DDI_GHA_2007_INDEPTH-SAGE-W1_v01_M Nirmala Naidoo Yunpeng Huang Development Economics Data Group 2023-05-17 NADA Version 01 (May 2023): This metadata was downloaded from the WHO Multi-Country Studies Data Archive (https://apps.who.int/healthinfo/systems/surveydata/index.php/catalog) and it is identical to WHO version (GHA-WHO-INDEPTH-SAGE-LV-2011-v01). The following two metadata fields were edited - Document ID and Survey ID. INDEPTH Study on Global Ageing and Adult Health 2007 Wave 1 INDEPTH-SAGE-W1 2007 GHA_2007_INDEPTH-SAGE-W1_v01_M Navrongo Health Research Centre

Dr Richard Suzman

© World Health Organization 2011 NADA US National Institute on Aging R01-AG034479, IR21-AG034263-0182 Nirmala Naidoo World Health Survey [hh/whs] Version 01: Edited, anonymous dataset for public distribution. Ageing, Alcohol, Asthma, Blindness, Cancer, Cataract, Cervical cancer, Chronic diseases, COPD, Depression, Diabetes, Diet, Disabilities, Epidemiology, Health financing, Health services, Health surveys, Health systems, Heart disease, Indoor air pollution, Injuries traffic, Mapping, Noncommunicable diseases, Nutrition, Obesity, Oral Health, Passive smoking, Physical activity, Poverty, Primary health care, Risk factors, Sanitation, Social determinants of health, Statistics, Stroke, Suicide, Tobacco, Visual impairment, Water International Network for the Demographic Evaluation of Populations and their Health in developing countries (INDEPTH) Ghana Kassena-Nankana District of the Upper East region of Ghana. Sample survey data [ssd] Navrongo Health Research Centre Face-to-face [f2f] Nirmala Naidoo INDEPTHGhanaHHData 0 549 INDEPTHGhanaINDData 0 1441 Household Case ID Household Case ID Q0001: Research Center Number Research Centre Number 101 China 106 India 140 Mexico 152 Russian Federation 155 South Africa 241 Ghana Q0002: Household ID number Household ID Q0003: Type of interview (new, f/u, retest, proxy, validatio Is this a new, second (follow-up from WHS), retest or proxy interview? 1 New interview 2 Follow-up interview from WHS 3 Retest 4 Proxy 5 Proxy validation Q0002a: Household type (18-49, 50+) Is this a (18-49 years) or (50+ years) household? 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. -9 N/A -8 DK Q0004: Interviewer ID Interviewer ID Q0005: Number of calls Total number of calls/visits: Q0006: Date (DD) Date of final results: Q0006: Date (MM) Q0006: Date (YYYY) Q0007a: Final result code - HHQ Final result code Household Q Q0007b: Final result code - Individual Q Final result code Individual Q for up to 4 respondents - See Q1000c for codes Q0007b: Final result code - Individual Q Q0007b: Final result code - Individual Q Q0007b: Final result code - Individual Q Q0008: Rotation code Rotation code (Circle One) Q0009: Edit (DD) Date data editing completed (DD/MM/YYYY) Q0009: Edit (MM) Date data editing completed (MM) Q0009: Edit (YYYY) Date data editing completed (YYYY) Q0010: Supervisor Signature Signature of Supervisor: 1 1=Yes 2 2=No Q0011: Key (DD) Date data entry completed (DD/MM/YYYY) Q0011: Key (MM) Q0011: Key (YYYY) S0000: Supervisor SUPERVISOR S0000: Field Editor FIELD EDITOR S0000: Office Editor OFFICE EDITOR S0000: Keyed by KEYED BY Q0101a: PSU Name Primary Sampling Unit (PSU) Name: Q0101b: PSU Code PSU Code Q0102a: SSU Name Secondary Sampling Unit (SSU) Name: Q0102b: SSU Code SSU Code: Q0103a: TSU Name Tertiary Sampling Unit (TSU) Name: Q0103b: TSU Code TSU Code: Q0104: Urban/Rural Setting (circle one) An urban area that has been legally proclaimed as being urban. Such areas include towns, cities and metropolitan areas. All other areas that are not classified as being urban. This includes commercial farms, small settlements, rural villages and other areas which are further away from towns and cities. 1 Urban 2 Rural 8 Don't know 9 Not Applicable Q0105a: FirstADMLevelName administrative division information Refer to Appendix A0100 for administrative names and codes First Administrative Level Unit Name: Q0105b: FirstADMLevelCode First Administrative Level Unit Code: 99 Not applicable if the unit is not in appendix list Q0106a: SecondADMLevelName Second Administrative Level Unit Name: Q0106b: SecondADMLevelCode Second Administrative Level Unit Code: 99 Not applicable if the unit is not in appendix list Q0351A: Call #1 DD Contact Record - Household Date Q0351A: Call #1 MM Q0351A: Cal #1 YYYY -8 Don't know Q0351B: Call #1 HH Time of contact Q0351B: Call #1 mm Q0351C: Call #1 Interviewer ID Interviewer I.D. Q0351D: Call #1 who? Contact with 1=Household Informant 2=Other household member 3=No one 1 Contact w/ informant 2 Contact w/ other HH member 3 No contact Q0351E: Call #1 listing? Household roster obtained 1=Yes 2=No 1 Listing obtained 2 Listing not obtained Q0351F: Call #1 result Result code 01=Completed Interview (interview is accepted and conducted) 02=Partial Interview (interview is partially completed and person will not be contacted anymore). 03=Household contacted-initial refusal 04=Household contacted-uncertain about interview 05=Resistance/refusal by household informant 06=Final refusal by household informant 07=Final refusal by other household member 08=Unable to locate household or household informant 09=No interview because informant is not eligible: less than 18, mentally unfit or too ill. 10=Language barrier 11=House is vacant or household occupants are elsewhere (seasonal vacancy, other residence) 12=Unsafe or dangerous area or no access to Informant 13= Deceased informant 14=Informant in institution: jail, hospital and not accessible 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 Q0352A: Call #2 MM Q0352A: Call #2 YYYY -8 Don't know Q0352B: Call #2 HH Time of contact Q0352B: Call #2 mm Q0352C: Call #2 Interviewer ID Interviewer I.D. Q0352D: Call #2 who? Contact with 1=Household Informant 2=Other household member 3=No one 1 Contact w/ informant 2 Contact w/ other HH member 3 No contact Q0352E: Call #2 listing? Household roster obtained 1=Yes 2=No 1 Listing obtained 2 Listing not obtained Q0352F: Call #2 result Result code 01=Completed Interview (interview is accepted and conducted) 02=Partial Interview (interview is partially completed and person will not be contacted anymore). 03=Household contacted-initial refusal 04=Household contacted-uncertain about interview 05=Resistance/refusal by household informant 06=Final refusal by household informant 07=Final refusal by other household member 08=Unable to locate household or household informant 09=No interview because informant is not eligible: less than 18, mentally unfit or too ill. 10=Language barrier 11=House is vacant or household occupants are elsewhere (seasonal vacancy, other residence) 12=Unsafe or dangerous area or no access to Informant 13= Deceased informant 14=Informant in institution: jail, hospital and not accessible 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 Q0353A: Call #3 MM Q0353A: Call #3 YYYY -8 Don't know Q0353B: Call #3 HH Time of contact Q0353B: Call #3 mm Q0353C: Call #3 Interviewer ID Interviewer I.D. Q0353D: Call #3 who? Contact with 1=Household Informant 2=Other household member 3=No one 1 Contact w/ informant 2 Contact w/ other HH member 3 No contact Q0353E: Call #3 listing? Household roster obtained 1=Yes 2=No 1 Listing obtained 2 Listing not obtained Q0353F: Call #3 result Result code 01=Completed Interview (interview is accepted and conducted) 02=Partial Interview (interview is partially completed and person will not be contacted anymore). 03=Household contacted-initial refusal 04=Household contacted-uncertain about interview 05=Resistance/refusal by household informant 06=Final refusal by household informant 07=Final refusal by other household member 08=Unable to locate household or household informant 09=No interview because informant is not eligible: less than 18, mentally unfit or too ill. 10=Language barrier 11=House is vacant or household occupants are elsewhere (seasonal vacancy, other residence) 12=Unsafe or dangerous area or no access to Informant 13= Deceased informant 14=Informant in institution: jail, hospital and not accessible 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 S0400: HH begin S0400: MM begin S0400: HH end S0400: MM end Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Col. Number In order to determine who to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. By asking “who lives at this household?”, I mean those who share meals ('eat out of the same cooking pot') and usually stay here for at least four months a year. I would like to know the age, sex, marital status, educational level and relationship to the household head of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (for example, in hospital or old people's home) for a short time. What is the total number of people who live in this household? We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person. Q0401: Total number of persons in HH -9 Followup refused to give roster information -8 Don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0405: Relationship to respondent What is [NAME]'s relationship to the household head? 01=spouse 02=son or daughter 03=son or daughter-in-law 04=grandchild 05=parent 06=parent-in-law 07=brother or sister 08=co-wife 09=grandparent 10=other relative 11=not related (friends, servants, boarders, lodgers, other) 88=don't know Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0406: Sex Is [NAME] a male or a female? 1 = Male 2 = Female Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0407: Age How old is he/she? (if less than 1 year old enter "00") Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0408: Marital status What is [NAME]'s marital status? 1= Never married (and not cohabiting) 2= Currently married 3= Cohabiting 4= Separated/divorced 5= Widowed 8=don't know Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0409: Highest education level What is the highest level of education [NAME] completed? 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/Preuniversity/University completed 6=Post graduate degree completed Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. Q0411: Health insurance Does [NAME] have health insurance coverage? 1 = Yes, mandatory insurance* 2 = Yes, voluntary insurance** 3 = Yes, both mandatory and voluntary insurance 4 = No, none. 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person 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? 1 = Yes è Continue 2 = No è Go to Q0415 or Next Person Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0413: How much care? How much care does he/she need? 1 = Needs help/watching all the time (day and night) 2 = Cannot be without help/watching or be left alone at home for more than an hour 3 = Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 = Needs some help at home and sometimes needs to be accompanied when leaving home Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0414: In institution? Is [NAME] presently in an institution (hospital, after care home, home for the aged, hospice) due to his/her health condition? 1 = yes; 2 = no Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0415: Reason for absence If person was a household member in WHS 2003, but is now NOT a household member, continue with Q0415. If person is a NEW household member or was household member in 2003 and is still a household member today, do NOT answer Q0415 or Q0416 è go to Next HH member, or if last HH member è go to Q0417. What is the reason for [NAME]'s absence? 01 = Employment 02 = Looking for work 03 = School 04 = Visit family 05 = Visit friends 06 = Marriage/cohabitation 07 = Personal reasons 08 = Escape violence or political problems 09 = Prison 10 = Hospital /clinic 11 = Nursing home/old persons home 12 = Died è go to Next HH member 87 = Other, Specify: 88 = Don't know Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0416: Went where? Where did [NAME] go to? 1 = Different household in same community/locality/ neighbourhood 2 = Rural area in different part of the country 3 = City in different part of the country 4 = Rural area in another country 5 = City in another country 8 = don't know Go to next HH member or if last HH member è go to Q0417 * Examples of Mandatory include: Employees State Ins Scheme (ESIS), Central Government Health Scheme (CGHS), Railways Health Services (RHS), Defence Medical Services (DMS), Ex-servicemen Contributory Health Scheme (ECHS), Medical Reimbursement From Employers - Government and Public Sector (MREG), Medical Reimbursement From Employers- Private Companies (MREP), or Other Health Ins Through Employer (OHIE) ** Examples of Voluntary include: Community Health Ins. Scheme (CHIS)-Group Mediclaim Policy, BPL and SEWA Schemes, Commercial Health Ins. Schemes from Public Sector Comp (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Commercial Health Ins from Private Sector Comp. (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram) Q0417: Other infants or kids? Are there any other persons such as small children or infants that we have not listed? 1=Yes 2=No (go back to HH roster and complete column) 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? 1=Yes 2=No (go back to HH roster and complete column) 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)? -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? -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? 1=Yes 2=No Section 0450 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? -8 Don't know 88 Don't know 98 Not applicable Q0423a: Sex (person 1) Sex of deceased? 1=Male, 2=Female IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910). 1 Male 2 Female Q0424a: Age at death in years What was his/her age at death (in years)? Age at last birthday. For children less than 1 year, enter “000”. IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910). -8 Don't know Q0423b: Sex (person 2) Sex of deceased? 1=Male, 2=Female IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910). 1 Male 2 Female Q0424b: Age at death in years What was his/her age at death (in years)? Age at last birthday. For children less than 1 year, enter “000”. IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910). -8 Don't know Q0423c: Sex (person 3) Sex of deceased? 1=Male, 2=Female IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910). 1 Male 2 Female Q0424c: Age at death in years What was his/her age at death (in years)? Age at last birthday. For children less than 1 year, enter “000”. IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910). -8 Don't know Q0423d: Sex (person 4) Sex of deceased? 1=Male, 2=Female IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910). 1 Male 2 Female Q0424d: Age at death in years What was his/her age at death (in years)? Age at last birthday. For children less than 1 year, enter “000”. IF person aged 50 years or older - complete VERBAL AUTOPSY (Section 0910). -8 Don't know Q0451: HH Informant - Person (HH member) number from HH rost INTERVIEWER: Indicate who is the 'Household Informant'? Record the Person (HH member) number from the Household Roster -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? 1 Agreed, Informant Signed 2 Agreed, witness signed 3 Refused 9 N/A Q0452: Person (HH member) number - first person B. INSTRUCTIONS FOR SELECTING RESPONDENT FOR INDIVIDUAL QUESTIONNAIRE For Households scheduled for an interview with a respondent aged 18 to 49, include that Person (Household member) number from the Household roster column. The Person number will be recorded below in Q0452 and then in Q1007 on the Individual Respondent Questionnaire - and Q0453 to Q0456 will be left blank. The younger respondent will be a follow-up respondent from the World Health Survey. For Households scheduled for an interview with a respondent aged 50+ years - you will interview all persons aged 50+ years. Someone younger than 50 years may complete the Household Questionnaire. You may have multiple individual interviews for one household, but you need to complete the household questionnaire only once. The multiple respondents for the individual questionnaire should be listed below starting with Q0452 for the first person, Q0453 for the second, Q0454 for the third…and so on. Then also insert in Q1007 on the Individual Respondent Questionnaire. Person (Household member) number -8 Don't know 88 Don't know 98 Not applicable S0500: HH begin S0500: MM begin S0500: HH end S0500: MM end Q0501: HH/dwelling ownership status I would like to ask you some questions about your dwelling or home Is this dwelling where you live…? 1 Owned by the household head and fully paid off 2 Owned by the household head but not yet fully paid off 3 Owned by someone else in household and fully paid off 4 Owned by someone else in household but not yet fully paid off 5 Rented…………………………………..…..è 6 Provided free of charge…………..……….è 7 Other, specify: 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 If the owner [you] were to sell this dwelling today, what is the approximate value (about how much is it worth)? Use local currency. -8 DK Q0503: Rooms for living How many rooms does this dwelling have in total, without counting the bathrooms/ toilets or hallways/passage ways? -8 Don't know 98 Not applicable Q0504: Floor environmental risk factors / water and sanitation What type of floor does your dwelling have? 1Hard Floor (Tile, Cement, Brick, Wood) 2 Earth Floor 1 Hard floor 2 Earth floor 8 Don't know 9 Not applicable Q0505: Walls What type of wall does your dwelling have? (Circle main type) 1Cement, Brick, Stone or wood 2Mud/ Mud brick 3Thatch and other 4Plastic Sheet 5Metal Sheet 7 Other, specify: 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 What is the main source of drinking water for members of this household? (Use pictorials in Appendix A0500A) 1Piped water into dwelling …………………è Q508 2Piped water to yard/plot ………..………..èQ508 3Public tap/standpipe ……………...………..èQ507 4Tubewell/borehole ………….……………..èQ507 5Protected dug well ………………………..èQ507 6Unprotected dug well……………………..èQ507 7Protected spring…………………………..èQ507 8Unprotected spring………………………..èQ507 9Rainwater collection ……………………..èQ507 10Bottled water ……………………………..èQ506a 11Small scale vendor ………………………..èQ507 12Tanker-truck …………………………….....èQ507 13Surface water (river, dam, lake, pond, stream, canal, irrigation channels) …......èQ507 87 Other, specify: Q507 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 What is the main source of water used by your household for other purposes such as handwashing? (Use pictorials in Appendix A0500A) 1Piped water into dwelling ………………è Q508 2Piped water to yard/plot ………………è Q508 3Public tap/standpipe 4Tubewell/borehole 5Protected dug well 6Unprotected dug well 7Protected spring 8Unprotected spring 9Rainwater collection 10Bottled water 11Cart with small tank/drum 12Tanker-truck 13Surface water (river, dam, lake, pond, stream, canal, irrigation channels) 87 Other, specify: 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? 0Water on premises ……………..……...è Q508 -8 Don't know -9 Not applicable -8 Don't know Water on premises Q0507a: Who fetches water Who usually goes to this source to fetch the water for your household? 1Adult man 2Adult woman 3Male child (under 15 years old) 4Female child (under 15 years old) 7 Other, specify: 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 What type of toilet facility do members of your household usually use? (Use pictorials in Appendix A0500B ) If respondent indicates “flush” or “pour flush”, probe: Where does it flush to? 1Flush/pour flush to piped sewer system 2Flush/pour flush to septic tank 3Flush/pour flush to pit latrine 4Flush/pour flush to other location 5Flush/pour flush to unknown place/not sure 6Ventilated improved pit latrine (VIP) 7Pit latrine with slab 8Pit latrine without slab/open pit 9Composting toilet 10Bucket latrine 11Hanging toilet/hanging latrine 12No facilities or bush or field …………….è Q510 87 Other, specify: 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? 1 =Yes 2= No 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? 1Gas ……………………………..….……...è Q601 2Electricity ……………………..……....….èQ601 3Kerosene/paraffin …………………...….èQ601 4Coal/Charcoal 5Wood 6Agriculture/crop 7Animal dung 8Shrubs/grass 87 Other, specify: -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? In this household, is food cooked on an open fire, an open or closed stove? INTERVIEWER: indicate main type. Use pictorials in Appendix A0500C. 1Open fire 2Open stove 3Closed stove 7 Other, specify: 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? Does the fire/stove have a chimney, hood or neither? 1Chimney 2Hood 3 Neither 1 Chimney 2 Hood 3 Neither 8 Don't know 9 Not applicable Q0513: Where cooking usually done? Where is cooking usually done? 1In a room used for living or sleeping 2In a separate room used as kitchen 3In a separate building used as kitchen 4Outdoor 7 Other, specify: 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 The next questions are about your family and friends, specifically those not living with you in this household. Families and friends sometimes help one another in a variety of different ways, and each type of help or support can be important. Part of our survey involves finding out how they do that. We would now like to ask some questions about your family and friends who do not live with you, and the different ways in which you help or support each other. The next questions are about help received by your household in the last 12 months. S0600: MM begin The next questions are about your family and friends, specifically those not living with you in this household. Families and friends sometimes help one another in a variety of different ways, and each type of help or support can be important. Part of our survey involves finding out how they do that. We would now like to ask some questions about your family and friends who do not live with you, and the different ways in which you help or support each other. The next questions are about help received by your household in the last 12 months. S0600: HH end The next questions are about your family and friends, specifically those not living with you in this household. Families and friends sometimes help one another in a variety of different ways, and each type of help or support can be important. Part of our survey involves finding out how they do that. We would now like to ask some questions about your family and friends who do not live with you, and the different ways in which you help or support each other. The next questions are about help received by your household in the last 12 months. S0600: MM end The next questions are about your family and friends, specifically those not living with you in this household. Families and friends sometimes help one another in a variety of different ways, and each type of help or support can be important. Part of our survey involves finding out how they do that. We would now like to ask some questions about your family and friends who do not live with you, and the different ways in which you help or support each other. The next questions are about help received by your household in the last 12 months. 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? 1Yes 2No…………………………….……. èQ0604 8 Don't know………………………... è Q0604 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? Money, loans, tuition, paying for bills, fees or taxes (that is, cash)? 1Yes 2No - b 8 DK If Yes, è Column B. If no è skip to next Q 1 Yes 2 No 8 Don't know Q0602aB: 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)? 8 DK About how much was this amount in total over the last 12 months? (cash or cash equivalent) -8 DK Q0602bA: 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)? 1Yes 2No ---c 8 DK If Yes, è Column B. If no è skip to next Q 1 Yes 2 No 8 Don't know Q0602bB: Amount What type of financial or in-kind support did your household receive? Value of food or other goods (that is, non-monetary)? 8 DK About how much was this amount in total over the last 12 months? (cash or cash equivalent) -8 DK Q0602cA: 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)? 1Yes 2No to Q0603 8 DK If Yes, è Column B. If no è skip to next Q 1 Yes 2 No 8 Don't know Q0602cB: Hours per week 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)? Average hours per week -8 Don't know About how much was this amount in total over the last 12 months? (cash or cash equivalent) -8 DK Q0603: Rely on support? Keeping the support you just identified in mind, do you consider this as income or support that the household can count on in the future? 1Yes 2No 8 Don't know 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? 1Yes 2No…………………………….…….…Q0607 8 Don't know….................Q0607 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)? 1Yes 2No to b 8 DK 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)? About how much was this amount in total over the last 12 months? (cash or cash equivalent) 8 Don't know -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)? 1Yes 2No to c 8 DK 1 Yes 2 No 8 Don't know Q0605bB: 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) 8 Don't know -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)? 1Yes 2No to Q0606 8 DK 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) Average hours per week -8 Don't know -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? 1Yes 2No 8 Don't know 1 Yes 2 No 8 Don't know Q0607: Support from government? In the last 12 months, has your household received any financial or in-kind support from the government? 1Yes 2No……………………….………Q0610 8 don't know………………..…………… .Q0610 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)? f Yes, to Column B If no to skip to next Q 1Yes 2No to b 8 DK 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) 8 Don't know -8 DK Q0608bA: Food, land, livestock What type of support did your household receive? Value of food or other goods (that is, non-monetary)? 1Yes 2 No to Q0609 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) 8 Don't know -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? 1Yes 2No 8 don't know 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. In the last 12 months, has your household provided any financial or in-kind support to any of your children, grandchildren and/or other relatives (and those of your spouse) who do not live in this household? 1yes 2no….……………………….………Q0612 8 Don't know…................Q0612 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? Money, loans, tuition, paying for bills, fees or taxes (cash)? A. If Yes, ....... Column B If no .......skip to next Q 1 Yes 2 No 8 Don't know Q0611aB: Amount What type of financial or in-kind support did your household give? Money, loans, tuition, paying for bills, fees or taxes (cash)? About how much was this amount in total over the last 12 months? (cash or cash equivalent) 8 Don't know -8 DK Q0611bA: Food, land, livestock What type of financial or in-kind support did your household give? Value of food or other goods (that is, non-monetary)? If Yes, to Column B If no to skip to next Q 1 YES 2 NO to c 8 DK 1 Yes 2 No 8 Don't know Q0611bB: Amount What type of financial or in-kind support did your household give? Q0611b. Value of food or other goods (that is, non-monetary)? About how much was this amount in total over the last 12 months? (cash or cash equivalent) 8 Don't know -8 DK Q0611cA: HH chores, personal care What type of financial or in-kind support did your household give? Doing household chores or activities (meal preparation, shopping, cleaning, laundry), providing care or transportation (help getting around outside the home)? If Yes, to Column B If no to skip to next Q 1 YES 2 NO to Q0612 8 DK 1 Yes 2 No 8 Don't know Q0611cB: Hours per week What type of financial or in-kind support did your household give? Doing household chores or activities (meal preparation, shopping, cleaning, laundry), providing care or transportation (help getting around outside the home)? About how much was this amount in total over the last 12 months? (cash or cash equivalent) Average hours per week -8 Don't know -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? 1Yes 2 No ------------------------------Q0614 8 Don't know…--------- Q0614 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? Money, loans, tuition, paying for bills, fees or taxes? If Yes, to Column B If no to skip to next Q 1Yes 2No to b 8 DK 1 Yes 2 No 8 Don't know Q0613aB: Amount What type of support did your household give? Money, loans, tuition, paying for bills, fees or taxes? About how much was this amount in total over the last 12 months? (cash or cash equivalent) 8 Don't know -8 DK Q0613bA: Food, land, livestock What type of support did your household give? Value of food or other goods (that is, non-monetary)? If Yes, to Column B If no to skip to next Q 1Yes 2No to c 8 DK 1 Yes 2 No 8 Don't know Q0613bB: Amount What type of support did your household give? Value of food or other goods (that is, non-monetary)? About how much was this amount in total over the last 12 months? (cash or cash equivalent) 8 Don't know -8 DK Q0613cA: HH chores, personal care What type of support did your household give? Doing household chores or activities (meal preparation, shopping, cleaning, laundry), providing care or transportation (help getting around outside the home)? If Yes, to Column B If no to skip to next Q 1Yes 2Noto Q0614 8 DK 1 Yes 2 No 8 Don't know Q0613cB: Hours per week What type of support did your household give? Doing household chores or activities (meal preparation, shopping, cleaning, laundry), providing care or transportation (help getting around outside the home)? About how much was this amount in total over the last 12 months? (cash or cash equivalent) average hours per week -8 Don't know -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? 1 yes 2 no--------------Q0701 1 Yes 2 No 8 Don't know Q0615a: Personal care Y/N Please tell me the kind of care that was provided: Helped with personal care, such as going to the toilet, washing, getting dressed, and eating? If Yes, to Column B If no to skip to next Q 1yes 2no to b 8 DK 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: Helped with personal care, such as going to the toilet, washing, getting dressed, and eating? About how many hours per week, on average, was this over the last 12 months? average hours/ week -8 Don't know -8 DK Q0615b: Medical care Y/N Please tell me the kind of care that was provided: Helped with medical care, like changing bandages and giving medicines? If Yes, to Column B If no to skip to next Q 1yes 2no to c 8 DK 1 Yes 2 No 8 Don't know Q0615b: Medical ave hrs/wk Please tell me the kind of care that was provided: Helped with medical care, like changing bandages and giving medicines? About how many hours per week, on average, was this over the last 12 months? average hours/ week -8 Don't know -8 DK Q0615c: Watching over Y/N Please tell me the kind of care that was provided: Watched over them since their behaviour can be upsetting or dangerous to themselves or others? If Yes, to Column B If no to skip to next Q 1yes 2no 8 DK 1 Yes 2 No 8 Don't know Q0615c: Watching ave hrs/wk Please tell me the kind of care that was provided: Watched over them since their behaviour can be upsetting or dangerous to themselves or others? About how many hours per week, on average, was this over the last 12 months? average hours/ week -8 Don't know -8 DK S0700: HH begin S0700: MM begin S0700: HH end S0700: MM end q0701:Asset#1 TV permanent income indicators (assets) I would like to ask you a few more questions about your home and items you might have in your home. remember that any information you provide will be kept confidential. How many chairs are there in your household? (If none enter “00”) -8 Don't know q0702:Asset#2 Tables permanent income indicators (assets) I would like to ask you a few more questions about your home and items you might have in your home. remember that any information you provide will be kept confidential. How many tables are there in your household? (If none enter “00”) -8 Don't know q0703:Asset#3 Cars permanent income indicators (assets) I would like to ask you a few more questions about your home and items you might have in your home. remember that any information you provide will be kept confidential. How many cars are there in your household? (If none enter “00”) -8 Don't know q0704:Asset#4 Electricity permanent income indicators (assets) I would like to ask you a few more questions about your home and items you might have in your home. remember that any information you provide will be kept confidential. Does your home have electricity 1 Yes 2 No 8 Don't know q0705:Asset#5 Bicycle A bicycle 1 Yes 2 No 8 DK q0706:Asset#6 Clock A clock? 1 Yes 2 No 8 DK q0707:Asset#7 Bucket A bucket? 1 Yes 2 No 8 DK q0708:Asset#8 Washing machine A cot / bed / mattress? 1 Yes 2 No 8 DK q0709:Asset#9 Dishwasher A dishwasher? 1 Yes 2 No 8 DK q0710:Asset#10 Refrigerator/freezer A refrigerator? 1 Yes 2 No 8 DK q0711:Asset#11 Fixed-line telephone A fixed-line telephone? 1 Yes 2 No 8 DK q0712:Asset#12 Mobile telephone A mobile / cellular telephone? 1 Yes 2 No 8 DK q0713:Asset#13 Radio A television? 1 Yes 2 No 8 DK q0714:Asset#14 Computer A computer? 1 Yes 2 No 8 DK q0715:Asset#15 Donkey cart/push truck A radio / tape or CD player? 1 Yes 2 No 8 DK q0716:Asset#16 Motorcycle Livestock (cattle only)? 1 Yes 2 No 8 DK q0718:Asset#18 Livestock A sewing machine? 1 Yes 2 No 8 DK q0718:Asset#18 Livestock A moped / scooter / motorcycle? 1 Yes 2 No 8 DK q0719:Asset#19 Second home A bullock cart or animal drawn cart? 1 Yes 2 No 8 DK Q0720: Land? I would now like to know if you own any land or jewellery - and the approximate value (amount). I know this is sensitive information and will not share this with any persons outside of the survey team. Please tell us if you own any land or jewellery and other items of value. Land or property? If Yes, to Column B If no to skip to next Q 1Yes 2No to Q0721 8 DK 1 Yes 2 No 8 Don't know 9 Refused Q0720a: Land amount I would now like to know if you own any land or jewellery - and the approximate value (amount). I know this is sensitive information and will not share this with any persons outside of the survey team. Please tell us if you own any land or jewellery and other items of value. Land or property? About how much is this worth in total? (cash equivalent) 8 Don't know -9 Refused -9 Refused -8 DK Q0721: Jewelry I would now like to know if you own any land or jewellery - and the approximate value (amount). I know this is sensitive information and will not share this with any persons outside of the survey team. Please tell us if you own any land or jewellery and other items of value. Other valuable items, such as jewellery, books, art or other valuable items? If Yes, to Column B If no to skip to next Q 1Yes 2No to Q0722 8 DK 1 Yes 2 No 8 Don't know 9 Refused Q0721a: Jewelry amount I would now like to know if you own any land or jewellery - and the approximate value (amount). I know this is sensitive information and will not share this with any persons outside of the survey team. Please tell us if you own any land or jewellery and other items of value. Other valuable items, such as jewellery, books, art or other valuable items? About how much is this worth in total? (cash equivalent) 8 Don't know -9 Refused -9 Refused -8 DK Q0722: Regular income? In the last part of this section, I will ask about the total income for the household in the last 12 months (previous to today) from paid work or other sources. I would like to know about all sources of income. I know it may be difficult to calculate that figure, but please do try to give as accurate an amount as possible. Remember that all information will be kept strictly confidential. This information is important to assess overall health and well-being of people in your household compared to other similar households. Does your household have a regular source of income? 1Yes, regular source 2Yes, regular but seasonal 3 No 1 Yes, regular source 2 Yes, regular but seasonal 3 No 8 Don't know 9 Not applicable Q0723aA: wages/salary I am now going to read you a list of possible sources of income. Thinking over the last 12 months, can you tell me what the average earnings of the household have been per week or per month or per year? Please tell me whichever time period that is easier for you. Please tell me from which of these sources members of your household receive income: Wages, salary from job? f Yes, to Column B If no to go to next Q 1Yes, weekly 2Yes, monthly 3Yes, yearly 4No to b 8 DK 1 Yes, weekly 2 Yes, monthly 3 Yes, yearly 4 No 8 Don't know Q0723aB: wages/salary (n) I am now going to read you a list of possible sources of income. Thinking over the last 12 months, can you tell me what the average earnings of the household have been per week or per month or per year? Please tell me whichever time period that is easier for you. Please tell me from which of these sources members of your household receive income: Wages, salary from job? Can you estimate an approximate total amount of income for the household over the last… [week/month/year - time period circled in Column A]? 8 Don't know -8 DK Q0723bA: earnings I am now going to read you a list of possible sources of income. Thinking over the last 12 months, can you tell me what the average earnings of the household have been per week or per month or per year? Please tell me whichever time period that is easier for you. Please tell me from which of these sources members of your household receive income: Earnings from selling, trading or hawking products? f Yes, to Column B If no to go to next Q 1Yes, weekly 2Yes, monthly 3Yes, Yearly 4No to c 8 DK 1 Yes, weekly 2 Yes, monthly 3 Yes, yearly 4 No 8 Don't know Q0723bB: earnings (n) I am now going to read you a list of possible sources of income. Thinking over the last 12 months, can you tell me what the average earnings of the household have been per week or per month or per year? Please tell me whichever time period that is easier for you. Please tell me from which of these sources members of your household receive income: Earnings from selling, trading or hawking products? Can you estimate an approximate total amount of income for the household over the last… [week/month/year - time period circled in Column A]? 8 Don't know -9 NA -8 DK Q0723cA: rental income I am now going to read you a list of possible sources of income. Thinking over the last 12 months, can you tell me what the average earnings of the household have been per week or per month or per year? Please tell me whichever time period that is easier for you. Please tell me from which of these sources members of your household receive income: Income from rental of property? f Yes, to Column B If no to go to next Q 1Yes, weekly 2Yes, monthly 3Yes, yearly 4No to d 8 DK 1 Yes, weekly 2 Yes, monthly 3 Yes, yearly 4 No 8 Don't know Q0723cB: rental income (n) I am now going to read you a list of possible sources of income. Thinking over the last 12 months, can you tell me what the average earnings of the household have been per week or per month or per year? Please tell me whichever time period that is easier for you. Please tell me from which of these sources members of your household receive income: Income from rental of property? Can you estimate an approximate total amount of income for the household over the last… [week/month/year - time period circled in Column A]? 8 Don't know -8 DK Q0723dA: pension I am now going to read you a list of possible sources of income. Thinking over the last 12 months, can you tell me what the average earnings of the household have been per week or per month or per year? Please tell me whichever time period that is easier for you. Please tell me from which of these sources members of your household receive income: State old-age (veteran's/civil service) pension, contributory pension fund, provident fund or social security benefit? f Yes, to Column B If no to go to next Q 1Yes, weekly 2Yes, monthly 3Yes, yearly 4No to e 8 DK 1 Yes, weekly 2 Yes, monthly 3 Yes, yearly 4 No 8 Don't know Q0723dB: pension (n) I am now going to read you a list of possible sources of income. Thinking over the last 12 months, can you tell me what the average earnings of the household have been per week or per month or per year? Please tell me whichever time period that is easier for you. Please tell me from which of these sources members of your household receive income: State old-age (veteran's/civil service) pension, contributory pension fund, provident fund or social security benefit? Can you estimate an approximate total amount of income for the household over the last… [week/month/year - time period circled in Column A]? 8 Don't know -8 DK Q0723eA: interest/dividends I am now going to read you a list of possible sources of income. Thinking over the last 12 months, can you tell me what the average earnings of the household have been per week or per month or per year? Please tell me whichever time period that is easier for you. Please tell me from which of these sources members of your household receive income: Interest, dividends (for example, from savings account or fixed deposits)? f Yes, to Column B If no to go to next Q 1Yes, weekly 2Yes, monthly 3Yes, yearly 4No to f 8 DK 1 Yes, weekly 2 Yes, monthly 3 Yes, yearly 4 No 8 Don't know Q0723eB: interest (n) I am now going to read you a list of possible sources of income. Thinking over the last 12 months, can you tell me what the average earnings of the household have been per week or per month or per year? Please tell me whichever time period that is easier for you. Please tell me from which of these sources members of your household receive income: Interest, dividends (for example, from savings account or fixed deposits)? Can you estimate an approximate total amount of income for the household over the last… [week/month/year - time period circled in Column A]? 8 Don't know -8 DK Q0723fA: other I am now going to read you a list of possible sources of income. Thinking over the last 12 months, can you tell me what the average earnings of the household have been per week or per month or per year? Please tell me whichever time period that is easier for you. Please tell me from which of these sources members of your household receive income: Other (specify): f Yes, to Column B If no to go to next Q 1Yes, weekly 2Yes, monthly 3Yes, yearly 4 No to Q0724 1 Yes, weekly 2 Yes, monthly 3 Yes, yearly 4 No 8 DK Q0723fB: other (n) I am now going to read you a list of possible sources of income. Thinking over the last 12 months, can you tell me what the average earnings of the household have been per week or per month or per year? Please tell me whichever time period that is easier for you. Please tell me from which of these sources members of your household receive income: Other (specify): Can you estimate an approximate total amount of income for the household over the last… [week/month/year - time period circled in Column A]? 8 Don't know -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 -8 DK Q0725: Dependents (n) How many people depend on this income? Number of peopl-e -8 don't know -8 DK Q0726: Debt or loans Does your household or any members of the household have current debt or outstanding loans? 1Yes 2No ………………to Q0720 8 don't know 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 -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? 1Yes 2No 8 don't know 1 Yes 2 No 8 Don't know Q0728: Situation Would you say your household's financial situation is…? 1Very Good 2Good 3Moderate 4Bad 5Very Bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know S0800: HH begin S0800: MM begin S0800: HH end S0800: MM end Q0801a: 7d staple foods amount I would like to ask you some questions about how much your household and all its members spends on food, household items, health services and other things. Expenditures can be monetary or in-kind. The value of in-kind payments and items produced or raised, and consumed, by the household need to be estimated and included. We ask about different time periods, so please listen carefully to the time frame. For all questions in this section report all values in local currency, whether paid in cash or in kind. I would like to start by asking about household expenses over the last 7 days. The next questions are about food items purchased by the household. I would like to start with asking details about the types of food your household has purchased in cash or kind and/or self-produced goods consumed in the last 7 days. In the last 7 days, how much did your household spend on: Q0801a. Staple foods (rice, pulses, cassava, pasta, potatoes, bread, crackers)? 8 don't know -8 DK Q0801b: 7d meat amount I would like to ask you some questions about how much your household and all its members spends on food, household items, health services and other things. Expenditures can be monetary or in-kind. The value of in-kind payments and items produced or raised, and consumed, by the household need to be estimated and included. We ask about different time periods, so please listen carefully to the time frame. For all questions in this section report all values in local currency, whether paid in cash or in kind. I would like to start by asking about household expenses over the last 7 days. The next questions are about food items purchased by the household. I would like to start with asking details about the types of food your household has purchased in cash or kind and/or self-produced goods consumed in the last 7 days. In the last 7 days, how much did your household spend on: Meat (beef, pork, lamb, mutton, chicken, turkey, duck, bushmeat, or other meat - fish or other seafood)? 8 don't know -8 DK Q0801c: 7d F&V amount I would like to ask you some questions about how much your household and all its members spends on food, household items, health services and other things. Expenditures can be monetary or in-kind. The value of in-kind payments and items produced or raised, and consumed, by the household need to be estimated and included. We ask about different time periods, so please listen carefully to the time frame. For all questions in this section report all values in local currency, whether paid in cash or in kind. I would like to start by asking about household expenses over the last 7 days. The next questions are about food items purchased by the household. I would like to start with asking details about the types of food your household has purchased in cash or kind and/or self-produced goods consumed in the last 7 days. In the last 7 days, how much did your household spend on: Fruits and vegetables? 8 don't know -8 DK Q0801d: 7d Milk & eggs amount I would like to ask you some questions about how much your household and all its members spends on food, household items, health services and other things. Expenditures can be monetary or in-kind. The value of in-kind payments and items produced or raised, and consumed, by the household need to be estimated and included. We ask about different time periods, so please listen carefully to the time frame. For all questions in this section report all values in local currency, whether paid in cash or in kind. I would like to start by asking about household expenses over the last 7 days. The next questions are about food items purchased by the household. I would like to start with asking details about the types of food your household has purchased in cash or kind and/or self-produced goods consumed in the last 7 days. In the last 7 days, how much did your household spend on: Milk and eggs? 8 don't know -8 DK Q0801e: 7d spices & oils amount I would like to ask you some questions about how much your household and all its members spends on food, household items, health services and other things. Expenditures can be monetary or in-kind. The value of in-kind payments and items produced or raised, and consumed, by the household need to be estimated and included. We ask about different time periods, so please listen carefully to the time frame. For all questions in this section report all values in local currency, whether paid in cash or in kind. I would like to start by asking about household expenses over the last 7 days. The next questions are about food items purchased by the household. I would like to start with asking details about the types of food your household has purchased in cash or kind and/or self-produced goods consumed in the last 7 days. In the last 7 days, how much did your household spend on: Spices and oils (salt, sugar, curry, garlic, ginger, pepper, chilli, or other - butter, lard, cooking oils (coconut oil, palm oil, vegetable oil, corn oil))? 8 don't know -8 DK Q0801f: 7d beverages amount (non-alcoholic) I would like to ask you some questions about how much your household and all its members spends on food, household items, health services and other things. Expenditures can be monetary or in-kind. The value of in-kind payments and items produced or raised, and consumed, by the household need to be estimated and included. We ask about different time periods, so please listen carefully to the time frame. For all questions in this section report all values in local currency, whether paid in cash or in kind. I would like to start by asking about household expenses over the last 7 days. The next questions are about food items purchased by the household. I would like to start with asking details about the types of food your household has purchased in cash or kind and/or self-produced goods consumed in the last 7 days. In the last 7 days, how much did your household spend on: Beverages and other non-alcoholic drinks such as coffee, tea, juice, water and soft drinks. 8 don't know -8 DK Q0801g: 7d tobacco and alcohol amount I would like to ask you some questions about how much your household and all its members spends on food, household items, health services and other things. Expenditures can be monetary or in-kind. The value of in-kind payments and items produced or raised, and consumed, by the household need to be estimated and included. We ask about different time periods, so please listen carefully to the time frame. For all questions in this section report all values in local currency, whether paid in cash or in kind. I would like to start by asking about household expenses over the last 7 days. The next questions are about food items purchased by the household. I would like to start with asking details about the types of food your household has purchased in cash or kind and/or self-produced goods consumed in the last 7 days. In the last 7 days, how much did your household spend on: Tobacco and alcoholic beverages (including, beer, wine, spirits)? 8 don't know -8 DK Q0801h: 7d food outside HH amount I would like to ask you some questions about how much your household and all its members spends on food, household items, health services and other things. Expenditures can be monetary or in-kind. The value of in-kind payments and items produced or raised, and consumed, by the household need to be estimated and included. We ask about different time periods, so please listen carefully to the time frame. For all questions in this section report all values in local currency, whether paid in cash or in kind. I would like to start by asking about household expenses over the last 7 days. The next questions are about food items purchased by the household. I would like to start with asking details about the types of food your household has purchased in cash or kind and/or self-produced goods consumed in the last 7 days. In the last 7 days, how much did your household spend on: Food eaten outside the dwelling (for example, at vendors, kiosks or restaurants)? 8 don't know -8 DK Q0801i: 7d all other foods/drink amount I would like to ask you some questions about how much your household and all its members spends on food, household items, health services and other things. Expenditures can be monetary or in-kind. The value of in-kind payments and items produced or raised, and consumed, by the household need to be estimated and included. We ask about different time periods, so please listen carefully to the time frame. For all questions in this section report all values in local currency, whether paid in cash or in kind. I would like to start by asking about household expenses over the last 7 days. The next questions are about food items purchased by the household. I would like to start with asking details about the types of food your household has purchased in cash or kind and/or self-produced goods consumed in the last 7 days. In the last 7 days, how much did your household spend on: All other food items. 8 don't know -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 -8 DK Q0803a: 4-wk housing and utilities Now I will shift into expenses for your household over the last 30 days. We are interested in frequent or regularly occurring non-food expenditures for the household. In the last 30 days, how much did your household spend on: Housing and utilities (rent, mortgage, electricity, heating/cooking fuel, water, telephone…)? 8 don't know -8 DK Q0803b: 4-wk clothing & other personal items Now I will shift into expenses for your household over the last 30 days. We are interested in frequent or regularly occurring non-food expenditures for the household. In the last 30 days, how much did your household spend on: Clothing (footwear, hats, shirts, pants, dresses, skirt, jackets, coats…) and other personal items (soap, shampoo, cosmetics, shaving cream…)? 8 don't know -8 DK Q0803c: 4-wk transportation Now I will shift into expenses for your household over the last 30 days. We are interested in frequent or regularly occurring non-food expenditures for the household. In the last 30 days, how much did your household spend on: Transportation (bus fares, cab/taxi fares, vehicle repair costs, petrol…)? 8 don't know -8 DK Q0803d: 4-wk recreation & entertainment Now I will shift into expenses for your household over the last 30 days. We are interested in frequent or regularly occurring non-food expenditures for the household. In the last 30 days, how much did your household spend on: Recreation and entertainment? 8 don't know -8 DK Q0803e: 4-wk all other, amount Now I will shift into expenses for your household over the last 30 days. We are interested in frequent or regularly occurring non-food expenditures for the household. In the last 30 days, how much did your household spend on: All other goods and services? Specify: 8 don't know -8 DK Q0804: 4-wk professional fees I would like to ask you more specific questions about how much your household and all its members spent in cash or in-kind on all health care and services that did not require an overnight stay. Again, we want expenses in the last 30 days. If payment was in-kind, please estimate a monetary value. Please exclude costs to be reimbursed by insurance. In the last 30 days, how much did your household spend on: Registration and consultation fees by doctors, nurses, or trained midwives that did not require an overnight stay? 8 don't know -8 DK Q0805: 4-wk health care traditional/alt healers I would like to ask you more specific questions about how much your household and all its members spent in cash or in-kind on all health care and services that did not require an overnight stay. Again, we want expenses in the last 30 days. If payment was in-kind, please estimate a monetary value. Please exclude costs to be reimbursed by insurance. In the last 30 days, how much did your household spend on: Health care by traditional or alternative healers (use other local names)? 8 don't know -8 DK Q0806: 4-wk health care diagnostic and lab tests I would like to ask you more specific questions about how much your household and all its members spent in cash or in-kind on all health care and services that did not require an overnight stay. Again, we want expenses in the last 30 days. If payment was in-kind, please estimate a monetary value. Please exclude costs to be reimbursed by insurance. In the last 30 days, how much did your household spend on: Diagnostic and laboratory tests such as X-rays or blood tests? 8 don't know -8 DK Q0807: 4-wk health care medications I would like to ask you more specific questions about how much your household and all its members spent in cash or in-kind on all health care and services that did not require an overnight stay. Again, we want expenses in the last 30 days. If payment was in-kind, please estimate a monetary value. Please exclude costs to be reimbursed by insurance. In the last 30 days, how much did your household spend on: Medications or drugs (prescription, non-prescription, traditional, homeopathic…)? 8 don't know -8 DK Q0808: 4-wk dentists or dental care I would like to ask you more specific questions about how much your household and all its members spent in cash or in-kind on all health care and services that did not require an overnight stay. Again, we want expenses in the last 30 days. If payment was in-kind, please estimate a monetary value. Please exclude costs to be reimbursed by insurance. In the last 30 days, how much did your household spend on: Dentists or dental care? 8 don't know -8 DK Q0809: 4-wk ambulance transport I would like to ask you more specific questions about how much your household and all its members spent in cash or in-kind on all health care and services that did not require an overnight stay. Again, we want expenses in the last 30 days. If payment was in-kind, please estimate a monetary value. Please exclude costs to be reimbursed by insurance. In the last 30 days, how much did your household spend on: Ambulance? 8 don't know -8 DK Q0810: 4-wk other, amount I would like to ask you more specific questions about how much your household and all its members spent in cash or in-kind on all health care and services that did not require an overnight stay. Again, we want expenses in the last 30 days. If payment was in-kind, please estimate a monetary value. Please exclude costs to be reimbursed by insurance. In the last 30 days, how much did your household spend on: Any other health care products or services that were not included above? Specify: 8 don't know -9 Missing -8 DK Q0811: 12mo education fees and supplies I know these questions may be difficult to answer - try to give us the best estimate of expenses. Now I want you to focus on household expenses over the last 12 months. These are expenses that may be more periodic or "big purchases". I would like to ask how much money was spent by all household members for the following items in the last 12 months In the last 12 months, how much did your household spend on: Education fees and supplies (tuition, course fees, books)? 8 don't know -8 DK * Examples of Mandatory include: ESIS, CGHS, RHS, DMS, ECHS, MREG, MREP, OHIE ** Examples of Voluntary include: CHIS-Group Mediclaim Policy, BPL and SEWA Schemes, Public Sector (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Private Sector (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram). Q0812: 12mo durable goods & appliances & furniture I know these questions may be difficult to answer - try to give us the best estimate of expenses. Now I want you to focus on household expenses over the last 12 months. These are expenses that may be more periodic or "big purchases". I would like to ask how much money was spent by all household members for the following items in the last 12 months In the last 12 months, how much did your household spend on: Durable goods (televisions, phones, bed sheets, towels, tools), furniture (tables, chairs, beds) and appliances (refrigerators, washing machines)? 8 don't know -8 DK * Examples of Mandatory include: ESIS, CGHS, RHS, DMS, ECHS, MREG, MREP, OHIE ** Examples of Voluntary include: CHIS-Group Mediclaim Policy, BPL and SEWA Schemes, Public Sector (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Private Sector (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram). Q0813: 12mo vehicles + upkeep & repair I know these questions may be difficult to answer - try to give us the best estimate of expenses. Now I want you to focus on household expenses over the last 12 months. These are expenses that may be more periodic or "big purchases". I would like to ask how much money was spent by all household members for the following items in the last 12 months In the last 12 months, how much did your household spend on: Vehicles (trucks, cars, motorcycles, scooters, bicycles) and upkeep/repairs? 8 don't know -8 DK * Examples of Mandatory include: ESIS, CGHS, RHS, DMS, ECHS, MREG, MREP, OHIE ** Examples of Voluntary include: CHIS-Group Mediclaim Policy, BPL and SEWA Schemes, Public Sector (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Private Sector (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram). Q0814: 12 mo rituals, gifts I know these questions may be difficult to answer - try to give us the best estimate of expenses. Now I want you to focus on household expenses over the last 12 months. These are expenses that may be more periodic or "big purchases". I would like to ask how much money was spent by all household members for the following items in the last 12 months In the last 12 months, how much did your household spend on: Rituals, gifts or ceremonies (funerals, birthdays, weddings…)? 8 don't know -8 DK * Examples of Mandatory include: ESIS, CGHS, RHS, DMS, ECHS, MREG, MREP, OHIE ** Examples of Voluntary include: CHIS-Group Mediclaim Policy, BPL and SEWA Schemes, Public Sector (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Private Sector (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram). Q0815: 12mo taxes I know these questions may be difficult to answer - try to give us the best estimate of expenses. Now I want you to focus on household expenses over the last 12 months. These are expenses that may be more periodic or "big purchases". I would like to ask how much money was spent by all household members for the following items in the last 12 months In the last 12 months, how much did your household spend on: Taxes (property tax, vehicle tax, income tax…) and non-health related insurance (personal, vehicle, household, life…)? 8 don't know -8 DK * Examples of Mandatory include: ESIS, CGHS, RHS, DMS, ECHS, MREG, MREP, OHIE ** Examples of Voluntary include: CHIS-Group Mediclaim Policy, BPL and SEWA Schemes, Public Sector (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Private Sector (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram). Q0816: 12mo mandatory health insurance I know these questions may be difficult to answer - try to give us the best estimate of expenses. Now I want you to focus on household expenses over the last 12 months. These are expenses that may be more periodic or "big purchases". I would like to ask how much money was spent by all household members for the following items in the last 12 months In the last 12 months, how much did your household spend on: Mandatory health insurance premiums or pre-paid health plans?* 8 don't know -8 DK * Examples of Mandatory include: ESIS, CGHS, RHS, DMS, ECHS, MREG, MREP, OHIE ** Examples of Voluntary include: CHIS-Group Mediclaim Policy, BPL and SEWA Schemes, Public Sector (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Private Sector (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram). Q0817: 12mo voluntary health insurance I know these questions may be difficult to answer - try to give us the best estimate of expenses. Now I want you to focus on household expenses over the last 12 months. These are expenses that may be more periodic or "big purchases". I would like to ask how much money was spent by all household members for the following items in the last 12 months In the last 12 months, how much did your household spend on: Voluntary health insurance premiums (including, community health insurance schemes)?** 8 don't know -8 DK * Examples of Mandatory include: ESIS, CGHS, RHS, DMS, ECHS, MREG, MREP, OHIE ** Examples of Voluntary include: CHIS-Group Mediclaim Policy, BPL and SEWA Schemes, Public Sector (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Private Sector (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram). Q0818: 12mo health-related items & devices I know these questions may be difficult to answer - try to give us the best estimate of expenses. Now I want you to focus on household expenses over the last 12 months. These are expenses that may be more periodic or "big purchases". I would like to ask how much money was spent by all household members for the following items in the last 12 months In the last 12 months, how much did your household spend on: Health-related items (prescription glasses, hearing aids, canes, prosthetic devices…)? 8 don't know -8 DK * Examples of Mandatory include: ESIS, CGHS, RHS, DMS, ECHS, MREG, MREP, OHIE ** Examples of Voluntary include: CHIS-Group Mediclaim Policy, BPL and SEWA Schemes, Public Sector (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Private Sector (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram). Q0819: 12-mo overnight health care stay I know these questions may be difficult to answer - try to give us the best estimate of expenses. Now I want you to focus on household expenses over the last 12 months. These are expenses that may be more periodic or "big purchases". I would like to ask how much money was spent by all household members for the following items in the last 12 months In the last 12 months, how much did your household spend on: Costs associated with overnight stays in a hospital or health facility? Please exclude any reimbursements from insurance and transportation costs. 8 don't know -8 DK * Examples of Mandatory include: ESIS, CGHS, RHS, DMS, ECHS, MREG, MREP, OHIE ** Examples of Voluntary include: CHIS-Group Mediclaim Policy, BPL and SEWA Schemes, Public Sector (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Private Sector (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram). Q0820: 12-mo costs long-term care facility I know these questions may be difficult to answer - try to give us the best estimate of expenses. Now I want you to focus on household expenses over the last 12 months. These are expenses that may be more periodic or "big purchases". I would like to ask how much money was spent by all household members for the following items in the last 12 months In the last 12 months, how much did your household spend on: Costs associated with long-term care facility? Please exclude any reimbursements from insurance and transportation costs. 8 don't know -8 DK * Examples of Mandatory include: ESIS, CGHS, RHS, DMS, ECHS, MREG, MREP, OHIE ** Examples of Voluntary include: CHIS-Group Mediclaim Policy, BPL and SEWA Schemes, Public Sector (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Private Sector (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram). Q0821: 12-mo all other goods & services I know these questions may be difficult to answer - try to give us the best estimate of expenses. Now I want you to focus on household expenses over the last 12 months. These are expenses that may be more periodic or "big purchases". I would like to ask how much money was spent by all household members for the following items in the last 12 months In the last 12 months, how much did your household spend on: All other goods and services (property, land, livestock, cleaning services, repair services…)? 8 don't know -8 DK * Examples of Mandatory include: ESIS, CGHS, RHS, DMS, ECHS, MREG, MREP, OHIE ** Examples of Voluntary include: CHIS-Group Mediclaim Policy, BPL and SEWA Schemes, Public Sector (GICI, NICL, NIACL, OICL, UICL)-Mediclaim, Jan Arogya, Jeevan Surakhya. Private Sector (Tata-AIG, ICICI-Lombard, Bajaj-Allianz, Reliance General, IFFCO Tokia, Royal Sundaram). Q0822: 12-mo current HH income Finally, I want you to think of how you paid for your health care expenditures over the last 12 months. This includes costs for all fees, services and goods, including overnight stays. In the last 12 months, which of the following financial sources did your household use to pay for any and all health expenditures? Current income of any household members (salaries, pensions, paid benefits…)? 1yes 2no 8 don't know 1 Yes 2 No 8 Don't know Q0823: 12-mo savings Finally, I want you to think of how you paid for your health care expenditures over the last 12 months. This includes costs for all fees, services and goods, including overnight stays. In the last 12 months, which of the following financial sources did your household use to pay for any and all health expenditures? Savings? 1yes 2no 8 don't know 1 Yes 2 No 8 Don't know Q0824: 12-mo insurance Finally, I want you to think of how you paid for your health care expenditures over the last 12 months. This includes costs for all fees, services and goods, including overnight stays. In the last 12 months, which of the following financial sources did your household use to pay for any and all health expenditures? Payment or reimbursement from a health insurance plan (including community health schemes)? 1yes 2no 8 don't know 1 Yes 2 No 8 Don't know Q0825: 12-mo selling items Finally, I want you to think of how you paid for your health care expenditures over the last 12 months. This includes costs for all fees, services and goods, including overnight stays. In the last 12 months, which of the following financial sources did your household use to pay for any and all health expenditures? Sold items (land, property, furniture, livestock, jewellery…)? 1yes 2no 8 don't know 1 Yes 2 No 8 Don't know Q0826: 12-mo family/friends Finally, I want you to think of how you paid for your health care expenditures over the last 12 months. This includes costs for all fees, services and goods, including overnight stays. In the last 12 months, which of the following financial sources did your household use to pay for any and all health expenditures? Relatives or friends from outside the household? 1yes 2no 8 don't know 1 Yes 2 No 8 Don't know Q0827: 12-mo borrowing Finally, I want you to think of how you paid for your health care expenditures over the last 12 months. This includes costs for all fees, services and goods, including overnight stays. In the last 12 months, which of the following financial sources did your household use to pay for any and all health expenditures? Borrowed from financial institutions or agencies (microfinance schemes, banks…)? 1yes 2no 8 don't know 1 Yes 2 No 8 Don't know Q0828: 12-mo other Finally, I want you to think of how you paid for your health care expenditures over the last 12 months. This includes costs for all fees, services and goods, including overnight stays. In the last 12 months, which of the following financial sources did your household use to pay for any and all health expenditures? Other, specify 1yes 2no 8 don't know 1 Yes 2 No 8 Don't know Q0829: Average overall monthly HH spending Last, we want you to think of a typical month and the expenditures for your household. We want to know an average total amount your household spends on all items in a typical month. This includes the total amount your household and all its members spent on everything, for example, clothing, transport, rent and rates, school fees, food, drink, entertainment, health care and all other expenses. In general, what is your household's average overall monthly spending? 8 don't know -8 DK Q0901: Someone else present? Was someone else present during the interview? 1 Yes 2 No 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? 1Very good 2Good 3Moderate 4Bad 5Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable permanent income continuous permanent income quintile Individual Case ID 1st wave Q0001: Research Center Number Research Centre Number 101 China 106 India 140 Mexico 152 Russian Federation 155 South Africa 241 Ghana Q0002: Household ID number Household ID Q0002a: Household type (18-49, 50+) Is this a (18-49 years) or (50+ years) household? 1=18 to 49 2=50+ 1 HH for 18-49 year old 2 HH for 50+ year old 3 HH for 18-49 year old (Females only) (India only) Q0003: Type of interview (new, f/u, retest, proxy, validatio Is this a new, second (follow-up from WHS), retest or proxy interview? 1= First (new) ………..…to Q0004 2= Second (follow-up)….to Q0004 3= Retest …………….....to Q0003a 4= Proxy………………....to Q0004 5= Supervisor validation.to Q0003a 1 New interview 2 Follow-up interview from WHS 3 Retest 4 Proxy 5 Proxy validation Q0008: Rotation code Rotation code (Circle One) A B C D Q0104: Urban/Rural An urban area that has been legally proclaimed as being urban. Such areas include towns, cities and metropolitan areas. 1 = Urban All other areas that are not classified as being urban. This includes commercial farms, small settlements, rural villages and other areas which are further away from towns and cities. 2 = Rural 1 Urban 2 Rural 8 Don't know 9 Not Applicable Q1000A: Interviewer ID number Interviewer I.D Q1000B: Contact with: Contact with: 1=Individual respondent 2=Proxy respondent 3=No one 1 Respondent 2 Proxy respondent 3 No one 8 Don't know 9 Not applicable Q1000C: Result code Result code 01=Completed Interview (interview is accepted and conducted - this includes interview and body measurement, performance tests and blood sample) 02=Partial Interview (interview is partially completed and person will not be contacted anymore). 03=Respondent contacted-initial refusal 04=Respondent contacted-uncertain about interview 05=Resistance/refusal by respondent 06=Final refusal by respondent 07=Final refusal by other household member 08=Unable to locate respondent 09=No interview because respondent is not eligible: less than 18, mentally unfit or too ill. 10=Language barrier 11=House is vacant or household occupants are elsewhere (seasonal vacancy, other residence) 12=Unsafe or dangerous area or no access to respondent 13=Deceased respondent 14=Respondent in institution: jail, hospital and not accessible -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 Does the respondent have obvious cognitive limitations that prevent him/her from being interviewed? 1= Yes 2= No 1 Yes limitations 2 No limitations 8 Don't know 9 Not applicable Q1002: Memory at present I would like to start by asking you some background questions before asking you questions about your health. This information is confidential and you will not be identified individually or without your consent. One of the issues we are exploring in this study are the memory problems that some older persons can have. I know these questions may be sensitive or difficult to answer, but please try to provide an answer. I would like to start by asking you two questions about your memory How would you best describe your memory at present? Is it very good, good, moderate, bad or very bad? 1Very good 2Good 3Moderate 4Bad 5 Very bad 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? 1Better 2Same 3 Worse 1 Better 2 Same 3 Worse 8 Don't know 9 Not applicable Q1004: Interviewer judgment Interviewer 1 No reason to think Respondent has any cognitive limitations . ******Individual Consent form and Individual Q 2 Cognitive limitations or health problems, proxy ****Q1005 1 No limitations 2 Need proxy 8 Don't know 9 Not applicable Q1005: Proxy We would like to ask someone who knows the respondent a few questions about the respondent's memory and health. Who is the proxy? 1 Spouse …………………….ProxyQ 2 Non-spouse---------------ProxyQ 1 Spouse 2 Non-spouse 8 Don't know 9 Not applicable S1000: HH begin S1000: MM begin S1000: HH end S1000: MM end Q1006: Household ID number Household ID -8 Don't know Q1007: Respondent Number Person (HH member) number from HH roster (number from column) -9 Not applicable -8 Don't know Q1008: Mother tongue What is your mother tongue? By mother tongue, we mean the language you learned first, the language that you can express yourself fully in, or voluntarily identify with. 1Assamee 2Bengali 3English 4Gujarati 5Hindi 6Kannada 7Kashmiri 8Konkani 9Malayam 10Manipuri 11Marathi 12Nepali 13Oriya 14Punjabi 15Sindhi 16Tamil 17Telugu 18Urdu 87 Other, specify: 1 MT 1 2 MT 2 3 MT 3 4 MT 4 5 MT 5 87 Other 88 Don't know Q1009: Sex Interviewer: Record sex of the respondent 1 Male 2 Female 1 Male 2 Female Q1010: DD What day, month and year were you born? DD / MM / YYYY Check birth certificate if available. 8 Don't know -8 Don't know Q1010: MM What day, month and year were you born? DD / MM / YYYY Check birth certificate if available. 8 Don't know -8 DK Q1010: YYYY What day, month and year were you born? DD / MM / YYYY Check birth certificate if available. 8 Don't know -8 DK Q1011: Age in YYYs How old are you now? Age in years -8 DK Q1012: Marital status What is your current marital status? 1Never married ……………………Q1015 2currently married ……………Q1014 3cohabiting ……………………Q1014 4separated/divorced ……………Q1013 4 widowed …………………………Q1013 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? Number of years …………….Q1015 8 Don't Know ………………Q1015 -8 DK Q1014: Years married/living together For how many years have you been married or living together? Number of years -8 Don't Know -8 DK Q1015: Ever schooled Have you ever been to school? 1 Yes 2 No........Q1018 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? 1Less than primary school 2Primary school completed 3Secondary school completed 4High school( or equivalent) completed 5College/Pre-university/University completed 6 Post graduate degree completed 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? Number of years -8 Don't Know -8 DK Q1018: Ethnic background/caste/tribe What is your caste or tribe? 1Scheduled tribe 2Scheduled caste 3No caste or tribe 7 Other, specify: 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? 1No, none 2Buddhism 3Chinese traditional religion 4Christianity (including Roman Catholic, Protestant, Orthodox, other) 5Hinduism 6Islam 7Jainism 8Judaism 9Primal indigenous (including African traditional and diasporic) 10Sikhism 87 Other , specify: 97 Refused 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? 1 Yes.............Q1025 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q1021: How long? How long have you been living (continuously) in this area? Years -8 Don't know -8 DK Q1022: Where lived before? Where were you living before? 1In a different household in same community/locality/neighborhood 2In another city in this state 3In another rural area in this state 4In another city outside this state but in country 5In another rural area outside this state but in country 6 Outside the countr 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)? 1n a different household in same community/locality/neighborhood 2In another city in this state 3In another rural area in this state 4In another city outside this stateoutdieut in country 5In another rural area outside this state but in country 6 Outside the country 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)? 1In a different household in same community/locality/neighborhood 2In another city in this state 3In another rural area in this state 4In another city outside this state but in country 5In another rural area outside this state but in country 6 Outside the country 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? Before we move onto the next section, I would like to ask you a few questions about your [biological] parents. I would like to know about their level of education and main occupation. Let's start with your mother. Was your mother ever employed? 1 Yes.............Q1028 2 No 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? 1Public sector (Government) 2Private sector (For profit or not for profit) 3Self-employed 4 Informal employment 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? -9 Not applicable -8 Don't know Q1028: Mother education What is the highest level of education that she completed? 0No formal education 1Less than primary school 2Primary school completed 3Secondary school completed 4High school( or equivalent) completed 5College/Pre-university/University completed 6Post graduate degree completed 8 Don't know 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? 1 Yes.....Q1032 2 No 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? 1Public sector (Government) 2Private sector (For profit or Not for profit) 3Self-employed 4 Informal employment 1 Public 2 Private 3 Self-employed 4 Informal employment 8 Don't know 9 Not applicable Q1031: Father occupation What is/was his main occupation? INTERVIEWER: write exactly what the respondent says - clarify if you do not understand - write clearly in capital letters -9 Not applicable -8 Don't know Q1032: Father education What is the highest level of education that he completed? 0No formal education 1Less than primary school 2Primary school completed 3Secondary school completed 4High school( or equivalent) completed 5College/pre-university/University completed 6Post graduate degree completed 8 Don't Know 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 S1500: HH begin S1500: MM begin S1500: HH end S1500: MM end Q1501: Ever worked Now I would like to ask you some questions about any work you may be doing now or have done in the past. I will ask some questions about the type and amount of your current or past work, benefits, if any, you may be receiving or have received from your work, and the reasons for why you may not be working currently. As you know, some people take jobs for which they are paid in cash or kind. Other people sell things, have a small business, or work on the family farm or family business. Have you ever in your life done any of these things or any type of work (not including housework)? 1 Yes...........Q1502 2 No 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? 1Homemaker / caring for family 2Could not find a job 3Do voluntary work 4In Studies / training 5Health problems/Disabled 6Have to take care of family member 7Do not have the economic need 8Parents / spouse did not let me 87 Other, specify: 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? Years of age ...................................Q1503 -8 Don't Know -9 Not applicable -8 Don't know Q1502a: How many years ago start work? How many years ago did you start working? Years ago -9 Not applicable -8 Don't know Q1503: Currently working? Have you worked for at least 2 days during the last 7 days? 1 Yes.......................Q1508 2 No 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? 1Homemaker / caring for family 2Cannot find a job 3Do voluntary work (not paid or subsistence work) 4In studies / training 5Health problems/Disabled 6Have to take care of family member 7Do not have the economic need 8My family/spouse doesn't want me to work 9Retired / too old to work 10Laid off / made redundant 11Seasonal Work .......Q1508 12Vacation / sick leave / voluntary and temporary time off .............Q1508 87 Other, specify: 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 Q1505:age stop working Age for stop working. Q1505a: Years ago stopped work At what age did you stop working? Q1505a. (only if Q1505 is Don't Know) How many years ago did you stop working? Years of age ……………….Q1506 -8 Don't Know -9 Not applicable -8 Don't know Q1506: Looking for work Are you actively looking for work at this time? 1 Yes 2 No........Q1508 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? 1Need the income 2Want to/need to be active 3Want to feel useful 4Help my family 7 Other, specify: 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? 1Cash Only 2In Kind Only 3Cash and Kind 4 Not Paid 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? 1Public sector (Government) 2Private Sector (For profit and Not for profit) 3Self-employed 4 Informal employment 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? -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? 1Work Throughout the year 2Seasonally/Part of the year 3 Once in a while 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 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 -9 Not applicable -8 Don't know Q1514a: Benefit - pension In this main job, do/did you receive any of the following benefits in addition to your payment in cash or in kind? a. Retirement or pension 1 Yes 2 No 1 yes 2 no 8 don't know 9 not applicable Q1514b: Benefits - medical In this main job, do/did you receive any of the following benefits in addition to your payment in cash or in kind? b. Medical services/health care 1 Yes 2 No 1 yes 2 no 8 don't know 9 not applicable Q1514c: Benefits - food In this main job, do/did you receive any of the following benefits in addition to your payment in cash or in kind? c. Food or provisions 1 Yes 2 No 1 yes 2 no 8 don't know 9 not applicable Q1514d: Benefits - cash In this main job, do/did you receive any of the following benefits in addition to your payment in cash or in kind? d. Cash bonuses 1 Yes 2 No 1 yes 2 no 8 don't know 9 not applicable Q1514e: Benefits - no benefits In this main job, do/did you receive any of the following benefits in addition to your payment in cash or in kind? e. No benefits 1 Yes 2 No 1 yes (no benefits) 2 no (does receive benefits - see 'f, other)) 8 don't know 9 not applicable Q1514f: Benefits - other In this main job, do/did you receive any of the following benefits in addition to your payment in cash or in kind? f. Other, specify: 1 Yes 2 No 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? 1 Yes 2 No 1 Yes worked other job 2 No other job 8 don't know 9 not applicable S2000: HH begin S2000: MM begin S2000: HH end S2000: MM end Q2000: Health today Now we will switch to questions specifically about your health. The first questions are about your overall health, including both your physical and your mental health. By difficulty in the second question, I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. In general, how would you rate your health today? 1Very good 2Good 3Moderate 4Bad 5 Very bad 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? 1None 2Mild 3Moderate 4Severe 5 Extrem5e/cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2005: Appearance Overall in the last 30 days, how much difficulty did you have in taking care of and maintaining your general appearance (for example, grooming, looking neat and tidy)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2006: Time by yourself Overall in the last 30 days, how much difficulty did you have in staying by yourself for a few days (3 to 7 days)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2009: Difficulty b/c pain Overall in the last 30 days, how much difficulty did you have in your daily life because of your pain? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot 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? years ago -8 Don't know 98 Never -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)? 1 Yes 2 No 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)? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q2023: Visual difficulty In the last 30 days, how much difficulty did you have in seeing and recognising an object or a person you know across the road (from a distance of about 20 meters)? 1None 2Mild 3Moderate 4Severe 5 Extreme / cannot do 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)? 1None 2Mild 3Moderate 4Severe 5 Extreme / cannot do 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2025: Sitting Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have in sitting for long periods? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2026: Walking Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have in walking 100 meters? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2027: Standing up Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have in standing up from sitting down? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2028: Standing Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have in standing for long periods? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2029: Climbing Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have with climbing one flight of stairs without resting? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2030: Crouching Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have with stooping, kneeling or crouching? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2031: Picking up Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have picking up things with your fingers (such as picking up a coin from a table)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2032: HH responsibilities Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have in taking care of your household responsibilities? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2033: Activities Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2034: Arms over shoulders Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have in extending your arms above shoulder level? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2035: Concentration Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have concentrating on doing something for 10 minutes? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2036: Walking Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have in walking a long distance such as a kilometer? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2037: Washing body Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have in bathing/washing your whole body? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2038: Dressing Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have in getting dressed? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2039: Daily work Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have in your day to day work? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2040: Carrying Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have with carrying things? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2041: Moving around Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have with moving around inside your home (such as walking across a room)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2042: Eating Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have with eating (including cutting up your food)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2043: Getting up from lying Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have with getting up from lying down? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2044: Using toilet Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have with getting to and using the toilet? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2045: Getting places Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2046: Going out Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have getting out of your home? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2047: Emotional effect Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2048: Interference with daily life Functioning assessment These next questions ask about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the last 30 days and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question. In the last 30 days, how much difficulty did you have Overall, how much did these difficulties interfere with your life? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 9 N/A 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2049: Other aids Besides any vision aids (eyeglasses or contact lenses) do you use any other assistive devices (cane, walker or other) for any difficulties you experience? 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Vignette Set Q2101: Moving around This next section will require additional concentration. I will read to you some stories about people with varying levels of difficulties in different areas of health. 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. I would like to know how you view each story and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your own health to me earlier. While giving the rating, think of the person in the story as someone who is of your age and background. [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 with moving around? 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2101: Relationships This next section will require additional concentration. I will read to you some stories about people with varying levels of difficulties in different areas of health. 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. I would like to know how you view each story and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your own health to me earlier. While giving the rating, think of the person in the story as someone who is of your age and background [Elizabeth] has difficulty climbing up and down the stairs and walking. She is not able to go out as much as she would like to but has many friends who come and visit her at home. Her friends find her a source of great comfort. Overall in the last 30 days, how much difficulty did [Elizabeth] have with personal relationships or participation in the community? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2101: Sleep This next section will require additional concentration. I will read to you some stories about people with varying levels of difficulties in different areas of health. 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. I would like to know how you view each story and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your own health to me earlier. While giving the rating, think of the person in the story as someone who is of your age and background. [Damien] wakes up almost once every hour during the night. When he wakes up in the night, it takes around 15 minutes for him to go back to sleep. In the morning he does not feel well-rested and feels slow and tired all day. 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2102: Energy This next section will require additional concentration. I will read to you some stories about people with varying levels of difficulties in different areas of health. 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. I would like to know how you view each story and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your own health to me earlier. While giving the rating, think of the person in the story as someone who is of your age and background. [Damien] wakes up almost once every hour during the night. When he wakes up in the night, it takes around 15 minutes for him to go back to sleep. In the morning he does not feel well-rested and feels slow and tired all day. 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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 Overall in the last 30 days, how much difficulty did [Antonio] have in seeing and recognizing an object at arm's length or in reading? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2105: Sleep [Rupa] has no trouble falling asleep at night and does not wake up during the night, but every morning she finds it difficult to wake up. She uses an alarm clock but falls back asleep after the alarm goes off. She is late to work on four out of five days and feels tired in the mornings. Overall in the last 30 days, how much difficulty did [Rupa] have with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2106: Energy [Rupa] has no trouble falling asleep at night and does not wake up during the night, but every morning she finds it difficult to wake up. She uses an alarm clock but falls back asleep after the alarm goes off. She is late to work on four out of five days and feels tired in the mornings. 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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. Overall in the last 30 days, how much difficulty did [Jennifer] have in seeing and recognizing a person she knows across the road (from a distance of about 20 meters)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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 Overall in the last 30 days, how much difficulty did [Norman] have in seeing and recognizing a person she knows across the road (from a distance of about 20 meters)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2101: Care This next section will require additional concentration. I will read to you some stories about people with varying levels of difficulties in different areas of health. 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. I would like to know how you view each story and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your own health to me earlier. While giving the rating, think of the person in the story as someone who is of your age and background. [Anne] takes twice as long as others to put on and take off clothes, but needs no help with this. Although it requires an effort, she is able to bathe and groom herself, though less frequently than before. She does not require help with feeding. Overall in the last 30 days, how much difficulty did…did [Anne] have with self-care, such as washing or dressing herself? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable Q2102: Appear This next section will require additional concentration. I will read to you some stories about people with varying levels of difficulties in different areas of health. 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. I would like to know how you view each story and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your own health to me earlier. While giving the rating, think of the person in the story as someone who is of your age and background. [Anne] takes twice as long as others to put on and take off clothes, but needs no help with this. Although it requires an effort, she is able to bathe and groom herself, though less frequently than before. She does not require help with feeding. 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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. Overall in the last 30 days, how much difficulty did [Theo] have with concentrating or remembering things? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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. Overall in the last 30 days, how much difficulty did [Malcolm] have with concentrating or remembering things? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 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)? 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme/Cannot do 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme 8 Don't know 9 Not applicable S2500: HH begin S2500: MM begin S2500: HH end S2500: MM end Q2501: Systolic (1) First I would like to measure your blood pressure and pulse rate. Stay seated, and once I put this on your wrist keep it steady and at the level of your heart. We will need to take the blood pressure reading three times. It will squeeze your wrist a bit, but won't hurt. Relax. INTERVIEWER: respondent should remain seated. Demonstrate to the respondent how to hold their arm while the machine is measuring. Place the monitoring device on the wrist and have the respondent hold it at heart level against his/her chest. When the device is in the correct position and respondent is relaxed, press the button to start. Check to make sure it is working. Collect the blood pressure and pulse 3 times with one minute between each measurement. You do not need to remove the device between measurements. Time 1 Systolic -9 Refused -8 Don't know Before we ask you more questions, this time about your own health and well-being, we would like to measure a few things, like your blood pressure, your weight and height. We'll also ask you to participate in a few tests to determine your health status. Q2501: Diastolic (1) Time 1 Diastolic -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 -9 Refused -8 Don't know Q2502: Systolic (2) Time 2 Systolic -9 Refused -8 Don't know Q2502: Diastolic (2) Time 2 Diastolic -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. -9 Refused -8 Don't know Q2503: Systolic (3) Time 3 Systolic -9 Refused -8 Don't know Q2503: Diastolic (3) Time 3 Diastolic -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: -9 Refused -8 Don't know Q2504: Self-reported height What is your height in centimeters? -8 Don't know Q2505: Self-reported weight What is your weight in kilograms? -8 Don't know Q25xx: Filter for Q2506-Q2513 NTERVIEWER: Can respondent stand up, yes or no? 1 Yes.........Q2514 2 No 1 Yes 2 No Q2506: True height (cm) I would now like to measure how tall you are. To measure your height I need you to please take off your shoes. Put your feet and heels close together, stand straight and look forward standing with your back, head and heels touching the wall. Look straight ahead. Measured height in centimetres 997 Refused 998 Not able 997 Refused 998 Not able Q2507: True weight (kg) Now we want to measure your weight - could you please keep your shoes off and step on this scale. We will also measure your waist and hips using a tape measure. Measured weight In kilograms 997 Refused 998 Not able 997 Refused 998 Not able Q2508: WC centimeters Waist circumference 997 Refused 998 Not able 997 Refused 998 Not able Q2509: HC centimeters Hip circumference 997 Refused 998 Not able 997 Refused 998 Not able Q2510: Normal walk Now I am going to observe how you normally walk. If you use a cane or other walking aid and would be more comfortable with it, then you may use it. This is the walking course. I want you to walk to the other end of the course at your usual speed, just as if you were walking down the street to go to the store. Walk all the way past the other end of the tape before you stop. I will walk with you. Did respondent complete the walk at usual pace? 1Yes 2No, refused 3 No, cannot walk, even with support ......Q2514 1 Yes 2 No, refused 3 Cannot walk 8 Don't know 9 Not applicable Q2511: 4 m. time Time at 4 metres -9 Not applicable -8 Don't know Q2512: Rapid walk Now I want to repeat the walk. This time, however, I would like you to walk at a rapid pace, as fast as you safely can, and go all the way past the other end of the course I marked out for you. Did respondent complete the walk at rapid pace? 1 Yes 2 No, refused/unable ......... Q2514 1 Yes 2 No 8 Don't know 9 Not applicable Q2513: 4 m. time rapid Time at 4 metres -9 Not applicable -8 Don't know Q2514: Distance vision left eye To measure acuity in the left eye, the right eye is covered with right palm or an eye patch and the subject is asked to respond to each "E" in a row slowly, row by row, with your guidance. Only one reading of a given "E" is allowed. When the subject has difficulty, he or she is encouraged to guess. Responses can be verbal (Up, Down, Left, Right) or the respondent can indicate with a finger like in the training video. The right eye can then be tested in the same way. Visual acuity in each eye can be recorded as explained in the Interviewers Manual. Distance Vision - Left Eye 9 Not applicable We are now going to test your distance vision and near vision. Q2515: Distance vision right eye Now cover your left eye with left hand so we can test your right eye. Please read Distance Vision - Right Eye 9 Not applicable Q2516: Near vision left eye Okay, now we would like to test your near vision - starting again with your left eye - please cover your right eye with your right hand. Indicate if the "E" is facing Up, Down, Left or Right. Please read…. Near Vision - Left Eye 9 Not applicable Q2517: Near vision right eye Now cover your left eye with left hand so we can test your right eye. Please read…. Near Vision - Right Eye 9 Not applicable Q2518: Pain/surgery on left? FILTER: If respondent has obvious problem with hand/arm, skip that side. If problems with both hands/arms, answer 1=yes to Q2518 and Q2519, then è skip to Q2525. Make sure you fit the dynamometer to the respondent's hand size. We are now going to test the strength in your hands. 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? 1 Yes ... Do not test Left hand 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q2519: Pain/surgery on right? Have you had any surgery on your right arm, hand or wrist in the last 3 months OR arthritis or pain in your right hand or wrist? 1 Yes ... Do not test Left hand 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q2520: Dominant hand Which hand do you consider your dominant hand? Dominant Hand - Check one answer. If a respondent is ambidextrous, the hand that is used for signing/writing is considered the dominant hand. 1Left 2Right 3 Use both the same 1 Right hand 2 Left hand 3 Ambidextrous 8 Don't know 9 Not applicable Q2521: Left 1 Remain sitting and let your hand drop to your side. Keep your upper arm against your body and bend your elbow to 90 degrees with palm facing in (like shaking hands). Keep your elbow pressed against your side. First test left hand 97 Refused .....Q2523 -9 Refused Q2522: Left 2 Second test left hand kilograms -9 Refused Q2523: Right 1 Okay, now let's do the same on the other side. Hold the device in your right hand, so we can test your strength on this side also. First test right hand -9 Refused Q2524: Right 2 Okay, now let's do the same on the other side. Hold the device in your right hand, so we can test your strength on this side also. Second test right hand -9 Refused Q2525: Recall 1 We are now going to test your memory. I know these questions may be difficult to answer, but please try to provide an answer. I am going to read you a list of words. Listen to them carefully and try to remember as many of them as you can, not necessarily in order. I will ask you to repeat them again after some time. Number of words recalled correctly Trial 1 -9 Not applicable -8 Don't know Q2526: Forgot 1 We are now going to test your memory. I know these questions may be difficult to answer, but please try to provide an answer. I am going to read you a list of words. Listen to them carefully and try to remember as many of them as you can, not necessarily in order. I will ask you to repeat them again after some time. Number of words that respondent failed to recall Trial 1 -9 Not applicable -8 Don't know Q2527: Substitute 1 We are now going to test your memory. I know these questions may be difficult to answer, but please try to provide an answer. I am going to read you a list of words. Listen to them carefully and try to remember as many of them as you can, not necessarily in order. I will ask you to repeat them again after some time. Number of words substituted Trial 1 -9 Not applicable -8 Don't know Q2528: Recall 2 We are now going to test your memory. I know these questions may be difficult to answer, but please try to provide an answer. I am going to read you a list of words. Listen to them carefully and try to remember as many of them as you can, not necessarily in order. I will ask you to repeat them again after some time. I will read the list to you again, and then again when I am done, repeat them after me. Number of words recalled correctly Trial 2 -9 Not applicable -8 Don't know Q2529: Forgot 2 We are now going to test your memory. I know these questions may be difficult to answer, but please try to provide an answer. I am going to read you a list of words. Listen to them carefully and try to remember as many of them as you can, not necessarily in order. I will ask you to repeat them again after some time. Number of words that respondent failed to recall Trial 2 -9 Not applicable -8 Don't know Q2530: Substitute 2 We are now going to test your memory. I know these questions may be difficult to answer, but please try to provide an answer. I am going to read you a list of words. Listen to them carefully and try to remember as many of them as you can, not necessarily in order. I will ask you to repeat them again after some time. Number of words substituted Trial 2 -9 Not applicable -8 Don't know Q2531: Recall 3 We are now going to test your memory. I know these questions may be difficult to answer, but please try to provide an answer. I am going to read you a list of words. Listen to them carefully and try to remember as many of them as you can, not necessarily in order. I will ask you to repeat them again after some time. One final time - I will read the list and when I am done, you repeat as many as you can remember. Number of words recalled correctly Trial 3 -9 Not applicable -8 Don't know Q2532: Forgot 3 We are now going to test your memory. I know these questions may be difficult to answer, but please try to provide an answer. I am going to read you a list of words. Listen to them carefully and try to remember as many of them as you can, not necessarily in order. I will ask you to repeat them again after some time. Number of words that respondent failed to recall Trial 3 -9 Not applicable -8 Don't know Q2533: Substitute 3 We are now going to test your memory. I know these questions may be difficult to answer, but please try to provide an answer. I am going to read you a list of words. Listen to them carefully and try to remember as many of them as you can, not necessarily in order. I will ask you to repeat them again after some time. Number of words substituted Trial 3 -9 Not applicable -8 Don't know Q2534: Total score - forwards I am going to say some numbers to you. Listen carefully, and when I am through, say them right after me. I want you to repeat each set of numbers exactly as I say them to you. For example, if I said "1-2", you would say…? Total score (enter the series number in the longest series repeated without error in Trial 1 or 2) (Maximum = 9 points) Failed (score of 0) Q2535: Total score - backwards Now, I am going to say more numbers, but this time when I stop, I want you to say them to me backwards. For example, if I said 1-7, what would you say? Total score (enter the series number in the longest series repeated without error in Trial 1 or 2) (Maximum = 8 points) Failed (score of 0) Q2536: Total score - animals Now we are going to ask you to think of animals and name as many as you can. I am going to give you one minute and I want to see how many animals you can name. Total score (number of animals named correctly) -9 Not applicable -8 Don't know Q2537: Errors - animals Now we are going to ask you to think of animals and name as many as you can. I am going to give you one minute and I want to see how many animals you can name. Number of errors INTERVIEWER: errors include anything that is not an animal -9 Not applicable -8 Don't know Q2538: Lung function/FVC Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2538: Lung function/FVC Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2538: Lung function/FVC Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2539: Lung function/FEV1 Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2539: Lung function/FEV1 Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2539: Lung function/FEV1 Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2540: Lung function/FEV1% Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2540: Lung function/FEV1% Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2540: Lung function/FEV1% Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2541: Lung function/PEF Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2541: Lung function/PEF Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2541: Lung function/PEF Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2542: Lung function/FEF25-75 Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2542: Lung function/FEF25-75 Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2542: Lung function/FEF25-75 Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2543: Lung function/FET Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2543: Lung function/FET Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2543: Lung function/FET Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Q2544: Words recalled Okay, return to normal breathing, while I record the results. Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Number of words recalled correctly -9 Not applicable -8 Don't know Q2545: Words forgotten Okay, return to normal breathing, while I record the results. Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Number of words that respondent failed to recall -9 Not applicable -8 Don't know Q2546: Words substituted Okay, return to normal breathing, while I record the results. Delayed Verbal Recall I read you a list of words about 10 minutes ago. I will NOT repeat this list to you now, but could you please repeat to me as many of them as you can remember? Number of words substituted -9 Not applicable -8 Don't know Q2547: Blood test consent I would like to get your consent/agreement to give a blood sample. We will only prick your finger to get blood. If you decide not to have the test done, it is your right and we will respect your decision and continue with the other parts of the survey. INTERVIEWER: Indicate whether the respondent agrees or not. 1 Respondent agrees to provide blood sample 2 Respondent does NOT agree to provide blood sample ...... Next section 1 Resp. agrees 2 Does not agree 8 Don't know 9 Not applicable Q2548: Blood sample obtained? I would like to get your consent/agreement to give a blood sample. We will only prick your finger to get blood. If you decide not to have the test done, it is your right and we will respect your decision and continue with the other parts of the survey. INTERVIEWER: circle one 1 Blood sample obtained 2 Blood sample NOT obtained 1 Blood sample obtained 2 Not obtained 8 Don't know 9 Not applicable S3000: HH begin S3000: MM begin S3000: HH end S3000: MM end Q3001: Ever used tobacco? We would now like to ask you some questions about your habits, health behaviours and awareness about health. This includes things like smoking, drinking alcohol, eating enough fruits and vegetables as part of your diet and your levels of physical activity. I will start with questions about smoking habits. Have you ever smoked tobacco or used smokeless tobacco? 1 Yes 2 No 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? 1Yes, daily 2Yes, but not daily ….........Q3005 3 No, not at all .........Q3005 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 -8 DK Q3003a: Months (n) For how long have you been smoking or using tobacco daily? 8 Don't Know -8 DK Q3004a: Manufact. cigarettes On average, how many of the following products do you smoke or use each day? Include number below: Manufactured cigarettes -9 Not applicable -8 Don't know Q3004b: Hand-rolled cigarettes On average, how many of the following products do you smoke or use each day? Include number below: Hand-rolled cigarettes -9 Not applicable -8 Don't know Q3004c: Pipes On average, how many of the following products do you smoke or use each day? Include number below: Pipefuls of tobacco -9 Not applicable -8 Don't know Q3004d: Cigars etc. On average, how many of the following products do you smoke or use each day? Include number below: Cigars, cheroots, cigarillos, bidis -9 Not applicable -8 Don't know Q3004e: Smokeless tobacco On average, how many of the following products do you smoke or use each day? Include number below: Smokeless tobacco -9 Not applicable -8 Don't know Q3004f: Other tobacco On average, how many of the following products do you smoke or use each day? Include number below: Other, specify: -9 Not applicable -8 Don't know Q3005: Past use tobacco In the past, did you ever smoke tobacco or use smokeless tobacco daily? 1 Yes 2 No 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? -9 NA -8 DK Q3006a: When stop tobacco Y How long ago did you stop smoking or using tobacco daily? 8 Don't Know -9 NA -8 DK Q3006a: When stop tobacco M How long ago did you stop smoking or using tobacco daily? 8 Don't Know -9 Not applicable -8 DK Q3007: Ever used alcohol? Have you ever consumed a drink that contains alcohol (such as beer, wine, spirits, etc.)? 1 Yes 2 No, Never ………………. Q3012 1 Yes 2 No 8 Don't know 9 Not applicable Q3008: Alcohol used recently? Have you consumed alcohol in the last 30 days? 1 Yes 2 No …………... Q3010 1 Yes 2 No 8 Don't know 9 Not applicable Q3009a: Monday During the past 7 days, how many drinks of any alcoholic beverage did you have each day? USE SHOWCARD Appendix A3000B. Monday -9 Not applicable -8 Don't know Q3009b: Tuesday During the past 7 days, how many drinks of any alcoholic beverage did you have each day? USE SHOWCARD Appendix A3000B. Tuesday -9 Not applicable -8 Don't know Q3009c: Wednesday During the past 7 days, how many drinks of any alcoholic beverage did you have each day? USE SHOWCARD Appendix A3000B. Wednesday -9 Not applicable -8 Don't know Q3009d: Thursday During the past 7 days, how many drinks of any alcoholic beverage did you have each day? USE SHOWCARD Appendix A3000B. Thursday -9 Not applicable -8 Don't know Q3009e: Friday During the past 7 days, how many drinks of any alcoholic beverage did you have each day? USE SHOWCARD Appendix A3000B. Friday -9 Not applicable -8 Don't know Q3009f: Saturday During the past 7 days, how many drinks of any alcoholic beverage did you have each day? USE SHOWCARD Appendix A3000B. Saturday -9 Not applicable -8 Don't know Q3009g: Sunday During the past 7 days, how many drinks of any alcoholic beverage did you have each day? USE SHOWCARD Appendix A3000B. Sunday -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? 1No days ………………..….…. Q3012 2Less than once a month 3One to three days per month 4One to four days per week 5 Five or more days per week 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? 8 Don't know -8 DK Q3012: Fruits Studies have shown that nutrition and life-style are very important health factors. I want to ask you a few questions about your diet. I am going to ask you about the fruit and vegetables you usually eat. (Show Nutrition card to respondent -- see Appendix A3000C) How many servings of fruit do you eat on a typical day? -8 DK Q3013: Veg Studies have shown that nutrition and life-style are very important health factors. I want to ask you a few questions about your diet. I am going to ask you about the fruit and vegetables you usually eat. (Show Nutrition card to respondent -- see Appendix A3000C) How many servings of vegetables do you eat on a typical day? -8 DK Q3014: Eat less? Studies have shown that nutrition and life-style are very important health factors. I want to ask you a few questions about your diet. I am going to ask you about the fruit and vegetables you usually eat. (Show Nutrition card to respondent -- see Appendix A3000C) In the last 12 months, how often did you ever eat less than you felt you should because there wasn't enough food? 1Every month 2Almost every month 3Some months, but not every month 4Only in 1 or 2 months 5 Never 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? Studies have shown that nutrition and life-style are very important health factors. I want to ask you a few questions about your diet. I am going to ask you about the fruit and vegetables you usually eat. (Show Nutrition card to respondent -- see Appendix A3000C) In the last 12 months, were you ever hungry, but didn't eat because you couldn't afford enough food? 1Every month 2Almost every month 3Some months, but not every month 4Only in 1 or 2 months 5 Never 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 Next I am going to ask you about the time you spend doing different types of physical activity in a typical week. Please answer these questions even if you do not consider yourself to be an active person. Think first about the time you spend doing work. Think of work as the things that you have to do such as paid or unpaid work, household chores, harvesting food/crops, fishing or hunting for food, providing care or seeking employment. In answering the following questions 'vigorous activities' require hard physical effort and cause large increases in breathing or heart rate, 'moderate activities' require moderate physical effort and cause small increases in breathing or heart rate. Does your work involve vigorous-intensity activity that causes large increases in breathing or heart rate, [like heavy lifting, digging or chopping wood] for at least 10 minutes continuously? INSERT EXAMPLES & USE SHOWCARD 1 Yes 2 No 8 Don't know 9 Not applicable Q3017: Days vigorous work Next I am going to ask you about the time you spend doing different types of physical activity in a typical week. Please answer these questions even if you do not consider yourself to be an active person. Think first about the time you spend doing work. Think of work as the things that you have to do such as paid or unpaid work, household chores, harvesting food/crops, fishing or hunting for food, providing care or seeking employment. In answering the following questions 'vigorous activities' require hard physical effort and cause large increases in breathing or heart rate, 'moderate activities' require moderate physical effort and cause small increases in breathing or heart rate. In a typical week, on how many days do you do vigorous-intensity activities as part of your work? 8 Don't know 9 Not applicable Q3018: Time vig work hours Next I am going to ask you about the time you spend doing different types of physical activity in a typical week. Please answer these questions even if you do not consider yourself to be an active person. Think first about the time you spend doing work. Think of work as the things that you have to do such as paid or unpaid work, household chores, harvesting food/crops, fishing or hunting for food, providing care or seeking employment. In answering the following questions 'vigorous activities' require hard physical effort and cause large increases in breathing or heart rate, 'moderate activities' require moderate physical effort and cause small increases in breathing or heart rate. How much time do you spend doing vigorous-intensity activities at work on a typical day? -9 Not applicable -8 Don't know Q3018: Time vig work minutes Next I am going to ask you about the time you spend doing different types of physical activity in a typical week. Please answer these questions even if you do not consider yourself to be an active person. Think first about the time you spend doing work. Think of work as the things that you have to do such as paid or unpaid work, household chores, harvesting food/crops, fishing or hunting for food, providing care or seeking employment. In answering the following questions 'vigorous activities' require hard physical effort and cause large increases in breathing or heart rate, 'moderate activities' require moderate physical effort and cause small increases in breathing or heart rate. How much time do you spend doing vigorous-intensity activities at work on a typical day? -9 Not applicable -8 Don't know Q3019: Moderate work Next I am going to ask you about the time you spend doing different types of physical activity in a typical week. Please answer these questions even if you do not consider yourself to be an active person. Think first about the time you spend doing work. Think of work as the things that you have to do such as paid or unpaid work, household chores, harvesting food/crops, fishing or hunting for food, providing care or seeking employment. In answering the following questions 'vigorous activities' require hard physical effort and cause large increases in breathing or heart rate, 'moderate activities' require moderate physical effort and cause small increases in breathing or heart rate. Does your work involve moderate-intensity activity that causes small increases in breathing or heart rate [such as brisk walking, carrying light loads, cleaning, cooking, or washing clothes] for at least 10 minutes continuously? INSERT EXAMPLES & USE SHOWCARD 1 Yes 2 No 8 Don't know 9 Not applicable Q3020: Days moderate work Next I am going to ask you about the time you spend doing different types of physical activity in a typical week. Please answer these questions even if you do not consider yourself to be an active person. Think first about the time you spend doing work. Think of work as the things that you have to do such as paid or unpaid work, household chores, harvesting food/crops, fishing or hunting for food, providing care or seeking employment. In answering the following questions 'vigorous activities' require hard physical effort and cause large increases in breathing or heart rate, 'moderate activities' require moderate physical effort and cause small increases in breathing or heart rate. In a typical week, on how many days do you do moderate-intensity activities as part of your work? 8 Don't know 9 Not applicable Q3021: Time mod work hours Next I am going to ask you about the time you spend doing different types of physical activity in a typical week. Please answer these questions even if you do not consider yourself to be an active person. Think first about the time you spend doing work. Think of work as the things that you have to do such as paid or unpaid work, household chores, harvesting food/crops, fishing or hunting for food, providing care or seeking employment. In answering the following questions 'vigorous activities' require hard physical effort and cause large increases in breathing or heart rate, 'moderate activities' require moderate physical effort and cause small increases in breathing or heart rate. How much time do you spend doing moderate-intensity activities at work on a typical day? -9 Not applicable -8 Don't know Q3021: Time mod work minutes Next I am going to ask you about the time you spend doing different types of physical activity in a typical week. Please answer these questions even if you do not consider yourself to be an active person. Think first about the time you spend doing work. Think of work as the things that you have to do such as paid or unpaid work, household chores, harvesting food/crops, fishing or hunting for food, providing care or seeking employment. In answering the following questions 'vigorous activities' require hard physical effort and cause large increases in breathing or heart rate, 'moderate activities' require moderate physical effort and cause small increases in breathing or heart rate. How much time do you spend doing moderate-intensity activities at work on a typical day? -9 Not applicable -8 Don't know Q3022: Walk/bike The next questions exclude the physical activities at work that you've already mentioned. Now I would like to ask you about the usual way you travel to and from places. For example, getting to work, to shopping, to the market, to place of worship. [Insert other examples if needed] Do you walk or use a bicycle (pedal cycle) for at least 10 minutes continuously to get to and from places? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q3023: Days walk/bike The next questions exclude the physical activities at work that you've already mentioned. Now I would like to ask you about the usual way you travel to and from places. For example, getting to work, to shopping, to the market, to place of worship. [Insert other examples if needed] 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? 8 Don't know 9 Not applicable Q3024: Time/d hours The next questions exclude the physical activities at work that you've already mentioned. Now I would like to ask you about the usual way you travel to and from places. For example, getting to work, to shopping, to the market, to place of worship. [Insert other examples if needed] How much time would you spend walking or bicycling for travel on a typical day? -9 Not applicable -8 Don't know Q3024: Time/d minutes The next questions exclude the physical activities at work that you've already mentioned. Now I would like to ask you about the usual way you travel to and from places. For example, getting to work, to shopping, to the market, to place of worship. [Insert other examples if needed] How much time would you spend walking or bicycling for travel on a typical day? -9 Not applicable -8 Don't know Q3025: Vigorous fitness/leisure The next questions exclude the work and transport activities that you have already mentioned. Now I would like to ask you about sports, fitness, leisure and recreational activities [insert relevant terms]. Do you do any vigorous intensity sports, fitness or recreational (leisure) activities that cause large increases in breathing or heart rate [like running or football], for at least 10 minutes continuously? INSERT EXAMPLES & USE SHOWCARD 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q3026: Days vig fitness/leisure The next questions exclude the work and transport activities that you have already mentioned. Now I would like to ask you about sports, fitness, leisure and recreational activities [insert relevant terms]. In a typical week, on how many days do you do vigorous intensity sports, fitness or recreational (leisure) activities? 8 Don't know 9 Not applicable Q3027: Time vig fit/leisure hours The next questions exclude the work and transport activities that you have already mentioned. Now I would like to ask you about sports, fitness, leisure and recreational activities [insert relevant terms]. How much time do you spend doing vigorous intensity sports, fitness or recreational activities on a typical day? -9 Not applicable -8 Don't know Q3027: Time vig fit/leisure minutes The next questions exclude the work and transport activities that you have already mentioned. Now I would like to ask you about sports, fitness, leisure and recreational activities [insert relevant terms]. How much time do you spend doing vigorous intensity sports, fitness or recreational activities on a typical day? -9 Not applicable -8 Don't know Q3028: Moderate fitness/leisure The next questions exclude the work and transport activities that you have already mentioned. Now I would like to ask you about sports, fitness, leisure and recreational activities [insert relevant terms]. Do you do any moderate-intensity sports, fitness or recreational (leisure) activities that causes a small increase in breathing or heart rate [such as brisk walking, cycling or swimming] for at least 10 minutes at a time? INSERT EXAMPLES & USE SHOWCARD 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q3029: Days mod fitness/leisure The next questions exclude the work and transport activities that you have already mentioned. Now I would like to ask you about sports, fitness, leisure and recreational activities [insert relevant terms]. In a typical week, on how many days do you do moderate-intensity sports, fitness or recreational (leisure) activities? 8 Don't know 9 Not applicable Q3030: Time mod fit/leisure hours The next questions exclude the work and transport activities that you have already mentioned. Now I would like to ask you about sports, fitness, leisure and recreational activities [insert relevant terms]. How much time do you spend doing moderate intensity sports, fitness or recreational (leisure) activities on a typical day? -9 Not applicable -8 Don't know Q3030: Time mod fit/leisure minutes The next questions exclude the work and transport activities that you have already mentioned. Now I would like to ask you about sports, fitness, leisure and recreational activities [insert relevant terms]. How much time do you spend doing moderate intensity sports, fitness or recreational (leisure) activities on a typical day? -9 Not applicable -8 Don't know Q3031: Leisure hours/d The following question is about sitting or reclining at work, at home, getting to and from places, or with friends including time spent [sitting at a desk, sitting with friends, travelling in car, bus, train, reading, playing cards or watching television], but do not include time spent sleeping. INSERT EXAMPLES & USE SHOWCARD How much time do you usually spend sitting or reclining on a typical day? -9 Not applicable -8 Don't know Q3031: Leisure ave minutes/d The following question is about sitting or reclining at work, at home, getting to and from places, or with friends including time spent [sitting at a desk, sitting with friends, travelling in car, bus, train, reading, playing cards or watching television], but do not include time spent sleeping. INSERT EXAMPLES & USE SHOWCARD How much time do you usually spend sitting or reclining on a typical day? -9 Not applicable -8 Don't know S4000: HH begin S4000: MM begin S4000: HH end S4000: MM end 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)? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4005: How long last in a.m. If Q4003 and Q4004 are both "No" (that is, no symptoms of arthritis), skip to Q4008 How long did this stiffness last? 1About 30 minutes or less 2 More than 30 Minutes 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? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4008: Back pain Have you experienced back pain during the last 30 days? 1 Yes 2 No 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? -9 Not applicable -8 Don't know Q4010: Stroke Have you ever been told by a health professional that you have had a stroke? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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)? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1Yes 2No 3 Never walks uphill or hurries 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? 1 Yes 2 No ...............Q4022 1 Yes 2 No 8 Don't know 9 Not applicable Q4018: Response to CP What do you do if you get the pain or discomfort when you are walking? Read choices 1Stop or slow down 2Carry on after taking a pain relieving medicine that dissolves in your mouth 3 Carry on walking 1 Stop/slow down 2 Medicate/carry on 3 Carry on 8 Don't know 9 Not applicable Q4019: Stand still If you stand still, what happens to the pain or discomfort? Read choices 1Relieved 2 Not relieved 1 Relieved 2 Not relieved 8 Don't know 9 Not applicable Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. Q4020: Location of pain Will you show me where you usually experience the pain or discomfort? Circle number in each of the boxes in the areas of body mentioned or shown by the respondent. 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4022: Diabetes Have you ever been diagnosed with diabetes (high blood sugar)? (Not including diabetes associated with a pregnancy) 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4024: Diet Have you been following a special diet, exercise regime or weight control program for diabetes during the last 2 weeks? (As recommended by health professional) 1 Yes 2 No 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)? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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) 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4033: Asthma Have you ever been diagnosed with asthma (an allergic respiratory disease)? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4037: Tightness in chest A feeling of tightness in your chest? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4039a: in past 2 weeks IF Q4035 to Q4039 are all 'No', skip to ……………………………………………………………………………..Q4040 If one of the symptom questions (Q4035 to Q4039) is 'Yes', continue with Q4039a. 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4040: Depression diagnosis Have you ever been diagnosed with depression? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4041a: during last 2 weeks Have you been taking any medications or other treatment for it … (Other treatment can include attending therapy or counseling sessions.) during the last 2 weeks? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4041b: during last 12 months Have you been taking any medications or other treatment for it … (Other treatment can include attending therapy or counseling sessions.) during the last 12 months? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4047: Loss of appetite During this period, did you lose your appetite? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4048: Slow thinking Did you notice any slowing down in your thinking? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4049: Falling asleep Did you notice any problems falling asleep? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4050: Waking up Did you notice any problems waking up too early? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4052: Moving slowly Did you notice any slowing down in your moving around? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4057: Sexual drive During this period, did your interest in sex decrease? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4058: Morbid thoughts Did you think of death, or wish you were dead? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4060: Hypertension Have you ever been diagnosed with high blood pressure (hypertension)? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4061a: during last 2 weeks Have you been taking any medications or other treatment for it during … (Other treatment might include weight loss program or change in eating habits.) the last 2 weeks? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4061b: during last 12 months Have you been taking any medications or other treatment for it during … (Other treatment might include weight loss program or change in eating habits.) the last 12 months? 1 Yes 2 No 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)? 1 Yes 2 No................Q4064 8 Don't know 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)? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4066: Lost all teeth? Have you lost all of your natural teeth? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4068a: during last 2 weeks Have you received any medications or treatment from a dentist or other oral health specialist during the last 2 weeks? 1 Yes 2 No 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4069: Road accident In the last 12 months, have you been involved in a road traffic accident where you suffered from bodily injury? PROBE: This could have been an accident in which you were involved either as the occupant of a motor vehicle, or when you were riding a motorcycle/scooter, rickshaw or bicycle or walking. 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4070: How did happen? How did the injury happen? Was it an accident, did someone else do this to you, or did you do this to yourself? 1It was an accident (unintentional) 2Someone else did it to me deliberately (intentional) 3I did it to myself deliberately (self-inflicted) 8 Don't know 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4072: 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 1 Yes 2 No..............Q4073 1 Yes 2 No 8 Don't know 9 Not applicable Q4072a: What type of disab In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify Q4072a: What type of disab In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify Q4072a: What type of disab In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify Q4072a: What type of disab In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify Q4072a: What type of disab In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify Q4072a: What type of disab In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify Q4072a: What type of disab In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify Q4072a: What type of disab In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify Q4072a: What type of disab In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify Q4073: Other bodily injury? In the last 12 months, have you had any other event where you suffered from bodily injury? 1Yes (if more than one event, select the most recent to ask about in more detail below) 2 No ........................Q4078 1 Yes 2 No 8 Don't know 9 Not applicable Q4073a: Where did injury occur Where were you when you were injured? 1Home 2School 3Work 7 Other, specify : 8 Don't know 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? 1Fall 2Struck/hit by person or object 3Stabbed 4Gun shot 5Fire, flames or heat (burn) 6Drowning or near-drowning 7Poisoning 8Animal bite 9Electricity shock 87 Other, specify: 88 Don't know -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? How did the injury happen? Was it an accident, did someone else do this to you, or did you do this to yourself? 1It was an accident (unintentional) 2Someone else did it to me deliberately (intentional) 3I did it to myself deliberately (self-inflicted) 8 Don't know 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? 1 Yes 2 No 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? 1 Yes 2 No................Q4078 1 Yes 2 No 8 Don't know 9 Not applicable Q4077a: What type of disab? In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify: Q4077a: What type of disab? In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify: Q4077a: What type of disab? In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify: Q4077a: What type of disab? In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify: Q4077a: What type of disab? In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify: Q4077a: What type of disab? In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify: Q4077a: What type of disab? In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify: Q4077a: What type of disab? In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify: Q4077a: What type of disab? In what ways were you physically disabled? 1Unable to use hand or arm 2Difficulty to use hand or arm 3Walk with a limp 4Loss of hearing 5Loss of vision 6Weakness or shortness of breath 7Inability to remember things 8Inability to chew 87 Other, specify: Q4078: Pelvic exam Cervical cancer and breast cancer screening (Women only) Questions to be asked to FEMALE respondents only. Female …..è Q4078 Male …..…..è GO TO NEXT SECTION Now I would like to ask you about some of the kinds of medical care or tests that you may have received When was the last time you had a pelvic examination, if ever? (By pelvic examination, I mean when a doctor or nurse examined your vagina and uterus?) Enter "00" if less than 1 year ago. 98 Never had exam -8 Don't know 98 Never Q4079: PAP smear The last time you had the pelvic examination, did you 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 your vagina, take a sample and send it to a laboratory?) 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q4080: Mammogram When was the last time you had a mammography, if ever? (That is, an x-ray of your breasts taken to detect breast cancer at an early stage.) Enter "00" if less than 1 year ago. 98 Never had exam -8 Don't know 98 Never S5000: HH begin S5000: MM begin S5000: HH end S5000: MM end Q5001: Needed care YY ago When was the last time that you needed health care? INTERVIEWER: this can be inpatient or outpatient care. If less than one month ago, enter “00” for years and "00" for months. 98 Never ..……………………………. Q5046 -8 Don't know -9 Not applicable -8 Don't know 88 DK 98 0000Never Q5001: Needed care MM ago When was the last time that you needed health care? INTERVIEWER: this can be inpatient or outpatient care. If less than one month ago, enter “00” for years and "00" for months. 98 Never ..……………………………. Q5046 -8 Don't know -9 Not applicable -8 Don't know 88 DK 98 0000Never Q5001a: More than 3 yrs? Q5001a. If 'don't know', Was it more than 3 years ago? 1 Yes 2 No 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? 1 Yes 2 No 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? 1 Communicable disease (infections, malaria, tuberculosis, HIV) 2 Maternal and perinatal conditions (pregnancy) 3 Nutritional deficiencies 4 Acute conditions (diarrhoea, fever, flu, headaches, cough, other) 5 Injury (not work related, see 8 below) 6 Surgery 7 Sleep problems 8 Occupation/work related condition/injury 9 Chronic pain in your joints/arthritis (joints, back, neck) 10 Diabetes or related complications 11 Problems with your heart including unexplained pain in chest 12 Problems with your mouth, teeth or swallowing 13 Problems with your breathing 14 High blood pressure / hypertension 15 Stroke/sudden paralysis of one side of body 16 Generalized pain (stomach, muscle or other nonspecific pain) 17 Depression or anxiety 18 Cancer 87 Other, specify: 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? 1Could not afford the cost of the visit 2No transport available 3Could not afford the cost of transport 4You were previously badly treated 5Could not take time off work or had other commitments 6The health care provider's drugs or equipment were inadequate 7The health care provider's skills were inadequate 8You did not know where to go 9You tried but were denied health care 10You thought you were not sick enough 87 Other, specify: Q5003b: Reason(s) why not (Y or N) Which reason(s) best explains why you did not get health care? 1Could not afford the cost of the visit 2No transport available 3Could not afford the cost of transport 4You were previously badly treated 5Could not take time off work or had other commitments 6The health care provider's drugs or equipment were inadequate 7The health care provider's skills were inadequate 8You did not know where to go 9You tried but were denied health care 10You thought you were not sick enough 87 Other, specify: Q5003b: Reason(s) why not (Y or N) Which reason(s) best explains why you did not get health care? 1Could not afford the cost of the visit 2No transport available 3Could not afford the cost of transport 4You were previously badly treated 5Could not take time off work or had other commitments 6The health care provider's drugs or equipment were inadequate 7The health care provider's skills were inadequate 8You did not know where to go 9You tried but were denied health care 10You thought you were not sick enough 87 Other, specify: Q5003b: Reason(s) why not (Y or N) Which reason(s) best explains why you did not get health care? 1Could not afford the cost of the visit 2No transport available 3Could not afford the cost of transport 4You were previously badly treated 5Could not take time off work or had other commitments 6The health care provider's drugs or equipment were inadequate 7The health care provider's skills were inadequate 8You did not know where to go 9You tried but were denied health care 10You thought you were not sick enough 87 Other, specify: Q5003b: Reason(s) why not (Y or N) Which reason(s) best explains why you did not get health care? 1Could not afford the cost of the visit 2No transport available 3Could not afford the cost of transport 4You were previously badly treated 5Could not take time off work or had other commitments 6The health care provider's drugs or equipment were inadequate 7The health care provider's skills were inadequate 8You did not know where to go 9You tried but were denied health care 10You thought you were not sick enough 87 Other, specify: Q5003b: Reason(s) why not (Y or N) Which reason(s) best explains why you did not get health care? 1Could not afford the cost of the visit 2No transport available 3Could not afford the cost of transport 4You were previously badly treated 5Could not take time off work or had other commitments 6The health care provider's drugs or equipment were inadequate 7The health care provider's skills were inadequate 8You did not know where to go 9You tried but were denied health care 10You thought you were not sick enough 87 Other, specify: Q5003b: Reason(s) why not (Y or N) Which reason(s) best explains why you did not get health care? 1Could not afford the cost of the visit 2No transport available 3Could not afford the cost of transport 4You were previously badly treated 5Could not take time off work or had other commitments 6The health care provider's drugs or equipment were inadequate 7The health care provider's skills were inadequate 8You did not know where to go 9You tried but were denied health care 10You thought you were not sick enough 87 Other, specify: Q5003b: Reason(s) why not (Y or N) Which reason(s) best explains why you did not get health care? 1Could not afford the cost of the visit 2No transport available 3Could not afford the cost of transport 4You were previously badly treated 5Could not take time off work or had other commitments 6The health care provider's drugs or equipment were inadequate 7The health care provider's skills were inadequate 8You did not know where to go 9You tried but were denied health care 10You thought you were not sick enough 87 Other, specify: Q5003b: Reason(s) why not (Y or N) Which reason(s) best explains why you did not get health care? 1Could not afford the cost of the visit 2No transport available 3Could not afford the cost of transport 4You were previously badly treated 5Could not take time off work or had other commitments 6The health care provider's drugs or equipment were inadequate 7The health care provider's skills were inadequate 8You did not know where to go 9You tried but were denied health care 10You thought you were not sick enough 87 Other, specify: Q5003b: Reason(s) why not (Y or N) Which reason(s) best explains why you did not get health care? 1Could not afford the cost of the visit 2No transport available 3Could not afford the cost of transport 4You were previously badly treated 5Could not take time off work or had other commitments 6The health care provider's drugs or equipment were inadequate 7The health care provider's skills were inadequate 8You did not know where to go 9You tried but were denied health care 10You thought you were not sick enough 87 Other, specify: Q5003b: Reason(s) why not (Y or N) Which reason(s) best explains why you did not get health care? 1Could not afford the cost of the visit 2No transport available 3Could not afford the cost of transport 4You were previously badly treated 5Could not take time off work or had other commitments 6The health care provider's drugs or equipment were inadequate 7The health care provider's skills were inadequate 8You did not know where to go 9You tried but were denied health care 10You thought you were not sick enough 87 Other, specify: 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? 1Private doctor's office 2Private clinic or health care facility 3Private hospital 4Public clinic or health care facility 5Public hospital 6Charity or church run clinic 7Charity or church run hospital 8Traditional healer [use local term] 9Pharmacy or dispensary 87 Other, specify: 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 inpatient hospital care The next two questions ask about any overnight stay in a hospital or other health care facility you have had in the last 3 years In the last 3 years, have you ever stayed overnight in a hospital or long-term care facility? 1Yes, a hospital 2Yes, long term care facility 3Both ( hospital and long term care facility) 4 No .............................Q5026 1 Yes, hospital 2 Yes, long-term care 3 Yes, both 4 No 8 Don't know 9 Not applicable Q5006: YY ago (n) inpatient hospital care The next two questions ask about any overnight stay in a hospital or other health care facility you have had in the last 3 years When was the last overnight stay in a hospital or long-term care facility? 88 Don't know If more than 3 years ago ..........Q5026 -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? 88 Don't know If more than 3 years ago ..........Q5026 -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? 88 Don't know If "00" (no overnight stays) …Q5026 -9 NA -8 DK 88 Don't know 98 Not applicable Q5008: Type of facility I want to know more about why you needed an overnight stay in a health care facility. Starting with the most recent stay, I want to know more about your overnight stays, including why you needed an overnight stay each time. But first I would like you to come back to thinking about your last overnight hospital stay only. What type of hospital or facility was it? Remember we are asking now about your last (most recent) overnight stay. 1Public hospital 2Private hospital 3Charity or church-run hospital 4Old person's home or long-term care facility 7 Other, specify: 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? q5008ab: hospital/facility code (if available) hospital/facility code (if available) q5008ac: city/village name in location of hospital/facility? City/village name in location of hospital/facility? Q5008b: Reason for last overnight Which reason best describes why you were last hospitalised? 1Communicable disease (infections, malaria, tuberculosis, HIV) 2Maternal and perinatal conditions (pregnancy) 3Nutritional deficiencies 4Acute conditions (diarrhoea, fever, flu, headaches, cough, other) 5Injury (not occupation related) 6Surgery 7Sleep problems 8Occupation/work related condition/injury 9 Chronic pain in your joints/arthritis (joints, back, neck) 10Diabetes or related complications 11Problems with your heart including unexplained pain in chest 12Problems with your mouth, teeth or swallowing 13Problems with your breathing 14High blood pressure / hypertension 15Stroke/sudden paralysis of one side of body 16Generalized pain (stomach, muscle or other nonspecific pain) 17Depression or anxiety 18Cancer 87 Other, specify: -8 DK -9 NA 1 Communicable 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 2 Maternal 3 Nutrition 4 Acute condition 5 Injury 6 Surgery 7 Sleep probs 8 Occupation 87 Other 88 Don't know 9 Pain in joints 98 Not applicable Q5009: Transport type How did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know Q5009: Transport type How did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know Q5009: Transport type How did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know Q5009: Transport type How did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know Q5009: Transport type How did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know Q5009: Transport type How did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know Q5009: Transport type How did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know Q5009a: Hours About how long did it take you to get there? 88 Don't know -9 NA -8 DK Q5009a: Minutes About how long did it take you to get there? 88 Don't know -9 NA -8 DK 88 Don't know Q5009b: City/village started trip from? How did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know Q5009c: Location started trip from (home, work, other)? How did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know 1 Home 2 Work 7 Other 8 Don't know 9 Not applicable Q5010: Who paid (single) Who paid for this hospitalisation? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance scheme 7Voluntary Insurance Scheme 8 Hospitalisation was free .......Q5013 Q5010: Who paid (single) Who paid for this hospitalisation? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance scheme 7Voluntary Insurance Scheme 8 Hospitalisation was free .......Q5013 Q5010: Who paid (single) Who paid for this hospitalisation? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance scheme 7Voluntary Insurance Scheme 8 Hospitalisation was free .......Q5013 Q5010: Who paid (single) Who paid for this hospitalisation? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance scheme 7Voluntary Insurance Scheme 8 Hospitalisation was free .......Q5013 Q5010: Who paid (single) Who paid for this hospitalisation? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance scheme 7Voluntary Insurance Scheme 8 Hospitalisation was free .......Q5013 Q5010: Who paid (single) Who paid for this hospitalisation? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance scheme 7Voluntary Insurance Scheme 8 Hospitalisation was free .......Q5013 Q5010: Who paid (single) Who paid for this hospitalisation? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance scheme 7Voluntary Insurance Scheme 8 Hospitalisation was free .......Q5013 Q5010: Who paid (single) Who paid for this hospitalisation? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance scheme 7Voluntary Insurance Scheme 8 Hospitalisation was free .......Q5013 Q5011a: Health care provider Thinking about your last [hospital] stay, how much did you or your family/household members pay out-of-pocket for: [Health care provider's] fees -8 DK Free Q5011b: Medicines Thinking about your last [hospital] stay, how much did you or your family/household members pay out-of-pocket for: Medicines -8 DK Free Q5011c: Tests Thinking about your last [hospital] stay, how much did you or your family/household members pay out-of-pocket for: Tests -8 DK Free Q5011d: Transport Thinking about your last [hospital] stay, how much did you or your family/household members pay out-of-pocket for: Transport -8 DK 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 -8 DK Free Q5012: Total cost About how much in total did you or a family/household member pay out-of-pocket for this hospitalisation? -9 NA -8 DK Free Q5013: How satisfied Overall, how satisfied were you with the care you received during your last [hospital] stay? 1Very satisfied 2Satisfied 3Neither satisfied nor dissatisfied 4Dissatisfied 5 Very dissatisfied 1 Very satisfied 2 Satisfied 3 Neutral 4 Dissatisfied 5 Very dissatisfied 8 Don't know 9 Not applicable Q5014: Outcome What was the outcome or result of your visit to the [hospital]? Did your condition 1Get much better 2Get better 3No change 4Get worse 5 Get much worse 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q5016: Second visit - facility type I have asked you many questions about your last overnight stay, but now I want to know about other overnight stays you have had in the last 12 months. Think now of the overnight stay the time before the one you just described to me. This would be your second overnight stay in the last 12 months What type of hospital or facility was it? 1Public hospital 2Private hospital 3Charity or church-run hospital 4Old person's home or long-term care facility 7 Other, specify: 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 I have asked you many questions about your last overnight stay, but now I want to know about other overnight stays you have had in the last 12 months. Think now of the overnight stay the time before the one you just described to me. This would be your second overnight stay in the last 12 months Which reason best describes why you were last hospitalised? 1 Communicable disease (infections, malaria, tuberculosis, HIV) 2 Maternal and perinatal conditions (pregnancy) 3 Nutritional deficiencies 4 Acute conditions (diarrhoea, fever, flu, headaches, cough, other) 5 Injury 6 Surgery 7 Sleep problems 8 Occupation/work related condition/injury 9 Chronic pain in your joints/arthritis (joints, back, neck) 10 Diabetes or related complications 11 Problems with your heart including unexplained pain in chest 12 Problems with your mouth, teeth or swallowing 13 Problems with your breathing 14 High blood pressure / hypertension 15 Stroke/sudden paralysis of one side of body 16 Generalized pain (stomach, muscle or other nonspecific pain) 17 Depression or anxiety 18 Cancer 87 Other, specify: -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 And now think of the overnight stay the time before the one you just described to me. This would be your third overnight stay in the last 12 months. What type of hospital or facility was it? 1Public hospital 2Private hospital 3Charity or church-run hospital 4Old person's home or long-term care facility 7 Other, specify: 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? 1 Communicable disease (infections, malaria, tuberculosis, HIV) 2 Maternal and perinatal conditions (pregnancy) 3 Nutritional deficiencies 4 Acute conditions (diarrhoea, fever, flu, headaches, cough, other) 5 Injury 6 Surgery 7 Sleep problems 8 Occupation/work related condition/injury 9 Chronic pain in your joints/arthritis (joints, back, neck) 10 Diabetes or related complications 11 Problems with your heart including unexplained pain in chest 12 Problems with your mouth, teeth or swallowing 13 Problems with your breathing 14 High blood pressure / hypertension 15 Stroke/sudden paralysis of one side of body 16 Generalized pain (stomach, muscle or other nonspecific pain) 17 Depression or anxiety 18 Cancer 87 Other, specify: -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 Now I want you to think again about your most recent overnight stay. I would like to ask you about your impressions of your last overnight stay. I would like you to rate your experiences using the following questions. 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: 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5019: Treated respectfully Now I want you to think again about your most recent overnight stay. I would like to ask you about your impressions of your last overnight stay. I would like you to rate your experiences using the following questions. 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: 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5020: Clear explanations Now I want you to think again about your most recent overnight stay. I would like to ask you about your impressions of your last overnight stay. I would like you to rate your experiences using the following questions. 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: 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5021: Involved in decisions Now I want you to think again about your most recent overnight stay. I would like to ask you about your impressions of your last overnight stay. I would like you to rate your experiences using the following questions. 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: 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5022: Talk privately Now I want you to think again about your most recent overnight stay. I would like to ask you about your impressions of your last overnight stay. I would like you to rate your experiences using the following questions. 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: 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5023: Ease of finding Now I want you to think again about your most recent overnight stay. I would like to ask you about your impressions of your last overnight stay. I would like you to rate your experiences using the following questions. 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: 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5024: Cleanliness Now I want you to think again about your most recent overnight stay. I would like to ask you about your impressions of your last overnight stay. I would like you to rate your experiences using the following questions. 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: 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5026: Outpatient 1 Yes 2 No 8 Don't know 9 Not applicable Q5027: Times Outpatient care and Care at Home Now I will shift away from questions about overnight stays - to questions about health care you received that did not include an overnight hospital stay. The following questions are about care you received at a hospital, health centre, clinic, private office or at home from a health care worker, but where you did not stay overnight In total, how many times did you receive health care or consultation in the last 12 months? 1 Yes 2 No -9 Not applicable -8 Don't know Q5028: Last facility Outpatient care and Care at Home Now I will shift away from questions about overnight stays - to questions about health care you received that did not include an overnight hospital stay. The following questions are about care you received at a hospital, health centre, clinic, private office or at home from a health care worker, but where you did not stay overnight Over the last 12 months, did you receive any health care NOT including an overnight stay in hospital or long-term care facility? 1Private doctor's office 2Private clinic or health care facility 3Private hospital 4Public clinic or health care facility 5Public hospital 6Charity or church run clinic 7Charity or church run hospital 8Home visit 87 Other, specify: 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? Q5028b: Facility code What was the name of this health care facility or provider? -9 Not applicable -8 Don't know Q5028c: Name of city/village started trip to facility Q5028d: From home, work, other? 1 Home 2 Work 7 Other 8 Don't know 9 Not applicable Q5029: Provider Which was the last (most recent) health care provider you visited? 1Medical doctor (including surgeon, gynecologist, psychiatrist, ophthalmologist,…) 2Nurse/Midwife 3Dentist 4Physiotherapist or chiropractor 5Traditional medicine practitioner (use local name) 6Pharmacist, druggist 7Home health care worker 8 Don't know 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]? 1 Yes 2 No 1 Male 2 Female Q5029b: Chronic, new, both Was this visit to [health care provider] for a chronic (ongoing) condition, new condition or both? 1Chronic 2New 3Both 7 Other, specify… 1 Chronic 2 New 3 Both 4 Routine check-up Q5029c: Reason for last outpt Which reason best describes why you needed this visit? 1COMMUNICABLE DISEASE (INFECTIONS, MALARIA, TUBERCULOSIS, HIV) 2MATERNAL AND PERINATAL CONDITIONS (PREGNANCY) 3NUTRITIONAL DEFICIENCIES 4ACUTE CONDITIONS (DIARRHOEA, FEVER, FLU, HEADACHES, COUGH, OTHER) 5INJURY 6SURGERY 7SLEEP PROBLEMS 8OCCUPATION/WORK RELATED CONDITION/INJURY 9CHRONIC PAIN IN YOUR JOINTS/ARTHRITIS (JOINTS, BACK, NECK) 10DIABETES OR RELATED COMPLICATIONS 11PROBLEMS WITH YOUR HEART INCLUDING UNEXPLAINED PAIN IN CHEST 12PROBLEMS WITH YOUR MOUTH, TEETH OR SWALLOWING 13PROBLEMS WITH YOUR BREATHING 14HIGH BLOOD PRESSURE / HYPERTENSION 15STROKE/SUDDEN PARALYSIS OF ONE SIDE OF BODY 16GENERALIZED PAIN (STOMACH, MUSCLE OR OTHER NONSPECIFIC PAIN) 17DEPRESSION OR ANXIETY 18CANCER 87 OTHER, SPECIFY: 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? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know 9 Not applicable Q5030: Means of transport (single) Thinking about your last visit, how did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know 9 Not applicable Q5030: Means of transport (single) Thinking about your last visit, how did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know 9 Not applicable Q5030: Means of transport (single) Thinking about your last visit, how did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know 9 Not applicable Q5030: Means of transport (single) Thinking about your last visit, how did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know 9 Not applicable Q5030: Means of transport (single) Thinking about your last visit, how did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know 9 Not applicable Q5030: Means of transport (single) Thinking about your last visit, how did you get there? 1Private vehicle 2Public transportation 3Taxicab 4Ambulance or emergency vehicle 5Bicycle 6Walked 8 Don't know 9 Not applicable Q5030: Means of transport (single) Q5031: Time (hours) About how long did it take you to get there? -9 NA -8 DK Q5031: Time (minutes) About how long did it take you to get there? -9 NA -8 DK Q5032: Who paid? (single) Who paid for this most recent visit? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance Scheme 7Voluntary Insurance Scheme 8 It was free .............Q5034 Q5032: Who paid? (single) Who paid for this most recent visit? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance Scheme 7Voluntary Insurance Scheme 8 It was free .............Q5034 Q5032: Who paid? (single) Who paid for this most recent visit? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance Scheme 7Voluntary Insurance Scheme 8 It was free .............Q5034 Q5032: Who paid? (single) Who paid for this most recent visit? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance Scheme 7Voluntary Insurance Scheme 8 It was free .............Q5034 Q5032: Who paid? (single) Who paid for this most recent visit? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance Scheme 7Voluntary Insurance Scheme 8 It was free .............Q5034 Q5032: Who paid? (single) Who paid for this most recent visit? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance Scheme 7Voluntary Insurance Scheme 8 It was free .............Q5034 Q5032: Who paid? (single) Who paid for this most recent visit? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance Scheme 7Voluntary Insurance Scheme 8 It was free .............Q5034 Q5032: Who paid? (single) Who paid for this most recent visit? Anyone else? 1Respondent 2Spouse/partner 3Son/daughter 4Other family member 5Non-family member 6Mandatory Insurance Scheme 7Voluntary Insurance Scheme 8 It was free .............Q5034 Q5033A: Fees Thinking about your last visit, how much did you or your household pay for:a. [Health care provider's] fees -8 DK Free Q5033B: Medicines Thinking about your last visit, how much did you or your household pay for:b. Medicines -8 DK Free Q5033C: Tests Thinking about your last visit, how much did you or your household pay for:Tests -8 DK Free Q5033D: Transport Thinking about your last visit, how much did you or your household pay for:d. Transport -8 DK Free Q5033E: Other Thinking about your last visit, how much did you or your household pay for:e. Other -8 DK Q5033F: Total costs Thinking about your last visit, how much did you or your household pay for: F. Total costs -8 DK Free Q5034: Satisfaction Overall, how satisfied were you with the care you received during your last visit? 1Very satisfied 2Satisfied 3Neither satisfied nor dissatisfied 4Dissatisfied 5 Very dissatisfied 1 Very satisfied 2 Satisfied 3 Neutral 4 Dissatisfied 5 Very dissatisfied 8 Don't know 9 Not applicable Q5035: Condition What was the outcome of your visit to the health care provider? Did your condition….? 1Get much better 2Get better 3No change 4Get worse 5 Get much worse 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q5037: Provider 2nd I will ask you about up to two more encounters/visits with health professionals in addition to the last visit you just described. So could you please tell us now about the visit prior to the last (most recent) visit you just described. This would describe your second to last visit. Which was the health care provider you visited? 1Medical doctor (including surgeon, gynecologist, psychiatrist, ophthalmologist, etc) 2Nurse/Midwife 3Dentist 4Physiotherapist or chiropractor 5Traditional medicine practitioner (use local name) 6Pharmacist, druggist 7Home health care worker 8 Don't know 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]? 1 Male 2 Female 1 Male 2 Female Q5037b: Chronic, new, both Was this visit to [health care provider] for a chronic (ongoing) condition, new condition or both? 1Chronic 2New 3Both 7 Other, specify 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? 1COMMUNICABLE DISEASE (INFECTIONS, MALARIA, TUBERCULOSIS, HIV) 2MATERNAL AND PERINATAL CONDITIONS (PREGNANCY) 3NUTRITIONAL DEFICIENCIES 4ACUTE CONDITIONS (DIARRHOEA, FEVER, FLU, HEADACHES, COUGH, OTHER) 5INJURY 6SURGERY 7SLEEP PROBLEMS 8OCCUPATION/WORK RELATED CONDITION/INJURY 9CHRONIC PAIN IN YOUR JOINTS/ARTHRITIS (JOINTS, BACK, NECK) 10DIABETES OR RELATED COMPLICATIONS 11PROBLEMS WITH YOUR HEART INCLUDING UNEXPLAINED PAIN IN CHEST 12PROBLEMS WITH YOUR MOUTH, TEETH OR SWALLOWING 13PROBLEMS WITH YOUR BREATHING 14HIGH BLOOD PRESSURE / HYPERTENSION 15STROKE/SUDDEN PARALYSIS OF ONE SIDE OF BODY 16GENERALIZED PAIN (STOMACH, MUSCLE OR OTHER NONSPECIFIC PAIN) 17DEPRESSION OR ANXIETY 18CANCER 87 OTHER, SPECIFY: 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 And now think of the visit the time before the one you just described to me. This would be your third visit in the last 12 months Which was the health care provider you visited? 1Medical doctor (including surgeon, gynecologist, psychiatrist, ophthalmologist, etc) 2Nurse/Midwife 3Dentist 4Physiotherapist or chiropractor 5Traditional medicine practitioner (use local name) 6Pharmacist, druggist 7Home health care worker 8 Don't know 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]? 1Male 2 Female 1 Male 2 Female Q5038b: Chronic, new, both Was this visit to [health care provider] for a chronic (ongoing) condition, new condition or both? 1Chronic 2New 3Both 7 Other, specify 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? 1COMMUNICABLE DISEASE (INFECTIONS, MALARIA, TUBERCULOSIS, HIV) 2MATERNAL AND PERINATAL CONDITIONS (PREGNANCY) 3NUTRITIONAL DEFICIENCIES 4ACUTE CONDITIONS (DIARRHOEA, FEVER, FLU, HEADACHES, COUGH, OTHER) 5INJURY 6SURGERY 7SLEEP PROBLEMS 8OCCUPATION/WORK RELATED CONDITION/INJURY 9CHRONIC PAIN IN YOUR JOINTS/ARTHRITIS (JOINTS, BACK, NECK) 10DIABETES OR RELATED COMPLICATIONS 11PROBLEMS WITH YOUR HEART INCLUDING UNEXPLAINED PAIN IN CHEST 12PROBLEMS WITH YOUR MOUTH, TEETH OR SWALLOWING 13PROBLEMS WITH YOUR BREATHING 14HIGH BLOOD PRESSURE / HYPERTENSION 15STROKE/SUDDEN PARALYSIS OF ONE SIDE OF BODY 16GENERALIZED PAIN (STOMACH, MUSCLE OR OTHER NONSPECIFIC PAIN) 17DEPRESSION OR ANXIETY 18CANCER 87 OTHER, SPECIFY: 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 Now I would like you to think about your most recent visit again. I want to know your impressions of your most recent visit for health care. I would like you to rate your experiences using the following questions For your last visit to a health care provider, how would you rate the following the amount of time you waited before being attended to? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5040: Treated respectfully Now I would like you to think about your most recent visit again. I want to know your impressions of your most recent visit for health care. I would like you to rate your experiences using the following questions For your last visit to a health care provider, how would you rate the following:your experience of being treated respectfully? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5041: Clear explanations Now I would like you to think about your most recent visit again. I want to know your impressions of your most recent visit for health care. I would like you to rate your experiences using the following questions For your last visit to a health care provider, how would you rate the following:how clearly health care providers explained things to you? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5042: Involved in decisions Now I would like you to think about your most recent visit again. I want to know your impressions of your most recent visit for health care. I would like you to rate your experiences using the following questions 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? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5043: Talk privately Now I would like you to think about your most recent visit again. I want to know your impressions of your most recent visit for health care. I would like you to rate your experiences using the following questions 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? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5044: Ease of finding Now I would like you to think about your most recent visit again. I want to know your impressions of your most recent visit for health care. I would like you to rate your experiences using the following questions 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? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable Q5045: Cleanliness Now I would like you to think about your most recent visit again. I want to know your impressions of your most recent visit for health care. I would like you to rate your experiences using the following questions For your last visit to a health care provider, how would you rate the following:the cleanliness in the health facility? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 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? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable 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. 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? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable 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. 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? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable 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. 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? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable 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. 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? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable 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. 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? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable 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. Q5052: Vignette 7 [Robert] had a broken arm. The doctor explained different ways of fixing it and then ordered some blood tests. [Robert] didn't know why he needed blood tests and was worried until the doctor explained what they were for. How would you rate [Robert's] experience of being involved in making decisions about his health care or treatment? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable 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. Q5053: Satisfaction We would like to finish this section by asking you two questions about your satisfaction with the health system in your country. If you received health care, think about the health care service(s) you received in the last 12 months when answering the questions. 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? 1Very satisfied 2Satisfied 3Neither satisfied nor dissatisfied 4Dissatisfied 5Very Dissatisfied 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? 1Very good 2Good 3Moderate 4Bad 5Very bad 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Don't know 9 Not applicable S6000: HH begin S6000: MM begin S6000: HH end S6000: MM end Q6001: Public meeting We would like to shift away from questions about your direct health. This section of the survey asks your opinions about other areas and issues in your life. The following questions are to get your opinions about community, social and political aspects in your life. We'd like to know about some of your involvement in your community. For all of these, I want you just to give me your best guess. How often in the last 12 months have you attended any public meeting in which there was discussion of local or school affairs? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 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 We would like to shift away from questions about your direct health. This section of the survey asks your opinions about other areas and issues in your life. The following questions are to get your opinions about community, social and political aspects in your life. We'd like to know about some of your involvement in your community. For all of these, I want you just to give me your best guess. How often in the last 12 months have you met personally with someone you consider to be a community leader? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 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 We would like to shift away from questions about your direct health. This section of the survey asks your opinions about other areas and issues in your life. The following questions are to get your opinions about community, social and political aspects in your life. We'd like to know about some of your involvement in your community. For all of these, I want you just to give me your best guess. How often in the last 12 months have you attended any group, club, society, union or organizational meeting? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 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 We would like to shift away from questions about your direct health. This section of the survey asks your opinions about other areas and issues in your life. The following questions are to get your opinions about community, social and political aspects in your life. We'd like to know about some of your involvement in your community. For all of these, I want you just to give me your best guess. How often in the last 12 months have you worked with other people in your neighborhood to fix or improve something? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 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 We would like to shift away from questions about your direct health. This section of the survey asks your opinions about other areas and issues in your life. The following questions are to get your opinions about community, social and political aspects in your life. We'd like to know about some of your involvement in your community. For all of these, I want you just to give me your best guess. How often in the last 12 months have you had friends over to your home? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 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 We would like to shift away from questions about your direct health. This section of the survey asks your opinions about other areas and issues in your life. The following questions are to get your opinions about community, social and political aspects in your life. We'd like to know about some of your involvement in your community. For all of these, I want you just to give me your best guess. 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? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 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 We would like to shift away from questions about your direct health. This section of the survey asks your opinions about other areas and issues in your life. The following questions are to get your opinions about community, social and political aspects in your life. We'd like to know about some of your involvement in your community. For all of these, I want you just to give me your best guess. How often in the last 12 months have you socialized with coworkers outside of work? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 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 We would like to shift away from questions about your direct health. This section of the survey asks your opinions about other areas and issues in your life. The following questions are to get your opinions about community, social and political aspects in your life. We'd like to know about some of your involvement in your community. For all of these, I want you just to give me your best guess. How often in the last 12 months have you attended religious services (not including weddings and funerals)? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 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? We would like to shift away from questions about your direct health. This section of the survey asks your opinions about other areas and issues in your life. The following questions are to get your opinions about community, social and political aspects in your life. We'd like to know about some of your involvement in your community. For all of these, I want you just to give me your best guess. 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? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 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? 1Would like to go out more often 2Satisfied with frequency of going out ..........Q6012 Would NOT like to go out more often .........Q6012 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? 1Health problems 2Safety or security concerns 3Other non-health related reasons 87 Other, specify 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? 1Can be trusted Can't be too careful 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? 1Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q6014: Neighbors First, think about people in your neighbourhood. Generally speaking, would you say that you can trust them…? 1 To a very great extent 2 To a great extent 3 Neither great nor small extent 4 To a small extent 5 To a very small extent 1 A lot 2 Some 3 Neither 4 A little 5 Not at all 8 Don't know 9 Not applicable Q6015: Coworkers Now, think about people whom you work with. Generally speaking, would you say that you can trust them …? 1 To a very great extent 2 To a great extent 3 Neither great nor small extent 4 To a small extent 5 To a very small extent 1 A lot 2 Some 3 Neither 4 A little 5 Not at all 8 Don't know 9 Not applicable Q6016: Strangers And how about strangers? Generally speaking, would you say that you can trust them …? 1 To a very great extent 2 To a great extent 3 Neither great nor small extent 4 To a small extent 5 To a very small extent 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? 1Completely safe 2Very safe 3Moderately safe 4Slightly safe 5 Not safe at all 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? 1Completely safe 2Very safe 3Moderately safe 4Slightly safe 5 Not safe at all 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? 1 Yes 2 No 1 Yes 2 No 8 Don't know 9 Not applicable Q6020: Interest Last, we would like to know about your level of interest in local or national politics and your opinions about how the government responds to issues that interest you. Remember, all responses are confidential. How interested would you say you are in politics and national affairs? Would you say you are …..? Read responses 1Very interested 2Interested 3Neither interested nor uninterested 4Uninterested 5 Very uninterested 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? 1Yes 2No 9 Refusal 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? 1Unlimited say 2A lot of say 3Some say 4Little say 5 No say at all 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? 1Completely free 2Very free 3Moderately free 4Slightly free 5 Not free at all 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 S7000: MM begin S7000: HH end S7000: MM end Q7001: Enough energy Now, we'd like to ask for your thoughts about your life and life situation. We want to know how you feel about your health and quality of life. Do you have enough energy for everyday life? 1Completely 2Mostly 3Moderately 4A little 5 None at all 1 Completely 2 Mostly 3 Moderately 4 A little 5 Not at all 8 Don't know 9 Not applicable Q7002: Enough money Now, we'd like to ask for your thoughts about your life and life situation. We want to know how you feel about your health and quality of life. Do you have enough money to meet your needs? 1Completely 2Mostly 3Moderately 4A little 5 None at all 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? 1 VERY SATISFIED 2 SATISFIED 3 NEITHER SATISFIED NOR DISSATISFIED 4 DISSATISFIED 5 VERY DISSATISFIED 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? 1 VERY SATISFIED 2 SATISFIED 3 NEITHER SATISFIED NOR DISSATISFIED 4 DISSATISFIED 5 VERY DISSATISFIED 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? 1 VERY SATISFIED 2 SATISFIED 3 NEITHER SATISFIED NOR DISSATISFIED 4 DISSATISFIED 5 VERY DISSATISFIED 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? 1 VERY SATISFIED 2 SATISFIED 3 NEITHER SATISFIED NOR DISSATISFIED 4 DISSATISFIED 5 VERY DISSATISFIED 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. How satisfied are you with the conditions of your living place? 1 VERY SATISFIED 2 SATISFIED 3 NEITHER SATISFIED NOR DISSATISFIED 4 DISSATISFIED 5 VERY DISSATISFIED 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? 1 VERY SATISFIED 2 SATISFIED 3 NEITHER SATISFIED NOR DISSATISFIED 4 DISSATISFIED 5 VERY DISSATISFIED 1 Very satisfied 2 Satisfied 3 Neutral 4 Dissatisfied 5 Very dissatisfied 8 Don't know 9 Not applicable Q7008a: Control How often have you felt that you were unable to control the important things in your life? Read responses 1Never 2Almost never 3Sometimes 4Fairly often 5 Very often 1 Never 2 Almost never 3 Sometimes 4 Fairly often 5 Very often 8 Don't know 9 Not applicable Q7008b: Coping How often have you found that you could not cope with all the things that you had to do? Read responses 1Never 2Almost never 3Sometimes 4Fairly often 5 Very often 1 Never 2 Almost never 3 Sometimes 4 Fairly often 5 Very often 8 Don't know 9 Not applicable Q7009: Overall QoL How would you rate your overall quality of life? Read responses 1Very Good 2Good 3Moderate 4Bad 5Very Bad 8 Don't Know 1 Very good` 2 good 3 moderate 4 bad 5 Very bad 8 Don't know 9 Not applicable Q7010: Happiness level Taking all things together, how would you say you are these days? Are you…? Read responses 1Very Good 2Good 3Moderate 4Bad 5Very Bad 8 Don't Know 1 Very happy 2 Happy 3 Neither 4 Unhappy 5 Very unhappy 8 Don't know 9 Not applicable Q7011: Current time (HH) Record current time. Q7011: Current time (MM) Record current time. Q7012: End time (HH) Add 15 minutes to compute the end time of this part of the interview. Q7012: End time (MM) Add 15 minutes to compute the end time of this part of the interview. Q7013: Awoke (HH) Now I would like to ask you questions about what you did yesterday. I want you to try to remember the sequence of activities that you did from when you woke up until later in the day. We'll go through this one activity at a time. People do different activities throughout the day. Here is a list of examples: working, preparing food, doing housework, watching children, traveling to work or the market, grooming, bathing, eating, exercising, praying, resting, chatting with friends, playing cards, watching TV, listening to the radio, reading the newspaper or taking care of someone. I would like for you to tell me about all the different things that you did yesterday. You may have done some of the things that I just mentioned. You may have done other things too. Please keep all of your responses to just a word or two. And you don't have to mention very short activities, like washing hands, which only take one or two minutes. We'll start at the beginning. When did you wake up yesterday? TIME 8888 DON'T KNOW TIME 88 DK Q7013: Awoke (MM) Now I would like to ask you questions about what you did yesterday. I want you to try to remember the sequence of activities that you did from when you woke up until later in the day. We'll go through this one activity at a time. People do different activities throughout the day. Here is a list of examples: working, preparing food, doing housework, watching children, traveling to work or the market, grooming, bathing, eating, exercising, praying, resting, chatting with friends, playing cards, watching TV, listening to the radio, reading the newspaper or taking care of someone. I would like for you to tell me about all the different things that you did yesterday. You may have done some of the things that I just mentioned. You may have done other things too. Please keep all of your responses to just a word or two. And you don't have to mention very short activities, like washing hands, which only take one or two minutes. We'll start at the beginning. When did you wake up yesterday? TIME 8888 DON'T KNOW TIME 88 DK Q7015: Activity (1) What was the first thing you did after waking up yesterday morning? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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? 88 Don't know 98 Not applicable Q7016: Duration (MM) How long did this activity last? 88 Don't know 98 Not applicable Q7017: Start (1) (HH) At what time did this activity begin? 88 Don't know 98 Not applicable Q7017: Start (1) (MM) At what time did this activity begin? 88 Don't know 98 Not applicable Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7019: Worried We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7020: Rushed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7021: Irritated/angry We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7022: Depressed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7023: Tense/stressed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7024: Calm/relaxed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7025: Enjoying We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night -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 -9 Not applicable -8 Don't know Q7051: Duration (MM) How long did this activity last? Hours : Minutes -9 Not applicable -8 Don't know Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7053: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7054: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7055: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7056: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7057: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7058: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7059: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night -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 Q7101: Duration (MM) How long did this activity last? Hours : Minutes Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7103: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7104: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7105: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7106: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7107: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7108: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7109: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night -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? Q7151: Duration (MM) How long did this activity last? Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7153: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7154: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7155: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7156: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7157: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7158: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7159: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night -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 Q7201: Duration (5) (MM) How long did this activity last? Hours : Minutes Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7202a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7203: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7204: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7205: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7206: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7207: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7208: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7209: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7210: Current time (HH) Record current time. Q7210: Current time (MM) Record current time. Q7250: Activity (6) What was the next thing you did yesterday? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night -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 Q7251: Duration (6) (MM) How long did this activity last? Hours : Minutes Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7253: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7254: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7255: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7256: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7257: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7258: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7259: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7260: Current time (HH) Record current time Q7260: Current time (MM) Record current time Q7300: Activity (7) What was the next thing you did yesterday? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night -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 Q7301: Duration (7) (MM) How long did this activity last? Hours : Minutes Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7302a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7303: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7304: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7305: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7306: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7307: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7308: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7309: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7310: Current time (HH) Record current time. Q7310: Current time (MM) Record current time. Q7350: Activity (8) What was the next thing you did yesterday? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night -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 Q7351: Duration (8) (MM) How long did this activity last? Hours : Minutes Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7352a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7353: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7354: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7355: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7356: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7357: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7358: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7359: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7360: Current time (HH) Record current time Q7360: Current time (MM) Record current time Q7400: Activity (9) What was the next thing you did yesterday? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night -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 Q7401: Duration (9) (MM) How long did this activity last? Hours : Minutes Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7403: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7404: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7405: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7406: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7407: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7408: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7409: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7410: Current time (HH) Record current time. Q7410: Current time (MM) Record current time. Q7450: Activity (10) What was the next thing you did yesterday? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night -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 Q7451: Duration (10) (MM) How long did this activity last? Hours : Minutes Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7452a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7453: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7454: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7455: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7456: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7457: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7458: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7459: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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 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 Q7011: Current time (HH) Record current time. Q7011: Current time (MM) Record current time. Q7012: End time (HH) Add 15 minutes to compute the end time of this part of the interview. Q7012: End time (MM) Add 15 minutes to compute the end time of this part of the interview. Q7013: Awoke (HH) Now I would like to ask you questions about what you did yesterday. I want you to try to remember the sequence of activities that you did from about noon or mid-day until later in the day. We'll go through this one activity at a time. People do different activities throughout the day. Here is a list of examples: working, preparing food, doing housework, watching children, traveling to work or the market, grooming, bathing, eating, exercising, praying, resting, chatting with friends, playing cards, watching TV, listening to the radio, reading the newspaper or taking care of someone. I would like for you to tell me about all the different things that you did yesterday. You may have done some of the things that I just mentioned. You may have done other things too. Please keep all of your responses to just a word or two. And you don't have to mention very short activities, like washing hands, which only take one or two minutes. We'll start at the beginning. When did you wake up yesterday? 8888 DON'T KNOW TIME 88 DK Q7013: Awoke (MM) Now I would like to ask you questions about what you did yesterday. I want you to try to remember the sequence of activities that you did from about noon or mid-day until later in the day. We'll go through this one activity at a time. People do different activities throughout the day. Here is a list of examples: working, preparing food, doing housework, watching children, traveling to work or the market, grooming, bathing, eating, exercising, praying, resting, chatting with friends, playing cards, watching TV, listening to the radio, reading the newspaper or taking care of someone. I would like for you to tell me about all the different things that you did yesterday. You may have done some of the things that I just mentioned. You may have done other things too. Please keep all of your responses to just a word or two. And you don't have to mention very short activities, like washing hands, which only take one or two minutes. We'll start at the beginning. When did you wake up yesterday? 8888 DON'T KNOW TIME 88 DK Q7015: Activity (1) What were you doing at around noon or mid-day yesterday? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7016: Duration (MM) How long did this activity last? Hours : Minutes Q7017: Start (1) (HH) At what time did this activity begin? TIME Q7017: Start (1) (MM) At what time did this activity begin? TIME Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. 1Alone ……..…… Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7018a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7019: Worried We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7020: Rushed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7021: Irritated/angry We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7022: Depressed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7023: Tense/stressed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7024: Calm/relaxed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7025: Enjoying We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7051: Duration (MM) How long did this activity last? Hours : Minutes Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7052a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7053: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7054: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7055: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7056: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7057: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7058: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7059: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7101: Duration (MM) How long did this activity last? Hours : Minutes Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7103: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7104: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7105: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7106: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7107: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7108: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7109: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7151: Duration (MM) How long did this activity last? Hours : Minutes Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7153: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7154: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7155: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7156: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7157: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7158: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7159: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7201: Duration (5) (MM) How long did this activity last? Hours : Minutes Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7203: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7204: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7205: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7206: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7207: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7208: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7209: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7210: Current time (HH) Record current time. Q7210: Current time (MM) Record current time. Q7250: Activity (6) What was the next thing you did yesterday? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7251: Duration (6) (MM) How long did this activity last? Hours : Minutes Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7253: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7254: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7255: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7256: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7257: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7258: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7259: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7260: Current time (HH) Record current time. Q7260: Current time (MM) Record current time. Q7300: Activity (7) What was the next thing you did yesterday? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7301: Duration (7) (MM) How long did this activity last? Hours : Minutes Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7303: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7304: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7305: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7306: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7307: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7308: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7309: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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 Q7310: Current time (MM) Record current time TIME Q7350: Activity (8) What was the next thing you did yesterday? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7351: Duration (8) (MM) How long did this activity last? Hours : Minutes Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7353: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7354: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7355: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7356: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7357: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7358: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7359: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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 Q7360: Current time (MM) Record current time. TIME Q7400: Activity (9) What was the next thing you did yesterday? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7401: Duration (9) (MM) How long did this activity last? Hours : Minutes Q7402: Talking with (9) (single) 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402: Talking with (9) (single) 1Alone ……..…… Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7402a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7403: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7404: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7405: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7406: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7407: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7408: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7409: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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 Q7410: Current time (MM) Record current time. Time Q7450: Activity (10) What was the next thing you did yesterday? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7451: Duration (10) (MM) How long did this activity last? Hours : Minutes Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7453: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7454: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7455: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7456: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7457: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7458: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7459: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7011: Current time (HH) Record current time. TIME Q7011: Current time (MM) Record current time. TIME Q7012: End time (HH) Add 15 minutes to compute the end time of this part of the interview. TIME Q7012: End time (MM) Add 15 minutes to compute the end time of this part of the interview. TIME Q7013: Awoke (HH) Now I would like to ask you questions about what you did yesterday. I want you to try to remember the sequence of activities that you did in the evening, from about 6pm (18.00 or early evening), until you went to bed. We'll go through this one activity at a time. People do different activities throughout the day. Here is a list of examples: working, preparing food, doing housework, watching children, traveling to work or the market, grooming, bathing, eating, exercising, praying, resting, chatting with friends, playing cards, watching TV, listening to the radio, reading the newspaper or taking care of someone. I would like for you to tell me about all the different things that you did yesterday. You may have done some of the things that I just mentioned. You may have done other things too. Please keep all of your responses to just a word or two. And you don't have to mention very short activities, like washing hands, which only take one or two minutes. At what time did you wake up yesterday? 8888 DON'T KNOW TIME 88 DK Q7013: Awoke (MM) Now I would like to ask you questions about what you did yesterday. I want you to try to remember the sequence of activities that you did in the evening, from about 6pm (18.00 or early evening), until you went to bed. We'll go through this one activity at a time. People do different activities throughout the day. Here is a list of examples: working, preparing food, doing housework, watching children, traveling to work or the market, grooming, bathing, eating, exercising, praying, resting, chatting with friends, playing cards, watching TV, listening to the radio, reading the newspaper or taking care of someone. I would like for you to tell me about all the different things that you did yesterday. You may have done some of the things that I just mentioned. You may have done other things too. Please keep all of your responses to just a word or two. And you don't have to mention very short activities, like washing hands, which only take one or two minutes. At what time did you wake up yesterday? 8888 DON'T KNOW TIME 88 DK Q7015: Activity (1) What was the next thing you did yesterday evening or night? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7016: Duration (MM) How long did this activity last? Hours : Minutes Q7017: Start (1) (HH) At what time did this activity begin? TIME Q7017: Start (1) (MM) At what time did this activity begin? TIME Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting 1Alone ……..…Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting 1Alone ……..…Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting 1Alone ……..…Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting 1Alone ……..…Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting 1Alone ……..…Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting 1Alone ……..…Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting 1Alone ……..…Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7018: Talking with (single) Were you talking or interacting with anyone when you did this? By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting 1Alone ……..…Q7019 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7018a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7019: Worried We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions. How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7020: Rushed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions. How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7021: Irritated/angry We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions. How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7022: Depressed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions. How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7023: Tense/stressed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions. How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7024: Calm/relaxed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions. How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7025: Enjoying We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much" to the following questions. How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7051: Duration (MM) How long did this activity last? Hours : Minutes Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7052: Talking with (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…… Q7053 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7052a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1Very friendly 2A little friendly 3A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7053: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7054: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7055: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7056: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7057: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7058: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7059: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7101: Duration (MM) How long did this activity last? Hours : Minutes Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102: Talking with (3) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7103 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7102a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7103: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7104: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7105: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7106: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7107: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7108: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7109: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7151: Duration (MM) How long did this activity last? Hours : Minutes Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152: Talking with (4) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7153 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7152a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7153: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7154: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7155: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7156: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7157: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7158: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7159: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 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? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7201: Duration (5) (MM) How long did this activity last? Hours : Minutes Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202: Talking with (5) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7203 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7202a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7203: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7204: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7205: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7206: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7207: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7208: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7209: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7210: Current time (HH) Record current time. Q7210: Current time (MM) Record current time. Q7250: Activity (6) What was the next thing you did yesterday evening or night? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7251: Duration (6) (MM) How long did this activity last? Hours : Minutes Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252: Talking with (6) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7253 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7252a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7253: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7254: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7255: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7256: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7257: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7258: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7259: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7260: Current time (HH) Record current time Q7260: Current time (MM) Record current time Q7300: Activity (7) What was the next thing you did yesterday evening or night? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7301: Duration (7) (MM) How long did this activity last? Hours : Minutes Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302: Talking with (7) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7303 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7302a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7303: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7304: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7305: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7306: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7307: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7308: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7309: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7310: Current time (HH) Record current time Q7310: Current time (MM) Record current time Q7350: Activity (8) What was the next thing you did yesterday evening or night? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7351: Duration (8) (MM) How long did this activity last? Hours : Minutes Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352: Talking with (8) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7353 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7352a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7353: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7354: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7355: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7356: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7357: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7358: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7359: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7360: Current time (HH) Record current time. Q7360: Current time (MM) Record current time. Q7400: Activity (9) What was the next thing you did yesterday evening or night? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7401: Duration (9) (MM) How long did this activity last? Hours : Minutes Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7402: Talking with (9) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..…Q7403 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify Q7402a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7403: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7404: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7405: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7406: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7407: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7408: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7409: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7410: Current time (HH) Record current time. Q7410: Current time (MM) Record current time. Q7450: Activity (10) What was the next thing you did yesterday evening or night? 1 Working 2 Subsistence farming 3 Preparing food 4 Doing housework 5 Watching children 6 Shopping 7 Walking somewhere 8 Traveling by bicycle 9 traveling by car/bus/train 10 Rest (includes tea/coffee break) 11 Chatting with Someone 12 Playing (includes cards/games) 13 Reading 14 Listening to radio 15 Watching TV 16 Exercising or Leisurely Walk 17 Other Leisurely Activity 18 Grooming or Bathing (self) 19 Eating 20 Religious activity 21 Providing care to someone 22 Intimate Relations/Sex 23 Went to sleep for the night 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 Q7451: Duration (10) (MM) How long did this activity last? Hours : Minutes Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452: Talking with (10) (single) Were you talking or interacting with anyone when you did this? 1Alone ……..……Q7453 2Spouse 3Adult Children 4Young Children or Grandchildren 5Family (Other than Spouse/Children) 6Friends 7Co-Workers 87 Other, specify: Q7452a: Friendly? At the time, how friendly were you feeling towards this person (these people)? 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 1 Very friendly 2 A little friendly 3 A little irritated 4 Very irritated 8 Don't know 9 Not applicable Q7453: Worried Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7454: Rushed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7455: Irritated/angry Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7456: Depressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7457: Tense/stressed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7458: Calm/relaxed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7459: Enjoyed Now, please think about how you felt yesterday during that time of the day. Please respond "not at all", "a little", or "very much". How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7011: Current time (HH) Record current time. Q7011: Current time (MM) Record current time. Q7013: Awoke (HH) Now I would like to ask you questions about what you did yesterday. I want you to try to remember the sequence of activities that you did from when you woke up until when you went to sleep last night. I will start by asking you what you did in the morning yesterday, and you should just give me a short description. Then I will ask about the afternoon and then the evening. At what time did you wake up yesterday? TIME 88 DK Q7013: Awoke (MM) Now I would like to ask you questions about what you did yesterday. I want you to try to remember the sequence of activities that you did from when you woke up until when you went to sleep last night. I will start by asking you what you did in the morning yesterday, and you should just give me a short description. Then I will ask about the afternoon and then the evening. At what time did you wake up yesterday? TIME 88 DK Q7014: to sleep (HH) Now I would like to ask you questions about what you did yesterday. I want you to try to remember the sequence of activities that you did from when you woke up until when you went to sleep last night. I will start by asking you what you did in the morning yesterday, and you should just give me a short description. Then I will ask about the afternoon and then the evening. At what time did you go to sleep yesterday? TIME Q7014: to sleep (MM) Now I would like to ask you questions about what you did yesterday. I want you to try to remember the sequence of activities that you did from when you woke up until when you went to sleep last night. I will start by asking you what you did in the morning yesterday, and you should just give me a short description. Then I will ask about the afternoon and then the evening. At what time did you go to sleep yesterday? TIME Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 1 WORKING 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 2 PREPARING FOOD 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 3 DOING HOUSEWORK 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 4 SUBSISTENCE FARMING 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 5 WATCHING CHILDREN 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 6 SHOPPING 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 7 WALKING SOMEWHERE 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 8 TRAVELING BY BICYCLE 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 9 TRAVELING BY CAR/BUS/TRAIN 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 10 REST (INCLUDES TEA/COFFEE BREAK) 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 11 CHATTING WITH SOMEONE 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 12 PLAYING (INCLUDES CARDS/GAMES) 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 13 READING 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 14 LISTENING TO RADIO 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 15 WATCHING TV 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 16 EXERCISING OR LEISURELY WALK 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 17 OTHER LEISURELY ACTIVITY 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 18 GROOMING OR BATHING 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 19 EATING 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 20 RELIGIOUS ACTIVITY 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 21 PROVIDING CARE TO SOMEONE 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 22 INTIMATE RELATIONS/SEX 1=Yes 2=No Q7015: Activity (Morning) Please tell me the main things that you did yesterday morning from the time you woke up until around noon/mid-day. Please also mention if you were talking or interacting with anyone for any parts of the morning. By interacting with, I mean were you consistently paying attention to someone. For example, if you were bathing a young child you would be interacting with them even if you were not talking. On the other hand, talking to someone for less than 5 minutes does not count as interacting. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to stop with activities from around noon/mid-day. 23 WENT TO SLEEP FOR THE NIGHT 1=Yes 2=No Q7016: Interacting with (Morning) 1 Alone 1=Yes 2=No Q7016: Interacting with (Morning) 2 Spouse 1=Yes 2=No Q7016: Interacting with (Morning) 3 Adult children (aged 18 years and older) 1=Yes 2=No Q7016: Interacting with (Morning) 4 Young children or grandchildren 1=Yes 2=No Q7016: Interacting with (Morning) 5 Family (other than spouse, children or grandchildren) 1=Yes 2=No Q7016: Interacting with (Morning) 6 Friends 1=Yes 2=No Q7016: Interacting with (Morning) 7 Co-workers 1=Yes 2=No Q7016: Interacting with (Morning) 87 Other, specify: 1=Yes 2=No Q7019: Worried We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday morning. For the following questions, please respond "not at all", "a little", or "very much" How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7020: Rushed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday morning. For the following questions, please respond "not at all", "a little", or "very much" How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7021: Irritated/angry We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday morning. For the following questions, please respond "not at all", "a little", or "very much" How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7022: Depressed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday morning. For the following questions, please respond "not at all", "a little", or "very much" How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7023: Tense/stressed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday morning. For the following questions, please respond "not at all", "a little", or "very much" How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7024: Calm/relaxed We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday morning. For the following questions, please respond "not at all", "a little", or "very much" How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7025: Enjoying We often feel different things during different parts of the day. Sometimes we feel good, sometimes we feel less good. And some of the things we do are enjoyable, while some activities are not so enjoyable. Now, please think about how you felt yesterday morning. For the following questions, please respond "not at all", "a little", or "very much" How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 1 WORKING 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 2 PREPARING FOOD 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 3 DOING HOUSEWORK 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 4 SUBSISTENCE FARMING 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 5 WATCHING CHILDREN 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 6 SHOPPING 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 7 WALKING SOMEWHERE 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 8 TRAVELING BY BICYCLE 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 9 TRAVELING BY CAR/BUS/TRAIN 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 10 REST (INCLUDES TEA/COFFEE BREAK) 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 11 CHATTING WITH SOMEONE 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 12 PLAYING (INCLUDES CARDS/GAMES) 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 13 READING 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 14 LISTENING TO RADIO 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 15 WATCHING TV 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 16 EXERCISING OR LEISURELY WALK 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 17 OTHER LEISURELY ACTIVITY 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 18 GROOMING OR BATHING 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 19 EATING 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 20 RELIGIOUS ACTIVITY 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 21 PROVIDING CARE TO SOMEONE 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 22 INTIMATE RELATIONS/SEX 1=Yes 2=No Q7050: Activity (Afternoon) Please tell me the main things that you did yesterday afternoon from around noon/mid-day until evening time (around 18.00 or 6pm). Please also mention if anyone was with you for any parts of the afternoon. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. Be sure to describe only the activities from your afternoon yesterday between mid-day and evening. 23 WENT TO SLEEP FOR THE NIGHT 1=Yes 2=No Q7051: Interacting with (Afternoon) 1 Alone 1=Yes 2=No Q7051: Interacting with (Afternoon) 2 Spouse 1=Yes 2=No Q7051: Interacting with (Afternoon) 3 Adult children (aged 18 years and older) 1=Yes 2=No Q7051: Interacting with (Afternoon) 4 Young children or grandchildren 1=Yes 2=No Q7051: Interacting with (Afternoon) 5 Family (other than spouse, children or grandchildren) 1=Yes 2=No Q7051: Interacting with (Afternoon) 6 Friends 1=Yes 2=No Q7051: Interacting with (Afternoon) 7 Co-workers 1=Yes 2=No Q7051: Interacting with (Afternoon) 87 Other, specify: 1=Yes 2=No Q7054: Worried Now, please think about how you felt yesterday afternoon. For the following questions, please respond "not at all", "a little", or "very much" How worried were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7055: Rushed Now, please think about how you felt yesterday afternoon. For the following questions, please respond "not at all", "a little", or "very much" How rushed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7056: Irritated/angry Now, please think about how you felt yesterday afternoon. For the following questions, please respond "not at all", "a little", or "very much" How irritated or angry were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7057: Depressed Now, please think about how you felt yesterday afternoon. For the following questions, please respond "not at all", "a little", or "very much" How depressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7058: Tense/stressed Now, please think about how you felt yesterday afternoon. For the following questions, please respond "not at all", "a little", or "very much" How tense or stressed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7059: Calm/relaxed Now, please think about how you felt yesterday afternoon. For the following questions, please respond "not at all", "a little", or "very much" How calm or relaxed were you feeling? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7060: Enjoying Now, please think about how you felt yesterday afternoon. For the following questions, please respond "not at all", "a little", or "very much" How much were you enjoying what you were doing? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 1 WORKING 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 2 PREPARING FOOD 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 3 DOING HOUSEWORK 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 4 SUBSISTENCE FARMING 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 5 WATCHING CHILDREN 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 6 SHOPPING 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 7 WALKING SOMEWHERE 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 8 TRAVELING BY BICYCLE 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 9 TRAVELING BY CAR/BUS/TRAIN 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 10 REST (INCLUDES TEA/COFFEE BREAK) 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 11 CHATTING WITH SOMEONE 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 12 PLAYING (INCLUDES CARDS/GAMES) 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 13 READING 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 14 LISTENING TO RADIO 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 15 WATCHING TV 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 16 EXERCISING OR LEELY WAISURLK 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 17 OTHER LEISURELY ACTIVITY 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 18 GROOMING OR BATHING 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 19 EATING 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 20 RELIGIOUS ACTIVITY 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 21 PROVIDING CARE TO SOMEONE 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 22 INTIMATE RELATIONS/SEX 1=Yes 2=No Q7100: Activity (Evening) Please tell me the main things that you did yesterday evening from around 6pm (18.00) until you went to sleep. Please also mention if anyone was with you for any parts of the evening. Be sure to cover as much as you can remember. You don't have to go in order, but it's probably easier that way. 23 WENT TO SLEEP FOR THE NIGHT 1=Yes 2=No Q7101: Interacting with (Evening) 1 Alone 1=Yes 2=No Q7101: Interacting with (Evening) 2 Spouse 1=Yes 2=No Q7101: Interacting with (Evening) 3 Adult children (aged 18 years and older) 1=Yes 2=No Q7101: Interacting with (Evening) 4 Young children or grandchildren 1=Yes 2=No Q7101: Interacting with (Evening) 5 Family (other than spouse, children or grandchildren) 1=Yes 2=No Q7101: Interacting with (Evening) 6 Friends 1=Yes 2=No Q7101: Interacting with (Evening) 7 Co-workers 1=Yes 2=No Q7101: Interacting with (Evening) 87 Other, specify 1=Yes 2=No Q7104: Worried Think about how you felt while doing this activity yesterday evening. How worried were you feeling? 1 Not at all 2 A little 3 Very much 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? 1 Not at all 2 A little 3 Very much 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? 1 Not at all 2 A little 3 Very much 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? 1 Not at all 2 A little 3 Very much 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? 1 Not at all 2 A little 3 Very much 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? 1 Not at all 2 A little 3 Very much 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? 1 Not at all 2 A little 3 Very much 1 Not at all 2 A little 3 Very much 8 Don't know 9 Not applicable Q7500: Time activity ended (HH) Q7500: Time activity ended (mm) I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you feel …worried… for much of the day yesterday? Yes or no 1 Yes 2 No Q7501: Worried I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you feel …worried… for much of the day yesterday? Yes or no 1 Yes 2 No Q7502: Rushed I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you feel …rushed… for much of the day yesterday? Yes or no. 1 Yes 2 No Q7503: Irritated/angry I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you feel …irritated or angry…for much of the day yesterday? 1 Yes 2 No Q7504: Depressed I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you feel …depressed…? 1 Yes 2 No Q7505: Tense/stressed I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you feel …tense or stressed……for much of the day yesterday? 1 Yes 2 No Q7506: Calm/relaxed I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you feel …calm or relaxed…? 1 Yes 2 No Q7507: Enjoyment I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Were you enjoying what you were doing for much of the day yesterday? 1 Yes 2 No Q7508: Lonely I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you feel …lonely … for much of the day yesterday? 1 Yes 2 No Q7509: Bored I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you feel … bored …? 1 Yes 2 No Q7510: Physical pain I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you feel …physical pain… for much of the day yesterday? 1 Yes 2 No Q7511: Sleepiness I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you feel …sleepiness…? 1 Yes 2 No Q7512: Stomach-ache I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you have a stomach ache at any time yesterday? 1 Yes 2 No Q7513: Headache I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you have a headache at any time yesterday? 1 Yes 2 No Q7514: Smile or laugh I will now ask you some questions about how you felt yesterday overall. Looking at the whole day (morning, afternoon, AND evening), please tell me whether you had these feelings for much of the day. Please just answer "yes" or "no". Did you smile or laugh a lot yesterday? 1 Yes 2 No Q7515: Part of day enjoyed most What part of the day did you enjoy most yesterday? Was it the morning, the afternoon, or the evening? 1Morning 2Afternoon 3 Evening 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? 1More Free Time 2Typical 3 Less Free Time 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? 1Better Mood 2Typical 3Worse Mood Q7518: Sleep (HH) How many hours did you sleep last night? Hours : Minutes 8888 Don't remember Q7518: Sleep (MM) How many hours did you sleep last night? Hours : Minutes 8888 Don't remember Q7519: Quality of sleep last night Please rate the quality of your sleep last night. Was it very good, good, moderate, poor or very poor? 1 Very good 2 Good 3 Moderate 4 Poor 5 Very poor Q7520: Sleep (HH) How many hours did you sleep the night before last? Hours : Minutes 8888 Don't remember Q7520: Sleep (MM) How many hours did you sleep the night before last? Hours : Minutes 8888 Don't remember Q7521: Quality of sleep nite b4 last Please rate the quality of your sleep the night before last. Was it very good, good, moderate, poor or very poor? 1 Very good 2 Good 3 Moderate 4 Poor 5 Very poor Q7522: Who is happier? Who do you think are happier, men or women? Or are they equally happy? 1Men 2Women 3Equally Happy 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? 1Men 2Women 3Equal Amounts of free time Q7524: Mood better/worse Now I will ask you to compare yourself to other people your age who live in this area Are you usually in a better mood or a worse mood than most others? Or are you about the same? 1Better Mood 2Same Mood 3 Worse Mood Q7525: More/less free time Now I will ask you to compare yourself to other people your age who live in this area Do you have more free time or less free time than most others? Or do you have about the same? 1More Free Time 2Same Amount of Free Time 3 Less Free Time 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? 1 More Anxious 2 Same level 3 Less Anxious 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? 1 More Healthy 2 Same level of health 3 Less Healthy Q7528: Admit sadness We will be interviewing many people in this area. We will ask them all about how happy they are. Some people will be sad but they may not tell us they are sad because they are shy or embarrassed. Do you think that most people who are sad will tell us they are sad? 1Yes 2 No Q7529: Most people sad/not sad We will be interviewing many people in this area. We will ask them all about how happy they are. Some people will be sad but they may not tell us they are sad because they are shy or embarrassed. Overall, are most people in this area who are about your age happy or sad? 1Most are Happy 2 Most are Sad Q7530: Intelligence/happiness We will be interviewing many people in this area. We will ask them all about how happy they are. Some people will be sad but they may not tell us they are sad because they are shy or embarrassed. Now, imagine that you had a newly born grandson, what would you hope for that boy? Would it be more important that he be more intelligent than other boys, or happier than other boys? 1More Intelligent 2Happier Q7531: Time awareness (1) Finally, I will ask you a few questions about how you keep track of time during the day. During a typical day, do you usually know what time it is? How often do you know what time it is: never, sometimes, mostly, or always? 1Never 2Sometimes 3Mostly 4 Always 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? 1Yes 2No Q7533: Time awareness (2) Finally, I will ask you a few questions about how you keep track of time during the day. How do you usually know the time? Do you look at a watch or clock, or do you do certain activities at the same time every day, or do you know from the position of the sun, or do you just guess, or is there something else? 1Look at a Watch or Clock 2Do Things at Same Time Every Day 3The Position of the Sun 4Guess 7 Other, specify: 8 Don't Know Q9001: Others present? Was someone else present during the interview? Did respondent have 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Q9002: Hearing Hearing problem? 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Q9003: Vision Vision problem? 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Q9004: Wheelchair Use wheelchair? 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Q9005: Walking aid Use cane/crutches/walker? 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Q9006: Walking Have difficulties walking? 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Q9007: Paralysis Paralysis? 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Q9008: Cough Cough continually? 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Q9009: Breathing Shortness of breath? 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Q9010: Mental Mental problems? 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Q9011: Other Other health problem? 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Q9012: Amputation Amputated limb (arm or leg)? 1 Yes 2 No 1 Yes 2 No 8 DK 9 NA Q9013: Cooperation What is your assessment of the respondent's cooperation? 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 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? 1 VERY HIGH 2 HIGH 3 AVERAGE 4 LOW 5 VERY LOW permanent income continuous permanent income quintile