Study on Global Ageing and Adult Health-Ghana-2007/8
DDI_GHA_2007_SAGE_v01_M
Nirmala Naidoo
Yunpeng Huang
2011-11-11
Nesstar Publisher
Version 01 (April 2011) - Adapted version of "DDI-GHA-WHO-SAGE-2007-V01" documented by WHO
Study on Global Ageing and Adult Health 2007-2008
Wave 1
SAGE Ghana 2007/8
GHA_2007_SAGE_v01_M
Professor R. Biritwum
Dr Richard Suzman
© World Health Organization 2011
Nesstar Publisher
US National Institute on Aging
Nirmala Naidoo, Health Statistics and Information Systems
World Health Survey [hh/whs]
Study on Global Ageing and Adult Health (SAGE)
Ghana
National coverage
Sample survey data [ssd]
Department of Community Health, Ghana Medical School
One of the 251 selected PSUs was not used. This was because the EA which was expected to be located at Korle Bu Teaching hospital cccould not be traced.
Face-to-face [f2f] PAPI
Nirmala Naidoo, Health Statistics and Information Systems
Publications based on SAGE data should use the following acknowledgement: "This paper uses data from the WHO Study on Global AGEing and Adult Health (SAGE)."
The data is being distributed without warranty of any kind. The responsibility for the use of the data lies with the user. In no event shall the World Health Organization be liable for damages arising from its use.
GhanaHHData.NSDstat
0
719
Nesstar 200801
GhanaINDData.NSDstat
0
1680
Nesstar 200801
GhanaINDDataProxy.NSDstat
0
173
Nesstar 200801
GhanaVAData.NSDstat
0
951
Nesstar 200801
Household Case ID 1st wave
0
0
Household Case ID 2nd wave
0
0
Q0001: Research Center Number
Research Centre Number
0
0
101
China
106
India
140
Mexico
152
Russian Federation
155
South Africa
241
Ghana
Q0002: Household ID number
Household ID
0
0
Q0003: Type of interview (new, f/u, retest, proxy, validatio
0
0
1
New interview
2
Follow-up interview from WHS
3
Retest
4
Proxy
5
Proxy validation
Q0002a: Household type (18-49, 50+)
0
0
1
HH for 18-49 year old
2
HH for 50+ year old
3
HH for 18-49 year old (Females only) (India only)
Q0003A: Interval
If retest interview, indicate number of days between first/second and retest.
0
0
-9
N/A
-8
DK
Q0004: Interviewer ID
Interviewer ID
0
0
Q0005: Number of calls
Total number of calls/visits:
0
0
Q0006: Date (DD)
Date of final results:
0
0
Q0006: Date (MM)
0
0
Q0006: Date (YYYY)
0
0
Q0007a: Final result code - HHQ
Final result code Household Q
0
0
Q0007b: Final result code - Individual Q
Final result code Individual Q for up to 4 respondents - See Q1000c for codes
0
0
Q0007b: Final result code - Individual Q
0
0
Q0007b: Final result code - Individual Q
0
0
Q0007b: Final result code - Individual Q
0
0
Q0008: Rotation code
Rotation code (Circle One)
0
0
Q0009: Edit (DD)
0
0
Q0009: Edit (MM)
0
0
Q0009: Edit (YYYY)
0
0
Q0010: Supervisor Signature
Signature of Supervisor:
0
0
1
1=Yes
2
2=No
Q0011: Key (DD)
0
0
Q0011: Key (MM)
0
0
Q0011: Key (YYYY)
0
0
S0000: Supervisor
SUPERVISOR
0
0
S0000: Field Editor
FIELD EDITOR
0
0
S0000: Office Editor
OFFICE EDITOR
0
0
S0000: Keyed by
KEYED BY
0
0
P0830: Supervisor Validation, HH member numuber
0
0
State
0
0
1
Assam
2
Karnataka
3
Maharashtra
4
Rajasthan
5
Uttar Pradesh
6
West Bengal
Q0002: Unique Household ID number
0
0
Q0002: Falg
0
0
Actual result code
0
0
1
Completed interview
2
Partial interview; no return
3
Contact, initial refusal
4
Contact, uncertain
5
Resistance/refusal
6
Final refusal by respondent
7
Final refusal by HH member
8
Unable to locate HH or informant
9
No interview, informant ineligible
10
Language barrier
11
Vacant, residents elsewhere
12
Unsafe area or no access
13
Deceased informant
14
Informant in institution
Q0101a: PSU Name
Primary Sampling Unit (PSU) Name:
0
0
Q0101b: PSU Code
PSU Code
0
0
Q0102a: SSU Name
Secondary Sampling Unit (SSU) Name:
0
0
Q0102b: SSU Code
SSU Code:
0
0
Q0103a: TSU Name
Tertiary Sampling Unit (TSU) Name:
0
0
Q0103b: TSU Code
TSU Code:
0
0
Q0104: Urban/Rural
Setting (circle one)
0
0
1
Urban
2
Rural
8
Don't know
9
Not Applicable
Q0105a: FirstADMLevelName
First Administrative Level Unit Name:
0
0
Q0105b: FirstADMLevelCode
First Administrative Level Unit Code:
0
0
Q0106a: SecondADMLevelName
Second Administrative Level Unit Name:
0
0
Q0106b: SecondADMLevelCode
Second Administrative Level Unit Code:
0
0
Q0201: Signals
Number of satellite signals received
(must be 3 or more)
0
0
0
None
1
One
2
Two
Q0202: Accuracy
Accuracy
feet (must be 65 feet or less)
0
0
Q0203A: N/S
Latitude N/S
0
0
Q0203: Reading
Latitude
0
0
Q0203B: Degrees
Degrees
0
0
Q0203C: Minutes
Minutes
0
0
0
0 Minutes
Q0204A: E/W
0
0
Q0204: Reading
0
0
Q0204B: Degrees
Degrees
0
0
Q0204C: Minutes
Minutes
0
0
0
0 Minutes
Q0205: Waypoint
Supervisors: Verify Q0203 and Q0204 using Appendix A0200
0
0
1
In front of HH
2
Nearby location
Q0301a: Last Name (surname)
Last Name (surname)
0
0
Q0301b: First (given) Name
First name
0
0
Q0302a: StreetAddressNumber
What is the informant's address?
Street number and name:
0
0
Q0302a: StreetAddressName
0
0
Q0302b: City
City
0
0
Q0302c: Postal Code
Postal Code:
0
0
Q0302d: Other
Other
0
0
Q0303: Telephone Y/N?
Does this informant/household have a telephone?
1 Yes 2 No
0
0
1
Yes have phone
2
No do not have phone
Q0304: TelephoneNumber
What is the telephone number?
0
0
Q0305: Phone # in Directory?
Is this telephone number listed in the telephone directory?
0
0
1
In directory
2
Not in directory
8
Don't know
9
Not applicable
Q0306: Contact Y/N?
If we cannot contact you for whatever reason, is there someone else we could contact who would know how to reach you or someone in your household?
0
0
1
Contact exists
2
Contact does not exist
8
Don't know
9
Not applicable
Q0306a: Contact last (sur)name
What is this person's name, relationship to you and his or her address?
Last Name (surname):
0
0
Q0306b: Contact first (given) name
First Name:
0
0
Q0306c: Contact relationship
0
0
-8
DK
1
Spouse
2
Son or daughter
3
Son- or daughter-in-law
4
Grandchild
5
Parent
6
Parent-in-law
7
Sibling (brother or sister)
8
Co-wife
9
Grandparent
10
Other relative
11
Not related
88
Don't know
Q0306d: Contact street number
Street Number
0
0
Q0306d: Contact street address name
Street Name:
0
0
Q0306e: Contact city
City
0
0
Q0306f: Contact postal code
Postal Code:
0
0
Q0306g: Contact other information
Other
A survey supervisor may be calling or visiting you again to verify this interview or to collect additional information in the future
0
0
Q0351A: Call #1 DD
Contact Record - Household
Date
0
0
Q0351A: Call #1 MM
0
0
Q0351A: Cal #1 YYYY
0
0
-8
Don't know
Q0351B: Call #1 HH
Time of contact
0
0
Q0351B: Call #1 mm
0
0
Q0351C: Call #1 Interviewer ID
Interviewer I.D.
0
0
Q0351D: Call #1 who?
Contact with
0
0
1
Contact w/ informant
2
Contact w/ other HH member
3
No contact
Q0351E: Call #1 listing?
Household roster obtained
0
0
1
Listing obtained
2
Listing not obtained
Q0351F: Call #1 result
Result code
INTERVIEWER: INSERT final result code in Section 0000: Coversheet, Q0007a
0
0
1
Completed interview
2
Partial interview; no return
3
Contact, initial refusal
4
Contact, uncertain
5
Resistance/refusal
6
Final refusal by respondent
7
Final refusal by HH member
8
Unable to locate HH or informant
9
No interview, informant ineligible
10
Language barrier
11
Vacant, residents elsewhere
12
Unsafe area or no access
13
Deceased informant
14
Informant in institution
Q0352A: Call #2 DD
Date
0
0
Q0352A: Call #2 MM
0
0
Q0352A: Call #2 YYYY
0
0
-8
Don't know
Q0352B: Call #2 HH
Time of contact
0
0
Q0352B: Call #2 mm
0
0
Q0352C: Call #2 Interviewer ID
Interviewer I.D.
0
0
Q0352D: Call #2 who?
Contact with
0
0
1
Contact w/ informant
2
Contact w/ other HH member
3
No contact
Q0352E: Call #2 listing?
Household roster obtained
0
0
1
Listing obtained
2
Listing not obtained
Q0352F: Call #2 result
Result code
INTERVIEWER: INSERT final result code in Section 0000: Coversheet, Q0007a.
0
0
1
Completed interview
2
Partial interview; no return
3
Contact, initial refusal
4
Contact, uncertain
5
Resistance/refusal
6
Final refusal by respondent
7
Final refusal by HH member
8
Unable to locate HH or informant
9
No interview, informant ineligible
10
Language barrier
11
Vacant, residents elsewhere
12
Unsafe area or no access
13
Deceased informant
14
Informant in institution
Q0353A: Call #3 DD
Date
0
0
Q0353A: Call #3 MM
0
0
Q0353A: Call #3 YYYY
0
0
-8
Don't know
Q0353B: Call #3 HH
Time of contact
0
0
Q0353B: Call #3 mm
0
0
Q0353C: Call #3 Interviewer ID
Interviewer I.D.
0
0
Q0353D: Call #3 who?
Contact with
0
0
1
Contact w/ informant
2
Contact w/ other HH member
3
No contact
Q0353E: Call #3 listing?
Household roster obtained
0
0
1
Listing obtained
2
Listing not obtained
Q0353F: Call #3 result
Result code
INTERVIEWER: INSERT final result code in Section 0000: Coversheet, Q0007a.
0
0
1
Completed interview
2
Partial interview; no return
3
Contact, initial refusal
4
Contact, uncertain
5
Resistance/refusal
6
Final refusal by respondent
7
Final refusal by HH member
8
Unable to locate HH or informant
9
No interview, informant ineligible
10
Language barrier
11
Vacant, residents elsewhere
12
Unsafe area or no access
13
Deceased informant
14
Informant in institution
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Col. Number
What is the total number of people who live in this household?
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403a: Last (sur)name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0403b: First (given) name
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
Q0404a: Is person still in HH?
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
00404b: WHS Person prefix
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0404b: WHS Person Number
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0406: Sex
Is [NAME] a male or a female?
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0407: Age
How old is he/she?
(if less than 1 year old enter "00")
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0408: Marital status
What is [NAME]'s marital status?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0413: How much care?
How much care does he/she need?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
Q0416: Went where?
Where did [NAME] go to?
0
0
S0400: HH begin
0
0
S0400: MM begin
0
0
S0400: HH end
0
0
S0400: MM end
0
0
Q0401: Total number of persons in HH
0
0
-9
Followup refused to give roster information
-8
Don't know
Q0402a: HH Head Last (sur)name
0
0
Q0402b: HH Head First (given) name
0
0
Q0417: Other infants or kids?
Are there any other persons such as small children or infants that we have not listed?
INTERVIEWER: Check Q0401 - make sure total number of persons listed in the roster table above is equal to the number of persons living in the household.
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q0418: Other persons?
Are there any other persons not here at the moment who are usually part of your household?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q0419: Main earner?
Who is the main income earner for the household (person who brings in most money)?
0
0
-8
DK
87
Other person not in HH
88
Don't know
98
Not applicable
Q0420: Who completed HH roster?
Who is the household member who completed the household roster?
INTERVIEWER: insert the Person (HH member) number from the roster table above.
0
0
-8
Don't know
88
Don't know
98
Not applicable
Q0421: Deaths in 24 months?
We want to know if there have been any deaths in this household/dwelling in the last 24 months.
Has any member of this household died in the last 24 months?
INTERVIEWER: (identify the correct time period - for example, "since April 2005?").
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q0422: How many deaths?
How many deaths were there in the household in the last 24 months?
0
0
-8
Don't know
88
Don't know
98
Not applicable
Q0423a: Sex (person 1)
IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910).
0
0
1
Male
2
Female
Q0424a: Age at death in years
IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910).
0
0
-8
Don't know
Q0423b: Sex (person 2)
IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910).
0
0
1
Male
2
Female
Q0424b: Age at death in years
IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910).
0
0
-8
Don't know
Q0423c: Sex (person 3)
IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910).
0
0
1
Male
2
Female
Q0424c: Age at death in years
IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910).
0
0
-8
Don't know
Q0423d: Sex (person 4)
IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910).
0
0
1
Male
2
Female
Q0424d: Age at death in years
IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910).
0
0
-8
Don't know
Q0451: HH Informant - Person (HH member) number from HH rost
0
0
-8
Don't know
88
Don't know
98
Not applicable
Q0451a: HHConsentProvided
Was the Household Consent Form Agreed to and Signed / Agreed but Witness Signed or Refused?
0
0
1
Agreed, Informant Signed
2
Agreed, witness signed
3
Refused
9
N/A
Q0451b: Kish Code (for new 18-49 HH only)
0
0
Q0452: Person (HH member) number - first person
Person (Household member) number
0
0
-8
Don't know
88
Don't know
98
Not applicable
Q0453: Person (HH member) number - second person (if any, 50
If a second person; Person (Household member) number
0
0
-8
Don't know
88
Don't know
98
Not applicable
Q0454: Person (HH member) number - third person (if any, 50+
If a third person; Person (Household member) number
0
0
-8
Don't know
88
Don't know
98
Not applicable
Q0455: Person (HH member) number - fourth person (if any, 50
If a fourth person; Person (Household member) number
0
0
-8
Don't know
98
Not applicable
Q0456: Person (HH member) number - fifth person (if any, 50+
0
0
-8
Don't know
98
Not applicable
S0500: HH begin
0
0
S0500: MM begin
0
0
S0500: HH end
0
0
S0500: MM end
0
0
Q0501: HH/dwelling ownership status
I would like to ask you some questions about your dwelling or home
Is this dwelling where you live…?
0
0
1
Owned in full by HH Head
2
Owned and HH Head paying
3
Owned in full by other in HH
4
Owned by other in HH and other paying
5
Rented
6
Free of charge
7
Other
8
Don't know
9
Not applicable
Q0502: Value
0
0
-8
DK
Q0503: Rooms for living
How many rooms does this dwelling have in total, without counting the bathrooms/ toilets or hallways/passage ways?
0
0
-8
Don't know
98
Not applicable
Q0504: Floor
environmental risk factors / water and sanitation
What type of floor does your dwelling have?
0
0
1
Hard floor
2
Earth floor
8
Don't know
9
Not applicable
Q0505: Walls
0
0
1
Durable material
2
Mud/adobe
3
Thatch etc.
4
Plastic sheet
5
Metal sheet
7
Other
8
Don't know
9
Not applicable
Q0506: Drinking water
0
0
1
Piped private
2
Piped to yard/plot
3
Public tap/standpipe
4
Tubewell/borehole
5
Protected dug well
6
Unprotected dug well
7
Protected spring
8
Unprotected spring
9
Rainwater collection
10
Bottled water
11
Small scale vendor
12
Tanker-truck/lorry
13
Surface water (river, lake, etc)
87
Other, specify
88
Don't know
98
Not applicable
Q0506a: Water for handwashing
0
0
1
Piped private
2
Piped to yard/plot
3
Public standpipe
4
Tubewell/borehole
5
Protected dug well
6
Unprotected dug well
7
Protected spring
8
Unprotected spring
9
Rainwater collection
10
Bottled water
11
Small scale vendor
12
Tanker-truck/lorry
13
Surface water (river, lake, etc)
87
Other, specify
88
Don't know
98
Not applicable
Q0507: Time to fetch water
How long does it take to go there, get water and come back?
0
0
-9
Not applicable
-8
Don't know
0
Water on premises
Q0507a: Who fetches water
Who usually goes to this source to fetch the water for your household?
0
0
1
Adult man
2
Adult woman
3
Male child (under 15)
4
Female child (under 15)
7
Other
8
Don't know
9
Not applicable
Q0508: Toilet facilities
0
0
1
Flush/pour to piped sewage system
2
Flush/pour to septic tank
3
Flush/pour to pit latrine
4
Flush/pour to other location
5
Flush/pour to unknown
6
Ventilation improved pit latrine
7
Pit with slab
8
Pit witout slap/open
9
Composting toilet
10
Bucket
11
Hanging toilet/latrine
12
No facilities (bush, field)
87
Other, specify
88
Don't know
98
Not applicable
Q0509: Toilet shared?
Do you share this facility with other households?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable (NA)
Q0510: Cooking fuel
What type of fuel does your household mainly use for cooking?
0
0
-8
DK
1
Gas
2
Electricity
3
Kerosene/paraffin
4
Coal, charcoal
5
Wood
6
Agricultural residue
7
Animal dung
8
Shrubs, grass
87
Other
88
Don't know
98
Not applicable
Q0511: Food cooked on?
0
0
1
Open fire
2
Open stove
3
Closed stove
7
Other
8
Don't know
9
Not applicable
Q0512: Fire/stove have chimney or hood?
0
0
1
Chimney
2
Hood
3
Neither
8
Don't know
9
Not applicable
Q0513: Where cooking usually done?
Where is cooking usually done?
0
0
1
In room used for living or sleeping
2
In separate room used as kitchen
3
In separate building used as kitchen
4
Outdoor
7
Other, specify
8
Don't know
9
Not applicable
S0600: HH begin
0
0
S0600: MM begin
0
0
S0600: HH end
0
0
S0600: MM end
0
0
Q0601: Family
In the last 12 months, has anyone in the household received any financial or in-kind support from your family (children, siblings or parents) and relatives (other kin) who do not live with you?
0
0
1
Help from family received
2
Help not received from family
8
Don't know
9
Not applicable
Q0602aA: Money, loans, tuition, etc
What type of financial or in-kind support did your household receive?
0
0
1
Yes
2
No
8
Don't know
Q0602aB: Amount
What type of financial or in-kind support did your household receive?
About how much was this amount in total over the last 12 months? (cash or cash equivalent)
0
0
-8
DK
Q0602bA: Food, land, livestock
What type of financial or in-kind support did your household receive?
0
0
1
Yes
2
No
8
Don't know
Q0602bB: Amount
What type of financial or in-kind support did your household receive?
About how much was this amount in total over the last 12 months? (cash or cash equivalent)
0
0
-8
DK
Q0602cA: HH chores, personal care
What type of financial or in-kind support did your household receive?
INTERVIEWER: This DOES NOT include paid or hired help.
0
0
1
Yes
2
No
8
Don't know
Q0602cB: Hours per week
What type of financial or in-kind support did your household receive?
About how much was this amount in total over the last 12 months? (cash or cash equivalent)
INTERVIEWER: This DOES NOT include paid or hired help.
0
0
-8
DK
Q0603: Rely on support?
0
0
1
Yes
2
No
8
Don't know
Q0604: Support from community?
In the last 12 months, has your household received any financial or in-kind support from any clubs, or groups in your community?
0
0
1
Help from community received
2
No community help received
8
Don't know
Q0605aA: Money, loans, tuition, etc
What type of financial or in-kind support did your household receive?
Money, loans, tuition, paying for bills, fees or taxes (that is, cash)?
0
0
1
Yes
2
No
8
Don't know
Q0605aB: Amount
What type of financial or in-kind support did your household receive?
Money, loans, tuition, paying for bills, fees or taxes (that is, cash)?
0
0
-8
DK
Q0605bA: Food, land, livestock
What type of financial or in-kind support did your household receive?
Value of food or other goods (that is, non-monetary)?
0
0
1
Yes
2
No
8
Don't know
Q0605bB: Amount
What type of financial or in-kind support did your household receive?
0
0
-8
DK
Q0605cA: HH chores, personal care
What type of financial or in-kind support did your household receive?
Doing household chores or activities (meal preparation, shopping, cleaning, laundry), providing care or transportation (help getting around outside the home)?
INTERVIEWER: This DOES NOT include paid or hired help.
0
0
1
Yes
2
No
8
Don't know
Q0605cB: Hours per week
What type of financial or in-kind support did your household receive?
About how much was this amount in total over the last 12 months? (cash or cash equivalent)
0
0
-8
DK
Q0606: Rely on support?
Keeping in mind what you just described from your community, do you consider this support as income that the household can count on in the future?
0
0
1
Yes
2
No
8
Don't know
Q0607: Support from government?
0
0
1
Yes
2
No
8
Don't know
Q0608aA: Money, loans, tuition, etc
What type of support did your household receive?
Money, loans, tuition, paying for bills, fees or taxes (that is, cash)?
0
0
1
Yes
2
No
8
Don't know
Q0608aB: Amount
What type of support did your household receive?
About how much was this amount in total over the last 12 months? (cash or cash equivalent)
0
0
-8
DK
Q0608bA: Food, land, livestock
What type of support did your household receive?
Value of food or other goods (that is, non-monetary)?
0
0
1
Yes
2
No
8
Don't know
Q0608bB: Amount
What type of support did your household receive?
About how much was this amount in total over the last 12 months? (cash or cash equivalent)
0
0
-8
DK
Q0609: Rely on support
Keeping in mind what you just described from the government, do you consider this as income or support that the household can count on in the future?
0
0
1
Yes
2
No
8
Don't know
Q0610: Support provided?
Now, moving away from assistance your household received, we would like to find out what financial and in-kind assistance you or other members of your household provided in the last 12 months to others who do not live with you.
0
0
1
Help to family provided
2
No help to family provided
8
Don't know
Q0611aA: Money, loans, tuition, etc
What type of financial or in-kind support did your household give?
0
0
1
Yes
2
No
8
Don't know
Q0611aB: Amount
What type of financial or in-kind support did your household give?
0
0
-8
DK
Q0611bA: Food, land, livestock
What type of financial or in-kind support did your household give?
0
0
1
Yes
2
No
8
Don't know
Q0611bB: Amount
What type of financial or in-kind support did your household give?
0
0
-8
DK
Q0611cA: HH chores, personal care
What type of financial or in-kind support did your household give?
INTERVIEWER: This DOES NOT include paid or hired help.
0
0
1
Yes
2
No
8
Don't know
Q0611cB: Hours per week
What type of financial or in-kind support did your household give?
INTERVIEWER: This DOES NOT include paid or hired help.
0
0
-8
DK
Q0612: Support provided?
In the last 12 months, has your household provided financial or in-kind support to any other kin, neighbours, or community members/groups?
0
0
1
Help to community/neighbors provided
2
No help to community/neighbors provided
8
Don't know
Q0613aA: Money, loans, tuition, etc
What type of support did your household give?
0
0
1
Yes
2
No
8
Don't know
Q0613aB: Amount
What type of support did your household give?
0
0
-8
DK
Q0613bA: Food, land, livestock
What type of support did your household give?
0
0
1
Yes
2
No
8
Don't know
Q0613bB: Amount
What type of support did your household give?
0
0
-8
DK
Q0613cA: HH chores, personal care
What type of support did your household give?
INTERVIEWER: This DOES NOT include paid or hired help.
0
0
1
Yes
2
No
8
Don't know
Q0613cB: Hours per week
What type of support did your household give?
INTERVIEWER: This DOES NOT include paid or hired help.
0
0
-8
DK
Q0614: Help with health care
During the last 12 months, did you or someone in your household provide help to a relative or friend (adult or child), because this person has a long-term physical or mental illness or disability, or is getting old and weak?
0
0
1
Yes
2
No
8
Don't know
Q0615a: Personal care Y/N
Please tell me the kind of care that was provided:
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q0615a: Personal ave hrs/wk
Please tell me the kind of care that was provided:
0
0
-8
DK
Q0615b: Medical care Y/N
Please tell me the kind of care that was provided:
0
0
1
Yes
2
No
8
Don't know
Q0615b: Medical ave hrs/wk
Please tell me the kind of care that was provided:
0
0
-8
DK
Q0615c: Watching over Y/N
Please tell me the kind of care that was provided:
0
0
1
Yes
2
No
8
Don't know
Q0615c: Watching ave hrs/wk
Please tell me the kind of care that was provided:
0
0
-8
DK
S0700: HH begin
0
0
S0700: MM begin
0
0
S0700: HH end
0
0
S0700: MM end
0
0
Q0701:Asset#1 Chairs
0
0
-8
Don't know
Q0702:Asset#2 Tables
0
0
-8
Don't know
Q0703:Asset#3 Cars
0
0
-8
Don't know
Q0704:Asset#4 Electricity
Does your home have electricity
0
0
1
Yes
2
No
8
Don't know
Q0705:Asset#5 Bicycle
A bicycle
0
0
1
Yes
2
No
8
DK
Q0706:Asset#6 Clock
A clock?
0
0
1
Yes
2
No
8
DK
Q0707:Asset#7 Bucket
A bucket?
0
0
1
Yes
2
No
8
DK
Q0708:Asset#8 Washing machine
A cot / bed / mattress?
0
0
1
Yes
2
No
8
DK
Q0709:Asset#9 Dishwasher
A dishwasher?
0
0
1
Yes
2
No
8
DK
Q0710:Asset#10 Refrigerator
A refrigerator?
0
0
1
Yes
2
No
8
DK
Q0711:Asset#11 Fixed-line telephone
A fixed-line telephone?
0
0
1
Yes
2
No
8
DK
Q0712:Asset#12 Mobile telephone
A mobile / cellular telephone?
0
0
1
Yes
2
No
8
DK
Q0713:Asset#13 TV
A television?
0
0
1
Yes
2
No
8
DK
Q0714:Asset#14 Computer
A computer?
0
0
1
Yes
2
No
8
DK
Q0715:Asset#15 Radio
A radio / tape or CD player?
0
0
1
Yes
2
No
8
DK
Q0716:Asset#16 Livestock
Livestock (cattle only)?
0
0
1
Yes
2
No
8
DK
Q0717:Asset#17 Sewing machine
A sewing machine?
0
0
1
Yes
2
No
8
DK
Q0718:Asset#18 Tractor
A moped / scooter / motorcycle?
0
0
1
Yes
2
No
8
DK
Q0719:Asset#19 Second home
A bullock cart or animal drawn cart?
0
0
1
Yes
2
No
8
DK
Q0720: Land?
0
0
1
Yes
2
No
8
Don't know
9
Refused
Q0720a: Land amount
0
0
-9
Refused
-8
DK
Q0721: Jewelry
0
0
1
Yes
2
No
8
Don't know
9
Refused
Q0721a: Jewelry amount
0
0
-9
Refused
-8
DK
Q0722: Regular income?
Does your household have a regular source of income?
0
0
1
Yes, regular source
2
Yes, regular but seasonal
3
No
8
Don't know
9
Not applicable
Q0723aA: wages/salary
0
0
1
Yes, weekly
2
Yes, monthly
3
Yes, yearly
4
No
8
Don't know
Q0723aB: wages/salary (n)
0
0
-8
DK
Q0723bA: earnings
0
0
1
Yes, weekly
2
Yes, monthly
3
Yes, yearly
4
No
8
Don't know
Q0723bB: earnings (n)
0
0
-9
NA
-8
DK
Q0723cA: rental income
0
0
1
Yes, weekly
2
Yes, monthly
3
Yes, yearly
4
No
8
Don't know
Q0723cB: rental income (n)
0
0
-8
DK
Q0723dA: pension
0
0
1
Yes, weekly
2
Yes, monthly
3
Yes, yearly
4
No
8
Don't know
Q0723dB: pension (n)
0
0
-8
DK
Q0723eA: interest/dividends
0
0
1
Yes, weekly
2
Yes, monthly
3
Yes, yearly
4
No
8
Don't know
Q0723eB: interest (n)
0
0
-8
DK
Q0723fA: other
0
0
1
Yes, weekly
2
Yes, monthly
3
Yes, yearly
4
No
8
DK
Q0723fB: other (n)
0
0
-8
DK
Q0724: Total (n)
So to verify this information, your approximate total household income from ALL sources over the last 12 months is about how much?
8 don't know
0
0
-8
DK
Q0725: Dependents (n)
How many people depend on this income?
(INTERVIEWER: This number should include the respondent - so enter "01" if only the respondent depends on/is supported by this income.)
0
0
-8
DK
Q0726: Debt or loans
Does your household or any members of the household have current debt or outstanding loans?
0
0
1
Yes
2
No
8
Don't know
Q0726a: Total amount of debt or loans
What is the approximate total amount of this debt or loan(s)?
8 don't know
0
0
-8
DK
Q0727: Enough?
Thinking about the income for this household, do you believe that it is enough money to cover your daily living needs and obligations?
0
0
1
Yes
2
No
8
Don't know
Q0728: Situation
Would you say your household's financial situation is…?
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
S0800: HH begin
0
0
S0800: MM begin
0
0
S0800: HH end
0
0
S0800: MM end
0
0
Q0801a: 7d staple foods amount
Q0801a. Staple foods (rice, pulses, cassava, pasta, potatoes, bread, crackers)?
(INTERVIEWER: Use "0" for no expenditure below.)
0
0
-8
DK
Q0801b: 7d meat amount
Meat (beef, pork, lamb, mutton, chicken, turkey, duck, bushmeat, or other meat - fish or other seafood)?
(INTERVIEWER: Use "0" for no expenditure below.)
0
0
-8
DK
Q0801c: 7d F&V amount
Fruits and vegetables?
(INTERVIEWER: Use "0" for no expenditure below.)
0
0
-8
DK
Q0801d: 7d Milk & eggs amount
Milk and eggs?
(INTERVIEWER: Use "0" for no expenditure below.)
0
0
-8
DK
Q0801e: 7d spices & oils amount
(INTERVIEWER: Use "0" for no expenditure below.)
0
0
-8
DK
Q0801f: 7d beverages amount (non-alcoholic)
Beverages and other non-alcoholic drinks such as coffee, tea, juice, water and soft drinks.
(INTERVIEWER: Use "0" for no expenditure below.)
0
0
-8
DK
Q0801g: 7d tobacco and alcohol amount
Tobacco and alcoholic beverages (including, beer, wine, spirits)?
(INTERVIEWER: Use "0" for no expenditure below.)
0
0
-8
DK
Q0801h: 7d food outside HH amount
Food eaten outside the dwelling (for example, at vendors, kiosks or restaurants)?
(INTERVIEWER: Use "0" for no expenditure below.)
0
0
-8
DK
Q0801i: 7d all other foods/drink amount
All other food items.
(INTERVIEWER: Use "0" for no expenditure below.)
0
0
-8
DK
Q0802: 7d food overall amount
Please if you could now give us a total of how much your household spent overall on food items.
In the last 7 days, how much did your household spend on food items overall?
8 don't know
0
0
-8
DK
Q0803a: 4-wk housing and utilities
Housing and utilities (rent, mortgage, electricity, heating/cooking fuel, water, telephone…)?
8 don't know
0
0
-8
DK
Q0803b: 4-wk clothing & other personal items
Clothing (footwear, hats, shirts, pants, dresses, skirt, jackets, coats…) and other personal items (soap, shampoo, cosmetics, shaving cream…)?
8 don't know
0
0
-8
DK
Q0803c: 4-wk transportation
Transportation (bus fares, cab/taxi fares, vehicle repair costs, petrol…)?
8 don't know
0
0
-8
DK
Q0803d: 4-wk recreation & entertainment
Recreation and entertainment?
8 don't know
0
0
-8
DK
Q0803e: 4-wk all other, amount
8 don't know
NTERVIEWER: See QxQ for acceptable items - do not include "big expenditure" items that would be listed as expenditures in the last 12 months (Q0811-0821)
0
0
-8
DK
Q0804: 4-wk professional fees
Registration and consultation fees by doctors, nurses, or trained midwives that did not require an overnight stay?
8 don't know
0
0
-8
DK
Q0805: 4-wk health care traditional/alt healers
Health care by traditional or alternative healers (use other local names)?
8 don't know
0
0
-8
DK
Q0806: 4-wk health care diagnostic and lab tests
Diagnostic and laboratory tests such as X-rays or blood tests?
8 don't know
0
0
-8
DK
Q0807: 4-wk health care medications
Medications or drugs (prescription, non-prescription, traditional, homeopathic…)?
8 don't know
0
0
-8
DK
Q0808: 4-wk dentists or dental care
Dentists or dental care?
8 don't know
0
0
-8
DK
Q0809: 4-wk ambulance transport
Ambulance?
8 don't know
0
0
-8
DK
Q0810: 4-wk other, amount
8 don't know
0
0
-9
Missing
-8
DK
Q0811: 12mo education fees and supplies
8 don't know
0
0
-8
DK
Q0812: 12mo durable goods & appliances & furniture
Durable goods (televisions, phones, bed sheets, towels, tools), furniture (tables, chairs, beds) and appliances (refrigerators, washing machines)?
8 don't know
0
0
-8
DK
Q0813: 12mo vehicles + upkeep & repair
Vehicles (trucks, cars, motorcycles, scooters, bicycles) and upkeep/repairs?
8 don't know
0
0
-8
DK
Q0814: 12 mo rituals, gifts
Rituals, gifts or ceremonies (funerals, birthdays, weddings…)?
8 don't know
0
0
-8
DK
Q0815: 12mo taxes
Taxes (property tax, vehicle tax, income tax…) and non-health related insurance (personal, vehicle, household, life…)?
8 don't know
0
0
-8
DK
Q0816: 12mo mandatory health insurance
Mandatory health insurance premiums or pre-paid health plans?*
8 don't know
0
0
-8
DK
Q0817: 12mo voluntary health insurance
Voluntary health insurance premiums (including, community health insurance schemes)?**
8 don't know
0
0
-8
DK
Q0818: 12mo health-related items & devices
Health-related items (prescription glasses, hearing aids, canes, prosthetic devices…)?
8 don't know
0
0
-8
DK
Q0819: 12-mo overnight health care stay
8 don't know
0
0
-8
DK
Q0820: 12-mo costs long-term care facility
8 don't know
0
0
-8
DK
Q0821: 12-mo all other goods & services
All other goods and services (property, land, livestock, cleaning services, repair services…)?
8 don't know
0
0
-8
DK
Q0822: 12-mo current HH income
Current income of any household members (salaries, pensions, paid benefits…)?
INTERVIEWER: If no health expenditures, (Q0804 to Q0810 = "0" and Q0818 to Q0820 = "0") è SKIP TO Q0829
0
0
1
Yes
2
No
8
Don't know
Q0823: 12-mo savings
Savings?
INTERVIEWER: If no health expenditures, (Q0804 to Q0810 = "0" and Q0818 to Q0820 = "0") è SKIP TO Q0829
0
0
1
Yes
2
No
8
Don't know
Q0824: 12-mo insurance
Payment or reimbursement from a health insurance plan (including community health schemes)?
INTERVIEWER: If no health expenditures, (Q0804 to Q0810 = "0" and Q0818 to Q0820 = "0") è SKIP TO Q0829
0
0
1
Yes
2
No
8
Don't know
Q0825: 12-mo selling items
Sold items (land, property, furniture, livestock, jewellery…)?
INTERVIEWER: If no health expenditures, (Q0804 to Q0810 = "0" and Q0818 to Q0820 = "0") è SKIP TO Q0829
0
0
1
Yes
2
No
8
Don't know
Q0826: 12-mo family/friends
Relatives or friends from outside the household?
INTERVIEWER: If no health expenditures, (Q0804 to Q0810 = "0" and Q0818 to Q0820 = "0") è SKIP TO Q0829
0
0
1
Yes
2
No
8
Don't know
Q0827: 12-mo borrowing
Borrowed from financial institutions or agencies (microfinance schemes, banks…)?
INTERVIEWER: If no health expenditures, (Q0804 to Q0810 = "0" and Q0818 to Q0820 = "0") è SKIP TO Q0829
0
0
1
Yes
2
No
8
Don't know
Q0828: 12-mo other
Other, specify
INTERVIEWER: If no health expenditures, (Q0804 to Q0810 = "0" and Q0818 to Q0820 = "0") è SKIP TO Q0829
0
0
1
Yes
2
No
8
Don't know
Q0829: Average overall monthly HH spending
In general, what is your household's average overall monthly spending?
INTERVIEWER: If no health expenditures, (Q0804 to Q0810 = "0" and Q0818 to Q0820 = "0") è SKIP TO Q0829
0
0
-8
DK
Q0901: Someone else present?
Was someone else present during the interview?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q0902: Accuracy
What is your evaluation of the accuracy of the informant's answers?
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
strata code
strata code
0
0
post-stratified household weight
Post-stratified household weight.
0
0
permanent income continuous
Permanent income continuous
0
0
Permanent income quintile
Permanent income quintile
0
0
Individual Case ID 1st wave
0
0
Individual Case ID 2nd wave
0
0
Q0001: Research Center Number
Research Centre Number
0
0
101
China
106
India
140
Mexico
152
Russian Federation
155
South Africa
241
Ghana
Q0002: Household ID number
Household ID
0
0
Q0003: Type of interview (new, f/u, retest, proxy, validatio
0
0
1
New interview
2
Follow-up interview from WHS
3
Retest
4
Proxy
5
Proxy validation
Q1007: Respondent Number
0
0
-9
Not applicable
-8
Don't know
Q0002a: Household type (18-49, 50+)
0
0
1
HH for 18-49 year old
2
HH for 50+ year old
3
HH for 18-49 year old (Females only) (India only)
Q0008: Rotation code
Rotation code (Circle One)
0
0
Q0101b: PSU Code
PSU Code:
0
0
Q0104: Urban/Rural
0
0
1
Urban
2
Rural
8
Don't know
9
Not Applicable
Q0403a: Last (sur)name
0
0
Q0403b: First (given) name
0
0
Q0404a: Is person still in HH?
0
0
1
Yes, in HH
2
No longer in HH
9
Not applicable
Q0404b: WHS Person Number
0
0
98
New HH member
Q0405: Relationship to respondent
What is [NAME]'s relationship to the household head?
0
0
-8
DK
1
Spouse
2
Son or daughter
3
Son- or daughter-in-law
4
Grandchild
5
Parent
6
Parent-in-law
7
Sibling (brother or sister)
8
Co-wife
9
Grandparent
10
Other relative
11
Not related
88
Don't know
98
Not applicable
Q0406: Sex
0
0
1
Male
2
Female
Q0407: Age
0
0
-8
Don't know
Q0408: Marital status
What is [NAME]'s marital status?
0
0
1
Never married
2
Currently married
3
Cohabitating
4
Separated/Divorced
5
Widowed
8
DK
9
Not applicable
Q0409: Highest education level
What is the highest level of education [NAME] completed?
0
0
0
No formal education
1
Less than primary school
2
Primary school completed
3
Secondary school completed
4
High school (or equivalent) completed
5
College/university completed
6
Post-graduate degree completed
8
Don't know
Q0411: Health insurance
Does [NAME] have health insurance coverage?
0
0
1
Yes, mandatory
2
Yes, voluntary
3
Yes, both mandatory and voluntary insurance coverage
4
No, none
8
Don't know
9
Not applicable
Q0412: Needs care?
Does [NAME] need care due to his/her health condition, such as a long-term physical or mental illness or disability, or because he/she is getting old and weak?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q0413: How much care?
How much care does he/she need?
0
0
1
Needs help at all times
2
Cannot be left for more than 1H
3
Can be left more than 1H
4
Needs some help
8
Don't know
9
Not applicable
Q0414: In institution?
Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q0415: Reason for absence
What is the reason for [NAME]'s absence?
0
0
-8
DK
1
Employment
2
Looking for work
3
Schooling
4
Visiting family
5
Visiting friends
6
W/ other spouse
7
Personal reasons
8
Escape violence/political
9
Prison
10
Hospital/clinic
11
Nursing home
12
Died
87
Other
88
Don't know
98
Not applicable
Q0416: Went where?
Where did [NAME] go to?
0
0
1
Other HH, same locality
2
3
Urban, same country
4
Rural, other country
5
Urban, other country
8
Don't know
9
Not applicable
Q1000A: Interviewer ID number
Interviewer I.D
0
0
Q1000B: Contact with:
Contact with:
0
0
1
Respondent
2
Proxy respondent
3
No one
8
Don't know
9
Not applicable
Q1000C: Result code
Result code
NTERVIEWER: INSERT final result code in Section 0000: Coversheet, Q0007b.
0
0
-8
Don't know
1
Completed interview
2
Partial interview; no return
3
Contact, initial refusal
4
Contact, uncertain
5
Resistance/refusal
6
Final refusal by respondent
7
Final refusal by HH member
8
Unable to locate respondent
9
No interview; respondent ineligible
10
Language barrier
11
Vacant, residents elsewhere
12
Unsafe area or no access
13
Deceased respondent
14
Respondent in institution
Q1001: Cognitive limitations
0
0
1
Yes limitations
2
No limitations
8
Don't know
9
Not applicable
Q1002: Memory at present
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q1003: Memory comparison
Compared to 12 months ago, would you say your memory is now better, the same or worse than it was then?
0
0
1
Better
2
Same
3
Worse
8
Don't know
9
Not applicable
Q1004: Interviewer judgment
Interviewer
0
0
1
No limitations
2
Need proxy
8
Don't know
9
Not applicable
Q1005: Proxy
0
0
1
Spouse
2
Non-spouse
8
Don't know
9
Not applicable
S1000: HH begin
0
0
S1000: MM begin
0
0
S1000: HH end
0
0
S1000: MM end
0
0
Q1006: Household ID number
Household ID
0
0
-8
Don't know
Q1007: Respondent number
0
0
-9
Not applicable
-8
Don't know
Q1008: Mother tongue
0
0
1
MT 1
2
MT 2
3
MT 3
4
MT 4
5
MT 5
87
Other
88
Don't know
Q1008A: Master code for Mother Tongue
0
0
1
MT 1
2
MT 2
3
MT 3
4
MT 4
5
MT 5
87
Other
88
Don't know
Q1009: Sex
0
0
1
Male
2
Female
Q1010: DD
8 Don't know
0
0
-8
Don't know
Q1010: MM
8 Don't know
0
0
-8
DK
Q1010: YYYY
8 Don't know
0
0
-8
DK
Q1011: Age in YYYs
How old are you now?
Age in years
INTERVIEWER: This would be age at last birthday. If don't know - probe.
0
0
-8
DK
Q1012: Marital status
What is your current marital status?
0
0
1
Never married
2
Currently married
3
Cohabiting
4
Separated/divorced
5
Widowed
8
Don't know
9
Not applicable
Q1013: Years sep/div/widowed
For how many years have you been separated, divorced or widowed?
INTERVIEWER: if less than 1 year, enter "00"
0
0
-8
DK
Q1014: Years married/living together
For how many years have you been married or living together?
INTERVIEWER: if less than 1 year, enter "00"
0
0
-8
DK
Q1015: Ever schooled
Have you ever been to school?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q1016: Highest level
What is the highest level of education that you have completed?
0
0
1
Less than primary
2
Completed primary
3
Completed secondary
4
Completed HS
5
Completed college/university
6
Completed post-grad
8
Don't know
9
Not applicable
Q1017: Years educated
How many years of school, including higher education have you completed?
0
0
-8
DK
Q1018: Ethnic background/caste/tribe
What is your caste or tribe?
0
0
1
EG 1
2
EG 2
3
EG 3
4
EG 4
5
EG 5
6
EG 6
87
Other
88
Don't know
98
Not applicable
Q1019: Religion
Do you belong to a religious denomination?
INTERVIEWER: allow the respondent to reply without reading categories. Clarify as needed.
0
0
1
None
2
Buddhism
3
Chinese trad religion
4
Christianity
5
Hinduism
6
Islam
7
Jainism
8
Judaism
9
Primal indigenous
10
Sikhism
87
Other
88
Don't know
97
Refused
98
Not applicable
Q1020: Always here?
Have you always lived in this village/town/city?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q1021: How long?
How long have you been living (continuously) in this area?
Interviewer: If less than 1 year, enter “00”.
0
0
-8
DK
Q1022: Where lived before?
Where were you living before?
0
0
1
Diff HH, same locality
2
Other city, same state/prov/region
3
Other rural, same state/prov/region
4
Other urban, same country
5
Other rural, same country
6
Other country
8
Don't know
9
Not applicable
Q1023: Where lived most adult life?
Where have you lived for most of your adult life (18+ years)?
0
0
1
Diff HH, same locality
2
Other city, same state/prov/reg
3
Other rural, same state/prov/reg
4
Other urban, same country
5
Other rural, same country
6
Other country
8
Don't know
9
Not applicable
Q1024: Childhood residence?
Where did you live for most of your childhood (before age 10 years)?
0
0
1
Diff HH, same locality
2
Other city, same state/prov/reg
3
Other rural, same state/prov/reg
4
Other urban, same country
5
Other rural, same country
6
Other country
8
Don't know
9
Not applicable
Q1025: Mother ever employed?
Was your mother ever employed?
0
0
1
Yes
2
No
8
DK
9
Not applicable
Q1026: Mother's employer?
Who is/was your mother's main employer over her working life?
0
0
1
Public
2
Private
3
Self-employed
4
Informal employment
8
Don't know
9
Not applicable
Q1027: Mother occupation
What is/was her main occupation?
INTERVIEWER: write exactly what the respondent says - clarify if you do not understand - write clearly in capital letters
0
0
-9
Not applicable
-8
Don't know
Q1028: Mother education
What is the highest level of education that she completed?
0
0
0
No formal education
1
Less than primary
2
Completed primary
3
Completed secondary
4
Completed HS
5
Completed college/univ
6
Completed post-grad
8
Don't know
9
Not applicable
Q1029: Father ever employed?
Was your father ever employed?
0
0
1
Yes
2
No
8
DK
9
Not applicable
Q1030: Father's employer?
Who is/was your father's main employer over his working life?
0
0
1
Public
2
Private
3
Self-employed
4
Informal employment
8
Don't know
9
Not applicable
Q1031: Father occupation
0
0
-9
Not applicable
-8
Don't know
Q1032: Father education
What is the highest level of education that he completed?
0
0
0
No formal education
1
Less than primary
2
Completed primary
3
Completed secondary
4
Completed HS
5
Completed college/univ
6
Completed post-grad
8
Don't know
9
Not applicable
Actual result code
0
0
-8
Don't know
1
Completed interview
2
Partial interview; no return
3
Contact, initial refusal
4
Contact, uncertain
5
Resistance/refusal
6
Final refusal by respondent
7
Final refusal by HH member
8
Unable to locate respondent
9
No interview; respondent ineligible
10
Language barrier
11
Vacant, residents elsewhere
12
Unsafe area or no access
13
Deceased respondent
14
Respondent in institution
S1500: HH begin
0
0
S1500: MM begin
0
0
S1500: HH end
0
0
S1500: MM end
0
0
Q1501: Ever worked
0
0
1
Yes worked
2
Never worked
8
Don't know
9
Not applicable
Q1501a: Why not?
What is the main reason that you have never worked?
0
0
1
Homemaker
2
Can't find work
3
Do voluntary/unpaid
4
Studies/training
5
Health/disability
6
Care of family member
7
No need
8
Spouse/family object
87
Other
88
Don't know
98
Not applicable
Q1502: Age started
At what age did you start working for pay?
0
0
-9
Not applicable
-8
Don't know
Q1502a: How many years ago start work?
How many years ago did you start working?
Years ago
0
0
-9
Not applicable
-8
Don't know
Q1503: Currently working?
Have you worked for at least 2 days during the last 7 days?
0
0
1
Yes working
2
Not working
8
Don't know
9
Not applicable
Q1504: Main reason not working?
What is the main reason you are not currently working?
0
0
1
Homemaker
2
Can't find work
3
Do voluntary/unpaid
4
Studies/training
5
Health/disability
6
Care of family member
7
No need
8
Spouse/family object
9
Retired/too old
10
Laid off/redundant
11
Seasonal
12
Temporary time off
87
Other
88
Don't know
97
Refused
98
Not applicable
Q1505a: Years ago stopped work
0
0
-9
Not applicable
-8
Don't know
Q1506: Looking for work
Are you actively looking for work at this time?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q1507: Reason looking
What is the main reason that you would you like to work at present?
Interviewer: Only one answer allowed - read categories if needed.
0
0
1
Need income
2
Need to be active
3
Need to feel useful
4
Help my family
7
Other
8
Don't know
9
Not applicable
Q1508: Payment type
Now I will ask you some questions about your current work or your most recent work. Please answer these questions thinking about your current work, or if you are not working currently, think about your most recent work.
Are/were you paid in cash or kind for your work or are/were you not paid at all?
0
0
1
cash only
2
in kind only
3
cash and kind
4
not paid
8
Don't know
9
Not applicable
Q1509: Main job - employer
Who is/was your employer in your current/most recent MAIN job?
0
0
1
Public
2
Private
3
Self-employed
4
Informal employment
8
Don't know
9
Not applicable
Q1510: Main occupation
In the last 12 months, for your main job, what has been your main occupation?
INTERVIEWER: Write exactly what the respondent says - write clearly in capital letters.
0
0
-8
Don't know
Q1511: Seasonal work?
Do/did you usually work throughout the year, or do/did you work seasonally, or only once in a while for your main job?
0
0
1
Work throughout year
2
Seasonally/part of year
3
Once in a while
8
Don't know
9
Not applicable
Q1512: Days worked/week (n)
On average, how many days a week do/did you work in your main job?
Days
0
0
8
Don't know
9
Not applicable
Q1513: HHs (n)
On average, how many hours a day do/did you work in your main job?
Hours
0
0
-9
Not applicable
-8
Don't know
Q1514a: Benefit - pension
0
0
1
yes
2
no
8
don't know
9
not applicable
Q1514b: Benefits - medical
0
0
1
yes
2
no
8
don't know
9
not applicable
Q1514c: Benefits - food
0
0
1
yes
2
no
8
don't know
9
not applicable
Q1514d: Benefits - cash
0
0
1
yes
2
no
8
don't know
9
not applicable
Q1514e: Benefits - no benefits
0
0
1
yes (no benefits)
2
no (does receive benefits - see 'f, other))
8
don't know
9
not applicable
Q1514f: Benefits - other
0
0
1
Yes, specify
2
No
8
don't know
9
not applicable
Q1515: Other job?
Have you worked at more than one job over the last 12 months?
0
0
1
Yes worked other job
2
No other job
8
don't know
9
not applicable
S2000: HH begin
0
0
S2000: MM begin
0
0
S2000: HH end
0
0
S2000: MM end
0
0
Q2000: Health today
In general, how would you rate your health today?
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q2001: Activities
Overall in the last 30 days, how much difficulty did you have with work or household activities?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2002: Moving around
Now I would like to review the different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on average, in the last 30 days, while doing the activity in the way that you usually do it. Let me remind you, by difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity.
Overall in the last 30 days, how much difficulty did you have with moving around?
INTERVIEWER: Read and show scale to respondent.
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2003: Vigorous activities
Now I would like to review the different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on average, in the last 30 days, while doing the activity in the way that you usually do it. Let me remind you, by difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity.
Overall in the last 30 days, how much difficulty did you have n vigorous activities ('vigorous activities' require hard physical effort and cause large increases in breathing or heart rate)?
INTERVIEWER: Read and show scale to respondent.
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2004: Self-care
Overall in the last 30 days, how much difficulty did you have with self-care, such as bathing/washing or dressing yourself?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2005: Appearance
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2006: Time by yourself
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2007: Bodily pains
Overall in the last 30 days, how much of bodily aches or pains did you have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2008: Bodily discomfort
Overall in the last 30 days, how much bodily discomfort did you have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2009: Difficulty b/c pain
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2010: Memory
Overall in the last 30 days, how much difficulty… did you have with concentrating or remembering things?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2011: Learning
Overall in the last 30 days, how much difficulty… did you have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2012: Relationships
Overall in the last 30 days, how much difficulty did you have, with personal relationships or participation in the community?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2013: Conflicts
Overall in the last 30 days, how much difficulty did you have,n dealing with conflicts and tensions with others?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2014: Friendships
Overall in the last 30 days, how much difficulty did you have, with making new friendships or maintaining current friendships?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2015: Dealing with strangers
Overall in the last 30 days, how much difficulty did you have, with dealing with strangers?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2016: Sleep
Overall in the last 30 days, how much of a problem did you… have with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2017: Rested
Overall in the last 30 days, how much of a problem did you… have due to not feeling rested and refreshed during the day (for example, feeling tired, not having energy)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2018: Depression
Overall in the last 30 days, how much of a problem did you have with feeling sad, low or depressed?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2019: Worry
Overall in the last 30 days, how much of a problem did you have with worry or anxiety?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2020: Years ago eyes examined
When was the last time you had your eyes examined by a medical professional?
nterviewer: enter years or months ago. Enter "00" if less than 1 year.
0
0
-8
Don't know
98
Never
Q2021: Visual aids
Do you use eyeglasses or contact lenses to see far away (for example, across the street)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q2022: Visual aids
Do you use eyeglasses or contact lenses to see up close (for example at arms length, like when you are reading)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q2023: Visual difficulty
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2024: Visual difficulty
In the last 30 days, how much difficulty did you have in seeing and recognising an object at arm's length (for example, reading)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2025: Sitting
In the last 30 days, how much difficulty did you have in sitting for long periods?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2026: Walking
In the last 30 days, how much difficulty did you have in walking 100 meters?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2027: Standing up
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2028: Standing
In the last 30 days, how much difficulty did you have in standing for long periods?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2029: Climbing
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2030: Crouching
In the last 30 days, how much difficulty did you have with stooping, kneeling or crouching?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2031: Picking up
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2032: HH responsibilities
In the last 30 days, how much difficulty did you have in taking care of your household responsibilities?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2033: Activities
In the last 30 days, how much difficulty did you have in joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2034: Arms over shoulders
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2035: Concentration
In the last 30 days, how much difficulty did you have concentrating on doing something for 10 minutes?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2036: Walking
In the last 30 days, how much difficulty did you have in walking a long distance such as a kilometer?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2037: Washing body
In the last 30 days, how much difficulty did you have in bathing/washing your whole body?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2038: Dressing
In the last 30 days, how much difficulty did you have in getting dressed?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2039: Daily work
In the last 30 days, how much difficulty did you have in your day to day work?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2040: Carrying
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2041: Moving around
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2042: Eating
In the last 30 days, how much difficulty did you have with eating (including cutting up your food)?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2043: Getting up from lying
In the last 30 days, how much difficulty did you have with getting up from lying down?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2044: Using toilet
In the last 30 days, how much difficulty did you have with getting to and using the toilet?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2045: Getting places
In the last 30 days, how much difficulty did you have with getting where you want to go, using private or public transport if needed?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2046: Going out
In the last 30 days, how much difficulty did you have getting out of your home?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2047: Emotional effect
In the last 30 days, how much difficulty did you have In the last 30 days, how much have you been emotionally affected by your health condition(s)?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2048: Interference with daily life
In the last 30 days, how much difficulty did you have Overall, how much did these difficulties interfere with your life?
Interviewer: For each question, please circle only one response. 'N/A' means 'not applicable'
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2049: Other aids
0
0
1
Yes
2
No
8
DK
9
NA
Vignette Set
0
0
S2100: HH begin
0
0
S2100: MM begin
0
0
S2100: HH end
0
0
S2100: MM end
0
0
Q2101: Moving around
Overall in the last 30 days, how much difficulty did [Yusuf] have with moving around?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2102: Vigorous action
[Yusuf] is able to walk distances of up to 200 metres without any problems but feels tired after walking one kilometre or climbing up more than one flight of stairs. He has no problems with day-to-day physical activities, such as carrying food from the market.
Overall in the last 30 days, how much difficulty did Yusuf] have in vigorous activities ('vigorous activities' require hard physical effort and cause large increases in breathing or heart rate)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2103: Depression
Lucas] feels nervous and anxious. He worries and thinks negatively about the future, but feels better in the company of people or when doing something that really interests him. When he is alone he tends to feel useless and empty.
Overall in the last 30 days, how much of a problem did Lucas] have with feeling sad, low, or depressed?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2104: Anxiety
Lucas] feels nervous and anxious. He worries and thinks negatively about the future, but feels better in the company of people or when doing something that really interests him. When he is alone he tends to feel useless and empty.
Overall in the last 30 days, how much of a problem did Lucas] have with worry or anxiety?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2105: Moving around
[Gabriel] has a lot of swelling in his legs due to his health condition. He has to make an effort to walk around his home as his legs feel heavy.
Overall in the last 30 days, how much difficulty did [Gabriel] have with moving around?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2106: Vigorous action
[Gabriel] has a lot of swelling in his legs due to his health condition. He has to make an effort to walk around his home as his legs feel heavy.
Overall in the last 30 days, how much difficulty did [Gabriel] have in vigorous activities?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2107: Depression
[Jane] enjoys her work and social activities and is generally satisfied with her life. She gets depressed every 3 weeks for a day or two and loses interest in what she usually enjoys but is able to carry on with her day to day activities.
Overall in the last 30 days, how much of a problem did [Jane] have with feeling sad, low, or depressed?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2108: Anxiety
[Jane] enjoys her work and social activities and is generally satisfied with her life. She gets depressed every 3 weeks for a day or two and loses interest in what she usually enjoys but is able to carry on with her day to day activities.
Overall in the last 30 days, how much of a problem did [Jane] have with worry or anxiety?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2109: Moving around
[Margaret] does not exercise. She cannot climb stairs or do other physical activities because she is obese. She is able to carry the groceries and do some light household work.
Overall in the last 30 days, how much of a problem did [Margaret] have with moving around?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2110: Vigorous action
[Margaret] does not exercise. She cannot climb stairs or do other physical activities because she is obese. She is able to carry the groceries and do some light household work.
Overall in the last 30 days, how much of a problem did [Margaret] have in vigorous activities?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2111: Depression
[Susan] feels depressed most of the time. She weeps frequently and feels hopeless about the future. She feels that she has become a burden on others and that she would be better dead.
Overall in the last 30 days, how much of a problem did [Susan] have with feeling sad, low, or depressed?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2112: Anxiety
[Susan] feels depressed most of the time. She weeps frequently and feels hopeless about the future. She feels that she has become a burden on others and that she would be better dead.
Overall in the last 30 days, how much of a problem did [Susan] have with worry or anxiety?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2113: Moving around
[Mary] has no problems with walking, running or using her hands, arms and legs. She jogs 4 kilometres twice a week.
Overall in the last 30 days, how much difficulty did [Mary] have with moving around?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2114: Vigorous action
[Mary] has no problems with walking, running or using her hands, arms and legs. She jogs 4 kilometres twice a week.
Overall in the last 30 days, how much difficulty did [Mary] have in vigorous activities?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2115: Moving around
Abdul] is paralyzed from the neck down. He is unable to move his arms and legs or to shift body position. He is confined to bed
Overall in the last 30 days, how much difficulty did [Abdul] have with moving around?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2116: Vigorous action
Abdul] is paralyzed from the neck down. He is unable to move his arms and legs or to shift body position. He is confined to bed
Overall in the last 30 days, how much difficulty did [Abdul] have in vigorous activities?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2117: Depression
[Samson] loves life and is happy all the time. He never worries or gets upset about anything and deals with things as they come.
Overall in the last 30 days, how much of a problem did Samson] have with feeling sad, low, or depressed?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2118: Anxiety
[Samson] loves life and is happy all the time. He never worries or gets upset about anything and deals with things as they come.
Overall in the last 30 days, how much of a problem did [Samson] have with worry or anxiety?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2119: Depression
[Scholastica] has already had five admissions into the hospital because she has attempted suicide twice in the past year and has harmed herself on three other occasions. She is very distressed every day for the most part of the day, and sees no hope of things ever getting better. She is thinking of trying to end her life again.
Overall in the last 30 days, how much of a problem did [Scholastica] have with feeling sad, low, or depressed?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2120: Anxiety
[Scholastica] has already had five admissions into the hospital because she has attempted suicide twice in the past year and has harmed herself on three other occasions. She is very distressed every day for the most part of the day, and sees no hope of things ever getting better. She is thinking of trying to end her life again.
Overall in the last 30 days, how much of a problem did [Scholastica] have with worry or anxiety?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
S2100: HH begin
0
0
S2100: MM begin
0
0
S2100: HH end
0
0
S2100: MM end
0
0
Q2101: Relationships
Overall in the last 30 days, how much difficulty did [Elizabeth] have with personal relationships or participation in the community?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2102: Conflicts
Overall in the last 30 days, how much difficulty did [Elizabeth] have in dealing with conflicts and tensions with others?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2103: Body pains
[Markus] has pain in his knees, elbows, wrists and fingers, and the pain is present almost all the time. It gets worse during the first half of the day. Although medication helps, he feels uncomfortable when moving around, holding and lifting things.
Overall in the last 30 days, how much of bodily aches or pains did [Markus] have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2104: Discomfort
[Markus] has pain in his knees, elbows, wrists and fingers, and the pain is present almost all the time. It gets worse during the first half of the day. Although medication helps, he feels uncomfortable when moving around, holding and lifting things.
Overall in the last 30 days, how much bodily discomfort did [Markus] have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2105: Relationships
[Nobu] is blind and lives in a remote rural area. His family does not allow him to leave the house because they fear he will get hurt. His family tells him that he is a burden to them. Their criticism upsets him and he cries.
Overall in the last 30 days, how much difficulty did [Nobu] have with personal relationships or participation in the community?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2106: Conflicts
[Nobu] is blind and lives in a remote rural area. His family does not allow him to leave the house because they fear he will get hurt. His family tells him that he is a burden to them. Their criticism upsets him and he cries.
Overall in the last 30 days, how much difficulty did [Nobu] have in dealing with conflicts and tensions with others?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2107: Body pains
[Laura] has a headache once a month that is relieved one hour after taking a pill. During the headache she can carry on with her day to day affairs.
Overall in the last 30 days, how much of bodily aches or pains did [Laura] have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2108: Discomfort
[Laura] has a headache once a month that is relieved one hour after taking a pill. During the headache she can carry on with her day to day affairs.
Overall in the last 30 days, how much bodily discomfort did [Laura] have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2109: Body pains
[Isabelle] has pain that radiates down her right arm and wrist during her day at work. This is slightly relieved in the evenings when she is no longer working on her computer
Overall in the last 30 days, how much of bodily aches or pains did [Isabelle] have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2110: Discomfort
[Isabelle] has pain that radiates down her right arm and wrist during her day at work. This is slightly relieved in the evenings when she is no longer working on her computer
Overall in the last 30 days, how much bodily discomfort did [Isabelle] have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2111: Relationships
[John] gets on well with the people he knows but has no close friends. He has not spoken to his mother in 5 years and does not want to see her. Because of this tension, his family usually excludes him from family gatherings.
Overall in the last 30 days, how much of a problem did [John] have with personal relationship or participation in the community?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2112: Conflicts
[John] gets on well with the people he knows but has no close friends. He has not spoken to his mother in 5 years and does not want to see her. Because of this tension, his family usually excludes him from family gatherings.
Overall in the last 30 days, how much of a problem did John] have in dealing with conflicts and tensions with others?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2113: Relationships
Amala] suffered a stroke three months ago. Her friends do not come and visit anymore as Amala cannot communicate with them. She is constantly upset and shouts at her family members which cause them to avoid her.
Overall in the last 30 days, how much difficulty did Amala] have with personal relationship or participation in the community?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2114: Conflicts
Amala] suffered a stroke three months ago. Her friends do not come and visit anymore as Amala cannot communicate with them. She is constantly upset and shouts at her family members which cause them to avoid her.
Overall in the last 30 days, how much difficulty did [Amala] have in dealing with conflicts and tensions with others?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2115: Body pains
Nadia] cannot remember when she last felt pain as this has not happened for the last several years now. She does not experience any pain even after hard physical labor or exercise.
Overall in the last 30 days, how much of bodily aches or pains did [Nadia] have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2116: Discomfort
Nadia] cannot remember when she last felt pain as this has not happened for the last several years now. She does not experience any pain even after hard physical labor or exercise.
Overall in the last 30 days, how much bodily discomfort did [Nadia] have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2117: Relationships
[Charles] can join in any community activities that interest him, whenever he wants to, without any restrictions. He gets on well with everybody and enjoys meeting new people.
Overall in the last 30 days, how much of a problem did…[Charles] have with personal relationship or participation in the community?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2118: Conflicts
[Charles] can join in any community activities that interest him, whenever he wants to, without any restrictions. He gets on well with everybody and enjoys meeting new people.
Overall in the last 30 days, how much of a problem did…Charles] have in dealing with conflicts and tensions with others?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2119: Body pains
[Steve] has pain in the neck radiating to the arms that is not relieved by any medicines or other treatment. The pain is sharp at all times and keeps him awake most of the night. During the day the pain has made him completely incapacitated. It has necessitated complete confinement to the bed and often makes him think of ending his life.
Overall in the last 30 days, how much of bodily aches or pains did [Steve] have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2120: Discomfort
[Steve] has pain in the neck radiating to the arms that is not relieved by any medicines or other treatment. The pain is sharp at all times and keeps him awake most of the night. During the day the pain has made him completely incapacitated. It has necessitated complete confinement to the bed and often makes him think of ending his life.
Overall in the last 30 days, how much bodily discomfort did [Steve] have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
S2100: HH begin
0
0
S2100: MM begin
0
0
S2100: HH end
0
0
S2100: MM end
0
0
Q2101: Sleep
Overall in the last 30 days, how much difficulty did [Damien] have with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2102: Energy
Overall in the last 30 days, how much of a problem did [Damien] have due to not feeling rested and refreshed during the day (feeling tired, not having energy)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2103: Person
[Antonio] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize shapes and colours from across 20 metres but misses out the fine details
Overall in the last 30 days, how much difficulty did [Antonio] have in seeing and recognizing a person he knows across the road (from a distance of about 20 meters)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2104: Object
[Antonio] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize shapes and colours from across 20 metres but misses out the fine details
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2105: Sleep
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2106: Energy
Overall in the last 30 days, how much of a problem did [Rupa] have due to not feeling rested and refreshed during the day (feeling tired, not having energy)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2107: Person
[Jennifer] only reads if the text is in very large print, such as 10 lines per page. Otherwise she does not read anything. Even when people are close to her, she sees them blurred.
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2108: Object
[Jennifer] only reads if the text is in very large print, such as 10 lines per page. Otherwise she does not read anything. Even when people are close to her, she sees them blurred.
Overall in the last 30 days, how much difficulty did [Jennifer] have in seeing and recognizing an object at arm's length or in reading?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2109: Person
[Norman] needs a magnifying glass to read small print and look at details on pictures. He also takes a while to recognize objects if they are too far from him
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2110: Object
[Norman] needs a magnifying glass to read small print and look at details on pictures. He also takes a while to recognize objects if they are too far from him
Overall in the last 30 days, how much difficulty did [Norman] have in seeing and recognizing an object at arm's length or in reading?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2111: Sleep
[Noemi] falls asleep easily at night, but two nights a week she wakes up in the middle of the night and cannot go back to sleep for the rest of the night. On these days she is exhausted at work and cannot concentrate on her job.
Overall in the last 30 days, how much difficulty did [Noemi] have with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2112: Energy
[Noemi] falls asleep easily at night, but two nights a week she wakes up in the middle of the night and cannot go back to sleep for the rest of the night. On these days she is exhausted at work and cannot concentrate on her job.
Overall in the last 30 days, how much of a problem did [Noemi] have due to not feeling rested and refreshed during the day (feeling tired, not having energy)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2113: Person
[Hector] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize familiar people's faces all the time and picks out most details in pictures from across 20 metres.
Overall in the last 30 days, how much difficulty did [Hector] have in seeing and recognizing a person she knows across the road (from a distance of about 20 meters)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2114: Object
[Hector] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize familiar people's faces all the time and picks out most details in pictures from across 20 metres.
Overall in the last 30 days, how much difficulty did [Hector] have in seeing and recognizing an object at arm's length or in reading?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2115: Sleep
[Carmen] takes about two hours every night to fall asleep. She wakes up once or twice a night feeling panicked and takes more than one hour to fall asleep again. Three to four nights a week she wakes up in the middle of the night and cannot go back to sleep for the rest of the night. She is fatigued all day, every day and misses work several times a week. She cannot take part in sports or social activities
Overall in the last 30 days, how much difficulty did [Carmen] have with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2116: Energy
[Carmen] takes about two hours every night to fall asleep. She wakes up once or twice a night feeling panicked and takes more than one hour to fall asleep again. Three to four nights a week she wakes up in the middle of the night and cannot go back to sleep for the rest of the night. She is fatigued all day, every day and misses work several times a week. She cannot take part in sports or social activities
Overall in the last 30 days, how much of a problem did [Carmen] have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2117: Person
[Annette] cannot detect any movement close to the eyes or even the presence of a light.
Overall in the last 30 days, how much difficulty did [Annette] have in seeing and recognizing a person she knows across the road (from a distance of about 20 meters)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2118: Object
[Annette] cannot detect any movement close to the eyes or even the presence of a light.
Overall in the last 30 days, how much difficulty did [Annette] have in seeing and recognizing an object at arm's length or in reading?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2119: Sleep
[Hamadi] falls asleep every night within five minutes of going to bed. He sleeps soundly during the whole night and wakes up in the morning feeling well-rested and feels full of energy all day.
Overall in the last 30 days, how much difficulty did [Hamadi] have with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2120: Energy
[Hamadi] falls asleep every night within five minutes of going to bed. He sleeps soundly during the whole night and wakes up in the morning feeling well-rested and feels full of energy all day.
Overall in the last 30 days, how much of a problem did [Hamadi] have due to not feeling rested and refreshed during the day (feeling tired, not having energy)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
S2100: HH begin
0
0
S2100: MM begin
0
0
S2100: HH end
0
0
S2100: MM end
0
0
Q2101: Care
Overall in the last 30 days, how much difficulty did…did [Anne] have with self-care, such as washing or dressing herself?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2102: Appear
Overall in the last 30 days, how much difficulty did…did [Anne] have in taking care of and maintaining her general appearance (grooming, looking neat and tidy)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2103: Memory
Rama] can find her way around the neighborhood and know where her own belongings are kept, but struggles to remember how to get to a place she has only visited once or twice. She is keen to learn new recipes but finds that she often makes mistakes and has to reread several times before she is able to do them properly.
Overall in the last 30 days, how much difficulty did Rama] have with concentrating or remembering things?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2104: Learn
Rama] can find her way around the neighborhood and know where her own belongings are kept, but struggles to remember how to get to a place she has only visited once or twice. She is keen to learn new recipes but finds that she often makes mistakes and has to reread several times before she is able to do them properly.
Overall in the last 30 days, how much difficulty did did [Rama] have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2105: Memory
[Theo] cannot concentrate for more than 15 minutes and has difficulty paying attention to what is being said to him. Whenever he starts a task, he never manages to finish it and often forgets what he was doing. He is able to learn the names of people he meets but cannot be trusted to follow directions to a store by himself.
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2106: Learn
[Theo] cannot concentrate for more than 15 minutes and has difficulty paying attention to what is being said to him. Whenever he starts a task, he never manages to finish it and often forgets what he was doing. He is able to learn the names of people he meets but cannot be trusted to follow directions to a store by himself.
Overall in the last 30 days, how much difficulty did [Theo] have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2107: Care
[Sandra] lives on her own and has no relatives or friends nearby. Because of her arthritis, she is house-bound. She often stays all day in the same clothes that she has slept in, as changing clothes is too painful. A neighbour helps her wash herself
Overall in the last 30 days, how much difficulty did [Sandra] have with self-care, such as washing or dressing herself?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2108: Appear
[Sandra] lives on her own and has no relatives or friends nearby. Because of her arthritis, she is house-bound. She often stays all day in the same clothes that she has slept in, as changing clothes is too painful. A neighbour helps her wash herself
Overall in the last 30 days, how much difficulty did [Sandra] have in taking care of and maintaining her general appearance (grooming, looking neat and tidy)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2109: Memory
Malcolm] can concentrate while watching TV, reading a magazine or playing a game of cards or chess. He can learn new variations in these games with small effort. Once a week he forgets where his keys or glasses are, but finds them within five minutes.
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2110: Learn
Malcolm] can concentrate while watching TV, reading a magazine or playing a game of cards or chess. He can learn new variations in these games with small effort. Once a week he forgets where his keys or glasses are, but finds them within five minutes.
Overall in the last 30 days, how much difficulty did [Malcolm] have in learning a new task (learning how to get to a new place, learning a new game, learning a new recipe)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2111: Care
[Mohamed] requires no assistance with cleanliness, dressing and eating. He occasionally suffers from back pain and when this happens he needs help with bathing and dressing. He always keeps himself tidy
Overall in the last 30 days, how much difficulty did [Mohamed] have with self-care, such as washing or dressing himself?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2112: Appear
[Mohamed] requires no assistance with cleanliness, dressing and eating. He occasionally suffers from back pain and when this happens he needs help with bathing and dressing. He always keeps himself tidy
Overall in the last 30 days, how much difficulty did [Mohamed] have in taking care of and maintaining his general appearance (grooming, looking neat and tidy)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2113: Care
[Helena] pays a lot of attention to the way she looks. She requires no assistance with cleanliness, dressing and eating.
Overall in the last 30 days, how much difficulty did Helena] have with self-care, such as washing or dressing herself?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2114: Appear
[Helena] pays a lot of attention to the way she looks. She requires no assistance with cleanliness, dressing and eating.
Overall in the last 30 days, how much difficulty did [Helena] have in taking care of and maintaining her general appearance (grooming, looking neat and tidy etc)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2115: Care
[Manjima] is quadriplegic and must be washed, groomed, dressed and fed by somebody else.
Overall in the last 30 days, how much did [Manjima] have with self-care, such as washing or dressing herself?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2116: Appear
[Manjima] is quadriplegic and must be washed, groomed, dressed and fed by somebody else.
Overall in the last 30 days, how much did [Manjima] have in taking care of and maintaining her general appearance (e.g. grooming, looking neat and tidy)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2117: Memory
[Sanjeev] is very quick to learn new skills at his work. He can pay attention to the task at hand for long uninterrupted periods of time. He can remember names of people, addresses, phone numbers and such details that go back several years.
Overall in the last 30 days, how much difficulty did [Sanjeev] have with concentrating or remembering things?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2118: Learn
[Sanjeev] is very quick to learn new skills at his work. He can pay attention to the task at hand for long uninterrupted periods of time. He can remember names of people, addresses, phone numbers and such details that go back several years.
Overall in the last 30 days, how much difficulty did [Sanjeev] have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2119: Memory
[Saurabh] does not recognize even close relatives and gets lost when he leaves the house unaccompanied. Even when prompted, he shows no recollection of events or recognition of relatives. It is impossible for him to acquire any new knowledge as even simple instructions leave him confused.
Overall in the last 30 days, how much difficulty did [Saurabh] have with concentrating or remembering things?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q2120: Learn
[Saurabh] does not recognize even close relatives and gets lost when he leaves the house unaccompanied. Even when prompted, he shows no recollection of events or recognition of relatives. It is impossible for him to acquire any new knowledge as even simple instructions leave him confused.
Overall in the last 30 days, how much difficulty did [Saurabh] have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
S2500: HH begin
0
0
S2500: MM begin
0
0
S2500: HH end
0
0
S2500: MM end
0
0
Q2501: Systolic (1)
Time 1 Systolic
0
0
-9
Refused
-8
Don't know
Q2501: Diastolic (1)
Time 1 Diastolic
0
0
-9
Refused
-8
Don't know
Q2501a: Pulse (1)
Time 1 Pulse rate
Okay, now we can get your second measurement for your blood pressure
0
0
-9
Refused
-8
Don't know
Q2502: Systolic (2)
Time 2 Systolic
0
0
-9
Refused
-8
Don't know
Q2502: Diastolic (2)
Time 2 Diastolic
0
0
-9
Refused
-8
Don't know
Q2502a: Pulse (2)
Time 2 Pulse rate
Okay, now we can get your third measurement for your blood pressure.
0
0
-9
Refused
-8
Don't know
Q2503: Systolic (3)
Time 3 Systolic
0
0
-9
Refused
-8
Don't know
Q2503: Diastolic (3)
Time 3 Diastolic
0
0
-9
Refused
-8
Don't know
Q2503a: Pulse (3)
Time 3 Pulse rate
Now that we have your blood pressure measured, can you please tell us:
INTERVIEWER: For the following questions about height and weight, probe if needed to get the respondent's best estimate or guess.
0
0
-9
Refused
-8
Don't know
Q2504: Self-reported height
What is your height in centimeters?
0
0
-8
Don't know
Q2505: Self-reported weight
What is your weight in kilograms?
0
0
-8
Don't know
Q25xx: Filter for Q2506-Q2513
0
0
1
Yes
2
No
Q2506: True height (cm)
0
0
997
Refused
998
Not able
Q2507: True weight (kg)
0
0
997
Refused
998
Not able
Q2508: WC centimeters
Waist circumference
0
0
997
Refused
998
Not able
Q2509: HC centimeters
Hip circumference
0
0
997
Refused
998
Not able
Q2510: Normal walk
Did respondent complete the walk at usual pace?
0
0
1
Yes
2
No, refused
3
Cannot walk
8
Don't know
9
Not applicable
Q2511: 4 m. time
Time at 4 metres
0
0
-9
Not applicable
-8
Don't know
Q2512: Rapid walk
Did respondent complete the walk at rapid pace?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q2513: 4 m. time rapid
Time at 4 metres
0
0
-9
Not applicable
-8
Don't know
Q2514: Distance vision left eye
Distance Vision - Left Eye
0
0
We are now going to test your distance vision and near vision.
9
Not applicable
Q2515: Distance vision right eye
Distance Vision - Right Eye
0
0
9
Not applicable
Q2516: Near vision left eye
Near Vision - Left Eye
0
0
9
Not applicable
Q2517: Near vision right eye
Near Vision - Right Eye
0
0
9
Not applicable
Q2518: Pain/surgery on left?
Have you had any surgery on your left arm, hand or wrist in the last 3 months OR arthritis or pain in your left hand or wrist?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q2519: Pain/surgery on right?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q2520: Dominant hand
0
0
1
Right hand
2
Left hand
3
Ambidextrous
8
Don't know
9
Not applicable
Q2521: Left 1
First test left hand
97 Refused .....Q2523
0
0
-9
Refused
Q2522: Left 2
Second test left hand
kilograms
0
0
-9
Refused
Q2523: Right 1
0
0
-9
Refused
Q2524: Right 2
Second test right hand
0
0
-9
Refused
Q2525: Recall 1
Number of words recalled correctly Trial 1
INTERVIEWER: you can use the table below to assist you with scoring.
0
0
-9
Not applicable
-8
Don't know
Q2526: Forgot 1
Number of words that respondent failed to recall Trial 1
INTERVIEWER: you can use the table below to assist you with scoring.
0
0
-9
Not applicable
-8
Don't know
Q2527: Substitute 1
Number of words substituted Trial 1
INTERVIEWER: you can use the table below to assist you with scoring.
0
0
-9
Not applicable
-8
Don't know
Q2528: Recall 2
INTERVIEWER: you can use the table below to assist you with scoring.
0
0
-9
Not applicable
-8
Don't know
Q2529: Forgot 2
Number of words that respondent failed to recall Trial 2
INTERVIEWER: you can use the table below to assist you with scoring.
0
0
-9
Not applicable
-8
Don't know
Q2530: Substitute 2
Number of words substituted Trial 2
INTERVIEWER: you can use the table below to assist you with scoring.
0
0
-9
Not applicable
-8
Don't know
Q2531: Recall 3
INTERVIEWER: you can use the table below to assist you with scoring.
0
0
-9
Not applicable
-8
Don't know
Q2532: Forgot 3
Number of words that respondent failed to recall Trial 3
INTERVIEWER: you can use the table below to assist you with scoring.
0
0
-9
Not applicable
-8
Don't know
Q2533: Substitute 3
Number of words substituted Trial 3
INTERVIEWER: you can use the table below to assist you with scoring.
0
0
-9
Not applicable
-8
Don't know
Q2534: Total score - forwards
0
0
0
Failed (score of 0)
Q2535: Total score - backwards
0
0
0
Failed (score of 0)
Q2536: Total score - animals
Total score (number of animals named correctly)
0
0
-9
Not applicable
-8
Don't know
Q2537: Errors - animals
0
0
-9
Not applicable
-8
Don't know
Q2538: Lung function/FVC
0
0
Q2538: Lung function/FVC
0
0
Q2538: Lung function/FVC
0
0
Q2539: Lung function/FEV1
0
0
Q2539: Lung function/FEV1
0
0
Q2539: Lung function/FEV1
0
0
Q2540: Lung function/FEV1%
0
0
Q2540: Lung function/FEV1%
0
0
Q2540: Lung function/FEV1%
0
0
Q2541: Lung function/PEF
0
0
Q2541: Lung function/PEF
0
0
Q2541: Lung function/PEF
0
0
Q2542: Lung function/FEF25-75
0
0
Q2542: Lung function/FEF25-75
0
0
Q2542: Lung function/FEF25-75
0
0
Q2543: Lung function/FET
0
0
Q2543: Lung function/FET
0
0
Q2543: Lung function/FET
0
0
Q2544: Words recalled
Number of words recalled correctly
0
0
-9
Not applicable
-8
Don't know
Q2545: Words forgotten
Number of words that respondent failed to recall
0
0
-9
Not applicable
-8
Don't know
Q2546: Words substituted
Number of words substituted
0
0
-9
Not applicable
-8
Don't know
Q2547: Blood test consent
INTERVIEWER: go to the INFORMED CONSENT FORM FOR BLOOD SAMPLE
0
0
1
Resp. agrees
2
Does not agree
8
Don't know
9
Not applicable
Q2548: Blood sample obtained?
INTERVIEWER: go to the INFORMED CONSENT FORM FOR BLOOD SAMPLE
0
0
1
Blood sample obtained
2
Not obtained
8
Don't know
9
Not applicable
S3000: HH begin
0
0
S3000: MM begin
0
0
S3000: HH end
0
0
S3000: MM end
0
0
Q3001: Ever used tobacco?
Have you ever smoked tobacco or used smokeless tobacco?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q3002: Currently use tobacco?
Do you currently use (smoke, sniff or chew) any tobacco products such as cigarettes, cigars, pipes, chewing tobacco or snuff?
0
0
1
Yes, daily
2
Yes, not daily
3
Not at all
8
Don't know
9
Not applicable
Q3003a: Years (n)
For how long have you been smoking or using tobacco daily?
8 Don't Know
INTERVIEWER: If less than one month - enter “00” for years and "00" for months.
0
0
-8
DK
Q3003a: Months (n)
For how long have you been smoking or using tobacco daily?
8 Don't Know
INTERVIEWER: If less than one month - enter “00” for years and "00" for months.
0
0
-8
DK
Q3004a: Manufact. cigarettes
Manufactured cigarettes
0
0
-9
Not applicable
-8
Don't know
Q3004b: Hand-rolled cigarettes
Hand-rolled cigarettes
0
0
-9
Not applicable
-8
Don't know
Q3004c: Pipes
Pipefuls of tobacco
0
0
-9
Not applicable
-8
Don't know
Q3004d: Cigars etc.
Cigars, cheroots, cigarillos, bidis
0
0
-9
Not applicable
-8
Don't know
Q3004e: Smokeless tobacco
Smokeless tobacco
0
0
-9
Not applicable
-8
Don't know
Q3004f: Other tobacco
Other, specify:
0
0
-9
Not applicable
-8
Don't know
Q3005: Past use tobacco
In the past, did you ever smoke tobacco or use smokeless tobacco daily?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q3006: Age stop tobacco
How old were you when you stopped smoking or using tobacco daily?
0
0
-9
NA
-8
DK
Q3006a: When stop tobacco Y
How long ago did you stop smoking or using tobacco daily?
8 Don't Know
INTERVIEWER: If less than one month - enter “00” for months.
0
0
-9
NA
-8
DK
Q3006a: When stop tobacco M
How long ago did you stop smoking or using tobacco daily?
8 Don't Know
INTERVIEWER: If less than one month - enter “00” for months.
0
0
-9
Not applicable
-8
DK
Q3007: Ever used alcohol?
Have you ever consumed a drink that contains alcohol (such as beer, wine, spirits, etc.)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q3008: Alcohol used recently?
Have you consumed alcohol in the last 30 days?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q3009a: Monday
Monday
0
0
-9
Not applicable
-8
Don't know
Q3009b: Tuesday
Tuesday
0
0
-9
Not applicable
-8
Don't know
Q3009c: Wednesday
Wednesday
0
0
-9
Not applicable
-8
Don't know
Q3009d: Thursday
Thursday
0
0
-9
Not applicable
-8
Don't know
Q3009e: Friday
Friday
0
0
-9
Not applicable
-8
Don't know
Q3009f: Saturday
Saturday
0
0
-9
Not applicable
-8
Don't know
Q3009g: Sunday
Sunday
0
0
-9
Not applicable
-8
Don't know
Q3010: Drinking pattern
In the last 12 months, how frequently [on how many days] on average have you had at least one alcoholic drink?
0
0
0
No days
1
< 1 per Month
2
1-3 Days per Month
3
1-4 Days per week
4
5+ Days per week
8
Don't know
9
Not applicable
Q3011: Daily
n the last 12 months, on the days you drank alcoholic beverages, how many drinks did you have on average?
0
0
-8
DK
Q3012: Fruits
How many servings of fruit do you eat on a typical day?
0
0
-8
DK
Q3013: Veg
How many servings of vegetables do you eat on a typical day?
0
0
-8
DK
Q3014: Eat less?
In the last 12 months, how often did you ever eat less than you felt you should because there wasn't enough food?
0
0
1
Every month
2
Almost every month
3
Some months, but not every month
4
Only 1 or 2 months
5
Never
8
Don't know
9
Not applicable
Q3015: Hungry, no money to buy?
In the last 12 months, were you ever hungry, but didn't eat because you couldn't afford enough food?
0
0
1
Every month
2
Almost every month
3
Some months, but not every month
4
Only 1 or 2 months
5
Never
8
Don't know
9
Not applicable
Q3016: Vigorous work
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q3017: Days vigorous work
In a typical week, on how many days do you do vigorous-intensity activities as part of your work?
0
0
8
Don't know
9
Not applicable
Q3018: Time vig work hours
How much time do you spend doing vigorous-intensity activities at work on a typical day?
0
0
-9
Not applicable
-8
Don't know
Q3018: Time vig work minutes
How much time do you spend doing vigorous-intensity activities at work on a typical day?
0
0
-9
Not applicable
-8
Don't know
Q3019: Moderate work
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q3020: Days moderate work
In a typical week, on how many days do you do moderate-intensity activities as part of your work?
0
0
8
Don't know
9
Not applicable
Q3021: Time mod work hours
How much time do you spend doing moderate-intensity activities at work on a typical day?
0
0
-9
Not applicable
-8
Don't know
Q3021: Time mod work minutes
How much time do you spend doing moderate-intensity activities at work on a typical day?
0
0
-9
Not applicable
-8
Don't know
Q3022: Walk/bike
Do you walk or use a bicycle (pedal cycle) for at least 10 minutes continuously to get to and from places?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q3023: Days walk/bike
In a typical week, on how many days do you walk or bicycle for at least 10 minutes continuously to get to and from places?
0
0
8
Don't know
9
Not applicable
Q3024: Time/d hours
How much time would you spend walking or bicycling for travel on a typical day?
0
0
-9
Not applicable
-8
Don't know
Q3024: Time/d minutes
How much time would you spend walking or bicycling for travel on a typical day?
0
0
-9
Not applicable
-8
Don't know
Q3025: Vigorous fitness/leisure
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q3026: Days vig fitness/leisure
In a typical week, on how many days do you do vigorous intensity sports, fitness or recreational (leisure) activities?
0
0
8
Don't know
9
Not applicable
Q3027: Time vig fit/leisure hours
How much time do you spend doing vigorous intensity sports, fitness or recreational activities on a typical day?
0
0
-9
Not applicable
-8
Don't know
Q3027: Time vig fit/leisure minutes
How much time do you spend doing vigorous intensity sports, fitness or recreational activities on a typical day?
0
0
-9
Not applicable
-8
Don't know
Q3028: Moderate fitness/leisure
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q3029: Days mod fitness/leisure
In a typical week, on how many days do you do moderate-intensity sports, fitness or recreational (leisure) activities?
0
0
8
Don't know
9
Not applicable
Q3030: Time mod fit/leisure hours
How much time do you spend doing moderate intensity sports, fitness or recreational (leisure) activities on a typical day?
0
0
-9
Not applicable
-8
Don't know
Q3030: Time mod fit/leisure minutes
How much time do you spend doing moderate intensity sports, fitness or recreational (leisure) activities on a typical day?
0
0
-9
Not applicable
-8
Don't know
Q3031: Leisure hours/d
How much time do you usually spend sitting or reclining on a typical day?
0
0
-9
Not applicable
-8
Don't know
Q3031: Leisure ave minutes/d
How much time do you usually spend sitting or reclining on a typical day?
0
0
-9
Not applicable
-8
Don't know
S4000: HH begin
0
0
S4000: MM begin
0
0
S4000: HH end
0
0
S4000: MM end
0
0
Q4001: Arthritis
Now I would like to read you questions about some health problems or health care needs that you may have experienced, and the treatment or medical care that you may have received.
Have you ever been diagnosed with/told you have arthritis (a disease of the joints, or by other names rheumatism or osteoarthritis)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4002a: during last 2 weeks
Have you been taking medications or other treatment for it during the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4002b: during last 12 months
Have you been taking medications or other treatment for it during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4003: Pain
During the last 12 months, have you experienced, pain, aching, stiffness or swelling in or around the joints (like arms, hands, legs or feet) which were not related to an injury and lasted for more than a month?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4004: Stiffness
During the last 12 months, have you experienced stiffness in the joint in the morning after getting up from bed, or after a long rest of the joint without movement?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4005: How long last in a.m.
How long did this stiffness last?
0
0
1
<= 30 MMs.
2
> 30 MMs.
8
Don't know
9
Not applicable
Q4006: Stiffness go away
Did this stiffness go away after exercise or movement in the joint?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4007: in past 2 weeks?
These symptoms that you have said you experienced in the last 12 months, have you experienced them in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4008: Back pain
Have you experienced back pain during the last 30 days?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4009: Days in pain
On how many days did you have this back pain during the last 30 days?
0
0
-9
Not applicable
-8
Don't know
Q4010: Stroke
Have you ever been told by a health professional that you have had a stroke?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4011a: during last 2 weeks
Have you been taking any medications or other treatment for it…during the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4011b: during last 12 months
Have you been taking any medications or other treatment for it…during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4012: Paralysis
Have you ever suffered from sudden onset of paralysis or weakness in your arms or legs on one side of your body for more than 24 hours?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4013: Loss of feeling
Have you ever had, for more than 24 hours, sudden onset of loss of feeling on one side of your body, without anything having happened to you immediately before?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4014: Angina
Have you ever been diagnosed with angina or angina pectoris (a heart disease)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4015a: during last 2 weeks
Have you been taking any medications or other treatment for it…during the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4015b: during last 12 months
Have you been taking any medications or other treatment for it…during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4016: Pain in chest uphill/hurry
During the last 12 months, have you experienced any pain or discomfort in your chest when you walk uphill or hurry?
0
0
1
Yes
2
No
3
Never exerts
8
Don't know
9
Not applicable
Q4017: Pain in chest normal
During the last 12 months, have you experienced any pain or discomfort in your chest when you walk at an ordinary pace on level ground?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4018: Response to CP
0
0
1
Stop/slow down
2
Medicate/carry on
3
Carry on
8
Don't know
9
Not applicable
Q4019: Stand still
0
0
1
Relieved
2
Not relieved
8
Don't know
9
Not applicable
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4020: Location of pain
0
0
Q4021: past 2 weeks
These symptoms that you have said you experienced in the last 12 months, have you experienced them in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4022: Diabetes
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4023a: during last 2 weeks
Have you been taking insulin or other blood sugar lowering medications in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4023b: during last 12 months
Have you been taking insulin or other blood sugar lowering medications in the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4024: Diet
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4025: Chronic lung disease
Have you ever been diagnosed with chronic lung disease (emphysema, bronchitis, COPD)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4026a: during last 2 weeks
Have you been taking any medications or other treatment (like oxygen) for it in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4026b: during last 12 months
Have you been taking any medications or other treatment (like oxygen) for it n the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4027: Shortness of breath
During the last 12 months, have you experienced any shortness of breath at rest? (while awake)
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4028: Coughing/wheezing
During the last 12 months, have you experienced any coughing or wheezing for ten minutes or more at a time?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4029: Sputum/phlegm
During the last 12 months, have you experienced any coughing up sputum or phlegm for most days of the month for at least 3 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4030: during last 2 weeks
These symptoms that you said you experienced in the last 12 months, have you experienced them in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4031: TB test
n the last 12 months, have you had a tuberculosis (TB) test? I mean, has a doctor examined your sputum (taken a sample of the substance spit out from a deep cough and sent it to a laboratory for analysis) or made an x-ray of your chest?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4032a: during last 2 weeks
Have you been taking any medications or other treatment for it during the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4032b: during last 12 months
Have you been taking any medications or other treatment for it during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4032c: cough blood
Have you had blood in your phlegm or have you coughed blood?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4033: Asthma
Have you ever been diagnosed with asthma (an allergic respiratory disease)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4034a: during last 2 weeks
Have you been taking any medications or other treatment for it n the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4034b: during last 12 months
Have you been taking any medications or other treatment for it in the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4035: Wheezing attacks
During the last 12 months, have you experienced any of the following:
Attacks of wheezing or whistling breathing?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4036: Wheezing after activity
Attack of wheezing that came on after you stopped exercising or some other physical activity?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4037: Tightness in chest
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4038: Tightness on awakening
Have you woken up with a feeling of tightness in your chest in the morning or any other time?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4039: Shortness of breath
Have you had an attack of shortness of breath that came on without obvious cause when you were not exercising or doing some physical activity?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4039a: in past 2 weeks
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4040: Depression diagnosis
Have you ever been diagnosed with depression?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4041a: during last 2 weeks
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4041b: during last 12 months
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4042: Several days
During the last 12 months, have you had a period lasting several days when you felt sad, empty or depressed?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4043: Loss of interest
During the last 12 months, have you had a period lasting several days when you lost interest in most things you usually enjoy such as personal relationships, work or hobbies/recreation?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4044: Lack of energy
During the last 12 months, have you had a period lasting several days when you have been feeling your energy decreased or that you are tired all the time?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4045: More than 2 weeks?
Was this period [of sadness/loss of interest/low energy] for more than 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4046: Daily?
Was this period [of sadness/loss of interest/low energy] most of the day, nearly every day?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4047: Loss of appetite
During this period, did you lose your appetite?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4048: Slow thinking
Did you notice any slowing down in your thinking?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4049: Falling asleep
Did you notice any problems falling asleep?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4050: Waking up
Did you notice any problems waking up too early?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4051: Difficulty concentrating
During this period, did you have any difficulties concentrating; for example, listening to others, working, watching TV, listening to the radio?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4052: Moving slowly
Did you notice any slowing down in your moving around?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4053: Anxiety, worry
During this period, did you feel anxious and worried most days?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4054: Restlessness, jitters
During this period, were you so restless or jittery nearly every day that you paced up and down and couldn't sit still?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4055: Low self-esteem
During this period, did you feel negative about yourself or like you had lost confidence?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4056: Hopelessness
Did you frequently feel hopeless - that there was no way to improve things?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4057: Sexual drive
During this period, did your interest in sex decrease?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4058: Morbid thoughts
Did you think of death, or wish you were dead?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4059: Suicide attempts
During this period, did you ever try to end your life?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4060: Hypertension
Have you ever been diagnosed with high blood pressure (hypertension)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4061a: during last 2 weeks
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4061b: during last 12 months
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4062: Cataracts
In the last 5 years, were you diagnosed with a cataract in one or both of your eyes (a cloudiness in the lens of the eye)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4063: Cataract surgery
In the last 5 years, have you had eye surgery to remove this cataract(s)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4064: Cloudy vision
In the last 12 months have you experienced any of the following
cloudy or blurry vision?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4065: Haloed vision
In the last 12 months have you experienced any of the following
vision problems with light, such as glare from bright lights, or halos around lights?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4066: Lost all teeth?
Have you lost all of your natural teeth?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4067: Probs with mouth/teeth
During the last 12 months, have you had any problems with your mouth and/or teeth, including problems with swallowing?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4068a: during last 2 weeks
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4068b: during last 12 months
Have you received any medications or treatment from a dentist or other oral health specialist during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4069: Road accident
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4070: How did happen?
0
0
1
Unintentional
2
Intentional
3
Self-inflicted
8
Don't know
9
Not applicable
Q4071: Treatment
Did you receive any medical care or treatment for your injuries?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4072: Disability?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4072a: What type of disab
In what ways were you physically disabled?
INTERVIEWER: Circle allthat respondent selects.
0
0
Q4072a: What type of disab
In what ways were you physically disabled?
INTERVIEWER: Circle allthat respondent selects.
0
0
Q4072a: What type of disab
In what ways were you physically disabled?
INTERVIEWER: Circle allthat respondent selects.
0
0
Q4072a: What type of disab
In what ways were you physically disabled?
INTERVIEWER: Circle allthat respondent selects.
0
0
Q4072a: What type of disab
In what ways were you physically disabled?
INTERVIEWER: Circle allthat respondent selects.
0
0
Q4072a: What type of disab
In what ways were you physically disabled?
INTERVIEWER: Circle allthat respondent selects.
0
0
Q4072a: What type of disab
In what ways were you physically disabled?
INTERVIEWER: Circle allthat respondent selects.
0
0
Q4072a: What type of disab
In what ways were you physically disabled?
INTERVIEWER: Circle allthat respondent selects.
0
0
Q4072a: What type of disab
In what ways were you physically disabled?
INTERVIEWER: Circle allthat respondent selects.
0
0
Q4073: Other bodily injury?
In the last 12 months, have you had any other event where you suffered from bodily injury?
NTERVIEWER: If more than one, ask respondent to think of the most recent event.
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4073a: Where did injury occur
Where were you when you were injured?
0
0
1
Home
2
School
3
Work
7
Other
8
Don't know
9
Not applicable
Q4074: Cause of event
What was the cause of this injury?
0
0
-9
Not applicable
-8
DK
1
Fall
2
Struck/hit by person
3
Stabbed
4
Gunshot
5
Fire, flames or heat
6
Drowning or near
7
Poisoning
8
Animal bite
9
Electric shock
87
Other
88
Don't know
98
Not applicable
Q4075: How did happen?
0
0
1
Unintentional
2
Intentional
3
Self-inflicted
8
Don't know
9
Not applicable
Q4076: Treatment
Did you receive any medical care or treatment for your injuries?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4077: Disability?
Did you suffer a physical disability as a result of being injured?
INTERVIEWER: disability is any restriction or lack of ability to perform an activity as before the injury.
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4077a: What type of disab?
In what ways were you physically disabled?
NTERVIEWER: Circle all that respondent indicates.
0
0
Q4077a: What type of disab?
In what ways were you physically disabled?
NTERVIEWER: Circle all that respondent indicates.
0
0
Q4077a: What type of disab?
In what ways were you physically disabled?
NTERVIEWER: Circle all that respondent indicates.
0
0
Q4077a: What type of disab?
In what ways were you physically disabled?
NTERVIEWER: Circle all that respondent indicates.
0
0
Q4077a: What type of disab?
In what ways were you physically disabled?
NTERVIEWER: Circle all that respondent indicates.
0
0
Q4077a: What type of disab?
In what ways were you physically disabled?
NTERVIEWER: Circle all that respondent indicates.
0
0
Q4077a: What type of disab?
In what ways were you physically disabled?
NTERVIEWER: Circle all that respondent indicates.
0
0
Q4077a: What type of disab?
In what ways were you physically disabled?
NTERVIEWER: Circle all that respondent indicates.
0
0
Q4077a: What type of disab?
In what ways were you physically disabled?
NTERVIEWER: Circle all that respondent indicates.
0
0
Q4078: Pelvic exam
0
0
-8
Don't know
98
Never
Q4079: PAP smear
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q4080: Mammogram
98 Never had exam
0
0
-8
Don't know
98
Never
S5000: HH begin
0
0
S5000: MM begin
0
0
S5000: HH end
0
0
S5000: MM end
0
0
Q5001: Needed care YY ago
0
0
-9
Not applicable
-8
Don't know
88
DK
98
0000Never
Q5001: Needed care MM ago
0
0
-9
Not applicable
-8
Don't know
88
DK
98
0000Never
Q5001a: More than 3 yrs?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q5002: Got care?
The last time you needed health care, did you get health care?
INTERVIEWER: If person did not get health care, Q5002 = "No", ask Q5003a and Q5003b, then skip to Q5046.
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q5003a: Why needed care
What was the main reason you needed care, even if you did not get care?
0
0
1
Communicable
2
Maternal
3
Nutrition
4
Acute condition
5
Injury
6
Surgery
7
Sleep probs
8
Occupation
9
Pain in joints
10
Diabetes
11
Probs with heart
12
Probs with mouth
13
Probs with breathing
14
High BP
15
Stroke
16
Generalized pain
17
Depression or anxiety
18
Cancer
87
Other
88
Don't know
98
Not applicable
Q5003b: Reason(s) why not (Y or N)
Which reason(s) best explains why you did not get health care?
Circle all that the respondent indicates
0
0
Q5003b: Reason(s) why not (Y or N)
Which reason(s) best explains why you did not get health care?
Circle all that the respondent indicates
0
0
Q5003b: Reason(s) why not (Y or N)
Which reason(s) best explains why you did not get health care?
Circle all that the respondent indicates
0
0
Q5003b: Reason(s) why not (Y or N)
Which reason(s) best explains why you did not get health care?
Circle all that the respondent indicates
0
0
Q5003b: Reason(s) why not (Y or N)
Which reason(s) best explains why you did not get health care?
Circle all that the respondent indicates
0
0
Q5003b: Reason(s) why not (Y or N)
Which reason(s) best explains why you did not get health care?
Circle all that the respondent indicates
0
0
Q5003b: Reason(s) why not (Y or N)
Which reason(s) best explains why you did not get health care?
Circle all that the respondent indicates
0
0
Q5003b: Reason(s) why not (Y or N)
Which reason(s) best explains why you did not get health care?
Circle all that the respondent indicates
0
0
Q5003b: Reason(s) why not (Y or N)
Which reason(s) best explains why you did not get health care?
Circle all that the respondent indicates
0
0
Q5003b: Reason(s) why not (Y or N)
Which reason(s) best explains why you did not get health care?
Circle all that the respondent indicates
0
0
Q5003b: Reason(s) why not (Y or N)
Which reason(s) best explains why you did not get health care?
Circle all that the respondent indicates
0
0
Q5004: Where
Thinking about health care you needed in the last 3 years, where did you go most often when you felt sick or needed to consult someone about your health?
interviewer: Only one answer allowed.
0
0
1
Private doctor
2
Private clinic
3
Private hospital
4
Public clinic
5
Public hospital
6
Charity clinic
7
Charity hospital
8
Traditional healer
9
Pharmacy/dispensary
87
Other
88
Don't know
98
Not applicable
Q5005: Overnight stay
In the last 3 years, have you ever stayed overnight in a hospital or long-term care facility?
0
0
1
Yes, hospital
2
Yes, long-term care
3
Yes, both
4
No
8
Don't know
9
Not applicable
Q5006: YY ago (n)
When was the last overnight stay in a hospital or long-term care facility?
INTERVIEWER: If less than one month ago, enter “00” for years and "00" for months.
0
0
-9
Not applicable
-8
DK
88
Don't know
98
Not applicable
Q5006: MM ago (n)
When was the last overnight stay in a hospital or long-term care facility?
INTERVIEWER: If less than one month ago, enter “00” for years and "00" for months.
0
0
-9
Not applicable
-8
DK
88
Don't know
98
Not applicable
Q5007: 12-mo. overnight
Now I would like to know about more recent times - if you've had any overnight stays in a hospital or other type of health care facility in the last 12 months
Over the last 12 months, how many different times were you a patient in a hospital/long-term care facility for at least one night?
0
0
-9
NA
-8
DK
88
Don't know
98
Not applicable
Q5008: Type of facility
INTERVIEWER: One answer only.
0
0
1
Public hosp
2
Private hosp
3
Charity hosp
4
Old person's home
7
Other
8
Don't know
9
Not applicable
Q5008aa: Hospital/facility name?
What was the name of this hospital or facility?
0
0
Q5008ab: Hospital/facility code (if available)
Hospital or facility code
0
0
-9
Not applicable
-8
Don't know
Q5008ac: City/village name in location of hospital/facility?
What is the name of the city/village where the hospital/facility is located?
0
0
Q5008b: Reason for last overnight
Which reason best describes why you were last hospitalised?
0
0
-9
NA
-8
DK
1
Communicable
2
Maternal
3
Nutrition
4
Acute condition
5
Injury
6
Surgery
7
Sleep probs
8
Occupation
9
Pain in joints
10
Diabetes
11
Probs with heart
12
Probs with mouth
13
Probs with breathing
14
High BP
15
Stroke
16
Generalized pain
17
Depression or anxiety
18
Cancer
87
Other
88
Don't know
98
Not applicable
Q5009: Transport type
How did you get there?
Interviewer: Circle all that the respondent mentions.
0
0
Q5009: Transport type
How did you get there?
Interviewer: Circle all that the respondent mentions.
0
0
Q5009: Transport type
How did you get there?
Interviewer: Circle all that the respondent mentions.
0
0
Q5009: Transport type
How did you get there?
Interviewer: Circle all that the respondent mentions.
0
0
Q5009: Transport type
How did you get there?
Interviewer: Circle all that the respondent mentions.
0
0
Q5009: Transport type
How did you get there?
Interviewer: Circle all that the respondent mentions.
0
0
Q5009: Transport type
How did you get there?
Interviewer: Circle all that the respondent mentions.
0
0
Q5009a: Hours
0
0
-9
NA
-8
DK
Q5009a: Minutes
0
0
-9
NA
-8
DK
88
Don't know
Q5009b: City/village started trip from?
How did you get there?
Circle all that the respondent mentions.
0
0
Q5009c: Location started trip from (home, work, other)?
How did you get there?
nterviewer: Circle all that the respondent mentions.
0
0
1
Home
2
Work
7
Other
8
Don't know
9
Not applicable
Q5010: Who paid (single)
interviewer: Circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5010: Who paid (single)
interviewer: Circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5010: Who paid (single)
interviewer: Circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5010: Who paid (single)
interviewer: Circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5010: Who paid (single)
interviewer: Circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5010: Who paid (single)
interviewer: Circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5010: Who paid (single)
interviewer: Circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5010: Who paid (single)
interviewer: Circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5011a: Health care provider
0
0
-8
DK
0
Free
Q5011b: Medicines
Thinking about your last [hospital] stay, how much did you or your family/household members pay out-of-pocket for: Medicines
0
0
-8
DK
0
Free
Q5011c: Tests
Thinking about your last [hospital] stay, how much did you or your family/household members pay out-of-pocket for: Tests
0
0
-8
DK
0
Free
Q5011d: Transport
Thinking about your last [hospital] stay, how much did you or your family/household members pay out-of-pocket for: Transport
0
0
-8
DK
0
Free
Q5011e: Other specify amount
Thinking about your last [hospital] stay, how much did you or your family/household members pay out-of-pocket for: Other
0
0
-8
DK
0
Free
Q5012: Total cost
About how much in total did you or a family/household member pay out-of-pocket for this hospitalisation?
0
0
-9
NA
-8
DK
0
Free
Q5013: How satisfied
Overall, how satisfied were you with the care you received during your last [hospital] stay?
0
0
1
Very satisfied
2
Satisfied
3
Neutral
4
Dissatisfied
5
Very dissatisfied
8
Don't know
9
Not applicable
Q5014: Outcome
0
0
1
Greatly improve
2
Improve
3
No change
4
Worse
5
Greatly worse
8
Don't know
9
Not applicable
Q5015: Outcome expected
Was this the outcome or result you had expected?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q5016: Second visit - facility type
What type of hospital or facility was it?
0
0
1
Public hosp
2
Private hosp
3
Charity hosp
4
Old person's home
7
Other
8
Don't know
9
Not applicable
Q5016a: Reason for 2nd overnight
Which reason best describes why you were last hospitalised?
0
0
-9
NA
-8
DK
1
Communicable
2
Maternal
3
Nutrition
4
Acute condition
5
Injury
6
Surgery
7
Sleep probs
8
Occupation
9
Pain in joints
10
Diabetes
11
Probs with heart
12
Probs with mouth
13
Probs with breathing
14
High BP
15
Stroke
16
Generalized pain
17
Depression or anxiety
18
Cancer
87
Other
88
Don't know
98
Not applicable
Q5017: Third visit - facility type
What type of hospital or facility was it?
0
0
1
Public hosp
2
Private hosp
3
Charity hosp
4
Old person's home
7
Other
8
Don't know
9
Not applicable
Q5017a: Reason for 3rd overnight
Which reason best describes why you were last hospitalised?
Interviewer: Respondent can select only ONE main reason for visit. USE SHOWCARD in APPENDIX.
0
0
-9
NA
-8
DK
1
Communicable
2
Maternal
3
Nutrition
4
Acute condition
5
Injury
6
Surgery
7
Sleep probs
8
Occupation
9
Pain in joints
10
Diabetes
11
Probs with heart
12
Probs with mouth
13
Probs with breathing
14
High BP
15
Stroke
16
Generalized pain
17
Depression or anxiety
18
Cancer
87
Other
88
Don't know
98
Not applicable
Q5018: Time waited
For your last overnight visit to a hospital or long-term care facility, how would you rate the following:For your last overnight visit to a hospital or long-term care facility, how would you rate the following:
INTERVIEWER: Q5025 blank.
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5019: Treated respectfully
For your last overnight visit to a hospital or long-term care facility, how would you rate the following:For your last overnight visit to a hospital or long-term care facility, how would you rate the following:
INTERVIEWER: Q5025 blank.
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5020: Clear explanations
For your last overnight visit to a hospital or long-term care facility, how would you rate the following:For your last overnight visit to a hospital or long-term care facility, how would you rate the following:
INTERVIEWER: Q5025 blank.
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5021: Involved in decisions
For your last overnight visit to a hospital or long-term care facility, how would you rate the following:For your last overnight visit to a hospital or long-term care facility, how would you rate the following:
INTERVIEWER: Q5025 blank.
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5022: Talk privately
For your last overnight visit to a hospital or long-term care facility, how would you rate the following:For your last overnight visit to a hospital or long-term care facility, how would you rate the following:
INTERVIEWER: Q5025 blank.
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5023: Ease of finding
For your last overnight visit to a hospital or long-term care facility, how would you rate the following:For your last overnight visit to a hospital or long-term care facility, how would you rate the following:
INTERVIEWER: Q5025 blank.
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5024: Cleanliness
For your last overnight visit to a hospital or long-term care facility, how would you rate the following:For your last overnight visit to a hospital or long-term care facility, how would you rate the following:
INTERVIEWER: Q5025 blank.
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5026: Outpatient
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q5027: Times
In total, how many times did you receive health care or consultation in the last 12 months?
0
0
-9
Not applicable
-8
Don't know
Q5028: Last facility
What was the last (most recent) health care facility you visited in the last 12 months?
0
0
1
Private doctor
2
Private clinic
3
Private hospital
4
Public clinic
5
Public hospital
6
Charity clinic
7
Charity hospital
8
Home visit
87
Other
88
Don't know
98
Not applicable
Q5028a: Name of last facility/provider
What was the name of this health care facility or provider?
0
0
Q5029: Provider
0
0
1
Medical doctor
2
Nurse/midwife
3
Dentist
4
Physiotherapist
5
Traditional healer
6
Pharmacist
7
Home health care worker
8
Don't know
9
Not applicable
Q5029a: Sex of provider
What was the sex of the [health care provider]?
0
0
1
Male
2
Female
Q5029b: Chronic, new, both
Was this visit to [health care provider] for a chronic (ongoing) condition, new condition or both?
0
0
1
Chronic
2
New
3
Both
4
Routine check-up
Q5029c: Reason for last outpt
Which reason best describes why you needed this visit?
0
0
1
Communicable
2
Maternal
3
Nutrition
4
Acute condition
5
Injury
6
Surgery
7
Sleep probs
8
Occupation
9
Pain in joints
10
Diabetes
11
Probs with heart
12
Probs with mouth
13
Probs with breathing
14
High BP
15
Stroke
16
Generalized pain
17
Depression or anxiety
18
Cancer
87
Other
Q5030: Means of transport (single)
Thinking about your last visit, how did you get there?
Circle all that the respondent mentions.
0
0
Q5030: Means of transport (single)
Thinking about your last visit, how did you get there?
Circle all that the respondent mentions.
0
0
Q5030: Means of transport (single)
Thinking about your last visit, how did you get there?
Circle all that the respondent mentions.
0
0
Q5030: Means of transport (single)
Thinking about your last visit, how did you get there?
Circle all that the respondent mentions.
0
0
Q5030: Means of transport (single)
Thinking about your last visit, how did you get there?
Circle all that the respondent mentions.
0
0
Q5030: Means of transport (single)
Thinking about your last visit, how did you get there?
Circle all that the respondent mentions.
0
0
Q5030: Means of transport (single)
Thinking about your last visit, how did you get there?
Circle all that the respondent mentions.
0
0
Q5030: Means of transport (single)
Thinking about your last visit, how did you get there?
Circle all that the respondent mentions.
0
0
Q5031: Time (hours)
About how long did it take you to get there?
0
0
-9
NA
-8
DK
Q5031: Time (minutes)
About how long did it take you to get there?
0
0
-9
NA
-8
DK
Q5032: Who paid? (single)
nterviewer: circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5032: Who paid? (single)
nterviewer: circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5032: Who paid? (single)
nterviewer: circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5032: Who paid? (single)
nterviewer: circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5032: Who paid? (single)
nterviewer: circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5032: Who paid? (single)
nterviewer: circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5032: Who paid? (single)
nterviewer: circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5032: Who paid? (single)
nterviewer: circle all responses. Probe to see if anyone else paid or contributed to paying for the care?
0
0
Q5033A: Fees
Thinking about your last visit, how much did you or your household pay for:a. [Health care provider's] fees
0
0
-8
DK
0
Free
Q5033B: Medicines
Thinking about your last visit, how much did you or your household pay for:b. Medicines
0
0
-8
DK
0
Free
Q5033C: Tests
Thinking about your last visit, how much did you or your household pay for:Tests
0
0
-8
DK
0
Free
Q5033D: Transport
Thinking about your last visit, how much did you or your household pay for:d. Transport
0
0
-8
DK
0
Free
Q5033E: Other
Thinking about your last visit, how much did you or your household pay for:e. Other
0
0
-8
DK
Q5033F: Total costs
0
0
-8
DK
0
Free
Q5034: Satisfaction
Overall, how satisfied were you with the care you received during your last visit?
0
0
1
Very satisfied
2
Satisfied
3
Neutral
4
Dissatisfied
5
Very dissatisfied
8
Don't know
9
Not applicable
Q5035: Condition
0
0
1
Greatly improve
2
Improve
3
No change
4
Worsen
5
Greatly worsen
8
Don't know
9
Not applicable
Q5036: Expected?
Was this the outcome/result you had expected?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q5037: Provider 2nd
Which was the health care provider you visited?
0
0
1
Medical doctor
2
Nurse/midwife
3
Dentist
4
Physiotherapist
5
Traditional healer
6
Pharmacist
7
Home health care worker
8
Don't know
9
Not applicable
Q5037a: Sex of provider
What was the sex of the [health care provider]?
0
0
1
Male
2
Female
Q5037b: Chronic, new, both
Was this visit to [health care provider] for a chronic (ongoing) condition, new condition or both?
0
0
1
Chronic
2
New
3
Both
4
Routine check-up
8
Don't know
9
Not applicable
Q5037c: Reason for 2nd outpt
Which reason best describes why you needed this visit?
0
0
1
Communicable
2
Maternal
3
Nutrition
4
Acute condition
5
Injury
6
Surgery
7
Sleep probs
8
Occupation
9
Pain in joints
10
Diabetes
11
Probs with heart
12
Probs with mouth
13
Probs with breathing
14
High BP
15
Stroke
16
Generalized pain
17
Depression or anxiety
18
Cancer
87
Other
88
Don't know
98
Not applicable
Q5038: Provider 3rd
Which was the health care provider you visited?
0
0
1
Medical doctor
2
Nurse/midwife
3
Dentist
4
Physiotherapist
5
Traditional healer
6
Pharmacist
7
Home health care worker
8
Don't know
9
Not applicable
Q5038a: Sex of provider
What was the sex of the [health care provider]?
0
0
1
Male
2
Female
Q5038b: Chronic, new, both
Was this visit to [health care provider] for a chronic (ongoing) condition, new condition or both?
0
0
1
Chronic
2
New
3
Both
4
Routine check-up
8
Don't know
9
Not applicable
Q5038c: Reason for 3rd outpt
Which reason best describes why you needed this visit?
0
0
1
Communicable
2
Maternal
3
Nutrition
4
Acute condition
5
Injury
6
Surgery
7
Sleep probs
8
Occupation
9
Pain in joints
10
Diabetes
11
Probs with heart
12
Probs with mouth
13
Probs with breathing
14
High BP
15
Stroke
16
Generalized pain
17
Depression or anxiety
18
Cancer
87
Other
88
Don't know
98
Not applicable
Q5039: Time waited
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5040: Treated respectfully
For your last visit to a health care provider, how would you rate the following:your experience of being treated respectfully?
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5041: Clear explanations
For your last visit to a health care provider, how would you rate the following:how clearly health care providers explained things to you?
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5042: Involved in decisions
For your last visit to a health care provider, how would you rate the following: your experience of being involved in making decisions for your treatment?
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5043: Talk privately
For your last visit to a health care provider, how would you rate the following:.the way the health services ensured that you could talk privately to providers?
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5044: Ease of finding
For your last visit to a health care provider, how would you rate the following:the ease with which you could see a health care provider you were happy with?
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5045: Cleanliness
For your last visit to a health care provider, how would you rate the following:the cleanliness in the health facility?
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5046: Vignette 1
[Stan] broke his leg. It took an hour to be driven to the nearest hospital. He was in pain but had to wait an hour for the surgeon and was only operated on the next day.
How would you rate the amount of time [Stan] waited before being attended to?
0
0
I am now going to read you stories about people's experiences with health care services. I want you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in the story as very good, good, moderate, bad or very bad.
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5047: Vignette 2
[Patricia] went to a crowded clinic. No-one greeted her. She waited for 30 minutes when a nurse called for her for an examination behind a screen that separated the waiting area from the examination area.
How would you rate [Patricia's] experience of being greeted and talked to respectfully?
0
0
I am now going to read you stories about people's experiences with health care services. I want you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in the story as very good, good, moderate, bad or very bad.
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5048: Vignette 3
[Mario] has been told that he has epilepsy and that he needs to take medication. The doctor has very briefly explained what the condition is. He is very busy and there is a queue of patients waiting to see him. Mario would like to know more about what he has, but feels that there is no time to ask questions. The doctor says goodbye to Mario, and Mario leaves the office.
How would you rate [Mario's] experience of how clearly health care providers explained things to him?
0
0
I am now going to read you stories about people's experiences with health care services. I want you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in the story as very good, good, moderate, bad or very bad.
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5049: Vignette 4
[José] shared a hospital room with four other persons. There was a toilet for his ward located along the outside corridor. The room was cleaned once a week, was occasionally dusty, and had only 1 or 2 chairs for visitors.
How would you rate the cleanliness of [José's] room inside the facility and provision for toilets?
0
0
I am now going to read you stories about people's experiences with health care services. I want you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in the story as very good, good, moderate, bad or very bad.
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5050: Vignette 5
When the clinic is not busy. [Mamadou] can choose which doctor he sees. But most often it is busy and then he gets sent to whoever is free.
How would you rate [Mamadou's] freedom to choose his health care provider?
0
0
I am now going to read you stories about people's experiences with health care services. I want you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in the story as very good, good, moderate, bad or very bad.
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5051: Vignette 6
[Alouine] has his consultation behind a screen separating the consultation area from the waiting area. He has to speak very quietly to avoid other people hearing his conversation.
How would you rate the way the health services ensured [Alouine] could talk privately to the health care providers?
0
0
I am now going to read you stories about people's experiences with health care services. I want you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in the story as very good, good, moderate, bad or very bad.
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5052: Vignette 7
How would you rate [Robert's] experience of being involved in making decisions about his health care or treatment?
0
0
I am now going to read you stories about people's experiences with health care services. I want you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in the story as very good, good, moderate, bad or very bad.
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
Q5053: Satisfaction
In general, how satisfied are you with how the health care services are run in your country [in your area] - are you very satisfied, satisfied, neither satisfied nor dissatisfied, fairly dissatisfied, or very dissatisfied?
0
0
1
Very satisfied
2
Satisfied
3
Neutral
4
Dissatisfied
5
Very dissatisfied
8
Don't know
9
Not applicable
Q5054: Health care
How would you rate the way health care in your country involves you in deciding what services it provides and where it provides them?
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
S6000: HH begin
0
0
S6000: MM begin
0
0
S6000: HH end
0
0
S6000: MM end
0
0
Q6001: Public meeting
How often in the last 12 months have you attended any public meeting in which there was discussion of local or school affairs?
0
0
1
Never
2
1/2x per yr
3
1/2x per mo
4
1/2x per wk
5
Daily
8
Don't know
9
Not applicable
Q6002: Meet leader
How often in the last 12 months have you met personally with someone you consider to be a community leader?
0
0
1
Never
2
1/2x per yr
3
1/2x per mo
4
1/2x per wk
5
Daily
8
Don't know
9
Not applicable
Q6003: Club
How often in the last 12 months have you attended any group, club, society, union or organizational meeting?
0
0
1
Never
2
1/2x per yr
3
1/2x per mo
4
1/2x per wk
5
Daily
8
Don't know
9
Not applicable
Q6004: Neighborhood
0
0
1
Never
2
1/2x per yr
3
1/2x per mo
4
1/2x per wk
5
Daily
8
Don't know
9
Not applicable
Q6005: Friends
How often in the last 12 months have you had friends over to your home?
0
0
1
Never
2
1/2x per yr
3
1/2x per mo
4
1/2x per wk
5
Daily
8
Don't know
9
Not applicable
Q6006: In other home
How often in the last 12 months have you been in the home of someone who lives in a different neighbourhood than you do or had them in your home?
0
0
1
Never
2
1/2x per yr
3
1/2x per mo
4
1/2x per wk
5
Daily
8
Don't know
9
Not applicable
Q6007: Coworkers
How often in the last 12 months have you socialized with coworkers outside of work?
0
0
1
Never
2
1/2x per yr
3
1/2x per mo
4
1/2x per wk
5
Daily
8
Don't know
9
Not applicable
Q6008: Religious services
How often in the last 12 months have you attended religious services (not including weddings and funerals)?
0
0
1
Never
2
1/2x per yr
3
1/2x per mo
4
1/2x per wk
5
Daily
8
Don't know
9
Not applicable
Q6009: How often go out?
How often in the last 12 months have you gotten out of the house/your dwelling to attend social meetings, activities, programs or events or to visit friends or relatives?
0
0
1
Never
2
1/2x per yr
3
1/2x per mo
4
1/2x per wk
5
Daily
8
Don't know
9
Not applicable
Q6010: Want to get out more?
Would you like to go out more often or are you satisfied with how much you get out of the house?
0
0
1
Go out more
2
Satisfied
3
Go out less
8
Don't know
9
Not applicable
Q6011: Why not?
What is the main reason that you don't get out more?
0
0
1
Health
2
Non-health reason
3
Safety/security concerns
7
Other, specify
8
Don't know
9
Not applicable
Q6012: General trust
Generally speaking, would you say that most people can be trusted or that you can't be too careful in dealing with people?
0
0
1
Can be trusted
2
Can't be trusted
8
Don't know
9
Not applicable
Q6013: Have someone to trust
Do you have someone you can trust and confide in?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q6014: Neighbors
0
0
1
A lot
2
Some
3
Neither
4
A little
5
Not at all
8
Don't know
9
Not applicable
Q6015: Coworkers
0
0
1
A lot
2
Some
3
Neither
4
A little
5
Not at all
8
Don't know
9
Not applicable
Q6016: Strangers
0
0
1
A lot
2
Some
3
Neither
4
A little
5
Not at all
8
Don't know
9
Not applicable
Q6017: Safe at home
In general, how safe from crime and violence do you feel when you are alone at home?
0
0
1
Completely safe
2
Very safe
3
Moderately safe
4
Slightly safe
5
Not safe at all
8
Don't know
9
Not applicable
Q6018: Safe on street
How safe do you feel when walking down your street alone after dark?
0
0
1
Completely safe
2
Very safe
3
Moderately safe
4
Slightly safe
5
Not safe at all
8
Don't know
9
Not applicable
Q6019: Victim
In the last 12 months, have you or anyone in your household been the victim of a violent crime, such as assault or mugging?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q6020: Interest
0
0
1
Very interested
2
Somewhat interested
3
neither
4
Only slightly interested
5
Not at all
8
Don't know
9
Not applicable
Q6021: Voted
Lots of people find it difficult to get out and vote. Did you vote in the last state/national/presidential election?
0
0
1
Yes
2
No
8
Don't know
9
Refusal
Q6022: Say in govt
How much say do you have in getting the government to address issues that interest you?
0
0
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
8
Don't know
9
Not applicable
Q6023: Express yrself freely
How free do you think you are to express yourself without fear of government reprisal?
0
0
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
8
Don't know
9
Not applicable
S7000: HH begin
0
0
S7000: MM begin
0
0
S7000: HH end
0
0
S7000: MM end
0
0
Q7001: Enough energy
Do you have enough energy for everyday life?
0
0
1
Completely
2
Mostly
3
Moderately
4
A little
5
Not at all
8
Don't know
9
Not applicable
Q7002: Enough money
Do you have enough money to meet your needs?
0
0
1
Completely
2
Mostly
3
Moderately
4
A little
5
Not at all
8
Don't know
9
Not applicable
Q7003: Health
Please tell us how satisfied you are with the following issues.
How satisfied are you with your health?
0
0
1
Very satisfied
2
Satisfied
3
Neutral
4
Dissatisfied
5
Very dissatisfied
8
Don't know
9
Not applicable
Q7004: Yourself
Please tell us how satisfied you are with the following issues.
How satisfied are you with yourself?
0
0
1
Very satisfied
2
Satisfied
3
Neutral
4
Dissatisfied
5
Very dissatisfied
8
Don't know
9
Not applicable
Q7005: DD-to-DD
Please tell us how satisfied you are with the following issues.
How satisfied are you with your ability to perform your daily living activities?
0
0
1
Very satisfied
2
Satisfied
3
Neutral
4
Dissatisfied
5
Very dissatisfied
8
Don't know
9
Not applicable
Q7006: Personal
Please tell us how satisfied you are with the following issues.
How satisfied are you with your personal relationships?
0
0
1
Very satisfied
2
Satisfied
3
Neutral
4
Dissatisfied
5
Very dissatisfied
8
Don't know
9
Not applicable
Q7007: Living conditions
Please tell us how satisfied you are with the following issues.
0
0
1
Very satisfied
2
Satisfied
3
Neutral
4
Dissatisfied
5
Very dissatisfied
8
Don't know
9
Not applicable
Q7008: How satisfied with life
Please tell us how satisfied you are with the following issues.
How satisfied are you with Taking all things together, how satisfied are you with your life as a whole these days?
0
0
1
Very satisfied
2
Satisfied
3
Neutral
4
Dissatisfied
5
Very dissatisfied
8
Don't know
9
Not applicable
Q7008a: Control
0
0
1
Never
2
Almost never
3
Sometimes
4
Fairly often
5
Very often
8
Don't know
9
Not applicable
Q7008b: Coping
0
0
1
Never
2
Almost never
3
Sometimes
4
Fairly often
5
Very often
8
Don't know
9
Not applicable
Q7009: Overall QoL
0
0
1
Very good`
2
good
3
moderate
4
bad
5
Very bad
8
Don't know
9
Not applicable
Q7010: Happiness level
0
0
1
Very happy
2
Happy
3
Neither
4
Unhappy
5
Very unhappy
8
Don't know
9
Not applicable
Q7500: Time activity ended (HH)
0
0
Q7500: Time activity ended (mm)
0
0
Q7501: Worried
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7502: Rushed
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7503: Irritated/angry
Did you feel …irritated or angry…for much of the day yesterday?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7504: Depressed
Did you feel …depressed…?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7505: Tense/stressed
Did you feel …tense or stressed……for much of the day yesterday?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7506: Calm/relaxed
Did you feel …calm or relaxed…?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7507: Enjoyment
Were you enjoying what you were doing for much of the day yesterday?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7508: Lonely
Did you feel …lonely … for much of the day yesterday?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7509: Bored
Did you feel … bored …?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7510: Physical pain
Did you feel …physical pain… for much of the day yesterday?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7511: Sleepiness
Did you feel …sleepiness…?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7512: Stomach-ache
Did you have a stomach ache at any time yesterday?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7513: Headache
Did you have a headache at any time yesterday?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7514: Smile or laugh
Did you smile or laugh a lot yesterday?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7515: Part of day enjoyed most
0
0
1
Morning
2
Afternoon
3
Evening
8
Don't know
9
Not applicable
Q7516: Free time
Compared to a typical morning, how much free time did you have yesterday morning? Was yesterday typical, or did you have more free time yesterday morning, or did you have less free time yesterday morning?
0
0
1
More
2
Typical
3
Less
8
Don't know
9
Not applicable
Q7517: Mood
Compared to a typical morning, how was your mood yesterday morning? Was it typical, or were you in a better mood yesterday morning, or were you in a worse mood yesterday morning?
0
0
1
Better
2
Typical
3
Worse
8
Don't know
9
Not applicable
Q7518: Sleep (HH)
How many hours did you sleep last night?
0
0
-9
Not applicable
-8
Don't know
88
Don't know
Q7518: Sleep (MM)
How many hours did you sleep last night?
0
0
-9
Not applicable
-8
Don't know
88
Don't know
Q7519: Quality of sleep last night
0
0
1
Very good
2
Good
3
Moderate
4
Poor
5
Very poor
8
Don't know
9
Not applicable
Q7520: Sleep (HH)
How many hours did you sleep the night before last?
0
0
-9
Not applicable
-8
Don't know
88
Don't know
Q7520: Sleep (MM)
How many hours did you sleep the night before last?
0
0
-9
Not applicable
-8
Don't know
88
Don't know
Q7521: Quality of sleep nite b4 last
0
0
1
Very good
2
Good
3
Moderate
4
Poor
5
Very poor
8
Don't know
9
Not applicable
Q7522: Who is happier?
Who do you think are happier, men or women? Or are they equally happy?
0
0
1
Men
2
Women
3
Equally happy
8
Don't know
9
Not applicable
Q7523: Who has more free time?
Who do you think has more free time, men or women? Or do they have equal amounts of free time?
0
0
1
Men
2
Women
3
Equal time
8
Don't know
9
Not applicable
Q7524: Mood better/worse
Now I will ask you to compare yourself to other people your age who live in this area
0
0
1
Better
2
Same
3
Worse
8
Don't know
9
Not applicable
Q7525: More/less free time
Now I will ask you to compare yourself to other people your age who live in this area
0
0
1
More
2
Same
3
Less
8
Don't know
9
Not applicable
Q7526: More/less anxious
Now I will ask you to compare yourself to other people your age who live in this area
Are you more anxious or less anxious than most others? Or are you about the same?
0
0
1
More anxious
2
Same anxiety
3
Less anxious
8
Don't know
9
Not applicable
Q7527: More/less healthy
Now I will ask you to compare yourself to other people your age who live in this area
Are you more healthy or less healthy than most others? Or are you about the same?
0
0
1
Healthier
2
Same health
3
Less healthy
8
Don't know
9
Not applicable
Q7528: Admit sadness
Do you think that most people who are sad will tell us they are sad?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7529: Most people sad/not sad
Overall, are most people in this area who are about your age happy or sad?
0
0
1
Most happy
2
Most sad
8
Don't know
9
Not applicable
Q7530: Intelligence/happiness
0
0
1
More intelligent
2
Happier
8
Don't know
9
Not applicable
Q7531: Time awareness (1)
Finally, I will ask you a few questions about how you keep track of time during the day.
0
0
1
Never
2
Sometimes
3
Mostly
4
Always
8
Don't know
9
Not applicable
Q7532: Wear watch
Finally, I will ask you a few questions about how you keep track of time during the day.
Do you usually wear a watch or something else that tells you the time?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q7533: Time awareness (2)
Finally, I will ask you a few questions about how you keep track of time during the day.
0
0
1
Look at watch/clock
2
Daily routine
3
Position of sun
4
Guess
7
Other
8
Don't know
9
Not applicable
Q7011: Current time (HH)
Record current time.
0
0
Q7011: Current time (MM)
Record current time.
0
0
Q7012: End time (HH)
Add 15 minutes to compute the end time of this part of the interview.
0
0
Q7012: End time (MM)
Add 15 minutes to compute the end time of this part of the interview.
0
0
Q7013: Awoke (HH)
When did you wake up yesterday?
INTERVIEWER: If respondent can't remember, get his or her best guess.
0
0
88
DK
Q7013: Awoke (MM)
When did you wake up yesterday?
INTERVIEWER: If respondent can't remember, get his or her best guess.
0
0
88
DK
Q7015: Activity (1)
What was the first thing you did after waking up yesterday morning?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
88
Don't know
98
Not applicable
Q7016: Duration (HH)
How long did this activity last?
0
0
88
Don't know
98
Not applicable
Q7016: Duration (MM)
How long did this activity last?
0
0
88
Don't know
98
Not applicable
Q7017: Start (1) (HH)
At what time did this activity begin?
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
88
Don't know
98
Not applicable
Q7017: Start (1) (MM)
At what time did this activity begin?
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
88
Don't know
98
Not applicable
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7019: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7020: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7021: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7022: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7023: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7024: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7025: Enjoying
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7050: Activity (2)
What was the next thing you did yesterday morning?
INTERVIEWER: If the respondent mentions more than one activity, probe with "Which of these activity were you paying most attention to or required the most effort." Circle only ONE activity
0
0
-9
Not applicable
-8
Don't know
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7051: Duration (HH)
How long did this activity last?
Hours : Minutes
NTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
-9
Not applicable
-8
Don't know
Q7051: Duration (MM)
How long did this activity last?
Hours : Minutes
NTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
-9
Not applicable
-8
Don't know
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7053: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7054: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7055: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7056: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7057: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7058: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7059: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7100: Activity (3)
What was the next thing you did yesterday?
0
0
-9
Not applicable
-8
Don't know
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7101: Duration (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate
0
0
Q7101: Duration (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7103: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7104: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7105: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7106: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7107: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7108: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7109: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7150: Activity (4)
What was the next thing you did yesterday?
0
0
-9
Not applicable
-8
Don't know
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7151: Duration (HH)
How long did this activity last?
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate
0
0
Q7151: Duration (MM)
How long did this activity last?
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7153: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7154: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7155: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7156: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7157: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7158: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7159: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7200: Activity (5)
What was the next thing you did yesterday?
0
0
-9
Not applicable
-8
Don't know
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7201: Duration (5) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7201: Duration (5) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7203: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7204: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7205: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7206: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7207: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7208: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7209: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7210: Current time (HH)
Record current time.
0
0
Q7210: Current time (MM)
Record current time.
0
0
Q7250: Activity (6)
What was the next thing you did yesterday?
0
0
-9
Not applicable
-8
Don't know
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7251: Duration (6) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate
0
0
Q7251: Duration (6) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7253: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7254: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7255: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7256: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7257: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7258: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7259: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7260: Current time (HH)
Record current time
0
0
Q7260: Current time (MM)
Record current time
0
0
Q7300: Activity (7)
What was the next thing you did yesterday?
0
0
-9
Not applicable
-8
Don't know
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7301: Duration (7) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7301: Duration (7) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7303: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7304: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7305: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7306: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7307: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7308: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7309: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7310: Current time (HH)
Record current time.
0
0
Q7310: Current time (MM)
Record current time.
0
0
Q7350: Activity (8)
What was the next thing you did yesterday?
0
0
-9
Not applicable
-8
Don't know
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7351: Duration (8) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7351: Duration (8) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7353: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7354: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7355: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7356: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7357: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7358: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7359: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7360: Current time (HH)
Record current time
0
0
Q7360: Current time (MM)
Record current time
0
0
Q7400: Activity (9)
What was the next thing you did yesterday?
0
0
-9
Not applicable
-8
Don't know
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7401: Duration (9) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7401: Duration (9) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7403: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7404: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7405: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7406: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7407: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7408: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7409: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7410: Current time (HH)
Record current time.
0
0
Q7410: Current time (MM)
Record current time.
0
0
Q7450: Activity (10)
What was the next thing you did yesterday?
0
0
-9
Not applicable
-8
Don't know
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7451: Duration (10) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7451: Duration (10) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7453: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7455: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7456: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7457: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7458: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7459: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7500: End time (HH)
You have now described your activities from this part of your day yesterday, can you tell me what time this last activity ended.
8888 Don't know
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7500: End time (MM)
You have now described your activities from this part of your day yesterday, can you tell me what time this last activity ended.
8888 Don't know
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7011: Current time (HH)
Record current time.
0
0
Q7011: Current time (MM)
Record current time.
0
0
Q7012: End time (HH)
Add 15 minutes to compute the end time of this part of the interview.
0
0
Q7012: End time (MM)
Add 15 minutes to compute the end time of this part of the interview.
0
0
Q7013: Awoke (HH)
When did you wake up yesterday?
INTERVIEWER: If respondent can't remember, get his or her best guess.
0
0
88
DK
Q7013: Awoke (MM)
When did you wake up yesterday?
INTERVIEWER: If respondent can't remember, get his or her best guess.
0
0
88
DK
Q7015: Activity (1)
What were you doing at around noon or mid-day yesterday?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7016: Duration (HH)
How long did this activity last?
Hours : Minutes
0
0
Q7016: Duration (MM)
How long did this activity last?
Hours : Minutes
0
0
Q7017: Start (1) (HH)
At what time did this activity begin?
TIME
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7017: Start (1) (MM)
At what time did this activity begin?
TIME
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7019: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7020: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7021: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7022: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7023: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7024: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7025: Enjoying
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7050: Activity (2)
What was the next thing you did yesterday afternoon?
INTERVIEWER: If the respondent mentions more than one activity, probe with "Which of these activity were you paying most attention to or required the most effort." Circle only ONE activity.
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7051: Duration (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7051: Duration (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7053: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7054: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7055: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7056: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7057: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7058: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7059: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7100: Activity (3)
What was the next thing you did yesterday?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7101: Duration (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7101: Duration (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7103: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7104: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7105: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7106: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7107: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7108: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7109: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7150: Activity (4)
What was the next thing you did yesterday?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7151: Duration (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7151: Duration (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7153: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7154: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7155: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7156: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7157: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7158: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7159: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7200: Activity (5)
What was the next thing you did yesterday?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7201: Duration (5) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7201: Duration (5) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7203: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7204: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7205: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7206: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7207: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7208: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7209: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7210: Current time (HH)
Record current time.
0
0
Q7210: Current time (MM)
Record current time.
0
0
Q7250: Activity (6)
What was the next thing you did yesterday?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7251: Duration (6) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7251: Duration (6) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7253: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7254: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7255: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7256: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7257: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7258: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7259: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7260: Current time (HH)
Record current time.
0
0
Q7260: Current time (MM)
Record current time.
0
0
Q7300: Activity (7)
What was the next thing you did yesterday?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7301: Duration (7) (HH)
How long did this activity last?
Hours : Minutes
NTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7301: Duration (7) (MM)
How long did this activity last?
Hours : Minutes
NTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7303: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7304: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7305: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7306: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7307: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7308: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7309: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7310: Current time (HH)
Record current time
TIME
0
0
Q7310: Current time (MM)
Record current time
TIME
0
0
Q7350: Activity (8)
What was the next thing you did yesterday?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7351: Duration (8) (HH)
How long did this activity last?
Hours : Minutes
NTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7351: Duration (8) (MM)
How long did this activity last?
Hours : Minutes
NTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7353: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7354: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7355: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7356: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7357: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7358: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7359: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7360: Current time (HH)
Record current time.
TIME
0
0
Q7360: Current time (MM)
Record current time.
TIME
0
0
Q7400: Activity (9)
What was the next thing you did yesterday?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7401: Duration (9) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7401: Duration (9) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7402: Talking with (9) (single)
0
0
Q7402: Talking with (9) (single)
0
0
Q7402: Talking with (9) (single)
0
0
Q7402: Talking with (9) (single)
0
0
Q7402: Talking with (9) (single)
0
0
Q7402: Talking with (9) (single)
0
0
Q7402: Talking with (9) (single)
0
0
Q7402: Talking with (9) (single)
0
0
Q7402a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7403: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7404: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7405: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7406: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7407: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7408: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7409: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7410: Current time (HH)
Record current time.
Time
0
0
Q7410: Current time (MM)
Record current time.
Time
0
0
Q7450: Activity (10)
What was the next thing you did yesterday?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7451: Duration (10) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate
0
0
Q7451: Duration (10) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7453: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7455: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7456: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7457: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7458: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7459: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7500: End time (HH)
You have now described your activities from this part of your day yesterday, can you tell me what time this last activity ended.
8888 Don't know
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7500: End time (MM)
You have now described your activities from this part of your day yesterday, can you tell me what time this last activity ended.
8888 Don't know
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7011: Current time (HH)
Record current time.
TIME
INTERVIEWER: For this module, you will ask the respondent to reconstruct his or her previous day beginning from evening (about 18.00 or 6pm) until the respondent goes to bed for the night. You will not be able to reconstruct the entire day. You should limit this section to 15 minutes of interview time, so keep track of time elapsed, using the spaces provided in this section - and stop asking about activities to leave enough time to ask Q7501-7534 in the allotted time.
0
0
Q7011: Current time (MM)
Record current time.
TIME
INTERVIEWER: For this module, you will ask the respondent to reconstruct his or her previous day beginning from evening (about 18.00 or 6pm) until the respondent goes to bed for the night. You will not be able to reconstruct the entire day. You should limit this section to 15 minutes of interview time, so keep track of time elapsed, using the spaces provided in this section - and stop asking about activities to leave enough time to ask Q7501-7534 in the allotted time.
0
0
Q7012: End time (HH)
Add 15 minutes to compute the end time of this part of the interview.
TIME
0
0
Q7012: End time (MM)
Add 15 minutes to compute the end time of this part of the interview.
TIME
0
0
Q7013: Awoke (HH)
At what time did you wake up yesterday?
INTERVIEWER: If respondent can't remember, get his or her best guess.
0
0
88
DK
Q7013: Awoke (MM)
At what time did you wake up yesterday?
INTERVIEWER: If respondent can't remember, get his or her best guess.
0
0
88
DK
Q7015: Activity (1)
What was the next thing you did yesterday evening or night?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7016: Duration (HH)
How long did this activity last?
Hours : Minutes
0
0
Q7016: Duration (MM)
How long did this activity last?
Hours : Minutes
0
0
Q7017: Start (1) (HH)
At what time did this activity begin?
TIME
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7017: Start (1) (MM)
At what time did this activity begin?
TIME
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018: Talking with (single)
0
0
Q7018a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7019: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7020: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7021: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7022: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7023: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7024: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7025: Enjoying
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7050: Activity (2)
What was the next thing you did yesterday evening or night?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7051: Duration (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7051: Duration (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052: Talking with (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7052a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7053: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7054: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7055: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7056: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7057: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7058: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7059: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7100: Activity (3)
What was the next thing you did yesterday evening or night?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7101: Duration (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7101: Duration (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102: Talking with (3) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7102a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7103: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7104: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7105: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7106: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7107: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7108: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7109: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7150: Activity (4)
What was the next thing you did yesterday evening or night?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7151: Duration (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7151: Duration (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152: Talking with (4) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7152a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7153: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7154: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7155: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7156: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7157: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7158: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7159: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7200: Activity (5)
What was the next thing you did yesterday evening or night?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7201: Duration (5) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7201: Duration (5) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202: Talking with (5) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7202a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7203: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7204: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7205: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7206: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7207: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7208: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7209: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7210: Current time (HH)
Record current time.
0
0
Q7210: Current time (MM)
Record current time.
0
0
Q7250: Activity (6)
What was the next thing you did yesterday evening or night?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7251: Duration (6) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7251: Duration (6) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252: Talking with (6) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7252a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7253: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7254: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7255: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7256: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7257: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7258: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7259: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7260: Current time (HH)
Record current time
0
0
Q7260: Current time (MM)
Record current time
0
0
Q7300: Activity (7)
What was the next thing you did yesterday evening or night?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7301: Duration (7) (HH)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate
0
0
Q7301: Duration (7) (MM)
How long did this activity last?
Hours : Minutes
INTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302: Talking with (7) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7302a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7303: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7304: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7305: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7306: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7307: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7308: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7309: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7310: Current time (HH)
Record current time
0
0
Q7310: Current time (MM)
Record current time
0
0
Q7350: Activity (8)
What was the next thing you did yesterday evening or night?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7351: Duration (8) (HH)
How long did this activity last?
Hours : Minutes
NTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate
0
0
Q7351: Duration (8) (MM)
How long did this activity last?
Hours : Minutes
NTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352: Talking with (8) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7352a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7353: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7354: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7355: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7356: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7357: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7358: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7359: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7360: Current time (HH)
Record current time.
0
0
Q7360: Current time (MM)
Record current time.
0
0
Q7400: Activity (9)
What was the next thing you did yesterday evening or night?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7401: Duration (9) (HH)
How long did this activity last?
Hours : Minutes
NTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate
0
0
Q7401: Duration (9) (MM)
How long did this activity last?
Hours : Minutes
NTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402: Talking with (9) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7402a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7403: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7404: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7405: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7406: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7407: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7408: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7409: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7410: Current time (HH)
Record current time.
0
0
Q7410: Current time (MM)
Record current time.
0
0
Q7450: Activity (10)
What was the next thing you did yesterday evening or night?
0
0
1
Working
2
Subsistence farming
3
Preparing food
4
Doing housework
5
Watching children
6
Shopping/collecting food
7
Walking
8
Travelling by bike
9
Travelling by car/bus/train
10
Resting
11
Chatting with friends
12
Playing with friends
13
Reading
14
Listening to radio
15
Watching TV
16
Exercising
17
Other leisure activity
18
Grooming/bathing
19
Eating
20
Religious activity
21
Providing care to s.o.
22
Intimate relations
23
Went to sleep for the night
Q7451: Duration (10) (HH)
How long did this activity last?
Hours : Minutes
NTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7451: Duration (10) (MM)
How long did this activity last?
Hours : Minutes
NTERVIEWER: If respondent has trouble with exact duration, get estimate or approximate.
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452: Talking with (10) (single)
Were you talking or interacting with anyone when you did this?
0
0
Q7452a: Friendly?
At the time, how friendly were you feeling towards this person (these people)?
0
0
1
Very friendly
2
A little friendly
3
A little irritated
4
Very irritated
8
Don't know
9
Not applicable
Q7453: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7455: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7456: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7457: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7458: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7459: Enjoyed
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7500: End time (HH)
You have now described your activities from this part of your day yesterday, can you tell me what time this last activity ended.
8888 Don't know
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7500: End time (MM)
You have now described your activities from this part of your day yesterday, can you tell me what time this last activity ended.
8888 Don't know
INTERVIEWER: If respondent has trouble with exact time, get estimate or approximate.
0
0
Q7011: Current time (HH)
Record current time.
0
0
Q7011: Current time (MM)
Record current time.
0
0
Q7013: Awoke (HH)
At what time did you wake up yesterday?
TIME
INTERVIEWER: If respondent can't remember, get his or her best guess.
0
0
88
DK
Q7013: Awoke (MM)
At what time did you wake up yesterday?
TIME
INTERVIEWER: If respondent can't remember, get his or her best guess.
0
0
88
DK
Q7014: to sleep (HH)
At what time did you go to sleep yesterday?
TIME
INTERVIEWER: If respondent can't remember, get his or her best guess.
0
0
Q7014: to sleep (MM)
At what time did you go to sleep yesterday?
TIME
INTERVIEWER: If respondent can't remember, get his or her best guess.
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7015: Activity (Morning)
0
0
Q7016: Interacting with (Morning)
0
0
Q7016: Interacting with (Morning)
2 Spouse
0
0
Q7016: Interacting with (Morning)
3 Adult children (aged 18 years and older)
0
0
Q7016: Interacting with (Morning)
4 Young children or grandchildren
0
0
Q7016: Interacting with (Morning)
5 Family (other than spouse, children or grandchildren)
0
0
Q7016: Interacting with (Morning)
6 Friends
0
0
Q7016: Interacting with (Morning)
7 Co-workers
0
0
Q7016: Interacting with (Morning)
87 Other, specify:
0
0
Q7019: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7020: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7021: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7022: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7023: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7024: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7025: Enjoying
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7050: Activity (Afternoon)
0
0
Q7051: Interacting with (Afternoon)
1 Alone
0
0
Q7051: Interacting with (Afternoon)
2 Spouse
0
0
Q7051: Interacting with (Afternoon)
3 Adult children (aged 18 years and older)
0
0
Q7051: Interacting with (Afternoon)
4 Young children or grandchildren
0
0
Q7051: Interacting with (Afternoon)
5 Family (other than spouse, children or grandchildren)
0
0
Q7051: Interacting with (Afternoon)
6 Friends
0
0
Q7051: Interacting with (Afternoon)
7 Co-workers
0
0
Q7051: Interacting with (Afternoon)
87 Other, specify:
0
0
Q7054: Worried
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7055: Rushed
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7056: Irritated/angry
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7057: Depressed
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7058: Tense/stressed
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7059: Calm/relaxed
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7060: Enjoying
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7100: Activity (Evening)
0
0
Q7101: Interacting with (Evening)
1 Alone
0
0
Q7101: Interacting with (Evening)
2 Spouse
0
0
Q7101: Interacting with (Evening)
3 Adult children (aged 18 years and older)
0
0
Q7101: Interacting with (Evening)
4 Young children or grandchildren
0
0
Q7101: Interacting with (Evening)
5 Family (other than spouse, children or grandchildren)
0
0
Q7101: Interacting with (Evening)
6 Friends
0
0
Q7101: Interacting with (Evening)
7 Co-workers
0
0
Q7101: Interacting with (Evening)
87 Other, specify
0
0
Q7104: Worried
Think about how you felt while doing this activity yesterday evening.
How worried were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7105: Rushed
Think about how you felt while doing this activity yesterday evening.
How rushed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7106: Irritated/angry
Think about how you felt while doing this activity yesterday evening.
How irritated or angry were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7107: Depressed
Think about how you felt while doing this activity yesterday evening.
How depressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7108: Tense/stressed
Think about how you felt while doing this activity yesterday evening.
How tense or stressed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7109: Calm/relaxed
Think about how you felt while doing this activity yesterday evening.
How calm or relaxed were you feeling?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
Q7110: Enjoying
Think about how you felt while doing this activity yesterday evening.
How much were you enjoying what you were doing?
0
0
1
Not at all
2
A little
3
Very much
8
Don't know
9
Not applicable
S8000: HH begin
Time Begin
0
0
S8000: MM begin
Time Begin
0
0
S8000: HH end
Time END
0
0
S8000: MM end
Time END
0
0
Q8001: HIV/AIDS aware?
Have you ever heard of an illness called AIDS [or use local term] or a virus called HIV [or use local term]?
0
0
1
Yes
2
No
8
Don't know
Q8002: Caregiving?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8003: How many need care
In total, how many adult household (HH) members have needed care or support in the last 12 months?
0
0
Q8012: Average time [HH]
As the main or other caregiver in the household, how much time per day on average did/do you usually spend providing care for adults?
0
0
-9
Not applicable
-8
Don't know
88
Don't know
98
Not applicable
Q8012: Average time [MM]
As the main or other caregiver in the household, how much time per day on average did/do you usually spend providing care for adults?
0
0
-9
Not applicable
-8
Don't know
88
Don't know
98
Not applicable
Q8013: How many contribute
How many of these household members, who had a prolonged illness or died in the last 12 months, were contributing an income to the household and now have stopped?
0
0
-8
DK
88
Don't know
Q8014: Main economic provider
Was one of these persons (who have/had a prolonged illness or who died) from your household the main income earner?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8015: Assistance
In relation to providing care and support in the last 12 months, has your household received any help or assistance from outside the household?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8016: Type of help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care.
What kind of support have you, as a caregiver, received?
INTERVIEWER: Read each option and circle all that apply
0
0
Q8016: Type of help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care.
What kind of support have you, as a caregiver, received?
INTERVIEWER: Read each option and circle all that apply
0
0
Q8016: Type of help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care.
What kind of support have you, as a caregiver, received?
INTERVIEWER: Read each option and circle all that apply
0
0
Q8016: Type of help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care.
What kind of support have you, as a caregiver, received?
INTERVIEWER: Read each option and circle all that apply
0
0
Q8016: Type of help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care.
What kind of support have you, as a caregiver, received?
INTERVIEWER: Read each option and circle all that apply
0
0
Q8016: Type of help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care.
What kind of support have you, as a caregiver, received?
INTERVIEWER: Read each option and circle all that apply
0
0
Q8017: Who provided help (single)
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8017: Who provided help (single)
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8017: Who provided help (single)
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8017: Who provided help (single)
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8017: Who provided help (single)
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8017: Who provided help (single)
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8017: Who provided help (single)
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8018: Enough sleep
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:getting enough sleep?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8019: Enough food
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:eating enough food?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8020: Enough energy
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:having enough energy to do the extra work?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8021: Taking care of your health
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:taking care of your health, ailments or chronic condition (if exist ) - including impact of caregiving on your own health (such as, stress, fatigue, muscle strains, insomnia, anxiety, grief)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8022: Able to pay for medications/treatments
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:paying for medication/treatments for your own ailments / chronic conditions?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q0823: Visiting friends
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:visiting friends and relatives as much as before you were providing this level of care?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8024: Sharing feelings
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:sharing feelings about caregiving responsibility with others?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q0825: Financial
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:inancial problems due to loss of income, decreased time available for paid employment, or increased costs or expenses?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8026: Knowledge
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:knowing the correct care to provide for health problems for this person(s) (for example, knowing the best treatment, getting access to medicines (like anti-retrovirals), knowing how to protect yourself, as the caregiver, from getting the illness/disease)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8027: Stigma
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:experiencing stigma or problems as a result of or associated with the illness or death (that is, have you been treated differently or poorly by the community, friends or family members outside your household)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8028: Care for children?
Has anyone in your household provided care for any child aged 15 or under in the household in the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8028a: How many children
In total, how many child household (HH) members have needed care or support in the last 12 months?
0
0
-9
Not applicable
-8
Don't know
1
One child
2
Two children
3
Three children
Q8033: Time in child care [HH]
The following questions ask about the time involved with care you provide to children and if you, as the caregiver, receive any assistance.
As the main or other caregiver in the household, how much time per day on average did/do you usually spend providing care for children?
0
0
-9
Not applicable
-8
Don't know
88
Don't know
98
Not applicable
Q8033: Time in child care [MM]
The following questions ask about the time involved with care you provide to children and if you, as the caregiver, receive any assistance.
As the main or other caregiver in the household, how much time per day on average did/do you usually spend providing care for children?
0
0
-9
Not applicable
-8
Don't know
88
Don't know
98
Not applicable
Q8034: Support from outside HH
The following questions ask about the time involved with care you provide to children and if you, as the caregiver, receive any assistance.
n relation to providing care and support in the last 12 months, has your household received any help or assistance from outside the household?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8035: Help received (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
What kind of help have you, as a caregiver, received?
INTERVIEWER: Read each option and circle all that apply
0
0
Q8035: Help received (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
What kind of help have you, as a caregiver, received?
INTERVIEWER: Read each option and circle all that apply
0
0
Q8035: Help received (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
What kind of help have you, as a caregiver, received?
INTERVIEWER: Read each option and circle all that apply
0
0
Q8035: Help received (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
What kind of help have you, as a caregiver, received?
INTERVIEWER: Read each option and circle all that apply
0
0
Q8035: Help received (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
What kind of help have you, as a caregiver, received?
INTERVIEWER: Read each option and circle all that apply
0
0
Q8035: Help received (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
What kind of help have you, as a caregiver, received?
INTERVIEWER: Read each option and circle all that apply
0
0
Q8036: Who provided help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8036: Who provided help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8036: Who provided help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8036: Who provided help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8036: Who provided help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8036: Who provided help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8036: Who provided help (single)
The next few questions ask about what help or assistance you, as a caregiver, received from other people or groups to assist you in providing care for the child/children.
INTERVIEWER: Circle ALL answers that the respondent spontaneously mentions
0
0
Q8037: Enough sleep
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:getting enough sleep?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8038: Enough food
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:eating enough food?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8039: Enough energy
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:…having enough energy to do the extra work?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8040: Taking care of your health
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:taking care of your health, ailments or chronic condition (if exist ) - including impact of caregiving on your own health (such as, stress, fatigue, muscle strains, insomnia, anxiety, grief)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8041: Able to pay for medications/treatments
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:paying for medication/treatments for your own ailments / chronic conditions?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q0842: Visiting friends
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:visiting friends and relatives as much as before you were providing this level of care?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8043: Sharing feelings
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:sharing feelings about caregiving responsibility with others?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q0844: Financial
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:financial problems due to loss of income, decreased time available for paid employment, or increased costs or expenses?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8045: Knowledge
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:knowing and providing the correct care for health problems for this person(s) (for example, knowing the best treatment, getting access to medicines (like anti-retrovirals), knowing how to protect yourself, as the caregiver, from getting the illness/disease)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8046: Stigma
As a result of providing care, or the increase in providing care, over the last 12 months, how much difficulty have you had with:experiencing stigma or problems as a result of or associated with the illness or death (that is, have you been treated differently or poorly by the community, friends or family members outside your household)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
Q8047: Your access to health care
One final question about the impact of caregiving on your health.
0
0
1
More
2
Same
3
Less
8
Don't know
9
Not applicable
Q8004: Member number
0
0
Q8005: Alive or dead?
0
0
1
Alive
2
Dead
8
Don't know
9
Not applicable
Q8005a: Relationship
0
0
-9
Not applicable
-8
Don't know
2
Spouse
3
Son or daughter
4
Son- or daughter-in-law
5
Grandchild
6
Parent
7
Parent-in-law
8
Sibling (brother or sister)
11
Other relative
12
Not related
Q8006: Reason needing care/why dead?
0
0
-9
NA
-8
DK
1
HIV-related
2
Other health related
87
Other reason
88
Don't know
98
Not applicable
Q8007: Main care provider
0
0
1
Respondent
2
Other HH member
3
Other outside HH
8
Don't know
9
Not applicable
Q8008: Other care provider
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8009: Duration of caregiving
0
0
1
less than 30 days
2
1 to 3 months
3
3 mos. < time < 6 mos.
4
6 months or more
8
Don't know
9
Not applicable
Q8010: Type of care
What type of care or support is/was provided?
0
0
Q8010: Type of care
What type of care or support is/was provided?
0
0
Q8010: Type of care
What type of care or support is/was provided?
0
0
Q8010: Type of care
What type of care or support is/was provided?
0
0
Q8010: Type of care
What type of care or support is/was provided?
0
0
Q8011: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8004B: Member number
0
0
Q8005B: Alive or dead?
0
0
1
Alive
2
Dead
8
Don't know
9
Not applicable
Q8005aB: Relationship
0
0
-9
Not applicable
-8
Don't know
2
Spouse
3
Son or daughter
4
Son- or daughter-in-law
5
Grandchild
6
Parent
7
Parent-in-law
8
Sibling (brother or sister)
11
Other relative
12
Not related
Q8006B: Reason needing care/why dead?
0
0
-9
NA
-8
DK
1
HIV-related
2
Other health related
87
Other reason
88
Don't know
98
Not applicable
Q8007B: Main care provider
0
0
1
Respondent
2
Other HH member
3
Other outside HH
8
Don't know
9
Not applicable
Q8008B: Other care provider
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8009B: Duration of caregiving
0
0
1
less than 30 days
2
1 to 3 months
3
3 mos. < time < 6 mos.
4
6 months or more
8
Don't know
9
Not applicable
Q8010B: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8010B: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8010B: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8010B: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8010B: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8011B: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011B: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011B: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011B: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011B: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011B: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8004C: Member number
0
0
Q8005C: Alive or dead?
0
0
1
Alive
2
Dead
8
Don't know
9
Not applicable
Q8005aC: Relationship
0
0
-9
Not applicable
-8
Don't know
2
Spouse
3
Son or daughter
4
Son- or daughter-in-law
5
Grandchild
6
Parent
7
Parent-in-law
8
Sibling (brother or sister)
11
Other relative
12
Not related
Q8006C: Reason needing care/why dead?
0
0
-9
NA
-8
DK
1
HIV-related
2
Other health related
87
Other reason
88
Don't know
98
Not applicable
Q8007C: Main care provider
0
0
1
Respondent
2
Other HH member
3
Other outside HH
8
Don't know
9
Not applicable
Q8008C: Other care provider
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8009C: Duration of caregiving
0
0
1
less than 30 days
2
1 to 3 months
3
3 mos. < time < 6 mos.
4
6 months or more
8
Don't know
9
Not applicable
Q8010C: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8010C: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8010C: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8010C: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8010C: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8011C: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011C: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011C: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011C: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011C: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011C: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8004D: Member number
0
0
Q8005D: Alive or dead?
0
0
1
Alive
2
Dead
8
Don't know
9
Not applicable
Q8005aD: Relationship
0
0
-9
Not applicable
-8
Don't know
2
Spouse
3
Son or daughter
4
Son- or daughter-in-law
5
Grandchild
6
Parent
7
Parent-in-law
8
Sibling (brother or sister)
11
Other relative
12
Not related
Q8006D: Reason needing care/why dead?
0
0
-9
NA
-8
DK
1
HIV-related
2
Other health related
87
Other reason
88
Don't know
98
Not applicable
Q8007D: Main care provider
0
0
1
Respondent
2
Other HH member
3
Other outside HH
8
Don't know
9
Not applicable
Q8008D: Other care provider
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8009D: Duration of caregiving
0
0
1
less than 30 days
2
1 to 3 months
3
3 mos. < time < 6 mos.
4
6 months or more
8
Don't know
9
Not applicable
Q8010D: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8010D: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8010D: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8010D: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8010D: Type of care
What type of care or support is/was provided?What type of care or support is/was provided?
0
0
Q8011D: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011D: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011D: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011D: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011D: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8011D: Personal care
INTERVIEWER: Circle all that apply
0
0
Q8029: SAGE (ID) column number
0
0
Q8029: WHS (ID) row number
0
0
Q8029a: Relationship
Q8029a. What is this child [NAME]'s relationship to you?
0
0
1
Daughter/son
2
Grandchild
3
Other relative
4
Non-relative
7
Other
Q8029b: Alive or dead
Is this child alive or dead?
0
0
1
Alive
2
Dead
8
Don't know
9
Not applicable
Q8029c: Parent status
0
0
1
Neither
2
Only mother
3
Only father
4
Both
8
Don't know
9
Not applicable
Q8029d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reasons for death)?*
INTERVIEWER: Circle all that apply.
0
0
Q8029d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reasons for death)?*
INTERVIEWER: Circle all that apply.
0
0
Q8029d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reasons for death)?*
INTERVIEWER: Circle all that apply.
0
0
Q8029d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reasons for death)?*
INTERVIEWER: Circle all that apply.
0
0
Q8029e: Main caregiver
Main caregiver is the person primarily responsible for feeding, clothing, providing health care and caring for a child or adult
Now, please tell me, who is or was the main person providing care for this child? Is it you yourself, someone else in this household, or someone outside of this household?
0
0
1
Respondent
2
Other HH member
3
Other outside HH
8
Don't know
9
Not applicable
Q8029f: Other caregiver
Even if you are/were not the main caregiver, did/do you provide care or support to this child?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8029g: Type of care (group)
What type of care or support is/was provided?
INTERVIEWER: Read each and circle all that apply
0
0
Q8029g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Read each and circle all that apply
0
0
Q8029g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Read each and circle all that apply
0
0
Q8029g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Read each and circle all that apply
0
0
Q8029g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Read each and circle all that apply
0
0
Q8029g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Read each and circle all that apply
0
0
Q8030: SAGE (ID) column number
0
0
Q8030: WHS (ID) row number
0
0
Q8030a: Relationship
What is this child [NAME]'s relationship to you?
0
0
1
Daughter/son
2
Grandchild
3
Other relative
4
Non-relative
7
Other
Q8030b: Alive or dead
Is the child alive or dead?
0
0
1
Alive
2
Dead
8
Don't know
9
Not applicable
Q8030c: Parent status
Which of [NAME]'s parents are ill, absent or dead? Only his/her mother, only his/her father or both parents?
0
0
1
Neither
2
Only mother
3
Only father
4
Both
8
Don't know
9
Not applicable
Q8030d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reasons for death)?
INTERVIEWER: Circle all that apply
0
0
Q8030d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reasons for death)?
INTERVIEWER: Circle all that apply
0
0
Q8030d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reasons for death)?
INTERVIEWER: Circle all that apply
0
0
Q8030d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reasons for death)?
INTERVIEWER: Circle all that apply
0
0
Q8030e: Main caregiver
Now, please tell me, who is or was the main person providing care for these children? Is it you yourself, someone else in this household, or someone outside of this household?*
0
0
1
Respondent
2
Other HH member
3
Other outside HH
8
Don't know
9
Not applicable
Q8030f: Other caregiver
Main caregiver is the person primarily responsible for feeding, clothing, providing health care and caring for a child or adult
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8030g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Read each and circle all that apply
0
0
Q8030g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Read each and circle all that apply
0
0
Q8030g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Read each and circle all that apply
0
0
Q8030g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Read each and circle all that apply
0
0
Q8030g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Read each and circle all that apply
0
0
Q8031: SAGE (ID) column number
0
0
Q8031: WHS (ID) row number
0
0
Q8031a: Relationship
What is the child [NAME]'s relationship to you?
0
0
1
Daughter/son
2
Grandchild
3
Other relative
4
Non-relative
7
Other
Q8031b: Alive or dead
Is the child alive or dead?
0
0
1
Alive
2
Dead
8
Don't know
9
Not applicable
Q8031c: Parent status
0
0
1
Neither
2
Only mother
3
Only father
4
Both
8
Don't know
9
Not applicable
Q8031d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reason for death)?
0
0
Q8031d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reason for death)?
0
0
Q8031d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reason for death)?
0
0
Q8031d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reason for death)?
0
0
Q8031e: Main caregiver
Now, please tell me, who is or was the main person providing care for these children? Is it you yourself, someone else in this household, or someone outside of this household?
0
0
1
Respondent
2
Other HH member
3
Other outside HH
8
Don't know
9
Not applicable
Q8031f: Other caregiver
Even if you were not the main caregiver, did/do you provide care or support to any members of the household?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8031g: Type of care (single)
What type of care or support is/was provided
INTERVIEWER: Circle all that apply
0
0
Q8031g: Type of care (single)
What type of care or support is/was provided
INTERVIEWER: Circle all that apply
0
0
Q8031g: Type of care (single)
What type of care or support is/was provided
INTERVIEWER: Circle all that apply
0
0
Q8031g: Type of care (single)
What type of care or support is/was provided
INTERVIEWER: Circle all that apply
0
0
Q8031g: Type of care (single)
What type of care or support is/was provided
INTERVIEWER: Circle all that apply
0
0
Q8032: SAGE (ID) column number
0
0
Q8032: WHS (ID) row number
0
0
Q8032a: Relationship
What is the child [NAME]'s relationship to you?
0
0
1
Daughter/son
2
Grandchild
3
Other relative
4
Non-relative
7
Other
Q8032b: Alive or dead
Is the child alive or dead?
0
0
1
Alive
2
Dead
8
Don't know
9
Not applicable
Q8032c: Parent status
0
0
1
Neither
2
Only mother
3
Only father
4
Both
8
Don't know
9
Not applicable
Q8032d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reason for death)?
0
0
Q8032d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reason for death)?
0
0
Q8032d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reason for death)?
0
0
Q8032d: Reasons (single)
What was/were the reasons for parent(s) being ill or absent (or reason for death)?
0
0
Q8032e: Main caregiver
Now, please tell me, who is or was the main person providing care for these children? Is it you yourself, someone else in this household, or someone outside of this household?
0
0
1
Respondent
2
Other HH member
3
Other outside HH
8
Don't know
9
Not applicable
Q8032f: Other caregiver
Even if you were not the main caregiver, did/do you provide care or support to any members of the household?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
Q8032g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Circle all that apply
0
0
Q8032g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Circle all that apply
0
0
Q8032g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Circle all that apply
0
0
Q8032g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Circle all that apply
0
0
Q8032g: Type of care (single)
What type of care or support is/was provided?
INTERVIEWER: Circle all that apply
0
0
Q9001: Others present?
0
0
1
Yes
2
No
8
DK
9
NA
Q9002: Hearing
Hearing problem?
0
0
1
Yes
2
No
8
DK
9
NA
Q9003: Vision
Vision problem?
0
0
1
Yes
2
No
8
DK
9
NA
Q9004: Wheelchair
Use wheelchair?
0
0
1
Yes
2
No
8
DK
9
NA
Q9005: Walking aid
Use cane/crutches/walker?
0
0
1
Yes
2
No
8
DK
9
NA
Q9006: Walking
Have difficulties walking?
0
0
1
Yes
2
No
8
DK
9
NA
Q9007: Paralysis
Paralysis?
0
0
1
Yes
2
No
8
DK
9
NA
Q9008: Cough
Cough continually?
0
0
1
Yes
2
No
8
DK
9
NA
Q9009: Breathing
Shortness of breath?
0
0
1
Yes
2
No
8
DK
9
NA
Q9010: Mental
Mental problems?
0
0
1
Yes
2
No
8
DK
9
NA
Q9011: Other
Other health problem?
0
0
1
Yes
2
No
8
DK
9
NA
Q9012: Amputation
Amputated limb (arm or leg)?
0
0
1
Yes
2
No
8
DK
9
NA
Q9013: Cooperation
What is your assessment of the respondent's cooperation?
0
0
1
VG
2
G
3
M
4
B
5
VB
8
DK
9
NA
Q9014: Accuracy
What is your evaluation of the accuracy and completeness of the respondent's answers?
0
0
1
VH
2
H
3
A
4
L
5
VL
8
DK
9
NA
strata code
strata code
0
0
post-stratified household weight
Post-stratified household weight.
0
0
permanent income continuous
Permanent income continuous
0
0
Permanent income quintile
Permanent income quintile
0
0
Individual Case ID 1st wave
0
0
Individual Case ID 2nd wave
0
0
Q0001: Research Center Number
Research Centre Number
0
0
101
China
106
India
140
Mexico
152
Russian Federation
155
South Africa
241
Ghana
Q0002: Household ID number
Household ID
0
0
Q0003: Type of interview (new, f/u, retest, proxy, validatio
0
0
1
New interview
2
Follow-up interview from WHS
3
Retest
4
Proxy
5
Proxy validation
Q1007: Respondent Number
0
0
-9
Not applicable
-8
Don't know
P1000: HH begin
0
0
P1000: MM begin
0
0
P1000: HH end
0
0
P1000: MM end
0
0
P1006: HH ID number
Household ID
0
0
P1006b: New or follow-up?
Is this a first (new) or second (follow-up) interview?
0
0
P1007: Respondent # in HH roster
Person (HH member) number of selected respondent from HH roster (number from column)
0
0
P1007a: Proxy # in HH roster
Person (HH member) number of PROXY respondent from HH roster (number from column)
0
0
P1007b: Intv/Supv ID #
Interviewer ID or Supervisor ID
0
0
P1008: Mother tongue
0
0
1
Chinese, Mandarin
2
Chinese, other, specify
87
Other, specify:
88
Don't know
P1009: Sex
Sex
0
0
1
Male
2
Female
P1010: DD
0
0
-8
Don't know
P1010: MM
0
0
-8
DK
P1010: YYYY
0
0
-8
DK
P1011: Age (n)
How old are you now?
INTERVIEWER: This would be age at last birthday. If don't know - probe.
0
0
-8
DK
P1012: Marital status
What is the respondent's current marital status?
0
0
1
Never married
2
Currently married
3
Cohabiting
4
Separated/divorced
5
Widowed
8
Don't know
9
Not applicable
P1015: Ever schooled
Has the respondent ever been to school?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P1016: Highest level
What is the highest level of education that s/he completed?
0
0
1
Less than primary
2
Completed primary
3
Completed secondary
4
Completed HS
5
Completed college
6
Completed post-grad
8
Don't know
9
Not applicable
P1018: Ethnic background
What is her/his caste or tribe?
0
0
1
EG 1
2
EG 2
3
EG 3
4
EG 4
5
EG 5
6
EG 6
87
Other
88
Don't know
98
Not applicable
P1019: Religion
Did s/he belong to a religious denomination?
Interviewer: allow the Proxy to reply without reading categories. Clarify as needed
0
0
1
None, atheist, agnostic, secular
2
Buddhism
3
Chinese traditional
4
Christianity
5
Hinduism
6
Islam
7
Jainism
8
Judaism
9
Primal indigenous (including African trad&diasporic)
10
Sikhism
87
Other
88
Don't know
97
Refused
98
Not applicable
P1020: Length of acquaintance
How long have you known [respondent's name]?
INTERVIEWER: If less than 1 year, enter "00".
0
0
-9
NA
-8
DK
P1022: Recent events
Compared with [10 years] ago how is this person at remembering things that have happened recently?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1023: Conversations
Compared with [10 years] ago how is this person at…recalling conversations a few days later?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1024: Personal data
Compared with [10 years] ago how is this person at remembering his/her address and telephone number?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1025: Date
Compared with [10 years] ago how is this person at…remembering what day and month it is?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1026: Remembering where things
Compared with [10 years] ago how is this person at…remembering where things are usually kept?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1027: Finding things
Compared with [10 years] ago how is this person at…remembering where to find things which have been put in a different place from usual?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1028: Working things
Compared with [10 years] ago how is this person at…knowing how to work familiar machines around the house?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1029: New HH machine
Compared with [10 years] ago how is this person at…learning to use a new gadget or machine around the house?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1030: New things
Compared with [10 years] ago how is this person at…learning new things in general?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1031: Book, TV
Compared with [10 years] ago how is this person at…following a story in a book or on TV?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1032: Decisions
Compared with [10 years] ago how is this person at…making decisions on everyday matters?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1033: Handling money
Compared with [10 years] ago how is this person at…handling money for shopping?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1034: Financial matters
Compared with [10 years] ago how is this person at…handling financial matters, for example, a pension or dealing with the bank?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1035: Arithmetic
Compared with [10 years] ago how is this person at…handling other everyday arithmetic problems, for example, knowing how much food to buy, knowing how long between visits from family or friends?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P1036: Understanding events
Compared with [10 years] ago how is this person at…using his/her intelligence to understand what's going on and to reason things through?
INTERVIEWER: can show the respondent the scale and read the categories.
0
0
1
Much improved
2
A bit improved
3
Not much change
4
A bit worse
5
Much worse
8
Don't know
9
Not applicable
P2000: HH begin
0
0
P2000: MM begin
0
0
P2000: HH end
0
0
P2000: MM end
0
0
P2000: Health today
Now I will switch to questions specifically about the respondent's health. The first questions are about her/his overall health, then I ask about his/her physical and mental health
0
0
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Don't know
9
Not applicable
P2001: Activities
Now I will switch to questions specifically about the respondent's health. The first questions are about her/his overall health, then I ask about his/her physical and mental health
Overall in the last 30 days, how much difficulty did s/he have with work or household activities?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2002: Moving around
Overall in the last 30 days, how much difficulty did [NAME] have with moving around?
INTERVIEWER: Read and show scale to proxy.
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2003: Vigorous activities
INTERVIEWER: Read and show scale to proxy.
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2004: Self-care
Overall in the last 30 days, how much difficulty did [NAME] have with self-care, such as bathing/washing or dressing her/himself?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2005: Appearance
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2006: Time alone
Overall in the last 30 days, how much difficulty did [NAME] have … in staying by her/himself for a few days (3 to 7 days)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2007: Bodily pains
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2008: Bodily discomfort
Overall in the last 30 days, …how much bodily discomfort did s/he have?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2009: Difficulty b/c pain
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2010: Memory
Overall in the last 30 days, how much difficulty did s/he have … with concentrating or remembering things?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2011: Learning
Overall in the last 30 days, how much difficulty did s/he have … in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2012: Relationships
Overall in the last 30 days, how much difficulty did [NAME] have … with personal relationships or participation in the community?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2013: Conflicts
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2014: Friendships
Overall in the last 30 days, how much difficulty did [NAME] have … with making new friendships or maintaining current friendships?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2015: Dealing with strangers
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2016: Sleep
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2017: Rested
Overall in the last 30 days, how much of a problem did s/he have … due to not feeling rested and refreshed during the day (for example, feeling tired, not having energy)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2018: Depression
Overall in the last 30 days, how much of a problem did [NAME] have … with feeling sad, low or depressed?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2019: Worry
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2020: Eyes examined
When was the last time you had your eyes examined by a medical professional?
Interviewer: enter years or months ago. Enter "00" if less than 1 year.
0
0
88
Don't know
98
Never
P2021: Visual aids
Does s/he use eyeglasses or contact lenses to see far away (for example, across the street)?
0
0
1
Yes
2
No visual aids
8
Don't know
9
Not applicable
P2022: Visual aids
Does s/he use eyeglasses or contact lenses to see up close (for example at arms length, like when s/he is reading)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P2023: Visual difficulty
n the last 30 days, how much difficulty did s/he have in seeing and recognising a person or object s/he knows across the road (from a distance of about 20 meters)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P2024: Visual difficulty
In the last 30 days, how much difficulty did s/he have in seeing and recognising an object at arm's length (for example, reading)?
0
0
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
8
Don't know
9
Not applicable
P4000: HH begin
0
0
P4000: MM begin
0
0
P4000: HH end
0
0
P4000: MM end
0
0
P4001: Arthritis
Now I would like to read you questions about some health problems or health care needs that [NAME] may have experienced, and the treatment or medical care that s/he may have received.
Has [NAME] ever been told by a health professional that s/he has arthritis (or by other names rheumatism or osteoarthritis)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4002a: Treatment (2 wks)
Now I would like to read you questions about some health problems or health care needs that [NAME] may have experienced, and the treatment or medical care that s/he may have received.
Has s/he been taking medications or other treatment for it…in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4002b: Treatment (12 mos)
Now I would like to read you questions about some health problems or health care needs that [NAME] may have experienced, and the treatment or medical care that s/he may have received.
Has s/he been taking medications or other treatment for it during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4010: Stroke
Has [NAME] ever been told by a health professional that s/he had a stroke?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4011a: Treatment (2 wks)
Has s/he been taking medications or other treatment for it …in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4011b: Treatment (12 mos)
Has s/he been taking medications or other treatment for it . during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4014: Angina
Has [NAME] ever been told by a health professional that s/he has angina or angina pectoris (a heart disease)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4015a: Treatment (2 wks)
Has s/he been taking medications or other treatment for it in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4015b: Treatment (12 mos)
Has s/he been taking medications or other treatment for it …during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4022: Diabetes
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4023a: Treatment (2 wks)
Has s/he been taking insulin or other blood sugar lowering medications in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4023b: Treatment (12 mos)
Has s/he been taking insulin or other blood sugar lowering medications during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4024: Diet or exercise
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4025: Lung disease
Has [NAME] ever been diagnosed with chronic lung disease (emphysema, bronchitis, COPD)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4026a: Treatment (2 wks)
Has s/he been taking medications or other treatment (like oxygen) for it … in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4026b: Treatment (12 mos)
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4032: TB
In the last 12 months, have you had a tuberculosis (TB) test? I mean, has a doctor examined your sputum (taken a sample of the substance spit out from a deep cough and sent it to a laboratory for analysis) or made an x-ray of your chest?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4032a: Treatment (2 wks)
Have you been taking any medications or other treatment for it during the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4032b: Treatment (12 mos)
Have you been taking any medications or other treatment for it during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4033: Asthma
Has [NAME] ever been diagnosed with asthma (an allergic respiratory disease)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4033a: Treatment (2 wks)
Has s/he been taking any medications or other treatment for it …in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4033b: Treatment (12 mos)
Has s/he been taking any medications or other treatment for it during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4040: Depression
Has [NAME] ever been diagnosed with depression?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4041a: Treatment (2 wks)
Has s/he been taking medications or other treatment for it……in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4041b: Treatment (12 mos)
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4060: Hypertension
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4061a: Treatment (2 wks)
Has s/he been taking medications or other treatment for it……in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4061b: Treatment (12 mos)
Has s/he been taking medications or other treatment for it…during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4062: Cataracts
In the last 5 years, was [NAME] diagnosed with a cataract in one or both of her/his eyes (a cloudiness in the lens of the eye)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4063: Surgery
In the last 5 years, has s/he had eye surgery to remove this cataract(s)?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4066: Lost all teeth?
Has [NAME] lost all of her/his natural teeth?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4067: Probs with mouth/teeth
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4068a: Treatment (2 wks)
Has s/he been taking medications or other treatment (from a dentist or other oral health specialist) for it …in the last 2 weeks?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4068b: Treatment (12 mos)
Has s/he been taking medications or other treatment (from a dentist or other oral health specialist) for it…during the last 12 months?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4069: Road accident
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4070: How did happen?
0
0
1
Unintentional
2
Intentional
3
Self-inflicted
8
Don't know
9
Not applicable
P4071: Treatment
Did s/he receive any medical care or treatment for her/his injuries?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4072: Suffered disability?
Did s/he suffer a physical disability as a result of being injured?
INTERVIEWER: disability is any restriction or lack of ability to perform an activity as before the injury.
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4072a: Disability suffered
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4072a: Disability suffered
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4072a: Disability suffered
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4072a: Disability suffered
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4072a: Disability suffered
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4072a: Disability suffered
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4072a: Disability suffered
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4072a: Disability suffered
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4072a: Disability suffered
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4073: Other injury
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4073a: Where occurred
Where was s/he when s/he was injured?
0
0
1
Home
2
School
3
Work
7
Other
8
Don't know
P4074: Cause of event
What was the cause of this injury?
0
0
1
Fall
2
Struck/hit by person
3
Stabbed
4
Gunshot
5
Fire, flames or heat
6
Drowning or near
7
Poisoning
8
Animal bite
9
Electric shock
87
Other
88
Don't know
P4075: How did happen?
0
0
1
Unintentional
2
Intentional
3
Self-inflicted
8
Don't know
9
Not applicable
P4076: Treatment
Did s/he receive any medical care or treatment for her/his injuries?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4077: Suffered disability?
Did s/he suffer a physical disability as a result of being injured?
INTERVIEWER: disability is any restriction or lack of ability to perform an activity as before the injury.
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4077a: Disability
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4077a: Disability
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4077a: Disability
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4077a: Disability
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4077a: Disability
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4077a: Disability
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4077a: Disability
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4077a: Disability
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4077a: Disability
In what ways was s/he physically disabled?
INTERVIEWER: Circle all that proxy respondent selects.
0
0
P4078: Pelvic exam
P4078 Male -> GO TO NEXT SECTION
Now I would like to ask you about some of the kinds of medical care or tests that [NAME] may have received.]]>
When was the last time [NAME] had a pelvic examination, if ever? (By pelvic examination, I mean when a doctor or nurse examined her vagina and uterus?)
INTERVIEWER: enter “00” if less than 1 year ago.
0
0
88
Don't know
98
Never
P4079: PAP smear
P4078 Male -> GO TO NEXT SECTION
Now I would like to ask you about some of the kinds of medical care or tests that [NAME] may have received.]]>
The last time [NAME] had the pelvic examination, did she have a PAP smear test? (By PAP smear test, I mean did a doctor or nurse use a swab or stick to wipe from inside her vagina, take a sample and send it to a laboratory? )
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P4080: Mammogram
P4078 Male -> GO TO NEXT SECTION
Now I would like to ask you about some of the kinds of medical care or tests that [NAME] may have received.]]>
When was the last time she had a mammography, if ever? (That is, an x-ray of her breasts taken to detect breast cancer at an early stage.)
INTERVIEWER: enter “00” if less than 1 year ago.
0
0
88
Don't know
98
Never
P5000: HH begin
0
0
P5000: MM begin
0
0
P5000: HH end
0
0
P5000: MM end
0
0
P5001: Needed care YY ago
When was the last time that [NAME] needed health care?
INTERVIEWER: this can be inpatient , outpatient and/or home care
0
0
-8
Don't know
88
Don't know
98
Not applicable
P5001: Needed care MM ago
When was the last time that [NAME] needed health care?
INTERVIEWER: this can be inpatient , outpatient and/or home care
0
0
-8
Don't know
88
Don't know
98
Not applicable
P5002: Got care?
The last time s/he needed health care, did s/he get health care?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P5002a: Why needed care
What was the main reason s/he needed care, even if s/he did not get care?
0
0
1
Communicable
2
Maternal
3
Nutrition
4
Acute condition
5
Injury
6
Surgery
7
Sleep probs
8
Occupation
9
Pain in joints
10
Diabetes
11
Probs with heart
12
Probs with mouth
13
Probs with breathing
14
High BP
15
Stroke
16
Generalized pain
17
Depression or anxiety
18
Cancer
87
Other
88
Don't know
98
Not applicable
P5003: Reasons (single)
Which reason(s) best explain why s/he did not get health care?
Interviewer: Circle all that the respondent mentions
0
0
P5003: Reasons (single)
Which reason(s) best explain why s/he did not get health care?
Interviewer: Circle all that the respondent mentions
0
0
P5003: Reasons (single)
Which reason(s) best explain why s/he did not get health care?
Interviewer: Circle all that the respondent mentions
0
0
P5003: Reasons (single)
Which reason(s) best explain why s/he did not get health care?
Interviewer: Circle all that the respondent mentions
0
0
P5003: Reasons (single)
Which reason(s) best explain why s/he did not get health care?
Interviewer: Circle all that the respondent mentions
0
0
P5003: Reasons (single)
Which reason(s) best explain why s/he did not get health care?
Interviewer: Circle all that the respondent mentions
0
0
P5003: Reasons (single)
Which reason(s) best explain why s/he did not get health care?
Interviewer: Circle all that the respondent mentions
0
0
P5003: Reasons (single)
Which reason(s) best explain why s/he did not get health care?
Interviewer: Circle all that the respondent mentions
0
0
P5003: Reasons (single)
Which reason(s) best explain why s/he did not get health care?
Interviewer: Circle all that the respondent mentions
0
0
P5003: Reasons (single)
Which reason(s) best explain why s/he did not get health care?
Interviewer: Circle all that the respondent mentions
0
0
P5003: Reasons (single)
Which reason(s) best explain why s/he did not get health care?
Interviewer: Circle all that the respondent mentions
0
0
P5003: Reasons (single)
Which reason(s) best explain why s/he did not get health care?
Interviewer: Circle all that the respondent mentions
0
0
P5004: Where
Where did s/he go most often when s/he felt sick or needed to consult someone about his/her health?
Interviewer: Only one answer allowed
0
0
1
Private doctor
2
Private clinic
3
Private hospital
4
Public clinic
5
Public hospital
6
Charity clinic
7
Charity hospital
8
Traditional healer
9
Pharmacy/dispensary
87
Other
88
DK
98
NA
P5005: Overnight stay
The next 2 questions are about any overnight stay [NAME] had in a hospital or other health care facility in the last 3 years.
In the last 3 years, has [NAME] stayed overnight in a hospital or long-term care facility?
0
0
1
Yes, hospital
2
Yes, long-term care
3
Yes, both
4
No
8
Don't know
9
Not applicable
P5006: MM ago (n)
The next 2 questions are about any overnight stay [NAME] had in a hospital or other health care facility in the last 3 years.
When was her/his last overnight stay in a hospital or long-term care facility?
0
0
-9
Not applicable
-8
Don't know
P5007: 12-mo. overnight
Over the last 12 months, how many different times was she/he a patient in a hospital/long-term care facility for at least one night?
0
0
-9
Not applicable
-8
Don't know
P5008: Type of facility
INTERVIEWER: one answer only
0
0
1
Public hosp
2
Private hosp
3
Charity hosp
4
Old person's home
7
Other
8
Don't know
9
Not applicable
P5008a: Reason for last overnight
0
0
-9
NA
-8
DK
1
Communicable
2
Maternal
3
Nutrition
4
Acute condition
5
Injury
6
Surgery
7
Sleep probs
8
Occupation
9
Pain in joints
10
Diabetes
11
Probs with heart
12
Probs with mouth
13
Probs with breathing
14
High BP
15
Stroke
16
Generalized pain
17
Depression or anxiety
18
Cancer
87
Other
88
Don't know
98
Not applicable
P5026: Outpatient
Over the last 12 months, did [NAME} receive any health care NOT including an overnight stay in hospital or long-term care facility?
0
0
1
Yes
2
No
8
Don't know
9
Not applicable
P5027: Times
0
0
-9
Not applicable
-8
Don't know
P5028: Last facility
I would like you to think about [NAME's] most recent visit - and to ask you questions specifically about her/his last or most recent visit.
What was the last health care facility s/he visited in the last 12 months ?
0
0
-8
Don't know
1
Private doctor
2
Private clinic
3
Private hospital
4
Public clinic
5
Public hospital
6
Charity clinic
7
Charity hospital
87
Other
88
Don't know
P5029: Provider
I would like you to think about [NAME's] most recent visit - and to ask you questions specifically about her/his last or most recent visit.
Which was last (most recent) health care provider s/he visited?
Interviewer: After P5029 substitute the type of health care provider selected by the patient when you see [health care provider] in parentheses
0
0
1
Medical doctor
2
Nurse/midwife
3
Dentist
4
Physiotherapist
5
Traditional healer
6
Pharmacist
8
DK
P5029a: Sex of provider
I would like you to think about [NAME's] most recent visit - and to ask you questions specifically about her/his last or most recent visit.
What was the sex of the [health care provider]?
0
0
1
Male
2
Female
P5029b: Chronic, new, both, routine check-up
I would like you to think about [NAME's] most recent visit - and to ask you questions specifically about her/his last or most recent visit.
. Was this visit to [health care provider] for a chronic (ongoing) condition, new condition or both?
0
0
1
Chronic
2
New
3
Both
4
Routine check-up
8
Don't know
9
NA
P5029c: Reason for last outpt
I would like you to think about [NAME's] most recent visit - and to ask you questions specifically about her/his last or most recent visit.
0
0
-9
NA
-8
DK
1
Communicable
2
Maternal
3
Nutrition
4
Acute condition
5
Injury
6
Surgery
7
Sleep probs
8
Occupation
9
Pain in joints
10
Diabetes
11
Probs with heart
12
Probs with mouth
13
Probs with breathing
14
High BP
15
Stroke
16
Generalized pain
17
Depression or anxiety
18
Cancer
87
Other
88
Don't know
98
Not applicable
Household Case ID 1st wave
0
0
Household Case ID 2nd wave
0
0
Q0001: Research Center Number
Research Centre Number
0
0
101
China
106
India
140
Mexico
152
Russian Federation
155
South Africa
241
Ghana
Q0002: Household ID number
Household ID
0
0
Q0003: Type of interview (new, f/u, retest, proxy, validatio
0
0
1
New interview
2
Follow-up interview from WHS
3
Retest
4
Proxy
5
Proxy validation
Q0002a: Household type (18-49, 50+)
0
0
1
HH for 18-49 year old
2
HH for 50+ year old
3
HH for 18-49 year old (Females only) (India only)
Q0007a: Final result code - HHQ
Final result code Household Q:
0
0
Q0008: Rotation code
Rotation code (Circle One)
0
0
Q0101b: PSU Code
PSU Code
0
0
Q0104: Urban/Rural
0
0
1
Urban
2
Rural
8
Don't know
9
Not Applicable
Time begin: HH
0
0
-9
Not applicable
-8
Don't know
Time begin: mm
0
0
-9
Not applicable
-8
Don't know
Time end: HH
0
0
-9
Not applicable
-8
Don't know
Time end: mm
0
0
-9
Not applicable
-8
Don't know
Q0908a: HH Number
SAGE Household ID
0
0
Q0908b: Interviewer ID
Interviewer ID
0
0
Q0908c: Day of interview (DD)
Date of interview (DD/MM/YYYY)
0
0
-8
Don't know
Q0908c: Month of interview (MM)
Date of interview (DD/MM/YYYY)
0
0
-8
Don't know
Q0908c: Year of interview (YYYY)
Date of interview (DD/MM/YYYY)
0
0
-8
Don't know
Q0908d: Person number (HH member)
Person (HH member) number from SAGE roster for RESPONDENT
0
0
87
Other
Q0920a: Cause of death - Person 1
What do you think was the cause of death?Person 1
INTERVIEW: Write exactly what the respondent tells you.
0
0
Q0921a: Condition - Person 1
Previously diagnosed medical conditions.
0
0
Q0921a: Condition - Person 1
Previously diagnosed medical conditions.
0
0
Q0921a: Condition - Person 1
Previously diagnosed medical conditions.
0
0
Q0921a: Condition - Person 1
Previously diagnosed medical conditions.
0
0
Q0921a: Condition - Person 1
Previously diagnosed medical conditions.
0
0
Q0921a: Condition - Person 1
Previously diagnosed medical conditions.
0
0
Q0921a: Condition - Person 1
Previously diagnosed medical conditions.
0
0
Q0921a: Condition - Person 1
Previously diagnosed medical conditions.
0
0
Q0921a: Condition - Person 1
Previously diagnosed medical conditions.
0
0
Q0921a: Condition - Person 1
Previously diagnosed medical conditions.
0
0
Q0921a: Condition - Person 1
Previously diagnosed medical conditions.
0
0
Q0921a: Condition - Person 1
Previously diagnosed medical conditions.
0
0
Q0922a: Events leading to death - Person 1
Would you please briefly describe the events leading up to the death of this person? Person1
0
0
Q0920b: Cause of death - Person 2
What do you think was the cause of death? Person2
0
0
Q0921b: Condition - Person 2
Previously diagnosed medical conditions.
0
0
Q0921b: Condition - Person 2
Previously diagnosed medical conditions.
0
0
Q0921b: Condition - Person 2
Previously diagnosed medical conditions.
0
0
Q0921b: Condition - Person 2
Previously diagnosed medical conditions.
0
0
Q0921b: Condition - Person 2
Previously diagnosed medical conditions.
0
0
Q0921b: Condition - Person 2
Previously diagnosed medical conditions.
0
0
Q0921b: Condition - Person 2
Previously diagnosed medical conditions.
0
0
Q0921b: Condition - Person 2
Previously diagnosed medical conditions.
0
0
Q0921b: Condition - Person 2
Previously diagnosed medical conditions.
0
0
Q0921b: Condition - Person 2
Previously diagnosed medical conditions.
0
0
Q0921b: Condition - Person 2
Previously diagnosed medical conditions.
0
0
Q0921b: Condition - Person 2
Previously diagnosed medical conditions.
0
0
Q0922b: Events leading to death - Person 2
Would you please briefly describe the events leading up to the death of this person? Person2
0
0
Q0920c: Cause of death - Person 3
What do you think was the cause of death? person3
INTERVIEW: Write exactly what the respondent tells you.
0
0
Q0921c: Condition - Person 3
Previously diagnosed medical conditions.
0
0
Q0921c: Condition - Person 3
Previously diagnosed medical conditions.
0
0
Q0921c: Condition - Person 3
Previously diagnosed medical conditions.
0
0
Q0921c: Condition - Person 3
Previously diagnosed medical conditions.
0
0
Q0921c: Condition - Person 3
Previously diagnosed medical conditions.
0
0
Q0921c: Condition - Person 3
Previously diagnosed medical conditions.
0
0
Q0921c: Condition - Person 3
Previously diagnosed medical conditions.
0
0
Q0921c: Condition - Person 3
Previously diagnosed medical conditions.
0
0
Q0921c: Condition - Person 3
Previously diagnosed medical conditions.
0
0
Q0921c: Condition - Person 3
Previously diagnosed medical conditions.
0
0
Q0921c: Condition - Person 3
Previously diagnosed medical conditions.
0
0
Q0921c: Condition - Person 3
Previously diagnosed medical conditions.
0
0
Q0922c: Events leading to death - Person 3
Would you please briefly describe the events leading up to the death of this person? Person 3
0
0
Q0920d: Cause of death - Person 4
What do you think was the cause of death?Person4
INTERVIEW: Write exactly what the respondent tells you.
0
0
Q0921d: Condition - Person 4
Previously diagnosed medical conditions.
0
0
Q0921d: Condition - Person 4
Previously diagnosed medical conditions.
0
0
Q0921d: Condition - Person 4
Previously diagnosed medical conditions.
0
0
Q0921d: Condition - Person 4
Previously diagnosed medical conditions.
0
0
Q0921d: Condition - Person 4
Previously diagnosed medical conditions.
0
0
Q0921d: Condition - Person 4
Previously diagnosed medical conditions.
0
0
Q0921d: Condition - Person 4
Previously diagnosed medical conditions.
0
0
Q0921d: Condition - Person 4
Previously diagnosed medical conditions.
0
0
Q0921d: Condition - Person 4
Previously diagnosed medical conditions.
0
0
Q0921d: Condition - Person 4
Previously diagnosed medical conditions.
0
0
Q0921d: Condition - Person 4
Previously diagnosed medical conditions.
0
0
Q0921d: Condition - Person 4
Previously diagnosed medical conditions.
0
0
Q0922d: Events leading to death - Person 4
Would you please briefly describe the events leading up to the death of this person?Person 4
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 1
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 2
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 3
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985: Services used - Person 4
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0909a: Person Number (deceased)
Person (HH member) number of deceased (from SAGE HH roster) Person1
0
0
Q0909a: Person Number (deceased)
Person (HH member) number of deceased (from SAGE HH roster) Person2
0
0
Q0909a: Person Number (deceased)
Person (HH member) number of deceased (from SAGE HH roster) Person3
0
0
Q0909a: Person Number (deceased)
Person (HH member) number of deceased (from SAGE HH roster) Person4
0
0
Q0909b: Row Number from WHS
0
0
Q0909b: Row Number from WHS
0
0
Q0909b: Row Number from WHS
0
0
Q0909b: Row Number from WHS
0
0
Q0910: Relationship of informant
0
0
Q0910: Relationship of informant
0
0
Q0910: Relationship of informant
0
0
Q0910: Relationship of informant
0
0
Q0911: Lived with deceased?
0
0
Q0911: Lived with deceased?
0
0
Q0911: Lived with deceased?
0
0
Q0911: Lived with deceased?
0
0
Q0912: Last name of deceased
0
0
Q0912: Last name of deceased
0
0
Q0912: Last name of deceased
0
0
Q0912: Last name of deceased
0
0
Q0912: First name of deceased
0
0
Q0912: First name of deceased
0
0
Q0912: First name of deceased
0
0
Q0912: First name of deceased
0
0
Q0913: Sex of deceased
0
0
Q0913: Sex of deceased
0
0
Q0913: Sex of deceased
0
0
Q0913: Sex of deceased
0
0
Q0914d: Day of birth
0
0
Q0914d: Day of birth
0
0
Q0914d: Day of birth
0
0
Q0914d: Day of birth
0
0
Q0914m: Month of birth
0
0
Q0914m: Month of birth
0
0
Q0914m: Month of birth
0
0
Q0914m: Month of birth
0
0
Q0914y: Year of birth
0
0
Q0914y: Year of birth
0
0
Q0914y: Year of birth
0
0
Q0914y: Year of birth
0
0
Q0915: Marital status of deceased
0
0
Q0915: Marital status of deceased
0
0
Q0915: Marital status of deceased
0
0
Q0915: Marital status of deceased
0
0
Q0916: Education of deceased
0
0
Q0916: Education of deceased
0
0
Q0916: Education of deceased
0
0
Q0916: Education of deceased
0
0
Q0917: Occupation
INTERVIEWER: Use same technique as in the individual questionnaire.
0
0
Q0917: Occupation
INTERVIEWER: Use same technique as in the individual questionnaire.
0
0
Q0917: Occupation
INTERVIEWER: Use same technique as in the individual questionnaire.
0
0
Q0917: Occupation
INTERVIEWER: Use same technique as in the individual questionnaire.
0
0
Q0918: Place of death
0
0
Q0918: Place of death
0
0
Q0918: Place of death
0
0
Q0918: Place of death
0
0
Q0919d: Day of death
0
0
Q0919d: Day of death
0
0
Q0919d: Day of death
0
0
Q0919d: Day of death
0
0
Q0919m: Month of death
0
0
Q0919m: Month of death
0
0
Q0919m: Month of death
0
0
Q0919m: Month of death
0
0
Q0919y: Year of death
0
0
Q0919y: Year of death
0
0
Q0919y: Year of death
0
0
Q0919y: Year of death
0
0
Q0930: Fever?
0
0
Q0930: Fever?
0
0
Q0930: Fever?
0
0
Q0930: Fever?
0
0
Q0930a: How long (months)?
0
0
Q0930a: How long (months)?
0
0
Q0930a: How long (months)?
0
0
Q0930a: How long (months)?
0
0
Q0930b: How long (days)?
Days (DD) Person1
0
0
Q0930b: How long (days)?
Days (DD) Person2
0
0
Q0930b: How long (days)?
Days (DD) Person3
0
0
Q0930b: How long (days)?
Days (DD) Person4
0
0
Q0931: Fever was...
0
0
Q0931: Fever was...
0
0
Q0931: Fever was...
0
0
Q0931: Fever was...
0
0
Q0932: Breathless?
0
0
Q0932: Breathless?
0
0
Q0932: Breathless?
0
0
Q0932: Breathless?
0
0
Q0933: Breathless (lying down)?
0
0
Q0933: Breathless (lying down)?
0
0
Q0933: Breathless (lying down)?
0
0
Q0933: Breathless (lying down)?
0
0
Q0934: Palpitations?
0
0
Q0934: Palpitations?
0
0
Q0934: Palpitations?
0
0
Q0934: Palpitations?
0
0
Q0935: Wheezing?
0
0
Q0935: Wheezing?
0
0
Q0935: Wheezing?
0
0
Q0935: Wheezing?
0
0
Q0936: Cough?
If NO or DK, skip to Q0937
0
0
Q0936: Cough?
If NO or DK, skip to Q0937
0
0
Q0936: Cough?
If NO or DK, skip to Q0937
0
0
Q0936: Cough?
If NO or DK, skip to Q0937
0
0
Q0936a: Cough was...
0
0
Q0936a: Cough was...
0
0
Q0936a: Cough was...
0
0
Q0936a: Cough was...
0
0
Q0937: Chest pain?
If NO or DK, skip to Q0938
0
0
Q0937: Chest pain?
If NO or DK, skip to Q0938
0
0
Q0937: Chest pain?
If NO or DK, skip to Q0938
0
0
Q0937: Chest pain?
If NO or DK, skip to Q0938
0
0
Q0937a: How long (months)?
0
0
Q0937a: How long (months)?
0
0
Q0937a: How long (months)?
0
0
Q0937a: How long (months)?
0
0
Q0937b: How long (days)?
0
0
Q0937b: How long (days)?
0
0
Q0937b: How long (days)?
0
0
Q0937b: How long (days)?
0
0
Q0937c: Localized?
0
0
Q0937c: Localized?
0
0
Q0937c: Localized?
0
0
Q0937c: Localized?
0
0
Q0937d: Pain started...
0
0
Q0937d: Pain started...
0
0
Q0937d: Pain started...
0
0
Q0937d: Pain started...
0
0
Q0938: Diarrhoea?
If NO or DK, skip to Q0939
0
0
Q0938: Diarrhoea?
If NO or DK, skip to Q0939
0
0
Q0938: Diarrhoea?
If NO or DK, skip to Q0939
0
0
Q0938: Diarrhoea?
If NO or DK, skip to Q0939
0
0
Q0938a: How long (months)?
Interviewer: if less than 1 month enter "00" and go to b.
0
0
Q0938a: How long (months)?
Interviewer: if less than 1 month enter "00" and go to b.
0
0
Q0938a: How long (months)?
Interviewer: if less than 1 month enter "00" and go to b.
0
0
Q0938a: How long (months)?
Interviewer: if less than 1 month enter "00" and go to b.
0
0
Q0938b: How long (days)?
Days (DD) Person1
0
0
Q0938b: How long (days)?
Days (DD) Person2
0
0
Q0938b: How long (days)?
Days (DD) Person3
0
0
Q0938b: How long (days)?
Days (DD) Person4
0
0
Q0938c: Frequency (daily)
0
0
Q0938c: Frequency (daily)
0
0
Q0938c: Frequency (daily)
0
0
Q0938c: Frequency (daily)
0
0
Q0938d: Bloody?
0
0
Q0938d: Bloody?
0
0
Q0938d: Bloody?
0
0
Q0938d: Bloody?
0
0
Q0939: Poor appetite?
If NO or DK, skip to Q0940
0
0
Q0939: Poor appetite?
If NO or DK, skip to Q0940
0
0
Q0939: Poor appetite?
If NO or DK, skip to Q0940
0
0
Q0939: Poor appetite?
If NO or DK, skip to Q0940
0
0
Q0939a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0939a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0939a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0939a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0939b: How long (days)?
0
0
Q0939b: How long (days)?
0
0
Q0939b: How long (days)?
0
0
Q0940: Pain swallowing?
If NO or DK, skip to Q0941
0
0
Q0940: Pain swallowing?
If NO or DK, skip to Q0941
0
0
Q0940: Pain swallowing?
If NO or DK, skip to Q0941
0
0
Q0940: Pain swallowing?
If NO or DK, skip to Q0941
0
0
Q0940a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0940a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0940a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0940a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0940b: How long (days)?
0
0
Q0940b: How long (days)?
0
0
Q0940b: How long (days)?
0
0
Q0940b: How long (days)?
0
0
Q0941: Difficulty swallowing?
f NO or DK, skip to Q0942
0
0
Q0941: Difficulty swallowing?
f NO or DK, skip to Q0942
0
0
Q0941: Difficulty swallowing?
f NO or DK, skip to Q0942
0
0
Q0941: Difficulty swallowing?
f NO or DK, skip to Q0942
0
0
Q0941a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0941a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0941a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0941a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0941b: How long (days)?
0
0
Q0941b: How long (days)?
0
0
Q0941b: How long (days)?
0
0
Q0941b: How long (days)?
0
0
Q0942: Headache?
If NO or DK, skip to Q0943
0
0
Q0942: Headache?
If NO or DK, skip to Q0943
0
0
Q0942: Headache?
If NO or DK, skip to Q0943
0
0
Q0942: Headache?
If NO or DK, skip to Q0943
0
0
Q0942a: How long (months)
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0942a: How long (months)
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0942a: How long (months)
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0942a: How long (months)
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0942b: How long (days)?
0
0
Q0942b: How long (days)?
0
0
Q0942b: How long (days)?
0
0
Q0942b: How long (days)?
0
0
Q0943: Blood in urine?
If NO or DK, skip to Q0944
0
0
Q0943: Blood in urine?
If NO or DK, skip to Q0944
0
0
Q0943: Blood in urine?
If NO or DK, skip to Q0944
0
0
Q0943: Blood in urine?
If NO or DK, skip to Q0944
0
0
Q0943a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0943a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0943a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0943a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0943b: How long (days)?
0
0
Q0943b: How long (days)?
0
0
Q0943b: How long (days)?
0
0
Q0943b: How long (days)?
0
0
Q0944: Pain urinating?
If NO or DK, skip to Q0945
0
0
Q0944: Pain urinating?
If NO or DK, skip to Q0945
0
0
Q0944: Pain urinating?
If NO or DK, skip to Q0945
0
0
Q0944: Pain urinating?
If NO or DK, skip to Q0945
0
0
Q0944a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b
0
0
Q0944a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b
0
0
Q0944a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b
0
0
Q0944a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b
0
0
Q0944b: How long (days)?
b. Days (DD)
0
0
Q0944b: How long (days)?
b. Days (DD)
0
0
Q0944b: How long (days)?
b. Days (DD)
0
0
Q0944b: How long (days)?
b. Days (DD)
0
0
Q0945: Unable to urinate?
If NO or DK, skip to Q0946
0
0
Q0945: Unable to urinate?
If NO or DK, skip to Q0946
0
0
Q0945: Unable to urinate?
If NO or DK, skip to Q0946
0
0
Q0945: Unable to urinate?
If NO or DK, skip to Q0946
0
0
Q0945a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0945a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0945a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0945a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0945b: How long (days)?
b. Days (DD)
0
0
Q0945b: How long (days)?
b. Days (DD)
0
0
Q0945b: How long (days)?
b. Days (DD)
0
0
Q0945b: How long (days)?
b. Days (DD)
0
0
Q0946: Excessive urination?
If NO or DK, skip to Q0947
0
0
Q0946: Excessive urination?
If NO or DK, skip to Q0947
0
0
Q0946: Excessive urination?
If NO or DK, skip to Q0947
0
0
Q0946: Excessive urination?
If NO or DK, skip to Q0947
0
0
Q0946a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0946a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0946a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0946a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0946b: How long (days)?
b. Days (DD)
0
0
Q0946b: How long (days)?
b. Days (DD)
0
0
Q0946b: How long (days)?
b. Days (DD)
0
0
Q0946b: How long (days)?
b. Days (DD)
0
0
Q0947: Tingling?
If NO or DK, skip to Q0948
0
0
Q0947: Tingling?
If NO or DK, skip to Q0948
0
0
Q0947: Tingling?
If NO or DK, skip to Q0948
0
0
Q0947: Tingling?
If NO or DK, skip to Q0948
0
0
Q0947a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0947a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0947a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0947a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0947b: How long (days)?
b. Days (DD)
0
0
Q0947b: How long (days)?
b. Days (DD)
0
0
Q0947b: How long (days)?
b. Days (DD)
0
0
Q0947b: How long (days)?
b. Days (DD)
0
0
Q0948: Abdominal pain?
If NO or DK, skip to Q0949
0
0
Q0948: Abdominal pain?
If NO or DK, skip to Q0949
0
0
Q0948: Abdominal pain?
If NO or DK, skip to Q0949
0
0
Q0948: Abdominal pain?
If NO or DK, skip to Q0949
0
0
Q0948a: Location
0
0
Q0948a: Location
0
0
Q0948a: Location
0
0
Q0948a: Location
0
0
Q0949: Abdominal distension?
If NO or DK, skip to Q0950
0
0
Q0949: Abdominal distension?
If NO or DK, skip to Q0950
0
0
Q0949: Abdominal distension?
If NO or DK, skip to Q0950
0
0
Q0949: Abdominal distension?
If NO or DK, skip to Q0950
0
0
Q0949a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0949a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0949a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0949a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0949b: How long (days)?
b. Days (DD)
0
0
Q0949b: How long (days)?
b. Days (DD)
0
0
Q0949b: How long (days)?
b. Days (DD)
0
0
Q0949b: How long (days)?
b. Days (DD)
0
0
Q0949c: Started...
0
0
Q0949c: Started...
0
0
Q0949c: Started...
0
0
Q0949c: Started...
0
0
Q0950: Vomited?
If NO or DK, skip to Q0951
0
0
Q0950: Vomited?
If NO or DK, skip to Q0951
0
0
Q0950: Vomited?
If NO or DK, skip to Q0951
0
0
Q0950: Vomited?
If NO or DK, skip to Q0951
0
0
Q0950a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0950a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0950a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0950a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0950b: How long (days)?
b. Days (DD)
0
0
Q0950b: How long (days)?
b. Days (DD)
0
0
Q0950b: How long (days)?
b. Days (DD)
0
0
Q0950b: How long (days)?
b. Days (DD)
0
0
Q0951: Abdominal mass?
If NO or DK, skip to Q0952
0
0
Q0951: Abdominal mass?
If NO or DK, skip to Q0952
0
0
Q0951: Abdominal mass?
If NO or DK, skip to Q0952
0
0
Q0951: Abdominal mass?
If NO or DK, skip to Q0952
0
0
Q0951a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0951a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0951a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0951a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0951b: How long (days)?
b. Days (DD)
0
0
Q0951b: How long (days)?
b. Days (DD)
0
0
Q0951b: How long (days)?
b. Days (DD)
0
0
Q0951b: How long (days)?
b. Days (DD)
0
0
Q0952: Mental confusion?
If NO or DK, skip to Q0953
0
0
Q0952: Mental confusion?
If NO or DK, skip to Q0953
0
0
Q0952: Mental confusion?
If NO or DK, skip to Q0953
0
0
Q0952: Mental confusion?
If NO or DK, skip to Q0953
0
0
Q0952a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0952a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0952a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0952a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0952b: How long (days)?
b. Days (DD)
0
0
Q0952b: How long (days)?
b. Days (DD)
0
0
Q0952b: How long (days)?
b. Days (DD)
0
0
Q0952b: How long (days)?
b. Days (DD)
0
0
Q0953: Unconscious?
If NO or DK, skip to Q0954
0
0
Q0953: Unconscious?
If NO or DK, skip to Q0954
0
0
Q0953: Unconscious?
If NO or DK, skip to Q0954
0
0
Q0953: Unconscious?
If NO or DK, skip to Q0954
0
0
Q0953a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0953a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0953a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0953a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0953b: How long (days)?
b. Days (DD)
0
0
Q0953b: How long (days)?
b. Days (DD)
0
0
Q0953b: How long (days)?
b. Days (DD)
0
0
Q0953b: How long (days)?
b. Days (DD)
0
0
Q0953c: Started...
0
0
Q0953c: Started...
0
0
Q0953c: Started...
0
0
Q0953c: Started...
0
0
Q0954: Body paralysis?
If NO or DK, skip to Q0955
0
0
Q0954: Body paralysis?
If NO or DK, skip to Q0955
0
0
Q0954: Body paralysis?
If NO or DK, skip to Q0955
0
0
Q0954: Body paralysis?
If NO or DK, skip to Q0955
0
0
Q0954a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0954a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0954a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0954a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0954b: How long (days)?
b. Days (DD)
0
0
Q0954b: How long (days)?
b. Days (DD)
0
0
Q0954b: How long (days)?
b. Days (DD)
0
0
Q0954b: How long (days)?
b. Days (DD)
0
0
Q0955: Leg paralysis?
If NO or DK, skip to Q0956
0
0
Q0955: Leg paralysis?
If NO or DK, skip to Q0956
0
0
Q0955: Leg paralysis?
If NO or DK, skip to Q0956
0
0
Q0955: Leg paralysis?
If NO or DK, skip to Q0956
0
0
Q0955a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0955a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0955a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0955a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0955b: How long (days)?
b. Days (DD)
0
0
Q0955b: How long (days)?
b. Days (DD)
0
0
Q0955b: How long (days)?
b. Days (DD)
0
0
Q0955b: How long (days)?
b. Days (DD)
0
0
Q0956: Body stiffness?
If NO or DK, skip to Q0957
0
0
Q0956: Body stiffness?
If NO or DK, skip to Q0957
0
0
Q0956: Body stiffness?
If NO or DK, skip to Q0957
0
0
Q0956: Body stiffness?
If NO or DK, skip to Q0957
0
0
Q0956a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0956a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0956a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0956a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0956b: How long (days)?
b. Days (DD)
0
0
Q0956b: How long (days)?
b. Days (DD)
0
0
Q0956b: How long (days)?
b. Days (DD)
0
0
Q0956b: How long (days)?
b. Days (DD)
0
0
Q0957: Neck pain?
If NO or DK, skip to Q0958
0
0
Q0957: Neck pain?
If NO or DK, skip to Q0958
0
0
Q0957: Neck pain?
If NO or DK, skip to Q0958
0
0
Q0957: Neck pain?
If NO or DK, skip to Q0958
0
0
Q0957a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0957a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0957a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0957a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0957b: How long (weeks)?
b. Days (DD)
0
0
Q0957b: How long (weeks)?
b. Days (DD)
0
0
Q0957b: How long (weeks)?
b. Days (DD)
0
0
Q0957b: How long (weeks)?
b. Days (DD)
0
0
Q0958: Fits?
If NO or DK, skip to Q0959
0
0
Q0958: Fits?
If NO or DK, skip to Q0959
0
0
Q0958: Fits?
If NO or DK, skip to Q0959
0
0
Q0958: Fits?
If NO or DK, skip to Q0959
0
0
Q0958a: How long (months)
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0958a: How long (months)
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0958a: How long (months)
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0958a: How long (months)
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0958b: How long (days)
b. Days (DD)
0
0
Q0958b: How long (days)
b. Days (DD)
0
0
Q0958b: How long (days)
b. Days (DD)
0
0
Q0958b: How long (days)
b. Days (DD)
0
0
Q0958c: Number per day
. When it was severe, how many times did s/he have fits in a day?
0
0
Q0958c: Number per day
. When it was severe, how many times did s/he have fits in a day?
0
0
Q0958c: Number per day
. When it was severe, how many times did s/he have fits in a day?
0
0
Q0958c: Number per day
. When it was severe, how many times did s/he have fits in a day?
0
0
Q0959: Ulcer/swelling in breasts?
If NO or DK, skip to Q0960
0
0
Q0959: Ulcer/swelling in breasts?
If NO or DK, skip to Q0960
0
0
Q0959: Ulcer/swelling in breasts?
If NO or DK, skip to Q0960
0
0
Q0959: Ulcer/swelling in breasts?
If NO or DK, skip to Q0960
0
0
Q0959a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0959a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0959a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0959a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0959b: How long (days)?
b. Days (DD)
0
0
Q0959b: How long (days)?
b. Days (DD)
0
0
Q0959b: How long (days)?
b. Days (DD)
0
0
Q0959b: How long (days)?
b. Days (DD)
0
0
Q0960: Excessive menstrual bleeding?
If NO, skip to Q0961
0
0
Q0960: Excessive menstrual bleeding?
If NO, skip to Q0961
0
0
Q0960: Excessive menstrual bleeding?
If NO, skip to Q0961
0
0
Q0960: Excessive menstrual bleeding?
If NO, skip to Q0961
0
0
Q0960a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0960a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0960a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0960a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0960b: How long (days)?
b. Days (DD)
0
0
Q0960b: How long (days)?
b. Days (DD)
0
0
Q0960b: How long (days)?
b. Days (DD)
0
0
Q0960b: How long (days)?
b. Days (DD)
0
0
Q0961: Non-menstrual bleeding?
If NO, skip to Q0962
0
0
Q0961: Non-menstrual bleeding?
If NO, skip to Q0962
0
0
Q0961: Non-menstrual bleeding?
If NO, skip to Q0962
0
0
Q0961: Non-menstrual bleeding?
If NO, skip to Q0962
0
0
Q0961a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0961a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0961a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0961a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0961b: How long (days)?
b. Days (DD)
0
0
Q0961b: How long (days)?
b. Days (DD)
0
0
Q0961b: How long (days)?
b. Days (DD)
0
0
Q0961b: How long (days)?
b. Days (DD)
0
0
Q0961c: Persisted until death?
0
0
Q0961c: Persisted until death?
0
0
Q0961c: Persisted until death?
0
0
Q0961c: Persisted until death?
0
0
Q0962: Vaginal discharge?
If NO or DK, skip to Q0963
0
0
Q0962: Vaginal discharge?
If NO or DK, skip to Q0963
0
0
Q0962: Vaginal discharge?
If NO or DK, skip to Q0963
0
0
Q0962: Vaginal discharge?
If NO or DK, skip to Q0963
0
0
Q0962a: How long (months)?
0
0
Q0962a: How long (months)?
0
0
Q0962a: How long (months)?
0
0
Q0962a: How long (months)?
0
0
Q0962b: How long (days)?
b. Days (DD)
0
0
Q0962b: How long (days)?
b. Days (DD)
0
0
Q0962b: How long (days)?
b. Days (DD)
0
0
Q0962b: How long (days)?
b. Days (DD)
0
0
Q0963: Pregnant?
If NO or DK, skip to Q0964
0
0
Q0963: Pregnant?
If NO or DK, skip to Q0964
0
0
Q0963: Pregnant?
If NO or DK, skip to Q0964
0
0
Q0963: Pregnant?
If NO or DK, skip to Q0964
0
0
Q0963a: How long (months)?
0
0
Q0963a: How long (months)?
0
0
Q0963a: How long (months)?
0
0
Q0963a: How long (months)?
0
0
Q0964: Recent birth?
If NO or DK, skip to Q0965
0
0
Q0964: Recent birth?
If NO or DK, skip to Q0965
0
0
Q0964: Recent birth?
If NO or DK, skip to Q0965
0
0
Q0964: Recent birth?
If NO or DK, skip to Q0965
0
0
Q0964a: Days before death?
a. If yes, how many days before death?
0
0
Q0964a: Days before death?
a. If yes, how many days before death?
0
0
Q0964a: Days before death?
a. If yes, how many days before death?
0
0
Q0964a: Days before death?
a. If yes, how many days before death?
0
0
Q0964b: Excessive bleeding?
0
0
Q0964b: Excessive bleeding?
0
0
Q0964b: Excessive bleeding?
0
0
Q0964b: Excessive bleeding?
0
0
Q0964c: Bleeding during labor?
0
0
Q0964c: Bleeding during labor?
0
0
Q0964c: Bleeding during labor?
0
0
Q0964c: Bleeding during labor?
0
0
Q0964d: Difficulty delivering?
0
0
Q0964d: Difficulty delivering?
0
0
Q0964d: Difficulty delivering?
0
0
Q0964d: Difficulty delivering?
0
0
Q0964e: Difficult placenta?
0
0
Q0964e: Difficult placenta?
0
0
Q0964e: Difficult placenta?
0
0
Q0964e: Difficult placenta?
0
0
Q0964f: Prolonged labor?
0
0
Q0964f: Prolonged labor?
0
0
Q0964f: Prolonged labor?
0
0
Q0964f: Prolonged labor?
0
0
Q0964g: Caesarian?
0
0
Q0964g: Caesarian?
0
0
Q0964g: Caesarian?
0
0
Q0964g: Caesarian?
0
0
Q0964h: Forceps/vacuum?
0
0
Q0964h: Forceps/vacuum?
0
0
Q0964h: Forceps/vacuum?
0
0
Q0964h: Forceps/vacuum?
0
0
Q0964i: Post-delivery bleeding?
0
0
Q0964i: Post-delivery bleeding?
0
0
Q0964i: Post-delivery bleeding?
0
0
Q0964i: Post-delivery bleeding?
0
0
Q0964j: Baby is...
0
0
Q0964j: Baby is...
0
0
Q0964j: Baby is...
0
0
Q0964j: Baby is...
0
0
Q0965: Recent abortion?
If NO or DK, skip to Q0966
0
0
Q0965: Recent abortion?
If NO or DK, skip to Q0966
0
0
Q0965: Recent abortion?
If NO or DK, skip to Q0966
0
0
Q0965: Recent abortion?
If NO or DK, skip to Q0966
0
0
Q0965a: Days before death?
a) If yes, how many days before death?
0
0
Q0965a: Days before death?
a) If yes, how many days before death?
0
0
Q0965a: Days before death?
a) If yes, how many days before death?
0
0
Q0965a: Days before death?
a) If yes, how many days before death?
0
0
Q0966: Ankle swelling?
If NO or DK, skip to Q0967
0
0
Q0966: Ankle swelling?
If NO or DK, skip to Q0967
0
0
Q0966: Ankle swelling?
If NO or DK, skip to Q0967
0
0
Q0966: Ankle swelling?
If NO or DK, skip to Q0967
0
0
Q0966a: How long (months)?
If NO or DK, skip to Q0967
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0966a: How long (months)?
If NO or DK, skip to Q0967
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0966a: How long (months)?
If NO or DK, skip to Q0967
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0966a: How long (months)?
If NO or DK, skip to Q0967
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0966b: How long (days)?
b. Days (DD)
0
0
Q0966b: How long (days)?
b. Days (DD)
0
0
Q0966b: How long (days)?
b. Days (DD)
0
0
Q0966b: How long (days)?
b. Days (DD)
0
0
Q0967: Swelling joints?
If NO or DK, skip to Q0968
0
0
Q0967: Swelling joints?
If NO or DK, skip to Q0968
0
0
Q0967: Swelling joints?
If NO or DK, skip to Q0968
0
0
Q0967: Swelling joints?
If NO or DK, skip to Q0968
0
0
Q0967a: How long (months)?
Interviewer: if less than 1 month enter "00" & go to b.
0
0
Q0967a: How long (months)?
Interviewer: if less than 1 month enter "00" & go to b.
0
0
Q0967a: How long (months)?
Interviewer: if less than 1 month enter "00" & go to b.
0
0
Q0967a: How long (months)?
Interviewer: if less than 1 month enter "00" & go to b.
0
0
Q0967b: How long (days)?
b. Days (DD)
0
0
Q0967b: How long (days)?
b. Days (DD)
0
0
Q0967b: How long (days)?
b. Days (DD)
0
0
Q0967b: How long (days)?
b. Days (DD)
0
0
Q0968: Weight loss?
If NO or DK, skip to Q0969
0
0
Q0968: Weight loss?
If NO or DK, skip to Q0969
0
0
Q0968: Weight loss?
If NO or DK, skip to Q0969
0
0
Q0968: Weight loss?
If NO or DK, skip to Q0969
0
0
Q0968a: How long (months)?
0
0
Q0968a: How long (months)?
0
0
Q0968a: How long (months)?
0
0
Q0968a: How long (months)?
0
0
Q0968b: How long (days)?
b. Days (DD)
0
0
Q0968b: How long (days)?
b. Days (DD)
0
0
Q0968b: How long (days)?
b. Days (DD)
0
0
Q0968b: How long (days)?
b. Days (DD)
0
0
Q0969: Mouth sores?
If NO or DK, skip to Q0970
0
0
Q0969: Mouth sores?
If NO or DK, skip to Q0970
0
0
Q0969: Mouth sores?
If NO or DK, skip to Q0970
0
0
Q0969: Mouth sores?
If NO or DK, skip to Q0970
0
0
Q0969a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0969a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0969a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0969a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0969b: How long (days)?
b. Days (DD)
0
0
Q0969b: How long (days)?
b. Days (DD)
0
0
Q0969b: How long (days)?
b. Days (DD)
0
0
Q0969b: How long (days)?
b. Days (DD)
0
0
Q0970: Pallid?
If NO or DK, skip to Q0971
0
0
Q0970: Pallid?
If NO or DK, skip to Q0971
0
0
Q0970: Pallid?
If NO or DK, skip to Q0971
0
0
Q0970: Pallid?
If NO or DK, skip to Q0971
0
0
Q0970a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b
0
0
Q0970a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b
0
0
Q0970a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b
0
0
Q0970a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b
0
0
Q0970b: How long (days)?
b. Days (DD)
0
0
Q0970b: How long (days)?
b. Days (DD)
0
0
Q0970b: How long (days)?
b. Days (DD)
0
0
Q0970b: How long (days)?
b. Days (DD)
0
0
Q0971: Darkened lips?
If NO or DK, skip to Q0972
0
0
Q0971: Darkened lips?
If NO or DK, skip to Q0972
0
0
Q0971: Darkened lips?
If NO or DK, skip to Q0972
0
0
Q0971: Darkened lips?
If NO or DK, skip to Q0972
0
0
Q0971a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0971a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0971a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0971a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0971b: How long (days)?
b. Days (DD)
0
0
Q0971b: How long (days)?
b. Days (DD)
0
0
Q0971b: How long (days)?
b. Days (DD)
0
0
Q0971b: How long (days)?
b. Days (DD)
0
0
Q0972: Skin disease?
If NO or DK, skip to Q0973
0
0
Q0972: Skin disease?
If NO or DK, skip to Q0973
0
0
Q0972: Skin disease?
If NO or DK, skip to Q0973
0
0
Q0972: Skin disease?
If NO or DK, skip to Q0973
0
0
Q0972a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0972a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0972a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0972a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0972b: How long (days)?
b. Days (DD)
0
0
Q0972b: How long (days)?
b. Days (DD)
0
0
Q0972b: How long (days)?
b. Days (DD)
0
0
Q0972b: How long (days)?
b. Days (DD)
0
0
Q0973: Puffy face?
f NO or DK, skip to Q0974
0
0
Q0973: Puffy face?
f NO or DK, skip to Q0974
0
0
Q0973: Puffy face?
f NO or DK, skip to Q0974
0
0
Q0973: Puffy face?
f NO or DK, skip to Q0974
0
0
Q0973a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0973a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0973a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0973a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0973b: How long (days)?
b. Days (DD)
0
0
Q0973b: How long (days)?
b. Days (DD)
0
0
Q0973b: How long (days)?
b. Days (DD)
0
0
Q0973b: How long (days)?
b. Days (DD)
0
0
Q0975: Yellow eyes?
f NO or DK , skip to Q0976
0
0
Q0975: Yellow eyes?
f NO or DK , skip to Q0976
0
0
Q0975: Yellow eyes?
f NO or DK , skip to Q0976
0
0
Q0975: Yellow eyes?
f NO or DK , skip to Q0976
0
0
Q0975a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0975a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0975a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0975a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0975b: How long (days)?
b. Days (DD)
0
0
Q0975b: How long (days)?
b. Days (DD)
0
0
Q0975b: How long (days)?
b. Days (DD)
0
0
Q0975b: How long (days)?
b. Days (DD)
0
0
Q0976: Road accident?
If NO or DK, skip to Q0977
0
0
Q0976: Road accident?
If NO or DK, skip to Q0977
0
0
Q0976: Road accident?
If NO or DK, skip to Q0977
0
0
Q0976: Road accident?
If NO or DK, skip to Q0977
0
0
Q0976a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0976a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0976a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0976a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0976b: How long (days)?
b. Days (DD)
0
0
Q0976b: How long (days)?
b. Days (DD)
0
0
Q0976b: How long (days)?
b. Days (DD)
0
0
Q0976b: How long (days)?
b. Days (DD)
0
0
Q0977: Other accidental injury?
if NO or DK, skip to Q0978
0
0
Q0977: Other accidental injury?
if NO or DK, skip to Q0978
0
0
Q0977: Other accidental injury?
if NO or DK, skip to Q0978
0
0
Q0977: Other accidental injury?
if NO or DK, skip to Q0978
0
0
Q0977a: How long (months)?
0
0
Q0977a: How long (months)?
0
0
Q0977a: How long (months)?
0
0
Q0977a: How long (months)?
0
0
Q0977b: How long (days)?
b. Days (DD)
0
0
Q0977b: How long (days)?
b. Days (DD)
0
0
Q0977b: How long (days)?
b. Days (DD)
0
0
Q0977b: How long (days)?
b. Days (DD)
0
0
Q0978: Intentional injury?
If NO or DK, skip to Q0979
0
0
Q0978: Intentional injury?
If NO or DK, skip to Q0979
0
0
Q0978: Intentional injury?
If NO or DK, skip to Q0979
0
0
Q0978: Intentional injury?
If NO or DK, skip to Q0979
0
0
Q0978a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b
0
0
Q0978a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b
0
0
Q0978a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b
0
0
Q0978a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b
0
0
Q0978b: How long (days)?
b. Days (DD)
0
0
Q0978b: How long (days)?
b. Days (DD)
0
0
Q0978b: How long (days)?
b. Days (DD)
0
0
Q0978b: How long (days)?
b. Days (DD)
0
0
Q0979: Dog bite?
If NO or DK, skip to Q0980
0
0
Q0979: Dog bite?
If NO or DK, skip to Q0980
0
0
Q0979: Dog bite?
If NO or DK, skip to Q0980
0
0
Q0979: Dog bite?
If NO or DK, skip to Q0980
0
0
Q0979a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0979a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0979a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0979a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0979b: How long (days)?
b. Days (DD)
0
0
Q0979b: How long (days)?
b. Days (DD)
0
0
Q0979b: How long (days)?
b. Days (DD)
0
0
Q0979b: How long (days)?
b. Days (DD)
0
0
Q0980: Other animal/insect bite?
If NO or DK, skip to Q0981
0
0
Q0980: Other animal/insect bite?
If NO or DK, skip to Q0981
0
0
Q0980: Other animal/insect bite?
If NO or DK, skip to Q0981
0
0
Q0980: Other animal/insect bite?
If NO or DK, skip to Q0981
0
0
Q0980a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0980a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0980a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0980a: How long (months)?
Interviewer: if less than 1 month enter “00” & go to b.
0
0
Q0980b: How long (days)?
b. Days (DD)
0
0
Q0980b: How long (days)?
b. Days (DD)
0
0
Q0980b: How long (days)?
b. Days (DD)
0
0
Q0980b: How long (days)?
b. Days (DD)
0
0
Q0981: Accidental poisoning?
If NO or DK, skip to Q0982
0
0
Q0981: Accidental poisoning?
If NO or DK, skip to Q0982
0
0
Q0981: Accidental poisoning?
If NO or DK, skip to Q0982
0
0
Q0981: Accidental poisoning?
If NO or DK, skip to Q0982
0
0
Q0981a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0981a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0981a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0981a: How long (months)?
Interviewer: if less than 1 month enter “00” and go to b.
0
0
Q0981b: How long (days)?
b. Days (DD)
0
0
Q0981b: How long (days)?
b. Days (DD)
0
0
Q0981b: How long (days)?
b. Days (DD)
0
0
Q0981b: How long (days)?
b. Days (DD)
0
0
Q0982: Suicide?
0
0
Q0982: Suicide?
0
0
Q0982: Suicide?
0
0
Q0982: Suicide?
0
0
Q0984: Health care services used?
If NO or DK, skip to Q0986
0
0
Q0984: Health care services used?
If NO or DK, skip to Q0986
0
0
Q0984: Health care services used?
If NO or DK, skip to Q0986
0
0
Q0984: Health care services used?
If NO or DK, skip to Q0986
0
0
Q0985a: Medicine?
Health services used by the deceased during his/her illness in the period leading to death?
Did s/he get medicine here? 1=yes; 2=no; 8=DK
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985a: Medicine?
Health services used by the deceased during his/her illness in the period leading to death?
Did s/he get medicine here? 1=yes; 2=no; 8=DK
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985a: Medicine?
Health services used by the deceased during his/her illness in the period leading to death?
Did s/he get medicine here? 1=yes; 2=no; 8=DK
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985a: Medicine?
Health services used by the deceased during his/her illness in the period leading to death?
Did s/he get medicine here? 1=yes; 2=no; 8=DK
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985b: Traditional medicine?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985b: Traditional medicine?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985b: Traditional medicine?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985b: Traditional medicine?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985c: Modern medicine?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985c: Modern medicine?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985c: Modern medicine?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985c: Modern medicine?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985d: Medicine from family?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985d: Medicine from family?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985d: Medicine from family?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985d: Medicine from family?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985e: Gov't health facility?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985e: Gov't health facility?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985e: Gov't health facility?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0985e: Gov't health facility?
Health services used by the deceased during his/her illness in the period leading to death?
INTERVIEWER: Refer to the list below and circle all that are relevant.
0
0
Q0986: Used tobacco?
Now we would like to ask a few questions about habits and behaviours, particularly about any use of tobacco or alcohol.
If NO or DK, skip to Q0990
0
0
Q0986: Used tobacco?
Now we would like to ask a few questions about habits and behaviours, particularly about any use of tobacco or alcohol.
If NO or DK, skip to Q0990
0
0
Q0986: Used tobacco?
Now we would like to ask a few questions about habits and behaviours, particularly about any use of tobacco or alcohol.
If NO or DK, skip to Q0990
0
0
Q0986: Used tobacco?
Now we would like to ask a few questions about habits and behaviours, particularly about any use of tobacco or alcohol.
If NO or DK, skip to Q0990
0
0
Q0987: Month prior?
0
0
Q0987: Month prior?
0
0
Q0987: Month prior?
0
0
Q0987: Month prior?
0
0
Q0988: When stopped?
0
0
Q0988: When stopped?
0
0
Q0988: When stopped?
0
0
Q0988: When stopped?
0
0
A0989: Daily consumption
When the deceased smoked, snuffed or chewed, how many cigarettes or how many grams of tobacco did he smoke/snuff/chew per day on average?
0
0
A0989: Daily consumption
When the deceased smoked, snuffed or chewed, how many cigarettes or how many grams of tobacco did he smoke/snuff/chew per day on average?
0
0
A0989: Daily consumption
When the deceased smoked, snuffed or chewed, how many cigarettes or how many grams of tobacco did he smoke/snuff/chew per day on average?
0
0
A0989: Daily consumption
When the deceased smoked, snuffed or chewed, how many cigarettes or how many grams of tobacco did he smoke/snuff/chew per day on average?
0
0
A0989: Daily consumption (g)
0
0
A0989: Daily consumption (g)
0
0
A0989: Daily consumption (g)
0
0
A0989: Daily consumption (g)
0
0
Q0990: Used alcohol?
If NO or DK, skip to Q0993
0
0
Q0990: Used alcohol?
If NO or DK, skip to Q0993
0
0
Q0990: Used alcohol?
If NO or DK, skip to Q0993
0
0
Q0990: Used alcohol?
If NO or DK, skip to Q0993
0
0
Q0991: Month prior?
0
0
Q0991: Month prior?
0
0
Q0991: Month prior?
0
0
Q0991: Month prior?
0
0
Q0992: Frequency
0
0
Q0992: Frequency
0
0
Q0992: Frequency
0
0
Q0992: Frequency
0
0
Q0993: Death certificate?
0
0
Q0993: Death certificate?
0
0
Q0993: Death certificate?
0
0
Q0993: Death certificate?
0
0
Q0993a: death certificate details?
. What was the cause of death listed on the death certificate?
0
0
Q0993a: death certificate details?
. What was the cause of death listed on the death certificate?
0
0
Q0993a: death certificate details?
. What was the cause of death listed on the death certificate?
0
0
Q0993a: death certificate details?
. What was the cause of death listed on the death certificate?
0
0
Q0994: Burial permit?
If NO, NA or DK, skip to Q0995
0
0
Q0994: Burial permit?
If NO, NA or DK, skip to Q0995
0
0
Q0994: Burial permit?
If NO, NA or DK, skip to Q0995
0
0
Q0994: Burial permit?
If NO, NA or DK, skip to Q0995
0
0
Q0994a: permit details?
a. What was the cause of death listed on the burial permit?
0
0
Q0994a: permit details?
a. What was the cause of death listed on the burial permit?
0
0
Q0994a: permit details?
a. What was the cause of death listed on the burial permit?
0
0
Q0994a: permit details?
a. What was the cause of death listed on the burial permit?
0
0
Q0995: Autopsy?
If NO or DK, skip to Q0996
0
0
Q0995: Autopsy?
If NO or DK, skip to Q0996
0
0
Q0995: Autopsy?
If NO or DK, skip to Q0996
0
0
Q0995: Autopsy?
If NO or DK, skip to Q0996
0
0
Q0995a: Autopsy details
0
0
Q0995a: Autopsy details
0
0
Q0995a: Autopsy details
0
0
Q0995a: Autopsy details
0
0
Q0996a: MCH/ANC card?
0
0
Q0996a: MCH/ANC card?
0
0
Q0996a: MCH/ANC card?
0
0
Q0996a: MCH/ANC card?
0
0
Q0996b: Hospital prescription?
0
0
Q0996b: Hospital prescription?
0
0
Q0996b: Hospital prescription?
0
0
Q0996b: Hospital prescription?
0
0
Q0996c: Treatment cards?
0
0
Q0996c: Treatment cards?
0
0
Q0996c: Treatment cards?
0
0
Q0996c: Treatment cards?
0
0
Q0996d: Hospital discharge form?
If NO, skip to Q0996f
0
0
Q0996d: Hospital discharge form?
If NO, skip to Q0996f
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0
Q0996d: Hospital discharge form?
If NO, skip to Q0996f
0
0
Q0996d: Hospital discharge form?
If NO, skip to Q0996f
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0
Q0996f: Other hospital documents?
0
0
Q0996f: Other hospital documents?
0
0
Q0996f: Other hospital documents?
0
0
Q0996f: Other hospital documents?
0
0
Q0996g: Laboratory results?
0
0
Q0996g: Laboratory results?
0
0
Q0996g: Laboratory results?
0
0
Q0996g: Laboratory results?
0
0
Q0997: Informed of cause of death?
If NO or DK, Skip to next person or skip to next section
0
0
Q0997: Informed of cause of death?
If NO or DK, Skip to next person or skip to next section
0
0
Q0997: Informed of cause of death?
If NO or DK, Skip to next person or skip to next section
0
0
Q0997: Informed of cause of death?
If NO or DK, Skip to next person or skip to next section
0
0
Q0997a: What is the cause of death
a. What did the health care worker tell you was the cause of death?
0
0
Q0997a: What is the cause of death
a. What did the health care worker tell you was the cause of death?
0
0
Q0997a: What is the cause of death
a. What did the health care worker tell you was the cause of death?
0
0
Q0997a: What is the cause of death
a. What did the health care worker tell you was the cause of death?
0
0