| Wave 1 | Wave 2 | Wave 3 | Wave 4 | Wave 5 | Wave 6 | Rep LF | Rep SF | ||
|---|---|---|---|---|---|---|---|---|---|
| Consent | |||||||||
| CS062- You were asked to read the information leaflet to familiarise yourself with the study. Have you read the [Telephone Interview/Proxy] Information Leaflet for this study? | |||||||||
| CS063- Do you have any questions about the study? | |||||||||
| CS064- Record the questions asked by respondent and the answers you provided. If necessary, refer the respondent to the relevant section in the Information Leaflet. If unable to answer a question, advise the respondent to contact TILDA. If the respondent is happy to continue with the interview, please do so. If not, re-schedule the interview or agree to re-schedule once they have had their questions answered. Inform B&A if the interview is to be/has been re-scheduled. | |||||||||
| CS065- Do you agree to take part in this research study having been fully informed of the risks and benefits which are set out in full in the information leaflet? | |||||||||
| CS066- Do you agree that TILDA can use information about you as outlined in the Wave 6 Study Information Leaflet for the purpose of ageing research? | |||||||||
| CS067- Do you agree that non-identifiable information about you, collected in this wave, can be shared with academic research institutions and research hospitals within the EU for research on ageing? | |||||||||
| CS068- Do you agree that non-identifiable information about you, collected in this wave, can be shared with academic research institutions and research hospitals outside the EU for research on ageing? | |||||||||
| Proxy interview consent | |||||||||
| CS071- Do you agree that TILDA can use the information that you provide about your family member or friend as outlined in the Information Leaflet, for the purpose of ageing research? | |||||||||
| CS072- Do you agree that non-identifiable information that you provide about your family member or friend in this wave, can be shared with academic research institutions and research hospitals within the EU for research on ageing? | |||||||||
| CS073- Do you agree that non-identifiable information that you provide about your family member or friend in this wave, can be shared with academic research institutions and research hospitals outside the EU for research on ageing? | |||||||||
| AMT (The Abbreviated Mental Test Score Module) | |||||||||
| MT001- What is your age? | |||||||||
| MT002- Without looking at your watch, what is the time to the nearest hour? | |||||||||
| MT003- What is the year? | |||||||||
| MT004- What is your home address? | |||||||||
| MT005- INTRO: SHOW THE RESPONDENT A PENCIL OR PEN AND ASK “WHAT IS THIS?” IWER: THEN REPEAT THE SAME QUESTION WHILE POINTING TO A WATCH | |||||||||
| MT006- What is your date of birth? | |||||||||
| MT007- In what year did world war two begin? | |||||||||
| MT008- Can you name the current Taoiseach? | |||||||||
| MT009- Can you count backwards from 20 down to 1? | |||||||||
| MT010- Can you please tell me the address I asked you to remember earlier? | |||||||||
| MT011 - Now I’m going to ask you for the names of some people and things. What do people usually use to cut paper? | |||||||||
| CS (Cover Screen) | |||||||||
| Cover Screen-R (Individual Interview) | |||||||||
| CM001: First, I would like to ask if there are any persons aged 50 or over living in this household? | |||||||||
| CS027: IWER(CODE WITHOUT ASKING): IS THIS DWELLING LOCATED | |||||||||
| CF001: IWER: Has the respondent signed the consent form? | |||||||||
| CF001b: IWER: As I explained earlier this is a longitudinal study which means that people who take part will be visited once every two years. Are you willing to be re-contacted to participate in a similar interview in the next 2 years? Again at this stage your participation will be voluntary. | |||||||||
| CS001: What name would you like to be referred to during the interview. | |||||||||
| CS002: In which month and year were you born? (month) | |||||||||
| CS002: In which month and year were you born? (year) | |||||||||
| CM003: For the purposes of this research can you tell me if you are aged: | |||||||||
| CS004: IWER: (Code without asking.) Is Respondent male or female? | |||||||||
| CM004: Are you...living with a spouse / partner or as a single person | |||||||||
| CS007: What is [your] [wife/husband/partner]'s first name? | |||||||||
| CS010: IWER: note sex of [wife/husband/partner] of respondent (ASK IF UNSURE) | |||||||||
| CM005: How old is your {[{wife/husband/partner}]? | |||||||||
| CM006: Is your [husband/wife/partner] aged…? | |||||||||
| CM007: Excluding yourself [and your husband/wife/partner], does anyone else live in this household? | |||||||||
| CM008: What is his or her first name? | |||||||||
| CM009: What is the sex of [{first name household member}]? | |||||||||
| CM011: How old is {[{first name household member}]? | |||||||||
| CM012: Is [{first name household member}] aged…? | |||||||||
| CM010: What is [his/her] relationship to you? | |||||||||
| CM010_oth: Please specify other type of relationship | |||||||||
| CM013: Is [{first name household member}] living with a spouse, with a partner, or as a single? | |||||||||
| CM014: What is his or her first name? | |||||||||
| CM015: What is the sex of [{first name household member's husband/wife/partner}]? | |||||||||
| CM017: How old is [{first name household member's husband/wife/partner}]? | |||||||||
| CM018: Is [{first name household member's husband/wife/partner}] aged.. | |||||||||
| CM016: What is [his/her] [relationship] to you? | |||||||||
| CM016_oth: Please specify other type of relationship | |||||||||
| CM019: Does anyone else live in this household? | |||||||||
| CM020: Let me just check. That makes [{number of people in household}] people living in this household altogether? Is that correct? | |||||||||
| CM021: IWER: READ OUT LOUD ALL NAMES ON THE HOUSEHOLD GRID.[AllRespondents] Have we left anyone out? | |||||||||
| CF001: IWER: Has the respondent signed the consent form? | |||||||||
| CF002: IWER: Does the respondent have a spouse/partner living with him/her? | |||||||||
| CF003: IWER: Are both willing to participate in the survey? | |||||||||
| CF004: IWER: Has the second respondent signed the consent form? | |||||||||
| CS015: Later in this interview, I will be asking questions about your family finances and retirement planning. Which of you is the most knowledgeable about this, you or your (husband/wife/partner)? | |||||||||
| CS016: Which of you is the most knowledgeable about family matters, you or your (husband/wife/partner)? | |||||||||
| CS017: Please classify this respondent as financial / family / financial and family / or neither | |||||||||
| HH007: Which sample is the respondent a member of? | |||||||||
| HH001. INTERVIEWER: Are you interviewing at the same address that the respondent was interviewed at last time? | |||||||||
| HH002. INTERVIEWER: Is this interview held in a private household or in a nursing home? | |||||||||
| HH002X - Is [Respondent i1] a temporary or permanent resident of the nursing home? | |||||||||
| HH002Y - PLEASE ENTER THE NEW ADDRESS AT WHICH THE RESPONDENT IS NOW RESIDENT. | |||||||||
| HH005. IWER: Designate type of interview: | |||||||||
| HH006. What is the proxy’s full name? | |||||||||
| hh006x: was the respondent present during the proxy interview? | |||||||||
| CS023.Before beginning the interview, I just need to check whether there have been changes in who lives in this household. Including [yourself/Rname], our records show that [number of people in HH] people lived in this household. I would like to check if each of them still lives here | |||||||||
| CS036 May I ask what has happened to [name] (AGED?] | |||||||||
| CS037. I am sorry to hear that [Name] has passed away. I just need to ask a few questions to check that we have the correct information about him/her. | |||||||||
| CS038 INTERVIEWER: Enter correct first name. | |||||||||
| CS039 INTERVIEWER: CODE OR ASK IF UNSURE: Can I just check, was [NAME] [sex]? | |||||||||
| CS041m. When did [NAME] die? Can you tell me the month? | |||||||||
| CS041y. When did [NAME] die? Can you tell me the year? | |||||||||
| CS044: In what month did [you/Rname] move to the (nursing home/health care facility/hospice) where [you/he/she] [are / is] now living? | |||||||||
| CS044: In what year did [you/Rname] move to the (nursing home/health care facility/hospice) where [you/he/she] [are / is] now living? | |||||||||
| CS045: In what county is the nursing home where [you/Rname] [are/is] living? | |||||||||
| CS046x: According to our records, in <month and year of last interview> there were some children who were not living in this household. Are any of them living here now? | |||||||||
| CS046: Of the people living in this household today, has anyone joined this household since [{month and year of previous interview}] (that is since we last interviewed a current household member)? | |||||||||
| cs047a: Who has joined this household? | |||||||||
| CS047: What is his or her first name? | |||||||||
| CS048: What is the sex of [{NEW name household member] | |||||||||
| CS050: How old is [{NEW household member}]? | |||||||||
| CS051: Is [{NEW household member}] aged…? [READ OUT] | |||||||||
| CS052y In what year did [NEW HOUSEHOLD MEMBER] move into this household?) | |||||||||
| CS052m In what year did [NEW HOUSEHOLD MEMBER] move into this household?) | |||||||||
| CS053: Is [{NEW household member}] living with a spouse, with a partner, or as a single? | |||||||||
| cs047ba: What is [new household member]'s spouse/partner name? | |||||||||
| CS047B: Is [{NEW household member}]’s spouse/partner a previously mentioned member of the household? | |||||||||
| CS048B: What is the sex of [{NEW name household member Spouse] | |||||||||
| CS050b. How old is [{NEW household member’s spouse}]? | |||||||||
| CS051B: Is [{NEW household member’s spouse}] aged…? [READ OUT] | |||||||||
| CS052by In what year did [NEW HOUSEHOLD MEMBER] move into this household?) | |||||||||
| CS052bm In what year did [NEW HOUSEHOLD MEMBER] move into this household?) | |||||||||
| CS054: Has anyone else joined this household since [last interview date]? | |||||||||
| CS055: IWER READ OUT: So, all current members of the household are: | |||||||||
| CS056. Let me just check. That makes [number of people in HH] people living in this household altogether? Is that correct? | |||||||||
| CS057: What is your relationship to [person n +1] (feed forward [person n]’s age)? I.E. You are [person n]’s ...? | |||||||||
| CS058. CAPI: CONFIRM THE NAME(S) OF THE ELIGIBLE RESPONDENT(S) FROM THE LIST OF HH MEMBERS, INCLUDING ANY NEW ELIGIBLE MEMBER (S) (E.G. NEW SPOUSE / OTHER ELIGIBLE). IWER: This household has ______eligible respondents. Read out loud all names of eligible respondents | |||||||||
| CF001a: IWER: Has the proxy given consent to? Physical measures | |||||||||
| CF001a: IWER: Has the proxy given consent to? Original respondent answering some questions | |||||||||
| CF001a: IWER: Has the proxy given consent to? Neither of the above | |||||||||
| cs006 - Are you still.. (marital status) | |||||||||
| CSP_MEMBER: Because you are completing the interview on behalf of <Respondent i1> we would like to begin by asking who lives here as part of the household. In addition to <Respondent i1> who else lives here as a member of this household? | |||||||||
| CSP01_03: What is his/her first name? | |||||||||
| CSP02_03: What is the sex of [CSP1_03]? | |||||||||
| CSP03_01: How old are you? | |||||||||
| CSP04_02: Us [proxy respondent] aged…? | |||||||||
| CAP05_02: Since wHen have you been living here in this household? | |||||||||
| CSP06_02: In which month did [HH006] move into this household? | |||||||||
| CSP_ELSE: Does anyone else live here as part of this household? | |||||||||
| CSP07_03: What is <Respondent i1’s> relationship to [CSP01_03]? | |||||||||
| CSP08_03: What is your relationship to [CSP01_03]? [CSP01_03] is your....? | |||||||||
| CSP_TOTAL: IWER READ OUT: So, all current members of the household are: | |||||||||
| CSP_CHECK: Have we left anyone out? | |||||||||
| CSP_FINAL: Let me just check. That makes [CSP_total] people living in this household altogether? Is that correct? | |||||||||
| cf005: IWER: Has Rname signed the GP linkage consent form? | |||||||||
| cf006a: GP name: | |||||||||
| cf006b: GP address: | |||||||||
| SC (Self-Completion Questionnaire) | |||||||||
| DM (Demographics) | |||||||||
| hh007 - Which sample is the respondent a member of? | |||||||||
| hh004 - Do you have reason to think that [Rname] would have difficulty completing this interview because of cognitive or physical limitations? | |||||||||
| hh005 - Designate type of interview: | |||||||||
| hh006 - What is the proxy’s full name? | |||||||||
| hh006x - Was the respondent present during the proxy interview? | |||||||||
| Respondent's name | |||||||||
| gd002 - Gender of respondent | |||||||||
| dn002 - In which month was [respondent/Rname] born? | |||||||||
| dn003 - In which year was [respondent/Rname] born? | |||||||||
| dn003b -: For the purposes of this research can you tell me if [you/Rname] [are/is] aged... | |||||||||
| dm084 - Ask only if hh005=1. Some people feel a different age on the inside than the one on their birth certificate. What age do you feel on the inside? | |||||||||
| Childhood | |||||||||
| dm085 - where were you born? | |||||||||
| dm086 - Can you please provide the name and address of the hospital or other place where you were born? | |||||||||
| dm087 - How much did you weigh when you were born? | |||||||||
| dm088 - Enter weight in KG | |||||||||
| dm089 - Enter wight in stones and pounds [dm089p] [dm089o] | |||||||||
| dm002 - Where was your father brought up? | |||||||||
| dm003 - Where was your mother brought up? | |||||||||
| dm004 - Were you living in a rural area when you were about age 14? | |||||||||
| dm005 - Consider your health while you were growing up, from birth to age 14. Would you say that your health during that time was… | |||||||||
| dm006 - Now think about your family when you were growing up, from birth to age 14. Would you say your family was… | |||||||||
| dm007a - While you were growing up, before age 14, did your mother ever work outside the home? | |||||||||
| dm007 - What was your mother's occupation when you were age 14? | |||||||||
| dm007bx - Was the mother's occupation a farm owner or manager? | |||||||||
| dm007b1 - Social class of mother's occupation | |||||||||
| dm007b2 - How many acres did your mother own or manage? | |||||||||
| dm007b3 - Hidden Social Class question - from DM007b1 and DM007b2 | |||||||||
| dm008a - While you were growing up, before age 14, did your father ever work outside the home? | |||||||||
| dm008 - What was your father's occupation when you were age 14? | |||||||||
| dm008bx - Was the father's occupation a farm owner or manager? | |||||||||
| dm008b1 - Social class of father's occupation | |||||||||
| dm008b2 - How many acres did your father own or manage? | |||||||||
| dm008b3 - Hidden Social Class question - from DM007b1 and DM007b2 | |||||||||
| dm009 - What was the highest grade of school your father completed? | |||||||||
| dm010 - And what was the highest grade of school your mother completed? | |||||||||
| dm036 - Before age 14, was there a time of several months or more when [your/Rname's] father had no job? | |||||||||
| dm053 - How many rooms did [your/their] household occupy in that accommodation, including bedrooms but excluding kitchen, bathrooms, and hallways? | |||||||||
| dm054 - Including [yourself/themselves], how many people lived in [your/their] household? | |||||||||
| dm055 - Please look at show card DM4. Did that accommodation have any of the features on this card? | |||||||||
| dm056 - : Please look at showcard DM5. Was the accommodation… | |||||||||
| dm057 - Please look at show card DM6. Approximately how many books were there in that accommodation? Do not count magazines, newspapers, or school books. | |||||||||
| dm052 - Thinking back to your/their childhood, at which address did [you/they] live at for most years until you/they were about fourteen years old? | |||||||||
| dm058
- In a previous interview [you/they] said that [your/their] father was
involved in farming. What was the acreage of the farm? |
|||||||||
| dm037 - Now I have some questions about [your/Rname's] brothers and sisters. [Do/Does] [you/he/she] have any brothers or sisters? | |||||||||
| dm049 - Thinking about these brothers and sisters, how many were there in total, even if now deceased? | |||||||||
| dm050 - [Were you…] / [Was he/she]… | |||||||||
| Migration History | |||||||||
| dm011 - Were you born in the Republic of Ireland? | |||||||||
| dm012 - In which country were you born? | |||||||||
| dm012 - Other country you were born in | |||||||||
| dm013 - At what age did you first move to the Republic of Ireland? | |||||||||
| dm014 - What is your nationality? | |||||||||
| dm014 - Other nationality | |||||||||
| dm015 - [Since coming to Ireland] have you always lived in this County? | |||||||||
| dm016 - About how many years have you lived in this County? | |||||||||
| dm017 - Have you ever lived abroad (outside of Republic of Ireland) for more than six months? | |||||||||
| dm018 - In total for how many years have you worked or lived in another country? | |||||||||
| dm019 - Think about your first long stay in a country other than the Republic of Ireland. At what age did you go? | |||||||||
| dm046 - Think about the country [you/Rname] spent most time in when [you/he/she] lived outside of the Republic of Ireland. | |||||||||
| dm046 - Think about the country [you/Rname] spent most time in when [you/he/she] lived outside of the Republic of Ireland. Was it? | |||||||||
| dm047_01 - Now think about the reasons that made [you/him/her] come back. Why did [you/Rname] return to Ireland? To work | |||||||||
| dm047_02 - Now think about the reasons that made [you/him/her] come back. Why did [you/Rname] return to Ireland? To retire | |||||||||
| dm047_03 - Now think about the reasons that made [you/him/her] come back. Why did [you/Rname] return to Ireland? Family reasons | |||||||||
| dm047_04 - Now think about the reasons that made [you/him/her] come back. Why did [you/Rname] return to Ireland? Homesick | |||||||||
| dm047_95 - Now think about the reasons that made [you/him/her] come back. Why did [you/Rname] return to Ireland? Other | |||||||||
| dm047_98 - Now think about the reasons that made [you/him/her] come back. Why did [you/Rname] return to Ireland? DK | |||||||||
| dm047_99 - Now think about the reasons that made [you/him/her] come back. Why did [you/Rname] return to Ireland? RF | |||||||||
| dm047 - Why else did [you/Rname] return to Ireland? | |||||||||
| dm024 - HOW OFTEN DID RESPONDENT RECEIVE ASSISTANCE WITH ANSWERS IN SECTION DM? | |||||||||
| cs014 - Is your (ex) (husband/wife/partner) living in a nursing home, hospital or other health care institution? | |||||||||
| dn004 - In which year was [your] [ex-/late] [husband/wife/partner] born? | |||||||||
| dn005 - Please look at DM1.What is the highest school certificate or degree that [your] [ex-/late] [husband/wife] [has/had] obtained? | |||||||||
| dm090 - What is your ethnic or cultural background | |||||||||
| Schooling | |||||||||
| dm001 - What is the highest level of education that [you/Rname] completed? | |||||||||
| dm081 - Just to clarify, did [you/RName] complete an intermediate certificate, group certificate or junior certificate or equivalent? | |||||||||
| dm001a - Since the last time that we interviewed [have/has] [you/Rname] obtained any further qualification | |||||||||
| dm025 - What is the highest qualification that [you/Rname] obtained? | |||||||||
| dm066 - Just to clarify, did [you/RName] complete an intermediate certificate, group certificate or junior certificate or equivalent?DM066 Just to clarify, did [you/RName] complete an intermediate certificate, group certificate or junior certificate or equivalent? | |||||||||
| dm048 - At what age did [you/he/she] leave full-time education? (as in the age [you/he/she] first left continuous education, | |||||||||
| cs006 - [Are you still / is he/she still]… | |||||||||
| Marital Status | |||||||||
| Romantic/Intimate Partner | |||||||||
| cs058 - [Do/does] [you/he/she] currently have a romantic, intimate, or sexual partner? | |||||||||
| cs011y - In which year did [you/Rname] get married or start living together? | |||||||||
| cs012 - In what year did [you/Rname] become a widow/widower? | |||||||||
| cs013y - In what year did [you/they] stop living together/get divorced? | |||||||||
| cs060- [Have you]/[R'name] ever been married? | |||||||||
| cs061- Including any previous marriages, in what year did [you/Rname] first get married? | |||||||||
| dm059 - In which month was [your/Rname’s] [husband/wife/partner] born? [if proxy is non-participating partner – in which month were you born?] | |||||||||
| dm060 - : In which year was [he/she] born? YEAR:(ex:1955) | |||||||||
| dm161 - Please look at this card (DM1). What is the highest level of education that [he/she] completed? [if proxy is non-participating partner – What is the highest level of education that you completed?] | |||||||||
| dm083- Just to clarify, did [you/RName] complete an intermediate certificate, group certificate or junior certificate or equivalent?DM066 Just to clarify, did [you/RName] complete an intermediate certificate, group certificate or junior certificate or equivalent? | |||||||||
| dm064
- : At what age did [he/she] leave full-time education? [as in the age
[he/she] first left continuous
education, excluding any periods spent as a mature student] [if proxy is non-participating partner – At what age did you leave full-time education??] |
|||||||||
| dm062
- DM062 : Please look at card DM3. What is your [husband/wife/partner]
employment status? [if proxy is non-participating partner – What is your [husband/wife/partner] employment status?] |
|||||||||
| dm062oth - DM062oth: Text: Up to 60 characters. | |||||||||
| dm063a
- DM063a: I would like to ask about [Spouse’s/Partner’s name] job. Could you
tell me the name or title of this job?
NOTE: If not at work now, ask about highest paid job ever held [if proxy is non-participating partner – I would like to ask about your job. Could you tell me the name or title of this job?] |
|||||||||
| dm063x - Is the SPOUSE’S/PARTNER’S occupation a farm owner or manager | |||||||||
| dm063b - What is the acreage of the farm? | |||||||||
| dm063c - Dm063c.IWER TO SELECT SOCIAL CLASS | |||||||||
| TC (Transfer to Children) | |||||||||
| CS028: Next are some questions about your living children (and those of your husband/wife/partner) who don’t live with you in your home. How many living children do you have that do not live with you in your home? Please count all natural children, fostered, adopted and stepchildren, including those of your husband/your wife/your partner. | |||||||||
| CS029: Please tell me the name of [the oldest/next oldest] child that does not live in this household | |||||||||
| CS030: Is [name of child not living here] male or female? | |||||||||
| CS031: How old is [name of child not living here]? | |||||||||
| CS031b: Which of these age groups applies to [name of child not living here]? | |||||||||
| CS032: What is (name of child not living here)’s present marital status? | |||||||||
| CS033: If (child’s name) is married or lives with a partner, what is the name of (child’s name’s) spouse/partner? | |||||||||
| CS034: In total, then, how many living children do you have? (including step, foster and adoptive children) | |||||||||
| TC001: Let’s talk about CHILD’S NAME. Where does CHILD’S NAME live? | |||||||||
| TC002: Does CHILD’S NAME own a home? | |||||||||
| TC003: Please look at card TC1. What level of education has CHILD’S NAME attained? | |||||||||
| TC004: Please look at card TC2. What is CHILD’S NAME employment status? | |||||||||
| TC005: Please look at card TC2. What is CHILD’S NAME SPOUSE/PARTNER employment status? | |||||||||
| TC006: How many children do/does CHILD’S NAME (and CHILD’S NAME SPOUSE/PARTNER) have? | |||||||||
| TC007: Are any of his/her children under age 18? | |||||||||
| TC008: In the last ten years, have you (or your spouse/partner) given the deeds of a house, business, property, or a large amount of money of €5,000 or more to any of your children (or grandchildren)? | |||||||||
| TC008A - Which child was that? | |||||||||
| TC009: About how much was this support in total? | |||||||||
| TC010: Would you say in total it was less than ________ , more than _______ or what? | |||||||||
| TC011: I would now like to ask about financial assistance to your children apart from any large lump sums that you mentioned in the previous question. During the last 2 years, did you (or your spouse/partner) give financial or in-kind support totalling €250 or more to any of your children and/or grandchildren (or their spouse/partner)? | |||||||||
| TC011a: Who was this support given to? | |||||||||
| TC012: About how much was this support in total? | |||||||||
| TC013: Would you say in total it was less than ________ , more than _______ or what? | |||||||||
| TC014: In the last 2 years, excluding childcare, have you (and/or your spouse/partner) spent at least 1 hour a week helping your adult children and/or grandchildren with things like: 1) Practical household help, e.g. with home repairs, gardening, transportation, shopping, household chores; 2) Help with paperwork, such as filling out forms, settling financial or legal matters | |||||||||
| TC014a: Who was this support given to? | |||||||||
| TC015: About how many hours per month on average did you (and/or your spouse/partner) provide such help to your children? | |||||||||
| TC016: In the last two years, have you (or your spouse/partner) spent at least 1 hour a week taking care of grandchildren or great-grandchildren (who live outside your own household)? | |||||||||
| TC016a: Which of your children are/is the parent(s) of these grandchildren? | |||||||||
| TC017: About how many hours on average per month did you (and/or your spouse/partner) spend taking care of your grandchildren or great-grandchildren (who live outside your own household)? | |||||||||
| TC018: In the last two years, have you (or your spouse/partner) received financial or in-kind support from any of your children or grandchildren? | |||||||||
| TC019: Over the last 2 years, about how much was the total value of this support from your children? | |||||||||
| TC020: Did it amount to a total of less than €_____, more than €_____, or what? | |||||||||
| TC019a: Who gave this support? | |||||||||
| TC021: In the last 2 years, have your (and/or your spouse’s/partner’s) children or grandchildren spent at least 1 hour a week, helping you and/or your spouse/partner with things like: 1) Practical household help, e.g. with home repairs, gardening, transportation, shopping, household chores; 2) Help with paperwork, such as filling out forms, settling financial or legal matters | |||||||||
| TC021a: Who gave this help? | |||||||||
| TC022: About how many hours per month on average did you (or your spouse/partner) receive such help from your children (or grandchildren)? | |||||||||
| TC023: In the last 2 years, did your relatives give you (and your spouse/partner) any help with things like: 1) Practical household help, e.g. with home repairs, gardening, transportation, shopping, household chores; 2) Help with paperwork, such as filling out forms, settling financial or legal matters | |||||||||
| TC024: About how many hours per month of such help did you receive from other relatives over the last two years? | |||||||||
| TC025: Please look at card TC4. In the last 2 years, did you (or your spouse/partner) give any kind of help to your relatives with things like: 1) Practical household help, e.g. with home repairs, gardening, transportation, shopping, household chores; 2) help with personal care, such as dressing, eating, getting into and out of bed, using the toilet; 3) help with paperwork, such as filling out forms, settling financial or legal matters | |||||||||
| TC026: About how many hours per month on average did you give such help in the last two years? | |||||||||
| TC027: In the last 2 years, did your neighbours or friends give you (or your spouse/partner) any kind of help such as: 1) Household help: help with home repairs, gardening, transportation, shopping, household chores; 2) Help with paperwork, such as filling out forms, settling financial or legal matters | |||||||||
| TC028: About how many hours per month of such help did you receive from friends and neighbours over the last two years? | |||||||||
| TC029: In the last 2 years, did you (or your spouse/partner) give any kind of help to your friends, and neighbours (who did not pay you) such as: 1) household help: help with home repairs, gardening, transportation, shopping, household chores; 2) help with personal care, such as dressing, eating, getting into and out of bed, using the toilet; 3) help with paperwork, such as filling out forms, settling financial or legal matters | |||||||||
| TC030: About how many hours per month on average did you give such help in the last two years? | |||||||||
| TC031: IWER (CODE WITHOUT ASKING): HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION TC? | |||||||||
| CS034A:
Last time we interviewed you, you mentioned that you had <number of
children-CS034FF> child/children. Was this correct? Last time we interviewed you, you mentioned that you had <number of children-CS034FF> child/children. Was this correct? |
|||||||||
| TC032a. We'd like to verify the information we have on [your/Rname’s] children [or step children]. | |||||||||
| cs018a1: How old is [{Child’s name}]? | |||||||||
| cs018a2: which of these age groups applies to {Child’s name}? | |||||||||
| tc001a: Where does CHILD’S NAME live? | |||||||||
| tc034a: Is [CHILD’S NAME]’s highest level of education still…. | |||||||||
| tc003a: Please look at card TC1. What level of education has CHILD’S NAME attained? | |||||||||
| TC040a. Is [CHILD’S NAME] employment status still… | |||||||||
| tc004a: Please look at card TC2. What is CHILD’S NAME present employment status? | |||||||||
| CS032A: What is [CHILD’S NAME] (name of child)’s present marital status? | |||||||||
| TC036AX: Is the child’s occupation a farm owner or manager | |||||||||
| IWER TO SELECT SOCIAL CLASS | |||||||||
| TC036A4: What is (was) the acreage of the farm? | |||||||||
| TC032b. We'd like to verify the information we have on [your/Rname’s] children [or step children] who are not resident in this household. Our records show that when we last interviewed [you/Rname], [you/he/she] had a child called [Name]. Is this correct? | |||||||||
| cs018ba: How old is [{Child’s name}]? | |||||||||
| cs018bb: Which of these age groups applies to [{Child’s name}]? | |||||||||
| tc033b: . Does [CHILD’S NAME] still live … | |||||||||
| TC001b: Where does CHILD’S NAME live? | |||||||||
| TC034b. Is [CHILD’S NAME]’s highest level of education still | |||||||||
| TC003b: Please look at card TC1. What level of education has CHILD’S NAME attained? | |||||||||
| TC040b. Is [CHILD’S NAME] employment status still .. | |||||||||
| TC004b: Please look at card TC2. What is CHILD’S NAME present employment status? | |||||||||
| tc035b: Is [CHILD’S NAME] marital status still.. | |||||||||
| CS032b: What is (name of child)’s present marital status? | |||||||||
| TC036bx Is the child’s occupation a farm owner or manager | |||||||||
| TC036b2m IWER TO SELECT SOCIAL CLASS | |||||||||
| TC036B4. What is the acreage of the farm? | |||||||||
| TC042by - year child died | |||||||||
| TC042bm - month child died | |||||||||
| TC037. [Apart from the children we have already talked about] [Do/Does] [you/Rname] or ([your/his/her] [husband/wife/partner]) have any [other] children or step-children who do not live in this household? | |||||||||
| CS029: Please tell me the name of [the oldest/next oldest] child | |||||||||
| CS030: Is [name of child] male or female? | |||||||||
| cs019a: How old is [{Child’s name}]? | |||||||||
| CS031b: Which of these age groups applies to [name of child]? | |||||||||
| CS032: What is (name of child)’s present marital status? | |||||||||
| CS033: What is the name of (child’s name’s) spouse/partner? | |||||||||
| TC001: Where does CHILD’S NAME live? | |||||||||
| TC002: Does CHILD’S NAME own a home? | |||||||||
| TC003: Please look at card TC1. What level of education has CHILD’S NAME attained? | |||||||||
| TC004: Please look at card TC2. What is CHILD’S NAME employment status? | |||||||||
| TC036x2x Is the child’s occupation a farm owner or manager | |||||||||
| TC036x2a: IWER TO SELECT SOCIAL CLASS | |||||||||
| TC036x2c: what is the acrage of the farm? | |||||||||
| TC005: Please look at card TC2. What is CHILD’S NAME SPOUSE/PARTNER employment status? | |||||||||
| TC006: How many children do/does CHILD’S NAME (and CHILD’S NAME SPOUSE/PARTNER) have? | |||||||||
| TC007: Are any of his/her children under age 18? | |||||||||
| tc039:
In [{month and year previous interview}], [you/Rname] indicated that
[you/he/she] (or [your/his/her] (late) [husband/wife/partner]) gave the deeds
of a house, business, property, or a large amount of money of €5,000 or more
to your children (or grandchildren)?. Which [child(ren)/grandchild/ren]
was/were that? |
|||||||||
| TC011a. Who was this support given to? | |||||||||
| TC041 Did [you/he/she] agree to be guarantor, either fully or partially when [your/Rname’s] [children were/child was] purchasing a home in the past 10 years? | |||||||||
| TC014a. Who was this support given to? | |||||||||
| TC016a. Which of your children are/is the parent(s) of these grandchildren? | |||||||||
| TC019a. Who gave this support? | |||||||||
| TC021a. Who gave this help? | |||||||||
| TC101: Our records show that when we last interviewed [you/Rname], [you/he/she] had a child called [Name]. Is this correct? | |||||||||
| tc123: Is [{Child’s name}] male or female? | |||||||||
| TC102: How old is [{Child’s name}]? | |||||||||
| tc103: Which of these age groups applies to [{Child’s name}]? | |||||||||
| tc104: Where does [CHILD’S NAME] live at present? | |||||||||
| tc105: Is [CHILD’S NAME]’s highest level of education still | |||||||||
| tc106: look at card TC1. What level of education has CHILD’S NAME attained? | |||||||||
| tc107: Is [CHILD’S NAME]’s marital status still…. | |||||||||
| tc108: is [CHILD’S NAME]’s present marital status? | |||||||||
| tc109: Is [CHILD’S NAME] employment status still | |||||||||
| tc110: : Please look at card TC2. What is [CHILD’S NAME]’s present employment status? | |||||||||
| tc036a: I would like to ask about [Child’s name] occupation. Could you tell me the name or title of this occupation? | |||||||||
| tc111: Is [child’s name]’s occupation a farm owner or manager | |||||||||
| tc112: iwer to select social class | |||||||||
| tc113: What is (was) the acreage of the farm? | |||||||||
| tc114: How many children does [CHILD’S NAME] have, if any? | |||||||||
| tc115: Are any of [his/her] children under age 18? | |||||||||
| tc118: [Apart from the children we have already talked about] [Do/Does] [you/Rname] or ([your/his/her] [husband/wife/partner]) have any [other] children or step-children who do not live in this household? | |||||||||
| tc119: Please tell me the name of [the oldest/next oldest] child | |||||||||
| tc120: Is [name of child] male or female? | |||||||||
| tc116y_n: I’m very sorry to hear that, let me offer my sincere condolences. Can you tell me what month and year did CHILDn's NAME die (year) | |||||||||
| tc122: Let me just check. So in total you have [Respondent name has] [number of living children] children. Is this correct? | |||||||||
| tc043: what was the main reason for this assistance or gift? | |||||||||
| tc044: what was the main reason for this assistance or gift? | |||||||||
| PH (Physical and Cognitive Health) | |||||||||
| Overall health and functional limitations | |||||||||
| ph001 - Now I would like to ask you some questions about your health. Would you say your health is… | |||||||||
| ph002 - What about your emotional or mental health? Is it ... | |||||||||
| ph003 - [Do/Does] [you/he/she] have any long-term health problems, illness, disability or infirmity? | |||||||||
| ph004 - Does this illness or disability limit [your/his/her] activities in any way? | |||||||||
| ph005 - For the past six months or more, to what extent [have/has] [you/he/she] been limited because of a health problem? | |||||||||
| ph006 - [Do/Does] [you/Rname] have any health problem or disability that limits the kind or amount of paid work [you/he/she] could do? | |||||||||
| ph007 - Is this a health problem or disability that you expect to last less than three months? | |||||||||
| ph008 - In the past year [have/has] [you/Rname] lost 10 pounds (4.5 kg) or more in weight when [you/he/she] [were/was]n't trying to? | |||||||||
| ph009- In general, compared to other people your age, would you say your health is…. | |||||||||
| -Eyesight | |||||||||
| ph101 - [Do/Does] [you/he/she] usually wear glasses or contact lenses? | |||||||||
| ph101a - [Do/Does] [you/he/she] usually wear ordinary glasses, bifocals or contact lenses? | |||||||||
| ph101b - How long [have/has] [you/he/she] had bifocals? | |||||||||
| ph102 - Is your eyesight (using glasses or contact lenses if you use them)... | |||||||||
| ph103 - How good is your eyesight for seeing things at a distance, like recognising a friend across the street (using glasses or contact lens if you use them)? Would you say it is.. | |||||||||
| PH104:
How good is your eyesight for seeing things up close, like reading ordinary
newspaper print (using glasses or contact lens if you use them)? Would you
say it is... |
|||||||||
| PH105: Has a doctor ever told you that you have any of the following eye diseases? | |||||||||
| PH105_01 - Has a doctor ever told [you/Rname] that [you/he/she] [have/has] any of the following [other] eye diseases? - Cataracts | |||||||||
| PH105_02 - Has a doctor ever told [you/Rname] that [you/he/she] [have/has] any of the following [other] eye diseases? - Glaucoma | |||||||||
| PH105_03 - Has a doctor ever told [you/Rname] that [you/he/she] [have/has] any of the following [other] eye diseases? - Age related macular degeneration | |||||||||
| PH105_95 - Has a doctor ever told [you/Rname] that [you/he/she] [have/has] any of the following [other] eye diseases? - Other (please specify) | |||||||||
| PH105_96 - Has a doctor ever told [you/Rname] that [you/he/she] [have/has] any of the following [other] eye diseases? - None | |||||||||
| PH105_98 - Has a doctor ever told [you/Rname] that [you/he/she] [have/has] any of the following [other] eye diseases? - DK | |||||||||
| PH105_99 - Has a doctor ever told [you/Rname] that [you/he/she] [have/has] any of the following [other] eye diseases? - RF | |||||||||
| ph105a - Last time [you/Rname] [were/was] interviewed, [you/he/she] told us that [you/he/she] [have/had]: [condition from ph105ff] | |||||||||
| ph105x0 - IWER: WHICH OF THE CONDITIONS IS BEING DISPUTED: | |||||||||
| ph105x_1 - It may be that we have a recording error about [you/Rname] having [condition from ph105ff] | |||||||||
| ph105y_1 - Do you still have: Cataracts? | |||||||||
| ph105y_2 - Do you still have: Glaucoma? | |||||||||
| ph105y_3 - Do you still have: Age related macular degeneration? | |||||||||
| ph106 - [have/has] [you/he/she] had cataract surgery? | |||||||||
| -Hearing | |||||||||
| ph107 - HEARING [Do/Does] [you/he/she] use any of the following aids or appliances to help [you/him/her] with [your/his/her] hearing? | |||||||||
| ph107_01 - HEARING [Do/Does] [you/he/she] use any of the following aids or appliances to help [you/him/her] with [your/his/her] hearing? - Hearing aid (all the time) | |||||||||
| ph107_02 - HEARING [Do/Does] [you/he/she] use any of the following aids or appliances to help [you/him/her] with [your/his/her] hearing? - Hearing aid (some of the time) | |||||||||
| ph107_03 - HEARING [Do/Does] [you/he/she] use any of the following aids or appliances to help [you/him/her] with [your/his/her] hearing? - Amplifier | |||||||||
| ph107_95 - HEARING [Do/Does] [you/he/she] use any of the following aids or appliances to help [you/him/her] with [your/his/her] hearing? - Other hearing support | |||||||||
| ph107_96 - HEARING [Do/Does] [you/he/she] use any of the following aids or appliances to help [you/him/her] with [your/his/her] hearing? - None of the above | |||||||||
| ph107_98 - HEARING [Do/Does] [you/he/she] use any of the following aids or appliances to help [you/him/her] with [your/his/her] hearing? - DK | |||||||||
| ph107_99 - HEARING [Do/Does] [you/he/she] use any of the following aids or appliances to help [you/him/her] with [your/his/her] hearing? - RF | |||||||||
| ph145 - Do you feel [you/he/she] [have/has] a hearing loss? | |||||||||
| ph164 - Approximately at what age did you first notice a hearing loss? | |||||||||
| ph108 - Is your hearing (with or without a hearing aid)... | |||||||||
| ph108a - Is you hearing (without a hearing aid)… | |||||||||
| ph108b - Is your hearing (With a hearing aid)… | |||||||||
| ph109 - Can you follow a conversation with one person (with or without a hearing aid)? | |||||||||
| ph110 - Can you follow a conversation with four people (with or without a hearing aid)? | |||||||||
| ph111 - Can you use a normal telephone? | |||||||||
| ph166 - Do you experience noises in your ears (tinnitus) | |||||||||
| -Smell | |||||||||
| ph112 - SMELL Is your sense of smell … | |||||||||
| -Taste | |||||||||
| ph113 - TASTE Is your sense of taste .... | |||||||||
| Memory | |||||||||
| ph114 - How would you rate your day-to-day memory at the present time? Would you say it is... | |||||||||
| ph115 - How often would you find that you are absent-minded, for example forgetting where you put your glasses/keys or finding yourself in a room having forgotten why you came in there? Would you say that you are absent minded in this sort of way? | |||||||||
| ph142 - Compared to the last time we interviewed you in [date of previous interview], would you say your memory is… | |||||||||
| ph143 - How would you rate [Rname]'s day-to-day memory at the present time? Would you say it is? | |||||||||
| ph144 - Compared to [date of previous interview], would you say [Rname]'s day-to-day memory is… | |||||||||
| ph100 - IMPORTANT: THIS NEXT SECTION SHOULD BE ADDRESSED DIRECTLY TO [Rname] PLEASE CODE AVAILABILITY OF [Rname] | |||||||||
| ph147- How long have you known (Rname)? | |||||||||
| ph148 - Compared with…..how is [he/she] at: Remembering things about family and friends, such as occupations, birthdays, and addresses | |||||||||
| ph149 - Compared with …. , how is [he/she] at: Remembering things that have happened recently | |||||||||
| ph150 - Recalling conversations a few days later | |||||||||
| ph151 - Remembering [his/her] address and telephone number | |||||||||
| ph152 - Remembering what day and month it is | |||||||||
| ph153 - Remembering where things are usually kept? | |||||||||
| ph154 - Remembering where to find things which have been put in a different place than usual? | |||||||||
| ph155 - Knowing how to work familiar machines around the house? | |||||||||
| ph156 - Learning to use a new gadget or machine around the house? | |||||||||
| ph157 - Learning new things in general? | |||||||||
| ph158 - Following a story in a book or on TV? | |||||||||
| ph159 - Making decisions on everyday matters? | |||||||||
| ph160 - Handling money for shopping? | |||||||||
| ph161 - Handling financial matters, that is, [his/her] pension or dealing with the bank? | |||||||||
| ph162 - Handling other everyday arithmetic problems, such as, knowing how much food to buy, knowing how long between visits from family or friends? | |||||||||
| ph163- Using [his/her] intelligence to understand what's going on and to reason things through? | |||||||||
| Heart disease section | |||||||||
| PH201 - Please look at card PH1. Has a doctor ever told you that you have any of the conditions on this card? | |||||||||
| PH201_01 - Has a doctor ever told you that you have any of the conditions on this card? High blood pressure or hypertension | |||||||||
| PH201_02 - Has a doctor ever told you that you have any of the conditions on this card? Angina | |||||||||
| PH201_03 - Has a doctor ever told you that you have any of the conditions on this card? A heart attack (including myocardial infarction or coronary thrombosis) | |||||||||
| PH201_04 - Has a doctor ever told you that you have any of the conditions on this card? Congestive heart failure | |||||||||
| PH201_05 - Has a doctor ever told you that you have any of the conditions on this card? Diabetes or high blood sugar | |||||||||
| PH201_06 - Has a doctor ever told you that you have any of the conditions on this card? A stroke (cerebral vascular disease) | |||||||||
| PH201_07 - Has a doctor ever told you that you have any of the conditions on this card? Ministroke or TIA | |||||||||
| PH201_08 - Has a doctor ever told you that you have any of the conditions on this card? High cholesterol | |||||||||
| PH201_09 - Has a doctor ever told you that you have any of the conditions on this card? A heart murmur | |||||||||
| PH201_10 - Has a doctor ever told you that you have any of the conditions on this card? An abnormal heart rhythm | |||||||||
| PH201_11 - Has a doctor ever told you that you have any of the conditions on this card? Atrial Fibrillation | |||||||||
| Ph201_12 - Has a doctor ever told you that you have any of the conditions on this card? An abnormal heart rhythm (not atrial fibrillation) | |||||||||
| PH201_95 - Has a doctor ever told you that you have any of the conditions on this card? Any other heart trouble (specify) [ph201a] | |||||||||
| PH201_96 - Has a doctor ever told you that you have any of the conditions on this card? None of these | |||||||||
| PH201_98 - Has a doctor ever told you that you have any of the conditions on this card? DK | |||||||||
| PH201_99 - Has a doctor ever told you that you have any of the conditions on this card? RF | |||||||||
| Ph201a - Please specify the other heart trouble | |||||||||
| ph201a - Last time [you/Rname] [were/was] interviewed, [you/he/she] told us that [you/he/she] [have/had]: [condition from Ph201ff] | |||||||||
| ph201x0 - IWER: WHICH OF THE CONDITIONS IS BEING DISPUTED: | |||||||||
| ph201x0_01 - High blood pressure or hypertension | |||||||||
| ph201x0_02 - Angina | |||||||||
| ph201x0_03 - A heart attack (inc. myocardial infarction or coronary thrombosis) | |||||||||
| ph201x0_04 - Congestive heart failure | |||||||||
| ph201x0_05 - Diabetes or high blood sugar | |||||||||
| ph201x0_06 - A stroke (cerebral vascular disease) | |||||||||
| ph201x0_07 - Ministroke or TIA | |||||||||
| ph201x0_08 - High cholesterol | |||||||||
| px201x0_09 - A heart murmur | |||||||||
| ph201x0_10 - An abnormal heart rhythm | |||||||||
| px201x0_11 - Atrial fibrillation | |||||||||
| px201x0_12 - An abnormal heart rhythm (not atrial fibrillation) | |||||||||
| ph201x_i - It may be that we have a recording error about [you/Rname] having [condition from Ph201ff]. | |||||||||
| ph226 - With regards to [your/his/her] abnormal heart rhythm, can you tell me if that was an Atrial Fibrillation or not? | |||||||||
| ph201y_1 - Do you still have: [High blood pressure or hypertension]? | |||||||||
| ph201y_2 - Do you still have: [Angina]? | |||||||||
| ph201y_4 - Do you still have: [Congestive heart failure]? | |||||||||
| ph201y_5 - Do you still have: [Diabetes or high blood sugar]? | |||||||||
| ph201y_8 - Do you still have: [High cholesterol]? | |||||||||
| ph201y_9 - Do you still have: [A heart murmur]? | |||||||||
| ph201y_11 - Do you still have: [Atrial Fibrillation]? | |||||||||
| ph201y_12 - Do you still have: [An abnormal heart rhythm (not atrial fibrillation]? | |||||||||
| ph202 - Approximately how old [were/was] [you/he/she] when [you/he/she] [were/was] first told by a doctor that [you/he/she] had high blood pressure? | |||||||||
| PH202 - When [were/was] [you/Rname] first told by a doctor that [you/he/she] had high blood pressure? | |||||||||
| ph202a - [Is/Are] [you/he/she] currently taking any tablets or pills for high blood pressure? | |||||||||
| PH202b: [Is/Are] [you/he/she] currently doing any of the following to manage your blood pressure? | |||||||||
| PH202b_01: [Is/Are] [you/he/she] currently doing any of the following to manage your blood pressure? - Taking medications | |||||||||
| PH202b_02: [Is/Are] [you/he/she] currently doing any of the following to manage your blood pressure? - Lifestyle changes (e.g. diet, exercise, etc.) | |||||||||
| PH202b_95: [Is/Are] [you/he/she] currently doing any of the following to manage your blood pressure? - Other | |||||||||
| PH202b_96: [Is/Are] [you/he/she] currently doing any of the following to manage your blood pressure? - None of the above | |||||||||
| PH202b_98: [Is/Are] [you/he/she] currently doing any of the following to manage your blood pressure? - DK | |||||||||
| PH202b_99: [Is/Are] [you/he/she] currently doing any of the following to manage your blood pressure? - RF | |||||||||
| ph203 - Approximately how old [were/was] [you/he/she] when [you/he/she] [were/was] first told by a doctor that [you/he/she] had angina | |||||||||
| PH203 - When [were/was] [you/he/she] first told by a doctor that [you/he/she] had angina? | |||||||||
| ph204 - [Is/Are] [you/he/she] limiting [your/his/her] usual activities because of [your/his/her] angina? | |||||||||
| ph204a - [Have/Has] [you/he/she] ever had an angioplasty or Stent? | |||||||||
| ph204by - In what year was [your/his/her] last angioplasty or Stent? | |||||||||
| ph204bm - ENTER MONTH HERE (In what year/month was [your/his/her] last angioplasty or Stent?) | |||||||||
| ph204c - [Have/Has] [you/he/she] ever had open heart surgery? | |||||||||
| ph204dy - In what year was [your/his/her] last heart surgery? | |||||||||
| ph204dm - ENTER MONTH HERE (In what year/month was [your/his/her] last heart surgery?) | |||||||||
| ph205 - Approximately how old [were/was] [you/he/she] when [you/he/she] [were/was] first told by a doctor that [you/he/she] | |||||||||
| PH205: - When [were/was] [you/Rname] first told by a doctor that [you/he/she] had a heart attack (including myocardial infarction or coronary thrombosis)? | |||||||||
| ph206y - In what year was [your/his/her] (most recent) heart attack? | |||||||||
| ph206m - ENTER MONTH HERE (In what year/month was [your/his/her] (most recent) heart attack? | |||||||||
| ph207 - According to the doctor how many heart attacks [have/has] [you/he/she] had? | |||||||||
| ph208 - [Have/Has] [you/he/she] ever had an angioplasty or Stent? | |||||||||
| ph209y - In what year was [your/his/her] last angioplasty or Stent? | |||||||||
| ph209m - ENTER MONTH HERE (In what year was [your/his/her] last angioplasty or Stent?) | |||||||||
| ph210 - [Have/Has] [you/he/she] ever had open heart surgery? | |||||||||
| ph211y - In what year was [your/his/her] last heart surgery? | |||||||||
| ph211m - ENTER MONTH HERE (In what month was [your/his/her] last heart surgery?) | |||||||||
| ph206b - Since [your/Rname's] last interview [have/has] [you/he/she] had another heart attack? | |||||||||
| ph206cy - In what year was [your/his/her] (most recent) heart attack? | |||||||||
| ph206cm - ENTER MONTH HERE (In what month was [your/his/her] (most recent) heart attack?) | |||||||||
| ph207b - According to the doctor how many heart attacks [have/has] [you/he/she] had in the last two years? | |||||||||
| ph208b - Since [your/Rname's] last interview [have/has] [you/he/she] had an angioplasty or Stent? | |||||||||
| ph209by - In what year was [your/his/her] last angioplasty or Stent? | |||||||||
| ph209bm - ENTER MONTH HERE (In what month was [your/his/her] last angioplasty or Stent?) | |||||||||
| ph210b - Since [your/Rname's] last interview [have/has] [you/he/she] had open heart surgery? | |||||||||
| ph211by - In what year was [your/his/her] last heart surgery? | |||||||||
| ph211bm - ENTER MONTH HERE (In what year was [your/his/her] last heart surgery?) | |||||||||
| ph212 - Approximately how old [were/was] [you/he/she] when [you/he/she] [were/was] first told by a doctor that [you/he/she] | |||||||||
| PH212 - When [were/was] [you/he/she] first told by a doctor that [you/he/she] had congestive heart failure? | |||||||||
| ph213 - Approximately how old [were/was] [you/he/she] when [you/he/she] [were/was] first told by a doctor that [you/he/she] | |||||||||
| PH213 - When [were/was] [you/he/she] first told by a doctor that [you/he/she] had diabetes or high blood sugar? | |||||||||
| ph213b - What type of diabetes [do/does/did] [you/Rname] have? | |||||||||
| ph229 -[Are/Is] [you/Rname] currently doing any of the following: (options for managing diabetes provided) | |||||||||
| ph229_01 - [Are/Is] [you/Rname] currently doing any of the following: (options for managing diabetes provided) - Taking medication, other than insulin, for diabetes | |||||||||
| ph229_02 - [Are/Is] [you/Rname] currently doing any of the following: (options for managing diabetes provided) - Taking insulin injections | |||||||||
| ph229_03 - [Are/Is] [you/Rname] currently doing any of the following: (options for managing diabetes provided) - Taking other injections for diabetes | |||||||||
| ph229_04 - [Are/Is] [you/Rname] currently doing any of the following: (options for managing diabetes provided) - Lifestyle changes (e.g. diet, exercise, etc.) to manage diabetes | |||||||||
| ph229_95 - [Are/Is] [you/Rname] currently doing any of the following: (options for managing diabetes provided) - Other | |||||||||
| ph229_96 - [Are/Is] [you/Rname] currently doing any of the following: (options for managing diabetes provided) - None of these | |||||||||
| ph229_98 - [Are/Is] [you/Rname] currently doing any of the following: (options for managing diabetes provided) - DK | |||||||||
| ph229_99 - [Are/Is] [you/Rname] currently doing any of the following: (options for managing diabetes provided) - RF | |||||||||
| ph214 - [Is/Are] [you/he/she] currently taking any tablets, pills or other medication that [you/he/she] [swallow/swallows] for diabetes? | |||||||||
| ph215 - [Do/Does] [you/he/she] currently inject insulin for diabetes? | |||||||||
| ph216 - Has a doctor ever told [you/him/her] that [you/he/she] [have/has] any of the following conditions related to [your/his/her] diabetes? | |||||||||
| ph216_01 - Has a doctor ever told [you/him/her] that [you/he/she] [have/has] any of the following conditions related to [your/his/her] diabetes? - Leg ulcers | |||||||||
| ph216_02 - Has a doctor ever told [you/him/her] that [you/he/she] [have/has] any of the following conditions related to [your/his/her] diabetes? - Protein in [your/his/her] legs and feet | |||||||||
| ph216_03 - Has a doctor ever told [you/him/her] that [you/he/she] [have/has] any of the following conditions related to [your/his/her] diabetes? - Lack of feeling and tingling pain in [your/his/her] legs and feet due to nerve damage (diabetic neuropathy) | |||||||||
| ph216_04 - Has a doctor ever told [you/him/her] that [you/he/she] [have/has] any of the following conditions related to [your/his/her] diabetes? - Damage to the back of [your/his/her] eye (diabetic retinopathy) | |||||||||
| ph216_05 - Has a doctor ever told [you/him/her] that [you/he/she] [have/has] any of the following conditions related to [your/his/her] diabetes? - Damage to [your/his/her] kidneys (diabetic nephropathy) | |||||||||
| ph216_96 - Has a doctor ever told [you/him/her] that [you/he/she] [have/has] any of the following conditions related to [your/his/her] diabetes? - No, none of these | |||||||||
| ph216_98 - Has a doctor ever told [you/him/her] that [you/he/she] [have/has] any of the following conditions related to [your/his/her] diabetes? - DK | |||||||||
| ph216_99 - Has a doctor ever told [you/him/her] that [you/he/she] [have/has] any of the following conditions related to [your/his/her] diabetes? - RF | |||||||||
| PH230 - [Have/Has] [you/Rname] been invited for an eye exam by the national retinal screening programme (Diabetic RetinaScreen) in the last 24 months? | |||||||||
| PH231 - Did you attend this service? | |||||||||
| ph218 - Approximately how old [were/was] [you/he/she] when [you/he/she] [were/was] first told by a doctor that [you/he/she] had a stroke? | |||||||||
| PH218 - When [were/was] [you/he/she] first told by a doctor that [you/he/she] had a stroke? | |||||||||
| ph219 - How many strokes [have/has] [you/he/she] had? | |||||||||
| ph220y - In what year was [your/his/her] most recent stroke? | |||||||||
| ph220m - ENTER MONTH HERE (In what year was [your/his/her] most recent stroke?) | |||||||||
| ph219b - Since [your/Rname's] last interview [have/has] [you/he/she] had any further strokes? | |||||||||
| ph219c - How many strokes [have/has] [you/he/she] had in the last two years? | |||||||||
| ph219dy - When was [your/his/her] most recent stroke? | |||||||||
| ph219dm - ENTER MONTH HERE (When was [your/his/her] most recent stroke?) | |||||||||
| ph221 - Approximately how old [were/was] [you/he/she] when [you/he/she] [were/was] first told by a doctor that [you/he/she] | |||||||||
| PH221: When [were/was] [you/Rname] first told by a doctor that [you/he/she] had a TIA, ministroke, or transient ischaemic attack? | |||||||||
| ph222 - How many TIAs or ministrokes [have/has] [you/he/she] had? | |||||||||
| ph223y - In what year was [your/his/her] most recent TIA or ministrokes? | |||||||||
| ph223m - ENTER MONTH HERE (In what month was [your/his/her] most recent TIA or ministrokes?) | |||||||||
| ph222b - Since [your/Rname's] last interview [have/has] [you/he/she] had any further TIA's or ministrokes? | |||||||||
| ph222c - How many TIA's or ministrokes [have/has] [you/he/she] had in the last two years? | |||||||||
| ph222dy - When was [your/his/her] most recent TIA or ministroke? ENTER YEAR | |||||||||
| ph222dm - ENTER MONTH HERE (When was [your/his/her] most recent TIA or ministroke?) | |||||||||
| ph225 - [Is/Are] [you/he/she] currently taking any tablets or pills for high cholesterol? | |||||||||
| ph225b - [Is/Are] [you/he/she] currently doing any of the following to manage your cholesterol? | |||||||||
| ph225b_01 - [Is/Are] [you/he/she] currently doing any of the following to manage your cholesterol? - Taking medications | |||||||||
| ph225b_02 - [Is/Are] [you/he/she] currently doing any of the following to manage your cholesterol? - Lifestyle changes (e.g. diet, exercise, etc.) | |||||||||
| ph225b_95 - [Is/Are] [you/he/she] currently doing any of the following to manage your cholesterol? - Other | |||||||||
| ph225b_96 - [Is/Are] [you/he/she] currently doing any of the following to manage your cholesterol? - None of the above | |||||||||
| ph225b_98 - [Is/Are] [you/he/she] currently doing any of the following to manage your cholesterol? - DK | |||||||||
| ph225b_99 - [Is/Are] [you/he/she] currently doing any of the following to manage your cholesterol? - RF | |||||||||
| ph224 - Approximately how old [were/was] [you/he/she] when [you/he/she] [were/was] first told by a doctor that [you/he/she] | |||||||||
| PH227 - [Are/Is] [you/Rname] taking blood thinning medications e.g. warfarin for [your/his/her] irregular heart rhythm? | |||||||||
| PH228 - In the last 2 months, has [your/Rname's] warfarin or blood thinning medication dose been changed more than 3 times by [your/his/her] doctor? | |||||||||
| Other Chronic conditions | |||||||||
| PH301 - Has a doctor ever told you that you have any of the following conditions? | |||||||||
| PH301_01
- Has a doctor ever told you that you have any of the following conditions? -
Chronic lung disease such as chronic bronchitis or emphysema |
|||||||||
| PH301_02 - Has a doctor ever told you that you have any of the following conditions? - Asthma | |||||||||
| PH301_03 - Has a doctor ever told you that you have any of the following conditions? - Arthritis (including osteoarthritis, or rheumatism) | |||||||||
| PH301_04 - Has a doctor ever told you that you have any of the following conditions? - Osteoporosis, sometimes called thin or brittle bones | |||||||||
| PH301_05 - Has a doctor ever told you that you have any of the following conditions? - Cancer or a malignant tumour (including leukaemia or lymphoma but excluding minor skin cancers) | |||||||||
| PH301_06 - Has a doctor ever told you that you have any of the following conditions? - Parkinson's disease | |||||||||
| PH301_07
- Has a doctor ever told you that you have any of the following conditions? -
Any emotional, nervous or psychiatric problems, such as depression or anxiety |
|||||||||
| PH301_08 - Has a doctor ever told you that you have any of the following conditions? - Alcohol or substance abuse | |||||||||
| PH301_09 - Has a doctor ever told you that you have any of the following conditions? - Alzheimer's disease | |||||||||
| PH301_10 - Has a doctor ever told you that you have any of the following conditions? - Dementia, organic brain syndrome, senility | |||||||||
| PH301_11 - Has a doctor ever told you that you have any of the following conditions? - Serious memory impairment | |||||||||
| PH301_12 - Has a doctor ever told you that you have any of the following conditions? - Stomach ulcers | |||||||||
| PH301_13 - Has a doctor ever told you that you have any of the following conditions? - Varicose Ulcers (an ulcer due to varicose veins) | |||||||||
| PH301_14 - Has a doctor ever told you that you have any of the following conditions? - Cirrhosis, or serious liver damage | |||||||||
| PH301_15 - Has a doctor ever told you that you have any of the following conditions? - Thyroid Problems | |||||||||
| PH301_16 - Has a doctor ever told you that you have any of the following conditions? - Alcohol abuse | |||||||||
| PH301_17 - Has a doctor ever told you that you have any of the following conditions? - Substance abuse | |||||||||
| PH301_18 - Has a doctor ever told you that you have any of the following conditions? - Chronic kidney disease | |||||||||
| PH301_19 - Has a doctor ever told you that you have any of the following conditions? - Severe anaemia | |||||||||
| PH301_20 - Has a doctor ever told you that you have any of the following conditions? - Epilepsy | |||||||||
| PH301_21 - Has a doctor ever told you that you have any of the following conditions? - Chest infection | |||||||||
| PH301_95 - Has a doctor ever told you that you have any of the following conditions? - Other (Please Specify) | |||||||||
| PH301_96 - Has a doctor ever told you that you have any of the following conditions? - None of these | |||||||||
| PH301_98 - Has a doctor ever told you that you have any of the following conditions? - DK | |||||||||
| PH301_99 - Has a doctor ever told you that you have any of the following conditions? - RF | |||||||||
| ph301a - Last time [you/Rname] [were/was] interviewed, [you/he/she] told us that [you/he/she] had: [condition from PH301ff] | |||||||||
| ph301x0 - IWER: WHICH OF THE CONDITIONS IS BEING DISPUTED: | |||||||||
| ph301x_01 to _15 - It may be that we have a recording error about [you/Rname] having [condition from PH301ff]. | |||||||||
| ph301b - Has a doctor ever told [you/Rname] that [you/he/she] [have/has] any of the conditions on this card that could affect [your/his/her] immune system? | |||||||||
| ph326 - Can you clarify, did [you/he/she] suffer from alcohol abuse, substance abuse or both? | |||||||||
| ph301y_1 - Do you still have: [Chronic lung disease]? | |||||||||
| ph301y_2 - Do you still have: [Asthma]? | |||||||||
| ph301y_3 - Do you still have: [Arthritis]? | |||||||||
| ph301y_4 - Do you still have: [Osteoporosis]? | |||||||||
| ph301y_5 - Do you still have: [Cancer or a malignant tumour]? | |||||||||
| ph301y_7 - Do you still have: [emotional, nervous or psychiatric problems]? | |||||||||
| ph301y_12 - Do you still have: [Stomach ulcers]? | |||||||||
| ph301y_13 - Do you still have: [Varicose Ulcers]? | |||||||||
| ph301y_14 - Do you still have: [Cirrhosis, or serious liver damage]? | |||||||||
| ph301y_14 - Do you still have: [Thyroid problems? | |||||||||
| ph301y_19: Do you still have: [severe anaemia]? | |||||||||
| ph302 - [Is/Are] [you/Rname] receiving oxygen for [your/his/her] lung condition? | |||||||||
| ph302a - Is this lung condition COPD (chronic obstructive pulmonary disease)? | |||||||||
| ph303 - Does [your/his/her] lung condition limit [your/his/her] usual activities, such as household chores or work? | |||||||||
| ph304 - Which type or types of arthritis [do/does] [you/Rname] have? | |||||||||
| ph304_01 - Which type or types of arthritis [do/does] [you/Rname] have? - Osteoarthritis | |||||||||
| ph304_02 - Which type or types of arthritis [do/does] [you/Rname] have? - Rheumatoid arthritis | |||||||||
| ph304_95 - Which type or types of arthritis [do/does] [you/Rname] have? - Some other kind of arthritis | |||||||||
| ph304_98 - Which type or types of arthritis [do/does] [you/Rname] have? - DK | |||||||||
| ph304_99 - Which type or types of arthritis [do/does] [you/Rname] have? - RF | |||||||||
| ph305 - Approximately how old [were/was] [you/he/she] when [you/he/she] [were/was] first told by a doctor that [you/he/she] [had/has] arthritis? | |||||||||
| PH305: When [were/was] [you/Rname] first told that [you/he/she] had arthritis? | |||||||||
| ph306 - Does [your/his/her] arthritis make it difficult for [you/him/her] to do [your/his/her] usual activities such as household chores or work? | |||||||||
| ph307 - Does the arthritis limit [your/his/her] social and leisure activities? | |||||||||
| ph308 - Does [your/his/her] arthritis make it difficult for [you/him/her] to sleep at night? | |||||||||
| ph309 - Approximately how old [were/was] [you/Rname] when [you/he/she] [were/was] first told by a doctor that [you/he/she] had cancer or a malignant tumour? | |||||||||
| PH309: When [were/was] [you/Rname] first told by a doctor that [you/he/she] had cancer or a malignant tumour? | |||||||||
| Ph310 - In which organ or part of the body have you or have you had cancer? | |||||||||
| Ph310_01 - In which organ or part of the body have you or have you had cancer? - Lung | |||||||||
| Ph310_02 - In which organ or part of the body have you or have you had cancer? - Breast | |||||||||
| Ph310_03 - In which organ or part of the body have you or have you had cancer? - Colon or rectum | |||||||||
| Ph310_04 - In which organ or part of the body have you or have you had cancer? - Stomach | |||||||||
| Ph310_05 - In which organ or part of the body have you or have you had cancer? - Oesophagus | |||||||||
| Ph310_06 - In which organ or part of the body have you or have you had cancer? - Prostate | |||||||||
| Ph310_07 - In which organ or part of the body have you or have you had cancer? - Bladder | |||||||||
| Ph310_08 - In which organ or part of the body have you or have you had cancer? - Liver | |||||||||
| Ph310_09 - In which organ or part of the body have you or have you had cancer? - Brain | |||||||||
| Ph310_10 - In which organ or part of the body have you or have you had cancer? - Ovary | |||||||||
| Ph310_11 - In which organ or part of the body have you or have you had cancer? - Cervix | |||||||||
| Ph310_12 - In which organ or part of the body have you or have you had cancer? - Endometrium | |||||||||
| Ph310_13 - In which organ or part of the body have you or have you had cancer? - Thyroid | |||||||||
| Ph310_14 - In which organ or part of the body have you or have you had cancer? - Kidney | |||||||||
| Ph310_15 - In which organ or part of the body have you or have you had cancer? - Testicle | |||||||||
| Ph310_16 - In which organ or part of the body have you or have you had cancer? - Pancreas | |||||||||
| Ph310_17 - In which organ or part of the body have you or have you had cancer? - Malignant melanoma (skin) | |||||||||
| Ph310_18 - In which organ or part of the body have you or have you had cancer? - Oral cavity | |||||||||
| Ph310_19 - In which organ or part of the body have you or have you had cancer? - Larynx | |||||||||
| Ph310_20 - In which organ or part of the body have you or have you had cancer? - Other pharynx (including nasopharynx, oropharynx, laryngopharynx or hypopharynx) | |||||||||
| Ph310_21 - In which organ or part of the body have you or have you had cancer? - Non-Hodgkin Lymphoma | |||||||||
| Ph310_22 - In which organ or part of the body have you or have you had cancer? - Leukaemia | |||||||||
| Ph310_95 - In which organ or part of the body have you or have you had cancer? - Other organ | |||||||||
| Ph310oth - In which organ or part of the body have you or have you had cancer? - Other (specify) | |||||||||
| Ph310_96 - In which organ or part of the body have you or have you had cancer? - None of these | |||||||||
| Ph310_98 - In which organ or part of the body have you or have you had cancer? - DK | |||||||||
| Ph310_99 - In which organ or part of the body have you or have you had cancer? - RF | |||||||||
| ph310a - Last time [you/Rname] [were/was] interviewed, [you/he/she] told us that [you/he/she] [have/had] the following cancer. | |||||||||
| ph310x0 - IWER: WHICH OF THE CANCER TYPES IS BEING DISPUTED: | |||||||||
| ph310x_1 - It may be that we have a recording error about [you/Rname] having [cancer type from PH310ff]. | |||||||||
| ph310y_1 to _22 - Do you still have: [type of cancer]? | |||||||||
| ph311 - Have you received any treatment for your cancer? | |||||||||
| ph311_i - [Have/Has] [you/he/she] received any treatment for [your/his/her] [type of cancer]? | |||||||||
| ph312 - What sort of treatments have you received for cancer? | |||||||||
| ph312_01 - What sort of treatments have you received for cancer? - Chemotherapy | |||||||||
| ph312_02 - What sort of treatments have you received for cancer? - Medication | |||||||||
| ph312_03 - What sort of treatments have you received for cancer? - Surgery | |||||||||
| ph312_04 - What sort of treatments have you received for cancer? - Biopsy | |||||||||
| ph312_05 - What sort of treatments have you received for cancer? - Radiation/X-ray | |||||||||
| ph312_06 - What sort of treatments have you received for cancer? - Treatment for symptoms (pain, nausea, rashes) | |||||||||
| ph312_95 - What sort of treatments have you received for cancer? - Other | |||||||||
| ph312_98 - What sort of treatments have you received for cancer? - DK | |||||||||
| ph312_99 - What sort of treatments have you received for cancer? - Rf | |||||||||
| ph312_i_i - What sort of treatments [have/has] [you/he/she] received for [type of cancer]? | |||||||||
| ph312oth_i - What other sort of treatments [have/has] [you/he/she] received for [type of cancer]? | |||||||||
| ph313 - Since you received treatment has the cancer got worse, better or stayed about the same? | |||||||||
| ph313_i - Since [you/he/she] received this treatment has the [type of cancer] got worse, better or stayed about the same? | |||||||||
| ph311a_i - Since our last interview, [have/has] [you/he/she] received any treatment for [type of cancer]? | |||||||||
| ph312a_i_i - Since our last interview, what sort of treatments [have/has] [you/he/she] received for [type of cancer]? | |||||||||
| ph312a_i_01 - Since our last interview, what sort of treatments [have/has] [you/he/she] received for [type of cancer]? - Chemotherapy | |||||||||
| ph312a_i_02 - Since our last interview, what sort of treatments [have/has] [you/he/she] received for [type of cancer]? - Medication | |||||||||
| ph312a_i_03 - Since our last interview, what sort of treatments [have/has] [you/he/she] received for [type of cancer]? - Surgery | |||||||||
| ph312a_i_04 - Since our last interview, what sort of treatments [have/has] [you/he/she] received for [type of cancer]? - Biopsy | |||||||||
| ph312a_i_05 - Since our last interview, what sort of treatments [have/has] [you/he/she] received for [type of cancer]? - Radiation/X-Ray | |||||||||
| ph312a_i_06 - Since our last interview, what sort of treatments [have/has] [you/he/she] received for [type of cancer]? - Treatment for symptoms (pain, nausea, rashes) | |||||||||
| ph312a_i_95 - Since our last interview, what sort of treatments [have/has] [you/he/she] received for [type of cancer]? - Other (specify) | |||||||||
| ph312a_i_98 - Since our last interview, what sort of treatments [have/has] [you/he/she] received for [type of cancer]? - DK | |||||||||
| ph312a_i_99 - Since our last interview, what sort of treatments [have/has] [you/he/she] received for [type of cancer]? - RF | |||||||||
| ph312a_1 - Other sort of treatments [have/has] [you/he/she] received for [type of cancer]? | |||||||||
| ph313a_i - Since [you/he/she] received this treatment, has the [type of cancer] got worse, better or stayed about the same? | |||||||||
| ph314 - Approximately how old [were/was] [you/Rname] when [you/he/she] [were/was] first told by a doctor that [you/he/she] had Parkinson's disease? | |||||||||
| PH314: When [were/was] [you/Rname] first told by a doctor that [you/he/she] had Parkinson’s disease? | |||||||||
| ph315 - Approximately how old [were/was] [you/Rname] when [you/he/she] [were/was] first told by a doctor that [you/he/she] had emotional, nervous or psychiatric problems? | |||||||||
| PH315: When [were/was] [you/Rname] first told by a doctor that [you/he/she] had emotional, nervous or psychiatric problems? | |||||||||
| ph316 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? | |||||||||
| ph316_01 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? - Hallucinations | |||||||||
| ph316_02 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? - Anxiety | |||||||||
| ph316_03 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? - Depression | |||||||||
| ph316_04 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? - Emotional problems | |||||||||
| ph316_05 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? - Schizophrenia | |||||||||
| ph316_06 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? - Psychosis | |||||||||
| ph316_07 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? - Mood swings | |||||||||
| ph316_08 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? - Manic depression | |||||||||
| ph316_09 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? - Post-traumatic stress disorder | |||||||||
| ph316_95 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? - Something else | |||||||||
| ph316_98 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? - DK | |||||||||
| ph316_99 - What type of emotional, nervous or psychiatric problems [do/does] [you/he/she] have? - RF | |||||||||
| ph317 - [Do/Does] [you/he/she] get psychiatric treatment for [your/his/her] problems, such as attending a psychiatrist? | |||||||||
| ph317a - [Do/Does] [you/he/she] get psychological treatment for [your/his/her] problems, such as counselling? | |||||||||
| ph317b - Since [your/Rname's] last interview, did [you/he/she] get psychiatric treatment for [your/his/her] problems, such as attending a psychiatrist? | |||||||||
| ph317c - Since [your/his/her] last interview, did [you/he/she] get psychological treatment for [your/his/her] problems, such as counselling? | |||||||||
| PH320: Approximately how old were you when you were first told by a doctor that you suffered from alcohol or substance abuse? | |||||||||
| PH320: Approximately how old [were/was] [you/Rname] when [you/he/she] [were/was] first told by a doctor that [you/he/she] suffered from alcohol abuse? | |||||||||
| PH320: When [were/was] [you/Rname] first told by a doctor that [you/he/she] suffered from alcohol abuse? | |||||||||
| PH321: Do you currently suffer from alcohol or substance abuse? | |||||||||
| PH322: Are you receiving any treatment for your alcohol or substance abuse? | |||||||||
| PH323:How long did you suffer from alcohol or substance abuse? | |||||||||
| PH324: Did you receive any treatment for your alcohol or substance abuse? | |||||||||
| ph321a - [Do/Does] [you/he/she] currently suffer from alcohol abuse? | |||||||||
| ph322a - [Is/Are] [you/he/she] receiving any treatment for [your/his/her] alcohol abuse? | |||||||||
| ph323a - How long did [you/he/she] suffer from alcohol abuse? | |||||||||
| ph324a - Did [you/he/she] ever receive any treatment for [your/his/her] alcohol abuse? | |||||||||
| ph320b - Approximately how old [were/was] [you/Rname] when [you/he/she] [were/was] first told by a doctor that [you/he/she] suffered from substance abuse? | |||||||||
| PH320a: When [were/was] [you/Rname] first told by a doctor that [you/he/she] suffered from substance abuse? | |||||||||
| ph321b - [Do/Does] [you/he/she] currently suffer from substance abuse? | |||||||||
| ph322b - [Is/Are] [you/he/she] receiving any treatment for [your/his/her] substance abuse? | |||||||||
| ph323b - How long did [you/he/she] suffer from substance abuse? | |||||||||
| ph324b - Did [you/he/she] ever receive any treatment for [your/his/her] substance abuse? | |||||||||
| ph318 - Approximately how old [were/was] [you/Rname] when [you/he/she] [were/was] first told by a doctor that [you/he/she] had Alzheimer's Disease? | |||||||||
| PH318: When [were/was] [you/Rname] first told by a doctor that [you/he/she] had Alzheimer’s Disease? | |||||||||
| ph319 - Approximately how old [were/was] [you/Rname] when [you/he/she] [were/was] first told by a doctor that [you/he/she] had dementia, senility? | |||||||||
| PH319: When [were/was] [you/Rname] first told by a doctor that [you/he/she] had dementia, senility? | |||||||||
| ph319a - Approximately how old [were/was] [you/Rname] when [you/he/she] [were/was] first told by a doctor that [you/he/she] had serious memory impairments? | |||||||||
| PH319a: When [were/was] [you/Rname] first told by a doctor that [you/he/she] had serious memory impairment? | |||||||||
| ph325 - [Do/Does] [you/Rname] have an overactive (hyperactive) thyroid or an underactive (hypoactive) thyroid? | |||||||||
| ph327 - Have you ever had dialysis or a kidney transplant? | |||||||||
| PH328: [Have/Has] [you/Rname] ever had a major bleed which required hospitalisation or a blood transfusion? | |||||||||
| PH328: [Have/Has] [you/Rname] ever had a major bleed which required hospitalisation or a blood transfusion? | |||||||||
| ph330 - In the last 2 years, how many times [have/has] [you/Rname] gone to [your/his/her] GP because of a chest infection? | |||||||||
| ph331 - On how many occasions in the last 2 years, [were/was] [you/Rname] prescribed antibiotics for a chest infection? | |||||||||
| ph332 - On how many occasions in the last 2 years, [were/was] [you/Rname] hospitalised as a result of a chest infection? | |||||||||
| ph333 - On any of these occasions did [your/his/her] GP or a doctor in the hospital ever tell [you/him/her] that [you/he/she] had pneumonia? | |||||||||
| ph334 - [Were/was] [you/Rname] admitted to hospital due to pneumonia? | |||||||||
| ph335 - [Were/was] [you/Rname] admitted to the intensive care department due to pneumonia? | |||||||||
| ph336 - Approximately how long was [your/his/her] hospital stays in total from all admissions (add up total number of days)? | |||||||||
| ph337 - On release from the hospital, did [you/Rname] need care | |||||||||
| Falls/Fracture section | |||||||||
| ph401 - Have you fallen in the last year? | |||||||||
| ph402 - How many times [have/has] [you/he/she] fallen in the last year? | |||||||||
| PH402a - How many times have you fallen since your last interview? | |||||||||
| ph403 - Were any of these falls non-accidental, i.e. with no apparent or obvious reason? | |||||||||
| ph404 - Did [you/he/she] injure [yourself/himself/herself] seriously enough to need medical treatment? | |||||||||
| ph405 - Have you ever had a blackout or fainted? | |||||||||
| ph406 - Approximately how many times [have/has] [you/he/she] had a blackout or fainted in the last year? | |||||||||
| ph406a - In [your/his/her] last interview, [you/Rname] said that [you/he/she] [have/has] blacked out or fainted in the past. How many times [since our last interview]? | |||||||||
| PH407: Were you a frequent fainter when you were younger? | |||||||||
| PH438: Approximately how many times [have/has] [you/he/she] had a blackout, near-faint or fainted before the age of 18? | |||||||||
| PH439: Approximately how many times [have/has] [you/he/she] had a blackout, near-faint or fainted after the age of 18? | |||||||||
| -Fear of Falling | |||||||||
| ph408 - [Is/Are] [you/Rname] afraid of falling? | |||||||||
| ph409 - Do you feel somewhat afraid or very much afraid of falling? | |||||||||
| ph410 - [Do/Does] [you/he/she] ever limit [your/his/her] activities, for example, what [you/he/she] [do/does] or where [you/he/she] [go/goes] because [you/he/she] [are/is] afraid of falling? | |||||||||
| ph411 - When walking, do you feel... | |||||||||
| ph412 - When standing, do you feel ... | |||||||||
| ph413 - When getting up from a chair, do you feel... | |||||||||
| -Steadiness | |||||||||
| PH414 - Have you ever fractured your hip or Wrist | |||||||||
| Ph414_01 - [Have/Has] [you/Rname] ever fractured any of the following? - Hip | |||||||||
| Ph414_02 - [Have/Has] [you/Rname] ever fractured any of the following? - Wrist | |||||||||
| Ph414_03 - [Have/Has] [you/Rname] ever fractured any of the following? - Bones in [your/his/her] back/spine (Vertebral | |||||||||
| Ph414_95 - [Have/Has] [you/Rname] ever fractured any of the following? - Other | |||||||||
| Ph414_96 - [Have/Has] [you/Rname] ever fractured any of the following? - None of the above | |||||||||
| Ph414_98 - [Have/Has] [you/Rname] ever fractured any of the following? - DK | |||||||||
| Ph414_99 - [Have/Has] [you/Rname] ever fractured any of the following? - RF | |||||||||
| ph414a - In your last interview, you told us that you had fractured your: (bone from PH414ff) | |||||||||
| ph414x0 - IWER: WHICH OF THE FRACTURES IS BEING DISPUTED: | |||||||||
| ph414x_1 - It may be that we have a recording error about you fracturing your [bone from PH414ff]. | |||||||||
| ph414 - Have you ever fractured any of the following? / Since [your/his/her] last interview, [have/has] [you/Rname] fractured any of the following? | |||||||||
| PH438a: [Were/Was] [you/Rname] aged 40 or over when [you/he/she] fractured [your/his/her] hip? | |||||||||
| PH439a: In what month/year did this fracture occur? | |||||||||
| PH440a: Was this fracture the result of a fall, a car accident or another event? | |||||||||
| PH441a: Which of the following best describes the circumstances of this fall? | |||||||||
| ph441aoth - specify other | |||||||||
| PH438b: [Were/Was] [you/Rname] aged 40 or over when [you/he/she] fractured [your/his/her] wrist? | |||||||||
| PH439b: In what month/year did this fracture occur? | |||||||||
| PH440b: Was this fracture the result of a fall, a car accident or another event? | |||||||||
| PH441b: Which of the following best describes the circumstances of this fall? | |||||||||
| ph441both - specify other | |||||||||
| PH438c: [Were/Was] [you/Rname] aged 40 or over when [you/he/she] fractured [your/his/her] back/spine (vertebrae? | |||||||||
| PH439c: In what month/year did this fracture occur? | |||||||||
| PH440c: Was this fracture the result of a fall, a car accident or another event? | |||||||||
| PH441c: Which of the following best describes the circumstances of this fall? | |||||||||
| ph441coth - specify other | |||||||||
| ph436 - Did either of [your/his/her] parents ever have a hip or wrist fracture? | |||||||||
| ph437 - Which of [your/his/her] parents had a previous hip or wrist fracture? | |||||||||
| ph415 - [Have/Has] [you/Rname] had any joint replacements? | |||||||||
| ph416 - Which joints did [you/he/she] have replaced? | |||||||||
| ph416_01 - Which joints did [you/he/she] have replaced? - Hip | |||||||||
| ph416_02 - Which joints did [you/he/she] have replaced? - Both hips | |||||||||
| ph416_03 - Which joints did [you/he/she] have replaced? - Knee | |||||||||
| ph416_04 - Which joints did [you/he/she] have replaced? - Boths Knees | |||||||||
| ph416_05 - Which joints did [you/he/she] have replaced? - Hip(s) and Knee(s) | |||||||||
| ph416_95 - Which joints did [you/he/she] have replaced? - Other joint | |||||||||
| ph416_98 - Which joints did [you/he/she] have replaced? - DK | |||||||||
| ph416_99 - Which joints did [you/he/she] have replaced? - RF | |||||||||
| ph417 - [Was/were] the joint replacement(s) because of arthritis, a fracture or for some other reason? | |||||||||
| ph418a - IMPORTANT: THE NEXT QUESTION SHOULD BE ADDRESSED DIRECTLY TO [Rname] PLEASE CODE AVAILABILITY OF [Rname] | |||||||||
| ph418 - IWER: HAND THE COGNITIVE MODULE BOOKLET TO THE RESPONDENT WITH THE 5-SIDED FIGURE (PAGE 5) SHOWING AND ALSO HAND [HIM/HER] A PEN | |||||||||
| ph419 - IWER: NOW TAKE BACK THE BOOKLET AND PEN AND CODE WHAT RESPONDENT DID WHEN YOU HANDED THEM THE BOOKLET AND PEN. | |||||||||
| Pain Section | |||||||||
| ph501 - [Is/Are] [you/Rname] often troubled with pain? | |||||||||
| PH506: Has this pain lasted more than 3 months? | |||||||||
| ph502 - How bad is the pain most of the time? Is it... | |||||||||
| ph503 - Now thinking about this pain, in which part of your body is it most severe? | |||||||||
| ph503_01 - Now thinking about this pain, in which part of your body is it most severe? - Back | |||||||||
| ph503_02 - Now thinking about this pain, in which part of your body is it most severe? - Hips | |||||||||
| ph503_03 - Now thinking about this pain, in which part of your body is it most severe? - Knees | |||||||||
| ph503_04 - Now thinking about this pain, in which part of your body is it most severe? - Feet | |||||||||
| ph503_05 - Now thinking about this pain, in which part of your body is it most severe? - Mouth/Teeth | |||||||||
| ph503_06 - Now thinking about this pain, in which part of your body is it most severe? - All over | |||||||||
| ph503_07 - Now thinking about this pain, in which part of your body is it most severe? - Chest | |||||||||
| ph503_08 - Now thinking about this pain, in which part of your body is it most severe? - Head | |||||||||
| ph503_95 - Now thinking about this pain, in which part of your body is it most severe? - Other | |||||||||
| ph503oth - Now thinking about this pain, in which part of your body is it most severe? - Other (specify) | |||||||||
| ph503_98 - Now thinking about this pain, in which part of your body is it most severe? - DK | |||||||||
| ph503_99 - Now thinking about this pain, in which part of your body is it most severe? - RF | |||||||||
| ph504 - Does the pain make it difficult for you to do your usual activities such as household chores or work? | |||||||||
| ph505 - Are you taking any medication to control the pain? | |||||||||
| PH506: Does this medication control your pain? | |||||||||
| Oral health section | |||||||||
| ph507 - Which best describes the teeth [you/Rname] [have/has]? | |||||||||
| PH508: Would you say [your/Rname’s] dental health (mouth, teeth and/or dentures) | |||||||||
| PH509: In the past 6 months, have any problems with mouth, teeth or dentures caused [you/Rname] to have any of the following? | |||||||||
| PH509_01 - In the past 6 months, have any problems with mouth, teeth or dentures caused [you/Rname] to have any of the following? - Difficulty eating food | |||||||||
| PH509_02 - In the past 6 months, have any problems with mouth, teeth or dentures caused [you/Rname] to have any of the following? - Difficulty speaking clearly | |||||||||
| PH509_03 - In the past 6 months, have any problems with mouth, teeth or dentures caused [you/Rname] to have any of the following? - Problems with smiling, laughing and showing teeth without embarrassment | |||||||||
| PH509_04 - In the past 6 months, have any problems with mouth, teeth or dentures caused [you/Rname] to have any of the following? - Problems with emotional stability, for example, becoming more easily upset than usual | |||||||||
| PH509_05
- In the past 6 months, have any problems with mouth, teeth or dentures
caused [you/Rname] to have any of the following? - Problems enjoying the
company of other people such as family, friends, or neighbours |
|||||||||
| PH509_96 - In the past 6 months, have any problems with mouth, teeth or dentures caused [you/Rname] to have any of the following? - None of these | |||||||||
| PH509_98 - In the past 6 months, have any problems with mouth, teeth or dentures caused [you/Rname] to have any of the following? - DK | |||||||||
| PH509_99 - In the past 6 months, have any problems with mouth, teeth or dentures caused [you/Rname] to have any of the following? - RF | |||||||||
| PH510: Over the last few years, how often [have/has] [you/he/she] visited the dentist? | |||||||||
| PH511: If [you/he/she] needed a routine visit for dental care, which one of the following would [you/Rname] attend? | |||||||||
| ph512 - And which of these was the main reason for your/his/her most recent visit to the dentist? | |||||||||
| Incontinence section | |||||||||
| ph600 - I would therefore like to ask you some questions about urinary incontinence. Is it ok to ask you about this? | |||||||||
| ph601 - During the last 12 months, [have/has] [you/Rname] lost any amount of urine beyond [your/his/her] control? | |||||||||
| ph602 - Did this happen more than once during a 1 month period? | |||||||||
| ph603 - [Have/Has] [you/he/she] ever mentioned this problem to a doctor, nurse or other health professional? | |||||||||
| ph604 - [Do/Does] [you/he/she] ever limit [your/his/her] activities, for example, what [you/he/she] [do/does] or where [you/he/she] [go/goes] because of urinary incontinence? | |||||||||
| Medical tests | |||||||||
| ph701 - A flu vaccination? | |||||||||
| ph701a - Since [your/Rname's] last interview, [have/had] [you/he/she] had a flu vaccination? | |||||||||
| ph731 - Did [you/he/she] get a flu vaccination for: (different year options provided) | |||||||||
| ph732 - Did [you/he/she] get a flu vaccination from: (different locations provided) | |||||||||
| ph732oth - specify other | |||||||||
| ph702 - A blood test for cholesterol? | |||||||||
| ph702a - Since [your/Rname's] last interview, [have/has] [you/he/she] had a blood test for cholesterol? | |||||||||
| ph734 - Have you had your blood pressure measured in the last twelve months? | |||||||||
| PH728: Have you had a Faecal Occult Blood Test, or Colonoscopy to screen for cancer? | |||||||||
| PH729: When was your most recent Faecal Occult Blood Test? | |||||||||
| PH730: When was your most recent Colonoscopy? | |||||||||
| ph703 - Have you gone through the menopause? | |||||||||
| ph704 - Can you remember approximately what age you were when it started? | |||||||||
| ph705 - Since menopause, have you used prescription hormones (examples given on card) | |||||||||
| ph705a - Are you using perscription hormones? | |||||||||
| ph705b - Have you used perscription hormones? | |||||||||
| ph705c - Are you taking prescription hormones now? | |||||||||
| ph705d - In your last interview, you said that you had already gone through or were going through the menopause. Since m | |||||||||
| ph706 - For how many years have you been taking prescription hormones? | |||||||||
| ph707 - For how many years did you take prescription hormones? | |||||||||
| ph708 - Do you check your breasts for lumps regularly? | |||||||||
| ph709 - Have you had a mammogram or x-ray of the breast, to search for cancer? | |||||||||
| ph709a - Since your last interview, have you had a mammogram or x-ray of the breast, to search for cancer? | |||||||||
| ph733 - When was your most recent mammogram? | |||||||||
| ph725 - Approximately how old were you when you began your menstrual cycle? | |||||||||
| ph710 - An examination of your prostate to screen for cancer? | |||||||||
| PH710a: Since your last interview, have you had an examination of your prostate to screen for cancer? | |||||||||
| ph711 - A PSA blood test to screen for cancer? | |||||||||
| ph711a - Since your last interview, have you had a PSA blood test to screen for cancer? | |||||||||
| PH727: When was your most recent PSA blood test? | |||||||||
| ph719 - Approximately how much do you weigh? - code how answer given | |||||||||
| ph721s - Weight in stones | |||||||||
| ph721p - Weight in remaining pounds | |||||||||
| ph720 - Weight in kilograms | |||||||||
| ph722 - How tall are you? - code how answer given | |||||||||
| ph724f - Height in feet | |||||||||
| ph724i - Height in remaining inches | |||||||||
| ph723 - Height in centimetres | |||||||||
| ph726 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? | |||||||||
| ph726_01 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? 1. Diabetes or high blood sugar | |||||||||
| ph726_02 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - High cholesterol | |||||||||
| ph726_03 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - High blood pressure or hypertension | |||||||||
| ph726_04 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - Heart disease (heart attack, stroke, angina) | |||||||||
| ph726_05 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - Obesity | |||||||||
| ph726_06 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - Osteoporosis (thin or brittle bones) | |||||||||
| ph726_07 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - Alzheimer's disease or dementia | |||||||||
| ph726_08 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - Breast Cancer | |||||||||
| ph726_09 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - Ovarian Cancer | |||||||||
| ph726_10 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - Prostate Cancer | |||||||||
| ph726_11 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - Colon Cancer | |||||||||
| ph726_12 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - Depression | |||||||||
| ph726_13 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - Anxiety | |||||||||
| ph726_95 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - OTHER (NONE of those lsited above) | |||||||||
| ph726_96 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - NO family history of ANY disease | |||||||||
| ph726_98 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - DK | |||||||||
| ph726_99 - Do/did any of [your/his/her] primary or first-degree relatives have any of the conditions on this card? - RF | |||||||||
| ph700 - IMPORTANT: THIS NEXT SECTION SHOULD BE ADDRESSED DIRECTLY TO [Rname] PLEASE CODE AVAILABILITY OF [Rname] | |||||||||
| Time stamp - before Ph712 - 3rd Word list in PH section | |||||||||
| Time stamp before ph712 in PH section | |||||||||
| ph712 - A little while ago, the computer read you a list of words twice, and you repeated the ones you could remember. How many words recalled now | |||||||||
| ph713 - A little while ago, I read you a list of words twice, and you repeated the ones you could remember. How many words recalled now | |||||||||
| ph714 - That is the end of the memory and concentration tasks (record if prompt given) | |||||||||
| ph715 - IWER: CODE WHAT RESPONDENT DID | |||||||||
| ph716 - IWER: DURING THE COGNITIVE FUNCTION TEST WERE THERE ANY FACTORS THAT MAY HAVE IMPAIRED THE RESPONDENT'S PERFORMA | |||||||||
| ph717 - WHAT WERE THESE FACTORS? | |||||||||
| ph717_01 - WHAT WERE THESE FACTORS? - Blind or poor eyesight | |||||||||
| ph717_02 - WHAT WERE THESE FACTORS? - Deaf or hard of hearing | |||||||||
| ph717_03 - WHAT WERE THESE FACTORS? - Hand tremors affecting writing ability | |||||||||
| ph717_04 - WHAT WERE THESE FACTORS? - In pain | |||||||||
| ph717_05 - WHAT WERE THESE FACTORS? - Has an illness or physical impairment that affects ability to perform the test | |||||||||
| ph717_06 - WHAT WERE THESE FACTORS? - Too tired | |||||||||
| ph717_07 - WHAT WERE THESE FACTORS? - Other physical impairment | |||||||||
| ph717_08 - WHAT WERE THESE FACTORS? - Impaired concentration/memory (e.g. because taking medication) | |||||||||
| ph717_09 - WHAT WERE THESE FACTORS? - Has dementia | |||||||||
| ph717_10 - WHAT WERE THESE FACTORS? - Nervous or anxious | |||||||||
| ph717_11 - WHAT WERE THESE FACTORS? - General memory problems | |||||||||
| ph717_12 - WHAT WERE THESE FACTORS? - Other mental impairment | |||||||||
| ph717_13 - WHAT WERE THESE FACTORS? - Interrupted by phone call or visitor | |||||||||
| ph717_14 - WHAT WERE THESE FACTORS? - Noisy environment | |||||||||
| ph717_15 - WHAT WERE THESE FACTORS? - Someone else in the room | |||||||||
| ph717_16 - WHAT WERE THESE FACTORS? - Problems with the laptop | |||||||||
| ph717_17 - WHAT WERE THESE FACTORS? - Other distraction | |||||||||
| ph717_18 - WHAT WERE THESE FACTORS? - Had difficulty understanding English | |||||||||
| ph717_19 - WHAT WERE THESE FACTORS? - Literacy problems | |||||||||
| ph717_95 - WHAT WERE THESE FACTORS? - Other | |||||||||
| ph718 - IWER: HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION PH? | |||||||||
| PH735: In most ways my life is close to ideal | |||||||||
| PH736: The conditions of my life are excellent | |||||||||
| PH737: I have gotten the important things I want from life | |||||||||
| PH738: If I could live my life again, I would change almost nothing | |||||||||
| ph739 - [Have/Has] [you/Rname] ever had a pneumococcal vaccination (pneumonia vaccine)? | |||||||||
| ph740 - Did [you/he/she] get the vaccination from: | |||||||||
| ph741 - Do [you/he/she] regularly get the pneumococcal vaccination, for example approximately every five year? | |||||||||
| ph742 - Did any of the following ever speak to [you/him/her] about the pneumococcal vaccination? | |||||||||
| MMSE | |||||||||
| ph121 - Please tell me what year it is. | |||||||||
| ph126 - What season it is. | |||||||||
| ph122 - What month it is. | |||||||||
| ph123 - Can you tell me what day of the week it is? | |||||||||
| ph124 - Can you tell me what today's date is? | |||||||||
| ph127 - What is the name of this country? | |||||||||
| ph128 - What is the name of this county? | |||||||||
| ph129 - What is the name of this city/town? | |||||||||
| ph130 - What is this building? | |||||||||
| ph131 - What floor are we on? | |||||||||
| ph132 - Now repeat those words back to me | |||||||||
| ph133 - Now I'd like you to subtract 7 from 100, then keep subtracting 7 | |||||||||
| ph134 - Now can you spell WORLD backwards? | |||||||||
| ph135 -What were those three words I asked you to remember? | |||||||||
| ph136 - INTRO: SHOW THE RESPONDENT A PENCIL OR PEN AND ASK 'What is this?' | |||||||||
| ph137 - NO IFS, ANDS OR BUTS. Now you say that | |||||||||
| ph138 - Take this paper in your right hand, fold it in half and put it on the floor | |||||||||
| ph139 - Please read this and do what it says | |||||||||
| ph140 - Please write a sentence | |||||||||
| ph141 - Please copy this design | |||||||||
| ph146 - unable to answer any of the cognitive questions (ph121 to ph141) because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146year - unable to answer ph121 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146season - unable to answer ph126 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146month - unable to answer ph122 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146day - unable to answer ph123 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146date - unable to answer ph124 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146country- unable to answer ph127 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146county- unable to answer ph128 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146city- unable to answer ph129 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146building- unable to answer ph130 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146floor- unable to answer ph131 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146threewords- unable to answer ph132because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146sevens- unable to answer ph133 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146world- unable to answer ph134 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146recallwords unable to answer ph135 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146objects- unable to answer ph136 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146phrase- unable to answer ph137 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146instruction- unable to answer ph138 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146reading- unable to answer ph139 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146sentence- unable to answer ph140 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146pentagons- unable to answer ph141 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146complist1- unable to answer ph117 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146complist2- unable to answer ph118 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146iwerlist1- unable to answer ph119 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146iwerlist2- unable to answer ph120 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146animals- unable to answer ph125 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146initials- unable to answer ph419 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146reccomplist- unable to answer ph712 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146reciwerlist- unable to answer ph713 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| ph146time- unable to answer ph715 because of severe visual impairment, physical disability, severe hearing impairment.. | |||||||||
| mmsescr - MMSE SCORE | |||||||||
| mmsefail - IS RECOMMENDED THAT YOU SEEK A PROXY RESPONDENT. THIS RECOMMENDATION DOES NOT APPLY TO RESPONDENTS FOR WHOM | |||||||||
| INTERVIEWER Record details why with you have chosen to continue with this interview despite the respondent not getting 15 or over in the MMSE test | |||||||||
| MMSETOTAL | |||||||||
| ph116x - First I'd like to check that you will be able to hear the computer voice | |||||||||
| ph116 - list read out by.. | |||||||||
| Time stamp - before word list (read by computer) | |||||||||
| ph117x - PRESS F5 TO START THE AUDIO. SELECT YES ONCE YOU HAVE FINISHED PLAYING THE LIST | |||||||||
| ph117 - Now please tell me all the words you can recall. | |||||||||
| ph118x - PRESS F5 TO START THE AUDIO. SELECT YES ONCE YOU HAVE FINISHED PLAYING THE LIST | |||||||||
| ph118 - Now please tell me all the words you can recall. | |||||||||
| Time stamp - before word list (read by interviewer) | |||||||||
| Time stamp before first word list recall | |||||||||
| ph119 - Now please tell me all the words you can recall. | |||||||||
| ph120 - Now please tell me all the words you can recall. | |||||||||
| Time stamp - before naming different animals task | |||||||||
| ph125 - Now I would like you to name as many different animals as you can think of. You have one minute to do this. | |||||||||
| satisfaction | |||||||||
| I(ADL) & FL (I(ADL) and Helpers) | |||||||||
| Difficulties with Activities of Daily Life | |||||||||
| fl001_01 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Walking 100 metres (100 yards) | |||||||||
| fl001_02 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Running or jogging about 1.5 kilometres (1 mile) | |||||||||
| fl001_03 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Sitting for about two hours | |||||||||
| fl001_04 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Getting up from a chair after sitting for long periods | |||||||||
| fl001_05 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Climbing several flights of stairs without resting | |||||||||
| fl001_06 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Climbing one flight of stairs without resting | |||||||||
| fl001_07 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Stooping, kneeling, or crouching | |||||||||
| fl001_08 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Reaching or extending your arms above shoulder level | |||||||||
| fl001_09 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Pulling or pushing large objects like a living room chair | |||||||||
| fl001_10 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Lifting or carrying weights over 10 pounds/5 kilos | |||||||||
| fl001_11 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Picking up a small coin from a table | |||||||||
| fl001_13 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - None of the these | |||||||||
| fl001_98 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Don't know | |||||||||
| fl001_12 - Because of a physical or mental health problem, [do/does] [you/Rname] have difficulty - Refused | |||||||||
| fl002_01 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Dressing | |||||||||
| fl002_1 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Dressing including putting on socks and shoes | |||||||||
| fl002_02 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Walking across a room | |||||||||
| fl002_03 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Bathing or showering | |||||||||
| fl002_04 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Eating, such as cutting up [your/his/her] food | |||||||||
| fl002_05 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Getting in or out of bed | |||||||||
| fl002_06 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Using the toilet, including getting up or down | |||||||||
| fl002_09 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - None of the these | |||||||||
| fl002_08 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Don't know | |||||||||
| fl002_07 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Refused | |||||||||
| fl002_95 Probe Any others? | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? - Putting on top/shirt | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? - Taking off top/shirt | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? - Putting on pants/trousers | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? -Taking off pants/trousers | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? - Putting on socks | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? -Taking off socks | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? - Putting on shoes | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? - Taking off shoes | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? -Manipulating fastenings | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? - Other (Please specify) | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? - None of these | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? - DK | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? - RF | |||||||||
| FL057 Please look at card FL3. When dressing, [Do/Does] [you/he/she] have difficulty with any of the activities on this card? - Other (Please specify) | |||||||||
| fl003 - [Do/Does] [you/he/she] ever use equipment or devices to help [you/him/her] get dressed? | |||||||||
| fl004-Which equipment is that? Velcro fastenings on clothes | |||||||||
| fl004-Which equipment is that? Shoe horn | |||||||||
| fl004-Which equipment is that? Pick-up-stick | |||||||||
| fl004-Which equipment is that? Device for putting socks | |||||||||
| fl004-Which equipment is that? Other | |||||||||
| fl004-Which equipment is that? Don’t know | |||||||||
| fl004-Which equipment is that? Refused | |||||||||
| fl004_oth which equipment is that? | |||||||||
| fl005 - Does anyone ever help [you/him/her] with dressing including putting on shoes and socks? | |||||||||
| fl006 - [Do/Does] [you/he/she] ever use equipment or devices such as a walking stick or frame when crossing a room? | |||||||||
| fl007_01 - Which equipment is that? - Walking stick | |||||||||
| fl007_02 - Which equipment is that? - Walking frame | |||||||||
| fl007_03 - Which equipment is that? - Crutches | |||||||||
| fl007_04 - Which equipment is that? - Railing | |||||||||
| fl007_05 - Which equipment is that? - Orthopaedic shoes | |||||||||
| fl007_06 - Which equipment is that? - Brace (leg or back) | |||||||||
| fl007_07 - Which equipment is that? - Limb prosthesis | |||||||||
| fl007_08 - Which equipment is that? - Oxygen /respirator | |||||||||
| fl007_09 - Which equipment is that? - Furniture or walls | |||||||||
| fl007_10 - Which equipment is that? - Wheelchair or cart | |||||||||
| fl007_95 -Which equipment is that? - Other | |||||||||
| fl007_98 - Which equipment is that? - Don’t know | |||||||||
| fl007_99 - Which equipment is that? - Refused | |||||||||
| fl008 - Does anyone ever help [you/him/her] with walking across a room? | |||||||||
| fl009 - [Do/Does] [you/he/she] ever use equipment or devices such as a shower seat, grab rails, hand-held shower when bathing or sh | |||||||||
| fl010_01 - Which equipment is that? - Shower seat | |||||||||
| fl010_02 - Which equipment is that? - Grab rails | |||||||||
| fl010_03 - Which equipment is that? - Hand held shower | |||||||||
| fl010_04 - Which equipment is that? - Walking frame or stick | |||||||||
| fl010_05 - Which equipment is that? - Rubber mat | |||||||||
| fl010_95 - Which equipment is that? - Other | |||||||||
| fl010_98 - Which equipment is that? - Don’t know | |||||||||
| fl010_99 - Which equipment is that? - Refused | |||||||||
| fl010_0th - what equipment is that? - Other (specify) | |||||||||
| fl011 - Does anyone ever help [you/him/her] with bathing or showering? | |||||||||
| fl012 - [Do/Does] [you/he/she] ever use special utensils or special dishes when [you/he/she] [eat/eats]? | |||||||||
| fl013 - Does anyone ever help [you/him/her] with eating? | |||||||||
| fl014 - [Do/Does] [you/he/she] ever use equipment or devices such as a stick, frame or wheelchair when getting in or out of bed? | |||||||||
| fl015_01 - Which equipment is that? - Walking stick | |||||||||
| fl015_02 - Which equipment is that? - Walking frame | |||||||||
| fl015_03 - Which equipment is that? - Bed rail | |||||||||
| fl015_04 - Which equipment is that? - Crutches | |||||||||
| fl015_05 - Which equipment is that? - Orthopaedic shoes | |||||||||
| fl015_06 - Which equipment is that? - Brace (leg or back) | |||||||||
| fl015_07 - Which equipment is that? - Prosthesis | |||||||||
| fl015_08 - Which equipment is that? - Oxygen/respirator | |||||||||
| fl015_09 - Which equipment is that? - Furniture/Walls | |||||||||
| fl015_10 - Which equipment is that? - Wheelchair/cart | |||||||||
| fl015_11 - Which equipment is that? - Bed lever | |||||||||
| fl015_95 -Which equipment is that? - Other | |||||||||
| fl015_98 - Which equipment is that? - Don’t know | |||||||||
| fl015_99 - Which equipment is that? - Refused | |||||||||
| fl015oth - which equipment is that? - Other(specify) | |||||||||
| fl016 - Does anyone ever help [you/him/her] with getting into or out of bed? | |||||||||
| fl017 - [Do/Does] [you/he/she] ever use equipment or devices such as a raised toilet seat or portable toilet, when using the toilet? | |||||||||
| fl018-Which equipment is that? Raised toilet seat | |||||||||
| fl018-Which equipment is that? Portable toilet commode | |||||||||
| fl018-Which equipment is that? Grab rails | |||||||||
| fl018-Which equipment is that? Other | |||||||||
| fl018-Which equipment is that? Don’t know | |||||||||
| fl018-Which equipment is that? Refused | |||||||||
| fl018_oth which equipment is that | |||||||||
| fl019 - Does anyone ever help [you/him/her] with using the toilet, including getting on and off to the toilet? | |||||||||
| fl020 - Who most often helps [you/him/her] with [getting across a room / dressing / bathing / eating / getting in/out of bed / using the toilet]? | |||||||||
| fl020_name Who most often helps [you/him/her] with [getting across a room / dressing / bathing / eating / getting in/out of bed / using the toilet]? | |||||||||
| fl020_id | |||||||||
| fl020o2 specify name of non relative | |||||||||
| fl020o1 specify name of non-resident relative | |||||||||
| fl020a - SPECIFY SEX OF [Non-resident relative from fl020o1]: | |||||||||
| fl020b - How old is [Non-resident relative from fl020o1]? | |||||||||
| fl020b1 - What age band applies to [Non-resident relative from fl020o1]? | |||||||||
| fl020g - What is [your/his/her] relationship to [Non-resident relative from fl020o1]? IE: [you/he/she] [are/is] [Non-resident relative from fl020o1]'s... | |||||||||
| fl020c - What level of education has [Non-resident relative from fl020o1] attained? | |||||||||
| fl020e - What is [Non-resident relative from fl020o1]'s present marital status? | |||||||||
| fl021 - what is that person's relationship to you? | |||||||||
| fl021a - Is male or female (from fl020) | |||||||||
| fl021b - what is the age of the person (from fl020) | |||||||||
| fl021c - What level of education has this person (from fl020) | |||||||||
| fl021d - What is the persons employment status (from fl020) | |||||||||
| fl021e - What is the persons marital status (from (fl020) | |||||||||
| fl021f - Where does this person live (from fl020) | |||||||||
| fl021g - Does this person own a home (from fl020) | |||||||||
| fl021h - How many children does this person have (from fl020) | |||||||||
| fl021i - Are any of this persons children under age 18 (from fl020) | |||||||||
| Fl022 - Does any one else help with these activities | |||||||||
| fl022_01 to fl022_03- Does anyone else help [you/him/her] with [getting across a room / dressing / bathing / eating / getting in/out of bed / using the toilet]? | |||||||||
| fl022 - Does anyone else help [you/him/her] with [getting across a room / dressing / bathing / eating / getting in/out of bed / using the toilet]? | |||||||||
| fl023_01 to fl023_03 - who is that? (coverscreen) | |||||||||
| fl023_id_01 - ID helper | |||||||||
| l023_name_01 to fl023_name_03 - Specify name of helper 1-3 | |||||||||
| fl023 - SPECIFY NAME OF Non-resident relative: | |||||||||
| fl023_1 - What is his her first name | |||||||||
| fl023_2 - What is his her first name | |||||||||
| fl023_3 - What is his her first name | |||||||||
| fl023b_1 -Is fl023_name male or female | |||||||||
| fl023b_2 -Is fl023_name male or female | |||||||||
| fl023b_3 -Is fl023_name male or female | |||||||||
| fl023o2_01 to fl023o2_03SPECIFY NAME OF Non-relative: | |||||||||
| fl023a_1 - SPECIFY SEX OF [Non-resident relative from fl023o1_1]: | |||||||||
| fl023b_1 - How old is [Non-resident relative from fl023o1_1]? | |||||||||
| fl023b1_1 - What age band applies to [Non-resident relative from fl023o1_1]? | |||||||||
| fl023g_1 - What is [your/his/her] relationship to [Non-resident relative from fl023o1_1]? IE: [you/he/she] [are/is] [Non-resident relative from fl023o1_1]'s... | |||||||||
| fl023c_1 - What level of education has [Non-resident relative from fl023o1_1] attained? | |||||||||
| fl023e_1 - What is [Non-resident relative from fl023o1_1]'s present marital status? | |||||||||
| fl024_1 What is your relationship to the person (from fl023) | |||||||||
| fl024b_1 What is the age of the person (from fl023) | |||||||||
| fl024c_1 What level of education has this person (from fl023) | |||||||||
| fl024d_1 What is the persons employment status (from fl023) | |||||||||
| fl024e_1 What is the persons marital status (from fl023) | |||||||||
| fl024f_1 Where does this person live (from fl023) | |||||||||
| fl0214g_1 Does this person own a home (from fl023) | |||||||||
| fl0214h_1 How many children does this person have (from fl023) | |||||||||
| fl024i_1 Are any of this persons children under age 18 (from fl023) | |||||||||
| Difficulties with instrumental activities of daily life | |||||||||
| fl025_01 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Preparing a hot meal | |||||||||
| fl025_02 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Doing household chores | |||||||||
| fl025_03 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Shopping for groceries | |||||||||
| fl025_04 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Making telephone calls | |||||||||
| fl025_05 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Taking medications | |||||||||
| fl025_06 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Managing money | |||||||||
| fl025_07 -Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Going outside the home alone to shop or to visit a doctor’s surgery | |||||||||
| fl025_96 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - None of the these | |||||||||
| fl025_98 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - DK | |||||||||
| fl025_99 - Because of a health or memory problem, [do/does] [you/Rname] have difficulty - Refused | |||||||||
| flo26 - does anyone help you with preparing a hot meal? | |||||||||
| fl026 - Does anyone help [you/him/her] with preparing a hot meal, doing household chores, or shopping for groceries? | |||||||||
| fl027 Does anyone help you with doing household chores? | |||||||||
| fl028 Does anyone help you with shopping for groceries? | |||||||||
| fl029 - Does anyone help [you/him/her] make phone calls? | |||||||||
| fl030 - Does anyone help [you/him/her] take [your/his/her] medications? | |||||||||
| fl031 - Does anyone help [you/him/her] with managing [your/his/her] own money? | |||||||||
| fl058 - Does anyone help [you/him/her] to go outside the home alone or to visit a doctor’s surgery? | |||||||||
| fl032 - Who most often helps [you/him/her] with [preparing meals / doing household chores / shopping for groceries / making telephone calls / taking medications]? (roster) | |||||||||
| fl032_name name of person who helps (fl032) | |||||||||
| fl033 -your relationship to that person | |||||||||
| fl033- gender of that person | |||||||||
| fl033b-age of that person | |||||||||
| fl033c_education of that person | |||||||||
| fl033d-Employment status of that person | |||||||||
| fl033e- -Marital status of that person | |||||||||
| fl033f- where does that person live | |||||||||
| fl033g-does that person own their own home | |||||||||
| fl033h-how many children does this person have | |||||||||
| fl033i- are any of the children under 18 | |||||||||
| fl032_id ID helper | |||||||||
| fl032 - SPECIFY NAME OF Non-resident relative: | |||||||||
| fl032 - SPECIFY NAME OF Non-relative: | |||||||||
| fl032a - SPECIFY SEX OF [Non-resident relative from fl032o1]: | |||||||||
| fl032b - How old is [Non-resident relative from fl032o1]? | |||||||||
| fl032b1 - What age band applies to [Non-resident relative from fl032o1]? | |||||||||
| fl032g - What is [your/his/her] relationship to [Non-resident relative from fl032o1]? IE: [you/he/she] [are/is] [Non-resident relative from fl032o1]'s... | |||||||||
| fl032c - What level of education has [Non-resident relative from fl032o1] attained? | |||||||||
| fl032e - What is [Non-resident relative from fl032o1]'s present marital status? | |||||||||
| fl034b_1 - Does anyone else help [you/him/her] with this activity/these activities? | |||||||||
| fl034b_2- Does anyone else help [you/him/her] with this activity/these activities? | |||||||||
| fl034b_3 - Does anyone else help [you/him/her] with this activity/these activities? | |||||||||
| fl034_01 to fl034_03 - Does anyone else help [you/him/her] with this activity/these activities? | |||||||||
| fl034 - Does anyone else help [you/him/her] with this activity/these activities? | |||||||||
| fl035_name01 What is his/her first name? | |||||||||
| fl035_name02 What is his/her first name? | |||||||||
| fl035_name03 What is his/her first name? | |||||||||
| fl034b_01 Is (FL035) male or female | |||||||||
| fl034b_02 Is (FL035) male or female | |||||||||
| fl034b_03 Is (FL035) male or female | |||||||||
| fl036_1 What is that persons relationship to you | |||||||||
| fl036b_1 age group of (FL035) | |||||||||
| fl036c_1 education level of (FL035) | |||||||||
| fl036d_1 employment status of (FL035) | |||||||||
| fl036e_1 marital status of (FL035) | |||||||||
| fl036f_1 where does (FL035) live | |||||||||
| fl036g_1 Does this person (FL035) own their own home | |||||||||
| fl036h_1 does this person (FL035) have children | |||||||||
| fl036i_1 are any of the children of (FL035) under 18 years | |||||||||
| fl035_01 to fl035_03- Who is that? | |||||||||
| fl035_id_01 to fl035_id_03 ID helper | |||||||||
| fl035_name_01 to fl035_name_03 Helpers name 1-3 | |||||||||
| fl035o1_01 to fl035o1_03 SPECIFY NAME OF Non-resident relative: | |||||||||
| fl035o2_01 to fl035o2_03 SPECIFY NAME OF Non-relative: | |||||||||
| fl035a_01 to fl035a_03 - SPECIFY SEX OF [Non-resident relative from fl035o1_01 to flo30o1_03]: | |||||||||
| fl035b_01 to fl035b_03 - How old is [Non-resident relative from fl035o1_01 to flo30o1_03]? | |||||||||
| fl035b1_01 to fl035b1_03 - What age band applies to [Non-resident relative from fl035o1_01 to flo30o1_03]? | |||||||||
| fl035g_01 to fl035g_03 - What is [your/his/her] relationship to [Non-resident relative from fl035o1_01 to flo30o1_03]? IE: [you/he/she] [are/is] [Non-resident relative from fl035o1_01 to flo30o1_03]'s... | |||||||||
| fl035e_01 to fl035e_03 - What is [Non-resident relative from fl035o1_01 to flo30o1_03]'s present marital status? | |||||||||
| fl037_name Who most often helps managing money | |||||||||
| fl037 Who most often helps [you/him/her] to manage [your/his/her] money? helper roster | |||||||||
| fl037_id ID helper | |||||||||
| fl037b Is (Fl037) male or female | |||||||||
| fl038 What is that persons relationship to you (fl037) | |||||||||
| fl038a Is (fl037) male or female | |||||||||
| fl038b age group of (FL037) | |||||||||
| fl038c education level of (FL037) | |||||||||
| fl038d employment status of (FL037) | |||||||||
| fl038e marital status of (FL037) | |||||||||
| fl038f where does (FL037) live | |||||||||
| fl038g Does this person (FL037) own their own home | |||||||||
| fl038h does this person (FL037) have children | |||||||||
| fl038i are any of the children of (FL037) under 18 years | |||||||||
| fl039b_1 - Does anyone else help [you/him/her] with managing money? | |||||||||
| fl039b_2- Does anyone else help [you/him/her] with managing money? | |||||||||
| fl039b_3 - Does anyone else help [you/him/her] with managing money? | |||||||||
| fl040_name01 What is his/her first name? | |||||||||
| fl040_02 What is his/her first name? | |||||||||
| fl040_03 What is his/her first name? | |||||||||
| fl040b_1 Is (FL039b_1) male or female | |||||||||
| fl040b_2 Is (FL039b_2) male or female | |||||||||
| fl040b_3 Is (FL039b_3) male or female | |||||||||
| fl041_1 What is that persons relationship to you | |||||||||
| fl041b_1 age group of (FL039b_1) | |||||||||
| fl041c_1 education level of (FL039b_1) | |||||||||
| fl041d_1 employment status of (FL039b_1) | |||||||||
| fl041e_1 marital status of (FL039b_1) | |||||||||
| fl041f_1 where does (FL039b_1) live | |||||||||
| fl041g_1 Does this person (FL039b_1) own their own home | |||||||||
| fl041h_1 does this person (FL039b_1) have children | |||||||||
| fl041i_1 are any of the children of (FL039b_1) under 18 years | |||||||||
| fl037o2 Specify name of non relative | |||||||||
| fl037o1 - SPECIFY NAME OF Non-resident relative: | |||||||||
| fl037a - SPECIFY SEX OF [Non-resident relative from fl037o1]: | |||||||||
| fl037b - How old is [Non-resident relative from fl037o1]? | |||||||||
| fl037b1 - What age band applies to [Non-resident relative from fl037o1]? | |||||||||
| fl037g - What is [your/his/her] relationship to [Non-resident relative from fl037o1]? IE: [you/he/she] [are/is] [Non-resident relative from fl037o1]'s... | |||||||||
| fl037c - What level of education has [Non-resident relative from fl037o1] attained? | |||||||||
| fl037e - What is [Non-resident relative from fl037o1]'s present marital status? | |||||||||
| fl039_01 to fl039_03- Does anyone else help [you/him/her] to manage [your/his/her] money? | |||||||||
| fl040_01 to fl040_03 - Who is that? | |||||||||
| fl040_id_01 to fl040_id_03 ID helper | |||||||||
| fl040_name_01 to fl040_name_03 Helper name | |||||||||
| fl040o1_01 to fl040o1_03 SPECIFY NAME OF Non-resident relative: | |||||||||
| fl040o2_01 to fl040o2_03 SPECIFY NAME OF Non-relative: | |||||||||
| fl040a_01 to fl040a_03 - SPECIFY SEX OF [Non-resident relative from fl040_01 to fl040_03]: | |||||||||
| fl040b_01 to fl040b_03 - How old is [Non-resident relative from fl040_01 to fl040_03]? | |||||||||
| fl040b1_01 to fl040b1_03 - What age band applies to [Non-resident relative from fl040_01 to fl040_03]? | |||||||||
| fl040g_01 to fl040g_03 - What is [your/his/her] relationship to [Non-resident relative from fl040_01 to fl040_03]? IE: [you/he/she] [are/is] [Non-resident relative from fl040_01 to fl040_03]'s… | |||||||||
| fl040e_01 to fl040e_03 - What is [Non-resident relative from fl040_01 to fl040_03 ]'s present marital status? | |||||||||
| Helpers | |||||||||
| fl042id_01_name to fl042id_12_name Name of helper 1-12 (brought forward) | |||||||||
| fl042id_01 to fl042id_12 ID number of helper brought forward from coverscreen | |||||||||
| fl042_1 - During the last month, on about how many days did [Helper's Name] help [you/him/her]? [householder] | |||||||||
| fl042x_1 - During the last month, on about how many days did [Helper's Name] help [you/him/her]? [non res child] | |||||||||
| fl043_1 - On the days when [Helper's Name] helps you, about how many hours per day do they spend helping [you/him/her]? [householder] | |||||||||
| fl043x_1- On the days when [Helper's Name] helps you, about how many hours per day do they spend helping [you/him/her]? [non res child] | |||||||||
| fl045_1- Does [Helper's Name] receive the State Carer's Allowance or Carer's Benefit? [Householder] | |||||||||
| fl045x_1- Does [Helper's Name] receive the State Carer's Allowance or Carer's Benefit? [Non resident child] | |||||||||
| fl045b_1 Does[helpers name] receive regular payments from you, your family or an agency ? [householder] | |||||||||
| fl045bx_1 Does[helpers name] receive regular payments from you, your family or an agency ? [non res child] | |||||||||
| fl046_1 Is this person [householders name] from? | |||||||||
| fl047x_1 Thinking of the cost of this paid help in the past month, about what percentage of this cost does the HSE/Health board cover [non res child] | |||||||||
| fl048_1 Not counting costs paid by the HSE/Healthboard, about how much did you pay [household helper] in the last month? | |||||||||
| fl048x_1 Not counting costs paid by the HSE/Healthboard, about how much did you pay [non res child] in the last month? | |||||||||
| fl049_1 Does any other person help you pay for this cost? [householder]? | |||||||||
| fl049x_1 Does any other person help you pay for this cost? [non res child]? | |||||||||
| fl050_1 Is that a (child or other)relative of your or is that someone else? [householder] | |||||||||
| fl050x_1 Is that a (child or other)relative of your or is that someone else? [non res child] | |||||||||
| fl051_1 Which child is that? [householder] | |||||||||
| fl051x_1 Which child is that? [non res child] | |||||||||
| fl052_1 Any other child? [householder] | |||||||||
| fl053x_1 What is his/her name ? [non res child] | |||||||||
| fl042_01 to fl042_12 - During the last month, on about how many days did [Helper's Name] help [you/him/her]? | |||||||||
| fl043_01 to fl043_12 - On the days when [Helper's Name] helps [you/he/she], about how many hours per day do they spend helping [you/him/her]? | |||||||||
| fl045_01 to fl045_12 - Does [Helper's Name] receive the State Carer's Allowance or Carer's Benefit? | |||||||||
| fl045b_01 to fl045b_12 - Does [Helper's Name] receive regular payment from [you/he/she], [your/his/her] family or from an agency or organisation? | |||||||||
| fl046_01 to fl046_12 - Is [Helper's Name]... | |||||||||
| fl047_01 to fl047_12 - Thinking now about the cost of this paid help in the past month, about what percentage of this cost does the HSE/health board cover? | |||||||||
| fl048_01 to fl048_12 - Not counting costs paid by the HSE/health board, about how much did [you/he/she] pay [Helper's Name] in the last month? | |||||||||
| fl049_01 to fl049_12 - Does any other person help [you/him/her] pay for this cost? | |||||||||
| fl050_01 to fl050_12 - Is that a (child or other) relative of [yours/his/hers], or is that someone else? | |||||||||
| fl051: Which child/ren is/are that? | |||||||||
| fl054 - How many different paid helpers - in total - have been involved in taking care of [you/him/her] in the last two years? | |||||||||
| fl055 - How many of the paid helpers were Irish? | |||||||||
| fl056 - IWER (CODE WITHOUT ASKING): HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION FL | |||||||||
| fl059 - Thinking about all of these activities, would you say that [you/he/she] need[s] help? | |||||||||
| fl060 - Thinking about all of these activities, would you say that [you/he/she] need[s] help? | |||||||||
| fl061 - Thinking about all of these activities, would you say that [you/he/she] need[s] help? | |||||||||
| HU (Healthcare Utilisation) | |||||||||
| hu001 - [Is/Are] [you/he/she] covered by... | |||||||||
| hu002 - [Do/Does] [you/he/she] have private medical insurance cover (VHI etc.) in [your/his/her] own name or through another family member? | |||||||||
| hu003 - Which company [are/is] [you/he/she] insured with? | |||||||||
| hu003 - Which other company are you insured with? | |||||||||
| hu004 - Which medical insurance scheme/plan [are/is] [you/he/she] covered by? | |||||||||
| hu004a - Which medical insurance scheme/plan [are/is] [you/he/she] covered by? | |||||||||
| hu004a - Which other medical insurance scheme/plan [are/is] [you/he/she] covered by? | |||||||||
| hu004b - Which medical insurance scheme/plan [are/is] [you/he/she] covered by? | |||||||||
| hu004b - Which other medical insurance scheme/plan [are/is] [you/he/she] covered by? | |||||||||
| hu004c - Which medical insurance scheme/plan [are/is] [you/he/she] covered by? | |||||||||
| hu004c - Which other medical insurance scheme/plan [are/is] [you/he/she] covered by? | |||||||||
| hu049 - In the last 5 years did [you/he/she] ever have health insurance? | |||||||||
| hu005 - In the last 12 months, about how often did [you/he/she] visit [your/his/her] GP? | |||||||||
| hu006 - How much did [you/he/she] pay for [your/his/her] last visit to the GP, after any health insurance reimbursement? | |||||||||
| hu007 - In the last 12 months, how many times did [you/he/she] visit a hospital Emergency Department? | |||||||||
| hu038 - In total, how much did [you/he/she] pay for [all of] [your/his/her] A&E visit(s) in the last 12 months, after any health insurance reimbursements? | |||||||||
| hu008 - In the last 12 months, about how many visits did [you/he/she] make to a hospital as an out-patient? | |||||||||
| hu062 - Have you seen a consultant in last 12 months? | |||||||||
| hu009 - On how many of these visits did [you/he/she] have a substantial procedure, operation or test? | |||||||||
| hu039 - In total, how much did [you/he/she] pay for [your/his/her] visit(s) to consultant(s) in the last 12 months? | |||||||||
| hu010 - In the last 12 months, on how many occasions [were/was] [you/he/she] admitted to hospital overnight? | |||||||||
| hu011 - During these hospital stays in the last 12 months, about how many operations (procedures) involving a full anaesthetic? | |||||||||
| hu012 - In total, about how many nights did [you/he/she] spend in hospital in the last 12 months? | |||||||||
| hu013 - When [you/he/she] stayed overnight in hospital, was this… | |||||||||
| hu014 - When [you/he/she] stayed overnight in hospital, was this in a… | |||||||||
| hu040 - In total, how much did [you/he/she] pay for [your/his/her] overnight hospital stay(s) in the last 12 months? | |||||||||
| hu015a - In the last 12 months, did [you/Rname] receive any of the following State services? Home help | |||||||||
| hu015a - In the last 12 months, did [you/Rname] receive any of the following State services? Personal care | |||||||||
| hu015a - In the last 12 months, did [you/Rname] receive any of the following State services? Meals | |||||||||
| hu015a - In the last 12 months, did [you/Rname] receive any of the following State services? Home care package | |||||||||
| hu015a - In the last 12 months, did [you/Rname] receive any of the following State services? None | |||||||||
| hu015a - In the last 12 months, did [you/Rname] receive any of the following State services? Don’t know | |||||||||
| hu015a - In the last 12 months, did [you/Rname] receive any of the following State services? Refused | |||||||||
| hu015a1 - During the last month, on about how many days did [you/he/she] receive home help? | |||||||||
| hu015a2 - On the days when [you/Rname] received home help, for about how many hours per day did [you/he/she] receive help? | |||||||||
| hu015a4 - Not counting costs paid by the HSE/health board, about how much did [you/Rname] pay for this home help in the last month? | |||||||||
| hu015b1 - During the last month, on about how many days did [you/he/she] receive this service? Personal care | |||||||||
| hu015b2 - On the days when [you/he/she] received help from a personal care attendant, for about how many hours per day did [you/he/she] receive help? | |||||||||
| hu015b4 - Not counting costs paid by the HSE/health board, about how much did [you/Rname] pay this personal care attendant in the last month? | |||||||||
| hu015c1 - During the last month, on about how many days did [you/he/she] receive Meals-on-Wheels? | |||||||||
| hu015c4 - Not counting costs paid by the HSE/health board, about how much did [you/Rname] pay for Meals-on-Wheels in the last month? | |||||||||
| hu015_01 - In the last 12 months, did [you/Rname] receive any of these other State services? - Public health nurse community nurse | |||||||||
| hu015_02 - In the last 12 months, did [you/Rname] receive any of these other State services? - Occupational therapy | |||||||||
| hu015_03 - In the last 12 months, did [you/Rname] receive any of these other State services? - Chiropody | |||||||||
| hu015_04 - In the last 12 months, did [you/Rname] receive any of these other State services? - Physiotherapy | |||||||||
| hu015_05 - In the last 12 months, did [you/Rname] receive any of these other State services? - Speech and language | |||||||||
| hu015_06 - In the last 12 months, did [you/Rname] receive any of these other State services? - Social work | |||||||||
| hu015_07 - In the last 12 months, did [you/Rname] receive any of these other State services? - Psychological/counselling | |||||||||
| hu015_08 - In the last 12 months, did [you/Rname] receive any of these other State services? - Home Help | N | N | |||||||
| hu015_09 - In the last 12 months, did [you/Rname] receive any of these other State services? - Personal care attendant | N | N | |||||||
| hu015_10 - In the last 12 months, did [you/Rname] receive any of these other State services? - Meals on wheels | N | N | |||||||
| hu015_11 - In the last 12 months, did [you/Rname] receive any of these other State services? - Day centre | |||||||||
| hu015_12 - In the last 12 months, did [you/Rname] receive any of these other State services? - Optician | |||||||||
| hu015_13 - In the last 12 months, did [you/Rname] receive any of these other State services? - Dental | |||||||||
| hu015_14 - In the last 12 months, did [you/Rname] receive any of these other State services? - Hearing | |||||||||
| hu015_15 - In the last 12 months, did [you/Rname] receive any of these other State services? - Dietician | |||||||||
| hu015_16 - In the last 12 months, did [you/Rname] receive any of these other State services? - Respite | |||||||||
| hu015_96 - In the last 12 months, did [you/Rname] receive any of these other State services? - None of these | |||||||||
| hu015_98 - In the last 12 months, did [you/Rname] receive any of these other State services? - Don’t know | |||||||||
| hu015_99 - In the last 12 months, did [you/Rname] receive any of these other State services? - Refused | |||||||||
| hu016 - Are you satisfied with this service? PHN | |||||||||
| hu017 - Are you satisfied with this service? OT | |||||||||
| hu018 - Are you satisfied with this service? Chiropody | |||||||||
| hu019 - Are you satisfied with this service? Physio | |||||||||
| hu020 - Are you satisfied with this service? Social work | |||||||||
| hu021 - Are you satisfied with this service? Psychol/counselling | |||||||||
| hu022 - Are you satisfied with this service? Home help | |||||||||
| hu023 - Are you satisfied with this service? Personal care | |||||||||
| hu024 - Are you satisfied with this service? Meals on wheels | |||||||||
| hu025 - Thinking of a typical week, on how many days did you receive meals-on-wheels? | |||||||||
| hu026 - Are you satisfied with this service? Day care | |||||||||
| Are you satisfied with this service? Optician | |||||||||
| Are you satisfied with this service? Dentist | |||||||||
| Are you satisfied with this service? Hearing | |||||||||
| Are you satisfied with this service? Dietician | |||||||||
| Are you satisfied with this service? Respite | |||||||||
| Are you satisfied with this service? Speech and language | |||||||||
| HU031b - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? | |||||||||
| HU031B_01 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Public health or Community Nurse | |||||||||
| HU031B_02 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Occupational therapy | |||||||||
| HU031B_03 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Chiropody services | |||||||||
| HU031B_04 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Physiotherapy services | |||||||||
| HU031B_05 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Speech and Language Therapy | |||||||||
| HU031B_06 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Social work services | |||||||||
| HU031B_07 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Psychological/counselling services | |||||||||
| HU031B_08 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Home help | |||||||||
| HU031B_09 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Personal care attendant | |||||||||
| HU031B_10 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Meals-on-Wheels | |||||||||
| HU031B_11 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Day centre services | |||||||||
| HU031B_12 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Optician service | |||||||||
| HU031B_13 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Dental services | |||||||||
| HU031B_14 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Hearing services | |||||||||
| HU031B_15 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Dietician services | |||||||||
| HU031B_16 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - Respite services | |||||||||
| HU031B_96 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - None of these | |||||||||
| HU031B_98 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - DK | |||||||||
| HU031B_99 - Thinking of these services, are ther any that you do not now receive which you feel you have a need for? - RF | |||||||||
| HU031c - You have said that you don’t receive… but would like to. Could you say what is the main thing that prevents you from receiving it? | |||||||||
| HU031d - If you or a relative needed one of these services, how would you go about finding out about it? | |||||||||
| hu032 - In the last 12 months, how many weeks [have/has/did] [you/he/she] [spent/spend] as a resident in a nursing home or convalescent home? | |||||||||
| hu043 - How [was/is] [your/his/her] nursing/convalescent home care paid for? | |||||||||
| hu043_01 - How [was/is] [your/his/her] nursing/convalescent home care paid for? - Out of [my/his/her] own resources | |||||||||
| hu043_02 - How [was/is] [your/his/her] nursing/convalescent home care paid for? - By Health Insurance | |||||||||
| hu043_03 - How [was/is] [your/his/her] nursing/convalescent home care paid for? - By the government (e.g. Fair Deal) | |||||||||
| hu043_04 - How [was/is] [your/his/her] nursing/convalescent home care paid for? - By Children or Relatives | |||||||||
| hu043_95 - How [was/is] [your/his/her] nursing/convalescent home care paid for? - Paid for in another way | |||||||||
| HU043oth: Please specify other(how nursing home paid for) | |||||||||
| hu043_98 - How [was/is] [your/his/her] nursing/convalescent home care paid for? - DK | |||||||||
| hu043_99 - How [was/is] [your/his/her] nursing/convalescent home care paid for? - RF | |||||||||
| hu033 - Not counting health insurance refunds, how much was paid by [you/Rname] and [your/his/her] relatives for the time [you/he/she] spent in a nursing home in the last 12 months? | |||||||||
| hu034 - Think of [your/his/her] last prescription. [Were/was] [you/he/she] charged for this? | |||||||||
| hu035 - Not counting health insurance refunds, on average about how much [do/does] [you/he/she] pay out-of-pocket for [your/his/her] prescribed drugs per month? | |||||||||
| hu036 - Not counting any refunds from [your/his/her] health insurance, about how much did [you/he/she] pay (out-of-pocket) for any other health expenses? | |||||||||
| hu037 - ASSISTANCE WITH ANSWERS IN SECTION HU | |||||||||
| HU070 [Is/Are] [you/he/she] covered by ? Long term illness, health act ammend c | |||||||||
| HU071: Does your health insurance include the cost of GP visits? | |||||||||
| HU072: Some people review their health insurance policy when their premium falls due. Have [you/he/she] changed the level of cover on your policy since last year? | |||||||||
| HU073: Why did [you/he/she] discontinue [your/his/her] health insurance policy? | |||||||||
| HU073oth please specify other (reason for d/c health ins) | |||||||||
| HU075:In total, how much did [you/he/she] pay for [your/his/her] outpatient/day patient visits in the last 12 months, after any health insurance reimbursement?’ | |||||||||
| HU076: In the last 12 months, did [you/Rname]pay any individual or private company to provide home help or personal care? | |||||||||
| HU077: Have [you/he/she/Rname] ever added features to [your/his/her] home to make it easier or safer for an older person to live there? This includes changes to the home to make it easier to get around like grab bars, railings or ramps or larger modifications including remodelling existing buildings. | |||||||||
| HU077a: Since [your/Rname’s] last interview [have/has] [you/he/she] added features to [your/his/her] home to make it easier or safer for an older person to live there? This includes changes to the home to make it easier to get around like grab bars, railings or ramps or larger modifications including remodelling existing buildings. | |||||||||
| HU078: What was the total cost of modifications made to [his/her] home? | |||||||||
| HU079: Were any of the costs of the modifications covered by the State? | |||||||||
| HU080: How much did [you/he/she] pay for the home modifications? | |||||||||
| HU044: Approximately how much was [your/Rname’s] latest annual health insurance premium? | |||||||||
| HU045: Please look at card HU1. Please select which annual health insurance premium category is most appropriate | |||||||||
| HU046: Including [yourself/Rname] how many people does this current policy cover? | |||||||||
| HU048: Including [yourself/Rname] how many people were covered by the policy last year? | |||||||||
| HU049: In the last 5 years did [you/he/she] ever have health insurance? | |||||||||
| HU050: In what year did [you/he/she] last have health insurance? | |||||||||
| HU054: Please look at card HU1A. How satisfied or dissatisfied were you with the service you received on your most recent visit to a hospital Emergency Department? | |||||||||
| HU057 Was your emergency department visit the result of: | |||||||||
| HU058 - Following this visit to the emergency department were you: | |||||||||
| HU058_01 - Following this visit to the emergency department were you - Admitted to hospital | |||||||||
| HU058_02 - Following this visit to the emergency department were you - Referred to a consultant | |||||||||
| HU058_03 - Following this visit to the emergency department were you - Referred to an outpatient department | |||||||||
| HU058_04 - Following this visit to the emergency department were you - Asked to follow up with your GP | |||||||||
| HU058_05 - Following this visit to the emergency department were you - No follow-up | |||||||||
| HU058_95 - Following this visit to the emergency department were you - Other | |||||||||
| HU058oth: Please specify | |||||||||
| HU058_98 - Following this visit to the emergency department were you - DK | |||||||||
| HU058_99 - Following this visit to the emergency department were you - RF | |||||||||
| HU060: Please look at card HU1A. How satisfied or dissatisfied were you with the service you received on your most recent outpatient/day patient visit? | |||||||||
| HU062 Have you seen a consultant in last 12 months? | |||||||||
| HU063: Please look at card HU1A. How satisfied or dissatisfied were you with the service you received at you last consultant visit? | |||||||||
| HU065: Please look at card HU1A. How satisfied or dissatisfied were you with the service you received on your most recent overnight hospital admission? | |||||||||
| HU015_A3: Please look at show card HU3. Are you satisfied with this home help service? | |||||||||
| HU015_B3: Please look at show card HU3. Are you satisfied with this personal care service? | |||||||||
| HU015_C3: Please look at show card HU3. Are you satisfied with this meals service? | |||||||||
| HU015_D1: Let's think for a moment about the home care package [you/Rname] received. During the last month, on about how many days did [you/he/she] receive this service? | |||||||||
| HU015_D2: On the days when [you/he/she] received help from the Home Care Package, for about how many hours per day did [you/he/she] receive help? | |||||||||
| HU015_D3: Please look at show card HU3. Are you satisfied with this home care package? | |||||||||
| HU015_D4: Not counting costs paid by the HSE/health board, about how much did [you/Rname] (and [your/his/her] [husband/wife/partner]) pay for this Home Care Package in the last month? | |||||||||
| HU016a_(i) NUMBER OF TIMES RECEIVED STATE SERVICEIn the last 12 months, how many times did [you/he/she] use the <state service from HU015> | |||||||||
| HU016b_(i): SATISFACTION WITH RECEIVED STATE SERVICE Please look at show card HU3. Are you satisfied with this service? | |||||||||
| HU031b: Thinking of all these services, are there any that you do not now receive which you feel you have a need for? | |||||||||
| HU031c: You have said you don’t receive ..…. but would like to. Could you say what is the main thing that prevents you from receiving it? | |||||||||
| HU031d: If you or a relative needed one of these services, how would you go about finding out about it? IWER: Code the first step respondent would take. | |||||||||
| HU081 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? | |||||||||
| HU081_01 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - Request advice about medications | |||||||||
| HU081_02 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - Blood pressure monitoring | |||||||||
| HU081_03 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - Smoking cessation advice | |||||||||
| HU081_04 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - Weight management advice | |||||||||
| HU081_05 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - Diabetes risk assessment | |||||||||
| HU081_06 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - Asthma control testing | |||||||||
| HU081_07 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - Allergy testing | |||||||||
| HU081_08 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - Cholesterol checks | |||||||||
| HU081_09 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - Vaccination | |||||||||
| HU081_10 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - Did not visit pharmacy in the last 12 months | |||||||||
| HU081_95 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - Other | |||||||||
| HU081oth Please specify other | |||||||||
| HU081_96 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - None of these services | |||||||||
| HU081_98 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - DK | |||||||||
| HU081_99 - In the last 12 months when you visited the pharmacy did you avail of any of the following services? - RF | |||||||||
| HU082: APART FROM THE STATE PROVIDED SERVICES MENTIONED EARLIER, In the last 12 months, did [you/Rname] pay any individual or private company to provide one of these services: | |||||||||
| HU082a_(i): NUMBER OF TIMES ACCESSED THIS PRIVATE SERVICE In the last 12 months, how many times did [you/he/she] use the <PRIVATE SERVICE from HU082> | |||||||||
| HU083:
IWER code: Has the respondent been living in a nursing home or other
institution for 1. Less than 1 year 2. More than one year |
|||||||||
| hu084 - About how much did [you/Rname] (and [your/his/her] [husband/wife/partner]) pay this individual or private company to provide home help or personal care in the last month? (May be zero) | |||||||||
| MH (Mental Health I) | |||||||||
| Depression | |||||||||
| Center for Epidemiological Depression Scale: 20 Item (CESD-20) | |||||||||
| Center for Epidemiological Depression Scale: 8 Item (CESD-8) | |||||||||
| MH001: I was bothered by things that usually don't bother me | |||||||||
| MH002: I did not feel like eating; my appetite was poor. | |||||||||
| MH003: I felt that I could not shake off the blues even with help from my family or friends. | |||||||||
| MH004: I felt that I was just as good as other people. | |||||||||
| MH005: I had trouble keeping my mind on what I was doing. | |||||||||
| MH006: I felt depressed. | |||||||||
| MH007: I felt that everything I did was an effort. | |||||||||
| MH008: I felt hopeful about the future. | |||||||||
| MH009: I thought my life had been a failure. | |||||||||
| MH010: I felt fearful. | |||||||||
| MH011: My sleep was restless. | |||||||||
| MH012: I was happy. | |||||||||
| MH013: I talked less than usual. | |||||||||
| MH014: I felt lonely. | |||||||||
| MH015: People were unfriendly. | |||||||||
| MH016: I enjoyed life. | |||||||||
| MH017: I had crying spells. | |||||||||
| MH018: I felt sad. | |||||||||
| MH019: I felt that people disliked me. | |||||||||
| MH020: I could not get "going." | |||||||||
| MH021: In the last month, have you felt that you would rather be dead? | |||||||||
| MH022: In the last 12 months, did you spend one or more nights in a hospital due to mental health problems? | |||||||||
| Satisfaction (NOTE: From W1-W3 in Mental Health I; from W4-W6 in Physical Health) | |||||||||
| MH023: I am satisfied with my life. | |||||||||
| PH735: In most ways my life is close to ideal | |||||||||
| PH736: The conditions of my life are excellent | |||||||||
| PH737: I have gotten the important things I want from life | |||||||||
| PH738: If I could live my life again, I would change almost nothing | |||||||||
| MH024 : HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION MH? | |||||||||
| Composite International Diagnostic Interview –SF Major Depressive Episode | |||||||||
| mh022 - In the last 12 months, did [you/Rname] spend one or more nights in a hospital due to mental health problems? | |||||||||
| mh101 - During the last 12 months, was there ever a time when you felt sad, blue, or depressed for two weeks or more in | |||||||||
| mh102 - Please think of the two-week period during the last 12 months when these feelings were worst. During that time did the feelings of being sad, blue, or depressed usually last… | |||||||||
| mh103 - During those two weeks, did you feel this way every day, almost every day, or less often than that? | |||||||||
| mh104 - During those two weeks did you lose interest in most things like hobbies, work or activities that usually give you pleasure? | |||||||||
| mh105 - Thinking about those same two weeks, did you feel more tired out or low on energy than is usual for you? | |||||||||
| mh106 - During these weeks did you gain or lose weight without trying, or did you stay about the same? | |||||||||
| mh107a - About how much did you gain? | |||||||||
| mh107ab specify KGS/LBS | |||||||||
| mh107b - About how much did you lose? | |||||||||
| mh107bb specify KGS/LBS | |||||||||
| mh108 - IWER: DID WEIGHT CHANGE BY MORE THAN 5KGS (11 LBS)? | |||||||||
| mh109 - Did you have more trouble falling asleep than you usually do during those two weeks? | |||||||||
| mh110 - Did this happen every night, nearly every night or less often during those two weeks? | |||||||||
| mh111 - During those two weeks, did you have a lot more trouble concentrating than usual? | |||||||||
| mh112 - People sometimes feel down on themselves, no good or worthless. During that two week period, did you feel this way? | |||||||||
| mh113 - Did you think a lot about death - either your own, someone else's, or death in general during those two weeks? | |||||||||
| mh114 - About how many weeks altogether did you feel this way during the past 12 months? | |||||||||
| mh115 - Think about the most recent time when you had two weeks in a row when you felt this way. How long ago was that? | |||||||||
| mh116 - Did you tell a doctor about these problems? | |||||||||
| mh117 - Did you tell any other professional (such as psychologist, social worker, counsellor, nurse, clergy, or other helping professional)? | |||||||||
| mh118 - Did you take medication, or use drugs or alcohol more than once for these problems? | |||||||||
| mh119 - How much did these problems interfere with your life or activities? | |||||||||
| mh120 - During the past 12 months was there ever a time lasting two weeks or more when you lost interest in most things like hobbies, work etc? | |||||||||
| mh121 - For the next few questions, please think of the two-week period during the past 12 months when you had most complete loss of interest in things. Did the loss usually last… | |||||||||
| mh122 - Did you feel this way every day, almost every day, or less often than that? | |||||||||
| mh123 - During those two weeks, did you feel more tired out or low on energy more than is usual for you? | |||||||||
| mh124 - During these weeks did you gain or lose weight without trying, or did you stay about the same? | |||||||||
| mh125a - About how much did you gain? | |||||||||
| mh125ab - SPECIFY KGS/LBS | |||||||||
| mh125b - About how much did you lose? | |||||||||
| mh125bb - SPECIFY KGS/LBS | |||||||||
| mh126 - IWER TO CODE IF WEIGHT CHANGED BY MORE THAN 5KGS (11 LBS) | |||||||||
| mh127 - Did you have more trouble falling asleep than you usually do during those two weeks? | |||||||||
| mh128 - Did this happen every night, nearly every night or less often during those two weeks? | |||||||||
| mh129 - During those two weeks, did you have a lot more trouble concentrating than usual? | |||||||||
| mh130 - People sometimes feel down on themselves, no good or worthless. During that two week period, did you feel this way? | |||||||||
| mh131 - Did you think a lot about death - either your own, someone else's, or death in general during those two weeks? | |||||||||
| mh132 - About how many weeks altogether did you feel this way during the past 12 months? | |||||||||
| mh133 - Think about the most recent time when you had two weeks in a row when you felt this way. How long ago was that? | |||||||||
| mh134 - Did you tell a doctor about these problems? | |||||||||
| mh135 - Did you tell any other professional (such as psychologist, social worker, counsellor, nurse, clergy, or other helping professional)? | |||||||||
| mh136 - Did you take medication or use drugs or alcohol more than once for these problems? | |||||||||
| mh137 - How much did these problems interfere with your life or activities? | |||||||||
| Resilience | |||||||||
| mh138 - Please tell me if any of these events have happened to you since your last interview. Do not consider events that have occurred in the past month | |||||||||
| mh138_01 - Please tell me if any of these events have happened to you in the past five years - new residence | |||||||||
| mh138_02 - Please tell me if any of these events have happened to you in the past five years - financial difficulty | |||||||||
| mh138_03 - Please tell me if any of these events have happened to you in the past five years -experienced a crime | |||||||||
| mh138_04- Please tell me if any of these events have happened to you in the past five years - a relative or close friend had injury or illness | |||||||||
| mh138_05- Please tell me if any of these events have happened to you in the past five years - a relative or close friend died | |||||||||
| mh138_06- Please tell me if any of these events have happened to you in the past five years - you had injury or illness | |||||||||
| mh138_07- Please tell me if any of these events have happened to you in the past five years - spouse/partner had injury or illness | |||||||||
| mh138_08- Please tell me if any of these events have happened to you in the past five years - spouse/partner died | |||||||||
| mh138_09- Please tell me if any of these events have happened to you in the past five years - one of children died | |||||||||
| mh138_95 mh138oth - Please tell me if any of these events have happened to you in the past five years - Other particularly stressful event (specify) | |||||||||
| mh138_96- Please tell me if any of these events have happened to you in the past five years - none of these | |||||||||
| mh138_98- Please tell me if any of these events have happened to you in the past five years - DK | |||||||||
| mh138_99- Please tell me if any of these events have happened to you in the past five years - RF | |||||||||
| mh139 - most stressful event listed by the respondent | |||||||||
| mh140 - how much worse did you feel than before it happened | |||||||||
| mh141 - After this event, how much harder was it to get everyday things done......a great deal, quite a bit, a little, or not at all? | |||||||||
| mh142 - After this event, how long did it take until you started to feel better again.....a few days, a few weeks, a few months, a year, more than a year, or still not better yet? | |||||||||
| mh143 - How long ago did this event occur..... between 1 and 6 months, more than 6 months and up to 1 year, more than 1 year and up to 2 years, or more than 2 years? | |||||||||
| mh144 - As a result of this event, have you stopped doing some activities that were important to you? | |||||||||
| mh145 - As a result of this event, have you started doing some activities that have become important to you? | |||||||||
| mh146 - Has this event made a permanent change in how you feel about your life? | |||||||||
| mh147 - Excluding any events which may have occurred in the last month, do you consider this event to be the most stressful event you have experienced in the past five years ? | |||||||||
| mh148 - Please look at the card again. Excluding any events which may have occurred in the last month, what do you consider to be the most stressful event you have experienced in the past five years? | |||||||||
| mh148 _01 - what do you consider the most stressful event you have experienced in the past five years? New residence | |||||||||
| mh148_02 - what do you consider the most stressful event you have experienced in the past five years? Financial difficulty | |||||||||
| mh148_03 - what do you consider the most stressful event you have experienced in the past five years? Experienced a crime | |||||||||
| mh148_04 - what do you consider the most stressful event you have experienced in the past five years? A relative or friend had injury or illness | |||||||||
| mh148_05 - what do you consider the most stressful event you have experienced in the past five years? A relative or friend died | |||||||||
| mh148_06 - what do you consider the most stressful event you have experienced in the past five years? You had serious injury or illness | |||||||||
| mh148_07 - what do you consider the most stressful event you have experienced in the past five years? Spouse or partner had serious injury or illness | |||||||||
| mh148_08 - what do you consider the most stressful event you have experienced in the past five years? Spouse or partner died | |||||||||
| mh148_09 - what do you consider the most stressful event you have experienced in the past five years? One of your children died | |||||||||
| mh148_95 - what do you consider the most stressful event you have experienced in the past five years? Any other event | |||||||||
| mh148_96 - what do you consider to be the most stressful event you have experienced in the past five years? No stressful events experienced | |||||||||
| mh148_98 - what do you consider the most stressful event you have experienced in the past five years? DK | |||||||||
| mh148_99 - what do you consider the most stressful event you have experienced in the past five years? RF | |||||||||
| mh148oth - specify other event | |||||||||
| BH (Behavioural Health) | |||||||||
| Smoking | |||||||||
| BH001:
Have you ever smoked cigarettes, cigars, cigarillos or a pipe daily for a
period of at least one year? |
|||||||||
| BH002: Do you smoke at the present time? | |||||||||
| BH002a: Our records show that at the time of the last interview [you/Rname] did not smoke. [Do/Does][you/he/she] smoke at the present time? | |||||||||
| BH002b:
Our records show that at the time of the last interview [you/Rname] smoked.
[Do/Does][you/he/she] smoke at the present time? |
|||||||||
| BH003: How old were/was you/he/she when you/he/she stopped smoking? | |||||||||
| BH009: Why did [you/he/she] stop smoking? | |||||||||
| BH009_01: Personal choice | |||||||||
| BH009_02: Doctor's advice | |||||||||
| BH009_03: Financial reasons | |||||||||
| BH009_04: Illness or ill health | |||||||||
| BH009_95: Other reasons (please specify) | |||||||||
| BH009oth: Other reasons (please specify) | |||||||||
| BH009_98: DK | |||||||||
| BH009_99: RF | |||||||||
| BH010: In the past year, which of these aids or supports did you use to help you give up smoking (tick all that apply) | |||||||||
| BH010_01: Nicotine patches, gum, lozenges, spray | |||||||||
| BH010_02: Varenicline/Champix or Buproprion/Zyban (prescribed medication) | |||||||||
| BH010_03: Acupuncture | |||||||||
| BH010_04: Smokers telephone Quitline/Helpline | |||||||||
| BH010_05: www.quit.ie | |||||||||
| BH010_06: www.facebook.com/HSEquit | |||||||||
| BH010_07: E-Cigarettes | |||||||||
| BH010_95: Other aid, help, support (please specify) | |||||||||
| BH010oth: Other aid, help, support (please specify) | |||||||||
| BH010_96: No help used | |||||||||
| BH010_98: Don’t know | |||||||||
| BH010_99: Refused | |||||||||
| BH004: For how many years [do/did] you smoke altogether? | |||||||||
| BH005: What do/does/did you/he/she smoke (before you stopped)? | |||||||||
| BH005_01: Cigarettes | |||||||||
| BH005_02: Pipe | |||||||||
| BH005_03: Cigars or cigarillos | |||||||||
| BH005_04: DK | |||||||||
| BH005_04: E-cigarettes or tank\ clearomizers | |||||||||
| BH005_05: RF | |||||||||
| BH005_98: DK | |||||||||
| BH005_99: RF | |||||||||
| BH006: How many cigarettes do/did you smoke on average per day? | |||||||||
| BH007: How many pipes do/did you smoke on average per day? | |||||||||
| BH008: How many cigars or cigarillos do/did you smoke on average per day? | |||||||||
| Exercise section | |||||||||
| BH101: During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, aerobics, or fast bicycling? | |||||||||
| BH102:
How much time did you usually spend doing vigorous physical activities on one
of those days? |
|||||||||
| BH102a: ___ minutes per day | |||||||||
| BH102H: ___ hours per day | |||||||||
| BH102M: ___ minutes per day | |||||||||
| BH103: During the last 7 days, on how many days did you do moderate physical activities like carrying light loads, bicycling at a regular pace, or doubles tennis? Do not include walking. | |||||||||
| BH104:
How much time did you usually spend doing moderate physical activities on one
of those days? |
|||||||||
| BH104a: ___ minutes per day | |||||||||
| BH104H: ___ hours per day | |||||||||
| BH104M: ___ minutes per day | |||||||||
| BH105: During the last 7 days, on how many days did you walk for at least 10 minutes at a time? | |||||||||
| BH106: How much time did you usually spend walking on one of those days? | |||||||||
| BH106a: ___ minutes per day | |||||||||
| BH106H: ___ hours per day | |||||||||
| BH106M: ___ minutes per day | |||||||||
| BH107: During the last 7 days, how much time (per day) did you spend sitting (at work/home/while doing course work/during leisure time) on a week day? | |||||||||
| BH107a: ___ minutes per day | |||||||||
| BH107: On a typical weekday, how many hours would [you/he/she] spend watching TV? | |||||||||
| bh108 - On a typical weekday, how many hours would [you/he/she] spend watching TV? | |||||||||
| BH109:
During the past month, how many times per week/month did you do physical
activities/exercises to strengthen your muscles? Do not count aerobic
activities (walking/running/bicycling), but those using your own body weight
(yoga/Pilates/sit-ups/push-ups/weight machines, free weights, or elastic
bands). |
|||||||||
| BH110: Number of times per week | |||||||||
| BH111: Number of times per month | |||||||||
| Sleep section | |||||||||
| BH200: Approximately how many hours [do/does] [you/he/she] sleep on a weeknight? | |||||||||
| BH201: How likely are you to doze off or fall asleep during the day? | |||||||||
| BH202: How often do you have trouble falling asleep? | |||||||||
| BH203:
How often do you have trouble with waking up too early and not being able to
fall asleep again? |
|||||||||
| BH204 IWER: HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION BH? | |||||||||
| Alcohol Questions | |||||||||
| BH301. Has [Rname] ever had an alcoholic drink e.g. glass of wine, glass of beer etc? | |||||||||
| BH302. Has [he/she] had an alcoholic drink of any kind in the last 12 months? | |||||||||
| BH303. During the last 12 months, how often has [he/she] drunk any alcoholic beverages, like beer, cider, wine, spirits or cocktails? | |||||||||
| BH304. More recently (i.e. in the last month), would you describe [his/her] current alcohol intake as: | |||||||||
| BH305. On the days that [he/she] drinks, what types of drinks would [he/she] be most likely to have? | |||||||||
| BH305_1: Full pint of beer/cider/lager | |||||||||
| BH305_2: Half pint or glass of beer/cider/lager | |||||||||
| BH305_3: Large can/bottle beer/cider/lager | |||||||||
| BH305_4: Small can/bottle beer/cider/lager | |||||||||
| BH305_5: Large glass of wine (250mls) | |||||||||
| BH305_6: Small glass of wine (125mls) | |||||||||
| BH305_7: Bottle of wine | |||||||||
| BH305_8: Measure of spirit | |||||||||
| BH305_9: Premixed spirit drink (e.g. Smirnoff Ice) | |||||||||
| BH305a: On the days [he/she] is drinking, about how many full pints of beer/cider/lager would [he/she] have? | |||||||||
| BH305b: On the days [he/she] is drinking, about how many half pints or glasses of beer/cider/lager would [he/she] have? | |||||||||
| BH305c: On the days [he/she] is drinking, about how many large cans/bottle beer/cider/lager would [he/she] have? | |||||||||
| BH305d: On the days [he/she] is drinking, about how many small cans/bottle beer/cider/lager would [he/she] have? | |||||||||
| BH305e: On the days [he/she] is drinking, about how many large glasses of wine (250mls) would [he/she] have? | |||||||||
| BH305f: On the days [he/she] is drinking, about how many small glasses of wine (125mls) would [he/she] have? | |||||||||
| BH305g: On the days [he/she] is drinking, about how many bottles of wine would [he/she] have? | |||||||||
| BH305h: On the days [he/she] is drinking, about how many measures of spirit would [he/she] have? | |||||||||
| BH305i: On the days [he/she] is drinking, about how many premixed spirit drinks (e.g. Smirnoff Ice) would [he/she] have? | |||||||||
| BH307: Thinking about [his/her] drink of choice, on average, in the last 6 months on the days that [he/she] drank, about how many did [he/she] have? | |||||||||
| BH306. Has [he/she] reduced [his/her] alcohol intake since the last interview? | |||||||||
| BH306b. Why did [he/she] reduce [his/her] alcohol intake? | |||||||||
| BH306b_01: Personal choice | |||||||||
| BH306b_02: Doctor's advice | |||||||||
| BH306b_03: Medication | |||||||||
| BH306b_04: Illness or ill health | |||||||||
| BH306b_95: Other reasons (please specify). | |||||||||
| BH306both: Other reasons (please specify). | |||||||||
| BH306b_98: DK | |||||||||
| BH306b_99: RF | |||||||||
| MH (Mental Health II) | |||||||||
| HAD-S | |||||||||
| MH201: I feel tense or "wound up" | |||||||||
| MH202: I get a sort of frightened feeling as if something awful is about to happen | |||||||||
| MH203: Worrying thoughts go through my mind | |||||||||
| MH204: I can sit at ease and feel relaxed | |||||||||
| MH205: I get a sort of frightened feeling like "butterflies" in the stomach | |||||||||
| MH206: I feel restless as if I have to be on the move | |||||||||
| MH207: I get sudden feelings of panic | |||||||||
| Composite International Diagnostic Interview – General Anxiety Disorder | |||||||||
| MH301: During the past 12 months, did you ever have a period lasting one month or longer when most of the time you felt worried, tense, or anxious? | |||||||||
| MH302: People differ a lot in how they worry about things. Did you have a time in the past 12 months when you worried a lot more than most people would in your situation? | |||||||||
| MH303: Has that period ended or is it still going on? | |||||||||
| MH304: How many months or years did it go on before it ended? | |||||||||
| MH304m: ___ Months | |||||||||
| MH304y: ___ Years | |||||||||
| MH305: How many months or years has it been going on? | |||||||||
| MH305m: ___ Months | |||||||||
| MH305y: ___ Years | |||||||||
| MH306: During that period, [was your/is your] worry stronger than in other people? | |||||||||
| MH307: [Did/Do] you worry most days? | |||||||||
| MH308: [Did/Do] you usually worry about one particular thing, such as your job security or the failing health of a loved one, or more than one thing? | |||||||||
| MH309: [Did/Do] you find it difficult to stop worrying? | |||||||||
| MH310: [Did/Do] you ever have different worries on your mind at the same time? | |||||||||
| MH311: How often [was/is] your worry so strong that you [couldn’t/can’t] put it out of your mind no matter how hard you [tried/try] – often, sometimes, rarely or never? | |||||||||
| MH312: How often [did/do] you find it difficult to control your worry – often, sometimes, rarely, or never? | |||||||||
| MH314: When you [were/are] worried or anxious, [were/are] you also restless? | |||||||||
| MH315: When you [were/are] worried or anxious, [were/are] you also keyed up or on edge? | |||||||||
| MH316: When you [were/are] worried or anxious, [were/are] you also easily tired? | |||||||||
| MH317: When you [were/are] worried or anxious, [did/do] you have difficulty keeping your mind on what you [were/are] doing? | |||||||||
| MH318: When you [were/are] worried or anxious, [were/are] you also more irritable than usual? | |||||||||
| MH319: When you [were/are] worried or anxious, [did/do] you have tense, sore or aching muscles? | |||||||||
| MH320:
When you [were/are] worried or anxious, [did/do] you have trouble falling
asleep or staying asleep |
|||||||||
| MH321: Did you tell a doctor about your worry or about the problems it was causing? | |||||||||
| MH322: Did you tell any other professional (such as psychologist, social worker, counsellor, nurse, clergy, or other helping professional)? | |||||||||
| MH323:
Did you take medication or use drugs or alcohol more than once for the worry
or the problems it was causing? |
|||||||||
| MH324: How much did/does the worry or anxiety interfere with your life or activities? | |||||||||
| WE (Employment Situation) | |||||||||
| Current activity status | |||||||||
| we001 - Now I'm going to ask you some questions about work, retirement and pensions. Which one of these would you say best describes [your/Rname's] current situation? | |||||||||
| we002 - Other employment situation | |||||||||
| we003 - Did [you/he/she], nevertheless, do any paid work during the last week, either as an employee or self-employed, for at least one hour? | |||||||||
| we004 - [Have/Has] [you/he/she] ever done any paid work? | |||||||||
| we007 - When [you/he/she] [were/was] working what was the title or name of [your/his/her] job? | |||||||||
| we007x - IWER: CODE WITHOUT ASKING: [Were/Was] [you/he/she] a farm owner or manager? | |||||||||
| we007a - IWER: Now code the occupation using the following codes (main survey) | |||||||||
| we007a - IWER: Now code the occupation using the following codes (pilot survey) | |||||||||
| we007b - What was the acreage of the farm? | |||||||||
| we007c - SOCIAL CLASS BACKGROUND VARIABLE | |||||||||
| we008 - Please look at this card. When [you/he/she] [were/was] working in this job, [were/was] [you/he/she] working in... | |||||||||
| we009 - In what year did you cease working full-time? | |||||||||
| we010 - Which of these best describes the work that [you/Rname] did in [your/Rname’s] that job? | |||||||||
| we011 [Were you/ Is Rname] a member of trade union or a staff association? | |||||||||
| we012 Did agreemetns between a trade union and [you/Rname] employer affect [you/his/her] pay, conditions or pensions? | |||||||||
| we013 Did the orgnization [you/he/she] worked for provided a group health insurance plan and did you avail of it? | |||||||||
| we005 - Why [are/is] [you/he/she] not currently working? | |||||||||
| we005oth - Other reason why not currently working | |||||||||
| Job description | |||||||||
| we101 - In the last two years, apart from [your/his/her] main job, [do/does] [you/he/she] have, [have/has] [you/he/she] had any other jobs? | |||||||||
| we102 - How many other jobs [do/does] [you/he/she] currently have? | |||||||||
| we103 - What is the name or title of this job? | |||||||||
| we103x - IWER: CODE WITHOUT ASKING: Is [he/she] a farm owner or manager? | |||||||||
| we103a - IWER: Now code the occupation using the following codes (main survey) | |||||||||
| we103a - IWER: Now code the occupation using the following codes (pilot survey) | |||||||||
| we103b - What is the acreage of the farm | |||||||||
| we103c - SOCIAL CLASS BACKGROUND VARIABLE | |||||||||
| we104 - In this job are you employed in the public sector? | |||||||||
| we149 - Is this job in… | |||||||||
| we152 - Which of these best describes the work that [you/Rname] [do/does] in [your/Rname's] main job? | |||||||||
| we153 - [Are you/ Is Rname] a member of a trade union or a tsff association? | |||||||||
| we154 - Do agreemetns between a trade union and [you/Rname] employer affect [you/his/her] pay, conditions or pensions? | |||||||||
| we155 - Does the organisation you work for provide a group health insurance plan and do you avail of it? | |||||||||
| we105 - In which year did [you/he/she] start this job? | |||||||||
| we106 - Could you please tell me, is this? | |||||||||
| we107 - How many hours a week [do/does] [you/he/she] usually work in this job, excluding meal breaks? | |||||||||
| we108 - What is [your/his/her] main reason for working less than 30 hours per week? | |||||||||
| we109 - Excluding paid vacation or paid leave, for how many weeks did [you/he/she] work in the last 12 months in this job? | |||||||||
| we110x - What kind of business, industry or services do yhou work in (that is, what do they make or do at the place where you work) | |||||||||
| we110 - IWER: record verbatim what kind of business, industry or services the respondent works in | |||||||||
| we111 - About how many people (including [yourself/Rname]) are employed at the place where [you/he/she] usually [work/works]? | |||||||||
| Wages | |||||||||
| we112 - Thinking about [your/his/her] typical wage/salary payment, what time period does this cover? | |||||||||
| we112oth - Other time period | |||||||||
| we114 - Before any deductions, about how much is [your/his/her] typical wage/salary payment? | |||||||||
| WE115- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| WE116- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| WE117- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| WE118- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| WE119- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| WE120- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| WE121- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| we122 - What is the total net amount, [you/he/she] [receive/receives] in [your/his/her] typical wage/salary payment? | |||||||||
| we122c1 - THE GROSS FIGURE ENTERED AT QUESTION WE114 IS THE SAME AS THE NET FIGURE ENTERED AT QUESTION WE122: GROSS FIG | |||||||||
| we122c2 - THE GROSS FIGURE ENTERED AT QUESTION WE114 IS MUCH LARGER COMPARED TO THE NET FIGURE ENTERED AT QUESTION WE122 | |||||||||
| WE150- The gross figure [i.e. before tax and other deductions] you have given [we114] is smaller/the same/much bigger when compared to the net figure [we122] [i.e. after tax and other deductions] you have given. Could you please confirm this is the case? If you are satisfied that these are correct then we can proceed to the next question | |||||||||
| WE123- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| WE124 Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| WE125- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| WE126- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| WE127- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| WE128- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| WE129- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| we130 - What was the total gross amount [you/he/she] earned in the last 12 months in this job? | |||||||||
| WE131- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| we134 - [Are/Is] [you/he/she] supplied with a company car which is available for private use? | |||||||||
| WE135- Please state make, model and year of the car? | |||||||||
| Working conditions | |||||||||
| we151 - All things considered I am satisfied with this job. Would you say you strongly agree, agree, disagree or strongly disagree? | |||||||||
| we136 - In [your/his/her] job, [do/does] [you/he/she] have any responsibility for supervising the work of other employees? | |||||||||
| we137 - About how many people [are/is] [you/he/she] responsible for in this job? | |||||||||
| Subsidary Jobs | |||||||||
| we138 - over the past 12 months, do you feel that you personally have been subjected at work to…? | |||||||||
| we138_01 - over the past 12 months, do you feel that you personally have been subjected at work to…? - Sexual discrimination / discrimination linked to gender | |||||||||
| we138_02 - over the past 12 months, do you feel that you personally have been subjected at work to…? - Age discrimination | |||||||||
| we138_03 - over the past 12 months, do you feel that you personally have been subjected at work to…? - Discrimination linked to nationality | |||||||||
| we138_04 - over the past 12 months, do you feel that you personally have been subjected at work to…? - Discrimination linked to ethnic background | |||||||||
| we138_05 - over the past 12 months, do you feel that you personally have been subjected at work to…? - Discrimination linked to religion | |||||||||
| we138_06 - over the past 12 months, do you feel that you personally have been subjected at work to…? - Discrimination linked to disability | |||||||||
| we138_07 - over the past 12 months, do you feel that you personally have been subjected at work to…? - Discrimination linked to sexual orientation | |||||||||
| we138_96 - over the past 12 months, do you feel that you personally have been subjected at work to…? - None of these | |||||||||
| we138_98 - over the past 12 months, do you feel that you personally have been subjected at work to…? - DK | |||||||||
| we138_99 - over the past 12 months, do you feel that you personally have been subjected at work to…? - RF | |||||||||
| we139 - if you wanted to reduce the number of paid hours in this job, would your employer allow you to do that? | |||||||||
| we140 - would your occupational pension benefits be affected? | |||||||||
| we141 - if you wanted to, would your employer allow you to move to a less demanding job in your company? | |||||||||
| we142 - would your occupational pension benefits be affected? | |||||||||
| we143 - we would like to ask some questions about your other jobs. Starting with the job with the next highest salary or next most number of hours per week, are you? | |||||||||
| we144 - how many hours a week do you usually work in this job, excluding meal breaks (but including any paid or upaid overtime)? | |||||||||
| we145 - I'd like to ask some details about ths job. What is the name or title of this job? | |||||||||
| we146 - What is the total gross amount (i.e. before deductions at source and excluding expense refunds) you received from this job in the last 12 months? | |||||||||
| we147 - before any tax and contributions, but after paying for any materials, equipment or goods that you use in your work, what was the approximate income from your farming activities in the last 12 months? | |||||||||
| we148 - before tax and social insurance contributions, what was the total income or profit you made? Please include and director's fee you might receive from this business or any money you draw for personal day-to-day living expenses (as distinct from business expenses) | |||||||||
| Self-Employed | |||||||||
| we201 - What is the nature of [your/his/her] business or occupation? | |||||||||
| we201a - Would [you/he/she] describe [yourself/himself/herself] as... | |||||||||
| we202a - what kind of business, industry or services do you work in (that is, what do they make or do at the place where you work)? | |||||||||
| we202b - IWER: record verbatim what kind of business, industry or services the respondent works in | |||||||||
| we218 - What is the title or name of [your/his/her] job? | |||||||||
| we218x - IWER: CODE WITHOUT ASKING: Is [he/she] a farm owner or manager? | |||||||||
| we218a - IWER: Now code the occupation using the following codes (main survey) | |||||||||
| we218a - IWER: Now code the occupation using the following codes (pilot survey) | |||||||||
| we218c - SOCIAL CLASS BACKGROUND VARIABLE | |||||||||
| we219 - Which of these best describes the work that [you/Rname] do[es] in [your/Rname’s] main job? | |||||||||
| we203 - In which year did [you/he/she] start this business? | |||||||||
| we204 - How many employees, if any, [do/does] [you/he/she] have in this business? | |||||||||
| we205 - What is the most recent year for which accounts have been prepared for the Revenue? | |||||||||
| we206 - In relation to this business, did [you/Rname] make a profit or loss in the most recent 12 months? | |||||||||
| we207 - How much was this loss? | |||||||||
| we208 - Excluding the share of any partner [you/he/she] might have, before tax and social insurance contributions, what was the total income or profit [you/he/she] made? | |||||||||
| we209 - Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| we210 - Did [you/he/she] make any PRSI payments on this income? | |||||||||
| we211 - How much did [you/he/she] pay in PRSI? | |||||||||
| we212 - [Have/Has] [you/he/she] paid any income tax in relation to the self-employment figure you have given? | |||||||||
| we213 - What was the amount paid? | |||||||||
| we214 - Did [you/he/she] receive any other income over that period? | |||||||||
| we215 - What was the value of this other income (before tax and social insurance payments)? | |||||||||
| we216 - How much tax and social insurance did [you/he/she] pay on this other income? | |||||||||
| WE220 [Do/does] [you/he/she] use a company owned car which is available for private use? | |||||||||
| WE221: Please state make, model and year of the car? | |||||||||
| we217 - All things considered I am satisfied with this job. Would you say you strongly agree, agree, disagree or strongly disagree? | |||||||||
| Self-Employed-Farming | |||||||||
| Farming | |||||||||
| we301 - [Do/Does] [you/Rname] own or [have/has] [you/he/she] owned a farm at any time during the last 2 years? | |||||||||
| we302 - How many acres of land did [you/he/she] own in the previous year? | |||||||||
| we303 - Did [you/he/she] let any of this land to anyone else in the previous 2 years? | |||||||||
| we304 - In the last two years how many acres did [you/he/she] let? | |||||||||
| we305 - How much annual rent did [you/he/she] receive for this land? | |||||||||
| we305_U1 - Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| we306 - Did [you/he/she] take (rent) or farm any other land (excluding commonage) on conacre or otherwise, in the previous year? | |||||||||
| we307 - How many acres did [you/he/she] rent? | |||||||||
| we308 - How much annual rent did [you/he/she] pay for this land? | |||||||||
| we309 - Please indicate what is the main enterprise or activity on [your/his/her] farm? | |||||||||
| we310_01 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - Cereal/potatoes/root crops | |||||||||
| we310_02 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - Fresh fruit or vegetables (excluding mushrooms) | |||||||||
| we310_03 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? -Mushrooms | |||||||||
| we310_04 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - Other crops | |||||||||
| we310_05 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - Dry stock (cattle) | |||||||||
| we310_06 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - Dairy Cattle | |||||||||
| we310_07 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - Sheep | |||||||||
| we310_08 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - Poultry | |||||||||
| we310_09 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - Pigs | |||||||||
| we310_10 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - Horses, mules, jennets, asses | |||||||||
| we310_11 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? Goats or deer | |||||||||
| we310_12 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - Forestry | |||||||||
| we310_95 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - other | |||||||||
| we310_96 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - No other enterprise | |||||||||
| we310_98 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - DK | |||||||||
| we310_99 - Please indicate which other enterprises [you/he/she] [are/is] engaged in on [your/his/her] farm? - RF | |||||||||
| we311_01 - In the last two years, [have/has] [you/he/she] received any of these payments? - Single Farm Payment scheme | |||||||||
| we311_02 - In the last two years, [have/has] [you/he/she] received any of these payments? - Rural Environment Protection Scheme (REPS) scheme | |||||||||
| we311_03 - In the last two years, [have/has] [you/he/she] received any of these payments? - Special Area of Conservation (SAC) scheme | |||||||||
| we311_04 - [In the last two years] [Have/Has] [you/he/she] received any of these payments? Forestry Premia Scheme | |||||||||
| we311_96 - In the last two years, [have/has] [you/he/she] received any of these payments? - None of these | |||||||||
| we311_98 - In the last two years, [have/has] [you/he/she] received any of these payments? - DK | |||||||||
| we311_99 - In the last two years, [have/has] [you/he/she] received any of these payments? - RF | |||||||||
| we312 - How much is [your/his/her] Net Single Farm Payment, i.e. after National Reserve and Modulation reduction? | |||||||||
| we313 - How much did [you/he/she] receive in REPS/AEOS payments in the last year? | |||||||||
| we314 - How much did [you/he/she] receive in non-REPS Special Area of Conservation (SAC) payment in the last year? | |||||||||
| we323 - How much did [you/he/she] receive in forestry premia payments in last year? | |||||||||
| we315 - Before any tax and contributions, but after paying for any materials etc, what was the approximate income from [your/his/her] farming activities in the last 12 months? | |||||||||
| we316 - Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| we317 - [Do/Does] [you/he/she] have an off-farm job? | |||||||||
| we318 - How many weeks of full-time farm work (5 or more days of 8 or more hours) did [you/he/she] do in the previous year? | |||||||||
| we319 - For how many weeks did [you/he/she] do part-time farm work during the last 12 months? | |||||||||
| we320 - How many hours per week did [you/he/she] usually work? | |||||||||
| we321 - All things considered I am satisfied with this job. Would you say you strongly agree, agree, disagree or strongly disagree? | |||||||||
| we322-Which of these best describes the work that [you/Rname] do[es] in [your/Rname’s] main job? | |||||||||
| Unemployed | |||||||||
| we401 - In what year did [you/he/she] become unemployed? | |||||||||
| we402 - In what month did [you/he/she] become unemployed? | |||||||||
| we403 - Would you tell us how [you/he/she] became unemployed? Was it... | |||||||||
| we404 - [Have/Has] [you/he/she] been doing anything to find work during the last four weeks? | |||||||||
| we405 - What is the main reason [you/he/she] [were/was] not looking for work during the last four weeks? | |||||||||
| we406 - Other main reason [you/he/she] [were/was] not looking for work during the last four weeks? | |||||||||
| we407_01 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - Read ads | |||||||||
| we407_02 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - Attend school or received other training | |||||||||
| we407_03 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - Checked with public employment agency | |||||||||
| we407_04 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - Checked with private employment agency | |||||||||
| we407_05 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - Visited employers directly | |||||||||
| we407_06 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - Telephoned or wrote to employers directly | |||||||||
| we407_07 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - Asked friends or relatives | |||||||||
| we407_08 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - Placed or answered ads | |||||||||
| we407_09 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - Searched internet | |||||||||
| we407_10 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - Didn’t do anything specific | |||||||||
| we407_95 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - Other (specify) | |||||||||
| we407_98 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - DK | |||||||||
| we407_99 - What are all of the things [you/he/she] [have/has] done to find work during the last four weeks? - RF | |||||||||
| we408 - What other [have/has] [you/he/she] done to find work during the last four weeks? | |||||||||
| we409 - How many employers did [you/he/she] call, write to or visit in the last four weeks? | |||||||||
| we410 - [Are/Is] [you/he/she] looking for part-time or full-time work? | |||||||||
| we411 - What is the lowest monthly wage [you/he/she] would accept if a job was offered to [you/him/her]? | |||||||||
| we412 - [Are/Is] [you/he/she] available for work immediately (i.e. within two weeks)? | |||||||||
| Permanently sick or disabled | |||||||||
| we501 - In what year did [you/he/she] become sick/disabled? | |||||||||
| we502 - In what month did [you/he/she] become sick/disabled? | |||||||||
| we503 - Was this illness caused by the working activities in [your/his/her] last job? | |||||||||
| Retired | |||||||||
| we601 - In what year did [you/he/she] retire? | |||||||||
| we602 - In what month did [you/he/she] retire? | |||||||||
| we603 - Did [you/he/she] take early retirement, that is did [you/he/she] retire before the normal retirement age? | |||||||||
| we604 - What would [you/he/she] say was the main reason why [you/he/she] retired? | |||||||||
| we604 - Other main reason why [you/he/she] are retired? | |||||||||
| we605_01 - What [were/was] [your/his/her] reasons for taking early retirement? - Own ill health | |||||||||
| we605_02 - What [were/was] [your/his/her] reasons for taking early retirement? - Ill health of a relative/friend | |||||||||
| we605_03 - What [were/was] [your/his/her] reasons for taking early retirement? - Made redundant/dismissed/had no choice | |||||||||
| we605_04 - What [were/was] [your/his/her] reasons for taking early retirement? - Offered early retirement incentive by employer | |||||||||
| we605_05 - What [were/was] [your/his/her] reasons for taking early retirement? - Could not find another job | |||||||||
| we605_06 - What [were/was] [your/his/her] reasons for taking early retirement? - To spend more time with partner/ family | |||||||||
| we605_07 - What [were/was] [your/his/her] reasons for taking early retirement? - To enjoy life while still young and fit enough | |||||||||
| we605_08 - What [were/was] [your/his/her] reasons for taking early retirement? - Fed up with job and wanted a change | |||||||||
| we605_09 - What [were/was] [your/his/her] reasons for taking early retirement? - To retire at the same time as husband/wife/partner | |||||||||
| we605_10 - What [were/was] [your/his/her] reasons for taking early retirement? - To give the young generation a chance | |||||||||
| we605_11 - What [were/was] [your/his/her] reasons for taking early retirement? - Retired due to COVID19 | |||||||||
| we605_12 - What [were/was] [your/his/her] reasons for taking early retirement? - The risk of contracting COVID19 in workplace | |||||||||
| we605_13 - What [were/was] [your/his/her] reasons for taking early retirement? - The risk of contracting COVID19 on public transport | |||||||||
| we605_95 - What [were/was] [your/his/her] reasons for taking early retirement? - Other (specify) | |||||||||
| we605_98 - What [were/was] [your/his/her] reasons for taking early retirement? - DK | |||||||||
| we605_99 - What [were/was] [your/his/her] reasons for taking early retirement? - RF | |||||||||
| we606 - Other reason for taking early retirement? | |||||||||
| we607 - How old [were/was] [you/he/she] when [you/he/she] received this incentive? | |||||||||
| we608 - What kind of incentive was this? | |||||||||
| we608a IWER: SPECIFY OTHER PENSION BENEFITS HERE: | |||||||||
| we608b IWER: SPECIFY OTHER HERE: | |||||||||
| we609 - When [you/he/she] first retired, did [you/he/she] retire on ... | |||||||||
| we610 - I'd like to ask some details about [your/Rname's] last job. In what year did [you/he/she] stop working at this job? | |||||||||
| we611 - In what month did [you/he/she] stop working at this job? | |||||||||
| we612 - For how many years had [you/he/she] been working in [your/his/her] last job before [you/he/she] left? | |||||||||
| we613 - What was the title or name of [your/his/her] job? | |||||||||
| we613x - IWER: CODE WITHOUT ASKING: Was [he/she] a farm owner or manager? | |||||||||
| we613a - IWER: Now code the occupation using the following codes (main survey) | |||||||||
| we613a - IWER: Now code the occupation using the following codes (pilot survey) | |||||||||
| we613b - What was the acreage of the farm? | |||||||||
| we613c - SOCIAL CLASS BACKGROUND VARIABLE | |||||||||
| we624 - In this job, [were/was] [you/he/she] working in… | |||||||||
| we625 - Which of these best describes the work that [you/Rname] did in [your/Rname’s] job before retiring? | |||||||||
| we626 - [Were you/Was Rname] a member of a trade union or a staff association? | |||||||||
| we627 - Did agreements between a trade union and [your/his/her] employer affect [your/Rname’s] pay, conditions or pensions? | |||||||||
| we628 - Did the organization you worked for provide a group health insurance plan and did you avail of it? | |||||||||
| we615 - Could you please tell me, was this | |||||||||
| we616 - How many hours a week did [you/he/she] usually work in this job, excluding meal breaks or any paid or unpaid overt? | |||||||||
| we617x - What kind of business, industry or services do you work in? | |||||||||
| we617 - INTERVIEWER: Record verbatim what kind of business, industry or services the respondent works in? | |||||||||
| we618 - About how many people (including [yourself/Rname]) were employed at the place where [you/he/she] worked? | |||||||||
| we619 - In this job, did [you/he/she] have any responsibility for supervising the work of other employees? | |||||||||
| we620 - About how many people [were/was] [you/he/she] responsible for in this job? | |||||||||
| we621 - What was the total net salary/wage [you/he/she] received in the last year? | |||||||||
| WE622- Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| GS (Grip Strength) | |||||||||
| gs000 - IMPORTANT: THIS NEXT SECTION SHOULD BE ADDRESSED DIRECTLY TO [Rname] PLEASE CODE AVAILABILITY OF [Rname] | |||||||||
| gs001 - IWER: Was the participant willing to have [his/her] grip strength measured? | |||||||||
| gs002- IWER: Give details why grip strength test not attempted. | |||||||||
| gs003 - Which is your dominant hand? | |||||||||
| gs004 - Can I just check, have you had a recent hand injury or surgery to your dominant hand within the last six months? Which hand was used in the test? | |||||||||
| gs005 - IWER: DOMINANT HAND MEASUREMENT 1. | |||||||||
| gs005a - DOMINANT HAND MEASUREMENT 2 | |||||||||
| gs006 - IWER: NON-DOMINANT HAND MEASUREMENT 1 | |||||||||
| gs006a - NON-DOMINANT HAND MEASUREMENT 2 | |||||||||
| gs007 - IWER: Record respondent's position. | |||||||||
| TUG (Timed Up and Go) | |||||||||
| tug001 - Are you able to walk alone without holding on to another person, using a walking stick or other aid? | |||||||||
| tug002 - Do you have any problems from recent surgery, injury, or other health condition? | |||||||||
| tug003 - So are you willing to do the walking test? | |||||||||
| tug004 - IWER: DO YOU FEEL THAT IT IS SAFE TO CONTINUE WITH THE TIMED UP AND GO TEST? | |||||||||
| tug005 - IWER: WAS THERE SUITABLE SPACE AVAILABLE FOR THE TEST? | |||||||||
| tug006 - IWER: WAS THERE A SUITABLE CHAOR AVAILABLE FOR THE TEST? | |||||||||
| tug007 - IWER: RECORD HEIGHT OF CHAIR FROM THE SEAT TO THE GROUND TO NEAREST CM. | |||||||||
| tug008 - IWER: RECORD RESULT OF THE FIRST TRIAL. | |||||||||
| tug009m - IWER: Enter time taken to complete walk in minutes, seconds and centiseconds. ENTER MINUTES HERE | |||||||||
| tug009s - IWER: Enter time taken to complete walk in minutes, seconds and centiseconds. ENTER SECONDS HERE | |||||||||
| tug009c - IWER: Enter time taken to complete walk in minutes, seconds and centiseconds. ENTER CENTISECONDS HERE | |||||||||
| tug010 - IWER: RECORD TYPE OF FLOOR SURFACE. | |||||||||
| tug011 - IWER: RECORD TYPE OF AID USED DURING TEST. | |||||||||
| JH (Job History) | |||||||||
| jh109 - [Have/Has] [you/Rname] done paid work at any time in [your/his/her] life? | |||||||||
| jh101 - At what age did [you/he/she] start [your/his/her] first regular job or business? (after [you/he/she] first left full-time education? | |||||||||
| jh102 - That is [x1] years ago. During this time, roughly how many years [have/has] [you/he/she] spent at work, either as an employee or self-employed? | |||||||||
| jh108 - This leaves [x2] year(s) in which [you/he/she] [were/was] not working. During these years, did [you/he/she] spend time mainly in: | |||||||||
| jh107 - HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION JH? | |||||||||
| JH110 - Think about [your/his/her] first job after [you/he/she] left full-time education. In [your/his/her] first job, [were/was] [you/he/she] working in …. | |||||||||
| JH111 - In which sector was this job?..... | |||||||||
| JH112 - What was the name or title of [your/his/her] occupation in this first job? | |||||||||
| JH113 - In which year did [you/he/she] first get married? | |||||||||
| JH114 - Did [you/he/she] have to leave a job because of the marriage bar? | |||||||||
| JH115 - Was the job that [you/he/she] had to leave, the first job that [you/he/she] had that we just discussed? | |||||||||
| JH116 - Think about the job [you/he/she] left because of the marriage bar. In that job, [were/was] [you/she/he] working in … | |||||||||
| JH117 - In which sector was this job? | |||||||||
| JH118 - What was the name or title of [your/his/her] occupation in this job? | |||||||||
| JH119 - Did [you/he/she] ever return to full-time employment after leaving this job? | |||||||||
| JH120 - In which year did [you/he/she] return to full time employment after leaving this job? | |||||||||
| JH121 - If [you/he/she] returned to work after the marriage bar, in which sector was this job? | |||||||||
| JH122 - What was the name or title of [your/his/her] occupation in job [you/he/she] had after [you/she/he] returned to work after the marriage bar? | |||||||||
| jh103 - Since you started your first regular job or business, roughly how many years have you spent unemployed? | |||||||||
| jh104 - Since you started your first regular job or business, roughly how many years have you spent in education or training? | |||||||||
| jh105 - Since you started your first regular job or business, roughly how many years have you spent in home duties caring for other family members? | |||||||||
| jh106 - Since you started your first regular job or business, roughly how many years have you spent in other activities such as retirement, being unable to work due to illness, sabbatical leave etc.? | |||||||||
| LE (Lifelong learning) | |||||||||
| LE101:
Are you currently attending or did you participate in any courses or any
other education and training in the last 12 months? |
|||||||||
| LE102:
Was/Is this course or activity run or organised by... |
|||||||||
| LE103: Other(Specify) | |||||||||
| LE104:
Please look at card LE1. What type of course was this? |
|||||||||
| LE105:
On average, how many hours per week did (does) this course involve |
|||||||||
| LE106:
For how many weeks did (will) this course last? |
|||||||||
| LE107:
What was the main reason for participating in this course or activity? |
|||||||||
| LE109: How ofter did R receive assisance with section le? | |||||||||
| WR (Planning for Retirement) | |||||||||
| wr001 - At what age do you plan to retire? | |||||||||
| wr002 - Are you... | |||||||||
| wr003 - Does your employer offer any kind of pension plan to employees which you could join if you wished? | |||||||||
| wr004 - Why aren't you a member of this pension scheme? | |||||||||
| wr004oth - Please record other reason why not a member of this pension scheme. | |||||||||
| wr006 - Did your employer ever inform you that the company had set up a Personal Retirement Savings Account (PRSA) to which you are entitled to contribute from your salary? | |||||||||
| wr007 - Why did you decide not to pay into the PRSA offered by your employer? | |||||||||
| wr007oth - Why else did you decide not to pay into the PRSA offered by your employer? | |||||||||
| Planning for retirenment- Occupational pension | |||||||||
| wr009: Do you have concerns about the adequacy of your income for your needs when you retire? | |||||||||
| wr101 - What is the name of the pension plan? | |||||||||
| wr102 - When you became eligible to participate in this plan, were you given a choice of whether to participate, or were you enrolled automatically? | |||||||||
| wr103 - At what age does this pension plan normally allow you to retire that is, what is the normal age of retirement? | |||||||||
| wr104 - Does this pension plan allow you to retire before the normal age of retirement? | |||||||||
| wr105 - What is the earliest age that your pension plan allows you to retire? | |||||||||
| wr105a - After you retire, on what basis will your pension be up-rated (increased)? | |||||||||
| wr106 - Is this pension more like Type A or Type B? | |||||||||
| wr107 - Does your employer contribute to this pension plan? | |||||||||
| wr108 - Per month, how much does your employer currently contribute to your pension plan? | |||||||||
| wr109 - ENTER AMOUNT IN EUROS | |||||||||
| wr155 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €50, €100, €250, €500 | |||||||||
| wr110 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr111 - Per month, how much do you currently contribute to your pension plan? | |||||||||
| wr156 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: 2.5%, 5%, 7.5%, 10% | |||||||||
| wr112 - ENTER AMOUNT IN EUROS | |||||||||
| wr157 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €50, €100, €250, €500 | |||||||||
| wr113 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr158 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: 2.5%, 5%, 7.5%, 10% | |||||||||
| wr114 - In the past 12 months, did you make any Additional Voluntary Contributions? | |||||||||
| wr115 - In the past 12 months, how much did you contribute through additional voluntary contributions? | |||||||||
| wr116 - ENTER AMOUNT IN EUROS | |||||||||
| wr159 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €500, €1000, €5000, €10,000 | |||||||||
| wr117 - ENTER PERCENTAGE OF ANNUAL SALARY | |||||||||
| wr160 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: 10%, 20%, 30%, 40% | |||||||||
| wr118 - For how many years have you been contributing to this pension plan? | |||||||||
| wr119 - What is the value, in euros, of your pension plan at present? | |||||||||
| wr161 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €10,000, €50,000, €100,000, €500,000 | |||||||||
| wr120 - When you retire, how will the funds from your pension plan be paid? | |||||||||
| wr121 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr122 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr162 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr123 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr163 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr124 - How much do you expect to receive, in euros, as a lump sum payment from this pension scheme when you retire? | |||||||||
| wr164 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €5,000, €10,000, €50,000, €100,000 | |||||||||
| wr125 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr126 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr165 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr127 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr166 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr128 - When you first started contributing to this pension plan, did you transfer funds from a previous pension plan? | |||||||||
| wr129 - Does your employer contribute to this pension plan? | |||||||||
| wr130 - Per month, how much does your employer currently contribute to your pension plan? | |||||||||
| wr131 - ENTER AMOUNT IN EUROS | |||||||||
| wr167 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €50, €100, €250, €500. | |||||||||
| wr132 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr168 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 2.5%, 5%, 7.5%, 10% | |||||||||
| wr133 - Per month, how much do you currently contribute to your pension plan? | |||||||||
| wr134 - ENTER AMOUNT IN EUROS | |||||||||
| wr169 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €50, €100, €250, €500. | |||||||||
| wr135 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr170 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 2.5%, 5%, 7.5%, 10% | |||||||||
| wr136 - In the past 12 months, did you make any Additional Voluntary Contributions (AVCs) | |||||||||
| wr137 - In the past 12 months, how much did you contribute through additional voluntary contributions? | |||||||||
| wr138 - ENTER AMOUNT IN EUROS | |||||||||
| wr171 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €500, €1000, €5000, €10,000 | |||||||||
| wr139 - ENTER PERCENTAGE OF ANNUAL SALARY | |||||||||
| wr172 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 10%, 20%, 30%, 40% | |||||||||
| wr140 - For how many years have you been contributing to this pension plan? | |||||||||
| wr141 - What is the value of your pension plan at present, in euros? | |||||||||
| wr173 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €10,000, €50,000, €100,000, €500,000 | |||||||||
| wr142 - Which of these best describes how your pension will be calculated? | |||||||||
| wr143 - Other which best describes how your pension will be calculated. | |||||||||
| wr146 - When you retire, how will the funds from your pension plan be paid? | |||||||||
| wr147 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr148 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr174- Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr149 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr175- Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr150 - How much, in euros, do you expect to receive as a lump sum payment from this pension scheme when you retire? | |||||||||
| wr176- Is it less than ____ , more than ____ , or what? BREAKPOINTS: €5,000, €10,000, €50,000, €100,000 | |||||||||
| wr151 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr152 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr177- Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr153 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr178- Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr154 - When you first started contributing to this pension plan, did you transfer funds from a previous pension plan? | |||||||||
| Planning for retirenment- Public Sector Pension | |||||||||
| wr201 - When did you start the job on which your pension is based? ENTER YEAR | |||||||||
| wr202 - Which type of public sector pension are you currently covered by? | |||||||||
| wr202oth - Other type of public sector pension | |||||||||
| wr204 - In the past 12 months, did you purchase any additional service years ('added years') or make any additional volu | |||||||||
| wr205 - In the past 12 months, how much did you spend in buying additional service years ('added years') or in additional AVCs | |||||||||
| wr206 - ENTER AMOUNT IN EUROS | |||||||||
| wr242
- Is it less than ____ , more than ____ , or what? BREAKPOINTS: €500, €1000, €5000, €10,000 |
|||||||||
| wr207 - ENTER PERCENTAGE OF ANNUAL SALARY | |||||||||
| wr243 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 10%, 20%, 30%, 40% | |||||||||
| wr208 - How much, in euros, do you expect to receive as a lump sum payment from this pension scheme when you retire? | |||||||||
| wr244
- Is it less than ____ , more than ____ , or what? BREAKPOINTS: €5,000, €10,000, €50,000, €100,000 |
|||||||||
| wr209 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr210 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr245 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr211 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr246 - Is it less than ____ , more than ____ , or what? BREAKPOINTS €250, €500, €750, €1000 | |||||||||
| wr215 - In the past 12 months, did you purchase any additional service years ('added years') or make any AVCs? | |||||||||
| wr216 - In the past 12 months, how much did you spend in buying additional service years ('added years') or in AVCs? | |||||||||
| wr217 - ENTER AMOUNT IN EUROS | |||||||||
| wr247 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €500, €1000, €5000, €10,000 | |||||||||
| wr218 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr248 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 10%, 20%, 30%, 40% | |||||||||
| wr219 - How much do you expect to receive as a lump sum payment from this pension scheme when you retire? | |||||||||
| wr249 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €5,000, €10,000, €50,000, €100,000 | |||||||||
| wr220 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr221 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr250 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr222 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr251 - Is it less than ____ , more than ____ , or what? BREAKPOINTS €250, €500, €750, €1000 | |||||||||
| wr226 - Per month, how much do you currently contribute to your pension plan? | |||||||||
| wr227 - ENTER AMOUNT IN EUROS | |||||||||
| wr252 - Is it less than ____ , more than ____ , or what? BREAKPOINTS €50, €100, €250, €500 | |||||||||
| wr228 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr253 - Is it less than ____ , more than ____ , or what? BREAKPOINTS 2.5%, 5%, 7.5%, 10% | |||||||||
| wr229 - In the past 12 months, did you purchase any additional service years ('added years') or make any AVCs? | |||||||||
| wr230 - In the past 12 months, how much did you spend in buying additional service years ('added years') or in AVCs? | |||||||||
| wr231 - ENTER AMOUNT IN EUROS | |||||||||
| wr254 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €500, €1000, €5000, €10,000 | |||||||||
| wr232 - ENTER PERCENTAGE OF ANNUAL SALARY | |||||||||
| wr255- Is it less than ____ , more than ____ , or what? BREAKPOINTS: 10%, 20%, 30%, 40% | |||||||||
| wr233 - When you retire, how will the funds from your pension plan be paid? | |||||||||
| wr234 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr235 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr256 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr236 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr257 - Is it less than ____ , more than ____ , or what? BREAKPOINTS €250, €500, €750, €1000 | |||||||||
| wr237 - How much, in euros, do you expect to receive as a lump sum payment from this pension scheme when you retire? | |||||||||
| wr258 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €5,000, €10,000, €50,000, €100,000 | |||||||||
| wr238 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr239 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr259 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr240 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr260 - Is it less than ____ , more than ____ , or what? BREAKPOINTS €250, €500, €750, €1000 | |||||||||
| wr241 - When you first started contributing to this pension plan, did you transfer funds from a previous pension plan? | |||||||||
| Planning for retirenment- PRSA | |||||||||
| wr301 - Do you currently pay into a Personal Retirement Savings Account (PRSA)? | |||||||||
| wr302 - What is the name of your PRSA policy and provider? | |||||||||
| wr303 - Does your employer contribute to this PRSA? | |||||||||
| wr304 - Per month, how much does your employer currently contribute to your PRSA? | |||||||||
| wr305 - ENTER AMOUNT IN EUROS | |||||||||
| wr326 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €50, €100, €250, €500 | |||||||||
| wr306 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr327 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 2.5%, 5%, 7.5%, 10% | |||||||||
| wr307 - Per month, how much do you currently contribute to your PRSA? | |||||||||
| wr308 - ENTER AMOUNT IN EUROS | |||||||||
| wr328 - Is it less than ____ , more than ____ , or what? BREAKPOINTS €50, €100, €250, €500 | |||||||||
| wr309 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr329 - Is it less than ____ , more than ____ , or what? BREAKPOINTS 2.5%, 5%, 7.5%, 10% | |||||||||
| wr310 - For how many years have you been contributing to this PRSA? | |||||||||
| wr311 - What is the value of your PRSA at present? | |||||||||
| wr330 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €10,000, €50,000, €100,000, €500,000 | |||||||||
| wr312 - In normal conditions, at what age will you be able to withdraw funds from your PRSA policy? | |||||||||
| wr313 - In case you became ill or decided to retire early, would your policy allow you to withdraw your PRSA funds before [age at WR312]? | |||||||||
| wr314 - What is the earliest age at which you can have access to the funds invested in this PRSA? | |||||||||
| wr315 - How are the funds in this PRSA invested? | |||||||||
| wr315oth - Other way funds in this PRSA are being invested | |||||||||
| wr317 - When you retire, how will you use the funds from your PRSA? | |||||||||
| wr318 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr319 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr331 - Is it less than ____ , more than ____ , or what?mBREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr320 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr332 - Is it less than ____ , more than ____ , or what? BREAKPOINTS €250, €500, €750, €1000 | |||||||||
| wr321 - How much do you expect to receive as a lump sum payment from this PRSA when you retire? IN EUROS | |||||||||
| wr333 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €5,000, €10,000, €50,000, €100,000 | |||||||||
| wr322 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr323 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr334 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr324 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr335 - Is it less than ____ , more than ____ , or what? BREAKPOINTS €250, €500, €750, €1000 | |||||||||
| wr325 - When you first started contributing to this pension plan, did you transfer funds from a previous pension plan? | |||||||||
| Planning for retirenment_ personal pension plan | |||||||||
| wr401 - Do you currently pay into one or more private pension plans or annuities (other than those we have already cover)? | |||||||||
| wr402 - How many private pension plans or annuities do you pay into? | |||||||||
| wr403_01 - What is the name of your private pension plan/annuity and provider? | |||||||||
| wr404_01 - Does your employer contribute to this private pension plan/annuity? | |||||||||
| wr405_01 - Per month, how much does your employer currently contribute to your private pension plan/annuity? | |||||||||
| wr406_01 - ENTER AMOUNT IN EUROS | |||||||||
| wr431_01 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €50, €100, €250, €500 | |||||||||
| wr446 - Thinking of the pensions you are entitled to from previous employments, how many pensions are you entitled to? | |||||||||
| wr407_01 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr432_01 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 2.5%, 5%, 7.5%, 10% | |||||||||
| wr408_01 - Per month, how much do you currently contribute to your private pension plan/annuity? | |||||||||
| wr409_01 - ENTER AMOUNT IN EUROS | |||||||||
| wr433_01 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €50, €100, €250, €500 | |||||||||
| wr410_01 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr434_01 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 2.5%, 5%, 7.5%, 10% | |||||||||
| wr411_01 - For how many years have you been contributing to this private pension plan/annuity? | |||||||||
| wr412_01 - What is the value in euros of your private pension plan/annuity at present? | |||||||||
| wr435_01 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €10,000, €50,000, €100,000, €500,000 | |||||||||
| wr413_01 - In normal conditions, at what age will you be able to withdraw funds from your private pension plan/annuity policy? | |||||||||
| wr414_01 - In case you became ill or decided to retire early, would your policy allow you to withdraw your private pension plan/annuity fund before [age in WR413_1]? | |||||||||
| wr415_01 - What is the earliest age that your pension plan/annuity allows you to retire? | |||||||||
| wr416_01 - Are the funds in this private pension plan/annuity invested… | |||||||||
| wr416oth - Other ways the funds in this private pension plan/annuity are being invested. | |||||||||
| wr418_01 - When you retire, how will you use the funds from your private pension plan/annuity? | |||||||||
| wr419_01 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr420_01 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr436_01 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr421_01 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr437_01 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr422_01 - How much do you expect to receive, in euros, as a lump sum payment from this private pension when you retire? | |||||||||
| wr438_01 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €5,000, €10,000, €50,000, €100,000 | |||||||||
| wr423_01 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr424_01 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr439_01 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr425_01 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr440_01 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr426_01 - When you first started contributing to this pension plan, did you transfer funds from another pension plan? | |||||||||
| wr403_02 - What is the name of your private pension plan/annuity and provider? | |||||||||
| wr404_02 - Does your employer contribute to this private pension plan/annuity? | |||||||||
| wr405_02 - Per month, how much does your employer currently contribute to your private pension plan/annuity? | |||||||||
| wr406_02 - ENTER AMOUNT IN EUROS | |||||||||
| wr407_02 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr408_02 - Per month, how much do you currently contribute to your private pension plan/annuity? | |||||||||
| wr409_02 - ENTER AMOUNT IN EUROS | |||||||||
| wr410_02 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr434_02 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 2.5%, 5%, 7.5%, 10% | |||||||||
| wr411_02 - For how many years have you been contributing to this private pension plan/annuity? | |||||||||
| wr412_02 - What is the value in euros of your private pension plan/annuity at present? | |||||||||
| wr435_02 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €10,000, €50,000, €100,000, €500,000 | |||||||||
| wr413_02 - In normal conditions, at what age will you be able to withdraw funds from your private pension plan/annuity policy? | |||||||||
| wr414_02 - In case you became ill or decided to retire early, would your policy allow you to withdraw your private pension plan/annuity fund before [age in WR413_2]? | |||||||||
| wr415_02 - What is the earliest age that your pension plan/annuity allows you to retire? | |||||||||
| wr416_02 - Are the funds in this private pension plan/annuity invested… | |||||||||
| wr416oth - Other ways the funds in this private pension plan/annuity are being invested. | |||||||||
| wr418_02 - When you retire, how will you use the funds from your private pension plan/annuity? | |||||||||
| wr419_02 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr420_02 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr436_02 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr421_02 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr437_02 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr422_02 - How much do you expect to receive, in euros, as a lump sum payment from this private pension when you retire? | |||||||||
| wr438_02
- Is it less than ____ , more than ____ , or what? BREAKPOINTS: €5,000, €10,000, €50,000, €100,000 |
|||||||||
| wr423_02 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr424_02 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr439_02 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr425_02 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr440_02 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr426_02 - When you first started contributing to this pension plan, did you transfer funds from another pension plan? | |||||||||
| wr403_03 - What is the name of your private pension plan/annuity and provider? | |||||||||
| wr404_03 - Does your employer contribute to this private pension plan/annuity? | |||||||||
| wr405_03 - Per month, how much does your employer currently contribute to your private pension plan/annuity? | |||||||||
| wr406_03 - ENTER AMOUNT IN EUROS | |||||||||
| wr407_03 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr408_03 - Per month, how much do you currently contribute to your private pension plan/annuity? | |||||||||
| wr409_03 - ENTER AMOUNT IN EUROS | |||||||||
| wr433_03 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €50, €100, €250, €500 | |||||||||
| wr410_03 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr434_03 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 2.5%, 5%, 7.5%, 10% | |||||||||
| wr411_03 - For how many years have you been contributing to this private pension plan/annuity? | |||||||||
| wr412_03 - What is the value in euros of your private pension plan/annuity at present? | |||||||||
| wr435_03 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €10,000, €50,000, €100,000, €500,000 | |||||||||
| wr413_03 - In normal conditions, at what age will you be able to withdraw funds from your private pension plan/annuity policy? | |||||||||
| wr414_03 - In case you became ill or decided to retire early, would your policy allow you to withdraw your private pension plan/annuity fund before [age in WR413_3]? | |||||||||
| wr415_03 - What is the earliest age that your pension plan/annuity allows you to retire? | |||||||||
| wr416_03 - Are the funds in this private pension plan/annuity invested… | |||||||||
| wr416oth - Other ways the funds in this private pension plan/annuity are being invested. | |||||||||
| wr418_03 - When you retire, how will you use the funds from your private pension plan/annuity? | |||||||||
| wr419_03 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr420_03 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr436_03 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr421_03 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr437_03 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr422_03 - How much do you expect to receive, in euros, as a lump sum payment from this private pension when you retire? | |||||||||
| wr438_03 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €5,000, €10,000, €50,000, €100,000 | |||||||||
| wr423_03 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr424_03 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr439_03 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr425_03 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr440_03 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr426_03 - When you first started contributing to this pension plan, did you transfer funds from another pension plan? | |||||||||
| wr403_04 - What is the name of your private pension plan/annuity and provider? | |||||||||
| wr404_04 - Does your employer contribute to this private pension plan/annuity? | |||||||||
| wr405_04 - Per month, how much does your employer currently contribute to your private pension plan/annuity? | |||||||||
| wr406_04 - ENTER AMOUNT IN EUROS | |||||||||
| wr407_04 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr408_04 - Per month, how much do you currently contribute to your private pension plan/annuity? | |||||||||
| wr409_04 - ENTER AMOUNT IN EUROS | |||||||||
| wr410_04 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr434_04 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 2.5%, 5%, 7.5%, 10% | |||||||||
| wr411_04 - For how many years have you been contributing to this private pension plan/annuity? | |||||||||
| wr412_04 - What is the value in euros of your private pension plan/annuity at present? | |||||||||
| wr435_04 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €10,000, €50,000, €100,000, €500,000 | |||||||||
| wr413_04 - In normal conditions, at what age will you be able to withdraw funds from your private pension plan/annuity policy? | |||||||||
| wr414_04 - In case you became ill or decided to retire early, would your policy allow you to withdraw your private pension plan/annuity fund before [age in WR413_4]? | |||||||||
| wr415_04 - What is the earliest age that your pension plan/annuity allows you to retire? | |||||||||
| wr416_04 - Are the funds in this private pension plan/annuity invested… | |||||||||
| wr416oth - Other ways the funds in this private pension plan/annuity are being invested. | |||||||||
| wr418_04 - When you retire, how will you use the funds from your private pension plan/annuity? | |||||||||
| wr419_04 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr420_04 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr436_04 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr421_04 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr437_04 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr422_04 - How much do you expect to receive, in euros, as a lump sum payment from this private pension when you retire? | |||||||||
| wr438_04 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €5,000, €10,000, €50,000, €100,000 | |||||||||
| wr423_04 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr424_04 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr439_04 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr425_04 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr440_04 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr426_04 - When you first started contributing to this pension plan, did you transfer funds from another pension plan? | |||||||||
| wr403_05 - What is the name of your private pension plan/annuity and provider? | |||||||||
| wr404_05 - Does your employer contribute to this private pension plan/annuity? | |||||||||
| wr405_05 - Per month, how much does your employer currently contribute to your private pension plan/annuity? | |||||||||
| wr406_05 - ENTER AMOUNT IN EUROS | |||||||||
| wr407_05 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr408_05 - Per month, how much do you currently contribute to your private pension plan/annuity? | |||||||||
| wr409_05 - ENTER AMOUNT IN EUROS | |||||||||
| wr410_05 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr434_05 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 2.5%, 5%, 7.5%, 10% | |||||||||
| wr411_05 - For how many years have you been contributing to this private pension plan/annuity? | |||||||||
| wr412_05 - What is the value in euros of your private pension plan/annuity at present? | |||||||||
| wr435_05 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €10,000, €50,000, €100,000, €500,000 | |||||||||
| wr413_05 - In normal conditions, at what age will you be able to withdraw funds from your private pension plan/annuity policy? | |||||||||
| wr414_05 - In case you became ill or decided to retire early, would your policy allow you to withdraw your private pension plan/annuity fund before [age in WR413_5]? | |||||||||
| wr415_05 - What is the earliest age that your pension plan/annuity allows you to retire? | |||||||||
| wr416_05 - Are the funds in this private pension plan/annuity invested… | |||||||||
| wr416oth - Other ways the funds in this private pension plan/annuity are being invested. | |||||||||
| wr418_05 - When you retire, how will you use the funds from your private pension plan/annuity? | |||||||||
| wr419_05 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr420_05 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr436_05 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr421_05 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr437_05 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr422_05 - How much do you expect to receive, in euros, as a lump sum payment from this private pension when you retire? | |||||||||
| wr438_05 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €5,000, €10,000, €50,000, €100,000 | |||||||||
| wr423_05 - When you retire, before any tax deductions, how much do you expect to receive each month from this pension? | |||||||||
| wr424_05 - ENTER PERCENTAGE OF SALARY | |||||||||
| wr439_05 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr425_05 - ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr440_05 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr426_05 - When you first started contributing to this pension plan, did you transfer funds from another pension plan? | |||||||||
| wr427 - Apart from any pension plans we have already talked about, are you entitled to any other pensions from previous employers? | |||||||||
| wr428 - Now thinking of all the pensions you are entitled to from previous employments. How much do you expect to receive in euros as a lump sum? | |||||||||
| wr441 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €5,000, €10,000, €50,000, €100,000 | |||||||||
| wr429 - Still thinking of all the pensions you are entitled to from previous employments. In total, how much do you expect to receive each month when you retire? | |||||||||
| wr442_01 - IWER: ENTER PERCENTAGE OF SALARY | |||||||||
| wr443 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 20%, 40%, 60%, 80% | |||||||||
| wr444_01 -IWER: ENTER MONTHLY AMOUNT IN EUROS | |||||||||
| wr445 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €250, €500, €750, €1000 | |||||||||
| wr430 - HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION WR? | |||||||||
| wr431 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €50, €100, €250, €500 | |||||||||
| wr446 - Thinking of the pensions you are entitled to from previous employments, how many pensions are you entitled to? | |||||||||
| wr432 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: 2.5%, 5%, 7.5%, 10% | |||||||||
| wr447 - For how many years have you contributed to this pension? | |||||||||
| wr433_01 - Is it less than ____ , more than ____ , or what? BREAKPOINTS: €50, €100, €250, €500 | |||||||||
| wr448 - Did this pension arise from employment in the public sector? | |||||||||
| NU (Literacy/Numeracy/Financial Literacy) | |||||||||
| nu001 - If the chance of getting a disease is 10 percent, how many people out of 1,000 would be expected to get the disease? | |||||||||
| nu002 - If 5 people all have the winning numbers in the lottery and the prize is two million euro, how much will each of them get? | |||||||||
| nu003 - Let’s say you have €200 in a savings account. The account earns 10 percent interest per year. How much would you have in the account at the end of two years? | |||||||||
| nu004 - How confident are you filling out medical forms by yourself? | |||||||||
| nu005 - Is the respondent able to do the literacy test? | |||||||||
| nu005th- Other, please specify | |||||||||
| nu006 - Looking at the card, what is the maximum number of days you may take this medicine | |||||||||
| nu007 - : Looking at the card, list three situations for which you should consult a doctor | |||||||||
| nu008 - Looking at the card, list one condition for which you might take the Medco tablet | |||||||||
| nu009 - Looking at the card, list one condition for which you should not take the Medco tablet | |||||||||
| nu010 - Are you generally a person who is willing to take risks or do you try to avoid taking risks? Please select a number on a scale from 0 to 10, where the value 0 means not at all willing to take risks and the value 10 means very willing to take risks. | |||||||||
| nu011 - In deciding how much of your family’s income to spend or save, people are likely to think about different financial planning periods. In planning your family’s saving and spending, which of the following time periods is more important to you and your husband/wife/partner? | |||||||||
| TP (Transfer to Parents) | |||||||||
| Mother Alive | |||||||||
| tp001 - Is your mother alive? | |||||||||
| tp002 - How old is your mother? | |||||||||
| tp003 - Can your mother be left alone for an hour or more? | |||||||||
| tp004 - Would you say that your mother's health is… | |||||||||
| tp004a - Please look at this card, Has a doctor ever told your mother that she has any of the following? | |||||||||
| Mother deceased | |||||||||
| tp005 - How old was your mother when she died? | |||||||||
| tp006a - In what month did she die? | |||||||||
| tp006 - In what year did she die? | |||||||||
| Father Alive | |||||||||
| tp007 - Is your father alive? | |||||||||
| tp008 - How old is your father? | |||||||||
| tp009 - Can your father be left alone for an hour or more? | |||||||||
| tp010 - Would you say that your father's health is… | |||||||||
| tp010a - Please look at this card, Has a doctor ever told your father that she has any of the following? | |||||||||
| Father deceased | |||||||||
| tp011 - How old was he when he died? | |||||||||
| tp012 - In what month did he die? | |||||||||
| tp012a - In what year did he die? | |||||||||
| Only mother living | |||||||||
| tp013 - Is your mother currently married or in a relationship? | |||||||||
| tp014 - With whom does your mother live? | |||||||||
| tp015 - Where does your mother live? | |||||||||
| tp016 - How often do you see your mother in person? | |||||||||
| tp017 - How often do you have contact with your mother by telephone, email or post? | |||||||||
| Only father living | |||||||||
| tp018 - Is your father currently married or in a relationship? | |||||||||
| tp019 - With whom does your father live? | |||||||||
| tp020 - Where does your father live? | |||||||||
| tp021 - How often do you see your father in person? | |||||||||
| tp022 - How often do you have contact with your father by telephone, email or post? | |||||||||
| Both parents living | |||||||||
| tp023 - Do your parents live together? | |||||||||
| tp024 - With whom does your father live? | |||||||||
| tp025 - With whom does your mother live? | |||||||||
| tp026 - With whom do your parents live? | |||||||||
| tp027 - Where do your parents live? | |||||||||
| tp028 - How often do you see your parents in person? | |||||||||
| tp029 - How often do you have contact with your parents by telephone, email, or post? | |||||||||
| Parents do not live together | |||||||||
| tp030 - Where does your mother live? | |||||||||
| tp031 - How often do you see your mother in person? | |||||||||
| tp032 - How often do you have contact with your mother by telephone, email, or post? | |||||||||
| tp033 - Where does your father live? | |||||||||
| tp034 - How often do you see your father in person? | |||||||||
| tp035 - How often do you have contact with your father by telephone, email, or post? | |||||||||
| Siblings | |||||||||
| tp036 - Now I have some questions about your siblings. How many living sisters do you have? | |||||||||
| tp037 - How many living brothers do you have? | |||||||||
| tp038 - Excluding shared housing and food, did any of your siblings give any type of financial assistance to your parents in the last 2 years? | |||||||||
| tp039 - In the last two years, because of health problems, did any of your siblings help your parents with basic personal activities? | |||||||||
| Financial Help to Parents | |||||||||
| tp040 - Not counting any shared housing or shared food, in the last two years, have you given financial help to your parents? | |||||||||
| tp041 - In total over these two years, did this assistance amount to €250 or more? | |||||||||
| tp042 - In total, in the last two years, about how much was this support? | |||||||||
| tp0043 - Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| Non-Financial Help to Parents | |||||||||
| tp044 - In the last two years, because of health problems, did you help your regularly with basic personal activities? | |||||||||
| tp045 - Did this help take at least 1 hour a week? | |||||||||
| tp046 - Who received this help? | |||||||||
| tp047 - Roughly how many hours did you spend helping in an average week? | |||||||||
| tp048 - Did it amount to less than XXXXX hours, more than YYYYY hours, or what? | |||||||||
| tp049 - In the last two years, did you help your parents with other things such as household chores, errands etc? | |||||||||
| tp050 - Did this help take at least 1 hour a week? | |||||||||
| tp051 - Who received this help? | |||||||||
| tp052 - Roughly how many hours did you spend helping in an average week? | |||||||||
| tp053 - Did it amount to less than XXXXX hours, more than YYYYY hours, or what? | |||||||||
| Financial Help From Parents | |||||||||
| tp054 - Not counting any shared food or housing, have you received financial help from your parents in the last two years? | |||||||||
| tp055 - In total over these two years, did this assistance amount to €250 or more? | |||||||||
| tp056 - In total, in the last two years, about how much was this support? | |||||||||
| tp057 - Did it amount to less than XXXXX , more than YYYYY, or what? | |||||||||
| tp058: How ofter did R receive assisance with section tp? | |||||||||
| (CN) Social Connecteness and Caring | |||||||||
| cn002a - In total, then, how many living children do you have? (including step, foster and adoptive children) | |||||||||
| cn002 - How many of your children do you feel very close to? | |||||||||
| cn003 - In general, (apart from your children), how many (other) relatives do you have that you feel close to? (People you feel at ease with, can talk to about private matters, and can call on for help)? | |||||||||
| cn004 - In general, how many close friends do you have? (People that you feel at ease with, can talk to about private matters, and can call on for help). | |||||||||
| cn001 - Do you participate in any groups such as a sports or social group or club, a church connected group, a self-help or charitable body or other community group or a day care centre? | |||||||||
| Volunteering and Caring | |||||||||
| cn006 - Did you do any of these activities during the last month, that is since <date>? IF YES, Which ones? | |||||||||
| cn007 - For which of the reasons given on this card, if any, do you do voluntary work or give unpaid help? | |||||||||
| cn007_01 - For which of the reasons given on this card, if any, do you do voluntary work or give unpaid help? - To meet other people | |||||||||
| cn007_02 - For which of the reasons given on this card, if any, do you do voluntary work or give unpaid help? - To contribute something useful | |||||||||
| cn007_03 - For which of the reasons given on this card, if any, do you do voluntary work or give unpaid help? - For personal achievement | |||||||||
| cn007_04 - For which of the reasons given on this card, if any, do you do voluntary work or give unpaid help? - Because I am needed | |||||||||
| cn007_05 - For which of the reasons given on this card, if any, do you do voluntary work or give unpaid help? - Because I enjoy it | |||||||||
| cn007_06 - For which of the reasons given on this card, if any, do you do voluntary work or give unpaid help? - To use my skills | |||||||||
| cn007_07 - For which of the reasons given on this card, if any, do you do voluntary work or give unpaid help? - To keep fit | |||||||||
| cn007_08 - For which of the reasons given on this card, if any, do you do voluntary work or give unpaid help? - Because I feel obliged to do it | |||||||||
| cn007_96 - For which of the reasons given on this card, if any, do you do voluntary work or give unpaid help? - None of these | |||||||||
| cn014 - Considering all the efforts that I have put into voluntary work, I have always felt appreciated by others. (Would you strongly agree, agree, disagree, or strongly disagree?) | |||||||||
| cn008 - Did you look after anyone in the past week (including your partner, any grandchildren or other people in your household)? | |||||||||
| cn009 - What relation is this person or people to you? | |||||||||
| cn009_01 - What relation is this person or people to you? - Spouse or partner | |||||||||
| cn009_02 - What relation is this person or people to you? - Child | |||||||||
| cn009_03 - What relation is this person or people to you? - Grandchild | |||||||||
| cn009_04 - What relation is this person or people to you? - Other relative | |||||||||
| cn009_05 - What relation is this person or people to you? - Friend or neighbour | |||||||||
| cn009_95 - What relation is this person or people to you? - Other | |||||||||
| cn010 - How many hours in the past week did you do this? | |||||||||
| cn011 - May I check, is there anyone (living with /not living with) who is sick, disabled or frail whom you look after or give special help to, other than in a professional capacity (for example, a sick or disabled (or elderly) relative/husband/wife/child/friend/parent, etc.)? | |||||||||
| cn012 - Who is that person? | |||||||||
| cn018 - What relation is this person or people to you? | |||||||||
| cn018_01 - What relation is this person or people to you? - Spouse or partner | |||||||||
| cn018_02 - What relation is this person or people to you? - Child | |||||||||
| cn018_03 - What relation is this person or people to you? - Grandchild | |||||||||
| cn018_04 - What relation is this person or people to you? - Other relative | |||||||||
| cn018_05 - What relation is this person or people to you? - Friend or neighbour | |||||||||
| cn018_95 - What relation is this person or people to you? - Other | |||||||||
| cn018_96 - What relation is this person or people to you? - None of these | |||||||||
| cn015 - How many hours in the past week did you do this? | |||||||||
| cn011a - [Has that person/Have any of these people] whom you look after or give special help to, been diagnosed with Alzheimer's or another form of dementia? | |||||||||
| cn013 - How long have you been a carer? | |||||||||
| cn013m - Enter Time in Months | |||||||||
| cn013y - Enter Time in Years | |||||||||
| cn017 - Considering all the efforts that I have put into caring, I have always felt appreciated by others. (Would you strongly agree, agree, disagree, or strongly disagree?) | |||||||||
| Carer Strain Index | |||||||||
| cn101 - My sleep is disturbed | |||||||||
| cn102 - Caregiving is inconvenient | |||||||||
| cn103 - Caregiving is a physical strain | |||||||||
| cn104 - Caregiving is confining | |||||||||
| cn105 - There have been family adjustments | |||||||||
| cn106 - There have been changes in personal plans | |||||||||
| cn107 - There have been other demands on my time | |||||||||
| cn108 - There have been emotional adjustments | |||||||||
| cn109 - Some behaviour is upsetting | |||||||||
| cn110 - It is upsetting to find the person I care for has changed so much from his/her former self | |||||||||
| cn111 - There have been work adjustments | |||||||||
| cn112 - Caregiving is a financial strain | |||||||||
| cn113 - I feel completely overwhelmed | |||||||||
| Religion | |||||||||
| dm020 - What is your religion? | |||||||||
| dm021 - About how often do you go to religious services? | |||||||||
| dm026 - How often do you watch or listen to religious services on the radio, television or internet? (Any religious services inside/without leaving home) | |||||||||
| dm022 - How important would you say religion is in your life; is it very important, somewhat important, or not too important? | |||||||||
| dm023 - Do you find that you get comfort and strength from religion or not? | |||||||||
| dm021a - About how often would you go to religious services? | |||||||||
| dm022a - How important would you say religion is in your life; is it very important, somewhat important, or not too important? | |||||||||
| dm023a - Do you find that you get comfort and strength from religion or not? | |||||||||
| dm064 - I would now like to ask a question about praying. About how often do you pray apart from at religious services? | |||||||||
| dm068 - What was your religion back then? | |||||||||
| dm065 - About how often did you go to religious services back then? | |||||||||
| dm066 - How important would you say religion was in your life back twenty years ago; was it very important, somewhat important, or not too important? | |||||||||
| dm067 - About how often would you pray back then apart from at religious services? | |||||||||
| cn005 - HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION CN? (IWER (CODE WITHOUT ASKING) | |||||||||
| SI (Source of Income) | |||||||||
| Income from occupational pensions | |||||||||
| si101 - [Are/Is] [you/he/she] receiving a retirement pension from a former employment? | |||||||||
| si102 - How many of these retirement pensions [are/is] [you/he/she] currently receiving? | |||||||||
| si103_1 - Does this pension arise from employment in the public sector? | |||||||||
| si104_1 - Was this pension more like Type A or Type B? | |||||||||
| si105_1 - In which year did [you/he/she] start receiving this pension? | |||||||||
| si106_1 - For how many months during the last 12 months did [you/he/she] receive this pension? | |||||||||
| si107_1 - How long a period did [your/his/her] last pension payment cover? | |||||||||
| si103_1 - Does this pension arise from employment in the public sector? | |||||||||
| si104_1 - Was this pension more like Type A or Type B? | |||||||||
| si105_1 - In which year did [you/he/she] start receiving this pension? | |||||||||
| si106_1 - For how many months during the last 12 months did [you/he/she] receive this pension? | |||||||||
| si107_1 - How long a period did [your/his/her] last pension payment cover? | |||||||||
| si108-Other (specify) period last pension payment covered | |||||||||
| si108-Other (specify) period last pension payment covered | |||||||||
| si108-Other (specify) period last pension payment covered | |||||||||
| si109_1 - Before any deductions, about how much was the last payment from this pension (in Euros)? | |||||||||
| si109_1 - Before any deductions, about how much was the last payment from this pension (in Euros)? | |||||||||
| Si115_01 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €75, €200, €300, €500. | |||||||||
| sI116_01 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €450, €900, €1,300, €1700. | |||||||||
| sI117_01 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €300, €1,000, €2200, €3600. | |||||||||
| sI118_01 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €300, €1,000, €2200, €3600. | |||||||||
| sI119_01 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €300, €1,000, €2200, €3600. | |||||||||
| sI120_01 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €300, €1,000, €2200, €3600. | |||||||||
| sI121_01 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €300, €1,000, €2200, €3600. | |||||||||
| si110_1 - Did [you/he/she] ever receive any additional or lump sum (one off) payment from this pension? | |||||||||
| si110_1 - Did [you/he/she] ever receive any additional or lump sum (one off) payment from this pension? | |||||||||
| si111_1 - Did this lump sum payment occur in the last 12 months? | |||||||||
| si111_1 - Did this lump sum payment occur in the last 12 months? | |||||||||
| si112_1 - Before taxes, about how much did [you/he/she] receive as additional or lump sum payments from this pension? | |||||||||
| si112_1 - Before taxes, about how much did [you/he/she] receive as additional or lump sum payments from this pension? | |||||||||
| si122_01 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €16000, €40,000, €75000, €100000. | |||||||||
| si113_1 - On what basis is [your/his/her] pension up-rated (increased)? | |||||||||
| si113_1 - On what basis is [your/his/her] pension up-rated (increased)? | |||||||||
| Income from private pensions or annuities | |||||||||
| si201-Receiving payments from private pension or annuity? | |||||||||
| si202-how many pensions/annuities? | |||||||||
| si203- In which year did [you/he/she] start receiving this pension/annuity? | |||||||||
| si204 - For how many months during the last 12 months did [you/he/she] receive this pension/annuity? | |||||||||
| si205 - How long a period did [your/his/her] last pension/annuity payment cover? | |||||||||
| si205 - Other period last pension/annuity payment covered? | |||||||||
| si205 - Other period last pension/annuity payment covered? | |||||||||
| si207- Before any deductions, about how much was the last payment from this pension/annuity? | |||||||||
| si212 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €75, €200, €300, €500. | |||||||||
| si213 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €450, €900, €1,300, €1700. | |||||||||
| si214 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €300, €1,000, €2200, €3600. | |||||||||
| si215 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €300, €1,000, €2200, €3600. | |||||||||
| si216 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €300, €1,000, €2200, €3600. | |||||||||
| si217 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €300, €1,000, €2200, €3600. | |||||||||
| si218 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €300, €1,000, €2200, €3600. | |||||||||
| si208- Did [you/he/she] ever receive any additional or lump sum (one off) payment from this pension/annuity? | |||||||||
| si209 - Did this lump sum payment occur in the last 12 months? | |||||||||
| si210 - Before taxes, about how much did [you/he/she] receive as additional or lump sum payments from this pension/annuity? | |||||||||
| si219 - Did it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: €9000, €20000, €50000, €100000. | |||||||||
| si211_2 - On what basis is [your/his/her] pension up-rated (increased)? | |||||||||
| si203- In which year did [you/he/she] start receiving this pension/annuity? | |||||||||
| si204 - For how many months during the last 12 months did [you/he/she] receive this pension/annuity? | |||||||||
| si205 - How long a period did [your/his/her] last pension/annuity payment cover? | |||||||||
| si205 - Other period last pension/annuity payment covered? | |||||||||
| si207- Before any deductions, about how much was the last payment from this pension/annuity? | |||||||||
| si208- Did [you/he/she] ever receive any additional or lump sum (one off) payment from this pension/annuity? | |||||||||
| si209 - Did this lump sum payment occur in the last 12 months? | |||||||||
| si210 - Before taxes, about how much did [you/he/she] receive as additional or lump sum payments from this pension/annuity? | |||||||||
| si211_2 - On what basis is [your/his/her] pension up-rated (increased)? | |||||||||
| Income from individual state benefits | |||||||||
| si301_01 - Did [you/he/she] receive any of these payments in the last 12 months? - Contributory State Pension (previously known as Contributory Old Age Pension) | |||||||||
| si301_02 - Did [you/he/she] receive any of these payments in the last 12 months? - Non-Contributory State Pension (previously known as Non-Contributory Old Age Pension) | |||||||||
| si301_03 - Did [you/he/she] receive any of these payments in the last 12 months? - | |||||||||
| si301_04 - Did [you/he/she] receive any of these payments in the last 12 months? - Widow’s, Widower’s or Surviving Civil Partner’s Contributory Pension | |||||||||
| si301_05 - Did [you/he/she] receive any of these payments in the last 12 months? - Disability Allowance | |||||||||
| si301_06- Did [you/he/she] receive any of these payments in the last 12 months? - Jobseeker’s Allowance (previously known as Unemployment Assistance) | |||||||||
| si301_07 - Did [you/he/she] receive any of these payments in the last 12 months? - Disability Benefit or Illness Benefit | |||||||||
| si301_08- Did [you/he/she] receive any of these payments in the last 12 months? - Invalidity Pension | |||||||||
| si301_09 - Did [you/he/she] receive any of these payments in the last 12 months? - Jobseeker’s Benefit (previously known as Unemployment Benefit) | |||||||||
| si301_10 - Did [you/he/she] receive any of these payments in the last 12 months? - Carer’s Allowance | |||||||||
| si301_11 - Did [you/he/she] receive any of these payments in the last 12 months? - Supplementary Welfare Allowance (SWA) | |||||||||
| si301_95 - Did [you/he/she] receive any of these payments in the last 12 months? - Other (specify) | |||||||||
| si301_96- Did [you/he/she] receive any of these payments in the last 12 months? - None of these | |||||||||
| si301_98 - Did [you/he/she] receive any of these payments in the last 12 months? - DK | |||||||||
| si301_99 - Did [you/he/she] receive any of these payments in the last 12 months? - RF | |||||||||
| si301-Other(Specify) | |||||||||
| si301-Other(Specify) | |||||||||
| si302 - For how many weeks during the last 12 months did [you/he/she] receive the (Contributory) State Pension? | |||||||||
| si303 - What was the weekly amount of the (Contributory) State Pension [you/he/she] received during the last 12 months? | |||||||||
| si304 - For how many weeks during the last 12 months did [you/he/she] receive the (Non-Contributory) State Pension? | |||||||||
| si305 - What was the weekly amount of the (Non-Contributory) State Pension? | |||||||||
| si306 - For how many weeks during the last 12 months did [you/he/she] receive the (Transition) State Pension? | |||||||||
| si307 - What was the weekly amount of the (Transition) State Pension [you/he/she] received during the last 12 months? | |||||||||
| si308 - For how many weeks during the last 12 months did [you/he/she] receive the Widow's or Widower's Contributory Pension? | |||||||||
| si309 - What was the weekly amount of the Widow's or Widower's Contributory Pension [you/he/she] received during the last 12 months? | |||||||||
| si310 - For how many weeks during the last 12 months did [you/he/she] receive the Disability Allowance? | |||||||||
| si311 - What was the weekly amount of the Disability Allowance [you/he/she] received during the last 12 months? | |||||||||
| si312 - For how many weeks during the last 12 months did [you/he/she] receive the Jobseeker's Allowance? | |||||||||
| si313 - What was the weekly amount of the Jobseeker's Allowance [you/he/she] received during the last 12 months? | |||||||||
| si314 - For how many weeks during the last 12 months did [you/he/she] receive the Disability Benefit? | |||||||||
| si315 - What was the weekly amount of the Disability Benefit [you/he/she] received during the last 12 months? | |||||||||
| si316 - For how many weeks during the last 12 months did [you/he/she] receive the Invalidity Pension? | |||||||||
| si317 - What was the weekly amount of the Invalidity Pension [you/he/she] received during the last 12 months? | |||||||||
| si318 - For how many weeks during the last 12 months did [you/he/she] receive the Jobseeker's Benefit? | |||||||||
| si319 - What was the weekly amount of the Jobseeker's Benefit [you/he/she] received during the last 12 months? | |||||||||
| si320 - For how many weeks during the last 12 months did [you/he/she] receive the Carer's Allowance? | |||||||||
| si321 - What was the weekly amount of the Carer's Allowance [you/he/she] received during the last 12 months? | |||||||||
| si322 - For how many weeks during the last 12 months did [you/he/she] receive the Supplementary Welfare Allowance? | |||||||||
| si323 - What was the weekly amount of the Supplementary Welfare Allowance [you/he/she] received during the last 12 months? | |||||||||
| si324_01 - Did [you/he/she] receive any of these payments in the last 12 months? - Pre-retirement Allowance | |||||||||
| si324_02 - Did [you/he/she] receive any of these payments in the last 12 months? - Back To Work Allowance | |||||||||
| si324_03 - Did [you/he/she] receive any of these payments in the last 12 months? - Back To Work Enterprise Allowance | |||||||||
| si324_04 - Did [you/he/she] receive any of these payments in the last 12 months? - Back To Education Allowance | |||||||||
| si324_05 - Did [you/he/she] receive any of these payments in the last 12 months? - Part-time Job Incentive Scheme | |||||||||
| si324_06 - Did [you/he/she] receive any of these payments in the last 12 months? - Farm Assist Scheme | |||||||||
| si324_07 - Did [you/he/she] receive any of these payments in the last 12 months? - Widow's, Widower's or Surviving Civil Partner’s Non-Contributory Pension | |||||||||
| si324_08 - Did [you/he/she] receive any of these payments in the last 12 months? - Widowed or Surviving Civil Partner Grant | |||||||||
| si324_09 - Did [you/he/she] receive any of these payments in the last 12 months? - Deserted Wife's Benefit | |||||||||
| si324_10 - Did [you/he/she] receive any of these payments in the last 12 months? - Bereavement Grant | |||||||||
| si324_11 - Did [you/he/she] receive any of these payments in the last 12 months? - Injury Benefit | |||||||||
| si324_12 - Did [you/he/she] receive any of these payments in the last 12 months? - Disablement Benefit | |||||||||
| si324_13 - Did [you/he/she] receive any of these payments in the last 12 months? - Blind Pension | |||||||||
| si324_14 - Did [you/he/she] receive any of these payments in the last 12 months? - Constant Attendance Allowance | |||||||||
| si324_15 - Did [you/he/she] receive any of these payments in the last 12 months? - Infectious Diseases Maintenance Allowance | |||||||||
| si324_16 - Did [you/he/she] receive any of these payments in the last 12 months? - Medical Care Scheme | |||||||||
| si324_17 - Did [you/he/she] receive any of these payments in the last 12 months? - Pandemic Unemployment Payment (PUP) | |||||||||
| si324_18 - Did [you/he/she] receive any of these payments in the last 12 months? - Temporary COVID-19 Wage Subsidy Scheme (TWSS) / Employment Wage Subsidy Scheme (EWSS) | |||||||||
| si324_96 - Did [you/he/she] receive any of these payments in the last 12 months? - None of these | |||||||||
| si324_98 - Did [you/he/she] receive any of these payments in the last 12 months? - DK | |||||||||
| si324_99 - Did [you/he/she] receive any of these payments in the last 12 months? - RF | |||||||||
| si325 - Thinking of the last 12 months, in total, how much did [you/he/she] receive from these benefits? | |||||||||
| si325a_01 - [Are/Is] [you/he/she] in receipt of any of the following Social Welfare payments: Child Benefit (Children's Allowance)? | |||||||||
| si325a_02 - [Are/Is] [you/he/she] in receipt of any of the following Social Welfare payments: One/Single Parent Family Allowance scheme? | |||||||||
| si325a_03 - [Are/Is] [you/he/she] in receipt of any of the following Social Welfare payments: Family Income Supplement scheme? | |||||||||
| si325a_04 - [Are/Is] [you/he/she] in receipt of any of the following Social Welfare payments: Deserted Wife's Allowamce scheme? | |||||||||
| si325a_05 - [Are/Is] [you/he/she] in receipt of any of the following Social Welfare payments: None of these. | |||||||||
| si325a_06 - [Are/Is] [you/he/she] in receipt of any of the following Social Welfare payments: Don't know. | |||||||||
| si325a_07 - [Are/Is] [you/he/she] in receipt of any of the following Social Welfare payments: Refused. | |||||||||
| si325b - In respect of how many children [do/does] [you/he/she] currently receive Child Benefit (Children's Allowance)? | |||||||||
| si325c - How much did [you/he/she] receive last week from the Single Parent Family Allowance scheme? | |||||||||
| si325d - How much did [you/he/she] receive last week from the Family Income Supplement scheme? | |||||||||
| si325e - How much did [you/he/she] receive last week from the Deserted Wife's Allowance scheme? | |||||||||
| si326_01 - Did [you/he/she] receive any of these types of benefits in the last 12 months? - Free travel | |||||||||
| si326_02 - Did [you/he/she] receive any of these types of benefits in the last 12 months? - Free Television Licence | |||||||||
| si326_03 - Did [you/he/she] receive any of these types of benefits in the last 12 months? - Telephone Rental Allowance | |||||||||
| si326_04 - Did [you/he/she] receive any of these types of benefits in the last 12 months? - Free Electricity Allowance | |||||||||
| si326_05 - Did [you/he/she] receive any of these types of benefits in the last 12 months? - Free Natural Gas | |||||||||
| si326_06 - Did [you/he/she] receive any of these types of benefits in the last 12 months? - Free Bottled Gas Refill Vouchers | |||||||||
| si326_96 - Did [you/he/she] receive any of these types of benefits in the last 12 months? - None of these | |||||||||
| si326_98 - Did [you/he/she] receive any of these types of benefits in the last 12 months? - DK | |||||||||
| si326_99 - Did [you/he/she] receive any of these types of benefits in the last 12 months? - RF | |||||||||
| si327 - Approximately how much [have/has] [you/he/she] saved over the last 4 weeks by using [your/his/her] free travel pass? | |||||||||
| si328 - [Have/Has] [you/he/she] received a social welfare payment from another country in the last 12 months? | |||||||||
| si329 - What was the total foreign social welfare payment [you/he/she] received during the last 12 months (in Euros)? | |||||||||
| Other sources of income | |||||||||
| si401 - Did [you/he/she] receive any payments from [your/his/her] life insurance policy in the last 12 months? | |||||||||
| si402 - Before taxes, how much did [you/he/she] receive from this life insurance policy in the last 12 months? | |||||||||
| si403 - Did [you/he/she] receive any payments from other sources, such as other insurance payments etc | |||||||||
| si404 - Before taxes, how much did [you/he/she] receive from all these payments in the last 12 months? | |||||||||
| si405 - [Have/Has] [you/he/she] had any income tax directly refunded by the Revenue Commissioners during the last 12 months? | |||||||||
| si406 - How much was refunded? | |||||||||
| si407_01-Which of these people were in receipt of income of any kind during past twelve months? | |||||||||
| si407_02-Which of these people were in receipt of income of any kind during past twelve months? | |||||||||
| si407_03-Which of these people were in receipt of income of any kind during past twelve months? | |||||||||
| si407-Name Person i | |||||||||
| si407-Age Person i | |||||||||
| si407-Sex Person i | |||||||||
| si407-ID | |||||||||
| si412-Could you estimate i's net annual income(after tax & deductions)? | |||||||||
| si409-Aprroximately, what is i's net annual income? | |||||||||
| si409-Aprroximately, what is i's net annual income? | |||||||||
| si411-Did the net income of I amount to a figure of less thanXXXX, more than YYYY, or what? | |||||||||
| si408-How much income in total have these people received during the last 12 months? | |||||||||
| si409-Did the household income amount to a total of less thanXXXX, more than YYYY. | |||||||||
| si410-How often did respondent receive assistance? | |||||||||
| Household Consumption | |||||||||
| si501 - About how much did you and your household spend on food that you use at home in the PAST MONTH? | |||||||||
| si502 - Excluding any meals at work], about how much did you and your household spend eating out in the PAST MONTH? | |||||||||
| si503 - About how much did you and your household spend on consumer durable such as cars, televisions, furniture, etc [include clothes and small appliances] in the PAST MONTH? | |||||||||
| si504 - About how much did you and your household spend on household utililties such as gas, electricity, phone bills (including mobile phone credit) in the PAST MONTH? | |||||||||
| si505 - So in total you and your household spent [si501+si502+si503+si504] on household utilities, consumer durables and food in the past month. Does that sound correct? | |||||||||
| si501check - Check:spend on food that you use at home in the PAST MONTH? | |||||||||
| si502check - Check: spend eating out in the PAST MONTH? | |||||||||
| si503check - Check: spend on consumer durable such as cars, televisions, furniture, etc [include clothes and small appliances] in the PAST MONTH? | |||||||||
| si504check- Check: spend on household utililties such as gas, electricity, phone bills (including mobile phone credit) in the PAST MONTH? | |||||||||
| si506 - If [you/he/she] should die, would [your/his/her] [husband/wife/partner] continue to receive the same payment, get a reduced payment, or would the payments end? | |||||||||
| si507 - If [you/he/she] should die, would [your/his/her] [husband/wife/partner] continue to receive the same payment, get a reduced payment, or would the payments end? | |||||||||
| si508 - Did [you/he/she] take this pension as… | |||||||||
| si509 - Did [you/he/she] take this pension as… | |||||||||
| HW (House Ownership) | |||||||||
| hw100 - [Do/Does] [you/he/she] still own or rent a residence outside the nursing home? | |||||||||
| hw100a - Is this the residence in which [you/he/she] [were/was] living at the time of the last interview? | |||||||||
| hw100b - Could I ask you for the address of this other residence | |||||||||
| hw101 - Now I have a few questions about [your/Rname's] main place of residence. Is this… | |||||||||
| hw102 - Other type of residence | |||||||||
| hw103 - How many rooms does [your/his/her] property have? | |||||||||
| hw104 - In what year was the property constructed? | |||||||||
| hw118 - For how many years have you lived at this address? | |||||||||
| hw119 - What type of piped water supply does your accommodation have? | |||||||||
| hw105 - With regard to the main residence, is the dwelling ... | |||||||||
| hw106 - Did [you/Rname] receive any rent from this property in the last year? | |||||||||
| hw107 - How much income or rent did [you/he/she] receive from that property in the last year, after any expenses and taxes? | |||||||||
| hw108 - In your opinion, about how much would this property fetch if it were to be sold today? | |||||||||
| hw108a - Would this amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| hw109 - Is [your/his/her] property... | |||||||||
| hw110 - How much is [your/his/her] present monthly mortgage repayment? | |||||||||
| hw111 - In what year was [your/his/her] mortgage taken out? | |||||||||
| hw112 - What is the term of [your/his/her] mortgage (in years)? | |||||||||
| hw113 - Excluding interest, how much of the principal amount remains outstanding? | |||||||||
| hw114 - [Do/Does] [you/he/she] rent this property from [your/his/her] local authority? | |||||||||
| hw115 - How much rent [Do/Does] [you/he/she] pay weekly to the local authority? | |||||||||
| hw116 - How much rent did [you/he/she] pay (before rent allowances, if applicable) in the last month? | |||||||||
| hw117 - IWER (CODE WITHOUT ASKING): HOW OFTEN DID RESPONDENT RECEIVE ASSISTANCE WITH ANSWERS IN SECTION HW? | |||||||||
| HW118: For how many years [have you lived / did you live] at [this/that] address? | |||||||||
| HW119: What type of piped water supply does your accommodation have? | |||||||||
| hw108b - How did you/your household acquire the (part of) the residence you own/your household owns | |||||||||
| AS (Other Assets) | |||||||||
| as101 - If [you/he/she] added up all the deposit or saving accounts [you/he/she] currently own, about how much would they amount to right now? | |||||||||
| as118 - Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| as102 - Before taxes, how much interest did you and/or your spouse/partner receive from these accounts in the last 12 months? | |||||||||
| as103 - Think of other financial assets [you/he/she] might currently own, such as, life insurance etc, how much would this amount to right now? | |||||||||
| as104 - Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| as105 - Before taxes, how much interest and/or dividend did you receive from all these assets in the last 12 months? | |||||||||
| as106 - [Do/Does] [you/he/she] own one or more cars? | |||||||||
| as107 - How many cars [do/does] [you/he/she] own? Please exclude company cars. | |||||||||
| as108 - If [you/Rname] sold this/these(s) and paid off any debts that [you/he/she] may have on it/them, about how much would be left? | |||||||||
| as121 - Does it amount to a total of less than ____ , more than ____ , or what? BREAKPOINTS: € 1,000, €5,000, €10,000, €20,000. RANDOM ENTRY POINTS: €7,500, €10,000. | |||||||||
| as109 - [Do/Does] [you/he/she] own any other houses, flats or holiday homes (excluding timeshares) besides [your/his/her] own residence that we discussed already? | |||||||||
| as119 - In which year did [you/he/she] purchase this (most recently bought) property? | |||||||||
| as110 - How much income or rent did [you/he/she] receive from that property in the last year, after any expenses and taxes? | |||||||||
| as111 - If [you/he/she] sold all that property about how much would [you/he/she] get? | |||||||||
| as120 - Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| as112 - If [you/Rname] own any other assets, how much in total would they be worth right now? | |||||||||
| as113 - Did it amount to a total of less than XXXXX, more than YYYYY, or what? | |||||||||
| as114 - Did [you/he/she] receive any income from those assets in the last 12 months? | |||||||||
| as115 - In the last 12 months, how much income did [you/he/she] receive from these assets? | |||||||||
| as116 - Excluding any mortgage [you/he/she] might have on [your/his/her] primary residence, how much [do/does] [you/he/she] currently owe? | |||||||||
| as117 - IWER(CODE WITHOUT ASKING): HOW OFTEN DID RESPONDENT RECEIVE ASSISTANCE WITH ANSWERS IN SECTION AS? | |||||||||
| as122 - Do [you and/or your husband/wife/partner] own an Approved Retirement Fund (ARF) or an AMRF (Approved Minimum Retirement Fund)? | |||||||||
| as123 - If [you/he/she] added up all the ARFs/AMRFs [you/he/she] and/or [your/his/her] spouse/partner currently own, about how much would they amount to right now? | |||||||||
| as124 - Does it amount to a total of less than ____ , more than ____ , or what? | |||||||||
| as125 - Before taxes, about how much drawdown did [you/Rname] and/or [your/his/her] spouse/partner make from these ARF/AMRF accounts in the last 12 months? | |||||||||
| EX (Expectations and Crime) | |||||||||
| ex101 - Using the scale on this card, what is the percent chance that you will live to be... | |||||||||
| ex102. Using the same scale, what are the chances you will be working full-time after you reach age 62? | |||||||||
| ex103. Using the same scale, what are the chances you will be working full-time after you reach age 65? | |||||||||
| ex104 - What are the chances that you will move to a nursing home in the next five years? | |||||||||
| ex105. Using the same scale, and assuming you will still be alive at age 75, what are the chances that your health will allow you to live independently? By that, I mean to live at home without help and to manage your own affairs? | |||||||||
| ex106. Using the same scale, and assuming you will still be alive at age 75, what are the chances that you will be free of serious memory or reasoning problems? By that I mean problems that would interfere with your ability to manage your own affairs? | |||||||||
| ex108 - What are the chances that you will lose your job during the next year? | |||||||||
| ex109 - Suppose you were to lose your job this month. What do you think are the chances that you could find an equally good job? | |||||||||
| ex110 - What are the chances that five years from now your standard of living will be better than today? | |||||||||
| ex112 - Using the same scale, including property and other valuables, what are the chances that you will leave an inheritance totalling €50,000 or more? | |||||||||
| ex113 - Using the same scale, what are the chances that you will leave an inheritance totalling €150,000 or more? | |||||||||
| ex114 - Using the same scale, what are the chances that you will leave any inheritance? | |||||||||
| ex115 -Now thinking about your retirement, how much money do you think you will have to live on? | |||||||||
| ex116 - Do you worry about the possibility that you, or anyone else who lives with you, might become a victim of crime? | |||||||||
| ex117 - How safe do you feel when you are alone in your own home at night? | |||||||||
| ex118 - INTERVIEWER: IF NEVER ALONE PROBE : How safe WOULD you feel? | |||||||||
| ex119 - How safe do you feel walking alone in this area after dark? | |||||||||
| ex107 - HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION EX | |||||||||
| ex120: [Have/Has] [you/he/she] made [your/his/her] wishes/preferences known about the kind of care that [you/he/she] would like to receive in the event of serious illness? | |||||||||
| ex120_01 - [Have/Has] [you/he/she] made [your/his/her] wishes/preferences known about the kind of care that [you/he/she] would like to receive in the event of serious illness? - Informally by conversations with relatives/ significant others | |||||||||
| ex120_02 - [Have/Has] [you/he/she] made [your/his/her] wishes/preferences known about the kind of care that [you/he/she] would like to receive in the event of serious illness? - Informally by conversations with medical professionals | |||||||||
| ex120_03 - [Have/Has] [you/he/she] made [your/his/her] wishes/preferences known about the kind of care that [you/he/she] would like to receive in the event of serious illness? - Formally by documenting in writing [your/his/her] wishes for example completing a “Living Will”, “Advance Care/Healthcare Directive” or “Think Ahead” document? | |||||||||
| ex120_04 - [Have/Has] [you/he/she] made [your/his/her] wishes/preferences known about the kind of care that [you/he/she] would like to receive in the event of serious illness? - None of these | |||||||||
| ex120_98 - [Have/Has] [you/he/she] made [your/his/her] wishes/preferences known about the kind of care that [you/he/she] would like to receive in the event of serious illness? - DK | |||||||||
| ex120_99 - [Have/Has] [you/he/she] made [your/his/her] wishes/preferences known about the kind of care that [you/he/she] would like to receive in the event of serious illness? - RF | |||||||||
| EX121: [Have/Has][ you/Rname] made a will? | |||||||||
| ex122 - Using the same scale, including property and other valuables, what are the chances that you [and/or your spouse/partner] will receive an inheritance totalling €10,000 or more? | |||||||||
| ex123 - Using the same scale, what are the chances that you [and/or your spouse/partner] will receive an inheritance totalling €100,000 or more? | |||||||||
| ex124 - Using the same scale, what are the chances that you [and/or your spouse/partner] will receive any inheritance? | |||||||||
| DR (Driving/Travel) | |||||||||
| dr001 - Within the past twelve months, which of these methods of transport have you used regularly? | |||||||||
| dr001_01 - Within the past twelve months, which of these methods of transport have you used regularly? - Bicycle/ motorbike | |||||||||
| dr001_02 - Within the past twelve months, which of these methods of transport have you used regularly? - Drive myself | |||||||||
| dr001_03 - Within the past twelve months, which of these methods of transport have you used regularly? - Driven as passenger by family | |||||||||
| dr001_04 - Within the past twelve months, which of these methods of transport have you used regularly? - Driven as passenger by friends | |||||||||
| dr001_05 - Within the past twelve months, which of these methods of transport have you used regularly? - Public bus (city or urban) | |||||||||
| dr001_06 - Within the past twelve months, which of these methods of transport have you used regularly? - Public bus (intercity) | |||||||||
| dr001_07 - Within the past twelve months, which of these methods of transport have you used regularly? - Public bus (rural) | |||||||||
| dr001_08 - Within the past twelve months, which of these methods of transport have you used regularly? - Taxi/Hackney | |||||||||
| dr001_09 - Within the past twelve months, which of these methods of transport have you used regularly? - DART/Luas | |||||||||
| dr001_10 - Within the past twelve months, which of these methods of transport have you used regularly? - Train (commuter) | |||||||||
| dr001_11 - Within the past twelve months, which of these methods of transport have you used regularly? - Train (intercity) | |||||||||
| dr001_12 - Within the past twelve months, which of these methods of transport have you used regularly? - Bus operating as part of the rural transport scheme | |||||||||
| dr001_13 - Within the past twelve months, which of these methods of transport have you used regularly? - None of these | |||||||||
| dr001_98 - Within the past twelve months, which of these methods of transport have you used regularly? - DK | |||||||||
| dr001_99 - Within the past twelve months, which of these methods of transport have you used regularly? - RF | |||||||||
| dr002 - Which of these methofd of transport do you use most often? | |||||||||
| dr003 - In an average week, how often do you drive? | |||||||||
| dr004 - Do you drive less now copmared to five years ago? | |||||||||
| dr005 - Did you used to drive? | |||||||||
| dr006 - Do you have a valid driver's licence? | |||||||||
| dr007 - Are you currently insured to drive a car? | |||||||||
| dr008 - What was it that caused you to stop / reduce the amount you drive? | |||||||||
| dr008_01 - What was it that caused you to stop / reduce the amount you drive? - Problems with eyesight/Visual impairment | |||||||||
| dr008_02 - What was it that caused you to stop / reduce the amount you drive? - Problems with Hearing/Hearing impairment | |||||||||
| dr008_03 - What was it that caused you to stop / reduce the amount you drive? - Physical incapacity | |||||||||
| dr008_04 - What was it that caused you to stop / reduce the amount you drive? - Memory problems | |||||||||
| dr008_05 - What was it that caused you to stop / reduce the amount you drive? - Do not want to anymore | |||||||||
| dr008_06 - What was it that caused you to stop / reduce the amount you drive? - Told by doctor | |||||||||
| dr008_07 - What was it that caused you to stop / reduce the amount you drive? - Told by family | |||||||||
| dr008_08 - What was it that caused you to stop / reduce the amount you drive? - It became too expensive | |||||||||
| dr008_09 - What was it that caused you to stop / reduce the amount you drive? - Other reason not related to health/capacity | |||||||||
| dr008_98 - What was it that caused you to stop / reduce the amount you drive? - DK | |||||||||
| dr008_99 - What was it that caused you to stop / reduce the amount you drive? - RF | |||||||||
| dr009 - When was the last time that you drove? | |||||||||
| DR010
- Over the past 12 months, how often has [not driving / reduced driving]
affected how you socialise with others, like visiting family and
friends? |
|||||||||
| DR011
- Over the past 12 months, how often has [not driving / reduced driving]
affected your ability to go about your business such as doing the shopping,
going to the post-office, visiting the bank, attending the church etc. |
|||||||||
| DR012
- Over the past 12 months, how often has [not driving / reduced driving]
affected your ability to attend health and social care appointments such as
out-patient clinics at the hospital? |
|||||||||
| DR013
- How would you rate overall private transport options in your neighbourhood
such as taxis and hackneys? |
|||||||||
| DR014
- How would you rate overall public transport options in your neighbourhood
such as trains, public buses and community buses? |
|||||||||
| DR015
- Does the lack of transport facilities in your area affect your
lifestyle? |
|||||||||
| DR016
- What would you consider are the most important improvements that could be
made to the transport options available to you? |
|||||||||
| DR017
- IWER: HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION DR? |
|||||||||
| dr018 - How often [do/does] [you/Rname] drive? | |||||||||
| dr019 - How often [do/does] [you/Rname] travel in a car as a passenger? | |||||||||
| dr020 - How often [do/does] [you/Rname] use public transport? | |||||||||
| dr021 - Why don't you use public transport more often? | |||||||||
| dr021_01 - Why don't you use public transport more often? - No public transport available | |||||||||
| dr021_02 - Why don't you use public transport more often? - Public transport available does not take me where I want to go | |||||||||
| dr021_03 - Why don't you use public transport more often? - Too expensive | |||||||||
| dr021_04 - Why don't you use public transport more often? - Unreliable | |||||||||
| dr021_05 - Why don't you use public transport more often? - Infrequent | |||||||||
| dr021_06 - Why don't you use public transport more often? - My health prevents me | |||||||||
| dr021_07 - Why don't you use public transport more often? - Do not need to | |||||||||
| dr021_08 - Why don't you use public transport more often? - Fear of crime | |||||||||
| dr021_09 - Why don't you use public transport more often? - Too dirty | |||||||||
| dr021_10 - Why don't you use public transport more often? - Not convenient | |||||||||
| dr021_11 - Why don't you use public transport more often? - Prefer to walk | |||||||||
| dr021_12 - Why don't you use public transport more often? - Difficulties with mobility | |||||||||
| dr021_13 - Why don't you use public transport more often? - Resident in nursing home | |||||||||
| dr021_95 - Why don't you use public transport more often? - Other | |||||||||
| dr021oth - Why don't you use public transport more often? - Other (specify) | |||||||||
| dr021_98 - Why don't you use public transport more often? - DK | |||||||||
| dr021_99 - Why don't you use public transport more often? - RF | |||||||||
| DRC (Driving/Travel/Crime) | |||||||||
| MD (Medications) | |||||||||
| MD001A - Now I would like to record all the medications the you take on a regular basis. - Does Respondent take medications? | |||||||||
| md001b_1 - md001b_10 - Medication name | |||||||||
| md001a_1 - md001a_10 - Medication 4-digit code | |||||||||
| MD001 - Name of medication | |||||||||
| MD001_01 - MD001_20 - Medication 1 (to 20) - Code Number | |||||||||
| MD001_NONPROP_01 - MD001_NONPROP_20 - Medication 1 (to 20) - Name | |||||||||
| MD001OTH_01-MD001OTH_20 - Medication Other (not on list) | |||||||||
| MD001_ATC_01 - MD001_ATC_20 -Medication 1 (to 20) - ATC code | |||||||||
| MD001OTH - INTERVIEWER: does the respondent take any other medications? | |||||||||
| md005_01 (to md005_20) - Was this medication prescribed by a doctor or did you get it over the counter? | |||||||||
| md002 - Would you be happy to provide us with [your/Rname] medical card number for this purpose? | |||||||||
| md002a - At the last interview [you/Rname] agreed to provide us with [your/his/her] medical card number ….. I would just like to check … | |||||||||
| MD002 feedforward response: Whether gave medical card number at wave 1 | |||||||||
| MD002a - Please can you tell me [your/his/her] medical card number? | |||||||||
| md004 - IWER code how you recorded the medical number | |||||||||
| MD006 - In the last 12 months have you ever forgotten to take any of the medicines you are supposed to regularly take? | |||||||||
| MD007 - How often have you forgotten to take your medication in the last 12 months? | |||||||||
| MD008 - In the last 12 months, have you ever received a prescription from your GP that you didn’t fill with the pharmacy because you thought that the medication was too expensive? | |||||||||
| md009 - [Have/Has] [you/he/she] ever been treated with antidepressant medication for depression? | |||||||||
| CONTACT NAMES (CT) | |||||||||
| CS035 Can you give me the name, address, telephone number and relationship of two persons who do not live with you and who would know where you are, in case we need to contact you in the future? | |||||||||
| CT (Contact and Address) | |||||||||
| Nursing Home | |||||||||
| nhnum_1 - person asked about | |||||||||
| nh001_1 - You told me that [Rname] has moved into a (nursing home/residential home/other institution). Do you think that [he/she] would be able to answer the questions on [his/her] behalf? | |||||||||
| nh002_1 - Is there someone who could accompany me to the nursing home to assist [Rname] with the interview or to answer the questions on [his/her] behalf? | |||||||||
| nh003na_1 - RECORD: NAME OF PERSON TO TALK ABOUT [Rname] (IN FULL) | |||||||||
| nh003na - RECORD: NAME OF PERSON TO TALK ABOUT [Rname] | |||||||||
| nh003ad_1 - RECORD: THEIR HOME ADDRESS (STREET,TOWN,COUNTY) | |||||||||
| nh002ad2_1 - RECORD: PROXY HOME ADDRESS (STREET,TOWN,COUNTY) | |||||||||
| nh003te_1 - ENTER TELEPHONE NUMBER FOR this person | |||||||||
| nh004_1 - Would you be prepared to give me the contact details of [Rname]'s residential/nursing home? | |||||||||
| nh006na_1 - RECORD: NAME OF NURSING HOME / RESIDENTAL HOME / OTHER INSTITUTION (IN FULL) | |||||||||
| nh006ad_1 - RECORD: PROXY ADDRESS OF NURSING HOME / RESIDENTAL HOME / OTHER INSTITUTION (STREET,TOWN,COUNTY) | |||||||||
| NH006TE_1 - ENTER TELEPHONE NUMBER FOR NURSING HOME / RESIDENTAL HOME / OTHER INSTITUTION | |||||||||
| nhnum_2 - person asked about | |||||||||
| nh001_2 - You told me that [Rname] has moved into a (nursing home/residential home/other institution). Do you think that [he/she] would be able to answer the questions on [his/her] behalf? | |||||||||
| nh002_2 - Is there someone who could accompany me to the nursing home to assist [Rname] with the interview? | |||||||||
| nh003na_2 - RECORD: NAME OF PERSON TO TALK ABOUT [Rname] (IN FULL) | |||||||||
| nh003na - RECORD: NAME OF PERSON TO TALK ABOUT [Rname] | |||||||||
| nh003ad_2 - RECORD: THEIR HOME ADDRESS (STREET,TOWN,COUNTY) | |||||||||
| nh002ad2_2 - RECORD: PROXY HOME ADDRESS (STREET,TOWN,COUNTY) | |||||||||
| nh003te_2 - ENTER TELEPHONE NUMBER FOR this person | |||||||||
| nh004_2 - Would you be prepared to give me the contact details of [Rname]'s residential/nursing home? | |||||||||
| nh006na_2 - RECORD: NAME OF NURSING HOME / RESIDENTAL HOME / OTHER INSTITUTION (IN FULL) | |||||||||
| nh006ad_2 - RECORD: PROXY ADDRESS OF NURSING HOME / RESIDENTAL HOME / OTHER INSTITUTION (STREET,TOWN,COUNTY) | |||||||||
| NH006TE_2 - ENTER TELEPHONE NUMBER FOR NURSING HOME / RESIDENTAL HOME / OTHER INSTITUTION | |||||||||
| nhnum_3 - person asked about | |||||||||
| nh001_3 - You told me that [Rname] has moved into a (nursing home/residential home/other institution). Do you think that [he/she] would be able to answer the questions on [his/her] behalf? | |||||||||
| nh002_3 - Is there someone who could accompany me to the nursing home to assist [Rname] with the interview? | |||||||||
| nh003na_3 - RECORD: NAME OF PERSON TO TALK ABOUT [Rname] (IN FULL) | |||||||||
| nh003na - RECORD: NAME OF PERSON TO TALK ABOUT [Rname] | |||||||||
| nh003ad_3 - RECORD: THEIR HOME ADDRESS (STREET,TOWN,COUNTY) | |||||||||
| nh002ad2_3 - RECORD: PROXY HOME ADDRESS (STREET,TOWN,COUNTY) | |||||||||
| nh003te_3 - ENTER TELEPHONE NUMBER FOR this person | |||||||||
| nh004_3 - Would you be prepared to give me the contact details of [Rname]'s residential/nursing home? | |||||||||
| nh006na_3 - RECORD: NAME OF NURSING HOME / RESIDENTAL HOME / OTHER INSTITUTION (IN FULL) | |||||||||
| nh006ad_3 - RECORD: PROXY ADDRESS OF NURSING HOME / RESIDENTAL HOME/ OTHER INSTITUTION (STREET,TOWN,COUNTY) | |||||||||
| NH006TE_3 - ENTER TELEPHONE NUMBER FOR NURSING HOME / RESIDENTAL HOME/ OTHER INSTITUTION | |||||||||
| nhnum_4 - person asked about | |||||||||
| nh001_4 - You told me that [Rname] has moved into a (nursing home/residential home/other institution). Do you think that [he/she] would be able to answer the questions on [his/her] behalf? | |||||||||
| nh002_4 - Is there someone who could accompany me to the nursing home to assist [Rname] with the interview? | |||||||||
| nh003na_4 - RECORD: NAME OF PERSON TO TALK ABOUT [Rname] (IN FULL) | |||||||||
| nh003na - RECORD: NAME OF PERSON TO TALK ABOUT [Rname] | |||||||||
| nh003ad_4 - RECORD: THEIR HOME ADDRESS (STREET,TOWN,COUNTY) | |||||||||
| nh002ad2_4 - RECORD: PROXY HOME ADDRESS (STREET,TOWN,COUNTY) | |||||||||
| nh003te_4 - ENTER TELEPHONE NUMBER FOR this person | |||||||||
| nh004_4 - Would you be prepared to give me the contact details of [Rname]'s residential/nursing home? | |||||||||
| nh006na_4 - RECORD: NAME OF NURSING HOME / RESIDENTAL HOME / OTHER INSTITUTION (IN FULL) | |||||||||
| nh006ad_4 - RECORD: PROXY ADDRESS OF NURSING HOME / RESIDENTAL HOME / OTHER INSTITUTION (STREET,TOWN,COUNTY) | |||||||||
| NH006TE_4 - ENTER TELEPHONE NUMBER FOR NURSING HOME / RESIDENTAL HOME / OTHER INSTITUTION | |||||||||
| Moved House | |||||||||
| Split Householdor Participants Moved House | |||||||||
| mvnum_1 - person asked about | |||||||||
| mv001_1 - Could you give me [Rname's] full name, address & telephone number? | |||||||||
| mv002co_1 - What county does [Rname] live in? | |||||||||
| Exit Interview | |||||||||
| exitnum_1 - person asked about | |||||||||
| pa001_1 -I was told earlier that [HH member name CS023_p1_Name to CS023_p19_Name] has passed away. In order to ensure that we understand the end of [his/her] life, we have some questions we would like to ask about [him/her]. Would you be willing to answer these questions at a future date? | |||||||||
| pa002_1 -I understand that [HH members name]'s death occurred very recently. If at some time in the future we'd like to talk to you about [him/her], may we contact you to see if you would be willing to help us? | |||||||||
| pa003_1 - Could you nominate someone else who could answer the questions? (If appropriate, refer to stable address contact). | |||||||||
| pc004ad_1 - RECORD: PROXY HOME ADDRESS | |||||||||
| pa004_01 - Interviewer: write the details of address and telephone | |||||||||
| pa005_1 - How is the potential exit interview respondent related to [Rname] | |||||||||
| Proxy Interview | |||||||||
| pr001 - Would you be prepared for us to collect information about your circumstances from spouse, relative, close friend? | |||||||||
| pr001a - Who would be the best person for us to approach? RECORD: NAME OF PROXY NOMINATION | |||||||||
| pr001na - Interviewer: write the details of FULL NAME? | |||||||||
| pr001ad - Interviewer: write the details ofADDRESS? | |||||||||
| pr001te - Interviewer: write the details of TELEPHONE NUMBER? | |||||||||
| pc001 -TILDA is a longitudinal study. This means we try to keep in contact with our respondents every two years. As you are answering on behalf of [Rname], we may wish to contact you again within the next two years. Could you give me your name, address and telephone number so that we can contact you in the future? | |||||||||
| pc002na - RECORD: NAME, OF PROXY NOMINATION | |||||||||
| pc002ad - RECORD: PROXY HOME ADDRESS | |||||||||
| pc002te - RECORD NAME OF PROXY TELEPHONE NUMBER | |||||||||
| Nominated Other Contacts | |||||||||
| ct001 - In case you move from this address, could you give me the name, address, telephone number and relationship of two people who do not live with you and who would know where you are, in case we need to contact you in the future? | |||||||||
| ct001_01 - Interviewer: write the details of address and telephone | |||||||||
| ct001_02 - Interviewer: write the details of address and telephone | |||||||||
| HCAP (Healthy Cognitive Ageing Project) | |||||||||
| HA (Health Assessment) | |||||||||
| ha001 - With your permission, I would like to make an appointment for you with the nurse at the health assessment centre? | |||||||||
| ha001_03 - If the respondent is undecided and wants to speak with a nurse, then leave instructions regarding respondent’s TILDA Serial Number (XX999), name, address and telephone number on the answering service and inform the respondent that they will be called by a nurse on the following day? | |||||||||
| ha003 - Record reason why respondent refused visit to health centre(_1 to _9) | |||||||||
| ha003A - Please specify other reason for refusal. | |||||||||
| ha004 - Would you be happy for a nurse to visit your home to carry out a health assessment? | |||||||||
| ha005 - . If the respondent is undecided and wants to speak with a nurse, then leave instructions regarding the TILDA Serial Number (XX999), name, address and telephone number on the answering service and inform the respondent that they will be called by a nurse on the following day. | |||||||||
| ha006 - IWER: Record reason why respondent refused visit by a nurse to the home. | |||||||||
| ha006A - IWER: Please specify other reason for refusal. | |||||||||
| ha007 - With your permission, we would like to make an appointment for (Rname) with the nurse at the health assessment centre. | |||||||||
| ha008 - Phone health centre executive officer to arrange a visit to the health centre at a time and date that suits the proxy and TILDA respondent. | |||||||||
| ha009 - : Record reason why proxy respondent refused visit to health centre | |||||||||
| ha010 - Would you be happy for a nurse to visit (Rname) home to carry out a health assessment? | |||||||||
| ha011 - Phone health centre executive officer and inform her that a proxy respondent has agreed to a TILDA participant having a home assessment | |||||||||
| ha012 - Record reason why proxy respondent refused visit by a nurse to the TILDA participant’s home. | |||||||||
| ha013 - Would you be happy for a nurse to visit (Rname) home to carry out a home health assessment? | |||||||||
| ha014 - Phone health centre executive officer and inform her that a proxy respondent has agreed to a TILDA participant having a home assessment | |||||||||
| ha015 - Record reason why proxy respondent refused visit by a nurse to the TILDA participant’s home. | |||||||||
| ha016 - Is there a particular time that would suit best for TILDA to contact you about the health assessment? | |||||||||
| ha017 - RECORD INFORMATION USING FREETEXT | |||||||||
| ha018 - Is there a particular time that would suit best for TILDA to contact you about the health assessment? | |||||||||
| ha019 - RECORD INFORMATION USING FREETEXT | |||||||||
| ha020 - RECORD INFORMATION ABOUT ANY MOBILITY ISSUES THAT TILDA SHOULD BE AWARE OF USING FREETEXT | |||||||||
| FN (Final Check) | |||||||||
| fn001 - Check respondent’s first name and surname | |||||||||
| fn002 - Check address as written on the HSS is correct. If not correct, then write changes on Address label | |||||||||
| fn003 - Check phone number provided on contact sheet is correct | |||||||||
| emal1 - Can you please tell me your email address? | |||||||||
| emal2 - Thank you. Please now tell me the second part of the address after the @ sign. | |||||||||
| emal3 - May I just check, you email address is | |||||||||
| scqreminder- Please remind respondent that you have given [him/her] a questionnaire to complete in [his/her] own time. We greatly value [his/her] answers to these questions. | |||||||||
| qxx3 - Now complete a promissory note by writing on the 5 character Tilda serial number (<Tilda_Serial>) and hand it over to the respondent | |||||||||
| qxx4 -
As we are going to be sending you out a cheque for the 20 Euros, can I just
confirm the name that you want the cheque made payable to. Are you happy to have the cheque made payable to <R full name> |
|||||||||
| qxx5 - What name do you want the cheque made payable to? | |||||||||
| SCQ | |||||||||
| SCQSocAct1 - Watch Television | |||||||||
| SCQSocAct2 - Go out to films, plays and concerts | |||||||||
| SCQSocAct3 - Attend classes and lectures | |||||||||
| SCQSocAct4 - Travel for pleasure | |||||||||
| SCQSocAct5 - Work in the garden, or your home, or in a car | |||||||||
| SCQSocAct6 - Read books or magazines for pleasure | |||||||||
| SCQSocAct7 - Listen to music, radio | |||||||||
| SCQSocAct8 - Spend time on hobbies or creative activities | |||||||||
| SCQSocAct9 - Play cards, bingo, games in general | |||||||||
| SCQSocAct10 - Go to the pub | |||||||||
| SCQSocAct11 - Eat out of the house | |||||||||
| SCQSocAct12 - Participate in sport activities or exercise | |||||||||
| SCQSocAct13 - Visits to or from family or friends, either in person or talking on the phone | |||||||||
| SCQSocAct14 - Do voluntary work | |||||||||
| SCQCreativeParticipate - Do you participate in any arts, creative or cultural activities? | |||||||||
| SCQCreativeBarrier1 - Accessibility issue | |||||||||
| SCQCreativeBarrier2 - Cognitive issue | |||||||||
| SCQCreativeBarrier3 - Cost | |||||||||
| SCQCreativeBarrier4 - Lack of transport to venues | |||||||||
| SCQCreativeBarrier5 - Lack of experience | |||||||||
| SCQCreativeBarrier6 - Lack of confidence | |||||||||
| SCQCreativeBarrier7 - Time/day/duration didn't suit | |||||||||
| SCQCreativeBarrier8 - I'm not interested | |||||||||
| SCQCreativeBarrier9 - Not enough time | |||||||||
| SCQCreativeBarrier10 - Nothing available in my area | |||||||||
| SCQCreativeBarrierOth - Other, please specify | |||||||||
| SCQCreativeBarrierSpfy - Specify | |||||||||
| SCQCreativePassive - Passive (i.e. Watching, Looking at, Listening) | |||||||||
| SCQCreativeActive - Active (i.e. Making, Doing, Creating, Playing , Moving/Dancing) | |||||||||
| SCQCreativeActivity1 - Playing / listening to / teaching music | |||||||||
| SCQCreativeActivity2 - Visual Art (painting, drawing, collage, textiles, etc) | |||||||||
| SCQCreativeActivity3 - Photography | |||||||||
| SCQCreativeActivity4 - Literature / Creative Writing / Reading | |||||||||
| SCQCreativeActivity5 - Writing / reading poetry | |||||||||
| SCQCreativeActivity6 - Dance | |||||||||
| SCQCreativeActivity7 - Film | |||||||||
| SCQCreativeActivity8 - Craftwork (needlework, knitting, crotchet, embroidery, cross-stitch, etc) | |||||||||
| SCQCreativeActivity9 - Drama / Theatre | |||||||||
| SCQCreativeActivity10 - Visiting museums, gallarys, or heritage sites | |||||||||
| SCQCreativeActivity11 - Singing | |||||||||
| SCQCreativeActivity12 - Pottery | |||||||||
| SCQCreativeActivityOth - Other (please specify) | |||||||||
| SCQCreativeActivitySpfy - Specify | |||||||||
| SCQCreativeActivityFreq - Daily/almost daily, once a week or more, twice a month or more, about once a month, every few months, about once or twice a year, less than once a year | |||||||||
| SCQCreativeActivityLoc1 - Arts Centre | |||||||||
| SCQCreativeActivityLoc2 - Community Centre | |||||||||
| SCQCreativeActivityLoc3 - Theatre | |||||||||
| SCQCreativeActivityLoc4 - Cinema | |||||||||
| SCQCreativeActivityLoc5 - Hotel | |||||||||
| SCQCreativeActivityLoc6 - Library | |||||||||
| SCQCreativeActivityLoc7 - Museum | |||||||||
| SCQCreativeActivityLoc8 - Gallery | |||||||||
| SCQCreativeActivityLoc9 - Heritage Site | |||||||||
| SCQCreativeActivityLoc10 - Private home (own or other) | |||||||||
| SCQCreativeActivityLoc11 - Online | |||||||||
| SCQCreativeActivityLocOth - Other, please specify | |||||||||
| SCQCreativeActivityLocSpfy - Specify | |||||||||
| SCQCreativeActivityOnline - Yes / No | |||||||||
| SCQCreativeActivitySocial1 - On my own | |||||||||
| SCQCreativeActivitySocial2 - With family / friends on a casual basis | |||||||||
| SCQCreativeActivitySocial3 - As part of an organised group | |||||||||
| SCQCreativeActivitySocialOth - Other, please specify | |||||||||
| SCQCreativeActivitySocialSpfy - Specify | |||||||||
| SCQCreativeActivityMotivate1 - Enjoyment / Fun | |||||||||
| SCQCreativeActivityMotivate2 - Social aspects / benefits | |||||||||
| SCQCreativeActivityMotivate3 - Discovery / to learn a new skill | |||||||||
| SCQCreativeActivityMotivate4 - Autonomy / feeling of independence | |||||||||
| SCQCreativeActivityMotivate5 - Interest in the activity | |||||||||
| SCQCreativeActivityMotivate6 - Passion for the arts, creative or cultural activities | |||||||||
| SCQCreativeActivityMotivate7 - Venue familarity (accustomed to attending / feel welcome) | |||||||||
| SCQCreativeActivityMotivate8 - Word of mouth - activity was recommended to you | |||||||||
| SCQCreativeActivityMotivate9 - Having a routine / structured activity to engage in | |||||||||
| SCQCreativeActivityMotivate10 - Employment oppertunities | |||||||||
| SCQCreativeActivityAge1 - Young (up to 14 years) | |||||||||
| SCQCreativeActivityAge2 - Young adult (15-24 years) | |||||||||
| SCQCreativeActivityAge3 - Adult (25-44 years) | |||||||||
| SCQCreativeActivityAge4 - Mid-life (45-64 years) | |||||||||
| SCQCreativeActivityAge5 - Older adult (65+ years) | |||||||||
| CASP-19 | |||||||||
| CASP-12 | |||||||||
| SCQCASP1 - My age prevents me from doing the things I would like to | |||||||||
| SCQCASP2 - I feel that what happens to me is out of my control | |||||||||
| SCQCASP3 - I feel free to plan for the future | |||||||||
| SCQCASP4 - I feel left out of things | |||||||||
| SCQCASP5 - I can do the things that I want to do | |||||||||
| SCQCASP6 - Family responsibilities prevent me from doing what I want to do | |||||||||
| SCQCASP7 - I feel that I can please myself in what I can do | |||||||||
| SCQCASP8 - My health stops me from doing the things I want to do | |||||||||
| SCQCASP9 - Shortage of money stops me from doing the things that I want to do | |||||||||
| SCQCASP10 - I look forward to each day | |||||||||
| SCQCASP11 - I feel that my life has meaning | |||||||||
| SCQCASP12 - I enjoy the things that I do | |||||||||
| SCQCASP13 - I enjoy being in the company of others | |||||||||
| SCQCASP14 - On balance, I look back on my life with a sense of happiness | |||||||||
| SCQCASP15 - I feel full of energy these days | |||||||||
| SCQCASP16 - I choose to do things that I have never done before | |||||||||
| SCQCASP17 - I feel satisfied with the way my life has turned out | |||||||||
| SCQCASP18 - I feel that life is full of opportunities | |||||||||
| SCQCASP19 - I feel that the future looks good for me | |||||||||
| UCLA Loneliness Sclae | |||||||||
| SCQLonelns1 - How often do you feel you lack companionship | |||||||||
| SCQLonelns2 - How often do you feel left out | |||||||||
| SCQLonelns3 - How often do you feel isolate from others | |||||||||
| SCQLonelns4 - How often do you feel in tune with the people around you | |||||||||
| SCQLonelns5 - How often do you feel lonely | |||||||||
| SCQVOTE - Did you vote in the last election | |||||||||
| Perceived Stress Scale 4 | |||||||||
| SCQPSS1 - In the last month, how often have you felt you were unable to control the important things in your life | |||||||||
| SCQPSS2 - In the last month, how often have you felt confident about your ability to handle your personal problems | |||||||||
| SCQPSS3 - In the last month, how often have you felt things were going your way | |||||||||
| SCQPSS4 - In the last month, how often have you felt difficulties were piling up so high you could not overcome them | |||||||||
| SCQSPOUSE - Do you have a husband, wife or partner with whom you live | |||||||||
| SCQQRSpou1 - How much does he/she really understand the way you feel about things | |||||||||
| SCQQRSpou2 - How much can you rely on him/her if you have a serious problem | |||||||||
| SCQQRSpou3 - How much can you open up to him/her if you need to talk about your worries | |||||||||
| SCQQRSpou4 - How much does he/she make too many demands on you | |||||||||
| SCQQRSpou5 - How much does he/she criticise you | |||||||||
| SCQQRSpou6 - How much does he/she let you down when you are counting on him/her | |||||||||
| SCQQRSpou7 - How much does he/she get on your nerves | |||||||||
| SCQCloseSp - How close is your relationship with your spouse or partner | |||||||||
| SCQChildren - Do you have any children | |||||||||
| SCQQRChld1 - How much do they really understand the way you feel about things | |||||||||
| SCQQRChld2 - How much can you rely on them if you have a serious problem | |||||||||
| SCQQRChld3 - How much can you open up to them if you need to talk about your worries | |||||||||
| SCQQRChld4 - How much do they make too many demands on you | |||||||||
| SCQQRChld5 - How much do they criticise you | |||||||||
| SCQQRChld6 - How much do they let you down when you are counting on them | |||||||||
| SCQQRChld7 - How much do they get on your nerves | |||||||||
| SCQQRChld8/SCQOtherFamily - Apart from your spouse/partner and children (if any), do you have any other family members (such as brothers, sisters, parents, cousins etc) | |||||||||
| SCQQRChld9/SCQQROthFam1 - How much do they really understand the way you feel about things | |||||||||
| SCQQRChld10/SCQQROthFam2 - How much can you rely on them if you have a serious problem | |||||||||
| SCQQRChld11/SCQQROthFam3 - How much can you open up to them if you need to talk about your worries | |||||||||
| SCQQRChld12/SCQQROthFam4 - How much do they make too many demands on you | |||||||||
| SCQQRChld13/SCQQROthFam5 - How much do they criticise you | |||||||||
| SCQQRChld14/SCQQROthFam6 - How much do they let you down when you are counting on them | |||||||||
| SCQQRChld15/SCQQROthFam7 - How much do they get on your nerves | |||||||||
| SCQQRFrend1 - How much do they really understand the way you feel about things | |||||||||
| SCQQRFrend2 - How much can you rely on them if you have a serious problem | |||||||||
| SCQQRFrend3 - How much can you open up to them if you need to talk about your worries | |||||||||
| SCQQRFrend4 - How much do they make too many demands on you | |||||||||
| SCQQRFrend5 - How much do they criticise you | |||||||||
| SCQQRFrend6 - How much do they let you down when you are counting on them | |||||||||
| SCQQRFrend7 - How much do they get on your nerves | |||||||||
| SCQAnxiety1 - I feel tense or wound up | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety2 - I get a sort of frightened feeling as if something awful is about to happen | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety3 - Worrying thoughts go through my mind | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety4 - I can sit at ease and feel relaxed | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety5 - I get a sort of frightened feeling like butterflies in the stomach | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety6 - I feel restless as if I have to be on the move | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety7 - I get sudden feelings of panic | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety1 - Feeing nervous, anxious or on edge | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety2 - Not being able to stop or control worrying | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety3 - Worryingt too much about different things | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety4 - Trouble relaxing | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety5 - Being so restless that is hard to sit still | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety6 - Becoming easily annoyed or irritable | HADSA | GAD-7 | GAD-7 | ||||||
| SCQAnxiety7 - Feeling afraid as if something awful might happen | HADSA | GAD-7 | GAD-7 | ||||||
| SCQLifeEv1 - Have you ever been in a major fire, flood or other natural disaster | |||||||||
| SCQYearLE1 - If so, what year | |||||||||
| SCQLifeEv2 - Has your spouse, partner or child ever been addicted to drugs or alcohol | |||||||||
| SCQYearLE2 - If so, what year | |||||||||
| SCQLifeEv3 - Were you the victim of a serious physical attack or assault | |||||||||
| SCQYearLE3 - If so, what year | |||||||||
| SCQLifeEv4 - Did you ever have a life-threatening illness or accident | |||||||||
| SCQYearLE4 - If so, what year | |||||||||
| SCQLifeEv5 - Did you spouse, partner or a child of yours eer have a life-threatening illness or accident | |||||||||
| SCQYearLE5 - If so, what year | |||||||||
| SCQLifeEv6 - Has a child of yours ever died | |||||||||
| SCQYearLE6 - If so, what year | |||||||||
| SCQLifeEv7 - Before you were 18 years old, did you have to repeat a year of school over again | |||||||||
| SCQYearLE7 - If so, what year | |||||||||
| SCQLifeEv8 - Before you were 18 years old, did either of your parents drink or use drugs so often that it caused problems in the family | |||||||||
| SCQYearLE8 - If so, what year | |||||||||
| SCQLifeEv9 - Before you were 18 years old, were you ever physically abused by either of your parents | |||||||||
| SCQYearLE9 - If so, what year | |||||||||
| SCQLifeEv10 - Before you were 18 years old, were you ever physically abused by anyone other than your parents | |||||||||
| SCQYearLE10 - If so, what year | |||||||||
| SCQLifeEv11 - Before you were 18 years old, were you ever sexually abused by either of your parents | |||||||||
| SCQYearLE11 - If so, what year | |||||||||
| SCQLifeEv12 - Before you were 18 years old, were you ever sexually abused by anyone other than your parents | |||||||||
| SCQYearLE12 - If so, what year | |||||||||
| SCQFriendied - Have any of your close friends died in the past five years | |||||||||
| SCQAlcohol - Do you drink alcohol | |||||||||
| SCQAlcoFreq - During the last six months, how often have you drunk any alcoholic beverages, like beer, cider, wine, spirits or cocktails | |||||||||
| SCQAlcoNo1 - During the last six months, how often have you had more than two drinks in a single day (a drink is a half pint of beer or a glass of wine) | |||||||||
| SCQAlcoNo2 - During the last siz months, on the days you drink, about how many drinks do you have | |||||||||
| SCQAlcoHis1 - Have you ever had an alcoholic drink e.g. glass of wine, glass of beer, etc | |||||||||
| SCQAlcoHis2 - Have you had an alcoholic drink of any kind in the last 12/6 months | |||||||||
| SCQAlcoFreq1 - During the last 12/6 months, how often have you drunk any alcoholic beverages like beer, cider, wine, spirits or cocktails | |||||||||
| SCQAlcoFreq2 - More recently (i.e in the last month), would you describe your current alcohol intake as: | |||||||||
| SCQAlcoNo3FullPint - Full pint of beer/ cider/ lager | |||||||||
| SCQAlcoNo3Glass - 1/2 pint or glass of beer/cider /lager | |||||||||
| SCQAlcoNo3LGRCan - Large can/ bottle of beer/cider/ lager | |||||||||
| SCQAlcoNo3SMLCan - Small can/ bottle of beer/cider/ lager | |||||||||
| SCQAlcoNo3SMLWine - Small glass of wine (125mls) | |||||||||
| SCQAlcoNo3LGRWine - Large glass of wine (250mls) | |||||||||
| SCQAlcoNo3BttlWine - Bottle of wine | |||||||||
| SCQAlcoNo3Spirit - Measure of spirit | |||||||||
| SCQAlcoNo3PreMix - Pre-mixed spirit drink (e.g. Smirnoff Ice) | |||||||||
| SCQAlcoNo4FullPint - Full pint of beer/ cider/ lager | |||||||||
| SCQAlcoNo4Glass - 1/2 pint or glass of beer/cider /lager | |||||||||
| SCQAlcoNo4LGRCan - Large can/ bottle of beer/cider/ lager | |||||||||
| SCQAlcoNo4SMLCan - Small can/ bottle of beer/cider/ lager | |||||||||
| SCQAlcoNo4SMLWine - Small glass of wine (125mls) | |||||||||
| SCQAlcoNo4LGRWine - Large glass of wine (250mls) | |||||||||
| SCQAlcoNo4BttlWine - Bottle of wine | |||||||||
| SCQAlcoNo4Spirit - Measure of spirit | |||||||||
| SCQAlcoNo4PreMix - Pre-mixed spirit drink (e.g. Smirnoff Ice) | |||||||||
| SCQAlcoNo3FullPint_pilot - Full pint of beer/ cider/ lager | |||||||||
| SCQAlcoNo3Glass_pilot - 1/2 pint or glass of beer/cider /lager | |||||||||
| SCQAlcoNo3LGRCan_pilot - Large can/ bottle of beer/cider/ lager | |||||||||
| SCQAlcoNo3SMLCan_pilot - Small can/ bottle of beer/cider/ lager | |||||||||
| SCQAlcoNo3SMLWine_pilot - Small glass of wine (125mls) | |||||||||
| SCQAlcoNo3LGRWine_pilot - Large glass of wine (250mls) | |||||||||
| SCQAlcoNo3BttlWine_pilot - Bottle of wine | |||||||||
| SCQAlcoNo3Spirit_pilot - Measure of spirit | |||||||||
| SCQAlcoNo3PreMix_pilot - Pre-mixed spirit drink (e.g. Smirnoff Ice) | |||||||||
| SCQAlcoNo4FullPint_pilot - Full pint of beer/ cider/ lager | |||||||||
| SCQAlcoNo4Glass_pilot - 1/2 pint or glass of beer/cider /lager | |||||||||
| SCQAlcoNo4LGRCan_pilot - Large can/ bottle of beer/cider/ lager | |||||||||
| SCQAlcoNo4SMLCan_pilot - Small can/ bottle of beer/cider/ lager | |||||||||
| SCQAlcoNo4SMLWine_pilot - Small glass of wine (125mls) | |||||||||
| SCQAlcoNo4LGRWine_pilot - Large glass of wine (250mls) | |||||||||
| SCQAlcoNo4BttlWine_pilot - Bottle of wine | |||||||||
| SCQAlcoNo4Spirit_pilot - Measure of spirit | |||||||||
| SCQAlcoNo4PreMix_pilot - Pre-mixed spirit drink (e.g. Smirnoff Ice) | |||||||||
| SCQAlcoChoice - From the pictures below, please tick the box that represents the drink you would be most likely to drink | |||||||||
| SCQAlcoAvg - Thinking about your drink of choice, on average, in the last 6 months on the days that you drank, about how many did you have | |||||||||
| SCQAlcoMax - Thinking about your drink of choice, during the last 6 months approximately what was the largest number of drinks you had on any one day | |||||||||
| SCQAlcoMaxFreq_pilot - How often in the last 6 months would you say you drank the maximum number of drinks you indicated in the last question | |||||||||
| SCQAlcoMaxFreq - How often in the last 6 months would you say you drank the maximum number of drinks you indicated in the last question | |||||||||
| SCQAlcoRd1 - Have you reduced your alcohol intake | |||||||||
| SCQAlcoRd2 - Why did you reduce your alcohol intake | |||||||||
| SCQAlcoRd2_01 - Why did you reduce your alcohol intake: Personal choice | |||||||||
| SCQAlcoRd2_02 - Why did you reduce your alcohol intake: Doctor's advice | |||||||||
| SCQAlcoRd2_03 - Why did you reduce your alcohol intake: Medication | |||||||||
| SCQAlcoRd2_04 - Why did you reduce your alcohol intake: Illness or ill health | |||||||||
| SCQAlcoRd2_95 - Why did you reduce your alcohol intake: Other reasons (Please specify) | |||||||||
| SCQAlcoRd2Spfy - Other reasons (please specify) | |||||||||
| SCQAlcoRd2Spfy_pilot - Other reasons (please specify) | |||||||||
| CAGE | |||||||||
| SCQCAGE1 - Have you ever felt that you should cut down on drinking | |||||||||
| SCQCAGE2 - Have people ever annoyed you by criticising your drinking | |||||||||
| SCQCAGE3 - Have you ever felt bad or guilty about drinking | |||||||||
| SCQCAGE4 - Have you ever taken a drink first thing in the morning to steady your nerves or to get rid of a hangover | |||||||||
| Penn State Worry Questionnaire-Abbreviated | |||||||||
| SCQWORRY1 - My worries overwhelm me | |||||||||
| SCQWORRY2 - Many situations make me worry | |||||||||
| SCQWORRY3 - I know I should not worry about things, but I just cannot help it | |||||||||
| SCQWORRY4 - When I am under pressure, I worry a lot | |||||||||
| SCQWORRY5 - I am always worrying about something | |||||||||
| SCQWORRY6 - As soon as I finish one task, I start to worry about everything else I must do | |||||||||
| SCQWORRY7 - I have been a worrier all my life | |||||||||
| SCQWORRY8 - I have been worrying about things | |||||||||
| SCQAgePrc1 - I am conscious of getting older all the time | |||||||||
| SCQAgePrc2 - I am always aware of my age | |||||||||
| SCQAgePrc3 - I always classify myself as old | |||||||||
| SCQAgePrc4 - I am always aware of the fact that I am getting older | |||||||||
| SCQAgePrc5 - I feel my age in everything that I do | |||||||||
| SCQAgePrc6 - As I get older I get wiser | |||||||||
| SCQAgePrc7 - As I get older I continue to grow as a person | |||||||||
| SCQAgePrc8 - As I get older I appreciate things more | |||||||||
| SCQAgePrc9 - I get depressed when I think about how ageing might affect the things that I can do | |||||||||
| SCQAgePrc10 - The quality of my social life in later years depends on me | |||||||||
| SCQAgePrc11 - The quality of my relationships with others in later life depends on me | |||||||||
| SCQAgePrc12 - Whether I continue living life to the full depends on me | |||||||||
| SCQAgePrc13 - I get depressed when I think about the effect that getting older might have on my social life | |||||||||
| SCQAgePrc14 - As I get older there is much I can do to maintain my independence | |||||||||
| SCQAgePrc15 - Whether getting older has positive sides to it depends on me | |||||||||
| SCQAgePrc16 - Getting older restricts the things that I can do | |||||||||
| SCQAgePrc17 - Getting older makes me less independent | |||||||||
| SCQAgePrc18 - Getting older makes everything a lot harder for me | |||||||||
| SCQAgePrc19 - As I get older I can take part in fewer activities | |||||||||
| SCQAgePrc20 - As I get older I do not cope as well with problems that arise | |||||||||
| SCQAgePrc21 - Slowing down with age is not something I can control | |||||||||
| SCQAgePrc22 - How mobile I am in later life is not up to me | |||||||||
| SCQAgePrc23 - I have no control over whether I lose vitality or zest for life as I age | |||||||||
| SCQAgePrc24 - I have no control over the effects which getting older has on my social life | |||||||||
| SCQAgePrc25 - I get depressed when I think about getting older | |||||||||
| SCQAgePrc26 - I worry about the effects that getting older may have on my relationships with others | |||||||||
| SCQAgePrc27 - I go through cycles in which my experience of ageing gets better and worse | |||||||||
| SCQAgePrc28 - My awareness of getting older comes and goes in cycles | |||||||||
| SCQAgePrc29 - I feel angry when I think about getting older | |||||||||
| SCQAgePrc30 - I go through phases of feeling old | |||||||||
| SCQAgePrc31 - My awareness of getting older changes a great deal from day to day | |||||||||
| SCQAgePrc32 - I go through phases of viewing myself as being old | |||||||||
| Lonely_Expect - As I get older I expect to become more lonely | |||||||||
| Lonely_Sterotype - Old age is a time of loneliness | |||||||||
| SCQLang1 - Are you currently fluent in more than one language | |||||||||
| SCQLang2 - Were you ever fluent in more than one language | |||||||||
| SCQLang3 - What age did you stop using the second language in which you were fluent | |||||||||
| SCQLang3_Pilot - What age did you stop using the second language | |||||||||
| SCQLang4Irish - Apart from english, what other languages are/were you fluent in | |||||||||
| SCQLang4OthEU - Apart from english, what other languages are/were you fluent in | |||||||||
| SCQLang4OthNonEU - Apart from english, what other languages are/were you fluent in | |||||||||
| SCQLang4Irish_Pilot - Apart from english, what other languages do/did you speak | |||||||||
| SCQLang4OthEU_Pilot - Apart from english, what other languages do/did you speak | |||||||||
| SCQLang4OthNonEU_Pilot - Apart from english, what other languages do/did you speak | |||||||||
| SCQLang5Birht - From what age were you exposed to the second languages in which you are/were fluent | |||||||||
| SCQLang5Prim - From what age were you exposed to the second languages in which you are/were fluent | |||||||||
| SCQLang5Second - From what age were you exposed to the second languages in which you are/were fluent | |||||||||
| SCQLang5Later - From what age were you exposed to the second languages in which you are/were fluent | |||||||||
| SCQLang5_Pilot - From what age were you exposed to the second languages in which you are/were fluent | |||||||||
| NEO-Five Factor Inventory | |||||||||
| SCQPers1 - I am not a worrier | |||||||||
| SCQPers2 - I like to have a lot of people around me | |||||||||
| SCQPers3 - I enjoy concentrating on a fantasy or a daydream and exploring all its possibilities, letting it grow and develop | |||||||||
| SCQPers4 - I try to be courteous to everyone I meet | |||||||||
| SCQPers5 - I keep my belongings neat and clean | |||||||||
| SCQPers6 - At times I have felt bitter and resentful | |||||||||
| SCQPers7 - I laugh easily | |||||||||
| SCQPers8 - I think it's interesting to learn and develop new hobbies | |||||||||
| SCQPers9 - At times I bully or flatter people into doing what I want them to | |||||||||
| SCQPers10 - I'm pretty good about pacing myself so as to get things done on time | |||||||||
| SCQPers11 - When I'm under a great deal of stress, sometimes I feel like I'm going to pieces | |||||||||
| SCQPers12 - I prefer jobs that let me work alone without being bothered by other people | |||||||||
| SCQPers13 - I am intrigued by patterns I find in art and nature | |||||||||
| SCQPers14 - Some people think I'm selfish and egotistical | |||||||||
| SCQPers15 - I often come into situations without being fully prepared | |||||||||
| SCQPers16 - I rarely feel lonely and blue | |||||||||
| SCQPers17 - I really enjoy talking to people | |||||||||
| SCQPers18 - I believe letting students hear controversial speakers can only confuse and mislead them | |||||||||
| SCQPers19 - If someone starts a fight, I'm ready to fight back | |||||||||
| SCQPers20 - I try to perform all the tasks assigned to me conscientiously | |||||||||
| SCQPers21 - I often feel tense and jittery | |||||||||
| SCQPers22 - I like to be where the action is | |||||||||
| SCQPers23 - Poetry has little or no effect on me | |||||||||
| SCQPers24 - I'm better than most people, and I know it | |||||||||
| SCQPers25 - I have a clear set of goals and work towards them in an orderly fashion | |||||||||
| SCQPers26 - Sometimes I feel completely worthless | |||||||||
| SCQPers27 - I shy away from crowds of people | |||||||||
| SCQPers28 - I would have difficulty just letting my mind wander without control or guidance | |||||||||
| SCQPers29 - When I've been insulted I just try to forgive and forget | |||||||||
| SCQPers30 - I waste a lot of time before settling down to work | |||||||||
| SCQPers31 - I rarely feel fearful or anxious | |||||||||
| SCQPers32 - I often feel as if I'm bursting with energy | |||||||||
| SCQPers33 - I seldom notice the moods or feelings that different environments produce | |||||||||
| SCQPers34 - I tend to assume the best about people | |||||||||
| SCQPers35 - I work hard to accomplish my goals | |||||||||
| SCQPers36 - I often get angry at the way people treat me | |||||||||
| SCQPers37 - I am a cheerful, high spirited person | |||||||||
| SCQPers38 - I experience a wide range of emotions and feelings | |||||||||
| SCQPers39 - Some people think of me as cold and calculating | |||||||||
| SCQPers40 - When I make a commitment, I can always be counted on to follow through | |||||||||
| SCQPers41 - Too often, when things go wrong, I get discouraged and feel like giving up | |||||||||
| SCQPers42 - I don't get much pleasure from chatting with people | |||||||||
| SCQPers43 - Sometimes when I am reading poetry or looking at a work of art, I feel a chill or a wave of excitement | |||||||||
| SCQPers44 - I have no sympathy for beggars | |||||||||
| SCQPers45 - Sometimes I'm not as dependable or reliable as I should be | |||||||||
| SCQPers46 - I am seldom sad and depressed | |||||||||
| SCQPers47 - My life is fast-paced | |||||||||
| SCQPers48 - I have little interest in speculating on the nature of the universe or the human condition | |||||||||
| SCQPers49 - I generally try to be thoughtful and considerate | |||||||||
| SCQPers50 - I am a productive person who always gets the job | |||||||||
| SCQPers51 - I often feel helpless and want someone else to solve my problems. | |||||||||
| SCQPers52 - I am a very active person. | |||||||||
| SCQPers53 - I have a lot of intellectual curiosity. | |||||||||
| SCQPers54 - If I don't like people I let them know it. | |||||||||
| SCQPers55 - I never seem to be able to get organised. | |||||||||
| SCQPers56 - At times I have been so ashamed I just want to hide. | |||||||||
| SCQPers57 - I would rather go my own way than be a leader of others. | |||||||||
| SCQPers58 - I often enjoy playing with theories or abstract ideas. | |||||||||
| SCQPers59 - If necessary, I am willing to manipulate people to get what I want. | |||||||||
| SCQPers60 - I strive for excellence in everything I do. | |||||||||
| SCQSex - For some people sex is a very important part of their lives and for others it is not very important at all. How important a part of your life would you say | |||||||||
| SCQSexAct - Are you currently sexually active (within the last 12 months)? | |||||||||
| SCQSexFreq - How often do you engage in sexual activity | |||||||||
| SCQSexOrient - The next question is related to your sexual orientation. This describes who you are sexually and emotionally attracted to | |||||||||
| SCQSexualOrientation1 - Heterosexual | |||||||||
| SCQSexualOrientation2 - Homosexual | |||||||||
| SCQSexualOrientation3 - Bisexual | |||||||||
| SCQSexualOrientation4 - Asexual | |||||||||
| SCQSexualOrientationOth - Other | |||||||||
| SCQSexualOrientationSpfy - Other: Specify | |||||||||
| The Falls Efficacy Scale-International (FES-I) | |||||||||
| SCQFalls1 - Cleaning the house (e.g. sweep, vacuum, dust). | |||||||||
| SCQFalls2 - Getting dressed or undressed. | |||||||||
| SCQFalls3 - Preparing simple meals. | |||||||||
| SCQFalls4 - Taking a bath or shower. | |||||||||
| SCQFalls5 - Going to the shop. | |||||||||
| SCQFalls6 - Getting in or out of a chair. | |||||||||
| SCQFalls7 - Going up or down stairs. | |||||||||
| SCQFalls8 - Walking around in the neighbourhood. | |||||||||
| SCQFalls9 - Reaching for something above your head or on the ground. | |||||||||
| SCQFalls10 - Going to answer the telephone before it stops ringing. | |||||||||
| SCQFalls11 - Walking on a slippery surface (e.g. wet or icy). | |||||||||
| SCQFalls12 - Visiting a friend or relative. | |||||||||
| SCQFalls13 - Walking in a place with crowds. | |||||||||
| SCQFalls14 - Walking on an uneven surface (e.g. rocky ground, poorly maintained pavement). | |||||||||
| SCQFalls15 - Walking up or down a slope. | |||||||||
| SCQFalls16 - Going out to a social event (e.g. religious service, family gathering, or club meeting). | |||||||||
| SCQHeating_Pilot - What is the main way in which you heat your accommodation in the winter? | |||||||||
| SCQHeating1 - What is the main way in which you heat your accommodation in the winter? : Central Heating | |||||||||
| SCQHeating2 - What is the main way in which you heat your accommodation in the winter? : Open fire only | |||||||||
| SCQHeating3 - What is the main way in which you heat your accommodation in the winter?: Portable heaters only | |||||||||
| SCQHeating4 - What is the main way in which you heat your accommodation in the winter? : Open fire and portable heaters | |||||||||
| SCQHeating5 - What is the main way in which you heat your accommodation in the winter? : Closed solid fuel appliance only | |||||||||
| SCQHeating6 - What is the main way in which you heat your accommodation in the winter? : Closed solid fuel appliance and portable heaters | |||||||||
| SCQHeatingAdequate - Does the household keep the home adequately warm? | |||||||||
| SCQHeatingAdequateComment - Please Specify | |||||||||
| SCQHeatingShortage - Have you ever had to go without heating during the last 12 months through lack of money? | |||||||||
| SCQAccom1 - A leaking roof? | |||||||||
| SCQAccom2 - Leaking or moisture getting in through walls? | |||||||||
| SCQAccom3 - Leaking or moisture getting in at door or windows? | |||||||||
| SCQAccom4 - Leaks from water pipes? | |||||||||
| SCQAccom5 - Rising damp? | |||||||||
| SCQAccom6 - Condensation dampness? | |||||||||
| SCQAccom7 - General dampness from unknown sources? | |||||||||
| SCQAccom8 - Mould on walls/ceilings etc? | |||||||||
| SCQAccom9 - Corrosion or rot around any external door(s)? | |||||||||
| SCQAccom10 - Badly fitting doors? | |||||||||
| SCQAccom11 - Corrosion or rot around any window(s)? | |||||||||
| SCQAccom12 - Leaky or draughty windows? | |||||||||
| SCQAccom13 - Windows that don’t open/close properly? | |||||||||
| SCQAccom14 - Rot in timbers other than windows/doors, | |||||||||
| SCQAccom15 - such as rot in joists, floor boards etc? | |||||||||
| SCQAccom16 - Structural cracks in internal or external SUPPORT walls? | |||||||||
| SCQAccom17 - Subsidence in floors? | |||||||||
| SCQAccom18 - Pests – rats, mice, cockroaches? | |||||||||
| SCQAccom19 - Noise from neighbouring houses? | |||||||||
| SCQAccom20 - Difficulty in heating your accommodation? | |||||||||
| SCQAccom20Spcfy - Other problems, please specify | |||||||||
| Neighbourhood Deprivation Scale | |||||||||
| SCQNghBH1 - I really feel part of this area. | |||||||||
| SCQNghBH2 - Vandalism and graffiti are a big problem in this area. | |||||||||
| SCQNghBH3 - I often feel lonely living in this area. | |||||||||
| SCQNghBH4 - Most people in this area can be trusted. | |||||||||
| SCQNghBH5 - People would be afraid to walk alone after dark in this area. | |||||||||
| SCQNghBH5_pilot - People would be afraid to walk in this area after dark | |||||||||
| SCQNghBH6 - Most people in this area are friendly. | |||||||||
| SCQNghBH7 - People in this area will take advantage of you. | |||||||||
| SCQNghBH8 - This area is kept very clean. | |||||||||
| SCQNghBH9 - If you were in trouble, there are lots of people in this area who would help you. | |||||||||
| Coping Inventory for Stressful Situations - CISS-21 | |||||||||
| SCQCISS1 - Take some time off and get away from the situation | |||||||||
| SCQCISS2 - Focus on the problem and see how I can solve it | |||||||||
| SCQCISS3 - Blame myself for having gotten into this situation | |||||||||
| SCQCISS4 - Treat myself to a favourite food or snack | |||||||||
| SCQCISS5 - Feel anxious about not being able to cope | |||||||||
| SCQCISS6 - Think about how I solved similar problems | |||||||||
| SCQCISS7 - Visit a friend | |||||||||
| SCQCISS8 - Determine a course of action and follow it | |||||||||
| SCQCISS9 - Buy myself something | |||||||||
| SCQCISS10 - Blame myself for being too emotional about the situation | |||||||||
| SCQCISS11 - Work to understand the situation | |||||||||
| SCQCISS12 - Become very upset | |||||||||
| SCQCISS13 - Take corrective action immediately | |||||||||
| SCQCISS14 - Blame myself for not knowing what to do | |||||||||
| SCQCISS15 - Spend time with a special person | |||||||||
| SCQCISS16 - Think about the event and learn from my mistakes | |||||||||
| SCQCISS17 - Wish that I could change what had happened or how I felt | |||||||||
| SCQCISS18 - Go out for a snack or meal | |||||||||
| SCQCISS19 - Analyse the problem before reacting | |||||||||
| SCQCISS20 - Focus on my general inadequacies | |||||||||
| SCQCISS21 - Phone a friend | |||||||||
| SCQProtein1 - Beef or Lamb-including roast, steak stew, mince | |||||||||
| SCQProtein2 - Pork-including roast, chops, slices | |||||||||
| SCQProtein3 - Ham, Bacon | |||||||||
| SCQProtein4 - Chicken or Turkey portion –including breast, thigh, leg | |||||||||
| SCQProtein5 - Chicken products including chicken nuggets or breaded chicken | |||||||||
| SCQProtein6 - Fresh fish | |||||||||
| SCQProtein7 - Fish, including breaded, battered, or fish fingers | |||||||||
| SCQProtein8 - Processed meat - including meat pies,pasties, sausage rolls, burgers, sausages, | |||||||||
| SCQProtein9 - Lentils, tofu, soya meat, vegeburger | |||||||||
| SCQCereal1 - White bread | |||||||||
| SCQCereal2 - Brown bread | |||||||||
| SCQCereal3 - Porridge, readybrek | |||||||||
| SCQCereal4 - High fibre cereal e.g Weetabix, all bran branflakes, bran buds, muesli | |||||||||
| SCQCereal5 - Other cereal e.g. cornflakes, rice crispies | |||||||||
| SCQStarch1 - Potatoes, including boiled, mashed, baked potatoes, but excluding roast potatoes, chips or potato products eg waffles | |||||||||
| SCQStarch2 - Chips, roast potatoes, and potato products, eg potato waffles, smiles | |||||||||
| SCQStarch3 - Rice | |||||||||
| SCQStarch4 - Pasta | |||||||||
| SCQFat1 - Yoghurt (carton) | |||||||||
| SCQFat2 - Cheese-including cheddar, cheese slices, soft cheese | |||||||||
| SCQFat3 - Eggs (one) including boiled, scrambled, poached, fried | |||||||||
| SCQFat4 - Cream (tablespoon) | |||||||||
| SCQFat5 - Salad dressings (tablespoon) | |||||||||
| SCQFat6 - Butter (teaspoon) | |||||||||
| SCQFat7 - Low fat spread (teaspoon) | |||||||||
| SCQFat8 - Cholesterol lowering spread e.g. benecol, flora pro active | |||||||||
| SCQVeg1 - Fruit including fresh, frozen, dried, tinned | |||||||||
| SCQVeg2 - Green vegetables, including cabbage, broccoli, peas, green beans | |||||||||
| SCQVeg3 - Orange/Yellow vegetables, including carrots, turnips, cauliflower | |||||||||
| SCQVeg4 - Salad or other vegetables, including leeks, onions, garlic, sweet peppers, mushrooms, sweetcorn,tomatoes, beetroot | |||||||||
| SCQSnack1 - Plain biscuits | |||||||||
| SCQSnack2 - Chocolate Biscuits, including wrapped chocolate biscuits, eg Twix, Kit-Kat, Penguin | |||||||||
| SCQSnack3 - Confectionary, including sweets and chocolate bars | |||||||||
| SCQSnack4 - Cakes, buns, desserts, eg cheesecakes, apple tart | |||||||||
| SCQSnack5 - Savoury snacks, eg crisps, tortilla chips | |||||||||
| SCQSoupSauce1 - Vegetable soup (homemade/carton) | |||||||||
| SCQSoupSauce2 - Vegetable soup (packet, cup-a-soup) | |||||||||
| SCQSoupSauce3 - Sauces e.g. white sauce, cheese sauce, gravy (tablespoon) | |||||||||
| SCQSoupSauce4 - Marmite, bovril | |||||||||
| SCQSoupSauce5 - Jam, marmalade | |||||||||
| SCQDrink1 - Water (glass) | |||||||||
| SCQDrink2 - Tea (cup) | |||||||||
| SCQDrink3 - Coffee (cup) | |||||||||
| SCQDrink4 - Cocoa, hot chocolate (cup) | |||||||||
| SCQDrink5 - Horlicks, Ovaltine (cup) | |||||||||
| SCQDrink6 - Wine (glass) | |||||||||
| SCQDrink7 - Beer (half pint) | |||||||||
| SCQDrink8 - Spirits (single measure) | |||||||||
| SCQDrink9 - Low Calorie or Diet Fizzy drinks (glass) | |||||||||
| SCQDrink10 - Fizzy drinks (glass) | |||||||||
| SCQDrink11 - Pure fruit juice (glass) | |||||||||
| SCQDrink12 - Fruit squash, diluted orange (glass) | |||||||||
| SCQMilkType - What type of milk do you use most often | |||||||||
| SCQMilkVol - How much milk do you use each day | |||||||||
| AddressX_Est - Estate / Street Address | |||||||||
| AddressX_Dist - District / Townland | |||||||||
| AddressX_Town - Village / Town / City | |||||||||
| AddressX_Co - County | |||||||||
| AddressX_Country - Country | |||||||||
| AddressX_Yfrom - Year from | |||||||||
| AddressX_Yto - Year to | |||||||||
| AddressX_Dur - Duration in years | |||||||||
| AddressX_Water_public - Water supply: Public main | |||||||||
| AddressX_Water_group - Water supply: Group scheme | |||||||||
| AddressX_Water_well - Water supply: Private well | |||||||||
| SCQOrganis1 - Are you a member of any of these organisations, clubs or societies: Political party, trade union or environmental groups | |||||||||
| SCQOrganis2 - Are you a member of any of these organisations, clubs or societies: Tenants groups, resident groups, neighbourhood watch | |||||||||
| SCQOrganis3 - Are you a member of any of these organisations, clubs or societies: Church or other religious groups | |||||||||
| SCQOrganis4 - Are you a member of any of these organisations, clubs or societies: Charitable associations | |||||||||
| SCQOrganis5 - Are you a member of any of these organisations, clubs or societies: Education, arts or music groups or evening classes | |||||||||
| SCQOrganis6 - Are you a member of any of these organisations, clubs or societies: Social clubs | |||||||||
| SCQOrganis7 - Are you a member of any of these organisations, clubs or societies: Sports clubs, GAA or gym exercise classes | |||||||||
| SCQOrganis8 - Are you a member of any of these organisations, clubs or societies: Any other organisations, clubs or societies | |||||||||
| SCQOrganisType1 - Clubs/Groups: GAA | |||||||||
| SCQOrganisType2 - Clubs/Groups: Bridge | |||||||||
| SCQOrganisType3 - Clubs/Groups: Soccer | |||||||||
| SCQOrganisType4 - Clubs/Groups: Dance | |||||||||
| SCQOrganisType5 - Clubs/Groups: Rugby | |||||||||
| SCQOrganisType6 - Clubs/Groups: Art | |||||||||
| SCQOrganisType7 - Clubs/Groups: Golf | |||||||||
| SCQOrganisType8 - Clubs/Groups: Gym | |||||||||
| SCQOrganisType9 - Clubs/Groups: Tennis | |||||||||
| SCQOrganisType10 - Clubs/Groups: Singing (Choir) | |||||||||
| SCQOrganisOth - Clubs/Groups: Other | |||||||||
| SCQOrganisSpfy - Other Clubs/Groups: Specify | |||||||||
| Abbreviated PTSD Checklist-Civilian version (PLC-C) | |||||||||
| SCQPCL1 - Repeated, disturbing memories, thoughts or images of a stressful experience from the past | |||||||||
| SCQPCL2 - Feeling very upset when something reminded you of a stressful experience from the past | |||||||||
| SCQPCL3 - Avoided activities or situations because they reminded you of a stressful experience from the past | |||||||||
| SCQPCL4 - Feeling distant or cut off from other people | |||||||||
| SCQPCL5 - Feeling irritable or having angry outbursts | |||||||||
| SCQPCL6 - Difficulty concentrating | |||||||||
| Purpose in Life scale | |||||||||
| SCQPurpose1 - I enjoy making plans for the future and working to make them a reality | |||||||||
| SCQPurpose2 - My daily activities often seem trivial and unimportant to me | |||||||||
| SCQPurpose3 - I am an active person in carrying out the plans I set for myself | |||||||||
| SCQPurpose4 - I don’t have a good sense of what it is I’m trying to accomplish in life | |||||||||
| SCQPurpose5 - I sometimes feel as if I’ve done all there is to do in life | |||||||||
| SCQPurpose6 - I live life one day at a time and don’t really thing about the future | |||||||||
| SCQPurpose7 - I have a sense of direction and purpose in my life | |||||||||
| SCQHealthCond1 - Did you have any of the conditions during your childhood (up to age 15): Measles | |||||||||
| SCQHealthCond2 - Did you have any of the conditions during your childhood (up to age 15): Chicken Pox | |||||||||
| SCQHealthCond3 - Did you have any of the conditions during your childhood (up to age 15): Mumps | |||||||||
| SCQHealthCond4 - Did you have any of the conditions during your childhood (up to age 15): Polio | |||||||||
| SCQHealthCond5 - Did you have any of the conditions during your childhood (up to age 15): Tuberculosis (TB) | |||||||||
| SCQHealthCond6 - Did you have any of the conditions during your childhood (up to age 15): Broken Bones | |||||||||
| SCQHealthCond7 - Did you have any of the conditions during your childhood (up to age 15): Asthma | |||||||||
| SCQHealthCond8 - Did you have any of the conditions during your childhood (up to age 15): Allergies other than asthma (e.g. food intolerance) | |||||||||
| SCQHealthCond9 - Did you have any of the conditions during your childhood (up to age 15): Respiratory problems other than asthma | |||||||||
| SCQHealthCond10 - Did you have any of the conditions during your childhood (up to age 15): Chronic ear problems | |||||||||
| SCQHealthCond11 - Did you have any of the conditions during your childhood (up to age 15): Severe headaches or migraines | |||||||||
| SCQHealthCond12 - Did you have any of the conditions during your childhood (up to age 15): Epilepsy, fits or seizures | |||||||||
| SCQHealthCond13 - Did you have any of the conditions during your childhood (up to age 15): Emotional, nervous or psychiatric problems | |||||||||
| SCQHealthCond14 - Did you have any of the conditions during your childhood (up to age 15): Appendicitis | |||||||||
| SCQHealthCond15 - Did you have any of the conditions during your childhood (up to age 15): Childhood diabetes or high blood sugar | |||||||||
| SCQHealthCond16 - Did you have any of the conditions during your childhood (up to age 15): Heart trouble | |||||||||
| SCQHealthCond17 - Did you have any of the conditions during your childhood (up to age 15): Leukaemia or lymphoma | |||||||||
| SCQHealthCond18 - Did you have any of the conditions during your childhood (up to age 15): Cancer or malignant tumor | |||||||||
| SCQCantrillLadder - Think of this ladder as representing where people stand in our society. Mark a cross on the rung of the ladder where you would place yourself | |||||||||
| SCQTechUse1 - Which of the following devices do you have access to in your home: Desktop computer | |||||||||
| SCQTechUse2 - Which of the following devices do you have access to in your home: Laptop computer | |||||||||
| SCQTechUse3 - Which of the following devices do you have access to in your home: Tablet computer | |||||||||
| SCQTechUse4 - Which of the following devices do you have access to in your home: Smartphone | |||||||||
| SCQTechUse5 - Which of the following devices do you have access to in your home: TV | |||||||||
| SCQTechUse6 - Which of the following devices do you have access to in your home: Other mobile devices | |||||||||
| SCQTechUseSpfy - Please specify | |||||||||
| SCQInternetAccess1 - Do you have access to the internet: I can access it at home | |||||||||
| SCQInternetAccess2 - Do you have access to the internet: I can access it elsewhere | |||||||||
| SCQInternetAccess3 - Do you have access to the internet: I have no access to the internet | |||||||||
| SCQNetDev1 - Which of the following devices do you access the internet: Desktop computer | |||||||||
| SCQNetDev2 - Which of the following devices do you access the internet: Laptop computer | |||||||||
| SCQNetDev3 - Which of the following devices do you access the internet: Tablet computer | |||||||||
| SCQNetDev4 - Which of the following devices do you access the internet: Smartphone | |||||||||
| SCQNetDev5 - Which of the following devices do you access the internet: TV | |||||||||
| SCQNetDev6 - Which of the following devices do you access the internet: Other mobile devices | |||||||||
| SCQNetDev7_Pilot - Which of the following devices do you access the internet: Do not access the internet | |||||||||
| SCQNetDevSpfy - Please specify | |||||||||
| SCQTechUseFreq - On average, how often do you use the internet or email | |||||||||
| SCQNetUse1 - For which of the following activities did you use the internet in the last 3 months: Sending/receiving e-mails | |||||||||
| SCQNetUse2 - For which of the following activities did you use the internet in the last 3 months: Telephoning or using video calls | |||||||||
| SCQNetUse3 - For which of the following activities did you use the internet in the last 3 months: Searching for information for learning, research, fact findng | |||||||||
| SCQNetUse4 - For which of the following activities did you use the internet in the last 3 months: Financial transations | |||||||||
| SCQNetUse5 - For which of the following activities did you use the internet in the last 3 months: using social networking sites | |||||||||
| SCQNetUse6 - For which of the following activities did you use the internet in the last 3 months: News/newspaper/blog websites | |||||||||
| SCQNetUse7 - For which of the following activities did you use the internet in the last 3 months: Gaming/apps | |||||||||
| SCQNetUse8 - For which of the following activities did you use the internet in the last 3 months: Instant messageing (e.g. WhatsApp, Signal) | |||||||||
| SCQNetUse9 - For which of the following activities did you use the internet in the last 3 months: Listening to music (e.g. Spotify, YouTube, AppleMusic) | |||||||||
| SCQNetUse10 - For which of the following activities did you use the internet in the last 3 months: Watching films / TV shows (e.g. Netflix, YouTube, Apple TV, Di | |||||||||
| SCQNetUseOth - For which of the following activities did you use the internet in the last 3 months: Other (please specify) | |||||||||
| SCQNetUseSpfy - Please specify | |||||||||
| SCQNetUse1_pilot - For which of the following activities did you use the internet in the last 3 months: Sending/receiving e-mails | |||||||||
| SCQNetUse2_pilot - For which of the following activities did you use the internet in the last 3 months: Telephoning or using video calls | |||||||||
| SCQNetUse3_pilot - For which of the following activities did you use the internet in the last 3 months: Searching for information for learning, research, fact findn | |||||||||
| SCQNetUse4_pilot - For which of the following activities did you use the internet in the last 3 months: Financial transations | |||||||||
| SCQNetUse5_pilot - For which of the following activities did you use the internet in the last 3 months: using social networking sites | |||||||||
| SCQNetUse6_pilot - For which of the following activities did you use the internet in the last 3 months: News/newspaper/blog websites | |||||||||
| SCQNetUse7_pilot - For which of the following activities did you use the internet in the last 3 months: Other (please specify) | |||||||||
| SCQDiscrim1 - In the past two years have you felt personally discriminated against because of your age in any of the following situations: The workplace | |||||||||
| SCQDiscrim2 - In the past two years have you felt personally discriminated against because of your age in any of the following situations: While looking for work | |||||||||
| SCQDiscrim3 - In the past two years have you felt personally discriminated against because of your age in any of the following situations: In places such as shop | |||||||||
| SCQDiscrim4 - In the past two years have you felt personally discriminated against because of your age in any of the following situations: Using services of bank | |||||||||
| SCQDiscrim5 - In the past two years have you felt personally discriminated against because of your age in any of the following situations: In relation to educatio | |||||||||
| SCQDiscrim6 - In the past two years have you felt personally discriminated against because of your age in any of the following situations: While you were lookin | |||||||||
| SCQDiscrim7 - In the past two years have you felt personally discriminated against because of your age in any of the following situations: While accessing healt | |||||||||
| SCQDiscrim8 - In the past two years have you felt personally discriminated against because of your age in any of the following situations: Using transport servic | |||||||||
| SCQDiscrim9 - In the past two years have you felt personally discriminated against because of your age in any of the following situations: Accessing other public | |||||||||
| SCQCurrentPet - Do you currently have any pets | |||||||||
| SCQPetType1 - What kind of pet/pets are these: Dog | |||||||||
| SCQPetType2 - What kind of pet/pets are these: Cat | |||||||||
| SCQPetType3 - What kind of pet/pets are these: Small mammal | |||||||||
| SCQPetType4 - What kind of pet/pets are these: Bird | |||||||||
| SCQPetType5 - What kind of pet/pets are these: Fish | |||||||||
| SCQPetTypeOth - What kind of pet/pets are these: Other (please specify) | |||||||||
| SCQPetTypeComment - Please specify | |||||||||
| SCQPetReason1 - What are you reasons for having a pet: Enjoy (love) animals | |||||||||
| SCQPetReason2 - What are you reasons for having a pet: Protections | |||||||||
| SCQPetReason3 - What are you reasons for having a pet: Companionship | |||||||||
| SCQPetReason4 - What are you reasons for having a pet: Playmate for child | |||||||||
| SCQPetReason5 - What are you reasons for having a pet: Want something I could take care of | |||||||||
| SCQPetReason6 - What are you reasons for having a pet: Want something to keep me busy | |||||||||
| SCQPetReason7 - What are you reasons for having a pet: Want something to keep me active (get exercise) | |||||||||
| SCQPetReason8 - What are you reasons for having a pet: Therapy (e.g. guide dog) | |||||||||
| SCQPetReason9 - What are you reasons for having a pet: Was given the pet | |||||||||
| SCQPetReasonOth - What are you reasons for having a pet: Other (please specify) | |||||||||
| SCQPetReasonComment - Please specify | |||||||||
| SCQPetTime - How long have you had your pet | |||||||||
| SCQPetDogWalk - How many days per week do you walk your dog | |||||||||
| SCQMCTQWork1 - I have to get up at _ o'clock | |||||||||
| SCQMCTQWork2 - I need _ minutes to wake up | |||||||||
| SCQMCTQWork3 - I regularly wake up before/after the alarm | |||||||||
| SCQMCTQWork4 - From _ o'clock, I am fully awake | |||||||||
| SCQMCTQWork5 - At around _ o'clock, I have an energy dip | |||||||||
| SCQMCTQWork6 - On nights before work days, I go to bed at _ o'clock | |||||||||
| SCQMCTQWork7 - If I get a chance, I would like to take a siesta/nap | |||||||||
| SCQMCTQWork8 - If yes: I then sleep for _ minutes | |||||||||
| SCQMCTQWork9 - If no: I would feel terrible after | |||||||||
| SCQMCTQFree1 - My dream would be to sleep until _ o'clock | |||||||||
| SCQMCTQFree2_pilot - I normally wake up at _ o'clock | |||||||||
| SCQMCTQFree2 - I normally wake up at _ o'clock | |||||||||
| SCQMCTQFree3 - If I wake up at around the normal (workday) alarm time, I try to get back to sleep | |||||||||
| SCQMCTQFree4 - If I get back to sleep, I sleep for another _ minutes | |||||||||
| SCQMCTQFree5 - I need _ minutes to wake up | |||||||||
| SCQMCTQFree6 - From _ o'clock, I am fully awake | |||||||||
| SCQMCTQFree7 - At around _ o'clock, I have an energy dip | |||||||||
| SCQMCTQFree8 - On nights before free days, I go to bed at _ o'clock | |||||||||
| SCQMCTQFree9 - If I get a chance, I would like to take a siesta/nap | |||||||||
| SCQMCTQFree10 - If yes: I then sleep for _ minutes | |||||||||
| SCQMCTQFree11 - If no: I would feel terrible after | |||||||||
| SCQMCTQReading - Once I am in bed, I would like to read for _ minutes | |||||||||
| SCQMCTQFallAsleep - ..but generally fall asleep after no more than _ minutes | |||||||||
| SCQMCTQDarkRoom - I prefer to sleep in a completely dark room | |||||||||
| SCQMCTQMorningLight - I wake up more easily when morning light shines into my room | |||||||||
| SCQMCTQWinterWorkDaylightHours - In winter: (work days) How long do you spend on average outside (really outside) exposed to daylight: hours | |||||||||
| SCQMCTQWinterWorkDaylightMins - In winter: (work days) How long do you spend on average outside (really outside) exposed to daylight: mins | |||||||||
| SCQMCTQWinterFreeDaylightHours - In winter: (free days) How long do you spend on average outside (really outside) exposed to daylight: hours | |||||||||
| SCQMCTQWinterFreeDaylightMins - In winter: (free days) How long do you spend on average outside (really outside) exposed to daylight: mins | |||||||||
| SCQMCTQSummerWorkDaylightHours - In summer: (work days) How long do you spend on average outside (really outside) exposed to daylight: hours | |||||||||
| SCQMCTQSummerWorkDaylightMins - In summer: (work days) How long do you spend on average outside (really outside) exposed to daylight: mins | |||||||||
| SCQMCTQSummerFreeDaylightHours - In summer: (free days) How long do you spend on average outside (really outside) exposed to daylight: hours | |||||||||
| SCQMCTQSummerFreeDaylightMins - In summer: (free days) How long do you spend on average outside (really outside) exposed to daylight: mins | |||||||||
| SCQMCTQWorkDaylightHours_pilot - (Work days) How long do you spend on average outside (really outside) exposed to daylight: hours | |||||||||
| SCQMCTQWorkDaylightMins_pilot - (Work days) How long do you spend on average outside (really outside) exposed to daylight: mins | |||||||||
| SCQMCTQFreeDaylightHours_pilot - (Free days) How long do you spend on average outside (really outside) exposed to daylight: hours | |||||||||
| SCQMCTQFreeDaylightMins_pilot - (Free days) How long do you spend on average outside (really outside) exposed to daylight: mins | |||||||||
| SCQMCTQClockType - I used: 12/24 hour clock | |||||||||
| LoneLife - Have you experienced loneliness in other phases of your life? | |||||||||
| LoneAge - When have you experienced loneliness? | |||||||||
| LoneProfession - If you have ever experienced loneliness have you ever spoken to any of the following about it? | |||||||||
| Gamble1 - Over the past 12 months, how often have you done any of the activities listed below? Bought a lottery ticket or scrathcard | |||||||||
| Gamble2 - Over the past 12 months, how often have you done any of the activities listed below? Played lottery games online | |||||||||
| Gamlbe3 - Over the past 12 months, how often have you done any of the activities listed below? Gambled in a bookmakers shop | |||||||||
| Gamlbe4 - Over the past 12 months, how often have you done any of the activities listed below? Gambled online or by telephone | |||||||||
| Gamble5 - Over the past 12 months, how often have you done any of the activities listed below? Placed a bet at a horse or dog racing | |||||||||
| Gamble6 - Over the past 12 months, how often have you done any of the activities listed below? Played games at a casino | |||||||||
| Gamble7 - Over the past 12 months, how often have you done any of the activities listed below? Played a card game for money with friends/family | |||||||||
| Gamble8 - Over the past 12 months, how often have you done any of the activities listed below? Played bingo in person | |||||||||
| Gamble9 - Over the past 12 months, how often have you done any of the activities listed below? Other (please specify:) | |||||||||
| GambleOth - Specify: | |||||||||
| IPAQE1 - What is the main type of housing in your neighbourhood? | |||||||||
| IPAQE1Detatched - What is the main type of housing in your neighbourhood?: Detatched single-family hosuing | |||||||||
| IPAQE1Townhouse - What is the main type of housing in your neighbourhood?: Townhouses, row houses, apartments, or condos of 2-3 stories | |||||||||
| IPAQE1MixedHousing - What is the main type of housing in your neighbourhood?: Mix of single-family residences and townhouses, row houses, apartments or condos | |||||||||
| IPAQE1SmallApartments - What is the main type of housing in your neighbourhood?: Apartments or condos of 4-12 stories | |||||||||
| IPAQE1LargeApartments - What is the main type of housing in your neighbourhood?: Apartments or condoes of more than 12 stories | |||||||||
| IPAQE2 - Many shops, stores, markets or other places to buy things I need are within easy walking distance of my home. | |||||||||
| IPAQE3 - It is within a 10-15 minutes walk to a transit stop (such as bus, train, trolley, or tram) from my home. Would | |||||||||
| IPAQE4 - There are sidewalks on most of the streets in my neighborhood | |||||||||
| IPAQE5 - There are facilities to bicycle in or near my neighborhood, such as special lanes, separate paths or trails, shared use paths for cycles and pedestrians. | |||||||||
| IPAQE6 - My neighborhood has several free or low cost recreation facilities, such as parks, walking trails, bike paths, recreation centers, playgrounds, public swi | |||||||||
| IPAQE7 - The crime rate in my neighborhood makes it unsafe to go on walks at night | |||||||||
| SCQHome - Leave your home | |||||||||
| SCQShopping - Go grocery shopping | |||||||||
| SCQVisitfamily - Travel to visit family members | |||||||||
| SCQVisitfriends - Travel to visit friends | |||||||||
| SCQRelservice - Attend religious services outside your home | |||||||||
| SCQExercise - Exercise at home | |||||||||
| SCQWalk20 - Walk outside your home for more than 20 minutes | |||||||||
| SCQSocDistance - Do you keep distance from others when you go outside your home? | |||||||||
| SCQWashhands - Wash your hands more frequently than usual? | |||||||||
| SCQDisinfect - Use special hand santizer or disinfection fluids? | |||||||||
| SCQCover - Pay special attention to covering coughs and sneezes? | |||||||||
| SCQMedication - Taking any drugs or medicine as a prevention against COVID-19? | |||||||||
| SCQMask - Wear a protective face mask when outside the home, around other people? | |||||||||
| SCQPhoneChildren - Children | |||||||||
| SCQPhoneParents - Parents | |||||||||
| SCQPhoneRelatives - Other relatives | |||||||||
| SCQPhoneFriends - Neighbours / friends | |||||||||
| SCQSatisfied - Overall, how satisfied are you with your life nowadays? | |||||||||
| SCQMedicalAtn - Since the outbreak of the COVID-19 pandemic, did you need medical care, but dela | |||||||||
| SCQMedAfford - Why did you delay or not get that care?: I could not afford it | |||||||||
| SCQMedApt - Why did you delay or not get that care?: I could not get an appointment | |||||||||
| SCQMedCancel - Why did you delay or not get that care?: The clinic / hospital / doctor's office | |||||||||
| SCQMedWait - Why did you delay or not get that care?: I decided it could wait | |||||||||
| SCQMedAfraid - Why did you delay or not get that care?: I was afraid to go | |||||||||
| SCQDelaySurgeryMajor - What type(s) of care or health services did you delay?: Major Surgery (requiring | |||||||||
| SCQDelayPubHealth - What type(s) of care or health services did you delay?: Public health or Communi | |||||||||
| SCQDelaySurgeryMinor - What type(s) of care or health services did you delay?: Minor surgery as an outp | |||||||||
| SCQDelayOT - What type(s) of care or health services did you delay?: Occupational therapy | |||||||||
| SCQDelayGP - What type(s) of care or health services did you delay?: Seeing your General Prac | |||||||||
| SCQDelayPhysio - What type(s) of care or health services did you delay?: Physiotherapy services | |||||||||
| SCQDelayScript - What type(s) of care or health services did you delay?: Getting a prescription f | |||||||||
| SCQDelayCounsel - What type(s) of care or health services did you delay?: Psychological/counsellin | |||||||||
| SCQDelayMeds - What type(s) of care or health services did you delay?: Getting medications | |||||||||
| SCQDelayHearing - What type(s) of care or health services did you delay?: Hearing services | |||||||||
| SCQDelayDental - What type(s) of care or health services did you delay?: Dental care | |||||||||
| SCQDelayRespite - What type(s) of care or health services did you delay?: Respite Services | |||||||||
| SCQDelayOptician - What type(s) of care or health services did you delay?: Optician | |||||||||
| SCQDelayOther - What type(s) of care or health services did you delay?: Other | |||||||||
| SCQOnlineGP - Did you avail of a telephone or online appointment from: General practitioner | |||||||||
| SCQOnlinePharmacist - Did you avail of a telephone or online appointment from: Pharmacist | |||||||||
| SCQOnlineDoc - Did you avail of a telephone or online appointment from: Hospital doctor | |||||||||
| SCQOnlineProf - Did you avail of a telephone or online appointment from: Any other health profes | |||||||||
| SCQOnlineOther - Did you avail of a telephone or online appointment from: Other, please specify | |||||||||
| SCQVitaminD - Since the outbreak of the Covid-19 pandemic in March 2020, have you started taki | |||||||||
| SCQVitaminDSpecify - Specify Dosage of Vit D | |||||||||
| SCQGovGuidance - Do you find the official Irish government guidance on COVID-19 easy to understan | |||||||||
| SCQCovidKnowledge - How would you rate your knowledge about COVID-19? | |||||||||
| SCQCovidConcern - Overall, on a scale from 1 to 10, how concerned are you about the Covid-19 pande | |||||||||
| SCQSelfCovid - Do you think that you have or have had COVID-19? | |||||||||
| SCQDiagnosisMonth - In which Month did you first get diagnosed or feel that you had Covid-19? | |||||||||
| SCQDiagnosisYear - In which year did you first get diagnosed or feel that you had COVID-19 | |||||||||
| SCQSymptomBreath - Experience of any symptoms since the pandemic started?: Shortness of breath | |||||||||
| SCQSymptomCough - Experience of any symptoms since the pandemic started?: Cough | |||||||||
| SCQSymptomFever - Experience of any symptoms since the pandemic started?: Fever | |||||||||
| SCQSymptomThroat - Experience of any symptoms since the pandemic started?: Sore throat | |||||||||
| SCQSymptomDiarrhoea - Experience of any symptoms since the pandemic started?: Diarrhoea | |||||||||
| SCQSymptomSense - Experience of any symptoms since the pandemic started?: Loss of sense of smell o | |||||||||
| SCQSymptomNausea - Experience of any symptoms since the pandemic started?: Nausea or vomiting | |||||||||
| SCQSymptomPain - Experience of any symptoms since the pandemic started?: Muscle or joint pain | |||||||||
| SCQSymptomFatigue - Experience of any symptoms since the pandemic started?: Fatigue | |||||||||
| SCQSymptomFalls - Experience of any symptoms since the pandemic started?: Increased falls | |||||||||
| SCQSymptomConfusion - Experience of any symptoms since the pandemic started?: Confusion | |||||||||
| SCQSymptomNone - Experience of any symptoms since the pandemic started?: None of these | |||||||||
| SCQHospitalStayCovid - Did you get Covid-19 during or immediately after a non-COVID related stay in hospital | |||||||||
| SCQCovidRecovery - Did you make a full recovery from COVID-19? | |||||||||
| SCQCovidRecoverySick - How many weeks were you sick before you felt that you made a fully recovery from COVID-19 | |||||||||
| SCQCovidSymptoms - How many weeks have you now had symptoms of COVID-19? | |||||||||
| SCQCovidHosp - Did you require hospital treatment for Covid-19? | |||||||||
| SCQHospitalMonth - In which month was this? | |||||||||
| SCQHospitalYear - In which year was this? | |||||||||
| SCQHospitalNights - How many nights did you spend in hospital? | |||||||||
| SCQHospitalOxygen - Were you on oxygen to help you breathe while you were in hospital? | |||||||||
| SCQSelfCovid2 - Do you think that you have or have had COVID-19 for a second time? | |||||||||
| SCQDiagnosisMonth2 - In which Month did you get diagnosed or feel that you had Covid-19 for the second time | |||||||||
| SCQDiagnosisYear2 - In which year did you get diagnosed or feel that you had COVID-19 for the second time | |||||||||
| SCQSelfCovid3 - Do you think that you have or have had COVID-19 for a third time? | |||||||||
| SCQDiagnosisMonth3 - In which Month did you get diagnosed or feel that you had Covid-19 for the secon | |||||||||
| SCQDiagnosisYear3 - In which year did you get diagnosed or feel that you had COVID-19 for the third | |||||||||
| SCQHouseholdDiagnosis - Excluding yourself, has anyone in your household been diagnosed with COVID-19? | |||||||||
| SCQRelationshipSpouse - What is their relationship you?: Spouse/Partner | |||||||||
| SCQRelationshipChild - What is their relationship you?: Son(s) or Daughter(s) | |||||||||
| SCQRelationshipParent - What is their relationship you?: Parent(s) | |||||||||
| SCQRelationshipGrandchild - What is their relationship you?: Grandchild(ren) | |||||||||
| SCQRelationshipSibling - What is their relationship you?: Sibling(s) | |||||||||
| SCQRelationshipCarer - What is their relationship you?: Carer | |||||||||
| SCQRelationshipOther - What is their relationship you?: Other, (please specify) | |||||||||
| SCQRelSymptomBreath - Experience of any symptoms since the pandemic started?: Shortness of breath | |||||||||
| SCQRelSymptomCough - Experience of any symptoms since the pandemic started?: Cough | |||||||||
| SCQRelSymptomFever - Experience of any symptoms since the pandemic started?: Fever | |||||||||
| SCQRelSymptomThroat - Experience of any symptoms since the pandemic started?: Sore throat | |||||||||
| SCQRelSymptomDiarrhoea - Experience of any symptoms since the pandemic started?: Diarrhoea | |||||||||
| SCQRelSymptomSense - Experience of any symptoms since the pandemic started?: Loss of sense of smell o | |||||||||
| SCQRelSymptomNausea - Experience of any symptoms since the pandemic started?: Nausea or vomiting | |||||||||
| SCQRelSymptomPain - Experience of any symptoms since the pandemic started?: Muscle or joint pain | |||||||||
| SCQRelSymptomFatigue - Experience of any symptoms since the pandemic started?: Fatigue | |||||||||
| SCQRelSymptomFalls - Experience of any symptoms since the pandemic started?: Increased falls | |||||||||
| SCQRelSymptomConfusion - Experience of any symptoms since the pandemic started?: Confusion | |||||||||
| SCQRelSymptomNone - Experience of any symptoms since the pandemic started?: None of these | |||||||||
| SCQCovidContactConfirmed - Close contact with COVID-19: Yes, I was in contact with a confirmed COVID-19 case | |||||||||
| SCQCovidContactSuspected - Close contact with COVID-19: Yes, I was in contact with a suspected COVID-19 case | |||||||||
| SCQCovidContactNo - Close contact with COVID-19: No, not to my knowledge | |||||||||
| SCQCovVax - How likely are you to get a Covid-19 vaccine every year? | |||||||||
| SCQVaxConcern1 - Reasons for hesitancy: I am concerned about the side effects and safety | |||||||||
| SCQVaxConcern2 - Reasons for hesitancy: I am concerned that the Covid-19 vaccine is being develop | |||||||||
| SCQVaxConcern3 - Reasons for hesitancy: I think the Covid-19 vaccine will not work | |||||||||
| SCQVaxConcern4 - Reasons for hesitancy: I already had Covid-19 so I think should be immune | |||||||||
| SCQVaxConcern5 - Reasons for hesitancy: I am worried the vaccine could give me Covid-19 | |||||||||
| SCQVaxConcern6 - Reasons for hesitancy: I think Covid-19 is not a serious illness | |||||||||
| SCQVaxConcern7 - Reasons for hesitancy: I don't like vaccines | |||||||||
| SCQVaxConcern8 - Reasons for hesitancy: I don't like needles | |||||||||
| SCQVaxConcernSpfy - Reasons for hesitancy: Other (please specify) | |||||||||
| SCQYearlyVax - Who would you like to receive a vaccine from | |||||||||
| SCQYearlyVaxSpfy - Who would you like to receive a vaccine from: Other, please specify | |||||||||
| SCQCovidLoss - Has anyone close to you, such as a family member of friend, died with Covid-19? | |||||||||
| SCQCovidDiedSpouse - What is their relationship you?: Spouse/Partner | |||||||||
| SCQCovidDiedChild - What is their relationship you?: Son(s) or Daughter(s) | |||||||||
| SCQCovidDiedFriend - What is their relationship you?: Friend(s)/neighbour(s) | |||||||||
| SCQCovidDiedParent - What is their relationship you?: Parent(s) | |||||||||
| SCQCovidDiedGrandchild - What is their relationship you?: Grandchild(ren) | |||||||||
| SCQCovidDiedCarer - What is their relationship you?: Carer | |||||||||
| SCQCovidDiedSibling - What is their relationship you?: Sibling(s) | |||||||||
| SCQCovidDiedRelative - What is their relationship you?: Other relative(s) | |||||||||
| SCQCovidDiedOther - What is their relationship you?: Other, specify | |||||||||
| SCQFruitPortion - How many portions of fruit do you eat on a typical day? | |||||||||
| SCQVegPortion - How many portions of veg do you eat on a typical day? |