Early Childhood
Spanish Inventory
www.thefamilymap.org
Date of Interview
Fecha de la entrevista:
Location of Interview - 00000001
En el hogar
Location of Interview - 2
En otra casa
Location of Interview - 3
En la escuela
Location of Interview - 4
En un lugar público
Lugar donde se realizó la entrevista:
Masculino
Child Gender - 00000001
Male
Child Gender - 2
Female
Femenino
Name of the child
Parent Gender - 00000001
Male
Parent Gender - 2
Female
Masculino
Femenino
Parent Name
Target Child - 1
1
Target Child - 2
2
Target Child - 3
3
Target Child - 4
4
Niño destinatario
Padre o madre de familia/Tutor(a) legal:
Nombre del hijo/de la hija:
Code of the interviewer
Entrevista realizada por:
AgenCode
Código de agencia:
state
Ubicación:
region
Región:
CenCode
Colegio:
ClassCode
Clase:
Sent - 1
Sent - 0
isSaved - 1
isSaved - 0
(Use '00000' for test records)
Edad del hijo/de la hija:
First Digit of Child Age in Month
Meses
child age - 1
36 meses o menos
child age - 2
37-42 meses
child age - 3
43-48 meses
child age - 4
49-54 meses
child age - 5
55-60 meses
child age - 6
61 meses o mas
What do you consider your child's race - q1a_1
Blanco(a)
What do you consider your child's race - q1a_2
Indígena Americano o Indígena de Alaska
What do you consider your child's race - q1a_3
Asiático(a)
What do you consider your child's race - q1a_4
Negro(a)
What do you consider your child's race - q1a_5
Indígena de Hawaii o de otra isla del Pacífico
What do you consider your child's race - q1a_6
De otra raza
b) ¿Considera a su hijo(a) latino(a) o hispano(a)?
Do you consider your child to be Hispanic or Latino - 1
Sí
Do you consider your child to be Hispanic or Latino - 0
No
1. a) ¿De qué raza su hijo considera usted?
Indique todas las opciones que le correspondan.
Other - Race Identified
3. ¿Qué parentesco tiene con este niño / con esta niña?
Your relationship to child - 1
Padre o madre biológico(a)
Your relationship to child - 2
Padre o madre de acogida
Your relationship to child - 3
Compañero(a) de vida del padre o de la madre
Your relationship to child - 4
Otro familiar
Your relationship to child - 5
Padrastro o Madrastra
Your relationship to child - 6
Padre o madre adoptivo(a)
Your relationship to child - 7
Abuelo(a)
Your relationship to child - 8
Otra persona:
El mapa familiar del niño/de la niña desde su nacimiento hasta los 3 años de edad
(para las familias que tienen niños que acaban de nacer hasta los 3 años de edad)
Other - Raltionship to Child
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Parent ID
Parent ID
Early Childhood
Spanish Inventory
Parent ID
Parent ID
Child One Name
Child one relationship to mother
Child Two Name
Child two relationship to mother
Child Three Name
Child three relationship to mother
Child Four Name
Child four relationship to mother
Child Five Name
Child five relationship to mother
Child Six Name
Child six relationship to mother
Child Seven Name
Child seven relationship to mother
SECCIÓN No. 1
APOYO INTERNO
SECCIÓN No. 1
S1. Aparte del inglés, ¿hablan otro idioma en su hogar?
Language spoken in home - 0
No
Language spoken in home - 1
Español
Language spoken in home - 2
Otro idioma:
Other - None English Language Spoken in Home
Comfortable Speaking English - 1
Comfortable Speaking English - 2
Comfortable Speaking English - 3
Comfortable Speaking English - 4
Con qué frecuencia:
Do Family Members Translate English for You with Program Staff - 1
Do Family Members Translate English for You with Program Staff - 2
Do Family Members Translate English for You with Program Staff - 3
Do Family Members Translate English for You with Program Staff - 4
Do you understand the written mateials presented - 1
Do you understand the written mateials presented - 2
Do you understand the written mateials presented - 3
Do you understand the written mateials presented - 4
Do you feel comfortable asking program staff to translate written mateials for you - 1
Do you feel comfortable asking program staff to translate written mateials for you - 2
Do you feel comfortable asking program staff to translate written mateials for you - 3
Do you feel comfortable asking program staff to translate written mateials for you - 4
S2. ¿Ha participado o está participando actualmente en un programa parecido a éste?
Por ejemplo: Head Start, HIPPY, programa de visitas al hogar
Involved in Similar Program Previously - 0
No
Involved in Similar Program Previously - 1
Sí
Si contestó que sí,
indique lo siguiente:
Other - name of previous program involved with
a) ¿Se ha puesto alguna meta relacionadas con dicho programa?
Goals with this Program? - 0
No
Goals with this Program? - 1
Sí
S3. ¿Cuántos otros niños y niñas viven en el hogar con usted?
Incluya solamente a personas menores de 18 años.
No incluya a la figura materna.
children in home - 0
0
children in home - 1
1
children in home - 2
2
children in home - 3
3
children in home - 4
4
children in home - 5
5
children in home - 6
6
children in home - 7
7
Nombre:
Parentesco de esta persona con la mamá:
ningún otro niño(a)
S4. ¿Está usted inscrito(a) en alguna escuela actualmente?
S5. ¿Cuál nivel de educación ha completado? (que haya finalizado)
completed school classification - 1
completed school classification - 2
completed school classification - 3
completed school classification - 4
completed school classification - 5
completed school classification - 6
No termine la Preparatoria
Diploma de Preparatoria
GED
Escuela Técnica, Certificado
Técnico/Licencia
Título Universitario
(de 4 años)
Current school enrollment - 1
Current school enrollment - 2
Current school enrollment - 3
Current school enrollment - 4
Current school enrollment - 5
No estoy inscrito(a)
GED
Escuela Preparatoria
Instituto Técnico (Votech), Certificado Técnico/Licencia
Universidad
Título Universitario de 2 años o algo de Universidad
Marque el total:
¿Cuál programa?
Siempre
Frecuente-
mente
Algunas veces
Casi nunca
NoZone_4
Si respondió que No, pase a la pregunta S2.
Si alguna respuesta se encuentra en el área sombreada: Considere el inglés como segundo idioma como una meta.
Si actualmente no está inscrito(a), ni tampoco ha terminado la secundaria:
Considere la educación como una meta.
¿Le ayuda algún miembro de su familia a hablar en inglés con el personal del programa debido a que ellos hablan un mejor inglés?
b)
a)
¿Se siente tranquilo(a) al hablar en inglés?
Si otro:
¿Puede entender la información por escrito que le han dado de parte del programa?
c)
¿Se siente tranquilo(a) al pedirle al personal del programa que le traduzcan los materiales informativos?
d)
Utilice la Tarjeta de Respuestas
Early Childhood
Spanish Inventory
Parent ID
Parent ID
S6. Durante la semana pasada, ¿cuántas horas que le hayan pagado trabajó usted?
(Indique la cantidad de horas normales trabajadas en caso de que la semana pasada no haya sido una semana normal. Sume las horas de todos los trabajos.)
No está
trabajando
hours worked last week - 1
hours worked last week - 2
hours worked last week - 3
hours worked last week - 4
hours worked last week - 5
hours worked last week - 6
hours worked last week - 7
hours worked last week - 8
De 1 a 10 horas
De 11 a 20 horas
De 21 a 30 horas
De 31 a 40 horas
De 41 a 50 horas
De 51 a 60 horas
De 60 horas en adelante
a) ¿Cuánto tiempo ha estado en este trabajo?
(Indique el trabajo más reciente si tiene más de un trabajo)
time at job - 1
time at job - 2
time at job - 3
time at job - 4
time at job - 5
3 meses o menos
De 3 a 6
meses
De 7 meses
a un año
De 1 a 3 años
De 3 años a más
b) ¿Cuántos trabajos tiene actualmente?
number of jobs - 1
1
number of jobs - 2
2
number of jobs - 3
3
c) ¿Qué turnos trabaja regularmente?
what kind of shift do you work - 1
what kind of shift do you work - 2
what kind of shift do you work - 3
what kind of shift do you work - 4
what kind of shift do you work - 5
Un turno normal durante el día
Un turno normal durante la tarde
Un turno normal durante la noche
Un turno con horario combinado
Otro tipo de turno
What shift do you usually work - detail?
S7. ¿Cuántos adultos viven en el hogar con usted?
Incluya solamente a personas de 18 años o mayores. No incluya a la figura materna.
number of adults in home - 0
0
number of adults in home - 1
1
number of adults in home - 2
2
number of adults in home - 3
3
number of adults in home - 4
4
number of adults in home - 5
5
number of adults in home - 6
6
number of adults in home - 7
7
number of adults in home - 8
8
number of adults in home - 9
9
S8. ¿Recibe usted o cualquier miembro de su familia pagos por el desempleo?
receiving unemployment payments - 00000001
Sí
receiving unemployment payments - 0
No
S9. A continuación queremos platicar sobre el otro padre o madre de familia de su hijo(a), ya sea que viva con usted o no.
Nombre
¿Qué parentesco tiene con su hijo(a)?
¿Cuánto tiempo han vivido en la misma casa?
¿Cuál fue su último año de estudios?
(que haya terminado)
¿Está inscrito(a) en alguna escuela actualmente?
¿Cuántas horas trabajadas le pagan actualmente?
name of parental figure outside the home
Padre o Madre de familia que vive fuera del hogar
name of parental figure in the home
Padre o Madre de familia que vive en el hogar
time lived together - 1
time lived together - 2
time lived together - 3
Un año o menos
De 2 a 3 años
De 4 años en adelante
relationship to child - 1
relationship to child - 2
relationship to child - 3
Padre o madre biológico(a)
Padrastro o Madrastra, Padre o Madre de Crianza, Padre o Madre Adoptivo(a)
Su compañero(a)
Relationship to child - 1
Relationship to child - 2
Relationship to child - 3
Padre o madre biológico(a)
Padrastro o Madrastra, Padre o Madre de Crianza, Padre o Madre Adoptivo(a)
Su compañero(a)
NoZone_S6
Si no está trabajando, pase a la pregunta S7.
Si alguna respuesta se encuentra en el área sombreada: Considere el Empleo como una meta.
Si actualmente no se encuentra inscrito(a) en una escuela secundaria y si no ha tenido otros estudios:
Considere la educación como una meta.
Universidad
Instituto Técnico
Diploma de Preparatoria /GED
No termine la Preparatoria
education level - 1
education level - 2
education level - 3
education level - 4
Universidad
Instituto Técnico
Tengo título de secundaria/ GED
No
current enrollment status - 1
current enrollment status - 2
current enrollment status - 3
current enrollment status - 4
hours working per week - 1
hours working per week - 2
hours working per week - 3
hours working per week - 4
50 horas o más
Entre 20 y 50 horas
20 horas o menos
Entre 0 y 10 horas
education level - 1
education level - 2
education level - 3
education level - 4
No termine la Preparatoria
Diploma de Preparatoria /GED
Instituto Técnico
Universidad
current enrollment status - 1
current enrollment status - 2
current enrollment status - 3
current enrollment status - 4
Universidad
Instituto Técnico
Tengo título de secundaria/ GED
No
hours worked per week - 1
hours worked per week - 2
hours worked per week - 3
hours worked per week - 4
50 horas o más
Entre 20 y 50 horas
20 horas o menos
Entre 0 y 10 horas
Early Childhood
Spanish Inventory
Parent ID
Parent ID
S10. Hablemos acerca de las otras personas que viven en el hogar, que le ayuden con su hijo(a). ¿Cómo se llaman?
Nombre
¿Qué parentesco tiene esta persona con su hijo(a)?
¿Cuánto tiempo han vivido en la misma casa?
¿Cuál fue su último año de estudios?
(que haya terminado)
¿Está inscrito(a) en alguna escuela actualmente?
¿Cuántas horas trabajadas le pagan actualmente?
Name of Other Adult living in the home - one
other adult one - number of years lived in home - 1
other adult one - number of years lived in home - 2
other adult one - number of years lived in home - 3
Un año o menos
De 2 a 3 años
De 4 años en adelante
other adult one - completed education level - 1
other adult one - completed education level - 2
other adult one - completed education level - 3
other adult one - completed education level - 4
No termine la Preparatoria
Diploma de Preparatoria / GED
Instituto Técnico
Universidad
other adult one - Classification of Education Currently enrolled in - 1
other adult one - Classification of Education Currently enrolled in - 2
other adult one - Classification of Education Currently enrolled in - 3
other adult one - Classification of Education Currently enrolled in - 4
No
Tengo título de secundaria/ GED
Instituto Técnico
Universidad
other adult one - hours per week currently working - 1
other adult one - hours per week currently working - 2
other adult one - hours per week currently working - 3
other adult one - hours per week currently working - 4
Entre 0 y 10 horas
20 horas o menos
Entre 20 y 50 horas
50 horas o más
relationship to child - one - 1
relationship to child - one - 2
relationship to child - one - 3
Abuelo o abuela del niño/de la niña
Tío o tía del niño/de la niña
Otro
relationship to child - other - one
Name of Other Adult living in the home - two
other adult two - number of years lived in home - 1
other adult two - number of years lived in home - 2
other adult two - number of years lived in home - 3
Un año o menos
De 2 a 3 años
De 4 años en adelante
other adult two - completed education level - 1
other adult two - completed education level - 2
other adult two - completed education level - 3
other adult two - completed education level - 4
No termine la Preparatoria
Diploma de Preparatoria / GED
Instituto Técnico
Universidad
other adult two - Classification of Education Currently enrolled in - 1
other adult two - Classification of Education Currently enrolled in - 2
other adult two - Classification of Education Currently enrolled in - 3
other adult two - Classification of Education Currently enrolled in - 4
No
Tengo título de secundaria/ GED
Instituto Técnico
Universidad
other adult two - hours per week currently working - 1
other adult two - hours per week currently working - 2
other adult two - hours per week currently working - 3
other adult two - hours per week currently working - 4
Entre 0 y 10 horas
20 horas o menos
Entre 20 y 50 horas
50 horas o más
relationship to child - two - 1
relationship to child - two - 2
relationship to child - two - 3
Abuelo o abuela del niño/de la niña
Tío o tía del niño/de la niña
Otro
relationship to child - other - two
Name of Other Adult living in the home - three
other adult three - number of years lived in home - 1
other adult three - number of years lived in home - 2
other adult three - number of years lived in home - 3
Un año o menos
De 2 a 3 años
De 4 años en adelante
other adult three - completed education level - 1
other adult three - completed education level - 2
other adult three - completed education level - 3
other adult three - completed education level - 4
No termine la Preparatoria
Diploma de Preparatoria / GED
Instituto Técnico
Universidad
other adult three - Classification of Education Currently enrolled in - 1
other adult three - Classification of Education Currently enrolled in - 2
other adult three - Classification of Education Currently enrolled in - 3
other adult three - Classification of Education Currently enrolled in - 4
No
Tengo título de secundaria/ GED
Instituto Técnico
Universidad
other adult three - hours per week currently working - 1
other adult three - hours per week currently working - 2
other adult three - hours per week currently working - 3
other adult three - hours per week currently working - 4
Entre 0 y 10 horas
20 horas o menos
Entre 20 y 50 horas
50 horas o más
relationship to child - three - 1
relationship to child - three - 2
relationship to child - three - 3
Abuelo o abuela del niño/de la niña
Tío o tía del niño/de la niña
Otro
relationship to child - other - three
(Pregunte acerca de un máximo de 3 personas). Pase a la siguiente pregunta si nadie le ayuda en el hogar.
Si actualmente no se encuentra inscrito(a) en una escuela secundaria y si no ha tenido otros estudios:
Considere la educación como una meta.
1.
2.
3.
Early Childhood
Spanish Inventory
Parent ID
Parent ID
Esta entrevista incluirá preguntas acerca de su familia durante el año pasado, el mes pasado y la semana pasada.
R1.
Antes de seguir adelante, en cuanto al
mes pasado
, ¿fue un mes normal para usted?
Has the past month been typical for you? - 1
Sí
Has the past month been typical for you? - 0
No
R2.
R3.
In the last 6 months, have you been separated from the family more than a week? - 1
Sí
In the last 6 months, have you been separated from the family more than a week? - 0
No
In the last 6 months, has another adult in the household been separated from the family more than a week? - 1
Sí
In the last 6 months, has another adult in the household been separated from the family more than a week? - 0
No
In the next 6 months, do you anticipate being separated from the family more than a week? - 1
Sí
In the next 6 months, do you anticipate being separated from the family more than a week? - 0
No
In the next 6 months, do you anticipate an another adult in the household being separated from the family more than a week? - 1
Sí
In the next 6 months, do you anticipate an another adult in the household being separated from the family more than a week? - 0
No
Otra persona
Usted
R4.
Durante
el año pasado
, ¿cuántas veces se ha cambiado de casa su niño(a)?
R5.
¿Tiene planes de cambiarse de casa durante
el próximo año
?
R6.
Durante
el año pasado
, ¿ha vivido usted y su hijo(a) con otros familiares o amigos, en un albergue, hotel, en un vehículo o en otro tipo de vivienda temporal?
R7.
Durante
el mes pasado
, ¿cuántas veces pasó su hijo(a) la noche en otro lugar?
In the past year how many times has your child moved residences? - 0
0
In the past year how many times has your child moved residences? - 1
1
In the past year how many times has your child moved residences? - 2
2
In the past year how many times has your child moved residences? - 3
3
In the past year how many times has your child moved residences? - 4
Más
Do you plan to move residences in the next year? - 1
Sí
Do you plan to move residences in the next year? - 0
No
Have you and your child lived with family or friends or in a shelter, hotel, car or other temporary housing in the past year? - 1
Sí
Have you and your child lived with family or friends or in a shelter, hotel, car or other temporary housing in the past year? - 0
No
In the past month, how many times did your child spend the night someplace else? - 0
0
In the past month, how many times did your child spend the night someplace else? - 1
1
In the past month, how many times did your child spend the night someplace else? - 2
2
In the past month, how many times did your child spend the night someplace else? - 3
Más
Si fueron más de 3
How many different places did they spend the night someplace else? - 1
1
How many different places did they spend the night someplace else? - 2
2
How many different places did they spend the night someplace else? - 3
Más
El tener una rutina diaria y una casa organizada puede ayudar a las personas de muchas maneras. Las siguientes preguntas tienen que ver con lo que ha sucedido la semana pasada.
Si la semana pasada no fue muy normal (por ejemplo si salió de viaje), pregunte sobre
la semana antepasada
. Si la persona no tiene una rutina relacionada con uno de los siguientes puntos, entonces marque la columna que dice Ningún día.
Ningún día
1
día
2 días
3 días
4 días
5 días
6 días
7 días
R8.
En cuanto a
los últimos 7 días
, cuántos días su hijo(a) o si niño menos de 6 meses usted:
a)
¿se cepilló los dientes aproximadamente a la misma hora?
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 0
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 1
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 2
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 3
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 4
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 5
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 6
In the past 7 days, how many of those days did your child brush teeth at about the same time, if less than 6 months did you do for them? - 7
Si alguna respuestas se encuentra en el área sombreada: Considere las estrategias de apoyo como una meta.
Si alguna respuestas se encuentra en el área sombreada: Considere la vivienda como una meta.
Si 2 o más respuestas se encuentran en el área sombreada:
Considere el establecer una rutina diaria como una meta.
Durante
los últimos 6 meses
, ¿estuvo usted o alguna otra persona que vive con la familia fuera de su casa y separado(a) de su familia durante más de una semana? (debido a estar en las fuerzas armadas, o a un trabajo, o a haber estado en la cárcel?
En los
próximos 6 meses
, cree que usted o alguien más en su casa va a estar separado de la familia por más de una semana (debido a estar en las fuerzas armadas, o a un trabajo, o a haber estado en la cárcel)
RUTINAS
SECCIÓN No. 2
b)
¿se bañó o lo bañaron aproximadamente a la misma hora?
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 0
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 1
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 2
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 3
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 4
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 5
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 6
In the past 7 days, how many of those days did your child get a bath at about the same time, if less than 6 months did you do for them? - 7
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 0
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 1
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 2
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 3
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 4
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 5
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 6
In the past 7 days, how many of those days did your child go to bed at about the same time, if less than 6 months did you do for them? - 7
c)
¿se acostó o lo acostaron aproximadamente a la misma hora?
d)
¿mantuvo una rutina regular en la mañana?
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 0
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 1
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 2
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 3
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 4
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 5
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 6
In the past 7 days, how many of those days did your child stick to a regular morning routine, if less than 6 months did you do for them? - 7
¿En cuántos lugares diferentes pasó la noche?
a)
Early Childhood
Spanish Inventory
Parent ID
Parent ID
R10.
¿Qué tan a menudo
se encuentra su hijo(a) en la habitación
mientras se están viendo los siguientes tipos de programas de televisión:
Muestre la tarjeta con los ejemplos de los programas
a)
Películas clasificadas
G
(Audiencia General o todo público) o programas de televisión clasificados Y (para la juventud)
b)
Películas clasificadas
PG
(Programas que necesitan la guía del padre o madre o programas de televisión clasificados Y-7
c)
Películas clasificadas
PG-13
/ programas de televisión clasificados 14
d)
Películas clasificadas
R
(Restringidas, o programas de televisión para adultos)
G or Y rated TV Programs or Movies - how often do you watch with your child in the room? - 0
G or Y rated TV Programs or Movies - how often do you watch with your child in the room? - 1
G or Y rated TV Programs or Movies - how often do you watch with your child in the room? - 2
G or Y rated TV Programs or Movies - how often do you watch with your child in the room? - 3
Nunca
1 vez al mes
De 1 a 2 veces a la semana
3 o más veces a la semana
PG or Y-7 rated TV Programs or Movies - how often do you watch with your child in the room? - 0
PG or Y-7 rated TV Programs or Movies - how often do you watch with your child in the room? - 1
PG or Y-7 rated TV Programs or Movies - how often do you watch with your child in the room? - 2
PG or Y-7 rated TV Programs or Movies - how often do you watch with your child in the room? - 3
PG-13 or Y-14 rated TV Programs or Movies - how often do you watch with your child in the room? - 0
PG-13 or Y-14 rated TV Programs or Movies - how often do you watch with your child in the room? - 1
PG-13 or Y-14 rated TV Programs or Movies - how often do you watch with your child in the room? - 2
PG-13 or Y-14 rated TV Programs or Movies - how often do you watch with your child in the room? - 3
R or Mature Audience rated TV Programs or Movies - how often do you watch with your child in the room? - 0
R or Mature Audience rated TV Programs or Movies - how often do you watch with your child in the room? - 1
R or Mature Audience rated TV Programs or Movies - how often do you watch with your child in the room? - 2
R or Mature Audience rated TV Programs or Movies - how often do you watch with your child in the room? - 3
R11.
¿Cuántas horas
está encendida
la televisión en la casa durante un día normal de
la semana de trabajo aunque nadie la esté viendo
?
R12.
Durante un día de
la semana de trabajo
, ¿cuántas horas ve televisión su hijo(a) o cuántas horas juega con los juegos de video o juegos de computadoras?
Uno de los problemas comunes de los niños y los adultos es el no dormir lo suficiente. Sumemos el número de horas que su niño duerme cada día.
R9.
Pensando en el día de
ayer
,
a)
¿A qué horas se durmió su niño/a?
¿A qué horas se despertó?
b)
¿Cuántas horas durmió su hijo(a) durante la siesta?
Los maestros pueden dar información sobre las siestas y preguntar sobre los fines de semana si es necesario.
Número total de horas dormidas
8 horas o menos
De 9 a 10 horas
De 11 a 12 horas
13 horas
14
horas
15 horas
16
horas
Add # of hours child slept to # of hours of nap time
R9_hours - 1
R9_hours - 2
R9_hours - 3
R9_hours - 4
R9_hours - 5
R9_hours - 6
R9_hours - 7
R9_hours - 8
R9_total
Un hogar muy activo
Un hogar no muy organizado
Un hogar demasiado lleno de gente que viven en un espacio pequeño
Un hogar muy calmado
Un hogar muy organizado
Un hogar que no está demasiado lleno de gente
How active or calm is your home? - 1
1
How active or calm is your home? - 2
2
How active or calm is your home? - 3
3
How active or calm is your home? - 4
4
How well organized or disorganized is your home? - 1
1
How well organized or disorganized is your home? - 2
2
How well organized or disorganized is your home? - 3
3
How well organized or disorganized is your home? - 4
4
How crowded or uncrowded is your home with people living there or staying over? - 1
1
How crowded or uncrowded is your home with people living there or staying over? - 2
2
How crowded or uncrowded is your home with people living there or staying over? - 3
3
How crowded or uncrowded is your home with people living there or staying over? - 4
4
HrsSleep
How many hours did your child nap?
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 0
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 1
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 2
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 3
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 4
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 5
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 6
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 7
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 8
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 9
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 10
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 11
How many hours does your child watch TV or play video or computer games at home on a usual weekday? - 12
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 0
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 1
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 2
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 3
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 4
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 5
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 7
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 6
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 8
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 9
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 10
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 11
How many hours is a tv on at home during a usual weekday, even if no one is watching? - 12
De 8 a
9 horas
Más de 10 horas
De 9 a
10 horas
De 7 a
8 horas
De 6 a
7 horas
De 5 a
6 horas
De 4 a
5 horas
De 3 a
4 horas
De 2 a
3 horas
De 1 a
2 horas
De ½ a
1 hora
Menos de ½ hora
Ninguna hora
calculate
Calcular
17 horas o más tiempo
Hours - what time did your child go to sleep?
Hora
Minutes - what time did your child go to sleep?
Minuto
AM or PM - what time did your child go to sleep? - AM
AM
AM or PM - what time did your child go to sleep? - PM
PM
:
Hours - what time did your child wake up?
Hora
Minutes - what time did your child wake up?
Minuto
AM or PM - what time did your child wake up? - AM
AM
AM or PM - what time did your child wake up? - PM
PM
Si el total de horas es menos de 15 (<6 meses), 14 (6 -12 meses), 13 (13 - 24 meses), 12 (25 - 36 meses): Considere el establecer una rutina para dormir, como una meta.
Utilice la tarjeta de clasificación de los programas de televisión
Si alguna respuesta se encuentra en el área sombreada:
Considere el cambio a la rutina de ver television/ tiempo que se pasa en frente de la pantalla como una meta.
De 8 a
9 horas
Más de 10 horas
De 9 a
10 horas
De 7 a
8 horas
De 6 a
7 horas
De 5 a
6 horas
De 4 a
5 horas
De 3 a
4 horas
De 2 a
3 horas
De 1 a
2 horas
De ½ a
1 hora
Menos de ½ hora
Ninguna hora
Si el total de las respuestas a las preguntas R11 y R12 es más de 4 horas:
Considere el cambio a la rutina de ver television/ tiempo que se pasa en frente de la pantalla como una meta.
Si 2 o más de las respuestas se encuentran en el área sombreada:
Considere la organización del hogar como una meta.
Early Childhood
Spanish Inventory
Parent ID
Parent ID
Los niños aprenden de las personas que les rodean, de los lugares adonde van y de los juguetes con que juegan. Recuerde que los juguetes pueden ser de los que venden en las tiendas, de los hechos a mano o de los que se utilizan para otras cosas como las ollas y cacerolas. ¿Cuántas cosas de las que se indican en la lista tiene usted en casa, con las cuales su hijo(a) puede jugar cuando quiere?
L1.
¿Tiene cosas que ellos:
Indique cuántas cosas tiene que se ocupen para una actividad/juego, por ejemplo: el papel para dibujar y las crayones equivalen a un solo juego/actividad. El tener 3 peluches equivale a un solo juego/actividad.
0
1
2
3 o mas
e)
¿para el arte o actividades creativas tales como las crayones, marcadores, yeso o plastilina? *Indique cuántos tipos de cosas tiene, por ejemplo: el papel para dibujar y las crayolas equivalen a 1 actividad/juego.
L1d - 0
L1d - 1
L1d - 2
L1d - 3
c)
¿para un aprendizaje interactivo como los juegos Leap Frogtm, juegos para leer en voz alta o juguetes electrónicos para contar?
L1c - 0
L1c - 1
L1c - 2
L1c - 3
b)
¿para aprender, como los juegos para comparar cosas y para separar por tamaños?
L1b - 0
L1b - 1
L1b - 2
L1b - 3
a)
¿para construir o armar como los bloques, legos o rompecabezas?
L1a - 0
L1a - 1
L1a - 2
L1a - 3
0
De
1 a 2
De
3 a 9
De 10 o más
A muchas personas les gusta leer y es importante que los niños sean expuestos a los libros y a la lectura a temprana edad.
Do you have a library card? - 1
Sí
Do you have a library card? - 0
No
L2.
¿Cuántos libros infantiles tiene su hijo(a) que sean de él/de ella o que comparta con sus hermanos o hermanas?
How many children's books does your child have of his or her own or share with brothers or sisters? - 0
How many children's books does your child have of his or her own or share with brothers or sisters? - 1
How many children's books does your child have of his or her own or share with brothers or sisters? - 2
How many children's books does your child have of his or her own or share with brothers or sisters? - 3
L4.
Durante el mes pasado, ¿ha ido a la biblioteca pública?
In the past month, have you visited the library? - 1
Sí
In the past month, have you visited the library? - 0
No
L3.
¿Tiene una tarjeta de la biblioteca?
L5.
Durante
la semana pasada
, ¿cuántas veces le leyeron o le mostraron un libro a su hijo(a) las siguientes personas?
(no incluya los datos de cuando el niño/la niña haya estado en la guardería)
d)
¿para el desarrollo muscular tales como una pelota de baloncesto, saltacuerdas o una bicicleta?
L1e - 0
L1e - 1
L1e - 2
L1e - 3
L1f - 0
L1f - 1
L1f - 2
L1f - 3
f)
¿para la música, tales como instrumentos musicales de juguete o reproductor de MP3?
PREPARACIÓN PARA LA ESCUELA
SECCIÓN No. 3
a)
Mamá o persona que es como la mamá
b)
Papá o persona que es como el papá
c)
Otra persona
In the past week, how many times did anyone else read or look at a book with your child? - 0
In the past week, how many times did anyone else read or look at a book with your child? - 1
In the past week, how many times did anyone else read or look at a book with your child? - 2
In the past week, how many times did anyone else read or look at a book with your child? - 3
In the past week, how many times did father/figure read or look at a book with your child? - 0
In the past week, how many times did father/figure read or look at a book with your child? - 1
In the past week, how many times did father/figure read or look at a book with your child? - 2
In the past week, how many times did father/figure read or look at a book with your child? - 3
In the past week, how many times did mother/figure read or look at a book with your child? - 0
In the past week, how many times did mother/figure read or look at a book with your child? - 1
In the past week, how many times did mother/figure read or look at a book with your child? - 2
In the past week, how many times did mother/figure read or look at a book with your child? - 3
No tengo la información
o Ninguna vez
De 1 a 2 veces a la semana
De 3 a 5 veces a la semana
6 veces a la semana o más veces
Si alguna respuesta se encuentra en el área sombreada:
Considere aprender de Material Didáctico como una meta.
Si todas las respuestas se encuentran en las áreas sombreadas:
Considere los materiales de lectura como uno meta.
Si todas las respuestas se encuentran en el area sombreada: Considere el alfabetismo como una meta.
Early Childhood
Spanish Inventory
Parent ID
Parent ID
L6.
a)
Jugaron con su hijo(a) con los juguetes o con los juegos
b)
Hablaron con su hijo(a) mientras hacían los quehaceres del hogar
c)
Le dijeron a su hijo(a) el nombre de las cosas, de los lugares y de las personas
d)
Jugaron “persiguiendo” o bailando con su hijo(a)
e)
Jugaron afuera bastante y durante mucho tiempo al grado que le dio calor a su hijo(a) y se cansó
L7.
El padre o madre de familia puede ayudar a sus hijos a estar listos para la escuela. Durante
la semana pasada
, cuántas veces
usted o alguien más de su familia
utilizó los juegos, juguetes, libros u otros objetos:
a)
¿Para contar las cosas con su hijo(a)? (“¡Mira, tienes dos dientes!”)
b)
¿Para cantar la canción del alfabeto o para señalar las letras o las palabras?
c)
¿Para señalar y decir los colores? (“Te pongo tu zapato rojo.”)
d)
¿Para señalar y nombrar la forma de las cosas? (“Mira la pelota redonda.”)
L8.
Durante
el último mes
, ha hecho
usted o alguien de su familia
alguna de estas cosas con su niño/niña:
No
Sí
In the past month, have you or someone in your family taken your child on an outing such as shopping? - 0
In the past month, have you or someone in your family taken your child on an outing such as shopping? - 1
a)
¿Ha llevado a su niño/niña a un paseo como el ir de compras?
Seguidamente, queremos preguntarle acerca de algunas cosas que los padres de familia hacen con sus hijos pequeños para divertirse fuera de casa.
In the past month, have you or someone in your family taken your child for a walk or to a local park? - 0
In the past month, have you or someone in your family taken your child for a walk or to a local park? - 1
In the past month, have you or someone in your family taken your child to go visit a friend or relative? - 0
In the past month, have you or someone in your family taken your child to go visit a friend or relative? - 1
b)
¿Ha ido a caminar o a un parque local?
c)
¿Ha ido a visitar a un amigo o a un familiar?
L9.
Durante
el año pasado
, ha hecho
usted o alguien de su familia
alguna de estas cosas con su niño(a):
No
Sí
In the past year, have you or someone in your family taken your child to a play, concert or other live show? - 0
In the past year, have you or someone in your family taken your child to a play, concert or other live show? - 1
a)
¿Ha ido a una obra de teatro, concierto u otro evento en vivo?
In the past year, have you or someone in your family taken your child to visit the zoo? - 0
In the past year, have you or someone in your family taken your child to visit the zoo? - 1
In the past year, have you or someone in your family taken your child to visit the an art gallery, museum, or historical site? - 0
In the past year, have you or someone in your family taken your child to visit the an art gallery, museum, or historical site? - 1
b)
¿Ha visitado un zoológico o a un acuario?
d)
¿Ha asistido a un evento comunitario como una feria, festival, desfile o fiesta del vecindario?
c)
¿Ha visitado una galería de arte, museo o sitio histórico?
In the past year, have you or someone in your family taken your child to attend a community event like a fair, festival, parade or block party? - 0
In the past year, have you or someone in your family taken your child to attend a community event like a fair, festival, parade or block party? - 1
El jugar es una manera maravillosa para que aprenden los niños.
En la
última semana
, ¿cuántas veces hicieron lo siguiente ya sea usted
o alguien de la familia
?
Ninguna vez
De 1 a 2 veces a la semana
De 3 a 5 veces a la sem ana
6 veces a la semana o más
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - count things with your child? - 0
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - count things with your child? - 1
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - count things with your child? - 2
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - count things with your child? - 3
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - sing the alphabet song or point out letters or words? - 0
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - sing the alphabet song or point out letters or words? - 1
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - sing the alphabet song or point out letters or words? - 2
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - sing the alphabet song or point out letters or words? - 3
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name colors? - 0
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name colors? - 1
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name colors? - 2
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name colors? - 3
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name shapes? - 0
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name shapes? - 1
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name shapes? - 2
In the past week, how many times did you or someone in your family use games, toys, books or other objects to - point out and name shapes? - 3
In the past week, how many times did you or someone in your family - play chase or dancing games with child? - 0
In the past week, how many times did you or someone in your family - play chase or dancing games with child? - 1
In the past week, how many times did you or someone in your family - play chase or dancing games with child? - 2
In the past week, how many times did you or someone in your family - play chase or dancing games with child? - 3
In the past week, how many times did you or someone in your family - tell your child the name of things, places or people? - 0
In the past week, how many times did you or someone in your family - tell your child the name of things, places or people? - 1
In the past week, how many times did you or someone in your family - tell your child the name of things, places or people? - 2
In the past week, how many times did you or someone in your family - tell your child the name of things, places or people? - 3
In the past week, how many times did you or someone in your family - talk to your child while doing ordinary household chores? - 0
In the past week, how many times did you or someone in your family - talk to your child while doing ordinary household chores? - 1
In the past week, how many times did you or someone in your family - talk to your child while doing ordinary household chores? - 2
In the past week, how many times did you or someone in your family - talk to your child while doing ordinary household chores? - 3
In the past week, how many times did you or someone in your family - play with toys or games with your child? - 0
In the past week, how many times did you or someone in your family - play with toys or games with your child? - 1
In the past week, how many times did you or someone in your family - play with toys or games with your child? - 2
In the past week, how many times did you or someone in your family - play with toys or games with your child? - 3
In the past week, how many times did you or someone in your family - play games like peek-a-boo or patty cake with your child? - 0
In the past week, how many times did you or someone in your family - play games like peek-a-boo or patty cake with your child? - 1
In the past week, how many times did you or someone in your family - play games like peek-a-boo or patty cake with your child? - 2
In the past week, how many times did you or someone in your family - play games like peek-a-boo or patty cake with your child? - 3
Ninguna vez
De 1 a 2 veces
a la semana
De 3 a 5 veces
a la semana
6 veces a la semana o más
Si 3 o más respuestas se encuentran en el área sombreada:
Considere las actividades educativas como uno meta.
Si 2 o más respuestas se encuentran en el área sombreada:
Considere las actividades educativas como uno meta.
Si 6 o más de las respuestas se encuentran en el área sombreada:
Considere las experiencias para el aprendizaje como una meta.
In the past week, how many times did you or someone in your family - play chase or dancing games with child? - 0
In the past week, how many times did you or someone in your family - play chase or dancing games with child? - 1
In the past week, how many times did you or someone in your family - play chase or dancing games with child? - 2
In the past week, how many times did you or someone in your family - play chase or dancing games with child? - 3
f)
))
Hicieron artes y manualidades con su hijo(a)calor a su hijo(a) y se cansó
L7e - 0
L7e - 1
L7e - 2
L7e - 3
¿Para señalar el tamaño de las cosas? (“¡El gato es pequeño, pero el perro es grande!”)
e)
Early Childhood
Spanish Inventory
Parent ID
Parent ID
A los niños les gusta hacer muchas cosas por sí mismos. Las próximas preguntas tienen que ver con las cosas que usted permite que su hijo(a) haga en la habitación o patio aunque
no esté acompañándole a él/ella ningún adulto ni otro niño(a) que tenga más de 12 años
.
M1.
Cuál es el mayor tiempo que usted permite que su hijo(a):
Nunca
5 minutos o menos
De 5 a 10 minutos
De 10 a 30 minutos
M1a - 0
M1a - 1
M1a - 2
M1a - 3
M1a - 4
30 minutos
o más tiempo
M1b - 0
M1b - 1
M1b - 2
M1b - 3
M1b - 4
M1c - 0
M1c - 1
M1c - 2
M1c - 3
M1c - 4
Durante
el mes pasado
, piense en todas las personas con quienes estuvo su hijo(a) mientras usted estaba fuera, aún durante cortos períodos de tiempo. Asegúrese de incluir [los períodos] durante los cuales se encuentraba en el trabajo, la escuela o cuando haciendo mandados en corto tiempo y cuando su hijo(a) fue transportado en un vehículo con alguien más.
M2.
Durante
el mes pasado
, ¿con cuántas personas se quedó su hijo(a)?
How many people did your child stay with in the past month? - 0
How many people did your child stay with in the past month? - 1
How many people did your child stay with in the past month? - 2
How many people did your child stay with in the past month? - 3
How many people did your child stay with in the past month? - 4
How many people did your child stay with in the past month? - 5
How many people did your child stay with in the past month? - 6
Ninguna vez
De 1 a 2 veces
De 3 a 4 veces
De 10 veces en adelante
De 5 a 6 veces
De 7 a 8 veces
9 veces
NoZone
Si 0 salte al M3:
How many people did your child stay with in the past month - were any of these under 13 years of age? - 0
How many people did your child stay with in the past month - were any of these under 13 years of age? - 1
a)
¿Alguna de estas personas tenía menos de 13 años de edad?
How many people did your child stay with in the past month - were any of these poeple you have known less than one month? - 0
How many people did your child stay with in the past month - were any of these poeple you have known less than one month? - 1
b)
¿Ha conocido a cualquiera de estas personas por menos de un mes?
M3.
Durante el mes pasado, tuvo algún problema para hallar a alguien que le cuidara a sus hijos cuando estuvieron enfermos o cuando no pudieron ir con la persona que normalmente los cuida o porque necesitaba que se los cuidaran después del horario normal?
In the past month, did you have problems finding care for any of your children when they were sick and couldn't go to their regular care or for hours outside of their regular care? - 0
In the past month, did you have problems finding care for any of your children when they were sick and couldn't go to their regular care or for hours outside of their regular care? - 1
M4.
Durante el último mes, tuvo algún problema para hallar a alguien que le cuidara a cualquiera de sus hijos – durante el día o durante la noche?
In the past month, did you have problems finding care for any of your children, day or night? - 0
In the past month, did you have problems finding care for any of your children, day or night? - 1
a)
¿Se bañe solo(a) aunque usted no se encuentre en el baño?
b)
¿Juegue dentro de la casa mientras usted se encuentra afuera?
c)
¿Juegue afuera mientras usted se encuentra adentro de la casa?
MONITOREO
SECCIÓN No. 4
No
Sí
No
Sí
Si alguna respuestas se encuentra en el área sombreada:
Considere el monitoreo de las estrategias como una meta familiar.
Si alguna respuesta se encuentra en el área sombreada:
Considere el cuidado de los niños como una meta familiar.
Early Childhood
Spanish Inventory
Parent ID
Parent ID
Las próximas cuatro preguntas tienen que ver con el crimen y la seguridad de su vecindario. Al hablar del vecindario nos referimos a las cuadras que rodean su casa o a un área que al caminar se encuentre a poca distancia de la misma.
E3.
En su vecindario, ¿qué tan serio es el problema que causa la venta y el uso de drogas? Diría usted que:
No es serio
No es demasiado serio
Mas o menos serio
Muy serio
Is your neighborhood have issues with people selling or using drugs? - 1
Is your neighborhood have issues with people selling or using drugs? - 2
Is your neighborhood have issues with people selling or using drugs? - 3
Is your neighborhood have issues with people selling or using drugs? - 4
Nunca
Parte del tiempo
La mayoría del tiempo
Todo el tiempo
Thinking about crime and safety in your neighborhood, how often do you think about moving because of the safety of the neighborhood? - 1
Thinking about crime and safety in your neighborhood, how often do you think about moving because of the safety of the neighborhood? - 2
Thinking about crime and safety in your neighborhood, how often do you think about moving because of the safety of the neighborhood? - 3
Thinking about crime and safety in your neighborhood, how often do you think about moving because of the safety of the neighborhood? - 4
Nunca suceden
Casi nunca suceden
Suceden mas o menos a menudo
Suceden muy a menudo
How often are there problems with muggings, burglaries, assaults, or other criminal activities in your neighborhood? - 1
How often are there problems with muggings, burglaries, assaults, or other criminal activities in your neighborhood? - 2
How often are there problems with muggings, burglaries, assaults, or other criminal activities in your neighborhood? - 3
How often are there problems with muggings, burglaries, assaults, or other criminal activities in your neighborhood? - 4
E4.
En su vecindario, ¿con qué frecuencia hay problemas de atracos, robos, asaltos, agresiones u otras actividades criminales? Diría usted que estas cosas:
Nunca
Una vez
Dos veces
Tres veces
E5.
Durante el último año
, al pensar en las personas que viven en su casa o en su vecindario, cuántas veces:
In the past year, how many times has your child been physically hurt by someone for example hit, kciked, punched or spanked in a way that left marks by somone in your home or neighborhood? - 0
In the past year, how many times has your child been physically hurt by someone for example hit, kciked, punched or spanked in a way that left marks by somone in your home or neighborhood? - 1
In the past year, how many times has your child been physically hurt by someone for example hit, kciked, punched or spanked in a way that left marks by somone in your home or neighborhood? - 2
In the past year, how many times has your child been physically hurt by someone for example hit, kciked, punched or spanked in a way that left marks by somone in your home or neighborhood? - 3
In the past year, how many times has your child been physically hurt by someone for example hit, kciked, punched or spanked in a way that left marks by somone in your home or neighborhood? - 4
Más de 3 veces
a)
¿ha lastimado alguien físicamente
a su hijo(a)
, por ejemplo, a golpes, patadas, puñetazos o palmadas de tal manera que le ha dejado marcas?
b)
¿ha lastimado alguien físicamente
a usted o a alguien que vive en su hogar
?
In the past year, how many times have you or someone living in your home been physically hurt by someone? - 0
In the past year, how many times have you or someone living in your home been physically hurt by someone? - 1
In the past year, how many times have you or someone living in your home been physically hurt by someone? - 2
In the past year, how many times have you or someone living in your home been physically hurt by someone? - 3
In the past year, how many times have you or someone living in your home been physically hurt by someone? - 4
c)
¿ha visto
su hijo(a)
a alguien que ha tratado de lastimar físicamente a otra persona?
In the past year, has your child ever seen someone try to physically hurt another person? - 0
In the past year, has your child ever seen someone try to physically hurt another person? - 1
In the past year, has your child ever seen someone try to physically hurt another person? - 2
In the past year, has your child ever seen someone try to physically hurt another person? - 3
In the past year, has your child ever seen someone try to physically hurt another person? - 4
d)
¿ha observado
su hijo(a)
alguna actividad relacionada con las drogas o con el sexo?
In the past year, has your child ever seen someone involved in drug or sexual activities? - 0
In the past year, has your child ever seen someone involved in drug or sexual activities? - 1
In the past year, has your child ever seen someone involved in drug or sexual activities? - 2
In the past year, has your child ever seen someone involved in drug or sexual activities? - 3
In the past year, has your child ever seen someone involved in drug or sexual activities? - 4
Muy malo
Mas o menos malo
Mas o menos bueno
Muy bueno
How do you feel about your neighborhood - doe you feel it is good or bad? - 1
How do you feel about your neighborhood - doe you feel it is good or bad? - 2
How do you feel about your neighborhood - doe you feel it is good or bad? - 3
How do you feel about your neighborhood - doe you feel it is good or bad? - 4
El vecindario no es seguro
How Safe or Unsafe is your neighborhood? - 1
1
How Safe or Unsafe is your neighborhood? - 2
2
How Safe or Unsafe is your neighborhood? - 3
3
How Safe or Unsafe is your neighborhood? - 4
4
El vecindario es seguro
LA SEGURIDAD DE SU MEDIO AMBIENTE
SECCIÓN No. 5
E5 le corresponde a los hermanos y hermanas del niño/de la niña
Utilice la tarjeta de respuestas
E1.
¿Qué piensa de su vecindario? Considera que es:
E2.
Al pensar en el crimen y la seguridad de su vecindario, ¿qué tan a menudo piensa en mudarse debido a la falta de seguridad en su vecindario? Diría usted que:
Si alguna respuestas se encuentra en el área sombreada:
Considere las estrategias para la vivienda y la seguridad como una meta.
Si alguna respuestas se encuentra en el área sombreada:
Considere la seguridad familiar o la consejería como una meta.
Early Childhood
Spanish Inventory
Parent ID
Parent ID
El criar a los hijos es estresante y desafiante y de vez en cuando,
todos
los padres y madres de familia tienen dificultades en esto. ¿Qué tanto está usted de acuerdo con los siguientes puntos?
No estoy de acuerdo
Estoy de acuerdo
Estoy
completamente de acuerdo
F8.
Durante
el mes pasado
, me he sentido estresado(a) por las obligaciones diarias de criar a los niños.
Complet amente en desacuerdo
F9.
Durante
el mes pasado
, me he sentido tan estresado(a) que tuve miedo de que podría llegar a perder el control.
F10.
Me preocupo porque pienso que voy a malcriar a mi hijo(a) al darle demasiada atención o al cargarlo(a) cuando llora.
F11.
Siento que es más difícil cuidar a mi hijo(a) que a la mayoría de los niños de su edad.
F12.
Esperaba sentir más cariño por mi hijo(a) del que tengo y esto me molesta.
F13.
Cuando hago unas cosas para mi hijo(a), siento que no agradece mis esfuerzos.
F14.
A veces el castigo que le doy a mi hijo(a) depende de mi sentido de humor.
Las siguientes preguntas tienen que ver con las personas que podrían ayudarle a criar a su hijo(a). Si más de una persona comparte con usted la tarea de criar a su hijo(a), conteste las preguntas sobre la persona con quien usted está menos de acuerdo.
Nunca o raras veces
Algunas veces
A menudo o siempre
Regarding people that help you raise your child - how often do you and this person have disagreements about how to raise your child? - 1
Regarding people that help you raise your child - how often do you and this person have disagreements about how to raise your child? - 2
Regarding people that help you raise your child - how often do you and this person have disagreements about how to raise your child? - 3
Pase a la siguiente pregunta únicamente si no hay otra persona que le ayude a criar a su hijo(a).
Regarding people that help you raise your child - how often does conversations turn hostile or angey with them? - 1
Regarding people that help you raise your child - how often does conversations turn hostile or angey with them? - 2
Regarding people that help you raise your child - how often does conversations turn hostile or angey with them? - 3
Regarding people that help you raise your child - how often do disagreements related to money to buy things for or support the child occurre? - 1
Regarding people that help you raise your child - how often do disagreements related to money to buy things for or support the child occurre? - 2
Regarding people that help you raise your child - how often do disagreements related to money to buy things for or support the child occurre? - 3
F2.
Cuando usted y esta persona hablan sobre cómo criar a su hijo(a), ¿con qué frecuencia la conversación lleva un tono hostil o de enojo?
F3.
Los próximos puntos tienen que ver con
los miembros de la familia u otras personas que usted considera parte de la familia
a quienes ve por lo menos cada semana. Por favor indique con qué frecuencia es cierto lo que dice cada punto siguiente con respecto a su familia:
Nunca o raras veces
Algunas veces
A menudo o siempre
Regarding family members or others you consider family that you see at least weekly - how often is it true for people to lose their tempers? - 1
Regarding family members or others you consider family that you see at least weekly - how often is it true for people to lose their tempers? - 2
Regarding family members or others you consider family that you see at least weekly - how often is it true for people to lose their tempers? - 3
F4.
Las personas que forman parte de mi familia pierden los estribos.
Regarding family members or others you consider family that you see at least weekly - how often is it true for people to feel very close? - 1
Regarding family members or others you consider family that you see at least weekly - how often is it true for people to feel very close? - 2
Regarding family members or others you consider family that you see at least weekly - how often is it true for people to feel very close? - 3
F5.
Los miembros de la familia son muy unidos.
Regarding family members or others you consider family that you see at least weekly - how often is it true for people to raise their voices to yell or in anger? - 1
Regarding family members or others you consider family that you see at least weekly - how often is it true for people to raise their voices to yell or in anger? - 2
Regarding family members or others you consider family that you see at least weekly - how often is it true for people to raise their voices to yell or in anger? - 3
F6.
Levantamos la voz y gritamos enojados.
Regarding family members or others you consider family that you see at least weekly - how often is it true for people to be supportive of each other? - 1
Regarding family members or others you consider family that you see at least weekly - how often is it true for people to be supportive of each other? - 2
Regarding family members or others you consider family that you see at least weekly - how often is it true for people to be supportive of each other? - 3
F7.
Las personas que forman parte de mi familia nos ayudamos y apoyamos uno al otro.
F1.
¿Con qué frecuencia usted y esta persona no están de acuerdo en cuanto a cómo criar a su hijo(a)?
How much do you agree - during the past month, I felt stressed out with the day-to-day demands of raising chidlren? - 1
How much do you agree - during the past month, I felt stressed out with the day-to-day demands of raising chidlren? - 2
How much do you agree - during the past month, I felt stressed out with the day-to-day demands of raising chidlren? - 3
How much do you agree - during the past month, I felt stressed out with the day-to-day demands of raising chidlren? - 4
How much do you agree - during the past month, I felt so stressed out that I was afraid I might lose control? - 1
How much do you agree - during the past month, I felt so stressed out that I was afraid I might lose control? - 2
How much do you agree - during the past month, I felt so stressed out that I was afraid I might lose control? - 3
How much do you agree - during the past month, I felt so stressed out that I was afraid I might lose control? - 4
How much do you agree - during the past month, I worry I will spoil my child by giving them too much attention? - 1
How much do you agree - during the past month, I worry I will spoil my child by giving them too much attention? - 2
How much do you agree - during the past month, I worry I will spoil my child by giving them too much attention? - 3
How much do you agree - during the past month, I worry I will spoil my child by giving them too much attention? - 4
How much do you agree - during the past month, I felt that your child was much harder to care for than most children their age? - 1
How much do you agree - during the past month, I felt that your child was much harder to care for than most children their age? - 2
How much do you agree - during the past month, I felt that your child was much harder to care for than most children their age? - 3
How much do you agree - during the past month, I felt that your child was much harder to care for than most children their age? - 4
How much do you agree - during the past month, I expected to have closer or warmer feelings for your child and that bothers you? - 1
How much do you agree - during the past month, I expected to have closer or warmer feelings for your child and that bothers you? - 2
How much do you agree - during the past month, I expected to have closer or warmer feelings for your child and that bothers you? - 3
How much do you agree - during the past month, I expected to have closer or warmer feelings for your child and that bothers you? - 4
How much do you agree - during the past month, I felt unappreciated when I do things for my child. - 1
How much do you agree - during the past month, I felt unappreciated when I do things for my child. - 2
How much do you agree - during the past month, I felt unappreciated when I do things for my child. - 3
How much do you agree - during the past month, I felt unappreciated when I do things for my child. - 4
How much do you agree - during the past month, that sometimes the punishment given to your child depended on your mood. - 1
How much do you agree - during the past month, that sometimes the punishment given to your child depended on your mood. - 2
How much do you agree - during the past month, that sometimes the punishment given to your child depended on your mood. - 3
How much do you agree - during the past month, that sometimes the punishment given to your child depended on your mood. - 4
¿Con qué frecuencia usted y esta persona no están de acuerdo con respecto al dinero para comprar cosas para el/la niño(a) o el dinero para su manutención? (como la manutención infantil si no están casados).
UNIDAD FAMILIAR
SECCIÓN No. 6
Si 2 o más respuestas se encuentran en el área sombreada:
Considere la consejería para las relaciones personales como una meta.
Si 2 o más de las respuestas se encuentran en el área sombreada:
Considere la consejería familiar como una meta.
F8 al F14 le corresponden a los hermanos y hermanas del niño/de la niña
Utilice la tarjeta de respuestas
Utilice la tarjeta de respuestas
Utilice la tarjeta de respuestas
Si 3 o más respuestas se encuentran en el área sombreada:
Considere la educación para los padres y madres de familia como una meta.
Early Childhood
Spanish Inventory
Parent ID
Parent ID
Cuando su hijo(a) ha hecho algo malo, con qué frecuencia:
D2.
How often in the past week, have you had to punish your child for misbehavior? - 0
How often in the past week, have you had to punish your child for misbehavior? - 1
How often in the past week, have you had to punish your child for misbehavior? - 2
How often in the past week, have you had to punish your child for misbehavior? - 3
How often in the past week, have you had to punish your child for misbehavior? - 4
How often in the past week, have you had to punish your child for misbehavior? - 5
A veces los niños hacen cosas que no deberían hacer.
Durante
la semana pasada
, ¿Con qué frecuencia ha tenido que castigar a su hijo(a)?
D1.
0
1-2
3-4
5-6
7-9
10 o más
When you child has done something wrong, how often do you - use time out - make your child stand or sit in a corner or chair? - 0
When you child has done something wrong, how often do you - use time out - make your child stand or sit in a corner or chair? - 1
When you child has done something wrong, how often do you - use time out - make your child stand or sit in a corner or chair? - 2
When you child has done something wrong, how often do you - use time out - make your child stand or sit in a corner or chair? - 3
When you child has done something wrong, how often do you - use time out - make your child stand or sit in a corner or chair? - 4
¿lo(a) pone en tiempo tranquilo; hace que se pare en una esquina o que se siente en una silla?
a)
When you child has done something wrong, how often do you - take away privileges or object/toy for a period of time, restrict access? - 0
When you child has done something wrong, how often do you - take away privileges or object/toy for a period of time, restrict access? - 1
When you child has done something wrong, how often do you - take away privileges or object/toy for a period of time, restrict access? - 2
When you child has done something wrong, how often do you - take away privileges or object/toy for a period of time, restrict access? - 3
When you child has done something wrong, how often do you - take away privileges or object/toy for a period of time, restrict access? - 4
¿lo(a) manda a su recámara o dormitorio?
b)
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 0
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 1
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 2
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 3
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 4
¿no deja que haga algo que le guste o le quita un juguete o algo que le guste, por un período de tiempo. Le quita el acceso a ello?
c)
When you child has done something wrong, how often do you - discuss the problem - ask questions - teach them? - 0
When you child has done something wrong, how often do you - discuss the problem - ask questions - teach them? - 1
When you child has done something wrong, how often do you - discuss the problem - ask questions - teach them? - 2
When you child has done something wrong, how often do you - discuss the problem - ask questions - teach them? - 3
When you child has done something wrong, how often do you - discuss the problem - ask questions - teach them? - 4
When you child has done something wrong, how often do you - ignore it? - 0
When you child has done something wrong, how often do you - ignore it? - 1
When you child has done something wrong, how often do you - ignore it? - 2
When you child has done something wrong, how often do you - ignore it? - 3
When you child has done something wrong, how often do you - ignore it? - 4
Ocupa un cinturón, palo delgado o cualquier objeto para darle en el trasero.
When you child has done something wrong, how often do you - yell at your child? - 0
When you child has done something wrong, how often do you - yell at your child? - 1
When you child has done something wrong, how often do you - yell at your child? - 2
When you child has done something wrong, how often do you - yell at your child? - 3
When you child has done something wrong, how often do you - yell at your child? - 4
When you child has done something wrong, how often do you - Slap your child's hand? - 0
When you child has done something wrong, how often do you - Slap your child's hand? - 1
When you child has done something wrong, how often do you - Slap your child's hand? - 2
When you child has done something wrong, how often do you - Slap your child's hand? - 3
When you child has done something wrong, how often do you - Slap your child's hand? - 4
When you child has done something wrong, how often do you - spank your child with your hand? - 0
When you child has done something wrong, how often do you - spank your child with your hand? - 1
When you child has done something wrong, how often do you - spank your child with your hand? - 2
When you child has done something wrong, how often do you - spank your child with your hand? - 3
When you child has done something wrong, how often do you - spank your child with your hand? - 4
k)
When you child has done something wrong, how often do you - spank your child with a beld, switch or other object? - 0
When you child has done something wrong, how often do you - spank your child with a beld, switch or other object? - 1
When you child has done something wrong, how often do you - spank your child with a beld, switch or other object? - 2
When you child has done something wrong, how often do you - spank your child with a beld, switch or other object? - 3
When you child has done something wrong, how often do you - spank your child with a beld, switch or other object? - 4
j)
f)
Hablan del problema, hacen preguntas y/o les enseña y orienta.
Le da unas palmadas en el trasero.
LA DISCIPLINA Y LOS CASTIGOS
SECCIÓN No. 7
Todos los puntos son para los hermanos y hermanas del niño/de la niña
Utilice la tarjeta de respuestas
No le
corresponde
/Nunca
Raras veces
Algunas veces
Frecue- ntemente
Siempre
Si todas las respuestas se encuentran en el área sombreada:
Considere las estrategias para la disciplina y los castigos como una meta.
No
corresponde
/Nunca
Raras veces
Algunas veces
Frecue- ntemente
Siempre
g)
Lo ignora
h)
Le grita.
i)
Le da una palmada en la mano.
Si alguna respuesta se encuentran en el área sombreada:
Considere las estrategias para la disciplina y los castigos como una meta.
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 0
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 1
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 2
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 3
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 4
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 0
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 1
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 2
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 3
When you child has done something wrong, how often do you - redirect, distract, or turn the child's attention to something else? - 4
¿le da quehaceres extras?
d)
¿le habla sobre algo más, distrae o hace que la atención del niño/de la niña pase a algo más?
e)
Early Childhood
Spanish Inventory
Parent ID
Parent ID
A veces es difícil que las familias obtengan la atención médica que necesitan.
La siguiente parte de la entrevista tiene que ver con la salud de su familia.
H1.
¿Tiene usted un problema de salud o enfermedad que requiera atención médica regular y continua?
Por ejemplo, una discapacidad, una enfermedad mental o problemas de salud crónicos como el asma, alergias severas, anemia de células falciformes o parálisis cerebral.
Do you have a health issue or illness that requires regular, ongoing care or medication? - 0
No
Do you have a health issue or illness that requires regular, ongoing care or medication? - 1
Si
Si su respuesta es No, pase a la pregunta H2.
Apunte la condición médica:
Notate Condition - Details
Determine la necesidad: ¿Comprende qué es lo que el doctor o terapista quiere que usted haga a diario para tratar el problema de salud? ¿Tiene algún plan que el doctor le haya dado? ¿Se siente tranquilo(a) al seguir el plan? ¿Tiene algún problema que le impida seguir y cumplir con el plan?
H2.
¿Tiene su hijo(a) un problema o enfermedad de salud o física que requiera atención médica regular y continua?
Por ejemplo, una discapacidad, una enfermedad mental o problemas de salud crónicos como el asma, alergias severas, infecciones en el oído repetitivas, anemia de células falciformes, parálisis cerebral o ADHD.
Does your child have a health issue or illness that requires ongoing care or medication? - 0
No
Does your child have a health issue or illness that requires ongoing care or medication? - 1
Si
Si su respuesta es No, pase a la pregunta H3.
Apunte la condición médica:
Notate Condition - Details
Determine la necesidad: ¿Comprende qué es lo que el doctor o terapista quiere que usted haga a diario para tratar el problema de salud? ¿Tiene algún plan que el doctor le haya dado? ¿Se siente tranquilo(a) al seguir el plan? ¿Tiene algún problema que le impida seguir y cumplir con el plan?
H3.
¿Tiene alguien más que vive en la casa un problema de salud o enfermedad o física que requiera atención médica regular y continua?
Does anyone else in the home have health issues or illness that requires ongoing care or medication? - 0
No
Does anyone else in the home have health issues or illness that requires ongoing care or medication? - 1
Si
Si su respuesta es No, pase a la pregunta H4.
Apunte la condición médica:
Notate Condition - Details
Determine la necesidad: ¿Tienen algún plan que el doctor le haya dado? ¿Se sienten tranquilos(as) con el plan?
Sí, la atención médica es estrenuante.
Has a Plan of Action or Needs help with Planning - 1
1
Has a Plan of Action or Needs help with Planning - 2
2
Has a Plan of Action or Needs help with Planning - 3
3
Has a Plan of Action or Needs help with Planning - 4
4
No hay nadie más en casa
H4.
¿Tiene usted un doctor que considere como el doctor de su hijo(a)?
H6.
H7.
¿Tiene usted un dentista que lo considere como el dentista de su hijo?
H8.
¿Tiene un seguro médico su hijo(a)?
Do you have a dentist you consider to be your child's dentist? - 0
Do you have a dentist you consider to be your child's dentist? - 1
Does your child have health insurance? - 0
Does your child have health insurance? - 1
Can you get health care when your child is sick or injured that is not from a hospital emergency room? - 0
Can you get health care when your child is sick or injured that is not from a hospital emergency room? - 2
Can you get health care when your child is sick or injured that is not from a hospital emergency room? - 1
¿Puede obtener atención médica cuando su hijo(a) está enfermo(a) o cuando se ha lastimado? (que no sea la que se recibe en una sala de emergencia de un hospital).
No
No estoy seguro(a)
Sí
H5.
¿Ha recibido su hijo/a los chequeos recomendados del doctor en los últimos 12 meses? Estos chequeos son visitas al doctor cuando su hijo/a no está enfermo/a y se llaman chequeos de niño sano. Son recomendados a los 2 ½, 3 y 4 años de edad.
Si alguna respuesta se encuentran en el área sombreada: Considere la atención médica como una meta.
H2 y del H4 al H9 le corresponden a los hermanos y hermanas del niño/de la niña
SALUD
SECCIÓN No. 8
Necesita ayuda con el plan
Has a Plan of Action or Needs help with Planning - 1
1
Has a Plan of Action or Needs help with Planning - 2
2
Has a Plan of Action or Needs help with Planning - 3
3
Has a Plan of Action or Needs help with Planning - 4
4
Tiene un plan y lo está cumpliendo
Necesita ayuda con el plan
Has a Plan of Action or Needs help with Planning - 1
1
Has a Plan of Action or Needs help with Planning - 2
2
Has a Plan of Action or Needs help with Planning - 3
3
Has a Plan of Action or Needs help with Planning - 4
4
Tiene un plan y lo está cumpliendo
Si alguna respuesta se encuentran en el área sombreada:
Considere la asistencia médica como una meta.
Do you have a dentist you consider to be your child's dentist? - 0
Do you have a dentist you consider to be your child's dentist? - 1
Can you get health care when your child is sick or injured that is not from a hospital emergency room? - 0
Can you get health care when your child is sick or injured that is not from a hospital emergency room? - 2
Can you get health care when your child is sick or injured that is not from a hospital emergency room? - 1
H9.
¿Tiene usted un seguro médico?
Do you have health insurance? - 0
Do you have health insurance? - 1
H10.
¿Puede obtener atención médica cuando usted está enfermo(a) o cuando se ha lastimado? (que no sea la que se recibe en una sala de emergencia de un hospital).
Can you get health care when you are sick or injured that is not from a hospital emergency room? - 0
Can you get health care when you are sick or injured that is not from a hospital emergency room? - 2
Can you get health care when you are sick or injured that is not from a hospital emergency room? - 1
Early Childhood
Spanish Inventory
Parent ID
Parent ID
Sí,
actualmente
H11.
Está embarazada actualmente?
Are you currently pregnant? - 0
Are you currently pregnant? - 1
H12.
Hay alguna persona en su hogar que se encuentre embarazada actualmente?
Is anyone else in your home pregnant? - 0
Is anyone else in your home pregnant? - 1
H13.
Durante el último mes, ¿cuántas veces a la semana hizo ejercicio como ir a trotar, correr o caminar durante por lo menos 30 minutos?
Ninguna
1 a 2 veces cada semana
3 a 4 veces cada semana
Más
In the past month, how many times each week did you exercise such as running or walking for at least 30 minutes? - 0
In the past month, how many times each week did you exercise such as running or walking for at least 30 minutes? - 1
In the past month, how many times each week did you exercise such as running or walking for at least 30 minutes? - 2
In the past month, how many times each week did you exercise such as running or walking for at least 30 minutes? - 3
In the past month, how many times per week have you felt you did not get enough rest or sleep? - 0
In the past month, how many times per week have you felt you did not get enough rest or sleep? - 1
In the past month, how many times per week have you felt you did not get enough rest or sleep? - 2
In the past month, how many times per week have you felt you did not get enough rest or sleep? - 3
H14.
Durante el último mes, ¿cuántas veces a la semana sintió como que no había descansado ni dormido lo suficiente?
H15.
A
cualquiera de los miembros de la familia
,
¿le han diagnosticado que padece de depresión?
No
Anterior- mente
Have any family members ever been diagnosed with depression? - H15_Y
Have any family members ever been diagnosed with depression? - H15_P
Have any family members ever been diagnosed with depression? - H15_N
H16.
A usted
, ¿le han diagnosticado que padece de depresión?
Have you ever been diagnosed with depression? - H16_Y
Have you ever been diagnosed with depression? - H16_P
Have you ever been diagnosed with depression? - H16_N
H17.
Durante las últimas 2 semanas, con qué frecuencia:
De ninguna manera
Varios días
Más de la mitad del tiempo
Casi todos los días
In the past 2 weeks, how often have you been - bothered by feeling down, depressed, or hopeless? - 0
In the past 2 weeks, how often have you been - bothered by feeling down, depressed, or hopeless? - 1
In the past 2 weeks, how often have you been - bothered by feeling down, depressed, or hopeless? - 2
In the past 2 weeks, how often have you been - bothered by feeling down, depressed, or hopeless? - 3
¿Se ha sentido mal, deprimido(a) o sin esperanza?
a)
In the past 2 weeks, how often have you been - bothered by having little interest or pleasure in doing things? - 0
In the past 2 weeks, how often have you been - bothered by having little interest or pleasure in doing things? - 1
In the past 2 weeks, how often have you been - bothered by having little interest or pleasure in doing things? - 2
In the past 2 weeks, how often have you been - bothered by having little interest or pleasure in doing things? - 3
¿Se ha sentido mal por tener poco interés o gusto por hacer las cosas?
b)
In the past 2 weeks, how often have you been - bothered by feeling easilly annoyed or irritated? - 0
In the past 2 weeks, how often have you been - bothered by feeling easilly annoyed or irritated? - 1
In the past 2 weeks, how often have you been - bothered by feeling easilly annoyed or irritated? - 2
In the past 2 weeks, how often have you been - bothered by feeling easilly annoyed or irritated? - 3
¿Se ha sentido mal porque se molesta o se irrita fácilmente?
c)
In the past 2 weeks, how often have you been - bothered by feeling suddenly scared for no reason? - 0
In the past 2 weeks, how often have you been - bothered by feeling suddenly scared for no reason? - 1
In the past 2 weeks, how often have you been - bothered by feeling suddenly scared for no reason? - 2
In the past 2 weeks, how often have you been - bothered by feeling suddenly scared for no reason? - 3
¿Se ha sentido mal porque de repente le ha dado miedo sin razón alguna?
d)
In the past 2 weeks, how often have you been - bothered by feeling tense or nervous? - 0
In the past 2 weeks, how often have you been - bothered by feeling tense or nervous? - 1
In the past 2 weeks, how often have you been - bothered by feeling tense or nervous? - 2
In the past 2 weeks, how often have you been - bothered by feeling tense or nervous? - 3
¿Se ha sentido mal porque se ha sentido tenso(a) o nervioso(a)?
e)
In the past 2 weeks, how often have you been - bothered by momments of terror or panic? - 0
In the past 2 weeks, how often have you been - bothered by momments of terror or panic? - 1
In the past 2 weeks, how often have you been - bothered by momments of terror or panic? - 2
In the past 2 weeks, how often have you been - bothered by momments of terror or panic? - 3
¿Se ha sentido mal por tener momentos de terror o de pánico?
f)
In the past 2 weeks, how often have you been - bothered by getting into arguments often? - 0
In the past 2 weeks, how often have you been - bothered by getting into arguments often? - 1
In the past 2 weeks, how often have you been - bothered by getting into arguments often? - 2
In the past 2 weeks, how often have you been - bothered by getting into arguments often? - 3
¿Se ha molestado porque a menudo ha tenido discusiones?
g)
No
Sí
Compartir información sobre cómo ser padre o madre de familia y sobre la salud
Share Parenting Health Information or Parent doesn't need information - 1
1
Share Parenting Health Information or Parent doesn't need information - 2
2
Share Parenting Health Information or Parent doesn't need information - 3
3
Share Parenting Health Information or Parent doesn't need information - 4
4
No necesita información
Si está embarazada: Considere la atención médica prenatal como una meta.
Si alguna respuesta se encuentran en el área sombreada:
Considere las prácticas para una buena salud como una meta.
Si alguna respuesta se encuentran en el área sombreada: Considere la consejería como una meta.
Utilice la tarjeta de respuestas
Si alguna respuesta se encuentran en el área sombreada: Considere la consejería como una meta.
Early Childhood
Spanish Inventory
Parent ID
Parent ID
H18.
¿Alguno de sus mejores amigos tiene un problema con las bebidas alcohólicas o las drogas?
Muchas personas necesitan ayuda para saber sobrellevar a familiares o amigos que tienen problemas con las bebidas alcohólicas o las drogas. En relación a esto:
H19.
¿Alguno de sus familiares más allegados tiene un problema con las bebidas alcohólicas o las drogas? (Papá o mamá, hermanos o hermanas)
a)
¿Alguno de estos amigos o familiares vive en su casa?
No
Sí
Do any of your closest friends have a problem with drinking or drugs? - 0
Do any of your closest friends have a problem with drinking or drugs? - 1
Do any of your close family members have a problem with drinking or drugs? - 0
Do any of your close family members have a problem with drinking or drugs? - 1
Do any of these friends or family members live in your home? - 0
Do any of these friends or family members live in your home? - 1
Las siguientes preguntas a menudo se utilizan para ayudar a las personas a determinar si ellos o alguien a quien ellos conocen necesita ayuda. Durante
el año pasado
:
No o no tomo bebidas alcohólicas
Sí
In the past year, have you felt you ought to cut down on your drinking or drug use? - 0
In the past year, have you felt you ought to cut down on your drinking or drug use? - 1
In the past year, have you felt annoyed by people criticizing your drinking or drug use? - 0
In the past year, have you felt annoyed by people criticizing your drinking or drug use? - 1
In the past year, have you felt bad or guilty about your drinking or drug use? - 0
In the past year, have you felt bad or guilty about your drinking or drug use? - 1
H20.
¿Ha pensado que debería de reducir la cantidad de bebidas alcohólicas que toma o la cantidad de drogas que usa?
H21.
¿Se ha molestado porque algunas personas le han criticado por las bebidas alcohólicas que toma o por las drogas que usa?
H22.
¿Se ha sentido mal o culpable debido a las bebidas alcohólicas que toma o a las drogas que usa?
H23.
¿Se ha tomado alguna bebida alcohólica o ha usado drogas al despertarse por la mañana para calmarse sus nervios?
H24.
¿Ha sentido que ha tomado más bebidas alcohólicas o drogas de las que tenía pensado tomar o usar?
In the past year, have you had a drink or used drugs as an eye opener firt thing in the morning to steady your nerves? - 0
In the past year, have you had a drink or used drugs as an eye opener firt thing in the morning to steady your nerves? - 1
In the past year, have you felt that you have drank or used drugs more than you meant to? - 0
In the past year, have you felt that you have drank or used drugs more than you meant to? - 1
Si alguna respuesta se encuentra en las áreas sombreadas:
Considere la información sobre los trastornos del espectro alcohólico fetal* y sobre el alcohol y las drogas como una meta. *Enfermedad sobre los defectos causados al bebé cuando la mamá está embarazada y toma bebidas alcohólicas o usa drogas.
Compartir información sobre el alcohol y las drogas
Share Alcohol or Drug Cessation Information - Does Not Need Information. - 1
1
Share Alcohol or Drug Cessation Information - Does Not Need Information. - 2
2
Share Alcohol or Drug Cessation Information - Does Not Need Information. - 3
3
Share Alcohol or Drug Cessation Information - Does Not Need Information. - 4
4
No necesita información
NoZone_1
Si las respuestas de H18
NoZone_1_2
y H19son "no",
NoZone_1_3
salte al H20
Early Childhood
Spanish Inventory
Parent ID
Parent ID
La siguiente parte de la entrevista es para determinar si usted necesita ayuda para satisfacer las necesidades de su familia. Durante
el año anterior
, cuántas veces:
Ninguna vez
1 o más veces
No sé
No
Sí
No sé
¿No pudieron pagar
una cuenta mensual importante
como el alquiler de la vivienda, pago de un vehículo, reparación de la casa, pago de guardería u otro pago pendiente?
B2.
In the past year, how many times - were you unable to pay an important monthly bill such as rent, car payment, house repair, child care, or other outstanding payment? - 0
In the past year, how many times - were you unable to pay an important monthly bill such as rent, car payment, house repair, child care, or other outstanding payment? - 1
In the past year, how many times - were you unable to pay an important monthly bill such as rent, car payment, house repair, child care, or other outstanding payment? - 2
¿No pudieron cubrir el costo de
una atención médica, del dentista o medicina
?
B3.
In the past year, how many times - were you unable to afford medical care, dental care or medicine? - 0
In the past year, how many times - were you unable to afford medical care, dental care or medicine? - 1
In the past year, how many times - were you unable to afford medical care, dental care or medicine? - 2
¿Tuvieron problemas con el transporte debido a que no tenía dinero para pagar la gasolina para el vehículo, para pagar por las reparaciones o para pagar el bus, taxi u otro medio de transporte
B4.
In the past year, how many times - did you have problems with transportation because you could not afford to buy gas for the car or pay for repairs or for a bus, cab or other transportation? - 0
In the past year, how many times - did you have problems with transportation because you could not afford to buy gas for the car or pay for repairs or for a bus, cab or other transportation? - 1
In the past year, how many times - did you have problems with transportation because you could not afford to buy gas for the car or pay for repairs or for a bus, cab or other transportation? - 2
¿Le debían la manutención para su hijo(a) y no le fue posible recibir dicho pago?
B5.
In the past year, how many times - were you owed child support and unable to receive it? - 0
In the past year, how many times - were you owed child support and unable to receive it? - 1
In the past year, how many times - were you owed child support and unable to receive it? - 2
¿Ha tenido un caso activo para la protección infantil?
B6.
In the past year, how many times - have you had an open child protective case? - 0
In the past year, how many times - have you had an open child protective case? - 1
In the past year, how many times - have you had an open child protective case? - 2
¿Estuvo usted o el otro padre o madre de su hijo(a) involucrado con el sistema legal?
B7.
In the past year, how many times - were you or your child's other parent involved with the legal system? - 0
In the past year, how many times - were you or your child's other parent involved with the legal system? - 1
In the past year, how many times - were you or your child's other parent involved with the legal system? - 2
Durante
el próximo año
, ¿cree que va a necesitar ayuda para pagar los servicios básicos tales como la luz, el agua, el alquiler, el transporte o la atención médica?
B8.
In the next year, how many times - do you expect you will need help paying for basic services such as utilities, rent, transportation or health care? - 0
In the next year, how many times - do you expect you will need help paying for basic services such as utilities, rent, transportation or health care? - 1
In the next year, how many times - do you expect you will need help paying for basic services such as utilities, rent, transportation or health care? - 2
Durante
el próximo año
, ¿cree que va a necesitar ayuda para pagar cosas necesarias como pañales, fórmula y cubrecamas para usted or su hijo?
B9.
In the next year, how many times - do you expect you will need help paying for necessary clothing like shoes, or coats for you or your child? - 0
In the next year, how many times - do you expect you will need help paying for necessary clothing like shoes, or coats for you or your child? - 1
In the next year, how many times - do you expect you will need help paying for necessary clothing like shoes, or coats for you or your child? - 2
B10.
La comida que compró no le alcanzó y no tenía dinero para comprar más.
B11.
Usted u otras personas que viven en casa comieron menos o no comieron porque no había suficiente dinero para la comida.
In the past year - nutritious food - how many times did the food that you bought just didn't last and you didn't have money to get more? - 0
In the past year - nutritious food - how many times did the food that you bought just didn't last and you didn't have money to get more? - 1
In the past year - nutritious food - how many times did the food that you bought just didn't last and you didn't have money to get more? - 2
In the past year - nutritious food - how many times did you or others in your household cut the size of your meals or skipped meals because there wasn't enough money for food? - 0
In the past year - nutritious food - how many times did you or others in your household cut the size of your meals or skipped meals because there wasn't enough money for food? - 1
In the past year - nutritious food - how many times did you or others in your household cut the size of your meals or skipped meals because there wasn't enough money for food? - 2
Nunca sucede
A veces sucede
A menudo sucede
¿Les cortaron
el servicio
de gas, luz, agua o teléfono debido a que no tenían suficiente dinero para pagar la cuenta?
B1.
In the past year, how many times - did you have any of your utilities such as gas, electric, water or telephone service turned off because there wasn't enough money to pay the bill? - 0
In the past year, how many times - did you have any of your utilities such as gas, electric, water or telephone service turned off because there wasn't enough money to pay the bill? - 1
In the past year, how many times - did you have any of your utilities such as gas, electric, water or telephone service turned off because there wasn't enough money to pay the bill? - 2
Durante el
año pasado
, al pensar en la alimentación y nutrición, ¿con qué frecuencia es cierto cada uno de los siguientes puntos?
B5 y B12 le corresponden a los hermanos o hermanas
NECESIDADES BÁSICAS
SECCIÓN No. 9
Si alguna respuesta se encuentran en el área sombreada: Considere las necesidades básicas como una meta.
Utilice la tarjeta de respuestas
Si alguna respuesta se encuentran en el área sombreada: Considere la ayuda alimenticia como una meta.
Early Childhood
Spanish Inventory
Parent ID
Parent ID
Más de 1 cada día
1 cada día
2 a 6 cada semana
Una vez cada semana
Ninguna
Meta de porciones diarias
1.5 taza
2 onzas
2/3 taza
3 tazas
1
taza
1 taza
Ninguna
Productos lácteos como la leche, el queso, el yogurt
a)
Carne como la carne de res, de pollo, el pescado huevos
b)
La proteína como los frijoles, guisantes, nueces, mantequilla de maní, hamburguesa vegetariana
c)
Grupo de panes, arroz, pasta, cereales, tortillas
d)
Verduras y vegetales de color verde oscuro o anaranjado y amarillo como las verduras de hojas verdes, zanahorias, brócoli, calabazín, camote –
pero no incluya las papas fritas
e)
Frutas como las manzanas, naranjas, bananos, uvas, melocotones, puré de manzana –
pero no incluya el jugo
f)
Los dulces de azúcar como los pasteles, dulces, o bebidas azucaradas como las sodas, las bebidas deportivas o el jugo y otras bebidas de frutas
About how often does your child eat food from the food group - Dairy Products like milk, cheese, yogurt? - 1
About how often does your child eat food from the food group - Dairy Products like milk, cheese, yogurt? - 2
About how often does your child eat food from the food group - Dairy Products like milk, cheese, yogurt? - 3
About how often does your child eat food from the food group - Dairy Products like milk, cheese, yogurt? - 4
About how often does your child eat food from the food group - Dairy Products like milk, cheese, yogurt? - 5
About how often does your child eat food from the food group - Meat like beef, chicken, fish, eggs? - 1
About how often does your child eat food from the food group - Meat like beef, chicken, fish, eggs? - 2
About how often does your child eat food from the food group - Meat like beef, chicken, fish, eggs? - 3
About how often does your child eat food from the food group - Meat like beef, chicken, fish, eggs? - 4
About how often does your child eat food from the food group - Meat like beef, chicken, fish, eggs? - 5
About how often does your child eat food from the food group - protein like beans, peas, nuts, peanut butter, veggie burger? - 1
About how often does your child eat food from the food group - protein like beans, peas, nuts, peanut butter, veggie burger? - 2
About how often does your child eat food from the food group - protein like beans, peas, nuts, peanut butter, veggie burger? - 3
About how often does your child eat food from the food group - protein like beans, peas, nuts, peanut butter, veggie burger? - 4
About how often does your child eat food from the food group - protein like beans, peas, nuts, peanut butter, veggie burger? - 5
About how often does your child eat food from the food group - grains like bread, rice, pasta, cereals, tortillas? - 1
About how often does your child eat food from the food group - grains like bread, rice, pasta, cereals, tortillas? - 2
About how often does your child eat food from the food group - grains like bread, rice, pasta, cereals, tortillas? - 3
About how often does your child eat food from the food group - grains like bread, rice, pasta, cereals, tortillas? - 4
About how often does your child eat food from the food group - grains like bread, rice, pasta, cereals, tortillas? - 5
About how often does your child eat food from the food group - Dark Green Vegetables or Orange-Yellow Vegetables like greens, carrots, broccoli, squash, sweet potatoes - but not french fries? - 1
About how often does your child eat food from the food group - Dark Green Vegetables or Orange-Yellow Vegetables like greens, carrots, broccoli, squash, sweet potatoes - but not french fries? - 2
About how often does your child eat food from the food group - Dark Green Vegetables or Orange-Yellow Vegetables like greens, carrots, broccoli, squash, sweet potatoes - but not french fries? - 3
About how often does your child eat food from the food group - Dark Green Vegetables or Orange-Yellow Vegetables like greens, carrots, broccoli, squash, sweet potatoes - but not french fries? - 4
About how often does your child eat food from the food group - Dark Green Vegetables or Orange-Yellow Vegetables like greens, carrots, broccoli, squash, sweet potatoes - but not french fries? - 5
About how often does your child eat food from the food group - Fruits like apples, oranges, bananas, grapes, peaches, applesauce - but not juice? - 1
About how often does your child eat food from the food group - Fruits like apples, oranges, bananas, grapes, peaches, applesauce - but not juice? - 2
About how often does your child eat food from the food group - Fruits like apples, oranges, bananas, grapes, peaches, applesauce - but not juice? - 3
About how often does your child eat food from the food group - Fruits like apples, oranges, bananas, grapes, peaches, applesauce - but not juice? - 4
About how often does your child eat food from the food group - Fruits like apples, oranges, bananas, grapes, peaches, applesauce - but not juice? - 5
B12.
Qué tan seguido come su hijo(a) uno de los alimentos de cada uno de los siguientes grupos (ya sea comida para bebé o de la que la familia come). No tome en cuenta los alimentos que le dan en la guardería.
About how often does your child eat food from the food group - sugary sweets like cakes, candy or sugary drinks like soda, sportsdrinks, juice or fruit drinks? - 1
About how often does your child eat food from the food group - sugary sweets like cakes, candy or sugary drinks like soda, sportsdrinks, juice or fruit drinks? - 2
About how often does your child eat food from the food group - sugary sweets like cakes, candy or sugary drinks like soda, sportsdrinks, juice or fruit drinks? - 3
About how often does your child eat food from the food group - sugary sweets like cakes, candy or sugary drinks like soda, sportsdrinks, juice or fruit drinks? - 4
About how often does your child eat food from the food group - sugary sweets like cakes, candy or sugary drinks like soda, sportsdrinks, juice or fruit drinks? - 5
g)
Utilice la Tarjeta de Respuestas
Si alguna respuesta se encuentra en el área sombreada:
Considere la educación sobre la nutrición como una meta.
Early Childhood
Spanish Inventory
Parent ID
Parent ID
Ahora hablemos acerca de las preocupaciones sobre la seguridad. Al pensar en
el mes pasado
, cuántas veces ha hecho un viaje su hijo(a), aunque haya sido un viaje corto:
C1.
¿Ha viajado en el asiento de enfrente del vehículo?
C2.
¿Ha viajado en el asiento trasero con el cinturón de seguridad abrochado y en el asiento de niño(a) para el vehículo?
C3.
¿Ha viajado en la cama de una camioneta o en una motocicleta?
C4.
¿Ha viajado en un vehículo para todo terreno como un cuatrimoto, podadora de césped o algún vehículo similar que no se ocupa en la carretera?
In the past month, how many rides has your child taken even on short trips - in the front seat of a vehicle? - 0
In the past month, how many rides has your child taken even on short trips - in the front seat of a vehicle? - 1
In the past month, how many rides has your child taken even on short trips - in the front seat of a vehicle? - 2
In the past month, how many rides has your child taken even on short trips - in the front seat of a vehicle? - 3
Nunca
1 a 9 veces
10 veces más
Todos los viajes
In the past month, how many rides has your child taken even on short trips - in the back seat with a seatbelt with a car seat? - 0
In the past month, how many rides has your child taken even on short trips - in the back seat with a seatbelt with a car seat? - 1
In the past month, how many rides has your child taken even on short trips - in the back seat with a seatbelt with a car seat? - 2
In the past month, how many rides has your child taken even on short trips - in the back seat with a seatbelt with a car seat? - 3
C5.
C6.
C7.
C8.
C9.
C10.
C11.
¿Alguna persona que vive en la casa donde usted habita fuma cigarrillos?
¿Alguna persona fuma cigarrillos estando dentro de la casa que usted habita?
¿Alguna persona fuma cigarrillos estando dentro del
vehículo
en que usted se conduce?
¿Hay un detector de humo que funcione bien para cada piso de su casa?
En caso de un incendio, ¿hay dos salidas libres que se puedan utilizar? Pueden ser dos puertas o una ventana por donde se puede salir sin tener problema con la seguridad personal.
Al dejar correr el agua caliente, ¿puede mantener su mano debajo de dicha agua durante varios segundos sin que se queme? (El calentador de agua tiene que ponerse a menos de 120 grados Fahrenheit.)
¿Vive en un edificio que se haya construido antes de 1978 cuando se prohibió el uso de pintura a base de plomo?
a) En los últimos 2 meses, ¿le ha hecho la prueba a su(s) detector(es) de humo?
Does anyone living in your home smoke cigarettes? - C5_N
Does anyone living in your home smoke cigarettes? - C5_Y
Does anyone living in your home smoke cigarettes? - C5_oth
No
Usted
Otra persona
Does anyone smoke cigarettes inside your home? - C6_N
Does anyone smoke cigarettes inside your home? - C6_Y
Does anyone smoke cigarettes inside your home? - C6_oth
Does anyone smoke cigarettes inside your car? - C7_N
Does anyone smoke cigarettes inside your car? - C7_Y
Does anyone smoke cigarettes inside your car? - C7_oth
No
Don't Know
Sí
Is there a working smoke detector in your home for each level? - 0
Is there a working smoke detector in your home for each level? - 2
Is there a working smoke detector in your home for each level? - 1
Have you tested your smoke detectors in the last 2 months? - 0
Have you tested your smoke detectors in the last 2 months? - 2
Have you tested your smoke detectors in the last 2 months? - 1
Are there two clear exits that can be used in case of a fire? - 0
Are there two clear exits that can be used in case of a fire? - 2
Are there two clear exits that can be used in case of a fire? - 1
Can you hold your hand under the hottest running water for several seconds without getting burned - water heater set below 120 degrees? - 0
Can you hold your hand under the hottest running water for several seconds without getting burned - water heater set below 120 degrees? - 2
Can you hold your hand under the hottest running water for several seconds without getting burned - water heater set below 120 degrees? - 1
Do you live in a building built before 1978 - lead based paint risk? - 0
Do you live in a building built before 1978 - lead based paint risk? - 2
Do you live in a building built before 1978 - lead based paint risk? - 1
In the past month, how many rides has your child taken even on short trips - in the bed of a truck or on a motorcycle? - 0
In the past month, how many rides has your child taken even on short trips - in the bed of a truck or on a motorcycle? - 1
In the past month, how many rides has your child taken even on short trips - in the bed of a truck or on a motorcycle? - 2
In the past month, how many rides has your child taken even on short trips - on an All-Terrain Vehicle or 4-Wheeler, tractor, riding lawnmower or similar off-road vehicle? - 0
In the past month, how many rides has your child taken even on short trips - on an All-Terrain Vehicle or 4-Wheeler, tractor, riding lawnmower or similar off-road vehicle? - 1
In the past month, how many rides has your child taken even on short trips - on an All-Terrain Vehicle or 4-Wheeler, tractor, riding lawnmower or similar off-road vehicle? - 2
C1 al C4 y el C12 le corresponden a los hermanos y hermanas del niño/de la niña
SEGURIDAD EN EL HOGAR Y EN EL VEHÍCULO
SECCIÓN No. 10
Si alguna respuesta se encuentran en el área sombreada: Considere la seguridad vehicular como una meta.
Si alguna respuesta se encuentra en el área sombreada: Considere las estrategias para la seguridad como una meta.
Early Childhood
Spanish Inventory
Parent ID
Parent ID
C12
.
El jabón para lavar ropa o suministros para limpieza
a)
Tómese un momento para pensar acerca de dónde se encuentran las siguientes cosas de la casa. ¿Cuáles de estas cosas podría su hijo(a) encontrar y obtenerlas si lo intentara?
El líquido encendedor para barbacoas
b)
Los fósforos o encendedores
c)
La plancha
d)
Las medicinas
e)
La cerveza, vino u otras bebidas alcohólicas
f)
Los cuchillos, tijeras, u otros objetos con filo
g)
Las herramientas como los serruchos, desarmadores, etc.
h)
Las armas de fuego como las pistolas u otras armas
i)
Las cosas para el aseo personal como el líquido para la limpieza bucal, perfumes, atomizadores para el cabello o esmalte para uñas
j)
Los juguetes u objetos que son lo suficientemente pequeños y que puedan provocar asfixia.
k)
Regarding Household Item Location Within Your Home - Could your child find and access - laundry detergent or cleaning supplies, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - laundry detergent or cleaning supplies, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - laundry detergent or cleaning supplies, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - BBQ Lighter Fluid, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - BBQ Lighter Fluid, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - BBQ Lighter Fluid, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - matches or lighters, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - matches or lighters, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - matches or lighters, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - Iron, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - Iron, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - Iron, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - medications, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - medications, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - medications, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - alcoholic beverages, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - alcoholic beverages, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - alcoholic beverages, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - knives, scissors, or other sharp objects, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - knives, scissors, or other sharp objects, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - knives, scissors, or other sharp objects, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - tools like saws, screwdrivers and such, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - tools like saws, screwdrivers and such, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - tools like saws, screwdrivers and such, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - firearms like guns or other weaponry, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - firearms like guns or other weaponry, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - firearms like guns or other weaponry, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - toiletries such as mouthwash, perfume, hair spray, or nail polish, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - toiletries such as mouthwash, perfume, hair spray, or nail polish, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - toiletries such as mouthwash, perfume, hair spray, or nail polish, if they tried? - 1
Regarding Household Item Location Within Your Home - Could your child find and access - toys or objects small enough to be a choking hazard, if they tried? - 2
Regarding Household Item Location Within Your Home - Could your child find and access - toys or objects small enough to be a choking hazard, if they tried? - 0
Regarding Household Item Location Within Your Home - Could your child find and access - toys or objects small enough to be a choking hazard, if they tried? - 1
No tengo
Sí
No
Hay preocupaciones sobre la seguridad en casa
Safety Concerns in the Home - 1
1
Safety Concerns in the Home - 2
2
Safety Concerns in the Home - 3
3
Safety Concerns in the Home - 4
4
No hay preocupaciones sobre la seguridad en casa
Hay preocupaciones sobre la seguridad fuera de casa
Safety Concerns Outside of Home - 1
1
Safety Concerns Outside of Home - 2
2
Safety Concerns Outside of Home - 3
3
Safety Concerns Outside of Home - 4
4
No hay preocupaciones sobre la seguridad fuera de casa
Si alguna respuesta se encuentran en el área sombreada:
Considere la seguridad del hogar como una meta.
Early Childhood
Spanish Inventory
Parent ID
Parent ID
La gente a veces busca a otras personas por compañía, ayuda u otros tipos de apoyo.
Poco tiempo o nada de tiempo
Parte del tiempo
La mayor parte del tiempo
In the past month, how often was someone available to - Listen to you when you needed to talk? - 1
In the past month, how often was someone available to - Listen to you when you needed to talk? - 2
In the past month, how often was someone available to - Listen to you when you needed to talk? - 3
In the past month, how often was someone available to - help with daily chores if you were sick? - 1
In the past month, how often was someone available to - help with daily chores if you were sick? - 2
In the past month, how often was someone available to - help with daily chores if you were sick? - 3
In the past month, how often was someone available to - Loan you $100 if you needed it? - 1
In the past month, how often was someone available to - Loan you $100 if you needed it? - 2
In the past month, how often was someone available to - Loan you $100 if you needed it? - 3
a)
¿Escucharle cuando usted necesitaba hablar con alguien?
b)
¿Ayudarle con los quehaceres diarios si usted estaba enfermo(a)?
I1.
Durante
el último mes
, con qué frecuencia estaba alguien disponible para:
c)
¿Prestarle $100 si usted los necesitaba?
Una o dos veces al mes
Semanal
mente
Más de una vez a la semana
En la organización, comité, club o equipo deportivo del vecindario o de la comunidad.
En un servicio de una iglesia u otro club o actividad religiosa.
Durante
el mes pasado
, ¿con qué frecuencia ha participado en las siguientes actividades?
Ir de visita a la casa de un amigo o vecino
Ninguna
a)
b)
c)
I2.
d)
In the past month, how often have you participated in - neighborhood or comunity organization, committee, club or sports team? - 0
In the past month, how often have you participated in - neighborhood or comunity organization, committee, club or sports team? - 1
In the past month, how often have you participated in - neighborhood or comunity organization, committee, club or sports team? - 2
In the past month, how often have you participated in - neighborhood or comunity organization, committee, club or sports team? - 3
In the past month, how often have you participated in - church service or other religious club or activity? - 0
In the past month, how often have you participated in - church service or other religious club or activity? - 1
In the past month, how often have you participated in - church service or other religious club or activity? - 2
In the past month, how often have you participated in - church service or other religious club or activity? - 3
In the past month, how often have you participated in - visit a friend or neighbor's house? - 0
In the past month, how often have you participated in - visit a friend or neighbor's house? - 1
In the past month, how often have you participated in - visit a friend or neighbor's house? - 2
In the past month, how often have you participated in - visit a friend or neighbor's house? - 3
In the past month, how often have you participated in - hobby or sport with a friend? - 0
In the past month, how often have you participated in - hobby or sport with a friend? - 1
In the past month, how often have you participated in - hobby or sport with a friend? - 2
In the past month, how often have you participated in - hobby or sport with a friend? - 3
La mamá o la persona que hace de mamá visitó a las personas que trabajan con el programa (indique el nombre de su programa)
La mamá o la persona que hace de mamá ayudó como voluntaria en este programa o en otros lugares
El papá o la persona que hace de papá visitó a las personas que trabajan con el programa (indique el nombre de su programa)
e)
f)
g)
El papá o la persona que hace de papá ayudó como voluntario en este programa o en otros lugares
h)
In the past month, how often have you participated in - mother figure visited with people working with program you are involved in? - 0
In the past month, how often have you participated in - mother figure visited with people working with program you are involved in? - 1
In the past month, how often have you participated in - mother figure visited with people working with program you are involved in? - 2
In the past month, how often have you participated in - mother figure visited with people working with program you are involved in? - 3
In the past month, how often have you participated in - mother figure volunteered at this program or other places? - 0
In the past month, how often have you participated in - mother figure volunteered at this program or other places? - 1
In the past month, how often have you participated in - mother figure volunteered at this program or other places? - 2
In the past month, how often have you participated in - mother figure volunteered at this program or other places? - 3
In the past month, how often have you participated in - father figure visited with people working with program you are involved in? - 0
In the past month, how often have you participated in - father figure visited with people working with program you are involved in? - 1
In the past month, how often have you participated in - father figure visited with people working with program you are involved in? - 2
In the past month, how often have you participated in - father figure visited with people working with program you are involved in? - 3
In the past month, how often have you participated in - father figure volunteered at this program or other places? - 0
In the past month, how often have you participated in - father figure volunteered at this program or other places? - 1
In the past month, how often have you participated in - father figure volunteered at this program or other places? - 2
In the past month, how often have you participated in - father figure volunteered at this program or other places? - 3
Compartir información sobre el programa de voluntariado
No necesita información
INTEGRACIÓN SOCIAL
SECCIÓN No. 11
Ninguno de estos puntos le corresponden a los hermanos y hermanas del niño/de la niña
Utilice la Tarjeta de Respuestas
Si alguna respuesta se encuentra en el área sombreada:
Considere el sistema de apoyo como una eta.
Utilice la Tarjeta de Respuestas
Si todas las respuestas se encuentran en el área sombreada:
Considere el involucrarse en la comunidad como una meta.
Need for Sharing Volunteer Information - No Need - 1
1
Need for Sharing Volunteer Information - No Need - 2
2
Need for Sharing Volunteer Information - No Need - 3
3
Need for Sharing Volunteer Information - No Need - 4
4
Si todas las respuestas se encuentran en el área sombreada:
Considere el participar en el programa como una meta.
En un pasatiempo o en el deporte con un amigo
Early Childhood
Spanish Inventory
Parent ID
Parent ID
W1 ..
El niño/la niña estuvo presente durante la visita:
Child Present in home during visit? - 0
No
Child Present in home during visit? - 1
Sí
W2 ..
La ubicación del niño/de la niña durante la visita:
Si el niño/la niña no está presente, no complete esta página. Cuando el niño/la niña se encuentra
presente y está en la habitación durante por lo menos 20 minutos de la visita
, clasifique los siguientes puntos según las definiciones que sen encuentran en la hoja de resumen de las observaciones.
W3 ..
Toca al niño/a la niña de una manera afectuosa.
W4 ..
Habla con un tono de voz amigable.
W5 ..
Le sonríe al niño/a la niña.
W6 ..
Felicita al niño/a la niña.
W7 ..
Le dice expresiones positivas al niño/a la niña.
W8 ..
Le pone atención a lo que está haciendo el/la niño(a).
W9 ..
Cambia la velocidad con que hace las cosas o la actividad para que el/la niño(a) se interese.
W10.
Le contesta al niño/a la niña cuando éste(a) dice alguna palabra o hace algún sonido bucal.
During Visit, Does the parent touch child affectionately? - 0
During Visit, Does the parent touch child affectionately? - 1
During Visit, Does the parent touch child affectionately? - 2
Ausente
No ocurrió
Apenas estuvo presente
Ocurrió unas veces
Completamente presente
Ocurrió muchas veces
During Visit, does the parent speak in a warm tone of voice toward the child? - 0
During Visit, does the parent speak in a warm tone of voice toward the child? - 1
During Visit, does the parent speak in a warm tone of voice toward the child? - 2
During Visit, does the parent smile at the child? - 0
During Visit, does the parent smile at the child? - 1
During Visit, does the parent smile at the child? - 2
During Visit, Does the parent praise the child? - 0
During Visit, Does the parent praise the child? - 1
During Visit, Does the parent praise the child? - 2
During Visit, Does the parent use positive expression with child? - 0
During Visit, Does the parent use positive expression with child? - 1
During Visit, Does the parent use positive expression with child? - 2
During Visit, is the parent attentive with the child and what the child is doing? - 0
During Visit, is the parent attentive with the child and what the child is doing? - 1
During Visit, is the parent attentive with the child and what the child is doing? - 2
During Visit, Does the parent change pace or activity to meet child's interests? - 0
During Visit, Does the parent change pace or activity to meet child's interests? - 1
During Visit, Does the parent change pace or activity to meet child's interests? - 2
During Visit, Does the parent replies to child's words or vocalizations? - 0
During Visit, Does the parent replies to child's words or vocalizations? - 1
During Visit, Does the parent replies to child's words or vocalizations? - 2
El niño/la niña NO estaba presente en la habitación la mayor parte de la visita, pero por lo menos estuvo presente durante 20 minutos
El niño/La niña estuvo en la habitación todo el tiempo
OBSERVACIONES PARA COMPLETAR AL CONCLUIR LA VISITA
SECCIÓN No. 12
Papá o mamá…
Child in the room during visit? - 1
1
Child in the room during visit? - 2
2
Child in the room during visit? - 3
3
Child in the room during visit? - 4
4
Si alguna respuesta se encuentra en el área sombreada: Considere el monitoreo como una meta.
Si 5 o más respuestas se encuentran en el área sombreada:
Considere la educación sobre cómo ser padre o madre de familia como una meta.
When finished with the interview, please press "save" below or at the top of the page to save the form.
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