M1. CHECK RTYPE: Is the respondent. . .

NAME'S PARENT OR GUARDIAN......01 *Continue*

NAME ........................................\...00 *Go to M19*

> PROXY FOR NAME..........................00 *Go to M19*

CP, YP

NSAF

M2. Now I'd like to ask some background questions about you and your
family.

What is the highest year or grade you finished in school?

Ahora le quiero hacer unas preguntas acerca de Ud. y de su familia.

¿Cuál es el grado o año más alto que Ud. terminó en la escuela?

*Read list if necessary, code one answer*

Less than high school diploma, with

> no GED 01

High school diploma or GED 02

> Some college/some postsecondary vocational
>
> courses 03

2-year or 3-year college degree (AA degree)

> or vocational school diploma 04

4-year college degree (BA, BS degree) 05

> Some graduate work/no graduate degree 06

Graduate degree (MA, MBA, PH.D., JD, MD) 07

Sin diploma de secundaria o de

> equivalencia 01

Diploma de secundaria o de equivalencia 02

> Algo de estudios universitarios/
>
> cursos vocacionales pos-secundarios 03

Título de asociada(o) universitario de 2 ó

> 3 años o diploma de escuela vocacional 04

Título de universidad de 4 años

--bachillerato 05

> Algo de estudios de graduados -- sin título 06

Título de Graduada(o)--Maestría o Doctorado 07

NEVER ATTENDED SCHOOL 08

SPECIAL EDUCATION 09

DON'T KNOW d

REFUSED r

CP, YP

MPR

M3. What is your ethnic background? Are you:

¿Cuál es su origen étnico? ¿Es usted:

> Hispanic or Latino, or 01
>
> Not Hispanic or Latino 02
>
> Hispano(a) o Latino(a) o 01

Ni Hispano(a) ni Latino(a) 02

> DON'T KNOW d
>
> REFUSED r

CP, YP

MPR

M4. What is your race? Are you:

¿Cuál es su raza? ¿Es usted:

*Read list, code all that apply*

> Alaska Native or American Indian 01
>
> Asian 02
>
> Black or African American 03
>
> Native Hawaiian or Other Pacific Islander 04
>
> White 05

Nativo(a) de Alaska, o amerindio(a) indígena 01

> Asiático(a) 02
>
> Negro(a) o Africano(a)-Americano(a) 03
>
> Nativo(a) de Hawaii o de Islas del Pacífico 04
>
> Blanco(a) 05
>
> DON'T KNOW d
>
> REFUSED r

CP, YP

MPR

M5. Were you born in the United States or in another country?

¿Nació Ud. en los Estados Unidos, o en otro país?

> ![](media/image1.wmf) UNITED STATES 01
>
> OTHER (SPECIFY) 02
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> DON'T KNOW d
>
> REFUSED r

CP, YP

M6. Are you now married, widowed, divorced, have you never been married
or are you separated?

¿Es Ud actualmente: casado(a), viudo(a), divorciado(a), nunca ha sido Ud
casado(a), o es Ud separado(a)?

> MARRIED 01

WIDOWED 02

DIVORCED 03

NEVER MARRIED 04

SEPARATED 05

DON'T KNOW d

REFUSED r

CP, YP

tM6. CHECK B2: Is there a spouse or partner in the household? Is B2=01
or 02?

> YES 01 *Continue*

NO 02 *Go to M11*

CP, YP

NSAF

M7. What is the highest year or grade your (FILL "SPOUSE" IF B2=01;
"PARTNER" IF B2=02) finished in school?

¿Cuál es el grado o año más alto que su (FILL "ESPOSO(A)" IF B2=01;
"PAREJO(A)" IF B2=02) terminó en la escuela?

*Read list if necessary, code one answer*

Less than high school diploma, with

> no GED 01

High school diploma or GED 02

> Some college/some postsecondary vocational
>
> courses 03

2-year or 3-year college degree (AA degree)

> or vocational school diploma 04

4-year college degree (BA, BS degree) 05

Some graduate work/no graduate degree 06

> Graduate degree (MA, MBA, PH.D., JD, MD) 07
>
> Sin diploma de secundaria o de
>
> equivalencia 01

Diploma de secundaria o de equivalencia 02

> Algo de estudios universitarios/
>
> cursos vocacionales pos-secundarios 03
>
> Título de asociada(o) universitario de 2 ó
>
> 3 años o diploma de escuela vocacional 04

Título de universidad de 4 años

--bachillerato 05

> Algo de estudios de graduados -- sin título 06

Título de Graduada(o)--Maestría o Doctorado 07

NEVER ATTENDED SCHOOL 08

SPECIAL EDUCATION 09

DON'T KNOW d

REFUSED r

CP, YP

MPR

M8. What is his or her ethnic background? Is he or she:

> ¿Cuál es su origen étnico? ¿Es (él/ella):
>
> Hispanic or Latino, or 01
>
> Not Hispanic or Latino 02
>
> Hispano(a) o Latino(a) o 01

Ni Hispano(a) ni Latino(a) 02

> DON'T KNOW d
>
> REFUSED r

CP, YP

MPR

M9. What is his or her race? Is he or she...

¿Cuál es su raza? ¿Es (él/ella):

*Read list, code all that apply*

> Alaska Native or American Indian 01
>
> Asian 02
>
> Black or African American 03
>
> Native Hawaiian or Other Pacific Islander 04
>
> White 05

Nativo(a) de Alaska, o amerindio(a) indígena 01

> Asiático(a) 02
>
> Negro(a) o Africano(a)-Americano(a) 03
>
> Nativo(a) de Hawaii o de Islas del Pacífico 04
>
> Blanco(a) 05
>
> DON'T KNOW d
>
> REFUSED r

CP, YP

MPR

M10. Was he or she born in the United States or in another country?

> ¿Nació (él/ella) en los Estados Unidos, o en otro país?
>
> ![](media/image1.wmf) UNITED STATES 01
>
> OTHER (SPECIFY) 02
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> DON'T KNOW d
>
> REFUSED r

CP, YP

MPR

M11. These next questions are about (NAME). What is (NAME's) ethnic
background? Is (HE/SHE):

> Estas próximas preguntas son acerca de (NAME). ¿Cuál es el origen
>
> étnico de (NAME)? ¿Es (él/ella):
>
> Hispanic or Latino, or 01
>
> Not Hispanic or Latino 02
>
> Hispano(a) o Latino(a) o 01

Ni Hispano(a) ni Latino(a) 02

> DON'T KNOW d

REFUSED r

CP, YP

MPR

M12. What is (NAME's) race? Is (HE/SHE)....

> ¿Cuál es la raza de (NAME)? ¿Es (él/ella):

*Read list, code all that apply*

> Alaska Native or American Indian 01
>
> Asian 02
>
> Black or African American 03
>
> Native Hawaiian or Other Pacific Islander 04
>
> White 05
>
> Nativo(a) de Alaska, o amerindio(a) indígena 01
>
> Asiático(a) 02
>
> Negro(a) o Africano(a)-Americano(a) 03
>
> Nativo(a) de Hawaii o de Islas del Pacífico 04
>
> Blanco(a) 05
>
> DON'T KNOW d
>
> REFUSED r

CP, YP

MPR

M13. Was (HE/SHE) born in the United States or in another country?

> ¿Nació (él/ella) en los Estados Unidos, o en otro país?
>
> ![](media/image1.wmf) UNITED STATES 01
>
> OTHER (SPECIFY) 02
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> DON'T KNOW d
>
> REFUSED r

CP, YP

MPR

M14. What language is spoken most often in your home?

> ¿Qué idioma se habla con la mayor frecuencia en su hogar?

English 01

![](media/image1.wmf) Spanish 02

![](media/image2.wmf) Other (SPECIFY) 03

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

DON'T KNOW d

REFUSED r

CP, YP

Created

M15. Does anyone living in your household, not counting (NAME) have a
disability or health condition?

¿Hay alguien que vive en su hogar, sin contar a (NAME) mismo(a), que
tiene alguna incapacidad o condición de salud?

YES 01

> NO 00 *Go to M17*
>
> DON'T KNOW d *Go to M17*
>
> REFUSED r *Go to M17*

CP, YP

Created

M16. Who would that be?

¿Quién sería esa persona?

PROBE: What is his or her relationship to (NAME)?

> PROBE: ¿Cuál es su relación o parentesco con (NAME)?
>
> *Code all that apply*
>
> MOTHER (BIOLOGICAL OR ADOPTIVE) 02
>
> FATHER (BIOLOGICAL OR ADOPTIVE) 03
>
> STEP-PARENT OF (NAME) 04
>
> FOSTER PARENT OF (NAME) 05
>
> UNMARRIED PARTNER OF PARENT 06
>
> GRANDPARENT 07
>
> BROTHER/SISTER OF (NAME) 08
>
> AUNT/UNCLE OF (NAME) 09
>
> (NAME'S) SPOUSE 10
>
> (NAME'S) CHILD 11
>
> FOSTER CHILD LIVING WITH FAMILY 12
>
> HOUSEMATE/ROOMMATE/FRIEND 13
>
> ROOMER/BOARDER 14
>
> OTHER RELATIVE OF (NAME)
>
> (SPECIFY IN QUESTION) 15
>
> OTHER NON-RELATIVE
>
> (SPECIFY IN QUESTION) 16
>
> DON\'T KNOW d
>
> REFUSED r

M17. CHECK AGE: Is NAME's age...

17 01 *Continue*

> \<17 02 *Go to Part O*

CP, YP

M18. Is (NAME) now married, widowed, divorced, has (NAME) never been
married or is (NAME) separated?

¿Es (NAME) actualmente: casado(a), viudo(a), divorciado(a), nunca ha
sido (NAME) casado(a), o es (NAME) separado(a)?

> MARRIED 01 *Go to M28*
>
> WIDOWED 02 *Go to Part O*
>
> DIVORCED 03 *Go to Part O*
>
> NEVER MARRIED 04 *Go to Part O*
>
> SEPARATED 05 *Go to Part O*
>
> DON'T KNOW d *Go to Part O*
>
> REFUSED r *Go to Part O*

YA, YX

NSAF

M19. Now I'd like to ask some background questions about (FILL "YOU" IF
RTYPE=02; "NAME" IF RTYPE=03). What is (FILL "YOUR" IF RTYPE=02;
"NAME'S" IF RTYPE=03) ethnic background? (FILL "ARE YOU" IF RTYPE=02;
"IS NAME" IF RTYPE=03):

> Ahora le quiero hacer unas preguntas acerca de (FILL "UD." IF
> RTYPE=02; "NAME" IF RTYPE=03). ¿Cuál es (FILL "su origen étnico" IF
> RTYPE=02; "el origen étnico de NAME" iF RTYPE=03)? ¿Es (FILL "UD." IF
> RTYPE=02; "NAME" IF RTYPE=03):
>
> Hispanic or Latino, or 01
>
> Not Hispanic or Latino 02
>
> Hispano(a) o Latino(a) o 01

Ni Hispano(a) ni Latino(a) 02

> DON'T KNOW d
>
> REFUSED r

YA,YX

MPR

M20. What is (FILL "NAME'S" IF RTYPE=03; "YOUR" IF RTYPE=02) race? (FILL
"IS NAME" IF RTYPE=03; "ARE YOU" IF RTYPE=02):

> ¿Cuál es (FILL "SU RAZA" IF RTYPE=02; "LA RAZA DE (NAME)" IF
> RTYPE=03)? ¿Es (FILL "UD." IF RTYPE=02; "NAME" IF RTYPE=03):

*Read list, code all that apply*

> Alaska Native or American Indian 01
>
> Asian 02
>
> Black or African American 03
>
> Native Hawaiian or Other Pacific Islander 04
>
> White 05

Nativo(a) de Alaska, o amerindio(a) indígena 01

> Asiático(a) 02
>
> Negro(a) o Africano(a)-Americano(a) 03
>
> Nativo(a) de Hawaii o de Islas del Pacífico 04
>
> Blanco(a) 05
>
> DON'T KNOW d
>
> REFUSED r

YA,YX

MPR

M21. (FILL "WERE YOU" IF RTYPE=02; "WAS NAME" IF RTYPE=03) born in the
United States or in another country?

> ¿Nació (FILL "UD." IF RTYPE=02; "NAME" IF RTYPE=03) en los Estados
> Unidos, o en otro país?
>
> ![](media/image1.wmf) UNITED STATES 01
>
> OTHER (SPECIFY) 02
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> DON'T KNOW d
>
> REFUSED r

YA,YX

MPR

M22. What language is spoken most often in (FILL "YOUR" IF RTYPE=02;
"NAME'S" IF RTYPE=03) home?

> ¿Qué idioma se habla con la mayor frecuencia en (FILL "SU HOGAR" IF
> RTYPE=02; « EL HOGAR DE (NAME)" IF RTYPE=03)?

English 01

![](media/image1.wmf) Spanish 02

![](media/image2.wmf) Other (SPECIFY) 03

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

DON'T KNOW d

REFUSED r

YA,YX

NSAF

M23. What is the highest year or grade (FILL "YOUR" IF RTYPE=02;
"NAME'S" IF RTYPE=03) mother finished in school?

¿Cuál es el grado o año más alto que (FILL "SU MADRE" IF RTYPE=02;

"LA MADRE DE NAME" IF RTYPE=03) terminó en la escuela?

*Read list if necessary, code one answer*

Less than high school diploma, with

> no GED 01

High school diploma or GED 02

> Some college/some postsecondary vocational
>
> courses 03
>
> 2-year or 3-year college degree (AA degree)
>
> or vocational school diploma 04

4-year college degree (BA, BS degree) 05

> Some graduate work/no graduate degree 06
>
> Graduate degree (MA, MBA, PH.D., JD, MD) 07
>
> Sin diploma de secundaria o de
>
> equivalencia 01

Diploma de secundaria o de equivalencia 02

> Algo de estudios universitarios/
>
> cursos vocacionales pos-secundarios 03

Título de asociada(o) universitario de 2 ó

> 3 años o diploma de escuela vocacional 04

Título de universidad de 4 años

--bachillerato 05

> Algo de estudios de graduados -- sin título 06
>
> Título de Graduada(o)--Maestría o Doctorado 07

NEVER ATTENDED SCHOOL 08

SPECIAL EDUCATION 09

DON'T KNOW d

REFUSED r

YA,YX

NSAF

M24. What is the highest year or grade (FILL "YOUR" IF RTYPE=02;
"NAME'S" IF RTYPE=03) father finished in school?

¿Cuál es el grado o año más alto de escuela que (FILL "SU PADRE" IF
RTYPE=02; "EL PADRE DE (NAME)" IF RTYPE=03) terminó en la escuela?

*Read list if necessary, code one answer*

Less than high school diploma, with

> no GED 01

High school diploma or GED 02

> Some college/some postsecondary vocational
>
> courses 03
>
> 2-year or 3-year college degree (AA degree)
>
> or vocational school diploma 04

4-year college degree (BA, BS degree) 05

> Some graduate work/no graduate degree 06
>
> Graduate degree (MA, MBA, PH.D., JD, MD) 07
>
> Sin diploma de secundaria o de
>
> equivalencia 01

Diploma de secundaria o de equivalencia 02

> Algo de estudios universitarios/
>
> cursos vocacionales pos-secundarios 03

Título de asociada(o) universitario de 2 ó

> 3 años o diploma de escuela vocacional 04

Título de universidad de 4 años

--bachillerato 05

> Algo de estudios de graduados -- sin título 06
>
> Título de Graduada(o)--Maestría o Doctorado 07

NEVER ATTENDED SCHOOL 08

SPECIAL EDUCATION 09

DON'T KNOW d

REFUSED r

YA,YX

Created

M25. Does anyone in (FILL "YOUR" IF RTYPE=02; "NAME'S" IF RTYPE=03)
family, not counting (FILL "YOU" IF RTYPE=02; "HIM/HER" IF RTYPE=03),
have a disability or health condition?

¿Hay alguien en (FILL "SU FAMILIA" IF RTYPE=02; "LA FAMILIA DE NAME" IF
RTYPE=03), sin contar a (FILL "UD." IF RTYPE=02; "éL/ella" IF RTYPE=03)
mismo(a), que tiene alguna incapacidad o condición de salud?

![](media/image3.wmf) YES 01

NO 00

DON'T KNOW d

REFUSED r

YA,YX

Created

M26. Who would that be?

¿Quién sería esa persona?

PROBE: What is (HIS/HER) relationship to (FILL "YOU" IF RTYPE=02; "NAME"
IF RTYPE=03)?

PROBE: ¿Cuál es su relación o parentesco con (FILL "UD." IF RTYPE=02;
"NAME" IF RTYPE=03)?

*Code all that apply*

> MOTHER (BIOLOGICAL OR ADOPTIVE) 02
>
> FATHER (BIOLOGICAL OR ADOPTIVE) 03
>
> STEP-PARENT OF (NAME) 04
>
> FOSTER PARENT OF (NAME) 05
>
> UNMARRIED PARTNER OF PARENT 06
>
> GRANDPARENT 07
>
> BROTHER/SISTER OF (NAME) 08
>
> AUNT/UNCLE OF (NAME) 09
>
> (NAME'S) SPOUSE 10
>
> (NAME'S) CHILD 11
>
> FOSTER CHILD LIVING WITH FAMILY 12
>
> HOUSEMATE/ROOMMATE/FRIEND 13
>
> ROOMER/BOARDER 14
>
> OTHER RELATIVE OF (NAME)
>
> (SPECIFY IN QUESTION) 15
>
> OTHER NON-RELATIVE
>
> (SPECIFY IN QUESTION) 16
>
> DON\'T KNOW d
>
> REFUSED r

YA,YX

M27. (FILL "ARE YOU" IF RTYPE=02; "IS (NAME)" IF RTYPE=03) now married,

widowed, divorced, (FILL "HAVE YOU" IF RTYPE=02; "HAS (NAME)" IF
RYTPE=03) never been married or (FILL "ARE YOU" IF RTYPE=02; "IS (NAME)"
IF RTYPE=03) separated?

¿Es (FILL "UD." IF RTYPE=02; "NAME" IF RTYPE=03) actualmente: casado(a),
viudo(a), divorciado(a), nunca ha sido (FILL "UD." IF RTYPE=02; "NAME"
IF RTYPE=03) casado(a) o es (FILL "UD." IF RTYPE=02; "NAME" IF RTYPE=03)
separado(a)?

MARRIED 01 *Continue*

WIDOWED 02 *Go to Part O*

DIVORCED 03 *Go to Part O*

NEVER MARRIED 04 *Go to Part O*

SEPARATED 05 *Go to Part O*

DON'T KNOW d *Go to Part O*

REFUSED r *Go to Part O*

YA,YX

NSAF

M28. These questions are about (FILL "YOUR" IF RTYPE=02; "NAME'S" IF
RTYPE=03) spouse. What is (FILL "YOUR" IF RTYPE=02; "NAME'S" IF
RTYPE=03) spouse's ethnic background? Is (HE/SHE):

> Estas preguntas son acerca (FILL "DE SU ESPOSO(A) IF RTYPE=02; "DEL
> ESPOSO / DE LA ESPOSA DE (NAME)" IF RTYPE=03) ¿Cuál es el origen
> étnico de (FILL "DE SU ESPOSO(A) IF RTYPE=02; " DEL ESPOSO /DE LA
> ESPOSA DE (NAME)" IF RTYPE=03)? ¿Es (él/ella):
>
> Hispanic or Latino, or 01
>
> Not Hispanic or Latino 02
>
> Hispano(a) o Latino(a) o 01

Ni Hispano(a) ni Latino(a) 02

> DON'T KNOW d

REFUSED r

YA,YX

MPR

M29. What is his or her race? Is (HE/SHE):

¿Cuál es su raza? ¿Es (él/ella):

*Read list, code all that apply*

> Alaska Native or American Indian 01
>
> Asian 02
>
> Black or African American 03
>
> Native Hawaiian or Other Pacific Islander 04
>
> White 05

Nativo(a) de Alaska, o amerindio(a) indígena01

> Asiático(a) 02
>
> Negro(a) o Africano(a)-Americano(a) 03
>
> Nativo(a) de Hawaii o de Islas del Pacífico 04
>
> Blanco(a) 05
>
> DON'T KNOW d
>
> REFUSED r

YA,YX

MPR

M30. Was (HE/SHE) born in the United States or in another country?

¿Nació (él/ella) en los Estados Unidos, o en otro país?

> ![](media/image1.wmf) UNITED STATES 01
>
> OTHER (SPECIFY) 02
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> DON'T KNOW d
>
> REFUSED r

YA,YX

NSAF

M31. What is the highest year or grade (HE/SHE) finished in school?

> ¿Cuál es el grado o año más alto que (él/ella) terminó en la escuela?

*Read list if necessary, code answer*

Less than high school diploma, with

> no GED 01

High school diploma or GED 02

> Some college/some postsecondary vocational
>
> courses 03
>
> 2-year or 3-year college degree (AA degree)
>
> or vocational school diploma 04

4-year college degree (BA, BS degree) 05

> Some graduate work/no graduate degree 06
>
> Graduate degree (MA, MBA, PH.D., JD, MD) 07
>
> Sin diploma de secundaria o de
>
> equivalencia 01

Diploma de secundaria o de equivalencia 02

> Algo de estudios universitarios/
>
> cursos vocacionales pos-secundarios 03

Título de asociada(o) universitario de 2 ó

> 3 años o diploma de escuela vocacional 04

Título de universidad de 4 años

--bachillerato 05

> Algo de estudios de graduados -- sin título 06
>
> Título de Graduada(o)--Maestría o Doctorado 07

NEVER ATTENDED SCHOOL 08

SPECIAL EDUCATION 09

DON'T KNOW d

REFUSED r