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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Demographics form UCLA

499 Shared Subjects

Demographics form UCLA
Clinical Assessments
Demographics
02/09/2013
dem_ucla01
11/29/2023
View Change History
01
Definition
Submission Template
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY InterviewYear
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
Query relationship Integer Recommended Relationship of respondent to individual
1::94;-999
1 = Biological mom; 2 = Biological dad; 3 = Grandparent; 4 = Special education (sped) teacher; 5 = General education teacher; 6 = Occupational therapist; 7 = Speech and language therapist; 8 = Behavioral therapist; 9 = Paraprofessional; 10 = Aide; 11 = Principal; 12 = Administrator; 14 = Content teacher; 15 = Parent center director; 16 = Self; 17=Adoptive mother; 18=Adoptive father; 19=Foster mother; 20 = Foster father; 21=Grandmother; 22=Grandfather; 23=Step-mother; 24 = Step-father; 25=Aunt; 26=Uncle; 28=Both parents;31= Grandmother from mother side; 32= Grandfather from mother side; 33= Grandmother from father side; 34= Grandfather from father side; 36= Brother; 37= Sister; 38= Cousin; 39= female caregiver; 40=male caregiver; 41=Female child; 42=Male child; 43=Spouse/Mate; 44=Friend; 45=Parent; 46=Significant other; 47=Sibling; 48=Son/Daughter; 49=Son-in-law/Daughter-in law; 50=Other Relative; 51=Paid caregiver; 52=Friends; 53=Roommate; 54=Supervisor; 55=mother's boyfriend; 56=other parental figure; 57=Summary; 58=counselor ; 59 = other female relative; 60 = other male relative; 61 = non-relative ; 62=Maternal Aunt; 63=Maternal Uncle; 64=Maternal Cousin; 65 = Paternal Aunt; 66=Paternal Uncle; 67=Paternal Cousin ; 68=Biological/Adoptive Mother and Grandmother; 69=Biological/Adoptive Mother and Stepmother and Grandmother; 70=Biological/Adoptive Mother and Grandmother and Foster Father; 71=Biological/Adoptive Mother and Stepmother and Foster Mother; 72=Biological/Adoptive Mother and Foster Mother; 73=Biological/Adoptive Mother and Biological/Adoptive Father; 74=Biological/Adoptive Mother and Stepmother and Biological/Adoptive Father; 75=Biological/Adoptive Mother and Other; 76=Biological/Adoptive Mother and Stepmother and Stepfather; 77=Biological/Adoptive Mother and Stepfather; 78=Biological/Adoptive Mother and Grandfather; 79=Biological/Adoptive Mother and Stepmother and Foster Father; 80=Biological/Adoptive Mother and Stepmother; 81=Guardian, female; 82=Other female; 83=Guardian, male; 84=Other male; 85=Other/Grandparent/Nanny; 86 = Mother, Father, Guardian; 87 = Daughter, son, grandchild; 88 = Professional (e.g., social worker, nurse, therapist, psychiatrist, or group home staff); -999=Missing; 89 = Biological parent; 90=Other; 91 = Stepparent; 92 = Adoptive parent; 93 = Foster parent; 94 = Co-worker Demo_fillForm
respond_detail_oth_spec String 255 Recommended Respondent details Demo_fillFormOth
Query demo_countlivehome Integer Recommended How many people live in your house? 0::12 Demo_countLiveHome, house
Query demo_countliveover21 Integer Recommended Number of adults over 21 yrs: 0::12 Demo_countLiveOver21, adults
Query demo_countliveless21 Integer Recommended Number of children less than 21 yrs: 0::12 Demo_countLiveLess21, numchild
Query race String 30 Recommended Race of study subject American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported; Other Non-White; Other
Query ethnicity String 30 Recommended Ethnicity of participant
Hispanic or Latino; Not Hispanic or Latino; Unknown
Query ethnic_group String 255 Recommended Ethnic group
Query mother_ethnicity String 30 Recommended Mother ethnicity (choices are Hispanic/Latino or Not Hispanic/Latino) Hispanic or Latino;Not Hispanic or Latino;Not Provided Demo_ethMother
Query bio_mother_race String 150 Recommended Biological Mother Race
American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported
Query father_ethnicity String 30 Recommended Father ethnicity (choices are Hispanic/Latino or Not Hispanic/Latino) Hispanic or Latino;Not Hispanic or Latino;Not Provided Demo_ethFather
Query bio_father_race String 150 Recommended Biological Father Race American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported
Query demo_language Integer Recommended What language does your child hear most at home? 1;2;3;4;5 1 = English; 2 = Spanish; 3 = Korean; 4 = French; 5 = Other
Query language_specify String 255 Recommended Language in the home - Specify if other than standard english Demo_languageOth
Query demo_othlanguage Integer Recommended Does your child hear any other language at home?
0;1
0 = No; 1 = Yes
Query demo_othlangdesc String 150 Recommended If yes, specify the language(s):
Query mother_edu String 55 Recommended Mother's Education No formal schooling completed; Nursery school to 4th grade; 5th or 6th grade; 7th or 8th grade; 9th grade; 10th grade;11th grade; 12th grade, no diploma; High School Graduate/GED or equivalent; Some college credit, but less than 1 year; Technical college/vocational school; Associate degree; Bachelors's degree; Master's degree; Professional degree; Doctorate degree;Refused; Some elementary; Elementary; Some Middle School; Middle School; Some High School; GED; High School; Trade School/Certification Program; Some College; Undergraduate Degree; Some Graduate School; Less than 7th grade; Junior High; Some High School; High School Graduate; Some College; Special Training After High School; College Graduate; Graduate/Professional Training; Some Grade School Demo_momEdu, momedu
bio_mother_occupation String 100 Recommended Biological Mother Occupation Demo_momJob, momocc
Query demo_momemploy String 1 Recommended Mother's current employment status: a;b;c;d;e;f a = Not employed; b = Employed part-time; c = Employed full-time; d = Self-employed part-time; e = Self-employed full-time; f = Employed full-time and second job
Query demo_momwork Integer Recommended Does the mother work outside the home?: 0;1;2 0 = No; 1 = Part-time; 2 = Full-time
Query father_edu String 55 Recommended Father's Education No formal schooling completed; Nursery school to 4th grade; 5th or 6th grade; 7th or 8th grade; 9th grade; 10th grade;11th grade; 12th grade, no diploma; High School Graduate/GED or equivalent; Some college credit, but less than 1 year; Technical college/vocational school; Associate degree; Bachelors's degree; Master's degree; Professional degree; Doctorate degree;Refused; Some elementary; Elementary; Some Middle School; Middle School; Some High School; GED; High School; Trade School/Certification Program; Some College; Undergraduate Degree; Some Graduate School;Less than 7th grade; Junior High; Some High School; High School Graduate; Some College; Special Training After High School; College Graduate; Graduate/Professional Training;Some Grade School Demo_dadEdu, dadedu
bio_father_occupation String 100 Recommended Biological Father Occupation Demo_dadJob, dadocc
Query demo_dademploy String 1 Recommended Father's current employment status: a;b;c;d;e;f a = Not employed; b = Employed part-time; c = Employed full-time; d = Self-employed part-time; e = Self-employed full-time; f = Employed full-time and second job
Query demo_dadwork Integer Recommended Does the Father work outside the home?: 0;1;2 0 = No; 1 = Part-time; 2 = Full-time
Query demo_income String 2 Recommended What is the family income per year: a;b;c;d;e;f;g;h;i;j; k; l; m;n;-7; 1;2;3;4; a = Less than $10,000; b = $10,000-$20,000; c = $20,000-$30,000; d = $30,000-$40,000; e = $40,000-$50,000; f = $50,000-$60,000; g = $60,000-$80,000; h = $80,000-$100,000; i = Above $100,000; j=$50,000-$74,999; k=$75,000-$99,999; l=$100,000-$149,999; m=$150,000-$199,999; n=$200,000 or more; -7=Refused;1=under 25,000; 2=$25,000 - $49,999; 3=$100,000 - $124,999; 4=$125,000 and above
Query demo_assistance String 10 Recommended Does the family receive any of the following assistance? (check all that apply) 1 = Medicaid; 2 = Food stamps; 3 = SSI; 4 = Commodities/food pantry; 5 = TANF; 6 = Unemployment; 7 = WIC; 8 = Housing assistance; 9 = Other
Query demo_assistoth String 250 Recommended Specify other:
Query demo_live Integer Recommended How would you describe the area where you live? 1::4 1 = City; 2 = Rural; 3 = Suburban; 4 = Small town
Query demo_move Integer Recommended During the past year, has your family moved? 0;1 0 = No; 1 = Yes
Query demo_movehowmany String 250 Recommended If yes, how many moves?
Query demo_chgcaregiver Integer Recommended During the past year, has there been a change in your child's primary caregiver? 0;1 0 = No; 1 = Yes
Query demo_chgcaregiverdesc String 250 Recommended If yes, briefly explain:
Query demo_chgparentmarital Integer Recommended During the past year, has there been a change in the parent's marital status? 0;1 0 = No; 1 = Yes
Query demo_chgparentmaritaldesc Integer Recommended Parents marital status 1::6 1 = Married; 2 = Separated; 3 = Divorced; 4 = Widowed; 5 = Single; 6 = Other marital
Query demo_chgcustody Integer Recommended During the past year, has there been a change in child custody? 0;1 0 = No; 1 = Yes
Query demo_chgcustodydesc String 250 Recommended If yes, briefly explain:
Query visit String 60 Recommended Visit name
Query mother_age Integer Recommended Mother's age 0 :: 1200
Query bio_mother_employed String 5 Recommended Biological Mother Employed? Yes;No momemp
Query father_age Integer Recommended Father's age 0 :: 1200
Query bio_father_employed String 5 Recommended Biological Father Employed? Yes;No dademp
Query grade String 50 Recommended Current Grade
Query demo_asd_age Integer Recommended If yes, age at ASD diagnosis 0::1200 chagedx
Query cspecial_ed Integer Recommended Child's school placement 1;2;9 1=General Education; 2=Special Education; 9=Other placemt
Query fr_lunch Integer Recommended whether they receive free/reduced lunch; 0;1 0 = no; 1 = yes lunch
Query esl_registry Integer Recommended English is second language (ESL)? 0;1 0=No; 1=Yes esl
asisped String 200 Recommended Specify special education services serv
Query livwith Integer Recommended With whom is subject currently living (choose one)? 1::25; 88; 99 1 = Both natural parents; 2 = Both natural parents, but joint custody; 3 = Natural mother and stepfather; 4 = Natural father and stepmother; 5 = Natural mother and boyfriend/girlfriend; 6 = Natural father and boyfriend/girlfriend; 7 = Natural mother only; 8 = Natural father only; 10 = Stepmother only; 11 = Stepfather only; 12 = Grandparent; 13 = Adoptive parent; 14 = Other relative/friend; 15 = Foster home; 16 = Group home; 17 = Residential institution; 18 = Boarding home; 19 = Runaway; 20 = College student; 21 = Lives independently; 22=Aunt/Uncle; 23=Legal Guardian;24 = Military; 25 = Spouse/significant other88 = other; 99 = missing live
famchdemo String 100 Recommended Describing the other children in the family Described by age, sex, name, diagnoses etc..
Query otheropp Integer Recommended Other opportunities 0;1 0 = no; 1 = yes
who_raised_explain String 50 Recommended If other primary caregiver who raised you, explain primary_caregiver
Query primary_caregiver_hrs Integer Recommended Approximately how many hours per day does the child spend with their primary caregiver? 0::24
demo_allergies String 5 Recommended Does the child have any allergies? Yes;No child_allergies
allergies String 300 Recommended allergies child_allergies_desc
Query medhx_autism_age Integer Recommended Autism: Age diagnosed (in months) dx_autism_mm
Query demo_countliveover18 Integer Recommended Number of adults over 18 yrs: 0::12
Query demo_countliveless18 Integer Recommended Number of children less than 18 yrs: 0::12
Query ques_age1 Integer Recommended Age -Sibling 1(in months) 0 :: 1200 sibling1_dob
ques_gender1 String 50 Recommended Gender -Sibling 1 M;F;T M = Male; F = Female; 1= Male; 2= Female; 3= Transgender sibling1_sex
ques_gradeapp1 String 50 Recommended What grade if applicable -Sibling 1 sibling1_grade
sibling1_diag String 20 Recommended sibling 1 diagnosis None; ASD; Other/specify sibling1_dx
strdiagconcernschild1 String 50 Recommended First sibling diagnoses or Concerns sibling1_dx_desc
Query ques_age2 Integer Recommended Age -Sibling 2(in months) 0 :: 1200 sibling2_dob
ques_gender2 String 50 Recommended Gender -Sibling 2 M;F M = Male; F = Female; 1= Male; 2= Female; 3= Transgender sibling2_sex
ques_gradeapp2 String 50 Recommended What grade if applicable -Sibling 2 sibling2_grade
sibling2_diag String 20 Recommended sibling 2 diagnosis None; ASD; Other/specify sibling2_dx
strdiagconcernschild2 String 50 Recommended Second sibling diagnoses or Concerns sibling2_dx_desc
Query ques_age3 Integer Recommended Age -Sibling 3(in months) 0 :: 1200 sibling3_dob
ques_gender3 String 50 Recommended Gender -Sibling 3 M;F M = Male; F = Female; 1= Male; 2= Female; 3= Transgender sibling3_sex
ques_gradeapp3 String 50 Recommended What grade if applicable -Sibling 3 sibling3_grade
sibling3_diag String 20 Recommended sibling 3 diagnosis None; ASD; Other/specify sibling3_dx
strdiagconcernschild3 String 50 Recommended Third sibling diagnoses or Concerns sibling3_dx_desc
Query ques_age4 Integer Recommended Age -Sibling 4(in months) 0 :: 1200 sibling4_dob
ques_gender4 String 50 Recommended Gender -Sibling 4 M;F M = Male; F = Female; 1= Male; 2= Female; 3= Transgender sibling4_sex
ques_gradeapp4 String 50 Recommended What grade if applicable -Sibling 4 sibling4_grade
sibling4_diag String 20 Recommended sibling 4 diagnosis None; ASD; Other/specify sibling4_dx
strdiagconcernschild4 String 50 Recommended Fourth sibling diagnoses or Concerns sibling4_dx_desc
Query ques_age5 Integer Recommended Age -Sibling 5(in months) 0 :: 1200 sibling5_dob
ques_gender5 String 50 Recommended Gender -Sibling 5 M;F M = Male; F = Female; 1= Male; 2= Female; 3= Transgender sibling5_sex
ques_gradeapp5 String 50 Recommended What grade if applicable -Sibling 5 sibling5_grade
sibling5_diag String 20 Recommended sibling 5 diagnosis None; ASD; Other/specify sibling5_dx
strdiagconcernschild5 String 50 Recommended Fifth sibling diagnoses or Concerns sibling5_dx_desc
Query ques_age6 Integer Recommended Age -Sibling 6(in months) 0 :: 1200 sibling6_dob
ques_gender6 String 50 Recommended Gender -Sibling 6 M;F M = Male; F = Female; 1= Male; 2= Female; 3= Transgender sibling6_sex
ques_gradeapp6 String 50 Recommended What grade if applicable -Sibling 6 sibling6_grade
Query sibling6_dx Integer Recommended sibling6 : Any diagnoses/concerns? 0;1 0=No; 1=Yes
strdiagconcernschild6 String 50 Recommended Sixth sibling diagnoses or Concerns sibling6_dx_desc
cg1_education String 100 Recommended Caregiver/Prent 1's Highest Level of Education Some primary school;Some high school;High school diploma;GED;Some college or technical school;Associate degree;Baccalaureate degree;Graduate or professional degree; did not graduate from high school; college graduate; Middle School caregiver_edu
cg1_occupation String 100 Recommended Caregiver/Parent 1's Occupation caregiver_occupation
derp_caregiver_employ String 1 Recommended caregiver's current employment status: a;b;c;d;e;f a = Not employed; b = Employed part-time; c = Employed full-time; d = Self-employed part-time; e = Self-employed full-time; f = Employed full-time and second job caregiver_employ
Query caregiver_work Integer Recommended Does the caregiver work outside the home?: 0;1;2 0 = No; 1 = Part-time; 2 = Full-time
Query parentcaregiver_marital Integer Recommended What is the marital status of child's parents/caregivers? 1::11 1=Single (never married); 2=Married / Domestic partnership; 3=Divorced; 4=Separated; 5=Single parent; 6=Unknown / Not applicable; 7=Widow(er); 8=Divorced and remarried; 9=Widow(er) and remarried; 10=Other; 11=Living with a partner without marriage
Query impact_physical Integer Recommended Parent health problems 0;1;-99;88;77 0= No ; 1= Yes ; -99= N/A ; 88= Missing ; 77= Refused health_issue
impact9_explain String 255 Recommended Parent health problems Explain briefly health_issue_desc
othmem_autism String 50 Recommended Other family member. Autism Yes;No mem_asd
famhx_autism String 500 Recommended Indicate which relatives have autism or autism spectrum disorder. mem_asd_who
Query mem_communication Integer Recommended Does any member of the family have a history of� Learning disability or other communication problem 0;1 0=No; 1=Yes
mem_communication_who String 50 Recommended If yes to Learning disability or other communication problem, what is his/her/their relationship to the child?
Query bip Integer Recommended Family history bipolar disorder 0;1; -9 0=Yes; 1=No; -9 =Unknown mem_bipolar
famhx_bipolar String 500 Recommended Indicate which relatives have bipolar disorder. mem_bipolar_who
Query demo_fam_schizo Integer Recommended Family Member Schizophrenia 0;1 1=Yes; 0=No mem_schizophrenia
famhx_schizophrenia String 500 Recommended Indicate which relatives have schizophrenia. mem_schizophrenia_who
Query demo_fam_anxiety Integer Recommended Family Member Anxiety Disorder/Panic Attacks 0;1 1=Yes; 0=No mem_anxiety
anxiety_familymember String 200 Recommended Subject family member who has anxiety mem_anxiety_who
Query dep Integer Recommended Family history depression 0;1; -9 0=Yes; 1=No; -9 =Unknown mem_depression
depression_familymember String 200 Recommended Subject family member who has depression mem_depression_who
Query devel_level Integer Recommended How would you estimate your child's developmental level? 1::3 1=Behind age level; 2=At age level; 3=Above age level
Query daycare_attend Integer Recommended Does your child attend any of the following (please circle one): 1::9 1=Government funded preschool or childcare/head start; 2=Private preschool; 3=Child care in your home by relative;4=Child care in your home by non-relative;5=Child care in someone else's home by non-relative; 6=Child care in someone else's home by relative; 7=Parent cares for child; 8= Not applicable; 9=Don't know
Query daycare_start_yy Integer Recommended At what age did the child start a daycare or preschool program? Year 0::20
Query daycare_start_mm Integer Recommended At what age did the child start a daycare or preschool program? Months 0::11
Query daycare_days Integer Recommended How many days per week does the child attend the program? 1::5 1=1 day; 2=2 days; 3=3-4 days;4=5 days; 5=More than 5 days
Query daycare_hrsperwk Integer Recommended How many hours does he/she attend the program per week? 0::50
mwrite String 1 Recommended Mother's handedness. Write R;L;E R=right; L=left; E=equal
mthrow String 1 Recommended Mother's handedness. Throw R;L;E R=right; L=left; E=equal
mscissors String 1 Recommended Mother's handedness. Use scissors R;L;E R=right; L=left; E=equal
mtoothbrush String 1 Recommended Mother's handedness. Use a toothbrush R;L;E R=right; L=left; E=equal
mdominanthand String 1 Recommended Mother's handedness - Dominant hand R;L;E R=right; L=left; E=equal
fwrite String 1 Recommended Father's handedness. Write R;L;E R=right; L=left; E=equal
fthrow String 1 Recommended Father's handedness. Throw R;L;E R=right; L=left; E=equal
fscissors String 1 Recommended Father's handedness. Use scissors R;L;E R=right; L=left; E=equal
ftoothbrush String 1 Recommended Father's handedness. Use a toothbrush R;L;E R=right; L=left; E=equal
fdominanthand String 1 Recommended Father's handedness - Dominant hand R;L;E R=right; L=left; E=equal
demo_10b_2_3 Integer Recommended Relation (e.g. biological/adopted/step brother or sister) of sibling 3 1::10;888 1 = Biological Brother ; 2 = Biological Sister ; 3 = Adopted Brother ; 4 = Adopted Sister ; 5 = Step Brother ; 6 = Step Sister ; 7 = Half Brother ; 8 = Half Sister ; 9 = Other; 10 = Adopted siblings ; 888 = non applicable sibling3
demo_10b_2_4 Integer Recommended Relation (e.g. biological/adopted/step brother or sister) of sibling 4 1::10;888 1 = Biological Brother ; 2 = Biological Sister ; 3 = Adopted Brother ; 4 = Adopted Sister ; 5 = Step Brother ; 6 = Step Sister ; 7 = Half Brother ; 8 = Half Sister ; 9 = Other; 10 = Adopted siblings ; 888 = non applicable sibling4
demo_10b_2_5 Integer Recommended Relation (e.g. biological/adopted/step brother or sister) of sibling 5 1::10;888 1 = Biological Brother ; 2 = Biological Sister ; 3 = Adopted Brother ; 4 = Adopted Sister ; 5 = Step Brother ; 6 = Step Sister ; 7 = Half Brother ; 8 = Half Sister ; 9 = Other; 10 = Adopted siblings ; 888 = non applicable sibling5
demo_10b_2_6 Integer Recommended Relation (e.g. biological/adopted/step brother or sister) of sibling 6 1::10;888 1 = Biological Brother ; 2 = Biological Sister ; 3 = Adopted Brother ; 4 = Adopted Sister ; 5 = Step Brother ; 6 = Step Sister ; 7 = Half Brother ; 8 = Half Sister ; 9 = Other; 10 = Adopted siblings ; 888 = non applicable sibling6
demo_10b_2_7 Integer Recommended Relation (e.g. biological/adopted/step brother or sister) of sibling 7 1::10;888 1 = Biological Brother ; 2 = Biological Sister ; 3 = Adopted Brother ; 4 = Adopted Sister ; 5 = Step Brother ; 6 = Step Sister ; 7 = Half Brother ; 8 = Half Sister ; 9 = Other; 10 = Adopted siblings ; 888 = non applicable sibling7
demo_10b_2_8 Integer Recommended Relation (e.g. biological/adopted/step brother or sister) of sibling 8 1::10;888 1 = Biological Brother ; 2 = Biological Sister ; 3 = Adopted Brother ; 4 = Adopted Sister ; 5 = Step Brother ; 6 = Step Sister ; 7 = Half Brother ; 8 = Half Sister ; 9 = Other; 10 = Adopted siblings ; 888 = non applicable sibling8
demo_siblings Integer Recommended Do you have siblings?
1;2;9
1=Yes; 2=No; 9=Unknown/Missing havesib
fhs_sibling1_age Integer Recommended Sibling #1: age (or age at death) sibage1
fhs_sibling1_sex Integer Recommended Sibling #1: sex
0;1
0=F; 1=M sibsex1
fhs_sibling2_age Integer Recommended Sibling #2: age (or age at death) sibage2
fhs_sibling2_sex Integer Recommended Sibling #2: sex
0;1
0=F; 1=M sibsex2
fhs_sibling3_age Integer Recommended Sibling #3: age (or age at death) sibage3
fhs_sibling3_sex Integer Recommended Sibling #3: sex
0;1
0=F; 1=M sibsex3
fhs_sibling4_age Integer Recommended Sibling #4: age (or age at death) sibage4
fhs_sibling4_sex Integer Recommended Sibling #4: sex
0;1
0=F; 1=M sibsex4
fhs_sibling5_age Integer Recommended Sibling #5: age (or age at death) sibage5
fhs_sibling5_sex Integer Recommended Sibling #5: sex
0;1
0=F; 1=M sibsex5
demo_10b_1_7 Integer Recommended Age in years of Sibling 7 1::100;888 888 = non applicable sibage7
demo_10b_1_6 Integer Recommended Age in years of Sibling 6 1::100;888 888 = non applicable sibage6
demo10b_t2 Integer Recommended Number of people supported by household income 0::11 11= More than 10 people supportno
major_earn_other_sp String 200 Recommended Major earner Other= specify financialx
major_earner Integer Recommended 19. What is the relationship of the head of the household (major earner) to (child)? 1::8;90;-999 1= Mother ; 2= Father ; 3= Grandparent ; 4= Stepparent ; 5= Aunt/ Uncle ; 6= Sibling ; 7= Cousin ; 8 = Partner; 90= Other= specify; -999= Missing financial
crysis20 Integer Recommended 20. Did you get married? 0;1 0=No;1=yes pcmstatus
enterdate Date Recommended If the United States IS NOT your child's birth country, what date did your child come to the United States? Enter date here
pcmdate Date Recommended Current marital status of biological/adoptive parents: If Married, date married:
pcseparated Integer Recommended Current marital status of biological/adoptive parents: Separated/Divorced 0;1 0=No; 1=Yes
pcsdate Date Recommended Current marital status of biological/adoptive parents: If Separated/Divorced, date separated/divorced:
mremarried Integer Recommended Current marital status of biological/adoptive parents: Mother remarried 0;1 0=No; 1=Yes
mrmdate Date Recommended Current marital status of biological/adoptive parents: If Mother remarried, date mother remarried:
fremarried Integer Recommended Current marital status of biological/adoptive parents: Father remarried 0;1 0=No; 1=Yes
frmdate Date Recommended Current marital status of biological/adoptive parents: If Father remarried, date father remarried:
leoc46aspec String 200 Recommended specify other experience #1 changex
sibadate1 Date Recommended Sibling # 1. Child's siblings Date Adopted
sibadate2 Date Recommended Sibling # 2. Child's siblings Date Adopted
sibadate3 Date Recommended Sibling # 3. Child's siblings Date Adopted
sibadate4 Date Recommended Sibling # 4. Child's siblings Date Adopted
sibadate5 Date Recommended Sibling # 5. Child's siblings Date Adopted
sibsex6 String 1 Recommended Sibling # 6. Child's sibling's Sex M;F M = Male; F = Female
sibadate6 Date Recommended Sibling # 6. Child's siblings Date Adopted
sibsex7 String 1 Recommended Sibling # 7. Child's sibling's Sex M;F M = Male; F = Female
sibadate7 Date Recommended Sibling # 7. Child's siblings Date Adopted
sibsex8 String 1 Recommended Sibling # 8. Child's sibling's Sex M;F M = Male; F = Female
fsrincc String 20 Recommended What is the total number of people who currently rely on this income? CHILDREN: under18
sibadate8 Date Recommended Sibling # 8. Child's siblings Date Adopted
sibling9 Integer Recommended Sibling # 9. Child's siblings: type 1::7 1=Full brothers; 2=Full sisters; 3=Half-brothers; 4=Half-sisters; 5=Step brothers; 6=Step sisters; 7=Adopted Siblings
sibage9 Integer Recommended Sibling # 9. Child's sibling's Age 0::100
sibsex9 String 1 Recommended Sibling # 9. Child's sibling's Sex M;F M = Male; F = Female
sibadate9 Date Recommended Sibling # 9. Child's siblings Date Adopted
sibling10 Integer Recommended Sibling # 10. Child's siblings: type 1::7 1=Full brothers; 2=Full sisters; 3=Half-brothers; 4=Half-sisters; 5=Step brothers; 6=Step sisters; 7=Adopted Siblings
sibage10 Integer Recommended Sibling # 10. Child's sibling's Age 0::100
sibsex10 String 1 Recommended Sibling # 10. Child's sibling's Sex M;F M = Male; F = Female
sibadate10 Date Recommended Sibling # 10. Child's siblings Date Adopted
sibling11 Integer Recommended Sibling # 11. Child's siblings: type 1::7 1=Full brothers; 2=Full sisters; 3=Half-brothers; 4=Half-sisters; 5=Step brothers; 6=Step sisters; 7=Adopted Siblings
country_origin String 100 Recommended Country of Origin country
sibage11 Integer Recommended Sibling # 11. Child's sibling's Age 0::100
sibsex11 String 1 Recommended Sibling # 11. Child's sibling's Sex M;F M = Male; F = Female
sibadate11 Date Recommended Sibling # 11. Child's siblings Date Adopted
sibling12 Integer Recommended Sibling # 12. Child's siblings: type 1::7 1=Full brothers; 2=Full sisters; 3=Half-brothers; 4=Half-sisters; 5=Step brothers; 6=Step sisters; 7=Adopted Siblings
sibage12 Integer Recommended Sibling # 12. Child's sibling's Age 0::100
sibsex12 String 1 Recommended Sibling # 12. Child's sibling's Sex M;F M = Male; F = Female
sibadate12 Date Recommended Sibling # 12. Child's siblings Date Adopted
sibling13 Integer Recommended Sibling # 13. Child's siblings: type 1::7 1=Full brothers; 2=Full sisters; 3=Half-brothers; 4=Half-sisters; 5=Step brothers; 6=Step sisters; 7=Adopted Siblings
sibage13 Integer Recommended Sibling # 13. Child's sibling's Age 0::100
sibsex13 String 1 Recommended Sibling # 13. Child's sibling's Sex M;F M = Male; F = Female
demo_10b_1_8 Integer Recommended Age in years of Sibling 8 1::100;888 888 = non applicable sibage8
sibadate13 Date Recommended Sibling # 13. Child's siblings Date Adopted
sibling14 Integer Recommended Sibling # 14. Child's siblings: type 1::7 1=Full brothers; 2=Full sisters; 3=Half-brothers; 4=Half-sisters; 5=Step brothers; 6=Step sisters; 7=Adopted Siblings
sibage14 Integer Recommended Sibling # 14. Child's sibling's Age 0::100
sibsex14 String 1 Recommended Sibling # 14. Child's sibling's Sex M;F M = Male; F = Female
sibadate14 Date Recommended Sibling # 14. Child's siblings Date Adopted
sibling15 Integer Recommended Sibling # 15. Child's siblings: type 1::7 1=Full brothers; 2=Full sisters; 3=Half-brothers; 4=Half-sisters; 5=Step brothers; 6=Step sisters; 7=Adopted Siblings
sibage15 Integer Recommended Sibling # 15. Child's sibling's Age 0::100
sibsex15 String 1 Recommended Sibling # 15. Child's sibling's Sex M;F M = Male; F = Female
sibadate15 Date Recommended Sibling # 15. Child's siblings Date Adopted
sibling16 Integer Recommended Sibling # 16. Child's siblings: type 1::7 1=Full brothers; 2=Full sisters; 3=Half-brothers; 4=Half-sisters; 5=Step brothers; 6=Step sisters; 7=Adopted Siblings
demo_10b_2_1 Integer Recommended Relation (e.g. biological/adopted/step brother or sister) of sibling 1 1::10;888 1 = Biological Brother ; 2 = Biological Sister ; 3 = Adopted Brother ; 4 = Adopted Sister ; 5 = Step Brother ; 6 = Step Sister ; 7 = Half Brother ; 8 = Half Sister ; 9 = Other; 10 = Adopted siblings ; 888 = non applicable sibling1
sibage16 Integer Recommended Sibling # 16. Child's sibling's Age 0::100
sibsex16 String 1 Recommended Sibling # 16. Child's sibling's Sex M;F M = Male; F = Female
sibadate16 Date Recommended Sibling # 16. Child's siblings Date Adopted
liv_with String 25 Recommended The child lives with: 1=Both Biological or Adoptive Parents in one home; 7=Single Parent - Mother; 8=Single Parent - Father; 3=Mother and partner or step-parent; 4=Father and partner or step-parent; 26=Equal time with separated/divorced parents; 14=Relatives who are not parents; 15=Foster family; 27=Treatment Facility; 88=Other
life_change String 15 Recommended Major life changes or events since last visit: 1=Death of parent or sibling; 2=Significant illness of parent or sibling; 3=Significant illness for the child; 4=Addition of new foster/adoption or step-children to the family; 5=Mother/Father arrested or incarcerated; 6=Traumatic event (e.g., natural disaster, school shooting, major accident or injury); 7=Other; 8=None change
typesch Integer Recommended Primary Financial supporter's Type School 0;1;2;3;4;5;6;7 0=NA; 1=Completed graduate professional training; 2=Four year college graduate; 3=Some college; community college; 4=High School graduate (10-12 th Grades); 5=Partial high School (10-11 th Grades); 6=Junior high school (7-9 th Grades); 7=Under 7 years of school
diploma Integer Recommended Primary Financial supporter's Diploma(indicate highest) 0;1;2;3;4;5;6;7;8;9 0=No Degree or certification or Diploma; 1=Technical Certificate (no HS diploma); 2=GED (High school equivalency); 3=High School Diploma; 4=Technical Certificate (post high school); 5=Two Year College Degree (AA, AS, AAS); 6=Four Year College (BA, BS); 7=Graduate or Professional Depress; 8=Other; 9=NA
diplomagpd String 50 Recommended Primary Financial supporter's Diploma(indicate highest) If Graduate or Professional Depress (Specify)
diplomaothr String 50 Recommended Primary Financial supporter's Diploma(indicate highest) If Other (Specify)
pfeduyr Integer Recommended What is the total number of years of education the primary financial provider received? (years) 0::30
demo_10b_2_2 Integer Recommended Relation (e.g. biological/adopted/step brother or sister) of sibling 2 1::10;888 1 = Biological Brother ; 2 = Biological Sister ; 3 = Adopted Brother ; 4 = Adopted Sister ; 5 = Step Brother ; 6 = Step Sister ; 7 = Half Brother ; 8 = Half Sister ; 9 = Other; 10 = Adopted siblings ; 888 = non applicable sibling2
pftime Integer Recommended Primary Financial supporter's Part or Full-Time 0::4 0=NA; 1=Employed full time (35 or more hrs/wk); 2=Employed part-time, regular job (less than 35 or more hrs/wk); 3=Irregular, occasional part-time work (less than 35 or more hrs/wk); 4=Not employed
holl Integer Recommended Primary Financial supporter's Hollingshead Code 0::8 0=NA; 1=Higher Executive Proprietor of Large Concern, Major Professional; 2=Business Manager of Large Concern, Proprietor of Medium Sized Business, Lesser Professional; 3=Administrative Personnel, Owner of Smaller Independent Business, Minor Professional, Farm Owner with Large Farm, Entertainers/Artists; 4=Clerical or Sales Worker, Technician, Owner of Little Business, Farmer with Medium Farm; 5=Skilled Employee, Farmer with Small Farm; 6=Machine Operator, Semi-Skilled Employee, Tenant Farmer; 7=Unskilled Workers, Welfare, Unemployed, Share Croppers; 8=never employed
demosmdage Integer Recommended If Step Mother deceased, age in years at death 0::100
demosfage Integer Recommended Age of Step Father 0::100
demosfdage Integer Recommended If Step Father deceased, age in years at death 0::100
demospage Integer Recommended Age of Partner 0::100
demospdage Integer Recommended If Partner deceased, age in years at death 0::100
demobmdage Integer Recommended If mother deceased, age in years at death 0::100
demobfdage Integer Recommended If father deceased, age in years at death 0::100
demoamage Integer Recommended Age of Adoptive Mother 0::100
demoamdage Integer Recommended If Adoptive Mother deceased, age in years at death 0::100
demoafage Integer Recommended Age of Adoptive Father 0::100
demoafdage Integer Recommended If Adoptive Father deceased, age in years at death 0::100
demosmage Integer Recommended Age of Step Mother 0::100
momage_kidbirth Integer Recommended Biological Mother Age at Child's Birth in year 1::70
dadage_kidbirth Integer Recommended Biological Father Age at Child's Birth in year 1::90
tx_condition Integer Recommended Treatment Condition 0::2; 9 0 = randomly assigned FFT with Track app; 1= randomly assigned FFT with MyCoachConnect App; 2 = open trial, nonrandomized FFT with MyCoachConnect app; 9 = excluded, did not get treatment
finacprim_occupation String 500 Recommended What is the primary financial provider''s occupation (please be specific)?
participant_educ Integer Recommended What is your total number of years of education completed? Number of years; Example: High School completion = 13 years, Bachelor''s Degree = 17 years
chnunder18 Integer Recommended How many of these are children under 18-years old?
demo_race_other String 200 Recommended If multiracial or other, please specify:
language_maternalt Integer Recommended What is your primary language spoken? 1::11 1=English; 2=Spanish; 3=Chinese; 4=Tagalog; 5=French; 6=Vietnamese; 7=Korean; 8=Russian; 9=Arabic; 10=German; 11=Other
uds_a1_10b String 100 Recommended If noted Other, for primary language, please specify:
languageathome1 Integer Recommended Language(s) spoken in the home: English 0;1 0=No; 1=Yes
languageathome2 Integer Recommended Language(s) spoken in the home: Spanish 0;1 0=No; 1=Yes
languageathome3 Integer Recommended Language(s) spoken in the home: Other 0;1 0=No; 1=Yes
language_amount Integer Recommended How many languages can you efficiently communicate? 1::4 4=4 or more
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

Please email the The NDA Help Desk with any questions.

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