HH_A. Household Roster (Cover Screen) (CV)

HH_A. Household Roster (Cover Screen) (CV) of LASI 2017-2019

item label type description
CV001 Question What is the total number of persons who are members of this household? [Include all females and males, elderly people, children, and infants. Please include people who may presently be elsewhere for a short period of time (for example, in hospital, old age homes, relative's home, etc.)]
CV002 Question Now, please give me the names of all your household members who live in your household, starting with the head of household. What is this person's name? Please tell me the complete name, including middle name and surname. [Instruction for CAPI: CAPI will generate the complete list of names for household roster and assign a Household Person ID to each household member, as shown in the following table. Soft check for CV006 (Only for head of the HH): If age of the head of the household is less than 18 years then confirm his/her age and proceed.]
CV003 Question What is the relationship of [NAME] to the head of the household?
CV005 Question Is [NAME] male or female?
CV006 Question What is the age of [NAME]? [Instruction for the Interviewer: Record completed years and enter '0' if less than 1 year completed]
CV007 Question [Ask only if CV006_[1/20] ³6] Can [NAME] read and write?
CV008 Question [Ask only if CV006_[1/20] ³6] Has [NAME] ever attended school?
CV009 Question [Ask only if CV008=1] How many years of education has [NAME] completed? [Instruction for the Interviewer: Enter '0' for HH members who have completed less than 1 year of schooling]
CV010 Question [Ask only if CV009>0] What is the highest level of education [NAME] has completed?
CV011 Question [Ask only if CV006_[1/20] >10] What is the current marital status of [NAME]?
CV012 Question [Ask only if CV011_[1/20]=2 or 7] Does the spouse/partner of [NAME] live in this household?
CV013 Question [Ask only if CV011_[1/20= 2 or 7] What is the name of the spouse/partner of [NAME]? [Instruction for the Interviewer: Enter household member number of the spouse of [NAME]]
CV014_checkpoint Question You have given me information about [NUMBER OF PEOPLE] member(s) of your household. Are there any other members of the household (for example, a servant who usually lives in same household, a small child, infant, any elderly person, or daughter-in-law who has gone to her natal house for delivery or any other purpose but intends to return) about whom you have not given me details?
CV014_a Question Other than the people you have already mentioned in CV001, are there anyone else who falls into any of the following categories: HH_Ac. Characteristics of Household Head
CV015 Question Now I have few additional questions about your head of the household. What is [NAME OF HOUSEHOLD HEAD]'s caste or tribe?
CV016 Question [Ask only if CV015=1 or 2] Does the household head belong to a scheduled caste, scheduled tribe, other backward class, or none of these?
CV017 Question What is the religion of [NAME OF HOUSEHOLD HEAD]?
CV018 Question Has any household member died in last 2 years?
CV019 Question [Ask only if CV018=1] I am sorry to hear about the death in your family. Could you please share more details about the person(s) who died in the last 2 years?
CV020 Question What was the name of the deceased person?
CV021 Question What was the relationship of [NAME] to the head of the household?
CV022 Question What was the age of [NAME] when he/she died? [Instruction for the Interviewer: Record completed years and enter '0' if less than 1 year completed]
CV023 Question Was [NAME] male or female?
CV024 Question In which year did [NAME] die?
CV025 Question In which month did [NAME] die? [Instruction for the Interviewer: Record the code for month] [Instruction for CAPI: CAPI will give drop down menu for months]
CV026 Question What was the main cause of death? [Instruction for CAPI: CAPI will provide drop down list for causes of death]
CV027 Question Was the cause of death certified by a medical professional?
CV028 Question Now I would also like to ask who would be the appropriate person to answer a few additional questions. First we will be asking some questions about housing, the surrounding physical environment and household consumption. Who would be the most knowledgeable household member to answer these questions? 01 ~ 20 [Instruction for CAPI: Present household roster, including name and person ID of household members aged 18 years and above and CV003 = 1or 2]
CV029 Question We will be asking some questions about household income, assets and debts, health insurance schemes, and other financial matters. Who would be the most knowledgeable household member to answer these questions? 01 ~ 20 [Instruction for CAPI: Present household roster, including name and person ID of household members aged 18 years and above and CV003 =1 or 2]
CV030 Question [Instruction for CAPI: CAPI will display the list of respondents (INCLUDING NAME AND PERSON ID) who are eligible for individual interview, i.e. aged 45 years and above, and their spouses regardless of age and who are usual residents of the HH.] We would like to interview the following members of your household. [Instruction for the Interviewer: Read the list of names of people who will be interviewed] [Instruction for CAPI: AADHAAR card information will be taken for: 1) Members aged 45 years and above and their spouses regardless of age, living in the same household eligible for individual interview, 2) Head of household (even if the head of the household is not eligible for individual interview), and 3) Respondent of cover screen section (if the cover screen respondent is different from the head of the household or age-eligible individual interview respondents.)]
CV031 Question Does [NAME] have an AADHAAR card?
CV032 Question [Ask only if CV031 =1] [CAPI will automatically show list of members for whom an AADHAAR card number is required] Please give the AADHAAR card number.
CV033 Question [Instruction for the Interviewer: Identify the informant from the household roster.] [Instruction for CAPI: List all household members aged 18 years and above] Interviewer: Insert the Household Person ID _____
Start of HH_A. Household Roster (Cover Screen) (CV)
 
CV001

What is the total number of persons who are members of this household? [Include all females and males, elderly people, children, and infants. Please include people who may presently be elsewhere for a short period of time (for example, in hospital, old age homes, relative's home, etc.)]

WHAT IS THE TOTAL NUMBER OF PERSONS WHO ARE MEMBERS OF THIS HOUSEHOLD? [INCLUDE ALL FEMALES AND MALES, ELDERLY PEOPLE, CHILDREN, AND INFANTS. PLEASE INCLUDE PEOPLE WHO MAY PRESENTLY BE ELSEWHERE FOR A SHORT PERIOD OF TIME (FOR EXAMPLE, IN HOSPITAL, OLD AGE HOMES, RELATIVE'S HOME, ETC.)]
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As M goes from 1 to 20  »
 
   
 
CV002

Now, please give me the names of all your household members who live in your household, starting with the head of household. What is this person's name? Please tell me the complete name, including middle name and surname. [Instruction for CAPI: CAPI will generate the complete list of names for household roster and assign a Household Person ID to each household member, as shown in the following table. Soft check for CV006 (Only for head of the HH): If age of the head of the household is less than 18 years then confirm his/her age and proceed.]

NOW, PLEASE GIVE ME THE NAMES OF ALL YOUR HOUSEHOLD MEMBERS WHO LIVE IN YOUR HOUSEHOLD, STARTING WITH THE HEAD OF HOUSEHOLD. WHAT IS THIS PERSON'S NAME? PLEASE TELL ME THE COMPLETE NAME, INCLUDING MIDDLE NAME AND SURNAME. [INSTRUCTION FOR CAPI: CAPI WILL GENERATE THE COMPLETE LIST OF NAMES FOR HOUSEHOLD ROSTER AND ASSIGN A HOUSEHOLD PERSON ID TO EACH HOUSEHOLD MEMBER, AS SHOWN IN THE FOLLOWING TABLE. SOFT CHECK FOR CV006 (ONLY FOR HEAD OF THE HH): IF AGE OF THE HEAD OF THE HOUSEHOLD IS LESS THAN 18 YEARS THEN CONFIRM HIS/HER AGE AND PROCEED.]
   
 
CV003

What is the relationship of [NAME] to the head of the household?

WHAT IS THE RELATIONSHIP OF [NAME] TO THE HEAD OF THE HOUSEHOLD?
expand
   
 
CV005

Is [NAME] male or female?

IS [NAME] MALE OR FEMALE?
expand
   
 
CV006

What is the age of [NAME]? [Instruction for the Interviewer: Record completed years and enter '0' if less than 1 year completed]

WHAT IS THE AGE OF [NAME]? [INSTRUCTION FOR THE INTERVIEWER: RECORD COMPLETED YEARS AND ENTER '0' IF LESS THAN 1 YEAR COMPLETED]
expand
   
 
If What is the age of [NAME]? [Instruction for the Interviewer: Record completed years and enter '0' if less than 1 year completed] >= 6 »
 
     
   
CV007

[Ask only if CV006_[1/20] ³6] Can [NAME] read and write?

[ASK ONLY IF CV006_[1/20] ³6] CAN [NAME] READ AND WRITE?
expand
     
   
CV008

[Ask only if CV006_[1/20] ³6] Has [NAME] ever attended school?

[ASK ONLY IF CV006_[1/20] ³6] HAS [NAME] EVER ATTENDED SCHOOL?
expand
     
   
If [Ask only if CV006_[1/20] ³6] Has [NAME] ever attended school? = 1 Yes 2 No  »
 
       
     
CV009

[Ask only if CV008=1] How many years of education has [NAME] completed? [Instruction for the Interviewer: Enter '0' for HH members who have completed less than 1 year of schooling]

[ASK ONLY IF CV008=1] HOW MANY YEARS OF EDUCATION HAS [NAME] COMPLETED? [INSTRUCTION FOR THE INTERVIEWER: ENTER '0' FOR HH MEMBERS WHO HAVE COMPLETED LESS THAN 1 YEAR OF SCHOOLING]
expand
       
     
If [Ask only if CV008=1] How many years of education has [NAME] completed? [Instruction for the Interviewer: Enter '0' for HH members who have completed less than 1 year of schooling] > 0 »
 
         
       
CV010

[Ask only if CV009>0] What is the highest level of education [NAME] has completed?

[ASK ONLY IF CV009>0] WHAT IS THE HIGHEST LEVEL OF EDUCATION [NAME] HAS COMPLETED?
expand
         
 
If What is the age of [NAME]? [Instruction for the Interviewer: Record completed years and enter '0' if less than 1 year completed] > 10 »
 
     
   
CV011

[Ask only if CV006_[1/20] >10] What is the current marital status of [NAME]?

[ASK ONLY IF CV006_[1/20] >10] WHAT IS THE CURRENT MARITAL STATUS OF [NAME]?
expand
     
   
If [Ask only if CV006_[1/20] >10] What is the current marital status of [NAME]? = 2 or [Ask only if CV006_[1/20] >10] What is the current marital status of [NAME]? = 7 »
 
       
     
CV012

[Ask only if CV011_[1/20]=2 or 7] Does the spouse/partner of [NAME] live in this household?

[ASK ONLY IF CV011_[1/20]=2 OR 7] DOES THE SPOUSE/PARTNER OF [NAME] LIVE IN THIS HOUSEHOLD?
expand
       
     
CV013

[Ask only if CV011_[1/20= 2 or 7] What is the name of the spouse/partner of [NAME]? [Instruction for the Interviewer: Enter household member number of the spouse of [NAME]]

[ASK ONLY IF CV011_[1/20= 2 OR 7] WHAT IS THE NAME OF THE SPOUSE/PARTNER OF [NAME]? [INSTRUCTION FOR THE INTERVIEWER: ENTER HOUSEHOLD MEMBER NUMBER OF THE SPOUSE OF [NAME]]
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CV014_CHECKPOINT

You have given me information about [NUMBER OF PEOPLE] member(s) of your household. Are there any other members of the household (for example, a servant who usually lives in same household, a small child, infant, any elderly person, or daughter-in-law who has gone to her natal house for delivery or any other purpose but intends to return) about whom you have not given me details?

YOU HAVE GIVEN ME INFORMATION ABOUT [NUMBER OF PEOPLE] MEMBER(S) OF YOUR HOUSEHOLD. ARE THERE ANY OTHER MEMBERS OF THE HOUSEHOLD (FOR EXAMPLE, A SERVANT WHO USUALLY LIVES IN SAME HOUSEHOLD, A SMALL CHILD, INFANT, ANY ELDERLY PERSON, OR DAUGHTER-IN-LAW WHO HAS GONE TO HER NATAL HOUSE FOR DELIVERY OR ANY OTHER PURPOSE BUT INTENDS TO RETURN) ABOUT WHOM YOU HAVE NOT GIVEN ME DETAILS?
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CV014_A

Other than the people you have already mentioned in CV001, are there anyone else who falls into any of the following categories: HH_Ac. Characteristics of Household Head

OTHER THAN THE PEOPLE YOU HAVE ALREADY MENTIONED IN CV001, ARE THERE ANYONE ELSE WHO FALLS INTO ANY OF THE FOLLOWING CATEGORIES:
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CV015

Now I have few additional questions about your head of the household. What is [NAME OF HOUSEHOLD HEAD]'s caste or tribe?

NOW I HAVE FEW ADDITIONAL QUESTIONS ABOUT YOUR HEAD OF THE HOUSEHOLD. WHAT IS [NAME OF HOUSEHOLD HEAD]'S CASTE OR TRIBE?
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If Now I have few additional questions about your head of the household. What is [NAME OF HOUSEHOLD HEAD]'s caste or tribe? = 1,2 »
 
   
 
CV016

[Ask only if CV015=1 or 2] Does the household head belong to a scheduled caste, scheduled tribe, other backward class, or none of these?

[ASK ONLY IF CV015=1 OR 2] DOES THE HOUSEHOLD HEAD BELONG TO A SCHEDULED CASTE, SCHEDULED TRIBE, OTHER BACKWARD CLASS, OR NONE OF THESE?
expand
   
CV017

What is the religion of [NAME OF HOUSEHOLD HEAD]?

WHAT IS THE RELIGION OF [NAME OF HOUSEHOLD HEAD]?
expand
 
CV018

Has any household member died in last 2 years?

HAS ANY HOUSEHOLD MEMBER DIED IN LAST 2 YEARS?
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If Has any household member died in last 2 years? = 1 Yes,___ Total number of deaths in last 2 years 2 No  »
 
   
 
CV019

[Ask only if CV018=1] I am sorry to hear about the death in your family. Could you please share more details about the person(s) who died in the last 2 years?

[ASK ONLY IF CV018=1] I AM SORRY TO HEAR ABOUT THE DEATH IN YOUR FAMILY. COULD YOU PLEASE SHARE MORE DETAILS ABOUT THE PERSON(S) WHO DIED IN THE LAST 2 YEARS?
   
 
As NUMBER OF DEADTHS  »
 
     
   
CV020

What was the name of the deceased person?

WHAT WAS THE NAME OF THE DECEASED PERSON?
expand
     
   
CV021

What was the relationship of [NAME] to the head of the household?

WHAT WAS THE RELATIONSHIP OF [NAME] TO THE HEAD OF THE HOUSEHOLD?
expand
     
   
CV022

What was the age of [NAME] when he/she died? [Instruction for the Interviewer: Record completed years and enter '0' if less than 1 year completed]

WHAT WAS THE AGE OF [NAME] WHEN HE/SHE DIED? [INSTRUCTION FOR THE INTERVIEWER: RECORD COMPLETED YEARS AND ENTER '0' IF LESS THAN 1 YEAR COMPLETED]
expand
     
   
CV023

Was [NAME] male or female?

WAS [NAME] MALE OR FEMALE?
expand
     
   
CV024

In which year did [NAME] die?

IN WHICH YEAR DID [NAME] DIE?
expand
     
   
CV025

In which month did [NAME] die? [Instruction for the Interviewer: Record the code for month] [Instruction for CAPI: CAPI will give drop down menu for months]

IN WHICH MONTH DID [NAME] DIE? [INSTRUCTION FOR THE INTERVIEWER: RECORD THE CODE FOR MONTH] [INSTRUCTION FOR CAPI: CAPI WILL GIVE DROP DOWN MENU FOR MONTHS]
expand
     
   
CV026

What was the main cause of death? [Instruction for CAPI: CAPI will provide drop down list for causes of death]

WHAT WAS THE MAIN CAUSE OF DEATH? [INSTRUCTION FOR CAPI: CAPI WILL PROVIDE DROP DOWN LIST FOR CAUSES OF DEATH]
expand
     
   
CV027

Was the cause of death certified by a medical professional?

WAS THE CAUSE OF DEATH CERTIFIED BY A MEDICAL PROFESSIONAL?
expand
     
If What is the age of [NAME]? [Instruction for the Interviewer: Record completed years and enter '0' if less than 1 year completed] >= 45 »
 
   
 
CV028

Now I would also like to ask who would be the appropriate person to answer a few additional questions. First we will be asking some questions about housing, the surrounding physical environment and household consumption. Who would be the most knowledgeable household member to answer these questions? 01 ~ 20 [Instruction for CAPI: Present household roster, including name and person ID of household members aged 18 years and above and CV003 = 1or 2]

NOW I WOULD ALSO LIKE TO ASK WHO WOULD BE THE APPROPRIATE PERSON TO ANSWER A FEW ADDITIONAL QUESTIONS. FIRST WE WILL BE ASKING SOME QUESTIONS ABOUT HOUSING, THE SURROUNDING PHYSICAL ENVIRONMENT AND HOUSEHOLD CONSUMPTION. WHO WOULD BE THE MOST KNOWLEDGEABLE HOUSEHOLD MEMBER TO ANSWER THESE QUESTIONS? 01 ~ 20 [INSTRUCTION FOR CAPI: PRESENT HOUSEHOLD ROSTER, INCLUDING NAME AND PERSON ID OF HOUSEHOLD MEMBERS AGED 18 YEARS AND ABOVE AND CV003 = 1OR 2]
expand
   
 
CV029

We will be asking some questions about household income, assets and debts, health insurance schemes, and other financial matters. Who would be the most knowledgeable household member to answer these questions? 01 ~ 20 [Instruction for CAPI: Present household roster, including name and person ID of household members aged 18 years and above and CV003 =1 or 2]

WE WILL BE ASKING SOME QUESTIONS ABOUT HOUSEHOLD INCOME, ASSETS AND DEBTS, HEALTH INSURANCE SCHEMES, AND OTHER FINANCIAL MATTERS. WHO WOULD BE THE MOST KNOWLEDGEABLE HOUSEHOLD MEMBER TO ANSWER THESE QUESTIONS? 01 ~ 20 [INSTRUCTION FOR CAPI: PRESENT HOUSEHOLD ROSTER, INCLUDING NAME AND PERSON ID OF HOUSEHOLD MEMBERS AGED 18 YEARS AND ABOVE AND CV003 =1 OR 2]
expand
   
ElseIf What is the age of [NAME]? [Instruction for the Interviewer: Record completed years and enter '0' if less than 1 year completed] < 45 »
 
   
 
CV030

[Instruction for CAPI: CAPI will display the list of respondents (INCLUDING NAME AND PERSON ID) who are eligible for individual interview, i.e. aged 45 years and above, and their spouses regardless of age and who are usual residents of the HH.] We would like to interview the following members of your household. [Instruction for the Interviewer: Read the list of names of people who will be interviewed] [Instruction for CAPI: AADHAAR card information will be taken for: 1) Members aged 45 years and above and their spouses regardless of age, living in the same household eligible for individual interview, 2) Head of household (even if the head of the household is not eligible for individual interview), and 3) Respondent of cover screen section (if the cover screen respondent is different from the head of the household or age-eligible individual interview respondents.)]

[INSTRUCTION FOR CAPI: CAPI WILL DISPLAY THE LIST OF RESPONDENTS (INCLUDING NAME AND PERSON ID) WHO ARE ELIGIBLE FOR INDIVIDUAL INTERVIEW, I.E. AGED 45 YEARS AND ABOVE, AND THEIR SPOUSES REGARDLESS OF AGE AND WHO ARE USUAL RESIDENTS OF THE HH.] WE WOULD LIKE TO INTERVIEW THE FOLLOWING MEMBERS OF YOUR HOUSEHOLD. [INSTRUCTION FOR THE INTERVIEWER: READ THE LIST OF NAMES OF PEOPLE WHO WILL BE INTERVIEWED] [INSTRUCTION FOR CAPI: AADHAAR CARD INFORMATION WILL BE TAKEN FOR: 1) MEMBERS AGED 45 YEARS AND ABOVE AND THEIR SPOUSES REGARDLESS OF AGE, LIVING IN THE SAME HOUSEHOLD ELIGIBLE FOR INDIVIDUAL INTERVIEW, 2) HEAD OF HOUSEHOLD (EVEN IF THE HEAD OF THE HOUSEHOLD IS NOT ELIGIBLE FOR INDIVIDUAL INTERVIEW), AND 3) RESPONDENT OF COVER SCREEN SECTION (IF THE COVER SCREEN RESPONDENT IS DIFFERENT FROM THE HEAD OF THE HOUSEHOLD OR AGE-ELIGIBLE INDIVIDUAL INTERVIEW RESPONDENTS.)]
   
 
CV031

Does [NAME] have an AADHAAR card?

DOES [NAME] HAVE AN AADHAAR CARD?
expand
   
 
If Does [NAME] have an AADHAAR card? = 1 Yes 2 No 3 No, but has applied for it  »
 
     
   
CV032

[Ask only if CV031 =1] [CAPI will automatically show list of members for whom an AADHAAR card number is required] Please give the AADHAAR card number.

[ASK ONLY IF CV031 =1] [CAPI WILL AUTOMATICALLY SHOW LIST OF MEMBERS FOR WHOM AN AADHAAR CARD NUMBER IS REQUIRED] PLEASE GIVE THE AADHAAR CARD NUMBER.
expand
     
CV033

[Instruction for the Interviewer: Identify the informant from the household roster.] [Instruction for CAPI: List all household members aged 18 years and above] Interviewer: Insert the Household Person ID _____

[INSTRUCTION FOR THE INTERVIEWER: IDENTIFY THE INFORMANT FROM THE HOUSEHOLD ROSTER.]
[INSTRUCTION FOR CAPI: LIST ALL HOUSEHOLD MEMBERS AGED 18 YEARS AND ABOVE]
INTERVIEWER: INSERT THE HOUSEHOLD PERSON ID _____
 
End of HH_A. Household Roster (Cover Screen) (CV)
Start of HH_A. Household Roster (Cover Screen) (CV)

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CV001
What is the total number of persons who are members of this household? [Include all females and males, elderly people, children, and infants. Please include people who may presently be elsewhere for a short period of time (for example, in hospital, old age homes, relative's home, etc.)]

WHAT IS THE TOTAL NUMBER OF PERSONS WHO ARE MEMBERS OF THIS HOUSEHOLD? [INCLUDE ALL FEMALES AND MALES, ELDERLY PEOPLE, CHILDREN, AND INFANTS. PLEASE INCLUDE PEOPLE WHO MAY PRESENTLY BE ELSEWHERE FOR A SHORT PERIOD OF TIME (FOR EXAMPLE, IN HOSPITAL, OLD AGE HOMES, RELATIVE'S HOME, ETC.)]
- - - - - - - - - - - - - - - - - - - - - - - - -
__________ Persons

As M goes from 1 to 20  » »

|  ========================================================================
CV002
Now, please give me the names of all your household members who live in your household, starting with the head of household. What is this person's name? Please tell me the complete name, including middle name and surname. [Instruction for CAPI: CAPI will generate the complete list of names for household roster and assign a Household Person ID to each household member, as shown in the following table. Soft check for CV006 (Only for head of the HH): If age of the head of the household is less than 18 years then confirm his/her age and proceed.]

NOW, PLEASE GIVE ME THE NAMES OF ALL YOUR HOUSEHOLD MEMBERS WHO LIVE IN YOUR HOUSEHOLD, STARTING WITH THE HEAD OF HOUSEHOLD. WHAT IS THIS PERSON'S NAME? PLEASE TELL ME THE COMPLETE NAME, INCLUDING MIDDLE NAME AND SURNAME. [INSTRUCTION FOR CAPI: CAPI WILL GENERATE THE COMPLETE LIST OF NAMES FOR HOUSEHOLD ROSTER AND ASSIGN A HOUSEHOLD PERSON ID TO EACH HOUSEHOLD MEMBER, AS SHOWN IN THE FOLLOWING TABLE. SOFT CHECK FOR CV006 (ONLY FOR HEAD OF THE HH): IF AGE OF THE HEAD OF THE HOUSEHOLD IS LESS THAN 18 YEARS THEN CONFIRM HIS/HER AGE AND PROCEED.]

|  ========================================================================
CV003
What is the relationship of [NAME] to the head of the household?

WHAT IS THE RELATIONSHIP OF [NAME] TO THE HEAD OF THE HOUSEHOLD?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Household head
2 Spouse
3 Son/daughter (Biological)
4 Son/Daughter (Adopted/Foster/Step)
5 Son-in-law or daughter-in-law
6 Grandchild
7 Parent
8 Parent-in-law
9 Brother or sister
10 Brother-in-law or sister-in-law
11 Niece or nephew
12 Grandparents
13 Live - in partner
14 Other relatives
15 Others, not relatedhouse.


|  ========================================================================
CV005
Is [NAME] male or female?

IS [NAME] MALE OR FEMALE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Male
2 Female
3 Transgender [Voluntary]


|  ========================================================================
CV006
What is the age of [NAME]? [Instruction for the Interviewer: Record completed years and enter '0' if less than 1 year completed]

WHAT IS THE AGE OF [NAME]? [INSTRUCTION FOR THE INTERVIEWER: RECORD COMPLETED YEARS AND ENTER '0' IF LESS THAN 1 YEAR COMPLETED]
- - - - - - - - - - - - - - - - - - - - - - - - -
______ Years old [Soft check: >100]

If CV006 >= 6 »

| |  ========================================================================
| | 
CV007
[Ask only if CV006_[1/20] ³6] Can [NAME] read and write?

[ASK ONLY IF CV006_[1/20] ³6] CAN [NAME] READ AND WRITE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Can read only
2 Can write only
3 Can both read and write
4 Cannot read or write


| |  ========================================================================
| | 
CV008
[Ask only if CV006_[1/20] ³6] Has [NAME] ever attended school?

[ASK ONLY IF CV006_[1/20] ³6] HAS [NAME] EVER ATTENDED SCHOOL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No


| |  If [Ask only if CV006_[1/20] ³6] Has [NAME] ever attended school? (CV008) = 1 Yes 2 No  »

| | |  ========================================================================
| | | 
CV009
[Ask only if CV008=1] How many years of education has [NAME] completed? [Instruction for the Interviewer: Enter '0' for HH members who have completed less than 1 year of schooling]

[ASK ONLY IF CV008=1] HOW MANY YEARS OF EDUCATION HAS [NAME] COMPLETED? [INSTRUCTION FOR THE INTERVIEWER: ENTER '0' FOR HH MEMBERS WHO HAVE COMPLETED LESS THAN 1 YEAR OF SCHOOLING]
- - - - - - - - - - - - - - - - - - - - - - - - -
______ Years [Soft check: >25 years of education]

| | |  If [Ask only if CV008=1] How many years of education has [NAME] completed? [Instruction for the Interviewer: Enter '0' for HH members who have completed less than 1 year of schooling] (CV009) > 0 »

| | | |  ========================================================================
| | | | 
CV010
[Ask only if CV009>0] What is the highest level of education [NAME] has completed?

[ASK ONLY IF CV009>0] WHAT IS THE HIGHEST LEVEL OF EDUCATION [NAME] HAS COMPLETED?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Less than primary school (Standard 1-4)
2 Primary school completed (Standard 5-7)
3 Middle school completed (Standard 8- 9)
4 Secondary school/Matriculation completed
5 Higher secondary/intermediate/senior secondary completed
6 Diploma and certificate holders
7 Graduate degree (B.A., B.Sc., B
8 Post-graduate degree or (M.A., M.Sc., M
9 Professional course/degree (B.Ed, BE, B.Tech, MBBS, BHMS, BAMS, B.Pharm, BCS, BCA, BBA, LLB, BVSc., B.Arch, M.Ed, ME, M.Tech, MD, M.Pharm, MCS, MCA, MBA,LLM, MVSc., M


If What is the age of [NAME]? [Instruction for the Interviewer: Record completed years and enter '0' if less than 1 year completed] (CV006) > 10 »

| |  ========================================================================
| | 
CV011
[Ask only if CV006_[1/20] >10] What is the current marital status of [NAME]?

[ASK ONLY IF CV006_[1/20] >10] WHAT IS THE CURRENT MARITAL STATUS OF [NAME]?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Never married
2 Currently married
3 Separated
4 Deserted
5 Divorced
6 Widowed
7 Live-in relationship


| |  If [Ask only if CV006_[1/20] >10] What is the current marital status of [NAME]? (CV011) = 2 or [Ask only if CV006_[1/20] >10] What is the current marital status of [NAME]? (CV011) = 7 »

| | |  ========================================================================
| | | 
CV012
[Ask only if CV011_[1/20]=2 or 7] Does the spouse/partner of [NAME] live in this household?

[ASK ONLY IF CV011_[1/20]=2 OR 7] DOES THE SPOUSE/PARTNER OF [NAME] LIVE IN THIS HOUSEHOLD?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No


| | |  ========================================================================
| | | 
CV013
[Ask only if CV011_[1/20= 2 or 7] What is the name of the spouse/partner of [NAME]? [Instruction for the Interviewer: Enter household member number of the spouse of [NAME]]

[ASK ONLY IF CV011_[1/20= 2 OR 7] WHAT IS THE NAME OF THE SPOUSE/PARTNER OF [NAME]? [INSTRUCTION FOR THE INTERVIEWER: ENTER HOUSEHOLD MEMBER NUMBER OF THE SPOUSE OF [NAME]]
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Spouse's Household Member ID: ____
2 Spouse's Household Member ID: ____
3 Spouse's Household Member ID: ____
4 Spouse's Household Member ID: ____


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CV014_CHECKPOINT
You have given me information about [NUMBER OF PEOPLE] member(s) of your household. Are there any other members of the household (for example, a servant who usually lives in same household, a small child, infant, any elderly person, or daughter-in-law who has gone to her natal house for delivery or any other purpose but intends to return) about whom you have not given me details?

YOU HAVE GIVEN ME INFORMATION ABOUT [NUMBER OF PEOPLE] MEMBER(S) OF YOUR HOUSEHOLD. ARE THERE ANY OTHER MEMBERS OF THE HOUSEHOLD (FOR EXAMPLE, A SERVANT WHO USUALLY LIVES IN SAME HOUSEHOLD, A SMALL CHILD, INFANT, ANY ELDERLY PERSON, OR DAUGHTER-IN-LAW WHO HAS GONE TO HER NATAL HOUSE FOR DELIVERY OR ANY OTHER PURPOSE BUT INTENDS TO RETURN) ABOUT WHOM YOU HAVE NOT GIVEN ME DETAILS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes,
2 No[Instruction for CAPI: If YES, ALL MEMBERS ARE NOT REPORTED, CAPI should provide space in CV014 for the number of missedhousehold members


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CV014_A
Other than the people you have already mentioned in CV001, are there anyone else who falls into any of the following categories: HH_Ac. Characteristics of Household Head

OTHER THAN THE PEOPLE YOU HAVE ALREADY MENTIONED IN CV001, ARE THERE ANYONE ELSE WHO FALLS INTO ANY OF THE FOLLOWING CATEGORIES:
- - - - - - - - - - - - - - - - - - - - - - - - -
a. Family member living elsewhere but is a major economic contributor to the household, if yes how many |__|% b. Children/grandchildren living elsewhere as students and supported by this household, if yes how many|__|% c. Rotating parents/old people (<6 months), if yes how many |__| %d. Servant and his/her family, living in this household and getting salary, if yes how many |__|

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CV015
Now I have few additional questions about your head of the household. What is [NAME OF HOUSEHOLD HEAD]'s caste or tribe?

NOW I HAVE FEW ADDITIONAL QUESTIONS ABOUT YOUR HEAD OF THE HOUSEHOLD. WHAT IS [NAME OF HOUSEHOLD HEAD]'S CASTE OR TRIBE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Caste (specify) _______
2 Tribe (specify) _______
3 No caste/tribe


If Now I have few additional questions about your head of the household. What is [NAME OF HOUSEHOLD HEAD]'s caste or tribe? (CV015) = 1,2 »

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CV016
[Ask only if CV015=1 or 2] Does the household head belong to a scheduled caste, scheduled tribe, other backward class, or none of these?

[ASK ONLY IF CV015=1 OR 2] DOES THE HOUSEHOLD HEAD BELONG TO A SCHEDULED CASTE, SCHEDULED TRIBE, OTHER BACKWARD CLASS, OR NONE OF THESE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Scheduled caste
2 Scheduled tribe
3 Other backward class (OBC)
4 None of them


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CV017
What is the religion of [NAME OF HOUSEHOLD HEAD]?

WHAT IS THE RELIGION OF [NAME OF HOUSEHOLD HEAD]?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 None
2 Hindu
3 Muslim
4 Christian
5 Sikh
6 Buddhist/ Neo-Buddhist
7 Jain
8 Jewish
9 Parsi/Zoroastrian
10 Other


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CV018
Has any household member died in last 2 years?

HAS ANY HOUSEHOLD MEMBER DIED IN LAST 2 YEARS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes,___ Total number of deaths in last 2 years
2 No


If Has any household member died in last 2 years? (CV018) = 1 Yes,___ Total number of deaths in last 2 years 2 No  »

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CV019
[Ask only if CV018=1] I am sorry to hear about the death in your family. Could you please share more details about the person(s) who died in the last 2 years?

[ASK ONLY IF CV018=1] I AM SORRY TO HEAR ABOUT THE DEATH IN YOUR FAMILY. COULD YOU PLEASE SHARE MORE DETAILS ABOUT THE PERSON(S) WHO DIED IN THE LAST 2 YEARS?

As NUMBER OF DEADTHS  » »

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CV020
What was the name of the deceased person?

WHAT WAS THE NAME OF THE DECEASED PERSON?
- - - - - - - - - - - - - - - - - - - - - - - - -
______ Name

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CV021
What was the relationship of [NAME] to the head of the household?

WHAT WAS THE RELATIONSHIP OF [NAME] TO THE HEAD OF THE HOUSEHOLD?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Spouse
2 Son/daughter (Biological)
3 Son/Daughter (Adopted/Foster/Step)
4 Son-in-law or daughter-in-law
5 Grandchild
6 Parent
7 Parent-in-law
8 Brother or sister
9 Brother-in-law or sister-in-law
10 Niece or nephew
11 Grandparents
12 Live-in-partner
13 Other relatives
14 Others, not related


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CV022
What was the age of [NAME] when he/she died? [Instruction for the Interviewer: Record completed years and enter '0' if less than 1 year completed]

WHAT WAS THE AGE OF [NAME] WHEN HE/SHE DIED? [INSTRUCTION FOR THE INTERVIEWER: RECORD COMPLETED YEARS AND ENTER '0' IF LESS THAN 1 YEAR COMPLETED]
- - - - - - - - - - - - - - - - - - - - - - - - -
____ Age in years [Soft check: >100]

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CV023
Was [NAME] male or female?

WAS [NAME] MALE OR FEMALE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Male
2 Female
3 Transgender (Voluntary)


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CV024
In which year did [NAME] die?

IN WHICH YEAR DID [NAME] DIE?
- - - - - - - - - - - - - - - - - - - - - - - - -
____Year [Last 2 years from the date of survey ]

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CV025
In which month did [NAME] die? [Instruction for the Interviewer: Record the code for month] [Instruction for CAPI: CAPI will give drop down menu for months]

IN WHICH MONTH DID [NAME] DIE? [INSTRUCTION FOR THE INTERVIEWER: RECORD THE CODE FOR MONTH] [INSTRUCTION FOR CAPI: CAPI WILL GIVE DROP DOWN MENU FOR MONTHS]
- - - - - - - - - - - - - - - - - - - - - - - - -
1 January
2 February
3 March
4 April
5 May
6 June
7 July
8 August
9 September
10 October
11 November
12 December


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CV026
What was the main cause of death? [Instruction for CAPI: CAPI will provide drop down list for causes of death]

WHAT WAS THE MAIN CAUSE OF DEATH? [INSTRUCTION FOR CAPI: CAPI WILL PROVIDE DROP DOWN LIST FOR CAUSES OF DEATH]
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Communicable, Maternal, Perinatal and Nutritional Conditions
1.1 Tuberculosis (lungs, intestine, bones, brain)
1.2 HIV/AIDS (Immune system)
1.3 Diarrheal diseases (gastrointestinal)
1.4 Malaria
1.5 Other infectious and parasitic diseases
1.6 Respiratory infections (Lungs and respiratory tract)
1.7 Maternal conditions (related to pregnancy or post-delivery complications)
1.8 Neonatal deaths
1.9 Nutritional deficiencies (deficiency or excess of nutrients)
1.10 Fever of unknown origin (despite investigations by a physician no explanation has been found)
2 Non-Communicable Diseases
2.1 Malignant and other neoplasms (cancer)
2.2 Diabetes mellitus
2.3 Neuro-psychiatric conditions (brain)
2.4 Cardiovascular diseases (heart)
2.5 Chronic respiratory diseases (lungs)
2.6 Diseases of the digestive system (gastrointestinal)
2.7 Genitourinary diseases (genitals and urinary system)
2.8 Musculoskeletal diseases (muscles and bones)
2.9 Congenital anomalies (birth defects)
2.10 Other Non-communicable diseases
3 Injuries
3.1 Unintentional injuries : Motor vehicle accidents
3.2 Unintentional injuries : Other than motor vehicle accidents
3.3 Intentional injuries : Suicide
3.4 Intentional injuries : Other than suicide
3.5 Injuries of undetermined intent
4 Symptoms, Signs & Ill Defined Conditions
4.1 Senility (related to old age)
4.2 Ill- defined/All other symptoms, signs and abnormal clinical and laboratory findings


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CV027
Was the cause of death certified by a medical professional?

WAS THE CAUSE OF DEATH CERTIFIED BY A MEDICAL PROFESSIONAL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No


If CV006 >= 45 »

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CV028
Now I would also like to ask who would be the appropriate person to answer a few additional questions. First we will be asking some questions about housing, the surrounding physical environment and household consumption. Who would be the most knowledgeable household member to answer these questions? 01 ~ 20 [Instruction for CAPI: Present household roster, including name and person ID of household members aged 18 years and above and CV003 = 1or 2]

NOW I WOULD ALSO LIKE TO ASK WHO WOULD BE THE APPROPRIATE PERSON TO ANSWER A FEW ADDITIONAL QUESTIONS. FIRST WE WILL BE ASKING SOME QUESTIONS ABOUT HOUSING, THE SURROUNDING PHYSICAL ENVIRONMENT AND HOUSEHOLD CONSUMPTION. WHO WOULD BE THE MOST KNOWLEDGEABLE HOUSEHOLD MEMBER TO ANSWER THESE QUESTIONS? 01 ~ 20 [INSTRUCTION FOR CAPI: PRESENT HOUSEHOLD ROSTER, INCLUDING NAME AND PERSON ID OF HOUSEHOLD MEMBERS AGED 18 YEARS AND ABOVE AND CV003 = 1OR 2]
- - - - - - - - - - - - - - - - - - - - - - - - -
Interviewer: Insert the Household Person ID _____

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CV029
We will be asking some questions about household income, assets and debts, health insurance schemes, and other financial matters. Who would be the most knowledgeable household member to answer these questions? 01 ~ 20 [Instruction for CAPI: Present household roster, including name and person ID of household members aged 18 years and above and CV003 =1 or 2]

WE WILL BE ASKING SOME QUESTIONS ABOUT HOUSEHOLD INCOME, ASSETS AND DEBTS, HEALTH INSURANCE SCHEMES, AND OTHER FINANCIAL MATTERS. WHO WOULD BE THE MOST KNOWLEDGEABLE HOUSEHOLD MEMBER TO ANSWER THESE QUESTIONS? 01 ~ 20 [INSTRUCTION FOR CAPI: PRESENT HOUSEHOLD ROSTER, INCLUDING NAME AND PERSON ID OF HOUSEHOLD MEMBERS AGED 18 YEARS AND ABOVE AND CV003 =1 OR 2]
- - - - - - - - - - - - - - - - - - - - - - - - -
Interviewer: Insert the Household Person ID _____

ElseIf What is the age of [NAME]? [Instruction for the Interviewer: Record completed years and enter '0' if less than 1 year completed] (CV006) < 45 »

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CV030
[Instruction for CAPI: CAPI will display the list of respondents (INCLUDING NAME AND PERSON ID) who are eligible for individual interview, i.e. aged 45 years and above, and their spouses regardless of age and who are usual residents of the HH.] We would like to interview the following members of your household. [Instruction for the Interviewer: Read the list of names of people who will be interviewed] [Instruction for CAPI: AADHAAR card information will be taken for: 1) Members aged 45 years and above and their spouses regardless of age, living in the same household eligible for individual interview, 2) Head of household (even if the head of the household is not eligible for individual interview), and 3) Respondent of cover screen section (if the cover screen respondent is different from the head of the household or age-eligible individual interview respondents.)]

[INSTRUCTION FOR CAPI: CAPI WILL DISPLAY THE LIST OF RESPONDENTS (INCLUDING NAME AND PERSON ID) WHO ARE ELIGIBLE FOR INDIVIDUAL INTERVIEW, I.E. AGED 45 YEARS AND ABOVE, AND THEIR SPOUSES REGARDLESS OF AGE AND WHO ARE USUAL RESIDENTS OF THE HH.] WE WOULD LIKE TO INTERVIEW THE FOLLOWING MEMBERS OF YOUR HOUSEHOLD. [INSTRUCTION FOR THE INTERVIEWER: READ THE LIST OF NAMES OF PEOPLE WHO WILL BE INTERVIEWED] [INSTRUCTION FOR CAPI: AADHAAR CARD INFORMATION WILL BE TAKEN FOR: 1) MEMBERS AGED 45 YEARS AND ABOVE AND THEIR SPOUSES REGARDLESS OF AGE, LIVING IN THE SAME HOUSEHOLD ELIGIBLE FOR INDIVIDUAL INTERVIEW, 2) HEAD OF HOUSEHOLD (EVEN IF THE HEAD OF THE HOUSEHOLD IS NOT ELIGIBLE FOR INDIVIDUAL INTERVIEW), AND 3) RESPONDENT OF COVER SCREEN SECTION (IF THE COVER SCREEN RESPONDENT IS DIFFERENT FROM THE HEAD OF THE HOUSEHOLD OR AGE-ELIGIBLE INDIVIDUAL INTERVIEW RESPONDENTS.)]

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CV031
Does [NAME] have an AADHAAR card?

DOES [NAME] HAVE AN AADHAAR CARD?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
3 No, but has applied for it


If Does [NAME] have an AADHAAR card? (CV031) = 1 Yes 2 No 3 No, but has applied for it  »

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CV032
[Ask only if CV031 =1] [CAPI will automatically show list of members for whom an AADHAAR card number is required] Please give the AADHAAR card number.

[ASK ONLY IF CV031 =1] [CAPI WILL AUTOMATICALLY SHOW LIST OF MEMBERS FOR WHOM AN AADHAAR CARD NUMBER IS REQUIRED] PLEASE GIVE THE AADHAAR CARD NUMBER.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes, able to show AADHAAR card (Instruction forCAPI: CAPI will provide a box to record theAADHAAR card number manually)
2 Yes, able to show the card but didn't allow to recordthe number
3 , Not able to show AADHAAR card


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CV033
[Instruction for the Interviewer: Identify the informant from the household roster.] [Instruction for CAPI: List all household members aged 18 years and above] Interviewer: Insert the Household Person ID _____

[INSTRUCTION FOR THE INTERVIEWER: IDENTIFY THE INFORMANT FROM THE HOUSEHOLD ROSTER.]
[INSTRUCTION FOR CAPI: LIST ALL HOUSEHOLD MEMBERS AGED 18 YEARS AND ABOVE]
INTERVIEWER: INSERT THE HOUSEHOLD PERSON ID _____

End of HH_A. Household Roster (Cover Screen) (CV)