questionnaire for household - unc carolina … · questionnaire must correspond to the number of...

Project “RUSSIA”

QUESTIONNAIRE FOR HOUSEHOLD

18TH ROUND

SITER 1. [ NAME OF POPULATED AREA (SETTLEMENT) _________________ | ___ | ___ | ___ | ]

FAMILYR 2. [ NUMBER OF FAMILY | ___ | ___ |___ | ]

HRFPINBF 3. [ DID ANY (AT LEAST ONE) MEMBER OF THE FAMILY PARTICIPATE IN THE

SURVEY EVER BEFORE?

YES ...........................................................................1

NO ............................................................................2 ]

4. [ DATE INTERVIEW CONDUCTED: DAY | ___ | ___ | MONTH | ___ | ___ | ]

HRIDAY HRIMONTH

5. [ LENGTH OF INTERVIEW: | ___ | HOURS | ___ | ___ | MINUTES ]

HRILHRS HRILMIN

6. [ LAST NAME OF INTERVIEWER _____________________________________________ ]

HRINTNUM 7. [ NUMBER OF INTERVIEWER | ___ | ___ | ___ | ]

HRRNUM 8. [ NUMBER OF FAMILY MEMBER WHO ANSWERED THE FAMILY

QUESTIONNAIRE | ___ | ___ | ]

2009

0

I, ____________________________________________________________

[ INTERVIEWER! WRITE IN FULL YOUR LAST NAME, FIRST NAME, AND PATRONYMIC

NAME! ]

READ OUT TO THE RESPONDENT THE STANDARD DESCRIPTION OF THE AIMS AND

CONDITIONS OF THE SURVEY AND RECEIVE (HIS/HER) AGREEMENT TO PARTICIPATE IN

THE SURVEY.

INTERVIEWER’S SIGNATURE __________________________________

DATE ____________________________

[ ATTENTION, INTERVIEWER! PRIOR TO THE FIRST VISIT TO EACH ADDRESS

WHERE THE HOUSEHOLD SURVEY WAS ALREADY CONDUCTED, OBTAIN A

“HOUSEHOLD COMPOSITION FORM” AND FIND OUT WHETHER THE PEOPLE LIVING

AT THIS ADDRESS HAVE PREVIOUSLY PARTICIPATED IN OUR SURVEY.

IF ONE OR MORE MEMBERS OF A HOUSEHOLD THAT TOOK PART IN THE SURVEY

PREVIOUSLY LIVE AT THIS ADDRESS, IT IS AN “OLD” HOUSEHOLD (OR SEVERAL

“OLD” HOUSEHOLDS). IN THIS CASE, PUT THE HOUSEHOLD COMPOSITION FORM

ON PAGE 4 INTO THE FAMILY QUESTIONNAIRE.

DURING THE FIRST VISIT TO AN “OLD” HOUSEHOLD, TRY TO FIND THE PERSON

WHO ANSWERED QUESTIONS ON THE FAMILY QUESTIONNAIRE LAST TIME AND

ASK HIM/HER THE FAMILY QUESTIONNAIRE QUESTIONS. IF IT TURNS OUT, FOR

SOME REASON, DURING THIS OR ANOTHER VISIT, THAT YOU ARE NOT ABLE TO

ASK THIS PERSON QUESTIONS ON THE FAMILY QUESTIONNAIRE, TALK TO THE

OTHER FAMILY MEMBER WHO HAS THE BEST KNOWLEDGE OF THE AFFAIRS AND

CONCERNS OF THE FAMILY AND OF ITS PRESENT INCOME AND EXPENDITURES.

FOR THIS, USE THE FORMULATED QUESTIONS ON PAGES 1-2.

IF NO MEMBER OF A HOUSEHOLD THAT PARTICIPATED IN THE SURVEY

PREVIOUSLY LIVES AT THIS ADDRESS, IT IS A “NEW” HOUSEHOLD. IN THIS CASE,

INFORMATION FROM THE “HOUSEHOLD COMPOSITION FORM” IS NOT USED. WRITE

INFORMATION ABOUT THE COMPOSITION OF THE NEW HOUSEHOLD ON PAGE 4.

FOR THIS, USE THE FORMULATED QUESTIONS ON PAGE 3.

IN ALL CASES THE NUMBER OF THE FAMILY ON THE COVER OF THE

QUESTIONNAIRE MUST CORRESPOND TO THE NUMBER OF THE FAMILY ON

THE LIST OF COLLECTED ADDRESSES.

1

B. SECTION “FAMILY INFORMATION”

“OLD FAMILY”

1. Let’s talk about your family. By “family” or “household” we mean all people living with you

and having common income and expenditures. If in your family there are unmarried

children younger than age 18 who are not living with you because they study in a different

population center, include them in your household.

Tell me, please: How many people, including you, are there in your family or household?

HRNFMEMO | ___ | ___ | PEOPLE

When this research was conducted in your family last time, we wrote down the names of all

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

to the present composition of your family.

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

IS NOTED ON THE CARD, STARTING WITH THE FIRST. WRITE THE ANSWERS IN

THE CORRESPONDING COLUMNS OF THE CARD. ]

HRINHH01 2.1. Tell me, please: Is [ NAME AND PATRONYMIC ] now a member of your family or

household?

[ INTERVIEWER! CIRCLE THE CODE IN COLUMN 2.1. OF THE CARD. ]

Yes 1 → [ SKIP TO 3. ]

No 2

HRWHYN01 2.2. Could you tell me, please, why [ NAME AND PATRONYMIC ] is no longer a

member of your household?

[ INTERVIEWER! READ POSSIBLE ANSWERS TO THE RESPONDENT AND IN

COLUMN 2.2. PUT THE CODE CORRESPONDING TO HIS/HER ANSWER. ]

Has left to study in other settlement21 → [ SKIP TO THE NEXT PERSON ]

Has left to other settlement for other

reasons 22 → [ SKIP TO THE NEXT PERSON ]

Lives in this settlement but in another

address 23 → [ SKIP TO THE NEXT PERSON ]

Lives at this address but in another

household 02 → [ SKIP TO THE NEXT PERSON ]

Died 03 → [ GO TO THE QUESTION 2.3. ]

Other--what, exactly 04 → [ INTERVIEWER! WRITE IN

THE TABLE ON THE CORRE-

SPONDING LINE AND SKIP TO

THE NEXT PERSON. ]

HRCDTH01 2.3. Could you tell me, please, the cause of the death of [ NAME AND PATRONYMIC ] ?

[ INTERVIEWER! READ POSSIBLE ANSWERS TO THE RESPONDENT AND IN

COLUMN 2.3. PUT THE CODE CORRESPONDING TO HIS/HER ANSWER ]

Heart attack 31 → [ SKIP TO THE NEXT PERSON ]

Stroke 32 → [ SKIP TO THE NEXT PERSON ]

Cancer 33 → [ SKIP TO THE NEXT PERSON ]

Accident, poisoning, injury 34 → [ SKIP TO THE NEXT PERSON ]

Tuberculosis 35 → [ SKIP TO THE NEXT PERSON ]

Other--what, exactly 36 → [ INTERVIEWER! WRITE IN

THE TABLE ON THE CORRESPONDING LINE

AND SKIP TO THE NEXT PERSON ]

2

[ INTERVIEWER! ASK QUESTIONS 3.-9. ONLY ABOUT THOSE WHO ARE STILL MEMBERS OF THE

FAMILY OR HOUSEHOLD. ]

HRMTHS01 3. How many months in the last 12 have you (has he/she) lived in your family or household?

[ INTERVIEWER! WRITE THE ANSWER IN COLUMN 3. OF THE CARD. ]

HRSEX01 4. [ INTERVIEWER! CIRCLE IN COLUMN 4. OF THE CARD THE SEX OF THE FAMILY

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

person?” ]

HRBYR01 5. In what year were you (was he/she) born?

[ INTERVIEWER! WRITE THE ANSWER IN COLUMN 5. OF THE CARD ]

HRBMTH01 6. In what month were you (was he/she) born?

[ INTERVIEWER! WRITE THE NUMBER OF THE MONTH IN COLUMN 6. OF THE

CARD ]

HRBDAY01 7. On what day were you (was he/she) born?


9. [ FILLING OUT THE “TABLE” ON PAGE 5 ]

[ INTERVIEWER! ASK QUESTION 9., STARTING WITH THE FAMILY MEMBER

WHOSE NAME IS WRITTEN ON THE 2ND LINE ]

Tell me, please: How is [ NAME THE FAMILY MEMBER YOU ARE DISCUSSING ] related

to [ NAME IN ORDER ALL FAMILY MEMBERS WHO ARE LISTED ON THE CARD ON

PRECEDING ROWS, STARTING WITH THE FIRST ] ?

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

RELATIONSHIP CODE IN THE BOX AT THE INTERSECTION OF THE ROW FOR THE

FAMILY MEMBER YOU ARE DISCUSSING AND THE COLUMN FOR THE NEXT

FAMILY MEMBER. ]

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

ON THE CARD AND ASK QUESTIONS 2.1.-9. ]

[ INTERVIEWER! AFTER YOU HAVE DISCUSSED ALL MEMBERS OF THE FAMILY

LISTED ON THE CARD, ASK WHETHER THERE ARE NEW FAMILY MEMBERS.

RECORD NAMES AND PATRONYMICS OF NEW FAMILY MEMBERS ON THE NEXT

EMPTY ROWS ON PAGE 4 IN COLUMN 2 OF THE CARD AND ASK QUESTIONS 3-9. ]

[ INTERVIEWER! AFTER YOU HAVE DISCUSSED ALL OLD AND NEW MEMBERS,

CHECK WHETHER THE NUMBER OF HOUSEHOLD MEMBERS MENTIONED IN THE

RESPONDENT’S ANSWER TO QUESTION 1. IS THE SAME AS THE NUMBER OF

HOUSEHOLD MEMBERS WHO ARE LIVING THERE. AFTER THIS CLARIFICATION GO

TO THE NEXT SECTION ON PAGE 6. ]

3

“NEW FAMILY”

1. Let’s talk about your family. By “family” or “household” we mean all people living with

you who have common income and expenditures. If your family includes unmarried

children younger than 18 who do not live with you because they study in a different place,

include them in your household. Tell me, please: How many people, including you, are there in your family or household?

HRNFMEMN | ___ | ___ | PEOPLE

Our conversation will be about health, diet, living conditions, income, and expenditures for

all members of your family. To begin, I will ask you to answer questions about each member

of the family. Let’s begin with you.

[ INTERVIEWER! ASK QUESTIONS 2.-9. ABOUT EACH FAMILY MEMBER. ]

2. Tell me, please, (your/next family member’s) first name and patronymic.

[ INTERVIEWER! WRITE THE ANSWER IN COLUMN 2. ON PAGE 4. ]

HRMTHS01 3. How many months in the last 12 have you (has he/she) lived in your family or

household?

[ INTERVIEWER! WRITE THE ANSWER IN COLUMN 3. OF THE CARD. ]

HRSEX01 4. [ INTERVIEWER! CIRCLE IN COLUMN 4. THE SEX OF THE FAMILY MEMBER

YOU ARE DISCUSSING. IF YOU AREN’T SURE, ASK: “What sex is this person?” ]

HRBYR01 5. In what year were you (was he/she) born?


HRBMTH01 6. In what month were you (was he/she) born?

[ INTERVIEWER! WRITE THE NUMBER OF THE MONTH IN COLUMN 6. OF THE

CARD ]

HRBDAY01 7. On what day were you (was he/she) born?

[ INTERVIEWER! WRITE THE ANSWER IN COLUMN 7. OF THE CARD ] 9. [ FILLING OUT THE “TABLE” ON PAGE 5 ] [ INTERVIEWER! ASK Q. 9., STARTING WITH THE 2ND FAMILY MEMBER. ] Tell me, please: How is [ NAME THE FAMILY MEMBER YOU ARE DISCUSSING ] related

to [ NAME IN ORDER ALL FAMILY MEMBERS LISTED ON PRECEDING ROWS OF THE

CARD, STARTING WITH THE FIRST ] ? [ INTERVIEWER! THE CODING KEY IS LOCATED IN THE TABLE. WRITE THE

RELATIONSHIP CODE IN THE BOX AT THE INTERSECTION OF THE ROW FOR THE

FAMILY MEMBER YOU ARE DISCUSSING AND THE COLUMN FOR THE NEXT

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

THE FAMILY, CHECK WHETHER HIS/HER ANSWER TO Q. 1. EQUALS THE

NUMBER RECORDED IN COLUMN 2. OF THE CARD. RESOLVE ANY DISPARITY

BEFORE GOING ON TO THE NEXT SECTION ON PAGE 6. ]

4

CARD

No. First Name, Patronymic

Still in the family?

Reason for absence, cause of

death

How many months in

family of the last 12

Sex M - 1 F - 2 Year of birth

Month of birth Day

2 2.1 2.2 - 2.3 3 4 5 6 7

01

Yes...1 No....2 →

HRINHH01

| __ | __ | HRWHYN01 HRCDTH01

| __ | __ | HRMTHS01

1....2

HRSEX01

| __ | __ | __ | __ |

HRBYR01

| __ | __ | HRBMTH01

| __ | __ | HRBDAY01

02

Yes...1 No....2 →

HRINHH02


| __ | __ | HRMTHS02

1....2

HRSEX02

| __ | __ | __ | __ |

HRBYR02

| __ | __ | HRBMTH02

| __ | __ | HRBDAY02

03

Yes...1 No....2 →

HRINHH03


| __ | __ | HRMTHS03

1....2

HRSEX03

| __ | __ | __ | __ |

HRBYR03

| __ | __ | HRBMTH03

| __ | __ | HRBDAY03

04

Yes...1 No....2 →

HRINHH04


| __ | __ | HRMTHS04

1....2

HRSEX04

| __ | __ | __ | __ |

HRBYR04

| __ | __ | HRBMTH04

| __ | __ | HRBDAY04

05

Yes...1 No....2 →

HRINHH05


| __ | __ | HRMTHS05

1....2

HRSEX05

| __ | __ | __ | __ |

HRBYR05

| __ | __ | HRBMTH05

| __ | __ | HRBDAY05

06

Yes...1 No....2 →

HRINHH06


| __ | __ | HRMTHS06

1....2

HRSEX06

| __ | __ | __ | __ |

HRBYR06

| __ | __ | HRBMTH06

| __ | __ | HRBDAY06

07

Yes...1 No....2 →

HRINHH07


| __ | __ | HRMTHS07

1....2

HRSEX07

| __ | __ | __ | __ |

HRBYR07

| __ | __ | HRBMTH07

| __ | __ | HRBDAY07

08

Yes...1 No....2 →

HRINHH08


| __ | __ | HRMTHS08

1....2

HRSEX08

| __ | __ | __ | __ |

HRBYR08

| __ | __ | HRBMTH08

| __ | __ | HRBDAY08

09

Yes...1 No....2 →

HRINHH09


| __ | __ | HRMTHS09

1....2

HRSEX09

| __ | __ | __ | __ |

HRBYR09

| __ | __ | HRBMTH09

| __ | __ | HRBDAY09

10

Yes...1 No....2 →

HRINHH10


| __ | __ | HRMTHS10

1....2

HRSEX10

| __ | __ | __ | __ |

HRBYR10

| __ | __ | HRBMTH10

| __ | __ | HRBDAY10

11

Yes...1 No....2 →

HRINHH11


| __ | __ | HRMTHS11

1....2

HRSEX11

| __ | __ | __ | __ |

HRBYR11

| __ | __ | HRBMTH11

| __ | __ | HRBDAY11

12

Yes...1 No....2 →

HRINHH12


| __ | __ | HRMTHS12

1....2

HRSEX12

| __ | __ | __ | __ |

HRBYR12

| __ | __ | HRBMTH12

| __ | __ | HRBDAY12

13

Yes...1 No....2 →

HRINHH13


| __ | __ | HRMTHS13

1....2

HRSEX13

| __ | __ | __ | __ |

HRBYR13

| __ | __ | HRBMTH13

| __ | __ | HRBDAY13

14

Yes...1 No....2 →

HRINHH14


| __ | __ | HRMTHS14

1....2

HRSEX14

| __ | __ | __ | __ |

HRBYR14

| __ | __ | HRBMTH14

| __ | __ | HRBDAY14

15

Yes...1 No....2 →

HRINHH15


| __ | __ | HRMTHS15

1....2

HRSEX15

| __ | __ | __ | __ |

HRBYR15

| __ | __ | HRBMTH15

| __ | __ | HRBDAY15

16

Yes...1 No....2 →

HRINHH16


| __ | __ | HRMTHS16

1....2

HRSEX16

| __ | __ | __ | __ |

HRBYR16

| __ | __ | HRBMTH16

| __ | __ | HRBDAY16

5

CARD

№

Rela-

tion-

ship to No. 01

Rela-

tion-

ship to

No. 02

Rela-

tion-

ship to

No. 03

Rela-

tion-

ship to No. 04

Rela-

tion-

ship to

No. 05

Rela-

tion-

ship to

No. 06

Rela-

tion-

ship to

No. 07

Rela-

tion-

ship to

No. 08

Rela-

tion-

ship to

No. 09

Rela-

tion-

ship to

No. 10

Rela-

tion-

ship to

No. 11

Rela-

tion-

ship to

No. 12

Rela-

tion-

ship to

No. 13

Rela-

tion-

ship to

No. 14

Rela-

tion-

ship to

No. 15 9 (TABLE)

01

CODING KEY 2

Has left to study in other settlement………………………………21

Has left to other settlement for other reasons…………………….22

Lives in this settlement but in another address…………………...23

Lives at this address but in another household ………………..02

Died …………………………………………… SEE CODING KEY 3

Other--what exactly……………………….04 WRITE IN THE LINE!

CODING KEY 1

01 - husband/wife (registered or not

registered)

02 - father/mother

03 - stepfather/stepmother

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

04 - son/daughter

05 - stepson, foster son, adopted son/

stepdaughter, foster daughter, adopted

daughter

06 - brother/sister

07 - halfbrother, stepbrother, foster

brother, adopted brother/ halfsister,

stepsister, foster sister, adopted sister

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

08 - grandfather/grandmother

09 - grandson/granddaughter

17 - great grandfather/great grandmother

18 - great grandson/great granddaughter

15 - uncle/aunt

10 - nephew/niece

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

13 - other relatives

14 - other persons, not relatives

02 | _ | _ | HRR0102

03 | _ | _ | HRR0103

| _ | _ | HRR0203

04 | _ | _ | HRR0104

| _ | _ | HRR0204

| _ | _ | HRR0304

05 | _ | _ | HRR0105

| _ | _ | HRR0205

| _ | _ | HRR0305

| _ | _ | HRR0405

06 | _ | _ | HRR0106

| _ | _ | HRR0206

| _ | _ | HRR0306

| _ | _ | HRR0406

| _ | _ | HRR0506

07 | _ | _ | HRR0107

| _ | _ | HRR0207

| _ | _ | HRR0307

| _ | _ | HRR0407

| _ | _ | HRR0507

| _ | _ | HRR0607

08 | _ | _ | HRR0108

| _ | _ | HRR0208

| _ | _ | HRR0308

| _ | _ | HRR0408

| _ | _ | HRR0508

| _ | _ | HRR0608

| _ | _ | HRR0708

09 | _ | _ | HRR0109

| _ | _ | HRR0209

| _ | _ | HRR0309

| _ | _ | HRR0409

| _ | _ | HRR0509

| _ | _ | HRR0609

| _ | _ | HRR0709

| _ | _ | HRR0809

CODING KEY 3

Heart attack . . . . . . . . . . . . . . . .31

Stroke . . . . . . . . . . . . . . . . . . . . .32

Cancer . . . . . . . . . . . . . . . . . . . . 33

Accident, poisoning,

injury . . . . . . . . . . . . . . . . . . . 34

Tuberculosis . . . . . . . . . . . . . . . .35

Other--what exactly . . . . . . . . . 36 WRITE IN THE LINE! ______________________

10 | _ | _ | HRR0110

| _ | _ | HRR0210

| _ | _ | HRR0310

| _ | _ | HRR0410

| _ | _ | HRR0510

| _ | _ | HRR0610

| _ | _ | HRR0710

| _ | _ | HRR0810

| _ | _ | HRR0910

11 | _ | _ | HRR0111

| _ | _ | HRR0211

| _ | _ | HRR0311

| _ | _ | HRR0411

| _ | _ | HRR0511

| _ | _ | HRR0611

| _ | _ | HRR0711

| _ | _ | HRR0811

| _ | _ | HRR0911

| _ | _ | HRR1011

12 | _ | _ | HRR0112

| _ | _ | HRR0212

| _ | _ | HRR0312

| _ | _ | HRR0412

| _ | _ | HRR0512

| _ | _ | HRR0612

| _ | _ | HRR0712

| _ | _ | HRR0812

| _ | _ | HRR0912

| _ | _ | HRR1012

| _ | _ | HRR1112

13 | _ | _ | HRR0113

| _ | _ | HRR0213

| _ | _ | HRR0313

| _ | _ | HRR0413

| _ | _ | HRR0513

| _ | _ | HRR0613

| _ | _ | HRR0713

| _ | _ | HRR0813

| _ | _ | HRR0913

| _ | _ | HRR1013

| _ | _ | HRR1113

| _ | _ | HRR1213

14 | _ | _ | HRR0114

| _ | _ | HRR0214

| _ | _ | HRR0314

| _ | _ | HRR0414

| _ | _ | HRR0514

| _ | _ | HRR0614

| _ | _ | HRR0714

| _ | _ | HRR0814

| _ | _ | HRR0914

| _ | _ | HRR1014

| _ | _ | HRR1114

| _ | _ | HRR1214

| _ | _ | HRR1314

15 | _ | _ | HRR0115

| _ | _ | HRR0215

| _ | _ | HRR0315

| _ | _ | HRR0415

| _ | _ | HRR0515

| _ | _ | HRR0615

| _ | _ | HRR0715

| _ | _ | HRR0815

| _ | _ | HRR0915

| _ | _ | HRR1015

| _ | _ | HRR1115

| _ | _ | HRR1215

| _ | _ | HRR1315

| _ | _ | HRR1415

16 | _ | _ | HRR0116

| _ | _ | HRR0216

| _ | _ | HRR0316

| _ | _ | HRR0416

| _ | _ | HRR0516

| _ | _ | HRR0616

| _ | _ | HRR0716

| _ | _ | HRR0816

| _ | _ | HRR0916

| _ | _ | HRR1016

| _ | _ | HRR1116

| _ | _ | HRR1216

| _ | _ | HRR1316

| _ | _ | HRR1416

| _ | _ | HRR1516

6

C. SECTION “LIVING CONDITIONS”

HRHORD 1. Now I would like to ask a few questions about your living conditions.

Tell me, please: Is the place where your family lives at the present time a dormitory, a place

you rent, or your own residence?

OWN RESIDENCE 1

RENTED RESIDENCE 2 → [ SKIP TO 6. ]

DORMITORY 3 → [ SKIP TO 6. ]

DOESN’T KNOW 7 → [ SKIP TO 6. ]

REFUSESE TO ANSWER 8 → [ SKIP TO 6. ]

HRMVALUE 1.1. What is the market value today of a residence similar to yours?

| _______________ | RUBLES

RESIDENCE NOT SUBJECT TO SALE 5

SELLING RESIDENCE NOT POSSIBLE 6

DOESN’T KNOW 7

REFUSES TO ANSWER 8

HRHAH 3. Does your family occupy a separate apartment, part of an apartment, a separate house,

part of a house?

SEPARATE APARTMENT 1

PART OF AN APARTMENT 2

SEPARATE HOUSE 3

PART OF A HOUSE 4

DOESN’T KNOW 7

REFUSES TO ANSWER 8

HRHSWNER 4.0. Tell me, please: Who at the present time is the owner of the house in which you live?

One of the members of your household 1

Other relatives, but not members of your

household 2

Or the house is not privatized 3

OTHER 4

DOESN’T KNOW 7

REFUSES TO ANSWER 8

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

bedrooms, living room, kitchen, bathroom, and so on in the apartment (house)?

[ INTERVIEWER! IN A COMMUNAL APARTMENT COUNT ALL SHARED SPACE,

BUT DON’T COUNT THE LIVING SPACE OF THE NEIGHBORS ]

__________ M2 (SQUARE METERS)

DOESN’T KNOW 997

REFUSES TO ANSWER 998

HRHLSP 5. How much living space does your family have? How many square meters is the area of the

living space only?

__________ M2 (SQUARE METERS)

DOESN’T KNOW 997


7

HRHROOMS 5.1. How many rooms, actually used for living, does your family occupy (not counting

kitchen, bathroom, etc.)?

__________ ROOMS

DOESN’T KNOW 97


7. Tell me, please: In your home is there...?

Yes No D/K REFUSES

HRHCHEAT 1. Central heating from TETs, boiler 1 2 7 8

HRHCWATR 2. Central water supply 1 2 7 8

HRHHWATR 3. Hot water supply 1 2 7 8

HRHMGAS 7. Metered, not bottled, gas 1 2 7 8

HRHESTOV 8. Electric stove 1 2 7 8

HRHCSEWR 5. Central sewerage 1 2 7 8

HRHPHON 6. Telephone [ INTERVIEWER! NOT A CELL PHONE! ] 1 2 7 8

7.1.1. Please select from the following list, what aspects of your house you are unsatisfied

with? [ INTERVIEWER! PASS CARD C_1 TO THE RESPONDENT AND WRITE DOWN ALL

RESPONSES]

HRWATSUS Irregularity or failures in water supply 01

HRGASSUS Irregularity or failures in gas supply 02

HRELESUS Irregularity or failures in supply of electricity 03

HRWASTUS Irregular disposal of waste 04

HRBWATUS Bad water in the water pipes, well, or borehole: smell of chlorine, rust or

turbid water etc. 05

HRHAZSUS Hazardous substances in the furniture, paint, floor covering, windows,

doors etc. 06

HRMOSQUS Mosquitoes, flies, ants, cockroaches, mice or rats in the house 07

HRNOISUS Loud noises – neighbors, lift, chute etc. 08

HRREPAUS The building needs major repair – rotten utilities etc. 09

HRNFIXUS The flat or house needs to be fixed up – renew floor, ceiling, wallpaper,

plumbing equipment 10

HRSECUUS Lack of security – fear of thieves, vandals 11

HROTHEUS Other 12 [ INTERVIEWER! WRITE DOWN. ] ___________________________________________________________

HREVRSAT Everything is satisfactory 13

7.1.2. What concerns do you have regarding the neighborhood surrounding your house?

[ INTERVIEWER! PASS CARD C_2 TO THE RESPONDENT AND WRITE DOWN ALL

RESPONSES]

HRDIRSCO Dirty streets – dust, puddles, etc. 01

HRABSGCO Absence of green spaces 02

HRMOSQCO Mosquitoes, flies, wasps, mice, rats, stray dogs or cats:

danger of bites, diseases 03

HRAIRPCO Air pollution resulting from neighboring industrial plants, highways or railways, airdrome,

electric power plant, electricity transmission line: resulting noise, dust, poisonous chemical

substances, radiation, electromagnetic emanation 04

HRCONTCO Contamination of water reservoirs through the dumping of waste from industrial

enterprises, canalization, or agricultural activities - chemical fertilizers, toxic chemicals,

landfill on the banks of reservoirs 05

HRHAZACO Hazardous substances in the asphalt, paint on benches and fences, harmful

radiation from street lighting 06

HROTHECO Other 07 [ INTERVIEWER! WRITE DOWN. ] ___________________________________________________________

HRNOCONC No concerns 08

8

7.1.3. What is your usual source of drinking water? If you use different sources mention

those that are most common.

[ INTERVIEWER! PASS CARD C_3 TO THE RESPONDENT]

HRWATRSW From water valve of central water supply 01

HRSTANSW From stand-pipe in the street 02

HRPRWESW From private well or borehole 03

HRCOMWSW From communal well or borehole 04

HRSPRISW From spring or river 05

HRBOTLSW Purchase bottled water 06 [ SKIP TO 9. ]

HROTHESW Other 07 [ INTERVIEWER! WRITE IT DOWN. ] ___________________________________________________________

7.1.4. [ INTERVIEWER! QUESTION 7.1.4. IS FOR EVERYONE EXCEPT THOSE WHO

HAVE CHOSEN ONLY ANSWER 06 IN THE PREVIOUS QUESTION - THAT IS, THOSE

WHO ONLY BUY DRINKING WATER IN CANS OR BOTTLES. IN THEIR CASE, SKIP TO

QUESTION 9]

What water purification methods do you use? Please, name them all.

[ INTERVIEWER! PASS CARD C_4 TO THE RESPONDENT]

HRSETTPM Settling 01

HRBOILPM Boiling 02

HRPITFPM Using pitcher filter or filter-nozzle on the crane 03

HRCLSYPM Using water cleanup system that is installed under the kitchen sink or wash-basin 04

HROTHFPM Using other filters 05

HROTHMPM Using other methods of water purification 06 [ INTERVIEWER! WRITE DOWN. ] ___________________________________________________________

9. Tell me, please: Which of the following do you or your family have? When speaking about

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

expenses.

Also, how old is each item? If you have more than one of a kind, tell me about the newest.

[ INTERVIEWER! IF LESS THAN ONE YEAR OLD, WRITE 0 ]

How many DOESN’T

Do you have...? years old is it? KNOW AGE

↓ ↓

1.1. Refrigerator (no frost) Yes ................ 1 → | ______ | 97

No ................. 2 HRAGRENF

HROREFNF

2. Separate freezer Yes ................ 1 → | ______ | 97

No ................. 2 HRAGFREZ

HROFREZ

3.2. Washing machine (automatic) Yes ................ 1 → | ______ | 97

No ................. 2 HRAGWSHA

HROWSHRA

3.1. Microwave oven Yes 1 → | ______ | 97

No ................. 2 HRAMICOV

HROMICOV

3.3. Dish-washer machine Yes ................ 1 → | ______ | 97

No ................. 2 HRADISHW

HRODISHW

5.1. Color television, not flat Yes ................ 1 → | ______ | 97

No ................. 2 HRACOLTV

HROCOLTV

5.2. Flat color television – plasma or LCD

television Yes ................ 1 → | ______ | 97

HROFLCTV No ................. 2 HRAFLCTV

How many DOESN’T

9

Do you have...? years old is it?KNOW AGE

↓ ↓

6. Video recorder or player Yes ................ 1 → | ______ | 97

No ................. 2 HRAGVCR

HROVCR

How many DOESN’T


6.0. DVD player or recorder Yes ................ 1 → | ______ | 97

No ................. 2 HRADVDPL

HRODVDPL

6.2.1. Desktop computer Yes ................ 1 → | ______ | 97

No ................. 2 HRADESCO

HRODESCO

6.2.2. Portable computer – notebook, laptop Yes ................ 1 → | ______ | 97

No ................. 2 HRAPORCO

HROPORCO

6.2.3. Low modem internet connection, through

common telephone line, mobile telephone,

GPRS modem Yes ................ 1 → | ______ | 97

No ................. 2 HRALOWIC

HROLOWIC

6.2.4. High-speed internet connection – through

cable, DSL telephone line, for example

“Stream”, satellite, 3G mobile phone,

UMTS, Wi-fi, Wi-max Yes ................ 1 → | ______ | 97

No ................. 2 HRAHSPIC

HROHSPIC

6.3. Digital camera Yes ................ 1 → | ______ | 97

No ................. 2 HRAGDIGC

HRODIGC

6.3.1. Digital camcorder Yes ................ 1 → | ______ | 97

No ................. 2 HRADIGCC

HRODIGCC

6.4. MP3 player Yes ................ 1 → | ______ | 97

No ................. 2 HRAMP3PL

HROMP3PL

6.5. GPS navigator Yes ................ 1 → | ______ | 97

No ................. 2 HRAGPSNA

HROGPSNA

7.2. Domestic Car Yes ................ 1 → | ______ | 97

No ................. 2 HRAGCARD

HROCARD

7.3. Foreign Car Yes ................ 1 → | ______ | 97

No ................. 2 HRAGCARF

HROCARF

7.1. Truck Yes ................ 1 → | ______ | 97

No ................. 2 HRAGTRUK

HROTRUK

8. Motorcycle, motor scooter,

motor boat Yes ................ 1 → | ______ | 97

No ................. 2 HRAGMCB

HROMCB

8.1. Bicycle for adults Yes ................ 1 → | ______ | 97

No ................. 2 HRABICYC

HROBICYC

10

How many.... DOESN’T


↓ ↓

9.Tractor or mini-tractor Yes ................ 1 → | ______ | 97

No ................. 2 HRAGTRAK

HROTRAK

9.1. Lawn Mower Yes ................ 1 → | ______ | 97

No ................. 2 HRALAWNM

HROLAWNM

13. Air conditioner Yes ................ 1 → | ______ | 97

No ................. 2 HRAAIRCO

HROAIRCO

14. Satellite dish Yes ................ 1 → | ______ | 97

No ................. 2 HRASATTD

HROSATTD

15. Cable television Yes ................ 1 → | ______ | 97

No ................. 2 HRACABTV

HROCABTV

10.1. Dacha or other house

or part of a house Yes ......... 1 → | ______ | 97 | _______ | 97

No .......... 2 HRAGDACH HRRDACH

HRODACH

12. Other apartment or

part of an apartment Yes ......... 1 → | ______ | 97 | _______ | 97

No .......... 2 HRAGOTHA HRROTHA

HROOTHA

11

D. SECTION “FARMING AND ANIMAL HUSBANDRY”

HRLNDUSD 1. Now a few questions about farming and animal husbandry.

Tell me, please: In the last 12 months has your family used any land?

[ INTERVIEWER! THIS QUESTION IS ABOUT THE 12-MONTH PERIOD

PRECEDING THE DATE OF THE SURVEY. ]

Yes 1

No 2 → [ SKIP TO 11. ON PAGE 14 ]

DOESN’T KNOW 7 → [ SKIP TO 11. ON PAGE 14 ]

REFUSES TO ANSWER 8 → [ SKIP TO 11. ON PAGE 14 ]

HRLNDUSE 2. Tell me, please: At the present time does your family use any land?

Yes 1

No 2 → [ SKIP TO 5. ]


REFUSES TO ANSWER 8 → [ SKIP TO 5. ]

HRLHASSZ 3. In total, how many sotkas of land does your family have at the present time? (Translator’s note: A sotka is one one-hundreth of a hectare.)

__________ SOTKAS

DOESN’T KNOW 997


HRLANDCU 4. Let’s talk about who owns this land. I will read off a few possible answers, and you

choose, please, only one.

[ INTERVIEWER! YOU SHOULD NOTE ONLY ONE ANSWER. ]

All is owned by your family 1

All is rented by your family 2

Part is owned by your family, part rented 3

You use the land under another arrangement 4

DOESN’T KNOW 7

REFUSES TO ANSWER 8

HRLANDP 5. Tell me, please: In the last 12 months has your family paid for using the land?

Yes 1

No 2 → [ SKIP TO 7. ]



HRLANDC 6. How many rubles did you pay for using your land in the last 12 months?

_______________ RUBLES

DOESN’T KNOW 997


HRGROW 7. In the last 12 months did your family grow anything on its land?

Yes 1




12

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

various crops, and you please try to remember whether your family has harvested any of

them on its land in the last 12 months, and, if so, how many kilograms. Could you also

remember how you used the gathered crops?

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

FOR EXAMPLE, IN SACKS, BUCKETS, ETC., RECALCULATE THE QUANTITY,

WITH THE RESPONDENT, INTO KILOGRAMS. ]

[ INTERVIEWER! IF THE RESPONDENT HAS DIFFICULTY SAYING HOW MUCH

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

ANSWER SPACE.

IF THE RESPONDENT REFUSES TO ANSWER, WRITE “999998.” ]

How many How many

kg did your kg were How many

In the last How many family con- given away kg were

12 months has kg in total sume in to others in sold in

your family did you natural or natural or natural or

harvested? harvest? processed processed processed

form? form? form?

1. Potatoes Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHPOTA HR2FPOTA HR2OPOTA HRSPOTA

HRHPOT

2. Tomatoes Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHTOMA HR2FTOMA HR2OTOMA HRSTOMA

HRHTOM

3. Cucumbers Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHCUCM HR2FCUCM HR2OCUCM HRSCUCM

HRHCUC

4. Beets Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHBEET HR2FBEET HR2OBEET HRSBEET

HRHBET

5. Carrots Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHCARR HR2FCARR HR2OCARR HRSCARR

HRHCAR

6. Cabbages Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHCABB HR2FCABB HR2OCABB HRSCABB

HRHCAB

7. Onions, garlic Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHONON HR2FONON HR2OONON HRSONON

HRHON

8. Squash, pumpkins, Yes 1 → | __________ | __________ | _________ | __________ |

gourds No 2 HRHSQSH HR2FSQSH HR2OSQSH HRSSQSH

HRHSQA

9. Other vegetables Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHVEGT HR2FVEGT HR2OVEGT HRSVEGT

HRHOTV

10.Melons, water- Yes 1 → | __________ | __________ | _________ | __________ |

melons No 2 HRHMELN HR2FMELN HR2OMELN HRSMELN

HRHMEL

11. Grains Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHGRAN HR2FGRAN HR2OGRAN HRSGRAN

HRHGRN

13

How many How many

kg did your kg were How many

In the last How many family con- given away kg were

12 months has kg in total sume in to others in sold in

your family did you natural or natural or natural or

harvested? harvest? processed processed processed

form? form? form?

12. Beans Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHBEAN HR2FBEAN HR2OBEAN HRSBEAN

HRHBEN

13. Corn Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHCORN HR2FCORN HR2OCORN HRSCORN

HRHCRN

14. Tobacco Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHTOBC HR2FTOBC HR2OTOBC HRSTOBC

HRHTBC

15. Strawberries,

raspberries Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHSTRW HR2FSTRW HR2OSTRW HRSSTRW

HRHSTR

16. Currants,

gooseberries Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHCURR HR2FCURR HR2OCURR HRSCURR

HRHCUR

17. Buckthorn Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHBUKT HR2FBUKT HR2OBUKT HRSBUKT

HRHBKT

21. Plums, cherries Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHPLUM HR2FPLUM HR2OPLUM HRSPLUM

HRHPLM

23. Grapes Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHGRAP HR2FGRAP HR2OGRAP HRSGRAP

HRHGRP

18. Other berries Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHBERY HR2FBERY HR2OBERY HRSBERY

HRHOTB

19. Apples Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHAPPL HR2FAPPL HR2OAPPL HRSAPPL

HRHAPL

20. Pears Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHPEAR HR2FPEAR HR2OPEAR HRSPEAR

HRHPAR

22. Apricots, peaches Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHPECH HR2FPECH HR2OPECH HRSPECH

HRHPCH

24. Other fruits Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHFRUT HR2FFRUT HR2OFRUT HRSFRUT

HRHOTF

25. Nuts Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HRHNUTS HR2FNUTS HR2ONUTS HRSNUTS

HRHNUT

26. Flowers Yes 1 → | _________ | | _________ |

No 2 HRHFLWR HRSFLWR

HRHFLR

14

HRSCROP 9. [ INTERVIEWER! ASK QUESTIONS 9 AND 10 ONLY OF RESPONDENTS WHO

SOLD SOMETHING FROM WHAT THEY GREW ON THEIR LAND, I.E., IF THERE IS

AT LEAST ONE NOTE IN THE LAST COLUMN IN Q. 8. FOR OTHERS, ASK Q. 11. ]

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

during the last 12 months?

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

No ............................................................................ 2 → [ SKIP TO 11. ]

DOESN’T KNOW .................................................... 7 → [ SKIP TO 11. ]

REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 11. ]

HRVSCROP 10. How much money did your family receive in the last 30 days from selling crops harvested

from your land during the last 12 months?

_______________ RUBLES

DOESN’T KNOW ................................................ 997

REFUSES TO ANSWER ...................................... 998

HRFANK 11. And now I would like to find out: Did your family have any livestock, fowl, or bees in the

last 12 months?

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

No ............................................................................ 2 → [ SKIP TO 17. ON PAGE 16 ]

DOESN’T KNOW .................................................... 7 → [ SKIP TO 17. ON PAGE 16 ]

REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 17. ON PAGE 16 ]

HRSFAN 12. Tell me, please: Did you sell any living livestock, fowl, or bees in the last 30 days?

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

No ............................................................................ 2 → [ SKIP TO 14. ON PAGE 15 ]



HRVSFAN 13. How much money in total did your family receive in the last 30 days from selling living

livestock, fowl, or bees?

_______________ RUBLES

DOESN’T KNOW ................................................ 997


15

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

whether your family produced any of these in the last 12 months, and, if so, how much.

Could you, please, also remember what you did with these products?

[ INTERVIEWER! IF THE RESPONDENT HAS DIFFICULTY ANSWERING HOW

MUCH WAS PRODUCED, CONSUMED, GIVEN AWAY, OR SOLD, WRITE IN THE

ANSWER SPACE “999997.”

IF THE RESPONDENT REFUSES TO ANSWER, WRITE “999998.” ]

How many

kg did How many kg How many

Did How your were given kg were

you many family away to others sold in

produce? kg were consume in in natural or natural or

produced? natural or processed processed

processed form? form?

form? 1. Meat, except meat

from fowl Yes 1 → | __________ | __________ | _________ | _________ |

No 2 HRPMEAT HR2FMEAT HR2OMEAT HRSMEAT

HRPMET

2. Meat from fowl Yes 1 → | __________ | __________ | _________ | _________ |

No 2 HRPPOUL HR2FPOUL HR2OPOUL HRSPOUL

HRPPOL

3. Honey Yes 1 → | __________ | __________ | _________ | _________ |

No 2 HRPHONY HR2FHONY HR2OHONY HRSHONY

HRPHNY

4. Wool, down Yes 1 → | __________ | __________ | _________ | _________ |

No 2 HRPWOOL HR2FWOOL HR2OWOOL HRSWOOL

HRPWOL

How many How many

liters did liters were How many

Did How your given away liters were

you many family to others in sold in

produce? liters were consume in natural or natural or

produced? natural or processed processed

processed form? form?

form?

5. Milk Yes 1 → | __________ | __________ | _________ | _________ |

No 2 HRPMILK HR2FMILK HR2OMILK HRSMILK

HRPMLK

How many How many

Did How did your were given How many

you many family away to were sold in

produce? were consume in others in natural or

produced? natural or natural or processed

processed processed form?

form? form?

6. Eggs Yes 1 → | __________ | __________ | _________ | _________ |

No 2 HRPEGGS HR2FEGGS HR2OEGGS HRSEGGS

HRPEGG

7. Hides Yes 1 → | __________ | __________ | _________ | _________ |

No 2 HRPPELT HR2FPELT HR2OPELT HRSPELT

HRPPLT

16

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

SOME ANIMAL HUSBANDRY PRODUCTS, I.E., IF THERE IS AT LEAST ONE MARK

IN THE LAST COLUMN OF QUESTION 14. FOR OTHERS, ASK QUESTION 17. ] Tell me, please: In the last 30 days did you sell any products of livestock, fowl, or bees that

were produced in your household in the last 12 months? Yes 1

No 2 → [ SKIP TO 17. ]



HRVSANP 16. How much money did your family receive in the last 30 days from selling these products? _______________ RUBLES

DOESN’T KNOW 997


HRBFARMN 17. [ INTERVIEWER! ASK QUESTIONS 17 AND 18 ONLY OF THOSE WHO GREW

SOMETHING OR RAISED LIVESTOCK, FOWL, OR BEES--IN OTHER WORDS, THOSE

WHO ANSWERED “YES” IN EITHER QUESTION 7 ON PAGE 9 OR QUESTION 11 ON

PAGE 12. FOR OTHERS, ASK QUESTION 19. ] Tell me, please: In the last 30 days did you spend any money on seed, fertilizer, feed, renting

technical equipment, labor, or anything else essential to farming or raising livestock,

excluding expenditures for fuel? Yes 1

No 2 → [ SKIP TO 19. ]



HRCFARMN 18. How much money in total did your family spend in the last 30 days on seed, fertilizer,

feed, renting technical equipment, labor, or other things? _______________ RUBLES

DOESN’T KNOW 997


HRFORAGE 19. In the last 12 months did the members of your family gather mushrooms, wild nuts,

berries, or herbs? Did you or other members of your family hunt or fish? Yes 1

No 2 → [ SKIP TO NEXT SECT. P. 17 ]

DOESN’T KNOW 7 → [ SKIP TO NEXT SECT. P. 17 ]

REFUSES TO ANSWER 8 → [ SKIP TO NEXT SECT. P. 17 ]

HRSFRGE 20. In the last 30 days did your family sell any of the gathered mushrooms, nuts, berries,

fish, or bagged game? Yes 1

No 2 → [ SKIP TO NEXT SECT. P. 17 ]

DOESN’T KNOW 7 → [ SKIP TO NEXT SECT. P. 17 ]

REFUSES TO ANSWER 8 → [ SKIP TO NEXT SECT. P. 17 ]

HRVSFRGE 21. How much money in the last 30 days did your family receive from selling these? _______________ RUBLES

DOESN’T KNOW 997


17

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

that while talking about the family you should keep in mind everyone who lives with you

and with whom you share common income and expenditures. I am going to list various food products, and you recall, please, which of them members of

your family bought in the last 7 days and, if they bought them, how many kilograms or liters

and how much they paid. We understand that you may not remember exact figures. Please

give approximate answers. Did your How many

family buy How much rubles in all in the last (kilograms, D/K did you D/K

7 days? liters)? pay?

1. White (wheat) bread Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRABRDWI HRCBRDWI

HRBBRDWI

2. Black (rye) bread Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRABRDBL HRCBRDBL

HRBBRDBL

3. Rice, other cereals Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAGROAT HRCGROAT

HRBGROAT

4. Flour Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAFLOUR HRCFLOUR

HRBFLOUR

5. Macaroni products Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAPASTA HRCPASTA

HRBPASTA

6. Potatoes Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAPOTAT HRCPOTAT

HRBPOTAT

7. Canned veg., excluding pickled Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAVEGCN HRCVEGCN

HRBVEGCN

8. Cabbage, including sauerkraut Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRACABBG HRCCABBG

HRBCABBG

9. Cucumbers, including pickles Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRACUCUM HRCCUCUM

HRBCUCUM

10. Tomatoes, including pickled Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRATOMAT HRCTOMAT

HRBTOMAT

11. Beets, carrots, other roots Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRARTVEG HRCRTVEG

HRBRTVEG

12. Onions, garlic Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAONGAR HRCONGAR

HRBONGAR

13. Squash, pumpkins, etc. Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRASQUAS HRCSQUAS

HRBSQUAS

14. Other vegetables Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAVEGOT HRCVEGOT

HRBVEGOT

18

Did your How many



15. Watermelons, melons,

including pickled and dried Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAMELON HRCMELON

HRBMELON

16. Fruit/berry preserves Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAFRUCN HRCFRUCN

HRBFRUCN

17. Fresh berries Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRABERRY HRCBERRY

HRBBERRY

18. Fresh fruit Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAFRUIT HRCFRUIT

HRBFRUIT

19. Dried fruits, berries Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAFRUDR HRCFRUDR

HRBFRUDR

20. Nuts, sunflower seeds Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRANUTS HRCNUTS

HRBNUTS

21. Canned meat Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAMETCN HRCMETCN

HRBMETCN

22. Beef, veal Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRABEEF HRCBEEF

HRBBEEF

23. Lamb, goat meat Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAMUTTN HRCMUTTN

HRBMUTTN

24. Pork Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAPORK HRCPORK

HRBPORK

25. Giblets: liver, kidneys, etc. Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAORGAN HRCORGAN

HRBORGAN

26. Fowl Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAPOULT HRCPOULT

HRBPOULT

27. Lard, other animal fats Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRALARD HRCLARD

HRBLARD

28. Sausage, smoked meat Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRASMEAT HRCSMEAT

HRBSMEAT

29. Semi-prepared meat products Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAMETSP HRCMETSP

HRBMETSP

30. Canned/powdered milk Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAMLKCD HRCMLKCD

HRBMLKCD

19

Did your How many


7 days? liters)? pay? 31. Fresh milk Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HRAMILK HRCMILK HRBMILK 32. Sour milk products: kefir, yogurt, etc. Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HRAKEFIR HRCKEFIR HRBKEFIR 33. Sour cream, cream Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HRACREAM HRCCREAM HRBCREAM 34. Butter Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HRABUTTR HRCBUTTR HRBBUTTR 35. Curd, cream cheese Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HRACURDS HRCCURDS HRBCURDS 36. Cheese, feta cheese Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HRACHEES HRCCHEES HRBCHEES 37. Ice cream Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HRAICECR HRCICECR HRBICECR 38. Vegetable oil Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HRAVGO HRCVGO HRBVGO 39. Margarine Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HRAMARGN HRCMARGN HRBMARGN 40. Sugar Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HRASUGAR HRCSUGAR HRBSUGAR 41. Candy, chocolate Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HRACANDY HRCCANDY HRBCANDY 42. Preserves, jam Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HRAJAM HRCJAM HRBJAM 43. Honey Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HRAHONEY HRCHONEY HRBHONEY 44. Cookies, pastries, cakes, Yes 1 → | ________ | kg 9997 | _________ | 997 waffles, gingerbread, buns No 2 HRACAKE HRCCAKE HRBCAKE 45. Eggs Yes 1 → | ________ | no. 9997 | _________ | 997 No 2 HRAEGGS HRCEGGS HRBEGGS 46. Fish: fresh, frozen, dried, Yes 1 → | ________ | kg 9997 | _________ | 997 prepared by a fishmonger No 2 HRAFISH HRCFISH HRBFISH 47. Canned fish Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HRAFSHCN HRCFSHCN HRBFSHCN 48. Tea Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HRATEA HRCTEA HRBTEA

20

Did your How many



49. Coffee, caffeinated drinks, Yes 1 → | ________ | kg 9997 | _________ | 997

cocoa No 2 HRACOFFE HRCCOFFE

HRBCOFFE

50. Nonalcoholic drinks, juice Yes 1 → | _________ | l 9997 | _________ | 997

No 2 HRABEV HRCBEV

HRBBEV

51. Salt, other spices, Yes 1 → | ________ | kg 9997 | _________ | 997

various sauces No 2 HRASLTSP HRCSLTSP

HRBSLTSP

52. Mushrooms Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HRAMUSHR HRCMUSHR

HRBMUSHR

53. Vodka Yes 1 → | ________ | l 9997 | _________ | 997

No 2 HRAVODKA HRCVODKA

HRBVODKA

54. Wine, other alcohol Yes 1 → | ________ | l 9997 | _________ | 997

No 2 HRALIQUR HRCLIQUR

HRBLIQUR

55. Beer Yes 1 → | ________ | l 9997 | _________ | 997

No 2 HRABEER HRCBEER

HRBBEER

56. Tobacco products Yes 1 → | ________ | packs 9997 | _________ | 997

No 2 HRATOBAC HRCTOBAC

HRBTOBAC

57. Chewing gum, pastilles Yes 1 → | _________ | 997

No 2 HRCGUM

HRBGUM

HRATEOUT 2. In the last 7 days did you or any other members of your family eat away from home?

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

No ............................................................................ 2 → [ SKIP TO 4. ]

DOESN’T KNOW .................................................... 7 → [ SKIP TO 4. ]

REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 4. ]

HRC8OUT 3. Please recall: Approximately how much money did all members of your family spend on

eating away from home in the last 7 days?

_______________ RUBLES

DOESN’T KNOW ................................................ 997


HRCFOODM 4. Please recall: About how much money did all members of your family spend on eating at

home and away from home in the last 30 days?

_______________ RUBLES

DOESN’T KNOW ................................................ 997


21

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

of the household? Yes 1

No 2 → [ SKIP TO 7. ]



HRCCLTHA 6.1 How much did you and other household members spend on buying clothing and shoes

for adults, that is, for household members 18 years and older, in the last 3 months? _______________ RUBLES

DOESN’T KNOW 997


HRCCLTHC 6.2 How much did you and other household members spend on clothing and shoes for

children, that is, for household members younger than 18 years, in the last 3 months? _______________ RUBLES

NO CHILDREN IN THE HOUSEHOLD 996

DOESN’T KNOW 997


7. Tell me, please: In the last 3 months did your family buy any of the following items, which

I will name? If so, then tell me how much in all you paid for it. How many Did you rubles in all D/K

buy? did you pay? 1.0 Cultural goods: television, tape recorder, video,

musical instruments, computer, camera etc. ................ Yes ....... 1 → | __________ | 997

No ........ 2 HRCCLTGS

.......................................................................................... HRBCLTGS

1.1 Cultural goods: television, tape recorder, video,

musical instruments, computer, camera, cell phone, ... Yes ....... 1 → | __________ | 997

etc. .................................................................................... No ........ 2 HRCMOBIT

.......................................................................................... HRBMOBIT

2. Household items: furniture, rugs, etc. .......................... Yes ....... 1 → | __________ | 997

.......................................................................................... No ........ 2 HRCFURN

.......................................................................................... HRBFURN

3. Household appliances: refrigerator, washer,

vacuum, sewing machine, iron, food processor, etc. .... Yes ....... 1 → | __________ | 997

.......................................................................................... No ........ 2 HRCAPPL

.......................................................................................... HRBAPPL

4. Automobile or mini-bus .................................................. Yes ....... 1 → | __________ | 997

.......................................................................................... No ........ 2 HRCAUTO

.......................................................................................... HRBAUTO

5. Motorcycle, motor scooter, etc. ...................................... Yes ....... 1 → | __________ | 997

.......................................................................................... No ........ 2 HRCMCYCL

.......................................................................................... HRBMCYCL

6. Garage .............................................................................. Yes ....... 1 → | __________ | 997

.......................................................................................... No ........ 2 HRCGARAG

.......................................................................................... HRBGARAG

7. Building materials ........................................................... Yes ....... 1 → | __________ | 997

.......................................................................................... No ........ 2 HRCBUILD

.......................................................................................... HRBBUILD

8. Dacha, house, apartment, land ...................................... Yes ....... 1 → | __________ | 997

.......................................................................................... No ........ 2 HRCDAL

.......................................................................................... HRBDAL

9. Books, textbooks, training aids, office supplies ............ Yes ....... 1 → | __________ | 997

.......................................................................................... No ........ 2 HRCBOOKS

.......................................................................................... HRBBOOKS

10. Sporting equipment: bicycle, scooter, skates ............... Yes ....... 1 → | __________ | 997

.......................................................................................... No ........ 2 HRCSPORT

.......................................................................................... HRBSPORT

22

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

DID NOT BUY ANYTHING FROM THE LIST IN QUESTION 7.

FOR THOSE WHO BOUGHT SOMETHING, ASK QUESTION 7.12. ]

In the last 12 months did your family buy any consumer durable– television set, cell

phone, refrigerator, furniture, etc.?

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

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

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

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

7.12. Where exactly did your family buy these goods?

Yes No D/K REFUSES

HRBMARK 1. At markets .......................................................................... 1 .................. 2 ................. 7 ............... 8

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

HRBCHSSS 3. In chain shops of self-service or showrooms, i.e.

in shops, which work in different places under

the same merchandise mark, for example

«Eldorado», «Euroset’» etc. .............................................. 1 .................. 2 ................. 7 ............... 8

HRBNCHSS 4. In shops of self-service, which are not a chain,

showrooms .......................................................................... 1 .................. 2 ................. 7 ............... 8

HRBPHINT 5. You have ordered food goods by telephone

or through Internet with delivery to home ...................... 1 .................. 2 ................. 7 ............... 8

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

HRBOTHER 7. Other ................................................................................... 1 .................. 2 ................. 7 ............... 8 8. Tell me, please: Did your family in the last 30 days buy any of the following goods, and,

if so, how much did you pay for them? How many Did you rubles in all D/K buy? did you pay? 1. Fuel for running vehicles, motors, generators ............ Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCFUELM

........................................................................................ HRBFUELM

2. Firewood, coal, peat, kerosene ..................................... Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCFCPK

........................................................................................ HRBFCPK

3. Bottled gas...................................................................... Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCGASBT

........................................................................................ HRBGASBT

23

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

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

in the last 30 days and, if used, how much they paid? Did your How many family rubles in all D/K use? did you pay? 1. Transportation services: local, intercity ..................... Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCTRAN

........................................................................................ HRPTRAN

2. Tailoring, clothing repair, shoe repair ........................ Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCSHUTL

3. Repair shop services for recreational items ................ HRPSHUTL

(e.g., television, tape recorder) or for furniture

or household appliances, including the purchase of spare parts ................................................. Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCHGDSR

........................................................................................ HRPHGDSR

4. Repair and construction of residence, buildings ........ Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCBLDGR

4.1 Car or motorcycle repair, including the ...................... HRPBLDGR

purchase of spare parts ................................................. Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCAUTOR

........................................................................................ HRPAUTOR

5. Laundry, dry cleaner, public bath, hairdresser ......... Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCLNDYB

6. Postal/telegraph service, including long-distance ....... HRPLNDYB

telephone calls [ INTERVIEWER! NOT ..................... Yes ....... 1 → | __________ | 997

COUNTING WIRELESS PHONE SERVICES! ] .......... No ........ 2 HRCCOMMU

........................................................................................ HRPCOMMU

8. Wireless phone services ................................................ Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCMOCOM

........................................................................................ HRPMOCOM

9. Internet services ............................................................ Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCINTER

........................................................................................ HRPINTER

10. Notary, lawyer, or realtor services .............................. Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCLAWYE

........................................................................................ HRPLAWYE

7. Ritual services: marriage registry office,

undertaker ..................................................................... Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HRCRITUL

........................................................................................ HRPRITUL

HRPRESDN 10. Tell me, please: In the last 30 days did your family pay for their residence, in other words,

for the apartment and utilities? Yes .......................................................................... 1

No ............................................................................ 2 → [ SKIP TO 12. ON PAGE 24 ]



24

HRCRESDN 11. How many rubles did your family actually pay in the last 30 days for the apartment

and utilities: for running water, hot water, central heating, electricity, metered gas, radio

reception, and other utilities, as well as for telephone service? Do not include long-distance

calls, wireless phone services, and Internet. [ INTERVIEWER! IF THE RESPONDENT HAS TROUBLE ANSWERING, ASK FOR

HIS/HER APARTMENT PAYMENT BOOK AND LOOK AT IT TOGETHER. ] _______________ RUBLES

DOESN’T KNOW 997


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

and utilities? Yes 1

No 2 → [ SKIP TO 12.2. ]

DOESN’T KNOW 7 → [ SKIP TO 12.2. ]

REFUSES TO ANSWER 8 → [ SKIP TO 12.2. ]

HRCUNPDB 12.1 How many rubles does your family owe for the apartment and utilities in total?

[ INTERVIEWER! IF THE RESPONDENT HAS TROUBLE ANSWERING, ASK FOR

HIS/HER APARTMENT PAYMENT BOOK AND LOOK AT IT TOGETHER. ]

_______________ RUBLES

DOESN’T KNOW 997


HRAUNPDB 12.2 Try to recall: For the last 3 months how much on average per month has your family

owed for the apartment and utilities, deducting subsidies and discounts if you have them? _______________ RUBLES

DOESN’T KNOW 997


HRCONRG 12.3 Please recall how many kilowatts of electricity your family consumed for September of

this year? _______________ KILOWATTS

DOESN’T KNOW 997


13. Did your family spend money in the last 30 days, and, if so, how much?

Family How many

spent rubles in all

money? did you pay? D/K

1. On child support and fees for children’s attendance

at preschools, schools, clubs, societies, payment for private lessons, tutors, including gifts for teachers ............. Yes ....... 1 → | __________ | 997

................................................................................................. No ........ 2 HRCCHILD

2. For sanitaria, vacation homes, children’s camps, ............... HRPCHILD

tourist travel, etc., excluding transportation ....................... Yes ....... 1 → | __________ | 997

................................................................................................. No ........ 2 HRCTOUR

2.1 For tickets to the theater, circus, movies, concerts, ............. HRPTOUR

recreation parks, and other entertainment events .............. Yes ....... 1 → | __________ | 997

................................................................................................. No ........ 2 HRCTICKT

................................................................................................. HRPTICKT

2.2 For treatment or examination in inpatient hospitals,

military hospitals, or clinics, not including medicine .......... Yes ....... 1 → | __________ | 997

................................................................................................. No ........ 2 HRCHOSP

................................................................................................. HRPHOSP

2.3 For treatment or examination in polyclinics, not

including medicine ................................................................. Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCPOLYC

................................................................................................. HRPPOLYC

25

Family How many

spent rubles in all money? did you pay? D/K

2.4 For dental treatment, dentures, false teeth,

not including medicine ........................................................... Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCDENTR

................................................................................................. HRPDENTR

3.1 For medicines, including vitamins and other drugs ............ Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCMEDCN

................................................................................................. HRBMEDCN

3.2 For washing materials (e.g., soap, laundry detergent) ........ Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCSOAP

................................................................................................. HRPSOAP

3.3 For personal hygiene (e.g., shampoo, toothpaste,

toilet paper, sanitary napkins, diapers, etc.) ........................ Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCHYGIE

................................................................................................. HRPHYGIE

3.4 For cosmetics and perfume ................................................... Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCPERFM

................................................................................................. HRPPERFM

4. For clubs, courses, lessons for adult family members ......... Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCACLUB

................................................................................................. HRPACLUB

5. For stocks, bonds, or other investment paper ..................... Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCINVST

................................................................................................. HRPINVST

6. For insurance premiums: life, health, car, home, etc. ........ Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCINSUR

................................................................................................. HRPINSUR

7.1 For payment of debts to private persons ............................. Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCDEPP

................................................................................................. HRPDEPP

7.2 For payment of credit, repayment of loans .......................... Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCCRREP

................................................................................................. HRPCRREP

8. For alimony payments ........................................................... Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCALIMN

................................................................................................. HRPALIMN

9. For payment of taxes for real estate and vehicles,

payment for license, membership fees, duties and fees

for paperwork, visas and documents processing,

not including income taxes and taxes for land ..................... Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCPRTAX

................................................................................................. HRPPRTAX

10. For buying currency with the aim of saving

[ TAKE INTO ACCOUNT ONLY FOR SAVING ] ............... Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HRCCURR

................................................................................................. HRPCURR

HRLENT 14. Tell me, please: Did your family lend any money in the last 30 days? Yes .......................................................................... 1

No ............................................................................ 2 → [ SKIP TO 16. ON PAGE 26 ]



26

HRLENDNG 15. How many rubles’ worth of money did your family lend in the last 30 days? _______________ RUBLES

DOESN’T KNOW ................................................ 997


HRSAVED 16. Tell me, please: Did your family in the last 30 days save any money? Yes 1

No 2 → [ SKIP TO 20. ]



HRSAVNGS 17. How many rubles’ worth did your family save in the last 30 days?

_______________ RUBLES

DOESN’T KNOW 997


20. Tell me, please, whether your family is helping people who are not members of your

household with money or goods--food, clothes, etc.--and, if so, how regularly your family

helps people whom I will name? If help was given within last 30 days, please estimate it in

rubles.

How much

Your family How Within last was this

helped regularly? 30 days? in rubles? D/K

1. Your or your

spouse’s parents? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997

No . . . 2 Several times ........ No . . . . 2 HRCGVPAR

HRHLPAR per year ............ 2 HRGVPAR

Once a year ......... 3

Whenever

they ask ............ 4

2. Your or your HRFHLPAR

spouse’s children? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997

No . . . 2 Several times ........ No . . . . 2 HRCGVCHD

HRHLCHD per year ............ 2 HRGVCHD

Once a year ......... 3

Whenever

they ask ............ 4

3. Your or your spouse’s HRFHLCHD

grandparents? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997

No . . . 2 Several times ........ No . . . . 2 HRCGVGRP

HRHLGRP per year ............ 2 HRGVGRP

Once a year ......... 3

Whenever

they ask ............ 4

4. Your or your spouse’s HRFHLGRP

grandchildren? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997

No . . . 2 Several times ........ No . . . . 2 HRCGVGRC

HRHLGRC per year ............ 2 HRGVGRC

Once a year ......... 3

Whenever

they ask ............ 4

HRFHLGRC

5. Other people? Yes . . 1 → Every month ....... 1 Yes . . . 1 → | ________ | 997

No . . . 2 Several times ........ No . . . . 2 HRCGVOTH

HRHLOTH per year ............ 2 HRGVOTH

Once a year ......... 3

Whenever

they ask ............ 4

HRFHLOTH

27

F. SECTION “INCOME”

HRRSBFU 3. In the last 30 days has your family received any subsidies for fuel: gas, kerosene, coal,

firewood, peat, etc.?

Yes 1

No 2 → [ SKIP TO 5. ]



HRVSBFU 4. How much money was your family paid additionally for fuel in the last 30 days?

_______________ RUBLES

DOESN’T KNOW 997


HREBNC 5. Is anyone in your household supposed to receive benefits for children?

Yes 1




HRRBCL18 6.1 Did any members of your household receive benefits for children of ages up to 18 months

in the form of cash, food products, or other goods in the last 30 days?

Yes 1

No 2 → [ SKIP TO 6.2. ]



HRVBCL18 7.1 How much money in total or what value of food products or other goods have your

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

months?

_______________ RUBLES

DOESN’T KNOW 997


HRRBCG18 6.2 In the last 30 days did any members of your household receive benefits for children of

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

institution)?

Yes 1




HRVBCG18 7.2 How much money in total or what value of food products or other goods have your

family members received in the last 30 days as benefits for children of ages 18 months to 16

years or to 18 years if they are studying in a secondary educational institution? _______________ RUBLES

DOESN’T KNOW 997


28

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

goods--food, clothes, etc.--from people who are not members of your household--from

children, parents, other relatives, friends, strangers, or organizations? Yes 1



REFUSES TO ANSWER 8 → [ SKIP TO 10. ON PAGE 29 ] 9. Has your family received gratuitous money or goods in the last 30 days, and, if so, how

would you estimate this in rubles: Did your family How much D/K

receive help? in rubles? 1. From your or your spouse’s parents Yes 1 → | ____________ | 997

No 2 HRVFCP

HRRFCP

2. From your or your spouse’s children Yes 1 → | ____________ | 997

No 2 HRVFCC

HRRFCC

3. From your or your spouse’s grandparents Yes 1 → | ____________ | 997

No 2 HRVFCGRP

HRRFCGRP

4. From your or your spouse’s grandchildren Yes 1 → | ____________ | 997

No 2 HRVFCGRC

HRRFCGRC

5. From other relatives of you or your spouse Yes 1 → | ____________ | 997

No 2 HRVFCOR

HRRFCOR

6. From friends Yes 1 → | ____________ | 997

No 2 HRVFCFRN

HRRFCFRN

7. From a former employer of a family member Yes 1 → | ____________ | 997

No 2 HRVFCFEM

HRRFCFEM

8. From a religious organization:

a church, mosque, or synagogue Yes 1 → | ____________ | 997

No 2 HRVFCCHR

HRRFCCHR

9. From foreign or international organizations Yes 1 → | ____________ | 997

No 2 HRVFCIO

HRRFCIO

9.1 From social organs of the state, not

including pensions and child benefits Yes 1 → | ____________ | 997

No 2 HRVFCGOV

HRRFCGOV

10. From other organizations and private

individuals Yes 1 → | ____________ | 997

No 2 HRVFCOTH

HRRFCOTH

9.11 In the last 30 days did people, that are not members of your household, whom I will

list, help your family in looking after children? Were you were assisted by...

Yes No D/K Refused

HRHPAREN 1. Your or your spouse's parents 1 2 7 8

HRHCHILD 2. Your or your spouse's children 1 2 7 8

HRHGRPAR 3. Your or your spouse's grandparents 1 2 7 8

HRHGRCH 4. Your or your spouse's grandchildren 1 2 7 8

HRHOTHPE 5. Other people 1 2 7 8

29

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

place of work in the form of money, goods, or services?

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

No ............................................................................ 2 → [ SKIP TO 11.2. ]

DOESN’T KNOW .................................................... 7 → [ SKIP TO 11.2. ]

REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 11.2. ]

HRVPAY 11. How much did your family receive after taxes and other deductions in the last 30 days? If

you were paid in the form of goods or services, estimate the value in rubles.

_______________ RUBLES

DOESN’T KNOW 997


HRINQSUB 11.2 Has any member of your household ever applied for subsidies for rent and utilities?

Yes 1




HRGETSUB 11.3 Is your family now getting subsidies for rent and utilities?

Yes 1




HRVALSUB 11.4 How much were these subsidies for your household during the last 30 days? In other

words, by what amount were your payments decreased?

_______________ RUBLES

DOESN’T KNOW 997


12. Did your family receive any of the following payments in the last 30 days, and, if so, how much was it in rubles? Did your How much D/K family receive? in rubles? 1a. Monthly monetary payments instead of natural benefits Yes 1 → | ___________ | 997 No 2 HRVCABEN HRRCABEN 1. Some kind of pension Yes 1 → | ___________ | 997 No 2 HRVPENSN HRRPENSN 2. Stipend Yes 1 → | ___________ | 997 No 2 HRVSTI HRRSTI 3. Unemployment benefits Yes 1 → | ___________ | 997 No 2 HRVUNEMP 4. Income from sale of personal HRRUNEMP property Yes 1 → | ___________ | 997 No 2 HRVS HRRS 5. Income from renting property Yes 1 → | ___________ | 997 No 2 HRVRNT 6a. Income from capital investments as HRRRNT a percentage of investments Yes 1 → | ___________ | 997 No 2 HRVCAPP

30 Did your How much D/K family receive? in rubles?

6b. Income from capital investments as HRRCAPP

dividends and similar payments Yes 1 → | ___________ | 997 No 2 HRVCAPD HRRCAPD 7. Insurance payments Yes 1 → | ___________ | 997 No 2 HRVINS HRRINS 8. Alimony Yes 1 → | ___________ | 997 No 2 HRVALIMN HRRALIMN 9. Repayment of a loan Yes 1 → | ___________ | 997 No 2 HRVPDEBT 10b. (Social) benefits as discounts on rent HRRPDEBT and utilities, excluding subsidies Yes 1 → | ___________ | 997 No 2 HRVBARNT HRRBARNT

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

Half a year or longer ................................................. 1 A few months ........................................................... 2 Not longer than a month ........................................... 3 Not longer than two weeks ....................................... 4 Not longer than a week ............................................. 5 Not even one day ...................................................... 6 HRSVTYMO (char) OTHER [ INTERVIEWER! WRITE DOWN _____________________________________________________________ DOESN’T KNOW ..................................................... 7 REFUSES TO ANSWER ........................................... 8

13. Tell me, please: In the last 30 days, did your family . . . How much in rubles? D/K 2. Spend savings, sell jewelry, Yes 1 → | ___________ | 997 foreign currency savings No 2 HRVSAVJC HRRSAVJC 3. Sell shares or other securities Yes 1 → | ___________ | 997 No 2 HRVSHAR HRRSHAR

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

months?

Yes 1

No 2 → [ SKIP TO 14.8. ]



HRCRPUR1 14.7 For what purpose did you take a line of credit? HRCRPUR2 Mortgage credit for purchasing house, real estate .... 1 HRCRPUR3 For purchasing a car ................................................. 2 For payment of education ......................................... 3 For purchasing a specific good in a shop ................. 4 For paying for a specific service in a firm ................ 5 Consumer credit in a bank for any purposes ............ 6 HRCPURT OTHER [ INTERVIEWER! WRITE DOWN _____________________________________________________________ DOESN’T KNOW ..................................................... 7 REFUSES TO ANSWER ........................................... 8

31 13. Tell me, please: In the last 30 days, did your family . . . How much

in rubles? D/K 1.1 Take money on credit Yes 1 → | ___________ | 997 No 2 HRTCREDV HRTCRED

HRCREDD 14.8 Tell me, please: Does your family have any credit debts today?

Yes 1

No 2 → [ SKIP TO 13.1.2. ]

DOESN’T KNOW 7 → [ SKIP TO 13.1.2. ]

REFUSES TO ANSWER 8 → [ SKIP TO 13.1.2. ]

HRCREDDV 14.9 How much money does your family owe in credit today? If the debt is estimated in

other currency, please convert it into rubles.

_______________ RUBLES

DOESN’T KNOW 997


13. Tell me, please: In the last 30 days, did your family . . . How much

in rubles? D/K 1.2 Borrow money from private persons Yes 1 → | ___________ | 997 No 2 HRBORMV HRBORM

HRMOND 14.10 Tell me, please: Does your family have any money debts to private persons today?

Yes 1

No 2 → [ SKIP TO 14.12. ON PAGE 31 ]

DOESN’T KNOW 7 → [ SKIP TO 14.12. ON PAGE 31 ]

REFUSES TO ANSWER 8 → [ SKIP TO 14.12. ON PAGE 31 ]

HRMONDV 14.11 How much money does your family owe in credit today? If the debt is estimated in


_______________ RUBLES

DOESN’T KNOW 997


HROWEFM 14.12 Tell me, please: Does anyone owe your family money?

Yes 1

No 2 → [ SKIP TO 14.0. ]



HROWEFMV 14.13 How much money does anyone owe your family owe today? If the debt is estimated in


_______________ RUBLES

DOESN’T KNOW 997


HRINCOME 14. And, concluding this part of our conversation, tell me, please: What was the monetary

income of your entire family in the last 30 days? Include here all the money received by all

members of the family: wages, pensions, stipends, and any other money received, including

hard currency converted into rubles.

_______________ RUBLES

DOESN’T KNOW 997


32

HRSAVV 14.0 How much did your family manage to save, i.e., what savings does your family have

today - at home or on bank deposit, or in floater? If the debt is estimated in other currency,

please convert it into rubles.

_______________ RUBLES

DOESN’T KNOW 997


HRKNOWIN 15. What do you think: Do you know everything about the income of members of your

family in the last 30 days?

YES, EVERYTHING 1

NO, NOT EVERYTHING 2

DOESN’T KNOW 7

REFUSES TO ANSWER 8

16.1. Tell me, please: During the last 12 months has there been a situation in which a

member of your family needed some form of medical help and could not get it only because

he or she did not have enough money? Yes, No, DIDN’T

there there NEED D/K REFUSES

was was not IT

HRNOCLIN 1. Could not receive outpatient clinic or

polyclinic treatment 1 2 6 7 8

HRNOHOSP 2. Could not receive inpatient treatment in a

hospital, military hospital, or clinic 1 2 6 7 8

HRNODNTL 3. Could not receive dental care 1 2 6 7 8

HRNOMDCN 4. Could not buy necessary medicine 1 2 6 7 8

HRNOSANA 5. Could not go to a rest home, sanitarium,

child health center 1 2 6 7 8

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

population center within the last 12 months? Please do not include business trips. Yes 1

No 2 → [ SKIP TO 34. ]



HRNLEFT 30. How many members of this household in total have left for work within the last 12

months?

[ INTERVIEWER! WE ARE TALKING ABOUT THOSE MEMBERS WHO ARE

RECORDED IN THE HOUSEHOLD ROSTER CARD ON PAGE 4. ]

__________ PEOPLE

DOESN’T KNOW 997


HRSSTUD 34. Tell me, please: Has any member of your household studied in a specialized secondary

educational institution - community college, medical, musical or other training school - in the

last 12 months?

Yes 1

No 2 → [ SKIP TO 37. ]



33

HRSMONST 35. In the last 12 months, has your household spent any money on this study: tuition

payment, payment for tutoring, tests and exams, gifts for instructors, donations for

maintenance and security services, etc.?

Yes 1

No 2 → [ SKIP TO 37. ]



HRSMONTA 36. Please recall: What amount exactly has your family spent on this study in the last 12

months? Please add the expenses for all household members who have studied in specialized

secondary educational institutions.

_______________ RUBLES

DOESN’T KNOW 997


HRHSTUD 37. Has any member of your household studied in a higher education institution - college,

institute, university, academy - in the last 12 months?

Yes 1

No 2 → [ INTERVIEW IS FINISHED ]

DOESN’T KNOW 7 → [ INTERVIEW IS FINISHED ]

REFUSES TO ANSWER 8 → [ INTERVIEW IS FINISHED ]

HRHMONST 38. In the last 12 months, has your household spent any money on this study: tuition

payment, payment for tutoring, tests and exams, gifts for instructors, donations for

maintenance and security services, etc.?

Yes 1

No 2 → [ INTERVIEW IS FINISHED ]

DOESN’T KNOW 7 → [ INTERVIEW IS FINISHED ]

REFUSES TO ANSWER 8 → [ INTERVIEW IS FINISHED ]

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

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

education institutions.

_______________ RUBLES

DOESN’T KNOW 997


THANK YOU VERY MUCH!

I CONFIRM THAT I COMPLETED THE SURVEY ACCORDING TO THE INSTRUCTIONS BY

MEANS OF A PERSONAL INTERVIEW.

Signature _________________________________________________________________

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