FQ. Final Questions

FQ. Final Questions module of ELSA 2008

item label type description
FQNRRFO Question other reason for refusal
FQEXADPC Question Postcode
FQEXTEL Question telephone number
CONDETE Question End of Life Interview respondent
ALLOCP Question person to be interviewed in this session
DMINST Question
EMAIL Question respondent email
TEL Question respondent telephone number
ADDR Question respondent address
TITL Question respondent details
FQQUALD Question W2 Qualifications
FQEXSUR Question surname of the End of Life Interview
FQEIANY Question give details of end of life informant
FQEIINT Question proxy to answer end of life interview
FQEIHMEM Question person number potential end of life interview resp
FQNHSCS Question signed HES consent form
FQEXAD4 Question Address line 4
FQEXAD3 Question Address line 3
FQEXAD2 Question Address line 2
ELSA Question ELSA
FQCONBR Question Health consent reminder
CONFLAGB Question Flag to show whether Consent B (Economics) has been refused twice
CONFLAGA Question Flag to show whether Consent A (Health) has been refused twice
CONRECB Question Consent B (Economic) given
CONRECA Question Consent A (Health) given
NHSCFLAG Question Flag to show whether HES consent has been refused twice
NHSCR Question National Health Service Central Register
FQMIADD Question give institution details
FQMIPRX Question give institution proxy details
DMEXIT Question
PILOT Question Pilot
FQEIREL Question relationship to deceased
FQEXRES Question full name
FQEXAD1 Question Address line 1
FQNHSC Question given HES consent
FQCONC Question health and economic consent
IDAUNIQ System generated unique individual serial number
FQOQ Question qualification name
FQQUAZ Question qualification type
FQCBTH Question country of birth
FQCUL Question cultural background
FQCULTO Question other cultural background
FQCULB Question other cultural background
FQCBAC Question asian cultural background
FQBACK Question black cultural background
FQBCG Question mixed ethnic cultural background
FQWCULT Question white cultural background
FQETHN Question ethnic group
FQNR Question
FQNURP Question request a nurse visit
FQNURSE Question Agreed nurse visit
FQCONA Question additional health consent
FQADDP Question proxy informant details
FQSTC Question confirm stable address
FQADDR Question give stable address
FQPRW2 Question
FQPRW1 Question who proxy nomination is
FQCONAR Question Economics consent reminder
FQPROX Question Willingness to give proxy nomination
FQPROXB Question confirm stable address
FQAPREM Question
FQNURRF Question reason for refusing nurse contact
IASKPX Question Is this a proxy respondent?
FQETHNR System generated Ethnicity recoded into white and non-white
FQCBTHR System generated Country of birth recoded into UK and non-UK
FQCENG Question Year of arrival in England
FQMQUA Question Whether obtained further qualifications since last interview
FQAQUA Question Whether has certain qualifications
FQQUAL Question Which of certain qualification R has
FQEND Question Age finished full-time education
FQHELP Question asked of interviewer Whether respondent needed any help reading the show cards
FQAPT Question who arranged nurse visit
FQCONB Question additional economic consent
FQCONS Question health and economic consent
DHRESP Question person who answered the Household Grid
PTYPE System generated PTYPE
PELIG System generated Eligible
Start of FQ. Final Questions
 
FQNR


Now I have some final questions before we reach the end of the interview.
expand
 
If ethnic group (previous wave) !was answered »
 
   
 
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.
expand
   
If ethnic group = 1 White »
 
   
 
If white cultural background (previous wave) !was answered »
 
     
   
FQWCULT

white cultural background

WHAT IS your/name CULTURAL BACKGROUND? IS IT...
INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
expand
     
ElseIf ethnic group = 2 Mixed ethnic group »
 
   
 
If mixed ethnic cultural background (previous wave) !was answered »
 
     
   
FQBCG

mixed ethnic cultural background

WHAT IS your/name CULTURAL BACKGROUND? IS IT...
INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
expand
     
ElseIf ethnic group includes [3, 4] »
 
   
 
If black cultural background (previous wave) !was answered »
 
     
   
FQBACK

black cultural background

WHAT IS your/name CULTURAL BACKGROUND? IS IT...
INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
expand
     
ElseIf ethnic group includes [5, 6] »
 
   
 
If asian cultural background (previous wave) !was answered »
 
     
   
FQCBAC

asian cultural background

WHAT IS your/name CULTURAL BACKGROUND? IS IT...
INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
expand
     
ElseIf ethnic group = 95 Any other group »
 
   
 
If other cultural background (previous wave) !was answered »
 
     
   
FQCULB

other cultural background

WHAT IS your/name CULTURAL BACKGROUND? IS IT...
INTERVIEWER: READ OUT EACH IN TURN AND CODE ALL THAT APPLY.
expand
     
If white cultural background = 95 ... Any other cultural background? (specify) or mixed ethnic cultural background = 95 ... any other cultural background?(specify) or black cultural background = 95 ... any other cultural background? (specify) or asian cultural background = 95 ... any other cultural background? (specify) or other cultural background = 95 ... any other cultural background? (specify) »
 
   
 
If other cultural background (previous wave) !was answered »
 
     
   
FQCULTO

other cultural background

HOW WOULD YOU DESCRIBE your/name CULTURAL BACKGROUND?
     
 
If other cultural background was answered and EDITOR MODE = 1 »
 
     
   
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 ...
expand
     
If country of birth (previous wave) !was answered »
 
   
 
FQCBTH

country of birth

IN WHICH COUNTRY were you BORN?
expand
   
If country of birth was answered and country of birth != 1 England and Year of arrival in England (previous wave) !was answered »
 
   
 
FQCENG

Year of arrival in England

IN WHAT YEAR DID you COME TO LIVE IN ENGLAND? INTERVIEWER: WRITE IN YEAR.
   
If W2 Qualifications (previous wave) was answered »
 
   
 
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?
expand
   
Else
 
   
 
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.
expand
   
If Whether obtained further qualifications since last interview = 1 Yes or Whether has certain qualifications = 1. Yes »
 
   
 
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?'
expand
   
 
If EDITOR MODE = 1 and Which of certain qualification R has = 95 »
 
     
   
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.
expand
     
 
If Which of certain qualification R has = 95 and EDITOR MODE != 1 or qualification type was assigned an EMPTY value or qualification type = 95  »
 
     
   
FQOQ

qualification name

WHAT QUALIFICATIONS ARE THESE?
INTERVIEWER:RECORD ALL OTHER QUALIFCATIONS IN FULL.
PROBE - 'WHAT ELSE?'
     
If Age finished full-time education (previous wave) !was answered »
 
   
 
FQEND

Age finished full-time education

AT WHAT AGE DID you FINISH his CONTINUOUS FULL-TIME EDUCATION AT SCHOOL OR COLLEGE?
expand
   
If Is this a proxy respondent? != 1 Yes »
 
   
 
If ELSA (previous wave) != 1 ELSA sample member »
 
     
   
FQNURP

request a nurse visit

INTERVIEWER: DON'T READ THIS OUT.
DOES NAME REQUEST A NURSE VISIT?
ONLY CODE 'YES' IF he INSISTS ON A NURSE VISIT. ELSE JUST PRESS
expand
     
 
ElseIf ELSA (previous wave) = 1 ELSA sample member »
 
     
   
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.'
expand
     
   
If Agreed nurse visit = 2 No to nurse visit »
 
       
     
FQNURRF

reason for refusing nurse contact

INTERVIEWER:RECORD REASON WHY RESPONDENT REFUSED NURSE CONTACT.
expand
       
     
If reason for refusing nurse contact = 7 »
 
         
       
FQNRRFO

other reason for refusal

INTERVIEWER:PLEASE SPECIFY OTHER REASON FOR REFUSAL.
         
 
If Agreed nurse visit = 1 Yes to nurse visit or request a nurse visit = 1 Yes »
 
     
   
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.
DON'T FORGET 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.
     
   
If who arranged nurse visit !was assigned an EMPTY value »
 
       
     
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.
expand
       
 
If Willingness to give proxy nomination (previous wave) = 1 Willing to give proxy nomination »
 
     
   
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).
expand
     
 
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).
expand
     
 
If Willingness to give proxy nomination = 1 Willing to give proxy nomination or confirm stable address = 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?
expand
     
   
If who proxy nomination is = 97 »
 
       
     
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.
expand
       
If give stable address (previous wave) != 1 Willing to give contact address »
 
   
 
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).
expand
   
ElseIf give stable address (previous wave) = 1 Willing to give contact address »
 
   
 
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.
expand
   
If Person number of proxy respondent = 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).
expand
   
If Is this a proxy respondent? != 1 Yes »
 
   
 
If Consent A (Health) given (previous wave) != 1 Given and Consent B (Economic) given (previous wave) != 1 Given and Flag to show whether Consent A (Health) has been refused twice (previous wave) != 1 Yes and Flag to show whether Consent B (Economics) has been refused twice (previous wave) != 1 Yes »
 
     
   
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.
expand
     
 
ElseIf Consent A (Health) given (previous wave) != 1 Given and Consent B (Economic) given (previous wave) = 1 Given »
 
     
   
If Flag to show whether Consent A (Health) has been refused twice (previous wave) != 1 Yes »
 
       
     
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.
- IF ADDITIONAL CONSENT GIVEN:USE NEW YELLOW CONSENT FORM. RESPONDENTS
TO CIRCLE A AND B AND THEN SIGN AT THE BOTTOM.
- IF ADDITIONAL CONSENT REFUSED:YOU DO NOT NEED TO DO ANYTHING,
JUST CODE BELOW.
- IF WITHDRAWING CONSENT:YOU DO NOT NEED TO DO ANYTHING, JUST CODE
BELOW.
expand
       
   
ElseIf Flag to show whether Consent A (Health) has been refused twice (previous wave) = 1 Yes »
 
       
     
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.
- IF STILL GIVES CONSENT:YOU DO NOT NEED TO DO ANYTHING, JUST CODE BELOW.
- IF WITHDRAWING CONSENT:YOU DO NOT NEED TO DO ANYTHING, JUST CODE BELOW.
expand
       
 
ElseIf Consent A (Health) given (previous wave) = 1 Given and Consent B (Economic) given (previous wave) != 1 Given »
 
     
   
If Flag to show whether Consent B (Economics) has been refused twice (previous wave) != 1 Yes »
 
       
     
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.
- IF ADDITIONAL CONSENT GIVEN:·· USE NEW YELLOW CONSENT FORM.
RESPONDENTS TO CIRCLE BOX A AND B AND THEN SIGN AT THE BOTTOM.
- IF ADDITIONAL CONSENT REFUSED:·· YOU DO NOT NEED TO DO ANYTHING,
JUST CODE BELOW.
- IF WITHDRAWING CONSENT: YOU DO NOT NEED TO DO ANYTHING, JUST CODE
BELOW.
THE NATIONAL INSURANCE NUMBER CAN BE FOUND ON PAYSLIP, BENEFIT
BOOK OR TAX RETURN.
expand
       
   
ElseIf Flag to show whether Consent B (Economics) has been refused twice (previous wave) = 1 Yes »
 
       
     
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.
- IF STILL GIVES CONSENT:YOU DO NOT NEED TO DO ANYTHING, JUST CODE BELOW.
- IF WITHDRAWING CONSENT:YOU DO NOT NEED TO DO ANYTHING, JUST CODE BELOW.
expand
       
 
ElseIf Consent A (Health) given (previous wave) = 1 Given and Consent B (Economic) given (previous wave) = 1 Given »
 
     
   
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.
- IF STILL CONSENTING TO HEALTH AND ECONOMIC LINKAGE:YOU DO NOT NEED TO DO
ANYTHING, JUST CODE BELOW.
-IF WITHDRAWING ONE OR BOTH CONSENTS:YOU DO NOT NEED TO DO ANYTHING,
JUST CODE BELOW.
expand
     
 
If National Health Service Central Register (previous wave) != 1 Permission given and Flag to show whether HES consent has been refused twice (previous wave) != 1 Yes »
 
     
   
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?
expand
     
   
If given HES consent = 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 NHS CENTRAL REGISTER CONSENT FORM.
ASK RESPONDENT TO SIGN AND DATE FORM.
CODE WHETHER SIGNED CONSENT OBTAINED.
expand
       
As IDX goes from 1 to 12  »
 
   
 
If = ALLOCP »
 
     
   
If Eligible = 1 eligible and 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.
expand
       
   
If proxy to answer end of life interview = 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.
expand
       
     
If give details of end of life informant = 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
expand
         
       
If person number potential end of life interview resp includes [1..16] »
 
           
         
FQEXSUR

surname of the End of Life Interview

INTERVIEWER: PLEASE ENTER THE SURNAME OF THE END OF LIFE INTERVIEW
RESPONDENT.
           
       
ElseIf person number potential end of life interview resp = 97 »
 
           
         
FQEIREL

relationship to deceased

HOW IS THE END OF LIFE INTERVIEW RESPONDENT RELATED TO Person name?
expand
           
         
FQEXRES

full name

INTERVIEWER: PLEASE ENTER THE FULL NAME OF THE END OF LIFE INTERVIEW
RESPONDENT.
           
         
FQEXAD1

Address line 1

INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
ADDRESS LINE 1.
           
         
If Address line 1 was answered »
 
             
           
FQEXAD2

Address line 2

INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
ADDRESS LINE 2.
(JUST PRESS IF NO MORE TO ADD.)
             
           
If Address line 2 !was assigned an EMPTY value »
 
               
             
FQEXAD3

Address line 3

INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
ADDRESS LINE 3.
(JUST PRESS IF NO MORE TO ADD.)
               
             
If Address line 3 !was assigned an EMPTY value »
 
                 
               
FQEXAD4

Address line 4

INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
ADDRESS LINE 4.
(JUST PRESS IF NO MORE TO ADD.)
                 
           
FQEXADPC

Postcode

INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
POSTCODE.
(JUST PRESS IF NONE.)
             
         
FQEXTEL

telephone number

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.
expand
           
   
ElseIf proxy to answer end of life interview = 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.
       
If person to be interviewed in this session = DHRESP »
 
   
 
As IDX goes from 1 to 12  »
 
     
   
If includes [1..3] and reason for not living here (previous wave) != 3 »
 
       
     
If 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.
expand
         
     
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.
expand
         
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 SECTION G (ARF C) OR I (ARF A).
expand
 
ADDR

respondent address

INTERVIEWER: CHECK ADDRESS AS WRITTEN ON THE ARF IS CORRECT.
IF NOT CORRECT, THEN WRITE CHANGES ON ADDRESS LABEL.
expand
 
TEL

respondent telephone number

INTERVIEWER:CHECK/COLLECT RESPONDENTS TELEPHONE NUMBER.
IF NEW/DIFFERENT, WRITE THE DETAILS ON ARF.
expand
 
EMAIL

respondent email

INTERVIEWER:PLEASE COLLECT EMAIL ADDRESS (IF THEY HAVE ONE).
IF NEW, WRITE THE DETAILS ON THE ARF AT SECTION G (ARF C) OR I (ARF A).
expand
 
If Is this a proxy respondent? != 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?
expand
   
End of FQ. Final Questions
Start of FQ. Final Questions

========================================================================
FQNR


@/Now I have some final questions before we reach the end of the interview.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Press <1> and to continue.


If PWAVE.FQETHN !was answered »

|  ========================================================================
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


If ethnic group (FQETHN) = 1 White »

If PWAVE.FQWCULT !was answered »

| |  ========================================================================
| | 
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)


ElseIf ethnic group (FQETHN) = 2 Mixed ethnic group »

If PWAVE.FQBCG !was answered »

| |  ========================================================================
| | 
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)


ElseIf FQETHN IN [3, 4] »

If PWAVE.FQBACK !was answered »

| |  ========================================================================
| | 
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)


ElseIf FQETHN IN [5, 6] »

If PWAVE.FQCBAC !was answered »

| |  ========================================================================
| | 
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)


ElseIf ethnic group (FQETHN) = 95 Any other group »

If PWAVE.FQCULB !was answered »

| |  ========================================================================
| | 
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)


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) »

If PWAVE.FQCULB !was answered »

| |  ========================================================================
| | 
FQCULTO
other cultural background

@/HOW WOULD YOU DESCRIBE your/name CULTURAL BACKGROUND?

If other cultural background (FQCULTO) was answered and EDITOR MODE (EDITQRE) = 1 »

| |  ========================================================================
| | 
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

If PWAVE.FQCBTH !was answered »

|  ========================================================================
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

If country of birth (FQCBTH) was answered and country of birth (FQCBTH) != 1 England and PWAVE.FQCENG !was answered »

|  ========================================================================
FQCENG
Year of arrival in England

IN WHAT YEAR DID you COME TO LIVE IN ENGLAND? INTERVIEWER: WRITE IN YEAR.

If PWAVE.FQQUALD was answered »

|  ========================================================================
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

Else

|  ========================================================================
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

If Whether obtained further qualifications since last interview (FQMQUA) = 1 Yes or Whether has certain qualifications (FQAQUA) = 1. Yes »

|  ========================================================================
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

If EDITOR MODE (EDITQRE) = 1 and Which of certain qualification R has (FQQUAL) = 95 »

| |  ========================================================================
| | 
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

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  »

| |  ========================================================================
| | 
FQOQ
qualification name

@/WHAT QUALIFICATIONS ARE THESE?
@/@/INTERVIEWER:@|RECORD ALL OTHER QUALIFCATIONS IN FULL.
@/@|@|@|PROBE - 'WHAT ELSE?'

If PWAVE.FQEND !was answered »

|  ========================================================================
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

If Is this a proxy respondent? (IASKPX) != 1 Yes »

If PWAVE.ELSA != 1 »

| |  ========================================================================
| | 
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

ElseIf PWAVE.ELSA = 1 »

| |  ========================================================================
| | 
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

| |  If Agreed nurse visit (FQNURSE) = 2 No to nurse visit »

| | |  ========================================================================
| | | 
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)


| | |  If reason for refusing nurse contact (FQNURRF) = 7 »

| | | |  ========================================================================
| | | | 
FQNRRFO
other reason for refusal

INTERVIEWER:@|PLEASE SPECIFY OTHER REASON FOR REFUSAL.

If Agreed nurse visit (FQNURSE) = 1 Yes to nurse visit or request a nurse visit (FQNURP) = 1 Yes »

| |  ========================================================================
| | 
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.

| |  If who arranged nurse visit (FQAPT) !was assigned an EMPTY value »

| | |  ========================================================================
| | | 
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

If PWAVE.FQPROX = 1 »

| |  ========================================================================
| | 
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

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

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


| |  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

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


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


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


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

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


| |  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


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


| |  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


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


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

| |  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


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

| |  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

| | |  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

| | | |  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.

| | | |  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)


| | | | |  ========================================================================
| | | | | 
FQEXRES
full name

@/INTERVIEWER: PLEASE ENTER THE FULL NAME OF THE END OF LIFE INTERVIEW
RESPONDENT.

| | | | |  ========================================================================
| | | | | 
FQEXAD1
Address line 1

@/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.)

| | | | | |  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.)

| | | | | | |  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.)

| | | | | |  ========================================================================
| | | | | | 
FQEXADPC
Postcode

@/INTERVIEWER: PLEASE ENTER THE ADDRESS FOR THE END OF LIFE
INTERVIEW RESPONDENT.
@/@/@IPOSTCODE@I.
@/@/(JUST PRESS IF NONE.)

| | | | |  ========================================================================
| | | | | 
FQEXTEL
telephone number

@/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

| |  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.

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

| | |  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

========================================================================
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.


========================================================================
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.


========================================================================
TEL
respondent telephone number

@/INTERVIEWER:@|CHECK/COLLECT RESPONDENTS TELEPHONE NUMBER.
@/@|@|@|IF NEW/DIFFERENT, WRITE THE DETAILS ON ARF.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Press <1> and to continue.


========================================================================
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.


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

End of FQ. Final Questions