of 207

---------------------------------------------------------------------------------

FE4S067

18MFU Number of Times Attended Counseling Classes

How many of these sessions did you attend @Btogether with@B ^prld.Namefill?
NUMBER OF TIMES

Question Type:

0..100

---------------------------------------------------------------------------------

Logic before:
If yes to FE4S057 or FE4S064, ask FE4S069. Else go to FE4S073. If NAMEFILLALIVE.FE=1, BOLD AND
DISPLAY ALL RESPONSE OPTIONS. IF NAMEFILLALIVE.FE=2, only bold and allow options 1, 2, 4, 5, 6, 7.
Allow the respondent to "select all that apply".

FE4S069

18MFU Person Who Informed You

[SELECT ALL THAT APPLY]
How did you hear about the relationship strengthening activities in which you participated? Who
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

^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 FE4S069 includes 7 (other), go to FE4S069s. Else go to FE4S070.
---------------------------------------------------------------------------------

FE4S069s

18MFU Other Specify

SPECIFY OTHER SOURCE

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 57 of 207

---------------------------------------------------------------------------------

Logic before:
If NAMEFILLALIVE.FE = Dead, skip to FE4S073. Allow the respondent to "select all that apply", but
do not allow option 9 (NONE) to be selected along with options 1-8.

FE4S070

18MFU Skills Learned from Classes

[USE SHOWCARD 14]
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:

TClassesFB

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 FE4S070 includes 8 (other), go to FE4S070s. Else go to FE4S071.
---------------------------------------------------------------------------------

FE4S070s

18MFU Specify Other

SPECIFY OTHER KNOWLEDGE OR SKILL

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Logic before:
IF FE4S070 included more than one response, ask FE4S071. Else, skip to FE4S072. Fill response
option 8 with information captured in FE4S070s In FE4S071,use special font for the response option
selected in FE4S070 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,
FE4S070. PLEASE PROBE, AS NEEDED, TO OBTAIN CONSISTENT RESPONSES." Allow R to select only one
response.

FE4S071

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:

TClassesFB2

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 58 of 207

---------------------------------------------------------------------------------

FE4S072

18MFU Classes Improved Relationship

How much has your relationship with ^prld.Namefill improved as a result of the relationship classes
or counseling?
Would you say. . .

Question Type:

TSome

Lot
Little
Notatall

1 A lot
2 A little
3 Not at all

---------------------------------------------------------------------------------

Logic before:
Ask if TOTALCHILD18.FE GE 1. Else skip to FE4S077. If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive,
^lcfill should read "Remember, we are asking about services received since ^REFDATE but not
counting any services you received while ^prld.Namefill was reincarcerated." If MALEINCAR18=5 and
NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about services received since
^REFDATE but not counting any services you received while ^prld.Namefill was incarcerated." Else
do not fill.

FE4S073

18MFU Parenting Classes

Since ^REFDATE, have you attended any classes, groups, or workshops to help you improve your
parenting skills or learn to be a better parent?
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4S074

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 FE4S073 = yes, ask FE4S075; else, skip to FE4S077.

FE4S075

18MFU Attended Classes to Improve Parenting Skills

Since ^REFDATE, how many times have you attended any parenting classes, groups, or workshops?
NUMBER OF TIMES

Question Type:

1..100

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 59 of 207

---------------------------------------------------------------------------------

Logic before:
If FE4S073 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S073a. Else go
to FE4S076.

FE4S073a

18MFU When Workshops Received

Did you attend these classes/groups/workshops...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FE4S076

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 MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read “Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated.” If MALEINCAR18=5 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read “Remember,
we are asking about services received since ^REFDATE but not counting any services you received
while ^prld.Namefill was incarcerated.” Else do not fill.

FE4S077

18MFU Consultation with Any Staff

Since ^REFDATE, 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.
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4S078

18MFU 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 60 of 207

---------------------------------------------------------------------------------

Logic before:
If FE4S077 = yes, ask FE4S079. Else go to FE4S082.

FE4S079

18MFU Sessions of Case Management

How many sessions of case management have you received since your last interview?
NUMBER OF SESSIONS

Question Type:

1..100

---------------------------------------------------------------------------------

FE4S079a

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 FE4S077 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S077a. Else go
to FE4S080

FE4S077a

18MFU When Case Management Received

Did you receive this case management....

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 61 of 207

---------------------------------------------------------------------------------

Logic before:
Allow the respondent to "select all that apply", but do not allow R to select "None" (option 1)
along with options 2-15.

FE4S080

18MFU Case Manager Referred Services

[USE SHOWCARD 15]
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 FE4S080 = none, go to FE4S082. Else go to FE4S081.
If the "none" option is selected with any other option or options trigger a hard consistency check
that says: " IF "NONE" IS SELECTED, NO OTHER CATEGORY SHOULD BE SELECTED."
---------------------------------------------------------------------------------

FE4S081

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 62 of 207

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated." If MALEINCAR18=5 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember,
we are asking about services received since ^REFDATE but not counting any services you received
while ^prld.Namefill was incarcerated." Else do not fill.

FE4S082

18MFU Received Treatment for Emotional/Mental Prob

Since ^REFDATE, have you received counseling, therapy, or other treatment to help you deal with an
emotional or mental health problem?
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4S083

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 FE4S082 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S082a.

FE4S082a

18MFU When Counseling Received

Did you receive this counseling/therapy/treatment....

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FE4S084

18MFU Received Group Therapy/Treatment

Since ^REFDATE, 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 63 of 207

---------------------------------------------------------------------------------

FE4S085

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 FE4S084 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S084a.

FE4S084a

18MFU When Alc/Substance Abuse Treatment Received

Did you receive this alcohol or substance abuse treatment....

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated." If MALEINCAR18=5 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember,
we are asking about services received since ^REFDATE but not counting any services you received
while ^prld.Namefill was incarcerated." Else do not fill.

FE4S086

18MFU Received Anger Management Services

Since ^REFDATE, have you received services or taken a course to help you manage anger?
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4S087

18MFU Needed Anger Management Services

Have you wanted or felt that you needed this service?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 64 of 207

---------------------------------------------------------------------------------

Logic before:
If FE4S086 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S086a.

FE4S086a

18MFU When Anger Mngmt Received

Did you participate in anger management services....

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated." If MALEINCAR18=5 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember,
we are asking about services received since ^REFDATE but not counting any services you received
while ^prld.Namefill was incarcerated." Else do not fill.

FE4S090

18MFU Received Educational Classes

Since ^REFDATE, have you participated in any GED, adult basic education, or college courses?
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4S091

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 FE4S090 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S090a.

FE4S090a

18MFU When Education Courses Received

Did you participate in these courses...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 65 of 207

---------------------------------------------------------------------------------

FE4S092

18MFU Received Job Training

Since ^REFDATE, have you participated in any employment readiness, vocational or job training
programs?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4S093

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 FE4S092 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S092a.

FE4S092a

18MFU When Job Training Received

Did you participate in this training...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated." If MALEINCAR18=5 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember,
we are asking about services received since ^REFDATE but not counting any services you received
while ^prld.Namefill was incarcerated." Else do not fill.

FE4S094

MFU Received Financial Planning Courses

Since ^REFDATE, have you participated in any money management or financial planning programs?
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4S095

18MFU 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 66 of 207

---------------------------------------------------------------------------------

Logic before:
If FE4S094 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S094a.

FE4S094a

18MFU When Money/Financial Planning Received

Did you participate in money management or financial planning classes...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FE4S096

18MFU Received Life Skills Education

Since ^REFDATE have you participated in any other life skills education?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4S097

18MFU 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 FE4S096 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S096a.

FE4S096a

18MFU When Life Skills Received

Did you participate in other life skills training...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FE4S098

18MFU Received Assistance for Housing Needs Post-R

Since ^REFDATE have you received any help finding housing or paying for housing?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 67 of 207

---------------------------------------------------------------------------------

FE4S099

18MFU Needed Assistance for Housing Needs Post-Rel

Have you wanted or felt that you needed this service?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE4S098 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S098a.

FE4S098a

18MFU When Housing Help Received

Did you receive this housing-related help ...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Logic before:
If TOTALCHILD18.FE GE 1, ask FE4S100. Else go to FE4S102.

FE4S100

18MFU Received Assistance with Child Custody Issue

Since ^REFDATE have you received any assistance with retaining your parental rights or changing
child custody arrangements?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4S101

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 FE4S100 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S100a.

FE4S100a

18MFU When Child Custody Assistance Received

Did you receive assistance...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 68 of 207

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=3 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read "Remember, we are asking about
services received since ^REFDATE but not counting any services you received while ^prld.Namefill
was reincarcerated. If MALEINCAR18=5 and NAMEFILL ALIVE.FE=Alive, ^lcfill should read Remember, we
are asking about services received since ^REFDATE but not counting any services you received while
^prld.Namefill was incarcerated.." Else do not fill.

FE4S102

18MFU Received Family Mediation

Since ^REFDATE, 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.
^lcfill

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4S103

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 FE4S102 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S102a.

FE4S102a

18MFU When Family Conferencing Received

Did you participate in family group conferencing/mediation...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FE4S104

18MFU Received Group Support

Since ^REFDATE 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 69 of 207

---------------------------------------------------------------------------------

FE4S105

18MFU 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 FE4S104 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S104a.

FE4S104a

18MFU When Group Support Received

Did you participate in support groups...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

FE4S106

18MFU Received Spiritual/Religious Help

Since ^REFDATE 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

---------------------------------------------------------------------------------

FE4S107

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 FE4S106 = yes and [(MALEINCAR18=1 or 3) AND (NAMEFILL ALIVE.FE = Alive)], ask FE4S106a.

FE4S106a

18MFU When Religious Assistance Received

Did you receive this spiritual or religious assistance...

Question Type:

TWhnClassFem

Incar
Relse
Both

1 Before ^prld.Namefill was released
2 During ^prld.Namefill's time on the outside
3 or both

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 70 of 207

Housing
---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18 = 1, skip to FE4L134a. If (FEMINCARSTATE18=2 OR 3) AND [(NAMEFILL
ALIVE.FE=ALIVE) AND (MALEINCAR18=1, 3, 5, OR 6)] skip to FE4I034 (employment). IF
(FEMINCARSTATE18=2 OR 3) AND [(NAMEFILL ALIVE.FE=DEAD) OR (MALEINCAR18=2 OR 4)], ask FE4J040.
Allow the respondent to "select all that apply".

FE4J040

18MFU Ever Live

[USE SHOWCARD 16]
Now, I have some questions about your living situation over the time since ^REFDATE.
[REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]
Since ^REFDATE, have you lived in any of these places? Select all that apply.
REQUIRED PROBE: Any other places?

Question Type:

Tresidence

Own

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

Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other

---------------------------------------------------------------------------------

Logic before:
If R lives in more than one place (from FE4J040), go to FE4J041. Else go to FE4J042. Use special
font for response options that were selected in FE4J040.

FE4J041

18MFU Primarily Reside

During the time since ^REFDATE, where did you mostly live?
SELECT ONE.

Question Type:

TResidenceFB

Own
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other

1 ^F1 In your own house or apartment, meaning your name is on the title,
mortgage, or lease ^F1
2 ^F2 In someone else's house or apartment ^F2
3 ^F3 In a transitional housing building or halfway house ^F3
4 ^F4 In a motel/hotel or rooming house ^F4
5 ^F5 In a residential treatment facility ^F5
6 ^F6 In a shelter ^F6
7 ^F7 On the street ^F7
8 ^F8 In an outdoor location where you camp out ^F8
9 ^F9 In an abandoned building or vacant unit ^F9
10 ^F10 In some other place ^F10

Logic after:
Add a consistency check after FE4J041 if R chooses a response that was not also selected in
FE4J040. Text should say, "RESPONSE IS INCONSISTENT WITH RESPONSE TO PREVIOUS QUESTION. PROBE, AS
NEEDED, SO BOTH ITEMS ARE CONSISTENT."

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 71 of 207

---------------------------------------------------------------------------------

Logic before:
If FE4J040 includes Own or Elses, ask FE4J042. Else go to FE4J043a.

FE4J042

18MFU Public Housing

Was/is 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 FE4J042 = no, go to FE4J043. Else go to FE4J043a.
---------------------------------------------------------------------------------

FE4J043

18MFU Section 8

Was/is 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

---------------------------------------------------------------------------------

FE4J043a

18MFU Number of Places

Since ^REFDATE, in how many places have you lived?

Question Type:

1..100

---------------------------------------------------------------------------------

Logic before:
If (PARTNERFOCAL = 1 and FOCLIVE.FE= Live) ask FE4J043b. If (PARTNERFOCAL = 0 or FOCLIVE.FE =
Dead), skip to FE4J044b.

FE4J043b

18MFU Live with Focal Child

Since ^REFDATE, have you lived with ^prld.FOCCHILD at least part of the time?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE4J043b = yes and FECON5=no, ask FE4J044a.

FE4J044a

18MFU Living 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 72 of 207

---------------------------------------------------------------------------------

Logic before:
Ask FE4J044b for each of R’s remaining living non-focal children (include non-focal children from
baseline as well as all new children). Else skip to FE4J045.

FE4J044b

18MFU Live with Other Chidlren

Since ^REFDATE, have you lived with ^CHILD at least part of the time?

Question Type:

array[1..30] of TYesNoCaps

---------------------------------------------------------------------------------

Logic before:
If FE4J044b = yes and FECON5=no, ask FE4J044c. Loop FE4J044b-FE4J044c for each of R’s remaining
living children.

FE4J044c

18MFU Living with Other Children

Are you currently living with ^CHILD?

Question Type:

array[1..30] of TYesNoCaps

---------------------------------------------------------------------------------

Logic before:
If NAMEFILL ALIVE.FE=Alive, fill ^lcfill with "OTHER THAN ^Namefillcaps", and fill lcfill2 with
"^OF Namefillcaps". If NAMEFILL ALIVE.FE=Dead, do not fill ^lcfill or ^lcfill2. Allow the
respondent to "select all that apply".

FE4J045

18MFU Living with Others

Who else have you lived with since ^REFDATE?
Please list everyone who has lived with you at some point since ^REFDATE.
[SELECT ALL THAT APPLY]
REQUIRED PROBE: Anyone else?

Question Type:

TLivingFUInc

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
A CURRENT ROMANTIC PARTNER ^lcfill
AN EX-SPOUSE OR ROMANTIC PARTNER ^lcfill
MOTHER/STEPMOTHER
FATHER/STEPFATHER
SISTER/STEPSISTER
BROTHER/STEPBROTHER
AUNT/UNCLE, GREAT AUNT/UNCLE
COUSIN
GRANDPARENT
CHILD/STEPCHILD
FRIEND OF R
FRIEND OF ROMANTIC PARTNER ^lcfill2
SOME OTHER PERSON, NOT A FRIEND OR FAMILY MEMBER (SPECIFY)

Logic after:
If FE4J045 includes 14 (other), go to FE4J045s. Else go to FE4J045a.
If the "no one else" option is selected with any other option or options trigger a hard consistency
check that says: " IF "NO ONE ELSE" IS SELECTED, NO OTHER CATEGORY SHOULD BE SELECTED."

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 73 of 207

---------------------------------------------------------------------------------

FE4J045s

18MFU Specify Other

SPECIFY ANY OTHER PERSON THE RESPONDENT LIVED WITH

Question Type:

STRING[25]

---------------------------------------------------------------------------------

Logic before:
If FECON5=yes, ^lcfill should say "lived during your time on the outside.”
should say "currently live."

FE4J045a

If FECON5=No, ^lcfill

18MFU Neighborhood 1

[USE SHOWCARD 17]
Please tell me whether you strongly agree, agree, disagree, or strongly disagree with the following
statements about the neighborhood where you ^lcfill
It is 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

---------------------------------------------------------------------------------

FE4J045b

18MFU Neighborhood 2

Drug selling is 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

---------------------------------------------------------------------------------

FE4J045c

18MFU Neighborhood 3

Your neighborhood or community is 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 74 of 207

---------------------------------------------------------------------------------

FE4J045d

18MFU Neighborhood 4

Your neighborhood or community is a good place to find a job.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 75 of 207

Income
---------------------------------------------------------------------------------

FE4K017

18MFU Welfare

Next I'm going to read a list of income sources. For each, tell me if you have received income from
this source during the time since ^REFDATE.
[REFER RESPONDENT TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR.]
Cash welfare, also known as TANF? You may have received 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

---------------------------------------------------------------------------------

FE4K019

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 have received these benefits as
coupons, electronic transfer, or as an EBT or debit card.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4K021

18MFU Child Support Received

Child support payments?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4K023

18MFU Money from Others

Money from friends or relatives who did not live with you at that time?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 76 of 207

---------------------------------------------------------------------------------

FE4K025

18MFU Formal Payment

Formal employment? By "formal", we mean a job that you received a pay stub for, and for which taxes
were taken out of your pay.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4K027

18MFU Casual Work

"Under the table" or casual work? By "under the table", we mean work that you did not receive a
pay stub for, for which taxes were not taken out of your pay. This could include things you were
paid in cash for, like babysitting or mowing lawns.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4K029

18MFU Illegal Activities

Illegal activities, such as selling drugs, breaking and entering, etc.?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4K031

18MFU Budget

[USE SHOWCARD 18]
During the time since ^REFDATE, how often have you relied on a planned budget to guide your monthly
spending?

Question Type:

TAUSN

Always
Usually
Some
Never

1
2
3
4

Always
Usually
Sometimes
Never

---------------------------------------------------------------------------------

FE4K032

18MFU Meeting Bills

During the time since ^REFDATE, how often have you had difficulty meeting monthly payments on bills?

Question Type:

TAUSN

Always
Usually
Some
Never

1
2
3
4

Always
Usually
Sometimes
Never

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 77 of 207

---------------------------------------------------------------------------------

FE4K033

18MFU Money at End of Month

During the time since ^REFDATE, how often have you had 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 78 of 207

Employment
---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18 = 2, ^lcfill should say ",that is, during your time on the outside", Else,
^lcfill should not fill.

FE4I034

18MFU Any Job

This next set of questions deals with any employment you have had since ^REFDATE ^lcfill.
At any point since ^REFDATE have you worked at a job?
[REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
FE4I034 = Yes and FECON5=no, ask FE4I034a. If FE4I034=yes and FECON5=yes, skip to FE4I036.
FE4I034=no, go to FE4L134a.
---------------------------------------------------------------------------------

FE4I034a

If

18MFU Currently Employed

Are you @Bcurrently@B working at a job?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE4I034a = yes, ^lcfill1 should say "Is" and ^lcfill2 should say "current". If FE4I034a NE yes,
^lcfill1 should say "Was" and ^lcfill2 should say "most recent".

FE4I036

18MFU Job Status

^lcfill1 your ^lcfill2 job...

Question Type:

TJStatus

PT
FT
NoJob

1 Part time
2 Full time
3 You have never had a job

---------------------------------------------------------------------------------

FE4I035a

18MFU Employment Duration

How many months have you worked since ^REFDATE?

Question Type:

0..11

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 79 of 207

---------------------------------------------------------------------------------

Logic before:
If FE4I034a = yes, ^lcfill1 should say "Is" and ^lcfill2 should say "current". If FE4I034a NE yes,
^lcfill1 should say "Was" and ^lcfill2 should say "most recent".

FE4I037

18MFU Job Type

^lcfill1 your ^lcfill2 job...

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 FE4I034a = yes, ^lcfill should say "do". If FE4I034a NE yes, ^lcfill should say "did".

FE4I037a

18MFU Earnings

How much ^lcfill you earn per month from your job 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 FE4I034a = yes, ^lcfill should say "Does your current". If FE4I034a NE yes, ^lcfill should say
"Did your most recent".

FE4I038

18MFU Health Insurance

^lcfill job provide health insurance coverage?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE4I034a = yes, ^lcfill should say "Are". If FE4I034a NE yes, ^lcfill should say "Were".

FE4I039

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 80 of 207

Social Support
---------------------------------------------------------------------------------

Logic before:
If NAMEFILL ALIVE.FE=Alive, fill ^lcfill with "^prld.Namefill or".
not fill.

FE4L134a

If NAMEFILL ALIVE.FE=Dead, do

18MFU Number of Friends

Next, you will be asked about the kinds of support you have received from your friends and family
since ^REFDATE.
[REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]
First, I will ask about your friends. Please do not count ^lcfill any family members as you answer
this question.
How many close friends do you have? These are people you feel at ease with, can talk to about
private matters, or can call on for help. Would you say you have 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 NAMEFILL ALIVE.FE=Alive and TOTALCHILD18.FE GE 1, fill ^lcfill with "other than ^prld.Namefill
or your ^children". If NAMEFILL ALIVE.FE=Alive and TOTALCHILD18.FE=0, fill ^lcfill with "other
than prld.Namefill". If NAMEFILL ALIVE.FE=Dead and TOTALCHILD18.FE GE 1, fill ^lcfill with "other
than your ^children". Else, do not fill ^lcfill.

FE4L128a

18MFU Close Family Members

Next, I'd like to know about support you have received from family members ^lcfill.
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. Would you say you have 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 81 of 207

Parenting
---------------------------------------------------------------------------------

Logic before:
If (FEMALEINCARSTATE18=2 OR 3) AND (PARTNERFOCAL=1 and FOCLIVE.FE= Live), ask FE4N062 Else skip to
FE4P069.

FE4N062

18MFU Frequency of Activities with Focal Child

In a typical week since ^REFDATE, how many days have you participated in an activity with
^prld.FOCCHILD, such as eating meals, going shopping, helping with homework, or doing something fun
with him or her?
[REFER RESPONDENT TO DATE HIGHLIGHTED IN YELLOW IN 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 82 of 207

Physical & Mental Health
---------------------------------------------------------------------------------

FE4P069

18MFU Medical Coverage

The next questions are about health care and health insurance.
Are you covered by Medicaid, Medi-Cal, Medicare, Champus, Indian Health Services, or any other
government program that pays for medical care?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE4P070

18MFU Medical Coverage by Someone Else

Are you covered by health insurance through your or someone else's employer, or insurance you
purchase directly from a private insurance company?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18=1, skip to FE5J040. If FEMINCARSTATE18=2, ^lcfill1 should say "during your time
on the outside,". Else do not fill. If TOTALCHILD18.FE "GE" 1, include "or your ^children" as
^lcfill2.

FE4P071

18MFU Need Medical Assistance

Since ^REFDATE, ^lcfill1 have you ^lcfill2 ever needed to see a doctor or go to the hospital, or
take prescription medication, but couldn't because of the cost?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 83 of 207

Housing
---------------------------------------------------------------------------------

Logic before:
If (NAMEFILL ALIVE.FE= Dead) OR (MALEINCAR18 = 2 or 4), skip to Part Six, domain Z (FE6Z000). If
(MALEINCAR18=1, 3, 5, OR 6) AND (FEMINCARSTATE18=1), skip to FE5N095. ELSE GO TO FE5J040. Allow
the respondent to "select all that apply".
If MALEINCAR18=1 OR 3, ^lcfill1 should say "^prld.Namefill was released" and ^lcfill2 should say
"[REFER TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALENDAR]." If MALEINCAR18=5 or 6, ^lcfill1
should say "^REFDATE" and ^lcfill2 should say "[REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE
CALENDAR]."

FE5J040

18MFU Ever Live

[USE SHOWCARD 19]
Now, I have some questions about your living situation since ^lcfill1 ^lcfill2..
Since ^lcfill1, have you lived in any of these places? Select all that apply.
REQUIRED PROBE: Any other places?

Question Type:

Tresidence

Own

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

Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other

---------------------------------------------------------------------------------

Logic before:
If R lives in more than one place (from FE5J040), go to FE5J041. Else go to FE5J042. Use special
font for response options that were selected in FE5J040. If MALEINCAR18=1 OR 3, ^lcfill should say
"^prld.Namefill was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".

FE5J041

18MFU Primarily Reside

Since ^lcfill, where have you mostly lived?
SELECT ONE.

Question Type:

TResidenceFB

Own
Elses
Transitional
Motel
Treatment
Shelter
Street
Outdoor
Vacant
Other

1 ^F1 In your own house or apartment, meaning your name is on the title,
mortgage, or lease ^F1
2 ^F2 In someone else's house or apartment ^F2
3 ^F3 In a transitional housing building or halfway house ^F3
4 ^F4 In a motel/hotel or rooming house ^F4
5 ^F5 In a residential treatment facility ^F5
6 ^F6 In a shelter ^F6
7 ^F7 On the street ^F7
8 ^F8 In an outdoor location where you camp out ^F8
9 ^F9 In an abandoned building or vacant unit ^F9
10 ^F10 In some other place ^F10

Logic after:
Add a consistency check after FE5J041 if R chooses a response that was not also selected in
FE5J040. Text should say, "RESPONSE IS INCONSISTENT WITH RESPONSE TO PREVIOUS QUESTION. PROBE, AS
NEEDED, SO BOTH ITEMS ARE CONSISTENT."
---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 84 of 207

---------------------------------------------------------------------------------

Logic before:
If FE5J040 includes Own or Elses, ask FE5J042. Else go to FE5J043a.

FE5J042

18MFU Public Housing

Was 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 FE5J042 = no, go to FE5J043. Else go to FE5J043a.
---------------------------------------------------------------------------------

FE5J043

18MFU Section 8

Was 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

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".

FE5J043a

If MALEINCAR18=5 or 6,

18MFU Number of Places

Since ^lcfill, in how many places have you lived?

Question Type:

1..100

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 85 of 207

---------------------------------------------------------------------------------

Logic before:
If PARTNERFOCAL = 1 and FOCLIVE.FE= Live, ask FE5N095. Else, go to FE5J044b. Use special font for
all response options; use special font for following options based on responses to previous
questions: If FECON5 = no, bold option 1. If (FE3Q000 ne 1, bold option 3. Always bold response
options 2, and 4-12. Allow the respondent to select all that apply.

FE5N095

18MFU Focal Child Residence

[USE SHOWCARD 20]
The next items ask about ^prld.FOCCHILD.
With whom does ^prld.FOCCHILD currently live? Select all that apply.
REQUIRED PROBE:

Anyone else?

Question Type:

TFocalResideFU

Respondent
Mother
Nmfill
Father
GrandparentM
GrandparentP
StepGrand
RelativesB
Stepparent
NonBlood
SocialS
Other

1
2
3
4
5
6
7
8
9
10
11
12

^F1 YOU ^F1
^F2 THE CHILD'S BIOLOGICAL MOTHER ^F2
^F3 ^NAMEFILLcaps ^F3
^F4 THE CHILD'S BIOLOGICAL FATHER ^F4
^F5 THE CHILD'S MATERNAL GRANDPARENT(S) ^F5
^F6 THE CHILD'S PATERNAL GRANDPARENT(S) ^F6
^F7 THE CHILD'S STEP-GRANDPARENT(S) ^F7
^F8 OTHER BLOOD RELATIVES OF THE CHILD ^F8
^F9 THE CHILD'S STEPPARENT ^F9
^F10 OTHER NON-BLOOD RELATIVES ^F10
^F11 THE CHILD IS IN CUSTODY OF SOCIAL SERVICES ^F11
^F12 OTHER (SPECIFY) ^F12

Logic after:
If FE5N095 includes 12 (other), go to FE5N095s. If FEMINCARSTATE18=1, go to FEJ045b. Else go to
FE5J043b. FE5N095: Add a consistency check after FE5N095 if R chooses option 1 and FECON5 NE no;
text should say "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT WITH FEMALE CURRENTLY BEING
INCARCERATED (FECON5). PLEASE PROBE AS NEEDED TO SECURE CONSISTENT RESPONSE.
---------------------------------------------------------------------------------

FE5N095s

18MFU Other Specify

SPECIFY OTHER

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18=1, skip to FE5J045b. Ask FE5J043b if response option 1 was not selected in
FE5N095. Else go to FE5J044a. If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was
released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".

FE5J043b

18MFU Live with Focal Child

Since ^lcfill, have you lived with ^prld.FOCCHILD at least part of the time?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 86 of 207

---------------------------------------------------------------------------------

Logic before:
If FE5J043b=yes and FECON5=no, ask FE5J044a. Else go to FE5J045b.

FE5J044a

18MFU Living with Focal Child

Are you currently living with ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
Ask FE5J045b if FE5N095 does not include 3 and is not blank. Else go to FE5J046a. If MALEINCAR18=1
OR 3, ^lcfill should say "^he was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".

FE5J045b

18MFU Live with Focal Child

Since ^lcfill, has ^prld.Namefill lived with ^prld.FOCCHILD at least part of the time?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
Ask FE5J046a if FE5J045b=yes and (FE3Q000=no or MALEINCARSTATE18=1 or MALEINCARSTATE18=6).

FE5J046a

18MFU Living with Focal Child

Is ^prld.Namefill currently living with ^prld.FOCCHILD?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18=1, skip to FE5N000. If any non-focal living children remain, ask FE5J044b. If
MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released". If MALEINCAR18=5 or 6,
^lcfill should say "^REFDATE".

FE5J044b

18MFU Live with Other Chidlren

Since ^lcfill, have you lived with ^CHILD at least part of the time?

Question Type:

array[1..30] of TYesNoCaps

---------------------------------------------------------------------------------

Logic before:
If FE5J044b = yes and FECON5=no, ask FE5J044c. Loop FE5J044b-FE5J044c for each of R’s remaining
living children.

FE5J044c

18MFU Living with Other Children

Are you currently living with ^CHILD?

Question Type:

array[1..30] of TYesNoCaps

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 87 of 207

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".

FE5J001

If MALEINCAR18=5 or 6,

18MFU Live with Namefill

Since ^lcfill, have you lived with ^prld.Namefill at any point?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If (FE5J001 = yes) and (FECON5 = no) and (FE3Q000=no or MALEINCARSTATE18=1 or MALEINCARSTATE18=6),
ask FE5J002. Else go to FE5J045.

FE5J002

18MFU Currently Live with Namefill

Are you currently living with ^prld.Namefill?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released". If MALEINCAR18=5 or 6,
^lcfill should say "^REFDATE". Allow the respondent to "select all that apply".

FE5J045

18MFU Living with Others

Who else have you lived with since ^lcfill?
Please list everyone who has lived with you at some point since ^lcfill.
[SELECT ALL THAT APPLY]
REQUIRED PROBE: Anyone else?

Question Type:

TLivingFBx

NoOne
Spouse
Ex
Mother
Father
Sister
Brother
AuntUnc
Cousin
Grandparent
Child
Friend
PartFriend
Other
Nmfill

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

NO ONE ELSE
A CURRENT ROMANTIC PARTNER OTHER THAN ^Namefillcaps
AN EX-SPOUSE OR ROMANTIC PARTNER OTHER THAN ^Namefillcaps
MOTHER/STEPMOTHER
FATHER/STEPFATHER
SISTER/STEPSISTER
BROTHER/STEPBROTHER
AUNT/UNCLE, GREAT AUNT/UNCLE
COUSIN
GRANDPARENT
CHILD/STEPCHILD
FRIEND OF R
FRIEND OF ^Namefillcaps
SOME OTHER PERSON, NOT A FRIEND OR FAMILY MEMBER (SPECIFY)
^Namefillcaps

Logic after:
If FE5J045 includes 14 (other), go to FE5J045s. Else go to FE5J003.
If the "no one else" option is selected with any other option or options trigger a hard
consistency check that says: " IF "NO ONE ELSE" IS SELECTED, NO OTHER CATEGORY SHOULD BE
SELECTED."
---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 88 of 207

---------------------------------------------------------------------------------

FE5J045s

18MFU Specify Other

SPECIFY ANY OTHER PERSON THE RESPONDENT LIVED WITH

Question Type:

STRING[25]

---------------------------------------------------------------------------------

Logic before:
Ask FE5J003 if MALEINCAR18=1 OR 3.

FE5J003

Else, skip to FE5J055a.

18MFU Live with Namefill Better

Since ^prld.Namefill was released, is your housing situation better, worse or about the same as it
was before he was released?

Question Type:

TBetWrseSme

Better
Worse
Same

1 BETTER
2 WORSE
3 ABOUT THE SAME

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".

FE5J055a

If MALEINCAR18=5 or 6,

18MFU Neighborhood 1

[USE SHOWCARD 21]
[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 have mainly lived since ^lcfill.
It is 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

---------------------------------------------------------------------------------

FE5J055b

18MFU Neighborhood 2

Drug selling is 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 89 of 207

---------------------------------------------------------------------------------

FE5J055c

18MFU Neighborhood 3

Your neighborhood or community is a good place to live.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE5J055d

18MFU Neighborhood 4

Your neighborhood or community is a good place to find a job.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 90 of 207

Income
---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".

FE5K000

If MALEINCAR18=5 or 6,

18MFU Income intro

Now I'm going to ask you some more questions about your life since ^lcfill.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "he was released".
say "^REFDATE".

FE5K016

If MALEINCAR18=5 or 6, ^lcfill should

18MFU Share Income with Partner

Since ^lcfill, have you and ^prld.Namefill had any shared expenses, such as rent, mortgage, food,
car expenses, utility bills, or credit card bills?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE5K016a

18MFU Both Contribute to Income

Have you and ^prld.Namefill both contributed to the assets you share? That is, have both you and
^prld.Namefill had money coming in that you have used for your shared expenses?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released”.
^lcfill should say "^REFDATE".

FE5K017

If MALEINCAR18=5 or 6,

18MFU Welfare

Next I'm going to read a list of income sources. For each, tell me if you have received income from
this source since ^lcfill.
Cash welfare, also known as TANF? You may have received 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 91 of 207

---------------------------------------------------------------------------------

Logic before:
If FE5K016 = yes, ask FE5K018. Else go to FE5K019. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".

FE5K018

18MFU Partner Received Welfare

Has ^prld.Namefill received income from this source since ^lcfill?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE5K019

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 have received 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 FE5K016 = yes, ask FE5K020. Else go to FE5K021. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".

FE5K020

18MFU Partner Received Public Assistance

Has ^prld.Namefill received income from this source since ^lcfill?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE5K021

18MFU Child Support Received

Child support payments?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE5K016 = yes, ask FE5K022. Else go to FE5K023. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".

FE5K022

18MFU Partner Received Child Support

Has ^prld.Namefill received income from this source since ^lcfill?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 92 of 207

---------------------------------------------------------------------------------

FE5K023

18MFU Money from Others

Money from friends or relatives who did not live with you at that time?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE5K016 = yes, ask FE5K024. Else go to FE5K025. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".

FE5K024

18MFU Partner Received Money from Others

Has ^prld.Namefill received income from this source since ^lcfill?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE5K025

18MFU Formal Payment

Formal employment? By "formal", we mean a job that you received a pay stub for, and for which taxes
were taken out of your pay.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE5K016 = yes, ask FE5K026. Else go to FE5K027. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".

FE5K026

18MFU Partner Received Formal Paycheck

Has ^prld.Namefill received income from this source since ^lcfill?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE5K027

18MFU Casual Work

"Under the table" or casual work? By "under the table", we mean work that you did not receive a
pay stub for, for which taxes were not taken out of your pay. This could include things you were
paid in cash for, like babysitting or mowing lawns.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 93 of 207

---------------------------------------------------------------------------------

Logic before:
If FE5K016 = yes, ask FE5K028. Else go to FE5K029. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".

FE5K028

18MFU Partner Received Money Under the Table

Has ^prld.Namefill received income from this source since ^lcfill?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE5K029

18MFU Illegal Activities

Illegal activities, such as selling drugs, breaking and entering, etc.?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE5K016 = yes, ask FE5K030. Else go to FE5K031. If MALEINCAR18=1 OR 3, ^lcfill should say "he
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE".

FE5K030

18MFU Partner Received Funds from Illegal Activiti

Has ^prld.Namefill received income from this source since ^lcfill?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".

FE5K031

If MALEINCAR18=5 or 6,

18MFU Budget

[USE SHOWCARD 22]
Since ^lcfill, how often have you relied 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 94 of 207

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".

FE5K032

If MALEINCAR18=5 or 6,

18MFU Meeting Bills

Since ^lcfill, how often have you had difficulty meeting monthly payments on bills?

Question Type:

TAUSN

Always
Usually
Some
Never

1
2
3
4

Always
Usually
Sometimes
Never

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".

FE5K033

If MALEINCAR18=5 or 6,

18MFU Money at End of Month

Since ^lcfill, how often have you had 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

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ask FE5K034.

FE5K034

Else, skip to FE5L009.

18MFU Money Better, Worse, Same

Since ^prld.Namefill was released, is your money situation better, worse or about the same as it
was before he was released?

Question Type:

TBetWrseSme

Better
Worse
Same

1 BETTER
2 WORSE
3 ABOUT THE SAME

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 95 of 207

Social Support
---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE".

FE5L009

If MALEINCAR18=5 or 6,

18MFU Friend Support Expectations 1

This next set of questions asks about the kinds of support you have received from your friends and
family since ^lcfill.
Do you have a friend who will loan you money if you need it?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE5L010

18MFU Friend Support Expectations 2

Do you have a friend who will provide you with a place to live if you need it?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE5L011

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?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released". If MALEINCAR18=5 or 6,
^lcfill should say "^REFDATE. If TOTALCHILD18.FE GE 1, ^childfill should fill "or your ^children".
Else do not fill.

FE5L006

18MFU Other Family Support Expectations 1

This next set of questions asks about the kinds of support you have received from your family
members, other than ^prld.Namefill ^childfill since ^lcfill.
Do you have a family member who will loan you money if you need it?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 96 of 207

---------------------------------------------------------------------------------

FE5L007

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?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE5L008

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?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^he was released".
should say "^REFDATE".

FE5L036p

If MALEINCAR18=5 or 6, ^lcfill

18MFU Other Family Support Expectations 4

Now let’s think about ^prld.Namefill.
Since ^lcfill, how often have the people ^prld.Namefill spends time with convinced him to do things
he knows he shouldn't be doing?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 97 of 207

Parenting
---------------------------------------------------------------------------------

Logic before:
If (PARTNERFOCAL = 1 and FOCLIVE.FE = Live) or (TOTALCHILD18.FE GE 1 AND FE1D030 <> empty), ask
FE5N000. Else go to Domain T, item FE5T134.
If MALEINCAR18=1 OR 3, ^lcfill should say "he was released [REFER R TO DATE HIGHLIGHTED IN GREEN IN
REFERENCE CALENDAR]". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE [REFER R TO DATE
HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]."

FE5N000

18MFU Parenting Intro

This next set of questions is about your and ^prld.Namefill's experiences with parenting since
^lcfill.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
(If PARTNERFOCAL=0 OR FOCLIVE.FE=Dead) AND (total # of non-focal children GE1), go to FE5N001.
PARTNERFOCAL = 1 AND FOCLIVE.FE=Live AND FE5J045b =no ask FE5N030. Else go to FE5N031p.
If MALEINCAR18=1 OR 3, ^lcfill should say "he was released".
say "^REFDATE"

FE5N030

If

If MALEINCAR18=5 or 6, ^lcfill should

18MFU See Focal Child

[USE SHOWCARD 23]
Since ^lcfill, how often does ^prld.NAMEFILL see ^prld.FOCCHILD in person?

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 MALEINCAR18=1 OR 3, ^lcfill should say "he was released".
say "^REFDATE"

FE5N031p

If MALEINCAR18=5 or 6, ^lcfill should

18MFU Financially Support Focal Child

Has ^prld.Namefill financially supported ^prld.FOCCHILD in any way since ^lcfill?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FE5N031p = no, don’t know or refused, go to FE5N059.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 98 of 207

---------------------------------------------------------------------------------

Logic before:
Allow R to select all that apply.
If MALEINCAR18=1 OR 3, ^lcfill should say "^he was released".
should say "^REFDATE"

FE5N032p

If MALEINCAR18=5 or 6, ^lcfill

18MFU Financial Support for Focal Child

[USE SHOWCARD 24]
In what way or ways has ^prld.Namefill provided financial support for ^prld.FOCCHILD since ^lcfill.
Please include support provided to the child directly as well as support provided to you or
another caretaker of the child.
[ALLOW R TO SELECT ALL THAT APPLY]

Question Type:

TMonetary3

Gift
Shopping

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

Expense
More300
Two300
One200
Upto100

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^he was released".
should say "^REFDATE"

FE5N059

If MALEINCAR18=5 or 6, ^lcfill

18MFU Discipline Decisions About Focal Child

Since ^lcfill, have you and ^prld.Namefill stood by a discipline or parenting decision, even if one
of you did not like the decision?

Question Type:

TOSRN2

Often
Sometimes
Rarely
Never
NotAp

1
2
3
4
5

Often
Sometimes
Rarely
Never
Not applicable

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE"

FE5N060

If MALEINCAR18=5 or 6,

18MFU Arguments About Focal Child

Since ^lcfill, have you often, sometimes, rarely, or never had arguments about ^prld.FOCCHILD?

Question Type:

TOSRNcaps

Often
Some
Rare
Never

1
2
3
4

OFTEN
SOMETIMES
RARELY
NEVER

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 99 of 207

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released".
^lcfill should say "^REFDATE"

FE5N061

If MALEINCAR18=5 or 6,

18MFU Decisions Regarding Health of Focal Child

[USE SHOWCARD 25]
Since ^lcfill, who has made major decisions about things such as child care and health care for
^prld.FOCCHILD?

Question Type:

TDecisionsFU2

Both
Father
Respondent
Someone

1
2
3
4

^prld.Namefill and you have made most of the decisions together
^prld.Namefill has made most decisions without you
You have made most decisions without ^prld.Namefill
Someone else involved in raising the child has made most decisions
without you or ^prld.Namefill
5 You and someone else involved in raising the child have made most of the
decisions

RandOther

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18=1, skip to FE5N036p.
If MALEINCAR18=1 OR 3, ^lcfill1 should say "^prld.Namefill was released". If MALEINCAR18=5 or 6,
^lcfill1 should say "^REFDATE". If (MALEINCAR18 = 3 or 5) AND (FEMINCARSTATE18=2), ^lcfill2 should
say ",during the time that you were both on the outside". Else, ^lcfill2 should not fill.

FE5N063

18MFU Frequency Family Activities

How often have you, ^prld.Namefill, and ^prld.FOCCHILD all done family-oriented activities
together, such as recreational activities, eating meals, or going to church since ^lcfill1
^lcfill2? Would you say often, sometimes, rarely or never?

Question Type:

TOSRNcaps

Often
Some
Rare
Never

1
2
3
4

OFTEN
SOMETIMES
RARELY
NEVER

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill1 should say "^prld.Namefill was released". If MALEINCAR18=5 or 6,
^lcfill1 should say "^REFDATE". If (MALEINCAR18 = 3 or 5) AND (FEMINCARSTATE18=2), ^lcfill2 should
say ", during the time that you were both on the outside". Else, ^lcfill2 should not fill.

FE5N064

18MFU Enjoy Being Together

How often have you, ^prld.Namefill and ^prld.FOCCHILD enjoyed being together as a family since
^lcfill1 ^lcfill2?

Question Type:

TOSRNcaps

Often
Some
Rare
Never

1
2
3
4

OFTEN
SOMETIMES
RARELY
NEVER

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 100 of 207

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^he was released".
should say "^REFDATE".

FE5N036p

If MALEINCAR18=5 or 6, ^lcfill

18MFU Relationship with Focal

How easy or hard has it been for ^prld.Namefill to have a good relationship with ^prld.FOCCHILD
since ^lcfill?

Question Type:

TDifficulty

Veasy
PretEasy
PretHard
Vhard

1
2
3
4

Very easy
Pretty easy
Pretty hard
Very hard

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill was released". If MALEINCAR18=5 or 6,
^lcfill should say "^REFDATE". Allow the respondent to "select all that apply".

FE5N037p

18MFU Biggest Challenges with Focal Child

[USE SHOWCARD 26]
Thinking about the time since ^lcfill, what have been the biggest challenges in his relationship
with ^prld.FOCCHILD? Select all that apply.
REQUIRED PROBE: Anything else?

Question Type:

TExpectFB

Find
Missed

1 Him not knowing how to get in contact with ^prld.FOCCHILD
2 Having missed out on so much that happened with ^prld.FOCCHILD while he
was incarcerated
3 Getting ^prld.FOCCHILD to trust him or open up to him after the time
apart
4 Finding transportation for visits or activities
5 Dealing with people who don’t want him to see ^prld.FOCCHILD
6 Him not being in a stable enough housing and financial situation to be
able to spend time with ^prld.FOCCHILD
7 His lifestyle not being a healthy one for kids
8 ^prld.FOCCHILD being angry at him or not wanting to see him
9 Having money to financially support or buy things for ^prld.FOCCHILD
10 Some other challenge (SPECIFY)

Trust
Transport
Kids
Instability
Lifestyle
Angry
Money
Other

Logic after:
If FE5N037p includes 10 (other), go to FE5N037s. Else go to FE5N001.
---------------------------------------------------------------------------------

FE5N037s

18MFU Other Specify

SPECIFY OTHER CHALLENGE

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 101 of 207

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18=1, skip to FE5Y000.
FE5N001. Else go to FE5T134.

FE5N001

If (TOTALCHILD18.FE GE 1) AND (MALEINCAR18=1 OR 3), Ask

18MFU Fatherhood Intro

Thinking about the time since ^prld.Namefill was released, please tell me how much you agree or
disagree with each of the following statements about your ^children.
[REFER RESPONDENT TO DATE HIGHLIGHTED IN GREEN IN REFERENCE CALENDAR]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE5N002

18MFU Male Role Model

It is good for the child(ren) to have a male role model.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE5N003

18MFU Namefill Discipline

[USE SHOWCARD 27]
^prld.Namefill disciplines the child(ren) too harshly sometimes.

Question Type:

TAgreeNALower

StroAgree
Agree
Disagree
StroDisagree
NA

1
2
3
4
5

Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable

---------------------------------------------------------------------------------

FE5N004

18MFU Namefill Alone w Child(ren)

You have felt comfortable leaving ^prld.Namefill alone with the child(ren).

Question Type:

TAgreeNALower

StroAgree
Agree
Disagree
StroDisagree
NA

1
2
3
4
5

Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 102 of 207

---------------------------------------------------------------------------------

FE5N005

18MFU Namefill Bad Influence

You have been concerned about ^prld.Namefill being a bad influence on the child(ren).

Question Type:

TAgreeNALower

StroAgree
Agree
Disagree
StroDisagree
NA

1
2
3
4
5

Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable

---------------------------------------------------------------------------------

FE5N006

18MFU Ease of Raising Child(ren)

Since ^prld.Namefill was released, it has gotten easier to manage the work of raising (a)
child(ren).

Question Type:

TAgreeNALower

StroAgree
Agree
Disagree
StroDisagree
NA

1
2
3
4
5

Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 103 of 207

Community Involvement
---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18 = 1, skip to FE5Y000. If MALEINCAR18=1 OR 3, ^lcfill should say "^prld.Namefill
was released". If MALEINCAR18=5 or 6, ^lcfill should say "^REFDATE". Allow R to select all that
apply. Do not allow option 5 to be selected along with options 1, 2, 3, and/or 4, CC text should
read: "OPTION 5, NONE, CAN NOT BE SELECTED IN CONJUNCTION WITH RESPONSE OPTIONS 1-4. GO BACK AND
EDIT RESPONSES."

FE5T134

18MFU Community Involvement

[USE SHOWCARD 28]
Since ^lcfill, have you done any of the following?
[CHECK ALL THAT APPLY.)

Question Type:

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

---------------------------------------------------------------------------------

FE5T155

18MFU Belong to Religious Org

Do you belong to a church, synagogue, mosque, or other religious organization?

Question Type:

TYesNo

yes
no

1 Yes
2 No

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ask FE5T0001.

FE5T001

Else, skip to section 6.

18MFU Degree of Community Involvement

Since ^prld.Namefill was released, have you participated in community activities more, less or
about the same as when he was incarcerated? By community activities, I mean attending religious
services, doing volunteer work, voting, and/or participating in community groups or organizations.

Question Type:

TMreLssSme

More
Less
Same

1 MORE
2 LESS
3 ABOUT THE SAME

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 104 of 207

Overall Quality of Life
---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18=1 OR 3, ask FE5Y000.

FE5Y000

Else, skip to section 6.

18MFU QOL Intro

Please tell me how much you agree or disagree with each of the following statements.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE5Y001

18MFU QOL 1

Overall, your life is harder since ^prld.Namefill was released.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE5Y002

18MFU QOL 2

Overall, your life is better since ^prld.Namefill was released

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 105 of 207

Personal Traits
---------------------------------------------------------------------------------

FE6Z000

18MFU Personal Traits Intro

These next questions deal with your feelings, attitudes, and how things are going for you
currently.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE6Z001

18MFU Control Important Things in Life

[USE SHOWCARD 29]
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

---------------------------------------------------------------------------------

FE6Z002

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

---------------------------------------------------------------------------------

FE6Z003

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 106 of 207

---------------------------------------------------------------------------------

FE6Z004

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

---------------------------------------------------------------------------------

FE6Z004a

18MFU Reactive Intro

For each of the following items, please tell me how much you agree or disagree. There are no
correct or incorrect answers.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE6Z005

18MFU Reactive Responding 1

[USE SHOWCARD 30]
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

---------------------------------------------------------------------------------

FE6Z006

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

---------------------------------------------------------------------------------

FE6Z006a

18MFU Spritual Intro

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.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 107 of 207

---------------------------------------------------------------------------------

FE6Z007

18MFU Spirituality 1

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

---------------------------------------------------------------------------------

FE6Z008

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

---------------------------------------------------------------------------------

FE6Z009

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

---------------------------------------------------------------------------------

FE6Z010

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

---------------------------------------------------------------------------------

FE6Z010a

18MFU Self Efficacy Intro

The next questions are about how you currently feel about your life.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 108 of 207

---------------------------------------------------------------------------------

FE6Z011

18MFU Self Efficacy 1

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

---------------------------------------------------------------------------------

FE6Z012

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

---------------------------------------------------------------------------------

FE6Z013

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

---------------------------------------------------------------------------------

FE6Z014

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 109 of 207

---------------------------------------------------------------------------------

FE6Z015

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

---------------------------------------------------------------------------------

FE6Z015a

Attachment Intro

For each of the following statements, please tell me how much you agree or disagree when it comes
to close relationships.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE6Z016

18MFU Attachment 1

[USE SHOWCARD 31]
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

---------------------------------------------------------------------------------

FE6Z017

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
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 110 of 207

---------------------------------------------------------------------------------

FE6Z018

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
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree

1
2
3
4
5
6

Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly

agree
agree
disagree
disagree

---------------------------------------------------------------------------------

FE6Z018a

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
SomeAgree
Agree
Disagree
SomeDisagree
StroDisagree

1
2
3
4
5
6

Strongly
Agree
Somewhat
Somewhat
Disagree
Strongly

agree
agree
disagree
disagree

---------------------------------------------------------------------------------

FE6Z019

18MFU Cooperation 1

[USE SHOWCARD 32]
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

---------------------------------------------------------------------------------

FE6Z020

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 111 of 207

---------------------------------------------------------------------------------

FE6Z021i

18MFU Relationship Skills Intro

These next questions are about your opinions about romantic relationships. Please tell me how much
you agree or disagree.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE6Z021

18MFU Relationship Skills 1

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

---------------------------------------------------------------------------------

FE6Z022

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

---------------------------------------------------------------------------------

FE6Z023

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

---------------------------------------------------------------------------------

FE6Z024

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 112 of 207

---------------------------------------------------------------------------------

FE6Z025

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

---------------------------------------------------------------------------------

FE6Z026

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

---------------------------------------------------------------------------------

FE6Z027

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 113 of 207

Mental & Physical Health
---------------------------------------------------------------------------------

FE6P000

18MFU Physical Health Intro

Now I'd like to ask you some questions about your health and how you have been feeling over the
last 1 month.
[POINT TO 1 MONTH AGO ON REFERENCE CALENDAR.]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE6P037

18MFU Physical Health 1

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

---------------------------------------------------------------------------------

FE6P038

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

---------------------------------------------------------------------------------

FE6P039

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 114 of 207

---------------------------------------------------------------------------------

FE6P039a

18MFU ADHD Intro

Thinking about the past 1 month, please tell me how much you agree or disagree with each of the
following statements.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE6P040

18MFU ADHD 1

[USE SHOWCARD 33]
You are easily distracted.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE6P041

18MFU ADHD 2

You get frustrated easily.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE6P042

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

---------------------------------------------------------------------------------

FE6P043

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 115 of 207

---------------------------------------------------------------------------------

FE6P044

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

---------------------------------------------------------------------------------

FE6P045

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

---------------------------------------------------------------------------------

FE6P046

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

---------------------------------------------------------------------------------

FE6P046a

18MFU CES-D Intro

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]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 116 of 207

---------------------------------------------------------------------------------

FE6P047

18MFU CES-D 1

[USE SHOWCARD 34]
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

---------------------------------------------------------------------------------

FE6P048

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

---------------------------------------------------------------------------------

FE6P049

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

---------------------------------------------------------------------------------

FE6P050

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 117 of 207

---------------------------------------------------------------------------------

FE6P051

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

---------------------------------------------------------------------------------

FE6P052

18MFU 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

---------------------------------------------------------------------------------

FE6P053

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

---------------------------------------------------------------------------------

FE6P054

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 118 of 207

---------------------------------------------------------------------------------

FE6P055

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 119 of 207

Parenting & Child Well-being
---------------------------------------------------------------------------------

Logic before:
If (PARTNERFOCAL = 1 and FOCLIVE.FE= Live) and FE5N095=empty ask FE6N095. Else, go to FE6N096.
Response option 1 should only be available if FECON5=NO. Use special font as follows: If FECON5=
NO bold option 1. If NAMEFILL ALIVE.FE=Alive and FE3Q000= no bold option 3. Always bold options 2
and 4-12.
Allow respondent to select all that apply.

FE6N095

18MFU Focal Child Residence 2

[USE SHOWCARD 35]
The next items ask about ^prld.FOCCHILD.
With whom does ^prld.FOCCHILD currently live? Select all that apply.
REQUIRED PROBE:

Anyone else?

Question Type:

TFocalResideFU

Respondent
Mother
Nmfill
Father
GrandparentM
GrandparentP
StepGrand
RelativesB
Stepparent
NonBlood
SocialS
Other

1
2
3
4
5
6
7
8
9
10
11
12

^F1 YOU ^F1
^F2 THE CHILD'S BIOLOGICAL MOTHER ^F2
^F3 ^NAMEFILLcaps ^F3
^F4 THE CHILD'S BIOLOGICAL FATHER ^F4
^F5 THE CHILD'S MATERNAL GRANDPARENT(S) ^F5
^F6 THE CHILD'S PATERNAL GRANDPARENT(S) ^F6
^F7 THE CHILD'S STEP-GRANDPARENT(S) ^F7
^F8 OTHER BLOOD RELATIVES OF THE CHILD ^F8
^F9 THE CHILD'S STEPPARENT ^F9
^F10 OTHER NON-BLOOD RELATIVES ^F10
^F11 THE CHILD IS IN CUSTODY OF SOCIAL SERVICES ^F11
^F12 OTHER (SPECIFY) ^F12

Logic after:
If FE6N095 includes 12 (other), go to FE6N095s
FE6N095: Add a consistency check after FE6N095 if R chooses option 1 and FECON5 NE no. CC text
should say "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT WITH FEMALE CURRENTLY BEING
INCARCERATED (FECON5). PLEASE PROBE AS NEEDED TO SECURE CONSISTENT RESPONSE."
Add a consistency check after FE6N095 if R chooses option 3 and (FE3Q000=YES) or NAMEFILL
ALIVE.FE=Dead. CC text should say: "YOU HAVE SELECTED A RESPONSE THAT IS INCONSISTENT WITH
^prld.NAMEFILL BEING INCARCERATED OR DEAD. PLEASE PROBE AS NEEDED TO SECURE A CONSISTENT RESPONSE."
---------------------------------------------------------------------------------

FE6N095s

18MFU Other Specify Focal Child Residence

SPECIFY OTHER

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 120 of 207

---------------------------------------------------------------------------------

Logic before:
If PARTNERFOCAL = 1 and FOCLIVE.FE= Live, ask FE6N096.

FE6N096

Else, go to FE6N121.

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

---------------------------------------------------------------------------------

FE6N097

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 FECON5 = yes, ^lcfill should say "^prld.FOCCHILD during this incarceration.". If FECON5 = no,
^lcfill should say "^prld.FOCCHILD.".

FE6R039

18MFU 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 ^lcfill
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 FECON5=no then the first 4 response options should be bolded on only those four should be
eligible for selection. If FECON5=yes, then all response options should be bolded and eligible for
selection. CC text reads: NO CONTACT IS NOT LOGICALLY CONSISTENT WITH YOUR OTHER RESPONSES.

FE6R039a

18MFU Parental Warmth 1

Hug or show physical affection to ^prld.FOCCHILD?

Question Type:

Tphysical

Always
Usually
Sometimes
Never
NoContact

1
2
3
4
5

^F1
^F2
^F3
^F4
^F5

Always ^F1
Usually ^F2
Sometimes ^F3
Never ^F4
Physical contact is not permitted during visits at your facility ^F5

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 121 of 207

---------------------------------------------------------------------------------

FE6R040

18MFU Parental Warmth 2

[USE SHOWCARD 36]
Tell ^prld.FOCCHILD that you love ^FOCSEX2?

Question Type:

TAUSN

Always
Usually
Some
Never

1
2
3
4

Always
Usually
Sometimes
Never

---------------------------------------------------------------------------------

FE6R041

18MFU 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

---------------------------------------------------------------------------------

FE6R042

18MFU 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.FE= Dead, skip to FE6N103. If MALEINCAR18 = 2 OR 4, ask FE6N099. Else go to
FE6N099a.

FE6N099

18MFU Arguments over Focal Child

Parenting with another person can be challenging.
Do you and ^prld.Namefill have arguments about ^prld.FOCCHILD?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 122 of 207

---------------------------------------------------------------------------------

Logic before:
If TOTALCHILD18.FE GE 1, ask FE6N099a.

FE6N099a

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

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18 = 2 OR 4, ask FE6N100. Else go to FE6N101p.

FE6N100

18MFU Decisions about Child/Health Care

[USE SHOWCARD 37]
Who makes major decisions about things such as child care and health care for ^prld.FOCCHILD?

Question Type:

TDecisionsP

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

---------------------------------------------------------------------------------

FE6N101p

18MFU Focal Child s Relationship with Father

Please rate ^prld.FOCCHILD's relationship with ^prld.NAMEFILL.
Would you say it is . . .

Question Type:

TEGFP

Excel
Good
Fair
Poor

1
2
3
4

Excellent
Good
Fair
Poor

---------------------------------------------------------------------------------

Logic before:
If FE1G062a (for focal child) "GE" 4, go to FE6N103.

FE6N103

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 FE6N103 = yes, go to FE6N104. Else go to FE6N107.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 123 of 207

---------------------------------------------------------------------------------

FE6N104

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 FE6N104 = other, go to FE6N104s. Else go to FE6N105.
---------------------------------------------------------------------------------

FE6N104s

18MFU Other Specify

SPECIFY OTHER

Question Type:

STRING[25]

---------------------------------------------------------------------------------

FE6N105

18MFU School Assessment Overall

[USE SHOWCARD 38]
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

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---------------------------------------------------------------------------------

FE6N106

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 FE1G062a for ^FOCCHILD GE 4, ask FE6N107.

FE6N107

If FE1G062a for ^FOCCHILD LT 4, skip to FE6N115i.

18MFU NSCH Behavior 1

[USE SHOWCARD 39]
[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

---------------------------------------------------------------------------------

FE6N108

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

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---------------------------------------------------------------------------------

FE6N109

18MFU NSCH Behavior 3

. . .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

---------------------------------------------------------------------------------

FE6N110

18MFU NSCH Behavior 4

. . .is disobedient

Question Type:

TAUSND

Always
Usually
Sometimes
Never
DontK

1
2
3
4
5

Always
Usually
Sometimes
Never
Don't know

---------------------------------------------------------------------------------

FE6N111

18MFU NSCH Behavior 5

. . .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

---------------------------------------------------------------------------------

FE6N112

18MFU NSCH Behavior 6

. . .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 126 of 207

---------------------------------------------------------------------------------

FE6N113

18MFU NSCH Behavior 7

. . .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

---------------------------------------------------------------------------------

FE6N114

18MFU NSCH Behavior 8

. . .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

---------------------------------------------------------------------------------

FE6N115i

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 FE1G062a GE 4, ask FE6N115. Else, go to FE6N117.

FE6N115

18MFU New Hope 1

Being suspended or expelled from school?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE6N116

18MFU New Hope 2

Needing to repeat a grade in school?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

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---------------------------------------------------------------------------------

FE6N117

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 FE1G062a for focal child is "GE" 10, go to FE6N118. Else go to FE6N121.

FE6N118

18MFU New Hope 4

Running away?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE6N119

18MFU New Hope 5

Getting into trouble for using alcohol or drugs?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FE6N120

18MFU New Hope 6

Getting into trouble with the police?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 128 of 207

---------------------------------------------------------------------------------

FE6N121

18MFU Fatherhood Attitude 1

[FI NOTE: THIS SERIES APPLIES TO ALL RESPONDENTS.]
[USE SHOWCARD 40]
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

---------------------------------------------------------------------------------

FE6N122

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

---------------------------------------------------------------------------------

FE6N123

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

---------------------------------------------------------------------------------

FE6N124

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 129 of 207

---------------------------------------------------------------------------------

FE6N125

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

---------------------------------------------------------------------------------

FE6N126

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

---------------------------------------------------------------------------------

FE6N127

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 130 of 207

Social Support
---------------------------------------------------------------------------------

Logic before:
If NAMEFILL ALIVE.FE= Alive AND TOTALCHILD18.FE GE 1, ^lcfill should say "other than ^prld.Namefill
or your ^children". If NAMEFILL ALIVE.FE = Alive AND TOTALCHILD18.FE=0, ^lcfill should say "other
than ^prld.Namefill". If NAMEFILL ALIVE.FE =Dead AND TOTALCHILD18.FE GE1, ^lcfill should say
“other than your ^children". Else, lcfill should not fill.

FE6L128

Extended Family Support 1

[USE SHOWCARD 40]
Now I'd like to ask about how you currently feel about your relationships with your family members
^lcfill. 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

---------------------------------------------------------------------------------

FE6L129

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

---------------------------------------------------------------------------------

FE6L130

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 131 of 207

---------------------------------------------------------------------------------

FE6L131

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

---------------------------------------------------------------------------------

FE6L132

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

---------------------------------------------------------------------------------

FE6L133

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 132 of 207

ACASI Intro
---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18=2 or 3 or [FEMINCARSTATE18=1 and (Namefill alive.fe=1 or (fembase = 2 and
fem9mo=2))] ask ACASI1. IF (FEMBASE=1 or FEM9MO=1) AND FEMINCARSTATE18=1 AND NAMEFILL ALIVE.FE=2,
go to FE7W000.

FEACASI1

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. 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

---------------------------------------------------------------------------------

Logic before:
If NAMEFILL ALIVE.FE = Alive ask FEACASI1a. If NAMEFILL ALIVE.FE = Dead, skip to FEACASI1b.

FEACASI1a

18MFU ACASI 1a

As you know, you were referred to us for this study by ^prld.Namefill.
will refer to ^prld.Namefill as your "Survey Partner".

In this next section, we

[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:
This question is asked of everyone. If FEMINCARSTATE18=2, ^lcfill1 should say "Some of the
questions ask you to only think about the time that you were on the outside. [REMIND R NOT TO
COUNT DAYS HIGHLIGHTED IN PINK]. Else, ^lcfill1 should not fill. If (MALEINCAR18=1, 3 OR 5) AND
(NAMEFILL ALIVE.FE = Alive), ^lcfill2 should say "Some questions ask you to only think about the
time that your Survey Partner was on the outside. [REMIND R NOT TO COUNT DAYS HIGHLIGHTED IN
BLUE]. Else, ^lcfill2 should not fill. If NAMEFILLALIVE.FE=ALIVE and (FEMINCARSTATE18=2 OR
MALEINCAR18=5), ^lcfill3 should say "And some of the questions ask you to only think about the time
that you were both on the outside. [REMIND R NOT TO COUNT DAYS HIGHLIGHTED IN PINK OR BLUE].
Else, ^lcfill3 should not fill.

FEACASI1b

18MFU ACASI b

Many of the questions in this section ask about the past nine months. That means the time since
^REFDATE. [REFER TO DATE HIGHLIGHTED IN YELLOW IN REFERENCE CALENDAR]
^lcfill1
^lcfill2
^lcfill3
[PRESS 1 TO CONTINUE]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 133 of 207

---------------------------------------------------------------------------------

Logic before:
If (NAMEFILL ALIVE.FE = Alive) AND (MALEINCAR18=1 OR 3), ask FEACASI1c. Else, go to FEACASI2.
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1 OR 3), ^lcfill should say "Some of the questions ask you
to only think about the time since ^prld.Namefill was released that you were both on the outside.
[REMIND R NOT TO COUNT ANY DAYS HIGHLIGHTED IN PINK OR BLUE].

FEACASI1c

18MFU ACASI 1c

Some of the questions in this section ask about the time since your Survey Partner was released.
This means the time after ^prld.Namefill was released. [REFER TO DATE HIGHLIGHTED IN GREEN IN
REFERENCE CALENDAR]
^lcfill
[PRESS 1 TO CONTINUE]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FEACASI2

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

---------------------------------------------------------------------------------

FEACASI2a

18MFU ACASI 2a

[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

---------------------------------------------------------------------------------

FEACASI3

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 134 of 207

---------------------------------------------------------------------------------

FEACASI4

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

---------------------------------------------------------------------------------

FEACASI5

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 backup 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

---------------------------------------------------------------------------------

FEACASI6

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.
Do you have any questions before I give you the laptop?
[TURN THE LAPTOP OVER TO THE RESPONDENT NOW]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 135 of 207

---------------------------------------------------------------------------------

FEACASI7

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

---------------------------------------------------------------------------------

FEACASI8

18MFU ACASI 8

Some questions ask for a yes or no answer, like this one.
Press 1 for Yes or 2 for No, then press the ENTER key to continue.

Practice this now.

Do you have a dog?

Question Type:

TYESNOCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FEACASI9

18MFU ACASI 9

Some questions ask you to pick an answer from a list, like this one.
Type the number that best fits you and press ENTER. Practice this now.
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

---------------------------------------------------------------------------------

FEACASI10

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 136 of 207

---------------------------------------------------------------------------------

FEACASI11

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

---------------------------------------------------------------------------------

FEACASI12

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

---------------------------------------------------------------------------------

Logic before:
Allow R to select all that apply.

FEACASI13

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 137 of 207

---------------------------------------------------------------------------------

Logic before:
Bold the response options selected in FEACASI13 and only allow one response to be selected.

FEACASI14

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

---------------------------------------------------------------------------------

FEACASI15

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 138 of 207

Criminal History
---------------------------------------------------------------------------------

Logic before:
If (FEMBASE = 2 AND FEM9MO = 2), ask FEACASI1C001a. Else, go to FEACASIJ006.

FEACASI1C001a

18MFU Criminal Intro

The next set of questions are about events and experiences in the past.
First, I'm going to ask you some questions about your involvement with the criminal justice system.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If FECON5 = no, ask FECASAI1C001.

FEACASI1C001

If FECON5 = yes, skip to FEACASI1C002

18MFU Ever Arrested

Have you ever been arrested?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FEACASI1C001 = yes OR FECON5=yes, ask FEACASI1C002.

FEACASI1C002

Else, go to FEACASIJ006.

18MFU Number of Arrest

How many times in your life have you been arrested? Please count all arrests, not just those that
led to a conviction.
Your best estimate is fine.

Question Type:

0..100

---------------------------------------------------------------------------------

FEACASI1C003

18MFU Number of Convictions

How many times in your life have you been convicted of a crime?

Question Type:

0..100

---------------------------------------------------------------------------------

Logic before:
If FECON5 = yes, ask FEACASI1C003a. Else, skip to FEACASI1C004

FEACASI1C003a

18MFU Number of Adult Incar if Currently Incar

Not counting your current term of incarceration, have you ever served time in a jail or prison for
more than 24 hours at one time? Do not include any time you may have spent in a juvenile facility
in your answer.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If yes to FEACASI1C003a, go to FEACASI1C003b. Else, go to FEACASIJ006.
---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 139 of 207

---------------------------------------------------------------------------------

Logic before:
If FECON5 = yes, ask FEACASI1C003b. Else, skip to FEACASI1C004.

FEACASI1C003b

18MFU Number of Incarcerations in Life if Currentl

Not counting your current term of incarceration, how many times in your life have you been sent to
prison or jail for more than 24 hours? Do not include any time you may have spent in a juvenile
facility in your answer.
Please enter the number of separate times you were booked into prison/jail.

Question Type:

0..100

---------------------------------------------------------------------------------

Logic before:
If FECON5 = no, ask FEACASI1C004.

FEACASI1C004

18MFU Number of Adult Incarceration

Have you ever been in a jail or prison for more than 24 hours at one time? Do not include any time
you may have spent in a juvenile facility in your answer.

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FEACASI1C004=yes, go to FEACASI1C005. Else, go to FEACASIJ006.
---------------------------------------------------------------------------------

FEACASI1C005

18MFU Number of Incarcerations in Life

How many times in your life have you been sent to prison or jail for more than 24 hours? Do not
include any time you may have spent in a juvenile facility in your answer.
Please enter the number of separate times you were booked into prison/jail.

Question Type:

1..999

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 140 of 207

Housing
---------------------------------------------------------------------------------

Logic before:
If FECON5 = yes, skip to FEACASI6O012. If FE5J002 = yes, ^lcfill should say "other than your Survey
Partner"

FEACASIJ006

18MFU Current Housepartner Correctional Facility

Has anyone you are currently living with ^lcfill ever been to jail, prison or some other
correctional institution?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FEACASIJ007

18MFU Current Housepartner Drug Use

Do any of the people you are currently living with use illegal drugs?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 141 of 207

Substance Use
---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18 = 1, skip to FEACASI6O012p. If FEMINCARSTATE18 = 2, ^lcfill1 should say "over
the past nine months [SINCE ^REFDATE], during your time on the outside.", and ^lcfill2 should say
"over the past nine months, during your time on the outside,". If FEMINCARSTATE18 = 3, ^lcfill1
should say "during the past nine months [SINCE ^REFDATE].", and ^lcfill2 should say "during the
past nine months,".

FEACASI6O012

18MFU Substances Used

For these next questions, it may be helpful to look at the reference calendar and think about your
life ^lcfill1
Please tell me which of the following substances you have used ^lcfill2 even just once.
that apply.

Select all

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:

TSubstance

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 Hallucinogens 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 FEACASI6O012 includes more than one response, go to FEACASI6O013.
FEACASIO012 = "DID NOT USE", go to FEACASI6O012p.

Else, go to FEACASI6O008a. If

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 142 of 207

---------------------------------------------------------------------------------

Logic before:
Use special font for the response options that were selected in the previous question.
If FEMINCARSTATE18 = 2, ^lcfill should say "over the past nine months [SINCE ^REFDATE], during your
time on the outside?"
If FEMINCARSTATE18 = 3, ^lcfill should say "during the past nine months [SINCE ^REFDATE]?"

FEACASI6O013

18MFU Substances Since Last Int

Which of the following have you used the most ^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 FEACASI6O012 includes 1 (alcohol), ask FEACASI6O008a. Else go to FEACASI6O008e.If
FEMINCARSTATE18 = 2, ^lcfill should say "over the past nine months [SINCE ^REFDATE], during your
time on the outside." If FEMINCARSTATE18 = 3, ^lcfill should say "during the past nine months
[SINCE ^REFDATE]."

FEACASI6O008a

18MFU CAGE 1

Now, I'd like you to think about your drug and alcohol use ^lcfill
Have you felt you should cut down on your drinking?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FEACASI6O008b

18MFU CAGE 2

Have people ever annoyed you by complaining about your drinking?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 143 of 207

---------------------------------------------------------------------------------

FEACASI6O008c

18MFU CAGE 3

Have you felt bad or guilty about your drinking?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FEACASI6O008d

18MFU CAGE 4

Have you ever had 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 FEACASI6O012 includes any responses 2-10 (drugs other than alcohol) ask FEACASI6O008e. Else go
to FEACASI6O009. If FEMINCARSTATE18 = 2, ^lcfill should say "Over the past nine months [SINCE
^REFDATE], during your time on the outside..." If FEMINCARSTATE18 = 3, ^lcfill should say "During
the past nine months [SINCE ^REFDATE]..."

FEACASI6O008e

18MFU CAGE 5

^lcfill
Have you ever felt you should cut down on your drug use?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FEACASI6O008f

18MFU CAGE 6

Have people ever annoyed you by complaining about your drug use?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

FEACASI6O008g

18MFU CAGE 7

Have you felt bad or guilty about your drug use?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 144 of 207

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18 = 2, ^lcfill should say "Over the past nine months [SINCE ^REFDATE], during your
time on the outside," If FEMINCARSTATE18 = 3, ^lcfill should say "During the past nine months
[SINCE ^REFDATE],"

FEACASI6O009

18MFU Experience Problems with Anger

^lcfill how often have you experienced problems with anger when you have been drinking or using
drugs?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

Logic before:
If FEMINCARSTATE18 = 2, ^lcfill should say "Over the past nine months [SINCE ^REFDATE], during your
time on the outside," If FEMINCARSTATE18 = 3, ^lcfill should say "During the past nine months
[SINCE ^REFDATE],"

FEACASI6O010

18MFU Physically Hurt or Get Rough with Partner

^lcfill 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?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

Logic before:
If FEACASI6O012 includes 1 (alcohol), ask FEACASI6O011. Else go to FEACASI6O012p. If
FEMINCARSTATE18 = 2, ^lcfill should say "Over the past nine months [SINCE ^REFDATE], during your
time on the outside,". If FEMINCARSTATE18 = 3, ^lcfill should say "During the past nine months
[SINCE ^REFDATE],"

FEACASI6O011

18MFU Five or More Drinks

^lcfill how often have you had 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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 145 of 207

---------------------------------------------------------------------------------

Logic before:
If (RELSTATUSBL.FE=1 OR RELSTATUS9MO.FE=1 OR RELSTATUS18MO.FE=1) AND [(NAMEFILL ALIVE.FE = Alive)
AND (MALEINCAR18 = 1, 3, 5, OR 6)], ask FEACASI6O012p. Else, skip to FEACASI7O024p.
If MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the outside"
MALEINCAR18=6, ^lcfill should not fill.

FEACASI6O012p

If

18MFU Substances Partner Used

These next questions ask about @Byour Survey Partner's@B substance use over the past nine months
[SINCE ^REFDATE] ^lcfill.
For these questions, it may be helpful to look at the reference calendar.
Please tell me which of the following substances @Byour Survey Partner@B used over the past nine
months [SINCE ^REFDATE] 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:

TSubstance

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 Hallucinogens 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 FEACASI6O012p = "DID NOT USE", go to FEACASI7O024p. If FEACASI6O012p includes more than one
response, go to FEACASI6O013p. Else, go to FEACASI6O014p.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 146 of 207

---------------------------------------------------------------------------------

Logic before:
Use special font for the response options that were selected in the previous question. If
MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the outside". If MALEINCAR18=6,
^lcfill should not fill.

FEACASI6O013p

18MFU Substances Partner Used Most

Which of the following did @Byour Survey Partner@B use the most over the past nine months [SINCE
^REFDATE] ^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 FEACASI6O012p includes 1 (alcohol), ask FEACASI6O014p. Else, go to FEACASI6O018p. If
MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the outside". If MALEINCAR18=6,
^lcfill1 should not fill. If FE3Q000=yes, ^lcfill2 should say "Did @he@ feel". If FE3Q000=no,
^lcfill2 should say "Has @Bhe@B felt".

FEACASI6O014p

18MFU CAGE 1

Now I'd like you to think back to @Byour Survey Partner's@B alcohol use over the past nine months
[SINCE ^REFDATE] ^lcfill1.
^lcfill2 @Bhe@B should cut down on @Bhis@B drinking?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE3Q000=yes, ^lcfill should say "Did people ever annoy".
"Have people ever annoyed".

FEACASI6O015p

If FE3Q000=no, ^lcfill should say

18MFU CAGE 2

^lcfill @Bhim@B by complaining about @Bhis@B drinking?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 147 of 207

---------------------------------------------------------------------------------

Logic before:
If FE3Q000= no, ^lcfill should say "Has @BheB@ ever felt". If FE3Q000=yes, ^lcfill should say "Did
@Bhe@B ever feel".

FEACASI6O016p

18MFU CAGE 3

^lcfill bad or guilty about @Bhis@B drinking?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE3Q000=no, ^lcfill should say "Has @BheB@ ever had". If FE3Q000=yes, ^lcfill should say "Did
@Bhe@B ever have".

FEACASI6O017p

18MFU CAGE 4

^lcfill a drink first thing in the morning to steady @Bhis@B 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 FEACASI6O012p includes any responses 2-10 (drugs other than alcohol), ask FEACASI6O018p. Else,
go to FEACASI6O021p. If MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the
outside" If MALEINCAR18=6, ^lcfill1 should not fill. If FE3Q000=no, ^lcfill2 should say "Has
@Bhe@B ever felt". If FE3Q000=yes, ^lcfill2 should say "Did @Bhe@B ever feel".

FEACASI6O018p

18MFU CAGE 5

Now I'd like you to think back to @Byour Survey Partner's@B drug use over the past nine months
[SINCE ^REFDATE] ^lcfill1
^lcfill2 @Bhe@B should cut down on @Bhis@B drug use?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE3Q000=no, ^lcfill should say "Have people ever annoyed". If FE3Q000=yes, ^lcfill should say
"Did people ever annoy".

FEACASI6O019p

18MFU CAGE 6

^lcfill @Bhim@B by complaining about @Bhis@B drug use?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 148 of 207

---------------------------------------------------------------------------------

Logic before:
If FE3Q000=no, ^lcfill should say "Has @BheB@ ever felt". If FE3Q000=yes, ^lcfill should say "Did
@Bhe@B ever feel".

FEACASI6O020p

18MFU CAGE 7

^lcfill bad or guilty about @Bhis@B drug use?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the outside".
MALEINCAR18=6, ^lcfill1 should not fill.

If

If FE3Q000=no, ^lcfill2 should say "has @Byour Survey Partner@B experienced problems with anger
when @Bhe@B has" If FE3Q000=yes, lcfill2 should say "did @Byour Survey Partner@B experience
problems with anger when @Bhe@B had"

FEACASI6O021p

18MFU Experience Problems with Anger

Over the past nine months [SINCE ^REFDATE] ^lcfill1, how often ^lcfill2 been drinking or using
drugs?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the outside".
MALEINCAR18=6, ^lcfill1 should not fill.

If

If FE3Q000=no, ^lcfill2 should say "has @Byour Survey Partner@B physically hurt or gotten rough
with you or other family members while @Bhe@B has" If FE3Q000=yes, lcfill2 should say "did @Byour
Surevy Partner@B physically hurt or get rough with you or other family members when @Bhe@B had"

FEACASI6O022p

18MFU Physically Hurt or Get Rough with Partner

Over the past nine months [SINCE ^REFDATE] ^lcfill1, how often ^lcfill2 been drinking or using
drugs?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 149 of 207

---------------------------------------------------------------------------------

Logic before:
If FEACASI6O012p includes 1 (alcohol), ask FEACASI6O023p.

Else, go to FEACASI7O024p.

If MALEINCAR18 = 1, 3, or 5, ^lcfill1 should say "during his time on the outside,".
MALEINCAR18=6, ^lcfill1 should not fill.
If FE3Q000=no, ^lcfill2 should say "has @byour Survey Partner@B had".
should say "did @Byour Survey Partner@B have".

FEACASI6O023p

If

If FE3Q000=yes, ^lcfill2

18MFU Five or More Drinks

Over the past nine months [SINCE ^REFDATE] ^lcfill1 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:
If (RELSTATUSBL.FE=1 OR RELSTATUS9MO.FE=1 OR RELSTATUS18MO.FE=1) and [(NAMEFILL ALIVE.FE = Alive)
AND (FE3Q000=yes AND FE3Q000a=yes), ask FEACASI7O024p. Else go to FEACASI7O025.

FEACASI7O024p

18MFU Use of Illegal Drugs Post-Release

For the next question, please think about when @Byour Survey Partner@B is released from
incarceration.
How likely is it that he will use any illegal drugs after release?
Please answer based on your realistic expectations.

Question Type:

TLikely

Very
Likely
Unlikely
VeryUn

1
2
3
4

Very likely
Likely
Unlikely
Very unlikely

---------------------------------------------------------------------------------

Logic before:
If (MALEINCAR18 = 1 OR 3) AND (FEACASI6O012 NE NoUse) AND (NAMEFILL ALIVE.FE = Alive), ask
FEACASI7O025. Else go to FEACASIV056.

FEACASI7O025

18MFU Female Substance Use Change Since Male Relea

Since your Survey Partner was released, are @Byou@B drinking alcohol or using drugs more, less or
about the same as when he was incarcerated?

Question Type:

TMrLssSme

More
Less
Same

1 MORE
2 LESS
3 ABOUT THE SAME

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 150 of 207

Partner Relationship Quality
---------------------------------------------------------------------------------

Logic before:
If FE1F001 = dead, skip to ACASIEND1. If RELSTATUS9MO OR RELSTATUS18MO = 1 (romantically involved
with spouse or romantically involved with non-spousal partner at one of the follow-up interviews)
OR RELATIONSHP STATUS = 1 (one or both parties considered their relationship to be romantic at
baseline), ask FEACASIV056. Else, skip to FEACASIV062.

FEACASIV056

18MFU DAS 1

Now, I'm going to ask you some questions about your romantic relationship with your Survey Partner.
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

---------------------------------------------------------------------------------

FEACASIV057

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

---------------------------------------------------------------------------------

FEACASIV058

18MFU DAS 3

How often have you discussed or considered divorce, separation, or ending your current relationship?

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

FEACASIV059

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 151 of 207

---------------------------------------------------------------------------------

FEACASIV060

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

---------------------------------------------------------------------------------

FEACASIV061

18MFU DAS 6

Do you ever regret getting into your current relationship?

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.FE = dead). If someone did not
receive FEACASIV056 (and if NAMEFILL ALIVE.FE = ALIVE), ^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.

FEACASIV062

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

---------------------------------------------------------------------------------

FEACASIV063

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 152 of 207

---------------------------------------------------------------------------------

FEACASIV064

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

---------------------------------------------------------------------------------

FEACASIV065

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

---------------------------------------------------------------------------------

FEACASIV066

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

---------------------------------------------------------------------------------

FEACASIV067

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 153 of 207

---------------------------------------------------------------------------------

FEACASIV068

18MFU Communication Skills 1

When discussing issues, you repeat back what your Survey Partner says to make sure you understand
him.
Would you say . . .

Question Type:

TOSRNlower

Often
Some
Rarely
Never

1
2
3
4

Often
Sometimes
Rarely
Never

---------------------------------------------------------------------------------

FEACASIV069

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

---------------------------------------------------------------------------------

FEACASIV070

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

---------------------------------------------------------------------------------

FEACASIV071

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 154 of 207

---------------------------------------------------------------------------------

Logic before:
If (RELSTATUSBL.FE=1 OR RELSTATUS9MO.FE=1 OR RELSTATUS18MO.FE=1), ask FEACASIV072. Else, go to
FEACASIV085.

FEACASIV072

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

---------------------------------------------------------------------------------

FEACASIV073

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

---------------------------------------------------------------------------------

FEACASIV074

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

---------------------------------------------------------------------------------

FEACASIV075

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 155 of 207

---------------------------------------------------------------------------------

FEACASIV076

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

---------------------------------------------------------------------------------

FEACASIV077

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

---------------------------------------------------------------------------------

FEACASIV078

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

---------------------------------------------------------------------------------

FEACASIV079

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 156 of 207

---------------------------------------------------------------------------------

FEACASIV080

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

---------------------------------------------------------------------------------

FEACASIV081

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

---------------------------------------------------------------------------------

FEACASIV082

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

---------------------------------------------------------------------------------

FEACASIV083

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 157 of 207

---------------------------------------------------------------------------------

Logic before:
If FE1F064b=yes or FE1F064c=yes, ask FEACASI6V086.

FEACASIV084

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 (RELSTATUSBL.FE=1 OR RELSTATUS9MO.FE=1 OR RELSTATUS18MO.FE=1) AND (MALEINCAR18 = 1 or 3), ask
FEACASI7V022. Else go to FEACASIV085.

FEACASI7V022

18MFU Relationship with Partner

How easy or hard has it been to have a good relationship with your Survey Partner since he was
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".

FEACASI7V023

18MFU Biggest Challenges Post-Release

Since he was released, what were the biggest challenges in your relationship with your Survey
Partner? Select all that apply.

Question Type:

TBChallengesFU

Find
Close
Trust
Problems
Missed
Except
Angry
PartAngry
Hedecide
NoInvolve
Other

1
2
3
4

Not knowing how to get in contact with him
Being able to feel close to him again after his time in prison
Being able to trust him after the time in prison
Problems or new situations that have come up since he was incarcerated

5 His having missed out on so much that happened in your life while he was
incarcerated
6 His trying to meet your expectations related to finding a job, staying
clean, helping you financially
7 Being angry at him or not wanting to see him
8 Him being angry at you or not wanting to see you
9 Him trying to make all of the decisions for you and your child(ren)
10 Him not getting involved enough in running the household
11 Some other challenge

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 158 of 207

---------------------------------------------------------------------------------

FEACASI7V025

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 his release.
You have loved your Survey Partner and made him feel wanted.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FEACASI7V026

18MFU Partner Support Expectations 3

You have helped your Survey Partner with whatever problems he has faced.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FEACASI7V028

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

---------------------------------------------------------------------------------

FEACASI7V029

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 159 of 207

---------------------------------------------------------------------------------

Logic before:
If FE1F064b = yes or FE1F064c = yes, go to FEACASIV086.

FEACASIV085

Else ask FEACASIV085.

18MFU Marriage Attitude 1

Getting and staying married is an important goal for you.
Would you say..

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Logic before:
If FE1F064b = yes or FE1F064c = yes, ask FEACASIV086.

FEACASIV086

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

---------------------------------------------------------------------------------

FEACASIV087i

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.FE NE 1, ask FEACASIV087a.

FEACASIV087a

Else go to FEACASIV087.

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 160 of 207

---------------------------------------------------------------------------------

Logic before:
If FE1F063 = No (still romantically involved with non-spousal namefill at followup) OR FE1F064a =
Rom (now romantically involved with non-spousal namefill at followup), ask FEACASIV087. Else go to
FEACASIV088.

FEACASIV087

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

---------------------------------------------------------------------------------

Logic before:
If RELSTATUS18MO.FE = 1 (romantically involved with spouse or romantically involved with nonspousal partner at follow-up), ask FEACASIV088. Else, skip to FEACASI2M023.

FEACASIV088

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

---------------------------------------------------------------------------------

FEACASIV089

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 161 of 207

---------------------------------------------------------------------------------

FEACASIV090p

18MFU Perceived Life Changes 3

Now, let's think about your Survey Partner.
How would @Bhis@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

---------------------------------------------------------------------------------

FEACASIV091p

18MFU Perceived Life Changes 4

How would @Bhis@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.FE GE 1 ask FEACASIV092.

FEACASIV092

Else, skip to FEACASIV093.

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 162 of 207

---------------------------------------------------------------------------------

FEACASIV093

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

---------------------------------------------------------------------------------

FEACASIV094

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 163 of 207

Intimate Partner Violence
---------------------------------------------------------------------------------

Logic before:
If (RELSTATUSBL.FE=1 OR RELSTATUS9MO.FE=1 OR RELSTATUS18MO.FE=1) AND (FEMINCARSTATE18 = 2 or 3) AND
(MALEINCAR18=1, 3, 5, OR 6), ask FEACASI2M023. Else go to FEACASIEND1.
If MALEINCAR18 = 1 or 3, ^lcfill1 should say "since your Survey Partner was released"
If MALEINCAR18 = 5 or 6, ^lcfill1 should say "over the past 9 months [SINCE ^REFDATE]"
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1, 3 or 5), ^lcfill2 should say ",during the time you were
both on the outside." Else, ^lcfill2 should not fill.
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill3 should say "did you feel". Else, ^lcfill3 should say
"have you felt".

FEACASI2M023

18MFU Safe in Relationship

Now, I'm going to ask you some questions about your relationship with your Survey Partner ^lcfill1
^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 the time ^lcfill1, please tell me how much of the time each of these statements was
true.
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 (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill should say "did". Else, ^lcfill should say "has".

FEACASI2M024

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 164 of 207

---------------------------------------------------------------------------------

Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did" and ^lcfill2 should say "make".
Else, ^lcfill1 should say "has" and ^lcfill2 should say "made".

FEACASI2M025

18MFU 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 MALEINCAR18 = 1 or 3, ^lcfill1 should say "Since your Survey Partner was released"
If MALEINCAR18 = 5 or 6, ^lcfill1 should say "Over the past 9 months [SINCE ^REFDATE]"
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1, 3 or 5), ^lcfill2 should say "during the time you were
both on the outside," Else, ^lcfill2 should not fill.
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill3 should say "did @Byou@B throw".
should say "have you thrown".

FEACASI2M026

Else, ^lcfill3

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.
Partner did the following.

Then I'll ask you how many times your Survey

^lcfill1, ^lcfill2 how many times ^lcfill3 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 (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did" and ^lcfill2 should say "throw".
Else, ^lcfill1 should say "has” and ^lcfill2 should say "thrown".

FEACASI2M027

18MFU CTS 2

How many times ^lcfill1 your Survey Partner ^lcfill2 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 165 of 207

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18 = 1 or 3, ^lcfill1 should say "Since your Survey Partner was released"
If MALEINCAR18 = 5 or 6, ^lcfill1 should say "Over the past 9 months [SINCE ^REFDATE]"
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1, 3 or 5), ^lcfill2 should say "during the time you were
both on the outside," Else, ^lcfill2 should not fill.
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill3 should say "did you push, shove, hit, slap, or
grab". Else, ^lcfill3 should say "have you pushed, shoved, hit, slapped, or grabbed".

FEACASI2M028

18MFU CTS 3

^lcfill1, ^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 (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did" and ^lcfill2 should say "push,
shove, hit, slap, or grab". Else, ^lcfill1 should say "has" and ^lcfill2 should say "pushed,
shoved, hit, slapped, or grabbed ".

FEACASI2M029

18MFU CTS 4

How many times ^lcfill1 your Survey Partner ^lcfill2 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 (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did" ^lcfill2 should say "use".
^lcfill1 should say "have" and ^lcfill2 should say "used".

FEACASI2M030

18MFU CTS 5

How many times ^lcfill1 you ^lcfill2 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 166 of 207

Else,

---------------------------------------------------------------------------------

Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did" ^lcfill2 should say "use".
^lcfill1 should say "has" and ^lcfill2 should say "used".

FEACASI2M031

Else,

18MFU CTS 6

How many times ^lcfill1 your Survey Partner ^lcfill2 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 MALEINCAR18 = 1 or 3, ^lcfill1 should say "Since your Survey Partner was released'
If MALEINCAR18 = 5 or 6, ^lcfill1 should say "Over the past 9 months [SINCE ^REFDATE]"
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1, 3 or 5), ^lcfill2 should say "during the time you were
both on the outside," Else, ^lcfill2 should not fill.
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill3 should say "did" and ^lcfill4 should say "choke,
slam, kick, burn, or beat". Else, ^lcfill3 should say "have" and ^lcfill4 should say "choked,
slammed, kicked, burned, or beaten".

FEACASI2M032

18MFU CTS 7

^lcfill1, ^lcfill2 how many times ^lcfill3 you ^lcfill4 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 (FECON5 = yes) OR (FE3Q000 = yes) ^lcfill1 should say "did" and ^lcfill2 should say "choke,
slam, kick, burn, or beat". Else, ^lcfill1 should say "has" and ^lcfill2 should say "choked,
slammed, kicked, burned, or beaten".

FEACASI2M033

18MFU CTS 8

How many times ^lcfill1 your Survey Partner ^lcfill2 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 167 of 207

---------------------------------------------------------------------------------

Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill should say "did you use". Else, ^lcfill should say
"have you used".

FEACASI2M034

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 (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did", and ^lcfill2 should say "use".
Else, ^lcfill1 should say "has", and ^lcfill2 should say "used".

FEACASI2M035

18MFU CTS 10

How many times ^lcfill1 your Survey Partner ^lcfill2 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 MALEINCAR18 = 1 or 3, ^lcfill1 should say "Since your Survey Partner was released"
If MALEINCAR18 = 5 or 6, ^lcfill1 should say "Over the past 9 months [SINCE ^REFDATE]"
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1, 3 or 5), ^lcfill2 should say "during the time you were
both on the outside," Else, ^lcfill2 should not fill.
If (FECON5 = yes) OR (FE3Q000 = yes),^lcfill3 should say "did you threaten". Else, ^lcfill3 should
say "have you threatened".

FEACASI2M036

18MFU CTS 11

^lcfill1, ^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 168 of 207

---------------------------------------------------------------------------------

Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill1 should say "did" and ^lcfill2 should say "threaten".
Else, ^lcfill1 should say "has" and ^lcfill2 should say "threatened".

FEACASI2M037

18MFU CTS 12

How many times ^lcfill1 your Survey Partner ^lcfill2 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 (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill should say "did you threaten". Else, ^lcfill should
say "have you threatened".

FEACASI2M038

18MFU CTS 13

How many times ^lcfill to hurt your Survey Partner's child or 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 (FECON5 = yes) OR (FE3Q000 = yes) ^lcfill1 should say "did" and ^lcfill2 should say "threaten".
Else, ^lcfill1 should say "has" and ^lcfill2 should say "threatened".
If TOTALCHILD18.FE GE 1, ^lcfill3 should say "^children,". Else do not fill ^lcfill3.

FEACASI2M039

18MFU CTS 14

How many times ^lcfill1 your Survey Partner ^lcfill2 to hurt your ^lcfill3 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 169 of 207

---------------------------------------------------------------------------------

Logic before:
If MALEINCAR18 = 1 or 3, ^lcfill1 should say "Since your Survey Partner was released"
If MALEINCAR18 = 5 or 6, ^lcfill1 should say "Over the past 9 months [SINCE ^REFDATE]"
If (FEMINCARSTATE18=2) OR (MALEINCAR18=1, 3 or 5), ^lcfill2 should say "during the time you were
both on the outside," Else, ^lcfill2 should not fill.
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill3 should say "did you try". Else, ^lcfill3 should say
"have you tried".

FEACASI2M040

18MFU CTS 15

^lcfill1, ^lcfill2 how many times ^lcfill3 to keep your Survey Partner from seeing or talking with
his 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 (FECON5 = yes) OR (FE3Q000 = yes) ^lcfill1 should say "did" and ^lcfill2 should say "try".
Else, ^lcfill1 should say "has" and ^lcfill2 should say "tried".

FEACASI2M041

18MFU CTS 16

How many times ^lcfill1 your Survey Partner ^lcfill2 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 (FECON5 = yes) OR (FE3Q000 = yes) ^lcfill should say "did you keep money from your Survey
Partner, make him ask for money, or take money from him?". Else, ^lcfill should say "have you kept
money from your Survey Partner, made him ask for money, or taken money from him?".

FEACASI2M042

18MFU CTS 17

How many times ^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 170 of 207

---------------------------------------------------------------------------------

Logic before:
If (FECON5 = yes) OR (FE3Q000 = yes), ^lcfill should say "did your Survey Partner try to keep money
from you, make you ask for money, or take money from you?". Else, ^lcfill should say "has your
Survey Partner tried to keep money from you, made you ask for money, or taken money from you?".

FEACASI2M043

18MFU CTS 18

How many times ^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 171 of 207

ACASI End
---------------------------------------------------------------------------------

FEACASIEND1

18MFU End ACASI Segment

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.
[PRESS 1 TO CONTINUE]

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FEACASIEND2

18MFU Password Screen

[INTERVIEWER: PLEASE ENTER THE PASSWORD TO CONTINUE WITH THE REMAINDER OF THE INTERVIEW QUESTIONS]

Question Type:
Logic after:

string[4]

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 172 of 207

Criminal Behavior
---------------------------------------------------------------------------------

Logic before:
IF (FE3Q000=YES) AND (FE3Q000a=YES) AND (NAMEFILL ALIVE.FE = Alive), ASK FE7W000.
FEHOU00.

FE7W000

ELSE SKIP TO

18MFU Release Date Intro

The next set of questions deals with ^prld.Namefill's release from prison 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.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE7W001p

18MFU Release Date

When do you expect that ^prld.Namefill will be released from this incarceration?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)

Question Type:

TabTDate3

Month
Date
Year

1 MONTH 1...12
2 DATE 1...31
3 2008...2100

---------------------------------------------------------------------------------

FE7W002

18MFU Return to Jail/Prison

Do you think ^prld.Namefill will ever be sent back to jail or prison again, after he is 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 173 of 207

Social Support
---------------------------------------------------------------------------------

Logic before:
If TOTALCHILD18.FE "GE" 1, include "or your ^children" fill with the question text.

FE7L006

18MFU 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 ^prld.Namefill's release from prison.
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

---------------------------------------------------------------------------------

FE7L007

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

---------------------------------------------------------------------------------

FE7L008

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

---------------------------------------------------------------------------------

FE7L009

18MFU Friend Support Expectations 1

Next, I'd like to know about your expectations for your relationships with friends after
^prld.Namefill's release from prison.
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 174 of 207

---------------------------------------------------------------------------------

FE7L010

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

---------------------------------------------------------------------------------

FE7L011

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 175 of 207

Income
---------------------------------------------------------------------------------

FE7K000

18MFU Income Intro

Next, I'd like to know more about your expectations for your financial situation after
^prld.Namefill is released.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE7K012a

18MFU Expect Partner Financial Support

When ^prld.Namefill is released from prison, do you expect that he will provide any financial
support to you?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
Allow the respondent to "select all that apply". Do not allow option 1 (None) to be selected with
options 2-8.

FE7K012

18MFU Financial Support

[USE SHOWCARD 41]
What sources of financial support do you expect to have in the first 1 month following
^prld.Namefill's 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 FE7K012 includes 9 (other), go to FE7K012s. Else, go to FE7K013p.
---------------------------------------------------------------------------------

FE7K012s

18MFU Specify Other

OTHER SPECIFY

Question Type:

STRING[50]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 176 of 207

---------------------------------------------------------------------------------

FE7K013p

18MFU Determination to Support Self

[USE SHOWCARD 42]
How easy or hard do you think it will be for ^prld.Namefill to make enough money to support
himself?
(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 177 of 207

Employment
---------------------------------------------------------------------------------

FE7I014p

18MFU Expected Employment Difficulty 1

Based on past experience, how easy or hard do you think it will be for ^prld.Namefill 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

---------------------------------------------------------------------------------

FE7I015p

18MFU Expected Employment Difficulty 2

Based on past experience, how easy or hard do you think it will be for ^prld.Namefill 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 178 of 207

Housing
---------------------------------------------------------------------------------

FE7J016

18MFU Reside with Partner Post-Release

Do you expect to live with ^prld.Namefill after his release?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If (PARTNERFOCAL = 0 or FOCLIVE.FE = dead), skip to FE7J019. Else ask FE7J017p.

FE7J017p

18MFU Reside with Focal Child Post-Release

Do you expect ^prld.Namefill to live with ^prld.FOCCHILD after his release?
(PROBE, AS NEEDED: Please answer based on your realistic expectations.)

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Logic before:
If FE7J016 = yes, go to FE7J019. Else ask FE7V020.

FE7J019

18MFU Reside with Anyone Post-Release

Do you expect that you and ^prld.Namefill will live with anyone else after he is 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 179 of 207

Partner Relationship Quality
---------------------------------------------------------------------------------

Logic before:
If RELSTATUS18MO.FE = 1, ask FE7V020. Else, go to FE7N030p.

FE7V020

18MFU Want to Continue Relationship 1

[INTERVIEWER NOTE: READ ALL RESPONSE OPTIONS ALOUD, INCLUDING 'DON'T KNOW'.]
Do you want to remain in a committed romantic relationship with ^prld.Namefill after he is
released?
Would you say . . .

Question Type:

TYND

Yes
No
Dknow

1 Yes
2 No
3 Don't know

---------------------------------------------------------------------------------

FE7V021

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 he
is released?
Would you say..

Question Type:

TYND

Yes
No
Dknow

1 Yes
2 No
3 Don't know

Logic after:
If FE7V020 = No, skip to FE7N030p. Else go to FE7V022.
---------------------------------------------------------------------------------

FE7V022

18MFU Relationship with Partner

How easy or hard do you think it will be to have a good relationship with ^prld.Namefill after he
gets 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 180 of 207

---------------------------------------------------------------------------------

Logic before:
Allow the respondent to "select all that apply".

FE7V023

18MFU Biggest Challenges Post-Release

[USE SHOWCARD 43]
Thinking about when he is 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:

TBChallengesFB

Find
Close
Trust
Problems

1
2
3
4

Missed

5 His having missed out on so much that happened in your life while he was
incarcerated
6 His trying to meet your expectations related to finding a job, staying
clean, helping you financially
7 Being angry at him or not wanting to see him
8 Him being angry at you or not wanting to see you
9 Some other challenge (SPECIFY)

Except
Angry
PartAngry
Other

Not knowing how to get in contact with him
Being able to feel close to him again after his time in prison
Being able to trust him after the time in prison
Problems or new situations that have come up since he was incarcerated

---------------------------------------------------------------------------------

Logic before:
If FE7V023 includes 9 (other), ask FE7V023s. Else, go to FE7V024.

FE7V023s

18MFU Other Specify

OTHER SPECIFY

Question Type:

STRING[150]

---------------------------------------------------------------------------------

FE7V024

18MFU Partner Support Expectations Intro

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
he is released.

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FE7V025

18MFU Partner Support Expectations 2

[USE SHOWCARD 44]
You will love ^prld.Namefill and make him feel wanted.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 181 of 207

---------------------------------------------------------------------------------

FE7V026

18MFU Partner Support Expectations 3

You will help ^prld.Namefill with whatever problems he faces.

Question Type:

TAgreeLower

StroAgree
Agree
Disagree
StroDisagree

1
2
3
4

Strongly agree
Agree
Disagree
Strongly disagree

---------------------------------------------------------------------------------

FE7V028

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

---------------------------------------------------------------------------------

FE7V029

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 182 of 207

Parenting
---------------------------------------------------------------------------------

Logic before:
If (PARTNERFOCAL = 0 or FOCLIVE.FE = dead), go to FEHOU00. If FE7J017p = yes, go to FE7N031p. If
FE7J017p = no/dk/rf go to FE7N030p.

FE7N030p

18MFU See Focal Child

[USE SHOWCARD 45]
How often do you think ^prld.Namefill will see ^prld.FOCCHILD in person after he is 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

---------------------------------------------------------------------------------

FE7N031p

18MFU Financially Support Focal Child

Do you expect that ^prld.Namefill will financially support ^prld.FOCCHILD in any way after he is
released?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FE7N031p = no, don’t know or refused, go to FE7N035.
---------------------------------------------------------------------------------

Logic before:
Allow R to select all that apply.

FE7N032p

18MFU Financial Support for Focal Child

[USE SHOWCARD 46]
In what ways do you expect ^prld.Namefill will provide financial support for ^prld.FOCCHILD after
he is released? Please include support provided to the child directly as well as support provided
to you or another caretaker of the child.
[ALLOW R TO 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 183 of 207

---------------------------------------------------------------------------------

FE7N035

18MFU Decision Making for Focal Child Post-Release

[USE SHOWCARD 47]
After ^prld.Namefill is released, who will make major decisions about things such as child care and
health care for ^prld.FOCCHILD?
Would you say . . .

Question Type:

TDecisionsFU3

Both
Father
Respondent
Someone

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

---------------------------------------------------------------------------------

FE7N036p

18MFU Relationship with Children

How easy or hard do you think it will be for ^prld.Namefill to have good relationships with his
child(ren) after he gets out?

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".

FE7N037p

18MFU Biggest Challenges with Focal Child

[USE SHOWCARD 48]
Thinking about when ^prld.Namefill is released, what do you expect will be the biggest challenges
in his relationship with ^prld.FOCCHILD? Select all that apply.
REQUIRED PROBE: Anything else?

Question Type:

TExpectFB

Find
Missed
Trust
Transport
Kids
Instability
Lifestyle
Angry
Money
Other

1 Him not knowing how to get in contact with ^prld.FOCCHILD
2 Having missed out on so much that happened with ^prld.FOCCHILD while he
was incarcerated
3 Getting ^prld.FOCCHILD to trust him or open up to him after the time
apart
4 Finding transportation for visits or activities
5 Dealing with people who don’t want him to see ^prld.FOCCHILD
6 Him not being in a stable enough housing and financial situation to be
able to spend time with ^prld.FOCCHILD
7 His lifestyle not being a healthy one for kids
8 ^prld.FOCCHILD being angry at him or not wanting to see him
9 Having money to financially support or buy things for ^prld.FOCCHILD
10 Some other challenge (SPECIFY)

Logic after:
If FE7N037p includes 10 (other), go to FE7N037s. Else go to FE7HOU00.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 184 of 207

---------------------------------------------------------------------------------

FE7N037s

Other Specify

SPECIFY OTHER CHALLENGE

Question Type:

STRING[100]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 185 of 207

Locator Information
---------------------------------------------------------------------------------

Logic before:
If FECON5 = Yes, ask FEHOU00. If FECON5=NO go to FEHOU6a.

FEHOU00

Expected Release

Do you expect to be released from this incarceration within the next @Btwo years@B?
REQUIRED PROBE FOR YES RESPONSE: "And your release date is @Bwithin the next two years@B?"

Question Type:

TRelease

RelN2
MoreT2
NoRel

1 RELEASE EXPECTED WITHIN NEXT TWO YEARS
2 RELEASE EXPECTED IN MORE THAN TWO YEARS
3 DOES NOT EXPECT TO BE RELEASED

Logic after:
If FEHOU00=NoRel go to FEHOU11; Else ask FEHOU00a
---------------------------------------------------------------------------------

FEHOU00a

Release Date

What date 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 FECON5 = Yes, ask FEHOU1. Else, go to FEHOU6a.

FEHOU1

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 SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FEHOU2

Specific Address

DOES THE R HAVE A SPECIFIC ADDRESS?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If yes, go to FEHOU2a. If no, go to FEHOU3.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 186 of 207

---------------------------------------------------------------------------------

FEHOU2a

Address

Address

Question Type:

STRING[100]

---------------------------------------------------------------------------------

FEHOU2b

City

City

Question Type:

STRING[15]

---------------------------------------------------------------------------------

FEHOU2c

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

---------------------------------------------------------------------------------

FEHOU2d

Phone Number

Phone

Question Type:

TabTnumber1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

FEHOU3

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 FEHOU3 =1, go to FEHOU11. Else, go to FEHOU4.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 187 of 207

---------------------------------------------------------------------------------

FEHOU4

2nd Residence Post Release

Where do you think you will live next?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FEHOU5

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:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If yes, go to FEHOU5a. If no, go to FEHOU11.
---------------------------------------------------------------------------------

FEHOU5a

Address

Address

Question Type:

STRING[100]

---------------------------------------------------------------------------------

FEHOU5b

City

City

Question Type:

STRING[15]

---------------------------------------------------------------------------------

FEHOU5c

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 188 of 207

---------------------------------------------------------------------------------

FEHOU5d

Phone Number

Phone

Question Type:

TabTnumber1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

Logic before:
If FECON5 = No, ask FEHOU6a.

FEHOU6a

Else go to FEHOU11.

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]

---------------------------------------------------------------------------------

FEHOU6b

Current City

City

Question Type:

STRING[15]

---------------------------------------------------------------------------------

FEHOU6c

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

---------------------------------------------------------------------------------

FEHOU6d

Current Zip Code

Zip Code

Question Type:

STRING[5]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 189 of 207

---------------------------------------------------------------------------------

FEHOU6e

Current Phone Number

What is your current phone number?

Question Type:

TabTNumber1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

FEHOU6f

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 FEHOU6f = yes, go to FEHOU6g. Else go to FEHOU6.
---------------------------------------------------------------------------------

FEHOU6g

2nd Current Phone Number

Phone number

Question Type:

TabTNumber1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

Logic before:
If FECON5 = No, ask FEHOU6. Else, go to FEHOU11.

FEHOU6

Contact in 9 Months

Finally, in case we ever need to contact you for follow-up interviews, please tell me where you
expect to be living in the future.

INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 190 of 207

---------------------------------------------------------------------------------

FEHOU7

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 after:
If yes, go to FEHOU7a. If no, go to FEHOU8. .
---------------------------------------------------------------------------------

FEHOU7a

Address

Address

Question Type:

STRING[100]

---------------------------------------------------------------------------------

FEHOU7b

City

City

Question Type:

STRING[15]

---------------------------------------------------------------------------------

FEHOU7c

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

---------------------------------------------------------------------------------

FEHOU7d

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

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 191 of 207

---------------------------------------------------------------------------------

FEHOU8

Other Contact in 9 Months

Where else might you be living in the future?
INTERVIEWER: PROBE FOR DETAILS:
WHAT CITY WILL SHE LIVE IN?
WHERE WILL SHE LIVE, MORE SPECIFICALLY?
WHO WILL SHE LIVE WITH?
WHAT TYPE OF STRUCTURE WILL SHE LIVE IN?
HOW LONG WILL SHE STAY?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

FEHOU9

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 after:
If yes, go to FEHOU9a. If no, go to FEHOU10.
---------------------------------------------------------------------------------

FEHOU9a

Address

Address

Question Type:

STRING[100]

---------------------------------------------------------------------------------

FEHOU9b

City

City

Question Type:

STRING[15]

---------------------------------------------------------------------------------

FEHOU9c

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 192 of 207

---------------------------------------------------------------------------------

FEHOU9d

R Phone

Phone

Question Type:

TabTNumber1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

Logic before:
If (FECON5 = no and FE4I034a = yes), ask FEHOU10. Else, including empty, skip to FEHOU11.

FEHOU10

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]

---------------------------------------------------------------------------------

FEHOU10a

Employer City

What city is this in?

Question Type:

STRING[15]

---------------------------------------------------------------------------------

FEHOU10b

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

---------------------------------------------------------------------------------

FEHOU10c

Employer Phone Number

What is the phone number there?

Question Type:

TabTNumber1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

FEHOUcontact

Question Type:

contact loop

array[1..3] of BFEHousub

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 193 of 207

---------------------------------------------------------------------------------

Logic before:
If FECON5=NO or FEHOU00=1 or 2 ask FEHOU25.

FEHOU25

Else go to FEHOU26.

Description of Places

If I'm really having difficulty finding where you 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 3

FEHOU26

R Social Security Number

What is your social security number?

Question Type:

TabTSSN1

Field1
Field2
Field3

1 Field1
2 Field2
3 Field3

---------------------------------------------------------------------------------

FEHOU27

R Name Confirmation

And just to confirm, do you still go by ^prld.fname ^prld.lname?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FEHOU27 = no, go to FEHOU27a. Else go to FEHOU28.
---------------------------------------------------------------------------------

FEHOU27a

Additional Names for R

What name or names do you go by?

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Logic before:
IF namefillalive=alive then ask FEhou28.

FEHOU28

Else go to fehouarr1.

Other Information Shared by R

Finally, is there anything else you think we should know about how ^prld.Namefill's incarceration
has affected you or your family?

Question Type:

STRING[300]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 194 of 207

Contact Loop
---------------------------------------------------------------------------------

Logic before:
If FECON5 = NO or (FECON5 = Yes and FEHOU00 = 1 or 2) ^lcfill should say "In the event that you are
not living where you expect to live, 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 FECON5=YES and FEHOU00= NoRel ^lcfill should say "In case you are transferred and we are unable
to locate you, 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."

FEHOU11

Preface Locator Section

^lcfill

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".

FEHOU11a

First Name

What is the name of the ^lcfill5 person who would know how to reach you?
ENTER FIRST NAME

Question Type:

STRING[30]

---------------------------------------------------------------------------------

FEHOU11b

Middle Name

ENTER MIDDLE NAME

Question Type:

STRING[30]

---------------------------------------------------------------------------------

FEHOU11c

Last Name

ENTER LAST NAME

Question Type:
Logic after:

STRING[30]

If (FEHOU11a and FEHOU11b and FEHOU11c) = RF/DK for first contact person, skip to FEHOU25. Else
continue through loop.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 195 of 207

---------------------------------------------------------------------------------

FEHOU11d

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]

---------------------------------------------------------------------------------

FEHOU11e

City

And in what city is that?

Question Type:

STRING[30]

---------------------------------------------------------------------------------

FEHOU11f

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

---------------------------------------------------------------------------------

FEHOU11g

Phone Number Available

Does this person have a phone number?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FEHOU11g = yes, go to FEHOU11h. Else go to FEHOU11k.
---------------------------------------------------------------------------------

Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4

FEHOU11h

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 196 of 207

---------------------------------------------------------------------------------

Logic before:
If FEHOU11g = yes, go to FEHOU11i.

FEHOU11i

Second Phone Number Available

Does this person have a second phone number, such as a cell phone?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FEHOU11i = yes, go to FEHOU11j. Else go to FEHOU11k.
---------------------------------------------------------------------------------

Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4

FEHOU11j

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

---------------------------------------------------------------------------------

FEHOU11k

Work Outside of Home

Does this person work outside of the home?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FEHOU11k = yes, go to FEHOU11l. Else go to FEHOU11q.
---------------------------------------------------------------------------------

FEHOU11l

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]

---------------------------------------------------------------------------------

FEHOU11m

City

And in what city is that?

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 197 of 207

---------------------------------------------------------------------------------

FEHOU11n

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

---------------------------------------------------------------------------------

FEHOU11o

Work Phone Available

Does this person have a work phone number?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

Logic after:
If FEHOU11o = yes, go to FEHOU11p. Else go to FEHOU11q.
---------------------------------------------------------------------------------

Logic before:
three separate numeric fields presented together: field1, allow 3; field2, allow 3; field3, allow 4

FEHOU11p

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

---------------------------------------------------------------------------------

FEHOU11q

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 FEHOU11q = Someone Else, go to FEHOU11r. Else, go to FEHOU11s.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 198 of 207

---------------------------------------------------------------------------------

FEHOU11r

Description of Relationship

DESCRIBE THE RELATIONSHIP OF THE PERSON TO R, RECORDING THE R'S ANSWER VERBATIM.

Question Type:

STRING[100]

---------------------------------------------------------------------------------

FEHOU11s

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

Logic after:
Repeat 11a-t two more times to elicit information on a total of three contact persons.
---------------------------------------------------------------------------------

FEHou11t

Will R provide additional contact

Is there another person who would always know how to reach you?

Question Type:

TYesNoCap

Yes
No

1 YES
2 NO

Logic after:
If this is the third time this item has been asked, do not ask it again.

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 199 of 207

Locator Info2
---------------------------------------------------------------------------------

Logic before:
Preload FBHOUarr1 from female baseline and FNhouarr1 from female nine month.
If (FEMBASE = 2 AND FEM9MO= 2) OR (neither FBhouarr1 or FNhouarr1=Assent), FEHOUarr1.Else, skip to
FEHOU28a.

FEhouarr1

Records Release

[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.]
[OPTION 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 FEHOU26 = RF/DK and FEHOUARR1 = yes, add a consistency check. "Thank you. We'll need your social
security number to access these records." [FI GO BACK TO FEHOU26 AND ASK FOR THIS INFORMATION
AGAIN. IF R REFUSES OR DOES NOT KNOW, THEN ENTER 2 AT FEHOUARR1.]
---------------------------------------------------------------------------------

Logic before:
If FEhourarr1 = 1, then ask FEhouarr2.

FEhouarr2

Records Release 2

[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 FEhouarr1 = 2, then ask FEhouarr3.

FEhouarr3

Records Release 3

[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 200 of 207

---------------------------------------------------------------------------------

FEHOU28a

Thank You for Participation

That was our last question. Thank you for your participation in this study!

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

FEHOU28b

Future Contact

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 FECON5 = No, ask FEHOU28d. Else go to FEHOU30.
If fem9mo = yes, then fill1 = [R IS ALSO ELIGIBLE FOR $25 BONUS INCENTIVE FOR COMPLETING ALL 3
INTERVIEWS.]
IF fem9MO NE YES, THEN FILL1 = [R IS NOT ELIGIBLE FOR THE $25 INCENTIVE BONUS BECAUSE SHE DID NOT
COMPLETE ALL THREE INTERVIEWS.]

FEHOU28d

Incentive Receipt

I also need to give you your incentive payment, and I need to ask you to initial a receipt.
[FI: FEMALE IS ELIGIBLE FOR $40 INCENTIVE PAYMENT]
^fill1

Question Type:

TNext

NextScreen

1 PRESS 1 TO CONTINUE

---------------------------------------------------------------------------------

Logic before:
If FECON5 = no, ask FEHOU28e. Else skip to FEHOU30.

FEHOU28e

Eligibility for Bonus

WAS R ELIGIBLE FOR THE $5 CALL-IN BONUS?

Question Type:

TYesNoCaps

Yes
No

1 YES
2 NO

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 201 of 207

---------------------------------------------------------------------------------

FEHOU30

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 FEHOU30="other", go to FEHOU30s. Else go to FEFI001.
---------------------------------------------------------------------------------

FEHOU30s

Specify Other

SPECIFY OTHER

Question Type:

STRING[20]

---------------------------------------------------------------------------------

Logic before:
If FECON5 = Yes, ask FEHOU31. Else, skip to next domain.

FEHOU31

State Interview Conducted

IN WHICH STATE WAS THIS INTERVIEW CONDUCTED?

Question Type:

Tstate

mnst
indy
ohi
newy
newj
thsp

1
2
3
4
5
6

MINNESOTA
INDIANA
OHIO
NEW YORK
NEW JERSEY
OTHER STATE (SPECIFY)

---------------------------------------------------------------------------------

Logic before:
If FEHOU31 = 6, ask FEHOU31s.

FEHOU31s

Specify State and Facility

SPECIFY STATE AND FACILITY NAME.

Question Type:

TabTfacstate

staten
facname

1 STATE
2 FACILITY NAME

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 202 of 207

---------------------------------------------------------------------------------

Logic before:
If FEHOU31=1, ask FEHOU32a.

FEHOU32a

Minnesota

IN WHICH MINNESOTA FACILITY DID YOU CONDUCT THIS INTERVIEW?

Question Type:

Tmnfemalefac

mcf
othsp

1 MCF (IN SHAKOPEE)
2 OTHER FACILITY (SPECIFY)

---------------------------------------------------------------------------------

Logic before:
If FEHOU32a = 2, ask FEHOU32as.

FEHOU32as

Other Minnesota

SPECIFY OTHER MINNESOTA FACILITY.

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Logic before:
If FEHOU31 = 2, ask FEHOU32b.

FEHOU32b

Indiana

IN WHICH INDIANA FACILITY DID YOU CONDUCT THIS INTERVIEW?

Question Type:

Tinfemalefac

wmpr
rcvl
indywm
atbry
van
othsp

1
2
3
4
5
6

WOMAN'S PRISON
ROCKVILLE CORRECTIONAL FACILITY
INDIANAPOLIS WOMAN'S COMMUNITY RE-ENTRY
ATTERBURY CORRECTIONAL FACILITY
VANDERBURGH COUNTY VOA
OTHER (SPECIFY)

---------------------------------------------------------------------------------

Logic before:
If FEHOU32b = 5, ask FEHOU32bs.

FEHOU32bs

Other Indiana

SPECIFY OTHER INDIANA FACILITY.

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 203 of 207

---------------------------------------------------------------------------------

Logic before:
If FEHOU31 = 3, ask FEHOU32c.

FEHOU32c

Ohio

IN WHICH OHIO FACILITY DID YOU CONDUCT THIS INTERVIEW?

Question Type:

Tfemaleohfac

ohrf
frkl
noea
trmbl
oakw
othsp

1
2
3
4
5
6

OHIO REFORMATORY FOR WOMAN
FRANKLIN PRE-RELEASE CENTER
NORTHEAST PRE-RELEASE CENTER
TRUMBALL CORRECTIONAL CAMP
OAKWOOD CORRECTIONAL FACILITY
OTHER OHIO FACILITY (SPECIFY)

---------------------------------------------------------------------------------

Logic before:
If FEHOU32c = 6, ask FEHOU32cs.

FEHOU32cs

Other Ohio

SPECIFY OTHER OHIO FACILITY.

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Logic before:
IF FEHOU31 = 4, as FEHOU32d.

FEHOU32d

New York

IN WHICH NEW YORK FACILITY DID YOU CONDUCT THIS INTERVIEW?

Question Type:

Tfemalenyfac

alb
byvw
bcn
bdfrd
lvws
tcnc
wlrd
otsp

1
2
3
4
5
6
7
8

ALBION CORRECTIONAL FACILITY
BAYVIEW CORRECTIONAL FACILITY
BEACON CORRECTIONAL FACILITY
BEDFORD HILLS CORRECTIONAL FACILITY
LAKEVIEW SHOCK INCARCERATION C.F.
TACONIC CORRECTIONAL FACILITY
WILLARD DRUG TREATMENT CENTER
OTHER NEW YORK FACILITY (SPECIFY)

---------------------------------------------------------------------------------

Logic before:
If FEHOU32d = 8, then ask FEHOU32ds.

FEHOU32ds

Other New York

SPECIFY OTHER NEW YORK FACILITY.

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 204 of 207

---------------------------------------------------------------------------------

Logic before:
If FEHOU31 = 5, ask FEHOU32e.

FEHOU32e

New Jersey

IN WHICH NEW JERSEY FACILITY DID YOU CONDUCT THIS INTERVIEW?

Question Type:

Tfemalenjfac

edna
njsp
otsp

1 EDNA MAHAN CORRECTIONAL FACILITY FOR WOMAN
2 NEW JERSEY STATE PRISON
3 OTHER NEW JERSEY FACILITY (SPECIFY)

---------------------------------------------------------------------------------

Logic before:
If FEHOU32e = 3, ask FEHOU32es.

FEHOU32es

Other New Jersey

SPECIFY OTHER NEW JERSEY FACILITY.

Question Type:

STRING[30]

---------------------------------------------------------------------------------

Tuesday, August 03, 2010

Page 205 of 207

Interviewer Observations
---------------------------------------------------------------------------------

FEFIO001

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

---------------------------------------------------------------------------------

FEFIO002

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

---------------------------------------------------------------------------------

FEFIO003

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

---------------------------------------------------------------------------------

FEFIO004

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 206 of 207

---------------------------------------------------------------------------------

FEFIO005

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

---------------------------------------------------------------------------------

FEFIO006

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

---------------------------------------------------------------------------------

FEFIO007

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

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FEFIO008

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 interview that took place in a jail or prison setting (FECON5 EQ YES) as 492. If
FECON5 EQ NO, code completed interview as 491.

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Tuesday, August 03, 2010

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