XT. End-of-Life Interview
This module is answered by proxy collecting information about respondent who deceased between last wave and current wave. Information collected includes date of death, location of death, cause of death, final length of illness, medical care utilization before death, medical care costs, deceased's home, estate and who inherited them.
Start of XT. End-of-Life Interview
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XT006
Proxy respondent's sex
IWER:CODE PROXY RESPONDENT'S SEX.
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Male
2. Female
IWER:CODE PROXY RESPONDENT'S SEX.
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Male
2. Female
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XT002
Relationship to the deceased
BEFORE WE START ASKING QUESTIONS ABOUT THE LAST YEAR OF LIFE OF [{NAME OF DECEASED}], WOULD YOU PLEASE TELL ME WHAT WAS YOUR RELATIONSHIP TO THE DECEASED?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Husband or wife or partner
2. Son or Daughter
3. Son- or Daughter-in-law
4. Son or Daughter of husband, wife or partner
5. Grandchild
6. Sibling
7. Other relative (specify)
8. Other non-relative (specify)
BEFORE WE START ASKING QUESTIONS ABOUT THE LAST YEAR OF LIFE OF [{NAME OF DECEASED}], WOULD YOU PLEASE TELL ME WHAT WAS YOUR RELATIONSHIP TO THE DECEASED?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Husband or wife or partner
2. Son or Daughter
3. Son- or Daughter-in-law
4. Son or Daughter of husband, wife or partner
5. Grandchild
6. Sibling
7. Other relative (specify)
8. Other non-relative (specify)
If Relationship to the deceased (XT002) = 7 »
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XT003
XT003
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XT005
How often contact last twelve months
DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE, HOW OFTEN DID YOU HAVE CONTACT WITH [{NAME OF DECEASED}], EITHER PERSONALLY, BY PHONE, MAIL OR EMAIL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Daily
2. Several times a week
3. About once a week
4. About every two weeks
5. About once a month
6. Less than once a month
7. Never
DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE, HOW OFTEN DID YOU HAVE CONTACT WITH [{NAME OF DECEASED}], EITHER PERSONALLY, BY PHONE, MAIL OR EMAIL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Daily
2. Several times a week
3. About once a week
4. About every two weeks
5. About once a month
6. Less than once a month
7. Never
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XT007
Year of birth proxy
CAN YOU TELL ME YOUR YEAR OF BIRTH?
- - - - - - - - - - - - - - - - - - - - - - - - -
1900..1990
CAN YOU TELL ME YOUR YEAR OF BIRTH?
- - - - - - - - - - - - - - - - - - - - - - - - -
1900..1990
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XT101
Confirmation deceased year of birth
LET US NOW TALK ABOUT THE DECEASED. JUST TO MAKE SURE THAT WE HAVE THE CORRECT INFORMATION ABOUT [HIM/HER], CAN I JUST CONFIRM THAT [HE/SHE] WAS BORN IN [{MONTH OF BIRTH DECEASED} {YEAR OF BIRTH DECEASED }]?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
LET US NOW TALK ABOUT THE DECEASED. JUST TO MAKE SURE THAT WE HAVE THE CORRECT INFORMATION ABOUT [HIM/HER], CAN I JUST CONFIRM THAT [HE/SHE] WAS BORN IN [{MONTH OF BIRTH DECEASED} {YEAR OF BIRTH DECEASED }]?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
If Confirmation deceased year of birth (XT101) = 5 »
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XT102
Deceased month of birth
IN WHICH MONTH AND YEAR WAS [{NAME OF DECEASED}] BORN? MONTH: IWER:MONTH
- - - - - - - - - - - - - - - - - - - - - - - - -
1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September 10. October 11. November 12. December
IN WHICH MONTH AND YEAR WAS [{NAME OF DECEASED}] BORN? MONTH: IWER:MONTH
- - - - - - - - - - - - - - - - - - - - - - - - -
1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September 10. October 11. November 12. December
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XT008
Month of decease
WE WOULD LIKE TO KNOW MORE ABOUT THE CIRCUMSTANCES OF [{NAME OF THE DECEASED}]. IN WHAT MONTH AND YEAR DID [HE/SHE] PASS AWAY?MONTH: YEAR: IWER:MONTH
- - - - - - - - - - - - - - - - - - - - - - - - -
1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September 10. October 11. November 12. December
WE WOULD LIKE TO KNOW MORE ABOUT THE CIRCUMSTANCES OF [{NAME OF THE DECEASED}]. IN WHAT MONTH AND YEAR DID [HE/SHE] PASS AWAY?MONTH: YEAR: IWER:MONTH
- - - - - - - - - - - - - - - - - - - - - - - - -
1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September 10. October 11. November 12. December
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XT009
Year of decease
IN WHAT MONTH AND YEAR DID [HE/SHE] PASS AWAY?MONTH: [{MONTH OF DEATH}] YEAR: IWER:YEAR
- - - - - - - - - - - - - - - - - - - - - - - - -
1. 2004
2. 2005
3. 2006
4. 2007
5. 2008
6. 2009
IN WHAT MONTH AND YEAR DID [HE/SHE] PASS AWAY?MONTH: [{MONTH OF DEATH}] YEAR: IWER:YEAR
- - - - - - - - - - - - - - - - - - - - - - - - -
1. 2004
2. 2005
3. 2006
4. 2007
5. 2008
6. 2009
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XT010
Age at the moment of decease
HOW OLD WAS [{NAME OF DECEASED}] WHEN [HE/SHE] PASSED AWAY? IWER:AGE IN YEARS
- - - - - - - - - - - - - - - - - - - - - - - - -
20..120
HOW OLD WAS [{NAME OF DECEASED}] WHEN [HE/SHE] PASSED AWAY? IWER:AGE IN YEARS
- - - - - - - - - - - - - - - - - - - - - - - - -
20..120
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XT109
Deceased married at time of death
WAS [{NAME OF THE DECEASED}] MARRIED AT THE TIME OF [HIS/HER] DEATH?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
WAS [{NAME OF THE DECEASED}] MARRIED AT THE TIME OF [HIS/HER] DEATH?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
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XT039
Number of children the deceased had at the end
HOW MANY CHILDREN DID [{NAME OF DECEASED}] HAVE THAT WERE STILL ALIVE AT THE TIME OF [HIS/HER] DEATH? PLEASE INCLUDE ADOPTED CHILDREN.
HOW MANY CHILDREN DID [{NAME OF DECEASED}] HAVE THAT WERE STILL ALIVE AT THE TIME OF [HIS/HER] DEATH? PLEASE INCLUDE ADOPTED CHILDREN.
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XT011
The main cause of death
WHAT WAS THE MAIN CAUSE OF [HIS/HER] DEATH? IWER:READ OUT IF NECESSARY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Cancer
2. A heart attack
3. A stroke
4. Other cardiovascular related illness such as heart failure, arrhythmia
5. Respiratory disease
6. Disease of the digestive system such as gastrointestinal ulcer, inflammatory bowel disease
7. Severe infectious disease such as pneumonia, septicemia or flu
8. Accident 97. Other (Please specify)
WHAT WAS THE MAIN CAUSE OF [HIS/HER] DEATH? IWER:READ OUT IF NECESSARY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Cancer
2. A heart attack
3. A stroke
4. Other cardiovascular related illness such as heart failure, arrhythmia
5. Respiratory disease
6. Disease of the digestive system such as gastrointestinal ulcer, inflammatory bowel disease
7. Severe infectious disease such as pneumonia, septicemia or flu
8. Accident 97. Other (Please specify)
If The main cause of death (XT011) != 8 »
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XT013
How long been ill before decease
HOW LONG HAD [{NAME OF DECEASED}] BEEN ILL BEFORE [HE/SHE] DIED? IWER:READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Less than one month
2. One month or more but less than 6 months
3. 6 months or more but less than a year
4. One year or more
HOW LONG HAD [{NAME OF DECEASED}] BEEN ILL BEFORE [HE/SHE] DIED? IWER:READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Less than one month
2. One month or more but less than 6 months
3. 6 months or more but less than a year
4. One year or more
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XT014
Place of dying
DID [HE/SHE] DIE ... IWER:READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. at [his/her] own home
2. at another person's home
3. in a hospital
4. in a nursing home
5. in a residential home or sheltered housing
6. in a hospice 97. at some other place (Please specify)
DID [HE/SHE] DIE ... IWER:READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. at [his/her] own home
2. at another person's home
3. in a hospital
4. in a nursing home
5. in a residential home or sheltered housing
6. in a hospice 97. at some other place (Please specify)
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XT015
Times in hospital last year before dying
IN THE LAST YEAR BEFORE [HE/SHE] DIED, ON HOW MANY DIFFERENT OCCASIONS DID [{NAME OF DECEASED}] STAY IN A HOSPITAL, HOSPICE OR NURSING HOME? IWER:DO NOT READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Not at all
2. 1 to 2 times
3. 3 to 5 times
4. More than 5 times
IN THE LAST YEAR BEFORE [HE/SHE] DIED, ON HOW MANY DIFFERENT OCCASIONS DID [{NAME OF DECEASED}] STAY IN A HOSPITAL, HOSPICE OR NURSING HOME? IWER:DO NOT READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Not at all
2. 1 to 2 times
3. 3 to 5 times
4. More than 5 times
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If Times in hospital last year before dying (XT015) > 1. Not at all
2. 1 to 2 times
3. 3 to 5 times
4. More than 5 times »
2. 1 to 2 times
3. 3 to 5 times
4. More than 5 times »
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XT016
Total time in hospital last year before dying
DURING THE LAST YEAR OF [HIS/HER] LIFE, FOR HOW LONG ALTOGETHER DID [{NAME OF DECEASED}] STAY AT HOSPITALS, HOSPICES OR NURSING HOMES? IWER:DO NOT READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Less than one week
2. One week or more but less than one month
3. One month or more but less than 3 months
4. 3 months or more but less than 6 months
5. 6 months or more but less than a year
6. A full year
DURING THE LAST YEAR OF [HIS/HER] LIFE, FOR HOW LONG ALTOGETHER DID [{NAME OF DECEASED}] STAY AT HOSPITALS, HOSPICES OR NURSING HOMES? IWER:DO NOT READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Less than one week
2. One week or more but less than one month
3. One month or more but less than 3 months
4. 3 months or more but less than 6 months
5. 6 months or more but less than a year
6. A full year
As CNT:= 1 to 8 » »
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If CNT < 3 or CNT > 5 or Times in hospital last year before dying (XT015) != 1. Not at all
2. 1 to 2 times
3. 3 to 5 times
4. More than 5 times »
2. 1 to 2 times
3. 3 to 5 times
4. More than 5 times »
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XT018
Had type of medical care in the last twelve months
HAS [{NAME OF DECEASED}] HAD ANY [CARE FROM A GENERAL PRACTITIONER/CARE FROM SPECIALIST PHYSICIANS/HOSPITAL STAYS/CARE IN A NURSING HOME/HOSPICE STAYS/MEDICATION/AIDS AND APPLIANCES/HOME CARE OR HOME HELP DUE TO DISABILITY] (IN THE LAST 12 MONTHS OF [HIS/HER] LIFE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
HAS [{NAME OF DECEASED}] HAD ANY [CARE FROM A GENERAL PRACTITIONER/CARE FROM SPECIALIST PHYSICIANS/HOSPITAL STAYS/CARE IN A NURSING HOME/HOSPICE STAYS/MEDICATION/AIDS AND APPLIANCES/HOME CARE OR HOME HELP DUE TO DISABILITY] (IN THE LAST 12 MONTHS OF [HIS/HER] LIFE)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
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If Had type of medical care in the last twelve months (XT018) = 1. Yes
5. No »
5. No »
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XT019
Costs of type of medical care in the last twelve months
ABOUT HOW MUCH DID [HIS/HER] [CARE FROM A GENERAL PRACTITIONER/CARE FROM SPECIALIST PHYSICIANS/HOSPITAL STAYS/CARE IN A NURSING HOME/HOSPICE STAYS/MEDICATION/AIDS AND APPLIANCES/HOME CARE OR HOME HELP DUE TO DISABILITY] COST (IN THE LAST 12 MONTHS OF [HIS/HER] LIFE)? IWER:IF A TYPE OF CARE WAS RECEIVED AND ALL COSTS WERE PAID OR REIMBURSED BY THE HEALTH INSURANCE, FILL IN "0" AS AMOUNT INCURRED; ENTER AMOUNT IN [POUNDS]
- - - - - - - - - - - - - - - - - - - - - - - - -
0..980000
ABOUT HOW MUCH DID [HIS/HER] [CARE FROM A GENERAL PRACTITIONER/CARE FROM SPECIALIST PHYSICIANS/HOSPITAL STAYS/CARE IN A NURSING HOME/HOSPICE STAYS/MEDICATION/AIDS AND APPLIANCES/HOME CARE OR HOME HELP DUE TO DISABILITY] COST (IN THE LAST 12 MONTHS OF [HIS/HER] LIFE)? IWER:IF A TYPE OF CARE WAS RECEIVED AND ALL COSTS WERE PAID OR REIMBURSED BY THE HEALTH INSURANCE, FILL IN "0" AS AMOUNT INCURRED; ENTER AMOUNT IN [POUNDS]
- - - - - - - - - - - - - - - - - - - - - - - - -
0..980000
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XT105
Difficulties remembering where
WE WOULD LIKE TO KNOW MORE ABOUT THE DIFFICULTIES PEOPLE HAVE IN THEIR LAST YEAR OF LIFE BECAUSE OF A PHYSICAL, MENTAL, EMOTIONAL OR MEMORY PROBLEMS. DURING THE LAST YEAR OF [HIS/HER] LIFE, DID [{NAME OF THE DECEASED}] HAVE ANY DIFFICULTY REMEMBERING WHERE [HE/SHE] WAS? PLEASE NAME ONLY DIFFICULTIES THAT LASTED AT LEAST THREE MONTHS.
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
WE WOULD LIKE TO KNOW MORE ABOUT THE DIFFICULTIES PEOPLE HAVE IN THEIR LAST YEAR OF LIFE BECAUSE OF A PHYSICAL, MENTAL, EMOTIONAL OR MEMORY PROBLEMS. DURING THE LAST YEAR OF [HIS/HER] LIFE, DID [{NAME OF THE DECEASED}] HAVE ANY DIFFICULTY REMEMBERING WHERE [HE/SHE] WAS? PLEASE NAME ONLY DIFFICULTIES THAT LASTED AT LEAST THREE MONTHS.
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
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XT106
Difficulties remembering the year
DURING THE LAST YEAR OF [HIS/HER] LIFE, DID [{NAME OF THE DECEASED}] HAVE ANY DIFFICULTY REMEMBERINGWHAT YEAR IT WAS? PLEASE NAME ONLY DIFFICULTIES THAT LASTED AT LEAST THREE MONTHS.
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
DURING THE LAST YEAR OF [HIS/HER] LIFE, DID [{NAME OF THE DECEASED}] HAVE ANY DIFFICULTY REMEMBERINGWHAT YEAR IT WAS? PLEASE NAME ONLY DIFFICULTIES THAT LASTED AT LEAST THREE MONTHS.
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
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XT107
Difficulties recognizing
DURING THE LAST YEAR OF [HIS/HER] LIFE, DID [{NAME OF THE DECEASED}] HAVE ANY DIFFICULTY RECOGNIZINGFAMILY MEMBERS OR GOOD FRIENDS? PLEASE NAME ONLY DIFFICULTIES THAT LASTED AT LEAST THREE MONTHS.
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
DURING THE LAST YEAR OF [HIS/HER] LIFE, DID [{NAME OF THE DECEASED}] HAVE ANY DIFFICULTY RECOGNIZINGFAMILY MEMBERS OR GOOD FRIENDS? PLEASE NAME ONLY DIFFICULTIES THAT LASTED AT LEAST THREE MONTHS.
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
If Introduction difficulties doing activities (XT020) > 0 and Introduction difficulties doing activities (XT020) != 96 »
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XT022
Anyone helped with adl
THINKING ABOUT THE ACTIVITIES THAT THE DECEASED HAD PROBLEMS WITH DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE, HAS ANYONE HELPED REGULARLY WITH THESE ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
THINKING ABOUT THE ACTIVITIES THAT THE DECEASED HAD PROBLEMS WITH DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE, HAS ANYONE HELPED REGULARLY WITH THESE ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
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If Anyone helped with adl (XT022) = 1. Yes
5. No »
5. No »
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XT023
Who has helped with adl
WHO, INCLUDING YOURSELF, HAS HELPED MAINLY WITH THESE ACTIVITIES? PLEASE NAME AT MOST THREE PERSONS. IWER:DO NOT READ OUTAT MOST THREE ANSWERS!CODE RELATIONSHIP TO DECEASED!
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yourself (proxy respondent)
2. Husband or wife or partner of the deceased
3. Mother or father of the deceased
4. Son of the deceased
5. Son-in-law of the deceased
6. Daughter of the deceased
7. Daughter-in-law of the deceased
8. Grandson of the deceased
9. Granddaughter of the deceased 10. Sister of the deceased 11. Brother of the deceased 12. Other relative 13. Unpaid volunteer 14. Professional helper (e.g. nurse) 15. Friend or neighbor of the deceased 16. Other person
WHO, INCLUDING YOURSELF, HAS HELPED MAINLY WITH THESE ACTIVITIES? PLEASE NAME AT MOST THREE PERSONS. IWER:DO NOT READ OUTAT MOST THREE ANSWERS!CODE RELATIONSHIP TO DECEASED!
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yourself (proxy respondent)
2. Husband or wife or partner of the deceased
3. Mother or father of the deceased
4. Son of the deceased
5. Son-in-law of the deceased
6. Daughter of the deceased
7. Daughter-in-law of the deceased
8. Grandson of the deceased
9. Granddaughter of the deceased 10. Sister of the deceased 11. Brother of the deceased 12. Other relative 13. Unpaid volunteer 14. Professional helper (e.g. nurse) 15. Friend or neighbor of the deceased 16. Other person
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XT024
Time the deceased received help
OVERALL, DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE, FOR HOW LONG DID THE DECEASED RECEIVE HELP? IWER:READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Less than one month
2. One month or more but less than 3 months
3. 3 months or more but less than 6 months
4. 6 months or more but less than a year
5. A full year
OVERALL, DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE, FOR HOW LONG DID THE DECEASED RECEIVE HELP? IWER:READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Less than one month
2. One month or more but less than 3 months
3. 3 months or more but less than 6 months
4. 6 months or more but less than a year
5. A full year
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XT025
Hours of help necessary during typical day
AND ABOUT HOW MANY HOURS OF HELP WERE NECESSARY DURING A TYPICAL DAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
0..24
AND ABOUT HOW MANY HOURS OF HELP WERE NECESSARY DURING A TYPICAL DAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
0..24
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XT026B
The deceased had a will
SOME PEOPLE MAKE A WILL TO DETERMINE WHO RECEIVES WHAT PARTS OF THE ESTATE.DID [{NAME OF THE DECEASED}] HAVE A WILL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
SOME PEOPLE MAKE A WILL TO DETERMINE WHO RECEIVES WHAT PARTS OF THE ESTATE.DID [{NAME OF THE DECEASED}] HAVE A WILL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
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XT027
The beneficiaries of the estate
WHO WERE THE BENEFICIARIES OF THE ESTATE, INCLUDING YOURSELF? IWER:READ OUTCODE ALL THAT APPLY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yourself (proxy)
2. Husband or wife or partner of the deceased
3. Children of the deceased
4. Grandchildren of the deceased
5. Siblings of the deceased
6. Other relatives (specify) of the deceased
7. Other non-relatives (specify)
8. Church, foundation or charitable organization
9. Deceased did not leave anything at all (SPONTANEOUS)
WHO WERE THE BENEFICIARIES OF THE ESTATE, INCLUDING YOURSELF? IWER:READ OUTCODE ALL THAT APPLY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yourself (proxy)
2. Husband or wife or partner of the deceased
3. Children of the deceased
4. Grandchildren of the deceased
5. Siblings of the deceased
6. Other relatives (specify) of the deceased
7. Other non-relatives (specify)
8. Church, foundation or charitable organization
9. Deceased did not leave anything at all (SPONTANEOUS)
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XT030
The deceased owned home
DID THE DECEASED OWN [HIS/HER] HOME OR APARTMENT - EITHER IN TOTAL OR A SHARE OF IT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
DID THE DECEASED OWN [HIS/HER] HOME OR APARTMENT - EITHER IN TOTAL OR A SHARE OF IT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
If The deceased owned home (XT030) = 1. Yes
5. No »
5. No »
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XT031
Value home after mortgages
AFTER ANY OUTSTANDING MORTGAGES, WHAT WAS THE VALUE OF THE HOME OR APARTMENT OR THE SHARE OF IT OWNED BY THE DECEASED? IWER:ENTER AN AMOUNT IN [POUNDS].
- - - - - - - - - - - - - - - - - - - - - - - - -
-50000000..50000000
AFTER ANY OUTSTANDING MORTGAGES, WHAT WAS THE VALUE OF THE HOME OR APARTMENT OR THE SHARE OF IT OWNED BY THE DECEASED? IWER:ENTER AN AMOUNT IN [POUNDS].
- - - - - - - - - - - - - - - - - - - - - - - - -
-50000000..50000000
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XT032
Who inherited the home of the deceased
WHO INHERITED THE DECEASED'S HOME OR APARTMENT, INCLUDING YOURSELF? IWER:CODE RELATIONSHIP TO DECEASED, ALL THAT APPLY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yourself (proxy respondent)
2. Husband or wife or partner
3. Sons or daughters (ASK FOR FIRST NAMES)
4. Grandchildren
5. Siblings
6. Other relatives (specify)
7. Other non-relatives (specify)
WHO INHERITED THE DECEASED'S HOME OR APARTMENT, INCLUDING YOURSELF? IWER:CODE RELATIONSHIP TO DECEASED, ALL THAT APPLY
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yourself (proxy respondent)
2. Husband or wife or partner
3. Sons or daughters (ASK FOR FIRST NAMES)
4. Grandchildren
5. Siblings
6. Other relatives (specify)
7. Other non-relatives (specify)
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XT033
The deceased owned any life insurance policies
DID THE DECEASED OWN ANY LIFE INSURANCE POLICIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
DID THE DECEASED OWN ANY LIFE INSURANCE POLICIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
If The deceased owned any life insurance policies (XT033) = 1. Yes
5. No »
5. No »
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XT034
Value of all life insurance policies
IN TOTAL, ABOUT WHAT WAS THE VALUE OF ALL LIFE INSURANCE POLICIES OWNED BY THE DECEASED? IWER:ENTER AN AMOUNT IN [POUNDS]
- - - - - - - - - - - - - - - - - - - - - - - - -
0..50000000
IN TOTAL, ABOUT WHAT WAS THE VALUE OF ALL LIFE INSURANCE POLICIES OWNED BY THE DECEASED? IWER:ENTER AN AMOUNT IN [POUNDS]
- - - - - - - - - - - - - - - - - - - - - - - - -
0..50000000
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XT035
Beneficiaries of the life insurance policies
WHO WERE THE BENEFICIARIES OF THE LIFE INSURANCE POLICES, INCLUDING YOURSELF. IWER:CODE RELATIONSHIP TO DECEASED, ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yourself (proxy respondent)
2. Husband or wife or partner
3. Sons or daughters (ASK FOR FIRST NAMES)
4. Grandchildren
5. Siblings
6. Other relatives (specify)
7. Other non-relatives (specify)
WHO WERE THE BENEFICIARIES OF THE LIFE INSURANCE POLICES, INCLUDING YOURSELF. IWER:CODE RELATIONSHIP TO DECEASED, ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yourself (proxy respondent)
2. Husband or wife or partner
3. Sons or daughters (ASK FOR FIRST NAMES)
4. Grandchildren
5. Siblings
6. Other relatives (specify)
7. Other non-relatives (specify)
As CNT:= 1 to 5 » »
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XT037
The deceased owned type of assets
DID [HE/SHE] OWN ANY [BUSINESSES, INCLUDING LAND OR PREMISES/OTHER REAL ESTATE/CARS/FINANCIAL ASSETS, E.G. CASH, MONEY OR STOCKS/JEWELRY OR ANTIQUITIES]?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
DID [HE/SHE] OWN ANY [BUSINESSES, INCLUDING LAND OR PREMISES/OTHER REAL ESTATE/CARS/FINANCIAL ASSETS, E.G. CASH, MONEY OR STOCKS/JEWELRY OR ANTIQUITIES]?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
|
If The deceased owned type of assets (XT037) = 1. Yes
5. No »
5. No »
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XT038
Value type of assets
ABOUT WHAT WAS THE VALUE OF THE [BUSINESSES, INCLUDING LAND OR PREMISES/OTHER REAL ESTATE/CARS/FINANCIAL ASSETS, E.G. CASH, MONEY OR STOCKS/JEWELRY OR ANTIQUITIES] OWNED BY [{NAME OF DECEASED}] AT THE TIME OF [HIS/HER] DEATH? IWER:ENTER AN AMOUNT IN [POUNDS]
- - - - - - - - - - - - - - - - - - - - - - - - -
-50000000..50000000
ABOUT WHAT WAS THE VALUE OF THE [BUSINESSES, INCLUDING LAND OR PREMISES/OTHER REAL ESTATE/CARS/FINANCIAL ASSETS, E.G. CASH, MONEY OR STOCKS/JEWELRY OR ANTIQUITIES] OWNED BY [{NAME OF DECEASED}] AT THE TIME OF [HIS/HER] DEATH? IWER:ENTER AN AMOUNT IN [POUNDS]
- - - - - - - - - - - - - - - - - - - - - - - - -
-50000000..50000000
If Number of children the deceased had at the end (XT039) > 1 and The beneficiaries of the estate (XT027) != 9 »
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XT040A
Total estate divided among the children
HOW WOULD YOU SAY WAS THE TOTAL ESTATE DIVIDED AMONG THE DECEASED'S CHILDREN? IWER:PLEASE READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Some children received more than others
2. The estate was divided about equally among all children
3. The estate was distributed exactly [m]equally[/m] among the children
4. The children have not received anything received more than others
HOW WOULD YOU SAY WAS THE TOTAL ESTATE DIVIDED AMONG THE DECEASED'S CHILDREN? IWER:PLEASE READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Some children received more than others
2. The estate was divided about equally among all children
3. The estate was distributed exactly [m]equally[/m] among the children
4. The children have not received anything received more than others
|
If Total estate divided among the children (XT040A) = 1. Some children received more than others
2. The estate was divided about equally among all children
3. The estate was distributed exactly [m]equally[/m] among the children
4. The children have not received anything received more than others »
2. The estate was divided about equally among all children
3. The estate was distributed exactly [m]equally[/m] among the children
4. The children have not received anything received more than others »
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XT040B
Some children received more for caring
WOULD YOU SAY THAT SOME CHILDREN RECEIVED MORE THAN OTHERS TO MAKE UP FOR PREVIOUS GIFTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
WOULD YOU SAY THAT SOME CHILDREN RECEIVED MORE THAN OTHERS TO MAKE UP FOR PREVIOUS GIFTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
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XT040C
Some children received more to give them financial
SUPPORT WOULD YOU SAY THAT SOME CHILDREN RECEIVED MORE THAN OTHERS TO GIVE THEM FINANCIAL SUPPORT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
SUPPORT WOULD YOU SAY THAT SOME CHILDREN RECEIVED MORE THAN OTHERS TO GIVE THEM FINANCIAL SUPPORT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
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XT040D
Some children received more for caring
WOULD YOU SAY THAT SOME CHILDREN RECEIVED MORE THAN OTHERS BECAUSE THEY HELPED OR CARED FOR THE DECEASED TOWARDS THE END OF [HIS/HER] LIFE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
WOULD YOU SAY THAT SOME CHILDREN RECEIVED MORE THAN OTHERS BECAUSE THEY HELPED OR CARED FOR THE DECEASED TOWARDS THE END OF [HIS/HER] LIFE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
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XT040E
Some children received more for other reasons
WOULD YOU SAY THAT SOME CHILDREN RECEIVED MORE THAN OTHERS BECAUSE OF OTHER REASONS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
WOULD YOU SAY THAT SOME CHILDREN RECEIVED MORE THAN OTHERS BECAUSE OF OTHER REASONS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
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XT041
The funeral was accompanied by a religious ceremony
FINALLY, WE WOULD LIKE TO KNOW ABOUT THE DECEASED'S FUNERAL. WAS THE FUNERAL ACCOMPANIED BY A RELIGIOUS CEREMONY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
FINALLY, WE WOULD LIKE TO KNOW ABOUT THE DECEASED'S FUNERAL. WAS THE FUNERAL ACCOMPANIED BY A RELIGIOUS CEREMONY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
5. No
End of XT. End-of-Life Interview