DDI_GBR_2003_WHS_v01_M
2012-01-24
NADA
Version 01 (January 2012)
World Health Survey 2003
WHS 2003
GBR_2003_WHS_v01_M
World Health Organization (WHO)
NADA
World Health Organization
Multi-Country Studies, Measurement and Health Information Systems
World Health Survey [hh/whs]
WHO has developed and implemented a Survey Programme and a World Health Survey to compile comprehensive baseline information on the health of populations and on the outcomes associated with the investment in health systems; baseline evidence on the way health systems are currently functioning; and, ability to monitor inputs, functions, and outcomes.
The Survey Programme was developed in individual countries through consultation with policy-makers and in collaboration with the people involved in routine HIS. It was complementary to their efforts, to ensure periodic data input in a cost-effective way so that important gaps in health information are covered. It also established a baseline for efforts to scale-up health activities.
The World Health Survey has been completed in 70 countries and the data sets have been cleaned and weighted and prepared for analysis by country teams. The majority of the data sets are ready and have been distributed to the partners in the countries with the basic tabulations and discussions are in progress to interpret the results. Many countries have produced a country report.
World Health Survey (WHS)
Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers.
The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters.
The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules.
The objectives of the survey programme are to:
1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems.
2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes.
3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary.
United Kingdom
The survey sampling frame must cover 100% of the country's eligible population, meaning that the entire national territory must be included. This does not mean that every province or territory need be represented in the survey sample but, rather, that all must have a chance (known probability) of being included in the survey sample.
There may be exceptional circumstances that preclude 100% national coverage. Certain areas in certain countries may be impossible to include due to reasons such as accessibility or conflict. All such exceptions must be discussed with WHO sampling experts. If any region must be excluded, it must constitute a coherent area, such as a particular province or region. For example if ¾ of region D in country X is not accessible due to war, the entire region D will be excluded from analysis.
Households and individuals
The WHS will include all male and female adults (18 years of age and older) who are not out of the country during the survey period. It should be noted that this includes the population who may be institutionalized for health reasons at the time of the survey: all persons who would have fit the definition of household member at the time of their institutionalisation are included in the eligible population.
If the randomly selected individual is institutionalized short-term (e.g. a 3-day stay at a hospital) the interviewer must return to the household when the individual will have come back to interview him/her. If the randomly selected individual is institutionalized long term (e.g. has been in a nursing home the last 8 years), the interviewer must travel to that institution to interview him/her.
The target population includes any adult, male or female age 18 or over living in private households. Populations in group quarters, on military reservations, or in other non-household living arrangements will not be eligible for the study. People who are in an institution due to a health condition (such as a hospital, hospice, nursing home, home for the aged, etc.) at the time of the visit to the household are interviewed either in the institution or upon their return to their household if this is within a period of two weeks from the first visit to the household.
Sample survey data [ssd]
SAMPLING GUIDELINES FOR WHS
Surveys in the WHS program must employ a probability sampling design. This means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. While a Single Stage Random Sample is ideal if feasible, it is recognized that most sites will carry out Multi-stage Cluster Sampling.
The WHS sampling frame should cover 100% of the eligible population in the surveyed country. This means that every eligible person in the country has a chance of being included in the survey sample. It also means that particular ethnic groups or geographical areas may not be excluded from the sampling frame.
The sample size of the WHS in each country is 5000 persons (exceptions considered on a by-country basis). An adequate number of persons must be drawn from the sampling frame to account for an estimated amount of non-response (refusal to participate, empty houses etc.). The highest estimate of potential non-response and empty households should be used to ensure that the desired sample size is reached at the end of the survey period. This is very important because if, at the end of data collection, the required sample size of 5000 has not been reached additional persons must be selected randomly into the survey sample from the sampling frame. This is both costly and technically complicated (if this situation is to occur, consult WHO sampling experts for assistance), and best avoided by proper planning before data collection begins.
All steps of sampling, including justification for stratification, cluster sizes, probabilities of selection, weights at each stage of selection, and the computer program used for randomization must be communicated to WHO
STRATIFICATION
Stratification is the process by which the population is divided into subgroups. Sampling will then be conducted separately in each subgroup. Strata or subgroups are chosen because evidence is available that they are related to the outcome (e.g. health, responsiveness, mortality, coverage etc.). The strata chosen will vary by country and reflect local conditions. Some examples of factors that can be stratified on are geography (e.g. North, Central, South), level of urbanization (e.g. urban, rural), socio-economic zones, provinces (especially if health administration is primarily under the jurisdiction of provincial authorities), or presence of health facility in area. Strata to be used must be identified by each country and the reasons for selection explicitly justified.
Stratification is strongly recommended at the first stage of sampling. Once the strata have been chosen and justified, all stages of selection will be conducted separately in each stratum. We recommend stratifying on 3-5 factors. It is optimum to have half as many strata (note the difference between stratifying variables, which may be such variables as gender, socio-economic status, province/region etc. and strata, which are the combination of variable categories, for example Male, High socio-economic status, Xingtao Province would be a stratum).
Strata should be as homogenous as possible within and as heterogeneous as possible between. This means that strata should be formulated in such a way that individuals belonging to a stratum should be as similar to each other with respect to key variables as possible and as different as possible from individuals belonging to a different stratum. This maximises the efficiency of stratification in reducing sampling variance.
MULTI-STAGE CLUSTER SELECTION
A cluster is a naturally occurring unit or grouping within the population (e.g. enumeration areas, cities, universities, provinces, hospitals etc.); it is a unit for which the administrative level has clear, nonoverlapping boundaries. Cluster sampling is useful because it avoids having to compile exhaustive lists of every single person in the population. Clusters should be as heterogeneous as possible within and as homogenous as possible between (note that this is the opposite criterion as that for strata). Clusters should be as small as possible (i.e. large administrative units such as Provinces or States are not good clusters) but not so small as to be homogenous.
In cluster sampling, a number of clusters are randomly selected from a list of clusters. Then, either all members of the chosen cluster or a random selection from among them are included in the sample. Multistage sampling is an extension of cluster sampling where a hierarchy of clusters are chosen going from larger to smaller.
In order to carry out multi-stage sampling, one needs to know only the population sizes of the sampling units. For the smallest sampling unit above the elementary unit however, a complete list of all elementary units (households) is needed; in order to be able to randomly select among all households in the TSU, a list of all those households is required. This information may be available from the most recent population census. If the last census was >3 years ago or the information furnished by it was of poor quality or unreliable, the survey staff will have the task of enumerating all households in the smallest randomly selected sampling unit. It is very important to budget for this step if it is necessary and ensure that all households are properly enumerated in order that a representative sample is obtained.
It is always best to have as many clusters in the PSU as possible. The reason for this is that the fewer the number of respondents in each PSU, the lower will be the clustering effect which increases sample variance and effectively reduces our estimating power. WHO requires an absolute maximum of 50 respondents per PSU, and ideally would suggest 20-30. This means that for a sample size of 5000 respondents, 100- 200 PSU clusters should be taken into the sample. Calculating that, roughly, one fifth of the total number of PSU clusters in a country will be randomly selected into the survey sample, the sampling frame should consist of 500-1000 PSU clusters.
PROBABILITY SAMPLING
Probability sampling means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. Non-probability methods of sampling such as quota or convenience sampling and random walk, may introduce bias into the survey, will throw survey findings into question, and are not accepted by WHO.
The probability of selection into the survey sample for each cluster will be proportional to its relative size. Systematic Sampling Systematic sampling is the ordered sampling at fixed intervals from a list, starting from a randomly chosen point. Typically, systematic sampling is not used at the first stage of sampling (selection of PSUs) because it renders the estimation of sampling error difficult.
Systematic sampling is recommended at the SSU, TSU, and household selection stages of sampling. Systematic sampling may be linear or circular.
SELECTION OF HOUSEHOLDS
The Household is a device used to get at the individual. The household is the sampling unit while the individual is the observational unit. While it would be preferable to randomly select from a list of all eligible persons in a country, such lists, with a few exceptions, are not available, so we must employ a final cluster, the household, to get at our observational units.
Households will be selected from lists of dwelling units. Non-probabilistic methods of household selection such as the random walk are not acceptable. Such lists are typically available from population registries, household listings, voter lists and census list. As it is essential to include all households in the sampling frame, an assessment of the methodology employed to select households must be made:
- How much has the population changed since these lists were made?
- Completeness of coverage. Are there unregistered populations (e.g. slums)
- Population shifts
- Changes in Registry
QUALITY
Almost all lists will suffer from routine problems. WHO recommends that survey institutions manually enumerate all the households in the sampling units randomly selected into the survey sample. If existing lists or registries will be used, then a detailed analysis of their quality must be made and they must be updated to ensure that there is no exclusion of households from the survey sampling frame.
SELECTION OF INDIVIDUALS FROM HOUSEHOLD ROSTER
All members of each household selected into the survey sample will be enumerated on the household roster. A member of the household is defined as someone who usually stays in the household, sleeps and shares meals, who has that address as primary place of residence, or who spends more than 6 months a year living there. Country-specific variations in this standard definition are allowed in consultation with WHO.
KISH TABLES
The respondent for the survey will be selected among all eligible members of the household using Kish tables. Kish tables provide a method by which each eligible person in a household has an equal probability of selection into the survey sample. It is extremely important for the representativeness of the survey sample and the integrity of the survey that the Kish tables are properly implemented. All interviews where the Kish selection method is not properly implemented will be rejected. The Kish technique allows adequate representation for all the persons in the household.
Face-to-face [f2f]
Participation in the survey is voluntary and the respondent can refuse to be interviewed. The interviewer is responsible for explaining what the survey is about, providing all the necessary information, and making sure the respondent understands the implications of his / her participation before giving his / her consent. The information given should be simple and clear and adapted to the respondent's level of understanding.
Consents must be documented by asking the respondents to sign an Informed Consent Forms ( Household Informant Consent Form; Individual Consent Form) before doing the interview. These forms must mention who will be doing the study, the types of questions that will be asked, why the study is being done, and who will have access to the information provided. The interviewer must check that the respondent has read and understood the form before signing, and should offer to go over it with him /her emphasizing the different items mentioned. If the respondent is illiterate or unable to read for himself / herself (e.g. due to a visual impairment), the form will be read and explained to him / her. In cases where it is not appropriate for the respondent to sign the form, the interviewer alone will sign the form.
In cases where the respondent is being dissuaded from, or coerced into, participating in the study by a third party such as a spouse, relative or any other member in the community, the interviewer should make it clear that it is the respondent alone who must decide whether or not s/he wishes to be interviewed.
FIELD SUPERVISION
The role of the supervisor is to monitor the progress and quality of the data collection, and ensure that interviewers are performing work. This includes handling the logistics of the survey, coordinating with other staff, recruiting and training additional interviewers, and supervision.
Supervision must be given to interviewers before, during, and after the interview. Supervisors must not only check that contact procedures are followed correctly but that interviews are conducted appropriately. They should be present for 10 interviews and ensure that standardized interviewing techniques are observed when asking questions, clarifying, probing and giving feedback in a non-directive manner. After the interview has been conducted, they must also check that data is coded and entered correctly. Supervisors must give feedback and debrief on a regular basis, in order to update the organization responsible for the study on the progress of the survey and any problems that have arisen.
Countries has provided WHO with the population sizes, probabilities of selection and sampling weights of all sampling units for each stage of the sampling process Since clusters are often of unequal size, sampling weights are necessary to be able to reconstruct population estimates from our sample estimates.
The weights essentially describe the number of persons in the sampling frame represented by each person in the cluster (i.e. each person in County 1 represents 12.5 people, each person in County 2 represents 9.1 persons etc.). Weights for SSUs, TSUs, etc. are calculated in the same way. The probability of selection of the elementary unit, the household, is not proportional to the number of people in the household. Rather, the household level weights will be generated at the time of respondent selection within the household. The number of households selected within each chosen sampling unit will be proportional to the total number of households in that sampling unit. All households in each unit will have equal probability of selection.
The proper and complete enumeration and description of the entire household is a critical component of the survey process. The household roster must be completed for all households selected randomly into the survey sample, whether they agreed to participate in the survey or not. It is only in this way that we can collect the basic information required to estimate the non-response bias in the survey.
The requirement of augmenting the survey sample size to adjust for estimated non-response is necessary to ensure that we have adequate persons in the sample to have the power to make precise estimates. This does not, however, account for the bias that is created by non-response, since non-responders are often different from responders with respect to key variables that are linked to the domains under study in the survey. All effort, therefore, must be made to minimise non-response, and to interview as many people in the survey sample as possible. A detailed discussion of refusal conversion methods, survey awareness raising, and call-backs is found in the WHS Survey Manual.
There are two possible scenarios of non-response:
1) The interviewer completes the household roster and the randomly chosen respondent refuses to participate.
2) The interviewer is refused access to the household and is unable to fill in the household roster.
In second scenario, sites must ensure that, at least, pages 00.1 and 00.3 of the Coversheet are completed for the household. In addition, if available from census information, the number of adult (18 years of age or older) males and females in the household, and their respective ages should be provided. It is important to note that the completion of the household roster serves a purpose above and beyond providing a list from which a respondent will be selected.
The demographic and other information collected in the household roster and requested from sites serves to calculate the denominators for statistical analysis of the survey data; without the information in the household roster, we would not be able to determine the health-related outcome rates in your country.
World Health Organization (WHO)
Citation requirement is the way that the dataset should be referenced when cited in any publication. This will guarantee that the data producer gets proper credit, and that analytical results can be linked to the proper version of the dataset.
The citation should include at least the primary investigator, the name and abbreviation of the dataset, the reference year, and the version number (and website address and date of download when the dataset was obtained on-line).
The user of the data undertakes to carry out work on the data of the WHO surveys, in accordance with the following conditions:
(1) He/she undertakes to keep confidential any information concerning individual persons or households.
(2) He/she undertakes not to distribute the data to any other user.
(3) He/she undertakes to use the data for scientific research only.
The undersigned will provide a reference of all publications based on the data to the WHO co-ordination team and will include the following acknowledgement: "This paper uses data from the WHO World Health Surveys / Multi-Country Survey Study (as appropriate)."
See also the citation requirement.
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
UK-ID
1200
4
WHS-UK_F2
1200
61
WHS-UK_F3
2765
16
WHS-UK_F4
1200
254
Identification
Identification
Identification
Identification
Identification
1200
36100001
36101250
36100622.736
360.719
country code
country code
country code
country code
country code
1200
GBR
1200
Sysmiss
1200
Sysmiss
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
1200
36100001
36101250
36100622.736
360.719
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days between initial and
retest
The retest must be done within 1-7 days after the initial interviews have been conducted.
2
1198
1
Sysmiss
Rotation Code
Rotation Code
Rotation Code
Rotation Code
Rotation Code
Record here the form that was used for the individual questionnaire: A, B, C or D.
1200
A
B
C
D
interviewer ID
interviewer ID
interviewer ID
interviewer ID
interviewer ID
1200
133
65.183
38.978
name of interviewer
name of interviewer
name of interviewer
name of interviewer
name of interviewer
total calls
total calls
total calls
total calls
total calls
This is the number of contact calls that were attempted to contact the respondent. A maximum of 10 attempts should ideally be made. However, 3 or 4 calls may be more realistic in some countries. Each country will decide on the optimum number of calls and communicate this to WHO. Phone calls, which are not answered or messages left on answering machines, will not be counted as contact calls.
1200
1
10
1.313
0.885
date of final results (dd/mm/yyyyy)
date of final results (dd/mm/yyyyy)
date of final results (dd/mm/yyyyy)
date of final results (dd/mm/yyyyy)
date of final results (dd/mm/yyyyy)
1200
01/02/2004
02/01/2004
02/02/2004
03/02/2004
03/03/2004
04/02/2004
05/02/2004
05/03/2004
05/04/2004
06/02/2004
06/03/2004
07/02/2004
07/03/2004
08/02/2004
08/03/2004
09/02/2004
10/02/2004
11/02/2004
12/01/2004
12/02/2004
13/02/2004
14/02/2004
15/02/2004
16/02/2004
17/02/2004
18/02/2004
19/02/2004
20/01/2004
20/02/2004
21/02/2004
22/02/2004
23/02/2004
24/02/2004
25/02/2004
26/01/2004
26/02/2004
27/01/2004
27/02/2004
28/01/2004
28/02/2004
29/01/2004
29/02/2004
30/01/2004
31/01/2004
Final result code
Final result code
Final result code
Final result code
Final result code
The result code corresponds to the result of the contact calls, whether or not the respondent accepted to do the interview and the reasons for non-interviews. No substitutions will be done if the respondent cannot do the interview. Another respondent will be drawn from the sample. Interviewers should fill in the Call Records Forms provided in the questionnaire specifying the reasons for non-interviews, as well as other contact information.
Date when the final result code was given after having made all the contact calls.
One of the following codes should be used to document the final result:
RESULT CODES FOR CONTACT CALLS
a. Initial Contact
01. Answering machine or answering service
02. Unable to contact (busy signal, dead tone, number has changed)
03. Respondent contacted – initial refusal
04. Respondent contacted – uncertain about interview
05. Resistance/refusal by household member
b. Final contact
• Completed interview
06. Completed Interview (interview is accepted and conducted)
07. Partial Interview (interview is partially completed and person will not be contacted anymore) because of illness or other reasons.
• Non-interview
08. Final Refusal by respondent
09. Final Refusal by household member
10. Unable to locate respondent
11. No interview because respondent is not eligible: less than 18, mentally unfit or too ill.
12. Language barrier
13. House is vacant or household occupants are elsewhere (e.g. seasonal vacancy, other residence)
14. Unsafe or dangerous area or no access to respondent
15. Deceased respondent
16. Respondent in institution: jail, hospital and not accessible
1200
6
date of editing (dd/mm/yyyyy)
date of editing (dd/mm/yyyyy)
date of editing (dd/mm/yyyyy)
date of editing (dd/mm/yyyyy)
date of editing (dd/mm/yyyyy)
1200
01/03/2004
02/02/2004
02/03/2004
03/02/2004
03/03/2004
04/02/2004
04/03/2004
05/02/2004
05/03/2004
06/02/2004
07/02/2004
08/02/2004
08/03/2004
09/02/2004
09/03/2004
10/02/2004
10/03/2004
11/02/2004
12/02/2004
13/02/2004
14/02/2004
16/02/2004
17/02/2004
18/02/2004
19/02/2004
20/02/2004
21/02/2004
23/02/2004
24/02/2004
25/02/2004
26/02/2004
27/01/2004
27/02/2004
28/01/2004
29/01/2004
30/01/2004
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
1200
02/03/2004
03/03/2004
04/02/2004
04/03/2004
05/02/2004
05/03/2004
06/02/2004
08/03/2004
09/02/2004
09/03/2004
10/02/2004
10/03/2004
11/02/2004
11/03/2004
12/02/2004
13/02/2004
16/02/2004
17/02/2004
18/02/2004
19/02/2004
20/02/2004
23/02/2004
24/02/2004
25/02/2004
26/02/2004
27/02/2004
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
1200
02/03/2004
03/03/2004
04/02/2004
04/03/2004
05/03/2004
06/02/2004
08/03/2004
09/02/2004
09/03/2004
10/02/2004
10/03/2004
11/02/2004
11/03/2004
12/02/2004
13/02/2004
16/02/2004
17/02/2004
18/02/2004
19/02/2004
20/02/2004
22/02/2004
23/02/2004
24/02/2004
25/02/2004
26/02/2004
27/02/2004
psu
psu
psu
psu
psu
Sampling Information
Primary Sampling Unit (PSU) Name/Code
List PSUs and codes. For example if the PSU is ‘county’ and the respondent’s household is in ‘Riordan’ county, you write ‘Riordan’ for question 0101.
1144
56
1
51
27.804
13.056
ssu
ssu
ssu
ssu
ssu
Sampling Information
Secondary Sampling Unit (SSU) Name/Code
Name of the secondary sampling unit level that the respondent belongs to.
1137
63
1
93
50.189
24.636
tsu
tsu
tsu
tsu
tsu
Sampling Information
Tertiary Sampling Unit (TSU) Name/Code
Name of the tertiary sampling unit level that the respondent belongs to.
1200
qsu
qsu
qsu
qsu
qsu
Sampling Information
Quarternary Sampling Unit (QSU) Name/Code
Name of the quaternary sampling unit level that the respondent belongs to.
1200
settings
settings
settings
settings
settings
Sampling information: Additional information
Setting
1144
56
1
Urban
2
Peri-urban/Semi-urban
3
rural
4
Other
Sysmiss
Specify
Specify
Specify
Specify
Specify
1200
9
latitude N/S
latitude N/S
latitude N/S
latitude N/S
latitude N/S
The Geocoding information is recorded for the cluster that the respondent belongs to, in
the smallest sampling unit above the household level.
Latitude
Specify North or South of the equator.
Specify position in degrees complete to five decimal points.
1200
N
latitude (degree)
latitude (degree)
latitude (degree)
latitude (degree)
latitude (degree)
The Geocoding information is recorded for the cluster that the respondent belongs to, in
the smallest sampling unit above the household level.
Latitude
1145
55
50
51
52
53
54
55
56
57
Sysmiss
latitude (decimal degree)
latitude (decimal degree)
latitude (decimal degree)
latitude (decimal degree)
latitude (decimal degree)
The Geocoding information is recorded for the cluster that the respondent belongs to, in
the smallest sampling unit above the household level.
Latitude
1200
99
53.757
29.265
longitude (E/W)
longitude (E/W)
longitude (E/W)
longitude (E/W)
longitude (E/W)
Longitude
Specify East or West of the Greenwich meridian (Greenwich, England).
Specify position in degrees complete to five decimal points.
1200
E
W
longitude (degree)
longitude (degree)
longitude (degree)
longitude (degree)
longitude (degree)
Longitude
1142
58
1
2
3
4
Sysmiss
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
longitude (decimal degree)
Longitude
1200
99
36.525
27.622
waypoint
waypoint
waypoint
waypoint
waypoint
Waypoint
1200
1
center of gravity of the cluster
2
In front of the household
3
Nearby location
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
You have said there are (REPEAT LISTING); does that include everyone living here at the present time or who is in an institution because of their health?
IF NO, CORRECT LISTING Now, I will use a selection procedure - I am going to number the persons in household to determine whom we need to interview - (it will take a second)
1179
09:00
09:10
09:20
09:30
09:35
09:40
09:43
09:45
09:53
09:55
10:00
10:02
10:05
10:07
10:08
10:10
10:11
10:12
10:14
10:15
10:17
10:20
10:21
10:25
10:27
10:28
10:30
10:32
10:33
10:35
10:37
10:38
10:39
10:40
10:42
10:45
10:49
10:50
10:51
10:52
10:53
10:55
10:56
10:57
11:00
11:02
11:03
11:04
11:05
11:06
11:07
11:10
11:13
11:15
11:17
11:18
11:20
11:21
11:22
11:23
11:25
11:26
11:27
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Kish table code
Kish table code
Kish table code
Kish table code
Kish table code
INSTRUCTIONS FOR SELECTING RESPONDENT FOR INDIVIDUAL QUESTIONNAIRE
a) Enter a check mark (\/) in column G for each person eligible for selection. Eligible persons are presently age 18 or older. If the age in column C below 18+ years, DO NOT enter a check mark in column G.
b) In column H assign a sequential number of each eligible person checked in column G. First number eligible MALES from eldest to youngest and continue the numbering with eligible FEMALES, from eldest to youngest.
c) Use the appropriate selection table (see example below) to select a respondent. In the first column circle the total number of eligible persons (highest number assigned in col. H). The corresponding number in the second column of the selection table denotes the person selected to be interviewed. Enter "R" in column I for this person.
Note that the appropriate selection table indicated in the Respondent Allocation Table must be used from
the appendices.
d) IF NO ONE AGE 18 OR OLDER IN HOUSEHOLD ROSTER, THEN NO ELIGIBLE RESPONDENT
USE APPROPRIATE KISH TABLE AS PER THE ROTATION CODE ASSIGNED TO THIS RESPONDENT
Enter Kish Table Code
(A,B1,B2,C,D,E1,E2 or F)
head of household
head of household
head of household
head of household
head of household
To be asked to all households
Who is the person who provides the main economic support for the
household?
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Record Line Number from Household Roster
1182
18
400
408
402.662
3.406
Household informant
Household informant
Household informant
Household informant
Household informant
To be asked to all households
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Determine who is the ‘Household Informant’. Record their Line Number from the Household Roster.
The interviewer will have to determine the person in the household most knowledgeable about the household’s health status, employment, financial condition, expenditures and health insurance. Several persons in the household may have to be spoken to an order to determine this. The person identified here may be different from the person coded on Q0500.
If multiple people provide information on the household questionnaire, the person providing most of the information will be coded here.
1200
Sysmiss
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
If that person is picked randomly as the respondent they will be
interviewed in the institution (if the condition is chronic and return to home in the near future is unlikely) or upon return to home (if the condition is acute and return to home is likely in the next 2 weeks). Additional pages are attached. Please feel free to add other additional pages as necessary.
1200
1
Yes
5
No
household member 1 in institution
household member 1 in institution
household member 1 in institution
household member 1 in institution
household member 1 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
2
1198
400
Sysmiss
household member 2 in institution
household member 2 in institution
household member 2 in institution
household member 2 in institution
household member 2 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
1200
Sysmiss
household member 3 in institution
household member 3 in institution
household member 3 in institution
household member 3 in institution
household member 3 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
1200
Sysmiss
household member 4 in institution
household member 4 in institution
household member 4 in institution
household member 4 in institution
household member 4 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
1200
Sysmiss
household member 5 in institution
household member 5 in institution
household member 5 in institution
household member 5 in institution
household member 5 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
RECORD LINE NUMBERS from Household Roster of all household
members currently in an institution due to their health condition
1200
Sysmiss
Can you please tell me how many rooms there are in your home?
Can you please tell me how many rooms there are in your home?
Can you please tell me how many rooms there are in your home?
Can you please tell me how many rooms there are in your home?
Can you please tell me how many rooms there are in your home?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Can you please tell me how many rooms there are in your home?
1188
12
1
16
6.407
2.223
How many cars are there in your household?
How many cars are there in your household?
How many cars are there in your household?
How many cars are there in your household?
How many cars are there in your household?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
How many cars are there in your household?
If none enter "0"
1182
18
8
0.992
0.869
How many televisions are there in your household?
How many televisions are there in your household?
How many televisions are there in your household?
How many televisions are there in your household?
How many televisions are there in your household?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
How many televisions are there in your household?
If none enter "0"
1183
17
10
2.392
1.3
Does anyone in your household have a bicycle?
Does anyone in your household have a bicycle?
Does anyone in your household have a bicycle?
Does anyone in your household have a bicycle?
Does anyone in your household have a bicycle?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a bicycle?
If none enter "0"
1194
6
1
5
1
Yes
5
No
Does anyone in your household have a video cassette recorder?
Does anyone in your household have a video cassette recorder?
Does anyone in your household have a video cassette recorder?
Does anyone in your household have a video cassette recorder?
Does anyone in your household have a video cassette recorder?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a video cassette recorder?
1193
7
1
Yes
5
No
Sysmiss
Does anyone in your household have a stereo system?
Does anyone in your household have a stereo system?
Does anyone in your household have a stereo system?
Does anyone in your household have a stereo system?
Does anyone in your household have a stereo system?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a stereo system?
1193
7
1
Yes
5
No
Sysmiss
Does anyone in your household have a DVD player?
Does anyone in your household have a DVD player?
Does anyone in your household have a DVD player?
Does anyone in your household have a DVD player?
Does anyone in your household have a DVD player?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a DVD player?
1194
6
1
Yes
5
No
Sysmiss
Does anyone in your household have a video camera?
Does anyone in your household have a video camera?
Does anyone in your household have a video camera?
Does anyone in your household have a video camera?
Does anyone in your household have a video camera?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a video camera?
1191
9
1
Yes
5
No
Sysmiss
Does anyone in your household have a washing machine for clothes?
Does anyone in your household have a washing machine for clothes?
Does anyone in your household have a washing machine for clothes?
Does anyone in your household have a washing machine for clothes?
Does anyone in your household have a washing machine for clothes?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a washing machine for clothes?
1194
6
1
Yes
5
No
Sysmiss
Does anyone in your household have a washing machine for dishes?
Does anyone in your household have a washing machine for dishes?
Does anyone in your household have a washing machine for dishes?
Does anyone in your household have a washing machine for dishes?
Does anyone in your household have a washing machine for dishes?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a washing machine for dishes?
1192
8
1
Yes
5
No
Sysmiss
Does anyone in your household have a vacuum cleaner?
Does anyone in your household have a vacuum cleaner?
Does anyone in your household have a vacuum cleaner?
Does anyone in your household have a vacuum cleaner?
Does anyone in your household have a vacuum cleaner?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a vacuum cleaner?
1193
7
1
Yes
5
No
Sysmiss
Does anyone in your household have a refrigerator?
Does anyone in your household have a refrigerator?
Does anyone in your household have a refrigerator?
Does anyone in your household have a refrigerator?
Does anyone in your household have a refrigerator?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a refrigerator?
1194
6
1
Yes
5
No
Sysmiss
Does anyone in your household have a fixed line telephone?
Does anyone in your household have a fixed line telephone?
Does anyone in your household have a fixed line telephone?
Does anyone in your household have a fixed line telephone?
Does anyone in your household have a fixed line telephone?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a fixed line telephone?
1192
8
1
Yes
5
No
Sysmiss
Does anyone in your household have a mobile / cellular telephone?
Does anyone in your household have a mobile / cellular telephone?
Does anyone in your household have a mobile / cellular telephone?
Does anyone in your household have a mobile / cellular telephone?
Does anyone in your household have a mobile / cellular telephone?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a mobile/cellular telephone?
1193
7
1
Yes
5
No
Sysmiss
Does anyone in your household have a computer?
Does anyone in your household have a computer?
Does anyone in your household have a computer?
Does anyone in your household have a computer?
Does anyone in your household have a computer?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a computer?
1193
7
1
Yes
5
No
Sysmiss
Does anyone in your household have Access to the internet/World Wide Web from your home?
Does anyone in your household have Access to the internet/World Wide Web from your home?
Does anyone in your household have Access to the internet/World Wide Web from your home?
Does anyone in your household have Access to the internet/World Wide Web from your home?
Does anyone in your household have Access to the internet/World Wide Web from your home?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have access to the internet/World Wide Web from your home?
1178
22
1
Yes
5
No
Sysmiss
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Does anyone in your household have any subscriptions to magazines and/or newspapers?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have any subscriptions to magazines and/or newspapers?
1188
12
1
Yes
5
No
Sysmiss
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)?
1179
21
1
Yes
5
No
Sysmiss
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)?
1190
10
1
Yes
5
No
Sysmiss
Do you have a second home?
Do you have a second home?
Do you have a second home?
Do you have a second home?
Do you have a second home?
Permanent Income Indicators (Higher Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Do you have a second home?
1193
7
1
Yes
5
No
Sysmiss
total household expenditure
total household expenditure
total household expenditure
total household expenditure
total household expenditure
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend in total?
Total spending should include the value of all goods and services consumed or used by the household. This would include things produced by the household for its own consumption (e.g. eggs from backyard chickens). It would exclude things purchased for use in a home business.
1200
10
888888
442224.292
439357.193
Amount spend on food
Amount spend on food
Amount spend on food
Amount spend on food
Amount spend on food
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on food, including such things as [rice], meat, fruits, vegetables, and cooking oils? Include the value of any food that was produced and consumed by the household, and exclude alcohol, tobacco and restaurant meals.
Food expenditures include all food prepared and consumed by the household, along with food purchased and consumed outside the household (e.g. snacks, bag lunches).
However, should exclude meals at sit-down restaurants, and expenditures on alcohol and tobacco. These excluded items should be included in Q0806 ("All other goods and services").
1200
888888
121677.708
300620.329
Health care costs
Health care costs
Health care costs
Health care costs
Health care costs
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on health care costs, excluding any insurance reimbursements?
1200
888888
203712.985
369089.911
Insurance Premiums
Insurance Premiums
Insurance Premiums
Insurance Premiums
Insurance Premiums
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on voluntary insurance premiums or prepaid health plans?
1200
888888
210749.977
373202.893
overnight stay in hospital
overnight stay in hospital
overnight stay in hospital
overnight stay in hospital
overnight stay in hospital
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, how many times did members of your household go to a hospital and stay overnight?
The answer should represent the total number of events for which any member of the household went to a hospital and stayed overnight. If household members had stayed overnight in hospitals for a natural birth, treatment of trauma from a traffic accident, and an appendectomy, the answer would be “3” regardless of whether these three events happened to the same person or different persons in the household.
ENTER NUMBER OF TIMES FOR ALL HOUSEHOLD MEMBERS IN TOTAL. IF NONE, ENTER "0"
If None: Go to Q0817
1200
88
5.236
19.534
Household costs associated with overnight stay
Household costs associated with overnight stay
Household costs associated with overnight stay
Household costs associated with overnight stay
Household costs associated with overnight stay
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, how much did the household pay for all costs associated with overnight stays in a hospital? Please exclude any expenses in the last 4 weeks that you have already told me about, and exclude any reimbursement from insurance.
This question should include the total expenses associated with all of the hospital stays referred to in Q0804. Therefore it excludes hospital expenses from the most recent 4 week period which was asked in Q0807.
1200
888888
137699.673
318919.818
Time end section 0800
Time end section 0800
Time end section 0800
Time end section 0800
Time end section 0800
1179
09:32
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15:45
15:46
15:47
15:48
15:49
15:50
15:51
15:52
15:53
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16:00
16:01
16:02
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16:34
16:35
16:36
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16:43
16:44
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16:47
16:48
16:49
16:50
16:51
16:54
16:55
16:56
16:58
16:59
17:00
17:01
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17:06
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17:39
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17:41
17:43
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17:45
17:47
17:48
17:50
17:51
17:52
17:54
17:55
17:58
18:00
18:04
18:05
18:09
18:10
18:11
18:15
18:20
18:25
18:26
18:27
18:28
18:30
18:31
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18:34
18:35
18:37
18:38
18:39
18:44
18:45
18:48
18:51
18:53
18:55
18:57
18:59
19:00
19:03
19:04
19:05
19:09
19:10
19:11
19:12
19:15
19:16
19:17
19:19
19:20
19:22
19:25
19:27
19:33
19:36
19:37
19:40
19:44
19:45
19:52
19:53
19:55
19:56
19:58
20:00
20:01
20:04
20:10
20:15
20:16
20:20
20:28
20:29
20:40
20:52
20:55
20:56
20:57
21:00
21:02
21:50
21:51
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
2765
36100001
36101250
36100619.411
364.395
gender
gender
gender
gender
gender
2765
1
Female
2
Male
2765
1
2
3
4
7
8
9
10
11
12
relationship
relationship
relationship
relationship
relationship
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Household member's relationship to informant
2765
1
himself / herself
2
wife or husband
3
son or daughter
4
son or daughter in law
5
grand child
6
parent
7
parent in law
8
brother or sister
9
co-wife
10
grand parent
11
other relative
12
not related
13
don't know
age
age
age
age
age
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Age
2745
20
99
39.122
24.241
education
education
education
education
education
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Education
2760
5
1
No formal schooling
2
less than primary school
3
primary school completed
4
secondary school completed
5
high school (or equivalent) completed
6
college / pre-university / university completed
7
post graduate deegree completed
Sysmiss
marital status
marital status
marital status
marital status
marital status
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Marital status
2765
1
Never married
2
Currently married
3
Separated
4
Divorced
5
Widowed
6
Chohabiting
Sysmiss
Ever worked or trained in health field
Ever worked or trained in health field
Ever worked or trained in health field
Ever worked or trained in health field
Ever worked or trained in health field
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Ever worked or trained in a health-related field
This column identifies any adult members of the household who have ever worked or been trained in a health-related field. Each household member who has ever worked/trained in a health-related field should be marked as “yes” in this column. The interviewer should prompt by giving examples of health workers: “This could be someone who has received a medical degree, or who worked in a hospital or health clinic (either caring for patients or doing anything else), or who dispenses medicines to people suffering from a health problem”. The short questionnaire on Health Occupations (section 0900) should then be asked directly to each individual so identified, using additional copies of the questionnaire if more than one person has been identified here.
2765
1
Yes
5
No
Sysmiss
Eligible person
Eligible person
Eligible person
Eligible person
Eligible person
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Eligible person
2765
not eligible
1
eligible
Whs respondent
Whs respondent
Whs respondent
Whs respondent
Whs respondent
2765
R
covered by health insurance
covered by health insurance
covered by health insurance
covered by health insurance
covered by health insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by any kind of health insurance plan?
ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER
[USE CATEGORIES APPROPRIATE TO EACH COUNTRY]
5 = NO
If No: Go to next person
2765
1
Yes
5
No
Sysmiss
covered by mandatory health insurance
covered by mandatory health insurance
covered by mandatory health insurance
covered by mandatory health insurance
covered by mandatory health insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by any mandatory health insurance plans?
ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER
[USE CATEGORIES APPROPRIATE TO EACH COUNTRY]
ENTER code (See below)
CODES FOR B
NONE=0
SIGNIFICANT MANDATORY INSURANCE PLANS
OTHER MANDATORY INSURANCE
2765
Sysmiss
covered by voluntary health insurance
covered by voluntary health insurance
covered by voluntary health insurance
covered by voluntary health insurance
covered by voluntary health insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by any voluntary health insurance plans?
ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER
[USE CATEGORIES APPROPRIATE TO EACH COUNTRY]
ENTER code (See below)
CODES FOR C
NONE=0
SIGNIFICANT VOLUNTARY INSURANCE PLANS
OTHER VOLUNTARY INSURANCE
If None:Go to E
2765
Sysmiss
How much for voluntary insurance
How much for voluntary insurance
How much for voluntary insurance
How much for voluntary insurance
How much for voluntary insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
How much does your household pay for this person’s voluntary health insurance each year?
ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER
[USE CATEGORIES APPROPRIATE TO EACH COUNTRY]
2765
Covered because of relationship to someone
Covered because of relationship to someone
Covered because of relationship to someone
Covered because of relationship to someone
Covered because of relationship to someone
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by insurance only because of his/her relationship to someone else who has health insurance?
ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER
[USE CATEGORIES APPROPRIATE TO EACH COUNTRY]
1 = YES
5 = NO
If No: Go to Next person
2765
Sysmiss
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Who is enrolled in the insurance plan that gives this person health insurance?
ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER
[USE CATEGORIES APPROPRIATE TO EACH COUNTRY]
INDICATE Line Number from Household Roster of Person if he/she is in the Household
If Person not in Household ENTER “999"
2765
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
1200
36100001
36101250
36100622.736
360.719
Time begin section 1000
Time begin section 1000
Time begin section 1000
Time begin section 1000
Time begin section 1000
1179
09:01
09:05
09:14
09:23
09:25
09:31
09:33
09:35
09:38
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09:50
09:55
09:56
09:57
10:00
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16:00
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16:07
16:08
16:09
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16:14
16:15
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16:27
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16:53
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16:58
17:00
17:03
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17:05
17:06
17:07
17:08
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17:14
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17:46
17:49
17:50
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17:55
18:00
18:01
18:02
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18:05
18:06
18:08
18:09
18:10
18:11
18:13
18:15
18:16
18:17
18:18
18:25
18:28
18:29
18:33
18:34
18:35
18:37
18:45
18:49
18:50
18:53
19:00
19:02
19:05
19:07
19:08
19:13
19:15
19:18
19:31
19:32
19:37
19:40
19:45
19:47
19:52
19:54
20:02
20:10
20:12
20:17
20:22
20:30
20:32
21:03
21:35
Mother tongue
Mother tongue
Mother tongue
Mother tongue
Mother tongue
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your mother tongue?
Record respondent’s mother tongue. The mother tongue is the language one has learned first, provided it is a language that one can express oneself fully in, and/or voluntarily identifies with. If the respondent knows more than one such language record all named languages.
1194
00000000
00000010
00000100
00000101
00000110
00001000
00010000
00100000
00100100
01000000
01100100
01100110
Sex -- Male/female
Sex -- Male/female
Sex -- Male/female
Sex -- Male/female
Sex -- Male/female
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
Record sex as observed.
Record sex as observed. Circle option Female or Male.
1200
1
Female
2
Male
Age in years
Age in years
Age in years
Age in years
Age in years
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
How old are you? (Years)
Record respondent’s age in years and Go to Q1004.
If respondent doesn’t know or doesn’t want to tell his/her age, Go to the question Q1003.
1197
3
18
99
50.301
19.392
Age range
Age range
Age range
Age range
Age range
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
If you don’t know/don’t want to tell me your age could you tell me the age range if I read the different options to you (choose what is most appropriate)?
Read the options to the respondent.
1200
1
18-19
2
20-29
3
30-39
4
40-49
5
50-59
6
60-69
7
70+
Sysmiss
Weight in kilos
Weight in kilos
Weight in kilos
Weight in kilos
Weight in kilos
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your weight in Kilos?
For Q1004 – Q1007 use either the metric or the alternative system.
1073
127
38
198
73.007
16.757
Weight in pounds
Weight in pounds
Weight in pounds
Weight in pounds
Weight in pounds
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your weight in Pounds?
For Q1004 – Q1007 use either the metric or the alternative system.
1200
height in cms
height in cms
height in cms
height in cms
height in cms
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your height in Centimeters?
For Q1004 – Q1007 use either the metric or the alternative system.
1128
72
130
210
167.811
9.886
Height in (feet)
Height in (feet)
Height in (feet)
Height in (feet)
Height in (feet)
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your height in Feet/Inches?
For Q1004 – Q1007 use either the metric or the alternative system.
1200
Height in (inches)
Height in (inches)
Height in (inches)
Height in (inches)
Height in (inches)
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your height in Feet/Inches?
1200
Marital Status
Marital Status
Marital Status
Marital Status
Marital Status
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your current marital status?
Ask this question without reading the options to the respondent. If the response does not match any of the options e.g. “single”, read the options to the respondent and ask him/her to choose the option that best reflects his/her current marital status. For example, if the respondent is currently married (but was divorced in the past), the option “currently married” should be recorded.
1169
31
1
never married
2
currently married
3
separated
4
divorced
5
widowed
6
cohabiting
Sysmiss
education
education
education
education
education
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is the highest level of education that you have completed?
This refers to the highest level of education successfully completed. If a person attended 3 months of the first year of secondary school but did not complete the year, the option “primary school” will be recorded. If a person only attended a few years of primary school or never went to school, the option “less than primary school” will be recorded.
The level of education can either be completed at school or at home. This may be the case of someone who, due to illness or other circumstances, does not attend school but has private tutoring or some other form of schooling that requires taking exams in order to complete primary or secondary education.
If countries use educational categories other than those specified here, they must provide WHO with a mapping of those to the categories as stated in the questionnaire. The same categories must be used for Column D of the household roster and Q 0918.
1200
1
No formal schoolong
2
less than primary school
3
primary school completed
4
secondary school completed
5
high school completed
6
college completed
7
post graduate degree completed
Years of formal education completed
Years of formal education completed
Years of formal education completed
Years of formal education completed
Years of formal education completed
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
How many years of school, including higher education, have you completed?
The term “school” refers to any kind of formal school and excludes short courses (typing. sewing) or religious education such as Bible school or Koranic school. It includes technical or vocational training beyond primary school. If a person dropped out of school or university, partial years should not be counted. If someone has been in school both full and part-time, record the number of years at full-time education. Repeated grades should be counted as two years.
1177
23
27
12.062
3.039
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
27
Sysmiss
Background
Background
Background
Background
Background
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your [ethnic group/ racial group/ cultural subgroup/ others] background?
Each country to substitute appropriate phrases or terms and list the
relevant response options.
1200
01
02
03
04
05
06
07
08
09
10
77
88
current job
current job
current job
current job
current job
Respondent’s Socio Demographic Characteristics
Now, I would like to ask you a few questions about your work status.
What is your current job?
“Current Job” means any activity of more than one hour that the person engaged in for pay during the last two weeks. If the person is engaged in more than one kind of "job" during the last two weeks (e.g. sold home-made food on the street part of the time and worked in a factory sewing shirts at other times), then the individual should be asked to indicate the activity from which they derived the most income.
All people who receive pay from the government should be listed as government employees. All others who receive pay from an employer should be listed as nongovernment employees. List as “Self-Employed” anyone who earns an income from activities that do not involve hiring people from outside the household. “Employer” refers to anyone who earns their income in activities that include hiring and paying anyone from outside the household. More specifically:
• Govt Employee:
An individual who is hired by a government office or agency and paid a salary or wage. This includes employees of federal, state, or municipal governments and their agencies, parastatal enterprises, and semi-autonomous institutions such as social security institutions that are owned by the government or institutions like religious schools if the staff are paid by the government.
• Non-Govt Employee:
An individual who is hired to work and is paid a salary or wages. This includes any employees not working for the government.
• Self-Employed:
An individual who produces goods for sale or earns an income through provision of services to different people or firms. The individual works alone or with intermittent assistance from others, but does not employ anyone for a paid wage or salary on a regular basis.
• Employer:
An individual who earns an income through business activities, whether production of goods or provision of services, and employs anyone on a regular basis who is paid a salary or wages.
If Not working for pay: Go toQ1014
1141
59
1
Government employee
2
Non-government employee
3
Self-employed
4
Employer
5
Not working for pay
Sysmiss
main occupation
main occupation
main occupation
main occupation
main occupation
Respondent’s Socio Demographic Characteristics
Now, I would like to ask you a few questions about your work status.
During the last 12 months, what has been your main occupation?
The Interviewer should ask this question open-endedly: “What is your main occupation?”. The interviewer then selects the category that they think best applies, and confirms it with the respondent.
By “main occupation”, we mean the occupation that the person spent the most time doing over the last 12 months. The following definitions should be used.
• Legislator, Senior Official, or Manager: Examples of occupations in this category include legislators; senior government officials; chiefs or heads of villages; senior officials of political parties or workers unions; and directors, chief executives or department managers who manage
enterprises, organizations or departments that are large enough to require three or more managers.
• Professional, Technician, or Associate Professional: Examples of occupations in this category include occupations in the physical mathematical and engineering sciences, architects, engineers, health professionals, teachers, lawyers, social scientists, writers or performing artists, ship and aircraft controllers and technicians, financial agents, trade brokers,
accountants and bookkeepers.
• Clerical: Examples of occupations in this category include secretaries, keyboard operators, stock clerks scribes, office assistants, cashiers, and receptionists.
• Personal Services, Marketing, or Sales: Examples of occupations in this category include travel attendants, restaurant workers, personal care workers, barbers, undertakers, astrologers, fire-fighters, police officers, models, salespersons.
• Agricultural or Fisheries Worker: Examples of occupations in this category include gardeners and crop growers, livestock, dairy, and poultry producers, forestry workers and loggers, hunters, and fishery workers.
• Craft, Construction, or Trades: Examples of occupations in this category include miners, shot firers, stone cutters, and carvers; construction workers, metal moulders, welders, sheet-metal workers, blacksmiths, tool-makers, electrical and electronic equipment mechanics and fitters, potters, glass-makers, handicraft workers in wood, textile, leather and related materials, printing, food processing, textile and garment workers.
• Plant and Machine Operators or Assemblers: Examples of occupations in this category include processing-plant operators, power production operators, assembly-line operators, machine operators, assemblers, and motor-vehicle drivers.
• Armed Forces: Examples of occupations in this category include anyone who is employed as a member of military service of the country.
If respondent has answered this question, Go to next section 2000.
443
757
1
Legislator, Senior Official, or Manager
2
Professional
3
Technician or Associate Professional
4
Clerk
5
Service or sales worker
6
Agricultural or fishery worker
7
Craft or trades worker
8
Plant/machine operator or assembler
9
Elementary worker
10
Armed forces
Sysmiss
reason not working
reason not working
reason not working
reason not working
reason not working
Respondent’s Socio Demographic Characteristics
Now, I would like to ask you a few questions about your work status.
What is the main reason why you are not working for pay?
This question should only be asked for people who are not working for pay.
The interviewer should ask the question open-endedly, then select the category that they think best applies, and confirm it with the respondent. If the respondent provides more than one answer, ask them to specify which is the most important reason. The following definitions are provided to guide the selection of answers:
• Homemaker/Caring for Family: This applies to individuals whose primary activities are household tasks -- such as cleaning, preparing food, and caring for children or other relatives -- and who do not receive pay for these activities.
• Looked but can't find a job: This applies to individuals who want to work for pay, are actively looking for work, and are not currently employed.
• Unpaid Work/voluntary activities: This applies to individuals whose primary activity is working for a volunteer organization, a family business, a family farm or other similar activity without pay.
• Studies / training: This applies to individuals whose primary activity is to pursue educational programs, whether in a secondary school, college, university, or other institutions that teaches continuing adult education classes, or vocational training courses.
• Retired / too old to work: An individual who is no longer working due to age.
• Student: An individual whose primary activity is engaging in studies at elementary, secondary, university or technical schools.
• Unemployed: An individual who could work but does not currently have a job or business.
• Ill health:
• Other:
742
458
1
Homemaker / caring for family
2
Looked but cant find a job
3
Doing unpaid work / voluntary activities
4
Studies / training
5
Retired / too old to work
6
Ill health
7
Other
Sysmiss
Time end section 1000
Time end section 1000
Time end section 1000
Time end section 1000
Time end section 1000
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Time begin section 2000
Time begin section 2000
Time begin section 2000
Time begin section 2000
Time begin section 2000
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rate your health
rate your health
rate your health
rate your health
rate your health
Health State Descriptions Time Begin
Overall Health
The first questions are about your overall health, including both your physical and your mental health.
In general, how would you rate your health today?
The respondent should answer according to how he/she considers his/her health to be and give his/her best estimate. Both physical and mental health must be taken into consideration.
1193
7
1
Very good
2
Good
3
Moderate
4
Bad
5
Very Bad
Sysmiss
difficulty in moving around
difficulty in moving around
difficulty in moving around
difficulty in moving around
difficulty in moving around
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Mobility
Overall in the last 30 days how much difficulty did you have with moving around?
This question refers to moving around using assistive devices or personal help that is usually in place. It includes moving around both inside the house, from room to room and within rooms, and outside the house. If the respondent lives in a house with multiple floors, this question also includes getting from one floor to another as needed. The intent of this question is to give an idea of a person’s mobility. Someone who has problems moving inside the house is likely to have problems outside the house.
Read and show scale to respondent.
1200
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
self-care, such as washing & dressing
self-care, such as washing & dressing
self-care, such as washing & dressing
self-care, such as washing & dressing
self-care, such as washing & dressing
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Self Care
Overall in the last 30 days, how much difficulty did you have with self-care, such as washing or dressing yourself?
If a person uses assistive devices when washing for example, these should be taken into account when answering the question.
This question refers to washing one’s entire body as it is customary for the culture. If a respondent reports that he/she has not washed his/her body in the past 30 days, interviewers should ask whether this is due to a health condition. If it is, this question should be coded “5” for extreme/cannot do. If it is not due to a health condition but to an environmental condition, such as lack of water, the option NA (not applicable) should be recorded in the questionnaire and entered in the data entry program.
This question includes all aspects of dressing the upper and lower body. Activities such as getting clothing from storage areas (i.e. closet, dressers) and securing buttons, tying knots, etc., should also be considered when making the rating.
Read and show scale to respondent.
1200
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
amount of pain/discomfort
amount of pain/discomfort
amount of pain/discomfort
amount of pain/discomfort
amount of pain/discomfort
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Pain and Discomfort
Overall in the last 30 days, how much of bodily aches or pains did you have?
This refers to any form of pain or discomfort in the body that interferes with a person’s usual activities, either for a short or long period of time. By pain we mean “physical” pain.
Read and show scale to respondent.
1200
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
concentrating / remembering things
concentrating / remembering things
concentrating / remembering things
concentrating / remembering things
concentrating / remembering things
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Cognition
Overall in the last 30 days, how much difficulty did you have with concentrating or remembering things?
This question refers to concentrating while doing work tasks, reading, writing, drawing, listening to others, playing a musical instrument, assembling a piece of equipment or engaging in any other activity. The respondent should think of concentrating in usual circumstances not when preoccupied by a problem situation or in an unusually distracting environment.
Remembering things refers to what a person would usually remember on a daily basis, such as running errands, doing the shopping, paying the bills or having appointments.
Read and show scale to respondent.
1199
1
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
personal relationships / participation
personal relationships / participation
personal relationships / participation
personal relationships / participation
personal relationships / participation
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Interpersonal Activities
Overall in the last 30 days, how much difficulty did you have with personal relationship or participation in the community?
Personal relationships include partners, relatives or friends. Participation in the community includes any form of social involvement such as going to town meetings, taking part in leisure or sporting activities in the town, neighbourhood or community. The relevant issue being asked in this question is whether the individual is facilitated to participate in these activities or whether there are barriers to doing so.
Read and show scale to respondent.
1195
5
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
wear glasses or contact lenses
wear glasses or contact lenses
wear glasses or contact lenses
wear glasses or contact lenses
wear glasses or contact lenses
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Vision
Do you wear glasses or contact lenses?
The purpose of this question is to know the use of an assistive device such as spectacles or contact lenses since for the following 2 questions the respondent would be asked to take this into account when reporting on the level of difficulty with vision.
1199
1
1
Yes
5
No
Sysmiss
seeing and recognizing person from across road
seeing and recognizing person from across road
seeing and recognizing person from across road
seeing and recognizing person from across road
seeing and recognizing person from across road
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Vision
In the last 30 days, how much difficulty did you have in Seeing and recognizing a person you know across the road (i.e. from a distance of about 20 meters)?
The person should answer this question taking into account any assistive device (glasses or contact lenses) he/she may be using. “Seeing and recognizing a person” under normal circumstances.One would not be expected to recognize a person on a foggy or stormy day for example.
1193
7
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Sleep and Energy
Overall in the last 30 days, how much of a problem did you have with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
Problem with sleeping includes inability to fall asleep, interrupted sleep or waking up earlier than a person would usually wake up.
1198
2
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
feeling sad, low or depressed
feeling sad, low or depressed
feeling sad, low or depressed
feeling sad, low or depressed
feeling sad, low or depressed
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Affect
Overall in the last 30 days, how much of a problem did you have with feeling sad, low or depressed?
For this question, each site will have to find a culturally equivalent term for sadness or depression that makes sense and is understood by the respondent. By problem, we mean how these states have interfered with a person’s life, such as not been able to do certain activities because of feeling distressed.
Distress, sadness or worry must be understood as occurring more often than normal.
Everybody worries but it becomes a problem when a person worries more than usual with things that she would normally not worry about. Sadness is often characterised by feeling tearful, tired and hopeless and loss of interest.
1198
2
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Record Set
Record Set
Record Set
Record Set
Record Set
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
1200
A
B
C
D
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Jan] feels nervous and anxious. He worries and thinks negatively about the future, but feels better in the company of people or when doing something that really interests him. When he is alone he tends to feel useless and empty.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
291
909
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Mary] has no problems with walking, running or using her hands, arms and legs. She jogs 4 kilometres twice a week.
Overall in the last 30 days, how much of a problem did [name of person]
have with moving around?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
296
904
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Anton] does not exercise. He cannot climb stairs or do other physical activities because he is obese. He is able to carry the groceries and do some light
household work.
Overall in the last 30 days, how much of a problem did [name of person]
have with moving around?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
295
905
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[David] is paralyzed from the neck down. He is unable to move his arms and legs or to shift body position. He is confined to bed.
Overall in the last 30 days, how much difficulty did [name of person]
have with moving around?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
296
904
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Ken] loves life and is happy all the time. He never worries or gets upset about anything and deals with things as they come.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
295
905
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Rob] is able to walk distances of up to 200 metres without any problems but feels tired after walking one kilometre or climbing up more than one flight of stairs. He has no problems with day-to-day physical activities, such as carrying food from the market.
Overall in the last 30 days, how much difficulty did [name of person]
have with moving around?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
295
905
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vincent] has a lot of swelling in his legs due to his health condition. He has to make an effort to walk around his home as his legs feel heavy.
Overall in the last 30 days, how much of a problem did [name of person]
have with moving around?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
295
905
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vivian] has already had five admissions into the hospital because she has attempted suicide twice in the past year and has harmed herself on three other
occasions. She is very distressed every day for the most part of the day, and sees no hope of things ever getting better. She is thinking of trying to end her life
again.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
294
906
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Roberta] feels depressed most of the time. She weeps frequently and feels hopeless about the future. She feels that she has become a burden on others and
that she would be better dead.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
295
905
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Henriette] enjoys her work and social activities and is generally satisfied with her life. She gets depressed every 3 weeks for a day or two and loses interest in
what she usually enjoys but is able to carry on with her day to day activities.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
294
906
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Mark] has pain in his knees, elbows, wrists and fingers, and the pain is present almost all the time. It gets worse during the first half of the day. Although
medication helps, he feels uncomfortable when moving around, holding and lifting things.
Overall in the last 30 days, how much of bodily aches or pains did [name
of person] have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
297
903
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Elizabeth] has difficulty climbing up and down the stairs and walking. She is not able to go out as much as she would like to but has many friends who come
and visit her at home. Her friends find her a source of great comfort.
Overall in the last 30 days, how much difficulty did [name of person]
have with personal relationships or participation in the community?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
298
902
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Amala] suffered a stroke three months ago. Her friends do not come and visit anymore as Amala cannot communicate with them. She is constantly upset and
shouts at her family members which causes them to avoid her.
Overall in the last 30 days, how much difficulty did [name of person]
have with personal relationship or participation in the community?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
298
902
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Katie] cannot remember when she last felt pain as this has not happened for the last several years now. She does not experience any pain even after hard
physical labor or exercise.
Overall in the last 30 days, how much of bodily aches or pains did [name
of person] have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
296
904
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Charlie] can join in any community activities that interest him, whenever he wants to, without any restrictions. He gets on well with everybody and enjoys
meeting new people.
Overall in the last 30 days, how much difficulty did [name of person]
have with personal relationship or participation in the community?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
299
901
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Steve] has pain in the neck radiating to the arms that is not relieved by any medicines or other treatment. The pain is sharp at all times and keeps him awake
most of the night. During the day the pain has made him completely incapacitated. It has necessitated complete confinement to the bed and often makes him
think of ending his life.
Overall in the last 30 days, how much of bodily aches or pains did [name
of person] have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
296
904
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Johanna] gets on well with the people she knows but has no close friends. She has not spoken to her mother in 5 years and does not want to see her. Because
of this tension, her family usually excludes her from family gatherings.
Overall in the last 30 days, how much difficulty did [name of person] have with personal relationship or participation in the community?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
298
902
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Laura] has a headache once a month that is relieved one hour after taking a pill. During the headache she can carry on with her day to day affairs.
Overall in the last 30 days, how much of bodily aches or pains did [name of person] have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
297
903
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Nobu] is blind and lives in a remote rural area. His family does not allow him to leave the house because they fear he will get hurt. His family tells him that
he is a burden to them. Their criticism upsets him and he cries.
Overall in the last 30 days, how much difficulty did [name of person] have with personal relationships or participation in the community?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
296
904
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Isabelle] has pain that radiates down her right arm and wrist during her day at work. This is slightly relieved in the evenings when she is no longer working
on her computer.
Overall in the last 30 days, how much of bodily aches or pains did [name of person] have?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
297
903
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Jennifer] only reads if the text is in very large print, such as 10 lines per page. Otherwise she does not read anything. Even when people are close to her, she
sees them blurred.
In the last 30 days, how much difficulty did you think [name of person]have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
297
903
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Paolo] has no trouble falling asleep at night and does not wake up during the night, but every morning he finds it difficult to wake up. He uses an alarm clock
but falls back asleep after the alarm goes off. He is late to work on four out of five days and feels tired in the mornings.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
293
907
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Hector] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize familiar people’s faces all the time
and picks out most details in pictures from across 20 metres.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e. from a distance of about 20 meters)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
296
904
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Damien] wakes up almost once every hour during the night. When she wakes up in the night, it takes around 15 minutes for her to go back to sleep. In the morning she does not feel well-rested and feels slow and tired all day.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
298
902
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Daniel] takes about two hours every night to fall asleep. He wakes up once or twice a night feeling panicked and takes more than one hour to fall asleep
again. Three to four nights a week he wakes up in the middle of the night and cannot go back to sleep for the rest of the night. He is fatigued all day, every day
and misses work several times a week. He cannot take part in sports or social activities.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
295
905
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Norman] needs a magnifying glass to read small print and look at details on pictures. He also takes a while to recognize objects if they are too far from him.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
296
904
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Antonio] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize shapes and colours from across 20
metres but misses out the fine details.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
295
905
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Noemi] falls asleep easily at night, but two nights a week she wakes up in the middle of the night and cannot go back to sleep for the rest of the night. On
these days she is exhausted at work and cannot concentrate on her job.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
298
902
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Sebastian] cannot detect any movement close to the eyes or even the presence of a light.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e. from a distance of about 20 meters)?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
297
903
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Mark] falls asleep every night within five minutes of going to bed. He sleeps soundly during the whole night and wakes up in the morning feeling well-rested
and feels full of energy all day.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
296
904
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Helena] pays a lot of attention to the way she looks. She requires no assistance with cleanliness, dressing and eating.
Overall in the last 30 days, how much difficulty did [name of person] have with self-care, such as washing or dressing himself/herself?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
298
902
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] can find her way around the neighborhood and know where her own belongings are kept, but struggles to remember how to get to a place she has only visited once or twice. She is keen to learn new recipes but finds that she often makes mistakes and has to reread several times before she is able to do them properly.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
299
901
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] is quadriplegic and must be washed, groomed, dressed and fed by somebody else.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
299
901
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Malcolm] can concentrate while watching TV, reading a magazine or playing a game of cards or chess. He can learn new variations in these games with
small effort. Once a week he forgets where his keys or glasses are, but finds them within five minutes.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
299
901
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Rob] is very quick to learn new skills at his work. He can pay attention to the task at hand for long uninterrupted periods of time. He can remember names of
people, addresses, phone numbers and such details that go back several years.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
299
901
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Theo] cannot concentrate for more than 15 minutes and has difficulty paying attention to what is being said to him. Whenever he starts a task, he never
manages to finish it and often forgets what he was doing. He is able to learn the names of people he meets but cannot be trusted to follow directions to a store
by himself.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
297
903
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Anne] takes twice as long as others to put on and take off clothes, but needs no help with this. Although it requires an effort, she is able to bathe and groom
herself, though less frequently than before. She does not require help with feeding.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
298
902
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Peter] does not recognize even close relatives and gets lost when he leaves the house unaccompanied. Even when prompted, he shows no recollection of
events or recognition of relatives. It is impossible for him to acquire any new knowledge as even simple instructions leave him confused.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
298
902
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sandra] lives on her own and has no relatives or friends nearby. Because of her arthritis, she is house-bound. She often stays all day in the same clothes that
she has slept in, as changing clothes is too painful. A neighbour helps her wash herself.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
299
901
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Victor] requires no assistance with cleanliness, dressing and eating. He occasionally suffers from back pain and when this happens he needs help with bathing
and dressing. He always keeps himself tidy.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
Show and read rating scale to respondent; use in vignettes country specific female/male first names to match sex of the respondent.
299
901
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Time end section 2000
Time end section 2000
Time end section 2000
Time end section 2000
Time end section 2000
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Time begin section 6000
Time begin section 6000
Time begin section 6000
Time begin section 6000
Time begin section 6000
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Arthritis
Arthritis
Arthritis
Arthritis
Arthritis
Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received.
Have you ever been diagnosed with arthritis (a disease of the joints)?
The point of this question is to identify individuals with a diagnosed case of arthritis.
Arthritis is a chronic inflammatory disease which affects joints and impairs their functioning. Swelling, redness, heat and pain are the signs of inflammation. There are different forms of arthritis and when diagnosis is made by a doctor or other medical professional the type of arthritis may be specified. However, it is unnecessary here to ask the respondent to remember the exact type of arthritis that was diagnosed. Because of the chronic nature of the condition (that is, because it lasts a long time), the respondent is given an open time frame for recalling the diagnosis. Probe if the respondent is unsure whether they have ever been afflicted with the condition. If the respondent seems not to understand the term "arthritis" explain that this is a disease of joints (such as in the arms, hands, legs or feet).
1197
3
1
Yes
5
No
8
Do not know
Sysmiss
Arthritis treated
Arthritis treated
Arthritis treated
Arthritis treated
Arthritis treated
Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received.
Have you ever been treated for it (referring to the disease asked about question Q6001)?
The purpose of this question is to find out if the respondent has been treated for disease referred to in the preceding question (arthritis). The information will help to identify which groups of persons are being underserved by the health care system. This question should be asked to all respondents, even if the response to the preceding question is negative. There could be situations when someone is treated without a definitive diagnosis. As in the case of the question about the diagnosis (6000), the respondent is given an open time frame for recall. The respondent may have had a diagnosis in the past and may have been treated for it. If so, the respondent may not have symptoms of the disease anymore. This is important to know in order to better understand the responses to the symptomatic questions in this section related to each particular condition.
1065
135
1
Yes
5
No
8
Do not know
Sysmiss
medication for arthritis
medication for arthritis
medication for arthritis
medication for arthritis
medication for arthritis
Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received.
Have you been taking any medication or other treatment for it (referring to the disease asked about in question Q6001) during the last two weeks?
The purpose of this question is to find out if the respondent is currently under treatment for arthritis. The question should be asked to all respondents, regardless of the answer to the preceding two questions about the diagnosis and past treatment. The question aims to separate those individuals who are under current treatment for a condition from those who are not being treated Note that the time frame for this question is specified as treatment in the last 2 weeks. This time frame is considered best for getting information about the ongoing or regular character of treatment. An answer of “yes” is appropriate only if the respondent was taking medications for arthritis at any time during the last two weeks, and not if the person says he or she usually takes medications but for some reason did not during the given period.
1041
159
1
Yes
5
No
8
Do not know
Sysmiss
pain, aching or stiffness
pain, aching or stiffness
pain, aching or stiffness
pain, aching or stiffness
pain, aching or stiffness
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
During the last 12 months, have you experienced pain, aching, stiffness or swelling in or around the joint, which were not related to an injury and lasted more than a month?
Pain, aching (continuos dull pain), stiffness (rigidity, firmness, and inflexibility) and swelling in the joint are most common and frequent symptoms of arthritis. It is possible that the same symptoms, but of a transitory character, may be caused by an injury. Therefore it is important to specify for the respondent that the question asks about the symptoms of a regular character (lasting for at least a month) and not related to an injury.
1198
2
1
Yes
5
No
Sysmiss
stiffness in joint in morning
stiffness in joint in morning
stiffness in joint in morning
stiffness in joint in morning
stiffness in joint in morning
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
During the last 12 months, have you experienced stiffness in the joint in the morning after getting up from bed or after a long rest of the joint without movement?
The point of this question is to determine if the respondent feels rigidity, firmness, and inflexibility in the joint after a long period of resting, which is very characteristic of osteoarthritis. If the respondent does not have stiffness skip the following two questions about the length of the stiffness and whether it is relieved with exercise and go to question 6007.
1175
25
1
Yes
5
No
Sysmiss
length of stiffness
length of stiffness
length of stiffness
length of stiffness
length of stiffness
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
How long does this stiffness last?
This question is only asked to respondents who answered yes to question 6004. The purpose is to differentiate stiffness caused by osteoarthritis from stiffness associated with other conditions. Stiffness associated with osteoarthritis usually disappears in about 30 minutes or less.
396
804
1
About 30 minutes or less
2
More than 30 minutes
Sysmiss
stiffness go away after exercise/movement
stiffness go away after exercise/movement
stiffness go away after exercise/movement
stiffness go away after exercise/movement
stiffness go away after exercise/movement
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
Does the stiffness go away after exercise or movement in the joint?
This question is only asked to respondents who answered yes to question 6004. The purpose is to differentiate stiffness from osteoarthritis from other types of stiffness. The interviewer should make sure that the respondent does not interpret the word "exercise" strictly as an intense work-out or training. The meaning of exercise here is broader and includes any movement, such as usual tasks and daily activities that involve movement. If the respondents seems unsure, or replies that he/she does not exercise, the interviewer should clarify that this refers to any kind of everyday physical activity.
399
801
1
Yes
5
No
Sysmiss
Back Pain
Back Pain
Back Pain
Back Pain
Back Pain
Have you experienced back pain (including disc problems) during the last 30 days?
The intention of this question is to identify people who have back pain that could be related either to osteoarthirits or other problems such as trauma and disc displacement in the spine. This question should be asked to everyone.
If no, go to Q6009.
1199
1
1
Yes
5
No
Sysmiss
How many days did you have back pain
How many days did you have back pain
How many days did you have back pain
How many days did you have back pain
How many days did you have back pain
How many days did you have this back pain during the last 30 days?
This question is only asked to respondents who reported experiencing back pain during the last 30 days. The intention is to distinguish a back pain caused by a mild temporary problem, such as muscle strain, from a more serious problem related to the disease of spine and the spine joints. Record the number of days (to a maximum of 30 days) as mentioned. The answer does not need to ascertain the exact amount of time (for example, if the respondent says they had back pain for about two weeks, record "14" days).
426
774
1
30
15.894
12.079
diagnosis of angina pectoris
diagnosis of angina pectoris
diagnosis of angina pectoris
diagnosis of angina pectoris
diagnosis of angina pectoris
Have you ever been diagnosed with angina or angina pectoris (a heart disease)?
This question serves to identify individuals with a diagnosed case of angina (also called angina pectoris or ischaemic hearth disease). Angina is a temporary pain in the chest that can radiate to other parts of the upper body, mainly to the left arm. Some persons with angina may experience increasingly severe episodes that can lead to a heart attack. Angina can be controlled by lifestyle changes, prescription drugs, or surgery. If the respondent does not understand the term “angina”, the interviewer may describe the condition as “heartrelated chest pain”.
As with any chronic condition - one that lasts a long time - the respondent is given an open time frame for recalling the diagnosis.
1198
2
1
Yes
5
No
8
Do not know
Sysmiss
Angina treated
Angina treated
Angina treated
Angina treated
Angina treated
Have you ever been treated for it (referring to the disease asked about in question Q6009)?
The purpose of this question is to find out if the respondent has been treated for disease referred to in the preceding question (angina). This question should to all respondents. In the case of the question about the diagnosis of the disease, the respondent is given an open time frame for recall. The respondent may have had a diagnosis in the past and may have been treated for it. If so, the respondent may not have symptoms of the disease
anymore. This is important to know in order to better understand the responses to the symptomatic questions in this section about angina.
1001
199
1
Yes
5
No
8
Do not know
Sysmiss
Medication or other treatment for angina
Medication or other treatment for angina
Medication or other treatment for angina
Medication or other treatment for angina
Medication or other treatment for angina
Have you been taking any medication or other treatment for it (referring to the disease asked about in question Q6009) during the last two weeks?
The purpose of this question is to find out if the respondent is currently under treatment for angina. The question should be asked to all respondents, regardless of the answer to the preceding two questions about diagnosis and past treatment. The question aims to separate those individuals who are under current treatment for a condition from those
who are not being treated. Note the time frame for this question (the last 2 weeks). An answer of “yes” is appropriate only if the respondent was taking medications for angina at any time during the last two weeks, and not if the person says he or she usually takes medications but for some reason did not during the given period.
978
222
1
Yes
5
No
8
Do not know
Sysmiss
Pain or discomfort in chest
Pain or discomfort in chest
Pain or discomfort in chest
Pain or discomfort in chest
Pain or discomfort in chest
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced pain or discomfort in your chest when you walk uphill or hurry?
Chest pain is the most frequent symptom of angina. It usually occurs during an increased physical activity (such as walking uphill, stairs, carrying heavy things, etc) when body needs more active blood circulation. This pain is referred to as “exertional” pain. Many patients do not have pain if they are resting or performing very mild physical activity. Such pain may be described in a number of different ways, such as a squeezing pain, squeezing pressure, tightness, ache or heaviness in the chest. The interviewer should probe with local terms to make sure to capture all unpleasant sensations that the respondent may have. If the respondent responds he/she never hurries or walks uphill (because of poor mobility or any other reason), then record “Never walks uphill or hurries”.
1183
17
1
Yes
5
No
9
Never walks uphill or hurries
Sysmiss
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced pain or discomfort in your chest when you walk at an ordinary pace on level ground?
If the respondent has neither exertional pain nor pain at rest or mild physical activity (questions Q6012 and Q6013), then questions Q6014, Q6015, and Q6016 should not be asked.
Some individuals who are suffering from angina pectoris may get chest pain not only during an increased physical activity but also at rest or a mild physical activity (such as walking at an ordinary pace on level ground, etc).
If Q6012 and Q6013 No: Go to Q6017.
1174
26
1
Yes
5
No
Sysmiss
what do you do when you get pain while walking
what do you do when you get pain while walking
what do you do when you get pain while walking
what do you do when you get pain while walking
what do you do when you get pain while walking
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
What do you do if you get the pain or discomfort when you are walking?
This question is only asked to respondents who answered yes to either question 6012 or 6013, that is reported experiencing chest pain in the last 12 months. The purpose is to distinguish the different types of chest pain. One of the characteristics of angina-related pain is that it decreases or disappears with lower levels of physical activity. Persons with angina tend to slow down or stop what they are doing to get rid of the pain. Another
option is to take a small white tablet that dissolves in the mouth and does not need to be swallowed (called nitro-glycerine). It is also possible that persons with chest pain will simply carry on with what they were doing, taking no specific action. The interviewer should read the three response options to the respondent and record the action taken most often.
168
1032
1
Stop or slow down
2
Carry on after taking a pain relieving medicine
3
Carry on
Sysmiss
if you stand still, what happens to pain
if you stand still, what happens to pain
if you stand still, what happens to pain
if you stand still, what happens to pain
if you stand still, what happens to pain
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
If you stand still, what happens to the pain or discomfort?
This question is only asked to respondents who answered yes to either question Q6012 or Q6013, that is reported experiencing chest pain in the last 12 months. The point is to find out what happens to the pain when the respondent reduces or stops physical activity. There are two response options for this question: "relieved" or "not relieved". The
interviewer should read out the two response options to the respondent. If the respondent says that the pain usually increases, the interviewer should record "not relieved".
170
1030
1
Relieved
2
Not relieved
Sysmiss
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
This question is only asked to respondents who answered yes to either question Q6012 or Q6013, that is reported experiencing chest pain in the last 12 months. The purpose is to determine the location of the pain and whether it is specific to angina. The interviewer should ask the respondent to show where the pain occurs on the body. Record “upper or middle chest” if the pain is shown in the area above or between the breasts for women, or equivalent area for men (sternum). Record “lower chest” if the pain is shown in the left area of the front chest below the breast/sternum. Other locations of pain may include the left arm, or any other area close to the chest indicated by the respondent. Record all areas
that the respondent mentions or shows.
158
1042
1
Yes
5
No
Sysmiss
location of pain (lower chest)
location of pain (lower chest)
location of pain (lower chest)
location of pain (lower chest)
location of pain (lower chest)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
This question is only asked to respondents who answered yes to either question Q6012 or Q6013, that is reported experiencing chest pain in the last 12 months. The purpose is to determine the location of the pain and whether it is specific to angina. The interviewer should ask the respondent to show where the pain occurs on the body. Record “upper or middle chest” if the pain is shown in the area above or between the breasts for women, or equivalent area for men (sternum). Record “lower chest” if the pain is shown in the left area of the front chest below the breast/sternum. Other locations of pain may include the left arm, or any other area close to the chest indicated by the respondent. Record all areas
that the respondent mentions or shows.
127
1073
1
Yes
5
No
Sysmiss
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
This question is only asked to respondents who answered yes to either question Q6012 or Q6013, that is reported experiencing chest pain in the last 12 months. The purpose is to determine the location of the pain and whether it is specific to angina. The interviewer should ask the respondent to show where the pain occurs on the body. Record “upper or middle chest” if the pain is shown in the area above or between the breasts for women, or equivalent area for men (sternum). Record “lower chest” if the pain is shown in the left area of the front chest below the breast/sternum. Other locations of pain may include the left arm, or any other area close to the chest indicated by the respondent. Record all areas
that the respondent mentions or shows.
122
1078
1
Yes
5
No
Sysmiss
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
This question is only asked to respondents who answered yes to either question Q6012 or Q6013, that is reported experiencing chest pain in the last 12 months. The purpose is to determine the location of the pain and whether it is specific to angina. The interviewer should ask the respondent to show where the pain occurs on the body. Record “upper or middle chest” if the pain is shown in the area above or between the breasts for women, or equivalent area for men (sternum). Record “lower chest” if the pain is shown in the left area of the front chest below the breast/sternum. Other locations of pain may include the left arm, or any other area close to the chest indicated by the respondent. Record all areas
that the respondent mentions or shows.
113
1087
1
Yes
5
No
Sysmiss
Asthma Diagnosed
Asthma Diagnosed
Asthma Diagnosed
Asthma Diagnosed
Asthma Diagnosed
Have you ever been diagnosed with asthma (an allergic respiratory disease)?
This question serves to identify individuals with a diagnosed case of asthma (sometimes called an allergic respiratory disease). Asthma is a condition that affects the airways (bronchi/bronchioles) – the small tubes that carry air in and out of the lungs. In asthma, the airways of the lungs become either narrowed or completely blocked, impeding normal breathing. This obstruction of the lungs is reversible, either spontaneously or with medication. Asthma can be very different from one person to another and from one episode (attack) to another. For some, asthma causes only mild symptoms once in a
while. For others, every day can be a struggle to breathe. Some asthma attacks last only a few minutes while others go on for days. Severity also varies, with some asthma attacks being only mild while others can quickly become life threatening.
Because of the chronic (or long-term) nature of the condition, the respondent is given an open time frame for having received the diagnosis. Probe if the respondent is unsure whether they have ever been afflicted with the condition. Record as response "yes" if they recall ever having been told by a health care provider of having asthma, or of ever having had respiratory problems which they were later told by a qualified health care provider as being asthmatic attacks.
1198
2
1
Yes
5
No
8
Do not know
Sysmiss
Asthma Treated
Asthma Treated
Asthma Treated
Asthma Treated
Asthma Treated
Have you ever been treated for it (referring to the disease asked about in Q6017)?
The purpose of this question is to find out if the respondent has ever been treated for asthma.
See the explanation for question Q6001.
1183
17
1
Yes
5
No
8
Do not know
Sysmiss
Medication or other treatment for asthma
Medication or other treatment for asthma
Medication or other treatment for asthma
Medication or other treatment for asthma
Medication or other treatment for asthma
Have you been taking any medications or other treatment for it (referring to the disease asked about in Q6017), during the last two weeks?
The purpose of this question is to find out if the respondent is currently under treatment for asthma. An answer of “yes” is appropriate only if the respondent was taking any prescription medications for asthma (including using an inhaler to promote opening of airways) during the last two weeks, and not if the person says he or she usually takes medications but for some reason did not during the given period.
See the explanation for question Q6002.
1183
17
1
Yes
5
No
8
Do not know
Sysmiss
wheezing or whistling breathing
wheezing or whistling breathing
wheezing or whistling breathing
wheezing or whistling breathing
wheezing or whistling breathing
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced attacks of wheezing or whistling breathing?
Wheezing is the most common symptom of asthma. Wheezing can be described as winded breathing, especially with a whistling or rattling or hissing sound as the person breathes out. The episode can last a few minutes or several hours.
1200
1
Yes
5
No
attack of wheezing after physical activity
attack of wheezing after physical activity
attack of wheezing after physical activity
attack of wheezing after physical activity
attack of wheezing after physical activity
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced an attack of wheezing that came on after you stopped exercising or some other physical activity?
The purpose of this question is to distinguish wheezing attacks due to asthma from other breathing problems. Very often wheezing occurs after physical activity among persons with asthma. The wheezing may go away when the person rests.
1189
11
1
Yes
5
No
Sysmiss
Tightness in chest
Tightness in chest
Tightness in chest
Tightness in chest
Tightness in chest
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced feeling of tightness in your chest?
Tightness in the chest can be described as a sensation as if a person’s lungs and other organs located in the chest were compressed, as if they could not fit in the chest. Feeling of tightness in the chest could precede an asthmatic attack.
1198
2
1
Yes
5
No
Sysmiss
tightness in chest upon waking
tightness in chest upon waking
tightness in chest upon waking
tightness in chest upon waking
tightness in chest upon waking
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you woken up with a feeling of tightness in your chest in the morning or at any other time?
The purpose of this question is to distinguish feeling of tightness in the chest caused by asthma from other types of health problems. The episode can last a few minutes or several hours. This question asks for specific reference to the time and the situation when the symptom occurs. It is characteristic for asthma to cause the feeling of tightness in the chest upon waking up.
1196
4
1
Yes
5
No
Sysmiss
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you had an attack of shortness of breath that came on without obvious cause when you were not exercising or doing some physical activity?
The purpose of this question is to distinguish problems with shortness of breath caused by asthma from other health conditions. It is important that the interviewer focuses on whether the onset of shortness of breath occurred while the person was at rest, without any obvious trigger.
1196
4
1
Yes
5
No
Sysmiss
diagnosis of depression
diagnosis of depression
diagnosis of depression
diagnosis of depression
diagnosis of depression
During the last 12 months, have you ever been diagnosed with depression?
This question serves to identify individuals with a diagnosed case of depression (mood disorder or anxiety). Although depression is common, it often goes undetected because it may be attributed to a person’s physical, social or economic difficulties. If left untreated, it can lead to a poor quality of life and even suicide. Treatments for depression can
include medication and counselling.
(See explanation for question Q6000.)
1196
4
1
Yes
5
No
8
Do not know
Sysmiss
Depression treated
Depression treated
Depression treated
Depression treated
Depression treated
During the last 12 months, have you ever been diagnosed with depression?
Have you ever been treated for it? (referring to condition asked in Q6025)
The purpose of this question is to find out if the respondent has ever been treated for depression.
See the explanation for question Q6001.
1047
153
1
Yes
5
No
8
Do not know
Sysmiss
medication for depression
medication for depression
medication for depression
medication for depression
medication for depression
During the last 12 months, have you ever been diagnosed with depression?
Have you been taking any medications or other treatment for it in the last two weeks?
The purpose of this question is to find out if the respondent is currently under treatment for depression. An answer of “yes” is appropriate only if the respondent was taking any medications for depression during the last two weeks, or received some other kind of treatment such as attending a psychological therapy or counselling session (often referred to as "therapy" or "psychotherapy") with a trained health professional during the last two
weeks.
See the explanation for question Q6002.
1038
162
1
Yes
5
No
8
Do not know
Sysmiss
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During last 12 months, have you had a period lasting several days when you felt sad, empty or depressed?
The emphasis is on a period that lasted several days (not just one or two days). The interviewer might need to prompt for a number of words that may be equivalent to the symptoms “sad, empty or depressed” – such as “blue”, “tearful”, “with no feelings inside”, “down in the dumps”, “low”, “rock bottom” or “gloomy”.
1195
5
1
Yes
5
No
8
Do not know
Sysmiss
period lasting several days when lost interest
period lasting several days when lost interest
period lasting several days when lost interest
period lasting several days when lost interest
period lasting several days when lost interest
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During last 12 months, have you had a period lasting several days when you lost interest in most things you usually enjoy such as hobbies, personal relationships or work?
The emphasis is on a period that lasted several days (not just one or two days), where the person lost interest and had no pleasurable feelings in things usually enjoyed.
1188
12
1
Yes
5
No
8
Do not know
Sysmiss
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During last 12 months, have you had a period lasting several days when you have been feeling your energy decreased or that you are tired all the time?
The emphasis is on a period that lasted several days (not just one or two days), where the person felt having had less energy than usual and experienced marked tiredness even after minimum effort.
If the answer to Q6028, Q6029, Q6030 is “no”, the interviewer may skip the following four questions and go to question 6035, with the understanding that Q6031-Q6034 will be not applicable or answer is the negative.
1186
14
1
Yes
5
No
8
Do not know
Sysmiss
depression more than two weeks
depression more than two weeks
depression more than two weeks
depression more than two weeks
depression more than two weeks
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Was this period [of sadness/loss of interest/low energy] more than 2 weeks?
The emphasis is on the period of having had the symptoms for 2 weeks or longer. The intent is to find out whether the period of low mood/energy was related to depression (still present after 2 weeks).
470
730
1
Yes
5
No
Sysmiss
depression most of the day nearly every day
depression most of the day nearly every day
depression most of the day nearly every day
depression most of the day nearly every day
depression most of the day nearly every day
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Was this period [of sadness/loss of interest/low energy] most of the day, nearly every day?
The emphasis is on the symptoms of low mood/energy being present for most of the day (not just one or two hours), and occurring nearly every day (not just one or two days) over an extended period.
473
727
1
Yes
5
No
Sysmiss
loss of appetite
loss of appetite
loss of appetite
loss of appetite
loss of appetite
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During this period, did you lose your appetite?
This question is only asked to those respondents who responded “yes” to having either of the symptoms described in Q6029 or Q6030 (loss of interest/low energy). This question seeks to determine whether the respondent had the symptom of much smaller appetite than usual, accompanied by low mood/energy. In many cases loss of appetite is usually accompanied by weight loss.
470
730
1
Yes
5
No
Sysmiss
slowing down in thinking
slowing down in thinking
slowing down in thinking
slowing down in thinking
slowing down in thinking
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During this period, did you notice any slowing down in your thinking?
This question is only asked to those respondents who responded “yes” to having either of the symptoms described in Q6029 or Q6030 (loss of interest/low energy). By slowing down we mean thoughts that are coming much more slowly than usual. The person needs more time to think, make decisions, making up his/her mind and react to events.
467
733
1
Yes
5
No
Sysmiss
When pelvic examination
When pelvic examination
When pelvic examination
When pelvic examination
When pelvic examination
When was the last time you had a pelvic examination? (By pelvic examination, I mean when a doctor or nurse examined your vagina?)
This question is only to be asked to women aged 18 to 69 years. The question has two purposes. First, it introduces the topic of cervical cancer screening with a more general aspect of reproductive health: when the respondent last had a pelvic examination. A woman can only have a PAP smear test within the context of a pelvic examination. Second, it filters out those respondents who either never had a pelvic examination, or only had it over 3 years ago. Only exams that took place within the past 3 years are of interest. The interviewer should ask how long ago the respondent last had a pelvic examination. If the respondent had a pelvic examination but does not remember when exactly the examination took place, the interviewer should probe for the approximate elapsed time since the last examination. Determine if the last exam was WITHIN THE LAST 3 YEARS.
If the respondent had an exam in the last 3 years, proceed to question Q6301. If the respondent did not have an exam in the last 3 years, go to question Q6302. If the respondent is unsure what is meant by a pelvic exam, it is important to read a
description to help her understand. Read the following (or similar) description: “A pelvic examination is when a doctor, nurse, or midwife examines the outside and inside of the vagina. It usually involves passing a speculum into the vagina. The speculum looks a little like a duck's bill and allows the doctor, nurse, or midwife to see inside. Usually the doctor, nurse, or midwife will feel inside the vagina.”
Questions to be asked to FEMALE respondents aged 18-69 only
609
591
1
Within the last 3 years
2
4-5 years ago
3
More than 5 years ago
5
NEVER HAD EXAM
8
Do not know
Sysmiss
Last time PAP smear test
Last time PAP smear test
Last time PAP smear test
Last time PAP smear test
Last time PAP smear test
The last time you had the pelvic examination, did you have a PAP smear test? (By PAP smear test, I mean did a doctor or nurse use a swab or stick to wipe from inside your vagina, take a sample and send it to a laboratory?)
This question is only asked to women aged 18-69 who reported having had a pelvic examination in the last 3 years. The purpose is to identify those respondents who had a PAP smear test. If the respondent is unsure what is meant by PAP smear test, read the following description: “A PAP smear test is when a medical professional uses a swab or stick to wipe cells off from the cervix, the opening lining of the womb (uterus). These cells are then sent to a lab and evaluated to determine if the cells are abnormal. The test is used to screen for cervical cancer at an early stage, but can detect other gynaecologic problems as well.”
Questions to be asked to FEMALE respondents aged 18-69 only
376
824
1
Yes
5
No
8
Do not know
Sysmiss
Last time mammography
Last time mammography
Last time mammography
Last time mammography
Last time mammography
When was the last time you had a mammography, if ever? (This is an x-ray of your breasts to detect breast cancer at an early stage).
This question is only to be asked to women aged 40 to 69 years. The purpose is to identify when was the last time the respondent had a mammography. Read the following description(s) if the respondent does not understand what is meant by
mammography: “A mammography is a special x-ray of the breasts. It involves standing in front of a machine where each breast is placed between two plastic plates. The plates come together, pressing on the breast to make it as flat as possible. This procedure allows for lumps to be detected by the x-ray, to help detect breast cancer at an early stage.”
Questions to be asked to FEMALE respondents aged 18-69 only
303
897
1
Within the last 3 years
2
4-5 years ago
3
more than 5 years ago
5
Never had exam
8
Do not know
Sysmiss
Problem with mouth/teeth
Problem with mouth/teeth
Problem with mouth/teeth
Problem with mouth/teeth
Problem with mouth/teeth
Now I would like to ask you some questions about the condition of your mouth and teeth.
During the last 12 months, did you have any problems with your mouth and/or teeth?
This question aims to identify those respondents who had any problems with their teeth and/or mouth in the last 12 months. Oral health problems can have negatively affects on people's nutrition and general health. If the respondent indicates not having had any problems in the last 12 months, record “no” and Go to question Q6757.
1199
1
1
Yes
5
No
Sysmiss
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
Now I would like to ask you some questions about the condition of your mouth and teeth.
During the last 12 months, did you receive medical care or treatment from a dentist or other oral health specialist for this problem with your mouth and/or teeth?
This question is only asked to respondents who reporting having had an oral health problem in the last 12 months.
The purpose is to determine if respondents who had such problems received medical care or treatment for their problem. Only treatment or care from a dentist or other health professional is of interest. If the respondent did not receive any treatment, or only had self-treatment or care from a traditional or faith healer, record “no” and Go to question Q6757.
323
877
1
Yes
5
No
Sysmiss
medication
medication
medication
medication
medication
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any medication.
This set of questions (Q6752-Q6756) is only asked to respondents who reported having had oral health problems and having received professional care in the last 12 months. The purpose is to determine what type(s) of treatment or care were received. Read the response options and record all the types of care mentioned. A response of “yes” to “medications” is appropriate if the respondent took any type of pill, syrup or other medicine prescribed by an oral health professional in the last 12 months to treat a problem of the mouth, teeth, tongue or gums. If the respondent is not sure what is meant by “dentures or bridges”, describe them as “full or partial implants for replacing missing teeth”. Descriptions of “dental work or oral surgery” could include “special cleaning of your teeth by a dentist or dental hygienist, filling of dental caries, tooth extraction, or any other surgery of the mouth”. If a type of treatment received falls under a different category not listed here, record “other” and write down what the respondent mentioned.
241
959
1
Yes
5
No
Sysmiss
Dental work
Dental work
Dental work
Dental work
Dental work
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any dental work or oral surgery.
This set of questions (Q6752-Q6756) is only asked to respondents who reported having had oral health problems and having received professional care in the last 12 months. The purpose is to determine what type(s) of treatment or care were received. Read the response options and record all the types of care mentioned. A response of “yes” to “medications” is appropriate if the respondent took any type of pill, syrup or other medicine prescribed by an oral health professional in the last 12 months to treat a problem of the mouth, teeth, tongue or gums. If the respondent is not sure what is meant by “dentures or bridges”, describe them as “full or partial implants for replacing missing teeth”. Descriptions of “dental work or oral surgery” could include “special cleaning of your teeth by a dentist or dental hygienist, filling of dental caries, tooth extraction, or any other surgery of the mouth”. If a type of treatment received falls under a different category not listed here, record “other” and write down what the respondent mentioned.
248
952
1
Yes
5
No
Sysmiss
Dentures or bridges
Dentures or bridges
Dentures or bridges
Dentures or bridges
Dentures or bridges
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any dentures or bridges.
This set of questions (Q6752-Q6756) is only asked to respondents who reported having had oral health problems and having received professional care in the last 12 months. The purpose is to determine what type(s) of treatment or care were received. Read the response options and record all the types of care mentioned. A response of “yes” to “medications” is appropriate if the respondent took any type of pill, syrup or other medicine prescribed by an oral health professional in the last 12 months to treat a problem of the mouth, teeth, tongue or gums. If the respondent is not sure what is meant by “dentures or bridges”, describe them as “full or partial implants for replacing missing teeth”. Descriptions of “dental work or oral surgery” could include “special cleaning of your teeth by a dentist or dental hygienist, filling of dental caries, tooth extraction, or any other surgery of the mouth”. If a type of treatment received falls under a different category not listed here, record “other” and write down what the respondent mentioned.
238
962
1
Yes
5
No
Sysmiss
Counseling
Counseling
Counseling
Counseling
Counseling
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any information or conseling on dental care/oral hygiene.
This set of questions (Q6752-Q6756) is only asked to respondents who reported having had oral health problems and having received professional care in the last 12 months. The purpose is to determine what type(s) of treatment or care were received. Read the response options and record all the types of care mentioned. A response of “yes” to “medications” is appropriate if the respondent took any type of pill, syrup or other medicine prescribed by an oral health professional in the last 12 months to treat a problem of the mouth, teeth, tongue or gums. If the respondent is not sure what is meant by “dentures or bridges”, describe them as “full or partial implants for replacing missing teeth”. Descriptions of “dental work or oral surgery” could include “special cleaning of your teeth by a dentist or dental hygienist, filling of dental caries, tooth extraction, or any other surgery of the mouth”. If a type of treatment received falls under a different category not listed here, record “other” and write down what the respondent mentioned.
236
964
1
Yes
5
No
Sysmiss
other
other
other
other
other
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any others not already mentioned.
This set of questions (Q6752-Q6756) is only asked to respondents who reported having had oral health problems and having received professional care in the last 12 months. The purpose is to determine what type(s) of treatment or care were received. Read the response options and record all the types of care mentioned. A response of “yes” to “medications” is appropriate if the respondent took any type of pill, syrup or other medicine prescribed by an oral health professional in the last 12 months to treat a problem of the mouth, teeth, tongue or gums. If the respondent is not sure what is meant by “dentures or bridges”, describe them as “full or partial implants for replacing missing teeth”. Descriptions of “dental work or oral surgery” could include “special cleaning of your teeth by a dentist or dental hygienist, filling of dental caries, tooth extraction, or any other surgery of the mouth”. If a type of treatment received falls under a different category not listed here, record “other” and write down what the respondent mentioned.
215
985
1
Yes
5
No
Sysmiss
Q6756 specify
Q6756 specify
Q6756 specify
Q6756 specify
Q6756 specify
What type of care or treatment did you receive for this problem with your mouth and/or teeth?
This set of questions (Q6752-Q6756) is only asked to respondents who reported having had oral health problems and having received professional care in the last 12 months. The purpose is to determine what type(s) of treatment or care were received. Read the response options and record all the types of care mentioned. A response of “yes” to “medications” is appropriate if the respondent took any type of pill, syrup or other medicine prescribed by an oral health professional in the last 12 months to treat a problem of the mouth, teeth, tongue or gums. If the respondent is not sure what is meant by “dentures or bridges”, describe them as “full or partial implants for replacing missing teeth”. Descriptions of “dental work or oral surgery” could include “special cleaning of your teeth by a dentist or dental hygienist, filling of dental caries, tooth extraction, or any other surgery of the mouth”. If a type of treatment received falls under a different category not listed here, record “other” and write down what the respondent mentioned.
1195
2 teeth capped and a filling
8 Teeth Drawn
9
Anti-biotics for Gum infection
CLEAN AND REMOVING TEETH
CLEAN TEETH
Check up
Check up, scale and polish
Cleaning and checking
Cleaning, every 3 months
Cordisol
EXTRACTION
Exam scale and polish
Extraction
Routine Check up
SCALE & POLISH EXAMINATION
SCRAPE AND POLISH
Tooth out
Tooth out and some fillings
awaiting results of tests
check up
clean and polish
crown dentures
dental filling
fillings
mouthwash for gum disease
orthodontist
scale & polish
scaling
lost all of natural teeth
lost all of natural teeth
lost all of natural teeth
lost all of natural teeth
lost all of natural teeth
Have you lost all of your natural teeth?
The question serves to identify people who are suffering from edentulism (who are missing all of their teeth), a particularly debilitating oral disease. If left untreated, edentulism can lead to the shrinking and loss of jawbone. Record a response of “yes” only if the respondent has lost all of their natural teeth, and not just some or most of them.
1198
2
1
Yes
5
No
Sysmiss
Time end section 6000
Time end section 6000
Time end section 6000
Time end section 6000
Time end section 6000
1179
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Time begin section 7000
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Time begin section 7000
Time begin section 7000
Time begin section 7000
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last time needed health care
last time needed health care
last time needed health care
last time needed health care
last time needed health care
When was the last time that either you as an adult, or a child of yours aged 12 years or less, needed health care?
- in the last 30 days
- between 1 month and less than 1 year ago
- between 1 year and less than 2 years ago
- between 2 years and less than 3 years ago
- between 3 years and less than 5 years ago
- more than 5 years ago
- Never needed – Skip to 7020
For this question, it is important to get the last eligible person who needed health care. An eligible person is the respondent itself or one of his/her children aged 12 years or less.
Stop reading further as soon as the respondent has selected one. If an adult went for health care at the same time as for his/her children, focus on the adult's experience. If the adult accompanied more than one child, focus on the YOUNGEST child.]
If never needed: Go to Q7020
1199
1
1
In the last 30 days
2
Between 1 month and less than 1 year ago
3
Between 1 year and less than 2 years ago
4
Between 2 years and less than 3 years ago
5
Between 3 years and less than 5 years ago
6
More than 5 years ago
7
Never needed
Sysmiss
Need for health Care
Need for health Care
Need for health Care
Need for health Care
Need for health Care
Was the last need for health care for you or for your child?
- Yourself
- Your child
1076
124
1
Yourself
2
Your child
Sysmiss
Availability of health care providers
Availability of health care providers
Availability of health care providers
Availability of health care providers
Availability of health care providers
Thinking of the last time you [your child] needed to see a health care provider who could treat your condition, how many were there around who you could chose from?
Record number.
The purpose of this question is to find out, from the respondent’s point of view, the number of health care providers who could have treated the respondent’s last condition ignoring any financial, legal/administrative or other barriers. The respondent subjectively defines who s/he would include as being ‘around’.
959
241
1
50
3.293
2.926
1
2
3
4
5
6
7
8
9
10
11
12
14
15
16
50
Sysmiss
Why was health care needed?
Why was health care needed?
Why was health care needed?
Why was health care needed?
Why was health care needed?
Which reason best describes why you [your child] last needed health care?
- High fever, severe diarrhoea, or cough
- Immunization
- Antenatal consultation
- Family planning
- Childbirth
- Dental care
- Arthritis
- Asthma
- Heart disease
- Bodily injury
- Minor surgery
- Other
The respondent must choose only one category.
1200
1
High fever, severe diarrhea, or cough
2
Immunization
3
Antenatal consultation
4
Family planning
5
Childbirth
6
Dental care
7
Arthritis
8
Asthma
9
Heart disease
10
Bodily injury
11
Minor surgery
12
Other
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you [your child] needed health care, did you get health care?
- Yes - SKIP TO Q7016
- No
1076
124
1
Yes
5
No
Sysmiss
Could not afford it
Could not afford it
Could not afford it
Could not afford it
Could not afford it
Which reasons best explain why you [your child] did not get
health care? Could not afford the cost of the visit.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
8
1192
1
Yes
5
No
Sysmiss
No transport
No transport
No transport
No transport
No transport
Which reasons best explain why you [your child] did not get
health care? No transport.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
8
1192
1
Yes
5
No
Sysmiss
Could not afford cost of transport
Could not afford cost of transport
Could not afford cost of transport
Could not afford cost of transport
Could not afford cost of transport
Which reasons best explain why you [your child] did not get
health care? Could not afford the cost of transport.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
8
1192
1
Yes
5
No
Sysmiss
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Which reasons best explain why you [your child] did not get
health care? The health care provider's drugs or equipment are inadequate.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
8
1192
1
Yes
5
No
Sysmiss
Inadequate skills
Inadequate skills
Inadequate skills
Inadequate skills
Inadequate skills
Which reasons best explain why you [your child] did not get
health care? The health care provider's skills are inadequate.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
8
1192
1
Yes
5
No
Sysmiss
Previous bad treatment
Previous bad treatment
Previous bad treatment
Previous bad treatment
Previous bad treatment
Which reasons best explain why you [your child] did not get
health care?You were previously badly treated.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
8
1192
1
Yes
5
No
Sysmiss
Had other commitments
Had other commitments
Had other commitments
Had other commitments
Had other commitments
Which reasons best explain why you [your child] did not get
health care? Could not take time off work or had other commitments.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
8
1192
1
Yes
5
No
Sysmiss
Did not know where to go
Did not know where to go
Did not know where to go
Did not know where to go
Did not know where to go
Which reasons best explain why you [your child] did not get
health care? You did not know where to go.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
8
1192
1
Yes
5
No
Sysmiss
Thought you were not sick enough
Thought you were not sick enough
Thought you were not sick enough
Thought you were not sick enough
Thought you were not sick enough
Which reasons best explain why you [your child] did not get
health care? You thought you were not sick enough.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
8
1192
1
Yes
5
No
Sysmiss
You were denied health care
You were denied health care
You were denied health care
You were denied health care
You were denied health care
Which reasons best explain why you [your child] did not get
health care? You tried but were denied health care.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
8
1192
1
Yes
5
No
Sysmiss
Other
Other
Other
Other
Other
Which reasons best explain why you [your child] did not get
health care? Other.
The purpose of this question is to find out whether the respondent ever wanted to get health care but did not do so and why this was the case. The interviewer should read each of the items on the list and get the respondent to answer yes or no to each item. Then skip to question Q7020.
8
1192
1
Yes
5
No
Sysmiss
Where did you get care?
Where did you get care?
Where did you get care?
Where did you get care?
Where did you get care?
When you last needed health care, where did you get care?
- At a health care provider, excluding an overnight stay in hospital
- At a hospital where you stayed overnight
- At home
By health care provider, we mean any of the following types of professionals at a facility operated by the government, private sector, or religious or non-governmental groups:
- Medical doctor (including gynaecologist, psychiatrist and other specialists)
- Nurse
- Midwife
- Dentist
- Physiotherapist or chiropractor
- Traditional medicine practitioner
- Other
1052
148
1
At a health care provider,
2
At a hospital where you stayed overnight
3
At home
Sysmiss
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
In general, would you say you are very satisfied, fairly satisfied, neither satisfied nor dissatisfied, fairly dissatisfied or very dissatisfied with the way health care runs in your country.
We are asking the respondent to give a report of their overall level of satisfaction with the state of health care in their country.
1185
15
1
Very satisfied
2
Fairly satisfied
3
Neither satisfied or dissatisfied
4
Fairly dissatisfied
5
Very dissatisfied
Sysmiss
Providing help
Providing help
Providing help
Providing help
Providing help
During the past year, did you provide help to a relative or friend (adult or child), because this person has a long-term physical or mental illness or disability or is getting old and weak?
- Yes, for a person living in the same household
- Yes, for a person living in a separate household
- No
The purpose of this question is to find out whether the respondent is involved in caring
for family members, relatives or friends in an informal capacity (without pay) over some
extended period of time. The person in question might be in the respondent’s household or they might be in another household. The nature of the help that is provided to the
person encompasses a broad range of activities (described more fully below). These activities may include bathing, feeding, household chores, assistance with transport, etc., to mention but a few activities (SEE BELOW).
1200
1
Yes, for a person living in the same household
2
Yes, for a person living in a separate household
5
No
Payment exemptions
Payment exemptions
Payment exemptions
Payment exemptions
Payment exemptions
In your dealings with private health care organizations or the government, have you ever had any difficulties: Obtaining payment exemptions or the right to special rates for health care?
These questions (Q7028-Q7031) are aimed at finding out how many administrative problems people face when using or trying to use the health system. Some of these problems might arise when coming into contact directly with health care providers (e.g. some hospitals assess your income before deciding to charge you a certain rate), or the problems might arise when a person has or tries to get insurance. The option of “not applicable” is included as the respondents might not have had some of the described experiences.
908
292
1
Yes
5
No
9
Not applicable
Sysmiss
Health insurance
Health insurance
Health insurance
Health insurance
Health insurance
In your dealings with private health care organizations or the government, have you ever had any difficulties: Completing or filling out applications for health insurance?
These questions (Q7028-Q7031) are aimed at finding out how many administrative problems people face when using or trying to use the health system. Some of these problems might arise when coming into contact directly with health care providers (e.g. some hospitals assess your income before deciding to charge you a certain rate), or the problems might arise when a person has or tries to get insurance. The option of “not applicable” is included as the respondents might not have had some of the described experiences.
824
376
1
Yes
5
No
9
Not applicable
Sysmiss
Benefits from health insurance
Benefits from health insurance
Benefits from health insurance
Benefits from health insurance
Benefits from health insurance
In your dealings with private health care organizations or the government, have you ever had any difficulties: Finding out what benefits you are entitled to from your health insurance?
These questions (Q7028-Q7031) are aimed at finding out how many administrative problems people face when using or trying to use the health system. Some of these problems might arise when coming into contact directly with health care providers (e.g. some hospitals assess your income before deciding to charge you a certain rate), or the problems might arise when a person has or tries to get insurance. The option of “not applicable” is included as the respondents might not have had some of the described experiences.
820
380
1
Yes
5
No
9
Not applicable
Sysmiss
Reimbursement from health insurance
Reimbursement from health insurance
Reimbursement from health insurance
Reimbursement from health insurance
Reimbursement from health insurance
In your dealings with private health care organizations or the government, have you ever had any difficulties: Getting reimbursements from health insurance organizations?
These questions (Q7028-Q7031) are aimed at finding out how many administrative problems people face when using or trying to use the health system. Some of these problems might arise when coming into contact directly with health care providers (e.g. some hospitals assess your income before deciding to charge you a certain rate), or the problems might arise when a person has or tries to get insurance. The option of “not applicable” is included as the respondents might not have had some of the described experiences.
769
431
1
Yes
5
No
9
Not applicable
Sysmiss
Overnight stay in hospital
Overnight stay in hospital
Overnight stay in hospital
Overnight stay in hospital
Overnight stay in hospital
Over the last 5 years, was there ever a time you stayed overnight in a hospital or other type of long term care facility for your own health care?
This question asks people about staying overnight for their own medical needs. If they stayed overnight when visiting someone in hospital or because a child of theirs was in hospital they should answer NO to this question.
If Yes, Go to Q7400
1199
1
1
Yes - a hospital
2
Yes - long term care facility
5
No
Sysmiss
Child stayed overnight at hospital
Child stayed overnight at hospital
Child stayed overnight at hospital
Child stayed overnight at hospital
Child stayed overnight at hospital
Over the last 5 years, was there ever a time that one of your children aged 12 years or less stayed overnight in a hospital (for his/her own health care)?
If the person has more than one child, ask for sex and age of the child that had the last visit. If several children were seen at the same time, focus on the YOUNGEST child.]
If the respondent has not him/herself had a direct experience related to his/her health care, he/she can be asked questions about any children he/she accompanied to hospitals.
The maximum age of these children at the time of accompanying him/her should be 12 years old or younger.
If No, Go to Q7204
158
1042
1
Yes
5
No
Sysmiss
Sex of the child
Sex of the child
Sex of the child
Sex of the child
Sex of the child
What is the sex of the child?
40
1160
1
Female
2
Male
Sysmiss
date of birth of the child
date of birth of the child
date of birth of the child
date of birth of the child
date of birth of the child
What is the date of birth of the child?
The month and the year of birth are sufficient for this question.
Go to Q7400
40
01/1991
01/1993
01/1996
01/1998
01/1999
01/2002
01/2004
02/1996
02/1997
02/2004
03/1991
03/1993
03/1994
03/1999
03/2001
04/1994
04/1997
04/2003
05/1991
05/1995
05/1999
06/1998
06/2000
07/1995
07/8888
08/1998
09/1996
09/1998
10/2001
10/2002
11/1992
11/2000
11/2001
12/1991
12/1999
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Over the last 12 months, did you receive any health care other than an overnight stay in a hospital?
This question refers to any other type of medical or health care the respondent might have had in the last 12 months. The types of people they might have seen include Medical doctor (including gynaecologist, psychiatrist and other specialists), Nurse, Midwife, Dentist, Physiotherapist or chiropractor, Traditional medicine practitioner, to mention the most common types of health care providers.
If Yes, Go to Q7300
729
471
1
Yes
5
No
Sysmiss
Child receive health care (outpatient)
Child receive health care (outpatient)
Child receive health care (outpatient)
Child receive health care (outpatient)
Child receive health care (outpatient)
Over the last 12 months was there ever a time you accompanied one of your children aged 12 years or less for health care (other than an overnight stay in a hospital)?
If the person has more than one child, ask for sex and age of the child that had the last visit. If several children were seen at the same time, focus on the
YOUNGEST child.]
If the respondent has not him/herself had a direct experience related to his/her health care at an outpatient facility or at his/her home (e.g. a doctor visiting them at his/her home), he/she can be asked questions about any children he/she accompanied to health care providers. The maximum age of this child at the time of accompanying him/her should be not more than 12 years old.
If No, Go to Q8000
1
1199
1
Yes
5
No
Sysmiss
Sex of Child
Sex of Child
Sex of Child
Sex of Child
Sex of Child
What is the sex of the child?
14
1186
1
Female
2
Male
Sysmiss
Date of birth of child
Date of birth of child
Date of birth of child
Date of birth of child
Date of birth of child
What is the date of birth of the child?
13
01/2003
04/1993
04/1994
04/1997
06/1992
07/2001
09/2000
11/1992
11/1993
11/2001
12/1992
12/1998
Name of last health care provider visited
Name of last health care provider visited
Name of last health care provider visited
Name of last health care provider visited
Name of last health care provider visited
What was the name of the last health care provider you used in the last 12 months?
For this question, the interviewer has to try to get the name of the clinic, or the office. If this is not possible, the interviewer should get the name of the health care provider. If the respondent was visited at home, then they should write "home visit".
1200
(GP) Burgess Rd Clinic
190 UPPINGHAM ROAD LEICESTER DR JONES
8
8Dr Cambell
9
ABBEYDALE MEDICAL CENTRE
ABBOTTS WOOD ROAD SURGERY
ALBANY ROAD HEALTH CENTRE
Abbey Lane Surgery Dr Davis
Academy Street, Hurlford.
Alexander House, Liverpool Road, Platt Bridge
Alscott Road Fazakerley Doctor's Surgery
Anglo chiropracter college, Boscombe nr Bournemouth
Appleton
Ashfield Dental Practice
Autumn Bank Health Centre
BOOTS ILFORD
BRIDGE HOUSE MEDICAL CENTRE
BROCKWORTH SURGERY
BRYNHYFFRYD DENTAL CENTRE SWANSEA
BUCKLAND HOSPITAL DOVER
Bedford Hospital
Bedford Hospital England
Bentham Surgery
Berwick Rd
Bideford medical centre
Birthley Health Centre
Birthley Health Clinic
Birthley Medical Centre
Birthloy Medical centre
Blantyre Health Centre
Blomfield Centre, Leeds
Bluth Health Centre
Bluth health Centre
Bolton Rd Health Centre
Boots Optician, Hounslow
Brentford Health Care
Brook Medical Centre
Buckland Hospital.
Burgess Rd Surgery Swaythling Soton
CARDIFF HOSPITAL
CHELL HEALTH CENTER
CHESTERTON SURGERY
CLARENCE ROAD SURGERY
CORNARD SURGERY
Caludon Centre, Walsgrave Hospital.
Can`t remember
Carnoustie health centre
Casualty, Singleton Hospital
Central Middlesex
Chow Dental Practise, Liverpool 2
Claremont Grove Exmouth
Claremont Grove Surgery
Claremont Medical Practice, Claremont Grove, Exmouth
Clifton Road Surgery, Rugby
Clifton Surgery
Clofton Rd Surgery, Rugby
Cofton Health Centre
Corverways Surgery, Ringwood
Coventry + warwick hospital
Cowplain Surgery
Crimmond Health Centre
Crimmond Medical Centre
Croft Sugery
DR Atherton, Park Road, St Annes.
DR WHORTON B WOOD HEALTH CENTRE
Darlignton Memorial hospital
Dartford West
Dartford, Westhill Health Centre
Dentist
Dentist East ham (High St North Centre)
Dentist in Stopsley Luton
Dentist in Wing street Luton
Doctor
Doctor Hamilton Kirk Hallom Surgery
Doctor Lumb Scarborough
Doctors
Donivon and Mystery Gladstone House Tileston
Dr Ansari
Dr Bakshi
Dr Barrett Almer Rd Surgery Romsey
Dr Basisham
Dr Downe Little Wickching
Dr Downs, Littlewick Centre.
Dr Ford, Southway Surgery
Dr Gavin Alma Rd Romsey
Dr Goodall surgery, Bedford Place
Dr Kelly Kirk Hallam Ilkeston
Dr King C/R Place
Dr Miller. Health Centre, White Loin Square, Ilkesto
Dr Peraro Keresley Rd Coventry
Dr Reid, Postern Gate
Dr Saleem, B'wood Health Centre
Dr Schofield Health Centre Flemming Dv North Baddesl
Dr Singh
Dr Thornton Carnoustie Health Centre
Dr Webb, Health Centre, Ilkeston.
E12 Health Centre
East Hill Health centre
Exeter Road Exmouth
FOX HILL MEDICAL CENTRE
FOXHILL MEDICAL CENTRE HALIFAX ROAD SHEFFIELD
Firmill Medical Centre
Fox Hill Medical Centre.
Friarage Hospital, Northallerton
Furlong Surgery
GLANGWILLI HOSPITAL CARDIFF
GP
GP Dr IA Moghal
GRAHAME ROAD SURGERY
GREENHILLS HEALTH CENTRE
GT CORNARD SURGERY
General Hospital A&E
Gladstone House, Ilkeston
Glasstone House, Ilkeston.
Glenfield Hospital
Grahame Medical Centre, Falkirk.
Grames Medical Centre, Falkirk.
Gt Cornard Surgery
HALIFAX ROAD MEDICAL CENTRE SHEFFIELD
HRT CLINIC OF SOUTHEND HOSPITAL
HUNTER HEALTH CENTRE
Hafod Surgery
Halewood Health Centre
Hall Green Surgery
Hardwick House
Harlow Hospital
Hartcliffe Health Centre Hareclive Road
Haywood Hospital Stoke on Trent
Health Centre
Hillview Family Practice
Holden House Surgery, Imperial Road, Exmouth
Home visit
Horsforth healt centre
Hounslow Road Dentist
Howberry Place
Hunter Health Centre
Hurlford Health Centre
Imperial Road Surgery
In China
J Hodson + Patners
King George Barley Lane
King George`s Hospital
King Street Surgery
Kirk Hallam Surgery
Kirk Hallam Surgery.
Lansburn Health Centre
Lavender Grove Surgery
Little Medical Centre
Little Wick Centre
Little Wick Surgery
Littlewick Surgery, Noltm Road, Ilkeston.
Local Dr's Surgery
Local GP
Local Surgery
London Road Health Centre, Bedford.
London Road Surgery
Long Melford Practice
Lowfield Medical Centre
Luton & Dunster Hospital Beds
MANOR HOSPITAL
MINSTER ROAD SURGERY
MR S C HUTCHINGS DENTAL SURGERY 27 HIGH STREET CHASE
Maningside Health Practice
Manor Road Dental Surgery
Manor Road Surgery
Mayday Hospital
Mayday Hospital, Croydon
Mayfair Hospital
Medical Centre, Ince
Moorcroft Health Centre
Moorcroft Surgery
Moorcroft Surgery, King Lane, LS17
Mosborough Medical Centre
Mr Tannerhill Dentist
Murray Surgery
NEWHAM GENERAL HOSPITAL
NICKWRIGHT (OESTEOPATH)CLIFTON RUGBY
NORTH STAFFS OR CITY GENERAL
NUFFIELD HOSPITAL TRUST
New Croft surgery
Northam Medical Centre
Northam health centre
Nottingham City Hospital
Nursery Lane Dental Practice
Orchard Dental Clinic
Orchid House Surgery Ferndown Dorset
Orient Road Surgery
Otley Hospital
Pany Ford West
Park St Surgery
Penylan Health Clinic
Peterhead Casulty Hospital
Peterhead Health Centre
Platt House Surgery Warrington Rd Wigan
Platt House Warrington Road Wigan
Polwarth Surgery
Polworth Surgery
Portchester Medical Centre
Postengate
Postengate Surgery
Postern Gate Surgery
Postern gate
Posterngate Surgery
Providence Surgery
QUINTON ESTATE HEALTH CENTRE GT WYRLEY
RUCHBOTTOM LANE GROUP PRACTICE
RUSHBOTTOM LANE SURGERY
RVI Dental Hospital
Raleigh Surgery
Redcar Health Centre
Riverdale
Rothwell Surgery
Royal Berks Hospital
Royal Hospital St Pauls Eye Unit
Royal Infirmary
Royal Liverpool Hospital
Royal South Hants
Royal Sussex Hospital
Rycroft Surgery Newcastle-Under-Lyme
SIAM SURGERY
SOUTHEND HOSPITAL CLINIC
Sandgate Road Surgery, Folkstone, Kent.
Scarborough Hospital
Selsdon Park surgery
Settle Health Centre
Sighthill
Silver Lane Surgery
Silverlane Surgery
Sir Robert Peel Hospital, Tamworth.
Smallthorne Health Centre
Southernhay (Exeter) dental surgery
St Albans Medical Centre
St MAry's Hospital Oncology
Station Road Surgery, West Whickham
Stocking & Partner health centre
Strawberry Place Practice
Student Health Centre Edinburgh
Surgery down the road
T. Win, SPring Park Surgery
TRAFALGAR MEDICAL CENTRE HALIFAX ROAD SHEFFIELD
TRAMWAYS HOLME LANE SHEFFIELD
Telephone conversation with doctor
The Common Surgery Sandbach
The Croft surgery
The Limes M/C, Narborough
The Lister Hospital
The Rolle Medical Practice, Exmouth
Tudor Lodge Surgery
UNIVERSITY OF WALES HOSPITAL HEATH CARDIFF
UPPER POPPLETON H/CENTRE YORK DISTRICT HOSPITAL
University Surgery
University Health Care Centre
Uppingham Road Clinic
Uppingham Road HC
Victoria Hospital
Victoria Road Surgery
Village Surgery Ashcroft Rd Luton beds
WADSLEY BRIDGE M C HALIFAX ROAD SHEFFIELD
WEST DARTFORD SURGERY SHEPHERDS LANE
Walker Terrace Dr Iman
Wardls Lane Health Centre
Waterlooville health centre
West Mid Clinic
Westhill Health Centre
Westlands Grove Medical Centre
Westlands Medical Centre
Westmore
Wetmore Road Practice
Wexham Hospital, Slough.
Whitchurch Health Centre Bristol
White Lion Health Centre
Wigan Infirmary
Wigmore Lane Health Centre, Wigmore Lane Luton
Willowbrok Health Centre
Willowbrook health Clinic
Woodbury Surgery Woodbury Exeter
Wouda Surgery, Bideford
bARTON dENTAL sURGERY bEDS
bennendon, kent
bridge house medical centre
budleigh salterton medical centre
camelon practice baird st
central surgery, rugby
clairemont
dartford health clinic
dartford west
dartford westmill
doctor
doctors
doctors surgery verwood
dr abbot
dr abbott
dr choppa gp surgery dubrobin street longton stoke
dr miller
dr surim meir park surgery stoke ST3
dr thomas
exmouth doctors practice
exmouth health centre
exmouth health centre claremont grove exmouth
gp
gp doctor ashcroft dk surgery name
graeme medical centre falkirk
greenhill medical centre
haldon house surgery
hartcliffe health centre
health centre dartford east
hill lane surgery soton
imperial road surgery
king george hospital redbridge
lewisham
miller st newcastle gp surgery
newark rd surgery
nhs
north rd cardiff gp practice
pencester surgery, dover
portchester health centre
puckeridge health centre
rollie health contre
silver lane surgery
silverlane surgery
sketty rd surgery
university hospital Aintree Liverpool
victoria hospital
wallace medical centre
westlands health centre
westlands medical centre
wigan med centre
wigan medical centre
withershare hospital
woolton village health centre
Most often visited facility run by whom
Most often visited facility run by whom
Most often visited facility run by whom
Most often visited facility run by whom
Most often visited facility run by whom
Was the last place you visited in the last 12 months:
- operated by the government
- privately operated
- NGO
- other
Places operated by the government include all establishments operated by all levels of government (federal/ national, provincial/state, and local/district). The word “operated” refers to the fact that the place is run by an organization that the respondent identifies as government, private, church etc. Note that only one category may be selected. If the respondent is undecided, ask them to select the group the provider fits in best. Similarly, if the health care provider visited the respondent at home, the respondent should think about who operates the home visit service.
367
833
1
Operated by the government
2
Privately operated
3
NGO
4
Other
Sysmiss
Health care provider visited
Health care provider visited
Health care provider visited
Health care provider visited
Health care provider visited
Which was the last health care provider you visited?
Medical doctor (including gynaecologist, psychiatrist, ophthalmologist, etc.)
- Nurse
- Midwife
- Dentist
- Physiotherapist or chiropractor
- Traditional medicine practitioner
- Other
After Q7302, substitute the type of health care provider selected by the patient wherever you see [health care provider] in parentheses.
Note that the interviewers should read all the categories of types of providers to the respondent. The category “traditional medicine practitioner” refers to the types of health professionals that are traditionally recognised in that particular society as providing health care or providing information about health care . For example, in South Africa, Sangoma’s are a branch of “traditional” healers that are used by some of the population.
In the cases where a home visit is involved, identify the health care provider who visited the person at home.
363
837
1
Medical doctor
2
Nurse
3
Midwife
4
Dentist
5
Physiotherapist or chiropractor
6
Traditional medicine practitioner
7
Other
Sysmiss
how long it took to get there
how long it took to get there
how long it took to get there
how long it took to get there
how long it took to get there
Thinking about your last visit, how long did it take you to get there?
368
832
1
60
10.875
8.121
1
2
3
4
5
6
7
8
9
10
12
15
20
25
30
35
40
45
60
Sysmiss
Health care providers fees
Health care providers fees
Health care providers fees
Health care providers fees
Health care providers fees
Thinking about your last visit, how much did you or your household pay for: [Health care provider's] fees
The amount paid should be entered for each category. If the payment was in kind, then the respondent should be asked to give their best estimate of the cash value of the in-kind payment. If there are other expenses than fees, drugs, tests or transport, then they should be entered as "Other". If the person only answers with a total amount, record under “other”.
1200
Sysmiss
Medicines
Medicines
Medicines
Medicines
Medicines
Thinking about your last visit, how much did you or your household pay for: Medicines
The amount paid should be entered for each category. If the payment was in kind, then the respondent should be asked to give their best estimate of the cash value of the in-kind payment. If there are other expenses than fees, drugs, tests or transport, then they should be entered as "Other". If the person only answers with a total amount, record under “other”.
1200
8
Do not know
9
Not applicable, not have
Sysmiss
Tests
Tests
Tests
Tests
Tests
Thinking about your last visit, how much did you or your household pay for: Tests
The amount paid should be entered for each category. If the payment was in kind, then the respondent should be asked to give their best estimate of the cash value of the in-kind payment. If there are other expenses than fees, drugs, tests or transport, then they should be entered as "Other". If the person only answers with a total amount, record under “other”.
1200
8
Do not know
9
Not applicable, not have
Sysmiss
Transport
Transport
Transport
Transport
Transport
Thinking about your last visit, how much did you or your household pay for: Transport
The amount paid should be entered for each category. If the payment was in kind, then the respondent should be asked to give their best estimate of the cash value of the in-kind payment. If there are other expenses than fees, drugs, tests or transport, then they should be entered as "Other". If the person only answers with a total amount, record under “other”.
1200
8
Do not know
9
Not applicable, not have
Sysmiss
Other
Other
Other
Other
Other
Thinking about your last visit, how much did you or your household pay for: Other
The amount paid should be entered for each category. If the payment was in kind, then the respondent should be asked to give their best estimate of the cash value of the in-kind payment. If there are other expenses than fees, drugs, tests or transport, then they should be entered as "Other". If the person only answers with a total amount, record under “other”.
1200
8
Do not know
9
Not applicable, not have
Sysmiss
Waiting time before being attended to
Waiting time before being attended to
Waiting time before being attended to
Waiting time before being attended to
Waiting time before being attended to
For your [child’s] last visit, how would you rate the amount of time you waited before being attended to?
The respondent should only be thinking of the time they waited once they had arrived at the health care facility.
370
830
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
For your [child’s] last visit, how would you rate your experience of being greeted and talked to respectfully?
371
829
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
For you [child’s] last visit, how would you rate the experience of how clearly health care providers explained things to you?
The explanation of “things” refers to the diagnosis, the treatment, possible means of prevention and any other exchanges between the health care provider and the respondent.
368
832
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
For your [child’s] last visit, how would you rate your experience of being involved in making decisions about your health care or treatment?
This question refers to the extent to which the respondent had an opportunity for discussing his or her health care condition with the health care provider.
357
843
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Being able to talk privately to health care providers
Being able to talk privately to health care providers
Being able to talk privately to health care providers
Being able to talk privately to health care providers
Being able to talk privately to health care providers
For your [child’s] last visit, how would you rate the way the health services ensured you could talk privately to health care providers?
The point of this question is to find out whether the respondent was able to speak to the health care provider privately, out of the hearing of people who the respondent did not want to involve in the discussion.
364
836
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Freedom to choose health care provider
Freedom to choose health care provider
Freedom to choose health care provider
Freedom to choose health care provider
Freedom to choose health care provider
For your [child’s] last visit, how would you rate the freedom you had to choose your health care provider?
This question is asking the respondent to describe the extent to which they were able to choose to choose their health care provider.
349
851
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
For your [child’s] last visit, how would you rate the cleanliness of the rooms inside the facility, including toilets?
369
831
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, home care
Sysmiss
Name of last hospital stayed
Name of last hospital stayed
Name of last hospital stayed
Name of last hospital stayed
Name of last hospital stayed
What was the name of the last hospital or long term care facility you [child] stayed in, in the last 5 years ?
1200
12
8
9
A hospital in Hammersmith
Aberdeen Royal Infirmary
Abredeen Royal Infirmary
Airdale General Keighley
Airedale General Hospital
Airedale General Keighley
Airedale General, Keighley
Alder Hay
Arrowe Park Hospital
Arrowe Park Hospital Wirral NHS Trust
Arrowe Park Wirral NHS Trust
Ashford St Peters
Ashington
Ayr Hospital
BELLSHILL MATERNITY
BLACKMOOR HOUSE SIDMOUTH
BUPA Roding Hospital
Basildon Hospital, Essex
Basingstoke and Northhants
Bedford Hospital
Billinge Merseyside
Birch Hill Hospital
Birmingham Maternity Hospital
Bournemouth General
Bournemouth Hospital
Bournemouth NHS
Bradford Royal Infirmary
Bristol Children`s
Bristol Royal Infirmary
Broad Green
Bromley
Bupa Nuffield, Scraptoft Lane, Leics
Bury St Edmunds
CAN'T REMEMBER 8
CHURCHILL OPP WAR MUSEUM IN LONDON
CLATHERBRIDGE HOSPITAL WIRRAL NHS TRUST
Carmathen Hospital
Charing Cross Hospital
Chelsea & Westminster
Chise side Hospital Enfield
City General
County Hereford
County Hospital
County hereford
Coventry & Warwick
Coventry Warickshire Hospital
Cross House Kilmarnock
CrossHouse
Darlington Memorial
Darlington Memorial Hospital
Dartington Memorial
Derby Royal Infirmary
Derbyshire Royal Infirmary
EDINBURGH ROYAL INFIRMARY
EXETER HOSPITAL
EXMOUTH HOSPITAL
East Surrey Hospital
Edinburgh Royal
Elizabeth and St John (St John Wood)
Exeter & Devon Hospital
Exeter Heavitree Hospital
Exmouth hospital, Exmouth
FALKIRK INFIRMARY
Falkirk Infirmary
Farnborough
Farnborough Hospital
Fazackely Hospital
Friarage Northallerton
GLOUCESTER ROYAL HOSPITAL
General
General Southampton
George Elliot Nuneaton
George Elliott Hospital
Good Hope Hospital
Gravesend hosptial
Great Ormond St
Great Ormond Street
Hairmyers Hospital
Harlow
Harton General Hospital
Haslar Naval Hospital
Heath Hospital
Heath Hospital Cardiff
Heather Wood Hospital
Hemel Hempstead Hospital
Hemel Hempsted Hospital
Homerton Hospital
Hope Hospital
Hospital in Spain
Huddersfield Infirmary
James Cook Hospital
James Cook Hospital Middlesburgh
James Cook Hospital, M'boro
James Cook Maternity
James Cook Metarnity
James cook Middlesbrough
Jessop Wing Hospital
Jessops Hospital
King Edward VII
King George Hospital
King George`s Hospital
King Georges Ilford
King`s College
Kings College
Kings College Hospital
Knig George`s Hospital
LINCOLN COUNTY HOSPITAL
LIVINGSTONE HOSPITAL
LONDON ROYAL FREE HOSPITAL
LORIENT BRITTANY
LRI
Leeds General Hospital
Leeds General Infirmary
Leeds Gerneral Infirmary
Leicester General Hospital
Leicester Royal Inf.
Leicester Royal Infirmary
Leighton
Leighton Hospital
Leighton hospial
Lewisham
Lewisham Hospital
Lincoln Countu Hospital
Lincoln County Hospital
Lincoln County Hospital.
Liverpool for women
Luton & Dunstable
Luton & Dunstable Hospital Beds
Luton and Dunstable
MONKLAND AND HARINGERS
MRI (M/cr Royal Infirmary)
Manchester Royal Infirmary
Mayday
Mayday Hospital
Middlesbrough General Hospital
Middlesex
Mill View, Hove
Moorefield Eye Hospital
Moorfields Eye Hospital
Morriston
Morriston Hospital
Morriston near Swansea
Mount Vernon
N P Shah Hospital Nairobi Kenya
NEWHAM GENERAL HOSPITAL
NHS
NINEWELLS
NINEWELLS NHS
NORTH STAFF HOPITAL
NORTHERN GENERAL HOSPITAL
NUFFIELD CLINIC AS NHS IN PATIENT
NUFFIELD TRUST HOSPITAL
Newham General Hospital
Ninewells Hospital
Ninewells NHS Hospital
North Staffs
North Staffs City General
North Staffs Hosp - now Universty of North Staffs
North Staffs Hospital
North Staffs Hospital, Maternity Unit
North devon district hospital
Northern General Hospital
Nottingham City
Nottingham City Hospital
Notts QMC
Nuffield Hospital Leeds
Orthopaedic Hospital, Oswestry
PRINCESS ROYAL HOSPITAL
PRIORY HOSPITAL BIRMINGHAM
Pendlebury Children`s Hospital
Pine Hill Hospital
Poole General Hospital, Poole, Dorset
Poole Hospital
Princess Ann
Princess of Wales
Princess of Wales Bridgend
Prison Hospital ( Dorchester Prison)
Queen Alexandra, Cosham
Queen Elizabeth
Queen Elizabeth Hospital, Gateshead
Queen Victoria Hospital
Queens Burton
Queens Hospital
Queens Medical
Queens Medical Centre
Queens Medical Centre (Nottingham)
ROYAL DEVON AND EXETER HOSPITAL
ROYAL NATIONAL ORPHOPEDIC HOSPITAL PRIVATE PATIENT
RVI
Raigmore Hospital
Rake LAne
Regional Hospital Mayenne France
Rochdale Infirmary
Roundhay Leeds
Royal Albert Edward Infirmary Wigan Lane
Royal Devon & Exeter
Royal Devon & Exeter, Exeter
Royal Devon and Exeter
Royal Hallamshire
Royal Hallamshire Hospital
Royal Infirmary
Royal Infirmary in London
Royal Liverpool Hospital
Royal Liverpool Womens Hospital
Royal Southants
Royal Sussex Brighton
Royaln Infirmary
SOUTHAMPTON GENERAL
ST CROSS HOSPITAL RUGBY
ST CROSS RUGBY
STAFFORD HOSPITAL
Saint James and Saint Elizabeth Hospital
Santa Maria
Scarborough General
Sheffield Children's Hospital
Sheffield Childrens Hospital
Simpsons
Singleton
Singleton Hospital
Soton General Hospital.
South Shields General
South Tyneside Hospital
Southampton general hospital
Southampton General.
Southampton Princess Ann
Southampton Princess Ann Maternity
Southampton general hospital
Southen General
Southmead Hospital
Southmead Renal Facility
St Eriks Sweden
St Georges
St Georges Tooting
St Helier Hospital, sutton, surrey
St James Hospital, Leeds
St James, Leeds
St Mary's Portsmouth
St Peters Hospital Chertsey
St Saviours.
St lukes NWI
StJames' Hospital
Stafford General
Stepping Hill Hospital
Stoke Manderville
Sunderland Royal
THAMESIDE GENERAL HOSPITAL
Thames Side G H
Thameside Gen Hospital
Thameside General Hospital
The Countess of Chester
The Countess of Chester.
The Friarage
The Queens Burton
The Royal Liverpool
The district
University Hospital, Neath
Uster
VICTORIA HOSPITAL
Verduga Hills Glendale California
Victoria Hospital
WALSALL MANOR HOSPITAL
WALSGRAVE COVENTRY
WALSGRAVE HOSPITAL
WANSBECK GENERAL HOSPITAL
WEST SUFFOLK HOSPITAL
WESTHILL
WESTON GENERAL
WHITECHAPEL HOSPITAL
WIGAN INFIRMARY
WIRRA; NHS TRUST ARROWE PARK HOSPITAL
WIRRAL NHS TRUST ARRPWE PARK
WONFORD HOSPITAL EXETER
Walsgrave Hospital, Coventry
Walsgrave Hosptial - Coventry
Walsgrave, Coventry
Walton Hospital Liverpool
Wansbeck
Warsaw General
Watford General
Wessex Nuffield
West Herts Hospital
West Hill Hospital
West Suffolk
West Suffolk Hospital
Western General
Weston General
Wexham Park Hospital
Wexham Park Hospital Slough
Wexton Park Hospital
Whipps Cross Hospital
Whitchurch
Wigan Imfirmary
Wigan Infirmary
Women's Hospital Liverpool
Worcester County
Wowford Hospital Exeter
YORK
York
York District
York District Hospital
York Hospital
Yorkhill Hospital
airedal general, keighley
airedale general, keighley
alder hey hospital, liverpool
blackpool victoria hospital
bournemouth general
bournemouth royal
bury st edmunds
chalybeate hospital
county hospital
darenth
darenth valley
darlington Memorial hospital
derriford
falkirk royal
guys hospital
harrogate district hospital
haslar hospital
james cook, middlesbrough
jersey hospital
leeds general infirmary
leighton hospital
liberton hospital
lincoln county
lincoln county hospital
liverpool university
luton & Dunstable Hospital
luton dunstable
malaysian hospital
manygates maternity unit, wakefield
morriston
northern general hospital
nuffield
nuffield hospital, bournemouth
nufield hospital oxford
otley general
royal berks
royal berkshire reeding
royal bournemouth hospital
royal devon & exeter
scarborough general
sheffield childrens hopital
sheffield childrens hospital
southampton
southampton hospital
st Paul Maternity Hospital
stafford general
taunton nuffield hospital
thameside hospital
the countess
the friarage
walsgrave hospital
west suffolk
westhill
wiston
wonford and heavitree and honiton
Who run the hospital
Who run the hospital
Who run the hospital
Who run the hospital
Who run the hospital
Was the hospital or long term care facility:
- operated by the government
- privately operated
- NGO
- other
453
747
1
Operated by the government
2
Privately operated
3
NGO
4
Other
Sysmiss
when was your last stay
when was your last stay
when was your last stay
when was your last stay
when was your last stay
When was your [child's] last overnight stay?
- In the last 4 weeks
- In the last year
- In the last 2 years
- In the last 3 years
- In the last 5 years
447
753
1
In the last 4 weeks
2
In the last year
3
In the last 2 years
4
In the last 3 years
5
In the last 5 years
Sysmiss
Reason for last overnight stay
Reason for last overnight stay
Reason for last overnight stay
Reason for last overnight stay
Reason for last overnight stay
Which of the following best describes the reason for your [child's] last overnight stay?
- High fever, severe diarrhoea, or cough
- Childbirth
- Arthritis
- Asthma
- Heart disease
- Bodily injury
- Minor surgery
- Other
449
751
1
High fever, sever diarrhea, or cough
2
Childbirth
3
Arthritis
4
Asthma
5
Heart disease
6
Bodily injury
7
Minor surgery
8
Other
Sysmiss
How long was your stay on this occasion
How long was your stay on this occasion
How long was your stay on this occasion
How long was your stay on this occasion
How long was your stay on this occasion
How long was your [child's] stay on this occasion?
- 1-2 days
- 3-5 days
- 6-14 days
- 15 days and more
455
745
1
4
1
1-2 days
2
3-5 days
3
6-14 days
4
15 days and more
How long to get there
How long to get there
How long to get there
How long to get there
How long to get there
Thinking about your last hospital stay, how long did it take you [child’s] to get there?
437
763
2
300
27.231
28.168
2
3
4
5
6
10
12
15
20
25
30
35
40
45
48
50
60
80
90
120
140
240
300
Sysmiss
How long before being admitted to hospital
How long before being admitted to hospital
How long before being admitted to hospital
How long before being admitted to hospital
How long before being admitted to hospital
For your [child’s] last hospital stay, how long from the time you needed hospital care did you wait to be admitted to hospital?
- same day
- less than 1 week
- less than 1 month
- less than 3 months
- 3 months and more
Stop reading further as soon as the respondent has selected one.
For this question, we want to know how long the respondent had to wait to be admitted to the hospital, once knowing that hospitalisation was needed.
441
759
1
5
1
Same day
2
Less than a week
3
Less than 1 month
4
Less than 3 months
5
3 months and more
Doctors fees
Doctors fees
Doctors fees
Doctors fees
Doctors fees
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Doctor's fees
1200
8
Do not know
9
Not applicable, not have
Sysmiss
Drugs
Drugs
Drugs
Drugs
Drugs
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Medicines
1200
8
Do not know
9
Not applicable, not have
Sysmiss
Tests
Tests
Tests
Tests
Tests
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Tests
1200
8
Do not know
9
Not applicable, not have
Sysmiss
Transport
Transport
Transport
Transport
Transport
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Transport
1200
8
Do not know
9
Not applicable, not have
Sysmiss
Other
Other
Other
Other
Other
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Other
1200
8
Do not know
9
Not applicable, not have
Sysmiss
How many people slept in same room
How many people slept in same room
How many people slept in same room
How many people slept in same room
How many people slept in same room
Thinking about your [child’s] last hospital stay, how many people slept in the same room as you?
Only other patients, not relatives or friends staying with them for support.
396
804
30
4.995
4.608
Amount of waiting time before being attended to
Amount of waiting time before being attended to
Amount of waiting time before being attended to
Amount of waiting time before being attended to
Amount of waiting time before being attended to
For your [child’s] last hospital stay, how would you rate the amount of time you waited before being attended to?
451
749
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
For your [child’s] last hospital stay, how would you rate your experience of being greeted and talked to respectfully?
450
750
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
rate your experience with clear explanations
rate your experience with clear explanations
rate your experience with clear explanations
rate your experience with clear explanations
rate your experience with clear explanations
For you [child’s] last hospital stay, how would you rate the experience of how clearly health care providers explained things to you?
452
748
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
For your [child’s] last hospital stay, how would you rate your experience of being involved in making decisions about your health care or treatment?
430
770
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Ability to talk privately to health care providers
Ability to talk privately to health care providers
Ability to talk privately to health care providers
Ability to talk privately to health care providers
Ability to talk privately to health care providers
For your [child’s] last hospital stay, how would you rate the way the health services ensured you could talk privately to health care providers?
436
764
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Ability to choose hospital
Ability to choose hospital
Ability to choose hospital
Ability to choose hospital
Ability to choose hospital
For your [child’s] last hospital stay, how would you rate the freedom you had to choose the health care providers that attend to you [your child]?
364
836
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rating cleanliness of rooms
Rating cleanliness of rooms
Rating cleanliness of rooms
Rating cleanliness of rooms
Rating cleanliness of rooms
For your [child’s] last hospital stay, how would you rate the cleanliness of the rooms inside the facility, including toilets?
454
746
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
For your [child’s] last hospital stay, how would you rate the ease of having family and friends visit you?
The question asks the respondent to answer based on his knowledge of whether the hospital made it uncomfortable or difficult in any other way for him/her (or his/her child)
to have visitors.
434
766
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Record Set
Record Set
Record Set
Record Set
Record Set
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
838
A
B
C
D
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Niels] woke up with a sore back so he decided to go to the clinic. It took 30 minutes to travel to the clinic and he was seen within 5 minutes .
How would you rate the amount of time he waited before being attended
to?
214
986
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Anya] took her baby for a vaccination. The nurse said hello and but did not ask for [Anya’s] or the baby’s name. The nurse also examined [Anya] and made
her remove her shirt in the waiting room.
How would you rate her experience of being greeted and talked to
respectfully?
213
987
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Stan] broke his leg. It took an hour to be driven to the nearest hospital. He was in pain but had to wait an hour for the surgeon and was only operated on the
next day.
How would you rate the amount of time he waited before being attended
to?
215
985
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Conrad] had bad flu. He went to the clinic. The nurse expressed concern about [Conrad]’s cough and called the doctor, who gave [Conrad] a full chest
examination behind a large screen that hid him from the view of other patients.
How would you rate his experience of being greeted and talked to
respectfully?
213
987
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Aitor] broke his hand. He walked to the clinic because there was no transport and the journey took him several hours. He had to sleep near the clinic for two
days before seeing the doctor.
How would you rate the amount of time he waited before being attended
to?
213
987
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Julia] was pregnant and went to the hospital coughing blood. A nurse welcomed her gently and helped her to a private room. A female doctor came to
examine her and gave her a clean gown to replace her blood-stained clothes.
How would you rate her experience of being greeted and talked to
respectfully?
215
985
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Carla]’s child became seriously sick. [Carla] called an ambulance that arrived after 10 minutes and within 5 minutes they were at the hospital and the doctors
were treating the child.
How would you rate the amount of time she waited before being attended
to?
215
985
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Patricia] went to a crowded clinic. At first, no-one greeted her but after waiting for 5 minutes a nurse called her to the examination area where she was
examined behind a small screen that mostly hid her from the other patients.
How would you rate her experience of being greeted and talked to
respectfully?
213
987
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Karen] needed a blood test. It took her 45 minutes by bus to get to the clinic and she waited for 30 minutes to see the nurse.
How would you rate the amount of time she waited before being attended
to?
215
985
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Said] has AIDS. When he goes to his health centre the nurses do not talk to him and deliberately ignore him. During examinations, his clothes are removed
and he is made to wait, half-naked in the waiting room.
How would you rate his experience of being greeted and talked to
respectfully?
213
987
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Thomas] couldn’t see well so he went to the doctor and explained the problem. [Thomas] had time to ask the doctor some questions, which the doctor
answered until [Thomas] understood almost everything.
How would you rate his experience of how clearly health care providers
explained things to him?
208
992
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Wing] had his own room in the hospital and shared a bathroom with two others. The room and bathroom were cleaned frequently and had fresh air.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
208
992
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Pia] went to the emergency clinic with a stomach pain. The doctor explained to [Pia] her condition and the treatment. [Pia] asked him some questions and the
doctor explained things using examples that were familiar to her until she understood everything.
How would you rate her experience of how clearly health care providers
explained things to her?
208
992
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Shedra] was hospitalized last year for a hip operation. Her private room had its own bathroom and was comfortable and spacious. It was cleaned by the
hospital staff daily. The bed was comfortable and the sheets were changed daily.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
207
993
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Akiko] is in hospital after a car accident. She has lots of scratches, bruises and some broken bones. When the doctor visited her he asked to see her medical
records. He asked the nurse some questions and then he said that [Akiko] was making good progress. [Akiko] supposes that she will still stay there for another
week but is unsure.
How would you rate her experience of how clearly health care providers
explained things to her?
207
993
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Kamal] has a nervous breakdown and had to spend 3 months in the past year in the local hospital. He had to sleep on an uncomfortable mattress with no
sheets. There were 30 other patients in the same dormitory style ward and the toilets would smell, because they were not cleaned. He came back with a skin
infection, because he couldn’t wash regularly and there were insects in the bed.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
207
993
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rose] cannot write or read. She went to the doctor because she was feeling dizzy. The doctor didn’t have time to answer her questions or to explain anything.
He sent her away with a piece of paper without telling her what it said.
How would you rate her experience of how clearly health care providers
explained things to her?
207
993
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Hans] shared his small hospital room with five other patients with no partitions between beds. The five patients shared a toilet, which was cleaned every
second day and sometimes smelt.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
207
993
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Mario] has been told that he has epilepsy and that he needs to take medication. The doctor has very briefly explained what the condition is. He is very busy
and there is a queue of patients waiting to see him. Mario would like to know more about what he has, but feels that there is no time to ask questions. The
doctor says goodbye to Mario, and Mario leaves the office.
How would you rate his experience of how clearly health care providers
explained things to him?
207
993
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[José] shared a hospital room with four other persons. There was a toilet for his ward located along the outside corridor. The room was only occasionally dusty
and hot, but without any fan.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
206
994
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Simon] was speaking to his doctor about an embarrassing problem. There was a friend and a neighbour of his in the crowded waiting room and because of the
noise the doctor had to shout when telling [Simon] the treatment he needed.
How would you rate the way the health services ensured [Simon] could
talk privately to health care providers?
211
989
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When the clinic is not busy, [Mamadou] can choose which doctor he sees. But most often it is busy and then he gets sent to whoever is free.
How would you rate [Mamadou’s] freedom to choose her health care
provider?
208
992
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rebecca] usually spoke to her doctor about her illness in complete privacy. Once [Rebecca] heard that the doctor spoke to [Rebecca’s] friend about her
illness. She asked her doctor not to do it again. He did not do it again.
How would you rate the way the health services ensured [Rebecca] could
talk privately to health care providers?
209
991
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
In [William] ’s town there is a large day clinic where there are several doctors and nurses. When [William] has a sensitive health problem he can see a male
rather than a female doctor or nurse.
How would you rate [William’s] freedom to choose his health care
provider?
211
989
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Elma] was asked to describe a serious health problem to the doctor in the middle of the waiting room. The doctor repeated everything to the nurse and all the
other patients, many of whom knew her family, could overhear everything.
How would you rate the way the health services ensured [Elma] could talk
privately to health care providers?
210
990
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Penelope] had fertility problems, she had to travel from her small village to the closest town where they only had one male doctor. [Penelope] wanted
to see a female doctor but she had no choice.
How would you rate [Penelope’s] freedom to choose her health care
provider?
209
991
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Alouine] had his consultation in a small private room. During the consultation, a nurse occasionally walked in and listened to the conversation. Sometimes
she forgot to close the door so people in the waiting room could overhear parts of their conversation.
How would you rate the way the health services ensured [Alouine] could
talk privately to health care providers?
209
991
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
The national health service assigns all the people in [Ibrahim’s] community to the local clinic. At the clinic they have a choice of 3 doctors. If they want to
change clinics, they need to get permission.
How would you rate [Ibrahim’s] freedom to choose his health care
provider?
206
994
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Ken] visited the doctor regularly. His doctor always took [Ken] to a private room before discussing his illness. The doctor was aware that [Ken] was very
sensitive about his health condition and would never talk about it to anyone or in front of anyone without Ken’s permission.
How would you rate the way the health services ensured [Ken] could talk
privately to health care providers?
211
989
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Nathan] lives in a town where there are lots of doctors and clinics. He tried one doctor but he didn’t like him so he changed doctors. This was easy to do
because he could go where he wanted.
How would you rate [Nathan’s] freedom to choose his health care
provider?
211
989
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Sally]’s husband could only visit her in hospital in the evenings because of the visiting hours and because he had to look after their children. Once he brought
the children with him and the nurse, who was reading a newspaper, said she could not watch them for him. This meant [Sally] had fewer visits from her
husband.
For[Sally’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
192
1008
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Jasmina’s] had treatment for infertility, the doctor gave her some pills and asked her to return in two weeks. He didn’t ask her whether she wanted to
know anything about her health condition nor suggest different alternatives that might have suited her better.
How would you rate [Jasmina’s] experience of being involved in making
decisions about her health care or treatment?
193
1007
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Joseph] was in hospital he could have no visitors nor could he receive any presents from friends or relatives. The hospital had no telephones and he
could not get any news from outside.
For [Joseph’s] last hospital stay, how would you rate the ease of having
family and friends visit him?
196
1004
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Mark] had a serious health problem. The doctor prescribed the best treatment for Mark but without telling him the implications on his quality of life or the
cost. [Mark] felt powerless and was not given any information to help him to feel more in control.
How would you rate [Mark’s] experience of being involved in making
decisions about his health care or treatment?
195
1005
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Tamara] was in hospital for two weeks, her family visited her every few days during the evening visiting hours, but she was alone the rest of the day.
There was little to read or do in the hospital . Every few days, the nurses brought her a portable radio to listen to for a few hours.
For[Tamara’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
193
1007
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Bob] had a broken arm. The doctor explained different ways of fixing it and then ordered some blood tests. [Bob] didn’t know why he needed blood tests and
was worried until the doctor explained what they were for.
How would you rate [Bob’s] experience of being involved in making
decisions about his health care or treatment?
196
1004
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Carol] was in hospital, she was allowed visitors at any time of the day. Whenever she needed to contact her family, work or friends, she could easily
get a message delivered to them.
For [Carol’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
195
1005
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Sarah] wanted treatment for her swollen limbs, the nurses at her clinic discussed many possible treatments with her. They discussed all the pro’s and
con’s of each treatment with her and then recommended one to her.
How would you rate [Sarah’s] experience of being involved in making
decisions about her health care or treatment?
196
1004
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Jane] gave birth in hospital. Her husband was permitted to visit her every morning and evening. [Jane] was able to contact her family and friends once a day.
For [Jane’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
196
1004
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Tara] is unhappy and has no energy. She gave birth to a baby girl two months ago and the doctor has told her that she may be suffering from depression. The
doctor discussed her condition with her and then suggested that she could either try some medication or, if she prefers, talk to a counsellor.
How would you rate [Tara’s] experience of being involved in making
decisions about her health care or treatment?
193
1007
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Time end section 7000
Time end section 7000
Time end section 7000
Time end section 7000
Time end section 7000
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Time begin section 8000
Time begin section 8000
Time begin section 8000
Time begin section 8000
Time begin section 8000
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control the important things
control the important things
control the important things
control the important things
control the important things
In the last month: How often have you felt that you were unable to control the important things in your life?
Important things in life may be related to job, family, health.
1180
20
1
Never
2
Almost never
3
Sometimes
4
Fairly often
5
Very often
Sysmiss
could not cope with all the things
could not cope with all the things
could not cope with all the things
could not cope with all the things
could not cope with all the things
In the last month: How often have you found that you could not cope with all the things that you had to do?
Think of things you had to do in the work, school or house setting. Examples of not coping may be work piling up, leaving tasks unfinished, not being able to meet deadlines, being late for appointments or having to cancel them because of too many things to do.
1189
11
1
Never
2
Almost never
3
Sometimes
4
Fairly often
5
Very often
Sysmiss
Rank 1 (most important goal)
Rank 1 (most important goal)
Rank 1 (most important goal)
Rank 1 (most important goal)
Rank 1 (most important goal)
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
WHO has identified 3 main goals for health system: health (level and inequalities), responsiveness (level and inequalities) and fairness in financial contribution.
The World Health Survey programme will collect data on all of these goals. We are interested in how important the respondents think these goals are in their countries. In settings of limited resources, governments have to make choices about allocating resources to priorities. The importance placed on each goal can be thought of as an indication of how much priority should the government place on it. The interviewer will read the introduction to the health goals to the respondents and will give them either Form A or Form B.
FORM A:
Respondents select one option.
FORM B:
Respondents may give the same number to 2 goals if they think they are of equal importance. However, it is preferable if they give different scores for the 5 goals from 1 to 5.
1200
1
2
3
4
5
8
Rank 2
Rank 2
Rank 2
Rank 2
Rank 2
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
WHO has identified 3 main goals for health system: health (level and inequalities), responsiveness (level and inequalities) and fairness in financial contribution.
The World Health Survey programme will collect data on all of these goals. We are interested in how important the respondents think these goals are in their countries. In settings of limited resources, governments have to make choices about allocating resources to priorities. The importance placed on each goal can be thought of as an indication of how much priority should the government place on it. The interviewer will read the introduction to the health goals to the respondents and will give them either Form A or Form B.
FORM A:
Respondents select one option.
FORM B:
Respondents may give the same number to 2 goals if they think they are of equal importance. However, it is preferable if they give different scores for the 5 goals from 1 to 5.
1200
1
2
3
4
5
8
Rank 3
Rank 3
Rank 3
Rank 3
Rank 3
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
WHO has identified 3 main goals for health system: health (level and inequalities), responsiveness (level and inequalities) and fairness in financial contribution.
The World Health Survey programme will collect data on all of these goals. We are interested in how important the respondents think these goals are in their countries. In settings of limited resources, governments have to make choices about allocating resources to priorities. The importance placed on each goal can be thought of as an indication of how much priority should the government place on it. The interviewer will read the introduction to the health goals to the respondents and will give them either Form A or Form B.
FORM A:
Respondents select one option.
FORM B:
Respondents may give the same number to 2 goals if they think they are of equal importance. However, it is preferable if they give different scores for the 5 goals from 1 to 5.
1200
1
2
3
4
5
8
Rank 4
Rank 4
Rank 4
Rank 4
Rank 4
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
WHO has identified 3 main goals for health system: health (level and inequalities), responsiveness (level and inequalities) and fairness in financial contribution.
The World Health Survey programme will collect data on all of these goals. We are interested in how important the respondents think these goals are in their countries. In settings of limited resources, governments have to make choices about allocating resources to priorities. The importance placed on each goal can be thought of as an indication of how much priority should the government place on it. The interviewer will read the introduction to the health goals to the respondents and will give them either Form A or Form B.
FORM A:
Respondents select one option.
FORM B:
Respondents may give the same number to 2 goals if they think they are of equal importance. However, it is preferable if they give different scores for the 5 goals from 1 to 5.
1200
1
2
3
4
5
8
Rank 5 (least important goal)
Rank 5 (least important goal)
Rank 5 (least important goal)
Rank 5 (least important goal)
Rank 5 (least important goal)
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
WHO has identified 3 main goals for health system: health (level and inequalities), responsiveness (level and inequalities) and fairness in financial contribution.
The World Health Survey programme will collect data on all of these goals. We are interested in how important the respondents think these goals are in their countries. In settings of limited resources, governments have to make choices about allocating resources to priorities. The importance placed on each goal can be thought of as an indication of how much priority should the government place on it. The interviewer will read the introduction to the health goals to the respondents and will give them either Form A or Form B.
FORM A:
Respondents select one option.
FORM B:
Respondents may give the same number to 2 goals if they think they are of equal importance. However, it is preferable if they give different scores for the 5 goals from 1 to 5.
1200
1
2
3
4
5
8
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hearing problem
hearing problem
hearing problem
hearing problem
hearing problem
Did the respondent have a hearing problem?
1197
3
1
Yes
5
No
Sysmiss
cough continually
cough continually
cough continually
cough continually
cough continually
Did the respondent cough continually?
To be filled in by the interviewer at the end of the interview
1200
1
Yes
5
No
shortness of breath
shortness of breath
shortness of breath
shortness of breath
shortness of breath
Did the respondent have shortness of breath?
To be filled in by the interviewer at the end of the interview
1195
5
1
Yes
5
No
Sysmiss
mental problem
mental problem
mental problem
mental problem
mental problem
Did the respondent have a mental problem?
To be filled in by the interviewer at the end of the interview
1190
10
1
Yes
5
No
Sysmiss
other health problem
other health problem
other health problem
other health problem
other health problem
Did the respondent other health problem?
To be filled in by the interviewer at the end of the interview
1183
17
1
Yes
5
No
Sysmiss
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was:
To be filled in by the interviewer at the end of the interview
1200
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent’s answers:
To be filled in by the interviewer at the end of the interview
1200
1
Very high
2
High
3
Average
4
Low
5
Very Low
unusual circumstances
unusual circumstances
unusual circumstances
unusual circumstances
unusual circumstances
Any unusual circumstances or happenings during the interview:
To be filled in by the interviewer at the end of the interview
441
1 Phone call 2-3 mins
2 children, one playing on computer, other screeming for mothers attention
3 TELEPHONE CALLS OMTERUPTED SURVEY BUT NO PROBLEMS
4 children shouting and fighting, computer games at high volume
A lotof family came which i was pleased about becuase they told me about ho
A very nice gentleman
Baby present
Became very nervous although started off quite confident said she went to t
Brief visit from friend
CHILDREN OUTSIDE CAUSING A DISTURBANCE
Cant remember most of the things so he showed me papers to show dates
Cant sit down for more than 30mins before he stretches arms.
Changed rooms so husband could watch football
Children around
Children came and interupteda couple of times
Coming in and out of the house to answer phone call
Dogs & cats competing for attention but pleasant atmosphere
Drilling out side of house all houses being altered.
Dyslexic - wife helped him he seemed to rely on her to jog himemory.
Gentleman happy to anser until wife's intervention, then refuals
Going in and out of the room.
Got emotional when talking about depression- father has just comm suicide
HUSBAND STAYED ALL THE TIME AS SHE NEEDED SOME TRANSLATION
Had to ask husband what certain words meant, or look up Portuguese equivale
He doesn't seem to be qutie knowledgeable. He tried to remember things and
His carer arrived (carer unpaid) said resp had V.Bad memory & had confused
It starts to snow heavily, all over
Iwonderwhyshewasn'tinterestedintellingmeherfamily'sd.o.b.&otherdetailsMean
Mrs B was gardening when I called & we stood in the garden & did the interv
NIL
NO
NONE
NOTHING
Needed a little help from husband in lip reading.
Nil
No
No except a few distractions from the husband which semmed deliberate
No except for parrot squarking in cage in same room! Horror
None
None Too long interview
None - a pleasurable experience
None - he may have phoned office to check I was genuine.
None apart from 3 children interupting.
None at all
None at all. It was all smiles with her husband standing by her side.
None, nice young lady
Nonje at all other than she felt a bit uneasy towards the end of the survey
Nothing
Old, a bit slow but very with it. Appeared lonely,had to repeat some parts
Phone rang 3 times
Phone rang friend was in health worker came in at end
Phone wrang as she is a councilor
Pregnant - used toilet twice during interview
RESP WAS SUFFERING FROM MIGRANE PARTNER HELPED WITH ANSWERS
Read consent form but did not sign
Respondant slow and a support worker came in and i felt she got confused
Respondent cannot understand English fluently, but wife sat beside him
Respondent is registered blind
Respondent pausedoften and touched chest. I can see that he has a problem
Respondent reluctant to interview
Respondent seemed in pain and uncomfortable
Respondent suffering from throat infection but agreed to be interviewed
Rushed interview, respondent in a hurry to go out
Son had a migraine headache
TELEPHONE CALL
THE RESPONDANT FOUND SECTION S7400-s7410 QUITE AMUSING
Telephone distrubances
This man doesn't seem serious at all as he didn't show any serious attitude
This man was very unstable, although he answered all questio ns
VISIT OF A FRIEND WHO LEFT CHILD WITH RESPONDENT
Very nice
Very nice couple
Wanted to give me £5 incentive back. but I said No, it was hers,Uneasy
Was a bit interested but wife against his participation.
Young Student Very pleasant
baby had to be nursed so stopped briefly
baby present and unhappy
beacuse the lady is a great age so she does take a long time to answer
boys playing shops had to hold plastic hotdogs whilst conducting interview
care worker came in to attend to lady caused slight concentr ation lapse
conducted sitting on the stairs while building work being carried out
disabled but very alert
grandchild running around
just couldn't answer some things, needed help.
just moved in so didn't know household bills
n/a
nil
no
no Elderly charming gentleman
no only young children to keep calm
no, quite interested and with it.
non
none
none but notready to answer any personal question
none-husband walked through room 2or 3 times but made no comment
nothing
ok
relatives arrived halfway through
respondent got excused for 2 times without any observed reason
very nice lady
very plesant
wife disabled
Other comments
Other comments
Other comments
Other comments
Other comments
Any other comments:
To be filled in by the interviewer at the end of the interview
418
A LITTLE DIFFICILT TO ADMINISTER QUESTIONNAIRE (STOOD BY FRONT DOOR)
A relaxed and helpful respondant.
A throughly doubtful interview
AOTHER LADY SITTING LISTENER BELIEVE A NEIGHBOUR (P)9 THINK SENILE
Again a very pleasant friendly person.
Again a very pleasant, helpful person to interview
An amazingly young 89 yr old
Asked me to call back in 10 mins as just got out of the shower.
Carried out on doorstep as patner watching TV and did not wish to be distur
Clearly understood, good response
Could not remember of find tel no and when asked about relatve telephoned t
DAUGHTER CALLED IN SAID MOTHER IS SL. FORGETFUL SHE APPEARED TO UNDERSTAND
DURINGSECT.0700 HE TALKED ABOUTSOMEONEWHO HAD RECVD BADTREATMENTIN HOSPSOIT
Daughter and Grandaughter visiting and busy
Delight to interview
Diabetic
Did not seem to give consistant answers for the Vignettes
Didn't know household expenditure - student living with parents
Does not want to be recontacted as works away most of the time.
Elderly lady not completelt at ease did interview standing in the hall
Everythngs fine.
Excellent cuppa!
FREINDLY AND CO-OPERATIVE LADY
Fully inderstood questions. he was twitchy and frightened me.
Good
Good and clearly understood
Good cooperation
Had a nice cool drink
Had a nice cup of coffee, v nice yougn lady
He was able to hear me
Hospitalisation was in prison (Attempted suicide)
Husband present throughout(p) did not interfere
I actually wanted to stop the interview but it will be odd as he's the next
Injuries cause head pain
It was alright
It was alright at the end of the day.
LADY WAS EXTREMELY ALERT AND COOPERATIVE FOR HER AGE OF 82
Lady unable to move round house.Has stair lift.Sometimes unable to get onto
Lindsay had chest pains from an accident inside house
Lives alone - no other contact available.
Lovely lady but kept wandering off the subject. Too much information at tim
Mother present as visiting
Mother present throughout interview but did not interfere boyfriend present
Mr Hickson had problems moving around
Mr Larder is on regular Dialysis. Very helpful and pretty switched on.
Mrs B was frail but full of spirit & was a nice person to interview.
Mrs D was a very helpful person very interested in survey as is a hospital
NIL
NO
NONE
NONE LANGUAGE SCOTTISH
Nil
No
None
None - fit and v positive, straightfoward
None, Good, nice chap with good personality. Quite with it.
Nothing
OK
Pleasant interview
RESPONDENT AT HOME SICK WITH SERIOUS CHEST INFECTION
RESPONDENT CHANGED HER MIND AT TIMES
RESPONDENT IRONED THROUGHOUT INTERVIEW BUT STOPPED WHEN I NEEDED HIM TO
Reluctant to give details about mother
Resp had humped back and wife mentioned he had had problems in childhood.
Resp had to refer to wife for date of birth/admission of children to hosp
Resp has had colon removed waiting for surgery on bladder rare condition
Respondant was slow in answers - result of a stroke 2-3 yearsago.
Respondent distracted by granddaughter at end
Respondent had a lot to say but not necessarily on track
Respondent had many health problems
Respondent moving to 61 Welch Rd Gosport Hants PO12 4PY
Respondent paralysed from neck down due to accident at 22 yrs old
Respondent very friendly
Respondent very nice but wouldn`t stop talking one and a half hours almost!
Respondent was in wheelchair due to leg amputation
Respondent was pregnant
Respondent was recovering from a stroke
Respondentdiagonosedwithcancerhadtreatmentlastyearmorenextmonthhelpedbywife
Responsant was suspicious of the motives of the survey,refused to sign
S9004 RESPONDENT GOING TO DOCTOR - RE PAIN IN BACK THIS WEEK KIDNEY PAIN?
SHE HAD EPILEPSY 54 YRS
She had a son who had beem seriously injured in a bicycle accident
She was too fit
Should be any call back, please treat as sensitive.
Sleep patterns disturbed by noisy neighbours
Straightforward interview.
THE RESP.COULDN'T FIND HER GLASSES.GRDAUGHTER READ SHOWCARDS FOR HER
THE RESPONDENT TOOK A LOT OF TROUBLE TO ANSWER AND MADE HERSELF LATE
TOO LONG AND RESPONDENT DID NOT FEEL THAT THEY ARE IRRELEVANT
TWIN DAUGHTERS BOTH ILL AND IN HOSPITAL TOGETHER
The lady is in medical field and knows what she is doing
This lady described every detail of her many complaints, wouldn't stop talk
This lady has arthritis
This lady has health problems & rarely goes out. She is quite jumpy.
This lady suffers with acute 'me'.
This lady was irritable & impatient
This lady widowed last yr does not normally have feelings of depression
This resp suffered strokes,heart disease,lost 1 kidney but positive/bright
Tis patient has heart by pass
Told me her wrong age, tells 79 but is 89 but later confessed
V heavy chain smoker, Diabetic, had breakdown when husband died
VERY GOOD
VERY HARD TO ESTABLISH IF TRANSLATION WAS CORRECT
Very Alert, Fit
Very Helpful
Very astute Lady
Very elderly/courteous.resp troubled+heart/joint probs.Resp wife poorly
Very helpful respondent
Very hurried towards end as visitor arrived. Consequently made error in ro
Very pleasant helpful lady
Very pleasant. Direct Person
Wife helped respondent with some answers as his memory was not very good
Wife is ill and he cares for her
a pooly lady who tired quickly & found it hard to fpllow the showcards
broken knuckle made signing form difficult does not want toberecontacted
busy doing housework & washing
did interview in portchway, man reluctant to take part.
excellent/helpful
facts. No phone or mobile.
gave interviewer cup of coffee
had a bad fall injuring back severely in 1983 - lots of symptons from this
has recently suffered post natal depression
helpful but very talkative hard to keep her on the subject
his comprehension doesn't seem to much. I dn't belive he lives here alone a
his wife who is unable to communicate in any way was sat in achair
house stinking think he was a druggie
husband retired enginer daughter doctor
lady has a very nervous problem rocked through part of interview
ldy wanted to talk about her husband who died and his health problems in
looked oder for her years
mrs w is a very friendly and helpful person
n/a
nil
no
no - good response
no comment
non
none
none only slight misunderstanding due to language differences
none, but asked that the £10 voucher be sent to Africa where people suffer.
nonr
not happy to give another contact name
off work with ear infection - seen doctor
ok
one phone when I started
pleasant family very co-operative
recovering from 2 weeks off sork with flu medicine prescribed by gp cough
refused income and financial questions - refused to answer
resp does not wish for anyone else to be contacted
respondent has learning disabilty and mental disability with learning
respondent moving soon not sure of address
respondent not particularly responsive
respondent occasionally mixed up infomation he also wanted to read the ques
respondent very friendly, responsive and thorough
respondent was busy with children as answered questions
some symptoms are due to her condition
son Andrew disabled
spital stays etc etc
very helpful man and very interested in survey
wanted to know if they could answer questions in Welsh
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