r16hh eng rus - cpc.unc.edu · b1.o . 4 [ interviewer! ask questions 3-9 only about those who are...
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![Page 1: r16hh eng rus - cpc.unc.edu · B1.O . 4 [ INTERVIEWER! ASK QUESTIONS 3-9 ONLY ABOUT THOSE WHO ARE STILL MEMBERS OF THE FAMILY OR HOUSEHOLD. ] HPMTHS01 3. How many months in the last](https://reader034.vdocuments.net/reader034/viewer/2022042100/5e7cd73ae1e32f1cbf77793c/html5/thumbnails/1.jpg)
FAMILY QUESTIONNAIRE
16TH ROUND
SITEP 1. [ NAME OF POPULATED AREA (SETTLEMENT) __________________ | ___ | ___ | ___ | ]
REGION
CENSUSDP 2. [ NUMBER OF SURVEY SECTOR ___________________________________ | ___ | ___ | ]
FAMILYP 3. [ NUMBER OF FAMILY | ___ | ___ | ]
A3
HPFPINBF 3.3 [ DID ANY (AT LEAST ONE) MEMBER OF THE FAMILY PARTICIPATE IN THE
SURVEY EVER BEFORE?
A3.3
YES ...........................................................................1
NO ............................................................................2 ]
4. [ DATE INTERVIEW CONDUCTED: DAY | ___ | ___ | MONTH | ___ | ___ | ]
HPIDAY HPIMONTH
5. [ LENGTH OF INTERVIEW: | ___ | HOURS | ___ | ___ | MINUTES ] HPILHRS HPILMIN
6. [ LAST NAME OF INTERVIEWER _____________________________________________ ]
HPINTNUM 7. [ NUMBER OF INTERVIEWER | ___ | ___ | ___ | ]
HPRNUM 8. [ NUMBER OF FAMILY MEMBER WHO ANSWERED THE FAMILY
QUESTIONNAIRE | ___ | ___ | ]
2007
A4.1 A4.2
A5.1 A5.2
A8
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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.
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3
B. SECTION “FAMILY INFORMATION”
“OLD FAMILY”
1. Let’s talk about your family. By “family” or “household” 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?
HPNFMEM | ___ | ___ | 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. ]
HPINHH01 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
HPWHYN01 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. ]
HPCDTH01 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. ]
B1.O
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4
[ INTERVIEWER! ASK QUESTIONS 3-9 ONLY ABOUT THOSE WHO ARE STILL MEMBERS OF THE
FAMILY OR HOUSEHOLD. ]
HPMTHS01 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. ]
HPSEX01 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?” ]
HPBYR01 5. In what year were you (was he/she) born?
[ INTERVIEWER! WRITE THE ANSWER IN COLUMN 5 OF THE CARD. ]
HPBMTH01 6. In what month were you (was he/she) born?
[ INTERVIEWER! WRITE THE NUMBER OF THE MONTH IN COLUMN 6 OF THE
CARD. ]
HPBDAY01 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. ]
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5
“NEW FAMILY”
1. Let’s talk about your family. By “family” or “household” 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?
HPNFMEM | ___ | ___ | 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. ]
HPMTHS01 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. ]
HPSEX01 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?” ]
HPBYR01 5. In what year were you (was he/she) born?
[ INTERVIEWER! WRITE THE ANSWER IN COLUMN 5 OF THE CARD. ]
HPBMTH01 6. In what month were you (was he/she) born?
[ INTERVIEWER! WRITE THE NUMBER OF THE MONTH IN COLUMN 6 OF THE
CARD. ]
HPBDAY01 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. ]
B1.N
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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 →
HPINHH01
B1.2.1
B1.2.23 | __ | __ | HPWHYN01 HPCDTH01
B1.3 | __ | __ | HPMTHS01
B1.4 1....2
HPSEX01
B1.5 | __ | __ | __ | __ |
HPBYR01
| __ | __ | HPBMTH01
| __ | __ | HPBDAY01
02
Yes...1 No....2 →
HPINHH02
B2.2.1
B2.2.23 | __ | __ | HPWHYN02 HPCDTH02
B2.3 | __ | __ | HPMTHS02
B2.4 1....2
HPSEX02
B2.5 | __ | __ | __ | __ |
HPBYR02
| __ | __ | HPBMTH02
| __ | __ | HPBDAY02
03
Yes...1 No....2 →
HPINHH03
B3.2.1
B3.2.23 | __ | __ | HPWHYN03 HPCDTH03
B3.3 | __ | __ | HPMTHS03
B3.4 1....2
HPSEX03
B3.5 | __ | __ | __ | __ |
HPBYR03
| __ | __ | HPBMTH03
| __ | __ | HPBDAY03
04
Yes...1 No....2 →
HPINHH04
B4.2.1
B4.2.23 | __ | __ | HPWHYN04 HPCDTH04
B4.3 | __ | __ | HPMTHS04
B4.4 1....2
HPSEX04
B4.5 | __ | __ | __ | __ |
HPBYR04
| __ | __ | HPBMTH04
| __ | __ | HPBDAY04
05
Yes...1 No....2 →
HPINHH05
B5.2.1
B5.2.23 | __ | __ | HPWHYN05 HPCDTH05
B5.3 | __ | __ | HPMTHS05
B5.4 1....2
HPSEX05
B5.5 | __ | __ | __ | __ |
HPBYR05
| __ | __ | HPBMTH05
| __ | __ | HPBDAY05
06
Yes...1 No....2 →
HPINHH06
B6.2.1
B6.2.23 | __ | __ | HSWHYN06 HPCDTH06
B6.3 | __ | __ | HPMTHS06
B6.4 1....2
HPSEX06
B6.5 | __ | __ | __ | __ |
HPBYR06
| __ | __ | HPBMTH06
| __ | __ | HPBDAY06
07
Yes...1 No....2 →
HPINHH07
B7.2.1
B7.2.23 | __ | __ | HPWHYN07 HPCDTH07
B7.3 | __ | __ | HPMTHS07
B7.4 1....2
HPSEX07
B7.5 | __ | __ | __ | __ |
HPBYR07
| __ | __ | HPBMTH07
| __ | __ | HPBDAY07
08
Yes...1 No....2 →
HPINHH08
B8.2.1
B8.2.23 | __ | __ | HPWHYN08 HPCDTH08
B8.3 | __ | __ | HPMTHS08
B8.4 1....2
HPSEX08
B8.5 | __ | __ | __ | __ |
HPBYR08
| __ | __ | HPBMTH08
| __ | __ | HPBDAY08
09
Yes...1 No....2 →
HPINHH09
B9.2.1
B9.2.23 | __ | __ | HPWHYN09 HPCDTH09
B9.3 | __ | __ | HPMTHS09
B9.4 1....2
HPSEX09
B9.5 | __ | __ | __ | __ |
HPBYR09
| __ | __ | HPBMTH09
| __ | __ | HPBDAY09
10
Yes...1 No....2 →
HPINHH10
B10.2.1
B102.23 | __ | __ | HPWHYN10 HPCDTH10
B10.3 | __ | __ | HPMTHS10
B10.4 1....2
HPSEX10
B10.5 | __ | __ | __ | __ |
HPBYR10
| __ | __ | HPBMTH10
| __ | __ | HPBDAY10
11
Yes...1 No....2 → HPINHH11
B11.2.1
B112.23 | __ | __ | HPWHYN11 HPCDTH11
B11.3 | __ | __ | HPMTHS11
B11.4 1....2
HPSEX11
B11.5 | __ | __ | __ | __ |
HPBYR11
| __ | __ | HPBMTH11
| __ | __ | HPBDAY11
12
Yes...1 No....2 →
HPINHH12
B12.2.1
B122.23 | __ | __ | HPWHYN12 HPCDTH12
B12.3 | __ | __ | HPMTHS12
B12.4 1....2
HPSEX12
B12.5 | __ | __ | __ | __ |
HPBYR12
| __ | __ | HPBMTH12
| __ | __ | HPBDAY12
13
Yes...1 No....2 → HPINHH13
B13.2.1
B132.23 | __ | __ | HPWHYN13 HPCDTH13
B13.3 | __ | __ | HPMTHS13
B13.4 1....2
HPSEX13
B13.5 | __ | __ | __ | __ |
HPBYR13
| __ | __ | HPBMTH13
| __ | __ | HPBDAY13
14
Yes...1 No....2 →
HPINHH14
B14.2.1
B142.23 | __ | __ | HPWHYN14 HPCDTH14
B14.3 | __ | __ | HPMTHS14
B14.4 1....2
HPSEX14
B14.5 | __ | __ | __ | __ |
HPBYR14
| __ | __ | HPBMTH14
| __ | __ | HPBDAY14
15
Yes...1 No....2 → HPINHH15
B15.2.1
B152.23 | __ | __ | HPWHYN15 HPCDTH15
B15.3 | __ | __ | HPMTHS15
B15.4 1....2
HPSEX15
B15.5 | __ | __ | __ | __ |
HPBYR15
| __ | __ | HPBMTH15
| __ | __ | HPBDAY15
16
Yes...1 No....2 →
HPINHH16
B16.2.1
B162.23 | __ | __ | HPWHYN16 HPCDTH16
B16.3 | __ | __ | HPMTHS16
B16.4 1....2
HPSEX16
B16.5 | __ | __ | __ | __ |
HPBYR16
| __ | __ | HPBMTH16
| __ | __ | HPBDAY16
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7
CARD
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
| _ | _ | HPR0102
B2.9.1
03
| _ | _ | HPR0103
B3.9.1
| _ | _ | HPR0203
B3.9.2
04
| _ | _ | HPR0104
B4.9.1
| _ | _ | HPR0204
B4.9.2
| _ | _ | HPR0304
B4.9.3
05
| _ | _ | HPR0105
B5.9.1
| _ | _ | HPR0205
B5.9.2
| _ | _ | HPR0305
B5.9.3
| _ | _ | HPR0405
B5.9.4
06
| _ | _ | HPR0106
B6.9.1
| _ | _ | HPR0206
B6.9.2
| _ | _ | HPR0306
B6.9.3
| _ | _ | HPR0406
B6.9.4
| _ | _ | HPR0506
B6.9.5
07
| _ | _ | HPR0107
B7.9.1
| _ | _ | HPR0207
B7.9.2
| _ | _ | HPR0307
B7.9.3
| _ | _ | HPR0407
B7.9.4
| _ | _ | HPR0507
B7.9.5
| _ | _ | HPR0607
B7.9.6
08
| _ | _ | HPR0108
B9.9.1
| _ | _ | HPR0208
B8.9.2
| _ | _ | HPR0308
B8.9.3
| _ | _ | HPR0408
B8.9.4
| _ | _ | HPR0508
B8.9.5
| _ | _ | HPR0608
B8.9.6
| _ | _ | HPR0708
B8.9.7
09
| _ | _ | HPR0109
B9.9.1
| _ | _ | HPR0209
B9.9.2
| _ | _ | HPR0309
B9.9.3
| _ | _ | HPR0409
B9.9.4
| _ | _ | HPR0509
B9.9.5
| _ | _ | HPR0609
B9.9.6
| _ | _ | HPR0709
B9.9.7
| _ | _ | HPR0809
B9.9.8 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
| _ | _ | HPR0110
B10.9.1
| _ | _ | HPR0210
B10.9.2
| _ | _ | HPR0310
B10.9.3
| _ | _ | HPR0410
B10.9.4
| _ | _ | HPR0510
B10.9.5
| _ | _ | HPR0610
B10.9.6
| _ | _ | HPR0710
B10.9.7
| _ | _ | HPR0810
B10.9.8
| _ | _ | HPR0910
B10.9.9
11
| _ | _ | HPR0111
B11.9.1
| _ | _ | HPR0211
B11.9.2
| _ | _ | HPR0311
B11.9.3
| _ | _ | HPR0411
B11.9.4
| _ | _ | HPR0511
B11.9.5
| _ | _ | HPR0611
B11.9.6
| _ | _ | HPR0711
B11.9.7
| _ | _ | HPR0811
B11.9.8
| _ | _ | HPR0911
B11.9.9
| _ | _ | HPR1011
B119.10
12
| _ | _ | HPR0112
B12.9.1
| _ | _ | HPR0212
B12.9.2
| _ | _ | HPR0312
B12.9.3
| _ | _ | HPR0412
B12.9.4
| _ | _ | HPR0512
B12.9.5
| _ | _ | HPR0612
B12.9.6
| _ | _ | HPR0712
B12.9.7
| _ | _ | HPR0812
B12.9.8
| _ | _ | HPR0912
B12.9.9
| _ | _ | HPR1012
B129.10 | _ | _ | HPR1112
B129.11
13
| _ | _ | HPR0113
B13.9.1
| _ | _ | HPR0213
B13.9.2
| _ | _ | HPR0313
B13.9.3
| _ | _ | HPR0413
B13.9.4
| _ | _ | HPR0513
B13.9.5
| _ | _ | HPR0613
B13.9.6
| _ | _ | HPR0713
B13.9.7
| _ | _ | HPR0813
B13.9.8
| _ | _ | HPR0913
B13.9.9
| _ | _ | HPR1013
B139.10 | _ | _ | HPR1113
B139.11 | _ | _ | HPR1213
B139.12
14
| _ | _ | HPR0114
B14.9.1
| _ | _ | HPR0214
B14.9.2
| _ | _ | HPR0314
B14.9.3
| _ | _ | HPR0414
B14.9.4
| _ | _ | HPR0514
B14.9.5
| _ | _ | HPR0614
B14.9.6
| _ | _ | HPR0714
B14.9.7
| _ | _ | HPR0814
B14.9.8
| _ | _ | HPR0914
B14.9.9
| _ | _ | HPR1014
B149.10
| _ | _ | HPR1114
B149.11
| _ | _ | HPR1214|
B149.12
| _ | _ | HPR1314
B149.13
15
| _ | _ | HPR0115
B15.9.1
| _ | _ | HPR0215
B15.9.2
| _ | _ | HPR0315
B15.9.3
| _ | _ | HPR0415
B15.9.4
| _ | _ | HPR0515
B15.9.5
| _ | _ | HPR0615
B15.9.6
| _ | _ | HPR0715
B15.9.7
| _ | _ | HPR0815
B15.9.8
| _ | _ | HPR0915
B15.9.9
| _ | _ | HPR1015
B159.10
| _ | _ | HPR1115
B159.11
| _ | _ | HPR1215
B159.12
| _ | _ | HPR1315
B159.13
| _ | _ | HPR1415
B159.14
16
| _ | _ | HPR0116
B16.9.1
| _ | _ | HPR0216
B16.9.2
| _ | _ | HPR0316
B16.9.3
| _ | _ | HPR0416
B16.9.4
| _ | _ | HPR0516
B16.9.5
| _ | _ | HPR0616
B16.9.6
| _ | _ | HPR0716
B16.9.7
| _ | _ | HPR0816
B16.9.8
| _ | _ | HPR0916
B16.9.9
| _ | _ | HPR1016
B169.10
| _ | _ | HPR1116
B169.11
| _ | _ | HPR1216
B169.12
| _ | _ | HPR1316
B169.13
| _ | _ | HPR1416
B169.14
| _ | _ | HPR1516
B169.15
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C. SECTION “LIVING CONDITIONS”
HPHORD C1. 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 ]
HPMVALUE C1.1 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
HPHAH C3. 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
HPHSWNER C4.0 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
HPHFSP C6. 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
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HPHLSP C5. 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
HPHROOMS C5.1 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
HPHCHEAT C7.1. Central heating from TETs, boiler 1 2 7 8
HPHCWATR C7.2. Central water supply 1 2 7 8
HPHHWATR C7.3. Hot water supply 1 2 7 8
HPHMGAS C7.7. Metered, not bottled, gas 1 2 7 8
HPHESTOV C7.8. Electric stove 1 2 7 8
HPHCSEWR C7.5. Central sewerage 1 2 7 8
HPHPHON C7.6. 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 HPAGRENF
HPOREFNF
2. Separate freezer Yes ................ 1 → | ______ | 97
No ................. 2 HPAGFREZ
HPOFREZ
3.2. Washing machine (automatic) Yes ................ 1 → | ______ | 97
No ................. 2 HPAGWSHA
HPOWSHRA
3.1. Microwave oven Yes 1 → | ______ | 97
No ................. 2 HPAMICOV
HPOMICOV
4. Black-and-white television Yes ................ 1 → | ______ | 97
No ................. 2 HPAGTVBW
HPOTVBW
5. Color television Yes ................ 1 → | ______ | 97
No ................. 2 HPAGTVC
HPOTVCL
6. Video recorder or player Yes ................ 1 → | ______ | 97
No ................. 2 HPAGVCR
HPOVCR
C9.2A
C9.2B
C9.3.2A
C9.3.2B
C9.3.1A
C9.3.1B
C9.1.1A
C9.5B
C9.1.1B
C9.4A
C9.4B
C9.5A
C9.6A
C9.6B
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How many DOESN’T
Do you have...? years old is it? KNOW AGE
6.0. DVD player or recorder Yes ................ 1 → | ______ | 97
No ................. 2 HPADVDPL
HPODVDPL
6.2. Computer Yes ................ 1 → | ______ | 97
No ................. 2 HPAGCPTR
HPOCPTR
6.3. Digital camera Yes ................ 1 → | ______ | 97
No ................. 2 HPAGDIGC
HPODIGC
6.4 MP3 player Yes ................ 1 → | ______ | 97
No ................. 2 HPAMP3PL
HPOMP3PL
7.2. Domestic Car Yes ................ 1 → | ______ | 97
No ................. 2 HPAGCARD
HPOCARD
7.3. Foreign Car Yes ................ 1 → | ______ | 97
No ................. 2 HPAGCARF
HPOCARF
7.1. Truck Yes ................ 1 → | ______ | 97
No ................. 2 HPAGTRUK
HPOTRUK
8. Motorcycle, motor scooter,
motor boat Yes ................ 1 → | ______ | 97
No ................. 2 HPAGMCB
HPOMCB
9. Tractor or mini-tractor Yes ................ 1 → | ______ | 97
No ................. 2 HPAGTRAK
HPOTRAK
10.1. Dacha or other house
or part of a house Yes ......... 1 → | ______ | 97 | _______ | 97
No .......... 2 HPAGDACH HPRDACH
HPODACH
12. Other apartment or
part of an apartment Yes ......... 1 → | ______ | 97 | _______ | 97
No .......... 2 HPAGOTHA HPROTHA
HPOOTHA
C9.6.0A
C9.6.0B
C9.6.3A
C9.6.3B C9.6.2A
C9.6.2A
C9.6.4B
C9.6.4A
C9.7.3A
C9.7.3B
C9.7.1A
C9.7.1B
C9.8A
C9.8B
C9.9B
C9.9A
C9.12A C9.12B C9.12C
C9.101A C9.101B C9.101C
C9.7.2A C9.7.2B
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D. SECTION “FARMING AND ANIMAL HUSBANDRY”
HPLNDUSD D1. 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 ]
HPLNDUSE D2. 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 ]
HPLHASSZ D3. 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
HPLANDCU D4. 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
HPLANDP D5. 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 ]
HPLANDC D6. How many rubles did you pay for using your land in the last 12 months?
_______________ RUBLES
DOESN’T KNOW 997
REFUSES TO ANSWER 998
HPGROW D7. 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 ]
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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 or
harvested? harvest? processed processed processed
form? form? form?
1. Potatoes Yes 1 → | _________ | __________ | _________ | __________ |
No 2 HPHPOTA HP2FPOTA HP2OPOTA HPSPOTA
D8.1A HPHPOT D8.1B D8.1C D8.1D D8.1E
2. Tomatoes Yes 1 → | __________ | __________ | _________ | __________ |
D8.2A No 2 HPHTOMA HP2FTOMA HP2OTOMA HPSTOMA
HPHTOM D8.2B D8.2C D8.2D D8.2E
3. Cucumbers Yes 1 → | __________ | __________ | _________ | __________ |
D8.3A No 2 HPHCUCM HP2FCUCM HP2OCUCM HPSCUCM
HPHCUC D8.3B D8.3C D8.3D D8.3E
4. Beets Yes 1 → | __________ | __________ | _________ | __________ |
D8.4A No 2 HPHBEET HP2FBEET HP2OBEET HPSBEET
HPHBET D8.4B D8.4C D8.4D D8.4E
5. Carrots Yes 1 → | __________ | __________ | _________ | __________ |
D8.5A No 2 HPHCARR HP2FCARR HP2OCARR HPSCARR
HPHCAR D8.5B D8.5C D8.5D D8.5E
6. Cabbages Yes 1 → | __________ | __________ | _________ | __________ |
D8.6A No 2 HPHCABB HP2FCABB HP2OCABB HPSCABB
HPHCAB D8.6B D8.6C D8.6D D8.6E
7. Onions, garlic Yes 1 → | __________ | __________ | _________ | __________ |
D8.7A No 2 HPHONON HP2FONON HP2OONON HPSONON
HPHON D8.7B D8.7C D8.7D D8.7E
8. Squash, pumpkins, Yes 1 → | __________ | __________ | _________ | __________ |
gourds No 2 HPHSQSH HP2FSQSH HP2OSQSH HPSSQSH
D8.8A HPHSQA D8.8B D8.8C D8.8D D8.8E
9. Other vegetables Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHWEGT HP2FVEGT HP2OVEGT HPSVEGT
D8.9A HPHOTV D8.9B D8.9C D8.9D D8.9E
10.Melons, water- Yes 1 → | __________ | __________ | _________ | __________ |
melons No 2 HPHMELN HP2FMELN HP2OMELN HPSMELN
D8.10A HPHMEL D8.10B D8.10C D8.10D D8.10E
11. Grains Yes 1 → | __________ | __________ | _________ | __________ |
D8.11A No 2 HPHGRAN HP2FGRAN HP2OGRAN HPSGRAN
HPHGRN D8.11B D8.11C D8.11D D8.11E
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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 HPHBEAN HP2FBEAN HP2OBEAN HPSBEAN
D8.12A HPHBEN D8.12B D8.12C D8.12D D8.12E
13. Corn Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHCORN HP2FCORN HP2OCORN HPSCORN
D8.13A HPHCRN D8.13B D8.13C D8.13D D8.13E
14. Tobacco Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHTOBC HP2FTOBC HP2OTOBC HPSTOBC
D8.14A HPHTBC D8.14B D8.14C D8.14D D8.14E
15. Strawberries,
raspberries Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHSTRW HP2FSTRW HP2OSTRW HPSSTRW
D8.15A HPHSTR D8.15B D8.15C D8.15D D8.15E
16. Currants,
gooseberries Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHCURR HP2FCURR HP2OCURR HPSCURR
D8.16A HPHCUR D8.16B D8.16C D8.16D D8.16E
17. Buckthorn Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHBUKT HP2FBUKT HP2OBUKT HPSBUKT
D8.17A HPHBKT D8.17B D8.17C D8.17D D8.17E
21. Plums, cherries Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHPLUM HP2FPLUM HP2OPLUM HPSPLUM
D8.21A HPHPLM D8.21B D8.21C D8.21D D8.21E
23. Grapes Yes 1 → | __________ | __________ | _________ | __________ |
D8.23A No 2 HPHGRAP HP2FGRAP HP2OGRAP HPSGRAP
HPHGRP D8.23B D8.23C D8.23D D8.23E
18. Other berries Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHBERY HP2FBERY HP2OBERY HPSBERY
D8.18A HPHOTB D8.18B D8.18C D8.18D D8.18E
19. Apples Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHAPPL HP2FAPPL HP2OAPPL HPSAPPL
D8.19A HPHAPL D8.19B D8.19C D8.19D D8.19E
20. Pears Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHPEAR HP2FPEAR HP2OPEAR HPSPEAR
D8.20A HPHPAR D8.20B D8.20C D8.20D D8.20E
22. Apricots, peaches Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHPECH HP2FPECH HP2OPECH HPSPECH
D8.22A HPHPCH D8.22B D8.22C D8.22D D8.22E
24. Other fruits Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHFRUT HP2FFRUT HP2OFRUT HPSFRUT
D8.24A HPHOTF D8.24B D8.24C D8.24D D8.24E
25. Nuts Yes 1 → | __________ | __________ | _________ | __________ |
No 2 HPHNUTS HP2FNUTS HP2ONUTS HPSNUTS
D8.25A HPHNUT D8.25B D8.25C D8.25D D8.25E
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Did you How many How many sold in
harvest? total? natural or processed form?
26. Flowers Yes 1 → | _________ | | _________ |
No 2 HPHFLWR HPSFLWR
D8.26A HPHFLR D8.26B D8.26E
HPSCROP D9. [ 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 ]
HPVSCROP D10. 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
HPFANK D11. 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 ]
HPSFAN D12. 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 ]
HPVSFAN D13. 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
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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 HPPMEAT HP2FMEAT HP2OMEAT HPSMEAT
D14.1A HPPMET D14.1B D14.1C D14.1D D14.1E
2. Meat from fowl Yes 1 → | __________ | __________ | _________ | _________ |
No 2 HPPPOUL HP2FPOUL HP2OPOUL HPSPOUL
D14.2A HPPPOL D14.2B D14.2C D14.2D D14.2E
3. Honey Yes 1 → | __________ | __________ | _________ | _________ |
No 2 HPPHONY HP2FHONY HP2OHONY HPSHONY
D14.3A HPPHNY D14.3B D14.3C D14.3D D14.3E
4. Wool, down Yes 1 → | __________ | __________ | _________ | _________ |
No 2 HPPWOOL HP2FWOOL HP2OWOOL HPSWOOL
D14.4A HPPWOL D14.4B D14.4C D14.4D D14.4E
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 HPPMILK HP2FMILK HP2OMILK HPSMILK
D14.5A HPPMLK D14.5B D14.5C D14.5D D14.5E
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 HPPEGGS HP2FEGGS HP2OEGGS HPSEGGS
D14.6A HPPEGG D14.6B D14.6C D14.6D D14.6E
7. Hides Yes 1 → | __________ | __________ | _________ | _________ |
No 2 HPPPELT HP2FPELT HP2OPELT HPSPELT
D14.7A HPPPLT D14.7B D14.7C D14.7D D14.7E
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HPSANP D15.[ 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 ]
HPVSANP D16. 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
HPBFARMN D17.[ 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 ]
HPCFARMN D18.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
HPFORAGE D19.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 ]
HPSFRGE D20. 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 ]
HPVSFRGE D21. How much money in the last 30 days did your family receive from selling these? _______________ RUBLES
DOESN’T KNOW 997
REFUSES TO ANSWER 998
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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 HPABRDWI HPCBRDWI
E1.1A HPBBRDWI E1.1B E1.1C
2. Black (rye) bread Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPABRDBL HPCBRDBL
E1.2A HPBBRDBL E1.2B E1.2C
3. Rice, other cereals Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAGROAT HPCGROAT
E1.3A HPBGROAT E1.3B E1.3C
4. Flour Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAFLOUR HPCFLOUR
E1.4A HPBFLOUR E1.4B E1.4C
5. Macaroni products Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAPASTA HPCPASTA
E1.5A HPBPASTA E1.5B E1.5C
6. Potatoes Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAPOTAT HPCPOTAT
E1.6A HPBPOTAT E1.6B E1.6C
7. Canned veg., excluding pickled Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAVEGCN HPCVEGCN
E1.7A HPBVEGCN E1.7B E1.7C
8. Cabbage, including sauerkraut Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPACABBG HPCCABBG
E1.8A HPBCABBG E1.8B E1.8C
9. Cucumbers, including pickles Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPACUCUM HPCCUCUM
E1.9A HPBCUCUM E1.9B E1.9C
10. Tomatoes, including pickled Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPATOMAT HPCTOMAT
E1.10A HPBTOMAT E1.10B E1.10C
11. Beets, carrots, other roots Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPARTVEG HPCRTVEG
E1.11A HPBRTVEG E1.11B E1.11C
12. Onions, garlic Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAONGAR HPCONGAR
E1.12A HPBONGAR E1.12B E1.12C
13. Squash, pumpkins, etc. Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPASQUAS HPCSQUAS
E1.13A HPBSQUAS E1.13B E1.13C
14. Other vegetables Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAVEGOT HPCVEGOT
E1.14A HPBVEGOT E1.14B E1.14C
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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 HPAMELON HPCMELON
E1.15A HPBMELON E1.15B E1.15C
16. Fruit/berry preserves Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAFRUCN HPCFRUCN
E1.16A HPBFRUCN E1.16B E1.16C 17. Fresh berries Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPABERRY HPCBERRY
E1.17A HPBBERRY E1.17B E1.17C
18. Fresh fruit Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAFRUIT HPCFRUIT
E1.18A HPBFRUIT E1.18B E1.18C
19. Dried fruits, berries Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAFRUDR HPCFRUDR
E1.19A HPBFRUDR E1.19B E1.19C
20. Nuts, sunflower seeds Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPANUTS HPCNUTS
E1.20A HPBNUTS E1.20B E1.20C
21. Canned meat Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAMETCN HPCMETCN
E1.21A HPBMETCN E1.21B E1.21C
22. Beef, veal Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPABEEF HPCBEEF
E1.22A HPBBEEF E1.22B E1.22C
23. Lamb, goat meat Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAMUTTN HPCMUTTN
E1.23A HPBMUTTN E1.23B E1.23C
24. Pork Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAPORK HPCPORK
E1.24A HPBPORK E1.24B E1.24C
25. Giblets: liver, kidneys, etc. Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAORGAN HPCORGAN
E1.25A HPBORGAN E1.25B E1.25C
26. Fowl Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAPOULT HPCPOULT
E1.26A HPBPOULT E1.26B E1.26C
27. Lard, other animal fats Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPALARD HPCLARD
E1.27A HPBLARD E1.27B E1.27C
28. Sausage, smoked meat Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPASMEAT HPCSMEAT
E1.28A HPBSMEAT E1.28B E1.28C
29. Semi-prepared meat products Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAMETSP HPCMETSP
E1.29A HPBMETSP E1.29B E1.29C
30. Canned/powdered milk Yes 1 → | ________ | kg 9997 | _________ | 997
No 2 HPAMLKCD HPCMLKCD
E1.30A HPBMLKCD E1.30B E1.30C
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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 HPAMILK HPCMILK
E1.31A HPBMILK E1.31B E1.31C
32. Sour milk products: kefir, yogurt, etc. Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HPAKEFIR HPCKEFIR
E1.32A HPBKEFIR E1.32B E1.32C
33. Sour cream, cream Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HPACREAM HPCCREAM E1.33A HPBCREAM E1.33B E1.33C 34. Butter Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HPABUTTR HPCBUTTR
E1.34A HPBBUTTR E1.34B E1.34C
35. Curd, cream cheese Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HPACURDS HPCCURDS
E1.35A HPBCURDS E1.35B E1.35C 36. Cheese, feta cheese E1.36A Yes 1 → | _ E1.36B _ | kg 9997 | __E1.36C _ | 997 HPBCHEES No 2 HPACHEES HPCCHEES 37. Ice cream Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HPAICECR HPCICECR
E1.37A HPBICECR E1.37B E1.37C
38. Vegetable oil Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HPAVGO HPCVGO
E1.38A HPBVGO E1.38B E1.38C
39. Margarine Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HPAMARGN HPCMARGN
E1.39A HPBMARGN E1.39B E1.39C
40. Sugar Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HPASUGAR HPCSUGAR
E1.40A HPBSUGAR E1.40B E1.40C
41. Candy, chocolate Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HPACANDY HPCCANDY
E1.41A HPBCANDY E1.41B E1.41C
42. Preserves, jam Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HPAJAM HPCJAM
E1.42A HPBJAM E1.42B E1.42C
43. Honey Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HPAHONEY HPCHONEY
E1.43A HPBHONEY E1.43B E1.43C
44. Cookies, pastries, cakes, Yes 1 → | ________ | kg 9997 | _________ | 997
waffles, gingerbread, buns No 2 HPACAKE HPCCAKE
E1.44A HPBCAKE E1.44B E1.44C
45. Eggs Yes 1 → | ________ | no. 9997 | _________ | 997 No 2 HPAEGGS HPCEGGS
E1.45A HPBEGGS E1.45B E1.45C
46. Fish: fresh, frozen, dried, Yes 1 → | ________ | kg 9997 | _________ | 997
prepared by a fishmonger No 2 HPAFISH HPCFISH
E1.46A HPBFISH E1.46B E1.46C
47. Canned fish Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HPAFSHCN HPCFSHCN
E1.47A HPBFSHCN E1.47B E1.47C
48. Tea Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HPATEA HPCTEA
E1.48A HPBTEA E1.48B E1.48C
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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 HPACOFFE HPCCOFFE
E1.49A HPBCOFFE E1.49B E1.49C
50. Nonalcoholic drinks, juice Yes 1 → | _________ | l 9997 | _________ | 997
No 2 HPABEV HPCBEV
E1.50A HPBBEV E1.50B E1.50C
51. Salt, other spices, Yes 1 → | ________ | kg 9997 | _________ | 997
various sauces No 2 HPASLTSP HPCSLTSP
E1.51A HPBSLTSP E1.51B E1.51C
52. Mushrooms E1.52A Yes 1 → | _ E1.52B | kg 9997 | _ E1.52C _ | 997
HPBMUSHR No 2 HPAMUSHR HPCMUSHR 53. Vodka Yes 1 → | ________ | l 9997 | _________ | 997
No 2 HPAVODKA HPCVODKA
E1.53A HPBVODKA E1.53B E1.53C
54. Wine, other alcohol Yes 1 → | ________ | l 9997 | _________ | 997
No 2 HPALIQUR HPCLIQUR
E1.54A HPBLIQUR E1.54B E1.54C
55. Beer Yes 1 → | ________ | l 9997 | _________ | 997
No 2 HPABEER HPCBEER
E1.55A HPBBEER E1.55B E1.55C
56. Tobacco products Yes 1 → | ________ | packs 9997 | _________ | 997
No 2 HPATOBAC HPCTOBAC
E1.56A HPBTOBAC E1.56B E1.56C 57. Chewing gum, pastilles Yes 1 → | _________ | 997
No 2 HPCGUM
E1.57A HPBGUM E1.57C
HPATEOUT E2. 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 ]
HPC8OUT E3. 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
HPCFOODM E4. 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
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HPBCLOS E5. 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 ]
HPCCLTHA E6.1 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
HPCCLTHC E6.2 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?
1.0 Cultural goods: television, tape recorder, video,
musical instruments, computer, camera etc. ................ Yes ....... 1 → | __________ | 997
No ........ 2 HPCCLTGS
E7.1.0A HPBCLTGS
1.1 Cultural goods: television, tape recorder, video,
musical instruments, computer, camera, cell phone, ... Yes ....... 1 → | __________ | 997
etc. .................................................................................... No ........ 2 HPCMOBIT
E7.1.1A . HPBMOBIT
2. Household items: furniture, rugs, etc. .......................... Yes ....... 1 → | __________ | 997
.......................................................................................... No ........ 2 HPCFURN
E7.2A . HPBFURN
3. Household appliances: refrigerator, washer, vacuum, sewing machine, iron, food processor, etc. .... Yes ....... 1 → | __________ | 997
.......................................................................................... No ........ 2 HPCAPPL
E7.3A . HPBAPPL
4. Automobile or mini-bus .................................................. Yes ....... 1 → | __________ | 997
.......................................................................................... No ........ 2 HPCAUTO
E7.4A . HPBAUTO
5. Motorcycle, motor scooter, etc. ...................................... Yes ....... 1 → | __________ | 997
.......................................................................................... No ........ 2 HPCMCYCL
E7.5A . HPBMCYCL
6. Garage .............................................................................. Yes ....... 1 → | __________ | 997
.......................................................................................... No ........ 2 HPCGARAG
E7.6A . HPBGARAG
7. Building materials ........................................................... Yes ....... 1 → | __________ | 997
.......................................................................................... No ........ 2 HPCBUILD
E7.7A . HPBBUILD
8. Dacha, house, apartment, land ...................................... Yes ....... 1 → | __________ | 997
.......................................................................................... No ........ 2 HPCDAL
E7.8A . HPBDAL
9. Books, textbooks, training aids, office supplies ............ Yes ....... 1 → | __________ | 997
.......................................................................................... No ........ 2 HPCBOOKS
E7.9A . HPBBOOKS
10. Sporting equipment: bicycle, scooter, skates ............... Yes ....... 1 → | __________ | 997
.......................................................................................... No ........ 2 HPCSPORT
E7.10A . HPBSPORT
E7.1.0B
E7.1.1B
E7.3B
E7.4B
E7.5B
E7.6B
E7.7B
E7.8B
E7.9B
E7.10B
E7.2B
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HPBCDUR E7.11.[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
HPBMARK E7.12.1. At markets ......................................................................... 1 .................. 2 ................. 7 ............... 8
HPBSHOP E7.12.2. In shops, selling over counter .......................................... 1 .................. 2 ................. 7 ............... 8
HPBCHSSS E7.12.3. 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
HPBNCHSS E7.12.4. In shops of self-service, which are not a chain,
showrooms .......................................................................... 1 .................. 2 ................. 7 ............... 8
HPBPHINT E7.12.5. You have ordered food goods by telephone
or through Internet with delivery to home ...................... 1 .................. 2 ................. 7 ............... 8
HPBFRACA E7.12.6. Friends, acquaintances, by advertisement .................... 1 .................. 2 ................. 7 ............... 8
HPBOTHER E7.12.7. 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 HPSCFUELM
E8.1A HPBFUELM
2. Firewood, coal, peat, kerosene ..................................... Yes ....... 1 → | __________ | 997
No ........ 2 HPCFCPK
E8.2A HPBFCPK
3. Bottled gas...................................................................... Yes ....... 1 → | __________ | 997
No ........ 2 HPCGASBT E8.3A HPBGASBT
E8.2B
E8.3B
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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 HPCTRAN
E9.1A HPPTRAN
2. Tailoring, clothing repair, shoe repair ........................ Yes ....... 1 → | __________ | 997
E9.2A No ....... 2 HPCSHUTL
3. Repair shop services for recreational items HPPSHUTL
(e.g., television, tape recorder) or for furniture
or household appliances, including the
purchase of spare parts E9.3A... Yes ....... 1 → | __________ | 997
HPPHGDSR No ........ 2 HPCHGDSR
4. Repair and construction of residence, buildings ........ Yes ....... 1 → | __________ | 997
HPPBLDGR E9.4A No ........ 2 HPCBLDGR
4.1. Car or motorcycle repair, including the
purchase of spare parts E9.4.1A. Yes ....... 1 → | __________ | 997
HPPAUTOR No ........ 2 HPCAUTOR
5. Laundry, dry cleaner, public bath, hairdresser ......... Yes ....... 1 → | __________ | 997
HPPLNDYB E9.5A No ........ 2 HPCLNDYB
6. Postal/telegraph service, including long-distance telephone calls [ INTERVIEWER! NOT ..................... Yes ....... 1 → | __________ | 997
COUNTING WIRELESS PHONE SERVICES! ] No ....... 2 HPCCOMMU E9.6A HPPCOMMU
8. Wireless phone services ................................................ Yes ....... 1 → | __________ | 997
No ........ 2 HPCMOCOM E9.6A HPPMOCOM
9. Internet services ............................................................ Yes ....... 1 → | __________ | 997
No ........ 2 HPCINTER
E9.9A HPPINTER 10. Notary, lawyer, or realtor services .............................. Yes ....... 1 → | __________ | 997
No ........ 2 HPCLAWYE E9.10A HPPLAWYE
7. Ritual services: marriage registry office, undertaker ..................................................................... YeR ...... 1 → | __________ | 997
No ........ 2 HPCRITUL
E9.7A HPPRITUL HPPRESDN E10. 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 ]
E9.2B
E9.3B
E9.4B
E9.4.1B
E9.5B
E9.1B
E9.8B
E9.9B
E9.7B
E9.6B
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HPCRESDN E11. 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
HPUNPAID E12. 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 ]
HPCUNPDB E12.1 How many rubles does your family owe for the apartment and utilities in total?
[ 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
HPAUNPDB E12.2 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
HPSEPTKW E12.3 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
E13.1A No ........ 2 HPCCHILD
2. For sanitaria, vacation homes, children’s camps, HPPCHILD
tourist travel, etc., excluding transportation ....................... Yes ....... 1 → | __________ | 997
E13.2A No ....... 2 HPCTOUR
2.1. For tickets to the theater, circus, movies, concerts, HPPTOUR
recreation parks, and other entertainment events .............. Yes ....... 1 → | __________ | 997
No ........ 2 HPCTICKT
E13.21A HPPTICKT
2.2. For treatment or examination in inpatient hospitals,
military hospitals, or clinics, not including medicine .......... Yes ....... 1 → | __________ | 997
No ........ 2 HPCHOSP
E13.22A HPPHOSP
2.3. For treatment or examination in polyclinics, not including medicine ................................................................. Yes ....... 1 → | _________ | 997
No ........ 2 HPCPOLYC
E13.23A HPPPOLYC
E13.1B
E13.2B
E13.21B
E13.22B
E13.23B
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Family How many
spent rubles in all money? did you pay? D/K
2.4. For dental treatment, dentures, false teeth,
not including medicine ........................................................... Yes ....... 1 → | _________ | 997
No ........ 2 HPCDENTR
E13.24A HPPDENTR
3.1. For medicines, including vitamins and other drugs ............ Yes ....... 1 → | _________ | 997
No ........ 2 HPCMEDCN
E13.31A HPBMEDCN
3.2. For washing materials (e.g., soap, laundry detergent) ........ Yes ....... 1 → | _________ | 997
No ........ 2 HPCSOAP
E13.32A HPPSOAP
3.3. For personal hygiene (e.g., shampoo, toothpaste, toilet paper, sanitary napkins, diapers, etc.) ........................ Yes ....... 1 → | _________ | 997
No ........ 2 HPCHYGIE
E13.33A HPPHYGIE
3.4. For cosmetics and perfume ................................................... Yes ....... 1 → | _________ | 997
No ........ 2 HPCPERFM
E13.34A HPPPERFM
4. For clubs, courses, lessons for adult family members ......... Yes ....... 1 → | _________ | 997
No ........ 2 HPCACLUB
E13.4A HPPACLUB
5. For stocks, bonds, or other investment paper ..................... Yes ....... 1 → | _________ | 997
No ........ 2 HPCINVST
E13.5A HPPINVST
6. For insurance premiums: life, health, car, home, etc. ........ Yes ....... 1 → | _________ | 997
No ........ 2 HPCINSUR
E13.6A HPPINSUR
7.1. For payment of debts to private persons ............................. Yes ....... 1 → | _________ | 997
No ........ 2 HPCDEPP
E13.71A HPPDEPP
7.2. For payment of credit, repayment of loans .......................... Yes ....... 1 → | _________ | 997
No ........ 2 HPCCRREP
E13.72A HPPCRREP
8. For alimony payments ........................................................... Yes ....... 1 → | _________ | 997
No ........ 2 HPCALIMN
E13.8A HPPALIMN
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 HPCPRTAX
E13.9A HPPPRTAX
10. For buying currency with the aim of saving [ TAKE INTO ACCOUNT ONLY FOR SAVING ] ............... Yes ....... 1 → | _________ | 997
No ........ 2 HPCCURR
E13.10A HRPCURR
HPLENT E14. 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 ]
E13.31B
E13.32B
E13.34B
E13.4B
E13.5B
E13.6B
E13.71B
E13.72B
E13.33B
E13.9B
E13.10B
E13.8B
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HPLENDNG E15. How many rubles’ worth of money did your family lend in the last 30 days? _______________ RUBLES
DOESN’T KNOW ................................................ 997
REFUSES TO ANSWER ...................................... 998
HPSAVED E16. 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 ]
HPSAVNGS E17. 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 HPCGVPAR
HPHLPAR per year ............ 2 HPGVPAR E20.1D
E20.1A Once a year 3 E20.1C
Whenever
they ask ............ 4
2. Your or your HPFHLPAR E20.1B
spouse’s children? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997
No . . . 2 Several times ........ No . . . . 2 HPCGVCHD
HPHLCHD per year ............ 2 HPGVCHD
Once a year ......... 3
Whenever
they ask ............ 4
3. Your or your spouse’s HPFHLCHD
grandparents? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997
No . . . 2 Several times ........ No . . . . 2 HPCGVGRP
HPHLGRP per year ............ 2 HPGVGRP
Once a year ......... 3
Whenever
they ask ............ 4
4. Your or your spouse’s HPFHLGRP
grandchildren? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997
No . . . 2 Several times ........ No . . . . 2 HPCGVGRC
HPHLGRC per year ............ 2 HPGVGRC
Once a year ......... 3
Whenever
they ask ............ 4 HPFHLGRC
5. Other people? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997
No . . . 2 Several times ........ No . . . . 2 HPCGVOTH
HPHLOTH per year ............ 2 HPGVOTH
Once a year ......... 3
Whenever
they ask ............ 4 HPFHLOTH
E20.2A
E20.2B
E20.2C E20.2D
E20.3A
E20.3B
E20.3C E20.3D
E20.4A
E20.4B
E20.4C E20.4D
E20.5A
E20.5B
E20.5C E20.5D
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F. SECTION “INCOME”
HPRSBFU F3. 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 ]
HPVSBFU F4. How much money was your family paid additionally for fuel in the last 30 days?
_______________ RUBLES
DOESN’T KNOW 997
REFUSES TO ANSWER 998
HPEBNC F5. 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 ]
HPRBCL18 F6.1 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 ]
HPVBCL18 F7.1 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
HPRBCG18 F6.2 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 ]
HPVBCG18 F7.2 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? _______________ RUBLES
DOESN’T KNOW 997
REFUSES TO ANSWER 998
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HPRFCPO F8. 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 HPVFCP
F9.1A HPRFCP
2. From your or your spouse’s children Yes 1 → | ____________ | 997
No 2 HPVFCC
F9.2A HPRFCC
3. From your or your spouse’s grandparents Yes 1 → | ____________ | 997
No 2 HPVFCGRP
F9.3A HPRFCGRP
4. From your or your spouse’s grandchildren Yes 1 → | ____________ | 997
No 2 HPVFCGRC
F9.4A HPRFCGRC
5. From other relatives of you or your spouse Yes 1 → | ____________ | 997
No 2 HPVFCOR
F9.5A HPRFCOR
6. From friends Yes 1 → | ____________ | 997
No 2 HPVFCFRN
F9.6A HPRFCFRN
7. From a former employer of a family member Yes 1 → | ____________ | 997
No 2 HPVFCFEM
F9.7A HPRFCFEM
8. From a religious organization:
a church, mosque, or synagogue Yes 1 → | ____________ | 997
No 2 HPVFCCHR
F9.8A HPRFCCHR
9. From foreign or international organizations Yes 1 → | ____________ | 997
No 2 HPVFCIO
F9.9A HPRFCIO
9.1. From social organs of the state, not
including pensions and child benefits Yes 1 → | ____________ | 997
No 2 HPVFCGOV
F9.91A HPRFCGOV
10. From other organizations and private individuals Yes 1 → | ____________ | 997
No 2 HPVFCOTH
F9.10A HPRFCOTH
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
HPHPAREN F9.11.1. Your or your spouse's parents 1 2 7 8
HPHCHILD F9.11.2 .Your or your spouse's children 1 2 7 8
HPHGRPAR F9.11.3. Your or your spouse's grandparents 1 2 7 8
HPHGRCH F9.11.4. Your or your spouse's grandchildren 1 2 7 8
HPHOTHPE F9.11.5. Other people 1 2 7 8
F9.2B
F9.3B
F9.4B
F9.5B
F9.6B
F9.7B
F9.8B
F9.9B
F9.91B
F9.10B
F9.1B
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HPRPAY F10. 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 ]
HPVPAY F11. 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
HPINQSUB F11.2 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 ]
HPGETSUB F11.3 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 ]
HPVALSUB F11.4 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
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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 HPVCABEN F12.1AA HPRCABEN 1. Some kind of pension Yes 1 → | ___________ | 997 No 2 HPVPENSN F12.1A HPRPENSN 2. Stipend Yes 1 → | ___________ | 997 No 2 HPVSTI F12.2A HPRSTI 3. Unemployment benefits F12.3A Yes 1 → | ___________ | 997 HPRUNEMP No 2 HPVUNEMP 4. Income from sale of personal property Yes 1 → | ___________ | 997 No 2 HPVS F12.4A HPRS 5. Income from renting property F12.5A Yes 1 → | ___________ | 997 HPRRNT No 2 HPVRNT 6a. Income from capital investments as a percentage of investments F12.6AA Yes 1 → | ___________ | 997 HPCAPP No 2 HPVCAPP
6b. Income from capital investments as dividends and similar payments Yes 1 → | ___________ | 997 No 2 HPVCAPD F12.6BA HPRCAPD 7. Insurance payments Yes 1 → | ___________ | 997 No 2 HPVINS F12.7A HPRINS 8. Alimony Yes 1 → | ___________ | 997 No 2 HPVALIMN F12.8A HPRALIMN 9. Repayment of a loan F12.9A Yes 1 → | ___________ | 997 HPRPDEBT No 2 HPVPDEBT 10b. (Social) benefits as discounts on rent and utilities, excluding subsidies Yes 1 → | ___________ | 997 F12.10AB No 2 HPVBARNT HPRBARNT HPSAVTYM 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 HPSVTYMO (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 HPVSAVJC F13.2A HPRSAVJC 3. Sell shares or other securities Yes 1 → | ___________ | 997 No 2 HPVSHAR F13.3A HPRSHAR
F12.1B
F12.1AB
F12.2B
F12.3B
F12.4B
F12.5B
F12.6AB
F12.6BB
F12.7B
F12.8B
F12.9B
F12.10BB
F12.A
F12ASTR
F13.2B
F13.3B
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HPTAKCRE F14.6 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 ]
HPCRPUR1 F14.71 14.7 For what purpose did you take a line of credit? HPCRPUR2 F14.72 Mortgage credit for purchasing house, real estate .... 1 HPCRPUR3 F14.73 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 → | _ F13.11B _ | 997 No 2 HPTCREDV F13.11A HPTCRED
HPCREDD F14.8 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 ]
HPCREDDVF14.9 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 HPBORMV F13.12A HPBORM F13.12B
HPMOND F14.10 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 ]
HPMONDVF14.11 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
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HPOWEFM F14.12 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 ]
HPOWEFMV F14.13 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
HPINCOMEF14.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
HPSAVV F14.0 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
HPKNOWIN F15.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
HPNOCLIN F16.1. Could not receive outpatient clinic or
polyclinic treatment 1 2 6 7 8
HPNOHOSP F16.2. Could not receive inpatient treatment in a
hospital, military hospital, or clinic 1 2 6 7 8
HPNODNTL F16.3. Could not receive dental care 1 2 6 7 8
HPNOMDCN F16.4. Could not buy necessary medicine 1 2 6 7 8
HPNOREST F16.5. Could not go to a rest home, sanitarium,
child health center 1 2 6 7 8
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HPLEFT F29. 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 ]
HPNLEFT F30. 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
HPSSTUD F34. 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 ]
HPSMONST F35.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 ]
HPSMONTA F36.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
HPHSTUD F37. 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 ]
HPHMONST F38.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 ]
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34
HPHMONTA F39.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.
_______________ RUBLES
DOESN’T KNOW 997
REFUSES TO ANSWER 998
THANK YOU VERY MUCH!
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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
HPHHMPR G1.1. ANOTHER MEMBER OF THE HOUSEHOLD ................. 1 .............. 2
HPNHHMPR G1.2. OTHER PEOPLE, NOT MEMBERS OF THE
HOUSEHOLD .................................................................... 1 .............. 2 ]
HPRATTIT G2. [ ASSESS THE RESPONDENT’S ATTITUDE TOWARD THE INTERVIEW. IT WAS:
FRIENDLY AND INTERESTED ................................. 1
NOT PARTICULARLY INTERESTED ........................ 2
IMPATIENT AND WORRIED .................................... 3
HOSTILE .................................................................... 4 ]
HPRUNDRS G3. [ NOTE HOW THE RESPONDENT UNDERSTOOD THE QUESTIONS:
WELL .......................................................................... 1
NOT VERY WELL ....................................................... 2
POORLY ..................................................................... 3 ]
HPRBEHAV G4. [ ASSESS THE RESPONDENT’S BEHAVIOR DURING THE INTERVIEW. THE
RESPONDENT:
WAS NERVOUS .......................................................... 1
WAS OCCASIONALLY NERVOUS ............................ 2
FELT COMFORTABLE .............................................. 3 ]
HPRSHARP G5. [ 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 ]
HPRSINCR G6. [ 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 _________________________________________________________________