SERIAL
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Serial Number |
FIRST
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INTERVIEWER: For your information:.. You are in the questionnaire for serial number [Serial] - To enter the questionnaire press and . - To update the Admin details, press . |
EIMODE
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INTERVIEWER: Is this interview being conducted by telephone or in person? |
INTDAT
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INTERVIEWER: Today's date. Amend if not correct. , press to continue. |
EINAME1
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ELSA respondent's first name. |
EINAME2
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ELSA respondent's surname. |
EIDATLA
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Date of last ELSA interview |
EIINTRO
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You may be aware that [EiName1] generously participated in the ELSA study before [hisher] death. [CHisHer] contribution was very valuable. We would find it extremely helpful to have some information about the final year of [hisher] life. I appreciate that this may upset or distress you. All the information collected is strictly confidential, and will be held anonymously. INTERVIEWER: Press 1 and to continue. |
EIINTR2
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Before we begin, I'd like to ask you some questions about you. |
EIRREL
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SHOW CARD EI1. What was your relationship to [EiName1]? Were you [hisher]... |
EIRRELOT
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INTERVIEWER: The respondent has answered 'other' relationship: Write in relationship to [EiName1]. |
EIRFRI
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Would you say [heshe] was a close friend, or not? |
SURVSP
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INTERVIEWER ASK OR CODE: Did [EiName1] have a surviving spouse/partner at the time of [hisher] death? |
EIRKNO
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How long had you known [himher]? INTERVIEWER: Code how the question is answered. |
NUMYR
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INTERVIEWER: Enter the number of years the respondent has known the deceased. |
NUMMTH
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INTERVIEWER: Enter the number of months the respondent has known the deceased. |
AGEMET
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INTERVIEWER: Enter the age of respondent when they met [EiName1]. If known [himher] since birth enter 'O'. |
YRMET
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INTERVIEWER: Enter the year they met. |
MTHMET
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INTERVIEWER: Enter the month they met. |
EIRAGE
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What was your age last birthday? |
EIRSEX
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INTERVIEWER: Ask or code respondent's sex. |
EILONG
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I would now like to ask you a few questions about things that happened at the time of [EiName1]'s death. How long had [heshe] been ill before [heshe] died? |
EISUDD
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Would you say [hisher] death was unexpected? |
EISUDEX
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Why was [hisher] death expected? |
EIEXPT
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Would you say [hisher] death was expected, or unexpected? |
EIEXPTOT
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INTERVIEWER: Enter details. |
EICAUS
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SHOW CARD EI2 What was the main cause of [EiName1]'s death? |
EICAUSOT
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INTERVIEWER: Please enter details of the cause of death. |
EIDATED
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May I ask, on what date did [heshe] die? INTERVIEWER: Enter the day of month at this question. |
EIDATEM
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May I ask, on what date did [heshe] die? INTERVIEWER: Enter month at this question. |
EIDATEY
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May I ask, on what date did [heshe] die? INTERVIEWER: Enter year at this question. |
EIPLAC
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And where did [EiName1] die? Was it ...READ OUT... |
EIPLACOT
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(What was this other place?) INTERVIEWER: Write in. |
EIPLACOH
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In whose home did [EiName1] die? |
EIPLCN
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On how many different occasions did [EiName1] stay in [place] in the last two years before [heshe] died? INTERVIEWER: If appropriate include more than one person's home INTERVIEWER: Specify the number of times. |
EIPLCL
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In total, how long did [EiName1] stay in [place] in the last two years before [heshe] died? INTERVIEWER: If stayed on more than one occasion add the times together. |
EILIVINT
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I would now like to ask you some questions about where [EiName1] lived or stayed overnight as a result of [hisher] health in the two years before [heshe] died. |
EILIVE
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[Multiple responses to EILIVE are recorded in variables EILIVE1 to EILIVE9] SHOW CARD EI3 [Did] [heshe] live or stay in any of these places at any stage in the two years before [heshe] died? INTERVIEWER: Include NHS and privately-owned establishments CODE ALL THAT APPLY. |
EIHOMESTY
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In whose home did [EiName1] stay? |
EILOTHA
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On how many different occasions did [EiName1] stay in another person's home in the last two years before [heshe] died? INTERVIEWER: Enter the number of times. |
EILOTHB
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In total, how long did [EiName1] stay in another person's home in the last two years before [heshe] died? INTERVIEWER: If stayed on more than one occasion add the times together. |
EILHOSPA
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On how many different occasions did [EiName1] stay in a hospital in the last two years before [heshe] died? INTERVIEWER: Enter the number of times. |
EILHOSPB
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In total, how long did [EiName1] stay in a hospital in the last two years befor [heshe] died? INTERVIEWER: If stayed on more than one occasion add the times together. |
EILHPCEA
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On how many different occasions did [EiName1] stay in a hospice in the last two years before [heshe] died? INTERVIEWER: Enter the number of times. |
EILHPCEB
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In total, how long did [EiName1] stay in a hospice in the last two years before [heshe] died? INTERVIEWER: If stayed on more than one occasion add the times together. |
EILNURSA
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On how many different occasions did [EiName1] stay in a nursing home in the last two years before [heshe] died? INTERVIEWER: Enter the number of times. |
EILNURSB
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In total, how long did [EiName1] stay in a nursing home in the last two years befor [heshe] died? INTERVIEWER: If stayed on more than one occasion add the times together. |
EILRESA
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On how many different occasions did [EiName1] stay in a residential home in the last two years before [heshe] died? INTERVIEWER: Enter the number of times. |
EILRESB
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In total, how long did [EiName1] stay in a residential home in the last two years before [heshe] died? INTERVIEWER: If stayed on more than one occasion add the times together. |
EILMIXA
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On how many different occasions did [EiName1] stay in mixed nursing/residential home in the last two years before [heshe] died? INTERVIEWER: Enter the number of times. |
EILMIXB
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In total, how long did [EiName1] stay in mixed nursing/residential home in the last two years before [heshe] died? INTERVIEWER: If stayed on more than one occasion add the times together. |
EILSHELA
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On how many different occasions did [EiName1] stay in sheltered housing in the last two years before [heshe] died? INTERVIEWER: Enter the number of times. |
EILSHELB
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In total, how long did [EiName1] stay in sheltered housing in the last two years before [heshe] died? INTERVIEWER: If stayed on more than one occasion add the times together. |
EILIVEA
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How many other types of places did [heshe] stay in during the two years befor [heshe] died? INTERVIEWER: If more than one other place, record each place at a separate question. |
EILIVEB
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[Loop: Responses to EILIVEB are recorded in variables EILIVE1 to EILIVE5] (What was this other place)? INTERVIEWER: Write in the other place. |
EILEXTA
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[Loop: Responses to EILEXTA are recorded in variables EILEXT1 to EILEXT5] On how many different occasions did [EiName1] stay in this place in the last two years before [heshe] died? INTERVIEWER: Enter the number of times. |
EILEXTB
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[Loop: Responses to EILEXTB are recorded in variables EILEXT1 to EILEXT5] In total, how long did [EiName1] stay in this place in the last two years befor [heshe] died? INTERVIEWER: If stayed on more than one occasion add the times together. |
EIDISTPH
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SHOW CARD EI4 We'd like to ask you about [EiName1]'s physical health and activity. During [hisher] last year, which of these descriptions fits [hisher] experience best? |
EIADLINT
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I would now like to ask you about problems [EiName1] might have had in [hisher] everyday life, before [heshe] died. The next questions are about help [heshe] may have received. Please tell me if [heshe] had received any help because of a physical, mental, emotional or memory problem during the last three months of [hisher] life. INTERVIEWER: Press and to continue. |
EIADLA
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During the last three months of [hisher] life, did [einame1] need help with ...INTERVIEWER: READ OUT ... dressing, including putting on shoes and socks? |
EIADLB
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(During the last three months of [hisher] life, did [einame1] need help with ...) INTERVIEWER: READ OUT ... getting across a room? |
EIADLC
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(During the last three months of [hisher] life, did [einame1] need help with ...) INTERVIEWER: READ OUT ... bathing or showering? |
EIADLD
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(During the last three months of [hisher] life, did [einame1] need help with ...) INTERVIEWER: READ OUT ... eating their food or preparing the food to be eaten (e.g. cutting it up)? |
EIADLE
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(During the last three months of [hisher] life, did [einame1] need help with ...) INTERVIEWER: READ OUT ... getting in or out of bed? |
EIADLF
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(During the last three months of [hisher] life, did [einame1] need help with ...) INTERVIEWER: READ OUT ... using the toilet, including getting up and down? |
EIADLG
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(During the last three months of [hisher] life, did [einame1] need help with ...) INTERVIEWER: READ OUT ... preparing hot meals? |
EIADLH
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(During the last three months of [hisher] life, did [einame1] need help with ...) INTERVIEWER: READ OUT ... shopping for groceries? |
EIADLI
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(During the last three months of [hisher] life, did [einame1] need help with ...) INTERVIEWER: READ OUT ... making phone calls? |
EIADLJ
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(During the last three months of [hisher] life, did [einame1] need help with ...) INTERVIEWER: READ OUT ... taking medication? |
EIADLA2
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In total, for how long had [heshe] needed help with dressing when [heshe] died? INTERVIEWER: Code how the answer is given. |
EIADLA2A
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INTERVIEWER: Enter the number of years. |
EIADLA2B
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INTERVIEWER: Enter the number of months. |
EIADLA2C
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INTERVIEWER: Enter the age. |
EIADLB2
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For how long had [heshe] needed help with walking, when [heshe] died? INTERVIEWER: Code how the answer is given. |
EIADLB2A
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INTERVIEWER: Enter the number of years. |
EIADLB2B
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INTERVIEWER: Enter the number of months. |
EIADLB2C
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INTERVIEWER: Enter the age. |
EIADLB3
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During the last three months of [hisher] life, was [EiName1] able to walk 100 yards by [himherself] and without using any special equipment? Did [heshe] have...READ OUT... |
EIADLB4
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During the last three months of [hisher] life, was [EiName1] able to walk for a quarter of a mile by [himherself] and without using any special equipment? Di [heshe] have ...READ OUT... |
EIADLC2
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In total, for how long had [heshe] needed help with bathing or showering, whe [heshe] died? INTERVIEWER: Code how the answer is given. |
EIADLC2A
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INTERVIEWER: Enter the number of years. |
EIADLC2B
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INTERVIEWER: Enter the number of months. |
EIADLC2C
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INTERVIEWER: Enter the age. |
EIADLD2
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In total, for how long had [heshe] needed help with eating when [heshe] died? INTERVIEWER: Code how the answer is given. |
EIADLD2A
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INTERVIEWER: Enter the number of years. |
EIADLD2B
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INTERVIEWER: Enter the number of months. |
EIADLD2C
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INTERVIEWER: Enter the age. |
EIADLE2
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In total, for how long had [heshe] needed help getting in or out of bed, when [heshe] died? INTERVIEWER: Code how the answer is given. |
EIADLE2A
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INTERVIEWER: Enter the number of years. |
EIADLE2B
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INTERVIEWER: Enter the number of months. |
EIADLE2C
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INTERVIEWER: Enter the age. |
EIADLF2
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In total, for how long had [heshe] needed help with using the toilet, when [heshe] died? INTERVIEWER: Code how the answer is given. |
EIADLF2A
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INTERVIEWER: Enter the number of years. |
EIADLF2B
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INTERVIEWER: Enter the number of months. |
EIADLF2C
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INTERVIEWER: Enter the age. |
EIADLG1
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(You said earlier that during the last three months of [hisher] life [einame1] received help to prepare hot meals.) Was that because of a health or memory problem? INTERVIEWER: If the respondent gives an actual reason, decide whether this was a problem with either their health or memory. |
EIADLG2
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In total, for how long had [heshe] needed help with preparing hot meals, whe [heshe] died? INTERVIEWER: Code how the answer is given. |
EIADLG2A
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INTERVIEWER: Enter the number of years. |
EIADLG2B
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INTERVIEWER: Enter the number of months. |
EIADLG2C
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INTERVIEWER: Enter the age. |
EIADLH1
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(You said earlier that during the last three months of [hisher] life [einame1] received help with shopping for groceries.) Was that because of a health or memory problem? INTERVIEWER: If the respondent gives an actual reason, decide whether this was a problem with either their health or memory. |
EIADLH2
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In total, for how long had [heshe] needed help with shopping for groceries, whe [heshe] died? INTERVIEWER: Code how the answer is given. |
EIADLH2A
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INTERVIEWER: Enter the number of years. |
EIADLH2B
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INTERVIEWER: Enter the number of months. |
EIADLH2C
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INTERVIEWER: Enter the age. |
EIADLI1
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(You said earlier that during the last three months of [hisher] life [einame1] received help to make phone calls.) Was that because of a health or memory problem? INTERVIEWER: If the respondent gives an actual reason, decide whether this was a problem with either their health or memory. |
EIADLI2
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In total, for how long had [heshe] needed help making telephone calls, when [heshe] died? INTERVIEWER: Code how the answer is given. |
EIADLI2A
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INTERVIEWER: Enter the number of years. |
EIADLI2B
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INTERVIEWER: Enter the number of months. |
EIADLI2C
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INTERVIEWER: Enter the age. |
EIADLJ1
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(You said earlier that during the last three months of [hisher] life [einame1] received help with taking medication.) Was that because of a health or memory problem? INTERVIEWER: If the respondent gives an actual reason, decide whether this was a problem with either their health or memory. |
EIADLJ2
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In total, for how long when [heshe] died had [heshe] needed help when taking medication? INTERVIEWER: Code how the answer is given. |
EIADLJ2A
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INTERVIEWER: Enter the number of years. |
EIADLJ2B
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INTERVIEWER: Enter the number of months. |
EIADLJ2C
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INTERVIEWER: Enter the age. |
EIADLK
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Were there any other activities that [EiName1] had problems with in the last 3 months of [hisher] life? |
EIADLKO
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What other activities did they have problems with? |
EIADLK2
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Did anyone help [himher] with these activities? |
EIWHLP
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[Multiple responses to EIWHLP are recorded in variables EIWHLP01 to EIWHLP17] SHOW CARD EI5 Thinking about the [acttxt] that [EiName1] had problems with, who usually helpe [einame1] with [thacttxt]? PROBE: Did anyone help [EiName1] with [thacttxt]? CODE ALL THAT APPLY. INTERVIEWER: Only code once for respondent. For example if respondent is son or daughter code'Respondent', and not son or daughter. Only code 'Son' or 'Daughter' for those other than respondent. |
EICOGINT
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Now I would like to ask you some questions about [EiName1]'s memory and concentration during [hisher] last year of life. |
EICOGA
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Did [EiName1] have difficulty remembering things about [hisher] family and friends, like occupations, birthdays or addresses? Did he have ... READ OUT ... |
EICOGB
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Did [heshe] have difficulty remembering things that had happened recently? Did he have ... READ OUT ... |
EICOGC
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Did [heshe] have difficulty recalling conversations a few days after they had taken place? Did he have ... READ OUT ... |
EICOGD
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Did [heshe] have difficulty remembering [hisher] address and telephone number? Did he have ... READ OUT ... |
EICOGE
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Did [heshe] have difficulty remembering what day and month it was? Did he have ... READ OUT ... |
EICOGF
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Did [EiName1] have difficulty remembering where things were usually kept? Did he have ... READ OUT ... |
EICOGG
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Did [heshe] have difficulty following a story in a book, on the radio or on the TV? Did he have ... READ OUT ... |
EICOGH
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Did [heshe] have difficulty making decisions on everyday matters? Did he have ... READ OUT ... |
EICOGI
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Did [heshe] have difficulty handling financial matters, like [hisher] pension or dealing with the bank? Did he have ... READ OUT ... |
EICOGJ
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Did [heshe] ever forget what had been said and repeat the same question again and again? IF YES, PROBE: Did [heshe] do this occasionally or frequently? |
EICOGK
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Did [EiName1] have difficulty in interpreting surroundings, such as knowing wher [heshe] was, or distinguishing between different types of people, such as doctors, visitors and relatives? Did he have ... READ OUT ... |
EICOGL
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Did [heshe] have difficulty finding the way about[the_home] or finding the toilet? Did he have ... READ OUT ... |
EICOGM
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When speaking, did [heshe] sometimes have difficulty finding the right word, or sometimes use the wrong words? IF YES, PROBE: Did [heshe] do this occasionally or frequently? |
EICOGN
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Did [EiName1] sometimes repeat the same word or phrase over and over again? |
EICOGO
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Did [hisher] thinking seem muddled at times? |
EICOGP
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How long were these changes or difficulties with memory and concentration present? PROBE: From about how long before [heshe] died? INTERVIEWER: Code how the answer is given. |
EICOGPA
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INTERVIEWER: Enter the number of years. |
EICOGPB
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INTERVIEWER: Enter the number of months. |
EICOGPC
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INTERVIEWER: Enter the age. |
EICOGQ
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Did these changes or difficulties develop gradually or did they come on suddenly? |
EICOGR
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Were there marked fluctuations in [hisher] level of attention or alertness? |
EICOGS
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How long were these fluctuations in [hisher] levels of attention or alertness present? PROBE: From about how long before [heshe] died? INTERVIEWER: Code how the answer is given. |
EICOGSA
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INTERVIEWER: Enter the number of years. |
EICOGSB
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INTERVIEWER: Enter the number of months. |
EICOGSC
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INTERVIEWER: Enter the age. |
EITIMEIN
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Now I'm going to describe some difficult behaviors, which only a minority of people experience, and which can make caring for them more of a challenge. I would like you to tell me how frequently, if at all [EiName1] engaged in these behaviors during [hisher] last year of life. We would like to know if [EiName1] engaged in the behavior often, sometimes, rarely, or never. INTERVIEWER: Press and to continue. |
EIPBHA
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SHOW CARD EI6 During [hisher] last year of life, how often did [EiName1] have temper tantrums? Was it often, sometimes, rarely, or never? |
EIPBHB
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SHOW CARD EI6 And did [EiName1] make violent threats or attempts? How often did [heshe] do this? |
EIPBHC
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SHOW CARD EI6 How often did [EiName1] break things on purpose? |
EIPBHD
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SHOW CARD EI6 How often did [EiName1] cause complaints from the community? |
EIPBHE
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SHOW CARD EI6 During [hisher] last year of life, how often did [EiName1] engage in strange or peculiar behaviour? |
EIPBHF
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SHOW CARD EI6 And how often did [EiName1]'s behaviour cause complaints from family members? |
EIMHFINT
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I would now like to ask you a few questions about [EiName1]'s mood during the last year of [hisher] life. |
EIMHFA
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Did [heshe] seem to lose interest or enjoyment in most things, during [hisher] last year of life? |
EIMHFB
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Do you think that [heshe] was inclined to blame [himherself] or feel unreasonably guilty about things during [hisher] last year of life? |
EIMHFC
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Do you think [heshe] was depressed during [hisher] last year of life? IF YES, PROBE: Was [heshe] depressed sometimes or frequently? |
EIMHFD
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Do you think there was a reason for [himher] to [mhtxt] during this time? |
EIMHFE
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Did [heshe] feel so bad that it affected every part of [hisher] life, (like [hisher] work, friendship and family life) during [hisher] last year of life? |
EIMHFF
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How long had [heshe] felt like this, when [heshe] died? INTERVIEWER: Code how the answer is given. |
EIMHFFA
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INTERVIEWER: Enter the number of years. |
EIMHFFB
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INTERVIEWER: Enter the number of months. |
EIMHFFC
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INTERVIEWER: Enter the age. |
EIMHFG
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SHOW CARD EI6 How often do you think [EiName1] felt happy during [hisher] last year of life? |
EIMHFH
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SHOW CARD EI6 How often do you think [EiName1] felt contented or at peace during [hisher] last year of life? |
EIMHFI
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SHOW CARD EI6 And how about the last three months of [hisher] life, how often do you thin [EiName1] felt contented or at peace during this time? |
EIHRINT
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The next questions are about problems [EiName1] may have had with [hisher] eyesight or hearing, during the last 3 months of [hisher] life. |
EIEYE
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Was [EiName1]'s eyesight (using glasses or corrective lens as usual)...READ OUT... |
EIOPT
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[Multiple responses to EIOPT are recorded in variables EIOPT1 to EIOPT4] Did a doctor ever tell [EiName1] that [heshe] had any of these conditions? INTERVIEWER:Read out each in turn and code all that apply. Include diabetic retinopathy in code 2. Include age related maculopathy in code 3. |
EICAT
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Did [EiName1] ever have cataract surgery? |
EILENS
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Do you know if [EiName1] ever had a lens implant? INTERVIEWER: Read if necessary: 'Sometimes the lenses of the eyes can be replaced with artificial ones called intraocular lenses'. Do not include corneal transplants. |
EIHEAR
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Was [EiName1]'s hearing (using a hearing aid as usual)...READ OUT... |
EICAINT
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I would now like to ask you a few questions about other conditions that [EiName1] may have suffered from. |
EICAHA
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You told me earlier that [EiName1] died following a heart attack. Did a doctor ever tell [himher] that [heshe] had had a heart attack, before the one that led to [hisher] death? |
EICAST
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You told me earlier that [EiName1] died following a stroke. Did a doctor ever tel [himher] that [heshe] had had a stroke, before the one that led to [hisher] death? |
EIDIAA
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[Multiple responses to EIDIAA are recorded in variables EIDIAA1 to EIDIAA9] SHOW CARD EI7 [Did] a doctor ever tell [himher] that [heshe] had any [other_] of the conditions on this card? PROBE : What others? CODE ALL THAT APPLY. [Add1] |
EIDIX
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INTERVIEWER: Enter the name of the other heart condition. |
EIBP
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Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had high blood pressure? INTERVIEWER: Enter the age in years. |
EIBPST
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Did [EiName1] have high blood pressure during the last 12 months of [hisher] life? |
EIMDA
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Was [EiName1] taking any medicines, tablets or pills for high blood pressure during the last 12 months of [hisher] life? |
EIAGA
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Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had angina? INTERVIEWER: Enter the age in years. |
EIYR1
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Did [EiName1] have angina during the last 12 months of [hisher] life? |
EIAGB
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Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had had a heart attack (including myocardial infarction or coronary thrombosis)? INTERVIEWER: Enter the age in years. |
EIYR2
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Did [EiName1] have a heart attack or myocardial infarction during the last 12 months of [hisher] life? |
EIAGC
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Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had congestive heart failure? INTERVIEWER: Enter the age in years. |
EIAGK
|
|
Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had a heart murmur? INTERVIEWER: Enter the age in years. |
EIAGK2
|
|
Did [EiName1] have a heart murmur during the last 12 months of [hisher] life? |
EIAGL
|
|
Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had an abnormal heart rhythm? INTERVIEWER: Enter the age in years. |
EIAGL2
|
|
Did [EiName1] have an abnormal heart rhythm during the last 12 months of [hisher] life? |
EIAGD
|
|
Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had diabetes or high blood sugar? INTERVIEWER: Enter the age in years. |
EIAGDI
|
|
Did [EiName1] inject insulin for diabetes during the last 12 months of [hisher] life? |
EIMDB
|
|
Did [EiName1] take any tablets, pills or other medicines for diabetes during the last 12 months of [hisher] life? |
EIAGM
|
|
Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had had a stroke? INTERVIEWER: Enter the age in years. |
EIAGM2
|
|
Did [EiName1] have a stroke during the last 12 months of [hisher] life? |
EIAGN
|
|
Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had [EiDIX]? INTERVIEWER: Enter the age in years. |
EIAGN2
|
|
Did [EiName1] have [EiDIX] during the last 12 months of [hisher] life? |
EICACA
|
|
You told me earlier that [EiName1] died of cancer. Did a doctor ever tell [himher] that [heshe] had cancer? |
EIDIAB
|
|
[Multiple responses to EIDIAB are recorded in variables EIDIAB1 to EIDIAB9] SHOW CARD EI8 [Do_] you know if [EiName1] was ever told by a doctor that [heshe] had any[other_] of the conditions on this card? INTERVIEWER PROBE - 'What others?'...CODE ALL THAT APPLY. [Add1] |
EILNG
|
|
Was [EiName1] taking medication or other treatment for [hisher] lung condition during the last 12 months of [hisher] life? |
EIAMA
|
|
Was [EiName1] taking medication or other treatment for [hisher] asthma during the last 12 months of [hisher] life? |
EIART
|
|
[Multiple responses to EIART are recorded in variables EIART1 to EIART3] Do you know which type or types of arthritis [EiName1] had? Was it ...READ OUT... CODE ALL THAT APPLY. |
EIAGF
|
|
Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had arthritis? INTERVIEWER: Enter the age in years. |
EIAGG
|
|
Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had cancer or a malignant tumour? INTERVIEWER: Enter the age in years. |
EICANA
|
|
SHOW CARD EI9 In which organ or part of [hisher] body did the cancer or tumour start? CODE ONE ONLY |
EIPRK
|
|
Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had Parkinson's disease? INTERVIEWER: Enter the age in years. |
EIAGH
|
|
Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had emotional, nervous or psychiatric problems? INTERVIEWER: Enter the age in years. |
EIPSY
|
|
[Multiple responses to EIPSY are recorded in variables EIPSY1 to EIPSY9] SHOW CARD EI10 What type of emotional, nervous or psychiatric problems did [heshe] have? PROBE: What others? CODE ALL THAT APPLY. |
EIYRC
|
|
Did [heshe] have these problems during the last 12 months of [hisher] life? |
EIAGI
|
|
Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had Alzheimer's Disease? INTERVIEWER: Enter the age in years. |
EIAGJ
|
|
Approximately how old was [EiName1] when [heshe] was first told by a doctor tha [heshe] had dementia, senility or any other serious memory impairment? INTERVIEWER: Enter the age in years. |
EIAGO
|
|
Did [heshe] have any other major illnesses in the year preceding [hisher] death? |
EIAGOA
|
|
INTERVIEWER: Write in any other major illnesses. |
EIMEDINT
|
|
I would now like to ask you about any artificial implants [EiName1] may have had. |
EIMEDA
|
|
Did [heshe] ever have an artificial joint, such as an artificial hip, knee or finger joint implanted? |
EIMEDN
|
|
How many such joints did [heshe] have implanted? |
EIMEDB
|
|
[Loop: Responses to EIMEDB are recorded in variables EIMEDB01 to EIMEDB15] Which was the [order[pno]] joint [heshe] had implanted? |
EIMEDC
|
|
[Loop: Responses to EIMEDC are recorded in variables EIMEDC01 to EIMEDC15] In what year was the [EiMedB] implanted? INTERVIEWER: Specify the year. |
EIMEDCA
|
|
[Loop: Responses to EIMEDCA are recorded in variables EIMEDC01 to EIMEDC15] Was the [EiMedB] implanted during [hisher] last year of life? |
EIMEDDA
|
|
[Loop: Responses to EIMEDDA are recorded in variables EIMEDD01 to EIMEDD15] In what month was the [EiMedB] implanted? INTERVIEWER: Specify the month. |
EIMEDE
|
|
[Loop: Responses to EIMEDE are recorded in variables EIMEDE01 to EIMEDE15] Was the [EiMedB] removed or replaced? |
EIMEDEA
|
|
[Loop: Responses to EIMEDEA are recorded in variables EIMEDE01 to EIMEDE15] Was the [EiMedB] removed or replaced during the last year of life? |
EIMEDF
|
|
[Loop: Responses to EIMEDF are recorded in variables EIMEDF01 to EIMEDF15] In what month was the [EiMedB] (removed/replaced)? INTERVIEWER: Enter month. |
EIEXPINT
|
|
I'd now like to ask you some questions about any expenses which [EIName1] incurred as a result of the medical care [heshe] received in the year before [heshe] died. Before I do that, though, I'd like to assure you again that everything you have already told me and anything you tell me will be kept completely confidential. INTERVIEWER: Press and to continue. |
EIEXPS
|
|
Did [EIName1] receive any medical treatments other than on the NHS? |
EIPHI
|
|
Were any of the costs of these medical treatments covered by private health insurance? |
EIFHLP
|
|
[Did] [EIName1] receive any financial help to pay for any of these medical treatments? |
EIFWHO
|
|
[Multiple responses to EIFWHO are recorded in variables EIFWHO1 to EIFWHO3] [Who] did [EIName1] receive financial help from? CODE ALL THAT APPLY. |
EIFWHOA
|
|
INTERVIEWER: Record who [EIName1] received financial help from. |
EITOTL
|
|
How much money in total did [EIName1] receive from others to pay for these treatments? INTERVIEWER: Enter amount to the nearest |
EITOTLB
|
|
[Bracket results are recorded in EiTol, EiTou, EiToe, EiTor] Was it......BRACKETS (250, 1000, 5000, 10000) |
EIFAMT
|
|
How much did [EIName1][and_you] pay for the treatment[yourselves]? INTERVIEWER: Enter amount to the nearest |
EIFAMTB
|
|
[Bracket results are recorded in EiFAl, EiFAu, EiFAe, EiFAr] Was it......BRACKETS (250, 1000, 5000, 10000) |
EIHPAY
|
|
[Multiple responses to EIHPAY are recorded in variables EIHPAY1 to EIHPAY4] [Finance]? CODE ALL THAT APPLY |
EIHPAYO
|
|
INTERVIEWER: Write in how the costs are financed. |
EIFUN
|
|
I asked you earlier about expenses incurred for the heath care that [EiName1] received. Now I would like to ask you about expenses which were associated with [hisher] funeral, or legal fees related to [hisher] death. INTERVIEWER: Press and to continue. |
EIDCSTB
|
|
Did [EiName1] have an insurance policy specifically designed to cover [hisher] funeral expenses? |
EIFUINS
|
|
In total, how much did this insurance pay out? |
EIDCSTA
|
|
What was the total cost of the funeral expenses and legal fees[after_ins]? |
EIFUNREL
|
|
[Multiple responses to EIFUNREL are recorded in variables EIFUNR01 to EIFUNR23] SHOW CARD EI11 Who [txt] paid for the funeral expenses (that is what is their relationship t [EiName1])? CODE ALL THAT APPLY. INTERVIEWER: Only code once for respondent. For example if respondent is son or daughter code 'Respondent', and not son or daughter. Only code 'Son' or 'Daughter' for those other than respondent. |
EITOTRES
|
|
In total, how much did you pay towards [einame1]'s funeral expenses? |
EITOTSPS
|
|
In total, how much did the husband/wife pay towards [einame1]'s funeral expenses? |
EITOTPRT
|
|
In total, how much did the partner/cohabitee pay towards [einame1]'s funeral expenses? |
EIFUNUM
|
|
[Loop: Responses to EIFUNUM are recorded in variables EIFUNU04 to EIFUNU23] How many [relatives] paid towards the funeral expenses? INTERVIEWER: If same relationship, do not include respondent here. |
EITOTREL
|
|
[Loop: Responses to EITOTREL are recorded in variables EITOTR04 to EITOTR23] In total, how much did the [order[idx]] [relative] pay towards the funeral expenses? INTERVIEWER: Enter amount in pounds. |
EIWORINT
|
|
Now I'd like to ask you some questions about [EIName1]'s employment situation since we last spoke to [himher]. |
EIWORKA
|
|
Did [EIName1] do any paid work in the time since we last interviewed [himher] o [EIDatLa]. |
EIWHNTM
|
|
When was the last time [EiName1] worked? INTERVIEWER: Enter month. |
EIWHNTY
|
|
(When was the last time [EiName1] worked?) INTERVIEWER: Enter year. |
EISTOP
|
|
Had [EiName1] stopped working before [hisher] death? |
EIWHEN
|
|
In what month and year did [heshe] stop working? INTERVIEWER: Enter month. |
EIWHENY
|
|
INTERVIEWER: Enter year. |
EIWHY
|
|
[Multiple responses to EIWHY are recorded in variables EIWHY01 to EIWHY16] SHOW CARD EI12 Why did [heshe] stop working? INTERVIEWER: Code all that apply. |
EIWHYOTH
|
|
What was the reason? INTERVIEWER: Write in. |
EIPENM
|
|
Was [heshe] a member of a private pension plan, including employer provided, personal, stakeholder, or any other scheme? |
EIPENN
|
|
How many pension funds did [EiName1] have? |
EIPTYPE
|
|
[Loop: Responses to EIPTYPE are recorded in variables EIPTYP1 to EIPTYP8] SHOW CARD EI13 What type of pension scheme was this [order[PSeq]] scheme? |
EIEMP
|
|
[Loop: Responses to EIEMP are recorded in variables EIEMP1 to EIEMP8] What is the name of the employer provided scheme? INTERVIEWER: If police, local authority etc, probe for name of force/local authority etc. WRITE IN. |
EIPEN
|
|
[Multiple responses to EIPEN are recorded in variables EIPEN1 to EIPEN6] [Loop: Responses to EIPEN are recorded in variables EIPEN1 to EIPEN8] When [heshe] died, what happened to [hisher] [EiPType]? ...READ OUT... CODE ALL THAT APPLY. |
EIPENO
|
|
[Loop: Responses to EIPENO are recorded in variables EIPENO1 to EIPENO8] INTERVIEWER: Enter details. |
EIPENWHO
|
|
[Loop: Responses to EIPENWHO are recorded in variables EIPENW1 to EIPENW8] SHOW CARD EI14 Who is receiving or expects to receive payments? INTERVIEWER: Code one only. If respondent is son or daughter code 'Respondent', and not son/daughter. Only code 'Son' or 'Daughter' for those other than respondent. |
EIPENWR
|
|
[Loop: Responses to EIPENWR are recorded in variables EIPENW1 to EIPENW8] INTERVIEWER: Please specify the other relative. |
EIPENWN
|
|
[Loop: Responses to EIPENWN are recorded in variables EIPENW1 to EIPENW8] INTERVIEWER: Please specify the other non-relative. |
EIPENXPM
|
|
[Loop: Responses to EIPENXPM are recorded in variables EIPENX1 to EIPENX8] In what month and year do [you] expect to start receiving these regular payments? INTERVIEWER: Enter month. |
EIPENXPY
|
|
[Loop: Responses to EIPENXPY are recorded in variables EIPENX1 to EIPENX8] INTERVIEWER: Enter year. |
EIPENXPA
|
|
[Loop: Responses to EIPENXPA are recorded in variables EIPENX1 to EIPENX8] How much do [you] expect to receive per month? |
EIPENXPB
|
|
[Bracket results are recorded in EiPel, EiPeu, EiPee, EiPer] Is it......BRACKETS (250, 500, 1000, 2500) |
EIPENXLM
|
|
[Loop: Responses to EIPENXLM are recorded in variables EIPENX1 to EIPENX8] In what month and year do [you] expect to receive the lump sum? INTERVIEWER: Enter month. |
EIPENXLY
|
|
[Loop: Responses to EIPENXLY are recorded in variables EIPENX1 to EIPENX8] INTERVIEWER: Enter year. |
EIPENXLA
|
|
[Loop: Responses to EIPENXLA are recorded in variables EIPENX1 to EIPENX8] How much do [you] expect the lump sum to amount to? |
EIPENXLB
|
|
[Bracket results are recorded in EiPel, EiPeu, EiPee, EiPer] Is it......BRACKETS (5000, 10000, 50000, 100000) |
EIPENPD
|
|
[Loop: Responses to EIPENPD are recorded in variables EIPENP1 to EIPENP8] Thinking about the last regular payment [you] received, what period did this cover? |
EIPENPA
|
|
[Loop: Responses to EIPENPA are recorded in variables EIPENP1 to EIPENP8] How much did [you] receive? |
EIPENPW
|
|
[Bracket results are recorded in EiPel, EiPeu, EiPee, EiPer] Was it......BRACKETS (50, 100, 250, 500) |
EIPENPM
|
|
[Bracket results are recorded in EiPel, EiPeu, EiPee, EiPer] Was it......BRACKETS (250, 500, 1000, 2500) |
EIPENPO
|
|
[Bracket results are recorded in EiPel, EiPeu, EiPee, EiPer] Was it......BRACKETS (250, 500, 1000, 2500) |
EIPENLA
|
|
[Loop: Responses to EIPENLA are recorded in variables EIPENL1 to EIPENL8] Thinking about the lump sum payment [you] received, how much was this? |
EIPENLB
|
|
[Bracket results are recorded in EiPel, EiPeu, EiPee, EiPer] Was it......BRACKETS (5000, 10000, 50000, 100000) |
EIASSINT
|
|
I would now like to ask you some questions about what happened to [EIName1]'s assets after [hisher] death. |
EIWILLA
|
|
Did [EIName1] have a Will? |
EIKIN
|
|
SHOW CARD EI14 Who was [EIName1]'s next of kin? INTERVIEWER: Code one only. If respondent is son or daughter code 'Respondent', and not son/daughter. Only code 'Son' or 'Daughter' for those other than respondent. |
EIKINO
|
|
INTERVIEWER: The respondent has answered 'other' relationship: Write in relationship to [EIName1]. |
EIEXEC
|
|
Are you the legal executor of the Will? |
EIBEN
|
|
Are you a beneficiary of the Will? |
EIPROB
|
|
Did/Does [EiName1]'s Will need to go to probate? |
EIWILLB
|
|
Has [hisher] Will been through probate? |
EIWILLPRO
|
|
What is the total value of [eiName1]'s assets? |
EIHOME
|
|
Did [EiName1] own [hisher] main home or share of [hisher] main home when [heshe] died? By main home I mean the place where [heshe] lived most of the time (before they moved into an institution). INTERVIEWER: Other properties [heshe] may have owned will be covered later. |
EISP
|
|
Did [yousp] inherit the home or [einame1]'s share of the home? |
EISPOWN
|
|
[cDoyou] currently own a share of the home? |
EISPSH
|
|
What share of the home [doyou] currently own? INTERVIEWER: Code how question will be answered |
EISPP
|
|
(What share of the home [doyou] currently own?) INTERVIEWER: Give the answer as a percentage. |
EISPF
|
|
(What share of the home [doyou] currently own?) INTERVIEWER: Give the answer as a fraction. |
EISPA
|
|
(What share of the home [doyou] currently own?) INTERVIEWER: Give the answer as an amount. |
EISPINH
|
|
Did [yousp] inherit the home (or [einame1]'s share of the home) solely or jointly with some other people? |
EISHARE
|
|
What share of the home did [einame1] own? INTERVIEWER: Code how question will be answered |
EISHP
|
|
(What share of the home did [einame1] own?) INTERVIEWER: Give the answer as a percentage. |
EISHF
|
|
(What share of the home did [einame1] own?) INTERVIEWER: Give the answer as a fraction. |
EISHA
|
|
(What share of the home did [einame1] own?) INTERVIEWER: Give the answer as an amount. |
EIHOWH
|
|
[Multiple responses to EIHOWH are recorded in variables EIHOWH01 to EIHOWH23] SHOW CARD EI14 [howtxt] (that is, what is their relationship to [einame1])? CODE ALL THAT APPLY INTERVIEWER: Only code once for respondent. For example if respondent is son or daughter code 'Respondent', and not son or daughter. Only code 'Son' or 'Daughter' for those other than respondent. |
EIHOWOR
|
|
INTERVIEWER: Please specify the other relative. |
EIHOWON
|
|
INTERVIEWER: Please specify the other non-relative. |
EIHOWN
|
|
[Loop: Responses to EIHOWN are recorded in variables EIHOWN01 to EIHOWN23] How many [relyouplur[idy]] are you referring to? INTERVIEWER: If same relationship, do not include respondent here. |
EIHOLIV
|
|
INTERVIEWER ASK OR CODE: Does this person live in this home at present? |
EIHOLW
|
|
[Multiple responses to EIHOLW are recorded in variables EIHOLW01 to EIHOLW23] SHOW CARD EI14 Who lives in the house at present? CODE ALL THAT APPLY. |
EISPLIVE
|
|
INTERVIEWER ASK OR CODE: Does [einame1]'s spouse/partner live in that home at present? |
EIHOSLD
|
|
What has happened to that home? |
EIHOSOTH
|
|
INTERVIEWER: Record what has happened to the home. |
EIHOA
|
|
What [was] the [value] of that home? |
EIHOAB
|
|
[Bracket results are recorded in EiHol, EiHou, EiHoe, EiHor] Was it......BRACKETS (50000, 75000, 125000, 500000) |
EIHOMG
|
|
Was there any outstanding mortgage on this home (before any insurance might have paid the outstanding balance)? |
EIHOMGI
|
|
Did [EiName1] have any insurance policies that will pay off or have paid off the mortgage either in full or partially? |
EIHOMGA
|
|
How much was the outstanding balance on this mortgage [mgtxt]? |
EIHOMGAB
|
|
[Bracket results are recorded in EiHol, EiHou, EiHoe, EiHor] Was it......BRACKETS (2500, 5000, 15000, 50000) |
EIJOINT
|
|
Did [einame1] own this home jointly with someone? |
EIOTHO
|
|
[Multiple responses to EIOTHO are recorded in variables EIOTHO01 to EIOTHO23] Who owned the house with [einame1] when [heshe] died? INTERVIEWER: CODE ALL THAT APPLY INTERVIEWER: Only code once for respondent. For example if respondent is son or daughter code 'Respondent', and not son or daughter. Only code 'Son' or 'Daughter' for those other than respondent. |
EIOTHN
|
|
[Loop: Responses to EIOTHN are recorded in variables EIOTHN01 to EIOTHN23] How many [relyouplur[idy]] are you referring to? |
EIOSHARE
|
|
What share of the house did [einame1] own? |
EIOSHP
|
|
(What share of the home did [einame1] own?) INTERVIEWER: Give the answer as a percentage. |
EIOSHF
|
|
(What share of the home did [einame1] own?) INTERVIEWER: Give the answer as a fraction. |
EIOSHA
|
|
(What share of the home did [einame1] own?) INTERVIEWER: Give the answer as an amount. |
EIOIN
|
|
Did only those with joint ownership inherit [einame1]'s share of the house? |
EIOINW
|
|
[Multiple responses to EIOINW are recorded in variables EIOINW01 to EIOINW23] Who inherited [einame1]'s share of the home? INTERVIEWER: DO NOT CODE JOINT OWNERS AGAIN INTERVIEWER: Only code once for respondent. For example if respondent is son or daughter code 'Respondent', and not son or daughter. Only code 'Son' or 'Daughter' for those other than respondent. |
EIOINN
|
|
[Loop: Responses to EIOINN are recorded in variables EIOINN01 to EIOINN23] How many [relyouplur[idy]] are you referring to? |
EIOHWN
|
|
[Loop: Responses to EIOHWN are recorded in variables EIOHWN01 to EIOHWN23] How many [relyouplur[idy]] are you referring to? |
EIOHLIV
|
|
INTERVIEWER: ASK OR CODE: Does this person live in the home at present? |
EIOHLW
|
|
[Multiple responses to EIOHLW are recorded in variables EIOHLW01 to EIOHLW23] Who lives in the house at present? CODE ALL THAT APPLY. INTERVIEWER: Only code once for respondent. For example if respondent is son or daughter code 'Respondent', and not son or daughter. Only code 'Son' or 'Daughter' for those other than respondent. |
EIOHSLD
|
|
What has happened to that home? |
EIOHSO
|
|
INTERVIEWER: Record what has happened to the home. |
EIOHA
|
|
What [was] the [value] of that home? |
EIOHAB
|
|
[Bracket results are recorded in EioHl, EioHu, EioHe, EioHr] Was it......BRACKETS (50000, 75000, 125000, 500000) |
EIOHMG
|
|
Was there any outstanding mortgage on this home (before any insurance might have paid the outstanding balance)? |
EIOHMGI
|
|
Did [EiName1] have any insurance policies that will pay off or have paid off the mortgage either in full or partially? |
EIOHMGA
|
|
How much was the outstanding balance on this mortgage [mgtxt]? |
EIOHMGAB
|
|
[Bracket results are recorded in EioHl, EioHu, EioHe, EioHr] Was it......BRACKETS (2500, 5000, 15000, 50000) |
EIPRP
|
|
Did [EiName1] own any property, or share of any property, other than their main home when [heshe] died? (Exclude business property and other non-residential property, include holiday homes and timeshares.) |
EIPRPN
|
|
How many other properties did [EiName1] own? |
EIHOMGI
|
|
[Loop: Responses to EIHOMGI are recorded in variables EIHOMG01 to EIHOMG20] Did [EiName1] have any insurance policies that will pay off or have paid off the mortgage either in full or partially? |
EIPHY
|
|
Did [EiName1] own a business or share in a business, including land or premises? |
EIPHYA
|
|
In total, how much were these business assets worth (after any debts had been paid off on them)? |
EIPHYAB
|
|
[Bracket results are recorded in EIphl, EIphu, EIphe, EIphr] Was it......BRACKETS (10000, 50000, 150000, 500000) |
EIPHYWH
|
|
[Multiple responses to EIPHYWH are recorded in variables EIPHYW01 to EIPHYW23] SHOW CARD EI14 Who inherited these business assets? CODE ALL THAT APPLY. INTERVIEWER: Only code once for respondent. For example if respondent is son or daughter code 'Respondent', and not son or daughter. Only code 'Son' or 'Daughter' for those other than respondent. |
EIPHYWR
|
|
INTERVIEWER: Please specify the other relative(s). |
EIPHYWN
|
|
INTERVIEWER: Please specify the other non-relative(s). |
EIPHYRES
|
|
In total, how much did you inherit from these business assets? |
EIINHSPS
|
|
In total, how much did the husband/wife inherit from these business assets? |
EIINHPRT
|
|
In total, how much did the partner/cohabitee inherit from these business assets? |
EINUMREL
|
|
[Loop: Responses to EINUMREL are recorded in variables EINUMR04 to EINUMR23] How many [relatives] are you referring to? INTERVIEWER: If same relationship, do not include respondent here. |
EIAMT
|
|
[Loop: Responses to EIAMT are recorded in variables EIAMT04 to EIAMT23] In total, how much did the [order[idx]] [relative] inherit [fromthese]? INTERVIEWER: Enter amount in pounds. |
EIOTHAS
|
|
[Multiple responses to EIOTHAS are recorded in variables EIOTHA01 to EIOTHA24] SHOW CARD EI14 Excluding any housing, pensions, or businesses [EiName1] had, who inherited the rest of [hisher] assets? CODE ALL THAT APPLY. INTERVIEWER: Only code once for respondent. For example if respondent is son or daughter code 'Respondent', and not son or daughter. Only code 'Son' or 'Daughter' for those other than respondent. |
EIOTHWR
|
|
INTERVIEWER: Please specify the other relative(s). |
EIOTHWN
|
|
INTERVIEWER: Please specify the other non-relative(s). |
EIOTHRES
|
|
In total, how much did you inherit from the rest of [hisher] assets? |
EIOTHSPS
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In total, how much did the husband/wife inherit from the rest of [hisher] assets? |
EIOTHPRT
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In total, how much did the partner/cohabitee inherit from the rest of [hisher] assets? |
EIAMPROB
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Excluding any housing, pensions, or businesses [EiName1] had, what was the total value of these other assets? |
EILI
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Did [EiName1] have any life insurance policies which paid out on [hisher] death? |
EILIWH
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[Multiple responses to EILIWH are recorded in variables EILIWH01 to EILIWH23] SHOW CARD EI14 Who were the beneficiaries of the life insurance polices? CODE ALL THAT APPLY. INTERVIEWER: Only code once for respondent. For example if respondent is son or daughter code 'Respondent', and not son or daughter. Only code 'Son' or 'Daughter' for those other than respondent. |
EILIWR
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INTERVIEWER: Please specify the other relative(s). |
EILIWN
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INTERVIEWER: Please specify the other non-relative(s). |
EILIA
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How much in total was the pay out from the life insurance? |
EILIB
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[Loop: Responses to EILIB are recorded in variables EILIB01 to EILIB24] How much did [you] receive from these life insurance policies. |
EILIAB
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[Bracket results are recorded in EiLIl, EiLIu, EiLIe, EiLIr] Was it......BRACKETS (2000, 10000, 50000, 300000) |
EIENDA
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We have asked you many questions about numerous aspects of [EIName1]'s health and finances, and we want to thank you very much for your assistance with them. Is there anything you would like to add about [EIName1] in [hisher] last year of life? INTERVIEWER: If nothing to say, type None and press . |
EIENDB
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Thank you once again for all the information you have given us. It will prove extremely useful in helping us to understand how people fare at the end of their lives, and in forming policies which can help them. END |
ADRSTOP
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NURSE: You need to satisfy the address check (AdrField) before going any further in this questionnaire. Press and select ELSAExit to enter the first line of the address on the NRF label. |
MENUNOTE
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Reminder/note for opening menu (optional). |
CHOICE
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INTERVIEWER: Do you now want to... INTERVIEWER: Do not select code 5 until you are sure you wish to send the schedule to head office. |
OUTCOME
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INTERVIEWER: Record final outcome code. |
INFO
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INTERVIEWER: Were you given contact details for a potential exit respondent? |
NUMTRACE
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INTERVIEWER: Including the address on the front of the ERF, how many addresses did you personally visit? Only include addresses you tried to contact because you thought a potential exit respondent was resident. |
LIVSITU
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INTERVIEWER:Code situation of (potential) exit interview respondent. If more than one person nominated, code answer for last exit respondent. |
STADCO
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INTERVIEWER: Is he/she the stable address contact? |
NAMCH
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INTERVIEWER:Enter the name of the exit respondent if different to that entered in the ELSA main admin block. , press |
ADRCHA
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INTERVIEWER:Enter address for exit respondent if different to that entered in the ELSA main admin block. , press Address line 1: |
ADRCHB
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INTERVIEWER:Enter address for exit respondent. Address line 2: (Just press if no more to add.) |
ADRCHC
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INTERVIEWER:Enter address for exit respondent. Address line 3: (Just press if no more to add.) |
ADRCHD
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INTERVIEWER:Enter address for exit respondent. Address line 4: (Just press if no more to add.) |
ADRCHE
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INTERVIEWER:Enter address for exit respondent. Address line 5: (Just press if no more to add.) |
ADRCHF
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INTERVIEWER:Enter address for exit respondent. Postcode: (Just press if none.) |
TELCH
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INTERVIEWER:Enter telephone number if different to that entered in the ELSA main admin block. Include standard code. If not obtained, press . |
INTDONE
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INTERVIEWER: Have you finished this questionnaire? Code 1 (Yes) signals that this questionnaire is ready for return to the Head Office. |