Questionnaire Public Report11/29/2012 12:44:24 PM
Cohort:NLSY79 Young Adults
Round:YAdult Round 16
Instrument :YAdult7994
  1. Fertility



Q12-0E [Y01858.00]Section: Fertility

([[marital status code ]]=1) & ([[Gender of the respondent]]=1)

COMMENT: is respondent married and is male

 1   CONDITION APPLIES   ...(Go To Q12-1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-0F


Q12-0F [Y01859.00]Section: Fertility

([[marital status code ]]!=1) & ([[Gender of the respondent]]=1)

COMMENT: is respondent not married and is male

 1   CONDITION APPLIES   ...(Go To Q12-1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-1
Lead-In:Q12-0E [Default]


Q12-1 []Section: Fertility

*************************SECTION 12 FERTILITY*******************************
In order to make future plans for schools, housing, hospitals, and medical
care, information is needed about the number of children people have.
We know that some of these questions may not apply to you, but we need to
ask the same questions of all our respondents in order to be complete.

Default Next:Q12-27A
Lead-In:Q12-0E [1:1], Q12-0F [1:1], Q12-0F [Default]


Q12-27A [Y01861.00]Section: Fertility

Please tell me if you have ever had any children?

 1   Yes   ...(Go To Q12-27B)
 0   No

Default Next:Q12-27BB
Lead-In:Q12-1 [Default]


Q12-27B [Y01862.00]Section: Fertility

How many children have you had not counting any babies who were dead at birth?

Enter Number: 
If Answer = 0 Then Go To
Q12-27BB

Default Next:Q12-27BB
Lead-In:Q12-27A [1:1]


Q12-27BB [Y01863.00]Section: Fertility

([[Total number of biological children listed in BIOCHILD roster]] > 0)

COMMENT: Is there any child to ask about?

 1   CONDITION APPLIES   ...(Go To Q12-28.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-170
Lead-In:Q12-27B [0:0], Q12-27A [Default], Q12-27B [Default]


Q12-28.1 []Section: Fertility

What did you name your 1st oldest baby?


(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)

Enter: 

Default Next:Q12-28A.1
Lead-In:Q12-27BB [1:1]


Q12-28A.1 [Y01864.00]Section: Fertility

Was the baby a boy or a girl?

 1   Boy
 2   Girl

Default Next:Q12-28B.1
Lead-In:Q12-28.1 [Default]


Q12-28B.1 []Section: Fertility

When was your child born?

Enter Date:  
MonthDayYear 

Default Next:Q12-28T.1
Lead-In:Q12-28A.1 [Default]


Q12-28T.1 [Y01866.00]Section: Fertility

([[Total number of biological children listed in BIOCHILD roster]] > 1)

COMMENT: Is there another new child to ask about?

 1   CONDITION APPLIES   ...(Go To Q12-28.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-29-A
Lead-In:Q12-28B.1 [Default]


Q12-28.2 []Section: Fertility

What did you name the 2nd oldest baby?


(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)

Enter: 

Default Next:Q12-28A.2
Lead-In:Q12-28T.1 [1:1]


Q12-28A.2 [Y01867.00]Section: Fertility

Was the baby a boy or a girl?

 1   Boy
 2   Girl

Default Next:Q12-28B.2
Lead-In:Q12-28.2 [Default]


Q12-28B.2 []Section: Fertility

When was your child born?

Enter Date:  
MonthDayYear 

Default Next:Q12-28T.2
Lead-In:Q12-28A.2 [Default]


Q12-28T.2 [Y01869.00]Section: Fertility

([[Total number of biological children listed in BIOCHILD roster]] > 2)

COMMENT: is there another new child to ask about?

 1   CONDITION APPLIES   ...(Go To Q12-28.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-29-A
Lead-In:Q12-28B.2 [Default]


Q12-28.3 []Section: Fertility

What did you name the 3rd oldest baby?


(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)

Enter: 

Default Next:Q12-28A.3
Lead-In:Q12-28T.2 [1:1]


Q12-28A.3 [Y01870.00]Section: Fertility

Was the baby a boy or a girl?

 1   Boy
 2   Girl

Default Next:Q12-28B.3
Lead-In:Q12-28.3 [Default]


Q12-28B.3 []Section: Fertility

When was your child born?

Enter Date:  
MonthDayYear 

Default Next:Q12-28T.3
Lead-In:Q12-28A.3 [Default]


Q12-28T.3 [Y01872.00]Section: Fertility

([[Total number of biological children listed in BIOCHILD roster]] > 3)

COMMENT: Is there another new child to ask about?

 1   CONDITION APPLIES   ...(Go To Q12-28.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-29-A
Lead-In:Q12-28B.3 [Default]


Q12-28.4 []Section: Fertility

What did you name the 4th oldest baby?


(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)

Enter: 

Default Next:Q12-28A.4
Lead-In:Q12-28T.3 [1:1]


Q12-28A.4 [Y01873.00]Section: Fertility

Was the baby a boy or a girl?

 1   Boy
 2   Girl

Default Next:Q12-28B.4
Lead-In:Q12-28.4 [Default]


Q12-28B.4 []Section: Fertility

When was your child born?

Enter Date:  
MonthDayYear 

Default Next:Q12-28T.4
Lead-In:Q12-28A.4 [Default]


Q12-28T.4 [Y01875.00]Section: Fertility

([[Total number of biological children listed in BIOCHILD roster]] > 4)

COMMENT: is there another new child to ask about?

 1   CONDITION APPLIES   ...(Go To Q12-28.5)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-29-A
Lead-In:Q12-28B.4 [Default]


Q12-28.5 []Section: Fertility

What did you name the 5th oldest baby?


(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)

Enter: 

Default Next:Q12-28A.5
Lead-In:Q12-28T.4 [1:1]


Q12-28A.5 [Y01876.00]Section: Fertility

Was the baby a boy or a girl?

 1   Boy
 2   Girl

Default Next:Q12-28B.5
Lead-In:Q12-28.5 [Default]


Q12-28B.5 []Section: Fertility

When was your child born?

Enter Date:  
MonthDayYear 

Default Next:Q12-28T.5
Lead-In:Q12-28A.5 [Default]


Q12-28T.5 [Y01878.00]Section: Fertility

([[Total number of biological children listed in BIOCHILD roster]] > 5)

COMMENT: is there another new child to ask about?

 1   CONDITION APPLIES   ...(Go To Q12-28.6)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-29-A
Lead-In:Q12-28B.5 [Default]


Q12-28.6 []Section: Fertility

What did you name the 6th oldest baby?


(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)

Enter: 

Default Next:Q12-28A.6
Lead-In:Q12-28T.5 [1:1]


Q12-28A.6 [Y01879.00]Section: Fertility

Was the baby a boy or a girl?

 1   Boy
 2   Girl

Default Next:Q12-28B.6
Lead-In:Q12-28.6 [Default]


Q12-28B.6 []Section: Fertility

When was your child born?

Enter Date:  
MonthDayYear 

Default Next:Q12-28T.6
Lead-In:Q12-28A.6 [Default]


Q12-28T.6 [Y01881.00]Section: Fertility

([[Total number of biological children listed in BIOCHILD roster]] > 6)

COMMENT: is there another new child to ask about?

 1   CONDITION APPLIES   ...(Go To Q12-28.7)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-29-A
Lead-In:Q12-28B.6 [Default]


Q12-28.7 []Section: Fertility

What did you name the 7th oldest baby?


(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)

Enter: 

Default Next:Q12-28A.7
Lead-In:Q12-28T.6 [1:1]


Q12-28A.7 []Section: Fertility

Was the baby a boy or a girl?

 1   Boy
 2   Girl

Default Next:Q12-28B.7
Lead-In:Q12-28.7 [Default]


Q12-28B.7 []Section: Fertility

When was your child born?

Enter Date:  
MonthDayYear 

Default Next:Q12-28T.7
Lead-In:Q12-28A.7 [Default]


Q12-28T.7 []Section: Fertility

([[Total number of biological children listed in BIOCHILD roster]] > 7)

COMMENT: is there another new child to ask about?

 1   CONDITION APPLIES   ...(Go To Q12-28.8)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-29-A
Lead-In:Q12-28B.7 [Default]


Q12-28.8 []Section: Fertility

What did you name the 8th oldest baby?


(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)

Enter: 

Default Next:Q12-28A.8
Lead-In:Q12-28T.7 [1:1]


Q12-28A.8 []Section: Fertility

Was the baby a boy or a girl?

 1   Boy
 2   Girl

Default Next:Q12-28B.8
Lead-In:Q12-28.8 [Default]


Q12-28B.8 []Section: Fertility

When was your child born?

Enter Date:  
MonthDayYear 

Default Next:Q12-28T.8
Lead-In:Q12-28A.8 [Default]


Q12-28T.8 []Section: Fertility

([[Total number of biological children listed in BIOCHILD roster]] > 8)

COMMENT: is there another new child to ask about?

 1   CONDITION APPLIES   ...(Go To Q12-28.9)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-28T.9
Lead-In:Q12-28B.8 [Default]


Q12-28.9 []Section: Fertility

What did you name the 9th oldest baby?


(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)

Enter: 

Default Next:Q12-28A.9
Lead-In:Q12-28T.8 [1:1]


Q12-28A.9 []Section: Fertility

Was the baby a boy or a girl?

 1   Boy
 2   Girl

Default Next:Q12-28B.9
Lead-In:Q12-28.9 [Default]


Q12-28B.9 []Section: Fertility

When was your child born?

Enter Date:  
MonthDayYear 

Default Next:Q12-28T.9
Lead-In:Q12-28A.9 [Default]


Q12-28T.9 []Section: Fertility

([[Total number of biological children listed in BIOCHILD roster]] > 9)

COMMENT: is there another new child to ask about?

 1   CONDITION APPLIES   ...(Go To Q12-28.10)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-29-A
Lead-In:Q12-28T.8 [Default], Q12-28B.9 [Default]


Q12-28.10 []Section: Fertility

What did you name the 10th oldest baby?


(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)

Enter: 

Default Next:Q12-28A.10
Lead-In:Q12-28T.9 [1:1]


Q12-28A.10 []Section: Fertility

Was the baby a boy or a girl?

 1   Boy
 2   Girl

Default Next:Q12-28B.10
Lead-In:Q12-28.10 [Default]


Q12-28B.10 []Section: Fertility

When was your child born?

Enter Date:  
MonthDayYear 

Default Next:Q12-29-A
Lead-In:Q12-28A.10 [Default]


Q12-29-A [Y01882.00]Section: Fertility

(INTERVIEWER: BELOW IS THE UPDATED CHILD ROSTER IF ANY OF THE INFORMATION
IS INCORRECT PLEASE <PG-UP> AND CORRECT THE ANSWERS TO THE
THE PREVIOUS QUESTIONS)

Default Next:Q12-29A-A
Lead-In:Q12-28T.1 [Default], Q12-28T.2 [Default], Q12-28T.3 [Default], Q12-28T.4 [Default], Q12-28T.5 [Default], Q12-28T.6 [Default], Q12-28T.7 [Default], Q12-28T.9 [Default], Q12-28B.10 [Default]


Q12-29A-A [Y01883.00]Section: Fertility

([[Total number of biological children listed in BIOCHILD roster]] >= 2)

COMMENT: SEE IF THERE ARE AT LEAST 2 KIDS TO ASK ABOUT TWINS

 1   CONDITION APPLIES   ...(Go To Q12-29C)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-30.1
Lead-In:Q12-29-A [Default]


Q12-29C [Y01885.00]Section: Fertility

(ARE THERE ANY TWINS/TRIPLETS/ETC. LISTED ON THE BIOCHILD ROSTER? ENTER
R'S RESPONSE TO QUESTION FOR PREVIOUS SCREEN.)

 1   Yes
 0   No

Default Next:Q12-30.1
Lead-In:Q12-29A-A [1:1]


Q12-30.1 [Y01886.00]Section: Fertility

CHECK ([Name of biological child(1)])

COMMENT: Check the name field to determine if there is a child to ask about

 1   CONDITION APPLIES   ...(Go To Q12-30C.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-170
Lead-In:Q12-29A-A [Default], Q12-29C [Default]


Q12-30C.1 []Section: Fertility

[[Status of biological child (code)(1)]]

COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question

If Answer = 5 Then Go To
Q12-44.1
If Answer = 8 Then Go To Q12-44.1
If Answer = 99 Then Go To Q12-30.2

Default Next:Q12-30D.1
Lead-In:Q12-30.1 [1:1]


Q12-30D.1 [Y01888.00]Section: Fertility

Where does [Name of biological child(1)] usually live?

 1   IN THIS HOUSEHOLD
 2   WITH (HIS/HER) (FATHER/MOTHER)
 3   WITH OTHER RELATIVES (SPECIFY)
 4   WITH FOSTER CARE
 5   WITH ADOPTIVE PARENTS
 6   LONG TERM CARE INSTITUTION
 7   AWAY AT SCHOOL
 8   DECEASED   ...(Go To Q12-30E.1)
 9   PART-TIME WITH R, PART-TIME WITH OTHER PARENT
 10   PART-TIME WITH R, PART-TIME WITH OTHER PERSON
 11   OTHER (SPECIFY)

Default Next:Q12-30DB.1
Lead-In:Q12-30C.1 [Default]


Q12-30DB.1 [Y01889.00]Section: Fertility

[[usual residence of biological child(1)]]

COMMENT: Enter code for hhiflag.

If Answer = 1 Then Go To
Q12-44.1
If Answer >= 2 AND Answer <= 4 Then Go To Q12-53.1
If Answer >= 6 AND Answer <= 7 Then Go To Q12-53.1
If Answer = 8 Then Go To Q12-30E.1
If Answer = 11 Then Go To Q12-53.1

Default Next:Q12-30.2
Lead-In:Q12-30D.1 [Default]


Q12-30E.1 []Section: Fertility

When did [Name of biological child(1)] die?

Enter Date:  
MonthYear 

Default Next:Q12-44.1
Lead-In:Q12-30D.1 [8:8], Q12-30DB.1 [8:8]


Q12-44.1 [Y01892.00]Section: Fertility

[[usual residence of biological child(1)]]

COMMENT: skip according to resident status of child

If Answer = 1 Then Go To
Q12-45.1
If Answer = 5 Then Go To Q12-30.2
If Answer = 8 Then Go To Q12-30.2
If Answer = 9 Then Go To Q12-47.1
If Answer = 10 Then Go To Q12-45.1

Default Next:Q12-53.1
Lead-In:Q12-30C.1 [5:5], Q12-30C.1 [8:8], Q12-30DB.1 [1:1], Q12-30E.1 [Default]


Q12-45.1 [Y01893.00]Section: Fertility

Does [Name of biological child(1)]'s natural [mother/father] live in this household?

 1   Yes   ...(Go To Q12-30.2)
 0   No

Default Next:Q12-46.1
Lead-In:Q12-44.1 [1:1], Q12-44.1 [10:10]


Q12-46.1 [Y01894.00]Section: Fertility

Is [Name of biological child(1)]'s [mother/father] living?

 1   Yes   ...(Go To Q12-47.1)
 0   No

Default Next:Q12-48.1
Lead-In:Q12-45.1 [Default]


Q12-47.1 [Y01895.00]Section: Fertility

When did [Name of biological child(1)]'s natural [mother/father] leave the household?

 1   SELECT TO ENTER DATE
 2   NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD   ...(Go To Q12-50.1)

Default Next:Q12-47A.1
Lead-In:Q12-44.1 [9:9], Q12-46.1 [1:1]


Q12-47A.1 [Y01896.01]Section: Fertility

INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(1)]'S
NATURAL [mother/father] LEFT THE HOUSEHOLD.

Enter Date:  
MonthYear 

Default Next:Q12-50.1
Lead-In:Q12-47.1 [Default]


Q12-48.1 [Y01897.01]Section: Fertility

When did [Name of biological child(1)]'s natural [mother/father] die?

(INTERVIEWER: ENTER MONTH AND YEAR.)

Enter Date:  
MonthYear 

Default Next:Q12-30.2
Lead-In:Q12-46.1 [Default]


Q12-50.1 [Y01898.00]Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(1)]'s [mother/father] live? Is it...

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-51.1
Lead-In:Q12-47.1 [2:2], Q12-47A.1 [Default]


Q12-51.1 [Y01899.00]Section: Fertility

(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(1)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(1)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(1)] seen (his/her) [mother/father]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-30.2)

Default Next:Q12-52.1
Lead-In:Q12-50.1 [Default]


Q12-52.1 [Y01900.00]Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-30.2
Lead-In:Q12-51.1 [Default]


Q12-53.1 [Y01901.00]Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(1)] live? Is it....

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-54.1
Lead-In:Q12-30DB.1 [2:4], Q12-30DB.1 [6:7], Q12-30DB.1 [11:11], Q12-44.1 [Default]


Q12-54.1 [Y01902.00]Section: Fertility

(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(1)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(1)] has not been living with you, about how often have you seen [Name of biological child(1)]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-55A.1)

Default Next:Q12-55.1
Lead-In:Q12-53.1 [Default]


Q12-55.1 [Y01903.00]Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-55A.1
Lead-In:Q12-54.1 [Default]


Q12-55A.1 [Y01904.00]Section: Fertility

Are you contributing money for the child's upbringing now?

 1   Yes
 0   No   ...(Go To Q12-56.1)

Default Next:Q12-55B.1
Lead-In:Q12-54.1 [0:0], Q12-55.1 [Default]


Q12-55B.1 [Y01905.00]Section: Fertility

Do you do this on a regular basis or once in a while?

 1   Regular
 2   Once in a while

Default Next:Q12-55C.1
Lead-In:Q12-55A.1 [Default]


Q12-55C.1 [Y01906.00]Section: Fertility

How much do you give?

(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT)
ENTER DOLLAR AMOUNT:

Enter Number: 

Default Next:Q12-55D.1
Lead-In:Q12-55B.1 [Default]


Q12-55D.1 [Y01907.00]Section: Fertility

Is that per week, per month or per year?

 4   Per Week
 1   Per month
 2   Per year
 3   OTHER (SPECIFY)

Default Next:Q12-56.1
Lead-In:Q12-55C.1 [Default]


Q12-56.1 [Y01908.00]Section: Fertility

When did [Name of biological child(1)] last live with you?

 1   SELECT TO ENTER DATE   ...(Go To Q12-57.1)
 0   NEVER LIVED WITH R

Default Next:Q12-30.2
Lead-In:Q12-55A.1 [0:0], Q12-55D.1 [Default]


Q12-57.1 [Y01909.00]Section: Fertility

(When did [Name of biological child(1)] last live with you?)

ENTER DATE:

Enter Date:  
MonthYear 

Default Next:Q12-58.1
Lead-In:Q12-56.1 [1:1]


Q12-58.1 [Y01910.00]Section: Fertility

(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(1)] did not live with you before that time?

 1   Yes
 0   No
 2   CHILD IS LESS THAN THREE MONTHS OLD

Default Next:Q12-30.2
Lead-In:Q12-57.1 [Default]


Q12-30.2 [Y01911.00]Section: Fertility

CHECK([Name of biological child(2)])

COMMENT: Check the name field to determine if there is a child to ask about

 1   CONDITION APPLIES   ...(Go To Q12-30C.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-74.1
Lead-In:Q12-30C.1 [99:99], Q12-44.1 [5:5], Q12-44.1 [8:8], Q12-45.1 [1:1], Q12-51.1 [0:0], Q12-30DB.1 [Default], Q12-48.1 [Default], Q12-52.1 [Default], Q12-56.1 [Default], Q12-58.1 [Default]


Q12-30C.2 []Section: Fertility

[[Status of biological child (code)(2)]]

COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question

If Answer = 5 Then Go To
Q12-44.2
If Answer = 8 Then Go To Q12-44.2
If Answer = 99 Then Go To Q12-30.3

Default Next:Q12-30D.2
Lead-In:Q12-30.2 [1:1]


Q12-30D.2 [Y01913.00]Section: Fertility

Where does [Name of biological child(2)] usually live?

 1   IN THIS HOUSEHOLD
 2   WITH (HIS/HER) (FATHER/MOTHER)
 3   WITH OTHER RELATIVES (SPECIFY)
 4   WITH FOSTER CARE
 5   WITH ADOPTIVE PARENTS
 6   LONG TERM CARE INSTITUTION
 7   AWAY AT SCHOOL
 8   DECEASED   ...(Go To Q12-30E.2)
 9   PART-TIME WITH R, PART-TIME WITH OTHER PARENT
 10   PART-TIME WITH R, PART-TIME WITH OTHER PERSON
 11   OTHER (SPECIFY)

Default Next:Q12-30DB.2
Lead-In:Q12-30C.2 [Default]


Q12-30DB.2 [Y01914.00]Section: Fertility

[[usual residence of biological child(2)]]

COMMENT: Enter code for hhiflag.

If Answer = 1 Then Go To
Q12-44.2
If Answer >= 2 AND Answer <= 4 Then Go To Q12-53.2
If Answer >= 6 AND Answer <= 7 Then Go To Q12-53.2
If Answer = 8 Then Go To Q12-30E.2
If Answer = 11 Then Go To Q12-53.2

Default Next:Q12-30.3
Lead-In:Q12-30D.2 [Default]


Q12-30E.2 []Section: Fertility

When did [Name of biological child(2)] die?

Enter Date:  
MonthYear 

Default Next:Q12-44.2
Lead-In:Q12-30D.2 [8:8], Q12-30DB.2 [8:8]


Q12-44.2 [Y01916.00]Section: Fertility

[[usual residence of biological child(2)]]

COMMENT: skip according to resident status of child

If Answer = 1 Then Go To
Q12-45.2
If Answer = 5 Then Go To Q12-30.3
If Answer = 8 Then Go To Q12-30.3
If Answer = 9 Then Go To Q12-47.2
If Answer = 10 Then Go To Q12-45.2

Default Next:Q12-53.2
Lead-In:Q12-30C.2 [5:5], Q12-30C.2 [8:8], Q12-30DB.2 [1:1], Q12-30E.2 [Default]


Q12-45.2 [Y01917.00]Section: Fertility

Does [Name of biological child(2)]'s natural [mother/father] live in this household?

 1   Yes   ...(Go To Q12-30.3)
 0   No

Default Next:Q12-46.2
Lead-In:Q12-44.2 [1:1], Q12-44.2 [10:10]


Q12-46.2 [Y01918.00]Section: Fertility

Is [Name of biological child(2)]'s [mother/father] living?

 1   Yes   ...(Go To Q12-47.2)
 0   No

Default Next:Q12-48.2
Lead-In:Q12-45.2 [Default]


Q12-47.2 [Y01919.00]Section: Fertility

When did [Name of biological child(2)]'s natural [mother/father] leave the household?

 1   SELECT TO ENTER DATE
 2   NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD   ...(Go To Q12-50.2)

Default Next:Q12-47A.2
Lead-In:Q12-44.2 [9:9], Q12-46.2 [1:1]


Q12-47A.2 [Y01920.00]Section: Fertility

INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(2)]'S
NATURAL [mother/father] LEFT THE HOUSEHOLD.

Enter Date:  
MonthYear 

Default Next:Q12-50.2
Lead-In:Q12-47.2 [Default]


Q12-48.2 [Y01921.00]Section: Fertility

When did [Name of biological child(2)]'s natural [mother/father] die?

(INTERVIEWER: ENTER MONTH AND YEAR.)

Enter Date:  
MonthYear 

Default Next:Q12-30.3
Lead-In:Q12-46.2 [Default]


Q12-50.2 [Y01922.00]Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(2)]'s [mother/father] live? Is it...

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-51.2
Lead-In:Q12-47.2 [2:2], Q12-47A.2 [Default]


Q12-51.2 [Y01923.00]Section: Fertility

(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(2)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(2)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(2)] seen (his/her) [mother/father]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-30.3)

Default Next:Q12-52.2
Lead-In:Q12-50.2 [Default]


Q12-52.2 [Y01924.00]Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-30.3
Lead-In:Q12-51.2 [Default]


Q12-53.2 [Y01925.00]Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(2)] live? Is it....

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-54.2
Lead-In:Q12-30DB.2 [2:4], Q12-30DB.2 [6:7], Q12-30DB.2 [11:11], Q12-44.2 [Default]


Q12-54.2 [Y01926.00]Section: Fertility

(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(2)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(2)] has not been living with you, about how often have you seen [Name of biological child(2)]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-55A.2)

Default Next:Q12-55.2
Lead-In:Q12-53.2 [Default]


Q12-55.2 [Y01927.00]Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-55A.2
Lead-In:Q12-54.2 [Default]


Q12-55A.2 [Y01928.00]Section: Fertility

Are you contributing money for the child's upbringing now?

 1   Yes
 0   No   ...(Go To Q12-56.2)

Default Next:Q12-55B.2
Lead-In:Q12-54.2 [0:0], Q12-55.2 [Default]


Q12-55B.2 [Y01929.00]Section: Fertility

Do you do this on a regular basis or once in a while?

 1   Regular
 2   Once in a while

Default Next:Q12-55C.2
Lead-In:Q12-55A.2 [Default]


Q12-55C.2 [Y01930.00]Section: Fertility

How much do you give?

(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT)
ENTER DOLLAR AMOUNT:

Enter Number: 

Default Next:Q12-55D.2
Lead-In:Q12-55B.2 [Default]


Q12-55D.2 [Y01931.00]Section: Fertility

Is that per week, per month or per year?

 4   Per Week
 1   Per month
 2   Per year
 3   OTHER (SPECIFY)

Default Next:Q12-56.2
Lead-In:Q12-55C.2 [Default]


Q12-56.2 [Y01932.00]Section: Fertility

When did [Name of biological child(2)] last live with you?

 1   SELECT TO ENTER DATE   ...(Go To Q12-57.2)
 0   NEVER LIVED WITH R

Default Next:Q12-30.3
Lead-In:Q12-55A.2 [0:0], Q12-55D.2 [Default]


Q12-57.2 [Y01933.01]Section: Fertility

(When did [Name of biological child(2)] last live with you?)

ENTER DATE:

Enter Date:  
MonthYear 

Default Next:Q12-58.2
Lead-In:Q12-56.2 [1:1]


Q12-58.2 [Y01934.00]Section: Fertility

(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(2)] did not live with you before that time?

 1   Yes
 0   No
 2   CHILD IS LESS THAN THREE MONTHS OLD

Default Next:Q12-30.3
Lead-In:Q12-57.2 [Default]


Q12-30.3 [Y01935.00]Section: Fertility

CHECK ([Name of biological child(3)])

COMMENT: Check the name field to determine if there is a child to ask about

 1   CONDITION APPLIES   ...(Go To Q12-30C.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-74.1
Lead-In:Q12-30C.2 [99:99], Q12-44.2 [5:5], Q12-44.2 [8:8], Q12-45.2 [1:1], Q12-51.2 [0:0], Q12-30DB.2 [Default], Q12-48.2 [Default], Q12-52.2 [Default], Q12-56.2 [Default], Q12-58.2 [Default]


Q12-30C.3 []Section: Fertility

[[Status of biological child (code)(3)]]

COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question

If Answer = 5 Then Go To
Q12-44.3
If Answer = 8 Then Go To Q12-44.3
If Answer = 99 Then Go To Q12-30.4

Default Next:Q12-30D.3
Lead-In:Q12-30.3 [1:1]


Q12-30D.3 [Y01937.00]Section: Fertility

Where does [Name of biological child(3)] usually live?

 1   IN THIS HOUSEHOLD
 2   WITH (HIS/HER) (FATHER/MOTHER)
 3   WITH OTHER RELATIVES (SPECIFY)
 4   WITH FOSTER CARE
 5   WITH ADOPTIVE PARENTS
 6   LONG TERM CARE INSTITUTION
 7   AWAY AT SCHOOL
 8   DECEASED   ...(Go To Q12-30E.3)
 9   PART-TIME WITH R, PART-TIME WITH OTHER PARENT
 10   PART-TIME WITH R, PART-TIME WITH OTHER PERSON
 11   OTHER (SPECIFY)

Default Next:Q12-44.3
Lead-In:Q12-30C.3 [Default]


Q12-30E.3 []Section: Fertility

When did [Name of biological child(3)] die?

Enter Date:  
MonthYear 

Default Next:Q12-44.3
Lead-In:Q12-30D.3 [8:8]


Q12-44.3 [Y01939.00]Section: Fertility

[[usual residence of biological child(3)]]

COMMENT: skip according to resident status of child

If Answer = 1 Then Go To
Q12-45.3
If Answer = 5 Then Go To Q12-30.4
If Answer = 8 Then Go To Q12-30.4
If Answer = 9 Then Go To Q12-47.3
If Answer = 10 Then Go To Q12-45.3

Default Next:Q12-53.3
Lead-In:Q12-30C.3 [5:5], Q12-30C.3 [8:8], Q12-30D.3 [Default], Q12-30E.3 [Default]


Q12-45.3 [Y01940.00]Section: Fertility

Does [Name of biological child(3)]'s natural [mother/father] live in this household?

 1   Yes   ...(Go To Q12-30.4)
 0   No

Default Next:Q12-46.3
Lead-In:Q12-44.3 [1:1], Q12-44.3 [10:10]


Q12-46.3 [Y01941.00]Section: Fertility

Is [Name of biological child(3)]'s [mother/father] living?

 1   Yes   ...(Go To Q12-47.3)
 0   No

Default Next:Q12-48.3
Lead-In:Q12-45.3 [Default]


Q12-47.3 [Y01942.00]Section: Fertility

When did [Name of biological child(3)]'s natural [mother/father] leave the household?

 1   SELECT TO ENTER DATE
 2   NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD   ...(Go To Q12-50.3)

Default Next:Q12-47A.3
Lead-In:Q12-44.3 [9:9], Q12-46.3 [1:1]


Q12-47A.3 [Y01943.01]Section: Fertility

INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(3)]'S
NATURAL [mother/father] LEFT THE HOUSEHOLD.

Enter Date:  
MonthYear 

Default Next:Q12-50.3
Lead-In:Q12-47.3 [Default]


Q12-48.3 []Section: Fertility

When did [Name of biological child(3)]'s natural [mother/father] die?

(INTERVIEWER: ENTER MONTH AND YEAR.)

Enter Date:  
MonthYear 

Default Next:Q12-30.4
Lead-In:Q12-46.3 [Default]


Q12-50.3 [Y01944.00]Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(3)]'s [mother/father] live? Is it...

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-51.3
Lead-In:Q12-47.3 [2:2], Q12-47A.3 [Default]


Q12-51.3 [Y01945.00]Section: Fertility

(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(3)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(3)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(3)] seen (his/her) [mother/father]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-30.4)

Default Next:Q12-52.3
Lead-In:Q12-50.3 [Default]


Q12-52.3 [Y01946.00]Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-30.4
Lead-In:Q12-51.3 [Default]


Q12-53.3 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(3)] live? Is it....

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-54.3
Lead-In:Q12-44.3 [Default]


Q12-54.3 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(3)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(3)] has not been living with you, about how often have you seen [Name of biological child(3)]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-55A.3)

Default Next:Q12-55.3
Lead-In:Q12-53.3 [Default]


Q12-55.3 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-55A.3
Lead-In:Q12-54.3 [Default]


Q12-55A.3 []Section: Fertility

Are you contributing money for the child's upbringing now?

 1   Yes
 0   No   ...(Go To Q12-56.3)

Default Next:Q12-55B.3
Lead-In:Q12-54.3 [0:0], Q12-55.3 [Default]


Q12-55B.3 []Section: Fertility

Do you do this on a regular basis or once in a while?

 1   Regular
 2   Once in a while

Default Next:Q12-55C.3
Lead-In:Q12-55A.3 [Default]


Q12-55C.3 []Section: Fertility

How much do you give?

(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT)
ENTER DOLLAR AMOUNT:

Enter Number: 

Default Next:Q12-55D.3
Lead-In:Q12-55B.3 [Default]


Q12-55D.3 []Section: Fertility

Is that per week, per month or per year?

 4   Per Week
 1   Per month
 2   Per year
 3   OTHER (SPECIFY)

Default Next:Q12-56.3
Lead-In:Q12-55C.3 [Default]


Q12-56.3 []Section: Fertility

When did [Name of biological child(3)] last live with you?

 1   SELECT TO ENTER DATE   ...(Go To Q12-57.3)
 0   NEVER LIVED WITH R

Default Next:Q12-30.4
Lead-In:Q12-55A.3 [0:0], Q12-55D.3 [Default]


Q12-57.3 []Section: Fertility

(When did [Name of biological child(3)] last live with you?)

ENTER DATE:

Enter Date:  
MonthYear 

Default Next:Q12-58.3
Lead-In:Q12-56.3 [1:1]


Q12-58.3 []Section: Fertility

(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(3)] did not live with you before that time?

 1   Yes
 0   No
 2   CHILD IS LESS THAN THREE MONTHS OLD

Default Next:Q12-30.4
Lead-In:Q12-57.3 [Default]


Q12-30.4 [Y01947.00]Section: Fertility

CHECK ([Name of biological child(4)])

COMMENT: Check the name field to determine if there is a child to ask about

 1   CONDITION APPLIES   ...(Go To Q12-30C.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-74.1
Lead-In:Q12-30C.3 [99:99], Q12-44.3 [5:5], Q12-44.3 [8:8], Q12-45.3 [1:1], Q12-51.3 [0:0], Q12-48.3 [Default], Q12-52.3 [Default], Q12-56.3 [Default], Q12-58.3 [Default]


Q12-30C.4 []Section: Fertility

[[Status of biological child (code)(4)]]

COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question

If Answer = 5 Then Go To
Q12-44.4
If Answer = 8 Then Go To Q12-44.4
If Answer = 99 Then Go To Q12-30.5

Default Next:Q12-30D.4
Lead-In:Q12-30.4 [1:1]


Q12-30D.4 [Y01949.00]Section: Fertility

Where does [Name of biological child(4)] usually live?

 1   IN THIS HOUSEHOLD
 2   WITH (HIS/HER) (FATHER/MOTHER)
 3   WITH OTHER RELATIVES (SPECIFY)
 4   WITH FOSTER CARE
 5   WITH ADOPTIVE PARENTS
 6   LONG TERM CARE INSTITUTION
 7   AWAY AT SCHOOL
 8   DECEASED   ...(Go To Q12-30E.4)
 9   PART-TIME WITH R, PART-TIME WITH OTHER PARENT
 10   PART-TIME WITH R, PART-TIME WITH OTHER PERSON
 11   OTHER (SPECIFY)

Default Next:Q12-44.4
Lead-In:Q12-30C.4 [Default]


Q12-30E.4 []Section: Fertility

When did [Name of biological child(4)] die?

Enter Date:  
MonthYear 

Default Next:Q12-44.4
Lead-In:Q12-30D.4 [8:8]


Q12-44.4 [Y01951.00]Section: Fertility

[[usual residence of biological child(4)]]

COMMENT: skip according to resident status of child

If Answer = 1 Then Go To
Q12-45.4
If Answer = 5 Then Go To Q12-30.5
If Answer = 8 Then Go To Q12-30.5
If Answer = 9 Then Go To Q12-47.4
If Answer = 10 Then Go To Q12-45.4

Default Next:Q12-53.4
Lead-In:Q12-30C.4 [5:5], Q12-30C.4 [8:8], Q12-30D.4 [Default], Q12-30E.4 [Default]


Q12-45.4 [Y01952.00]Section: Fertility

Does [Name of biological child(4)]'s natural [mother/father] live in this household?

 1   Yes   ...(Go To Q12-30.5)
 0   No

Default Next:Q12-46.4
Lead-In:Q12-44.4 [1:1], Q12-44.4 [10:10]


Q12-46.4 [Y01953.00]Section: Fertility

Is [Name of biological child(4)]'s [mother/father] living?

 1   Yes   ...(Go To Q12-47.4)
 0   No

Default Next:Q12-48.4
Lead-In:Q12-45.4 [Default]


Q12-47.4 [Y01954.00]Section: Fertility

When did [Name of biological child(4)]'s natural [mother/father] leave the household?

 1   SELECT TO ENTER DATE
 2   NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD   ...(Go To Q12-50.4)

Default Next:Q12-47A.4
Lead-In:Q12-44.4 [9:9], Q12-46.4 [1:1]


Q12-47A.4 [Y01955.00]Section: Fertility

INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(4)]'S
NATURAL [mother/father] LEFT THE HOUSEHOLD.

Enter Date:  
MonthYear 

Default Next:Q12-50.4
Lead-In:Q12-47.4 [Default]


Q12-48.4 []Section: Fertility

When did [Name of biological child(4)]'s natural [mother/father] die?

(INTERVIEWER: ENTER MONTH AND YEAR.)

Enter Date:  
MonthYear 

Default Next:Q12-30.5
Lead-In:Q12-46.4 [Default]


Q12-50.4 [Y01956.00]Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(4)]'s [mother/father] live? Is it...

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-51.4
Lead-In:Q12-47.4 [2:2], Q12-47A.4 [Default]


Q12-51.4 [Y01957.00]Section: Fertility

(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(4)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(4)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(4)] seen (his/her) [mother/father]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-30.5)

Default Next:Q12-52.4
Lead-In:Q12-50.4 [Default]


Q12-52.4 [Y01958.00]Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-30.5
Lead-In:Q12-51.4 [Default]


Q12-53.4 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(4)] live? Is it....

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-54.4
Lead-In:Q12-44.4 [Default]


Q12-54.4 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(4)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(4)] has not been living with you, about how often have you seen [Name of biological child(4)]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-55A.4)

Default Next:Q12-55.4
Lead-In:Q12-53.4 [Default]


Q12-55.4 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-55A.4
Lead-In:Q12-54.4 [Default]


Q12-55A.4 []Section: Fertility

Are you contributing money for the child's upbringing now?

 1   Yes
 0   No   ...(Go To Q12-56.4)

Default Next:Q12-55B.4
Lead-In:Q12-54.4 [0:0], Q12-55.4 [Default]


Q12-55B.4 []Section: Fertility

Do you do this on a regular basis or once in a while?

 1   Regular
 2   Once in a while

Default Next:Q12-55C.4
Lead-In:Q12-55A.4 [Default]


Q12-55C.4 []Section: Fertility

How much do you give?

(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT)
ENTER DOLLAR AMOUNT:

Enter Number: 

Default Next:Q12-55D.4
Lead-In:Q12-55B.4 [Default]


Q12-55D.4 []Section: Fertility

Is that per week, per month or per year?

 4   Per Week
 1   Per month
 2   Per year
 3   OTHER (SPECIFY)

Default Next:Q12-56.4
Lead-In:Q12-55C.4 [Default]


Q12-56.4 []Section: Fertility

When did [Name of biological child(4)] last live with you?

 1   SELECT TO ENTER DATE   ...(Go To Q12-57.4)
 0   NEVER LIVED WITH R

Default Next:Q12-30.5
Lead-In:Q12-55A.4 [0:0], Q12-55D.4 [Default]


Q12-57.4 []Section: Fertility

(When did [Name of biological child(4)] last live with you?)

ENTER DATE:

Enter Date:  
MonthYear 

Default Next:Q12-58.4
Lead-In:Q12-56.4 [1:1]


Q12-58.4 []Section: Fertility

(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(4)] did not live with you before that time?

 1   Yes
 0   No
 2   CHILD IS LESS THAN THREE MONTHS OLD

Default Next:Q12-30.5
Lead-In:Q12-57.4 [Default]


Q12-30.5 [Y01959.00]Section: Fertility

CHECK ([Name of biological child(5)])

COMMENT: Check the name field to determine if there is a child to ask about

 1   CONDITION APPLIES   ...(Go To Q12-30C.5)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-74.1
Lead-In:Q12-30C.4 [99:99], Q12-44.4 [5:5], Q12-44.4 [8:8], Q12-45.4 [1:1], Q12-51.4 [0:0], Q12-48.4 [Default], Q12-52.4 [Default], Q12-56.4 [Default], Q12-58.4 [Default]


Q12-30C.5 []Section: Fertility

[[Status of biological child (code)(5)]]

COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question

If Answer = 5 Then Go To
Q12-44.5
If Answer = 8 Then Go To Q12-44.5
If Answer = 99 Then Go To Q12-30.6

Default Next:Q12-30D.5
Lead-In:Q12-30.5 [1:1]


Q12-30D.5 [Y01961.00]Section: Fertility

Where does [Name of biological child(5)] usually live?

 1   IN THIS HOUSEHOLD
 2   WITH (HIS/HER) (FATHER/MOTHER)
 3   WITH OTHER RELATIVES (SPECIFY)
 4   WITH FOSTER CARE
 5   WITH ADOPTIVE PARENTS
 6   LONG TERM CARE INSTITUTION
 7   AWAY AT SCHOOL
 8   DECEASED   ...(Go To Q12-30E.5)
 9   PART-TIME WITH R, PART-TIME WITH OTHER PARENT
 10   PART-TIME WITH R, PART-TIME WITH OTHER PERSON
 11   OTHER (SPECIFY)

Default Next:Q12-44.5
Lead-In:Q12-30C.5 [Default]


Q12-30E.5 []Section: Fertility

When did [Name of biological child(5)] die?

Enter Date:  
MonthYear 

Default Next:Q12-44.5
Lead-In:Q12-30D.5 [8:8]


Q12-44.5 [Y01963.00]Section: Fertility

[[usual residence of biological child(5)]]

COMMENT: skip according to resident status of child

If Answer = 1 Then Go To
Q12-45.5
If Answer = 5 Then Go To Q12-30.6
If Answer = 8 Then Go To Q12-30.6
If Answer = 9 Then Go To Q12-47.5
If Answer = 10 Then Go To Q12-45.5

Default Next:Q12-53.5
Lead-In:Q12-30C.5 [5:5], Q12-30C.5 [8:8], Q12-30D.5 [Default], Q12-30E.5 [Default]


Q12-45.5 [Y01964.00]Section: Fertility

Does [Name of biological child(5)]'s natural [mother/father] live in this household?

 1   Yes   ...(Go To Q12-30.6)
 0   No

Default Next:Q12-46.5
Lead-In:Q12-44.5 [1:1], Q12-44.5 [10:10]


Q12-46.5 [Y01965.00]Section: Fertility

Is [Name of biological child(5)]'s [mother/father] living?

 1   Yes   ...(Go To Q12-47.5)
 0   No

Default Next:Q12-48.5
Lead-In:Q12-45.5 [Default]


Q12-47.5 [Y01966.00]Section: Fertility

When did [Name of biological child(5)]'s natural [mother/father] leave the household?

 1   SELECT TO ENTER DATE
 2   NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD   ...(Go To Q12-50.5)

Default Next:Q12-47A.5
Lead-In:Q12-44.5 [9:9], Q12-46.5 [1:1]


Q12-47A.5 []Section: Fertility

INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(5)]'S
NATURAL [mother/father] LEFT THE HOUSEHOLD.

Enter Date:  
MonthYear 

Default Next:Q12-50.5
Lead-In:Q12-47.5 [Default]


Q12-48.5 []Section: Fertility

When did [Name of biological child(5)]'s natural [mother/father] die?

(INTERVIEWER: ENTER MONTH AND YEAR.)

Enter Date:  
MonthYear 

Default Next:Q12-30.6
Lead-In:Q12-46.5 [Default]


Q12-50.5 [Y01967.00]Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(5)]'s [mother/father] live? Is it...

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-51.5
Lead-In:Q12-47.5 [2:2], Q12-47A.5 [Default]


Q12-51.5 [Y01968.00]Section: Fertility

(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(5)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(5)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(5)] seen (his/her) [mother/father]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-30.6)

Default Next:Q12-52.5
Lead-In:Q12-50.5 [Default]


Q12-52.5 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-30.6
Lead-In:Q12-51.5 [Default]


Q12-53.5 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(5)] live? Is it....

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-54.5
Lead-In:Q12-44.5 [Default]


Q12-54.5 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(5)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(5)] has not been living with you, about how often have you seen [Name of biological child(5)]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-55A.5)

Default Next:Q12-55.5
Lead-In:Q12-53.5 [Default]


Q12-55.5 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-55A.5
Lead-In:Q12-54.5 [Default]


Q12-55A.5 []Section: Fertility

Are you contributing money for the child's upbringing now?

 1   Yes
 0   No   ...(Go To Q12-56.5)

Default Next:Q12-55B.5
Lead-In:Q12-54.5 [0:0], Q12-55.5 [Default]


Q12-55B.5 []Section: Fertility

Do you do this on a regular basis or once in a while?

 1   Regular
 2   Once in a while

Default Next:Q12-55C.5
Lead-In:Q12-55A.5 [Default]


Q12-55C.5 []Section: Fertility

How much do you give?

(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT)
ENTER DOLLAR AMOUNT:

Enter Number: 

Default Next:Q12-55D.5
Lead-In:Q12-55B.5 [Default]


Q12-55D.5 []Section: Fertility

Is that per week, per month or per year?

 4   Per Week
 1   Per month
 2   Per year
 3   OTHER (SPECIFY)

Default Next:Q12-56.5
Lead-In:Q12-55C.5 [Default]


Q12-56.5 []Section: Fertility

When did [Name of biological child(5)] last live with you?

 1   SELECT TO ENTER DATE   ...(Go To Q12-57.5)
 0   NEVER LIVED WITH R

Default Next:Q12-30.6
Lead-In:Q12-55A.5 [0:0], Q12-55D.5 [Default]


Q12-57.5 []Section: Fertility

(When did [Name of biological child(5)] last live with you?)

ENTER DATE:

Enter Date:  
MonthYear 

Default Next:Q12-58.5
Lead-In:Q12-56.5 [1:1]


Q12-58.5 []Section: Fertility

(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(5)] did not live with you before that time?

 1   Yes
 0   No
 2   CHILD IS LESS THAN THREE MONTHS OLD

Default Next:Q12-30.6
Lead-In:Q12-57.5 [Default]


Q12-30.6 [Y01969.00]Section: Fertility

CHECK ([Name of biological child(6)])

COMMENT: Check the name field to determine if there is a child to ask about

 1   CONDITION APPLIES   ...(Go To Q12-30C.6)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-74.1
Lead-In:Q12-30C.5 [99:99], Q12-44.5 [5:5], Q12-44.5 [8:8], Q12-45.5 [1:1], Q12-51.5 [0:0], Q12-48.5 [Default], Q12-52.5 [Default], Q12-56.5 [Default], Q12-58.5 [Default]


Q12-30C.6 []Section: Fertility

[[Status of biological child (code)(6)]]

COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question

If Answer = 5 Then Go To
Q12-44.6
If Answer = 8 Then Go To Q12-44.6
If Answer = 99 Then Go To Q12-30.7

Default Next:Q12-30D.6
Lead-In:Q12-30.6 [1:1]


Q12-30D.6 [Y01971.00]Section: Fertility

Where does [Name of biological child(6)] usually live?

 1   IN THIS HOUSEHOLD
 2   WITH (HIS/HER) (FATHER/MOTHER)
 3   WITH OTHER RELATIVES (SPECIFY)
 4   WITH FOSTER CARE
 5   WITH ADOPTIVE PARENTS
 6   LONG TERM CARE INSTITUTION
 7   AWAY AT SCHOOL
 8   DECEASED   ...(Go To Q12-30E.6)
 9   PART-TIME WITH R, PART-TIME WITH OTHER PARENT
 10   PART-TIME WITH R, PART-TIME WITH OTHER PERSON
 11   OTHER (SPECIFY)

Default Next:Q12-44.6
Lead-In:Q12-30C.6 [Default]


Q12-30E.6 []Section: Fertility

When did [Name of biological child(6)] die?

Enter Date:  
MonthYear 

Default Next:Q12-44.6
Lead-In:Q12-30D.6 [8:8]


Q12-44.6 [Y01973.00]Section: Fertility

[[usual residence of biological child(6)]]

COMMENT: Does first biological child live in household or with another person part time?

If Answer = 1 Then Go To
Q12-45.6
If Answer = 5 Then Go To Q12-30.7
If Answer = 8 Then Go To Q12-30.7
If Answer = 9 Then Go To Q12-47.6
If Answer = 10 Then Go To Q12-45.6

Default Next:Q12-53.6
Lead-In:Q12-30C.6 [5:5], Q12-30C.6 [8:8], Q12-30D.6 [Default], Q12-30E.6 [Default]


Q12-45.6 [Y01974.00]Section: Fertility

Does [Name of biological child(6)]'s natural [mother/father] live in this household?

 1   Yes   ...(Go To Q12-30.7)
 0   No

Default Next:Q12-46.6
Lead-In:Q12-44.6 [1:1], Q12-44.6 [10:10]


Q12-46.6 []Section: Fertility

Is [Name of biological child(6)]'s [mother/father] living?

 1   Yes   ...(Go To Q12-47.6)
 0   No

Default Next:Q12-48.6
Lead-In:Q12-45.6 [Default]


Q12-47.6 []Section: Fertility

When did [Name of biological child(6)]'s natural [mother/father] leave the household?

 1   SELECT TO ENTER DATE
 2   NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD   ...(Go To Q12-50.6)

Default Next:Q12-47A.6
Lead-In:Q12-44.6 [9:9], Q12-46.6 [1:1]


Q12-47A.6 []Section: Fertility

INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(6)]'S
NATURAL [mother/father] LEFT THE HOUSEHOLD.

Enter Date:  
MonthYear 

Default Next:Q12-50.6
Lead-In:Q12-47.6 [Default]


Q12-48.6 []Section: Fertility

When did [Name of biological child(6)]'s natural [mother/father] die?

(INTERVIEWER: ENTER MONTH AND YEAR.)

Enter Date:  
MonthYear 

Default Next:Q12-30.7
Lead-In:Q12-46.6 [Default]


Q12-50.6 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(6)]'s [mother/father] live? Is it...

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-51.6
Lead-In:Q12-47.6 [2:2], Q12-47A.6 [Default]


Q12-51.6 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(6)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(6)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(6)] seen (his/her) [mother/father]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-30.7)

Default Next:Q12-52.6
Lead-In:Q12-50.6 [Default]


Q12-52.6 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-30.7
Lead-In:Q12-51.6 [Default]


Q12-53.6 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(6)] live? Is it....

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-54.6
Lead-In:Q12-44.6 [Default]


Q12-54.6 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(6)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(6)] has not been living with you, about how often have you seen [Name of biological child(6)]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-55A.6)

Default Next:Q12-55.6
Lead-In:Q12-53.6 [Default]


Q12-55.6 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-55A.6
Lead-In:Q12-54.6 [Default]


Q12-55A.6 []Section: Fertility

Are you contributing money for the child's upbringing now?

 1   Yes
 0   No   ...(Go To Q12-56.6)

Default Next:Q12-55B.6
Lead-In:Q12-54.6 [0:0], Q12-55.6 [Default]


Q12-55B.6 []Section: Fertility

Do you do this on a regular basis or once in a while?

 1   Regular
 2   Once in a while

Default Next:Q12-55C.6
Lead-In:Q12-55A.6 [Default]


Q12-55C.6 []Section: Fertility

How much do you give?

(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT)
ENTER DOLLAR AMOUNT:

Enter Number: 

Default Next:Q12-55D.6
Lead-In:Q12-55B.6 [Default]


Q12-55D.6 []Section: Fertility

Is that per week, per month or per year?

 4   Per Week
 1   Per month
 2   Per year
 3   OTHER (SPECIFY)

Default Next:Q12-56.6
Lead-In:Q12-55C.6 [Default]


Q12-56.6 []Section: Fertility

When did [Name of biological child(6)] last live with you?

 1   SELECT TO ENTER DATE   ...(Go To Q12-57.6)
 0   NEVER LIVED WITH R

Default Next:Q12-30.7
Lead-In:Q12-55A.6 [0:0], Q12-55D.6 [Default]


Q12-57.6 []Section: Fertility

(When did [Name of biological child(6)] last live with you?)

ENTER DATE:

Enter Date:  
MonthYear 

Default Next:Q12-58.6
Lead-In:Q12-56.6 [1:1]


Q12-58.6 []Section: Fertility

(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(6)] did not live with you before that time?

 1   Yes
 0   No
 2   CHILD IS LESS THAN THREE MONTHS OLD

Default Next:Q12-30.7
Lead-In:Q12-57.6 [Default]


Q12-30.7 [Y01975.00]Section: Fertility

CHECK ([Name of biological child(7)])

COMMENT: Check the name field to determine if there is a child to ask about

 1   CONDITION APPLIES   ...(Go To Q12-30C.7)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-74.1
Lead-In:Q12-30C.6 [99:99], Q12-44.6 [5:5], Q12-44.6 [8:8], Q12-45.6 [1:1], Q12-51.6 [0:0], Q12-48.6 [Default], Q12-52.6 [Default], Q12-56.6 [Default], Q12-58.6 [Default]


Q12-30C.7 []Section: Fertility

[[Status of biological child (code)(7)]]

COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question

If Answer = 5 Then Go To
Q12-44.7
If Answer = 8 Then Go To Q12-44.7
If Answer = 99 Then Go To Q12-30.8

Default Next:Q12-30D.7
Lead-In:Q12-30.7 [1:1]


Q12-30D.7 []Section: Fertility

Where does [Name of biological child(7)] usually live?

 1   IN THIS HOUSEHOLD
 2   WITH (HIS/HER) (FATHER/MOTHER)
 3   WITH OTHER RELATIVES (SPECIFY)
 4   WITH FOSTER CARE
 5   WITH ADOPTIVE PARENTS
 6   LONG TERM CARE INSTITUTION
 7   AWAY AT SCHOOL
 8   DECEASED   ...(Go To Q12-30E.7)
 9   PART-TIME WITH R, PART-TIME WITH OTHER PARENT
 10   PART-TIME WITH R, PART-TIME WITH OTHER PERSON
 11   OTHER (SPECIFY)

Default Next:Q12-44.7
Lead-In:Q12-30C.7 [Default]


Q12-30E.7 []Section: Fertility

When did [Name of biological child(7)] die?

Enter Date:  
MonthYear 

Default Next:Q12-44.7
Lead-In:Q12-30D.7 [8:8]


Q12-44.7 []Section: Fertility

[[usual residence of biological child(7)]]

COMMENT: skip according to resident status of child

If Answer = 1 Then Go To
Q12-45.7
If Answer = 5 Then Go To Q12-30.8
If Answer = 8 Then Go To Q12-30.8
If Answer = 9 Then Go To Q12-47.7
If Answer = 10 Then Go To Q12-45.7

Default Next:Q12-53.7
Lead-In:Q12-30C.7 [5:5], Q12-30C.7 [8:8], Q12-30D.7 [Default], Q12-30E.7 [Default]


Q12-45.7 []Section: Fertility

Does [Name of biological child(7)]'s natural [mother/father] live in this household?

 1   Yes   ...(Go To Q12-30.8)
 0   No

Default Next:Q12-46.7
Lead-In:Q12-44.7 [1:1], Q12-44.7 [10:10]


Q12-46.7 []Section: Fertility

Is [Name of biological child(7)]'s [mother/father] living?

 1   Yes   ...(Go To Q12-47.7)
 0   No

Default Next:Q12-48.7
Lead-In:Q12-45.7 [Default]


Q12-47.7 []Section: Fertility

When did [Name of biological child(7)]'s natural [mother/father] leave the household?

 1   SELECT TO ENTER DATE
 2   NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD   ...(Go To Q12-50.7)

Default Next:Q12-47A.7
Lead-In:Q12-44.7 [9:9], Q12-46.7 [1:1]


Q12-47A.7 []Section: Fertility

INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(7)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.

Enter Date:  
MonthYear 

Default Next:Q12-50.7
Lead-In:Q12-47.7 [Default]


Q12-48.7 []Section: Fertility

When did [Name of biological child(7)]'s natural [mother/father] die?

(INTERVIEWER: ENTER MONTH AND YEAR.)

Enter Date:  
MonthYear 

Default Next:Q12-30.8
Lead-In:Q12-46.7 [Default]


Q12-50.7 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(7)]'s [mother/father] live? Is it...

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-51.7
Lead-In:Q12-47.7 [2:2], Q12-47A.7 [Default]


Q12-51.7 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(7)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(7)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(7)] seen (his/her) [mother/father]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-30.8)

Default Next:Q12-52.7
Lead-In:Q12-50.7 [Default]


Q12-52.7 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-30.8
Lead-In:Q12-51.7 [Default]


Q12-53.7 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(7)] live? Is it....

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-54.7
Lead-In:Q12-44.7 [Default]


Q12-54.7 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(7)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(7)] has not been living with you, about how often have you seen [Name of biological child(7)]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-55A.7)

Default Next:Q12-55.7
Lead-In:Q12-53.7 [Default]


Q12-55.7 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-55A.7
Lead-In:Q12-54.7 [Default]


Q12-55A.7 []Section: Fertility

Are you contributing money for the child's upbringing now?

 1   Yes
 0   No   ...(Go To Q12-56.7)

Default Next:Q12-55B.7
Lead-In:Q12-54.7 [0:0], Q12-55.7 [Default]


Q12-55B.7 []Section: Fertility

Do you do this on a regular basis or once in a while?

 1   Regular
 2   Once in a while

Default Next:Q12-55C.7
Lead-In:Q12-55A.7 [Default]


Q12-55C.7 []Section: Fertility

How much do you give?

(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT)
ENTER DOLLAR AMOUNT:

Enter Number: 

Default Next:Q12-55D.7
Lead-In:Q12-55B.7 [Default]


Q12-55D.7 []Section: Fertility

Is that per week, per month or per year?

 4   Per Week
 1   Per month
 2   Per year
 3   OTHER (SPECIFY)

Default Next:Q12-56.7
Lead-In:Q12-55C.7 [Default]


Q12-56.7 []Section: Fertility

When did [Name of biological child(7)] last live with you?

 1   SELECT TO ENTER DATE   ...(Go To Q12-57.7)
 0   NEVER LIVED WITH R

Default Next:Q12-30.8
Lead-In:Q12-55A.7 [0:0], Q12-55D.7 [Default]


Q12-57.7 []Section: Fertility

(When did [Name of biological child(7)] last live with you?)

ENTER DATE:

Enter Date:  
MonthYear 

Default Next:Q12-58.7
Lead-In:Q12-56.7 [1:1]


Q12-58.7 []Section: Fertility

(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(7)] did not live with you before that time?

 1   Yes
 0   No
 2   CHILD IS LESS THAN THREE MONTHS OLD

Default Next:Q12-30.8
Lead-In:Q12-57.7 [Default]


Q12-30.8 []Section: Fertility

CHECK ([Name of biological child(8)])

COMMENT: Check the name field to determine if there is a child to ask about

If Answer = 1 Then Go To
Q12-30C.8

Default Next:Q12-74.1
Lead-In:Q12-30C.7 [99:99], Q12-44.7 [5:5], Q12-44.7 [8:8], Q12-45.7 [1:1], Q12-51.7 [0:0], Q12-48.7 [Default], Q12-52.7 [Default], Q12-56.7 [Default], Q12-58.7 [Default]


Q12-30C.8 []Section: Fertility

[[Status of biological child (code)(8)]]

COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question

If Answer = 5 Then Go To
Q12-44.8
If Answer = 8 Then Go To Q12-44.8
If Answer = 99 Then Go To Q12-30.9

Default Next:Q12-30D.8
Lead-In:Q12-30.8 [1:1]


Q12-30D.8 []Section: Fertility

Where does [Name of biological child(8)] usually live?

 1   IN THIS HOUSEHOLD
 2   WITH (HIS/HER) (FATHER/MOTHER)
 3   WITH OTHER RELATIVES (SPECIFY)
 4   WITH FOSTER CARE
 5   WITH ADOPTIVE PARENTS
 6   LONG TERM CARE INSTITUTION
 7   AWAY AT SCHOOL
 8   DECEASED   ...(Go To Q12-30E.8)
 9   PART-TIME WITH R, PART-TIME WITH OTHER PARENT
 10   PART-TIME WITH R, PART-TIME WITH OTHER PERSON
 11   OTHER (SPECIFY)

Default Next:Q12-44.8
Lead-In:Q12-30C.8 [Default]


Q12-30E.8 []Section: Fertility

When did [Name of biological child(8)] die?

Enter Date:  
MonthYear 

Default Next:Q12-44.8
Lead-In:Q12-30D.8 [8:8]


Q12-44.8 []Section: Fertility

[[usual residence of biological child(8)]]

COMMENT: skip according to resident status of child

If Answer = 1 Then Go To
Q12-45.8
If Answer = 5 Then Go To Q12-30.9
If Answer = 8 Then Go To Q12-30.9
If Answer = 9 Then Go To Q12-47.8
If Answer = 10 Then Go To Q12-45.8

Default Next:Q12-53.8
Lead-In:Q12-30C.8 [5:5], Q12-30C.8 [8:8], Q12-30D.8 [Default], Q12-30E.8 [Default]


Q12-45.8 []Section: Fertility

Does [Name of biological child(8)]'s natural [mother/father] live in this household?

 1   Yes   ...(Go To Q12-30.9)
 0   No

Default Next:Q12-46.8
Lead-In:Q12-44.8 [1:1], Q12-44.8 [10:10]


Q12-46.8 []Section: Fertility

Is [Name of biological child(8)]'s [mother/father] living?

 1   Yes   ...(Go To Q12-47.8)
 0   No

Default Next:Q12-48.8
Lead-In:Q12-45.8 [Default]


Q12-47.8 []Section: Fertility

When did [Name of biological child(8)]'s natural [mother/father] leave the household?

 1   SELECT TO ENTER DATE
 2   NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD   ...(Go To Q12-50.8)

Default Next:Q12-47A.8
Lead-In:Q12-44.8 [9:9], Q12-46.8 [1:1]


Q12-47A.8 []Section: Fertility

INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(8)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.

Enter Date:  
MonthYear 

Default Next:Q12-50.8
Lead-In:Q12-47.8 [Default]


Q12-48.8 []Section: Fertility

When did [Name of biological child(8)]'s natural [mother/father] die?

(INTERVIEWER: ENTER MONTH AND YEAR.)

Enter Date:  
MonthYear 

Default Next:Q12-30.9
Lead-In:Q12-46.8 [Default]


Q12-50.8 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(8)]'s [mother/father] live? Is it...

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-51.8
Lead-In:Q12-47.8 [2:2], Q12-47A.8 [Default]


Q12-51.8 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(8)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(8)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(8)] seen (his/her) [mother/father]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-30.9)

Default Next:Q12-52.8
Lead-In:Q12-50.8 [Default]


Q12-52.8 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-30.9
Lead-In:Q12-51.8 [Default]


Q12-53.8 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(8)] live? Is it....

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-54.8
Lead-In:Q12-44.8 [Default]


Q12-54.8 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(8)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(8)] has not been living with you, about how often have you seen [Name of biological child(8)]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-55A.8)

Default Next:Q12-55.8
Lead-In:Q12-53.8 [Default]


Q12-55.8 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-55A.8
Lead-In:Q12-54.8 [Default]


Q12-55A.8 []Section: Fertility

Are you contributing money for the child's upbringing now?

 1   Yes
 0   No   ...(Go To Q12-56.8)

Default Next:Q12-55B.8
Lead-In:Q12-54.8 [0:0], Q12-55.8 [Default]


Q12-55B.8 []Section: Fertility

Do you do this on a regular basis or once in a while?

 1   Regular
 2   Once in a while

Default Next:Q12-55C.8
Lead-In:Q12-55A.8 [Default]


Q12-55C.8 []Section: Fertility

How much do you give?

(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT)
ENTER DOLLAR AMOUNT:

Enter Number: 

Default Next:Q12-55D.8
Lead-In:Q12-55B.8 [Default]


Q12-55D.8 []Section: Fertility

Is that per week, per month or per year?

 4   Per Week
 1   Per month
 2   Per year
 3   OTHER (SPECIFY)

Default Next:Q12-56.8
Lead-In:Q12-55C.8 [Default]


Q12-56.8 []Section: Fertility

When did [Name of biological child(8)] last live with you?

 1   SELECT TO ENTER DATE   ...(Go To Q12-57.8)
 0   NEVER LIVED WITH R

Default Next:Q12-30.9
Lead-In:Q12-55A.8 [0:0], Q12-55D.8 [Default]


Q12-57.8 []Section: Fertility

(When did [Name of biological child(8)] last live with you?)

ENTER DATE:

Enter Date:  
MonthYear 

Default Next:Q12-58.8
Lead-In:Q12-56.8 [1:1]


Q12-58.8 []Section: Fertility

(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(8)] did not live with you before that time?

 1   Yes
 0   No
 2   CHILD IS LESS THAN THREE MONTHS OLD

Default Next:Q12-30.9
Lead-In:Q12-57.8 [Default]


Q12-30.9 []Section: Fertility

CHECK ([Name of biological child(9)])

COMMENT: Check the name field to determine if there is a child to ask about

If Answer = 1 Then Go To
Q12-30C.9

Default Next:Q12-74.1
Lead-In:Q12-30C.8 [99:99], Q12-44.8 [5:5], Q12-44.8 [8:8], Q12-45.8 [1:1], Q12-51.8 [0:0], Q12-48.8 [Default], Q12-52.8 [Default], Q12-56.8 [Default], Q12-58.8 [Default]


Q12-30C.9 []Section: Fertility

[[Status of biological child (code)(9)]]

COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question

If Answer = 5 Then Go To
Q12-44.9
If Answer = 8 Then Go To Q12-44.9
If Answer = 99 Then Go To Q12-30.10

Default Next:Q12-30D.9
Lead-In:Q12-30.9 [1:1]


Q12-30D.9 []Section: Fertility

Where does [Name of biological child(9)] usually live?

 1   IN THIS HOUSEHOLD
 2   WITH (HIS/HER) (FATHER/MOTHER)
 3   WITH OTHER RELATIVES (SPECIFY)
 4   WITH FOSTER CARE
 5   WITH ADOPTIVE PARENTS
 6   LONG TERM CARE INSTITUTION
 7   AWAY AT SCHOOL
 8   DECEASED   ...(Go To Q12-30E.9)
 9   PART-TIME WITH R, PART-TIME WITH OTHER PARENT
 10   PART-TIME WITH R, PART-TIME WITH OTHER PERSON
 11   OTHER (SPECIFY)

Default Next:Q12-44.9
Lead-In:Q12-30C.9 [Default]


Q12-30E.9 []Section: Fertility

When did [Name of biological child(9)] die?

Enter Date:  
MonthYear 

Default Next:Q12-44.9
Lead-In:Q12-30D.9 [8:8]


Q12-44.9 []Section: Fertility

[[usual residence of biological child(9)]]

COMMENT: skip according to resident status of child

If Answer = 1 Then Go To
Q12-45.9
If Answer = 5 Then Go To Q12-30.10
If Answer = 8 Then Go To Q12-30.10
If Answer = 9 Then Go To Q12-47.9
If Answer = 10 Then Go To Q12-45.9

Default Next:Q12-53.9
Lead-In:Q12-30C.9 [5:5], Q12-30C.9 [8:8], Q12-30D.9 [Default], Q12-30E.9 [Default]


Q12-45.9 []Section: Fertility

Does [Name of biological child(9)]'s natural [mother/father] live in this household?

 1   Yes   ...(Go To Q12-30.10)
 0   No

Default Next:Q12-46.9
Lead-In:Q12-44.9 [1:1], Q12-44.9 [10:10]


Q12-46.9 []Section: Fertility

Is [Name of biological child(9)]'s [mother/father] living?

 1   Yes   ...(Go To Q12-47.9)
 0   No

Default Next:Q12-48.9
Lead-In:Q12-45.9 [Default]


Q12-47.9 []Section: Fertility

When did [Name of biological child(9)]'s natural [mother/father] leave the household?

 1   SELECT TO ENTER DATE
 2   NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD   ...(Go To Q12-50.9)

Default Next:Q12-47A.9
Lead-In:Q12-44.9 [9:9], Q12-46.9 [1:1]


Q12-47A.9 []Section: Fertility

INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(9)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.

Enter Date:  
MonthYear 

Default Next:Q12-50.9
Lead-In:Q12-47.9 [Default]


Q12-48.9 []Section: Fertility

When did [Name of biological child(9)]'s natural [mother/father] die?

(INTERVIEWER: ENTER MONTH AND YEAR.)

Enter Date:  
MonthYear 

Default Next:Q12-30.10
Lead-In:Q12-46.9 [Default]


Q12-50.9 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(9)]'s [mother/father] live? Is it...

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-51.9
Lead-In:Q12-47.9 [2:2], Q12-47A.9 [Default]


Q12-51.9 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(9)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(9)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(9)] seen (his/her) [mother/father]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-30.10)

Default Next:Q12-52.9
Lead-In:Q12-50.9 [Default]


Q12-52.9 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-30.10
Lead-In:Q12-51.9 [Default]


Q12-53.9 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(9)] live? Is it....

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-54.9
Lead-In:Q12-44.9 [Default]


Q12-54.9 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(9)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(9)] has not been living with you, about how often have you seen [Name of biological child(9)]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-55A.9)

Default Next:Q12-55.9
Lead-In:Q12-53.9 [Default]


Q12-55.9 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-55A.9
Lead-In:Q12-54.9 [Default]


Q12-55A.9 []Section: Fertility

Are you contributing money for the child's upbringing now?

 1   Yes
 0   No   ...(Go To Q12-56.9)

Default Next:Q12-55B.9
Lead-In:Q12-54.9 [0:0], Q12-55.9 [Default]


Q12-55B.9 []Section: Fertility

Do you do this on a regular basis or once in a while?

 1   Regular
 2   Once in a while

Default Next:Q12-55C.9
Lead-In:Q12-55A.9 [Default]


Q12-55C.9 []Section: Fertility

How much do you give?

(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT)
ENTER DOLLAR AMOUNT:

Enter Number: 

Default Next:Q12-55D.9
Lead-In:Q12-55B.9 [Default]


Q12-55D.9 []Section: Fertility

Is that per week, per month or per year?

 4   Per Week
 1   Per month
 2   Per year
 3   OTHER (SPECIFY)

Default Next:Q12-56.9
Lead-In:Q12-55C.9 [Default]


Q12-56.9 []Section: Fertility

When did [Name of biological child(9)] last live with you?

 1   SELECT TO ENTER DATE   ...(Go To Q12-57.9)
 0   NEVER LIVED WITH R

Default Next:Q12-30.10
Lead-In:Q12-55A.9 [0:0], Q12-55D.9 [Default]


Q12-57.9 []Section: Fertility

(When did [Name of biological child(9)] last live with you?)

ENTER DATE:

Enter Date:  
MonthYear 

Default Next:Q12-58.9
Lead-In:Q12-56.9 [1:1]


Q12-58.9 []Section: Fertility

(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(9)] did not live with you before that time?

 1   Yes
 0   No
 2   CHILD IS LESS THAN THREE MONTHS OLD

Default Next:Q12-30.10
Lead-In:Q12-57.9 [Default]


Q12-30.10 []Section: Fertility

CHECK ([Name of biological child(10)])

COMMENT: Check the name field to determine if there is a child to ask about

If Answer = 1 Then Go To
Q12-30C.10

Default Next:Q12-74.1
Lead-In:Q12-30C.9 [99:99], Q12-44.9 [5:5], Q12-44.9 [8:8], Q12-45.9 [1:1], Q12-51.9 [0:0], Q12-48.9 [Default], Q12-52.9 [Default], Q12-56.9 [Default], Q12-58.9 [Default]


Q12-30C.10 []Section: Fertility

[[Status of biological child (code)(10)]]

COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question

If Answer = 5 Then Go To
Q12-44.10
If Answer = 8 Then Go To Q12-44.10
If Answer = 99 Then Go To Q12-74.1

Default Next:Q12-30D.10
Lead-In:Q12-30.10 [1:1]


Q12-30D.10 []Section: Fertility

Where does [Name of biological child(10)] usually live?

 1   IN THIS HOUSEHOLD
 2   WITH (HIS/HER) (FATHER/MOTHER)
 3   WITH OTHER RELATIVES (SPECIFY)
 4   WITH FOSTER CARE
 5   WITH ADOPTIVE PARENTS
 6   LONG TERM CARE INSTITUTION
 7   AWAY AT SCHOOL
 8   DECEASED   ...(Go To Q12-30E.10)
 9   PART-TIME WITH R, PART-TIME WITH OTHER PARENT
 10   PART-TIME WITH R, PART-TIME WITH OTHER PERSON
 11   OTHER (SPECIFY)

Default Next:Q12-44.10
Lead-In:Q12-30C.10 [Default]


Q12-30E.10 []Section: Fertility

When did [Name of biological child(10)] die?

Enter Date:  
MonthYear 

Default Next:Q12-44.10
Lead-In:Q12-30D.10 [8:8]


Q12-44.10 []Section: Fertility

[[usual residence of biological child(10)]]

COMMENT: skip according to resident status of child

If Answer = 1 Then Go To
Q12-45.10
If Answer = 5 Then Go To Q12-74.1
If Answer = 8 Then Go To Q12-74.1
If Answer = 9 Then Go To Q12-47.10
If Answer = 10 Then Go To Q12-45.10

Default Next:Q12-53.10
Lead-In:Q12-30C.10 [5:5], Q12-30C.10 [8:8], Q12-30D.10 [Default], Q12-30E.10 [Default]


Q12-45.10 []Section: Fertility

Does [Name of biological child(10)]'s natural [mother/father] live in this household?

 1   Yes   ...(Go To Q12-74.1)
 0   No

Default Next:Q12-46.10
Lead-In:Q12-44.10 [1:1], Q12-44.10 [10:10]


Q12-46.10 []Section: Fertility

Is [Name of biological child(10)]'s [mother/father] living?

 1   Yes   ...(Go To Q12-47.10)
 0   No

Default Next:Q12-48.10
Lead-In:Q12-45.10 [Default]


Q12-47.10 []Section: Fertility

When did [Name of biological child(10)]'s natural [mother/father] leave the household?

 1   SELECT TO ENTER DATE
 2   NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD   ...(Go To Q12-50.10)

Default Next:Q12-47A.10
Lead-In:Q12-44.10 [9:9], Q12-46.10 [1:1]


Q12-47A.10 []Section: Fertility

INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(10)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.

Enter Date:  
MonthYear 

Default Next:Q12-50.10
Lead-In:Q12-47.10 [Default]


Q12-48.10 []Section: Fertility

When did [Name of biological child(10)]'s natural [mother/father] die?

(INTERVIEWER: ENTER MONTH AND YEAR.)

Enter Date:  
MonthYear 

Default Next:Q12-74.1
Lead-In:Q12-46.10 [Default]


Q12-50.10 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(10)]'s [mother/father] live? Is it...

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-51.10
Lead-In:Q12-47.10 [2:2], Q12-47A.10 [Default]


Q12-51.10 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(10)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(10)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(10)] seen (his/her) [mother/father]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-74.1)

Default Next:Q12-52.10
Lead-In:Q12-50.10 [Default]


Q12-52.10 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-74.1
Lead-In:Q12-51.10 [Default]


Q12-53.10 []Section: Fertility

(HAND CARD AA) About how far from you does [Name of biological child(10)] live? Is it....

 1   Within 1 mile
 2   1-10 Miles
 3   11-100 Miles
 4   101-200 Miles
 5   More than 200 Miles

Default Next:Q12-54.10
Lead-In:Q12-44.10 [Default]


Q12-54.10 []Section: Fertility

(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(10)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(10)] has not been living with you, about how often have you seen [Name of biological child(10)]?

 1   Almost every day
 2   2-5 times a week
 3   About once a week
 4   1-3 times a month
 5   7-11 times in past 12 months
 6   2-6 times in past 12 months
 7   Once in past 12 months
 0   Never   ...(Go To Q12-55A.10)

Default Next:Q12-55.10
Lead-In:Q12-53.10 [Default]


Q12-55.10 []Section: Fertility

How long do these visits usually last?

(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)

Enter Number: 

Default Next:Q12-55A.10
Lead-In:Q12-54.10 [Default]


Q12-55A.10 []Section: Fertility

Are you contributing money for the child's upbringing now?

 1   Yes
 0   No   ...(Go To Q12-56.10)

Default Next:Q12-55B.10
Lead-In:Q12-54.10 [0:0], Q12-55.10 [Default]


Q12-55B.10 []Section: Fertility

Do you do this on a regular basis or once in a while?

 1   Regular
 2   Once in a while

Default Next:Q12-55C.10
Lead-In:Q12-55A.10 [Default]


Q12-55C.10 []Section: Fertility

How much do you give?

(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT)
ENTER DOLLAR AMOUNT:

Enter Number: 

Default Next:Q12-55D.10
Lead-In:Q12-55B.10 [Default]


Q12-55D.10 []Section: Fertility

Is that per week, per month or per year?

 4   Per Week
 1   Per month
 2   Per year
 3   OTHER (SPECIFY)

Default Next:Q12-56.10
Lead-In:Q12-55C.10 [Default]


Q12-56.10 []Section: Fertility

When did [Name of biological child(10)] last live with you?

 1   SELECT TO ENTER DATE   ...(Go To Q12-57.10)
 0   NEVER LIVED WITH R

Default Next:Q12-74.1
Lead-In:Q12-55A.10 [0:0], Q12-55D.10 [Default]


Q12-57.10 []Section: Fertility

(When did [Name of biological child(10)] last live with you?)

ENTER DATE:

Enter Date:  
MonthYear 

Default Next:Q12-58.10
Lead-In:Q12-56.10 [1:1]


Q12-58.10 []Section: Fertility

(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(10)] did not live with you before that time?

 1   Yes
 0   No
 2   CHILD IS LESS THAN THREE MONTHS OLD

Default Next:Q12-74.1
Lead-In:Q12-57.10 [Default]


Q12-74.1 [Y01976.00]Section: Fertility

Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]

(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS FIRST BORN.)

Default Next:Q12-76A.1
Lead-In:Q12-30C.10 [99:99], Q12-44.10 [5:5], Q12-44.10 [8:8], Q12-45.10 [1:1], Q12-51.10 [0:0], Q12-30.2 [Default], Q12-30.3 [Default], Q12-30.4 [Default], Q12-30.5 [Default], Q12-30.6 [Default], Q12-30.7 [Default], Q12-30.8 [Default], Q12-30.9 [Default], Q12-30.10 [Default], Q12-48.10 [Default], Q12-52.10 [Default], Q12-56.10 [Default], Q12-58.10 [Default]


Q12-76A.1 [Y01977.00]Section: Fertility

[[Gender of the respondent]]

COMMENT: check gender

If Answer = 1 Then Go To
Q12-78M.1

Default Next:Q12-77F.1
Lead-In:Q12-74.1 [Default]


Q12-77F.1 [Y01978.00]Section: Fertility

When did you become pregnant with [Name of child from pregnancy 1]? What month and year?

Enter Date:  
MonthYear 

Default Next:Q12-78F.1
Lead-In:Q12-76A.1 [Default]


Q12-78F.1 [Y01979.00]Section: Fertility

(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy 1], did you use any methods such as the ones listed on this card to keep from getting pregnant?

 1   Yes
 0   No   ...(Go To Q12-80F.1)

Default Next:Q12-79F.1
Lead-In:Q12-77F.1 [Default]


Q12-79F.1 [Y01980.00]Section: Fertility

Had you stopped all methods before you became pregnant?

 1   Yes   ...(Go To Q12-80F.1)
 0   No

Default Next:Q12-81F.1
Lead-In:Q12-78F.1 [Default]


Q12-80F.1 [Y01981.00]Section: Fertility

Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?

 1   Yes   ...(Go To Q12-82F.1)
 0   No

Default Next:Q12-81F.1
Lead-In:Q12-78F.1 [0:0], Q12-79F.1 [1:1]


Q12-81F.1 [Y01982.00]Section: Fertility

Just before you became pregnant that time, did you want to become pregnant when you did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82F.1
Lead-In:Q12-79F.1 [Default], Q12-80F.1 [Default]


Q12-82F.1 [Y01983.00]Section: Fertility

And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby? (IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82N.1
Lead-In:Q12-80F.1 [1:1], Q12-81F.1 [Default]


Q12-78M.1 [Y01984.00]Section: Fertility

(HAND CARD CC) Just before [Name of child from pregnancy 1]'s mother became pregnant with [Name of child from pregnancy 1], did you use any methods such as the ones listed on this card to keep from getting pregnant?

 1   Yes
 0   No   ...(Go To Q12-80M.1)

Default Next:Q12-79M.1
Lead-In:Q12-76A.1 [1:1]


Q12-79M.1 [Y01985.00]Section: Fertility

Had you stopped all methods before [Name of child from pregnancy 1]'s mother became pregnant?

 1   Yes   ...(Go To Q12-80M.1)
 0   No

Default Next:Q12-81M.1
Lead-In:Q12-78M.1 [Default]


Q12-80M.1 [Y01986.00]Section: Fertility

Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy 1]'s mother to become pregnant?

 1   Yes   ...(Go To Q12-82M.1)
 0   No

Default Next:Q12-81M.1
Lead-In:Q12-78M.1 [0:0], Q12-79M.1 [1:1]


Q12-81M.1 [Y01987.00]Section: Fertility

Just before [Name of child from pregnancy 1]'s mother became pregnant that time, did you want her to become pregnant when she did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82M.1
Lead-In:Q12-79M.1 [Default], Q12-80M.1 [Default]


Q12-82M.1 [Y01988.00]Section: Fertility

And what about [Name of child from pregnancy 1]'s mother when she became pregnant that time -- did she want to have (a/another) baby?
(IF NO, PROBE: ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82N.1
Lead-In:Q12-80M.1 [1:1], Q12-81M.1 [Default]


Q12-82N.1 [Y01989.00]Section: Fertility

([[Gender of the respondent]]=1)

COMMENT: check if male

 1   CONDITION APPLIES   ...(Go To Q12-157BA.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-83.1
Lead-In:Q12-82F.1 [Default], Q12-82M.1 [Default]


Q12-83.1 [Y01990.00]Section: Fertility

During your pregnancy with [Name of child from pregnancy 1], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?

 1   Yes   ...(Go To Q12-84.1)
 0   No

Default Next:Q12-85.1
Lead-In:Q12-82N.1 [Default]


Q12-84.1 [Y01991.00]Section: Fertility

When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?

(ENTER MONTH NUMBER)

Enter Number: 

Default Next:Q12-85.1
Lead-In:Q12-83.1 [1:1]


Q12-85.1 [Y01992.00]Section: Fertility

Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy 1] was born?

 1   Yes   ...(Go To Q12-86.1)
 0   No

Default Next:Q12-87.1
Lead-In:Q12-83.1 [Default], Q12-84.1 [Default]


Q12-86.1 [Y01993.00]Section: Fertility

(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-87.1
Lead-In:Q12-85.1 [1:1]


Q12-87.1 [Y01994.00]Section: Fertility

Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 1] was born?

 1   Yes   ...(Go To Q12-88.1)
 0   No

Default Next:Q12-89.1
Lead-In:Q12-85.1 [Default], Q12-86.1 [Default]


Q12-88.1 [Y01995.00]Section: Fertility

On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?

 3   2 or more packs a day
 2   1 or more but less than 2
 1   Less than 1 pack a day
 0   (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD

Default Next:Q12-89.1
Lead-In:Q12-87.1 [1:1]


Q12-89.1 [Y01996.00]Section: Fertility

Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 1] was born?

 1   Yes   ...(Go To Q12-90.1)
 0   No

Default Next:Q12-91.1
Lead-In:Q12-87.1 [Default], Q12-88.1 [Default]


Q12-90.1 [Y01997.00]Section: Fertility

(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-91.1
Lead-In:Q12-89.1 [1:1]


Q12-91.1 [Y01998.00]Section: Fertility

Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 1] was born?

 1   Yes   ...(Go To Q12-92.1)
 0   No

Default Next:Q12-93.1
Lead-In:Q12-89.1 [Default], Q12-90.1 [Default]


Q12-92.1 []Section: Fertility

(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-93.1
Lead-In:Q12-91.1 [1:1]


Q12-93.1 [Y01999.00]Section: Fertility

During (your/that) pregnancy, did you take a vitamin/mineral supplement?

 1   Yes
 0   No

Default Next:Q12-94.1
Lead-In:Q12-91.1 [Default], Q12-92.1 [Default]


Q12-94.1 [Y02000.00]Section: Fertility

During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?

 1   Yes
 0   No

Default Next:Q12-95.1
Lead-In:Q12-93.1 [Default]


Q12-95.1 [Y02001.00]Section: Fertility

During (your/that) pregnancy, did you cut down on the amount of salt you used?

 1   Yes
 0   No

Default Next:Q12-96.1
Lead-In:Q12-94.1 [Default]


Q12-96.1 [Y02002.00]Section: Fertility

During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?

 1   Yes
 0   No

Default Next:Q12-97.1
Lead-In:Q12-95.1 [Default]


Q12-97.1 [Y02003.00]Section: Fertility

During (your/that) pregnancy, did you reduce or stop your smoking?

 1   Yes
 0   No
 4   N/A

Default Next:Q12-98.1
Lead-In:Q12-96.1 [Default]


Q12-98.1 [Y02004.00]Section: Fertility

During (your/that) pregnancy, did you reduce or stop your alcohol intake?

 1   Yes
 0   No
 4   N/A

Default Next:Q12-99A.1
Lead-In:Q12-97.1 [Default]


Q12-99A.1 [Y02005.00]Section: Fertility

([Q12-93.1]=1)

COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-99B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-100A.1
Lead-In:Q12-98.1 [Default]


Q12-99B.1 [Y02006.00]Section: Fertility

Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-100A.1
Lead-In:Q12-99A.1 [1:1]


Q12-100A.1 [Y02007.00]Section: Fertility

([Q12-94.1]=1)

COMMENT: Did R cut down on the amount of calories his/her food during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-100B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-101A.1
Lead-In:Q12-99A.1 [Default], Q12-99B.1 [Default]


Q12-100B.1 [Y02008.00]Section: Fertility

Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-101A.1
Lead-In:Q12-100A.1 [1:1]


Q12-101A.1 [Y02009.00]Section: Fertility

([Q12-95.1]=1)

COMMENT: Did R cut down on the amount of salt he/she used during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-101B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-102A.1
Lead-In:Q12-100A.1 [Default], Q12-100B.1 [Default]


Q12-101B.1 [Y02010.00]Section: Fertility

Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-102A.1
Lead-In:Q12-101A.1 [1:1]


Q12-102A.1 [Y02011.00]Section: Fertility

([Q12-96.1]=1)

COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-102B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-103A.1
Lead-In:Q12-101A.1 [Default], Q12-101B.1 [Default]


Q12-102B.1 [Y02012.00]Section: Fertility

Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-103A.1
Lead-In:Q12-102A.1 [1:1]


Q12-103A.1 [Y02013.00]Section: Fertility

([Q12-97.1]=1)

COMMENT: Did R reduce or stop his/her smoking during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-103B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-104A.1
Lead-In:Q12-102A.1 [Default], Q12-102B.1 [Default]


Q12-103B.1 [Y02014.00]Section: Fertility

Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-104A.1
Lead-In:Q12-103A.1 [1:1]


Q12-104A.1 [Y02015.00]Section: Fertility

([Q12-98.1]=1)

COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-104B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-105.1
Lead-In:Q12-103A.1 [Default], Q12-103B.1 [Default]


Q12-104B.1 [Y02016.00]Section: Fertility

Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-105.1
Lead-In:Q12-104A.1 [1:1]


Q12-105.1 [Y02017.00]Section: Fertility

Based on either your last menstrual period date or your doctor's or clinic's information, was [Name of child from pregnancy 1] born within one week of the expected (due) date?

 1   Yes
 0   No   ...(Go To Q12-106A.1)

Default Next:Q12-107.1
Lead-In:Q12-104A.1 [Default], Q12-104B.1 [Default]


Q12-106A.1 [Y02018.00]Section: Fertility

Was the baby born early or late?

 1   Early
 2   Late

Default Next:Q12-106B.1
Lead-In:Q12-105.1 [0:0]


Q12-106B.1 [Y02019.00]Section: Fertility

How many weeks [early/late] was the baby?

(IF "1 1/2 WEEKS" ROUND UP TO "2".)

Enter Number: 

Default Next:Q12-107.1
Lead-In:Q12-106A.1 [Default]


Q12-107.1 [Y02020.00]Section: Fertility

Was a cesarean section done?
(IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?

 1   Yes   ...(Go To Q12-108.1)
 0   No

Default Next:Q12-109.1
Lead-In:Q12-105.1 [Default], Q12-106B.1 [Default]


Q12-108.1 [Y02021.00]Section: Fertility

Was this your first cesarean section, or did you have one before?

 1   First cesarean
 0   Had cesarean(s) before

Default Next:Q12-109.1
Lead-In:Q12-107.1 [1:1]


Q12-109.1 [Y02022.00]Section: Fertility

What was your weight just before you delivered?

Enter Number: 

Default Next:Q12-110.1
Lead-In:Q12-107.1 [Default], Q12-108.1 [Default]


Q12-110.1 [Y02023.00]Section: Fertility

What was your weight just before you became pregnant with [Name of child from pregnancy 1]?

Enter Number: 

Default Next:Q12-111.1
Lead-In:Q12-109.1 [Default]


Q12-111.1 [Y02024.00]Section: Fertility

(([[Respondent's weight before delivering (pregnancy 1)]] >= 0) & ([[Respondent's weight before becoming pregnant (pregnancy 1)]] >= 0))

COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?

 1   CONDITION APPLIES
 0   CONDITION DOES NOT APPLY   ...(Go To Q12-118A.1)

Default Next:Q12-112.1
Lead-In:Q12-110.1 [Default]


Q12-112.1 [Y02025.00]Section: Fertility

([[Respondent's weight before delivering (pregnancy 1)]] - [[Respondent's weight before becoming pregnant (pregnancy 1)]])

COMMENT: Subtract weight at time of delivery from weight before pregnancy.

If Answer = 0 Then Go To
Q12-116.1

Default Next:Q12-113.1
Lead-In:Q12-111.1 [Default]


Q12-113.1 [Y02026.00]Section: Fertility

([[Respondent's weight before delivering (pregnancy 1)]] < [[Respondent's weight before becoming pregnant (pregnancy 1)]])

COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?

 1   CONDITION APPLIES   ...(Go To Q12-114B.1)
 0   CONDITION DOES NOT APPLY   ...(Go To Q12-115.1)

Default Next:Q12-117.1
Lead-In:Q12-112.1 [Default]


Q12-114B.1 [Y02027.00]Section: Fertility

Does that mean that you lost [Respondent's weight gain/loss during pregnancy 1] pounds during your pregnancy?

(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.1 ([Respondent's weight before delivering (pregnancy 1)]) AND Q12-110.1 ([Respondent's weight before becoming pregnant (pregnancy 1)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q12-118A.1
Lead-In:Q12-113.1 [1:1]


Q12-115.1 [Y02028.00]Section: Fertility

Does that mean that you gained [Respondent's weight gain/loss during pregnancy 1] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.1 ([Respondent's weight before delivering (pregnancy 1)]) AND Q12-110.1 ([Respondent's weight before becoming pregnant (pregnancy 1)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q12-118A.1
Lead-In:Q12-113.1 [0:0]


Q12-116.1 [Y02029.00]Section: Fertility

Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.1 ([Respondent's weight before delivering (pregnancy 1)]) AND Q12-110.1 ([Respondent's weight before becoming pregnant (pregnancy 1)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q12-118A.1
Lead-In:Q12-112.1 [0:0]


Q12-117.1 []Section: Fertility

Did you gain or lose weight during your pregnancy with [Name of child from pregnancy 1]?

 1   Gained weight   ...(Go To Q12-117A.1)
 2   Lost Weight   ...(Go To Q12-117A.1)

Default Next:Q12-118A.1
Lead-In:Q12-113.1 [Default]


Q12-117A.1 []Section: Fertility

How much weight did you [gain/lose]?

(ENTER NUMBER OF POUNDS)

Enter Number: 

Default Next:Q12-118A.1
Lead-In:Q12-117.1 [1:2]


Q12-118A.1 [Y02030.00]Section: Fertility

How much did [Name of child from pregnancy 1] weigh at birth?

(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)

Enter Number: 
If Answer >= -2 AND Answer <= -1 Then Go To
Q12-118C.1

Default Next:Q12-118B.1
Lead-In:Q12-111.1 [0:0], Q12-114B.1 [Default], Q12-115.1 [Default], Q12-116.1 [Default], Q12-117.1 [Default], Q12-117A.1 [Default]


Q12-118B.1 [Y02031.00]Section: Fertility

(How much did [Name of child from pregnancy 1] weigh at birth?)

(ENTER NUMBER OF OUNCES.)

Enter Number: 
If Answer >= -2 AND Answer <= -1 Then Go To
Q12-118C.1

Default Next:Q12-119.1
Lead-In:Q12-118A.1 [Default]


Q12-118C.1 [Y02032.00]Section: Fertility

Did [Name of child from pregnancy 1] weigh more than 5 1/2 pounds or less?

 1   More
 2   Less

Default Next:Q12-119.1
Lead-In:Q12-118A.1 [-2:-1], Q12-118B.1 [-2:-1]


Q12-119.1 [Y02033.00]Section: Fertility

What was [Name of child from pregnancy 1]'s length at birth?

Enter Number: 

Default Next:Q12-119A.1
Lead-In:Q12-118B.1 [Default], Q12-118C.1 [Default]


Q12-119A.1 [Y02034.00]Section: Fertility

INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?

 1   Yes
 0   No

Default Next:Q12-120.1
Lead-In:Q12-119.1 [Default]


Q12-120.1 [Y02035.00]Section: Fertility

How long did your baby stay in the hospital?

 1   SELECT TO ENTER NUMBER OF DAYS
 0   BABY/RESPONDENT DID NOT STAY IN HOSPITAL   ...(Go To Q12-123.1)

Default Next:Q12-120A.1
Lead-In:Q12-119A.1 [Default]


Q12-120A.1 [Y02036.00]Section: Fertility

(ENTER NUMBER OF DAYS:)

Enter Number: 
If Answer = 0 Then Go To
Q12-123.1

Default Next:Q12-121.1
Lead-In:Q12-120.1 [Default]


Q12-121.1 [Y02037.00]Section: Fertility

Did you leave the hospital at the same time as your baby or did you leave earlier or later?

 1   Same time
 2   Earlier   ...(Go To Q12-122A.1)
 3   Later   ...(Go To Q12-122B.1)
 4   BABY STILL IN HOSPITAL   ...(Go To Q12-157C.1)
 5   BABY DIED IN HOSPITAL   ...(Go To Q12-158A.1)
 6   BABY ADOPTED OUT IN HOSPITAL   ...(Go To Q12-158A.1)

Default Next:Q12-123.1
Lead-In:Q12-120A.1 [Default]


Q12-122A.1 [Y02038.00]Section: Fertility

How many days earlier?

Enter Number: 

Default Next:Q12-123.1
Lead-In:Q12-121.1 [2:2]


Q12-122B.1 []Section: Fertility

How many days later?

Enter Number: 

Default Next:Q12-123.1
Lead-In:Q12-121.1 [3:3]


Q12-123.1 [Y02039.00]Section: Fertility

In [Name of child from pregnancy 1]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?

 1   Yes   ...(Go To Q12-124.1)
 0   No
 2   BABY DIED IN FIRST YEAR   ...(Go To Q12-158A.1)
 3   BABY ADOPTED OUT IN FIRST YEAR   ...(Go To Q12-158A.1)

Default Next:Q12-143.1
Lead-In:Q12-120.1 [0:0], Q12-120A.1 [0:0], Q12-121.1 [Default], Q12-122A.1 [Default], Q12-122B.1 [Default]


Q12-124.1 []Section: Fertility

When you took [Name of child from pregnancy 1] to a clinic, hospital, or doctor the first time because (he/she) was sick or injured, what was the nature of (his/her) illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)

Enter: 

Default Next:Q12-124A.1
Lead-In:Q12-123.1 [1:1]


Q12-124A.1 [Y02041.00]Section: Fertility

(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-125.1
Lead-In:Q12-124.1 [Default]


Q12-125.1 [Y02042.07]Section: Fertility

(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [first illness of child from pregnancy 1].

(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN 12-124.1.)

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-126.1
Lead-In:Q12-124A.1 [Default]


Q12-126.1 [Y02059.00]Section: Fertility

How many months old was [Name of child from pregnancy 1] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [first illness of child from pregnancy 1]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)

Enter Number: 

Default Next:Q12-127.1
Lead-In:Q12-125.1 [Default]


Q12-127.1 [Y02060.00]Section: Fertility

In [Name of child from pregnancy 1]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 1]?

Enter Number: 
If Answer = 1 Then Go To
Q12-129.1

Default Next:Q12-128.1
Lead-In:Q12-126.1 [Default]


Q12-128.1 [Y02061.00]Section: Fertility

In [Name of child from pregnancy 1]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [first illness of child from pregnancy 1]?

Enter Number: 

Default Next:Q12-129.1
Lead-In:Q12-127.1 [Default]


Q12-129.1 [Y02062.08]Section: Fertility

(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 1]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 1], where did you take (him/her)?

(CODE ALL THAT APPLY)

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-130B.1
Lead-In:Q12-127.1 [1:1], Q12-128.1 [Default]


Q12-130B.1 [Y02073.00]Section: Fertility

([[Codes for places took child for main illness in first year (pregnancy 1)(9)]] = 9)

COMMENT: Was child from first pregnancy admitted to hospital for first illness in first year of life?

 1   CONDITION APPLIES   ...(Go To Q12-131.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-133.1
Lead-In:Q12-129.1 [Default]


Q12-131.1 [Y02074.00]Section: Fertility

When [Name of child from pregnancy 1] was admitted to the hospital, was surgery necessary?

 1   Yes
 0   No

Default Next:Q12-132.1
Lead-In:Q12-130B.1 [1:1]


Q12-132.1 [Y02075.00]Section: Fertility

Did you have to take time off from work?

 1   Yes
 0   No
 3   Not working

Default Next:Q12-133.1
Lead-In:Q12-131.1 [Default]


Q12-133.1 [Y02076.00]Section: Fertility

In [Name of child from pregnancy 1]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?

 1   Yes   ...(Go To Q12-134.1)
 0   No

Default Next:Q12-143.1
Lead-In:Q12-130B.1 [Default], Q12-132.1 [Default]


Q12-134.1 []Section: Fertility

What was the nature of this other illness or injury?

(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)

Enter: 

Default Next:Q12-134A.1
Lead-In:Q12-133.1 [1:1]


Q12-134A.1 [Y02078.00]Section: Fertility

(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-135.1
Lead-In:Q12-134.1 [Default]


Q12-135.1 [Y02079.13]Section: Fertility

(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [second illness of child from pregnancy 1].

(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN 12-134.1.)

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-136.1
Lead-In:Q12-134A.1 [Default]


Q12-136.1 [Y02096.00]Section: Fertility

How many months old was [Name of child from pregnancy 1] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [second illness of child from pregnancy 1]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)

Enter Number: 

Default Next:Q12-137.1
Lead-In:Q12-135.1 [Default]


Q12-137.1 [Y02097.00]Section: Fertility

In [Name of child from pregnancy 1]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 1]?

Enter Number: 
If Answer = 1 Then Go To
Q12-139.1

Default Next:Q12-138.1
Lead-In:Q12-136.1 [Default]


Q12-138.1 [Y02098.00]Section: Fertility

In [Name of child from pregnancy 1]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [second illness of child from pregnancy 1]?

Enter Number: 

Default Next:Q12-139.1
Lead-In:Q12-137.1 [Default]


Q12-139.1 [Y02099.05]Section: Fertility

(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 1]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 1], where did you take (him/her)?

(CODE ALL THAT APPLY)

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-140B.1
Lead-In:Q12-137.1 [1:1], Q12-138.1 [Default]


Q12-140B.1 []Section: Fertility

([[Codes for places took child for other illness in first year (pregnancy 1)(9)]] = 9)

COMMENT: Was child from first pregnancy admitted to hospital for second illness in first year of life?

 1   CONDITION APPLIES   ...(Go To Q12-141.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-143.1
Lead-In:Q12-139.1 [Default]


Q12-141.1 []Section: Fertility

When [Name of child from pregnancy 1] was admitted to the hospital, was surgery necessary?

 1   Yes
 0   No

Default Next:Q12-142.1
Lead-In:Q12-140B.1 [1:1]


Q12-142.1 []Section: Fertility

Did you have to take time off from work?

 1   Yes
 0   No
 3   Not working

Default Next:Q12-143.1
Lead-In:Q12-141.1 [Default]


Q12-143.1 [Y02110.00]Section: Fertility

Now we are going to discuss well baby care.

In [Name of child from pregnancy 1]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?

 1   Yes   ...(Go To Q12-144.1)
 0   No
 2   BABY DIED IN FIRST YEAR   ...(Go To Q12-158A.1)
 3   BABY ADOPTED OUT IN FIRST YEAR   ...(Go To Q12-158A.1)

Default Next:Q12-157BA.1
Lead-In:Q12-123.1 [Default], Q12-133.1 [Default], Q12-140B.1 [Default], Q12-142.1 [Default]


Q12-144.1 [Y02111.10]Section: Fertility

How many months old was [Name of child from pregnancy 1] when you took (him/her) to a clinic or doctor for well baby care the first time?..... How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)

 1   01 - ONE MONTH OLD
 2   02 - TWO MONTHS OLD
 3   03 - THREE MONTHS OLD
 4   04 - FOUR MONTHS OLD
 5   05 - FIVE MONTHS OLD
 6   06 - SIX MONTHS OLD
 7   07 - SEVEN MONTHS OLD
 8   08 - EIGHT MONTHS OLD
 9   09 - NINE MONTHS OLD
 10   10 - TEN MONTHS OLD
 11   11 - ELEVEN MONTHS OLD
 12   12 - TWELVE MONTHS OLD

Default Next:Q12-146A.1
Lead-In:Q12-143.1 [1:1]


Q12-146A.1 [Y02125.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(1)]] = 1)

COMMENT: Was first child taken for well baby care in his first month?

 1   CONDITION APPLIES   ...(Go To Q12-146B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-147A.1
Lead-In:Q12-144.1 [Default]


Q12-146B.1 [Y02126.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-147A.1
Lead-In:Q12-146A.1 [1:1]


Q12-147A.1 [Y02127.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(2)]] = 2)

COMMENT: Was first child taken for well baby care in his second month?

 1   CONDITION APPLIES   ...(Go To Q12-147B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-148A.1
Lead-In:Q12-146A.1 [Default], Q12-146B.1 [Default]


Q12-147B.1 [Y02128.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-148A.1
Lead-In:Q12-147A.1 [1:1]


Q12-148A.1 [Y02129.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(3)]] = 3)

COMMENT: Was first child taken for well baby care in his third month?

 1   CONDITION APPLIES   ...(Go To Q12-148B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-149A.1
Lead-In:Q12-147A.1 [Default], Q12-147B.1 [Default]


Q12-148B.1 [Y02130.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-149A.1
Lead-In:Q12-148A.1 [1:1]


Q12-149A.1 [Y02131.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(4)]] = 4)

COMMENT: Was first child taken for well baby care in his fourth month?

 1   CONDITION APPLIES   ...(Go To Q12-149B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-150A.1
Lead-In:Q12-148A.1 [Default], Q12-148B.1 [Default]


Q12-149B.1 [Y02132.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-150A.1
Lead-In:Q12-149A.1 [1:1]


Q12-150A.1 [Y02133.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(5)]] = 5)

COMMENT: Was first child taken for well baby care in his fifth month?

 1   CONDITION APPLIES   ...(Go To Q12-150B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-151A.1
Lead-In:Q12-149A.1 [Default], Q12-149B.1 [Default]


Q12-150B.1 [Y02134.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-151A.1
Lead-In:Q12-150A.1 [1:1]


Q12-151A.1 [Y02135.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(6)]] = 6)

COMMENT: Was first child taken for well baby care in his sixth month?

 1   CONDITION APPLIES   ...(Go To Q12-151B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-152A.1
Lead-In:Q12-150A.1 [Default], Q12-150B.1 [Default]


Q12-151B.1 [Y02136.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-152A.1
Lead-In:Q12-151A.1 [1:1]


Q12-152A.1 [Y02137.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(7)]] = 7)

COMMENT: Was first child taken for well baby care in his seventh month?

 1   CONDITION APPLIES   ...(Go To Q12-152B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-153A.1
Lead-In:Q12-151A.1 [Default], Q12-151B.1 [Default]


Q12-152B.1 [Y02138.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-153A.1
Lead-In:Q12-152A.1 [1:1]


Q12-153A.1 [Y02139.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(8)]] = 8)

COMMENT: Was first child taken for well baby care in his eighth month?

 1   CONDITION APPLIES   ...(Go To Q12-153B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-154A.1
Lead-In:Q12-152A.1 [Default], Q12-152B.1 [Default]


Q12-153B.1 [Y02140.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-154A.1
Lead-In:Q12-153A.1 [1:1]


Q12-154A.1 [Y02141.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(9)]] = 9)

COMMENT: Was first child taken for well baby care in his ninth month?

 1   CONDITION APPLIES   ...(Go To Q12-154B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-155A.1
Lead-In:Q12-153A.1 [Default], Q12-153B.1 [Default]


Q12-154B.1 [Y02142.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-155A.1
Lead-In:Q12-154A.1 [1:1]


Q12-155A.1 [Y02143.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(10)]] = 10)

COMMENT: Was first child taken for well baby care in his tenth month?

 1   CONDITION APPLIES   ...(Go To Q12-155B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-156A.1
Lead-In:Q12-154A.1 [Default], Q12-154B.1 [Default]


Q12-155B.1 [Y02144.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-156A.1
Lead-In:Q12-155A.1 [1:1]


Q12-156A.1 [Y02145.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(11)]] = 11)

COMMENT: Was first child taken for well baby care in his eleventh month?

 1   CONDITION APPLIES   ...(Go To Q12-156B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-157A.1
Lead-In:Q12-155A.1 [Default], Q12-155B.1 [Default]


Q12-156B.1 [Y02146.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-157A.1
Lead-In:Q12-156A.1 [1:1]


Q12-157A.1 [Y02147.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(12)]] = 12)

COMMENT: Was first child taken for well baby care in his twelveth month?

 1   CONDITION APPLIES   ...(Go To Q12-157B.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-157BA.1
Lead-In:Q12-156A.1 [Default], Q12-156B.1 [Default]


Q12-157B.1 [Y02148.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-157BA.1
Lead-In:Q12-157A.1 [1:1]


Q12-157BA.1 [Y02149.00]Section: Fertility

([Q12-30d.1] = 5) | ([Q12-30d.1] = 8)

COMMENT: if child is adopted out or deceased

 1   CONDITION APPLIES   ...(Go To Q12-158A.1)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-157C.1
Lead-In:Q12-82N.1 [1:1], Q12-143.1 [Default], Q12-157A.1 [Default], Q12-157B.1 [Default]


Q12-157C.1 []Section: Fertility

Now, we have a few questions about health care plans. First, is [Name of child from pregnancy 1]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........

Default Next:Q12-157CA.1
Lead-In:Q12-121.1 [4:4], Q12-157BA.1 [Default]


Q12-157CA.1 [Y02150.00]Section: Fertility

.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO. [THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]

 1   Yes
 0   No   ...(Go To Q12-157E.1)

Default Next:Q12-157D.1
Lead-In:Q12-157C.1 [Default]


Q12-157D.1 [Y02151.00]Section: Fertility

(HAND CARD GG) What is the source of [Name of child from pregnancy 1]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?

 1   Respondent's Parent's policy
 2   Respondent/spouse/partner policy bought directly from insurance company
 3   Respondent's employer policy
 4   Spouse/partner employer policy
 5   Other (SPECIFY)

Default Next:Q12-157E.1
Lead-In:Q12-157CA.1 [Default]


Q12-157E.1 [Y02152.00]Section: Fertility

There is a national program called Medicaid (Medi-Cal/Medical Assistance/Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy 1]'s health care now covered by Medicaid or one of these public assistance health care programs?

 1   Yes
 0   No

Default Next:Q12-158A.1
Lead-In:Q12-157CA.1 [0:0], Q12-157D.1 [Default]


Q12-158A.1 [Y02153.00]Section: Fertility

CHECK ([Name of biological child(2)])

COMMENT: check if to loop again 2nd time

 1   CONDITION APPLIES   ...(Go To Q12-74.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-160
Lead-In:Q12-121.1 [5:6], Q12-123.1 [2:3], Q12-143.1 [2:3], Q12-157BA.1 [1:1], Q12-157E.1 [Default]


Q12-74.2 [Y02154.00]Section: Fertility

Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]

(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS SECOND BORN.)

Default Next:Q12-76A.2
Lead-In:Q12-158A.1 [1:1]


Q12-76A.2 [Y02155.00]Section: Fertility

[[Gender of the respondent]]

COMMENT: check gender

If Answer = 1 Then Go To
Q12-78M.2

Default Next:Q12-77F.2
Lead-In:Q12-74.2 [Default]


Q12-77F.2 [Y02156.00]Section: Fertility

When did you become pregnant with [Name of child from pregnancy 2]? What month and year?

Enter Date:  
MonthYear 

Default Next:Q12-78F.2
Lead-In:Q12-76A.2 [Default]


Q12-78F.2 [Y02157.00]Section: Fertility

(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy 2], did you use any methods such as the ones listed on this card to keep from getting pregnant?

 1   Yes
 0   No   ...(Go To Q12-80F.2)

Default Next:Q12-79F.2
Lead-In:Q12-77F.2 [Default]


Q12-79F.2 [Y02158.00]Section: Fertility

Had you stopped all methods before you became pregnant?

 1   Yes   ...(Go To Q12-80F.2)
 0   No

Default Next:Q12-81F.2
Lead-In:Q12-78F.2 [Default]


Q12-80F.2 [Y02159.00]Section: Fertility

Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?

 1   Yes   ...(Go To Q12-82F.2)
 0   No

Default Next:Q12-81F.2
Lead-In:Q12-78F.2 [0:0], Q12-79F.2 [1:1]


Q12-81F.2 [Y02160.00]Section: Fertility

Just before you became pregnant that time, did you want to become pregnant when you did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82F.2
Lead-In:Q12-79F.2 [Default], Q12-80F.2 [Default]


Q12-82F.2 [Y02161.00]Section: Fertility

And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby?
(IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82N.2
Lead-In:Q12-80F.2 [1:1], Q12-81F.2 [Default]


Q12-78M.2 [Y02162.00]Section: Fertility

(HAND CARD CC) Just before [Name of child from pregnancy 2]'s mother became pregnant with [Name of child from pregnancy 2], did you use any methods such as the ones listed on this card to keep from getting pregnant?

 1   Yes
 0   No   ...(Go To Q12-80M.2)

Default Next:Q12-79M.2
Lead-In:Q12-76A.2 [1:1]


Q12-79M.2 [Y02163.00]Section: Fertility

Had you stopped all methods before [Name of child from pregnancy 2]'s mother became pregnant?

 1   Yes   ...(Go To Q12-80M.2)
 0   No

Default Next:Q12-81M.2
Lead-In:Q12-78M.2 [Default]


Q12-80M.2 [Y02164.00]Section: Fertility

Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy 2]'s mother to become pregnant?

 1   Yes   ...(Go To Q12-82M.2)
 0   No

Default Next:Q12-81M.2
Lead-In:Q12-78M.2 [0:0], Q12-79M.2 [1:1]


Q12-81M.2 [Y02165.00]Section: Fertility

Just before [Name of child from pregnancy 2]'s mother became pregnant that time, did you want her to become pregnant when she did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82M.2
Lead-In:Q12-79M.2 [Default], Q12-80M.2 [Default]


Q12-82M.2 [Y02166.00]Section: Fertility

And what about [Name of child from pregnancy 2]'s mother when she became pregnant that time -- did she want to have (a/another) baby?
(IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82N.2
Lead-In:Q12-80M.2 [1:1], Q12-81M.2 [Default]


Q12-82N.2 [Y02167.00]Section: Fertility

([[Gender of the respondent]]=1)

COMMENT: check if male

 1   CONDITION APPLIES   ...(Go To Q12-157BA.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-83.2
Lead-In:Q12-82F.2 [Default], Q12-82M.2 [Default]


Q12-83.2 [Y02168.00]Section: Fertility

During your pregnancy with [Name of child from pregnancy 2], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?

 1   Yes   ...(Go To Q12-84.2)
 0   No

Default Next:Q12-85.2
Lead-In:Q12-82N.2 [Default]


Q12-84.2 [Y02169.00]Section: Fertility

When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?

(ENTER MONTH NUMBER)

Enter Number: 

Default Next:Q12-85.2
Lead-In:Q12-83.2 [1:1]


Q12-85.2 [Y02170.00]Section: Fertility

Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy 2] was born?

 1   Yes   ...(Go To Q12-86.2)
 0   No

Default Next:Q12-87.2
Lead-In:Q12-83.2 [Default], Q12-84.2 [Default]


Q12-86.2 [Y02171.00]Section: Fertility

(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-87.2
Lead-In:Q12-85.2 [1:1]


Q12-87.2 [Y02172.00]Section: Fertility

Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 2] was born?

 1   Yes   ...(Go To Q12-88.2)
 0   No

Default Next:Q12-89.2
Lead-In:Q12-85.2 [Default], Q12-86.2 [Default]


Q12-88.2 [Y02173.00]Section: Fertility

On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?

 3   2 or more packs a day
 2   1 or more but less than 2
 1   Less than 1 pack a day
 0   (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD

Default Next:Q12-89.2
Lead-In:Q12-87.2 [1:1]


Q12-89.2 [Y02174.00]Section: Fertility

Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 2] was born?

 1   Yes   ...(Go To Q12-90.2)
 0   No

Default Next:Q12-91.2
Lead-In:Q12-87.2 [Default], Q12-88.2 [Default]


Q12-90.2 []Section: Fertility

(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-91.2
Lead-In:Q12-89.2 [1:1]


Q12-91.2 [Y02175.00]Section: Fertility

Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 2] was born?

 1   Yes   ...(Go To Q12-92.2)
 0   No

Default Next:Q12-93.2
Lead-In:Q12-89.2 [Default], Q12-90.2 [Default]


Q12-92.2 []Section: Fertility

(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-93.2
Lead-In:Q12-91.2 [1:1]


Q12-93.2 [Y02176.00]Section: Fertility

During (your/that) pregnancy, did you take a vitamin/mineral supplement?

 1   Yes
 0   No

Default Next:Q12-94.2
Lead-In:Q12-91.2 [Default], Q12-92.2 [Default]


Q12-94.2 [Y02177.00]Section: Fertility

During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?

 1   Yes
 0   No

Default Next:Q12-95.2
Lead-In:Q12-93.2 [Default]


Q12-95.2 [Y02178.00]Section: Fertility

During (your/that) pregnancy, did you cut down on the amount of salt you used?

 1   Yes
 0   No

Default Next:Q12-96.2
Lead-In:Q12-94.2 [Default]


Q12-96.2 [Y02179.00]Section: Fertility

During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?

 1   Yes
 0   No

Default Next:Q12-97.2
Lead-In:Q12-95.2 [Default]


Q12-97.2 [Y02180.00]Section: Fertility

During (your/that) pregnancy, did you reduce or stop your smoking?

 1   Yes
 0   No
 4   N/A

Default Next:Q12-98.2
Lead-In:Q12-96.2 [Default]


Q12-98.2 [Y02181.00]Section: Fertility

During (your/that) pregnancy, did you reduce or stop your alcohol intake?

 1   Yes
 0   No
 4   N/A

Default Next:Q12-99A.2
Lead-In:Q12-97.2 [Default]


Q12-99A.2 [Y02182.00]Section: Fertility

([Q12-93.2]=1)

COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-99B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-100A.2
Lead-In:Q12-98.2 [Default]


Q12-99B.2 [Y02183.00]Section: Fertility

Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-100A.2
Lead-In:Q12-99A.2 [1:1]


Q12-100A.2 [Y02184.00]Section: Fertility

([Q12-94.2]=1)

COMMENT: Did R cut down on the amount of calories his/her food during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-100B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-101A.2
Lead-In:Q12-99A.2 [Default], Q12-99B.2 [Default]


Q12-100B.2 [Y02185.00]Section: Fertility

Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-101A.2
Lead-In:Q12-100A.2 [1:1]


Q12-101A.2 [Y02186.00]Section: Fertility

([Q12-95.2]=1)

COMMENT: Did R cut down on the amount of salt he/she used during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-101B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-102A.2
Lead-In:Q12-100A.2 [Default], Q12-100B.2 [Default]


Q12-101B.2 [Y02187.00]Section: Fertility

Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-102A.2
Lead-In:Q12-101A.2 [1:1]


Q12-102A.2 [Y02188.00]Section: Fertility

([Q12-96.2]=1)

COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-102B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-103A.2
Lead-In:Q12-101A.2 [Default], Q12-101B.2 [Default]


Q12-102B.2 []Section: Fertility

Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-103A.2
Lead-In:Q12-102A.2 [1:1]


Q12-103A.2 [Y02189.00]Section: Fertility

([Q12-97.2]=1)

COMMENT: Did R reduce or stop his/her smoking during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-103B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-104A.2
Lead-In:Q12-102A.2 [Default], Q12-102B.2 [Default]


Q12-103B.2 [Y02190.00]Section: Fertility

Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-104A.2
Lead-In:Q12-103A.2 [1:1]


Q12-104A.2 [Y02191.00]Section: Fertility

([Q12-98.2]=1)

COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-104B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-105.2
Lead-In:Q12-103A.2 [Default], Q12-103B.2 [Default]


Q12-104B.2 [Y02192.00]Section: Fertility

Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-105.2
Lead-In:Q12-104A.2 [1:1]


Q12-105.2 [Y02193.00]Section: Fertility

Based on either your last menstrual period date or your doctor's or clinic's information, was [Name of child from pregnancy 2] born within one week of the expected (due) date?

 1   Yes
 0   No   ...(Go To Q12-106A.2)

Default Next:Q12-107.2
Lead-In:Q12-104A.2 [Default], Q12-104B.2 [Default]


Q12-106A.2 [Y02194.00]Section: Fertility

Was the baby born early or late?

 1   Early
 2   Late

Default Next:Q12-106B.2
Lead-In:Q12-105.2 [0:0]


Q12-106B.2 [Y02195.00]Section: Fertility

How many weeks [early/late] was the baby?

(IF "1 1/2 WEEKS" ROUND UP TO "2".)

Enter Number: 

Default Next:Q12-107.2
Lead-In:Q12-106A.2 [Default]


Q12-107.2 [Y02196.00]Section: Fertility

Was a cesarean section done?
(IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?

 1   Yes   ...(Go To Q12-108.2)
 0   No

Default Next:Q12-109.2
Lead-In:Q12-105.2 [Default], Q12-106B.2 [Default]


Q12-108.2 [Y02197.00]Section: Fertility

Was this your first cesarean section, or did you have one before?

 1   First cesarean
 0   Had cesarean(s) before

Default Next:Q12-109.2
Lead-In:Q12-107.2 [1:1]


Q12-109.2 [Y02198.00]Section: Fertility

What was your weight just before you delivered?

Enter Number: 

Default Next:Q12-110.2
Lead-In:Q12-107.2 [Default], Q12-108.2 [Default]


Q12-110.2 [Y02199.00]Section: Fertility

What was your weight just before you became pregnant with [Name of child from pregnancy 2]?

Enter Number: 

Default Next:Q12-111.2
Lead-In:Q12-109.2 [Default]


Q12-111.2 [Y02200.00]Section: Fertility

(([[Respondent's weight before delivering (pregnancy 2)]] >= 0) & ([[Respondent's weight before becoming pregnant (pregnancy 2)]] >= 0))

COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?

 1   CONDITION APPLIES
 0   CONDITION DOES NOT APPLY   ...(Go To Q12-118A.2)

Default Next:Q12-112.2
Lead-In:Q12-110.2 [Default]


Q12-112.2 [Y02201.00]Section: Fertility

([[Respondent's weight before delivering (pregnancy 2)]] - [[Respondent's weight before becoming pregnant (pregnancy 2)]])

COMMENT: Subtract weight at time of delivery from weight before pregnancy.

If Answer = 0 Then Go To
Q12-116.2

Default Next:Q12-113.2
Lead-In:Q12-111.2 [Default]


Q12-113.2 [Y02202.00]Section: Fertility

([[Respondent's weight before delivering (pregnancy 2)]] < [[Respondent's weight before becoming pregnant (pregnancy 2)]])

COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?

 1   CONDITION APPLIES   ...(Go To Q12-114B.2)
 0   CONDITION DOES NOT APPLY   ...(Go To Q12-115.2)

Default Next:Q12-117.2
Lead-In:Q12-112.2 [Default]


Q12-114B.2 [Y02203.00]Section: Fertility

Does that mean that you lost [Respondent's weight gain/loss during pregnancy 2] pounds during your pregnancy?

(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.2 ([Respondent's weight before delivering (pregnancy 2)]) AND Q12-110.2 ([Respondent's weight before becoming pregnant (pregnancy 2)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q12-118A.2
Lead-In:Q12-113.2 [1:1]


Q12-115.2 [Y02204.00]Section: Fertility

Does that mean that you gained [Respondent's weight gain/loss during pregnancy 2] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.2 ([Respondent's weight before delivering (pregnancy 2)]) AND Q12-110.2 ([Respondent's weight before becoming pregnant (pregnancy 2)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q12-118A.2
Lead-In:Q12-113.2 [0:0]


Q12-116.2 []Section: Fertility

Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.2 ([Respondent's weight before delivering (pregnancy 2)]) AND Q12-110.2 ([Respondent's weight before becoming pregnant (pregnancy 2)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q12-118A.2
Lead-In:Q12-112.2 [0:0]


Q12-117.2 []Section: Fertility

Did you gain or lose weight during your pregnancy with [Name of child from pregnancy 2]?

 1   Gained weight   ...(Go To Q12-117A.2)
 2   Lost Weight   ...(Go To Q12-117A.2)

Default Next:Q12-118A.2
Lead-In:Q12-113.2 [Default]


Q12-117A.2 []Section: Fertility

How much weight did you [gain/lose]?

(ENTER NUMBER OF POUNDS)

Enter Number: 

Default Next:Q12-118A.2
Lead-In:Q12-117.2 [1:2]


Q12-118A.2 [Y02205.00]Section: Fertility

How much did [Name of child from pregnancy 2] weigh at birth?

(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)

Enter Number: 
If Answer >= -2 AND Answer <= -1 Then Go To
Q12-118C.2

Default Next:Q12-118B.2
Lead-In:Q12-111.2 [0:0], Q12-114B.2 [Default], Q12-115.2 [Default], Q12-116.2 [Default], Q12-117.2 [Default], Q12-117A.2 [Default]


Q12-118B.2 [Y02206.00]Section: Fertility

(How much did [Name of child from pregnancy 2] weigh at birth?)

(ENTER NUMBER OF OUNCES.)

Enter Number: 
If Answer >= -2 AND Answer <= -1 Then Go To
Q12-118C.2

Default Next:Q12-119.2
Lead-In:Q12-118A.2 [Default]


Q12-118C.2 []Section: Fertility

Did [Name of child from pregnancy 2] weigh more than 5 1/2 pounds or less?

 1   More
 2   Less

Default Next:Q12-119.2
Lead-In:Q12-118A.2 [-2:-1], Q12-118B.2 [-2:-1]


Q12-119.2 [Y02207.00]Section: Fertility

What was [Name of child from pregnancy 2]'s length at birth?

Enter Number: 

Default Next:Q12-119A.2
Lead-In:Q12-118B.2 [Default], Q12-118C.2 [Default]


Q12-119A.2 [Y02208.00]Section: Fertility

INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?

 1   Yes
 0   No

Default Next:Q12-120.2
Lead-In:Q12-119.2 [Default]


Q12-120.2 [Y02209.00]Section: Fertility

How long did your baby stay in the hospital?

 1   SELECT TO ENTER NUMBER OF DAYS
 0   BABY/RESPONDENT DID NOT STAY IN HOSPITAL   ...(Go To Q12-123.2)

Default Next:Q12-120A.2
Lead-In:Q12-119A.2 [Default]


Q12-120A.2 [Y02210.00]Section: Fertility

(ENTER NUMBER OF DAYS:)

Enter Number: 
If Answer = 0 Then Go To
Q12-123.2

Default Next:Q12-121.2
Lead-In:Q12-120.2 [Default]


Q12-121.2 [Y02211.00]Section: Fertility

Did you leave the hospital at the same time as your baby or did you leave earlier or later?

 1   Same time
 2   Earlier   ...(Go To Q12-122A.2)
 3   Later   ...(Go To Q12-122B.2)
 4   BABY STILL IN HOSPITAL   ...(Go To Q12-157C.2)
 5   BABY DIED IN HOSPITAL   ...(Go To Q12-158A.2)
 6   BABY ADOPTED OUT IN HOSPITAL   ...(Go To Q12-158A.2)

Default Next:Q12-123.2
Lead-In:Q12-120A.2 [Default]


Q12-122A.2 [Y02212.00]Section: Fertility

How many days earlier?

Enter Number: 

Default Next:Q12-123.2
Lead-In:Q12-121.2 [2:2]


Q12-122B.2 []Section: Fertility

How many days later?

Enter Number: 

Default Next:Q12-123.2
Lead-In:Q12-121.2 [3:3]


Q12-123.2 [Y02213.00]Section: Fertility

In [Name of child from pregnancy 2]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?

 1   Yes   ...(Go To Q12-124.2)
 0   No
 2   BABY DIED IN FIRST YEAR   ...(Go To Q12-158A.2)
 3   BABY ADOPTED OUT IN FIRST YEAR   ...(Go To Q12-158A.2)

Default Next:Q12-143.2
Lead-In:Q12-120.2 [0:0], Q12-120A.2 [0:0], Q12-121.2 [Default], Q12-122A.2 [Default], Q12-122B.2 [Default]


Q12-124.2 []Section: Fertility

When you took [Name of child from pregnancy 2] to a clinic, hospital, or doctor the first time because (he/she) was sick or injured, what was the nature of (his/her) illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)

Enter: 

Default Next:Q12-124A.2
Lead-In:Q12-123.2 [1:1]


Q12-124A.2 [Y02215.00]Section: Fertility

(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-125.2
Lead-In:Q12-124.2 [Default]


Q12-125.2 [Y02216.08]Section: Fertility

(HAND CARD EE) Please look at this card and tell me which of these symptom or conditions occurred with (the/a) [first illness of child from pregnancy 2].

(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-124.2.)

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-126.2
Lead-In:Q12-124A.2 [Default]


Q12-126.2 [Y02233.00]Section: Fertility

How many months old was [Name of child from pregnancy 2] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [first illness of child from pregnancy 2]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)

Enter Number: 

Default Next:Q12-127.2
Lead-In:Q12-125.2 [Default]


Q12-127.2 [Y02234.00]Section: Fertility

In [Name of child from pregnancy 2]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 2]?

Enter Number: 
If Answer = 1 Then Go To
Q12-129.2

Default Next:Q12-128.2
Lead-In:Q12-126.2 [Default]


Q12-128.2 [Y02235.00]Section: Fertility

In [Name of child from pregnancy 2]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [first illness of child from pregnancy 2]?

Enter Number: 

Default Next:Q12-129.2
Lead-In:Q12-127.2 [Default]


Q12-129.2 [Y02236.08]Section: Fertility

(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 2]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 2], where did you take (him/her)?

(CODE ALL THAT APPLY)

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-130B.2
Lead-In:Q12-127.2 [1:1], Q12-128.2 [Default]


Q12-130B.2 []Section: Fertility

([[Codes for places took child for main illness in first year (pregnancy 2)(9)]] = 9)

COMMENT: Was child from first pregnancy admitted to hospital for first illness in first year of life?

 1   CONDITION APPLIES   ...(Go To Q12-131.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-133.2
Lead-In:Q12-129.2 [Default]


Q12-131.2 []Section: Fertility

When [Name of child from pregnancy 2] was admitted to the hospital, was surgery necessary?

 1   Yes
 0   No

Default Next:Q12-132.2
Lead-In:Q12-130B.2 [1:1]


Q12-132.2 []Section: Fertility

Did you have to take time off from work?

 1   Yes
 0   No
 3   Not working

Default Next:Q12-133.2
Lead-In:Q12-131.2 [Default]


Q12-133.2 [Y02247.00]Section: Fertility

In [Name of child from pregnancy 2]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?

 1   Yes   ...(Go To Q12-134.2)
 0   No

Default Next:Q12-143.2
Lead-In:Q12-130B.2 [Default], Q12-132.2 [Default]


Q12-134.2 []Section: Fertility

What was the nature of this other illness or injury?

(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)

Enter: 

Default Next:Q12-134A.2
Lead-In:Q12-133.2 [1:1]


Q12-134A.2 []Section: Fertility

(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-135.2
Lead-In:Q12-134.2 [Default]


Q12-135.2 []Section: Fertility

(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [second illness of child from pregnancy 2].

(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-134.2.)

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-136.2
Lead-In:Q12-134A.2 [Default]


Q12-136.2 []Section: Fertility

How many months old was [Name of child from pregnancy 2] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [second illness of child from pregnancy 2]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)

Enter Number: 

Default Next:Q12-137.2
Lead-In:Q12-135.2 [Default]


Q12-137.2 []Section: Fertility

In [Name of child from pregnancy 2]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 2]?

Enter Number: 
If Answer = 1 Then Go To
Q12-139.2

Default Next:Q12-138.2
Lead-In:Q12-136.2 [Default]


Q12-138.2 []Section: Fertility

In [Name of child from pregnancy 2]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [second illness of child from pregnancy 2]?

Enter Number: 

Default Next:Q12-139.2
Lead-In:Q12-137.2 [Default]


Q12-139.2 []Section: Fertility

(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 2]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 2], where did you take (him/her)?

(CODE ALL THAT APPLY)

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-140B.2
Lead-In:Q12-137.2 [1:1], Q12-138.2 [Default]


Q12-140B.2 []Section: Fertility

([[Codes for places took child for other illness in first year (pregnancy 2)(9)]] = 9)

COMMENT: Was child from first pregnancy admitted to hospital for second illness in first year of life?

 1   CONDITION APPLIES   ...(Go To Q12-141.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-143.2
Lead-In:Q12-139.2 [Default]


Q12-141.2 []Section: Fertility

When [Name of child from pregnancy 2] was admitted to the hospital, was surgery necessary?

 1   Yes
 0   No

Default Next:Q12-142.2
Lead-In:Q12-140B.2 [1:1]


Q12-142.2 []Section: Fertility

Did you have to take time off from work?

 1   Yes
 0   No
 3   Not working

Default Next:Q12-143.2
Lead-In:Q12-141.2 [Default]


Q12-143.2 [Y02249.00]Section: Fertility

Now we are going to discuss well baby care.

In [Name of child from pregnancy 2]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?

 1   Yes   ...(Go To Q12-144.2)
 0   No
 2   BABY DIED IN FIRST YEAR   ...(Go To Q12-158A.2)
 3   BABY ADOPTED OUT IN FIRST YEAR   ...(Go To Q12-158A.2)

Default Next:Q12-157BA.2
Lead-In:Q12-123.2 [Default], Q12-133.2 [Default], Q12-140B.2 [Default], Q12-142.2 [Default]


Q12-144.2 [Y02250.03]Section: Fertility

How many months old was [Name of child from pregnancy 2] when you took (him/her) to a clinic or doctor for well baby care the first time?.....
How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)

 1   01 - ONE MONTH OLD
 2   02 - TWO MONTHS OLD
 3   03 - THREE MONTHS OLD
 4   04 - FOUR MONTHS OLD
 5   05 - FIVE MONTHS OLD
 6   06 - SIX MONTHS OLD
 7   07 - SEVEN MONTHS OLD
 8   08 - EIGHT MONTHS OLD
 9   09 - NINE MONTHS OLD
 10   10 - TEN MONTHS OLD
 11   11 - ELEVEN MONTHS OLD
 12   12 - TWELVE MONTHS OLD

Default Next:Q12-146A.2
Lead-In:Q12-143.2 [1:1]


Q12-146A.2 [Y02264.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(1)]] = 1)

COMMENT: Was 2nd child taken for well baby care in his first month?

 1   CONDITION APPLIES   ...(Go To Q12-146B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-147A.2
Lead-In:Q12-144.2 [Default]


Q12-146B.2 [Y02265.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-147A.2
Lead-In:Q12-146A.2 [1:1]


Q12-147A.2 [Y02266.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(2)]] = 2)

COMMENT: Was 2nd child taken for well baby care in his second month?

 1   CONDITION APPLIES   ...(Go To Q12-147B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-148A.2
Lead-In:Q12-146A.2 [Default], Q12-146B.2 [Default]


Q12-147B.2 [Y02267.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-148A.2
Lead-In:Q12-147A.2 [1:1]


Q12-148A.2 [Y02268.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(3)]] = 3)

COMMENT: Was 2nd child taken for well baby care in his third month?

 1   CONDITION APPLIES   ...(Go To Q12-148B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-149A.2
Lead-In:Q12-147A.2 [Default], Q12-147B.2 [Default]


Q12-148B.2 [Y02269.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-149A.2
Lead-In:Q12-148A.2 [1:1]


Q12-149A.2 [Y02270.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(4)]] = 4)

COMMENT: Was 2nd child taken for well baby care in his fourth month?

 1   CONDITION APPLIES   ...(Go To Q12-149B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-150A.2
Lead-In:Q12-148A.2 [Default], Q12-148B.2 [Default]


Q12-149B.2 [Y02271.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-150A.2
Lead-In:Q12-149A.2 [1:1]


Q12-150A.2 [Y02272.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(5)]] = 5)

COMMENT: Was 2nd child taken for well baby care in his fifth month?

 1   CONDITION APPLIES   ...(Go To Q12-150B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-151A.2
Lead-In:Q12-149A.2 [Default], Q12-149B.2 [Default]


Q12-150B.2 [Y02273.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-151A.2
Lead-In:Q12-150A.2 [1:1]


Q12-151A.2 [Y02274.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(6)]] = 6)

COMMENT: Was 2nd child taken for well baby care in his sixth month?

 1   CONDITION APPLIES   ...(Go To Q12-151B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-152A.2
Lead-In:Q12-150A.2 [Default], Q12-150B.2 [Default]


Q12-151B.2 [Y02275.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-152A.2
Lead-In:Q12-151A.2 [1:1]


Q12-152A.2 [Y02276.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(7)]] = 7)

COMMENT: Was 2nd child taken for well baby care in his seventh month?

 1   CONDITION APPLIES   ...(Go To Q12-152B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-153A.2
Lead-In:Q12-151A.2 [Default], Q12-151B.2 [Default]


Q12-152B.2 [Y02277.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-153A.2
Lead-In:Q12-152A.2 [1:1]


Q12-153A.2 [Y02278.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(8)]] = 8)

COMMENT: Was 2nd child taken for well baby care in his eighth month?

 1   CONDITION APPLIES   ...(Go To Q12-153B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-154A.2
Lead-In:Q12-152A.2 [Default], Q12-152B.2 [Default]


Q12-153B.2 [Y02279.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-154A.2
Lead-In:Q12-153A.2 [1:1]


Q12-154A.2 [Y02280.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(9)]] = 9)

COMMENT: Was 2nd child taken for well baby care in his ninth month?

 1   CONDITION APPLIES   ...(Go To Q12-154B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-155A.2
Lead-In:Q12-153A.2 [Default], Q12-153B.2 [Default]


Q12-154B.2 [Y02281.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-155A.2
Lead-In:Q12-154A.2 [1:1]


Q12-155A.2 [Y02282.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(10)]] = 10)

COMMENT: Was 2nd child taken for well baby care in his tenth month?

 1   CONDITION APPLIES   ...(Go To Q12-155B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-156A.2
Lead-In:Q12-154A.2 [Default], Q12-154B.2 [Default]


Q12-155B.2 [Y02283.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-156A.2
Lead-In:Q12-155A.2 [1:1]


Q12-156A.2 [Y02284.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(11)]] = 11)

COMMENT: Was 2nd child taken for well baby care in his eleventh month?

 1   CONDITION APPLIES   ...(Go To Q12-156B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-157A.2
Lead-In:Q12-155A.2 [Default], Q12-155B.2 [Default]


Q12-156B.2 [Y02285.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-157A.2
Lead-In:Q12-156A.2 [1:1]


Q12-157A.2 [Y02286.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(12)]] = 12)

COMMENT: Was 2nd child taken for well baby care in his twelveth month?

 1   CONDITION APPLIES   ...(Go To Q12-157B.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-157BA.2
Lead-In:Q12-156A.2 [Default], Q12-156B.2 [Default]


Q12-157B.2 [Y02287.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-157BA.2
Lead-In:Q12-157A.2 [1:1]


Q12-157BA.2 [Y02288.00]Section: Fertility

([Q12-30d.2] = 5) | ([Q12-30d.2] = 8)

COMMENT: if child is adopted out or deceased

 1   CONDITION APPLIES   ...(Go To Q12-158A.2)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-157C.2
Lead-In:Q12-82N.2 [1:1], Q12-143.2 [Default], Q12-157A.2 [Default], Q12-157B.2 [Default]


Q12-157C.2 []Section: Fertility

Now, we have a few questions about health care plans. First, is [Name of child from pregnancy 2]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........

Default Next:Q12-157CA.2
Lead-In:Q12-121.2 [4:4], Q12-157BA.2 [Default]


Q12-157CA.2 [Y02289.00]Section: Fertility

.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO. [THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]

 1   Yes
 0   No   ...(Go To Q12-157E.2)

Default Next:Q12-157D.2
Lead-In:Q12-157C.2 [Default]


Q12-157D.2 [Y02290.00]Section: Fertility

(HAND CARD GG) What is the source of [Name of child from pregnancy 2]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?

 1   Respondent's Parent's policy
 2   Respondent/spouse/partner policy bought directly from insurance company
 3   Respondent's employer policy
 4   Spouse/partner employer policy
 5   Other (SPECIFY)

Default Next:Q12-157E.2
Lead-In:Q12-157CA.2 [Default]


Q12-157E.2 [Y02291.00]Section: Fertility

There is a national program called Medicaid (Medi-Cal/Medical Assistance/Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy 2]'s health care now covered by Medicaid or one of these public assistance health care programs?

 1   Yes
 0   No

Default Next:Q12-158A.2
Lead-In:Q12-157CA.2 [0:0], Q12-157D.2 [Default]


Q12-158A.2 [Y02292.00]Section: Fertility

CHECK ([Name of biological child(3)])

COMMENT: check if to loop again 2nd time

 1   CONDITION APPLIES   ...(Go To Q12-74.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-160
Lead-In:Q12-121.2 [5:6], Q12-123.2 [2:3], Q12-143.2 [2:3], Q12-157BA.2 [1:1], Q12-157E.2 [Default]


Q12-74.3 [Y02293.00]Section: Fertility

Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]

(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS THIRD BORN.)

Default Next:Q12-76A.3
Lead-In:Q12-158A.2 [1:1]


Q12-76A.3 [Y02294.00]Section: Fertility

[[Gender of the respondent]]

COMMENT: check gender

If Answer = 1 Then Go To
Q12-78M.3

Default Next:Q12-77F.3
Lead-In:Q12-74.3 [Default]


Q12-77F.3 [Y02295.00]Section: Fertility

When did you become pregnant with [Name of child from pregnancy 3]? What month and year?

Enter Date:  
MonthYear 

Default Next:Q12-78F.3
Lead-In:Q12-76A.3 [Default]


Q12-78F.3 [Y02296.00]Section: Fertility

(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy 3], did you use any methods such as the ones listed on this card to keep from getting pregnant?

 1   Yes
 0   No   ...(Go To Q12-80F.3)

Default Next:Q12-79F.3
Lead-In:Q12-77F.3 [Default]


Q12-79F.3 [Y02297.00]Section: Fertility

Had you stopped all methods before you became pregnant?

 1   Yes   ...(Go To Q12-80F.3)
 0   No

Default Next:Q12-81F.3
Lead-In:Q12-78F.3 [Default]


Q12-80F.3 [Y02298.00]Section: Fertility

Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?

 1   Yes   ...(Go To Q12-82F.3)
 0   No

Default Next:Q12-81F.3
Lead-In:Q12-78F.3 [0:0], Q12-79F.3 [1:1]


Q12-81F.3 [Y02299.00]Section: Fertility

Just before you became pregnant that time, did you want to become pregnant when you did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82F.3
Lead-In:Q12-79F.3 [Default], Q12-80F.3 [Default]


Q12-82F.3 [Y02300.00]Section: Fertility

And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby?
(IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have
(none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82N.3
Lead-In:Q12-80F.3 [1:1], Q12-81F.3 [Default]


Q12-78M.3 []Section: Fertility

(HAND CARD CC) Just before [Name of child from pregnancy 3]'s mother became pregnant with [Name of child from pregnancy 3], did you use any methods such as the ones listed on this card to keep from getting pregnant?

 1   Yes
 0   No   ...(Go To Q12-80M.3)

Default Next:Q12-79M.3
Lead-In:Q12-76A.3 [1:1]


Q12-79M.3 []Section: Fertility

Had you stopped all methods before [Name of child from pregnancy 3]'s mother became pregnant?

 1   Yes   ...(Go To Q12-80M.3)
 0   No

Default Next:Q12-81M.3
Lead-In:Q12-78M.3 [Default]


Q12-80M.3 []Section: Fertility

Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy 3]'s mother to become pregnant?

 1   Yes   ...(Go To Q12-82M.3)
 0   No

Default Next:Q12-81M.3
Lead-In:Q12-78M.3 [0:0], Q12-79M.3 [1:1]


Q12-81M.3 []Section: Fertility

Just before [Name of child from pregnancy 3]'s mother became pregnant that time, did you want her to become pregnant when she did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82M.3
Lead-In:Q12-79M.3 [Default], Q12-80M.3 [Default]


Q12-82M.3 []Section: Fertility

And what about [Name of child from pregnancy 3]'s mother when she became pregnant that time -- did she want to have (a/another) baby?
(IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82N.3
Lead-In:Q12-80M.3 [1:1], Q12-81M.3 [Default]


Q12-82N.3 [Y02301.00]Section: Fertility

([[Gender of the respondent]]=1)

COMMENT: check if male

 1   CONDITION APPLIES   ...(Go To Q12-157BA.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-83.3
Lead-In:Q12-82F.3 [Default], Q12-82M.3 [Default]


Q12-83.3 [Y02302.00]Section: Fertility

During your pregnancy with [Name of child from pregnancy 3], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?

 1   Yes   ...(Go To Q12-84.3)
 0   No

Default Next:Q12-85.3
Lead-In:Q12-82N.3 [Default]


Q12-84.3 [Y02303.00]Section: Fertility

When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?

(ENTER MONTH NUMBER)

Enter Number: 

Default Next:Q12-85.3
Lead-In:Q12-83.3 [1:1]


Q12-85.3 [Y02304.00]Section: Fertility

Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy 3] was born?

 1   Yes   ...(Go To Q12-86.3)
 0   No

Default Next:Q12-87.3
Lead-In:Q12-83.3 [Default], Q12-84.3 [Default]


Q12-86.3 []Section: Fertility

(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-87.3
Lead-In:Q12-85.3 [1:1]


Q12-87.3 [Y02305.00]Section: Fertility

Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 3] was born?

 1   Yes   ...(Go To Q12-88.3)
 0   No

Default Next:Q12-89.3
Lead-In:Q12-85.3 [Default], Q12-86.3 [Default]


Q12-88.3 [Y02306.00]Section: Fertility

On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?

 3   2 or more packs a day
 2   1 or more but less than 2
 1   Less than 1 pack a day
 0   (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD

Default Next:Q12-89.3
Lead-In:Q12-87.3 [1:1]


Q12-89.3 [Y02307.00]Section: Fertility

Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 3] was born?

 1   Yes   ...(Go To Q12-90.3)
 0   No

Default Next:Q12-91.3
Lead-In:Q12-87.3 [Default], Q12-88.3 [Default]


Q12-90.3 []Section: Fertility

(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-91.3
Lead-In:Q12-89.3 [1:1]


Q12-91.3 [Y02308.00]Section: Fertility

Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 3] was born?

 1   Yes   ...(Go To Q12-92.3)
 0   No

Default Next:Q12-93.3
Lead-In:Q12-89.3 [Default], Q12-90.3 [Default]


Q12-92.3 []Section: Fertility

(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-93.3
Lead-In:Q12-91.3 [1:1]


Q12-93.3 [Y02309.00]Section: Fertility

During (your/that) pregnancy, did you take a vitamin/mineral supplement?

 1   Yes
 0   No

Default Next:Q12-94.3
Lead-In:Q12-91.3 [Default], Q12-92.3 [Default]


Q12-94.3 [Y02310.00]Section: Fertility

During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?

 1   Yes
 0   No

Default Next:Q12-95.3
Lead-In:Q12-93.3 [Default]


Q12-95.3 [Y02311.00]Section: Fertility

During (your/that) pregnancy, did you cut down on the amount of salt you used?

 1   Yes
 0   No

Default Next:Q12-96.3
Lead-In:Q12-94.3 [Default]


Q12-96.3 [Y02312.00]Section: Fertility

During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?

 1   Yes
 0   No

Default Next:Q12-97.3
Lead-In:Q12-95.3 [Default]


Q12-97.3 [Y02313.00]Section: Fertility

During (your/that) pregnancy, did you reduce or stop your smoking?

 1   Yes
 0   No
 4   N/A

Default Next:Q12-98.3
Lead-In:Q12-96.3 [Default]


Q12-98.3 [Y02314.00]Section: Fertility

During (your/that) pregnancy, did you reduce or stop your alcohol intake?

 1   Yes
 0   No
 4   N/A

Default Next:Q12-99A.3
Lead-In:Q12-97.3 [Default]


Q12-99A.3 [Y02315.00]Section: Fertility

([Q12-93.3]=1)

COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-99B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-100A.3
Lead-In:Q12-98.3 [Default]


Q12-99B.3 [Y02316.00]Section: Fertility

Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-100A.3
Lead-In:Q12-99A.3 [1:1]


Q12-100A.3 [Y02317.00]Section: Fertility

([Q12-94.3]=1)

COMMENT: Did R cut down on the amount of calories his/her food during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-100B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-101A.3
Lead-In:Q12-99A.3 [Default], Q12-99B.3 [Default]


Q12-100B.3 [Y02318.00]Section: Fertility

Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-101A.3
Lead-In:Q12-100A.3 [1:1]


Q12-101A.3 [Y02319.00]Section: Fertility

([Q12-95.3]=1)

COMMENT: Did R cut down on the amount of salt he/she used during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-101B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-102A.3
Lead-In:Q12-100A.3 [Default], Q12-100B.3 [Default]


Q12-101B.3 [Y02320.00]Section: Fertility

Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-102A.3
Lead-In:Q12-101A.3 [1:1]


Q12-102A.3 [Y02321.00]Section: Fertility

([Q12-96.3]=1)

COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-102B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-103A.3
Lead-In:Q12-101A.3 [Default], Q12-101B.3 [Default]


Q12-102B.3 []Section: Fertility

Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-103A.3
Lead-In:Q12-102A.3 [1:1]


Q12-103A.3 [Y02322.00]Section: Fertility

([Q12-97.3]=1)

COMMENT: Did R reduce or stop his/her smoking during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-103B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-104A.3
Lead-In:Q12-102A.3 [Default], Q12-102B.3 [Default]


Q12-103B.3 [Y02323.00]Section: Fertility

Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-104A.3
Lead-In:Q12-103A.3 [1:1]


Q12-104A.3 [Y02324.00]Section: Fertility

([Q12-98.3]=1)

COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-104B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-105.3
Lead-In:Q12-103A.3 [Default], Q12-103B.3 [Default]


Q12-104B.3 []Section: Fertility

Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-105.3
Lead-In:Q12-104A.3 [1:1]


Q12-105.3 [Y02325.00]Section: Fertility

Based on either your last menstrual period date or your doctor's or clinic's information, was [Name of child from pregnancy 3] born within one week of the expected (due) date?

 1   Yes
 0   No   ...(Go To Q12-106A.3)

Default Next:Q12-107.3
Lead-In:Q12-104A.3 [Default], Q12-104B.3 [Default]


Q12-106A.3 [Y02326.00]Section: Fertility

Was the baby born early or late?

 1   Early
 2   Late

Default Next:Q12-106B.3
Lead-In:Q12-105.3 [0:0]


Q12-106B.3 [Y02327.00]Section: Fertility

How many weeks [early/late] was the baby?

(IF "1 1/2 WEEKS" ROUND UP TO "2".)

Enter Number: 

Default Next:Q12-107.3
Lead-In:Q12-106A.3 [Default]


Q12-107.3 [Y02328.00]Section: Fertility

Was a cesarean section done?
(IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?

 1   Yes   ...(Go To Q12-108.3)
 0   No

Default Next:Q12-109.3
Lead-In:Q12-105.3 [Default], Q12-106B.3 [Default]


Q12-108.3 [Y02329.00]Section: Fertility

Was this your first cesarean section, or did you have one before?

 1   First cesarean
 0   Had cesarean(s) before

Default Next:Q12-109.3
Lead-In:Q12-107.3 [1:1]


Q12-109.3 [Y02330.00]Section: Fertility

What was your weight just before you delivered?

Enter Number: 

Default Next:Q12-110.3
Lead-In:Q12-107.3 [Default], Q12-108.3 [Default]


Q12-110.3 [Y02331.00]Section: Fertility

What was your weight just before you became pregnant with [Name of child from pregnancy 3]?

Enter Number: 

Default Next:Q12-111.3
Lead-In:Q12-109.3 [Default]


Q12-111.3 [Y02332.00]Section: Fertility

(([[Respondent's weight before delivering (pregnancy 3)]] >= 0) & ([[Respondent's weight before becoming pregnant (pregnancy 3)]] >= 0))

COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?

 1   CONDITION APPLIES
 0   CONDITION DOES NOT APPLY   ...(Go To Q12-118A.3)

Default Next:Q12-112.3
Lead-In:Q12-110.3 [Default]


Q12-112.3 [Y02333.00]Section: Fertility

([[Respondent's weight before delivering (pregnancy 3)]] - [[Respondent's weight before becoming pregnant (pregnancy 3)]])

COMMENT: Subtract weight at time of delivery from weight before pregnancy.

If Answer = 0 Then Go To
Q12-116.3

Default Next:Q12-113.3
Lead-In:Q12-111.3 [Default]


Q12-113.3 [Y02334.00]Section: Fertility

([[Respondent's weight before delivering (pregnancy 3)]] < [[Respondent's weight before becoming pregnant (pregnancy 3)]])

COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?

 1   CONDITION APPLIES   ...(Go To Q12-114B.3)
 0   CONDITION DOES NOT APPLY   ...(Go To Q12-115.3)

Default Next:Q12-117.3
Lead-In:Q12-112.3 [Default]


Q12-114B.3 []Section: Fertility

Does that mean that you lost [Respondent's weight gain/loss during pregnancy 3] pounds during your pregnancy?

(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.3 ([Respondent's weight before delivering (pregnancy 3)]) AND Q12-110.3 ([Respondent's weight before becoming pregnant (pregnancy 3)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q12-118A.3
Lead-In:Q12-113.3 [1:1]


Q12-115.3 [Y02335.00]Section: Fertility

Does that mean that you gained [Respondent's weight gain/loss during pregnancy 3] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.3 ([Respondent's weight before delivering (pregnancy 3)]) AND Q12-110.3 ([Respondent's weight before becoming pregnant (pregnancy 3)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q12-118A.3
Lead-In:Q12-113.3 [0:0]


Q12-116.3 []Section: Fertility

Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.3 ([Respondent's weight before delivering (pregnancy 3)]) AND Q12-110.3 ([Respondent's weight before becoming pregnant (pregnancy 3)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q12-118A.3
Lead-In:Q12-112.3 [0:0]


Q12-117.3 []Section: Fertility

Did you gain or lose weight during your pregnancy with [Name of child from pregnancy 3]?

 1   Gained weight   ...(Go To Q12-117A.3)
 2   Lost Weight   ...(Go To Q12-117A.3)

Default Next:Q12-118A.3
Lead-In:Q12-113.3 [Default]


Q12-117A.3 []Section: Fertility

How much weight did you [gain/lose]?

(ENTER NUMBER OF POUNDS)

Enter Number: 

Default Next:Q12-118A.3
Lead-In:Q12-117.3 [1:2]


Q12-118A.3 [Y02336.00]Section: Fertility

How much did [Name of child from pregnancy 3] weigh at birth?

(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)

Enter Number: 
If Answer >= -2 AND Answer <= -1 Then Go To
Q12-118C.3

Default Next:Q12-118B.3
Lead-In:Q12-111.3 [0:0], Q12-114B.3 [Default], Q12-115.3 [Default], Q12-116.3 [Default], Q12-117.3 [Default], Q12-117A.3 [Default]


Q12-118B.3 [Y02337.00]Section: Fertility

(How much did [Name of child from pregnancy 3] weigh at birth?)

(ENTER NUMBER OF OUNCES.)

Enter Number: 
If Answer >= -2 AND Answer <= -1 Then Go To
Q12-118C.3

Default Next:Q12-119.3
Lead-In:Q12-118A.3 [Default]


Q12-118C.3 [Y02338.00]Section: Fertility

Did [Name of child from pregnancy 3] weigh more than 5 1/2 pounds or less?

 1   More
 2   Less

Default Next:Q12-119.3
Lead-In:Q12-118A.3 [-2:-1], Q12-118B.3 [-2:-1]


Q12-119.3 [Y02339.00]Section: Fertility

What was [Name of child from pregnancy 3]'s length at birth?

Enter Number: 

Default Next:Q12-119A.3
Lead-In:Q12-118B.3 [Default], Q12-118C.3 [Default]


Q12-119A.3 [Y02340.00]Section: Fertility

INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?

 1   Yes
 0   No

Default Next:Q12-120.3
Lead-In:Q12-119.3 [Default]


Q12-120.3 [Y02341.00]Section: Fertility

How long did your baby stay in the hospital?

 1   SELECT TO ENTER NUMBER OF DAYS
 0   BABY/RESPONDENT DID NOT STAY IN HOSPITAL   ...(Go To Q12-123.3)

Default Next:Q12-120A.3
Lead-In:Q12-119A.3 [Default]


Q12-120A.3 [Y02342.00]Section: Fertility

(ENTER NUMBER OF DAYS:)

Enter Number: 
If Answer = 0 Then Go To
Q12-123.3

Default Next:Q12-121.3
Lead-In:Q12-120.3 [Default]


Q12-121.3 [Y02343.00]Section: Fertility

Did you leave the hospital at the same time as your baby or did you leave earlier or later?

 1   Same time
 2   Earlier   ...(Go To Q12-122A.3)
 3   Later   ...(Go To Q12-122B.3)
 4   BABY STILL IN HOSPITAL   ...(Go To Q12-157C.3)
 5   BABY DIED IN HOSPITAL   ...(Go To Q12-158A.3)
 6   BABY ADOPTED OUT IN HOSPITAL   ...(Go To Q12-158A.3)

Default Next:Q12-123.3
Lead-In:Q12-120A.3 [Default]


Q12-122A.3 [Y02344.00]Section: Fertility

How many days earlier?

Enter Number: 

Default Next:Q12-123.3
Lead-In:Q12-121.3 [2:2]


Q12-122B.3 []Section: Fertility

How many days later?

Enter Number: 

Default Next:Q12-123.3
Lead-In:Q12-121.3 [3:3]


Q12-123.3 [Y02345.00]Section: Fertility

In [Name of child from pregnancy 3]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?

 1   Yes   ...(Go To Q12-124.3)
 0   No
 2   BABY DIED IN FIRST YEAR   ...(Go To Q12-158A.3)
 3   BABY ADOPTED OUT IN FIRST YEAR   ...(Go To Q12-158A.3)

Default Next:Q12-143.3
Lead-In:Q12-120.3 [0:0], Q12-120A.3 [0:0], Q12-121.3 [Default], Q12-122A.3 [Default], Q12-122B.3 [Default]


Q12-124.3 []Section: Fertility

When you took [Name of child from pregnancy 3] to a clinic, hospital, or doctor the first time because (he/she) was sick or injured, what was the nature of (his/her) illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)

Enter: 

Default Next:Q12-124A.3
Lead-In:Q12-123.3 [1:1]


Q12-124A.3 [Y02347.00]Section: Fertility

(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-125.3
Lead-In:Q12-124.3 [Default]


Q12-125.3 [Y02348.07]Section: Fertility

(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [first illness of child from pregnancy 3].

(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN 12-124.3.)

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-126.3
Lead-In:Q12-124A.3 [Default]


Q12-126.3 [Y02365.00]Section: Fertility

How many months old was [Name of child from pregnancy 3] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [first illness of child from pregnancy 3]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)

Enter Number: 

Default Next:Q12-127.3
Lead-In:Q12-125.3 [Default]


Q12-127.3 [Y02366.00]Section: Fertility

In [Name of child from pregnancy 3]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 3]?

Enter Number: 
If Answer = 1 Then Go To
Q12-129.3

Default Next:Q12-128.3
Lead-In:Q12-126.3 [Default]


Q12-128.3 [Y02367.00]Section: Fertility

In [Name of child from pregnancy 3]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [first illness of child from pregnancy 3]?

Enter Number: 

Default Next:Q12-129.3
Lead-In:Q12-127.3 [Default]


Q12-129.3 [Y02368.08]Section: Fertility

(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 3]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 3], where did you take (him/her)?

(CODE ALL THAT APPLY)

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-130B.3
Lead-In:Q12-127.3 [1:1], Q12-128.3 [Default]


Q12-130B.3 []Section: Fertility

([[Codes for places took child for main illness in first year (pregnancy 3)(9)]] = 9)

COMMENT: Was child from first pregnancy admitted to hospital for first illness in first year of life?

 1   CONDITION APPLIES   ...(Go To Q12-131.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-133.3
Lead-In:Q12-129.3 [Default]


Q12-131.3 [Y02380.00]Section: Fertility

When [Name of child from pregnancy 3] was admitted to the hospital, was surgery necessary?

 1   Yes
 0   No

Default Next:Q12-132.3
Lead-In:Q12-130B.3 [1:1]


Q12-132.3 [Y02381.00]Section: Fertility

Did you have to take time off from work?

 1   Yes
 0   No
 3   Not working

Default Next:Q12-133.3
Lead-In:Q12-131.3 [Default]


Q12-133.3 [Y02382.00]Section: Fertility

In [Name of child from pregnancy 3]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?

 1   Yes   ...(Go To Q12-134.3)
 0   No

Default Next:Q12-143.3
Lead-In:Q12-130B.3 [Default], Q12-132.3 [Default]


Q12-134.3 []Section: Fertility

What was the nature of this other illness or injury?

(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)

Enter: 

Default Next:Q12-134A.3
Lead-In:Q12-133.3 [1:1]


Q12-134A.3 [Y02384.00]Section: Fertility

(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-135.3
Lead-In:Q12-134.3 [Default]


Q12-135.3 [Y02385.07]Section: Fertility

(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [second illness of child from pregnancy 3].

(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-134.3.)

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-136.3
Lead-In:Q12-134A.3 [Default]


Q12-136.3 [Y02402.00]Section: Fertility

How many months old was [Name of child from pregnancy 3] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [second illness of child from pregnancy 3]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)

Enter Number: 

Default Next:Q12-137.3
Lead-In:Q12-135.3 [Default]


Q12-137.3 [Y02403.00]Section: Fertility

In [Name of child from pregnancy 3]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 3]?

Enter Number: 
If Answer = 1 Then Go To
Q12-139.3

Default Next:Q12-138.3
Lead-In:Q12-136.3 [Default]


Q12-138.3 []Section: Fertility

In [Name of child from pregnancy 3]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [second illness of child from pregnancy 3]?

Enter Number: 

Default Next:Q12-139.3
Lead-In:Q12-137.3 [Default]


Q12-139.3 [Y02404.06]Section: Fertility

(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 3]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 3], where did you take (him/her)?

(CODE ALL THAT APPLY)

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-140B.3
Lead-In:Q12-137.3 [1:1], Q12-138.3 [Default]


Q12-140B.3 []Section: Fertility

([[Codes for places took child for other illness in first year (pregnancy 3)(9)]] = 9)

COMMENT: Was child from first pregnancy admitted to hospital for second illness in first year of life?

 1   CONDITION APPLIES   ...(Go To Q12-141.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-143.3
Lead-In:Q12-139.3 [Default]


Q12-141.3 [Y02416.00]Section: Fertility

When [Name of child from pregnancy 3] was admitted to the hospital, was surgery necessary?

 1   Yes
 0   No

Default Next:Q12-142.3
Lead-In:Q12-140B.3 [1:1]


Q12-142.3 [Y02417.00]Section: Fertility

Did you have to take time off from work?

 1   Yes
 0   No
 3   Not working

Default Next:Q12-143.3
Lead-In:Q12-141.3 [Default]


Q12-143.3 [Y02418.00]Section: Fertility

Now we are going to discuss well baby care.

In [Name of child from pregnancy 3]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?

 1   Yes   ...(Go To Q12-144.3)
 0   No
 2   BABY DIED IN FIRST YEAR   ...(Go To Q12-158A.3)
 3   BABY ADOPTED OUT IN FIRST YEAR   ...(Go To Q12-158A.3)

Default Next:Q12-157BA.3
Lead-In:Q12-123.3 [Default], Q12-133.3 [Default], Q12-140B.3 [Default], Q12-142.3 [Default]


Q12-144.3 [Y02419.10]Section: Fertility

How many months old was [Name of child from pregnancy 3] when you took (him/her) to a clinic or doctor for well baby care the first time?.....
How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)

 1   01 - ONE MONTH OLD
 2   02 - TWO MONTHS OLD
 3   03 - THREE MONTHS OLD
 4   04 - FOUR MONTHS OLD
 5   05 - FIVE MONTHS OLD
 6   06 - SIX MONTHS OLD
 7   07 - SEVEN MONTHS OLD
 8   08 - EIGHT MONTHS OLD
 9   09 - NINE MONTHS OLD
 10   10 - TEN MONTHS OLD
 11   11 - ELEVEN MONTHS OLD
 12   12 - TWELVE MONTHS OLD

Default Next:Q12-146A.3
Lead-In:Q12-143.3 [1:1]


Q12-146A.3 [Y02433.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(1)]] = 1)

COMMENT: Was 3rd child taken for well baby care in his first month?

 1   CONDITION APPLIES   ...(Go To Q12-146B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-147A.3
Lead-In:Q12-144.3 [Default]


Q12-146B.3 [Y02434.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-147A.3
Lead-In:Q12-146A.3 [1:1]


Q12-147A.3 [Y02435.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(2)]] = 2)

COMMENT: Was 3rd child taken for well baby care in his second month?

 1   CONDITION APPLIES   ...(Go To Q12-147B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-148A.3
Lead-In:Q12-146A.3 [Default], Q12-146B.3 [Default]


Q12-147B.3 [Y02436.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-148A.3
Lead-In:Q12-147A.3 [1:1]


Q12-148A.3 [Y02437.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(3)]] = 3)

COMMENT: Was 3rd child taken for well baby care in his third month?

 1   CONDITION APPLIES   ...(Go To Q12-148B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-149A.3
Lead-In:Q12-147A.3 [Default], Q12-147B.3 [Default]


Q12-148B.3 [Y02438.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-149A.3
Lead-In:Q12-148A.3 [1:1]


Q12-149A.3 [Y02439.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(4)]] = 4)

COMMENT: Was 3rd child taken for well baby care in his fourth month?

 1   CONDITION APPLIES   ...(Go To Q12-149B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-150A.3
Lead-In:Q12-148A.3 [Default], Q12-148B.3 [Default]


Q12-149B.3 [Y02440.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-150A.3
Lead-In:Q12-149A.3 [1:1]


Q12-150A.3 [Y02441.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(5)]] = 5)

COMMENT: Was 3rd child taken for well baby care in his fifth month?

 1   CONDITION APPLIES   ...(Go To Q12-150B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-151A.3
Lead-In:Q12-149A.3 [Default], Q12-149B.3 [Default]


Q12-150B.3 [Y02442.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-151A.3
Lead-In:Q12-150A.3 [1:1]


Q12-151A.3 [Y02443.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(6)]] = 6)

COMMENT: Was 3rd child taken for well baby care in his sixth month?

 1   CONDITION APPLIES   ...(Go To Q12-151B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-152A.3
Lead-In:Q12-150A.3 [Default], Q12-150B.3 [Default]


Q12-151B.3 [Y02444.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-152A.3
Lead-In:Q12-151A.3 [1:1]


Q12-152A.3 [Y02445.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(7)]] = 7)

COMMENT: Was 3rd child taken for well baby care in his seventh month?

 1   CONDITION APPLIES   ...(Go To Q12-152B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-153A.3
Lead-In:Q12-151A.3 [Default], Q12-151B.3 [Default]


Q12-152B.3 [Y02446.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-153A.3
Lead-In:Q12-152A.3 [1:1]


Q12-153A.3 [Y02447.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(8)]] = 8)

COMMENT: Was 3rd child taken for well baby care in his eighth month?

 1   CONDITION APPLIES   ...(Go To Q12-153B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-154A.3
Lead-In:Q12-152A.3 [Default], Q12-152B.3 [Default]


Q12-153B.3 [Y02448.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-154A.3
Lead-In:Q12-153A.3 [1:1]


Q12-154A.3 [Y02449.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(9)]] = 9)

COMMENT: Was 3rd child taken for well baby care in his ninth month?

 1   CONDITION APPLIES   ...(Go To Q12-154B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-155A.3
Lead-In:Q12-153A.3 [Default], Q12-153B.3 [Default]


Q12-154B.3 [Y02450.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-155A.3
Lead-In:Q12-154A.3 [1:1]


Q12-155A.3 [Y02451.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(10)]] = 10)

COMMENT: Was 3rd child taken for well baby care in his tenth month?

 1   CONDITION APPLIES   ...(Go To Q12-155B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-156A.3
Lead-In:Q12-154A.3 [Default], Q12-154B.3 [Default]


Q12-155B.3 [Y02452.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-156A.3
Lead-In:Q12-155A.3 [1:1]


Q12-156A.3 [Y02453.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(11)]] = 11)

COMMENT: Was 3rd child taken for well baby care in his eleventh month?

 1   CONDITION APPLIES   ...(Go To Q12-156B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-157A.3
Lead-In:Q12-155A.3 [Default], Q12-155B.3 [Default]


Q12-156B.3 [Y02454.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-157A.3
Lead-In:Q12-156A.3 [1:1]


Q12-157A.3 [Y02455.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(12)]] = 12)

COMMENT: Was 3rd child taken for well baby care in his twelveth month?

 1   CONDITION APPLIES   ...(Go To Q12-157B.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-157BA.3
Lead-In:Q12-156A.3 [Default], Q12-156B.3 [Default]


Q12-157B.3 [Y02456.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-157BA.3
Lead-In:Q12-157A.3 [1:1]


Q12-157BA.3 [Y02457.00]Section: Fertility

([Q12-30d.3] = 5) | ([Q12-30d.3] = 8)

COMMENT: if child is adopted out or deceased

 1   CONDITION APPLIES   ...(Go To Q12-158A.3)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-157C.3
Lead-In:Q12-82N.3 [1:1], Q12-143.3 [Default], Q12-157A.3 [Default], Q12-157B.3 [Default]


Q12-157C.3 []Section: Fertility

Now, we have a few questions about health care plans. First, is [Name of child from pregnancy 3]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........

Default Next:Q12-157CA.3
Lead-In:Q12-121.3 [4:4], Q12-157BA.3 [Default]


Q12-157CA.3 [Y02458.00]Section: Fertility

.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO. [THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]

 1   Yes
 0   No   ...(Go To Q12-157E.3)

Default Next:Q12-157D.3
Lead-In:Q12-157C.3 [Default]


Q12-157D.3 []Section: Fertility

(HAND CARD GG) What is the source of [Name of child from pregnancy 3]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?

 1   Respondent's Parent's policy
 2   Respondent/spouse/partner policy bought directly from insurance company
 3   Respondent's employer policy
 4   Spouse/partner employer policy
 5   Other (SPECIFY)

Default Next:Q12-157E.3
Lead-In:Q12-157CA.3 [Default]


Q12-157E.3 [Y02459.00]Section: Fertility

There is a national program called Medicaid (Medi-Cal/Medical Assistance/Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy 3]'s health care now covered by Medicaid or one of these public assistance health care programs?

 1   Yes
 0   No

Default Next:Q12-158A.3
Lead-In:Q12-157CA.3 [0:0], Q12-157D.3 [Default]


Q12-158A.3 [Y02460.00]Section: Fertility

CHECK ([Name of biological child(4)])

COMMENT: check if to loop again 2nd time

 1   CONDITION APPLIES   ...(Go To Q12-74.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-160
Lead-In:Q12-121.3 [5:6], Q12-123.3 [2:3], Q12-143.3 [2:3], Q12-157BA.3 [1:1], Q12-157E.3 [Default]


Q12-74.4 [Y02461.00]Section: Fertility

Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]

(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS FOURTH BORN.)

Default Next:Q12-76A.4
Lead-In:Q12-158A.3 [1:1]


Q12-76A.4 [Y02462.00]Section: Fertility

[[Gender of the respondent]]

COMMENT: check gender

If Answer = 1 Then Go To
Q12-78M.4

Default Next:Q12-77F.4
Lead-In:Q12-74.4 [Default]


Q12-77F.4 [Y02463.00]Section: Fertility

When did you become pregnant with [Name of child from pregnancy 4]? What month and year?

Enter Date:  
MonthYear 

Default Next:Q12-78F.4
Lead-In:Q12-76A.4 [Default]


Q12-78F.4 [Y02464.00]Section: Fertility

(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy 4], did you use any methods such as the ones listed on this card to keep from getting pregnant?

 1   Yes
 0   No   ...(Go To Q12-80F.4)

Default Next:Q12-79F.4
Lead-In:Q12-77F.4 [Default]


Q12-79F.4 [Y02465.00]Section: Fertility

Had you stopped all methods before you became pregnant?

 1   Yes   ...(Go To Q12-80F.4)
 0   No

Default Next:Q12-81F.4
Lead-In:Q12-78F.4 [Default]


Q12-80F.4 [Y02466.00]Section: Fertility

Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?

 1   Yes   ...(Go To Q12-82F.4)
 0   No

Default Next:Q12-81F.4
Lead-In:Q12-78F.4 [0:0], Q12-79F.4 [1:1]


Q12-81F.4 [Y02467.00]Section: Fertility

Just before you became pregnant that time, did you want to become pregnant when you did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82F.4
Lead-In:Q12-79F.4 [Default], Q12-80F.4 [Default]


Q12-82F.4 [Y02468.00]Section: Fertility

And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby? (IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82N.4
Lead-In:Q12-80F.4 [1:1], Q12-81F.4 [Default]


Q12-78M.4 []Section: Fertility

(HAND CARD CC) Just before [Name of child from pregnancy 4]'s mother became pregnant with [Name of child from pregnancy 4], did you use any methods such as the ones listed on this card to keep from getting pregnant?

 1   Yes
 0   No   ...(Go To Q12-80M.4)

Default Next:Q12-79M.4
Lead-In:Q12-76A.4 [1:1]


Q12-79M.4 []Section: Fertility

Had you stopped all methods before [Name of child from pregnancy 4]'s mother became pregnant?

 1   Yes   ...(Go To Q12-80M.4)
 0   No

Default Next:Q12-81M.4
Lead-In:Q12-78M.4 [Default]


Q12-80M.4 []Section: Fertility

Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy 4]'s mother to become pregnant?

 1   Yes   ...(Go To Q12-82M.4)
 0   No

Default Next:Q12-81M.4
Lead-In:Q12-78M.4 [0:0], Q12-79M.4 [1:1]


Q12-81M.4 []Section: Fertility

Just before [Name of child from pregnancy 4]'s mother became pregnant that time, did you want her to become pregnant when she did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82M.4
Lead-In:Q12-79M.4 [Default], Q12-80M.4 [Default]


Q12-82M.4 []Section: Fertility

And what about [Name of child from pregnancy 4]'s mother when she became pregnant that time -- did she want to have (a/another) baby?
(IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82N.4
Lead-In:Q12-80M.4 [1:1], Q12-81M.4 [Default]


Q12-82N.4 [Y02469.00]Section: Fertility

([[Gender of the respondent]]=1)

COMMENT: check if male

 1   CONDITION APPLIES   ...(Go To Q12-157BA.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-83.4
Lead-In:Q12-82F.4 [Default], Q12-82M.4 [Default]


Q12-83.4 [Y02470.00]Section: Fertility

During your pregnancy with [Name of child from pregnancy 4], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?

 1   Yes   ...(Go To Q12-84.4)
 0   No

Default Next:Q12-85.4
Lead-In:Q12-82N.4 [Default]


Q12-84.4 [Y02471.00]Section: Fertility

When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?

(ENTER MONTH NUMBER)

Enter Number: 

Default Next:Q12-85.4
Lead-In:Q12-83.4 [1:1]


Q12-85.4 [Y02472.00]Section: Fertility

Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy 4] was born?

 1   Yes   ...(Go To Q12-86.4)
 0   No

Default Next:Q12-87.4
Lead-In:Q12-83.4 [Default], Q12-84.4 [Default]


Q12-86.4 []Section: Fertility

(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-87.4
Lead-In:Q12-85.4 [1:1]


Q12-87.4 [Y02473.00]Section: Fertility

Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 4] was born?

 1   Yes   ...(Go To Q12-88.4)
 0   No

Default Next:Q12-89.4
Lead-In:Q12-85.4 [Default], Q12-86.4 [Default]


Q12-88.4 [Y02474.00]Section: Fertility

On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?

 3   2 or more packs a day
 2   1 or more but less than 2
 1   Less than 1 pack a day
 0   (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD

Default Next:Q12-89.4
Lead-In:Q12-87.4 [1:1]


Q12-89.4 [Y02475.00]Section: Fertility

Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 4] was born?

 1   Yes   ...(Go To Q12-90.4)
 0   No

Default Next:Q12-91.4
Lead-In:Q12-87.4 [Default], Q12-88.4 [Default]


Q12-90.4 []Section: Fertility

(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-91.4
Lead-In:Q12-89.4 [1:1]


Q12-91.4 [Y02476.00]Section: Fertility

Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 4] was born?

 1   Yes   ...(Go To Q12-92.4)
 0   No

Default Next:Q12-93.4
Lead-In:Q12-89.4 [Default], Q12-90.4 [Default]


Q12-92.4 []Section: Fertility

(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-93.4
Lead-In:Q12-91.4 [1:1]


Q12-93.4 [Y02477.00]Section: Fertility

During (your/that) pregnancy, did you take a vitamin/mineral supplement?

 1   Yes
 0   No

Default Next:Q12-94.4
Lead-In:Q12-91.4 [Default], Q12-92.4 [Default]


Q12-94.4 [Y02478.00]Section: Fertility

During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?

 1   Yes
 0   No

Default Next:Q12-95.4
Lead-In:Q12-93.4 [Default]


Q12-95.4 [Y02479.00]Section: Fertility

During (your/that) pregnancy, did you cut down on the amount of salt you used?

 1   Yes
 0   No

Default Next:Q12-96.4
Lead-In:Q12-94.4 [Default]


Q12-96.4 [Y02480.00]Section: Fertility

During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?

 1   Yes
 0   No

Default Next:Q12-97.4
Lead-In:Q12-95.4 [Default]


Q12-97.4 [Y02481.00]Section: Fertility

During (your/that) pregnancy, did you reduce or stop your smoking?

 1   Yes
 0   No
 4   N/A

Default Next:Q12-98.4
Lead-In:Q12-96.4 [Default]


Q12-98.4 [Y02482.00]Section: Fertility

During (your/that) pregnancy, did you reduce or stop your alcohol intake?

 1   Yes
 0   No
 4   N/A

Default Next:Q12-99A.4
Lead-In:Q12-97.4 [Default]


Q12-99A.4 [Y02483.00]Section: Fertility

([Q12-93.4]=1)

COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-99B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-100A.4
Lead-In:Q12-98.4 [Default]


Q12-99B.4 [Y02484.00]Section: Fertility

Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-100A.4
Lead-In:Q12-99A.4 [1:1]


Q12-100A.4 [Y02485.00]Section: Fertility

([Q12-94.4]=1)

COMMENT: Did R cut down on the amount of calories his/her food during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-100B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-101A.4
Lead-In:Q12-99A.4 [Default], Q12-99B.4 [Default]


Q12-100B.4 [Y02486.00]Section: Fertility

Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-101A.4
Lead-In:Q12-100A.4 [1:1]


Q12-101A.4 [Y02487.00]Section: Fertility

([Q12-95.4]=1)

COMMENT: Did R cut down on the amount of salt he/she used during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-101B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-102A.4
Lead-In:Q12-100A.4 [Default], Q12-100B.4 [Default]


Q12-101B.4 [Y02488.00]Section: Fertility

Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-102A.4
Lead-In:Q12-101A.4 [1:1]


Q12-102A.4 [Y02489.00]Section: Fertility

([Q12-96.4]=1)

COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-102B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-103A.4
Lead-In:Q12-101A.4 [Default], Q12-101B.4 [Default]


Q12-102B.4 []Section: Fertility

Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-103A.4
Lead-In:Q12-102A.4 [1:1]


Q12-103A.4 [Y02490.00]Section: Fertility

([Q12-97.4]=1)

COMMENT: Did R reduce or stop his/her smoking during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-103B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-104A.4
Lead-In:Q12-102A.4 [Default], Q12-102B.4 [Default]


Q12-103B.4 [Y02491.00]Section: Fertility

Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-104A.4
Lead-In:Q12-103A.4 [1:1]


Q12-104A.4 [Y02492.00]Section: Fertility

([Q12-98.4]=1)

COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-104B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-105.4
Lead-In:Q12-103A.4 [Default], Q12-103B.4 [Default]


Q12-104B.4 []Section: Fertility

Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-105.4
Lead-In:Q12-104A.4 [1:1]


Q12-105.4 [Y02493.00]Section: Fertility

Based on either your last menstrual period date or your doctor's or clinic's information, was [Name of child from pregnancy 4] born within one week of the expected (due) date?

 1   Yes
 0   No   ...(Go To Q12-106A.4)

Default Next:Q12-107.4
Lead-In:Q12-104A.4 [Default], Q12-104B.4 [Default]


Q12-106A.4 [Y02494.00]Section: Fertility

Was the baby born early or late?

 1   Early
 2   Late

Default Next:Q12-106B.4
Lead-In:Q12-105.4 [0:0]


Q12-106B.4 [Y02495.00]Section: Fertility

How many weeks [early/late] was the baby?

(IF "1 1/2 WEEKS" ROUND UP TO "2".)

Enter Number: 

Default Next:Q12-107.4
Lead-In:Q12-106A.4 [Default]


Q12-107.4 [Y02496.00]Section: Fertility

Was a cesarean section done?
(IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?

 1   Yes   ...(Go To Q12-108.4)
 0   No

Default Next:Q12-109.4
Lead-In:Q12-105.4 [Default], Q12-106B.4 [Default]


Q12-108.4 [Y02497.00]Section: Fertility

Was this your first cesarean section, or did you have one before?

 1   First cesarean
 0   Had cesarean(s) before

Default Next:Q12-109.4
Lead-In:Q12-107.4 [1:1]


Q12-109.4 [Y02498.00]Section: Fertility

What was your weight just before you delivered?

Enter Number: 

Default Next:Q12-110.4
Lead-In:Q12-107.4 [Default], Q12-108.4 [Default]


Q12-110.4 [Y02499.00]Section: Fertility

What was your weight just before you became pregnant with [Name of child from pregnancy 4]?

Enter Number: 

Default Next:Q12-111.4
Lead-In:Q12-109.4 [Default]


Q12-111.4 [Y02500.00]Section: Fertility

(([[Respondent's weight before delivering (pregnancy 4)]] >= 0) & ([[Respondent's weight before becoming pregnant (pregnancy 4)]] >= 0))

COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?

 1   CONDITION APPLIES
 0   CONDITION DOES NOT APPLY   ...(Go To Q12-118A.4)

Default Next:Q12-112.4
Lead-In:Q12-110.4 [Default]


Q12-112.4 [Y02501.00]Section: Fertility

([[Respondent's weight before delivering (pregnancy 4)]] - [[Respondent's weight before becoming pregnant (pregnancy 4)]])

COMMENT: Subtract weight at time of delivery from weight before pregnancy.

If Answer = 0 Then Go To
Q12-116.4

Default Next:Q12-113.4
Lead-In:Q12-111.4 [Default]


Q12-113.4 [Y02502.00]Section: Fertility

([[Respondent's weight before delivering (pregnancy 4)]] < [[Respondent's weight before becoming pregnant (pregnancy 4)]])

COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?

 1   CONDITION APPLIES   ...(Go To Q12-114B.4)
 0   CONDITION DOES NOT APPLY   ...(Go To Q12-115.4)

Default Next:Q12-117.4
Lead-In:Q12-112.4 [Default]


Q12-114B.4 [Y02503.00]Section: Fertility

Does that mean that you lost [Respondent's weight gain/loss during pregnancy 4] pounds during your pregnancy?

(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.4 ([Respondent's weight before delivering (pregnancy 4)]) AND Q12-110.4 ([Respondent's weight before becoming pregnant (pregnancy 4)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q12-118A.4
Lead-In:Q12-113.4 [1:1]


Q12-115.4 [Y02504.00]Section: Fertility

Does that mean that you gained [Respondent's weight gain/loss during pregnancy 4] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.4 ([Respondent's weight before delivering (pregnancy 4)]) AND Q12-110.4 ([Respondent's weight before becoming pregnant (pregnancy 4)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q12-118A.4
Lead-In:Q12-113.4 [0:0]


Q12-116.4 []Section: Fertility

Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.4 ([Respondent's weight before delivering (pregnancy 4)]) AND Q12-110.4 ([Respondent's weight before becoming pregnant (pregnancy 4)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)

 1   Yes
 0   No

Default Next:Q12-118A.4
Lead-In:Q12-112.4 [0:0]


Q12-117.4 []Section: Fertility

Did you gain or lose weight during your pregnancy with [Name of child from pregnancy 4]?

 1   Gained weight   ...(Go To Q12-117A.4)
 2   Lost Weight   ...(Go To Q12-117A.4)

Default Next:Q12-118A.4
Lead-In:Q12-113.4 [Default]


Q12-117A.4 []Section: Fertility

How much weight did you [gain/lose]?

(ENTER NUMBER OF POUNDS)

Enter Number: 

Default Next:Q12-118A.4
Lead-In:Q12-117.4 [1:2]


Q12-118A.4 [Y02505.00]Section: Fertility

How much did [Name of child from pregnancy 4] weigh at birth?

(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)

Enter Number: 

Default Next:Q12-118B.4
Lead-In:Q12-111.4 [0:0], Q12-114B.4 [Default], Q12-115.4 [Default], Q12-116.4 [Default], Q12-117.4 [Default], Q12-117A.4 [Default]


Q12-118B.4 [Y02506.00]Section: Fertility

(How much did [Name of child from pregnancy 4] weigh at birth?)

(ENTER NUMBER OF OUNCES.)

Enter Number: 

Default Next:Q12-119.4
Lead-In:Q12-118A.4 [Default]


Q12-119.4 [Y02507.00]Section: Fertility

What was [Name of child from pregnancy 4]'s length at birth?

Enter Number: 

Default Next:Q12-119A.4
Lead-In:Q12-118B.4 [Default]


Q12-119A.4 [Y02508.00]Section: Fertility

INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?

 1   Yes
 0   No

Default Next:Q12-120.4
Lead-In:Q12-119.4 [Default]


Q12-120.4 [Y02509.00]Section: Fertility

How long did your baby stay in the hospital?

 1   SELECT TO ENTER NUMBER OF DAYS
 0   BABY/RESPONDENT DID NOT STAY IN HOSPITAL   ...(Go To Q12-123.4)

Default Next:Q12-120A.4
Lead-In:Q12-119A.4 [Default]


Q12-120A.4 [Y02510.00]Section: Fertility

(ENTER NUMBER OF DAYS:)

Enter Number: 
If Answer = 0 Then Go To
Q12-123.4

Default Next:Q12-121.4
Lead-In:Q12-120.4 [Default]


Q12-121.4 [Y02511.00]Section: Fertility

Did you leave the hospital at the same time as your baby or did you leave earlier or later?

 1   Same time
 2   Earlier   ...(Go To Q12-122A.4)
 3   Later   ...(Go To Q12-122B.4)
 4   BABY STILL IN HOSPITAL   ...(Go To Q12-157C.4)
 5   BABY DIED IN HOSPITAL   ...(Go To Q12-158A.4)
 6   BABY ADOPTED OUT IN HOSPITAL   ...(Go To Q12-158A.4)

Default Next:Q12-123.4
Lead-In:Q12-120A.4 [Default]


Q12-122A.4 []Section: Fertility

How many days earlier?

Enter Number: 

Default Next:Q12-123.4
Lead-In:Q12-121.4 [2:2]


Q12-122B.4 []Section: Fertility

How many days later?

Enter Number: 

Default Next:Q12-123.4
Lead-In:Q12-121.4 [3:3]


Q12-123.4 [Y02512.00]Section: Fertility

In [Name of child from pregnancy 4]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?

 1   Yes   ...(Go To Q12-124.4)
 0   No
 2   BABY DIED IN FIRST YEAR   ...(Go To Q12-158A.4)
 3   BABY ADOPTED OUT IN FIRST YEAR   ...(Go To Q12-158A.4)

Default Next:Q12-143.4
Lead-In:Q12-120.4 [0:0], Q12-120A.4 [0:0], Q12-121.4 [Default], Q12-122A.4 [Default], Q12-122B.4 [Default]


Q12-124.4 []Section: Fertility

When you took [Name of child from pregnancy 4] to a clinic, hospital, or doctor the first time because (he/she) was sick or injured, what was the nature of (his/her) illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)

Enter: 

Default Next:Q12-124A.4
Lead-In:Q12-123.4 [1:1]


Q12-124A.4 [Y02514.00]Section: Fertility

(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-125.4
Lead-In:Q12-124.4 [Default]


Q12-125.4 [Y02515.03]Section: Fertility

(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [first illness of child from pregnancy 4].

(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-124.4.)

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-126.4
Lead-In:Q12-124A.4 [Default]


Q12-126.4 [Y02532.00]Section: Fertility

How many months old was [Name of child from pregnancy 4] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [first illness of child from pregnancy 4]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)

Enter Number: 

Default Next:Q12-127.4
Lead-In:Q12-125.4 [Default]


Q12-127.4 [Y02533.00]Section: Fertility

In [Name of child from pregnancy 4]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 4]?

Enter Number: 
If Answer = 1 Then Go To
Q12-129.4

Default Next:Q12-128.4
Lead-In:Q12-126.4 [Default]


Q12-128.4 [Y02534.00]Section: Fertility

In [Name of child from pregnancy 4]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [first illness of child from pregnancy 4]?

Enter Number: 

Default Next:Q12-129.4
Lead-In:Q12-127.4 [Default]


Q12-129.4 [Y02535.00]Section: Fertility

(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 4]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 4], where did you take (him/her)?

(CODE ALL THAT APPLY)

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-130B.4
Lead-In:Q12-127.4 [1:1], Q12-128.4 [Default]


Q12-130B.4 []Section: Fertility

([[Codes for places took child for main illness in first year (pregnancy 4)(9)]] = 9)

COMMENT: Was child from first pregnancy admitted to hospital for first illness in first year of life?

 1   CONDITION APPLIES   ...(Go To Q12-131.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-133.4
Lead-In:Q12-129.4 [Default]


Q12-131.4 []Section: Fertility

When [Name of child from pregnancy 4] was admitted to the hospital, was surgery necessary?

 1   Yes
 0   No

Default Next:Q12-132.4
Lead-In:Q12-130B.4 [1:1]


Q12-132.4 []Section: Fertility

Did you have to take time off from work?

 1   Yes
 0   No
 3   Not working

Default Next:Q12-133.4
Lead-In:Q12-131.4 [Default]


Q12-133.4 [Y02546.00]Section: Fertility

In [Name of child from pregnancy 4]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?

 1   Yes   ...(Go To Q12-134.4)
 0   No

Default Next:Q12-143.4
Lead-In:Q12-130B.4 [Default], Q12-132.4 [Default]


Q12-134.4 []Section: Fertility

What was the nature of this other illness or injury?

(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)

Enter: 

Default Next:Q12-134A.4
Lead-In:Q12-133.4 [1:1]


Q12-134A.4 []Section: Fertility

(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-135.4
Lead-In:Q12-134.4 [Default]


Q12-135.4 []Section: Fertility

(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [second illness of child from pregnancy 4].

(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-134.4.)

 1   Fever
 2   Cold
 3   Sore throat
 4   Pneumonia
 5   Ear infection
 6   Vomiting, diarrhea, or dehydration
 7   Rash
 8   Accident or poisoning
 9   Convulsions
 10   Jaundice
 11   Feeding problems (food allergy, formula tolerance, etc.)
 12   Meningitis
 13   Asthma or bronchitis
 14   Other (SPECIFY)
 0   None

Default Next:Q12-136.4
Lead-In:Q12-134A.4 [Default]


Q12-136.4 []Section: Fertility

How many months old was [Name of child from pregnancy 4] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [second illness of child from pregnancy 4]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)

Enter Number: 

Default Next:Q12-137.4
Lead-In:Q12-135.4 [Default]


Q12-137.4 []Section: Fertility

In [Name of child from pregnancy 4]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 4]?

Enter Number: 
If Answer = 1 Then Go To
Q12-139.4

Default Next:Q12-138.4
Lead-In:Q12-136.4 [Default]


Q12-138.4 []Section: Fertility

In [Name of child from pregnancy 4]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [second illness of child from pregnancy 4]?

Enter Number: 

Default Next:Q12-139.4
Lead-In:Q12-137.4 [Default]


Q12-139.4 []Section: Fertility

(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 4]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 4], where did you take (him/her)?

(CODE ALL THAT APPLY)

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-140B.4
Lead-In:Q12-137.4 [1:1], Q12-138.4 [Default]


Q12-140B.4 []Section: Fertility

([[Codes for places took child for other illness in first year (pregnancy 4)(9)]] = 9)

COMMENT: Was child from first pregnancy admitted to hospital for second illness in first year of life?

 1   CONDITION APPLIES   ...(Go To Q12-141.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-143.4
Lead-In:Q12-139.4 [Default]


Q12-141.4 []Section: Fertility

When [Name of child from pregnancy 4] was admitted to the hospital, was surgery necessary?

 1   Yes
 0   No

Default Next:Q12-142.4
Lead-In:Q12-140B.4 [1:1]


Q12-142.4 []Section: Fertility

Did you have to take time off from work?

 1   Yes
 0   No
 3   Not working

Default Next:Q12-143.4
Lead-In:Q12-141.4 [Default]


Q12-143.4 [Y02548.00]Section: Fertility

Now we are going to discuss well baby care.

In [Name of child from pregnancy 4]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?

 1   Yes   ...(Go To Q12-144.4)
 0   No
 2   BABY DIED IN FIRST YEAR   ...(Go To Q12-158A.4)
 3   BABY ADOPTED OUT IN FIRST YEAR   ...(Go To Q12-158A.4)

Default Next:Q12-157BA.4
Lead-In:Q12-123.4 [Default], Q12-133.4 [Default], Q12-140B.4 [Default], Q12-142.4 [Default]


Q12-144.4 [Y02549.09]Section: Fertility

How many months old was [Name of child from pregnancy 4] when you took (him/her) to a clinic or doctor for well baby care the first time?.....
How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)

 1   01 - ONE MONTH OLD
 2   02 - TWO MONTHS OLD
 3   03 - THREE MONTHS OLD
 4   04 - FOUR MONTHS OLD
 5   05 - FIVE MONTHS OLD
 6   06 - SIX MONTHS OLD
 7   07 - SEVEN MONTHS OLD
 8   08 - EIGHT MONTHS OLD
 9   09 - NINE MONTHS OLD
 10   10 - TEN MONTHS OLD
 11   11 - ELEVEN MONTHS OLD
 12   12 - TWELVE MONTHS OLD

Default Next:Q12-146A.4
Lead-In:Q12-143.4 [1:1]


Q12-146A.4 [Y02563.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(1)]] = 1)

COMMENT: Was 4th child taken for well baby care in his first month?

 1   CONDITION APPLIES   ...(Go To Q12-146B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-147A.4
Lead-In:Q12-144.4 [Default]


Q12-146B.4 [Y02564.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-147A.4
Lead-In:Q12-146A.4 [1:1]


Q12-147A.4 [Y02565.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(2)]] = 2)

COMMENT: Was 4th child taken for well baby care in his second month?

 1   CONDITION APPLIES   ...(Go To Q12-147B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-148A.4
Lead-In:Q12-146A.4 [Default], Q12-146B.4 [Default]


Q12-147B.4 [Y02566.00]Section: Fertility

(HAND CARD W) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-148A.4
Lead-In:Q12-147A.4 [1:1]


Q12-148A.4 [Y02567.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(3)]] = 3)

COMMENT: Was 4th child taken for well baby care in his third month?

 1   CONDITION APPLIES   ...(Go To Q12-148B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-149A.4
Lead-In:Q12-147A.4 [Default], Q12-147B.4 [Default]


Q12-148B.4 [Y02568.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-149A.4
Lead-In:Q12-148A.4 [1:1]


Q12-149A.4 [Y02569.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(4)]] = 4)

COMMENT: Was 4th child taken for well baby care in his fourth month?

 1   CONDITION APPLIES   ...(Go To Q12-149B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-150A.4
Lead-In:Q12-148A.4 [Default], Q12-148B.4 [Default]


Q12-149B.4 [Y02570.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-150A.4
Lead-In:Q12-149A.4 [1:1]


Q12-150A.4 [Y02571.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(5)]] = 5)

COMMENT: Was 4th child taken for well baby care in his fifth month?

 1   CONDITION APPLIES   ...(Go To Q12-150B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-151A.4
Lead-In:Q12-149A.4 [Default], Q12-149B.4 [Default]


Q12-150B.4 [Y02572.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-151A.4
Lead-In:Q12-150A.4 [1:1]


Q12-151A.4 [Y02573.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(6)]] = 6)

COMMENT: Was 4th child taken for well baby care in his sixth month?

 1   CONDITION APPLIES   ...(Go To Q12-151B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-152A.4
Lead-In:Q12-150A.4 [Default], Q12-150B.4 [Default]


Q12-151B.4 [Y02574.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-152A.4
Lead-In:Q12-151A.4 [1:1]


Q12-152A.4 []Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(7)]] = 7)

COMMENT: Was 4th child taken for well baby care in his seventh month?

 1   CONDITION APPLIES   ...(Go To Q12-152B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-153A.4
Lead-In:Q12-151A.4 [Default], Q12-151B.4 [Default]


Q12-152B.4 []Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-153A.4
Lead-In:Q12-152A.4 [1:1]


Q12-153A.4 [Y02575.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(8)]] = 8)

COMMENT: Was 4th child taken for well baby care in his eighth month?

 1   CONDITION APPLIES   ...(Go To Q12-153B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-154A.4
Lead-In:Q12-152A.4 [Default], Q12-152B.4 [Default]


Q12-153B.4 [Y02576.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-154A.4
Lead-In:Q12-153A.4 [1:1]


Q12-154A.4 [Y02577.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(9)]] = 9)

COMMENT: Was 4th child taken for well baby care in his ninth month?

 1   CONDITION APPLIES   ...(Go To Q12-154B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-155A.4
Lead-In:Q12-153A.4 [Default], Q12-153B.4 [Default]


Q12-154B.4 [Y02578.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-155A.4
Lead-In:Q12-154A.4 [1:1]


Q12-155A.4 [Y02579.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(10)]] = 10)

COMMENT: Was 4th child taken for well baby care in his tenth month?

 1   CONDITION APPLIES   ...(Go To Q12-155B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-156A.4
Lead-In:Q12-154A.4 [Default], Q12-154B.4 [Default]


Q12-155B.4 [Y02580.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-156A.4
Lead-In:Q12-155A.4 [1:1]


Q12-156A.4 [Y02581.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(11)]] = 11)

COMMENT: Was 4th child taken for well baby care in his eleventh month?

 1   CONDITION APPLIES   ...(Go To Q12-156B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-157A.4
Lead-In:Q12-155A.4 [Default], Q12-155B.4 [Default]


Q12-156B.4 [Y02582.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-157A.4
Lead-In:Q12-156A.4 [1:1]


Q12-157A.4 [Y02583.00]Section: Fertility

([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(12)]] = 12)

COMMENT: Was 4th child taken for well baby care in his twelveth month?

 1   CONDITION APPLIES   ...(Go To Q12-157B.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-157BA.4
Lead-In:Q12-156A.4 [Default], Q12-156B.4 [Default]


Q12-157B.4 [Y02584.00]Section: Fertility

(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?

 1   Private doctor's office
 2   Public clinic
 3   Private clinic
 4   Health maintenance organization (HMO)
 5   Hospital clinic, walk-in clinic
 6   Community health center
 7   Emergency room out-patient
 8   Other (SPECIFY)
 9   Hospital admission

Default Next:Q12-157BA.4
Lead-In:Q12-157A.4 [1:1]


Q12-157BA.4 [Y02585.00]Section: Fertility

([Q12-30d.4] = 5) | ([Q12-30d.4] = 8)

COMMENT: if child is adopted out or deceased

 1   CONDITION APPLIES   ...(Go To Q12-158A.4)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-157C.4
Lead-In:Q12-82N.4 [1:1], Q12-143.4 [Default], Q12-157A.4 [Default], Q12-157B.4 [Default]


Q12-157C.4 []Section: Fertility

Now, we have a few questions about health care plans. First, is [Name of child from pregnancy 4]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........

Default Next:Q12-157CA.4
Lead-In:Q12-121.4 [4:4], Q12-157BA.4 [Default]


Q12-157CA.4 [Y02586.00]Section: Fertility

.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO. [THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]

 1   Yes
 0   No   ...(Go To Q12-157E.4)

Default Next:Q12-157D.4
Lead-In:Q12-157C.4 [Default]


Q12-157D.4 []Section: Fertility

(HAND CARD GG) What is the source of [Name of child from pregnancy 4]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?

 1   Respondent's Parent's policy
 2   Respondent/spouse/partner policy bought directly from insurance company
 3   Respondent's employer policy
 4   Spouse/partner employer policy
 5   Other (SPECIFY)

Default Next:Q12-157E.4
Lead-In:Q12-157CA.4 [Default]


Q12-157E.4 [Y02587.00]Section: Fertility

There is a national program called Medicaid (Medi-Cal/Medical Assistance/Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy 4]'s health care now covered by Medicaid or one of these public assistance health care programs?

 1   Yes
 0   No

Default Next:Q12-158A.4
Lead-In:Q12-157CA.4 [0:0], Q12-157D.4 [Default]


Q12-158A.4 [Y02588.00]Section: Fertility

CHECK ([Name of biological child(5)])

COMMENT: check if to loop again 2nd time

 1   CONDITION APPLIES   ...(Go To Q12-74.5)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-160
Lead-In:Q12-121.4 [5:6], Q12-123.4 [2:3], Q12-143.4 [2:3], Q12-157BA.4 [1:1], Q12-157E.4 [Default]


Q12-74.5 [Y02589.00]Section: Fertility

Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]

(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS FIFTH BORN.)

Default Next:Q12-76A.5
Lead-In:Q12-158A.4 [1:1]


Q12-76A.5 [Y02590.00]Section: Fertility

[[Gender of the respondent]]

COMMENT: check gender

If Answer = 1 Then Go To
Q12-78M.5

Default Next:Q12-77F.5
Lead-In:Q12-74.5 [Default]


Q12-77F.5 [Y02591.00]Section: Fertility

When did you become pregnant with [Name of child from pregnancy 5]? What month and year?

Enter Date:  
MonthYear 

Default Next:Q12-78F.5
Lead-In:Q12-76A.5 [Default]


Q12-78F.5 [Y02592.00]Section: Fertility

(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy 5], did you use any methods such as the ones listed on this card to keep from getting pregnant?

 1   Yes
 0   No   ...(Go To Q12-80F.5)

Default Next:Q12-79F.5
Lead-In:Q12-77F.5 [Default]


Q12-79F.5 [Y02593.00]Section: Fertility

Had you stopped all methods before you became pregnant?

 1   Yes   ...(Go To Q12-80F.5)
 0   No

Default Next:Q12-81F.5
Lead-In:Q12-78F.5 [Default]


Q12-80F.5 []Section: Fertility

Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?

 1   Yes   ...(Go To Q12-82F.5)
 0   No

Default Next:Q12-81F.5
Lead-In:Q12-78F.5 [0:0], Q12-79F.5 [1:1]


Q12-81F.5 [Y02594.00]Section: Fertility

Just before you became pregnant that time, did you want to become pregnant when you did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82F.5
Lead-In:Q12-79F.5 [Default], Q12-80F.5 [Default]


Q12-82F.5 [Y02595.00]Section: Fertility

And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby?
(IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have
(none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82N.5
Lead-In:Q12-80F.5 [1:1], Q12-81F.5 [Default]


Q12-78M.5 []Section: Fertility

(HAND CARD CC) Just before [Name of child from pregnancy 5]'s mother became pregnant with [Name of child from pregnancy 5], did you use any methods such as the ones listed on this card to keep from getting pregnant?

 1   Yes
 0   No   ...(Go To Q12-80M.5)

Default Next:Q12-79M.5
Lead-In:Q12-76A.5 [1:1]


Q12-79M.5 []Section: Fertility

Had you stopped all methods before [Name of child from pregnancy 5]'s mother became pregnant?

 1   Yes   ...(Go To Q12-80M.5)
 0   No

Default Next:Q12-81M.5
Lead-In:Q12-78M.5 [Default]


Q12-80M.5 []Section: Fertility

Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy 5]'s mother to become pregnant?

 1   Yes   ...(Go To Q12-82M.5)
 0   No

Default Next:Q12-81M.5
Lead-In:Q12-78M.5 [0:0], Q12-79M.5 [1:1]


Q12-81M.5 []Section: Fertility

Just before [Name of child from pregnancy 5]'s mother became pregnant that time, did you want her to become pregnant when she did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82M.5
Lead-In:Q12-79M.5 [Default], Q12-80M.5 [Default]


Q12-82M.5 []Section: Fertility

And what about [Name of child from pregnancy 5]'s mother when she became pregnant that time -- did she want to have (a/another) baby?
(IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?

 1   Yes
 2   Didn't matter
 3   No--not at that time
 4   No--(none/no more) at all

Default Next:Q12-82N.5
Lead-In:Q12-80M.5 [1:1], Q12-81M.5 [Default]


Q12-82N.5 [Y02596.00]Section: Fertility

([[Gender of the respondent]]=1)

COMMENT: check if male

 1   CONDITION APPLIES   ...(Go To Q12-157BA.5)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-83.5
Lead-In:Q12-82F.5 [Default], Q12-82M.5 [Default]


Q12-83.5 [Y02597.00]Section: Fertility

During your pregnancy with [Name of child from pregnancy 5], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?

 1   Yes   ...(Go To Q12-84.5)
 0   No

Default Next:Q12-85.5
Lead-In:Q12-82N.5 [Default]


Q12-84.5 [Y02598.00]Section: Fertility

When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?

(ENTER MONTH NUMBER)

Enter Number: 

Default Next:Q12-85.5
Lead-In:Q12-83.5 [1:1]


Q12-85.5 [Y02599.00]Section: Fertility

Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy 5] was born?

 1   Yes   ...(Go To Q12-86.5)
 0   No

Default Next:Q12-87.5
Lead-In:Q12-83.5 [Default], Q12-84.5 [Default]


Q12-86.5 []Section: Fertility

(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-87.5
Lead-In:Q12-85.5 [1:1]


Q12-87.5 [Y02600.00]Section: Fertility

Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 5] was born?

 1   Yes   ...(Go To Q12-88.5)
 0   No

Default Next:Q12-89.5
Lead-In:Q12-85.5 [Default], Q12-86.5 [Default]


Q12-88.5 [Y02601.00]Section: Fertility

On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?

 3   2 or more packs a day
 2   1 or more but less than 2
 1   Less than 1 pack a day
 0   (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD

Default Next:Q12-89.5
Lead-In:Q12-87.5 [1:1]


Q12-89.5 [Y02602.00]Section: Fertility

Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 5] was born?

 1   Yes   ...(Go To Q12-90.5)
 0   No

Default Next:Q12-91.5
Lead-In:Q12-87.5 [Default], Q12-88.5 [Default]


Q12-90.5 []Section: Fertility

(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-91.5
Lead-In:Q12-89.5 [1:1]


Q12-91.5 [Y02603.00]Section: Fertility

Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 5] was born?

 1   Yes   ...(Go To Q12-92.5)
 0   No

Default Next:Q12-93.5
Lead-In:Q12-89.5 [Default], Q12-90.5 [Default]


Q12-92.5 []Section: Fertility

(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?

 7   Every day
 6   Nearly every day
 5   3 or 4 days a week
 4   1 or 2 days a week
 3   3 or 4 days a month
 2   About once a month
 1   Less than once a month
 0   Never

Default Next:Q12-93.5
Lead-In:Q12-91.5 [1:1]


Q12-93.5 [Y02604.00]Section: Fertility

During (your/that) pregnancy, did you take a vitamin/mineral supplement?

 1   Yes
 0   No

Default Next:Q12-94.5
Lead-In:Q12-91.5 [Default], Q12-92.5 [Default]


Q12-94.5 [Y02605.00]Section: Fertility

During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?

 1   Yes
 0   No

Default Next:Q12-95.5
Lead-In:Q12-93.5 [Default]


Q12-95.5 [Y02606.00]Section: Fertility

During (your/that) pregnancy, did you cut down on the amount of salt you used?

 1   Yes
 0   No

Default Next:Q12-96.5
Lead-In:Q12-94.5 [Default]


Q12-96.5 [Y02607.00]Section: Fertility

During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?

 1   Yes
 0   No

Default Next:Q12-97.5
Lead-In:Q12-95.5 [Default]


Q12-97.5 [Y02608.00]Section: Fertility

During (your/that) pregnancy, did you reduce or stop your smoking?

 1   Yes
 0   No
 4   N/A

Default Next:Q12-98.5
Lead-In:Q12-96.5 [Default]


Q12-98.5 [Y02609.00]Section: Fertility

During (your/that) pregnancy, did you reduce or stop your alcohol intake?

 1   Yes
 0   No
 4   N/A

Default Next:Q12-99A.5
Lead-In:Q12-97.5 [Default]


Q12-99A.5 [Y02610.00]Section: Fertility

([Q12-93.5]=1)

COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-99B.5)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-100A.5
Lead-In:Q12-98.5 [Default]


Q12-99B.5 [Y02611.00]Section: Fertility

Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-100A.5
Lead-In:Q12-99A.5 [1:1]


Q12-100A.5 [Y02612.00]Section: Fertility

([Q12-94.5]=1)

COMMENT: Did R cut down on the amount of calories his/her food during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-100B.5)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-101A.5
Lead-In:Q12-99A.5 [Default], Q12-99B.5 [Default]


Q12-100B.5 []Section: Fertility

Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-101A.5
Lead-In:Q12-100A.5 [1:1]


Q12-101A.5 [Y02613.00]Section: Fertility

([Q12-95.5]=1)

COMMENT: Did R cut down on the amount of salt he/she used during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-101B.5)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-102A.5
Lead-In:Q12-100A.5 [Default], Q12-100B.5 [Default]


Q12-101B.5 []Section: Fertility

Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-102A.5
Lead-In:Q12-101A.5 [1:1]


Q12-102A.5 [Y02614.00]Section: Fertility

([Q12-96.5]=1)

COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-102B.5)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-103A.5
Lead-In:Q12-101A.5 [Default], Q12-101B.5 [Default]


Q12-102B.5 []Section: Fertility

Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

Default Next:Q12-103A.5
Lead-In:Q12-102A.5 [1:1]


Q12-103A.5 [Y02615.00]Section: Fertility

([Q12-97.5]=1)

COMMENT: Did R reduce or stop his/her smoking during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-103B.5)
 0   CONDITION DOES NOT APPLY

Default Next:Q12-104A.5
Lead-In:Q12-102A.5 [Default], Q12-102B.5 [Default]


Q12-103B.5 []Section: Fertility

Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?

 1   Yes
 0   No

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Lead-In:Q12-103A.5 [1:1]


Q12-104A.5 [Y02616.00]Section: Fertility

([Q12-98.5]=1)

COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?

 1   CONDITION APPLIES   ...(Go To Q12-104B.5)
 0   CONDITION DOES NOT APPLY

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Lead-In:Q12-103A.5 [Default], Q12-103B.5 [Default]


Q12-104B.5 []Section: Fertili