family questionnaire - unc carolina population … card no. first name, patronymic still in the...

FAMILY QUESTIONNAIRE

15TH ROUND

SITEO 1. [ NAME OF POPULATED AREA (SETTLEMENT) __________________ | ___ | ___ | ___ | ] CENSUSDO 2. [ NUMBER OF SURVEY SECTOR ___________________________________ | ___ | ___ | ] FAMILYO 3. [ NUMBER OF FAMILY | ___ | ___ | ] HOFPINBF 3.3 [ DID ANY (AT LEAST ONE) MEMBER OF THE FAMILY PARTIC IPATE IN THE

SURVEY EVER BEFORE? YES ...........................................................................1 NO ............................................................................2 ] 4. [ DATE INTERVIEW CONDUCTED: DAY | ___ | ___ | MONTH | ___ | ___ | ] HOIDAY HOIMONTH HOIYEAR 5. [ LENGTH OF INTERVIEW: | ___ | HOURS | ___ | ___ | MINUTES ] HOILHRS HOILMIN 6. [ LAST NAME OF INTERVIEWER _____________________________________________ ] HORNUM 8. [ NUMBER OF FAMILY MEMBER WHO ANSWERED THE FAMILY

QUESTIONNAIRE | ___ | ___ | ]

2006

2

I, ____________________________________________________________ [ INTERVIEWER ! WRITE IN FULL YOUR LAST NAME, FIRST NAME, AND PATRONYMIC NAME! ] READ OUT TO THE RESPONDENT THE STANDARD DESCRIPTION OF THE AIMS AND CONDITIONS OF THE SURVEY AND RECEIVE (HIS/HER) AGREEMENT TO PARTICIPATE IN THE SURVEY. INTERVIEWER’S SIGNATURE __________________________________ DATE ____________________________

[ ATTENTION, INTERVIEWER ! PRIOR TO THE FIRST VISIT TO EACH ADDRESS WHERE THE HOUSEHOLD SURVEY WAS ALREADY CONDUCTED, OBTAIN A “HOUSEHOLD COMPOSITION FORM” AND FIND OUT WHETHER THE PEOPLE LIVING AT THIS ADDRESS HAVE PREVIOUSLY PARTICIPATED IN OUR SURVEY.

IF ONE OR MORE MEMBERS OF A HOUSEHOLD THAT TOOK PART IN THE SURVEY PREVIOUSLY LIVE AT THIS ADDRESS, IT IS AN “OLD” HOUSEHOLD (OR SEVERAL “OLD” HOUSEHOLDS). IN THIS CASE, PUT THE HOUSEHOLD COMPOSITION FORM ON PAGE 4 INTO THE FAMILY QUESTIONNAIRE.

DURING THE FIRST VISIT TO AN “OLD” HOUSEHOLD, TRY TO FIND THE PERSON WHO ANSWERED QUESTIONS ON THE FAMILY QUESTIONNAIRE LAST TIME AND ASK HIM/HER THE FAMILY QUESTIONNAIRE QUESTIONS. IF IT TURNS OUT, FOR SOME REASON, DURING THIS OR ANOTHER VISIT, THAT YOU ARE NOT ABLE TO ASK THIS PERSON QUESTIONS ON THE FAMILY QUESTIONNAIRE, TALK TO THE OTHER FAMILY MEMBER WHO HAS THE BEST KNOWLEDGE OF THE AFFAIRS AND CONCERNS OF THE FAMILY AND OF ITS PRESENT INCOME AND EXPENDITURES. FOR THIS, USE THE FORMULATED QUESTIONS ON PAGES 1-2.

IF NO MEMBER OF A HOUSEHOLD THAT PARTICIPATED IN THE SURVEY PREVIOUSLY LIVES AT THIS ADDRESS, IT IS A “NEW” HOUSEHOLD. IN THIS CASE, INFORMATION FROM THE “HOUSEHOLD COMPOSITION FORM” IS NOT USED. WRITE INFORMATION ABOUT THE COMPOSITION OF THE NEW HOUSEHOLD ON PAGE 4. FOR THIS, USE THE FORMULATED QUESTIONS ON PAGE 3.

IN ALL CASES THE NUMBER OF THE FAMILY ON THE COVER OF THE QUESTIONNAIRE MUST CORRESPOND TO THE NUMBER OF THE FAMILY ON THE LIST OF COLLECTED ADDRESSES.

3B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “hous ehold” we mean all people living with you

and having common income and expenditures. If in your family there are unmarried children younger than age 18 who are not living with you because they study in a different population center, include them in your household.

Tell me, please: How many people, including you, are there in your family or household? HONFMEMO | ___ | ___ | PEOPLE When this research was conducted in your family last time, we wrote down the names of all

your family members. Let’s check this list in order to find out to what extent it corresponds to the present composition of your family.

[ INTERVIEWER ! ASK QUESTIONS 2.1-9 ABOUT EACH FAMILY MEMBER WHO IS

NOTED ON THE CARD, STARTING WITH THE FIRST. WRITE THE ANSWERS IN THE CORRESPONDING COLUMNS OF THE CARD. ]

HOINHH01 2.1 Tell me, please: Is [ NAME AND PATRONYMIC ] now a member of your family or

household? [ INTERVIEWER ! CIRCLE THE CODE IN COLUMN 2.1 OF THE CARD. ] Yes 1 → [ SKIP TO 3 ] No 2 HOWHYN01 2.2 Could you tell me, please, why [ NAME AND PATRONYMIC ] is no longer a

member of your household? [ INTERVIEWER ! READ POSSIBLE ANSWERS TO THE RESPONDENT AND IN

COLUMN 2.2 PUT THE CODE CORRESPONDING TO HIS/HER ANSWER. ] Has a different address 01 → [ SKIP TO THE NEXT PERSON ] Lives at this address but in another household 02 → [ SKIP TO THE NEXT PERSON ] Died 03 → [ GO TO QUESTION 2.3 ] Other--what, exactly 04 → [ INTERVIEWER ! WRITE IN

THE TABLE ON THE CORRE-SPONDING LINE AND SKIP TO THE NEXT PERSON. ]

HOCDTH01 2.3 Could you tell me, please, the cause of the death of [ NAME AND PATRONYMIC ] ? [ INTERVIEWER ! READ POSSIBLE ANSWERS TO THE RESPONDENT AND IN

COLUMN 2.3 PUT THE CODE CORRESPONDING TO HIS/HER ANSWER. ] Heart attack 31 → [ SKIP TO THE NEXT PERSON ] Stroke 32 → [ SKIP TO THE NEXT PERSON ] Cancer 33 → [ SKIP TO THE NEXT PERSON ] Accident, poisoning, injury 34 → [ SKIP TO THE NEXT PERSON ] Tuberculosis 35 → [ SKIP TO THE NEXT PERSON ] Other--what, exactly 36 → [ INTERVIEWER ! WRITE IN THE TABLE ON THE CORRESPONDING LINE AND SKIP TO THE NEXT PERSON. ]

4[ INTERVIEWER ! ASK QUESTIONS 3-9 ONLY ABOUT THOSE WHO ARE STILL MEMBERS OF THE FAMILY OR HOUSEHOLD. ] HOMTHS01 3. How many months in the last 12 have you (has he/she) lived in your family or household? [ INTERVIEWER ! WRITE THE ANSWER IN COLUMN 3 OF THE CARD. ] HOSEX01 4. [ INTERVIEWER ! CIRCLE IN COLUMN 4 OF THE CARD THE SEX OF THE FAMILY

MEMBER YOU ARE DISCUSSING. IF YOU ARE NOT SURE, ASK: “What sex is this person?” ]

HOBYR01 5. In what year were you (was he/she) born? [ INTERVIEWER ! WRITE THE ANSWER IN COLUMN 5 OF THE CARD. ] HOBMTH01 6. In what month were you (was he/she) born? [ INTERVIEWER ! WRITE THE NUMBER OF THE MONTH IN COLUMN 6 OF THE

CARD. ] HOBDAY01 7. On what day were you (was he/she) born? [ INTERVIEWER ! WRITE THE ANSWER IN COLUMN 7 OF THE CARD. ] 9. [ FILLING OUT THE “TABLE” ON PAGE 5 ] [ INTERVIEWER ! ASK QUESTION 9, STARTING WITH THE FAMILY MEMBER

WHOSE NAME IS WRITTEN ON THE 2ND LINE. ] Tell me, please: How is [ NAME THE FAMILY MEMBER YOU ARE DISCUSSING ] related

to [ NAME IN ORDER ALL FAMILY MEMBERS WHO ARE LISTED ON THE CARD ON PRECEDING ROWS, STARTING WITH THE FIRST ] ?

[ INTERVIEWER ! THE CODING KEY IS LOCATED IN THE TABLE. WRITE THE

RELATIONSHIP CODE IN THE BOX AT THE INTERSECTION OF THE ROW FOR THE FAMILY MEMBER YOU ARE DISCUSSING AND THE COLUMN FOR THE NEXT FAMILY MEMBER. ]

[ INTERVIEWER ! THEN SKIP TO THE NEXT MEMBER OF THE HOUSEHOLD LISTED

ON THE CARD AND ASK QUESTIONS 2.1-9. ] [ INTERVIEWER ! AFTER YOU HAVE DISCUSSED ALL MEMBERS OF THE FAMILY

LISTED ON THE CARD, ASK WHETHER THERE ARE NEW FAMILY MEMBERS. RECORD NAMES AND PATRONYMICS OF NEW FAMILY MEMBERS ON THE NEXT EMPTY ROWS ON PAGE 4 IN COLUMN 2 OF THE CARD AND ASK QUESTIONS 3-9. ]

[ INTERVIEWER ! AFTER YOU HAVE DISCUSSED ALL OLD AND NEW MEMBERS, CHECK WHETHER THE NUMBER OF HOUSEHOLD MEMBERS MENTIONED IN THE RESPONDENT’S ANSWER TO QUESTION 1 IS THE SAME AS THE NUMBER OF HOUSEHOLD MEMBERS WHO ARE LIVING THERE. AFTER THIS CLARIFICATION GO TO THE NEXT SECTION ON PAGE 6. ]

5“NEW FAMILY” 1. Let’s talk about your family. By “family” or “hous ehold” we mean all people living with

you who have common income and expenditures. If your family includes unmarried children younger than 18 who do not live with you because they study in a different place, include them in your household.

Tell me, please: How many people, including you, are there in your family or household? HONFMEMN | ___ | ___ | PEOPLE Our conversation will be about health, diet, living conditions, income, and expenditures for

all members of your family. To begin, I will ask you to answer questions about each member of the family. Let’s begin with you.

[ INTERVIEWER ! ASK QUESTIONS 2-9 ABOUT EACH FAMILY MEMBER. ] 2. Tell me, please, (your/next family member’s) first name and patronymic. [ INTERVIEWER ! WRITE THE ANSWER IN COLUMN 2 ON PAGE 4. ] HOMTHS01 3. How many months in the last 12 have you (has he/she) lived in your family or household? [ INTERVIEWER ! WRITE THE ANSWER IN COLUMN 3 OF THE CARD. ] HOSEX01 4. [ INTERVIEWER ! CIRCLE IN COLUMN 4 THE SEX OF THE FAMILY MEMBER YOU

ARE DISCUSSING. IF YOU AREN’T SURE, ASK: “What sex is this person?” ] HOBYR01 5. In what year were you (was he/she) born? [ INTERVIEWER ! WRITE THE ANSWER IN COLUMN 5 OF THE CARD. ] HOBMTH01 6. In what month were you (was he/she) born? [ INTERVIEWER ! WRITE THE NUMBER OF THE MONTH IN COLUMN 6 OF THE

CARD. ] HOBDAY01 7. On what day were you (was he/she) born? [ INTERVIEWER ! WRITE THE ANSWER IN COLUMN 7 OF THE CARD. ] 9. [ FILLING OUT THE “TABLE” ON PAGE 5 ] [ INTERVIEWER ! ASK Q. 9, STARTING WITH THE 2ND FAMILY MEMBER. ] Tell me, please: How is [ NAME THE FAMILY MEMBER YOU ARE DISCUSSING ] related

to [ NAME IN ORDER ALL FAMILY MEMBERS LISTED ON PRECEDING ROWS OF THE CARD, STARTING WITH THE FIRST ] ?

[ INTERVIEWER ! THE CODING KEY IS LOCATED IN THE TABLE. WRITE THE

RELATIONSHIP CODE IN THE BOX AT THE INTERSECTION OF THE ROW FOR THE FAMILY MEMBER YOU ARE DISCUSSING AND THE COLUMN FOR THE NEXT FAMILY MEMBER. ]

[ INTERVIEWER ! SKIP TO THE NEXT FAMILY MEMBER AND ASK Q. 2-9. ] [ INTERVIEWER ! WHEN A RESPONDENT SAYS THERE ARE NO MORE PEOPLE IN

THE FAMILY, CHECK WHETHER HIS/HER ANSWER TO Q. 1 EQUALS THE NUMBER RECORDED IN COLUMN 2 OF THE CARD. RESOLVE ANY DISPARITY BEFORE GOING ON TO THE NEXT SECTION ON PAGE 6. ]

6

CARD

No. First Name, Patronymic

Still in the family?

Reason for absence, cause of death

How many months in

family of the last 12

Sex M - 1 F - 2 Year of birth

Month of birth Day

2 2.1 2.2 - 2.3 3 4 5 6 7

01

Yes...1 No....2 →

HOINHH01 | __ | __ | HOWHYN01 HOCDTH01

| __ | __ | HOMTHS01

1....2

HOSEX01

| __ | __ | __ | __ |

HOBYR01

| __ | __ | HOBMTH01

| __ | __ | HOBDAY01

02

Yes...1 No....2 →


| __ | __ | HOMTHS02

1....2

HOSEX02

| __ | __ | __ | __ |

HOBYR02

| __ | __ | HOBMTH02

| __ | __ | HOBDAY02

03

Yes...1 No....2 →


| __ | __ | HOMTHS03

1....2

HOSEX03

| __ | __ | __ | __ |

HOBYR03

| __ | __ | HOBMTH03

| __ | __ | HOBDAY03

04

Yes...1 No....2 →


| __ | __ | HOMTHS04

1....2

HOSEX04

| __ | __ | __ | __ |

HOBYR04

| __ | __ | HOBMTH04

| __ | __ | HOBDAY04

05

Yes...1 No....2 →


| __ | __ | HOMTHS05

1....2

HOSEX05

| __ | __ | __ | __ |

HOBYR05

| __ | __ | HOBMTH05

| __ | __ | HOBDAY05

06

Yes...1 No....2 →


| __ | __ | HOMTHS06

1....2

HOSEX06

| __ | __ | __ | __ |

HOBYR06

| __ | __ | HOBMTH06

| __ | __ | HOBDAY06

07

Yes...1 No....2 →


| __ | __ | HOMTHS07

1....2

HOSEX07

| __ | __ | __ | __ |

HOBYR07

| __ | __ | HOBMTH07

| __ | __ | HOBDAY07

08

Yes...1 No....2 →


| __ | __ | HOMTHS08

1....2

HOSEX08

| __ | __ | __ | __ |

HOBYR08

| __ | __ | HOBMTH08

| __ | __ | HOBDAY08

09

Yes...1 No....2 →


| __ | __ | HOMTHS09

1....2

HOSEX09

| __ | __ | __ | __ |

HOBYR09

| __ | __ | HOBMTH09

| __ | __ | HOBDAY09

10

Yes...1 No....2 →


| __ | __ | HOMTHS10

1....2

HOSEX10

| __ | __ | __ | __ |

HOBYR10

| __ | __ | HOBMTH10

| __ | __ | HOBDAY10

11

Yes...1 No....2 →

HOINHH11

| __ | __ | HOWHYN11 HOCDTH11

| __ | __ | HOMTHS11

1....2

HOSEX11

| __ | __ | __ | __ |

HOBYR11

| __ | __ | HOBMTH11

| __ | __ | HOBDAY11

12

Yes...1 No....2 →


| __ | __ | HOMTHS12

1....2

HOSEX12

| __ | __ | __ | __ |

HOBYR12

| __ | __ | HOBMTH12

| __ | __ | HOBDAY12

13

Yes...1 No....2 →

HOINHH13


| __ | __ | HOMTHS13

1....2

HOSEX13

| __ | __ | __ | __ |

HOBYR13

| __ | __ | HOBMTH13

| __ | __ | HOBDAY13

14

Yes...1 No....2 →


| __ | __ | HOMTHS14

1....2

HOSEX14

| __ | __ | __ | __ |

HOBYR14

| __ | __ | HOBMTH14

| __ | __ | HOBDAY14

15

Yes...1 No....2 →

HOINHH15


| __ | __ | HOMTHS15

1....2

HOSEX15

| __ | __ | __ | __ |

HOBYR15

| __ | __ | HOBMTH15

| __ | __ | HOBDAY15

16

Yes...1 No....2 →


| __ | __ | HOMTHS16

1....2

HOSEX16

| __ | __ | __ | __ |

HOBYR16

| __ | __ | HOBMTH16

| __ | __ | HOBDAY16

7CARD

No.

Rela-tion-ship to No. 01

Rela-tion-ship

to No. 02

Rela-tion-ship

to No. 03

Rela-tion-ship

to No. 04

Rela-tion-ship

to No. 05

Rela-tion-ship

to No. 06

Rela-tion-ship

to No. 07

Rela-tion-ship

to No. 08

Rela-tion-ship

to No. 09

Rela-tion-ship

to No. 10

Rela-tion-ship

to No. 11

Rela-tion-ship

to No. 12

Rela-tion-ship

to No. 13

Rela-tion-ship to No. 14

Rela-tion-

ship to No. 15

9 (TABLE)

01

CODING KEY 2

Has a different address . . . . . . . 01 Lives at this address but in another household . . . . . . . . . .02 Died . . . . . . . . . . . . . . . . . . . . . SEE CODING KEY 3 Other--what exactly . . . . . . . . . .04 WRITE IN THE LINE!

____________________

CODING KEY 1

01 - husband/wife (registered or not registered)

02 - father/mother

03 - stepfather/stepmother

11 - father-in-law/mother-in-law

04 - son/daughter

05 - stepson, foster son, adopted son/

stepdaughter, foster daughter, adopted daughter

06 - brother/sister

07 - halfbrother, stepbrother, foster brother, adopted brother/

halfsister, stepsister, foster sister, adopted sister

16 - first cousin (male)/first cousin (female)

08 - grandfather/grandmother

09 - grandson/granddaughter

17 - great grandfather/great grandmother

18 - great grandson/great granddaughter

15 - uncle/aunt

10 - nephew/niece

12 - son-in-law/daughter-in-law

13 - other relatives

14 - other persons, not relatives

02

| _ | _ | HOR0102

03

| _ | _ | HOR0103

| _ | _ | HOR0203

04

| _ | _ | HOR0104 | _ | _ |

HOR0204 | _ | _ | HOR0304

05

| _ | _ | HOR0105 | _ | _ |

HOR0205 | _ | _ | HOR0305 | _ | _ |

HOR0405

06

| _ | _ | HOR0106

| _ | _ | HOR0206

| _ | _ | HOR0306

| _ | _ | HOR0406

| _ | _ | HOR0506

07

| _ | _ | HOR0107 | _ | _ |

HOR0207 | _ | _ | HOR0307 | _ | _ |

HOR0407 | _ | _ | HOR0507 | _ | _ |

HOR0607

08

| _ | _ | HOR0108 | _ | _ |

HOR0208 | _ | _ | HOR0308 | _ | _ |

HOR0408 | _ | _ | HOR0508 | _ | _ |

HOR0608 | _ | _ | HOR0708

09

| _ | _ | HOR0109

| _ | _ | HOR0209

| _ | _ | HOR0309

| _ | _ | HOR0409

| _ | _ | HOR0509

| _ | _ | HOR0609

| _ | _ | HOR0709

| _ | _ | HOR0809 CODING KEY 3

Heart attack . . . . . . . . . . . . . . . .31 Stroke . . . . . . . . . . . . . . . . . . . . .32 Cancer . . . . . . . . . . . . . . . . . . . . 33 Accident, poisoning, injury . . . . . . . . . . . . . . . . . . . 34 Tuberculosis . . . . . . . . . . . . . . . .35 Other--what exactly . . . . . . . . . 36 WRITE IN THE LINE! ______________________

10

| _ | _ | HOR0110 | _ | _ |

HOR0210 | _ | _ | HOR0310 | _ | _ |

HOR0410 | _ | _ | HOR0510 | _ | _ |

HOR0610 | _ | _ | HOR0710 | _ | _ |

HOR0810 | _ | _ | HOR0910

11

| _ | _ | HOR0111 | _ | _ |

HOR0211 | _ | _ | HOR0311 | _ | _ |

HOR0411 | _ | _ | HOR0511 | _ | _ |

HOR0611 | _ | _ | HOR0711 | _ | _ |

HOR0811 | _ | _ | HOR0911 | _ | _ |

HOR1011

12

| _ | _ | HOR0112 | _ | _ |

HOR0212 | _ | _ | HOR0312 | _ | _ |

HOR0412 | _ | _ | HOR0512 | _ | _ |

HOR0612 | _ | _ | HOR0712 | _ | _ |

HOR0812 | _ | _ | HOR0912 | _ | _ |

HOR1012 | _ | _ | HOR1112

13

| _ | _ | HOR0113 | _ | _ |

HOR0213 | _ | _ | HOR0313 | _ | _ |

HOR0413 | _ | _ | HOR0513 | _ | _ |

HOR0613 | _ | _ | HOR0713 | _ | _ |

HOR0813 | _ | _ | HOR0913 | _ | _ |

HOR1013 | _ | _ | HOR1113 | _ | _ |

HOR1213

14

| _ | _ | HOR0114

| _ | _ | HOR0214

| _ | _ | HOR0314

| _ | _ | HOR0414

| _ | _ | HOR0514

| _ | _ | HOR0614

| _ | _ | HOR0714

| _ | _ | HOR0814

| _ | _ | HOR0914

| _ | _ | HOR1014

| _ | _ | HOR1114

| _ | _ | HOR1214

| _ | _ | HOR1314

15

| _ | _ | HOR0115

| _ | _ | HOR0215

| _ | _ | HOR0315

| _ | _ | HOR0415

| _ | _ | HOR0515

| _ | _ | HOR0615

| _ | _ | HOR0715

| _ | _ | HOR0815

| _ | _ | HOR0915

| _ | _ | HOR1015

| _ | _ | HOR1115

| _ | _ | HOR1215

| _ | _ | HOR1315

| _ | _ | HOR1415

16

| _ | _ | HOR0116

| _ | _ | HOR0216

| _ | _ | HOR0316

| _ | _ | HOR0416

| _ | _ | HOR0516

| _ | _ | HOR0616

| _ | _ | HOR0716

| _ | _ | HOR0816

| _ | _ | HOR0916

| _ | _ | HOR1016

| _ | _ | HOR1116

| _ | _ | HOR1216

| _ | _ | HOR1316

| _ | _ | HOR1416 | _ | _ |

HOR1516

8C. SECTION “LIVING CONDITIONS” HOHORD 1. Now I would like to ask a few questions about your living conditions. Tell me, please: Is the place where your family lives at the present time a dormitory, a place

you rent, or your own residence? OWN RESIDENCE 1 RENTED RESIDENCE 2 → [ SKIP TO 6 ON PAGE 7 ] DORMITORY 3 → [ SKIP TO 6 ON PAGE 7 ] DOESN’T KNOW 7 → [ SKIP TO 6 ON PAGE 7 ] REFUSESE TO ANSWER 8 → [ SKIP TO 6 ON PAGE 7 ]

HOMVALUE 1.1 What is the market value today of a residence similar to yours? | _______________ | RUBLES RESIDENCE NOT SUBJECT TO SALE 5 SELLING RESIDENCE NOT POSSIBLE 6 DOESN’T KNOW 7 REFUSES TO ANSWER 8 HOHAH 3. Does your family occupy a separate apartment, part of an apartment, a separate house,

part of a house? SEPARATE APARTMENT 1 PART OF AN APARTMENT 2 SEPARATE HOUSE 3 PART OF A HOUSE 4 DOESN’T KNOW 7 REFUSES TO ANSWER 8 HOHSWNER 4.0 Tell me, please: Who at the present time is the owner of the house in which you live? One of the members of your household 1 Other relatives, but not members of your household 2 Or the house is not privatized 3 OTHER 4 DOESN’T KNOW 7 REFUSES TO ANSWER 8

9HOHFSP 6. How much general usable living space does your family have, that is, the total area of

bedrooms, living room, kitchen, bathroom, and so on in the apartment (house)? [ INTERVIEWER ! IN A COMMUNAL APARTMENT COUNT ALL SHARED SPACE,

BUT DON’T COUNT THE LIVING SPACE OF THE NEIGHBORS. ] __________ M2 (SQUARE METERS) DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOHLSP 5. How much living space does your family have? How many square meters is the area of the

living space only? __________ M2 (SQUARE METERS) DOESN’T KNOW 997 REFUSES TO ANSWER 998

HOHROOMS 5.1 How many rooms, actually used for living, does your family occupy (not counting kitchen, bathroom, etc.)?

__________ ROOMS DOESN’T KNOW 97 REFUSES TO ANSWER 98 7. Tell me, please: In your home is there...? Yes No D/K REFUSES HOHCHEAT 1. Central heating from TETs, boiler 1 2 7 8 HOHCWATR 2. Central water supply 1 2 7 8 HOHHWATR 3. Hot water supply 1 2 7 8 HOHMGAS 7. Metered, not bottled, gas 1 2 7 8 HOHESTOV 8. Electric stove 1 2 7 8 HOHCSEWR 5. Central sewerage 1 2 7 8 HOHPHON 6. Telephone [ INTERVIEWER ! NOT A CELL PHONE! ] 1 2 7 8 9. Tell me, please: Which of the following do you or your family have? When speaking about

your family, include all who live with you and with whom you have common income and expenses.

Also, how old is each item? If you have more than one of a kind, tell me about the newest. [ INTERVIEWER ! IF LESS THAN ONE YEAR OLD, WRITE 0. ] How many DOESN’T Do you have...? years old is it? KNOW AGE

↓ ↓ 1.1 Refrigerator (no frost) Yes ................ 1 → | ______ | 97 No ................. 2 HOAGRENF HOOREFNF 2. Separate freezer Yes ................ 1 → | ______ | 97 No ................. 2 HOAGFREZ HOOFREZ

10 How many DOESN’T Do you have...? years old is it? KNOW AGE

↓ ↓ 3.2 Washing machine (automatic) Yes ................ 1 → | ______ | 97 No ................. 2 HOAGWSHA HOOWSHRA 3.1 Microwave oven Yes ................ 1 → | ______ | 97 No ................. 2 HOAGMICR HOOMICR 5. Color television Yes ................ 1 → | ______ | 97 No ................. 2 HOAGTVC HOOTVC 6. Video recorder or player Yes ................ 1 → | ______ | 97 No ................. 2 HOAGVCR HOOVCR 6.0 DVD player or recorder Yes ................ 1 → | ______ | 97 No ................. 2 HOAGDVDP HOODVDP 6.2 Computer Yes ................ 1 → | ______ | 97 No ................. 2 HOAGCPTR HOOCPTR 6.3 Digital camera Yes ................ 1 → | ______ | 97 No ................. 2 HOAGDIGC HOODIGC 7.2 Domestic Car Yes ................ 1 → | ______ | 97 No ................. 2 HOAGCARD HOOCARD 7.3 Foreign Car Yes ................ 1 → | ______ | 97 No ................. 2 HOAGCARF HOOCARF 7.1 Truck Yes ................ 1 → | ______ | 97 No ................. 2 HOAGTRUK HOOTRUK 8. Motorcycle, motor scooter, motor boat Yes ................ 1 → | ______ | 97 No ................. 2 HOAGMCB HOOMCB 9. Tractor or mini-tractor Yes ................ 1 → | ______ | 97 No ................. 2 HOAGTRAK HOOTRAK How many DOESN’T How much DOESN’T years old KNOW do you pay KNOW Do you have? is it? AGE per month? AMOUNT [ INTERVIEWER ! NOT COUNTING PAYMENT FOR THE LAND ]

↓ ↓ ↓ ↓ ↓ 10.1 Dacha or other house or part of a house Yes ......... 1 → | ______ | 97 | _______ | 97 No .......... 2 HOAGDACH HORDACH HOODACH 12. Other apartment or part of an apartment Yes ......... 1 → | ______ | 97 | _______ | 97 No .......... 2 HOAGOTHA HOROTHA HOOOTHA

11 D. SECTION “FARMING AND ANIMAL HUSBANDRY” HOLNDUSD 1. Now a few questions about farming and animal husbandry. Tell me, please: In the last 12 months has your family used any land? [ INTERVIEWER ! THIS QUESTION IS ABOUT THE 12-MONTH PERIOD

PRECEDING THE DATE OF THE SURVEY. ] Yes 1 No 2 → [ SKIP TO 11 ON PAGE 12 ] DOESN’T KNOW 7 → [ SKIP TO 11 ON PAGE 12 ] REFUSES TO ANSWER 8 → [ SKIP TO 11 ON PAGE 12 ] HOLNDUSE 2. Tell me, please: At the present time does your family use any land? Yes 1 No 2 → [ SKIP TO 5 ] DOESN’T KNOW 7 → [ SKIP TO 5 ] REFUSES TO ANSWER 8 → [ SKIP TO 5 ] HOLHASSZ 3. In total, how many sotkas of land does your family have at the present time? (Translator’s note: A sotka is one one-hundreth of a hectare.) __________ SOTKAS DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOLANDCU 4. Let’s talk about who owns this land. I will read off a few possible answers, and you

choose, please, only one. [ INTERVIEWER ! YOU SHOULD NOTE ONLY ONE ANSWER. ] All is owned by your family 1 All is rented by your family 2 Part is owned by your family, part rented 3 You use the land under another arrangement 4 DOESN’T KNOW 7 REFUSES TO ANSWER 8 HOLANDP 5. Tell me, please: In the last 12 months has your family paid for using the land? Yes 1 No 2 → [ SKIP TO 7 ] DOESN’T KNOW 7 → [ SKIP TO 7 ] REFUSES TO ANSWER 8 → [ SKIP TO 7 ] HOLANDC 6. How many rubles did you pay for using your land in the last 12 months? _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOGROW 7. In the last 12 months did your family grow anything on its land? Yes 1 No 2 → [ SKIP TO 11 ON PAGE 12 ] DOESN’T KNOW 7 → [ SKIP TO 11 ON PAGE 12 ] REFUSES TO ANSWER 8 → [ SKIP TO 11 ON PAGE 12 ]

12 8. Let’s talk about the harvest that your family gathered in the last 12 months on this land. I will list

various crops, and you please try to remember whether your family has harvested any of them on its land in the last 12 months, and, if so, how many kilograms. Could you also remember how you used the gathered crops?

[ INTERVIEWER ! IF THE RESPONDENT ANSWERS NOT IN KILOGRAMS BUT,

FOR EXAMPLE, IN SACKS, BUCKETS, ETC., RECALCULATE THE QUANTITY, WITH THE RESPONDENT, INTO KILOGRAMS. ]

[ INTERVIEWER ! IF THE RESPONDENT HAS DIFFICULTY SAYING HOW MUCH

WAS HARVESTED, CONSUMED, GIVEN AWAY, OR SOLD, WRITE “999997” IN THE ANSWER SPACE.

IF THE RESPONDENT REFUSES TO ANSWER, WRITE “999998.” ] How many How many kg did your kg were How many In the last How many family con- given away kg were 12 months has kg in total sume in to others in sold in your family did you natural or natural or natural o r harvested? harvest? processed processed processed form? form? form? 1. Potatoes Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHPOTA HO2FPOTA HO2OPOTA HOSPOTA HOHPOT 2. Tomatoes Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHTOMA HO2FTOMA HO2OTOMA HOSTOMA HOHTOM 3. Cucumbers Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHCUCM HO2FCUCM HO2OCUCM HOSCUCM HOHCUC 4. Beets Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHBEET HO2FBEET HO2OBEET HOSBEET HOHBET 5. Carrots Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHCARR HO2FCARR HO2OCARR HOSCARR HOHCAR 6. Cabbages Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHCABB HO2FCABB HO2OCABB HOSCABB HOHCAB 7. Onions, garlic Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHONON HO2FONON HO2OONON HOSONON HOHON 8. Squash, pumpkins, Yes 1 → | __________ | __________ | _________ | __________ | gourds No 2 HOHSQSH HO2FSQSH HO2OSQSH HOSSQSH HOHSQA 9. Other vegetables Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHVEGT HO2FVEGT HO2OVEGT HOSVEGT HOHOTV 10.Melons, water- Yes 1 → | __________ | __________ | _________ | __________ | melons No 2 HOHMELN HO2FMELN HO2OMELN HOSMELN HOHMEL 11. Grains Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHGRAN HO2FGRAN HO2OGRAN HOSGRAN HOHGRN

13 How many How many kg did your kg were How many In the last How many family con- given away kg were 12 months has kg in total sume in to others in sold in your family did you natural or natural or natural or harvested? harvest? processed processed processed form? form? form? 12. Beans Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHBEAN HO2FBEAN HO2OBEAN HOSBEAN HOHBEN 13. Corn Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHCORN HO2FCORN HO2OCORN HOSCORN HOHCRN 14. Tobacco Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHTOBC HO2FTOBC HO2OTOBC HOSTOBC HOHTBC 15. Strawberries, raspberries Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHSTRW HO2FSTRW HO2OSTRW HOSSTRW HOHSTR 16. Currants, gooseberries Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHCURR HO2FCURR HO2OCURR HOSCURR HOHCUR 17. Buckthorn Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHBUKT HO2FBUKT HO2OBUKT HOSBUKT HOHBKT 18. Other berries Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHBERY HO2FBERY HO2OBERY HOSBERY HOHOTB 19. Apples Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHAPPL HO2FAPPL HO2OAPPL HOSAPPL HOHAPL 20. Pears Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHPEAR HO2FPEAR HO2OPEAR HOSPEAR HOHPAR 21. Plums, cherries Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHPLUM HO2FPLUM HO2OPLUM HOSPLUM HOHPLM 22. Apricots, peaches Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHPECH HO2FPECH HO2OPECH HOSPECH HOHPCH 23. Grapes Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHGRAP HO2FGRAP HO2OGRAP HOSGRAP HOHGRP 24. Other fruits Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHFRUT HO2FFRUT HO2OFRUT HOSFRUT HOHOTF 25. Nuts Yes 1 → | __________ | __________ | _________ | __________ | No 2 HOHNUTS HO2FNUTS HO2ONUTS HOSNUTS HOHNUT

14 Did you How many How many sold in harvest? total? natural or processed form? 26. Flowers Yes 1 → | _________ | | _________ | No 2 HOHFLWR HOSFLWR HOHFLR HOSCROP 9. [ INTERVIEWER ! ASK QUESTIONS 9 AND 10 ONLY OF RESPONDENTS WHO

SOLD SOMETHING FROM WHAT THEY GREW ON THEIR LAND, I.E., IF THERE IS AT LEAST ONE NOTE IN THE LAST COLUMN IN Q. 8. FOR OTHERS, ASK Q. 11. ]

Tell me, please: Did you sell in the last 30 days anything from what you grew on your land

during the last 12 months? Yes .......................................................................... 1 No ............................................................................ 2 → [ SKIP TO 11 ] DOESN’T KNOW .................................................... 7 → [ SKIP TO 11 ] REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 11 ] HOVSCROP 10. How much money did your family receive in the last 30 days from selling crops harvested

from your land during the last 12 months? _______________ RUBLES DOESN’T KNOW ................................................ 997 REFUSES TO ANSWER ...................................... 998 HOFANK 11. And now I would like to find out: Did your family have any livestock, fowl, or bees in the

last 12 months? Yes .......................................................................... 1 No ............................................................................ 2 → [ SKIP TO 17 ON PAGE 14 ] DOESN’T KNOW .................................................... 7 → [ SKIP TO 17 ON PAGE 14 ] REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 17 ON PAGE 14 ] HOSFAN 12. Tell me, please: Did you sell any living livestock, fowl, or bees in the last 30 days? Yes .......................................................................... 1 No ............................................................................ 2 → [ SKIP TO 14 ON PAGE 13 ] DOESN’T KNOW .................................................... 7 → [ SKIP TO 14 ON PAGE 13 ] REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 14 ON PAGE 13 ] HOVSFAN 13. How much money in total did your family receive in the last 30 days from selling living

livestock, fowl, or bees? _______________ RUBLES DOESN’T KNOW ................................................ 997 REFUSES TO ANSWER ...................................... 998

15 14. Now I am going to name various animal husbandry products, and you try to remember

whether your family produced any of these in the last 12 months, and, if so, how much. Could you, please, also remember what you did with these products?

[ INTERVIEWER ! IF THE RESPONDENT HAS DIFFICULTY ANSWERING HOW

MUCH WAS PRODUCED, CONSUMED, GIVEN AWAY, OR SOLD, WRITE IN THE ANSWER SPACE “999997.”

IF THE RESPONDENT REFUSES TO ANSWER, WRITE “999998.” ] How many kg did How many kg How many Did How your were given kg were you many family away to others sold in produce? kg were consume in in natural or natural or produced? natural or processed processed processed form? form? form? 1. Meat, except meat from fowl Yes 1 → | __________ | __________ | _________ | _________ | No 2 HOPMEAT HO2FMEAT HO2OMEAT HOSMEAT HOPMET 2. Meat from fowl Yes 1 → | __________ | __________ | _________ | _________ | No 2 HOPPOUL HO2FPOUL HO2OPOUL HOSPOUL HOPPOL 3. Honey Yes 1 → | __________ | __________ | _________ | _________ | No 2 HOPHONY HO2FHONY HO2OHONY HOSHONY HOPHNY 4. Wool, down Yes 1 → | __________ | __________ | _________ | _________ | No 2 HOPWOOL HO2FWOOL HO2OWOOL HOSWOOL HOPWOL How many How many liters did liters were How many Did How your given away liters were you many family to others in sold in produce? liters were consume in natural or natural or produced? natural or processed processed processed form? form? form? 5. Milk Yes 1 → | __________ | __________ | _________ | _________ | No 2 HOPMILK HO2FMILK HO2OMILK HOSMILK HOPMLK How many How many Did How did your were given How many you many family away to were sold in produce? were consume in others in natural or produced? natural or natural or processed processed processed form? form? form? 6. Eggs Yes 1 → | __________ | __________ | _________ | _________ | No 2 HOPEGGS HO2FEGGS HO2OEGGS HOSEGGS HOPEGG 7. Hides Yes 1 → | __________ | __________ | _________ | _________ | No 2 HOPPELT HO2FPELT HO2OPELT HOSPELT HOPPLT

16 HOSANP 15. [ INTERVIEWER ! ASK QUESTIONS 15 AND 16 ONLY OF THOSE WHO SOLD

SOME ANIMAL HUSBANDRY PRODUCTS, I.E., IF THERE IS AT LEAST ONE MARK IN THE LAST COLUMN OF QUESTION 14. FOR OTHERS, ASK QUESTION 17. ]

Tell me, please: In the last 30 days did you sell any products of livestock, fowl, or bees that

were produced in your household in the last 12 months? Yes 1 No 2 → [ SKIP TO 17 ] DOESN’T KNOW 7 → [ SKIP TO 17 ] REFUSES TO ANSWER 8 → [ SKIP TO 17 ] HOVSANP 16. How much money did your family receive in the last 30 days from selling these products? _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOBFARMN 17. [ INTERVIEWER ! ASK QUESTIONS 17 AND 18 ONLY OF THOSE WHO GREW

SOMETHING OR RAISED LIVESTOCK, FOWL, OR BEES--IN OTHER WORDS, THOSE WHO ANSWERED “YES” IN EITHER QUESTION 7 ON PAGE 9 OR QUESTION 11 ON PAGE 12. FOR OTHERS, ASK QUESTION 19. ]

Tell me, please: In the last 30 days did you spend any money on seed, fertilizer, feed, renting

technical equipment, labor, or anything else essential to farming or raising livestock, excluding expenditures for fuel?

Yes 1 No 2 → [ SKIP TO 19 ] DOESN’T KNOW 7 → [ SKIP TO 19 ] REFUSES TO ANSWER 8 → [ SKIP TO 19 ] HOCFARMN 18. How much money in total did your family spend in the last 30 days on seed, fertilizer,

feed, renting technical equipment, labor, or other things? _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOFORAGE 19. In the last 12 months did the members of your family gather mushrooms, wild nuts,

berries, or herbs? Did you or other members of your family hunt or fish? Yes 1 No 2 → [ SKIP TO NEXT SECT. P. 15 ] DOESN’T KNOW 7 → [ SKIP TO NEXT SECT. P. 15 ] REFUSES TO ANSWER 8 → [ SKIP TO NEXT SECT. P. 15 ] HOSFRGE 20. In the last 30 days did your family sell any of the gathered mushrooms, nuts, berries,

fish, or bagged game? Yes 1 No 2 → [ SKIP TO NEXT SECT. P. 15 ] DOESN’T KNOW 7 → [ SKIP TO NEXT SECT. P. 15 ] REFUSES TO ANSWER 8 → [ SKIP TO NEXT SECT. P. 15 ] HOVSFRGE 21. How much money in the last 30 days did your family receive from selling these? _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998

17 E. SECTION “EXPENDITURES” 1. Let’s talk a little about your family’s expenditures in the last 7 days. I want to remind you

that while talking about the family you should keep in mind everyone who lives with you and with whom you share common income and expenditures.

I am going to list various food products, and you recall, please, which of them members of

your family bought in the last 7 days and, if they bought them, how many kilograms or liters and how much they paid. We understand that you may not remember exact figures. Please give approximate answers.

Did your How many family buy How much rubles in all in the last (kilograms, D/K did you D/K 7 days? liters)? pay? 1. White (wheat) bread Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOABRDWI HOCBRDWI HOBBRDWI 2. Black (rye) bread Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOABRDBL HOCBRDBL HOBBRDBL 3. Rice, other cereals Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAGROAT HOCGROAT HOBGROAT 4. Flour Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAFLOUR HOCFLOUR HOBFLOUR 5. Macaroni products Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAPASTA HOCPASTA HOBPASTA 6. Potatoes Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAPOTAT HOCPOTAT HOBPOTAT 7. Canned veg., excluding pickled Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAVEGCN HOCVEGCN HOBVEGCN 8. Cabbage, including sauerkraut Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOACABBG HOCCABBG HOBCABBG 9. Cucumbers, including pickles Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOACUCUM HOCCUCUM HOBCUCUM 10. Tomatoes, including pickled Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOATOMAT HOCTOMAT HOBTOMAT 11. Beets, carrots, other roots Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOARTVEG HOCRTVEG HOBRTVEG 12. Onions, garlic Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAONGAR HOCONGAR HOBONGAR 13. Squash, pumpkins, etc. Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOASQUAS HOCSQUAS HOBSQUAS 14. Other vegetables Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAVEGOT HOCVEGOT HOBVEGOT

18 Did your How many family buy How much rubles in all in the last (kilograms, D/K did you D/K 7 days? liters)? pay? 15. Watermelons, melons, including pickled and dried Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAMELON HOCMELON HOBMELON 16. Fruit/berry preserves Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAFRUCN HOCFRUCN HOBFRUCN 17. Fresh berries Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOABERRY HOCBERRY HOBBERRY 18. Fresh fruit Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAFRUIT HOCFRUIT HOBFRUIT 19. Dried fruits, berries Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAFRUDR HOCFRUDR HOBFRUDR 20. Nuts, sunflower seeds Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOANUTS HOCNUTS HOBNUTS 21. Canned meat Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAMETCN HOCMETCN HOBMETCN 22. Beef, veal Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOABEEF HOCBEEF HOBBEEF 23. Lamb, goat meat Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAMUTTN HOCMUTTN HOBMUTTN 24. Pork Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAPORK HOCPORK HOBPORK 25. Giblets: liver, kidneys, etc. Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAORGAN HOCORGAN HOBORGAN 26. Fowl Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAPOULT HOCPOULT HOBPOULT 27. Lard, other animal fats Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOALARD HOCLARD HOBLARD 28. Sausage, smoked meat Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOASMEAT HOCSMEAT HOBSMEAT 29. Semi-prepared meat products Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAMETSP HOCMETSP HOBMETSP 30. Canned/powdered milk Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAMLKCD HOCMLKCD HOBMLKCD

19 Did your How many family buy How much rubles in all in the last (kilograms, D/K did you D/K 7 days? liters)? pay? 31. Fresh milk Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HOAMILK HOCMILK HOBMILK 32. Sour milk products: kefir, yogurt, etc. Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HOAKEFIR HOCKEFIR HOBKEFIR 33. Sour cream, cream Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HOACREAM HOCCREAM HOBCREAM 34. Butter Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOABUTTR HOCBUTTR HOBBUTTR 35. Curd, cream cheese Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOACURDS HOCCURDS HOBCURDS 36. Cheese, feta cheese Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOACHEES HOCCHEES HOBCHEES 37. Ice cream Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAICECR HOCICECR HOBICECR 38. Vegetable oil Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HOAVGO HOCVGO HOBVGO 39. Margarine Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAMARGN HOCMARGN HOBMARGN 40. Sugar Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOASUGAR HOCSUGAR HOBSUGAR 41. Candy, chocolate Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOACANDY HOCCANDY HOBCANDY 42. Preserves, jam Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAJAM HOCJAM HOBJAM 43. Honey Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HOAHONEY HOCHONEY HOBHONEY 44. Cookies, pastries, cakes, Yes 1 → | ________ | kg 9997 | _________ | 997 waffles, gingerbread, buns No 2 HOACAKE HOCCAKE HOBCAKE 45. Eggs Yes 1 → | ________ | no. 9997 | _________ | 997 No 2 HOAEGGS HOCEGGS HOBEGGS 46. Fish: fresh, frozen, dried, Yes 1 → | ________ | kg 9997 | _________ | 997 prepared by a fishmonger No 2 HOAFISH HOCFISH HOBFISH 47. Canned fish Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAFSHCN HOCFSHCN HOBFSHCN 48. Tea Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOATEA HOCTEA HOBTEA

20 Did your How many family buy How much rubles in all in the last (kilograms, D/K did you D/K 7 days? liters)? pay? 49. Coffee, caffeinated drinks, Yes 1 → | ________ | kg 9997 | _________ | 997 cocoa No 2 HOACOFFE HOCCOFFE HOBCOFFE 50. Nonalcoholic drinks, juice Yes 1 → | _________ | l 9997 | _________ | 997 No 2 HOABEV HOCBEV HOBBEV 51. Salt, other spices, Yes 1 → | ________ | kg 9997 | _________ | 997 various sauces No 2 HOASLTSP HOCSLTSP HOBSLTSP 52. Mushrooms Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HOAMUSHR HOCMUSHR HOBMUSHR 53. Vodka Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HOAVODKA HOCVODKA HOBVODKA 54. Wine, other alcohol Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HOALIQUR HOCLIQUR HOBLIQUR 55. Beer Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HOABEER HOCBEER HOBBEER 56. Tobacco products Yes 1 → | ________ | packs 9997 | _________ | 997 No 2 HOATOBAC HOCTOBAC HOBTOBAC 57. Chewing gum, pastilles Yes 1 → | _________ | 997 No 2 HOCGUM HOBGUM HOATEOUT 2. In the last 7 days did you or any other members of your family eat away from home? Yes .......................................................................... 1 No ............................................................................ 2 → [ SKIP TO 4 ] DOESN’T KNOW .................................................... 7 → [ SKIP TO 4 ] REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 4 ] HOC8OUT 3. Please recall: Approximately how much money did all members of your family spend on

eating away from home in the last 7 days? _______________ RUBLES DOESN’T KNOW ................................................ 997 REFUSES TO ANSWER ...................................... 998 HOCFOODM 4. Please recall: About how much money did all members of your family spend on eating at

home and away from home in the last 30 days? _______________ RUBLES DOESN’T KNOW ................................................ 997 REFUSES TO ANSWER ...................................... 998

21 HOBCLOS 5. Did you or anyone in your family in the last 3 months buy clothes or shoes for members

of the household? Yes 1 No 2 → [ SKIP TO 7 ] DOESN’T KNOW 7 → [ SKIP TO 7 ] REFUSES TO ANSWER 8 → [ SKIP TO 7 ] HOCCLTHA 6.1 How much did you and other household members spend on buying clothing and shoes

for adults, that is, for household members 18 years and older, in the last 3 months? _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOCCLTHC 6.2 How much did you and other household members spend on clothing and shoes for

children, that is, for household members younger than 18 years, in the last 3 months? _______________ RUBLES NO CHILDREN IN THE HOUSEHOLD 996 DOESN’T KNOW 997 REFUSES TO ANSWER 998 7. Tell me, please: In the last 3 months did your family buy any of the following items, which

I will name? If so, then tell me how much in all you paid for it. How many Did you rubles in all D/K buy? did you pay? 1. Cultural goods: television, tape recorder, video, musical instruments, computer, camera, cell phone, ... Yes ....... 1 → | __________ | 997 etc. .................................................................................... No ........ 2 HOCCLGDS .......................................................................................... HOBCLGDS 2. Household items: furniture, rugs, etc. .......................... Yes ....... 1 → | __________ | 997 .......................................................................................... No ........ 2 HOCFURN .......................................................................................... HOBFURN 3. Household appliances: refrigerator, washer, vacuum, sewing machine, iron, food processor, etc. .... Yes ....... 1 → | __________ | 997 .......................................................................................... No ........ 2 HOCAPPL .......................................................................................... HOBAPPL 4. Automobile or mini-bus .................................................. Yes ....... 1 → | __________ | 997 .......................................................................................... No ........ 2 HOCAUTO .......................................................................................... HOBAUTO 5. Motorcycle, motor scooter, etc. ...................................... Yes ....... 1 → | __________ | 997 .......................................................................................... No ........ 2 HOCMCYCL .......................................................................................... HOBMCYCL 6. Garage .............................................................................. Yes ....... 1 → | __________ | 997 .......................................................................................... No ........ 2 HOCGARAG .......................................................................................... HOBGARAG 7. Building materials ........................................................... Yes ....... 1 → | __________ | 997 .......................................................................................... No ........ 2 HOCBUILD .......................................................................................... HOBBUILD 8. Dacha, house, apartment, land ...................................... Yes ....... 1 → | __________ | 997 .......................................................................................... No ........ 2 HOCDAL .......................................................................................... HOBDAL 9. Books, textbooks, training aids, office supplies ............ Yes ....... 1 → | __________ | 997 .......................................................................................... No ........ 2 HOCBOOKS .......................................................................................... HOBBOOKS 10. Sporting equipment: bicycle, scooter, skates ............... Yes ....... 1 → | __________ | 997 .......................................................................................... No ........ 2 HOCSPORT .......................................................................................... HOBSPORT

22 HOBCDUR 7.11. [INTERVIEWER! ASK QUESTION 7.11. ONLY OF THOSE RESPONDENTS, WHO

DID NOT BUY ANYTHING FROM THE LIST IN QUESTION 7. FOR THOSE WHO BOUGHT SOMETHING, ASK QUESTION 7.12. ]

In the last 12 months did your family buy any consumer durable– television set, cell phone, refrigerator, furniture, etc.?

Yes .................................................................... 1

No...................................................................... 2 ⇒ [SKIP TO 8. ]

DOESN’T KNOW .............................................. 7 ⇒ [SKIP TO 8. ]

RESUSES TO ANSWER .................................... 8 ⇒ [SKIP TO 8. ]

7.12. Where exactly did your family buy these goods?

Yes No D/K REFUSES HOBMARK 1. At markets .......................................................................... 1 .................. 2 ................. 7 ............... 8

HOBSHOP 2. In shops, selling over counter ............................................ 1 .................. 2 ................. 7 ............... 8

HOBCHSSS 3. In chain shops of self-service or showrooms, i.e. in shops, which work in different places under the same merchandise mark, for example «Eldorado», «Euroset’» etc. .............................................. 1 .................. 2 ................. 7 ............... 8

HOBNCHSS 4. In shops of self-service, which are not a chain, showrooms .......................................................................... 1 .................. 2 ................. 7 ............... 8

HOBPHINT 5. You have ordered food goods by telephone or through Internet with delivery to home ...................... 1 .................. 2 ................. 7 ............... 8

HOBFRACA 6. Friends, acquaintances, by advertisement ....................... 1 .................. 2 ................. 7 ............... 8

HOBOTHER 7. Other ................................................................................... 1 .................. 2 ................. 7 ............... 8

8. Tell me, please: Did your family in the last 30 days buy any of the following goods, and, if so, how much did you pay for them? How many Did you rubles in all D/K buy? did you pay? 1. Fuel for running vehicles, motors, generators ............ Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCFUELM ........................................................................................ HOBFUELM 2. Firewood, coal, peat, kerosene ..................................... Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCFCPK ........................................................................................ HOBFCPK 3. Bottled gas...................................................................... Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCGASBT ........................................................................................ HOBGASBT

23 9. Now let’s talk about the services of tailor shops, workshops, and private individuals. I

will list types of service, and you tell me which services members of your household have used

in the last 30 days and, if used, how much they paid? Did your How many family rubles in all D/K use? did you pay? 1. Transportation services: local, intercity ..................... Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCTRAN ........................................................................................ HOPTRAN 2. Tailoring, clothing repair, shoe repair ........................ Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCSHUTL 3. Repair shop services for recreational items ................ HOPSHUTL (e.g., television, tape recorder) or for furniture or household appliances, including the purchase of spare parts ................................................. Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCHGDSR ........................................................................................ HOPHGDSR 4. Repair and construction of residence, buildings ........ Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCBLDGR 4.1 Car or motorcycle repair, including the ...................... HOPBLDGR purchase of spare parts ................................................. Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCAUTOR ........................................................................................ HOPAUTOR 5. Laundry, dry cleaner, public bath, hairdresser ......... Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCLNDYB 6. Postal/telegraph service, including long-distance ....... HOPLNDYB telephone calls [ INTERVIEWER ! NOT ..................... Yes ....... 1 → | __________ | 997 COUNTING WIRELESS PHONE SERVICES! ] .......... No ........ 2 HOCCOMMU ........................................................................................ HOPCOMMU 8. Wireless phone services ................................................ Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCWIREL ........................................................................................ HOPWIREL 9. Internet services ............................................................ Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCINTER ........................................................................................ HOPINTER 10. Notary, lawyer, or realtor services .............................. Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCLAWYE ........................................................................................ HOPLAWYE 7. Ritual services: marriage registry office, undertaker ..................................................................... Yes ....... 1 → | __________ | 997 ........................................................................................ No ........ 2 HOCRITUL ........................................................................................ HOPRITUL HOPRESDN 10. Tell me, please: In the last 30 days did your family pay for their residence, in other words,

for the apartment and utilities? Yes .......................................................................... 1 No ............................................................................ 2 → [ SKIP TO 12 ON PAGE 21 ] DOESN’T KNOW .................................................... 7 → [ SKIP TO 12 ON PAGE 21 ] REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 12 ON PAGE 21 ] HOCRESDN 11. How many rubles did your family actually pay in the last 30 days for the apartment and

utilities: for running water, hot water, central heating, electricity, metered gas, radio reception, and other utilities, as well as for telephone service? Do not include long-distance calls, wireless phone services, and Internet.

[ INTERVIEWER ! IF THE RESPONDENT HAS TROUBLE ANSWERING, ASK FOR HIS/HER APARTMENT PAYMENT BOOK AND LOOK AT IT TOGETHER. ]

_______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998

24 HOUNPAID 12. Tell me, please: Does your family have unpaid bills for housing, i.e., for the apartment

and utilities? Yes 1 No 2 → [ SKIP TO 12.2 ] DOESN’T KNOW 7 → [ SKIP TO 12.2 ] REFUSES TO ANSWER 8 → [ SKIP TO 12.2 ]

HOCUNPDB 12.1 How many rubles does your family owe for the apartment and utilities in total? [ INTERVIEW ER! IF THE RESPONDENT HAS TROUBLE ANSWERING, ASK FOR

HIS/HER APARTMENT PAYMENT BOOK AND LOOK AT IT TOGETHER. ] _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998

HOAUNPDB 12.2 Try to recall: For the last 3 months how much on average per month has your family owed for the apartment and utilities, deducting subsidies and discounts if you have them?

_______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOSEPTKW 12.3 Please recall how many kilowatts of electricity your family consumed for September of

this year? _______________ KILOWATTS DOESN’T KNOW 997 REFUSES TO ANSWER 998 13. Did your family spend money in the last 30 days, and, if so, how much? Family How many spent rubles in all money? did you pay? D/K 1. On child support and fees for children’s attendance at preschools, schools, clubs, societies, payment for private lessons, tutors, including gifts for teachers ............. Yes ....... 1 → | __________ | 997 ................................................................................................. No ........ 2 HOCCHILD 2. For sanitaria, vacation homes, children’s camps, ............... HOPCHILD tourist travel, etc., excluding transportation ....................... Yes ....... 1 → | __________ | 997 ................................................................................................. No ........ 2 HOCTOUR 2.1 For tickets to the theater, circus, movies, concerts, ............. HOPTOUR recreation parks, and other entertainment events .............. Yes ....... 1 → | __________ | 997 ................................................................................................. No ........ 2 HOCTICKT ................................................................................................. HOPTICKT Family How many spent rubles in all money? did you pay? D/K 2.2 For treatment or examination in inpatient hospitals, military hospitals, or clinics, not including medicine .......... Yes ....... 1 → | __________ | 997 ................................................................................................. No ........ 2 HOCHOSP ................................................................................................. HOPHOSP 2.3 For treatment or examination in polyclinics, not including medicine ................................................................. Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCPOLYC ................................................................................................. HOPPOLYC 2.4 For dental treatment, dentures, false teeth, not including medicine ........................................................... Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCDENTR ................................................................................................. HOPDENTR

25 3.1 For medicines, including vitamins and other drugs ............ Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCMEDCN ................................................................................................. HOBMEDCN 3.2 For washing materials (e.g., soap, laundry detergent) ........ Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCSOAP ................................................................................................. HOPSOAP 3.3 For personal hygiene (e.g., shampoo, toothpaste, toilet paper, sanitary napkins, diapers, etc.) ........................ Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCHYGIE ................................................................................................. HOPHYGIE 3.4 For cosmetics and perfume ................................................... Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCPERFM ................................................................................................. HOPPERFM 4. For clubs, courses, lessons for adult family members ......... Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCACLUB ................................................................................................. HOPACLUB 5. For stocks, bonds, or other investment paper ..................... Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCINVST ................................................................................................. HOPINVST 6. For insurance premiums: life, health, car, home, etc. ........ Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCINSUR ................................................................................................. HOPINSUR 7.1 For payment of debts to private persons ............................. Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCDEPP ................................................................................................. HOPDEPP 7.2 For payment of credit, repayment of loans .......................... Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCCRREP ................................................................................................. HOPCRREP 8. For alimony payments ........................................................... Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCALIMN ................................................................................................. HOPALIMN 9. For payment of taxes for real estate and vehicles, payment for license, membership fees, duties and fees for paperwork, visas and documents processing, not including income taxes and taxes for land ..................... Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCDOCUM ................................................................................................. HOPDOCUM 10. For buying currency with the aim of saving [ TAKE INTO ACCOUNT ONLY FOR SAVING ] ............... Yes ....... 1 → | _________ | 997 ................................................................................................. No ........ 2 HOCCURR ................................................................................................. HOPCURR HOLENT 14. Tell me, please: Did your family lend any money in the last 30 days? Yes .......................................................................... 1 No ............................................................................ 2 → [ SKIP TO 16 ON PAGE 23 ] DOESN’T KNOW .................................................... 7 → [ SKIP TO 16 ON PAGE 23 ] REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 16 ON PAGE 23 ] HOLENDNG 15. How many rubles’ worth of money did your family lend in the last 30 days? _______________ RUBLES DOESN’T KNOW ................................................ 997 REFUSES TO ANSWER ...................................... 998 HOSAVED 16. Tell me, please: Did your family in the last 30 days save any money? Yes 1 No 2 → [ SKIP TO 20 ] DOESN’T KNOW 7 → [ SKIP TO 20 ] REFUSES TO ANSWER 8 → [ SKIP TO 20 ]

26 HOSAVNGS 17. How many rubles’ worth did your family save in the last 30 days? _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 20. Tell me, please, whether your family is helping people who are not members of your

household with money or goods--food, clothes, etc.--and, if so, how regularly your family helps people whom I will name? If help was given within last 30 days, please estimate it in rubles.

How much Your family How Within last was this helped regularly? 30 days? in rubles? D/K 1. Your or your spouse’s parents? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997 No . . . 2 Several times ........ No . . . . 2 HOCGVPAR HOHLPAR per year ............ 2 HOGVPAR Once a year ......... 3 Whenever they ask ............ 4 2. Your or your HOFHLPAR spouse’s children? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997 No . . . 2 Several times ........ No . . . . 2 HOCGVCHD HOHLCHD per year ............ 2 HOGVCHD Once a year ......... 3 Whenever they ask ............ 4 3. Your or your spouse’s HOFHLCHD grandparents? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997 No . . . 2 Several times ........ No . . . . 2 HOCGVGRP HOHLGRP per year ............ 2 HOGVGRP Once a year ......... 3 Whenever they ask ............ 4 4. Your or your spouse’s HOFHLGRP grandchildren? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997 No . . . 2 Several times ........ No . . . . 2 HOCGVGRC HOHLGRC per year ............ 2 HOGVGRC Once a year ......... 3 Whenever they ask ............ 4 HOFHLGRC 5. Other people? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997 No . . . 2 Several times ........ No . . . . 2 HOCGVOTH HOHLOTH per year ............ 2 HOGVOTH Once a year ......... 3 Whenever they ask ............ 4 HOFHLOTH

27 F. SECTION “INCOME” HORSBFU 3. In the last 30 days has your family received any subsidies for fuel: gas, kerosene, coal,

firewood, peat, etc.? Yes 1 No 2 → [ SKIP TO 5 ] DOESN’T KNOW 7 → [ SKIP TO 5 ] REFUSES TO ANSWER 8 → [ SKIP TO 5 ] HOVSBFU 4. How much money was your family paid additionally for fuel in the last 30 days? _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOEBNC 5. Is anyone in your household supposed to receive benefits for children? Yes 1 No 2 → [ SKIP TO 8 ON PAGE 25 ] DOESN’T KNOW 7 → [ SKIP TO 8 ON PAGE 25 ] REFUSES TO ANSWER 8 → [ SKIP TO 8 ON PAGE 25 ] HORBCL18 6.1 Did any members of your household receive benefits for children of ages up to 18 months

in the form of cash, food products, or other goods in the last 30 days? Yes 1 No 2 → [ SKIP TO 6.2 ] DOESN’T KNOW 7 → [ SKIP TO 6.2 ] REFUSES TO ANSWER 8 → [ SKIP TO 6.2 ] HOVBCL18 7.1 How much money in total or what value of food products or other goods have your

family members received in the last 30 days as benefits for children of ages up to 18 months?

_______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 HORBCG18 6.2 In the last 30 days did any members of your household receive benefits for children of

ages 18 months to 16 years (or to 18 years if they are studying in a secondary educational institution)?

Yes 1 No 2 → [ SKIP TO 8 ON PAGE 25 ] DOESN’T KNOW 7 → [ SKIP TO 8 ON PAGE 25 ] REFUSES TO ANSWER 8 → [ SKIP TO 8 ON PAGE 25 ] HOVBCG18 7.2 How much money in total or what value of food products or other goods have your

family members received in the last 30 days as benefits for children of ages 18 months to 16 years or to 18 years if they are studying in a secondary educational institution?


28 HORFCPO 8. Have members of your family received in the last 30 days any gratuitous money or

goods--food, clothes, etc.--from people who are not members of your household--from children, parents, other relatives, friends, strangers, or organizations?

Yes 1 No 2 → [ SKIP TO 10 ] DOESN’T KNOW 7 → [ SKIP TO 10 ] REFUSES TO ANSWER 8 → [ SKIP TO 10 ] 9. Has your family received gratuitous money or goods in the last 30 days, and, if so, how

would you estimate this in rubles: Did your family How much D/K receive help? in rubles? 1. From your or your spouse’s parents Yes 1 → | ____________ | 997 No 2 HOVFCP HORFCP 2. From your or your spouse’s children Yes 1 → | ____________ | 997 No 2 HOVFCC HORFCC 3. From your or your spouse’s grandparents Yes 1 → | ____________ | 997 No 2 HOVFCGRP HORFCGRP 4. From your or your spouse’s grandchildren Yes 1 → | ____________ | 997 No 2 HOVFCGRC HORFCGRC 5. From other relatives of you or your spouse Yes 1 → | ____________ | 997 No 2 HOVFCOR HORFCOR 6. From friends Yes 1 → | ____________ | 997 No 2 HOVFCFRN HORFCFRN 7. From a former employer of a family member Yes 1 → | ____________ | 997 No 2 HOVFCFEM HORFCFEM 8. From a religious organization: a church, mosque, or synagogue Yes 1 → | ____________ | 997 No 2 HOVFCCHR HORFCCHR 9. From foreign or international organizations Yes 1 → | ____________ | 997 No 2 HOVFCIO HORFCIO 9.1 From social organs of the state, not including pensions and child benefits Yes 1 → | ____________ | 997 No 2 HOVFCGOV HORFCGOV 10. From other organizations and private individuals Yes 1 → | ____________ | 997 No 2 HOVFCOTH HORFCOTH 9.11 In the last 30 days did people, that are not members of your household, whom I will list, help your family in looking after children? Were you were assisted by... Yes No D/K Refused HOHPAREN 1. Your or your spouse's parents 1 2 7 8 HOHCHILD 2. Your or your spouse's children 1 2 7 8 HOHGRPAR 3. Your or your spouse's grandparents 1 2 7 8 HOHGRCH 4. Your or your spouse's grandchildren 1 2 7 8 HOHOTHPE 5. Other people 1 2 7 8

29 HORPAY 10. In the last 30 days did your family receive any payments from a primary or additional

place of work in the form of money, goods, or services? Yes .......................................................................... 1 No ............................................................................ 2 → [ SKIP TO 11.2 ON PAGE 26 ] DOESN’T KNOW .................................................... 7 → [ SKIP TO 11.2 ON PAGE 26 ] REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 11.2 ON PAGE 26 ] HOVPAY 11. How much did your family receive after taxes and other deductions in the last 30 days? If

you were paid in the form of goods or services, estimate the value in rubles. _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOINQSUB 11.2 Has any member of your household ever applied for subsidies for rent and utilities? Yes 1 No 2 → [ SKIP TO 12 ON PAGE 27 ] DOESN’T KNOW 7 → [ SKIP TO 12 ON PAGE 27 ] REFUSES TO ANSWER 8 → [ SKIP TO 12 ON PAGE 27 ] HOGETSUB 11.3 Is your family now getting subsidies for rent and utilities? Yes 1 No 2 → [ SKIP TO 12 ON PAGE 27 ] DOESN’T KNOW 7 → [ SKIP TO 12 ON PAGE 27 ] REFUSES TO ANSWER 8 → [ SKIP TO 12 ON PAGE 27 ] HOVALSUB 11.4 How much were these subsidies for your household during the last 30 days? In other

words, by what amount were your payments decreased? _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998

30 12. Did your family receive any of the following payments in the last 30 days, and, if so, how much was it in rubles? Did your How much D/K family receive? in rubles? 1a. Monthly monetary payments instead of natural benefits Yes 1 → | ___________ | 997 No 2 HOVMPMNT HORMPMNT 1. Some kind of pension Yes 1 → | ___________ | 997 No 2 HOVPENSN HORPENSN 2. Stipend Yes 1 → | ___________ | 997 No 2 HOVSTI HORSTI 3. Unemployment benefits Yes 1 → | ___________ | 997 No 2 HOVUNEMP 4. Income from sale of personal HORUNEMP property Yes 1 → | ___________ | 997 No 2 HOVS HORS 5. Income from renting property Yes 1 → | ___________ | 997 No 2 HOVRNT 6a. Income from capital investments as HORRNT a percentage of investments Yes 1 → | ___________ | 997 No 2 HOVCAPP 6b. Income from capital investments as HORCAPP dividends and similar payments Yes 1 → | ___________ | 997 No 2 HOVCAPD HORCAPD 7. Insurance payments Yes 1 → | ___________ | 997 No 2 HOVINS HORINS 8. Alimony Yes 1 → | ___________ | 997 No 2 HOVALIMN HORALIMN 9. Repayment of a loan Yes 1 → | ___________ | 997 No 2 HOVPDEBT 10b. (Social) benefits as discounts on rent HORPDEBT and utilities, excluding subsidies Yes 1 → | ___________ | 997 No 2 HOVBARNT HORBARNT

HOSAVTYM 12A. Imagine an unpleasant situation in which all members of your family lost their sources of income. How long do you think your family would be able to live at your present level--in other words, without decreasing your expenditures--without any income? Consider only your savings, not selling any of your possessions.

Half a year or longer ................................................. 1 A few months ........................................................... 2 Not longer than a month ........................................... 3 Not longer than two weeks ....................................... 4 Not longer than a week ............................................. 5 Not even one day ...................................................... 6 HOSVTYMO (char) OTHER [ INTERVIEWER ! WRITE DOWN _____________________________________________________________ DOESN’T KNOW ..................................................... 7 REFUSES TO ANSWER ........................................... 8 13. Tell me, please: In the last 30 days, did your family . . . How much in rubles? D/K 2. Spend savings, sell jewelry, Yes 1 → | ___________ | 997 foreign currency savings No 2 HOVSAVJC HORSAVJC 3. Sell shares or other securities Yes 1 → | ___________ | 997 No 2 HOVSHAR HORSHAR

31 HOTAKCRE 14.6 Tell me, please: Did any member of your family take a line of credit in the last 12

months? Yes 1 No 2 → [ SKIP TO 14.8 ] DOESN’T KNOW 7 → [ SKIP TO 14.8 ] REFUSES TO ANSWER 8 → [ SKIP TO 14.8 ]

HOCRPUR1 14.7 For what purpose did you take a line of credit? HOCRPUR2 Mortgage credit for purchasing house, real estate .... 1 HOCRPUR3 For purchasing a car ................................................. 2 For payment of education ......................................... 3 For purchasing a specific good in a shop ................. 4 For paying for a specific service in a firm ................ 5 Consumer credit in a bank for any purposes ............ 6 OTHER [ INTERVIEWER ! WRITE DOWN _____________________________________________________________ DOESN’T KNOW ..................................................... 7 REFUSES TO ANSWER ........................................... 8 13. Tell me, please: In the last 30 days, did your family . . . How much in rubles? D/K 1.1 Take money on credit Yes 1 → | ___________ | 997 No 2 HOTCREDV HOTCRED HOCREDD 14.8 Tell me, please: Does your family have any credit debts today? Yes 1 No 2 → [ SKIP TO 13.1.2 ] DOESN’T KNOW 7 → [ SKIP TO 13.1.2 ] REFUSES TO ANSWER 8 → [ SKIP TO 13.1.2 ] HOCREDDV 14.9 How much money does your family owe in credit today? If the debt is estimated in

other currency, please convert it into rubles. _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 13. Tell me, please: In the last 30 days, did your family . . . How much in rubles? D/K 1.2 Borrow money from private persons Yes 1 → | ___________ | 997 No 2 HOBORMV HOBORM HOMOND 14.10 Tell me, please: Does your family have any money debts to private persons today? Yes 1 No 2 → [ SKIP TO 14.12 ] DOESN’T KNOW 7 → [ SKIP TO 14.12 ] REFUSES TO ANSWER 8 → [ SKIP TO 14.12 ] HOMONDV 14.11 How much money does your family owe in credit today? If the debt is estimated in

other currency, please convert it into rubles. _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998

32 HOOWEFM 14.12 Tell me, please: Does anyone owe your family money? Yes 1 No 2 → [ SKIP TO 14.0 ] DOESN’T KNOW 7 → [ SKIP TO 14.0 ] REFUSES TO ANSWER 8 → [ SKIP TO 14.0 ] HOOWEFMV 14.13 How much money does anyone owe your family owe today? If the debt is estimated in

other currency, please convert it into rubles. _______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOINCOME 14. And, concluding this part of our conversation, tell me, please: What was the monetary

income of your entire family in the last 30 days? Include here all the money received by all members of the family: wages, pensions, stipends, and any other money received, including hard currency converted into rubles.

_______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOSAVV 14.0 How much did your family manage to save, i.e., what savings does your family have

today - at home or on bank deposit, or in floater? If the debt is estimated in other currency, please convert it into rubles.

_______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOKNOWIN 15. What do you think: Do you know everything about the income of members of your

family in the last 30 days? YES, EVERYTHING 1 NO, NOT EVERYTHING 2 DOESN’T KNOW 7 REFUSES TO ANSWER 8 16.1. Tell me, please: During the last 12 months has there been a situation in which a

member of your family needed some form of medical help and could not get it only because he or she did not have enough money?

Yes, No, DIDN’T there there NEED D/K REFUSES was was not IT HONOCLIN 1. Could not receive outpatient clinic or polyclinic treatment 1 2 6 7 8 HONOHOSP 2. Could not receive inpatient treatment in a hospital, military hospital, or clinic 1 2 6 7 8 HONODNTL 3. Could not receive dental care 1 2 6 7 8 HONOMDCN 4. Could not buy necessary medicine 1 2 6 7 8 HONOREST 5. Could not go to a rest home, sanitarium, child health center 1 2 6 7 8

33 HOLEFT 29. Tell me, please: Has any member of your family, household, gone to work in another

population center within the last 12 months? Please do not include business trips. Yes 1 No 2 → [ SKIP TO 31 ] DOESN’T KNOW 7 → [ SKIP TO 31 ] REFUSES TO ANSWER 8 → [ SKIP TO 31 ] HONLEFT 30. How many members of this household in total have left for work within the last 12

months? [ INTERVIEWER ! WE ARE TALKING ABOUT THOSE MEMBERS WHO ARE

RECORDED IN THE HOUSEHOLD ROSTER CARD ON PAGE 4. ] __________ PEOPLE DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOSSTUD 34. Tell me, please: Has any member of your household studied in a specialized secondary

educational institution - community college, medical, musical or other training school - in the last 12 months?

Yes 1 No 2 → [ SKIP TO 37 ] DOESN’T KNOW 7 → [ SKIP TO 37 ] REFUSES TO ANSWER 8 → [ SKIP TO 37 ] HOSMONST 35. In the last 12 months, has your household spent any money on this study: tuition

payment, payment for tutoring, tests and exams, gifts for instructors, donations for maintenance and security services, etc.?

Yes 1 No 2 → [ SKIP TO 37 ] DOESN’T KNOW 7 → [ SKIP TO 37 ] REFUSES TO ANSWER 8 → [ SKIP TO 37 ] HOSMONTA 36. Please recall: What amount exactly has your family spent on this study in the last 12

months? Please add the expenses for all household members who have studied in specialized secondary educational institutions.

_______________ RUBLES DOESN’T KNOW 997 REFUSES TO ANSWER 998 HOHSTUD 37. Has any member of your household studied in a higher education institution - college,

institute, university, academy - in the last 12 months? Yes 1 No 2 → [ INTERVIEW IS FINISHED ] DOESN’T KNOW 7 → [ INTERVIEW IS FINISHED ] REFUSES TO ANSWER 8 → [ INTERVIEW IS FINISHED ] HOHMONST 38. In the last 12 months, has your household spent any money on this study: tuition

payment, payment for tutoring, tests and exams, gifts for instructors, donations for maintenance and security services, etc.?

Yes 1 No 2 → [ INTERVIEW IS FINISHED ] DOESN’T KNOW 7 → [ INTERVIEW IS FINISHED ] REFUSES TO ANSWER 8 → [ INTERVIEW IS FINISHED ]

34 HOHMONTA 39. Please recall: What amount exactly has your family spent on this study in the last 12

months? Please add the expenses for all household members who have studied at higher education institutions.


THANK YOU VERY MUCH!

35 G. SECTION “INTERVIEWER’S REMARKS” 1. [ NOTE WHETHER THE FOLLOWING WERE PRESENT DURING THE INTERVIEW,

EVEN IF ONLY FOR A FEW MINUTES: YES NO HOHHMPR 1. ANOTHER MEMBER OF THE HOUSEHOLD ................. 1 .............. 2 HONHHMPR 2. OTHER PEOPLE, NOT MEMBERS OF THE HOUSEHOLD .................................................................... 1 .............. 2 ] HORATTIT 2. [ ASSESS THE RESPONDENT’S ATTITUDE TOWARD THE INTERVIEW. IT WAS: FRIENDLY AND INTERESTED ................................. 1 NOT PARTICULARLY INTERESTED ........................ 2 IMPATIENT AND WORRIED .................................... 3 HOSTILE .................................................................... 4 ] HORUNDRS 3. [ NOTE HOW THE RESPONDENT UNDERSTOOD THE QUESTIONS: WELL .......................................................................... 1 NOT VERY WELL ....................................................... 2 POORLY ..................................................................... 3 ] HORBEHAV 4. [ ASSESS THE RESPONDENT’S BEHAVIOR DURING THE INTERVIEW. THE

RESPONDENT: WAS NERVOUS .......................................................... 1 WAS OCCASIONALLY NERVOUS ............................ 2 FELT COMFORTABLE .............................................. 3 ] HORSHARP 5. [ ASSESS THE RESPONDENT’S SHARPNESS. THE RESPONDENT WAS: VERY SLOW-WITTED ................................................ 1 SLOW-WITTED, NEEDED ADDITIONAL EXPLANATIONS ..................................................... 2 AS BRIGHT AS THE MAJORITY OF RESPONDENTS ...................................................... 3 NOTABLY BRIGHTER THAN THE MAJORITY OF RESPONDENTS ................................................ 4 ] HORSINCR 6. [ ASSESS THE RESPONDENT’S SINCERITY AND OPENNESS. THE RESPONDENT WAS: NOT VERY OPEN, INSINCERE ................................. 1 AS SINCERE AND OPEN AS THE MAJORITY OF RESPONDENTS ................................................ 2 NOTABLY MORE SINCERE AND OPEN THAN THE MAJORITY OF RESPONDENTS ......... 3 ]

I CONFIRM THAT I COMPLETED THE SURVEY ACCORDING TO THE INSTRUCTIONS BY MEANS OF A PERSONAL INTERVIEW .

Signature _________________________________________________________________

family questionnaire - unc carolina population … card no. first name, patronymic still in the...

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