FQ. Final Questions
FQ. Final Questions module of ELSA 2008
FQNR
Start of FQ. Final Questions
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FQNR
If PWAVE.FQETHN !was answered »
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FQETHN
ethnic group
@/SHOW CARD J1 @/@/CAN I CHECK, TO WHICH OF THE GROUPS ON THIS CARD DO YOUCONSIDER THAT you BELONG? @/@/INTERVIEWER: CODE ONE ONLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 White
2 Mixed ethnic group
3 Black
4 Black British
5 Asian
6 Asian British
95 Any other group
@/SHOW CARD J1 @/@/CAN I CHECK, TO WHICH OF THE GROUPS ON THIS CARD DO YOUCONSIDER THAT you BELONG? @/@/INTERVIEWER: CODE ONE ONLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 White
2 Mixed ethnic group
3 Black
4 Black British
5 Asian
6 Asian British
95 Any other group
If ethnic group (FQETHN) = 1 White »
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If PWAVE.FQWCULT !was answered »
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FQWCULT
white cultural background
@/WHAT IS your/name CULTURAL BACKGROUND? IS IT...
@/@/INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 ... English?
2 ... Irish?
3 ... Scottish?
4 ... Welsh?
5 ... Other European?
95 ... Any other cultural background? (specify)
@/WHAT IS your/name CULTURAL BACKGROUND? IS IT...
@/@/INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 ... English?
2 ... Irish?
3 ... Scottish?
4 ... Welsh?
5 ... Other European?
95 ... Any other cultural background? (specify)
ElseIf ethnic group (FQETHN) = 2 Mixed ethnic group »
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If PWAVE.FQBCG !was answered »
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FQBCG
mixed ethnic cultural background
@/WHAT IS your/name CULTURAL BACKGROUND? IS IT...
@/@/INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 ... White British and Black Caribbean?
2 ... White British and Black African?
3 ... White British and Asian?
95 ... any other cultural background?(specify)
@/WHAT IS your/name CULTURAL BACKGROUND? IS IT...
@/@/INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 ... White British and Black Caribbean?
2 ... White British and Black African?
3 ... White British and Asian?
95 ... any other cultural background?(specify)
ElseIf FQETHN IN [3, 4] »
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If PWAVE.FQBACK !was answered »
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FQBACK
black cultural background
@/WHAT IS your/name CULTURAL BACKGROUND? IS IT...
@/@/INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 ... Caribbean?
2 ... African?
95 ... any other cultural background? (specify)
@/WHAT IS your/name CULTURAL BACKGROUND? IS IT...
@/@/INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 ... Caribbean?
2 ... African?
95 ... any other cultural background? (specify)
ElseIf FQETHN IN [5, 6] »
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If PWAVE.FQCBAC !was answered »
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FQCBAC
asian cultural background
@/WHAT IS your/name CULTURAL BACKGROUND? IS IT...
@/@/INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 ... African-Indian?
2 ... Indian?
3 ... Pakistani?
4 ... Bangladeshi?
95 ... any other cultural background? (specify)
@/WHAT IS your/name CULTURAL BACKGROUND? IS IT...
@/@/INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 ... African-Indian?
2 ... Indian?
3 ... Pakistani?
4 ... Bangladeshi?
95 ... any other cultural background? (specify)
ElseIf ethnic group (FQETHN) = 95 Any other group »
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If PWAVE.FQCULB !was answered »
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FQCULB
other cultural background
@/WHAT IS your/name CULTURAL BACKGROUND? IS IT...
@/@/INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 ... Chinese?
2 ... Japanese?
3 ... Philippino?
4 ... Vietnamese?
95 ... any other cultural background? (specify)
@/WHAT IS your/name CULTURAL BACKGROUND? IS IT...
@/@/INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 ... Chinese?
2 ... Japanese?
3 ... Philippino?
4 ... Vietnamese?
95 ... any other cultural background? (specify)
If white cultural background (FQWCULT) = 95 ... Any other cultural background? (specify) or mixed ethnic cultural background (FQBCG) = 95 ... any other cultural background?(specify) or black cultural background (FQBACK) = 95 ... any other cultural background? (specify) or asian cultural background (FQCBAC) = 95 ... any other cultural background? (specify) or other cultural background (FQCULB) = 95 ... any other cultural background? (specify) »
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If PWAVE.FQCULB !was answered »
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If other cultural background (FQCULTO) was answered and EDITOR MODE (EDITQRE) = 1 »
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FQCUL
cultural background
EDITOR: CODEFRAME 55
@/WHAT IS your/name CULTURAL BACKGROUND? : other cultural background
@/IS IT ... READ OUT EACH IN TURN AND CODE ALL THAT APPLY ...
- - - - - - - - - - - - - - - - - - - - - - - - -
1 British
2 Irish
3 English
4 Scottish
5 Welsh
6 Cornish
7 Cypriot (part not stated)
8 Greek
9 Greek Cypriot
10 Turkish
11 Turkish Cypriot
12 Italian
13 Irish Traveller
14 Traveller/Gypsy/Romany
15 Polish
16 All republics which made up the former USSR
17 Kosovan
18 Albanian
19 Bosnian
20 Croatian
21 Serbian
22 Other republics which made up the former Yugoslavia
23 Other white European
24 South American
25 Mixed white
26 Other white, white unspecified
27 White and Black Caribbean
28 White and Black African
29 White and Asian
30 Black and Asian
31 Black and Chinese
32 Black and White
33 Chinese and White
34 Asian and Chinese
35 Other mixed, mixed unspecified
36 Indian or British Indian
37 Pakistani or British Pakistani
38 Bangladeshi or British Bangladeshi
39 Mixed Asian
40 Punjabi
41 Kashmiri
42 East African Asian
43 Sri Lankan
44 Tamil
45 Sinhalese
46 British Asian
47 Other Asian, Asian unspecified
48 Caribbean
49 African
50 Somali
51 Mixed Black
52 Nigerian
53 Black British
54 Other black, black unspecified
55 Chinese
56 Africa - colour not defined
57 Middle East
58 Vietnamese
59 Japanese
60 Filipino
61 Any other group
62 Buddhist
63 Hindu
64 Jewish
65 Muslim
66 Sikh
67 Arab
68 Kurdish
85 Other answer - not codeable 01 to 68
86 Irrelevant response - not codeable 01 to 68
EDITOR: CODEFRAME 55
@/WHAT IS your/name CULTURAL BACKGROUND? : other cultural background
@/IS IT ... READ OUT EACH IN TURN AND CODE ALL THAT APPLY ...
- - - - - - - - - - - - - - - - - - - - - - - - -
1 British
2 Irish
3 English
4 Scottish
5 Welsh
6 Cornish
7 Cypriot (part not stated)
8 Greek
9 Greek Cypriot
10 Turkish
11 Turkish Cypriot
12 Italian
13 Irish Traveller
14 Traveller/Gypsy/Romany
15 Polish
16 All republics which made up the former USSR
17 Kosovan
18 Albanian
19 Bosnian
20 Croatian
21 Serbian
22 Other republics which made up the former Yugoslavia
23 Other white European
24 South American
25 Mixed white
26 Other white, white unspecified
27 White and Black Caribbean
28 White and Black African
29 White and Asian
30 Black and Asian
31 Black and Chinese
32 Black and White
33 Chinese and White
34 Asian and Chinese
35 Other mixed, mixed unspecified
36 Indian or British Indian
37 Pakistani or British Pakistani
38 Bangladeshi or British Bangladeshi
39 Mixed Asian
40 Punjabi
41 Kashmiri
42 East African Asian
43 Sri Lankan
44 Tamil
45 Sinhalese
46 British Asian
47 Other Asian, Asian unspecified
48 Caribbean
49 African
50 Somali
51 Mixed Black
52 Nigerian
53 Black British
54 Other black, black unspecified
55 Chinese
56 Africa - colour not defined
57 Middle East
58 Vietnamese
59 Japanese
60 Filipino
61 Any other group
62 Buddhist
63 Hindu
64 Jewish
65 Muslim
66 Sikh
67 Arab
68 Kurdish
85 Other answer - not codeable 01 to 68
86 Irrelevant response - not codeable 01 to 68
If PWAVE.FQCBTH !was answered »
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FQCBTH
country of birth
@/IN WHICH COUNTRY were you BORN?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 England
2 Scotland
3 Wales
4 Northern Ireland
5 Republic of Ireland
6 Elsewhere outside of UK
@/IN WHICH COUNTRY were you BORN?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 England
2 Scotland
3 Wales
4 Northern Ireland
5 Republic of Ireland
6 Elsewhere outside of UK
If country of birth (FQCBTH) was answered and country of birth (FQCBTH) != 1 England and PWAVE.FQCENG !was answered »
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FQCENG
Year of arrival in England
IN WHAT YEAR DID you COME TO LIVE IN ENGLAND? INTERVIEWER: WRITE IN YEAR.
IN WHAT YEAR DID you COME TO LIVE IN ENGLAND? INTERVIEWER: WRITE IN YEAR.
If PWAVE.FQQUALD was answered »
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FQMQUA
Whether obtained further qualifications since last interview
SINCE THE LAST TIME THAT WE INTERVIEWED you in MONTH YEAR , Have you OBTAINED ANY further QUALIFICATIONS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
SINCE THE LAST TIME THAT WE INTERVIEWED you in MONTH YEAR , Have you OBTAINED ANY further QUALIFICATIONS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
Else
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FQAQUA
Whether has certain qualifications
SHOW CARD AZDO YOU HAVE ANY OF THE QUALIFICATIONS LISTED ON THIS CARD? PLEASE LOOK DOWN THE WHOLE LIST BEFORE TELLING ME.
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
SHOW CARD AZDO YOU HAVE ANY OF THE QUALIFICATIONS LISTED ON THIS CARD? PLEASE LOOK DOWN THE WHOLE LIST BEFORE TELLING ME.
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
If Whether obtained further qualifications since last interview (FQMQUA) = 1 Yes or Whether has certain qualifications (FQAQUA) = 1. Yes »
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FQQUAL
Which of certain qualification R has
SHOW CARD AZWHICH OF THE QUALIFICATIONS ON THIS CARD Do/Does you/NAME have ? JUST TELL ME THE NUMBER WRITTEN BESIDE EACH ONE. INTERVIEWER:RECORD ALL THAT APPLY. PROBE - 'ANY OTHERS?'
- - - - - - - - - - - - - - - - - - - - - - - - -
0. Not mentioned
1. Mentioned
SHOW CARD AZWHICH OF THE QUALIFICATIONS ON THIS CARD Do/Does you/NAME have ? JUST TELL ME THE NUMBER WRITTEN BESIDE EACH ONE. INTERVIEWER:RECORD ALL THAT APPLY. PROBE - 'ANY OTHERS?'
- - - - - - - - - - - - - - - - - - - - - - - - -
0. Not mentioned
1. Mentioned
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If EDITOR MODE (EDITQRE) = 1 and Which of certain qualification R has (FQQUAL) = 95 »
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FQQUAZ
qualification type
EDITOR : BACK CODE HERE - CODE FRAME 56
@/WHICH OF THE QUALIFICATIONS ON THIS CARD Do/Does you/NAME have? JUST TELL ME THE
NUMBER WRITTEN BESIDE EACH ONE.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 @MDegree/degree level qualification (including higher degree)
2 @MTeaching qualification
3 @MNursing qualifications SRN, SCM, SEN, RGN, RM, RHV, Midwife
4 @MHNC/HND, BEC/TEC Higher, BTEC Higher/SCOTECH Higher
5 @MONC/OND/BEC/TEC/BTEC not higher
6 @MCity and Guilds Full Technological Certificate
7 @MCity and Guilds Advanced/Final Level
8 @MCity and Guilds Craft/Ordinary Level
9 @MA-levels/Higher School Certificate
10 @MAS level
11 @MSLC/SCE/SUPE at Higher Grade or Certificate of Sixth Year Studies
12 @MO-level passes taken in 1975 or earlier
13 @MO-level passes taken after 1975 GRADES A-C
14 @MO-level passes taken after 1975 GRADES D-E
15 @MGCSE GRADES A-C
16 @MGCSE GRADES D-G
17 @MCSE GRADE 1/SCE BANDS A-C/Standard Grade LEVEL 1-3
18 @MCSE GRADES 2-5/SCE Ordinary BANDS D-E
19 @MCSE Ungraded
20 @MSLC Lower
21 @MSUPE Lower or Ordinary
22 @MSchool Certificate or Matric
23 @MNVQ Level 5
24 @MNVQ Level 4
25 @MNVQ Level 3/Advanced level GNVQ
26 @MNVQ Level 2/Intermediate level GNVQ
27 @MNVQ Level 1/Foundation level GNVQ
28 @MRecognised Trade Apprenticeship completed
29 @MClerical or Commercial Qualification (eg typing/book-keeping/commerce)
51 @MOther - Qualifications outside the UK
52 @MOther - Other vocational qualifications not otherwise codeable
53 @MOther - NVQ level not specified
54 @MOther - Nursery nurse examination board qualification
55 @MOther - Qualification obtained during military service
56 @MOther - Diploma
57 @MOther - Other academic qualification not otherwise codeable
58 @MOther - Other professional qualification not otherwise codeable
85 @MOther answer - not codeable 01 to 29, 51 to 58, or 96
86 @MIrrelevant response - not codeable 01 to 29, 51 to 58, or 96
95
96 @MNone of these
EDITOR : BACK CODE HERE - CODE FRAME 56
@/WHICH OF THE QUALIFICATIONS ON THIS CARD Do/Does you/NAME have? JUST TELL ME THE
NUMBER WRITTEN BESIDE EACH ONE.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 @MDegree/degree level qualification (including higher degree)
2 @MTeaching qualification
3 @MNursing qualifications SRN, SCM, SEN, RGN, RM, RHV, Midwife
4 @MHNC/HND, BEC/TEC Higher, BTEC Higher/SCOTECH Higher
5 @MONC/OND/BEC/TEC/BTEC not higher
6 @MCity and Guilds Full Technological Certificate
7 @MCity and Guilds Advanced/Final Level
8 @MCity and Guilds Craft/Ordinary Level
9 @MA-levels/Higher School Certificate
10 @MAS level
11 @MSLC/SCE/SUPE at Higher Grade or Certificate of Sixth Year Studies
12 @MO-level passes taken in 1975 or earlier
13 @MO-level passes taken after 1975 GRADES A-C
14 @MO-level passes taken after 1975 GRADES D-E
15 @MGCSE GRADES A-C
16 @MGCSE GRADES D-G
17 @MCSE GRADE 1/SCE BANDS A-C/Standard Grade LEVEL 1-3
18 @MCSE GRADES 2-5/SCE Ordinary BANDS D-E
19 @MCSE Ungraded
20 @MSLC Lower
21 @MSUPE Lower or Ordinary
22 @MSchool Certificate or Matric
23 @MNVQ Level 5
24 @MNVQ Level 4
25 @MNVQ Level 3/Advanced level GNVQ
26 @MNVQ Level 2/Intermediate level GNVQ
27 @MNVQ Level 1/Foundation level GNVQ
28 @MRecognised Trade Apprenticeship completed
29 @MClerical or Commercial Qualification (eg typing/book-keeping/commerce)
51 @MOther - Qualifications outside the UK
52 @MOther - Other vocational qualifications not otherwise codeable
53 @MOther - NVQ level not specified
54 @MOther - Nursery nurse examination board qualification
55 @MOther - Qualification obtained during military service
56 @MOther - Diploma
57 @MOther - Other academic qualification not otherwise codeable
58 @MOther - Other professional qualification not otherwise codeable
85 @MOther answer - not codeable 01 to 29, 51 to 58, or 96
86 @MIrrelevant response - not codeable 01 to 29, 51 to 58, or 96
95
96 @MNone of these
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If Which of certain qualification R has (FQQUAL) = 95 and EDITOR MODE (EDITQRE) != 1 or qualification type (FQQUAZ) was assigned an EMPTY value or qualification type (FQQUAZ) = 95 »
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FQOQ
qualification name
@/WHAT QUALIFICATIONS ARE THESE?
@/@/INTERVIEWER:@|RECORD ALL OTHER QUALIFCATIONS IN FULL.
@/@|@|@|PROBE - 'WHAT ELSE?'
@/WHAT QUALIFICATIONS ARE THESE?
@/@/INTERVIEWER:@|RECORD ALL OTHER QUALIFCATIONS IN FULL.
@/@|@|@|PROBE - 'WHAT ELSE?'
If PWAVE.FQEND !was answered »
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FQEND
Age finished full-time education
AT WHAT AGE DID you FINISH his CONTINUOUS FULL-TIME EDUCATION AT SCHOOL OR COLLEGE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Not yet finished
2. Never went to school
3. 14 or under
4. At 15
5. At 16
6. At 17
7. At 18
8. 19 or over
AT WHAT AGE DID you FINISH his CONTINUOUS FULL-TIME EDUCATION AT SCHOOL OR COLLEGE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Not yet finished
2. Never went to school
3. 14 or under
4. At 15
5. At 16
6. At 17
7. At 18
8. 19 or over
If Is this a proxy respondent? (IASKPX) != 1 Yes »
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If PWAVE.ELSA != 1 »
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FQNURP
request a nurse visit
@/INTERVIEWER: @R@IDON'T READ THIS OUT@I@R.
@/@/DOES NAME REQUEST A NURSE VISIT?
@/@/ONLY CODE 'YES' IF he INSISTS ON A NURSE VISIT. @/@/ELSE JUST PRESS
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No nurse visit
@/INTERVIEWER: @R@IDON'T READ THIS OUT@I@R.
@/@/DOES NAME REQUEST A NURSE VISIT?
@/@/ONLY CODE 'YES' IF he INSISTS ON A NURSE VISIT. @/@/ELSE JUST PRESS
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No nurse visit
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ElseIf PWAVE.ELSA = 1 »
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FQNURSE
Agreed nurse visit
THERE ARE TWO PARTS TO THIS SURVEY. YOU HAVE JUST HELPED US WITH
THE FIRST PART. WE HOPE YOU WILL ALSO HELP US WITH THE SECOND
PART, WHICH IS A VISIT BY A QUALIFIED NURSE TO COLLECT MORE MEDICAL
INFORMATION AND CARRY OUT SOME MEASUREMENTS.
@/@/I WOULD LIKE TO MAKE AN APPOINTMENT FOR THE NURSE TO COME ROUND
AND EXPLAIN SOME MORE ABOUT WHAT IS REQUIRED. MAY I SUGGEST
SOME DATES AND TIMES AND SEE WHEN YOU ARE FREE?
@/@/INTERVIEWER: IF ASKED FOR DETAILS SAY - 'THE NURSE WILL TAKE SOME
MEASUREMENT INCLUDING YOUR HEIGHT, WEIGHT AND BLOOD PRESSURE. YOU
WILL NOT HAVE ANY MEASUREMENTS TAKEN IF YOU DO NOT WISH TO.'
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes to nurse visit
2 No to nurse visit
THERE ARE TWO PARTS TO THIS SURVEY. YOU HAVE JUST HELPED US WITH
THE FIRST PART. WE HOPE YOU WILL ALSO HELP US WITH THE SECOND
PART, WHICH IS A VISIT BY A QUALIFIED NURSE TO COLLECT MORE MEDICAL
INFORMATION AND CARRY OUT SOME MEASUREMENTS.
@/@/I WOULD LIKE TO MAKE AN APPOINTMENT FOR THE NURSE TO COME ROUND
AND EXPLAIN SOME MORE ABOUT WHAT IS REQUIRED. MAY I SUGGEST
SOME DATES AND TIMES AND SEE WHEN YOU ARE FREE?
@/@/INTERVIEWER: IF ASKED FOR DETAILS SAY - 'THE NURSE WILL TAKE SOME
MEASUREMENT INCLUDING YOUR HEIGHT, WEIGHT AND BLOOD PRESSURE. YOU
WILL NOT HAVE ANY MEASUREMENTS TAKEN IF YOU DO NOT WISH TO.'
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes to nurse visit
2 No to nurse visit
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If Agreed nurse visit (FQNURSE) = 2 No to nurse visit »
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FQNURRF
reason for refusing nurse contact
INTERVIEWER:@|RECORD REASON WHY RESPONDENT REFUSED NURSE CONTACT.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Own doctor already has information
1 Given enough time already to this survey/expecting
too much
2 Too busy, cannot spare the time (if Code 1 does not
apply)
3 Had enough of medical tests/medical profession at
present time
4 Worried about what nurse may find out/'might tempt fate'
5 Scared/of medical profession/ particular medical
procedures (eg blood sample)
6 Not interested/Can't be bothered/No particular reason
7 Other reason (specify)
INTERVIEWER:@|RECORD REASON WHY RESPONDENT REFUSED NURSE CONTACT.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Own doctor already has information
1 Given enough time already to this survey/expecting
too much
2 Too busy, cannot spare the time (if Code 1 does not
apply)
3 Had enough of medical tests/medical profession at
present time
4 Worried about what nurse may find out/'might tempt fate'
5 Scared/of medical profession/ particular medical
procedures (eg blood sample)
6 Not interested/Can't be bothered/No particular reason
7 Other reason (specify)
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If reason for refusing nurse contact (FQNURRF) = 7 »
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If Agreed nurse visit (FQNURSE) = 1 Yes to nurse visit or request a nurse visit (FQNURP) = 1 Yes »
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FQAPT
who arranged nurse visit
INTERVIEWER:@|FILL IN DETAILS ON THE NURSE APPOINTMENT RECORD CARD
INCLUDING THE DATE AND TIME OF APPOINTMENT IF ARRANGED.
@/@|@|@|EXPLAIN TO RESPONDENT THAT THE NURSE WILL TRY TO CALL TO CONFIRM
OR ARRANGE THE APPOINTMENT.
@/@/EXPLAIN THAT THE CARD GIVES DETAILS OF HOW THEY CAN PREPARE FOR
THE NURSE VISIT, INCLUDING THE FASTING BLOOD SAMPLE, AND THE NURSE WILL
RUN THROUGH IT WITH THEM WHEN THEY TELEPHONE.
@/@/@IDON'T FORGET@I TO LEAVE THE GENETICS LEAFLET. IF RESPONDENT QUERIES
WHY WE ARE COLLECTING THEIR DNA AGAIN GO TO HELPSCREEN FOR INFORMATION.
@/@/CODE HOW THE NURSE APPOINTMENT IS ARRANGED
WE WOULD LIKE TO COLLECT A (FURTHER) SAMPLE OF DNA FROM YOU IN ORDER TO
EXAMINE POSSIBLE CHANGES IN TELOMERE LENGTH. THE LENGTH OF TELOMERES PLAY
A CRITICAL ROLE IN DETERMINING THE AGEING PROCESS BY INFLUENCING THE
HEALTH AND LIFESPAN OF CELLS.
INTERVIEWER:@|FILL IN DETAILS ON THE NURSE APPOINTMENT RECORD CARD
INCLUDING THE DATE AND TIME OF APPOINTMENT IF ARRANGED.
@/@|@|@|EXPLAIN TO RESPONDENT THAT THE NURSE WILL TRY TO CALL TO CONFIRM
OR ARRANGE THE APPOINTMENT.
@/@/EXPLAIN THAT THE CARD GIVES DETAILS OF HOW THEY CAN PREPARE FOR
THE NURSE VISIT, INCLUDING THE FASTING BLOOD SAMPLE, AND THE NURSE WILL
RUN THROUGH IT WITH THEM WHEN THEY TELEPHONE.
@/@/@IDON'T FORGET@I TO LEAVE THE GENETICS LEAFLET. IF RESPONDENT QUERIES
WHY WE ARE COLLECTING THEIR DNA AGAIN GO TO HELPSCREEN
@/@/CODE HOW THE NURSE APPOINTMENT IS ARRANGED
WE WOULD LIKE TO COLLECT A (FURTHER) SAMPLE OF DNA FROM YOU IN ORDER TO
EXAMINE POSSIBLE CHANGES IN TELOMERE LENGTH. THE LENGTH OF TELOMERES PLAY
A CRITICAL ROLE IN DETERMINING THE AGEING PROCESS BY INFLUENCING THE
HEALTH AND LIFESPAN OF CELLS.
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If who arranged nurse visit (FQAPT) !was assigned an EMPTY value »
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FQAPREM
FQAPREM
@/INTERVIEWER: PLEASE TELL THE RESPONDENT NOT TO FAST IF THEY ARE
AGED 80 OR OVER, ARE DIABETIC, ON TREATMENT, HAVE EVER HAD A FIT,
HAVE A CLOTTING OR BLEEDING DISORDER, OR ARE TAKING ANY ANTI-COAGULANT
DRUGS.
@/@/@/PRESS 1 AND TO CONTINUE.
- - - - - - - - - - - - - - - - - - - - - - - - -
1..1
@/INTERVIEWER: PLEASE TELL THE RESPONDENT NOT TO FAST IF THEY ARE
AGED 80 OR OVER, ARE DIABETIC, ON TREATMENT, HAVE EVER HAD A FIT,
HAVE A CLOTTING OR BLEEDING DISORDER, OR ARE TAKING ANY ANTI-COAGULANT
DRUGS.
@/@/@/PRESS 1 AND
- - - - - - - - - - - - - - - - - - - - - - - - -
1..1
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If PWAVE.FQPROX = 1 »
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FQPROXB
confirm stable address
LAST TIME WE INTERVIEWED you, he GAVE US THE
DETAILS OF A RELATIVE OR CLOSE FRIEND WE COULD APPROACH TO COLLECT
INFORMATION ABOUT YOUR CIRCUMSTANCES IF WE WERE UNABLE TO CONTACT
YOU PERSONALLY WHEN WE NEXT VISITED. THIS COULD BE IF YOU WERE ILL
AT THE TIME, OR HAD MOVED INTO A RESIDENTIAL OR NURSING HOME AND
WERE UNABLE TO SPEAK TO US.
@/CAN I CHECK THAT THE CONTACT DETAILS FOR THIS PERSON ARE CORRECT?
@/@/INTERVIEWER: CHECK NAME, ADDRESS AND TELEPHONE NUMBER OF PROXY
NOMINATION, AS GIVEN ON THE ARF COVER SHEET, ARE STILL CORRECT. IF
DETAILS ARE DIFFERENT OR WERE INCOMPLETE ON COVERSHEET, WRITE CORRECT
DETAILS ON ARF AT SECTION G (ARF C) OR I (ARF A) (PROXY NOMINATION).
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Contact address details correct
2 Contact address details not correct / wishes to give a different proxy nomination
3 SPONTANEOUS: No longer wants contact on coversheet as proxy nomination
4 SPONTANEOUS: Does not wish to be interviewed by proxy
LAST TIME WE INTERVIEWED you, he GAVE US THE
DETAILS OF A RELATIVE OR CLOSE FRIEND WE COULD APPROACH TO COLLECT
INFORMATION ABOUT YOUR CIRCUMSTANCES IF WE WERE UNABLE TO CONTACT
YOU PERSONALLY WHEN WE NEXT VISITED. THIS COULD BE IF YOU WERE ILL
AT THE TIME, OR HAD MOVED INTO A RESIDENTIAL OR NURSING HOME AND
WERE UNABLE TO SPEAK TO US.
@/CAN I CHECK THAT THE CONTACT DETAILS FOR THIS PERSON ARE CORRECT?
@/@/INTERVIEWER: CHECK NAME, ADDRESS AND TELEPHONE NUMBER OF PROXY
NOMINATION, AS GIVEN ON THE ARF COVER SHEET, ARE STILL CORRECT. IF
DETAILS ARE DIFFERENT OR WERE INCOMPLETE ON COVERSHEET, WRITE CORRECT
DETAILS ON ARF AT SECTION G (ARF C) OR I (ARF A) (PROXY NOMINATION).
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Contact address details correct
2 Contact address details not correct / wishes to give a different proxy nomination
3 SPONTANEOUS: No longer wants contact on coversheet as proxy nomination
4 SPONTANEOUS: Does not wish to be interviewed by proxy
|
Else
| | ========================================================================
| |
FQPROX
Willingness to give proxy nomination
WE WILL WISH TO CONTACT YOU AGAIN IN THE FUTURE.
IF WE ARE UNABLE TO CONTACT YOU PERSONALLY WHEN WE NEXT VISIT,
FOR EXAMPLE IF YOU WERE ILL AT THE TIME, WOULD
YOU BE PREPARED FOR US TO COLLECT INFORMATION ABOUT YOUR
CIRCUMSTANCES FROM your wife A RELATIVE OR A CLOSE FRIEND?
@/@/INTERVIEWER: IF ASKED PLEASE CLARIFY FURTHER: 'FOR EXAMPLE,
WE WOULD NOT INTENTIONALLY APPROACH SOMEONE IF YOU WERE AWAY ON
HOLIDAY OR TEMPORARILY ILL. WE WOULD ONLY APPROACH THE PERSON IF
YOU WERE TOO SICK, EITHER PHYSICALLY OR MENTALLY, OR IF YOU HAD
DIED. WE WOULD NOT GIVE THE PERSON DETAILS OF WHAT YOU HAVE SAID
IN PREVIOUS INTERVIEWS.'
@/@/INTERVIEWER: IF GIVEN, WRITE DETAILS ON ARF AT SECTION G (ARF C) OR I (ARF A)
(PROXY NOMINATION).
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to give proxy nomination
2 Unwilling to give proxy nomination
3 SPONTANEOUS: Does not wish to be interviewed by proxy
WE WILL WISH TO CONTACT YOU AGAIN IN THE FUTURE.
IF WE ARE UNABLE TO CONTACT YOU PERSONALLY WHEN WE NEXT VISIT,
FOR EXAMPLE IF YOU WERE ILL AT THE TIME, WOULD
YOU BE PREPARED FOR US TO COLLECT INFORMATION ABOUT YOUR
CIRCUMSTANCES FROM your wife A RELATIVE OR A CLOSE FRIEND?
@/@/INTERVIEWER: IF ASKED PLEASE CLARIFY FURTHER: 'FOR EXAMPLE,
WE WOULD NOT INTENTIONALLY APPROACH SOMEONE IF YOU WERE AWAY ON
HOLIDAY OR TEMPORARILY ILL. WE WOULD ONLY APPROACH THE PERSON IF
YOU WERE TOO SICK, EITHER PHYSICALLY OR MENTALLY, OR IF YOU HAD
DIED. WE WOULD NOT GIVE THE PERSON DETAILS OF WHAT YOU HAVE SAID
IN PREVIOUS INTERVIEWS.'
@/@/INTERVIEWER: IF GIVEN, WRITE DETAILS ON ARF AT SECTION G (ARF C) OR I (ARF A)
(PROXY NOMINATION).
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to give proxy nomination
2 Unwilling to give proxy nomination
3 SPONTANEOUS: Does not wish to be interviewed by proxy
|
If Willingness to give proxy nomination (FQPROX) = 1 Willing to give proxy nomination or confirm stable address (FQPROXB) = 2 Contact address details not correct / wishes to give a different proxy nomination »
| | ========================================================================
| |
FQPRW1
who proxy nomination is
@/WHO WOULD BE THE BEST PERSON FOR US TO APPROACH?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 ___
2 ___
3 ___
4 ___
5 ___
6 ___
7 ___
8 ___
9 ___
10 ___
11 ___
12 ___
13 ___
14 ___
15 ___
16 ___
97 Not a household member
@/WHO WOULD BE THE BEST PERSON FOR US TO APPROACH?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 ___
2 ___
3 ___
4 ___
5 ___
6 ___
7 ___
8 ___
9 ___
10 ___
11 ___
12 ___
13 ___
14 ___
15 ___
16 ___
97 Not a household member
| |
If who proxy nomination is (FQPRW1) = 97 »
| | | ========================================================================
| | |
FQPRW2
FQPRW2
@/INTERVIEWER: WRITE NAME, ADDRESS & TELEPHONE NUMBER OF NOMINATED PROXY
ON ARF AT SECTION G (ARF C) OR I (ARF A).
@/@/@/INTERVIEWER: ENTER 1 TO CONTINUE.
- - - - - - - - - - - - - - - - - - - - - - - - -
1..1
@/INTERVIEWER: WRITE NAME, ADDRESS & TELEPHONE NUMBER OF NOMINATED PROXY
ON ARF AT SECTION G (ARF C) OR I (ARF A).
@/@/@/INTERVIEWER: ENTER 1 TO CONTINUE.
- - - - - - - - - - - - - - - - - - - - - - - - -
1..1
If PWAVE.FQADDR != 1 »
| ========================================================================
|
FQADDR
give stable address
@/Sometime in the next two years, we will wish to contact you/NAME again.
IN CASE you MOVEs FROM THIS ADDRESS, COULD YOU
TELL ME THE ADDRESS AND TELEPHONE NUMBER OF A RELATIVE OR
CLOSE FRIEND WE COULD CONTACT TO FIND OUT WHERE you
are?
@/@/INTERVIEWER: IF THE RESPONDENT IS UNWILLING TO GIVE ADDRESS AS
THEY ARE NOT PLANNING TO MOVE, ADD: 'AS PEOPLE WHO AREN'T
PLANNING TO MOVE SOMETIMES DO MOVE BECAUSE THEIR CIRCUMSTANCES CHANGE,
WE WOULD BE VERY GRATEFUL IF YOU COULD GIVE US THE NAME
AND ADDRESS OF A CONTACT PERSON JUST IN CASE YOU DO MOVE
UNEXPECTEDLY.'
@/@/INTERVIEWER:@|IF GIVEN, WRITE THE DETAILS ON ARF AT SECTION G (ARF C) OR I (ARF A)
(STABLE ADDRESS).
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to give contact address
2 Unwilling to give contact address
3 SPONTANEOUS: Does not wish to be recontacted
@/Sometime in the next two years, we will wish to contact you/NAME again.
IN CASE you MOVEs FROM THIS ADDRESS, COULD YOU
TELL ME THE ADDRESS AND TELEPHONE NUMBER OF A RELATIVE OR
CLOSE FRIEND WE COULD CONTACT TO FIND OUT WHERE you
are?
@/@/INTERVIEWER: IF THE RESPONDENT IS UNWILLING TO GIVE ADDRESS AS
THEY ARE NOT PLANNING TO MOVE, ADD: 'AS PEOPLE WHO AREN'T
PLANNING TO MOVE SOMETIMES DO MOVE BECAUSE THEIR CIRCUMSTANCES CHANGE,
WE WOULD BE VERY GRATEFUL IF YOU COULD GIVE US THE NAME
AND ADDRESS OF A CONTACT PERSON JUST IN CASE YOU DO MOVE
UNEXPECTEDLY.'
@/@/INTERVIEWER:@|IF GIVEN, WRITE THE DETAILS ON ARF AT SECTION G (ARF C) OR I (ARF A)
(STABLE ADDRESS).
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to give contact address
2 Unwilling to give contact address
3 SPONTANEOUS: Does not wish to be recontacted
ElseIf PWAVE.FQADDR = 1 »
| ========================================================================
|
FQSTC
confirm stable address
Sometime in next two years, we will wish to contact you again.
LAST TIME WE INTERVIEWED you, he GAVE US THE
ADDRESS AND TELEPHONE NUMBER OF A RELATIVE OR CLOSE FRIEND WE COULD
CONTACT TO FIND OUT WHERE he are IF he
MOVEs FROM THIS ADDRESS. CAN I CHECK THAT THESE DETAILS ARE
STILL CORRECT?
@/@/INTERVIEWER:@|CHECK NAME, ADDRESS AND TELEPHONE NUMBER OF STABLE
CONTACT,
@/@|@|@|AS GIVEN ON THE ARF COVER SHEET, ARE STILL CORRECT.
@/@|@|@|IF DIFFERENT, WRITE CORRECT DETAILS ON ARF AT SECTION G (ARF C) OR I (ARF A)
(STABLE ADDRESS).
@/@/PLEASE DO NOT ENTER DETAILS OF PEOPLE LIVING IN THE SAME HOUSEHOLD
AS THE RESPONDENT. ASK FOR DETAILS OF SOMEONE LIVING ELSEWHERE INSTEAD.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Contact address details correct
2 Contact address details not correct
3 SPONTANEOUS: Does not wish to be recontacted
Sometime in next two years, we will wish to contact you again.
LAST TIME WE INTERVIEWED you, he GAVE US THE
ADDRESS AND TELEPHONE NUMBER OF A RELATIVE OR CLOSE FRIEND WE COULD
CONTACT TO FIND OUT WHERE he are IF he
MOVEs FROM THIS ADDRESS. CAN I CHECK THAT THESE DETAILS ARE
STILL CORRECT?
@/@/INTERVIEWER:@|CHECK NAME, ADDRESS AND TELEPHONE NUMBER OF STABLE
CONTACT,
@/@|@|@|AS GIVEN ON THE ARF COVER SHEET, ARE STILL CORRECT.
@/@|@|@|IF DIFFERENT, WRITE CORRECT DETAILS ON ARF AT SECTION G (ARF C) OR I (ARF A)
(STABLE ADDRESS).
@/@/PLEASE DO NOT ENTER DETAILS OF PEOPLE LIVING IN THE SAME HOUSEHOLD
AS THE RESPONDENT. ASK FOR DETAILS OF SOMEONE LIVING ELSEWHERE INSTEAD.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Contact address details correct
2 Contact address details not correct
3 SPONTANEOUS: Does not wish to be recontacted
If Person number of proxy respondent (DIINT) = 97 »
| ========================================================================
|
FQADDP
proxy informant details
@/FOR OUR RECORDS, WE WOULD LIKE TO RECORD WHO ANSWERED THE
INTERVIEW ON NAME'S BEHALF. COULD YOU PLEASE GIVE ME
YOUR FULL NAME, ADDRESS AND TELEPHONE NUMBER?
@/@/INTERVIEWER: IF GIVEN WRITE ON ARF AT SECTION G (ARF C) OR I (ARF A)
(PROXY INFORMANT).
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to give address
2 Unwilling to give address
@/FOR OUR RECORDS, WE WOULD LIKE TO RECORD WHO ANSWERED THE
INTERVIEW ON NAME'S BEHALF. COULD YOU PLEASE GIVE ME
YOUR FULL NAME, ADDRESS AND TELEPHONE NUMBER?
@/@/INTERVIEWER: IF GIVEN WRITE ON ARF AT SECTION G (ARF C) OR I (ARF A)
(PROXY INFORMANT).
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to give address
2 Unwilling to give address
If Is this a proxy respondent? (IASKPX) != 1 Yes »
|
If PWAVE.CONRECA != 1 and PWAVE.CONRECB != 1 and PWAVE.CONFLAGA != 1 and PWAVE.CONFLAGB != 1 »
| | ========================================================================
| |
FQCONS
health and economic consent
/@/WE HAVE ASKED ABOUT YOUR HEALTH AND ECONOMIC CIRCUMSTANCES. TO MAKE
THIS INFORMATION COMPLETE WE WOULD LIKE TO COLLECT INFORMATION FROM
ADMINISTRATIVE RECORDS HELD BY THE NATIONAL HEALTH SERVICE, HER
MAJESTY'S REVENUE AND CUSTOMS AND THE DEPARTMENT FOR WORK AND PENSIONS.
LIKE THE ANSWERS YOU HAVE GIVEN US, THE INFORMATION
COLLECTED FROM THESE RECORDS WILL BE COMPLETELY CONFIDENTIAL IN
ACCORDANCE WITH THE DATA PROTECTION ACT. CONSENTING TO THIS WILL NOT
AFFECT ANY BENEFIT ENTITLEMENT. THIS FORM EXPLAINS IN
MORE DETAIL AND YOU CAN ASK ME ANY QUESTIONS THAT YOU MAY HAVE.
@/@/INTERVIEWER:@|GIVE RESPONDENT THE YELLOW CONSENT FORM.
@/@|@|@|IF RESPONDENT SIGNS FORM, REMEMBER TO LEAVE THEM THE WHITE
TEAR-OFF COPY.
@/PRESS FOR HELP ON WHERE TO FIND NI NUMBER.
@/THE NATIONAL INSURANCE NUMBER CAN BE FOUND ON PAYSLIP, BENEFIT
BOOK OR TAX RETURN.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Consents A and B given
2 Consent A only given
3 Consent B only given
4 Both consents refused
5 Consent form left with respondent
/@/WE HAVE ASKED ABOUT YOUR HEALTH AND ECONOMIC CIRCUMSTANCES. TO MAKE
THIS INFORMATION COMPLETE WE WOULD LIKE TO COLLECT INFORMATION FROM
ADMINISTRATIVE RECORDS HELD BY THE NATIONAL HEALTH SERVICE, HER
MAJESTY'S REVENUE AND CUSTOMS AND THE DEPARTMENT FOR WORK AND PENSIONS.
LIKE THE ANSWERS YOU HAVE GIVEN US, THE INFORMATION
COLLECTED FROM THESE RECORDS WILL BE COMPLETELY CONFIDENTIAL IN
ACCORDANCE WITH THE DATA PROTECTION ACT. CONSENTING TO THIS WILL NOT
AFFECT ANY BENEFIT ENTITLEMENT. THIS FORM EXPLAINS IN
MORE DETAIL AND YOU CAN ASK ME ANY QUESTIONS THAT YOU MAY HAVE.
@/@/INTERVIEWER:@|GIVE RESPONDENT THE YELLOW CONSENT FORM.
@/@|@|@|IF RESPONDENT SIGNS FORM, REMEMBER TO LEAVE THEM THE WHITE
TEAR-OFF COPY.
@/PRESS
@/THE NATIONAL INSURANCE NUMBER CAN BE FOUND ON PAYSLIP, BENEFIT
BOOK OR TAX RETURN.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Consents A and B given
2 Consent A only given
3 Consent B only given
4 Both consents refused
5 Consent form left with respondent
|
ElseIf PWAVE.CONRECA != 1 and PWAVE.CONRECB = 1 »
| |
If PWAVE.CONFLAGA != 1 »
| | | ========================================================================
| | |
FQCONA
additional health consent
OUR RECORDS SHOW THAT YOU HAVE KINDLY GIVEN US WRITTEN
PERMISSION TO OBTAIN INFORMATION FROM ADMINISTRATIVE RECORDS HELD BY
HER MAJESTY'S REVENUE AND CUSTOMS AND THE DEPARTMENT FOR WORK AND PENSIONS.
@/IN ORDER TO MAKE OUR INFORMATION ABOUT YOUR HEALTH COMPLETE, WE
WOULD LIKE TO FIND OUT MORE FROM ADMINISTRATIVE RECORDS HELD BY THE NATIONAL
HEALTH SERVICE. THE INFORMATION FROM THESE RECORDS WILL BE COMPLETELY
CONFIDENTIAL IN ACCORDANCE WITH THE DATA PROTECTION ACT.
@/@/INTERVIEWER: PROBE TO FIND OUT IF THE RESPONDENT IS LIKELY TO GIVE
ADDITIONAL CONSENT.
@/@B- IF ADDITIONAL CONSENT GIVEN:@BUSE NEW YELLOW CONSENT FORM. RESPONDENTS
TO CIRCLE A AND B AND THEN SIGN AT THE BOTTOM.
@/@B- IF ADDITIONAL CONSENT REFUSED:@BYOU DO NOT NEED TO DO ANYTHING,
JUST CODE BELOW.
@/@B- IF WITHDRAWING CONSENT:@BYOU DO NOT NEED TO DO ANYTHING, JUST CODE
BELOW.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Additional health consent given
2 Additional health consent refused
3 Yellow Consent form left with respondent
4 Respondent withdrew health and economic consent
5 SPONTANEOUS: Respondent would like copy of consent form
OUR RECORDS SHOW THAT YOU HAVE KINDLY GIVEN US WRITTEN
PERMISSION TO OBTAIN INFORMATION FROM ADMINISTRATIVE RECORDS HELD BY
HER MAJESTY'S REVENUE AND CUSTOMS AND THE DEPARTMENT FOR WORK AND PENSIONS.
@/IN ORDER TO MAKE OUR INFORMATION ABOUT YOUR HEALTH COMPLETE, WE
WOULD LIKE TO FIND OUT MORE FROM ADMINISTRATIVE RECORDS HELD BY THE NATIONAL
HEALTH SERVICE. THE INFORMATION FROM THESE RECORDS WILL BE COMPLETELY
CONFIDENTIAL IN ACCORDANCE WITH THE DATA PROTECTION ACT.
@/@/INTERVIEWER: PROBE TO FIND OUT IF THE RESPONDENT IS LIKELY TO GIVE
ADDITIONAL CONSENT.
@/@B- IF ADDITIONAL CONSENT GIVEN:@BUSE NEW YELLOW CONSENT FORM. RESPONDENTS
TO CIRCLE A AND B AND THEN SIGN AT THE BOTTOM.
@/@B- IF ADDITIONAL CONSENT REFUSED:@BYOU DO NOT NEED TO DO ANYTHING,
JUST CODE BELOW.
@/@B- IF WITHDRAWING CONSENT:@BYOU DO NOT NEED TO DO ANYTHING, JUST CODE
BELOW.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Additional health consent given
2 Additional health consent refused
3 Yellow Consent form left with respondent
4 Respondent withdrew health and economic consent
5 SPONTANEOUS: Respondent would like copy of consent form
| |
ElseIf PWAVE.CONFLAGA = 1 »
| | | ========================================================================
| | |
FQCONAR
Economics consent reminder
@/OUR RECORDS SHOW THAT YOU HAVE KINDLY GIVEN US WRITTEN PERMISSION TO OBTAIN
INFORMATION FROM ADMINISTRATIVE RECORDS HELD BY HER MAJESTY'S REVENUE AND
CUSTOMS AND THE DEPARTMENT FOR WORK AND PENSIONS.
@/@/YOU MAY STILL HAVE A COPY OF THE FORM YOU SIGNED.
@/@B- IF STILL GIVES CONSENT:@BYOU DO NOT NEED TO DO ANYTHING, JUST CODE BELOW.
@/@B- IF WITHDRAWING CONSENT:@BYOU DO NOT NEED TO DO ANYTHING, JUST CODE BELOW.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Consent to economics linkage still given
2 Respondent asked to withdraw economics consent
3 SPONTANEOUS: Respondent would like copy of consent form
@/OUR RECORDS SHOW THAT YOU HAVE KINDLY GIVEN US WRITTEN PERMISSION TO OBTAIN
INFORMATION FROM ADMINISTRATIVE RECORDS HELD BY HER MAJESTY'S REVENUE AND
CUSTOMS AND THE DEPARTMENT FOR WORK AND PENSIONS.
@/@/YOU MAY STILL HAVE A COPY OF THE FORM YOU SIGNED.
@/@B- IF STILL GIVES CONSENT:@BYOU DO NOT NEED TO DO ANYTHING, JUST CODE BELOW.
@/@B- IF WITHDRAWING CONSENT:@BYOU DO NOT NEED TO DO ANYTHING, JUST CODE BELOW.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Consent to economics linkage still given
2 Respondent asked to withdraw economics consent
3 SPONTANEOUS: Respondent would like copy of consent form
|
ElseIf PWAVE.CONRECA = 1 and PWAVE.CONRECB != 1 »
| |
If PWAVE.CONFLAGB != 1 »
| | | ========================================================================
| | |
FQCONB
additional economic consent
OUR RECORDS SHOW THAT YOU HAVE KINDLY GIVEN US WRITTEN
PERMISSION TO OBTAIN INFORMATION FROM ADMINISTRATIVE RECORDS HELD
BY THE NATIONAL HEALTH SERVICE. YOU MAY STILL HAVE A COPY OF THE FORM YOU SIGNED.
IN ORDER TO MAKE OUR INFORMATION ABOUT YOUR ECONOMIC CIRCUMSTANCES
COMPLETE, WE WOULD LIKE TO FIND OUT MORE FROM ADMINISTRATIVE RECORDS HELD BY
HER MAJESTY'S REVENUE AND CUSTOMS AND THE DEPARTMENT FOR WORK AND PENSIONS.
THE INFORMATION FROM THESE RECORDS
WILL BE COMPLETELY CONFIDENTIAL IN ACCORDANCE WITH THE DATA PROTECTION ACT.
@/INTERVIEWER: PRESS F9 FOR HELP ON WHERE TO FIND THE NI NUMBER.
PROBE TO FIND OUT IF RESPONDENT IS LIKELY TO GIVE ADDITIONAL
CONSENT.
@/@B- IF ADDITIONAL CONSENT GIVEN:@B·· USE NEW YELLOW CONSENT FORM.
RESPONDENTS TO CIRCLE BOX A AND B AND THEN SIGN AT THE BOTTOM.
@/@B- IF ADDITIONAL CONSENT REFUSED:@B·· YOU DO NOT NEED TO DO ANYTHING,
JUST CODE BELOW.
@/@B- IF WITHDRAWING CONSENT:@B YOU DO NOT NEED TO DO ANYTHING, JUST CODE
BELOW.
@/THE NATIONAL INSURANCE NUMBER CAN BE FOUND ON PAYSLIP, BENEFIT
BOOK OR TAX RETURN.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 @SAdditional economic consent given@S
2 @SAdditional economic consent refused@S
3 @SYellow Consent form left with respondent@S
4 @SRespondent withdrew health and economic consent@S
5 @SSPONTANEOUS: Respondent would like copy of consent form@S
OUR RECORDS SHOW THAT YOU HAVE KINDLY GIVEN US WRITTEN
PERMISSION TO OBTAIN INFORMATION FROM ADMINISTRATIVE RECORDS HELD
BY THE NATIONAL HEALTH SERVICE. YOU MAY STILL HAVE A COPY OF THE FORM YOU SIGNED.
IN ORDER TO MAKE OUR INFORMATION ABOUT YOUR ECONOMIC CIRCUMSTANCES
COMPLETE, WE WOULD LIKE TO FIND OUT MORE FROM ADMINISTRATIVE RECORDS HELD BY
HER MAJESTY'S REVENUE AND CUSTOMS AND THE DEPARTMENT FOR WORK AND PENSIONS.
THE INFORMATION FROM THESE RECORDS
WILL BE COMPLETELY CONFIDENTIAL IN ACCORDANCE WITH THE DATA PROTECTION ACT.
@/INTERVIEWER: PRESS F9 FOR HELP ON WHERE TO FIND THE NI NUMBER.
PROBE TO FIND OUT IF RESPONDENT IS LIKELY TO GIVE ADDITIONAL
CONSENT.
@/@B- IF ADDITIONAL CONSENT GIVEN:@B·· USE NEW YELLOW CONSENT FORM.
RESPONDENTS TO CIRCLE BOX A AND B AND THEN SIGN AT THE BOTTOM.
@/@B- IF ADDITIONAL CONSENT REFUSED:@B·· YOU DO NOT NEED TO DO ANYTHING,
JUST CODE BELOW.
@/@B- IF WITHDRAWING CONSENT:@B YOU DO NOT NEED TO DO ANYTHING, JUST CODE
BELOW.
@/THE NATIONAL INSURANCE NUMBER CAN BE FOUND ON PAYSLIP, BENEFIT
BOOK OR TAX RETURN.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 @SAdditional economic consent given@S
2 @SAdditional economic consent refused@S
3 @SYellow Consent form left with respondent@S
4 @SRespondent withdrew health and economic consent@S
5 @SSPONTANEOUS: Respondent would like copy of consent form@S
| |
ElseIf PWAVE.CONFLAGB = 1 »
| | | ========================================================================
| | |
FQCONBR
Health consent reminder
@/OUR RECORDS SHOW THAT YOU HAVE KINDLY GIVEN US WRITTEN PERMISSION TO OBTAIN
INFORMATION FROM ADMINISTRATIVE RECORDS HELD BY THE NATIONAL HEALTH SERVICE.
@/@/YOU MAY STILL HAVE A COPY OF THE FORM YOU SIGNED.
@/@B- IF STILL GIVES CONSENT:@BYOU DO NOT NEED TO DO ANYTHING, JUST CODE BELOW.
@/@B- IF WITHDRAWING CONSENT:@BYOU DO NOT NEED TO DO ANYTHING, JUST CODE BELOW.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Consent to health linkage still given
2 Respondent asked to withdraw health consent
3 SPONTANEOUS: Respondent would like copy of consent form
@/OUR RECORDS SHOW THAT YOU HAVE KINDLY GIVEN US WRITTEN PERMISSION TO OBTAIN
INFORMATION FROM ADMINISTRATIVE RECORDS HELD BY THE NATIONAL HEALTH SERVICE.
@/@/YOU MAY STILL HAVE A COPY OF THE FORM YOU SIGNED.
@/@B- IF STILL GIVES CONSENT:@BYOU DO NOT NEED TO DO ANYTHING, JUST CODE BELOW.
@/@B- IF WITHDRAWING CONSENT:@BYOU DO NOT NEED TO DO ANYTHING, JUST CODE BELOW.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Consent to health linkage still given
2 Respondent asked to withdraw health consent
3 SPONTANEOUS: Respondent would like copy of consent form
|
ElseIf PWAVE.CONRECA = 1 and PWAVE.CONRECB = 1 »
| | ========================================================================
| |
FQCONC
health and economic consent
OUR RECORDS SHOW THAT YOU HAVE KINDLY GIVEN US
WRITTEN PERMISSION TO OBTAIN INFORMATION FROM ADMINISTRATIVE RECORDS HELD
BY THE NATIONAL HEALTH SERVICE AND ADMINISTRATIVE RECORDS HELD BY HER
MAJESTY'S REVENUE AND CUSTOMS AND THE DEPARTMENT FOR WORK AND PENSIONS.
@/YOU MAY STILL HAVE A COPY OF THE FORM YOU SIGNED.
@/@/@B- IF STILL CONSENTING TO HEALTH AND ECONOMIC LINKAGE:@BYOU DO NOT NEED TO DO
ANYTHING, JUST CODE BELOW.
@/@B-IF WITHDRAWING ONE OR BOTH CONSENTS:@BYOU DO NOT NEED TO DO ANYTHING,
JUST CODE BELOW.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 @SConsent to health and economic consent still given@S
2 @SRespondent consents to health only@S
3 @SRespondent consents to economics only@S
4 @SRespondent asked to withdraw health and economic consent@S
5 @SSPONTANEOUS: Respondent would like copy of consent form@S
OUR RECORDS SHOW THAT YOU HAVE KINDLY GIVEN US
WRITTEN PERMISSION TO OBTAIN INFORMATION FROM ADMINISTRATIVE RECORDS HELD
BY THE NATIONAL HEALTH SERVICE AND ADMINISTRATIVE RECORDS HELD BY HER
MAJESTY'S REVENUE AND CUSTOMS AND THE DEPARTMENT FOR WORK AND PENSIONS.
@/YOU MAY STILL HAVE A COPY OF THE FORM YOU SIGNED.
@/@/@B- IF STILL CONSENTING TO HEALTH AND ECONOMIC LINKAGE:@BYOU DO NOT NEED TO DO
ANYTHING, JUST CODE BELOW.
@/@B-IF WITHDRAWING ONE OR BOTH CONSENTS:@BYOU DO NOT NEED TO DO ANYTHING,
JUST CODE BELOW.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 @SConsent to health and economic consent still given@S
2 @SRespondent consents to health only@S
3 @SRespondent consents to economics only@S
4 @SRespondent asked to withdraw health and economic consent@S
5 @SSPONTANEOUS: Respondent would like copy of consent form@S
|
If PWAVE.NHSCR != 1 and PWAVE.NHSCFLAG != 1 »
| | ========================================================================
| |
FQNHSC
given HES consent
@/THE NATIONAL HEALTH SERVICE HAS A CENTRAL REGISTER WHICH RECORDS
INFORMATION ON IMPORTANT DISEASES AND CAUSES OF DEATH. MAY WE HAVE
YOUR PERMISSION TO PASS YOUR NAME, ADDRESS, AND DATE OF BIRTH TO
THIS REGISTER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Permission given
2 Refused
@/THE NATIONAL HEALTH SERVICE HAS A CENTRAL REGISTER WHICH RECORDS
INFORMATION ON IMPORTANT DISEASES AND CAUSES OF DEATH. MAY WE HAVE
YOUR PERMISSION TO PASS YOUR NAME, ADDRESS, AND DATE OF BIRTH TO
THIS REGISTER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Permission given
2 Refused
| |
If given HES consent (FQNHSC) = 1 Permission given »
| | | ========================================================================
| | |
FQNHSCS
signed HES consent form
@/INTERVIEWER: EXPLAIN THE NEED FOR WRITTEN CONSENT: 'BEFORE I CAN PASS
YOUR DETAILS ON, I HAVE TO OBTAIN WRITTEN CONSENT FROM YOU'.
@/@/INTERVIEWER:@|ENTER DETAILS ON THE PINK @INHS CENTRAL REGISTER CONSENT FORM@I.
@/@/@|@|@|ASK RESPONDENT TO SIGN AND DATE FORM.
@/@|@|@|CODE WHETHER SIGNED CONSENT OBTAINED.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Signed consent obtained
2 Signed consent not obtained
@/INTERVIEWER: EXPLAIN THE NEED FOR WRITTEN CONSENT: 'BEFORE I CAN PASS
YOUR DETAILS ON, I HAVE TO OBTAIN WRITTEN CONSENT FROM YOU'.
@/@/INTERVIEWER:@|ENTER DETAILS ON THE PINK @INHS CENTRAL REGISTER CONSENT FORM@I.
@/@/@|@|@|ASK RESPONDENT TO SIGN AND DATE FORM.
@/@|@|@|CODE WHETHER SIGNED CONSENT OBTAINED.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Signed consent obtained
2 Signed consent not obtained
As IDX goes from 1 to 12 » »
|
If (DMEXIT) = ALLOCP »
| |
If Eligible (PELIG) = 1 eligible and Pilot (PILOT) != 1 Yes »
| | | ========================================================================
| | |
FQEIINT
proxy to answer end of life interview
I WAS TOLD EARLIER THAT Person name HAS PASSED AWAY. IN ORDER TO
ENSURE THAT WE UNDERSTAND THE END OF his LIFE, WE HAVE SOME
QUESTIONS WE WOULD LIKE TO ASK ABOUT him. WOULD YOU BE WILLING
TO ANSWER THESE QUESTIONS AT A FUTURE DATE?
@/@/INTERVIEWER: GIVE DETAILS OF CONTENT OF END OF LIFE INTERVIEW.
IT WILL COVER THE DECEASED RESPONDENT'S ACTIVITIES IN THE LAST
YEAR OF LIFE, his HEALTH AND SOME SUMMARY FINANCIAL
INFORMATION.
@/@/PRIORITY CODE.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to answer end of life interview
2 Unwilling to answer end of life interview
3 SPONTANEOUS ONLY: Unwilling for anyone to answer the end of life interview
I WAS TOLD EARLIER THAT Person name HAS PASSED AWAY. IN ORDER TO
ENSURE THAT WE UNDERSTAND THE END OF his LIFE, WE HAVE SOME
QUESTIONS WE WOULD LIKE TO ASK ABOUT him. WOULD YOU BE WILLING
TO ANSWER THESE QUESTIONS AT A FUTURE DATE?
@/@/INTERVIEWER: GIVE DETAILS OF CONTENT OF END OF LIFE INTERVIEW.
IT WILL COVER THE DECEASED RESPONDENT'S ACTIVITIES IN THE LAST
YEAR OF LIFE, his HEALTH AND SOME SUMMARY FINANCIAL
INFORMATION.
@/@/PRIORITY CODE.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to answer end of life interview
2 Unwilling to answer end of life interview
3 SPONTANEOUS ONLY: Unwilling for anyone to answer the end of life interview
| |
If proxy to answer end of life interview (FQEIINT) = 2 Unwilling to answer end of life interview »
| | | ========================================================================
| | |
FQEIANY
give details of end of life informant
COULD YOU NOMINATE SOMEONE ELSE WHO COULD ANSWER THE QUESTIONS?
@/@/IF APPROPRIATE, REFER TO STABLE ADDRESS CONTACT.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to give details of end of life interview informant
2 Unwilling to give details of end of life interview informant
COULD YOU NOMINATE SOMEONE ELSE WHO COULD ANSWER THE QUESTIONS?
@/@/IF APPROPRIATE, REFER TO STABLE ADDRESS CONTACT.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to give details of end of life interview informant
2 Unwilling to give details of end of life interview informant
| | |
If give details of end of life informant (FQEIANY) = 1 Willing to give details of end of life interview informant »
| | | | ========================================================================
| | | |
FQEIHMEM
person number potential end of life interview resp
@/INTERVIEWER: ENTER PERSON NUMBER OF POTENTIAL END OF LIFE INTERVIEW
RESPONDENT.
@/[all names]
@/97 : NOT A HOUSEHOLD MEMBER
- - - - - - - - - - - - - - - - - - - - - - - - -
1..97
@/INTERVIEWER: ENTER PERSON NUMBER OF POTENTIAL END OF LIFE INTERVIEW
RESPONDENT.
@/[all names]
@/97 : NOT A HOUSEHOLD MEMBER
- - - - - - - - - - - - - - - - - - - - - - - - -
1..97
| | | |
If FQEIHMEM IN [1..16] »
| | | | | ========================================================================
| | | | |
FQEXSUR
surname of the End of Life Interview
@/INTERVIEWER: PLEASE ENTER THE SURNAME OF THE END OF LIFE INTERVIEW
RESPONDENT.
@/INTERVIEWER: PLEASE ENTER THE SURNAME OF THE END OF LIFE INTERVIEW
RESPONDENT.
| | | |
ElseIf person number potential end of life interview resp (FQEIHMEM) = 97 »
| | | | | ========================================================================
| | | | |
FQEIREL
relationship to deceased
HOW IS THE END OF LIFE INTERVIEW RESPONDENT RELATED TO Person name?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Husband/Wife
2 Partner/cohabitee
3 Natural son/daughter
4 Adopted son/daughter
5 Foster son/daughter
6 Step son/daughter/child of partner
7 Son/daughter-in-law
8 Natural parent
9 Adoptive parent
10 Foster parent
11 Stepparent/parent's partner
12 Parent-in-law
13 Natural brother/sister
14 Half-brother/sister
15 Step-brother/sister
16 Adopted brother/sister
17 Foster brother/sister
18 Brother/sister-in-law
19 Grandchild
20 Grandparent
21 Other relative
22 Other non-relative
96 (THIS CODE NOT USED)
HOW IS THE END OF LIFE INTERVIEW RESPONDENT RELATED TO Person name?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Husband/Wife
2 Partner/cohabitee
3 Natural son/daughter
4 Adopted son/daughter
5 Foster son/daughter
6 Step son/daughter/child of partner
7 Son/daughter-in-law
8 Natural parent
9 Adoptive parent
10 Foster parent
11 Stepparent/parent's partner
12 Parent-in-law
13 Natural brother/sister
14 Half-brother/sister
15 Step-brother/sister
16 Adopted brother/sister
17 Foster brother/sister
18 Brother/sister-in-law
19 Grandchild
20 Grandparent
21 Other relative
22 Other non-relative
96 (THIS CODE NOT USED)
| | | | | ========================================================================
| | | | |
FQEXRES
| | | | | ========================================================================
| | | | |
FQEXAD1
Address line 1
@/INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
@/@/@IADDRESS LINE 1@I.
@/INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
@/@/@IADDRESS LINE 1@I.
| | | | |
If Address line 1 (FQEXAD1) was answered »
| | | | | | ========================================================================
| | | | | |
FQEXAD2
Address line 2
@/INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
@/@/@IADDRESS LINE 2@I.
@/@/(JUST PRESS IF NO MORE TO ADD.)
@/INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
@/@/@IADDRESS LINE 2@I.
@/@/(JUST PRESS
| | | | | |
If Address line 2 (FQEXAD2) !was assigned an EMPTY value »
| | | | | | | ========================================================================
| | | | | | |
FQEXAD3
Address line 3
@/INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
@/@/@IADDRESS LINE 3@I.
@/@/(JUST PRESS IF NO MORE TO ADD.)
@/INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
@/@/@IADDRESS LINE 3@I.
@/@/(JUST PRESS
| | | | | | |
If Address line 3 (FQEXAD3) !was assigned an EMPTY value »
| | | | | | | | ========================================================================
| | | | | | | |
FQEXAD4
Address line 4
@/INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
@/@/@IADDRESS LINE 4@I.
@/@/(JUST PRESS IF NO MORE TO ADD.)
@/INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
@/@/@IADDRESS LINE 4@I.
@/@/(JUST PRESS
| | | | | | ========================================================================
| | | | | |
FQEXADPC
Postcode
@/INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
@/@/@IPOSTCODE@I.
@/@/(JUST PRESS IF NONE.)
@/INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
@/@/@IPOSTCODE@I.
@/@/(JUST PRESS
| | | | | ========================================================================
| | | | |
FQEXTEL
telephone number
@/INTERVIEWER: PLEASE ENTER A TELEPHONE NUMBER FOR THE END OF
LIFE INTERVIEW RESPONDENT.
@/INTERVIEWER: PLEASE ENTER A TELEPHONE NUMBER FOR THE END OF
LIFE INTERVIEW RESPONDENT.
| | | | | ========================================================================
| | | | |
CONDETE
End of Life Interview respondent
@/INTERVIEWER: END OF LIFE INTERVIEW RESPONDENT:
@/@/RESPONDENT NAME : ______
@/RELATIONSHIP : ______
@/ADDRESS :______ @/______ @/______ @/______ @/PC: ______
@/TELEPHONE :______
@/@/IS THIS CORRECT?
@/GO BACK AND CHANGE IF NOT CORRECT.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Correct
2 @INot@I correct
@/INTERVIEWER: END OF LIFE INTERVIEW RESPONDENT:
@/@/RESPONDENT NAME : ______
@/RELATIONSHIP : ______
@/ADDRESS :______ @/______ @/______ @/______ @/PC: ______
@/TELEPHONE :______
@/@/IS THIS CORRECT?
@/GO BACK AND CHANGE IF NOT CORRECT.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Correct
2 @INot@I correct
| |
ElseIf proxy to answer end of life interview (FQEIINT) = 1 Willing to answer end of life interview »
| | | ========================================================================
| | |
FQEXSUR
surname of the End of Life Interview
@/INTERVIEWER: PLEASE ENTER THE SURNAME OF THE END OF LIFE INTERVIEW
RESPONDENT.
@/INTERVIEWER: PLEASE ENTER THE SURNAME OF THE END OF LIFE INTERVIEW
RESPONDENT.
If person to be interviewed in this session (ALLOCP) = DHRESP »
|
As IDX goes from 1 to 12 » »
| |
If DMINST IN [1..3] and PWAVE.DHWHAT != 3 »
| | |
If PTYPE (PTYPE) = 3 Proxy other »
| | | | ========================================================================
| | | |
FQMIPRX
give institution proxy details
YOU TOLD ME EARLIER THAT Person name HAS MOVED INTO A
RESIDENTIAL/NURSING HOME AND WOULD NOT BE CAPABLE OF ANSWERING
QUESTIONS himself. PLEASE CAN YOU GIVE ME THE DETAILS OF THE
PERSON YOU WOULD LIKE US TO TALK TO ABOUT him.
@/@/INTERVIEWER: IF GIVEN, PLEASE WRITE ON ARF SECTION C6.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to give institution proxy informant details
2 Unwilling to give institution proxy informant details
YOU TOLD ME EARLIER THAT Person name HAS MOVED INTO A
RESIDENTIAL/NURSING HOME AND WOULD NOT BE CAPABLE OF ANSWERING
QUESTIONS himself. PLEASE CAN YOU GIVE ME THE DETAILS OF THE
PERSON YOU WOULD LIKE US TO TALK TO ABOUT him.
@/@/INTERVIEWER: IF GIVEN, PLEASE WRITE ON ARF SECTION C6.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to give institution proxy informant details
2 Unwilling to give institution proxy informant details
| | |
Else
| | | | ========================================================================
| | | |
FQMIADD
give institution details
YOU TOLD ME EARLIER THAT Person name HAS MOVED INTO A
RESIDENTIAL/NURSING HOME. In order to understand the variation in the lives of older people, we'd like to ask him/her to continue to participate in the study
@/WOULD YOU BE PREPARED TO GIVE ME THE CONTACT DETAILS OF
Person name'S RESIDENTIAL/NURSING HOME for our records?
@/@/INTERVIEWER: IF GIVEN, WRITE DETAILS ON ARF SECTION C8.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to give institution details
2 Unwilling to give institution details
YOU TOLD ME EARLIER THAT Person name HAS MOVED INTO A
RESIDENTIAL/NURSING HOME. In order to understand the variation in the lives of older people, we'd like to ask him/her to continue to participate in the study
@/WOULD YOU BE PREPARED TO GIVE ME THE CONTACT DETAILS OF
Person name'S RESIDENTIAL/NURSING HOME for our records?
@/@/INTERVIEWER: IF GIVEN, WRITE DETAILS ON ARF SECTION C8.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Willing to give institution details
2 Unwilling to give institution details
========================================================================
TITL
respondent details
@/INTERVIEWER:@|CHECK/COLLECT RESPONDENT'S TITLE, FIRST NAME AND
SURNAME.
@/@|@|@|IF THEY ARE A NEW PARTNER OR THEIR DETAILS HAVE CHANGED,
WRITE THE DETAILS ON ARF AT @ISECTION G (ARF C) OR I (ARF A)@I.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Press <1> and to continue.
@/INTERVIEWER:@|CHECK/COLLECT RESPONDENT'S TITLE, FIRST NAME AND
SURNAME.
@/@|@|@|IF THEY ARE A NEW PARTNER OR THEIR DETAILS HAVE CHANGED,
WRITE THE DETAILS ON ARF AT @ISECTION G (ARF C) OR I (ARF A)@I.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Press <1> and
========================================================================
ADDR
respondent address
@/INTERVIEWER: CHECK ADDRESS AS WRITTEN ON THE ARF IS CORRECT.
IF NOT CORRECT, THEN WRITE CHANGES ON ADDRESS LABEL.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Press <1> and to continue.
@/INTERVIEWER: CHECK ADDRESS AS WRITTEN ON THE ARF IS CORRECT.
IF NOT CORRECT, THEN WRITE CHANGES ON ADDRESS LABEL.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Press <1> and
========================================================================
TEL
respondent telephone number
@/INTERVIEWER:@|CHECK/COLLECT RESPONDENTS TELEPHONE NUMBER.
@/@|@|@|IF NEW/DIFFERENT, WRITE THE DETAILS ON ARF.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Press <1> and to continue.
@/INTERVIEWER:@|CHECK/COLLECT RESPONDENTS TELEPHONE NUMBER.
@/@|@|@|IF NEW/DIFFERENT, WRITE THE DETAILS ON ARF.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Press <1> and
========================================================================
EMAIL
respondent email
@/INTERVIEWER:@|PLEASE COLLECT EMAIL ADDRESS (IF THEY HAVE ONE).
@/@|@|@|IF NEW, WRITE THE DETAILS ON THE ARF AT @ISECTION G (ARF C) OR I (ARF A)@I.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Press <1> and to continue.
@/INTERVIEWER:@|PLEASE COLLECT EMAIL ADDRESS (IF THEY HAVE ONE).
@/@|@|@|IF NEW, WRITE THE DETAILS ON THE ARF AT @ISECTION G (ARF C) OR I (ARF A)@I.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Press <1> and
If Is this a proxy respondent? (IASKPX) != 1 Yes »
| ========================================================================
|
FQHELP
Whether respondent needed any help reading the show cards
INTERVIEWER: DID RESPONDENT NEED ANY HELP READING THE SHOW CARDS DURING THE INTERVIEW?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes - due to sight problems
2. Yes - due to literacy problems
3. Yes - don t know reason
4. No
INTERVIEWER: DID RESPONDENT NEED ANY HELP READING THE SHOW CARDS DURING THE INTERVIEW?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes - due to sight problems
2. Yes - due to literacy problems
3. Yes - don t know reason
4. No
End of FQ. Final Questions