Section 1 Timeline
1.1 timeline_title
Question: “## Timeline”
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message
1.2 dctlo005
Question: “What is your birthday?”
Visibility: Always
Item Type: Date picker
Responses: Date via date picker widget
1.3 dctlo008
Question: “So, how old are you?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.4 dctlo009
Question: “What is your grade in school? (or last completed grade)”
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
100 | Pre-K |
0 | Kindergarten |
1 | 1st |
2 | 2nd |
3 | 3rd |
4 | 4th |
5 | 5th |
6 | 6th |
7 | 7th |
8 | 8th |
9 | 9th |
10 | 10th |
11 | 11th |
12 | 12th |
13 | College Freshman |
14 | College Sophomore |
15 | College Junior |
16 | College Senior |
997 | 997 |
998 | 998 |
999 | 999 |
1.5 timeline_instructions1
Question: “Now I’d like to learn more about you (your child), where you live, your school, your family and your friends.”
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message
1.6 dctlo010
Question:
"### Home
Where did you first live when you were growing up?"
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.7 dctlo011
Question: “Who did you live with there? (mother, father, siblings, extended family, other)”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.8 dctlo012
Question: “Any moves?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.9 dctlo013
Question: “Parental marriage/separation/divorce”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.10 dctlo014
Question: “Do you have any brothers and/or sisters? Are they older or younger? Do they live with you?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.11 dctlo015
Question: “How well do you get a long with your parents and siblings? Do you do things together?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.12 dctlo016
Question:
"### School
When did your last school year begin? When did it end? When did summer break begin?"
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.13 dctlo017
Question: “Changing schools (grade school to junior high to high school to moves)”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.14 dctlo018
Question: “Did you ever have problems with your grades in school? Get into trouble for your behavior at school?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.15 dctlo019
Question: “Do you (your child) have an Individualized Educational Plan (IEP)? If yes, what is the reason? Learning and/or emotional problems? Describe:”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.16 dctlo020
Question:
"### Peers
Do you have friends in school?"
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.17 dctlo021
Question: “How often do you see them outside of school?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.18 dctlo022
Question: “Do you have friends in other places (e.g. neighborhoods and/or clubs)?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.19 dctlo023
Question: “Do you have problems making/keeping friends?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.20 dctlo024
Question: “Do you often fight/argue with friends?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.21 dctlo025
Question: “Do you get into trouble with friends?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.22 dctlo026
Question:
"### Significant events
Are there any other things that happened in your life that stand out for you as very important? Things that may have happened to you like memorable vacations, team sports, your friends, your family? (positive or negative)"
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.23 timeline_instructions2
Question:
"### School functioning
The next questions refer to the current school year (when on summer break refer to the past school year)."
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message
1.24 ctlo0
Question: “Is child out of high school?”
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
1 | No |
2 | Yes |
1.25 dctlo027
Question: “Date at beginning of school year (Month)”
Visibility: ctlo0 = 1
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
1 | 1 |
2 | 2 |
3 | 3 |
4 | 4 |
5 | 5 |
6 | 6 |
7 | 7 |
8 | 8 |
9 | 9 |
10 | 10 |
11 | 11 |
12 | 12 |
97 | 97 |
98 | 98 |
99 | 99 |
1.26 dctlo028
Question: “Date at beginning of school year (Year)”
Visibility: ctlo0 = 1
Item Type: Text input
Responses: Free text entry
1.27 timeline_instructions3
Question:
"How are you doing in school? What subjects do you have? What kind of grades do you get?
INTERVIEWER: Please rate academic subjects on the following scale. List any additional academic subjects and review ratings."
Visibility: ctlo0 = 1
Item Type: User Message/instructions
Responses: This item is a markdown message
1.28 dctlo031
Question: “Reading/English”
Visibility: ctlo0 = 1
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
1 | Above Average |
2 | Average |
3 | Below Average |
4 | Failing |
1.29 dctlo032
Question: “Arithmetic/Math”
Visibility: ctlo0 = 1
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
1 | Above Average |
2 | Average |
3 | Below Average |
4 | Failing |
1.30 dctlo33
Question: “Other subject 1 (list here)”
Visibility: ctlo0 = 1
Item Type: Text input
Responses: Free text entry
1.31 dctlo34
Question: “Other subject 1”
Visibility: ctlo0 = 1
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
1 | Above Average |
2 | Average |
3 | Below Average |
4 | Failing |
1.32 dctlo35
Question: “Other subject 2 (list here)”
Visibility: ctlo0 = 1
Item Type: Text input
Responses: Free text entry
1.33 dctlo36
Question: “Other subject 2”
Visibility: ctlo0 = 1
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
1 | Above Average |
2 | Average |
3 | Below Average |
4 | Failing |
1.34 dctlo37
Question: “Other subject 3 (list here)”
Visibility: ctlo0 = 1
Item Type: Text input
Responses: Free text entry
1.35 dctlo38
Question: “Other subject 3”
Visibility: ctlo0 = 1
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
1 | Above Average |
2 | Average |
3 | Below Average |
4 | Failing |
1.36 dctlo039
Question:
"Are there different reading and arithmetic groups in your class at school? Which group are you in?
INTERVIEWER: Review ratings (specify academic “track” or group). If discrepancies exist, make notes but code for highest achievement."
Visibility: ctlo0 = 1
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
1 | Above average |
2 | Average |
3 | Below average |
4 | Far below average |
9 | Not applicable |
1.37 dctlo039_notes
Question: “Notes about discrepancies:”
Visibility: ctlo0 = 1
Item Type: Text input
Responses: Free text entry
1.38 dctlo040
Question: “During the school year, how much TV do you usually watch every week? After school? After dinner? On Saturday or Sunday?”
Visibility: ctlo0 = 1
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
1 | 7 or fewer hours per week |
2 | 8-14 hours per week |
3 | 15-21 hours per week |
4 | 22-35 hours per week |
5 | Greater than 35 hours per week |
9 | Unknown |
1.39 dctlo041
Question: “How much time do you spend playing video/computer games every week? After school? After dinner? On Saturday or Sunday?”
Visibility: ctlo0 = 1
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
1 | 7 or fewer hours per week |
2 | 8-14 hours per week |
3 | 15-21 hours per week |
4 | 22-35 hours per week |
5 | Greater than 35 hours per week |
9 | Unknown |
1.40 dctlo042
Question:
"### Parent about child
Does (child’s name) have any serious problems?"
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.41 dctlo043
Question: “At home?”
Visibility: dctlo042 = 1
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.42 dctlo044
Question: “At school?”
Visibility: dctlo042 = 1
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.43 dctlo045
Question: “With friends?”
Visibility: dctlo042 = 1
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.44 dctlo046
Question: “Would you say that (child’s name) has a good sense of humor?”
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.45 dctlo047
Question: “Would you say that (child’s name) has personality traits that cause problems for him/her?”
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.46 dctlo048
Question: “Is your child nervous or fearful?”
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.47 dctlo049
Question: “Would you describe him/her as shy?”
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.48 dctlo050
Question: “What about his/her moods? Is he/she moody?”
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.49 dctlo051
Question: “Does he/she have a bad temper?”
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.50 dctlo052
Question: “Is he/she sensitive to the feelings of others? Too sensitive?”
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.51 dctlo053
Question:
"### Child about self
What do you enjoy most? (e.g. hobbies, sports, clubs, etc.)"
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.52 dctlo054
Question: “Is there anything that makes you afraid?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.53 dctlo055
Question: “Are you nervous a lot?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.54 dctlo056
Question: “Do you mostly like to be with other kids, or by yourself?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.55 dctlo057
Question: “How would you describe yourself?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.56 dctlo058
Question: “Have you had any problems with your family or your friends?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.57 dctlo059
Question: “Have you had any serious problems?”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.58 dctlo060
Question: “Additional notes:”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.59 dctlo061
Question:
"### Emotional or behavorial problems
Have you ever had problems with your feelings, nerves, or mood?"
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.60 dctlo062
Question: “What about problems with the way you act, things you do, or your behavior?”
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.61 dctlo063
Question: “Have you ever received help for these problems or thought that you needed help?”
Visibility: Always
Item Type: Single-select radio button
Responses:Value | Label |
---|---|
0 | No |
1 | Yes |
9 | Unknown |
1.62 dctlo064
Question: “INTERVIEWER: If child/parent endorsed treatment of any kind, identify the primary reason for treatment (ADHD, MDD, etc.) and code at the end of the appropriate section.”
Visibility: Always
Item Type: Text input
Responses: Free text entry
1.63 ctlo_end
Question: “INTERVIEWER: END of Timeline section.”
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message