DDI_CZE_2003_WHS_v01_M 2012-01-30 NADA Version 01 (January 2012) World Health Survey 2003 WHS 2003 CZE_2003_WHS_v01_M World Health Organization (WHO) NADA World Health Organization Multi-Country Studies, Measurement and Health Information Systems World Health Survey [hh/whs] WHO has developed and implemented a Survey Programme and a World Health Survey to compile comprehensive baseline information on the health of populations and on the outcomes associated with the investment in health systems; baseline evidence on the way health systems are currently functioning; and, ability to monitor inputs, functions, and outcomes. The Survey Programme was developed in individual countries through consultation with policy-makers and in collaboration with the people involved in routine HIS. It was complementary to their efforts, to ensure periodic data input in a cost-effective way so that important gaps in health information are covered. It also established a baseline for efforts to scale-up health activities. The World Health Survey has been completed in 70 countries and the data sets have been cleaned and weighted and prepared for analysis by country teams. The majority of the data sets are ready and have been distributed to the partners in the countries with the basic tabulations and discussions are in progress to interpret the results. Many countries have produced a country report. World Health Survey (WHS) Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers. The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters. The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules. The objectives of the survey programme are to: 1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems. 2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes. 3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary. Czech Republic 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. Czech-ID 949 8 WHS-Czech_F2 949 101 WHS-Czech_F3 2712 16 WHS-Czech_F4 99 27 WHS-Czech_F5 935 681 WHS-Czech_F6 340 26 WHS-Czech_F7 1813 29 Identification Identification Identification Identification Identification 949 12100003 12101918 12101063.906 546.927 country code country code country code country code country code 949 CZE 949 1 200 102.416 64.881 Probability weight Probability weight Probability weight Probability weight Probability weight 935 14 24 161504.078 11321.876 16913.092 Household probability weight Household probability weight Household probability weight Household probability weight Household probability weight 949 3.429 110444.719 5068.997 8671.019 949 161 861 531.506 226.232 Post-stratified probablity weight Post-stratified probablity weight Post-stratified probablity weight Post-stratified probablity weight Post-stratified probablity weight 935 14 347.862 87266.383 8956.161 10709.997 Post stratified household weight Post stratified household weight Post stratified household weight Post stratified household weight Post stratified household weight 945 4 4.195 105030.375 5079.152 8302.953 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? 949 12100003 12101918 12101063.906 546.927 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 949 Sysmiss Rotation Code Rotation Code Rotation Code Rotation Code Rotation Code 949 A B C D interviewer ID interviewer ID interviewer ID interviewer ID interviewer ID 949 101 999 560.935 235.327 name of interviewer name of interviewer name of interviewer name of interviewer name of interviewer total calls total calls total calls total calls total calls 949 1 10 2 1.244 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) 949 01/02/2003 01/04/2003 02/02/2003 02/04/2003 02/05/2003 03/01/2003 03/02/2003 03/04/2003 04/01/2003 04/02/2003 04/04/2003 04/12/2002 05/01/2003 05/04/2003 05/05/2003 05/12/2002 06/01/2003 06/04/2003 06/05/2003 06/12/2002 07/04/2003 07/05/2003 08/04/2003 08/12/2002 09/04/2003 09/05/2003 09/12/2002 10/04/2003 10/05/2003 10/12/2002 11/04/2003 11/12/2002 12/04/2003 12/05/2003 12/12/2002 13/04/2003 13/05/2003 13/12/2002 14/04/2003 14/05/2003 14/12/2002 15/03/2003 15/04/2003 15/05/2003 16/03/2003 16/04/2003 16/12/2002 17/03/2003 17/04/2003 17/12/2002 18/03/2003 18/04/2003 18/12/2002 19/03/2003 19/04/2003 19/12/2002 20/03/2003 20/04/2003 21/03/2003 22/03/2003 22/04/2003 23/03/2003 23/04/2003 24/03/2003 24/04/2003 25/03/2003 25/04/2003 26/03/2003 26/04/2003 27/01/2003 27/03/2003 27/04/2003 28/01/2003 28/03/2003 28/04/2003 28/12/2002 29/03/2003 29/04/2003 30/01/2003 30/03/2003 30/04/2003 30/12/2002 31/01/2003 31/03/2003 Final result code Final result code Final result code Final result code Final result code 949 6 7 8 9 10 11 13 14 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) 940 01/04/2003 01/05/2003 02/04/2003 02/05/2003 03/01/2003 03/02/2003 03/04/2003 04/02/2003 04/04/2003 04/05/2003 05/01/2003 05/04/2003 05/05/2003 06/01/2003 06/04/2003 06/05/2003 07/01/2003 07/04/2003 07/05/2003 08/04/2003 09/04/2003 09/05/2003 09/06/2003 10/04/2003 10/05/2003 10/12/2002 11/04/2003 11/05/2003 11/12/2002 12/04/2003 12/05/2003 12/12/2002 13/04/2003 13/05/2003 14/04/2003 14/05/2003 15/04/2003 15/05/2003 16/04/2003 16/05/2003 17/03/2003 17/04/2003 17/05/2003 17/12/2002 18/04/2003 18/05/2003 18/12/2002 19/03/2003 19/04/2003 19/05/2003 20/04/2003 20/06/2003 21/03/2003 21/04/2003 22/04/2003 23/03/2003 23/04/2003 24/03/2003 24/04/2003 25/03/2003 25/04/2003 26/03/2003 26/04/2003 27/03/2003 27/04/2003 28/03/2003 28/04/2003 29/03/2003 29/04/2003 30/03/2003 30/04/2003 31/03/2003 Data entry 1st date (dd/mm/yyyyy) Data entry 1st date (dd/mm/yyyyy) Data entry 1st date (dd/mm/yyyyy) Data entry 1st date (dd/mm/yyyyy) Data entry 1st date (dd/mm/yyyyy) 949 02/05/2003 05/05/2003 06/01/2003 06/05/2003 07/01/2003 07/05/2003 08/04/2003 09/01/2003 09/04/2003 10/01/2003 10/04/2003 11/04/2003 11/06/2003 12/05/2003 13/05/2003 14/01/2003 14/04/2003 14/05/2003 15/04/2003 15/05/2003 16/04/2003 16/05/2003 17/04/2003 18/04/2003 18/12/2002 19/04/2003 19/05/2003 19/12/2002 20/02/2003 20/05/2003 20/06/2003 21/02/2003 21/05/2003 22/04/2003 22/05/2003 23/04/2003 24/02/2003 24/04/2003 25/04/2003 26/02/2003 27/02/2003 28/04/2003 29/04/2003 30/04/2003 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) 100 06/01/2003 07/01/2003 08/01/2003 10/01/2003 14/01/2003 15/01/2003 19/12/2002 20/02/2003 23/06/2003 24/06/2003 25/06/2003 26/02/2003 27/02/2003 psu psu psu psu psu Sampling Information Primary Sampling Unit (PSU) Name/Code 949 1 200 102.416 64.881 ssu ssu ssu ssu ssu Sampling Information Secondary Sampling Unit (SSU) Name/Code 949 1 274 151.052 77.609 tsu tsu tsu tsu tsu Sampling Information Tertiary Sampling Unit (TSU) Name/Code 949 qsu qsu qsu qsu qsu Sampling Information Quarternary Sampling Unit (QSU) Name/Code 949 settings settings settings settings settings Sampling information: Additional information Setting 949 1 Urban 2 Peri-urban/Semi-urban 3 rural 4 Other Specify Specify Specify Specify Specify 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 949 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 949 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 949 longitude (E/W) longitude (E/W) longitude (E/W) longitude (E/W) longitude (E/W) Longitude 949 E longitude (degree) longitude (degree) longitude (degree) longitude (degree) longitude (degree) Longitude 949 Sysmiss longitude (decimal degree) longitude (decimal degree) longitude (decimal degree) longitude (decimal degree) longitude (decimal degree) Longitude 949 waypoint waypoint waypoint waypoint waypoint Waypoint 949 1 center of gravity of the cluster 2 In front of the household 3 Nearby location 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) 904 05:45 06:10 07:00 07:20 07:25 07:30 08:00 08:03 08:15 08:22 08:26 08:30 08:35 08:37 08:41 08:45 08:50 08:55 08:56 08:57 08:58 09:00 09:01 09:04 09:05 09:06 09:10 09:12 09:15 09:20 09:25 09:30 09:32 09:35 09:40 09:45 09:47 09:50 09:55 10:00 10:05 10:06 10:08 10:10 10:12 10:15 10:20 10:21 10:24 10:25 10:29 10:30 10:33 10:34 10:35 10:37 10:40 10:45 10:50 10:52 10:55 11:00 11:01 11:02 11:05 11:10 11:15 11:18 11:20 11:25 11:30 11:33 11:35 11:40 11:41 11:45 11:55 11:57 12:00 12:05 12:06 12:10 12:15 12:20 12:25 12:27 12:28 12:30 12:35 12:40 12:45 12:48 12:50 12:55 12:58 13:00 13:01 13:03 13:04 13:05 13:09 13:10 13:11 13:15 13:18 13:19 13:20 13:23 13:25 13:30 13:35 13:40 13:43 13:45 13:50 13:53 13:54 13:55 13:59 14:00 14:02 14:03 14:04 14:05 14:10 14:13 14:15 14:20 14:21 14:25 14:30 14:33 14:35 14:40 14:42 14:44 14:45 14:49 14:50 14:55 14:58 15:00 15:03 15:04 15:05 15:06 15:07 15:09 15:10 15:15 15:16 15:17 15:20 15:24 15:25 15:26 15:30 15:35 15:37 15:40 15:45 15:47 15:49 15:50 15:55 15:56 15:57 16:00 16:03 16:05 16:10 16:15 16:16 16:17 16:20 16:25 16:26 16:28 16:30 16:31 16:35 16:40 16:44 16:45 16:48 16:50 16:53 16:55 16:58 16:59 17:00 17:01 17:02 17:03 17:04 17:05 17:08 17:10 17:15 17:20 17:21 17:25 17:30 17:32 17:35 17:40 17:45 17:46 17:50 17:55 17:56 18:00 18:03 18:04 18:05 18:08 18:10 18:15 18:20 18:25 18:30 18:32 18:35 18:40 18:42 18:45 18:50 18:55 19:00 19:01 19:05 19:10 19:15 19:20 19:30 19:35 19:46 19:48 19:50 19:55 20:00 20:04 22:15 Kish table code Kish table code Kish table code Kish table code Kish table code 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. 920 29 400 408 401.955 3.128 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. 935 14 400 401 402 407 408 409 410 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? 949 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? 949 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? 949 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? 949 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? 949 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? 949 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? 949 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). 949 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? 934 15 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 8 941 400 401 407 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 949 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 949 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 949 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 949 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? 924 25 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? 54 895 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 924 05:50 06:15 07:05 07:10 07:25 07:35 07:39 08:05 08:06 08:10 08:20 08:29 08:30 08:32 08:34 08:35 08:40 08:41 08:42 08:49 08:50 08:53 08:55 09:00 09:02 09:03 09:05 09:07 09:08 09:09 09:10 09:12 09:15 09:17 09:20 09:22 09:23 09:24 09:25 09:30 09:35 09:37 09:38 09:40 09:45 09:47 09:48 09:50 09:54 09:55 09:59 10:00 10:02 10:03 10:05 10:06 10:10 10:13 10:15 10:17 10:18 10:19 10:20 10:23 10:24 10:25 10:30 10:31 10:32 10:35 10:36 10:37 10:38 10:40 10:41 10:42 10:43 10:50 10:52 10:53 10:55 10:57 11:00 11:02 11:03 11:05 11:07 11:08 11:09 11:10 11:11 11:13 11:15 11:20 11:23 11:29 11:30 11:34 11:35 11:37 11:40 11:45 11:50 11:53 11:57 12:00 12:03 12:05 12:07 12:08 12:10 12:12 12:13 12:15 12:18 12:19 12:20 12:22 12:25 12:26 12:30 12:32 12:33 12:35 12:36 12:37 12:40 12:41 12:45 12:48 12:50 12:55 12:59 13:00 13:01 13:05 13:06 13:07 13:09 13:10 13:11 13:12 13:15 13:17 13:18 13:20 13:25 13:27 13:30 13:32 13:35 13:37 13:38 13:40 13:42 13:45 13:50 13:54 13:55 13:56 13:59 14:00 14:02 14:03 14:04 14:05 14:06 14:10 14:12 14:15 14:17 14:18 14:20 14:24 14:25 14:27 14:30 14:32 14:33 14:34 14:35 14:37 14:38 14:40 14:42 14:43 14:45 14:46 14:47 14:48 14:50 14:51 14:55 14:57 14:58 15:00 15:03 15:04 15:05 15:06 15:07 15:08 15:09 15:10 15:11 15:15 15:18 15:20 15:21 15:23 15:24 15:25 15:30 15:32 15:33 15:35 15:37 15:38 15:40 15:41 15:42 15:44 15:45 15:46 15:49 15:50 15:52 15:53 15:55 15:59 16:00 16:01 16:02 16:04 16:05 16:06 16:07 16:08 16:09 16:10 16:12 16:13 16:15 16:18 16:19 16:20 16:22 16:24 16:25 16:30 16:32 16:35 16:38 16:39 16:40 16:45 16:46 16:47 16:48 16:49 16:50 16:52 16:55 16:57 16:58 17:00 17:01 17:02 17:03 17:04 17:05 17:06 17:07 17:08 17:09 17:10 17:12 17:13 17:14 17:15 17:17 17:18 17:20 17:23 17:25 17:27 17:30 17:35 17:36 17:37 17:39 17:40 17:42 17:45 17:47 17:48 17:50 17:55 17:59 18:00 18:02 18:03 18:05 18:06 18:08 18:09 18:10 18:11 18:12 18:15 18:18 18:20 18:23 18:26 18:30 18:31 18:32 18:33 18:35 18:38 18:40 18:45 18:51 18:55 19:02 19:05 19:06 19:07 19:10 19:15 19:17 19:20 19:21 19:25 19:40 19:50 19:54 19:55 20:00 20:05 20:10 20:20 20:40 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? 949 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]… 949 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]? 949 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]? 949 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? 949 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? 949 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? 949 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? 949 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 Can you please tell me how many rooms there are in your home? Can you please tell me how many rooms there are in your home? Can you please tell me how many rooms there are in your home? Can you please tell me how many rooms there are in your home? Can you please tell me how many rooms there are in your home? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Can you please tell me how many rooms there are in your home? 922 27 1 11 4.061 1.563 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 (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. How many cars are there in your household? 924 25 5 0.797 0.706 How many televisions are there in your household? How many televisions are there in your household? How many televisions are there in your household? How many televisions are there in your household? How many televisions are there in your household? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. How many televisions are there in your household? 918 31 5 1.365 0.648 Does anyone in your household have a bicycle? Does anyone in your household have a bicycle? Does anyone in your household have a bicycle? Does anyone in your household have a bicycle? Does anyone in your household have a bicycle? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a bicycle? 923 26 1 5 1 Yes 5 No Does anyone in your household have a video cassette recorder? Does anyone in your household have a video cassette recorder? Does anyone in your household have a video cassette recorder? Does anyone in your household have a video cassette recorder? Does anyone in your household have a video cassette recorder? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a video cassette recorder? 921 28 1 Yes 5 No Sysmiss Does anyone in your household have a stereo system? Does anyone in your household have a stereo system? Does anyone in your household have a stereo system? Does anyone in your household have a stereo system? Does anyone in your household have a stereo system? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a stereo system? 921 28 1 Yes 5 No Sysmiss Does anyone in your household have a DVD player? Does anyone in your household have a DVD player? Does anyone in your household have a DVD player? Does anyone in your household have a DVD player? Does anyone in your household have a DVD player? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a DVD player? 919 30 1 Yes 5 No Sysmiss Does anyone in your household have a video camera? Does anyone in your household have a video camera? Does anyone in your household have a video camera? Does anyone in your household have a video camera? Does anyone in your household have a video camera? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a video camera? 920 29 1 Yes 5 No Sysmiss Does anyone in your household have a washing machine for clothes? Does anyone in your household have a washing machine for clothes? Does anyone in your household have a washing machine for clothes? Does anyone in your household have a washing machine for clothes? Does anyone in your household have a washing machine for clothes? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a washing machine for clothes? 920 29 1 Yes 5 No Sysmiss Does anyone in your household have a washing machine for dishes? Does anyone in your household have a washing machine for dishes? Does anyone in your household have a washing machine for dishes? Does anyone in your household have a washing machine for dishes? Does anyone in your household have a washing machine for dishes? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a washing machine for dishes? 916 33 1 Yes 5 No Sysmiss Does anyone in your household have a vacuum cleaner? Does anyone in your household have a vacuum cleaner? Does anyone in your household have a vacuum cleaner? Does anyone in your household have a vacuum cleaner? Does anyone in your household have a vacuum cleaner? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a vacuum cleaner? 919 30 1 Yes 5 No Sysmiss Does anyone in your household have a refrigerator? Does anyone in your household have a refrigerator? Does anyone in your household have a refrigerator? Does anyone in your household have a refrigerator? Does anyone in your household have a refrigerator? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a refrigerator? 920 29 1 Yes 5 No Sysmiss Does anyone in your household have a fixed line telephone? Does anyone in your household have a fixed line telephone? Does anyone in your household have a fixed line telephone? Does anyone in your household have a fixed line telephone? Does anyone in your household have a fixed line telephone? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a fixed line telephone? 920 29 1 Yes 5 No Sysmiss Does anyone in your household have a mobile / cellular telephone? Does anyone in your household have a mobile / cellular telephone? Does anyone in your household have a mobile / cellular telephone? Does anyone in your household have a mobile / cellular telephone? Does anyone in your household have a mobile / cellular telephone? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a mobile/cellular telephone? 920 29 1 Yes 5 No Sysmiss Does anyone in your household have a computer? Does anyone in your household have a computer? Does anyone in your household have a computer? Does anyone in your household have a computer? Does anyone in your household have a computer? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a computer? 921 28 1 Yes 5 No Sysmiss Does anyone in your household have Access to the internet/World Wide Web from your home? Does anyone in your household have Access to the internet/World Wide Web from your home? Does anyone in your household have Access to the internet/World Wide Web from your home? Does anyone in your household have Access to the internet/World Wide Web from your home? Does anyone in your household have Access to the internet/World Wide Web from your home? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have access to the internet/World Wide Web from your home? 921 28 1 Yes 5 No Sysmiss Does anyone in your household have any subscriptions to magazines and/or newspapers? Does anyone in your household have any subscriptions to magazines and/or newspapers? Does anyone in your household have any subscriptions to magazines and/or newspapers? Does anyone in your household have any subscriptions to magazines and/or newspapers? Does anyone in your household have any subscriptions to magazines and/or newspapers? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have any subscriptions to magazines and/or newspapers? 920 29 1 Yes 5 No Sysmiss Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)? Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)? Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)? Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)? Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)? 872 77 1 Yes 5 No Sysmiss Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)? Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)? Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)? Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)? Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)? 920 29 1 Yes 5 No Sysmiss Do you have a second home? Do you have a second home? Do you have a second home? Do you have a second home? Do you have a second home? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Do you have a second home? 921 28 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? 679 270 2000 74000 12348.9 7374.205 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. 710 239 400 20000 5428.042 2887.962 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? 774 175 21600 3723.939 1999.312 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? 794 155 32000 381.297 1629.299 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? 792 157 25000 386.277 1274.112 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? 781 168 4000 31.677 232.759 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? 689 260 43600 1747.234 3629.708 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? 877 72 5400 12.201 207.836 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? 875 74 200 0.629 10.811 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? 875 74 2000 4.629 74.941 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? 876 73 14000 122.732 858.278 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? 873 76 5000 244.363 386.342 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.? 872 77 7500 116.611 586.63 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? 875 74 300 0.571 12.183 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? 867 82 10800 45.934 463.92 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? 924 25 19 0.479 1.341 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. 216 733 33900 239.213 2345.897 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. 910 39 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). 910 39 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. 910 39 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). 910 39 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. 910 39 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. 910 39 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 910 39 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 924 06:00 06:24 07:20 07:30 07:40 07:45 07:55 08:10 08:11 08:15 08:20 08:25 08:30 08:31 08:35 08:37 08:40 08:44 08:45 08:49 08:50 08:56 09:03 09:04 09:05 09:09 09:10 09:11 09:12 09:13 09:15 09:17 09:18 09:19 09:20 09:22 09:25 09:26 09:27 09:30 09:33 09:35 09:40 09:45 09:46 09:50 09:53 09:54 09:55 10:00 10:02 10:03 10:04 10:05 10:06 10:08 10:10 10:12 10:13 10:15 10:16 10:20 10:21 10:22 10:23 10:25 10:30 10:31 10:33 10:35 10:37 10:38 10:40 10:41 10:45 10:46 10:47 10:48 10:50 10:51 10:55 10:57 11:00 11:05 11:09 11:10 11:13 11:15 11:17 11:20 11:21 11:22 11:25 11:28 11:30 11:31 11:32 11:33 11:34 11:35 11:37 11:39 11:40 11:45 11:48 11:50 11:53 11:55 11:59 12:00 12:03 12:04 12:05 12:10 12:11 12:12 12:13 12:14 12:15 12:17 12:20 12:25 12:28 12:30 12:32 12:35 12:38 12:40 12:42 12:45 12:46 12:50 12:55 13:00 13:05 13:08 13:10 13:12 13:13 13:14 13:15 13:16 13:17 13:18 13:19 13:20 13:24 13:25 13:29 13:30 13:32 13:35 13:37 13:40 13:45 13:48 13:50 13:55 13:57 14:00 14:02 14:05 14:07 14:08 14:10 14:12 14:13 14:15 14:16 14:18 14:19 14:20 14:21 14:25 14:29 14:30 14:31 14:35 14:38 14:40 14:41 14:43 14:45 14:47 14:48 14:50 14:53 14:55 14:58 15:00 15:02 15:05 15:07 15:08 15:10 15:11 15:12 15:13 15:15 15:16 15:17 15:19 15:20 15:21 15:22 15:23 15:24 15:25 15:26 15:28 15:30 15:32 15:35 15:37 15:38 15:39 15:40 15:42 15:43 15:44 15:45 15:46 15:47 15:50 15:51 15:52 15:53 15:55 15:59 16:00 16:03 16:04 16:05 16:07 16:09 16:10 16:12 16:15 16:17 16:18 16:20 16:23 16:25 16:26 16:27 16:30 16:32 16:34 16:35 16:37 16:40 16:42 16:45 16:48 16:50 16:52 16:55 16:56 17:00 17:02 17:05 17:06 17:07 17:10 17:11 17:12 17:13 17:14 17:15 17:16 17:17 17:18 17:20 17:21 17:23 17:25 17:30 17:32 17:33 17:35 17:37 17:40 17:43 17:44 17:45 17:47 17:49 17:53 17:54 17:58 17:59 18:00 18:05 18:08 18:10 18:11 18:14 18:15 18:17 18:19 18:20 18:22 18:23 18:25 18:26 18:30 18:34 18:35 18:37 18:39 18:40 18:43 18:45 18:47 18:50 18:53 19:00 19:01 19:10 19:13 19:15 19:16 19:20 19:21 19:22 19:24 19:25 19:26 19:30 19:31 19:56 19:59 20:00 20:05 20:07 20:10 20:20 20:30 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? 2712 12100003 12101918 12101067.733 538.96 gender gender gender gender gender 2712 1 Female 2 Male 2712 1 2 3 4 5 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 2710 2 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 2703 9 96 39.351 21.633 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 2689 23 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 2699 13 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 2693 19 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 2712 not eligible 1 eligible Whs respondent Whs respondent Whs respondent Whs respondent Whs respondent 948 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? 2688 24 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? 2688 24 1 2 8 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? 2459 253 1 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? 33 2679 150 50000 5253.697 9425.73 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? 2712 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? 2712 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? 99 12100008 12101888 12101138.162 520.589 12100008 12100071 12100126 12100223 12100227 12100297 12100334 12100335 12100361 12100372 12100406 12100440 12100461 12100514 12100519 12100563 12100566 12100567 12100590 12100597 12100641 12100642 12100663 12100691 12100706 12100758 12100771 12100797 12100802 12100851 12100852 12100885 12100931 12100971 12100976 12100979 12100984 12101007 12101026 12101031 12101040 12101041 12101055 12101057 12101064 12101072 12101090 12101109 12101148 12101150 12101156 12101198 12101222 12101229 12101264 12101277 12101279 12101287 12101306 12101381 12101384 12101481 12101482 12101492 12101599 12101606 12101610 12101612 12101613 12101632 12101639 12101651 12101698 12101712 12101722 12101727 12101728 12101730 12101731 12101732 12101733 12101736 12101742 12101745 12101768 12101803 12101819 12101824 12101832 12101848 12101887 12101888 99 9 5.616 2.902 99 1 2 3 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. 99 1 Yes 2 No, respondent not found 3 No, respondent refused 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? 90 9 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? 90 9 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? 50 49 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? 49 50 1 52 37.286 11.648 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. 48 51 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. 28 71 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? 50 49 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? 49 50 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? 3 96 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? 3 96 3 24 11.667 10.97 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? 3 96 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? 2 97 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? 3 96 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 40 59 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? 89 10 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? 89 10 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? 67 32 1949 2001 1978.269 16.261 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? 68 31 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? 88 11 30 2.068 5.558 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). 1 98 2875 2875 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). 30 69 6000 30000 13974.333 6081.7 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). 1 98 27000 27000 7 Refusal 8 Do not know 8 FARMACEUT.LABORATOR HOSPODARKA ODBORNY PRACOVNIK OŠETØOVATELKA RADIOLOG SANITARKA V LABORATORI SANITÁØ UÈITELKA 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? 935 12100003 12101918 12101066.448 546.327 Time begin section 1000 Time begin section 1000 Time begin section 1000 Time begin section 1000 Time begin section 1000 917 06:00 06:24 07:20 07:21 07:30 07:40 07:45 07:46 07:55 08:10 08:12 08:15 08:16 08:20 08:25 08:30 08:31 08:35 08:38 08:40 08:44 08:45 08:49 08:50 08:57 09:04 09:05 09:10 09:11 09:12 09:13 09:15 09:16 09:17 09:18 09:20 09:22 09:25 09:26 09:27 09:30 09:33 09:35 09:40 09:41 09:45 09:46 09:47 09:50 09:53 09:54 09:55 09:56 10:00 10:02 10:03 10:04 10:05 10:06 10:08 10:10 10:12 10:13 10:15 10:16 10:17 10:20 10:21 10:22 10:23 10:25 10:30 10:31 10:32 10:33 10:35 10:36 10:37 10:38 10:39 10:40 10:41 10:45 10:46 10:47 10:48 10:50 10:51 10:55 10:57 11:00 11:05 11:09 11:10 11:13 11:15 11:17 11:20 11:21 11:22 11:25 11:26 11:28 11:30 11:31 11:33 11:34 11:35 11:39 11:40 11:45 11:46 11:48 11:50 11:53 11:55 12:00 12:03 12:04 12:05 12:10 12:11 12:12 12:15 12:17 12:19 12:20 12:25 12:26 12:28 12:33 12:35 12:38 12:40 12:41 12:43 12:45 12:46 12:50 12:55 13:00 13:05 13:08 13:10 13:12 13:13 13:14 13:15 13:16 13:17 13:18 13:20 13:21 13:24 13:25 13:26 13:29 13:30 13:31 13:32 13:35 13:36 13:38 13:40 13:45 13:49 13:50 13:51 13:55 13:57 13:58 14:00 14:01 14:02 14:05 14:07 14:08 14:10 14:12 14:14 14:15 14:16 14:17 14:18 14:19 14:20 14:21 14:25 14:26 14:29 14:30 14:32 14:35 14:36 14:38 14:40 14:41 14:43 14:45 14:46 14:47 14:48 14:50 14:53 14:55 14:58 14:59 15:00 15:02 15:05 15:08 15:09 15:10 15:11 15:12 15:13 15:15 15:16 15:17 15:19 15:20 15:21 15:23 15:25 15:26 15:28 15:30 15:31 15:32 15:35 15:37 15:38 15:39 15:40 15:42 15:43 15:44 15:45 15:46 15:47 15:50 15:51 15:52 15:55 15:56 15:59 16:00 16:02 16:04 16:05 16:09 16:10 16:12 16:15 16:17 16:18 16:20 16:23 16:25 16:26 16:27 16:30 16:32 16:34 16:35 16:37 16:40 16:42 16:45 16:46 16:48 16:50 16:52 16:55 16:56 17:00 17:01 17:02 17:05 17:07 17:08 17:10 17:11 17:12 17:13 17:14 17:15 17:16 17:17 17:18 17:20 17:21 17:22 17:23 17:24 17:25 17:30 17:31 17:32 17:33 17:35 17:37 17:40 17:43 17:44 17:45 17:47 17:49 17:53 17:54 17:59 18:00 18:05 18:08 18:10 18:11 18:15 18:17 18:19 18:20 18:22 18:23 18:25 18:26 18:30 18:31 18:34 18:35 18:38 18:39 18:40 18:43 18:45 18:46 18:47 18:50 18:51 18:53 19:00 19:01 19:10 19:14 19:15 19:16 19:22 19:24 19:25 19:26 19:30 19:31 19:56 19:59 20:00 20:05 20:07 20:10 20:20 20:30 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? 929 BULHARST CESTINA CHORVATS MADARSTI MALOUKRA NEMCINA POLSTINA ROMSTINA SLOVENST 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. 935 1 Female 2 Male Age in years Age in years Age in years Age in years Age in years Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. How old are you? (Years) 935 18 93 47.847 18.355 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)? 935 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? 914 21 40 140 76.019 15.469 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? 935 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? 920 15 132 205 170.757 9.264 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? 935 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? 935 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? 932 3 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? 934 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? 916 19 28 12.386 2.732 5 6 8 9 10 11 12 13 14 15 16 17 18 19 20 26 28 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? 930 1 2 3 4 5 6 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? 929 6 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? 469 466 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? 457 478 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 915 06:03 06:28 07:25 07:29 07:45 07:47 07:55 08:00 08:13 08:15 08:20 08:23 08:25 08:26 08:27 08:30 08:32 08:40 08:42 08:43 08:45 08:50 08:51 08:55 08:59 09:05 09:08 09:10 09:11 09:12 09:13 09:15 09:16 09:18 09:20 09:24 09:25 09:27 09:29 09:30 09:32 09:35 09:37 09:38 09:40 09:42 09:45 09:46 09:48 09:49 09:50 09:55 09:56 09:58 10:00 10:03 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 10:20 10:21 10:23 10:25 10:27 10:28 10:30 10:33 10:34 10:35 10:36 10:37 10:38 10:39 10:40 10:42 10:45 10:48 10:50 10:52 10:55 10:58 11:00 11:02 11:05 11:08 11:10 11:11 11:12 11:15 11:16 11:18 11:19 11:20 11:22 11:23 11:25 11:28 11:30 11:34 11:35 11:39 11:40 11:41 11:42 11:45 11:47 11:48 11:50 11:55 11:56 11:57 12:00 12:05 12:06 12:07 12:10 12:12 12:14 12:15 12:18 12:20 12:22 12:25 12:27 12:28 12:30 12:35 12:36 12:37 12:39 12:40 12:42 12:45 12:48 12:50 12:52 12:55 13:00 13:05 13:08 13:09 13:10 13:11 13:12 13:13 13:14 13:15 13:16 13:17 13:18 13:20 13:21 13:23 13:25 13:28 13:30 13:32 13:35 13:36 13:37 13:38 13:40 13:42 13:43 13:44 13:45 13:46 13:47 13:48 13:50 13:52 13:53 13:55 13:57 13:58 14:00 14:02 14:03 14:04 14:05 14:07 14:10 14:11 14:12 14:13 14:14 14:15 14:16 14:17 14:18 14:20 14:23 14:25 14:30 14:31 14:32 14:33 14:34 14:35 14:38 14:40 14:42 14:45 14:46 14:47 14:48 14:49 14:50 14:54 14:55 14:58 15:00 15:03 15:04 15:05 15:07 15:10 15:13 15:14 15:15 15:16 15:17 15:18 15:20 15:21 15:23 15:24 15:25 15:26 15:27 15:28 15:29 15:30 15:33 15:35 15:36 15:37 15:40 15:41 15:42 15:44 15:45 15:46 15:47 15:48 15:50 15:52 15:53 15:54 15:55 15:57 15:58 16:00 16:01 16:02 16:03 16:04 16:05 16:07 16:08 16:10 16:11 16:12 16:13 16:14 16:15 16:16 16:18 16:19 16:20 16:22 16:23 16:25 16:28 16:29 16:30 16:32 16:35 16:36 16:37 16:39 16:40 16:43 16:45 16:46 16:47 16:48 16:50 16:52 16:53 16:54 16:55 16:59 17:00 17:01 17:05 17:09 17:10 17:12 17:13 17:14 17:15 17:16 17:17 17:18 17:19 17:20 17:21 17:22 17:24 17:25 17:26 17:27 17:29 17:30 17:31 17:32 17:33 17:34 17:35 17:36 17:37 17:39 17:40 17:42 17:43 17:44 17:45 17:47 17:48 17:49 17:50 17:55 18:00 18:02 18:05 18:07 18:09 18:10 18:12 18:13 18:14 18:15 18:16 18:18 18:19 18:20 18:22 18:23 18:25 18:27 18:29 18:30 18:33 18:35 18:36 18:38 18:39 18:40 18:41 18:45 18:48 18:50 18:51 18:53 18:55 18:58 19:00 19:05 19:08 19:13 19:15 19:17 19:20 19:23 19:26 19:27 19:28 19:29 19:32 19:35 19:45 19:54 20:01 20:03 20:05 20:08 20:09 20:10 20:12 20:25 20:32 Time begin section 2000 Time begin section 2000 Time begin section 2000 Time begin section 2000 Time begin section 2000 911 06:03 06:28 07:25 07:30 07:45 07:47 07:56 08:00 08:14 08:15 08:20 08:23 08:25 08:26 08:27 08:30 08:40 08:42 08:43 08:45 08:50 08:51 08:55 09:00 09:05 09:08 09:09 09:10 09:12 09:13 09:15 09:16 09:18 09:20 09:24 09:25 09:27 09:30 09:32 09:35 09:36 09:37 09:38 09:40 09:42 09:45 09:46 09:48 09:49 09:50 09:55 09:56 09:59 10:00 10:03 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 10:20 10:21 10:23 10:25 10:27 10:30 10:34 10:35 10:36 10:37 10:38 10:40 10:42 10:45 10:48 10:50 10:52 10:55 10:58 11:00 11:02 11:05 11:08 11:10 11:11 11:12 11:15 11:16 11:18 11:19 11:20 11:22 11:23 11:25 11:27 11:28 11:30 11:34 11:35 11:36 11:39 11:40 11:41 11:42 11:45 11:47 11:48 11:49 11:50 11:51 11:55 11:56 11:57 12:00 12:05 12:06 12:07 12:11 12:12 12:14 12:15 12:18 12:20 12:22 12:25 12:27 12:28 12:30 12:35 12:37 12:39 12:40 12:42 12:45 12:50 12:52 12:55 13:00 13:05 13:08 13:09 13:10 13:11 13:12 13:13 13:14 13:15 13:16 13:17 13:18 13:20 13:22 13:24 13:25 13:28 13:30 13:31 13:32 13:35 13:36 13:37 13:38 13:40 13:42 13:43 13:45 13:46 13:47 13:50 13:51 13:52 13:53 13:55 13:56 13:57 13:58 14:00 14:03 14:04 14:05 14:07 14:10 14:11 14:12 14:13 14:14 14:15 14:17 14:18 14:19 14:20 14:23 14:24 14:25 14:30 14:31 14:32 14:33 14:34 14:35 14:38 14:40 14:42 14:45 14:46 14:47 14:48 14:50 14:51 14:54 14:55 14:58 15:00 15:03 15:04 15:05 15:07 15:10 15:13 15:14 15:15 15:16 15:17 15:18 15:20 15:21 15:23 15:24 15:25 15:26 15:27 15:28 15:29 15:30 15:34 15:35 15:36 15:37 15:40 15:41 15:42 15:44 15:45 15:46 15:47 15:48 15:50 15:51 15:52 15:53 15:54 15:55 15:57 15:59 16:00 16:02 16:03 16:04 16:05 16:08 16:09 16:10 16:11 16:12 16:14 16:15 16:16 16:18 16:19 16:20 16:22 16:23 16:25 16:28 16:29 16:30 16:32 16:35 16:36 16:37 16:39 16:40 16:43 16:45 16:46 16:47 16:48 16:50 16:51 16:52 16:53 16:54 16:55 16:59 17:00 17:01 17:05 17:08 17:09 17:10 17:12 17:13 17:14 17:15 17:16 17:17 17:18 17:19 17:20 17:21 17:22 17:23 17:24 17:25 17:26 17:27 17:30 17:31 17:32 17:33 17:34 17:35 17:36 17:37 17:39 17:40 17:42 17:44 17:45 17:47 17:49 17:50 17:55 18:00 18:02 18:05 18:07 18:09 18:10 18:12 18:13 18:14 18:15 18:16 18:18 18:19 18:20 18:22 18:23 18:25 18:27 18:29 18:30 18:32 18:33 18:35 18:36 18:38 18:40 18:41 18:45 18:48 18:50 18:51 18:54 18:55 18:58 19:00 19:01 19:05 19:08 19:13 19:15 19:17 19:20 19:25 19:26 19:27 19:28 19:29 19:32 19:35 19:45 19:54 20:01 20:03 20:05 20:08 20:10 20:12 20:25 20:32 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? 930 5 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? 929 6 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? 929 6 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? 882 53 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? 928 7 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.) 924 11 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? 929 6 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? 927 8 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? 929 6 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.)? 926 9 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? 929 6 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? 927 8 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? 922 13 1 Yes 5 No Sysmiss seeing and recognizing person from across road seeing and recognizing person from across road seeing and recognizing person from across road seeing and recognizing person from across road seeing and recognizing person from across road Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Vision In the last 30 days, how much difficulty did you have in Seeing and recognizing a person you know across the road (i.e. from a distance of about 20 meters)? 888 47 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? 888 47 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? 929 6 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? 925 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? 928 7 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? 929 6 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss Record Set Record Set Record Set Record Set Record Set 935 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? 224 711 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? 221 714 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? 222 713 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? 222 713 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? 221 714 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? 220 715 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? 221 714 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? 221 714 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? 221 714 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? 221 714 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? 221 714 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? 221 714 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? 221 714 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? 221 714 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? 221 714 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? 221 714 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? 221 714 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? 221 714 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? 220 715 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? 220 715 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? 237 698 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? 235 700 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? 236 699 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? 233 702 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? 234 701 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? 233 702 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? 233 702 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? 233 702 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? 232 703 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? 233 702 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? 232 703 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? 232 703 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? 230 705 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? 229 706 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? 231 704 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? 231 704 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? 231 704 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? 231 704 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? 231 704 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? 231 704 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)? 215 720 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? 215 720 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? 215 720 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)? 215 720 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)? 215 720 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? 215 720 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? 215 720 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)? 214 721 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? 212 723 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)? 212 723 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)? 212 723 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? 211 724 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)? 212 723 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? 212 723 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? 212 723 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)? 212 723 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)? 212 723 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? 212 723 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? 212 723 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)? 212 723 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? 204 731 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.) 203 732 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? 202 733 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.)? 202 733 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? 202 733 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.) 202 733 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? 202 733 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.)? 202 733 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? 201 734 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.)? 201 734 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? 201 734 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.)? 201 734 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? 201 734 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.) 201 734 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? 201 734 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.)? 201 734 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? 201 734 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.) 201 734 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? 201 734 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.) 201 734 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 919 06:18 06:44 07:45 07:55 07:59 08:05 08:10 08:20 08:22 08:23 08:35 08:38 08:40 08:45 08:50 08:55 08:58 09:00 09:05 09:10 09:15 09:16 09:18 09:20 09:23 09:24 09:25 09:26 09:27 09:28 09:30 09:33 09:34 09:35 09:40 09:44 09:45 09:47 09:49 09:50 09:54 09:55 09:58 10:00 10:02 10:05 10:06 10:08 10:10 10:13 10:15 10:18 10:20 10:21 10:22 10:24 10:25 10:27 10:29 10:30 10:31 10:33 10:35 10:36 10:37 10:40 10:41 10:42 10:43 10:44 10:45 10:47 10:49 10:50 10:55 10:56 10:58 11:00 11:02 11:05 11:08 11:10 11:15 11:20 11:22 11:25 11:28 11:30 11:32 11:33 11:35 11:37 11:40 11:45 11:48 11:49 11:50 11:55 11:57 12:00 12:03 12:05 12:08 12:10 12:12 12:14 12:15 12:18 12:20 12:25 12:30 12:35 12:36 12:37 12:40 12:43 12:48 12:50 12:55 12:58 13:00 13:08 13:10 13:15 13:19 13:20 13:22 13:23 13:25 13:28 13:30 13:32 13:34 13:35 13:37 13:40 13:45 13:47 13:48 13:50 13:51 13:52 13:53 13:55 13:56 14:00 14:02 14:05 14:08 14:10 14:11 14:15 14:18 14:19 14:20 14:23 14:25 14:28 14:29 14:30 14:32 14:35 14:36 14:38 14:39 14:40 14:45 14:46 14:49 14:50 14:51 14:52 14:55 14:56 14:58 14:59 15:00 15:02 15:03 15:05 15:06 15:07 15:08 15:10 15:11 15:15 15:16 15:17 15:18 15:19 15:20 15:22 15:23 15:25 15:26 15:28 15:30 15:32 15:34 15:35 15:36 15:38 15:40 15:41 15:42 15:43 15:44 15:45 15:46 15:47 15:48 15:50 15:52 15:53 15:55 15:57 15:59 16:00 16:02 16:03 16:05 16:06 16:07 16:08 16:10 16:11 16:13 16:15 16:17 16:18 16:20 16:21 16:25 16:26 16:27 16:30 16:31 16:33 16:35 16:37 16:38 16:40 16:41 16:42 16:44 16:45 16:49 16:50 16:52 16:55 16:57 16:58 16:59 17:00 17:04 17:05 17:07 17:08 17:09 17:10 17:13 17:14 17:15 17:20 17:21 17:22 17:23 17:24 17:25 17:28 17:30 17:31 17:32 17:33 17:35 17:37 17:38 17:39 17:40 17:41 17:45 17:46 17:47 17:50 17:52 17:54 17:55 17:56 17:57 17:58 18:00 18:04 18:05 18:06 18:08 18:10 18:11 18:15 18:18 18:20 18:21 18:24 18:25 18:26 18:28 18:30 18:32 18:33 18:35 18:37 18:40 18:41 18:42 18:45 18:50 18:51 18:55 18:57 19:00 19:05 19:10 19:15 19:17 19:20 19:24 19:26 19:30 19:35 19:37 19:38 19:45 19:46 19:50 20:06 20:09 20:10 20:13 20:16 20:18 20:20 20:40 20:42 20:45 Time begin section 3000 Time begin section 3000 Time begin section 3000 Time begin section 3000 Time begin section 3000 913 06:18 06:44 07:45 07:55 08:00 08:06 08:10 08:20 08:22 08:23 08:35 08:36 08:38 08:40 08:45 08:50 08:55 08:58 09:00 09:05 09:10 09:15 09:17 09:19 09:20 09:24 09:25 09:26 09:27 09:28 09:30 09:34 09:35 09:40 09:45 09:46 09:48 09:49 09:50 09:51 09:54 09:55 09:58 09:59 10:00 10:02 10:05 10:06 10:07 10:08 10:10 10:11 10:13 10:15 10:18 10:20 10:21 10:22 10:24 10:25 10:27 10:29 10:30 10:33 10:35 10:36 10:37 10:40 10:41 10:42 10:44 10:45 10:47 10:50 10:55 10:56 10:58 11:00 11:02 11:05 11:08 11:10 11:11 11:15 11:20 11:22 11:25 11:28 11:30 11:33 11:35 11:37 11:40 11:43 11:45 11:48 11:49 11:50 11:55 11:56 11:57 12:00 12:03 12:04 12:05 12:08 12:10 12:12 12:15 12:18 12:20 12:25 12:30 12:31 12:35 12:36 12:37 12:40 12:44 12:48 12:50 12:55 12:58 13:00 13:08 13:10 13:15 13:20 13:22 13:23 13:25 13:26 13:28 13:30 13:32 13:35 13:37 13:40 13:45 13:47 13:48 13:50 13:51 13:53 13:55 13:56 14:00 14:01 14:02 14:05 14:06 14:08 14:10 14:11 14:15 14:17 14:18 14:19 14:20 14:21 14:23 14:25 14:28 14:29 14:30 14:31 14:32 14:35 14:36 14:38 14:40 14:45 14:46 14:49 14:50 14:52 14:55 14:58 14:59 15:00 15:02 15:03 15:04 15:05 15:06 15:07 15:08 15:10 15:11 15:15 15:16 15:18 15:19 15:20 15:21 15:22 15:23 15:25 15:26 15:28 15:30 15:31 15:32 15:33 15:34 15:35 15:36 15:38 15:40 15:42 15:43 15:44 15:45 15:46 15:48 15:50 15:53 15:55 15:57 15:59 16:00 16:03 16:04 16:05 16:06 16:07 16:08 16:10 16:11 16:13 16:15 16:16 16:17 16:18 16:20 16:21 16:25 16:26 16:27 16:30 16:31 16:33 16:35 16:37 16:38 16:40 16:41 16:42 16:44 16:45 16:49 16:50 16:52 16:55 16:58 16:59 17:00 17:02 17:05 17:07 17:08 17:09 17:10 17:13 17:14 17:15 17:17 17:20 17:22 17:23 17:25 17:26 17:28 17:30 17:31 17:32 17:33 17:35 17:37 17:38 17:40 17:41 17:45 17:46 17:47 17:48 17:50 17:51 17:53 17:54 17:55 17:56 17:57 17:58 18:00 18:02 18:04 18:05 18:06 18:08 18:10 18:12 18:15 18:18 18:20 18:21 18:24 18:25 18:26 18:28 18:30 18:32 18:33 18:35 18:37 18:40 18:41 18:42 18:45 18:50 18:51 18:55 18:56 18:57 19:00 19:05 19:06 19:10 19:15 19:17 19:18 19:20 19:24 19:25 19:27 19:30 19:31 19:35 19:37 19:39 19:45 19:46 19:50 20:06 20:10 20:13 20:16 20:18 20:20 20:40 20:43 20:45 HSV Set code HSV Set code HSV Set code HSV Set code HSV Set code 935 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? 474 461 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? 472 463 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? 455 480 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? 468 467 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? 468 467 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? 462 473 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? 470 465 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? 468 467 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)? 469 466 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? 471 464 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? 469 466 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? 469 466 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? 471 464 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? 469 466 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? 469 466 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) 473 ALC AMP BAK 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 2 473 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 3 473 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 4 473 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) 473 ALC AMP BAK BLI 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? 437 498 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? 437 498 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? 427 508 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? 435 500 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? 435 500 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? 434 501 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? 434 501 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? 433 502 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? 431 504 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? 431 504 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? 430 505 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? 431 504 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? 430 505 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? 422 513 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? 429 506 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) 437 AMP ART DEP INS 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 2 435 AMP ART DEP INS 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 3 435 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 4 435 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) 437 AMP ART DEP QUA Time end section 3000 Time end section 3000 Time end section 3000 Time end section 3000 Time end section 3000 911 06:25 06:52 07:58 08:00 08:03 08:15 08:20 08:28 08:30 08:39 08:40 08:50 09:00 09:03 09:05 09:08 09:10 09:17 09:18 09:22 09:25 09:27 09:30 09:31 09:32 09:36 09:37 09:39 09:40 09:45 09:48 09:49 09:50 09:53 09:54 09:55 09:57 09:59 10:00 10:03 10:05 10:07 10:08 10:09 10:10 10:12 10:13 10:14 10:15 10:16 10:17 10:20 10:25 10:26 10:27 10:28 10:29 10:30 10:32 10:34 10:35 10:36 10:37 10:40 10:42 10:43 10:45 10:46 10:47 10:50 10:51 10:52 10:54 10:55 10:56 11:00 11:02 11:03 11:04 11:05 11:09 11:10 11:12 11:15 11:16 11:20 11:23 11:25 11:27 11:28 11:30 11:35 11:37 11:38 11:40 11:43 11:44 11:45 11:47 11:48 11:50 11:51 11:52 11:53 11:54 11:58 12:00 12:03 12:04 12:07 12:08 12:10 12:15 12:16 12:20 12:22 12:25 12:28 12:30 12:31 12:35 12:40 12:42 12:45 12:48 12:50 12:52 12:58 13:00 13:05 13:10 13:15 13:20 13:23 13:25 13:28 13:30 13:31 13:32 13:33 13:34 13:35 13:38 13:39 13:40 13:41 13:42 13:45 13:46 13:47 13:50 13:52 13:53 13:55 13:57 13:58 14:00 14:03 14:05 14:09 14:10 14:12 14:14 14:15 14:16 14:17 14:18 14:20 14:23 14:25 14:28 14:30 14:32 14:34 14:35 14:40 14:41 14:42 14:45 14:48 14:50 14:52 14:54 14:55 14:56 14:57 14:58 15:00 15:02 15:05 15:07 15:08 15:09 15:10 15:11 15:13 15:15 15:16 15:17 15:20 15:22 15:23 15:25 15:29 15:30 15:33 15:35 15:37 15:38 15:40 15:41 15:42 15:43 15:44 15:45 15:46 15:48 15:50 15:51 15:53 15:54 15:55 15:57 15:58 15:59 16:00 16:04 16:05 16:06 16:10 16:12 16:13 16:14 16:15 16:16 16:17 16:20 16:21 16:23 16:24 16:25 16:26 16:28 16:30 16:31 16:35 16:37 16:38 16:40 16:42 16:43 16:44 16:45 16:47 16:48 16:49 16:50 16:55 16:58 17:00 17:03 17:04 17:05 17:07 17:08 17:10 17:11 17:12 17:15 17:17 17:18 17:20 17:25 17:26 17:27 17:28 17:29 17:30 17:31 17:32 17:34 17:35 17:36 17:37 17:40 17:41 17:42 17:44 17:45 17:46 17:47 17:48 17:50 17:52 17:55 17:58 18:00 18:01 18:02 18:04 18:05 18:06 18:10 18:12 18:15 18:17 18:19 18:20 18:21 18:25 18:28 18:30 18:33 18:35 18:36 18:37 18:38 18:39 18:40 18:42 18:43 18:45 18:46 18:49 18:50 18:55 18:57 18:58 19:00 19:01 19:05 19:10 19:13 19:15 19:18 19:22 19:23 19:25 19:30 19:32 19:36 19:39 19:40 19:42 19:43 19:45 19:50 19:55 19:57 19:58 20:10 20:15 20:19 20:20 20:24 20:25 20:50 20:55 20:58 Time begin section 4000 Time begin section 4000 Time begin section 4000 Time begin section 4000 Time begin section 4000 910 06:25 06:50 06:52 08:00 08:03 08:16 08:17 08:20 08:28 08:30 08:39 08:40 08:50 08:51 09:00 09:04 09:05 09:08 09:10 09:17 09:18 09:23 09:25 09:27 09:30 09:31 09:32 09:35 09:36 09:37 09:40 09:45 09:48 09:49 09:50 09:53 09:54 09:55 09:57 09:59 10:00 10:03 10:05 10:07 10:08 10:09 10:10 10:11 10:12 10:14 10:15 10:16 10:17 10:20 10:21 10:25 10:26 10:27 10:28 10:30 10:32 10:34 10:35 10:36 10:37 10:40 10:42 10:43 10:45 10:46 10:47 10:50 10:51 10:52 10:55 10:56 11:00 11:02 11:03 11:05 11:09 11:10 11:12 11:15 11:16 11:20 11:23 11:25 11:26 11:27 11:28 11:30 11:35 11:37 11:38 11:40 11:43 11:44 11:45 11:47 11:48 11:50 11:51 11:52 11:53 11:54 11:58 12:00 12:03 12:04 12:07 12:10 12:15 12:16 12:21 12:22 12:25 12:28 12:30 12:31 12:35 12:40 12:41 12:42 12:45 12:49 12:50 12:52 12:58 13:00 13:05 13:10 13:15 13:20 13:23 13:25 13:28 13:30 13:31 13:32 13:33 13:34 13:35 13:38 13:39 13:40 13:41 13:42 13:45 13:47 13:50 13:52 13:53 13:55 13:58 14:00 14:03 14:05 14:09 14:10 14:11 14:12 14:13 14:15 14:16 14:17 14:18 14:20 14:21 14:23 14:25 14:29 14:30 14:31 14:32 14:33 14:34 14:35 14:40 14:41 14:42 14:45 14:46 14:48 14:50 14:51 14:52 14:54 14:55 14:56 14:57 14:58 15:00 15:02 15:05 15:07 15:08 15:09 15:10 15:11 15:13 15:15 15:16 15:17 15:20 15:22 15:23 15:25 15:29 15:30 15:31 15:33 15:34 15:35 15:36 15:37 15:38 15:40 15:41 15:42 15:44 15:45 15:46 15:48 15:50 15:51 15:53 15:54 15:55 15:57 15:58 15:59 16:00 16:05 16:06 16:10 16:11 16:12 16:13 16:15 16:16 16:17 16:20 16:22 16:23 16:24 16:25 16:26 16:28 16:30 16:31 16:32 16:35 16:37 16:38 16:40 16:42 16:43 16:44 16:45 16:47 16:48 16:49 16:50 16:52 16:55 16:58 17:00 17:03 17:04 17:05 17:07 17:08 17:10 17:11 17:12 17:15 17:16 17:17 17:18 17:20 17:25 17:26 17:27 17:29 17:30 17:31 17:32 17:34 17:35 17:36 17:37 17:40 17:41 17:42 17:44 17:45 17:46 17:47 17:48 17:50 17:51 17:52 17:55 17:58 18:00 18:01 18:02 18:03 18:04 18:05 18:07 18:10 18:11 18:12 18:15 18:18 18:19 18:20 18:21 18:25 18:28 18:30 18:32 18:33 18:35 18:36 18:37 18:38 18:39 18:40 18:42 18:43 18:45 18:48 18:49 18:50 18:51 18:55 18:58 18:59 19:00 19:01 19:05 19:10 19:13 19:15 19:18 19:22 19:23 19:25 19:30 19:32 19:35 19:36 19:39 19:41 19:42 19:43 19:45 19:50 19:55 19:57 19:58 20:10 20:15 20:19 20:20 20:24 20:25 20:50 20:55 20:58 Currently smoke Currently smoke Currently smoke Currently smoke Currently smoke Do you currently smoke any tobacco products such as cigarettes, cigars, or pipes? 929 6 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? 219 716 68 22.479 13.788 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? 217 718 40 13.876 8.069 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? 152 783 40 1.605 5.848 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? 151 784 4 0.0662 0.442 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) 149 786 1 0.00671 0.0819 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.)? 929 6 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? 801 134 12 0.592 1.458 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? 800 135 10 0.58 1.381 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? 800 135 15 0.63 1.58 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? 802 133 11 0.516 1.333 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? 801 134 50 1.146 3.005 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? 800 135 50 1.316 3.001 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? 800 135 24 0.858 1.992 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? 928 7 30 1.795 1.891 1 2 3 4 5 6 7 8 10 22 24 30 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? 927 8 1 2 3 4 5 6 7 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? 929 6 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) 318 617 12 3 2.742 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) 315 620 50 9.73 14.131 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? 929 6 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) 656 279 14 2.736 2.452 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) 650 285 59 7.731 13.451 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? 929 6 7 5.929 2.141 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) 868 67 14 2.689 2.797 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) 853 82 59 9.923 14.555 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? 929 6 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? 929 6 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? 929 6 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? 40 895 1 3 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? 44 891 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? 929 6 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? 903 32 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? 926 9 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? 34 901 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? 36 899 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? 928 7 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? 884 51 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? 318 617 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 914 06:30 07:00 08:05 08:10 08:25 08:30 08:35 08:42 08:53 08:55 09:00 09:05 09:07 09:10 09:11 09:12 09:15 09:16 09:22 09:28 09:30 09:35 09:37 09:42 09:43 09:45 09:50 09:54 09:55 09:57 10:00 10:02 10:03 10:05 10:07 10:08 10:10 10:12 10:13 10:15 10:20 10:21 10:25 10:27 10:30 10:31 10:33 10:35 10:37 10:38 10:40 10:42 10:43 10:45 10:47 10:50 10:53 10:54 10:55 10:56 10:57 10:59 11:00 11:03 11:04 11:05 11:08 11:09 11:10 11:14 11:15 11:16 11:17 11:20 11:25 11:28 11:30 11:33 11:35 11:38 11:39 11:40 11:42 11:45 11:47 11:48 11:50 11:51 11:54 11:55 11:56 11:58 12:00 12:01 12:03 12:05 12:08 12:10 12:13 12:15 12:18 12:20 12:22 12:25 12:29 12:30 12:31 12:35 12:38 12:40 12:42 12:45 12:46 12:50 12:53 12:55 12:59 13:00 13:05 13:07 13:10 13:12 13:15 13:20 13:21 13:28 13:30 13:32 13:33 13:35 13:36 13:37 13:38 13:39 13:40 13:42 13:45 13:47 13:50 13:52 13:55 13:56 13:58 14:00 14:01 14:02 14:03 14:05 14:08 14:10 14:11 14:15 14:16 14:20 14:21 14:23 14:25 14:27 14:30 14:32 14:35 14:36 14:38 14:40 14:45 14:46 14:47 14:50 14:51 14:53 14:54 14:55 14:58 14:59 15:00 15:01 15:05 15:08 15:10 15:12 15:14 15:15 15:16 15:18 15:20 15:21 15:22 15:25 15:27 15:28 15:30 15:32 15:33 15:35 15:36 15:37 15:38 15:39 15:40 15:42 15:43 15:45 15:46 15:48 15:50 15:55 15:56 15:57 15:58 16:00 16:01 16:03 16:04 16:05 16:08 16:10 16:11 16:12 16:13 16:14 16:15 16:17 16:18 16:19 16:20 16:21 16:22 16:23 16:24 16:25 16:29 16:30 16:32 16:33 16:35 16:40 16:41 16:43 16:44 16:45 16:46 16:48 16:50 16:51 16:52 16:53 16:55 17:00 17:02 17:03 17:05 17:09 17:10 17:11 17:12 17:14 17:15 17:17 17:18 17:19 17:20 17:21 17:22 17:25 17:26 17:27 17:30 17:31 17:32 17:33 17:34 17:35 17:36 17:37 17:39 17:40 17:41 17:43 17:44 17:45 17:47 17:49 17:50 17:51 17:52 17:53 17:55 17:56 17:57 18:00 18:01 18:02 18:05 18:06 18:10 18:13 18:14 18:15 18:21 18:23 18:25 18:26 18:27 18:28 18:30 18:31 18:34 18:35 18:36 18:40 18:42 18:43 18:45 18:50 18:51 18:55 18:57 18:58 19:00 19:02 19:04 19:05 19:07 19:08 19:10 19:15 19:20 19:21 19:25 19:27 19:28 19:30 19:36 19:38 19:39 19:40 19:43 19:45 19:48 19:50 19:52 19:58 20:00 20:10 20:12 20:22 20:24 20:25 20:27 20:36 20:40 20:55 21:05 21:12 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. 262 673 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 928 7 400 401 402 407 408 409 410 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: 892 43 1 12 2.815 1.688 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: 892 43 10 0.91 1.324 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: 892 43 9 0.905 1.167 Time begin section 6000 Time begin section 6000 Time begin section 6000 Time begin section 6000 Time begin section 6000 907 06:30 07:00 08:05 08:10 08:26 08:30 08:35 08:42 08:53 08:55 09:00 09:01 09:05 09:08 09:10 09:11 09:12 09:15 09:16 09:18 09:22 09:29 09:30 09:35 09:37 09:42 09:43 09:45 09:50 09:51 09:54 09:55 09:56 09:57 10:00 10:01 10:02 10:03 10:05 10:07 10:10 10:12 10:13 10:15 10:20 10:21 10:25 10:26 10:27 10:30 10:31 10:33 10:35 10:37 10:38 10:40 10:42 10:43 10:45 10:47 10:50 10:53 10:55 10:56 10:57 10:58 10:59 11:00 11:03 11:04 11:05 11:06 11:08 11:09 11:10 11:14 11:15 11:16 11:17 11:20 11:25 11:28 11:30 11:33 11:35 11:38 11:40 11:41 11:42 11:45 11:47 11:48 11:50 11:51 11:54 11:55 11:56 11:58 12:00 12:02 12:03 12:05 12:08 12:11 12:15 12:18 12:20 12:25 12:29 12:30 12:32 12:35 12:38 12:40 12:42 12:45 12:46 12:50 12:54 12:55 13:00 13:05 13:07 13:10 13:12 13:15 13:20 13:21 13:28 13:30 13:32 13:33 13:35 13:36 13:37 13:38 13:39 13:40 13:42 13:45 13:46 13:47 13:50 13:52 13:55 13:56 13:58 14:00 14:01 14:02 14:03 14:05 14:09 14:10 14:11 14:12 14:15 14:16 14:20 14:21 14:23 14:25 14:26 14:27 14:30 14:32 14:35 14:36 14:38 14:40 14:45 14:46 14:47 14:50 14:51 14:52 14:53 14:54 14:55 14:58 14:59 15:00 15:01 15:05 15:06 15:08 15:10 15:12 15:15 15:17 15:18 15:20 15:21 15:22 15:25 15:27 15:28 15:30 15:32 15:34 15:35 15:36 15:38 15:40 15:41 15:42 15:43 15:45 15:46 15:48 15:50 15:51 15:55 15:56 15:57 15:58 16:00 16:01 16:03 16:04 16:05 16:09 16:10 16:11 16:12 16:13 16:14 16:15 16:17 16:18 16:19 16:20 16:21 16:22 16:23 16:24 16:25 16:27 16:29 16:30 16:32 16:33 16:35 16:40 16:41 16:43 16:44 16:45 16:47 16:48 16:50 16:51 16:52 16:53 16:54 16:55 17:00 17:02 17:03 17:05 17:09 17:10 17:11 17:12 17:14 17:15 17:17 17:18 17:19 17:20 17:21 17:22 17:25 17:26 17:27 17:29 17:30 17:31 17:32 17:33 17:34 17:35 17:36 17:37 17:39 17:40 17:41 17:43 17:44 17:45 17:47 17:49 17:50 17:51 17:52 17:53 17:55 17:56 17:57 18:00 18:01 18:02 18:05 18:06 18:10 18:13 18:14 18:15 18:21 18:23 18:25 18:26 18:27 18:28 18:29 18:30 18:31 18:34 18:35 18:36 18:40 18:42 18:43 18:45 18:46 18:50 18:51 18:55 18:57 18:59 19:00 19:02 19:04 19:05 19:07 19:08 19:10 19:15 19:20 19:21 19:25 19:27 19:28 19:30 19:36 19:38 19:40 19:43 19:45 19:48 19:51 19:52 20:00 20:10 20:12 20:23 20:24 20:25 20:27 20:36 20:40 20:55 21:05 21:15 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)? 911 24 1 Yes 5 No 8 Do not know Sysmiss Arthritis treated Arthritis treated Arthritis treated Arthritis treated Arthritis treated Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received. Have you ever been treated for it (referring to the disease asked about question Q6001)? 908 27 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? 908 27 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? 919 16 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? 912 23 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? 251 684 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? 243 692 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? 918 17 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? 434 501 1 30 13.233 11.42 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)? 911 24 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)? 907 28 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? 908 27 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? 882 53 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. 918 17 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? 144 791 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? 138 797 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? 121 814 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? 13 922 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? 18 917 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? 19 916 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)? 917 18 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)? 911 24 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? 911 24 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? 921 14 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? 912 23 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? 916 19 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? 914 21 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? 913 22 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? 912 23 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) 914 21 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? 913 22 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? 903 32 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? 908 27 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? 912 23 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? 480 455 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? 477 458 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? 479 456 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? 474 461 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? 916 19 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) 912 23 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? 912 23 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? 909 26 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? 901 34 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. 911 24 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? 913 22 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)? 918 17 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) 916 19 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? 915 20 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? 915 20 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? 916 19 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? 914 21 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? 917 18 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? 918 17 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? 730 205 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. 129 806 11 12 11.178 0.384 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. 137 798 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. 32 903 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. 40 895 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. 7 928 11 12 11.143 0.378 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. 10 925 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. 51 884 21 23 21.529 0.784 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. 59 876 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. 16 919 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. 20 915 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. 4 931 21 23 22 1.155 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. 4 931 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. 26 909 31 32 33 36 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. 37 898 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. 7 928 31 32 33 36 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. 8 927 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. 3 932 32 33 36 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. 4 931 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. 31 904 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. 32 903 1 Yes 5 No Sysmiss Depression medicine 2 Depression medicine 2 Depression medicine 2 Depression medicine 2 Depression medicine 2 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 5 930 41 42 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. 6 929 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. 935 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 1 934 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. 1 934 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. 2 933 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. 1 934 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. 1 934 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. 1 934 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. 1 934 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. 1 934 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. 3 932 1 Yes 5 No Sysmiss Tuberculosis medicine 2 Tuberculosis medicine 2 Tuberculosis medicine 2 Tuberculosis medicine 2 Tuberculosis medicine 2 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 1 934 61 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 1 934 1 Yes 5 No Sysmiss Tuberculosis medicine 3 Tuberculosis medicine 3 Tuberculosis medicine 3 Tuberculosis medicine 3 Tuberculosis medicine 3 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 1 934 61 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 1 934 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. 935 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 1 934 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. 935 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. 935 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. 935 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. 935 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. 45 890 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. 48 887 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. 8 927 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. 8 927 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. 2 933 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. 2 933 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. 447 488 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. 438 497 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. 183 752 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. 179 756 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. 91 844 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. 91 844 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 412 523 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 339 596 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 237 698 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. 58 877 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. 48 887 6 50 13.625 7.399 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. 58 877 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. 58 877 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. 58 877 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. 58 877 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. 39 896 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. 39 896 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. 15 920 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. 14 921 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. 51 884 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. 22 913 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. 4 931 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. 3 932 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. 5 930 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. 2 933 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. 2 933 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. 4 931 1 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. 58 877 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. 57 878 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. 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. 98 837 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. 935 . 01/1998 01/1999 01/2000 01/2001 01/2002 01/2003 02/1999 02/2000 02/2001 02/2002 02/2003 03/1999 03/2001 03/2002 03/2003 04/1998 04/1999 04/2001 04/2002 05/1999 05/2000 05/2001 05/2002 06/1997 06/1998 06/2000 06/2001 06/2002 07/2000 07/2002 08/1997 08/1998 08/1999 08/2000 08/2001 09/1998 09/1999 09/2001 09/2002 10/1998 10/2001 11/1999 11/2000 12/1998 12/1999 12/2001 relationship relationship relationship relationship relationship What is your relationship with this child? Questions to be asked to households with children under 5 years. 98 837 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. 94 841 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. 935 . 02/05/2000 02/06/1999 03/01/2003 03/06/2002 03/09/2001 03/10/2002 04/04/04 04/06/2002 04/09/2001 05/01/2000 05/11/2002 06/11/2001 07/04/1999 08/01/2003 08/03/2001 08/04/1998 08/06/2001 08/10/2002 09/01/2002 09/02/1999 10/01/2002 10/07/2001 10/12/2002 11/01/1999 12/06/2002 12/07/2001 12/12/2001 13/12/2001 14/07/1998 15/02/2003 15/04/2003 15/10/2002 19/02/2002 19/12/2000 20/06/2002 20/12/2001 22/01/2000 22/08/2002 23/05/2000 23/11/2001 24/03/2000 25/03/2002 25/06/2002 25/08/2001 25/09/2000 27/04/1999 27/09/2000 28/11/2000 29/01/2001 29/08/2001 30/10/2000 DPT2 (dd/mm/yyyy) DPT2 (dd/mm/yyyy) DPT2 (dd/mm/yyyy) DPT2 (dd/mm/yyyy) DPT2 (dd/mm/yyyy) Record vaccination dates for each dose of DTP and measles Questions to be asked to households with children under 5 years. 935 . 01/10/2001 02/02/2000 02/07/2002 02/08/2000 03/08/2001 03/12/2002 04/04/04 04/05/1999 04/12/2001 05/03/2003 05/11/2002 06/02/2002 07/01/2003 07/05/1999 08/02/1999 08/08/2001 08/09/1999 08/10/2002 09/01/2002 10/07/2001 11/02/2002 11/08/1998 11/12/2001 13/02/2003 13/05/1998 14/01/2002 14/03/2000 14/06/2000 14/11/2001 16/08/2001 19/03/2002 19/07/2001 21/01/2002 21/07/1999 21/12/2002 22/04/2002 23/01/2002 23/03/2001 23/04/2002 24/02/2000 25/07/2002 26/04/2000 26/09/2001 26/10/2000 27/11/2000 28/11/2002 29/07/2002 30/01/2001 30/11/2000 31/03/2000 31/07/2002 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. 935 . 01/03/2000 03/01/2002 03/01/2003 03/12/2002 04/02/2003 04/04/04 04/09/2002 04/12/2000 06/02/2002 06/08/2002 07/06/1999 07/11/2002 08/01/2001 08/01/2002 10/06/1998 10/09/2001 11/02/2002 11/03/2002 12/09/2002 13/09/2000 13/12/2002 14/01/2003 16/04/2002 18/04/2002 18/10/2001 19/10/2001 20/02/2003 20/04/2001 20/05/2002 20/07/2001 20/12/2001 21/01/1998 21/03/2001 21/06/2000 21/08/2001 22/04/2002 24/02/2003 25/08/1999 26/03/1999 27/02/2002 29/09/1998 30/05/2000 30/07/2002 30/11/2000 31/08/2001 31/10/2001 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. 935 . 01/10/2001 02/02/2000 02/10/2001 04/04/04 04/04/2002 04/11/2002 05/08/2002 09/08/1999 09/10/2001 10/01/2001 10/10/2000 11/03/2003 11/10/2000 11/11/2002 14/01/2003 15/01/2003 16/01/2003 16/11/2000 19/04/2001 20/04/2000 21/05/2002 22/01/2003 22/06/2000 22/06/2001 23/01/2002 24/09/2002 24/10/2000 25/06/2002 25/11/2002 26/06/2001 27/01/2003 28/11/2002 29/01/2003 29/06/1999 29/08/2002 31/08/2001 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. 60 875 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. 24 911 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. 7 928 1 3 1.286 0.756 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. 23 912 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. 29 906 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. 19 916 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. 6 929 1 3 2.167 0.983 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. 14 921 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. 935 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. 935 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. 99 836 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. 82 853 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. 83 852 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. 80 855 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. 80 855 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. 79 856 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. 81 854 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. 81 854 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. 81 854 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. 82 853 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. 9 COLD MANDLE NEUSTALY SPANEK PAIN - EARS PAIN - TOOTH 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. 78 857 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. 79 856 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. 83 852 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. 68 867 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. 1 DOMA-MANZEL LEKAR 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. 65 870 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. 66 869 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. 935 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. 935 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. 935 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. 935 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. 935 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. 935 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. 935 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. 935 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. 935 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. 935 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. 935 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. 384 551 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)? 477 458 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? 152 783 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? 415 520 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? 100 835 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? 52 883 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? 438 497 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? 444 491 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? 406 529 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? 421 514 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? 47 888 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. 443 492 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? 35 900 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. 261 674 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. 221 714 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. 50 885 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. 263 672 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. 259 676 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? 912 23 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? 394 541 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. 346 589 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. 356 579 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. 347 588 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. 339 596 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. 338 597 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? 4 AFTY,ZÁNÌT OS.DÁSNÍ RAKOVINA ZÁNÌT 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? 911 24 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? 927 8 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? 14 921 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? 15 920 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? 10 925 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)? 10 925 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? 10 925 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? 927 8 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? 70 865 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? 71 864 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? 61 874 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)? 61 874 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? 61 874 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 893 06:40 07:15 08:10 08:15 08:40 08:45 08:46 08:47 08:50 08:56 09:04 09:15 09:20 09:25 09:26 09:30 09:33 09:34 09:35 09:40 09:45 09:46 09:50 09:53 09:55 10:00 10:01 10:02 10:05 10:10 10:11 10:12 10:13 10:15 10:17 10:18 10:21 10:25 10:27 10:30 10:35 10:36 10:37 10:40 10:42 10:43 10:45 10:46 10:47 10:50 10:51 10:53 10:55 10:58 10:59 11:00 11:02 11:05 11:07 11:09 11:10 11:12 11:15 11:18 11:19 11:20 11:21 11:24 11:25 11:30 11:35 11:36 11:40 11:45 11:46 11:47 11:50 11:54 11:55 11:59 12:00 12:02 12:05 12:07 12:10 12:11 12:12 12:15 12:19 12:20 12:25 12:30 12:33 12:34 12:35 12:38 12:40 12:45 12:50 12:53 12:55 12:57 12:58 13:00 13:05 13:08 13:10 13:14 13:15 13:23 13:25 13:30 13:34 13:35 13:38 13:40 13:42 13:43 13:45 13:46 13:47 13:50 13:54 13:55 14:00 14:03 14:05 14:06 14:08 14:10 14:11 14:13 14:14 14:15 14:18 14:19 14:20 14:21 14:22 14:25 14:28 14:29 14:30 14:31 14:32 14:35 14:37 14:40 14:41 14:42 14:43 14:45 14:47 14:48 14:49 14:50 14:53 14:54 14:55 14:56 14:57 14:59 15:00 15:02 15:03 15:04 15:05 15:07 15:08 15:09 15:10 15:12 15:15 15:17 15:20 15:21 15:23 15:25 15:27 15:30 15:32 15:33 15:34 15:35 15:36 15:39 15:40 15:41 15:42 15:43 15:45 15:46 15:50 15:52 15:55 15:57 15:58 15:59 16:00 16:02 16:03 16:04 16:05 16:08 16:10 16:12 16:14 16:15 16:18 16:20 16:21 16:23 16:24 16:25 16:30 16:33 16:34 16:35 16:36 16:38 16:39 16:40 16:42 16:45 16:50 16:53 16:55 16:56 16:57 16:59 17:00 17:02 17:03 17:04 17:05 17:06 17:10 17:11 17:15 17:18 17:20 17:23 17:25 17:27 17:30 17:33 17:35 17:36 17:38 17:39 17:40 17:44 17:45 17:46 17:47 17:48 17:50 17:52 17:53 17:55 17:57 17:58 18:00 18:03 18:05 18:07 18:08 18:09 18:10 18:12 18:13 18:15 18:16 18:20 18:22 18:23 18:24 18:25 18:30 18:32 18:33 18:35 18:38 18:39 18:40 18:45 18:46 18:47 18:49 18:50 18:51 18:52 18:53 18:55 18:56 19:00 19:03 19:04 19:05 19:09 19:10 19:12 19:13 19:15 19:19 19:20 19:22 19:23 19:25 19:28 19:30 19:33 19:35 19:37 19:40 19:45 19:50 19:51 19:55 19:56 19:58 20:00 20:10 20:15 20:18 20:20 20:24 20:25 20:30 20:35 20:50 21:05 Time begin section 7000 Time begin section 7000 Time begin section 7000 Time begin section 7000 Time begin section 7000 904 06:40 08:10 08:15 08:40 08:45 08:46 08:47 08:50 08:51 08:56 09:04 09:15 09:16 09:20 09:25 09:26 09:30 09:33 09:34 09:35 09:36 09:40 09:45 09:46 09:50 09:53 09:55 10:00 10:01 10:02 10:05 10:06 10:10 10:11 10:12 10:13 10:15 10:16 10:18 10:21 10:25 10:27 10:30 10:35 10:36 10:37 10:40 10:42 10:43 10:45 10:46 10:47 10:48 10:50 10:51 10:53 10:55 10:58 10:59 11:00 11:02 11:05 11:07 11:09 11:10 11:12 11:15 11:18 11:19 11:20 11:21 11:25 11:30 11:35 11:36 11:40 11:43 11:45 11:47 11:50 11:54 11:55 11:56 11:59 12:00 12:03 12:05 12:07 12:10 12:11 12:12 12:15 12:19 12:20 12:25 12:30 12:33 12:35 12:40 12:41 12:45 12:50 12:53 12:55 12:58 13:00 13:01 13:05 13:08 13:10 13:14 13:15 13:23 13:25 13:30 13:32 13:34 13:35 13:38 13:40 13:42 13:43 13:45 13:46 13:47 13:50 13:55 14:00 14:05 14:06 14:08 14:10 14:11 14:12 14:13 14:15 14:18 14:20 14:21 14:22 14:25 14:28 14:29 14:30 14:32 14:35 14:38 14:40 14:41 14:42 14:43 14:45 14:48 14:49 14:50 14:51 14:52 14:53 14:54 14:56 14:57 14:59 15:00 15:02 15:03 15:04 15:05 15:07 15:09 15:10 15:12 15:15 15:17 15:20 15:21 15:23 15:25 15:27 15:30 15:32 15:33 15:34 15:35 15:36 15:40 15:41 15:42 15:43 15:45 15:46 15:50 15:51 15:52 15:53 15:54 15:55 15:57 15:58 15:59 16:00 16:02 16:03 16:04 16:05 16:08 16:10 16:12 16:13 16:14 16:15 16:18 16:20 16:21 16:22 16:23 16:24 16:25 16:26 16:30 16:33 16:34 16:35 16:36 16:38 16:40 16:42 16:45 16:50 16:51 16:53 16:55 16:56 16:57 16:59 17:00 17:02 17:03 17:04 17:05 17:06 17:10 17:11 17:15 17:16 17:18 17:20 17:23 17:24 17:25 17:27 17:30 17:33 17:35 17:36 17:38 17:39 17:40 17:44 17:45 17:46 17:47 17:49 17:50 17:52 17:53 17:55 17:56 17:57 17:58 18:00 18:02 18:03 18:05 18:07 18:08 18:09 18:10 18:13 18:15 18:16 18:20 18:22 18:23 18:24 18:25 18:30 18:32 18:33 18:35 18:40 18:45 18:46 18:47 18:49 18:50 18:51 18:52 18:53 18:55 18:56 18:58 19:00 19:03 19:04 19:05 19:09 19:10 19:11 19:12 19:13 19:15 19:19 19:20 19:21 19:22 19:23 19:25 19:28 19:30 19:33 19:35 19:37 19:40 19:45 19:50 19:51 19:55 19:56 19:58 20:01 20:10 20:15 20:20 20:21 20:24 20:25 20:30 20:35 20:50 21:05 last time needed health care last time needed health care last time needed health care last time needed health care last time needed health care When was the last time that either you as an adult, or a child of yours aged 12 years or less, needed health care? - in the last 30 days - between 1 month and less than 1 year ago - between 1 year and less than 2 years ago - between 2 years and less than 3 years ago - between 3 years and less than 5 years ago - more than 5 years ago - Never needed – Skip to 7020 924 11 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 882 53 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? 718 217 100 1.78 3.996 1 2 3 4 5 6 7 8 9 10 11 20 100 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 909 26 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 912 23 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. 2 933 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. 2 933 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. 2 933 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. 2 933 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. 2 933 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. 2 933 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. 2 933 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. 2 933 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. 2 933 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. 2 933 1 Yes 5 No Sysmiss Other Other Other Other Other Which reasons best explain why you [your child] did not get health care? Other. 2 933 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 907 28 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 896 39 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 627 308 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 12 923 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? 907 28 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. 913 22 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 919 16 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. 172 763 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. 172 763 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. 172 763 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. 172 763 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. 171 764 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? 417 518 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? 438 497 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? 464 471 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? 469 466 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 923 12 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 923 12 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 922 13 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 922 13 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 918 17 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 922 13 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 923 12 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 923 12 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? 927 8 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)? 566 369 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? 36 899 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? 34 01/1997 01/2000 02/1999 02/2000 02/2003 03/1990 04/1993 05/1991 05/1994 05/1997 05/1999 06/1990 06/1991 06/1993 06/1997 07/1992 07/1995 08/1993 08/1997 08/1998 09/1993 09/1994 09/1996 09/1999 10/1991 11/1995 11/1999 12/1994 12/1999 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? 530 405 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)? 126 809 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? 14 921 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? 14 01/1997 01/1998 01/2000 01/2001 03/1990 03/1997 03/2002 04/1992 04/1996 07/2002 08/1994 08/1998 10/1995 12/1995 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? 393 3 POLIKLINIKA PLZEN 3 POLIKLINIKA PRAHA ALERGOLOGIE AREA MEDICA BENATKY CENTROMED CENTROMET CHIRURGICKA AMBULANCE CHIRURGICKA AMBULANCE PHA 10 CHIRURGICKA ORDINACE CHIRURGIE TREBON CHOTÌBOØ DERMATOLOG DERMATOLOG PROSTEJOV DETASOVANE PRACOVISTE PRIBRAMSKE NEMOCNICE DETSKY LEKAR DETSKY LEKAR MUDR. SAFARIKOVA DETSKÝ LEKAR DIALYZA CHRUDIM DIMITROV DOCTUS USTI NAD LABEM DR. JERABEK DR. MORAVCOVA DR. VANEK DR.KOVARIKOVA DTC FN BULOVKA FN OLOMOUC GL GP GP PROSTEJOV GYNEK. AMBULANCE BYSICE GYNEKOLOG GYNEKOLOGIE HORSKA SLUZBA KRKONOSE IMUMED INTERNISTA INTERNISTA HORNICKA POL. OSTRAVA JAN GOLD-LECITEL JAN ZAMECNIK JIRNY KAREL LINHART KLINIKA TEPLICE KOZNI AMBULANCE KOŽNI ORDINACE KØIŽÁKOVÁ LEHOVEC LSPP LSPP CHOTÌBOØ MEDR. SEDIVA MESTSKA NEMOCNICE HUSTOPECE MESTSKA NEMOCNICE LITOMERICE MUDR FRANTISEK MALY MUDR. B. KRENOVA MUDR. BLANAR MUDR. BLECHA MUDR. BOHUSLAV LANEK MUDR. BÌLÍK MUDR. CERNY MUDR. CHYTILOVA MUDR. DRATNAROVA MUDR. DVOØÁK, V. LOSENCE MUDR. EVA VITOVSKA MUDR. FRICOVA ANNA MUDR. HES TABOR MUDR. JONAKOVA MUDR. KELNAROVA CESKE BUDEJOVICE MUDR. KERNDLOVÁ MUDR. KOLASTA MUDR. KOSOVA MUDR. KRALOVA MUDR. KRALOVA JANA MUDR. KRECKOVA MUDR. KULTOVA MUDR. LOS MUDR. MARKOVA MUDR. MASNY MUDR. PETR KARBEN MUDR. PRUSA MUDR. RAIS MUDR. SEDIVA, MALSICE OBVOD MUDR. SOUPAL MUDR. STAFA MUDR. VESELÝ MUDR. VOJTKOVÁ JISTEBNICE MUDR. ZAMECNIK MUDR. ZELEZNA - SOUKROMA MUDR.FRANTIŠEK KOUKAL MUDR.KINST MUDR.VACLAV KOPECKY MUDR.VENCÁLEK N A P NATALIS TABOR GYNEKOLOGIE NEM. HAVLICKUV BROD NEMOCNICE BOSKOVICE NEMOCNICE BRECLAV NEMOCNICE CESKY BROD NEMOCNICE FIFEJDY NEMOCNICE FRYDLANT NEMOCNICE HRANICE NEMOCNICE IVANCICE NEMOCNICE JESENÍK NEMOCNICE KLADNO NEMOCNICE KV NEMOCNICE LIBEREC NEMOCNICE LITOMERICE NEMOCNICE LITOMYSL NEMOCNICE NA - INTERNI AMBULANTNI ODDELENI NEMOCNICE PELHØIMOV NEMOCNICE RÝMAØOV NEMOCNICE SUMPERK NEMOCNICE TRINEC NEMOCNICE TRUTNOV AMBULANCE NEMOCNICE U SV. ANNY NEMOCNICE UHERSKE HRADISTE NEMOCNICE V UHERSKEM HRADISTI NEMOCNICE, KARLOVY VARY NEUROLOG NSP CESKA LIPA NSP JINDRICHUV HRADEC NSP RÝMAØOV NSP VYŠKOV OBV.PRAKT.LÉKAØ PRO DOSPÌLÉ OBVODNI LEKAR OBVODNI LEKAR DIABETOLOG OBVODNÍ ZDRAVOTNÍ STØEDISKO OCNI LEKARKA ODBORNY ZUBNI LEKAR OKRESNI NEMOCNICE HRADEC KRALOVE OKRESNI NEMOCNICE J. HRADEC OKRESNI NEMOCNICE JINDRICHUV HRADEC OL OL NASAVRKY OPOCANSKA NEMOCNICNI A.S. ORDINACE DETSKEHO LEKARE ORDINACE LEKARE ORDINACE PL ORDINACE PL DR.ŠINDELÁØ ORL AMBULANCE ORL BRUNTÁL ORTODONT ORTOPED ORTOPEDIE ORTOPEDIE, NEMOCNICE CESKE BUDEJOVICE OSTROV NAD OHRI OÈNÍ AMBULANCE NEM. KM OÈNÍ LÉKAØ OÈNÍ ORDINACE PG PK PISEK PK PISEK DR. PRAZAK PK SEVER CESKE BUDEJOVICE PK TABOR PL PL - HODONÍN PL GYNEKOLOG PL PRO DOSPELE PL PRO DOSPÌLÉ PL STOMATOLOG PL STOMATOLOG PETRVALD PL STOMATOLOG PROSTEJOV PL STOMATOLOG URCICE PL STOMATOLOGIE PROSTEJOV PLD POHOTOVOST BULOVKA POLIKLINIKA POLIKLINIKA BRANDYS NAD LABEM POLIKLINIKA BUDEJOVICKA POLIKLINIKA BUDEJOVICKA PRAHA 4 POLIKLINIKA CESKE BUDEJOVICE POLIKLINIKA DECIN POLIKLINIKA DOMAZLICE POLIKLINIKA DR.HARTMAN POLIKLINIKA K/O POLIKLINIKA KLADNO POLIKLINIKA KOLF CHIRURGIE POLIKLINIKA KYJOV POLIKLINIKA MLADA BOLESLAV POLIKLINIKA MOST POLIKLINIKA NAZURSKA POLIKLINIKA NYMBURK POLIKLINIKA PLZEN POLIKLINIKA PROSTEJOV POLIKLINIKA SKODA POLIKLINIKA TAUTOV POLIKLINIKA VALAŠSKÉ KLOBOUKY POLIKLINIKA VYSKOV POLIKLINIKA VYSOCANY POLIKLINIKA ZDAR NAD SAZAVOU POLYKLINIKA MOST PRAHA PRAKTICKY DETSKY LEKAR PRAKTICKY LEKAR PRAKTICKY LEKAR STOMATOLOG PSYCHIATRYCKA ORDINACE REHABILITACE MUDR. JEZKOVA EVA SANUS HRADEC KRÁLOVÉ SLOWIK SOUKROMA AMBULANCE SOUKROMA LEKARKA SOUKROMA ORDINACE MUDR. BLAZKOVA SOUKROMA ORDINACE MUDR. NEHYBOVA SOUKROMA STOMATOLOGICKA ORDINACE SOUKROMY GYNEKOLOG DR. SMETANA SOUKROMY INTERNI LEKAR SOUKROMY LEKAR SOUKROMY LEKAR DR. SEVECEK SOUKROMÁ AMBUL.-ORTODONCIE SOUKROMÁ AMBULANCE SOUKROMÁ ORDINACE SOUKROMÁ PRAXE-GYNEKOLOG PL SSN OPAVA STOMATOLOD STOMATOLOG STOMATOLOG DOC. PODSTATA STOMATOLOG DR.MONIKOVA STOMATOLOGIE UROLOGIE MOHELNICE UVN VSEOBECNA NEMOCNICE KOZNI AMBULANCE ZAVODNI LEKAR ZAVODNI LEKARKA PASKOV ZAVODNI ORDINACE ZAVODNI POLIKLINIKA ZETOR ZAVODNI STREDISKO ZDAR NAD SAZAVOU ZDDRAVOTNI STREDISKO VESELI ZDRAV.STREDISKO DOLNI ROVEN ZDRAV.STØ.NÁMÌŠT N.OSL. ZDRAVOTNI STREDISKO POSTRELMOV ZDRAVOTNI USTAV ZDRAVOTNICKE STREDISKO ZDRAVOTNICKE STREDISKO STAREC ZDRAVOTNÍ STREDISKO DOLNÍ DUNAJOVICE ZDRAVOTNÍ STREDISKO VESELI NAD MORAVOU ZDRAVOTNÍ STØEDISKO ZDRAVOTNÍ STØEDISKO BOSKOVICE ZDRAVOTNÍ STØEDISKO HODONÍN ZDRAVOTNÍ STØEDISKO LUHAÈOVICE ZS BOSKOVICE ZS CHOTEBOR ZS KRAVARE ZS LIPOV ZS NÁMÌŠT N/O ZUBAØ ZUBNI LEKAR ZUBNI ORDINACE ZUBNI ORDINACE BOHUMIN ZUBNÍ ZUBNÍ AMBULANCE ZUBNÍ LÉKAØ ZUBNÍ-BZENEC ZZ-OTROKOVICE ZUBNI LEKAR ZÁCHRANNÁ SLUŽBA JESENÍK ZÁVOD.PRAKT.LÉKAØKA ÚVN PRAHA 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 412 523 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. 418 517 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]? 418 517 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? 417 518 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? 417 518 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? 406 529 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? 411 524 888 24.599 47.778 1 2 4 5 6 7 8 10 12 15 20 24 25 30 35 40 45 50 55 60 70 90 120 150 180 888 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 417 518 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 387 548 10000 100.62 729.142 30 40 50 100 150 300 370 400 500 600 1000 2000 3000 4000 4500 5000 5700 10000 Sysmiss Medicines Medicines Medicines Medicines Medicines Thinking about your last visit, how much did you or your household pay for: Medicines 275 660 2500 84.367 230.833 8 Do not know 9 Not applicable, not have 10 12 16 18 20 25 30 40 45 50 54 60 66 70 75 80 90 98 100 102 110 120 130 140 150 160 180 200 220 280 300 350 360 380 400 420 500 510 600 1100 2000 2500 Sysmiss Tests Tests Tests Tests Tests Thinking about your last visit, how much did you or your household pay for: Tests 154 781 8 Do not know 9 Not applicable, not have Sysmiss Transport Transport Transport Transport Transport Thinking about your last visit, how much did you or your household pay for: Transport 180 755 200 10.561 25.524 6 8 Do not know 9 Not applicable, not have 10 12 13 14 16 17 18 20 22 24 25 29 30 32 34 35 40 48 50 100 150 200 Sysmiss Other Other Other Other Other Thinking about your last visit, how much did you or your household pay for: Other 167 768 2000 33.713 188.198 8 Do not know 9 Not applicable, not have 20 80 100 260 300 400 500 570 1000 2000 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? 135 800 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? 415 520 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? 418 517 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? 416 519 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? 416 519 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? 416 519 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? 407 528 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? 380 555 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? 382 553 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? 414 521 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? 384 551 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? 382 553 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? 413 522 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? 413 522 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 416 519 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 415 520 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 415 520 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 415 520 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 415 520 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 415 520 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 414 521 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 ? 390 ATLAS ZLÍN BATOVA NEMOCNICE BATOVA NEMOCNICE ZLÍN BESKYDSKÉ REHAB.CENTRUM BESKYDSKÉ REHABILITACNI CENTRUM CELADNA BRANDYS NAD LABEM BRANOVSKA NEMOCNICE BULOVKA BULOVKA P-8 BÌLOVEC DETSKA NEMOCNICE DVUR KRALOVE - NEMOCNICE FAK.NEM.OLOMOUC FAKULTNI NEMOCNICE OLOMOUC FAKULTNÍ NEMOCNICE HRADEC KRÁLOVÉ FAKULTNÍ NEMOCNICE U SV. ANNY FN FN BOHUNICE FN BRNO FN BRNO BOHUNICE FN BULOVKA FN HK FN HRADEC KRALOVE FN MOTOL FN NEMOCNICE-SV.ANNA FN OLOMOUC FN OSTRAVA FN PLZEN FN VINOHRADY FN VK FNKV FNM FNSP OSTRAVA PORUBA FNSP PORUBA FTN KRC HEN LITOMERICE HOMOLKA HRANICE NA MORAVÌ II CHIRURGICKA KLINIKA KARLOVO NAMESTI INTERNA PARDUBICE JESENÍK JICIN KARVINSKÁ HORNICKÁ NEMOCNICE KARVINSKÁ HORNICKÁ NSP KLAUDIAN MB KLAUDIANOVA NEMOCNICE ML. BOLESLAV KOLIN NEMOCNICE KRAJSKA NEMOCNICE LIBEREC KRAJSKA NEMOCNICE PARDUBICE KUTNA HORA LDN KROMÌØÍŽ MASARYKOVA NEMOCNICE MASARYKOVA NEMOCNICE USTI NAD LABEM MATERSKE CENTRUM PODOLI MESTSKA NEMOCNICE OSTRAVA MESTSKA NEMOCNICE CASLAV MESTSKA NEMOCNICE FIFEJDY MESTSKA NEMOCNICE OSTRAVA MESTSKA NEMOCNICE OSTRAVA FIFEJDY MESTSKA NEMOCNICE OSTRAVA-FIJFEJDY MESTSKA NEMOCNICE PISEK ML. BOLESLAV MLADA BOLESLAV MNSP NOVÝ JIÈÍN MOTOL MÌSTSKÁ NEM. OSTRAVA FIFEJDY MÌSTSKÁ NEMOCNICE OSTRAVA N A P PODRIPSKA ROUDNICE N.L. N CESKY BROD NEM. S POLIKLINIKOU NOVÝ JIÈÍN NEM.JESENÍK NEMOCNICE NEMOCNICE CHRUDIM NEMOCNICE BLANSKO NEMOCNICE BRANDYS NAD LABEM NEMOCNICE BRECLAV NEMOCNICE BRNO NEMOCNICE CESKA LIPA NEMOCNICE CESKE BUDEJOVICE NEMOCNICE CHEB NEMOCNICE CHRUDIM NEMOCNICE CK NEMOCNICE DECIN NEMOCNICE FRYDEK MISTEK NEMOCNICE FRYDEK MÍSTEK NEMOCNICE FRYDLANT NEMOCNICE FRÝDEK MÍSTEK NEMOCNICE H.BROD NEMOCNICE HAVL.BROD NEMOCNICE HAVLICKUV BROD NEMOCNICE HAVÍØOV NEMOCNICE HRANICE NEMOCNICE HRANICE A.S. NEMOCNICE IVANCICE NEMOCNICE IVANÈICE NEMOCNICE JABLONEC NAD NISOU NEMOCNICE JIHLAVA NEMOCNICE JINDRICHUV HRADEC NEMOCNICE JINDØICHÙV HRADEC NEMOCNICE KARLOVY VARY NEMOCNICE KARVINA NEMOCNICE KARVINÁ-RÁJ NEMOCNICE KLADNO NEMOCNICE KLATOVY NEMOCNICE KROMERIZ NEMOCNICE KROMÌØÍŽ NEMOCNICE KYJOV NEMOCNICE LETOMERICE NEMOCNICE LIBEREC NEMOCNICE LITOMERICE NEMOCNICE LITOMYSL NEMOCNICE MLADA BOLESLAV NEMOCNICE MOST NEMOCNICE MOTOL NEMOCNICE NA HOMOLCE PRAHA NEMOCNICE NOVY BYDZOV NEMOCNICE NOVY JICIN NEMOCNICE NOVÉ MÌSTO NEMOCNICE NOVÝ JIÈÍN NEMOCNICE OPAVA NEMOCNICE OPOCNO NEMOCNICE ORLOVA NEMOCNICE PARDUBICE NEMOCNICE PELHRIMOV NEMOCNICE PISEK NEMOCNICE PLZEN NEMOCNICE POD PETRINEM NEMOCNICE PODLESI TRINEC NEMOCNICE PRACHATICE NEMOCNICE PREROV NEMOCNICE PROSTEJOV NEMOCNICE RUMBURK NEMOCNICE S POLIKLINIKOU NEMOCNICE S POLIKLINIKOU BOHUMÍN NEMOCNICE S POLIKLINIKOU BRANDYS NAD LABEM NEMOCNICE S POLIKLINIKOU LOUNY NEMOCNICE S POLIKLINIKOU ORLOVA NEMOCNICE SLANY NEMOCNICE STRAKONICE NEMOCNICE SUMPERK NEMOCNICE TABOR NEMOCNICE TEPLICE NEMOCNICE TURNOV NEMOCNICE TØEBÍÈ NEMOCNICE TØINEC NEMOCNICE TØINEC-SOSNA NEMOCNICE U MILOSRDNYCH BRATRI NEMOCNICE U ROUDNICE N/J NEMOCNICE U SV. ANNY NEMOCNICE U TREBICI NEMOCNICE UHERSKE HRADISTE NEMOCNICE USTI N/O NEMOCNICE USTI NAD LABEM NEMOCNICE USTI NAD ORLICI NEMOCNICE V NOVÉM JIÈÍNÌ NEMOCNICE V PODHAJI RUMBURK NEMOCNICE V TEPLICICH NEMOCNICE VRCHLABI NEMOCNICE ZNOJMO NEMOCNICE ZÁBREH NEMOCNICE ŠUMPERK NSP BOHUMÍN NSP FRYDEK MISTEK NSP FRÝDEK MÍSTEK NSP HAVIROV NSP HAVÍØOV NSP KARVINÁ - RÁJ NSP KARVINÁ-RÁJ NSP KLADNO NSP LOUNY NSP ORLOVA NSP ORLOVÁ NSP PRACHATICE NSP PRIBRAM INTERNA NSP ROKYCANY NSP ÈESKÝ TÌŠÍN OCNI KOLIN ODBORNA LECEBNA LUZE OKN BÍLOVEC OKRESNI NEMOCNICE J. HRADEC OKRESNÍ NEMOCNICE PELHØIMOV ON NOVE MESTO ON NOVE MESTO ON NOVE MESTO N.M. ON NOVE MESTO NA MOR. ON NOVE MESTO NA MORAVE ON NOVÉ MESTO ON NOVÉ MESTO NA MORAVÌ ON NOVÉ MÌSTO N.M. ON TABOR OPOCANSKA NEMOCNICE A.S. ORLICKA NEMOCNICE RYCHNOV OUNZ UH.HRADIŠTÌ OV-FIFEJDY OÈNÍ ODD.-NEMOCNICE KROMÌØÍŽ PARTUS PARDUBICE PIVKOVO SANATORIUM ML. BOLESLAV PL KROMERIZ PLZEN PODRIPSKA POLIKLINIKA RNL PODRIPSKA POLIKLINIKA ROUDNICE POLIKLINIKA PRAHA 9 PORODNICE PRAHA KARLOV OCNI KLINIKA PSYCHIATRICKA LEÈEBNA KROMÌØÍŽ PSYCHIATRII HRADEC KRALOVE REMED MEZIBORI RUMBURK SEMILY SILESIA MEDICAL SOUKROMA ORDINACE ZUBNIHO LEKARE SSN OPAVA STRESOVY TABOR THOMAYEROVA NEMOCNICE THOMAYEROVA NEMOCNICE - KRC U APOLINARE UPMD PODOLI UVN VFN PRAHA VFN UROLOGICKA KLINIKA VIANOVA ZABREH VINOHRADSKA VINOHRADY VN BRNO VOJ.NEM.OLOMOUC VOJENSKA NEM.BRNO VOJENSKA NEMOCNICE VOJENSKA NEMOCNICE PLZEN VSEOBECNA NEMOCNICE NACHOD VUN ZENSKA KLINIKA PLZEN nsp FRYDEK MISTEK 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 389 546 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 393 542 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 394 541 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 394 541 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? 371 564 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? 378 557 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? 373 562 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? 388 547 888 39.724 91.408 3 5 8 10 12 13 14 15 20 25 30 35 40 45 50 60 80 88 90 110 120 180 300 888 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 393 542 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 389 546 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 382 553 8 Do not know 9 Not applicable, not have Sysmiss Drugs Drugs Drugs Drugs Drugs Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Medicines 314 621 800 8.599 64.178 8 Do not know 9 Not applicable, not have 30 90 100 150 200 300 500 800 Sysmiss Tests Tests Tests Tests Tests Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Tests 242 693 8 Do not know 9 Not applicable, not have Sysmiss Transport Transport Transport Transport Transport Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Transport 224 711 400 15.46 51.851 8 Do not know 9 Not applicable, not have 10 15 16 20 25 30 50 87 90 100 130 150 180 200 400 Sysmiss Other Other Other Other Other Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Other 224 711 5000 131.027 613.502 8 Do not know 9 Not applicable, not have 100 120 180 200 300 400 500 800 1000 1500 1750 2000 3500 5000 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? 79 856 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? 355 580 14 2.823 1.584 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? 382 553 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? 384 551 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? 386 549 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? 389 546 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? 384 551 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? 372 563 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? 351 584 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? 346 589 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? 376 559 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? 362 573 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]? 340 595 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? 388 547 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? 387 548 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? 388 547 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? 383 552 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 394 541 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 394 541 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 393 542 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 394 541 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 394 541 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 394 541 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 394 541 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"). 935 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? 193 742 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? 193 742 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? 191 744 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? 191 744 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? 191 744 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? 191 744 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? 192 743 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? 192 743 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? 190 745 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? 190 745 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? 191 744 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? 191 744 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? 193 742 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? 193 742 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? 192 743 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? 192 743 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? 192 743 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? 192 743 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? 190 745 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? 189 746 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? 204 731 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? 204 731 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? 204 731 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? 204 731 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? 202 733 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? 202 733 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? 203 732 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? 203 732 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? 200 735 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? 200 735 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? 202 733 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? 202 733 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? 201 734 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? 201 734 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? 202 733 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? 202 733 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? 201 734 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? 200 735 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? 202 733 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? 202 733 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? 188 747 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? 188 747 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? 187 748 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? 187 748 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? 186 749 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? 185 750 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? 185 750 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? 186 749 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? 186 749 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? 186 749 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? 185 750 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? 184 751 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? 185 750 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? 184 751 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? 184 751 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? 185 750 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? 185 750 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? 186 749 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? 185 750 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? 167 768 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? 166 769 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? 168 767 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? 168 767 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? 168 767 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? 168 767 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? 168 767 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? 167 768 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? 167 768 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? 167 768 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? 167 768 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? 167 768 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? 167 768 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? 167 768 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? 167 768 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? 167 768 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? 167 768 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? 167 768 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? 167 768 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? 164 771 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 875 07:05 07:35 08:20 08:25 09:00 09:05 09:10 09:13 09:15 09:30 09:33 09:35 09:40 09:44 09:45 09:50 09:54 09:55 09:56 10:03 10:05 10:10 10:12 10:15 10:17 10:20 10:22 10:23 10:25 10:26 10:28 10:29 10:30 10:33 10:35 10:40 10:43 10:45 10:47 10:48 10:49 10:50 10:53 10:54 10:55 10:57 10:59 11:00 11:02 11:05 11:10 11:14 11:15 11:16 11:17 11:18 11:20 11:21 11:23 11:25 11:26 11:28 11:29 11:30 11:31 11:33 11:35 11:36 11:37 11:40 11:45 11:50 11:52 11:55 11:58 11:59 12:00 12:03 12:05 12:10 12:15 12:17 12:20 12:22 12:25 12:30 12:32 12:35 12:37 12:38 12:39 12:40 12:45 12:50 12:55 12:57 12:59 13:00 13:03 13:05 13:06 13:07 13:09 13:10 13:14 13:15 13:20 13:24 13:25 13:29 13:30 13:35 13:40 13:43 13:45 13:50 13:52 13:53 13:54 13:55 13:59 14:00 14:02 14:05 14:06 14:10 14:15 14:17 14:20 14:23 14:24 14:25 14:29 14:30 14:32 14:34 14:35 14:40 14:42 14:43 14:45 14:49 14:50 14:51 14:53 14:55 14:56 14:58 15:00 15:02 15:04 15:05 15:08 15:10 15:12 15:13 15:15 15:16 15:18 15:20 15:25 15:28 15:29 15:30 15:31 15:33 15:35 15:38 15:40 15:43 15:45 15:48 15:50 15:52 15:53 15:54 15:55 15:57 16:00 16:01 16:02 16:03 16:04 16:05 16:07 16:10 16:12 16:13 16:15 16:16 16:19 16:20 16:22 16:24 16:25 16:27 16:28 16:29 16:30 16:32 16:33 16:34 16:35 16:37 16:40 16:42 16:43 16:44 16:45 16:46 16:47 16:48 16:49 16:50 16:53 16:55 17:00 17:01 17:05 17:06 17:07 17:08 17:09 17:10 17:12 17:13 17:14 17:15 17:16 17:17 17:18 17:20 17:23 17:25 17:30 17:33 17:35 17:37 17:38 17:40 17:43 17:45 17:46 17:48 17:50 17:51 17:52 17:55 17:56 17:57 17:58 18:00 18:01 18:04 18:05 18:07 18:08 18:10 18:11 18:12 18:15 18:17 18:20 18:23 18:24 18:25 18:28 18:30 18:31 18:32 18:35 18:37 18:38 18:39 18:40 18:41 18:44 18:45 18:50 18:53 18:55 18:59 19:00 19:03 19:04 19:05 19:06 19:07 19:10 19:15 19:20 19:21 19:23 19:25 19:26 19:30 19:35 19:38 19:40 19:42 19:45 19:46 19:47 19:48 19:50 19:54 19:55 19:58 20:05 20:10 20:13 20:15 20:17 20:20 20:25 20:30 20:35 20:38 20:40 20:42 20:45 20:50 20:52 20:57 21:03 21:08 21:20 Time begin section 8000 Time begin section 8000 Time begin section 8000 Time begin section 8000 Time begin section 8000 897 07:05 07:35 08:20 08:25 08:59 09:00 09:05 09:10 09:13 09:16 09:25 09:30 09:33 09:35 09:40 09:44 09:45 09:50 09:55 09:56 10:03 10:05 10:10 10:12 10:15 10:17 10:20 10:21 10:22 10:23 10:25 10:26 10:28 10:29 10:30 10:31 10:33 10:35 10:36 10:40 10:43 10:45 10:47 10:50 10:53 10:55 10:57 10:59 11:00 11:02 11:05 11:06 11:10 11:14 11:15 11:16 11:17 11:18 11:20 11:21 11:23 11:25 11:26 11:28 11:29 11:30 11:31 11:33 11:35 11:36 11:38 11:40 11:41 11:45 11:50 11:52 11:55 11:58 11:59 12:00 12:03 12:05 12:10 12:15 12:16 12:17 12:20 12:22 12:25 12:30 12:32 12:35 12:37 12:38 12:39 12:40 12:45 12:50 12:55 12:57 12:58 12:59 13:00 13:03 13:05 13:07 13:10 13:14 13:15 13:20 13:25 13:29 13:30 13:31 13:35 13:40 13:43 13:45 13:46 13:50 13:52 13:53 13:54 13:55 14:00 14:02 14:05 14:06 14:10 14:11 14:15 14:17 14:20 14:24 14:25 14:29 14:30 14:32 14:34 14:35 14:40 14:42 14:43 14:45 14:49 14:50 14:51 14:53 14:55 14:56 14:58 14:59 15:00 15:02 15:05 15:08 15:10 15:12 15:13 15:15 15:16 15:18 15:20 15:21 15:25 15:28 15:30 15:31 15:33 15:35 15:38 15:40 15:43 15:45 15:46 15:48 15:50 15:52 15:53 15:54 15:55 15:57 15:58 16:00 16:01 16:02 16:03 16:05 16:07 16:10 16:12 16:13 16:15 16:16 16:19 16:20 16:23 16:24 16:25 16:27 16:28 16:29 16:30 16:31 16:32 16:33 16:34 16:35 16:37 16:40 16:42 16:43 16:44 16:45 16:46 16:47 16:48 16:49 16:50 16:51 16:53 16:55 17:00 17:01 17:05 17:06 17:07 17:08 17:09 17:10 17:11 17:13 17:14 17:15 17:16 17:17 17:18 17:20 17:23 17:25 17:30 17:33 17:35 17:37 17:38 17:40 17:43 17:45 17:47 17:48 17:50 17:51 17:52 17:54 17:55 17:56 17:57 17:58 18:00 18:01 18:04 18:05 18:07 18:08 18:10 18:11 18:13 18:15 18:17 18:20 18:23 18:25 18:28 18:29 18:30 18:31 18:32 18:35 18:37 18:38 18:39 18:40 18:41 18:44 18:45 18:50 18:53 18:55 18:59 19:00 19:03 19:04 19:05 19:06 19:07 19:10 19:15 19:16 19:20 19:21 19:23 19:25 19:26 19:30 19:35 19:38 19:40 19:42 19:45 19:46 19:47 19:48 19:50 19:51 19:55 19:58 20:05 20:10 20:13 20:15 20:17 20:20 20:25 20:30 20:36 20:38 20:40 20:44 20:45 20:50 20:52 20:57 21:03 21:08 21:20 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? 920 15 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? 919 16 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? 920 15 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 891 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 886 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 884 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 883 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 883 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? 869 66 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 ? 887 48 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? 886 49 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? 898 37 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? 889 46 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? 900 35 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? 893 42 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? 892 43 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 930 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. 415 520 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. 412 523 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. 412 523 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. 413 522 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. 413 522 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. 382 553 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. 381 554 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. 382 553 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. 381 554 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. 382 553 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. 382 553 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 909 07:18 07:43 08:30 08:35 09:10 09:15 09:16 09:17 09:23 09:25 09:30 09:39 09:40 09:45 09:50 09:53 09:55 10:00 10:02 10:04 10:07 10:10 10:15 10:18 10:19 10:20 10:25 10:30 10:32 10:33 10:34 10:35 10:36 10:40 10:42 10:43 10:44 10:45 10:50 10:53 10:54 10:55 10:58 11:00 11:04 11:05 11:08 11:09 11:10 11:15 11:18 11:20 11:21 11:23 11:24 11:25 11:26 11:28 11:29 11:30 11:31 11:32 11:35 11:37 11:38 11:40 11:41 11:42 11:43 11:45 11:47 11:48 11:50 11:55 11:59 12:00 12:02 12:05 12:07 12:08 12:10 12:12 12:15 12:20 12:23 12:24 12:25 12:26 12:28 12:30 12:33 12:35 12:36 12:38 12:40 12:42 12:45 12:48 12:53 12:54 12:55 12:59 13:05 13:06 13:08 13:10 13:15 13:18 13:20 13:25 13:27 13:30 13:35 13:40 13:45 13:47 13:50 13:52 13:55 13:58 14:00 14:03 14:05 14:06 14:10 14:12 14:13 14:15 14:18 14:20 14:22 14:24 14:25 14:26 14:30 14:32 14:33 14:35 14:37 14:38 14:40 14:42 14:44 14:45 14:46 14:47 14:48 14:49 14:50 14:55 14:57 14:59 15:00 15:05 15:06 15:08 15:10 15:13 15:14 15:15 15:16 15:19 15:20 15:21 15:23 15:24 15:25 15:26 15:28 15:29 15:30 15:34 15:35 15:36 15:38 15:39 15:40 15:41 15:42 15:45 15:46 15:50 15:54 15:55 15:57 15:58 16:00 16:01 16:03 16:05 16:06 16:08 16:09 16:10 16:11 16:13 16:15 16:16 16:17 16:18 16:19 16:20 16:22 16:25 16:27 16:28 16:30 16:35 16:37 16:38 16:39 16:40 16:41 16:42 16:45 16:47 16:50 16:52 16:55 16:56 16:59 17:00 17:01 17:02 17:03 17:04 17:05 17:06 17:07 17:08 17:09 17:10 17:14 17:15 17:17 17:18 17:19 17:20 17:24 17:25 17:26 17:27 17:28 17:30 17:31 17:32 17:35 17:37 17:40 17:42 17:43 17:45 17:46 17:48 17:49 17:50 17:51 17:52 17:53 17:55 17:57 17:59 18:00 18:05 18:09 18:10 18:12 18:14 18:15 18:16 18:18 18:19 18:20 18:21 18:25 18:30 18:32 18:33 18:35 18:36 18:37 18:39 18:40 18:41 18:42 18:44 18:45 18:47 18:48 18:49 18:50 18:52 18:53 18:54 18:55 18:56 18:59 19:00 19:04 19:05 19:07 19:10 19:11 19:12 19:13 19:15 19:17 19:19 19:20 19:21 19:23 19:25 19:26 19:27 19:28 19:30 19:31 19:32 19:35 19:40 19:42 19:45 19:47 19:48 19:49 19:50 19:51 19:52 19:54 19:55 20:00 20:05 20:07 20:10 20:15 20:20 20:21 20:25 20:30 20:31 20:34 20:35 20:40 20:43 20:45 20:50 20:54 20:55 20:58 21:00 21:01 21:13 21:27 21:30 Time begin section 9000 Time begin section 9000 Time begin section 9000 Time begin section 9000 Time begin section 9000 9 11:24 12:35 15:24 16:16 16:19 18:25 18:56 19:48 20:54 hearing problem hearing problem hearing problem hearing problem hearing problem Did the respondent have a hearing problem? 922 13 1 Yes 5 No Sysmiss vision problem vision problem vision problem vision problem vision problem Did the respondent have a vision problem? 924 11 1 Yes 5 No Sysmiss wheelchair wheelchair wheelchair wheelchair wheelchair Did the respondent use a wheelchair? 926 9 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? 925 10 1 Yes 5 No Sysmiss difficulties walking difficulties walking difficulties walking difficulties walking difficulties walking Did the respondent have any difficulties walking? 924 11 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? 926 9 1 Yes 5 No Sysmiss cough continually cough continually cough continually cough continually cough continually Did the respondent cough continually? 926 9 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? 926 9 1 Yes 5 No Sysmiss mental problem mental problem mental problem mental problem mental problem Did the respondent have a mental problem? 926 9 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? 920 15 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? 924 11 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: 924 11 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: 923 12 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: Other comments Other comments Other comments Other comments Other comments Any other comments: Time end section 9000 Time end section 9000 Time end section 9000 Time end section 9000 Time end section 9000 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? 340 12100003 12101918 12101171.359 520.828 Child No Child No Child No Child No Child No 340 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. 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. 340 01/1974 01/1975 01/1976 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 01/1994 01/1995 01/1997 01/1998 01/1999 01/2000 01/2003 02/1977 02/1978 02/1979 02/1980 02/1982 02/1984 02/1985 02/1986 02/1987 02/1988 02/1989 02/1990 02/1991 02/1992 02/1993 02/1996 02/1998 02/2000 02/2001 02/2002 02/2003 03/1973 03/1976 03/1977 03/1978 03/1979 03/1981 03/1983 03/1984 03/1986 03/1988 03/1989 03/1990 03/1991 03/1992 03/1994 03/1995 03/1997 03/1999 03/2001 03/2002 04/1975 04/1977 04/1978 04/1980 04/1981 04/1982 04/1984 04/1985 04/1987 04/1988 04/1991 04/1992 04/1993 04/1994 04/1996 04/1997 04/1998 04/1999 04/2001 04/2002 05/1975 05/1977 05/1978 05/1979 05/1982 05/1983 05/1984 05/1985 05/1986 05/1987 05/1988 05/1991 05/1994 05/1995 05/1996 05/1998 05/2001 05/2002 06/1969 06/1976 06/1977 06/1978 06/1979 06/1981 06/1982 06/1983 06/1985 06/1986 06/1987 06/1988 06/1990 06/1991 06/1993 06/1994 06/1997 06/1998 06/2000 06/2001 06/2002 07/1975 07/1980 07/1983 07/1985 07/1986 07/1988 07/1989 07/1990 07/1992 07/1993 07/1994 07/1995 07/1996 07/1997 07/1998 07/1999 07/2000 07/2002 08/1975 08/1978 08/1979 08/1980 08/1981 08/1983 08/1984 08/1986 08/1987 08/1988 08/1990 08/1991 08/1993 08/1994 08/1995 08/1996 08/1997 08/1998 08/1999 08/2000 08/2001 09/1975 09/1979 09/1980 09/1982 09/1983 09/1985 09/1986 09/1988 09/1989 09/1992 09/1993 09/1995 09/1996 09/1998 09/1999 09/2001 09/2002 10/1976 10/1982 10/1983 10/1986 10/1987 10/1990 10/1991 10/1992 10/1993 10/1994 10/1995 10/1996 10/1998 10/1999 10/2000 10/2001 11/1978 11/1979 11/1980 11/1981 11/1984 11/1985 11/1986 11/1987 11/1988 11/1989 11/1991 11/1992 11/1993 11/1994 11/1995 11/1999 11/2000 12/1976 12/1977 12/1978 12/1982 12/1984 12/1985 12/1988 12/1991 12/1992 12/1994 12/1995 12/1996 12/1998 12/1999 sex sex sex sex sex What is the sex? This question is to be asked to women respondens of reproductive (18-49) yrs age. 340 1 2 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. 339 1 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. 272 68 5 34 15.478 6.769 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. 56 284 2 59 26.875 17.562 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. 3 337 1 51 19 27.785 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. 329 11 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. 1 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. 1 339 1 1 1 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. 340 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. 340 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. 2 338 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. 1 339 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. 1 339 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. 1 339 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. 1 339 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. 1 339 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. 1 339 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. 340 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. 1 339 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. 1 339 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. 1 339 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. 1 339 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? 1813 12100005 12101918 1 Accident 2 Suicide 3 Murder 4 War 5 Natural disaster 1813 1 2 3 4 5 6 7 8 9 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 sex sex sex sex sex Sex 1812 1 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 1813 01/1919 01/1920 01/1921 01/1922 01/1924 01/1926 01/1927 01/1928 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 01/1946 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 01/1962 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 01/1987 01/1991 01/1992 02/1920 02/1922 02/1924 02/1925 02/1926 02/1927 02/1928 02/1929 02/1930 02/1931 02/1932 02/1933 02/1934 02/1936 02/1937 02/1938 02/1939 02/1940 02/1941 02/1943 02/1945 02/1946 02/1947 02/1948 02/1949 02/1950 02/1951 02/1953 02/1955 02/1956 02/1957 02/1958 02/1959 02/1960 02/1961 02/1962 02/1963 02/1964 02/1966 02/1967 02/1968 02/1970 02/1971 02/1972 02/1973 02/1974 02/1975 02/1976 02/1977 02/1978 02/1979 02/1981 02/1982 02/1983 02/1984 02/1985 02/1989 03/1919 03/1922 03/1924 03/1925 03/1928 03/1929 03/1930 03/1931 03/1932 03/1934 03/1935 03/1936 03/1937 03/1939 03/1940 03/1941 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 03/1973 03/1974 03/1976 03/1977 03/1978 03/1979 03/1980 03/1981 03/1982 03/1983 03/1984 03/1985 03/1988 03/1989 03/1993 03/1995 04/1922 04/1923 04/1924 04/1925 04/1926 04/1927 04/1928 04/1929 04/1930 04/1932 04/1933 04/1934 04/1935 04/1937 04/1939 04/1940 04/1941 04/1942 04/1943 04/1944 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 04/1977 04/1978 04/1979 04/1980 04/1981 04/1983 04/1984 04/1985 04/1986 04/1987 04/2002 05/1918 05/1919 05/1920 05/1921 05/1922 05/1923 05/1924 05/1926 05/1927 05/1928 05/1929 05/1931 05/1932 05/1933 05/1934 05/1935 05/1937 05/1939 05/1940 05/1942 05/1943 05/1944 05/1945 05/1946 05/1947 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 05/1992 06/1904 06/1906 06/1908 06/1910 06/1912 06/1914 06/1918 06/1920 06/1921 06/1922 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 07/1913 07/1915 07/1916 07/1921 07/1923 07/1925 07/1926 07/1927 07/1928 07/1929 07/1931 07/1932 07/1933 07/1934 07/1935 07/1936 07/1937 07/1938 07/1940 07/1941 07/1942 07/1943 07/1944 07/1946 07/1947 07/1948 07/1949 07/1950 07/1952 07/1953 07/1954 07/1956 07/1957 07/1958 07/1959 07/1960 07/1961 07/1962 07/1963 07/1964 07/1965 07/1966 07/1967 07/1969 07/1970 07/1971 07/1972 07/1973 07/1974 07/1975 07/1976 07/1978 07/1979 07/1980 07/1981 07/1982 07/1984 07/1985 07/1987 07/1993 08/1914 08/1917 08/1922 08/1924 08/1927 08/1930 08/1933 08/1934 08/1935 08/1936 08/1938 08/1939 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 08/1955 08/1956 08/1957 08/1958 08/1960 08/1961 08/1962 08/1963 08/1964 08/1965 08/1966 08/1967 08/1968 08/1969 08/1971 08/1972 08/1973 08/1974 08/1975 08/1976 08/1977 08/1978 08/1979 08/1981 08/1983 08/1987 08/1988 08/1990 09/1909 09/1912 09/1914 09/1916 09/1921 09/1922 09/1923 09/1928 09/1929 09/1931 09/1932 09/1933 09/1937 09/1938 09/1939 09/1940 09/1941 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 09/1979 09/1980 09/1981 09/1982 09/1983 09/1984 09/1985 09/1986 09/1990 09/1995 1 Date of birth Sibling 1 10/1912 10/1918 10/1921 10/1922 10/1924 10/1925 10/1927 10/1928 10/1929 10/1933 10/1934 10/1935 10/1936 10/1937 10/1938 10/1939 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 10/1960 10/1961 10/1962 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 10/1981 10/1982 10/1985 10/1990 11/1910 11/1913 11/1918 11/1922 11/1924 11/1925 11/1926 11/1927 11/1928 11/1930 11/1931 11/1932 11/1933 11/1934 11/1935 11/1936 11/1938 11/1939 11/1941 11/1942 11/1943 11/1944 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 11/1963 11/1965 11/1966 11/1967 11/1968 11/1969 11/1970 11/1971 11/1972 11/1973 11/1974 11/1975 11/1976 11/1977 11/1978 11/1979 11/1980 11/1981 11/1982 11/1983 11/1984 11/1987 11/1989 12/1921 12/1924 12/1927 12/1929 12/1930 12/1931 12/1932 12/1933 12/1934 12/1935 12/1936 12/1937 12/1939 12/1940 12/1941 12/1942 12/1944 12/1945 12/1946 12/1947 12/1948 12/1949 12/1950 12/1951 12/1952 12/1953 12/1955 12/1956 12/1957 12/1958 12/1959 12/1960 12/1961 12/1962 12/1963 12/1964 12/1966 12/1968 12/1969 12/1970 12/1971 12/1973 12/1974 12/1975 12/1976 12/1977 12/1979 12/1980 12/1981 12/1982 12/1983 12/1985 12/1987 12/1989 12/1990 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]? 381 1432 -20 20 -0.063 4.622 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? 1219 594 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? 1060 753 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]? 923 890 1 86 43.954 16.342 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? 196 1617 84 43.265 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? 189 1624 80 22.524 21.146 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? 1106 707 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? 22 1791 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? 21 1792 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? 22 1791 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? 180 1633 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 23 1790 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? 23 1790 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? 23 1790 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 3 5 V PRACI ZAHRADA 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? 85 1728 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? 136 1677 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? 42 1771 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? 114 1699 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 ? 64 1749 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 ? 141 1672 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 ? 102 1711 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 ? 116 1697 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 ? 98 1715 1 Yes 5 No Sysmiss