X. Exit interview

Module X. Exit interview of survey KLoSA W5

item label type description
XA001 Question I have some questions about you. What is your name? [IWER: If R doesn't answer he/ she's name, please write down specifically relationship with the dead respondent.]
XA002 Question What is your relationship to the person who died?
XA003 Question (If R is a friend or relative) How long did you know him/her? years
XA004 Question How often did you meet him/her during the one year before he/she died?
XA005 Question I am going to ask you about [his/her name]s death. How long was he/she sick before he/she died?1 (He/she) was not sick, but died suddenly.
XA006 Question Was his/her death expected?
XA007 Question What was the main cause of his/her death according to the death certificate?
XA008 Question What was the manner of his/her death?
XA009 Question Which of the following best describes his/her violent death?
XA010 Question What is the date of his/her death?
XA011 Question Where did he/she die?
XA012 Question If others, please specify.
XC101 Question What was the chronic disease he/she was suffering from when he/she died? Please choose all that apply. (Select multiple responses.)
XC102 Question If others, please specify.
XC103 Question Did he/she use an oxygen mask just before he/she died?
XC104 Question You have said that he/she was suffering from cancer. Did he/she go to the hospital for cancer treatment after the previous interview? (____year__month__day)
XC105 Question Did he/she receive cancer treatment, such as anticancer drug, surgery and radiation therapy, after the previous interview? (____year__month__day)
XC106 Question What kinds of cancer treatment did he/she receive from a doctor in the hospital? Please choose all that apply. (Select multiple responses.)
XC107 Question If others, please specify.
XC108 Question In which body part was he/she last found to develop cancer?[IWER: Record directly the site of cancer, and then enter the relevant code using the table below. R can choose a maximum of three answers.]
XC109 Question When was the last cancer site found? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201101 for January 2011. If the month is not clear, enter 201100.]
XC110 Question You have said that he/she was suffering from chronic lung disease (chronic bronchitis, emphysema, chronic obstructive pulmonary disease, etc). Did he/she receive a diagnosis of chronic lung disease from a doctor?
XC111 Question When did he/she receive his/her most recent diagnosis of chronic lung disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201101 for January 2011. If the month is not clear, enter 201100.]
XC112 Question You have said that he/she was suffering from heart disease (coronary artery disease, angina pectoris, congestive heart failure). Did he/she receive a diagnosis of heart disease from a doctor?
XC113 Question did he/she receive his/her most recent diagnosis of heart disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201101 for January 2011. If the month is not clear, enter 201100.]
XC114 Question Did he/she ever have a heart attack, cardiac arrest or myocardial infarction after the previous interview? (____year__month__day)
XC115 Question When did he/she have his/her most recent heart attack, cardiac arrest or myocardial infarction? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201101 for January 2011. If the month is not clear, enter 201100.]
XC116 Question Did he/she ever have a heart surgery after the previous interview? (____year__month__day)
XC117 Question Did he/she ever receive special treatment because of his/her heart problems after the previous interview?[IWER: Special treatment refers to arterial or venous catheter insertion surgery, angiography, cardiovascular transplantation surgery, etc.]
XC118 Question You have said that he/she was suffering from a stroke. Did he/she receive a diagnosis of a stroke from a doctor?
XC119 Question When did he/she receive his/her most recent diagnosis of a stroke? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201101 for January 2011. If the month is not clear, enter 201100.]
XC120 Question Did he/she ever have a stroke after the previous interview? (____year__month__day)
XC121 Question When did he/she have his/her most recent stroke? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201101 for January 2011. If the month is not clear, enter 201100.]
XC201 Question Now I have some questions about cognitive function. Response could be very helpful for the research for cognitive function, memory and dementia. Some questions are not related to the died person. It would be appreciated if you understand that it is necessary process and respond sincerely to all questions. Did he/she have memory problems (cognitive dysfunction) during the one month before his/her death?
XC202 Question When did his/her memory problems surely begin? (unit: age)
XC203 Question Did he/she receive a diagnosis of memory problems (memory impairment, dementia) from a doctor?
XC204 Question Did he/she take any prescription medication due to memory problems?
XC205 Question How was his/her memory during the one month before his/her death?
XC206 Question Now I have some questions about problem behaviors and cognitive functions. Did he/she have the following symptoms during the two years before his/her death?[Problem behavior] He/she got lost in the place he/she knew well.
XC207 Question [Problem behavior] He/she wandered off the street, without finding way back home.
XC208 Question [Problem behavior] He/she could not be left alone at home.
XC209 Question [Problem behavior] He/she had auditory hallucinations or hallucinations.
XC210 Question [Cognitive function] He/she was confused about or didn't know year, date and time. (morning, afternoon, evening, etc.)
XC211 Question [Cognitive function] He/she was confused about or didn't know the place (home, hospital, etc) where he/she was.
XC212 Question [Cognitive function] He/she was not good at money, numerical and date calculations.
XC213 Question [Cognitive function] He/she didn't remember what happened or what he/she said a little while ago.
XC214 Question [Cognitive function] He/she didn't remember what he/she said a few days ago.
XC215 Question [Cognitive function] He/she could not use familiar home appliances (TV, radio, etc.) alone.
XC216 Question [Cognitive function] It was impossible for him/her to use and learn new things.
XC217 Question [Cognitive function] He/she didn't understand the contents when watching television dramas, movies, news, etc., or when listening to the radio.
XC301 Question Now I have some questions about fall and pain. Did he/she ever fall down or trip over something after the previous interview? (____year__month__day)
XC302 Question How many times did he/she fall? (unit: a time)
XC303 Question Did he/she injure himself/herself seriously enough to need medical treatment?
XC304 Question Did he/she ever experience a fracture between the previous interview and his/her death?
XC305 Question Did he/she ever fracture his/her hip after the previous interview?
XC306 Question Did he/she suffer from pain during the one year before his/her death?
XC307 Question Now I have some questions about physical symptoms and health behavior, such as smoking and drinking. Did he/she smoke after the previous interview?
XC308 Question Did he/she drink alcoholic beverages after the previous interview?
XC309 Question How much did he/she weigh when he/she died? (unit: kg)
XC310 Question Did he/she gain or lose a lot of weight during the two years before his/her death?[IWER: Weight gain or loss means a change of more than 5 kg.]
XC311 Question Did he/she have difficulty breathing during the one month before his/her death?
XC312 Question Did he/she say that he/she had no appetite during the one month before his/her death?
XC313 Question Did he/she often vomit during the one month before his/her death?
XC314 Question Was he/she unable to keep himself/herself steady and use his/her limbs comfortably during the one month before his/her death?
XC315 Question Did he/she feel depressed during the one month before his/her death?
XC316 Question Did he/she periodically fall into a semiconscious or confused state during the one month before his/her death?
XC317 Question Did he/she feel seriously tired and exhausted during the one month before his/her death?
XC318 Question Did he/she have difficulty getting up and waking up or often lose his/her consciousness during the one month before his/her death?
XC319 Question Did he/she keep coughing or have much sputum during the one month before his/her death?
XC320 Question Was he/she unable to control his/her anger or feelings or did he/she use to explode emotionally during the one month before his/her death?
XC321 Question Was he/she unable to control urination and defecation during the one month before his/her death?
XC401 Question We tried to find out limitation on everyday life due to health problem before death. Please remember during the 3 months before death. How many days was he/she bedridden for more than half the day during the three months before his/her death? (unit: day)
XC402 Question We ask how much help is needed in everyday activities due to heath problem and cognitive disorder (hypomnesia, etc.) Did he/she need help with dressing (including wearing socks, shoes and etc.) during the three months before his/her death? [IWER: Input "1 Yes, needed help" if help was partially needed or little help was needed. Respond "5 No, didn't need help" he/she could do by himself/herself even with using assisting devices.]
XC403 Question Did he/she need help with washing him/her face and hair and brushing him/her teeth during the three months before his/her death? [IWER: Input "1 Yes, needed help" if help was partially needed or little help was needed. Respond "5 No, didn't need help" he/she could do by himself/herself even with using assisting devices.]
XC404 Question Did he/she need help with bathing or showering during the three months before his/her death? [IWER: Input "1 Yes, needed help" if help was partially needed or little help was needed. Respond "5 No, didn't need help" he/she could do by himself/herself even with using assisting devices.]
XC405 Question . Did he/she need help with eating during the three months before his/her death? [IWER: Input "1 Yes, needed help" if help was partially needed or little help was needed. Respond "5 No, didn't need help" he/she could do by himself/herself even with using assisting devices.]
XC406 Question Did he/she need help with getting out of bed and walking out of the room during the three months before his/her death? [IWER: Input "1 Yes, needed help" if help was partially needed or little help was needed. Respond "5 No, didn't need help" he/she could do by himself/herself even with using assisting devices.]
XC407 Question Did he/she need help with using the toilet (taking off one's clothes and cleaning oneself after urinating and defecating) during the three months before his/her death? [IWER: Input "1 Yes, needed help" if help was partially needed or little help was needed. Respond "5 No, didn't need help" he/she could do by himself/herself even with using assisting devices.]
XC408 Question Did he/she need help with controlling urination and defecation during the three months before his/her death? [IWER: Input "1 Yes, needed help" if help was partially needed or little help was needed. Respond "5 No, didn't need help" he/she could do by himself/herself even with using assisting devices.]
XC409 Question If he/she needed help with activities of daily living, who helped him/her the most? Please state the help giver's relationship to him/her.
XC410 Question If others, please specify.
XC411 Question Did [XC409] receive money for helping him/her?
XC412 Question Did [XC409] have to take care of or nurse another person in addition to died one?
XC413 Question When [XC409] was not able to take care of him/her due to illness or any other reason, was there any person who took care of him/her instead of [XC409]?
XC414 Question How many people helped or were able to help him/her instead of [XC409]?
XC415 Question Who helped or was able to help him/her instead of [XC409]? Please state his/her relationship to the person who died.[IWER: R may choose up to two persons in the order of priority.]
XC416 Question If others, please specify.
XC417 Question Next are questions for everyday and social activities using things and tools. Did he/she need help with personal grooming (including brushing hair, clipping nails/toenails, putting on make-up and shaving) due to health problems, etc., during the three months before his/her death? [IWER: If not due to health problem, he/she did not do such things before (for example, as a man he did not prepare meal, there was no telephone in home, no need to take medicine because no prescribed medicine, etc.), then input "5 He/she didn't do it before" Input "1 Yes, needed help" if help was partially needed or little help was needed
XC418 Question Did he/she need help with doing housework (cleaning, tidying up and washing dishes) due to health problems, etc., during the three months before his/her death? [IWER: If not due to health problem, he/she did not do such things before (for example, as a man he did not prepare meal, there was no telephone in home, no need to take medicine because no prescribed medicine, etc.), then input "5 He/she didn't do it before" Input "1 Yes, needed help" if help was partially needed or little help was needed
XC419 Question Did he/she need help with preparing meals (preparing ingredients, cooking and setting the table) due to health problems, etc., during the three months before his/her death? [IWER: If not due to health problem, he/she did not do such things before (for example, as a man he did not prepare meal, there was no telephone in home, no need to take medicine because no prescribed medicine, etc.), then input "5 He/she didn't do it before" Input "1 Yes, needed help" if help was partially needed or little help was needed
XC420 Question Did he/she need help with doing laundry due to health problems, etc., during the three months before his/her death? [IWER: If not due to health problem, he/she did not do such things before (for example, as a man he did not prepare meal, there was no telephone in home, no need to take medicine because no prescribed medicine, etc.), then input "5 He/she didn't do it before" Input "1 Yes, needed help" if help was partially needed or little help was needed
XC421 Question Did he/she need help with going out a short distance without using transportation due to health problems, etc., during the three months before his/her death? [IWER: If not due to health problem, he/she did not do such things before (for example, as a man he did not prepare meal, there was no telephone in home, no need to take medicine because no prescribed medicine, etc.), then input "5 He/she didn't do it before" Input "1 Yes, needed help" if help was partially needed or little help was needed
XC422 Question Did he/she need help with going out using transportation, such as buses, subways, taxies, and cars, due to health problems, etc., during the three months before his/her death? [IWER: If not due to health problem, he/she did not do such things before (for example, as a man he did not prepare meal, there was no telephone in home, no need to take medicine because no prescribed medicine, etc.), then input "5 He/she didn't do it before" Input "1 Yes, needed help" if help was partially needed or little help was needed
XC423 Question Did he/she need help with shopping (paying money and getting change) due to health problems, etc., during the three months before his/her death? [IWER: If not due to health problem, he/she did not do such things before (for example, as a man he did not prepare meal, there was no telephone in home, no need to take medicine because no prescribed medicine, etc.), then input "5 He/she didn't do it before" Input "1 Yes, needed help" if help was partially needed or little help was needed
XC424 Question Did he/she need help with managing his/her money (managing pocket money, bank accounts and assets) due to health problems, etc., during the three months before his/her death? [IWER: If not due to health problem, he/she did not do such things before (for example, as a man he did not prepare meal, there was no telephone in home, no need to take medicine because no prescribed medicine, etc.), then input "5 He/she didn't do it before" Input "1 Yes, needed help" if help was partially needed or little help was needed
XC425 Question Did he/she need help with making phone calls due to health problems, etc., during the three months before his/her death? [IWER: If not due to health problem, he/she did not do such things before (for example, as a man he did not prepare meal, there was no telephone in home, no need to take medicine because no prescribed medicine, etc.), then input "5 He/she didn't do it before" Input "1 Yes, needed help" if help was partially needed or little help was needed
XC426 Question Did he/she need help with taking medications due to health problems, etc., during the three months before his/her death? [IWER: If not due to health problem, he/she did not do such things before (for example, as a man he did not prepare meal, there was no telephone in home, no need to take medicine because no prescribed medicine, etc.), then input "5 He/she didn't do it before" Input "1 Yes, needed help" if help was partially needed or little help was needed
XC427 Question If he/she needed help with above activities of daily living, who helped him/her the most? Please state the help giver's relationship to him/her.
XC428 Question If others, please specify.
XC429 Question Did [XC427] receive money for helping him/her?
XC501 Question The next questions are about health insurance, What type of health insurance was he/she covered by during the one month before his/her death?
XC502 Question Did he/she enroll in the National Health Insurance System through (his/her or his/her family member's) employer or the community?
XC503 Question If he/she was insured through an employer, was he/she the insured person or a dependent family member?
XC504 Question If he/she was insured through the community, was he/she the household head?
XC505 Question Who paid his/her health insurance premiums during the one month before his/her death?
XC506 Question Was he/she covered by Type 1 Medical Aid or Type 2 Medical Aid during the one month before his/her death?
XC507 Question Was he/she covered by any private health insurance to compensate for hospital expenses? Private health insurance means every health insurance, regardless of its type, even including those whose term expired. Please exclude health-related special policy conditions included in pension insurance or whole life insurance.
XC508 Question Now I have some questions about the medical institutions he/she used. Was he/she ever hospitalized after the previous interview? (____year__month__day)
XC509 Question How many times was he/she hospitalized after the previous interview? (unit: a time) (____year__month__day)
XC510 Question How many days did he/she stay in hospital during his/her last hospitalization? (unit: day) [IWER:If 6 month, input 180days. If 1 year 3 months, input 450 days]
XC511 Question Did he/she ever go to the intensive care unit during his/her stay in hospital?
XC512 Question Did he/she ever use life-prolonging treatment, such as an oxygen respirator, during his/her stay in hospital? [IWER: Life-prolonging treatment means to make heart beat artificially and to continue or restore respiration. If stop these treatments lead to death. This treatment is not to cure disease but to prolong the time toward death. This treatment includes artificial injection of nutrition and water. However, it does not include injection for stabilization, treatment and medication for pain relief]
XC513 Question Did he/she ever receive kidney dialysis during his/her stay in hospital?
XC514 Question Did he/she take prescribed antibiotics during his/her stay in hospital?
XC515 Question What was the total amount of medical expenses paid for his/her hospitalization since the previous interview (____year__month__day)? (unit: 10,000 Korean won)[IWER: Indirect costs such as transportation and nursing fee are not included]
XC516 Question How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (XC516a), 2 payments by relatives including children and parents (XC516b), 3 payments reimbursed by private health insurances (XC516c).[IWER: Summation shall be [C515] MW]
XC517 Question Approximately, how much did it cost? Please choose among the following amounts.
XC518 Question If he/she died in hospital, how long did he/she stay in hospital until his/her death? (unit: day)
XC519 Question You have said that he/she stayed in hospital just one day. Then how many hours did he/she stay in hospital? (unit: an hour) [IWER: If 3 hours, input 3, if one day, input 24.]
XC520 Question Why was he/she hospitalized at that time?
XC521 Question If others, please specify.
XC522 Question How many times did he/she enter a nursing home, sanatorium, silver town, etc., after the previous interview (____year__month__day)? (unit: a time) Elderly facilities means such as nursing home, sanatorium, silver town for living purpose and sanatorium for caring the elderly excluding Hospitals for The Elderly. Input 0, if not entered.
XC523 Question How many days did he/she stay there during his/her last stay? (unit: day)
XC524 Question What was the total amount paid to the elderly care facility since the previous interview (____year__month__day)? (unit: 10,000 Korean won))
XC525 Question How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (XC525a), 2 payments by relatives including children and parents (XC525b), 3 payments reimbursed by private health insurances (XC525c). [IWER: Summation shall be [C524] MW]
XC526 Question Approximately, how much did it cost? Please select after listening to the following amounts.
XC527 Question If he/she died at an elderly care facility, how long did he/she stay there at that time? (unit: a day)
XC528 Question When did he/she enter that elderly care facility? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201101 for January 2011. If the month is not clear, enter 201100.]
XC529 Question If he/she stayed but did not die at the elderly care facility, where did he/she stay until his/her death after leaving the facility?
XC530 Question If others, please specify.
XC531 Question How many times was he/she hospitalized in a hospice facility after the previous interview (____year__month__day)? (unit: a time)
XC532 Question How many days did he/she stay there during his/her last stay? (unit: a day)
XC533 Question What was the total amount paid to the hospice facility since the previous interview (____year__month__day)? (unit: 10,000 Korean won)
XC534 Question How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (XC534a), 2 payments by relatives including children and parents (XC534b), 3 payments reimbursed by private health insurances (XC534c). [IWER: Summation shall be [C533] MW]
XC535 Question Approximately, how much did it cost? Please select after listening to the following amounts.
XC536 Question Did he/she die at a hospice unit in a hospital or a specialized hospice facility?
XC537 Question If he/she died at a hospice unit or specialized hospice facility, how long did he/she stay there at that time? (unit: day)
XC538 Question When did he/she enter that facility? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201101 for January 2011. If the month is not clear, enter 201100.]
XC539 Question If he/she did not die at the hospice unit or hospice facility, where did he/she stay after leaving that facility?
XC540 Question If others, please specify.
XC541 Question Now I have some questions about the outpatient services he/she used. Did he/she ever see a doctor in a clinic or hospital for outpatient care after the previous interview (____year__month__day)?
XC542 Question How many times did he/she receive outpatient care after the previous interview (____year__month__day)? (unit: a time)
XC543 Question Did he/she ever go to a hospital emergency room after the previous interview (____year__month__day)?
XC544 Question How many times did he/she go to an emergency room after the previous interview (____year__month__day)? (unit: a time)
XC545 Question What was the total amount of medical expenses paid for using the clinic or hospital outpatient services and emergency room since the previous interview (____year__month__day)? (unit: 10,000 Korean won)
XC546 Question How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (XC546a), 2 payments by relatives including children and parents (XC546b), 3 payments reimbursed by private health insurances (XC546c).[IWER: Summation shall be [C545] MW]
XC547 Question Approximately, how much did it cost? Please select after listening to the following amounts.
XC548 Question Did he/she take any medication on a regular basis before his/her death?
XC549 Question What was the total amount paid for such medications since the previous interview? (unit: 10,000 Korean won)
XC550 Question How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (XC550a), 2 payments by relatives including children and parents (XC550b), 3 payments reimbursed by private health insurances (XC550c).[IWER: Summation shall be [C549 MW]
XC551 Question Approximately, how much did it cost? Please choose among the following amounts.
XC552 Question Did he/she ever receive a house call or visiting nursing services provided directly by a doctor or nurse (health care provider) after the previous interview? Health care provider refers to doctors, nurses, visiting nurse personnel, physical therapists, chemical therapists, oxygen therapists, etc. Caregiver services for the purpose of taking care of patients not of treating them are excluded.
XC553 Question How many times did he/she receive such visiting health care after the previous interview? (unit:a time)
XC554 Question What was the total amount paid for the house calls or visiting nursing services since the previous interview? (unit: 10,000 Korean won)? (unit: 10,000 Korean won)
XC555 Question How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (XC555a), 2 payments by relatives including children and parents (XC555b), 3 payments reimbursed by private health insurances (XC555c).[IWER: Summation shall be [C554 MW]
XC556 Question Approximately, how much did it cost? Please choose among the following amounts.
XC557 Question Did he/she ever receive or use services provided by an elderly welfare facility or a local government or public health clinic after the previous interview? For example, those services include side dish delivery services, elderly companionship services, counseling services by social workers, medical services, rehabilitation therapy, etc., provided at welfare centers.
XC558 Question Aside from the medical expenses mentioned earlier, did he/she purchase any uninsured items, such as medical instruments (patient beds or duvet, wheelchairs, sticks, etc.) or oriental medicine or nutritional supplements (medication not prescribed by a doctor), and patient food (supplementary health food), after the previous interview (____year__month__day)?
XC559 Question What was the total amount paid for purchasing such items since the previous interview (____year__month__day)? (unit: 10,000 Korean won)
XC560 Question How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (XC560a), 2 payments by relatives including children and parents (XC560b), 3 payments reimbursed by private health insurances (XC560c). [IWER: Summation shall be [C559 MW]
XC561 Question Approximately, how much did it cost? Please choose among the following amounts.
XC562 Question Who mainly paid the medical expenses incurred before his/her death after the previous interview?
XC563 Question If others, please specify.
XC564 Question Was there any person, except [XC562], who provided financial support to cover the medical expenses?
XC565 Question Who was that person?[IWER: Describe family relationship in terms of died one]
XC566 Question If others, please specify.
XC601 Question Now I have some questions about his/her funeral and impacts on bereaved family members' health. Where was he/she buried?
XC602 Question If others, please specify.
XC603 Question How much did his/her funeral cost? (unit: 10,000 Korean won)
XC604 Question Was there any bereaved family member who received psychological treatment due to nervous disorder, depression, etc. after his/her death?
XC605 Question Who received psychological treatment?
XC606 Question If others, please specify.
XD001 Question He/she responded in the previous interview (____year__month__day) that he/she was working as [job title: occupation] at [name of workplace: industry]. Was it his/her last job before his/her death?
XD002 Question He/she responded in the previous interview (____year__month__day) that he/she was not working. Did he/she ever work before his/her death after that interview?
XD003 Question When did he/she stop working at that job? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201101 for January 2011. If the month is not clear, enter 201100.]
XD004 Question Why did he/she quit? (in the case of wage workers)
XD005 Question (As loop=1 & XD002=1) When did he/she start the job? I am going to ask you about his/her new job. When did he/she start the job? (unit: year and monthcombined into 6 digits) [INT: Enter the year and month using 6 digits. For example, mark 201101 for January 2011. If the month is not clear, enter 201100.]
XD006 Question What was his/her new employment status?
XD007 Question Which industry was the workplace engaged in?
XD008 Question Specifically speaking, which industrial classification best describes the workplace?
XD009 Question Specifically speaking, which industrial classification best describes the workplace?
XD010 Question Specifically speaking, which industrial classification best describes the workplace? [IWER: Surely write down detail content using memo function]
XD011 Question Specifically speaking, which industrial classification best describes the workplace? [IWER: Surely write down detail content using memo function]
XD012 Question What kind of work did he/she do in the workplace? [IWER: Surely write down detail content using memo function]
XD013 Question Specifically speaking, which occupational classification best describes his/her job? [IWER: Surely write down detail content using memo function]
XD014 Question Specifically speaking, which occupational classification best describes his/her job?
XD015 Question Specifically speaking, which occupational classification best describes his/her job? [IWER: Surely write down detail content using memo function]
XD016 Question Specifically speaking, which occupational classification best describes his/her job? [IWER: Surely write down detail content using memo function]
XD017 Question How many employees worked at all locations of the workplace including the head office, branch offices, branches, plants, and the field? (unit: number of people, workplace since [XD005]: [Industry XD007] [Occupation XD012]) [IWER: Surely write down detail content using memo function]
XD018 Question Then what is the closest approximation to the actual number of employees that worked at all locations of the workplace including the head office, branch offices, branches, plants, and the field? (unit: number of people, workplace since [XD005]: [Industry XD007] [Occupation XD012]) [IWER: Surely write down detail content using memo function]
XD019 Question How many officially paid employees did he/she have? Please exclude temporary workers employed in farming seasons or busy times (unit: number of people, workplace since [XD005]: [Industry XD007] [Occupation XD012]) [IWER: Mark 0 if there was no employee.] [IWER: Surely write down detail content using memo function]
XD020 Question Then what is the closest approximation to the actual number of employees in his/her business? (workplace since [XD005]: [Industry XD007] [Occupation XD012])
XD021 Question Did he/she have unpaid family workers other than officially paid employees? (unit: number of people, workplace since [XD005]: [Industry XD007] [Occupation XD012]) If dead one was owner or self-employed, exclude the dead one. If dead one was non-waged family worker, then include him.[IWER: Mark 0 if there was no employee.]
XD022 Question How many days per week did he/she work? (unit: days, workplace since [XD005]: [Industry XD007] [Occupation XD012])
XD023 Question How many hours per week did he/she work excluding lunch time, break, etc.? (unit: hours, workplace since [XD005]: [Industry XD007] [Occupation XD012])
XD024 Question How much profit per month did he/she earn from this business? Please state a net profit excluding wages and expenses. (Unit: 10,000 Korean won, workplace since [XD005]: [Industry XD007] [Occupation XD012])[IWER: Mark 0 if there was no net profit, and mark 999997 if he/she ran a deficit.]
XD025 Question Was it his/her last job before his/her death? (workplace since [XD005]: [Industry XD007] [Occupation XD012])[IWER: Job means workplace and occupation If workplace is changed, job movement excluding the name of workplace. Major occupational classification is changed in the same workplace, it is to be treated as job movement. Others are deemed to be changes in position/title.
XD026 Question When did he/she stop working? (unit: year and month combined into 6 digits, workplace since [XD005]: [Industry XD007] [Occupation XD012])[IWER: Enter the year and month using 6 digits. For example, mark 201101 for January 2011. If the month is not clear, enter 201100.]
XD027 Question Why did he/she quit? (workplace since [XD005]: [Industry XD007] [Occupation XD012])
XF001 Question Did he/she leave any inheritance? [IWER: It includes inheritance to children and donation to charity]
XF002 Question Did he/she leave his/her house as an inheritance?
XF003 Question What was the value? (unit: 10,000 Korean won)
XF004 Question Did it amount to less than, about equal to or more than 1,000 MW (10,000 Korean won)?
XF005 Question Did it amount to less than, about equal to, or more than 5,000 MW (10,000 Korean won)?
XF006 Question Did it amount to less than, about equal to or more than 10,000 MW (10,000 Korean won)?
XF007 Question Did it amount to less than, about equal to or more than 50,000 MW (10,000 Korean won)?
XF008 Question Did it amount to less than, about equal to or more than 100,000 MW (10,000 Korean won)?
XF009 Question Did he/she leave any other property except his/her house?[IWER: Other property includes houses or buildings, studio apartments (Officetels), second houses, forest land, land, apartment or Officetel ownership, condominium membership, etc.]
XF010 Question What was the value? (unit: 10,000 Korean won)
XF011 Question Did it amount to less than, about equal to or more than 1,000 MW (10,000 Korean won)?
XF012 Question Did it amount to less than, about equal to, or more than 5,000 MW (10,000 Korean won)?
XF013 Question Did it amount to less than, about equal to or more than 10,000 MW (10,000 Korean won)?
XF014 Question Did it amount to less than, about equal to or more than 50,000 MW (10,000 Korean won)?
XF015 Question Did it amount to less than, about equal to or more than 100,000 MW (10,000 Korean won)?
XF016 Question Did he/she leave any financial assets?[IWER: Financial assets include cash over 50 MW (10,000-Korean won), bank savings, stocks /investment trust funds / mutual funds, bonds, insurance, private money lending, private savings club, etc.]
XF017 Question What was the value? (unit: 10,000 Korean won)
XF018 Question Did it amount to less than, about equal to or more than 100 MW (10,000 Korean won)?
XF019 Question Did it amount to less than, about equal to, or more than 500 MW (10,000 Korean won)?
XF020 Question Did it amount to less than, about equal to or more than 1,000 MW (10,000 Korean won)?
XF021 Question Did it amount to less than, about equal to or more than 5,000 MW (10,000 Korean won)?
XF022 Question Did it amount to less than, about equal to or more than 10,000 MW (10,000 Korean won)?
XF023 Question Did he/she have any insurance that pays compensation upon death?[IWER: - Term Life Insurance: A type of life insurance which covers the subscriber for a limited period of time. - Whole Life Insurance: A type of life insurance which covers the subscriber until his/her death rather than for a limited period of time. - Annuity Insurance: A type of life insurance in which the subscriber is paid a certain amount each year until his/her death or for a certain period of time.]
XF024 Question How much did his/her descendants receive in insurance benefits? (unit: 10,000 Korean won)
XF025 Question Did it amount to less than, about equal to or more than 500 MW (10,000 Korean won)?
XF026 Question Did it amount to less than, about equal to or more than 1,000 MW (10,000 Korean won)?
XF027 Question Did it amount to less than, about equal to or more than 3,000 MW (10,000 Korean won)?
XF028 Question Did it amount to less than, about equal to or more than 5,000 MW (10,000 Korean won)?
XF029 Question Did it amount to less than, about equal to or more than 10,000 MW (10,000 Korean won)?
XF030 Question Apart from the inheritances you have mentioned so far, did he/she leave any other inheritances? For example, vehicles, antiques, paintings or membership etc.
XF031 Question What was the value? (unit: 10,000 Korean won)
XF032 Question Did it amount to less than, about equal to or more than 500 MW (10,000 Korean won)?
XF033 Question Did it amount to less than, about equal to or more than 1,000 MW (10,000 Korean won)?
XF034 Question Did it amount to less than, about equal to or more than 3,000 MW (10,000 Korean won)?
XF035 Question Did it amount to less than, about equal to or more than 5,000 MW (10,000 Korean won)?
XF036 Question Did it amount to less than, about equal to or more than 10,000 MW (10,000 Korean won)?
XF037 Question Next are questions about debts. Did he/she leave any debt?
XF038 Question What was his/her total debt? (unit: 10,000 Korean won)
XF039 Question Did it amount to less than, about equal to or more than 1,000 MW (10,000 Korean won)?
XF040 Question Did it amount to less than, about equal to or more than 3,000 MW (10,000 Korean won)?
XF041 Question Did it amount to less than, about equal to or more than 5,000 MW (10,000 Korean won)?
XF042 Question Did it amount to less than, about equal to or more than 10,000 MW (10,000 Korean won)?
XF043 Question Did it amount to less than, about equal to or more than 30,000 MW (10,000 Korean won)?
XF044 Question Did he/she leave any will regarding inheritance?
XF045 Question How much did he/she leave for her/his spouse/ child/ parents/ grandchild and so on? (unit: %)[IWER: The sum of all parts must be equal to 100.]
Start of X. Exit interview
 

 
End of X. Exit interview