TU_Intro
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Now I am going to ask few questions about how you spent your time and how you felt yesterday, [yesterday's day & date]. Please try to answer as honestly as you can. |
TU001
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To begin, please tell me what time you woke up today? [Instruction for the Interviewer: If the time of waking up is 4:00 AM, please enter 4 for the hour, 00 for the minutes, and select AM.] Hours___ Minutes___ AM or PM [Hard check: should not be >12 hours] [Hard check: should not be >59 minutes] |
TU002
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And what time did you go to sleep yesterday? [Instruction for the Interviewer: If the time of sleep was 10:00 PM, please enter 10 for the hour, 00 for the minutes, and select PM.] Hours___ Minutes___ AM or PM [Hard check: should not be >12 hours] [Hard check: should not be >59 minutes] |
TU003
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Was yesterday a normal day for you or did something unusual happen? |
TU004
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Which day of the week was yesterday? |
TU005
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Was it a weekday, weekend, or holiday? |
TU006a
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Yesterday did you feel ... ? Frustrated |
TU006b
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Yesterday did you feel ... ? Sad |
TU006c
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Yesterday did you feel ... ? Enthusiastic |
TU006d
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Yesterday did you feel ... ? Lonely |
TU006e
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Yesterday did you feel ... ? Content |
TU006f
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Yesterday did you feel ... ? Worried |
TU006g
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Yesterday did you feel ... ? Bored |
TU006h
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Yesterday did you feel ... ? Happy |
TU006i
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Yesterday did you feel ... ? Angry |
TU006j
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Yesterday did you feel ... ? Tired |
TU006k
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Yesterday did you feel ... ? Stressed |
TU007
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Yesterday, how much pain did you feel? |
TU008
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Did you feel rested yesterday morning, meaning you slept well the night before? |
TU009_intro
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Please think now about things you did yesterday. We are asking questions about how you spent your time, and how you felt? |
TU009
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Do you have a television (TV) at home? |
TU010
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Yesterday, did you watch the TV? |
TU011
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[Ask only if TU010=1] How much time did you spend watching TV yesterday? [Instruction for the interviewer: If R spent 1 and a half hours, write 1 in Hour box and 30 in Minute box] [Instruction for CAPI: CAPI should not allow to enter 0in both the hours and minutes box at the same time.] _____ Hours AND _____Minutes per day [Hard check: should not be >24 hours] [Hard check: should not be >59 minutes] |
TU012
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[Ask only if TU010=1] Who was with you for most of the time while you were watching TV? Please identify everyone who was with you. [Multiple answers are allowed] |
TU013a
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How did you feel when you were watching TV yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Happy |
TU013b
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How did you feel when you were watching TV yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Interested |
TU013c
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How did you feel when you were watching TV yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Frustrated |
TU013d
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How did you feel when you were watching TV yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Sad |
TU014
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Yesterday, did you work or volunteer? Work includes both paid and unpaid work, such as helping with family farms or businesses. |
TU015
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[Ask only if TU014=1] How much did you get paid for yesterdays work? [Instruction for the Interviewer: If R only received in-kind transfers, ask an approximate value. If R receives a weekly or monthly salary or earnings, specify payment schedule] Earnings: ____ Rs. |
TU016
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[Ask only if TU014=1] How much did you get paid for yesterdays work? [Instruction for the Interviewer: If R only received in-kind transfers, ask an approximate value. If R receives a weekly or monthly salary or earnings, specify payment schedule] Period: daily/weekly/monthly |
TU017
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[Ask only if TU014<4] How much time did you spend working (or volunteering) yesterday? [Instruction for the interviewer: if R spent 1 and a half hours, write 1 in Hourbox and 30 in Minutebox][Instruction for CAPI: CAPI should not allow to enter 0 in both the hours and minutes box at the same time.] _____ Hours AND _____Minutes per day [Hard check: should not be >24 hours] [Hard check: should not be >59 minutes] |
TU018a
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Ask only if TU014<4] How did you feel when you were working (or volunteering) yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Happy |
TU018b
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Ask only if TU014<4] How did you feel when you were working (or volunteering) yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Interested |
TU018c
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Ask only if TU014<4] How did you feel when you were working (or volunteering) yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Frustrated |
TU018d
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Ask only if TU014<4] How did you feel when you were working (or volunteering) yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Sad |
TU019
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[Ask only if TU014<4] Where did you work (or volunteer) yesterday? |
TU020
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Yesterday, did you walk or do any other exercise? |
TU021
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[Ask only if TU020=1] How much time did you spend walking or exercising yesterday? [Instruction for the interviewer: If R spent 1 and a half hours, write 1 in Hour box and 30 in Minute box][Instruction for CAPI: CAPI should not allow to enter 0in both the hours and minutes box at the same time.] _____ Hours AND _____Minutes per day [Hard check: should not be >24 hours] [Hard check: should not be >59 minutes] |
TU022a
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[Ask only if TU020=1] How did you feel when you were walking or exercising yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Happy |
TU022b
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[Ask only if TU020=1] How did you feel when you were walking or exercising yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Interested |
TU022c
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[Ask only if TU020=1] How did you feel when you were walking or exercising yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Frustrated |
TU022d
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[Ask only if TU020=1] How did you feel when you were walking or exercising yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Sad |
TU023
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[Ask only if TU020=1] Who was with you? Please identify everyone who was with you. [Multiple answers are allowed] |
TU024
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Yesterday, did you do healthcare related activities other than walking or exercising (e.g., visiting a doctor, taking medications or treatments)? |
TU025
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[Ask only if TU024=1] How much time did you spend doing healthcare related activities yesterday? [Instruction for the interviewer: If R spent 1 and a half hours, write 1 in Hour box and 30 in Minute box ][Instruction for CAPI: CAPI should not allow to enter 0in both the hours and minutes box at the same time.] _____ Hours AND _____Minutes per day [Hard check: should not be >24 hours] [Hard check: should not be >59 minutes] |
TU026a
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[Ask only if TU024=1] How did you feel when you were doing healthcare related activities yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Happy |
TU026b
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[Ask only if TU024=1] How did you feel when you were doing healthcare related activities yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Interested |
TU026c
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[Ask only if TU024=1] How did you feel when you were doing healthcare related activities yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Frustrated |
TU026d
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[Ask only if TU024=1] How did you feel when you were doing healthcare related activities yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Sad |
TU027
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[Ask only if TU024=1] Who was with you? Please identify everyone who was with you. [Multiple answers are allowed] |
TU028
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Yesterday, did you travel anywhere (e.g., by car, train, bus)? |
TU029
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[Ask only if TU028=1] How much time did you spend traveling yesterday? [Instruction for the interviewer: If R spent 1 and a half hours, write 1 in Hour box and 30 in Minute box] [Instruction for CAPI: CAPI should not allow to enter 0in both the hours and minutes box at the same time.] _____ Hours AND _____Minutes per day [Hard check: should not be >24 hours] [Hard check: should not be >59 minutes] |
TU030a
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[Ask only if TU028=1] How did you feel when you were traveling yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Happy |
TU030b
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[Ask only if TU028=1] How did you feel when you were traveling yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Interested |
TU030c
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[Ask only if TU028=1] How did you feel when you were traveling yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Frustrated |
TU030d
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[Ask only if TU028=1] How did you feel when you were traveling yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Sad |
TU031
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[Ask only if TU028=1] Who was with you? Please identify everyone who was with you. [Multiple answers are allowed] |
TU032
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Yesterday, did you socialize with friends or family? |
TU033
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[Ask only if TU032=1] How much time did you spend with friends or family yesterday? [Instruction for the interviewer: If R spent 1 and a half hours, write 1 in Hour box and 30 in Minute box] [Instruction for CAPI: CAPI should not allow to enter 0in both the hours and minutes box at the same time.] _____ Hours AND _____Minutes per day [Hard check: should not be >24 hours] [Hard check: should not be >59 minutes] |
TU034a
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[Ask only if TU032=1] How did you feel when you were with friends or family yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Happy |
TU034b
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[Ask only if TU032=1] How did you feel when you were with friends or family yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Interested |
TU034c
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[Ask only if TU032=1] How did you feel when you were with friends or family yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Frustrated |
TU034d
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[Ask only if TU032=1] How did you feel when you were with friends or family yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Sad |
TU035
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[Ask only if TU032=1] Who was with you? Please identify everyone who was with you. [Multiple answers are allowed] |
TU036
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Yesterday, did you spend time at home by yourself, without a spouse, partner, or anyone else present? |
TU037
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[Ask only if TU036=1] How much time did you spend at home by yourself yesterday? [Instruction for the interviewer: If R spent 1 and a half hours, write 1 in Hour box and 30 in Minute box] [Instruction for CAPI: CAPI should not allow to enter 0 in both the hours and minutes box at the same time.] _____ Hours AND _____Minutes per day [Hard check: should not be >24 hours] [Hard check: should not be >59 minutes] |
TU038a
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[Ask only if TU036=1] How did you feel when you were at home by yourself yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Happy |
TU038b
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[Ask only if TU036=1] How did you feel when you were at home by yourself yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Interested |
TU038c
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[Ask only if TU036=1] How did you feel when you were at home by yourself yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Frustrated |
TU038d
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[Ask only if TU036=1] How did you feel when you were at home by yourself yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Sad |
TU039
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Yesterday, what else were you doing other than the activities that we talked about? Please tell me about the activity that you spent the most time on. [Interviewer: If R did not do anything else, enter 0 for activity code] |
TU040
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[Ask only if TU039!=0] How much time did you spend on that activity? [Instruction for the interviewer: If R spent 1 and a half hours, write 1 in Hour box and 30 in Minute box] [Instruction for CAPI: CAPI should not allow to enter 0in both the hours and minutes box at the same time.] _____ Hours AND _____Minutes per day [Hard check: should not be >24 hours] [Hard check: should not be >59 minutes] |
TU041a
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[Ask only if TU039!=0] How did you feel when you were doing that activity yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Happy |
TU041b
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[Ask only if TU039!=0] How did you feel when you were doing that activity yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Interested |
TU041c
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[Ask only if TU039!=0] How did you feel when you were doing that activity yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Frustrated |
TU041d
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[Ask only if TU039!=0] How did you feel when you were doing that activity yesterday? Rate each experience on a scale from 1, did not experience the feeling at all, to 6, the feeling was extremely strong. Sad |
TU042
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[Ask only if TU039!=0] Who was with you? Please identify everyone who was with you.[Multiple answers are allowed] |
TU043
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Who was present at the interview? [Multiple answers are allowed]. |
TU044
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How often did the respondent receive assistance in answering this section? |
EE001
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Now suppose that you and I decide to play a game of Ludo against each other. Pick the number of beans that reflects how likely you think it is that... You will win the game _____ |
EE002
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Now suppose that you and I decide to play a game of Ludo against each other. Pick the number of beans that reflects how likely you think it is that.. You will lose the game _____ |
EE001b
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You put [fill=EE001] beans in the plate for the likelihood that you will win the game, which means that if we play for a long time, you would win [fill=EE001] out of 10 games. Look, you left [fills=10- EE001] beans in the cup. Since you can only win or lose, this means that you would lose [fills=10- EE001] out of 10 games if we play for a long time. Let me ask you again. Pick the number of beans that reflects how likely you think it is that... You will win the game _____ |
EE002b
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You put [fill=EE001] beans in the plate for the likelihood that you will win the game, which means that if we play for a long time, you would win [fill=EE001] out of 10 games. Look, you left [fills=10- EE001] beans in the cup. Since you can only win or lose, this means that you would lose [fills=10- EE001] out of 10 games if we play for a long time. Let me ask you again. Pick the number of beans that reflects how likely you think it is that.. You will lose the game _____ |
EE003
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You put [fill=EE001] beans in the plate for the likelihood that you will win the game, which means that if we play for a long time, you would win [fill=EE001] out of 10 games. Look, you left [fills=10- EE001] beans in the cup. Since you can only win or lose, this means that you would lose [fills=10- EE001] out of 10 games if we play for a long time. Let me ask you again. Pick the number of beans that reflects how likely you think it is that You will go to the market at least once within the next 2 days ____________ |
EE004
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You put [fill=EE001] beans in the plate for the likelihood that you will win the game, which means that if we play for a long time, you would win [fill=EE001] out of 10 games. Look, you left [fills=10- EE001] beans in the cup. Since you can only win or lose, this means that you would lose [fills=10- EE001] out of 10 games if we play for a long time. Let me ask you again. Pick the number of beans that reflects how likely you think it is that You will go to the market at least once within the next 2 weeks ____________ |
EE003b
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Pick the number of beans to reflect how likely you think it is that you will go the market at least once within 2 days? ____________ |
EE004b
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What about the number of beans to reflect how likely you think it is that you will go the market at least once within 2 weeks? ____________ |
EE005
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Pick the number of beans that reflects how likely you think it is that The sun will rise tomorrow __________ |
EE006
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[Ask only if currently working, WE004=1] Pick the number of beans that reflects how likely you think it is that You will still be working in a similar job in 5 years from now ____________ |
EE007
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[Ask only if currently working, WE004=1] Pick the number of beans that reflects how likely you think it is that You will still be working in a similar job in 10 years from now ___________ |
EE008
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[Ask only if currently working, WE004=1] Pick the number of beans that reflects how likely you think it is that You will lose your job during the next year ___________ |
EE009
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You will move during the next 2 years ____________ |
EE010a
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[Ask only if HT002=2] Pick the number of beans that reflects how likely you think it is that: You will have hypertension in the next 2 years __________ |
EE010b
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[Ask only if HT006=2] Pick the number of beans that reflects how likely you think it is that: You will have heart disease in the next 2 years__________ |
EE010c
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[Ask only if HT207=2] Pick the number of beans that reflects how likely you think it is that: You will have anemia in the next 2 years_______________ |
EE010d
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[Ask only if HT003=2] Pick the number of beans that reflects how likely you think it is that: You will have diabetes in the next 2 years ______________ |
EE011
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Now, I would like to ask you to consider the likelihood that you may have health problems that limit your ability to work, both paid and unpaid, as time goes by. Please pick the number of beans that reflects how likely you think it is that You will have a work-limiting health problem within 6 months________________ |
EE012
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Now, I would like to ask you to consider the likelihood that you may have health problems that limit your ability to work, both paid and unpaid, as time goes by. Please pick the number of beans that reflects how likely you think it is that You will have a work-limiting health problem within one year_________________ |
EE013
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Now, I would like to ask you to consider the likelihood that you may have health problems that limit your ability to work, both paid and unpaid, as time goes by. Please pick the number of beans that reflects how likely you think it is that You will have a work-limiting health problem within 5 years__________________ |
EE014
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[Ask only if DM021=1, i.e. R is married] Now, I would like to ask you to consider the likelihood that your spouse may have health problems that limit his/her ability to work, both paid and unpaid, as time goes by. Please pick the number of beans that reflects how likely you think it is that Your spouse will have a work-limiting health problem within 6 months___________ |
EE015
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[Ask only if DM021=1, i.e. R is married] Now, I would like to ask you to consider the likelihood that your spouse may have health problems that limit his/her ability to work, both paid and unpaid, as time goes by. Please pick the number of beans that reflects how likely you think it is that Your spouse will have a work-limiting health problem within one year____________ |
EE016
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[Ask only if DM021=1, i.e. R is married] Now, I would like to ask you to consider the likelihood that your spouse may have health problems that limit his/her ability to work, both paid and unpaid, as time goes by. Please pick the number of beans that reflects how likely you think it is that Your spouse will have a work-limiting health problem within 5 years_____________ |
EE017
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I would like to ask you to consider the likelihood that you and other people may be alive as time goes by. Think about 10 people like you (same age, gender, income, etc ). Pick the number of beans that reflects how many of these people Will be alive one year from now___________ |
EE018
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I would like to ask you to consider the likelihood that you and other people may be alive as time goes by. Think about 10 people like you (same age, gender, income, etc ). Pick the number of beans that reflects how many of these people Will be alive 5 years from now___________ |
EE019
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I would like to ask you to consider the likelihood that you and other people may be alive as time goes by. Think about 10 people like you (same age, gender, income, etc ). Pick the number of beans that reflects how many of these people Will be alive 10 years from now____________ |
EE020
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Now, I would like to ask you to consider the likelihood that you may be alive as time goes by. We hope that nothing bad will happen to you, but nevertheless, something unfortunate may occur over the next years despite all precautions that you may take. If you dont want to, you do not need to answer this question. Pick the number of beans that reflects how likely you think it is that You will be alive one year from now__________ |
EE021
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Now, I would like to ask you to consider the likelihood that you may be alive as time goes by. We hope that nothing bad will happen to you, but nevertheless, something unfortunate may occur over the next years despite all precautions that you may take. If you dont want to, you do not need to answer this question. Pick the number of beans that reflects how likely you think it is that You will be alive 5 years from now___________ |
EE022
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Now, I would like to ask you to consider the likelihood that you may be alive as time goes by. We hope that nothing bad will happen to you, but nevertheless, something unfortunate may occur over the next years despite all precautions that you may take. If you dont want to, you do not need to answer this question. Pick the number of beans that reflects how likely you think it is that You will be alive 10 years from now__________ |
EE101
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During the next 12 months, do you think that prices in general will go up, or go down, or stay where they are now? |
EE102
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[Ask only if answer to EE101 = 2, stay the same] Do you mean that prices will go up at the same rate as now, or that prices in general will not go up during the next 12 months? |
EE103
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If you go to the market today, what do you think is the price of 1Kg of rice? ________ Rs |
EE104
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[Ask only if respondent answers EE103] What do you think it will be 12 months from now? ________ Rs EE105 - EE106. [Ask only if respondent did not give exact answer to EE104] |
EE105
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[If respondent said the price would go up; EE101=1 or EE102=1] Would it be [fill = answer to EE103]*1.05, [fill = answer to EE103]*1.10, or [fill = answer to EE103]*1.15? |
EE106
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[If respondent said the price would go down; EE101=3] Would it be [fill = answer to EE103]*0.95, [fill = answer to EE103]*0.90, or [fill = answer to EE103]*0.85? |
EE107
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Think about what you can get for food, housing, utilities, clothing, and other essential goods for 1,000 Rupees today. How many Rupees do you think you would spend to buy the same quantity of goods in 12 months from now? _________ Rs |
EE108
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[If respondent said the price would go up; EE101=1 or EE102=1] Would it be [fill =1000]*1.05, [fill = 1000]*1.10, or [fill = 1000]*1.15? |
EE109
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[If respondent said the price would go down; EE101=3] Would it be [fill = 1000]*0.95, [fill = 1000]*0.90, or [fill = 1000]*0.85? |
EE110
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How much money did you spend on purchases over the past 12 months? This would include everything you did, bought, used, etc. ________ Rupees |
EE111
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Over the next 12 months, how much do you think you would have to spend to cover just those purchases? ________ Rupees |
EE112
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Who was present at the interview? [Multiple answers are allowed]. |
EE113
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How often did the respondent receive assistance in answering this section? |
ES001
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Looking back over the past 12 months, think of up to three adults (ages 16 and over) who are still alive and with whom you spent the most free time. By free time, we mean time spent for your enjoyment after work or on the weekend. These adults could be family, relatives, friends, including friends from work or others. Please tell me the first names (or initials, nicknames) of these people. [If R answers nobody .Go to ES002] 1.__________________ 2.__________________ 3.__________________ [Interviewer: Please identify these names from household roster, if they are household members or family members.] [If fewer than three names, probe: Is there anyone else who you spend free time with? Do not push too hard if they say No] |
ES002
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From time to time, most people discuss important matters with others. Looking back over the past 12 months, think of up to three adults (ages 16 and over) with whom you most often discussed important matters. These adults could be relatives, friends, friends from work, or others. Please tell me the first NAMEs (or initials, nicknames) of these people. 1.__________________ 2.__________________ 3.__________________ [Interviewer: Please identify these names from household roster, if they are household members or family members] [If fewer than three NAMES probe: Is there anyone else with whom you discussed important matters?] |
ES003
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Are any of these people with whom you discussed important matters the same people with whom you spent most of your time? |
ES003a
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Which of these people did you mention earlier? ______________________________________ |
ES004
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Is (NAME) male or female? [Instruction for the Interviewer: Ask only if the person is not in front of you or sex is not clear] |
ES005
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What is (NAMEs) age (in completed years)? [Probe: Your best guess is fine] |
ES006
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As far as you know, how many years of schooling did (NAME) receive or what is the highest standard (NAME) completed? [Probe: Your best guess is fine] |
ES007
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What is (NAME)s current marital status? |
ES008
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As far as you know, is (NAME) currently employed by somebody, self-employed, or not working? [Probe: Your best guess is fine] |
ES009
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Would you say that (NAME)'s religious preference is Hindu, Muslim, Christian, Sikh, some other religion, or no religion? [Probe: Your best guess is fine] |
ES010
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As far as you know, would you say that (NAME) currently smokes cigarettes every day, some days, or not at all? [Probe: Your best guess is fine] |
ES011
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As far as you can tell, would you describe (NAME)s current health as Excellent, Very good, Good, Fair, or Poor?[Probe: Your best guess is fine] |
ES012
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I will now ask you how the people you have mentioned have a relationship with you. Some people have relationships with each other in more than one way. For example, a man could be your brother and work with you as well. Please tell me whether or not each of the following relationships applies to you and (NAME). |
ES013
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Please tell me whether you and (NAME) currently live in the same house/street/village/town/city. |
ES013a
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Thinking over the past year, about how often did you usually interact with (NAME) in person? [Interviewer: Read through response choices] |
ES013b
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Thinking over the past year, about how often did you usually interact with (NAME) by phone? [Instruction for the Interviewer: Read through response choices] |
ES013c
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Thinking over the past year, about how often did you usually interact with (NAME) electronically, like through email or other internet application such as instant messaging? [Instruction for the Interviewer: Read through response choices] |
ES013d
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Thinking over the past year, about how often did you usually interact with (NAME) by paper mail (by sending a letter)? [Instruction for the Interviewer: Read through response choices] |
ES014
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Think about how close you feel to (NAME). If the number 10 represents feeling extremely close to (NAME) or closer than any other person you know and the number 1 represents not close to (NAME) at all, what number between 1 and 10 best describes how close you feel to (NAME). |
ES015
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Think about how much you like (NAME). If the number 10 represents liking (NAME) a lot or more than any other person you know and the number 1 represents not liking (NAME) at all, what number between 1 and 10 best describes how much you like (NAME)? |
ES016
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I will now ask you how the people you have mentioned have a relationship with each other. Some people have relationships with each other in more than one way. For example, two people could be siblings as well as work with each other. Please tell me whether or not each of the following describes the current relationship between (NAME X) and (NAME Y). [Instruction for the Interviewer: Read through response choices A through I] |
ES017
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[Ask if ES016>a/i]Now think about the closeness of the relationship between each pair of people. If the number 10 represents (NAME X) and (NAME Y) are extremely close or closer than any two people you know and the number 1 represents (NAME X) and (NAME Y) are not close at all, what number between 1 and 10 would best describe how close (NAME X and NAME Y) are to each other? |
ES018
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Who was present at the interview? [Multiple answers are allowed]. |
ES019
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How often did the respondent receive assistance in answering this section? |
EV001
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Overall in the last 30 days, how much bodily aches or pains did you have? |
EV002
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In the last 30 days, how much difficulty did you have with sleeping such as struggling to fall asleep, waking up frequently during the night or waking up too early in the morning? |
EV003
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[NAME] has a headache once a month that is relieved after taking a pill. During the headache he/she can carry on with his day-to-day affairs. Overall in the last 30 days, how much bodily aches or pains did [NAME] have? |
EV004
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[NAME] has pain that radiates down his right arm and wrist during his day at work. This is slightly relieved in the evenings when he/she is no longer working on his computer. Overall in the last 30 days, how much bodily aches or pains did [NAME] have? |
EV005
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[NAME] has pain in his knees, elbows, wrists and fingers, and the pain is present almost all the time. Although medication helps, he/she feels uncomfortable when moving around, holding and lifting things. Overall in the last 30 days, how much bodily aches or pains did [NAME] have? |
EV006
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[NAME] falls asleep easily at night, but two nights a week he/she wakes up in the middle of the night and cannot go back to sleep for the rest of the night. In the last 30 days, how much difficulty did [NAME] have with sleeping, such as struggling to fall asleep, waking up frequently during the night, or waking up too early in the morning? |
EV007
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[NAME] takes about two hours every night to fall asleep. He/she wakes up once or twice a night feeling panicked and takes more than one hour to fall asleep again. In the last 30 days, how much difficulty did [NAME] have with sleeping, such as struggling to fall asleep, waking up frequently during the night, or waking up too early in the morning? |
EV008
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[NAME] wakes up almost once every hour during the night. When he/she wakes up in the night, it takes around 15 minutes for him/her to go back to sleep. In the morning he/she does not feel well-rested. In the last 30 days, how much difficulty did [NAME] have with sleeping such as struggling to fall asleep, waking up frequently during the night, or waking up too early in the morning? |
EV009
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Who was present at the interview? [Multiple answers are allowed]. |
EV010
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How often did the respondent receive assistance in answering this section? |