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Chronic Life Stress Form

clsf

01

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Element NameData TypeSizeRequiredDescriptionValue RangeNotesAliases
subjectkeyGUIDRequiredThe NDAR Global Unique Identifier (GUID) for research subjectNDAR*
src_subject_idString20RequiredSubject ID how it's defined in lab/project
interview_dateDateRequiredDate on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYYRequired fieldgenetic_test_date
interview_ageIntegerRequiredAge in months at the time of the interview/test/sampling/imaging.0 :: 1260Age 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.draw_age_months, v1_ls_chron_age
genderString20RequiredSex of the subjectM;FM = Male; F = Female
sas_sr_7bIntegerRecommendedF. Are you living with your spouse or have you been living with a partner in an intimate relationship?0::20=No; 1=Yes; 2=otherv1_ls_chron_ir
chron_ir_other_describeString20RecommendedIntimate relationship - other - describev1_ls_chron_ir_other_describe
chron_ir_objFloatRecommendedIntimate relationship objective score1::51=exceptionally good health, excellent physical shape; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=mild, typical problems that only sometimes require professional treatment; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=significant chronic, but not life threatening, mild impairment in jobs or activities; no long hospitalization; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=significant potentially life threatening illness or condition requiring ongoing although not continuous treatment; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=severe, life threatening, chronic disease/condition; needs constant care and treatment; severely disabled/impairedv1_ls_chron_ir_obj
chron_ir_subjFloatRecommendedIntimate relationship subjective score1::51= exceptional intimate relationship/if not in relationship, frequent dating and excellent potential for future; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 =stable, positive relationship/if not in relationship, some dating, partner appropriate, or satisfied being single; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=some significant relationship problems/some dating, parter inappropriate/not dating, not satisfied being single; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=deteriorating relationship or severe problems/some dating, unable to find good prospect/ not dating, desires relationship; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=abusive, inability to trust, lack of communication, not reciprocal/not dating, desires relationship, prospects poorv1_ls_chron_ir_subj
chron_cf_objFloatRecommendedClose friendships objective score1::51=exceptionally high quality, close, confiding friendship; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=good quality, close, confiding friendship; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=close, confiding, friendship - unstable at times; moderately close friendship - fairly stable and nonconflictual; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=poor quality friendship; moderately close friendship - sometimes unstable or conflictual; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=absence of close, confiding friendship.v1_ls_chron_cf_obj
chron_cf_subjFloatRecommendedClose friendships subjective score1::51=exceptionally high quality, close, confiding friendship; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=good quality, close, confiding friendship; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=close, confiding, friendship - unstable at times; moderately close friendship - fairly stable and nonconflictual; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=poor quality friendship; moderately close friendship - sometimes unstable or conflictual; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=absence of close, confiding friendship.v1_ls_chron_cf_subj
chron_sl_objFloatRecommendedSocial life objective score1::51=exceptional social life with many good friends, frequent social activities, no conflict; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=good social life with some close friends, average number of social activities, no significant problems; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=average popularity but some conflicts with peers or difficulty making/keeping friends; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=serious social problems - somewhat isolated, some acquaintances, but lacks stable friendships; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=severe social problems with no friends, totally isolated, rejected by peers.v1_ls_chron_sl_obj
chron_sl_subjFloatRecommendedSocial life subjective score1::51=exceptional social life with many good friends, frequent social activities, no conflict; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=good social life with some close friends, average number of social activities, no significant problems; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=average popularity but some conflicts with peers or difficulty making/keeping friends; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=serious social problems - somewhat isolated, some acquaintances, but lacks stable friendships; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=severe social problems with no friends, totally isolated, rejected by peers.v1_ls_chron_sl_subj
chron_fr_objFloatRecommendedFamily relationships objective score1::51=exceptional quality relationship with all family members, good conflict resolution; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=good quality relationship with at least some members, good conflict resolution; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=medium quality relationship, but some problems with 1 parent, other family members to turn to for support; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=poor quality relationship with parents or othres, significant porblems, other family members to turn to for support; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=poor quality relationship with family, significant problems, no other family members to turn to for supportv1_ls_chron_fr_obj
chron_fr_subjFloatRecommendedFamily relationships subjective score1::51=exceptional quality relationship with all family members, good conflict resolution; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=good quality relationship with at least some members, good conflict resolution; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=medium quality relationship, but some problems with 1 parent, other family members to turn to for support; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=poor quality relationship with parents or othres, significant porblems, other family members to turn to for support; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=poor quality relationship with family, significant problems, no other family members to turn to for supportv1_ls_chron_fr_subj
chron_rc_objFloatRecommendedRelationships with children objective score1::51=exceptional relatinoship; child has unusual capacity for intimacy with parent; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=very good relationship; some minor, normal conflict resolved quickly; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=good basis to relationship, but lacking on some quality factors; more than typical conflict; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=poor parent-child relationship, lacking on most quality factors; significant conflict; potential for abuse or separation but family intact; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=very poor relationship; unresolved major conflicts or abuse; child separated from family due to significant family problemsv1_ls_chron_rc_obj
chron_rc_subjFloatRecommendedRelationships with children subjective score1::51=exceptional relatinoship; child has unusual capacity for intimacy with parent; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=very good relationship; some minor, normal conflict resolved quickly; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=good basis to relationship, but lacking on some quality factors; more than typical conflict; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=poor parent-child relationship, lacking on most quality factors; significant conflict; potential for abuse or separation but family intact; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=very poor relationship; unresolved major conflicts or abuse; child separated from family due to significant family problemsv1_ls_chron_rc_subj
chron_w_objFloatRecommendedWork objective score1::51= exceptionally satisfying job/not working, but satisfied with other activities and roles, has options if wants job; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=stable job, good conditions, feels appreciated/not working, but satisfied, good prospects; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=significant problems in 1-1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 areas/not working, actively looking, limited skills/not seeking, problem in current role; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=severe problems in 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3-3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 areas, threat of job loss/not working, 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 or more negative features, few steps to resolve problems; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=chronic instability, unable to hold down job/not working, impaired, overwhelmed/ not functional in nonworking rolev1_ls_chron_w_obj
chron_w_subjFloatRecommendedWork subjective score1::51= exceptionally satisfying job/not working, but satisfied with other activities and roles, has options if wants job; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=stable job, good conditions, feels appreciated/not working, but satisfied, good prospects; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=significant problems in 1-1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 areas/not working, actively looking, limited skills/not seeking, problem in current role; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=severe problems in 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3-3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 areas, threat of job loss/not working, 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 or more negative features, few steps to resolve problems; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=chronic instability, unable to hold down job/not working, impaired, overwhelmed/ not functional in nonworking rolev1_ls_chron_w_subj
chron_f_objFloatRecommendedFinances objective score1::51=more than enough money for everything needed and wanted; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=comfortable economically; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=enough money but requires careful planning and budgeting to make ends meet; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=meager conditions, but no physical hardships (eg food); 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=hardships, poverty, lack housing, food, healthcarev1_ls_chron_f_obj
chron_f_subjFloatRecommendedFinances subjective score1::51=more than enough money for everything needed and wanted; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=comfortable economically; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=enough money but requires careful planning and budgeting to make ends meet; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=meager conditions, but no physical hardships (eg food); 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=hardships, poverty, lack housing, food, healthcarev1_ls_chron_f_subj
clsf_partner1FloatRecommendedCommitment/Stability Rating1::51 = Long standing (at least two years), committed and stable relationship; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Mostly stable and/or less long-term (< 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 years); 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Basic foundation of commitment, but some question of stability; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Relationship is deteriorating, unstable, or unpredictable; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Highly unstable and/or abusive
clsf_partner2FloatRecommendedDependability/Support Rating1::51 = Very close and trusting. Confide about nearly everything; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Somewhat close and confiding; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Some significant problems with trust, concern about confiding, hinder closeness; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Severe problems with trust, rarely confide, closeness impaired; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Complete inability to trust, not close
clsf_partner3FloatRecommendedConflict/Resolution Rating1::51 = Rare or only minor conflicts with good resolution; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Some disagreement with adequate resolution; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Moderate conflict and/or sometimes have trouble with resolution; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Frequent conflict and/or poor resolution; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Frequent and intense conflicts that do not resolve and/or are abusive
clsf_parenting_objFloatRecommendedRelationship with your child's father (if this is NOT your romantic relationship) objective score1::51 = Exceptional agreement regarding parenting responsibilities. Exceptional level of involvement and support from partner. Fully agree on how to parent.; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Good agreement regarding parenting in most areas: A good level of involvement from partner with some minor issues, only limited disagreement or unintentionally undermining about future responsibilities; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Adequate agreement regarding parenting: some significant problems (e.g., difficulty coordinating responsibilities, less involvement of partner than desired, disagreement about future parenting responsibilities); 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Significant problems in most areas with some functional behavior. Ongoing difficulties coordinating tasks or little involvement from other parent, frequent disagreements about future parenting responsibilities, occasional periods of agreement; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Absence of agreement regarding parenting responsibilities. No involvement from partner even though strongly desired. Consistent, serious disagreements about future parenting with no support
clsf_parenting_subjFloatRecommendedRelationship with your child's father (if this is NOT your romantic relationship) subjective score1::51 = Exceptional agreement regarding parenting responsibilities. Exceptional level of involvement and support from partner. Fully agree on how to parent.; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Good agreement regarding parenting in most areas: A good level of involvement from partner with some minor issues, only limited disagreement or unintentionally undermining about future responsibilities; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Adequate agreement regarding parenting: some significant problems (e.g., difficulty coordinating responsibilities, less involvement of partner than desired, disagreement about future parenting responsibilities); 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Significant problems in most areas with some functional behavior. Ongoing difficulties coordinating tasks or little involvement from other parent, frequent disagreements about future parenting responsibilities, occasional periods of agreement; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Absence of agreement regarding parenting responsibilities. No involvement from partner even though strongly desired. Consistent, serious disagreements about future parenting with no support
clsf_dating_objFloatRecommendedParticularly important events regarding your dating life: objective score1::51 = If NOT dating: Completely satisfied without partner, happy and not lonely, not looking for a partner. Has other life plans for now and adequate social life. If dating: Frequent dating, perceives partners to be excellent potential for a future relationship; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = If NOT Dating: Happy at present, not lonely, but would like to have a partner in the future. Not having a partner does not cause concern, possibilities exist if desired. If Dating: Some dating, some good prospects; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = If NOT Dating: Somewhat happy about not having a partner. Looking for someone and spends time thinking about hw to find someone, limited possibilities and occasional distress about not having a partner, not preoccupied, has friends who are single. If dating: Some dating, partner(s) not appropriate or ideal, limited options; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = If NOT dating: Unhappy about not having someone, causes distress more often than not, but not constantly concerned about not having a partner, limited prospects, most friends are in relationships. If Dating: Potential partners disappointing, or infrequent, very limited opportunities; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = If NOT dating: Extremely unhappy and lonely with a partner. Ongoing concern about never having a partner, no attempts or unsuccessful attempts to find other, friends all have relationships or experiences pressure from others. If dating: Extremely adverse experiences. Mistreated or highly inappropriate dates.
clsf_dating_subjFloatRecommendedParticularly important events regarding your dating life: subjective score1::51 = If NOT dating: Completely satisfied without partner, happy and not lonely, not looking for a partner. Has other life plans for now and adequate social life. If dating: Frequent dating, perceives partners to be excellent potential for a future relationship; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = If NOT Dating: Happy at present, not lonely, but would like to have a partner in the future. Not having a partner does not cause concern, possibilities exist if desired. If Dating: Some dating, some good prospects; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = If NOT Dating: Somewhat happy about not having a partner. Looking for someone and spends time thinking about hw to find someone, limited possibilities and occasional distress about not having a partner, not preoccupied, has friends who are single. If dating: Some dating, partner(s) not appropriate or ideal, limited options; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = If NOT dating: Unhappy about not having someone, causes distress more often than not, but not constantly concerned about not having a partner, limited prospects, most friends are in relationships. If Dating: Potential partners disappointing, or infrequent, very limited opportunities; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = If NOT dating: Extremely unhappy and lonely with a partner. Ongoing concern about never having a partner, no attempts or unsuccessful attempts to find other, friends all have relationships or experiences pressure from others. If dating: Extremely adverse experiences. Mistreated or highly inappropriate dates.
clsf_coparenting_objFloatRecommendedImportant events regarding the relationship between you and the baby's father: objective score1::5; 91 = Exceptional agreement regarding parenting responsibilities. Exceptional level of involvement and support from partner. Fully agree on how to parent.; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Good agreement regarding parenting in most areas: A good level of involvement from partner with some minor issues, only limited disagreement or unintentionally undermining about future responsibilities; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Adequate agreement regarding parenting: some significant problems (e.g., difficulty coordinating responsibilities, less involvement of partner than desired, disagreement about future parenting responsibilities); 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Significant problems in most areas with some functional behavior. Ongoing difficulties coordinating tasks or little involvement from other parent, frequent disagreements about future parenting responsibilities, occasional periods of agreement; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Absence of agreement regarding parenting responsibilities. No involvement from partner even though strongly desired. Consistent, serious disagreements about future parenting with no support; 9 = Not co-parenting
clsf_coparenting_subjFloatRecommendedImportant events regarding the relationship between you and the baby's father: subjective score1::5; 91 = Exceptional agreement regarding parenting responsibilities. Exceptional level of involvement and support from partner. Fully agree on how to parent.; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Good agreement regarding parenting in most areas: A good level of involvement from partner with some minor issues, only limited disagreement or unintentionally undermining about future responsibilities; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Adequate agreement regarding parenting: some significant problems (e.g., difficulty coordinating responsibilities, less involvement of partner than desired, disagreement about future parenting responsibilities); 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Significant problems in most areas with some functional behavior. Ongoing difficulties coordinating tasks or little involvement from other parent, frequent disagreements about future parenting responsibilities, occasional periods of agreement; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Absence of agreement regarding parenting responsibilities. No involvement from partner even though strongly desired. Consistent, serious disagreements about future parenting with no support; 9 = Not co-parenting
clsf_mother_objFloatRecommendedSignificant events between you and your mother: objective score1::5; 91 = Exceptional quality relationship with mother: Exceptional on all quality factors, good conflict resolution; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Good quality relationship with mother: Majority of quality factors are good, good conflict resolution, no major difficulties, frequent contact with mother; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Average quality relationship with mother. Some problems with communication, trust, and availability; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Poor quality relationship with mother: Significant problems, lacking in many quality factors, but some support or periods of good relationship; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Very poor relationship with mother: Significant and enduring problems (abuse, neglect, disowned) with mother, no one for support; 9 = No mother figure
clsf_mother_subjFloatRecommendedSignificant events between you and your mother: subjective score1::5; 91 = Exceptional quality relationship with mother: Exceptional on all quality factors, good conflict resolution; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Good quality relationship with mother: Majority of quality factors are good, good conflict resolution, no major difficulties, frequent contact with mother; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Average quality relationship with mother. Some problems with communication, trust, and availability; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Poor quality relationship with mother: Significant problems, lacking in many quality factors, but some support or periods of good relationship; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Very poor relationship with mother: Significant and enduring problems (abuse, neglect, disowned) with mother, no one for support; 9 = No mother figure
clsf_father_objFloatRecommendedSignificant events between you and your father: objective score1::5; 91 = Exceptional quality relationship with father: Exceptional on all quality factors, good conflict resolution; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Good quality relationship with father: Majority of quality factors are good, good conflict resolution, no major difficulties, frequent contact with father; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Average quality relationship with father. Some problems with communication, trust, and availability; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Poor quality relationship with father: Significant problems, lacking in many quality factors, but some support or periods of good relationship; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Very poor relationship with father: Significant and enduring problems (abuse, neglect, disowned) with father, no one for support; 9 = No father figure
clsf_father_subjFloatRecommendedSignificant events between you and your father: subjective score1::5; 91 = Exceptional quality relationship with father: Exceptional on all quality factors, good conflict resolution; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Good quality relationship with father: Majority of quality factors are good, good conflict resolution, no major difficulties, frequent contact with father; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Average quality relationship with father. Some problems with communication, trust, and availability; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Poor quality relationship with father: Significant problems, lacking in many quality factors, but some support or periods of good relationship; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Very poor relationship with father: Significant and enduring problems (abuse, neglect, disowned) with father, no one for support; 9 = No father figure
clsf_sibling_objFloatRecommendedSpecific events between you and your sibling: objective score1::5;91 = Exceptional quality relationship with sibling: Exceptional on all quality factors, good conflict resolution; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Good quality relationship with sibling: Majority of quality factors are good, good conflict resolution, no major difficulties, frequent contact with sibling; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Average quality relationship with sibling. Some problems with communication, trust, and availability; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Poor quality relationship with sibling: Significant problems, lacking in many quality factors, but some support or periods of good relationship; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Very poor relationship with sibling: Significant and enduring problems (abuse, neglect, disowned) with sibling, no one for support; 9 = No sibling or sibling figure
clsf_sibling_subjFloatRecommendedSpecific events between you and your sibling: subjective score1::5; 91 = Exceptional quality relationship with sibling: Exceptional on all quality factors, good conflict resolution; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Good quality relationship with sibling: Majority of quality factors are good, good conflict resolution, no major difficulties, frequent contact with sibling; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Average quality relationship with sibling. Some problems with communication, trust, and availability; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Poor quality relationship with sibling: Significant problems, lacking in many quality factors, but some support or periods of good relationship; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Very poor relationship with sibling: Significant and enduring problems (abuse, neglect, disowned) with sibling, no one for support; 9 = No sibling or sibling figure
clsf_neighbor1FloatRecommendedNeighborhood safety rating1::51 = Exceptionally safe and/or secure; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Mostly safe, occasional concerns or issues; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Somewhat unsafe with multiple issues, but no problems with violent crime; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Unsafe, many issues with safety or crime, occasional violent crime but not a chronic problem; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Significantly dangerous with persistent violent crime and/or safety hazards
clsf_neighbor2FloatRecommendedNeighborhood noise rating1::51 = No reports of noise; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Minimal reports of noise; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Somewhat noisy; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Significant and/or chronic noise; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Constant, excessive noise
clsf_neighbor3FloatRecommendedNeighborhood familiarity rating1::51 = Familiar with all neighbors and those in area, infrequent turnover; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Knows most neighbors but some unknown; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Unfamiliar with most neighbors but no major problems; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Significant problems with neighbors and/or frequent unknown persons in the area; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Alienated in neighborhood, high instability of residents
clsf_neighbor_objFloatRecommendedSignificant events regarding neighborhood: objective score1::51 = Exceptionally safe, quiet, and stable: No safety issues, private security, and no reports of noise, familiar with neighbors; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Safe, moderately quiet, stable: No significant safety issues, miminal reports of noise, somewhat familiar with neighbors; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Somewhat unsafe, noisy, and unstable: Issues with safety but no issues involving violent crime, reports of noise, unfamiliar with neighbors but no major problems; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Unsafe, noisy, and unstable: many issues with safety and crime but violent crime is not a major issue, significant noise, significant problems with neighbors; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Significantly dangerous: Significant violent crime or safety hazards
clsf_neighbor_subjFloatRecommendedSignificant events regarding neighborhood: subjective score1::51 = Exceptionally safe, quiet, and stable: No safety issues, private security, and no reports of noise, familiar with neighbors; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Safe, moderately quiet, stable: No significant safety issues, miminal reports of noise, somewhat familiar with neighbors; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Somewhat unsafe, noisy, and unstable: Issues with safety but no issues involving violent crime, reports of noise, unfamiliar with neighbors but no major problems; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Unsafe, noisy, and unstable: many issues with safety and crime but violent crime is not a major issue, significant noise, significant problems with neighbors; 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Significantly dangerous: Significant violent crime or safety hazards
clsf_school_objFloatRecommendedSignificant events regarding your school program: objective score1::51 = Exceptionally good conditions: part-time school attendance, highly satisfying/enjoyable, excellent performance in classes, no difficulties with balancing other roles; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Good conditions in all areas but not exceptional (e.g., academic load demanding but manageable); 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Adequate, but significant problems in one or two areas (e.g., heavy academic load but satisfactory performance, has to sacrifice other activities but manages); 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Poor conditions: Significant problems in three or four areas (e.g., poor performance in one or two courses or cannot meet all requirements - difficulty managing work and home life, not enjoyable or satisfying); 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Very poor conditions, failing in most courses, marked difficulties with teachers or other students, school demands causing difficulties in other roles (work, family, etc.)
clsf_school_subjFloatRecommendedSignificant events regarding your school program: subjective score1::51 = Exceptionally good conditions: part-time school attendance, highly satisfying/enjoyable, excellent performance in classes, no difficulties with balancing other roles; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2 = Good conditions in all areas but not exceptional (e.g., academic load demanding but manageable); 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3 = Adequate, but significant problems in one or two areas (e.g., heavy academic load but satisfactory performance, has to sacrifice other activities but manages); 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4 = Poor conditions: Significant problems in three or four areas (e.g., poor performance in one or two courses or cannot meet all requirements - difficulty managing work and home life, not enjoyable or satisfying); 4.5 = Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5 = Very poor conditions, failing in most courses, marked difficulties with teachers or other students, school demands causing difficulties in other roles (work, family, etc.)
aescodeIntegerRecommendedStaff code number of person completing this form
saps_ad10IntegerRecommendedRater number
rater_titleString50RecommendedRater's Title
dodeString10RecommendedDate of Data Entry
asesdt_ge_de_dtString20RecommendedThe date of data entry must be AFTER or EQUAL to the date of assessment
version_formString100RecommendedForm used
lsi1String25RecommendedIn the past 6 months, have you had a close friend(s)? Let�s look at your relationship with your very best friend? Do you have a best friend? Who would that be? How has this relationship been going?
lsi2String25RecommendedHow often do you see or have contact with your best friend? If your best friend is out of state: how often do you talk by phone?
lsi3String25RecommendedHow often do you confide in your best friend?
lsi4String25RecommendedHow comfortable do you feel sharing things with your best friend? Are there certain things that you don�t share with your friend?
lsi5String25RecommendedHow often does your best friend confide in you?
lsi6String25RecommendedHow often do you and your best friend argue?
lsi7String25RecommendedWhat happens when you and your best friend disagree? How do arguments unfold?
lsi8String25RecommendedHow do arguments and disagreements with your best friend end?
lsi9String25RecommendedWere there any important events or incidents involving your close friend(s) in the past 6 months? [e.g. an intense argument, supporting a friend through a difficult time, problems with a family member�s health, problems with your health]
lsi10String25RecommendedThe next section is about your social life. Do you have a social group that you hang out with? How has your social life been going lately? How have you been getting along with the people in your social group? IF NO SOCIAL LIFE�Why not? Obvious reasons? Lonely?
lsi11String25RecommendedHow often do you spend time or hang out with this group of friends?
lsi12String25RecommendedWhat types of activities do you and your social group participate in?
lsi13String25RecommendedHow close do you feel to this social group of friends?
lsi14String25RecommendedAre there members of your social group that you feel you can confide in?
lsi15String25RecommendedHow comfortable do you feel sharing things with the social group?
lsi16String25RecommendedHow often do members of your social group argue?
lsi17String25RecommendedAre there certain members of your social group that you do not get along well with?
lsi18String25RecommendedWhat happens when you disagree with members of your social group? How do these disagreements end?
lsi19String25RecommendedWhere there any other significant events that happened during the past 6 months regarding your social life? [e.g. friend moved away, major falling out, event happened to a close friend]
lsi20String25RecommendedThe next area I would like to discuss is your romantic relationship. Are you currently married or involved in a committed relationship? How has your relationship been going?
lsi21String25RecommendedIf married or involved in a committed relationship: Is your relationship with the baby's father?
lsi22String25RecommendedWhat parts of your marriage/committed relationship are difficult? What parts work really well?
lsi23String25RecommendedHow long have you been together in this marriage/committed relationship?
lsi24String25RecommendedIf in a marriage/committed relationship, but not living together - how often do you see each other? Would you like to spend more time together?
lsi25String25RecommendedIf NOT married, do you consider your relationship to be a committed relationship?
lsi26String25RecommendedHow close do you feel to your partner?
lsi27String25RecommendedDo you feel you can confide in your partner?
lsi28String25RecommendedDo you share personal things with your partner? What things don�t you feel comfortable talking about? How often does your partner confide in you?
lsi29String25RecommendedIs there trust with your partner? Good communication?
lsi30String25RecommendedHow dependable is your partner? In what ways does your partner support you?
lsi31String25RecommendedHow often do you and your partner have arguments or disagreements?
lsi32String25RecommendedWhat types of things do you and your partner usually disagree on? Little things? Big things? Both?
lsi33String25RecommendedWhat happens when you and your partner disagree? How do things unfold?
lsi34String25RecommendedWere there any other important or significant events regarding your romantic partner in the past 6 months?
lsi35String25RecommendedWhat do you think the baby�s father�s role will be in the baby�s life?
lsi36String25RecommendedWhat kind of father do you think the baby's father will be?
lsi37String25RecommendedWill you share parenting responsibilities with the baby�s father?
lsi38String25RecommendedIf you will NOT share parenting responsibilities with the baby's father, then will you share parenting responsibilities with someone else?
lsi39String25RecommendedHow involved do you think your partner will be in parenting?
lsi40String25RecommendedHas your partner attended any prenatal visits?
lsi41String25RecommendedDo you think your partner will be there when you deliver?
lsi42String25RecommendedDo you feel supported by your partner in regards to parenting?
lsi43String25RecommendedHow much do you and your partner agree on the best way to raise your child?
lsi44String25RecommendedHow often do you and your partner argue over future parenting responsibilities? How do disagreements end?
lsi45String25RecommendedWere there any important events in the past 6 months regarding the relationship between you and the baby�s father? (if this is not your romantic relationship)
lsi46String25RecommendedWere there any important events in the past 6 months regarding the relationship between you and the baby�s father? (whether or not this is your romantic relationship)
lsi47String25RecommendedYou mentioned earlier that you were not in a partner relationship. How has that been going? What has it been like to be single for the past 6 months? Are you lonely? Have you been dating?
lsi48String25RecommendedDo you feel like there are good partners available to you?
lsi49String25RecommendedHow often are you going on dates?
lsi50String25RecommendedHow long since your last relationship?
lsi51String25RecommendedDo you want to be in a relationship?
lsi52String25RecommendedWhat steps are you taking to meet a potential partner?
lsi53String25RecommendedDo you feel pressure from friends or family to find a partner?
lsi54String25RecommendedWere there any particularly important events regardng your dating life in the past 6 months?
lsi55String25RecommendedNow we are going to discuss your relationship with specific family members. How has your relationship been with your mother over the past 6 months?
lsi56String25RecommendedFor answers concerning your relationship with your mother, is this your biological mother?
lsi57String25RecommendedHow often do you see and spend time with your mother?
lsi58String25RecommendedDo you feel you can confide in your mother?
lsi59String25RecommendedIs there good trust with your mother? Good communication?
lsi60String25RecommendedHow comfortable are you talking about personal things with your mother? Are there any things you don�t feel comfortable about?
lsi61String25RecommendedDo you feel that your mother accepts you? Does she understand you?
lsi62String25RecommendedHow much can you rely on your mother to support you when you need her? How does she support you?
lsi63String25RecommendedIF IN RELATIONSHIP: How does your mother feel about your partner? Does she support your relationship?
lsi64String25RecommendedHow often do you and your mother argue?
lsi65String25RecommendedWhat happens when you and your mother disagree? How do arguments unfold?
lsi66String25RecommendedHow do arguments with your mother usually end?
lsi67String25RecommendedWere there any significant events during the past 6 months between you and your mother? [e.g. significant argument, health problem]
lsi68String25RecommendedNow we are going to discuss your relationship with specific family members. How has your relationship been with your father over the past 6 months?
lsi69String25RecommendedFor answers concerning your relationship with your father, is this your biological father?
lsi70String25RecommendedHow often do you see and spend time with your father?
lsi71String25RecommendedDo you feel you can confide in your father?
lsi72String25RecommendedIs there good trust with your father? Good communication?
lsi73String25RecommendedHow comfortable are you talking about personal things with your father? Are there any things you don�t feel comfortable about?
lsi74String25RecommendedDo you feel that your father accepts you? Does he understand you?
lsi75String25RecommendedHow much can you rely on your father to support you when you need her? How does he support you?
lsi76String25RecommendedIF IN RELATIONSHIP: How does your father feel about your partner? Does he support your relationship?
lsi77String25RecommendedHow often do you and your father argue?
lsi78String25RecommendedWhat happens when you and your father disagree? How do arguments unfold?
lsi79String25RecommendedHow do arguments with your father usually end?
lsi80String25RecommendedWere there any significant events during the past 6 months between you and your father? [e.g. significant argument, health problem]
lsi81String25RecommendedHow has your relationship been with your closest sibling during the past 6 months?
lsi82String25RecommendedHow often do you see and spend time with your closest sibling?
lsi83String25RecommendedDo you feel you can confide in your closest sibling?
lsi84String25RecommendedIs there good trust with your closest sibling? Good communication?
lsi85String25RecommendedHow comfortable are you talking about personal things with your closest sibling? Are there any things you don�t feel comfortable about?
lsi86String25RecommendedDo you feel that your closest sibling accepts you? Does he/she understand you?
lsi87String25RecommendedHow much can you rely on your closest sibling to support you when you need him/her? How does he/she support you?
lsi88String25RecommendedHow often do you and your closest sibling argue?
lsi89String25RecommendedWhat happens when you and your closest sibling disagree? How do arguments unfold?
lsi90String25RecommendedHow do arguments with your closest sibling usually end?
lsi91String25RecommendedWere there any specific events during the past 6 months between you and your closest sibling? [e.g. significant argument, health problem]
lsi92String25RecommendedWe are now going to discuss your financial situation. What was your financial situation like during the past 6 months?
lsi93String25RecommendedCan your family afford housing, clothing, food, and medical care?
lsi94String25RecommendedDoes your family have enough money to pay the bills? Do you have any loans/debt?
lsi95String25RecommendedDoes your family have enough money for savings and recreation/leisure activities?
lsi96String25RecommendedPregnancy specific: Have you acquired everything you need to take care of the baby? (e.g. crib, baby clothes, car seat?)
lsi97String25RecommendedWere there any particularly important events relating to money or finances in the past 6 months? [e.g. being robbed, unexpected significant bills? Significant car repairs?]
lsi98String25RecommendedAre you currently working? How has your job been going over the past 6 months?
lsi99String25RecommendedHow many hours are you working?
lsi100String25RecommendedHow is your work environment? Do you feel safe at work?
lsi101String25RecommendedHow is your workload? Too much? Too little? Just right?
lsi102String25RecommendedHow is your relationship with your boss?
lsi103String25RecommendedHow is your relationship with your co-workers?
lsi104String25RecommendedWhy are you working? (necessary to support family?)
lsi105String25RecommendedWhat do you like about your job?
lsi106String25RecommendedIs your current work related to career goals?
lsi107String25RecommendedDo you have other options if conditions at work are poor?
lsi108String25RecommendedHow are you handling work and home demands?
lsi109String25RecommendedWere there any particularly significant events in the past 6 months regarding your work? [e.g. disagreement with your boss, hours being cut, promotion]
lsi110String25RecommendedYou mentioned you are not currently working. How was that been going over the past 6 months?
lsi111String25RecommendedWhy are you not working?
lsi112String25RecommendedDo you want to be working?
lsi113String25RecommendedWhat steps have you been taking to find a job?
lsi114String25RecommendedDo you feel like you have the necessary job skills and interview skills to get a job if you wanted one?
lsi115String25RecommendedWere there any particularly significant events in the past 6 months regarding your work? [e.g. lost a job, significant hours being cut]
lsi116String25RecommendedHow would you describe your neighborhood?
lsi117String25RecommendedIs there anything that makes the neighborhood area unsafe? How serious are these issues? Is violent crime a problem?
lsi118String25RecommendedHow comfortable do you feel being outside at night in your neighborhood?
lsi119String25RecommendedHow comfortable do you feel about bringing a child into this neighborhood? Any particular concerns?
lsi120String25RecommendedIs your neighborhood particularly noisy? Are you located near an airport or a lot of traffic? How frequently is there a lot of noise?
lsi121String25RecommendedHow well do you know others in your neighborhood?
lsi122String25RecommendedDo people frequently move in or out in your neighborhood?
lsi123String25RecommendedHow well do you and your neighbors get along?
lsi124String25RecommendedWere there any particularly significant events regarding your neighborhood in the past 6 months?
lsi125String25RecommendedAre you currently in school or taking classes? How have things been going over the past 6 months?
lsi126String25RecommendedWhat type of program are you studying for? What are your educational goals?
lsi127String25RecommendedHow are you enjoying this particular educational program?
lsi128String25RecommendedHow have you been doing in school?
lsi129String25RecommendedDo you get good grades in school?
lsi130String25RecommendedDo you get along well with your teachers and classmates?
lsi131String25RecommendedHow do you balance between school and work? School and home?
lsi132String25RecommendedWere there any particularly significant events regarding your school program in the past 6 months? (e.g needing to drop a class, confrontation between professor/advisor, failing an exam)
lsi133String25RecommendedNow we are going to discuss your health over the past 6 months. How was your health been? Do you feel healthy?
lsi134String25RecommendedTell me about your normal eating habits?
lsi135String25RecommendedHow active are you on a daily basis?
lsi136String25RecommendedDo you have any physical or psychiatric illnesses?
lsi137String25RecommendedIf you have a physical or psychiatric illness: How long have you had that problem?
lsi138String25RecommendedIf you have a physical or psychiatric illness: Was there any treatment required?
lsi139String25RecommendedIf you have a physical or psychiatric illness: How well are you able to cope with this illness?
lsi140String25RecommendedWere there any significant events during the past 6 months regarding your health? [e.g. accidents, illness, personal injury]
lsi141String25RecommendedHow was the health of your family members been over the past 6 months?
lsi142String25RecommendedDoes anyone in your family have any physical or psychiatric illnesses?
lsi143String25RecommendedIf anyone in your family has a physical or psychiatric illness: How long have they had the problem?
lsi144String25RecommendedIf anyone in your family has a physical or psychiatric illness: Was there any treatment required?
lsi145String25RecommendedIf anyone in your family has a physical or psychiatric illness: How well were you able to cope with this family member's illness?
lsi146String25RecommendedIf anyone in your family has a physical or psychiatric illness: Were you responsible for taking care of your family member? How involved were you with the care and/or treatment?
lsi147String25RecommendedWere there any significant events during the past 6 months regarding the health of a family member? [e.g. accidents, death or illness of family or friends, injury]
cmstrtdtDateRecommendedStart Date
cmstpdtDateRecommendedStop Date
chron_hs_objFloatRecommendedHealth (Self) objective score1::51=exceptionally good health, excellent physical shape; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=mild, typical problems that only sometimes require professional treatment; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=significant chronic, but not life threatening, mild impairment in jobs or activities; no long hospitalization; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=significant potentially life threatening illness or condition requiring ongoing although not continuous treatment; Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=severe, life threatening, chronic disease/condition; needs constant care and treatment; severely disabled/impaired
chron_hs_subjFloatRecommendedHealth (Self) subjective score1::51=exceptionally good health, excellent physical shape; 1.5 = Exceeds criteria for a rating of 1, does not meet criteria for a 2; 2=mild, typical problems that only sometimes require professional treatment; 2.5 = Exceeds criteria for a rating of 2, does not meet criteria for a 3; 3=significant chronic, but not life threatening, mild impairment in jobs or activities; no long hospitalization; 3.5 = Exceeds criteria for a rating of 3, does not meet criteria for a 4; 4=significant potentially life threatening illness or condition requiring ongoing although not continuous treatment; Exceeds criteria for a rating of 4, does not meet criteria for a 5; 5=severe, life threatening, chronic disease/condition; needs constant care and treatment; severely disabled/impaired
chron_hcfm_objFloatRecommendedHealth (Close Family Members) objective score1::51=exeptional among all close relatives; 1.5 = exceeds criteria for a rating of 1, does not meet criteria for a rating of 2; 2=generally good health among close relatives; mild/typical problems; problem with distant relative, interferes minimally; 2.5 = exceeds criteria for a rating of 2, does not meet criteria for a rating of 3; 3=significant health problem in close family member, not life threatening; some care-taking responsibility; 3.5 = exceeds criteria for a rating of 3, does not meet criteria for a rating of 4; 4=severe, life threatening and chronic disease in immediate family; much care-taking responsibility; 4.5 = exceeds criteria for a rating of 4, does not meet criteria for a rating of 5; 5=terminal condition in close family member; much care-taking responsibility
chron_hcfm_subjFloatRecommendedHealth (Close Family Members) subjective score1::51=exeptional among all close relatives; 1.5 = exceeds criteria for a rating of 1, does not meet criteria for a rating of 2; 2=generally good health among close relatives; mild/typical problems; problem with distant relative, interferes minimally; 2.5 = exceeds criteria for a rating of 2, does not meet criteria for a rating of 3; 3=significant health problem in close family member, not life threatening; some care-taking responsibility; 3.5 = exceeds criteria for a rating of 3, does not meet criteria for a rating of 4; 4=severe, life threatening and chronic disease in immediate family; much care-taking responsibility; 4.5 = exceeds criteria for a rating of 4, does not meet criteria for a rating of 5; 5=terminal condition in close family member; much care-taking responsibility
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.

Distribution for DataStructure: clsf01 and Element:
Chart Help

Filters enable researchers to view the data shared in NDA before applying for access or for selecting specific data for download or NDA Study assignment. For those with access to NDA shared data, you may select specific values to be included by selecting an individual bar chart item or by selecting a range of values (e.g. interview_age) using the "Add Range" button. Note that not all elements have appropriately distinct values like comments and subjectkey and are not available for filtering. Additionally, item level detail is not always provided by the research community as indicated by the number of null values given.

Filters for multiple data elements within a structure are supported. Selections across multiple data structures will be supported in a future version of NDA.