CV. Coverscreen
CV. Coverscreen Module of SHARE 2013
Start of CV. Coverscreen
If SKIP_INTROPAGE = 0 »
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COVERSCREENWIZARDINTROPAGE
The CoverScreen Wizard
THE COVERSCREEN WIZARD WILL GUIDE YOU THROUGH THE STEPS NEEDED TO UPDATE THE INFORMATION WE HAVE ABOUT A HOUSEHOLD. PLEASE READ THE QUESTION TEXT ALOUD TO THE RESPONDENT. TEXT IN BOLD STARTING WITH 'IWER:' GIVES YOU EXTRA INFORMATION TO CLARIFY THE QUESTION. IT CAN ALSO PROVIDE HINTS IN CASE YOU DO NOT UNDERSTAND THE MEANING OF A QUESTION.PRESS THE 'NEXT' BUTTON TO START THE WIZARD
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1. Continue
THE COVERSCREEN WIZARD WILL GUIDE YOU THROUGH THE STEPS NEEDED TO UPDATE THE INFORMATION WE HAVE ABOUT A HOUSEHOLD. PLEASE READ THE QUESTION TEXT ALOUD TO THE RESPONDENT. TEXT IN BOLD STARTING WITH 'IWER:' GIVES YOU EXTRA INFORMATION TO CLARIFY THE QUESTION. IT CAN ALSO PROVIDE HINTS IN CASE YOU DO NOT UNDERSTAND THE MEANING OF A QUESTION.PRESS THE 'NEXT' BUTTON TO START THE WIZARD
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1. Continue
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COVERSCREENWIZARDNURSINGHOMEPAGE
CoverscreenWizardNursingHomePage
IWER: DOES THE ELIGIBLE RESPONDENT LIVE IN A PRIVATE HOUSEHOLD OR IN A NURSING HOME?
A NURSING HOME PROVIDES ALL OF THE FOLLOWING SERVICES FOR ITS RESIDENTS: DISPENSING OF MEDICATION,
AVAILABLE 24-HOUR PERSONAL ASSISTANCE AND SUPERVISION (NOT NECESSARILY A NURSE), AND ROOM &
MEALS.
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1 Private household
2 Nursing home
IWER: DOES THE ELIGIBLE RESPONDENT LIVE IN A PRIVATE HOUSEHOLD OR IN A NURSING HOME?
A NURSING HOME PROVIDES ALL OF THE FOLLOWING SERVICES FOR ITS RESIDENTS: DISPENSING OF MEDICATION,
AVAILABLE 24-HOUR PERSONAL ASSISTANCE AND SUPERVISION (NOT NECESSARILY A NURSE), AND ROOM &
MEALS.
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1 Private household
2 Nursing home
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COVERSCREENWIZARDINTROPAGEINTROPARTICIPATED
CoverscreenWizardIntroPageintroParticipated
IN [{MONTH}] [{YEAR}], YOUR HOUSEHOLD HAS PARTICIPATED IN A STUDY CALLED 50+ IN EUROPE. AS YOU KNOW,
THIS STUDY IS INTERESTED IN LEARNING ABOUT IMPORTANT ASPECTS OF PEOPLE'S LIVES SUCH AS THEIR HEALTH,
FINANCIAL AND FAMILY SITUATIONS. TO DO SO, WE ARE RE-INTERVIEWING PEOPLE SUCH AS YOURSELF WHO
PARTICIPATED IN THE STUDY LAST TIME.
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1 Continue
IN [{MONTH}] [{YEAR}], YOUR HOUSEHOLD HAS PARTICIPATED IN A STUDY CALLED 50+ IN EUROPE. AS YOU KNOW,
THIS STUDY IS INTERESTED IN LEARNING ABOUT IMPORTANT ASPECTS OF PEOPLE'S LIVES SUCH AS THEIR HEALTH,
FINANCIAL AND FAMILY SITUATIONS. TO DO SO, WE ARE RE-INTERVIEWING PEOPLE SUCH AS YOURSELF WHO
PARTICIPATED IN THE STUDY LAST TIME.
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1 Continue
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COVERSCREENWIZARD
What is your name?
WHAT IS YOUR NAME?
IWER: SELECT THE PERSON WHO IS VERIFYING THE COVERSCREEN DATA, OR IF THIS PERSON IS NOT KNOWN TO THE
SYSTEM, TYPE IN HIS OR HER NAME. THE LAST NAME IS OPTIONAL.
SOMEONE ELSE, NAMELY
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1. Name of Respondent
WHAT IS YOUR NAME?
IWER: SELECT THE PERSON WHO IS VERIFYING THE COVERSCREEN DATA, OR IF THIS PERSON IS NOT KNOWN TO THE
SYSTEM, TYPE IN HIS OR HER NAME. THE LAST NAME IS OPTIONAL.
SOMEONE ELSE, NAMELY
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1. Name of Respondent
As CNT goes from 1 to NUMBEROFPRELOADEDHOUSEMEMBERS » »
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If SELECTEDRESPONDENT IN PRELOADEDRESPONDENTS »
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COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE
CoverscreenWizardRespondentConfirmationPage
DO YOU (STILL) LIVE IN THIS HOUSEHOLD?
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1 Yes
5 No
6 Has moved out
7 Never lived here
DO YOU (STILL) LIVE IN THIS HOUSEHOLD?
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1 Yes
5 No
6 Has moved out
7 Never lived here
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If SELECTEDRESPONDENTISDISEASED »
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COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:SORRY
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:SORRY
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COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:NAME
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:NAME
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COVERSCREENWIZARDRESPONDENTCONFORMATIONPAGE:GENDER
COVERSCREENWIZARDRESPONDENTCONFORMATIONPAGE:GENDER
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If NOT (SELECTEDRESPONDENT = CVRESPONDENT) »
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COVERSCREENRESPONDENTCONFIRMATIONPAGE:RELATION_TO_CV_R
COVERSCREENRESPONDENTCONFIRMATIONPAGE:RELATION_TO_CV_R
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COVERSCREENWIZARDRESPONDENTCONFIRMATION:BIRTH
COVERSCREENWIZARDRESPONDENTCONFIRMATION:BIRTH
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If COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:IS_LIVING = 6 »
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COVERSCREENWIZARD
What is your name?
WHAT IS YOUR NAME?
IWER: SELECT THE PERSON WHO IS VERIFYING THE COVERSCREEN DATA, OR IF THIS PERSON IS NOT KNOWN TO THE
SYSTEM, TYPE IN HIS OR HER NAME. THE LAST NAME IS OPTIONAL.
SOMEONE ELSE, NAMELY
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1. Name of Respondent
WHAT IS YOUR NAME?
IWER: SELECT THE PERSON WHO IS VERIFYING THE COVERSCREEN DATA, OR IF THIS PERSON IS NOT KNOWN TO THE
SYSTEM, TYPE IN HIS OR HER NAME. THE LAST NAME IS OPTIONAL.
SOMEONE ELSE, NAMELY
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1. Name of Respondent
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If COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:IS_LIVING = 6 »
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COVERSCREENWIZARD
What is your name?
WHAT IS YOUR NAME?
IWER: SELECT THE PERSON WHO IS VERIFYING THE COVERSCREEN DATA, OR IF THIS PERSON IS NOT KNOWN TO THE
SYSTEM, TYPE IN HIS OR HER NAME. THE LAST NAME IS OPTIONAL.
SOMEONE ELSE, NAMELY
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1. Name of Respondent
WHAT IS YOUR NAME?
IWER: SELECT THE PERSON WHO IS VERIFYING THE COVERSCREEN DATA, OR IF THIS PERSON IS NOT KNOWN TO THE
SYSTEM, TYPE IN HIS OR HER NAME. THE LAST NAME IS OPTIONAL.
SOMEONE ELSE, NAMELY
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1. Name of Respondent
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If (INTERVIEW IN NURSINGHOME) »
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COVERSCREENWIZARDNURSINGHOMEPAGEOTHERSPAGE
COVERSCREENWIZARDNURSINGHOMEPAGEOTHERSPAGE
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As CNT goes from 1 to NUMBEROFOTHERDIEDRESPONDENTS » »
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COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:SORRY
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:SORRY
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COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:NAME
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:NAME
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COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:GENDER
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:GENDER
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COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:RELATION_TO_CV_R
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:RELATION_TO_CV_R
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COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:BIRTH
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:BIRTH
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COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:WHEN_DECEASED
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:WHEN_DECEASED
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If (SELECTEDRESPONDENTISDISEASED) »
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COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:WHEN_DECEASED
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:WHEN_DECEASED
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Else
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CVRESPONDENTLIVESHEREPAGE
CVRespondentLivesHerePage
DO YOU LIVE IN THIS HOUSEHOLD?
IWER: A HOUSEHOLD CONSISTS OF ALL PERSONS - WHO LIVE IN THE SAME DWELLING (USING THE SAME ENTRANCE DOOR) AND
- WHO HAVE A COMMON HOUSEKEEPING BUDGET OR USUALLY HAVE THEIR MEALS TOGETHER.
EXCEPTIONS:
LODGERS (PERSONS WHO SUBLET) ARE NOT CONSIDERED MEMBERS OF THE HOUSEHOLD, EVEN THOUGH THEY
MAY OCCASIONALLY HAVE DINNER WITH THE HOST. CHILDREN LIVING TOGETHER WITH THEIR PARENTS AT THE PARENTS' ADDRESS, OR PARENTS LIVING TOGETHER WITH THEIR CHILDREN AT THE CHILDREN'S ADDRESS WILL BE
CONSIDERED MEMBERS OF THE HOUSEHOLD WHETHER OR NOT THEY HAVE A COMMON HOUSEKEEPING BUDGET FOR MEALS.
TEMPORARILY ABSENT HOUSEHOLD MEMBERS SHOULD BE CONSIDERED MEMBERS IF THEY HAVE NO OTHER
MAIN DWELLING, HAVE RETAINED ECONOMIC TIES WITH THE HOUSEHOLD AND THEIR ABSENCE IS NOT LONGER
THAN 1 YEAR.
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1 Yes
2 No, proxy
DO YOU LIVE IN THIS HOUSEHOLD?
IWER: A HOUSEHOLD CONSISTS OF ALL PERSONS - WHO LIVE IN THE SAME DWELLING (USING THE SAME ENTRANCE DOOR) AND
- WHO HAVE A COMMON HOUSEKEEPING BUDGET OR USUALLY HAVE THEIR MEALS TOGETHER.
EXCEPTIONS:
LODGERS (PERSONS WHO SUBLET) ARE NOT CONSIDERED MEMBERS OF THE HOUSEHOLD, EVEN THOUGH THEY
MAY OCCASIONALLY HAVE DINNER WITH THE HOST. CHILDREN LIVING TOGETHER WITH THEIR PARENTS AT THE PARENTS' ADDRESS, OR PARENTS LIVING TOGETHER WITH THEIR CHILDREN AT THE CHILDREN'S ADDRESS WILL BE
CONSIDERED MEMBERS OF THE HOUSEHOLD WHETHER OR NOT THEY HAVE A COMMON HOUSEKEEPING BUDGET FOR MEALS.
TEMPORARILY ABSENT HOUSEHOLD MEMBERS SHOULD BE CONSIDERED MEMBERS IF THEY HAVE NO OTHER
MAIN DWELLING, HAVE RETAINED ECONOMIC TIES WITH THE HOUSEHOLD AND THEIR ABSENCE IS NOT LONGER
THAN 1 YEAR.
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1 Yes
2 No, proxy
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COVERSCREENWIZARDNEWCVRESPONDENTPAGE
CoverscreenWizardNewCVRespondentPage
CAN YOU GIVE ME YOUR PERSONAL DETAILS?
IWER: PLEASE ASK FOR NAME, MONTH AND YEAR OF BIRTH, AND GENDER
NAME _____________ ______________
FIRST NAME LAST NAME (OPTIONAL)
MONTH [{MONTHSELECTBOX}]
YEAR ___________
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1 Male
2 Female
CAN YOU GIVE ME YOUR PERSONAL DETAILS?
IWER: PLEASE ASK FOR NAME, MONTH AND YEAR OF BIRTH, AND GENDER
NAME _____________ ______________
FIRST NAME LAST NAME (OPTIONAL)
MONTH [{MONTHSELECTBOX}]
YEAR ___________
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1 Male
2 Female
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COVERSCREENWIZARDNEWMEMBERSPAGE
COVERSCREENWIZARDNEWMEMBERSPAGE
As CNT goes from 1 to NUMBEROFNEWRESPONDENTS » »
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COVERSCREENWIZARDNEWMEMBERSPAGE
COVERSCREENWIZARDNEWMEMBERSPAGE
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If COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:IS_LIVING = 6 »
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COVERSCREENWIZARD
What is your name?
WHAT IS YOUR NAME?
IWER: SELECT THE PERSON WHO IS VERIFYING THE COVERSCREEN DATA, OR IF THIS PERSON IS NOT KNOWN TO THE
SYSTEM, TYPE IN HIS OR HER NAME. THE LAST NAME IS OPTIONAL.
SOMEONE ELSE, NAMELY
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1. Name of Respondent
WHAT IS YOUR NAME?
IWER: SELECT THE PERSON WHO IS VERIFYING THE COVERSCREEN DATA, OR IF THIS PERSON IS NOT KNOWN TO THE
SYSTEM, TYPE IN HIS OR HER NAME. THE LAST NAME IS OPTIONAL.
SOMEONE ELSE, NAMELY
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1. Name of Respondent
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If NEWMEMBER = 1 »
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COVERSCREENNEWMEMBERSPAGE
COVERSCREENNEWMEMBERSPAGE
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COVERSCREENNEWMEMBERSPAGE
COVERSCREENNEWMEMBERSPAGE
As CNT goes from 1 to NUMBEROFDECEASEDRESPONDENTS » »
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COVERSCREENWIZARDPROXYPAGE
CoverscreenWizardProxyPage
IS THERE SOMEONE WHO CAN GIVE SOME INFORMATION ABOUT THE FINAL YEAR OF [{NAME OF RESPONDENT}] 'S LIFE?
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1 Yes, there is some information about a proxy for [{member of household}].
8 The proxy for [{member of household}] is one of the known household members:
9 The proxy for [{member of household}] is none of the known household members.
IS THERE SOMEONE WHO CAN GIVE SOME INFORMATION ABOUT THE FINAL YEAR OF [{NAME OF RESPONDENT}] 'S LIFE?
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1 Yes, there is some information about a proxy for [{member of household}].
8 The proxy for [{member of household}] is one of the known household members:
9 The proxy for [{member of household}] is none of the known household members.
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SUMMARYPAGE
SUMMARYPAGE
End of CV. Coverscreen