ENUMID - BASEID + PERSON NUMBER
AGE AT SCREENER
GENDER AT SCREENER
ARE YOU CURRENTLY (MARTIAL STATUS)
IS R SPANISH, HISPANIC, LATINO
BEST DESCRIBES R RACE
SOMETHING ELSE - SPECIFY
# CHILDREN UNDER 18 LIVE WITH R
HIGHEST LEVEL OF EDUCATION COMPLETED
EMPLOYED BY GOV'T,NONPROF,PRIVATE, SELF
FEDERAL, STATE, LOCAL GOVERNMENT
GENERAL RANG OF INCOME BEFORE TAXES 1999
INCOME 35,000 OR MORE IN '99
WAS IT 40,000 OR ABOVE
WAS IT 50,000 OR ABOVE
WAS IT 75,000 OR ABOVE
WAS IT 100,000 OR ABOVE
WAS IT 30,000 OR ABOVE
WAS IT 20,000 OR ABOVE
WAS IT 10,000 OR ABOVE
WAS IT 5,000 OR ABOVE`
TAKE LEAVE?
NEEDED LEAVE, BUT DID NOT TAKE
CURRENTLY ON LEAVE?
HOW MANY LEAVES TAKEN?
LEAVES TAKEN SINCE 1/1/00 TO TODAY
REASON FOR LONGEST LEAVE
DESCRIPTION OF OWN HEALTH CONDITION
DESCRIPTION OF CHILDS HEALTH CONDITION
DESCRIPTION OF SPOUSES HEALTH CONDITION
DESCRIPTION OF PARENTS HEALTH CONDITION
RELATIONSHIP TO SUBJECT
OTHER SPECIFY RELATIONSHIP TO SUBJECT
REQUIRE DOCTORS CARE
OVERNIGHT STAY IN HOSPITAL
NUMBER - LENGTH OF LEAVE
UNIT - DAYS/WEEKS/MONTHS
OFF WORK THE ENTIRE TIME?
NUMBER - TIME AWAY FROM WORK
TIME AWAY FROM WORK AFTER BIRTH OF CHILD
REASON FOR 2ND LONGEST LEAVE
OWN HEALTH CONDITION
MATERNITY DISAB. B4 DELIVERY
MATERNITY DISAB. & CARE FOR NEWBORN
MISCARRIAGE
CARE FOR NEWBORN
CARE FOR NEWLY ADOPTED CHILD
CARE FOR NEWLY PLACE FOSTER CHILD
CHILDS HEALTH CONDITION
SPOUSES HEALTH CONDITION
PARENTS HEALTH CONDITION
OTHER RELATIVES HEALTH CONDITION
OTHER NON-RELATIVES HEALTH CONDITION
REASON FOR OTHER LEAVE
ALTERNATE LEAVE AND WORK?
ALT. LEAVE AND WORK HALF THE TIME?
CURRENT LEAVE YOUR LONGEST?
MIGHT LOSE JOB
MIGHT HURT JOB ADVANCEMENT
LOSE SENIORITY
WORRIED ABOUT HAVING MONEY
OTHER REASON FOR WORRY ABOUT FMLA LEAVE
OTHER SPECIFY-REASON FOR WORRY
TYPE OF LEAVE
TAKE LV ON REGULAR OR AS NEEDED BASIS
LOSE BENEFITS?
HEALTH INSURANCE
LIFE INSURANCE
DISABILITY INSURANCE
PENSION CONTRIBUTIONS
OTHER SPECIFY
HA9AARRY:BENEFITS LOST
OTHER SPECIFY BENEIFITS LOST
RECEIVE PAY ON LEAVE
PAY FROM SICK LEAVE?
PAY FROM VACATION LEAVE?
PAY FROM PERSONAL LEAVE
PAY FROM PARENTAL LEAVE?
PAY FROM TEMP. DISABILITY INSUR.
PAY FROM SOME OTHER BENEFIT?
OTHER SPECIFY PAY BENIFIT
FULL PAY ENTIRE LEAVE?
PARTIAL PAY ON LEAVE?
FULL OR PART OF SALARY?
HOW MUCH PAY RECEIVED?
SATISFIED WITH PAY RECEIVED?
COVER LOST WAGES/EARMARKED SAVINGS
COVER LOST WAGES/NON-EARMARKED SAVINGS
COVER LOST WAGES/BORROWED MONEY
COVER LOST WAGES/PUBLIC ASSISTANCE
COVER LOST WAGES/LIMIT EXTRAS
COVER LOST WAGES/PUT OFF PAYING BILLS
COVER LOST WAGES/CUT LEAVE SHORT
COVER LOST WAGES/SOMETHING ELSE -SPEICFY
COVER LOST WAGE/OTHER SPECIFY
EASY OR DIFFICULT TO MAKE ENDS MEET
TAKE LONGER LEAVE W/SOME/ADDITIONAL PAY
FMLA EFFECT/CARE FOR FAMILY MEMBERS
FMLA EFFECT/SELECT SATIS. CHILDCARE
FMLA EFFECT/SELECT SATIS. CARETAKER
FMLA EFECT/YOU OR FAMILY MEMBER HEALTH
FMLA EFFECT/YOU OR FAMILY MEMBER EMOTION
EFFECT ON HEALTH/QUICKER RECOVERY
EFFECT ON HEALTH/EASIER TO FOLLOW DR INS
EFFECT ON HEALTH/DELAY/AVOIDED NURS. HOM
EFFECT ON HEALTH/ANOTHER EFFECT
EFFECT ON HEALTH/OTHER SPECIFY
WORK COVERED/ASSIGNED TO OTHER EMPLOYEES
WORK COVERED/HIRE PERM. EMPLOYEE
WORK COVERED/HIRE OUTSIDE TEMP.
WORK COVERED/LEFT FOR YOUR RETURN
METHOD USED MOST OFTEN
BACK TO WORK FOR SAME EMPLOYER
WHY DID NOT RETURN TO WORK
REASON BACK TO WORK/ NO LONGER NEED LEAV
REAS. BACK WORK/COULD NOT AFFORD
REAS BACK TO WORK/WANTED TO WORK
REAS BACK TO WORK/USE UP ALL OF LEAVE
REAS BACK TO WORK/FELT PRESSURED BY WORK
REAS BACK TO WORK/TOO MUCH WORK TO DO
REAS BACK TO WORK/SOMEONE TOOK OVER CARE
RETURN JOB POSITION
CHOOSE LOWER POSITION?
EASY/DIFFICULT TO GET LEAVE
SATISFIED WITH AMOUNT OF TIME FOR LEAVE
EVER DENIED LEAVE
DENIED LEAVE/EMPLOYER DOES NOT OFFER
DENIED LEAVE/HAD NOT WORK LONG ENOUGH
DENIED LEAVE/WORKED TOO FEW HOURS
DENIED LEAVE/HAD NO LEAVE LEFT
DENIED LEAVE/OTHER REASON
DENIED LEAVE/OTHER SPECIFY
CONFIRM NEEDED LEAVE, BUT DID NOT TAKE
TAKE LEAVE SINCE 1/1/00?
EVENT SINCE 1/1/00
REASON NEEDED LEAVE
#TIMES NEEDED LEAVE
REAS FOR MOST RECENT LEAVE NEEDED
#TIME 1ST REASON LEAVE NEEDED
#TIMES 2ND REASON LEAVE NEEDED
#TIMES 3RD REASON LEAVE NEEDED
#TIMES 4TH REASON LEAVE NEED
1ST REASON LEAVE NEED/REQUIRE DR CARE
2ND REASON LEAVE NEED/REQUIRE DR CARE
3RD REASON LEAVE NEED/REQUIRE DR CARE
4TH REASON LEAVE NEED/REQUIRE DR CARE
1ST REASON LV NEED/HOSPITAL STAY
2ND REASON LV NEED/HOSPITAL STAY
3RD REASON LV NEED/HOSPITAL STAY
4TH REASON LV NEED/HOSPITAL STAY
DID NOT WANT TO LOSE SENIORITY
NOT ELIGIBLE/PART-TIME
HAD NOT WORKED LONG ENOUGH
EMPLOYED DENIED REQUEST
COULD NOT AFFORD
WANTED TO SAVE LEAVE TIME
WORK IS TOO IMPORTANT
SOME OTHER REASON
REASON FOR NOT TAKING LEAVE
TAKEN LEAVE IF RECEIVED SOME/MORE PAY?
WHAT DID YOU DO ABOUT SITUATION
EMPLOYED SINCE 1/1/99?
CONFIRM/NOT TAKEN OR NEEDED LEAVE
CURRENTLY CARE FOR CHILD/HEALTH CONDITIO
NEWBORN
NEWLY ADOPTED
NEW FOSTER CHILD
CHILD
SPOUSE
PARENT
OTHER RELATIVE
OTHER NON-RELATIVE
HC1AARRY:WHOM DO YOU CARE FOR?
RELATIONSHIP TO SUBJECT - OTHER SPECIFY
RELATIONSHIP TO SUBJECT/OTHER SPECIFY
LARGEST # OF SICK DAYS IN A ROW
TAKE LEAVE FROM 1995 - 1998?
HOW LIKELY NEED LEAVE IN NEXT 5 YRS
HC2AARRY:WHO WOULD THAT PERSON(S) BE
WHAT IS PERSONS RELATIONSHIP WITH R
SPECIFY PERSONS RELATIONSHIP WITH R
PERSON'S RELATIONSHIP WITH R (PARTNER)
YOURSELF
EVER HEARD OF FEDERAL FAMILY...ACT
FIRST LEARN OF FEDERAL FAMILY...ACT
RECENT LEAVE, ARE ELIGIBLE FOR LEAVE ACT
WAS LEAVE TAKEN UNDER LEAVE ACT
BEFORE '99, TAKEN LEAVE UNDER LEAVE ACT
CURRENTLY EMPLOYED
WAS NOTICE ON LEAVE ACT POSTED AT WORK
WAS LEAVE DENIED CAUSE FMLA LIMIT
EVERYONE SHOULD HAVE 12 WKS LEAVE
LEAVE IS BURDEN ON CO-WORKERS
LIST BENEFITS:FLEXTIME
LIST BENEFITS:FLEXPLACE/TELECOMUTE
LIST BENEFITS:JOB SHARING
LIST BENEFITS:REFERRAL SERVICE CHILDCARE
LIST BENEFITS:VOUCHERS FOR CHILDCARE
LIST BENEFITS:ONSITE CHILD CARE
LIST BENEFITS:REFERRAL SRVCS ELDERCARE
LIST BENEFITS:ADOPTION ASSISTANCE
LIST BENEFITS:EMPLOYEE ASSISTANCE PRGM
LIST BENEFITS:PAID PARENTAL LEAVE
LIST BENFITS:WORK PROVISION FOR LACTATIO
WHICH TWO ARE MOST IMPORTANT
WHICH 2 ARE MOST IMPORTANT
TAKE PART IN CHILD'S ACTIVITIES/SCHOOL
ATTEND ROUTINE FAMILY MEDICAL NEEDS
HELP ELDERLY RELATIVE HEALTH CARE
SINCE 1/1/99, HAVE R TAKEN LEAVE
LEAVE FOR ROUTINE FAMILIY MEDICAL NEEDS
LEAVE TO HELP W/ELDERLY RELATIVES
NEEDED LV FOR CHILD'S ACTIVITIES
HAVE R NEEDED TO TAKE LEAVE
NEED LV TO HELP W/ELDERLY RELATIVE
HC14ARRY:PAID SALARY, HOURLY, OR WHAT
SALARIED
HOURLY
PIECEWORK/COMMISSION
OTHER/COMBINATION
WAS R A CONTRACT WORKER
AT WORK IS THERE 50 OR MORE EMPLOYEES
ALL SITES W/IN 75 MILES, 50 OR MORE EMPL
ALL SITE, HAVE 25 EMPLOYEES OR MORE
SINCE 1/1/99, WORKED FOR SAME EMPLOYER
SINCE 1/1/99, ALWAYS BEEN FULL TIME
SINCE 1/1/99, # HOURS PER WEEK (AVERAGE)
SINCE 1/1/99, # MONTHS WORK FOR EMPLOYER
# HOURS A WEEK WORK FOR THAT EMPLOYER
HOW 1ST LEARN ABOUT FMLA
ANY CO-WORKERS TAKE FMLA?
WORK MORE HOURS
WORK DIFFERENT SHIFT
TAKE ON ADDITIONAL DUTIES?
CO-WORKERS LEAVE - IMPACT
1=Taker, 2=Needer, 3=Emp Only
1=Worksite covered 2=Noncovered
1=Both covered & eligible
Leave at A3 was FMLA-covd reason
Leavers & needers:FMLA reasons
Longest leave: days off work
Second longest leave: days off work
Recode: Reason for longest leave
Recode: Reason at A4
A3 covd reasons, collapsed
A4 covd reasons, collapsed
HH income: 8 categories
1=salaried, 2=hourly,3=other
RACE/ETHNICITY
Covd & elig AND for FMLA reason
Said longest leave was under FMLA
1=Leave was FMLA, 2=Was not
Length of longest leave
1=All at once, 2=alternated
Respondent education, 5 categories
Categorized respondent age
took leave for own health
took leave for maternity
leave for newborn,adopt,fost
took leave for child hlth
took leave for spouse
took leave for parent
HH income: 6 categories
marital status categories
1=Has child under 18
perceived eligibility for FMLA
Needed lv for own hlth
Needed lv for maternty
Needed lv for new child
Needed lv for ill child
Needed lv for spouse
Needed lv for parent
1=HH has child 18 mos or younger
code for response to b4
elig, not elig, & noncovd
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