SA1A
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INTERVIEWER: INDICATE IF THE INFORMANT IS THE WIDOW(ER) OF THE DECEASED PERSON |
SA1B
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INTERVIEWER: RECORD THE INFORMANT'S MARITAL STATUS |
SA2
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Approximately, how old was (NAME) upon passing away? |
SA3
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INTERVIEWER: RECORD (NAME)'S SEX |
SA4
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Did (NAME) die in a private house or in a hospital or institution? |
SA5
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In what community did (NAME) pass away? |
SA6
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What was the cause (NAME)'s of death? |
SA7
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What was the primary sickness that caused the death of (NAME)? |
SA8
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(Please remind me) When did (NAME) pass away? |
SA9
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Not counting vacations and short visits, did (NAME) ever live in the U.S? |
SA10
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In the last year of his/her life, not counting vacations or short visits, did (NAME) work or live in the U.S.? |
SA15
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Was (NAME) married or in union at the moment of passing away? |
SA16
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When he/she passed away, did (NAME) live in the same home as his/her spouse or partner? |
SA17
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In what month and year did they cease to live in the same home? |
SA18A
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Was (NAME) widowed when he/she passed away? |
SA18B
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In what year did (NAME)'s spouse passed away? |
SA19
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Did any of (NAME)'s child(ren) die? |
SA20
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Did (NAME) took over caring for a sick family member? |
SA21
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Was there a disaster (such as a hurricane, earthquake, tornado, flood, fire), which affected (NAME)'s house? |
SA22
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Did (NAME) suffer an accident, was the victim of a crime, or some other event that affected his/her health or family circumstances? |
SA23
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Did (NAME) had a loss (such as health, employment, or that of his/her children that affected his/her financial situation? |