| Hit_1 | Date | ||
| Hit_2 | Field Worker's Code | ||
| Hit_3 | Identity of primary caregiver (person being interviewed)Mother=01, Father=02, Grandmother=03, Grandfather=04, Aunt=05, Uncle=06, Other relative=07, Other non-relative=08 | ||
| Hit_4 | Identity of those present in addition to the child and primary caregiver (Mother=01, Father=02, Brother=03, Sister=04, Grandmother=05, Grandfather=06, Aunt=07, Uncle=08, Cousin=09, Other relative=10, Other non-relative=11 | ||
| Hit_5 | Caregiver spontaneously vocalizes to the child at least twice during the visit (exclude scolding). (Observation) | ||
| Hit_6 | Caregiver responds to child’s vocalizations with a verbal response.(Observation) | ||
| Hit_7 | Caregiver reports no instances of physical punishment during the past week. (Interview) | ||
| Hit_8 | Caregiver does not scold or criticize the child during the visit. (Observation) | ||
| Hit_9 | Caregiver tends to keep the child within visual range and looks at the child quite often. (Observation) | ||
| Hit_10 | Caregiver consciously encourages developmental advances. (Either) | ||
| Hit_11 | Caregiver structures the child’s day. (Interview) | ||
| Hit_12 | Caregiver believes the child’s behavior can be changed or modified and is influenced by the parent’s behavior. (Interview) | ||
| Hit_13 | When the primary caregiver is away, care is provided by one of three regular substitutes. (Interview) | ||
| Hit_14 | Child is not cared for by another child (under 12 years of age). (Interview) | ||
| Hit_15 | There are some toys, tins, balls, dolls, slates, or material in the house that are appropriate play materials for the child. (Either) | ||
| Hit_16 | The child has a riding toy or some toy that provides gross motor stimulation. (Either) | ||
| Hit_17 | The caregiver provides toys or interesting activities for the child during the visit. (Observation) | ||
| Hit_18 | There are some magazines, newspapers, or books visible in the house.(Observation) | ||
| Hit_19 | The caregiver tells the child stories or nursery rhymes at least once a week. (Interview) | ||
| Hit_20 | The caregiver sings to the child everyday. (Interview) | ||
| Hit_21 | Where is taken the observation/interview? 1= Own home, 2=Mother's home, 3=Relative's home, 4=Tent/temporary home, 5=Rent | ||