Household Questionnaire for all children COVER PAGE IIN/GRADE University of Oxford (UK) Funded by Department for International Development (DFID) Household Roster: HR0 CHILDID PE__ __ _ __ __ __ (CHILDID) SAY: Can you please tell me the names of all individuals who are currently members of the household. Please include those who are away on a temporary basis (e.g. in prison or away working) but do not include visitors or temporary residents. FIELDWORKER: Put the index child as the first person in this list assigning them the ID number of 00. Fill in the remaining names. For each person ask their age, sex and their relationship to the YL child. Then add new members. ID Full name of household Does this person still How old is this Is this person How is this person member live in the household? person (in male or female? related to ‘NAME’? 01= Yes, still lives in completed household years)? ENTER CODE 02=No, lives elsewhere 1=Male FROM CODE BOX temporarily 77=Don’t know 2=Female BELOW 03=Person has died 99=Missing 77=Don’t know 99=Missing (ID) (NAME) (LIVHSE) (AGE) (MEMSEX) (RELATE) (SPCRELA) __ __ ______________________ __ __ __ __ __ __ __ __ __ __ ______________________ __ __ __ __ __ __ __ __ __ __ ______________________ __ __ __ __ __ __ __ __ __ __ ______________________ __ __ __ __ __ __ __ __ __ __ ______________________ __ __ __ __ __ __ __ __ __ __ ______________________ __ __ __ __ __ __ __ __ __ __ ______________________ __ __ __ __ __ __ __ __ __ __ ______________________ __ __ __ __ __ __ __ __ __ __ ______________________ __ __ __ __ __ __ __ __ __ __ ______________________ __ __ __ __ __ __ __ __ __ __ ______________________ __ __ __ __ __ __ __ __ __ __ ______________________ __ __ __ __ __ __ __ __ __ __ ______________________ __ __ __ __ __ __ __ __ CODEBOX # - RELATIONSHIP TO YL CHILD 01=Biological parent 11=Adoptive brother/sister 21=Other, unrelated 02=Step-parent (partner of biological parent) 12=Foster brother/sister 22=Nanny (Live-in) 03=Adoptive parent 13=Uncle/Aunt 23=Tenant/lodger 04=Foster parent 14=Cousin (inc. cousin brother & cousin 24=Adoptive parent (Adoption legal) sister) 05=Maternal grandparent 15=Nephew/Niece 25=Partner/Spouse of the YL Child 06=Paternal grandparent 16=Brother/sister-in-law (spouse of sibling) 26=Father-in-law/Mother-in-law 07=Brother/sister (both parents the same) 17=Great-grandparent (mother’s side) 27=Child of YL child 08=Half-sibling (same father 18=Great grandparent (father’s side) 77=NK 09=Half-sibling (same mother) 19=Other relative 88=NA 10=Step-sibling (no parent in common) 20=Servant (farm-worker, maid, etc.) THE YOUNG LIVES STUDY – HOUSEHOLD QUESTIONNAIRE – All children CONFIRM CONSENT SAY: When we saw you yesterday (or whenever) you agreed to continue being part of the YL study. Now that you have had time to consider this are you still happy to be part of the study – remember you can withdraw at any time? FIELDWORKER: IF THE RESPONDENT IS HAPPY TO CONTINUE THEN SHOW HER/HIM THE CONSENT FORM – EITHER GIVE THE RESPONDENT TIME TO READ IT FOR HER/HIMSELF OR READ IT TO HER/HIM (IF S/HE CANNOT READ). THEN ASK THE RESPONDENT TO SIGN THE CONSENT FORM OR PUT HER/HIS MARK. CHILDID AND DATE 0.1 INSERT CHILD ID PE __ __ _ __ __ __ CHILDID 0.2 DATE OF INTERVIEW __ __ / __ __ / DINTDAY d d / m m / yyyy DINTMTH DINTYEAR DATA HANDLERS Fieldworker Name: _________________________________ Code: [ __ __ __ ] FLDCODE that initiates Date of check: FLDDAY questionnaire Signature: ______________________________ __ __ / __ __ / __ __ __ __ FLDMTH d d / m m / yyyy FLDYEAR Fieldworker Name: _________________________________ Code: [ __ __ __ ] PEFLDCOD that finishes Date of check: PEFLDDAY questionnaire Signature: ______________________________ __ __ / __ __ / __ __ __ __ PEFLDMTH d d / m m / yyyy PEFLDYR Supervisor Name: __________________________ Code: [ __ __ ] SUPCODE Date of check: SUPDAY Signature: ______________________________ __ __ / __ __ / __ __ __ __ SUPMTH d d / m m / yyyy SUPYEAR Data entry Name: __________________________ Code: [ __ __ ] DE1CODE clerk (first Date of first data entry: DE1DAY data entry) Signature: ______________________________ __ __ / __ __ / __ __ __ __ DE1MTH d d / m m / yyyy DE1YEAR Data entry Name: __________________________ Code: [ __ __ ] DE2CODE clerk (second Date of second data entry: DE2DAY data entry) Signature: ______________________________ __ __ / __ __ / __ __ __ __ DE2MTH d d / m m / yyyy DE2YEAR SECTION 1 – PARENTAL BACKGROUND (BOTH COHORTS) Date when this section is filled : __ __ / __ __/ 2009 (S1SDAY, S1SMNT, S1SYEAR ) Start hour (use 24 hours): __ __ : __ __ (S1STIME) Fieldworker name: ____________________ Code.: __ __ (S1SFLWR) 1.0 ID of respondent for this section (identify the respondent for this section using the ID from the household roster) [ __ __ ] IDR31 FIELDWORKER: FOR THIS SECTION, ASK THE FAMILY TO IDENTIFY THE FATHER, THE MOTHER AND THE PRIMARY CAREGIVER (THE PERSON WHO SPENDS THE MOST TIME LOOKING AFTER THE CHILD). THE MOTHER OR FATHER COULD BE THE PRIMARY CAREGIVER, IN WHICH CASE CROSS THROUGH THE PRIMARY CAREGIVER COLUMN. IF EITHER OF THE PARENTS ARE NOT MEMBERS OF THE HOUSEHOLD THEN USE CODE “90” AS THEIR ROSTER ID. Father Mother Primary caregiver 1.1 Is this person still alive? [ __ __ ] (DADALR3) [ __ __ ] (MUMALR3) 00=No, 01=Yes, 77=NK IF NO, skip to next person 1.2 Is this the biological parent? [ __ __ ] (BIODADR3) [ __ __ ] (BIOMUMR3) 00=No, 01=Yes, 77=NK 1.3 Is this the primary caregiver? [ __ __ ] (PRIDADR3) [ __ __ ] (PRIMUMR3) 00=No, 01=Yes, 77=NK IF ONE OF THE PARENTS IS THE PRIMARY CAREGIVER THEN CROSS THROUGH THE PRIMARY CAREGIVER COLUMN, OTHERWISE IDENTIFY THE CAREGIVER AND COMPLETE THE LAST COLUMN ALSO. 1.4 Roster ID of this person (90 if not a member of [ __ __ ] (DADIDR3) [ __ __ ] (MUMIDR3) [ __ __ ] (CAREIDR3) the household) 1.5 How often does this person see NAME? [ __ __ ] (SEEDADR3) [ __ __ ] (SEEMUMR3) [ __ __ ] (SEECRER3) 01=Daily, 02=Weekly, 03=Monthly 04=Annually, 05=Irregularly, 06=Never, 07=Every two weeks 77=NK Father Mother Primary caregiver 1.6 If the father is alive and the child does [ __ __ ] (WHYNDLR3) not see the father daily – why not? 01=Lives at home but work hours prevent seeing NAME 02=Father spends time away because of work 03=Father does not live with family but maintains some contact(includes military/policemen etc) 04=Father in prison 05=Father has emigrated 06=Father has left family (divorced separated etc) 07=Father never around (not known/doesn’t recognise child etc) 77=NK 88=NA 1.7 Does this person have a National Identity [ __ __ ] (PEDCDAR3) [ __ __ ] PEDCMUR3 [ __ __ ] (PEDCCAR3) Document (DNI)? 00=Never applied for it 01=Yes 02=Yes, but it has been lost/stolen 03=He/she (respondent) is younger than 18 77=NK, 88=NA SECTION 1B – MIGRATION 1.0.1 ID of respondent for this section (identify the respondent for this section using the ID from the household roster) [ __ __ ] IDR31B FIELDWORKER: Ask to NAME’s mother or, if she is permanently absent, ask to NAME´s caregiver. 1.8 Were you living in this community when we last interviewed you in (MONTH-YEAR)? [ __ __ ] ( LVHRINR3) 00=No 01=Yes Skip to 1.12 1.9 If you were not living in this community, Why did you move away from that community? [ __ __ ] ( WHMVAWR3) (See Codes Box # 1) Specify _________ (SPWHMVAW) 1.10 If you were not living in this community, Why did you move to this particular community? [ __ __ ] ( PEYLIVR3) (See Codes Box # 1) Specify _________ (SPPEYLIV) 1.11 When you moved, did NAME accompany you? (01=Yes, 00=No, 77= NK). [ __ __ ] (CHDMVER3) 1.12 Have you thought about moving away from this community? [ __ __ ] (PEMVFRR3) 01=Yes 00=No Skip to 1.14 1.13 Why have you thought about moving away from this community? [ __ __ ] (PEYMVER3) See reason for move codes. SEE CODEBOX # 1 Other (specify) ________________________________________ (SPECMOVE) Specify _________ 1.14 Has NAME left this locality for more than three months since we last came to visit (or since NAME moved into this locality)? (01=Yes, [ __ __ ] (NMELFTR3) 00=No, 77= NK). If NO,NK skip to 1.17. 1.15 How long did NAME leave the locality for since we last came or since NAME moved here (in Months)? -77=NK -88=NA [ __ __ ] (LNGLFTR3) 1.16 What is the most important reason NAME left this locality for more than three months? ENTER CODE from CODEBOX #1 [ __ __ ] (RSNLFTR3) Specify _________ (SPRSNLFT) CODE BOX #1 REASONS FOR MIGRATE 01 = Work 11 = Inheritance 22 = Better / more land 02 = Study 13 = Married/Cohabit 23 = More security 03 = Health 14 = Purchased own home/land 24 = Look after a sick relative 04 = Family Disputes 15 = To be close to family 25 = Adventure 05 = Seeking Independence 16 = Squatted 26 = Higher wages 06 = Rent Problems 17 = Death of a relative 27 = Found a Job 77=NK, 88 = N/A 07 = Divorce, separation 18 = Pregnancy / Birth of a child 28 = Spouse’s family is here 79 = Refused to answer 08 = Improve dwelling conditions 19 = Don't get used 12 = Other (specify) 09 = Violence 21 = Natural Disaster 1.17 Do you regularly live in more than one place? [ __ __ ] (LVMRONR3) 01=Yes 00=No Skip 1.19 1.18 If you do live regularly in other place besides this, where is that place located? 1.18.1 District 1.18.2 Province 1.18.3 Department 1.18.4 Country (PEDSTRR3) (PEPROVR3) (PERGNR3) (PECOUNR3) [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1.19 FIELDWORKER: Only for Section 1B, If the respondent is not the mother (Check ID in the question 1.0.1), answer the following: 01 = The respondent gave information about of biological Mother [ __ __ ] (WHOS1BR3)