MCS-6
Questionnaire for children age 5-17
5-17 Child information panel: FS
FS3. Child's name and line number:
FS4. Mother's/caretaker's name and line number:
FS5. Interviewer's name and number:
FS6. Supervisor's name and number:
FS7. Day/month/year of interview
Check respondent's age in HL6 in list of household members, household questionnaire:
If age 15-17, verify that adult consent for interview is obtained (HH33 or HH39) or not necessary (HL20=90). If consent is needed and not obtained, the interview must not commence and '06' should be recorded in FS17. The respondent must be at least 15 years old. In the very few cases where a child age 15-17 has no mother or caretaker identified in the household (HL20=90), the respondent will be the child him/herself.
FS9. Check completed questionnaires in this household: Have you or another member of your team interviewed this respondent for another questionnaire?
[] 2 No, first interview (Go to FS10A)
FS10A. Hello, my name is (your name). We are from We are from UNICEF in conjunction with the Consejo Nacional de Coordinación de Políticas Publicas (National Council for Public Policy Coordination). We are conducting a survey about the situation of children, families and households. I would like to talk to you about (child's name from FS3)'s health and well-being. This interview will take about 15 minutes. All the information we obtain will remain strictly confidential and anonymous. If you wish not to answer a question or wish to stop the interview, please let me know. May I start now?
FS10B. Now I would like to talk to you about (child's name from FS3)'s health and well-being in more detail. This interview will take about 15 minutes. Again, all the information we obtain will remain strictly confidential and anonymous. If you wish not to answer a question or wish to stop the interview, please let me know. May I start now?
[] 2 No/not asked (Go to FS17)
FS17. Result of interview for child age 5-17 years
Codes refer to the respondent. Discuss any result not completed with Supervisor.
[] 02 Not at home
[] 03 Refused
[] 04 Partly completed
[] 05 Incapacitated (specify) ____
[] 06 No adult consent for mother/caretaker age 15-17
[] 96 Other (specify) ____
CB0A. In which country was (name) born?
[] 2 Bolivia
[] 3 Brazil
[] 4 Chile
[] 5 Colombia
[] 6 Paraguay
[] 7 Peru
[] 8 Uruguay
[] 9 Venezuela
[] 96 Other (specify) ____
CB0B. Check columns HL14 and HL20 in the HOUSEHOLD MEMBERS LIST, HOUSEHOLD SURVEY. Is the interviewee the mother?
[] 2 No (HL14?HL20) (Go to CB0D)
CB0C. In which country were you born?
[] 2 Bolivia
[] 3 Brazil
[] 4 Chile
[] 5 Colombia
[] 6 Paraguay
[] 7 Peru
[] 8 Uruguay
[] 9 Venezuela
[] 96 Other (specify) ____
CB0D. In which country was (name?s) mother born?
[] 2 Bolivia
[] 3 Brazil
[] 4 Chile
[] 5 Colombia
[] 6 Paraguay
[] 7 Peru
[] 8 Uruguay
[] 9 Venezuela
[] 96 Other (specify) ____
CB0E. In which country was (name?s) father born?
[] 2 Bolivia
[] 3 Brazil
[] 4 Chile
[] 5 Colombia
[] 6 Paraguay
[] 7 Peru
[] 8 Uruguay
[] 9 Venezuela
[] 96 Other (specify) ____
CB1. Check the respondent's line number (FS4) in 5-17 child information panel and the respondent to the household questionnaire (HH47):
[] 2 FS4 does not equal HH47 (Go to CB2)
CB1A. Check ED4A in the EDUCATION module from the HOUSEHOLD QUESTIONNAIRE for this respondent:
[] 2 ED4A=2 (not currently attending, but has attended at some point) (Go to CB14)
[] 3 ED4A=3 (never attended) (Go to next module)
CB2. In what month and year was (name) born?
Month and year must be recorded.
_ _ _ _ Year
CB3. How old is (name)?
Probe: How old was (name) at (his/her) last birthday? Record age in completed years. If responses to CB2 and CB3 are inconsistent, probe further and correct.
CB4A. Has (name) ever attended school or any early childhood education programme?
[] 2 Not currently, but has attended
[] 3 Never attended (Go to next module)
CB5. What is the highest level and grade or year of school (name) has ever attended?
[] 1 Primary _ _
[] 2 EGB (general basic education equivalent to elementary school in Argentina) _ _
[] 3 Polimodal (poly-mode equivalent to junior high) _ _
[] 4 Secondary _ _
[] 5 Adult secondary _ _ (Go to next module)
[] 6 Tertiary (non-universitarian higher studies, equivalent to technical careers) _ _
[] 7 University _ _
[] 8 Graduate studies _ _ (Go to next module)
[] 9 Special education _ _ (Go to next module)
CB5C. Check CB4: Currently attending or has attended:
[] 2 CB4A=2 or ED4A=2 (not currently attending, but has attended)
CB5D. Did (name) finish those studies?
[] 2 No
CB6. Did (he/she) ever complete that (grade/year)?
[] 2 No
CB7. At any time during the current school year did (name) attend school or any early childhood education programme?
[] 2 No (Go to CB9)
CB7A. On what schedule is (name) attending school?
[] 2 Full (morning and afternoon)
[] 3 Other (variable or flexible schedule)
CB7B. Does (name) have lunch regularly at the school cafeteria or do they take away free food at school?
[] 2 No
CB7C. Check the list number of the respondent (FS4) in the 5-17 CHILD INFORMATION PANEL and the respondent on the HOUSEHOLD QUESTIONNAIRE (HH47)
[] 2 FS4?HH47
CB8. During this current school year, which level and grade or year is (name) attending?
[] 1 Primary _ _
[] 2 Lower secondary _ _
[] 3 Upper secondary _ _
[] 4 Higher _ _
CB9. At any time during the previous school year did (name) attend school or any early childhood education programme?
[] 2 No (Go to CB14)
CB10. During that previous school year, which level and grade or year did (name) attend?
[] 1 Primary _ _
[] 2 EGB _ _
[] 3 Polimodal _ _
[] 4 Secondary _ _
[] 5 Adult secondary _ _
[] 6 Tertiary _ _
[] 7 University _ _
[] 8 Graduate studies _ _
[] 9 Special education _ _
CB14. How old was (name) when they stopped attending?
[] 98 DK
CB15. What was the last year (name) attended the educational institution or preschool?
[] 9998 DK
CB16. Why did (name) stop studying?
[] B The school is at capacity
[] C Doesn't think it is necessary
[] D Doesn't like school
[] E Has economic issues
[] F Was sick
[] G Has to take care of children/siblings/family
[] H Problems at school (expelled, fighting, etc.)
[] I Pregnancy (self or partner)
[] J Had to get a job
[] K Migration
[] L Was free
[] M Learning difficulties
[] N Had to repeat the school year
[] X Other (specify) ____
[] Z DK
Universal Child Allowance: CAUH
CAUH00. Check the interviewee's list number (FS4) in the 5-17 CHILD INFORMATION PANEL and the respondent in the HOUSEHOLD QUESTIONNAIRE (HH47)
[] 2 FS4?HH47 (Go to CAUH1A)
CAUH0. Check TS2 in the HOUSEHOLD QUESTIONNAIRE if the household is on AUH [Universal Child Allowance]
[] 2 No (Go to CAUH2)
[] 3 DK (Go toCAUH2)
CAUH1. You have told me that a member of the household is on Universal Child Allowance. May you remind me if (name) is a recipient?
[] 2 No (Go to CAUH2)
[] 3 DK (Go to CAUH2)
CAUH1A. Is (name) a recipient of Universal Child Allowance?
[] 2 No
[] 3 DK
CAUH2. Has (name) ever been a recipient of AUH (Universal Child Allowance)?
[] 2 No (Go to CAUH8)
CAUH3. Which were the reasons for (name) to stop receiving it?
[] B Did not obtain the education certificate
[] C Did not present the certificate
[] D "ANSES" [a national health institution] did not accept or did not approve the health certificate
[] E The father/mother/tutor had a formal job/was in a dependent relationship/ "monotributista" [a small business owner]
[] F The father/mother/tutor had an income above the necessary requirements
[] G Had another plan/subsidy/program/pension
[] H Had problems with the identity documents (DNI, birth certificate)
[] I Attended a private school
[] J Another sibling was born
[] X Other (specify) ____
[] Z DK
CAUH4. How long has it been since (name) stop receiving the AUH?
If less than a month, record "1", otherwise, register the number of months.
[] 98 DK
CAUH5. Did you try to get it again afterwards?
[] 2 No (Go to CAUH7)
[] 8 DK (Go to next module)
CAUH6. Which were the reasons for which you failed to obtain it?
[] B Did not go to the meeting/education certificate was not approved
[] C ANSES did not accept/approve neither certificate
[] D Had a formal job/was in a dependent relationship
[] E Had another plan/subsidy/program/pension
[] F Missing documents/documentation problems
[] H ANSES problems
[] I Was not informed of the reasons
[] J Was told to wait by ANSES
[] K Did not receive any answer
[] X Other (specify) ____
[] Z DK
CAUH6A. Continue with the next module if any answer is registered in CAUH6.
CAUH7. What is the main reason that stopped you from re-applying (for the AUH)?
[] 2 Did not need it/ there are people who are in deeper need
[] 3 Complicated paperwork
[] 4 Problems with ANSES's schedules/turns
[] 5 The ANSES office is too far away
[] 6 Did not think about it
[] 96 Other (specify) ____
CAUH7A. Continue with the next module if any answer is registered in CAUH7.
CAUH8. Did you ever re-apply for it?
[] 2 No (Go to CAUH10)
[] 8 DK (Go to next module)
CAUH9. Why didn't you obtain it?
[] B Did not go to the meeting/education certificate was not approved
[] C ANSES did not accept/approve neither certificate
[] D Had a formal job/was in a dependent relationship
[] E Had another plan/subsidy/program/pension
[] F Missing documents/documentation problems
[] H ANSES problems
[] I Was not informed of the reasons
[] J Was told to wait by ANSES
[] K Did not receive any answer
[] X Other (specify) ____
CAUH9A. Continue with the next module if any answer is registered in CAUH9.
CAUH10. Why didn't you re-apply for it?
[] 2 Had another plan/subsidy/program/pension
[] 3 Missing documents/documentation problems
[] 4 Was told they couldn't apply (does not know the reason)
[] 5 Does not need it/there are people who need it more
[] 6 Paperwork/certificates are hard to get
[] 7 Lacks information/does not know how/where
[] 8 The ANSES office is too far away
[] 9 Did not think about it
[] 10 Stopped studying
[] 96 Other (specify) ____
[] 98 DK
CAUH10A. Continue with the next module if any answer is registered in CAUH10.
CAUH11. In the last two years have you had any difficulty to receive of turn in health certificates?
[] 2 No (Go to next module)
[] 8 DK (Go to next module)
CAUH12. What kind of difficulty?
[] B School had problems turning in certificate
[] C There are no educational options nearby
[] E There are no health providers near the household
[] G Problems with schedules/turns in ANSES
[] H ANSES did not accept/the certificate/ID was not approved
[] J Difficulties by the guardian to take the child to medical controls/vaccination (due to lack of time, money, illness, etc.)
[] K Domicile change (their ID/certificate was not accepted)
[] L Lost their documentation (ID, DNI)
[] M Guardian died
[] N The guardian does not live at the household
CAUH13. Did this difficulty cause the payment interruption?
[] 2 No
Health Care: CCA
CCA1. In the past 12 months have you taken (name) for a checkup without being sick?
[] 2 No (Go to CCA4)
[] 8 DK (Go to CCA5)
CCA2. Who accompanied (name) to their last check up?
[] B Father
[] C Nobody
[] X Other
CCA4. What was the main reason for which you didn't take (name) for a checkup?
[] 2 No money
[] 3 No transportation
[] 4 Applied for a turn but has not been called yet
[] 5 Did not think it was necessary
[] 6 Other (specify) ____
[] 8 DK
CCA5. In the past 12 months has (name) visited the ophthalmologist?
[] 2 No
[] 8 DK
CCA6. In the past 12 months has (name) visited the dentist?
[] 2 No
[] 8 DK
[] 2 Age 15-17 years (Go to end of module)
FCD2. Now I'd like to talk to you about something else.
Adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used. Please tell me if you or any other adult in your household has used this method with (name) in the past month.
A. Took away privileges, forbade something (name) liked or did not allow (him/her) to leave the house.
[] 2 No
B. Explained why (name)'s behaviour was wrong.
[] 2 No
[] 2 No
D. Shouted, yelled at or screamed at (him/her).
[] 2 No
E. Gave (him/her) something else to do.
[] 2 No
F. Spanked, hit or slapped (him/her) on the bottom with bare hand.
[] 2 No
G. Hit (him/her) on the bottom or elsewhere on the body with something like a belt, hairbrush, stick or other hard object.
[] 2 No
H. Called (him/her) dumb, lazy or another name like that.
[] 2 No
I. Hit or slapped (him/her) on the face, head or ears.
[] 2 No
J. Hit or slapped (him/her) on the hand, arm, or leg.
[] 2 No
K. Beat (him/her) up, that is hit him/her over and over as hard as one could.
[] 2 No
FCD3. Check FS4: Is this respondent the mother or caretaker of any other children under age 5?
[] 2 No (Go to FCD5)
FCD4. Check FS4: Has this respondent already responded to the following question (UCD5) for another child?
[] 2 No
FCD5. Do you believe that in order to bring up, raise, or educate a child properly, the child needs to be physically punished?
[] 2 No
[] 8 DK/no opinion
Child functioning: FCF
FCF1. I would like to ask you some questions about difficulties (name) may have. Does (name) wear glasses or contact lenses?
[] 2 No
FCF2. Does (name) use a hearing aid?
[] 2 No
FCF3. Does (name) use any equipment or receive assistance for walking?
[] 2 No
FCF4. In the following questions, I will ask you to answer by selecting one of four possible answers. For each question, would you say that (name) has: 1) no difficulty, 2) some difficulty, 3) a lot of difficulty, or 4) that (he/she) cannot at all.
Remember the four possible answers: Would you say that (name) has: 1) no difficulty, 2) some difficulty, 3) a lot of difficulty, or 4) that (he/she) cannot at all?
FCF5. Check FCF1: Child wears glasses or contact lenses?
[] 2 No, FCF1=2 (Go to FCF6B)
FCF6A. When wearing (his/her) glasses or contact lenses, does (name) have difficulty seeing?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot see at all
FCF6B. Does (name) have difficulty seeing?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot see at all
FCF7. Check FCF2: Child uses a hearing aid?
[] 2 No, FCF2=2 (Go to FCF8B)
FCF8A. When using (his/her) hearing aid(s), does (name) have difficulty hearing sounds like peoples' voices or music?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot hear at all
FCF8B. Does (name) have difficulty hearing sounds like peoples' voices or music?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot hear at all
FCF9. Check FCF3: Child uses equipment or receives assistance for walking?
[] 2 No, FCF3=2 (Go to FCF14)
FCF10. Without (his/her) equipment or assistance, does (name) have difficulty walking 100 meters on level ground?
Probe: That would be about the length of 1 football field. Note that category 'No difficulty' is not available, as the child uses equipment or receives assistance for walking.
[] 3 A lot of difficulty (Go to FCF12)
[] 4 Cannot walk 100 M (Go to FCF12)
FCF11. Without (his/her) equipment or assistance, does (name) have difficulty walking 500 meters on level ground?
Probe: That would be about the length of 5 football fields. Note that category 'No difficulty' is not available, as the child uses equipment or receives assistance for walking.
[] 3 A lot of difficulty
[] 4 Cannot walk 500 M
FCF12. With (his/her) equipment or assistance, does (name) have difficulty walking 100 meters on level ground?
Probe: That would be about the length of 1 football field.
[] 2 Some difficulty
[] 3 A lot of difficulty (Go to FCF16)
[] 4 Cannot walk 100 M (Go to FCF16)
FCF13. With (his/her) equipment or assistance, does (name) have difficulty walking 500 meters on level ground?
Probe: That would be about the length of 5 football fields.
[] 2 Some difficulty (Go to FCF16)
[] 3 A lot of difficulty (Go to FCF16)
[] 4 Cannot walk 500 M (Go to FCF16)
FCF14. Compared with children of the same age, does (name) have difficulty walking 100 meters on level ground?
Probe: That would be about the length of 1 football field.
[] 2 Some difficulty
[] 3 A lot of difficulty (Go to FCF16)
[] 4 Cannot walk 100 M (Go to FCF16)
FCF15. Compared with children of the same age, does (name) have difficulty walking 500 meters on level ground?
Probe: That would be about the length of 5 football fields.
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot walk 500 M
FCF16. Does (name) have difficulty with self-care such as feeding or dressing (himself/herself)?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot care for self at all
FCF17. When (name) speaks, does (he/she) have difficulty being understood by people inside of this household?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot be understood at all
FCF18. When (name) speaks, does (he/she) have difficulty being understood by people outside of this household?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot be understood at all
FCF19. Compared with children of the same age, does (name) have difficulty learning things?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot learn things at all
FCF20. Compared with children of the same age, does (name) have difficulty remembering things?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot remember things at all
FCF21. Does (name) have difficulty concentrating on an activity that (he/she) enjoys doing?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot concentrate at all
FCF22. Does (name) have difficulty accepting changes in (his/her) routine?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot accept changes at all
FCF23. Compared with children of the same age, does (name) have difficulty controlling (his/her) behaviour?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot control behaviour at all
FCF24. Does (name) have difficulty making friends?
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot make friends at all
FCF25. The next questions have different options for answers. I am going to read these to you after each question.
I would like to know how often (name) seems very anxious, nervous or worried.
Would you say: daily, weekly, monthly, a few times a year or never?
[] 2 Weekly
[] 3 Monthly
[] 4 A few times a year
[] 5 Never
FCF26. I would also like to know how often (name) seems very sad or depressed.
Would you say: daily, weekly, monthly, a few times a year or never?
[] 2 Weekly
[] 3 Monthly
[] 4 A few times a year
[] 5 Never
[] 2 Age 7-14 years
[] 3 Age 15-17 years (Go to end of module)
PR3. Excluding school text books and holy books, how many books do you have for (name) to read at home?
[] 0 Number of books _
[] 10 Ten or more books
PR4. Check CB4A: Did the child attend any school?
Check ED4A in the education module in the household questionnaire for child if CB7 was not asked.
[] 2 No, CB4A/ED4A=2 or blank (Go to end of module)
PR5. Does (name) ever have homework?
[] 2 No (Go to PR11)
[] 8 DK (Go to PR11)
PR6. Does anyone help (name) with homework?
[] 2 No (Go to PR11)
[] 8 DK (Go to PR11)
PR6A. Who helps (mostly) (name) with their chores or homework?
[] 2 Father
[] 8 Other
PR11. In the last 12 months, have you or any adult from your household gone to (name)'s school for any of the following reasons?
A. A school celebration or a sport event?
[] 2 No
[] 8 DK
B. To discuss (name)'s progress with (his/her) teachers?
[] 2 No
[] 8 DK
PR12. In the last 12 months, has (name)'s school been closed on a school day due to any of the following reasons:
A. Natural disasters, such as flood, cyclone, epidemics or similar?
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
[] 2 No
[] 8 DK
PR13. In the last 12 months, was (name) unable to attend class due to (his/her) teacher being absent?
[] 2 No
[] 8 DK
PR14. Check PR12[C] and PR13: Any 'Yes' recorded?
[] 2 No (Go to end)
PR15. When (teacher strike / teacher absence) happened did you or any other adult member of your household contact any school officials or school governing body representatives?
[] 2 No
[] 8 DK
FS13. Language of the Interview.
[] 6 Other language (specify) ____
FS14. Native language of the Respondent.
[] 6 Other language (specify) ____
FS15. Was a translator used for any parts of this questionnaire?
[] 2 Yes, parts of the questionnaire
[] 3 No, not used
FS16. Thank the respondent and the child for her/his cooperation.
Make arrangements for the administration of the remaining questionnaire(s) in this household.