XT. Exit Interview

This module is answered by proxy collecting information about respondent who deceased between last wave and current wave. Information collected includes date of death, location of death, cause of death, final length of illness, medical care utilization before death, medical care costs, deseased's home, estate and who inherited them.

item label type description
MERGEID Question person identifier (fix across modules and waves)
HHID Question household (fix across modules and waves)
HHID1 Question household identifier wave 1
HHID2 Question household identifier wave 2
COUNTRY Question country identifier
WAVEID Question identifier of original wave
SPLIT Question household split identifier
LANGUAGE Question language of questionnaire
XT002 Question relationship to the deceased
XT005 Question how often contact last twelve months
XT006 Question proxy respondent's sex
XT007 Question year of birth proxy
XT008 Question month of decease
XT009 Question year of decease
XT010 Question age at the moment of decease
XT011 Question main cause of death
XT013 Question how long been ill before decease
XT014 Question place of dying
XT015 Question times in hospital last year before dying
XT016 Question total time in hospital last year before dying
XT018 Question had medical care in last 12 months
XT019 Question costs medical care in 12 twelve months
XT020 Question difficulties doing activities
XT022 Question anyone helped with adl
XT023 Question who helped with adl
XT024 Question time the deceased received help
XT025 Question hours of help necessary during typical day
XT026 Question deceased had a will
XT027 Question beneficiaries of estate
XT030 Question deceased owned home
XT031 Question value home after mortgages
XT032 Question who inherited home of deceased
XT033 Question deceased owned any life insurance policies
XT034 Question value of all life insurance policies
XT035 Question beneficiaries of life insurance policy
XT037 Question deceased owned type of assets
XT038 Question value of assets
XT039 Question number of children the deceased had at the end
XT040 Question total estate divided among the children
XT041 Question funeral was accompanied by a religious ceremony
XT043 Question interview mode
Start of XT. Exit Interview
 
XT006

proxy respondent's sex

IWER:CODE PROXY RESPONDENT'S SEX
expand
 
XT002

relationship to the deceased

BEFORE WE START ASKING QUESTIONS ABOUT THE LAST YEAR OF LIFE OF (NAME OF DECEASED), WOULD YOU PLEASE TELL ME WHAT WAS YOUR RELATIONSHIP TO THE DECEASED?
expand
 
XT005

how often contact last twelve months

DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE, HOW OFTEN DID YOU HAVE CONTACT WITH (NAME OF DECEASED), EITHER PERSONALLY, BY PHONE, MAIL OR EMAIL?
expand
 
XT007

year of birth proxy

CAN YOU TELL ME YOUR YEAR OF BIRTH?
expand
 
XT008

month of decease

LET US NOW TALK ABOUT THE DECEASED. IN WHAT MONTH AND YEAR DID [HE/SHE] PASS AWAY?
expand
 
XT009

year of decease

IN WHAT MONTH AND YEAR DID [HE/SHE] PASS AWAY?
expand
 
XT010

age at the moment of decease

HOW OLD WAS (NAME OF DECEASED) WHEN [HE/SHE] PASSED AWAY?
expand
 
XT011

main cause of death

WHAT WAS THE MAIN CAUSE OF [HIS/HER] DEATH? IWER:READ OUT IF NECESSARY
expand
 
If main cause of death != 8 Accident
 
   
 
XT013

how long been ill before decease

HOW LONG HAD (NAME OF DECEASED) BEEN ILL BEFORE [HE/SHE] DIED? IWER:READ OUT
expand
   
 
XT014

place of dying

DID [HE/SHE] DIE ...
expand
   
 
XT015

times in hospital last year before dying

IN THE LAST YEAR BEFORE [HE/SHE] DIED, ON HOW MANY DIFFERENT OCCASIONS DID (NAME OF DECEASED) STAY IN A HOSPITAL, HOSPICE OR NURSING HOME?
expand
   
 
If times in hospital last year before dying > 1 not at all
 
     
   
XT016

total time in hospital last year before dying

DURING THE LAST YEAR OF [HIS/HER] LIFE, FOR HOW LONG ALTOGETHER DID (NAME OF DECEASED) STAY AT HOSPITALS, HOSPICES OR NURSING HOMES?
expand
     
As CARE TYPE goes from 1 to 8  »
 
   
 
If CARE TYPE < 3 or CARE TYPE > 5 or times in hospital last year before dying != 1 not at all
 
     
   
XT018

had medical care in last 12 months

HAS (NAME OF DECEASED) HAD ANY care from a general practitioner IN THE LAST 12 MONTHS OF [HIS/HER] LIFE?
expand
     
   
If had medical care in last 12 months = 1 yes
 
       
     
XT019

costs medical care in 12 twelve months

ABOUT HOW MUCH DID [HIS/HER] care from a general practitioner COST IN THE LAST 12 MONTHS OF [HIS/HER] LIFE?
expand
       
XT020

difficulties doing activities

BECAUSE OF A PHYSICAL, MENTAL, EMOTIONAL OR MEMORY PROBLEM, DID (NAME OF DECEASED) HAVE DIFFICULTY DOING ANY OF THE FOLLOWING ACTIVITIES DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE? PLEASE NAME ONLY DIFFICULTIES THAT LASTED AT LEAST THREE MONTHS.
expand
 
If difficulties doing activities > 0 and difficulties doing activities does not include 97 None of these
 
   
 
XT022

anyone helped with adl

THINKING ABOUT THE ACTIVITIES THAT THE DECEASED HAD PROBLEMS WITH DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE, HAS ANYONE HELPED REGULARLY WITH THESE ACTIVITIES?
expand
   
 
If anyone helped with adl = 1 yes
 
     
   
XT023

who helped with adl

WHO, INCLUDING YOURSELF, HAS HELPED MAINLY WITH THESE ACTIVITIES? PLEASE NAME AT MOST THREE PERSONS. IWER:AT MOST THREE ANSWERS! CODE RELATIONSHIP TO DECEASED!
expand
     
   
XT024

time the deceased received help

OVERALL, DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE, FOR HOW LONG DID THE DECEASED RECEIVE HELP? IWER:READ OUT
expand
     
   
XT025

hours of help necessary during typical day

AND ABOUT HOW MANY HOURS OF HELP WERE NECESSARY DURING A TYPICAL DAY?
expand
     
XT026

deceased had a will

DID THE DECEASED HAVE A WILL?
expand
 
XT027

beneficiaries of estate

WHO WERE THE BENEFICIARIES OF THE ESTATE, INCLUDING YOURSELF? IWER:CODE ALL THAT APPLY CODE RELATIONSHIP TO DECEASED!
expand
 
XT030

deceased owned home

DID THE DECEASED OWN [HIS/HER] HOME OR APARTMENT - EITHER IN TOTAL OR A SHARE OF IT?
expand
 
If deceased owned home = 1 yes
 
   
 
XT031

value home after mortgages

AFTER ANY OUTSTANDING MORTGAGES, WHAT WAS THE VALUE OF THE HOME OR APARTMENT OR THE SHARE OF IT OWNED BY THE DECEASED? IWER:ENTER AN AMOUNT IN (LOCAL CURRENCY)
expand
   
 
XT032

who inherited home of deceased

WHO INHERITED THE DECEASED'S HOME OR APARTMENT, INCLUDING YOURSELF?
expand
   
XT033

deceased owned any life insurance policies

DID THE DECEASED OWN ANY LIFE INSURANCE POLICIES?
expand
 
If deceased owned any life insurance policies = 1 yes
 
   
 
XT034

value of all life insurance policies

IN TOTAL, ABOUT WHAT WAS THE VALUE OF ALL LIFE INSURANCE POLICIES OWNED BY THE DECEASED? IWER:ENTER AN AMOUNT IN (LOCAL CURRENCY)
expand
   
 
XT035

beneficiaries of life insurance policy

WHO WERE THE BENEFICIARIES OF THE LIFE INSURANCE POLICES, INCLUDING YOURSELF.
expand
   
XT036
 
As ASSET goes from 1 to 5  »
 
   
 
XT037

deceased owned type of assets

DID [HE/SHE] OWN ANY businesses, including land or premises?
expand
   
 
If deceased owned type of assets = 1 yes
 
     
   
XT038

value of assets

ABOUT WHAT WAS THE VALUE OF THE businesses, including land or premises OWNED BY (NAME OF DECEASED) AT THE TIME OF [HIS/HER] DEATH? IWER:ENTER AN AMOUNT IN (LOCAL CURRENCY)
expand
     
XT039

number of children the deceased had at the end

HOW MANY CHILDREN DID (NAME OF DECEASED) HAVE THAT WERE STILL ALIVE AT THE TIME OF [HIS/HER] DEATH? PLEASE INCLUDE FOSTER AND ADOPTED CHILDREN.
expand
 
If number of children the deceased had at the end > 1 and beneficiaries of estate != 9 Deceased did not leave anything at all (SPONTANEOUS)
 
   
 
XT040

total estate divided among the children

WHAT WOULD YOU SAY: HOW WAS THE TOTAL ESTATE DIVIDED AMONG THE DECEASED'S CHILDREN? IWER:READ OUT
expand
   
XT041

funeral was accompanied by a religious ceremony

FINALLY, WE WOULD LIKE TO KNOW ABOUT THE DECEASED'S FUNERAL. WAS THE FUNERAL ACCOMPANIED BY A RELIGIOUS CEREMONY?
expand
 
XT043

interview mode

IWER:PLEASE STATE MODE OF INTERVIEW
expand
 
End of XT. Exit Interview
Start of XT. Exit Interview

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XT006
proxy respondent's sex

IWER:CODE PROXY RESPONDENT'S SEX
- - - - - - - - - - - - - - - - - - - - - - - - -
1 male
2 female

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XT002
relationship to the deceased

BEFORE WE START ASKING QUESTIONS ABOUT THE LAST YEAR OF LIFE OF (NAME OF DECEASED), WOULD YOU PLEASE TELL ME WHAT WAS YOUR RELATIONSHIP TO THE DECEASED?
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 husband or wife or partner
2 son or daughter
3 son- or daughter-in-law
4 son or daughter of husband, wife or partner
5 grandchild
6 sibling
7 other relative (specify)
8 other non-relative (specify)

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XT005
how often contact last twelve months

DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE, HOW OFTEN DID YOU HAVE CONTACT WITH (NAME OF DECEASED), EITHER PERSONALLY, BY PHONE, MAIL OR EMAIL?
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 daily
2 several times a week
3 about once a week
4 about every two weeks
5 about once a month
6 less than once a month
7 never

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XT007
year of birth proxy

CAN YOU TELL ME YOUR YEAR OF BIRTH?
- - - - - - - - - - - - - - - - - - - - - - - - -
1900..2000

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XT008
month of decease

LET US NOW TALK ABOUT THE DECEASED. IN WHAT MONTH AND YEAR DID [HE/SHE] PASS AWAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1..12

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XT009
year of decease

IN WHAT MONTH AND YEAR DID [HE/SHE] PASS AWAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 2004
2 2005
3 2006
4 2007

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XT010
age at the moment of decease

HOW OLD WAS (NAME OF DECEASED) WHEN [HE/SHE] PASSED AWAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
50..100

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XT011
main cause of death

WHAT WAS THE MAIN CAUSE OF [HIS/HER] DEATH? IWER:READ OUT IF NECESSARY
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Cancer
2 A heart attack
3 A stroke
4 Other cardiovascular related illness such as heart failure, arrhythmia
5 Respiratory disease
6 Disease of the digestive system such as gastrointestinal ulcer, inflammatory bowel disease
7 Severe infectious disease such as pneumonia, septicemia or flu
8 Accident
9 Other (Please specify)

If main cause of death (XT011) != 8 Accident

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XT013
how long been ill before decease

HOW LONG HAD (NAME OF DECEASED) BEEN ILL BEFORE [HE/SHE] DIED? IWER:READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 less than one month
2 one month or more but less than 6 months
3 6 months or more but less than a year
4 one year or more

|  ========================================================================
XT014
place of dying

DID [HE/SHE] DIE ...
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 [his/her] own home
2 another person's home
3 hospital
4 nursing/residential home, or sheltered housing
5 hospice
6 some other place (please specify)

|  ========================================================================
XT015
times in hospital last year before dying

IN THE LAST YEAR BEFORE [HE/SHE] DIED, ON HOW MANY DIFFERENT OCCASIONS DID (NAME OF DECEASED) STAY IN A HOSPITAL, HOSPICE OR NURSING HOME?
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 not at all
2 1 to 2 times
3 3 to 5 times
4 more than 5 times

If times in hospital last year before dying (XT015) > 1 not at all

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| | 
XT016
total time in hospital last year before dying

DURING THE LAST YEAR OF [HIS/HER] LIFE, FOR HOW LONG ALTOGETHER DID (NAME OF DECEASED) STAY AT HOSPITALS, HOSPICES OR NURSING HOMES?
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 less than one week
2 one week or more but less than one month
3 one month or more but less than
3 months
4 3 months or more but less than 6 months
5 6 months or more but less than a year
6 a full year

As CARE TYPE goes from 1 to 8  » »

If CARE TYPE < 3 or CARE TYPE > 5 or times in hospital last year before dying (XT015) != 1 not at all

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| | 
XT018
had medical care in last 12 months

HAS (NAME OF DECEASED) HAD ANY care from a general practitioner IN THE LAST 12 MONTHS OF [HIS/HER] LIFE?
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 yes
5 no

| |  If had medical care in last 12 months (XT018) = 1 yes

| | |  ========================================================================
| | | 
XT019
costs medical care in 12 twelve months

ABOUT HOW MUCH DID [HIS/HER] care from a general practitioner COST IN THE LAST 12 MONTHS OF [HIS/HER] LIFE?
- - - - - - - - - - - - - - - - - - - - - - - - -
RANGE: 0..980000

========================================================================
XT020
difficulties doing activities

BECAUSE OF A PHYSICAL, MENTAL, EMOTIONAL OR MEMORY PROBLEM, DID (NAME OF DECEASED) HAVE DIFFICULTY DOING ANY OF THE FOLLOWING ACTIVITIES DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE? PLEASE NAME ONLY DIFFICULTIES THAT LASTED AT LEAST THREE MONTHS.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Dressing, including putting on shoes and socks
2 Walking across a room
3 Bathing or showering
4 Eating, such as cutting up your food
5 Getting in or out of bed
6 Using the toilet, including getting up or down
7 Preparing a hot meal
8 Shopping for groceries
9 Making telephone calls
10 Taking medication
97 None of these

If difficulties doing activities (XT020) > 0 and difficulties doing activities (XT020) does not include 97 None of these

|  ========================================================================
XT022
anyone helped with adl

THINKING ABOUT THE ACTIVITIES THAT THE DECEASED HAD PROBLEMS WITH DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE, HAS ANYONE HELPED REGULARLY WITH THESE ACTIVITIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 yes
5 no

If anyone helped with adl (XT022) = 1 yes

| |  ========================================================================
| | 
XT023
who helped with adl

WHO, INCLUDING YOURSELF, HAS HELPED MAINLY WITH THESE ACTIVITIES? PLEASE NAME AT MOST THREE PERSONS. IWER:AT MOST THREE ANSWERS! CODE RELATIONSHIP TO DECEASED!
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
1 Yourself
2 Husband or wife or partner
3 Mother or father
4 Son
5 Son-in-law
6 Daughter
7 Daughter-in-law
8 Grandson
9 Granddaughter
10 Sister
11 Brother
12 Other relative
13 Unpaid volunteer
14 Professional helper (e.g. nurse)
15 Friend or neighbor
16 Other person

| |  ========================================================================
| | 
XT024
time the deceased received help

OVERALL, DURING THE LAST TWELVE MONTHS OF [HIS/HER] LIFE, FOR HOW LONG DID THE DECEASED RECEIVE HELP? IWER:READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
1 less than one month
2 one month or more but less than 3 months
3 3 months or more but less than 6 months
4 6 months or more but less than a year
5 a full year

| |  ========================================================================
| | 
XT025
hours of help necessary during typical day

AND ABOUT HOW MANY HOURS OF HELP WERE NECESSARY DURING A TYPICAL DAY?
- - - - - - - - - - - - - - - - - - - - - - - - -
0..24

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XT026
deceased had a will

DID THE DECEASED HAVE A WILL?
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 yes
5 no

========================================================================
XT027
beneficiaries of estate

WHO WERE THE BENEFICIARIES OF THE ESTATE, INCLUDING YOURSELF? IWER:CODE ALL THAT APPLY CODE RELATIONSHIP TO DECEASED!
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yourself
2 Husband or wife or partner
3 Children
4 Grandchildren
5 Siblings
6 Other relatives (specify)
7 Other non-relatives (specify)
8 Church, foundation or charitable organization
9 Deceased did not leave anything at all (SPONTANEOUS)

========================================================================
XT030
deceased owned home

DID THE DECEASED OWN [HIS/HER] HOME OR APARTMENT - EITHER IN TOTAL OR A SHARE OF IT?
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 yes
5 no

If deceased owned home (XT030) = 1 yes

|  ========================================================================
XT031
value home after mortgages

AFTER ANY OUTSTANDING MORTGAGES, WHAT WAS THE VALUE OF THE HOME OR APARTMENT OR THE SHARE OF IT OWNED BY THE DECEASED? IWER:ENTER AN AMOUNT IN (LOCAL CURRENCY)
- - - - - - - - - - - - - - - - - - - - - - - - -
1000..50000000

|  ========================================================================
XT032
who inherited home of deceased

WHO INHERITED THE DECEASED'S HOME OR APARTMENT, INCLUDING YOURSELF?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yourself
2 Husband or wife or partner
3 Sons or daughters
4 Grandchildren
5 Siblings
6 Other relatives (specify)
7 Other non-relatives (specify)

========================================================================
XT033
deceased owned any life insurance policies

DID THE DECEASED OWN ANY LIFE INSURANCE POLICIES?
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 yes
5 no

If deceased owned any life insurance policies (XT033) = 1 yes

|  ========================================================================
XT034
value of all life insurance policies

IN TOTAL, ABOUT WHAT WAS THE VALUE OF ALL LIFE INSURANCE POLICIES OWNED BY THE DECEASED? IWER:ENTER AN AMOUNT IN (LOCAL CURRENCY)
- - - - - - - - - - - - - - - - - - - - - - - - -
1000..50000000

|  ========================================================================
XT035
beneficiaries of life insurance policy

WHO WERE THE BENEFICIARIES OF THE LIFE INSURANCE POLICES, INCLUDING YOURSELF.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yourself
2 Husband or wife or partner
3 Sons or daughters
4 Grandchildren
5 Siblings
6 Other relatives (specify)
7 Other non-relatives (specify)

========================================================================
XT036
XT036

As ASSET goes from 1 to 5  » »

|  ========================================================================
XT037
deceased owned type of assets

DID [HE/SHE] OWN ANY businesses, including land or premises?
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 yes
5 no

If deceased owned type of assets (XT037) = 1 yes

| |  ========================================================================
| | 
XT038
value of assets

ABOUT WHAT WAS THE VALUE OF THE businesses, including land or premises OWNED BY (NAME OF DECEASED) AT THE TIME OF [HIS/HER] DEATH? IWER:ENTER AN AMOUNT IN (LOCAL CURRENCY)
- - - - - - - - - - - - - - - - - - - - - - - - -
100..50000000

========================================================================
XT039
number of children the deceased had at the end

HOW MANY CHILDREN DID (NAME OF DECEASED) HAVE THAT WERE STILL ALIVE AT THE TIME OF [HIS/HER] DEATH? PLEASE INCLUDE FOSTER AND ADOPTED CHILDREN.
- - - - - - - - - - - - - - - - - - - - - - - - -
0..10

If number of children the deceased had at the end (XT039) > 1 and beneficiaries of estate (XT027) != 9 Deceased did not leave anything at all (SPONTANEOUS)

|  ========================================================================
XT040
total estate divided among the children

WHAT WOULD YOU SAY: HOW WAS THE TOTAL ESTATE DIVIDED AMONG THE DECEASED'S CHILDREN? IWER:READ OUT
- - - - - - - - - - - - - - - - - - - - - - - - -
-2 refusal
-1 don't know
1 divided about equally among all children
2 some received more to make up for previous gifts
3 some received more to give them financial support
4 some received more bec. they helped or cared for the deceased towards the end of his/her life
5 some received more because of other reasons
6 children have not received anything

========================================================================
XT041
funeral was accompanied by a religious ceremony

FINALLY, WE WOULD LIKE TO KNOW ABOUT THE DECEASED'S FUNERAL. WAS THE FUNERAL ACCOMPANIED BY A RELIGIOUS CEREMONY?
- - - - - - - - - - - - - - - - - - - - - - - - -
-1 don't know
1 yes
5 no

========================================================================
XT043
interview mode

IWER:PLEASE STATE MODE OF INTERVIEW
- - - - - - - - - - - - - - - - - - - - - - - - -
1 face-to-face
2 telephone

End of XT. Exit Interview