I_G. Experimental Modules

I_G. Experimental Modules of LASI 2017-2019

Label Type Description
TU_Intro Question 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 Question 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 Question 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 Question Was yesterday a normal day for you or did something unusual happen?
TU004 Question Which day of the week was yesterday?
TU005 Question Was it a weekday, weekend, or holiday?
TU006a Question Yesterday did you feel ... ? Frustrated
TU006b Question Yesterday did you feel ... ? Sad
TU006c Question Yesterday did you feel ... ? Enthusiastic
TU006d Question Yesterday did you feel ... ? Lonely
TU006e Question Yesterday did you feel ... ? Content
TU006f Question Yesterday did you feel ... ? Worried
TU006g Question Yesterday did you feel ... ? Bored
TU006h Question Yesterday did you feel ... ? Happy
TU006i Question Yesterday did you feel ... ? Angry
TU006j Question Yesterday did you feel ... ? Tired
TU006k Question Yesterday did you feel ... ? Stressed
TU007 Question Yesterday, how much pain did you feel?
TU008 Question Did you feel rested yesterday morning, meaning you slept well the night before?
TU009_intro Question Please think now about things you did yesterday. We are asking questions about how you spent your time, and how you felt?
TU009 Question Do you have a television (TV) at home?
TU010 Question Yesterday, did you watch the TV?
TU011 Question [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 Question [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 Question 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 Question 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 Question 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 Question 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 Question Yesterday, did you work or volunteer? Work includes both paid and unpaid work, such as helping with family farms or businesses.
TU015 Question [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 Question [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 Question [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 Question 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 Question 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 Question 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 Question 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 Question [Ask only if TU014<4] Where did you work (or volunteer) yesterday?
TU020 Question Yesterday, did you walk or do any other exercise?
TU021 Question [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 Question [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 Question [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 Question [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 Question [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 Question [Ask only if TU020=1] Who was with you? Please identify everyone who was with you. [Multiple answers are allowed]
TU024 Question Yesterday, did you do healthcare related activities other than walking or exercising (e.g., visiting a doctor, taking medications or treatments)?
TU025 Question [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 Question [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 Question [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 Question [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 Question [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 Question [Ask only if TU024=1] Who was with you? Please identify everyone who was with you. [Multiple answers are allowed]
TU028 Question Yesterday, did you travel anywhere (e.g., by car, train, bus)?
TU029 Question [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 Question [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 Question [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 Question [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 Question [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 Question [Ask only if TU028=1] Who was with you? Please identify everyone who was with you. [Multiple answers are allowed]
TU032 Question Yesterday, did you socialize with friends or family?
TU033 Question [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 Question [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 Question [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 Question [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 Question [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 Question [Ask only if TU032=1] Who was with you? Please identify everyone who was with you. [Multiple answers are allowed]
TU036 Question Yesterday, did you spend time at home by yourself, without a spouse, partner, or anyone else present?
TU037 Question [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 Question [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 Question [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 Question [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 Question [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 Question 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 Question [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 Question [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 Question [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 Question [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 Question [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 Question [Ask only if TU039!=0] Who was with you? Please identify everyone who was with you.[Multiple answers are allowed]
TU043 Question Who was present at the interview? [Multiple answers are allowed].
TU044 Question How often did the respondent receive assistance in answering this section?
EE001 Question 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 Question 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 Question 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 Question 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 Question 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 Question 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 Question 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 Question 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 Question Pick the number of beans that reflects how likely you think it is that The sun will rise tomorrow __________
EE006 Question [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 Question [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 Question [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 Question You will move during the next 2 years ____________
EE010a Question [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 Question [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 Question [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 Question [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 Question 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 Question 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 Question 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 Question [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 Question [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 Question [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 Question 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 Question 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 Question 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 Question 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 Question 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 Question 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 Question 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 Question [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 Question If you go to the market today, what do you think is the price of 1Kg of rice? ________ Rs
EE104 Question [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 Question [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 Question [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 Question 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 Question [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 Question [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 Question How much money did you spend on purchases over the past 12 months? This would include everything you did, bought, used, etc. ________ Rupees
EE111 Question Over the next 12 months, how much do you think you would have to spend to cover just those purchases? ________ Rupees
EE112 Question Who was present at the interview? [Multiple answers are allowed].
EE113 Question How often did the respondent receive assistance in answering this section?
ES001 Question 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 Question 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 Question Are any of these people with whom you discussed important matters the same people with whom you spent most of your time?
ES003a Question Which of these people did you mention earlier? ______________________________________
ES004 Question 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 Question What is (NAMEs) age (in completed years)? [Probe: Your best guess is fine]
ES006 Question 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 Question What is (NAME)s current marital status?
ES008 Question As far as you know, is (NAME) currently employed by somebody, self-employed, or not working? [Probe: Your best guess is fine]
ES009 Question 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 Question 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 Question 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 Question 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 Question Please tell me whether you and (NAME) currently live in the same house/street/village/town/city.
ES013a Question Thinking over the past year, about how often did you usually interact with (NAME) in person? [Interviewer: Read through response choices]
ES013b Question 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 Question 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 Question 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 Question 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 Question 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 Question 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 Question [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 Question Who was present at the interview? [Multiple answers are allowed].
ES019 Question How often did the respondent receive assistance in answering this section?
EV001 Question Overall in the last 30 days, how much bodily aches or pains did you have?
EV002 Question 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 Question [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 Question [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 Question [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 Question [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 Question [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 Question [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 Question Who was present at the interview? [Multiple answers are allowed].
EV010 Question How often did the respondent receive assistance in answering this section?