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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL NBB

Family Demographic Questionnaire

0 Shared Subjects

N/A
Clinical Assessments
Demographics
11/25/2019
femdemq01
11/26/2019
View Change History
01
Definition
Submission Template
Query Element Name Data Type Size Required Description Value Range Notes Aliases
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::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 child_gender, gender
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
child_race
otherrace String 100 Recommended specify other race The following questions are about you or the child's family. child_race_other
ethnicity String 30 Recommended Ethnicity of participant
Hispanic or Latino; Not Hispanic or Latino; Unknown
child_ethnicity
health_insurance Integer Recommended What type of health insurance do you have? 0::3 0=Public Insurance (ex: Medicaid); 1=None/Self-Pay; 2=Private Insurance (Blue Cross Blue shield, Anthem, Cigna, etc); 3=Other child_insurance
participant_insurance_6f String 255 Recommended What type(s) of health insurance do you have? (Other, Specify) child_insurance_other
relationship Integer Recommended Relationship of respondent to individual 1::94;-999 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 cg_relation
cg_educ Integer Recommended What is the highest level of school/education completed by the child's caregiver? 1::9 1=less than high school degree without GED; 2=GED; 3=high school degree; 4=some college; 5=associate's degree; 6=bachelor's degree; 7=some graduate work, 8=graduate degree; 9=N/A cg_education
cg_lang Integer Recommended What is the caregiver's preferred language? 1::8 1=English, 2=Spanish, 3=Vietnamese; 4=Arabic; 5=Haitan Creole; 6=Chinese; 7=Cape Verdean Creole; 8=Other
cg_lang_other String 50 Recommended Description of caregiver's preferred language if other
cg_lang_spk_fri Integer Recommended What langauge do you (cargiver) speak with most of your friends? 1::7 1=[language] all the time; 2=[language] most of the time; 3=[language] and english equaly; 4=english most of the time; 5=english all the time; 6=don't know; 7=refused
cg_lang_spk_fam Integer Recommended What langauge do you (cargiver) speak with most of your family? 1::7 1=[language] all the time; 2=[language] most of the time; 3=[language] and english equaly; 4=english most of the time; 5=english all the time; 6=don't know; 7=refused
cg_lang_think Integer Recommended In what langauge do you (caregiver) think? 1::7 1=[language] all the time; 2=[language] most of the time; 3=[language] and english equaly; 4=english most of the time; 5=english all the time; 6=don't know; 7=refused
cg_race Integer Recommended Please select the option below that best describes your [the parent's/guiardian's] race 1::8 1=White; 2= Black or African American; 3=Asian; 4=American Indian/Alaska Native; 5=Native Hawaiian or Other Pacific Islander; 6= Unknown/not reported; 7=Mixed race; 8=Other
cg_race_other String 50 Recommended Description of parent's/guardian's race if other
cg_ethnicity Integer Recommended Ethnicity of parent/guardian 0; 1 0=Non-Hispanic; 1=Hispanic
cg_country String 50 Recommended In what country were you (caregiver) born?
cg_insurance Integer Recommended caregiver's health insurance status 1::4 1=Private; 2=Public; 3=None/Self-pay; 4=Other
cg_insurance_other String 50 Recommended Description of caregiver's insurance if other
cg_employ Integer Recommended Are you (caregiver) employed 0; 1 0= No; 1= Yes
cg_emply_hours Integer Recommended How many hours does caregiver work
cg1_occupation String 100 Recommended Caregiver/Parent 1's Occupation cg_occupation
child_home Integer Recommended Besides the child in the study, how many other childre of your own live at home with you?
child1_gender String 10 Recommended Other Child in Household 1 Gender Male;Female;Other
child2_gender String 10 Recommended Other Child in Household 2 Gender Male;Female;Other
child3_gender String 10 Recommended Other Child in Household 3 Gender Male;Female;Other
child4_gender String 10 Recommended Other Child in Household 4 Gender Male;Female;Other
child5_gender String 10 Recommended Other Child in Household 5 Gender Male;Female;Other
child6_gender String 10 Recommended Other Child in Household 6 Gender Male;Female;Other
child7_gender String 10 Recommended Other Child in Household 7 Gender Male;Female
child8_gender Integer Recommended gender of child 8 0; 1 1=Male; 0=Female
child9_gender Integer Recommended gender of child 9 0; 1 1=Male; 0=Female
child10_gender Integer Recommended gender of child 10 0; 1 1=Male; 0=Female
child1_age String 100 Recommended Other Child in Household 1 Age 0-4 years; 5-8 years; 9-12 years; 13-17 years; 18+ years
child2_age String 100 Recommended Other Child in Household 2 Age 0-4 years; 5-8 years; 9-12 years; 13-17 years; 18+ years
child3_age String 100 Recommended Other Child in Household 3 Age 0-4 years; 5-8 years; 9-12 years; 13-17 years; 18+ years
child4_age String 100 Recommended Other Child in Household 4 Age 0-4 years; 5-8 years; 9-12 years; 13-17 years; 18+ years
child5_age String 100 Recommended Other Child in Household 5 Age 0-4 years; 5-8 years; 9-12 years; 13-17 years; 18+ years
child6_age String 100 Recommended Other Child in Household 6 Age 0-4 years; 5-8 years; 9-12 years; 13-17 years; 18+ years
child7_age String 100 Recommended Other Child in Household 7 Age 0-4 years; 5-8 years; 9-12 years; 13-17 years; 18+ years
child8_age Integer Recommended age of child 8
child9_age Integer Recommended age of child 9
child10_age Integer Recommended age of child 10
child1_services Integer Recommended Has this child previously received behavioral health services (for example: in home therapy, seen a psychologist/psychiatrist, has an IEP in school) 0; 1 0= No; 1= Yes
child2_services Integer Recommended Has this child previously received behavioral health services (for example: in home therapy, seen a psychologist/psychiatrist, has an IEP in school) 0; 1 0= No; 1= Yes
child3_services Integer Recommended Has this child previously received behavioral health services (for example: in home therapy, seen a psychologist/psychiatrist, has an IEP in school) 0; 1 0= No; 1= Yes
child4_services Integer Recommended Has this child previously received behavioral health services (for example: in home therapy, seen a psychologist/psychiatrist, has an IEP in school) 0; 1 0= No; 1= Yes
child5_services Integer Recommended Has this child previously received behavioral health services (for example: in home therapy, seen a psychologist/psychiatrist, has an IEP in school) 0; 1 0= No; 1= Yes
child6_services Integer Recommended Has this child previously received behavioral health services (for example: in home therapy, seen a psychologist/psychiatrist, has an IEP in school) 0; 1 0= No; 1= Yes
child7_services Integer Recommended Has this child previously received behavioral health services (for example: in home therapy, seen a psychologist/psychiatrist, has an IEP in school) 0; 1 0= No; 1= Yes
child8_services Integer Recommended Has this child previously received behavioral health services (for example: in home therapy, seen a psychologist/psychiatrist, has an IEP in school) 0; 1 0= No; 1= Yes
child9_services Integer Recommended Has this child previously received behavioral health services (for example: in home therapy, seen a psychologist/psychiatrist, has an IEP in school) 0; 1 0= No; 1= Yes
child10_services Integer Recommended Has this child previously received behavioral health services (for example: in home therapy, seen a psychologist/psychiatrist, has an IEP in school) 0; 1 0= No; 1= Yes
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

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