RAPID Survey Project Question Bank
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        • Multigenerational
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    • Childcare Survey
      • Survey Calendar and Module Key
      • Initial Recruitment Survey
      • Ongoing Survey - Core
    • Child Care Modules
      • Modules A-L
        • Burnout
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        • Child Care Subsidy
        • Child Care Closures & COVID Safety
        • Child Care For Own Child
        • Child Social Interactions
        • COVID
        • Debt and Overdue Bills
        • Disability
        • Disability Module
        • Economic Stability
        • Employment
        • Enrollment
        • Family Conflict
        • Family Routines
        • Food Aid
        • Food Insecurity
        • Healthcare
        • Inflation
      • Modules M-Z
        • Mission Driven Finance
        • Multigenerational
        • Omicron
        • Open Ended
        • Other Hardships
        • Provider Debt
        • Race and Discrimination
        • SNAP/EBT
        • Social Determinants of Health
        • Social Support
        • Stabilization Funds
        • Staffing and Retention
        • Staffing and Retention Module
        • Stand-Alone Questions
        • Stimulus
        • Student Loans
        • Unemployment
        • Vaccines
        • Vaccines (Children)
        • Work Schedule

Household Initial Recruitment Survey

Last Updated: 1/17/2023

DomainQuestionAnswersSourceSource Link
1DemographicsWhat is the zip code for your current residence?Free ResponseU.S. CensusNA
2DemographicsWhat state do you live in?All 50 States, and District of ColumbiaU.S. CensusNA
3DemographicsWhat are the living arrangements for children in your household under the age of 5?    
Parents are not limited to biological parents, but include stepparents and those who adopt their children. Foster parents are considered nonrelatives.
• Two parents
• Mother, no father
• Father, no mother
• Neither parent in household
• Other relatives
• Non-relatives
RAPID Team Modified from U.S. Census https://www.census.gov/data/tables/time-series/demo/families/children.html
4DemographicsAre you currently…• Married
• Widowed
• Divorced
• Separated
• Never married
U.S. CensusNA
5DemographicsHow many children do you have?Single select from 1-20 children, then > 20U.S. CensusNA
6DemographicsHow many children do you have in each age group? Select all that apply.• 0-3
• 4-5
• 6 -8
• 9 - 11
• 12 - 18
• 19 - 25
• 26 - 55
• 56 - 64
• 65+
RAPID Team Modified from U.S. CensusNA
7DemographicsHow many people currently live in your home?
Include all children, teenagers, adults, and yourself.
Single select from 1-20 children, then > 20RAPID Team Modified from U.S. CensusNA
8DemographicsBefore the pandemic began in the US (March 2020), did you already have a child that was between the ages of 0-5?• Yes
• No
Developed by RAPID TeamNA
9DemographicsWhat gender do you identify with?• Male
• Female
• Other [text entry]
• Do not wish to disclose
U.S. Census https://www.census.gov/acs/www/about/why-we-ask-each-question/sex/?sec_ak_reference=18.28e8d93f.1590627222.663bae5
10DemographicsWhere were you born?• Inside the United States
• Outside the United States
U.S. Census https://www.census.gov/acs/www/about/why-we-ask-each-question/citizenship/
Showing 1 to 10 of 103 entries
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