ID

43546

Descrição

Study part: Children Ages 6-11 National Survey of Childrens Health, NSCH, 2016. A study by the U.S. Department of Health and Human Services to better understand the health issues faced by children in the United States today. Child and Adolescent Health Measurement Initiative, Data Resource Center on Child and Adolescent Health website. Retrieved on 07/12/2016 from http://childhealthdata.org/learn/NSCH/resources/survey-instruments. OMB No. 0607-0990: Approval Expires 04/30/2019.

Link

http://childhealthdata.org/learn/NSCH/resources/survey-instruments

Palavras-chave

Versões (2)
  1. 06/01/2017 06/01/2017 -
  2. 20/09/2021 20/09/2021 -
Transferido a

20 de setembro de 2021

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0
Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Voltar para os comentários do modelo
Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

NSCH 2016 Children Ages 6-11

Inglês

K. Household Information

11 Formulários  
Household Information
Descrição

Household Information

Alias
UMLS CUI-1
C1533716
UMLS CUI-2
C0020052
1. How many people are living or staying at this address?
Descrição

Include everyone who usually lives or stays at this address. Do NOT include anyone who is living somewhere else for more than two months, such as a college student living away or someone in the Armed Forces on deployment.

Tipo de dados

integer

Alias
UMLS CUI [1]
C3172576
2. How many of these people in your household are family members?
Descrição

Family is defined as anyone related to this child by blood, marriage, adoption, or through foster care.

Tipo de dados

integer

Alias
UMLS CUI [1]
C0086282
3a. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Wages, salary, commissions, bonuses, or tips from all jobs?
Descrição

Mark the "Yes" box for each type of income this child’s family received, and give your best estimate of the TOTAL AMOUNT IN THE LAST CALENDAR YEAR. Mark the “No” box to show types of income NOT received.

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0681100
3a. If yes, total amount:
Descrição

Household income salary and wages

Tipo de dados

float

Unidades de medida
  • $
Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0681100
$
3b. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Self-employment income from own nonfarm businesses or farm business, including proprietorships and partnerships?
Descrição

Mark the "Yes" box for each type of income this child’s family received, and give your best estimate of the TOTAL AMOUNT IN THE LAST CALENDAR YEAR. Mark the “No” box to show types of income NOT received.

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0425092
3b. If yes, total amount:
Descrição

Household income Self-employment

Tipo de dados

float

Unidades de medida
  • $
Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0425092
$
3c. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Interest, dividends, net rental income, royalty income or income from estates and trusts?
Descrição

Mark the "Yes" box for each type of income this child’s family received, and give your best estimate of the TOTAL AMOUNT IN THE LAST CALENDAR YEAR. Mark the “No” box to show types of income NOT received.

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C3826594
UMLS CUI [1,3]
C0557752
3c. If yes, total amount:
Descrição

Household income trusts estate

Tipo de dados

float

Unidades de medida
  • $
Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C3826594
UMLS CUI [1,3]
C0557752
$
3d. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Social security or railroad retirement; retirement, survivor, or disability pensions?
Descrição

Mark the "Yes" box for each type of income this child’s family received, and give your best estimate of the TOTAL AMOUNT IN THE LAST CALENDAR YEAR. Mark the “No” box to show types of income NOT received.

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C4050516
3d. If yes, total amount:
Descrição

Household income Social Security Retirement Benefit

Tipo de dados

float

Unidades de medida
  • $
Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C4050516
$
3e. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Supplemental security income (SSI); any public assistance or welfare payments from the state or local welfare office?
Descrição

Mark the "Yes" box for each type of income this child’s family received, and give your best estimate of the TOTAL AMOUNT IN THE LAST CALENDAR YEAR. Mark the “No” box to show types of income NOT received.

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0599251
3e. If yes, total amount:
Descrição

Household income welfare assistance

Tipo de dados

float

Unidades de medida
  • $
Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0599251
$
3f. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Any other sources of income received regularly such as Veterans’ (VA) payments, unemployment compensation, child support, or alimony?
Descrição

Mark the "Yes" box for each type of income this child’s family received, and give your best estimate of the TOTAL AMOUNT IN THE LAST CALENDAR YEAR. Mark the “No” box to show types of income NOT received.

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0079112
3f. If yes, total amount:
Descrição

Household income child support

Tipo de dados

float

Unidades de medida
  • $
Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0079112
$
4. The following question is about your income and is very important. Think about your total combined family income IN THE LAST CALENDAR YEAR for all members of the family. What is that amount before taxes?
Descrição

Include money from jobs, child support, social security, retirement income, unemployment payments, public assistance, and so forth. Also, include income from interest, dividends, net income from business, farm, or rent, and any other money income received

Tipo de dados

float

Unidades de medida
  • $
Alias
UMLS CUI [1]
C0557163
UMLS CUI [2]
C0039371
$
Voltar ao início da página

Similar models

K. Household Information

11 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Household Information
C1533716 (UMLS CUI-1)
C0020052 (UMLS CUI-2)
How many people are living or staying at this address
Item
1. How many people are living or staying at this address?
integer
C3172576 (UMLS CUI [1])
family members
Item
2. How many of these people in your household are family members?
integer
C0086282 (UMLS CUI [1])
Household income salary and wages
Item
3a. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Wages, salary, commissions, bonuses, or tips from all jobs?
boolean
C0557163 (UMLS CUI [1,1])
C0681100 (UMLS CUI [1,2])
Household income salary and wages
Item
3a. If yes, total amount:
float
C0557163 (UMLS CUI [1,1])
C0681100 (UMLS CUI [1,2])
Household income Self-employment
Item
3b. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Self-employment income from own nonfarm businesses or farm business, including proprietorships and partnerships?
boolean
C0557163 (UMLS CUI [1,1])
C0425092 (UMLS CUI [1,2])
Household income Self-employment
Item
3b. If yes, total amount:
float
C0557163 (UMLS CUI [1,1])
C0425092 (UMLS CUI [1,2])
Household income trusts estate
Item
3c. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Interest, dividends, net rental income, royalty income or income from estates and trusts?
boolean
C0557163 (UMLS CUI [1,1])
C3826594 (UMLS CUI [1,2])
C0557752 (UMLS CUI [1,3])
Household income trusts estate
Item
3c. If yes, total amount:
float
C0557163 (UMLS CUI [1,1])
C3826594 (UMLS CUI [1,2])
C0557752 (UMLS CUI [1,3])
Household income Social Security Retirement Benefit
Item
3d. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Social security or railroad retirement; retirement, survivor, or disability pensions?
boolean
C0557163 (UMLS CUI [1,1])
C4050516 (UMLS CUI [1,2])
Household income Social Security Retirement Benefit
Item
3d. If yes, total amount:
float
C0557163 (UMLS CUI [1,1])
C4050516 (UMLS CUI [1,2])
Household income welfare assistance
Item
3e. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Supplemental security income (SSI); any public assistance or welfare payments from the state or local welfare office?
boolean
C0557163 (UMLS CUI [1,1])
C0599251 (UMLS CUI [1,2])
Household income welfare assistance
Item
3e. If yes, total amount:
float
C0557163 (UMLS CUI [1,1])
C0599251 (UMLS CUI [1,2])
Household income Child Support
Item
3f. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Any other sources of income received regularly such as Veterans’ (VA) payments, unemployment compensation, child support, or alimony?
boolean
C0557163 (UMLS CUI [1,1])
C0079112 (UMLS CUI [1,2])
Household income child support
Item
3f. If yes, total amount:
float
C0557163 (UMLS CUI [1,1])
C0079112 (UMLS CUI [1,2])
Household income; Taxes
Item
4. The following question is about your income and is very important. Think about your total combined family income IN THE LAST CALENDAR YEAR for all members of the family. What is that amount before taxes?
float
C0557163 (UMLS CUI [1])
C0039371 (UMLS CUI [2])
Voltar ao início da página 

Contacto

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Ajuda

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial