PARENT / GUARDIAN QUESTIONNAIRE

Dear Parent, For the accuracy of our project, we hope that you will answer all questions. However, you may skip any question(s) that you do not wish to answer. Please answer all questions honestly. For questions that require a written response, please print as clearly as possible and place only one letter or number in each box. For questions that require you to select one (or more) response(s), please place an "X" in the box of the response(s) that best represent your answer. In most cases you will only mark one box per question unless specifically instructed otherwise. Your answers will be kept strictly confidential. We will not discuss the information you provide with anyone. Your questionnaire will be assigned an ID number as soon as we receive it. We will then remove the top page containing personal information so that your answers are not linked with your name. Thank you for all your help! Blue text indicates variable labels/names

Red text indicates data values

Green text indicates names of scales and summary variables

Pink text indicates notes

Site identification number

Family identification number FamID

Parent identification number w8gid

What is your name?

First name

Middle name or initial

Last name

What is your child's name?

First name

Middle name or initial

Last name

What is your:

House or building number

Street Name

Apartment number

Town/City

State

Zip code

Phone number (area code first)

Name of your child's school:

If your child is involved in a 4-H program, what is the name of the program?

PLEASE NOTE....Your answers will be kept strictly confidential and will NOT be linked to your personal information These variables are not included in data files

This page will be removed from the rest of the survey prior to processing.

Marking Instructions

For each question, please place an "X" in the box of the response or responses that best represent your answer. Please do not use a check mark, single line, dash or other mark.

In most cases, you will only mark one box per question unless specifically instructed to mark all that apply.

For questions that require a written response, please print as clearly as possible. For written responses that have multiple boxes, please place only one letter in each box.

ABOUT YOU

1 . What is your relationship to the student in the 4-H study? w8ggrelat

[1] Mother

[2] Stepmother

[3] Father

[4] Stepfather

[5] Grandparent

[6] Foster parent

[7] Adoptive parent

[8] Other

(specify) w8ggrelat_str [Qual.]

2 . What year were you born? w8ggyear

3 . Your sex: w8ggsex

[0] Male

[1] Female

4 . What is your CURRENT marital status? w8ggmstat

[1] Single (never married)

[2] Married

[3] Cohabitating (not married)

[4] Divorced

[5] Separated

[6] Widowed

4a

Do you live in a single-parent household? w8ggsingpar

New item for Wave 8

[0] Yes

[1] No

5. What is your race/ethnicity? w8ggrace

[1] Asian, Asian American or Pacific Islander, including Chinese, Japanese and others

[2] Black or African American

[3] Hispanic or Latino/a, including Mexican American, Central American, and others

[4] White, Caucasian, Anglo, European American; not Hispanic

[5] American Indian/Native American

[6] Multiethnic or multiracial (more than one race or ethnicity, please specify below)

[7] Other (write in): w8ggrace_str

[Qual.]

6. What is the HIGHEST level of education you have completed? w8gged

[1] 8th grade or less

[2] Some high school

[3] High school diploma / G.E.D.

[4] Trade / vocational school

[5] Some college

[6] 2-year college - Associate's degree

[7] 4-year college - Bachelor's degree

[8] Master's degree

[9] Doctoral / Professional degree

[0] Not sure

7. If you are not the mother of the child, what is the HIGHEST level of education the mother has completed? w8gedmom

[1] 8th grade or less

[2] Some high school

[3] High school diploma / G.E.D.

[4] Trade / vocational school

[5] Some college

[6] 2-year college - Associate's degree

[7] 4-year college - Bachelor's degree

[8] Master's degree

[9] Doctoral / Professional degree

[0] Not sure

8. Have you enjoyed general good health in the past year?

[0] No

[1] Yes

9. What is your religion?

[1] None [6] Hindu

[2] Protestant (Baptist, Methodist, etc.)

[7] Muslim

[3] Catholic [8] Other

[4] Jewish (please specify) w8ggrelig_str [Qual.]

[5] Buddhist

10. What is the first language you learned to speak when you were a child? w8gglang01 *This variable combines dichotomous variables (below)

0= unmarked 1= marked

[1] English w8gglang1

[1] Spanish w8gglang2

[1] Chinese w8gglang3

[1] French w8gglang4

[1] Other Languages w8gglang5

(please specify) w8gglang_str [Qual.]

11. What language(s) do you usually (you can check more than one for each question)

English Spanish French Chinese Other

1. Feel comfortable using? w8gglan

g6 w8gglang

7 w8gglang

8 w8gglang

9 w8gglang

10

2. Speak at home (e.g., with your parents, grandparents, siblings?)

w8gglan

g11 w8gglang

12 w8gglang

13 w8gglang

14 w8gglang

15

3. Use for talking to your friends? w8gglan

g16 w8gglang

17 w8gglang

18 w8gglang

19 w8gglang

20

4. Use at work? w8gglan

g21 w8gglang

22 w8gglang

23 w8gglang

24 w8gglang

25

5. Use when you talk or think to yourself?

w8gglan

g26 w8gglang

27 w8gglang

28 w8gglang

29 w8gglang

30

12. How well do you:

Not at all Not well Well Very Well

1. Understand Spoken English? w8gglang31

[1] [2] [3] [4]

2. Speak English? w8gglang32

3. Read English? w8gglang33

4. Write English? w8gglang34

13. Are you a member of your child's school Parent-Teacher Organization? w8gpto

[0] No [1] Yes

14. Do you volunteer at your child's school? w8gschvol

[0] No [1] Yes

15. How frequently do you attend events at your child's school when they are offered? w8gschatnd

[0] Never [2] Sometimes

[1] Rarely [3] Often

16. How long have you lived in the United States? w8ggus1

[6] All my life [3] 10-14 years

[5] 20 or more years [2] 5-9 years

[4] 15-19 years [1] 1-4 years

17. Where was your child born? w8ggus2

[0] United States

[1] Outside the United States

If not in the U.S., which country or region? W8ggus2_str [Qual.]

18. How important is each of the following to you in your life?

Not

Important

Somewhat

Important Not Sure

Quite Importa

nt

Extremely Important

1. Helping other people w8gabme4 [1] [2] [3] [4] [5]

2. Helping to make the world a better place to live in w8gabme5

3. Giving time and money to make life better for other people w8gabme6

4. Helping to reduce hunger and poverty in the world w8gabme7

5. Helping to make sure all people are treated fairly w8gabme8

6. Speaking up for equality (everyone should have the same rights and opportunities) w8gabme9

7. Respecting the values and beliefs of people who are of a different race or culture than I am w8gabme1

8. Knowing a lot about people of other races w8gabme2

9. Enjoying being with people who are of a different race than I am w8gabme3

Current events, also known as current affairs, are present time or recent happenings concerning important people, places, things, and ideas.

19 . In general, how often do you seek information about current events from the following media outlets? New items for Wave 8

Never

Once a month or

less

A couple of times a month

Once a week

A few times a week

Everyday or Daily

1. Local television w8gseek1

[0] [1] [2] [3] [4] [5]

2. National television w8gseek2

3. Radio w8gseek3

4. Local newspaper w8gseek4

5. National newspaper w8gseek5

6. Magazines (e.g., Newsweek; Time; U.S. News & World Report) w8gseek6

7. Internet: News Web sites (e.g., CNN.com; foxnews.com) w8gseek7

8. Internet: News blogs (e.g., HuffingtonPost.com; HotAir.com) w8gseek8

9. Other w8gseek9

(please specify): w8gseekother_str__[Qual]

20 . In general, how useful do you think each of these media outlets is in helping you learn about current events? New items for Wave 8

Never Useful

Rarely Useful

Moderately Useful

Often Useful

Always Useful

1. Local television w8guse1 [0] [1] [2] [3] [4]

2. National television w8guse2

3. Radio w8guse3

4. Local newspaper w8guse4

5. National newspaper w8guse5

6. Magazines (e.g., Newsweek; Time; U.S. News & World Report) w8guse6

7. Internet: News Web sites (e.g., CNN.com; foxnews.com) w8guse7

8. Internet: News blogs (e.g., HuffingtonPost.com; HotAir.com) w8guse8

21 .

What is the name of the program or source that you find most useful in learning about current events (e.g., television show, radio show, newspaper, name, Internet Web site etc.)? Note: If you cannot remember the exact name or title, please write down as much information as you can remember. New item for Wave 8

w8gsource_str

22. In general, how trustworthy do you think each of these media outlets is in their reporting of current events? New items for Wave 8

Never

trustworthy Rarely

trustworthy Moderately trustworthy

Often trustworthy

Always trustworthy

1. Local television w8gtrust1

[0] [1] [2] [3] [4]

2. National television w8gtrust2

3. Radio w8gtrust3

4. Local newspaper w8gtrust4

5. National newspaper w8gtrust5

6. Magazines (e.g., Newsweek; Time; U.S. News & World Report) w8gtrust6

7. Internet: News Web sites (e.g., CNN.com; foxnews.com) w8gtrust7

8. Internet: News blogs (e.g., HuffingtonPost.com; HotAir.com) w8gtrust8

23.

If you seek information about current events on the Internet from online news media sources, how do you determine if the information being presented on a particular Web site is accurate? New item for Wave 8

w8gaccurate_str

ABOUT YOUR PARTICIPATING CHILD

19. What month was your child born? w8gymonth

[1] January [5] May [9] September

[2] February [6] June [10] October

[3] March [7] July [11] November

[4] April [8] August [12] December

20. What day was your child born? w8gyday

21. What year was your child born? w8gyyear

22. What is the birth order of your child? w8gybrthor

[1] First [3] Last

[2] Middle [4] Only child

23. How tall is your child?

Feet

w8gyfeet

Inches

w8gyinch

24. How much does your child weigh? w8gyweight

In Pounds

25. What is your child's race/ethnicity? w8gyrace

[1] Asian, Asian American or Pacific Islander, including Chinese, Japanese and others

[2] Black or African American

[3] Hispanic or Latino/a, including Mexican American, Central American, and others

[4] White, Caucasian, Anglo, European American; not Hispanic

[5] American Indian/Native American

[6] Multiethnic or multiracial (more than one race or ethnicity, please specify below)

[7] Other (write in below) w8gyrace_str [Qual.]

26. What is your child's religion? w8gyrelig

[1] None

[2] Protestant (Baptist, Methodist, etc.)

[3] Catholic

[4] Jewish

[5] Buddhist

[6] Hindu

[7] Muslim

[8] Other

(please specify) w8gyrelig_str [Qual.]

27. How many hours of sleep per night does your child get (on average)? w8gysleep

[0] Less than 4 hours

[1] 4-5 hours

[2] 6-7 hours

[3] 8-9 hours

[4] 10 or more hours

28.

How can you tell if an adolescent is thriving or doing really well in all areas of his/her life? In your opinion, what is he or she like, what sort of things does he or she do? w8gthrive_str [Qual.]

29. Ideally, how much education would you want your child (who is in this study) to complete? w8gyedasp

[1] 8th grade or less

[2] Some high school

[3] High school diploma / G.E.D.

[4] Trade or vocational school

[5] 2-year college – Associate degree

[6] 4-year college – Bachelor degree

[7] Degree after college

[0] Not sure

30. As things stand now, how much education do you expect your child (who is in this study) to complete? w8gyedexp

[1] 8th grade or less

[2] Some high school

[3] High school diploma / G.E.D.

[4] Trade or vocational school

[5] 2-year college – Associate degree

[6] 4-year college – Bachelor degree

[7] Degree after college

[0] Not sure

31. What helps or stands in the way of the continuing education of your child (who is in this study)? How? w8gyedbarr_str

PLEASE CHECK THE BOX THAT APPLIES TO YOU FOR EACH ITEM

32. Never Sometim

es Usually Always

1. Do you make rules which take your child's individual needs into consideration? w8ggpar01

[1] [2] [3] [4]

2. Do you drop a rule if your child objects to it? w8ggpar02

3. Do you let your child go to bed whenever he/she feels like it? w8ggpar03

4. Do you give your child a chance to explain his/her side before punishing him/her? w8ggpar04

5. Do you check the ratings before allowing your child to see or rent a movie? w8ggpar05

6. Do you explain the reasons for the rules you make? w8ggpar06

7. Do you try to help your child control his or her anger when there are arguments? w8ggpar07

8. Do you think a good spanking is sometimes needed to make your child understand? w8ggpar08

9. Do you let your child eat whatever he/she feels

like eating? ? w8ggpar09

10. Do you make sure your child obeys you the first time you say something? w8ggpar10

11. Do you let your child watch whatever TV shows he/she wants to watch? w8ggpar11

12. Do you expect your child to obey you without any questions asked? w8ggpar12

13. Do you think it is important to teach your child respect for the rights of others? w8ggpar13

14. Do you think your child will grow up just fine if they usually get their own way? w8ggpar14

15. Do you select chores for your child that he/she will be able to do without much difficulty? w8ggpar15

16. Do you allow your child to see any movie he or she wants? w8ggpar16

Never Sometimes Usually Always

17. Do you say something positive to your child when he/she does something you like? w8ggpar17

[1] [2] [3] [4]

18. Do you allow your child to express any angry feeling he or she has towards you freely? w8ggpar18

19. Do you expect your child to do a good many of the chores around the house? w8ggpar19

20. Do you want your child to question rules that seem unfair? w8ggpar20

21. Do you spank your child when he or she does something really wrong? w8ggpar21

22. Do you try to show that you understand your child's feelings when punishing him/her for misbehaving? w8ggpar22

23. Do you let your child decide his/her daily schedule? w8ggpar23

24. I avoid dealing with my child. w8ggpar24

25. I don't think I can change my child. w8ggpar25

26. I have so much on my mind, that I don't have much time for my child. w8ggpar26

27. I generally know what my child is doing even when I'm not there. w8ggpar27

28. I know most of my child's friends and playmates. w8ggpar28

29. I don't talk with my child very much. w8ggpar29

30. I feel very involved in my child's life. w8ggpar30

33 . To what extent have you ever felt concerned:

Not at all

concerned

Very concerned

1 2 3 4 5

...about your son/daughter's weight? w8gyhlth01

[1] [2] [3] [4] [5]

...about your son/daughter/s eating behaviors? w8gyhlth02

...about your son/daughter's exercise patterns? w8gyhlth03

...that your son/daughter may have an eating disorder? w8gyhlth04

34 . How much emphasis do you believe your child places on weight as important to his/her self-worth? w8gyhlth05

None Very

Strong

[1] [2] [3] [4] [5]

35 . To your knowledge, has your son/daughter ever: [0] = unmarked [1] = marked

Been on a diet? w8gyhlth06

Watched his/her calorie intake? w8gyhlth07

36 . Do you feel that your child is: w8gyhlth08

[1] Very underweight

[2] Slightly underweight

[3] Normal weight

[4] slightly overweight

[5] Very overweight

37 . Have you ever expressed concern to your son/daughter about his/her weight? w8gyhlth09

[1] Yes

[0] No

38 .

Have you ever expressed concern to your son/daughter about his/her eating behaviors?

w8gyhlth10

[1] Yes

[0] No

ABOUT YOUR HOUSEHOLD

39 . How many children live with you? w8gchildn

[1] One [5] Five

[2] Two [6] Six

[3] Three [7] Seven or more

[4] Four

40 . How many adults live with you? w8gadultn

[1] One [5] Five

[2] Two [6] Six

[3] Three [7] Seven or more

[4] Four

41 . How important is religion in your family life? w8grelimp

[1] Not important

[2] Somewhat important

[3] Important

[4] Very Important

42 . In your home, does your family have (please mark all that apply)?

[1] A computer w8gfammat1

[1] A variety of books w8gfammat2

[1] Encyclopedias w8gfammat3

[1] Magazine subscriptions w8gfammat4

[1] A car w8gfammat5

[1] Access to the internet w8gfammat6

43 . Does your family rent or own your apartment / house? w8gown

[1] Rent

[2] Own

44 . What is your household's approximate total level of income? w8gincome

[1] Under $5,000 [9] $80,000 - $94,999

[2] $5,000 - $14,999 [10] $95,000 - $109,999

[3] $15,000 - $24,999 [11] $110,000 - $124,999

[4] $25,000 - $34,999 [12] $125,000 - $139,999

[5] $35,000 - $44,999 [13] $140,000 - $154,999

[6] $45,000 - $54,999 [14] $155,000 - $174,999

[7] $55,000 - $64,999 [15] $175,000 - $199,999

[8] $65,000 - $79,999 [16] $200,000 or more

45 . Are you currently employed? w8gemploy

[0] No

[1] Work part-time

[2] Work full-time

Occupation (please specify): w8gemploy_str [Qual.]

46 . Are any other adults in the house currently employed? w8goempl

[0] No

[1] Yes

(If yes, please describe below who they are and the nature of their work. If there are no other adults in your house, please move on to question #47.)

Job status of other employed adult. w8goempl01

[1] Part-time

[2] Full-time

Occupation w8goempl01_str

Person's relationship to child w8gother01

Job status of other employed adult. w8goempl02

[1] Part-time

[2] Full-time

Occupation w8goempl02_str

Person's relationship to child w8gother02

ABOUT YOUR NEIGHBORHOOD / COMMUNITY

What is it like to live in your neighborhood or community? Many neighborhoods and communities are different (e.g., some are urban, some are rural). We ask you to consider your neighborhood / community as the local area where you conduct your everyday lives. Your neighborhood may include places that are convenient for you to shop, nearby religious or public institutions, or a local business district.

47 . Does your neighborhood / community have a name? w8gneighn

[0] No

[1] Yes

If yes, what is it called? w8gnein_str [Qual.]

48 . About how long have you lived in your current neighborhood / community? w8ghomyr

[1] Less than one year [4] 5-6 years

[2] 1-2 years [5] More than 6 years

[3] 3-4 years

49 . On the whole, how much do you like or dislike your neighborhood / community? w8gneighlike

[1] Dislike a lot [4] Like a little

[2] Dislike a little [5] Like a lot

[3] Neither dislike nor like

50 . Why? w8gnlike_str

[Qual.]

51 . How strongly do you agree that...

Strongly Disagree

Disagree Not Sure Agree Strongly

Agree

1. People around here are willing to help neighbors. w8gneigh1

[1] [2] [3] [4] [5]

2. This is a close-knit neighborhood. w8gneigh2

3. People in this neighborhood can be trusted. w8gneigh3

4. People in this neighborhood generally do not get along with each other. w8gneigh4

5. People in this neighborhood do not share the same values. w8gneigh5

6. Parents in this neighborhood know their children's friends. w8gneigh11

7. Adults in this neighborhood know who the local children are. w8gneigh12

8. There are adults in this neighborhood that children can look up to. w8gneigh13

9. Parents in this neighborhood generally know each other. w8gneigh14

10. You can count on adults in this neighborhood to watch out that children are safe and don't get in trouble. w8gneigh15

52 . How likely is it that your neighbors could be counted on to take action if…

Very

Unlikely Unlikely

Neither Likely nor Unlikely

Likely Very

Likely

1. Children were skipping school or hanging out on the street corner. w8gneigh6

[1]

[2]

[3]

[4]

[5]

2. Children were painting graffiti on a local building. w8gneigh7

3. Children were showing disrespect to an adult. w8gneigh8

4. A fight broke out in front of their house. w8gneigh9

5. The fire station closest to home was threatened with budget cuts. w8gneigh10

53 . How often do you and your neighbors…

Never Rarely Sometimes Often

1. Do favors for each other w8gneigh16

[0]

[1]

[2]

[3]

2. Have parties or other get-togethers where other people in the neighborhood are invited w8gneigh17

3. Watch over the property of a neighbor who is not home w8gneigh18

4. Visit in each other's homes or on the street w8gneigh19

5. Ask each other advice about personal things such as childrearing or job openings w8gneigh20

6. Supervise each other's children w8gneigh21

54 . Does your neighborhood / community have a(n)?

No

[0]

Yes

[1]

Don't Know

[2]

Please mark if you or your

child uses this resource

0= unmarked

1= marked

1. School w8gnres01 w8gnres01u

2. Park, playground, athletic field or open space within walking distance w8gnres02

w8gnres02u

3. Church, synagogue, mosque, or other place of worship w8gnres03

w8gnres03u

4. Out of school recreation program w8gnres04 w8gnres04u

5. Community newspaper, newsletter, or bulletin w8gnres05 w8gnres05u

6. Neighborhood association, block group, tenant association, or community council w8gnres06

w8gnres06u

7. Citizens advocacy group w8gnres07 w8gnres07u

8. Coalition for youth development w8gnres08 w8gnres08u

9. Neighborhood watch group or crime prevention program w8gnres09

w8gnres09u

10. Co-operative (food, business, farming, etc.) w8gnres10 w8gnres10u

11. Civic groups (e.g., Masons, Elks, Rotary) w8gnres11 w8gnres11u

12. Library w8gnres12 w8gnres12u

13. Hospital or health clinic w8gnres13 w8gnres13u

14. Museum or historical site, cultural attraction w8gnres14 w8gnres14u

15. Police station w8gnres15 w8gnres15u

16. Fire station w8gnres16 w8gnres16u

17. Local offices for state or federal congress persons w8gnres17

w8gnres17u

18. Public transportation w8gnres18 w8gnres18u

19. Youth center w8gnres19 w8gnres19u

20. Community center / neighborhood center w8gnres20 w8gnres20u

21. Bank w8gnres21 w8gnres21u

22. Grocery store w8gnres22 w8gnres22u

23. Restaurant (not fast food) w8gnres23 w8gnres23u

24. Non-chain restaurant w8gnres24 w8gnres24u

25. Bookstore w8gnres25 w8gnres25u

26. Other resource you find important: w8gnres26

w8gnres26u

please describe w8gnres26_str

55 .

Does anything prevent you from using the resources and services or engaging in the opportunities in your neighborhood / community? Check all that apply. 0= unmarked 1= marked

[1] Don't have time w8gbarrier1

[1] Transportation w8gbarrier2

[1] Hours of operation w8gbarrier3

[1] Don't feel welcome w8gbarrier4

[1] Safety w8gbarrier5

[1] Financial resources w8gbarrier6

[1] Other w8gbarrier7

(please specify) w8gbarrier7_str

[Qual.]

We are interested in your assessment of some of your child's behaviors, skills and beliefs. Please indicate below your level of agreement with the following statements.

56 .

My child has the skills to succeed in school, in social situations with friends and adults, in play, and at home. My child knows how to behave and does what is needed to do well. w8gcomp

Strongly Agree Agree Not Sure Disagree Strongly Disagree

[5] [4] [3] [2] [1]

57 .

My child believes that he/she can succeed and do what is needed to do well in the family, in school, in social situations with friends and adults, in play and in other areas that are important to him/her (for example, sports, music, religious activities). w8gconf

Strongly Agree Agree Not Sure Disagree Strongly Disagree

[5] [4] [3] [2] [1]

58 .

My child has positive relationships with his/her parents, siblings, and other family members, and with friends, teachers, coaches, or mentors. w8gconn

Strongly Agree Agree Not Sure Disagree Strongly Disagree

[5] [4] [3] [2] [1]

59.

My child knows what is "right and wrong" and "does the right thing." My child is open to others' perspectives and believes in social justice for all. My child is honest. w8gchar

Strongly Agree Agree Not Sure Disagree Strongly Disagree

[5] [4] [3] [2] [1]

60 .

My child cares about other people. He or she is concerned about whether others have what they need (shows sympathy) and shows a sense of compassion (empathy). My child is both sympathetic and empathetic to others. w8gcare

Strongly Agree Agree Not Sure Disagree Strongly Disagree

[5] [4] [3] [2] [1]

61 .

My child tries to do things to help the family, to help neighbors, and to help the community. My child tries to also help himself/herself by staying healthy (eating right, exercising, getting enough sleep). w8gcontrib

Strongly Agree Agree Not Sure Disagree Strongly Disagree

[5] [4] [3] [2] [1]

Thank you!

Please DO NOT FOLD this survey!

Please return the survey using the large, self-addressed, stamped manila envelope included in this packet.

The 4-H Longitudinal Study of Positive Youth Development

Institute for Applied Research in Youth Development

Lincoln-Filene Building

Tufts University

Medford, MA 02155