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Appendix G: Parent Interview

 

A Feasibility Study of Head Start Recruitment and Enrollment

 

 

Faces Logo

 

 

Spring ‘00 Parent Interview

 

 

 

COVER SHEET

Respondent ID number: ______ ______ ______

 


Field Interviewer ID number:

 


______

 


______

 


______



Date of Interview

___ ___/ ___ ___/ ___ ___
  month day year

 

Time of interview start:

 

______ :

 

______

 
  hour minute  

 

Time of interview end:

 

______ :

 

______

 
  hour minute  

 

Interview location:
  CHILD’s home 02
  Other (Please specify) 03

PHONE ELIGIBILITY SCREEN (Level 1)

Hello, this is (INTERVIEWER NAME) and we are preparing to do a study to learn more about preschool education and child care services. The study is sponsored by the Federal Department of Health and Human Services in Washington, D.C. I’m not asking for any money or trying to sell you anything -- I’d only like to ask you a few brief questions.

  1. First, are you a member of this household and at least 18 years old?
   
  No 01 Ask for someone 18 years old and member of household    
  Yes 02          
               
  1. Including everyone who usually lives in your household, such as family, relatives, friends, or boarders, are there any children in the household between the ages of 3 and 5 years old?

  No 01 Terminate interview        
  Yes 02          
               
  1. a. Are you the parent or guardian who lives at this house and who is most responsible for CHILD’s care?

  No 01 Ask to speak to Primary Caregiver      
  Yes 02          
               
[DEFINITION OF WHO IS SPONSORING STUDY, IF RESPONDENT ASKS: The Administration on Children, Youth and Families is part of the Department of Health and Human Services. ACYF is the part of the federal government that administers programs for children and their families].

PHONE ELIGIBILITY SCREEN (Level 2)

  1. Including yourself, how many adults age 18 and older live in your household? ___ ___ number of adults
  1. Including your child that is 3-5 years old, how many children age 17 and younger live in your household? ___ ___ number of children
  1. In the past two years, did any member of your household receive, on a regular basis, public assistance or benefits from the welfare office such as TANF, SSI., emergency assistance money payments, vouchers, transportation assistance, subsidized child care, or job training?

  No

01  
  Yes

02 Go to 8
  1. Is your 3-5 year old child a foster child or does he/she have a disability that has been diagnosed by a professional?
  No

01  
  Yes 02 Go to 8

Head Start 1999 Income Guidelines
Size of Family Unit Income
1 $8,240
2 11,060
3 13,880
4 16,700
5 19,520
6 22,340
7 25,160
8 27,980
For family units with more than 8 members, add $2,820 for each additional member.

  1. It is important for this study that we include households in a wide variety of economic situations. For 1999, was the total income for everyone in this household, before taxes, below (Amount from Table 1) or above (Amount from Table 1).
  Below or at

01 Go to 8      
  Above

02 Terminate Interview  

PHONE ELIGIBILITY SCREEN (Level 3)

   
  1. Have you ever heard of the Head Start Program?
     
  No 01

Go to Page 5  
  Yes 02

   
         
          8a. How did you hear about the Head Start Program?

     
         
  DO NOT READ LIST. CIRCLE ONE RESPONSE.      
         
  Family/friend

01    
  Referral from another agency 02    
  Word of mouth 03    
  Head Start came to visit at our home 04    
  Previous children in Head Start

05    
  Flyer/mailing 06    
  Saw Head Start in community 07    
  Through older child’s school 08

   
  Other (please specify) __________________________ 09  
  1. Have your children ever been enrolled in the Head Start Program?
     
  No 01

   
  Yes 02 Terminate interview  
         
  1. Have you ever completed an application or filled-out any papers so your child could attend Head Start?
     
  No 01

   
  Yes 02

Terminate interview  

 

SCHEDULE INTERVIEW APPOINTMENT

We will be in your area from (                 ) and would like to interview you in person. We can come to your home or meet you at a public place such as a library or a McDonalds. The interview will take less than 45 minutes and you will be paid $25 to cover any costs you might incur such as for babysitting or transportation. Once we schedule an appointment, I will mail you a letter with information about the study, a consent form to sign, and an invoice to complete so we may pay you after the interview is finished.

           
May I have please have your address? _____________________________________________________________________

 
  (Street)        
  ________________________________________________________________________

 
  (Town/City)

(State)

(Zip Code)  
           
  And your name? __________________________________________________________  
           
           
I will be available from (state availability). What day and time will be most convenient for us to interview you?

 
Appointment day and time:_____________________________________________
 
 
Interview Location ____________________________________________________
 

 

         
Thank you very much. We really appreciate your help with this important study. I look forward to meeting you next week.

           

 

INTRODUCTION

Thank you for agreeing to talk with me. As I explained on the phone, the purpose of this study is to learn more about preschool education and child care options for families with preschool age children. We know that sometimes families with young children face many challenges. We want to learn about these from a parent’s point of view. Information from this study will be used to help develop better services for children and their families.

I will ask you questions and write down your answers. You may stop me at any time, and you may go back to earlier questions to change your answers. No one will ever know your answers because your name will never be attached. Your participation is completely voluntary. If you choose not to complete this interview, it will not affect you or your child in anyway. The things you do tell me are very important, so please be as accurate as possible. Occasionally, I may have to ask a question that does not apply to you. If that happens, just tell me and I will move on the next question. Our interview should take approximately 45 minutes. At the end of the interview, I will give you your money and some addresses as well as some phone numbers in case you would like more information about the study or this interview. Do you have any questions?

             
A1. What is the first name of your 3 to 5 year old child? ______________________________________________
             
A2. Are you the person most responsible for CHILD’s care?

     
    No

01      
    Yes 02      

A3. Who is most responsible for CHILD’s care?
     
             
    Name: ________________________________________________________________________  
   
Address: ______________________________________________________________________
 
   
Phone: ________________________________________________________________________
 
             

 

    TERMINATE INTERVIEW.
Reschedule time with correct respondent
     
               
 

A4. What is your relationship to CHILD?


     
    DO NOT READ LIST. CIRCLE ONE RESPONSE.      
               
    Mother .........................................Is that birth or adopted?

     
   
birth
01 SKIP TO A6  
   
adopted
02 SKIP TO A6  
    Father...........................................Is that birth or adopted?

     
   
birth
03 SKIP TO A6  
   
adopted
04 SKIP TO A6  
    Stepmother 05 SKIP TO A6  
    Stepfather 06 SKIP TO A6  
    Grandmother 07    
    Grandfather 08

   
    Great Grandmother 09    
    Great Grandfather 10    
    Sister/stepsister 11    
    Brother/stepbrother 12    
    Other Relative or In-law (Female) 13    
    Other Relative or In-law (Male) 14    
    Foster Parent (Female) 15    
    Foster Parent (Male) 16    
    Other Non-relative (Female) 17    
    Other Non-relative (Male) 18    
    Parent’s Partner (Female) 19    
    Parent’s Partner (Male) 20    
    Don’t Know/ Didn’t Respond 99    

A5. Are you CHILD’s legal guardian?

       
 
No
01        
  Yes 02        
             
A6. Is CHILD a boy or a girl?

         
 
Boy
01        
  Girl 02        
             
A7. What is CHILD’S birth date?

____ ____/ _____ _____/ _____ _____  
    Month Day      Year  
             

B. ACTIVITIES WITH YOUR CHILD

Now I have some questions about you and CHILD at home.

B1. How many times have you or someone in your family read to CHILD in the past week? Would you say...

 
             
  READ LIST. CIRCLE ONE RESPONSE.          
             
  Not at all 01   SKIP TO B2    
  Once or twice 02        
  Three or more times 03        
  Every day 04        
 

 

 

         
B1a. Who read to CHILD in the past week?

 
             
  DO NOT READ LIST. CIRCLE ALL THAT APPLY.          
             
  Mother/Mother-figure 01        
  Father/Father-figure 02        
  Other household member 03        
  Non-household member 04        
             
B3. In the past week, have you or someone in your family done the following things with CHILD? (READ LIST BELOW)

B4. IF YES: How many times have you done this in the past week? Would you say one or two times, or three or more?

             

B5. AFTER COMPLETING ALL OF B3 AND B4(a-k), ASK THE FOLLOWING FOR EACH ACTIVITY CODED "YES" IN B3: Who (Read Item)?
B3.


In the past week, have you or someone in your family ...

B4 B5
How many times? Who (READ ITEM)?

DO NOT READ CHOICES. CIRCLE ALL THAT APPLY.

1-2 3+ Mother/
Mother
Figure

Father/ Father figure

Other
Household
Member

Non-
Household
Member

  NO YES            
a. Told (him/her) a story? 01 02 1-2 3+ 01 02 03 04
b. Taught (him/her) letters, words, or numbers? 01 02 1-2 3+ 01 02 03 04
c. Taught (him/her)songs or music? 01 02 1-2 3+ 01 02 03 04
d. Worked on arts and crafts with (him/her)? 01 02 1-2 3+ 01 02 03 04
e. Played with toys or games indoors? 01 02 1-2 3+ 01 02 03 04
f. Played a game, sport, or exercised together? 01 02 1-2 3+ 01 02 03 04
g. Took (him/her) along while doing errands like going to the post office, the bank, or the store? 01 02 1-2 3+ 01 02 03 04
h. Involved (him/her) in household chores like cooking, cleaning, setting the table, or caring for pets? 01 02 1-2 3+ 01 02 03 04
i. Talked about what happened during (his/her) day? 01 02 1-2 3+ 01 02 03 04
j. Talked about TV programs or videos? 01 02 1-2 3+ 01 02 03 04
k. Played counting games like singing? songs with numbers or reading books with numbers 01 02 1-2 3+ 01 02 03 04

 

B6. In the past month, that is since (MONTH)(DAY), has anyone in your family done the following things with CHILD?

B7. AFTER COMPLETING ALL OF B6(a-j), ASK THE FOLLOWING FOR EACH ACTIVITY CODED "YES": Who has (READ ITEM) with CHILD?
B6.

In the past month, that is since (MONTH)(DAY), has anyone in your family done the following things with CHILD?

B7.

[ASK ONLY AFTER COMPLETING ALL OF B6]

Who has (READ ITEM) with CHILD?

[DO NOT READ CHOICES. CIRCLE ALL THAT APPLY. IF NOT MOTHER/ OR FATHER/, CLARIFY IF HOUSEHOLD
OR NON-HOUSEHOLD MEMBER]

Mother/
Mother
Figure

Father/ Father figure

Other
Household
Member

Non-
Household
Member

  NO YES        
a. Visited a library?

01 02 01 02 03 04
b. Gone to a movie?

01 02 01 02 03 04
c. Gone to a play, concert, or other live show?

01 02 01 02 03 04
d. Gone to a mall?

01 02 01 02 03 04
e. Visited an art gallery, museum, or historical site?

01 02 01 02 03 04
f. Visited a playground, park, or gone on a picnic?

01 02 01 02 03 04
g. Visited a zoo or aquarium?

01 02 01 02 03 04
h. Talked with CHILD about (his/her) family history or ethnic heritage?

01 02 01 02 03 04
i. Attended an event sponsored by a community, ethnic, or religious group?

01 02 01 02 03 04
j. Attended an athletic or sporting event in which CHILD was not a player?

01 02 01 02 03 04

 

C. DISABILITIES

C1. Does CHILD have any special needs or disabilities--for example, physical, emotional, language, hearing, learning difficulty, or other special needs?

  No 01 SKIP TO D1
  Yes 02  
  Don't Know 99 SKIP TO D1

 

C2. How would you describe CHILD’s special need or needs? PROBE: Any others?

DO NOT READ LIST. CIRCLE ALL THAT APPLY.

  A specific learning disability 01
  Mental retardation 02
  A speech impairment 03
  A language impairment 04
  An emotional/behavioral disorder 05
  Deafness 06
  Another hearing impairment 07
  Blindness 08

  Another visual impairment 09
  An orthopedic impairment 10
  Another health impairment lasting six months or more 11
  Autism 12
  Traumatic brain injury 13
  Non-categorical/Developmental delay 14
  Other (Please specify) 15
  Don't Know 99

C3. Does CHILD receive services for (his/her) disability?

  No 01
  Yes 02


D. YOUR CHILD’S BEHAVIOR

D1. In general, thinking about CHILD now or over the past month, tell me how well the following statements describe CHILD’S usual behavior: For each one, tell me if it is very true or often true, sometimes or somewhat true, or not true.

READ LIST. CIRCLE ONE RESPONSE FOR EACH.
  Very True or
Often True
Somewhat or
Sometimes True
Not True
a. Makes friends easily? 01 02 03
b. Enjoys learning? 01 02 03
c. Has temper tantrums or hot temper? 01 02 03
d. Can't concentrate, can't pay attention for long? 01 02 03
e. Is very restless, and fidgets a lot? 01 02 03
f. Likes to try new things? 01 02 03
g. Shows imagination in work and play? 01 02 03
h. Is unhappy, sad, or depressed? 01 02 03
i. Comforts or helps others? 01 02 03
j. Hits and fights with others? 01 02 03
k. Worries about things for a long time? 01 02 03
l. Accepts friends' ideas in sharing and playing? 01 02 03
m. Doesn't get along with other kids? 01 02 03
n. Wants to hear that he or she is doing okay? 01 02 03
o. Feels worthless or inferior? 01 02 03
p. Makes changes from one activity to another with difficulty? 01 02 03
q. Is nervous, high-strung, or tense? 01 02 03
r. Acts too young for (his/her) age? 01 02 03
s. Is disobedient at home? 01 02 03

 

E. HOUSEHOLD RULES

Now I’d like to ask you a few questions about rules and setting limits in the home

E1. In your house, are there rules or routines about. . .

READ LIST. CIRCLE ONE RESPONSE FOR EACH.
  NO YES NA
a. What TV programs CHILD can watch? 01 02 03
b. How many hours CHILD can watch TV? 01 02 03
c. What kinds of food CHILD eats? 01 02 03
d. What time CHILD goes to bed? 01 02 03
e. What chores CHILD does? 01 02 03

 

E2. Sometimes children mind pretty well and sometimes they don’t. Have you spanked CHILD in the past week for not minding?

  No 01 SKIP TO E4
  Yes 02  

 

E3. About how many times in the past week?

___ ___ number of times

 

E4. Have you used time out or sent CHILD to (his/her) room in the past week for not minding?

  No 01 SKIP TO F1
  Yes 02  

 

E5. About how many times in the past week?

___ ___ number of times

 

F. YOU AND YOUR FAMILY

Now I’m going to ask you some questions about you and your family.

F1. What is your birth date?

  ____ ____/ _____ _____/ _____ _____
    Month Day      Year

F2. What is your current marital status?

  Single, never married 01
  Married

02
  Separated

03
  Divorced

04
  Widowed

05

F3. How old were you at the birth of your first child?

____ ____ years old

 

F5. Please tell me the first name of everyone in your household. PROBE: Is there anyone else in your household?
      IF OLDER THAN 15:
F5.
First Name

F6.
What is NAME’s relationship to CHILD?

(See codes below)

F7.
How old is NAME?

F8.
Is NAME employed?

01=No 02=Yes 90=NA 99=DK

a.(Respondent)      
b.      
c.      
d.      
e.      
f.      
g.      
h.      
i.      
j.      
k.      
l.      
m.      
RELATIONSHIP CODES:

01=Mother (biological)
02=Mother (adoptive)
03=Father (biological)
04=Father (adoptive)
05=Stepmother
06=Stepfather
07=Grandmother
08=Grandfather

 

09=Great grandmother
10=Great grandfather 11=Sister/Stepsister
12=Brother/Stepbrother
13=Other relative or in-law (female)
14=Other relative or in-law (male)

 

15=Foster parent (female)
16=Foster parent (male)
17=Other non-relative (female)
18=Other non-relative (male)
19=Parent’s partner (female)
20=Parent’s partner (male)
99=Don’t know/Didn’t Respond

 

INTERVIEWER:

IF MOTHER IS RESPONDENT

SKIP TO F16

 

IF MOTHER IS NOT RESPONDENT AND

 

 

 

NOT IN HOUSEHOLD

GO TO F9

 

 

IN HOUSEHOLD

SKIP TO F14

 

F9. Does CHILD’s mother live within an hour’s ride of CHILD?

  No 01  
  Yes 02  
  Mother is deceased 03 Ask F12 and F13, then Skip to F16
  Don't Know 99  

 

F10. Does she contribute to the financial support of the child?

  No 01  
  Yes 02  
  Don't Know 99  


F11. How often does CHILD see (his/her) mother? Does (he/she) see her ...

 

READ LIST. CIRCLE ONE RESPONSE.

  Rarely or never 01
  Several times a year 02
  Several times a month 03
  Several times a week 04
  Every day 05
  Don’t know 99

 

REMINDER -- IF MOTHER IS DECEASED, ASK F12-F15 THEN SKIP TO F16

F12. Is there anyone else who is like a mother to CHILD?

  No 01 SKIP TO F14
  Yes 02  

 

F13. Who is this person?

DO NOT READ LIST. CIRCLE ONE RESPONSE.


  The respondent, 01
  The respondent’s (spouse/partner) who lives in the household, 02
  The respondent’s (spouse/partner) who doesn’t live in the household, 03
  A relative of the child who lives in the household, 04
  A relative of the child who doesn’t live in the household 05
  A friend of the family who lives in the household, or 06
  A friend of the family who doesn’t live in the household 07

 

F14.

What is the highest grade or year of regular school that CHILD’s mother completed?

DO NOT READ LIST. CIRCLE ONE RESPONSE..


  No formal schooling 00
  Less than 8th grade 07
  8th grade 08
  9th grade 09
  10th grade 10
  11th grade 11
  12th grade 12
  High school diploma 13
  GED 14
  Some college 15
  Associate’s degree 16
  Bachelor’s degree 17
  Graduate degree 18
  Don’t know 99

 

F15.

Is she currently working, in school, in a training program, or is she doing something else?

DO NOT READ LIST. CIRCLE ALL THAT APPLY.

  Working

  01
  IF YES: What is her occupation? ________________________________________  
  Is that: Full-time 02  
             Part-time 03  
             Seasonal 04  
    Unemployed, not looking for work 05
    Looking for Work 05
    Laid off 07
    In School/training 08
    In Jail/prison 09
    In Military 10
    Something Else (Please specify)________________....

11
    Don’t Know

99

 

INTERVIEWER:

IF FATHER IS RESPONDENT

SKIP TO F23

 

IF FATHER IS NOT RESPONDENT AND

 

 

 

NOT IN HOUSEHOLD

GO TO F16

 

 

IN HOUSEHOLD

SKIP TO F21

F16. Does CHILD’s father live within an hour’s ride of CHILD?

  No 01  
  Yes 02  
  Father is deceased 03 Ask F19 and F20, then Skip to F23
  Don't Know 99  

 

F17. Does he contribute to the financial support of the child?

  No 01  
  Yes 02  
  Don't Know 99  

 

F18. How often does CHILD see (his/her) father? Does (he/she) see him ...

READ LIST. CIRCLE ONE RESPONSE.

  Rarely or never 01
  Several times a year 02
  Several times a month 03
  Several times a week 04
  Every day 05
  Don’t know 99

 

REMINDER -- IF FATHER IS DECEASED, ASK F19-F20, THEN SKIP TO F23

F19. Is there anyone else who is like a father to CHILD?

  No 01 SKIP TO F21
  Yes 02  

 

F20. Who is this person?

DO NOT READ LIST. CIRCLE ONE RESPONSE.


  The respondent, 01
  The respondent’s (spouse/par