| Question | Answers | Source | Source Link | Dates Used | |
|---|---|---|---|---|---|
| 1 | Do you have a child(ren) who are still using diapers? [Skip to End of Block if No] | • Yes • No | Developed by RAPID Team | NA | 12/01/2020-12/03/2020 |
| 2 | Have you had enough diapers to meet your needs in the past month? [Skip to End of Block if Yes] | • Yes • No | Developed by RAPID Team | NA | 12/01/2020-12/03/2020 |
| 3 | What barriers are you experiencing to getting enough diapers to meet your needs? Select all that apply. | • Cost • Unable to get time away from work • Too busy, or not enough time • Inability to find childcare • Diapers were out of stock or unavailable where I usually purchase them • I usually get diapers donated or provided free of charge, and they were not available • Concern over exposure to Coronavirus (COVID-19) • Caring for family members • Transporation issues • Other, Please describe: | Developed by RAPID Team | NA | 12/01/2020-12/03/2020 |
| 4 | Do you know of organizations or specific locations that offer free or reduced-price diapers? | • Yes • No | Developed by RAPID Team | NA | 12/01/2020-12/03/2020 |
| 5 | Do you usually receive diapers from organizations or specific locations that offer free or reduced-price diapers? | • Yes, I usually do • Yes, I sometimes do • No, I usually do not • No, I have never received free or reduced-price diapers | Developed by RAPID Team | NA | 12/01/2020-12/03/2020 |
| 6 | [Display this question if "Do you usually receive diapers from organizations or specific locations that offer free or reduced-price diapers?" = Yes, I usually do OR Yes, I sometimes do] What barriers are you experiencing to getting free or reduced-price diapers? Select all that apply. | • Cost • Unable to get time away from work • Too busy, or not enough time • Inability to find childcare • Diapers were out of stock or unavailable where I usually purchase them • I usually get diapers donated or provided free of charge, and they were not available • Concern over exposure to Coronavirus (COVID-19) • Caring for family members • Transporation issues • Other, Please describe: | Developed by RAPID Team | NA | 12/01/2020-12/03/2020 |