This month we are asking some additional questions concerning the custodial arrangements and economic well-being of children in the United States.
ENTER (I) FOR IMPORTANCE OF RESPONDING
===__
I have listed that (Name of children on the roster born before 1/1/2018) (is/are all) under the age of 21 (and born before this year). (Does (CHILD)/Do ANY of these children) have a (father/mother/father or mother) who lives outside this house?
(2) No
===__
Which of these children have a (father/mother/father or mother) who lives outside this house?
LN NAME LN NAME
(person 1) (person 9)
(person 2) (person 10)
(person 3) (person 11)
(person 4) (person 12)
(person 5) (person 13)
(person 6) (person 14)
(person 7) (person 15)
(person 8) (person 16)
===__ ===__ ===__ ===__ ===__
===__ ===__ ===__ ===__ ===__
Does (CHILD) have a (father/mother) who lives outside this house?
(2) No
===__
There are many reasons why children may not live with both of their biological or adoptive parents. Why doesn't (CHILD) have a biological or adoptive (mother/father) living outside the house?
(2) Both parents live in the household
(3) Parents are Separated/Divorced
(4) Don't want contact with (CHILD)'s (mother/father)
(5) Don't know where (CHILD)'s (mother/father) is
(6) She/He lives elsewhere
(7) Other parent legally terminated their parental rights
(8) Other parent is no longer recognized as a parent by this household
(9) Child was adopted by a single parent
(10) Other
===_
Other/Specify
===_____________________________
DO NOT READ TO RESPONDENT
The verbatim response was (fill with verbatim response from S103b2). Should this response have been entered in one of these categories listed below?
Don't want contact with (CHILD)'s (mother/father)
Don't know where (CHILD)'s (mother/father) is
She/He lives elsewhere
Other parent is no longer recognized as a parent by this household
In jail
Lives in another country
Trying to establish paternity
(2) No
===_
Did (you/(CHILD)'s (mother/father)) ever have any type of child support agreement or ever attempt to have any type of child support agreement with (CHILD)'s (mother/father)?
(2) No
===_
(Are you/Which of the adults in this household is) LEGALLY responsible for (CHILD)?
LN NAME AGE LN NAME AGE
(person 1) (person 9)
(person 2) (person 10)
(person 3) (person 11)
(person 4) (person 12)
(person 5) (person 13)
(person 6) (person 14)
(person 7) (person 15)
(person 8) (person 16)
ENTER LINE NUMBER OF PARENT/GUARDIAN
OR (N) FOR NONE
===__
What is (name of person entered in S104)'s relationship to (CHILD)?
(2) Aunt or Uncle
(3) Sister or brother
(4) Foster parent
(5) Parent
(6) Other
===_
Please specify.
What is (name)'s relationship to (CHILD)?
(2) Aunt or Uncle
(3) Sister or Brother
(4) Foster Parent
(5) Parent
(6) Other
===_
Please specify.
Is (your/name of parent) (wife/husband) (CHILD's) natural biological
(mother/father)?
(2) No
===_
Did ((your/name of parent) (wife/husband) ever legally adopt (CHILD)?
(2) No
===_
I need to talk with (SUPPRESP). Is he/she at home now?
WHEN DONE, F10 FOR CALLBACKS.
ENTER LINE NUMBER FOR INTERVIEW
===_
READ IF THE SUPPLEMENT RESPONDENT IS DIFFERENT FROM THE HOUSEHOLD RESPONDENT
This month we are asking a series of questions about children who do not live with both of their parents.
===_
A LEGAL arrangement about financial support for a child could be called many things, for example, a court order, a court award, a divorce or separation agreement, or a legal agreement.
===_
Has there EVER been ANY kind of LEGAL ARRANGEMENT that says that (CHILD's) (mother/father) should provide ANY KIND of financial support for (him/her)?
(2) No
(3) Legal arrangement pending
(4) There is an arrangement, but respondent does not know if it is legal
===_
Would you call it a court order, a court award, or a legal agreement?
(2) Court award
(3) Legal agreement
===_
Has there EVER been any OTHER kind of agreement or understanding that says
that (CHILD's) (mother/father) should help support (him/her)?
(2) No
===_
Would you call it an agreement or an understanding?
(2) Understanding
===_
(blank/Payments that are made for the support of a child are called) (blank/child support./child support even if there is no legal arrangement.)
Did this (agreement/court award/court order/understanding) ever say that (CHILD's) (mother/father) should make child support payments?
(2) No
===_
(Which of your other children were/ Was (name)) EVER covered by the SAME (agreement/court award/court order/understanding)?
ENTER (0) FOR NO OR FOR NO MORE
LN NAME AGE LN NAME AGE
(person 1) (person 9)
(person 2) (person 10)
(person 3) (person 11)
(person 4) (person 12)
(person 5) (person 13)
(person 6) (person 14)
(person 7) (person 15)
(person 8) (person 16)
===__ ===__ ===__ ===__ ===__
===__ ===__ ===__ ===__ ===__
I am going to ask you questions about
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
===_
An (agreement/understanding) about child support can be made legal by going through a court, before a judge, or through an official legal process.
Was this (agreement/understanding) about child support payments for (child's
name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
EVER made legal?
(2) No
===_
In what year did you FIRST (have this understanding/have this agreement)?
And in what year was (CHILD/the children)'s (father/mother) supposed to begin making child support payments?
What month was that?
(1) January (5) May (9) September
(2) February (6) June (10) October
(3) March (7) July (11) November
(4) April (8) August (12) December
ENTER MONTH
===__
Some parents agree to the amount of child support before making the agreement legal.
Did you and (CHILD's/the children's) (father/mother) do this?
(2) No
===_
In what year was the (court order/court award/agreement) FIRST made LEGAL?
And in what year was (CHILD's/the children's) (father/mother) supposed to begin making child support payments?
What month was that?
(1) January (5) May (9) September
(2) February (6) June (10) October
(3) March (7) July (11) November
(4) April (8) August (12) December
ENTER MONTH
===__
Since the (court order/court award/understanding/agreement) was FIRST made legal, has there been a change in the amount of child support that (CHILD's/the children's) (father/mother) is LEGALLY REQUIRED to pay?
(2) No
(3) Yes, but don't know if it is legal
===_
Did the amount change because a child was too old to receive support?
(2) No
===_
In what year was (CHILD's/the children's) (father/mother) supposed to begin paying the new amount?
PROBE IF NEEDED: For the most recent legal change.
What month was that?
(1) January (5) May (9) September
(2) February (6) June (10) October
(3) March (7) July (11) November
(4) April (8) August (12) December
ENTER MONTH
===__
Have you and (CHILD's/the children's) (father/mother) ever AGREED to change the amount of child support that (he/she) is supposed to pay(?/ WITHOUT going through a judge or legal process?)
(2) No
===_
In what year was (CHILD's/the children's) (father/mother) supposed to begin paying the new amount?
PROBE IF NEEDED: The last time this happened?
What month was that?
(1) January (5) May (9) September
(2) February (6) June (10) October
(3) March (7) July (11) November
(4) April (8) August (12) December
ENTER MONTH
===__
****DO NOT READ****
THE NEXT QUESTIONS ARE ABOUT WHAT WAS SUPPOSED TO HAPPEN ACCORDING TO THE (AGREEMENT/UNDERSTANDING/COURT ORDER/COURT AWARD)
IF THE RESPONDENT TELLS YOU WHAT THEY RECEIVED, PROBE TO MAKE SURE IT WAS WHAT THEY WERE SUPPOSED TO RECEIVE
The next questions ask about (the terms of the court order for/the terms of the court award for/the understanding about/the agreement about) child support for
(child's name(s)).
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
The questions ask about what was supposed to happen, even if the (court order/court award/understanding/agreement) was not followed exactly.
Between January 1 and December 31, 2017, was (CHILD's/the children's) (father/mother) SUPPOSED TO make ANY child support payments for (CHILD/any of them)?
(2) No
(3) Yes, if he has a job
(4) Don't know because Child Support
Enforcement Office filed the paper work
===_
Why was that?
(2) Other parent died before 2017
(3) Family lived together in all or part of 2017
(4) Child(ren) lived with other parent in all or part of 2017
(5) Other
===_
Please Specify:
===_________________________________________________________
During 2017, were any of the child support payments SUPPOSED TO be
deducted from (his/her) paycheck?
(2) No
===_
And during 2017, were any of these payments SUPPOSED to be sent to you: (READ ALL CATEGORIES TO RESPONDENT)
(2) By a court
(3) By direct deposit
(4) Or, did the payments come directly from (his/her) place if
employment?
(5) Other
===_
Please Specify:
===_____________________________________________________________
The following questions ask about the child support (CHILD's/the children's) (father/mother) was SUPPOSED to pay, whether or not you received it. During 2017, how often was (he/she) SUPPOSED to make these payments?
PROBE IF NECESSARY: Would that be every week, every month, or some other way?
(2) Every other week
(3) Twice a month
(4) Every month or Monthly
(5) Every quarter
(6) For the year
(7) OTHER
===_
Please Specify:
===_____________________________________________________________
Sometimes child support that was not paid in previous years is added to the amount of support owed today. This is called back support.
Did the amount that (CHILD's/the children's) (father/mother) was supposed to pay
in 2017 include back support?
(2) No
===_
During 2017, (how/including back support, how) much was (the weekly/every other week's/the twice monthly/the monthly/the quarterly/the yearly) payment SUPPOSED to be for ((all the children covered by the (agreement/understanding/court order/court award)/(NAME ALL COVERED CHILDREN)?
===$__,__ .00
(S) Other - Specify
Please specify.
So you said you were SUPPOSED to receive $X (per month, per week, every other week, twice monthly, per year) (including back support), is that correct?
(2) No
===_
How much child support, in total, were you SUPPOSED to receive?
===$__,___ .00
Sometimes child support that was not paid in previous years is added to the amount of support owed today. This is called back support.
Did the amount that (CHILD's/the children's) (father/mother) was supposed to pay in 2017 include back support?
(2) No
===_
(Including back support, about/About) how much altogether was (he/she) SUPPOSED to pay for ((all the children covered by the (agreement/understanding/court order/court award)/
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s)) during 2017?
===$__,___ .00
Please specify.
===_____________________________________________________________
The following questions ask about the child support (CHILD's/the children's) (father/mother) was SUPPOSED to pay, whether or not you received it.
(From January through (month) 2017,/In (month) 2017,/In January 2017,/Before the change was made in 2017,) how often was (he/she) SUPPOSED to make these payments?
PROBE IF NEEDED: Would that be every week, every month, or some other
way?
(2) Every other week
(3) Twice a month
(4) Every month or monthly
(5) Every quarter
(6) For the year
(7) None
(8) Other
===_
Please specify.
===_____________________________________________________________
Sometimes child support that was not paid in previous years is added to the amount of support owed today. This is called back support.
Did the amount that (CHILD's/the children's) (father/mother) was supposed to pay (from January through (month) 2017/in (month) 2017/in January 2017/before the change was made in 2017) include back support?
(2) No
===_
(From January through (month)/In (month)/In January/Before the change was made) how much was (every other week's/the twice monthly/the monthly/the quarterly/the yearly) payment SUPPOSED to be ( , including back support) for ((all the children covered by the (agreement/understanding/court order/court award)?
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(A) Amount varied
(S) Other - Specify
===$__,___ .00
Please specify.
===_____________________________________________________________
So you said you were SUPPOSED to receive (fill amount from S318)(the weekly/every other week's/the twice monthly/the monthly/the quarterly/the yearly) (including back support), BEFORE THE CHANGE, is that correct?
(2) No
===_
How much child support in total, were you SUPPOSED to receive BEFORE THE CHANGE?
Sometimes child support that was not paid in previous years is added to the amount of support owed today. This is called back support.
Did the amount that (CHILD's/the children's) (father/mother) was supposed to pay (from January through (month) 2017/in (month) 2017/ in January 2017/before the change was made in 2017) include back child support?
(2) No
===_
About how much ALTOGETHER was (he/she) SUPPOSED TO pay for ((all the children covered by the (agreement/understanding/court order/court award)/
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(from January through (month) 2017/in (month) 2017/in January 2017/BEFORE THE CHANGE WAS MADE IN 2017) (blank/including back support?)
===$__,___ .00
Please specify.
===_____________________________________________________________
Next, (from (month) through December 2017,/in December 2017,/ after the change was made in 2017,) how often was (CHILD's/the children's) (father/mother) SUPPOSED TO make these payments?
PROBE: Would that be every week, every month, or some other way?
(2) Every other week
(3) Twice a month
(4) Every month or monthly
(5) Every quarter
(6) For the year
(7) None
(8) Other
===_
Please specify.
===_____________________________________________________________
Did the amount that (he/she) was supposed to pay (from (month) through December 2017/in December 2017/after the change was made in 2017) include back support?
(2) No
===_
(From (month) through December/In December/AFTER THE CHANGE WAS MADE) how much was (the weekly/every other week's/the twice monthly/the monthly/the quarterly/the yearly) payment SUPPOSED to be(?/ ,including back support) for ((all the children covered by the (agreement/understanding/court order/court award?)
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
===$__,___ .00
(S) Other - Specify
Please specify.
===_____________________________________________________________
===_____________________________________________________________
So you said you were SUPPOSED to receive (fill amount from S323)(the weekly/every other week's/the twice monthly/the monthly/the quarterly/the yearly) (including back support), AFTER THE CHANGE, is that correct?
(2) No
===_
How much child support in total, were you SUPPOSED to receive AFTER THE CHANGE?
Did the amount that (CHILD's/the children's) (father/mother) was supposed to pay (from (month) through December 2017/in December 2017/AFTER THE CHANGE was made in 2017) including back support?
(2) No
===_
About how much ALTOGETHER was (he/she) SUPPOSED to pay for ((all the children covered by the (agreement/understanding/court order/court award)/
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(from (month) through December 2017/in December 2017/after the change was
made in 2017) (?/ ,including back support?)
===$__,___ .00
(S) Other - Specify
Please specify.
===_____________________________________________________________
===_____________________________________________________________
****DO NOT READ****
THE NEXT QUESTIONS ASK ABOUT THE CHILD SUPPORT THE RESPONDENT ACTUALLY RECEIVED
Someone receiving welfare or public assistance sometimes called A.F.D.C. or A.D.C. or [state fill for local TANF name], may also get child support each month. This money is sometimes called a bonus or a pass through. This child support bonus may come with a welfare check or in a separate check.
Between January 1 and December 31, 2017, was ANY child support passed on to you by a WELFARE AGENCY for
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(2) No
(3) No, I was not on public assistance or welfare in 2017
===_
What is the ANNUAL amount of bonus or pass through payments you received in
2017?
The next questions ask about the amount of child support you received during 2017. (Between/Other than the child support passed through the welfare agency, between) January 1 and December 31, 2017, did you ACTUALLY receive ANY child support payments - even one - for (NAME ALL COVERED CHILDREN)? Please include any (back support and any) child support forwarded to you by a court, or a child support enforcement agency, and any payments made directly to you.
(2) No
(3) Other
===_
Please specify.
===_____________________________________________________________
In 2017, did you receive EVERY SINGLE ONE of the child support payments you were supposed to receive for (CHILD/the children)?
(2) No
===_
Of the child support payments you received in 2017, how many were received ON TIME. Would you say all of them were on time, most of them, some of them or none of them?
(2) Most
(3) Some
(4) None
===__
And for the child support payments you received, how many of them were for the FULL amount you were supposed to receive? Would you say all of them, most of them, some of them, or none of them?
(2) Most
(3) Some
(4) None
===__
So you received ($_,___.00) every (week/other week/twice a month/every month/every quarter/for the year) for ((all the children covered by the (agreement/understanding/court order/court award)/
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
in 2017. Is this correct?
(2) No
===__
How much child support did you actually receive ALTOGETHER in 2017 for (CHILD/the children)?
===$__,___ .00
The next questions ask about the amount of child support you received between January 1 and December 31, 2017. (Please include any back support received./Please include any child support passed through the welfare agency EXCLUDING your regular A.F.D.C. payment or[state fill for local TANF] payment./Please include any back support and any child support passed through the welfare agency EXCLUDING your regular A.F.D.C. or [state fill for local TANF] payment.)
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
=== $__,___ .00
So you received ($_,___) dollars ALTOGETHER in 2017. Is this correct?
(2) No
===__
What is the correct amount of child support you ACTUALLY received in 2017?
=== $__,___ .00
The next questions are about health insurance.
Does the child support (agreement/understanding/court order/court award) say who is supposed to provide health insurance for
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(2) No
===__
According to the (agreement/understanding/court order/court award) who was SUPPOSED TO provide health insurance for
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(2) Other parent for all children
(3) Both parents for all children
(4) Parents each cover different children
(5) Not specified in the award
(6) Don't know -- because the Child Support Enforcement Office filed the paper
work
(7) Other
===_
Please specify.
===_____________________________________________________________
During 2017, did (CHILD's/the children's) (father/mother) ACTUALLY HAVE health insurance that covered (CHILD/the children) - through an HMO, a regular insurance policy, or some other plan?
PROBE IF NECESSARY: FOR MOST OF 2017
(2) No
(3) Don't know
===_
Someone receiving welfare or public assistance sometimes called A.F.D.C. or A.D.C. or [state fill for local TANF name] may also get child support each month. This money is sometimes called a bonus or a pass through. This child support bonus may come with a welfare check or in a separate check.
Between January 1 and December 31, 2017, was ANY child support passed on to you by a welfare agency for (CHILD)?
(2) No
(3) No, I was not on public assistance or welfare in 2017
===_
What is the ANNUAL amount of bonus or pass through payments you received in 2017?
The next questions ask about the amount of child support you received during 2017. (Between/Other than the child support passed through the welfare agency, between) January 1 and December 31, 2017, did you actually receive ANY (blank/other) child support payments - even one - for (NAME ALL COVERED CHILDERN)? Please include any (back support and any) child support forwarded to you by a court, or a child support enforcement agency and any payments made directly to you.
(2) No
(3) Other
===_
How much child support did you actually receive ALTOGETHER in 2017 for (CHILD)?
===$__,___ .00
So you received ($__,___.00) dollars altogether in 2017. Is this correct?
(2) No, incorrect
===_
What is the correct amount of child support you received in 2017?
The next question is about health insurance.
During 2017, did (CHILD's) (father/mother) ACTUALLY HAVE health insurance that covered (CHILD) - through an HMO, a regular insurance policy, or some other plan?
PROBE: FOR MOST OF 2017
(2) No
===_
Is there a legal agreement about child support for (CHILD) pending now?
(2) No
(3) Don't know because Child Enforcement Office or A.F.D.C. or [state
fill for local TNAF] office may have filed papers
===_
Here are some reasons a parent might not have a legal arrangement about child support. Please tell me which of these reasons describe why YOU do NOT have a legal arrangement about child support for (CHILD) Was it because: (Mark each question)
PROBE IF NECESSARY:
Was that a reason you did NOT have a legal agreement about child support?
A. (If AGE of Child 17) (CHILD) was too old for child support.
(2) No
===_
Here are some reasons a parent might not have a legal arrangement about child support. Please tell me which of these reasons describe why YOU do NOT have a legal arrangement about child support for (CHILD) Was it because: (Mark each question)
PROBE IF NECESSARY:
Was that a reason you did NOT have a legal agreement about child support?
(2) No
B. (CHILD) stays with (his/her)
(father/mother) part of the time.
===_
C. (CHILD)'s (father/mother) provides what (he/she) can.
===_
D. You did not feel the need to get legal, that is go to court?
===_
PROBE IF NECESSARY:
Was that a reason you did NOT have a legal agreement about child support?
(2) No
E. You did not want (CHILD) or yourself
to have contact with (CHILD)'s (father/mother).
===_
F. You did not want (CHILD)'s
(father/mother) to pay child support.
===_
G. (CHILD)'s (father/mother)
could not afford to pay child support.
===_
H. You could not locate (CHILD)'s (father/mother).
===_
And was the reason you do NOT have a legal arrangement about child support because:
PROBE IF NECESSARY:
Was that a reason you did not have a legal arrangement about child support?
I. You did not have a legal ruling about who the father was, that is, you did not legally establish paternity.
(2) No
===_
Why did you not have a legal agreement about child support for (child)?
(2) Other parent died before 2017
(3) Other parent lives in another country
(4) Split custody
(5) Respondent able to support child
(6) Recently separated
(7) Other
===_
What was that? Specify:
===____________________________________________________________
Other than the reason you have already told me about, was there any other reason why you do not have a legal agreement or court order about child support for (CHILD)?
(2) No
===_
What was that?
(2) Other parent died before 2017
(3) Other parent lives in another country
(4) Split custody
(5) Respondent able to support child
(6) Recently separated
(7) Other
===_
What was that? Specify:
===____________________________________________________________
Have YOU EVER contacted a child support enforcement or 4D office, a department of social services, a welfare or A.F.D.C. office, or [state fill for local TANF] office or any state or local government agency about anything to do with child support?
(2) No
===_
Have you ever BEEN CONTACTED BY one of these agencies about anything to do with child support?
(2) No
===_
Which of the following things were you in contact about:
A. Did you have contact about finding the other parent?
(2) No
===_
B. Did you have contact about getting a legal ruling about who the father is, that is, establishing paternity?
(2) No
===_
(1) Yes
(2) No
or court award for the other parent to pay child support.
===_
D. Collecting the child support that the other parent owed
===_
E. Changing the amount of child support the other parent was
legally required to pay
===_
F. Getting an agreement for the other parent to provide
===_
G. Getting any welfare or public assistance or [state fill for TANF] sometimes known as A.F.D.C. or getting Medicaid
===_
In what year did you last have contact with one of these agencies?
===__
Next, thinking about the government programs that help families with children, between January 1 and December 31, 2017:
(1) Yes
(2) No
A. Did you have Medicaid or any other state-provided
health insurance coverage at any time?
===_
B. Receive any food stamps?
===_
C. Receive any welfare or public assistance formerly called A.F.D.C. or A.D.C. or did you receive (State fill for local TANF program name)?
===_
The next questions are about the relationship between (CHILD) and (his/her) (father/mother).
Does (CHILD) (father/mother) have visitation privileges?
(2) No
===_
Did you ever go to court, before a judge, or through a legal process (including divorce or separation proceedings) to make the visitation privileges legal?
(2) No
===_
Sometimes children live with each parent for part of the time. This is called joint
physical custody.
Did a court or judge EVER give you and (CHILD's) (father/mother) joint PHYSICAL custody?
(2) No
===_
Joint legal custody of a child means that both parents have the right to help make decisions about the child.
Did a court or judge EVER give you and (CHILD's) (father/mother) joint LEGAL custody?
(2) No
===_
Did you and (CHILD's) (father/mother) live in the same state during 2017?
PROBE IF NEEDED:
As far as you know, did you live in the same state during MOST OF 2017?
(2) No
(3) Don't know
===_
In what state did (CHILD's) (father/mother) live during 2017?
PROBE IF NEEDED:
Where did (he/she) live during most of 2017?
(98) Don't Know
(H) Help with state codes
ENTER STATE CODE
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Did either you or (CHILD) have ANY KIND of contact AT ALL with (CHILD's) (father/mother) during 2017?
(2) No
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Did (CHILD) spend time with (his/her) (father/mother) on at least one day in 2017?
(2) No
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Including birthdays, holidays and vacation days, between January 1, 2017 and December 31, 2017, ON how many days altogether did (child) spend time with (his/her) (father/mother)?
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ON HOW MANY DAYS EACH WEEKEND WAS THAT, WOULD THAT BE FRIDAY, SATURDAY AND SUNDAY? SINCE YOU WERE SEPARATED/DIVORCED?
(Other than the child support you told me about, between) January 1 and December 31, 2017 did (CHILD's/the children's) (father/mother) do any of the following for
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))
(child's name(s))?
(MARK EACH QUESTION)
(2) No
A. Give any birthday, holiday, or other gifts to
(name/the children)
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B. Provide clothes (, diapers or shoes/or shoes)
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C. Provide food or groceries for (name/the children)
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D. Pay for child care or summer camp
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E. Pay for medical expenses such as medicine or visits to the
doctor or dentist, other than health insurance
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Did any government or public agency collect any child support from (NAME ALL COVERED CHILDREN)'s (father/mother) on your behalf in 2017?
(2) No
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Did the agency collect ALL or SOME of the child support due in 2017 from (NAME ALL COVERED CHILDREN)'s (father/mother)?
(2) Some
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Last, I have a couple of background questions. Have you been married before or is your current marriage your first marriage?
(2) First marriage
(3) Other - Specify
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What was that? Specify:
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Last, I have a couple of background questions. Have you been married more than once?
(2) No
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Last, I have a couple of background questions. In what year did your separation take place?
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Last, I have a couple of background questions. Have you ever been divorced?
(2) No
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In what year did your (most recent divorce/divorce/most recent separation) take place?
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And what year did you get married (?/that time?)
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At the time you separated, were you working?
(2) No
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And at that time, were you working 35 hours or more hours per week?
(2) No
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Did you work at any time during the five years before your last separation?
(2) No
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Is (CHILD) from (your most recent marriage/the marriage before this one/your marriage/that marriage)?
(2) No
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S712
Which of your children living here are from (your most recent marriage/the marriage before this one/your marriage/that marriage)?
ENTER (0) FOR NO MORE OR NONE
ENTER (17) For All
LN NAME AGE LN NAME AGE
(person 1) (person 9)
(person 2) (person 10)
(person 3) (person 11)
(person 4) (person 12)
(person 5) (person 13)
(person 6) (person 14)
(person 7) (person 15)
(person 8) (person 16)
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