DDI_UKR_2003_WHS_v01_M
2012-01-30
NADA
Version 01 (January 2012)
World Health Survey 2003
WHS 2003
UKR_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.
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.
Ukraine
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.
Ukraine-ID
2860
8
WHS-Ukraine_F2
2811
101
WHS-Ukraine_F3
7629
16
WHS-Ukraine_F4
604
27
WHS-Ukraine_F5
2852
681
WHS-Ukraine_F6
1080
26
WHS-Ukraine_F7
5882
29
Child Mortality
Identification
Identification
Identification
Identification
Identification
2860
34500001
35003060
34502108.499
13269.94
country code
country code
country code
country code
country code
2860
UKR
Probability weight
Probability weight
Probability weight
Probability weight
Probability weight
2507
353
2800
420000
13360.878
16376.721
Household probability weight
Household probability weight
Household probability weight
Household probability weight
Household probability weight
2552
308
2800
140000
6075.515
6392.387
2575
285
1
2
3
4
Sysmiss
2575
285
101
422
237.748
106.657
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
2500
360
4375.297
224561.875
23614.813
16727.069
Post stratified household weight
Post stratified household weight
Post stratified household weight
Post stratified household weight
Post stratified household weight
2552
308
3877.507
253060.094
9371.259
11864.663
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?
2811
34500001
35003060
34502114.878
13384.337
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
2415
396
1
2
3
4
7
Sysmiss
Rotation Code
Rotation Code
Rotation Code
Rotation Code
Rotation Code
2806
A
B
C
D
Interviewer ID
Interviewer ID
Interviewer ID
Interviewer ID
Interviewer ID
2726
85
1
888
112.242
112.986
name of interviewer
name of interviewer
name of interviewer
name of interviewer
name of interviewer
2785
ABUMAYEVA
ABUSHAEVA
ALECSANDRO
ALEKSANDRO
ALEXANDROV
ANASKINA I
ANDREEVA L
ANDRIJASH
ANDRIMI VO
Aleksandro
Alexandrov
Anaskina I
Andriyahs
Andriyash
BABENKO TA
BABENKO TE
BABICH VAE
BABICH VAL
BABYENKO T
BEREOVA SV
BERERZOVA
BEREZOVA S
BESEDINA N
BIKOVSKAYA
BLUDENKO O
BOCHAROVA
BOCHROVA O
BOGDANCEVA
BOGDANCOVA
BOGDANIVA
BOGDANOVA
BOGHDANOVA
BOGHDANTSE
BONDAR A.
BONDAR A.N
BONDAR'
BOVCHAROVA
BOYCHENKO
BUCHKO LUD
BULAKOVA S
BURKUSH B.
BURKUSH BE
BURKUSUSH
BUTOVS'KA
Babenco Ta
Babenko Ta
Babich Val
Berezova S
Besedina
Besedina N
Blezdrenko
Bludrenko
Bobkova
Bocharova
Bogdanceva
Bogdanova
Bogdanovs
Bogdantsev
Bogdanzeva
Boichenko
Boisenko T
Bondar'
Bondar' Al
Bondareva
Bopisenko
Boychenko
Bragushina
Buchko Ly
Buchko Liu
Buchko Lud
Buchko Lyu
Buchko lyu
Bulakova S
Bulgakova
Bumenko Ga
Burkusch B
Butovskaya
Bychko Lyd
Byrkysh Be
CHAYKINA O
CHAYSHYNA
CHERNAYA G
CHUGAEVA S
Chaezkaya
Chaikina e
Chajkina Y
Chastishin
Chaykina E
Chdusov Dm
Chodusov
Chodusov D
Chramzova
Chuchaeva
Chugaeva S
Chugueva S
Chuvgaeva
Chygaeva S
DASHKEVICH
DASHKEVYCH
DEMCHENA I
DEMCHINA I
DEMCHIONA
DEMINIA IR
DERICKA AL
DGIGYLINA
DGUMIGA TA
DOCHAROVA
DUDALADDOV
DUDALADOVA
DUDOLADOVA
DUGICJKA A
DULADOVA A
DULICKA AL
DULYTS'KA
DUMENKO AL
DUMENKO GA
DUMENKO GH
DUMERS'KA
DUMYTS'KA
DYLICKA AL
DZENDZEL L
DZENDZELJ
DZENZEL' L
DZHUMYHA T
Dashkyevic
Dehtyar Al
Derchova L
Derkachova
Dihtyar Al
Dilipova N
Dolgova
Dolgova O.
Drachko An
Drachlo An
Duchko Lyu
Dudik
Dudik Alex
Dudin Alex
Dumenko An
Dumenko Ga
Dumetska A
Dumitska A
Dumitskaya
Dydoladova
Dymacka Al
Dzenouzel
Dzenzel Li
Dzenzel li
ECAULIVA
ESAULEVA
ESAULOVA
Esaulova
Esaulova Y
FEDISHIIN
FEDISHIN A
FEDISHIN S
FEDISHINA
FEDYSHYN S
FROLOVA IR
Fedishin S
Filipova N
Filippova
Filippovam
Frolova Ir
GANJALA OL
GARAGALJ V
GARAGANJ V
GASIY OLEN
GHERASYMOV
GHRYGHOREV
GLUJOVAYA
GOLEZDRENK
GONJALA OL
GREBENYUK
GRIGOREVSK
GRINJ RAIS
GROZINSJKI
GROZINSKIJ
GROZINSKIY
GUCUL O. D
GUCUL O.D.
GUCUL OLJG
GUICUL O.D
GUZUL O. D
Gantala Ol
Gasiy
Gasiy Olen
Gasy
Gerasimov
Glukhovaya
Golesdrenk
Golezdrenk
Golovn'a
Golovnia
Golovnia I
Golovniy
Golovnya
Grebenuk A
Grebenyuk
Grigorievs
Grosinskiy
Grosinzkiy
Grozin sky
Grozinskiy
Grozinsky
Gucul O D
Gucul o d
Guzol O.D.
Guzul O D
Guzul O.D.
Guzul Olga
Guzul o D
HADCHENKO
HAULA YU.V
HAULOVA YU
HIJEVSKAYA
HIZHEVSKAY
HODTSOV DM
HODUNOV DM
HODUSOV D.
HODUSOV DM
HODYSOV DM
HOMENKO N.
HOMENKO NA
HRAMCOVA E
HRAMUOVA E
HROZYNS'KY
HROZYNS'RK
Haetskaya
Higevskaya
Hramceva E
IVANCHENKO
IVANOV V.
IVANOV V.
IVANOV V.I
IVANOV VAD
IVANTAEVA
IVANTAYEVA
IVCHENKO T
Istomin Al
Istomin al
Ivanov V I
Ivanov V i
Ivanov W.I
Ivanov Wad
Ivanov v U
Ivantaeva
Ivantailev
JAKIMELINA
JAKINELINA
JARCEVA LI
KACSHENKO
KASHCHENKO
KASHENKO V
KASHENKO Y
KHADCHENKO
KHARCHENKO
KHOMENKO N
KOJHEVIN R
KOLYADA YE
KONDOR IRI
KONDOR IRR
KONDOR IRY
KOPIJKA LE
KOVTUN ELE
KOZAKEVICH
KOZAKEVYCH
KOZISHKURT
KOZOLUP NI
KRAMARENKO
KRASNORENK
KROMARENKO
KUDENKO T.
KULEMA OKS
KULESHA OK
KULISH I.
KULISH IRY
KULJABO MI
KULYABA MY
KULYABO MY
KUNYTS'KA
KURILOVA G
KUZNYTS'KA
KYLJABO MI
KYZYMOVYCH
Kasakevich
Kaschenkko
Kaschenko
Kashenko V
Kashenko Y
Kashirskay
Kazakevich
Kisimovich
Kizilovich
Kizimova D
Kizimovich
Kokina Nat
Kolayada E
Kolayda El
Komyara El
Kondor Iri
Kononenko
Kopeika Le
Kopeika Ta
Kopiyka Ta
Kopiyka Te
Kosan Olga
Koshenko V
Kosolup Ni
Kovtyn Ele
Kozakevich
Kozhevin
Kozishkoor
Kozishkurt
Kozolup Ni
Kramarenko
Kromarenko
Kuliabo Mi
Kulisch I.
Kulisch Ir
Kulish I.
Kulish Iry
Kulyaba Mi
Kulyabo
Kulyabo Mi
Kulyubo Mi
Kunitskaya
Kunizkaya
Kurilova G
Kylish Iri
Kynickaya
LANIRNIK N
LAVRENTIYE
LAVRENTJEB
LAVRENTJEV
LEBEDEVICH
LEBEDEVYCH
LERMONTOV
LEVCHENKO
LEVSENKO T
LIHAJ ALEN
LIHAJVAN A
LIHOJVAL A
LIHOJVAN A
LIHOYVAN A
LIHOYVAN E
LITVINENKO
LITVINOVA
LOGACHEVA
LOGACHOVA
LOHOYVAN A
LUGOVAYA
LUKASHINA
Ladanova
Ladanova V
Lavrenteva
Lavrentiev
Lebedec Ga
Lebedev Ga
Lebedeva G
Lebedevich
Lemchina
Lemchina I
Lermontov
Leshenko
Letchina I
Levrent'ye
Levrentiev
Levsenko g
Lihajvan A
Lihoyvan A
Lihvajvan
Lihvan Aly
Lisenko an
Litvin
Litvin N.
Litvinenko
Lixaivan A
Lixoivan A
Lixovan Al
Lixovay Al
Lixoyvan A
Logacheva
Logachova
Logachyova
Lopacheva
Lugovaya
Lugovaya A
Lugovaya M
Lukaschina
Lukashina
MALESHKEVI
MALISHKEVI
MALYSHKEVY
MAMONT REG
MASLOBA T.
MASLOV DMI
MASLOV DMY
MASLOVA T.
MASLOVA TA
MASLOVA TE
MAZUSENKO
MEL'NYCHEN
MELNICHENK
MILISHKEVI
MILJICHENK
MILNICHENC
MISHER ALE
MJMJNT REG
MOCHORT A.
MOHOL A.S.
MOHORT A.
MOHORT A.S
MOHORT ALE
MOHORT OLE
MOISUZENKO
MOMONT R.V
MOMONT REG
MOSKALEC A
MOSKALEC O
MOSKALETS'
MOSUZENKO
MOZUCENKO
MOZUSENKO
MUSHER A.
MUSHER A.A
MUSHER ALE
Makcimenko
Maksimenko
Malischkev
Malyshkevi
Mamon Regi
Masherakov
Maslov Dm
Maslov Dme
Maslov Dmi
Maslova Ta
Maslova Te
Maximenko
Melnichenk
Mesherakov
Mochort A.
Mochort Al
Momot Regi
Moskalets
Moskalez O
Moxort Ale
Moxort Ole
Muscher a
Muscher Al
Musher Ale
Musher ale
Myakina
NACHAY OLE
NADASHKEVI
NECHAY ALE
NEDASHKEVI
NEMIKINA M
NEMYCHKINA
NEPOMJASCH
NEPOMNYASC
NEPOMNYASH
NEPOMYASHA
NEPOPMNYAS
NETOMIN AL
NIKIHSINA
NIKISHOVA
NISAHJ OLG
NOSAN OLGA
NOSANJ O.
NOSANJ O.O
NOSANJ OLF
NOSANJ OLG
NOVIKOVA
NOVIKOVA G
NYEPOMNYAS
Nechay Ale
Neminina M
Nepomnasha
Nepomnyasc
Nepomyasch
Nikischova
Nikitova N
Nikitova T
Nikolaev
Nikolaeva
Nimirscaya
Nimirskaya
Nosan Olga
Novikova
Novikova G
OLEDRENKO
OLEKSANDRO
OLMELJCHEN
OMELCHENKO
ONUFRIENKO
OSIYACH OL
OSNJACH E.
OSNYACH OL
OVCHINIKOV
OVCHINNIKO
OVCHYNNIKO
Olexandrov
Omelchenco
Omelchenko
Onufrienko
Osnach Ele
Ovchinniko
Owchinniko
PAMIRNYH N
PAPIRNIK N
PAPIRNYH N
PAVLISHAN
PAVLYSHAK
PAVLYSHAN
POCHAROVA
POLONSKA M
POLONSKAJA
PONIRNYK N
POPIRNIK N
PORTLIKO V
PORTYANKO
PORTYASHKO
POTRTYANKO
PRIHODIKO
PRIHODJKO
PRIHODKO S
PRIKODJKO
PRYHOD'KO
PUHOVAYA M
PYHOVAYA M
PYJOVAYA M
Pamirnik N
Panijenko
Panirnik N
Panirnyk N
Panyuk Lyu
Papiernick
Papigenko
Papijenko
Papirnik N
Papirnuk N
Pashirina
Pashirnick
Pavlinska
Pavlinuk O
Pavlishan
Pavlishin
Polyakova
Pomirnat N
Pomirnik I
Pomirnik N
Portanko V
Prichodko
Prihodko C
Prihodko S
Prixodko S
Puchovaya
Puhovaya M
RADCHUK
RADCHUK M.
RADCHYK BO
RADCHYK M.
RADCHYK MI
RADCHYK V.
RASKYDANNA
RAUSHUK M.
RIBACHYK
RIBACHYK V
ROGATSKAYA
ROGHATYNS'
ROSKYDANNA
ROZKYDANA
ROZKYDANNA
RUDENKO Y.
RUDENKO YL
RUDENKOP Y
RUMAH OKSA
RUMAK OKSA
RUMAN OKSA
Radchuk M.
Radchuk Ni
Radchuk W.
Rahimova R
Raskidanna
Rbachyk Vi
Resnik Tat
Reznik Tat
Ribachyk V
Ribashyk V
Ribatchuk
Ribatchyk
Rogatinska
Rudenko Lu
Rumak Oksa
Ruman Oksa
Ryazanova
SAIVOKINJ
SAMOYLOVA
SAVCHUK L.
SAVCHUK LE
SAVCHUK OL
SAVINA O.
SAVINA O.V
SAVINA OKS
SAVNUK OLG
SCHEDRINA
SHEREIGOVA
SHERENGHOV
SHERENGOVA
SHEREPOVA
SHRENGHOVA
SHVARTSBER
SHVEDUK OL
SHVEDYK OL
SHVEDYUK O
SIVIKONJ P
SIVLKONJ P
SIVNUK OLG
SIVOKIN SV
SIVOKINJ P
SIVOKONJ P
SKIBINSJKI
SKIBINSKIJ
SKLOZA ARK
SLIPECKA G
SLJOZA ARK
SLYOZA ARK
SLYOZA SER
SNIBINSJLI
SNIBINSKIJ
SOKIL VALE
SOKOL V. N
SOKOL VALE
SOKOL VALY
SOKOL VAVE
SOMOYLOVA
STEPANOVA
SYVIKIN' P
SYVOKIN' P
Sachivec G
Sachivez G
Sachuvec G
Sachvits G
Samoylova
Saulyak Sv
Savchuk Le
Savchyk Ol
Savina O.V
Savius Olg
Scherengov
Schvarzber
Shedrina E
Sherengova
Sheretova
Shevchenko
Sheykina L
Shvarcberg
Shved Anna
Shwartcber
Sivokin Pe
Sivokin Sv
Sleoza Ark
Slesa Arka
Sliosa Ar
Sliosa Ark
Slipeckiy
Slipezkiy
Sloza Arka
Slyosa Ar
Sokol Vale
Solodyanch
Solodyanki
Solodyanyu
Sotskaya
Suchko
Sushko Ele
TOKAR I. O
TOKAR IVAN
TOLIKA N.A
TRETYAK TA
TRUSHINA M
Tedantseva
Tokar Ivan
Tokar ivan
Tolika
Tolika Nat
Tretak Ele
Tretak Tai
Tretyak Ta
Tretyak Ye
Tretyak ye
Turun
UDOD V.
VEGNER LUB
VENGER L.
VENGER LUB
VESHICJKA
VESHICKAYA
VETER LUB
VETER LUBO
VIGOVSKAYA
VILETA V.
VILETA V.N
VILETO VLO
VILKOVA AN
VINOGRADOV
VINOGRAFOV
VINPOGRADO
VIT'KO TET
VITJKO NAT
VITJKO TAT
VITJKOTATY
VOLKOVA
VOLKOVA AN
VOLKOVA HA
VOLKOVA IN
VOLOSGINA
VOLOSHINA
VOLOSHYN G
VOLOSHYNA
VORONA E.P
VOVK SVET
VOVK S. A.
VOVK SVETL
VRACENKO L
VRACHENKO
VYALIH VIK
VYNOGHRADO
Velia Vict
Velix Vict
Victor Mix
Vigovscaya
Vigovskaya
Vilyh Vikt
Vinnichivk
Vinnicka
Vinnicka A
Vinogradov
Vishix Vic
Vitko Tati
Vizul' Lar
Voinogrado
Volkova An
Voloshina
Vorohta
Voroxta
Voroxta Ur
Vovk Svetl
Vrachenko
Wenger L.
Wileta Wla
Wilich Wik
Wilyaba Wl
Winogradov
Witko Taty
Wovk Svetl
Wyalich Wi
Xaeckaya N
Xramcova E
Xramcova e
YAROSHEVIC
YESAULOVA
Yarochevic
Yaroschevi
Yaroschvic
Yaroshevic
Yartseva L
ZOTINA SOF
Zaitzeva
Zayceva M.
Zaytseva M
Zaytzeva M
Zorina Sof
Zorina Sop
Zotina Sof
Zotina Sop
babich Val
bogdantsev
buchko Lyu
buchko lyu
dumenko An
guzul O.D.
ivanov V I
kazakevich
kromarenko
kurilova G
lebedevich
lermontov
lewrentiev
lukaschina
musher Ale
scherengov
stepanova
tretyak Ta
treuak Ele
ªÑÀÓËÎÂÀ
Àíàñê³íà ²
Àíäð³ÿø Âî
ÁÎ×ÀÐÎÂÀ Þ
ÁÓ×ÊÎ ËÞÄÌ
Áåðåçîâà Ñ
Áåñºä³íà Í
Áîãäàíîâà
Áóðêóò Áåî
Áóðêóø Áåà
Áóðêóø Áåî
Áó÷êî Ëþäì
Â'ßËÈÕ Â²Ê
ÂÀËÈÕ Â²ÊÒ
ÂßËÈÕ Â²ÊÒ
Âÿëûõ Âèêò
Âÿëûõ âèêò
ÃÅÐÀÑÈÌÎÂ
ÃÐÎÇÈÍÑÜÊÈ
Ãåðàñèìîâ
Ãðèíü Ðà¿ñ
Ãðîçèíñüêè
ÄÆÓÌÈÃÀ ÒÅ
Äóëèöüêà À
Äóìåíêî Àí
Äóìåíêî Ãà
Äóìåöüêà À
ÊÈÇÈÌÎÂÈ×
ÊÎÂÒÓÍ ÎËÅ
ÊÎÂÜÓÍ ÎËÅ
ÊÎϲÉÊÀ ËÅ
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Êàçèìîâè÷
Êàùåíêî Þë
Êèçèìîâà Ä
Êèçèìîâè÷
Êîâòóí Îëå
Êîï³éêà ËÅ
Êîï³éêà Ëå
Êîï³éêà ÒÅ
Êîï³éêà Òå
Êðàìàðåíêî
Êðàìàòåíêî
Êóíèöêàÿ Î
Êóíèöüêà Î
ËÎÃÀרÂÀ Î
Ëåâðåíòüåâ
Ëóêàøèíà Ï
ÌÀËÈØÊÅÂÈ×
ÌÎÑÓÇÅÍÊÎ
Ìàñëîâ Äìè
Ìàñëîâà Òå
Ìåëüíè÷åíê
Ìîõîðò À.
ÍÅÏÎÌßÙÀ Ë
Íåïîìÿùàÿ
ÎÑÍß× ÎËÅÍ
Îâ÷èíí³êîâ
Îñíÿ÷ Åëåí
ÏÀÂËÈØÀÍ Î
Ïàâëèøàí Î
Ïàâëèøèí Î
Ïàâëèøèíà
Ïàâëèøîê Î
Ðèáà÷óê ³
Ðóäåíêî Þë
ÑÈâîê³íü Ï
ÑËÜÎÇÀ ÀÐÊ
Ñèâîê³íü Ï
Ñèâîê³íü Ñ
Ñë³ïåöüêà
Ñëüîçà Àðê
Ñëüîçà Âîë
Ñîêîë Âàëå
ÒÎÊÀÐ ²ÂÀÍ
ÒÐÅÒßÊ ÎËÅ
Òîêàð ²âàí
Òîêàð ³âàí
Òðåòÿê Îëå
Òðóøèíà Ì.
Òðóøèíà ì.
Õàºöüêà ÍÀ
Õàåöêàÿ Íà
ØÂÅÄÞÊ ÎËÜ
ØÂÅÄßÊ ÎËÜ
Øâåäþê Îëü
Øåðåíãîâà
ÝÑÀÓÄËÎÂÀ
ÝÑÀÓËÎÂÀ
ßê³ìåë³íà
ßðîøåâè÷
ßðîøåâè÷ Í
ßðöåâà ˳ä
ßðöåâà Ëèä
òîêàð ²âàí
òîêàð ³âàí
òðóøèíà Ì.
øâåäþê Îëü
total calls
total calls
total calls
total calls
total calls
2311
500
1
8
1.127
0.43
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)
2811
.
01/07/2003
01/08/2003
02/07/2003
02/08/2003
03/07/2003
03/08/2003
04/07/2003
04/08/2003
05/07/2003
05/08/2003
06/07/2003
06/08/2003
07/01/2003
07/07/2003
07/08/2003
08/01/2003
08/03/2003
08/07/2003
08/08/2003
09/02/2003
09/07/2003
09/08/2003
10/07/2003
10/08/2003
11/02/2003
11/07/2003
11/08/2003
12/04/2003
12/07/2003
12/08/2003
13/07/2003
14/04/2003
14/07/2003
14/08/2003
15/07/2003
15/12/2002
16/02/2003
16/07/2003
17/06/2003
17/07/2003
18/01/2003
18/07/2003
18/08/2003
19/07/2003
20/07/2003
20/12/2002
21/07/2003
22/02/2003
22/07/2003
23/04/2003
23/07/2003
24/07/2003
24/08/2003
25/07/2003
25/12/2002
26/07/2003
26/08/2003
26/12/2002
27/06/2003
27/07/2003
27/08/2003
28/07/2003
29/07/2003
30/07/2003
30/12/2002
31/07/2003
Final result code
Final result code
Final result code
Final result code
Final result code
2545
266
3
6
7
9
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)
130
01/08/2003
03/07/2003
03/08/2003
05/07/03
05/07/2003
07/07/2003
08/01/2003
08/07/2003
08/08/2003
10/07/2003
11/07/2003
12/02/2003
13/07/2003
14/07/2003
15/07/2003
15/12/2002
16/07/2003
17/02/2003
17/07/2003
18/07/2003
19/01/03
19/07/2003
20/07/2003
21/07/2003
21/12/2002
22/08/2003
23/07/2003
24/07/2003
25/07/2003
26/07/2003
26/08/2003
26/12/2002
27/07/2003
27/12/2002
28/07/2003
29/07/2003
30/07/2003
31/12/2002
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)
355
01/07/2003
01/08/2003
01/09/03
01/09/2003
03/01/2003
04/07/2003
04/08/2003
05/08/2003
06/07/2003
07/08/2003
08/07/2003
08/08/2003
09/07/2003
09/08/03
09/08/2003
09/09/2003
09/10/2003
1/08/2003
10/07/03
10/07/2003
10/08/2003
11/08/2003
12/08/2003
13/08/2003
14/07/2003
14/08/2003
15/01/2002
15/01/2003
15/07/2003
15/08/2003
16/07/2003
16/08/2003
17/02/2003
17/07/2003
17/08/2003
18/02/2003
18/07/2003
18/08/2003
19/06/2003
19/07/2003
19/08/2003
20/06/2003
20/07/2003
20/08/2003
21/07/2003
21/08/2003
22/02/2003
22/07/03
22/07/2003
22/08/2003
23/07/2003
24/07/2003
25/01/03
25/07/2003
26/08/2003
27/07/2003
28/07/2003
29/07/2003
30/07/2003
30/08/2003
31/07/2003
31/12/2002
8/07/2003
9/08/2003
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)
2439
006/08/2003
01/07/2003
01/08/03
01/08/2003
01/09/2003
02/08/03
02/08/2003
03/02/2003
03/07/2003
03/08/03
03/08/2003
04/07/2003
04/08/2003
05/07/2003
05/08/03
05/08/2003
05/8/2003
06/07/2003
06/08/03
06/08/2003
07/08/03
07/08/2003
08/07/2003
08/08/03
08/08/2003
09/07/2003
09/08/03
09/08/2003
09/09/03
09/09/2003
09/8/2003
1/08/2003
10/07/2003
10/08/03
10/08/2003
10/09/2003
10/10/2003
10/9/2003
11/07/2003
11/08/2003
12/07/03
12/07/2003
12/08/2003
13/05/2003
13/07/2003
13/08/2003
13/09/2003
14/07/2003
14/08/2003
15/07/2003
15/08/2003
16/07/2003
16/08/2003
17/07/2003
17/08/2003
18/07
18/07/2003
18/08/2003
19/07/03
19/07/2003
19/08/2003
2/08/2003
20/02/2003
20/07/03
20/07/2003
20/08/2003
20/7/2003
21/02/2003
21/04/2003
21/07/03
21/07/2003
21/08/2003
22/07/03
22/07/2003
22/08/2003
23/07/2003
23/07/2033
24/07/2003
25/01/03
25/01/2003
25/02/2003
25/04/2003
25/06/2003
25/07/2003
26/05/2003
26/07/2003
26/08/2003
27/01/2002
27/01/2003
27/03/2003
27/07/2003
27/7/2003
28/03/2003
28/07/2003
28/10/2003
29/07/03
29/07/2003
29/08/2003
3/08/2003
30/07/2003
30/08/2003
31/07/2003
31/08/2003
5/08/2003
8/02/2003
8/07/2003
9/08/2003
psu
psu
psu
psu
psu
Sampling Information
Primary Sampling Unit (PSU) Name/Code
140
2671
6
714
385.243
81.386
ssu
ssu
ssu
ssu
ssu
Sampling Information
Secondary Sampling Unit (SSU) Name/Code
10
2801
7
419
377.2
130.081
tsu
tsu
tsu
tsu
tsu
Sampling Information
Tertiary Sampling Unit (TSU) Name/Code
2532
279
101
422
237.786
106.933
qsu
qsu
qsu
qsu
qsu
Sampling Information
Quarternary Sampling Unit (QSU) Name/Code
2811
settings
settings
settings
settings
settings
Sampling information: Additional information
Setting
2591
220
1
Urban
2
Peri-urban/Semi-urban
3
rural
4
Other
Sysmiss
Specify
Specify
Specify
Specify
Specify
54
Bori
Cook
Drog
Hers
KONE
Kame
Kise
Kone
Lozo
Niko
Odes
V.Mi
Yugn
pgt
pose
posi
posy
Ñâàë
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
146
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
115
2696
46
47
48
49
Sysmiss
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
111
2700
85
49.721
19.405
longitude (E/W)
longitude (E/W)
longitude (E/W)
longitude (E/W)
longitude (E/W)
Longitude
146
E
longitude (degree)
longitude (degree)
longitude (degree)
longitude (degree)
longitude (degree)
Longitude
115
2696
28
29
30
31
32
36
39
Sysmiss
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
Longitude
111
2700
90
27.541
21.075
waypoint
waypoint
waypoint
waypoint
waypoint
Waypoint
150
2661
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)
2560
07:00
07:30
07:45
07:50
08:00
08:01
08:05
08:09
08:10
08:15
08:20
08:22
08:25
08:30
08:35
08:40
08:45
08:47
08:50
08:52
08:54
08:55
09:00
09:01
09:02
09:05
09:10
09:12
09:15
09:16
09:20
09:22
09:23
09:24
09:25
09:30
09:35
09:40
09:45
09:47
09:50
09:51
09:54
09:55
09:56
10:00
10:01
10:02
10:03
10:04
10:05
10:06
10:07
10:08
10:10
10:11
10:12
10:14
10:15
10:16
10:17
10:18
10:20
10:21
10:23
10:25
10:26
10:27
10:28
10:29
10:30
10:32
10:33
10:34
10:35
10:36
10:37
10:38
10:40
10:44
10:45
10:46
10:47
10:50
10:51
10:53
10:54
10:55
10:56
11:00
11:01
11:02
11:05
11:07
11:08
11:09
11:10
11:11
11:12
11:13
11:15
11:16
11:17
11:18
11:20
11:21
11:22
11:25
11:26
11:27
11:28
11:30
11:35
11:36
11:38
11:40
11:41
11:42
11:43
11:44
11:45
11:46
11:48
11:50
11:55
11:56
12:00
12:01
12:03
12:05
12:08
12:10
12:12
12:13
12:14
12:15
12:18
12:20
12:25
12:26
12:28
12:30
12:31
12:32
12:35
12:36
12:40
12:43
12:45
12:47
12:48
12:50
12:51
12:53
12:55
12:56
12:57
12:58
13:00
13:01
13:02
13:03
13:05
13:07
13:08
13:10
13:11
13:12
13:14
13:15
13:17
13:18
13:19
13:20
13:25
13:26
13:27
13:28
13:30
13:31
13:33
13:35
13:38
13:40
13:43
13:45
13:47
13:50
13:51
13:54
13:55
14:00
14:01
14:03
14:04
14:05
14:06
14:07
14:08
14:09
14:10
14:11
14:12
14:15
14:16
14:20
14:23
14:24
14:25
14:26
14:28
14:30
14:35
14:37
14:39
14:40
14:41
14:45
14:48
14:50
14:52
14:53
14:55
14:56
14:58
15:00
15:01
15:02
15:03
15:05
15:06
15:07
15:10
15:11
15:12
15:14
15:15
15:20
15:25
15:30
15:31
15:32
15:33
15:34
15:35
15:37
15:40
15:41
15:45
15:48
15:49
15:50
15:51
15:54
15:55
15:56
16:00
16:01
16:02
16:04
16:05
16:07
16:08
16:09
16:10
16:12
16:13
16:15
16:16
16:17
16:18
16:20
16:25
16:27
16:30
16:32
16:35
16:37
16:40
16:43
16:45
16:48
16:50
16:51
16:52
16:53
16:54
16:55
17:00
17:01
17:02
17:03
17:05
17:06
17:10
17:12
17:13
17:15
17:16
17:18
17:20
17:25
17:26
17:30
17:31
17:32
17:34
17:35
17:38
17:40
17:43
17:44
17:45
17:48
17:50
17:55
17:57
18:00
18:01
18:02
18:04
18:05
18:06
18:07
18:08
18:09
18:10
18:12
18:15
18:16
18:20
18:22
18:25
18:30
18:31
18:32
18:33
18:35
18:37
18:40
18:41
18:42
18:43
18:45
18:46
18:50
18:51
18:53
18:55
18:56
18:57
19:00
19:01
19:03
19:04
19:05
19:09
19:10
19:12
19:14
19:15
19:16
19:20
19:25
19:30
19:31
19:35
19:40
19:44
19:45
19:48
19:50
19:55
20:00
20:01
20:02
20:05
20:06
20:10
20:15
20:17
20:25
20:30
20:40
20:45
20:50
20:59
21:00
21:05
21:10
21:11
21:15
21:30
21:50
22:13
22:40
Kish table code
Kish table code
Kish table code
Kish table code
Kish table code
2691
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.
2715
96
400
410
402.906
3.458
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.
2686
125
400
401
402
404
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?
507
2304
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
2810
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?
2811
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?
2811
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?
2811
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?
2811
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?
2811
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).
1
2810
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?
2689
122
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
41
2770
400
401
407
408
410
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
2808
400
401
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
1
2810
409
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
2810
410
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
2811
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?
2662
149
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?
189
2622
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
2452
07:05
07:33
07:50
07:55
08:10
08:15
08:17
08:18
08:19
08:20
08:25
08:28
08:32
08:34
08:35
08:37
08:38
08:40
08:42
08:45
08:48
08:49
08:50
08:53
08:55
08:59
09:00
09:03
09:04
09:05
09:06
09:07
09:08
09:09
09:10
09:12
09:15
09:16
09:18
09:19
09:20
09:22
09:23
09:24
09:25
09:27
09:30
09:31
09:32
09:35
09:36
09:37
09:38
09:40
09:45
09:46
09:47
09:48
09:50
09:52
09:55
10:00
10:01
10:02
10:03
10:05
10:06
10:07
10:08
10:09
10:10
10:12
10:13
10:15
10:16
10:17
10:18
10:19
10:20
10:21
10:22
10:23
10:24
10:25
10:26
10:27
10:28
10:30
10:31
10:32
10:33
10:34
10:35
10:36
10:37
10:39
10:40
10:41
10:42
10:44
10:45
10:47
10:48
10:49
10:50
10:51
10:52
10:54
10:55
10:56
10:58
11:00
11:01
11:02
11:03
11:04
11:05
11:06
11:07
11:08
11:10
11:12
11:13
11:14
11:15
11:17
11:19
11:20
11:21
11:23
11:25
11:26
11:28
11:29
11:30
11:31
11:33
11:35
11:37
11:38
11:39
11:40
11:41
11:42
11:44
11:45
11:47
11:49
11:50
11:51
11:52
11:55
11:56
11:57
11:58
12:00
12:03
12:04
12:05
12:06
12:07
12:08
12:09
12:10
12:11
12:12
12:15
12:17
12:18
12:19
12:20
12:21
12:22
12:23
12:25
12:26
12:27
12:28
12:29
12:30
12:31
12:33
12:35
12:36
12:37
12:38
12:40
12:41
12:42
12:43
12:44
12:45
12:46
12:49
12:50
12:52
12:54
12:55
12:56
12:57
12:59
13:00
13:01
13:02
13:03
13:05
13:06
13:07
13:08
13:09
13:10
13:12
13:13
13:14
13:15
13:16
13:17
13:18
13:20
13:21
13:22
13:23
13:24
13:25
13:26
13:27
13:28
13:30
13:31
13:32
13:33
13:34
13:35
13:36
13:37
13:38
13:39
13:40
13:41
13:42
13:43
13:44
13:45
13:46
13:47
13:50
13:51
13:55
13:56
13:58
14:00
14:01
14:02
14:03
14:04
14:05
14:06
14:07
14:08
14:10
14:12
14:13
14:14
14:15
14:16
14:17
14:18
14:19
14:20
14:21
14:23
14:24
14:25
14:26
14:28
14:29
14:30
14:31
14:32
14:33
14:35
14:36
14:37
14:40
14:42
14:43
14:44
14:45
14:47
14:49
14:50
14:52
14:53
14:54
14:55
14:57
14:58
14:59
15:00
15:01
15:02
15:04
15:05
15:06
15:07
15:08
15:09
15:10
15:12
15:14
15:15
15:16
15:19
15:20
15:22
15:23
15:24
15:25
15:27
15:28
15:30
15:32
15:33
15:35
15:37
15:39
15:40
15:42
15:44
15:45
15:46
15:47
15:50
15:55
15:57
16:00
16:02
16:03
16:04
16:05
16:06
16:07
16:09
16:10
16:12
16:13
16:14
16:15
16:16
16:17
16:18
16:20
16:21
16:23
16:24
16:25
16:27
16:29
16:30
16:33
16:35
16:37
16:38
16:39
16:40
16:44
16:45
16:46
16:47
16:48
16:49
16:50
16:53
16:54
16:55
16:56
16:57
16:59
17:00
17:01
17:03
17:04
17:05
17:06
17:07
17:08
17:09
17:10
17:11
17:12
17:13
17:14
17:15
17:17
17:18
17:19
17:20
17:22
17:24
17:25
17:27
17:30
17:31
17:32
17:34
17:35
17:36
17:37
17:38
17:39
17:40
17:41
17:42
17:43
17:45
17:46
17:50
17:52
17:53
17:55
17:56
18:00
18:02
18:03
18:04
18:05
18:06
18:07
18:10
18:11
18:12
18:13
18:14
18:15
18:16
18:17
18:18
18:20
18:22
18:25
18:26
18:27
18:28
18:30
18:31
18:32
18:33
18:35
18:36
18:37
18:38
18:40
18:42
18:43
18:44
18:45
18:46
18:47
18:48
18:50
18:52
18:53
18:55
19:00
19:02
19:03
19:04
19:05
19:07
19:08
19:10
19:13
19:15
19:16
19:17
19:18
19:19
19:20
19:25
19:26
19:29
19:30
19:33
19:35
19:36
19:37
19:38
19:40
19:45
19:48
19:49
19:50
19:51
19:52
19:56
19:59
20:00
20:02
20:03
20:05
20:07
20:09
20:10
20:15
20:20
20:25
20:30
20:37
20:40
20:47
20:50
20:54
20:57
21:00
21:06
21:08
21:10
21:13
21:15
21:16
21:20
21:29
21:35
21:37
22:00
22:17
22:44
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?
2811
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]…
2811
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]?
2811
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]?
2811
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?
2
2809
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?
2
2809
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?
2
2809
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?
3
2808
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?
2699
112
1
24
3.557
1.837
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?
2685
126
41
7.146
3.438
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?
2703
108
20
2.796
1.222
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?
2309
502
5
0.329
0.533
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?
2688
123
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?
2706
105
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?
2703
108
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?
2700
111
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?
2700
111
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? ?
2692
119
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?
2698
113
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?
2699
112
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?
2694
117
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?
2705
106
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?
2703
108
1
Yes
5
No
Sysmiss
video (VCR)
video (VCR)
video (VCR)
video (VCR)
video (VCR)
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 video (VCR)?
2706
105
1
Yes
5
No
Sysmiss
Stereo system
Stereo system
Stereo system
Stereo system
Stereo system
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 live stereo system?
2703
108
1
Yes
5
No
Sysmiss
Internet access
Internet access
Internet access
Internet access
Internet access
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 Internet access?
2701
110
1
Yes
5
No
Sysmiss
Subscription (periodicals)
Subscription (periodicals)
Subscription (periodicals)
Subscription (periodicals)
Subscription (periodicals)
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 subscription (periodicals)?
2704
107
1
Yes
5
No
Sysmiss
Air condition
Air condition
Air condition
Air condition
Air condition
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 air condition?
2700
111
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?
2607
204
565400
1168.934
17702.311
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.
2606
205
600110
889.527
16635.851
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?
2602
209
6080
95.975
189.866
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?
1775
1036
3000
40.014
164.873
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?
2202
609
3000
60.988
158.048
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?
1610
1201
1000
12.671
84.705
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?
2249
562
5000
105.787
261.56
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?
1682
1129
3000
14.915
115.284
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?
1693
1118
999
9.93
76.742
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?
1662
1149
999
7.894
74.672
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?
1743
1068
2000
19.858
100.928
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?
2205
606
88888
91.695
1909.763
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.?
1684
1127
2000
10.73
89.238
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?
1709
1102
4500
13.429
133.252
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?
1641
1170
999
10.651
78.294
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?
2076
735
11110
11.114
253.656
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.
476
2335
6000
423.303
690.586
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.
2556
255
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).
2386
425
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.
2381
430
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).
2391
420
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.
2407
404
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.
2409
402
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
2341
470
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
2656
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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?
7629
34500001
35003060
34502027.408
11511.573
gender
gender
gender
gender
gender
7629
1
Female
2
Male
7629
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
7479
150
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
7597
32
100
38.543
21.139
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
7382
247
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
7223
406
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
7144
485
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
6227
1402
not eligible
1
eligible
Sysmiss
Whs respondent
Whs respondent
Whs respondent
Whs respondent
Whs respondent
2795
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?
4447
3182
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?
809
6820
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?
726
6903
1
5
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?
528
7101
1000
18.636
81.924
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?
495
7134
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?
57
7572
400
999
623.211
289.579
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?
604
34500011
35001311
34502596.341
20349.778
34500011
34500028
34500030
34500033
34500045
34500052
34500055
34500059
34500072
34500084
34500086
34500089
34500107
34500126
34500134
34500136
34500148
34500151
34500159
34500162
34500163
34500164
34500176
34500189
34500191
34500204
34500222
34500226
34500229
34500231
34500238
34500252
34500253
34500265
34500274
34500285
34500291
34500296
34500302
34500313
34500315
34500318
34500321
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34500325
34500327
34500336
34500345
34500346
34500349
34500362
34500364
34500387
34500395
34500412
34500416
34500431
34500446
34500449
34500469
34500473
34500479
34500480
34500482
34500485
34500494
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34500509
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34500519
34500521
34500522
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34500538
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34500543
34500548
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34500577
34500588
34500592
34500593
34500597
34500616
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34500629
34500634
34500658
34500662
34500664
34500687
34500689
34500690
34500695
34500697
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34500709
34500727
34500728
34500745
34500753
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34500755
34500765
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34500786
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34500821
34500822
34500827
34500838
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34500869
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34500876
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34500884
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34500922
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34500928
34500929
34500932
34500945
34500964
34500971
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34500977
34500982
34500989
34500995
34501006
34501017
34501023
34501027
34501028
34501034
34501035
34501040
34501044
34501047
34501060
34501063
34501066
34501075
34501083
34501092
34501093
34501095
34501109
34501113
34501115
34501131
34501137
34501149
34501163
34501170
34501171
34501176
34501186
34501189
34501191
34501201
34501203
34501207
34501209
34501213
34501214
34501220
34501221
34501234
34501255
34501266
34501268
34501276
34501277
34501282
34501283
34501293
34501294
34501299
34501306
34501308
34501311
34501313
34501314
34501316
34501321
34501327
34501342
34501346
34501350
34501364
34501366
34501375
34501378
34501381
34501384
34501385
34501389
34501393
34501401
34501402
34501404
34501405
34501406
34501410
34501411
34501414
34501418
34501420
34501428
34501447
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34501484
34501488
34501493
34501494
34501499
34501511
34501512
34501518
34501526
34501543
34501547
34501548
34501555
34501556
34501559
34501567
34501571
34501573
34501584
34501590
34501591
34501599
34501607
34501608
34501612
34501629
34501631
34501632
34501637
34501644
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34501656
34501669
34501677
34501689
34501690
34501700
34501704
34501705
34501706
34501709
34501711
34501714
34501720
34501725
34501729
34501730
34501738
34501741
34501746
34501747
34501748
34501749
34501754
34501763
34501780
34501786
34501788
34501789
34501806
34501810
34501813
34501828
34501833
34501836
34501845
34501848
34501852
34501857
34501860
34501883
34501894
34501906
34501910
34501911
34501915
34501921
34501930
34501932
34501935
34501940
34501952
34501968
34501975
34501976
34501997
34502005
34502008
34502014
34502016
34502034
34502038
34502040
34502041
34502060
34502061
34502079
34502083
34502088
34502090
34502094
34502099
34502108
34502110
34502111
34502113
34502122
34502127
34502131
34502138
34502139
34502145
34502157
34502161
34502164
34502170
34502175
34502176
34502186
34502198
34502199
34502200
34502209
34502218
34502222
34502231
34502236
34502237
34502238
34502245
34502246
34502258
34502267
34502280
34502285
34502292
34502298
34502310
34502311
34502316
34502329
34502330
34502337
34502339
34502340
34502351
34502357
34502359
34502362
34502375
34502382
34502383
34502385
34502387
34502390
34502395
34502399
34502402
34502404
34502420
34502442
34502445
34502455
34502456
34502459
34502460
34502461
34502462
34502469
34502491
34502494
34502504
34502506
34502510
34502514
34502515
34502516
34502521
34502525
34502532
34502553
34502554
34502557
34502558
34502562
34502563
34502572
34502595
34502598
34502603
34502606
34502607
34502610
34502611
34502616
34502646
34502655
34502658
34502665
34502667
34502669
34502675
34502686
34502693
34502696
34502702
34502709
34502712
34502720
34502729
34502746
34502750
34502754
34502759
34502767
34502768
34502783
34502784
34502786
34502791
34502795
34502796
34502803
34502826
34502831
34502843
34502849
34502874
34502885
34502892
34502896
34502902
34502903
34502905
34502909
34502910
34502922
34502928
34502933
34502936
34502938
34502939
34502940
34502942
34502962
34502977
34502978
34502982
34502986
34502992
34502997
34502999
34503005
34503015
34503021
34503028
34503034
34503036
34503037
34503039
34503043
34503047
34503067
34503082
34503087
34503090
34503092
34503094
34503098
34503121
34503131
34503145
34503146
34503147
34503148
34503154
34503156
34503167
34503178
34503183
34503184
34503194
34503200
34503206
34503207
34503212
34503215
34503232
34503237
34503253
34503258
34503263
34503272
34503283
34503286
34503287
34503290
34503293
34503297
34503304
34503319
34503328
34503332
34503335
34503339
34503340
34503345
34503355
34503357
34503359
34503370
34503371
34503373
34503378
34503387
34503397
34503398
34503416
34503420
34503425
34503426
34503436
34503439
34503445
34503446
34503453
34503469
34503473
34503476
34503489
34503491
34503497
35001311
446
158
10
6.276
2.49
604
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.
589
15
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?
442
162
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?
434
170
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?
269
335
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?
265
339
1
100
38.294
14.941
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.
250
354
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.
148
456
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?
268
336
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?
263
341
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?
27
577
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?
26
578
1
40
18.654
10.759
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?
24
580
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?
9
595
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?
28
576
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
169
435
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?
411
193
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?
440
164
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?
393
211
1931
2002
1978.351
16.389
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?
412
192
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?
360
244
78
5.025
12.419
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).
138
466
1986
41.804
176.833
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).
298
306
1500
177.151
133.387
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).
75
529
18000
7
Refusal
8
Do not know
37
1
19
2
4
5
8
EPIDERMOLOGIST'S ASSISTA
GROMADSJKI ROBOTI
KUHONNIY RABOTNIK5
LABORANT
MASAJIST
MED REGISTRATOR ARHIVU
MED STATISTIK
MEDICAL STATISTICIAN
METODIST LFK
NE MEDICHKA SPEC. PLOTNI
POMICHNIK KUHARYA
PRACTICANT IN CLINICAL L
PREPODAVATELJ
PSICHOLOG
Registratlor
STUDENT OF THE 4TH GRADE
VIKLADACH MEDUCHILISH
administrator
ekonomist
epidemiologist's assista
kislorodchik
laborant
reestrator
sekretar
ÏÅÄÀÃÎÃ Ó ÌÅÄÈ×ÍÎÌÓ ÇÀÊË
ñåñòðà-ãîñïîäèíÿ
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?
2852
34500001
35003060
34502111.537
13288.322
Time begin section 1000
Time begin section 1000
Time begin section 1000
Time begin section 1000
Time begin section 1000
2791
07:21
07:44
08:00
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12:00
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17:48
17:49
17:50
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18:00
18:01
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18:51
18:52
18:53
18:55
18:57
18:58
19:00
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19:35
19:40
19:41
19:43
19:45
19:46
19:47
19:50
19:51
19:53
19:55
19:56
19:57
19:58
19:59
20:00
20:05
20:06
20:08
20:10
20:12
20:14
20:15
20:16
20:17
20:18
20:19
20:20
20:21
20:23
20:25
20:30
20:40
20:45
20:50
20:55
21:00
21:03
21:10
21:15
21:17
21:18
21:20
21:25
21:30
21:45
21:46
21:51
22:10
22:22
22:46
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?
2817
1
10:30
2
ARMYNSKI
ASSIRIAN
BELARUSS
BELORUSK
Krimsko-
MOLDAVIA
MOLDAVSK
ROSIJSKA
RUS
RUS2
RUSKIJ
RUSSIAN
RUSSKIJ
RYSKIJ
Roominsk
Rus
Ruskiy
Russian
Russkij
Russkiy
Ryskij
UGORSKA
UKAINSKA
UKR
UKR I RU
UKR.
UKRAINIA
UKRAINSK
UKRANIAN
UKrainia
Ukr
Ukraine
Ukrainia
Ukrainsk
Urkainsk
azerbayj
bel
belorusk
beloruss
gagauzki
gruz
ikr
risiyska
ros
rucckiy
rus
rus ukr
rushen
russian
russion
russkaya
russki
russkij
russkiy
rys
ryski
ryssian
rysskie
rysskiy
syrjik
ukr
ukr rus
ukraicka
ukrain
ukraine
ukrainia
ukrainsk
ukraiska
ykr
ykrainck
ykrainia
ykrainki
ykrainsk
ykranian
ykraynsk
yrrainck
ÐÎѲÉÑÜÊ
ÐÎѲßÍÊÀ
ÐÓÑÑÊÈÉ
Ðóññêèé
ÓÊÐÀ¯ÍÑÜ
ÓÊÐÀÈÍÑÊ
Óêðà¿íñü
Óêðàèíñê
äóáðîâèö
í³ìåöüêà
ðîñ³éñüê
ðóññêèé
óãîðñüêà
óêðà¿íåö
óêðà¿íêà
óêðà¿íñü
óêðàèíêà
óêðàèíñê
óêðàê¿íñ
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.
2850
2
1
Female
2
Male
Sysmiss
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)
2847
5
18
95
47.323
17.763
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)?
38
2814
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?
2740
112
2
188
71.447
15.429
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?
940
1912
8
465
166.163
22.441
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?
1810
1042
60
195
166.769
11.154
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?
1
2851
2
2
2
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?
1
2851
5
5
5
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?
2846
6
1
never married
2
currently married
3
separated
4
divorced
5
widowed
6
cohabiting
Sysmiss
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?
2851
1
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
Sysmiss
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?
2809
43
30
12.164
3.419
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
25
30
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?
2831
3
ARMYANKA
ASSIRIAN
BEL
BELARUSS
BELORUS
BOLGARIN
Belorusk
Beloruss
GRECHANK
GREEK
IVR
JEW
Krimski
MOLDAVIA
MOLDOVA
Moldovan
POLISH
POLKA
Polka
RUS
RUSKIJ
RUSSIAN
RUSSKAJA
RUSSKIJ
RYSKIJ
Rus
Ruskaya
Ruskiy
Russian
Russkaya
Russkiy
TATAR
UGORKA
UKR
UKR.
UKRAINEC
UKRAINIA
UKRAINKA
UKRAINSK
UKRANIAN
UKr
UKrainia
Ukr
Ukr.
Ukrainet
Ukrainia
Ukrainka
Urkainia
YEVREJKA
YKR
Ykraina
Ykrainka
azerbayj
bel
belorus
belorusk
beloruss
bolgarka
evr
evrey
evreyka
gagauzka
grek
gruz
mol
mold
pol
pol.
polak
polka
polyak
ros
rus
rus.
russian
russiy
russkaya
russki
russkij
russkiy
ryskaya
ryskij
rysskay
rysskaya
rysskey
tatarka
tus
uKrainka
uikr
ukR
ukr
ukr.
ukrain
ukraine
ukrainec
ukrainet
ukrainey
ukrainez
ukrainia
ukrainka
ukrainsk
ukrr
ukt
urainec
urk
urkainec
ykr
ykraina
ykrainck
ykrainec
ykrainka
ykrainsk
Á²ËÎÐÓÑÊ
ÏÎËßÊ
ÐÎѲßÍÈÍ
ÐÎѲßÍÊÀ
ÐÓÑÑÊÀß
ÐÓÑÑÊÈÉ
Ðóññêàÿ
Ðóññêèé
ÓÊÐÀ¯ÍÅÖ
ÓÊÐÀ¯ÍÊÀ
ÓÊÐÀ¯ÍÑÜ
ÓÊÐÀÅÍÅÖ
ÓÊÐÀÈÍÅÖ
Óêðà¿íåö
Óêðà¿íêà
Óêðàèíåö
Óêðàèíêà
àññèðèéê
áàøêèðêà
áîëãàðêà
åâðåéêà
í³ìêåíÿ
ðîñ³éñüê
ðîñ³ÿíèí
ðîñ³ÿíêà
ðóññêàÿ
ðóññêèé
óãîðêà
óêðà¿íà
óêðà¿íåö
óêðà¿íêà
óêðà¿íñü
óêðà¿ñüê
óêðàèíåö
óêðàèíêà
óêðàèíñê
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?
2779
73
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?
1464
1388
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?
1348
1504
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
2803
07:22
07:46
08:08
08:15
08:20
08:25
08:29
08:30
08:34
08:35
08:36
08:37
08:40
08:42
08:44
08:45
08:50
08:51
08:52
08:55
08:58
09:00
09:02
09:05
09:06
09:10
09:13
09:14
09:15
09:18
09:20
09:21
09:24
09:25
09:26
09:27
09:28
09:30
09:31
09:32
09:33
09:34
09:35
09:36
09:37
09:38
09:39
09:40
09:41
09:42
09:43
09:44
09:45
09:47
09:48
09:49
09:50
09:51
09:52
09:54
09:55
09:56
09:57
09:58
09:59
10:00
10:03
10:04
10:05
10:06
10:07
10:08
10:09
10:10
10:11
10:12
10:13
10:14
10:15
10:16
10:17
10:18
10:19
10:20
10:22
10:23
10:24
10:25
10:26
10:27
10:28
10:29
10:30
10:31
10:32
10:33
10:34
10:35
10:37
10:38
10:39
10:40
10:42
10:43
10:44
10:45
10:46
10:47
10:48
10:50
10:51
10:52
10:53
10:54
10:55
10:56
10:57
10:58
10:59
11:00
11:03
11:05
11:06
11:07
11:08
11:09
11:10
11:11
11:12
11:13
11:14
11:15
11:16
11:17
11:19
11:20
11:21
11:23
11:24
11:25
11:26
11:27
11:28
11:29
11:30
11:32
11:33
11:34
11:35
11:36
11:37
11:39
11:40
11:41
11:42
11:43
11:44
11:45
11:46
11:47
11:48
11:49
11:50
11:51
11:52
11:55
11:56
11:57
11:58
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12:02
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Time begin section 2000
Time begin section 2000
Time begin section 2000
Time begin section 2000
Time begin section 2000
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22:49
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?
2849
3
1
Very good
2
Good
3
Moderate
4
Bad
5
Very Bad
Sysmiss
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?
2835
17
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
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?
2850
2
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
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?
2816
36
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
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?
2849
3
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
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.)
2845
7
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
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?
2850
2
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
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?
2846
6
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?
2847
5
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
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.)?
2844
8
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
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?
2845
7
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?
2840
12
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?
2766
86
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)?
2685
167
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?
2682
170
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?
2847
5
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?
2842
10
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?
2846
6
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?
2843
9
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Record Set
Record Set
Record Set
Record Set
Record Set
2790
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?
703
2149
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?
701
2151
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?
703
2149
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?
703
2149
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?
703
2149
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?
703
2149
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?
700
2152
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?
701
2151
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?
703
2149
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?
701
2151
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?
699
2153
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?
699
2153
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?
700
2152
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?
698
2154
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?
698
2154
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?
695
2157
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?
696
2156
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?
696
2156
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?
693
2159
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?
691
2161
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?
654
2198
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?
654
2198
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?
652
2200
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?
651
2201
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?
653
2199
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?
652
2200
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?
654
2198
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?
653
2199
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?
653
2199
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?
652
2200
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?
650
2202
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?
651
2201
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?
652
2200
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?
651
2201
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?
646
2206
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?
650
2202
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?
648
2204
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?
647
2205
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?
649
2203
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?
647
2205
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)?
687
2165
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?
683
2169
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?
686
2166
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)?
687
2165
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)?
687
2165
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?
686
2166
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?
685
2167
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)?
683
2169
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?
686
2166
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)?
686
2166
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)?
686
2166
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?
687
2165
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)?
686
2166
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?
685
2167
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?
682
2170
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)?
680
2172
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)?
677
2175
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?
677
2175
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?
662
2190
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)?
651
2201
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?
690
2162
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.)
689
2163
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?
689
2163
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.)?
686
2166
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?
686
2166
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.)
686
2166
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?
684
2168
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.)?
684
2168
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?
685
2167
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.)?
683
2169
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?
685
2167
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.)?
685
2167
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?
682
2170
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.)
682
2170
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?
681
2171
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.)?
675
2177
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?
474
2378
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.)
474
2378
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?
472
2380
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.)
471
2381
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
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Time begin section 3000
Time begin section 3000
Time begin section 3000
Time begin section 3000
Time begin section 3000
2792
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HSV Set code
HSV Set code
HSV Set code
HSV Set code
HSV Set code
2823
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?
1404
1448
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?
1400
1452
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?
1398
1454
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?
1401
1451
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?
1401
1451
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?
1395
1457
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?
1402
1450
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?
1404
1448
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)?
1403
1449
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?
1403
1449
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?
1401
1451
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?
1401
1451
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?
1400
1452
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?
1402
1450
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?
1402
1450
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)
1401
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
1398
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
1398
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
1398
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)
1399
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?
1395
1457
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?
1395
1457
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?
1387
1465
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?
1390
1462
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?
1391
1461
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?
1388
1464
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?
1391
1461
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?
1389
1463
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?
1386
1466
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?
1384
1468
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?
1385
1467
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?
1380
1472
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?
1389
1463
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?
1386
1466
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?
1384
1468
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)
1394
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
1391
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
1392
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
1391
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)
1393
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
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Time begin section 4000
Time begin section 4000
Time begin section 4000
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Time begin section 4000
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21:00
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21:46
21:50
21:55
22:11
22:15
22:25
22:45
22:47
22:59
Currently smoke
Currently smoke
Currently smoke
Currently smoke
Currently smoke
Do you currently smoke any tobacco products such as cigarettes, cigars, or pipes?
2840
12
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?
489
2363
70
17.685
13.303
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?
553
2299
110
14.675
9.815
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?
174
2678
20
0.374
2.332
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?
168
2684
20
0.137
1.551
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)
144
2708
1
0.0347
0.184
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.)?
2801
51
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?
1416
1436
21
0.591
1.831
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?
1431
1421
20
0.549
1.664
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?
1424
1428
50
0.567
2.052
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?
1422
1430
26
0.579
1.866
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?
1454
1398
40
0.807
2.333
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?
1591
1261
50
1.257
2.724
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?
1541
1311
30
1.222
2.654
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?
2729
123
35
2.606
2.833
1
2
3
4
5
6
7
8
9
10
12
14
15
16
17
18
19
20
23
25
30
35
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?
2736
116
25
2.864
2.403
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
20
21
25
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?
2339
513
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)
1234
1618
20
3.096
2.885
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)
558
2294
59
16.396
15.174
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?
2521
331
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)
2186
666
20
3.786
2.941
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)
828
2024
59
15.405
15.594
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?
2616
236
7
6.347
1.641
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)
2492
360
20
4.464
3.674
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)
1052
1800
59
17.544
15.925
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?
2815
37
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?
2724
128
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?
2763
89
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
Sysmiss
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?
746
2106
1
4
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?
750
2102
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?
2826
26
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?
2666
186
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?
2767
85
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 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?
224
2628
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?
286
2566
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?
2827
25
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?
2142
710
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?
599
2253
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
2803
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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.
927
1925
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
2442
410
400
401
402
403
404
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:
2715
137
1
14
2.608
1.741
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:
1304
1548
1
20
1.86
1.555
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:
1259
1593
1
10
1.607
1.186
Time begin section 6000
Time begin section 6000
Time begin section 6000
Time begin section 6000
Time begin section 6000
2793
08:12
08:30
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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)?
2794
58
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)?
2786
66
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?
2781
71
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?
2826
26
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?
2797
55
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?
991
1861
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?
983
1869
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?
2814
38
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?
1354
1498
1
30
13.59
11.516
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)?
2787
65
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)?
2790
62
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?
2801
51
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?
2660
192
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.
2782
70
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?
732
2120
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?
682
2170
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?
497
2355
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?
188
2664
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?
180
2672
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?
135
2717
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)?
2823
29
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)?
2807
45
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?
2810
42
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?
2815
37
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?
2808
44
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?
2820
32
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?
2812
40
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?
2813
39
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?
2801
51
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)
2793
59
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?
2801
51
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?
2776
76
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?
2764
88
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?
2784
68
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?
1925
927
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?
1922
930
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?
1925
927
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?
1923
929
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?
2814
38
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)
2806
46
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?
2812
40
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?
2799
53
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?
2788
64
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.
2787
65
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?
2800
52
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)?
2821
31
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)
2817
35
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?
2815
37
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?
2809
43
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?
2837
15
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?
2829
23
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?
2830
22
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?
2797
55
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?
2282
570
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.
190
2662
11
12
11.895
0.308
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.
234
2618
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.
56
2796
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.
74
2778
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.
18
2834
11
12
11.889
0.323
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.
30
2822
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.
175
2677
21
23
21.366
0.6
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.
297
2555
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.
97
2755
21
22
23
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.
160
2692
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.
21
2831
21
23
22.238
0.831
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.
52
2800
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.
37
2815
31
32
33
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.
40
2812
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.
14
2838
31
32
33
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.
19
2833
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.
4
2848
32
33
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.
9
2843
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.
16
2836
41
43
44
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.
22
2830
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.
8
2844
42
43
44
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.
10
2842
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.
4
2848
41
44
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.
7
2845
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
2849
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.
5
2847
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.
2852
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
2850
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.
2852
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
2850
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.
2
2850
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
2847
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.
2
2850
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.
4
2848
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.
2
2850
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.
4
2848
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.
2852
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
2849
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.
2852
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
2849
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.
2852
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
2849
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.
35
2817
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.
43
2809
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.
10
2842
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.
14
2838
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.
4
2848
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.
7
2845
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.
858
1994
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.
800
2052
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.
378
2474
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.
356
2496
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.
205
2647
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.
188
2664
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
1472
1380
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
1187
1665
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
894
1958
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.
216
2636
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.
146
2706
60
18.356
10.515
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.
190
2662
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.
189
2663
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.
189
2663
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.
187
2665
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.
121
2731
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.
118
2734
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.
88
2764
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.
87
2765
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.
176
2676
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.
161
2691
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.
20
2832
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.
8
2844
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.
9
2843
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.
17
2835
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.
8
2844
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.
6
2846
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.
193
2659
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.
189
2663
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.
318
.
07/1997
1
3
5
AL'BINA
ALEKSANDR
ALEKSANDRA
ANASTASIYA
ANATOLIY
ANDREI
ANDREY
ANDRIY
ANJELIKA
ANNA
ANTON
ARTEM
Aleksandra
Aleksey
Alexandr
Alina
Aliona
Alisa
Alla
Anastasia
Anastasiya
Andrey
Anjella
Anna
Anton
BOGDAN
Bogdan
DANIL
DANNA
DAR'YA
DARJA
DASHA
DENIS
DIMA
DMITRIJ
DMITRIY
DMITRO
DMYTRO
Daniil
Danil
Darina
Darya
Dasha
Denis
Diana
Dima
Dmitriy
Dmitro
EKATERINA
EMIL' AFIZ-OHLY
EVGENIJA
Ekaterina
Elena
Elvira
Evgeniy
GEORGIJ
GHANNA
Georgiy
Gleb
HANNA
HRYSTYNA
IGOR
ILLYA
IRA
IRYNA
IVAN
Illa
Illya
Inna
Ira
Irina
Ivan
JANNA
JENJA
KARINA
KATERINA
KATERYNA
KATYA
KSENIYA
Katerina
Katya
Kiril
Kol'a
Kristina
Kseniya
LUDMILA
LYUDMYLA
Lena
Lera
Lescha
Lisa
MAKSIM
MARAT
MARIJA.
MARIYA
MARJANA
MASHA
MIKOLA
MYHAYLO
MYKYTA
Maksim
Marichka
Marta
Mascha
Masha
Maxim
Maya
Mila
NADINA
NASTUNJA
NATALIYA
NAZAR
NAZAR tANASUK
NIKITA
NIKOL'
Nadya
Nastya
Nataliya
Natalya
OKSANA
OLEKSANDR
OLEKSANDRA
OLENA
Oleg
Oleksa
Oleksandr
Olga
Olya
Orest
ROMAN
ROSTISLAV
RUSLAN
Rita
Roman
Ruslan
SAMIRA
SERGEY
SERGHIY
Sasha
Sergey
Sofiya.
Stanislav
TATJANA
TETYANA
TIMUR
Tamila
Taras
Tatyana
Taya
Ulana
VALENTIN
VALERIJA
VASILJ
VERONIKA
VIKA
VIKTORIYA
VIOLA
VITALIG
VITALIJ
VLADA
VLADYSLAV
Vadim
Veronika
Vlad
Vlada
Vladimir
Vladislav
Vladislava
Waleriya
YELIZAVETA
YLIYA
YLJA
YRIJ
YRIY
YULIYA
YURIY
Yana
Yaroslav
Yulia
ZLATA
iGOR
mARIAN
yayna
ªÂÃÅÍ
²ËÎÍÀ
²ÐÈÍÀ
²âàí
²ãîð
²ííà
ÀÍÄвÉ
ÀÍÍÀ
Àëëà
Àííà
ÁÎÃÄÀÍ
Áîãäàí
ÂËÀÄÈÑËÀÂÀ
Âèêòîðèÿ
Âëàäèñëàâ
Âîëîäèìèð
ÄÀÍÈËÎ
Äàíè¿ë
Äìèòðî
Åâãåíèé
Åâãåíèÿ
Åð³ê
ÊÀÒÅÐÈÍÀ
Êàòåðèíà
˲ÄÀ
Ëåñÿ
Ìàêñèì
ÍÀÇÀÐ
ÎËÅÊÑÀÍÄÐ
Îëåêñàíäð
Ðîìàí
ÞвÉ
Þë³ÿ
Þð³é
Þðèé
ßÐÈÍÀ
îëåã
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.
301
2551
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.
288
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
02/1998
02/1999
02/2000
02/2001
02/2002
02/2003
03/1997
03/1998
03/1999
03/2000
03/2001
03/2002
03/2003
04/1999
04/2000
04/2001
04/2002
04/2003
05/1998
05/1999
05/2000
05/2001
05/2002
05/2003
06/1997
06/1998
06/1999
06/2000
06/2001
06/2002
06/2003
07/1997
07/1998
07/1999
07/2000
07/2001
07/2002
07/2003
08/1998
08/1999
08/2000
08/2001
08/2002
08/2003
09/1998
09/1999
09/2000
09/2001
09/2002
10/1998
10/1999
10/2000
10/2001
10/2002
10/2003
11/1998
11/1999
11/2000
11/2001
11/2002
12/1998
12/1999
12/2000
12/2001
12/2002
12/2003
relationship
relationship
relationship
relationship
relationship
What is your relationship with this child?
Questions to be asked to households with children under 5 years.
294
2558
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.
271
2581
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.
36
01/02/2002
01/02/2003
01/04/2003
01/11/2002
01/12/2001
03/04/2000
03/05/2001
04/03/2003
04/04/0004
04/04/004
04/05/2002
05/09/1999
05/12/2000
07/06/2001
14/04/2000
14/06/1999
18/05/2000
19/01/2001
20/01/1999
20/10/2000
20/12/2002
21/02/2001
21/05/2002
29/10/1999
29/11/1999
5/05/2003
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.
32
01/04/2003
01/05/2002
01/12/2002
04/04/0004
04/04/004
05/01/2000
05/05/2000
05/12/2002
10/07/2001
11/05/2000
14/06/2001
14/07/1999
18/05/2000
20/01/2002
20/02/1999
20/06/2000
20/06/2003
20/10/1999
21/02/2001
21/03/2001
21/05/2002
22/11/2000
30/11/1999
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.
29
01/02/2003
01/07/2002
02/12/1999
04/04/0004
04/04/004
05/04/2000
07/12/1999
08/02/2000
09/01/2003
10/08/2001
13/08/2001
14/05/2001
16/08/1999
20/02/2002
20/06/2000
21/03/2001
21/12/2000
22/06/2002
22/08/2001
23/06/200
29/07/2000
30/12/1999
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.
28
01/01/2002
02/10/1999
04/04/0004
04/04/004
05/03/2002
11/10/2001
13/06/2000
14/07/2003
15/12/2000
17/02/2000
19/04/2002
24/02/2003
24/10/2000
25/01/2000
25/10/2001
28/02/2003
28/08/2000
29/11/2001
6/04/2001
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.
110
2742
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.
39
2813
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.
6
2846
1
3
1.667
0.816
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.
28
2824
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.
46
2806
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.
47
2805
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.
23
2829
1
3
2.174
0.984
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.
42
2810
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.
207
2645
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.
12
2840
1
3
1.583
0.9
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.
259
2593
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.
165
2687
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.
167
2685
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.
155
2697
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.
158
2694
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.
150
2702
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.
152
2700
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.
152
2700
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.
149
2703
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.
124
2728
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.
32
1
5
ACHE IN THROAT
COLD
NASMORK
NASMORK, TEMPERATURA
NEJITJ
OSTEOMELIT LEVOGO TAZOBEDRENOGO SUSTAV
OTECHNOST DESEN
POCHALA ZAIKATISJ
RHINITE
SILJNAYA DIAREYA
STOMATIT
Slabkist,pidvichenna acetony v krovi
angina
diathesis
herpes
nasmork
prostuda
vospalennie gleza
ÇÀÏÎÐ
áîë³ëî ãîðëî
çàêðåïè
òåìïåðàòóðà, íåäîìîãàíèå, áîëü â æåëóä
óäàëÿëè ïîëèïè â íîñ³
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.
177
2675
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.
180
2672
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.
181
2671
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.
151
2701
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.
29
1
2
AT HOME
DOMA
NA DOMU (BIZOV VRACHA)
NA DOMU, VIZIVALI VRAC
at home
doma
home visit
lechili sami
na domu
 ÄÎÌÅ
ØÂÈÄÊÀ ÄÎÏÎÌÎÃÀ
âäîìà, ìàìà ïåä³àòð
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.
139
2713
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.
140
2712
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.
13
2839
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.
2852
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.
2852
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.
2852
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.
2852
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.
2
2850
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
2851
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.
2852
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.
2852
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.
2852
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.
2852
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.
1463
1389
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)?
1490
1362
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?
912
1940
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?
1203
1649
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?
265
2587
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?
388
2464
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?
1359
1493
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?
1285
1567
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?
1216
1636
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?
1233
1619
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?
143
2709
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.
1154
1698
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?
283
2569
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.
713
2139
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.
499
2353
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.
200
2652
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.
734
2118
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.
721
2131
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?
2718
134
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?
1414
1438
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.
907
1945
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.
936
1916
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.
909
1943
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.
887
1965
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.
1210
1642
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?
53
1
5
plomba
Áîþñü ë³êóâàòèñü
ïàðîäîíòîëîã
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?
2683
169
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?
2773
79
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?
42
2810
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?
41
2811
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?
23
2829
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)?
19
2833
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?
21
2831
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?
2769
83
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?
227
2625
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?
236
2616
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?
116
2736
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)?
104
2748
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?
112
2740
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
Time end section 6000
Time end section 6000
Time end section 6000
2791
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Time begin section 7000
Time begin section 7000
Time begin section 7000
Time begin section 7000
Time begin section 7000
2786
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22:35
22:58
23:10
23:23
23:25
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
2833
19
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
2261
591
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?
2014
838
88
1.76
2.666
1
2
3
4
5
6
7
8
9
10
11
12
15
16
19
30
88
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
2546
306
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
2529
323
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.
111
2741
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.
100
2752
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.
99
2753
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.
102
2750
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.
103
2749
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.
99
2753
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.
101
2751
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.
99
2753
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.
102
2750
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.
96
2756
1
Yes
5
No
Sysmiss
Other
Other
Other
Other
Other
Which reasons best explain why you [your child] did not get
health care? Other.
94
2758
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
2404
448
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
2395
457
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
1940
912
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
635
2217
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?
2767
85
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.
2780
72
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
2805
47
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.
511
2341
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.
533
2319
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.
539
2313
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.
504
2348
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.
514
2338
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?
1565
1287
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?
818
2034
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?
805
2047
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?
783
2069
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
2819
33
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
2817
35
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
2818
34
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
2815
37
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
2807
45
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
2821
31
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
2822
30
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
2814
38
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?
2791
61
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)?
1788
1064
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?
110
2742
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?
82
01/1991
01/1995
01/2000
01/2001
01/2003
02/1994
02/1995
02/1998
02/1999
02/2000
02/2002
03/1990
03/1991
03/1998
03/2001
04/1992
04/1993
04/1995
04/1997
04/2001
04/2003
05/1990
05/1992
05/1997
05/1998
05/2001
05/2002
06/1991
06/1994
06/1996
06/1997
06/2000
06/2002
07/1992
07/1996
07/1997
07/1999
07/2001
07/2002
08/1993
08/1994
08/1999
08/2000
08/2001
08/2003
09/1991
09/1992
09/1995
09/1996
09/2000
09/2002
10/1990
10/1992
10/1998
10/2001
11/1992
11/1993
11/1994
11/1995
11/1996
11/2000
12/1990
12/1996
12/2000
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?
1840
1012
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)?
920
1932
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?
85
2767
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?
73
01/1991
01/1992
01/1993
01/1997
01/1998
01/2000
01/2001
01/2002
02/1994
02/2000
02/2002
03/1995
03/1996
03/2000
03/2001
03/2003
04/1990
04/1992
04/1993
04/1994
04/1995
04/1997
04/2001
05/1993
05/1996
05/1997
05/1998
06/1991
06/1994
06/1997
06/2000
07/1996
07/1997
07/1999
07/2000
08/1992
08/1997
08/1998
08/2000
08/2001
08/2002
09/1991
09/1996
09/2000
10/1992
11/1992
11/1998
12/1991
12/1992
12/1995
12/1996
12/1999
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?
1007
"Vizit na domy"
#16
''OHMADET'' G. KIEV
1
1 Gorbolnica
1-OYE POLIKLINICHESKOYE OTDELENIYE BOLNITSAY
1-YE POLIKLINICHESKOYE OTDELYENIYE
1-poliklinicheskoye otdeleniye
1-ya gorbolniza
10-YA GOR. BOLJNICA
16
16 GOR BOLNICA
16 GOR. BOLNICA
18 poliklinika
18 Poliklinika
18 klinicheskaya bolnisa
18 poliklinika
1ST MUNICIPAL HOSPITAL
2
2 detskaya bolniza
2 gorbolnica
2 gorodskaya poliklinika
2-AYA GORODSKAYA BOLNITSA
2-AYA STOMATOLOGIYA
2-YA GPOR. BOLJNNICA
2-aya Gorodskaya bolnitsa
24 detskaya bolniza
25 bolniza
3 DETSKAYA BOLNICA
4
4 BOLNICA
4 BPLNICA
4 POLIKLINIKA
4 POLIKLINIKA VIZIT NA DOMU
4-YA POLIKLINIKA
5
5 stomatologicheskaya poliklinika
5-ya stomatologicheskaya poliklinika
6 POL
6-YA GOR POLIKLINIKA
6-YA GORODSKAYA POLIKLINIKA
6-aya Gorodskaya poliklinika
6POL
6aya gorodskaya policlinika
6aya gorodskaya policlinika g Simferopol
7_aya Gorodskaya bolnitsa
8
888
9 poliklinika
9-ya gorbolniza
ADASTRA
ALEKSANDRIJSKAYA GOGORODSKAYA POLIKLINIKA
AMBULATORIA
AMBULATORIJA
AMBULATORIYA S. VIYTIVCI
ANDREEVSKAYA GOR. BOLNICA
ANDRUSHOVKA POLIKLENIKA
ANDRYSHOBKA POLIKLINIKA CRB
APTEKA
AVDEEVSKAJA GOR BOLNICA
AVDEEVSKAJA GORODSKAJA BOLNICA
AVDEEVSKAYA GOR BOLNICA
AVDEEVSKAYA GORODSKAYA BOLNICA
Ambulance
Ambulatoria
Ambulatoriya
Ambulatoriya semeynih vrachey
Avdeevskaya gorodskaya bolnitsa
BABIES' HOSPITAL
BALAKLEJSKAJA POLIKLINIKA
BOLNICA
BOLNICA #1
BOLNICA N18
BOLNICA ¹4
BSMP
Balakleysnaia poliklinika
Belogorodskaya poliklinika
Bilogorodskaya policlinika
Bilogorodskaya poliklinika
Bolnica #1
Bolnica N1
Bolnica im Lenina
C G p#2
CENTRAL COUNTY HOSPITAL
CENTRAL HOSPITAL OF THE DICTRICT (BAKHCHYSARAY)
CENTRALJNA RAYONNA POLIKLINIKA M. SVALYAVA
CGB
CGB#1
CGP
CGR
CHASNAYA STOMAT. KABINET
CHASTNAYA STOMAT. KABINET
CHASTNIJ STOMAT. KABINET
CHASTNIJ STOMATOLOG
CHERNIHIV REGIONAL CENTER OF CARDIOLOGY
CHERNIVTSI REGIONAL DENTAL HOSPITAL
CHERNIVTSI REGIONAL HOSPITAL
CONSULTATION FOR WOMEN #3
COUNTY HOSPITAL
COUNTY POLICLINIC
CRB
CRB ANDRUSHOVKA POLIKLINIKA
CRB BAHCHISARAJA
CRB N1
CRB N17
CRL
CRP
CRP Dneprovskogo paiona
Center of Family Medicine
Central City`s hospital (im/ Lenina) 1 hospital
Central Distict Policlinic
Central District Hospital
Central District Policlinic
Central District Policlinica
Central Poliklinik
Central city`s hospital
Central city`s poliklinics
Central district policlinic
Centralna Rayonna Klinichna Likarna
Centralnai rajonnai bolnica
Centralnaia raionnaia poliklinika Dneprovskogo rai.
Centralnaya rayonnaya poliklinika
Charkovskaya oblastnaya stomatologicheskaya poliklin
Cherkaska miska ditacha poliklinika,................
City`s poliklinicks
City`s poliklinicks 2
Cukurskay poliklinika
Cukurskaya polikliika
Cukurskaya poliklinika
DENTAL CENTER "MEDIKUS"
DENTAL DEPARTMENT OF PISCHANKA HOSPITAL
DENTAL HOSPITAL
DENTAL OFFICE "KOSMOS"
DENTAL SECTION OF HOSPITAL
DET. GOR. POLIKL. ¹3
DETSKAJA POLIKLINIKA
DETSKAYA GOR. BOLNICA1
DETSKAYA POLIKLINIKA
DETSKAYA POLIKLINIKA #1
DETSKAYA POLIKLINIKA ¹3
DETSKAYA POOLIKLENIKA
DETSKSAJA POLIKLINIKA
DIKANSKA RAJONNA LIKARNJA
DIKANSKA RAJONNA POLIKLINIKA
DISTRICT HOSPITAL
DITJACHA POLIIKLINIKA
DITYACHA OBLASNA POLIKLINIKA
DROGHOBYCH COUNTY HOSPITAL IN THE VILLAGE OF GHRUSHI
DROGHOBYCH COUNTY HOSPITAL IN THE VILLAGE OG GHRUSHI
DROGHOBYCH REGIONAL HOSPITAL
DROGHOBYVH REGIONAL HOSPITAL
DROGHOBYVH VOUNTY HOSPITAL
DROGOBICJKA OBLASNA LIKARNYA
DROGOBICJKA RAYONNA LIKARNYA
DROGOBICJKA RAYONNA POLIKLINIKA #3
DUKANSKA RAJONNA POLIKLINIKA
DYTYACHA POLIKLINIKA
DYVITYN
Dikanska raionna poliklinika
Dikanska raipoliklinika
Dilnicha likarnya
District Policlinic
District policlinic
Ditacha poliklinika
Dryga gorodskaia poliklinika
Dubrovizkaya ZRB (detskaya konsultaziya)
FIRMA vitadont
Family Medicine Center
Firma Midekt
Fryga gorodskaia poliklinika
G. HARCIZK, POLIKLINIKA UL. PATONA
G/B #17
GB ¹7, P-KA 1
GCP
GHRUNIV MEDICAL OFFICE
GIP
GOR BOLJNICA
GOR POLIKLINIKA
GOR STOMATOLOGIJA
GOR. BOLJNICA
GOR. BOLNICA
GOR. BOLNICA #2
GOR. BOLNICA #3
GOR. BOLNICA N2
GOR. POLIKLENIKA
GOR. POLIKLINIOKA
GORBOLJNICA SKORAYA POMOSHJ
GORBOLNICA #2
GORBOLNICA #5
GORBOLNITSA
GORBOLNITSA #6
GORBOLNITSA 1
GORODSKAJA POLIKLINIKA
GORODSKAYA BOLNICA
GORODSKAYA BOLNICA #29
GORODSKAYA STOMOTOLOGICHESKAYA POLIKLINIKA
GORODSKAYA.
GORPOLIKLINIKA
GZB
GZP
Galicka lichnica
Galicka lichnicia
Gorbolnica
Gorbolnica N1
Gorbolniza
Gorodska bolnica #2
Gorodska poliklinika N3
Gorodskai poliklinika #2
Gorodskaia bolnica
Gorodskaia bolnica #2
Gorodskaia bolnica #6
Gorodskaya bolnitsa
Gorodskaya bolnitsa #7
Gorodskaya stomatologicheskaya poliklinika
Gorodskaya tsentralnaya bolnitsa
Gosudarstvennoe
HARJKOVSKAYA OBL STOMOTOL. POLIKLINIKA
HARJKOVSKAYA OBL. STOMOTOL. POLIKLINIKA
HARJKOVSKAYA OBL. STOMOTOLOG.POLIKLINIKA
HARJKOVSKAYA OBL. STOMOTOLOGICHESKAYA POLIKLINIKA
HCP '' LEKARJ''
HOME VISIT
HOME VISIT OF A DOCTOR FROM COUNTY HOSPITAL
HOSPITAL
HOSPITAL OF THE 8TH OF MARCH; THE 5TH MUNICIPAL HOSP
HospiTall number 4
INSTITUTE
JELEZNODOROJNAUA POLIKLENIKA
Jeleznodorojnaya bolnica OCKB
KIEV BOLNICA N1
KLINICHNA LIKARNYA #9
KONETSPOL AMBULATORIYA
KONSULJTACIJNO -LIKUVALNIJ CENTR DESNA
KORSUN-SHEVCHENKOVSKIAYA RAJONNAYA POLIKLINIKA
KOZHVEN DISPANSER
KRAKIVSJKA AMBULATORIYA
KRASIVSJKA AMBULATORIYA
KRASIVSKA AMBULATORIA
KRASIVSKA AMBULATORNA POLIKLINIKA
KRASNODANSKAY RCB
KVD OBLASNOY NA UL. KARLA MARKSA
Kelmenetska rayonna likarnya
Kiivske pol. viddilenna #9
Kiselevskay poliklinika
Kiselevskaya Poliklinika
Kiselevskaya vrachebnaya ambulatoria
Klinika doctora Chugaya
Konotopskaya gelesnodorognaya bolniza
Koreizskaya bolnitsa
Korizskaya poliklinika
Korsun - Schevchenkovskaya poliklinika
Krasivska ambulatoria
Krasivska dmbolatoria
Krasnodoneckaya RCB
Krasnodonskaya Centralnaya Rayonnaya bolnica
Krasnodonskaya ZRB
Krasnoyarskaya CRB
Krasovskaya ambulatoriya
LIKARNYA MISJKA #3
LIKARSKA AMBULATORIJA
LUCJKA MISJKA DITYACA POLIKLINIKA
Ladanskaya Selskaya bolniza
Likarnya
Local Policlinic
Local Policlinics
Lozovatska UL
Lyganskaya oblasnaya bolnica
MEDICAL CENTER OF HERBAL THERAPY
MEDICAL OFFICE
MEDSANCHAST POLIKLINIKA
MESTNAYA BOLJNICA POS. LADAN
MICROSURGERY OF EYE
MIRGORODSKAYA POLIKLINIKA
MISJKA LIKARNYA
MISJKA CENTR. LIKARNYA
MISJKA LIKARNYA
MISJKA LIKARNYA #3
MISJKA LIKARNYA M.PRILUKI
MISJKA POLIKLINIKA
MISJKA POLIKLINIKA #5
MISKA
MISKA LIKARNJA
MSO - 56
MUNICIPAL HOSPITAL
MUNICIPAL POLICLINIC
MUNIICIPAL DENTAL HOSPITAL
Medgorodok
Medizinskiy zentr g. Kiev
Miska Likarnia #1
Miska likarnya
Miska likarnya 4
Miska policlinika
Miska poliklinika
NE POSESHAL. POLUCHIL LECHENIE U CHASNIKA
NURSING HOSPITAL
NURSING HOSPITAL #2 OF DNIPROPETROVS'K
NURSING OFFICE
Na domu
Nikolaevskaya oblastnaya bolnitza
Nikolaevskaya poliklinika
OBL. LIKARNYA
OBLASNAJA BOLNICA
OBLASNAYA CTOMATOLOGICHESKAYA POLIKLINIKA
OBLASNAYA STOMOTOLOG. POLIKLINIKAS
OBLASNAYA STOMOTTOLOGICHESKSYS POLIKLINIKA1
OCHKP
OCHP
OCKB
OChKP
OKZB
OZKB
OZKP
Oblasna likarna
Oblasnaia bolnica stomatologii
Oblastnaya bolniza
Oblastnaya bolniza s. Stanischevka
Odessa oblastnaya hospital
Odessa stomatology policlinic for railway workers
Oftalmologicheskiy tsentr
Onkodispanser g. Sumi
P-A #1 DESNYANSKOGO R-NA
PERVOMAYSKAYA BOLNITSA
PISCHANKA MEDICAL CENTER
PISHCHANKA MEDICAL OFFICE
PJLIKLINIKA N18
PODVIRIVS'KA LOCAL AMBULANCE
POLICLINIC
POLICLINIC FOR CHILDREN
POLICLINICA
POLICLINICA 5
POLICLINIKA
POLIKLENIKA ANDRUSHEVKA CFB
POLIKLENIKA PO UL. SIMONENKO
POLIKLINI9KA N6
POLIKLINIKA
POLIKLINIKA #1
POLIKLINIKA #1 DESNYANSKOGO R-NA
POLIKLINIKA #1 DOSTYANSJKOGO R-NU
POLIKLINIKA #2
POLIKLINIKA #4
POLIKLINIKA #5
POLIKLINIKA 1 MISJKA LIKARNJA
POLIKLINIKA N1
POLIKLINIKA N18
POLIKLINIKA N2
POLIKLINIKA N2, OBL BOLNICA, TRAVMOTOLOGIJA
POLIKLINIKA N3
POLIKLINIKA N5
POLIKLINIKA N6
POLIKLINIKA N7
POLIKLINIKA N9
POLIKLINIKA NA VIGOVSJKOGO
POLIKLINIKA NOMER 18
POLIKLINIKA PO VUL. SIMONEJKA
POLIKLINIKA PO VUL. VIGOVSJKOGO
POLIKLINIKA PO VULICI VIGOVSJKOGO
POLIKLINIKA RAJONNAJA
POLIKLINIKA VIZIT NA DOMU
POLIKLINIKA ZHELEZNODOROZHNIKOV
POLIKLINIKA ¹1
POLIKLINIKA#5
POLIKLINIKAN5
POLIKLINIKLA N2
POLIKLINOKA N5
POLTAVSKAYA GOR. BOLNICA#3
POOLIKLINIKA
POliklinika
PRIVATE CLINIC
PRIVATE DENTAL OFFICE
PRIVATE DENTAL SERVICE
PRIVATE MASSAGIST
PRIVATNIY STOMOTOL. KABINRT
Podvorskaya selskaya ambulatoriya (pomosch na domu)
Policlinica 2
Policlinika
Poliklinics2
Poliklinika
Poliklinika #6, Odesa
Poliklinika #7
Poliklinika 6
Poliklinika Poltavskogo tamponajnogo ypravlinna
Poliklinika TMO Kahovka
Poliklinika detskoy bolnizi 1
Poliklinika-6
Privat Dental Clinic
Privat policlinic
RAJONNA LIKARNJA
RAJONNA POLIKLINIKA
RAJONNAJA BOLJNICA
RAJONNAJA POLIKLINIKA
RAQJANNA POLIKLINIKA
RAYONNA LIKARNYA
RAYONNAYA AMBULATORIYA V S. FESKI
RAYONNAYA BOLNICA
RAYONNAYA POLIKLENIKA
REGIONAL DENTAL HOSPITAL
RODDOM N2
RYKOV'S POLICLINIC
Raiona likarna
Raionnaya bolniza
Raionnaya poliklinika
Rajonaia poliklinika
Rajonnaya Bolnitsa
Rajonnaya bolnitsa
Rayonnaya poliklinika
Razdelnaya CRB
Razdelnaya railway policlinic
Razdelnaya rayonnaya policlinica
Rovenskaya gorodskaya detskaya bolniza 1
SECOND TOWN HOSPITAL
SELISHNA LADAJSJKA LIKARNYA
SELISHNA LIKARNYA
SELJSKAJA AMBULATORIJA
SHARGHOROD COUNTY HOSPITAL
SHARGHOROD STOMATOLOGY POLICLINIC
SHVIDKA DOPOMOGA MISJKOY LIKARNI
SKORAYA POMOSH CRB ANDRUSHOVKA
ST. CHORTORIYSJKA LIKARNYA
STAROBELJSKAYA DETSKAYA RAYONNAYA POLIKLENIKA
STOMAATOLOG. POLIKLINIKA
STOMAT KABINET
STOMAT KLINIKA PRIVATNA
STOMAT. KABINET
STOMATOLOGICHESKAYA POLIKLINIKA
STOMATOLOGICHESKIY KABINET
STOMATOLOGICHESKOE OTDELENIE GOR BOLNICI N1
STOMATOLOGICHNA POLIKLINIKA
STOMATOLOGY OFFICE
STOMATOLOGY OFFICE AT THE 16TH HOSPITAL FOR CHILDREN
STOMATOLOGY POLICLINIC ON THE STREET OF 60 YEARS OF
STOMOTOLOG. POLIKLINIKA
STOMOTOLOGICHESKAYA
STOMOTOLOGICHESKAYA KLINIKA 'DENTCHELP'
SVALJAVSKA MISKA LIKARNJA
SVALJAVSKA MISKA POLIKLINIKA
SVALYAVA HOSPITAL
Salon ''Zdorovya'
Samolechenie
Schargorodskaya raionnaya bolniza
Shargorodskaya stomatologicheskaya poliklinika
Shvidka dopomoga
Silska ambolatoria.
Skoraya pomosch
Solomenskaya rayonnaya stomatologiya
Srtanislavskaya bolnica
Starebelskaya detskaya poliklinika
Starobelskaya raionnaya poliklinika
Starokotelnyanskaya bolniza
Starokotelnyanskaya uchastkovaya bolniza
Stomatological Policlnic
Stomatologicheskay klinika
Stomatologicheskaya klinika
Stomatologicheskaya policlinika
Stomatologicheskaya poliklinika
Stomatologicheskaya poliklinika Minoborony
Stomatologicheskiy kabinet
Stomatologichna policlinika
Stomatologichna poliklinika
Stomatology
Stomatpoliklinika
Suprunivska ambulatoria
Suprunovskaya ambulatoriya
Syprynivska ambylatoria
TERNOPILJKA POLIKLINIKA
THE 16TH HOSPITAL
THE 16TH MUNICIPAL HOSPITAL
THE 1ST HOSPITAL FOR CHILDREN
THE 1ST MUNICIPAL HOSPITAL
THE 2ND DENTAL HOSPITAL
THE 2ND MUNICIPAL HOSPITAL
THE 3RD HOSPITAL FOR CHILDREN
THE 6TH MUNICIPAL HOSPITAL
THE 8TH MUNICIPAL HOSPITAL
THE 8TH MUNICIPAL HOSPITAL (TRAUMATOLOGICAL DEPARTME
THE 8TH OF MARCH HOSPITAL; STUDENTS' HOSPITAL; MEDIC
THE 9TH POLICLINIC
THE CENTRAL COUNTY HOSPITAL
THE CENTRAL COUNTY POLICLINIC
THE CENTRAL HOSPITAL OF KIUSHANKA COUNTY
THE CENTRAL HOSPITAL OF KRASNOHRADS'K COUNTY
THE CENTRAL HOSPITAL OF SVALYAVA COUNTY
THE CENTRAL HOSPITAL OF THE BAKHCHYSARAY DISTRICT
THE CENTRAL HOSPITAL OF THE COUNTY
THE CENTRAL HOSPITAL OF VELYKI BIRKY COUNTY
THE CENTRAL MUNICIPAL HOSPITAL
THE CENTRAL MUNICIPAL HOSPITAL #1
THE CENTRAL STOMATOLOGY POLICLINIC OF CHERNIVTSI REG
THE COUNTY POLICLINIC
THE HOSPITAL "PIVNICHNA"
THE HOSPITAL #16
THE HOSPITAL #1; THE 16TH MUNICIPAL HOSPITAL
THE HOSPITAL OF KAREIZ
THE HOSPITAL OF KOREIZ
THE HOSPITAL OF STARA KOTEL'NYA
THE HOSPITAL OF THE DISTRICT
THE HOSPITAL OF THE GOVERNMENTAL AGENCY #11
THE MEDICAL OFFICE IN PISHCHANKA
THE MUNICIPAL HOSPITAL #17
THE MUNICIPAL HOSPITAL #2
THE MUNICIPAL HOSPITAL FOR CHILDREN
THE MUNICIPAL HOSPITAL IN THE TOWN OF LADAN
THE MUNICIPAL POLICLINIC FOR CHILDREN
THE MUNICIPAL POLICLINIC OF LUZHANS'K
THE MUNICIPAL POLICLINIC ON THE SYMONENKO STREET
THE MUNICIPAL STOMATOLOGY HOSPITAL
THE MUNICIPAL STOMATOLOGY POLICLINIC
THE POLICLINIC #10
THE POLICLINIC #17
THE POLICLINIC #3; THE PRIVATE MEDICAL CENTER "iNTOV
THE POLICLINIC #4, THE POLICLINIC #5, THE POLICLINIC
THE POLICLINIC OF KORSUN'-SHEVCHENKIVS'KYI
THE POLICLINIC OF LUZHANY
THE POLICLINIC ON THE RYKOV STREET
TRAVMOTOLOGIJA
TSENTRALNAYA RAJONNAYA BOLNITSA
TSRB,INSTITUTE PHILATOVA, OBLASTNAYA BOLNITCA
Tsentralnaya gorodskaya poliklinika
Tsentralnaya poliklinika
UCHASTKOVA LIKARNYA
Uchastkovaya bolnisa
V-Mihaylovskaya CRB
V.-MICHAYLIVSKA CRB
VIDOMCHA LIKARNJA ZALIZNICHNIKIV
VINNYTSYA CENTRAL REGIONAL HOSPITAL NAMED AFTER PYRO
VIZIT NA DOM
VIZIT NA DOMU
VIZIT NA DOMU (SCORAYA POMOCH)
VNUTRENYAYA P-KA ILJICH
VULOCHINSJKA RAJONA LIKARNJA
Velikomikhailovka Dictrict Policlinic
Visit wrascha na dom
Vizit na dom
Vizit na domu
Vizit na domy
Volochinska rayonna likarna
Vrachebnaya ambulatoriya
WOMEN'S CONSULTATION
Woenniy gospital
Xmelnickaya rayonnaya likarna
YRB
YSMISHKA STOMATOLOGICHNA POLIKLINIKA
Yughnenskaj poliklinika
ZGB
ZGB 1
ZGP
ZRB
ZRB 1
ZRP
ZRP g. Svaliava
Zentralnaa bolniza
Zentralnaya gorodskaya bolniza 1, g. Rovno
Zhovtneva CRB
Zhovtneva Central Distict Policlinica
Zhovtneva poliklinika
Zrb
amboolatoriya
amboolatorya
ambulatoria
bolniza
bolniza 2
cRB
chactnyi dtomotologichnyi kabinet
chasni stomotologichni kabinet gor bolnisa
chastnaya klinika
ctomatologicheskaja poliklinika
detskaj ctomatalogicheskaj poliklinika
detskaya gorodskaya policlinika
detskaya poliklinika
detskaya poliklinika #6
detskaya vzroslaya poliklinika
feldschersko-akuscherskiy punkt
g. Irschava stomatologicheskaya poliklinika
gor bolnisa
gor bolnisa chasnaya optika
gorodskaya bolnica
gorodskaya bolniza 1
gorodskaya bolniza 17
gorodskaya poliklinika
gorodskaya stomatologicheskaya policlinika
hospital 6
krasovskaya ambulatiriya
local ambulatoria
medpunkt radiozavoda
miska likarnya
miska likaruya
miska policlinika
miska policlinika nomer 2
miska poliklinika
miska stomatologichna policlinica
na domu
ne obrashalsa krome stomatologa
oblastna stomatologichna policlinika
oblastnaya stomatologicheskaya poliklinika
otkas
ozp
pOLIKLINIKA#5
p[oliclinika
payonnaya detskaya poliklinika
peschanezkaya ambulatoriya, stomatologiya
policlinica
policlinica 1
policlinika 10
policliniks 1
poliklinika
poliklinika 9
poliklinika #19
poliklinika #6
poliklinika 1
poliklinika 10
poliklinika 16
poliklinika 17
poliklinika 18
poliklinika 5
poliklinika CRB
poliklinika N 20
poliklinika nomer 5
poliklinika of Razdelnaya
poliklinika porta
poliklinika raionnoy bolnizi
poliklinika savoda CHTS
polikolinika
popliclinica #11
privat
raionnaya bolniza
raionnaya poliklinika
rayonnaya bol'nitsa
rayonnaya policlinika
rayonnaya poliklinika
rayonnaya stomatologicheskaya poliklinika
rayonnooyu bol'nitsoo
sIlska policlinika
sTOMATOLOGICHNA POLICLINICA
savodskoy medpunkt
sel'skaya vrachebnaya amboolatoriya
silska likarnya
skoraya pomosch'
somatologicheskaja poliklinika
stomatologichescaya policlinica
stomatologicheskaya lechebniza
stomatologicheskaya poliklinika
stomatologicheskiy kabinet
stomatologicheskua klinika na ul Smolenskoy
stomatologichna poliklinika
stomatologiya
stomatpoliklinika
travmotologija
uchastkova bolnisa
uchastkovaya bol'nitsa
uchastkovaya bolnisa
uchastykovaya poliklinika
vIZIT NA DOMY
visit na domu
visit na domy
vizit do domu
vizit na domu
vrachebnaya amboolatoria
zentralnaya gorodskaya bolniza
zentralnaya raionnaya bolniza
zgb
ÀÂIJ¯ÂÑÜÊÀ ̲ÑÜÊÀ ˲ÊÀÐÍß
³çèò íà äîìó
Âèòà-äåíò
ÃÖÁ ¹1
ÄÈÒß×À ÏÎ˲Ê˲ͲÊÀ
ÄÈÒß×À ÏÎ˲Ê˲ͲÊÀ ¹3, ̲ÑÜÊÀ ÑÒÎÌÀÒÎËÎò×ÍÀ ÏÎ˲Ê˲
Äèêàíñüêà ðàéîííà ë³êàðíÿ
Äèêàíñüêà ðàéîííà ïîë³êë³í³êà
Äèòÿ÷à êîíñóëüòàö³ÿ
Äèòÿ÷à ïîë³êë³í³êà ðàéîííî¿ ë³êàðí³
Äóáðîâèöüêà ðàéë³êàðíÿ
Äóáðîâèöüêà ðàéîííà ë³êàðíÿ
Ƴíî÷à êîíñóëüòàö³ÿ ðîääîìó ¹2
Çàâîäñêîé ìåäïóíêò çàâîäà "êàòèîí"
Êîðñóíü-Øåâ÷åíê³âñüêà ïîë³êë³í³êà
̲ÑÜÊÀ ˲ÊÀÐÍß
̲ÑÜÊÀ ˲ÊÀÐÍß (ƲÍÎ×À ÊÎÍÑÓËÜÒÀÖ²ß)
̲ÑÜÊÀ ÏÎ˲Ê˲ͲÊÀ¹3
̲ÑÜÊÀ ÏÎ˲Ê˲ÍŲÊÀ
Ìèðãîðîäñüêà ðàéîííà ë³êàðíÿ
Ìèðãîðîäñüêà öåíòðàëüíà ðàéîííà ë³êàðíÿ
Îáëàñíà ë³êàðíÿ
ÏÅÐØÀ ̲ÑÜÊÀ ÏÎ˲Ê˲ͲÊÀ
ÏÎIJв¯ÂÑÜÊÀ ѲËÜÑÜÊÀ ÀÌÁÓËÀÒÎвß
ÏÎ˲Ê˲ͲÊÀ
ÏÎ˲Ê˲ͲÊÀ ¹1
ÏÎ˲Ê˲ͲÊÀ ¹3
ÏÎ˲Ê˲ͲÊÀ ¹3 Ì. вÂÍÅ
Ïîë³êë³í³êà ó ì³ñò³ ²ðøîâ³
Ïîëèêëåíèêà
Ïîëòàâñêàÿ ãàðîäñêàÿ ïîëèêëåíèêà ¹3
Ïîëòàâñêàÿ ãîðîäñêàÿ ïîëèêëèíèêà
Ïîëòàâñêàÿ ãîðîäñêàÿ ïîëèêëèíèêà ¹3
ÐÒÌÎ Ñòîìàòîëîã³÷íà ïîë³êë³í³êà
ÐÒÌÎ Ñòîìàòîëîãè÷åñêàÿ ïîëèêëèíèêà
ÐÒÌÎ Öåíòðàëüíà ðàéîííà ë³êàðíÿ
Ðàéîííà ïîë³êë³íèêà
Ѳëüñüêà àìáóëàòîð³ÿ
ÑÒÎÌÀÒÎËÎò×ÍÀ ÏÎ˲Ê˲ͲÊÀ
ÑÒÎÌÀÒÎËÎò×ÍÈÉ ÊÀÁ²ÍÅÒ
ÑÒÎÌÎÒÎËÎò×ÍÀ ÏÎ˲Ê˲ÍÈÊÀ
Ñóïðóí³âñüêà àìáóëàòîð³ÿ
ÖÃÁ ¹ 1
ÖÅÍÒÐ ÐÅÀÁ²Ë²ÒÀÖ²¯ ÄËß ÏÅÍѲÎÍÅвÂ
ÖÅÍÒÐÀËÜÍÀ ̲ÑÜÊÀ ˲ÊÀÐÍß
ÖÅÍÒÐÀËÜÍÀ ÏÎ˲Ê˲ͲÊÀ (ÑÒÎÌÀÒÎËÎÃ)
ÖÅÍÒÐÀËÜÍÀ ÐÀÉÎÍÍÀ ˲ÊÀÐÍß Ì. ÁÀÕ×ÈÑÀÐÀÉ
ÖÐÁ ¹ 4ã. Øîñòêà
ÖÐÏ
Öåíòðàëüíàÿ ãîðîäñêàÿ áîëüíèöà
Öåíòðàëüíàÿ êëèíè÷åñêàÿ áîëüíèöà ¹2
Öåíòðàëüíàÿ ðàéîííàÿ áîëüíèöà
×åðêàñüêà ì³ñüêà äèòÿ÷à ïîë³êë³í³êà, ïîë³êë³í³êà ¹2
àìáóëàòîð³ÿ
â³çèò íà äîìó
â³çèò íà äîìó êîëèøíüîãî ìåäïðàö³âíèêà
âèçèò íà äîìó
ãîð. ïîëèêëåíèêà âèçèò íà äîìó
äåííèé ñòàö³îíàð
äèòÿ÷à ïîë³êë³í³êà ¹3
æ³íî÷à êîíñóëüòàö³ÿ, ðîääîì ¹2
ì³ñüêà ë³êàðíÿ
ì³ñüêà ïîë³êë³í³êà
ì³ñüêà ñòîìîòîëîã³÷íà ïîë³êë³í³êà
îáëàñíàÿ áîëüíèöà
îáëàñòíàÿ áîëüíèöà
ïåðâàÿ ãîðîäñêàÿ ïîëèêëèíèêà
ïîë³êë³í³êà
ïîë³êë³í³êà Ìèðãîðîäñüêî¿ ðàéîííî¿ ë³êàðí³
ïîë³êë³í³êà àâòîçàâîäó "Êîìóíàð"
ïîë³êë³í³êà ì³ñüêà
ïîëåêëåíèêà ¹ 5
ðàéîííàÿ ïîëèêëèíèêà
ñ. Ñóíðóí³âêà àìáóëàòîð³ÿ
ñ³ëüñüêà àìáóëàòîð³ÿ
ñ³ëüñüêà ïîë³êë³í³êà
ñòîìàòîëîã³÷íà ïîë³êë³í³êà
ó÷àñòêîâàÿ áîëüíèöà
÷àñòíàÿ ñòîìàòîëîãè÷åñêàÿ ïîëèêëèíèêà ñ. ×àïëè
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
1042
1810
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.
1062
1790
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]?
1049
1803
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?
1048
1804
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?
1044
1808
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?
1030
1822
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?
972
1880
999
29.65
70.185
1
2
3
4
5
6
7
8
9
10
15
18
20
25
30
35
40
45
50
60
65
70
75
80
90
100
120
125
180
240
300
302
600
777
888
999
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
1019
1833
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
895
1957
4000
28.768
166.648
1
2
3
5
6
7
8
9
10
15
20
22
25
30
33
35
40
45
50
55
56
58
60
70
80
90
100
120
130
150
180
200
220
240
250
300
325
350
370
375
750
777
800
820
1500
4000
Sysmiss
Medicines
Medicines
Medicines
Medicines
Medicines
Thinking about your last visit, how much did you or your household pay for: Medicines
984
1868
2000
29.94
88.023
1
2
3
4
5
6
7
8
Do not know
9
Not applicable, not have
10
11
12
15
16
17
18
19
20
22
23
24
25
26
30
33
34
35
37
40
42
44
45
50
56
60
70
80
85
90
93
100
105
120
132
140
150
153
180
200
250
280
300
315
400
500
570
575
701
750
2000
Sysmiss
Tests
Tests
Tests
Tests
Tests
Thinking about your last visit, how much did you or your household pay for: Tests
921
1931
200
7.14
15.436
1
2
3
4
5
6
7
8
Do not know
9
Not applicable, not have
10
12
13
15
16
20
25
30
38
40
45
50
70
99
100
120
135
150
200
Sysmiss
Transport
Transport
Transport
Transport
Transport
Thinking about your last visit, how much did you or your household pay for: Transport
913
1939
140
5.356
9.108
1
2
3
4
5
6
7
8
Do not know
9
Not applicable, not have
10
15
20
30
33
40
50
70
80
100
140
Sysmiss
Other
Other
Other
Other
Other
Thinking about your last visit, how much did you or your household pay for: Other
816
2036
180
6.525
11.895
1
2
3
5
6
7
8
Do not know
9
Not applicable, not have
10
12
20
22
25
30
40
45
50
80
85
100
180
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?
654
2198
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?
994
1858
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?
1035
1817
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?
1042
1810
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?
1035
1817
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?
1051
1801
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?
1049
1803
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?
1039
1813
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?
1036
1816
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?
1047
1805
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?
1043
1809
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?
1005
1847
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?
1003
1849
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?
1021
1831
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
1042
1810
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
1043
1809
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
1048
1804
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
1046
1806
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
1045
1807
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
1045
1807
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
1044
1808
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 ?
924
"OHMADET"
"ÃÎÑϲÒÀËÜ ÑÂ. ÀÍÍÈ", ÐÎÄÄÎÌ
#16
.
1
1 GOR. BOLNICA
1 central city`s hospital
1 gorbolnica
1- ya gorodskaya bolniza
1-YA CENTRALJNAYA GOR. BOLNICA CGB
1-YA GOR. BOLNICA
1-YA GORODSKAYA BOLNICA
1-ya Sovetskaya g. Gitomir
1-ya gorbolniza
1-ya sovetskaya bolniza
1-ÿ öåíòðàëüíàÿ ãîðîäñêàÿ áîëüíèöà (ÖÃÁ)
10aya GB
15-YA KLINICHESKAYA PSIHIATRICHESKAYA BOLNICA
16
16 GOR. BOLNICA
16 GRB
16 bolniza
16 detskaya bolniza
17
1aia centralnaia gor bolnica
2
2 Gorodskaya
2 city`s hospital
2 gor bolnica
2 gorbolniza
2 gorodskaia bolnica
2 gorofskaia bolnica
2-AYA GORBJLNITSA
2-GA MISJKA LIKARNYA IM. SEMASHKO
2-YA GOR. BOLJNICA
2-YA GOR. BOLNICA
2-ÃÀ ˲ÊÀÐÍß (òÍÅÊÎËÎò×ÍÀ)
25 bolniza
3 ì³ñüêà ë³êàðíÿ
3GOR. BOLNICA I 16 GOR. BOLNICA
4
4 BOLNICA
4 GOR. BOLNICA
4 NEOTLOJKA
4 Neotlozhnaya bolnitsa
4 gorodskaya
4 gorodskaya bolnica
4-YA BOLNICA
4-YA GOR. BOLNICA
4-YA GOSUDARSTVENNAYA
411 hospital
5
5 gorbolniza
5 ãîðîäñêàÿ áîëüíèöà ñêîðîé ïîìîùè
5-ÿ ãîðîäñêàÿ áîëüíèöà
6 DET. BOLNICA
6-YA GOR BOLNICA
6-aya Gorodskayam poliklinika
6-aya gosudarstvennya policlinika
6-ya bolniza
6-ya bolniza (roddom)
6-ya schlakovaya
7 BOLNITSA
7 GKB
7-ya klinicheskaya
8
8 GOR. BOLNICA
8-AYA GORBOLNITSA
888
9
9 GOR. BOLNICA
999
ANDREEVSKOY GOR. BOLNICA
ANDRUSHEVSKAYA CRB HIRURGIYA
ANDRUSHOVKA CFB TEROPIYA
ANDRUSHOVKA CRB RODILNOE OTD
ANDRUSHOVKA CRB TRAVMATOLOGIYA
ANDRUSHOVKA TMO RODILJNIY DOM
ANDRUSHOVSKAJA CRB
AVDEEVCKAJA GOR BOLNICA
AVDEEVSKAJA GOR BOLNICA
AVDEEVSKAJA GORODSKAJA BOLNICA
AVDEEVSKAYA GOR. BOLNICA
AVDEEVSKAYA GOR.BOLNICA
Allergicheskaya detskaya bolniza
Avdeevskaya gorodskaya bolnitsa
Avdeevslkaya Gorodskaya Bolnica
BALAKLEJSKAJA BOLNICA
BCRL
BOGUNSKAYA RAYAONNAYA #2
BOLNICA
BOLNICA #1
BOLNICA #2
BOLNICA #28 UL.KOTELJNIKOVA
BOLNICA #3
BOLNICA DLYA UCHENIH
BOLNICA IM. VICHNEVSKOGO V DONECKE
BOLNICA N2
BOLNICA NA ZAPADNOM
BOLNICA SKOROJ POMOSCHI
BOLNICA#2
BOLNITSA SKOROJ P[OMOSCHI
BOOLNICA
BORYSLAV NURSING HOSPITAL
BOYARSKIJ TUBDISPANSER
BSMP
Balakl. centralnaia bolnica
Baxchsarayskaya rayonnaya bolnica
Belogorodskaya bolniza
Belozerskay TMO
Bolnica #1
Bolnica #3
Bolnica #6
Bolnica OCKB
Bolnica Vishnevskogo
Bolnica#3
Bolnitsa im.Kalinina (Donetsk)
Bolniza im. Wischnevskogo
CB N1
CENRTALJNA MISJKA LIKARNYA
CENT. GOR. BOLNICA
CENTRALJNA RAJONNA LIKARNJA
CENTRALJNAYA RAYONNAYA BOLNICA B G.ZOLOCHEV
CENTRALJNAYA RAYONNAYA BOLNICA KRAMATORSKAYA DETSKAYA BOLN
CENTRALNA RAJONNA LIKARNJA
CENTRALNA RAJONNA LIKARNJA 1
CGB
CGB HIRYRG. OTD.
CGB N1
CHERMIGOVSKSYA OBL. BLJNICA
CHERNIHIV REGIONAL HOSPITAL
CHUGUIVSJKA RAIONNA LIKARNYA
COUNTY HOSPITAL
CRB
CRB N1
CRL
CRL, DITJACHE VIDDILENNJA
CRP
Cenral District Hospital
Central District Hospital
Central District Hospital (neurological department)
Central Hospital
Central poliklinics
Centralna rayonna Likarnaya
Centralnai bolnica
Centralnai rajonnai bolnica
Charkovskaya oblastnaya bolniza
Chelusno-liyevaja
Chelysno licevaia xiryrgia
Cherkaska miska ditacha likarna
Cherkasskiy rodilniy dom 1
Chernigovskaya gorodskaya bolniza 2
City`s hospital (Chernovtsi)
City`s poliklinics
Communicable Diseases Hospital
DETSKAJA BOLNICA
DETSKAJA GORODSKAJA BOLNICA
DETSKAJA OBLASNAJA BOLJNICA
DETSKAYA OBL. BOLNICA
DETSKAYA BOLNICA
DETSKAYA BOLNITSA O0BLASTNAYA
DETSKOE OTDELENIE GB¹1
DISTRICT HOSPITAL
DNIPROPETROVS'K MECHNIKOV HOSPITAL
DOLKO
DROGHOBYCH COUNTY HOSPITAL IN DROGHOBYCH
DROGHOBYCH COUNTY HOSPITAL IN THE VILLAGE OF GHRUSHIV
DROGHOBYCH HOSPITAL FOR CHILDREN
DROGHOBYCH HOSPITAL IN THE VILLAGE OF GHRUSHIV
DROGHOBYCH NURSING CENTER
DROGHOBYCH REGIONAL HOSPITAL IN DROGHOBYCH
DROGHOBYVH COUNTY HOSPITAL IN THE VILLAGE OF GHRUSHIV
DROGOBICJKA LIKARNYA
DROGOBYTSKA RAJONNA LIKARNYA
DUBROVICKA CENTRALNA RAJONNA LIKARNJA
DUBROVICKA RAJLIKARNJA + RIVNENCKA OBLLIKARNJA
DUBROVICKA RAJONNA LIKARNJA
DYBROVICKA CENTRALNA RAJONNA LIKARNJA
Detskaia bolnica
Detskaia oblasnaia Bolnicia
Detskaya CRB
Detskaya bolnitsa #5
Dilnicha likarnya
District Hospital
District Hospital in Belozerka
Ditacha likarna 2
Dn-skaya bolnisa
Donetskaya oblastnaya bolnitsa
Dubrovizkaya raionnaya bolniza
Fleet Hospital
Fonbaska miska likarnia
G. DONECK B-CA IM. KALININA GLAZNOE OTDELENIE
G. KIEV ''OHMADET''
G. KIEV GLAZNOE OTDELENIE
G.DONECK B-CA IM. KALININA REANIMACIYA
GINIKOLOGIYA, RODDOM ¹2
GKB#10
GOR BOLNICA
GOR BOLNICA IM. ''VISHNEVSKOGO''
GOR BOLNICA N2
GOR. 3-YA BOLNICA
GOR. BOL.
GOR. BOLJNICA
GOR. BOLNICA
GOR. BOLNICA #2
GOR. BOLNICA #2 TRAVMATOLOGICHESKOE OTDELRNIE
GOR. BOLNICA #5
GOR. BOLNICA ¹16
GORBOLJNICA
GORBOLJNICA #5 UL. KOTELJNIKOVA
GORBOLNITZA #12
GORODSAKAYA BOLNITSA
GORODSKAYA
GORODSKAYA #17
GORODSKAYA #18
GORODSKAYA BILNICA1
GORODSKAYA BOLNICA
GORODSKAYA BOLNITSA
GORODSKAYA BOLNITSA #3
GOSP sbU
GRUSHIVSJKA LIKARNYA
Gelesnodorognaya bolniza
Gelesnodorogniy roddom
Ginekologicheskoe otdelenie
Gitomirskaya detskaya oblastnaya bolniza
Gitomirskaya oblasnaya bolniza
Gitomirskaya oblastnaya bolniza
Gitomirskaya wodolechebniza
Gorbolnica #1
Gorodskaia bolnica
Gorodskaia bolnica #2
Gorodskaya bolnica # 2
Gorodskaya bolnica #2
Gorodskaya hospital
Gorodskoi roddom N2
Gorodskoy rodilniy dom 1 g. Lvov
Gospital dlya invalidov i uchastnikov woyni
HARJKOVSKAYA OBL. DETSKAYA BILNICA
HARKOVSKAJA SKOROJ I NEOTLOZHNOJ POMOSCHSI
HOSPITAL FOR CHILDREN
Hersonskay oblastnay bolnica
Hersonskaya bolnica
Hersonskaya oblastnay bolnica
Hospital 1 im.Lenina
Hospital of MVD
Hospital ykrainskogo flota
IM. TITOVA
INF. OTDELENIE
INFECTION DEPARTMENT
INFEKCIONNAJA BOLNICA
INSTITUT ROZLADU NS DITEY
INSTITUTE OF GASTROLOGY
IRSHAncka rajonna likarnja
Infection Hospital
Infekcionnaya bolnica
Infekcionnoe otdelenie#2
Institut endokrinologiyi
Institut neyrochirurgii g. Kiev
Instityt Strajevskogo
Irschavskaya paionnaya bolniza
Irschvskaya raionnaya bolniza
JELEZNO-DOROJNAYA BOLNICA, G. HMELNICKA
JITOMIRSKAYA OBLASTNAYA BOLJNICA
KALJMENECJKA RAYONA LIKARNYA
KELJMENECKA RAJONNA LIKARNJA
KELJMENSJKA RAYONNA LIKARNYA
KELMENECKA RAJONNA LIKARNJA
KGB @(
KHARKIV HOSPITAL #18
KIEV INSTITUT ORTOPEDII
KLIINICHESKAYA BOLJNICA
KLINIKA 'KIIVMISJKBUD'
KORSUN- SHEVCHENKIBSKA RAJONNA LIKARNJA
KYIV CENTER OF PATHOLOGY OF SIGHT
KYIV REGIONAL HOSPITAL IN THE CITY OF CHORNOBYL'
Kahovka TMO infekcionnoe otdelenie
Kahovskaya TMO
Kamenskaya CRB (Cherkasi)
Kelmenezkaya raionnaya bolniza
Kherson Emergency Hospital
Kherson Oblast Children Hospital
Kherson Oblast Hospital
Kiev hospital 9
Kievskaya bolnica #9
Kievskaya glaznaya klinika
Kievskaya gorbolnica #3
Klinicheskij gorodok 602
Konotopsiy gorodskoy roddom
Koreizskaya bolnitsa
Korsizskaya bolnitsa
Korsun-Schevchenkovskaya poliklinika
Korsun-Shevchenkovskaya poliklinika
Korsun-schevchenkovskaya poliklinika
Korsyn-Shevchenkivska likarna
Krasn-ya centralnaya rayonnaya bolnica
Krasnodonska CRB
Krasnodonskaya CRB
Krasnodonskaya tsentralnaya gorodskaya bolnitsa
Krasnogradskaya poliklinika
Krasnogradskaya rajonnaya poliklinika
Kypilska dilnicha likarna
LADAN HOSPITAL
LIKARNJA SHVIDKOI DOPOMOGI
LIKARNYA SHVYDKOYI DOPOMOGY
LJVIVSJKE OBLASNA KLINICHNA LIKARNYA
LUGANSKAYA OBLASNAYA BOLNICA
Lvovskaya gelesnodorognaya bolniza
Lvovskaya gorodskaya bolniza
Lvovskaya onkologicheskaya bolniza
Lvovskiy medinstitut
Lvovskiy rodilniy dom
Lyganskaya oblasnaya bolnica
MATERHOUSE
MCS-6
MEDICAL OFFICE AT THE SCIENTIFIC-PRODUCING COMPANY "TURBOA
MIRGORODSJKA CRL
MIRGORODSKAJA RAJONNAJA BOLNICA
MIRGORODSKAYA CENTRALJNAYA RAIONNA LIKARNYA
MISJKA
MISJKA KLINIKA LIKARNYA
MISJKA LIKARNYA
MISJKA LIKARNYA M. PRILUKI
MISKA
MISKA LIKARNJA
MISKA LIKARNJA V UZHGORODI
MISKA LIKARNYA
MISKA LIKARNYA 2
MSCH-56
MUINICIPAL HOSPITAL
MUNICIPAL HOSPITAL
MUNICIPAL HOSPITAL (TRAUMATOLOGY SECTION)
MUNICIPAL NURSING HOSPITAL
Maternity House #1
Maternity House inj Uman
Maternity House of Central District Hospital
Medsanchast "Kommynar"
Merefnyanskaya bolniza
Miska klinichna likarya 5
Miska likarna N3
Miska likarnya
Miska likarnya 4
Municipal Hospital #3
Municipal hospital #12
N 17
N ELEJALA
N-Kahovskaya bolnica
NE LEJAL
NE LEJALA
NET
NURSING CENTER #2 IN KHARKIV
NURSING HOSPITAL
NURSING HOSPITAL #4
Ne lejala
Neprimenimo
Nikolaev Emergency Care Hospital
Nikolaev Regional Hospital
Nikolaevskaya raionnaya bolniza
OBL. BOLNICA
OBL. DIT. LIKARNYA
OBL. DITYACHE TERET. MEDICHNE OBEDNANNYA
OBLASNA
OBLASNA DITYACHA
OBLASNA KLINICHNA LIKARNJA
OBLASNA KLINICHNA LIKARNYA
OBLASNA LIKARHJA M. HMELJNICLIJ
OBLASNA LIKARNJA M. HMELNICKIJ
OBLASNA LIKARNJA M.HMELNICKIJ
OBLASNA RAJONNA LIKARNJA
OBLASNAYA BOLNICA #14
OBLASNAYA BOLNICA, NEYROHIRURGIYA
OBLASNAYA BOPLNICA, G. HMELJNICKA
OBLASNAYA KLINICHESKAYA BOLNICA
OBLASTNAYA
OBLASTNOJ GOSPITAL INVALIDOV VOJNY
OCHKB
OCHKP
OCKB
OFTOLJMOLOGICHESKIY CENTR
OG Department of Sea Transport Clinic
ONKOLIKARNYA OBLASNA
ONKOLOGICHNA KLINIKA
OZKB
Obl. onkodispanser
Oblasna Klinichna Likarna
Oblasna centralna likarnia
Oblasnaj bolniya
Oblasniy tubdispanser
Oblastna klinichna likarnya
Oblastnaya bolnitsa
Oblastnaya bolniza
Oblastnoj onkodespanser
Ochakov District Hospital
Odeskaya OKB
Odeskiy institut im, Filatova
Odesskay oblastnay
Odesskaya oblastnaya
Odesskaya oblastnaya bol'nitsa
Ohorona materi i dydtyny
Oncological dispensary
Onkocentr Bila Cerkva
Onkologicheskiy zentr
PAVLOVA
PERSHA MISKA POLIKLINIKA
PERVOMAYSKAYA CRB
POLICLINIKA 16
POLIK. ¹7
POLIKLINIKA #5
POLIKLINIKA ¹3
POLOGOVIJ BUDINOK N2
POLOGOVIY BUDINOK #1
POLTAVSKAJA OBLASNAJA BOLNICA
POLTAVSKAYA OBL. LIKARNYA
PRILUXJKA LIKARNJA
PROFILAKTORIJ NA VOSTOCHNOM
PSIHIATRICHESKAYA BOLJNICA
Pervomaiskaya CRB
Pervomaysk Central Hospital
Podolskogo raiona 2
Poliklinics
Poliklinika 3
Pologovia bydinok m Lviv vul Mechnikova
Pologoviy bydunok
Poltavska likarna
Poltavskaya oblactnaya bolniza i Mirgorodskaya raionnaya
Psichiatricheskaya w p. Glevacha
RAJBOLNICA
RAJINNAJA
RAJONNA CENTRALJNA LIKARNJA
RAJONNA POLIKLINIKA
RAJONNAJA BOLNICA
RAKBOLNICA
RAYBOLJNICA
RAYBOLNICA
RAYONNA
RAYONNA LIKARNYA M. PRILUKI
RAYONNAYA BOLNICA
REGIONAL AND MUNICIPAL HOSPITALS
REGIONAL HOSPITAL
RESPUBLIKANSKAJA POLIKLINIKA
RIBNENSKA LIKARNJA N1
RIVNENSKA MISKA LIKARNJA N1
RIVNENSKA MISKA LIKARNYA
RODDOM
RODDOM #1 DNEPROPETROVSKA
RODDOM N2
RODDOM N6
RODDOM, INFEKCIONNOE OTDELENIE
RODDOM¹4
RODILJNIY DOM ¹7
RODITELNOE OTDELENIE GOR. BOLJNICA #3
ROVENSKIJ OBLASNIJ KLINIKO- DIAGNOSTICHESKIJ CENTR
RTMO Terapevticheskoe otdelenie
Raionna likarna
Raionnaya bolniza
Rajonnaya Bolnytsa
Rajonnayay bolnitsa
Razdeln'anskiy roddom
Razdelnaya central hospital
Razdelnaya central rayon hospital
Razdelnaya hospital for railway workers
Regional Hospital
Regional hospital (Chernovci)
Respublikanskaya bolnitsa imeni Simashko
Respublikaskaya bolnica imeni Semashko g Simferopol
Respyblikanska bolnica
Riginal hospital (Shargorod)
Roddom
Roddom #2
Rovenskaya gorodskaya bolniza 1
Rovenskiy woenniy gospital
SELJSKOJ BOLNICE
SEREC #25
SHARGHOROD COUNTY HOSPITAL
SILJSJKA CENTRAKJNA LIKARNYA
SIMFEROPOL' REGIONAL HOSPITAL
SMS-56
STACIONAR TERAPEVT. OTD
STAROBELJSKAJA RAYONNAYA BOLNICA
STAROBELJSKAYA RAYONNAYA BOLNICA
STAROSALTIVS'KYI RODDOM
STEBLYK INFECTION HOSPITAL
SURGICAL SECTION
SVALJAVSKA RAJONNA LIKARNJA
SVALYAVSJKA CENTR. RAYON. LIKARNYA
SanATORIY ''BARVINOK'' Ternopilskoy oblasti
Sanchast 56
Saratskaya CRB
Saratskayi CRB
Schostkinskiy roddom
Second Town Hospital
Sevastopolskaya detskaya gorodskaya bolnica
Shargodska royonna likarnya
Shargorodskaya rayonnaya bolnitsa
Shargorska rayonna likarnya
Sity`s hospital 1
Stanislavskaya bolnica
Starogororiyskaia
THE 16TH HOSPITAL FOR CHILDREN
THE 16TH MUNICIPAL HOSPITAL
THE 1ST MUNICIPAL HOSPITAL
THE 1ST MUNICIPAL HOSPITAL OF POLTAVA
THE 2ND HOSPITAL
THE 2ND MUNICIPAL HOSPITAL
THE 5TH MUNICIPAL HOSPITAL; CANCER CENTER\
THE 5TH MUNICIPAL NURSING HOSPITAL
THE 6TH MUNICIPAL HOSPITAL
THE 7TH MUNICIPAL HOSPITAL
THE 8TH HOSPITAL (TRAUMATOLOGICAL DEPARTMENT)
THE 8TH MUNICIPAL HOSPITAL
THE 8TH MUNICIPAL HOSPITAL (DEPARTMENT OF SURGERY FOR CHIL
THE 9TH MUNICIPAL HOSPITAL
THE 9TH MUNICIPAL HOSPITAL (NURSING DEPARTMENT)
THE CARDIOLOGY CENTER IN CHERNIVTSI
THE CENTRAL COUNTY HOSPITAL OF KRASNODON
THE CENTRAL HOSPITAL OF ANDRUSHIVKA COUNTY
THE CENTRAL HOSPITAL OF KIROVOHRAD DISTRICT
THE CENTRAL HOSPITAL OF KRASNOHRAD
THE CENTRAL HOSPITAL OF POLTAVA COUNTY (BIRTH-GIVING FLOOR
THE CENTRAL HOSPITAL OF POLTAVA REGION
THE CENTRAL HOSPITAL OF SVALYAVA COUNTY
THE CENTRAL HOSPITAL OF TERNOPIL' REGION
THE CENTRAL HOSPITAL OF THE COUNTY
THE CENTRAL HOSPITAL OF ZAKARPATTYA REGION
THE CENTRAL MUNICIPAL HOSPITAL
THE CENTRAL REGIONAL HOSPITAL
THE CENTRAL REGIONAL HOSPITAL OF TERNOPIL' REGION
THE COUNTY HOSPITAL
THE DISTRICT HOSPITAL OF STARA KOTEL'NYA
THE HOSPITAL FOR CHILDREN NAMED AFTER V. VERNADS'KYI
THE HOSPITAL FOR DISABLED AND PARTICIPANTS OF WAR
THE HOSPITAL OF KRASNOHRAD
THE HOSPITAL ON VERNADS'KYI STREET
THE LOCAL HOSPITAL OF KEL'MENTSI COUNTY
THE MUNICIPAL HOSPITAL #2
THE MUNICIPAL HOSPITAL FOR CHILDREN
THE REGIONAL HOSPITAL #1
THE VILLAGE HOSPITAL
THERAPY SECTION
TMO Kahovka
TMO Kahovka kardiologicheskoe otdelenie
TMO g. Kahovka kardiologicheskoe otdelenie
TMO g.Kahovka LOR-otdelenie
TRUSLOVECJKA LIKARNYA
TS R L
TSENTRALNA RAJONNA POLIKLINIKA
TSENTRALNAYA GORODSKAYA BOLNITSA
TSENTRALNAYA GORODSKAYA KLINICHESKAYA BOLNITSA #9
TSENTRALNAYA RAYONNAYA BOLNITSA
TSFB Infektsionnoe otdelenie
TUBDISPANSER
Tchernivetska obl. likarnya
Tsentralnaya Gorodskaya Bolnitsa#1
Tsentralnaya gorodskaya bolnitsa (Andrushovka)
Tsentralnaya rayonnaya bolnitsa
UL. KOROLENKO TERAPIYA
UZHGORODSKA MISKA LIKARNJA
V.-MICHYLIVSKAYA CRB
V.-Mikailovska CRB
VILLAGE HOSPITAL
VOENNIJ GOSPITAL
VOENNIJ GOSPITALJ
VOLCHANSKAYA RAYONNAYA BOLNICA
VRACHEBNAYA AMBYLATORIA
VYNNYK EYE SURGERY HOSPITAL
Vinicka oblacna likarnaya
Vrachebnaya ambulatoriya g. Krasnograda
Vtoraia gorodskaia Bolnica
Welikobirkovskaya raionnaya bolniza
Xarkovskaya policlinika MvD
YKB
ZGB
ZGB 1
ZHELEZNODOROZHNAJA BOLJNICA
ZHINOCHA KONSULTACIJA N1
ZHITOMIRSKAJA OBLASNAJA DETSKAJA BOLNICA
ZKB
ZKB 2
ZLOCHEVSKAYA RAYONNAYA BOLNICA
ZOLOCHEVSKAYA RAYONNAYA BOLNICA
ZRB
ZRB 4
Zaliznodorojnya likarnya
Zentralnaya poliklinika
Zheleznodorozhnaya bolnitsa
bolnica 28
bolnica imeni Lenina
bolniza "'Radiopribor'"
bolniza 16
bolniza im. Kalinina
bolniza s. Kotelnya
cHORNOBILSKA dITACHUA LIKARNYA
cRB
central disricts hospital
central districts hospital
centrasl districts hospital
city hospital
ctnral districts hospital
detskaya bolniza 3
gelesnodorognaya bolniza
gorbolniza
gorodskaya bolniza
gorodskaya bolnica
gorodskaya bolniza
gorodskaya detskaya bolniza 1
gorodskaya poliklinika
im. Titova
infekcionnor otdelenie
kRASNOGOROSKAYA crb
kelmenezkaya raionnaya bolniza
kievskiy Institut
krasnodonskaya CRB
krasnodonskaya centralnaya rayonnaya bolnica
likarna
likarnya shvidkoi dopomogi
likarnya zaliznichnikiv
m. Lupkin Moldova
medgorodok
miska
miska klinichna nomer 2
miska likarna
miska likarnya
miska likarnya 4
miska likaryina
ne lejal
ne lejala
nomer 18
nomer 18 klinicheskaya
ny lejal
obl.det.bol'nitsa
oblasna likarnya u Vinnitsy
oblastnaya bol'nitsa
oblastnaya travmatologiya g. Donezk
onkodispanser g. Sumi
policlinka 16
poliklinika
poliklinika 2 podolskogo raiona
poliklinika 3
poliklinika g. Priluki
pologoviy bydinok
raionnaya bolniza
raionnaya poliklinika
raionnoe detskoe otdelenie
ratonna likarya
rayonna likarnya
rayonnaya bol'nitsa
roddom
rodilniy dom #1
v stacionare ne lejala
zentralnaya bolniza
zentralnaya poliklinika
zentralnaya raionnaya bolniza
²ÍÑÒÈÒÓÒ ÅÍÄÎÊÐÈÍÍί Õ²ÐÓÐò¯ ² ÒÐÀÍÑÏËÀÍÒÀÖ²¯ (Ì. ÊȯÂ)
¹ 17 êëèíè÷åñêàÿ
ÀÂIJ¯ÂÑÜÊÀ ̲ÑÜÊÀ ˲ÊÀÐÍß
ÀÍÄÐÓØÎÂÊÀ ÖÔÁ ÕÈÐÓÐÃÈß
Àíäðóøîâêà ÖÐÏ
ÂÅËÈÊÎÁ²ÐʲÂÑÜÊÀ ˲ÊÀÐÍß
Âèííèöêèé ðîääîì
ÃÖÁ ¹ 1
Ãîðáîëüíèöà
ÄÈÒß×À ˲ÊÀÐÍß
ÄÓÁÐÎÂÈÖÜÊÀ ÐÀÉÎÍÍÀ ˲ÊÀÐÍß
Äóáðîâèöêà öåíòðàëüíà ðàéîííà ë³êàðíÿ
Äóáðîâèöüêà ðàéë³êàðíÿ, гâíåíñüêà îáëë³êàðíÿ
Äóáðîâèöüêà ðàéîííà ë³êàðíÿ
ÆÈÒÎÌÈÐÑÊÈÉ ÎÁËÀÑÍÎÉ ÖÅÍÒÐ ÐÅÀÁÈËÈÒÀÖÈÈ È ÂÅÐÒÅÁÐÎËÎÃÈÈ
ÇÀв×ÍÅÍÑÜÊÈÉ ÏÎËÎÃÎÂÈÉ ÁÓÄÈÍÎÊ
ÊÅËÜÌÅÍÅÖÜÊÀ ÐÀÉÎÍÍÀ ˲ÊÀÐÍß
Êè¿âñüêèé ³íñòèòóò ³ì. Øàë³ìîâà
Êóòóãóìñêàÿ áîëüíèöà
Êóøóãóìñüêà ë³êàðíÿ
˲ÊÀÐÍß ²Ì. ÑÅÌÀØÊÎ, Ì. ѲÌÔÅÐÎÏÎËÜ
˲ÊÀÐÍß ²ÌÅͲ ÊÀ˲ͲÍÀ, Ì. ÄÎÍÅÖÜÊ
̲ÑÜÊÀ ˲ÊÀÐÍß
̲ÑÜÊÀ ˲ÊÀÐÍß ¹1
̲ñüêà äèòÿ÷à ë³êàðíÿ
̳ñüêà ë³êàðíÿ ¹1
Ìèðãîðîäñüêà öåíòðàëüíà ðàéîííà ë³êàðíÿ
ÍÅÒ
ÎÁËÀÑÍÀ ˲ÊÀÐÍß Ì. вÂÍÅ
ÎÍÊÎÄÈÑÏÀÍÑÅÐ
Îáëàñíà ë³êàðíÿ
Îáëàñíà ë³êàðíÿ ì³ñòà Óæãîðîä
Îáëàñòíàÿ äåòñêàÿ áîëüíèöà
ÏÅÐØÀ ̲ÑÜÊÀ ˲ÊÀÐÍß
ÏÎËÎÃÎÂÈÉ ÁÓÄÈÍÎÊ ¹2 Ì. вÂÍÅ
ÏÎËÎÃÎÂÈÉ ÁÓÄÒÍÎÊ
Ïîëèêëèíèêà ÃÊÁ ¹4
Ïîëòàâñüêà îáëàñíà ë³êàðíÿ
гâíåíñüêà îáëàñíà ë³êàðíÿ
гâíåíñüêà îáëàñíà ë³êàðíÿ, Äóáðîâèöüêà ðàéë³êàðíÿ
ÐÎÄÄÎÌ
ÐÒÌÎ Òåðàïåâòè÷íå ³ää³ëåííÿ
Ðàéîííà ë³êàðíÿ
Ðàéîííà öåíòðàëüíà ë³êàðíÿ
Ñàðíåíñüêà ðàéîííà ïñèõ³÷íà ë³êàðíÿ
Ñâàëÿâñüêà ðàéîííà ë³êàðíÿ
Ñâàëÿâñüêà ðàéîííà öåíòðàëüíà ë³êàðíÿ
Ñâàëÿâñüêà öåíòðàëüíà êë³í³÷íà ë³êàðíÿ
Ñâàïë³ñüêà ðàéîííà öåíòðàëüíà ë³êàðíÿ
Ñèìôåðîïîëüñêèé âîåííûé ãîñïèòàëü
ÖÃÁ ¹1
ÖÃÁ¹1
ÖÅÍÒÐÀËÜÍÀ ̲ÑÜÊÀ ˲ÊÀÐÍß ¹1
ÖÅÍÒÐÀËÜÍÀ ÏÎ˲Ê˲ͲÊÀ
ÖÅÍÒÐÀËÜÍÀ ÐÀÉÎÍÍÀ ˲ÊÀÐÍß ¹4 Ì. ØÎÑÒÊÀ
ÖÐÁ ¹ 4 ã. Øîñòêà
ÖÐÏ
Öåíòðàëüíà ë³êàðíÿ ¹2 õ³ðóðã³÷íå â³ää³ëåííÿ
Öåíòðàëüíà ïîë³êë³í³êà
Öåíòðàëüíàÿ ãîðîäñêàÿ áîëüíèöà
×ÅÐÊÀÑÜÊÀ ̲ÑÜÊÀ ˲ÊÀÐÍß ¹1
×åðêàñüêà ì³ñüêà äèòÿ÷à ë³êàðíÿ
Øàðãîðîäñüêå ðàéîííå òåðèòîð³àëüíå ìåäè÷íå îá"ºäíàííÿ
êîììóíàðîâñêàÿ áîëüíèöà
ì³ñüêà
ì³ñüêà ë³êàðíÿ
íå ëåæàëà
íå ëåæàëà â áîëüíèöå â ïîñëåäíèå 5 ëåò
íåí áóëà ó ë³êàðí³
îáëàñíà
îáëàñíà ë³êàðíÿ
îáëàñíà ë³êàðíÿ, îáëàñíèé îíêîäèñïàíñåð
îáëàñíàÿ áîëüíèöà
îáëàñòíàÿ
îáëàñòíàÿ áîëüíèöà
îíêîëîãè÷åñêîå îòäåëåíèå îáëàñíîé áîëüíèöû
ïîëòàâñêàÿ îáëàñíàÿ áîëüíèöà
ðàéì³ñüêë³êàðíÿ
ðàéîííà
ðàéîííà ë³êàðíÿ
ðàéîííà öåíòðàëüíà ë³êàðíÿ
ðàéîííèé ïîëîãî áóäèíîêåâèé
ðîääîì
ðîääîì ¹2
ðîääîì ðàéîííî¿ ë³êàðí³
ñòàö³îíàðíà ë³êàðíÿ àâòîçàâîäó "Êîìóíàð"
ó÷àñòêîâàÿ áîëüíèöà
öåíòðàëüíà ðàéîííà ë³êàðíÿ
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
954
1898
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
917
1935
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
961
1891
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
951
1901
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?
958
1894
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?
949
1903
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?
889
1963
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?
892
1960
1
5600
63.278
231.282
1
2
3
4
5
6
7
8
9
10
13
15
18
20
24
25
30
35
40
42
45
50
60
65
70
75
80
90
95
100
101
110
120
130
140
150
160
170
180
190
195
200
201
206
210
240
300
360
450
888
960
1440
5600
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
951
1901
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
931
1921
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
849
2003
6000
91.437
375.174
1
5
7
8
Do not know
9
Not applicable, not have
10
12
15
18
20
25
30
33
40
50
60
70
75
77
80
90
100
105
110
120
130
150
160
170
190
200
250
300
320
350
380
400
410
500
520
530
550
600
700
777
800
850
870
900
1000
1060
1200
1250
2000
5000
5600
6000
Sysmiss
Drugs
Drugs
Drugs
Drugs
Drugs
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Medicines
925
1927
40000
242.323
1393.317
2
5
6
7
8
Do not know
9
Not applicable, not have
10
12
13
15
16
17
18
20
25
26
30
33
35
40
45
46
47
48
50
52
55
56
60
65
70
72
78
80
90
91
95
100
110
120
126
130
140
150
160
170
180
200
210
220
250
270
280
283
290
299
300
340
350
360
370
380
400
430
450
480
500
510
530
600
640
700
750
777
800
900
1000
1200
1300
1340
1500
2000
2100
2500
2800
3000
3500
4000
10000
40000
Sysmiss
Tests
Tests
Tests
Tests
Tests
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Tests
862
1990
2000
22.251
99.233
1
2
3
4
5
6
7
8
Do not know
9
Not applicable, not have
10
12
14
15
16
18
20
24
25
26
30
33
35
40
50
54
60
64
70
75
80
100
120
150
170
180
190
200
300
450
500
502
900
1000
2000
Sysmiss
Transport
Transport
Transport
Transport
Transport
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Transport
818
2034
540
10.645
35.582
1
2
3
4
5
6
7
8
Do not know
9
Not applicable, not have
10
12
15
16
20
25
28
30
35
40
50
60
70
80
90
100
150
160
200
300
400
500
540
Sysmiss
Other
Other
Other
Other
Other
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Other
738
2114
5040
30.394
202.54
1
2
3
5
6
7
8
Do not know
9
Not applicable, not have
10
15
20
25
30
40
50
60
70
80
90
95
100
120
130
140
150
190
200
300
370
400
500
505
1000
1500
5040
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?
731
2121
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?
892
1960
33
4.127
2.631
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?
952
1900
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?
956
1896
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?
956
1896
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?
956
1896
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?
956
1896
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?
954
1898
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?
953
1899
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?
944
1908
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?
954
1898
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?
951
1901
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]?
954
1898
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?
955
1897
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?
957
1895
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?
952
1900
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?
954
1898
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
1012
1840
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
1023
1829
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
1030
1822
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
1025
1827
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
1026
1826
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
1026
1826
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
1026
1826
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").
2413
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?
547
2305
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?
549
2303
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?
549
2303
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?
548
2304
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?
547
2305
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?
546
2306
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?
549
2303
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?
548
2304
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?
547
2305
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?
548
2304
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?
547
2305
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?
547
2305
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?
546
2306
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?
544
2308
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?
544
2308
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?
545
2307
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?
543
2309
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?
543
2309
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?
545
2307
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?
540
2312
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?
505
2347
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?
504
2348
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?
504
2348
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?
504
2348
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?
504
2348
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?
503
2349
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?
503
2349
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?
502
2350
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?
501
2351
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?
501
2351
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?
504
2348
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?
503
2349
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?
505
2347
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?
502
2350
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?
502
2350
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?
501
2351
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?
503
2349
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?
504
2348
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?
504
2348
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?
499
2353
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?
491
2361
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?
491
2361
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?
488
2364
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?
488
2364
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?
493
2359
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?
492
2360
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?
491
2361
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?
488
2364
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?
491
2361
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?
491
2361
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?
491
2361
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?
490
2362
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?
492
2360
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?
488
2364
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?
489
2363
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?
487
2365
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?
491
2361
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?
488
2364
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?
486
2366
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?
512
2340
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?
512
2340
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?
514
2338
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?
515
2337
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?
514
2338
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?
513
2339
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?
514
2338
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?
513
2339
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?
514
2338
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?
511
2341
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?
511
2341
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?
512
2340
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?
512
2340
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?
513
2339
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?
513
2339
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?
513
2339
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?
511
2341
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?
511
2341
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?
511
2341
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?
507
2345
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
Time begin section 8000
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Time begin section 8000
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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?
2798
54
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?
2796
56
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?
2782
70
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
2780
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
2773
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
2771
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
2769
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
2769
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?
2669
183
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 ?
2750
102
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?
2750
102
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?
2763
89
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?
2751
101
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?
2735
117
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?
2749
103
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?
2723
129
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
2792
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.
1355
1497
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.
1352
1500
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.
1351
1501
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.
1354
1498
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.
1344
1508
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.
1406
1446
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.
1405
1447
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.
1398
1454
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.
1397
1455
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.
1398
1454
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.
1357
1495
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
2571
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Time begin section 9000
Time begin section 9000
Time begin section 9000
Time begin section 9000
Time begin section 9000
334
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hearing problem
hearing problem
hearing problem
hearing problem
hearing problem
Did the respondent have a hearing problem?
2795
57
1
Yes
5
No
Sysmiss
vision problem
vision problem
vision problem
vision problem
vision problem
Did the respondent have a vision problem?
2792
60
1
Yes
5
No
Sysmiss
wheelchair
wheelchair
wheelchair
wheelchair
wheelchair
Did the respondent use a wheelchair?
2796
56
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?
2797
55
1
Yes
5
No
Sysmiss
difficulties walking
difficulties walking
difficulties walking
difficulties walking
difficulties walking
Did the respondent have any difficulties walking?
2796
56
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?
2800
52
1
Yes
5
No
Sysmiss
cough continually
cough continually
cough continually
cough continually
cough continually
Did the respondent cough continually?
2799
53
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?
2800
52
1
Yes
5
No
Sysmiss
mental problem
mental problem
mental problem
mental problem
mental problem
Did the respondent have a mental problem?
2800
52
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?
2802
50
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?
2784
68
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:
2786
66
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:
2755
97
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:
1493
.
1
18:20
2
3
3 òèæí³ íàçàä ó ðåñïîíäåíòà ïîìåðëà äðóæèíà. Éîìó äóæå âàæêî íàëàøòóâàòè ñâîþ óÿ
5
ATTENTION OF THE RESPONDENT WAS PERMANETLY DIVERTED BECAUSE SHE WAS BUSY WITH HO
Bylo trudno obschatsya,polnoe ravnodusdie ko vsemu zatormozhenost
Chasto preryvalis iz-za neobhodimosti pobyt s bolnym rebyonkom
Chelovek bil posle operacii-trydno govorit
DA (INTERVJU BILO PRERVANO DO SLED. DNYA. PRIEHALA DOCH)
DURING THE INTERVIEW THE RESPONDENT WAS RESTRAINED AND KEPT HIMSELF ON ALERT
Delali payzi izza raboti respondenta
EMU TRUDNO BILO OTVECHATJ NA V 8100, 2100, 7500, EMU NEPONYATNO ZACHEM ETO DELAE
Galobu na odinochestvo, broshennost, slyezu
HET
HIS SON TRIED TO INTERRUPT THE INTERVIEW
Hriezzjali znacomie. Prishlos podozjdat.
MAMA I BABUSJA ZAVAZHALI
MATJ INOGDA ZHODILA, LEJALA
MNOGO CHEGO NE PONIMAET, MALOOBRAZOVANA
Meshala rabota respondenta
N ET
NASTOROJILI VOPROSI O P[OLITIKE
NE
NE BULO
NE BYLO
NE OCHENJ HOTELA RASKAZIVATJ O SMERTI SINA
NE VINIKALI
NE VINIKALO
NE VINIKLI
NET
NEZVICHAYNIH SITUACIY NE VOZNIKALO
NI
NO
Ne bilo polnoy otkritosti wo wremya obscheniya
Ne hotela otvechat
No
Not
OCHEN DOLGOYE INTERV'YU RAZDROZHALO RESPONDENTA
ODNOVREMENNO BIL VKLYCHEN TV, VIKLYCHITJ OTKAZALSYA
OTVKALISJ
OTVLEKALAS NA RAZGOVOR O SVOYEJ MOLODOSTI
Ochen ne kontaktna zamknuta prihodilos uproshat vaprosy
Ogranicheno vremya iz-za postrojki doma
PAUZI (PRIHODILI LYDI)
PISLYA OPERACII (GOLOVA) POSTIYNIY GOLOVNIY BILJ, VAJKO ZOSEREDITISJ
POBOYVANNAJA GOVORITI PRAVDU
POMAGALU DETI
POSLE VOPROSOV DETOROJDENIYA RESPONDENT NE ZAHOTEL OTVECHAYJ NA VOPROCI, NO OTVE
POSLE VOPROSOV STR.39-46 OTNOSHENIE RESPONDENTA SILJNA IZMENILOSJ
POSTOJANNIE VOSPOMINANIJA O PREBIVANII V BOLICE
POSTOYANNO PROHIDILI RAZNIE LYDI
PRIIYATNOE SOBISEDOVANIE
PRISHLI VNUKI
PRISUTSTVOVALA ZHENA
PRISUTSTVOVALI ZHENA I DOCH? NO ZHENA VICHODILA
PROSNULSYA I ZAPLAKAL REBENOK- OTVLEKSYA NA 2-3 MIN., CHTOBI EGO NAPOITJ I USPOK
Polnoe ravnodushie k oprosu, chto zatrudnyalo poluchenie in formatsii
R chasto krichal otvechaya na woprosi. Povedenie takoe w sledstvii tyageloy gis
RESPONDENT BILA OCHENJ PECHALJNOY
RESPONDENT BOYALASJ RASPISIVATJSYA
RESPONDENT BUV AKTIVNIM SPIVROZMOVNIKOM
RESPONDENT CHASTO PLAKALA
RESPONDENT PITALSJA OTKAZATSJA OT INTERVJY
RESPONDENT SCHITAET? CHTO MNOGIE VOPROSI BILI DVUSMISLENIE, NEPRAVELNO SFORMULIR
RESPONDENT SKAZAL, CHTO NET TELEFONA. ODNAKO VO VREMYA OPROSA RAZDALSYA TEL.ZVON
RESPONDENT VOZMYSCHALSJA
RESPONDENT ZNAHODITJCYA NA LIOKUVANNI. OPITUVANNYA PROVRDENO V NARKODUSPANSERI,
REspondent bolnoj za nego otvechal informator
Respondent trebovala obyasneniya voprosov, bila razdragena dlitelnostyu oprosa
S voprosa 6028 respondent otkazalsya otvechat
SERIOS PROBLEMS WITH MEMORY
SVOI PROBLEMI, OBYASNYALA, CHTO ETO STAROSTJ, A NE BOLEZNJ
THE ANSWERS TO THE QUESTIONS FROM THE SET #7000 SOUNDED IRONICALLY DESPITE THE F
THE RESPONDENT WAS OBVIOUSLY WORRIED ABOUT THE CHILDREN'S HEALTH AND LACK OF INF
Tak.malenka dutuna zavajala
Trudno bilo otvechat na woprosi rasdel 7500, 2100, 3000.
Trudno otvechat na razdel 8100, 2100, 7500 ona ne ponimaet zachem ya eto sprashi
U RESPONDENTA NEKOTORIE VOPROSI VIZIVALI SMUSHENIE
UTOMLENIE POSLE RABOTI
Ustalost
V 6800- SPOGADI PRO NESCHASNIY VIPADOL, YAKIY ZALISHIV R I 0401 - BEZ MATERI. VO
V VERI ROMANOVNI MNOGO POVREJDENIY POZVONOCHNIKA (V SHAHTE)
VAZHKO ORIENTUYETSYA U OHORONI ZDOROV'YA
VO VREMYA INTERJVJYA RESPONDENT BRAL VREMYA DLYA OTDIHA
VOVREMYA OPROSA OTVECHALA S NEOHOTOJ
bolshie problemi so zdoroviem posle insulta. ot obsheniya ustala? otdixala> no b
byl ochen opechalen nedavnej smert'yu materi
bylo kilka pays
chernobilzi
da
didn't want to ansver on questions of 0800, 6600, 7500, 8100
gosti
intervyu prerivalos telefonnimi svonkami i rasgovorami po telefonu
kategoricheskiy otvet R net na wopros o medizinskoy pomoschi (blok7000)
kogda oostavala delaly pereriv
kogda skasala respondentu, chto anketa o sdorovye , to srasu soglasilas otvechat
lechenie ochen plochoe, w bolnize ochen cholodno
meshali sosedi
mug bil nastroen neskolko agressivno
n0
na opros potracheno mnogo wremeni, eto wolnovalo respondenta
ne bilo
ne voznikali
ne voznikalo
nebolshoe neponimanie voprosov
negative emotions because late visit
negelanie otvechat na poslednie woprosi, respondent ustal ot bolschogo obyema an
neskolko nespokoynoe povedenie vo vremya woprosov 6600-612
nesnachitelnaya rasdragennost wo wremya woprosov 6600-6605
net
ni
ni ne bulo
ni nebulo
ni neviniclo
nichogo nadzvichynogo
nmevinikalo nadzvichyno] situacii nid cas intervu
no
opros satyanulsya w svyasi s nebolschimi pererivami
otcaz otvechat na 8106
otcaz otvechat na voprosi 8100
otcaz otvechat' na politicheskie voprosi
otkaz otvechat' na 8003 -8111
otvechal neohotno byl otvlyechon ot del
plakala, kogda govorili o ee sdorovye
ploxoy respondent
prerivalsia na pereriv
prishla rodstvennica
prisutstvovala gena
respondent bil nastroen neskolko nedrugelyubno
respondent bil v ochen choroschem nastroenii
respondent lezhit v bolnitse no na obed prihodit domoj
respondent ranshe rabotal cosiologom potomu otvetil bistro i polnostu< krome otv
respondent s trudom mogla ponyat medizinskie situazii, oni wisivali smech i rasd
respondent ustal
respondenta ne ustraival bolschoy obyem anketi
respondeny pila bagato likiv
siliy dojd
speschil v roddom k gene
tremor
ustalost
ustalost posle rabotu
zavajala nedovira, ia pereplutala intervuera z pracivnikom vladi
²íêîëè ïëàêàëà äèòèíà. Ñïîñòåð³ãàëàñÿ âòîìëåí³ñòü ðåñïîíäåíòà, àëå â³í íå çãîäèâ
Âìåøàòåëüñòâî äî÷åðè, îíà âîëíîâàëàñü, ÷òî ñëèøêîì ìíîãî âîïðîñîâ, à ìàòü áîëüíà
Ëþäÿì ïîõèëîãî â³êó âàæêî ãîâîðèòè ïðî ñâîº çäîðîâ'ÿ, ïðèãàäóâàòè. Íå çîâñ³ì çðî
Ìàòè ðåñïîíäåíòà ïðàöþº ó ñôåð³ îõîðîíè çäîðîâ'ÿ, àëå íå çàõîò³ëà â³äïîâ³äàòè íà
Ͳ
Ͳ ÍÅ ÁÓËÎ
ͳ
ÍÅ ÁÓËÎ
ÍÅÒ
Íå âèíèêàëè
Íå âîçíèêàëè
Íå âîçíèêàëî
Íåò
Ïîìîãàëà æåíà è ïðèñóòñòâîâàëà
Ïðèõîäèëà ñóñ³äêà - çáèðàëà ãðîø³ íà ïîõîðîíè - âíî÷³ íà âóëèö³ ïîâ³ñèâñÿ ÷îëîâ³
ÐÅÑÏÎÍÄÅÍÒ ÁÓ ÐÎÇÄÐÀÒÎÂÀÍÈÉ ÑÈÒÓÀÖ²ÉÍÈÌÈ ÂÏÐÀÂÀÌÈ ² ²ÄÌÎÂÈÂÑß ÓßÂËßÒÈ ÏŲͲ ÑÈ
ÐÅÑÏÎÍÄÅÍÒ ÎÄÍÎ×ÀÑÍÎ ÄÀÂÀËÀ ²ÄÏβIJ ² ÄÎÃËßÄÀËÀ ÇÀ ÌÀËÅÍÜÊÎÞ ÄÈÒÈÍÎÞ
Ðåñïîíäåíò äóæå ðîçõâèëþâàëàñÿ, êîëè íå çìîãëà çãàäàòè ð³ê íàðîäæåííÿ ñâîãî ñòàð
â³äâîë³êàëà ìàëà äèòèíà
âõîäèëè ³ â³äâîë³êàëè ñâåêîð ç³ ñâåêðóõîþ
í³
í³, àëå áóâ ìîìåíò, êîëè ðåñïîíäåíò ïëàêàëà, êîëè ìîâà éøëà ïðî âèòðàòè íà ìåäèö
íå áóëî
íå âèíèêàëè
íåêîòîðûå âîïðîñû çàñòàâèëè ïðèçàäóìàòüñÿ
íåò
îäèí ç íåáàãàòüîõ, õòî â³äïðîâ³äàâ ³ç çàäîâîëåííÿì, â³äêëàâøè âñ³ äîìàøí³ ñïðàâè
î÷åíü ìíîãî âîïðîñîâ, ýòî óòîìëÿåò è îòâëåêàåò.
ïàóçà, ïîâ'ÿçàíà ç òèì, ùî ïðè¿õàëà ñì³òòºâîçêà, ³ ðåñïîíäåíòêà âèíîñèëà ñì³òòÿ
ïåðåðèâàëèñü íà 20 õâèëèí
ðåñïîíäåíò áûë î÷åíü íåðâíûì
ðåñïîíäåíò èçúÿâèë æåëàíèå ïîñìîüðåòü àíêåòó ðåñïîíäåíò òðåáîâàë óäîñòîâåðåíèå ë
òàê
÷àñ â³ä ÷àñó ðåñïîíäåíãò ïî÷èíàëà ïëàêàòè
Other comments
Other comments
Other comments
Other comments
Other comments
Any other comments:
386
.
10 ROKIV NAZAD R POSTAVILI DIADNOZ MOZKOVA GRIJA, SKAZALI SKILJKI OBIYDETJCYA LI
13:05
13:20
5
ANKETA SLISHKOM SLOZHNAJA I DLINNA AJ
AT PRESENT THE OLD WOMAN IS HELPED BY HER DAUGHTER WHO CAME TO HER FOR THE SUMME
AT THE END OF THE INTERVIEW THE RESPONDENT COMPLAINED ABOUT HEADACHE
BAGATO CHASU IDE NA ROBOTU Z ANKETY
BIL DO POYASA RAZDET DO VSEMU TELU BILI SLEDI PSOPIAZA
BUV OPITANIY PERED TIM YAK IDI VECHERYATI
CHELOVEK ODINOK, NUJDAETSYA V OBSHENII
DAV VICHERPNI VIDPOVIDI, PRIEMNIY SPIVROZMOVNIK
DOMA GENA-INVALID INVALID, NET NIKAKOY POMOCHI, MUG I RABOTAET I UHAGIVAET ZA NE
DUJE PRIEMNIY I DOSVICHENIY SPIVROZMOVNIK. VICHLIVA LUDINA
DUJE PRIEMNIY SPIVROZMOVNIK
Fraza respondenta: Iz-za vashego zdravoohraneniya sigareti zakonchilis
Govorila o tyajeloy jizni v detstve
HE HAS LEFT THE ROOM SEVERAL TIMES FOR ANOTHER ROOM.
HE WAS AFRAID THAT HE WOULD BE BROUGHT TO RESPONSIBILITY FOR HIS ANSWERS
I HAD IMPRESSION THAT THE RESPONDENT WAS SHY TO TALK ABOUT THE CAR ACCIDENT.
I WAS FORCED TO EXPLAIN HER EACH PHRASE IN THE QUESTIONNAIRE
I WAS FORCED TO REPEAT AND EXPLAIN MANY QUESTIONS
IN 2002 #0402 INJURED SOME INTERNAL BODY ORGANS IN CAR ACCIDENT. SINCE THAT EVE
INTERVJU PROVEDENO V POLNOM OBJEME
IT WAS PLEASURE TO TALK WITH OLENA MYKOLAYIVNA, BUT HER HUSBAND CURSED ALL THE T
ITERVJU VIDBULOSJA PISLJA PREDJAVLENNA POSVIDCHENJA
Intervyu provedeno w polnom obyeme
JINKA DUJE HVORA, NERVUVALASJ SHO V NEI NE HVATITJ SIL VIDPOVDATI
Kontujenai z travmou golovi
LOJALNE STAVLENNJA
LONE PERSON. LIKES TALKING.
MNOGO GOVORILA O SMERTI MUZHA
Mala problemi z vimovoy
NAZIVAL ANKETU NE NUZHNOJ RABOTOJ
NE JAVLJAETSJA GRAZHDANINOM UKRAINI
NE VSE RESPONDENT MIG PRIGADATI, I VIDRAZU
NET
Naiskladnishe Oleni bylo govoriti pro stosynki zi svoim gromadanskim cholovikom
No
OCHEN WIRUCHAET SAMOLECHENIE I DOCHOD OT DOMASCHNEGO CHOSYAYSTVA
OCHENJ VESELIY MOLODOY CHELOVEK, NO OTNECYA SEREZNO K VOPROSAM
OK
OTNOSHENIE HOROSHEE
OTRKAZALCYA PODPISIVATJ DOGOVOR
Opros proveden v polnom obyeme
PODPISJ POSTAVITJ NE ZAHOTELI
POOLHAJA EKOLOGIJA
PRI OPROSE RESPONDENT OTVLECALASYA U NEE BILA EE NEVESTKA, TO PRIHODILA TO UHODI
PRIDIRCHIVOE OTNOSHENIE K ANKETE
PRIEMNO BULO PRACUVATI
PRISUTSTVOVALO CHUVSTVO NEISKRENOSTI
PROISHLO OPITUVANNYA NORMALJNO
R w 50 let bolela tuberkuliosom
R-CHASTO ZABUVAE, POTIM ZAMOVKAE, ZNOVU GOVORITJ
RAZOCHAROVANIE V VOPROSAH
RESPONDENT BUV DUJE PRIHILJNIM
RESPONDENT INTERESOVSLASJ CHO DEST EY OPROS
RESPONDENT INVALID 2 GRUPI
RESPONDENT NE ZAHOTILA GOVORITIPRO GROSHI, YAKI ZAPLATILA LIKARYA
RESPONDENT NEUDOVLETVOREN POSTANOVKOJ VOPROSOV
RESPONDENT PITAKAS PRERVAT INTERVJY
RESPONDENT POSTIYNO ZAPITUVAV: "A SHO DRUGI LUDI KAJUTJ? TE PISHITJ I MENI''
RESPONDENT SKYCHAL, RAZDRAGALSJA
RESPONDENT TREBOVAL UDOSTOVERENIE LICHNOSTI
RESPONDENT V SVOI 85 KET BIGLJADIT UDOVLETVORITELNO
RESPONDENT VOZMUSHALSYA, T. E. V ANKETE BILI NEKOREKTNIE VOPROSI OTNOSITELJNO SM
RESPONDENT YDIVLEN SODERZHANIEM IOBJEMOM ANKETI
ROZMOVA AKLALASJ PRIEMNO
Razdrajali voprosi ob oplate yslyg
Resp. govorit chto ves opros nikomy he nyjen
Respondent daval polnie otveti na vse voprosi
Respondent narikala na mali pribytki
Respondent ne smotria na perenesenia insylt i jalobi na mishlenia ochen bistro s
Respondent otkazalsa nazvat svoy familiy
Respondent otvechal na vse voprosi so svoey suprugoy
Respondent ozabochena besplodiem a ee myg,kak potencialniy respondent otkazivaet
Respondent smotrel seriali-problemi
Respondent vtomivsia
SCHITAU, CHTO RESPONDENT - HRONICHESKIY ANKOGOLIK
SHE FEELS VERY LONELY AND THEREFORE WAS VERY HAPPY TO TALK TO ME
SHE WAS VERY INTERESTED. INVITED ME TO COME ONE MORE TIME WITH INTERVIEW.
SOME DIFFICULTIES WERE CAUSED BY THE QUWSTIONS ABOUT PHYSICAL ACTIVITIES
SOMETIMES I WAS FORCED TO REPEAT QUESTION BECAUSE THE RESPONDENT WASN'T VERY ATT
SPIVROBITNICTVO RESPONDENTA BULO DUJE DOBRIM (DOBROZICHLIVA, PROSTA JINKA). SHO
Sokrushalsya o nehvatke deneg mnogo otvlekalsya i rasskazyval o svoyom proshlom
TELEHRANITELJ
THE CHILDREN WERE NEAR THE RESPONDENT ALL THE TIME.
THE HUSBAND OF THE RESPONDENT IS PHYSICALLY DISABLED SINCE HIS CHILDFHOOD
THE QUESTIONNAIRE APPEARED TO BE VERY BORING AND TOO BIG.
THE RESPONDENT DIDN'T SEEM WILLING TO TALK AND DIVERTED HER ATTENTION COUPLE OF
THE RESPONDENT DIDN'T UNDERSTAND QUESTIONS VERY OFTEN.
THE RESPONDENT HAD PAID TO A DOCTOR FOR MEDICAL TREATMENT BUT HE DIDN'T TELL THE
THE RESPONDENT HAS SOME DIFFICULTIES WITH PREGNANCY. THAT'S WHY IT WAS HARD TO T
THE RESPONDENT IS CURRENTLY PREGNANT
THE RESPONDENT IS SICK WITH DIABETIS. PERIODICALLY SHE GETS TREATMENT AT THE COU
THE RESPONDENT IS VERY LONELY PERSON
THE RESPONDENT LIVES ON 70 UAH OF SALARY WITH HER DAUGHTER
THE RESPONDENT SPENT TOO MUCH TIME CONSIDERING HIS ANSWERS AND I WAS FORCED TO R
THE RESPONDENT WAS ADDING TO EACH QUESTION HIS COMMENTS ABOUT HIS GRANDSON'S HEA
THE RESPONDENT WAS AFRAID OF GETTING PROBLEMS BECAUSE OF HER ANSWERS
THE RESPONDENT WAS HURRYING UP BECAUSE OF HOUSEWORK
THE RESPONDENT WAS SHY AND CONFUSED DURING THE INTERVIEW
THE RESPONDENT WAS VERY ACTIVE AND WITH PLEASURE ANSWERED ALL THE QUESTIONS.
THE RESPONDENT WAS VERY KIND IN RECEPTING AND TALKING. HE TALKED A LOT ABOUT HIS
THE RESPONDENT WAS VERY SCEPTICAL ABOUT MANY QUESTIONS AND MADE FUN AT THEM
THE RESPONDENT WAS VERY SHY. IT WAS HARD TO HEAR A SINGLE WORD FROM HIM.
THE RESPONDENT WAS VERY SICK
THE RESPONDENT WAS VERY TIRED BY THE END OF THE INTERVIEW
THE WHOLE FAMILY DOESN'T COMPLAIN ABOUT HEALTH. HUSBANDRY IS AN ESSENTIAL PART O
THE WIFE WAS PRESENT BUT SHE WAS GONE DURING QUESTIONS #6600-6610
U R svisch posle operazii - kesarevo sechenie
U RESPONDENTKI UMER MUJ 2 MES. TOMU, ONA V TRAURE
UDELILA MNOGO VREMENI, S INTERESOM OTVECHALA
V CILOMU OPITUVANNYA PROISHLO DOBRE
VIDPOVIDI BULI AMLOLOGICHNIMI, ALE RESPONDENT STARAVSYA SPIVPRACUVATI
VNIMATELJNO, OTVETSTVENNO
VO VREMYA INTERVYA ZAMECHENO, CHTO SOFIYA F. IMEET PROBLEMI S PSIHICHESKIMI ZABO
VO VREMYA INTERVYU STOYALA, T. K. POSLE TOGO, KAK POSIDIT, NELEGKO IDTI. OPROS P
VOSPOMINANIJA O SINE POGIBSHEM 5 LET NAZAD ZATRYDNJALI
VPECHTLENIE- OCHENJ SPESHILA
Vca rodina potrapila v avtokatastrofy-jaxlivi naslidki.V anketi nema mojlivosti
Z RESPONDENTOM BULO CIKAVO ROZMOVLYATI
Z ZADOVOLENYAM VIDPOVIDALA NA ZAPITANYA
ZAHODILI RODSTVENNIKI
ZAINTERESOBANO BESEDOBAL
ZATRYDNENIJA C OBJEMOM ANKETI
ZAVAJALA SKONCENTRUVATI UVAGU VNUCHKA, AYKA KAPRIZNICHALA
absolutno zdoroviy respondent
bil proyavlen interes k oprosu
bistrota otvetov vpechatlyali
bolschaya zanyatost selskogo naseleniya, malo wremeni
boyazn bit nakazannoy za otkrovenniey otveti
dobrogelatalnoe otnoshenie
dobrogelatelnost, interes
genschina beremennaya, ustala ot takogo dolgogo oprosa
govorila sderzhano
interes k oprosu u respondentov
interesa k oprosu ne bilo za utochneniyami
intervu proshlo bez osobix problem
intervu vidbuvalosa legko i chudovo
k kontsoo oprosa ustal
kak medrabotniki vsa semya doma bila zainteresovana v uchstii v oprose
komentariev net
kontaktnaya, dobrogelatelnaya
mnogo govorila
mnogo kuril
mnogo woprosov, respondent ustal
myj Valentiny pomogal i ne meshal
nedoverie k ltomy> chto iccledovanie prived`t k pozitivnum rezultatam
nejelanie otvechat na vopros boyazn chto dannie mogut peredat v kakito opgani
nemae
nepravilno podschita anketa, perechodi v ankete savodili v labirint bes vichoda
nepravilno podshita anketa
nervnichal i vozmyshalsa
net
no
noualsya otvechat na schekotlivie voprosi
ochen blagodarila sa to, chto podnimayut takie wagnie, gisnennie woprosi
ochen bodriy i gisneradostniy respondent
ochen dolgo
ochen intelligentnaya. gramotnaya no v silu svoego vozrasta i nezdorovya oscheni
ochen interesnaya sobesedniza
ochen krepkaya i sdorovaya genschina, no ne ochen rasgovorchiva
ok
opros zanimaet mnogo vremeny, otcaz otvechat na 8100
otcaz otvechat na 0800, 6600; na voprosi s 6000 po 6008, s 6020 po 6034
otkaz otvechat' na 2100, 8100
otkaz otvechat' na 7500, 8100
otkaz otvechat' na 8100
pered 2100 pereriv 10 min
ploho ponimal Ukrainian, prihodilos' perevodit' na Russian
pobolsche bi wstrechat takich gisneradostnich lyudey
pokasal pochechniy kamen wischedschiy is uretri
prisutstvovali svekrov i sin
priyatnaya respondent? kotoraya ne chustvuet svoego vozrasta
priyatno obshatsys s uravnoveshennim chelovekom
rasskazivala o svoix boleznyax
respondent chegoto opasalsa
respondent krayne nedoverchiv
respondent na mnogie woprosi otvechat boitsya
respondent ne nadeetsya na uluchschenie ochrani sdorovya
respondent ochen agresivna otnositsya k medizine posle sluchaya, kogda vrach pot
respondent otkasalsya podpisivat soglaschenie
respondent otnositsa k tipu ludey, kotorie lubat lechtsa i ludyat govorit o boly
respondentka bila beremennaya
sainteresovalsya anketoy
semya - chernobilzi
slogilos vpechatlenie chto respondent bil ne sovsem trezviy
uctaval ot neobxodimosti otvechat
uklonalsaya ot shekotlivix voprosov
usloviya gisni ochen niskie, trebuetsya yavnaya finansovaya poddergka domochosy
vidpovidi dyhse seriozni
vse proxodilo ochen veselo s nastoroeneim
xocha jinka dyge xvora-trimaetsa molodcom
ytomlaet dlitelelnost. negotovnost otvechat na nekotorie voprosi ( kartochku pri
zanadto bagato zapitan
Àíêåòà ñêëàäåíà íå çîâñ³ì êîðåêòíî. Äóæå âåëèêà, çàéìຠáàãàòî ÷àñó ³ ñèë. Âñ³ æ
ÁËÎÊ ÏÈÒÀÍÜ 2100: ÐÅÑÏÎÍÄÅÍÒÓ ÂÀÆÊÎ ÇÎÑÅÐÅÄÈÒÈÑß ² ÓßÂÈÒÈ ÑÈÒÓÀÖ²¯ - ÒÎÌÓ Â²ÄÏÎÂ
Áàãàòî ïèòàíü, ÿê³ ïîâòîðþþòüñÿ.
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ÄÓÆÅ ÍÀÑÒÎÐÎÆÈËÀÑÜ, ÙÎ ÇÀÏÈÑÀËÈ ¯¯ ÀÄÐÅÑÓ
Äóæå âåëèêà àíêåòà. Ñêîðîòèòè á ¿¿ âïîëîâèíó, îñîáëèâî ñèòóàö³¿ íà òåìè Ñë³ä âðà
ÍÅÌÀª
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ϳä ÷àñ â³äïîâ³äåé íà ïèòàíÿ Â8100 ìàòè ðåñïîíäåíòà ç÷èíèëà ãàëàñ, ùîá â³í íå äà
ÐÅÑÏÎÍÄÅÍÒ ÄÓÆÅ ÂÒÎÌÈÂÑß
×è íå ìîæíà ñêîðîòèòè àíêåòó, ñêëàñòè ¿¿ ïî-³íøîìó. Äóæå äîâã³ ïèòàííÿ. Öå ñèëüí
âàæêî áóëî ãîâîðèòè ïðî ïîìåðëó äèòèíó, ðîçïèòóâàòè ïðî ïðè÷èíè ñìåðò³
äåÿêå ðîçäðàòóâàííÿ, êîëè ïèòàííÿ ïîâòîððþâàëèñÿ, ðîçñ³þâàëàñÿ óâàãà
í³
íå âñå áûëî ïîíÿòíî, äîëãî îáúÿñíÿëèñü
íåò
îòâå÷àë äîñòàòî÷íî ïîäðîáíî, õîòÿ æåíà áûëà ïðîòèâ è òîðîïèëà
îòâå÷àë ê êîíöó ìåíüøå ñòàë ðàññååíûì
î÷åíü äîëãîå îáùåíèå, áîëüøîå êîëè÷åñòâî âîïðîñîâ
ïî ëè÷íûì ïðè÷èíàì íå î÷åíü ëþáèò îáðàùàòüñÿ ê âðà÷àì. Ãèïñ ñàì ñíÿë, ëåæèò â á
ðåñïîíäåíò áûë çàäóì÷èâ, îòâëåêàëñÿ, âîïðîñû áûëè "áîëüíûå", åãî æåíà ëåæèò â á
ðåñïîíäåíò çàèíòåðåñîâàëñÿ íåêîòîðûìè ìîìåíòàìè
ðåñïîíäåíò ïîñï³øàâ
ñèí ðåñïîíäåíò íå áàæàâ, ùîá îïèòóâàëè áàòüêà
ñëèøêîì ìíîãî âîïðîñîâ, òðóäíî âñïîìèíàòü. Íåêîãäà äîëãî ðàçäóìûâàòü. Åñòü ïîâò
ñëèøêîì ìíîãî ëèøíèõ âîïðîñîâ, âñå íóæíî óïðîñòèòü, óìåíüøèòü
ñëîæíî âñïîìèíàòü, ñëîæíî ïîäñ÷èòàòü, ðåñïîíäåíò óïîòðåáëÿëà ÿâíî íåëèòåðàòóðíûå
Time end section 9000
Time end section 9000
Time end section 9000
Time end section 9000
Time end section 9000
89
00:16
10:27
10:38
10:50
11:14
11:18
11:22
11:23
11:25
11:30
11:32
11:33
11:36
11:40
11:47
12:00
12:15
12:18
12:21
12:23
12:30
12:55
13:18
13:28
13:29
13:45
13:54
14:01
14:17
14:25
14:35
14:40
14:50
14:52
14:55
14:58
15:05
15:25
15:50
16:02
16:08
16:13
16:20
16:30
16:32
16:33
17:13
17:17
17:23
17:30
17:32
17:45
17:55
18:10
18:27
18:40
18:45
18:48
18:55
19:20
19:25
20:02
20:12
20:20
20:22
20:27
20:30
20:42
20:45
20:55
21:02
21:05
21:12
21:38
21:43
22:00
22:30
23:18
23:37
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?
1080
34500020
35001311
34502258.252
15233.654
Child No
Child No
Child No
Child No
Child No
1080
1
2
3
4
5
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.
1074
"Vladislav
7
8
AHYA
AL'BINA
ALEKSANDR
ALEKSANDR02/1981
ALEKSANDRA
ALEKSEJ
ALEKSEY
ALENA
ALESHA
ALINA
ALJOSHA
ALLA
ALMAZ
ANASTASIJA
ANASTASIYA
ANATOLIJ
ANATOLIY
ANDREJ
ANDREY
ANDRIJ
ANDRIY
ANJA
ANNA
ANTON
ANZHELA
ARTEM
ARTUR
ARTYOM
Albina
Aleksandr
Aleksandra
Aleksey
Alexandr
Alina
Aliona
Alisa
Alla
Alona
Alosha
Anastasia
Anastasiya
Anatoliy
Andiy
Andrey
Andriy
Angelina
Anna
Anrej
Anton
Artem
BOGDAN
BOGHDAN
BVASILJ
Badim
Bogdan
Boris
DARIYA
DARJA
DENIS
DIANA
DIMA
DMITRIY
DMITRO
DMYTRO
DNITRO
DZHAMALJ
Daniil
Danil
Dar'ya
Darya
Dasha
Denis
Dgenia
Diana
Dima
Dmitriy
Dmitro
EDUARD
EGOR
EKATERINA
EKATERINA.
ELENA
ELIZAVETA
EMIL'
EVGEN
EVGENIY
EVGENIYA
Egor
Ekaterina
Elena
Elvira
Evgen
Evgenia
Evgeniy
GALINNA
GANNA
GENNADIY
GERMAN
GHANNA
GHENNADIY
Galina
Gena
Gennadiy
Glib
Grigoriy
Grisha
HANNA
HRYSTYNA
Hrystyna
IAna
IGHOR
IGORJ
INNA
IRA
IRINA
IRYNA
IVAN
IVANNA
Igor
Iliy
Illa
Inna
Ira
Irina
Ivan
Ivanna
JANA
JANIANA
JANNA
JAROSLAV
JENYA
KARINA
KATERINA
KATERYNA
KATYA
KOLJA
KOLYA
KONSTANTIN
KOSTYA
KOSTYANTYN
KRISTIAN
KSENIYA
KYRYLO
Katerina
Katia
Katya
Kiriil
Kola
Konstantin
Kostia
Kristina
Kseniya
LENA
LESHA
LESYA
LILA
LUBOVJ
LUDA
LUDMILA
LUIZA
LYBA
LYUDMYLA
Larisa
Lena
Lescha
Lida
Liliya
Liza
Luba
Luda
Ludmila
Lyubov
Lyuda
MAKS
MAKSIM
MAKSYM
MARHARYTA
MARIJA
MARINA
MARIYA
MARJANA
MARTA
MARYAN
MARYNA
MASHA
MIHAIL
MIHAILO
MIHAJLO
MIKOLA
MISHA
MYHAYLO
MYKHAYLO
MYKOLA
Maksim
Maria
Mariana
Marina
Mariya
Marta
Maryana
Masha
Maxim
Maya
Michaylo
Mikhail
Mila
Mischa
Misha
Mixail
Mixaylo
Myhajlo
NADEJDA
NADINA
NADIYA
NASTIA
NASTJA
NASTYA
NATALIA
NATALIJA
NATALIYA
NATASHA
NAZAR
NIKITA
NIKOL'
NINA
Nadegda
Nadia
Nadiya
Nadya
Nasta
Nastia
Nastya
Natal'ya
Natalia
Natalya
Natascha
Natasha
Nikita
Nikolay
OKSANA
OL'GHA
OL'HA
OLEG
OLEGH
OLEKS
OLEKSANDR
OLEKSANDRA
OLEKSIJ
OLEKSIY
OLENA
OLESJA
OLESYA
OLGA
OLJA
OLYA
Oksana
Ola
Oleg
Oleksandr
Oleksandra
Oleksia
Olena
Olesya
Olga
Olya
Orest
PAVEL
PAVLO
Pavel
RENATA
ROMA
ROMAN
ROSTISLAV
RUSLAN
Renata
Rita
Roma
Roman
Ruslan
SAMIRA
SASHA
SEREJA
SEREZHA
SERGEJ
SERGEY
SERGHIY
SERGIJ
SERGIY
SERHIY
SLAVA
SOFIJA
SONYA
STANISLAV
SVETA
SVETLANA
SVITLANA
SVJATOSLAV
SVYATOSLAV
Sasha
Seregha
Sergey
Sergiy
Slavik
Sofiya
Sofya
Soryana
Stas
Sveta
Svetlana
Svitlama
Svyatoslav
TAMINA
TANYA
TARAS
TATJANA
TETJANA
TETYANA
TIMUR
TONJA
Tana
Tania
Tanya
Tatyana
Tetana
Tolik
ULJYANA
ULYANA
Ulia
Ura
VADIM
VADYM
VALENTINA
VALENTYNA
VALERA
VALERIJA
VALERIY
VALERIYA
VALIK
VALYA
VASILISA
VERONIKA
VIKA
VIKTOR
VIKTORIJA
VIKTORIYA
VIOLA
VITA
VITALIJ
VITALIY
VITALIYA
VLACHESLAV
VLADIK
VLADIMIR
VLADIMIRR
VLADISLAV
VLADYSLAV
VOLODJA
VOLODYA
VOLODYMYR
VOVA
Vacheslav
Vadim
Valdislav
Valentin
Valera
Valeriy
Vasiliy
Veronika
Victoria
Vika
Viktor
Viktoria
Vitali
Vitaliy
Vitaliy.
Vitaly
Vlad
Vladimir
Vladislav
Vladislava
Volodimir
Volodya
Wadim
Walentin
Wiktor
Wiktoriya
Witalik
Witaliy
Wladislav
Wyacheslav
YANA
YAROSLAV
YELIZAVETA
YEVGHEN
YEVHENIYA
YLIJA
YLIYA
YLJA
YLJANA
YLYA
YOSYP
YRA
YRIJ
YRIY
YULIANA
YULIY
YULIYA
YURIY
Yana
Yaroslav
Yevgenij
Ylia
Yulia
Yuliya
Yulya
Yurij
Yuriy
ZHENJA
ZINAYIDA
ZLATA
ZORYANA
Zoia
Zoryana
aLEKSEY
aNNA
alena
asha
dENIS
daria
kATYA
ludmola
mARIAN
nastya
pETR
sergey
vICTOR
vITALIY
vLIDISLAV
ªÂÃÅÍ
ªÂÃÅͲß
²ÂÀÍ
²ÍÍÀ
²ÐÈÍÀ
²âàí
²ãîð
²ðèíà
ÀÍÀÑÒÀѲß
ÀÍÄвÉ
ÀÍÍÀ
ÀÐÒÅÌ
Àë³íà
Àëåêñàíäð
Àëêñàíäð
Àëëà
Àíäð³é
Àííà
Àíÿ
ÁÎÃÄÀÍ
Áîãäàí
²ÊÒÎвß
³òàë³é
ÂËÀÄÈÑËÀÂÀ
ÂÎËÎÄÈÌÈÐ
Âàñèëü
Âèêòîðèÿ
Âèòàëèé
Âëàä³ê
Âëàäèñëàâà
Âîëîäèìèð
Âñåâîëîä
Ãàëèíà
ÄÀͲ¯Ë
ÄÌÈÒÐÎ
Äàíèëî
Äèìà
ÅËÜÍÅÁÅÍÈß
Åâãåíèé
Åâãåíèÿ
Åð³ê
Æåíÿ
Èðèíà
ÊÀÒÅÐÈÍÀ
Êàòåðèíà
Êîëÿ
˲ÄÀ
˳ëÿ
Ëåñÿ
ÌÀÊÑÈÌ
ÌÀÐÃÀÐÈÒÀ
ÌÈÊÎËÀ
ÌÈÕÀÉËÎ
Ìàêñèì
Ìàðèíà
Ìàøà
Ìèêîëà
Ìèõàèë
ÍÀÇÀÐ
ÍÀòàë³ÿ
Íàñòÿ
Íàòàëèÿ
ÎÊÑÀÍÀ
ÎËÅÊÑÀÍÄÐ
ÎËÅÍÀ
ÎËÜÃÀ
Îêñàíà
Îëåã
Îëåêñàíäð
Îëåíà
Îëåñÿ
Îëüãà
Ðîìàí
ѲÒËÀÍÀ
Ñåìåí
Ñåðã³é
ÒÀÌÀÐÀ
ÒÅÒßÍÀ
Òàíÿ
Òàòüÿíà
Òåòÿíà
Þë³ÿ
Þëÿ
Þð³é
ßÐÈÍÀ
ßíà
þÐÀ
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.
1073
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
02/1973
02/1976
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
02/1997
02/1998
02/1999
02/2000
02/2001
02/2002
02/2003
03/1973
03/1974
03/1975
03/1977
03/1978
03/1979
03/1980
03/1981
03/1982
03/1983
03/1984
03/1985
03/1986
03/1987
03/1988
03/1989
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
03/2003
04/1907
04/1970
04/1974
04/1977
04/1978
04/1980
04/1981
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
04/2003
05/1902
05/1963
05/1975
05/1976
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
05/2003
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
06/1990
06/1991
06/1992
06/1993
06/1994
06/1995
06/1996
06/1997
06/1998
06/1999
06/2000
06/2001
06/2002
06/2003
07/1922
07/1973
07/1974
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
08/1973
08/1975
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
08/1991
08/1992
08/1993
08/1994
08/1995
08/1996
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
09/1988
09/1989
09/1990
09/1991
09/1992
09/1993
09/1994
09/1995
09/1996
09/1997
09/1999
09/2000
09/2001
09/2002
09/2003
10/1923
10/1975
10/1977
10/1978
10/1979
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
10/2000
10/2001
10/2002
11/1973
11/1976
11/1979
11/1980
11/1981
11/1982
11/1983
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
12/1972
12/1976
12/1977
12/1981
12/1982
12/1983
12/1984
12/1985
12/1986
12/1987
12/1989
12/1990
12/1991
12/1992
12/1993
12/1994
12/1995
12/1996
12/1997
12/1998
12/1999
12/2000
12/2002
àïð.87
sex
sex
sex
sex
sex
What is the sex?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
1074
6
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.
1073
7
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.
856
224
5
30
15.119
5.991
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.
159
921
2
59
25.918
16.941
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.
20
1060
1
54
15.05
14.919
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.
1019
61
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.
18
01/1985
01/1991
02/1981
02/1994
04/1978
04/1988
04/1998
04/2001
04/2003
05/1996
06/1980
06/1986
06/2001
08/1992
09/1999
10/1996
10/2000
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
1065
1
25
9.867
8.887
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.
5
1075
2
20
9
6.964
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.
1
1079
5
5
5
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.
22
1058
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.
18
1062
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.
17
1063
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.
19
1061
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.
20
1060
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.
20
1060
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.
20
1060
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.
8
1072
1
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.
20
1060
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.
19
1061
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.
19
1061
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.
20
1060
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?
5882
34500001
35003060
1
Accident
2
Suicide
3
Murder
4
War
5
Natural disaster
5882
1
2
3
4
5
6
7
8
9
10
11
12
13
14
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
5849
.
2
3
7
77
8
88
9
AD
AF
AG
AL
AN
AQ
AR
Ad
Af
Ak
Al
Am
An
Ar
As
BA
BL
BO
BR
BY
Ba
Bo
Br
CE
CT
Ct
Cv
DA
DD
DE
DI
DM
DO
Da
Di
Dm
Du
ED
EF
EG
EK
EL
EM
ER
EV
Ed
Ef
Eg
Ek
El
Em
Eu
Ev
FE
FR
Fa
Fe
Fi
Fr
Fy
GA
GE
GH
GR
GS
Ga
Ge
Gr
Gu
HA
HE
HR
I
ID
IG
IH
IL
IN
IO
IR
IV
Ia
Ig
Il
In
Io
Ir
Iv
Iw
JA
JE
JO
Ja
Je
Ju
KA
KI
KL
KO
KS
Ka
Kl
Ko
Ks
LA
LE
LI
LJ
LU
LY
La
Le
Li
Lo
Lu
Ly
M.
MA
ME
MI
MO
MU
MY
Ma
Mi
Mu
My
NA
NE
NI
NO
NU
Na
Ni
Ny
O'
O.
OI
OK
OL
ON
Oc
Ok
Ol
Or
Os
Ov
Ox
PA
PE
PH
PO
PR
PY
Pa
Pe
Pi
Po
Pr
RA
RO
RP
RU
RY
Ra
Re
Ro
Ru
Ry
S.
SA
SE
SH
SI
SO
ST
SV
Sa
Se
Sh
Si
Sl
So
St
Sv
T.
TA
TE
TI
TO
TU
Ta
Te
Ti
To
UL
Ul
Ur
V'
VA
VE
VI
VJ
VL
VO
VY
Va
Ve
Vi
Vl
Vo
Vu
Vy
Wa
We
Wi
Wl
Wo
Wy
Xa
YA
YE
YK
YL
YO
YR
YU
Ya
Ye
Yi
Yl
Yr
Yu
ZA
ZE
ZH
ZI
ZO
Ze
Zh
Zi
Zo
`P
aL
aN
al
an
eF
el
ev
fE
gA
gE
gR
ga
gr
iN
iR
iV
iv
kL
ko
lE
lI
lU
lY
le
lu
ly
mA
nA
nI
na
ne
ni
oK
oL
ok
ol
pE
rA
rF
sE
sH
sT
sa
se
si
tE
ta
v
vA
vE
vI
vO
va
vi
vo
wI
wi
yA
yU
ya
yu
zo
ªÂ
ªâ
²Â
²Ã
²Ð
²â
²ã
²ç
²ë
²í
²ð
²ö
ÀË
ÀÍ
Àë
Àí
ÁÎ
Áå
Â'
²
³
ÂÀ
ÂÈ
ÂË
ÂÎ
Âà
Âå
Âè
Âë
Âî
Âÿ
ÃÀ
ÃÅ
Ãà
Ãå
Ãð
ij
Äì
ÅÄ
Åê
Åë
ÆÀ
Æå
dz
Çè
Çî
Èâ
Èã
Èí
Èð
Éî
ÊÎ
ÊÑ
Êà
Êè
Êë
˲
˳
ËÀ
ËÅ
ËÈ
ËÞ
Ëà
Ëå
Ëè
Ëþ
̳
ÌÀ
ÌÈ
ÌÎ
Ìà
Ìè
Ͳ
ͳ
ÍÀ
ÍÎ
Íà
Íè
ÎÊ
ÎË
Îê
Îë
Îð
ÏÀ
ÏÅ
ÏÎ
Ïà
Ïå
ÐÀ
ÐÈ
ÐÎ
Ðà
Ðî
Ðó
ÑÂ
ÑÅ
ÑË
ÑÒ
Ñà
Ñâ
Ñå
Ñë
Ñî
Ñò
ÒÀ
ÒÅ
Òà
Òå
Òî
Óñ
ÔÐ
Ôà
Ôå
Ôè
ÞË
ÞÐ
Þë
Þí
Þð
ß
ßê
ßð
àË
â³
âË
âà
ìà
íà
ïà
òÅ
sex
sex
sex
sex
sex
Sex
5819
63
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
5594
01/1900
01/1901
01/1902
01/1905
01/1906
01/1907
01/1908
01/1909
01/1910
01/1911
01/1912
01/1913
01/1914
01/1915
01/1916
01/1917
01/1918
01/1919
01/1920
01/1921
01/1922
01/1923
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
01/1991
01/1992
01/1993
02/1911
02/1913
02/1917
02/1918
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
02/1991
02/1996
03/1909
03/1913
03/1916
03/1919
03/1920
03/1921
03/1922
03/1923
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
03/1987
03/1988
03/1989
03/1990
03/1993
03/1994
04/1910
04/1911
04/1914
04/1916
04/1917
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
04/1990
04/1993
04/1995
04/1999
05/1912
05/1914
05/1915
05/1917
05/1918
05/1919
05/1920
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
05/1993
05/1995
06/1905
06/1907
06/1913
06/1914
06/1915
06/1916
06/1918
06/1919
06/1921
06/1923
06/1924
06/1925
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
06/1990
06/1991
06/1996
07/1902
07/1907
07/1909
07/1910
07/1919
07/1921
07/1922
07/1923
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
07/1993
07/1995
08/1909
08/1915
08/1917
08/1918
08/1919
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
09/1911
09/1913
09/1914
09/1915
09/1916
09/1917
09/1919
09/1920
09/1921
09/1922
09/1923
09/1924
09/1925
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
09/1987
09/1988
09/1989
09/1990
09/1992
09/1994
09/1997
1
Date of birth Sibling 1
10/1908
10/1909
10/1911
10/1915
10/1916
10/1918
10/1919
10/1920
10/1921
10/1922
10/1923
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
10/1987
10/1988
10/1989
10/1990
10/1991
10/1999
11/1912
11/1914
11/1916
11/1920
11/1921
11/1922
11/1923
11/1924
11/1925
11/1927
11/1928
11/1929
11/1930
11/1931
11/1932
11/1933
11/1934
11/1935
11/1936
11/1937
11/1939
11/1940
11/1941
11/1942
11/1943
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
11/1966
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
11/1988
11/1991
12/1904
12/1910
12/1914
12/1915
12/1918
12/1919
12/1921
12/1922
12/1923
12/1924
12/1927
12/1928
12/1929
12/1930
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
12/1946
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
12/1982
12/1983
12/1984
12/1985
12/1986
12/1987
12/1990
12/1991
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]?
5094
788
-30
28
3.473
5.659
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?
5588
294
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?
2864
3018
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]?
3666
2216
92
46.538
17.629
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?
1103
4779
99
36.525
27.755
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?
992
4890
80
28.971
25.227
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?
1363
4519
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?
240
5642
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?
207
5675
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?
208
5674
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?
712
5170
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
207
5675
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?
208
5674
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?
186
5696
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
26
1
5
8
I
N
P
V
c
l
n
o
Í
â
ð
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?
635
5247
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?
641
5241
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?
571
5311
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?
623
5259
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 ?
596
5286
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 ?
611
5271
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 ?
623
5259
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 ?
627
5255
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 ?
600
5282
1
Yes
5
No
Sysmiss