|
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
|
gender |
|
demoses05j |
String |
50
|
Recommended |
Specify other Gender Identity |
|
|
|
|
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
|
|
|
|
otherrace |
String |
100
|
Recommended |
specify other race |
|
The following questions are about you or the child's family.
|
q3a_race_other_desc |
|
ethnicity |
String |
30
|
Recommended |
Ethnicity of participant |
Hispanic or Latino; Not Hispanic or Latino; Unknown
|
|
q3b_ethnicity |
|
q4_living_arrange |
Integer |
|
Recommended |
Child's usual PRIMARY living arrangement |
1::6;-9;97
|
1= Parental Home (at least one parent); 2= Parental Homes (shared custody- 50/50); 3= Relative (other than parents); 4= With unrelated adult(s); 5= Shared apt/residence with parent's friends; 6= Shelter/stree/homeless/transient; -9= unknown; 97= Other (specify)
|
|
|
living_notes |
String |
255
|
Recommended |
Living arrangements (specify) |
|
|
q4_living_arrange_desc |
|
q5a_primary_caregiver |
Integer |
|
Recommended |
In the child's usual living arrangement, who is the PRIMARY caregiver? If equal caregivers, please indicate which one is completing this form |
1::12
|
1= Biological Mother; 2= Step-mother; 3= Adoptive Mother; 4= Foster Mother; 5= Grandmother; 6= Other Relative; 7= Other non-relative; 8= Biological Father; 9= Step-father; 10= Adoptive Father; 11= Grandfather; 12= Foster Father
|
|
|
q5a_relative_gender |
Integer |
|
Recommended |
Other relative primary caregiver gender |
1;2
|
1= Male; 2= Female
|
|
|
q5a_non_rel_gender |
Integer |
|
Recommended |
Other non-relative primary caregiver gender |
1;2
|
1= Male; 2= Female
|
|
|
cg1_age |
Integer |
|
Recommended |
Parent/Caregiver 1 Age, months |
0::1200
|
|
q5a_pc_age |
|
q5b_second_caregiver |
Integer |
|
Recommended |
In the child's usual living arrangement, please indicate whether there is a SECOND caregiver. |
0::12
|
0= No Second Caregiver; 1= Biological Mother; 2= Step-mother; 3= Adoptive Mother; 4= Foster Mother; 5= Grandmother; 6= Other Relative; 7= Other non-relative; 8= Biological Father; 9= Step-father; 10= Adoptive Father; 11= Grandfather; 12= Foster Father
|
|
|
q5b_relative_gender |
Integer |
|
Recommended |
Other relative secondary caregiver gender |
1;2
|
1= Male; 2= Female
|
|
|
q5b_non_rel_gender |
Integer |
|
Recommended |
Other non-relative secondary caregiver gender |
1;2
|
1= Male; 2= Female
|
|
|
cg2_age |
Integer |
|
Recommended |
Parent/Caregiver 2 Age, months |
0::1200
|
|
q5b_sc_age |
|
adults_household |
Integer |
|
Recommended |
Number adults in household |
|
|
q6_adult_home |
|
fdi_q20b |
Integer |
|
Recommended |
number of children living in the house |
|
|
q7_child_home |
|
q8a_pc_work |
Integer |
|
Recommended |
In the current household, PRIMARY caregiver's current (primary) employment status |
1::9;97
|
1= Employed full time (>=35 hrs at one or more jobs); 2= Employed part time (<35 hrs total); 3= Stay-At-Home Parent; 4= Unemployed looking for work; 5= Unemployed not looking for work; 6= Disabled; 7= Retired; 8= Student, full time; 9= Student, part time; 97 = Other (specify)
|
|
|
cg1_occupation |
String |
100
|
Recommended |
Caregiver/Parent 1's Occupation |
|
|
q8a_pc_work_oth_desc |
|
q8b_sc_work |
Integer |
|
Recommended |
In the current household, SECOND caregiver's current (primary) employment status: |
0::9;97;98
|
1= Employed full time (>=35 hrs at one or more jobs); 2= Employed part time (<35 hrs total); 3= Stay-At-Home Parent; 4= Unemployed looking for work; 5= Unemployed not looking for work; 6= Disabled; 7= Retired; 8= Student, full time; 9= Student, part time; 97 = Other (specify); 98= Not in household
|
|
|
cg2_occupation |
String |
100
|
Recommended |
Caregiver/Parent 2's Occupation |
|
|
q8b_pc_work_oth_desc |
|
q9a_pc_work_major |
Integer |
|
Recommended |
In the current household, PRIMARY caregiver's highest occupation: |
1::10;-9;97
|
1= Corporate executive, owner of large company, major professional ; 2= Mid-level executive, such as owner of medium-sized business; 3= Administrative professional, such as owner of small independent business; 4= Clerical or sales worker, technician, part owner of small business ; 5= Skilled manual employee ; 6= Semi-skilled employee, such as machine operator ; 7= Less skilled employee or laborer ; 8= Never worked in paid employment; 10= Licensed professional, such as a nurse, teacher, counselor, etc.; -9= Dont know; 97= Other (specify)
|
|
|
q9a_pc_work_major_other |
String |
50
|
Recommended |
Specify Primary Caregiver's highest occupation |
|
|
|
|
q9b_sc_work_major |
Integer |
|
Recommended |
In the current household, Secondary caregiver's highest occupation: |
1::10;-9;97; 98
|
1= Corporate executive, owner of large company, major professional ; 2= Mid-level executive, such as owner of medium-sized business; 3= Administrative professional, such as owner of small independent business; 4= Clerical or sales worker, technician, part owner of small business ; 5= Skilled manual employee ; 6= Semi-skilled employee, such as machine operator ; 7= Less skilled employee or laborer ; 8= Never worked in paid employment; 10= Licensed professional, such as a nurse, teacher, counselor, etc.; -9= Dont know; 97= Other (specify); 98= Not in Household
|
|
|
q9b_sc_work_major_other |
String |
50
|
Recommended |
Specify Secondary Caregiver's highest occupation |
|
|
|
|
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
|
q10a_pc_educ |
|
cg2_education |
String |
100
|
Recommended |
Caregiver/Parent 2'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
|
q10b_sc_educ |
|
q11_income |
Integer |
|
Recommended |
Annual Household Income (estimate for last year) |
1::7
|
1= Less than $23,850; 2= $23,851 - $50,000; 3= $50,001 - $100,000; 4= More than $100,000; 5= Welfare; 6= Disability; 7= Social Security
|
|
|
q12a_light_inc_halo |
Integer |
|
Recommended |
During the hour and a half before bedtime, what percentage of time is your child exposed to the following light sources: Ordinary Light Bulb or Halogen |
|
|
|
|
q12a_unknown_inc_halo |
String |
50
|
Recommended |
Unknown amount of time spent exposed to Ordinary or Halogen Light Bulb |
|
-9 = I don't know
|
|
|
q12b_light_cfl_led |
Integer |
|
Recommended |
During the hour and a half before bedtime, what percentage of time is your child exposed to the following light sources: Energy Saving LED lights |
|
|
|
|
q12b_unknown_cfl_led |
String |
50
|
Recommended |
Unknown amount of time spent exposed to Energy Saving LED Light Bulbs |
|
-9 = I don't know
|
|
|
q13_school_type |
Integer |
|
Recommended |
Type of educational activity/setting the child attends |
1::8;97
|
1= Regular public school; 2= Regular public school with some special classes; 3= Regular private/parochial school; 4= Regular private/parochial school with some special classes; 5= Special school for children with developmental disabilities; 6= Home school/Cyber Education; 7= Charter School; 8= School for children with emotional/behavioral disturbances; 97= Other (specify)
|
|
|
schspe_mta |
String |
250
|
Recommended |
Type of school other specify |
|
|
q13_school_oth_desc |
|
phne_sc_2 |
String |
40
|
Recommended |
What is your highest grade completed in school? |
|
|
q14_school_grade |
|
q15_school_gr_rpt |
Integer |
|
Recommended |
Number of grades repeated since kindergarten |
|
|
|
|
q16_school_changes |
Integer |
|
Recommended |
Number of school changes since kindergarten |
|
|
|
|
sped1 |
Integer |
|
Recommended |
Has child ever received services from a program called Special Education? |
0;1; 99; 77; 998
|
0=No; 1=Yes; 99=Don't know; 77=Refused; 998=n/a
|
q17_school_special_ed |
|
q17_school_se_iep |
Integer |
|
Recommended |
Special Education Service: IEP |
0;1
|
0= No; 1= Yes
|
|
|
q17_school_se_504 |
Integer |
|
Recommended |
Special Education Service: 504 |
0;1
|
0= No; 1= Yes
|
|
|
q17_school_se_accom |
Integer |
|
Recommended |
Special Education Service: Special Accommodations |
0;1
|
0= No; 1= Yes
|
|
|
q17_school_se_when |
Integer |
|
Recommended |
When did you receive special education services |
1::3;98
|
1= Current (within past 6 months); 2= Past (prior to 6 months ago); 3= Both; 98= N/A
|
|
|
comments_misc |
String |
4,000
|
Recommended |
Miscellaneous comments on study, interview, methodology relevant to this form data |
|
|
|
|
resp_source |
Integer |
|
Recommended |
Respondent Source |
1::6
|
1= subject; 2= parent; 3= clinician; 4= teacher; 5= trainer; 6= fidelity reviewer
|
source |