DDI_KAZ_2003_WHS_v01_M
2012-01-30
NADA
Version 01 (January 2012)
World Health Survey 2003
WHS 2003
KAZ_2003_WHS_v01_M
World Health Organization (WHO)
NADA
World Health Organization
Multi-Country Studies, Measurement and Health Information Systems
World Health Survey [hh/whs]
WHO has developed and implemented a Survey Programme and a World Health Survey to compile comprehensive baseline information on the health of populations and on the outcomes associated with the investment in health systems; baseline evidence on the way health systems are currently functioning; and, ability to monitor inputs, functions, and outcomes.
The Survey Programme was developed in individual countries through consultation with policy-makers and in collaboration with the people involved in routine HIS. It was complementary to their efforts, to ensure periodic data input in a cost-effective way so that important gaps in health information are covered. It also established a baseline for efforts to scale-up health activities.
The World Health Survey has been completed in 70 countries and the data sets have been cleaned and weighted and prepared for analysis by country teams. The majority of the data sets are ready and have been distributed to the partners in the countries with the basic tabulations and discussions are in progress to interpret the results. Many countries have produced a country report.
World Health Survey (WHS)
Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers.
The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters.
The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules.
The objectives of the survey programme are to:
1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems.
2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes.
3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary.
Kazakhstan
The survey sampling frame must cover 100% of the country's eligible population, meaning that the entire national territory must be included. This does not mean that every province or territory need be represented in the survey sample but, rather, that all must have a chance (known probability) of being included in the survey sample.
There may be exceptional circumstances that preclude 100% national coverage. Certain areas in certain countries may be impossible to include due to reasons such as accessibility or conflict. All such exceptions must be discussed with WHO sampling experts. If any region must be excluded, it must constitute a coherent area, such as a particular province or region. For example if ¾ of region D in country X is not accessible due to war, the entire region D will be excluded from analysis.
Households and individuals
The WHS will include all male and female adults (18 years of age and older) who are not out of the country during the survey period. It should be noted that this includes the population who may be institutionalized for health reasons at the time of the survey: all persons who would have fit the definition of household member at the time of their institutionalisation are included in the eligible population.
If the randomly selected individual is institutionalized short-term (e.g. a 3-day stay at a hospital) the interviewer must return to the household when the individual will have come back to interview him/her. If the randomly selected individual is institutionalized long term (e.g. has been in a nursing home the last 8 years), the interviewer must travel to that institution to interview him/her.
The target population includes any adult, male or female age 18 or over living in private households. Populations in group quarters, on military reservations, or in other non-household living arrangements will not be eligible for the study. People who are in an institution due to a health condition (such as a hospital, hospice, nursing home, home for the aged, etc.) at the time of the visit to the household are interviewed either in the institution or upon their return to their household if this is within a period of two weeks from the first visit to the household.
Sample survey data [ssd]
SAMPLING GUIDELINES FOR WHS
Surveys in the WHS program must employ a probability sampling design. This means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. While a Single Stage Random Sample is ideal if feasible, it is recognized that most sites will carry out Multi-stage Cluster Sampling.
The WHS sampling frame should cover 100% of the eligible population in the surveyed country. This means that every eligible person in the country has a chance of being included in the survey sample. It also means that particular ethnic groups or geographical areas may not be excluded from the sampling frame.
The sample size of the WHS in each country is 5000 persons (exceptions considered on a by-country basis). An adequate number of persons must be drawn from the sampling frame to account for an estimated amount of non-response (refusal to participate, empty houses etc.). The highest estimate of potential non-response and empty households should be used to ensure that the desired sample size is reached at the end of the survey period. This is very important because if, at the end of data collection, the required sample size of 5000 has not been reached additional persons must be selected randomly into the survey sample from the sampling frame. This is both costly and technically complicated (if this situation is to occur, consult WHO sampling experts for assistance), and best avoided by proper planning before data collection begins.
All steps of sampling, including justification for stratification, cluster sizes, probabilities of selection, weights at each stage of selection, and the computer program used for randomization must be communicated to WHO
STRATIFICATION
Stratification is the process by which the population is divided into subgroups. Sampling will then be conducted separately in each subgroup. Strata or subgroups are chosen because evidence is available that they are related to the outcome (e.g. health, responsiveness, mortality, coverage etc.). The strata chosen will vary by country and reflect local conditions. Some examples of factors that can be stratified on are geography (e.g. North, Central, South), level of urbanization (e.g. urban, rural), socio-economic zones, provinces (especially if health administration is primarily under the jurisdiction of provincial authorities), or presence of health facility in area. Strata to be used must be identified by each country and the reasons for selection explicitly justified.
Stratification is strongly recommended at the first stage of sampling. Once the strata have been chosen and justified, all stages of selection will be conducted separately in each stratum. We recommend stratifying on 3-5 factors. It is optimum to have half as many strata (note the difference between stratifying variables, which may be such variables as gender, socio-economic status, province/region etc. and strata, which are the combination of variable categories, for example Male, High socio-economic status, Xingtao Province would be a stratum).
Strata should be as homogenous as possible within and as heterogeneous as possible between. This means that strata should be formulated in such a way that individuals belonging to a stratum should be as similar to each other with respect to key variables as possible and as different as possible from individuals belonging to a different stratum. This maximises the efficiency of stratification in reducing sampling variance.
MULTI-STAGE CLUSTER SELECTION
A cluster is a naturally occurring unit or grouping within the population (e.g. enumeration areas, cities, universities, provinces, hospitals etc.); it is a unit for which the administrative level has clear, nonoverlapping boundaries. Cluster sampling is useful because it avoids having to compile exhaustive lists of every single person in the population. Clusters should be as heterogeneous as possible within and as homogenous as possible between (note that this is the opposite criterion as that for strata). Clusters should be as small as possible (i.e. large administrative units such as Provinces or States are not good clusters) but not so small as to be homogenous.
In cluster sampling, a number of clusters are randomly selected from a list of clusters. Then, either all members of the chosen cluster or a random selection from among them are included in the sample. Multistage sampling is an extension of cluster sampling where a hierarchy of clusters are chosen going from larger to smaller.
In order to carry out multi-stage sampling, one needs to know only the population sizes of the sampling units. For the smallest sampling unit above the elementary unit however, a complete list of all elementary units (households) is needed; in order to be able to randomly select among all households in the TSU, a list of all those households is required. This information may be available from the most recent population census. If the last census was >3 years ago or the information furnished by it was of poor quality or unreliable, the survey staff will have the task of enumerating all households in the smallest randomly selected sampling unit. It is very important to budget for this step if it is necessary and ensure that all households are properly enumerated in order that a representative sample is obtained.
It is always best to have as many clusters in the PSU as possible. The reason for this is that the fewer the number of respondents in each PSU, the lower will be the clustering effect which increases sample variance and effectively reduces our estimating power. WHO requires an absolute maximum of 50 respondents per PSU, and ideally would suggest 20-30. This means that for a sample size of 5000 respondents, 100- 200 PSU clusters should be taken into the sample. Calculating that, roughly, one fifth of the total number of PSU clusters in a country will be randomly selected into the survey sample, the sampling frame should consist of 500-1000 PSU clusters.
PROBABILITY SAMPLING
Probability sampling means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. Non-probability methods of sampling such as quota or convenience sampling and random walk, may introduce bias into the survey, will throw survey findings into question, and are not accepted by WHO.
The probability of selection into the survey sample for each cluster will be proportional to its relative size. Systematic Sampling Systematic sampling is the ordered sampling at fixed intervals from a list, starting from a randomly chosen point. Typically, systematic sampling is not used at the first stage of sampling (selection of PSUs) because it renders the estimation of sampling error difficult.
Systematic sampling is recommended at the SSU, TSU, and household selection stages of sampling. Systematic sampling may be linear or circular.
SELECTION OF HOUSEHOLDS
The Household is a device used to get at the individual. The household is the sampling unit while the individual is the observational unit. While it would be preferable to randomly select from a list of all eligible persons in a country, such lists, with a few exceptions, are not available, so we must employ a final cluster, the household, to get at our observational units.
Households will be selected from lists of dwelling units. Non-probabilistic methods of household selection such as the random walk are not acceptable. Such lists are typically available from population registries, household listings, voter lists and census list. As it is essential to include all households in the sampling frame, an assessment of the methodology employed to select households must be made:
- How much has the population changed since these lists were made?
- Completeness of coverage. Are there unregistered populations (e.g. slums)
- Population shifts
- Changes in Registry
QUALITY
Almost all lists will suffer from routine problems. WHO recommends that survey institutions manually enumerate all the households in the sampling units randomly selected into the survey sample. If existing lists or registries will be used, then a detailed analysis of their quality must be made and they must be updated to ensure that there is no exclusion of households from the survey sampling frame.
SELECTION OF INDIVIDUALS FROM HOUSEHOLD ROSTER
All members of each household selected into the survey sample will be enumerated on the household roster. A member of the household is defined as someone who usually stays in the household, sleeps and shares meals, who has that address as primary place of residence, or who spends more than 6 months a year living there. Country-specific variations in this standard definition are allowed in consultation with WHO.
KISH TABLES
The respondent for the survey will be selected among all eligible members of the household using Kish tables. Kish tables provide a method by which each eligible person in a household has an equal probability of selection into the survey sample. It is extremely important for the representativeness of the survey sample and the integrity of the survey that the Kish tables are properly implemented. All interviews where the Kish selection method is not properly implemented will be rejected. The Kish technique allows adequate representation for all the persons in the household.
Face-to-face [f2f]
Participation in the survey is voluntary and the respondent can refuse to be interviewed. The interviewer is responsible for explaining what the survey is about, providing all the necessary information, and making sure the respondent understands the implications of his / her participation before giving his / her consent. The information given should be simple and clear and adapted to the respondent's level of understanding.
Consents must be documented by asking the respondents to sign an Informed Consent Forms ( Household Informant Consent Form; Individual Consent Form) before doing the interview. These forms must mention who will be doing the study, the types of questions that will be asked, why the study is being done, and who will have access to the information provided. The interviewer must check that the respondent has read and understood the form before signing, and should offer to go over it with him /her emphasizing the different items mentioned. If the respondent is illiterate or unable to read for himself / herself (e.g. due to a visual impairment), the form will be read and explained to him / her. In cases where it is not appropriate for the respondent to sign the form, the interviewer alone will sign the form.
In cases where the respondent is being dissuaded from, or coerced into, participating in the study by a third party such as a spouse, relative or any other member in the community, the interviewer should make it clear that it is the respondent alone who must decide whether or not s/he wishes to be interviewed.
FIELD SUPERVISION
The role of the supervisor is to monitor the progress and quality of the data collection, and ensure that interviewers are performing work. This includes handling the logistics of the survey, coordinating with other staff, recruiting and training additional interviewers, and supervision.
Supervision must be given to interviewers before, during, and after the interview. Supervisors must not only check that contact procedures are followed correctly but that interviews are conducted appropriately. They should be present for 10 interviews and ensure that standardized interviewing techniques are observed when asking questions, clarifying, probing and giving feedback in a non-directive manner. After the interview has been conducted, they must also check that data is coded and entered correctly. Supervisors must give feedback and debrief on a regular basis, in order to update the organization responsible for the study on the progress of the survey and any problems that have arisen.
Countries has provided WHO with the population sizes, probabilities of selection and sampling weights of all sampling units for each stage of the sampling process Since clusters are often of unequal size, sampling weights are necessary to be able to reconstruct population estimates from our sample estimates.
The weights essentially describe the number of persons in the sampling frame represented by each person in the cluster (i.e. each person in County 1 represents 12.5 people, each person in County 2 represents 9.1 persons etc.). Weights for SSUs, TSUs, etc. are calculated in the same way. The probability of selection of the elementary unit, the household, is not proportional to the number of people in the household. Rather, the household level weights will be generated at the time of respondent selection within the household. The number of households selected within each chosen sampling unit will be proportional to the total number of households in that sampling unit. All households in each unit will have equal probability of selection.
The proper and complete enumeration and description of the entire household is a critical component of the survey process. The household roster must be completed for all households selected randomly into the survey sample, whether they agreed to participate in the survey or not. It is only in this way that we can collect the basic information required to estimate the non-response bias in the survey.
The requirement of augmenting the survey sample size to adjust for estimated non-response is necessary to ensure that we have adequate persons in the sample to have the power to make precise estimates. This does not, however, account for the bias that is created by non-response, since non-responders are often different from responders with respect to key variables that are linked to the domains under study in the survey. All effort, therefore, must be made to minimise non-response, and to interview as many people in the survey sample as possible. A detailed discussion of refusal conversion methods, survey awareness raising, and call-backs is found in the WHS Survey Manual.
There are two possible scenarios of non-response:
1) The interviewer completes the household roster and the randomly chosen respondent refuses to participate.
2) The interviewer is refused access to the household and is unable to fill in the household roster.
In second scenario, sites must ensure that, at least, pages 00.1 and 00.3 of the Coversheet are completed for the household. In addition, if available from census information, the number of adult (18 years of age or older) males and females in the household, and their respective ages should be provided. It is important to note that the completion of the household roster serves a purpose above and beyond providing a list from which a respondent will be selected.
The demographic and other information collected in the household roster and requested from sites serves to calculate the denominators for statistical analysis of the survey data; without the information in the household roster, we would not be able to determine the health-related outcome rates in your country.
World Health Organization (WHO)
Citation requirement is the way that the dataset should be referenced when cited in any publication. This will guarantee that the data producer gets proper credit, and that analytical results can be linked to the proper version of the dataset.
The citation should include at least the primary investigator, the name and abbreviation of the dataset, the reference year, and the version number (and website address and date of download when the dataset was obtained on-line).
The user of the data undertakes to carry out work on the data of the WHO surveys, in accordance with the following conditions:
(1) He/she undertakes to keep confidential any information concerning individual persons or households.
(2) He/she undertakes not to distribute the data to any other user.
(3) He/she undertakes to use the data for scientific research only.
The undersigned will provide a reference of all publications based on the data to the WHO co-ordination team and will include the following acknowledgement: "This paper uses data from the WHO World Health Surveys / Multi-Country Survey Study (as appropriate)."
See also the citation requirement.
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
Kazakhstan-ID
4499
8
WHS-Kazakhstan_F2
4499
101
WHS-Kazakhstan_F3
15337
16
WHS-Kazakhstan_F4
1246
27
WHS-Kazakhstan_F5
4496
681
WHS-Kazakhstan_F6
3443
26
WHS-Kazakhstan_F7
15316
29
Identification
Identification
Identification
Identification
Identification
4499
13500001
13504500
13502250.505
1299.327
country code
country code
country code
country code
country code
4499
KAZ
Household probability weight
Household probability weight
Household probability weight
Household probability weight
Household probability weight
4499
78.093
52287.035
1349.859
2925.303
Probability weight
Probability weight
Probability weight
Probability weight
Probability weight
4499
423.283
52287.035
2589.14
4768.814
4499
1
2
3
4
5
6
7
8
9
10
11
12
4499
1
70
36.265
19.847
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
4499
443.803
102633.461
3365.819
4274.302
Post stratified household weight
Post stratified household weight
Post stratified household weight
Post stratified household weight
Post stratified household weight
4499
90.873
52574.168
1853.548
2988.716
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
4499
13500001
13504500
13502250.505
1299.327
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days between initial and
retest
9
4490
1
2
Sysmiss
Rotation Code
Rotation Code
Rotation Code
Rotation Code
Rotation Code
4499
A
B
C
D
interviewer ID
interviewer ID
interviewer ID
interviewer ID
interviewer ID
4499
1
222
93.607
54.188
name of interviewer
name of interviewer
name of interviewer
name of interviewer
name of interviewer
5
3
B
Gulsum
LESKER
TATYANA
total calls
total calls
total calls
total calls
total calls
4373
126
6
0.256
0.495
date of final results (dd/mm/yyyyy)
date of final results (dd/mm/yyyyy)
date of final results (dd/mm/yyyyy)
date of final results (dd/mm/yyyyy)
date of final results (dd/mm/yyyyy)
4499
01/12/2002
01/12/2003
02/01/2003
02/02/2003
02/05/2003
02/11/2002
02/11/2003
02/12/2002
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10/04/2003
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10/12/2003
11/02/2003
11/05/2003
11/12/2002
11/12/2003
12/01/2003
12/02/2003
12/12/2002
12/12/2003
13/01/2003
13/02/2003
13/10/2002
13/12/2002
13/12/2003
14/01/2003
14/02/2003
14/12/2002
14/12/2003
15/01/2003
15/02/2003
15/12/2002
15/12/2003
16/01/2003
16/02/2003
16/11/2002
16/12/2002
16/12/2003
17/01/2003
17/02/2003
17/11/2002
17/12/2002
17/12/2003
18/01/2003
18/02/2003
18/03/2003
18/11/2002
18/12/2002
18/12/2003
19/01/2003
19/02/2003
19/03/2003
19/11/2002
19/12/2002
19/12/2003
20/01/2003
20/02/2003
20/11/2002
20/11/2003
20/12/2002
21/01/2003
21/02/2003
21/11/2002
21/11/2003
21/12/2002
21/12/2003
22/01/2003
22/02/2003
22/11/2002
22/11/2003
22/12/2002
23/01/2003
23/02/2003
23/11/2002
23/11/2003
23/12/2002
23/12/2003
24/01/2003
24/02/2003
24/11/2002
24/11/2003
24/12/2002
24/12/2003
25/01/2003
25/03/2003
25/11/2002
25/11/2003
25/12/2002
26/01/2003
26/11/2002
26/11/2003
26/12/2002
27/01/2003
27/04/2003
27/11/2002
27/11/2003
27/12/2002
27/12/2003
28/01/2003
28/11/2002
28/11/2003
28/12/2002
29/01/2003
29/11/2002
29/11/2003
29/12/2002
29/12/2003
30/01/2003
30/11/2002
30/11/2003
30/12/2002
31/01/2003
31/03/2003
31/12/2002
Final result code
Final result code
Final result code
Final result code
Final result code
4497
2
1
2
6
Sysmiss
date of editing (dd/mm/yyyyy)
date of editing (dd/mm/yyyyy)
date of editing (dd/mm/yyyyy)
date of editing (dd/mm/yyyyy)
date of editing (dd/mm/yyyyy)
3884
01/02/2002
01/02/2003
01/03/2002
01/03/2003
01/04/03
01/12/02
01/12/2002
01/12/2003
02/01/03
02/01/2002
02/01/2003
02/03/03
02/03/2003
02/11/02
02/12/02
02/12/03
02/12/2002
03/01/03
03/01/2003
03/02/03
03/02/2003
03/03/2003
03/11/02
03/12/02
03/12/2002
04/01/03
04/01/2003
04/02/03
04/02/2003
04/03/03
04/03/2003
04/12/02
04/12/2002
05/01/03
05/01/2003
05/02/03
05/02/2003
05/03/2003
05/04/2003
05/05/2003
05/12/02
05/12/03
05/12/2002
06/01/2002
06/01/2003
06/02/03
06/02/2003
06/12/02
06/12/2002
07/01/03
07/01/2002
07/01/2003
07/02/03
07/03/03
07/12/02
07/12/2002
08/01/2003
08/02/03
08/12/02
08/12/2002
09/01/03
09/01/2003
09/02/03
09/11/2003
09/12/02
09/12/2002
1/02/2003
1/03/03
1/12/02
10/01/03
10/01/2003
10/02/03
10/02/2003
10/03/003
10/03/03
10/03/2003
10/11/2002
10/12/02
10/12/2002
11/01/2003
11/02/03
11/02/2003
11/03/03
11/04/2003
11/12/02
11/12/2002
12/01/03
12/01/2003
12/02/03
12/02/2002
12/02/2003
12/03/03
12/05/2003
12/12/02
12/12/2002
12/12/2003
13/01/03
13/01/2002
13/01/2003
13/02/03
13/03/03
13/10/2002
13/12/02
13/12/020
13/12/2002
14/01/03
14/01/2002
14/01/2003
14/02/03
14/02/2003
14/12/2002
15/01/2003
15/02/03
15/02/2003
15/03/03
15/12/02
15/12/2002
16/01/03
16/01/2003
16/02/03
16/02/2003
16/12/2002
17/01/03
17/01/2003
17/02/03
17/02/2002
17/02/2003
17/07/2003
17/12/2002
18/01/03
18/01/2003
18/02/2003
18/11/2002
18/12/02
18/12/2002
19/01/2003
19/02/03
19/02/2003
19/03/2003
19/11/2002
19/12/2002
2/12/02
2/12/2002
20/01/03
20/01/2003
20/02/03
20/02/2003
20/03/03
20/03/2003
20/11/2002
20/12/02
20/12/2002
21/01/2003
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21/11/2002
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21/12/2002
22/01/2003
22/02/03
22/02/2003
22/11/02
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22/12/2002
23/01/03
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26/12/2002
27/01/03
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27/11/2002
27/12/02
27/12/2002
27/12/2003
28/01/03
28/01/2003
28/02/03
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28/04/2003
28/11/02
28/11/2002
28/12/02
28/12/2002
29/01/03
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29/11/02
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29/11/2002
29/12/02
29/12/2002
3/12/2002
30/01/03
30/01/2003
30/01/3
30/1/02
30/11/02
30/11/2002
30/12/02
30/12/2002
31/01/03
31/01/2003
4/12/2002
5/01/2003
6/01/2003
7/01/2003
8/02/2003
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
4145
01/01/03
01/02/03
01/02/2003
01/03/03
01/03/2003
01/04/2003
01/07/2003
01/12/2002
02/01/03
02/01/2002
02/01/2003
02/02/03
02/02/2003
02/03/02
02/03/03
02/03/2003
02/07/2003
02/12/02
03/01/03
03/01/2003
03/02/03
03/02/2003
03/03/03
03/03/2003
03/07/2003
04/01/03
04/01/2002
04/01/2003
04/02/03
04/02/2002
04/02/2003
04/03/03
04/03/2003
04/12/2002
05/01/03
05/01/2003
05/02/03
05/02/2003
05/03/02
05/03/03
05/03/2003
05/05/03
05/05/2003
05/12/2003
06/01/03
06/01/2003
06/02/03
06/02/2003
06/03/03
06/03/2003
07/01/03
07/01/2003
07/02/03
07/02/2003
07/03/03
07/03/2003
07/04/2003
08/01/03
08/01/2003
08/02/03
08/02/2003
08/03/03
08/12/2002
09/01/03
09/01/2002
09/01/2003
09/02/03
09/02/2003
09/03/03
09/03/2003
09/12/2002
1/02/03
1/02/2003
1/03/03
10/01/03
10/01/2003
10/02/03
10/02/2003
10/03/02
10/03/03
10/03/2003
10/12/2003
11/01/02
11/01/03
11/01/2003
11/02/03
11/02/2003
11/03/03
11/03/2003
12/01/03
12/01/2003
12/02/03
12/02/2003
12/03/03
12/03/2003
12/05/2003
13/01/02
13/01/03
13/01/2003
13/02/03
13/02/2003
13/03/03
13/03/2003
13/06/2003
14/01/03
14/01/2003
14/02/03
14/02/2003
14/03/03
15/01/03
15/01/2003
15/02/03
15/02/2003
15/03/03
15/03/2003
15/04/2003
16/01/03
16/01/2003
16/02/03
16/02/2003
16/03/03
17/01/03
17/01/2003
17/02/03
17/02/2003
17/03/03
18/01/03
18/01/2003
18/02/03
18/02/2003
18/03/03
18/03/2003
18/06/03
18/06/2003
19/01/03
19/01/2003
19/02/03
19/02/2002
19/02/2003
19/03/03
19/03/2003
20/01/03
20/01/2003
20/02/03
20/02/2003
20/03/03
20/03/2003
21/01/03
21/01/2003
21/02/03
21/02/2002
21/02/2003
21/03/03
21/03/2003
22/01/03
22/01/2003
22/02/03
22/02/2003
22/02/2203
22/03/2003
22/09/03
23/01/03
23/01/2003
23/02/03
23/02/2003
23/03/2003
23/12/2002
24/01/03
24/01/2003
24/02/03
24/02/2003
24/11/02
24/12/2002
24/12/2003
25/01/03
25/01/2003
25/02/03
25/02/2002
25/02/2003
25/03/2003
25/12/2002
26/01/03
26/01/2003
26/02/03
26/02/2003
26/03/2003
26/06/2003
26/1/02
26/11/02
26/12/02
26/12/2002
27/01/03
27/01/2003
27/01/3003
27/02/03
27/02/2003
27/06/2003
27/11/02
27/12/02
27/12/2002
28/01/03
28/01/2003
28/02/03
28/02/2002
28/02/2003
28/03/2003
28/04/03
28/04/2003
28/06/2003
28/11/02
28/12/02
28/12/2002
29/01/03
29/01/2003
29/06/2003
29/12/02
3/02/2003
3/03/2003
30/01/02
30/01/03
30/01/2003
30/03/2003
30/12/02
31/01/03
31/01/2003
31/03/2002
31/03/2003
4/03/03
5/03/2003
6/01/03
6/01/2003
7/02/2003
7/03/03
8/01/03
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
1811
01/02/03
01/02/2003
01/04/2003
01/05/2003
01/08/03
02/04/03
02/04/2003
02/05/2003
02/08/03
03/01/2003
03/02/2003
03/03/2003
03/04/03
03/04/2003
03/08/02
03/08/03
04/02/2002
04/02/2003
04/03/2003
04/04/2003
04/05/2003
05/01/2003
05/02/03
05/02/2003
05/03/2003
05/04/2003
05/05/2002
05/05/2003
05/07/03
05/08/03
06/01/2003
06/02/2003
06/04/2003
06/05/2003
06/08/03
07/01/2003
07/02/2003
07/03/2003
07/04/2003
07/06/03
07/07/03
07/08/03
08/04/2003
08/07/03
08/08/03
09/02/2003
09/04/2003
09/07/03
09/08/03
10/02/2003
10/03
10/04/2003
10/07/03
10/07/2003
10/08/03
11/01/2003
11/02/2003
11/04/03
11/04/2003
11/07/03
11/07/09
11/08/03
12/01/2003
12/02/2003
12/04/03
12/04/2003
12/07/03
12/08/03
12/08/2003
13/02/2003
13/04/03
13/07/03
13/08/03
14/01/2003
14/03/2003
14/04/03
14/04/2002
14/04/2003
14/08/03
15/01/2003
15/02/2003
15/04/2003
15/05/03
15/07/03
15/08/03
16/07/03
16/08/03
17/01/2003
17/02/2003
17/07/03
17/08/023
17/08/03
18/04/2003
18/07/03
18/08/03
19/06/03
19/07/03
19/08/03
19/08/2003
20/01/2003
20/02/2003
20/03/2003
20/04/2003
20/06/03
20/06/2003
20/08/03
21/01/2003
21/02/03
21/04/2003
21/06/03
21/06/2003
21/08/03
22/01/2003
22/07/03
22/08/03
23/01/2003
23/06/2003
23/08/03
24/01/2003
24/06/2003
24/08/03
25/01/2003
25/02/03
25/02/2003
25/03/03
25/04/2003
25/06/2003
25/07/03
25/08/03
25/12/2002
26/01/2003
26/02/2003
26/04/2003
26/06/2003
26/07/03
27/01/2002
27/01/2003
27/03/2003
27/04/2003
27/06/2003
27/07/03
28/01/2003
28/01/3003
28/02/03
28/03/2003
28/04/2002
28/04/2003
28/06/2003
28/08/03
29/01/2003
29/04/2003
29/06/2003
29/12/2003
30/01/2003
31/01/2003
31/03/2003
7/06/03
psu
psu
psu
psu
psu
Sampling Information
Primary Sampling Unit (PSU) Name/Code
4499
1
70
36.265
19.847
ssu
ssu
ssu
ssu
ssu
Sampling Information
Secondary Sampling Unit (SSU) Name/Code
4499
1
210
91.857
51.401
tsu
tsu
tsu
tsu
tsu
Sampling Information
Tertiary Sampling Unit (TSU) Name/Code
4499
2788
18.421
48.477
qsu
qsu
qsu
qsu
qsu
Sampling Information
Quarternary Sampling Unit (QSU) Name/Code
4499
1
4500
2248.992
1300.729
settings
settings
settings
settings
settings
Sampling information: Additional information
Setting
4499
1
Urban
2
Peri-urban/Semi-urban
3
rural
4
Other
Specify
Specify
Specify
Specify
Specify
8
3
Ust'
latitude N/S
latitude N/S
latitude N/S
latitude N/S
latitude N/S
The Geocoding information is recorded for the cluster that the respondent belongs to, in
the smallest sampling unit above the household level.
Latitude
4499
N
latitude (degree)
latitude (degree)
latitude (degree)
latitude (degree)
latitude (degree)
The Geocoding information is recorded for the cluster that the respondent belongs to, in
the smallest sampling unit above the household level.
Latitude
4499
40
82
47.049
4.393
40
42
43
44
46
47
48
49
50
51
52
53
54
57
59
82
latitude (decimal degree)
latitude (decimal degree)
latitude (decimal degree)
latitude (decimal degree)
latitude (decimal degree)
The Geocoding information is recorded for the cluster that the respondent belongs to, in
the smallest sampling unit above the household level.
Latitude
4498
1
80
25.144
18.969
longitude (E/W)
longitude (E/W)
longitude (E/W)
longitude (E/W)
longitude (E/W)
Longitude
4499
E
longitude (degree)
longitude (degree)
longitude (degree)
longitude (degree)
longitude (degree)
Longitude
4499
36
82
69.926
8.618
36
48
50
51
52
53
54
55
56
57
63
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
Longitude
4498
1
95
24.17
18.023
waypoint
waypoint
waypoint
waypoint
waypoint
Waypoint
4498
1
1
center of gravity of the cluster
2
In front of the household
3
Nearby location
Sysmiss
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you 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 (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
You have said there are (REPEAT LISTING); does that include everyone living here at the present time or who is in an institution because of their health?
IF NO, CORRECT LISTING Now, I will use a selection procedure - I am going to number the persons in household to determine whom we need to interview - (it will take a second)
1707
08:00
08:01
08:02
08:05
08:06
08:10
08:15
08:20
08:21
08:22
08:25
08:30
08:31
08:35
08:40
08:47
08:50
08:55
08:56
09:00
09:01
09:02
09:03
09:05
09:06
09:10
09:11
09:12
09:15
09:16
09:20
09:21
09:22
09:23
09:24
09:25
09:30
09:31
09:32
09:35
09:36
09:37
09:40
09:45
09:50
09:52
09:55
09:59
10:00
10:01
10:02
10:03
10:04
10:05
10:06
10:07
10:10
10:12
10:15
10:16
10:17
10:20
10:22
10:25
10:27
10:30
10:31
10:32
10:33
10:35
10:36
10:37
10:40
10:42
10:45
10:46
10:50
10:52
10:57
11:00
11:01
11:02
11:03
11:04
11:05
11:06
11:07
11:08
11:09
11:10
11:12
11:15
11:16
11:17
11:20
11:21
11:22
11:23
11:30
11:31
11:32
11:35
11:36
11:40
11:45
11:48
11:50
11:51
11:55
12:00
12:01
12:02
12:05
12:07
12:08
12:10
12:15
12:16
12:17
12:20
12:22
12:25
12:28
12:30
12:31
12:33
12:35
12:36
12:40
12:45
12:47
12:50
12:51
12:58
13:00
13:01
13:02
13:03
13:05
13:07
13:10
13:15
13:19
13:20
13:22
13:23
13:24
13:25
13:30
13:35
13:36
13:40
13:45
13:46
13:50
13:51
13:55
14:00
14:01
14:02
14:03
14:04
14:05
14:07
14:08
14:10
14:11
14:12
14:15
14:17
14:20
14:23
14:25
14:30
14:31
14:32
14:35
14:40
14:45
14:50
14:52
14:53
14:54
14:55
14:57
15:00
15:01
15:02
15:03
15:05
15:07
15:10
15:12
15:15
15:20
15:25
15:30
15:31
15:32
15:34
15:35
15:36
15:40
15:41
15:43
15:45
15:47
15:50
15:52
15:55
16:00
16:01
16:02
16:03
16:05
16:06
16:09
16:10
16:13
16:15
16:16
16:20
16:21
16:22
16:25
16:30
16:32
16:35
16:40
16:41
16:45
16:47
16:50
16:51
16:59
17:00
17:01
17:02
17:03
17:05
17:06
17:07
17:10
17:12
17:13
17:15
17:20
17:26
17:30
17:31
17:32
17:33
17:42
17:50
17:51
17:55
18:00
18:01
18:02
18:03
18:05
18:10
18:12
18:15
18:18
18:20
18:25
18:30
18:35
18:45
18:46
18:50
18:55
19:00
19:01
19:02
19:05
19:10
19:15
19:16
19:20
19:30
19:31
19:35
19:40
19:50
20:00
20:01
20:05
20:10
20:15
20:16
20:20
20:25
20:30
20:35
20:40
20:45
20:48
20:50
20:55
21:00
21:02
21:06
21:10
21:15
21:20
21:30
21:40
22:00
22:01
22:15
22:23
Kish table code
Kish table code
Kish table code
Kish table code
Kish table code
4499
A
B1
B2
C
D
E1
E2
F
head of household
head of household
head of household
head of household
head of household
To be asked to all households
Who is the person who provides the main economic support for the
household?
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
4498
1
400
409
402.008
3.173
Household informant
Household informant
Household informant
Household informant
Household informant
To be asked to all households
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
4497
2
400
401
402
403
407
408
409
410
Sysmiss
Have mosquito bed
Have mosquito bed
Have mosquito bed
Have mosquito bed
Have mosquito bed
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Do you have a mosquito bed-net in the house?
400
4099
1
Yes
5
No
8
Do not know
Sysmiss
bed nets treated with insecticide
bed nets treated with insecticide
bed nets treated with insecticide
bed nets treated with insecticide
bed nets treated with insecticide
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Were the bed-nets treated with insecticide, a product that kills insects?
1
4498
1
Yes
5
No
8
Do not know
Sysmiss
when were bed nets treated
when were bed nets treated
when were bed nets treated
when were bed nets treated
when were bed nets treated
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Were the bed-nets treated with insecticide, a product that kills insects?
If Yes: When was the last time the bed-net was (re-)treated with this product?
4499
1
within last 6 months
2
7-12 months
3
more than 1 year ago
8
Do not know
Sysmiss
No of Children under 5
No of Children under 5
No of Children under 5
No of Children under 5
No of Children under 5
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Can you please tell me how many children aged under 5 years live in this household?
4499
how many children slept under mosquito bed
how many children slept under mosquito bed
how many children slept under mosquito bed
how many children slept under mosquito bed
how many children slept under mosquito bed
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
How many of these children slept under a mosquito (bed) net last night?
4499
Number of pregnant
Number of pregnant
Number of pregnant
Number of pregnant
Number of pregnant
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Can you please tell me how many women who live in this household are currently pregnant?
4499
No of pregnant slept under bed net
No of pregnant slept under bed net
No of pregnant slept under bed net
No of pregnant slept under bed net
No of pregnant slept under bed net
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
How many of the pregnant women in this household slept under a mosquito bed-net last night?
4499
No of other slept under bed net
No of other slept under bed net
No of other slept under bed net
No of other slept under bed net
No of other slept under bed net
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
How many other persons who live in this household slept under a mosquito bed-net last night? (That is, all the other household members except for young children or pregnant women).
4
4495
5
5
5
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
4486
13
1
Yes
5
No
Sysmiss
household member 1 in institution
household member 1 in institution
household member 1 in institution
household member 1 in institution
household member 1 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
70
4429
400
401
402
407
408
409
Sysmiss
household member 2 in institution
household member 2 in institution
household member 2 in institution
household member 2 in institution
household member 2 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
3
4496
400
407
408
Sysmiss
household member 3 in institution
household member 3 in institution
household member 3 in institution
household member 3 in institution
household member 3 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
4499
Sysmiss
household member 4 in institution
household member 4 in institution
household member 4 in institution
household member 4 in institution
household member 4 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
1
4498
407
Sysmiss
household member 5 in institution
household member 5 in institution
household member 5 in institution
household member 5 in institution
household member 5 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
4499
Sysmiss
needs care because of a long term illness
needs care because of a long term illness
needs care because of a long term illness
needs care because of a long term illness
needs care because of a long term illness
Is there anyone in your home, a child or adult) who needs care because of a long-term physical or mental illness or disability, or is getting old and weak?
4481
18
1
Yes
5
No
Sysmiss
How much care does this person need
How much care does this person need
How much care does this person need
How much care does this person need
How much care does this person need
How much care does this person need?
99
4400
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
Sysmiss
Time end section 0500
Time end section 0500
Time end section 0500
Time end section 0500
Time end section 0500
1755
08:01
08:03
08:05
08:06
08:10
08:12
08:15
08:20
08:24
08:25
08:30
08:35
08:38
08:40
08:43
08:50
08:55
08:57
08:58
09:00
09:03
09:04
09:05
09:07
09:08
09:09
09:10
09:11
09:12
09:15
09:16
09:17
09:20
09:22
09:23
09:24
09:25
09:26
09:30
09:32
09:33
09:34
09:35
09:36
09:37
09:39
09:40
09:41
09:44
09:45
09:50
09:55
10:00
10:02
10:03
10:04
10:05
10:06
10:07
10:09
10:10
10:11
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10:55
10:58
11:00
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12:00
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13:00
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13:50
13:55
13:57
14:00
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22:35
Name of CHIP
Name of CHIP
Name of CHIP
Name of CHIP
Name of CHIP
Community Health Insurance Programs [CHIP]
Joining the plan
You indicated that someone in your household has health insurance with a
[CHIP]. What is the name of the [CHIP]?
When joined CHIP (dd/mm/yyyy)
When joined CHIP (dd/mm/yyyy)
When joined CHIP (dd/mm/yyyy)
When joined CHIP (dd/mm/yyyy)
When joined CHIP (dd/mm/yyyy)
Community Health Insurance Programs [CHIP]
Joining the plan
When did these household members first join [that CHIP]?
Reason for joining CHIP
Reason for joining CHIP
Reason for joining CHIP
Reason for joining CHIP
Reason for joining CHIP
Community Health Insurance Programs [CHIP]
Joining the plan
What was the main reason for joining [that CHIP]?
expect renewal
expect renewal
expect renewal
expect renewal
expect renewal
Community Health Insurance Programs [CHIP]
Joining the plan
Do you expect membership in [that CHIP] will be renewed?
4499
1
Yes
5
No
Sysmiss
household members join CHIP
household members join CHIP
household members join CHIP
household members join CHIP
household members join CHIP
Community Health Insurance Programs [CHIP]
Payments and Benefits
Did your household members join the [CHIP]…
4499
1
Individually
2
As a family
3
As members of a cooperative or credit program
4
Other (specify)
How high is contribution
How high is contribution
How high is contribution
How high is contribution
How high is contribution
Community Health Insurance Programs [CHIP]
Payments and Benefits
How high is the [contribution] compared to benefits you get from the [CHIP]?
4499
1
Too high
2
High
3
About right
4
Low
5
Very low
Sysmiss
How difficult is it to pay the CHIP
How difficult is it to pay the CHIP
How difficult is it to pay the CHIP
How difficult is it to pay the CHIP
How difficult is it to pay the CHIP
Community Health Insurance Programs [CHIP]
Payments and Benefits
How difficult is for your household to pay the [CHIP] [contribution]?
4499
1
Very difficult
2
Difficult
3
Not too difficult
4
Easy
5
Very easy
Sysmiss
Know where to ask questions
Know where to ask questions
Know where to ask questions
Know where to ask questions
Know where to ask questions
Community Health Insurance Programs [CHIP]
Communication and Information
If someone in your household had questions about the [CHIP], would they know whom to ask or where to go?
4499
1
Yes
5
No
Sysmiss
How difficult to reach the person
How difficult to reach the person
How difficult to reach the person
How difficult to reach the person
How difficult to reach the person
Community Health Insurance Programs [CHIP]
Communication and Information
How difficult is it to reach that person or place when information is needed?
4499
1
Very difficult
2
Difficult
3
Not too difficult
4
Easy
5
Very easy
Sysmiss
how much healthy should contribute
how much healthy should contribute
how much healthy should contribute
how much healthy should contribute
how much healthy should contribute
Community Health Insurance Programs [CHIP]
Attitudes towards risk pooling
How much do you think healthy people in [the country] should contribute
to pay for the health care used by sick people?
4499
1
None of the cost
2
Some of the cost
3
Half of the cost
4
Most of the cost
5
All of the cost
Sysmiss
how much should people contribute
how much should people contribute
how much should people contribute
how much should people contribute
how much should people contribute
Community Health Insurance Programs [CHIP]
Attitudes towards risk pooling
How much do you think people in [the country] should contribute to pay
for the health care used by poor people when they become sick?
4499
1
None of the cost
2
Some of the cost
3
Half of the cost
4
Most of the cost
5
All of the cost
Sysmiss
How many rooms there are in your home?
How many rooms there are in your home?
How many rooms there are in your home?
How many rooms there are in your home?
How many rooms there are in your home?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Can you please tell me how many rooms there are in your home?
4497
2
1
11
3.226
1.433
How many chairs are there in your home?
How many chairs are there in your home?
How many chairs are there in your home?
How many chairs are there in your home?
How many chairs are there in your home?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
How many chairs are there in your home?
4469
30
4
0.401
0.565
How many tables are there in your home?
How many tables are there in your home?
How many tables are there in your home?
How many tables are there in your home?
How many tables are there in your home?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
How many tables are there in your home?
4496
3
4
1.174
0.48
How many cars are there in your household?
How many cars are there in your household?
How many cars are there in your household?
How many cars are there in your household?
How many cars are there in your household?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
How many cars are there in your household?
4497
2
5
3.544
1.909
Your home have electricity
Your home have electricity
Your home have electricity
Your home have electricity
Your home have electricity
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does your home have electricity?
4496
3
1
Yes
5
No
Sysmiss
Anyone in your household have a bicycle?
Anyone in your household have a bicycle?
Anyone in your household have a bicycle?
Anyone in your household have a bicycle?
Anyone in your household have a bicycle?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a bicycle?
4491
8
1
Yes
5
No
Sysmiss
Anyone in your household have a clock?
Anyone in your household have a clock?
Anyone in your household have a clock?
Anyone in your household have a clock?
Anyone in your household have a clock?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a clock?
4496
3
1
Yes
5
No
Sysmiss
Anyone in your household have a bucket?
Anyone in your household have a bucket?
Anyone in your household have a bucket?
Anyone in your household have a bucket?
Anyone in your household have a bucket?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a bucket?
4496
3
1
Yes
5
No
Sysmiss
Anyone in your household have a washing machine for clothes?
Anyone in your household have a washing machine for clothes?
Anyone in your household have a washing machine for clothes?
Anyone in your household have a washing machine for clothes?
Anyone in your household have a washing machine for clothes?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a washing machine for clothes?
4495
4
1
Yes
5
No
Sysmiss
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a refrigerator? ?
4496
3
1
Yes
5
No
Sysmiss
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a refrigerator?
4496
3
1
Yes
5
No
Sysmiss
Anyone in your household have a fixed line telephone?
Anyone in your household have a fixed line telephone?
Anyone in your household have a fixed line telephone?
Anyone in your household have a fixed line telephone?
Anyone in your household have a fixed line telephone?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a fixed line telephone?
4498
1
1
Yes
5
No
Sysmiss
Anyone in your household have a mobile/cellular telephone?
Anyone in your household have a mobile/cellular telephone?
Anyone in your household have a mobile/cellular telephone?
Anyone in your household have a mobile/cellular telephone?
Anyone in your household have a mobile/cellular telephone?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a mobile/cellular telephone?
4496
3
1
Yes
5
No
Sysmiss
Anyone in your household have a television?
Anyone in your household have a television?
Anyone in your household have a television?
Anyone in your household have a television?
Anyone in your household have a television?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a television?
4497
2
1
Yes
5
No
Sysmiss
Anyone in your household have a computer?
Anyone in your household have a computer?
Anyone in your household have a computer?
Anyone in your household have a computer?
Anyone in your household have a computer?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a computer?
4497
2
1
Yes
5
No
Sysmiss
Does anyone in your household have Access to the internet/World Wide Web from your home?
Does anyone in your household have Access to the internet/World Wide Web from your home?
Does anyone in your household have Access to the internet/World Wide Web from your home?
Does anyone in your household have Access to the internet/World Wide Web from your home?
Does anyone in your household have Access to the internet/World Wide Web from your home?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have Access to the internet/World Wide Web from your home?
4496
3
1
Yes
5
No
Sysmiss
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have any subscriptions to magazines and/or newspapers?
4497
2
1
Yes
5
No
Sysmiss
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
4497
2
1
Yes
5
No
Sysmiss
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
4497
2
1
Yes
5
No
Sysmiss
Do you have a second home?
Do you have a second home?
Do you have a second home?
Do you have a second home?
Do you have a second home?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Do you have a second home?
4497
2
1
Yes
5
No
Sysmiss
total household expenditure
total household expenditure
total household expenditure
total household expenditure
total household expenditure
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend in total?
4495
4
1
352000
18738.789
15016.448
Amount spend on food
Amount spend on food
Amount spend on food
Amount spend on food
Amount spend on food
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on food, including such things as [rice], meat, fruits, vegetables, and cooking oils? Include the value of any food that was produced and consumed by the household, and exclude alcohol, tobacco and restaurant meals.
4497
2
86730
8616.151
6408.352
Spent on Housing
Spent on Housing
Spent on Housing
Spent on Housing
Spent on Housing
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on housing, gas, electricity, water, telephone, and heating fuel?
4496
3
45000
3760.119
2671.474
Spent on Education
Spent on Education
Spent on Education
Spent on Education
Spent on Education
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on education fees and supplies?
4445
54
300000
1770.791
6363.432
Health care costs
Health care costs
Health care costs
Health care costs
Health care costs
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on health care costs, excluding any insurance reimbursements?
4469
30
223000
1780.373
4757.483
Insurance Premiums
Insurance Premiums
Insurance Premiums
Insurance Premiums
Insurance Premiums
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on voluntary insurance premiums or prepaid health plans?
4371
128
22000
48.345
644.317
Other Goods and services
Other Goods and services
Other Goods and services
Other Goods and services
Other Goods and services
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on all other goods and services?
4464
35
85000
2889.413
5302.541
Care required staying overnight
Care required staying overnight
Care required staying overnight
Care required staying overnight
Care required staying overnight
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on care that required staying overnight in a hospital or health facility?
4387
112
45000
112.374
1522.122
Care by doctors nurses and trained midwives
Care by doctors nurses and trained midwives
Care by doctors nurses and trained midwives
Care by doctors nurses and trained midwives
Care by doctors nurses and trained midwives
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on care by doctors, nurses, or trained midwives that did not require an overnight stay?
4383
116
30000
29.376
677.002
Household spend on traditional healers
Household spend on traditional healers
Household spend on traditional healers
Household spend on traditional healers
Household spend on traditional healers
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on care by traditional or alternative healers?
4384
115
9000
22.458
288.405
Amount spent on dentists
Amount spent on dentists
Amount spent on dentists
Amount spent on dentists
Amount spent on dentists
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on dentists?
4393
106
20300
224.424
1066.067
Amount spent on Medication or drugs
Amount spent on Medication or drugs
Amount spent on Medication or drugs
Amount spent on Medication or drugs
Amount spent on Medication or drugs
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on medication or drugs?
4472
27
150000
1187.739
2938.069
Amount spent on health care
Amount spent on health care
Amount spent on health care
Amount spent on health care
Amount spent on health care
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on health care products such prescription glasses, hearing aids, prosthetic devices, etc.?
4385
114
25500
99.106
717.459
Diagnostic and Laboratory tests
Diagnostic and Laboratory tests
Diagnostic and Laboratory tests
Diagnostic and Laboratory tests
Diagnostic and Laboratory tests
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on diagnostic and laboratory tests such as X-rays or Blood tests?
4389
110
13000
75.95
450.726
other
other
other
other
other
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on any other health care products or services that were not included above?
4385
114
30000
57.534
697.071
overnight stay in hospital
overnight stay in hospital
overnight stay in hospital
overnight stay in hospital
overnight stay in hospital
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, how many times did members of your household go to a hospital and stay overnight?
4409
90
10000
8.155
242.263
Household costs associated with overnight stay
Household costs associated with overnight stay
Household costs associated with overnight stay
Household costs associated with overnight stay
Household costs associated with overnight stay
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, how much did the household pay for all costs associated with overnight stays in a hospital? Please exclude any expenses in the last 4 weeks that you have already told me about, and exclude any reimbursement from insurance.
745
3754
82000
5874.07
10288.194
Current Income of household
Current Income of household
Current Income of household
Current Income of household
Current Income of household
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Current income of any household members.
4491
8
1
Yes
5
No
Sysmiss
Savings
Savings
Savings
Savings
Savings
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Savings (e.g. bank account).
4463
36
1
Yes
5
No
Sysmiss
payment or reimbursement
payment or reimbursement
payment or reimbursement
payment or reimbursement
payment or reimbursement
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Payment or reimbursement from a health insurance plan.
4468
31
1
Yes
5
No
Sysmiss
Sold items
Sold items
Sold items
Sold items
Sold items
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Sold items (e.g. furniture, animals, jewellery, furniture).
4472
27
1
Yes
5
No
Sysmiss
family members
family members
family members
family members
family members
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Family members or friends from outside the household.
4472
27
1
Yes
5
No
Sysmiss
Borrowed from someone
Borrowed from someone
Borrowed from someone
Borrowed from someone
Borrowed from someone
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Borrowed from someone other than a friend or family.
4472
27
1
Yes
5
No
Sysmiss
Other
Other
Other
Other
Other
Household Expenditure?
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Other
4467
32
1
Yes
5
No
Sysmiss
Time end section 0800
Time end section 0800
Time end section 0800
Time end section 0800
Time end section 0800
1828
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Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
15337
13500001
13504500
13502250.702
1299.551
gender
gender
gender
gender
gender
15337
1
Female
2
Male
15337
1
2
3
4
5
6
7
8
9
10
11
12
13
relationship
relationship
relationship
relationship
relationship
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you 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 (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Household member's relationship to informant
15326
11
1
himself / herself
2
wife or husband
3
son or daughter
4
son or daughter in law
5
grand child
6
parent
7
parent in law
8
brother or sister
9
co-wife
10
grand parent
11
other relative
12
not related
13
don't know
Sysmiss
age
age
age
age
age
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you 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 (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Age
15337
93
31.053
18.374
education
education
education
education
education
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you 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 (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Education
15311
26
1
No formal schooling
2
less than primary school
3
primary school completed
4
secondary school completed
5
high school (or equivalent) completed
6
college / pre-university / university completed
7
post graduate deegree completed
Sysmiss
marital status
marital status
marital status
marital status
marital status
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you 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 (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Marital status
15277
60
1
Never married
2
Currently married
3
Separated
4
Divorced
5
Widowed
6
Chohabiting
Sysmiss
Ever worked or trained in health field
Ever worked or trained in health field
Ever worked or trained in health field
Ever worked or trained in health field
Ever worked or trained in health field
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you 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 (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Ever worked or trained in a health-related field
15265
72
1
Yes
5
No
Sysmiss
Eligible person
Eligible person
Eligible person
Eligible person
Eligible person
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you 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 (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Eligible person
15199
138
not eligible
1
eligible
Sysmiss
Whs respondent
Whs respondent
Whs respondent
Whs respondent
Whs respondent
4499
R
covered by health insurance
covered by health insurance
covered by health insurance
covered by health insurance
covered by health insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by any kind of health insurance plan?
15232
105
1
Yes
5
No
Sysmiss
covered by mandatory health insurance
covered by mandatory health insurance
covered by mandatory health insurance
covered by mandatory health insurance
covered by mandatory health insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by any mandatory health insurance plans?
25
15312
1
5
Sysmiss
covered by voluntary health insurance
covered by voluntary health insurance
covered by voluntary health insurance
covered by voluntary health insurance
covered by voluntary health insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by any voluntary health insurance plans?
15170
167
1
2
3
4
5
6
Sysmiss
How much for voluntary insurance
How much for voluntary insurance
How much for voluntary insurance
How much for voluntary insurance
How much for voluntary insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
How much does your household pay for this person’s voluntary health insurance each year?
25
15312
61600
8488.4
16104.162
Covered because of relationship to someone
Covered because of relationship to someone
Covered because of relationship to someone
Covered because of relationship to someone
Covered because of relationship to someone
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by insurance only because of his/her relationship to someone else who has health insurance?
15161
176
1
5
Sysmiss
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Who is enrolled in the insurance plan that gives this person health insurance?
4
15333
400
407
401.75
3.5
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
1246
13500001
13504499
13502212.812
1308.094
1237
9
11
6.369
2.264
1246
1
2
3
4
5
Questionnaire completed
Questionnaire completed
Questionnaire completed
Questionnaire completed
Questionnaire completed
Questionnaire completed
Each adult member of the household who has ever worked or been trained in a Health-Related field.
1242
4
1
Yes
2
No, respondent not found
3
No, respondent refused
Sysmiss
Main occupation or occupational trainingMain occupation or occupational training
Main occupation or occupational trainingMain occupation or occupational training
Main occupation or occupational trainingMain occupation or occupational training
Main occupation or occupational trainingMain occupation or occupational training
Main occupation or occupational trainingMain occupation or occupational training
How would you best describe your main occupation or occupational training?
1230
16
1
Medical doctor (including psychiatrist, gynecologist, ophthalmologist, etc.)
2
Dentist, dental surgeon or oral/dentistry or periodontist
3
Pharmacist or pharmaceutical chemist
4
Nurse professional
5
Midwife professional or matron
6
Optometrist or optician
7
Physiotherapist, chiropractor or podiatrist
8
Medical assistant
9
Nutritionist or dietician
10
Dental associate (assistant, hygienist or technician)
11
Pharmaceutical assistant or technician
12
Nursing associate or auxiliary
13
Nursing aide, community health workers, hospital aide or dental aide
14
Midwife associate or auxiliary or traditional birth attendant
15
Sanitarian or health inspector
16
Traditional medicine practitioner
17
Faith healer
18
Other health occupation than above : Specify __
19
Other occupation (such as administrator, driver, sweeper, etc.)
Sysmiss
Worked during 12 months
Worked during 12 months
Worked during 12 months
Worked during 12 months
Worked during 12 months
Have you worked during the last 12 months?
1231
15
1
Yes
5
No
Sysmiss
Place where usually worked over the last 12 months
Place where usually worked over the last 12 months
Place where usually worked over the last 12 months
Place where usually worked over the last 12 months
Place where usually worked over the last 12 months
How would you best describe the place where you usually worked over the last 12 months?
1110
136
1
Public hospital (government, including military or railroad hospital)
2
Private hospital (for profit/not for profit)
3
Public health centre (including dental clinic, palliativile clinic,health post etc.
4
Private health centre, including dental clinic, palliative care centre, mobile clinic, health post, doctor's office etc.
5
Private home-based services) nursing, Medical etc.
6
Public health training or research institution (including medical faculty, dental college, etc.
7
Private health training or research institution (including medical faculty, dental college etc.
8
Laboratory centre
9
Pharmacy
10
Other health services (including district health administration, etc.)
11
Non-health services area
Sysmiss
Hours per week
Hours per week
Hours per week
Hours per week
Hours per week
How many hours a week do you usually work at this location, excluding unpaid mealtimes and on-call hours?
1104
142
5
100
38.588
9.597
First main type of work
First main type of work
First main type of work
First main type of work
First main type of work
Select and rank the two main type of work that you usually perform at this location.
1097
149
1
Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2
Administration / supervision/care coordination
3
Teaching / health education/research
4
Laboratory / diagnostic procedures
5
Dispensing (medications / health products)
6
Other health-related activities (such as attending in ward, assisting medical practitioners, etc.)
7
Consultation with agencies / professionals
8
Other non-health activities (such as driving car, maintaining equipment, etc.)
Sysmiss
First main type of work
Second type of work
Second type of work
Second type of work
Second type of work
Second type of work
Select and rank the two main type of work that you usually perform at this location.
799
447
1
Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2
Administration / supervision/care coordination
3
Teaching / health education/research
4
Laboratory / diagnostic procedures
5
Dispensing (medications / health products)
6
Other health-related activities (such as attending in ward, assisting medical practitioners, etc.)
7
Consultation with agencies / professionals
8
Other non-health activities (such as driving car, maintaining equipment, etc.)
Sysmiss
Second main type of work
Method of salary payment
Method of salary payment
Method of salary payment
Method of salary payment
Method of salary payment
How would you describe the method by which you are usually paid at this location?
1105
141
1
Salary (such as weekly or hourly wage, etc.)
2
Salary plus bonus
3
Fee-for-service (according to type of service provided only)
4
Capitation (fixed amount per patient)
5
Capitation plus fees for extra services
6
Other methods
7
Not paid
Sysmiss
Regularly worked at another location over past 12 months
Regularly worked at another location over past 12 months
Regularly worked at another location over past 12 months
Regularly worked at another location over past 12 months
Regularly worked at another location over past 12 months
In addition to your main job location, have you regularly worked at another location over the last 12 months?
1110
136
1
Yes
5
No
Sysmiss
Description of other place of work
Description of other place of work
Description of other place of work
Description of other place of work
Description of other place of work
If also worked at an other location
How would you best describe this other place where you worked?
64
1182
1
Public hospital (government, including military or railroad hospital)
2
Private hospital (for profit/not for profit)
3
Public health centre (including dental clinic, palliative care centre, mobile clinic, health post, etc.
4
Private health centre, including dental clinic, palliative care centre, mobile clinic, health post, doctor's office etc.
5
Private home-based services (nursing, medical, etc.)
6
Public health training or research institution (including medical faculty, dental college, etc.
7
Private health training or research institution (including medical faculty, dental college, etc.
8
Laboratory centre
9
Pharmacy
10
Other health services (including district health administration etc.)
11
Non- health services area
Sysmiss
How many hours a week of work at other location
How many hours a week of work at other location
How many hours a week of work at other location
How many hours a week of work at other location
How many hours a week of work at other location
If also worked at an other location
How many hours a week do you usually work at this other location
excluding unpaid mealtimes and on-call hours?
64
1182
1
84
18.328
14.718
First main type of work at second job location
First main type of work at second job location
First main type of work at second job location
First main type of work at second job location
First main type of work at second job location
If also worked at an other location
Select and rank the two main type of work that you usually perform at this location?
53
1193
1
Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2
Administration / supervision/care coordination
3
Teaching / health education/research
4
Laboratory / diagnostic procedures
5
Dispensing (medications / health products)
6
Other health-related activities (such as attending in ward, assisting medical practitioners, etc.)
7
Consultation with agencies / professionals
8
Other non-health activities (such as driving car, maintaining equipment, etc.)
Sysmiss
First main type of work (second job location)
Second type of work at second job location
Second type of work at second job location
Second type of work at second job location
Second type of work at second job location
Second type of work at second job location
If also worked at an other location
Select and rank the two main type of work that you usually perform at this location?
32
1214
1
Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2
Administration / supervision/care coordination
3
Teaching / health education/research
4
Laboratory / diagnostic procedures
5
Dispensing (medications / health products)
6
Other health-related activities (such as attending in ward, assisting medical practitioners, etc.)
7
Consultation with agencies / professionals
8
Other non-health activities (such as driving car, maintaining equipment, etc.)
Sysmiss
Second main type of work (second job location)
Method of salary payment at second job
Method of salary payment at second job
Method of salary payment at second job
Method of salary payment at second job
Method of salary payment at second job
If also worked at an other location
How would you describe the method by which you are usually paid at this other location?
67
1179
1
Salary (such as weekly or hourly wage, etc.)
2
Salary plus bonus Go to Q0917
3
Fee-for-service (according to type of service provided only)
4
Capitation (fixed amount per patient)
5
Capitation plus fees for extra services
6
Other methods
7
Not paid
Sysmiss
Reason not worked over last 12 months
Reason not worked over last 12 months
Reason not worked over last 12 months
Reason not worked over last 12 months
Reason not worked over last 12 months
What is the main reason you have not been working over the last 12 months
55
1191
1
Looked but can't find a job
2
Doing unpaid work / voluntary activities
3
Studies / training
4
Caring for family / Homemaker
5
Retired / too old to work
6
Ill health
7
Other
Sysmiss
Worked for at least 6 months in another country
Worked for at least 6 months in another country
Worked for at least 6 months in another country
Worked for at least 6 months in another country
Worked for at least 6 months in another country
Over the last 2-3 years, did you worked for at least 6 months in a country other than this one?
587
659
1
Yes
5
No
Sysmiss
Highest level of schooling completed
Highest level of schooling completed
Highest level of schooling completed
Highest level of schooling completed
Highest level of schooling completed
What was the highest level of schooling you completed?
1226
20
1
No formal schooling
2
Less than primary school
3
Primary school completed
4
Secondary school completed
5
High school (or equivalent) completed
6
College/ pre-university/ University completed
7
University post-graduate degree completed
Sysmiss
In what year did you reach this level
In what year did you reach this level
In what year did you reach this level
In what year did you reach this level
In what year did you reach this level
In what year did you reach this level?
1145
101
1917
2002
1985.833
11.59
Which country did you reach highest level of schooling
Which country did you reach highest level of schooling
Which country did you reach highest level of schooling
Which country did you reach highest level of schooling
Which country did you reach highest level of schooling
In what country did you reach this level?
1072
174
1
Country of residence
2
Other country
Sysmiss
Number of days of proffesional training/continuing education program
Number of days of proffesional training/continuing education program
Number of days of proffesional training/continuing education program
Number of days of proffesional training/continuing education program
Number of days of proffesional training/continuing education program
In the past 12 months, have you been on any professional training or continuing education programmes?
1140
106
120
7.339
14.151
Average earnings per week
Average earnings per week
Average earnings per week
Average earnings per week
Average earnings per week
Thinking over the past year, can you tell me what have been your
average earnings? (Please, tell me the amount per week, per month or per one year, whichever is easiest for you).
269
977
15000
746.026
1702.948
7
Refusal
8
Do not know
Average earnings per month
Average earnings per month
Average earnings per month
Average earnings per month
Average earnings per month
Thinking over the past year, can you tell me what have been your
average earnings? (Please, tell me the amount per week, per month or per one year, whichever is easiest for you).
926
320
97000
8549.4
5362.204
7
Refusal
8
Do not know
Average earnings per year
Average earnings per year
Average earnings per year
Average earnings per year
Average earnings per year
Thinking over the past year, can you tell me what have been your
average earnings? (Please, tell me the amount per week, per month or per one year, whichever is easiest for you).
61
1185
2000000
7
Refusal
8
Do not know
49
1
12
18
2
3
4
ACCOUNTER
DRIVER
Healthcare statistician
MEDICAL STATIST
PROGRAMMER
Refuse collection
Registrator
Secretar'
TECHNIK-OPTIC
VRACH-LABORANT
chief
disinfektor
economist
epidemiologist
laboratory assistant
massage nurse
medical supernumerary
statist
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
4496
13500001
13504500
13502251.835
1298.724
Time begin section 1000
Time begin section 1000
Time begin section 1000
Time begin section 1000
Time begin section 1000
1247
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18:00
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21:50
22:10
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22:45
22:55
Mother tongue
Mother tongue
Mother tongue
Mother tongue
Mother tongue
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your mother tongue?
4490
1
16:25
Armenian
Azerbadz
Azerbaid
Azerbaij
BASHKIRI
Bashkir
Bashkiri
Belarus
Belorus
Chechen
Czech
Deutch
Gemany
German
Germani
Greek
Iran
Iranian
KASAKH
KAZAK
KAZAKH
KAZAKh
KURD
KURDIAN
Kazakh
Kazhakh
Kirgiz
Kitai
Korean
Koreiski
Kurd
Kurdian
Kurdskii
Kzakh
Lithuani
Poland
Pole
RUSSIAN
RYSSIAN
Rassian
Rusian
Russian
Russion
Russsian
TATAR
TATARIAN
TURKISH
Tatar
Tatarian
Tatarski
Tchetche
Turk
Turkish
Turkiya
UIGUR
UKRAINEA
UKRAINEI
Uigur
Ukrain
Ukraina
Ukraine
Ukrainsk
Uygur
Uzbek
Uzbekish
armenian
azerbaid
azerbaij
bulgary
chechen
chiganka
dungan
georgian
german
kasakh
kazah
kazak
kazakh
kazaknh
kazkah
kazkh
kirgyz
korean
koreja
kurd
kurdian
kyrgiz
moldavan
moldavia
pandzhab
pole
polski
russian
tatar
tatarian
tatarin
the turo
turkish
turok
uigur
uigurian
uiqur
ukrain
ukraina
ukraine
ukrainia
uygur
uzbek
uzbekian
Sex -- Male/female
Sex -- Male/female
Sex -- Male/female
Sex -- Male/female
Sex -- Male/female
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
Record sex as observed.
4496
1
Female
2
Male
Age in years
Age in years
Age in years
Age in years
Age in years
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
How old are you? (Years)
4495
1
18
89
41.438
13.045
Age range
Age range
Age range
Age range
Age range
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
If you don’t know/don’t want to tell me your age could you tell me the age range if I read the different options to you (choose what is most appropriate)?
32
4464
1
18-19
2
20-29
3
30-39
4
40-49
5
50-59
6
60-69
7
70+
Sysmiss
Weight in kilos
Weight in kilos
Weight in kilos
Weight in kilos
Weight in kilos
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your weight in Kilos?
4492
4
5
180
69.14
13.617
Weight in pounds
Weight in pounds
Weight in pounds
Weight in pounds
Weight in pounds
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your weight in Pounds?
183
4313
6
198
164.475
18.527
height in cms
height in cms
height in cms
height in cms
height in cms
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your height in Centimeters?
4124
372
52
205
165.719
9.673
Height in (feet)
Height in (feet)
Height in (feet)
Height in (feet)
Height in (feet)
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your height in Feet/Inches?
4496
Height in (inches)
Height in (inches)
Height in (inches)
Height in (inches)
Height in (inches)
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your height in Feet/Inches?
4496
Marital Status
Marital Status
Marital Status
Marital Status
Marital Status
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your current marital status?
4496
1
never married
2
currently married
3
separated
4
divorced
5
widowed
6
cohabiting
education
education
education
education
education
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is the highest level of education that you have completed?
4496
1
No formal schoolong
2
less than primary school
3
primary school completed
4
secondary school completed
5
high school completed
6
college completed
7
post graduate degree completed
Years of formal education completed
Years of formal education completed
Years of formal education completed
Years of formal education completed
Years of formal education completed
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
How many years of school, including higher education, have you completed?
4487
9
50
13.103
2.893
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
24
25
26
33
36
46
50
Sysmiss
Background
Background
Background
Background
Background
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your [ethnic group/ racial group/ cultural subgroup/ others] background?
4477
1
2
3
4
5
Armenian
Azerbaid
Azerbaij
BASHKIRI
BELORUSS
Bashkir
Belarus
Belorus
Byelorus
Chechen
Chechenk
Czech
Deutch
Deutsch
GERMAN
Geman
German
Greek
Iran
KAZAK
KAZAKH
KAZAKh
KOREAN
KORIAN
KURDIAN
Kazakgh
Kazakh
Kazakhst
Kazaklh
Kazaksta
Kazkh
Kazkhsta
Korea
Korean
Koreya
Koreyank
Kurd
Kurdian
Kzakhsta
Lithuani
Litvinka
MOLDAVAN
Mordoviy
Poland
Pole
Polish
RUSSIAN
Rassian
Romanian
Russain
Russan
Russian
Russion
TATAR
TATARIAN
TATARIN
TURKISH
Tatar
Tatarin
Tatarka
Tchetche
The Germ
Turk
Turkish
Turkiya
UIGUR
UKRAINEA
UKRAINEI
UKRAINIA
Uigur
Ukrain
Ukraine
Ukrainec
Ukraines
Ukrainia
Ukrainka
Uygur
Uzbek
Uzbekian
Ykrainka
armenian
azerbaid
azerbaij
belaruss
belorus
beloruss
bolgar
bulgar
chechen
chiganka
chuvashi
deutch
deutche
deutsch
doiche
dungan
georgian
german
iran
iranka
kalmyk
kasakh
kazah
kazahk
kazak
kazakh
kazakhst
kazkakh
kitai
korean
koreyan
kurd
kurdian
kyrgiz
moldavan
moldavia
moldova
pakistan
pole
poliyk
rusian
russdian
russian
tatar
tatarian
tatarin
tatariua
tatarka
the kore
turkish
turok
uigur
uigurian
uiqur
ukraian
ukrain
ukraina
ukraine
ukrainei
ukraines
ukrainia
uktain
uygur
uzbek
uzbekish
ykrainka
current job
current job
current job
current job
current job
Respondent’s Socio Demographic Characteristics
Now, I would like to ask you a few questions about your work status.
What is your current job?
4493
3
1
Government employee
2
Non-government employee
3
Self-employed
4
Employer
5
Not working for pay
Sysmiss
main occupation
main occupation
main occupation
main occupation
main occupation
Respondent’s Socio Demographic Characteristics
Now, I would like to ask you a few questions about your work status.
During the last 12 months, what has been your main occupation?
3228
1268
1
Legislator, Senior Official, or Manager
2
Professional
3
Technician or Associate Professional
4
Clerk
5
Service or sales worker
6
Agricultural or fishery worker
7
Craft or trades worker
8
Plant/machine operator or assembler
9
Elementary worker
10
Armed forces
Sysmiss
reason not working
reason not working
reason not working
reason not working
reason not working
Respondent’s Socio Demographic Characteristics
Now, I would like to ask you a few questions about your work status.
What is the main reason why you are not working for pay?
1244
3252
1
Homemaker / caring for family
2
Looked but cant find a job
3
Doing unpaid work / voluntary activities
4
Studies / training
5
Retired / too old to work
6
Ill health
7
Other
Sysmiss
Time end section 1000
Time end section 1000
Time end section 1000
Time end section 1000
Time end section 1000
1379
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13:58
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15:00
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19:44
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22:00
22:12
22:20
22:35
22:50
23:00
23:05
Time begin section 2000
Time begin section 2000
Time begin section 2000
Time begin section 2000
Time begin section 2000
1873
08:08
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23:05
rate your health
rate your health
rate your health
rate your health
rate your health
Health State Descriptions Time Begin
Overall Health
The first questions are about your overall health, including both your physical and your mental health.
In general, how would you rate your health today?
4496
1
Very good
2
Good
3
Moderate
4
Bad
5
Very Bad
work or household activities
work or household activities
work or household activities
work or household activities
work or household activities
Health State Descriptions Time Begin
Overall Health
The first questions are about your overall health, including both your physical and your mental health.
Overall in the last 30 days, how much difficulty did you have with work or household activities?
4496
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
difficulty in moving around
difficulty in moving around
difficulty in moving around
difficulty in moving around
difficulty in moving around
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Mobility
Overall in the last 30 days how much difficulty did you have with moving around?
4496
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
vigorous activities
vigorous activities
vigorous activities
vigorous activities
vigorous activities
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Mobility
In the last 30 days, how much difficulty did you have in vigorous activities, such as running 3km (or equivalent) or cycling?
4496
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
self-care, such as washing & dressing
self-care, such as washing & dressing
self-care, such as washing & dressing
self-care, such as washing & dressing
self-care, such as washing & dressing
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Self Care
Overall in the last 30 days, how much difficulty did you have with self-care, such as washing or dressing yourself?
4496
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
maintaining general appearance
maintaining general appearance
maintaining general appearance
maintaining general appearance
maintaining general appearance
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Self Care
In the last 30 days, how much difficulty did you have in taking care of and maintaining your general appearance (e.g. grooming, looking neat and tidy etc.)
4496
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
amount of pain/discomfort
amount of pain/discomfort
amount of pain/discomfort
amount of pain/discomfort
amount of pain/discomfort
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Pain and Discomfort
Overall in the last 30 days, how much of bodily aches or pains did you have?
4496
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Bodily discomfort
Bodily discomfort
Bodily discomfort
Bodily discomfort
Bodily discomfort
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Pain and Discomfort
In the last 30 days, how much bodily discomfort did you have?
4493
3
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
concentrating / remembering things
concentrating / remembering things
concentrating / remembering things
concentrating / remembering things
concentrating / remembering things
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Cognition
Overall in the last 30 days, how much difficulty did you have with concentrating or remembering things?
4496
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
learning a new task
learning a new task
learning a new task
learning a new task
learning a new task
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Cognition
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 etc.)?
4496
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
personal relationships / participation
personal relationships / participation
personal relationships / participation
personal relationships / participation
personal relationships / participation
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Interpersonal Activities
Overall in the last 30 days, how much difficulty did you have with personal relationship or participation in the community?
4495
1
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
dealing with conflicts / tension with others
dealing with conflicts / tension with others
dealing with conflicts / tension with others
dealing with conflicts / tension with others
dealing with conflicts / tension with others
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Interpersonal Activities
In the last 30 days, how much difficulty did you have in dealing with conflicts and tensions with others?
4494
2
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
wear glasses or contact lenses
wear glasses or contact lenses
wear glasses or contact lenses
wear glasses or contact lenses
wear glasses or contact lenses
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Vision
Do you wear glasses or contact lenses?
4483
13
1
Yes
5
No
Sysmiss
seeing and recognizing person from across road
seeing and recognizing person from across road
seeing and recognizing person from across road
seeing and recognizing person from across road
seeing and recognizing person from across road
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Vision
In the last 30 days, how much difficulty did you have in Seeing and recognizing a person you know across the road (i.e. from a distance of about 20 meters)?
4387
109
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
seeing and recognizing object at arms length
seeing and recognizing object at arms length
seeing and recognizing object at arms length
seeing and recognizing object at arms length
seeing and recognizing object at arms length
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Vision
In the last 30 days, how much difficulty did you have in seeing and recognizing an object at arm’s length or in reading?
4389
107
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Sleep and Energy
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?
4495
1
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Problem with feeling rested
Problem with feeling rested
Problem with feeling rested
Problem with feeling rested
Problem with feeling rested
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Sleep and Energy
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day?
4494
2
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
feeling sad, low or depressed
feeling sad, low or depressed
feeling sad, low or depressed
feeling sad, low or depressed
feeling sad, low or depressed
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Affect
Overall in the last 30 days, how much of a problem did you have with feeling sad, low or depressed?
4493
3
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Worry or anxiety
Worry or anxiety
Worry or anxiety
Worry or anxiety
Worry or anxiety
Health State Descriptions Time Begin
Now I would like to review 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 an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Affect
Overall in the last 30 days, how much of a problem did you have with worry or anxiety?
4495
1
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Record Set
Record Set
Record Set
Record Set
Record Set
4496
A
B
C
D
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Jan] 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 [name of person]
have with feeling sad, low, or depressed?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-2
H-Vignette - Set A Q-2
H-Vignette - Set A Q-2
H-Vignette - Set A Q-2
H-Vignette - Set A Q-2
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Jan] 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.
In the last 30 days, how much of a problem did [name of person] have
with worry or anxiety?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[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 of a problem did [name of person]
have with moving around?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-4
H-Vignette - Set A Q-4
H-Vignette - Set A Q-4
H-Vignette - Set A Q-4
H-Vignette - Set A Q-4
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Mary] has no problems with walking, running or using her hands, arms and legs. She jogs 4 kilometres twice a week.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Anton] does not exercise. He cannot climb stairs or do other physical activities because he is obese. He is able to carry the groceries and do some light
household work.
Overall in the last 30 days, how much of a problem did [name of person]
have with moving around?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-6
H-Vignette - Set A Q-6
H-Vignette - Set A Q-6
H-Vignette - Set A Q-6
H-Vignette - Set A Q-6
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Anton] does not exercise. He cannot climb stairs or do other physical activities because he is obese. He is able to carry the groceries and do some light
household work.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[David] 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 [name of person]
have with moving around?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-8
H-Vignette - Set A Q-8
H-Vignette - Set A Q-8
H-Vignette - Set A Q-8
H-Vignette - Set A Q-8
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[David] 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.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
1129
3367
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Ken] 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 [name of person]
have with feeling sad, low, or depressed?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-10
H-Vignette - Set A Q-10
H-Vignette - Set A Q-10
H-Vignette - Set A Q-10
H-Vignette - Set A Q-10
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Ken] loves life and is happy all the time. He never worries or gets upset about anything and deals with things as they come.
In the last 30 days, how much of a problem did [name of person] have
with worry or anxiety?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Rob] 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 [name of person]
have with moving around?
1129
3367
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-12
H-Vignette - Set A Q-12
H-Vignette - Set A Q-12
H-Vignette - Set A Q-12
H-Vignette - Set A Q-12
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Rob] 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.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vincent] 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 of a problem did [name of person]
have with moving around?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-14
H-Vignette - Set A Q-14
H-Vignette - Set A Q-14
H-Vignette - Set A Q-14
H-Vignette - Set A Q-14
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vincent] 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.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vivian] 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 [name of person]
have with feeling sad, low, or depressed?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-16
H-Vignette - Set A Q-16
H-Vignette - Set A Q-16
H-Vignette - Set A Q-16
H-Vignette - Set A Q-16
VIGNETTES FOR HEALTH STATE DESCRIPTIONS.
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vivian] 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.
In the last 30 days, how much of a problem did [name of person] have
with worry or anxiety?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Roberta] 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 [name of person]
have with feeling sad, low, or depressed?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-18
H-Vignette - Set A Q-18
H-Vignette - Set A Q-18
H-Vignette - Set A Q-18
H-Vignette - Set A Q-18
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Roberta] 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.
In the last 30 days, how much of a problem did [name of person] have
with worry or anxiety?
1128
3368
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Henriette] 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 [name of person]
have with feeling sad, low, or depressed?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-20
H-Vignette - Set A Q-20
H-Vignette - Set A Q-20
H-Vignette - Set A Q-20
H-Vignette - Set A Q-20
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Henriette] 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 [name of person]
have with distress, sadness or worry?
1130
3366
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Mark] 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 [name
of person] have?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-2
H-Vignette - Set B Q-2
H-Vignette - Set B Q-2
H-Vignette - Set B Q-2
H-Vignette - Set B Q-2
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Mark] 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.
In the last 30 days, how much bodily discomfort did [name of person]
have?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[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 [name of person]
have with personal relationships or participation in the community?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-4
H-Vignette - Set B Q-4
H-Vignette - Set B Q-4
H-Vignette - Set B Q-4
H-Vignette - Set B Q-4
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[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.
In the last 30 days, how much difficulty did [name of person] have in
dealing with conflicts and tensions with others?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal 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 causes them to avoid her.
Overall in the last 30 days, how much difficulty did [name of person]
have with personal relationship or participation in the community?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-6
H-Vignette - Set B Q-6
H-Vignette - Set B Q-6
H-Vignette - Set B Q-6
H-Vignette - Set B Q-6
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal 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 causes them to avoid her.
In the last 30 days, how much difficulty did [name of person] have in
dealing with conflicts and tensions with others?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Katie] 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 [name
of person] have?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-8
H-Vignette - Set B Q-8
H-Vignette - Set B Q-8
H-Vignette - Set B Q-8
H-Vignette - Set B Q-8
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Katie] 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.
In the last 30 days, how much bodily discomfort did [name of person]
have?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Charlie] 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 difficulty did [name of person]
have with personal relationship or participation in the community?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-10
H-Vignette - Set B Q-10
H-Vignette - Set B Q-10
H-Vignette - Set B Q-10
H-Vignette - Set B Q-10
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Charlie] 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.
In the last 30 days, how much difficulty did [name of person] have in
dealing with conflicts and tensions with others?
1124
3372
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[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 [name
of person] have?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-12
H-Vignette - Set B Q-12
H-Vignette - Set B Q-12
H-Vignette - Set B Q-12
H-Vignette - Set B Q-12
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[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.
In the last 30 days, how much bodily discomfort did [name of person] have?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Johanna] gets on well with the people she knows but has no close friends. She has not spoken to her mother in 5 years and does not want to see her. Because
of this tension, her family usually excludes her from family gatherings.
Overall in the last 30 days, how much difficulty did [name of person] have with personal relationship or participation in the community?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-14
H-Vignette - Set B Q-14
H-Vignette - Set B Q-14
H-Vignette - Set B Q-14
H-Vignette - Set B Q-14
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Johanna] gets on well with the people she knows but has no close friends. She has not spoken to her mother in 5 years and does not want to see her. Because
of this tension, her family usually excludes her from family gatherings.
In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[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 [name of person] have?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-16
H-Vignette - Set B Q-16
H-Vignette - Set B Q-16
H-Vignette - Set B Q-16
H-Vignette - Set B Q-16
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[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.
In the last 30 days, how much bodily discomfort did [name of person]have?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal 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 [name of person] have with personal relationships or participation in the community?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-18
H-Vignette - Set B Q-18
H-Vignette - Set B Q-18
H-Vignette - Set B Q-18
H-Vignette - Set B Q-18
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal 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.
In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[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 [name of person] have?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-20
H-Vignette - Set B Q-20
H-Vignette - Set B Q-20
H-Vignette - Set B Q-20
H-Vignette - Set B Q-20
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[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.
In the last 30 days, how much bodily discomfort did [name of person]have?
1124
3372
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[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.
In the last 30 days, how much difficulty did you think [name of person]have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-2
H-Vignette - Set C Q-2
H-Vignette - Set C Q-2
H-Vignette - Set C Q-2
H-Vignette - Set C Q-2
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[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.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Paolo] has no trouble falling asleep at night and does not wake up during the night, but every morning he finds it difficult to wake up. He uses an alarm clock
but falls back asleep after the alarm goes off. He is late to work on four out of five days and feels tired in the mornings.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-4
H-Vignette - Set C Q-4
H-Vignette - Set C Q-4
H-Vignette - Set C Q-4
H-Vignette - Set C Q-4
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Paolo] has no trouble falling asleep at night and does not wake up during the night, but every morning he finds it difficult to wake up. He uses an alarm clock
but falls back asleep after the alarm goes off. He is late to work on four out of five days and feels tired in the mornings.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[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.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e. from a distance of about 20 meters)?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-6
H-Vignette - Set C Q-6
H-Vignette - Set C Q-6
H-Vignette - Set C Q-6
H-Vignette - Set C Q-6
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[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.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm's length or in reading?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Damien] wakes up almost once every hour during the night. When she wakes up in the night, it takes around 15 minutes for her to go back to sleep. In the morning she does not feel well-rested and feels slow and tired all day.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-8
H-Vignette - Set C Q-8
H-Vignette - Set C Q-8
H-Vignette - Set C Q-8
H-Vignette - Set C Q-8
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Damien] wakes up almost once every hour during the night. When she wakes up in the night, it takes around 15 minutes for her to go back to sleep. In the morning she does not feel well-rested and feels slow and tired all day.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Daniel] takes about two hours every night to fall asleep. He 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 he wakes up in the middle of the night and cannot go back to sleep for the rest of the night. He is fatigued all day, every day
and misses work several times a week. He cannot take part in sports or social activities.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-10
H-Vignette - Set C Q-10
H-Vignette - Set C Q-10
H-Vignette - Set C Q-10
H-Vignette - Set C Q-10
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Daniel] takes about two hours every night to fall asleep. He 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 he wakes up in the middle of the night and cannot go back to sleep for the rest of the night. He is fatigued all day, every day
and misses work several times a week. He cannot take part in sports or social activities.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[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.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-12
H-Vignette - Set C Q-12
H-Vignette - Set C Q-12
H-Vignette - Set C Q-12
H-Vignette - Set C Q-12
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[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.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[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.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-14
H-Vignette - Set C Q-14
H-Vignette - Set C Q-14
H-Vignette - Set C Q-14
H-Vignette - Set C Q-14
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[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.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and 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.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
1114
3382
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-16
H-Vignette - Set C Q-16
H-Vignette - Set C Q-16
H-Vignette - Set C Q-16
H-Vignette - Set C Q-16
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and 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.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Sebastian] cannot detect any movement close to the eyes or even the presence of a light.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e. from a distance of about 20 meters)?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-18
H-Vignette - Set C Q-18
H-Vignette - Set C Q-18
H-Vignette - Set C Q-18
H-Vignette - Set C Q-18
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Sebastian] cannot detect any movement close to the eyes or even the presence of a light.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
1115
3381
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Mark] 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.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
1114
3382
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-20
H-Vignette - Set C Q-20
H-Vignette - Set C Q-20
H-Vignette - Set C Q-20
H-Vignette - Set C Q-20
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Mark] 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.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having
energy)?
1112
3384
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self 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 [name of person] have with self-care, such as washing or dressing himself/herself?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-2
H-Vignette - Set D Q-2
H-Vignette - Set D Q-2
H-Vignette - Set D Q-2
H-Vignette - Set D Q-2
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Helena] pays a lot of attention to the way she looks. She requires no assistance with cleanliness, dressing and eating.
In the last 30 days, how much difficulty did [name of person] have in taking care of and maintaining his/her general appearance (e.g. grooming, looking neat and tidy etc.)
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] 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 overall how much difficulty did [name of the
person] have with concentrating or remembering things?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-4
H-Vignette - Set D Q-4
H-Vignette - Set D Q-4
H-Vignette - Set D Q-4
H-Vignette - Set D Q-4
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] 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.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
1124
3372
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] is quadriplegic and must be washed, groomed, dressed and fed by somebody else.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-6
H-Vignette - Set D Q-6
H-Vignette - Set D Q-6
H-Vignette - Set D Q-6
H-Vignette - Set D Q-6
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] is quadriplegic and must be washed, groomed, dressed and fed by somebody else.
In the last 30 days, how much difficulty did [name of person] have in
taking care of and maintaining his/her general appearance(e.g. grooming,
looking neat and tidy etc.)
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[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 overall how much difficulty did [name of the
person] have with concentrating or remembering things?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-8
H-Vignette - Set D Q-8
H-Vignette - Set D Q-8
H-Vignette - Set D Q-8
H-Vignette - Set D Q-8
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[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.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
1124
3372
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Rob] 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 overall how much difficulty did [name of the
person] have with concentrating or remembering things?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-10
H-Vignette - Set D Q-10
H-Vignette - Set D Q-10
H-Vignette - Set D Q-10
H-Vignette - Set D Q-10
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Rob] 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.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[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 overall how much difficulty did [name of the
person] have with concentrating or remembering things?
1124
3372
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-12
H-Vignette - Set D Q-12
H-Vignette - Set D Q-12
H-Vignette - Set D Q-12
H-Vignette - Set D Q-12
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[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.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
1123
3373
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[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 [name of person]
have with self-care, such as washing or dressing himself/herself?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-14
H-Vignette - Set D Q-14
H-Vignette - Set D Q-14
H-Vignette - Set D Q-14
H-Vignette - Set D Q-14
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[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.
In the last 30 days, how much difficulty did [name of person] have in
taking care of and maintaining his/her general appearance(e.g. grooming,
looking neat and tidy etc.)
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Peter] 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 overall how much difficulty did [name of the
person] have with concentrating or remembering things?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-16
H-Vignette - Set D Q-16
H-Vignette - Set D Q-16
H-Vignette - Set D Q-16
H-Vignette - Set D Q-16
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Peter] 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.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self 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 [name of person]
have with self-care, such as washing or dressing himself/herself?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-18
H-Vignette - Set D Q-18
H-Vignette - Set D Q-18
H-Vignette - Set D Q-18
H-Vignette - Set D Q-18
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self 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.
In the last 30 days, how much difficulty did [name of person] have in
taking care of and maintaining his/her general appearance (e.g. grooming,
looking neat and tidy etc.)
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Victor] 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 [name of person]
have with self-care, such as washing or dressing himself/herself?
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-20
H-Vignette - Set D Q-20
H-Vignette - Set D Q-20
H-Vignette - Set D Q-20
H-Vignette - Set D Q-20
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions 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 health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Victor] 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.
In the last 30 days, how much difficulty did [name of person] have in
taking care of and maintaining his/her general appearance (e.g. grooming,
looking neat and tidy etc.)
1125
3371
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Time end section 2000
Time end section 2000
Time end section 2000
Time end section 2000
Time end section 2000
1901
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Time begin section 3000
Time begin section 3000
Time begin section 3000
Time begin section 3000
Time begin section 3000
1884
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HSV Set code
HSV Set code
HSV Set code
HSV Set code
HSV Set code
4496
A
B
HSV - Set A Q-1
HSV - Set A Q-1
HSV - Set A Q-1
HSV - Set A Q-1
HSV - Set A Q-1
Health State Valuations
Descriptions
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing himself / herself?
2253
2243
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-2
HSV - Set A Q-2
HSV - Set A Q-2
HSV - Set A Q-2
HSV - Set A Q-2
Health State Valuations
Descriptions
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much difficulty would a person in this state have with
moving around?
2253
2243
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-3
HSV - Set A Q-3
HSV - Set A Q-3
HSV - Set A Q-3
HSV - Set A Q-3
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much of bodily aches and pains would a person in this state
have?
2251
2245
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-4
HSV - Set A Q-4
HSV - Set A Q-4
HSV - Set A Q-4
HSV - Set A Q-4
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Alcohol dependence, marked by excessive drinking that cannot be controlled.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing himself / herself?
2253
2243
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-5
HSV - Set A Q-5
HSV - Set A Q-5
HSV - Set A Q-5
HSV - Set A Q-5
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Alcohol dependence, marked by excessive drinking that cannot be controlled.
Overall, how much difficulty would a person in this state have with
concentrating or remembering things?
2253
2243
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-6
HSV - Set A Q-6
HSV - Set A Q-6
HSV - Set A Q-6
HSV - Set A Q-6
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Alcohol dependence, marked by excessive drinking that cannot be controlled.
Overall, how much of a problem would a person in this state have with
sleeping, such as falling asleep, waking up frequently during the night or
waking up too early in the morning?
2252
2244
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-7
HSV - Set A Q-7
HSV - Set A Q-7
HSV - Set A Q-7
HSV - Set A Q-7
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: having limited long-distance vision - able to read and recognize objects at
arm’s length but not to distinguish faces across a room (i.e., at distance of 5 meters); no glasses available.
How much difficulty would a person in this state have with vigorous
activities, such as running 3 km (or equivalent) or cycling?
2253
2243
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-8
HSV - Set A Q-8
HSV - Set A Q-8
HSV - Set A Q-8
HSV - Set A Q-8
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: having limited long-distance vision - able to read and recognize objects at
arm’s length but not to distinguish faces across a room (i.e., at distance of 5 meters); no glasses available.
Overall, how much difficulty would a person in this state have with
personal relationships or participation in the community?
2253
2243
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-9
HSV - Set A Q-9
HSV - Set A Q-9
HSV - Set A Q-9
HSV - Set A Q-9
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: having limited long-distance vision - able to read and recognize objects at
arm’s length but not to distinguish faces across a room (i.e., at distance of 5 meters); no glasses available.
How much difficulty would a person in this state have with seeing and
recognizing a person he or she knows across the road (i.e. from a distance
of about 20 meters)?
2251
2245
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-10
HSV - Set A Q-10
HSV - Set A Q-10
HSV - Set A Q-10
HSV - Set A Q-10
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Chronic lower back pain, with stiffness in the morning, problems sitting or bending and to a lesser degree walking; difficulties in all physical activities.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing himself / herself?
2253
2243
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-11
HSV - Set A Q-11
HSV - Set A Q-11
HSV - Set A Q-11
HSV - Set A Q-11
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Chronic lower back pain, with stiffness in the morning, problems sitting or bending and to a lesser degree walking; difficulties in all physical activities.
Overall, how much of bodily aches and pains would a person in this state
have?
2252
2244
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-12
HSV - Set A Q-12
HSV - Set A Q-12
HSV - Set A Q-12
HSV - Set A Q-12
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Chronic lower back pain, with stiffness in the morning, problems sitting or bending and to a lesser degree walking; difficulties in all physical activities.
Overall how much difficulty would a person in this state have with
moving around?
2253
2243
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-13
HSV - Set A Q-13
HSV - Set A Q-13
HSV - Set A Q-13
HSV - Set A Q-13
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine the following health state: total blindness in both eyes, acquired as an adult.
Overall, how much difficulty would a person in this state have with
feeling sad, low or depressed?
2253
2243
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-14
HSV - Set A Q-14
HSV - Set A Q-14
HSV - Set A Q-14
HSV - Set A Q-14
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine the following health state: total blindness in both eyes, acquired as an adult.
Overall, how much difficulty would a person in this state have with
moving around?
2253
2243
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-15
HSV - Set A Q-15
HSV - Set A Q-15
HSV - Set A Q-15
HSV - Set A Q-15
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine the following health state: total blindness in both eyes, acquired as an adult.
Overall, how much difficulty would a person in this state have with
personal relationships or participation in the community?
2253
2243
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-16
HSV - Set A Q-16
HSV - Set A Q-16
HSV - Set A Q-16
HSV - Set A Q-16
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 1 (BEST)
2253
ALC
AMP
BAK
BLI
VIS
HSV - Set A Q-17
HSV - Set A Q-17
HSV - Set A Q-17
HSV - Set A Q-17
HSV - Set A Q-17
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 2
2253
ALC
AMP
BAK
BLI
VIS
HSV - Set A Q-18
HSV - Set A Q-18
HSV - Set A Q-18
HSV - Set A Q-18
HSV - Set A Q-18
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 3
2253
ALC
AMP
BAK
BLI
VIS
HSV - Set A Q-19
HSV - Set A Q-19
HSV - Set A Q-19
HSV - Set A Q-19
HSV - Set A Q-19
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 4
2253
ALC
AMP
BAK
BLI
VIS
HSV - Set A Q-20
HSV - Set A Q-20
HSV - Set A Q-20
HSV - Set A Q-20
HSV - Set A Q-20
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 5 (WORST)
2252
ALC
AMP
BAK
BLI
VIS
HSV - Set B Q-1
HSV - Set B Q-1
HSV - Set B Q-1
HSV - Set B Q-1
HSV - Set B Q-1
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing yourself?
2243
2253
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-2
HSV - Set B Q-2
HSV - Set B Q-2
HSV - Set B Q-2
HSV - Set B Q-2
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much difficulty would a person in this state have with
moving around?
2243
2253
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-3
HSV - Set B Q-3
HSV - Set B Q-3
HSV - Set B Q-3
HSV - Set B Q-3
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall how much of bodily aches and pains would a person in this state
have?
2243
2253
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-4
HSV - Set B Q-4
HSV - Set B Q-4
HSV - Set B Q-4
HSV - Set B Q-4
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: insomnia: difficulty falling asleep, waking up earlier than wanted and frequently during the night.
Overall, how much difficulty would a person in this state have with
concentrating or remembering things?
2243
2253
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-5
HSV - Set B Q-5
HSV - Set B Q-5
HSV - Set B Q-5
HSV - Set B Q-5
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: insomnia: difficulty falling asleep, waking up earlier than wanted and frequently during the night.
Overall, how much of a problem would a person in this state have due to
not feeling rested and refreshed during the day?
2243
2253
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-6
HSV - Set B Q-6
HSV - Set B Q-6
HSV - Set B Q-6
HSV - Set B Q-6
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: insomnia: difficulty falling asleep, waking up earlier than wanted and frequently during the night.
Overall how much difficulty would a person in this state have with feeling
sad, low or depressed?
2243
2253
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-7
HSV - Set B Q-7
HSV - Set B Q-7
HSV - Set B Q-7
HSV - Set B Q-7
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: arthritis in both hands and wrists, causing major pain, stiffness, swelling and deformities.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing himself/herself?
2243
2253
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-8
HSV - Set B Q-8
HSV - Set B Q-8
HSV - Set B Q-8
HSV - Set B Q-8
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: arthritis in both hands and wrists, causing major pain, stiffness, swelling and deformities.
Overall how much of bodily aches and pains would a person in this state
have?
2243
2253
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-9
HSV - Set B Q-9
HSV - Set B Q-9
HSV - Set B Q-9
HSV - Set B Q-9
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: arthritis in both hands and wrists, causing major pain, stiffness, swelling and deformities.
Overall, how much of a problem would a person in this state have due to
not feeling rested and refreshed during the day?
2243
2253
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-10
HSV - Set B Q-10
HSV - Set B Q-10
HSV - Set B Q-10
HSV - Set B Q-10
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: major depression, with profound sadness, loss of pleasure in activities, slowness and irritability, poor
sleep and appetite and suicidal thoughts.
Overall, how much difficulty would a person in this state have with
personal relationships or participation in the community?
2241
2255
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-11
HSV - Set B Q-11
HSV - Set B Q-11
HSV - Set B Q-11
HSV - Set B Q-11
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: major depression, with profound sadness, loss of pleasure in activities, slowness and irritability, poor
sleep and appetite and suicidal thoughts.
Overall, how much difficulty would a person in this state have with
concentrating or remembering things?
2241
2255
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-12
HSV - Set B Q-12
HSV - Set B Q-12
HSV - Set B Q-12
HSV - Set B Q-12
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: major depression, with profound sadness, loss of pleasure in activities, slowness and irritability, poor
sleep and appetite and suicidal thoughts.
Overall how much difficulty would a person in this state have with feeling
sad, low or depressed?
2241
2255
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-13
HSV - Set B Q-13
HSV - Set B Q-13
HSV - Set B Q-13
HSV - Set B Q-13
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: quadriplegia, or paralysis from the neck down, unable to move arms or legs or use hands, but able to
breathe independently; basic wheelchair available.
Overall, how much difficulty would a person in this state have with
personal relationships or participation in the community?
2242
2254
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-14
HSV - Set B Q-14
HSV - Set B Q-14
HSV - Set B Q-14
HSV - Set B Q-14
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: quadriplegia, or paralysis from the neck down, unable to move arms or legs or use hands, but able to
breathe independently; basic wheelchair available.
Overall, how much bodily discomfort would a person in this state have?
2242
2254
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-15
HSV - Set B Q-15
HSV - Set B Q-15
HSV - Set B Q-15
HSV - Set B Q-15
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: quadriplegia, or paralysis from the neck down, unable to move arms or legs or use hands, but able to
breathe independently; basic wheelchair available.
Overall how much difficulty would a person in this state have with feeling
sad, low or depressed?
2242
2254
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-16
HSV - Set B Q-16
HSV - Set B Q-16
HSV - Set B Q-16
HSV - Set B Q-16
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 1 (BEST)
2243
AMP
ART
DEP
INS
QUA
HSV - Set B Q-17
HSV - Set B Q-17
HSV - Set B Q-17
HSV - Set B Q-17
HSV - Set B Q-17
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 2
2243
AMP
ART
DEP
INS
QUA
HSV - Set B Q-18
HSV - Set B Q-18
HSV - Set B Q-18
HSV - Set B Q-18
HSV - Set B Q-18
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 3
2243
AMP
ART
DEP
INS
QUA
HSV - Set B Q-19
HSV - Set B Q-19
HSV - Set B Q-19
HSV - Set B Q-19
HSV - Set B Q-19
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 4
2243
AMP
ART
DEP
INS
QUA
HSV - Set B Q-20
HSV - Set B Q-20
HSV - Set B Q-20
HSV - Set B Q-20
HSV - Set B Q-20
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 5 (WORST)
2243
AMP
ART
DEP
INS
QUA
Time end section 3000
Time end section 3000
Time end section 3000
Time end section 3000
Time end section 3000
1865
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Time begin section 4000
Time begin section 4000
Time begin section 4000
Time begin section 4000
Time begin section 4000
1866
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18:27
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18:33
18:35
18:36
18:37
18:40
18:45
18:46
18:50
18:51
18:52
18:55
19:00
19:05
19:07
19:10
19:11
19:12
19:15
19:16
19:20
19:22
19:23
19:25
19:27
19:30
19:32
19:35
19:36
19:38
19:40
19:45
19:50
19:52
19:53
19:55
19:56
19:57
20:00
20:01
20:02
20:05
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20:11
20:15
20:16
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20:30
20:32
20:35
20:40
20:45
20:47
20:50
20:51
20:55
20:56
21:01
21:05
21:10
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21:35
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22:00
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22:27
22:30
22:32
22:41
22:50
22:55
23:00
23:17
23:20
23:26
23:35
Currently smoke
Currently smoke
Currently smoke
Currently smoke
Currently smoke
Do you currently smoke any tobacco products such as cigarettes, cigars, or pipes?
4495
1
1
Daily
2
Yes, but not daily
5
No, not at all
Sysmiss
How many years
How many years
How many years
How many years
How many years
For how many years are you been smoking daily?
737
3759
60
16.379
11.259
how many each day manufactured cigarettes
how many each day manufactured cigarettes
how many each day manufactured cigarettes
how many each day manufactured cigarettes
how many each day manufactured cigarettes
On average, how many manufactured cigarettes do you smoke each day?
735
3761
40
11.891
8.444
Hand-rolled cigarette
Hand-rolled cigarette
Hand-rolled cigarette
Hand-rolled cigarette
Hand-rolled cigarette
On average, how many hand-rolled cigarettes do you smoke each day?
674
3822
10
0.0593
0.689
How many each day pipeful tobacco
How many each day pipeful tobacco
How many each day pipeful tobacco
How many each day pipeful tobacco
How many each day pipeful tobacco
On average, how many pipefuls of tobacco do you smoke each day?
674
3822
1
0.00148
0.0385
other tobacco
other tobacco
other tobacco
other tobacco
other tobacco
On average, how many other tobacco products do you smoke each day? (excluding manufactured cigarettes, hand-rolled cigarettes, pipefuls of tobacco)
674
3822
1
0.00148
0.0385
ever drink alcohol
ever drink alcohol
ever drink alcohol
ever drink alcohol
ever drink alcohol
Have you ever consumed a drink that contains alcohol (such as beer, wine, etc.)?
4493
3
1
Yes
5
Never
Sysmiss
How many each day - Monday
How many each day - Monday
How many each day - Monday
How many each day - Monday
How many each day - Monday
How many standard drinks of any alcoholic beverage did you have on Monday?
3006
1490
24
0.121
0.884
How many each day_Tuesday
How many each day_Tuesday
How many each day_Tuesday
How many each day_Tuesday
How many each day_Tuesday
How many standard drinks of any alcoholic beverage did you have on Tuesday?
3007
1489
15
0.0938
0.606
How many each day_Wednesday
How many each day_Wednesday
How many each day_Wednesday
How many each day_Wednesday
How many each day_Wednesday
How many standard drinks of any alcoholic beverage did you have on Wednesday?
3008
1488
23
0.129
0.806
How many each day_Thursday
How many each day_Thursday
How many each day_Thursday
How many each day_Thursday
How many each day_Thursday
How many standard drinks of any alcoholic beverage did you have on Thursday?
3007
1489
15
0.128
0.686
How many each day_Friday
How many each day_Friday
How many each day_Friday
How many each day_Friday
How many each day_Friday
How many standard drinks of any alcoholic beverage did you have on Friday?
3013
1483
20
0.325
1.065
How many each day_Saturday
How many each day_Saturday
How many each day_Saturday
How many each day_Saturday
How many each day_Saturday
How many standard drinks of any alcoholic beverage did you have on Saturday?
3015
1481
32
0.852
1.837
How many each day_Sunday
How many each day_Sunday
How many each day_Sunday
How many each day_Sunday
How many each day_Sunday
How many standard drinks of any alcoholic beverage did you have on Sunday?
3004
1492
16
0.392
1.008
Number of servings of fruit per day
Number of servings of fruit per day
Number of servings of fruit per day
Number of servings of fruit per day
Number of servings of fruit per day
Now I am going to ask you about the fruit and vegetables you usually eat.
How many servings of fruit do you eat on a typical day?
4485
11
1
2
3
4
5
6
8
10
20
Sysmiss
Number of servings of vegetables per day
Number of servings of vegetables per day
Number of servings of vegetables per day
Number of servings of vegetables per day
Number of servings of vegetables per day
Now I am going to ask you about the fruit and vegetables you usually eat.
How many servings of vegetables do you eat on a typical day?
4490
6
1
2
3
4
5
6
7
8
10
12
15
Sysmiss
vigorous physical activities
vigorous physical activities
vigorous physical activities
vigorous physical activities
vigorous physical activities
I am going to ask you about the time you spent being physically active in the last 7 days. Please answer each question even if you do not consider yourself to be an active person. Think about the activities you do at work, as part of your house and yard work, to get from place to place, and in your spare time for recreation, exercise or sport.
Now, think about all the vigorous activities which take hard physical effort that you did in the last 7 days. Vigorous activities make you breathe much harder than normal and may include heavy lifting, digging, aerobics, or fast bicycling.
Think about only those physical activities that you did for at least 10 minutes at a time.
During the last 7 days, on how many days did you do vigorous physical activities?
4486
10
1
2
3
4
5
6
7
Sysmiss
Vigorous PA hours
Vigorous PA hours
Vigorous PA hours
Vigorous PA hours
Vigorous PA hours
How much time did you usually spend doing vigorous physical activities on one of those days? (in hours per day)
1359
3137
12
1.584
1.773
How much time in total vigorous physical activities (minutes)
How much time in total vigorous physical activities (minutes)
How much time in total vigorous physical activities (minutes)
How much time in total vigorous physical activities (minutes)
How much time in total vigorous physical activities (minutes)
How much time did you usually spend doing vigorous physical activities on one of those days? (in minutes per day)
1313
3183
59
8.516
13.283
How many days of moderate physical activities
How many days of moderate physical activities
How many days of moderate physical activities
How many days of moderate physical activities
How many days of moderate physical activities
Now think about activities which take moderate physical effort that you did in the last 7 days. Moderate physical activities make you breathe somewhat harder than normal and may include carrying light loads, bicycling at a regular pace, or doubles tennis. Do not include walking. Again, think about only those physical activities that you did for at least 10 minutes at a time.
During the last 7 days, on how many days did you do moderate physical activities?
4488
8
1
2
3
4
5
6
7
Sysmiss
Moderate PA hours
Moderate PA hours
Moderate PA hours
Moderate PA hours
Moderate PA hours
How much time did you usually spend doing moderate physical activities on one of those days? (hours per day)
3056
1440
20
1.9
1.824
How much time in total moderate physical activities (hours/minutes)
How much time in total moderate physical activities (hours/minutes)
How much time in total moderate physical activities (hours/minutes)
How much time in total moderate physical activities (hours/minutes)
How much time in total moderate physical activities (hours/minutes)
How much time did you usually spend doing moderate physical activities on one of those days? (minutes per day)
2983
1513
59
8.329
13.648
how many days did you walk
how many days did you walk
how many days did you walk
how many days did you walk
how many days did you walk
Now think about the time you spent walking in the last 7 days. This includes at work and at home, walking to travel from place to place, and any other walking that you might do solely for recreation, sport, exercise, or leisure.
During the last 7 days, on how many days did you walk for at least 10 minutes at a time?
4495
1
7
6.121
1.822
Walking - hours per day
Walking - hours per day
Walking - hours per day
Walking - hours per day
Walking - hours per day
How much time did you usually spend walking on one of those days? (in hours per day)
4294
202
20
2.782
2.76
Walking minutes per day
Walking minutes per day
Walking minutes per day
Walking minutes per day
Walking minutes per day
How much time did you usually spend walking on one of those days? (in minutes per day)
4187
309
59
8.619
13.663
What type of floor
What type of floor
What type of floor
What type of floor
What type of floor
What type of floor does your dwelling / house have?
4493
3
1
Hard floor
2
Earth floor
Sysmiss
Type of wall
Type of wall
Type of wall
Type of wall
Type of wall
What type of wall does your dwelling / house have?
4493
3
1
Cement, brick, stone or wood
2
Mud brick
3
Thatch and other
4
Plastic sheet
5
Metal sheet
6
Other
Sysmiss
main source of drinking water
main source of drinking water
main source of drinking water
main source of drinking water
main source of drinking water
What is the main source of drinking water for members of this household?
4496
1
Piped water through house connection or yard
2
Public standpipe
3
Protected tube well or bore hole
4
Protected dug well or protected spring
5
Unprotected dug well or spring
6
Rainwater (into tank or cistern )
7
Water taken directly from pond-water or stream
8
Tanker-truck, vendor
How long does it take to get water and come back
How long does it take to get water and come back
How long does it take to get water and come back
How long does it take to get water and come back
How long does it take to get water and come back
How long does it take to get there, get water and come back?
1188
3308
1
5
1
Less than 5 minutes
2
Between 5 to 30 minutes
3
Between 30 to 60 minutes
4
Between 60 to 90 minutes
5
More than 90 minutes
20 liter water available
20 liter water available
20 liter water available
20 liter water available
20 liter water available
Are there at least 20 litres of water per person (about one bucket) available per day (for drinking, cooking, personal hygiene etc.) in the household?
1354
3142
1
Yes
5
No
Sysmiss
What type of toilet facilities
What type of toilet facilities
What type of toilet facilities
What type of toilet facilities
What type of toilet facilities
What type of toilet facilities does your household use?
4489
7
1
Flush to piped sewage system
2
Flush to septic tank
3
Pour flush latrine
4
Covered dry latrine (with privacy)
5
Uncovered dry latrine (without privacy)
6
Bucket latrine (where fresh excreta are manually removed)
7
No facilities (open defecation)
8
Other
Sysmiss
How far is the facility from your dwellings
How far is the facility from your dwellings
How far is the facility from your dwellings
How far is the facility from your dwellings
How far is the facility from your dwellings
How far is the facility from your dwelling/house?
4356
140
1
Within property / yard, used by single household
2
Within property / yard, used by multiple household
3
Outside property / yard, private
4
Outside property / yard, shared
Sysmiss
What type of fuel
What type of fuel
What type of fuel
What type of fuel
What type of fuel
What type of fuel does your household mainly use for cooking?
4496
1
Gas
2
Electricity
3
Kerosene
4
Coal
5
Charcoal
6
Wood
7
Agriculture/crop
8
Animal dung
9
Shrubs/grass
10
Other
Type of cooking stove
Type of cooking stove
Type of cooking stove
Type of cooking stove
Type of cooking stove
What type of cooking stove is used in your house?
314
4182
1
Open fire or stove without chimney or hood
2
Open fire or stove with chimney or hood
3
Closed stove with chimney
4
Other
Sysmiss
Where cooking done
Where cooking done
Where cooking done
Where cooking done
Where cooking done
Where is cooking usually done?
318
4178
1
In a room used for living or sleeping
2
In a separate room used as kitchen
3
In a separate building used as kitchen
4
Outdoors
Sysmiss
Do you heat your house when cold
Do you heat your house when cold
Do you heat your house when cold
Do you heat your house when cold
Do you heat your house when cold
Do you heat your house when it is cold?
4494
2
1
Yes
5
No
Sysmiss
What type of fuel for heating
What type of fuel for heating
What type of fuel for heating
What type of fuel for heating
What type of fuel for heating
What type of fuel does your household mainly use for heating?
4472
24
1
Gas
2
Electricity
3
Kerosene
4
Coal
5
Charcoal
6
Wood
7
Agriculture/crop
8
Animal dung
9
Shrubs/grass
10
Other
Sysmiss
Type of heating stove
Type of heating stove
Type of heating stove
Type of heating stove
Type of heating stove
What type of heating stove is used in your house?
1834
2662
1
Open fire or stove without chimney or hood
2
Open fire or stove with chimney or hood
3
Closed stove with chimney
4
Other
Sysmiss
Time end section 4000
Time end section 4000
Time end section 4000
Time end section 4000
Time end section 4000
1818
08:25
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22:50
22:55
22:56
23:00
23:05
23:23
23:30
23:38
23:50
Ever given birth
Ever given birth
Ever given birth
Ever given birth
Ever given birth
Now I would like to aks you about all the births you have had during your life. Have you ever given birth?
These questions are to be asked of all women respondents of reproductive (18-49) years age.
2223
2273
1
Yes
5
No
Sysmiss
Household roster line number
Household roster line number
Household roster line number
Household roster line number
Household roster line number
4464
32
400
401
402
403
404
405
406
407
408
409
410
Sysmiss
number of births to natural mother
number of births to natural mother
number of births to natural mother
number of births to natural mother
number of births to natural mother
How many children did your mother give birth to, including you ? No. of
births to natural mother:
4493
3
1
13
3.617
2.333
number of preceding births
number of preceding births
number of preceding births
number of preceding births
number of preceding births
How many births did your mother have before you were born? No. of
preceding births:
4390
106
9
1.282
1.626
number of succeeding births
number of succeeding births
number of succeeding births
number of succeeding births
number of succeeding births
How many births did your mother have after you were born? No. of
succeeding births:
4391
105
11
1.412
1.741
Time begin section 6000
Time begin section 6000
Time begin section 6000
Time begin section 6000
Time begin section 6000
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Arthritis
Arthritis
Arthritis
Arthritis
Arthritis
Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received.
Have you ever been diagnosed with arthritis (a disease of the joints)?
4472
24
1
Yes
5
No
8
Do not know
Sysmiss
Arthritis treated
Arthritis treated
Arthritis treated
Arthritis treated
Arthritis treated
Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received.
Have you ever been treated for it (referring to the disease asked about question Q6001)?
4482
14
1
Yes
5
No
8
Do not know
Sysmiss
medication for arthritis
medication for arthritis
medication for arthritis
medication for arthritis
medication for arthritis
Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received.
Have you been taking any medication or other treatment for it (referring to the disease asked about in question Q6001) during the last two weeks?
4485
11
1
Yes
5
No
8
Do not know
Sysmiss
pain, aching or stiffness
pain, aching or stiffness
pain, aching or stiffness
pain, aching or stiffness
pain, aching or stiffness
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
During the last 12 months, have you experienced pain, aching, stiffness or swelling in or around the joint, which were not related to an injury and lasted more than a month?
4489
7
1
Yes
5
No
Sysmiss
stiffness in joint in morning
stiffness in joint in morning
stiffness in joint in morning
stiffness in joint in morning
stiffness in joint in morning
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
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?
4475
21
1
Yes
5
No
Sysmiss
length of stiffness
length of stiffness
length of stiffness
length of stiffness
length of stiffness
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
How long does this stiffness last?
726
3770
1
About 30 minutes or less
2
More than 30 minutes
Sysmiss
stiffness go away after exercise/movement
stiffness go away after exercise/movement
stiffness go away after exercise/movement
stiffness go away after exercise/movement
stiffness go away after exercise/movement
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
Does the stiffness go away after exercise or movement in the joint?
733
3763
1
Yes
5
No
Sysmiss
Back Pain
Back Pain
Back Pain
Back Pain
Back Pain
Have you experienced back pain (including disc problems) during the last 30 days?
4487
9
1
Yes
5
No
Sysmiss
How many days did you have back pain
How many days did you have back pain
How many days did you have back pain
How many days did you have back pain
How many days did you have back pain
How many days did you have this back pain during the last 30 days?
1551
2945
1
30
8.908
8.186
diagnosis of angina pectoris
diagnosis of angina pectoris
diagnosis of angina pectoris
diagnosis of angina pectoris
diagnosis of angina pectoris
Have you ever been diagnosed with angina or angina pectoris (a heart disease)?
4463
33
1
Yes
5
No
8
Do not know
Sysmiss
Angina treated
Angina treated
Angina treated
Angina treated
Angina treated
Have you ever been treated for it (referring to the disease asked about in question Q6009)?
4473
23
1
Yes
5
No
8
Do not know
Sysmiss
Medication or other treatment for angina
Medication or other treatment for angina
Medication or other treatment for angina
Medication or other treatment for angina
Medication or other treatment for angina
Have you been taking any medication or other treatment for it (referring to the disease asked about in question Q6009) during the last two weeks?
4480
16
1
Yes
5
No
8
Do not know
Sysmiss
Pain or discomfort in chest
Pain or discomfort in chest
Pain or discomfort in chest
Pain or discomfort in chest
Pain or discomfort in chest
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced pain or discomfort in your chest when you walk uphill or hurry?
4274
222
1
Yes
5
No
9
Never walks uphill or hurries
Sysmiss
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced pain or discomfort in your chest when you walk at an ordinary pace on level ground?
If the respondent has neither exertional pain nor pain at rest or mild physical activity (questions Q6012 and Q6013), then questions Q6014, Q6015, and Q6016 should not be asked.
4457
39
1
Yes
5
No
Sysmiss
what do you do when you get pain while walking
what do you do when you get pain while walking
what do you do when you get pain while walking
what do you do when you get pain while walking
what do you do when you get pain while walking
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
What do you do if you get the pain or discomfort when you are walking?
942
3554
1
Stop or slow down
2
Carry on after taking a pain relieving medicine
3
Carry on
Sysmiss
if you stand still, what happens to pain
if you stand still, what happens to pain
if you stand still, what happens to pain
if you stand still, what happens to pain
if you stand still, what happens to pain
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
If you stand still, what happens to the pain or discomfort?
927
3569
1
Relieved
2
Not relieved
Sysmiss
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
786
3710
1
Yes
5
No
Sysmiss
location of pain (lower chest)
location of pain (lower chest)
location of pain (lower chest)
location of pain (lower chest)
location of pain (lower chest)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
605
3891
1
Yes
5
No
Sysmiss
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
615
3881
1
Yes
5
No
Sysmiss
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
668
3828
1
Yes
5
No
Sysmiss
Asthma Diagnosed
Asthma Diagnosed
Asthma Diagnosed
Asthma Diagnosed
Asthma Diagnosed
Have you ever been diagnosed with asthma (an allergic respiratory disease)?
4481
15
1
Yes
5
No
8
Do not know
Sysmiss
Asthma Treated
Asthma Treated
Asthma Treated
Asthma Treated
Asthma Treated
Have you ever been treated for it (referring to the disease asked about in Q6017)?
4485
11
1
Yes
5
No
8
Do not know
Sysmiss
Medication or other treatment for asthma
Medication or other treatment for asthma
Medication or other treatment for asthma
Medication or other treatment for asthma
Medication or other treatment for asthma
Have you been taking any medications or other treatment for it (referring to the disease asked about in Q6017), during the last two weeks?
4482
14
1
Yes
5
No
8
Do not know
Sysmiss
wheezing or whistling breathing
wheezing or whistling breathing
wheezing or whistling breathing
wheezing or whistling breathing
wheezing or whistling breathing
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced attacks of wheezing or whistling breathing?
4485
11
1
Yes
5
No
Sysmiss
attack of wheezing after physical activity
attack of wheezing after physical activity
attack of wheezing after physical activity
attack of wheezing after physical activity
attack of wheezing after physical activity
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced an attack of wheezing that came on after you stopped exercising or some other physical activity?
4484
12
1
Yes
5
No
Sysmiss
Tightness in chest
Tightness in chest
Tightness in chest
Tightness in chest
Tightness in chest
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced feeling of tightness in your chest?
4484
12
1
Yes
5
No
Sysmiss
tightness in chest upon waking
tightness in chest upon waking
tightness in chest upon waking
tightness in chest upon waking
tightness in chest upon waking
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you woken up with a feeling of tightness in your chest in the morning or at any other time?
4486
10
1
Yes
5
No
Sysmiss
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, 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?
4487
9
1
Yes
5
No
Sysmiss
diagnosis of depression
diagnosis of depression
diagnosis of depression
diagnosis of depression
diagnosis of depression
During the last 12 months, have you ever been diagnosed with depression?
4474
22
1
Yes
5
No
8
Do not know
Sysmiss
Depression treated
Depression treated
Depression treated
Depression treated
Depression treated
During the last 12 months, have you ever been diagnosed with depression?
Have you ever been treated for it? (referring to condition asked in Q6025)
4479
17
1
Yes
5
No
8
Do not know
Sysmiss
medication for depression
medication for depression
medication for depression
medication for depression
medication for depression
During the last 12 months, have you ever been diagnosed with depression?
Have you been taking any medications or other treatment for it in the last two weeks?
4478
18
1
Yes
5
No
8
Do not know
Sysmiss
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During last 12 months, have you had a period lasting several days when you felt sad, empty or depressed?
4355
141
1
Yes
5
No
8
Do not know
Sysmiss
period lasting several days when lost interest
period lasting several days when lost interest
period lasting several days when lost interest
period lasting several days when lost interest
period lasting several days when lost interest
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During last 12 months, have you had a period lasting several days when you lost interest in most things you usually enjoy such as hobbies, personal relationships or work?
4389
107
1
Yes
5
No
8
Do not know
Sysmiss
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During 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?
4361
135
1
Yes
5
No
8
Do not know
Sysmiss
depression more than two weeks
depression more than two weeks
depression more than two weeks
depression more than two weeks
depression more than two weeks
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Was this period [of sadness/loss of interest/low energy] more than 2 weeks?
1409
3087
1
Yes
5
No
Sysmiss
depression most of the day nearly every day
depression most of the day nearly every day
depression most of the day nearly every day
depression most of the day nearly every day
depression most of the day nearly every day
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Was this period [of sadness/loss of interest/low energy] most of the day, nearly every day?
1390
3106
1
Yes
5
No
Sysmiss
loss of appetite
loss of appetite
loss of appetite
loss of appetite
loss of appetite
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During this period, did you lose your appetite?
1386
3110
1
Yes
5
No
Sysmiss
slowing down in thinking
slowing down in thinking
slowing down in thinking
slowing down in thinking
slowing down in thinking
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During this period, did you notice any slowing down in your thinking?
1382
3114
1
Yes
5
No
Sysmiss
Schizophrenia diagnosis
Schizophrenia diagnosis
Schizophrenia diagnosis
Schizophrenia diagnosis
Schizophrenia diagnosis
Have you ever been diagnosed for a mental health problem such as schizophrenia or psychosis?
4484
12
1
Yes
5
No
8
Do not know
Sysmiss
Schizophrenia Treated
Schizophrenia Treated
Schizophrenia Treated
Schizophrenia Treated
Schizophrenia Treated
Have you ever been diagnosed for a mental health problem such as schizophrenia or psychosis?
Have you ever been treated for it ? (referring to the condition asked about in Q6035)
4485
11
1
Yes
5
No
8
Do not know
Sysmiss
Received medication for schizophrenia
Received medication for schizophrenia
Received medication for schizophrenia
Received medication for schizophrenia
Received medication for schizophrenia
Have you been taking any medications or other treatment for it during the last 2 weeks?
4485
11
1
Yes
5
No
8
Do not know
Sysmiss
feel strange unexplainable going on
feel strange unexplainable going on
feel strange unexplainable going on
feel strange unexplainable going on
feel strange unexplainable going on
During the last 12 months, have you experienced any of the following…
For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable.
A feeling that something strange and unexplainable was going on that other people would find hard to believe?
4435
61
1
Yes
5
No
8
Do not know
Sysmiss
Feel people were too interested
Feel people were too interested
Feel people were too interested
Feel people were too interested
Feel people were too interested
During the last 12 months, have you experienced any of the following…
For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable.
A feeling that people were too interested in you or there was a plot to harm you?
4429
67
1
Yes
5
No
6
Do not know
Sysmiss
Feel your thoughts were controlled by others
Feel your thoughts were controlled by others
Feel your thoughts were controlled by others
Feel your thoughts were controlled by others
Feel your thoughts were controlled by others
During the last 12 months, have you experienced any of the following…
For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable.
A feeling that your thoughts are being directly interfered or controlled by another person, or your mind was being taken over by strange forces.
4448
48
1
Yes
5
No
8
Do not know
Sysmiss
Hallucinations
Hallucinations
Hallucinations
Hallucinations
Hallucinations
During the last 12 months, have you experienced any of the following…
For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable.
An experience of seeing visions or hearing voices that others could not see or hear when you were not half asleep, dreaming or under the influence of alcohol or drugs?
4467
29
1
Yes
5
No
8
Do not know
Sysmiss
Diagnosed with Diabetes
Diagnosed with Diabetes
Diagnosed with Diabetes
Diagnosed with Diabetes
Diagnosed with Diabetes
Have you ever been diagnosed with diabetes (or high blood sugar)?
4485
11
1
Yes
5
No
8
Do not know
Sysmiss
Treatment for Diabetes
Treatment for Diabetes
Treatment for Diabetes
Treatment for Diabetes
Treatment for Diabetes
Have you ever been diagnosed with diabetes (or high blood sugar)?
Have you been treated for it? (referring to the condition asked about in Q6042)
4484
12
1
Yes
5
No
8
Do not know
Sysmiss
Medications for diabetes
Medications for diabetes
Medications for diabetes
Medications for diabetes
Medications for diabetes
Have you been taking insulin, or any other blood sugar lowering medications in the last 2 weeks?
4480
16
1
Yes
5
No
8
Do not know
Sysmiss
Program for diabetes
Program for diabetes
Program for diabetes
Program for diabetes
Program for diabetes
Are you following a special diet, exercise regime or weight control program for diabetes?
4480
16
1
Yes
5
No
8
Do not know
Sysmiss
Cough that lasted 3 weeks or longer
Cough that lasted 3 weeks or longer
Cough that lasted 3 weeks or longer
Cough that lasted 3 weeks or longer
Cough that lasted 3 weeks or longer
During the last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have tuberculosis (TB). Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease.
During the last 12 months, have you experienced cough that lasted for 3 weeks or longer?
4490
6
1
Yes
5
No
Sysmiss
Blood in sputum of phlegm or have you coughed blood
Blood in sputum of phlegm or have you coughed blood
Blood in sputum of phlegm or have you coughed blood
Blood in sputum of phlegm or have you coughed blood
Blood in sputum of phlegm or have you coughed blood
During the last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have tuberculosis (TB). Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease.
During the last 12 months, have you had blood in your phlegm, or have you coughed blood?
4479
17
1
Yes
5
No
Sysmiss
had a TB test
had a TB test
had a TB test
had a TB test
had a TB test
During the last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have tuberculosis (TB). Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease.
In the last 12 months, have you had a tuberculosis (TB) test, I mean has a doctor examined your sputum or made an X-ray of your chest?
4487
9
1
Yes
5
No
Sysmiss
Keeping medicines or drugs in the house
Keeping medicines or drugs in the house
Keeping medicines or drugs in the house
Keeping medicines or drugs in the house
Keeping medicines or drugs in the house
We are interested in knowing about the availability and use of certain medicines and drugs. Remember that whatever information you give me is confidential and will only be used for research purposes.
Do you keep any medicines or drugs in the house?
4482
14
1
Yes
5
No
Sysmiss
may I see medications
may I see medications
may I see medications
may I see medications
may I see medications
May I see what drugs or medicines you personally have been using in the last two weeks?
3052
1444
1
Yes
5
No
Sysmiss
Arthritis medicine 1
Arthritis medicine 1
Arthritis medicine 1
Arthritis medicine 1
Arthritis medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
437
4059
11
12
11.025
0.157
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
441
4055
1
Yes
5
No
Sysmiss
Arthritis medicine 2
Arthritis medicine 2
Arthritis medicine 2
Arthritis medicine 2
Arthritis medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
70
4426
11
12
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
73
4423
1
Yes
5
No
Sysmiss
Arthritis medicine 3
Arthritis medicine 3
Arthritis medicine 3
Arthritis medicine 3
Arthritis medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
26
4470
11
12
11.231
0.43
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
29
4467
1
Yes
5
No
Sysmiss
Angina medicine 1
Angina medicine 1
Angina medicine 1
Angina medicine 1
Angina medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
312
4184
21
24
21.369
0.835
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
311
4185
1
Yes
5
No
Sysmiss
Angina medicine 2
Angina medicine 2
Angina medicine 2
Angina medicine 2
Angina medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
170
4326
21
22
23
24
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
173
4323
1
Yes
5
No
Sysmiss
Angina medicine 3
Angina medicine 3
Angina medicine 3
Angina medicine 3
Angina medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
78
4418
21
24
23.423
0.876
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
81
4415
1
Yes
5
No
Sysmiss
Asthma medicine 1
Asthma medicine 1
Asthma medicine 1
Asthma medicine 1
Asthma medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
76
4420
31
32
33
34
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
76
4420
1
Yes
5
No
Sysmiss
Asthma medicine 2
Asthma medicine 2
Asthma medicine 2
Asthma medicine 2
Asthma medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
31
4465
31
32
33
34
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
31
4465
1
Yes
5
No
Sysmiss
Asthma medicine 3
Asthma medicine 3
Asthma medicine 3
Asthma medicine 3
Asthma medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
16
4480
32
34
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
16
4480
1
Yes
5
No
Sysmiss
Depression medicine 1
Depression medicine 1
Depression medicine 1
Depression medicine 1
Depression medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
21
4475
41
42
44
45
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
21
4475
1
Yes
5
No
Sysmiss
Depression medicine 2
Depression medicine 2
Depression medicine 2
Depression medicine 2
Depression medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
5
4491
44
45
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
5
4491
1
Yes
5
No
Sysmiss
Depression medicine 3
Depression medicine 3
Depression medicine 3
Depression medicine 3
Depression medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4495
45
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4495
1
Yes
5
No
Sysmiss
Schizophrenia medicine 1
Schizophrenia medicine 1
Schizophrenia medicine 1
Schizophrenia medicine 1
Schizophrenia medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
3
4493
51
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
3
4493
1
Yes
5
No
Sysmiss
Schizophrenia medicine 2
Schizophrenia medicine 2
Schizophrenia medicine 2
Schizophrenia medicine 2
Schizophrenia medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
2
4494
51
52
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
2
4494
1
Yes
5
No
Sysmiss
Schizophrenia medicine 3
Schizophrenia medicine 3
Schizophrenia medicine 3
Schizophrenia medicine 3
Schizophrenia medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4496
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4496
1
Yes
5
No
Sysmiss
Tuberculosis medicine 1
Tuberculosis medicine 1
Tuberculosis medicine 1
Tuberculosis medicine 1
Tuberculosis medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
5
4491
61
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
5
4491
1
Yes
5
No
Sysmiss
Tuberculosis medicine 2
Tuberculosis medicine 2
Tuberculosis medicine 2
Tuberculosis medicine 2
Tuberculosis medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4495
61
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4495
1
Yes
5
No
Sysmiss
Tuberculosis medicine 3
Tuberculosis medicine 3
Tuberculosis medicine 3
Tuberculosis medicine 3
Tuberculosis medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4495
61
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4495
1
Yes
5
No
Sysmiss
HIV/AIDS medicine 1
HIV/AIDS medicine 1
HIV/AIDS medicine 1
HIV/AIDS medicine 1
HIV/AIDS medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4495
71
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4495
1
Yes
5
No
Sysmiss
HIV/AIDS medicine 2
HIV/AIDS medicine 2
HIV/AIDS medicine 2
HIV/AIDS medicine 2
HIV/AIDS medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4496
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4496
1
Yes
5
No
Sysmiss
HIV/AIDS medicine 3
HIV/AIDS medicine 3
HIV/AIDS medicine 3
HIV/AIDS medicine 3
HIV/AIDS medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4496
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4496
1
Yes
5
No
Sysmiss
Diabetes medicine 1
Diabetes medicine 1
Diabetes medicine 1
Diabetes medicine 1
Diabetes medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
52
4444
81
82
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
53
4443
1
Yes
5
No
Sysmiss
Diabetes medicine 2
Diabetes medicine 2
Diabetes medicine 2
Diabetes medicine 2
Diabetes medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
11
4485
81
82
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
11
4485
1
Yes
5
No
Sysmiss
Diabetes medicine 3
Diabetes medicine 3
Diabetes medicine 3
Diabetes medicine 3
Diabetes medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4495
81
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4495
1
Yes
5
No
Sysmiss
Other medicine 1
Other medicine 1
Other medicine 1
Other medicine 1
Other medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
909
3587
99
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
872
3624
1
Yes
5
No
Sysmiss
Other medicine 2
Other medicine 2
Other medicine 2
Other medicine 2
Other medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
189
4307
99
99
99
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
187
4309
1
Yes
5
No
Sysmiss
Other medicine 3
Other medicine 3
Other medicine 3
Other medicine 3
Other medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
82
4414
99
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
81
4415
1
Yes
5
No
Sysmiss
When pelvic examination
When pelvic examination
When pelvic examination
When pelvic examination
When pelvic examination
When was the last time you had a pelvic examination? (By pelvic examination, I mean when a doctor or nurse examined your vagina?)
Questions to be asked to FEMALE respondents aged 18-69 only
2782
1714
1
Within the last 3 years
2
4-5 years ago
3
More than 5 years ago
5
NEVER HAD EXAM
8
Do not know
Sysmiss
Last time PAP smear test
Last time PAP smear test
Last time PAP smear test
Last time PAP smear test
Last time PAP smear test
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?)
Questions to be asked to FEMALE respondents aged 18-69 only
2280
2216
1
Yes
5
No
8
Do not know
Sysmiss
Last time mammography
Last time mammography
Last time mammography
Last time mammography
Last time mammography
When was the last time you had a mammography, if ever? (This is an x-ray of your breasts to detect breast cancer at an early stage).
Questions to be asked to FEMALE respondents aged 18-69 only
1498
2998
1
Within the last 3 years
2
4-5 years ago
3
more than 5 years ago
5
Never had exam
8
Do not know
Sysmiss
Pregnancy checked
Pregnancy checked
Pregnancy checked
Pregnancy checked
Pregnancy checked
When you were pregnant with (NAME), did you see a health care professional to have your pregnancy checked?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
465
4031
1
Yes
5
No
8
Do not know
Sysmiss
how many times saw health care professional
how many times saw health care professional
how many times saw health care professional
how many times saw health care professional
how many times saw health care professional
How many times during your pregnancy with (NAME) did you see a health care professional?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
317
4179
1
40
13.842
6.998
who did you see most of the time
who did you see most of the time
who did you see most of the time
who did you see most of the time
who did you see most of the time
Who did you see most of the time?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
398
4098
1
Doctor
2
Nurse or midwife
3
Auxiliary nurse or midwife
4
Traditional birth attendant
5
Other
8
Do not know
Sysmiss
Blood pressure measured during pregnancy
Blood pressure measured during pregnancy
Blood pressure measured during pregnancy
Blood pressure measured during pregnancy
Blood pressure measured during pregnancy
During your pregnancy, when you were visiting a health care provider was any of the following done at least once:
Was your blood pressure measured?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
399
4097
1
Yes
5
No
8
Do not know
Sysmiss
Did you give blood sample
Did you give blood sample
Did you give blood sample
Did you give blood sample
Did you give blood sample
During your pregnancy, when you were visiting a health care provider was any of the following done at least once:
Did you give blood sample?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
399
4097
1
Yes
5
No
8
Do not know
Sysmiss
Were you told about signs of pregnancy
Were you told about signs of pregnancy
Were you told about signs of pregnancy
Were you told about signs of pregnancy
Were you told about signs of pregnancy
During your pregnancy, when you were visiting a health care provider was any of the following done at least once:
Were you told about the signs of pregnancy complications and what you should do if they occur?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
395
4101
1
Yes
5
No
8
Do not know
Sysmiss
HIV counseling
HIV counseling
HIV counseling
HIV counseling
HIV counseling
During your antenatal care visits for your pregnancy with (NAME), were you given any information or counselled about HIV, the virus that causes AIDS?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only.
282
4214
1
Yes
5
No
Sysmiss
HIV testing offered
HIV testing offered
HIV testing offered
HIV testing offered
HIV testing offered
Was HIV testing offered to you at any time during your visit(s)?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only.
279
4217
1
Yes
5
No
Sysmiss
Agreed to HIV test
Agreed to HIV test
Agreed to HIV test
Agreed to HIV test
Agreed to HIV test
Did you agree to be tested for HIV during any of your visits?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only.
214
4282
1
Yes
5
No
Sysmiss
Received results of test
Received results of test
Received results of test
Received results of test
Received results of test
Did you receive the results of the test?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only.
203
4293
1
Yes
5
No
Sysmiss
doctor asissted in delivery (1-checked 5-Unchecked)
doctor asissted in delivery (1-checked 5-Unchecked)
doctor asissted in delivery (1-checked 5-Unchecked)
doctor asissted in delivery (1-checked 5-Unchecked)
doctor asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? A doctor?
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
468
4028
1
Yes
5
No
Sysmiss
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? A nurse or midwife?
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
394
4102
1
Yes
5
No
Sysmiss
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? An auxiliary nurse or midwife (including student nurses, nurses' aides, etc.)
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
193
4303
1
Yes
5
No
Sysmiss
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? A traditional birth attendant
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
180
4316
1
Yes
5
No
Sysmiss
relative/friend asissted in delivery (1-checked 5-Unchecked)
relative/friend asissted in delivery (1-checked 5-Unchecked)
relative/friend asissted in delivery (1-checked 5-Unchecked)
relative/friend asissted in delivery (1-checked 5-Unchecked)
relative/friend asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? A relative/friend with no medical training
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
179
4317
1
Yes
5
No
Sysmiss
other (1-checked 5-Unchecked)
other (1-checked 5-Unchecked)
other (1-checked 5-Unchecked)
other (1-checked 5-Unchecked)
other (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? Anyone else?
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
181
4315
1
Yes
5
No
Sysmiss
No one (1-checked 5-Unchecked)
No one (1-checked 5-Unchecked)
No one (1-checked 5-Unchecked)
No one (1-checked 5-Unchecked)
No one (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? No one
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
179
4317
5
Sysmiss
Dont know (1-checked 5-Unchecked)
Dont know (1-checked 5-Unchecked)
Dont know (1-checked 5-Unchecked)
Dont know (1-checked 5-Unchecked)
Dont know (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? Anyone else?
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
179
4317
5
Sysmiss
where given birth
where given birth
where given birth
where given birth
where given birth
Where did you give birth to (NAME)?
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
475
4021
1
Hospital or maternity house
2
Other type of health facility
3
At home
4
Outside
Sysmiss
Government operated or private
Government operated or private
Government operated or private
Government operated or private
Government operated or private
Was it government operated or private?
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
471
4025
1
Government operated
2
Private (including for profit and not for profit)
8
Do not know
Sysmiss
Name
Name
Name
Name
Name
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
Questions to be asked to households with children under 5 years.
51
.
1
3
5
ALENA
Aibergen
Ajaulim
Akmaral
Aleksandra
Alfarabi
Alina
Alisher
Alizher
Altin
Anastasya
Aydana
Azamat
DANIL
Dania
Daulet
Dima
Duman
Ersultan
KOLYA
Kamila
Marat
Merey
Nargiz
Nikita
Nimat
Pavel
RYSLAN
Saera
Sergey
TOLKIN
Talgat
Yulia
Sex of youngest child in the household
Sex of youngest child in the household
Sex of youngest child in the household
Sex of youngest child in the household
Sex of youngest child in the household
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
Questions to be asked to households with children under 5 years.
632
3864
1
Male
2
Female
Sysmiss
date
date
date
date
date
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
Questions to be asked to households with children under 5 years.
4496
.
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
02/1997
02/1998
02/1999
02/2000
02/2001
02/2002
03/1998
03/1999
03/2000
03/2001
03/2002
03/2003
04/1997
04/1998
04/1999
04/2000
04/2001
04/2002
05/1997
05/1998
05/1999
05/2000
05/2001
05/2002
06/1998
06/1999
06/2000
06/2001
06/2002
07/1998
07/1999
07/2000
07/2001
07/2002
08/1998
08/1999
08/2000
08/2001
08/2002
09/1996
09/1997
09/1998
09/1999
09/2000
09/2001
09/2002
10/1997
10/1998
10/1999
10/2000
10/2001
10/2002
11/1997
11/1998
11/1999
11/2000
11/2001
11/2002
12/1997
12/1998
12/1999
12/2000
12/2001
12/2002
relationship
relationship
relationship
relationship
relationship
What is your relationship with this child?
Questions to be asked to households with children under 5 years.
632
3864
1
Parent
2
Grand Parent
3
Brother or sister
4
Other relative
5
Not related
Sysmiss
card where vaccinations written down
card where vaccinations written down
card where vaccinations written down
card where vaccinations written down
card where vaccinations written down
Do you have a card where (NAME)’s vaccinations are written down? If YES: May I see it?
Questions to be asked to households with children under 5 years.
569
3927
1
Yes, CARD SEEN
2
Yes, BUT CARD NOT SEEN
5
No CARD
8
Do not know
Sysmiss
DPT1 (dd/mm/yyyy)
DPT1 (dd/mm/yyyy)
DPT1 (dd/mm/yyyy)
DPT1 (dd/mm/yyyy)
DPT1 (dd/mm/yyyy)
Record vaccination dates for each dose of DTP and measles
Questions to be asked to households with children under 5 years.
4496
.
01/03/2002
01/06/2001
01/07/2000
01/09/2002
01/11/1998
02/01/2002
02/02/2000
02/04/1999
02/04/2001
02/05/1998
02/05/2001
02/08/1998
02/11/1999
02/12/1999
03/02/2000
03/07/2001
03/09/2002
03/10/2000
03/10/2002
03/11/1998
04/01/2000
04/03/1998
04/04/04
04/04/2002
04/06/1998
04/06/2001
04/07/1998
04/09/2002
05/01/2001
05/02/1999
05/03/1999
05/08/1999
05/08/2001
05/09/2002
05/10/1998
05/11/2001
05/12/2000
06/03/2000
06/03/2001
06/04/2000
06/06/1998
06/06/2000
06/08/2002
06/10/2002
06/11/2000
06/12/1999
07/01/2002
07/04/1998
07/07/1999
07/09/1999
07/12/2000
08/02/1999
08/02/2000
08/06/1999
08/07/2000
08/10/1999
09/07/2002
09/09/1998
09/10/2001
09/12/2002
10/01/2001
10/01/2002
10/03/1998
10/04/1998
10/06/2002
10/07/2001
10/07/2002
10/08/1999
10/09/1999
10/10/2002
10/11/2000
10/11/2002
11/02/1999
11/06/1999
11/07/2001
11/09/2001
11/11/2002
11/12/1998
12/01/2000
12/04/1999
12/04/2000
12/05/1999
12/08/2002
12/10/2000
12/11/1998
12/12/2001
13/02/2001
13/06/2002
13/07/1999
13/09/1999
13/11/1998
14/01/1999
14/02/2002
14/04/2001
14/04/2002
14/05/2001
14/06/1999
14/10/1998
14/10/2000
15/01/2001
15/02/2001
15/03/1999
15/03/2000
15/04/1999
15/05/2000
15/05/2002
15/06/1999
15/08/1997
15/09/2002
15/10/2001
15/11/2001
16/01/2000
16/03/1998
16/03/2000
16/03/2001
16/04/1999
16/05/2002
16/06/1999
16/09/2002
16/10/2002
17/01/2002
17/04/2002
17/05/2000
17/07/2002
17/08/2002
17/09/2002
17/12/1999
18/06/1998
18/07/2002
18/11/1999
19/05/2002
19/06/2000
19/06/2001
19/08/1998
19/10/2000
19/11/1998
20/03/2002
20/04/1998
20/05/2001
20/06/2001
20/07/1998
21/04/2000
21/05/2002
21/06/1998
21/06/2000
21/06/2001
21/08/2000
21/09/2001
21/11/2000
21/12/1998
22/02/2002
22/05/2000
22/07/2002
23/05/1998
23/05/2002
23/06/2002
23/09/1998
23/12/1998
23/12/1999
23/12/2001
24/02/2000
24/05/2001
24/07/2000
24/07/2001
24/07/2002
25/03/1998
25/05/2001
25/05/2002
25/06/1998
25/06/2002
25/07/2000
25/07/2001
25/08/1998
25/08/1999
25/09/2000
25/09/2001
26/08/1999
26/08/2002
26/09/2002
26/11/2001
27/02/2001
27/03/2000
27/07/2000
27/07/2002
27/09/2001
27/10/2000
27/12/2000
28/02/2002
28/05/2002
28/06/2000
28/08/2001
28/10/1998
28/11/2000
28/12/2000
29/01/2002
29/04/2001
29/12/1998
30/01/2001
30/04/1998
30/04/2002
30/06/2000
30/10/2001
30/11/1998
30/11/1999
30/11/2000
DPT2 (dd/mm/yyyy)
DPT2 (dd/mm/yyyy)
DPT2 (dd/mm/yyyy)
DPT2 (dd/mm/yyyy)
DPT2 (dd/mm/yyyy)
Record vaccination dates for each dose of DTP and measles
Questions to be asked to households with children under 5 years.
4496
.
01/02/1999
01/02/2000
01/07/2001
01/12/1998
02/02/1999
02/03/2000
02/03/2001
02/04/1999
02/05/1999
02/06/1998
02/08/2001
02/09/2001
03/04/2002
03/05/2000
03/06/2002
03/09/2001
03/10/2002
03/12/1998
04/01/2001
04/02/2000
04/02/2002
04/04/04
04/04/2002
04/05/2001
04/06/1998
04/06/2001
04/09/1998
05/02/2001
05/09/1998
05/09/1999
05/09/2001
05/11/2002
06/01/2000
06/07/2000
06/08/1998
06/08/2002
06/09/2001
06/11/2002
06/12/2000
07/01/1999
07/02/2002
07/08/2001
07/10/1999
07/11/2002
07/12/1999
08/08/2000
08/12/1999
09/01/2001
09/07/1998
10/03/2000
10/07/2001
10/07/2002
10/08/2001
10/08/2002
10/11/2002
10/12/2001
11/02/1999
11/05/2000
11/08/2001
11/12/1998
11/12/2001
12/01/2002
12/02/2002
12/03/1999
12/03/2001
12/04/1998
12/06/1998
12/07/1999
12/08/1999
12/09/2002
12/12/1999
13/03/2001
13/06/1999
13/07/2002
13/08/2000
13/10/1999
14/05/1999
14/10/1998
14/10/2001
15/02/1999
15/03/1999
15/03/2001
15/03/2002
15/04/1999
15/06/2000
15/08/2000
15/08/2002
15/09/1999
15/09/2000
15/10/1999
15/10/2002
15/12/1998
15/12/1999
15/12/2001
16/03/2001
16/04/2001
16/05/2001
16/07/1999
16/07/2000
16/07/2001
16/08/1999
16/10/2002
16/11/2000
16/11/2002
17/01/2001
17/03/1999
17/04/2000
17/04/2001
17/05/2000
17/05/2002
17/09/1997
17/11/2000
18/02/2000
18/02/2002
18/04/2000
18/07/1998
18/07/2002
18/08/1999
19/03/2001
19/03/2002
19/06/2002
19/07/2000
19/08/2002
20/03/2000
20/03/2002
20/04/2002
20/05/1999
20/05/2002
20/06/2002
20/07/2001
20/07/2002
20/08/1998
20/08/1999
20/08/2001
21/05/1998
21/05/1999
21/07/2000
21/09/2000
21/09/2002
21/11/2000
21/11/2001
22/01/2002
22/02/2002
22/05/2000
22/08/2002
22/09/2000
23/01/1999
23/07/2002
23/09/1998
23/10/2001
23/12/1998
24/03/2000
24/06/2000
25/01/2001
25/02/1999
25/02/2001
25/06/2001
25/06/2002
25/07/2002
25/08/2000
26/05/1998
26/06/1998
26/06/2001
26/07/1998
26/09/1999
26/09/2002
26/11/1998
26/12/2000
27/01/2000
27/10/1998
27/10/2001
27/12/2001
28/03/2002
28/05/2002
28/06/2002
28/08/2001
28/10/2000
28/12/2000
29/03/2001
29/04/1998
29/05/2001
29/09/1998
29/09/1999
29/10/2002
29/11/2000
30/01/2001
30/05/2002
30/07/2000
30/10/2001
30/11/2001
30/12/1999
31/03/2000
31/05/1998
31/08/2000
DPT3 (dd/mm/yyyy)
DPT3 (dd/mm/yyyy)
DPT3 (dd/mm/yyyy)
DPT3 (dd/mm/yyyy)
DPT3 (dd/mm/yyyy)
Record vaccination dates for each dose of DTP and measles
Questions to be asked to households with children under 5 years.
4496
.
01/02/1999
01/02/2001
01/03/1999
01/03/2001
01/04/2002
01/07/2001
02/02/2000
02/03/2000
02/03/2002
02/06/1999
02/10/2000
02/11/2002
03/02/2000
03/02/2001
03/08/1998
03/09/2001
03/10/1999
03/11/2001
03/11/2002
04/01/2002
04/04/04
04/04/2000
04/06/2001
04/07/1998
04/07/2001
04/09/1998
04/10/1998
04/10/2001
04/12/2000
05/01/1999
05/03/2001
05/05/2002
05/06/2000
05/08/1998
05/09/1998
05/09/2002
05/12/2002
06/01/2001
06/10/1998
06/10/2001
06/12/2002
07/01/1998
07/02/2000
07/03/2000
07/03/2002
07/05/2001
07/08/2000
08/02/2000
08/02/2001
08/04/2000
08/09/2000
08/10/2001
08/12/2002
09/03/1999
09/04/2001
09/06/2002
09/09/2002
09/11/1999
09/12/1998
10/01/1999
10/03/2002
10/05/2000
10/07/2002
10/08/2002
10/09/1999
10/09/2001
10/09/2002
10/11/1998
11/01/1999
11/01/2000
11/08/1998
11/09/2001
12/02/2002
12/05/2002
12/06/1999
12/07/2001
12/08/2002
13/06/2000
13/07/1999
13/11/1999
14/05/1998
14/09/2002
14/11/2002
15/01/2002
15/03/2001
15/04/1999
15/11/2001
15/12/1999
16/01/2002
16/06/2001
16/08/1999
16/09/1999
16/09/2002
16/12/2000
17/04/1999
17/04/2001
17/05/2000
17/05/2001
17/06/2002
17/09/2000
17/10/2002
18/04/2001
18/08/1998
18/09/1999
18/09/2001
18/09/2002
18/11/1998
18/12/2000
18/12/2002
19/01/2000
19/03/1999
19/03/2002
19/04/2000
19/06/2000
19/07/2002
19/10/2001
19/11/1998
19/11/2002
19/12/2000
20/03/2000
20/05/2002
20/06/1998
20/06/1999
20/06/2002
20/08/1999
20/08/2001
20/08/2002
20/09/2001
20/09/2002
20/10/1999
20/10/2000
21/01/1999
21/08/2000
21/10/1997
21/10/2002
22/01/2002
22/02/1999
22/04/2002
22/06/1999
22/09/2002
23/02/1999
23/04/2002
23/06/2000
23/08/2000
23/08/2001
23/08/2002
23/10/2000
23/11/2001
24/05/1999
24/05/2001
24/07/2000
24/10/2000
24/12/2001
25/01/1999
25/01/2002
25/02/2002
25/03/1999
25/03/2001
25/04/2002
25/05/1999
25/05/2000
25/07/2002
25/08/1998
25/08/2002
25/09/1999
26/03/1999
26/04/2000
26/07/2001
26/08/2002
26/09/2000
26/10/1998
26/10/1999
26/10/2002
27/04/1999
27/05/1999
27/06/2002
27/07/1998
27/12/2001
28/03/2002
28/07/2001
29/01/2001
29/06/2001
29/10/1998
29/10/1999
29/10/2002
29/11/2001
29/12/2000
30/05/1998
30/05/2000
30/06/1998
30/07/2002
30/08/2000
30/09/2000
Measles (dd/mm/yyyy)
Measles (dd/mm/yyyy)
Measles (dd/mm/yyyy)
Measles (dd/mm/yyyy)
Measles (dd/mm/yyyy)
Record vaccination dates for each dose of DTP and measles
Questions to be asked to households with children under 5 years.
4496
.
01/06/2000
01/08/1999
02/02/2000
02/05/2002
03/02/2001
03/07/2002
03/12/2001
04/01/2002
04/04/04
04/09/2002
04/10/2000
04/11/2002
05/01/2000
05/02/1998
05/06/2000
05/08/2002
06/06/1999
06/08/2002
06/09/2001
06/10/2001
06/11/2001
06/12/1999
06/12/2002
07/02/1999
07/05/2002
07/07/2000
08/08/2000
09/10/2001
10/01/1999
10/01/2000
10/01/2001
10/02/2001
10/03/2000
10/04/2000
10/04/2001
10/04/2002
10/05/1999
10/05/2001
10/05/2002
10/06/2002
10/12/1999
11/01/1999
11/05/2000
11/10/2000
11/10/2001
12/02/1999
12/02/2002
12/03/2001
12/08/1999
12/10/2002
12/11/2001
12/12/2000
13/03/2002
13/04/2000
13/06/2000
14/02/2000
14/04/1999
14/05/2002
14/10/2002
15/02/2001
15/05/2000
15/05/2001
15/08/1999
15/08/2001
15/09/1999
15/09/2002
15/10/1999
15/11/2002
15/12/2000
16/04/2001
16/05/2000
16/05/2002
16/07/2000
16/07/2002
16/08/2002
17/02/2000
17/04/2002
17/08/1999
17/10/2000
17/10/2002
18/01/2001
18/02/1999
18/04/1999
18/04/2000
18/04/2002
18/09/2002
18/10/2000
19/03/2002
19/06/2001
19/10/2000
20/01/2003
20/02/2002
20/05/2002
20/06/2000
20/08/2000
20/08/2002
20/10/1999
20/11/1999
20/12/1999
20/12/2001
21/02/1999
21/02/2002
21/05/1999
21/05/2001
21/06/2001
21/08/2002
21/11/2002
22/02/2000
22/02/2001
22/04/1999
22/06/2000
22/07/1999
22/08/2001
22/10/2001
23/01/2002
23/03/1998
23/03/2002
23/07/1999
23/07/2002
23/10/2002
24/04/2002
24/05/1999
24/11/1999
25/05/2001
25/07/2002
25/08/1999
25/09/2000
25/11/2002
26/09/2000
26/11/2000
27/08/2002
27/09/2001
27/10/1999
27/11/2001
28/01/2002
28/06/2000
29/03/2002
29/05/1998
29/07/2001
29/10/2001
29/11/2001
29/12/1998
30/04/1999
30/05/2001
30/09/1999
30/09/2000
30/09/2002
30/10/2001
30/11/2001
31/05/2002
additional vaccinations not recorded
additional vaccinations not recorded
additional vaccinations not recorded
additional vaccinations not recorded
additional vaccinations not recorded
Has (NAME) received any vaccinations to prevent him/her form getting disease that are not recorded on this card.
Questions to be asked to households with children under 5 years.
282
4214
1
Yes
5
No
8
Do not know
Sysmiss
Diphtheria, tetanus, whooping cough
Diphtheria, tetanus, whooping cough
Diphtheria, tetanus, whooping cough
Diphtheria, tetanus, whooping cough
Diphtheria, tetanus, whooping cough
Has (NAME) received additional vaccinations to prevent him/her from getting diphtheria, tetanus or pertussis (whooping cough)? IF YES: How many times?
Questions to be asked to households with children under 5 years.
61
4435
1
Yes
5
No
8
Do not know
Sysmiss
If yes how many times
If yes how many times
If yes how many times
If yes how many times
If yes how many times
Has (NAME) received additional vaccinations to prevent him/her from getting diphtheria, tetanus or pertussis (whooping cough)? IF YES: How many times?
Questions to be asked to households with children under 5 years.
19
4477
1
3
1.263
0.653
Additional vaccinations not recorded to prevent measles
Additional vaccinations not recorded to prevent measles
Additional vaccinations not recorded to prevent measles
Additional vaccinations not recorded to prevent measles
Additional vaccinations not recorded to prevent measles
Has (NAME) received any vaccinations that are not recorded on this card to prevent him/her from measles?
Questions to be asked to households with children under 5 years.
58
4438
1
Yes
5
No
8
Do not know
Sysmiss
vaccinations
vaccinations
vaccinations
vaccinations
vaccinations
Did (NAME) ever receive any vaccinations to prevent him/her from getting diseases?
Questions to be asked to households with children under 5 years.
228
4268
1
Yes
5
No
8
Do not know
Sysmiss
DPT vaccination
DPT vaccination
DPT vaccination
DPT vaccination
DPT vaccination
Please tell me if (NAME) has received any of the following vaccinations: A) DTP vaccination?
Questions to be asked to households with children under 5 years.
13
4483
1
Yes
5
No
8
Do not know
Sysmiss
number of dpt vaccinations
number of dpt vaccinations
number of dpt vaccinations
number of dpt vaccinations
number of dpt vaccinations
If YES: How many times?
Questions to be asked to households with children under 5 years.
4
4492
1
1
1
injection to prevent measles
injection to prevent measles
injection to prevent measles
injection to prevent measles
injection to prevent measles
An injection to prevent measles?
Questions to be asked to households with children under 5 years.
11
4485
1
Yes
5
No
8
Do not know
Sysmiss
receive vitamin A
receive vitamin A
receive vitamin A
receive vitamin A
receive vitamin A
In the last 12 months did (NAME) receive a vitamin A capsule or supplement (like this)?
Questions to be asked to households with children under 5 years.
507
3989
1
Yes
5
No
8
Do not know
Sysmiss
How many times
How many times
How many times
How many times
How many times
If YES: How many times did [NAME] received it?
Questions to be asked to households with children under 5 years.
20
4476
3
1.45
0.759
when was the youngest child sick
when was the youngest child sick
when was the youngest child sick
when was the youngest child sick
when was the youngest child sick
When was the last time [NAME] was sick with fever, diarrhoea, or any other illness?
Questions to be asked to households with children under 5 years.
598
3898
1
Within the last 2 weeks
2
2 weeks-less than 1 month ago
3
1 month-3 months ago
4
More than 3 months ago
5
Never was sick
Sysmiss
Fever (hot body)
Fever (hot body)
Fever (hot body)
Fever (hot body)
Fever (hot body)
During [NAME]'s last episode of illness, did [NAME] have a fever (hot body)?
Questions to be asked to households with children under 5 years.
286
4210
1
Yes
5
No
8
Do not know
Sysmiss
cough
cough
cough
cough
cough
During [NAME]'s last episode of illness, did [NAME] have a cough?
Questions to be asked to households with children under 5 years.
282
4214
1
Yes
5
No
8
Do not know
Sysmiss
difficult or fast breathing
difficult or fast breathing
difficult or fast breathing
difficult or fast breathing
difficult or fast breathing
During [NAME]'s last episode of illness, did [NAME] have difficulty or fast breathing?
Questions to be asked to households with children under 5 years.
261
4235
1
Yes
5
No
8
Do not know
Sysmiss
diarrhea
diarrhea
diarrhea
diarrhea
diarrhea
During [NAME]'s last episode of illness, did [NAME] have diarrhea?
Questions to be asked to households with children under 5 years.
254
4242
1
Yes
5
No
8
Do not know
Sysmiss
blood in the stools
blood in the stools
blood in the stools
blood in the stools
blood in the stools
During [NAME]'s last episode of illness, did [NAME] have blood in their stools?
Questions to be asked to households with children under 5 years.
251
4245
1
Yes
5
No
8
Do not know
Sysmiss
persistent vomiting
persistent vomiting
persistent vomiting
persistent vomiting
persistent vomiting
During [NAME]'s last episode of illness, did [NAME] have persistant vomiting?
Questions to be asked to households with children under 5 years.
252
4244
1
Yes
5
No
8
Do not know
Sysmiss
unable to eat / drink
unable to eat / drink
unable to eat / drink
unable to eat / drink
unable to eat / drink
During [NAME]'s last episode of illness, was [NAME] unable to eat/drink?
Questions to be asked to households with children under 5 years.
253
4243
1
Yes
5
No
8
Do not know
Sysmiss
convulsions
convulsions
convulsions
convulsions
convulsions
During [NAME]'s last episode of illness, did [NAME] have convulsions?
Questions to be asked to households with children under 5 years.
250
4246
1
Yes
5
No
8
Do not know
Sysmiss
other
other
other
other
other
During [NAME]'s last episode of illness, did [NAME] have other symptoms?
Questions to be asked to households with children under 5 years.
239
4257
1
Yes
5
No
Sysmiss
Q6559 specify
Q6559 specify
Q6559 specify
Q6559 specify
Q6559 specify
During [NAME]'s last episode of illness, did [NAME] have other symptoms? Please specify.
Questions to be asked to households with children under 5 years.
11
2
5
ANEMIYA
DIATEZ
cold
diates
paraproctitis
rinit
drink more or less
drink more or less
drink more or less
drink more or less
drink more or less
During [NAME]'s last illness, was [NAME] given more than usual to drink, about the same amount, or less than usual to drink, including breastmilk?
Questions to be asked to households with children under 5 years.
286
4210
1
More than usual to drink
2
About the same to drink
3
Less than usual to drink
4
Nothing to drink
8
DK
Sysmiss
eating pattern
eating pattern
eating pattern
eating pattern
eating pattern
During [NAME]'s last illness, was [NAME] given more than usual to eat, about the same amount, less than usual, or nothing to eat?
Questions to be asked to households with children under 5 years.
283
4213
1
More than usual to eat
2
About the same to eat
3
Less than usual to eat
4
Stopped food
5
Never gave food (exclusively breastfed)
8
Do not know
Sysmiss
care or treatment for illness
care or treatment for illness
care or treatment for illness
care or treatment for illness
care or treatment for illness
During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness?
If YES: Where did the child receive care?
Was it government operated or private?
Questions to be asked to households with children under 5 years.
288
4208
1
Yes
5
No
8
Do not know
Sysmiss
where received care first
where received care first
where received care first
where received care first
where received care first
During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness?
If YES: Where did the child receive care?
Was it government operated or private?
Questions to be asked to households with children under 5 years.
278
4218
1
Hospital
2
Outpatient facility
3
Pharmacy
4
Private physician
5
Traditional healer
6
Other
Sysmiss
Q6563 specify
Q6563 specify
Q6563 specify
Q6563 specify
Q6563 specify
During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness?
If YES: Where did the child receive care?
Was it government operated or private?
Questions to be asked to households with children under 5 years.
23
1
2
AT HOUME
At home
Pediatric polyclinic
at home
at houm
home
houme
in home
was it private or government operated
was it private or government operated
was it private or government operated
was it private or government operated
was it private or government operated
During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness?
If YES: Where did the child receive care?
Was it government operated or private?
Questions to be asked to households with children under 5 years.
252
4244
1
Government operated
2
Private
8
Do not know
Sysmiss
How soon first received care
How soon first received care
How soon first received care
How soon first received care
How soon first received care
How soon after the illness was noticed did [NAME] first receive care?
Questions to be asked to households with children under 5 years.
268
4228
1
The same day (within 24 hours)
2
More than 24 hours later
8
Do not know
Sysmiss
Treatment for malaria
Treatment for malaria
Treatment for malaria
Treatment for malaria
Treatment for malaria
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
Questions only to be asked in malaria endemic areas.
22
4474
1
Yes
5
No
8
Do not know
Sysmiss
Antimalarial medicine
Antimalarial medicine
Antimalarial medicine
Antimalarial medicine
Antimalarial medicine
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
Questions only to be asked in malaria endemic areas.
4496
1
Yes
5
No
Sysmiss
Home remedy
Home remedy
Home remedy
Home remedy
Home remedy
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
Questions only to be asked in malaria endemic areas.
4496
1
Yes
5
No
Sysmiss
Remedy/Medicine from trad. healer
Remedy/Medicine from trad. healer
Remedy/Medicine from trad. healer
Remedy/Medicine from trad. healer
Remedy/Medicine from trad. healer
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
Questions only to be asked in malaria endemic areas.
4496
1
Yes
5
No
Sysmiss
Other
Other
Other
Other
Other
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
Questions only to be asked in malaria endemic areas.
4496
1
Yes
5
No
Sysmiss
told by doctor for suffering malaria
told by doctor for suffering malaria
told by doctor for suffering malaria
told by doctor for suffering malaria
told by doctor for suffering malaria
In the last 12 months did [NAME] have an episode of malaria?
Questions only to be asked in malaria endemic areas.
3
4493
1
Yes
5
No
8
Do not know
Sysmiss
Received treatment for malaria
Received treatment for malaria
Received treatment for malaria
Received treatment for malaria
Received treatment for malaria
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
Questions only to be asked in malaria endemic areas.
1
4495
1
Yes
5
No
8
Do not know
Sysmiss
what was taken
what was taken
what was taken
what was taken
what was taken
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
Questions only to be asked in malaria endemic areas.
1
4495
1
Yes
5
No
Sysmiss
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
Questions only to be asked in malaria endemic areas.
1
4495
1
Yes
5
No
Sysmiss
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
Questions only to be asked in malaria endemic areas.
1
4495
1
Yes
5
No
Sysmiss
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
Questions only to be asked in malaria endemic areas.
3
4493
1
Yes
5
No
Sysmiss
Other persons present during sexual health
Other persons present during sexual health
Other persons present during sexual health
Other persons present during sexual health
Other persons present during sexual health
Check if other person(s) present during section on sexual health
Questions to be asked to respondents aged 18 to 49 only.
3351
1145
1
Yes
5
No
Sysmiss
currently married or living with a man (woman)
currently married or living with a man (woman)
currently married or living with a man (woman)
currently married or living with a man (woman)
currently married or living with a man (woman)
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Are you currently married or living with a man (woman)?
3361
1135
1
Yes
5
No
Sysmiss
Do you currently have
Do you currently have
Do you currently have
Do you currently have
Do you currently have
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Do you currently have a regular sexual partner, an occasional sexual partner, or no sexual partner?
1069
3427
1
Regular sexual partner
2
An occasional sexual partner
5
No sexual partner
Sysmiss
Does your spouse
Does your spouse
Does your spouse
Does your spouse
Does your spouse
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Does your spouse (sexual partner) currently live with you in the same house?
2663
1833
1
Yes
5
No
Sysmiss
Howlong you and your sexual partner living separately
Howlong you and your sexual partner living separately
Howlong you and your sexual partner living separately
Howlong you and your sexual partner living separately
Howlong you and your sexual partner living separately
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
How long have you and your spouse (sexual partner) been living separately?
340
4156
1
Within the last month
2
1-2 months
3
3-5 months
4
6-12 months
5
More than 1 year
6
Never lived together
Sysmiss
Ever had sex
Ever had sex
Ever had sex
Ever had sex
Ever had sex
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Have you ever had sex?
791
3705
1
Yes
5
No
Sysmiss
Last sex
Last sex
Last sex
Last sex
Last sex
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
When was the last time you had sexual intercourse?
3103
1393
1
Within the last month
2
1-2 months ago
3
3-5 months ago
4
6-12 months ago
5
More than 1 year ago
Sysmiss
Relationship with person
Relationship with person
Relationship with person
Relationship with person
Relationship with person
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
What was the relationship with the person with whom you last had sex?
2834
1662
1
Spouse/Cohabiting partner
2
Boyfriend/Girlfriend/Fiancé(e)
3
Other friend
4
Casual acquaintance
5
Relative
6
Commercial sex worker
7
Other
Sysmiss
used condom
used condom
used condom
used condom
used condom
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
The last time you had sexual intercourse, was a condom used?
2816
1680
1
Yes
5
No
8
Do not remeber
Sysmiss
had sex with another person
had sex with another person
had sex with another person
had sex with another person
had sex with another person
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Have you had sex with another person in the last 12 months?
2830
1666
1
Yes
5
No
Sysmiss
used condom
used condom
used condom
used condom
used condom
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
The last time you had sexual intercourse with this other person, was a condom used?
230
4266
1
Yes
5
No
8
Do not remeber
Sysmiss
HIV test
HIV test
HIV test
HIV test
HIV test
In the last 12 months, have you been tested to see if you have HIV, the virus that causes AIDS?
This question is asked to all men of reproductive age, and to women of reproductive age who have not given birth in the last two years.
2951
1545
1
Yes
5
No
Sysmiss
HIV test results received
HIV test results received
HIV test results received
HIV test results received
HIV test results received
Have you been told the results of your test?
652
3844
1
Yes
5
No
Sysmiss
last time eyes examined
last time eyes examined
last time eyes examined
last time eyes examined
last time eyes examined
When was the last time you had your eyes examined by a physician or other medical professional?
Questions to be asked only to respondents aged 60 or over.
439
4057
1
Within the last 12 months
2
1-2 years ago
3
3-4 years ago
4
5 years ago
5
More than 5 years ago
6
Never
8
Do not know
Sysmiss
had cataract told by a physician
had cataract told by a physician
had cataract told by a physician
had cataract told by a physician
had cataract told by a physician
In the last 5 years, were you diagnosed with a cataract in one or both of your eyes?
Questions to be asked only to respondents aged 60 or over.
361
4135
1
Yes
5
No
8
Do not remeber
Sysmiss
eye surgery to remove cataract
eye surgery to remove cataract
eye surgery to remove cataract
eye surgery to remove cataract
eye surgery to remove cataract
In the last 5 years, have you had eye surgery to remove your cataract (s)?
Questions to be asked only to respondents aged 60 or over.
96
4400
1
Yes
5
No
Sysmiss
blurry vision
blurry vision
blurry vision
blurry vision
blurry vision
In the last 12 months, have you experienced any of the following… Cloudy or blurry vision?
Questions to be asked only to respondents aged 60 or over.
441
4055
1
Yes
5
No
8
Do not know
Sysmiss
Glare from bright lights
Glare from bright lights
Glare from bright lights
Glare from bright lights
Glare from bright lights
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?
Questions to be asked only to respondents aged 60 or over.
428
4068
1
Yes
5
No
8
Do not know
Sysmiss
Problem with mouth/teeth
Problem with mouth/teeth
Problem with mouth/teeth
Problem with mouth/teeth
Problem with mouth/teeth
Now I would like to ask you some questions about the condition of your mouth and teeth.
During the last 12 months, did you have any problems with your mouth and/or teeth?
4483
13
1
Yes
5
No
Sysmiss
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
Now I would like to ask you some questions about the condition of your mouth and teeth.
During the last 12 months, did you receive medical care or treatment from a dentist or other oral health specialist for this problem with your mouth and/or teeth?
2699
1797
1
Yes
5
No
Sysmiss
medication
medication
medication
medication
medication
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any medication.
1713
2783
1
Yes
5
No
Sysmiss
Dental work
Dental work
Dental work
Dental work
Dental work
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any dental work or oral surgery.
1734
2762
1
Yes
5
No
Sysmiss
Dentures or bridges
Dentures or bridges
Dentures or bridges
Dentures or bridges
Dentures or bridges
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any dentures or bridges.
1712
2784
1
Yes
5
No
Sysmiss
Counseling
Counseling
Counseling
Counseling
Counseling
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any information or conseling on dental care/oral hygiene.
1701
2795
1
Yes
5
No
Sysmiss
other
other
other
other
other
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any others not already mentioned.
1645
2851
1
Yes
5
No
Sysmiss
Q6756 specify
Q6756 specify
Q6756 specify
Q6756 specify
Q6756 specify
What type of care or treatment did you receive for this problem with your mouth and/or teeth?
57
1
5
lost all of natural teeth
lost all of natural teeth
lost all of natural teeth
lost all of natural teeth
lost all of natural teeth
Have you lost all of your natural teeth?
4473
23
1
Yes
5
No
Sysmiss
involved in road traffic accident
involved in road traffic accident
involved in road traffic accident
involved in road traffic accident
involved in road traffic accident
In the past 12 months, have you been involved in a road traffic accident where you suffered from bodily injury?
4486
10
1
Yes
5
No
Sysmiss
When did the accident happen?
When did the accident happen?
When did the accident happen?
When did the accident happen?
When did the accident happen?
When (in the last 12 months) did the accident happen?
53
4443
1
Within the last 30 days
2
1-2 months ago
3
3-5 months ago
4
6-12 months ago
8
Do not know
Sysmiss
received any medical care
received any medical care
received any medical care
received any medical care
received any medical care
Did you receive medical care or treatment for your injuries?
58
4438
1
Yes
5
No
Sysmiss
where received care first
where received care first
where received care first
where received care first
where received care first
Where did you first receive care?
37
4459
1
On-site, ambulance
2
Hospital
3
Outpatient facility
4
Private physician
5
Traditional healer
6
Other
Sysmiss
Was it government operated or private
Was it government operated or private
Was it government operated or private
Was it government operated or private
Was it government operated or private
Was it government operated or private (if from ambulance, hospital or outpatient facility)?
37
4459
1
Government operated
2
Private( including for- profit and not- for- profit)
8
Do not know
Sysmiss
how soon received care
how soon received care
how soon received care
how soon received care
how soon received care
How soon after the traffic accident occurred did you first receive care?
38
4458
1
In 1 hour or less
2
In over 1 hour, but within 24 hours
3
More than 24 hours later
Sysmiss
suffered bodily due to fall, burn, poisoning, .
suffered bodily due to fall, burn, poisoning, .
suffered bodily due to fall, burn, poisoning, .
suffered bodily due to fall, burn, poisoning, .
suffered bodily due to fall, burn, poisoning, .
In the past 12 months, have you suffered bodily injury that limited your everyday activities in any way? This could have been due to a fall, burn, poisoning, submersion in water, or by a firearm or sharp weapon, or an act of violence from another person?
4483
13
1
Yes
5
No
Sysmiss
When bodily injury
When bodily injury
When bodily injury
When bodily injury
When bodily injury
When (in the last 12 months) did the incident happen?
80
4416
1
Within the last 30 days
2
1-2 months ago
3
3-5 months ago
4
6-12 months ago
8
Do not know
Sysmiss
received any medical care for injuries
received any medical care for injuries
received any medical care for injuries
received any medical care for injuries
received any medical care for injuries
Did you receive any medical care or treatment for your injuries?
86
4410
1
Yes
5
No
Sysmiss
source of care
source of care
source of care
source of care
source of care
Where did you first receive care?
59
4437
1
On-site, ambulance
2
Hospital
3
Outpatient facility
4
Private physician
5
Traditional healer
6
Other
Sysmiss
Government operated or private
Government operated or private
Government operated or private
Government operated or private
Government operated or private
Was it government operated or private (if from ambulance, hospital or outpatient facility)?
58
4438
1
Government operated
2
Private( including for profit and not for profit)
8
Do not know
Sysmiss
how soon received care
how soon received care
how soon received care
how soon received care
how soon received care
How soon after this injury did you first receive care?
57
4439
1
In 1 hour or less
2
In over 1 hour, but within 24 hours
3
More than 24 hours later
Sysmiss
Time end section 6000
Time end section 6000
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Time end section 6000
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Time begin section 7000
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20:50
20:51
20:55
20:56
21:00
21:01
21:03
21:05
21:07
21:10
21:13
21:15
21:20
21:25
21:27
21:30
21:31
21:35
21:36
21:40
21:43
21:45
21:50
21:55
22:00
22:05
22:06
22:08
22:10
22:12
22:15
22:20
22:25
22:29
22:30
22:35
22:36
22:40
22:45
22:50
22:55
23:00
23:11
23:16
23:27
23:30
23:37
23:47
23:55
24:00
24:05
last time needed health care
last time needed health care
last time needed health care
last time needed health care
last time needed health care
When was the last time that either you as an adult, or a child of yours aged 12 years or less, needed health care?
- in the last 30 days
- between 1 month and less than 1 year ago
- between 1 year and less than 2 years ago
- between 2 years and less than 3 years ago
- between 3 years and less than 5 years ago
- more than 5 years ago
- Never needed – Skip to 7020
4493
3
1
In the last 30 days
2
Between 1 month and less than 1 year ago
3
Between 1 year and less than 2 years ago
4
Between 2 years and less than 3 years ago
5
Between 3 years and less than 5 years ago
6
More than 5 years ago
7
Never needed
Sysmiss
Need for health Care
Need for health Care
Need for health Care
Need for health Care
Need for health Care
Was the last need for health care for you or for your child?
- Yourself
- Your child
3796
700
1
Yourself
2
Your child
Sysmiss
Availability of health care providers
Availability of health care providers
Availability of health care providers
Availability of health care providers
Availability of health care providers
Thinking of the last time you [your child] needed to see a health care provider who could treat your condition, how many were there around who you could chose from?
3734
762
22
1.722
1.417
1
2
3
4
5
6
7
8
9
10
11
12
13
15
20
22
Sysmiss
Why was health care needed?
Why was health care needed?
Why was health care needed?
Why was health care needed?
Why was health care needed?
Which reason best describes why you [your child] last needed health care?
- High fever, severe diarrhoea, or cough
- Immunization
- Antenatal consultation
- Family planning
- Childbirth
- Dental care
- Arthritis
- Asthma
- Heart disease
- Bodily injury
- Minor surgery
- Other
3792
704
1
High fever, severe diarrhea, or cough
2
Immunization
3
Antenatal consultation
4
Family planning
5
Childbirth
6
Dental care
7
Arthritis
8
Asthma
9
Heart disease
10
Bodily injury
11
Minor surgery
12
Other
Sysmiss
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you [your child] needed health care, did you get health care?
- Yes - SKIP TO Q7016
- No
3809
687
1
Yes
5
No
Sysmiss
Could not afford it
Could not afford it
Could not afford it
Could not afford it
Could not afford it
Which reasons best explain why you [your child] did not get
health care? Could not afford the cost of the visit.
31
4465
1
Yes
5
No
Sysmiss
No transport
No transport
No transport
No transport
No transport
Which reasons best explain why you [your child] did not get
health care? No transport.
30
4466
1
Yes
5
No
Sysmiss
Could not afford cost of transport
Could not afford cost of transport
Could not afford cost of transport
Could not afford cost of transport
Could not afford cost of transport
Which reasons best explain why you [your child] did not get
health care? Could not afford the cost of transport.
30
4466
1
Yes
5
No
Sysmiss
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Which reasons best explain why you [your child] did not get
health care? The health care provider's drugs or equipment are inadequate.
29
4467
1
Yes
5
No
Sysmiss
Inadequate skills
Inadequate skills
Inadequate skills
Inadequate skills
Inadequate skills
Which reasons best explain why you [your child] did not get
health care? The health care provider's skills are inadequate.
29
4467
1
Yes
5
No
Sysmiss
Previous bad treatment
Previous bad treatment
Previous bad treatment
Previous bad treatment
Previous bad treatment
Which reasons best explain why you [your child] did not get
health care?You were previously badly treated.
29
4467
1
Yes
5
No
Sysmiss
Had other commitments
Had other commitments
Had other commitments
Had other commitments
Had other commitments
Which reasons best explain why you [your child] did not get
health care? Could not take time off work or had other commitments.
31
4465
1
Yes
5
No
Sysmiss
Did not know where to go
Did not know where to go
Did not know where to go
Did not know where to go
Did not know where to go
Which reasons best explain why you [your child] did not get
health care? You did not know where to go.
29
4467
1
Yes
5
No
Sysmiss
Thought you were not sick enough
Thought you were not sick enough
Thought you were not sick enough
Thought you were not sick enough
Thought you were not sick enough
Which reasons best explain why you [your child] did not get
health care? You thought you were not sick enough.
30
4466
1
Yes
5
No
Sysmiss
You were denied health care
You were denied health care
You were denied health care
You were denied health care
You were denied health care
Which reasons best explain why you [your child] did not get
health care? You tried but were denied health care.
28
4468
1
Yes
5
No
Sysmiss
Other
Other
Other
Other
Other
Which reasons best explain why you [your child] did not get
health care? Other.
29
4467
1
Yes
5
No
Sysmiss
Where did you get care?
Where did you get care?
Where did you get care?
Where did you get care?
Where did you get care?
When you last needed health care, where did you get care?
- At a health care provider, excluding an overnight stay in hospital
- At a hospital where you stayed overnight
- At home
3780
716
1
At a health care provider,
2
At a hospital where you stayed overnight
3
At home
Sysmiss
Prescription of medicine
Prescription of medicine
Prescription of medicine
Prescription of medicine
Prescription of medicine
The last time you [your child] sought care for [refer to the CONDITIONS listed in Q7003] did the health care provider prescribe any medicine for you [your child]?
1. Yes
5. No
8. DK - If No or DK: Go to Q7020
3747
749
1
Yes
5
No
Sysmiss
Able to get medicine
Able to get medicine
Able to get medicine
Able to get medicine
Able to get medicine
Of the medicines that were prescribed for you [your child], how many of them were you able to get?
1. All of them – Skip to Q7020
2. Most
3. Some
4. Very few
5. None of them
3104
1392
1
All of them
2
Most
3
Some
4
Very few
5
None of them
Sysmiss
Why did not get medicine
Why did not get medicine
Why did not get medicine
Why did not get medicine
Why did not get medicine
Which reason best explains why you [your child] did not get all the medicines you were prescribed?
1. Could not afford
2. Could not find all medicines
3. Did not believe all the medications were needed
4. Started to feel better
5. Already had some of the medicines at home
6. Other
852
3644
1
Could not afford
2
Could not find all medicines
3
Did not believe all the medications were needed
4
Started to feel better
5
Already had some of the medicines at home
6
Other
Sysmiss
Health care in you country
Health care in you country
Health care in you country
Health care in you country
Health care in you country
How would you rate the way health care in your country involves you in deciding what services it provides and where it provides them?
4492
4
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
In general, would you say you are very satisfied, fairly satisfied, neither satisfied nor dissatisfied, fairly dissatisfied or very dissatisfied with the way health care runs in your country.
4492
4
1
Very satisfied
2
Fairly satisfied
3
Neither satisfied or dissatisfied
4
Fairly dissatisfied
5
Very dissatisfied
Sysmiss
Providing help
Providing help
Providing help
Providing help
Providing help
During the past year, did you 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?
- Yes, for a person living in the same household
- Yes, for a person living in a separate household
- No
4488
8
1
Yes, for a person living in the same household
2
Yes, for a person living in a separate household
5
No
Sysmiss
Personal care
Personal care
Personal care
Personal care
Personal care
Please tell me the kind of care you provided to this person(s)?
You helped with personal care, such as going to the toilet, washing, getting dressed, or eating.
908
3588
1
Yes
5
No
Sysmiss
Medical care
Medical care
Medical care
Medical care
Medical care
Please tell me the kind of care you provided to this person(s)?
You helped with medical care, like changing bandages and giving medicines.
907
3589
1
Yes
5
No
Sysmiss
Household activities
Household activities
Household activities
Household activities
Household activities
Please tell me the kind of care you provided to this person(s)?
You helped with household activities such as meal preparation, shopping, cleaning, laundry.
912
3584
1
Yes
5
No
Sysmiss
Watched over them
Watched over them
Watched over them
Watched over them
Watched over them
Please tell me the kind of care you provided to this person(s)?
You watched over them since their behaviour can be upsetting or dangerous to themselves or others.
898
3598
1
Yes
5
No
Sysmiss
Helped them to get around outside the home
Helped them to get around outside the home
Helped them to get around outside the home
Helped them to get around outside the home
Helped them to get around outside the home
Please tell me the kind of care you provided to this person(s)?
You helped them to get around outside the home.
902
3594
1
Yes
5
No
Sysmiss
Payment exemptions
Payment exemptions
Payment exemptions
Payment exemptions
Payment exemptions
In your dealings with private health care organizations or the government, have you ever had any difficulties: Obtaining payment exemptions or the right to special rates for health care?
3903
593
1
Yes
5
No
9
Not applicable
Sysmiss
Health insurance
Health insurance
Health insurance
Health insurance
Health insurance
In your dealings with private health care organizations or the government, have you ever had any difficulties: Completing or filling out applications for health insurance?
71
4425
1
Yes
5
No
9
Not applicable
Sysmiss
Benefits from health insurance
Benefits from health insurance
Benefits from health insurance
Benefits from health insurance
Benefits from health insurance
In your dealings with private health care organizations or the government, have you ever had any difficulties: Finding out what benefits you are entitled to from your health insurance?
64
4432
1
Yes
5
No
9
Not applicable
Sysmiss
Reimbursement from health insurance
Reimbursement from health insurance
Reimbursement from health insurance
Reimbursement from health insurance
Reimbursement from health insurance
In your dealings with private health care organizations or the government, have you ever had any difficulties: Getting reimbursements from health insurance organizations?
71
4425
1
Yes
5
No
9
Not applicable
Sysmiss
Respectful treatment
Respectful treatment
Respectful treatment
Respectful treatment
Respectful treatment
How important is "respectful treatment" to you? This means, being shown respect when greeted by and when talking to health care providers having physical examinations conducted in a way that respects your cultural norms. Would you say it is:
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4488
8
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Confidentiality of Personal Information
Confidentiality of Personal Information
Confidentiality of Personal Information
Confidentiality of Personal Information
Confidentiality of Personal Information
How important is "confidentiality of personal information" to you? This means, having information about your health and other personal information kept confidential having conversations with health care providers without other people overhearing.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4492
4
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Convenient Travel and Waiting Times
Convenient Travel and Waiting Times
Convenient Travel and Waiting Times
Convenient Travel and Waiting Times
Convenient Travel and Waiting Times
How important is "choice of health care providers" to you?
This means, being able to choose your health care provider (place or person) being able to consult for a second opinion or with a specialist if so desired.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4495
1
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Choice of care provider
Choice of care provider
Choice of care provider
Choice of care provider
Choice of care provider
How important is "convenient travel and short waiting times" to you? This means, having short travel times and convenient access to health care facilities having short waiting times for consultations and hospital admissions.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4495
1
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Involvement in decisions
Involvement in decisions
Involvement in decisions
Involvement in decisions
Involvement in decisions
How important is "involvement in decision making" to you?
This means, being involved as much as you want in deciding about your health care freedom to discuss other treatment options or care regimes if you want.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4494
2
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
good quality surroundings
good quality surroundings
good quality surroundings
good quality surroundings
good quality surroundings
How important are "good quality surroundings" to you?
This means , having enough space, seating and fresh air in the waiting rooms, examination rooms and hospital wards having a clean facility (including clean toilets).
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4495
1
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
contact with outside world
contact with outside world
contact with outside world
contact with outside world
contact with outside world
How important is "contact with outside world " to you?
This means, having family and friends visit you as much as you want when you are a patient in hospital being able to keep in contact with family, friends and to have information about what is happening outside the hospital.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4494
2
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Clarity of Communication
Clarity of Communication
Clarity of Communication
Clarity of Communication
Clarity of Communication
How important is "clarity of communication" to you?
This means, having the health care providers explain things in a way you can understand having enough time to ask questions if you don't understand something.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4493
3
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Overnight stay in hospital
Overnight stay in hospital
Overnight stay in hospital
Overnight stay in hospital
Overnight stay in hospital
Over the last 5 years, was there ever a time you stayed overnight in a hospital or other type of long term care facility for your own health care?
4493
3
1
Yes - a hospital
2
Yes - long term care facility
5
No
Sysmiss
Child stayed overnight at hospital
Child stayed overnight at hospital
Child stayed overnight at hospital
Child stayed overnight at hospital
Child stayed overnight at hospital
Over the last 5 years, was there ever a time that one of your children aged 12 years or less stayed overnight in a hospital (for his/her own health care)?
3811
685
1
Yes
5
No
Sysmiss
Sex of the child
Sex of the child
Sex of the child
Sex of the child
Sex of the child
What is the sex of the child?
152
4344
1
Female
2
Male
Sysmiss
date of birth of the child
date of birth of the child
date of birth of the child
date of birth of the child
date of birth of the child
What is the date of birth of the child?
151
01/1990
01/1993
01/1994
01/1995
01/1996
01/1997
01/1998
01/2000
01/2002
02/1990
02/1991
02/1992
02/1995
02/1999
02/2000
02/2001
03/1990
03/1991
03/1992
03/1994
03/1996
03/1997
03/1998
03/1999
03/2000
03/2001
03/2002
04/1990
04/1991
04/1993
04/1995
04/1997
04/1998
04/2000
04/2001
04/2002
05/1990
05/1991
05/1993
05/1994
05/1997
05/1998
05/1999
05/2000
05/2002
06/1990
06/1991
06/1993
06/1994
06/1995
06/1996
06/1998
06/1999
06/2001
07/1991
07/1995
07/1996
07/1997
07/1999
07/2000
07/2001
07/2002
08/1990
08/1991
08/1994
08/1998
08/2001
08/2002
09/1990
09/1991
09/1993
09/1994
09/1995
09/1996
09/1998
09/1999
10/1990
10/1991
10/1992
10/1994
10/1995
10/1998
10/1999
10/2000
11/1991
11/1993
11/1998
11/1999
11/2000
11/2001
12/1990
12/1992
12/1994
12/1995
12/1996
12/1997
12/1998
12/1999
12/2001
12/2002
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Over the last 12 months, did you receive any health care other than an overnight stay in a hospital?
3638
858
1
Yes
5
No
Sysmiss
Child receive health care (outpatient)
Child receive health care (outpatient)
Child receive health care (outpatient)
Child receive health care (outpatient)
Child receive health care (outpatient)
Over the last 12 months was there ever a time you accompanied one of your children aged 12 years or less for health care (other than an overnight stay in a hospital)?
1439
3057
1
Yes
5
No
Sysmiss
Sex of Child
Sex of Child
Sex of Child
Sex of Child
Sex of Child
What is the sex of the child?
145
4351
1
Female
2
Male
Sysmiss
Date of birth of child
Date of birth of child
Date of birth of child
Date of birth of child
Date of birth of child
What is the date of birth of the child?
144
01/1991
01/1992
01/1994
01/1995
01/1996
01/1998
01/1999
01/2001
02/1995
02/1997
02/1998
02/1999
02/2000
02/2002
03/1990
03/1991
03/1994
03/1997
03/1998
03/2000
03/2001
04/1991
04/1992
04/1993
04/1994
04/1996
04/1998
04/1999
05/1994
05/1995
05/1997
05/1998
05/1999
05/2000
05/2001
05/2002
06/1991
06/1993
06/1994
06/1996
06/1997
06/2000
07/1991
07/1992
07/1994
07/1995
07/1996
07/1997
07/1998
07/2001
08/1991
08/1992
08/1993
08/1994
08/1995
08/1996
08/1999
08/2000
08/2001
08/2002
09/1991
09/1992
09/1993
09/1994
09/1997
09/1998
09/1999
09/2001
09/2002
10/1991
10/1992
10/1993
10/1995
10/1996
10/1997
10/1998
10/1999
10/2000
11/1994
11/1998
11/1999
11/2002
12/1991
12/1994
12/1997
12/1998
12/2000
12/2001
Name of last health care provider visited
Name of last health care provider visited
Name of last health care provider visited
Name of last health care provider visited
Name of last health care provider visited
What was the name of the last health care provider you used in the last 12 months?
2361
"Dentist"
"Eskulap"
Adult outpatient department
Aktau City Outpatient Clinic
Aktau city outpatient clinic
Aktau pediatric outpatient clinic
Ambulance
Ambulance station
Ambulatory centre
Ambulonce central hospital
At home
Bolachak
CBA
CBA Ortalyk
CBA Dostyk
CBA Dostyk
CBA Ortalyk
CBAOrtalyk
CENTRAL REGIONAL HOSPITAL
CENTRAL REGIONAL HOSPITAL
CENTRAL DISTRICT HOSPITAL
CENTRAL REGIONAL HOSPITAL
CENTRAL REGIONAL HOSPITAL
CENTRAL REGIONAL HOSPITAL OF ALAKOL DISTRICT
CHILDREN POLICLINIC
CITY HOSPITAL
CITY HOSPITAL 1
CITY HOSPITAL 3
CITY POLICLINIC
CITY POLICLINIC 1
CITY POLICLINIC 2
CITY POLICLINIC 1
CITY POLICLINIC 2
CITY ROLICLINIC 1
CITY POLICLINIC
CITY POLICLINIC 2
CITY POLICLINIC1
CITY POLICLINIC2
CRB
CRB Polyklinik
CRB polyklinik
CRP
CTP N5
Cardiological center
Cardiological centre
Central Ambulance surgery
Central District hospital
Central district policlinic
Central polyclinic station
Central regional hospital
Central regional policlinic
Child outpatient clinic
Child stomatologi polyclinic
Children outpatient clinic
Children poliklinika
Children regional hospital
Children's outpatient clinic
Children's policlinic
Children's polyclinic
Children's regional hospital
City policlinic
City poliklinic
City Hospital - 1
City Outpatient Clinic
City Polyclinic
City Polyclinic 2
City Polyklinik
City Polylcinic
City children clinic
City outpatient clinic
City pediatric outpatient clinic
City policlinic
City policlinic # 2
City policlinic # 5
City policlinic 2
City policlinic 4
City poliklinika 2
City poliklinnika
City polyclinic
City polyclinic #1
City polyclinic 1
City polyclinic 2
City polyclinic 4
City polyclinic 6
City polyclynic
City-hospital
Clinic
Clinic "Sharopat"
Clinic AGMO
Clinicodiagnostic center
Consultation clinic
Country medican ambulance
DENTA POLICLINIC
DENTA-LUX
DENTAL CLINIC
DENTAL CLINIC
Dantal policlinic
Densaulic
Densaulyk
Denta clinical
Denta policlinic
Denta-LUX
Denta-lux
Dental clinic
Dental center
Dental clinic
Dental clinic "Bagdat and K"
Dental clinic 1
Dental clinik
Dental outpatient clinic
Dental policlinic
Dentist
Dentist Clinic
Diagnosrical Centre
Diagnostic Center
Diagnostic centre
Diagnostical Center
Diagnostical center of Almity city
Diagnostig center
Disrtict outpatient clinic
Disrtist Clinical
District Clinic
District Oupatient Clinic
District Outpatient Clinic
District Outpatient clinic
District clinic
District outpatient clinic
District outpatient clinic
District policlinic
District polyclinic
Districtt policlinic
Doctoral ambulance
Duisrtict Clinic
ECO-center
EKO-center
ESCKULAP
Emerge
Emergency hospital
Eskulap
FAMILY MEDICAL AMBULONCE
FAMILY MEDICAL AMBULONCE 3
FAMILY MEDICAL AMBULONCE 7
FAMILY MEDICAL AMBULONCE 1
FAMILY MEDICAL AMBULONCE 10
FAMILY MEDICAL AMBULONCE 3
FAMILY MEDICAL AMBULONCE 6
FAMILY MEDICAL AMBULONCE 7
FAMILY MEDICAL AMBULONCE 8
FAMILY MEDICAL AMBULONCE 9
FAMILY MEDICAL AMULONCE
FAMILY MEDICAL AMBULONCE
FAMILY MRDICAL AMBULONCE
FAMILY MEDICAL AMBULANCE
FAMILY MEDICAL AMBULONCE
FANILY MEDICAL AMBULONCE
Famaly health ambulance
Familia medical outpatient
Familial medical outpatient
Familial medical putpatient
Familial outpatient
Familian medical outpatient
Family Medical Ambulonce
Family ambulance station
Family ambulance station Gippokrat
Family health ambulance
Family health ambulance Baturino
Family medical ambulance
Family medical ambulance station
Family medical ambulance station "Bodrost"
Family medical ambulance station "Shanalat"
Family medical ambulance station "Shipager"
Family medical ambulance station 1
Family medical ambulance station 1 "Shanagat"
Family medical ambulance station 4 "Kokshoky"
Family medical ambulance station-Densaulik
Family medical ambulance stational
Family medical outpatient
Family meducal ambulance station
Family midical ambulance
Family-medical ambulance
Female consultation
Femily medical ambulance statiom
GTP 1
GTP 2
GTP 5
GTP5
GTP5 CBA 26
Gtp 5
Home
Hospital
In home
KARASAY DISTRICT OUTPATIENT CLINIC
KARASAY OUTPATIENT CLINIC
KARASAY OUTPATIENT CLINIC, PAY CENTER
KDP
KDP 1
KDP 3
KDP 4
KDP1
KDP2
KDP3
KDP4
Karasai policlinic
Karasai Polyclinic
Karasai policlinic
Karasaiskaiy policlinic
LAZARET
LTD "Talap"
Local clinik
Local hospital
MEDIKAL AMBULANCE
MEDIKAL ambulance
Mangystau district outpatient clinic
Mangystau oblast hospital
Mangystau regional outpatient clinic
Medical office
Medical Center "Sunkar"
Medical Centre "Sunkar"
Medical ambulance
Medical asociation
Medical center
Medical stady #2
Military hospital
NAY 2
OBLAST POLICLINIC 3
OBLAST POLICLINIC
OBLAST CENTER MENTAL HEALTH
OUTPATIENT CLINIC
OUTPATIENT CLINIC #2
Oblast Delivery Hospital
Oblast HOSPITAL
Oblast policlinic
Outpatient clinic
Outpatient Clinic #2,#5
Outpatient Clinic N2
Outpatient clinic
Outpatient clinic #1
Outpatient clinic #12
Outpatient clinic #2
Outpatient clinic #5
Outpatient clinic #6
Outpatient clinic N2
Outptient clinic
POLICLINIC
POLICLINIC 2
POLICLINIC 2
POLICLINIC 12
POLICLINIC 17
POLICLINIC 2
POLICLINIC 3
POLICLINIC 4
POLICLINIC 5
POLICLINIC 8
POLICLINIC INTERTICH
POLICLINIC1
POLICLINIC2
POLIKLINIKA RAYONNAYA ; STOMATOLOGICHESKAYA POLIKLIN
POLYCLINIC
PRIVATE OPHTALMOLOGICAL CLINIC
PRIVATE DENTAL CLINIC
PRIVITE DENTAL AMBULANCE "FARIZA"
Patient care institution
Pediatric outpatient clinic
Pediatric consultation clinic
Pediatric outpatient clinic
Pediatric polyclinic
Pediatrics outpatient clinic
Policlinic
Policlinic # 1
Policlinic #2
Policlinic 1
Policlinic 3
Policlinic a nursery
Policlinic sery
Policlinica
Policlinik
Policlinika
Poliklinick
Poliklinika
Poliklinika 1
Poliklinnika 1
Polliklinika
Polyclilnic
Polyclinic
Polyclinic -2
Polyclinic 1
Polyclinic 2
Polyclinic 6
Polyclinic 6, at home
Polyclinic-2
Polyclinica
Polyclynic
Polyklinik
Polyklinik 1
Polyklinika
Polylcinic
Private ambulance station
Private clinic
Private clinic "Ademy"
Private clinic "Sunkar"
Private dental clinic
Private policlinic
Private stomotologist's cabinet
Privaty Dental Clinic
REGIONAL HOSPITAL
REGIONAL POLICLINIC
RESEARCH INSTITUTE OF EYE DISEASES
Railway polyclinic
Reg.Polyklinik
Reg.Polyklinika
Reg.polyklinik
Regional Polyclinic
Regional ambulance
Regional clinic
Regional hospital
Regional medical center
Regional policlinic
Regional poliklinnika
Regional polyclinci
Regional polyclinic
Regoinal poliklinik
Rigional polyclinic
Rural medical ambulance
Rural medical ambbulance
Rural medical ambulance station
Rural medical ambulans
Rural medical outpatient
Rural policlinic
Rural regional hospital
SBA Merei
SVA
Sanatorium
Scientific-research institute of ophtalmology
Sity Hospital
Sity Polyklinik 5
Sity Polyklinik3
Sity Polyklinik5
Sity polyklinik
Skin venerologic clinic
State Hospital 1
Station medical association
Station polyclinic
Stom.polyklinik
Stomamed
Stomatologic clinic
Stomatologic polyclinic
Stomatologic study
Stomatological clinic
Stomatology
Stomatology a study
Stomatology hospital
Stomed
Stomotologist
Stompolyklinik
TOO " Senim"
TOO "Ambulance Center"
TOO "Ambulance center"
TOO "Bagdat and K"
TOO "Felina"
TOO "Senim"
TOO "Senym"
TOO "Stomatolog"
TOO "Stomatologija"
TOO Stomatolog
TOO Stomatologyja
TOO Stomed
TOO"Senym"
TOO"Stomatologya"
Teritorial Medical association
Teritorial medical asotiation
Teritorial medical association
Teritorial medical assotiation
Teritoryial medical ossaciation
The Regional Policlinic
The Center of traditional medicine
The Gity Policlinic 1
The Gity Policlinic 1
The Gity Policlinic 2
The Railway Policlinic
The Regional Policlinic
The Regional Polyclinic
The Regional clinic hospital
The Regional policlinic
The central regional policlinic
The central regional Policlinic
The central regional a nursery consultation
The central regional hospital
The central regional policlinic
The cordiological centre
The diagnostic centre
The diagnostic senter
The regional policlinic
Traumatological station
Travm.punkt
Village medical ambulance station
Visit at home
Visiting on the house
Vizit at houme
ambulance
ambulatori
ambulatoria
at home
cancer dispensary
central lokal hospital
central lokal poliklinnika
central regional hospital
central regional poliklinik
chidren clinic
children clinic
children dental clinic
children hospital 1
children poliklinik
children poliklinika
children poliklinnika
citi policlinic
city policlinic
city central hospital
city central policlinic
city hospital
city outpatient clinic
city policlinic
city policlinic 1
city policlinic 2
city policlinic 5
city policlinic2
city poliklinic 2
city poliklinika
city polyclinic 4
clinic ASKO
clinic Heaithy Line
dental clinic
dental clinic
dental clinic Appolonya
dental clinik
diagnostic centre
district policlinic
distrit policlinik
et home
famely medical ambulance
family medical ambulonce
family health ambulanc policlinic
family medical ambulonce
family medical ambulance
family medical ambulonce
family medical ambulonce 2
family mrdical ambulonce
female consultation
home
home visiting
hospital
in home
kDP2
lokal pliklinnika
lokal poliklinik
lokal poliklinika
lokal poliklinnik
oblast policlinic
olast dental clinic
outpatient #2
outpatient clinic
outpatient clinic #1
outpatient clinic #2
outpatient clinic #5
outpatient clinic - 2
outpatient clinic 2
outpatient clinic-2
pediatric outpatient clinic
policlinc
policlinic
poliklinika
poliklinika 1
poliklinika 2
polyclinic
polyclinica
polyclinica N1
polyclinics
polyclinika
polyclinika N3
polyklinik 5
polylcinic
private dental clinic
private policlinic
private stady
regional poliklinika
regional ambulace
regional ambulance
regional policlinic
regional polyclinic
regionale ambulance
rural policlinic
stomatologic polyclinic and medical ambulance statio
stomatology
teritorial medical asotiation
teritorial medical association
teritoryal medical assotiation
town ambullance
visit at home
vizit ine home
Most often visited facility run by whom
Most often visited facility run by whom
Most often visited facility run by whom
Most often visited facility run by whom
Most often visited facility run by whom
Was the last place you visited in the last 12 months:
- operated by the government
- privately operated
- NGO
- other
2362
2134
1
Operated by the government
2
Privately operated
3
NGO
4
Other
Sysmiss
Health care provider visited
Health care provider visited
Health care provider visited
Health care provider visited
Health care provider visited
Which was the last health care provider you visited?
Medical doctor (including gynaecologist, psychiatrist, ophthalmologist, etc.)
- Nurse
- Midwife
- Dentist
- Physiotherapist or chiropractor
- Traditional medicine practitioner
- Other
After Q7302, substitute the type of health care provider selected by the patient wherever you see [health care provider] in parentheses.
2369
2127
1
Medical doctor
2
Nurse
3
Midwife
4
Dentist
5
Physiotherapist or chiropractor
6
Traditional medicine practitioner
7
Other
Sysmiss
Sex of health care provider
Sex of health care provider
Sex of health care provider
Sex of health care provider
Sex of health care provider
What was the sex of [the health care provider]?
2367
2129
1
Female
2
Male
Sysmiss
Health care providers skills
Health care providers skills
Health care providers skills
Health care providers skills
Health care providers skills
In your opinion, was [the health care provider's] skill adequate for your treatment?
2367
2129
1
Yes
5
No
Sysmiss
Health care providers equipment
Health care providers equipment
Health care providers equipment
Health care providers equipment
Health care providers equipment
In your opinion, was [the health care provider's] equipment adequate for your treatment?
2366
2130
1
Yes
5
No
Sysmiss
Health care providers drug supplies
Health care providers drug supplies
Health care providers drug supplies
Health care providers drug supplies
Health care providers drug supplies
In your opinion, were [the health care provider's] drug supplies adequate for your treatment?
2364
2132
1
Yes
5
No
Sysmiss
how long it took to get there
how long it took to get there
how long it took to get there
how long it took to get there
how long it took to get there
Thinking about your last visit, how long did it take you to get there?
2346
2150
720
20.45
22.585
1
2
3
4
5
6
7
8
9
10
12
15
16
17
18
20
22
25
30
35
40
45
50
57
59
60
100
120
180
240
300
360
720
Sysmiss
How did you get to last visit
How did you get to last visit
How did you get to last visit
How did you get to last visit
How did you get to last visit
Thinking about your last visit, how did you get there?
[Interviewer; mark the one used for most of the travel distance.]
- Private car or motorcycle
- Public transport
- Ambulance
- Bicycle
- Walked
- Other
2354
2142
1
Private car or motorcycle
2
Public transport
3
Ambulance
4
Bicycle
5
Walked
6
Other
Sysmiss
Health care providers fees
Health care providers fees
Health care providers fees
Health care providers fees
Health care providers fees
Thinking about your last visit, how much did you or your household pay for: [Health care provider's] fees
2313
2183
50000
405.379
1864.672
1
5
8
9
60
95
99
100
103
110
120
130
137
150
180
200
210
220
250
270
280
300
350
370
380
400
450
500
550
600
660
700
725
750
780
800
860
900
1000
1080
1100
1150
1200
1400
1500
1700
1800
2000
2200
2300
2500
2700
3000
3200
3300
3500
3900
4000
4410
4700
5000
5350
6000
6009
6800
7000
8000
9000
10000
12000
13000
15000
18000
20000
26000
50000
Sysmiss
Medicines
Medicines
Medicines
Medicines
Medicines
Thinking about your last visit, how much did you or your household pay for: Medicines
2225
2271
50009
866.355
1892.92
8
Do not know
9
Not applicable, not have
24
30
50
80
100
110
120
130
140
150
160
180
200
220
250
270
280
300
320
340
350
360
370
400
450
460
500
540
550
600
640
650
700
750
799
800
810
830
840
850
880
900
940
950
1000
1020
1050
1100
1200
1220
1300
1350
1400
1460
1500
1550
1600
1700
1800
1870
2000
2010
2100
2200
2250
2300
2400
2500
2600
2700
2730
2800
3000
3060
3200
3220
3500
3700
3800
4000
4500
4550
4600
5000
5500
6000
7000
7400
8000
8200
9000
10000
13000
13200
15000
30000
50009
Sysmiss
Tests
Tests
Tests
Tests
Tests
Thinking about your last visit, how much did you or your household pay for: Tests
1997
2499
14000
95.37
545.455
1
5
8
Do not know
9
Not applicable, not have
30
40
42
50
56
60
70
80
100
105
120
130
140
150
170
200
210
240
250
255
270
280
300
350
355
380
400
420
460
490
500
580
600
620
700
710
720
750
800
900
1000
1008
1500
1800
1900
2000
2200
2450
2560
3800
4000
5000
5500
7000
12000
14000
Sysmiss
Transport
Transport
Transport
Transport
Transport
Thinking about your last visit, how much did you or your household pay for: Transport
1921
2575
30000
41.682
701.246
1
2
8
Do not know
9
Not applicable, not have
15
20
25
30
40
50
60
70
72
80
100
120
150
200
250
300
340
400
450
500
800
1000
1200
2000
2400
4000
30000
Sysmiss
Other
Other
Other
Other
Other
Thinking about your last visit, how much did you or your household pay for: Other
1858
2638
6000
58.236
366.772
1
2
8
Do not know
9
Not applicable, not have
50
90
100
150
165
200
250
300
350
400
500
600
800
900
1000
1200
1300
1400
1480
1500
1600
2000
2200
2500
2800
3000
3500
4000
5000
6000
Sysmiss
Government discount or exemption
Government discount or exemption
Government discount or exemption
Government discount or exemption
Government discount or exemption
Did you or your household pay less than the normal health care fees because of a government discount or exemption?
1192
3304
1
Yes
5
No
9
Not applicable, free
Sysmiss
Rate the amount of traveling time
Rate the amount of traveling time
Rate the amount of traveling time
Rate the amount of traveling time
Rate the amount of traveling time
For your [child’s] last visit, how would you rate the travelling time to the health care provider?
2331
2165
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, home care
Sysmiss
Waiting time before being attended to
Waiting time before being attended to
Waiting time before being attended to
Waiting time before being attended to
Waiting time before being attended to
For your [child’s] last visit, how would you rate the amount of time you waited before being attended to?
2368
2128
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
For your [child’s] last visit, how would you rate your experience of being greeted and talked to respectfully?
2367
2129
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Respect of privacy
Respect of privacy
Respect of privacy
Respect of privacy
Respect of privacy
For your [child’s] last visit, how would you rate the way your privacy was respected during physical examinations and treatments?
2350
2146
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, no exam/treatment
Sysmiss
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
For you [child’s] last visit, how would you rate the experience of how clearly health care providers explained things to you?
2369
2127
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Time to ask questions about health problem
Time to ask questions about health problem
Time to ask questions about health problem
Time to ask questions about health problem
Time to ask questions about health problem
For your [child’s] last visit, how would you rate your experience of getting enough time to ask questions about your health problem or treatment?
2368
2128
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Getting information about other types of treatments or tests
Getting information about other types of treatments or tests
Getting information about other types of treatments or tests
Getting information about other types of treatments or tests
Getting information about other types of treatments or tests
For your [child’s] last visit, how would you rate your experience of getting information about other types of treatments or tests?
2368
2128
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
For your [child’s] last visit, how would you rate your experience of being involved in making decisions about your health care or treatment?
2368
2128
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Being able to talk privately to health care providers
Being able to talk privately to health care providers
Being able to talk privately to health care providers
Being able to talk privately to health care providers
Being able to talk privately to health care providers
For your [child’s] last visit, how would you rate the way the health services ensured you could talk privately to health care providers?
2371
2125
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Kept your personal information confidential
Kept your personal information confidential
Kept your personal information confidential
Kept your personal information confidential
Kept your personal information confidential
For your [child’s] last visit, how would you rate the way your personal information was kept confidential?
2367
2129
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Do not know
Sysmiss
Freedom to choose health care provider
Freedom to choose health care provider
Freedom to choose health care provider
Freedom to choose health care provider
Freedom to choose health care provider
For your [child’s] last visit, how would you rate the freedom you had to choose your health care provider?
2346
2150
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
For your [child’s] last visit, how would you rate the cleanliness of the rooms inside the facility, including toilets?
2342
2154
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, home care
Sysmiss
Amount of space in examination and waiting rooms
Amount of space in examination and waiting rooms
Amount of space in examination and waiting rooms
Amount of space in examination and waiting rooms
Amount of space in examination and waiting rooms
For your [child’s] last visit, how would you rate the amount of space in the waiting and examination rooms?
2359
2137
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, home care
Sysmiss
Sex
Sex
Sex
Sex
Sex
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Sex
2367
2129
1
Yes
5
No
Sysmiss
Age
Age
Age
Age
Age
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Age
2369
2127
1
Yes
5
No
Sysmiss
Lack of funds
Lack of funds
Lack of funds
Lack of funds
Lack of funds
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Lack of money
2370
2126
1
Yes
5
No
Sysmiss
Social class
Social class
Social class
Social class
Social class
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Social class
2369
2127
1
Yes
5
No
Sysmiss
Skin colour
Skin colour
Skin colour
Skin colour
Skin colour
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Ethnic group or colour
2369
2127
1
Yes
5
No
Sysmiss
Illness
Illness
Illness
Illness
Illness
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Type of illness
2369
2127
1
Yes
5
No
Sysmiss
Nationality
Nationality
Nationality
Nationality
Nationality
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Nationality
2367
2129
1
Yes
5
No
Sysmiss
Name of last hospital stayed
Name of last hospital stayed
Name of last hospital stayed
Name of last hospital stayed
Name of last hospital stayed
What was the name of the last hospital or long term care facility you [child] stayed in, in the last 5 years ?
882
"mar'yam ltd' hospital
1
1CRB
1hospital
2
3th Hospital
5
Aitekebiski regional hospital
BSLP
BSMP
CBA
CENTRAL REGIONAL HOSPITAL
CENTRAL DISTRICT HOSPITAL OF KASKELEN
CENTRAL REGIONAL HOCPITAL
CENTRAL REGIONAL HOSPITAL
CENTRAL REGIONAL HOSPITAL OF ALAKOL DISTRICT
CHILDREN HOSPITAL
CHILDRENS HOSPITAL
CITY HOSPITAL
CITY HOSPITAL
CITY HOSPITAL 3
CITY HOSPITAL 4
CITY HOSPITAL 3
CITY HOSOITAL
CITY HOSPITAL
CITY HOSPITAL OF ALMATY #12
CRB
Cancer dispensary
Cardiological centre
Cenrtal District Hospital
Center regional hospital
Central City Hospital, Children' s pulmonology ward
Central District Hospital
Central District hospital
Central clinical hospital
Central district hospital
Central hospital
Central hospital station
Central regional haspital
Central regional hosital
Central regional hospital
Central rural hospital
Central rural hospital mothernity department
Child hospital
Children hospital Bishkek
Children hospital station #1
Children's clinical hospital
Children's hospital
Children's infectious diseases hospital
Children's infectious hospital
Children's regional clinical hospital
Children's regional hospital
Childrens Hospital
Childrens Infectiuose hospital
Childrens hospital
City hospital
City Hospital
City Hospital "Densaulyk"
City Hospital - 1
City clinical hospital
City hospital
City hospital # 2
City policlinic
City's hospital
City-hospital
Clinic
Clinic"felix"
Clinical hospital
Clinicodiagnostic center
Cordiological centre
DELIVERY CLINIC
Delivery hospital Danel
Delivery hospital
District Clinic
District Clinic
District Hospital
District hospital
District outpatient clinic
Emergency Hospital
Emergency hospital
Emergy
Emurgency hospital
Eye hospital
FAMILY MEDICAL AMBULONCE
FAMILY MEDICAL AMBULONCE 7
Familiai outpatient
Family medical ambulance station
GDB
Ginekology Department
Gynecologic branch
HOSPITAL
HOSPITAL 1
HOSPITAL 12
HOSPITAL 2
HOSPITAL 4
HOSPITAL 5
HOSPITAL 7
Hospital
Hospital #2
Hospital 3
Hospital infectious
Hospital of first aid
Hospital of invalids of domestic war
Hospital of invalids of domestic war. Regional hospital
Hospital of maxillofacial surgery
Hospital of the first help
INSTITUTE OF CARDIOLOGY
INSTITUTE OF ONCOLOGY AND RADIOLOGY
Infection hospital
Infectious hospital
Infectiouse hospital
J.D.H.
KARASAY CENTRAL DISTRICT HOSPITAL
KASKELEN DISTRICT HOSPITAL
KDP2
Karasaiskaiy hospital
Kaz NII Cardiology
Kazakh Scientifically Research Institute of Traumatology a
Kuchenov's private clinic
LTD "Talap"
Local hospital
MATERNITY NOSPITAL
Mangystau Central Regional Hospital
Materniti hospital
Maternitu hospital
Maternity hospital
Materniyu hospital
Medical Center
Medical Centre
Medical centre
Medical section
Medical unit 2
Medical unit 22
Mental clinic
Mother house
Municipal hospital
Munucipal hospital
NOSOITAL
NOT USE
OBLAST CHILDREN HOSPITAL
OBLAST HOSPITAL
OBLAST HOSPITAL
OBLAST PERINATAL CENTRAL
OMC
Obalast hospital
Oblast delivery hospital
Oblast hospital
Oblast oncological hospital
Oblast pediatric hospital
Oftalmical hospital
Oncologic dispensary
Oncological clinic
Ophtalmic center
Outpatient clinic
POLICLINIC
POLICLINIC 2
PRIVATE CLINIC
Pediatric City Hospital - 2
Pediatric Hospital 2
Pediatric Surgical center
Pediatric hospital
Pediatric outpatient clinic
Pediatrics hospital
Perinalal center
Perinatal Center
Perinatal center
Perinatal centre
Private clinic
Private hospital
REGIONAL OBLAST CHILDREN HOSPITAL
RESEARCH INSTITUTE OF ONCOLOGY
Railway hospital
Reciional hospital
Reg. Hospital
Reg.Hospytal
Region hospital
Region hospital of Astana-city
Regional Children's hospital
Regional Hospital
Regional Medical Center
Regional Medical Centre
Regional Medical center
Regional TB dispensary
Regional a clinic
Regional cancer department
Regional child infection hospital
Regional children's hospital
Regional hospital
Regional hospital "Chapaevo"
Regional hospital 1
Regional hospital in Chelyabinsk(Russia)
Regional hospital station
Regional hospital, city hospital #2
Regional infectious hospital
Regional infectiuose hospital
Regional medical center
Regional tubercular clinic
Republic clinical hospital
Republican hospital for invalids
Republican pediatric hospital "Aksai"
Republik Clinikal Hospital
Research Institute of optalimology
Research institute of Cardiology
Reumathology department of the hospital
Rigional Hospital
Rigional hospital
Rod.dom
Rural central hospital
Rural hospital
Rurar regional hospital
Scientific Research Institute of Eyes diseases
Semei ophtalmic center
Sity Children's Hospital
Sity Hospital
Sity Hospytal
Sity children's hospital1
Sity hospital
Sugery department of the hospital
TB dispensary
TOO "Densaulyk"
TSRB Talgar
Teritorial medical asociation 3
Teritorial medical association hospital
The regional hospital
The Astrakhan's City Hospital
The Central Hospital
The Central Regional Hospital
The City Hospital 3
The Gentral Hospital
The Gity Hospital 3
The Gity Hospital 2
The Gity Hospital 3
The Railwau Hospital
The Rigional Hospital
The central regional hospital
The central regional hospital
The central regional Hospital
The central regional hospital
The cordiological centre
The regional central hospital
The regional hospital
The regional maternity house
Therapeutic wafd of District hoapital
Therapy
Therapy Cardiology
Tuberculosis clinic
Urgant hospital
Urgent hospital
ZRB
cancer hospital
central lokal hospital
central regional hospital
central regoinal hospital
central rural medical hospital
children hospital
children hospital
children's hospital
childrens hospital
childrens hospital ALMATI
citi hospital 1
city hospital
city central hospital
city hospital
city hospital2
city policlinic 1
clinic
diagnostic center
distrcit hospital
district hospital
endokrinology hospital
family medical ambulonce
hospital
hospital in Chelyabinsk(Russia)
hospital of the first help
hospital station
lokal hospital
maternity hospital
medical unit - 22
medical-santary centry
oblast children hospital
oblast hospital
oblast children hospital
oblast hospital
psychoneuro dispensary
regional hospital
regional child hospital
regional clinic
regional clinic hospital
regional hospital
regional medical center
regoinal hospital
terapy
teritorial medical association
teritorial medical associatiyon
Who run the hospital
Who run the hospital
Who run the hospital
Who run the hospital
Who run the hospital
Was the hospital or long term care facility:
- operated by the government
- privately operated
- NGO
- other
890
3606
1
Operated by the government
2
Privately operated
3
NGO
4
Other
Sysmiss
when was your last stay
when was your last stay
when was your last stay
when was your last stay
when was your last stay
When was your [child's] last overnight stay?
- In the last 4 weeks
- In the last year
- In the last 2 years
- In the last 3 years
- In the last 5 years
886
3610
1
In the last 4 weeks
2
In the last year
3
In the last 2 years
4
In the last 3 years
5
In the last 5 years
Sysmiss
Reason for last overnight stay
Reason for last overnight stay
Reason for last overnight stay
Reason for last overnight stay
Reason for last overnight stay
Which of the following best describes the reason for your [child's] last overnight stay?
- High fever, severe diarrhoea, or cough
- Childbirth
- Arthritis
- Asthma
- Heart disease
- Bodily injury
- Minor surgery
- Other
889
3607
1
High fever, sever diarrhea, or cough
2
Childbirth
3
Arthritis
4
Asthma
5
Heart disease
6
Bodily injury
7
Minor surgery
8
Other
Sysmiss
How long was your stay on this occasion
How long was your stay on this occasion
How long was your stay on this occasion
How long was your stay on this occasion
How long was your stay on this occasion
How long was your [child's] stay on this occasion?
- 1-2 days
- 3-5 days
- 6-14 days
- 15 days and more
888
3608
1
4
1
1-2 days
2
3-5 days
3
6-14 days
4
15 days and more
Skill of health care provider
Skill of health care provider
Skill of health care provider
Skill of health care provider
Skill of health care provider
In your opinion, was the skill of the health care providers adequate for your [child’s] treatment?
890
3606
1
Yes
5
No
Sysmiss
Hospitals equipment
Hospitals equipment
Hospitals equipment
Hospitals equipment
Hospitals equipment
In your opinion, was the hospital's equipment adequate for your [child’s] treatment?
890
3606
1
Yes
5
No
Sysmiss
Drug supplies
Drug supplies
Drug supplies
Drug supplies
Drug supplies
In your opinion, were the hospital's drug supplies adequate for your [child’s] treatment?
872
3624
1
Yes
5
No
Sysmiss
How long to get there
How long to get there
How long to get there
How long to get there
How long to get there
Thinking about your last hospital stay, how long did it take you [child’s] to get there?
887
3609
3680
40.266
175.773
1
2
3
4
5
6
7
8
10
12
15
18
20
25
30
35
40
45
50
59
60
70
80
90
103
120
130
180
480
720
1440
2280
3680
Sysmiss
How you got there
How you got there
How you got there
How you got there
How you got there
Thinking about your [child’s] last hospital stay, how did you get there?
- Private car or motorcycle
- Public transport
- Ambulance
- Bicycle
- Walked
- Other
890
3606
1
Private car or motorcycle
2
Public transport
3
Ambulance
4
Bicycle
5
Walked
6
Other
Sysmiss
How long before being admitted to hospital
How long before being admitted to hospital
How long before being admitted to hospital
How long before being admitted to hospital
How long before being admitted to hospital
For your [child’s] last hospital stay, how long from the time you needed hospital care did you wait to be admitted to hospital?
- same day
- less than 1 week
- less than 1 month
- less than 3 months
- 3 months and more
889
3607
1
5
1
Same day
2
Less than a week
3
Less than 1 month
4
Less than 3 months
5
3 months and more
Doctors fees
Doctors fees
Doctors fees
Doctors fees
Doctors fees
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Doctor's fees
804
3692
90000
1865.262
7115.852
8
Do not know
9
Not applicable, not have
100
200
250
300
350
400
500
700
900
1000
1200
1500
1600
1925
2000
2100
2500
2700
3000
3500
4000
5000
5500
6000
7000
7875
8000
10000
12000
13000
14000
15000
17000
18000
20000
20500
22000
24000
25000
25600
30000
34000
35000
40000
45000
50000
75000
76300
90000
Sysmiss
Drugs
Drugs
Drugs
Drugs
Drugs
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Medicines
800
3696
150000
3684.506
7793.149
8
Do not know
9
Not applicable, not have
200
300
390
400
500
540
600
680
700
720
750
800
950
1000
1100
1200
1300
1400
1465
1500
1510
1600
1700
1800
2000
2200
2300
2400
2450
2500
2600
2700
2780
3000
3300
3500
3800
4000
4300
4500
4800
5000
5500
5600
5700
5800
6000
6400
6500
6625
6700
7000
7200
7400
7500
7600
7800
8000
8500
9000
9800
10000
10500
11000
11200
12000
13000
14000
14800
15000
17000
19000
20000
22000
25000
30000
32000
35000
40000
47000
80000
150000
Sysmiss
Tests
Tests
Tests
Tests
Tests
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Tests
707
3789
11000
279.655
1039.282
5
8
Do not know
9
Not applicable, not have
30
40
100
120
130
150
200
210
250
300
320
350
500
550
600
700
800
835
900
1000
1200
1400
1420
1500
1800
2000
3000
4000
5000
7000
9000
10000
11000
Sysmiss
Transport
Transport
Transport
Transport
Transport
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Transport
696
3800
50000
230.105
2071.665
3
8
Do not know
9
Not applicable, not have
20
25
30
40
50
60
100
125
150
190
200
240
250
300
350
400
500
540
600
700
1000
1200
1800
2000
2500
3000
3500
4000
5000
7000
8000
15000
50000
Sysmiss
Other
Other
Other
Other
Other
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Other
657
3839
20000
326.963
1739.74
2
5
8
Do not know
9
Not applicable, not have
30
40
50
100
110
200
260
270
300
400
500
550
600
750
1000
1200
1500
2000
3000
4000
5000
6000
8000
10000
12000
12800
13000
15000
20000
Sysmiss
Pay less because of government discount
Pay less because of government discount
Pay less because of government discount
Pay less because of government discount
Pay less because of government discount
Did you or your household pay less than the normal health care fees because of a government discount or exemption?
477
4019
1
Yes
5
No
9
Not applicable, free
Sysmiss
How many people slept in same room
How many people slept in same room
How many people slept in same room
How many people slept in same room
How many people slept in same room
Thinking about your [child’s] last hospital stay, how many people slept in the same room as you?
886
3610
12
3.543
1.587
Rating of traveling time to the hospital
Rating of traveling time to the hospital
Rating of traveling time to the hospital
Rating of traveling time to the hospital
Rating of traveling time to the hospital
For your [child’s] last hospital stay, how would you rate the travelling time to the hospital?
890
3606
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Amount of waiting time before being attended to
Amount of waiting time before being attended to
Amount of waiting time before being attended to
Amount of waiting time before being attended to
Amount of waiting time before being attended to
For your [child’s] last hospital stay, how would you rate the amount of time you waited before being attended to?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
For your [child’s] last hospital stay, how would you rate your experience of being greeted and talked to respectfully?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Privacy during physical examinations and treatments
Privacy during physical examinations and treatments
Privacy during physical examinations and treatments
Privacy during physical examinations and treatments
Privacy during physical examinations and treatments
For your [child’s] last hospital stay, how would you rate the way your privacy was respected during physical examinations and treatments?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
rate your experience with clear explanations
rate your experience with clear explanations
rate your experience with clear explanations
rate your experience with clear explanations
rate your experience with clear explanations
For you [child’s] last hospital stay, how would you rate the experience of how clearly health care providers explained things to you?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Was there enough time to ask questions during last hospital stay
Was there enough time to ask questions during last hospital stay
Was there enough time to ask questions during last hospital stay
Was there enough time to ask questions during last hospital stay
Was there enough time to ask questions during last hospital stay
For your [child’s] last hospital stay, how would you rate your experience of getting enough time to ask questions about your health problem or treatment?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Getting information and other types of treatments or tests
Getting information and other types of treatments or tests
Getting information and other types of treatments or tests
Getting information and other types of treatments or tests
Getting information and other types of treatments or tests
For your [child’s] last hospital stay, how would you rate your experience of getting information about other types of treatments or tests?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
For your [child’s] last hospital stay, how would you rate your experience of being involved in making decisions about your health care or treatment?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Ability to talk privately to health care providers
Ability to talk privately to health care providers
Ability to talk privately to health care providers
Ability to talk privately to health care providers
Ability to talk privately to health care providers
For your [child’s] last hospital stay, how would you rate the way the health services ensured you could talk privately to health care providers?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Confidentiality of personal information
Confidentiality of personal information
Confidentiality of personal information
Confidentiality of personal information
Confidentiality of personal information
For your [child’s] last hospital stay, how would you rate the way your personal information was kept confidential?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Ability to choose hospital
Ability to choose hospital
Ability to choose hospital
Ability to choose hospital
Ability to choose hospital
For your [child’s] last hospital stay, how would you rate the freedom you had to choose the health care providers that attend to you [your child]?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rating cleanliness of rooms
Rating cleanliness of rooms
Rating cleanliness of rooms
Rating cleanliness of rooms
Rating cleanliness of rooms
For your [child’s] last hospital stay, how would you rate the cleanliness of the rooms inside the facility, including toilets?
890
3606
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Amount of space
Amount of space
Amount of space
Amount of space
Amount of space
For your [child’s] last hospital stay, how would you rate the amount of space you had?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
For your [child’s] last hospital stay, how would you rate the ease of having family and friends visit you?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Staying in contact with outside world during stay in hospital
Staying in contact with outside world during stay in hospital
Staying in contact with outside world during stay in hospital
Staying in contact with outside world during stay in hospital
Staying in contact with outside world during stay in hospital
For your [child’s] last hospital stay, how would you rate your experience of staying in contact with the outside world when you were in hospital?
891
3605
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Sex
Sex
Sex
Sex
Sex
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Sex
892
3604
1
Yes
5
No
Sysmiss
Age
Age
Age
Age
Age
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Age
892
3604
1
Yes
5
No
Sysmiss
Lack of money
Lack of money
Lack of money
Lack of money
Lack of money
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Lack of money
891
3605
1
Yes
5
No
Sysmiss
Social class
Social class
Social class
Social class
Social class
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Social class
892
3604
1
Yes
5
No
Sysmiss
Race
Race
Race
Race
Race
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Ethnic group or colour
892
3604
1
Yes
5
No
Sysmiss
Type of illness
Type of illness
Type of illness
Type of illness
Type of illness
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Type of illness
891
3605
1
Yes
5
No
Sysmiss
Nationality
Nationality
Nationality
Nationality
Nationality
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Nationality
891
3605
1
Yes
5
No
Sysmiss
Record Set
Record Set
Record Set
Record Set
Record Set
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
4488
A
B
C
D
R-Vignette - Set A Q-1
R-Vignette - Set A Q-1
R-Vignette - Set A Q-1
R-Vignette - Set A Q-1
R-Vignette - Set A Q-1
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Niels] woke up with a sore back so he decided to go to the clinic. It took 30 minutes to travel to the clinic and he was seen within 5 minutes .
How would you rate his travelling time?
839
3657
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Niels] woke up with a sore back so he decided to go to the clinic. It took 30 minutes to travel to the clinic and he was seen within 5 minutes .
How would you rate the amount of time he waited before being attended
to?
838
3658
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Anya] took her baby for a vaccination. The nurse said hello and but did not ask for [Anya’s] or the baby’s name. The nurse also examined [Anya] and made
her remove her shirt in the waiting room.
How would you rate her experience of being greeted and talked to
respectfully?
837
3659
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-4
R-Vignette - Set A Q-4
R-Vignette - Set A Q-4
R-Vignette - Set A Q-4
R-Vignette - Set A Q-4
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Anya] took her baby for a vaccination. The nurse said hello and but did not ask for [Anya’s] or the baby’s name. The nurse also examined [Anya] and made
her remove her shirt in the waiting room.
How would you rate the way her privacy was respected during physical
examinations and treatments?
837
3659
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-5
R-Vignette - Set A Q-5
R-Vignette - Set A Q-5
R-Vignette - Set A Q-5
R-Vignette - Set A Q-5
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[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 his travelling time?
838
3658
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[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 he waited before being attended
to?
838
3658
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Conrad] had bad flu. He went to the clinic. The nurse expressed concern about [Conrad]’s cough and called the doctor, who gave [Conrad] a full chest
examination behind a large screen that hid him from the view of other patients.
How would you rate his experience of being greeted and talked to
respectfully?
837
3659
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-8
R-Vignette - Set A Q-8
R-Vignette - Set A Q-8
R-Vignette - Set A Q-8
R-Vignette - Set A Q-8
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Conrad] had bad flu. He went to the clinic. The nurse expressed concern about [Conrad]’s cough and called the doctor, who gave [Conrad] a full chest
examination behind a large screen that hid him from the view of other patients.
How would you rate the way his privacy was respected during physical
examinations and treatments?
838
3658
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-9
R-Vignette - Set A Q-9
R-Vignette - Set A Q-9
R-Vignette - Set A Q-9
R-Vignette - Set A Q-9
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Aitor] broke his hand. He walked to the clinic because there was no transport and the journey took him several hours. He had to sleep near the clinic for two
days before seeing the doctor.
How would you rate his travelling time?
837
3659
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Aitor] broke his hand. He walked to the clinic because there was no transport and the journey took him several hours. He had to sleep near the clinic for two
days before seeing the doctor.
How would you rate the amount of time he waited before being attended
to?
837
3659
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Julia] was pregnant and went to the hospital coughing blood. A nurse welcomed her gently and helped her to a private room. A female doctor came to
examine her and gave her a clean gown to replace her blood-stained clothes.
How would you rate her experience of being greeted and talked to
respectfully?
837
3659
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-12
R-Vignette - Set A Q-12
R-Vignette - Set A Q-12
R-Vignette - Set A Q-12
R-Vignette - Set A Q-12
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Julia] was pregnant and went to the hospital coughing blood. A nurse welcomed her gently and helped her to a private room. A female doctor came to
examine her and gave her a clean gown to replace her blood-stained clothes.
How would you rate the way her privacy was respected during physical
examinations and treatments?
837
3659
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-13
R-Vignette - Set A Q-13
R-Vignette - Set A Q-13
R-Vignette - Set A Q-13
R-Vignette - Set A Q-13
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Carla]’s child became seriously sick. [Carla] called an ambulance that arrived after 10 minutes and within 5 minutes they were at the hospital and the doctors
were treating the child.
How would you rate her travelling time?
837
3659
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Carla]’s child became seriously sick. [Carla] called an ambulance that arrived after 10 minutes and within 5 minutes they were at the hospital and the doctors
were treating the child.
How would you rate the amount of time she waited before being attended
to?
838
3658
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Patricia] went to a crowded clinic. At first, no-one greeted her but after waiting for 5 minutes a nurse called her to the examination area where she was
examined behind a small screen that mostly hid her from the other patients.
How would you rate her experience of being greeted and talked to
respectfully?
838
3658
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-16
R-Vignette - Set A Q-16
R-Vignette - Set A Q-16
R-Vignette - Set A Q-16
R-Vignette - Set A Q-16
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Patricia] went to a crowded clinic. At first, no-one greeted her but after waiting for 5 minutes a nurse called her to the examination area where she was
examined behind a small screen that mostly hid her from the other patients.
How would you rate the way her privacy was respected during physical
examinations and treatments?
838
3658
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-17
R-Vignette - Set A Q-17
R-Vignette - Set A Q-17
R-Vignette - Set A Q-17
R-Vignette - Set A Q-17
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Karen] needed a blood test. It took her 45 minutes by bus to get to the clinic and she waited for 30 minutes to see the nurse.
How would you rate her travelling time?
838
3658
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Karen] needed a blood test. It took her 45 minutes by bus to get to the clinic and she waited for 30 minutes to see the nurse.
How would you rate the amount of time she waited before being attended
to?
838
3658
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Said] has AIDS. When he goes to his health centre the nurses do not talk to him and deliberately ignore him. During examinations, his clothes are removed
and he is made to wait, half-naked in the waiting room.
How would you rate his experience of being greeted and talked to
respectfully?
838
3658
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-20
R-Vignette - Set A Q-20
R-Vignette - Set A Q-20
R-Vignette - Set A Q-20
R-Vignette - Set A Q-20
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Said] has AIDS. When he goes to his health centre the nurses do not talk to him and deliberately ignore him. During examinations, his clothes are removed
and he is made to wait, half-naked in the waiting room.
How would you rate the way his privacy was respected during physical
examinations and treatments?
839
3657
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Thomas] couldn’t see well so he went to the doctor and explained the problem. [Thomas] had time to ask the doctor some questions, which the doctor
answered until [Thomas] understood almost everything.
How would you rate his experience of how clearly health care providers
explained things to him?
808
3688
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-2
R-Vignette - Set B Q-2
R-Vignette - Set B Q-2
R-Vignette - Set B Q-2
R-Vignette - Set B Q-2
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Thomas] couldn’t see well so he went to the doctor and explained the problem. [Thomas] had time to ask the doctor some questions, which the doctor
answered until [Thomas] understood almost everything.
How would you rate his experience of how clearly health care providers
explained things to him?
806
3690
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Wing] had his own room in the hospital and shared a bathroom with two others. The room and bathroom were cleaned frequently and had fresh air.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-4
R-Vignette - Set B Q-4
R-Vignette - Set B Q-4
R-Vignette - Set B Q-4
R-Vignette - Set B Q-4
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Wing] had his own room in the hospital and shared a bathroom with two others. The room and bathroom were cleaned frequently and had fresh air.
How would you rate the amount of space [Wing] had?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Pia] went to the emergency clinic with a stomach pain. The doctor explained to [Pia] her condition and the treatment. [Pia] asked him some questions and the
doctor explained things using examples that were familiar to her until she understood everything.
How would you rate her experience of how clearly health care providers
explained things to her?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-6
R-Vignette - Set B Q-6
R-Vignette - Set B Q-6
R-Vignette - Set B Q-6
R-Vignette - Set B Q-6
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Pia] went to the emergency clinic with a stomach pain. The doctor explained to [Pia] her condition and the treatment. [Pia] asked him some questions and the
doctor explained things using examples that were familiar to her until she understood everything.
How would you rate her experience of getting enough time to ask
questions about her health problem or treatment?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Shedra] was hospitalized last year for a hip operation. Her private room had its own bathroom and was comfortable and spacious. It was cleaned by the
hospital staff daily. The bed was comfortable and the sheets were changed daily.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-8
R-Vignette - Set B Q-8
R-Vignette - Set B Q-8
R-Vignette - Set B Q-8
R-Vignette - Set B Q-8
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Shedra] was hospitalized last year for a hip operation. Her private room had its own bathroom and was comfortable and spacious. It was cleaned by the
hospital staff daily. The bed was comfortable and the sheets were changed daily.
How would you rate the amount of space [Shedra] had?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Akiko] is in hospital after a car accident. She has lots of scratches, bruises and some broken bones. When the doctor visited her he asked to see her medical
records. He asked the nurse some questions and then he said that [Akiko] was making good progress. [Akiko] supposes that she will still stay there for another
week but is unsure.
How would you rate her experience of how clearly health care providers
explained things to her?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-10
R-Vignette - Set B Q-10
R-Vignette - Set B Q-10
R-Vignette - Set B Q-10
R-Vignette - Set B Q-10
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Akiko] is in hospital after a car accident. She has lots of scratches, bruises and some broken bones. When the doctor visited her he asked to see her medical
records. He asked the nurse some questions and then he said that [Akiko] was making good progress. [Akiko] supposes that she will still stay there for another
week but is unsure.
How would you rate her experience of getting enough time to ask
questions about her health problem or treatment?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Kamal] has a nervous breakdown and had to spend 3 months in the past year in the local hospital. He had to sleep on an uncomfortable mattress with no
sheets. There were 30 other patients in the same dormitory style ward and the toilets would smell, because they were not cleaned. He came back with a skin
infection, because he couldn’t wash regularly and there were insects in the bed.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-12
R-Vignette - Set B Q-12
R-Vignette - Set B Q-12
R-Vignette - Set B Q-12
R-Vignette - Set B Q-12
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Kamal] has a nervous breakdown and had to spend 3 months in the past year in the local hospital. He had to sleep on an uncomfortable mattress with no
sheets. There were 30 other patients in the same dormitory style ward and the toilets would smell, because they were not cleaned. He came back with a skin
infection, because he couldn’t wash regularly and there were insects in the bed.
How would you rate the amount of space [Kamal] had?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rose] cannot write or read. She went to the doctor because she was feeling dizzy. The doctor didn’t have time to answer her questions or to explain anything.
He sent her away with a piece of paper without telling her what it said.
How would you rate her experience of how clearly health care providers
explained things to her?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-14
R-Vignette - Set B Q-14
R-Vignette - Set B Q-14
R-Vignette - Set B Q-14
R-Vignette - Set B Q-14
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rose] cannot write or read. She went to the doctor because she was feeling dizzy. The doctor didn’t have time to answer her questions or to explain anything.
He sent her away with a piece of paper without telling her what it said.
How would you rate her experience of getting enough time to ask
questions about her health problem or treatment?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Hans] shared his small hospital room with five other patients with no partitions between beds. The five patients shared a toilet, which was cleaned every
second day and sometimes smelt.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-16
R-Vignette - Set B Q-16
R-Vignette - Set B Q-16
R-Vignette - Set B Q-16
R-Vignette - Set B Q-16
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Hans] shared his small hospital room with five other patients with no partitions between beds. The five patients shared a toilet, which was cleaned every
second day and sometimes smelt.
How would you rate the amount of space [Hans] had?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[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 his experience of how clearly health care providers
explained things to him?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-18
R-Vignette - Set B Q-18
R-Vignette - Set B Q-18
R-Vignette - Set B Q-18
R-Vignette - Set B Q-18
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[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 his experience of getting enough time to ask
questions about his health problem or treatment?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[José] shared a hospital room with four other persons. There was a toilet for his ward located along the outside corridor. The room was only occasionally dusty
and hot, but without any fan.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
807
3689
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-20
R-Vignette - Set B Q-20
R-Vignette - Set B Q-20
R-Vignette - Set B Q-20
R-Vignette - Set B Q-20
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[José] shared a hospital room with four other persons. There was a toilet for his ward located along the outside corridor. The room was only occasionally dusty
and hot, but without any fan.
How would you rate the amount of space [José] had?
808
3688
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Simon] was speaking to his doctor about an embarrassing problem. There was a friend and a neighbour of his in the crowded waiting room and because of the
noise the doctor had to shout when telling [Simon] the treatment he needed.
How would you rate the way the health services ensured [Simon] could
talk privately to health care providers?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-2
R-Vignette - Set C Q-2
R-Vignette - Set C Q-2
R-Vignette - Set C Q-2
R-Vignette - Set C Q-2
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Simon] was speaking to his doctor about an embarrassing problem. There was a friend and a neighbour of his in the crowded waiting room and because of the
noise the doctor had to shout when telling [Simon] the treatment he needed.
How would you rate the way [Simon’s] personal information was kept
confidential?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
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 her health care
provider?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-4
R-Vignette - Set C Q-4
R-Vignette - Set C Q-4
R-Vignette - Set C Q-4
R-Vignette - Set C Q-4
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
The government wanted to expand the town’s clinic service. They held one meeting to discuss the expansion plans. [Chad] attended the meeting and freely
expressed his views. [Chad] then heard nothing more about what decision the government had made.
How would you rate the way health care involves [Chad] in deciding what
services it provides and where it provides them?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rebecca] usually spoke to her doctor about her illness in complete privacy. Once [Rebecca] heard that the doctor spoke to [Rebecca’s] friend about her
illness. She asked her doctor not to do it again. He did not do it again.
How would you rate the way the health services ensured [Rebecca] could
talk privately to health care providers?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-6
R-Vignette - Set C Q-6
R-Vignette - Set C Q-6
R-Vignette - Set C Q-6
R-Vignette - Set C Q-6
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rebecca] usually spoke to her doctor about her illness in complete privacy. Once [Rebecca] heard that the doctor spoke to [Rebecca’s] friend about her
illness. She asked her doctor not to do it again. He did not do it again.
How would you rate the way [Rebecca’s] personal information was kept
confidential?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
In [William] ’s town there is a large day clinic where there are several doctors and nurses. When [William] has a sensitive health problem he can see a male
rather than a female doctor or nurse.
How would you rate [William’s] freedom to choose his health care
provider?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-8
R-Vignette - Set C Q-8
R-Vignette - Set C Q-8
R-Vignette - Set C Q-8
R-Vignette - Set C Q-8
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Sarah] lives in [Kamf] where the local government has regular public meetings to discuss the community’s health care needs. [Sarah] participates in
identifying the community’s most important health needs. Recently, they planned to build a clinic and asked people to help decide on the services and the best
location.
How would you rate the way health care involves [Sarah] in deciding
what services it provides and where it provides them?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Elma] was asked to describe a serious health problem to the doctor in the middle of the waiting room. The doctor repeated everything to the nurse and all the
other patients, many of whom knew her family, could overhear everything.
How would you rate the way the health services ensured [Elma] could talk
privately to health care providers?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-10
R-Vignette - Set C Q-10
R-Vignette - Set C Q-10
R-Vignette - Set C Q-10
R-Vignette - Set C Q-10
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Elma] was asked to describe a serious health problem to the doctor in the middle of the waiting room. The doctor repeated everything to the nurse and all the
other patients, many of whom knew her family, could overhear everything.
How would you rate the way [Elma’s] personal information was kept
confidential?
816
3680
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Penelope] had fertility problems, she had to travel from her small village to the closest town where they only had one male doctor. [Penelope] wanted
to see a female doctor but she had no choice.
How would you rate [Penelope’s] freedom to choose her health care
provider?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-12
R-Vignette - Set C Q-12
R-Vignette - Set C Q-12
R-Vignette - Set C Q-12
R-Vignette - Set C Q-12
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Zana] attended her town’s annual meeting on community health needs. They agreed to focus on improving health services at schools for the next year. After
the meeting, [Zana] received a letter saying which schools would benefit, but the letter did not fully explain how the schools were selected.
How would you rate the way health care involves [Zana] in deciding what
services it provides and where it provides them?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Alouine] had his consultation in a small private room. During the consultation, a nurse occasionally walked in and listened to the conversation. Sometimes
she forgot to close the door so people in the waiting room could overhear parts of their conversation.
How would you rate the way the health services ensured [Alouine] could
talk privately to health care providers?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-14
R-Vignette - Set C Q-14
R-Vignette - Set C Q-14
R-Vignette - Set C Q-14
R-Vignette - Set C Q-14
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Alouine] had his consultation in a small private room. During the consultation, a nurse occasionally walked in and listened to the conversation. Sometimes
she forgot to close the door so people in the waiting room could overhear parts of their conversation.
How would you rate the way [Alouine’s] personal information was kept
confidential?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
The national health service assigns all the people in [Ibrahim’s] community to the local clinic. At the clinic they have a choice of 3 doctors. If they want to
change clinics, they need to get permission.
How would you rate [Ibrahim’s] freedom to choose his health care
provider?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-16
R-Vignette - Set C Q-16
R-Vignette - Set C Q-16
R-Vignette - Set C Q-16
R-Vignette - Set C Q-16
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Tarek] lives near a town where the government recently built a new hospital. Before building, they didn’t consult anyone in the town or surrounding villages
about their health needs nor where to locate the hospital.
How would you rate the way health care involves [Tarek] in deciding
what services it provides and where it provides them?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Ken] visited the doctor regularly. His doctor always took [Ken] to a private room before discussing his illness. The doctor was aware that [Ken] was very
sensitive about his health condition and would never talk about it to anyone or in front of anyone without Ken’s permission.
How would you rate the way the health services ensured [Ken] could talk
privately to health care providers?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-18
R-Vignette - Set C Q-18
R-Vignette - Set C Q-18
R-Vignette - Set C Q-18
R-Vignette - Set C Q-18
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Ken] visited the doctor regularly. His doctor always took [Ken] to a private room before discussing his illness. The doctor was aware that [Ken] was very
sensitive about his health condition and would never talk about it to anyone or in front of anyone without Ken’s permission.
How would you rate the way [Ken’s] personal information was kept
confidential?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Nathan] lives in a town where there are lots of doctors and clinics. He tried one doctor but he didn’t like him so he changed doctors. This was easy to do
because he could go where he wanted.
How would you rate [Nathan’s] freedom to choose his health care
provider?
817
3679
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Sally]’s husband could only visit her in hospital in the evenings because of the visiting hours and because he had to look after their children. Once he brought
the children with him and the nurse, who was reading a newspaper, said she could not watch them for him. This meant [Sally] had fewer visits from her
husband.
For[Sally’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
790
3706
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-2
R-Vignette - Set D Q-2
R-Vignette - Set D Q-2
R-Vignette - Set D Q-2
R-Vignette - Set D Q-2
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Sally]’s husband could only visit her in hospital in the evenings because of the visiting hours and because he had to look after their children. Once he brought
the children with him and the nurse, who was reading a newspaper, said she could not watch them for him. This meant [Sally] had fewer visits from her
husband.
For [Sally’s] last hospital stay, how would you rate her experience of
staying in contact with the outside world when she was in hospital?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-3
R-Vignette - Set D Q-3
R-Vignette - Set D Q-3
R-Vignette - Set D Q-3
R-Vignette - Set D Q-3
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Jasmina’s] had treatment for infertility, the doctor gave her some pills and asked her to return in two weeks. He didn’t ask her whether she wanted to
know anything about her health condition nor suggest different alternatives that might have suited her better.
How would you rate [Jasmina’s] experience of getting information about
other types of treatments or tests?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Jasmina’s] had treatment for infertility, the doctor gave her some pills and asked her to return in two weeks. He didn’t ask her whether she wanted to
know anything about her health condition nor suggest different alternatives that might have suited her better.
How would you rate [Jasmina’s] experience of being involved in making
decisions about her health care or treatment?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Joseph] was in hospital he could have no visitors nor could he receive any presents from friends or relatives. The hospital had no telephones and he
could not get any news from outside.
For [Joseph’s] last hospital stay, how would you rate the ease of having
family and friends visit him?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-6
R-Vignette - Set D Q-6
R-Vignette - Set D Q-6
R-Vignette - Set D Q-6
R-Vignette - Set D Q-6
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Joseph] was in hospital he could have no visitors nor could he receive any presents from friends or relatives. The hospital had no telephones and he
could not get any news from outside.
For [Joseph’s] last hospital stay, how would you rate his experience of
staying in contact with the outside world when he was in hospital?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-7
R-Vignette - Set D Q-7
R-Vignette - Set D Q-7
R-Vignette - Set D Q-7
R-Vignette - Set D Q-7
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Mark] had a serious health problem. The doctor prescribed the best treatment for Mark but without telling him the implications on his quality of life or the
cost. [Mark] felt powerless and was not given any information to help him to feel more in control.
How would you rate [Mark’s] experience of getting information about
other types of treatments or tests?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Mark] had a serious health problem. The doctor prescribed the best treatment for Mark but without telling him the implications on his quality of life or the
cost. [Mark] felt powerless and was not given any information to help him to feel more in control.
How would you rate [Mark’s] experience of being involved in making
decisions about his health care or treatment?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Tamara] was in hospital for two weeks, her family visited her every few days during the evening visiting hours, but she was alone the rest of the day.
There was little to read or do in the hospital . Every few days, the nurses brought her a portable radio to listen to for a few hours.
For[Tamara’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-10
R-Vignette - Set D Q-10
R-Vignette - Set D Q-10
R-Vignette - Set D Q-10
R-Vignette - Set D Q-10
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Tamara] was in hospital for two weeks, her family visited her every few days during the evening visiting hours, but she was alone the rest of the day.
There was little to read or do in the hospital . Every few days, the nurses brought her a portable radio to listen to for a few hours.
For [Tamara’s] last hospital stay, how would you rate her experience of
staying in contact with the outside world when she was in hospital?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-11
R-Vignette - Set D Q-11
R-Vignette - Set D Q-11
R-Vignette - Set D Q-11
R-Vignette - Set D Q-11
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Bob] had a broken arm. The doctor explained different ways of fixing it and then ordered some blood tests. [Bob] didn’t know why he needed blood tests and
was worried until the doctor explained what they were for.
How would you rate [Bob’s] experience of getting information about other
types of treatments or tests?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Bob] had a broken arm. The doctor explained different ways of fixing it and then ordered some blood tests. [Bob] didn’t know why he needed blood tests and
was worried until the doctor explained what they were for.
How would you rate [Bob’s] experience of being involved in making
decisions about his health care or treatment?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Carol] was in hospital, she was allowed visitors at any time of the day. Whenever she needed to contact her family, work or friends, she could easily
get a message delivered to them.
For [Carol’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-14
R-Vignette - Set D Q-14
R-Vignette - Set D Q-14
R-Vignette - Set D Q-14
R-Vignette - Set D Q-14
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Carol] was in hospital, she was allowed visitors at any time of the day. Whenever she needed to contact her family, work or friends, she could easily
get a message delivered to them.
For [Carol’s] last hospital stay, how would you rate her experience of
staying in contact with the outside world when she was in hospital?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-15
R-Vignette - Set D Q-15
R-Vignette - Set D Q-15
R-Vignette - Set D Q-15
R-Vignette - Set D Q-15
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Sarah] wanted treatment for her swollen limbs, the nurses at her clinic discussed many possible treatments with her. They discussed all the pro’s and
con’s of each treatment with her and then recommended one to her.
How would you rate [Sarah’s] experience of getting information about
other types of treatments or tests?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Sarah] wanted treatment for her swollen limbs, the nurses at her clinic discussed many possible treatments with her. They discussed all the pro’s and
con’s of each treatment with her and then recommended one to her.
How would you rate [Sarah’s] experience of being involved in making
decisions about her health care or treatment?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Jane] gave birth in hospital. Her husband was permitted to visit her every morning and evening. [Jane] was able to contact her family and friends once a day.
For [Jane’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-18
R-Vignette - Set D Q-18
R-Vignette - Set D Q-18
R-Vignette - Set D Q-18
R-Vignette - Set D Q-18
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Jane] gave birth in hospital. Her husband was permitted to visit her every morning and evening. [Jane] was able to contact her family and friends once a day.
For [Jane’s] last hospital stay, how would you rate her experience of
staying in contact with the outside world when she was in hospital?
789
3707
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-19
R-Vignette - Set D Q-19
R-Vignette - Set D Q-19
R-Vignette - Set D Q-19
R-Vignette - Set D Q-19
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Tara] is unhappy and has no energy. She gave birth to a baby girl two months ago and the doctor has told her that she may be suffering from depression. The
doctor discussed her condition with her and then suggested that she could either try some medication or, if she prefers, talk to a counsellor.
How would you rate [Tara’s] experience of getting information about
other types of treatments or tests?
790
3706
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
I am now going to read you stories about people's experiences with health care services. I wanted 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 th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Tara] is unhappy and has no energy. She gave birth to a baby girl two months ago and the doctor has told her that she may be suffering from depression. The
doctor discussed her condition with her and then suggested that she could either try some medication or, if she prefers, talk to a counsellor.
How would you rate [Tara’s] experience of being involved in making
decisions about her health care or treatment?
790
3706
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Time end section 7000
Time end section 7000
Time end section 7000
Time end section 7000
Time end section 7000
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Time begin section 8000
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18:42
18:45
18:48
18:50
18:55
18:56
19:00
19:01
19:02
19:03
19:04
19:05
19:06
19:10
19:11
19:12
19:15
19:17
19:20
19:21
19:23
19:25
19:26
19:29
19:30
19:35
19:40
19:43
19:45
19:46
19:48
19:50
19:51
19:53
19:55
19:57
19:58
20:00
20:01
20:02
20:05
20:10
20:12
20:15
20:20
20:22
20:25
20:27
20:30
20:35
20:37
20:40
20:41
20:42
20:45
20:50
20:55
20:57
20:58
20:59
21:00
21:03
21:05
21:10
21:15
21:16
21:17
21:20
21:22
21:25
21:30
21:31
21:32
21:33
21:35
21:40
21:45
21:50
21:51
22:00
22:01
22:05
22:10
22:15
22:19
22:20
22:25
22:30
22:31
22:35
22:40
22:45
22:46
22:50
22:55
22:57
23:00
23:05
23:10
23:15
23:20
23:25
23:30
23:31
23:35
23:40
23:57
24:00
24:35
24:50
control the important things
control the important things
control the important things
control the important things
control the important things
In the last month: How often have you felt that you were unable to control the important things in your life?
4494
2
1
Never
2
Almost never
3
Sometimes
4
Fairly often
5
Very often
Sysmiss
could not cope with all the things
could not cope with all the things
could not cope with all the things
could not cope with all the things
could not cope with all the things
In the last month: How often have you found that you could not cope with all the things that you had to do?
4494
2
1
Never
2
Almost never
3
Sometimes
4
Fairly often
5
Very often
Sysmiss
Satisfied with health
Satisfied with health
Satisfied with health
Satisfied with health
Satisfied with health
How satisfied are you with your health?
4493
3
1
Very dissatisfied
2
Dissatisfied
3
Neither satisfied nor dissatisfied
4
Satisfied
5
Very satisfied
Sysmiss
Rank 1 (most important goal)
Rank 1 (most important goal)
Rank 1 (most important goal)
Rank 1 (most important goal)
Rank 1 (most important goal)
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
4496
FFC
HIN
HTH
REI
RES
Rank 2
Rank 2
Rank 2
Rank 2
Rank 2
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
4496
FFC
HIN
HTH
REI
RES
Rank 3
Rank 3
Rank 3
Rank 3
Rank 3
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
4496
FFC
HIN
HTH
REI
RES
Rank 4
Rank 4
Rank 4
Rank 4
Rank 4
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
4496
FFC
HIN
HTH
REI
RES
Rank 5 (least important goal)
Rank 5 (least important goal)
Rank 5 (least important goal)
Rank 5 (least important goal)
Rank 5 (least important goal)
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
4496
FFC
HIN
HTH
REI
RES
Did you vote
Did you vote
Did you vote
Did you vote
Did you vote
Lots of people find it difficult to get out and vote. Did you vote in the last state/national/presidential election?
4423
73
1
Yes
5
No
7
Refusal
8
Do not know
Sysmiss
trust national government
trust national government
trust national government
trust national government
trust national government
How much of the time do you think you can trust the NATIONAL government to do what is right ?
4492
4
1
Always
2
Most of the time
3
Some of the time
4
Hardly ever
5
Never
Sysmiss
trust the local government
trust the local government
trust the local government
trust the local government
trust the local government
How about your LOCAL government? How much of the time do you think you can trust the LOCAL government to do what is right?
4488
8
1
Always
2
Most of the time
3
Some of the time
4
Hardly ever
5
Never
Sysmiss
how safe do you feel when you are alone at home
how safe do you feel when you are alone at home
how safe do you feel when you are alone at home
how safe do you feel when you are alone at home
how safe do you feel when you are alone at home
In general, how safe from crime and violence do you feel when you are alone at home?
4494
2
1
Completely safe
2
Very safe
3
Moderately safe
4
Slightly safe
5
Not safe at all
Sysmiss
how safe do you feel when walking down your street alone
how safe do you feel when walking down your street alone
how safe do you feel when walking down your street alone
how safe do you feel when walking down your street alone
how safe do you feel when walking down your street alone
How safe do you feel when walking down your street alone after dark?
4487
9
1
Completely safe
2
Very safe
3
Moderately safe
4
Slightly safe
5
Not safe at all
Sysmiss
anyone in your household been the victim of a violent crime
anyone in your household been the victim of a violent crime
anyone in your household been the victim of a violent crime
anyone in your household been the victim of a violent crime
anyone in your household been the victim of a violent crime
In the past year, have you or anyone in your household been the victim of a violent crime, such as assault or mugging?
4485
11
1
Yes
5
No
Sysmiss
how much do you have in getting the government to address issues
how much do you have in getting the government to address issues
how much do you have in getting the government to address issues
how much do you have in getting the government to address issues
how much do you have in getting the government to address issues
How much say do you have in getting the government to address issues that interest you?
4493
3
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government reprisal?
4490
6
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
Record Set
Record Set
Record Set
Record Set
Record Set
4494
A
B
8000 vignette 1 (set A)
8000 vignette 1 (set A)
8000 vignette 1 (set A)
8000 vignette 1 (set A)
8000 vignette 1 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Jane] lacks clean drinking water because the government is pursuing an
industrial development plan. In the campaign for an upcoming election, an
opposition party has promised to address the issue, but she feels it would
be futile to vote for the opposition since the government is certain to win.
2247
2249
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 2 (set A)
8000 vignette 2 (set A)
8000 vignette 2 (set A)
8000 vignette 2 (set A)
8000 vignette 2 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Alison] lacks clean drinking water. She and her neighbours are
supporting an opposition candidate in the forthcoming elections that has
promised to address the issue. It appears that so many people in her area
feel the same way that the opposition candidate will defeat the incumbent
representative.
2245
2251
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 3 (set A)
8000 vignette 3 (set A)
8000 vignette 3 (set A)
8000 vignette 3 (set A)
8000 vignette 3 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Moses] lacks clean drinking water. He would like to change this, but he
can’t vote, and feels that no one in the government cares about this issue.
So he suffers in silence, hoping something will be done in the future.
2245
2251
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 4 (set A)
8000 vignette 4 (set A)
8000 vignette 4 (set A)
8000 vignette 4 (set A)
8000 vignette 4 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Imelda] lacks clean drinking water. She and her neighbours are drawing
attention to the issue by collecting signatures on a petition. They plan to
present the petition to each of the political parties before the upcoming
election.
2245
2251
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 5 (set A)
8000 vignette 5 (set A)
8000 vignette 5 (set A)
8000 vignette 5 (set A)
8000 vignette 5 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Toshiro] lacks clean drinking water. There is a group of local leaders
who could do something about the problem, but they have said that
industrial development is the most important policy right now instead of
clean water.
2244
2252
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 1 (setB)
8000 vignette 1 (setB)
8000 vignette 1 (setB)
8000 vignette 1 (setB)
8000 vignette 1 (setB)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Bob] has political views at odds with the government. He has heard of
people occasionally being arrested for speaking out against the
government, and government leaders sometimes make political speeches
condemning those who criticize. He sometimes writes letters to
newspapers about politics, but he is careful not to use his real name.
2263
2233
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 2 (set B)
8000 vignette 2 (set B)
8000 vignette 2 (set B)
8000 vignette 2 (set B)
8000 vignette 2 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Kay] does not like many of the government’s policies. She frequently
publishes her opinion in newspapers, criticizing decisions by officials and
calling for change. She sees little reason these actions could lead to
government reprisal.
2257
2239
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 3 (set B)
8000 vignette 3 (set B)
8000 vignette 3 (set B)
8000 vignette 3 (set B)
8000 vignette 3 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Connie] does not like the government’s stance on many issues. She has a
friend who was arrested for being too openly critical of governmental
leaders, and so she avoids voicing her opinions in public places.
2257
2239
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 4 (set B)
8000 vignette 4 (set B)
8000 vignette 4 (set B)
8000 vignette 4 (set B)
8000 vignette 4 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Sonny] lives in fear of being harassed for his political views. Everyone
he knows who has spoken out against the government has been arrested or
taken away. He never says a word about anything the government does,
not even when he is at home alone with his family.
2257
2239
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 5 (set B)
8000 vignette 5 (set B)
8000 vignette 5 (set B)
8000 vignette 5 (set B)
8000 vignette 5 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Michael] disagrees with many of the government’s policies. Though he
knows criticism is frowned upon, he doesn’t believe the government
would punish someone for expressing critical views. He makes his
opinion known on most issues without regard to who is listening.
2257
2239
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 6 (set B)
8000 vignette 6 (set B)
8000 vignette 6 (set B)
8000 vignette 6 (set B)
8000 vignette 6 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Vito] disagrees with many of the government’s policies, and is very
careful about whom he says this to, reserving his real opinions for family
and close friends only. He knows several men who have been taken away
by government officials for saying negative things in public.
2256
2240
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
Time end section 8000
Time end section 8000
Time end section 8000
Time end section 8000
Time end section 8000
1832
00:12
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01:00
08:52
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19:07
19:08
19:10
19:15
19:18
19:20
19:22
19:23
19:25
19:30
19:31
19:35
19:37
19:39
19:40
19:45
19:48
19:50
19:55
20:00
20:05
20:06
20:08
20:10
20:15
20:20
20:25
20:27
20:30
20:32
20:35
20:40
20:45
20:50
20:55
21:00
21:05
21:08
21:10
21:15
21:20
21:23
21:25
21:27
21:29
21:30
21:35
21:37
21:40
21:42
21:45
21:50
21:54
21:55
21:58
22:00
22:02
22:05
22:10
22:15
22:20
22:27
22:30
22:35
22:37
22:40
22:45
22:47
22:50
22:55
22:58
23:00
23:05
23:07
23:10
23:15
23:20
23:30
23:40
23:47
23:50
23:51
24:00
24:05
24:57
Time begin section 9000
Time begin section 9000
Time begin section 9000
Time begin section 9000
Time begin section 9000
1452
00:13
00:15
00:30
00:50
08:52
09:15
09:20
09:25
09:30
09:35
09:40
09:45
09:50
09:55
09:56
10:00
10:02
10:05
10:10
10:12
10:13
10:14
10:15
10:17
10:18
10:20
10:21
10:23
10:25
10:27
10:30
10:31
10:35
10:40
10:41
10:43
10:45
10:50
10:51
10:55
11:00
11:03
11:05
11:06
11:07
11:08
11:10
11:12
11:15
11:17
11:18
11:20
11:24
11:25
11:28
11:30
11:32
11:33
11:35
11:36
11:37
11:40
11:41
11:42
11:44
11:45
11:47
11:50
11:52
11:53
11:54
11:55
12:00
12:02
12:05
12:08
12:10
12:13
12:15
12:17
12:20
12:22
12:24
12:25
12:27
12:28
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12:31
12:32
12:33
12:35
12:37
12:39
12:40
12:41
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12:43
12:45
12:48
12:50
12:52
12:55
13:00
13:05
13:10
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13:34
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13:43
13:45
13:46
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13:59
14:00
14:01
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14:10
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14:27
14:30
14:33
14:35
14:37
14:40
14:41
14:44
14:45
14:46
14:50
14:51
14:55
14:56
15:00
15:01
15:03
15:05
15:10
15:15
15:16
15:17
15:20
15:21
15:25
15:30
15:31
15:34
15:35
15:40
15:45
15:47
15:50
15:55
15:56
15:58
16:00
16:02
16:03
16:05
16:08
16:09
16:10
16:12
16:13
16:15
16:16
16:18
16:20
16:23
16:25
16:28
16:30
16:35
16:36
16:37
16:40
16:42
16:43
16:45
16:47
16:50
16:55
17:00
17:02
17:03
17:05
17:09
17:10
17:11
17:15
17:18
17:19
17:20
17:22
17:24
17:25
17:26
17:28
17:29
17:30
17:31
17:35
17:36
17:40
17:41
17:44
17:45
17:49
17:50
17:54
17:55
17:56
18:00
18:02
18:05
18:10
18:15
18:17
18:20
18:25
18:26
18:30
18:32
18:35
18:40
18:45
18:48
18:50
18:52
19:00
19:03
19:06
19:07
19:10
19:11
19:15
19:18
19:20
19:22
19:24
19:25
19:30
19:31
19:35
19:37
19:39
19:40
19:45
19:48
19:50
19:55
19:56
20:00
20:01
20:05
20:06
20:07
20:08
20:10
20:15
20:20
20:25
20:30
20:32
20:40
20:45
20:50
20:55
21:00
21:05
21:08
21:10
21:15
21:20
21:23
21:25
21:28
21:30
21:35
21:37
21:40
21:42
21:45
21:50
21:54
21:55
21:59
22:00
22:02
22:06
22:10
22:15
22:20
22:27
22:30
22:35
22:37
22:40
22:45
22:47
22:50
22:51
22:55
22:58
23:00
23:05
23:07
23:10
23:15
23:20
23:40
23:48
23:50
24:00
24:05
hearing problem
hearing problem
hearing problem
hearing problem
hearing problem
Did the respondent have a hearing problem?
4492
4
1
Yes
5
No
Sysmiss
vision problem
vision problem
vision problem
vision problem
vision problem
Did the respondent have a vision problem?
4493
3
1
Yes
5
No
Sysmiss
wheelchair
wheelchair
wheelchair
wheelchair
wheelchair
Did the respondent use a wheelchair?
4493
3
1
Yes
5
No
Sysmiss
cane/crutches/walker
cane/crutches/walker
cane/crutches/walker
cane/crutches/walker
cane/crutches/walker
Did the respondent use cane / crutches / walker?
4493
3
1
Yes
5
No
Sysmiss
difficulties walking
difficulties walking
difficulties walking
difficulties walking
difficulties walking
Did the respondent have any difficulties walking?
4492
4
1
Yes
5
No
Sysmiss
paralysis in the arms hands or legs
paralysis in the arms hands or legs
paralysis in the arms hands or legs
paralysis in the arms hands or legs
paralysis in the arms hands or legs
Did the respondent have paralysis in the arms, hands or legs?
4493
3
1
Yes
5
No
Sysmiss
cough continually
cough continually
cough continually
cough continually
cough continually
Did the respondent cough continually?
4493
3
1
Yes
5
No
Sysmiss
shortness of breath
shortness of breath
shortness of breath
shortness of breath
shortness of breath
Did the respondent have shortness of breath?
4492
4
1
Yes
5
No
Sysmiss
mental problem
mental problem
mental problem
mental problem
mental problem
Did the respondent have a mental problem?
4493
3
1
Yes
5
No
Sysmiss
other health problem
other health problem
other health problem
other health problem
other health problem
Did the respondent other health problem?
4493
3
1
Yes
5
No
Sysmiss
have an amputation of a limb
have an amputation of a limb
have an amputation of a limb
have an amputation of a limb
have an amputation of a limb
Did the respondent have an amputation of a limb or part of a limb?
4492
4
1
Yes
5
No
Sysmiss
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was:
4491
5
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
Sysmiss
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent’s answers:
4487
9
1
Very high
2
High
3
Average
4
Low
5
Very Low
Sysmiss
unusual circumstances
unusual circumstances
unusual circumstances
unusual circumstances
unusual circumstances
Any unusual circumstances or happenings during the interview:
2388
1
2
3
5
Ambiguity of questions, ambiguity in the diagnoses as there is not clinical desc
Headache
NO
No
The presence of children preventedy
incomprehensibility of questions
is not present
it is a lot of questions
it is a lot questions
no
np
some
tiredness
was nervous
was tired quickly
yes
Other comments
Other comments
Other comments
Other comments
Other comments
Any other comments:
1656
5
NO
NO]
No
O
ROUGHLY DISCUSSION OF QUESTIONS
difficult questionnaire for respondent
difficult questionnaire for respondents
is not present
no
respondent is tired
too many questions
too many questions, difficult questionnaire
Time end section 9000
Time end section 9000
Time end section 9000
Time end section 9000
Time end section 9000
474
09:43
10:00
10:03
10:05
10:10
10:15
10:17
10:20
10:21
10:23
10:25
10:28
10:32
10:33
10:34
10:35
10:37
10:45
10:47
10:50
10:52
11:00
11:03
11:05
11:10
11:13
11:15
11:18
11:21
11:23
11:25
11:28
11:30
11:32
11:35
11:37
11:40
11:42
11:45
11:46
11:50
11:55
11:56
11:57
12:00
12:03
12:05
12:10
12:13
12:15
12:17
12:18
12:20
12:22
12:23
12:25
12:28
12:30
12:31
12:32
12:33
12:35
12:39
12:40
12:42
12:43
12:44
12:45
12:46
12:50
12:55
12:56
13:00
13:03
13:05
13:10
13:12
13:15
13:17
13:18
13:20
13:22
13:25
13:26
13:30
13:32
13:33
13:35
13:38
13:40
13:42
13:43
13:45
13:48
13:50
13:55
14:00
14:03
14:05
14:10
14:15
14:18
14:20
14:22
14:25
14:28
14:30
14:34
14:35
14:38
14:40
14:45
14:47
14:50
14:53
14:58
15:00
15:05
15:10
15:12
15:15
15:18
15:20
15:21
15:22
15:23
15:25
15:26
15:27
15:28
15:30
15:32
15:33
15:35
15:40
15:43
15:45
15:47
15:50
15:52
15:55
16:00
16:05
16:09
16:10
16:11
16:15
16:16
16:20
16:23
16:24
16:25
16:27
16:30
16:34
16:40
16:45
16:47
16:50
16:55
17:03
17:05
17:10
17:11
17:15
17:16
17:17
17:20
17:22
17:25
17:28
17:30
17:33
17:35
17:38
17:42
17:43
17:45
17:57
17:58
18:00
18:02
18:05
18:07
18:12
18:15
18:20
18:25
18:26
18:27
18:28
18:30
18:35
18:45
18:50
18:52
18:53
18:55
19:00
19:05
19:08
19:09
19:10
19:12
19:13
19:15
19:17
19:20
19:22
19:25
19:30
19:32
19:35
19:37
19:38
19:50
19:55
19:56
20:02
20:03
20:05
20:08
20:10
20:15
20:20
20:22
20:25
20:30
20:32
20:35
20:55
21:00
21:05
21:10
21:13
21:15
21:25
21:31
21:33
21:35
21:40
21:50
21:59
22:00
22:05
22:10
22:15
22:20
22:28
22:38
22:40
22:50
22:55
23:00
23:03
23:10
23:15
23:22
23:45
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
3443
13500013
13504500
13502150.084
1293.444
Child No
Child No
Child No
Child No
Child No
3443
1
2
3
4
5
6
7
8
name
name
name
name
name
What is the name of your child?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
12
1
10/1993
Ainash
Denis
Erik
Marfyza
Rahat
Roman
Sergei
Slava
Zharkin
month / year of birth
month / year of birth
month / year of birth
month / year of birth
month / year of birth
What is the month and year of birth?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
3440
01/1973
01/1974
01/1976
01/1977
01/1978
01/1979
01/1980
01/1981
01/1982
01/1983
01/1984
01/1985
01/1986
01/1987
01/1988
01/1989
01/1990
01/1991
01/1992
01/1993
01/1994
01/1995
01/1996
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
02/1972
02/1973
02/1975
02/1977
02/1978
02/1979
02/1980
02/1981
02/1982
02/1983
02/1984
02/1985
02/1986
02/1987
02/1988
02/1989
02/1990
02/1991
02/1992
02/1993
02/1994
02/1995
02/1996
02/1997
02/1998
02/1999
02/2000
02/2001
02/2002
03/1975
03/1976
03/1978
03/1979
03/1980
03/1981
03/1982
03/1983
03/1984
03/1985
03/1986
03/1987
03/1988
03/1989
03/1990
03/1991
03/1992
03/1993
03/1994
03/1995
03/1996
03/1997
03/1998
03/1999
03/2000
03/2001
03/2002
04/1973
04/1976
04/1977
04/1978
04/1979
04/1980
04/1981
04/1982
04/1983
04/1984
04/1985
04/1986
04/1987
04/1988
04/1989
04/1990
04/1991
04/1992
04/1993
04/1994
04/1995
04/1996
04/1997
04/1998
04/1999
04/2000
04/2001
04/2002
05/1974
05/1975
05/1976
05/1977
05/1978
05/1979
05/1980
05/1981
05/1982
05/1983
05/1984
05/1985
05/1986
05/1987
05/1988
05/1989
05/1990
05/1991
05/1992
05/1993
05/1994
05/1995
05/1996
05/1997
05/1998
05/1999
05/2000
05/2001
05/2002
06/1973
06/1974
06/1975
06/1977
06/1978
06/1979
06/1980
06/1981
06/1982
06/1983
06/1984
06/1985
06/1986
06/1987
06/1988
06/1989
06/1990
06/1991
06/1992
06/1993
06/1994
06/1995
06/1996
06/1997
06/1998
06/1999
06/2000
06/2001
06/2002
07/1972
07/1973
07/1975
07/1976
07/1977
07/1978
07/1979
07/1980
07/1981
07/1982
07/1983
07/1984
07/1985
07/1986
07/1987
07/1988
07/1989
07/1990
07/1991
07/1992
07/1993
07/1994
07/1995
07/1996
07/1997
07/1998
07/1999
07/2000
07/2001
07/2002
08/1946
08/1972
08/1974
08/1975
08/1976
08/1977
08/1978
08/1979
08/1980
08/1981
08/1982
08/1983
08/1984
08/1985
08/1986
08/1987
08/1988
08/1989
08/1990
08/1991
08/1992
08/1993
08/1994
08/1995
08/1996
08/1997
08/1998
08/1999
08/2000
08/2001
08/2002
09/1974
09/1975
09/1976
09/1977
09/1978
09/1979
09/1980
09/1981
09/1982
09/1983
09/1984
09/1985
09/1986
09/1987
09/1988
09/1989
09/1990
09/1991
09/1992
09/1993
09/1994
09/1995
09/1996
09/1997
09/1998
09/1999
09/2000
09/2001
09/2002
10/1974
10/1975
10/1976
10/1977
10/1978
10/1979
10/1980
10/1981
10/1982
10/1983
10/1984
10/1985
10/1986
10/1987
10/1988
10/1989
10/1990
10/1991
10/1992
10/1993
10/1994
10/1995
10/1996
10/1997
10/1998
10/1999
10/2000
10/2001
10/2002
11/1974
11/1976
11/1977
11/1978
11/1979
11/1980
11/1981
11/1982
11/1983
11/1984
11/1985
11/1986
11/1987
11/1988
11/1989
11/1990
11/1991
11/1992
11/1993
11/1994
11/1995
11/1996
11/1997
11/1998
11/1999
11/2000
11/2001
11/2002
12/1971
12/1974
12/1976
12/1977
12/1978
12/1979
12/1980
12/1981
12/1982
12/1983
12/1984
12/1985
12/1986
12/1987
12/1988
12/1989
12/1990
12/1991
12/1992
12/1993
12/1994
12/1995
12/1996
12/1997
12/1998
12/1999
12/2000
12/2001
12/2002
sex
sex
sex
sex
sex
What is the sex?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
3440
3
1
2
Sysmiss
alive
alive
alive
alive
alive
Is the child still alive?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
3439
4
1
Yes
5
No
Sysmiss
Age of child (Years)
Age of child (Years)
Age of child (Years)
Age of child (Years)
Age of child (Years)
What is the child's current age in years?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
2874
569
5
36
14.442
5.525
Age (months)
Age (months)
Age (months)
Age (months)
Age (months)
What is the child's current age in months?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
391
3052
2
59
28.389
16.087
Age (days)
Age (days)
Age (days)
Age (days)
Age (days)
What is the child's current age in days?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
12
3431
1
52
20.25
17.669
living with you
living with you
living with you
living with you
living with you
Is the child currently living with you?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
3386
57
1
Yes
5
No
Sysmiss
month / year of death
month / year of death
month / year of death
month / year of death
month / year of death
Month / Year of death
This question is to be asked to women respondens of reproductive (18-49) yrs age.
51
01/1983
01/1990
01/1994
01/2002
01/2003
02/1983
02/1985
02/1988
02/1990
02/1994
03/1990
03/2001
04/1984
04/1985
05/1983
05/1992
05/1994
05/1997
05/2000
06/1985
06/1986
06/1989
06/1990
06/1997
06/2002
07/1981
07/1988
07/1991
07/1996
07/1998
07/2001
08/1990
08/1994
08/1996
08/1999
08/2000
09/1976
09/1983
09/1991
10/2002
11/1986
11/1998
11/1999
12/1978
12/1985
12/1990
12/1991
12/1994
age of death in days
age of death in days
age of death in days
age of death in days
age of death in days
Age at death in: Days
This question is to be asked to women respondens of reproductive (18-49) yrs age.
15
3428
46
12.467
12.693
Age at death in months
Age at death in months
Age at death in months
Age at death in months
Age at death in months
Age at death in: Months
This question is to be asked to women respondens of reproductive (18-49) yrs age.
21
3422
2
59
13.952
15.38
Age at death in years of child
Age at death in years of child
Age at death in years of child
Age at death in years of child
Age at death in years of child
Age at death in: Years
This question is to be asked to women respondens of reproductive (18-49) yrs age.
13
3430
5
30
13.462
8.647
fever
fever
fever
fever
fever
Did s/he have fever?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
49
3394
1
Yes
5
No
Sysmiss
continuous fever
continuous fever
continuous fever
continuous fever
continuous fever
Was the fever continuous (1) or on and off
(5)?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
49
3394
1
Yes
5
No
Sysmiss
fever associated with chills/shivering
fever associated with chills/shivering
fever associated with chills/shivering
fever associated with chills/shivering
fever associated with chills/shivering
Was the fever associated with
chills/shivering?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
50
3393
1
Yes
5
No
Sysmiss
convulsions
convulsions
convulsions
convulsions
convulsions
Did s/he have convulsions or fits?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
51
3392
1
Yes
5
No
Sysmiss
child unconscious
child unconscious
child unconscious
child unconscious
child unconscious
Was the child unconscious for more than a
day during the illness that led to death?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
50
3393
1
Yes
5
No
Sysmiss
stiff neck
stiff neck
stiff neck
stiff neck
stiff neck
Did s/he have a stiff neck?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
50
3393
1
Yes
5
No
Sysmiss
cough
cough
cough
cough
cough
Did s/he have a cough?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
50
3393
1
Yes
5
No
Sysmiss
type of cough
type of cough
type of cough
type of cough
type of cough
If yes, was it (1) dry, (2) productive, (3) with
blood, (4) or unknown ?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
14
3429
1
2
4
Sysmiss
fast breathing
fast breathing
fast breathing
fast breathing
fast breathing
Did s/he have fast breathing?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
48
3395
1
Yes
5
No
Sysmiss
indrawing of the chest
indrawing of the chest
indrawing of the chest
indrawing of the chest
indrawing of the chest
Did s/he have in drawing of the chest while
breathing?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
47
3396
1
Yes
5
No
Sysmiss
diarrhea
diarrhea
diarrhea
diarrhea
diarrhea
Did s/he have diarrhea?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
47
3396
1
Yes
5
No
Sysmiss
Visible blood
Visible blood
Visible blood
Visible blood
Visible blood
Was there visible blood in the stools?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
47
3396
1
Yes
5
No
Sysmiss
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
15316
13500001
13504500
1
Accident
2
Suicide
3
Murder
4
War
5
Natural disaster
15316
1
2
3
4
5
6
7
8
9
10
11
12
13
Name of sibling
Name of sibling
Name of sibling
Name of sibling
Name of sibling
If 2 or more births, continue here, starting with eldest child.
Name
16
.
1
2
6
Adilbek
Bahyt
Bolat
Serik
Sveta
Vera
Zhangali
]
sex
sex
sex
sex
sex
Sex
15292
24
1
Sex Sibling 1
2
Sex Sibling 2
3
Sex Sibling 3
4
Sex Sibling 4
5
Sex Sibling 5
6
Sex Sibling 6
7
Sex Sibling 7
8
Sex Sibling 8
Sysmiss
month / year of birth
month / year of birth
month / year of birth
month / year of birth
month / year of birth
Month/ Year of birth, e.g. Feb-02
15313
01/1908
01/1912
01/1913
01/1915
01/1916
01/1917
01/1918
01/1919
01/1920
01/1921
01/1922
01/1924
01/1925
01/1926
01/1927
01/1928
01/1929
01/1930
01/1931
01/1932
01/1933
01/1934
01/1935
01/1936
01/1937
01/1938
01/1939
01/1940
01/1941
01/1942
01/1943
01/1944
01/1945
01/1946
01/1947
01/1948
01/1949
01/1950
01/1951
01/1952
01/1953
01/1954
01/1955
01/1956
01/1957
01/1958
01/1959
01/1960
01/1961
01/1962
01/1963
01/1964
01/1965
01/1966
01/1967
01/1968
01/1969
01/1970
01/1971
01/1972
01/1973
01/1974
01/1975
01/1976
01/1977
01/1978
01/1979
01/1980
01/1981
01/1982
01/1983
01/1984
01/1985
01/1986
01/1987
01/1988
01/1989
01/1990
01/1992
01/1993
01/1998
02/1902
02/1904
02/1913
02/1917
02/1918
02/1919
02/1920
02/1921
02/1922
02/1923
02/1924
02/1925
02/1926
02/1927
02/1928
02/1929
02/1930
02/1931
02/1932
02/1933
02/1934
02/1935
02/1936
02/1937
02/1938
02/1939
02/1940
02/1941
02/1942
02/1943
02/1944
02/1945
02/1946
02/1947
02/1948
02/1949
02/1950
02/1951
02/1952
02/1953
02/1954
02/1955
02/1956
02/1957
02/1958
02/1959
02/1960
02/1961
02/1962
02/1963
02/1964
02/1965
02/1966
02/1967
02/1968
02/1969
02/1970
02/1971
02/1972
02/1973
02/1974
02/1975
02/1976
02/1977
02/1978
02/1979
02/1980
02/1981
02/1982
02/1983
02/1984
02/1985
02/1986
02/1987
02/1988
02/1989
02/1990
02/1992
02/1993
02/1994
03/1902
03/1916
03/1917
03/1918
03/1919
03/1920
03/1921
03/1922
03/1923
03/1924
03/1925
03/1926
03/1927
03/1928
03/1929
03/1930
03/1931
03/1932
03/1933
03/1934
03/1935
03/1936
03/1937
03/1938
03/1939
03/1940
03/1941
03/1942
03/1943
03/1944
03/1945
03/1946
03/1947
03/1948
03/1949
03/1950
03/1951
03/1952
03/1953
03/1954
03/1955
03/1956
03/1957
03/1958
03/1959
03/1960
03/1961
03/1962
03/1963
03/1964
03/1965
03/1966
03/1967
03/1968
03/1969
03/1970
03/1971
03/1972
03/1973
03/1974
03/1975
03/1976
03/1977
03/1978
03/1979
03/1980
03/1981
03/1982
03/1983
03/1984
03/1985
03/1986
03/1987
03/1988
03/1990
03/1991
03/1993
03/1996
04/1904
04/1909
04/1915
04/1917
04/1918
04/1920
04/1921
04/1922
04/1923
04/1924
04/1925
04/1926
04/1927
04/1928
04/1929
04/1930
04/1931
04/1932
04/1933
04/1934
04/1935
04/1936
04/1937
04/1938
04/1939
04/1940
04/1941
04/1942
04/1943
04/1944
04/1945
04/1946
04/1947
04/1948
04/1949
04/1950
04/1951
04/1952
04/1953
04/1954
04/1955
04/1956
04/1957
04/1958
04/1959
04/1960
04/1961
04/1962
04/1963
04/1964
04/1965
04/1966
04/1967
04/1968
04/1969
04/1970
04/1971
04/1972
04/1973
04/1974
04/1975
04/1976
04/1977
04/1978
04/1979
04/1980
04/1981
04/1982
04/1983
04/1984
04/1985
04/1986
04/1987
04/1988
04/1989
04/1990
04/1991
04/1992
04/1994
05/1913
05/1914
05/1918
05/1920
05/1921
05/1922
05/1923
05/1924
05/1925
05/1926
05/1927
05/1928
05/1929
05/1930
05/1931
05/1932
05/1933
05/1934
05/1935
05/1936
05/1937
05/1938
05/1939
05/1940
05/1941
05/1942
05/1943
05/1944
05/1945
05/1946
05/1947
05/1948
05/1949
05/1950
05/1951
05/1952
05/1953
05/1954
05/1955
05/1956
05/1957
05/1958
05/1959
05/1960
05/1961
05/1962
05/1963
05/1964
05/1965
05/1966
05/1967
05/1968
05/1969
05/1970
05/1971
05/1972
05/1973
05/1974
05/1975
05/1976
05/1977
05/1978
05/1979
05/1980
05/1981
05/1982
05/1983
05/1984
05/1985
05/1986
05/1987
05/1988
05/1989
05/1990
05/1992
05/1995
06/1912
06/1919
06/1922
06/1926
06/1927
06/1928
06/1929
06/1930
06/1931
06/1932
06/1933
06/1934
06/1935
06/1936
06/1937
06/1938
06/1939
06/1940
06/1941
06/1942
06/1943
06/1944
06/1945
06/1946
06/1947
06/1948
06/1949
06/1950
06/1951
06/1952
06/1953
06/1954
06/1955
06/1956
06/1957
06/1958
06/1959
06/1960
06/1961
06/1962
06/1963
06/1964
06/1965
06/1966
06/1967
06/1968
06/1969
06/1970
06/1971
06/1972
06/1973
06/1974
06/1975
06/1976
06/1977
06/1978
06/1979
06/1980
06/1981
06/1982
06/1983
06/1984
06/1985
06/1986
06/1987
06/1988
06/1989
06/1991
06/1992
06/1993
06/1994
06/2001
07/1907
07/1912
07/1913
07/1916
07/1922
07/1924
07/1925
07/1926
07/1927
07/1928
07/1929
07/1930
07/1931
07/1932
07/1933
07/1934
07/1935
07/1936
07/1937
07/1938
07/1939
07/1940
07/1941
07/1942
07/1943
07/1944
07/1945
07/1946
07/1947
07/1948
07/1949
07/1950
07/1951
07/1952
07/1953
07/1954
07/1955
07/1956
07/1957
07/1958
07/1959
07/1960
07/1961
07/1962
07/1963
07/1964
07/1965
07/1966
07/1967
07/1968
07/1969
07/1970
07/1971
07/1972
07/1973
07/1974
07/1975
07/1976
07/1977
07/1978
07/1979
07/1980
07/1981
07/1982
07/1983
07/1984
07/1985
07/1986
07/1987
07/1988
07/1989
07/1990
07/1992
07/1997
08/1904
08/1914
08/1918
08/1920
08/1921
08/1922
08/1923
08/1924
08/1925
08/1926
08/1927
08/1928
08/1929
08/1930
08/1931
08/1932
08/1933
08/1934
08/1935
08/1936
08/1937
08/1938
08/1939
08/1940
08/1941
08/1942
08/1943
08/1944
08/1945
08/1946
08/1947
08/1948
08/1949
08/1950
08/1951
08/1952
08/1953
08/1954
08/1955
08/1956
08/1957
08/1958
08/1959
08/1960
08/1961
08/1962
08/1963
08/1964
08/1965
08/1966
08/1967
08/1968
08/1969
08/1970
08/1971
08/1972
08/1973
08/1974
08/1975
08/1976
08/1977
08/1978
08/1979
08/1980
08/1981
08/1982
08/1983
08/1984
08/1985
08/1986
08/1987
08/1988
08/1989
08/1990
08/1991
08/1994
08/1998
09/1916
09/1918
09/1923
09/1924
09/1925
09/1926
09/1927
09/1928
09/1929
09/1930
09/1931
09/1932
09/1933
09/1934
09/1935
09/1936
09/1937
09/1938
09/1939
09/1940
09/1941
09/1942
09/1943
09/1944
09/1945
09/1946
09/1947
09/1948
09/1949
09/1950
09/1951
09/1952
09/1953
09/1954
09/1955
09/1956
09/1957
09/1958
09/1959
09/1960
09/1961
09/1962
09/1963
09/1964
09/1965
09/1966
09/1967
09/1968
09/1969
09/1970
09/1971
09/1972
09/1973
09/1974
09/1975
09/1976
09/1977
09/1978
09/1979
09/1980
09/1981
09/1982
09/1983
09/1984
09/1985
09/1986
09/1987
09/1988
09/1989
09/1990
09/1991
09/1996
09/1997
09/1999
1
Date of birth Sibling 1
10/1906
10/1919
10/1924
10/1925
10/1926
10/1927
10/1928
10/1929
10/1930
10/1931
10/1932
10/1933
10/1934
10/1935
10/1936
10/1937
10/1938
10/1939
10/1940
10/1941
10/1942
10/1943
10/1944
10/1945
10/1946
10/1947
10/1948
10/1949
10/1950
10/1951
10/1952
10/1953
10/1954
10/1955
10/1956
10/1957
10/1958
10/1959
10/1960
10/1961
10/1962
10/1963
10/1964
10/1965
10/1966
10/1967
10/1968
10/1969
10/1970
10/1971
10/1972
10/1973
10/1974
10/1975
10/1976
10/1977
10/1978
10/1979
10/1980
10/1981
10/1982
10/1983
10/1984
10/1985
10/1986
10/1987
10/1988
10/1989
10/1990
10/1991
10/1992
10/1996
11/1904
11/1916
11/1917
11/1918
11/1922
11/1923
11/1924
11/1926
11/1927
11/1928
11/1929
11/1930
11/1931
11/1932
11/1933
11/1934
11/1935
11/1936
11/1937
11/1938
11/1939
11/1940
11/1941
11/1942
11/1944
11/1945
11/1946
11/1947
11/1948
11/1949
11/1950
11/1951
11/1952
11/1953
11/1954
11/1955
11/1956
11/1957
11/1958
11/1959
11/1960
11/1961
11/1962
11/1963
11/1964
11/1965
11/1966
11/1967
11/1968
11/1969
11/1970
11/1971
11/1972
11/1973
11/1974
11/1975
11/1976
11/1977
11/1978
11/1979
11/1980
11/1981
11/1982
11/1983
11/1984
11/1985
11/1986
11/1987
11/1988
11/1989
11/1990
11/1991
11/1992
11/1993
11/2000
12/1907
12/1909
12/1923
12/1924
12/1925
12/1926
12/1927
12/1928
12/1929
12/1931
12/1932
12/1933
12/1934
12/1935
12/1936
12/1937
12/1938
12/1939
12/1940
12/1941
12/1942
12/1943
12/1944
12/1945
12/1946
12/1947
12/1948
12/1949
12/1950
12/1951
12/1952
12/1953
12/1954
12/1955
12/1956
12/1957
12/1958
12/1959
12/1960
12/1961
12/1962
12/1963
12/1964
12/1965
12/1966
12/1967
12/1968
12/1969
12/1970
12/1971
12/1972
12/1973
12/1974
12/1975
12/1976
12/1977
12/1978
12/1979
12/1980
12/1981
12/1982
12/1983
12/1984
12/1985
12/1986
12/1987
12/1988
12/1989
12/1990
12/1991
12/1992
12/1999
2
Date of birth Sibling 2
3
Date of birth Sibling 3
4
Date of birth Sibling 4
5
Date of birth Sibling 5
6
Date of birth Sibling 6
7
Date of birth Sibling 7
8
Date of birth Sibling 8
age between respondent and sibling
age between respondent and sibling
age between respondent and sibling
age between respondent and sibling
age between respondent and sibling
What is the age difference (in years) between
you and [NAME]?
199
15117
20
1
Difference in age between respondent and sibling 1
2
Difference in age between respondent and sibling 2
3
Difference in age between respondent and sibling 3
4
Difference in age between respondent and sibling 4
5
Difference in age between respondent and sibling 5
6
Difference in age between respondent and sibling 6
7
Difference in age between respondent and sibling 7
8
Difference in age between respondent and sibling 8
alive
alive
alive
alive
alive
Is [NAME] still alive?
11827
3489
1
Yes
5
No
Sysmiss
contact with person
contact with person
contact with person
contact with person
contact with person
How often are you in contact with [NAME] in
person, by phone, mail or other means of
communication?
10434
4882
1
Weekly
2
Monthly
3
Yearly
4
Every 2-3 years
5
Every 3 years or more
Sysmiss
age
age
age
age
age
If YES to 5108, how old is [NAME]?
10705
4611
90
39.605
12.606
age at death
age at death
age at death
age at death
age at death
If NO to 5108, how old was [NAME] when
died?
1245
14071
94
28.149
24.233
how many years ago died
how many years ago died
how many years ago died
how many years ago died
how many years ago died
How many years ago did [NAME] die?
1209
14107
80
25.715
21.783
where living / lived
where living / lived
where living / lived
where living / lived
where living / lived
Is [NAME] currently living / did [NAME]
before s/he died live in?
11574
3742
1
Private dwelling / house
2
Military establishment
3
Hospital
4
Nursing home
5
Other institution
6
DK
Sysmiss
Pregnant when died Sibling
Pregnant when died Sibling
Pregnant when died Sibling
Pregnant when died Sibling
Pregnant when died Sibling
If deceased, a woman aged 15-49, was she
pregnant when she died?
276
15040
1
Yes
5
No
Sysmiss
Died during childbirth Sibling
Died during childbirth Sibling
Died during childbirth Sibling
Died during childbirth Sibling
Died during childbirth Sibling
If deceased, a woman aged 15-49 did she die
during childbirth?
269
15047
1
Yes
5
No
Sysmiss
Died within two months after end of pregnancy or childbirth -Sibling
Died within two months after end of pregnancy or childbirth -Sibling
Died within two months after end of pregnancy or childbirth -Sibling
Died within two months after end of pregnancy or childbirth -Sibling
Died within two months after end of pregnancy or childbirth -Sibling
If deceased, a woman aged 15-49 did she die
within 2 months after the end of pregnancy or
childbirth?
269
15047
1
Yes
5
No
Sysmiss
Death associated with injury- Sibling
Death associated with injury- Sibling
Death associated with injury- Sibling
Death associated with injury- Sibling
Death associated with injury- Sibling
Was the death associated with injury?
1148
14168
1
Yes
5
No
Sysmiss
Cause of death- Sibling
Cause of death- Sibling
Cause of death- Sibling
Cause of death- Sibling
Cause of death- Sibling
Was it due to
311
15005
1
Accident
2
Suicide
3
Murder
4
War
5
Natural disaster
Sysmiss
Details concerning events that led to injury- Sibling
Details concerning events that led to injury- Sibling
Details concerning events that led to injury- Sibling
Details concerning events that led to injury- Sibling
Details concerning events that led to injury- Sibling
Provide details of events that led to the
injury.
What was the mechanism or cause of injury?
304
15012
1
Motor vehicle
2
Pedestrian-vehicle crash
3
Motorcycle
4
Pedal cycle
5
Fall
6
Gunshot, firearm related
7
Landmine / bomblast
8
Stab / cut / pierce
9
Fire / burn
10
Poisoning
11
Near drowning / drowning / submersion
12
Other mechanism / cause of injury
Sysmiss
Where injury occurred- Sibling
Where injury occurred- Sibling
Where injury occurred- Sibling
Where injury occurred- Sibling
Where injury occurred- Sibling
Where did the injury occur?
305
15011
1
Home
2
School
3
Street/highway
4
Parking lot
5
Trade and service areas (shop, bank, etc.)
6
Farm
7
River/lake/stream/ocean
8
Industrial/construction area
9
Other public building
10
Other
Sysmiss
Where injury occurred- Sibling Specify others
Where injury occurred- Sibling Specify others
Where injury occurred- Sibling Specify others
Where injury occurred- Sibling Specify others
Where injury occurred- Sibling Specify others
17
1
5
A
F
f
h
p
w
Chest pain- Sibling
Chest pain- Sibling
Chest pain- Sibling
Chest pain- Sibling
Chest pain- Sibling
Did the deceased report / experience chest
pain lasting less than 24 hrs in the month
preceding the death?
1155
14161
1
Yes
5
No
Sysmiss
Paralysis of a body part- Sibling
Paralysis of a body part- Sibling
Paralysis of a body part- Sibling
Paralysis of a body part- Sibling
Paralysis of a body part- Sibling
Did the deceased experience paralysis of any
part of the body in the month preceding
death?
1156
14160
1
Yes
5
No
Sysmiss
paralysis accompanied by loss of consciousness- Sibling
paralysis accompanied by loss of consciousness- Sibling
paralysis accompanied by loss of consciousness- Sibling
paralysis accompanied by loss of consciousness- Sibling
paralysis accompanied by loss of consciousness- Sibling
If yes, was the paralysis accompanied or
followed by sudden loss of consciousness?
1126
14190
1
Yes
5
No
Sysmiss
Cough- Sibling
Cough- Sibling
Cough- Sibling
Cough- Sibling
Cough- Sibling
Did the deceased have a cough that lasted
more than 3 weeks?
1151
14165
1
Yes
5
No
Sysmiss
Blood in the sputum- Sibling
Blood in the sputum- Sibling
Blood in the sputum- Sibling
Blood in the sputum- Sibling
Blood in the sputum- Sibling
If yes, was there blood in the sputum ?
949
14367
1
Yes
5
No
Sysmiss
Medical treatment for Tuberculosis - Sibling
Medical treatment for Tuberculosis - Sibling
Medical treatment for Tuberculosis - Sibling
Medical treatment for Tuberculosis - Sibling
Medical treatment for Tuberculosis - Sibling
Did (s)he receive any medical treatment for
tuberculosis ?
956
14360
1
Yes
5
No
Sysmiss
Diarrhoea that lasted more than a month - Sibling
Diarrhoea that lasted more than a month - Sibling
Diarrhoea that lasted more than a month - Sibling
Diarrhoea that lasted more than a month - Sibling
Diarrhoea that lasted more than a month - Sibling
Did the deceased have diarrhoea that lasted
more than a month ?
966
14350
1
Yes
5
No
Sysmiss
Rapid loss of weight - Sibling
Rapid loss of weight - Sibling
Rapid loss of weight - Sibling
Rapid loss of weight - Sibling
Rapid loss of weight - Sibling
Was there any rapid loss of weight ?
962
14354
1
Yes
5
No
Sysmiss
White patches in mouth - Sibling
White patches in mouth - Sibling
White patches in mouth - Sibling
White patches in mouth - Sibling
White patches in mouth - Sibling
Were there any white patches in the mouth ?
955
14361
1
Yes
5
No
Sysmiss