Xa001
|
|
I have some questions about you. What is your name?[IWER: If R doesnt like to tell his/ her name, mark the relationship with the person who died.] |
Xa002
|
|
What is your relationship to the person who died? |
Xa003
|
|
(If R is a friend or relative) How long did you know him/her? |
Xa004
|
|
How often did you meet him/her during the one year before he/she died? |
Xa005
|
|
I am going to ask you about [his/her name]s death. How long was he/she sick before he/she died? |
Xa006
|
|
Was his/her death expected? |
Xa007
|
|
What was the main cause of his/her death according to the death certificate? |
Xa008
|
|
What was the type of his/her death? |
Xa009
|
|
Which of the following best describes his/her violent death? |
Xa010
|
|
What is the date of his/her death? |
Xa011
|
|
Where did he/she die? |
Xa012
|
|
If others, please specify. |
Xc101
|
|
What was the chronic disease he/she was suffering from when he/she died? Choose all that apply. (Select multiple responses) |
Xc102
|
|
If others, please specify. |
Xc103
|
|
Did he/she use an oxygen mask just before he/she died? |
Xc104
|
|
You have said that he/she was suffering from cancer. Did he/she go to the hospital for cancer treatment after the previous interview? |
Xc105
|
|
Did he/she receive cancer treatment, such as anticancer drug, surgery and radiation therapy, after the previous interview? |
Xc106
|
|
What kinds of cancer treatment did he/she receive from a doctor in the hospital? Choose all that apply. (Select multiple responses.) |
Xc107
|
|
If others, please specify. |
Xc108
|
|
In which body part was he/she diagnosed cancer last?[IWER: Record directly the body part of cancer, and then enter the relevant code using the table below. R can choose a maximum of three answers.] 01 Malignant tumor of lip, oral cavity and pharynx; 02 Malignant tumor of esophagus; 03 Malignant tumor of stomach; 04 Malignant tumor of colon; 05 Malignant tumor of anal canal, rectum and anus; 06 Malignant tumor of liver and intrahepatic bile ducts; 07 Malignant tumor of pancreas; 08 Malignant tumor of other digestive organs; 09 Malignant tumor of larynx; 10 Malignant tumor of trachea, bronchus and lung; 11 Malignant tumor of other respiratory and chest internal organs; 12 Malignant tumor of bone and articular cartilage; 13 Malignant tumor of skin; 14 Malignant tumor of breast; 15 Malignant tumor of cervix uteri; 16 Malignant tumor of other uterus parts; 17 Malignant tumor of prostate; 18 Malignant tumor of bladder; 19 Malignant tumor of ureter; 20 Malignant tumor of eyes and adnexa; 21 Malignant tumor of brain; 22 Malignant tumor of other central nervous system; 23 Malignant tumor of other, undefined part, secondary, unspecified and multiple part; 24 Hodgkin lymphoma; 25 Non-hodgkin lymphoma; 26 Leukemia; 27 Malignant tumor of other lymph and related tissues; 28 Others; |
Xc109
|
|
When was his/ her most recent cancer diagnosed? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201801 for January 2018. If the month is not clear, enter 201800.] |
Xc110
|
|
You have said that he/she was suffering from chronic lung disease (chronic bronchitis, emphysema, chronic obstructive pulmonary disease, etc). Has a doctor told him/ her that he/ she had chronic lung disease? |
Xc111
|
|
When was his/ her most recent chronic lung disease diagnosed? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201801 for January 2018. If the month is not clear, enter 201800.] |
Xc112
|
|
You have said that he/she was suffering from heart disease (coronary artery disease, angina pectoris, congestive heart failure). Has a doctor told him/ her that he/ she had heart disease? |
Xc113
|
|
When was his/ her most recent heart disease diagnosed? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201801 for January 2018. If the month is not clear, enter 201800.] |
Xc114
|
|
Did he/she ever have a heart attack, cardiac arrest or myocardial infarction after the previous interview? |
Xc115
|
|
When did he/she have his/her most recent heart attack, cardiac arrest or myocardial infarction? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201801 for January 2018. If the month is not clear, enter 201800.] |
Xc116
|
|
Did he/she ever have a heart surgery after the previous interview? |
Xc117
|
|
Did he/she ever receive special treatment because of his/her heart problems after the previous interview?[IWER: Special treatment refers to arterial or venous catheter insertion surgery, angiography, cardiovascular transplantation surgery, etc.] |
Xc118
|
|
You have said that he/she was suffering from a stroke. Has a doctor told him/ her that he/ she had stroke/ cerebral stroke? |
Xc119
|
|
When was his/ her most recent stroke/ cerebral stroke diagnosed? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201801 for January 2018. If the month is not clear, enter 201800.] |
Xc120
|
|
Did he/she ever have a stroke after the previous interview? |
Xc121
|
|
When did he/she have his/her most recent stroke? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201801 for January 2018. If the month is not clear, enter 201800.] |
Xc201
|
|
Now I have some questions about cognitive function of the person who died. Your answer will be very helpful for the related studies such as cognitive function, dementia, memory problem, etc. Some parts would be irrelevant; however, please understand that all the questions are necessary for the whole study.Did he/ she have memory problems (cognitive dysfunction) as of one month before [he/she] died? |
Xc202
|
|
In what age did his/her memory problems start? (unit: an age) |
Xc203
|
|
Has a doctor told that he/ she has memory problems (memory impairment, dementia)? |
Xc204
|
|
Did he/she take any prescribed medication for memory problems? |
Xc205
|
|
How was his/her memory function during one month before he/ she died? |
Xc206
|
|
Now I have some questions about problem behaviors and cognitive functions. Did he/she have the following symptoms during the two years before his/her death?[Problem behavior] He/she has ever got lost in a familiar environment. |
Xc207
|
|
[Problem behavior] He/she has ever wandered off the street and not returned by himself/ herself. |
Xc208
|
|
[Problem behavior] He/she could not be left alone at home. |
Xc209
|
|
[Problem behavior] He/she has ever seen or heard the things that were not really there. |
Xc210
|
|
[Cognitive function] He/she was confused about or didnt know year, date and time (morning, afternoon, evening, etc.). |
Xc211
|
|
[Cognitive function] He/she was confused about or didnt know where he/ she was ((home, hospital, etc). |
Xc212
|
|
[Cognitive function] He/she was not good at money, numerical and date calculations. |
Xc213
|
|
[Cognitive function] He/she couldnt remember things that just happened or recall conversation he/ she had a little while ago. |
Xc214
|
|
[Cognitive function] He/she couldnt recall conversation he/ she had a few days ago. |
Xc215
|
|
[Cognitive function] He/she could not use familiar home appliances (TV, radio, etc.) alone. |
Xc216
|
|
[Cognitive function] It was impossible for him/her to learn how to use a new gadget or to learn new things in general. |
Xc217
|
|
[Cognitive function] He/she couldnt follow a story when watching a TV drama, movie, or news or learning to a radio. |
Xc301
|
|
Now I have some questions about fall and pain. Has he/ she got hurt from a fall or trip over from the previous interview until his/ her death? |
Xc302
|
|
How many times did he/she fall? (unit: a time) |
Xc303
|
|
Did he/she injure himself/herself seriously enough to need medical treatment? |
Xc304
|
|
Did he/she ever experience a fracture from the previous interview until his/ her death? |
Xc305
|
|
Did he/ she ever fracture his/ her hip in a fall accident from the previous interview until his/ her death? |
Xc306
|
|
Did he/she suffer from any pain during the one year before his/her death? |
Xc307
|
|
Now I have some questions about physical symptoms and health behavior, such as smoking and drinking. Did he/she smoke after the previous interview? |
Xc308
|
|
Did he/she drink alcoholic beverages after the previous interview? |
Xc309
|
|
How much did he/she weigh when he/she died? (unit: kg) |
Xc310
|
|
Did he/she gain or lose a lot of weight during the two years before his/her death? |
Xc311
|
|
Did he/she have difficulty breathing during the one month before his/her death? |
Xc312
|
|
Did he/she say that he/she had no appetite during the one month before his/her death? |
Xc313
|
|
Did he/she often vomit during the one month before his/her death? |
Xc314
|
|
Did he/she have difficulty controlling his/her arms and legs during the one month before his/her death? |
Xc315
|
|
Did he/she have depression during the one month before his/her death? |
Xc316
|
|
Did he/she have periodic confusion during the one month before his/her death? |
Xc317
|
|
Did he/she have severe fatigue or exhaustion during the one month before his/her death? |
Xc318
|
|
Did he/she have difficulty being aroused or wakened or loss of consciousness during the one month before his/her death? |
Xc319
|
|
Did he/she have persistent wheezing, coughing or bringing up phlegm during the one month before his/her death? |
Xc320
|
|
Did he/she have difficulty controlling his/her anger or feelings or have uncontrolled outburst or temper during the one month before his/her death? |
Xc321
|
|
Did he/she have loss of control of bowel or bladder during the one month before his/her death? |
Xc401
|
|
I would like to understand difficulties people may have with various activities because of a health or physical problem before they die. Please kindly recall the last three months before his/ her death.About how many days did [he/she] stay in bed more than half the day during the last three months before [his/her] death? (unit: a day) [IWER: If none, mark 0. If everyday, mark 93] |
Xc402
|
|
Now, I would like to understand how much help he/she needed to carry out everyday activities due to health or cognitive problems.[IWER: From Xc402 to Xc408, even if he/ she needed help partially or little, mark 1 Yes, needed help. If he/ she can do by himself/ herself with assisting devices, mark 5 No, didn't need help.] Did he/she need help with dressing (including socks, shoes, etc.) during the three months before his/her death? |
Xc403
|
|
Did he/she need help with washing his/her face and hair and brushing him/her teeth during the three months before his/her death? |
Xc404
|
|
Did he/she need help with bathing or showering during the three months before his/her death? |
Xc405
|
|
Did he/she need help with eating during the three months before his/her death? |
Xc406
|
|
Did he/she need help with getting in/ out of bed and across a room during the three months before his/her death? |
Xc407
|
|
Did he/she need help with using the toilet (including taking off clothes and cleaning oneself after defecating or urinating) during the three months before his/her death? |
Xc408
|
|
Did he/she need help with use the toilet without spilling out urine during the three months before his/her death? |
Xc409
|
|
If he/she needed help with activities of daily living, who helped him/her the most? Please state the help givers relationship to him/her. |
Xc410
|
|
If others, please specify. |
Xc411
|
|
Did [Xc409] receive money for helping him/her? |
Xc412
|
|
Did [Xc409] have to take care of or nurse another person? |
Xc413
|
|
When [Xc409] was not able to take care of him/her due to illness or any other reason, was there any other person who could take care of him/her instead of [Xc409]? |
Xc414
|
|
How many people could help taking care of him/her instead of [Xc409]? |
Xc415
|
|
Who helped or was able to help him/her instead of [Xc409]? Please state his/her relationship to the person who died.[IWER: R may choose up to two persons in the order of priority.] |
Xc416
|
|
If others, please specify. |
Xc417
|
|
Now I would like to understand about the basic living activities and social activities.Did he/she need help with personal grooming including brushing hair, clipping nails/toenails, putting on make-up (female) and shaving (male) during the three months before his/her death? |
Xc418
|
|
Did he/she need help with household chores, such as cleaning or tidying up the house, making bed and washing dishes during the three months before his/her death? |
Xc419
|
|
Did he/she need help with preparing meals (preparing ingredients, cooking and setting the table) during the three months before his/her death? |
Xc420
|
|
Did he/she need help with laundry, such as using a washing machine or by hand and hanging out the wash to dry during the three months before his/her death? |
Xc421
|
|
Did he/she need help with going out a short distance without using transportation during the three months before his/her death? |
Xc422
|
|
Did he/she need help with going out using transportation, such as buses, subways, taxies, and cars, during the three months before his/her death? |
Xc423
|
|
Did he/she need help with shopping, which refers to make a decision on what to buy and to pay money and get the change, during the three months before his/her death? |
Xc424
|
|
Did he/she need help with managing his/ her money, such as managing small sums of pocket money, savings accounts and other assets during the three months before his/her death? |
Xc425
|
|
Did he/she need help with making or taking phone calls during the three months before his/her death? |
Xc426
|
|
Did he/she need help with taking medications, which refers to take right portion as well as right on time during the three months before his/her death? |
Xc427
|
|
If he/she needed help with above activities of daily living, who helped him/her the most? Please state the help givers relationship to him/her. |
Xc429
|
|
Did [Xc427] receive money for helping him/her? |
Xc501
|
|
The next questions are about health insurance and medical service. What type of health insurance was he/she covered by during the one month before his/her death? |
Xc502
|
|
How did he/she enroll in the National Health Insurance? |
Xc503
|
|
If employee insured, was he/ she the insured person or a dependent family member? |
Xc504
|
|
If self-employed insured, was he/she the household head? |
Xc505
|
|
Who paid his/her health insurance premiums during the one month before his/her death? |
Xc506
|
|
Was he/she covered by Class 1 Medical Aid or Class 2 Medical Aid during the one month before his/her death? |
Xc507
|
|
Was he/she covered by any private health insurance to compensate for hospital expenses? Private health insurance means every health insurance, regardless of its type, even including those whose term expired. Please exclude health-related special policy conditions included in pension insurance or whole life insurance. |
Xc508
|
|
Now I have some questions about the medical institutions he/she used. Was he/she ever hospitalized after the previous interview?[IWER: Hospitalization here refers to a hospital, nursing hospital, convalescence clinic, or any other long-term health care facilities. Please exclude elderly care facility to stay for living purpose.] |
Xc509
|
|
How many times was he/she hospitalized after the previous interview? (unit: a time) |
Xc510
|
|
How many days did he/she stay in hospital during his/her last hospitalization? (unit: a day) |
Xc511
|
|
Did he/she ever enter ICU (intensive care unit) during his/her stay in hospital? |
Xc512
|
|
Did he/she ever use life prolonging treatment, such as an oxygen respirator, during his/her stay in hospital?[IWER: Life extension treatment means artificially pulsing the heart and continuing the life function such as breathing; without those, patients would die. These are not for curing illness but for extending the process leading to death. These also include nutrition/ food/ hydration injections, but do not include injection for pain relief or injection for nerve stabilization.] |
Xc513
|
|
Did he/she ever receive kidney dialysis during his/her stay in hospital? |
Xc514
|
|
Did he/she take prescribed antibiotics during his/her stay in hospital? |
Xc515
|
|
What was the total amount of medical expenses paid for his/her hospitalization since the previous interview? (unit: 10,000 Korean won) |
Xc516
|
|
How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (Xc516a), 2 payments by relatives including children and parents (Xc516b), 3 payments reimbursed by private health insurances (Xc516c). |
Xc516a
|
|
Out-of-pocket payments |
Xc516b
|
|
Payments by relatives including children and parents |
Xc516c
|
|
Payments reimbursed by private health insurances |
Xc517
|
|
Approximately, how much did it cost? Please choose among the following amounts. |
Xc518
|
|
If he/she died in hospital, how long did he/she stay in hospital until his/her death? (unit: a day)[IWER: If less than one day, mark 1] |
Xc519
|
|
You have said that he/she stayed in hospital just one day. Then how many hours did he/she stay in hospital? (unit: an hour)[IWER: If 3 hours, mark 3. If one full day, mark 24] |
Xc520
|
|
Why was he/she hospitalized at that time? |
Xc521
|
|
If others, please specify. |
Xc522
|
|
How many times did he/she enter an elderly care facility, sanatorium, silver town, etc., after the previous interview? (unit: a time)[IWER: Please only include the facilities such as nursing home, silver town for living purpose, not for health-care purpose. If never used, mark '0'.] |
Xc523
|
|
How many days did he/she stay there during his/her most recent stay? (unit: a day) |
Xc524
|
|
What was the total amount paid to the elderly care facility since the previous interview? (unit: 10,000 Korean won) |
Xc525
|
|
How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (Xc525a), 2 payments by relatives including children and parents (Xc525b), 3 payments reimbursed by private health insurances (Xc525c) |
Xc525a
|
|
Out-of-pocket payments |
Xc525b
|
|
Payments by relatives including children and parents |
Xc525c
|
|
Payments reimbursed by private health insurances |
Xc526
|
|
Approximately, how much did it cost? Choose after listening to the following amounts. |
Xc527
|
|
If he/she died at an elderly care facility, how long did he/she stay there at that time? (unit: a day) |
Xc528
|
|
When did he/she enter that elderly care facility? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201801 for January 2018. If the month is not clear, enter 201800.] |
Xc529
|
|
If he/she stayed but did not die at the elderly care facility, where did he/she stay until his/her death after leaving the facility? |
Xc530
|
|
If others, please specify. |
Xc531
|
|
How many times was he/she hospitalized in a hospice facility after the previous interview? (unit: a time)[IWER: Hospice is a specialized facility designed to provide support and comfort to the terminally ill. Hospice focuses on relieving their physical pain and symptoms, rather than cure. The goal of hospice care is to enable them to live each day as fully as possible with psychological and religious help in their last days. If never used, mark 0.] |
Xc532
|
|
How many days did he/she stay there during his/her most recent stay? (unit: a day) |
Xc533
|
|
What was the total amount paid to the hospice facility since the previous interview? (unit: 10,000 Korean won) |
Xc534
|
|
How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (Xc534a), 2 payments by relatives including children and parents (Xc534b), 3 payments reimbursed by private health insurances (Xc534c). |
Xc534a
|
|
Out-of-pocket payments |
Xc534b
|
|
Payments by relatives including children and parents |
Xc534c
|
|
Payments reimbursed by private health insurances |
Xc535
|
|
Approximately, how much did it cost? Choose after listening to the following amounts. |
Xc536
|
|
Did he/she die at a hospice unit in a hospital or a specialized hospice facility? |
Xc537
|
|
If he/she died at a hospice unit or specialized hospice facility, how long did he/she stay there at that time? (unit: a day) |
Xc538
|
|
When did he/she enter that facility? (unit: year and month combined into 6 digits) [IWER: Enter the year and month using 6 digits. For example, mark 201801 for January 2018. If the month is not clear, enter 201800.] |
Xc539
|
|
If he/she did not die at the hospice unit or hospice facility, where did he/she stay after leaving that facility? |
Xc540
|
|
If others, please specify. |
Xc541
|
|
Now I have some questions about the outpatient services he/she used. Did he/she ever see a doctor in a clinic or hospital for outpatient care after the previous interview? |
Xc542
|
|
How many times did he/she receive outpatient care after the previous interview? (unit: a time) |
Xc543
|
|
Did he/she ever go to a hospital emergency room after the previous interview? |
Xc544
|
|
How many times did he/she go to an emergency room after the previous interview? (unit: a time) |
Xc545
|
|
What was the total amount of medical expenses paid for using the clinic or hospital outpatient services and emergency room since the previous interview? (unit: 10,000 Korean won) |
Xc546
|
|
How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (Xc546a), 2 payments by relatives including children and parents (Xc546b), 3 payments reimbursed by private health insurances (Xc546c). |
Xc546a
|
|
Out-of-pocket payments |
Xc546b
|
|
Payments by relatives including children and parents |
Xc546c
|
|
Payments reimbursed by private health insurances |
Xc547
|
|
Approximately, how much did it cost? Choose after listening to the following amounts. |
Xc548
|
|
Did he/she take any regular prescription drugs before his/her death? |
Xc549
|
|
What was the total amount paid for such medications since the previous interview? (unit: 10,000 Korean won) |
Xc550
|
|
How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (Xc550a), 2 payments by relatives including children and parents (Xc550b), 3 payments reimbursed by private health insurances (Xc550c). |
Xc550a
|
|
Out-of-pocket payments |
Xc550b
|
|
Payments by relatives including children and parents |
Xc550c
|
|
Payments reimbursed by private health insurances |
Xc551
|
|
Approximately, how much did it cost? Please choose among the following amounts. |
Xc552
|
|
Did he/she ever receive in-home health care or visiting nursing services provided by medically-trained person after the previous interview? Medically-trained person refers to nurses, nurse assistants, physical therapists, chemical therapists and oxygen therapists, who professionally trained for medical treatment purpose. Caregivers who just take care of patients are excluded. |
Xc553
|
|
How many times did he/she receive such in-home health care or visiting nursing services after the previous interview? (unit: a time) |
Xc554
|
|
What was the total amount paid for the in-home health care or visiting nursing services since the previous interview? (unit: 10,000 Korean won)? (unit: 10,000 Korean won) |
Xc555
|
|
How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (Xc555a), 2 payments by relatives including children and parents (Xc555b), 3 payments reimbursed by private health insurances (Xc555c). |
Xc555a
|
|
Out-of-pocket payments |
Xc555b
|
|
Payments by relatives including children and parents |
Xc555c
|
|
Payments reimbursed by private health insurances |
Xc556
|
|
Approximately, how much did it cost? Please choose among the following amounts. |
Xc557
|
|
Did he/she ever receive or use services provided by an elderly welfare facility or a local government or public health clinic after the previous interview?For example, those services include side dish delivery services, elderly companionship services, counseling services by social workers, medical services, rehabilitation therapy, etc., provided at welfare centers. |
Xc558
|
|
Aside from the medical expenses mentioned earlier, did he/she purchase any uninsured items, such as medical instruments (patient beds or duvet, wheelchairs, canes, etc.) or oriental medicine or nutritional supplements, which are not prescribed by a doctor, and patient food (supplementary health food), after the previous interview?[IWER: Applicable items are followed; 1. Medical instruments that were purchased with out-of-pocket payments, not with health insurance payments. Examples are cruches, an (electronic) wheelchair, a cane, and a hearing aid. 2. Items for nursing and caring that were purchased with out-of-pocket payments, not with health insurance payments. Examples are a bed mattress, a bedpan, diapers, and all sorts of medical items such as gauze and chemicals. 3. All sorts of nutritional supplements which are not prescribed by a doctor, supplementary health food, oriental medicine, and ginsengs, etc. ] |
Xc559
|
|
What was the total amount paid for purchasing such items since the previous interview? (unit: 10,000 Korean won) |
Xc560
|
|
How much did he/she pay out-of-pocket? Also, how much did his/her relatives or private health insurances pay on behalf of him/her? Please include in the private health insurance category any payments that he/she made and were reimbursed by private health insurances. (unit: 10,000 Korean won) Categories are 1 out-of-pocket payments (Xc560a), 2 payments by relatives including children and parents (Xc560b), 3 payments reimbursed by private health insurances (Xc560c). |
Xc560a
|
|
Out-of-pocket payments |
Xc560b
|
|
Payments by relatives including children and parents |
Xc560c
|
|
Payments reimbursed by private health insurances |
Xc561
|
|
Approximately, how much did it cost? Please choose among the following amounts. |
Xc562
|
|
Who mainly paid the medical expenses incurred before his/her death after the previous interview? |
Xc563
|
|
If others, please specify. |
Xc564
|
|
Was there any person, except [Xc562], who provided financial support to cover the medical expenses? |
Xc565
|
|
Who was that person? |
Xc566
|
|
If others, please specify. |
Xc601
|
|
Now I have some questions about his/her funeral and impacts on bereaved family members health. Where was he/she buried? |
Xc602
|
|
If others, please specify. |
Xc603
|
|
How much did his/her funeral cost? (unit: 10,000 Korean won) |
Xc604
|
|
Was there any bereaved family member who received psychological treatment due to nervous disorder, depression, etc. after his/her death? |
Xc605
|
|
Who received psychological treatment? |
Xc606
|
|
If others, please specify. |
Xd001
|
|
He/she responded in the previous interview that he/she was working as [job title: occupation] at [name of workplace: industry]. Was it his/her last job before his/her death? |
Xd002
|
|
He/she responded in the previous interview that he/she was not working. Did he/she ever work before his/her death after that interview? |
Xd003
|
|
When did he/she stop working at that job? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201601 for January 2016. If the month is not clear, enter 201600.] |
Xd004
|
|
Why did he/ she quit? [IWER: Choices are different by wage workers and non-wage workers] |
Xd005
|
|
(As loop=1 & Xd002=1 ) When did he/she start the job? / (As loop=1 & Xd001=5 or loop>=2) I am going to ask you about his/her new job. When did he/she start the job? (unit: year and month combined into 6 digits)[INT: - Enter the year and month using 6 digits. For example, mark 201801 for January 2018. If the month is not clear, enter 201800. - Please tell me in order if R changed a job. If R was a regular worker from March to September 2017 and then became a unpaid family worker after October 2017, R is to be regular worker unpaid family worker. ] |
Xd006
|
|
What was his/her new employment status? |
Xd007
|
|
What kind of business or industry did he/she work in? |
Xd008
|
|
To be specific, which industrial classification best describes his/ her workplace? |
Xd009
|
|
To be specific, which industrial classification best describes his/ her workplace? |
Xd010
|
|
To be specific, which industrial classification best describes his/ her workplace? |
Xd011
|
|
To be specific, which industrial classification best describes his/ her workplace? |
Xd012
|
|
What kind of work did he/she do in the workplace? |
Xd013
|
|
To be specific, which occupational classification best describes his/her work? |
Xd014
|
|
To be specific, which occupational classification best describes his/her work? |
Xd015
|
|
To be specific, which occupational classification best describes his/her work? |
Xd016
|
|
To be specific, which occupational classification best describes his/her work? |
Xd017
|
|
How many employees worked at all locations of the workplace including the head office, branch offices, branches, plants, and the field? (unit: number of people, workplace since [Xd005]: [Industry Xd007] [Occupation Xd012]) |
Xd018
|
|
Then what is the estimated number of employees that worked at all locations of the workplace including the head office, branch offices, branches, plants, and the field? (unit: number of people, workplace since [Xd005]: [Industry Xd007] [Occupation Xd012]) |
Xd019
|
|
How many officially paid employees did he/she have? Please exclude temporary workers employed in farming seasons or busy times (unit: number of people, workplace since [Xd005]: [Industry Xd007] [Occupation Xd012])[IWER: Mark 0 if there was no employee.] |
Xd020
|
|
Then what is the closest approximation to the actual number of employees in his/her business? (Workplace since [Xd005]: [Industry Xd007] [Occupation Xd012]) |
Xd021
|
|
Did he/she have unpaid family workers other than officially paid employees? If he/she was an employer or self-employment, please exclude. If he/she was an unpaid family member, pleas include. (unit: number of people, workplace since [Xd005]: [Industry Xd007] [Occupation Xd012])[IWER: Mark 0 if there was no employee.] |
Xd022
|
|
How many days per week did he/she work? (unit: days, workplace since [Xd005]: [Industry Xd007] [Occupation Xd012]) |
Xd023
|
|
How many hours per week did he/she work excluding lunch time, break, etc.? (unit: hours, workplace since [Xd005]: [Industry Xd007] [Occupation Xd012]) |
Xd024
|
|
How much did he/she receive from monthly average net earnings or profits? As for a self-employer, please tell the net income excluding all the expenses for your business.(Unit: 10,000 Korean won, workplace since [Xd005]: [Industry Xd007] [Occupation Xd012]) [IWER: Mark 0 if R was self-employed and made no net income, and enter 99997 if Rs business is deficit.] |
Xd025
|
|
Was it his/her last job before his/her death? (workplace since [Xd005]: [Industry Xd007] [Occupation Xd012]) |
Xd026
|
|
When did he/she stop working? (unit: year and month combined into 6 digits, workplace since [Xd005]: [Industry Xd007] [Occupation Xd012])[IWER: Enter the year and month using 6 digits. For example, mark 201801 for January 2018. If the month is not clear, enter 201800.] |
Xd027
|
|
Why did he/ she quit? [IWER: Choices are different by wage workers and non-wage workers] |
Xf001
|
|
Did he/she leave any inheritance?[IWER: Please include both what he/she gave to children and donated to society] |
Xf002
|
|
Did he/she leave the house that he/she was residing in as an inheritance? |
Xf003
|
|
What was the value? (unit: 10,000 Korean won) |
Xf004
|
|
Did it amount to less than, about equal to or more than 1,000 MW (10,000 Korean won)? |
Xf005
|
|
Did it amount to less than, about equal to, or more than 5,000 MW (10,000 Korean won)? |
Xf006
|
|
Did it amount to less than, about equal to or more than 10,000 MW (10,000 Korean won)? |
Xf007
|
|
Did it amount to less than, about equal to or more than 50,000 MW (10,000 Korean won)? |
Xf008
|
|
Did it amount to less than, about equal to or more than 100,000 MW (10,000 Korean won)? |
Xf009
|
|
Did he/she leave any other real estate properties except his/her home?[IWER: Other real estate properties include other home/ second home, buildings, commercial property, studio apartments, land, pre-sale rights for apartments or studio apartments, or condominium membership, etc.] |
Xf010
|
|
What was the value? (unit: 10,000 Korean won) |
Xf011
|
|
Did it amount to less than, about equal to or more than 1,000 MW (10,000 Korean won)? |
Xf012
|
|
Did it amount to less than, about equal to, or more than 5,000 MW (10,000 Korean won)? |
Xf013
|
|
Did it amount to less than, about equal to or more than 10,000 MW (10,000 Korean won)? |
Xf014
|
|
Did it amount to less than, about equal to or more than 50,000 MW (10,000 Korean won)? |
Xf015
|
|
Did it amount to less than, about equal to or more than 100,000 MW (10,000 Korean won)? |
Xf016
|
|
Did he/she leave any financial assets?[IWER: Financial assets include cash over 50 MW (10,000-Korean won), bank savings, stocks /investment trust funds / mutual funds, bonds, insurance, private money lending, private savings club, etc.] |
Xf017
|
|
What was the value? (unit: 10,000 Korean won) |
Xf018
|
|
Did it amount to less than, about equal to or more than 100 MW (10,000 Korean won)? |
Xf019
|
|
Did it amount to less than, about equal to, or more than 500 MW (10,000 Korean won)? |
Xf020
|
|
Did it amount to less than, about equal to or more than 1,000 MW (10,000 Korean won)? |
Xf021
|
|
Did it amount to less than, about equal to or more than 5,000 MW (10,000 Korean won)? |
Xf022
|
|
Did it amount to less than, about equal to or more than 10,000 MW (10,000 Korean won)? |
Xf023
|
|
Did he/she have any insurance that pays compensation upon death?[IWER] Term Life Insurance: A type of life insurance which covers the subscriber for a limited period of time Whole Life Insurance: A type of life insurance which covers the subscriber until his/her death rather than for a limited period of time. Annuity Insurance: A type of life insurance in which the subscriber receive a certain amount of annuity each year for a certain period of time or until his/her death |
Xf024
|
|
How much did his/her descendants receive in insurance benefits? (unit: 10,000 Korean won) |
Xf025
|
|
Did it amount to less than, about equal to or more than 500 MW (10,000 Korean won)? |
Xf026
|
|
Did it amount to less than, about equal to or more than 1,000 MW (10,000 Korean won)? |
Xf027
|
|
Did it amount to less than, about equal to or more than 3,000 MW (10,000 Korean won)? |
Xf028
|
|
Did it amount to less than, about equal to or more than 5,000 MW (10,000 Korean won)? |
Xf029
|
|
Did it amount to less than, about equal to or more than 10,000 MW (10,000 Korean won)? |
Xf030
|
|
Apart from the inheritances you have mentioned so far, did he/she leave any other inheritances such as vehicles, antiques, paintings or membership etc.? |
Xf031
|
|
What was the value? (unit: 10,000 Korean won) |
Xf032
|
|
Did it amount to less than, about equal to or more than 500 MW (10,000 Korean won)? |
Xf033
|
|
Did it amount to less than, about equal to or more than 1,000 MW (10,000 Korean won)? |
Xf034
|
|
Did it amount to less than, about equal to or more than 3,000 MW (10,000 Korean won)? |
Xf035
|
|
Did it amount to less than, about equal to or more than 5,000 MW (10,000 Korean won)? |
Xf036
|
|
Did it amount to less than, about equal to or more than 10,000 MW (10,000 Korean won)? |
Xf037
|
|
Next questions are about debts. Did he/she leave any debt? |
Xf038
|
|
What was his/her total debt? (unit: 10,000 Korean won) |
Xf039
|
|
Did it amount to less than, about equal to or more than 1,000 MW (10,000 Korean won)? |
Xf040
|
|
Did it amount to less than, about equal to or more than 3,000 MW (10,000 Korean won)? |
Xf041
|
|
Did it amount to less than, about equal to or more than 5,000 MW (10,000 Korean won)? |
Xf042
|
|
Did it amount to less than, about equal to or more than 10,000 MW (10,000 Korean won)? |
Xf043
|
|
Did it amount to less than, about equal to or more than 30,000 MW (10,000 Korean won)? |
Xf044
|
|
Did he/she make a will for inheritance? |
Xf045
|
|
Eventually, how did he/ she inherit to spouse/ child/ parents/ grandchild and so on? (unit: %)[IWER: The sum of all parts must be equal to 100.] |