Appendix B. Question-by-question justification for baseline survey - revised
This document provides the sources and justifications for each question on the Baseline Survey (Instrument 1).
Item |
Question text |
Source |
Justification |
SECTION B: DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS |
|||
B01 |
Are you Hispanic, Latino/a, or Spanish origin? 1. No, not of Hispanic, Latino/a, or Spanish origin 2. Yes, Mexican, Mexican American, Chicano/a 3. Yes, Puerto Rican 4. Yes, Cuban 5. Yes, Another Hispanic, Latino/a, or Spanish origin |
Adapted
from Building Evidence on Employment Strategies (BEES) |
These items measure demographic and socioeconomic characteristics. We will use them to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, 3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts. |
B02 |
What
is your race? |
BEES
|
|
B03 |
What
is the primary language spoken in your home? Is it… |
BEES
|
|
B04 |
Are you currently in high school? |
New;
|
|
B05 |
What
is the highest degree or year of school that you have
attained? |
Adapted
from BEES |
|
B06 |
What is your current marital status—are you now married, separated, divorced, widowed, or have you never been married? |
Subsidized
and Transitional Employment Demonstration (STED)
|
|
B07 |
Do you have a spouse or partner who lives in your household? |
BEES
|
|
B07a |
How many children under the age of 18 are in your household? |
BEES
|
|
B07b |
How many adults age 18 or older, including yourself, are in your household? |
BEES
|
|
B08 |
Do you currently care for someone in your household with a disability? |
STED |
|
B09 |
Which
of the following best describes your [current] housing [during
the past month]? |
Adapted
from BEES |
|
B09a |
Which
of the following best describes your housing during the past
month? 3.
rent your home or apartment, |
Adapted
from BEES |
|
B10 |
Have you been homeless at any time in the last three months? |
Adapted
from Rural Welfare to Work |
|
B10a |
If you add up all the days you have been homeless in the last three months, about how many days have you been homeless? Your best guess is fine. |
Adapted from HUD's Point-In-Time Survey |
|
B11 |
Are you currently receiving child support? |
STED |
|
B12 |
Are you currently expected to pay child support? |
STED |
|
B13 |
During
the past year, did you [or anyone in your household] receive
income or assistance from any of the following sources? |
BEES
|
|
B14 |
For these next questions, please consider only yourself, [not anyone else in your household]. Have you received a check or electronic payment from the Social Security Administration because of a disability in the past year as an adult? |
BEES
|
These items measure demographic and socioeconomic characteristics. We will use them to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, 3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, (5) support analysis of the mediating factors driving program impacts, and (6) determine the target population of interest to the Social Security Administration (namely, individuals who are not currently receiving SSI or awaiting a pending claim). |
B15 |
Are you currently receiving checks or electronic payments from the Social Security Administration because of a disability? |
BEES
|
|
B16 |
As an adult, in the past five years, have you applied to the Social Security Administration to receive checks or electronic payments because of a disability? |
BEES
|
|
B17 |
Are you currently awaiting a decision by the Social Security Administration on a pending disability application? |
BEES
|
|
B18 |
If you had an emergency, about how many people would you be able to count on to help you? Would you say… 1. None 2. One to two 3. Three to five, or 4. More than five? |
Adapted
from Building Strong Families Evaluation (BSF) |
These items measure social supports for economic well-being and social trust, defined as the belief in the honesty, fairness, or benevolence of another party. We will use them to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, (3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts. |
B19 |
About how many people could you turn to if you suddenly needed to borrow $100? Would you say… 1. None 2. One to two 3. Three to five, or 4. More than five? |
Adapted
from BSF |
|
B20 |
About how many people could you talk to for help or advice? 1. None 2. One to two 3. Three to five, or 4. More than five? |
New;
|
|
B21 |
Generally speaking, would you say most people can be trusted? |
Adapted from Pew Social Trends Reports social trust questions |
|
B22 |
Would you say you trust most people in your neighborhood? |
Adapted from Pew Social Trends Reports social trust questions |
|
SECTION C: EMPLOYMENT STATUS AND CHALLENGES |
|||
C0 |
Have you ever worked for pay? |
New;
|
These items measure baseline employment status. We will use them to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, (3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts.
For programs that serve many people who have been recently incarcerated, we ask about work before they were arrested. |
C01 |
Are you currently working for pay? |
BEES
|
|
C01a |
In the month before your last arrest, were you working for pay? |
New;
|
|
C02 |
In total, how many months did you work for pay [during the past year/in the year before you were last arrested] (including current job)? |
Adapted
from BEES |
|
C03 |
In what month and year did you last work for pay? |
Adapted
from Parents and Children Together Evaluation (PACT) |
|
C03a |
How much [do/did] you get paid before taxes and deductions, at your [current/most recent/last] job [prior to your arrest]? |
Adapted
from Evaluation of Employment Coaching for TANF and Other Related
Populations (Coaching) |
|
C04-C04a |
How many hours per week, including regular overtime hours, [do/did] you usually work at your [current/most recent/last] job [prior to your arrest]? Your best estimate is fine. |
New;
|
|
C04b |
Since early 2020, have any of the following changes happened to you at work because of the Coronavirus outbreak? a. Were your hours cut? b. Were you asked to work more hours than usual? c. Were you temporarily laid off or furloughed? d. Did you lose your job? e. Did you quit your job because of the risk of exposure to Coronavirus? |
National and Tribal Evaluation of the 2nd Generation of the Health Profession Opportunity Grants (HPOG 2.0) (OMB No. 0970-0462) |
These items will collect information on the effects of COVID-19 on study participants’ employment patterns since the beginning of the outbreak in early 2020. This will provide important context on how COVID-19 may affect the key outcomes of interest to the impact evaluation. |
C05 |
Does a physical, mental, or emotional condition limit the kind or amount of work you can do? |
BEES
|
These items measure baseline barriers to employment. Some items are also focused specifically on potential employment barriers that are related to the COVID-19 pandemic. We will use them to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, (3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts. |
C05a |
Is the physical, mental, or emotional condition that limits the kind or amount of work you can do related to the Coronavirus or its effects? |
New;
|
|
C06a |
Please indicate if each of the following has made it not at all hard, a little hard, somewhat hard, very hard, or extremely hard for you to work in the past 3 months. NOT HAVING RELIABLE TRANSPORTATION |
Adapted
from Child Support Noncustodial Parent Employment Demonstration
(CSPED) |
|
C06b |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. NOT HAVING A DRIVER’S LICENSE OR A VALID DRIVER’S LICENSE |
Adapted
from CSPED |
|
C06b1 |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. Not having other documents needed for work such as a photo identification card (photo ID), Social Security card, or a birth certificate |
New;
|
|
C06c |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. NOT HAVING STABLE HOUSING |
Adapted
from CSPED |
|
C06d |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. A PREGNANCY OR A RECENT CHILDBIRTH |
Adapted
from Rural Welfare to Work |
|
C06e |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. NOT HAVING GOOD ENOUGH CARE FOR A CHILD OR SOMEONE ELSE IN YOUR HOUSEHOLD WHO NEEDS CARE |
Adapted
from CSPED |
|
C06e1 |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. Not having good enough care for a child or someone else in your household who needs care due to coronavirus or its effects |
Adapted from HPOG 2.0 (OMB No. 0970-0462) |
|
C06e2 |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. Not having good enough care for a child who is learning at home due to the coronavirus |
New;
|
|
C06f |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. NOT HAVING THE RIGHT CLOTHES OR TOOLS FOR WORK |
Adapted
from CSPED |
|
C06g |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. NOT HAVING THE RIGHT SKILLS OR EDUCATION |
Adapted
from CSPED |
|
C06h |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. HAVING DIFFICULTY SPEAKING OR READING ENGLISH |
Adapted
from CSPED |
|
C06i |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. HAVING DIFFICULTY COMPLETING JOB APPLICATIONS ON MY OWN |
Adapted
from CSPED |
|
C06j |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. HAVING A CRIMINAL RECORD |
Adapted
from CSPED |
|
C06k |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. HAVING PROBLEMS WITH ALCOHOL OR DRUGS |
Adapted
from CSPED |
|
C06l |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. HAVING A GAP IN EMPLOYMENT |
New;
|
|
C06m |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. LACK OF SUPPORT OR RESISTANCE FROM FRIENDS OR RELATIVES RELATED TO FINDING A JOB OR WORKING |
Adapted
from Rural Welfare to Work |
|
C06n |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. EXPERIENCING ABUSE BY A SPOUSE OR PARTNER |
Adapted
from Rural Welfare to Work |
|
C06o |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. A LEARNING DISABILITY |
Adapted
from Rural Welfare to Work |
|
C06p |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. NOT FINDING THE RIGHT KIND OF DISABILITY-RELATED SUPPORTS OR ACCOMMODATIONS |
New;
|
|
C06q |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. LOSING BENEFITS YOU NEED SUCH AS SOCIAL SECURITY, DISABILITY INSURANCE, WORKERS' COMPENSATION, OR MEDICAID IF YOU TOOK A JOB OR WORKED MORE HOURS |
New;
|
|
C06r |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. THE RISK THAT YOU WILL GET SICK FROM CORONAVIRUS |
Adapted from HPOG 2.0 (OMB No. 0970-0462) |
|
C06s |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. THE RISK THAT SOMEONE IN YOUR HOUSEHOLD OR FAMILY WILL GET SICK FROM CORONAVIRUS |
Adapted from HPOG 2.0 (OMB No. 0970-0462) |
|
C06t |
Please indicate if each of the following has made it not at all hard, slightly hard, moderately hard, or very hard for you to work in the past 3 months. OTHER SPECIFY |
Adapted
from Rural Welfare to Work |
|
C07a |
I
set long-term employment goals that I hope to achieve within a
year, such as finding a job, finding a better job, getting
promoted, or enrolling in further education. |
Goal
Setting Questionnaire, adapted from Coaching |
These items measure goal setting and goal pursuit in the context of employment. We will use them to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, (3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts. |
C07b |
I
set specific short-term goals that will allow me to achieve my
long-term employment goals. |
Goal
Setting Questionnaire, adapted from Coaching |
|
C07c |
I
think I should work on finding a job or a better job. |
LASER
Questionnaire, adapted from Coaching |
|
C07d |
I
think there is nothing I can do being out of work right now. |
LASER
Questionnaire, adapted from Coaching |
|
C08 |
Have you ever been arrested? |
Adapted
from BEES |
These items measure past involvement with the criminal justice system. We will use them to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, (3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts.
For programs that serve many people who have been recently incarcerated, we ask about their recent experience with the criminal justice system. |
C09 |
How many times have you been convicted of a crime? |
Adapted
from BEES |
|
C09a |
How many times have you been convicted of a felony? |
New;
|
|
C10 |
Are you currently under some form of court-ordered supervision? 1. Yes, parole 2. Yes, probation 3. Yes, diversion or alternative sentencing to avoid incarceration 99. Yes, something else, or (SPECIFY) 0. No, not under some form of supervision |
Adapted
from BEES |
|
C10a |
Thinking back to the last time you were arrested, were you charged with a crime involving the following? 1. Violence 2. Drugs 3. Theft 4. Sex offense 5. Crime involving minors 6. Property damage 7. Trespassing 99. Something else (SPECIFY) |
New;
|
|
C11 |
Have you ever been incarcerated in a juvenile or adult facility, such as a detention center, jail, or prison? |
Adapted
from BEES |
|
C12 |
What is the total amount of time you have spent in incarceration? |
New;
|
|
C12a |
What amount of time did you spend in your last incarceration? |
New; Developed by Mathematica |
|
SECTION D: PHYSICAL AND MENTAL HEALTH |
|||
D01-D09 |
SF-12v2 Questionnaire |
SF-12
Instrument Also
used on BEES |
This questionnaire measures functional health status. We will use them to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, (3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts. |
D01a |
Are you fully vaccinated against Coronavirus? Fully vaccinated means you got all the required shots. |
New; Developed by Mathematica |
This item will collect information on the effects of COVID-19 on study participants. Vaccination is expected to be associated with employment outcomes because being vaccinated may affect the types of jobs participants would be willing to take. Employers may also require vaccination for some employment. |
D10 |
Are you deaf or do you have serious difficulty hearing? |
American
Community Survey (ACS) disability questions Also
used on BEES |
These items measure disability. We will use them to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, (3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts. |
D11 |
Are you blind or do you have serious difficulty seeing even when wearing glasses? |
ACS
disability questions Also
used on BEES |
|
D12 |
Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? |
ACS
disability questions Also
used on BEES |
|
D13 |
Do you have serious difficulty walking or climbing stairs? |
ACS
disability questions Also
used on BEES |
|
D14 |
Do you have difficulty dressing or bathing? |
ACS
disability questions Also
used on BEES |
|
D15 |
Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor’s office or shopping? |
ACS
disability questions Also
used on BEES |
|
D16 |
Have you ever been treated for any mental health condition? |
New
|
These items measure physical and mental health status. We will use them to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, (3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts. |
D17 |
What physical, mental, or emotional condition is the main reason you are limited? |
Adapted
from National Beneficiary Survey (NBS) |
|
D18a |
During
the last 30 days about how often did you feel so depressed that
nothing could cheer you up? |
K-6
Distress Scale Also
used on BEES |
This questionnaire assesses mental health and distress. We will use these items to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, (3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts. |
D18b |
During
the last 30 days about how often did you feel hopeless? |
K-6
Distress Scale Also
used on BEES |
|
D18c |
During
the last 30 days about how often did you feel restless or
fidgety? |
K-6
Distress Scale Also
used on BEES |
|
D18d |
During
the last 30 days about how often did you feel that everything was
an effort? |
K-6
Distress Scale Also
used on BEES |
|
D18e |
During
the last 30 days about how often did you feel worthless? |
K-6
Distress Scale Also
used on BEES |
|
D18f |
During
the last 30 days about how often did you feel nervous? |
K-6
Distress Scale Also
used on BEES |
|
D19-D21 |
AUDIT-C questionnaire |
AUDIT-C Questionnaire |
This questionnaire measures alcohol dependency. We will use the items to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, (3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts. |
D22-D31 |
DAST-10 questionnaire |
DAST-10 Questionnaire |
This questionnaire measures drug dependency. We will use the items to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, (3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts. |
D32 |
The
next question asks about using prescription pain relievers in any
way a doctor did not direct you to use them. |
Adapted
from BEES |
This item measures opioid use. We will use it to (1) describe the characteristics of study participants and check that random assignment has created treatment and control groups with similar characteristics, (2) define subgroups, (3) provide control variables for regression models that will increase statistical precision, (4) construct weights to adjust for survey nonresponse, and (5) support analysis of the mediating factors driving program impacts. |
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File Created | 2021-02-16 |