|
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 = 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 |
|
|
|
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 |
|
|
|
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 = 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=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=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=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=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=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=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
|
|