SRD- ASS 1B

profilerock n roll
04549-0002-Questionnaire.pdf

The 500 Family Study [1998-2000: United States]

ICPSR 4549

Barbara Schneider University of Chicago. National Organization for Research and Computing (NORC). Alfred P. Sloan Center on Parents, Children and Work

Linda J. Waite University of Chicago. National Organization for Research and Computing (NORC). Alfred P. Sloan Center on Parents, Children and Work

Experience Sampling Method (ESM) Data Questionnaires

P.O. Box 1248 Ann Arbor, Michigan 48106

www.icpsr.umich.edu

About Research Connections

These data are made available by the Child Care and Early Education Research Connections project. Research Connections promotes high quality research in child care and early education and the use of that research in policymaking.

Research Connections is operated by the National Center for Children in Poverty at the Mailman School of Public Health, Columbia University and the Inter-university Consortium for Political and Social Research at the Institute for Social Research, University of Michigan, through a cooperative agreement with the Child Care Bureau, Office of Family Assistance and the Office of Planning, Research, and Evaluation, Administration for Children and Families in the U.S. Department of Health and Human Services.

Terms of Use The terms of use for this study can be found at:

http://www.icpsr.umich.edu/cocoon/ICPSR/TERMS/4549.xml

Date________ Time you were beeped ___________am/pm Time you responded ____________am/pm As you were beeped… Where were you? ___________________________________________________________________ PLEASE BE SPECIFIC __________________________________________________________________________________ What was the main thing you were doing? ________________________________________________ PLEASE BE SPECIFIC __________________________________________________________________________________ What else were you doing at the same time? ______________________________________________ PLEASE BE SPECIFIC __________________________________________________________________________________ What was on your mind? ______________________________________________________________ PLEASE BE SPECIFIC __________________________________________________________________________________________

Think back on how you got into this activity… Were you doing this main activity because you… (check all that apply)

(1) Wanted to ___ (2) Had to ___ (3) had nothing else to do ___

Indicate how you felt about the main activity. (Please circle one number for each question) Not at All A Little Somewhat Very Much Did you enjoy what you were doing? 0 1 2 3 Was this activity interesting? 0 1 2 3 How well were you concentrating? 0 1 2 3 Were you living up to your expectations? 0 1 2 3 Did you feel in control of the situation? 0 1 2 3 Did the situation allow you to be involved or to act? 0 1 2 3 Did you have the abilities to deal with the situation? 0 1 2 3 Was the activity important to you? 0 1 2 3 Were others expecting a lot from you? 0 1 2 3 Were you succeeding at what you were doing? 0 1 2 3 Did you wish you were doing something else? 0 1 2 3 Did you feel good about yourself? 0 1 2 3

Were you alone… Yes___ No___ … or were you with… (please check all that apply)

Your Spouse___ Your Boss____ Co-Workers ___ Friend(s) ___ Girl/Boyfriend____

Your Mother___ Your Father ___Teacher____ Classmates/Peers ____ Other(s) ____

Your Child(ren) ____ (please indicate who) _________________________

Your Sibling(s) ____ (please indicate who) __________________________

As you were being beeped, were you feeling…? (Circle one number for each question) Not at

all A little

Somewhat Very Much

Not at all

A little

Somewhat Very Much

Cheerful 0 1 2 3 Worried 0 1 2 3 Lonely 0 1 2 3 Caring 0 1 2 3 Nervous 0 1 2 3 Irritated 0 1 2 3 Cooperative 0 1 2 3 Relaxed 0 1 2 3 Angry 0 1 2 3 Stressed 0 1 2 3 Responsible 0 1 2 3 Proud 0 1 2 3 Frustrated 0 1 2 3 Friendly 0 1 2 3 Competitive 0 1 2 3 Hardworking 0 1 2 3 Strained 0 1 2 3 Productive 0 1 2 3 Did you feel any physical pain or discomfort as you were beeped? None Slight Bothersome Severe (Please describe) _______________________________________ 0 1 2 3

If you were talking with people, please answer the following 3 questions: Very Not at All A Little Somewhat Much Were you able to express your opinion? 0 1 2 3 Were others really listening to what you had to say?

0 1 2 3

Did you care about what others were saying?

0 1 2 3

If you felt a strong emotion since the last report, what did you feel and why did you feel that way? I felt _____________________ because __________________________________________________ PLEASE BE SPECIFIC ___________________________________________________________________________________ ___________________________________________________________________________________ If anyone else you were with expressed a strong emotion to you since the last report, what did they feel and why? (who) ________________ felt _______________________ because _____________________________ PLEASE BE SPECIFIC _____________________________________________________________________________________

COMMENTS, ETC.

How did you feel as you were beeped? (For every pair of opposites, please circle only one mark.) Happy Sad

○ ○ ○ ○ ○ ○ ○ Weak Strong

○ ○ ○ ○ ○ ○ ○ Passive Active

○ ○ ○ ○ ○ ○ ○ Excited Bored

○ ○ ○ ○ ○ ○ ○

  • ICPSR 4549
  • About Research Connections
  • Terms of Use
  • Part 1
  • Part 2