|
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 |
|
|
|
|
interview_age |
Integer |
|
Required |
Age in months at the time of the interview/test/sampling/imaging. |
0 :: 1260
|
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
|
version_form |
String |
121
|
Required |
Form used/assessment name |
|
|
|
Query
|
t1serva |
Integer |
|
Recommended |
Speech or lanugage therapy, or communication services |
0;1
|
0=No; 1=Yes
|
sixmo_services2speech |
Query
|
t1serva1 |
Integer |
|
Recommended |
Speech or lanugage therapy, or communication services. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2speech_a |
Query
|
t1serva2 |
Integer |
|
Recommended |
Speech or lanugage therapy, or communication services. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2speech_b |
Query
|
t1serva3 |
Integer |
|
Recommended |
Speech or lanugage therapy, or communication services. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_service2s_speech_d |
Query
|
t1serva4 |
Integer |
|
Recommended |
Speech or lanugage therapy, or communication services. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1serva4m |
String |
15
|
Recommended |
Speech or lanugage therapy, or communication services. How many months on wait list? |
|
|
|
Query
|
sixmo_services2speech_c |
Integer |
|
Recommended |
Speech or lanugage therapy, or communication services. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servb |
Integer |
|
Recommended |
Audiology services for hearing problems |
0;1
|
0=No; 1=Yes
|
sixmo_services2audiol |
Query
|
t1servb1 |
Integer |
|
Recommended |
Audiology services for hearing problems. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2audiol_a |
Query
|
t1servb2 |
Integer |
|
Recommended |
Audiology services for hearing problems. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2audiol_b |
Query
|
t1servb3 |
Integer |
|
Recommended |
Audiology services for hearing problems. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2audiol_d |
Query
|
t1servb4 |
Integer |
|
Recommended |
Audiology services for hearing problems. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servb4m |
String |
15
|
Recommended |
Audiology services for hearing problems. How many months on wait list? |
|
|
|
Query
|
sixmo_services2audiol_c |
Integer |
|
Recommended |
Audiology services for hearing problems. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servk |
Integer |
|
Recommended |
Reader or interpreter, including sign language |
0;1
|
0=No; 1=Yes
|
sixmo_services2read |
Query
|
t1servk1 |
Integer |
|
Recommended |
Reader or interpreter, including sign language. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2read_a |
Query
|
t1servk2 |
Integer |
|
Recommended |
Reader or interpreter, including sign language. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2read_b |
Query
|
t1servk3 |
Integer |
|
Recommended |
Reader or interpreter, including sign language. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2read_d |
Query
|
t1servk4 |
Integer |
|
Recommended |
Reader or interpreter, including sign language. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servk4m |
String |
15
|
Recommended |
Reader or interpreter, including sign language. How many months on wait list? |
|
|
|
Query
|
sixmo_services2read_c |
Integer |
|
Recommended |
Reader or interpreter, including sign language. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servm |
Integer |
|
Recommended |
Assistive technology services/devices, such as help getting /using any kind of equipment that helps people with a disability, like a tape recorder or reading machine |
0;1
|
0=No; 1=Yes
|
sixmo_services2at |
Query
|
t1servmd |
String |
50
|
Recommended |
Specify assistive technology: |
|
|
sixmo_services2at_1 |
Query
|
t1servm1 |
Integer |
|
Recommended |
Assistive technology services/devices. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2at_a |
Query
|
t1servm2 |
Integer |
|
Recommended |
Assistive technology services/devices. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2at_b |
Query
|
t1servm3 |
Integer |
|
Recommended |
Assistive technology services/devices. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2_at_d |
Query
|
t1servm4 |
Integer |
|
Recommended |
Assistive technology services/devices. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servm4m |
String |
15
|
Recommended |
Assistive technology services/devices. How many months on wait list? |
|
|
|
Query
|
sixmo_services2at_c |
Integer |
|
Recommended |
Assistive technology services/devices. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servg |
Integer |
|
Recommended |
Orientation and mobility services |
0;1
|
0=No; 1=Yes
|
sixmo_services2orien |
Query
|
t1servg1 |
Integer |
|
Recommended |
Orientation and mobility services. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2orien_a |
Query
|
t1servg2 |
Integer |
|
Recommended |
Orientation and mobility services. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2orien_b |
Query
|
t1servg3 |
Integer |
|
Recommended |
Orientation and mobility services. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2orien_d |
Query
|
t1servg4 |
Integer |
|
Recommended |
Orientation and mobility services. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servg4m |
String |
15
|
Recommended |
Orientation and mobility services. How many months on wait list? |
|
|
|
Query
|
sixmo_services2orien_c |
Integer |
|
Recommended |
Orientation and mobility services. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servd |
Integer |
|
Recommended |
Physical therapy |
0;1
|
0=No; 1=Yes
|
sixmo_services2pt |
Query
|
t1servd1 |
Integer |
|
Recommended |
Physical therapy. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2pt_a |
Query
|
t1servd2 |
Integer |
|
Recommended |
Physical therapy. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2pt_b |
Query
|
t1servd3 |
Integer |
|
Recommended |
Physical therapy. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2pt_d |
Query
|
t1servd4 |
Integer |
|
Recommended |
Physical therapy. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servd4m |
String |
15
|
Recommended |
Physical therapy. How many months on wait list? |
|
|
|
Query
|
sixmo_services2pt_c |
Integer |
|
Recommended |
Physical therapy. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servn |
Integer |
|
Recommended |
Transportation because of his/her special needs |
0;1
|
0=No; 1=Yes
|
sixmo_services2transp |
Query
|
t1servn1 |
Integer |
|
Recommended |
Transportation. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2transp_a |
Query
|
t1servn2 |
Integer |
|
Recommended |
Transportation. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2transp_b |
Query
|
t1servn3 |
Integer |
|
Recommended |
Transportation. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2transp_d |
Query
|
t1servn4 |
Integer |
|
Recommended |
Transportation. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servn4m |
String |
15
|
Recommended |
Transportation. How many months on wait list? |
|
|
|
Query
|
sixmo_services2trasnp_c |
Integer |
|
Recommended |
Transportation. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servl |
Integer |
|
Recommended |
Nursing care |
0;1
|
0=No; 1=Yes
|
sixmo_services2nc |
Query
|
t1servl1 |
Integer |
|
Recommended |
Nursing care. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2nc_a |
Query
|
t1servl2 |
Integer |
|
Recommended |
Nursing care. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2nc_b |
Query
|
t1servl3 |
Integer |
|
Recommended |
Nursing care. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2nc_d |
Query
|
t1servl4 |
Integer |
|
Recommended |
Nursing care. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servl4m |
String |
15
|
Recommended |
Nursing care. How many months on wait list? |
|
|
|
Query
|
sixmo_services2nc_c |
Integer |
|
Recommended |
Nursing care. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servi |
Integer |
|
Recommended |
Personal assistant or an in-the-home aide |
0;1
|
0=No; 1=Yes
|
sixmo_services2pa |
Query
|
t1servi1 |
Integer |
|
Recommended |
Personal assistant or an in-the-home aide. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2pa_a |
Query
|
t1servi2 |
Integer |
|
Recommended |
Personal assistant or an in-the-home aide. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2pa_b |
Query
|
t1servi3 |
Integer |
|
Recommended |
Personal assistant or an in-the-home aide. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2pa_d |
Query
|
t1servi4 |
Integer |
|
Recommended |
Personal assistant or an in-the-home aide. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servi4m |
String |
15
|
Recommended |
Personal assistant or an in-the-home aide. How many months on wait list? |
|
|
|
Query
|
sixmo_services2pa_c |
Integer |
|
Recommended |
Personal assistant or an in-the-home aide. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servo |
Integer |
|
Recommended |
Respite care |
0;1
|
0=No; 1=Yes
|
sixmo_services2rc |
Query
|
t1servo1 |
Integer |
|
Recommended |
Respite care. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2rc_a |
Query
|
t1servo2 |
Integer |
|
Recommended |
Respite care. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2rc_b |
Query
|
t1servo3 |
Integer |
|
Recommended |
Respite care. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2rc_d |
Query
|
t1servo4 |
Integer |
|
Recommended |
Respite care. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servo4m |
String |
15
|
Recommended |
Respite care. How many months on wait list? |
|
|
|
Query
|
sixmo_services2rc_c |
Integer |
|
Recommended |
Respite care. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1serve |
Integer |
|
Recommended |
Social work services |
0;1
|
0=No; 1=Yes
|
sixmo_services2sw |
Query
|
t1serve1 |
Integer |
|
Recommended |
Social work services. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2sw_a |
Query
|
t1serve2 |
Integer |
|
Recommended |
Social work services. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2sw_b |
Query
|
t1serve3 |
Integer |
|
Recommended |
Social work services. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2sw_d |
Query
|
t1serve4 |
Integer |
|
Recommended |
Social work services. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1serve4m |
String |
15
|
Recommended |
Social work services. How many months on wait list? |
|
|
|
Query
|
sixmo_services2sw_c |
Integer |
|
Recommended |
Social work services. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servc |
Integer |
|
Recommended |
Psychological or mental health services or counseling |
0;1
|
0=No; 1=Yes
|
sixmo_services2psyc |
Query
|
t1servc1 |
Integer |
|
Recommended |
Psychological or mental health services or counseling. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2psyc_a |
Query
|
t1servc2 |
Integer |
|
Recommended |
Psychological or mental health services or counseling. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2psyc_b |
Query
|
t1servc3 |
Integer |
|
Recommended |
Psychological or mental health services or counseling. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2psyc_d |
Query
|
t1servc4 |
Integer |
|
Recommended |
Psychological or mental health services or counseling. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servc4m |
String |
15
|
Recommended |
Psychological or mental health services or counseling. How many months on wait list? |
|
|
|
Query
|
sixmo_services2psyc_c |
Integer |
|
Recommended |
Psychological or mental health services or counseling. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servh |
Integer |
|
Recommended |
Medical services for diagnosis or evaluation related to his/her special needs |
0;1
|
0=No; 1=Yes
|
sixmo_services2med |
Query
|
t1servh1 |
Integer |
|
Recommended |
Medical services. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2med_a |
Query
|
t1servh2 |
Integer |
|
Recommended |
Medical services. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2med_b |
Query
|
t1servh3 |
Integer |
|
Recommended |
Medical services. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2med_d |
Query
|
t1servh4 |
Integer |
|
Recommended |
Medical services. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servh4m |
String |
15
|
Recommended |
Medical services. How many months on wait list? |
|
|
|
Query
|
sixmo_services2med_c |
Integer |
|
Recommended |
Medical services. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servf |
Integer |
|
Recommended |
Training in independent living skills or occupational therapy |
0;1
|
0=No; 1=Yes
|
sixmo_services2ind |
Query
|
t1servfd |
String |
50
|
Recommended |
Specify training/ occupational therapy: |
|
|
sixmo_services2ind_1 |
Query
|
t1servf1 |
Integer |
|
Recommended |
Training/ occupational therapy. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2ind_a |
Query
|
t1servf2 |
Integer |
|
Recommended |
Training/ occupational therapy. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2ind_b |
Query
|
t1servf3 |
Integer |
|
Recommended |
Training/ occupational therapy. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2ind_d |
Query
|
t1servf4 |
Integer |
|
Recommended |
Training/ occupational therapy. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servf4m |
String |
15
|
Recommended |
Training/ occupational therapy. How many months on wait list? |
|
|
|
Query
|
sixmo_services2ind_c |
Integer |
|
Recommended |
Training/ occupational therapy. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servr |
Integer |
|
Recommended |
Housing assistance or services such as a supervised group home |
0;1
|
0=No; 1=Yes
|
sixmo_services2hous |
Query
|
t1servrd |
String |
50
|
Recommended |
Specify housing service: |
|
|
sixmo_services2hous_1 |
Query
|
t1servr1 |
Integer |
|
Recommended |
Housing service. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2hous_a |
Query
|
t1servr2 |
Integer |
|
Recommended |
Housing service. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2hous_b |
Query
|
t1servr3 |
Integer |
|
Recommended |
Housing service. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2hous_d |
Query
|
t1servr4 |
Integer |
|
Recommended |
Housing service. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servr4m |
String |
15
|
Recommended |
Housing service. How many months on wait list? |
|
|
|
Query
|
sixmo_services2hous_c |
Integer |
|
Recommended |
Housing service. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servp |
Integer |
|
Recommended |
Vocational services like job training, basic work skills training, career counseling, job shadowing, internships, help in finding a job |
0;1
|
0=No; 1=Yes
|
sixmo_services2voc |
Query
|
t1servpd |
String |
50
|
Recommended |
Specify job services: |
|
|
sixmo_services2voc_1 |
Query
|
t1servp1 |
Integer |
|
Recommended |
Job services. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2voc_a |
Query
|
t1servp2 |
Integer |
|
Recommended |
Job services. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2voc_b |
Query
|
t1servp3 |
Integer |
|
Recommended |
Job services. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2voc_d |
Query
|
t1servp4 |
Integer |
|
Recommended |
Job services. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servp4m |
String |
15
|
Recommended |
Job services. How many months on wait list? |
|
|
|
Query
|
sixmo_services2voc_c |
Integer |
|
Recommended |
Job services. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
t1servq |
Integer |
|
Recommended |
Other services because of his or her special needs |
0;1
|
0=No; 1=Yes
|
sixmo_services2other |
|
t1servqd |
String |
50
|
Recommended |
Specify other services: |
|
|
sixmo_services2other_a |
Query
|
t1servq1 |
Integer |
|
Recommended |
Other services. Do you pay for |
1::3
|
1=all of service; 2=some; 3=none
|
sixmo_services2other_b |
Query
|
t1servq2 |
Integer |
|
Recommended |
Other services. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
sixmo_services2other_c |
Query
|
t1servq3 |
Integer |
|
Recommended |
Other services. Currently needed? |
0;1
|
0=No; 1=Yes
|
sixmo_services2other_e |
Query
|
t1servq4 |
Integer |
|
Recommended |
Other services. On the wait list? |
0;1
|
0=No; 1=Yes
|
|
|
t1servq4m |
String |
15
|
Recommended |
Other services. How many months on wait list? |
|
|
|
Query
|
sixmo_services2other_d |
Integer |
|
Recommended |
Other services. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services1 |
Integer |
|
Recommended |
Is your son/daughter currently receiving SSI (supplemental security income)? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2 |
Integer |
|
Recommended |
SSI. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services3 |
Integer |
|
Recommended |
SSI. Why not receiving? |
1::3
|
1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
|
|
Query
|
sixmo_services3_other |
String |
50
|
Recommended |
SSI. Please specify: |
|
|
|
Query
|
sixmo_services4 |
Integer |
|
Recommended |
Is your son or daughter currently receiving SSDI? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services5 |
Integer |
|
Recommended |
SSDI. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services6 |
Integer |
|
Recommended |
SSDI. Why not receiving? |
1::3
|
1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
|
|
Query
|
sixmo_services6_other |
String |
50
|
Recommended |
SSDI. Please specify: |
|
|
|
Query
|
sixmo_services7 |
Integer |
|
Recommended |
Is your son/daughter currently receiving Vocational Rehabilitative (VR) Services? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services8 |
Integer |
|
Recommended |
VR. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services9 |
Integer |
|
Recommended |
VR. Why not receiving? |
1::3
|
1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
|
|
Query
|
sixmo_services9_other |
String |
50
|
Recommended |
VR. Please specify: |
|
|
|
Query
|
sixmo_services10 |
Integer |
|
Recommended |
Is your son/daughter currently receiving Medicaid Waiver Services? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services11 |
Integer |
|
Recommended |
Medicaid Waiver Services. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services12 |
Integer |
|
Recommended |
Medicaid Waiver Services. Why not receiving? |
1::3
|
1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
|
|
Query
|
sixmo_services12_other |
String |
50
|
Recommended |
Medicaid Waiver Services. Please specify: |
|
|
|
Query
|
sixmo_services13 |
Integer |
|
Recommended |
Is your son/daughter currently receiving conservatorship (including conservatorship, power of attorney, health care surrogate)? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services14 |
Integer |
|
Recommended |
Conservatorship. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services15 |
Integer |
|
Recommended |
Conservatorship. Why not receiving? |
1::3
|
1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
|
|
Query
|
sixmo_services15_other |
String |
50
|
Recommended |
Conservatorship. Please specify: |
|
|
|
Query
|
sixmo_services16 |
Integer |
|
Recommended |
Is your son/daughter currently receiving Special Needs Trust? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services17 |
Integer |
|
Recommended |
Special Needs Trust. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services18 |
Integer |
|
Recommended |
Special Needs Trust. Why not receiving? |
1::3
|
1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
|
|
Query
|
sixmo_services18_other |
String |
50
|
Recommended |
Special Needs Trust. Please specify: |
|
|
|
Query
|
sixmo_services19 |
Integer |
|
Recommended |
Is your son/daughter currently receiving Section 8 Housing? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services20 |
Integer |
|
Recommended |
Section 8 Housing. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services21 |
Integer |
|
Recommended |
Section 8 Housing. Why not receiving? |
1::3
|
1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
|
|
|
sixmo_services21_other |
String |
50
|
Recommended |
Section 8 Housing. Please specify: |
|
|
|
Query
|
sixmo_services22 |
Integer |
|
Recommended |
Is your son currently receiving Ticket to Work? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services23 |
Integer |
|
Recommended |
Ticket to Work. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services24 |
Integer |
|
Recommended |
Ticket to Work. Why not receiving? |
1::3
|
1=Started to apply; 2=Applied and is waiting for approval; 3=Has not applied
|
|
|
sixmo_services24_other |
String |
50
|
Recommended |
Ticket to Work. Please specify: |
|
|
|
Query
|
sixmo_services2fin |
Integer |
|
Recommended |
Is your son or daughter currently receiving financial aid? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2fin_a |
Integer |
|
Recommended |
Financial aid. Do you pay for...? |
1::3
|
1=all of service; 2=some; 3=none
|
|
Query
|
sixmo_services2fin_b |
Integer |
|
Recommended |
Financial aid. How satisfied with service are you? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
|
Query
|
sixmo_services2fin_c |
Integer |
|
Recommended |
Financial aid. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2fin_d |
Integer |
|
Recommended |
Financial aid. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2educ |
Integer |
|
Recommended |
Is your son or daughter currently receiving education assistance or tutoring? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2educ_1 |
String |
50
|
Recommended |
Education assistance or tutoring. Please specify type of service: |
|
|
|
Query
|
sixmo_services2educ_a |
Integer |
|
Recommended |
Education assistance or tutoring. Do you pay for...? |
1::3
|
1=all of service; 2=some; 3=none
|
|
Query
|
sixmo_services2educ_b |
Integer |
|
Recommended |
Education assistance or tutoring. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
|
Query
|
sixmo_services2educ_c |
Integer |
|
Recommended |
Education assistance or tutoring. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2educ_d |
Integer |
|
Recommended |
Education assistance or tutoring. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2child |
Integer |
|
Recommended |
Is your son or daughter currently receiving childcare services or parenting skills training? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2child_a |
Integer |
|
Recommended |
Childcare services or parenting skills training. Do you pay for...? |
1::3
|
1=all of service; 2=some; 3=none
|
|
Query
|
sixmo_services2child_b |
Integer |
|
Recommended |
Childcare services or parenting skills training. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
|
Query
|
sixmo_services2child_c |
Integer |
|
Recommended |
Childcare services or parenting skills training. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2child_d |
Integer |
|
Recommended |
Childcare services or parenting skills training. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2adult |
Integer |
|
Recommended |
Is your son or daughter currently receiving adult day care? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2adult_a |
Integer |
|
Recommended |
Adult day care. Do you pay for...? |
1::3
|
1=all of service; 2=some; 3=none
|
|
Query
|
sixmo_services2adult_b |
Integer |
|
Recommended |
Adult day care. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
|
Query
|
sixmo_services2adult_c |
Integer |
|
Recommended |
Adult day care. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2adult_d |
Integer |
|
Recommended |
Adult day care. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2case |
Integer |
|
Recommended |
Is your son or daughter currently receiving services from a case manager or someone who coordinates the services he/she receives? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2case_a |
Integer |
|
Recommended |
Services from a case manager. Do you pay for...? |
1::3
|
1=all of service; 2=some; 3=none
|
|
Query
|
sixmo_services2case_b |
Integer |
|
Recommended |
Services from a case manager. How satisfied are you with service? |
1::3
|
1=not at all; 2=somewhat; 3=very
|
|
Query
|
sixmo_services2case_c |
Integer |
|
Recommended |
Services from a case manager. Received in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2case_d |
Integer |
|
Recommended |
Services from a case manager. Currently needed? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2waitlist |
Integer |
|
Recommended |
Is your son or daughter currently on a wait list for any services? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_b |
String |
50
|
Recommended |
On a wait list. Please specify type of service: |
|
|
|
Query
|
sixmo_famrole |
Integer |
|
Recommended |
Did you begin receiving any new services in 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole1 |
Integer |
|
Recommended |
Have you attempted to get services for your son or daughter since January 1, 2016? |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole2 |
Integer |
|
Recommended |
Overall, how much effort did you or your family expend to get new services for your son or daughter? |
1::4; -9
|
4= A great deal of effort; 3= Some effort; 2=A little effort; 1=Almost no effort; -9=No new services
|
|
Query
|
sixmo_famrole_4 |
String |
50
|
Recommended |
Please specify type of problem: |
|
|
|
Query
|
sixmo_famrole5 |
Integer |
|
Recommended |
Who coordinates the services your son or daughter receives? |
1::6
|
1= social worker or other professional; 2= you or another family member; 3= teacher; 4= no one; 5= someone else; 6= N/A= doesn't receive any services
|
|
Query
|
sixmo_famrole6 |
String |
50
|
Recommended |
Please specify coordination: |
|
|
|
Query
|
notes |
String |
200
|
Recommended |
Any additional notes |
|
|
sixmo_famrole5_comments |
Query
|
sixmo_services2wait_a___1 |
Integer |
|
Recommended |
On a wait list. Please specify services: Audiology |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___2 |
Integer |
|
Recommended |
On a wait list. Please specify services: Speech or language therapy |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___3 |
Integer |
|
Recommended |
On a wait list. Please specify services: Reader or interpreter |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___4 |
Integer |
|
Recommended |
On a wait list. Please specify services: Assistive technology |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___5 |
Integer |
|
Recommended |
On a wait list. Please specify services: Orientation and mobility |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___6 |
Integer |
|
Recommended |
On a wait list. Please specify services: Social work |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___7 |
Integer |
|
Recommended |
On a wait list. Please specify services: Independent living skills training |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___8 |
Integer |
|
Recommended |
On a wait list. Please specify services: Educational Assistance |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___9 |
Integer |
|
Recommended |
On a wait list. Please specify services: Personal assistant |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___10 |
Integer |
|
Recommended |
On a wait list. Please specify services: Case manager |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___11 |
Integer |
|
Recommended |
On a wait list. Please specify services: Medical services related to special needs |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___12 |
Integer |
|
Recommended |
On a wait list. Please specify services: Transportation |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___13 |
Integer |
|
Recommended |
On a wait list. Please specify services: Housing services |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___14 |
Integer |
|
Recommended |
On a wait list. Please specify services: Vocational services |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___15 |
Integer |
|
Recommended |
On a wait list. Please specify services: Nursing care |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___16 |
Integer |
|
Recommended |
On a wait list. Please specify services: Parenting skills training |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___17 |
Integer |
|
Recommended |
On a wait list. Please specify services: Physical therapy |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___18 |
Integer |
|
Recommended |
On a wait list. Please specify services: Mental health services |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___19 |
Integer |
|
Recommended |
On a wait list. Please specify services: Occupational therapy |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___20 |
Integer |
|
Recommended |
On a wait list. Please specify services: Respite care |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___21 |
Integer |
|
Recommended |
On a wait list. Please specify services: Childcare services |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___22 |
Integer |
|
Recommended |
On a wait list. Please specify services: Adult day care |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___23 |
Integer |
|
Recommended |
On a wait list. Please specify services: Financial aid |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_services2wait_a___24 |
Integer |
|
Recommended |
On a wait list. Please specify services: Other |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole3___1 |
Integer |
|
Recommended |
Have any of the following been a problem in getting or dealing with services? cost of services |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole3___2 |
Integer |
|
Recommended |
Have any of the following been a problem in getting or dealing with services? where services are provided |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole3___3 |
Integer |
|
Recommended |
Have any of the following been a problem in getting or dealing with services? services not being available |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole3___4 |
Integer |
|
Recommended |
Have any of the following been a problem in getting or dealing with services? physical accessibility of services |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole3___5 |
Integer |
|
Recommended |
Have any of the following been a problem in getting or dealing with services? poor service quality |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole3___6 |
Integer |
|
Recommended |
Have any of the following been a problem in getting or dealing with services? scheduling conflicts |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole3___7 |
Integer |
|
Recommended |
Have any of the following been a problem in getting or dealing with services? language problems |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole3___8 |
Integer |
|
Recommended |
Have any of the following been a problem in getting or dealing with services? lack of time for services |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole3___9 |
Integer |
|
Recommended |
Have any of the following been a problem in getting or dealing with services? Transportation |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole3___10 |
Integer |
|
Recommended |
Have any of the following been a problem in getting or dealing with services? son or daughter not being eligible for the service |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole3___11 |
Integer |
|
Recommended |
Have any of the following been a problem in getting or dealing with services? lack of information about services |
0;1
|
0=No; 1=Yes
|
|
Query
|
sixmo_famrole3___12 |
Integer |
|
Recommended |
Have any of the following been a problem in getting or dealing with services? anything else |
0;1
|
0=No; 1=Yes
|
|