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CSBS DP Caregiver Questionnaire

csbs_dp

01

CSBS DP Caregiver Questionnaire. Provided by Dr. A.Thurm

Download Definition as
Download Submission Template as
Element NameData TypeSizeRequiredConditionDescriptionValue RangeNotes
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 field
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.
genderString20RequiredSex of the subjectM;FM = Male; F = Female
birth_prematureString20RecommendedWas birth premature?
Yes; No
premature_weeksIntegerConditionalbirth_premature == 'Yes'Weeks premature0 = Full term
respond_detailIntegerRecommendedRespondent detail1::8;9991 = Mother; 2 = Father; 3 = Other relative or custodial adult; 4 = Teacher or caregiver; 5 = Other specialist; 6 = Other; 7 = Child; 8= Spouse; 999 = Not available
emotion_eyegaze_q2String50RecommendedWhen your child is playing with a toy, does he/she look at you and then back at the toy?Not yet; Sometimes; Often
emotion_eyegaze_q3String50RecommendedIf you look at and point to a toy out of your child's reach, does your child look at the toy?Not yet; Sometimes; Often
emotion_eyegaze_q1String50RecommendedWhen your child is happy, does he/she smile or laugh and look at you at the same time?Not yet; Sometimes; Often
emotion_eyegaze_q4String50RecommendedWhen your child is upset or frustrated, does he/she express this clearly with facial expression, sounds, or words?Not yet; Sometimes; Often
emotion_eyegaze_q5String50RecommendedHow often does your child get upset or frustrated each day?Not yet; Sometimes; Often
emotion_eyegaze_q6String50RecommendedWhen your child is upset, does he/she calm down easily (within a few minutes)?Not yet; Sometimes; Often
emotion_eyegaze_q7String50RecommendedWhen you are with your child, is your child comfortable interacting with unfamiliar people or new situations?Not yet; Sometimes; Often
emotion_eyegaze_q8String50RecommendedWhen your child is afraid, does he/she seek comfort from you?Not yet; Sometimes; Often
communicat_q9String50RecommendedDoes your child clearly let you know when he/she needs help (for example, wants you to open a container)?Not yet; Sometimes; Often
communicat_q10String50RecommendedDoes your child clearly let you know when he/she wants an object that is out of reach?Not yet; Sometimes; Often
communicat_q11String50RecommendedDoes your child let you know that he/she does not want something that you are offering him/her?Not yet; Sometimes; Often
communicat_q12String50RecommendedDoes your child greet you when you come in the room or leave?Not yet; Sometimes; Often
communicat_q13String50RecommendedDoes your child reach out to give you a hug or kiss?Not yet; Sometimes; Often
communicat_q14String50RecommendedDoes your child try to get your attention when you are busy doing something, such as when you are talking with an adult or preparing a meal?Not yet; Sometimes; Often
communicat_q15String50RecommendedIf your child does something that is funny and you laugh, does your child do it again for the attention?Not yet; Sometimes; Often
communicat_q16String50RecommendedDoes your child try to get you to notice interesting objects, not to get you to do anything with them, but just to get you to look at them (for example, show you an object or point to a picture in a book)?Not yet; Sometimes; Often
communicat_q17String50RecommendedDoes your child try to draw your attention to exciting or unexpected things, such as a pop-up toy or something falling down?Not yet; Sometimes; Often
communicat_q18String50RecommendedIf you can't figure out what your child is trying to communicate, does your child try again or use a different way to get his/her meaning across?Not yet; Sometimes; Often
gestures_q19String50RecommendedDoes your child use gestures that are easily understood by others, such as giving objects, showing objects, pointing, and waving?Not yet; Sometimes; Often
gestures_q20aString50RecommendedWhich of the following gestures have you seen your child use? give an object to you
Yes; No
gestures_q20bString50RecommendedWhich of the following gestures have you seen your child use? show an object to you {i.e., by extending arm but not releasing object)Yes; No
gestures_q20cString50RecommendedWhich of the following gestures have you seen your child use? push an object away
Yes; No
gestures_q20dString50RecommendedWhich of the following gestures have you seen your child use? raise arms to be picked up
Yes; No
gestures_q20eString50RecommendedWhich of the following gestures have you seen your child use? reach with an open hand toward an objectYes; No
gestures_q20fString50RecommendedWhich of the following gestures have you seen your child use? wave "hi" or "bye bye
Yes; No
gestures_q20gString50RecommendedWhich of the following gestures have you seen your child use? point to an object or a picture that is within reach
Yes; No
gestures_q20hString50RecommendedWhich of the following gestures have you seen your child use? point to an object or a picture out of reachYes; No
gestures_q20iString50RecommendedWhich of the following gestures have you seen your child use? shake head to indicate "no
Yes; No
gestures_q20kString50RecommendedWhich of the following gestures have you seen your child use? nod head to indicate "yes
Yes; No
sounds_q21String50RecommendedDoes your child use sounds to communicate both pleasure and discomfort?Not yet; Sometimes; Often
sounds_q22String50RecommendedChildren use sounds to communicate in vocal play before they use sounds in words. Does your child use a variety of different consonant sounds, such as ba, ga ta and da either in vocal play or in words?Not yet; Sometimes; Often
sounds_q23String425Conditionalsounds_q22 != 'Not yet'If so, which of the following sounds have you heard your child use, either in vocal play or in words?/m/ as in "mamamama" or "mama" or "moo"; /n/ as in "nununu" or "no no"; /b/ as in "babababa" or "bibo" or "boo" or "bye bye"; /d/ as in "dodododo" or "daddy"; /g/ as in "googoo" or "gone gone"; /w/ as in "woowoo" or "weewee" or "wagon"; /I/ as in "lalala" or "balloon" or "little"; /y/ as in "yayaya" or "yum yum" or "you"; /s/as in "sasasa" or "sock" or "kiss"; /sh/ as in "shashasha" or "hush" or "shoe
sounds_q24String50RecommendedDoes your child put sounds together, either in vocal play or words (for example, "baba", "mamama", "dada","bye bye")?Not yet; Sometimes; Often
words_q25String50RecommendedDoes your child use words to communicate that are understandable to you?Not yet; Sometimes; Often
words_q26String350Conditionalwords_q25 != 'Not yet'If so, which of the following words have you heard your child use (include approximations that you recognize, such as "nana" for banana or "baba" for bottle)?mommy; daddy; baby; dog; kitty; bird; duck; eye; nose; moo; woof; grr (animal noise); peekaboo; bye bye; no; hi; all gone; uhoh; night night; outside; yum yum; vroom; ouch; up; bottle; banana; ball; bath; book; car; cookie; juice; sock; keys; balloon; truck
words_q27String50RecommendedDoes your child use words that are understandable to unfamiliar adults?Not yet; Sometimes; Often
words_q28String50RecommendedDoes your child put two or more words together (for example, more cookie, daddy car, bye bye kitty)?Not yet; Sometimes; Often
understanding_q29String50RecommendedDoes your child respond when you call his/her name (for example, by looking/turning head)?Not yet; Sometimes; Often
understanding_q30String50RecommendedDoes your child respond appropriately to gestures (for example, giving you an object when you say "give it to me" while holding out your hand or while pointing to the object)?Not yet; Sometimes; Often
understanding_q31String50RecommendedDoes your child understand words or short phrases when you use only words and do not use gestures?Not yet; Sometimes; Often
understanding_q32String350Conditionalunderstanding_q31 != 'Not yet'If so, which of the following words does your child understand without gestures (i.e., if you say the word, your child will find the object or carry out the action)?mommy; daddy; child's name; baby; kitty; dog; bird; nose; eyes; tummy; foot; hair; peekaboo; bye bye; no; hi; all gone; uh oh; night night; outside; eat; drink; hug; bite; bottle; bath; ball; book; diaper; car; juice; shoe; cup; keys; ballon; trucks
object_use_q33String50RecommendedDoes your child show interest in playing with a variety of objects?Not yet; Sometimes; Often
object_use_q34String50RecommendedDoes your child use a variety of common objects appropriately (for example, comb, spoon, toothbrush)?Not yet; Sometimes; Often
object_use_q35aString50Conditionalobject_use_q34 != 'Not yet'If so, which of the following actions have you seen your child do with objects? drink with a cup or bottle
Yes; No
object_use_q35bString50Conditionalobject_use_q34 != 'Not yet'If so, which of the following actions have you seen your child do with objects? comb or brush hair
Yes; No
object_use_q35cString50Conditionalobject_use_q34 != 'Not yet'If so, which of the following actions have you seen your child do with objects? feed self with a spoon
Yes; No
object_use_q35dString50Conditionalobject_use_q34 != 'Not yet'If so, which of the following actions have you seen your child do with objects? stir with a spoon
Yes; No
object_use_q35eString50Conditionalobject_use_q34 != 'Not yet'If so, which of the following actions have you seen your child do with objects? pour with cup or bowl
Yes; No
object_use_q35fString50Conditionalobject_use_q34 != 'Not yet'If so, which of the following actions have you seen your child do with objects? brush teeth
Yes; No
object_use_q35gString50Conditionalobject_use_q34 != 'Not yet'If so, which of the following actions have you seen your child do with objects? wash or wipe face with cloth
Yes; No
object_use_q35hString50Conditionalobject_use_q34 != 'Not yet'If so, which of the following actions have you seen your child do with objects? roll or throw a ball
Yes; No
object_use_q35iString50Conditionalobject_use_q34 != 'Not yet'If so, which of the following actions have you seen your child do with objects? push a toy vehicle
Yes; No
object_use_q35kString50Conditionalobject_use_q34 != 'Not yet'If so, which of the following actions have you seen your child do with objects? put toy telephone to ear
Yes; No
object_use_q36String50RecommendedDoes your child pretend to play with toys (for example, feed a stuffed animal, put a baby doll to sleep, put an animal figure in a vehicle)?Not yet; Sometimes; Often
object_use_q37aString50Conditionalobject_use_q36 != 'Not yet'If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? feed with a spoon
Yes; No
object_use_q37bString50Conditionalobject_use_q36 != 'Not yet'If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? drink with a cup or bottle
Yes; No
object_use_q37cString50Conditionalobject_use_q36 != 'Not yet'If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? comb or brush hair
Yes; No
object_use_q37dString50Conditionalobject_use_q36 != 'Not yet'If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? cover with blanket
Yes; No
object_use_q37eString50Conditionalobject_use_q36 != 'Not yet'If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? wash or wipe face with cloth
Yes; No
object_use_q37fString50Conditionalobject_use_q36 != 'Not yet'If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? brush teeth with toothbrush
Yes; No
object_use_q37gString50Conditionalobject_use_q36 != 'Not yet'If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? put on diaper
Yes; No
object_use_q37hString50Conditionalobject_use_q36 != 'Not yet'If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? hug or kiss
Yes; No
object_use_q38String50RecommendedDoes your child pretend by putting two or more actions together in a sequence, such as stirring food and feeding doll or washing doll's face and covering doll with a blanket?Not yet; Sometimes; Often
object_use_q39String50RecommendedDoes your child build or arrange toy objects (for example, build a tower of blocks, stack rings, put puzzle pieces together)?Not yet; Sometimes; Often
object_use_q40aString50RecommendedWhich of these actions have you seen your child do? take blocks out of container
Yes; No
object_use_q40bString50RecommendedWhich of these actions have you seen your child do? put blocks in container
Yes; No
object_use_q40cString50RecommendedWhich of these actions have you seen your child do? build a tower of blocks
Yes; No
object_use_q40dString50RecommendedWhich of these actions have you seen your child do? put puzzle pieces together
Yes; No
object_use_q40eString50RecommendedWhich of these actions have you seen your child do? stack rings on ring stacker without regard for order
Yes; No
object_use_q40fString50RecommendedWhich of these actions have you seen your child do? put rings on ring stacker in order
Yes; No
object_use_q40gString50RecommendedWhich of these actions have you seen your child do? hold crayon or marker and scribble on paper
Yes; No
object_use_q40hString50RecommendedWhich of these actions have you seen your child do? draw shapes or patterns on paper
Yes; No
object_use_q40iString50RecommendedWhich of these actions have you seen your child do? squeeze and bang playdough
Yes; No
object_use_q40kString50RecommendedWhich of these actions have you seen your child do? make shapes with playdough, such as hot dogs or pancakes
Yes; No
object_use_q41aString50RecommendedWhich of these actions have you seen your child do with books? turn pages
Yes; No
object_use_q41bString50RecommendedWhich of these actions have you seen your child do with books? look at pictures
Yes; No
object_use_q41cString50RecommendedWhich of these actions have you seen your child do with books? look at pictures and then look at you
Yes; No
object_use_q41dString50RecommendedWhich of these actions have you seen your child do with books? point to pictures without being asked
Yes; No
object_use_q41eString50RecommendedWhich of these actions have you seen your child do with books? point to pictures when asked
Yes; No
object_use_q41gString50RecommendedWhich of these actions have you seen your child do with books? label pictures
Yes; No
additional_q42String255RecommendedHow has your child's communication changed over the past few months?
additional_q43String255RecommendedList a few strengths or assets you observe in your child.
additional_q44String255RecommendedList any concerns you have about your child's development.
additional_q45String255RecommendedIs there anything else about your child that you think is important to share with us?
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
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  • 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)
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Distribution for DataStructure: csbs_dp01 and Element:
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