Questionnaire Text

ASEC 2020
ASEC 2018
ASEC 2016
ASEC 2014
ASEC 2012
ASEC 2010
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ASEC 2020

No questionnaire text is available for this sample.


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ASEC 2018
Questionnaire form view entire document:  text  image
S102PR
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?
(1) Yes
(2) No
===>__
S102
Which of these children have a (father/mother/father or mother) who lives outside this house?
ENTER (N) NO MORE/PARENT TEMPORARILY ABSENT
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)
===>__ ===>__ ===>__ ===>__ ===>__
===>__ ===>__ ===>__ ===>__ ===>__
S103a
Does (CHILD) have a (father/mother) who lives outside this house?
(1) Yes
(2) No
===>__
S103b1
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?
(1) Other parent has died
(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
===>_
S103b2
Other/Specify
ENTER VERBATIM RESPONSE
===>_____________________________

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ASEC 2016
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S102PR
I have listed that (Name of children on the roster born before 1/1/2016) (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?
(1) Yes
(2) No
===>__
S102
Which of these children have a (father/mother/father or mother) who lives outside this house?
ENTER (N) NO MORE/PARENT TEMPORARILY ABSENT
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)
===>__ ===>__ ===>__ ===>__ ===>__
===>__ ===>__ ===>__ ===>__ ===>__
S103a
Does (CHILD) have a (father/mother) who lives outside this house?
(1) Yes
(2) No
===>__
S103b1
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?
(1) Other parent has died
(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
===>_
S103b2
Other/Specify
ENTER VERBATIM RESPONSE
===>_____________________________

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ASEC 2014
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S102PR
I have listed that (Name of children on the roster born before 1/1/2010) (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?
(1) Yes
(2) No
S102
Which of these children have a (father/mother/father or mother) who lives outside this house?
ENTER (N) NO MORE/PARENT TEMPORARILY ABSENT
LN NAME
(person 1)
(person 2)
(person 3)
(person 4)
(person 5)
(person 6)
(person 7)
(person 8)
(person 9)
(person 10)
(person 11)
(person 12)
(person 13)
(person 14)
(person 15)
(person 16)
S103a
Does (CHILD) have a (father/mother) who lives outside this house?
(1) Yes
(2) No
S103b1
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?
(1) Other parent has died
(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
S103b2
Other/Specify
ENTER VERBATIM RESPONSE

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ASEC 2012
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S313
During 2009, (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)?
ENTER THE AMOUNT
$__,___ .00
(S) Other - Specify
S313S
Please specify.

S313a

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?
(1) Yes
(2) No
S313b
How much child support, in total, were you SUPPOSED to receive?
ENTER THE AMOUNT
$__,___ .00

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ASEC 2010
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S102PR
I have listed that (Name of children on the roster born before 1/1/2010) (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?
(1) Yes
(2) No
S102
Which of these children have a (father/mother/father or mother) who lives outside this house?
ENTER (N) NO MORE/PARENT TEMPORARILY ABSENT
LN NAME
(person 1)
(person 2)
(person 3)
(person 4)
(person 5)
(person 6)
(person 7)
(person 8)
(person 9)
(person 10)
(person 11)
(person 12)
(person 13)
(person 14)
(person 15)
(person 16)
S103a
Does (CHILD) have a (father/mother) who lives outside this house?
(1) Yes
(2) No
S103b1
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?
(1) Other parent has died
(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
S103b2
Other/Specify
ENTER VERBATIM RESPONSE