02/06/01 NCS2
ADULT DEMOGRAPHICS (DA)
*DA36.1. Since the age of 18, have you ever been homeless?
YES..............................................1
NO................................................5
DON’T KNOW ..........................8
REFUSED ................................ 9
GO TO *DA36.2
GO TO *DA36.2
GO TO *DA36.2
*DA36.1a. How long were you homeless altogether since the age of 18?
(IF NEC: Include times when you stayed in shelters for the homeless.)
_____________ DURATION NUMBER
CIRCLE UNIT OF TIME:
DAYS....................................................1
WEEKS.................................................2
MONTHS..............................................3
YEARS..................................................4
DON’T KNOW ...................................998
REFUSED ............................................999
*DA36.2. Since the age of 18, were you ever in a jail, prison, or correctional facility?
YES .................................................................. 1
NO.................................................................... 5
(IF VOL “POLITICAL PRISONER”) ........... 6
DON’T KNOW .............................................. 8
REFUSED ................................................... 9
GO TO *DA36.3
GO TO *DA36.3
GO TO *DA36.3
*DA36.2a. How long altogether were you in one of these facilities since the age of 18?
_____________ DURATION NUMBER
CIRCLE UNIT OF TIME:
DAYS......................................................1
WEEKS...................................................2
MONTHS................................................3
YEARS....................................................4
DON’T KNOW ......................................998
REFUSED ..............................................999
*DA36.2b. INTERVIEWER CHECKPOINT: (SEE *FN10)
*FN10 EQUALS ‘C’ – ‘JJ’ ....................................................................1
ALL OTHERS.........................................................................................2
GO TO *DA36.3a
1
*DA36.3. Have you ever received public assistance or welfare since turning age 18 – such as Aid to Families with
Dependent Children, General Assistance, or Temporary Assistance for Needy Families?
YES ....................................................... 1
NO......................................................... 5
DON’T KNOW ................................... 8
REFUSED ............................................ 9
GO TO *DA37
GO TO *DA37
GO TO *DA37
*DA36.3a. (IF *DA36.2b EQUALS ‘1’: You told me earlier that you received public assistance – such as
Aid to Families with Dependent Children, General Assistance, or Temporary Assistance for
Needy Families – in the past 12 months.) How many years in total did you receive public
assistance since you turned 18?
_____________ YEARS
DON’T KNOW ......................................998
REFUSED ..............................................999
*DA36.3a.1. INTERVIEWER CHECKPOINT: (SEE *DA36.2b)
*DA36.2b EQUALS ‘1’........................................................................1
ALL OTHERS .......................................................................................2
GO TO *DA37
*DA36.3c. How old were you the last time you received public assistance?
_____________ YEARS OLD
DON’T KNOW .............................. 998
REFUSED ...................................... 999
2
*DA37. (RB, PG 25). (Look at the top of page 25 in your booklet.) Think of this
ladder as representing where people stand in the United States.
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At the top of the ladder are the people who are the best off –
those who have the most money, the most education and the
most respected jobs. At the bottom are the people who are the
worst off – who have the least money, least education, and the
least respected jobs or no job. The higher up you are on the
ladder, the closer you are to the people at the very top; the
lower you are, the closer you are to the people at the very
bottom.
8
7
6
Please circle the number next to the rung where you think you
stand at this time in your life, relative to other people in the
(COUNTRY OF INTERVIEW)
5
4
What is the number you circled?
3
2
___________ NUMBER
1
DON’T KNOW .................... 998
REFUSED ............................ 999
*DA37a. (RB, PG 25). Still looking at the same ladder, put an “X” next to the number where your family
stood most of the time you were a child.
(IF VOL, “IT VARIED,” PROBE: Then put an “X” on the number for the highest rung your
family stood at any time during your childhood.)
What is the number you placed the “X” next to?
___________ NUMBER
DON’T KNOW ..............................998
REFUSED ......................................999
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*DA38. (RB, PG 25). (Look at the bottom of page 25 in your booklet.) Think of
this ladder as representing where people stand in their communities.
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People define community in different ways; please define it in
whatever way is most meaningful for you. At the top of the
ladder are the people who have the highest standing in their
community. At the bottom are the people who have the lowest
standing in their community.
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8
Please circle the number next to the rung where you think you
stand at this time in your life, relative to other people in your
community.
7
6
What is the number you circled?
5
_____________ NUMBER
4
3
DON’T KNOW .................... 998
REFUSED ............................ 999
2
1
*DA38a. (RB, PG 25). Still looking at the same ladder, put an “X” next to the number where your family
stood relative to other families in your community during most of your childhood.
(IF VOL, “IT VARIED,” PROBE: Then put an “X” on the number for the highest rung your
family stood at any time during your childhood.)
What is the number you placed the “X” next to?
___________ NUMBER
DON’T KNOW ..............................998
REFUSED ......................................999
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*DA39. Is your biological mother still living?
YES.....................................1
NO ......................................5
DON’T KNOW .................8
REFUSED .........................9
GO TO *DA40
GO TO *DA40
GO TO *DA40
*DA39a. How old was she when she died?
___________________AGE
DON’T KNOW ................ 998
REFUSED ......................... 999
*DA39b. How old were you when she died?
___________________AGE
DON’T KNOW ................ 998
REFUSED ......................... 999
*DA39c. Could you tell me the cause of her death?
INTERVIEWER: DO NOT READ LIST.
ILLNESS (SPECIFY) .....................1
ACCIDENT/ INJURY ...................2
HOMICIDE ....................................3
SUICIDE .........................................4
DON’T KNOW ..............................8
REFUSED ......................................9
GO TO *DA41
*DA40. How old was your mother when you were born?
__________ YEARS OLD
DON’T KNOW ..........................998
REFUSED ..................................999
*DA41. Is your biological father still living?
YES.....................................1
NO ......................................5
DON’T KNOW .................8
REFUSED .........................9
GO TO *DA42
GO TO *DA42
GO TO *DA42
*DA41a. How old was he when he died?
___________________AGE
DON’T KNOW .............998
REFUSED ......................999
5
*DA41b. How old were you when he died?
___________________AGE
DON’T KNOW .............998
REFUSED ......................999
*DA41c. Can you tell me the cause of his death?
INTERVIEWER: DO NOT READ LIST.
ILLNESS (SPECIFY) .....................1
ACCIDENT/ INJURY ...................2
HOMICIDE ....................................3
SUICIDE .........................................4
DON’T KNOW ..............................8
REFUSED ......................................9
GO TO NEXT SECTION
*DA42. How old was your father when you were born?
__________ YEARS OLD
DON’T KNOW ..........................998
REFUSED ..................................999
GO TO NEXT SECTION
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