I_E. Family & Social Networks (FS)
« previous module (I_D. Health Care Access and Utilization (HC))
|
next module (I_F. Social Welfare Schemes (SW)) »
I_E. Family & Social Networks (FS) of LASI 2017-2019
Start of I_E. Family & Social Networks (FS)
========================================================================
FS101_intro
FS101_intro
If What is your current (latest) marital status? (DM021) = 1 »
|
If [Ask only if DM021=1] Is your SPOUSE living with you now, or is (he/she) staying elsewhere? (DM025) = 2 »
| | ========================================================================
| |
FS101
[Ask if DM021=1 and DM025=2] Has your spouse ever attended school?
[ASK IF DM021=1 AND DM025=2] HAS YOUR SPOUSE EVER ATTENDED SCHOOL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
[ASK IF DM021=1 AND DM025=2] HAS YOUR SPOUSE EVER ATTENDED SCHOOL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
| |
If [Ask if DM021=1 and DM025=2] Has your spouse ever attended school? (FS101) = 1 Yes
2 No
»
| | | ========================================================================
| | |
FS102
[Ask if DM021=1 and DM025=2 and FS101=1] What is the highest level of education that your spouse has completed?
[ASK IF DM021=1 AND DM025=2 AND FS101=1] WHAT IS THE HIGHEST LEVEL OF EDUCATION THAT YOUR SPOUSE 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
[ASK IF DM021=1 AND DM025=2 AND FS101=1] WHAT IS THE HIGHEST LEVEL OF EDUCATION THAT YOUR SPOUSE 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
| ========================================================================
|
FS103
[Ask only if DM021=1] Is your spouse employed (either working for someone else or for him/herself)?
[ASK ONLY IF DM021=1] IS YOUR SPOUSE EMPLOYED (EITHER WORKING FOR SOMEONE ELSE OR FOR HIM/HERSELF)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Employed
2 Self-employed (including farming on your own farm)
3 Unemployed
4 Housewife/Homemaker
5 Retired
6 Other, please specify_______FS201 - FS202
[ASK ONLY IF DM021=1] IS YOUR SPOUSE EMPLOYED (EITHER WORKING FOR SOMEONE ELSE OR FOR HIM/HERSELF)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Employed
2 Self-employed (including farming on your own farm)
3 Unemployed
4 Housewife/Homemaker
5 Retired
6 Other, please specify_______FS201 - FS202
========================================================================
FS201
How many children (including biological, adopted, and step-children) do you have? Please tell me how many of them are deceased and how many are alive. ________ alive [Hard check: FS201=FS201a+FS201b+FS201c]
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. ________ ALIVE [HARD CHECK: FS201=FS201A+FS201B+FS201C]
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. ________ ALIVE [HARD CHECK: FS201=FS201A+FS201B+FS201C]
========================================================================
FS201A
How many children (including biological, adopted, and step-children) do you have? Please tell me how many of them are deceased and how many are alive. _______Number of biological children alive
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. _______NUMBER OF BIOLOGICAL CHILDREN ALIVE
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. _______NUMBER OF BIOLOGICAL CHILDREN ALIVE
========================================================================
FS201B
How many children (including biological, adopted, and step-children) do you have? Please tell me how many of them are deceased and how many are alive. ______ Number of adopted children alive
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. ______ NUMBER OF ADOPTED CHILDREN ALIVE
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. ______ NUMBER OF ADOPTED CHILDREN ALIVE
========================================================================
FS201C
How many children (including biological, adopted, and step-children) do you have? Please tell me how many of them are deceased and how many are alive. ______ Number of step-children alive
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. ______ NUMBER OF STEP-CHILDREN ALIVE
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. ______ NUMBER OF STEP-CHILDREN ALIVE
========================================================================
FS202
How many children (including biological, adopted, and step-children) do you have? Please tell me how many of them are deceased and how many are alive. ________ deceased [Hard check: FS202=FS202a+FS202b+FS202c]
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. ________ DECEASED [HARD CHECK: FS202=FS202A+FS202B+FS202C]
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. ________ DECEASED [HARD CHECK: FS202=FS202A+FS202B+FS202C]
========================================================================
FS202A
How many children (including biological, adopted, and step-children) do you have? Please tell me how many of them are deceased and how many are alive. _______Number of biological children deceased
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. _______NUMBER OF BIOLOGICAL CHILDREN DECEASED
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. _______NUMBER OF BIOLOGICAL CHILDREN DECEASED
========================================================================
FS202B
How many children (including biological, adopted, and step-children) do you have? Please tell me how many of them are deceased and how many are alive. ______ Number of adopted children deceased
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. ______ NUMBER OF ADOPTED CHILDREN DECEASED
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. ______ NUMBER OF ADOPTED CHILDREN DECEASED
========================================================================
FS202C
How many children (including biological, adopted, and step-children) do you have? Please tell me how many of them are deceased and how many are alive. ______ Number of step-children deceased
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. ______ NUMBER OF STEP-CHILDREN DECEASED
HOW MANY CHILDREN (INCLUDING BIOLOGICAL, ADOPTED, AND STEP-CHILDREN) DO YOU HAVE? PLEASE TELL ME HOW MANY OF THEM ARE DECEASED AND HOW MANY ARE ALIVE. ______ NUMBER OF STEP-CHILDREN DECEASED
========================================================================
FS203
Now, lets go over the names and some other details about your children. We will start with the eldest child. What is your eldest CHILDS NAME? Is this child a current member of your household? [Instruction for CAPI: If the child is a household member, enter household person ID from pre-loaded household roster. If not, enter the childs full name. If R does not provide the CHILDS NAME, write down the birth-order of child, e.g., 'the first born' or 'the second born. Please start with the eldest, in birth order.]
NOW, LETS GO OVER THE NAMES AND SOME OTHER DETAILS ABOUT YOUR CHILDREN. WE WILL START WITH THE ELDEST CHILD. WHAT IS YOUR ELDEST CHILDS NAME? IS THIS CHILD A CURRENT MEMBER OF YOUR HOUSEHOLD? [INSTRUCTION FOR CAPI: IF THE CHILD IS A HOUSEHOLD MEMBER, ENTER HOUSEHOLD PERSON ID FROM PRE-LOADED HOUSEHOLD ROSTER. IF NOT, ENTER THE CHILDS FULL NAME. IF R DOES NOT PROVIDE THE CHILDS NAME, WRITE DOWN THE BIRTH-ORDER OF CHILD, E.G., 'THE FIRST BORN' OR 'THE SECOND BORN. PLEASE START WITH THE ELDEST, IN BIRTH ORDER.]
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Household Person ID: ______________
2 Not co-residing in the household
NOW, LETS GO OVER THE NAMES AND SOME OTHER DETAILS ABOUT YOUR CHILDREN. WE WILL START WITH THE ELDEST CHILD. WHAT IS YOUR ELDEST CHILDS NAME? IS THIS CHILD A CURRENT MEMBER OF YOUR HOUSEHOLD? [INSTRUCTION FOR CAPI: IF THE CHILD IS A HOUSEHOLD MEMBER, ENTER HOUSEHOLD PERSON ID FROM PRE-LOADED HOUSEHOLD ROSTER. IF NOT, ENTER THE CHILDS FULL NAME. IF R DOES NOT PROVIDE THE CHILDS NAME, WRITE DOWN THE BIRTH-ORDER OF CHILD, E.G., 'THE FIRST BORN' OR 'THE SECOND BORN. PLEASE START WITH THE ELDEST, IN BIRTH ORDER.]
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Household Person ID: ______________
2 Not co-residing in the household
If Now, lets go over the names and some other details about your children. We will start with the eldest child. What is your eldest CHILDS NAME? Is this child a current member of your household? [Instruction for CAPI: If the child is a household member, enter household person ID from pre-loaded household roster. If not, enter the childs full name. If R does not provide the CHILDS NAME, write down the birth-order of child, e.g., 'the first born' or 'the second born. Please start with the eldest, in birth order.] (FS203) = 2 »
|
If How many children (including biological, adopted, and step-children) do you have? Please tell me how many of them are deceased and how many are alive. ________ alive [Hard check: FS201=FS201a+FS201b+FS201c] (FS201) != 0 or FS202 != 0 »
| | ========================================================================
| |
FS102
[Ask if DM021=1 and DM025=2 and FS101=1] What is the highest level of education that your spouse has completed?
[ASK IF DM021=1 AND DM025=2 AND FS101=1] WHAT IS THE HIGHEST LEVEL OF EDUCATION THAT YOUR SPOUSE 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
[ASK IF DM021=1 AND DM025=2 AND FS101=1] WHAT IS THE HIGHEST LEVEL OF EDUCATION THAT YOUR SPOUSE 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
| ========================================================================
|
FS204
[Ask only if FS203=2]Is[CHILDS NAME/ birth-order]your son or daughter?
[ASK ONLY IF FS203=2]IS[CHILDS NAME/ BIRTH-ORDER]YOUR SON OR DAUGHTER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Son
2 Daughter
[ASK ONLY IF FS203=2]IS[CHILDS NAME/ BIRTH-ORDER]YOUR SON OR DAUGHTER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Son
2 Daughter
|
If [Ask if( FS201 != 0 or FS202 != 0) and FS203=2]Is [CHILDs NAME/birth-order] alive or deceased? (FS203a) = 1 »
| | ========================================================================
| |
FS205
[Ask if FS203 =2 and FS203a=1] How old is [CHILDS NAME/ birth-order]in completed years? [Enter 0 if child has not completed 1 year of age] Age ________ [Soft check: <(Respondents age + 10)]
[ASK IF FS203 =2 AND FS203A=1] HOW OLD IS [CHILDS NAME/ BIRTH-ORDER]IN COMPLETED YEARS? [ENTER 0 IF CHILD HAS NOT COMPLETED 1 YEAR OF AGE] AGE ________ [SOFT CHECK: <(RESPONDENTS AGE + 10)]
[ASK IF FS203 =2 AND FS203A=1] HOW OLD IS [CHILDS NAME/ BIRTH-ORDER]IN COMPLETED YEARS? [ENTER 0 IF CHILD HAS NOT COMPLETED 1 YEAR OF AGE] AGE ________ [SOFT CHECK: <(RESPONDENTS AGE + 10)]
|
If [Ask if( FS201 != 0 or FS202 != 0) and FS203=2]Is [CHILDs NAME/birth-order] alive or deceased? (FS203a) = 2 »
| | ========================================================================
| |
FS205A
[Ask if FS203 =2 and FS203a=2] I am sorry to hear you lost your child. How old was [CHILD’S NAME/ birth-order] when she/he passed away? [Enter ‘0’ if child has died before completing 1 year of age] Age_________ [If FS205a <=7, go to next child or FS213]
[ASK IF FS203 =2 AND FS203A=2] I AM SORRY TO HEAR YOU LOST YOUR CHILD. HOW OLD WAS [CHILD’S NAME/ BIRTH-ORDER] WHEN SHE/HE PASSED AWAY? [ENTER ‘0’ IF CHILD HAS DIED BEFORE COMPLETING 1 YEAR OF AGE] AGE_________ [IF FS205A <=7, GO TO NEXT CHILD OR FS213]
[ASK IF FS203 =2 AND FS203A=2] I AM SORRY TO HEAR YOU LOST YOUR CHILD. HOW OLD WAS [CHILD’S NAME/ BIRTH-ORDER] WHEN SHE/HE PASSED AWAY? [ENTER ‘0’ IF CHILD HAS DIED BEFORE COMPLETING 1 YEAR OF AGE] AGE_________ [IF FS205A <=7, GO TO NEXT CHILD OR FS213]
| ========================================================================
|
FS206
[Ask only if FS203 =2]Can/could [CHILDS NAME/ birth-order] read or write?
[ASK ONLY IF FS203 =2]CAN/COULD [CHILDS NAME/ BIRTH-ORDER] READ OR WRITE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Can read only
2 Can write only
3 Can read and write both
4 Cannot read or write
[ASK ONLY IF FS203 =2]CAN/COULD [CHILDS NAME/ BIRTH-ORDER] READ OR WRITE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Can read only
2 Can write only
3 Can read and write both
4 Cannot read or write
| ========================================================================
|
FS207
[Ask only if FS203 =2]Has [CHILDS NAME/ birth-order] ever attended school?
[ASK ONLY IF FS203 =2]HAS [CHILDS NAME/ BIRTH-ORDER] EVER ATTENDED SCHOOL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
[ASK ONLY IF FS203 =2]HAS [CHILDS NAME/ BIRTH-ORDER] EVER ATTENDED SCHOOL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
|
If [Ask only if FS203 =2]Has [CHILDS NAME/ birth-order] ever attended school? (FS207) = 1 Yes
2 No
»
| | ========================================================================
| |
FS208
[Ask if FS203 =2 andFS207=1] How many years of schooling has [CHILDS NAME/birth-order] had? Years of schooling _______
[ASK IF FS203 =2 ANDFS207=1] HOW MANY YEARS OF SCHOOLING HAS [CHILDS NAME/BIRTH-ORDER] HAD? YEARS OF SCHOOLING _______
[ASK IF FS203 =2 ANDFS207=1] HOW MANY YEARS OF SCHOOLING HAS [CHILDS NAME/BIRTH-ORDER] HAD? YEARS OF SCHOOLING _______
| | ========================================================================
| |
FS209
[Ask if FS203 =2 and FS207=1] What is the highest level of education that [CHILDS NAME/birth-order] has completed?
[ASK IF FS203 =2 AND FS207=1] WHAT IS THE HIGHEST LEVEL OF EDUCATION THAT [CHILDS NAME/BIRTH-ORDER] 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
[ASK IF FS203 =2 AND FS207=1] WHAT IS THE HIGHEST LEVEL OF EDUCATION THAT [CHILDS NAME/BIRTH-ORDER] 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
|
If [Ask if( FS201 != 0 or FS202 != 0) and FS203=2]Is [CHILDs NAME/birth-order] alive or deceased? (FS203a) = 1 »
| | ========================================================================
| |
FS210
[Ask if FS203 =2 and FS203a=1] Where does [CHILDS NAME] live? Does [CHILDS NAME] live within the village/city, village/city inside the state, outside the state, or outside the country?
[ASK IF FS203 =2 AND FS203A=1] WHERE DOES [CHILDS NAME] LIVE? DOES [CHILDS NAME] LIVE WITHIN THE VILLAGE/CITY, VILLAGE/CITY INSIDE THE STATE, OUTSIDE THE STATE, OR OUTSIDE THE COUNTRY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Within village/city
2 Inside (within the) state
3 Outside the state
4 Outside the country
[ASK IF FS203 =2 AND FS203A=1] WHERE DOES [CHILDS NAME] LIVE? DOES [CHILDS NAME] LIVE WITHIN THE VILLAGE/CITY, VILLAGE/CITY INSIDE THE STATE, OUTSIDE THE STATE, OR OUTSIDE THE COUNTRY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Within village/city
2 Inside (within the) state
3 Outside the state
4 Outside the country
If [Ask if FS203 =2 and FS203a=1] How old is [CHILDS NAME/ birth-order]in completed years? [Enter 0 if child has not completed 1 year of age] Age ________ [Soft check: <(Respondents age + 10)] (FS205) > 10 »
| ========================================================================
|
FS211
[Ask only if FS205>10] Is [CHILDS NAME/birth-order] employed (either working for someone else or for him/herself)
[ASK ONLY IF FS205>10] IS [CHILDS NAME/BIRTH-ORDER] EMPLOYED (EITHER WORKING FOR SOMEONE ELSE OR FOR HIM/HERSELF)
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Studying
2 Employed
3 Self-employed
4 Unemployed
5 Retired
6 Other, please specify________
7 None
[ASK ONLY IF FS205>10] IS [CHILDS NAME/BIRTH-ORDER] EMPLOYED (EITHER WORKING FOR SOMEONE ELSE OR FOR HIM/HERSELF)
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Studying
2 Employed
3 Self-employed
4 Unemployed
5 Retired
6 Other, please specify________
7 None
If [Ask if FS203 =2 and FS203a=1] How old is [CHILDS NAME/ birth-order]in completed years? [Enter 0 if child has not completed 1 year of age] Age ________ [Soft check: <(Respondents age + 10)] (FS205) > 18 »
| ========================================================================
|
FS212
[Ask only if FS205>18]Does[CHILDS NAME/birth-order] own a house?
[ASK ONLY IF FS205>18]DOES[CHILDS NAME/BIRTH-ORDER] OWN A HOUSE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
[ASK ONLY IF FS205>18]DOES[CHILDS NAME/BIRTH-ORDER] OWN A HOUSE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
========================================================================
FS213
Do you have any grandchildren?
DO YOU HAVE ANY GRANDCHILDREN?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
DO YOU HAVE ANY GRANDCHILDREN?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
If Do you have any grandchildren? (FS213) = 1 Yes
2 No
»
| ========================================================================
|
FS214
[Ask only if FS213=1] How many grandchildren do you have?
[ASK ONLY IF FS213=1] HOW MANY GRANDCHILDREN DO YOU HAVE?
[ASK ONLY IF FS213=1] HOW MANY GRANDCHILDREN DO YOU HAVE?
| ========================================================================
|
FS215
[Ask only if FS213=1] Do you look after any of these grandchildren?
[ASK ONLY IF FS213=1] DO YOU LOOK AFTER ANY OF THESE GRANDCHILDREN?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
[ASK ONLY IF FS213=1] DO YOU LOOK AFTER ANY OF THESE GRANDCHILDREN?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
| ========================================================================
|
FS216
[Ask only if FS215=1] How many of your grandchildren do you look after?
[ASK ONLY IF FS215=1] HOW MANY OF YOUR GRANDCHILDREN DO YOU LOOK AFTER?
[ASK ONLY IF FS215=1] HOW MANY OF YOUR GRANDCHILDREN DO YOU LOOK AFTER?
| ========================================================================
|
FS217
[Ask only if FS215=1] How many hours per week do you look after/care for your grandchildren on average? ______ Hours per week[Hard check: 1<=FS217<168]
[ASK ONLY IF FS215=1] HOW MANY HOURS PER WEEK DO YOU LOOK AFTER/CARE FOR YOUR GRANDCHILDREN ON AVERAGE? ______ HOURS PER WEEK[HARD CHECK: 1<=FS217<168]
[ASK ONLY IF FS215=1] HOW MANY HOURS PER WEEK DO YOU LOOK AFTER/CARE FOR YOUR GRANDCHILDREN ON AVERAGE? ______ HOURS PER WEEK[HARD CHECK: 1<=FS217<168]
| ========================================================================
|
FS218
[Ask only if FS215=1]Why are you responsible for their care? [Multiple answers are allowed]
[ASK ONLY IF FS215=1]WHY ARE YOU RESPONSIBLE FOR THEIR CARE? [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Childs parents are away
b Child is orphaned
c Child prefers to live with you
d Childs parents are separated
e Childs mother/father is working
f Other, please specify_________
[ASK ONLY IF FS215=1]WHY ARE YOU RESPONSIBLE FOR THEIR CARE? [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Childs parents are away
b Child is orphaned
c Child prefers to live with you
d Childs parents are separated
e Childs mother/father is working
f Other, please specify_________
========================================================================
FS301
Now I am going to ask you about your father. Is your father household member? [Instruction for CAPI: Please identify Rs father from household roster. If father is household member, enter fathers household ID and skip from FS302-FS309 and if father is not in the household, enter fathers name and ask from FS302-FS309]
NOW I AM GOING TO ASK YOU ABOUT YOUR FATHER. IS YOUR FATHER HOUSEHOLD MEMBER? [INSTRUCTION FOR CAPI: PLEASE IDENTIFY RS FATHER FROM HOUSEHOLD ROSTER. IF FATHER IS HOUSEHOLD MEMBER, ENTER FATHERS HOUSEHOLD ID AND SKIP FROM FS302-FS309 AND IF FATHER IS NOT IN THE HOUSEHOLD, ENTER FATHERS NAME AND ASK FROM FS302-FS309]
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes, Father is household member, Fathers Household Person ID ________
2 Not co-residing in the household
NOW I AM GOING TO ASK YOU ABOUT YOUR FATHER. IS YOUR FATHER HOUSEHOLD MEMBER? [INSTRUCTION FOR CAPI: PLEASE IDENTIFY RS FATHER FROM HOUSEHOLD ROSTER. IF FATHER IS HOUSEHOLD MEMBER, ENTER FATHERS HOUSEHOLD ID AND SKIP FROM FS302-FS309 AND IF FATHER IS NOT IN THE HOUSEHOLD, ENTER FATHERS NAME AND ASK FROM FS302-FS309]
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes, Father is household member, Fathers Household Person ID ________
2 Not co-residing in the household
If Now I am going to ask you about your father. Is your father household member? [Instruction for CAPI: Please identify Rs father from household roster. If father is household member, enter fathers household ID and skip from FS302-FS309 and if father is not in the household, enter fathers name and ask from FS302-FS309] (FS301) = 2 Not co-residing in the household »
| ========================================================================
|
FS302
[Ask only ifFS301=2] Is he alive?
[ASK ONLY IFFS301=2] IS HE ALIVE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
[ASK ONLY IFFS301=2] IS HE ALIVE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
|
If [Ask only ifFS301=2] Is he alive? (FS302) = 1 Yes »
| | ========================================================================
| |
FS303
[Ask if FS301=2 and FS302=1] How old is he?[Soft check: >=Respondents Age + 13] ____ Years old.Go to FS305
[ASK IF FS301=2 AND FS302=1] HOW OLD IS HE?[SOFT CHECK: >=RESPONDENTS AGE + 13] ____ YEARS OLD.GO TO FS305
[ASK IF FS301=2 AND FS302=1] HOW OLD IS HE?[SOFT CHECK: >=RESPONDENTS AGE + 13] ____ YEARS OLD.GO TO FS305
|
Else
| | ========================================================================
| |
FS304
[Ask if FS301=2 and FS302=2] How old was he when he died? ____ Years old [Soft check: > 25&<=120]
[ASK IF FS301=2 AND FS302=2] HOW OLD WAS HE WHEN HE DIED? ____ YEARS OLD [SOFT CHECK: > 25&<=120]
[ASK IF FS301=2 AND FS302=2] HOW OLD WAS HE WHEN HE DIED? ____ YEARS OLD [SOFT CHECK: > 25&<=120]
| ========================================================================
|
FS305
[Ask only if FS301=2] Can (could) he read and write?
[ASK ONLY IF FS301=2] CAN (COULD) HE READ AND WRITE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Can read only
2 Can write only
3 Can read and write both
4 Cannot read or write
[ASK ONLY IF FS301=2] CAN (COULD) HE READ AND WRITE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Can read only
2 Can write only
3 Can read and write both
4 Cannot read or write
| ========================================================================
|
FS306
[Ask only ifFS301=2] Did he ever attend school?
[ASK ONLY IFFS301=2] DID HE EVER ATTEND SCHOOL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
[ASK ONLY IFFS301=2] DID HE EVER ATTEND SCHOOL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
|
If [Ask only ifFS301=2] Did he ever attend school? (FS306) = 1 Yes
2 No
»
| | ========================================================================
| |
FS307
[Ask only if FS306=1] How many years of schooling has he completed (did he complete)? Number of years _______
[ASK ONLY IF FS306=1] HOW MANY YEARS OF SCHOOLING HAS HE COMPLETED (DID HE COMPLETE)? NUMBER OF YEARS _______
[ASK ONLY IF FS306=1] HOW MANY YEARS OF SCHOOLING HAS HE COMPLETED (DID HE COMPLETE)? NUMBER OF YEARS _______
| | ========================================================================
| |
FS308
[Ask only if FS306=1] What is (was) the highest level of education that he completed?
[ASK ONLY IF FS306=1] WHAT IS (WAS) THE HIGHEST LEVEL OF EDUCATION THAT HE 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
[ASK ONLY IF FS306=1] WHAT IS (WAS) THE HIGHEST LEVEL OF EDUCATION THAT HE 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
|
If [Ask only ifFS301=2] Is he alive? (FS302) = 1 Yes »
| | ========================================================================
| |
FS309
[Ask if FS301=2 and FS302=1] Does he live alone or with others?
[ASK IF FS301=2 AND FS302=1] DOES HE LIVE ALONE OR WITH OTHERS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Lives alone
2 Lives with your mother or his partner
3 Lives with other children
4 Lives in old age home
5 Lives with others, please specify ________
[ASK IF FS301=2 AND FS302=1] DOES HE LIVE ALONE OR WITH OTHERS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Lives alone
2 Lives with your mother or his partner
3 Lives with other children
4 Lives in old age home
5 Lives with others, please specify ________
========================================================================
FS310
Now I have few questions about your mother. Is your mother a household member? [Instruction for CAPI: Please identify Rs mother from household roster. If mother is household member, enter mothers household ID and skip FS311-FS318 and if mother is not a household member, enter mothers name and ask from FS311-FS318]
NOW I HAVE FEW QUESTIONS ABOUT YOUR MOTHER. IS YOUR MOTHER A HOUSEHOLD MEMBER? [INSTRUCTION FOR CAPI: PLEASE IDENTIFY RS MOTHER FROM HOUSEHOLD ROSTER. IF MOTHER IS HOUSEHOLD MEMBER, ENTER MOTHERS HOUSEHOLD ID AND SKIP FS311-FS318 AND IF MOTHER IS NOT A HOUSEHOLD MEMBER, ENTER MOTHERS NAME AND ASK FROM FS311-FS318]
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes, mother is household member, Mothers Household Person ID______
2 Not co-residing in the household
NOW I HAVE FEW QUESTIONS ABOUT YOUR MOTHER. IS YOUR MOTHER A HOUSEHOLD MEMBER? [INSTRUCTION FOR CAPI: PLEASE IDENTIFY RS MOTHER FROM HOUSEHOLD ROSTER. IF MOTHER IS HOUSEHOLD MEMBER, ENTER MOTHERS HOUSEHOLD ID AND SKIP FS311-FS318 AND IF MOTHER IS NOT A HOUSEHOLD MEMBER, ENTER MOTHERS NAME AND ASK FROM FS311-FS318]
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes, mother is household member, Mothers Household Person ID______
2 Not co-residing in the household
If Now I have few questions about your mother. Is your mother a household member? [Instruction for CAPI: Please identify Rs mother from household roster. If mother is household member, enter mothers household ID and skip FS311-FS318 and if mother is not a household member, enter mothers name and ask from FS311-FS318] (FS310) = 2 Not co-residing in the household »
| ========================================================================
|
FS311
[Ask only if FS310=2] Is she alive?
[ASK ONLY IF FS310=2] IS SHE ALIVE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
[ASK ONLY IF FS310=2] IS SHE ALIVE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
|
If [Ask only if FS310=2] Is she alive? (FS311) = 1 Yes »
| | ========================================================================
| |
FS312
[Ask if FS310=2 and FS311=1] How old is she?[Soft check: >=Respondents Age + 13] ____ Years old.Go to FS314
[ASK IF FS310=2 AND FS311=1] HOW OLD IS SHE?[SOFT CHECK: >=RESPONDENTS AGE + 13] ____ YEARS OLD.GO TO FS314
[ASK IF FS310=2 AND FS311=1] HOW OLD IS SHE?[SOFT CHECK: >=RESPONDENTS AGE + 13] ____ YEARS OLD.GO TO FS314
|
Else
| | ========================================================================
| |
FS313
[Ask only if FS311=2] How old was she when she died?[Soft check: <25 OR>100] ____ Years old
[ASK ONLY IF FS311=2] HOW OLD WAS SHE WHEN SHE DIED?[SOFT CHECK: <25 OR>100] ____ YEARS OLD
[ASK ONLY IF FS311=2] HOW OLD WAS SHE WHEN SHE DIED?[SOFT CHECK: <25 OR>100] ____ YEARS OLD
| ========================================================================
|
FS314
[Ask only if FS310=2] Can (could) she read and write?
[ASK ONLY IF FS310=2] CAN (COULD) SHE READ AND WRITE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Can read only
2 Can write only
3 Can both read and write
4 Cannot read or write
[ASK ONLY IF FS310=2] CAN (COULD) SHE READ AND WRITE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Can read only
2 Can write only
3 Can both read and write
4 Cannot read or write
| ========================================================================
|
FS315
[Ask only if FS310=2] Did she ever attend school?
[ASK ONLY IF FS310=2] DID SHE EVER ATTEND SCHOOL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
[ASK ONLY IF FS310=2] DID SHE EVER ATTEND SCHOOL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
|
If [Ask only if FS310=2] Did she ever attend school? (FS315) = 1 Yes
2 No
»
| | ========================================================================
| |
FS316
[Ask only if FS315=1] How many years of schooling has she completed (did she complete)? Number of years _______
[ASK ONLY IF FS315=1] HOW MANY YEARS OF SCHOOLING HAS SHE COMPLETED (DID SHE COMPLETE)? NUMBER OF YEARS _______
[ASK ONLY IF FS315=1] HOW MANY YEARS OF SCHOOLING HAS SHE COMPLETED (DID SHE COMPLETE)? NUMBER OF YEARS _______
| | ========================================================================
| |
FS317
[Ask only if FS315=1]What is (was) the highest level of education that she completed?
[ASK ONLY IF FS315=1]WHAT IS (WAS) THE HIGHEST LEVEL OF EDUCATION THAT SHE 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
[ASK ONLY IF FS315=1]WHAT IS (WAS) THE HIGHEST LEVEL OF EDUCATION THAT SHE 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 [Ask only if FS310=2] Is she alive? (FS311) = 1 Yes »
| | ========================================================================
| |
FS318
[Ask if FS310=2 and FS311=1]Does she live alone or with others?
[ASK IF FS310=2 AND FS311=1]DOES SHE LIVE ALONE OR WITH OTHERS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Lives alone
2 Lives with your father or her partner
3 Lives with other children
4 Lives in old age home
5 Lives with others, please specify ________
[ASK IF FS310=2 AND FS311=1]DOES SHE LIVE ALONE OR WITH OTHERS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Lives alone
2 Lives with your father or her partner
3 Lives with other children
4 Lives in old age home
5 Lives with others, please specify ________
========================================================================
FS319
Now I have some questions about any brothers or sisters you may have, accounting for both deceased and living. Are you the only child or do you have any siblings?
NOW I HAVE SOME QUESTIONS ABOUT ANY BROTHERS OR SISTERS YOU MAY HAVE, ACCOUNTING FOR BOTH DECEASED AND LIVING. ARE YOU THE ONLY CHILD OR DO YOU HAVE ANY SIBLINGS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Only child
2 Have siblings
NOW I HAVE SOME QUESTIONS ABOUT ANY BROTHERS OR SISTERS YOU MAY HAVE, ACCOUNTING FOR BOTH DECEASED AND LIVING. ARE YOU THE ONLY CHILD OR DO YOU HAVE ANY SIBLINGS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Only child
2 Have siblings
========================================================================
FS320
[Ask only if FS319=2] What is your birth order? Birth order: 1st/2nd/3rd/4th...
[ASK ONLY IF FS319=2] WHAT IS YOUR BIRTH ORDER? BIRTH ORDER: 1ST/2ND/3RD/4TH...
[ASK ONLY IF FS319=2] WHAT IS YOUR BIRTH ORDER? BIRTH ORDER: 1ST/2ND/3RD/4TH...
========================================================================
========================================================================
========================================================================
========================================================================
========================================================================
========================================================================
========================================================================
========================================================================
========================================================================
FS323
Among your family members, with whom would you say you have a close relationship with? [Multiple answers are allowed]
AMONG YOUR FAMILY MEMBERS, WITH WHOM WOULD YOU SAY YOU HAVE A CLOSE RELATIONSHIP WITH? [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Father
b Mother
c Brother/s
d Sister/s
e Spouse/ partner
f Son/s
g Daughter/s
h Son-in-law
i Daughter-in-law
j Grandchildren
k Grand parents
l Parent-in-law
m Other relatives
n Friends
o Other, please specify ____________
p None
AMONG YOUR FAMILY MEMBERS, WITH WHOM WOULD YOU SAY YOU HAVE A CLOSE RELATIONSHIP WITH? [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Father
b Mother
c Brother/s
d Sister/s
e Spouse/ partner
f Son/s
g Daughter/s
h Son-in-law
i Daughter-in-law
j Grandchildren
k Grand parents
l Parent-in-law
m Other relatives
n Friends
o Other, please specify ____________
p None
========================================================================
FS324
Do you have any friends?
DO YOU HAVE ANY FRIENDS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
DO YOU HAVE ANY FRIENDS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
If Do you have any friends? (FS324) = 1 Yes
2 No
»
| ========================================================================
|
FS325
[Ask only if FS324=1]With how many of these friends would you say you have a close relationship?
[ASK ONLY IF FS324=1]WITH HOW MANY OF THESE FRIENDS WOULD YOU SAY YOU HAVE A CLOSE RELATIONSHIP?
[ASK ONLY IF FS324=1]WITH HOW MANY OF THESE FRIENDS WOULD YOU SAY YOU HAVE A CLOSE RELATIONSHIP?
| ========================================================================
|
FS326
[Ask only if FS324=1]On average, how often do you meet up with friends?
[ASK ONLY IF FS324=1]ON AVERAGE, HOW OFTEN DO YOU MEET UP WITH FRIENDS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 At least once in a week
3 At least once in a month
4 At least once in a year
5 Never
[ASK ONLY IF FS324=1]ON AVERAGE, HOW OFTEN DO YOU MEET UP WITH FRIENDS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 At least once in a week
3 At least once in a month
4 At least once in a year
5 Never
| ========================================================================
|
FS327
[Ask only if FS324=1]On average, how often do you speak on the phone or mail/e-mail with friends?
[ASK ONLY IF FS324=1]ON AVERAGE, HOW OFTEN DO YOU SPEAK ON THE PHONE OR MAIL/E-MAIL WITH FRIENDS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 At least once in a week
3 At least once in a month
4 At least once in a year
5 Never
[ASK ONLY IF FS324=1]ON AVERAGE, HOW OFTEN DO YOU SPEAK ON THE PHONE OR MAIL/E-MAIL WITH FRIENDS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 At least once in a week
3 At least once in a month
4 At least once in a year
5 Never
========================================================================
FS328
With whom do you share most of your personal matters?[
WITH WHOM DO YOU SHARE MOST OF YOUR PERSONAL MATTERS?[
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Father
2 Mother
3 Brother/s
4 Sister/s
5 Spouse/ partner
6 Son/s
7 Daughter/s
8 Son-in-law
9 Daughter-in-law
10 Grandchildren
11 Grand parents
12 Parent-in-law
13 Other relatives
14 Friends
15 Other, please specify ____________
16 None
WITH WHOM DO YOU SHARE MOST OF YOUR PERSONAL MATTERS?[
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Father
2 Mother
3 Brother/s
4 Sister/s
5 Spouse/ partner
6 Son/s
7 Daughter/s
8 Son-in-law
9 Daughter-in-law
10 Grandchildren
11 Grand parents
12 Parent-in-law
13 Other relatives
14 Friends
15 Other, please specify ____________
16 None
========================================================================
FS329
Are you satisfied with your current living arrangements?
ARE YOU SATISFIED WITH YOUR CURRENT LIVING ARRANGEMENTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Strongly satisfied
2 Satisfied
3 Neither satisfied nor dissatisfied
4 Dissatisfied
5 Strongly dissatisfied
ARE YOU SATISFIED WITH YOUR CURRENT LIVING ARRANGEMENTS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Strongly satisfied
2 Satisfied
3 Neither satisfied nor dissatisfied
4 Dissatisfied
5 Strongly dissatisfied
========================================================================
FS330
Who mainly decided about your current place of residence?
WHO MAINLY DECIDED ABOUT YOUR CURRENT PLACE OF RESIDENCE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Self
2 Father
3 Mother
4 Brother/s
5 Sister/s
6 Spouse/ partner
7 Son/s
8 Daughter/s
9 Son-in-law
10 Daughter-in-law
11 Grandchildren
12 Grand parents
13 Parent-in-law
14 Other relatives
15 Friends
16 Other, please specify ____________
17 None
WHO MAINLY DECIDED ABOUT YOUR CURRENT PLACE OF RESIDENCE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Self
2 Father
3 Mother
4 Brother/s
5 Sister/s
6 Spouse/ partner
7 Son/s
8 Daughter/s
9 Son-in-law
10 Daughter-in-law
11 Grandchildren
12 Grand parents
13 Parent-in-law
14 Other relatives
15 Friends
16 Other, please specify ____________
17 None
========================================================================
FS331
Do you have any intention of changing your living arrangement in the future?
DO YOU HAVE ANY INTENTION OF CHANGING YOUR LIVING ARRANGEMENT IN THE FUTURE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No intention to change
2 Yes, prefer to live alone
3 Yes, prefer to live with spouse only
4 Yes, prefer to live with other child
5 Yes, prefer to live with other relatives
6 Yes, prefer to live with my own family (spouse and children) only
7 Yes, prefer to move into old age home
8 Other, please specify_________
DO YOU HAVE ANY INTENTION OF CHANGING YOUR LIVING ARRANGEMENT IN THE FUTURE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No intention to change
2 Yes, prefer to live alone
3 Yes, prefer to live with spouse only
4 Yes, prefer to live with other child
5 Yes, prefer to live with other relatives
6 Yes, prefer to live with my own family (spouse and children) only
7 Yes, prefer to move into old age home
8 Other, please specify_________
========================================================================
FS401
Now we are going to ask you about financial support that you may have given, or received from, your family and friends. By financial support we mean giving money, helping to pay bills, or covering specific types of costs such as those for medical care or insurance, schooling, marriages in family, religious events, down payment for buying a home, and rent. Costs shared for housing and food excluded. Have you received financial help/support from your family (parents, children, siblings, grandchildren, parents of spouse, or any other family members) or friends during the past 12 months? Financial support includes monetary support in which annual cost totals more than Rs. 1,000.
NOW WE ARE GOING TO ASK YOU ABOUT FINANCIAL SUPPORT THAT YOU MAY HAVE GIVEN, OR RECEIVED FROM, YOUR FAMILY AND FRIENDS. BY FINANCIAL SUPPORT WE MEAN GIVING MONEY, HELPING TO PAY BILLS, OR COVERING SPECIFIC TYPES OF COSTS SUCH AS THOSE FOR MEDICAL CARE OR INSURANCE, SCHOOLING, MARRIAGES IN FAMILY, RELIGIOUS EVENTS, DOWN PAYMENT FOR BUYING A HOME, AND RENT. COSTS SHARED FOR HOUSING AND FOOD EXCLUDED. HAVE YOU RECEIVED FINANCIAL HELP/SUPPORT FROM YOUR FAMILY (PARENTS, CHILDREN, SIBLINGS, GRANDCHILDREN, PARENTS OF SPOUSE, OR ANY OTHER FAMILY MEMBERS) OR FRIENDS DURING THE PAST 12 MONTHS? FINANCIAL SUPPORT INCLUDES MONETARY SUPPORT IN WHICH ANNUAL COST TOTALS MORE THAN RS. 1,000.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No .Go to FS404
NOW WE ARE GOING TO ASK YOU ABOUT FINANCIAL SUPPORT THAT YOU MAY HAVE GIVEN, OR RECEIVED FROM, YOUR FAMILY AND FRIENDS. BY FINANCIAL SUPPORT WE MEAN GIVING MONEY, HELPING TO PAY BILLS, OR COVERING SPECIFIC TYPES OF COSTS SUCH AS THOSE FOR MEDICAL CARE OR INSURANCE, SCHOOLING, MARRIAGES IN FAMILY, RELIGIOUS EVENTS, DOWN PAYMENT FOR BUYING A HOME, AND RENT. COSTS SHARED FOR HOUSING AND FOOD EXCLUDED. HAVE YOU RECEIVED FINANCIAL HELP/SUPPORT FROM YOUR FAMILY (PARENTS, CHILDREN, SIBLINGS, GRANDCHILDREN, PARENTS OF SPOUSE, OR ANY OTHER FAMILY MEMBERS) OR FRIENDS DURING THE PAST 12 MONTHS? FINANCIAL SUPPORT INCLUDES MONETARY SUPPORT IN WHICH ANNUAL COST TOTALS MORE THAN RS. 1,000.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No .Go to FS404
If Now we are going to ask you about financial support that you may have given, or received from, your family and friends. By financial support we mean giving money, helping to pay bills, or covering specific types of costs such as those for medical care or insurance, schooling, marriages in family, religious events, down payment for buying a home, and rent. Costs shared for housing and food excluded. Have you received financial help/support from your family (parents, children, siblings, grandchildren, parents of spouse, or any other family members) or friends during the past 12 months? Financial support includes monetary support in which annual cost totals more than Rs. 1,000. (FS401) = 1 Yes
2 No .Go to FS404
»
| ========================================================================
|
FS402
[Ask only if FS401=1]From whom did you receive financial help? Please identify all family members or friends who gave financial support/help to you. All family members include biological, adopted, and step children and siblings. [Multiple answers are allowed]
[ASK ONLY IF FS401=1]FROM WHOM DID YOU RECEIVE FINANCIAL HELP? PLEASE IDENTIFY ALL FAMILY MEMBERS OR FRIENDS WHO GAVE FINANCIAL SUPPORT/HELP TO YOU. ALL FAMILY MEMBERS INCLUDE BIOLOGICAL, ADOPTED, AND STEP CHILDREN AND SIBLINGS. [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Spouse/partner
b Son/s
c Daughter/s
d Sons-in-law
e Daughters-in-law
f Grandchildren
g Parents
h Parents-in-law
i Brother/s
j Sister/s
k Grandparents
l Other relatives
m Friends
n Other, please specify ______________
[ASK ONLY IF FS401=1]FROM WHOM DID YOU RECEIVE FINANCIAL HELP? PLEASE IDENTIFY ALL FAMILY MEMBERS OR FRIENDS WHO GAVE FINANCIAL SUPPORT/HELP TO YOU. ALL FAMILY MEMBERS INCLUDE BIOLOGICAL, ADOPTED, AND STEP CHILDREN AND SIBLINGS. [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Spouse/partner
b Son/s
c Daughter/s
d Sons-in-law
e Daughters-in-law
f Grandchildren
g Parents
h Parents-in-law
i Brother/s
j Sister/s
k Grandparents
l Other relatives
m Friends
n Other, please specify ______________
| ========================================================================
|
FS402A
[Ask only If FS401=1] For what purpose/s did your family members/friends financially help you? [Multiple answers are allowed]
[ASK ONLY IF FS401=1] FOR WHAT PURPOSE/S DID YOUR FAMILY MEMBERS/FRIENDS FINANCIALLY HELP YOU? [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Daily living expenses
b Meeting medical expenses
c Education
d Marriage expenses
e Rent/household repairs/purchase of house
f Purchase of consumer durables
g Festivals/religious events
h Other, please specify------------------------
[ASK ONLY IF FS401=1] FOR WHAT PURPOSE/S DID YOUR FAMILY MEMBERS/FRIENDS FINANCIALLY HELP YOU? [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Daily living expenses
b Meeting medical expenses
c Education
d Marriage expenses
e Rent/household repairs/purchase of house
f Purchase of consumer durables
g Festivals/religious events
h Other, please specify------------------------
| ========================================================================
|
FS403
[Ask only if FS401=1] What is the total value of the financial help you received from your family or friends in the past 12 months? ________ Rs.
[ASK ONLY IF FS401=1] WHAT IS THE TOTAL VALUE OF THE FINANCIAL HELP YOU RECEIVED FROM YOUR FAMILY OR FRIENDS IN THE PAST 12 MONTHS? ________ RS.
[ASK ONLY IF FS401=1] WHAT IS THE TOTAL VALUE OF THE FINANCIAL HELP YOU RECEIVED FROM YOUR FAMILY OR FRIENDS IN THE PAST 12 MONTHS? ________ RS.
|
If R does not give exact amount in FS403 »
| | ========================================================================
| |
FS403A
Does it amount to less than [threshold value randomly chosen] [Rupees 1,000; Rupees 5,000; Rupees 10,000; Rupees 50,000; Rupees 1, 00,000]
DOES IT AMOUNT TO LESS THAN [THRESHOLD VALUE RANDOMLY CHOSEN] [RUPEES 1,000; RUPEES 5,000; RUPEES 10,000; RUPEES 50,000; RUPEES 1, 00,000]
DOES IT AMOUNT TO LESS THAN [THRESHOLD VALUE RANDOMLY CHOSEN] [RUPEES 1,000; RUPEES 5,000; RUPEES 10,000; RUPEES 50,000; RUPEES 1, 00,000]
| | ========================================================================
| |
FS403B
Does it amount to more than [threshold value randomly chosen] [Rupees 1,000; Rupees 5,000; Rupees 10,000; Rupees 50,000; Rupees 1, 00,000]
DOES IT AMOUNT TO MORE THAN [THRESHOLD VALUE RANDOMLY CHOSEN] [RUPEES 1,000; RUPEES 5,000; RUPEES 10,000; RUPEES 50,000; RUPEES 1, 00,000]
DOES IT AMOUNT TO MORE THAN [THRESHOLD VALUE RANDOMLY CHOSEN] [RUPEES 1,000; RUPEES 5,000; RUPEES 10,000; RUPEES 50,000; RUPEES 1, 00,000]
| | ========================================================================
| |
FS403C
Does it amount to what? [Rupees 1,000; Rupees 5,000; Rupees 10,000; Rupees 50,000; Rupees 1, 00,000]
DOES IT AMOUNT TO WHAT? [RUPEES 1,000; RUPEES 5,000; RUPEES 10,000; RUPEES 50,000; RUPEES 1, 00,000]
DOES IT AMOUNT TO WHAT? [RUPEES 1,000; RUPEES 5,000; RUPEES 10,000; RUPEES 50,000; RUPEES 1, 00,000]
========================================================================
FS404
Have you given any financial help/support to your family (parents, children, siblings, grandchildren, parents of spouse) or friends during the past 12 months? Financial support includes monetary support in which the annual cost totals more than Rs. 1000.
HAVE YOU GIVEN ANY FINANCIAL HELP/SUPPORT TO YOUR FAMILY (PARENTS, CHILDREN, SIBLINGS, GRANDCHILDREN, PARENTS OF SPOUSE) OR FRIENDS DURING THE PAST 12 MONTHS? FINANCIAL SUPPORT INCLUDES MONETARY SUPPORT IN WHICH THE ANNUAL COST TOTALS MORE THAN RS. 1000.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
HAVE YOU GIVEN ANY FINANCIAL HELP/SUPPORT TO YOUR FAMILY (PARENTS, CHILDREN, SIBLINGS, GRANDCHILDREN, PARENTS OF SPOUSE) OR FRIENDS DURING THE PAST 12 MONTHS? FINANCIAL SUPPORT INCLUDES MONETARY SUPPORT IN WHICH THE ANNUAL COST TOTALS MORE THAN RS. 1000.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
If [Ask only if FS401=1] What is the total value of the financial help you received from your family or friends in the past 12 months? ________ Rs. (FS403) = 1 »
| ========================================================================
|
FS405
To whom did you give financial help? Please identify all family members or friends to whom you gave financial help. All family members include biological, adopted, step children and siblings. [Multiple answers are allowed]
TO WHOM DID YOU GIVE FINANCIAL HELP? PLEASE IDENTIFY ALL FAMILY MEMBERS OR FRIENDS TO WHOM YOU GAVE FINANCIAL HELP. ALL FAMILY MEMBERS INCLUDE BIOLOGICAL, ADOPTED, STEP CHILDREN AND SIBLINGS. [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Spouse/partner
b Son/s
c Daughter/s
d Sons-in-law
e Daughters-in-law
f Grandchildren
g Parents
h Parents-in-law
i Brother/s
j Sister/s
k Grandparents
l Other relatives
m Servants
n Friends
o Other, please specify ______________
TO WHOM DID YOU GIVE FINANCIAL HELP? PLEASE IDENTIFY ALL FAMILY MEMBERS OR FRIENDS TO WHOM YOU GAVE FINANCIAL HELP. ALL FAMILY MEMBERS INCLUDE BIOLOGICAL, ADOPTED, STEP CHILDREN AND SIBLINGS. [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Spouse/partner
b Son/s
c Daughter/s
d Sons-in-law
e Daughters-in-law
f Grandchildren
g Parents
h Parents-in-law
i Brother/s
j Sister/s
k Grandparents
l Other relatives
m Servants
n Friends
o Other, please specify ______________
| ========================================================================
|
FS405a
FS405a
| ========================================================================
|
FS406
What is the total value of the financial help you gave to your family or friends in the past 12 months? ________ Rs [Instruction for CAPI: Go to FS406a if R selects DONT KNOW (DK) or REFUSED. Otherwise, proceed to FS406d if the respondent can give an approximate value]
WHAT IS THE TOTAL VALUE OF THE FINANCIAL HELP YOU GAVE TO YOUR FAMILY OR FRIENDS IN THE PAST 12 MONTHS? ________ RS [INSTRUCTION FOR CAPI: GO TO FS406A IF R SELECTS DONT KNOW (DK) OR REFUSED. OTHERWISE, PROCEED TO FS406D IF THE RESPONDENT CAN GIVE AN APPROXIMATE VALUE]
WHAT IS THE TOTAL VALUE OF THE FINANCIAL HELP YOU GAVE TO YOUR FAMILY OR FRIENDS IN THE PAST 12 MONTHS? ________ RS [INSTRUCTION FOR CAPI: GO TO FS406A IF R SELECTS DONT KNOW (DK) OR REFUSED. OTHERWISE, PROCEED TO FS406D IF THE RESPONDENT CAN GIVE AN APPROXIMATE VALUE]
|
If R does not give exact amount in FS406 »
| | ========================================================================
| |
FS406A
Does it amount to less than [threshold value randomly chosen] [Rupees 1,000; Rupees 5,000; Rupees 10,000; Rupees 50,000; Rupees 1, 00,000]
DOES IT AMOUNT TO LESS THAN [THRESHOLD VALUE RANDOMLY CHOSEN] [RUPEES 1,000; RUPEES 5,000; RUPEES 10,000; RUPEES 50,000; RUPEES 1, 00,000]
DOES IT AMOUNT TO LESS THAN [THRESHOLD VALUE RANDOMLY CHOSEN] [RUPEES 1,000; RUPEES 5,000; RUPEES 10,000; RUPEES 50,000; RUPEES 1, 00,000]
| | ========================================================================
| |
FS406B
Does it amount to more than [threshold value randomly chosen] [Rupees 1,000; Rupees 5,000; Rupees 10,000; Rupees 50,000; Rupees 1, 00,000]
DOES IT AMOUNT TO MORE THAN [THRESHOLD VALUE RANDOMLY CHOSEN] [RUPEES 1,000; RUPEES 5,000; RUPEES 10,000; RUPEES 50,000; RUPEES 1, 00,000]
DOES IT AMOUNT TO MORE THAN [THRESHOLD VALUE RANDOMLY CHOSEN] [RUPEES 1,000; RUPEES 5,000; RUPEES 10,000; RUPEES 50,000; RUPEES 1, 00,000]
| | ========================================================================
| |
FS406C
Does it amount to what? [Rupees 1,000; Rupees 5,000; Rupees 10,000; Rupees 50,000; Rupees 1, 00,000]
DOES IT AMOUNT TO WHAT? [RUPEES 1,000; RUPEES 5,000; RUPEES 10,000; RUPEES 50,000; RUPEES 1, 00,000]
DOES IT AMOUNT TO WHAT? [RUPEES 1,000; RUPEES 5,000; RUPEES 10,000; RUPEES 50,000; RUPEES 1, 00,000]
========================================================================
FS407
Are there any members of your family (spouse, parents, parents of spouse, siblings, and/or children) who are unable to carry out their basic daily activities? Basic daily activities refer to everyday routines such as eating, putting on clothes, taking bath, and using toilet, etc.
ARE THERE ANY MEMBERS OF YOUR FAMILY (SPOUSE, PARENTS, PARENTS OF SPOUSE, SIBLINGS, AND/OR CHILDREN) WHO ARE UNABLE TO CARRY OUT THEIR BASIC DAILY ACTIVITIES? BASIC DAILY ACTIVITIES REFER TO EVERYDAY ROUTINES SUCH AS EATING, PUTTING ON CLOTHES, TAKING BATH, AND USING TOILET, ETC.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
ARE THERE ANY MEMBERS OF YOUR FAMILY (SPOUSE, PARENTS, PARENTS OF SPOUSE, SIBLINGS, AND/OR CHILDREN) WHO ARE UNABLE TO CARRY OUT THEIR BASIC DAILY ACTIVITIES? BASIC DAILY ACTIVITIES REFER TO EVERYDAY ROUTINES SUCH AS EATING, PUTTING ON CLOTHES, TAKING BATH, AND USING TOILET, ETC.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
If Are there any members of your family (spouse, parents, parents of spouse, siblings, and/or children) who are unable to carry out their basic daily activities? Basic daily activities refer to everyday routines such as eating, putting on clothes, taking bath, and using toilet, etc. (FS407) = 1 Yes »
| ========================================================================
|
FS408
[Ask only if FS407=1] Do you take care of any of your family members who are unable to carry out their basic daily activities?
[ASK ONLY IF FS407=1] DO YOU TAKE CARE OF ANY OF YOUR FAMILY MEMBERS WHO ARE UNABLE TO CARRY OUT THEIR BASIC DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
[ASK ONLY IF FS407=1] DO YOU TAKE CARE OF ANY OF YOUR FAMILY MEMBERS WHO ARE UNABLE TO CARRY OUT THEIR BASIC DAILY ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
|
If [Ask only if FS407=1] Do you take care of any of your family members who are unable to carry out their basic daily activities? (FS408) = 1 Yes »
| | ========================================================================
| |
FS409
[Ask only if FS408=1] How often do you take care of your family member(s)?
[ASK ONLY IF FS408=1] HOW OFTEN DO YOU TAKE CARE OF YOUR FAMILY MEMBER(S)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Not in the last month
[ASK ONLY IF FS408=1] HOW OFTEN DO YOU TAKE CARE OF YOUR FAMILY MEMBER(S)?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Not in the last month
| |
If [Ask only if FS408=1] How often do you take care of your family member(s)? (FS409) != 6 »
| | | ========================================================================
| | |
FS410
[Ask only if FS408=1] For how many hours did you provide such a care in the past week? _________ Hours past week[Soft check: FS410>140]
[ASK ONLY IF FS408=1] FOR HOW MANY HOURS DID YOU PROVIDE SUCH A CARE IN THE PAST WEEK? _________ HOURS PAST WEEK[SOFT CHECK: FS410>140]
[ASK ONLY IF FS408=1] FOR HOW MANY HOURS DID YOU PROVIDE SUCH A CARE IN THE PAST WEEK? _________ HOURS PAST WEEK[SOFT CHECK: FS410>140]
| ========================================================================
|
FS411
Do you care for any other sick or disabled adults other than your family members?
DO YOU CARE FOR ANY OTHER SICK OR DISABLED ADULTS OTHER THAN YOUR FAMILY MEMBERS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
DO YOU CARE FOR ANY OTHER SICK OR DISABLED ADULTS OTHER THAN YOUR FAMILY MEMBERS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
|
If Do you care for any other sick or disabled adults other than your family members? (FS411) = 1 Yes
2 No
»
| | ========================================================================
| |
FS412
[Ask only if FS411=1] How often do you care for a sick or disabled adult outside of your family?
[ASK ONLY IF FS411=1] HOW OFTEN DO YOU CARE FOR A SICK OR DISABLED ADULT OUTSIDE OF YOUR FAMILY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Not in the last month .Go to FS418
[ASK ONLY IF FS411=1] HOW OFTEN DO YOU CARE FOR A SICK OR DISABLED ADULT OUTSIDE OF YOUR FAMILY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Not in the last month .Go to FS418
| | ========================================================================
| |
FS413
[Ask only if FS411=1] For how many hours did you provide such a care in the past week? _________ Hours past week [Soft check: FS410>140]
[ASK ONLY IF FS411=1] FOR HOW MANY HOURS DID YOU PROVIDE SUCH A CARE IN THE PAST WEEK? _________ HOURS PAST WEEK [SOFT CHECK: FS410>140]
[ASK ONLY IF FS411=1] FOR HOW MANY HOURS DID YOU PROVIDE SUCH A CARE IN THE PAST WEEK? _________ HOURS PAST WEEK [SOFT CHECK: FS410>140]
| |
If [Ask only if FS407=1] Do you take care of any of your family members who are unable to carry out their basic daily activities? (FS408) = 1 Yes »
| | | ========================================================================
| | |
FS415
[Ask if FS408=1 or FS411=1] Which of the following activities do you usually do as part of the care you provide to the recipient? [Multiple answers are allowed]
[ASK IF FS408=1 OR FS411=1] WHICH OF THE FOLLOWING ACTIVITIES DO YOU USUALLY DO AS PART OF THE CARE YOU PROVIDE TO THE RECIPIENT? [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Personal care activities, like getting in and out of bed, walking across the room, bathing, using toilet
b Other activities of daily life, like shopping, preparing meals, housekeeping
c Specific health care, like managing medications, changing bandages
d Watching them while doing other things
e Social or emotional support, like spending time with them, giving them company
f Financial care like paying for their medical or other expenses
g Accompanying the person/s to medical appointments (the hospital, clinic, getting medical tests, X-rays, etc.)
[ASK IF FS408=1 OR FS411=1] WHICH OF THE FOLLOWING ACTIVITIES DO YOU USUALLY DO AS PART OF THE CARE YOU PROVIDE TO THE RECIPIENT? [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Personal care activities, like getting in and out of bed, walking across the room, bathing, using toilet
b Other activities of daily life, like shopping, preparing meals, housekeeping
c Specific health care, like managing medications, changing bandages
d Watching them while doing other things
e Social or emotional support, like spending time with them, giving them company
f Financial care like paying for their medical or other expenses
g Accompanying the person/s to medical appointments (the hospital, clinic, getting medical tests, X-rays, etc.)
| | | ========================================================================
| | |
FS416A
[Ask if FS408=1 or FS411=1] Please tell me how much you agree or disagree with the following statements about your care giving role. Made me feel more needed
[ASK IF FS408=1 OR FS411=1] PLEASE TELL ME HOW MUCH YOU AGREE OR DISAGREE WITH THE FOLLOWING STATEMENTS ABOUT YOUR CARE GIVING ROLE. MADE ME FEEL MORE NEEDED
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Stronglydisagree
2 Disagree
3 Neither agree nordisagree
4 Agree
5 Stronglyagree
[ASK IF FS408=1 OR FS411=1] PLEASE TELL ME HOW MUCH YOU AGREE OR DISAGREE WITH THE FOLLOWING STATEMENTS ABOUT YOUR CARE GIVING ROLE. MADE ME FEEL MORE NEEDED
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Stronglydisagree
2 Disagree
3 Neither agree nordisagree
4 Agree
5 Stronglyagree
| | | ========================================================================
| | |
FS416B
[Ask if FS408=1 or FS411=1] Please tell me how much you agree or disagree with the following statements about your care giving role. Made me feel good about myself
[ASK IF FS408=1 OR FS411=1] PLEASE TELL ME HOW MUCH YOU AGREE OR DISAGREE WITH THE FOLLOWING STATEMENTS ABOUT YOUR CARE GIVING ROLE. MADE ME FEEL GOOD ABOUT MYSELF
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Stronglydisagree
2 Disagree
3 Neither agree nordisagree
4 Agree
5 Stronglyagree
[ASK IF FS408=1 OR FS411=1] PLEASE TELL ME HOW MUCH YOU AGREE OR DISAGREE WITH THE FOLLOWING STATEMENTS ABOUT YOUR CARE GIVING ROLE. MADE ME FEEL GOOD ABOUT MYSELF
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Stronglydisagree
2 Disagree
3 Neither agree nordisagree
4 Agree
5 Stronglyagree
| | | ========================================================================
| | |
FS416C
[Ask if FS408=1 or FS411=1] Please tell me how much you agree or disagree with the following statements about your care giving role. Made me feel restricted
[ASK IF FS408=1 OR FS411=1] PLEASE TELL ME HOW MUCH YOU AGREE OR DISAGREE WITH THE FOLLOWING STATEMENTS ABOUT YOUR CARE GIVING ROLE. MADE ME FEEL RESTRICTED
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Stronglydisagree
2 Disagree
3 Neither agree nordisagree
4 Agree
5 Stronglyagree
[ASK IF FS408=1 OR FS411=1] PLEASE TELL ME HOW MUCH YOU AGREE OR DISAGREE WITH THE FOLLOWING STATEMENTS ABOUT YOUR CARE GIVING ROLE. MADE ME FEEL RESTRICTED
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Stronglydisagree
2 Disagree
3 Neither agree nordisagree
4 Agree
5 Stronglyagree
| | | ========================================================================
| | |
FS417
[Ask if FS408=1 or FS411=1] People occupy several roles at once, like that of a spouse, son/daughter or friend. We would like to know whether your current care giving role interferes with any of the roles you may have. [Multiple answers are allowed]
[ASK IF FS408=1 OR FS411=1] PEOPLE OCCUPY SEVERAL ROLES AT ONCE, LIKE THAT OF A SPOUSE, SON/DAUGHTER OR FRIEND. WE WOULD LIKE TO KNOW WHETHER YOUR CURRENT CARE GIVING ROLE INTERFERES WITH ANY OF THE ROLES YOU MAY HAVE. [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Role as spouse
b Parent
c Child
d Son-in-law or daughter-in-law
e Mother-in-law or father-in-law
f Work outside home
g Homemaker
h Friend
i Relative
j Neighbor
k None of the above/caregiving does not interferewith any roles
[ASK IF FS408=1 OR FS411=1] PEOPLE OCCUPY SEVERAL ROLES AT ONCE, LIKE THAT OF A SPOUSE, SON/DAUGHTER OR FRIEND. WE WOULD LIKE TO KNOW WHETHER YOUR CURRENT CARE GIVING ROLE INTERFERES WITH ANY OF THE ROLES YOU MAY HAVE. [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Role as spouse
b Parent
c Child
d Son-in-law or daughter-in-law
e Mother-in-law or father-in-law
f Work outside home
g Homemaker
h Friend
i Relative
j Neighbor
k None of the above/caregiving does not interferewith any roles
========================================================================
FS418A
Who usually makes the following decisions? Please describe your role in decision-making. Do you have no role, or you make the decision alone, or with your spouse, your children, or others? Marriage of son/daughter
WHO USUALLY MAKES THE FOLLOWING DECISIONS? PLEASE DESCRIBE YOUR ROLE IN DECISION-MAKING. DO YOU HAVE NO ROLE, OR YOU MAKE THE DECISION ALONE, OR WITH YOUR SPOUSE, YOUR CHILDREN, OR OTHERS? MARRIAGE OF SON/DAUGHTER
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No role
2 Decidealone
3 Contribute todecision-making
4 Notapplicable
WHO USUALLY MAKES THE FOLLOWING DECISIONS? PLEASE DESCRIBE YOUR ROLE IN DECISION-MAKING. DO YOU HAVE NO ROLE, OR YOU MAKE THE DECISION ALONE, OR WITH YOUR SPOUSE, YOUR CHILDREN, OR OTHERS? MARRIAGE OF SON/DAUGHTER
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No role
2 Decidealone
3 Contribute todecision-making
4 Notapplicable
========================================================================
FS418B
Who usually makes the following decisions? Please describe your role in decision-making. Do you have no role, or you make the decision alone, or with your spouse, your children, or others? Buying and selling of property
WHO USUALLY MAKES THE FOLLOWING DECISIONS? PLEASE DESCRIBE YOUR ROLE IN DECISION-MAKING. DO YOU HAVE NO ROLE, OR YOU MAKE THE DECISION ALONE, OR WITH YOUR SPOUSE, YOUR CHILDREN, OR OTHERS? BUYING AND SELLING OF PROPERTY
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No role
2 Decidealone
3 Contribute todecision-making
4 Notapplicable
WHO USUALLY MAKES THE FOLLOWING DECISIONS? PLEASE DESCRIBE YOUR ROLE IN DECISION-MAKING. DO YOU HAVE NO ROLE, OR YOU MAKE THE DECISION ALONE, OR WITH YOUR SPOUSE, YOUR CHILDREN, OR OTHERS? BUYING AND SELLING OF PROPERTY
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No role
2 Decidealone
3 Contribute todecision-making
4 Notapplicable
========================================================================
FS418C
Who usually makes the following decisions? Please describe your role in decision-making. Do you have no role, or you make the decision alone, or with your spouse, your children, or others? Gifts to children, grandchildren, other relatives
WHO USUALLY MAKES THE FOLLOWING DECISIONS? PLEASE DESCRIBE YOUR ROLE IN DECISION-MAKING. DO YOU HAVE NO ROLE, OR YOU MAKE THE DECISION ALONE, OR WITH YOUR SPOUSE, YOUR CHILDREN, OR OTHERS? GIFTS TO CHILDREN, GRANDCHILDREN, OTHER RELATIVES
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No role
2 Decidealone
3 Contribute todecision-making
4 Notapplicable
WHO USUALLY MAKES THE FOLLOWING DECISIONS? PLEASE DESCRIBE YOUR ROLE IN DECISION-MAKING. DO YOU HAVE NO ROLE, OR YOU MAKE THE DECISION ALONE, OR WITH YOUR SPOUSE, YOUR CHILDREN, OR OTHERS? GIFTS TO CHILDREN, GRANDCHILDREN, OTHER RELATIVES
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No role
2 Decidealone
3 Contribute todecision-making
4 Notapplicable
========================================================================
FS418D
Who usually makes the following decisions? Please describe your role in decision-making. Do you have no role, or you make the decision alone, or with your spouse, your children, or others? Education of the family member
WHO USUALLY MAKES THE FOLLOWING DECISIONS? PLEASE DESCRIBE YOUR ROLE IN DECISION-MAKING. DO YOU HAVE NO ROLE, OR YOU MAKE THE DECISION ALONE, OR WITH YOUR SPOUSE, YOUR CHILDREN, OR OTHERS? EDUCATION OF THE FAMILY MEMBER
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No role
2 Decidealone
3 Contribute todecision-making
4 Notapplicable
WHO USUALLY MAKES THE FOLLOWING DECISIONS? PLEASE DESCRIBE YOUR ROLE IN DECISION-MAKING. DO YOU HAVE NO ROLE, OR YOU MAKE THE DECISION ALONE, OR WITH YOUR SPOUSE, YOUR CHILDREN, OR OTHERS? EDUCATION OF THE FAMILY MEMBER
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No role
2 Decidealone
3 Contribute todecision-making
4 Notapplicable
========================================================================
FS418E
Who usually makes the following decisions? Please describe your role in decision-making. Do you have no role, or you make the decision alone, or with your spouse, your children, or others? Arrangement of social or religious events
WHO USUALLY MAKES THE FOLLOWING DECISIONS? PLEASE DESCRIBE YOUR ROLE IN DECISION-MAKING. DO YOU HAVE NO ROLE, OR YOU MAKE THE DECISION ALONE, OR WITH YOUR SPOUSE, YOUR CHILDREN, OR OTHERS? ARRANGEMENT OF SOCIAL OR RELIGIOUS EVENTS
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No role
2 Decidealone
3 Contribute todecision-making
4 Notapplicable
WHO USUALLY MAKES THE FOLLOWING DECISIONS? PLEASE DESCRIBE YOUR ROLE IN DECISION-MAKING. DO YOU HAVE NO ROLE, OR YOU MAKE THE DECISION ALONE, OR WITH YOUR SPOUSE, YOUR CHILDREN, OR OTHERS? ARRANGEMENT OF SOCIAL OR RELIGIOUS EVENTS
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No role
2 Decidealone
3 Contribute todecision-making
4 Notapplicable
========================================================================
FS419
Are you usually involved in the following household activities?
ARE YOU USUALLY INVOLVED IN THE FOLLOWING HOUSEHOLD ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Cooking
2 Shopping for the household
3 Payment of bills and settling of financial matters
4 Taking care of household chores
5 Giving advice to the children
6 Settling disputes
7 Other, please specify_______
8 None
ARE YOU USUALLY INVOLVED IN THE FOLLOWING HOUSEHOLD ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Cooking
2 Shopping for the household
3 Payment of bills and settling of financial matters
4 Taking care of household chores
5 Giving advice to the children
6 Settling disputes
7 Other, please specify_______
8 None
========================================================================
FS501
Are you member of any social organizations, religious groups, clubs or societies?
ARE YOU MEMBER OF ANY SOCIAL ORGANIZATIONS, RELIGIOUS GROUPS, CLUBS OR SOCIETIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
ARE YOU MEMBER OF ANY SOCIAL ORGANIZATIONS, RELIGIOUS GROUPS, CLUBS OR SOCIETIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
If Are you member of any social organizations, religious groups, clubs or societies? (FS501) = 1 Yes
2 No
»
| ========================================================================
|
FS502
[Ask only if FS501=1]Are you a member of any of these organizations, religious groups, clubs, or societies?[Multiple answers are allowed]
[ASK ONLY IF FS501=1]ARE YOU A MEMBER OF ANY OF THESE ORGANIZATIONS, RELIGIOUS GROUPS, CLUBS, OR SOCIETIES?[MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Farmers association/environmental groups/political party
b Tenant groups, neighborhood watch, resident welfare association
c Community/caste organizations
d Self-help group/NGO/Co-operative/mahilamandal
e Religious/spiritual group
f Education, arts or music groups, evening classes
g Social club
h Sports clubs, exercise classes, yoga classes
i Senior citizens association/clubs
j Gram Panchayat
k Other, please specify__________________
[ASK ONLY IF FS501=1]ARE YOU A MEMBER OF ANY OF THESE ORGANIZATIONS, RELIGIOUS GROUPS, CLUBS, OR SOCIETIES?[MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Farmers association/environmental groups/political party
b Tenant groups, neighborhood watch, resident welfare association
c Community/caste organizations
d Self-help group/NGO/Co-operative/mahilamandal
e Religious/spiritual group
f Education, arts or music groups, evening classes
g Social club
h Sports clubs, exercise classes, yoga classes
i Senior citizens association/clubs
j Gram Panchayat
k Other, please specify__________________
| ========================================================================
|
FS503
[Ask only if FS501 = 1] Thinking about all the organizations, clubs, or societies that you are a member of, how many meetings/regular gathering, if any, do you attend in a year?
[ASK ONLY IF FS501 = 1] THINKING ABOUT ALL THE ORGANIZATIONS, CLUBS, OR SOCIETIES THAT YOU ARE A MEMBER OF, HOW MANY MEETINGS/REGULAR GATHERING, IF ANY, DO YOU ATTEND IN A YEAR?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily or almost every day
2 Once or twice a week
3 Once or twice a month
4 Every other month or so
5 Once or twice a year
6 Never
[ASK ONLY IF FS501 = 1] THINKING ABOUT ALL THE ORGANIZATIONS, CLUBS, OR SOCIETIES THAT YOU ARE A MEMBER OF, HOW MANY MEETINGS/REGULAR GATHERING, IF ANY, DO YOU ATTEND IN A YEAR?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily or almost every day
2 Once or twice a week
3 Once or twice a month
4 Every other month or so
5 Once or twice a year
6 Never
========================================================================
FS504
How often, if at all, do you do any of the following activities? Eat out of the house (Restaurant/Hotel)
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? EAT OUT OF THE HOUSE (RESTAURANT/HOTEL)
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? EAT OUT OF THE HOUSE (RESTAURANT/HOTEL)
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
========================================================================
FS505
How often, if at all, do you do any of the following activities? Go to park/beach for relaxing/entertainment
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? GO TO PARK/BEACH FOR RELAXING/ENTERTAINMENT
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? GO TO PARK/BEACH FOR RELAXING/ENTERTAINMENT
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
========================================================================
FS506
How often, if at all, do you do any of the following activities? Play cards or indoor games
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? PLAY CARDS OR INDOOR GAMES
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? PLAY CARDS OR INDOOR GAMES
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
========================================================================
FS507
How often, if at all, do you do any of the following activities? Play out door games/sports/exercise/jog/yoga
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? PLAY OUT DOOR GAMES/SPORTS/EXERCISE/JOG/YOGA
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? PLAY OUT DOOR GAMES/SPORTS/EXERCISE/JOG/YOGA
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
========================================================================
FS508
How often, if at all, do you do any of the following activities? Visit relatives /friends
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? VISIT RELATIVES /FRIENDS
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? VISIT RELATIVES /FRIENDS
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
========================================================================
FS509
How often, if at all, do you do any of the following activities? Attend cultural performances /shows/Cinema
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? ATTEND CULTURAL PERFORMANCES /SHOWS/CINEMA
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? ATTEND CULTURAL PERFORMANCES /SHOWS/CINEMA
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
========================================================================
FS510
How often, if at all, do you do any of the following activities? Attend religious functions /events such as bhajan/satsang/prayer
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? ATTEND RELIGIOUS FUNCTIONS /EVENTS SUCH AS BHAJAN/SATSANG/PRAYER
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? ATTEND RELIGIOUS FUNCTIONS /EVENTS SUCH AS BHAJAN/SATSANG/PRAYER
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
========================================================================
FS511
How often, if at all, do you do any of the following activities? Attend political/community/organization group meetings
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? ATTEND POLITICAL/COMMUNITY/ORGANIZATION GROUP MEETINGS
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? ATTEND POLITICAL/COMMUNITY/ORGANIZATION GROUP MEETINGS
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
========================================================================
FS512
How often, if at all, do you do any of the following activities? Read books/newspapers/magazines
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? READ BOOKS/NEWSPAPERS/MAGAZINES
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? READ BOOKS/NEWSPAPERS/MAGAZINES
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
========================================================================
FS513
How often, if at all, do you do any of the following activities? Watch television/listen radio
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? WATCH TELEVISION/LISTEN RADIO
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? WATCH TELEVISION/LISTEN RADIO
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
========================================================================
FS514
How often, if at all, do you do any of the following activities? Use a computer for e-mail/net surfing etc.
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? USE A COMPUTER FOR E-MAIL/NET SURFING ETC.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
HOW OFTEN, IF AT ALL, DO YOU DO ANY OF THE FOLLOWING ACTIVITIES? USE A COMPUTER FOR E-MAIL/NET SURFING ETC.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Daily
2 Several times a week
3 Once a week
4 Several times a month
5 At least once a month
6 Rarely/Once in a year
7 Never/Not relevant
========================================================================
FS515
Did you vote in the last panchayat/municipal/assembly/parliament elections?
DID YOU VOTE IN THE LAST PANCHAYAT/MUNICIPAL/ASSEMBLY/PARLIAMENT ELECTIONS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
DID YOU VOTE IN THE LAST PANCHAYAT/MUNICIPAL/ASSEMBLY/PARLIAMENT ELECTIONS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
If Did you vote in the last panchayat/municipal/assembly/parliament elections? (FS515) = 2 »
| ========================================================================
|
FS516
[Ask only if FS515=2] Why you did not vote?
[ASK ONLY IF FS515=2] WHY YOU DID NOT VOTE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Not registered as a voter (name not on voters list)
2 Inability to move/walk
3 Disenchanted with political parties/ candidates
4 Scared to go out on an election day
5 Didn't have time/was busy
6 Other, please specify ________________
[ASK ONLY IF FS515=2] WHY YOU DID NOT VOTE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Not registered as a voter (name not on voters list)
2 Inability to move/walk
3 Disenchanted with political parties/ candidates
4 Scared to go out on an election day
5 Didn't have time/was busy
6 Other, please specify ________________
========================================================================
FS517
Who is present while interviewing this module? [Multiple answers are allowed]
WHO IS PRESENT WHILE INTERVIEWING THIS MODULE? [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Spouse/partner
b Son
c Daughter
d Son- in-law
e Daughter-in-law
f Grandchild
g Parent
h Parent-in-law
i Brother
j Sister
k Grandparent
l Other relative
m Servant
n Friend
o Other, please specify ______________
p No one
WHO IS PRESENT WHILE INTERVIEWING THIS MODULE? [MULTIPLE ANSWERS ARE ALLOWED]
- - - - - - - - - - - - - - - - - - - - - - - - -
a Spouse/partner
b Son
c Daughter
d Son- in-law
e Daughter-in-law
f Grandchild
g Parent
h Parent-in-law
i Brother
j Sister
k Grandparent
l Other relative
m Servant
n Friend
o Other, please specify ______________
p No one