CV. Coverscreen

CV. Coverscreen Module of SHARE 2013

item label type description
CoverscreenWizardIntroPage Question The CoverScreen Wizard
CoverscreenWizardNursingHomePage Question asked of interviewer CoverscreenWizardNursingHomePage
CoverscreenWizardIntroPageintroParticipated Question CoverscreenWizardIntroPageintroParticipated
CoverscreenWizard Question What is your name?
CoverscreenWizardRespondentConfirmationPage Question CoverscreenWizardRespondentConfirmationPage
CoverscreenWizardRespondentConfirmationPageSORRY Question CoverscreenWizardRespondentConfirmationPage:SORRY
CoverscreenWizardRespondentConfirmationPageNAME Question CoverscreenWizardRespondentConfirmationPage:NAME
CoverscreenWizardRespondentConfirmationPageGENDER Question asked of interviewer CoverscreenWizardRespondentConfirmationPage:GENDER
CoverscreenWizardRespondentConfirmationPageRELATIO Question CoverscreenWizardRespondentConfirmationPage:RELATION_TO_CV_R
CoverscreenWizardRespondentConfirmationPageBIRTH Question CoverscreenWizardRespondentConfirmationPage:BIRTH
CoverscreenWizardNursingHomeOthersPage Question CoverscreenWizardNursingHomeOthersPage
CoverscreenWizardRespondentConfirmationPageWHEN_DE Question CoverscreenWizardRespondentConfirmationPage:WHEN_DECEASED
CVRespondentLivesHerePage Question CVRespondentLivesHerePage
CoverscreenWizardNewCVRespondentPage Question CoverscreenWizardNewCVRespondentPage
CoverscreenWizardProxyPage Question CoverscreenWizardProxyPage
Start of CV. Coverscreen
 
If SKIP_INTROPAGE = 0 »
 
   
 
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
expand
   
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.
expand
 
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.
expand
 
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
expand
 
As CNT goes from 1 to NUMBEROFPRELOADEDHOUSEMEMBERS  »
 
   
 
If SELECTEDRESPONDENT includes PRELOADEDRESPONDENTS »
 
     
   
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE

CoverscreenWizardRespondentConfirmationPage

DO YOU (STILL) LIVE IN THIS HOUSEHOLD?
expand
     
   
If SELECTEDRESPONDENTISDISEASED »
 
       
     
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:SORRY
       
   
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:NAME
     
   
COVERSCREENWIZARDRESPONDENTCONFORMATIONPAGE:GENDER
     
   
If NOT (SELECTEDRESPONDENT = CVRESPONDENT) »
 
       
     
COVERSCREENRESPONDENTCONFIRMATIONPAGE:RELATION_TO_CV_R
       
   
COVERSCREENWIZARDRESPONDENTCONFIRMATION:BIRTH
     
   
If COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:IS_LIVING = 6 »
 
       
     
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
expand
       
   
If COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:IS_LIVING = 6 »
 
       
     
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
expand
       
   
If (INTERVIEW includes NURSINGHOME) »
 
       
     
COVERSCREENWIZARDNURSINGHOMEPAGEOTHERSPAGE
       
     
As CNT goes from 1 to NUMBEROFOTHERDIEDRESPONDENTS  »
 
         
       
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:SORRY
         
       
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:NAME
         
       
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:GENDER
         
       
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:RELATION_TO_CV_R
         
       
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:BIRTH
         
       
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:WHEN_DECEASED
         
   
If (SELECTEDRESPONDENTISDISEASED) »
 
       
     
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:WHEN_DECEASED
       
 
Else
 
     
   
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.
expand
     
   
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 ___________
expand
     
   
COVERSCREENWIZARDNEWMEMBERSPAGE
     
As CNT goes from 1 to NUMBEROFNEWRESPONDENTS  »
 
   
 
COVERSCREENWIZARDNEWMEMBERSPAGE
   
 
If COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:IS_LIVING = 6 »
 
     
   
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
expand
     
 
If NEWMEMBER = 1 »
 
     
   
COVERSCREENNEWMEMBERSPAGE
     
   
COVERSCREENNEWMEMBERSPAGE
     
As CNT goes from 1 to NUMBEROFDECEASEDRESPONDENTS  »
 
   
 
COVERSCREENWIZARDPROXYPAGE

CoverscreenWizardProxyPage

IS THERE SOMEONE WHO CAN GIVE SOME INFORMATION ABOUT THE FINAL YEAR OF [{NAME OF RESPONDENT}] 'S LIFE?
expand
   
SUMMARYPAGE
 
End of CV. Coverscreen
Start of CV. Coverscreen

If SKIP_INTROPAGE = 0 »

|  ========================================================================
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
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Continue

========================================================================
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.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Private household
2 Nursing home

========================================================================
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.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Continue

========================================================================
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
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Name of Respondent

As CNT goes from 1 to NUMBEROFPRELOADEDHOUSEMEMBERS  » »

If SELECTEDRESPONDENT IN PRELOADEDRESPONDENTS »

| |  ========================================================================
| | 
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE
CoverscreenWizardRespondentConfirmationPage

DO YOU (STILL) LIVE IN THIS HOUSEHOLD?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No
6 Has moved out
7 Never lived here

| |  If SELECTEDRESPONDENTISDISEASED »

| | |  ========================================================================
| | | 
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:SORRY
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:SORRY

| |  ========================================================================
| | 
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:NAME
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:NAME

| |  ========================================================================
| | 
COVERSCREENWIZARDRESPONDENTCONFORMATIONPAGE:GENDER
COVERSCREENWIZARDRESPONDENTCONFORMATIONPAGE:GENDER

| |  If NOT (SELECTEDRESPONDENT = CVRESPONDENT) »

| | |  ========================================================================
| | | 
COVERSCREENRESPONDENTCONFIRMATIONPAGE:RELATION_TO_CV_R
COVERSCREENRESPONDENTCONFIRMATIONPAGE:RELATION_TO_CV_R

| |  ========================================================================
| | 
COVERSCREENWIZARDRESPONDENTCONFIRMATION:BIRTH
COVERSCREENWIZARDRESPONDENTCONFIRMATION:BIRTH

| |  If COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:IS_LIVING = 6 »

| | |  ========================================================================
| | | 
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
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Name of Respondent

| |  If COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:IS_LIVING = 6 »

| | |  ========================================================================
| | | 
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
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Name of Respondent

| |  If (INTERVIEW IN NURSINGHOME) »

| | |  ========================================================================
| | | 
COVERSCREENWIZARDNURSINGHOMEPAGEOTHERSPAGE
COVERSCREENWIZARDNURSINGHOMEPAGEOTHERSPAGE

| | |  As CNT goes from 1 to NUMBEROFOTHERDIEDRESPONDENTS  » »

| | | |  ========================================================================
| | | | 
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:SORRY
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:SORRY

| | | |  ========================================================================
| | | | 
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:NAME
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:NAME

| | | |  ========================================================================
| | | | 
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:GENDER
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:GENDER

| | | |  ========================================================================
| | | | 
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:RELATION_TO_CV_R
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:RELATION_TO_CV_R

| | | |  ========================================================================
| | | | 
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:BIRTH
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:BIRTH

| | | |  ========================================================================
| | | | 
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:WHEN_DECEASED
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:WHEN_DECEASED

| |  If (SELECTEDRESPONDENTISDISEASED) »

| | |  ========================================================================
| | | 
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:WHEN_DECEASED
COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:WHEN_DECEASED

Else

| |  ========================================================================
| | 
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.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No, proxy

| |  ========================================================================
| | 
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 ___________
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Male
2 Female

| |  ========================================================================
| | 
COVERSCREENWIZARDNEWMEMBERSPAGE
COVERSCREENWIZARDNEWMEMBERSPAGE

As CNT goes from 1 to NUMBEROFNEWRESPONDENTS  » »

|  ========================================================================
COVERSCREENWIZARDNEWMEMBERSPAGE
COVERSCREENWIZARDNEWMEMBERSPAGE

If COVERSCREENWIZARDRESPONDENTCONFIRMATIONPAGE:IS_LIVING = 6 »

| |  ========================================================================
| | 
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
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Name of Respondent

If NEWMEMBER = 1 »

| |  ========================================================================
| | 
COVERSCREENNEWMEMBERSPAGE
COVERSCREENNEWMEMBERSPAGE

| |  ========================================================================
| | 
COVERSCREENNEWMEMBERSPAGE
COVERSCREENNEWMEMBERSPAGE

As CNT goes from 1 to NUMBEROFDECEASEDRESPONDENTS  » »

|  ========================================================================
COVERSCREENWIZARDPROXYPAGE
CoverscreenWizardProxyPage

IS THERE SOMEONE WHO CAN GIVE SOME INFORMATION ABOUT THE FINAL YEAR OF [{NAME OF RESPONDENT}] 'S LIFE?
- - - - - - - - - - - - - - - - - - - - - - - - -
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.

========================================================================
SUMMARYPAGE
SUMMARYPAGE

End of CV. Coverscreen